Presented in part at the 17th Scientific Meeting of the ISMRM, April 18–24, 2009, Honolulu, HI.
Version of Record online: 23 APR 2010
Copyright © 2010 Wiley-Liss, Inc.
Magnetic Resonance in Medicine
Volume 63, Issue 5, pages 1154–1161, May 2010
How to Cite
Zhou, R., Idiyatullin, D., Moeller, S., Corum, C., Zhang, H., Qiao, H., Zhong, J. and Garwood, M. (2010), SWIFT detection of SPIO-labeled stem cells grafted in the myocardium. Magn Reson Med, 63: 1154–1161. doi: 10.1002/mrm.22378
Disclosure: Dr. Garwood has an equity interest in SSI, Drs. Idiyatullin and Moeller are consultants for SSI, and Drs. Corum, Garwood, Idiyatullin, and Moeller are entitled to sales royalty through the University of Minnesota for products related to the research described in this paper. These relationships have been reviewed and managed by the University of Minnesota in accordance with its conflict of interest policies.
- Issue online: 23 APR 2010
- Version of Record online: 23 APR 2010
- Manuscript Accepted: 5 JAN 2010
- Manuscript Revised: 8 DEC 2009
- Manuscript Received: 2 JUL 2009
- NIH. Grant Numbers: R01-HL81185, P41-RR008079
- sweep imaging with Fourier transformation;
- superparamagnetic iron oxide;
- myocardial infarction;
- stem cell;
- cellular cardiomyoplasty;
- cardiac MRI
We report initial results from studies using sweep imaging with Fourier transformation (SWIFT) to detect superparamagnetic iron oxide (SPIO) particle–labeled stem cells in the rat heart. In experiments performed on phantoms containing titanium balls or SPIO–labeled cells, frequency-shifted signals surrounding the paramagnetic objects produced a pileup artifact visualized by SWIFT. Total signal intensity was retained to a much greater extent by SWIFT as compared to gradient echo imaging. SWIFT imaging of excised and in vivo hearts showed (a) reduced blooming artifact as compared with gradient echo imaging, which helped reduce ambiguity in the detection of SPIO–labeled cells; (b) enhancement of off-resonance signals relative to the background in the imaginary component of images; and (c) detailed myocardial anatomy in magnitude images, which provided anatomic reference. These features suggest SWIFT can facilitate the detection of SPIO–laden cells in the cardiovascular system. Magn Reson Med 63:1154–1161, 2010. © 2010 Wiley-Liss, Inc.
Labeling of stem cells with superparamagnetic iron-oxide (SPIO) particles (1) enables MRI tracking of such cells with high sensitivity and can, under specific conditions, be used for single-cell detection (2, 3). High sensitivity to detect SPIO-labeled cells results from the large susceptibility-induced gradients and consequently shortened T2* of the water molecules in the vicinity of the SPIOs.
The detection of SPIOs using T2*-weighted gradient-echo (GRE) sequences has a number of shortcomings. First, the size of the signal void in the image (due to short T2*) is much larger than the SPIO-containing cells, and thus, underlying tissue anatomy is obscured. Second, the signal voids arising from high concentrations of SPIOs are sometimes difficult to differentiate from the lack of spins or other intrinsic sources of T2* shortening, such as tissue/air boundary, hemorrhage, and calcification. Consequently, T2*-weighted GRE detection leads to “negative” contrast with low signal-to-noise ratio and poor specificity. A number of “positive” contrast methods have been developed, based either on mapping T2* using postprocessing methods or selectively exciting or refocusing water signals. Liu et al. (4) and Dahnke et al. (5) introduced a susceptibility-gradient mapping method to obtain positive contrast from SPIO-labeled cells. Likewise, Mills et al. (6) described a postprocessing algorithm, called phase map cross-correlation detection and quantification, to identify dipoles induced by SPIOs. Cunningham et al. (7) proposed to visualize these spins by exciting selectively the off-resonance spins surrounding the labeled cells. In the inversion-recovery with on-resonant water suppression method proposed by Stuber et al. (8), the on-resonance water is saturated with a spectrally selective prepulse to obtain signals from off-resonance protons in close proximity to the SPIO-labeled cells. Seppenwoolde et al. (9) and Mani et al. (10) proposed a “white marker” method in which a slice-selection gradient is utilized to cancel the local field gradient induced by the presence of SPIOs.
