Acoustical-molecular techniques for magnetic resonance imaging

Abstract

Magnetic resonance imaging (MRI) is a remarkably flexible diagnostic platform due to the variety of clinically relevant physical, chemical, and biological phenomena it can detect. In addition to the host of endogenous contrast mechanisms available, MRI functionality can be further extended by incorporating exogenous factors to attain sensitivity to new classes of indicators. Molecular imaging with targeted injectable contrast agents and MR elastography with externally delivered acoustic vibrations are two such advancements with increasing clinical significance. Conventionally employed separately, this work explores how exogenous components can interact cooperatively in imaging disease and may be combined to more accurately stage disease progression and generate novel mechanisms of MR contrast, using contrast agents and acoustic stimulation as model systems. We imaged hepatic fibrosis in a rat model and found that collagen-binding paramagnetic contrast agents and shear wave MR elastography had partially uncorrelated staging abilities, due to the disease condition's differential timing of collagen production and its stiff cross-linking. This complementary feature enabled us to form a composite multivariate model incorporating both methods which exhibited superior diagnostic staging over all stages of fibrosis progression. We then integrated acoustics and molecular-targeting agents at a deeper level in the form of a novel contrast mechanism, Acoustically Induced Rotary Saturation (AIRS), which switches "on" and "off" the image contrast due to the agents by adjusting the resonance of the spin-lock condition. This contrast modulation ability provides unprecedented clarity in identifying contrast agent presence as well as sensitive and quantitative statistical measurements via rapidly modulated block design experiments. Finally, we extend the AIRS method and show preliminary results for Saturation Harmonic Induced Rotary Saturation (SHIRS), which detects the second harmonic time-oscillation of iron oxide nanoparticles' magnetization in response to an oscillating applied field around B0. We also illustrate an exploratory method of selectively imaging iron oxide agents by diffusion kurtosis measures of freely diffusing water in solutions of magnetic nanoparticles.