Quantification of normal cerebral oxygen extraction and oxygen metabolism by phase-based MRI susceptometry: evaluation of repeatability using two different imaging protocols

Clin Physiol Funct Imaging. 2017 Mar;37(2):211-220. doi: 10.1111/cpf.12288. Epub 2015 Oct 22.

Abstract

Introduction: Global oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO2 ) were quantified in a test-retest study. Cerebral blood flow (CBF) data, required for CMRO2 estimation, were obtained using dynamic susceptibility contrast MRI (DSC-MRI). OEF and CMRO2 were quantified using two separate data sets, that is, conventional high-resolution (HR) gradient echo (GRE) phase maps as well as echo planar imaging (EPI) phase maps taken from the baseline (precontrast) part of the DSC-MRI time series. The EPI phase data were included to elucidate whether an extra HR-GRE scan is needed to obtain information about OEF and CMRO2 , or if this information can be extracted from the DSC-MRI experiment only.

Methods: Twenty healthy volunteers were scanned using 3 T MRI on two occasions. Oxygen saturation levels were obtained from phase data measured in the great cerebral vein of Galen, based on HR-GRE as well as EPI phase maps. In combination with DSC-MRI CBF, this allowed for calculation of OEF and CMRO2 .

Results: High-resolution-gradient echo- and EPI-based phase images resulted in similar OEF spread and repeatability, with coefficients of variation/intraclass correlation coefficients of 0·26/0·95 and 0·23/0·81, respectively. Absolute OEF values (HR-GRE: 0·40 ± 0·11, EPI: 0·35 ± 0·08) were consistent with literature data. CMRO2 showed similar repeatability, somewhat increased spread and reasonable absolute values (HR-GRE: 3·23 ± 1·26 ml O2 /100 g min-1 , EPI: 2·79 ± 0·89 ml O2 /100 g min-1 ).

Discussion: In general, the results obtained by HR-GRE and EPI showed comparable characteristics. The EPI methodology could potentially be improved using a slightly modified DSC-MRI protocol (e.g. with regard to spatial resolution and slice gap).

Keywords: brain; magnetic resonance imaging; oxygen consumption; oxygen saturation; perfusion.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Brain / blood supply*
  • Brain / diagnostic imaging*
  • Brain / metabolism
  • Cerebrovascular Circulation*
  • Female
  • Healthy Volunteers
  • Hemoglobins / metabolism
  • Humans
  • Image Interpretation, Computer-Assisted
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Models, Cardiovascular
  • Oxygen / blood*
  • Oxygen Consumption*
  • Oxyhemoglobins / metabolism
  • Perfusion Imaging / methods*
  • Predictive Value of Tests
  • Reproducibility of Results
  • Time Factors

Substances

  • Biomarkers
  • Hemoglobins
  • Oxyhemoglobins
  • deoxyhemoglobin
  • Oxygen