When using any of the abovementioned methods that excite or refocus only a fraction of the off-resonance spins, an additional anatomic reference image is usually required, which poses a limitation in applications like cardiovascular imaging since tissue motion is likely to introduce errors in the sequentially acquired images.
Here we examined a different approach to visualize SPIO-labeled cells grafted in the myocardium, by exploiting the positive contrast possible with the relatively new technique called sweep imaging with Fourier transformation (SWIFT) (11). SWIFT is based on a frequency-swept excitation, with virtually simultaneous signal acquisition with the radiofrequency excitation; thus, it is particularly well suited to image objects with extremely fast transverse relaxation rates.
Here, the utility of SWIFT to image water signals around paramagnetic objects was studied using phantoms containing titanium balls (TiBs) and SPIO-labeled stem cells. In addition, ex vivo and in vivo images of rat hearts were obtained following injection of SPIO-labeled stem cells. The results show that the “blooming” susceptibility artifacts associated with GRE detection are suppressed by the use of SWIFT. Perhaps more interesting is the finding that SPIO-related signal can be visualized as positive contrast in the imaginary (Im) component of the SWIFT image, while the magnitude (Mag) image contains all the anatomic details of the heart. These results point to SWIFT as an alternative positive-contrast method for detecting paramagnetic objects, with the additional advantage of simultaneously providing a T1-weighted or proton-density-weighted image for anatomic reference.
MATERIALS AND METHODS
Labeling of Stem Cells With SPIO
Murine embryonic stem cells (12) were labeled with SPIO particles (Feridex®; Berlex Laboratories, Montville, NJ) by incubation in a labeling medium containing 50 μg Fe/mL and 0.4 μg/mL of poly-L-lysine (Sigma, St. Louis, MO) for 12–16 h (overnight), using gelatin-coated flasks, followed by extensive washing with phosphate-buffered saline to remove uninternalized particles. Such a labeling scheme leads to cell viability of 95 ± 5%, labeling efficiency of 86 ± 5%, and an iron content of 5.2 ± 0.7 (average ± standard deviation) pg/cell, estimated by inductive plasma mass spectroscopy (12).
TiB Phantom Studies
To investigate the effects of large frequency shifts on GRE and SWIFT images, a phantom was constructed from seven plastic centrifuge tubes (50 mL), each containing agarose gelatin and an imbedded plastic mesh. Six of the tubes also contained one TiB (Abbott Ball Company, West Hartford, CT) imbedded in the gelatin. The TiBs had different diameters (2.38, 3.18, 3.97 and 4.76mm). The phantom was prepared by partially filling each tube with liquefied gelatin. After solidification, the TiBs and plastic mesh were added, and then the tubes were filled to the top with gelatin. The tube containing no TiB was positioned in the center of the outer six tubes. After taping the tubes together, they were placed in a 700-mL plastic jar filled with a 1% saline solution (Fig. 1a). Three-dimensional (3D) radial SWIFT and 3D Cartesian GRE images were acquired using a 4-T whole-body magnet interfaced to a Varian INOVA console. A transverse electromagnetic (TEM) head coil was used for radiofrequency transmission and reception (13). 3D SWIFT acquisition was performed with a hyperbolic secant pulse (14) having a time-bandwidth product (R) of 256 and an excitation bandwidth (= acquisition bandwidth [sw]) of 62.5 kHz, with oversampling factor of 32 (15). The signal was acquired in 256 gaps in the hyperbolic secant pulse, with each gap having a length of 12 μs. Data in k-space consisted of 98,304 spokes (including positive and negative readout gradient directions), with 128 postcorrelation complex points in each radial direction over a field of view = 203 cm3. The flip angle was nominally 4°, the pulse repetition time (TR) was 5 ms, and no signal averaging was performed, to give a total scan time of ∼8 min.
