Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2008-8-5
pubmed:abstractText
This study was an initial phase II trial in humans of molecular magnetic resonance (MR) imaging for improved visualization of thrombi in vessel territories potentially responsible for stroke using a new fibrin-specific contrast agent (EP-2104R). Eleven patients with thrombus in the left ventricle (n = 2), left or right atrium (n = 4), thoracic aorta (n = 4) or carotid artery (n = 1) as verified by an index examination (ultrasound, computed tomograpy, or conventional MR) were enrolled. All MR imaging was performed on 1.5 T whole-body MR-system using an inversion-recovery black-blood gradient-echo sequence. The same sequence was performed before and 2-6 h after low-dose intravenous administration of 4 mumol/kg EP-2104R. Two investigators assessed image quality and signal amplification. Furthermore, contrast-to-noise ratios (CNR) between the clot and the blood pool/surrounding soft tissue before and after administration of the contrast agent were compared using Student's t-test. MR imaging and data analysis were successfully completed in 10 patients. No major adverse effects occurred. On enhanced images, thrombi demonstrated high signal amplification, typically at the clot surface, with a significantly increased contrast in comparison to the surrounding blood pool and soft tissue (CNR for clot vs. blood pool, unenhanced and enhanced: 6 +/- 8 and 29 +/- 14; CNR for clot vs. soft tissue, unenhanced and enhanced: 0 +/- 4 and 21 +/- 13; P < 0.01 for both comparisons). EP-2104R allows for molecular MR imaging of thrombi potentially responsible for stroke. High contrast between thrombus and surrounding blood and soft tissues can be achieved with enhanced imaging.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0938-7994
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1995-2005
pubmed:meshHeading
pubmed-meshheading:18425519-Adult, pubmed-meshheading:18425519-Aged, pubmed-meshheading:18425519-Aged, 80 and over, pubmed-meshheading:18425519-Contrast Media, pubmed-meshheading:18425519-Female, pubmed-meshheading:18425519-Fibrin, pubmed-meshheading:18425519-Gadolinium, pubmed-meshheading:18425519-Heart Diseases, pubmed-meshheading:18425519-Humans, pubmed-meshheading:18425519-Image Enhancement, pubmed-meshheading:18425519-Magnetic Resonance Imaging, pubmed-meshheading:18425519-Male, pubmed-meshheading:18425519-Middle Aged, pubmed-meshheading:18425519-Peptides, pubmed-meshheading:18425519-Pilot Projects, pubmed-meshheading:18425519-Reproducibility of Results, pubmed-meshheading:18425519-Sensitivity and Specificity, pubmed-meshheading:18425519-Stroke, pubmed-meshheading:18425519-Thrombosis
pubmed:year
2008
pubmed:articleTitle
MR imaging of thrombi using EP-2104R, a fibrin-specific contrast agent: initial results in patients.
pubmed:affiliation
Department of Diagnostic Radiology, University Hospital, Technical University (RWTH) Aachen, Aachen, Germany. spuenti@rad.rwth-aachen.de
pubmed:publicationType
Journal Article, Clinical Trial, Phase II