WO2011069283A1 - Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral - Google Patents

Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral Download PDF

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Publication number
WO2011069283A1
WO2011069283A1 PCT/CN2009/075360 CN2009075360W WO2011069283A1 WO 2011069283 A1 WO2011069283 A1 WO 2011069283A1 CN 2009075360 W CN2009075360 W CN 2009075360W WO 2011069283 A1 WO2011069283 A1 WO 2011069283A1
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WO
WIPO (PCT)
Prior art keywords
brain
contrast agent
cerebral
ecs
concentration
Prior art date
Application number
PCT/CN2009/075360
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English (en)
Chinese (zh)
Inventor
韩鸿宾
Original Assignee
北京大学第三医院
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 北京大学第三医院 filed Critical 北京大学第三医院
Priority to PCT/CN2009/075360 priority Critical patent/WO2011069283A1/fr
Priority to CN200980126605.2A priority patent/CN102238908B/zh
Priority to US13/511,681 priority patent/US20120238865A1/en
Publication of WO2011069283A1 publication Critical patent/WO2011069283A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/0004Screening or testing of compounds for diagnosis of disorders, assessment of conditions, e.g. renal clearance, gastric emptying, testing for diabetes, allergy, rheuma, pancreas functions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/06Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
    • A61K49/08Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by the carrier
    • A61K49/10Organic compounds
    • A61K49/101Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals
    • A61K49/103Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals the complex-forming compound being acyclic, e.g. DTPA
    • A61K49/105Organic compounds the carrier being a complex-forming compound able to form MRI-active complexes with paramagnetic metals the complex-forming compound being acyclic, e.g. DTPA the metal complex being Gd-DTPA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01RMEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R33/00Arrangements or instruments for measuring magnetic variables
    • G01R33/20Arrangements or instruments for measuring magnetic variables involving magnetic resonance
    • G01R33/44Arrangements or instruments for measuring magnetic variables involving magnetic resonance using nuclear magnetic resonance [NMR]
    • G01R33/48NMR imaging systems
    • G01R33/54Signal processing systems, e.g. using pulse sequences ; Generation or control of pulse sequences; Operator console
    • G01R33/56Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution
    • G01R33/5601Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution involving use of a contrast agent for contrast manipulation, e.g. a paramagnetic, super-paramagnetic, ferromagnetic or hyperpolarised contrast agent
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/05General characteristics of the apparatus combined with other kinds of therapy
    • A61M2205/057General characteristics of the apparatus combined with other kinds of therapy with magnetotherapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0693Brain, cerebrum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • A61M5/1723Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01RMEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R33/00Arrangements or instruments for measuring magnetic variables
    • G01R33/20Arrangements or instruments for measuring magnetic variables involving magnetic resonance
    • G01R33/44Arrangements or instruments for measuring magnetic variables involving magnetic resonance using nuclear magnetic resonance [NMR]
    • G01R33/48NMR imaging systems
    • G01R33/54Signal processing systems, e.g. using pulse sequences ; Generation or control of pulse sequences; Operator console
    • G01R33/56Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution
    • G01R33/563Image enhancement or correction, e.g. subtraction or averaging techniques, e.g. improvement of signal-to-noise ratio and resolution of moving material, e.g. flow contrast angiography

Definitions

  • Figure 3 is a fitting curve of contrast agent concentration and MRI signal intensity obtained under different experimental conditions from Figure 1;
  • Figure 7 (a) to Figure 7 (e) are MRI images of the rat brain ECS at different times after introduction of the contrast agent measured by the measuring device shown in Figure 4;
  • C ed is the concentration of the contrast agent Gd-DTPA at this position, in mM
  • Figure 3 is the fitting curve corresponding to Experiment 1 in Table 1, that is, the measurement results when the magnetic field strength is 1.5T, the imaging sequence is FLASH 2D, the contrast agent is Gd-DTPA, and the concentration interval is 0-1.2 mM. Based on the fitted curve, the value is 337.434 and the s value is 184.344.
  • Concentration gradient VC indicates the concentration gradient due to liquid flow. VC is used to describe the influence of bulk flow. If the distance between two measurement points is close, the influence of the agglomeration between them can be neglected.
  • the MRI imaging method adopted by the present invention it is possible to select a specific region (for example, a resolution of 0.1 X 0.1 X 0.1 cm 3 ) for analysis in one imaging, and to display a contrast agent in the whole brain range.
  • the diffusion also provides information on the three-dimensional anatomy of the brain.
  • the measurement object may be a living animal, and does not necessarily have to be an ex vivo tissue.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Epidemiology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Hematology (AREA)
  • Medicinal Chemistry (AREA)
  • Condensed Matter Physics & Semiconductors (AREA)
  • General Physics & Mathematics (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Signal Processing (AREA)
  • Diabetes (AREA)
  • Endocrinology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pathology (AREA)
  • Rheumatology (AREA)
  • Toxicology (AREA)
  • Urology & Nephrology (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

