Abstract
Proton spectroscopy allows the simultaneous quantification of a high number of metabolite concentrations termed the neuro-chemical profile. The spin echo full intensity acquired localization (SPECIAL) scheme with an echo time of 2.7 ms was used at 9.4T for excitation of a slab parallel to a home-built quadrature surface coil in conjunction with phase encoding in the two remaining spatial dimensions to yield an effective spatial resolution of 1.7 μL. The absolute concentrations of at least 10 metabolites were calculated from the spectra of individual voxels using LCModel analysis. The calculated concentrations were used for constructing quantitative metabolic maps of the neurochemical profile in normal and pathological rat brain. Summation of individual spectra was used to assess the neurochemical profile of unique brain regions, such as corpus callosum, in rat for the first time. Following focal ischemia in rat pups, imaging the neurochemical profile indicated increased choline groups in the ischemic core and increased glutamine in the penumbra, which is proposed to reflect glutamate excitotoxicity. We conclude that it is feasible to achieve a sensitivity that is sufficient for quantitative mapping of the neurochemical profile at microliter spatial resolution.
Keywords: proton magnetic resonance spectroscopic imaging, short echo time, metabolite concentrations, rat brain, cerebral ischemia
In the past decade we and others have established that proton MR localized spectroscopy with echo times on the order of 2 ms allows measuring metabolite concentrations in the brain (1–4). Approximately 18 metabolite concentrations that can be measured at 9.4T results in a neurochemical profile (2) consisting of putative markers implicated in myelination (phosphoethanolamine [PE], N-acetylaspartate [NAA], glycerophosphocholine, phosphocholine), osmolytes (taurine [Tau], myo-inositol [Ins], scyllo-inositol), antioxidants (glutathione and ascorbate [Asc]), energy metabolism (creatine [Cr] and phosphocreatine [PCr], glucose [Glc], lactate [Lac], and alanine [Ala]), and neurotransmitters and associated metabolites (γ-aminobutyrate [GABA], N-acetylaspartylglutamate [NAAG], glutamate [Glu], and glutamine [Gln]). Short echo time proton spectroscopy enables us to quantify compounds with spin systems including strongly and/or weakly J-coupled multiplets as well as singlet resonances without the need for correcting effects of T2 relaxation times. Most studies to date have used single-voxel localized spectroscopy to obtain such neurochemical profiles only from one selected volume at a time.
On the other hand, spectroscopic imaging can be used to obtain this information simultaneously from many voxels, amounting to a regional mapping of the neurochemical profile. It is also likely to yield important insight in diseases with complex regional distribution of metabolites such as focal ischemia or multiple sclerosis. Most studies based on spectroscopic imaging techniques have used long echo times, thereby limiting the obtained concentrations to prominent singlets of NAA, total creatine (tCr), and choline-containing compounds (Cho), and in some cases to a few J-coupled resonances, such as Lac and glutamate + glutamine (Glx) (5,6) due to the additional signal loss incurred by J-modulation of strongly coupled spin systems.
A number of practical implementations of short-echo-time spectroscopic imaging in brain have been reported. In human studies short-echo-time measurements were used either for obtaining localized spectra and metabolite concentrations from specific regions of the brain (7–14) or for constructing qualitative metabolic maps of some metabolites (15). Only the article by McLean et al. (6) showed quantitative maps of NAA and Glx obtained with TE = 30 ms at 1.5T in a healthy human subject and in a multiple sclerosis patient.
A few reports describe short-TE spectroscopic imaging in animals, which was used for quantification of metabolites giving J-coupled multiplets. Juchem et al. (16) performed spectroscopic imaging experiments at 7T in the monkey brain with very high spatial resolution (4 μL) using the STEAM excitation scheme and TE = 10 ms. They quantified NAA, tCr, and Glx in gray and white matter of the visual cortex. Geppert et al. (3) demonstrated the feasibility of PRESS-based spectroscopic imaging with TE = 6 ms in rat brain. Liimatainen et al. (17) used ultra-short echo-time spectroscopic imaging experiment (TE = 2 ms) to map lipids in treated glioma in rats. The distribution of metabolites showing J-coupled multiplets was also mapped using a combination of 2D spectroscopic imaging with 2D correlation spectroscopy in a rat brain glioma model (18,19). To our knowledge, quantitative maps of the neurochemical profile have not been reported to date.
