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1.
J Sep Sci ; 46(4): e2200575, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36525388

RESUMEN

Three methods, high-performance liquid chromatography hyphenated with inductively coupled plasma mass spectrometry, high-performance liquid chromatography-tandem mass spectrometry, and ion chromatography, were compared for simultaneous speciation of seven commercial gadolinium-based contrast agents for magnetic resonance imaging. Optimizations of experimental conditions for individual method were conducted, respectively. Methods of high-performance liquid chromatography hyphenated with inductively coupled plasma mass spectrometry and high-performance liquid chromatography-tandem mass spectrometry showed the capability of speciation for all seven target compounds, whereas ion chromatography was only suitable for three of them when using electronic conductivity detector. The limits of detection and limits of qualification by the three methods were compared, and high-performance liquid chromatography hyphenated with inductively coupled plasma mass spectrometry was found to be the most sensitive one. The limits of detection for seven target compounds by high-performance liquid chromatography hyphenated with inductively coupled plasma mass spectrometry were in the range of 0.15-0.55 pg. Thus, high-performance liquid chromatography hyphenated with inductively coupled plasma mass spectrometry was chosen as the final method and successfully applied to speciation analysis of seven gadolinium-based contrast agents in wastewater and whole blood. Compounds of gadoxetic acid disodium, gadobenate dimeglumine, gadodiamide, and gadobentetate dimeglumine were found in wastewater.


Asunto(s)
Medios de Contraste , Gadolinio , Medios de Contraste/análisis , Aguas Residuales , Cromatografía Líquida de Alta Presión/métodos , Espectrometría de Masas/métodos
2.
Nano Lett ; 22(12): 4630-4639, 2022 06 22.
Artículo en Inglés | MEDLINE | ID: mdl-35686930

RESUMEN

Superparamagnetic iron oxide nanoparticles (SPIONs) can be used as imaging agents to differentiate between normal and diseased tissue or track cell movement. Magnetic particle imaging (MPI) detects the magnetic properties of SPIONs, providing quantitative and sensitive image data. MPI performance depends on the size, structure, and composition of nanoparticles. Magnetotactic bacteria produce magnetosomes with properties similar to those of synthetic nanoparticles, and these can be modified by mutating biosynthetic genes. The use of Magnetospirillum gryphiswaldense, MSR-1 with a mamJ deletion, containing clustered magnetosomes instead of typical linear chains, resulted in improved MPI signal and resolution. Bioluminescent MSR-1 with the mamJ deletion were administered into tumor-bearing and healthy mice. In vivo bioluminescence imaging revealed the viability of MSR-1, and MPI detected signals in livers and tumors. The development of living contrast agents offers opportunities for imaging and therapy with multimodality imaging guiding development of these agents by tracking the location, viability, and resulting biological effects.


Asunto(s)
Magnetosomas , Magnetospirillum , Animales , Proteínas Bacterianas/análisis , Medios de Contraste/análisis , Medios de Contraste/farmacología , Fenómenos Magnéticos , Magnetosomas/química , Magnetospirillum/química , Magnetospirillum/genética , Ratones
3.
Acta Radiol ; 63(3): 345-350, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33588575

RESUMEN

BACKGROUND: Generally, studies of gadolinium (Gd) deposition in humans measure concentration by analyzing formalin fixed postmortem tissue. However, the effect of formalin fixation on measured Gd concentration has not been well investigated. PURPOSE: To evaluate the effect of fixation by comparing Gd concentration in fresh versus formalin-fixed postmortem human tissues. MATERIAL AND METHODS: Fresh samples of bone and skin were collected from autopsy cases with previous exposure to Gd-based contrast agents (GBCAs). The type of GBCA administered, dose, and estimated glomerular filtration rate were recorded. Each tissue sample was cut into three aliquots. Paired samples were stored fresh frozen while the remaining two were stored in 10% neutral buffered formalin for one and three months, respectively. Gd concentration was measured using ICP-MS. RESULTS: Of 18 autopsy cases studied, 12 were exposed to only macrocyclic GBCA, one to only linear agents, and five received both macrocyclic and linear agents. On average, Gd concentration for bone decreased 30.7% after one month of fixation (P = 0.043) compared to non-fixed values. There was minimal, if any, change in concentration between one and three months (average decrease 1.5%; P = 0.89). The findings were numerically similar for skin tissue with an average decrease of 36.9% after one month (P = 0.11) and 6.0% (P = 0.73) between one and three months. CONCLUSION: Formalin fixation appears to decrease Gd concentration in bone and skin by approximately 30%-40% on average. The largest decrease occurs within the first 30 days of fixation followed by a considerably smaller decrease at 60 days.