3D GRE images of the phantom were acquired using the following parameters: flip angle = 11°, TR = 13.5 ms, echo time (TE) = 4 ms, sw = 62.5 kHz, field of view = 203 cm3, and matrix size = 2563, which yielded a total scan time of ∼15 min. The 3D data sets were analyzed using ImageJ (v1.38x; NIH, Bethesda, MD).
3D radial SWIFT data were processed using an in-house program developed in LabVIEW (National Instruments, Dallas, TX) and interpolated with a Kaiser-Bessel function onto a Cartesian grid. After gridding, a complex 3D FT was performed to convert k-space to image space. Image pixel intensity could be displayed as real, Im, Mag, or phase images. In the case of on-resonance signals, phased k-space data have negligible phase distortion, in which case, real = Mag and Im = 0. On the other hand, large magnetic susceptibility gradients produce off-resonance signals, in which case, Im ≠ 0.
Cell Phantom Studies
To investigate whether the concentrations of SPIO-labeled cells can be quantified from SWIFT images, two different phantoms containing SPIO-labeled embryonic stem cells were prepared and imaged. To construct the first phantom, which will be called the “uniform cell phantom”, cells were suspended in agarose solutions at concentrations of 0, 1 × 103, 5 × 103, 1 × 104, 2 × 104, and 5 × 104 cells/μL. These solutions were then placed in 5-mm NMR tubes (Optima, Elk Grove Village, IL) and allowed to solidify. A second phantom, referred to as the “cell pellet phantom”, was constructed to investigate the ability to quantify cells on the basis of (displaced) signal intensity in the Im image, after phase correcting the dataset. In this case, the NMR tubes were first filled with cell-free agarose solution, and then a well was formed by inserting the tip of a 200-μL pipette 2.5 cm into the solution during solidification. Different numbers of cells (0, 2 × 103, 1 × 104, 5 × 104, 2 × 105, and 1 × 106), each suspended in 20 μL of saline, were placed in each well. The cells were then spun down at 1000 rpm. After removing the supernatant, the NMR tubes were filled completely with agarose solution. This procedure resulted in cell pellets embedded in gelatin, with no needle track.
3D radial SWIFT and 3D Cartesian GRE images of the cell phantoms were acquired using a 9.4-T magnet interfaced to a Varian INOVA console. A single surface coil (diameter = 2 cm) was used for radiofrequency transmission and reception. The spatial resolution was 0.1 × 0.2 × 0.1 mm3 using field of view of 3 × 6 × 3 cm3 and matrix of 2563 in both SWIFT and GRE acquisitions. In separate SWIFT experiments, the flip angle was set to a value between 5 and 20 degrees. A flip angle of 15° was used in GRE acquisitions, with TR = 11 ms and TE = 3 ms.
Cell phantom images were analyzed using ImageJ and a custom program written in MatLab (The MathWorks, Natick, MA). The dependency of image intensity on cell concentration in the uniform cell phantom was determined from region-of-interest (ROI) measurements on the Mag images. The average signal in the ROI was obtained from 30 adjacent axial slices. To minimize confounding effects from occasional cell clusters, ROIs were carefully selected to encompass the most homogeneous-appearing regions in each tube. The dependency of image intensity on cell concentration in the cell pellet phantom was determined from the Im mode image after applying a phase-correction procedure that involved two steps: (1) determining the average phase from an ROI placed in the gelatin tube that did not contain cells, and (2) subtracting this phase from the phase of the original SWIFT images. As a result, the Im image of the phase-corrected SWIFT dataset preserved only the off-resonance signal component. ROIs were contoured around the cell pellet region in each tube, and the root of the summation of the square of the Im signal the root was taken from each ROI and summed over the slab of 15 axial slices (covering the cell pellet).
