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Short-Echo, Single Voxel 1H NMR
Spectroscopy of the Human Brain at
   7T with Multi-Channel Coils

  Uzay E Emir, Melissa Terpstra, Ivan Tkáč, Gülin Öz
           Center for Magnetic Resonance Research
                    University of Minnesota
                Minneapolis, Minnesota, USA
High-field In Vivo Single Voxel
 1H NMR Spectroscopy at 7T

Increase in signal-to-
noise-ratio (SNR)                               NT = 128
Increase in chemical                            S/N = 130
                               x5
shift dispersion

                         6     5    4   3   2      1   ppm




                             Glc                NT = 128
                                                S/N = 264
                               x5


                         6     5    4   3   2      1   ppm
                                            Tkáč, MRM,2009
High-field In Vivo Single Voxel
           1H NMR Spectroscopy at 7T

   Increase in signal-to-                                               The precision at
   noise-ratio (SNR)                                                    4T for NT 128
   Increase in chemical                                                 corresponds to
   shift dispersion                                                     the precision at 7T
   Reliable quantification                                              for NT 4.
   of up to 17 metabolites
                1.0                                               1.5



                                                  CRLB (µmol/g)
CRLB (µmol/g)




                0.8       4T       Gln                            1.2
                                                                                      Glu
                                                                             4T
                0.6                                               0.9

                0.4
                      7T                                          0.6
                                                                         7T
                0.2                                               0.3

                0.0                                               0.0
                      2    4   8   16 32 64 128                          2    4   8   16 32 64 128
                                   NT                                                 NT
                                                                                            Tkáč, MRM,2009
High-field In Vivo Single Voxel
       1H NMR Spectroscopy at 7T

                                              NAA
                                              Creatine
                                              Choline
                          Measurement         Glutathione
                                              Vitamin C
                                              Lactate
                                              Glucose
                                              GABA
                                      Fit
                                              Glutamate
                                              Glutamine
                                Residual      myo-inositol
                                              Taurine
4.0   3.5   3.0   2.5   2.0   1.5   1.0 ppm   scyllo-inositol
                                                     •
                                                     •
                                                     •
High-field In Vivo 1H NMR
Spectroscopy in Several Voxels
        Huntington’s disease
        Parkinson’s disease
        Spinocerebellar ataxia
        Alzheimer’s disease
        Demyelinating white matter
        disease
Single Voxel, High-field In Vivo 1H
       NMR Spectroscopy
         Huntington’s disease
         Parkinson’s disease
         Spinocerebellar ataxia
         Alzheimer’s disease
         Demyelinating white matter
         disease
High-field In Vivo 1H NMR
Spectroscopy at 7T: Challenges
Non-uniform B1 field
 – long RF pulses (Chemical
   Shift Displacement Error)
 – B1 shimming
Short T2 relaxation times
of metabolites in the
human brain (Deelchand,                  500
                                                                    NAA
ISMRM, 2009)                             400                        Cr

                               T2 (ms)
                                         300

                                         200

                                         100

                                          0
                                               0   2   4   6    8     10

                                                   Field Strength (T)
High-field In Vivo 1H NMR
Spectroscopy at 7T: Challenges
Non-uniform B1 field                                   150 ms

 – long RF pulses (Chemical                            80 ms
   Shift Displacement Error)
                                                       50 ms
 – B1 shimming
Short T2 relaxation times                              30 ms

of metabolites in the
                                                       20 ms
human brain (Deelchand,
ISMRM, 2009)
 – Short TE                                            10 ms



                                                       8 ms

                               5   4   3   2   1 ppm
Aim
To demonstrate the feasibility of short
echo single voxel 1H NMR spectroscopy in
brain regions other than occipital cortex at
7T
    Phased array coil
    B1 shimming
Methods
16-channel transmit/receive transmission line
array (Adriany,MRM,2008)
B1+ shimming (Van de Moortele,MRM,2005)
B0 shimming (FASTMAP) (Gruetter,MRM,2001)
1H NMR spectroscopy, TE=8 ms (Siemens
console)
– VAPOR+OVS+STEAM (Tkáč, MRM,2001)
– 7.5 % chemical shift displacement error
LCModel
– Water spectrum
16-Channel Transmit/Receive
        Transmission Line Array

          Transmit        Receive
1.0

0.9

0.8

0.7

0.6

0.5

0.4

0.3

0.2

0.1
Local B1+ Shimming
    Relative       P o s ts h im
   Transmit
   Efficiency      P re s h im
Occipital Cortex        2.1
   Posterior
                        1.2
   Cingulate                       Preshim                                     Postshim
 Frontal White
                        1.7
    Matter
   Putamen              1.3