Asunto(s)
Autopsia , Huesos/química , Medios de Contraste/análisis , Gadolinio/análisis , Piel/química , Fijación del Tejido , Tampones (Química) , Fijadores/farmacología , Formaldehído/farmacología , Tasa de Filtración Glomerular , Humanos , Factores de Tiempo
4.
Anal Bioanal Chem ; 413(6): 1571-1582, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33506336

RESUMEN

This study utilized laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) to quantify gadolinium in the hair of autopsy cases that had received gadolinium-based contrast agents (GBCAs) before death. Consecutive autopsy cases were reviewed for GBCA injections and subjects who received a single type of GBCA in the year before death were included. Hair samples were analyzed using LA-ICP-MS as a line scan technique and parameters were optimized to maximize instrument sensitivity, accuracy, and precision. Linear regression analyses between hair measures and gadolinium dose were executed. LA-ICP-MS analysis produced a time-resolved record of GCBA exposure, with the position of the gadolinium peak maxima along the hair shaft providing a good estimate for the day that GBCA injection occurred (R2 = 0.46; p = 0.0022); however, substantial within and between subject variation in the position of the GBCA peak was observed. Average area under the curve for gadolinium peaks in the hair samples was a better predictor of gadolinium dose (R2 = 0.41; p = 0.0046), compared to the average of peak maxima concentration. Correlation between area under the curve and dose suggests that LA-ICP-MS analysis of hair may be an effective method to evaluate gadolinium levels in subjects in vivo after exposure to GBCAs. This study demonstrates that analysis of human hair using techniques with high spatial resolution such as LA-ICP-MS has excellent potential to reveal time-dependent signatures of past exposures.


Asunto(s)
Medios de Contraste/análisis , Gadolinio/análisis , Cabello/química , Adulto , Anciano , Autopsia , Encéfalo/metabolismo , Femenino , Gadolinio/química , Tasa de Filtración Glomerular , Humanos , Modelos Lineales , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Proyectos Piloto , Reproducibilidad de los Resultados , Espectrofotometría Atómica/métodos , Adulto Joven
5.
BMC Urol ; 21(1): 105, 2021 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-34362339

RESUMEN

BACKGROUND: Intravenous misplacement of a nephrostomy tube is a rare complication of percutaneous nephrolithotomy (PCNL) or percutaneous nephrostomy. The mechanism of misplacement of a nephrostomy tube into the vascular system is seldom investigated. One type of the possible mechanism is that the puncture needle penetrates a major intrarenal tributary of the renal vein and enters the collecting system. However, the guidewire is located outside the collecting system near the large branches of renal vein or perforates into the renal vein. The dilation is performed and causes a large torn injury. Subsequently, the nephrostomy tube is placed inside the vessel when radiological monitoring is not used. However, there is no imaging evidence and the scene of procedure is not demonstrated. This paper reports two cases of visualization of the renal vein filled with contrast agent during PCNL. The findings may be good evidence to support the step of renal vein injury in patients with intravenous nephrostomy tube misplacement. CASE PRESENTATION: We presented two cases with visualization of the renal vein filled with contrast agent during PCNL. In the process of injecting the contrast agent through the puncture needle, we could see the renal vein. Moreover, it was identified that the puncture needle tip was not on the optimal position. The position of puncture needle tip lay outside the collecting system, which was close to the calyceal infundibulum and branches of renal vein. CONCLUSIONS: Visualization of the renal vein filled with contrast agent may be good evidence to verify the renal vein injury in patients with intravenous nephrostomy tube misplacement during PCNL or percutaneous nephrostomy. The suboptimal location of the puncture needle tip and visualization of the renal vein filled with contrast agent indicate the renal vein injury. One type of mechanism of intravenous nephrostomy tube misplacement is as following. Firstly, the guidewire stays outside the collecting system. Subsequently, dilatation directed by the guidewire results in the injury of the vein. Then, the nephrostomy tube migrates into the venous system due to prompt tube inserting and the direction of the sheath and/or the guidewire to the injured vein.


Asunto(s)
Medios de Contraste/análisis , Errores Médicos , Nefrolitotomía Percutánea/efectos adversos , Nefrostomía Percutánea/efectos adversos , Venas Renales/lesiones , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Venas Renales/diagnóstico por imagen
6.
Angew Chem Int Ed Engl ; 60(50): 26298-26302, 2021 12 06.
Artículo en Inglés | MEDLINE | ID: mdl-34459080

RESUMEN

We report on the utility of Radiofrequency Amplification by Stimulated Emission Radiation (RASER) for background-free proton detection of hyperpolarized biomolecules. We performed hyperpolarization of ≈0.3 M ethyl acetate via pairwise parahydrogen addition to vinyl acetate. A proton NMR signal with signal-to-noise ratio exceeding 100 000 was detected without radio-frequency excitation at the clinically relevant magnetic field of 1.4 T using a standard (non-cryogenic) inductive detector with quality factor of Q=68. No proton background signal was observed from protonated solvent (methanol) or other added co-solvents such as ethanol, water or bovine serum. Moreover, we demonstrate RASER detection without radio-frequency excitation of a bolus of hyperpolarized contrast agent in biological fluid. Completely background-free proton detection of hyperpolarized contrast agents in biological media paves the way to new applications in the areas of high-resolution NMR spectroscopy and in vivo spectroscopy and imaging.


