Spectrally selective 3D TSE imaging of phosphocreatine in the human calf muscle at 3 T

Quantitative information about concentrations of several metabolites in human skeletal muscle can be obtained through localized 31P magnetic resonance spectroscopy methods. However, these methods have shortcomings: long acquisition times, limited volume coverage, and coarse resolution. Significantly higher spatial and temporal resolution of imaging of single metabolites can be achieved through spectrally selective three‐dimensional imaging methods. This study reports the implementation of a three‐dimensional spectrally selective turbo spin‐echo sequence, on a 3T clinical system, to map the concentration of phosphocreatine in the human calf muscle with significantly increased spatial resolution and in a clinically feasible scan time. Absolute phosphocreatine quantification was performed with the use of external phantoms after relaxation and flip angle correction of the turbo spin‐echo voxel signal. The mean ± standard deviation of the phosphocreatine concentration measured in five healthy volunteers was 29.4 ± 2.5 mM with signal‐to‐noise ratio of 14:1 and voxel size of 0.52 mL. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.

[1]  Ewald Moser,et al.  Comparing localized and nonlocalized dynamic 31P magnetic resonance spectroscopy in exercising muscle at 7T , 2012, Magnetic resonance in medicine.

[2]  R. Mulkern,et al.  Multi‐echo 31P spectroscopic imaging of ATP: A scan time reduction strategy , 1997, Journal of magnetic resonance imaging : JMRI.

[3]  R. Mulkern,et al.  RARE imaging of PCr in human forearm muscles , 1997, Journal of magnetic resonance imaging : JMRI.

[4]  Howard A Smithline,et al.  The feasibility of measuring phosphocreatine recovery kinetics in muscle using a single-shot (31)P RARE MRI sequence. , 2011, Academic radiology.

[5]  W. Backes,et al.  Impaired in vivo mitochondrial function but similar intramyocellular lipid content in patients with type 2 diabetes mellitus and BMI-matched control subjects , 2006, Diabetologia.

[6]  W. Bogner,et al.  In vivo 31P spectroscopy by fully adiabatic extended image selected in vivo spectroscopy: A comparison between 3 T and 7 T , 2011, Magnetic resonance in medicine.

[7]  Howard A Smithline,et al.  Simultaneous acquisition of phosphocreatine and inorganic phosphate images for Pi:PCr ratio mapping using a RARE sequence with chemically selective interleaving. , 2011, Magnetic resonance imaging.

[8]  J. Hoff,et al.  Oxygen availability and PCr recovery rate in untrained human calf muscle: evidence of metabolic limitation in normoxia. , 2007, American journal of physiology. Regulatory, integrative and comparative physiology.

[9]  R. Greenman,et al.  Evaluation of the RF field uniformity of a double‐tuned 31P/1H birdcage RF coil for spin‐echo MRI/MRS of the diabetic foot , 2005, Journal of magnetic resonance imaging : JMRI.

[10]  V. L. Doyle,et al.  Quantification of phosphorus metabolites in human calf muscle and soft-tissue tumours from localized MR spectra acquired using surface coils. , 1997, Physics in medicine and biology.

[11]  U. Sharma,et al.  Effect of creatine monohydrate in improving cellular energetics and muscle strength in ambulatory Duchenne muscular dystrophy patients: a randomized, placebo-controlled 31P MRS study. , 2010, Magnetic resonance imaging.

[12]  R. Greenman,et al.  Fast imaging of phosphocreatine in the normal human myocardium using a three‐dimensional RARE pulse sequence at 4 Tesla , 2002, Journal of magnetic resonance imaging : JMRI.

[13]  H C Charles,et al.  Human in vivo phosphate metabolite imaging with 31P NMR , 1988, Magnetic resonance in medicine.

[14]  G K Radda,et al.  Control of phosphocreatine resynthesis during recovery from exercise in human skeletal muscle , 1993, NMR in biomedicine.

[15]  E. Rothgang,et al.  In vivo 31P MR spectroscopic imaging of the human prostate at 7 T: Safety and feasibility , 2012, Magnetic resonance in medicine.

