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CONTRAST AGENTS IN MRI Lucie Paulet 15/07/2013 1

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CONTRAST AGENTS IN MRI Lucie Paulet 15072013

1

Contents

1 A few definitions

2 Relaxation enhancing Contrast Agents

3 CEST Contrast Agents

4 Conclusion and Outlook

2

A few definitions hellip

3

What is contrast

bull In MRI relative difference of the signal intensity between two adjoining tissues

bull One possible definition

3

What is a Contrast Agent

bull Substance administered during MRI to

Enhance natural contrast

Obtain dynamic information

NB Unlike CArsquos in CT and Xray indirect effect

5

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Contents

1 A few definitions

2 Relaxation enhancing Contrast Agents

3 CEST Contrast Agents

4 Conclusion and Outlook

2

A few definitions hellip

3

What is contrast

bull In MRI relative difference of the signal intensity between two adjoining tissues

bull One possible definition

3

What is a Contrast Agent

bull Substance administered during MRI to

Enhance natural contrast

Obtain dynamic information

NB Unlike CArsquos in CT and Xray indirect effect

5

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

A few definitions hellip

3

What is contrast

bull In MRI relative difference of the signal intensity between two adjoining tissues

bull One possible definition

3

What is a Contrast Agent

bull Substance administered during MRI to

Enhance natural contrast

Obtain dynamic information

NB Unlike CArsquos in CT and Xray indirect effect

5

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

What is contrast

bull In MRI relative difference of the signal intensity between two adjoining tissues

bull One possible definition

3

What is a Contrast Agent

bull Substance administered during MRI to

Enhance natural contrast

Obtain dynamic information

NB Unlike CArsquos in CT and Xray indirect effect

5

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

What is a Contrast Agent

bull Substance administered during MRI to

Enhance natural contrast

Obtain dynamic information

NB Unlike CArsquos in CT and Xray indirect effect

5

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Why we need Contrast Agents bull Early 1980rsquos first use of

Contrast Agents

bull Sometimes distinction between region of interest and evironment is impossible

signals are cancelled by

space averaging tissue properties too

similar

6

[1]

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Characteristics

bull Ability to modify some aspect of the observables tissue property involved in image contrast

bull Tissue specificity

bull Reasonable clearing period

bull Low toxicity and stability

bull Long Shelf Life

7

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Contrast Mechanisms in MRI

bull Difference of proton density (cannot be modified)

bull Modification of T1 or T2 relaxation times

bull Susceptibility effects (T2)

bull Resonance Frequency Shifting

8

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

(Current) Classification of Contrast Agents

Magnetic Properties Biodistribution

Paramagnetic Superparamagnetic Diamagnetic (CEST)

Extracellular Intravascular (so called blood pool contrast agents) Tissue Specific

9

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Relaxation enhancing CAs

10

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Modification of Relaxation Times

bull Relaxivity defines the quality of a CA

ri = ∆(1Ti)

[C]

bull Modification of relaxation rate

Ri = Ri0 + ri [C]

11

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

How modifying Relaxation affects signal intensity

Assuming SE sequence

SI(C) = ρ (1- exp ( -(R1deg + r1C)TR)) exp(-(R2deg+r2C )TE)

Linear rise at low concentrations

saturation behaviour

T2 effects predominant at higher concentrations

12

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Paramagnetic Contrast Agents

bull Positive contrast (T1 enhanced)

bull Relaxation to relax water proton needs to encounter fluctuating field

bull Without Contrast Agents this means other

protons

bull But Melectron asymp 700 Mproton

13

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Paramagnetic Contrast Agents

bull Paramagnetic materials Unpaired outer electrons dipoles

bull large field fluctuations

bull If close enough to the Larmor frequency relaxation of neighbouring protons significantly modified

1T1 = (1T1)innersphere + (1T1)outersphere

14

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Chemical Structure

bull Most paramagnetic substances are toxic (ie Gadolinium)

Chelation to a ligand

bull Complex Binding is a reversible process

Excess of free compounds in case toxic ions are released

15

[2]

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Comparison of T1 and T2 weighted images with and without Contrast Agent

16

[3]

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Superparamagnetic Contrast Agents

bull Modify T2T2 (negative contrast)

bull nanoparticles

bull Most common used compound Iron Oxide

17

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Contrast Agent Nanoparticle

18

[4]

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

How it works

bull Superparamagnetic compound induces very large field inhomogeneities

bull Provoques dephasing of neighbouring protons (susceptibility effects)

bull Decreases T2 (T2)

19

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Limits of Relaxation Enhancing CArsquos

bull Toxicity

bull Low specifity

bull Mostly exogenous affect bulk water relaxation properties for contrast

20

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Chemical Exchange Saturation Transfer Contrast Agents

21

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

CEST Contrast Agents

bull Based on the notion of chemical shift

bull Works provided chemical exchange rate is in the right regime

bull PARACEST and DiaCEST

bull Advantage of PARACEST tissue contrast can be turned on and off

22

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Chemical Saturation Transfer Imaging

bull Exogenousendogenous compounds bull Selective saturation of exchangeable protons or

molecules

bull Saturation is transfered through Chemical Exchange

bull Indirectly detected through the water signal with modified sensitivity

23

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

2 Exchange Sites Model

24

[5]