Asunto(s)
Líquidos Corporales/química , Medios de Contraste/análisis , Humanos , Campos Magnéticos , Espectroscopía de Protones por Resonancia Magnética
7.
Angew Chem Int Ed Engl ; 60(28): 15405-15411, 2021 07 05.
Artículo en Inglés | MEDLINE | ID: mdl-33856080

RESUMEN

The weak thermal polarization of nuclear spins limits the sensitivity of MRI, even for MR-sensitive nuclei as fluorine-19. Therefore, despite being the source of inspiration for the development of background-free MRI for various applications, including for multiplexed imaging, the inability to map very low concentrations of targets using 19 F-MRI raises the need to further enhance this platform's capabilities. Here, we employ the principles of CEST-MRI in 19 F-MRI to obtain a 900-fold signal amplification of a biocompatible fluorinated agent, which can be presented in a "multicolor" fashion. Capitalizing on the dynamic interactions in host-guest supramolecular assemblies in an approach termed GEST, we demonstrate that an inhalable fluorinated anesthetic can be used as a single 19 F-probe for the concurrent detection of micromolar levels of two targets, with potential in vivo translatability. Further extending GEST with new designs could expand the applicability of 19 F-MRI to the mapping of targets that have so-far remained non-detectable.


Asunto(s)
Medios de Contraste/análisis , Imagen por Resonancia Magnética con Fluor-19 , Medios de Contraste/síntesis química , Halogenación , Estructura Molecular
8.
Nanotechnology ; 31(43): 433001, 2020 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-32610303

RESUMEN

Magnetic nanostructures and nanomaterials play essential roles in modern bio medicine and technology. Proper surface functionalization of nanoparticles (NPs) allows the selective bonding thus application of magnetic forces to a vast range of cellular structures and biomolecules. However, the spherical geometry of NPs poises a series of limitations in various potential applications. Mostly, typical spherical core shell structure consists of magnetic and non-magnetic layers have little tunability in terms of magnetic responses, and their single surface functionality also limits chemical activity and selectivity. In comparison to spherical NPs, nanowires (NWs) possess more degrees of freedom in achieving magnetic and surface chemical tenability. In addition to adjustment of magnetic anisotropy and inter-layer interactions, another important feature of NWs is their ability to combine different components along their length, which can result in diverse bio-magnetic applications. Magnetic NWs have become the candidate material for biomedical applications owing to their high magnetization, cheapness and cost effective synthesis. With large magnetic moment, anisotropy, biocompatibility and low toxicity, magnetic NWs have been recently used in living cell manipulation, magnetic cell separation and magnetic hyperthermia. In this review, the basic concepts of magnetic characteristics of nanoscale objects and the influences of aspect ratio, composition and diameter on magnetic properties of NWs are addressed. Some underpinning physical principles of magnetic hyperthermia (MH), magnetic resonance imaging (MRI) and magnetic separation (MS) have been discussed. Finally, recent studies on magnetic NWs for the applications in MH, MRI and MS were discussed in detail.


Asunto(s)
Hipertermia Inducida/métodos , Imagen por Resonancia Magnética/métodos , Imanes/análisis , Nanotecnología/métodos , Nanocables/análisis , Animales , Medios de Contraste/análisis , Diseño de Equipo , Humanos , Hipertermia Inducida/instrumentación , Imagen por Resonancia Magnética/instrumentación , Magnetismo/instrumentación , Magnetismo/métodos , Nanotecnología/instrumentación , Nanocables/ultraestructura
9.
Sensors (Basel) ; 20(11)2020 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-32517204