Injection of Stem Cells Into the Heart
All surgical and imaging procedures were approved by the Institutional Animal Care and Use Committee of the University of Pennsylvania. Adult athymic rats (female, 150–200 g) were purchased from Frederick Cancer Center (Frederick, MD). Intramyocardial injection of stem cells was performed as previously described (16). Briefly, under gaseous anesthesia (1–2% isoflurane mixed with oxygen), the rat was intubated and ventilated through a small-animal ventilator (Harvard Apparatus, MA). The tidal volume (1.5–2.5 mL) was determined for each animal according to its respiratory rate and body weight. The body temperature was maintained by a heating lamp. The electrocardiogram (ECG) was monitored throughout the surgery. After the thoracic cavity and pericardium were opened, 5.0, 2.0, 0.5, or 0.2 million (M) cells suspended in 100 μL (for 5.0–2.0 M) or in 50 μL (for 0.5–0.2 M) serum-free culture media were injected in one spot into the midanterior wall of the left ventricle. An insulin syringe with a 29-gauge needle that is bent 45° at 3 mm from the tip was used for injection; the needle tip penetrated about 2 mm into the epicardium to deliver the cells. A total of five rats were injected. Two animals received 2.0 M cells, while the other three received 5.0, 0.5, or 0.2 M cells.
In Vivo MRI Detection of SPIO-Labeled Cells in the Heart
A cardiac and respiratory–gated GRE sequence (17) was used initially to visualize SPIO-labeled cells. Measurements were performed using a 4.7-T magnet interfaced to a Varian INOVA console. Volume coil transmission and surface coil reception were used as described previously (12). In-plane resolution was 1562 μm2, with slice thickness of 1mm.
ECG-gated in vivo SWIFT images were acquired using a 9.4-T scanner (Varian Direct Drive™). The animal was sedated by 1–1.5% isoflurane mixed with oxygen and was placed prone on a surface coil (diameter = 4.8 cm). The ECG was monitored and core temperature was maintained at 37°C (SA Instruments, Stony Brook, NY). The 3D SWIFT sequence used the following parameters: TR = 2.5 ms, hyperbolic secant pulse flip angle = 10°, matrix = 2563, field of view = 7 × 7 × 14 cm3, sw = 125 kHz, acquisition gaps of 6 μs, and 32,000 spokes (including positive and negative readout gradients) in k-space with 128 postcorrelation complex points in each radial direction, which resulted in nominal spatial resolution of 0.5 × 0.5 × 1 mm3. Four spokes were acquired after each R-wave trigger to capture the end-of-diastolic phase of the heart cycle, with no signal averaging, which resulted in a total scan time of 27.5 min.
For comparison with SWIFT, multi-slice two-dimensional GRE images were acquired while the animal remained sedated in the magnet, using the following parameters: TR = 6 ms, flip angle = 30°, TE = 3.3 ms, sw = 50 kHz, matrix of 1282 (zero filled to 2562), field of view = 7 × 7 cm2, and slice thickness of 0.5mm, to match the spatial resolution used in SWIFT. Twenty slices were acquired to cover the entire heart. Twelve signal averages were performed to yield a total scan time of 9 min.
Ex Vivo MRI of Excised Heart
After performing in vivo imaging, the heart was harvested, perfused (retrograde) with 4% formalin, and then suspended in the Fomblin oil (Thorofare, NJ), a perfluorinated polyether, which provides a homogeneous medium while yielding no proton signal. For ex vivo imaging, 3D SWIFT (radial) and GRE (Cartesian) images were acquired sequentially on the same heart, using the 9.4-T INOVA system. A single-loop (1-cm diameter) surface coil was used for radiofrequency transmission and reception. Both SWIFT and GRE images were acquired, with matched resolution of isotropic 98 μm3.
In the SWIFT sequence, excitation was performed with the hyperbolic secant pulse, producing flip angle = 22°. Data in k-space consisted of 96,000 spokes (including positive and negative readout gradient directions) with 128 complex points in each radial direction. Other parameters included: TR = 2.5 ms, sw = 125 kHz, and four signal averages, giving a total scan time of ∼15 min.
