Logo image
Evaluation of a motion-robust 2D chemical shift-encoded technique for R2and field map quantification in ferumoxytol-enhanced MRI of the placenta in pregnant rhesus macaques
Journal article   Peer reviewed

Evaluation of a motion-robust 2D chemical shift-encoded technique for R2and field map quantification in ferumoxytol-enhanced MRI of the placenta in pregnant rhesus macaques

Ante Zhu, Scott B. Reeder, Kevin M. Johnson, Sydney M. Nguyen, Thaddeus G. Golos, Ann Shimakawa, Matthias R. Muehler, Christopher J. Francois, Ian M. Bird, Sean B. Fain, …
Journal of magnetic resonance imaging, Vol.51(2), pp.580-592
02/01/2020
DOI: 10.1002/jmri.26849
PMCID: PMC7839098
PMID: 31276263
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7839098View
Open Access

Abstract

Background 3D chemical shift-encoded (CSE)-MRI techniques enable assessment of ferumoxytol concentration but are unreliable in the presence of motion. Purpose To evaluate a motion-robust 2D-sequential CSE-MRI for R2* and B0 mapping in ferumoxytol-enhanced MRI of the placenta. Study Type Prospective. Animal Model Pregnant rhesus macaques. Field Strength/Sequence 3.0T/CSE-MRI. Assessment 2D-sequential CSE-MRI was compared with 3D respiratory-gated CSE-MRI in placental imaging of 11 anesthetized animals at multiple timepoints before and after ferumoxytol administration, and in ferumoxytol phantoms (0 mu g/mL-440 mu g/mL). Motion artifacts of CSE-MRI in 10 pregnant women without ferumoxytol administration were assessed retrospectively by three blinded readers (4-point Likert scale). The repeatability of CSE-MRI in seven pregnant women was also prospectively studied. Statistical Tests Placental R2* and boundary B0 field measurements (Delta B0) were compared between 2D-sequential and 3D respiratory-gated CSE-MRI using linear regression and Bland-Altman analysis. Results In phantoms, a slope of 0.94 (r(2) = 0.99, concordance correlation coefficient rho = 0.99), and bias of -4.8 s(-1) (limit of agreement [LOA], -41.4 s(-1), +31.8 s(-1)) in R2*, and a slope of 1.07 (r(2) = 1.00, rho = 0.99) and bias of 11.4 Hz (LOA -12.0 Hz, +34.8 Hz) in Delta B0 were obtained in 2D CSE-MRI compared with 3D CSE-MRI for reference R2* <= 390 s(-1). In animals, a slope of 0.92 (r(2) = 0.97, rho = 0.98) and bias of -2.2 s(-1) (LOA -55.6 s(-1), +51.3 s(-1)) in R2*, and a slope of 1.05 (r(2) = 0.95, rho = 0.97) and bias of 0.4 Hz (LOA -9.0 Hz, +9.7 Hz) in Delta B0 were obtained. In humans, motion-impaired R2* maps in 3D CSE-MRI (Reader 1: 1.8 +/- 0.6, Reader 2: 1.3 +/- 0.7, Reader 3: 1.9 +/- 0.6), while 2D CSE-MRI was motion-free (Reader 1: 2.9 +/- 0.3, Reader 2: 3.0 +/- 0, Reader 3: 3.0 +/- 0). A mean difference of 0.66 s(-1) and coefficient of repeatability of 9.48 s(-1) for placental R2* were observed in the repeated 2D CSE-MRI. Data Conclusion 2D-sequential CSE-MRI provides accurate R2* and B0 measurements in ferumoxytol-enhanced placental MRI of animals in the presence of respiratory motion, and motion-robustness in human placental imaging. Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2020;51:580-592.
Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology

Details

Metrics

Logo image