Substantia Nigra        1.1

     Pons               1.2
   Cerebellar
                        2.6
    Vermis
                                     0.1   0.2   0.3   0.4   0.5   0.6   0.7   0.8   0.9   1.0
Reconstruction of 1H NMR
  Spectrum From Multi Channel Coil
                          Multi Channel Coil



      Water Suppressed                             Water
         Spectrum                                 Spectrum


Phase and Eddy Current Correction              Weighting Factors



                         Weighted Summation

                                                        Natt, MRM, 2005
Phase and Eddy Current
          Correction
                   Water spectrum    Water suppressed
                                         spectrum




                          Phase and Eddy
                     current corrected spectrum




Occipital cortex
Weighted Summation




                   Weighting Factor
Occipital Cortex                      Substantia Nigra
B0 Shimming
      Volume           Linewidth
     of Interest          [Hz]
Posterior Cingulate        11
  Occipital Cortex         13
    Cerebellum             13
        Pons               13
Frontal White Matter       14
     Putamen               16
 Substantia Nigra         18
1H       Spectrum of Occipital Cortex at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 8 ml NT = 128
                                                                   NAA
# of subject =1


                                             Cr
                                             PCr

                       Cr
                       PCr Glu
                           Gln                               Glu
                                         Cho
                                                          Gln
                                 Ins                NAA
                      Ins                                                Macromolecules
                                       Tau         Asp
    Residual Water



       5                4                      3                    2             1   ppm
LCModel Analysis

STEAM                                                                                      Tau
TE = 8 ms TR = 5 s                                                                         Scyllo
VOI = 8 ml NT = 128                                                                        PE
                                                                                           NAAG
# of subject = 1



                                                                                           NAA
                                                                                           Lac
                              Measurement                                                  Ins
                                                                                           GSH

                                                                                           Glu
                                                                                           Gln
                                                                                           Glc
                                                                                           GABA
                                           Fit                                             Asp
                                                                                           Asc
                                 Residual                                                  MAC
                                                                                           Baseline

4.0   3.5   3.0   2.5   2.0    1.5   1.0         4.0   3.5   3.0   2.5   2.0   1.5   1.0 ppm
Neurochemical Profile in the Occipital
                      Cortex at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 8 ml NT = 128
# of subjects = 5

            15
                                                                                                                  Error bars = SD
            10
   µmol/g




            5


            0




                                                                                            NAA+NAAG
                            GABA




                                                                 NAA

                                                                       NAAG



                                                                                   Scyllo
                                                     Ins

                                                           Lac
                                   Gln

                                         Glu




                                                                                                       GPC+PCho
                                                                              PE
                 Cr

                      PCr




                                               GSH




                                                                                                                  Glc+Tau
1H    Spectrum of Posterior Cingulate at
                     7T
STEAM
TE = 8 ms TR = 5 s                                               NAA
VOI = 8 ml NT = 128
# of subject =1
                                             Cr
                                             PCr



                         Cr
                                       Cho
                         PCr Glu                           Glu
       Residual Water
                             Gln
                               Ins
                                                     Gln
                        Ins                        NAA                 Macromolecules
                                     Tau




       5                 4                   3                   2             1    ppm
1H    Spectrum of Frontal White Matter at
                     7T
STEAM
TE = 8 ms TR = 5 s                                                    NAA
VOI = 8 ml NT = 128
# of subject =1
                                                  Cr
                                                  PCr
                                            Cho
                          Cr
                          PCr

                                Glu
       Residual Water
                                Gln                             Glu
                                      Ins
                                                          Gln
                        Ins                                                 Macromolecules
                                        Tau             NAA




       5                  4                       3                    2            1    ppm
1H   Spectrum of Putamen at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 2.5 ml NT = 256
# of subject =1


                                                                    NAA
                                                Cr
                                                PCr
                         Cr
                                          Cho
                         PCr                                  Glu
                               Glu
                               Gln
                                     Ins                Gln
                       Ins              Tau           NAA                 Macromolecules

      Residual Water




       5                 4                      3                    2            1   ppm
1H    Spectrum of Substantia Nigra at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 1 ml NT = 512
# of subject =1

                                                                    NAA


                                               Cr
                                               PCr
                                         Cho

                            Cr                                Glu
                            PCrGlu                         Gln
                                                     NAA                  Macromolecules
                               Gln Ins
                      Ins