In addition to the technical challenge of the intrinsically low sensitivity of NMR spectroscopy, spectroscopic imaging needs to contend with potential signal contamination from extraneous lipid and water signals. Sensitivity can be substantially improved by using a high magnetic field, optimized magnetic field homogeneity, and using ultra-short echo time. We have recently described such advances using the spin echo full intensity acquired localization (SPECIAL) (20) scheme single-voxel localization, affording about a 2-fold sensitivity gain over previous studies. We hypothesized that these advances in sensitivity would permit imaging the neurochemical profile at a spatial resolution comparable to that achieved with mapping cerebral metabolic rate of glucose in rodents using fluorodeoxyglucose positron emission microtomography. Therefore, the aim of the present study was to demonstrate the feasibility of quantitative mapping of the neurochemical profile consisting of at least 10 metabolites in rodent brain at 9.4T at about 2 ms echo time with a nominal spatial resolution of 1−2 μL.
MATERIALS AND METHODS
Animal Preparation
In vivo experiments were performed on male Sprague-Dawley rats, which were anesthetized with 1.5−2.5% isoflurane using a nose mask. All animal experiments were conducted according to federal and local ethical guidelines and the protocols were approved by the local regulatory body. Body temperature was maintained at 37.5 ± 1.0°C by circulating warm water around the animals. Two groups of animals were studied: The first consisted of three healthy adult rats with a mean weight of 280 g. In the second group, which involved three 13-day-old rats, focal ischemia was induced the day before by middle cerebral artery occlusion according to the protocol of Renolleau et al. (21). The main cortical branch of the left middle cerebral artery was electrocoagulated just below the bifurcation of the middle cerebral artery into frontal and parietal branches. The left common carotid artery was then occluded by means of a clip for 90 min. This increased the size of the lesion and reduced variability by causing a transient reduction of blood flow into the ischemic region via anastomoses from the anterior and posterior cerebral arteries. Thus, the ischemia involved both transient and permanent components. During surgery, rat pups were maintained at 37°C in the induction chamber under 2.5% isoflurane. The arterial clip was then removed and the restoration of carotid blood flow was verified under a dissecting microscope before the skin incision was closed. The final MR imaging was performed on the fourth day after the surgery. The rats were then perfused through the heart with 4% paraformaldehyde in phosphate-buffered saline. Cresyl violet-stained serial cryostat sections 50 μm thick were traced using a computer-microscope system equipped with the Neurolucida program (MicroBright-Field, Colchester, VT) and the volumes of the necrotic area were calculated.
MRI and Spectroscopic Imaging
Measurements were performed on a Varian INOVA spectrometer (Varian, Palo Alto, CA) interfaced to an actively shielded 9.4T magnet with a 31-cm horizontal bore (Magnex Scientific, Abingdon, UK) and with a 12-cm i.d. actively shielded gradient set to allow a maximum gradient of 400 mT/m in 120 μs. A home-built quadrature coil consisting of two geometrically decoupled 14-mm-diameter single loops was used as both transmitter and receiver. The static field homogeneity was adjusted using first- and second-order shims using an EPI version of FASTMAP (22).
