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Transcript of Magnetic Resonance Spectroscopy - mc.vanderbilt.edu · • Magnetic resonance imaging (MRI) almost...
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Magnetic Resonance Spectroscopy
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Upcoming • 26 March (Seth Smith)
– Magnetization Transfer, Chemical Exchange, T1-rho
• 28 March – Advanced vascular imaging: arterial spin labeling (ASL), susceptibility weighted imaging
(SWI), vascular space occupancy (VASO), phase-contrast angiography (PCA)
• 2 April (Seth Smith) – MR outside the brain
• 4 April – Analysis approaches
• 9 – 16 April – Project presentations
• 18 April – Review
• 25 April – Final exam (alternate exam date: 30 April)
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Magnetic resonance spectroscopy (MRS)
• Basic principles of MRS – How MRS differs from MRI – Chemical shift – Metabolites MRS reports on – Technical issues with MRS
• Dwell time • Shimming • Localization • J-modulation
• Applications of MRS – GABA spectroscopy and behavior – Retired NFL player
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Magnetic resonance spectroscopy (MRS)
• Magnetic resonance imaging (MRI) almost always measures water signal – Amount of water is high in body (Molar range) – Good source of signal
• Magnetic resonance spectroscopy (MRS) reports on magnetic resonance signal from protons on other molecules – Concentration of these other molecules much less than
water (generally mM range) – SNR is inherently low. Requires many averages and
extremely limited field-of-view. – However, imaging of specific metabolites is of great
relevance for understanding chemical alterations in many disease processes
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Many thanks to Jamie Near, PhD for providing many of the MRS figures
Jamie Near Oxford University (Magdalen College)
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MRS and the clinic
• Like many MR approaches, MRS is still largely applied in the research realm owing to – Limited volume coverage – Time required to obtain sufficient SNR – Post-processing involved
• Many say “MRS is a clinical technique of the future and always will be…”
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MRI vs. MRS T2w FLAIR MRI in
Multiple Sclerosis Patient Spectroscopy
Imaging signal comes from water protons
Spectroscopy signal comes from protons in other environments
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MRS Spectroscopy Acquisition
Simple MR experiment: Excite (then) Detect “Free induction decay” (FID) Metabolite spectrum
Fourier Transform
Note: In the simple MRS experiment, gradients are not applied during the readout for spatial encoding
Therefore, the signal does not contain spatial information, just information of the different resonance frequencies within the sample (more to come on how spatial localization can be accomplished later…)
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A note on ppm You can think of “ppm” in the same way you think of percent – it’s just smaller • Percent
– 1% = 1/100 (i.e., parts per 100)
• Parts per million (ppm) – 1 ppm = 1/1,000,000
• 1 ppm = 1 millionth of the Larmor frequency – e.g., 450 Hz/128 MHz ~ 3.5 ppm – Resonance frequency depends on B0, but ppm independent of B0 – Note, MRS peaks are separated by just a few ppm (at most)
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The MRS frequency spectrum
Fourier Transform
• Final spectrum composed of signals from multiple metabolites
• Each metabolite identified by a unique and highly-reproducible frequency distribution
• Why do different metabolites exhibit different resonance frequencies?
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Shielding and chemical shift
1H
B0
Nucleus Electron cloud
Blocal = -σB0
ω = γB0(1-‐σ)
σ = chemical shift shielding constant
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Shielding and chemical shift
σA < σB < σC ωA > ωB > ωC
B0
1H 1H 1H
16O 12C
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Carl Wilhelm Scheele
Scheele discovered Oxygen, but first to publish was Joseph Priestley
“Hard luck Scheele” (he also first discovered tungsten, hydrogen and chlorine, but others get credit)
Always smelled and tasted new elements he discovered
Many were toxic: mercury, lead, etc. Died at age 44 yrs (1786)
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MRS spectrum
Electronic Shielding
Resonance Frequency
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MRS spectrum
Electronic Shielding
Resonance Frequency
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Metabolites commonly reported with MRS
Ricardo André Amorim Leite et al. Arq. Neuro-Psiquiatr. vol.68 no.1 São Paulo Feb. 2010
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MRS and Marijuana
Healthy Control Chronic Marijuana User
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MRS and Marijuana Healthy Control (HC) Chronic Marijuana User (MJ)
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What you detect will also depend on your TE
Ricardo André Amorim Leite et al. Arq. Neuro-Psiquiatr. vol.68 no.1 São Paulo Feb. 2010
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Understanding MRS Spectra
• Knowledge of electron shielding and magnetic resonance allows us to predict the MRS spectrum of compounds so long as we know their structure
• Examples: – Water (H2O) – Lactate (C3H5O3) – GABA (C4H9NO2)
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Water: H2O
• Structure: H2O
• One pair of equivalent protons: – Same resonance frequency – Single peak in MRS
spectrum
• The shielding is low due to the electronegative oxygen atom
Water peak at 4.7 ppm
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Wait, why is water at 4.7 ppm and not 0 ppm?
