In accordance with the copyright conditions of Wiley this is the PRE peerreviewed version of an article that has been accepted for publication in Magnetic Resonance in Medicine. The POST peer-reviewed version of the article is expected to be placed here in September 2015 Title Designing Hyperbolic Secant Excitation Pulses to Reduce Signal Dropout in GradientEcho Echo-Planar Imaging Authors Stephen J. Wastling1,* and Gareth J. Barker1 * Corresponding author 1Institute of Psychiatry, King’s College London, SE5 8AF Running Title Reduced Signal Dropout in GE-EPI using HS Pulses Key Words Signal dropout, GE-EPI, FMRI, RF excitation, Hyperbolic Secant, Tailored RF Word Count 4765 words Figure and Table Count 8 figures and 0 tables 1 Abstract Purpose To design Hyperbolic Secant (HS) excitation pulses to reduce signal dropout in the orbitofrontal (OF) and inferior temporal (IT) regions in gradient-echo echo-planar imaging (GE-EPI) for FMRI applications. Methods An algorithm based on Bloch simulations is used to optimise the HS pulse parameters needed to give the desired signal response across the range of susceptibility gradients observed in the human head (approximately ± 250 T m-1). The impact of the HS pulse on the signal, temporal signal-to-noise ratio, BOLD sensitivity and the ability to detect resting-state BOLD signal changes was assessed in six healthy male volunteers at 3T. Results The optimised HS pulse ( = 4.25, = 3040 Hz, A0 = 12.3 T, f = 4598 Hz) had a near uniform signal response for susceptibility gradients in the range ± 250 T m-1. Signal, TSNR, BOLD sensitivity and the detectability of resting state networks were all partially recovered in the OF and IT regions, however there were signal losses of up to 50% in regions of homogeneous field. Conclusion The HS pulse reduced signal dropout and could be used to acquire task and resting state FMRI data without loss of spatial coverage or temporal resolution. (191 words) 2 Introduction Functional magnetic resonance imaging (FMRI) data is often acquired using gradientecho echo-planar imaging (GE-EPI) (1,2) because of its speed, and its sensitivity to blood oxygen level dependent (BOLD) (3) signal changes. However, GE-EPI images are affected by signal dropout caused by the differences in the magnetic susceptibilities of materials in the head (4). This dropout hampers the detection of BOLD signal changes in areas of the brain close to air-bone interfaces such as the orbitofrontal and inferior temporal regions. These regions have a number of important functions including, olfaction (5,6), memory (7) and the processing of language (8), rewards (9,10) and emotional facial expressions (11,12). Therefore the development of a method to reduce signal dropout – while retaining the underlying advantages of GE-EPI – would be beneficial in both task-based and resting-state FMRI experiments. A range of approaches to reduce the problem of signal dropout have previously been proposed, and have demonstrated differing levels of success. They typically involve a reduction in the sensitivity to BOLD signal changes and/or temporal resolution. Straightforward modifications to data acquisition have included shorter echo times (13) and smaller voxel sizes (4,13-20); although both resulted in reduced sensitivity to BOLD signal changes (16,21). Methods which aimed to reduce signal dropout by improving magnetic field homogeneity include localised volume shimming (22,23), passive shims made from diamagnetic material placed in the mouth or ear canals (24-26), localised active shimming using resistive coils placed in (27) or near (28) the subject's mouth and dynamic shim updating (29-31). However each approach had its drawbacks; these include reduced signal outside the shimmed volume, reduced patient comfort (32), and the need for dedicated hardware (33). Dual echo EPI, which combines the acquisition of gradient and spin echo images in a single shot, has also been used, although at a cost of reduced temporal resolution (34-36). Approaches based on modifying the sliceselection process have included tailored radiofrequency (TRF) pulses (37-39), zshimming (40-49) and their combination (50,51). These can reduce the signal dropout caused by through-slice susceptibility gradients, but result in reduced temporal 3 resolution and/or signal-to-noise ratio (SNR). Additionally signal dropout caused by inplane susceptibility gradients has been reduced