Localizer images were obtained in the coronal and horizontal planes using a multislice turbo-spin-echo protocol (TR/TE = 2000/64 ms, echo train length = 8, field of view [FOV] = 24 mm × 24 mm, slice thickness = 0.7 mm, two averages, 1282 image matrix). For spectroscopy, a rectangular volume with the typical dimensions of 10 × 2 × 10 mm3 in the X, Y, and Z directions, respectively, was excited in the brain using the SPECIAL technique with TE = 2.7 ms (20). In short, 1D image-selected in vivo spectroscopy (ISIS) in the vertical (Y) direction was combined with a slice selective spin echo in the X and Z directions. The slice profile was optimized and the chemical shift displacement minimized for slice selection in the Y direction (parallel to the plane of the surface coil) by using a broadband (10 kHz) adiabatic full-passage pulse. Frequency offsets for slice-selective pulses were calculated relative to the center of the metabolite spectrum (2.3 ppm). Two free induction delays of 2048 complex points (spectral width of 5000 Hz, acquisition time 410 ms) with this adiabatic pulse on and off, respectively, were subtracted for each phase encoding step. The excited transverse magnetization was phase encoded in the X and Z dimensions using FOV = 24 mm × 24 mm and 32 × 32 phase encoding steps spanning a Cartesian sampling of k-space, resulting in a nominal in-plane resolution of 750 μm. For the metabolite maps, scans were performed using VAPOR water suppression interleaved with three modules of outer volume saturation as described elsewhere (1) using a TR of 2−2.5 sec. For absolute quantification, water reference maps were obtained with a TR of 1.5 sec by omitting the outer volume saturation and water suppression. The total measurement time including water referencing was 120 or 135 min.
Data Processing
An optimized Hanning k-space filter (23) was used in both spatial dimensions. This apodization increased the overall signal-to-noise ratio (SNR) and restricted Gibbs' ringing of the spatial response function to neighboring voxels at the expense of a slightly broadened central lobe of the spatial response function, which was conical in the 2D spatial domain with the full-width-at-half-maximum (the diameter of a circle) about 1.4 times greater than the linear voxel dimension (23). Thus, given the nominal voxel size of lX × lZ × lY = 0.75 × 0.75 × 2.0 = 1.1 mm3, the effective spatial resolution was π × (1.4 × lX/2)2 × lY = π × (1.4 × 0.75/2)2 × 2.0 = 1.7 mm3. Concentrations of metabolites were calculated for each voxel in a rectangular region consisting of 9 to 10 columns and 11 to 12 rows in the XZ plane using the water signal from the same voxel as reference. Horizontal dimensions of the excited volume were selected to be larger by 15−20% than the active volume of the surface RF coil, which reduced the chemical shift displacement error effects of the slice selective pulses in the X and Z directions.
The reference data basis for the LCModel (24) calculations comprised spectra of metabolite solutions as well as a spectrum of macromolecules and spectral lines of lipids at 0.9 and 1.3 ppm. Absolute metabolite concentrations were corrected for different repetition times in the water and metabolite scans and for the different T1 relaxation times of water and metabolites assuming a T1 of 1.9 sec for water and a mean value of 1.4 sec for the metabolites (25). For spectra from voxels lying in the region of the optimal sensitivity of the RF coil, the Cramer–Rao lower bounds were typically 2−4% for NAA, tCr, and Glu, 5−10% for Cho, Gln, Ins, Tau, and 10−20% for Lac, Glc, GABA, PE, and Asc.
RESULTS
The quality of FASTMAP shimming over the excited volume was evaluated from scans of healthy adult rat brain with an unsuppressed water signal. In the central part of the excited region the water linewidth was in the range of 10−15 Hz, and only a small number of voxels (typically 20−30%), especially in the outer part of the excited region, had a linewidth of more than 16 Hz.