RESUMEN

Multispectral photoacoustic imaging has been widely explored as an emerging tool to visualize and quantify tissue chromophores noninvasively. This modality can capture the spectral absorption signature of prominent tissue chromophores, such as oxygenated, deoxygenated hemoglobin, and other biomarkers in the tissue by using spectral unmixing methods. Currently, most of the reported image processing algorithms use standard unmixing procedures, which include user interaction in the form of providing the expected spectral signatures. For translational research with patients, these types of supervised spectral unmixing can be challenging, as the spectral signature of the tissues can differ with respect to the disease condition. Imaging exogenous contrast agents and accessing their biodistribution can also be problematic, as some of the contrast agents are susceptible to change in spectral properties after the tissue interaction. In this work, we investigated the feasibility of an unsupervised spectral unmixing algorithm to detect and extract the tissue chromophores without any a-priori knowledge and user interaction. The algorithm has been optimized for multispectral photoacoustic imaging in the spectral range of 680-900 nm. The performance of the algorithm has been tested on simulated data, tissue-mimicking phantom, and also on the detection of exogenous contrast agents after the intravenous injection in mice. Our finding shows that the proposed automatic, unsupervised spectral unmixing method has great potential to extract and quantify the tissue chromophores, and this can be used in any wavelength range of the multispectral photoacoustic images.


Asunto(s)
Medios de Contraste/análisis , Procesamiento de Imagen Asistido por Computador , Técnicas Fotoacústicas , Algoritmos , Animales , Humanos , Ratones , Fantasmas de Imagen , Análisis Espectral , Distribución Tisular
10.
Mol Imaging ; 18: 1536012119883161, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31625454

RESUMEN

OBJECTIVE: To evaluate the value of 2-dimensional (2D) and 3-dimensional (3D) computed tomography texture analysis (CTTA) models in distinguishing fat-poor angiomyolipoma (fpAML) from chromophobe renal cell carcinoma (chRCC). METHODS: We retrospectively enrolled 32 fpAMLs and 24 chRCCs. Texture features were extracted from 2D and 3D regions of interest in triphasic CT images. The 2D and 3D CTTA models were constructed with the least absolute shrinkage and selection operator algorithm and texture scores were calculated. The diagnostic performance of the 2D and 3D CTTA models was evaluated with respect to calibration, discrimination, and clinical usefulness. RESULTS: Of the 177 and 183 texture features extracted from 2D and 3D regions of interest, respectively, 5 2D features and 8 3D features were selected to build 2D and 3D CTTA models. The 2D CTTA model (area under the curve [AUC], 0.811; 95% confidence interval [CI], 0.695-0.927) and the 3D CTTA model (AUC, 0.915; 95% CI, 0.838-0.993) showed good discrimination and calibration (P > .05). There was no significant difference in AUC between the 2 models (P = .093). Decision curve analysis showed the 3D model outperformed the 2D model in terms of clinical usefulness. CONCLUSIONS: The CTTA models based on contrast-enhanced CT images had a high value in differentiating fpAML from chRCC.


Asunto(s)
Angiomiolipoma/diagnóstico por imagen , Carcinoma de Células Renales/diagnóstico por imagen , Medios de Contraste/análisis , Neoplasias Renales/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Adulto , Anciano , Algoritmos , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Sensibilidad y Especificidad , Adulto Joven
11.
Clin Gastroenterol Hepatol ; 17(1): 192-199.e3, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-29775791

RESUMEN

BACKGROUND & AIMS: We aimed to evaluate the potential of hepatobiliary phase magnetic resonance imaging (MRI) as parameter for assessment of hepatocellular function in patients with primary sclerosing cholangitis (PSC). METHODS: We collected data from 111 patients (83 male, 28 female; median, 44 years old), from March 2012 through March 2016, with a confirmed diagnosis of PSC who underwent MRI evaluation before and after injection (hepatobiliary phase) of a hepatocyte-specific contrast agent (gadoxetate disodium). Signal intensities were measured in each liver segment. Mean relative enhancement values were calculated and correlated with findings from liver functions tests, prognostic scoring systems (model for end-stage liver disease [MELD] score; Mayo risk score; Amsterdam-Oxford-PSC score), abnormalities detected by endoscopic retrograde cholangiopancreatography (using the Amsterdam cholangiographic classification system), and clinical endpoints (liver transplantation, cholangiocarcinoma, liver-related death). Our primary aim was to associate relative enhancement values with liver function and patient outcomes. RESULTS: Most patients had moderate-stage disease and had intermediate levels of risk (median MELD score, 8 and median Mayo score, 0.27). Clinical endpoints were reached by 21 patients (6 developed cholangiocarcinoma, 8 underwent liver transplantation, and 7 patients died). The highest levels of correlations were observed for relative enhancement 20 min after contrast injection and level of alkaline phosphatase (r = -0.636), bilirubin (r = -0.646), albumin (r = 0.538); as well as international normalized ratio (r = 0.456); MELD score (r = -0.587); Mayo risk score (r = -0.535), and Amsterdam-Oxford model score (r = -0.595) (P < .0001). Relative enhancement correlated with all clinical endpoints (all P < .05). A cutoff relative enhancement value of 0.65 identified patients with a clinical endpoint with 73.9% sensitivity 92.9% specificity (area under the receiver operating characteristic curve, 0.901; likelihood ratio, 10.34; P < .0001). CONCLUSIONS: In an analysis of 111 patients with PSC, we found MRI-measured relative enhancement, using a hepatocyte-specific contrast agent, to identify patients with clinical outcomes with 73.9% sensitivity 92.9% specificity. Long-term, multicenter studies are needed to further evaluate this marker of PSC progression.