by the addition of compensatory gradients in the frequency and phase encoding directions (24,52-55). The current study is based on the TRF pulse approach for reducing signal dropout in GE-EPI images. As previously demonstrated, the phase dispersion caused by linear through-slice susceptibility gradients, can be partially cancelled by an RF pulse that induces a quadratic variation in the phase of the transverse magnetisation (37,38). Given that the functional form of the TRF pulse was not specified by either Cho et al. (37), nor Chung et al. (38) we extend the work of Shmueli et al. (39,56), using complex hyperbolic secant (HS) pulses for signal excitation. HS pulses produce an approximately quadratic variation in the phase of the transverse magnetisation in the slice-selection direction (57-59) and hence can be used to reduce signal dropout. We describe a systematic approach to designing HS pulses for signal recovery in GEEPI images. Bloch simulations are used to determine the HS pulse parameters required to produce a uniform signal response across the range of susceptibility gradients typically observed in the head. The limitations imposed on the RF pulse amplitude and imaging gradient parameters by the MRI scanner hardware are accounted for and an expression for the bandwidth of a HS pulse (when used for signal excitation) is derived and used for the first time. The impact of the optimised HS pulse on signal, temporal signal-to-noise ratio, BOLD sensitivity and detectability of resting-state FMRI networks is assessed in six healthy male subjects at 3 Tesla. Theory It is well known that a linear susceptibility gradient in the direction of slice selection, Gsus, induces a linear variation in the phase, (z), of the transverse magnetisation, Mxy, across the slice that is proportional to the echo time (TE) (37): 𝜙(𝑧) = 𝛾𝐺𝑠𝑢𝑠 𝑧𝑇𝐸 4 [1] This phase dispersion can be compensated for in part of the slice, using a TRF pulse that induces a quadratic variation in the phase of Mxy (37): 𝜙(𝑧) = 𝑎𝑧 2 [2] Here a is the design parameter used to tailor degree of quadratic phase variation in the phase of Mxy. Based on the assumption that the excited slice has a perfectly rectangular profile, it has been be shown that the signal S, acquired at an echo time TE, in the presence of a linear susceptibility gradient Gsus, from a voxel with thickness z, using a TRF pulse is (37): 2 Δ𝑧/2 𝑆 = 𝑀0 √[∫ cos(𝑎𝑧 2 2 Δ𝑧/2 + 𝛾𝑇𝐸𝐺𝑠𝑢𝑠 𝑧) 𝑑𝑧] + [∫ −Δ𝑧/2 sin(𝑎𝑧 2 [3] + 𝛾𝑇𝐸𝐺𝑠𝑢𝑠 𝑧) 𝑑𝑧] −Δ𝑧/2 Numerical solutions of the signal model given in Equation 3 have previously been used to design TRF pulses and to highlight the trade-off, controlled by a, between signal recovery in regions affected by signal dropout and loss of signal in areas unaffected by susceptibility gradients (37,38). Since the assumption that slices are perfectly rectangular is not possible to satisfy in practice, and because the functional form of the TRF pulse was not specified in previous studies (37,38) we describe a method, based on numerical simulations of the Bloch equations, to determine the HS pulse parameters required for signal recovery. A HS pulse with duration TRF has both an amplitude A(t) and phase (t) modulation: 𝐴(𝑡) = 𝐴0 sech(𝛽𝑡) [4] 𝜙(𝑡) = 𝜇 ln[sech(𝛽𝑡)] + 𝜇 ln 𝐴0 [5] for -TRF/2 < t < TRF/2. Here A0 is the maximum amplitude of the pulse, is the modulation angular frequency and is a dimensionless parameter that both determines the sharpness of the slice profile (60) and controls the degree of quadratic phase induced in Mxy (39,56). 5 As shown in Appendix 1, the maximum amplitude, A0, of an HS pulse used for signal excitation is a function of the flip angle, , modulation angular frequency, and : 2 −1 [cos α cosh2 (𝜋𝜇 ) + sinh2 (𝜋𝜇 )] cos 𝛽 2 2 } + 𝜇2 𝐴0 = √{ 𝛾 𝜋 [6] In the previous work using HS pulses for signal excitation (39,56) it was assumed that the pulse bandwidth f = / (as for adiabatic inversion (60)). However, the bandwidth of an excitation pulse is normally defined as the full-width at half-maximum (FWHM) of the magnitude of the transverse magnetisation, |Mxy|. In this case, as shown in Appendix 2, the bandwidth is: 1 cosh(𝜋𝜇) [cos𝛼 − 2 √3 + cos 2 𝛼] + cos 𝛼 − 1 β Δ𝑓 = 2 cosh−1 { } 1 𝜋 2𝛼−1 + cos √3 2 [7] i.e. it is dependent on the flip angle . Methods Hyperbolic Secant (HS) Pulse Design Algorithm Using conventional GE-EPI, the ability to detect brain activations of equal magnitude varies across the brain because susceptibility gradients cause signal loss and reductions in the BOLD sensitivity. To reduce this variability we propose an algorithm to optimise the parameters of an HS pulse (, , A0, and f) to ensure that the signal response across a range of through-plane susceptibility gradients is as uniform as possible. We quantify the signal uniformity is using the ratio of the mean signal, 𝑠̅, over the range Gsus,min < Gsus < Gsus,max to the standard deviation of the signal, s, over the same range (i.e. 