Volume 91, Issue 1 pp. 51-60
RAPID COMMUNICATION

Creatine mapping of the brain at 3T by CEST MRI

Kexin Wang

Kexin Wang

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, Maryland, USA

Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA

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Jianpan Huang

Jianpan Huang

Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, China

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Licheng Ju

Licheng Ju

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, Maryland, USA

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

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Su Xu

Su Xu

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Rao P. Gullapalli

Rao P. Gullapalli

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Yajie Liang

Yajie Liang

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Joshua Rogers

Joshua Rogers

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Yuguo Li

Yuguo Li

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, Maryland, USA

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

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Peter C. M. van Zijl

Peter C. M. van Zijl

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, Maryland, USA

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

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Robert G. Weiss

Robert G. Weiss

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

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Kannie W. Y. Chan

Kannie W. Y. Chan

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China

Hong Kong Centre for Cerebro-Cardiovascular Health Engineering (COCHE), Hong Kong, China

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Jiadi Xu

Corresponding Author

Jiadi Xu

F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Research Institute, Baltimore, Maryland, USA

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Correspondence

Jiadi Xu, Kennedy Krieger Research Institute, 707 N. Broadway, Baltimore, MD, 21205.

Email: [email protected]

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First published: 09 October 2023
Citations: 11

Abstract

Purpose

To assess the feasibility of CEST-based creatine (Cr) mapping in brain at 3T using the guanidino (Guan) proton resonance.

Methods

Wild type and knockout mice with guanidinoacetate N-methyltransferase deficiency and low Cr and phosphocreatine (PCr) concentrations in the brain were used to assign the Cr and protein-based arginine contributions to the GuanCEST signal at 2.0 ppm. To quantify the Cr proton exchange rate, two-step Bloch–McConnell fitting was used to fit the extracted CrCEST line-shape and multi-B1 Z-spectral data. The pH response of GuanCEST was simulated to demonstrate its potential for pH mapping.

Results

Brain Z-spectra of wild type and guanidinoacetate N-methyltransferase deficiency mice show a clear Guan proton peak at 2.0 ppm at 3T. The CrCEST signal contributes ∼23% to the GuanCEST signal at B1 = 0.8 μT, where a maximum CrCEST effect of 0.007 was detected. An exchange rate range of 200–300 s−1 was estimated for the Cr Guan protons. As revealed by the simulation, an elevated GuanCEST in the brain is observed when B1 is less than 0.4 μT at 3T, when intracellular pH reduces by 0.2. Conversely, the GuanCEST decreases when B1 is greater than 0.4 μT with the same pH drop.

Conclusions

CrCEST mapping is possible at 3T, which has potential for detecting intracellular pH and Cr concentration in brain.

DATA AVAILABILITY STATEMENT

The code used for the CrCEST exchange rate determination will be made available at https://github.com/Kexin-Wang/exchange_rate_of_CrCEST.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.