La présente invention concerne un procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral (ISF) et l'espace extracellulaire cérébral (ECS). Il s'agit d'un procédé pour mesurer des paramètres physiologiques tels que la diffusion, le débit et l'élimination, etc. de matériaux entre l'ISF cérébral et l'ECS cérébral. Le procédé comprend les étapes de : placement du cerveau du sujet dans le dispositif d'imagerie par résonance magnétique, administration d'un agent de contraste d'imagerie par résonance magnétique dans l'ISF cérébral d'un sujet, puis mesure de l'intensité de signal de l'agent de contraste dans l'image IRM, et en fonction de l'intensité de signal, détermination de la distribution de l'agent de contraste dans la partie correspondante, et de la concentration et du taux de changement de concentration de l'agent de contraste dans chaque région du cerveau. L'invention peut mesurer les performances en ce qui concerne la diffusion, le débit et l'élimination de l'ISF dans l'ECS cérébral par le changement de signal d'image de l'agent de contraste sur le dispositif IRM, et peut également mesurer les cibles de l'ISF cérébral et de l'ECS cérébral telles que la structure anatomique et les paramètres physiologiques, etc.
PCT/CN2009/075360 2009-12-07 2009-12-07 Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral WO2011069283A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
PCT/CN2009/075360 WO2011069283A1 (fr) 2009-12-07 2009-12-07 Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral
CN200980126605.2A CN102238908B (zh) 2009-12-07 2009-12-07 脑组织间液与脑细胞外间隙的生理参数测量方法
US13/511,681 US20120238865A1 (en) 2009-12-07 2009-12-07 Method for Measuring the Physiological Parameters of Brain Interstitial Fluid and Brain Extracellular Space

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2009/075360 WO2011069283A1 (fr) 2009-12-07 2009-12-07 Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral

Publications (1)

Publication Number Publication Date
WO2011069283A1 true WO2011069283A1 (fr) 2011-06-16

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PCT/CN2009/075360 WO2011069283A1 (fr) 2009-12-07 2009-12-07 Procédé pour mesurer des paramètres physiologiques dans le fluide interstitiel cérébral et l'espace extracellulaire cérébral

Country Status (3)

Country Link
US (1) US20120238865A1 (fr)
CN (1) CN102238908B (fr)
WO (1) WO2011069283A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2803317A4 (fr) * 2012-01-13 2017-08-30 Peking University Third Hospital Procédé pour la mesure de paramètres de diffusion d'un traceur dans un espace tissulaire et un espace extracellulaire d'organes vivants
WO2018174721A2 (fr) 2017-03-23 2018-09-27 Brainwidesolutions As Fluides indicateurs, systèmes et procédés pour évaluer le mouvement de substances dans, vers ou depuis un compartiment de liquide céphalorachidien, de cerveau ou de moelle épinière d'une cavité cranio-spinale d'un être humain

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012083548A1 (fr) 2010-12-23 2012-06-28 Han Hongbin Procédé d'administration de citicoline pour traiter un accident vasculaire cérébral
CN104274176B (zh) * 2013-07-11 2018-10-30 韩鸿宾 脑组织微观结构的无创测量方法
CN112741706B (zh) * 2019-10-29 2024-05-14 北京大学第三医院(北京大学第三临床医学院) 制备扩散源的方法和装置及测量实体组织的细胞外间隙的生理参数的方法
US20230022136A1 (en) * 2020-08-21 2023-01-26 Jinghua Wang Diffusivity contrast agents for medical imaging
WO2023108478A1 (fr) * 2021-12-15 2023-06-22 北京大学第三医院(北京大学第三临床医学院) Méthode physique et appareil de régulation du transport moléculaire dans un espace extracellulaire cérébral

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CN1457744A (zh) * 2002-05-17 2003-11-26 西门子公司 空间分辨显示脑功能活动变化方法及核自旋断层造影设备
CN1689510A (zh) * 2004-04-19 2005-11-02 中国科学院自动化研究所 磁共振灌注成像的数字化方法
US7419654B2 (en) * 2004-10-08 2008-09-02 Mrinal K. Dewanjee Charge neutral complexes of paramagnetic metals as intracellular magnetic resonance imaging contrast agents
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CN1457744A (zh) * 2002-05-17 2003-11-26 西门子公司 空间分辨显示脑功能活动变化方法及核自旋断层造影设备
CN1689510A (zh) * 2004-04-19 2005-11-02 中国科学院自动化研究所 磁共振灌注成像的数字化方法
US7419654B2 (en) * 2004-10-08 2008-09-02 Mrinal K. Dewanjee Charge neutral complexes of paramagnetic metals as intracellular magnetic resonance imaging contrast agents
WO2008139480A2 (fr) * 2007-05-16 2008-11-20 Yeda Research And Development Co. Ltd. Evaluation d'une rupture de la barrière hématoencéphalique
CN101332088A (zh) * 2008-07-21 2008-12-31 深圳先进技术研究院 一种获取脑部特征参数的方法、系统及溶栓决策系统及方法

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2803317A4 (fr) * 2012-01-13 2017-08-30 Peking University Third Hospital Procédé pour la mesure de paramètres de diffusion d'un traceur dans un espace tissulaire et un espace extracellulaire d'organes vivants
WO2018174721A2 (fr) 2017-03-23 2018-09-27 Brainwidesolutions As Fluides indicateurs, systèmes et procédés pour évaluer le mouvement de substances dans, vers ou depuis un compartiment de liquide céphalorachidien, de cerveau ou de moelle épinière d'une cavité cranio-spinale d'un être humain
US11272841B2 (en) 2017-03-23 2022-03-15 Brainwidesolutions As Indicator fluids, systems, and methods for assessing movement of substances within, to or from a cerebrospinal fluid, brain or spinal cord compartment of a cranio-spinal cavity of a human
US12016651B2 (en) 2017-03-23 2024-06-25 Brainwidesolutions As Indicator fluids, systems, and methods for assessing movement of substances within, to or from a cerebrospinal fluid, brain or spinal cord compartment of a cranio-spinal cavity of a human

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Publication number Publication date
CN102238908A (zh) 2011-11-09
US20120238865A1 (en) 2012-09-20
CN102238908B (zh) 2013-01-23

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