A reproducible dynamic phantom for sequence testing in hyperpolarised 13C-magnetic resonance

Br J Radiol. 2022 Jun 1;95(1134):20210770. doi: 10.1259/bjr.20210770. Epub 2022 Mar 8.

Abstract

Objective: To develop a phantom system which can be integrated with an automated injection system, eliminating the experimental variability that arises with manual injection; for the purposes of pulse sequence testing and metric derivation in hyperpolarised 13C-MR.

Methods: The custom dynamic phantom was machined from Ultem and filled with a nicotinamide adenine dinucleotide and lactate dehydrogenase mixture dissolved in phosphate buffered saline. Hyperpolarised [1-13C]-pyruvate was then injected into the phantom (n = 8) via an automated syringe pump and the conversion of pyruvate to lactate monitored through a 13C imaging sequence.

Results: The phantom showed low coefficient of variation for the lactate to pyruvate peak signal heights (11.6%) and dynamic area-under curve ratios (11.0%). The variance for the lactate dehydrogenase enzyme rate constant (kP) was also seen to be low at 15.6%.

Conclusion: The dynamic phantom demonstrates high reproducibility for quantification of 13C-hyperpolarised MR-derived metrics. Establishing such a phantom is needed to facilitate development of hyperpolarsed 13C-MR pulse sequenced; and moreover, to enable multisite hyperpolarised 13C-MR clinical trials where assessment of metric variability across sites is critical.

Advances in knowledge: The dynamic phantom developed during the course of this study will be a useful tool in testing new pulse sequences and standardisation in future hyperpolarised work.

MeSH terms

  • Carbon Isotopes
  • Humans
  • Lactate Dehydrogenases
  • Lactic Acid
  • Magnetic Resonance Imaging* / methods
  • Magnetic Resonance Spectroscopy / methods
  • Pyruvic Acid*
  • Reproducibility of Results

Substances

  • Carbon Isotopes
  • Lactic Acid
  • Pyruvic Acid
  • Lactate Dehydrogenases