Volume 75, Issue 1 pp. 32-41
Full Paper

Diffusion-weighted stimulated echo acquisition mode (DW-STEAM) MR spectroscopy to measure fat unsaturation in regions with low proton-density fat fraction

Stefan Ruschke

Corresponding Author

Stefan Ruschke

Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany

Correspondence to: Stefan Ruschke, M.Sc., Department of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675 Munich, Germany. E-mail: [email protected]Search for more papers by this author
Hermine Kienberger

Hermine Kienberger

Bioanalytik Weihenstephan, Research Center for Nutrition and Food Sciences, Technische Universität München, Freising, Germany

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Thomas Baum

Thomas Baum

Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany

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Hendrik Kooijman

Hendrik Kooijman

Philips Healthcare, Hamburg, Germany

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Marcus Settles

Marcus Settles

Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany

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Axel Haase

Axel Haase

Zentralinstitut für, Medizintechnik, Technische Universität München, Garching, Germany

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Michael Rychlik

Michael Rychlik

Bioanalytik Weihenstephan, Research Center for Nutrition and Food Sciences, Technische Universität München, Freising, Germany

Chair of Analytical Food Chemistry, Technische Universität München, Freising, Germany

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Ernst J. Rummeny

Ernst J. Rummeny

Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany

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Dimitrios C. Karampinos

Dimitrios C. Karampinos

Department of Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany

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First published: 05 March 2015
Citations: 24

Abstract

Purpose

To propose and optimize diffusion-weighted stimulated echo acquisition mode (DW-STEAM) for measuring fat unsaturation in the presence of a strong water signal by suppressing the water signal based on a shorter T2 and higher diffusivity of water relative to fat.

Methods

A parameter study for point-resolved spectroscopy (PRESS) and STEAM using oil phantoms was performed and correlated with gas chromatography (GC). Simulations of muscle tissue signal behavior using DW-STEAM and long–echo time (TE) PRESS and a parameter optimization for DW-STEAM were conducted. DW-STEAM and long-TE PRESS were applied in the gastrocnemius muscles of nine healthy subjects.

Results

STEAM with TE and mixing time (TM) up to 45 ms exhibited R2 correlations above 0.98 with GC and little T2-weighting and J-modulation for the quantified olefinic/methylene peak ratio. The optimal parameters for muscle tissue using DW-STEAM were b-value = 1800 s/mm2, TE = 33 ms, TM = 30 ms, and repetition time = 2300 ms. In vivo measured mean olefinic signal-to-noise ratios were 72 and 40, mean apparent olefinic water fractions were 0.19 and 0.11 for DW-STEAM and long-TE PRESS, respectively.

Conclusion

Optimized DW-STEAM MR spectroscopy is superior to long-TE PRESS for measuring fat unsaturation, if a strong water peak prevents the olefinic fat signal's quantification at shorter TEs and water's tissue specific ADC is substantially higher than fat. Magn Reson Med 75:32–41, 2016. © 2015 Wiley Periodicals, Inc.

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