Improving Standardization and Accuracy of in Vivo Omega Plot Exchange Parameter Determination Using Rotating-Frame Model-Based Fitting of Quasi-Steady-state Z-spectra.

PurposeAlthough Omega-plot-driven quantification of in vivo amide exchange properties has been demonstrated, differences in scan parameters may complicate the fidelity of determination. This work systematically evaluated the use of quasi-steady-state (QUASS) Z-spectra reconstruction to standardize in vivo amide exchange quantification across acquisition conditions and further determined it in vivo.MethodsSimulation and in vivo rodent brain chemical exchange saturation transfer (CEST) data at 4.7 T were fit with and without QUASS reconstruction using both multi-Lorentzian and model-based fitting approaches. pH modulation was accomplished both in simulation and in vivo by inducing global ischemia via cardiac arrest. Amide parameters were determined via Omega-plots and compared across methods.ResultsSimulation showed that Omega-plots using multi-Lorentzian fitting could underestimate the exchange rate, with error increasing as conditions diverged from the steady state. In comparison, model-based fitting using QUASS estimated the same exchange rate within 2%. These results aligned with in vivo findings where multi-Lorentzian fitting of native Z-spectra resulted in an exchange rate of 64 +/- 13 s-1 (38 +/- 16 s-1 after cardiac arrest), whereas model-based fitting of QUASS Z-spectra yielded an exchange rate of 126 +/- 25 s-1 (49 +/- 13 s-1).ConclusionThe model-based fitting of QUASS CEST Z-spectra enables consistent and accurate quantification of exchange parameters through Omega-plot construction by reducing error due to signal overlap and nonequilibrium CEST effects.