Fractionated manganese-enhanced MRI

Nicholas A Bock1, Fernando F Paiva, Afonso C Silva

  • 1Cerebral Microcirculation Unit/Laboratory of Functional and Molecular Imaging/National Institute of Neurological Disorders and Stroke/National Institutes of Health, Bethesda, MD 20892-1065, USA. bockn@mail.nih.gov

NMR in Biomedicine
|October 19, 2007
PubMed

Insights

Fractionated manganese-enhanced MRI (MEMRI) uses smaller, repeated doses of manganese chloride to enhance brain imaging signals in rats. This method balances manganese

Area of Science:

  • Neuroimaging
  • Biomedical Engineering
  • Pharmacology

Background:

  • Manganese-enhanced MRI (MEMRI) utilizes manganese chloride as a neuronal contrast agent.
  • High doses of manganese can cause toxicity, limiting its use.
  • Fractionated dosing strategies are explored to mitigate manganese toxicity.

Purpose of the Study:

  • To investigate fractionated dosing of manganese chloride for MEMRI in animal models.
  • To balance the contrast-enhancing properties of manganese with its potential toxic effects.
  • To optimize manganese delivery for improved neuronal imaging.

Main Methods:

  • Rats received fractionated doses of manganese chloride (MnCl2·4H2O) every 48 hours.
  • T1-weighted imaging was used to monitor signal enhancement in the brain.
  • T1 mapping assessed manganese accumulation and its relationship to fraction dose and concentration.

Main Results:

  • Signal enhancement increased with consecutive fractionated doses and eventually saturated.
  • Lower T1 values (indicating higher manganese concentration) were observed with increasing fraction doses for a fixed cumulative dose.
  • Adverse systemic health effects and injection site complications increased with higher fraction doses.

Conclusions:

  • Fractionated MEMRI allows for controlled manganese accumulation, retaining its contrast properties.
  • This approach offers a method to mitigate manganese toxicity in animal studies.
  • Fractionated dosing provides a viable strategy for balancing efficacy and safety in manganese-enhanced neuroimaging.