Asunto(s)
Biomarcadores/análisis , Colangitis Esclerosante/complicaciones , Medios de Contraste/análisis , Gadolinio DTPA/análisis , Hepatopatías/diagnóstico por imagen , Hepatopatías/etiología , Imagen por Resonancia Magnética/métodos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Medios de Contraste/administración & dosificación , Femenino , Gadolinio DTPA/administración & dosificación , Humanos , Hepatopatías/patología , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Sensibilidad y Especificidad , Adulto Joven
12.
Biochem Biophys Res Commun ; 511(2): 207-213, 2019 04 02.
Artículo en Inglés | MEDLINE | ID: mdl-30777335

RESUMEN

Gadolinium doped carbon dots (Gd-CDs) were prepared as a dual-modal imaging agent for enhanced MR imaging and cell fluorescence imaging. The Gd-CDs were synthesized via one-step solvent free technique with Gd-DTPA and l-arginine as the Gd and carbon sources with a quantum yield of 57.78%. The Gd-CDs exhibited good crystal structure, excellent aqueous dispersity, high colloidal stability, intense fluorescence and low cytotoxicity. The bio-TEM images revealed that the Gd-CDs could be easily internalized by cancer cells and escape from the endosomes. Furthermore, the Gd-CDs demonstrated wonderful multi-color fluoresence cell labeling ability at various excitation wavelength and much better MR contrast effect compared with commercial Gd-DTPA with a high r1 relaxivity value 6.27 mM-1s-1. In addition, Gd-CDs exhibited brighter MR signal than Gd-DTPA in the animal MR imaging test. Finally, the Gd-CDs also indicated low long-term toxicity by the serum biochemistry analysis. Thus, these results indicated that Gd-CDs would be an excellent dual-modal imaging probe for enhanced MR imaging and fluorescence imaging.


Asunto(s)
Carbono/análisis , Medios de Contraste/análisis , Gadolinio/análisis , Animales , Línea Celular Tumoral , Medios de Contraste/síntesis química , Femenino , Gadolinio DTPA/análisis , Humanos , Aumento de la Imagen/métodos , Imagen por Resonancia Magnética/métodos , Ratones , Imagen Óptica/métodos
13.
Magn Reson Med ; 82(1): 387-394, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30874333

RESUMEN

PURPOSE: While rodents are the primary animal models for contrast agent evaluation, rodents can potentially misrepresent human organ clearance of newly developed contrast agents. For example, gadolinium (Gd)-BOPTA has ~50% hepatic clearance in rodents, but ~5% in humans. This study demonstrates the benefit of chimeric mice expressing human hepatic OATPs (organic anion-transporting polypeptides) to improve evaluation of novel contrast agents for clinical use. METHODS: FVB (wild-type) and OATP1B1/1B3 knock-in mice were injected with hepatospecific MRI contrast agents (Gd-EOB-DTPA, Gd-BOPTA) and nonspecific Gd-DTPA. T1 -weighted dynamic contrast-enhanced MRI was performed on mice injected intravenously. Hepatic MRI signal enhancement was calculated per time point. Mass of gadolinium cleared per time point and percentage elimination by means of feces and urine were also measured. RESULTS: Following intravenous injection of Gd-BOPTA in chimeric OATP1B1/1B3 knock-in mice, hepatic MRI signal enhancement and elimination by liver was more reflective of human hepatic clearance than that measured in wild-type mice. Gd-BOPTA hepatic MRI signal enhancement was reduced to 22% relative to wild-type mice. Gd-BOPTA elimination in wild-type mice was 83% fecal compared with 32% fecal in chimeric mice. Hepatic MRI signal enhancement and elimination for Gd-EOB-DTPA and Gd-DTPA were similar between wild-type and chimeric cohorts. CONCLUSION: Hepatic MRI signal enhancement and elimination of Gd-EOB-DTPA, Gd-BOPTA, and Gd-DTPA in chimeric OATP1B1/1B3 knock-in mice closely mimics that seen in humans. This study provides evidence that the chimeric knock-in mouse is a more useful screening tool for novel MRI contrast agents destined for clinical use as compared to the traditionally used wild-type models.


