Ratiometric Pulsed CEST Imaging for Concentration-Independent Contrast

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Solution Overview

Problem

Current Chemical Exchange Saturation Transfer (CEST) imaging techniques face challenges in achieving concentration-independent contrast, particularly at low magnetic fields, due to the dependence of saturation transfer on the absolute concentration of CEST agents, which limits the applicability of responsive agents in clinical settings.

Innovation Solution

The use of exogenous CEST agents with a single pool of mobile protons, subjected to a pulse train saturation scheme with varying RF irradiation flip angles, allows for concentration-independent CEST contrast by calculating a ratiometric value of the Saturation Transfer effect, overcoming the need for multiple non-equivalent proton pools and enabling effective diagnostic parameter assessment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional CEST imaging uses absolute signal intensity to reflect diagnostic parameters, then the measurement is simple, but the result depends on local agent concentration and is not quantitative

Engineering Contradiction:
Improvequantitative measurement of diagnostic parametersVSAvoidimaging procedure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent applies parameter changes by varying the saturation pulse flip angle to generate different saturation transfer effects. By measuring the CEST signal at multiple flip angles and calculating ratios, the method transforms the concentration-dependent absolute signal into a concentration-independent ratiometric parameter, achieving quantitative measurement of diagnostic parameters like pH without requiring knowledge of agent concentration

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent introduces a ratiometric calculation as an intermediary processing step between signal acquisition and diagnostic parameter determination. By forming ratios of CEST signals at different flip angles, the method creates a new parameter that eliminates concentration dependence, serving as a mediator that converts qualitative signal intensity into quantitative diagnostic information

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If continuous wave saturation scheme is used to achieve saturation transfer, then the saturation effect is strong, but Specific Absorption Rate (SAR) limits are exceeded

Engineering Contradiction:
Improvesaturation transfer effectivenessVSAvoidSpecific Absorption Rate (SAR)
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent replaces continuous wave saturation with periodic pulsed saturation sequences. By applying saturation pulses at discrete time intervals with specific flip angles rather than continuously, the method maintains effective saturation transfer while allowing tissue to dissipate energy between pulses, thereby reducing the average Specific Absorption Rate and avoiding SAR limits

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The patent introduces dynamic control of the saturation pulse parameters, specifically varying the flip angle in a controlled manner across multiple pulses. This dynamic approach allows optimization of saturation efficiency while managing energy deposition, replacing the static continuous wave approach with a flexible pulsed sequence that adapts to SAR constraints

Inventive Principle:
Principle #15Dynamics

3Measurement precision

If multiple non-equivalent proton pools are used for ratiometric CEST, then concentration-independent contrast is achieved, but the agent design becomes complex

Engineering Contradiction:
Improveconcentration-independent contrastVSAvoidagent structure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent inverts the conventional ratiometric CEST approach by using a single proton pool with variable flip angles instead of multiple proton pools with fixed characteristics. Rather than relying on intrinsic differences between multiple proton sites, the method creates artificial differentiation through external control of pulse parameters, simplifying agent design while maintaining concentration-independent measurement capability

Inventive Principle:
Principle #13The other way round (Inversion)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach provides concentration-independent CEST contrast and responsiveness, enhancing the applicability of CEST imaging by allowing diagnostic parameter mapping unaffected by local agent concentration, and overcoming limitations of continuous wave saturation schemes, such as Specific Absorption Rate (SAR) issues.

Implementation Method 1

Chemical Exchange Saturation Transfer (CEST) modality is a recently introduced imaging procedure based on the use of molecules (CEST agents, or CEST systems, as used herein interchangeably) containing one or more exchangeable proton pools. The CEST imaging technique relies upon a phenomenon which is known in high resolution NMR as double resonance experiment in which the application of a second radio frequency (rf) field centered at, or close to, the chemical shift of the mobile protons, makes possible to saturate their resonance thus creating saturated magnetization that is transferred to the 'bulk' water by chemical exchange

Methodology Applied
Scientific EffectChemical Exchange Saturation Transfer (CEST):

Implementation Method 2

The application of a second radio frequency (rf) field centered at, or close to, the chemical shift of the mobile protons, makes possible to saturate their resonance thus creating saturated magnetization that is transferred to the 'bulk' water by chemical exchange thus determining a neat reduction of the bulk water signal

Methodology Applied
Scientific EffectSaturation Transfer (ST) effect: Magnetic Saturation

Implementation Method 3

Rotation Transfer-based CEST contrast... when a pulse train saturation scheme having a frequency centered at (or close to) the chemical shift of a mobile proton of the exogenous agent is applied, acting on said single proton frequency

Methodology Applied
Scientific EffectRotation Transfer:

Data Source

PatentEP3394627B1Ratiometric pulsed CEST imaging
Publication Date: 2020.06.03 BRACCO IMAGING SPA
  • EP3394627B1 patent drawingFigure 1
  • EP3394627B1 patent drawingFigure 2a~3
  • EP3394627B1 patent drawingFigure 4a~4b

AI summary

The present invention relates to on the use of exogenous agents having a pool of mobile proton(s) in CEST-MR imaging to generate Chemical Exchange Rotation Transfer/based CEST contrast, and to a ratiometric-based CEST-MR procedure that comprises using these exogenous agents to set-up CERT-based concentration-independent CEST MR imaging, and as responsive agents to set-up CERT-based concentration independent responsiveness.