Skip to main content
Log in

Fetal brain tissue characterization at 1.5 T using STrategically Acquired Gradient Echo (STAGE) imaging

  • Magnetic Resonance
  • Published:
European Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

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

References

  1. Girard N, Raybaud C, Poncet M (1995) In vivo MR study of brain maturation in normal fetuses. AJNR Am J Neuroradiol 16:407–413

    CAS  PubMed  Google Scholar 

  2. Wang Z, Chen J, Qin Z, Zhang J (1998) The research of myelinization of normal fetal brain with magnetic resonance imaging. Chin Med J (Engl) 111:71–74

    CAS  Google Scholar 

  3. Garel C, Chantrel E, Elmaleh M, Brisse H, Sebag G (2003) Fetal MRI: normal gestational landmarks for cerebral biometry, gyration and myelination. Childs Nerv Syst 19:422–425

    Article  Google Scholar 

  4. Barkovich AJ (2000) Concepts of myelin and myelination in neuroradiology. AJNR Am J Neuroradiol 21:1099–1109

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Dubois J, Dehaene-Lambertz G, Kulikova S, Poupon C, Huppi PS, Hertz-Pannier L (2014) The early development of brain white matter: a review of imaging studies in fetuses, newborns and infants. Neuroscience 276:48–71

    Article  CAS  Google Scholar 

  6. Holland BA, Hass DK, Norman D, Brant-Zawadzki M, Newton TH (1986) MRI of normal brain maturation. AJNR Am J Neuroradiol 7:201–208

    CAS  PubMed  Google Scholar 

  7. Almajeed AA, Adamsbaum C, Langevin F (2004) Myelin characterization of fetal brain with mono-point estimated T1-maps. Magn Reson Imaging 22:565–572

    Article  Google Scholar 

  8. Cercignani M, Dowell NG, Tofts P (2018) Quantitative MRI of the brain: principles of physical measurement, 2nd edn. CRC Press Taylor & Francis Group, Boca Raton

  9. Chen YS, Liu SF, Wang Y, Kang Y, Haacke EM (2018) STrategically Acquired Gradient Echo (STAGE) imaging, part I: creating enhanced T1 contrast and standardized susceptibility weighted imaging and quantitative susceptibility mapping. Magn Reson Imaging 46:130–139

    Article  Google Scholar 

  10. Wang Y, Chen YS, Wu DM et al (2018) STrategically Acquired Gradient Echo (STAGE) imaging, part II: correcting for RF inhomogeneities in estimating T1 and proton density. Magn Reson Imaging 46:140–150

    Article  Google Scholar 

  11. Haacke EM, Chen YS, Utriainen D et al (2020) STrategically Acquired Gradient Echo (STAGE) imaging, part III: technical advances and clinical applications of a rapid multi-contrast multi-parametric brain imaging method. Magn Reson Imaging 65:15–26

    Article  Google Scholar 

  12. Haacke EM, Brwon RW, Thompson MR, Venkatesan R (1999) Magnetic resonance imaging: physical principles and sequence design, 1st edn. Wiley-Liss, New York

    Google Scholar 

  13. Deoni SC, Rutt BK, Peters TM (2003) Rapid combined T1 and T2 mapping using gradient recalled acquisition in the steady state. Magn Reson Med 49:515–526

    Article  Google Scholar 

  14. Loughna P, Chitty L, Evans T, Chundleigh Y (2009) Fetal size and dating: charts recommended for clinical obstetric practice. Ultrasound 17:160–166

    Article  Google Scholar 

  15. Jones RA, Palasis S, Grattan-Smith JD (2004) MRI of the neonatal brain: optimization of spin-echo parameters. AJR Am J Roentgenol 182:367–372

    Article  Google Scholar 

  16. Yadav BK, Sun TT, Qu FF, Haacke EM, Jiang L, Qian ZX (2019) Cerebral venous oxygenation in the human fetuses with enlarged-ventricles using QSM. In: Proceedings of the Joint Annual Meeting ISMRM-ESMRMB. Montreal, Canada 1643

  17. Leviton A, Gilles F (1996) Ventriculomegaly, delayed myelination, white matter hypoplasia, and “periventricular” leukomalacia: how are they related? Pediatr Neurol 15:127–136

    Article  CAS  Google Scholar 

Download references

Funding

The authors state that this work has not received any funding.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Zhaoxia Qian or E. Mark Haacke.

Ethics declarations

Guarantor

The scientific guarantor of this publication is Dr. E. Mark Haacke.

Conflict of interest

E. M. Haacke is the Chief Scientific Officer of SpinTech.

Statistics and biometry

One of the authors has significant statistical expertise.

Informed consent

Written informed consent was obtained from all subjects (patients) in this study.

Ethical approval

Institutional Review Board approval was obtained.

Methodology

• prospective

• experimental

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Feifei Qu and Taotao Sun are co-first authors.

Supplementary Information

ESM 1

(DOCX 17 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-020-07618-7

Keywords

Navigation