Abstract

NMR finds a wide range of applications, ranging from
fundamental
chemistry to medical imaging. The technique, however, has an inherently
low signal-to-noise ratio (SNR)—particularly when dealing with
nuclei having low natural abundances and/or low γs. In these
cases, sensitivity is often enhanced by methods that, similar
to INEPT, transfer polarization from neighboring 1Hs via J-couplings. In 1958, Carr proposed an alternative approach
to increase NMR sensitivity, which involves generating and continuously
detecting a steady-state transverse magnetization, by applying a train
of pulses on an ensemble of noninteracting spins. This study broadens
Carr’s steady-state free precession (SSFP) framework to encompass
the possibility of adding onto it coherent polarization transfers,
allowing one to combine the SNR-enhancing benefits of both INEPT and
SSFP into a single experiment. Herein, the derivation of the ensuing
INEPT-SSFP (ISSFP) sequences is reported. Their use in 13C NMR and MRI experiments leads to ca. 300% improvements in SNR/
over conventional J-driven
polarization transfer experiments, and sensitivity gains of over 50%
over 13C SSFP performed in combination with 1H decoupling and NOE. These enhancements match well with numerical
simulations and analytical evaluations. The conditions needed to optimize
these new methods in both spectroscopic and imaging studies are discussed;
we also examine their limitations, and the valuable vistas that, in
both analytical and molecular imaging NMR, could be opened by this
development.
Nuclear amgnetic resonance (NMR) is a primary tool for elucidating the identity and structure of organic and inorganic species,1,2 a leading method for characterizing the dynamics and three-dimensional structure of biomacromolecules,3,4 and is uniquely capable of detecting and monitoring diseases via imaging (MRI) and spectroscopic imaging (MRSI).5,6 Despite this outstanding portfolio, NMR exhibits a notoriously poor sensitivity, particularly when targeting low-γ and/or low-abundance nuclides such as 13C or 15N. A widespread strategy for boosting the sensitivity of such unreceptive nuclei consists of transferring, via J-couplings, polarization from the abundant, high-γ 1Hs that typically surround these targets. In solution NMR, such polarization transfers usually proceed via insensitive nuclei enhanced by polarization transfer (INEPT),7,8 which is a sequence based on few but carefully timed, phased and calibrated radio-frequency (RF) pulses acting on the targeted nuclei. Early decades of magnetic resonance witnessed an alternative route for enhancing NMR’s signal-to-noise ratio per square-root unit time (SNRt), with the introduction of the steady-state free precession (SSFP) sequence (Scheme 1a).9 SSFP consists of a train of equidistant RF pulses with flip angles θ and phases ϕ, spaced by repetition time τR that includes the data acquisition period. As a result of the rapid pulsing, the experiment provides, in the τR ≪ T2, T1 regime, NMR signals that maximize SNRt, reaching a steady-state emission equivalent to half the total equilibrium magnetization M0, when T1 = T2. Although short repetition times τR ≪ T2 in SSFP maximize the SNR, they compromise the spectral resolution.10 Additionally, the method’s periodicity introduces a strong offset dependence, resulting in “dark bands” that emit no signal. Hence, only applications involving single lines whose spectral resolution is inconsequential, have reaped the SNRt benefits of SSFP. This is widely exploited in MRI;11−13 beneficial applications in NQR14 and solid-state NMR,15 have also been reported. Furthermore, steady-state based applications are emerging in high-resolution solution NMR.16,17 This Communication demonstrates that heteronuclear polarization transfers can also be integrated into SSFP, to attain additional SNRt gains for unreceptive, low-γ nuclei.
Scheme 1. (a) 13C SSFP, (b) 1H Decoupled/NOE SSFP, (c) ISSFPxy, and (d) ISSFPxy–x–y Pulse Sequences.
The filled rectangles represent pulses with flip angle θ and phase as given. τR is the interpulse delay, which includes the FID acquisition. All sequences assume an on-resonance irradiation on both species.
The scenario discussed here includes a heteronuclear S = 13C, I = 1H spin-1/2
pair
interacting via J-coupling under steady-state conditions—a
situation that, to the best of our knowledge, has only been theoretically
treated for homonuclear systems.18 (a 1H and a 13C are here assumed, for the sake of simplicity).