𝑠̅ /𝜎𝑠 ). The algorithm requires, as inputs, the following properties about the object being imaged: the longitudinal relaxation time, T1, the transverse relaxation time, T2, and the range of susceptibility gradients in the direction of slice selection, Gsus,min < Gsus < 6 Gsus,max, over which the signal dropout is to be reduced. Additionally it requires the following properties of the scanner hardware: the maximum obtainable gradient amplitude in the direction of slice selection, Gz,max, and the maximum radiofrequency amplitude that can be produced, B1,max.It also requires a number of parameters of the pulse sequence that will be used to acquire the MRI data, specifically: the repetition time, TR, the echo time, TE, the slice thickness, z, as well as the RF pulse duration, TRF. The flip angle, , of the RF pulse is set to the Ernst angle (61) to maximise the steadystate signal (although this is not a requirement of the algorithm, and other values can be used, if appropriate). The signal, s, at each value of in the range 2 ≤ ≤ 8 (The search space of 𝜇 was set from preliminary simulations, and previous studies (39,56)) and Gsus is then determined, for this particular value of using the following six steps: 1. The value of is set to its maximum value to minimise stop-band ripple in the slice profile (56). The value of is limited by both B1,max and Gz,max, so it is set to the smallest of values given by expressions 8 and 9: 𝛾𝐵1,𝑚𝑎𝑥 [8] 𝜋𝜇 𝜋𝜇 2 cos −1 [cos 𝛼 cosh2 ( 2 ) + sinh2 ( 2 )] √{ } + 𝜇2 𝜋 𝜋𝛾Δ𝑧𝐺𝑧,𝑚𝑎𝑥 1 cosh(𝜋𝜇) (cos𝛼 − 2 √3 + cos 2 𝛼) + cos 𝛼 − 1 −1 2 cosh ( ) 1 2 + cos 𝛼 − 1 2 √3 [9] 2. The peak amplitude of the RF pulse, A0, is set using Eq. 6. 3. The frequency bandwidth of the RF pulse, f, is calculated using Eq. 7. 4. The amplitude of the trapezoidal slice selection gradient and the area of the sliceselection refocussing gradient are calculated using: 7 𝐺𝑧 = 2𝜋Δ𝑓 𝛾Δ𝑧 [10] 𝑇𝑅𝐹 + 𝑇𝑟𝑎𝑚𝑝 𝐴𝑟𝑒𝑓 = −𝐺𝑧 ( ) − 𝐺𝑠𝑢𝑠,𝑚𝑒𝑎𝑛 𝑇𝐸 2 [11] Here Tramp is the duration of the slice selection gradient ramps and Gsus,mean = (Gsus,max + Gsus,min) / 2. The dependence of the slice refocussing gradient area on the range of susceptibility gradients is essentially the same as for z-shimming. It allows signal recovery from regions with a range of susceptibility gradients not centred on zero. 5. Given the slice-selection gradient, slice-refocusing gradient, susceptibility gradient, Gsus, along with T1 and T2, and the now-known parameters determining the shape of the HS pulse, the steady-state values of the x and y components of the transverse magnetisation, mx and my, are determined at the echo time at Nz(=101 in the examples shown) spatial positions equally spaced in the range – z ≤ z ≤ z, using Bloch simulation (62). This range of z deliberately encompasses twice the slice width such that the impact of the imperfect slice profile on the total voxel signal can be accounted for in the following step. 6. The voxel signal, 𝑠, is calculated by numerical integration of mx and my using: Δ𝑧 𝑠 = √[∫ 2 Δ𝑧 𝑚𝑥 (𝑧)𝑑𝑧] + [∫ −Δ𝑧 2 [12] 𝑚𝑦 (𝑧)𝑑𝑧] −Δ𝑧 The limits of integration in Eq. 12 deliberately encompass twice the slice width such that the impact of the imperfect slice profile is accounted for. The mean 𝑠, and standard deviation of the signal s, are calculated over the range Gsus,min < Gsus < Gsus,max. Given optimal (the value of at which the uniformity (𝑠̅/𝜎𝑠 ) is maximised) the value of is determined using step 1 above, the value of A0 is using Eq. 6; the value f using Eq. 7, and the values of Gz and Aref are determined using Eqs. 10 8 and 11. Together these constitute the optimal pulse parameters for this range of susceptibility gradients, scanner hardware limits and pulse sequence parameters. Simulation of Slice Profile of an Exemplar HS Pulse To demonstrate the effectiveness of the pulse design algorithm, an HS pulse was designed specifically for FMRI data acquisition in the human head using