The Lee Lab uses interdisciplinary approaches from biology and engineering to analyze, debug, and manipulate systems-level brain circuits. We seek to understand the connectivity and function of these large-scale networks in order to drive the development of new therapies for neurological diseases. This research finds its basic building blocks in areas ranging from medical imaging and signal processing to genetics and molecular biology.
Dr. Lee is a recipient of the 2010 NIH/NIBIB R00 Award, the 2010 NIH Director's New Innovator Award, the 2010 Okawa Foundation Research Grant Award, the 2011 NSF CAREER Award, the 2012 Alfred P. Sloan Foundation Research Fellowship Award, and the 2013 Alzheimer's Association New Investigator Award.
Honors & Awards
NIH/NIBIB K99/R00 Award, NIH/NIBIB (2008/2010)
NIH Director's New Innovator Award, NIH (2010)
Okawa Foundation Research Grant Award, Okawa Foundation (2010)
NSF CAREER Award, NSF (2011)
Alfred P. Sloan Foundation Research Fellowship, Alfred P. Sloan Foundation (2012)
Epilepsy Therapy Project Award, Epilepsy Foundation (2012)
Alzheimer's Association New Investigator Award, Alzheimer's Association (2013)
NIH/NIA RF1: Study of Alzheimer's Disease, NIH/NIA (2014)
NIH/NINDS R01: Study of Traumatic Brain Injury, NIH/NINDS (2014)
Stanford Bio-X interdisciplinary seed grant, Stanford Bio-X (2014)
NIH/NINDS R01: Study of Basal Ganglia Circuit Dynamics, NIH/NINDS (2015)
BS, Seoul National University, Electrical Engineering
MS, Stanford University, Electrical Engineering
PhD, Stanford University, Electrical Engineering (2004)
Current Research and Scholarly Interests
In vivo visualization and control of neural circuits
- Diagnostic Devices Lab
BIOE 201C, BIOE 301C (Spr)
Independent Studies (5)
- Bioengineering Problems and Experimental Investigation
BIOE 191 (Aut, Win, Spr)
- Directed Investigation
BIOE 392 (Aut, Win, Spr, Sum)
- Directed Reading in Neurosciences
NEPR 299 (Aut)
- Directed Study
BIOE 391 (Aut, Win, Spr)
- Graduate Research
NEPR 399 (Aut, Win)
- Bioengineering Problems and Experimental Investigation
- Prior Year Courses
Graduate and Fellowship Programs
- Reduction of Surface Roughness in Epitaxially Grown Germanium by Controlled Thermal Oxidation IEEE ELECTRON DEVICE LETTERS 2015; 36 (4): 297-299
Optogenetic fMRI reveals distinct, frequency-dependent networks recruited by dorsal and intermediate hippocampus stimulations.
2015; 107: 229-241
Although the connectivity of hippocampal circuits has been extensively studied, the way in which these connections give rise to large-scale dynamic network activity remains unknown. Here, we used optogenetic fMRI to visualize the brain network dynamics evoked by different frequencies of stimulation of two distinct neuronal populations within dorsal and intermediate hippocampus. Stimulation of excitatory cells in intermediate hippocampus caused widespread cortical and subcortical recruitment at high frequencies, whereas stimulation in dorsal hippocampus led to activity primarily restricted to hippocampus across all frequencies tested. Sustained hippocampal responses evoked during high-frequency stimulation of either location predicted seizure-like afterdischarges in video-EEG experiments, while the widespread activation evoked by high-frequency stimulation of intermediate hippocampus predicted behavioral seizures. A negative BOLD signal observed in dentate gyrus during dorsal, but not intermediate, hippocampus stimulation is proposed to underlie the mechanism for these differences. Collectively, our results provide insight into the dynamic function of hippocampal networks and their role in seizures.
View details for DOI 10.1016/j.neuroimage.2014.10.039
View details for PubMedID 25462689
In vivo imaging of transplanted stem cells in the central nervous system.
Current opinion in genetics & development
2014; 28: 83-88
In vivo imaging is increasingly being utilized in studies investigating stem cell-based treatments for neurological disorders. Direct labeling is used in preclinical and clinical studies to track the fate of transplanted cells. To further determine cell viability, experimental studies are able to take advantage of reporter gene technologies. Structural and functional brain imaging can also be used alongside cell imaging as biomarkers of treatment efficacy. Furthermore, it is possible that new imaging techniques could be used to monitor functional integration of stem cell-derived cells with the host nervous system. In this review, we examine recent developments in these areas and identify promising directions for future research at the interface of stem cell therapies and neuroimaging.
