Calibration and validation of TRUST MRI for the estimation of cerebral blood oxygenation

Magn Reson Med. 2012 Jan;67(1):42-9. doi: 10.1002/mrm.22970. Epub 2011 May 16.

Abstract

Recently, a T(2) -Relaxation-Under-Spin-Tagging (TRUST) MRI technique was developed to quantitatively estimate blood oxygen saturation fraction (Y) via the measurement of pure blood T(2) . This technique has shown promise for normalization of fMRI signals, for the assessment of oxygen metabolism, and in studies of cognitive aging and multiple sclerosis. However, a human validation study has not been conducted. In addition, the calibration curve used to convert blood T(2) to Y has not accounted for the effects of hematocrit (Hct). In this study, we first conducted experiments on blood samples under physiologic conditions, and the Carr-Purcell-Meiboom-Gill T(2) was determined for a range of Y and Hct values. The data were fitted to a two-compartment exchange model to allow the characterization of a three-dimensional plot that can serve to calibrate the in vivo data. Next, in a validation study in humans, we showed that arterial Y estimated using TRUST MRI was 0.837 ± 0.036 (N=7) during the inhalation of 14% O2, which was in excellent agreement with the gold-standard Y values of 0.840 ± 0.036 based on Pulse-Oximetry. These data suggest that the availability of this calibration plot should enhance the applicability of T(2) -Relaxation-Under-Spin-Tagging MRI for noninvasive assessment of cerebral blood oxygenation.

Publication types

  • Research Support, N.I.H., Extramural
  • Validation Study

MeSH terms

  • Algorithms
  • Blood Flow Velocity
  • Brain / blood supply
  • Brain / physiology*
  • Calibration
  • Cerebrovascular Circulation*
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted / methods*
  • Image Interpretation, Computer-Assisted / standards*
  • Magnetic Resonance Imaging / methods*
  • Magnetic Resonance Imaging / standards*
  • Oxygen / blood*
  • Reference Values
  • Reproducibility of Results
  • Sensitivity and Specificity
  • United States

Substances

  • Oxygen