The performance of the technique was tested on the brain of three healthy adult rats. Figure 1a shows horizontal and coronal views of the excited volume in the brain, which included various cerebral structures. Its rostral part (indicated by r in Fig. 1) contained mostly frontal cortex, combined with corpus callosum in small regions. The central part (m) included cortex and corpus callosum, which was dominant in some voxels. The major structure in the caudal part (c) of the excited region was the hippocampus, which contained in some voxels contributions from corpus callosum and/or cortex. Figure 1c shows an excerpt of 16 spectra from the central and caudal part of the excited region. By adding together six spectra from voxels containing almost pure cerebral structures, such as corpus callosum and hippocampus, the spectra of the respective tissues were obtained with an SNR increased by a factor about 1.8 compared to that from the individual voxels (Fig. 2). A visual inspection as well as LCModel calculations revealed that metabolite concentrations were lower in corpus callosum representing white matter than in hippocampus representing gray matter, with the differences being most marked for Ins (7.4 ± 0.2 mM and 5.4 ± 0.2 mM in hippocampus and corpus callosum, respectively, with the error limits being Cramer–Rao lower bounds calculated by LCModel), Tau (6.0 ± 0.2 mM and 4.8 ± 0.2 mM), tCr (9.6 ± 0.2 mM and 8.6 ± 0.2 mM), and for GABA (1.9 ± 0.1 mM and 1.4 ± 0.2 mM).
To illustrate the ability of the described spectroscopic imaging protocol to quantify changes of metabolite concentrations at very high spatial resolution, three rat pups subjected to middle cerebral artery occlusion were studied. Figures 3, 4, 5 show the results obtained on one of them that is representative of all three studies conducted. Quantitative metabolic maps were measured 36 hr after the onset of ischemia in the brain region delineated in the T2-weighted images in the first row of Fig. 3. Four days after the surgery, MRI delineated regression of the edema and an infarct region that extends into the lower right corner of the evaluated region (Fig. 4a,b). The volume of the infarct region calculated from histology was 36 mm3.
The average concentrations of 10 metabolites measured in characteristic regions of all three rats were assessed in the infarct region, in the edema surrounding the necrotic core, in the normally appearing tissue adjacent to the edema (penumbra), and in the identical area of the contralateral hemisphere (Table 1). The quality of the achieved data is illustrated by two examples of the LCModel fit of spectra from voxels located in the edematous tissue and in penumbra (Fig. 5). Both Table 1 and metabolic maps in Fig. 3 showed more than a 50% reduction in absolute concentrations of almost all metabolites in the region corresponding to the hyperintense signal in T2-weighted images, as illustrated for Cr, NAA, Glu, Gln, Cho, Tau, Ins, and Glc (second and third rows of Fig. 3). In contrast to the general concentration decreases, however, some metabolites showed a distinct increase in the affected hemisphere. The concentration of free lipids (Lip) was increased by 50−100% in the affected tissue. Interestingly, in what would later turn out to be the final necrotic region (Fig. 4c and hyperintensity in the lower right corner of the Cho map in Fig. 3), the Cho concentration was comparable to that in the penumbra and contralateral hemisphere (about 1 mmol/kg), whereas it was lower in the edematous tissue (about 0.4 mmol/kg). Gln, on the other hand, was increased by about 30% in penumbra relative to the contralateral hemisphere. A nonuniform increase of Lac was also observed in the tissue surrounding the affected area.
Table 1.
Metabolite |
Concentration (mmol/kg) |
|||
---|---|---|---|---|
Infarct region n = 5a | Edematous tissue n = 14 | Penumbra n = 13 | Contralateral hemisphere n = 13 | |
Cr | 2.0 ± 1.2b | 2.1 ± 1.6 | 7.3 ± 1.0 | 7.6 ± 0.5 |
NAA | 1.3 ± 0.8 | 1.5 ± 1.1 | 5.3 ± 0.9 | 5.9 ± 0.4 |
Glu | 2.9 ± 1.1 | 2.5 ± 1.8 | 6.6 ± 1.1 | 7.0 ± 0.7 |
Gln | 1.4 ± 0.8 | 1.3 ± 1.0 | 3.7 ± 0.6 | 2.8 ± 0.3 |
Cho | 1.0 ± 0.5 | 0.4 ± 0.2 | 1.1 ± 0.3 | 1.3 ± 0.2 |
Tau | 1.5 ± 1.4 | 2.6 ± 1.8 | 8.6 ± 1.4 | 9.4 ± 1.2 |
Ins | — | 0.6 ± 0.5 | 2.3 ± 0.5 | 3.5 ± 0.4 |
Glc | 1.1 ± 0.7 | 1.7 ± 1.1 | 4.4 ± 0.6 | 4.7 ± 0.8 |
Lip (1.3 ppm) | 34 ± 24 | 49 ± 25 | 22 ± 19 | 14 ± 9 |
Lac | 1.0 ± 0.6 | 0.7 ± 0.5 | 1.0 ± 0.7 | 0.9 ± 0.3 |
The number of voxels taken in statistics.