View details for DOI 10.1016/j.gde.2014.09.007
View details for PubMedID 25461455
High-throughput optogenetic functional magnetic resonance imaging with parallel computations
JOURNAL OF NEUROSCIENCE METHODS
2013; 218 (2): 184-195
Optogenetic functional magnetic resonance imaging (of MRI) technology enables cell-type-specific, temporally precise neuronal control and the accurate, in vivo readout of the resulting activity across the entire brain. With the ability to precisely control excitation and inhibition parameters and accurately record the resulting activity, there is an increased need for a high-throughput method to bring the of MRI studies to their full potential. In this paper, an advanced system facilitating real-time fMRI with interactive control and analysis in a fraction of the MRI acquisition repetition time (TR) is proposed. With high-processing speed, sufficient time will be available for the integration of future developments that further enhance of MRI data or streamline the study. We designed and implemented a highly optimised, massively parallel system using graphics processing units (GPUs), which achieves the reconstruction, motion correction, and analysis of 3D volume data in approximately 12.80 ms. As a result, with a 750 ms TR and 4 interleaf fMRI acquisition, we can now conduct sliding window reconstruction, motion correction, analysis and display in approximately 1.7% of the TR. Therefore, a significant amount of time can now be allocated to integrating advanced but computationally intensive methods that improve image quality and enhance the analysis results within a TR. Utilising the proposed high-throughput imaging platform with sliding window reconstruction, we were also able to observe the much-debated initial dips in our of MRI data. Combined with methods to further improve SNR, the proposed system will enable efficient real-time, interactive, high-throughput of MRI studies.
View details for DOI 10.1016/j.jneumeth.2013.04.015
View details for Web of Science ID 000324084400006
View details for PubMedID 23747482
Informing brain connectivity with optogenetic functional magnetic resonance imaging
2012; 62 (4): 2244-2249
Optogenetic functional magnetic resonance imaging (ofMRI) is a novel approach that combines optogenetic control of neural circuits with high-field functional MRI. Optogenetics is a neuro-modulation technology in which light-activated trans-membrane conductance regulators are introduced into specifically targeted cell types to allow temporally precise, millisecond-scale activity modulation in vivo. By combining optogenetic control with fMRI readout, neural activity arising from specific circuit elements defined by genetic identity, cell body location, and axonal projection targets can be monitored in vivo across the whole brain. These unique features of ofMRI open new vistas for in vivo characterization of the dense plexus of neural connections according to their type and functionality.
View details for DOI 10.1016/j.neuroimage.2012.01.116
View details for Web of Science ID 000308265200008
View details for PubMedID 22326987
Methods for registration of magnetic resonance images of ex vivo prostate specimens with histology
JOURNAL OF MAGNETIC RESONANCE IMAGING
2012; 36 (1): 206-212
To evaluate two methods of scanning and tissue processing to achieve accurate magnetic resonance (MR)-histologic correlation in human prostate specimens.Two prostates had acrylic paint markers injected to define the plane of imaging and serve as internal fiducials. Each was placed on a polycarbonate plane-finder device (PFD), which was adjusted to align the imaging and cutting planes. Three prostates were aligned by use of a plane finder key (PFK), a polycarbonate plate that locks the specimen in a cylindrical carrier. Markers were injected for registration analysis. Prostates were imaged, then sectioned. Imaging software was used to create registration maps of the MR and histology images. Measurements between control points were made and compared.Accurate correlation was achieved between MR and histologic images. The mean displacement (MD) between the corresponding registration points using the PFD technique ranged from 1.11-1.38 mm for each section. The MD for all sections was 1.24 mm. The MD using the PFK technique ranged from 0.79-1.01 mm for each section, and the MD across all sections for the PFK was 0.92 mm.We describe two methods that can achieve accurate, reproducible correlation between MR imaging and histologic sections in human prostatectomy specimens.