[16]  L. Bolinger,et al.  Mapping of the Radiofrequency Field , 1993 .

[17]  M. Bárány,et al.  Quantitation of phosphate metabolites in human leg in vivo , 1988, Magnetic resonance in medicine.

[18]  D L Parker,et al.  A generalized k‐sampling scheme for 3D fast spin echo , 2000, Journal of magnetic resonance imaging : JMRI.

[19]  B Chance,et al.  Mitochondrial regulation of phosphocreatine/inorganic phosphate ratios in exercising human muscle: a gated 31P NMR study. , 1981, Proceedings of the National Academy of Sciences of the United States of America.

[20]  B Chance,et al.  Noninvasive, nondestructive approaches to cell bioenergetics. , 1980, Proceedings of the National Academy of Sciences of the United States of America.

[21]  G. Radda,et al.  Depth selective quantification of phosphorus metabolites in human calf muscle , 1992, NMR in biomedicine.

[22]  R. Spencer,et al.  Measurement of spin‐lattice relaxation times and chemical exchange rates in multiple‐site systems using progressive saturation , 2007, Magnetic resonance in medicine.

[23]  Ewald Moser,et al.  Relaxation times of 31P‐metabolites in human calf muscle at 3 T , 2003, Magnetic resonance in medicine.

[24]  E. Moser,et al.  Three‐dimensional high‐resolution magnetic resonance spectroscopic imaging for absolute quantification of 31P metabolites in human liver , 2008, Magnetic resonance in medicine.

[25]  E. Phielix,et al.  Type 2 Diabetes Mellitus and Skeletal Muscle Metabolic Function , 2008, Physiology & Behavior.

[26]  C J Hardy,et al.  Phosphate metabolite imaging and concentration measurements in human heart by nuclear magnetic resonance , 1990, Magnetic resonance in medicine.

[27]  M. Weiner,et al.  Noninvasive quantitation of phosphorus metabolites in human tissue by NMR spectroscopy , 1989 .

[28]  Klaas Nicolay,et al.  Dynamic MRS and MRI of skeletal muscle function and biomechanics , 2006, NMR in Biomedicine.

[29]  E. Moser,et al.  Comparison of measuring energy metabolism by different 31P‐magnetic resonance spectroscopy techniques in resting, ischemic, and exercising muscle , 2012, Magnetic resonance in medicine.

[30]  R. Greenman Quantification of the 31P metabolite concentration in human skeletal muscle from RARE image intensity , 2004, Magnetic resonance in medicine.

[31]  S Trattnig,et al.  Assessment of 31P relaxation times in the human calf muscle: A comparison between 3 T and 7 T in vivo , 2009, Magnetic resonance in medicine.

[32]  R G Shulman,et al.  NMR studies of enzymatic rates in vitro and in vivo by magnetization transfer , 1984, Quarterly Reviews of Biophysics.

[33]  R. Lenkinski,et al.  Fast imaging of phosphocreatine using a RARE pulse sequence , 1998, Magnetic resonance in medicine.

[34]  J Hennig,et al.  RARE imaging: A fast imaging method for clinical MR , 1986, Magnetic resonance in medicine.

[35]  G K Radda,et al.  Nuclear magnetic resonance studies of forearm muscle in Duchenne dystrophy. , 1982, British medical journal.

[36]  Ewald Moser,et al.  Absolute quantification of phosphorus metabolite concentrations in human muscle in vivo by 31P MRS: a quantitative review , 2007, NMR in biomedicine.

[37]  M W Weiner,et al.  31P nuclear magnetic resonance studies of high energy phosphates and pH in human muscle fatigue. Comparison of aerobic and anaerobic exercise. , 1988, The Journal of clinical investigation.

[38]  P M Jakob,et al.  Application of compressed sensing to in vivo 3D ¹⁹F CSI. , 2010, Journal of magnetic resonance.

[39]  D. Donoho,et al.  Sparse MRI: The application of compressed sensing for rapid MR imaging , 2007, Magnetic resonance in medicine.