In analogy to the INEPT experiment, we denote the resulting sequences
as INEPT-SSFP (ISSFP), and defer the bulk of their analyses to the Supporting Information. Two sequences which emerged
from such analyses are presented in Scheme 1: ISSFPxy (Scheme 1c), possessing two
blocks of simultaneous 1H/13C pulses with quadratically
incremented phases given by
, where n is an integer
representing each pulse; and ISSFPxy–x–y, with four pairs of simultaneous
pulses with linear phase increments of π/2 (Scheme 1d). The 13C NMR
performance of these sequences was evaluated in experiments that compared
them to standard SSFP sequences, both with and without continuous 1H irradiation; notice that in the latter case, the irradiation
produces both decoupling and a 13C enhancement due to the
nuclear Overhauser effect (NOE).19 In addition,
optimized INEPT-based 13C experiments were also included
in the comparison. Representative results of these experiments for
a variety of model systems are given in Figure 1 and in Figures S3–S5 of the Supporting Information. Also presented for each case
are the corresponding SNRt values, calculated as described
in eqs S104–S106 in the Supporting Information from the signals’ maximal intensities and from separate noise-gathering
measurements (see insets for each example). Note that the free-induction
decay (FID) from each evolution block of the SSFP and ISSFPxy–x–y sequences is the same apart from a well-defined phase shift, and
thus the resulting spectra from each block could be coadded after
appropriate phase corrections (which can also be done on-the-fly by
suitably modulating the receiver phase). By contrast, as further explained
below, each of the two evolution blocks of the ISSFPxy experiment contributes a different transition of the 1H–13C doublet to the 13C FID;
the two blocks thus give rise to peak offsets by the J-coupling, and each such spectrum is shown individually in Figures 1 and S3–S5. To ensure a valid assessment, pulse
sequence parameters were chosen to maximize the 13C sensitivity
for each experiment. For the ISSFPxy sequence,
the optimal repetition time τR is related to the J-coupling constant as τR = k/2J, where k is an odd integer
(see below); for ISSFPxy–x–y, the optimal τR was shorter (τR < 1/2J), and
the exact value was determined experimentally. SSFP sequences with 1H decoupling exhibited similar SNRt values across
a range of τR (Figures S3–S5). For a given τR, the most suitable flip angle
on both channels was then determined experimentally; these match well
with predictions from numerical simulations, particularly when RF
inhomogeniety was minimized (Figure S6).
Figure 1.

13C NMR spectra acquired using different pulse sequences for: (a) sodium formate, (b) glucose C1, (c) sodium lactate C2, and (d) sodium lactate C1. For each spectrum an inset with separate magnified noise is given, which was acquired under the same conditions as the spectrum, but without pulsing. Red and blue spectra for the ISSFPxy cases represent outcomes of Fourier processing the first and second (even and odd) blocks, respectively, while the noise shown in the inset is that of the first block. For each experiment, the SNRt is shown; for the ISSFPxy case, this represents the combined SNRt of both blocks. For the steady-state experiments, the chosen repetition time (τR) and pulse flip angle (θ) also are provided; all experiments were executed while on-resonance with the respective 1H and 13C resonances (in the glucose case, on the majority α-form). For additional experimental details, see the main text and the Supporting Information.
Figure 1a inspects the sensitivity of all sequences for 13C spectra of sodium formate in D2O—a model with a well-isolated 1H/13C pair. Both ISSFP sequences show an almost 2-fold boost in SNRt over conventional INEPT, and ca. 3-fold sensitivity increase over conventional SSFP. Spectral resolution in the SSFP experiments is insufficient to resolve the 13C doublet, producing a signal intensity akin to that of a decoupled 13C resonance. Hence, what is observed as SNRt enhancement upon introducing 1H decoupling into SSFP predominantly arises from NOE.20 Still, the coherent polarization transfer offered by the ISSFP variants exceed this decoupled SSFP signal by ca. 50%. Figure 1 also presents experiments for solutions of glucose and lactate, metabolites which play a significant role in monitoring tumor metabolism as end reporters of the Warburg effect.21,22 The 1H/13C spin pairs of interest are no longer isolated in these molecules, and more-complex spin dynamics are expected. Furthermore, glucose’s 13C resonances are split into α- and β-form peaks, which are not fully resolved by steady-state based experiments. Despite these complications, the 13C results arising from the α-form of glucose’s C1 and lactate’s C2 resonances, exhibit similar SNRt trends as seen with formate (Figures 1b and 1c). However, the ISSFPxy–x–y sequence outperforms the ISSFPxy experiment, showing a 3-fold to 4-fold enhancement over conventional SSFP and ca. 1.5 times higher SNRt than NOE/decoupled SSFP. By contrast, ISSFPxy lacks sensitivity enhancement vis-á-vis SSFP experiments incorporating NOE/decoupling. Interestingly, an efficient polarization transfer for short repetition times also arises from lactate’s carboxylic resonance (Figure 1d). Only a 4 Hz J-coupling connects this carbon to 1Hs in the molecule (Figure S7), and the increased internuclear distance prevents an efficient NOE enhancement. However, experiments and simulations evidence that the size of the J-couplings plays only a secondary role when transferring polarization under ISSFPxy–x–y, steady-state conditions. This bodes well for the enhancement of nonprotonated 13C, 15N, and 31P resonances, particularly with in vivo studies.
