Abstract
Renal hypoxia is generally accepted as a key pathophysiologic event in acute kidney injury of various origins, and has also been suggested to play a role in the development of chronic kidney disease. Here we describe a step-by-step experimental protocol for indirect monitoring of renal blood oxygenation in rodents via the deoxyhemoglobin sensitive MR parameters T2* and T2—a contrast mechanism known as the blood oxygenation level dependent (BOLD) effect. Since an absolute quantification of renal oxygenation from T2*/T2 remains challenging, the effects of controlled and standardized variations in the fraction of inspired oxygen are used for bench marking. This MRI method may be useful for investigating renal blood oxygenation of small rodents in vivo under various experimental (patho)physiological conditions.
This chapter is based upon work from the COST Action PARENCHIMA, a community-driven network funded by the European Cooperation in Science and Technology (COST) program of the European Union, which aims to improve the reproducibility and standardization of renal MRI biomarkers. This experimental protocol chapter is complemented by two separate chapters describing the basic concept and data analysis.
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1 Introduction
Renal tissue oxygenation relies on a delicate balance between delivery of O2, as determined by renal blood flow and arterial O2 content, and consumption of O2, which is predominantly determined by energy-dependent tubular reabsorption. Even under physiological conditions, tissue partial pressure of O2 is low in the medulla. Hence renal tissue hypoxia may result from even a small detrimental imbalance between O2 delivery and consumption. Based largely upon studies on animal models, intrarenal hypoxia is generally accepted as a key pathophysiologic event in acute kidney injury of various origins, and has also been suggested to promote its progression to chronic kidney disease CKD .
The parametric mapping of the transverse relaxation times T2* and T2 (or relaxation rates R2* = 1/T2* and R2 = 1/T2) has the potential to allow inferences about renal oxygenation, because both parameters are sensitive to blood oxygenation. The underlying mechanism is the inherent difference in the magnetic properties of oxygenated hemoglobin (diamagnetic) vs. deoxygenated hemoglobin (paramagnetic). The presence of deoxyhemoglobin in a voxel decreases both relaxation times, T2* and T2. Additional factors that influence this relationship between renal venous blood oxygenation and renal T2* include the blood volume fraction, the hematocrit and the oxygen binding curve.
Here we describe quantitative mapping of the blood oxygenation sensitive parameter T2* in the kidney of small rodents in a step-by-step experimental protocol. The rationale for the chosen acquisition parameters is given in generic terms, together with specific parameter examples.
Mapping of renal T2 is described as an optional component of the experiment. This may serve two purposes. Firstly, T2* includes the dynamic (irreversible) dephasing effects described by T2 plus the additional effects that are due to static (reversible) dephasing effects described by T2′. Hence, the additional measurement of T2 permits calculation of R2′ = R2* – R2 = 1/T2* – 1/T2.
Secondly, blood oxygenation affects primarily T2* (often referred to as blood oxygenation level dependent, BOLD ) but also T2 to a lesser extent. The T2 effect is via water diffusion within the magnetic field gradient created by deoxyhemoglobin. This contrast mechanism results in T2 being dominated by blood oxygenation effects in the microvasculature, which makes it a valuable complement to conventional T2* measurements.
The effects of controlled and standardized variations in T2* relaxation parameters in response to the fraction of inspired oxygen (hypoxia, hyperoxia) are used for benchmarking. This MRI method may be useful for investigating renal blood oxygenation of rodents in vivo under various experimental (patho)physiological conditions.
This experimental protocol chapter is complemented by two separate chapters describing the basic concept and data analysis, which are part of this book.
This chapter is part of the book Pohlmann A, Niendorf T (eds) (2020) Preclinical MRI of the Kidney—Methods and Protocols. Springer, New York.
2 Materials
2.1 Animals
These experimental protocols are tailored for rats (Wistar, Sprague-Dawley, or Lewis) with a body mass of 250–350 g. Advice for adaptation to mice is given in where necessary.
2.2 Lab Equipment
Anesthesia: For nonrecovery experiments urethane solution (Sigma-Aldrich, Steinheim, Germany; 20% in distilled water) can provide anesthesia for several hours with comparatively little side effects on renal physiology, which is an important issue. For an in-depth description and discussion of the anesthesia please refer to the chapter by Kaucsar T et al. “Preparation and Monitoring of Small Animals in Renal MRI.”