       5                    4                  3                     2            1    ppm
1H    Spectrum of Pons at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 4 ml NT = 128
# of subject =1
                                                                   NAA




                                        Cho
                                              Cr
                                              PCr
                         Cr
                         PCr
                            Glu                              Glu
                            Gln Ins                       Gln            Macromolecules
                                      Tau           NAA
      Residual Water   Ins




       5                4                     3                    2             1    ppm
1H    Spectrum of Cerebellar Vermis at
                                            7T
STEAM
TE = 8 ms TR = 5 s
VOI = 6.25 ml NT = 128
# of subject =1


                                             Cr
                                                             NAA
                                             PCr


                                       Cho

                         Cr
                         PCr                           Glu
                            Glu
                            Gln Ins                  Gln
                       Ins                         NAA             Macromolecules
                                      Tau
      Residual Water



       5                 4                   3                2             1   ppm
1H    Spectrum of Pons at 7T
STEAM
TE = 8 ms TR = 5 s
VOI = 4 ml NT = 128
# of subject =1
                                                                   NAA




                                        Cho
                                              Cr
                                              PCr
                         Cr
                         PCr
                            Glu                              Glu
                            Gln Ins                       Gln            Macromolecules
                                      Tau           NAA
      Residual Water   Ins




       5                4                     3                    2             1    ppm
Neurochemical Profiles

     Posterior             Putamen
     Cingulate             VOI = 2.5 ml
     VOI = 8 ml            # of subjects = 5
     # of subjects = 5




    Frontal White Matter   Substantia Nigra
    VOI = 8 ml             VOI = 1 ml
    # of subjects = 5      # of subjects = 5
µmol/g                                                   µmol/g




                                                                                 0
                                                                                     5
                                                                                         10
                                                                                              15




                        0
                            5
                                10
                                     15
                   Cr                                                       Cr

                  PCr                                                     PCr

                GABA                                                    GABA
                                                                           Glc
                  Gln




CRLB < 20 %
                                                                           Gln
                  Glu
                                                                           Glu
                 GSH
                                                                          GSH
                  Ins
                                                                                                    Posterior Cingulate




                                                                           Ins




                                              Frontal White Matter
                 NAA
                                                                          NAA
                NAAG                                                    NAAG
 GPC+PCho                                                            GPC+PCho
              Glc+Tau                                                  Glc+Tau


                            µmol/g                                                   µmol/g
                                                                                 0
                                                                                     5
                                                                                         10
                                                                                              15




                        0
                            5
                                10
                                     15




                   Cr                                                       Cr

                 PCr                                                      PCr

               GABA                                                     GABA
                                                                                                    Putamen




                  Gln                                                      Gln
CRLB < 50 %

                  Glu                                                      Glu

                 GSH                                                      GSH
                                          Substantia Nigra
                                                                                                                          Neurochemical Profiles




                  Ins                                                      Ins

                 NAA                                                      NAA

               NAAG                                                     NAAG

 GPC+PCho                                                            GPC+PCho
                                                                       Glc+Tau
                                                                                                   Error bars = SD




              Glc+Tau
Summary
Multiple brain regions-of-interest to
study several neurological diseases
– Multi channel coil
– B1 Shimming
Reliable quantification of 10-15
metabolites
Increased SNR
Implemented on a clinical console
Acknowledgements
Malgorzata Marjanska Funding:
Pierre-Francois Van    DANA Foundation
De Moortele            R21-AG029582
Eddie Auerbach         BTRR - P41 RR008079
Gregor Adriany         P30 NS057091
Greg Metzger
Patrick Bolan
John Strupp
Dinesh Deelchand

