Abstract
Objectives
To estimate human fetal brain MRI tissue properties including apparent T1 (T1app) and apparent proton density (PDapp) by using a rapid multi-contrast acquisition protocol called STrategically Acquired Gradient Echo (STAGE) imaging.
Methods
STAGE data were collected using two flip angles (15° and 60°, with a TR = 600 ms) for 30 pregnant women at 1.5 T (15 healthy controls: gestational age (GA) range 19 + 1/7 weeks to 34 + 5/7 weeks; 11 abnormal subjects with ventriculomegaly: GA range 21 + 5/7 weeks to 31 + 5/7 weeks; 4 subjects with other abnormalities). Both T1app and PDapp maps of the fetal brain were calculated from the STAGE data. A region-of-interest-based approach was used to measure T1app and PDapp in the subplate/intermediate zone (SP/IZ), cortical plate (CP), and cerebrospinal fluid (CSF) in the fetal brain.
Results
The ratios of T1appSP/IZ/T1appCP and PDappSP/IZ/PDappCP were larger than unity while T1appSP/IZ/T1appCSF and PDappSP/IZ/PDappCSF were both less than unity.
Conclusions
STAGE imaging provides a potential practical approach to estimate multi-parametric properties of the human fetal brain.
Key Points
• STAGE is feasible in measuring fetal brain tissue properties.
• Water content in cortical plate and subplate/intermediate zone approaches that of cerebrospinal fluid in early gestational ages.
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Abbreviations
- CP:
-
Cortical plate
- CSF:
-
Cerebrospinal fluid
- GA:
-
Gestational age
- HASTE:
-
Half-Fourier single shot turbo spin echo
- SP/IZ:
-
Subplate/intermediate
- STAGE:
-
Strategically acquired gradient echo
- VM:
-
Ventriculomegaly
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The scientific guarantor of this publication is Dr. E. Mark Haacke.
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E. M. Haacke is the Chief Scientific Officer of SpinTech.
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One of the authors has significant statistical expertise.
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Written informed consent was obtained from all subjects (patients) in this study.
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Feifei Qu and Taotao Sun are co-first authors.
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Qu, F., Sun, T., Chen, Y. et al. Fetal brain tissue characterization at 1.5 T using STrategically Acquired Gradient Echo (STAGE) imaging. Eur Radiol 31, 5586–5594 (2021). https://doi.org/10.1007/s00330-020-07618-7
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DOI: https://doi.org/10.1007/s00330-020-07618-7