a GE-EPI sequence on a 3 T GE Discovery MR750 system (General Electric, Waukesha, WI, USA). In this case, the inputs to the algorithm were: T1 = 1.6 s, T2 = 66 ms (for cortical grey matter at 3T (63,64)), -250 Tm-1 < Gsus < 250 Tm-1 (53,65), Gz,max = 36 mTm-1 (lower than the hardware limit of 50 mTm-1 in order to reduce acoustic noise and vibration), B1,max = 20 T, TR = 2 s, TE = 30 ms, z = 3 mm and TRF = 5 ms. The pulse duration was chosen to match the excitation pulse used as standard on the GE Discovery MR750 system to ensure that approximately the same number of slices could be collected during each TR period. The flip angle was set to the Ernst angle = 73° Phantom Validation of an Exemplar HS Pulse To validate the algorithm described above and to demonstrate the ability of HS pulses to reduce the signal loss resulting from through-plane susceptibility gradients a series of images were obtained of uniform spherical phantom (T1 = 170 ms and T2 = 25 ms part number: 2359877, General Electric, Waukesha, WI, USA). All data were acquired using the same 3T system as above. A quadrature head coil was used for signal transmission and reception. Initially the scanner was shimmed using the in-built automatic procedure. To model the effects of different through-plane linear susceptibility gradients, the shim gradient in the slice-selection direction was then deliberately mis-set to values in the range -500 Tm-1 < Gsus < 500 Tm-1. At each setting of the shim gradient a single 3 mm axial slice with a field-of-view of 32 cm and a 64×64 acquisition matrix was acquired with a TR = 5 s and TE = 30 ms using an HS pulse with TRF = 5 ms, = 90°, = 4.25, = 3040 Hz. The TR and flip angle were chosen to avoid steady-state effects. The quadrature coil and large field-of-view were selected to enable straightforward measurements of the signal and background noise. The signal from a circular region-ofinterest (with a radius half of that of the phantom) in the centre of the phantom as a 9 function of the `susceptibility' gradient (induced by mis-setting the shim) was calculated using FSL (FMRIB's Software Library - www.fmrib.ox.ac.uk/fsl). This was compared to the voxel signal determined by Bloch simulation (scaled to match the phantom data). In Vivo Validation Data Acquisition A series of scans were performed on six healthy male volunteers (five right handed, one left handed) to determine the impact of the HS pulse on the signal, temporal signal-tonoise ratio (TSNR) (66,67), BOLD sensitivity and the ability to detect resting-state BOLD signal changes. The scanning of healthy volunteers was carried out under an approval from the London Camberwell St Giles National Research Ethics System Committee (“Development of Magnetic Resonance Imaging and Spectroscopy Methods” study reference: 04/Q0706/72). All data were acquired using the same 3T system as above with an eight-channel phased array head coil for signal reception and the body coil for RF transmission. Thirty-six 3 mm slices with 0.3 mm slice gaps were prescribed parallel to the line intersecting the anterior and posterior commissure for all scans. The field-ofview was 21.2 cm and the acquisition matrix was 64 × 64. The subjects' breathing pattern was tracked using a respiratory bellows and a pulse oximeter was used to monitor cardiac activity throughout. FMRI paradigms were presented using a projector and screen at the rear of the scanner bore viewed via a mirror attached to the head coil. A pair of resting-state functional MRI scans was acquired using a conventional GE-EPI sequence and GE-EPI with the HS pulse. The conventional GE-EPI acquisition used a Shinnar-Le Roux (SLR) RF excitation pulse. In both cases a CHESS pulse (68) was used for fat suppression. For both scans TR = 2 s, TE = 30 ms, the flip angle was 73° and the ASSET acceleration factor was 2. Slices were collected top-down sequentially. The order of the two scans was counterbalanced across the six subjects. For each acquisition four hundred and fifty volumes of data (15 minutes) were acquired, preceded by four dummy acquisitions, whilst the subject was at rest. Subjects were instructed to keep their eyes open and to look at a cross hair. 10 Following previous work, in which alternative methods were presented to reduce signal dropout (22,65), FMRI with a breath-hold paradigm was used to assess changes in the BOLD sensitivity [28] caused by the HS pulse. The breath-hold