Quantitative Semisolid Magnetization Transfer and Relayed Nuclear Overhauser Effect Imaging in a Multiple Sclerosis Mouse Model Using Deep Magnetic Resonance Fingerprinting

<jats:p>Magnetic resonance imaging (MRI) is the imaging modality of choice for the diagnosis, characterization, and monitoring of multiple sclerosis (MS). Nevertheless, the contrasts manifested by MS lesions often overlap with those of other pathological conditions, highlighting the need for additional disease biomarkers. In addition, while saturation transfer (ST) MRI provides molecular information associated with myelin, protein, and lipids, quantifying the underlying proton exchange parameters remains challenging. Here, we describe a strategy that extends and modifies AI-boosted ST magnetic resonance fingerprinting (MRF) imaging at 7T. This approach was used to quantify the dynamics of the semisolid magnetization transfer (MT) and the aliphatic relayed nuclear Overhauser effect (rNOE at -3.5 ppm and -1.6 ppm relative to water) in a longitudinal cuprizone MS mouse model (n=12). In lipid phantoms, the reconstructed proton volume fractions were strongly correlated with known lipid concentrations across all three proton pools (r&gt;0.96, p&lt;0.001). In vivo, semisolid MT and rNOE proton volume fractions in the corpus callosum demonstrated a significant decrease (p&lt;0.01) as early as week 4 of cuprizone feeding, preceding changes detected by conventional water relaxometry. ST-MRF based biomarkers were in agreement with histological findings. Overall, our results demonstrate the feasibility of rapid, multi-pool ST-MRF quantification for MS characterization.</jats:p>