Asunto(s)
Medios de Contraste/farmacocinética , Imagen por Resonancia Magnética/métodos , Animales , Medios de Contraste/administración & dosificación , Medios de Contraste/análisis , Heces/química , Gadolinio DTPA/administración & dosificación , Gadolinio DTPA/análisis , Gadolinio DTPA/farmacocinética , Humanos , Masculino , Meglumina/administración & dosificación , Meglumina/análogos & derivados , Meglumina/análisis , Meglumina/farmacocinética , Ratones , Ratones Transgénicos , Transportadores de Anión Orgánico/genética , Transportadores de Anión Orgánico/metabolismo , Compuestos Organometálicos/administración & dosificación , Compuestos Organometálicos/análisis , Compuestos Organometálicos/farmacocinética , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo
14.
Pediatr Nephrol ; 34(3): 459-464, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30315406

RESUMEN

BACKGROUND: Measurement of glomerular filtration rate by iohexol disappearance (iGFR) has become a gold standard in the pediatric chronic kidney disease (CKD) population. The need for serial phlebotomy can be difficult and minimizing venipunctures would be beneficial. Furthermore, finger stick collection for dried blood spot (DBS) may be more tolerable in the pediatric population, and equivalence between these two methods may further simplify the process. METHODS: This was a cross-sectional study in children and adolescents 1 to 21 years with stages I-IV CKD. Iohexol was infused and blood drawn 10, 30, 120, and 300 min later. Blood spots on filter paper were collected by finger stick after each of the latter two blood draws. The rate of iohexol plasma disappearance was used to calculate GFR. Pearson's correlation coefficient and bias, Students t test, and Bland-Altman graphical representations were used to compare methods. RESULTS: Forty-one patients were recruited. The mean creatinine was 1.13 mg/dL (SD 0.45), the mean 4-point iGFR was 73.2 ml/min/1.73m2 (SD 27.5) and the mean 2-point iGFR was 75.6 ml/min/1.73m2 (SD 27.3). Correlation between 2-point and 4-point venous GFR was r = 0.97; p < 0.001. The correlation between the DBS and the 2-point venous GFR was r = 0.95; p < 0.001, with no significant bias. Ninety-four percent of the 2-point GFR's were within 10% of the 4-point GFR's and 80% of DBS-GFRs were within 10% of the 2-point GFR's. CONCLUSIONS: The 2-point iGFR was highly correlated and agreed well with the 4-point iGFR. The same was true for the DBS method and the 2-point venous method. DBS sampling by finger stick sampling at 2 time points after iohexol infusion gave an acceptably accurate measurement of GFR.


Asunto(s)
Recolección de Muestras de Sangre/métodos , Tasa de Filtración Glomerular , Yohexol/análisis , Insuficiencia Renal Crónica/diagnóstico , Adolescente , Factores de Edad , Recolección de Muestras de Sangre/efectos adversos , Niño , Medios de Contraste/administración & dosificación , Medios de Contraste/análisis , Medios de Contraste/metabolismo , Creatinina/sangre , Estudios Transversales , Femenino , Humanos , Inyecciones Intravenosas , Yohexol/administración & dosificación , Yohexol/metabolismo , Masculino , Tasa de Depuración Metabólica , Proyectos Piloto , Insuficiencia Renal Crónica/sangre , Insuficiencia Renal Crónica/fisiopatología
15.
Pituitary ; 22(1): 37-45, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30456434

RESUMEN

PURPOSE: In view of mounting attention related to possible brain retention of gadolinium-based contrast agents (GBCAs) in patients with normal renal function, our purpose was to detail results from a survey of pituitary experts to assess: 1) the timing interval and frequency of pituitary magnetic resonance imaging (MRI) following surgical and/or medical and/or radiation therapy of pituitary tumors, 2) awareness of the types of GBCAs used and their possible safety issues. METHODS: The Pituitary Society Education Committee composed a survey with 12 multiple choice questions, 8 of which specifically addressed the time interval and frequency of MRI in the longitudinal management of pituitary tumors. The survey was distributed at two meetings; the International Pituitary Neurosurgeons Society conference in San Diego, CA, on February 18th, 2018, and the Pituitary Society Membership and Career Development Forum, Chicago, IL on March 18th, 2018. RESULTS: There is consensus among pituitary endocrinologists and neurosurgeons that long-term repeated imaging is recommended in most pituitary tumors, although the precise strategy of timing varied depending on the specialist group and the specific clinical context of the adenoma. The data also suggest that International Pituitary Neurosurgeons Society neurosurgeons, as well as Pituitary Society neuroendocrinologists, are sometimes unaware of which contrast agents are used by their institution, and many are also unaware that evidence of long-term brain retention has been reported with the use of GBCAs in patients with normal function. CONCLUSIONS: International pituitary endocrinologists and pituitary neurosurgeons experts suggest ongoing MRIs for the management of pituitary tumors; strategies vary based on clinical context, but also on individual experience and practice.