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Cmrr Workshop 2009

  • 1. Short-Echo, Single Voxel 1H NMR Spectroscopy of the Human Brain at 7T with Multi-Channel Coils Uzay E Emir, Melissa Terpstra, Ivan Tkáč, Gülin Öz Center for Magnetic Resonance Research University of Minnesota Minneapolis, Minnesota, USA
  • 2. High-field In Vivo Single Voxel 1H NMR Spectroscopy at 7T Increase in signal-to- noise-ratio (SNR) NT = 128 Increase in chemical S/N = 130 x5 shift dispersion 6 5 4 3 2 1 ppm Glc NT = 128 S/N = 264 x5 6 5 4 3 2 1 ppm Tkáč, MRM,2009
  • 3. High-field In Vivo Single Voxel 1H NMR Spectroscopy at 7T Increase in signal-to- The precision at noise-ratio (SNR) 4T for NT 128 Increase in chemical corresponds to shift dispersion the precision at 7T Reliable quantification for NT 4. of up to 17 metabolites 1.0 1.5 CRLB (µmol/g) CRLB (µmol/g) 0.8 4T Gln 1.2 Glu 4T 0.6 0.9 0.4 7T 0.6 7T 0.2 0.3 0.0 0.0 2 4 8 16 32 64 128 2 4 8 16 32 64 128 NT NT Tkáč, MRM,2009
  • 4. High-field In Vivo Single Voxel 1H NMR Spectroscopy at 7T NAA Creatine Choline Measurement Glutathione Vitamin C Lactate Glucose GABA Fit Glutamate Glutamine Residual myo-inositol Taurine 4.0 3.5 3.0 2.5 2.0 1.5 1.0 ppm scyllo-inositol • • •
  • 5. High-field In Vivo 1H NMR Spectroscopy in Several Voxels Huntington’s disease Parkinson’s disease Spinocerebellar ataxia Alzheimer’s disease Demyelinating white matter disease
  • 6. Single Voxel, High-field In Vivo 1H NMR Spectroscopy Huntington’s disease Parkinson’s disease Spinocerebellar ataxia Alzheimer’s disease Demyelinating white matter disease
  • 7. High-field In Vivo 1H NMR Spectroscopy at 7T: Challenges Non-uniform B1 field – long RF pulses (Chemical Shift Displacement Error) – B1 shimming Short T2 relaxation times of metabolites in the human brain (Deelchand, 500 NAA ISMRM, 2009) 400 Cr T2 (ms) 300 200 100 0 0 2 4 6 8 10 Field Strength (T)
  • 8. High-field In Vivo 1H NMR Spectroscopy at 7T: Challenges Non-uniform B1 field 150 ms – long RF pulses (Chemical 80 ms Shift Displacement Error) 50 ms – B1 shimming Short T2 relaxation times 30 ms of metabolites in the 20 ms human brain (Deelchand, ISMRM, 2009) – Short TE 10 ms 8 ms 5 4 3 2 1 ppm
  • 9. Aim To demonstrate the feasibility of short echo single voxel 1H NMR spectroscopy in brain regions other than occipital cortex at 7T Phased array coil B1 shimming
  • 10. Methods 16-channel transmit/receive transmission line array (Adriany,MRM,2008) B1+ shimming (Van de Moortele,MRM,2005) B0 shimming (FASTMAP) (Gruetter,MRM,2001) 1H NMR spectroscopy, TE=8 ms (Siemens console) – VAPOR+OVS+STEAM (Tkáč, MRM,2001) – 7.5 % chemical shift displacement error LCModel – Water spectrum
  • 11. 16-Channel Transmit/Receive Transmission Line Array Transmit Receive 1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1
  • 12. Local B1+ Shimming Relative P o s ts h im Transmit Efficiency P re s h im Occipital Cortex 2.1 Posterior 1.2 Cingulate Preshim Postshim Frontal White 1.7 Matter Putamen 1.3 Substantia Nigra 1.1 Pons 1.2 Cerebellar 2.6 Vermis 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
  • 13. Reconstruction of 1H NMR Spectrum From Multi Channel Coil Multi Channel Coil Water Suppressed Water Spectrum Spectrum Phase and Eddy Current Correction Weighting Factors Weighted Summation Natt, MRM, 2005
  • 14. Phase and Eddy Current Correction Water spectrum Water suppressed spectrum Phase and Eddy current corrected spectrum Occipital cortex