task causes a hypercapnic stress, similar to carbon dioxide inhalation (69). This reliably increases cerebral blood flow (CBF), and hence causes global increases in the BOLD signal across grey matter. As before, a pair of functional MRI scans was acquired during which the subjects performed a breath-hold task. The same scan parameters were used as for the resting-state task, and the order was again counterbalanced across subjects. For each breath-hold experiment one hundred and fifty two volumes of data (5 minutes and 4 seconds) were acquired. The subject was visually cued to perform interleaved blocks of paced breathing (48 s) and breath holding on expiration (16 s) finishing with a block of paced breathing (48 s). Data Analysis All imaging data analysis was carried out using FSL. TSNR maps were calculated from the resting-state data sets. For each subject, to remove the effect of subject motion, all of the volumes from both acquisitions were registered to the first volume of the corresponding conventional GE-EPI data using MCFLIRT (70). The brain was extracted using BET (71). The data were high pass filtered using a Gaussian weighted leastsquares line fit with a cut-off = 50 s (0.01Hz) to remove signal drifts (72). TSNR was calculated voxel-wise as the ratio of the temporal mean to the temporal standard deviation of the resting-state FMRI data sets. Subject specific maps of the percentage change in TSNR between the data acquired with conventional GE-EPI and GE-EPI were then calculated. BOLD sensitivity was assessed using the FMRI data sets acquired whilst the subject performed the breath-hold task. Motion correction was performed using MCFLIRT. The brain was extracted using BET and the resulting data were spatially smoothed using a Gaussian kernel with a 5 mm FWHM. The data were then scaled, by a single 11 multiplicative factor such that the overall mean signal was 10000. The time series from each voxel was temporally high pass filtered using a Gaussian weighted least-squares line fit, with a cut-off = 50 s. The regions of the brain showing significant changes in BOLD signal in response to the breath-hold stimulus were found using FILM (73). Specifically the box-car design, with a delay of 8 s was convolved with a Gaussian function with a standard deviation of 7.48 s and peak lag of 5 s (22,65). This was fitted to the pre-processed time series signals using the general linear model (GLM) with local autocorrelation correction. To reduce the impact of head motion six covariates from the motion correction procedure were added to the model. This resulted in an unthresholded t-statistic map for each subject and each acquisition method. Subject specific maps showing the difference in the t-statistic between the two acquisition methods were then calculated. These were masked to show only regions where the GEEPI signal increased when the HS pulse was used in place of the SLR pulse. The signal from the respiratory bellows (not shown) was inspected for both acquisition types to ensure each subject performed the task as instructed. The effect of the HS pulse on the ability to detect resting-state BOLD signal changes was assessed using the resting-state FMRI data. Motion correction and brain extraction were performed as above, and the resulting data were spatially smoothed using a Gaussian kernel with a 6 mm FWHM as suggested by Van Dijk et al. (74). The data were band pass filtered (0.01 to 0.08 Hz) to remove the effect of signal drifts and to reduce the impact of cardiac and respiratory noise (75). The data were scaled, by a single multiplicative factor such that the overall mean signal was 10000. The spatial transformations needed to register each functional data set into MNI space were calculated using FLIRT (70,76). Seed-based regression analyses were performed in each subject’s native space to determine whether the fluctuations in the resting-state signals in the regions of recovered signal in the orbitofrontal and inferior temporal regions were correlated with fluctuations from a seed region placed in the default mode network. Three 4mm spherical regions of interest were defined in MNI space. The first ROI was placed in the posterior cingulate (x = 0 mm, y = – 53 mm, z = 26 mm) (74), a node of the default mode network (77). The second and third ROIs were placed in 12 “control” regions, not expected to give a BOLD signal: in the lateral ventricle (x = 27 mm, y = – 8 mm, z = 32 mm) and an area of white matter (x = –19 mm, y= – 36 mm, z = 17 mm), respectively. The three ROIs were transformed from MNI standard-space into each subject's native space using the inverse transformations calculated in the preprocessing stage. The mean time courses from each of these regions were then extracted. The regions of the brain where the resting-state BOLD signal was correlated with signal changes in the posterior cingulate ROI were found using a GLM with local autocorrelation correction, as implemented in FILM (73). To reduce the impact of head motion six covariates from the motion correction procedure were included in the model. In addition, covariates from the ROI in the ventricle, white mater and global brain signal were also included, in order to reduce the effect of physiological noise (74,78). The resulting z-statistic maps were thresholded using clusters determined by z > 2.3 and a corrected cluster significance threshold of P = 0.05. Results Simulation of Slice Profile of an Exemplar HS Pulse The result of the optimisation procedure was an HS pulse with parameters: = 4.25, = 3040 Hz, A0 = 12.3 T, f = 4598 Hz, a trapezoidal slice-selection gradient with amplitude Gz = 36 mTm-1 and a trapezoidal slice-refocusing gradient of area Aref = 0.093 s mTm-1. The amplitude and phase modulation of the optimised HS pulse and the accompanying slice-selection gradient are shown in Figure 1. Bloch simulations of the steady-state slice profile and phase variation for grey matter (with TE, TR, T1 and T2 as per the design parameters using the optimised HS pulse are shown in Figure 1 a-c. Bloch simulations of the normalised steady-state voxel signal as a function of the throughplane susceptibility gradient are shown in Figure 1 d-e. As before, the signal for each value of Gsus was calculated numerically using Eq. 12 from the transverse 13 magnetisation. This was normalised relative to the steady-state signal from a perfectly rectangular slice with thickness z. The simulation results in Figure 2 show that (as expected) the HS pulse produces a lower signal than a conventional RF pulse without quadratic phase variation in regions of relatively low susceptibility gradient, but recovers signal at higher offsets. For susceptibility gradients less than ±154 Tm-1, the signal from the HS pulse is reduced to between 48.2 and 51.8% of the signal from a conventional RF pulse. Signal is recovered for through-plane susceptibility gradients more extreme than ±154 Tm-1, with the HS pulse providing a highly uniform normalised voxel signal for susceptibility gradients in the design range (i.e. -250 Tm-1 < Gsus < 250 Tm-1 ), and appreciable signal recovery even well outside this range. Phantom Validation of an Exemplar HS Pulse Figure 3 confirms that in a phantom, the pulse produces a near uniform signal for susceptibility gradients in the range -250 Tm-1 < Gsus < 250 Tm-1. Additionally it is clear that the variations in signal from the phantom experiments and simulations (including the asymmetry in the pulse response) closely match, validating the use of Bloch simulation in pulse design algorithm. In Vivo Validation Figure 4 shows representative slices through the orbitofrontal and inferior temporal regions of each subject from data acquired using GE-EPI with the conventional SLR excitation pulse and the HS pulse. Comparing the two sets of images acquired using the HS pulse to their SLR equivalents, it can be seen that signal is partially recovered in the orbitofrontal (OF) and inferior temporal (IT) regions in all six subjects. However, as expected from the Bloch simulations described above, there is a visible reduction in the global signal-to-noise ratio in the images collected using the HS pulse. 14 Figure 5 shows maps of the TSNR for each subject for data acquired with the SLR and HS excitation pulses, again for slices through the OF and IT regions. Figure 6 shows maps of the percentage change in TSNR. The TSNR in regions affected by susceptibility gradients increases to a level comparable to unaffected voxels when the HS pulse is used. However, the HS pulse results in decreases in TSNR of up to 60% in large areas of the brain. Figure 7 shows the result of the breath-hold experiment used to determine the changes in BOLD sensitivity as a result of the HS pulse. It shows subject specific maps of the difference in the un-thresholded t-statistic between the two