Measuring 129 Xe transfer across the blood-brain barrier using MR spectroscopy

• Published in: Magnetic resonance in medicine 2021-06, Vol.85 (6), p.2939-2949
• Main Authors: Rao, Madhwesha R, Norquay, Graham, Stewart, Neil J, Wild, Jim M
• Format: Article
• Language: English
• ISSN: 0740-3194; 1522-2594
• DOI: 10.1002/mrm.28646

This study develops a tracer kinetic model of xenon uptake in the human brain to determine the transfer rate of inhaled hyperpolarized Xe from cerebral blood to gray matter that accounts for the effects of cerebral physiology, perfusion and magnetization dynamics. The Xe transfer rate is expressed using a tracer transfer coefficient, which estimates the quantity of hyperpolarized Xe dissolved in cerebral blood under exchange with depolarized Xe dissolved in gray matter under equilibrium of concentration. Time-resolved MR spectra of hyperpolarized Xe dissolved in the human brain were acquired from three healthy volunteers. Acquired spectra were numerically fitted with five Lorentzian peaks in accordance with known Xe brain spectral peaks. The signal dynamics of spectral peaks for gray matter and red blood cells were quantified, and correction for the Xe T dependence upon blood oxygenation was applied. Xe transfer dynamics determined from the ratio of the peaks for gray matter and red blood cells was numerically fitted with the developed tracer kinetic model. For all the acquired NMR spectra, the developed tracer kinetic model fitted the data with tracer transfer coefficients between 0.1 and 0.14. In this study, a tracer kinetic model was developed and validated that estimates the transfer rate of HP Xe from cerebral blood to gray matter in the human brain.