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Cerebral tomoelastography based on multifrequency MR elastography in two and three dimensions.

Helge Herthum1,2,3, Stefan Hetzer1,2, Bernhard Kreft4

  • 1Berlin Center for Advanced Neuroimaging, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Berlin Institute of Health, Humboldt-Universität zu Berlin, Berlin, Germany.

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|December 19, 2022
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Summary

Cerebral tomoelastography offers improved brain MRE consistency and resolution. 3D-MRE detects subtle aging effects in white matter over one year, outperforming 2D-MRE in sensitivity to biological changes.

Keywords:
brainhumanin vivomultifrequency MREreproducibilityviscoelasticity

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Area of Science:

  • Neuroimaging
  • Biophysics
  • Medical Engineering

Background:

  • Magnetic resonance elastography (MRE) quantifies soft tissue mechanical properties.
  • Brain MRE data exhibit significant variability and limited resolution.
  • Existing MRE techniques face challenges in consistency and detail.

Purpose of the Study:

  • Introduce 2D and 3D cerebral tomoelastography for enhanced brain MRE.
  • Improve data consistency and detail resolution in brain mechanical property mapping.
  • Investigate the influence of aging, brain parenchymal fraction (BPF), blood pressure, and BMI on MRE.

Main Methods:

  • Applied multifrequency MRE with 2D and 3D tomoelastography postprocessing to 31 volunteers.
  • Analyzed coefficient of variation (CV) and biological factor effects.
  • Rescanned 11 volunteers after 1 day and 1 year to assess reliability and long-term changes.

Main Results:

  • 3D-MRE showed higher sensitivity to white matter shear wave speed (SWS) decrease over 1 year compared to volume changes.
  • 2D-MRE demonstrated less variation and higher consistency (ICC) over shorter scan times than 3D-MRE.
  • White matter stiffness correlated with age and BPF, but not with blood pressure or BMI.

Conclusions:

  • Cerebral tomoelastography yields high-resolution, consistent viscoelasticity maps.
  • 2D-MRE offers better consistency for shorter scans, while 3D-MRE excels in detecting subtle age-related biological changes.
  • The technique provides a valuable tool for studying brain aging and mechanical properties.