  • 15. Weighted Summation Weighting Factor Occipital Cortex Substantia Nigra
  • 16. B0 Shimming Volume Linewidth of Interest [Hz] Posterior Cingulate 11 Occipital Cortex 13 Cerebellum 13 Pons 13 Frontal White Matter 14 Putamen 16 Substantia Nigra 18
  • 17. 1H Spectrum of Occipital Cortex at 7T STEAM TE = 8 ms TR = 5 s VOI = 8 ml NT = 128 NAA # of subject =1 Cr PCr Cr PCr Glu Gln Glu Cho Gln Ins NAA Ins Macromolecules Tau Asp Residual Water 5 4 3 2 1 ppm
  • 18. LCModel Analysis STEAM Tau TE = 8 ms TR = 5 s Scyllo VOI = 8 ml NT = 128 PE NAAG # of subject = 1 NAA Lac Measurement Ins GSH Glu Gln Glc GABA Fit Asp Asc Residual MAC Baseline 4.0 3.5 3.0 2.5 2.0 1.5 1.0 4.0 3.5 3.0 2.5 2.0 1.5 1.0 ppm
  • 19. Neurochemical Profile in the Occipital Cortex at 7T STEAM TE = 8 ms TR = 5 s VOI = 8 ml NT = 128 # of subjects = 5 15 Error bars = SD 10 µmol/g 5 0 NAA+NAAG GABA NAA NAAG Scyllo Ins Lac Gln Glu GPC+PCho PE Cr PCr GSH Glc+Tau
  • 20. 1H Spectrum of Posterior Cingulate at 7T STEAM TE = 8 ms TR = 5 s NAA VOI = 8 ml NT = 128 # of subject =1 Cr PCr Cr Cho PCr Glu Glu Residual Water Gln Ins Gln Ins NAA Macromolecules Tau 5 4 3 2 1 ppm
  • 21. 1H Spectrum of Frontal White Matter at 7T STEAM TE = 8 ms TR = 5 s NAA VOI = 8 ml NT = 128 # of subject =1 Cr PCr Cho Cr PCr Glu Residual Water Gln Glu Ins Gln Ins Macromolecules Tau NAA 5 4 3 2 1 ppm
  • 22. 1H Spectrum of Putamen at 7T STEAM TE = 8 ms TR = 5 s VOI = 2.5 ml NT = 256 # of subject =1 NAA Cr PCr Cr Cho PCr Glu Glu Gln Ins Gln Ins Tau NAA Macromolecules Residual Water 5 4 3 2 1 ppm
  • 23. 1H Spectrum of Substantia Nigra at 7T STEAM TE = 8 ms TR = 5 s VOI = 1 ml NT = 512 # of subject =1 NAA Cr PCr Cho Cr Glu PCrGlu Gln NAA Macromolecules Gln Ins Ins 5 4 3 2 1 ppm
  • 24. 1H Spectrum of Pons at 7T STEAM TE = 8 ms TR = 5 s VOI = 4 ml NT = 128 # of subject =1 NAA Cho Cr PCr Cr PCr Glu Glu Gln Ins Gln Macromolecules Tau NAA Residual Water Ins 5 4 3 2 1 ppm
  • 25. 1H Spectrum of Cerebellar Vermis at 7T STEAM TE = 8 ms TR = 5 s VOI = 6.25 ml NT = 128 # of subject =1 Cr NAA PCr Cho Cr PCr Glu Glu Gln Ins Gln Ins NAA Macromolecules Tau Residual Water 5 4 3 2 1 ppm
  • 26. 1H Spectrum of Pons at 7T STEAM TE = 8 ms TR = 5 s VOI = 4 ml NT = 128 # of subject =1 NAA Cho Cr PCr Cr PCr Glu Glu Gln Ins Gln Macromolecules Tau NAA Residual Water Ins 5 4 3 2 1 ppm
  • 27. Neurochemical Profiles Posterior Putamen Cingulate VOI = 2.5 ml VOI = 8 ml # of subjects = 5 # of subjects = 5 Frontal White Matter Substantia Nigra VOI = 8 ml VOI = 1 ml # of subjects = 5 # of subjects = 5
  • 28. µmol/g µmol/g 0 5 10 15 0 5 10 15 Cr Cr PCr PCr GABA GABA Glc Gln CRLB < 20 % Gln Glu Glu GSH GSH Ins Posterior Cingulate Ins Frontal White Matter NAA NAA NAAG NAAG GPC+PCho GPC+PCho Glc+Tau Glc+Tau µmol/g µmol/g 0 5 10 15 0 5 10 15 Cr Cr PCr PCr GABA GABA Putamen Gln Gln CRLB < 50 % Glu Glu GSH GSH Substantia Nigra Neurochemical Profiles Ins Ins NAA NAA NAAG NAAG GPC+PCho GPC+PCho Glc+Tau Error bars = SD Glc+Tau
  • 29. Summary Multiple brain regions-of-interest to study several neurological diseases – Multi channel coil – B1 Shimming Reliable quantification of 10-15 metabolites Increased SNR Implemented on a clinical console
  • 30. Acknowledgements Malgorzata Marjanska Funding: Pierre-Francois Van DANA Foundation De Moortele R21-AG029582 Eddie Auerbach BTRR - P41 RR008079 Gregor Adriany P30 NS057091 Greg Metzger Patrick Bolan John Strupp Dinesh Deelchand