Abstract
Objective
To investigate the effect of water suppression on the hepatic lipid quantification, using the LCModel.
Materials and methods
MR spectra with and without water suppression were acquired in the liver of mice at 4.7 T and patients at 3 T, and processed with the LCModel. The Cramér–Rao Lower Bound (CRLB) values of the seven lipid resonances were determined to assess the impact of water suppression on hepatic lipid quantification. A paired t test was used for comparison between the CRLBs obtained with and without water suppression.
Results
For the preclinical data, in the high (low) fat fraction subset an overall impairment in hepatic lipid quantification, i.e. an increase of CRLBs (no significant change of CRLBs) was observed in spectra acquired with water suppression. For the clinical data, there were no substantial changes in the CRLB with water suppression. Because (1) the water suppression does not overall improve the quantification of the lipid resonances and (2) the MR spectrum without water suppression is always acquired for fat fraction calculation, the optimal data-acquisition strategy for liver MRS is to acquire only the MR spectrum without water suppression.
Conclusion
For quantification of hepatic lipid resonances, it is advantageous to perform MR spectroscopy without water suppression in a clinical and preclinical scenario (at moderate fields).
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Acknowledgments
We are most grateful to the PRISM core facility (Biogenouest©, UMS Biosit, Université de Rennes 1—Campus de Villejean, 35043 Rennes Cedex, France) for its technical support.
Author’s contribution
Coum A.: Protocol/project development, data collection and management, data analysis, Noury F.: Protocol/project development, data collection and management, data analysis, Bannier E.: Protocol/project development, data collection and management, Begriche K.: Protocol/project development, Fromenty B.: Protocol/project development, Gandon Y.: Protocol/project development, Saint-Jalmes H.: Protocol/project development, Gambarota G.: Protocol/project development.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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All applicable national guidelines for the car and use of animals were followed.
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Informed consent was obtained from all individual participants included in the study.
Appendix
Appendix
In this appendix, an additional analysis of the MR data is given in order to provide further insight into the current study. In the preclinical (clinical) HFF subset, the mean value of the full width at half maximum (FWHM) of the water resonance was 53 ± 7 Hz (46 ± 18 Hz). The preclinical (clinical) LFF subset presented a mean value of FWHM of the water resonance of 59 ± 13 Hz (32 ± 9 Hz). The linewidth observed on the preclinical data is in agreement with a previous study performed at 4.7 T on mouse liver [18].
The noise level without water suppression was 163 ± 31 (a.u.) and with water suppression was 179 ± 44 (a.u.) on the preclinical HFF subset. Thus, it appears that the VAPOR water suppression did not affect the noise level.
The quantification of the lipid composition was calculated using the Corbin et al. algorithm [18] on the HFF groups (preclinical and clinical) with and without water suppression. It should be pointed out that in the Corbin method, the UFA fraction is calculated as: 100 * 3/4 * [Lip21]/[Lip09]; and the SFA fraction is calculated as: 100-UFA. On the preclinical HFF subset, the results were of SFA = 29.23 % and UFA = 70.77 % (in both cases the standard deviation was of 4.6 %) without water suppression. With water suppression the results were SFA = 30.88 % and UFA = 69.12 % (in both cases the standard deviation was of 5.29 %). On the clinical HFF subset, the quantification of the lipid composition yielded the results of SFA = 43.25 % and UFA = 56.75 % (standard deviation = 6.08 %) without water suppression and SFA = 39.65 % and UFA = 60.35 % (standard deviation = 5.60 %) with water suppression. The values of saturated and unsaturated fatty-acid fractions obtained from spectra with water suppression were comparable to those from spectra without water suppression, both for clinical and preclinical data.
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Coum, A., Noury, F., Bannier, E. et al. The effect of water suppression on the hepatic lipid quantification, as assessed by the LCModel, in a preclinical and clinical scenario. Magn Reson Mater Phy 29, 29–37 (2016). https://doi.org/10.1007/s10334-015-0508-1
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DOI: https://doi.org/10.1007/s10334-015-0508-1