1. Early detection and monitoring of cerebral ischemia using calcium-responsive MRI probes
- Author
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Hamid R. Noori, Nikos K. Logothetis, Giuseppe Gambino, VS Bokharaie, Goran Angelovski, and Tanja Savić
- Subjects
Male ,medicine.medical_specialty ,Medical Sciences ,Gadolinium ,Ischemia ,Contrast Media ,chemistry.chemical_element ,Early detection ,Neuroimaging ,ischemia ,Calcium ,Brain Ischemia ,Internal medicine ,Image Processing, Computer-Assisted ,medicine ,Animals ,contrast agents ,Middle cerebral artery occlusion ,Rats, Wistar ,calcium ,Multidisciplinary ,medicine.diagnostic_test ,business.industry ,Penumbra ,Magnetic resonance imaging ,Biological Sciences ,medicine.disease ,Magnetic Resonance Imaging ,Rats ,Chemistry ,Early Diagnosis ,chemistry ,Physical Sciences ,Cardiology ,Mr images ,business - Abstract
Significance The duration of cerebral ischemia is a key factor in determining the severity of brain damage and the course of action. Thus, an accurate and timely observation of the ischemic process is highly critical. Here we present a molecular neuroimaging approach that enables direct detection and real-time visualization of transient cerebral ischemia. The method relies on high-resolution observation of extracellular calcium alterations associated with the spatiotemporal dynamics of cerebral ischemia, using a selective molecular MRI probe. The rapid detection of calcium fluctuations in healthy and disease states will not only lead to essential insights for successful treatment and recovery of ischemic brain tissue but will also improve our understanding of the underlying neurobiology of neurological and psychiatric disorders., Cerebral ischemia is one of the leading causes of mortality and disability in infants and adults and its timely diagnosis is essential for an efficient treatment. We present a methodology for fast detection and real-time monitoring of fluctuations of calcium ions associated with focal ischemia using a molecular functional MRI approach. We used a dinuclear paramagnetic gadolinium(III) complex chelate that changes MR image contrast through its reversible interaction with extracellular calcium ions, while applying a remote transient middle cerebral artery occlusion as a model for ischemic stroke. Our method sensitively recognizes the onset and follows the dynamics of the ischemic core and penumbra with submillimeter spatial and second-scale temporal resolution, thus paving the way for noninvasive monitoring and development of targeted treatment strategies for cerebral ischemia.
- Published
- 2019
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