Anatomically Guided Sodium MRI: Accurately Monitoring Chronic Ion Pump Dysfunction in the Human Brain

NIH Pandemic-Era Grants

Pandemic Era Grants

2024

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Principal Investigator: Fernando E Boada
Organization: STANFORD UNIVERSITY
Fiscal Year: 2024
Award: $557,250
Funding agency: National Institute of Biomedical Imaging and Bioengineering

PROJECT SUMMARY:
This proposal is devoted to the development, clinical implementation and evaluation of a novel, methodology
for generating brain sodium images of unparalleled resolution and signal-to-noise-ratio. This methodology is a
result or recent developments in Bayesian image reconstruction and manifold mapping techniques that
together make it possible to robustly utilize anatomical information from high-resolution brain scans to guide
the reduction of partial voluming effects from lower resolution, lower signal-to-noise ratio (SNR) brain scans.
Though such “constrained reconstruction” schemes have been long-advocated in the MRI imaging community,
their computational demands, limited performance and heavy operator input had previously limited their
evaluation and practical characterization thus rendering them impractical for use within the confines of a
clinical environment. Recently, we have shown that the combined use of segmentation free Bayesian
approaches together with manifold mapping techniques can be used to provide a fast framework for
Anatomically Guided Reconstruction where the information form high-resolution brain scans is used, routinely,
to improve spatial resolution and SNR of concurrently acquired brain PET scans leading to improved sensitivity
for the detection of low-contrast lesions in the brain. Our initial experience with extensions of this approach for
sodium MRI of the brain has produced images of spatial resolution and SNR that far exceed what had been
previously achieved using high and ultra-high magnetic field strengths. Establishing the limits of this approach
and characterizing its performance on clinically relevant cases is the thrust of this proposal.

Terms: <Abscission><Active Follow-up><Address><Advocate><Anatomic Sites><Anatomic structures><Anatomy><Autoregulation><Bayesian Method><Bayesian Methodology><Bayesian Statistical Method><Bayesian approaches><Bayesian classification method><Bayesian classification procedure><Bayesian posterior distribution><Biochemical><Biological Markers><Body Tissues><Brain><Brain Neoplasia><Brain Neoplasms><Brain Nervous System><Brain Tumors><Brain imaging><Brain scan><CNS Diseases><CNS Nervous System><CNS disorder><Cell Communication and Signaling><Cell Nucleus><Cell Signaling><Central Nervous System><Central Nervous System Diseases><Central Nervous System Disorders><Cerebrospinal Fluid><Chronic><Clinical><Clinical Evaluation><Clinical Protocols><Clinical Testing><Communities><Coupling><Data><Detection><Development><Diagnosis><Dysfunction><Encephalon><Energy Expenditure><Energy Metabolism><Environment><Evaluation><Excision><Extirpation><Functional disorder><Generations><Goals><H+ element><Homeostasis><Human><Hydrogen Ions><Image><Intervention><Intervention Strategies><Intracellular Communication and Signaling><Ion Pumps><Lesion><MR Imaging><MR Tomography><MRI><MRI Scans><MRIs><Magnetic Resonance Imaging><Magnetic Resonance Imaging Scan><Maps><Measures><Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance><Methodology><Modern Man><Monitor><NMR Imaging><NMR Tomography><Na element><Na pump><Na(+)-K(+)-Exchanging ATPase><Na+ K+ ATPase><Na+ element><Nature><Neuraxis><Noise><Nuclear Magnetic Resonance Imaging><Nucleus><PET><PET Scan><PET imaging><PETSCAN><PETT><Pathologic><Pathology><Patients><Performance><Physiological Homeostasis><Physiopathology><Positron Emission Tomography Medical Imaging><Positron Emission Tomography Scan><Positron-Emission Tomography><Potassium ATPase Sodium><Potassium Adenosinetriphosphatase Sodium><Potassium Pump><Property><Protocol><Protocols documentation><Protons><Rad.-PET><Relaxation><Removal><Research><Resolution><Scheme><Signal Transduction><Signal Transduction Systems><Signaling><Slice><Sodium><Sodium Pump><Sodium-Potassium Pump><Surgical Removal><System><Techniques><Tissues><Validation><Zeugmatography><active followup><bio-markers><biologic marker><biological signal transduction><biomarker><brain tissue><brain visualization><cerebral spinal fluid><clinical implementation><clinical relevance><clinical test><clinically relevant><data acquisition><data acquisitions><detection sensitivity><developmental><experience><follow up><follow-up><followed up><followup><gray matter><human imaging><image construction><image generation><image reconstruction><imaging><imaging system><improved><in vivo><interventional strategy><magnetic field><neural imaging><neuro-imaging><neuroimaging><neurological imaging><new approaches><novel><novel approaches><novel strategies><novel strategy><pathophysiology><positron emission tomographic (PET) imaging><positron emission tomographic imaging><positron emitting tomography><reconstruction><research clinical testing><resection><resolutions><sodium ion><sodium potassium exchanging ATPase><spinal fluid><substantia alba><substantia grisea><success><tissue biomarkers><tumors in the brain><validations><white matter>