Gases: O2, N2, and compressed air, as well as a gas-mixing system (FMI Föhr Medical Instruments GmbH, Seeheim-Ober Beerbach, Germany) to achieve required changes in the oxygen fraction of inspired gas mixture (FiO2). Besides air, the following gas mixtures are required during the experiment: 10% O2–90% N2 for hypoxia and 100% O2 for hyperoxia.
Device for FiO2 monitoring in gas mixtures: for example Capnomac AGM-103 (Datex GE, Chalfont St Gils, UK).
2.3 MRI Hardware
The general hardware requirements for renal 1H MRI on mice and rats are described in the chapter by Ramos Delgado P et al. “Hardware Considerations for Preclinical Magnetic Resonance of the Kidney.” The technique described in this chapter was tailored for a 9.4 T MR system (Biospec 94/20, Bruker Biospin, Ettlingen, Germany) but advice for adaptation to other field strengths and systems (e.g., 3 T Siemens Skyra or GE MR 750 human MR scanner using a wrist coil for signal reception or transmit-receive knee RF coil is given where necessary. No special or additional hardware is required, except for the following:
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A physiological monitoring system that can track the respiration, and which is connected to the MR system such that it can be used to trigger the image acquisition.
2.4 MRI Techniques
Repeated measurements with a gradient-echo or spin-echo method and variable echo times (TE) would provide the most accurate T2* and T2 but require very long acquisition times. Here we describe fast multiecho MRI methods: multi-gradient-echo (MGE) for T2* measurement and multi–spin-echo (also called “MSME”) for T2 assessment. They provide relaxation times that underestimate T2* and overestimate T2. With increasing echo number additional diffusion weighting is added due to the repeated magnetic field gradients (NB: this effect is much more pronounced in small animal systems because of the much stronger magnetic field gradients used compared to clinical systems). The superposition of stimulated echoes in multi–spin-echo imaging may lead to an overestimation of T2. Although these biases depend on the acquisition parameters, they are fixed and reproducible for each protocol and hence acceptable in studies of relative differences/changes in T2* and T2, where precision is far more important than accuracy. If needed, more accurate T2 values can be obtained from multiecho data using sophisticated postprocessing [1].
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2D multi-gradient-echo sequence for T2*-mapping. This is a standard sequence that should be available on all MRI systems. (Bruker “MGE,” Siemens “gre”; HE Healthcare 2D ME SPGR or ME FGRE) (see Note 1).
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2D multi-spin-echo sequence for T2-mapping (optional; Bruker “MSME,” Siemens “se_mc”; GE Healthcare “T2 Map” within the 2D ME FGRE family of sequences).
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3D double gradient echo sequence for acquiring a quantitative map of the static magnetic field B0 (optional; Bruker “FieldMap”). The reconstruction performs a phase difference calculation, phase unwrapping, and a conversion to a frequency map. A similar sequence exists with Siemens (“AdjGreSeq”), however there is no reconstruction applied to the data. Choosing Magnitude and Phase under Reconstruction will save both Magnitude and Phase information, but no processing is performed to correct for the B0 map. Similarly, for GE Healthcare clinical MR systems “IDEAL-IQ” allows for return of fat, water, R2*, in-phase and out-of-phase water/fat images, but research mode is required to obtain magnitude, phase, and B0 images.
3 Methods
3.1 MR Protocol Setup
3.1.1 Multi-gradient-Echo Sequence for T2*-Mapping
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Load the 2D multi–gradient-echo sequence .
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Set the shortest echo time (TE) and echo spacing (ΔTE) possible, under the condition that fat and water are in phase (see Note 2). The last TE should be close to the largest expected T2(*) in the kidney multiplied by 1.5 (see Note 3). The aim is to acquire ten or more echo images. Fewer TEs or larger ΔTE are not advisable because during strong hypoxia the SNR in the kidney at high TEs can be so low that only a few data points above the noise level are available for the analysis. Consider increasing the acquisition bandwidth and using half Fourier acceleration to shorten the first TE and ΔTE (see Note 4).
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Choose the shortest possible repetition time (TR) for good signal-to-noise per time (SNR/t) efficiency. TR will be limited by the length of the echo train and the number of slices you acquire.
