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Iopamidol: Exploring the potential use of a well-established x-ray contrast agent for MRI

✍ Scribed by Silvio Aime; Luisella Calabi; Luca Biondi; Mario De Miranda; Stefano Ghelli; Lino Paleari; Cristina Rebaudengo; Enzo Terreno


Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
478 KB
Volume
53
Category
Article
ISSN
0740-3194

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✦ Synopsis


Abstract

Iopamidol is one of the most common contrast media used for diagnostic CT‐based clinical protocols. Chemically, this molecule contains two pools of mobile protons (amide and alcoholic) that are in exchange with water. At 7.05 T, pH 7.4, and 312 K, the exchange rate of the alcoholic protons is too fast to affect the NMR properties of water protons, whereas the slowly exchanging amide protons induce a T~2~‐shortening effect on the “bulk” water signal that is detectable when the concentration is about 12 mM. Moreover, a more pronounced contrast is observed when the amide resonances are saturated by the application of an appropriate RF irradiation field, making iopamidol a potential chemical exchange saturation transfer (CEST) agent whose effect can be detected at a concentration as low as 7 mM (at 7.05 T). The exploitation of the MRI properties of iopamidol could facilitate novel and interesting diagnostic applications for combined MRI and CT studies. Magn Reson Med 53:830–834, 2005. © 2005 Wiley‐Liss, Inc.