• Answer: In NMR, all ppm are given relative to TMS (tetramethylsilane) – Sharp NMR signal – Signal does not interfere with other resonances
• Note: Sometimes resonances are given in terms of absolute ppm scale and sometimes are given relative to water (4.7 ppm).
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Lactate: C3H5O3 • Structure:
• One methyl group – 3 equivalent protons
• One methine group (CH)
• Shielding: – Methyl group: high – Methine group: low
CH H3C COO-‐
OH
Peak height corresponds to number of protons in group
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Lactate Continued
• Structure:
• Because the methyl and methine groups share a bond, they are said to be “coupled” – Coupling results in
peak splitting
CH H3C COO-‐
OH
Peak height corresponds to number of protons in group
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γ-aminobutyric acid (GABA) • Structure:
N+ - CH2 – CH2 – CH2 – COO-
• Three methylene groups (two equivalent protons per group)
• Shielding: – Less shielding than CH3 groups – More shielding than CH groups
• Coupling: – α is coupled to β – β is coupled to γ
γ β α
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MRS pulse sequence different from MRI sequence: no readout gradient
Gx Gx
MRI MRS
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More Fourier relationships
• K-space >> FT >> image space • B1 >> FT >> Mx,y
• Time domain signal >> FT >> spectrum
Imaging Spectroscopy
Δx = 1/FOVk
FOVx = 1/Δk
Δf = 1/FOVt Or
Spectral resolution = 1/tacq
FOVf = 1/Δt Or
Spectral width = 1/dwell time
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Fourier relationships in MRS: Effect of dwell time on spectral width
FT
FT
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Fourier relationships in MRS: Effect of acquisition duration (tacq) on
spectral resolution
FT
FT
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T2* determines spectral linewidth Linewidth = 1 / (T2* π)
FT
FT
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Technical issues in MRS • Water suppression
– Water concentration ~ 1000x higher than most metabolites – Must suppress water signal to measure metabolites clearly
• Shimming – Improve homogeneity within voxel
• Outer volume suppression – Large lipid signals outside voxel (can manifest in spectrum if
unsuppressed)
• J-coupling – Peak splitting – J-evolution
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Water suppression strategies in MRS similar to fat suppression
strategies in MRI
• Water suppression – Apply frequency selective pulse (for water:
4.7 ppm) prior to excitation pulse – This tips only water spins into transverse
plane (all others left along z) – Apply crusher gradient to dephase water
spins, then begin MRS acquisition
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Water suppression strategies in MRS similar to fat suppression
strategies in MRI
No water suppression Water suppression
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Shimming: very important in MRS Influences linewidth and SNR
Poor Shim Better Shim
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Lipid suppression • Lipids are found throughout body:
– Extracranial lipids – Periprostatic lipids – Breast – Axilla – etc.
• Lipids can distort baseline of spectra so that metabolites cannot be detected • Lipids resonate at 1.3 ppm • Lipids can be suppressed using outer volume suppression techniques
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J-coupling
• Coupling occurs when protons are influenced by neighboring protons – This influence is caused by the sharing of
electrons
• Results in: – Splitting of spectral peaks – Modulation of peak phase and intensity as a
function of echo time (J-evolution)
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J-modulation
• Coupling causes the amplitude and phase of peaks to vary as a function of TE
• Example: modulation of GABA peaks as a function of TE
• TE is an important consideration when observing coupled metabolites!
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Design
Strategy for optimizing MRS detection of coupled metabolites
Design
Post-processingImplementation
Hamiltonian
analysisquanti!cation of mutual information
Precision
density matrix
signal detection
spin-system
H(ti)=H’(ti’)
basis selection
initial conditions
search algorithm
CRLB
1 2 3 4 5 6 7 8 9 . . . . . N
H1
H2 H4
H3 H5
H6
metabolite(k) =p(k) = !"j|# ><# |
j j j
S1(t)
Sk(t)
Kevin Waddell
Optimization of MRS for detection of coupled metabolites
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TE (ms)
Pre
cisi
on
Failing to understand precision can reduce sensitivity by factor of two or more
TE (ms)
FWH
M (H
z)
Glutamate Glutamine
Resolution increases precision, but dominant regime for in vivo MRS is J-evolution
Kevin Waddell (TR&D 3)
0.05
0.20
Precision TE (ms)
Glu and Gln: Precision increases by ~150% in optimized sequence
How precision oscillates with time
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Localization • In MRS, no readout gradients are used.