In the GRE sequence, experimental parameters were flip angle = 30°, TR = 13.5 ms, TE = 3 ms, sw = 80 kHz, with 256 complex points in each of 65,536 (256 × 256) phase-encode steps. No signal averaging was used to match the scan time of SWIFT (∼15 min.).
Histology and Prussian Blue Staining for Iron Oxide
After performing ex vivo imaging, the heart was embedded in paraffin and cut into 5-μm sections. The position of the SPIO-labeled cells was obtained from in vivo or ex vivo images, and sections from the corresponding slab of tissue were incubated with Pearl's reagent at room temperature for 30 min in the dark, and cell nuclei were counterstained with 4′,6-diamidino-2-phenylindole (Molecular Probes, Eugene, OR).
Experiments conducted on the TiB phantom revealed how large magnetic susceptibility variations affect SWIFT and GRE images differently. In both types of images, the TiBs could be visualized indirectly via the large dipole field effect they produced (Fig. 1). With the GRE sequence, extensive signal loss occurred in regions surrounding the TiBs (Fig. 1a), whereas with SWIFT, frequency-shifted resonances near the TiBs yielded measurable signal that was displaced and consequently resulted in a “pileup” artifact in both the Mag image (Fig. 1b) and the Im image (Fig. 1c). It is apparent that the net signal contained in the proximity of a given TiB is much greater in the SWIFT image than in the GRE image. Hence, it appears that signals can be retained with SWIFT despite having extremely short T2* values. The difference in net signal intensity with GRE versus SWIFT was quantified in a volume of interest (VOI) encompassing the entire distorted signal region around one of the TiBs. In the analysis, the VOI was placed identically in the GRE and SWIFT images and contained 20 adjacent slices (Fig. 1d,e). Horizontal projections of the VOI (obtained by averaging pixels in the vertical direction, with normalization to the undistorted signal intensity close to the edges of the VOI) are shown for GRE (triangles) and SWIFT (squares) in Fig. 1f. The solid line connecting the intensities at the edges of the VOI represents approximately the level of the undistorted signal. It can be seen that, in the VOI where large local field variations were present, the GRE method yielded a net signal loss when the signals below and above the solid line are summed up. In contrast, SWIFT did not show such loss; instead, it attained a slight gain in integrated signal, possibly due to T1 effect of water spins near the ball.
The experiments performed on the SPIO-labeled cells in gelatin provided clear evidence that signal intensity in SWIFT images is proportional to cell concentration, for cells that are clustered (in the pellet) or uniformly distributed. SWIFT Mag images of the uniform cell phantom are shown in Fig. 2a, and the plot in Fig. 2c displays the signal magnitude as a function of cell concentration, for both SWIFT and GRE images. It can be seen that the signal intensity in the GRE Mag images decreased approximately exponentially as a function of cell concentration, whereas the signal intensity in the SWIFT Mag images increased proportionally with cell concentration. As the flip angle increased, a linear relationship between SWIFT Mag intensity and cell concentration became more apparent, most likely due to increased T1 weighting. A direct relationship between signal intensity and cell concentration was also observed with the cell pellet phantom, both in Mag (not shown) and Im images (Fig. 2b). The Im images contain only off-resonance signals resulting from a significant magnetic susceptibility effect. Thus, air interfaces at the tube surfaces, as well as SPIO-labeled cells, are visible in the Im images. As can be seen from the plot (Fig. 2d), the relationship between SWIFT Im signal intensity versus cell number is highly linear when measured in ROIs surrounding the cell pellets. Interestingly, the slope of the linear function decreases as the flip angle increases. Such an inverse relationship between off-resonance signal intensity and flip angle might be explained by increasing T1 saturation as the flip angle increased. With the choice of acquisition parameters used in these SWIFT experiments, the pellet containing the lowest number of cells (2000) was below the detection threshold.