View details for DOI 10.1002/jmri.23614
View details for Web of Science ID 000305185700021
View details for PubMedID 22359365
SNR Dependence of Optimal Parameters for Apparent Diffusion Coefficient Measurements
IEEE TRANSACTIONS ON MEDICAL IMAGING
2011; 30 (2): 424-437
Optimizing the diffusion-weighted imaging (DWI) parameters (i.e., the b-value and the number of image averages) to the tissue of interest is essential for producing high-quality apparent diffusion coefficient (ADC) maps. Previous investigation of this optimization was performed assuming Gaussian noise statistics for the ADC map, which is only valid for high signal-to-noise ratio (SNR) imaging. In this work, the true statistics of the noise in ADC maps are derived, followed by an optimization of the DWI parameters as a function of the imaging SNR. Specifically, it is demonstrated that the optimum b-value is a monotonically increasing function of the imaging SNR, which converges to the optimum b-value from previously proposed approaches for high-SNR cases, while exhibiting a significant deviation from this asymptote for low-SNR situations. Incorporating the effects of T(2) weighting further increases the SNR dependence of the optimal parameters. The proposed optimization scheme is particularly important for high-resolution DWI, which intrinsically suffers from low SNR and therefore cannot afford the use of the conventional high b-values. Comparison scans were performed for high-resolution DWI of the spinal cord, demonstrating the improvements in the resulting images and the ADC maps achieved by this method.
View details for DOI 10.1109/TMI.2010.2084583
View details for Web of Science ID 000286931000022
View details for PubMedID 20934948
Tracing activity across the whole brain neural network with optogenetic functional magnetic resonance imaging.
Frontiers in neuroinformatics
2011; 5: 21-?
Despite the overwhelming need, there has been a relatively large gap in our ability to trace network level activity across the brain. The complex dense wiring of the brain makes it extremely challenging to understand cell-type specific activity and their communication beyond a few synapses. Recent development of the optogenetic functional magnetic resonance imaging (ofMRI) provides a new impetus for the study of brain circuits by enabling causal tracing of activities arising from defined cell types and firing patterns across the whole brain. Brain circuit elements can be selectively triggered based on their genetic identity, cell body location, and/or their axonal projection target with temporal precision while the resulting network response is monitored non-invasively with unprecedented spatial and temporal accuracy. With further studies including technological innovations to bring ofMRI to its full potential, ofMRI is expected to play an important role in our system-level understanding of the brain circuit mechanism.
View details for DOI 10.3389/fninf.2011.00021
View details for PubMedID 22046160
Global and local fMRI signals driven by neurons defined optogenetically by type and wiring
2010; 465 (7299): 788-792
Despite a rapidly-growing scientific and clinical brain imaging literature based on functional magnetic resonance imaging (fMRI) using blood oxygenation level-dependent (BOLD) signals, it remains controversial whether BOLD signals in a particular region can be caused by activation of local excitatory neurons. This difficult question is central to the interpretation and utility of BOLD, with major significance for fMRI studies in basic research and clinical applications. Using a novel integrated technology unifying optogenetic control of inputs with high-field fMRI signal readouts, we show here that specific stimulation of local CaMKIIalpha-expressing excitatory neurons, either in the neocortex or thalamus, elicits positive BOLD signals at the stimulus location with classical kinetics. We also show that optogenetic fMRI (of MRI) allows visualization of the causal effects of specific cell types defined not only by genetic identity and cell body location, but also by axonal projection target. Finally, we show that of MRI within the living and intact mammalian brain reveals BOLD signals in downstream targets distant from the stimulus, indicating that this approach can be used to map the global effects of controlling a local cell population. In this respect, unlike both conventional fMRI studies based on correlations and fMRI with electrical stimulation that will also directly drive afferent and nearby axons, this of MRI approach provides causal information about the global circuits recruited by defined local neuronal activity patterns. Together these findings provide an empirical foundation for the widely-used fMRI BOLD signal, and the features of of MRI define a potent tool that may be suitable for functional circuit analysis as well as global phenotyping of dysfunctional circuitry.