acquisition methods. For clarity, and to highlight changes BOLD sensitivity in the regions of recovered signal, the difference map is masked to show only regions where the GE-EPI signal increased when the HS pulse was used in place of the SLR pulse. The HS pulse results in increases in the t-statistic in the majority of voxels in the areas of signal recovery in the OF and IT regions for all six subjects. Inspection of the signal from the respiratory bellows (not shown) demonstrated each subject performed the breath-hold task as instructed. Figure 8 shows the impact of the HS pulse on the result of a seed based analysis of the resting-state FMRI data. When the HS pulse is used there is a significant correlation in all six subjects of the resting-state BOLD signal in the region of signal recovery in the orbitofrontal cortex with a seed in the posterior cingulate. As highlighted in the figure this region of correlated signal is not observed in the data acquired with the conventional SLR pulse. Discussion and Conclusion Building on the previous experiments using tailored RF pulses (37-39) we have developed an algorithm to systematically optimise the parameters of a HS pulse to recover signal in regions of the brain affected by susceptibility induced dropout. In contrast to previous approaches to TRF design, which used either trial-and-error or an 15 analytic model based on unrealistic assumptions of the slice profile, Bloch simulations were used to determine the HS pulse parameters. The effectiveness of these simulations was confirmed in phantom experiments. In addition an expression for the bandwidth of a HS excitation pulse was derived for the first time, enabling the amplitude of the slice selection gradient to be calculated correctly. The algorithm was used to optimise the parameters of an HS for typical FMRI experiments at 3T. A series of experiments were then performed in six healthy volunteers to assess whether these improvements in signal translated to improvements in the TSNR, BOLD sensitivity and detectability of resting-state BOLD signal changes. The results demonstrate the potential benefits of the using HS pulses for signal excitation in FMRI experiments. Signal was recovered in parts of the OF and IT regions. The areas of unrecovered signal may be caused by susceptibility gradients in the frequency and phase encoding directions. As predicted by Bloch simulations of the pulse, the localised signal recovery comes at the cost of approximately 50% loss of signal in regions of the brain unaffected by through-slice susceptibility gradients. These changes in signal translate to increases in TSNR in the OF and IT regions, although these are accompanied by losses of up to 60% in TSNR elsewhere. Additionally in the majority of voxels where signal was recovered in the OF and IT regions the sensitivity to BOLD signal changes also increased. Seed-based analysis of the resting state FMRI data suggests that regions of the orbitofrontal cortex, normally obscured by signal dropout, may be functionally connected to the default mode network. This result, of clear importance to the modelling of such networks across the whole brain, is in agreement with the findings of Dalwani et al. (79). The optimised HS pulse results in signal and TSNR losses in regions of homogeneous field, but allows detection of apparently meaningful BOLD signal changes in regions inaccessible to conventional approaches. In addition, unlike many of the previous 16 approaches to reducing signal dropout, our optimised HS pulse does not compromise temporal resolution or spatial coverage, is non-invasive and does not require additional specialist hardware, although larger group sizes and/or longer acquisitions may be needed to overcome the resulting global reduction in signal. As such, while we expect our approach to have applications for task based fMRI studies hypothesising effects in “problematic” OF and IT regions (e.g. studies of olfaction, memory and the processing of language, rewards and emotional facial expressions.). We believe it is particularly suitable for event related and resting-state FMRI as it does not cause a loss of temporal resolution. Appendix 1: Derivation of the Peak RF Amplitude a Complex Hyperbolic Secant Pulse Used for Signal Excitation The maximum amplitude, A0, of a complex hyperbolic secant pulse used for signal excitation, with a flip angle, , can be derived from the