Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Weekend Course

Spectroscopy: From NMR Tubes to Humans

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Spectroscopy: From NMR Tubes to Humans
Weekend Course
ORGANIZERS: Ashley Harris, Candace Fleischer, Xin Yu, Harish Poptani
Sunday, 08 May 2022
ICC Capital Hall 1
07:45 -  11:45
Moderators: 
MRS & Alternatives: Yi Zhang
Simulations & Processing: Ruth O'Gorman Tuura
MRS Implementation: David Lythgoe
Skill Level: Basic to Advanced
Session Number: WE-20
 

Session Number: WE-20

Overview
This session will focus on the physics of NMR and MRS. It will begin with the fundamental principles of NMR with a focus on the physics of NMR, including signal generation, shimming, and sequences. It will then move to in vivo MR spectroscopy and associated acquisitions, including chemical exchange saturation transfer (CEST), magnetization transfer (MT), and amide proton transfer (APT). Spectral simulations including the underlying principles and assumptions will be addressed followed by practicalities of data processing. The session will end by highlighting some of the current advances in both hardware and acquisition for in vivo application as well as the associated challenges and opportunities.


Target Audience
The target audience is those who are interested in either in vitro or in vivo spectroscopy, specifically those who wish to develop an in-depth knowledge about spectroscopy. While no prior knowledge is assumed, because the course aims to provide a more in-depth presentation of NMR and MRS concepts, some familiarity with spectroscopy will be an asset.


Educational Objectives
As a result of attending this course, participants should be able to:
- Define the basic concepts of NMR, including signal generation, shimming, pulse sequences, 1D, NMR, 2D NMR;
- Explain in vitro/ ex vivo NMR principles to contrast with in vivo MRS, including topics of solution state and magic angle spinning NMR;
- Identify and describe the fundamentals of in vivo MRS data acquisition, including localisation (single voxel, 2D CSI, 3D CSI, and whole brain MRSI), water suppression, shimming (for in vivo);
- Compare the strengths and weaknesses of MRS, CEST, MT, and APT for imaging molecules in vivo, including sensitivity, resolution, imaging compatibility;
- Explain how to develop simulations for spectroscopic data;
- Define the components of data processing, including data fitting, evaluating data quality, and quantification; and
- Compare and contrast the challenges and current developments in preclinical and human MRS, including moving to higher field, challenges with motion, and translating to the clinic.

 

    Principles: NMR
07:45   Basic Principles of NMR

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Hao Lei
This talk introduces the basic principles of nuclear magnetic resonance (NMR). It starts with explaining the interaction between nuclear momentum and static magnetic field, and how such interaction lead to alignment of nuclear spins and energy level degeneration. The principles underlying NMR signal excitation and reception are then discussed. This is followed by introduction of some basic concepts in NMR, such as Larmor frequency, chemical shift and relaxation. The presentation ends with some discussions on how NMR measurements can be used in practical applications to yield chemical/biological information of interest.
08:10   From in vitro, ex vivo and in situ NMR to MRS metabolomics imaging

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Leo Cheng
NMR theory forms the base of MRI that are widely used in various fields with particular interests in medical clinics. While MRI observes only water molecules, NMR, or MRS, can measure vast amounts of molecules other than water. This lecture will walk the audience from the concept of magnetic moment through various aspects of NMR/MRS physics principles and practices to in vitro, ex vivo, and in situ NMR. Recognizing the under-used capability of MRS and with the opportunity to incorporate them into clinical MRI, MRS can contribute imaging by combining molecular evaluations and high resolution anatomic imaging through metabolomics imaging.
    MRS & Alternatives
08:35   Fundamentals of MRS in vivo data acquisition

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Caroline Rae
Fundamentals of MR spectroscopy in vivo. We deconstruct single voxel spectroscopy to see how alterations in acquisition methods and parameters can impact spectra, including an in depth dive into the PRESS sequence.
09:00   Increasing the Specificity : Physics of MT, CEST, paraCEST & APT

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Seth Smith
This presentation is intended to provide an understanding of exchange-mediated contrasts commonly explored in MRI.  Specifically we will focus on MT, CEST, and ParaCEST; what are the physics of the contrast mechanisms, what biochemical interactions give rise to the observed phenomena, how to exploit the contrasts with standard acquisition and analysis methods, as well as explore the sensitivity and specificity of each in tissue.  Lastly, we will present some specific applications of each, such as MTR and qMT, APT-CEST. 
  09:25   Break & Meet the Teachers
 
    Simulations & Processing
09:50 Simulating Spectra

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Jamie Near
The goal of this lecture is to describe how to perform MR spectroscopy simulations using the density matrix formalism.  The following questions will be addressed:
-What is a density matrix and how is it constructed?
-What is a Hamiltonian operator and how is it constructed?
-How does the density matrix evolve under the influence of Hamiltonian operators?
-How is a simple spin-echo simulation pulses performed?-How are shaped RF waveforms simulated?
-What are spatially-resolved simulations and how are they performed? 
-What is the projection method and how does it work?
-What is coherence order filtering and how does it work?
10:15   MRS Data Processing

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Brian Soher
    MRS Implementation
10:40 Preclinical MRS: Advances, Challenges & Strategies

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Cristina Cudalbu
Preclinical in vivo MRS has undergone an enormous evolution from the first unlocalized experiments to the robust technique which is today: advancements in localization, spectral resolution, water and outer volume suppression, minimization of the static B0 magnetic field variations, artifact suppression, spectral editing, number of detected metabolites, spectral fitting and quantification precision. SVS 1H MRS in nowadays widely used while MRSI, X-nuclei MRS and diffusion weighted MRS are more complex MRS techniques with several challenges.
11:05   Human MRS: Advances, Challenges & Strategies

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Itamar Ronen
Educational lecture on proton and non-proton MRS in humans

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