In an effort to gain a better understanding of how the ISSFP sequences operate, these were evaluated both analytically and through numerical spin dynamic simulations. The former was carried out by extending the classical single-spin treatment used to derive SSFP conditions,23,24 to a two spin-1/2 system interacting by a J-coupling. We first examine the ISSFPxy sequence, which, although experimentally less efficient than ISSFPxy–x–y, has a simpler analysis, revealing insights about the combination of polarization transfer and steady-state processes (see the Supporting Information for details). For simplicity, we focus on θ(1) = θ(2) ≡ θ and τR = 1/2J conditions, which, for ISSFPxy, provide maximal heteronuclear polarization transfer. After each odd set of pulses, the steady-state density operator as a function of flip angle θ is given by
| 1 |
| 2 |
| 3 |
| 4 |
In the Cartesian product operator basis,25 the density operator consists of six terms (eq 1). These will have equal
amplitudes when the
pulse flip angle on the two channels is θ = π/2 and T1 = T2 (see eqs 2–4), leading to a condition close to maximal transverse magnetization.
This is in interesting parallelism to what happens in SSFP for an
isolated spin-1/2, where maximal signal intensity is also obtained
for such θ and T1, T2 conditions, and leads to a steady-state magnetization
that is evenly distributed over longitudinal and transverse terms.24 Note that the relation governing the transverse
term dependence on the flip angle θ (see eqs 3 and 4) is also analogous
to that in conventional SSFP.24 Additionally,
in parallel to SSFP experiments, the ISSFP signal intensity within
these approximations depends on the T1/T2 ratio but not on absolute T1 and T2 values.
ISSFP, however, has its distinctive features: both coupled spins will
now share their polarizations equally (as expected due to the sequence’s
symmetry), and each of these will be associated with three terms:
a longitudinal and an in-phase transverse magnetization as in the
isolated spin-1/2 case, plus additional antiphase transverse terms
originating from the J-coupling. All of these will
share in 1/6 of the total initial spin order, which, for simplicity,
we assumed to be equal for I and S. The spectra that arise from the combination of the in-phase and
antiphase transverse terms in eqs 3 and 4 may be better appreciated
in the fictitious spin-1/2 basis26 (see eqs S80 and S81). For instance, the sum of
and
leads to only one of the two observable
transitions for the S-spin; the same occurs with
the transverse I-spin terms. Hence, for both spins,
their resulting spectra will consist of a single peak out of each J-doublet. A similar analysis for the steady-state density
operator after the even set of pulses
, gives combined operators that originate
from the other transition for each spin, i.e., the second multiplet
component of each spin’s J-coupled signal.
A schematic summary of these findings is presented in Figures 2a and 2b. This is in agreement with the experimentally observed resonance
shifts arising from the first and second evolution periods of the
ISSFPxy sequence, as exemplified in Figures 1 and S3–S5.
Figure 2.

(a) Energy level diagram of a two spin–1/2
system I – S, assuming that
ωI > ωS ≫ J > 0. Here |mImS⟩ represent
the eigenstates of Zeeman and heteronuclear J-coupling
Hamiltonian in the high-field approximation, with mN being the magnetic quantum number and
ωN being the Larmor frequency for
each spin. The allowed values of mN are labeled as α and β. The arrows connecting
the energy levels (1 through 4) represent the observable transitions
for each spin: red (1 → 2) and blue (3 → 4) for spin S, and green (1 → 3) and purple (2 → 4) for
spin I. (b) Schematic ISSFPxy sequence with the resulting spectra arising from each block
for both spins, and with spectral colors associated with the transitions
in panel (a). Spectra are referenced to the Larmor frequency of each
spin. Density operators
and
describe the state of the spin ensemble
at the time points marked by black arrows. (c) Simulations of the
steady-state 13C transverse magnetization at the beginning
of the first block (within
) of the indicated sequences as a function
of repetition times τR and flip angle θ. Notice
that separate plots are provided for each of the two observable S transitions (1 → 2 and 3 → 4). Spins I and S are chosen as 1H and 13C, respectively, with a J-coupling of 200
Hz. Additional simulation details are given in the Supporting Information.