Arithmetic mean ± standard deviation.
To minimize the effect of increased water content in the area surrounding the infarct region (26) on the metabolite quantification, metabolic maps of concentrations relative to that of total Cr were calculated (fourth and fifth rows of Fig. 3). While the NAA/Cr distribution was mostly uniform, the relative concentrations of other metabolites either increased or decreased in the affected area near the infarct. Outside this area they were uniform, showing no differences between the two hemispheres despite the fact that the 90-min occlusion of the common carotid artery greatly reduced blood flow throughout the entire left hemisphere. Glu/Cr increased by about 30% in the close vicinity of the region of infarct visible in Fig. 4. The relative concentrations of Tau and Ins decreased more than 60% in the region of the infarct. On the other hand, the increases in Glc/Cr, Lip/Cr, and particularly Gln/Cr were more widespread: Glc/Cr was higher in about 10% of the mapped volume, Lip/Cr was elevated in about 20%, and Gln/Cr was higher in about 30−40% of the volume shown in the metabolic map. The relative concentration of Lac was elevated in about 20% of the mapped volume; however, the Lac/Cr values calculated in the infarct region were uncertain because of a low SNR and increased linewidth.
DISCUSSION
As indicated previously (20), the SPECIAL selective excitation scheme providing increased SNR can be used not only for localized single-voxel spectroscopy but also for spectroscopic imaging. This study shows that a combination of a high-sensitivity quadrature surface coil and efficient shimming with the SPECIAL pulse sequence enables the acquisition of high-resolution quantitative maps of metabolites in rat brain. The spatial resolution of these maps is sufficient for measuring the neurochemical profile in subtle cerebral structures or for studying spatial distribution of changes in metabolite concentrations induced by a focal insult. The optimized experimental conditions allow a decrease in the volume necessary for determining the neurochemical profile at 1−2 μL spatial resolution with an echo time of a few ms. This volume size is comparable to that achieved in high-resolution positron emission tomography in rodents (27).
For achieving sufficient SNR in spectra measured from extremely small volumes, prolonged scan times are necessary. From this point of view the necessity to acquire the minimum number of two scans in each phase encoding step with the SPECIAL localization scheme is not restrictive. The measurement time can be further reduced by, e.g., elliptical sampling of the k-space.
The relatively short repetition time used in our protocol affects quantification of some metabolites. A brief calculation shows that if the true T1 values of the metabolites lie in the range of 1.04−1.67 sec (25), this error is less than 6%. The error should be higher for Tau, which has a longer T1 of 2.3 sec, and for Lip at 1.3 ppm having a shorter T1 of about 0.6 sec. Thus, the concentrations of Tau and Lip shown in the metabolic maps in Fig. 3 should be multiplied by 1.25 and 0.85, respectively.
Compared to single voxel spectroscopy, which has achieved linewidths of 9−13 Hz over time in our laboratory at 9.4T (unpubl. obs.), the linewidth in spectra of some voxels was increased, due to uncompensated higher-order inhomogeneity terms. Instabilities, such as the drift of the static magnetic field, can increase the apparent linewidth due to the scan time on the order of 1 hr. Such instrumental limitations may have contributed to a less reliable quantification of pairs of metabolites having spectral lines with almost identical spectral appearance such as Cr/PCr or glycerophosphocholine/phosphocholine. Nevertheless, the data obtained on healthy rat brains demonstrate that shimming larger volumes with FASTMAP provides satisfactory linewidth over the entire volume with only small regions of increased inhomogeneity.