expression for the longitudinal magnetisation given in Eq. 17 of Silver et al. (60): 𝑀𝑧 (Δ𝜔) 𝜋𝛥𝜔 𝜋𝜇 𝜋𝛥𝜔 𝜋𝜇 = tanh ( + ) tanh ( − ) 𝑀0 2𝛽 2 2𝛽 2 [13] 𝛾𝐴0 2 𝜋𝛥𝜔 𝜋𝜇 𝜋𝛥𝜔 𝜋𝜇 √ + cos [𝜋 ( ) − 𝜇 2 ] sech ( + ) sech ( − ) 𝛽 2𝛽 2 2𝛽 2 Here is the offset frequency, which in the presence of a slice-selection gradient is equal to Gzz. At the centre of the slice = 0, and the z-magnetisation is: 𝑀𝑧 (Δ𝜔) 𝛾𝐴0 2 𝜋𝜇 𝜋𝜇 √ = cos [𝜋 ( ) − 𝜇 2 ] sech2 ( ) − tanh2 ( ) 𝑀0 𝛽 2 2 [14] Recognising that the z-magnetisation at the slice centre can also be written in terms of the flip angle, : 𝑀𝑧 (Δ𝜔) = cos 𝛼 𝑀0 17 [15] Then: 𝛾𝐴0 2 𝜋𝜇 𝜋𝜇 √ cos(𝛼) = cos [𝜋 ( ) − 𝜇 2 ] sech2 ( ) − tanh2 ( ) 𝛽 2 2 [16] Therefore the RF amplitude as a function of , and the flip angle, , is: 2 −1 [cos(𝛼) cosh2 (𝜋𝜇 ) + sinh2 (𝜋𝜇 )] cos 𝛽 2 2 } + 𝜇2 𝐴0 = √{ 𝛾 𝜋 [17] Appendix 2: Derivation of the Bandwidth of a Complex Hyperbolic Secant Pulse Used for Signal Excitation The bandwidth of a complex hyperbolic secant pulse used for signal excitation is best defined as the full-width at half-maximum (FWHM) of the magnitude of the transverse magnetisation, |Mxy|. This can be derived from Eq. 13. The cosine term including the pulse amplitude, A0, can then be written in terms involving the flip angle, , and using Eq. 16: 𝑀𝑧 (Δ𝜔) 𝜋𝛥𝜔 𝜋𝜇 𝜋𝛥𝜔 𝜋𝜇 = tanh ( + ) tanh ( − ) 𝑀0 2𝛽 2 2𝛽 2 [18] 2 𝜋𝜇 𝜋𝛥𝜔 𝜋𝜇 𝜋𝛥𝜔 𝜋𝜇 cos 𝛼 + tanh ( 2 ) + sech ( + ) sech ( − )[ ] 𝜋𝜇 2𝛽 2 2𝛽 2 sech2 ( 2 ) Simplifying the tanh and sech terms using standard trigonometric identities: 𝜋Δ𝜔 𝑀𝑧 (Δ𝜔) cosh ( 𝛽 ) + cosh(𝜋𝜇) cos(𝛼) + cos(𝛼) − 1 = 𝜋Δ𝜔 𝑀0 cosh ( ) + cosh(𝜋𝜇) 𝛽 2 Rearranging to make the subject (and using 𝑀02 = |𝑀𝑥𝑦 | + 𝑀𝑧2 ): 18 [19] [20] 2 Δ𝜔 = |𝑀𝑥𝑦 | cosh(𝜋𝜇) [cos(𝛼) − √1 − ( 𝑀 ) ] + cos(𝛼) − 1 0 𝛽 cosh−1 𝜋 2 |𝑀 | √1 − ( 𝑥𝑦 ) − 1 𝑀0 { } At the centre of the excited slice, for a flip angle , the magnitude of the transverse magnetisation is |𝑀𝑥𝑦 |/𝑀0 = sin 𝛼.The half-width at half-maximum (HWHM) is the value of at which |𝑀𝑥𝑦 |/𝑀0 = Δ𝜔𝐻𝑊𝐻𝑀 sin 𝛼 2 i.e.: 1 cosh(𝜋𝜇) [cos(𝛼) − 2 √3 + cos 2 (𝛼)] + cos(𝛼) − 1 β −1 = cosh { } 1 𝜋 2 √3 + cos (𝛼) − 1 2 [21] Therefore the bandwidth, defined as the FWHM, in Hz is: 1 cosh(𝜋𝜇) [cos(𝛼) − √3 + cos 2 (𝛼)] + cos(𝛼) − 1 β 2 Δ𝑓 = 2 cosh−1 { } 1 𝜋 √3 + cos 2 (𝛼) − 1 2 [22] References 1. 2. 3. 4. 5. 6. 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Steady-state (d) slice profile and (e) phase variation in grey matter of the optimised HS pulse. Figure 2. Simulated normalised steady-state grey matter voxel signal as a function of through-slice susceptibility gradient for the optimised HS pulse (blue) compared to a conventional RF pulse without quadratic phase variation (green) 25 Figure 3. Variation in the mean signal from an ROI in the centre of the phantom as a function of susceptibility gradient for a HS pulse. The error bars represent the standard deviation of the signal in the ROI. The (scaled) voxel signal calculated by Bloch simulation is shown for comparison. 26 Figure 4. Representative slices through the OF regions of six subjects from images acquired with GE-EPI with the SLR (row 1) and HS (row 2) RF pulses and through the IT with the SLR (row 3) and HS (row 4) RF pulses. Regions of signal recovery in the OF, right and left IT regions are highlighted with connected red, yellow and green circles respectively. 27 Figure 5. Representative slices from TSNR maps through the OF regions of six subjects from images acquired with GE-EPI with the SLR (row 1) and HS (row 2) RF pulses and through the IT with the SLR (row 3) and HS (row 4) RF pulses. Regions of TSNR recovery in the OF, right and left IT regions are highlighted with connected red, yellow and green circles respectively. 28 Figure 6. Percentage change in TSNR in six subjects in representative slices through the OF (row 1) and IT (row 2) regions. Figure 7. Subject specific changes in BOLD sensitivity quantified by the difference in the un-thresholded t-statistic maps from the breath-hold experiment. Representative slices through the OF and IT regions are shown for all six subjects 29 Figure 8. Thresholded z-statistic maps, showing voxels in which the resting-state BOLD signal changes were significantly correlated with the signal variation from a seed in the posterior cingulate. Maps are shown for each subject acquired with the SLR and HS pulse for representative slices though the OF region. Changes in correlation in the OFC are highlighted by green circles. 30