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  • Wiley  (2)
  • Tang, Haiying  (2)
  • 1
    In: Magnetic Resonance in Medicine, Wiley, Vol. 63, No. 5 ( 2010-05), p. 1201-1209
    Abstract: A new MRI method is proposed for separately quantifying the two principal forms of tissue storage (nonheme) iron: ferritin iron , a dispersed, soluble fraction that can be rapidly mobilized, and hemosiderin iron , an aggregated, insoluble fraction that serves as a long‐term reserve. The method utilizes multiple spin echo sequences, exploiting the fact that aggregated iron can induce nonmonoexponential signal decay for multiple spin echo sequences. The method is validated in vitro for agarose phantoms, simulating dispersed iron with manganese chloride, and aggregated iron with iron oxide microspheres. To demonstrate feasibility for human studies, preliminary in vivo data from two healthy controls and six patients with transfusional iron overload are presented. For both phantoms and human subjects, conventional R 2 and R 2 * relaxation rates are also measured in order to contrast the proposed method with established MRI iron quantification techniques. Quantification of dispersed (ferritin‐like) iron may provide a new means of monitoring the risk of iron‐induced toxicity in patients with iron overload and, together with quantification of aggregated (hemosiderin‐like) iron, improve the accuracy of estimates for total storage iron. Magn Reson Med 63:1201–1209, 2010. © 2010 Wiley‐Liss, Inc.
    Type of Medium: Online Resource
    ISSN: 0740-3194 , 1522-2594
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2010
    detail.hit.zdb_id: 1493786-4
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  • 2
    In: Journal of Magnetic Resonance Imaging, Wiley, Vol. 39, No. 2 ( 2014-02), p. 307-316
    Abstract: To quantify the two principal forms of hepatic storage iron, diffuse, soluble iron (primarily ferritin), and aggregated, insoluble iron (primarily hemosiderin) using a new MRI method in patients with transfusional iron overload. Materials and Methods Six healthy volunteers and 20 patients with transfusion‐dependent thalassemia syndromes and iron overload were examined. Ferritin‐ and hemosiderin‐like iron were determined based on the measurement of two distinct relaxation parameters: the “reduced” transverse relaxation rate, RR 2 , and the “aggregation index,” A, using three sets of Carr‐Purcell‐Meiboom‐Gill (CPMG) datasets with different interecho spacings. Agarose phantoms, simulating the relaxation and susceptibility properties of tissue with different concentrations of dispersed (ferritin‐like) and aggregated (hemosiderin‐like) iron, were used for validation. Results Both phantom and in vivo human data confirmed that transverse relaxation components associated with the dispersed and aggregated iron could be separated using the two‐parameter (RR 2 , A) method. The MRI‐determined total hepatic storage iron was highly correlated ( r  = 0.95) with measurements derived from biopsy or biosusceptometry. As total hepatic storage iron increased, the proportion stored as aggregated iron became greater. Conclusion This method provides a new means for noninvasive MRI determination of the partition of hepatic storage iron between ferritin and hemosiderin in iron overload disorders. J. Magn. Reson. Imaging 2014;39:307–316 . © 2013 Wiley Periodicals, Inc .
    Type of Medium: Online Resource
    ISSN: 1053-1807 , 1522-2586
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 1497154-9
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