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Adapt the flip angle (FA) to the TR and T1 in order to achieve the best possible SNR. Use the Ernst angle αE = arccos (exp(−TR/T1)) as a good starting value. Then try a few smaller and larger FAs and determine the optimal FA experimentally by comparing the measured SNRs in a phantom with a T1 comparable to that of the renal cortex (1–1.2 s at 3 T).
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Set a high acquisition bandwidth (BW) to shorten ΔTE, while keeping an eye on the SNR, which decreases with the square root of BW. SNR may be increased with signal averaging. (see Note 5).
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Enable fat saturation. On ultrahigh field systems this works well to avoid fat signal overlaying the kidney due to chemical shift. At lower clinical field strengths fat saturation is less efficient.
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Enable the respiration trigger (per slice). This is essential to reduce motion artefacts, reduce motion blurring and unwanted intensity variations between the images acquired with different TEs.
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Choose as phase-encoding direction the L-R direction and adapt the geometry so that the FOV in this direction includes the entire animal (approx. 40 mm).
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Use frequency encoding in head-feet (rostral-caudal) direction to avoid severe aliasing. Adjust the FOV to your needs keeping in mind that in the frequency encoding direction the FOV can be smaller than the animal and a smaller FOV permits a smaller acquisition matrix, and in turn a shorter echo-spacing.
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Use the lowest slice thickness the SNR allows, typically around 1.5 mm. The thinner the slices the better, as this reduces the unwanted T2*-effects of macroscopic field inhomogeneities associated with the large voxel size in slice direction. For adaptation of the geometry to mice see Note 6.
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Use highest in-plane resolution that the SNR allows, typically between 100 and 200 μm. The higher the resolution the better, as this reduces the unwanted T2*-effects of macroscopic field inhomogeneities. Zero-filling in phase encoding direction can be helpful to speed up acquisition when monitoring of fast oxygenation changes is required. One may use half Fourier in the frequency encoding direction (asymmetric echo) to further shorten the first TE, if very short T2* (<5 ms) can occur. Reducing the excitation pulse length to below 1 ms would then also help to shorten TE. For adaptation to mice see Note 7.
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For examples of a specific parameter set please see Notes 8–10.
3.1.2 Multi-spin-Echo Sequence for T2-Mapping (Optional)
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Load the 2D multi–spin-echo sequence .
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Use the same FOV, matrix size and slice thickness as for the multi–gradient-echo sequence .
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Adapt the repetition time (TR) to the respiration: The effective TR will be given by the respiration trigger and will be the respiration interval, that is, one excitation per breath. Choose TR to be a little shorter (about 100 ms) than the average respiration interval that is displayed on the physiological monitoring unit (see Note 11).
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Set the number of echoes to 12 (see Note 12.).
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Set the echo spacing (ΔTE) as small as possible (more echoes are effectively more data points for the analysis and reduce the error; consider that with increasing number of echoes also the SAR increases) and that the last TE is close to the largest expected T2 in the kidney multiplied by 1.5 (see Note 3).
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Due to the artificial increase in signal intensity of fat with a multi–spin-echo sequence , enable fat saturation. Note that the spectral fat saturation does not usually suppress the fat signal completely with some of residual fat signal overlaying the kidney due to chemical shift (Fig. 2).
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Enable the respiration trigger (per slice).
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For an example of a specific parameter set please see Notes 13–15.
3.1.3 Field Map (Optional)
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Load the field map sequence .
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Store the field mapping scan protocol with the default parameters when using a small animal system (see Note 16) or those adapted for a clinical system (see Notes 17 and 18). Make sure the 3D B0 field-map has isotropic resolution and a FOV that includes the entire MR-visible part of the animal.
3.2 In Vivo Blood Oxygenation Sensitive Imaging
3.2.1 Animal Preparation
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Anesthetize the animal and transfer it to scanner. For more information on the choice and use of anesthesia please refer to the chapter by Kaucsar T et al. “Preparation and Monitoring of Small Animals in Renal MRI.”
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Start the temperature monitoring system, apply some surgical lubricant to the temperature probe and place it in the rectum of the animal.
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Attach the respiration sensor (e.g., balloon) to the chest of the animal using adhesive tape. Start and setup the respiratory monitoring system. If necessary, adjust the position of the respiration sensor until the amplitude of the respiration trace is sufficiently large for the system to reliably detect the trigger points at the beginning of expiration.