Asunto(s)
Adenoma/diagnóstico por imagen , Medios de Contraste/análisis , Gadolinio/análisis , Imagen por Resonancia Magnética/métodos , Neoplasias Hipofisarias/diagnóstico por imagen , Humanos , Encuestas y Cuestionarios
16.
Nanomedicine ; 17: 329-341, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30802547

RESUMEN

Cardiac Magnetic Resonance (CMR), thanks to high spatial resolution and absence of ionizing radiation, has been widely used in myocardial infarction (MI) assessment to evaluate cardiac structure, function, perfusion and viability. Nevertheless, it suffers from limitations in tissue and assessment of myocardial pathophysiological changes subsequent to MI. In this issue, nanoparticle-based contrast agents offer the possibility to track biological processes at cellular and molecular level underlying the various phases of MI, infarct healing and tissue repair. In this paper, first we examine the conventional CMR protocol and its findings in MI patients. Next, we looked at how nanoparticles can help in the imaging of MI and give an overview of the major approaches currently explored. Based on the presentation of successful nanoparticle applications as contrast agents (CAs) in preclinical and clinical models, we discuss promises and outstanding challenges facing the field of CMR in MI, their translational potential and clinical application.


Asunto(s)
Medios de Contraste/análisis , Corazón/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Infarto del Miocardio/diagnóstico por imagen , Nanopartículas/análisis , Animales , Humanos
17.
Magn Reson Chem ; 57(10): 845-851, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-30675933

RESUMEN

1 H Fast Field Cycling NMR (FFC-NMR) relaxometry is proposed as a powerful method to investigate tumour stroma in vivo upon the administration of a Gd-based contrast agent. To perform this study, an FFC-NMR equipment endowed with a wide bore magnet was used for the acquisition of Nuclear Magnetic Resonance Dispersion profiles on healthy muscle and tumour tissue in living mice. At magnetic field strengths < of ca. 1 MHz, the differences in the relaxation rates of the intra and extracellular compartment become of the same order of magnitude of the exchange rate across the cellular membranes. Under this condition, the water exchange rate between the two compartments yields to a biexponential magnetization recovery that can be analysed by fitting the experimental data with the two-Site eXchange (2SX) model. Using this model, it was possible to obtain, for the two compartments, both relaxation properties and water kinetic constants for water exchange across cell membranes. The method allowed us to determine the effect of the "matrix" on the water proton relaxation times and, in turn, to get some insights of the composition of this compartment, till now, largely unknown.


Asunto(s)
Medios de Contraste/análisis , Matriz Extracelular/metabolismo , Gadolinio/análisis , Imagen por Resonancia Magnética/métodos , Espectroscopía de Resonancia Magnética/métodos , Animales , Línea Celular Tumoral , Permeabilidad de la Membrana Celular , Medios de Contraste/administración & dosificación , Femenino , Cinética , Ratones Endogámicos BALB C , Imagen Multimodal/métodos , Agua/química
18.
Magn Reson Med ; 79(2): 1212-1218, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29143987

RESUMEN

PURPOSE: Pharmacokinetics of the tri[8-carboxy-2,2,6,6-tetrakis(2-hydroxymethyl)benzo[1,2-d:4,5-d']bis(1,3)dithio-4-yl]methyl radical (Oxo63) after a single bolus and/or continuous intravenous infusion was investigated in tumor-bearing C3H mice with or without body temperature control while under anesthesia. METHOD: The in vivo time course of Oxo63 in blood was measured using X-band electron paramagnetic resonance spectroscopy. Distribution of Oxo63 in normal muscle and tumor tissues was obtained using a surface coil resonator and a 700-MHz electron paramagnetic resonance spectrometer. The whole-body distribution of Oxo63 was obtained by 300-MHz continuous-wave electron paramagnetic resonance imaging. The high-resolution 300-MHz time-domain electron paramagnetic resonance imaging was also carried out to probe the distribution of Oxo63. RESULTS: Urination of mice was retarded at low body temperature, causing the concentration of Oxo63 in blood to attain high levels. However, the concentration of Oxo63 in tumor tissue was lower with no control of body temperature than active body temperature control. The nonsystemized blood flow in the tumor tissues may pool Oxo63 at lower body temperature. CONCLUSIONS: Pharmacokinetics of the contrast agent were found to be significantly affected by body temperature of the experimental animal, and can influence the probe distribution and the image patterns. Magn Reson Med 79:1212-1218, 2018. © Published 2017. This article is a U.S. Government work and is in the public domain in the USA.