In Fig. 3, ex vivo 3D SWIFT images of the hearts receiving 2.0 and 0.2 M cells are displayed in Mag (Fig. 3b,e) and Im images (Fig. 3c,f), along with the in vivo GRE images (Fig. 3a,d). The in vivo GRE images show the typical “blooming” signal voids associated with magnetic field susceptibility induced by the presence of SPIO-labeled cells. The signal voids are reduced substantially in the SWIFT images displaying different contrasts. In the Im images, positive signals associated with SPIO-labeled cells are intense and shifted from the center to form a bright rim (“positive contrast”), intermingled with areas of negative signal (indicated by arrows on Fig. 3b and e) relative to the background. Since both positive and negative SWIFT Im signal originates from off-resonance spins (frequency-shifted due to the presence of SPIO-labeled cells), the negative Im signal does not represent a signal void. Therefore, both positive and negative Im signals can be displayed as positive contrast while the on-resonance spins are close to invisible in the Im images. In addition, due to the extremely short acquisition delay, other moderate signal losses due to T2* effects are not visible in the Im images, which facilitates unambiguous detection of SPIO-labeled cells.
The utility of SWIFT for the detection of SPIOs was further demonstrated in the heart that received 0.5 M stem cells (Fig. 4). As shown in the in vivo GRE image (Fig. 4a), the stem cells are located very close to the endocardial border. Therefore, the signal void produced with the GRE sequence could easily be mistaken for ventricular lumen, as demonstrated in the ex vivo images (Fig. 4d). However, this region was visualized conspicuously in the corresponding SWIFT Im images (Fig. 4b, arrows) as a positive rim with dark spots; all the myocardial anatomies were presented in the Mag images (Fig. 4c). Prussian blue staining was performed to confirm that a cluster of SPIO-labeled cells was indeed present close to the endocardial border (Fig. 4e-g). While the thickness of the histologic sections (5 μm) thickness was only a fraction of the 3D SWIFT resolution (nominal 98-μm, isotropic resolution), the Prussian blue–positive cells are clearly visible and resemble the morphology of embryonic stem cells with small cell size and a large ratio between nucleus and cytoplasm.
Finally, Fig. 5 shows in vivo ECG-gated SWIFT and GRE images of animals that received 2 and 5 M stem cells. It can be seen that ECG-gated SWIFT acquisition produced end-diastolic images of excellent quality. In SWIFT Im (Fig. 5a,d) and Mag images (Fig. 5b,e), myocardial wall, left and right ventricular lumen, major vessels in the chest, and lung parenchyma are well delineated. SPIO-containing cells are visualized as a hypointense region on the Mag image, which appears more focused compared to the hypointense region on the GRE image (Fig. 5c,f). Correspondingly, in the Im images, the signals related to SPIO-labeled cells are shifted to form a bright rim (positive contrast). Both positive and negative SWIFT Im signal originates from off-resonance spins due to the presence of SPIO-labeled cells. Large frequency shifts at tissue boundaries also gave rise to Im signals that did not significantly interfere with the ability to detect SPIO-labeled cells in the heart. In addition, because the Mag and Im images are perfectly registered (generated from the same data set), SPIO spots can be easily separated from other off-resonance signals by reading both images. Accordingly, the Mag image serves as the reference image, without potential errors introduced by separate acquisition of the positive contrast image and the reference image. In addition, as compared with the GRE image, the myocardium wall appears homogenous in the SWIFT image and thus reduces ambiguity in the detection of SPIO-labeled cells. While SWIFT images were acquired only during end of diastole (see Materials and Methods), GRE images were acquired over the entire cardiac cycle in order to reduce the scanning time. Therefore, Fig. 5c,f does not show end-diastolic images, although the anatomic location is similar to that shown in the SWIFT images.
Broadband frequency-swept excitation and extremely short acquisition delay are unique features of SWIFT, which make it particularly well suited for imaging frequency-shifted resonances and for minimizing signal loss from T2*-induced dephasing. The described experiments on the TiB phantom were designed to demonstrate these advantages and to help explain the contrast observed in ex vivo and in vivo images of stem cells in myocardium. Interestingly and unexpectedly, a small amount of net signal increase was observed when the signal intensity was integrated over a region encompassing the TiB. Although this phenomenon remains unexplained at this time, it is conceivable that some of the signal increase occurs as a result of T1-shortening of water spins at the surface of the TiB.