View details for DOI 10.1038/nature09108
View details for Web of Science ID 000278551800047
View details for PubMedID 20473285
High-Contrast In Vivo Visualization of Microvessels Using Novel FeCo/GC Magnetic Nanocrystals
MAGNETIC RESONANCE IN MEDICINE
2009; 62 (6): 1497-1509
FeCo-graphitic carbon shell nanocrystals are a novel MRI contrast agent with unprecedented high per-metal-atom-basis relaxivity (r(1) = 97 mM(-1) sec(-1), r(2) = 400 mM(-1) sec(-1)) and multifunctional capabilities. While the conventional gadolinium-based contrast-enhanced angiographic magnetic MRI has proven useful for diagnosis of vascular diseases, its short circulation time and relatively low sensitivity render high-resolution MRI of morphologically small vascular structures such as those involved in collateral, arteriogenic, and angiogenic vessel formation challenging. Here, by combining FeCo-graphitic carbon shell nanocrystals with high-resolution MRI technique, we demonstrate that such microvessels down to approximately 100 mum can be monitored in high contrast and noninvasively using a conventional 1.5-T clinical MRI system, achieving a diagnostic imaging standard approximating that of the more invasive X-ray angiography. Preliminary in vitro and in vivo toxicity study results also show no sign of toxicity.
View details for DOI 10.1002/mrm.22132
View details for Web of Science ID 000272067600017
View details for PubMedID 19859938
Non-contrast-Enhanced Flow-Independent Peripheral MR Angiography with Balanced SSFP
MAGNETIC RESONANCE IN MEDICINE
2009; 61 (6): 1533-1539
Flow-independent angiography is a non-contrast-enhanced technique that can generate vessel contrast even with reduced blood flow in the lower extremities. A method is presented for producing these angiograms with magnetization-prepared balanced steady-state free precession (bSSFP). Because bSSFP yields bright fat signal, robust fat suppression is essential for detailed depiction of the vasculature. Therefore, several strategies have been investigated to improve the reliability of fat suppression within short scan times. Phase-sensitive SSFP can efficiently suppress fat; however, partial volume effects due to fat and water occupying the same voxel can lead to the loss of blood signal. In contrast, alternating repetition time (ATR) SSFP minimizes this loss; however, the level of suppression is compromised by field inhomogeneity. Finally, a new double-acquisition ATR-SSFP technique reduces this sensitivity to off-resonance. In vivo results indicate that the two ATR-based techniques provide more reliable contrast when partial volume effects are significant.
View details for DOI 10.1002/mrm.21921
View details for Web of Science ID 000266429900031
View details for PubMedID 19365850
Fat/Water Separation Using a Concentric Rings Trajectory
MAGNETIC RESONANCE IN MEDICINE
2009; 61 (3): 639-649
The concentric rings two-dimensional (2D) k-space trajectory enables flexible trade-offs between image contrast, signal-to-noise ratio (SNR), spatial resolution, and scan time. However, to realize these benefits for in vivo imaging applications, a robust method is desired to deal with fat signal in the acquired data. Multipoint Dixon techniques have been shown to achieve uniform fat suppression with high SNR-efficiency for Cartesian imaging, but application of these methods for non-Cartesian imaging is complicated by the fact that fat off-resonance creates significant blurring artifacts in the reconstruction. In this work, two fat-water separation algorithms are developed for the concentric rings. A retracing design is used to sample rings near the center of k-space through multiple revolutions to characterize the fat-water phase evolution difference at multiple time points. This acquisition design is first used for multipoint Dixon reconstruction, and then extended to a spectroscopic approach to account for the trajectory's full evolution through 3D k-t space. As the trajectory is resolved in time, off-resonance effects cause shifts in frequency instead of spatial blurring in 2D k-space. The spectral information can be used to assess field variation and perform robust fat-water separation. In vivo experimental results demonstrate the effectiveness of both algorithms.
View details for DOI 10.1002/mrm.21865
View details for Web of Science ID 000263608300017
View details for PubMedID 19097243
DWI of the spinal cord with reduced FOV single-shot EPI
MAGNETIC RESONANCE IN MEDICINE
2008; 60 (2): 468-473
Single-shot echo-planar imaging (ss-EPI) has not been used widely for diffusion-weighted imaging (DWI) of the spinal cord, because of the magnetic field inhomogeneities around the spine, the small cross-sectional size of the spinal cord, and the increased motion in that area due to breathing, swallowing, and cerebrospinal fluid (CSF) pulsation. These result in artifacts with the usually long readout duration of the ss-EPI method. Reduced field-of-view (FOV) methods decrease the required readout duration for ss-EPI, thereby enabling its practical application to imaging of the spine. In this work, a reduced FOV single-shot diffusion-weighted echo-planar imaging (ss-DWEPI) method is proposed, in which a 2D spatially selective echo-planar RF excitation pulse and a 180 degrees refocusing pulse reduce the FOV in the phase-encode (PE) direction, while suppressing the signal from fat simultaneously. With this method, multi slice images with higher in-plane resolutions (0.94 x 0.94 mm(2) for sagittal and 0.62 x 0.62 mm(2) for axial images) are achieved at 1.5 T, without the need for a longer readout.