– Signal will come from everywhere? – How can we obtain localized information?
• Localized spectroscopy enables the observation of spectral information from a specific voxel (single-voxel spectroscopy, SVS)
• Two basic pulse sequences: – PRESS – STEAM
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Point RESolved Spectroscopy (PRESS)
• Double spin-echo sequence consisting of three slice selective pulses in orthogonal planes – 90 – 180 – 180
• Signal comes from the intersection of the three planes!
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Point RESolved Spectroscopy (PRESS)
• Double spin-echo sequence consisting of three slice selective pulses in orthogonal planes – 90 – 180 – 180
• Signal comes from the intersection of the three planes!
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Stimulated Echo Acquisition Mode (STEAM)
• Consists of three orthogonally slice selective 90 pulses – 90 – 90 – 90
• Signal comes from the intersection of the three planes!
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Stimulated Echo Acquisition Mode (STEAM)
• Three 90 pulses combine to produce a stimulated echo • Compared to PRESS:
– Stimulated echo amplitude is only half the size of a PRESS spin echo
– T2-decay does not occur during TM
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PRESS or STEAM?
• Depends what you want
• PRESS: Highest SNR, but more SAR intensive
• STEAM: Lower SNR, but less SAR and better for imaging metabolites with shorter T2
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PRESS or STEAM?
TE
Signal
SAR
Localization
PRESS STEAM Note…
S S/2 PRESS SNR 2x STEAM SNR
Short TE difficult
Short TE possible
STEAM: Better for metabolites with short T2
High Low 90 requires lower power than 180
Sharp Sharper 90 pulses have sharper profiles than 180s
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MRS summary • Each metabolite signal contains unique frequency
information
• Spectrum is obtained by Fourier transform of time domain signal
• Appearance of spectrum depends on sampling of free induction decay, and T2*
• Uncoupled spins yield singlet peaks; coupling results in peak splitting
• Localized spectroscopy can be performed using PRESS or STEAM
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Advanced MRS: detection of GABA with MEGA-PRESS
• Why study GABA? – Primary inhibitory neurotransmitter in adult brain
– Implicated in many disorders, including Alzheimer’s disease, behavior-control disorders (gambling, etc.), schizophrenia
– Approximately 25% of neurons are inhibitory GABAergic neurons (rather than excitatory, Glutamatergic neurons)
– Michael Jackson died of propofol overdose (GABA agonist)
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Advanced MRS: Detection of GABA with MEGA-PRESS
• Is it difficult to measure GABA in vivo? – Yes
• Why? – Small concentration (~1 mM in cortex) – Spectrum overlaps with spectrum of other molecules with higher concentration:
Images from Richard Edden
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Advanced MRS: Detection of GABA with MEGA-PRESS
Images from Richard Edden
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Advanced MRS: Detection of GABA with MEGA-PRESS
Images from Richard Edden
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GABA and BOLD fMRI
Donahue MJ, et al. Neuroimage. 2010.
GABA+
3 Tesla N = 12
3 Tesla N = 12
3 Tesla N = 12
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More GABA less distraction
Sumner P et al. Nat Neuroscience. 2010.
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MRS in former NFL player
T1-weighted imaging unremarkable
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MRS in former NFL player
MRS (Henry Zhu)
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MRS in NFL player
• No remarkable structural findings
• Asymmetric decrease in NAA in left parietal – NAA used as an indicator of neuronal and
axonal integrity
• See changes in neurochemistry in the absence of changes in tissue structure
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Upcoming • 26 March (Seth Smith)
– Magnetization Transfer, Chemical Exchange, T1-rho
• 28 March – Advanced vascular imaging: arterial spin labeling (ASL), susceptibility weighted imaging
(SWI), vascular space occupancy (VASO), phase-contrast angiography (PCA)
• 2 April (Seth Smith) – MR outside the brain
• 4 April – Analysis approaches
• 9 – 16 April – Project presentations
• 18 April – Review
• 25 April – Final exam (alternate exam date: 30 April)