Department of Radiology, Weill Cornell Medicine, New York, New York, USA.
Department of Neurology, Weill Cornell Medicine, New York, New York, USA.
J Neuroimaging. 2022 Sep;32(5):852-859. doi: 10.1111/jon.13014. Epub 2022 Jun 6.
The objective is to demonstrate feasibility of separating magnetic sources in quantitative susceptibility mapping (QSM) by incorporating magnitude decay rates in gradient echo (GRE) MRI.
Magnetic susceptibility source separation was developed using and compared with a prior method using that required an additional sequence to measure the transverse relaxation rate R . Both susceptibility separation methods were compared in multiple sclerosis (MS) patients (n = 17). Susceptibility values of negative sources estimated with -based source separation in a set of enhancing MS lesions (n = 44) were correlated against longitudinal myelin water fraction (MWF) changes.
In in vivo data, linear regression of the estimated and susceptibility values between the - and the -based separation methods performed across 182 segmented lesions revealed correlation coefficient r = .96 and slope close .99. Correlation analysis in enhancing lesions revealed a significant positive association between the increase at 1-year post-onset relative to 0 year and the MWF increase at 1 year relative to 0 year (β = -0.144, 95% confidence interval: [-0.199, -0.1], p = .0008) and good agreement between and methods (r = .79, slope = .95).
Separation of magnetic sources based solely on GRE complex data is feasible by combining magnitude decay rate modeling and phase-based QSM and change may serve as a biomarker for myelin recovery or damage in acute MS lesions.
本研究旨在通过纳入梯度回波(GRE)MRI 中的幅度衰减率,证明在定量磁化率映射(QSM)中分离磁源的可行性。
采用 和 开发了磁敏感源分离,并与先前使用 方法进行了比较,该方法需要额外的序列来测量横向弛豫率 R 。在多发性硬化症(MS)患者(n=17)中比较了两种磁化率分离方法。利用基于 的源分离在一组增强 MS 病变(n=44)中估计的负源的磁化率值与纵向髓鞘水分数(MWF)变化相关。
在体内数据中,对基于 和基于 的分离方法在 182 个分割病变中估计的 和 磁化率值进行的线性回归显示相关系数 r=0.96,斜率接近 0.99。在增强病变中的相关分析显示,1 年发病后与 0 年相比的 增加与 1 年与 0 年相比的 MWF 增加之间存在显著的正相关关系(β=-0.144,95%置信区间:[-0.199,-0.1],p=0.0008),且 和 方法之间具有良好的一致性(r=0.79,斜率=0.95)。
通过结合幅度衰减率建模和基于相位的 QSM 仅基于 GRE 复数据即可实现磁源分离, 的变化可能作为急性 MS 病变中髓鞘恢复或损伤的生物标志物。