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

Saurabh Singh, Shonit Punwani, David G Gadian, Alan Bainbridge, Xavier Golay, Aaron Oliver-Taylor, Jung Ryu, Lucy Caselton, Adam Retter, Rafat Chowdhury, Tom Syer, Manju Mathew, Harriet Rogers, Max Bullock, Fiona Gong, Lorna Smith, Christoph A Müller, Marianthi-Vasiliki Papoutsaki

Journal: The British journal of radiology 2022;95(1134):20210770

PMID: 35230136

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 C-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-C]-pyruvate was then injected into the phantom ( = 8) via an automated syringe pump and the conversion of pyruvate to lactate monitored through a C 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 C-hyperpolarised MR-derived metrics. Establishing such a phantom is needed to facilitate development of hyperpolarsed C-MR pulse sequenced; and moreover, to enable multisite hyperpolarised C-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.

Address: Centre for Medical Imaging, Division of Medicine, University College London, London, UK.; Department of Radiology, Medical Physics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.; German Cancer Consortium (DKTK), partner site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany.; Gold Standard Phantoms Limited, London, UK.; Department of Brain Repair and Rehabilitation, Institute of Neurology, Queen's Square, University College London, London, UK.; Department of Medical Physics and Biomedical Engineering, University College London Hospitals, London, UK.; UCL Great Ormond Street Institute of Child Health, London, UK.; Department of Radiology, University College London Hospitals NHS Foundation Trust, London, UK.
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