Optimization of the flip angles of narrow-band editing pulses in J-difference edited MRS of lactate at 3T

Magn Reson Med. 2024 Mar;91(3):886-895. doi: 10.1002/mrm.29933. Epub 2023 Nov 27.

Abstract

Purpose: Application of highly selective editing RF pulses provides a means of minimizing co-editing of contaminants in J-difference MRS (MEGA), but it causes reduction in editing yield. We examined the flip angles (FAs) of narrow-band editing pulses to maximize the lactate edited signal with minimal co-editing of threonine.

Methods: The effect of editing-pulse FA on the editing performance was examined, with numerical and phantom analyses, for bandwidths of 17.6-300 Hz in MEGA-PRESS editing of lactate at 3T. The FA and envelope of 46 ms Gaussian editing pulses were tailored to maximize the lactate edited signal at 1.3 ppm and minimize co-editing of threonine. The optimized editing-pulse FA MEGA scheme was tested in brain tumor patients.

Results: Simulation and phantom data indicated that the optimum FA of MEGA editing pulses is progressively larger than 180° as the editing-pulse bandwidth decreases. For 46 ms long 17.6 Hz bandwidth Gaussian pulses and other given sequence parameters, the lactate edited signal was maximum at the first and second editing-pulse FAs of 241° and 249°, respectively. The edit-on and difference-edited lactate peak areas of the optimized FA MEGA were greater by 43% and 25% compared to the 180°-FA MEGA, respectively. In-vivo data confirmed the simulation and phantom results. The lesions of the brain tumor patients showed elevated lactate and physiological levels of threonine.

Conclusion: The lactate MEGA editing yield is significantly increased with editing-pulse FA much larger than 180° when the editing-pulse bandwidth is comparable to the lactate quartet frequency width.

Keywords: 1H MRS; 3T; MEGA J-difference editing; editing-pulse flip angle (FA); lactate.

MeSH terms

  • Brain Neoplasms* / diagnostic imaging
  • Humans
  • Lactic Acid*
  • Magnetic Resonance Spectroscopy / methods
  • Phantoms, Imaging
  • Threonine

Substances

  • Lactic Acid
  • Threonine