Dual contrast CEST MRI for pH-weighted imaging in stroke

© 2023 International Society for Magnetic Resonance in Medicine..

PURPOSE: pH enhanced (pHenh ) CEST imaging combines the pH sensitivity from amide and guanidino signals, but the saturation parameters have not been optimized. We propose pHdual as a variant of pHenh that suppresses background signal variations, while enhancing pH sensitivity and potential for imaging ischemic brain injury of stroke.

METHODS: Simulation and in vivo rodent stroke experiments of pHenh MRI were performed with varied RF saturation powers for both amide and guanidino protons to optimize the contrast between lesion/normal tissues, while simultaneously minimizing signal variations across different types of normal tissues. In acute stroke, contrast and volume ratio measured by pHdual imaging were compared with an amide-CEST approach, and perfusion and diffusion MRI.

RESULTS: Simulation experiments indicated that amide and guanidino CEST signals exhibit unique sensitivities across different pH ranges, with pHenh producing greater sensitivity over a broader pH regime. The pHenh data of rodent stroke brain demonstrated that the lesion/normal tissue contrast was maximized for an RF saturation power pair of 0.5 μT at 2.0 ppm and 1.0 μT at 3.6 ppm, whereas an optimal contrast-to-variation ratio (CVR) was obtained with a 0.7 μT saturation at 2.0 ppm and 0.8 μT at 3.6 ppm. In acute stroke, CVR optimized pHenh (i.e., pHdual ) achieved a higher sensitivity than the three-point amide-CEST approach, and distinct patterns of lesion tissue compared to diffusion and perfusion MRI.

CONCLUSION: pHdual MRI improves the sensitivity of pH-weighted imaging and will be a valuable tool for assessing tissue viability in stroke.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:91

Enthalten in:

Magnetic resonance in medicine - 91(2024), 1 vom: 31. Jan., Seite 357-367

Sprache:

Englisch

Beteiligte Personen:

Chung, Julius [VerfasserIn]
Sun, Dandan [VerfasserIn]
Hitchens, T Kevin [VerfasserIn]
Modo, Michel [VerfasserIn]
Bandos, Andriy [VerfasserIn]
Mettenburg, Joseph [VerfasserIn]
Wang, Ping [VerfasserIn]
Jin, Tao [VerfasserIn]

Links:

Volltext

Themen:

Amide
Amides
CEST
Guanidino
Journal Article
PH
Research Support, N.I.H., Extramural
Stroke

Anmerkungen:

Date Completed 15.11.2023

Date Revised 18.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/mrm.29842

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362925747