Functional MRI of the human brain with GRASE-based BOLD contrast

Calibrated bold fMRI with an optimized ASL-BOLD dual-acquisition sequence

Calibrated fMRI techniques estimate task-induced changes in the cerebral metabolic rate of oxygen (CMRO₂) based on simultaneous measurements of cerebral blood flow (CBF) and blood-oxygen-level-dependent (BOLD) signal changes evoked by stimulation. To determine the calibration factor M (corresponding to the maximum possible BOLD signal increase), BOLD signal and CBF are measured in response to a gas breathing challenge (usually CO₂ or O₂). Here we describe an ASL dual-acquisition sequence that combines a background-suppressed 3D-GRASE readout with 2D multi-slice EPI. The concatenation of these two imaging sequences allowed separate optimization of the acquisition for CBF and BOLD data. The dual-acquisition sequence was validated by comparison to an ASL sequence with a dual-echo EPI readout, using a visual fMRI paradigm. Results showed a 3-fold increase in temporal signal-to-noise ratio (tSNR) of the ASL time-series data while BOLD tSNR was similar to that obtained with the dual-echo sequence. The longer TR of the proposed dual-acquisition sequence, however, resulted in slightly lower T-scores (by 30%) in the BOLD activation maps. Further, the potential of the dual-acquisition sequence for M-mapping on the basis of a hypercapnia gas breathing challenge and for quantification of CMRO₂ changes in response to a motor activation task was assessed. In five subjects, an average gray matter M-value of 8.71±1.03 and fractional changes of CMRO₂ of 12.5±5% were found. The new sequence remedies the deficiencies of prior combined BOLD-ASL acquisition strategies by substantially enhancing perfusion tSNR, which is essential for accurate BOLD calibration.

Preoperative fMRI in tumour surgery

Minimally invasive resection of brain tumours aims at removing as much pathological tissue as possible while preserving essential brain functions. Therefore, the precise spatial relationship between the lesion and adjacent functionally essential brain parenchyma needs to be known. Functional magnetic resonance imaging (fMRI) is increasingly being used for this purpose because of its non-invasiveness, its relatively high spatial resolution and the preoperative availability of the results. In this review, the goals of fMRI at various key points during the management of patients with a brain tumour are discussed. Further, several practical aspects associated with fMRI for motor and language functioning are summarised, and the validation of the fMRI results with standard invasive mapping techniques is addressed. Next, several important pitfalls and limitations that warrant careful interpretations of the fMRI results are highlighted. Finally, two important future perspectives of presurgical fMRI are emphasised.

Comparison between functional magnetic resonance imaging at 1.5 and 3 Tesla: effect of increased field strength on 4 paradigms used during presurgical work-up

OBJECTIVES

We sought to evaluate the benefit of 3 T compared with 1.5 T during presurgical functional magnetic resonance imaging.

MATERIALS AND METHODS

Six participants performed a motor, a visual, and 2 language paradigms both at 1.5 and 3 T. The number of activated voxels, mean t-value, and assessment of language dominancy were compared between both field strengths. Group analysis was performed to evaluate the influence of field strength on the cortical language activation patterns.

RESULTS

The number of activated voxels and mean t-values were significantly higher at 3 T for all paradigms. Using the same statistical threshold, language activation was significantly less lateralized, and more activation zones were depicted at 3 T compared with 1.5 T.

CONCLUSIONS

Sensitivity associated with visual, motor and language functional magnetic resonance imaging increased significantly at 3 T. Additional cortical areas were depicted during language processing at 3 T. For assessment of language dominancy, usage of more stringent statistical thresholds at 3 T is suggested.

Functional 3.0-T MR Assessment of Higher Cognitive Function: Are There Advantages over 1.5-T Imaging?

PURPOSE

To compare cortical activation patterns associated with manual motor decision tasks at 1.5- and 3.0-T functional magnetic resonance (MR) imaging.

