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Early detection and monitoring of cerebral ischemia using calcium-responsive MRI probes
{Cerebral ischemia is one of the leading causes of mortality and disability in infants and adults and its timely diagnosis is essential for an efficient treatment. We present a methodology for fast detection and real-time monitoring of fluctuations of calcium ions associated with focal ischemia using a molecular functional MRI approach. We used a dinuclear paramagnetic gadolinium(III) complex chelate that changes MR image contrast through its reversible interaction with extracellular calcium ions, while applying a remote transient middle cerebral artery occlusion as a model for ischemic stroke. Our method sensitively recognizes the onset and follows the dynamics of the ischemic core and penumbra with submillimeter spatial and second-scale temporal resolution, thus paving the way for noninvasive monitoring and development of targeted treatment strategies for cerebral ischemia.}
@article{item_3166300, title = {{Early detection and monitoring of cerebral ischemia using calcium-responsive MRI probes}}, journal = {{Proceedings of the National Academy of Sciences of the United States of America}}, abstract = {{Cerebral ischemia is one of the leading causes of mortality and disability in infants and adults and its timely diagnosis is essential for an efficient treatment. We present a methodology for fast detection and real-time monitoring of fluctuations of calcium ions associated with focal ischemia using a molecular functional MRI approach. We used a dinuclear paramagnetic gadolinium(III) complex chelate that changes MR image contrast through its reversible interaction with extracellular calcium ions, while applying a remote transient middle cerebral artery occlusion as a model for ischemic stroke. Our method sensitively recognizes the onset and follows the dynamics of the ischemic core and penumbra with submillimeter spatial and second-scale temporal resolution, thus paving the way for noninvasive monitoring and development of targeted treatment strategies for cerebral ischemia.}}, volume = {116}, number = {41}, pages = {20666--20671}, publisher = {National Academy of Sciences}, address = {Washington, D.C.}, year = {2019}, slug = {item_3166300}, author = {Savi\'c, T and Gambino, G and Bokharaie, VS and Noori, HR and Logothetis, NK and Angelovski, G} }