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Limits of CEST CArsquos

bull B0 and B1 inhomogeneities especially at high magnetic fields

bull CEST pulse sequence should be a long rectangular pulse but usually succession of gaussian pulses

25

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Other Contrast Agents

26

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Other Contrast Agents

bull Possibility of using X-ray Contrast Agents in MRI

bull Multispectral magnetic resonance imaging agents

bull Biodegradable Gadolinium Compounds

27

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Conclusion and Outlook

28

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Conclusion and Outlooks

bull We have seen what contrast agents are

what main mechanisms are used today to design them

bull The physics behind Contrast Agents will not change

bull Progress to be made in the chemistry of contrast agents

29

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

30

Thank you for your attention

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

References General Concepts of Contrast Media

Papers

[1] A Sorensen A Tievsky L Ostergaard R Weisskoff B Rosen Contrast Agents in Functional MR Imaging JanuaryFebruary 1997 7 47-55

[2] WR Bauer K Schulten Theory of Contrast Agents in Magnetic Resonance Imaging Magnetic Resonance in Medicine 1992 26 16-39

[3] H Ersoy F Rybicki M Prince Contrast Agents for Cardiovascular MRI Contemporary Cardiology Cardiovascular Magnetic Resonance Imaging 237-253

[4] R Heindricl E Haacke Basic Physics of MR Contrast Agents and Maximization of Image Contrast JMRI 1993 3 137-148

[5] G Yan L Robinson P Hogg Magnetic resonance imaging contrast agents Overview and perspectives Radiography 2007 13 e5-e9

Books

[6] D Weishaupt V D Koumlchli B Marincek How Does MRI Work An Introduction to the Physics and Function of Magnetic Resonance Imaging second edition Berlin Springer 2008

31

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

Lecture Notes

[7]Atle Bjornerud The Physics of Magnetic Resonance Imaging FYS-KJM 4740 Lecture Notes march 2008

Videos

httpwwwyoutubecomwatchv=Osx8Ced9Eyw

T2 and T1 Contrast Agents

[8] C Cunningham T Arai P Yang M McConnell J Pauly S Conolly Positive Contrast Magnetic Resonance Imaging of Cells labeled with Magnetic Nanoparticleslaquo

[9] M Woods D Woessner A Sherry Paramagnetic lanthanide complexes as PARACEST agents for medical imaging Chemical Society Reviews April 11 2006

[10] R Lauffer Paramagnetic Metal Complexes as Water Proton Relaxation Agents for NMR Imaging Theory and Design Chem Rev 199787901-927

[11] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced materials 2009 21 2133-2148

[12] S Mornet S Vasseur F Grasset E DugMagnetic nanoparticle design for medical diagnosis and therapyuet Journal of Materials Chemistry 2004142161-2175

[13] J Bulte D Kraitchman Iron oxide MR contrast agents for molecular and cellular imaging NMR Biomed 2004 17 484-499

32

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

34

CEST Contrast Agents

[15] R M Henkelman G J Stanisz S Graham Magnetization transfer in MRI a review

NMR in Biomedicine 2001 14 57-64

[16] A Vinogradov A Sherry RLenkinski CEST From basic principles to applications

challenges and opportunities Journal of Magnetic Resonance 2013 229 155-172

[17] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST)

ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14

February 2013 1 102-114

[18] K Ward A Aletras R S Balaban A New Class of Contrast Agents for MRI Based on

Proton Chemical Exchange Dependent Saturation Transfer (CEST) Journal of Magnetic

Resonance 2000 14379-87

Other Contrast Agents

[19] G Zabow A Koretsky J Moreland Design and fabrication of a micromachinedmultispectral

resonance imaging agent J Micromech Microeng 20 January 2009 19

[20] S Aime L Calabi L Biondi M Miranda S Ghelli L Paleari C Rebaudengo E Terreno Ipamidol

Exploring the Potential Use of a Well-Established X-Ray Contrast Agent for MRI Magnetic

Resonance in Medicine 2005 53 830-834

33

Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

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Image Credits [1] V Runge Clinical MRI Texas WB Saunders Company [2] httpwwwgoogledeimgresq=gadolinium+chelateampum=1ampclient=ubuntuampsa=Nampcha

nnel=fsamphl=enampbiw=1303ampbih=647amptbm=ischamptbnid=mg_2MAlsetAegMampimgrefurl=httpwwwsepsciencecomInformationArchiveFeatured-Articles450-IC-ICPMS-Analysis-of-Gadolinium-based-MRI-Contrast-Agentsampdocid=yiJhdkK40Ps4FMampimgurl=httpwwwsepsciencecomimagesArticlesIssues1011pFUNFSTEINFig-1jpgampw=1468amph=568ampei=pZvjUf_SHoKitAaErIGQDAampzoom=1ampiact=hcampvpx=169ampvpy=215ampdur=786amphovh=139amphovw=361amptx=204ampty=53amppage=1amptbnh=79amptbnw=200ampstart=0ampndsp=18ampved=1t429r1s0i85

[3 V Runge Clinical MRI Texas WB Saunders Company [4] ] H Bin Na I Song T Hyeon Inorganic Nanoparticles for MRI Contrast Agents Advanced

materials 2009 21 2133-2148 [5] F Kogan H Hariharan R Reddy Chemical Exchange Saturation Transfer (CEST) ImagingDescription of Technique and Potential Clinical Applications Curr Radiol Rep 14 February 2013 1 102-114

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