3.2.2 Scanner Adjustments and Anatomical Imaging
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Acquire a fast pilot scan to obtain images in the three orthogonal planes x, y, and z.
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Acquire anatomical images in several oblique orientations to facilitate planning a coronal slice orientation with regard to the long axis of the kidney, as described in the chapter by Pohlmann A et al. “Essential Practical Steps for MRI of the Kidney in Experimental Research.”
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Perform localized shimming on the kidney as described in the chapter by Pohlmann A et al. “Essential Practical Steps for MRI of the Kidney in Experimental Research” (see Note 19).
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Acquire a 3D B0 field-map without adaptation of the geometry (optional; see Note 20).
3.2.3 Baseline Condition
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Load the T2*-mapping sequence , adapt the slice orientation to provide a coronal or axial view with respect to the kidney (in scanner coordinates this is double-oblique).
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In the monitoring unit set the trigger delay so that the trigger starts at the beginning of the expiratory plateau (no chest or diaphragm motion) and the duration such that it covers the entire expiratory phase, that is, until just before inhalation starts (1/2 to 2/3 of breath-to-breath interval) (see Note 11).
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Run the T2*-mapping scan. Example images are shown in Fig. 1.
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4.
Load the T2-mapping sequence , adapt the slice orientation to provide a coronal or axial view with respect to the kidney (in scanner coordinates this is double-oblique).
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Adapt TR to be a little shorter (about 100 ms) than the average respiration interval that is displayed on the physiological monitoring unit.
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In the monitoring unit set the trigger delay so that the trigger starts at the beginning of the expiratory plateau (no chest or diaphragm motion) and the duration to a short value, such as 10 ms (Note 11).
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Run the T2-mapping scan. Example images are shown in Fig. 2.
A demonstration of the contrast changes that can be expected in pathophysiological scenarios is given in Fig. 3. Example parametric maps of T2* and T2 are shown in Fig. 4.
Demonstration of the contrast changes that can be expected in pathophysiological scenarios. T2*-weighted images (from a 2D multi–gradient-echo acquisition, TE = 3.57 ms) of rat kidneys throughout an ischemia–reperfusion experiment, together with a plot of T2* in regions-of-interest in renal cortex and medulla
Example parametric maps of T2* (a) and T2 (b) acquired in a rat at 9.4 T. Shown are the entire map with the kidney outlined (left) as well as an overlay of the map onto an anatomical MR image (right). While the overlays are preferable because they focus on the relevant part and do not distract the eye, looking at the entire map can sometimes help to identify extra-renal sources of susceptibility artefacts, like here the bowel gas below the kidney and an implanted device near the hilus, which cast “shadows” onto the renal cortex. Beware to exclude from the ROI analysis any regions with overlaid fat signal due to chemical shift, here seen as a thin stripe at the rostral end of the kidney
3.2.4 Hypoxia/Hyperoxia for Benchmarking (optional)
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Duplicate the two scans (T2*-mapping and T2-mapping) and disable all adjustments (e.g., receiver gain, shimming) so that they are not changed from the previous scan.
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Start hypoxia by changing the gas flowing through the respiratory mask to 10% O2/90% N2.
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Three minutes after the start of hypoxia run the T2*-mapping and T2-mapping scans. Hypoxia should not exceed 5 min in order to avoid long lasting effects.
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Immediately after the two scans end, change the gas flowing through the respiratory mask back to air (21% O2).
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Wait for a recovery time of at least 5 min.
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Start hyperoxia by changing the gas flowing through the respiratory mask to 100% O2.
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Two minutes after the start of hyperoxia run the T2*-mapping and T2-mapping scans.
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Immediately after the two scans end change the gas flowing through the respiratory mask back to air (21% O2).
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Wait for a recovery time of at least 5 min before conducting any further interventions.
3.2.5 Noise Scan
We highly recommend acquiring one scan with the T2*-mapping protocol and T2-mapping protocol that only contains noise. This is the best way to estimate the noise standard deviation, which is needed for correcting the noise bias during the data analysis (see Note 21). Alternatively it is possible to estimate the noise standard deviation from an ROI in the “background” of the study images, but it is often difficult to find a suitable region outside the subject that is large enough and artefact free.
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Create a copy of the T2*-mapping protocol.
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Open the protocol and in the parameter setting set either the flip angle to 0° degrees or the reference power for the flip angle calibration to 0 W.
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Run the T2*-mapping scan.