MATERIALS AND METHODS

The local ethics committee approved this study, and informed written consent was obtained. Ten right-handed healthy volunteers (eight men and two women; mean age, 35 years +/- 7 [standard deviation]) underwent functional MR imaging twice, once at 1.5 T and once at 3.0 T, while performing cognitive tasks that demanded manual motor decisions (letter-finger matching and lexical and semantic decisions). While stimulus presentation was blocked, an event-related model was employed to analyze subjects' individual responses. A group analysis of functional data was performed with a t test of 1.5- and 3.0-T results in the 10 subjects.

RESULTS

Manual motor decisions activated a widespread network of motor- (primary motor, posterior parietal) and decision-related areas (superior frontal cortex or anterior cingulate) at both field strengths (P <.05, corrected). Moreover, additional functional activation was detected in medial (supplementary motor area) and dorsal premotor regions (P <.05, corrected) at 3.0-T functional MR imaging, which was not detectable with corresponding 1.5-T imaging. The mean t value for peak voxels in activated areas detectable with both systems was 1.3 times larger at 3.0 T than that at 1.5 T.

CONCLUSION

Functional 3.0-T MR imaging allows detection of additional activation in cortical areas involved in higher executive motor functions compared with functional 1.5-T MR imaging.

Radial GRASE: Implementation and applications

RAD-GRASE is an MRI sequence that combines radial (RAD) k-space scanning with the gradient and spin-echo (GRASE) technique. RAD-GRASE has the advantages of all radial data acquisition methods in that it can reduce motion sensitivity and correct motion-induced data errors, which can be exploited to achieve high-resolution diffusion-weighted imaging (DWI). One can obtain different types of image contrast, including DWI, T(1), T(2), and T(2)*, in RAD-GRASE by controlling the magnetization preparation and sequence timing. Moreover, because there is oversampling of the low spatial frequencies inherent to radial sequences, partial data reconstruction can be used to achieve multiple forms of image contrast from a single acquired data set, and to generate parametric image maps of equilibrium magnetization, T(2), and T(2) (dagger). The RAD-GRASE technique can also be used to achieve fat-suppressed and/or separated fat and water images by choosing the appropriate timing parameters.

Three-dimensional BOLD fMRI with spin-echo characteristics using T2 magnetization preparation and echo-planar readouts

A new approach to mixed T(2)- and T(2) (*)-weighted BOLD fMRI is presented, which combines T(2) magnetization preparation (T2prep) with a series of EPI readouts. This technique allows full 3D, time-efficient imaging to be performed with low RF power deposition. Steady-state calculations are performed in order to study signal formation in 3D T2prep-EPI sequences. Results obtained under the hypothesis of ideal spoiling are compared to full Bloch equation solutions. The theoretical findings are validated by means of in vitro and in vivo signal measurements. Several variants of the 3D T2prep-EPI approach are shown to be usable for visual cortex fMRI and compared to conventional 3D coherent gradient-echo EPI. The relative sensitivity of these sequences is shown to be predictable by means of a simple DeltaT(2)/DeltaT(2) (*) model.

High-resolution, spin-echo BOLD, and CBF fMRI at 4 and 7 T

With growing interest in noninvasive mapping of columnar organization and other small functional structures in the brain, achieving high spatial resolution and specificity in fMRI is of critical importance. We implemented a simple method for BOLD and perfusion fMRI with high spatial resolution and specificity. Increased spatial resolution was achieved by selectively exciting a slab of interest along the phase-encoding direction for EPI, resulting in a reduced FOV and number of phase-encoding steps. Improved spatial specificity was achieved by using SE EPI acquisition at high fields, where it is predominantly sensitive to signal changes in the microvasculature. Robust SE BOLD and perfusion fMRI were obtained with a nominal in-plane resolution up to 0.5 x 0.5 mm(2) at 7 and 4 Tesla, and were highly reproducible under repeated measures. This methodology enables high-resolution and high-specificity studies of functional topography in the millimeter to submillimeter spatial scales of the human brain.