Extending such examination to the θ = π/2 scenario yields the signal dependence of ISSFPxy on repetition time τR. Transverse magnetization maxima will then occur whenever τR = k/2J, where k is an odd integer (eqs S84–S95). Furthermore, the set of operators that evolve during the first and second periods alternate between the maxima. For instance, from the odd blocks, spectra will consist of peaks arising from transitions 1 → 3 and 3 → 4 for k = 1, 5, 9, ..., while operators 2 → 4 and 1 → 2 will originate the maximal signals for k = 3, 7, 11, ... These operators will swap conditions for signals arising from the even ISSFPxy blocks. These predictions agree with the signal intensities predicted by numerical simulations (Figure 2c) and with the experimental data, which show that observed resonance switches between multiplet components for the odd and even blocks of ISSFPxy experiments conducted with τR of 1/2J and 3/2J (Figures S3–S5).
An analytical examination of the ISSFPxy–x–y sequence is more complex; nevertheless, a relatively simple steady-state density operator solution is found as a function of τR (eqs S96–S103). The solution contains more transverse operators than in the ISSFPxy case. Some of the operator amplitudes do not depend on the J-coupling; hence, these terms are void of an oscillatory dependence on τR. Still, the observable transition operators behave in a similar, alternate manner as they do in the simpler ISSFPxy variant. Figure 3 illustrates this using, once again, sodium formate as a prototypical model, evidencing—in addition to a clear signal enhancement—oscillatory τR-dependent features in the ISSFPxy–x–y variant. Some of these are also evident in data collected using 1H-coupled 13C SSFP experiments, which reflect the off-resonance effects introduced by the J-coupling. Notice that the positions of the “dark bands” in all these curves will be solely dependent on τR, even if their overall shapes will naturally be dependent on the flip angles applied on both species. Notice as well that since transverse terms exist even when using short repetition times τR < 1/2J, efficient polarization transfers occur even for small J-couplings. This is evident in the ISSFPxy–x–y curves in Figure 3, and also explains the surprisingly good enhancement observed for lactate’s 13C carboxyl site (Figure 1d). Notice that numerical simulations (Figure 2c) substantiate the analytical results outlined above. For instance, they reveal that maxima for the individual transitions occur at τR = k/2J with k = 1, 5, ... for transition 3 → 4, while with k = 3, 7, ... for transition 1 → 2.
Figure 3.
(a) Experimental and (b) simulated steady-state 13C transverse magnetization observed for sodium formate, as a function of the repetition time τR, from the SSFP (blue) and ISSFPxy–x–y (red) sequences. The dashed lines mark the “dark band” positions of the ISSFPxy–x–y sequence. The plotted signals correspond in all cases to the point of the FID located at τR/2. This highlights the “dark band” positions; however, it does not reflect all the maxima, due to destructive interference between the signals from the two transitions. Sample and conditions were identical in both experiments and as detailed in Figure 1a. Simulations were carried out using the experimental parameters, for a spin system comprised of two spins (1H and 13C) with J = 195 Hz. All transverse relaxation times were assumed 4 s, T1H = 13.5 s and T1C = 20 s. See the Supporting Information for additional details.
The theoretical analysis above also gives qualitative insight into the maximal enhancements that the new ISSFP sequences will achieve over conventional SSFP counterparts. Taking into account that (i) the full polarization of the I and S spins (proportional to γS + γI) will, in ISSFP’s best-case scenario, be equally split among six spin operators–two transverse and one longitudinal for each spin; (ii) that in conventional SSFP will, in an equal best case scenario, yield a maximal signal proportional to γS/2; then, a maximum enhancement value ηS can be computed for the S-spin signal as
| 5 |
According to this relation, S = 13C ISSFP sequences involving polarization transferred from I = 1H should provide a maximal enhancement of ca. 1.7 times over SSFP when all components in the density operator relax with the same rate. Experimental observations, however, (Figures 1, 3, and S3–S5) reveal up to 4-fold improvement in SNRt compared to conventional SSFP. Simulations show that this additional enhancement is associated with the unequal relaxation times of the two species, in particular to the fact that the T1/T2 ratio for 13C is larger than that for 1H. This boosts the efficiency of the ISSFP sequences over SSFP counterparts (Figure S8a). The experimental enhancements of ISSFPxy match very well with predictions of this model (Figure S8b), particularly when taking into account that increasing the 1H T1/T2 ratio seems to have an opposite effect on the relative enhancement. Still, a complete understanding of the experimental enhancement requires the measurement and incorporation of a complete set of relaxation parameters, including cross-relaxation and cross-correlation effects that have no parallel in the isolated-spin SSFP scenario. As suggested by eq 5, ISSFP’s advantages will improve with decreasing γS and, as mentioned, these gains will also be present in cases of long-range 1H couplings, where NOE enhancements become negligible.