Asunto(s)
Temperatura Corporal/fisiología , Medios de Contraste/farmacocinética , Espectroscopía de Resonancia por Spin del Electrón/métodos , Compuestos Heterocíclicos con 3 Anillos/farmacocinética , Oximetría/métodos , Animales , Medios de Contraste/análisis , Medios de Contraste/química , Femenino , Compuestos Heterocíclicos con 3 Anillos/sangre , Compuestos Heterocíclicos con 3 Anillos/química , Ratones , Ratones Endogámicos C3H , Neoplasias Experimentales/diagnóstico por imagen , Neoplasias Experimentales/metabolismo
19.
Mass Spectrom Rev ; 36(1): 47-57, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-26398248

RESUMEN

In the last decade, the development of diverse bioanalytical methodologies based on mass spectrometry imaging has increased, as has their application in biomedical questions. The distribution analysis of elements (metals, semimetals, and non-metals) in biological samples is a point of interest in life sciences, especially within the context of metallomics, which is the scientific field that encompasses the global analysis of the entirety of elemental species inside a cell or tissue. Laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) has been efficiently employed to generate qualitative and quantitative maps of elemental distribution in thin tissue sections of a variety of biological samples, for example, brain, cartilage, spinal cord, etc. The combination of elemental with molecular mass spectrometry allows obtaining information about the elements bound to proteins, when they are previously separated by gel electrophoresis (metalloproteomics), and also adding a new dimension to molecular mass spectrometry imaging by the correlation of molecular and elemental distribution maps in definite regions in a biological tissue. In the present review, recent biomedical applications in LA-ICP-MS imaging as a stand-alone technique and in combination with molecular mass spectrometry imaging techniques are discussed. Applications of LA-ICP-MS in the study of neurodegenerative diseases, distribution of contrast agents and metallodrugs, and metalloproteomics will be focused in this review. © 2015 Wiley Periodicals, Inc. Mass Spec Rev 36:47-57, 2017.


Asunto(s)
Encefalopatías/diagnóstico por imagen , Medios de Contraste/análisis , Espectrometría de Masas/métodos , Animales , Investigación Biomédica/métodos , Química Encefálica , Humanos , Terapia por Láser , Espectrometría de Masas/instrumentación , Metales/análisis , Imagen Molecular/métodos , Proteómica/métodos
20.
AJR Am J Roentgenol ; 211(4): 748-754, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30085834

RESUMEN

OBJECTIVE: We aimed to evaluate the effect of tube voltage, tube current-time product, and iterative reconstruction on iodine quantification using a dual-layer spectral CT scanner. MATERIALS AND METHODS: Two mediastinal iodine phantoms, each containing six tubes of different iodine concentrations (0, 1, 2.5, 5, 10, and 20 mg I/mL; the two phantoms had tubes with contrast media diluted in water and in 10% amino acid solution, respectively), were inserted into an anthropomorphic chest phantom and scanned with varying acquisition parameters (120 and 140 kVp; 20, 40, 60, 80, 100, 150, and 200 mAs; and spectral reconstruction levels 0 and 6). Thereafter, iodine density was measured (in milligrams of iodine per milliliter) using a dedicated software program, and the effect of acquisition parameters on iodine density and on its relative measurement error (RME) was analyzed using a linear mixed-effects model. RESULTS: Tube voltages (all, p < 0.001) and tube current-time products (p < 0.05, depending on the interaction terms for iodine density; p = 0.023 for RME) had statistically significant effects on iodine density and RME. However, the magnitude of their effects was minimal. That is, estimated differences between tube voltage settings ranged from 0 to 0.8 mg I/mL for iodine density and from 1.0% to 4.2% for RME. For tube current-time product, alteration of 100 mAs caused changes in iodine density and RME of approximately 0.1 mg I/mL and 0.6%, respectively. Spectral level was not an affecting factor for iodine quantification (p = 0.647 for iodine density and 0.813 for RME). CONCLUSION: Iodine quantification using dual-layer spectral CT was feasible irrespective of CT acquisition parameters because their effects on iodine density and RME were minimal.


Asunto(s)
Medios de Contraste/análisis , Yodo/análisis , Imagen Radiográfica por Emisión de Doble Fotón/métodos , Radiografía Torácica/métodos , Tomografía Computarizada por Rayos X/métodos , Humanos , Fantasmas de Imagen , Interpretación de Imagen Radiográfica Asistida por Computador , Imagen Radiográfica por Emisión de Doble Fotón/instrumentación , Radiografía Torácica/instrumentación , Tomografía Computarizada por Rayos X/instrumentación
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