Evidence map›Paper›PMID 31371354›Full record

ArticleAJNR. American journal of neuroradiology2019

Manganese-Enhanced MRI of the Brain in Healthy Volunteers.

D M Sudarshana, G Nair, J T Dwyer, B Dewey, S U Steele, D J Suto, T Wu, B A Berkowitz, A P Koretsky, I C M Cortese and 1 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Manganese-Enhanced Magnetic Resonance Imaging of the Heart.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Manganese-Enhanced MRI in Patients with Multiple Sclerosis.AJNR. American journal of neuroradiology · 2020
    Article
  17. Review
  18. Review
  19. Manganese Uptake and Accumulation in the Human Brain.AJNR. American journal of neuroradiology · 2020
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

D M SudarshanaFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-4768-5161
G NairFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0003-3725-615X
J T DwyerFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-4322-8086
B DeweyFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0003-4554-5058
S U SteeleFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-6536-4513
D J SutoFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-6598-0220
T WuFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-6888-658X
B A BerkowitzDepartment of Ophthalmology (B.A.B.), Visual and Anatomical Sciences, Wayne State University School of Medicine, Detroit, Michigan.ORCID 0000-0003-0291-2209
A P KoretskyFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-8085-4756
I C M CorteseFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-9631-7181
D S ReichFrom the National Institute of Neurological Disorders and Stroke (D.M.S., G.N., J.T.D., B.D., S.U.S., D.J.S., T.W., A.P.K., I.C.M.C., D.S.R.), National Institutes of Health, Bethesda, Maryland daniel.reich@nih.gov.ORCID 0000-0002-2628-4334
National Institutes of Health · USWayne State University · US

Funding

Multimodal MRI in Multiple SclerosisZIANS003119 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI REICH, DANIEL · 2010 to 2025
$53.4M
MRI contrast for molecular and cellular imaging of the brainZIANS003047 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI KORETSKY, ALAN · 2009 to 2025
$29.3M
PROTECTIVE ACTIONS OF ESTRADIOL/SERMS ON BRAIN/HIVP20RR015592 · NCRR · UNIVERSITY OF KENTUCKY · PI KELLY, THOMAS J. · 2000 to 2009
$18.2M
ROLE OF CALCIUM, CALPAINS, AND CASPASES IN NEURODEGENERATIONP01AG010836 · NIA · UNIVERSITY OF KENTUCKY · PI LANDFIELD, PHILIP W. · 1992 to 2008
$12.4M
HIPPOCAMPAL SYNAPTIC STRUCTURE--PHYSIOLOGY DURING AGINGR37AG004542 · NIA · UNIVERSITY OF KENTUCKY · PI LANDFIELD, PHILIP W. · 1998 to 2020
$7.1M
Hippocampal Electrophysiology and Myelinogenesis in Healthy Cognitive AgingR01AG034605 · NIA · UNIVERSITY OF KENTUCKY · PI LANDFIELD, PHILIP W. · 2009 to 2015
$2.9M
Novel Imaging Biomarker for Treating Spatial Memory Loss in Prodromal Alzheimer's Disease ModelsR01AG058171 · NIA · WAYNE STATE UNIVERSITY · PI BENNETT, BRIAN M, BERKOWITZ, BRUCE A. · 2017 to 2021
$2.8M
Testing the Calcium Hypothesis of Age-related Cognitive DeclineR01AG052934 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURPHY, GEOFFREY G · 2016 to 2020
$2.1M
Novel Imaging of rod oxidative stress in retinal disease and treatment in vivoR01EY026584 · NEI · WAYNE STATE UNIVERSITY · PI BERKOWITZ, BRUCE A. · 2016 to 2019
$1.5M
Estrogen, CA2+ Channels and (ca2+) in Hippocampal AgingR01AG020251 · NIA · UNIVERSITY OF KENTUCKY · PI PORTER, NADA MICOVIC · 2002 to 2006
$1.3M
Mechanisms and use of antidiabetic agents in brain aging and Alzheimer's diseaseR21AG029268 · NIA · UNIVERSITY OF KENTUCKY · PI THIBAULT, OLIVIER · 2007 to 2008
$308k
Intramural NIH HHS ZIA NS003119NCRR NIH HHS P20 RR015592NEI NIH HHS R01 EY026584NIA NIH HHS P01 AG010836NIA NIH HHS R01 AG020251NIA NIH HHS R01 AG034605NIA NIH HHS R01 AG052934NIA NIH HHS R01 AG058171NIA NIH HHS R21 AG029268NIA NIH HHS R37 AG004542
6 · The paper itself

Abstract

background and purposeThe manganese ion is used as an intracellular MR imaging contrast agent to study neuronal function in animal models, but it remains unclear whether manganese-enhanced MR imaging can be similarly useful in humans. Using mangafodipir (Teslascan, a chelated manganese-based contrast agent that is FDA-approved), we evaluated the dynamics of manganese enhancement of the brain and glandular structures in the rostral head and neck in healthy volunteers. MATERIALS AND

methodsWe administered mangafodipir intravenously at a rate of 1 mL/minute for a total dose of 5 μmol/kg body weight. Nine healthy adult volunteers (6 men/3 women; median age, 43 years) completed baseline history and physical examination, 3T MR imaging, and blood work. MR imaging also followed mangafodipir administration at various time points from immediate to 7 days, with delayed scans at 1-3 months.

resultsThe choroid plexus and anterior pituitary gland enhanced within 10 minutes of infusion, with enhancement persisting up to 7 and 30 days, respectively. Exocrine (parotid, submandibular, sublingual, and lacrimal) glands also enhanced avidly as early as 1 hour postadministration, generally resolving by 1 month; 3 volunteers had residual exocrine gland enhancement, which resolved by 2 months in 1 and by 3 months in the other 2. Mangafodipir did not affect clinical parameters, laboratory values, or T1-weighted signal in the basal ganglia.

conclusionsManganese ions released from mangafodipir successfully enable noninvasive visualization of intra- and extracranial structures that lie outside the blood-brain barrier without adverse clinical effects, setting the stage for future neuroradiologic investigation in disease.

Indexed as

AdultBrainContrast MediaEdetic AcidFemaleHealthy VolunteersHumansImage EnhancementMagnetic Resonance ImagingMalePyridoxal PhosphateContrast MediaEdetic AcidN,N'-bis(pyridoxal-5-phosphate)ethylenediamine-N,N'-diacetic acidPyridoxal Phosphate

Identifiers

PMID31371354
PMCPMC6754109
OpenAlexW2965112310

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.