One of the applications envisioned for these new sequences is in metabolic low-γ nuclide MRI, where SSFP sequences have proven well-suited to enhance the sensitivity of the sparse spectra involved.27,28 To explore this aspect, experiments were tested using a phantom of d-glucose-13C1 in 2% agarose. Figure 4 demonstrates the ca. 3-fold gain in intensity that ISSFPxy–x–y can provide over SSFP variant in the ensuing images, and the 50% signal enhancement that yields over 13C SSFP MRI with continuous 1H irradiation. These trends, as well as the flip-angle dependence, are all in excellent agreement with the spectroscopic data and the theoretical assessment.
Figure 4.
13C images of 50 mM d-glucose-13C1 dissolved in a 5-mm-diameter 2% agarose/H2O phantom acquired with (a) SSFP, (b) SSFP with 1H decoupling and NOE and (c) ISSFPxy–x–y sequences. From left to right, the images are shown as a function of the pulse flip angle θ in the sequences. See the Supporting Information for additional details.
The present study demonstrated the feasibility of coupling INEPT with SSFP, to achieve a coherent polarization transfer under steady-state conditions. To this end, a sequence of lower experimental performance but simpler interpretation was introduced (ISSFPxy), as was a more efficient but theoretically more-complex sequence (ISSFPxy–x–y). Notice that this extra complexity is not translated experimentally, as the sequence’s phase incrementation simply represents pulsing on both channels with constant phases at an offset ΔΩ = π/2τR. Theoretical analyses, simulations, and experiments demonstrated that substantial improvements in SNRt could then be obtained in comparison to either conventional INEPT or SSFP acquisitions. When executed within an NMR framework the experiment is thus simple; notice that, since the duty cycles of the ensuing sequences are 0.1%, even a reliance on pulses with hundreds of watts of power will lead to an average heat deposition lower than that of typical continuous decoupling sequences; all these experiments are thus compatible with cryogenically cooled probes. These spectroscopic gains translated also into thermal 13C MRI experiments, and could provide a valuable complement to hyperpolarized MRSI.29,30 Similarly to what happens with other SSFP experiments, the new ISSFP sequences exhibit a sensitivity to resonance offset that can lead to appearance of “dark bands” (Figure S9); we have observed these in 13C 15.2T ISSFPxy–x–y images, with blind spots tracking the patterns observed for 1H SSFP NMR images collected with the same τR. Ongoing studies show that these inhomogeneities are of secondary importance at the low field strengths of relevance in potential clinical MRSI applications. The offset dependence will also complicate ISSFP’s uses as a broadband approach to enhance arbitrary offsets with a fixed phase-incrementation scheme; nevertheless, pulse sequence parameters that enhance the signal of multiple resonances can be found (see Figure S10). However, a more robust approach for achieving enhancement with arbitrary offsets could be obtained if combined with the recently introduced phase incremented SSFP schemes.17 Alternatively, broadband performance can be achieved by relying on a priori information about the peaks being targeted, as is done in SSFP-based spectroscopic imaging experiments.31,32 The sequences described herein also open the way for evaluating variants tackling systems with multiple heteronuclear J-couplings, and eventually homonuclear J-couplings. They could also carry the seeds for developing new forms multidimensional correlative NMR based on steady-state experiments. These investigations are in progress.
Acknowledgments
The authors thank Dr. Adonis Lupulescu for fruitful discussions. R.A. is grateful to the Azrieli Foundation for the award of an Azrieli Fellowship. This work was funded by the Israel Science Foundation (Grant No. 1874/22), by the Israel Cancer Research Foundation, and by the generosity of the Perlman Family Foundation. L.F. holds the Bertha and Isadore Gudelsky Professorial Chair and heads the Clore Institute for High-Field Magnetic Resonance Imaging and Spectroscopy and the Fritz Haber Center for Physical Chemistry, whose support is also acknowledged.
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acs.jpclett.4c02016.
Materials and methods used; MRI pulse sequences; operator analysis of the ISSFP sequences; additional experimental results (effects of offset, RF inhomogeneity, signal dependence on flip angle); additional simulations; theoretical maxima for various species (PDF)
The authors declare no competing financial interest.
Supplementary Material
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