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Repeat steps 1–3 for the T2-mapping protocol.
4 Notes
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A 3D version of this sequence is also available, which allows for thinner slices with better SNR, but tends to be too slow for most in vivo applications.
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The fat signal has a slightly different Lamor frequency (Δf = 220 Hz/Tesla) than the water signal. The faster precession of the fat protons means that with increasing time the fat and water signal fractions within a voxel are sometimes in phase (signals add up) and sometimes out of phase (signals subtract). This can lead to an additional unwanted variation in the signal along the exponential decay curve. This is mostly relevant for diseased kidneys with increased fat content (e.g., diabetes), but we recommend to generally take this into account, that is, also for healthy kidneys. The TEs at which fat and water are in phase depend on the field strength: TE [ms] = n · (6.7069/B0[T]).
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3.
Larger TEs are needed to accurately calculate longer T2(*) under normal or hyperoxic conditions. We recommend using the largest expected T2(*) in the kidney multiplied by 1.5 as the largest TE. Since the largest T2(*) is typically in the inner medulla—if this region is not relevant to your research then use the largest T2(*) in the cortex/outer medulla. With increasing TE the signal intensity decreases and may reach the noise floor at large TEs. This can introduce a noise bias during data analysis. To account for this we recommend performing a retrospective noise correction (preferred) or exclude images acquired at larger TEs from the analysis. Both approaches are described in the chapter by Periquito JS et al. “Analysis Protocols for MRI Mapping of the Blood Oxygenation–Sensitive Parameters T2* and T2 in the Kidney.”
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Renal T2* may be quite short at ultrahigh field strengths and in particular under hypoxia, which is what one wishes to detect. One needs to consider the shortest renal T2* that could occur during experiment; under extreme conditions this could be only a few milliseconds, so several TEs around that value are needed.
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5.
When establishing the MR technique you need to define an SNR acceptance threshold for the image with the shortest TE. The aim is to have at least three (better five or more) number of echoes with an SNR > 5. This threshold will depend on the expected T2(*) values, which in turn depends on parameters like the magnetic field strength, shim quality, and tissue properties (pathology). Example: for a rat imaged at 9.4 T using a 4-element rat heart array receive surface coil together with a volume resonator for excitation in combination with interventions leading to strong hypoxia, an SNR > 60 was needed.
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For mice reduce the FOV to the body width and keep the matrix size the same. The relative resolution is then identical and the SNR should also be similar, because the smaller mouse RF coil gives better SNR, for example, mouse heart four-element surface coil vs rat heart four-element surface coil.
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A good starting point is to use the same relative resolution as for rats. For this, reduce the FOV to the mouse body width and keep the matrix size the same.
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Example parameters for T2* mapping of a 300 g rat at 9.4 T (Bruker small animal system): TR = 50 ms; flip angle = 16°; pulse length 1.0 ms; pulse bandwidth 5.4 kHz; receiver bandwidth = 109 kHz; number of echoes = 12; first echo = 2.14 ms; echo spacing 2.14 ms; TE = 2.14, 4.28, 6.42, 8.56, 10.7, 12.84, 14.98, 17.12, 19.26, 21.40, 23.54, 25.68 ms; averages = 4; slice orientation = coronal to kidney; frequency encoding = head-feet; FOV = (38.2 × 48.5) mm; matrix size = 169 × 115 zero-filled to 169 × 215; resolution = (0.226 × 0.421) mm; 1–3 slices with 1.4 mm thickness; fat suppression = on; respiration trigger = per slice; acquisition time = 40–60 s (with triggering under urethane anaesthesia).
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Example parameters for T2* mapping of a 30 g mouse at 4.7 T (Agilent small animal system): TR = 350 ms; flip angle = 30°; receiver bandwidth = 100 kHz; number of echoes = 32; first echo = 2.0 ms; echo spacing 2.4 ms; TE = 2.00, 4.40, 6.80, 9.20, 11.60, 14.00, 16.40, 18.80, 21.20, 23.60, 26.00, …, 76.40 ms; averages = 4; slice orientation = coronal to kidney; frequency encoding = head-feet; FOV = (30 × 30) mm; matrix size = 128 × 128; resolution = (0.230 × 0.230) mm; 1 slice with 1.0 mm thickness; fat suppression = on; respiration trigger = on; acquisition time = 3.5–9.0 min (with triggering under isoflurane anaesthesia).
