In vivo detection of macrophages in human carotid atheroma temporal dependence of ultrasmall superparamagnetic particles of iron oxide-enhanced MRI

Background- It has been suggested that inflammatory cells within vulnerable plaques may be visualized by superparamagnetic iron oxide particle-enhanced MRI. The purpose of this study was to determine the time course for macrophage visualization with in vivo contrast-enhanced MRI using an ultrasmall...

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Veröffentlicht in:Stroke (1970) 2004-07, Vol.35 (7), p.1631-1635
Hauptverfasser: TRIVEDI, Rikin A, U-KING-IM, Jean-Marie, LIQUN WANG, KIRKPATRICK, Peter J, BROWN, John, GILLARD, Jonathan H, GRAVES, Martin J, CROSS, Justin J, HORSLEY, Jo, GODDARD, Martin J, SKEPPER, Jeremy N, QUARTEY, George, WARBURTON, Elizabeth, JOUBERT, Ilse
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container_end_page 1635
container_issue 7
container_start_page 1631
container_title Stroke (1970)
container_volume 35
creator TRIVEDI, Rikin A
U-KING-IM, Jean-Marie
LIQUN WANG
KIRKPATRICK, Peter J
BROWN, John
GILLARD, Jonathan H
GRAVES, Martin J
CROSS, Justin J
HORSLEY, Jo
GODDARD, Martin J
SKEPPER, Jeremy N
QUARTEY, George
WARBURTON, Elizabeth
JOUBERT, Ilse
description Background- It has been suggested that inflammatory cells within vulnerable plaques may be visualized by superparamagnetic iron oxide particle-enhanced MRI. The purpose of this study was to determine the time course for macrophage visualization with in vivo contrast-enhanced MRI using an ultrasmall superparamagnetic iron oxide (USPIO) agent in symptomatic human carotid disease. Eight patients scheduled for carotid endarterectomy underwent multisequence MRI of the carotid bifurcation before and 24, 36, 48, and 72 hours after Sinerem (2.6 mg/kg) infusion. USPIO particles accumulated in macrophages in 7 of 8 patients given Sinerem. Areas of signal intensity reduction, corresponding to USPIO/macrophage-positive histological sections, were visualized in all 7 of these patients, optimally between 24 and 36 hours, decreasing after 48 hours, but still evident up to 96 hours after infusion. USPIO-enhanced MRI of carotid atheroma can be used to identify macrophages in vivo. The temporal change in the resultant signal intensity reduction on MRI suggests an optimal time window for the detection of macrophages on postinfusion imaging.
doi_str_mv 10.1161/01.STR.0000131268.50418.b7
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identifier ISSN: 0039-2499
ispartof Stroke (1970), 2004-07, Vol.35 (7), p.1631-1635
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source MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library; American Heart Association; Journals@Ovid Complete
subjects Aged
Arteriosclerosis - blood
Arteriosclerosis - diagnosis
Arteriosclerosis - pathology
Biological and medical sciences
Carotid Arteries - pathology
Carotid Stenosis - blood
Carotid Stenosis - diagnosis
Carotid Stenosis - pathology
Contrast Media - administration & dosage
Dextrans
Female
Ferrosoferric Oxide
Humans
Iron
Macrophages - pathology
Magnetic Resonance Imaging - methods
Magnetite Nanoparticles
Male
Medical sciences
Middle Aged
Neurology
Oxides
Vascular diseases and vascular malformations of the nervous system
title In vivo detection of macrophages in human carotid atheroma temporal dependence of ultrasmall superparamagnetic particles of iron oxide-enhanced MRI
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