Cape Town - 2026 ISMRM-ISMRT Annual Meeting and Exhibition
9 May 2026 – 14 May 2026 · Cape Town, South Africa
361-04-005 ISMRM Abstract

Double-Step R1rho-Based Lorentzian Fitting with A Full Steady-State Model Enables Fast CEST Imaging of Acute Ischemic Stroke

Accepted
Shihao Zeng1, Huabin Zhang1,2, Shan Huang1,3, Gary Kui Kai Lau4,5, Kannie W. Y. Chan6,7,8,9,10,11, Jianpan Huang 1,5
1Department of Diagnostic Radiology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
2Medical Imaging Center, Department of Electronic Engineering and Information Science, University of Science and Technology of China, He Fei, China
3Department of Engineering, University of Cambridge, Cambridge, United Kingdom
4Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
5Tam Wing Fan Neuroimaging Research Laboratory, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
6Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China
7Hong Kong Centre for Cerebro-Cardiovascular Health Engineering (COCHE), Hong Kong, China
8Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, United States of America
9State Key Laboratory of Terehertz and Millimeter Waves, City University of Hong Kong, Hong Kong, China
10Tung Biomedical Sciences Centre (TBSC), City University of Hong Kong, Hong Kong, China
11Institute of Digital Medicine, City University of Hong Kong, Hong Kong, China
Presenting Author: Jianpan Huang

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References

1. Huang J, Chan MYM, Zhang Y, Lau GKK, Chan KWY. Assessment of molecular and pH weighted signal changes in chronic ischemic stroke using CEST MRI at 3T. 2025 10/05–15/05; Honolulu, Hawaiʻi, USA.
2. Zhou J, Heo HY, Knutsson L, van Zijl PCM, Jiang S. APT-weighted MRI: Techniques, current neuro applications, and challenging issues. J Magn Reson Imaging 2019;50(2):347–364. https://doi.org/10.1002/jmri.26645 [doi]
3. Tietze A, Blicher J, Mikkelsen IK, Østergaard L, Strother MK, Smith SA, Donahue MJ. Assessment of ischemic penumbra in patients with hyperacute stroke using amide proton transfer (APT) chemical exchange saturation transfer (CEST) MRI. NMR in biomedicine 2014;27(2):163–174. https://doi.org/10.1002/nbm.3048 [doi]
4. Msayib Y, Harston GW, Ray KJ, Larkin JR, Sutherland BA, Sheerin F, Blockley NP, Okell TW, Jezzard P, Baldwin A. Quantitative chemical exchange saturation transfer imaging of nuclear overhauser effects in acute ischemic stroke. Magnetic Resonance in Medicine 2022;88(1):341–356. https://doi.org/10.1002/mrm.29187 [doi]
5. Sun PZ. Quasi-steady state chemical exchange saturation transfer (QUASS CEST) analysis-correction of the finite relaxation delay and saturation time for robust CEST measurement. Magn Reson Med 2021;85(6):3281–3289. https://doi.org/10.1002/mrm.28653 [doi]
6. Zhang XY, Zhai Y, Jin Z, Li C, Sun PZ, Wu Y. Preliminary demonstration of in vivo quasi‐steady‐state CEST postprocessing—Correction of saturation time and relaxation delay for robust quantification of tumor MT and APT effects. Magnetic Resonance in Medicine 2021;86(2):943–953. https://doi.org/10.1002/mrm.28764 [doi]
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9. Zaiss M, Jin T, Kim SG, Gochberg DF. Theory of chemical exchange saturation transfer MRI in the context of different magnetic fields. NMR in Biomedicine 2022;35(11):e4789. https://doi.org/10.1002/nbm.4789 [doi]
10. Chen L, Barker PB, Weiss RG, van Zijl PC, Xu J. Creatine and phosphocreatine mapping of mouse skeletal muscle by a polynomial and Lorentzian line‐shape fitting CEST method. Magnetic resonance in medicine 2019;81(1):69–78. https://doi.org/10.1002/mrm.27514 [doi]
11. Zhang H, Zeng S, Wang J, Cai P, Wang Z, Chen L, Qiu B, Huang J. Double‐Step R1rho‐Based Lorentzian Fitting (DROF): A New CEST Analysis Approach and Its Comparison With Existing Methods. NMR in Biomedicine 2025;38(8):e70082. https://doi.org/10.1002/nbm.70082 [doi]
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13. Zaiss M, Bachert P. Exchange‐dependent relaxation in the rotating frame for slow and intermediate exchange–modeling off‐resonant spin‐lock and chemical exchange saturation transfer. NMR in biomedicine 2013;26(5):507–518. https://doi.org/10.1002/nbm.2887 [doi]
14. Huang J, Lai JH, Han X, Chen Z, Xiao P, Liu Y, Chen L, Xu J, Chan KW. Sensitivity schemes for dynamic glucose‐enhanced magnetic resonance imaging to detect glucose uptake and clearance in mouse brain at 3 T. NMR in Biomedicine 2022;35(3):e4640. https://doi.org/10.1002/nbm.4640 [doi]

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