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Example parameters for T2* mapping of a 300 g rat at 3.0 T (Siemens Skyrafit, a clinical system): Animal position: Right decubitus; Coil: Knee; TR = 69 ms; flip angle = 30°; receiver bandwidth = 320 Hz/pixel; number of echoes = 12; first echo = 3.56 ms; echo spacing 3.43 ms; TE = 3.56, 6.99, 10.42, 13.85, 17.28, 20.71, 24.14, 27.57, 31.00, 34.43, 37.86, 41.29 ms; averages = 20; slice orientation = axial; frequency encoding = anterior-posterior; FOV = (120 × 60) mm; matrix size = 256 × 128; resolution = (0.470 × 0.470) mm; 3 slices with 2.0 mm thickness; fat suppression = on; respiration trigger = off; acquisition time ~ 3 min. If one desires in-phase echoes, use first echo = 4.92 and echo spacing = 4.92 ms. If no specific animal holder is used, it is preferable to position the animals in left of right decubitus position to keep the bowels away from the kidneys to mitigate susceptibility artifacts.
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11.
You must monitor the respiration continuously throughout the entire experiment and if necessary adapt the TR accordingly.
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12.
Acquiring more echoes with smaller echo spacing will be beneficial because it improves the fitting, but keep in mind the SAR associated with sending many 180° RF pulses in a short time could heat up the tissue. This will usually not be detectable via a rectal temperature probe, but measurements with a temperature probe placed in the abdomen next to the kidney showed that significant temperature increases are possible with a multi–spin-echo sequence .
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13.
Example parameters for T2 mapping of a 300 g rat at 9.4 T (Bruker small animal system): TR = [respiration interval] − 100 ms; receiver bandwidth = 50 kHz; number of echoes = 12; first echo = 10.0 ms; echo spacing 10.0 ms; TE = 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120 ms; averages = 1; slice orientation = coronal to kidney; frequency encoding = head-feet; FOV = (38.2 × 48.5) mm; matrix size = 169 × 115 zero-filled to 169 × 215; resolution = (0.226 × 0.421) mm; 1 slice with 1.4 mm thickness; fat suppression = on; respiration trigger = per slice; acquisition time = 55–75 s (with triggering under urethane anaesthesia).
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14.
Example parameters for T2 mapping of a 30 g mouse at 4.7 T (Agilent small animal system): TR = [respiration interval] -100 ms; receiver bandwidth = 50 kHz; number of echoes = 12; first echo = 10.0 ms; echo spacing 10.0 ms; TE = 10, ..., 120 ms; averages = 1; slice orientation = coronal to kidney; frequency encoding = head-feet; FOV = (30 × 30) mm; matrix size = 128 × 128; resolution = (0.230 × 0.230) mm; 1 slice with 2.0 mm thickness; fat suppression = on; respiration trigger = on; acquisition time = 2–4 min (with triggering under isoflurane anaesthesia).
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Example parameters for T2 mapping of a 300 g rat at 3.0 T (Siemens Skyrafit, a clinical system): Animal position: Right decubitus; Coil: Knee; TR = [respiration interval] − 500 ms; receiver bandwidth = 399 Hz/pixel; number of echoes = 12; first echo = 10.0 ms; echo spacing 10.0 ms; TE = 10, ..., 120 ms; averages = 2; slice orientation = axial; frequency encoding = left-right; FOV = (120 × 60) mm; matrix size = 256 × 128; resolution = (0.470 × 0.470) mm; 1 slice with 2.0 mm thickness; fat suppression = on; respiration trigger = off; acquisition time ~2 min. If no specific animal holder is used, it is preferable to position the animals in left of right decubitus position to keep the bowels away from the kidneys to mitigate susceptibility artifacts.
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16.
Example parameters for field mapping of a 300 g rat at 9.4 T (Bruker small animal system): use the vendors default protocol AnyObject > AnyRegion > Adjustments > ADJ_B0MAP. TR = 20 ms; flip angle = 30°; first echo = 1.60 ms; echo spacing = 3.57 ms; fat/water in-phase = on; slice orientation = main orientations (no angles) and offset = 0; FOV = (58 × 58 × 58) mm; matrix size = 64 × 64 × 64; resolution = (0.906 × 0.906 × 0.906) mm; respiration trigger = off; acquisition time = 1–2 min.