The high spatial resolution achieved with our protocol enables us to measure spectra from subtle and irregularly shaped cerebral structures such as the corpus callosum by summing spectra from voxels comprising the same tissue (28). An increase of SNR to 22−25 was observed in the spectra summed from six voxels. This increase was lower than the square root of the number of summed voxels, possibly due to correlation of instrumental components of the noise. The concentrations of Cr, Ins, Glx, and GABA in white matter (corpus callosum) were lower than those in gray matter (hippocampus), similar to observations in human brain (6,29,30).
Application of the technique to the rat brain with a local infarct demonstrates its high sensitivity in detecting changes of metabolite concentrations. When interpreting these metabolic maps one should be aware that the concentrations calculated for corner voxels of the depicted area are not reliable, as these voxels lay outside the active volume of the RF coil and had extremely low signal intensity. The overall high quality of spectra from individual voxels enabled us to quantify 10−13 metabolites with Cramer–Rao lower bounds less than 20%. The sharp boundary between higher and lower absolute metabolite concentrations in the metabolic maps coincides with the extent of edema in the anatomical images and illustrates the high spatial resolution. The decrease of the absolute metabolite concentrations in the edematous region was attributed to changes in concentrations rather than increased water content, which may result in overall underestimated metabolite concentrations, since the water signal was used as reference for quantification. However, water content can increase at most from 75% for white matter to 100% (cyst, CSF), which is several-fold smaller than the observed concentration changes. Moreover, the T1 relaxation time of water in edema is typically longer than in normal brain tissue, which would reduce its signal due to T1 saturation, offsetting the effect of increased water.
A highly resolved spatial distribution of the neurochemical profile in the infarct region and in the penumbra in rats with focal cerebral ischemia was observed and correlated with MR images and histology for the first time. Some of the observed changes in metabolite concentrations are in agreement with previous studies. The increase of lactate and lipids in the infarct region was found by Harada et al. (31) using localized proton spectroscopy. Similarly, a large increase in tissue choline concentration was reported in ischemic cortex (32). An increase of cho-line and free lipids in the ipsilateral striatum 2 weeks after 90-min middle cerebral artery occlusion in rats was also reported by Wang et al. (33). Using proton spectroscopic imaging, Igarashi et al. (34) reported a transient increase of Lac and Glu+NAA in both the ischemic core and rim, and of Gln+GABA in the ischemic rim 10 hr after the onset of permanent focal cerebral ischemia in rat. The increased Gln concentration was also observed by Haberg et al. (35) in an extract from ischemic rat penumbra. The larger extent of increased glutamine relative to increased glutamate likely reflects conversion of extracellular glutamate to glutamine by healthy astrocytes outside the ischemic region, consistent with increased excitotoxicity observed in hypoxic-ischemia. Changes in the activity of glutaminase and glutamine synthetase may also play a role (36). Confirmation of underlying mechanisms of such changes in distribution of these and other metabolites requires a more complete study that is beyond the scope of this article.
We conclude that measuring high-spatial-resolution quantitative metabolic maps is feasible on an animal scanner at ultra-short echo times, with the benefit that effects of transverse relaxation and J-evolution on the quantification can be neglected. The spatial resolution of the metabolic maps is comparable to that achieved on animal positron emission tomography scanners, e.g., for mapping the cerebral metabolic rate of glucose.
Acknowledgments
Grant sponsor: Centre d'Imagerie BioMedicale (CIBM); Grant sponsor: Leenaards and Jeantet Foundations; Grant sponsor: US Public Health Service (PHS); National Institutes of Health (NIH); Grant number: R01NS042005; Grant sponsor: Swiss National Science Foundation; Grant number: 3100A0-116220.
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