2022
DOI: 10.1002/mrm.29223
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Demonstration of fast and equilibrium human muscle creatine CEST imaging at 3 T

Abstract: Purpose Creatine chemical exchange saturation transfer (CrCEST) MRI is used increasingly in muscle imaging. However, the CrCEST measurement depends on the RF saturation duration (Ts) and relaxation delay (Td), and it is challenging to compare the results of different scan parameters. Therefore, this study aims to evaluate the quasi‐steady‐state (QUASS) CrCEST MRI on clinical 3T scanners. Methods T1 and CEST MRI scans of Ts/Td of 1 s/1 s and 2 s/2 s were obtained from a multi‐compartment creatine phantom and 5 … Show more

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Cited by 10 publications
(18 citation statements)
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References 53 publications
(102 reference statements)
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“…Due to the low exchange rates, the CrCEST signal is still strong in the GuanCEST with low B 1 values (0.8 μT) and contributes less than 25% of the total GuanCEST for the B 1 = 0.8–2.0 μT (Figures 1C–E). Therefore, careful analysis is required when interpreting the CrCEST signal extracted with the multi‐Lorentzian fitting approach, in which the CrCEST contribution is even lower than 25% due to the presence of other NOE and CEST signals at 1.95 ppm in the brain 20,48,49 . When applying this PLOF approach for Cr mapping in muscle, the CrCEST contribution at 1.95 ppm can be significantly higher due to the high concentration of Cr and low level of protein GuanCEST 22 .…”
Section: Discussionmentioning
confidence: 99%
“…Due to the low exchange rates, the CrCEST signal is still strong in the GuanCEST with low B 1 values (0.8 μT) and contributes less than 25% of the total GuanCEST for the B 1 = 0.8–2.0 μT (Figures 1C–E). Therefore, careful analysis is required when interpreting the CrCEST signal extracted with the multi‐Lorentzian fitting approach, in which the CrCEST contribution is even lower than 25% due to the presence of other NOE and CEST signals at 1.95 ppm in the brain 20,48,49 . When applying this PLOF approach for Cr mapping in muscle, the CrCEST contribution at 1.95 ppm can be significantly higher due to the high concentration of Cr and low level of protein GuanCEST 22 .…”
Section: Discussionmentioning
confidence: 99%
“…Because the NOE effect exhibits multiple peaks and their origins have not been fully established, our study focused on downfield CEST effects. In short, the inverse Z‐spectrum from 1 to 6 ppm was fitted with MT (−1.5 ppm), direct water saturation (DWS) (0 ppm), CEST@2 ppm, amine (2.75 ppm), and APT (3.5 ppm) effects 42,43 . The nonlinearly constrained fitting routine was performed with constraints allowing peak amplitude and line width to vary from 0.2‐ to 5‐fold the initial guesses, and the peak frequency offsets were ±0.2 ppm of each chemical shift.…”
Section: Methodsmentioning
confidence: 99%
“…[36][37][38][39][40] A quasi-steady-state (QUASS) analysis has been recently introduced to reconstruct the equilibrium CEST results from experimental data, which has been extended to further account for the effects of post-saturation delay and an arbitrary flip angle excitation. [41][42][43][44][45] It helps to examine if CEST quantification, such as Lorentzian (model-free) and spinlock (model-based) fittings, can benefit from QUASS reconstruction to resolve multi-pool contributions accurately. 35 Our study first simulated Z-spectra using classical three-pool Bloch-McConnell equations (amide, guanidine, and bulk water signals) under serially varied Ts, Td, and T 1 parameters.…”
Section: Introductionmentioning
confidence: 99%