The mechanisms by which magnetic susceptibility variations produce signal voids in two-dimensional and 3D Cartesian sampled GRE images have been discussed in detail in the literature (18, 19). The reason for the appearance void detected by radial sequences is less well described but is similar. The cause of any overall signal loss is the finite delay from excitation to acquisition. In a GRE sequence, this finite delay is TE, the time elapsed between the center of the excitation pulse and acquisition of the zero k-space point. In SWIFT, the finite delay is the time between the center of a pulse element and the acquisition in the next gap (= 7 μs in the experiments described herein). By sampling data so quickly after each pulse element (as shown in the pulse sequence diagram found in Idiyatullin et al. (11)), SWIFT retains the signal of fast relaxing spins. Furthermore, the short acquisition delay of SWIFT makes it highly insensitive to motion.
SWIFT is sensitive to all spins having T2 larger than the reciprocal value of the spectral width, T2 > 2π/sw (11), i.e., T2 > 5 μs, using the current sw value of 125 kHz. As compared to the ultrashort TE method (20), SWIFT more effectively captures and resolves signals from fast relaxing spins, since frequency encoding commences almost immediately after excitation, with no time used for gradient ramping (11). As compared to GRE-based techniques, in the presence of SPIO particles the signal loss is considerably minimized with SWIFT. Instead, the off-resonance signal is displaced over a few voxels and “piles up” in Mag and Im mode images. In this case, the positive and negative signal in the Im component of the SWIFT image facilitates the localization of SPIO particles. It is anticipated that, because almost all signals are preserved, the displacement of signal intensity can be corrected with the appropriate field map, leading to a positive contrast visualization of SPIO-related signals. Initial results using an iterative refocusing method suggest that the displaced and piled-up signals can be refocused, resulting in positive contrast in the injection site (21).
The experiments performed on the cell phantoms demonstrated the expected dependence of SWIFT signal intensity on SPIO-labeled cell concentration. The experiments also revealed interesting dependencies on flip angle, both in Mag and Im images. Although the flip angle dependencies might be explained by changes in T1 weighting, further experiments will be necessary to obtain definitive evidence to fully explain these dependencies. Also, as compared with GRE imaging, SWIFT has diminished sensitivity to detect the lowest concentrations of SPIO-labeled cells. A detailed theoretical analysis of how paramagnetic objects affect SWIFT signal intensity, including its dependency on acquisition parameters (e.g., flip angle, TR, sw), is currently under way and will be presented separately. In the future, it may be possible to increase the sensitivity of SWIFT to detect low concentrations of small paramagnetic objects by using optimal acquisition parameters.
The results from ex vivo studies on rat heart demonstrate that over a wide range of biologically relevant doses of SPIO-labeled stem cells (0.2–5.0 M), SWIFT Im images can provide superb contrast for detecting SPIO-related signals, whereas the Mag images can provide an anatomic reference. Here, the first ECG-gated SWIFT cardiac images have been presented. These data demonstrate the feasibility of in vivo SWIFT detection of SPIO-labeled cells in the heart. Off-resonance signals associated with SPIO appear in the Im component images and can be readily registered on the Mag images, which clearly reveal myocardial anatomy; thus, acquisition of a separate reference image is not required. Taken together, our data suggest that SWIFT offers an alternative to currently available positive contrast methods (4–10), with potential advantages for cardiovascular applications ranging from stem cell tracking to detection of vulnerable atheroplaques that take up paramagnetic imaging probes. Current effort is focused on implementing ECG and respiratory self-gating strategy (22) to achieve cardiac cine SWIFT.
This study has been supported by the W.M. Keck Foundation. We thank Dr. Bin Huang for surgical assistance in grafting the stem cells in the hearts, Steady State Imaging, LLC for supplying a SWIFT-compatible coil and TiB bearings, and Penn Small Animal Imaging Facility (SAIF). In addition, we thank Dr. Ryan Chamberlain for development and support of ifort gridding software, and Mr. Brian Hanna for support of high-performance Linux servers and remote access.
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