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17.
Example parameters for field mapping of a 300 g rat at 3.0 T (Siemens Skyrafit, a clinical system): The default setup uses the BODY Coil. TR = 20 ms; flip angle = 15°; in-phase echo times, first echo = 4.78 ms, and second echo = 7.17 ms; slice orientation = main orientations (no angles) and offset = 0; FOV = (350 × 350) mm; matrix size = 96 × 96; resolution = (3.6 × 3.6 × 8.0) mm; GRAPPA factor = 2; respiration trigger = off; acquisition time = 17 s.
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18.
Example parameters for field mapping of a 300 g rat at 4.7 T (Agilent small animal system): TR = 34 ms; flip angle = 30°; number of echoes = 8; first echo = 4.23 ms; echo spacing 0.4 ms; averages = 8; slice orientation = coronal to kidney; frequency encoding = head-feet; FOV = (30 × 30) mm; matrix size = 128 × 128; resolution = (0.230 × 0.230) mm; 1 slice with 2.0 mm thickness; fat suppression = on; respiration trigger = on; acquisition time = 7.0–11.0 min (with triggering under isoflurane anaesthesia).
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19.
Shimming is particularly important, since macroscopic magnetic field inhomogeneities shorten T2*, but provide no tissue specific information—rather they overshadow the microscopic T2* effects of interest and hinder quantitative intra- and inter-subject comparisons. Shimming should be performed on a voxel enclosing only the kidney using either the default iterative shimming method or the Mapshim technique (recommended).
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20.
This serves to keep a record of the B0 influence on the measured T2*. It allows explanation of unusually small T2* due to a bad shim. It may also be used later during the prost-processing for calculating a corrected T2* by removing the influence B0 inhomogeneities.
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21.
During the data analysis care must be taken to avoid noise biasing the mapping of T2* and T2. With increasing echo time the signal intensity in the images approaches more and more the noise floor, where the signal is so small that it is not detectable anymore. However, even though only noise is detected the signal is still above 0, because of the Ricean nature of the noise (negative values are “flipped” to the positive side). This means that the shape of the exponential curve will not fit well, as it expects the signal to decay toward 0. Adding an offset parameter to the fitted curve does not solve the problem because an offset will affect the signal intensities of all echoes, but the noise bias only affects those echoes where the true signal is very small. Instead a noise bias correction should be performed, which is described in the chapter by Periquito JS et al. “Analysis Protocols for MRI Mapping of the Blood Oxygenation–Sensitive Parameters T2* and T2 in the Kidney.” Please note that you may not need to perform such a noise correction if all echo images are well above the noise floor.
Reference
Ben-Eliezer N, Sodickson DK, Block KT (2015) Rapid and accurate T2 mapping from multi-spin-echo data using bloch-simulation-based reconstruction. Magn Reson Med 73:809–817
Acknowledgments
This work was funded, in part (Thoralf Niendorf and Andreas Pohlmann), by the German Research Foundation (Gefoerdert durch die Deutsche Forschungsgemeinschaft (DFG), Projektnummer 394046635, SFB 1365, RENOPROTECTION. Funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation), Project number 394046635, SFB 1365, RENOPROTECTION).
This publication is based upon work from COST Action PARENCHIMA, supported by European Cooperation in Science and Technology (COST). COST (www.cost.eu) is a funding agency for research and innovation networks. COST Actions help connect research initiatives across Europe and enable scientists to grow their ideas by sharing them with their peers. This boosts their research, career and innovation.
PARENCHIMA (renalmri.org) is a community-driven Action in the COST program of the European Union, which unites more than 200 experts in renal MRI from 30 countries with the aim to improve the reproducibility and standardization of renal MRI biomarkers.
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Pohlmann, A., Zhao, K., Fain, S.B., Prasad, P.V., Niendorf, T. (2021). Experimental Protocol for MRI Mapping of the Blood Oxygenation-Sensitive Parameters T2* and T2 in the Kidney. In: Pohlmann, A., Niendorf, T. (eds) Preclinical MRI of the Kidney. Methods in Molecular Biology, vol 2216. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0978-1_23
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DOI: https://doi.org/10.1007/978-1-0716-0978-1_23
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Publisher Name: Humana, New York, NY
Print ISBN: 978-1-0716-0977-4
Online ISBN: 978-1-0716-0978-1
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