View details for DOI 10.1002/mrm.21640
View details for Web of Science ID 000258105800029
View details for PubMedID 18666126
Full-brain coverage and high-resolution Imaging capabilities of passband b-SSFP fMRI at 3T
MAGNETIC RESONANCE IN MEDICINE
2008; 59 (5): 1099-1110
Passband balanced-steady-state free precession (b-SSFP) fMRI is a recently developed method that utilizes the passband (flat portion) of the b-SSFP off-resonance response to measure MR signal changes elicited by changes in tissue oxygenation following increases in neuronal activity. Rapid refocusing and short readout durations of b-SSFP, combined with the relatively large flat portion of the b-SSFP off-resonance spectrum allows distortion-free full-brain coverage with only two acquisitions. This allows for high-resolution functional imaging, without the spatial distortion frequently encountered in conventional high-resolution functional images. Finally, the 3D imaging compatibility of the b-SSFP acquisitions permits isotropic-voxel-size high-resolution acquisitions. In this study we address some of the major technical issues involved in obtaining passband b-SSFP-based functional brain images with practical imaging parameters and demonstrate the advantages through breath-holding and visual field mapping experiments.
View details for DOI 10.1002/mrm.21576
View details for Web of Science ID 000255230700020
View details for PubMedID 18421687
MRI using a concentric rings trajectory
MAGNETIC RESONANCE IN MEDICINE
2008; 59 (1): 102-112
The concentric rings two-dimensional (2D) k-space trajectory provides an alternative way to sample polar data. By collecting 2D k-space data in a series of rings, many unique properties are observed. The concentric rings are inherently centric-ordered, provide a smooth weighting in k-space, and enable shorter total scan times. Due to these properties, the concentric rings are well-suited as a readout trajectory for magnetization-prepared studies. When non-Cartesian trajectories are used for MRI, off-resonance effects can cause blurring and degrade the image quality. For the concentric rings, off-resonance blur can be corrected by retracing rings near the center of k-space to obtain a field map with no extra excitations, and then employing multifrequency reconstruction. Simulations show that the concentric rings exhibit minimal effects due to T(2) (*) modulation, enable shorter scan times for a Nyquist-sampled dataset than projection-reconstruction imaging or Cartesian 2D Fourier transform (2DFT) imaging, and have more spatially distributed flow and motion properties than Cartesian sampling. Experimental results show that off-resonance blurring can be successfully corrected to obtain high-resolution images. Results also show that concentric rings effectively capture the intended contrast in a magnetization-prepared sequence.
View details for DOI 10.1002/mrm.21300
View details for Web of Science ID 000251979600014
View details for PubMedID 17969074
Synthesis and characterization of PVP-coated large core iron oxide nanoparticles as an MRI contrast agent.
2008; 19 (16): 165101
The purpose of this study was to synthesize biocompatible polyvinylpyrrolidone (PVP)-coated iron oxide (PVP-IO) nanoparticles and to evaluate their efficacy as a magnetic resonance imaging (MRI) contrast agent. The PVP-IO nanoparticles were synthesized by a thermal decomposition method and characterized by x-ray diffraction (XRD), transmission electron microscopy (TEM), dynamic light scattering (DLS), and a superconducting quantum interface device (SQUID). The core size of the particles is about 8-10 nm and the overall size is around 20-30 nm. The measured r(2) (reciprocal of T(2) relaxation time) and r2? (reciprocal of T2? relaxation time) are 141.2 and 338.1 (s mM)(-1), respectively. The particles are highly soluble and stable in various buffers and in serum. The macrophage uptake of PVP-IO is comparable to that of Feridex as measured by a Prussian blue iron stain and phantom study. The signal intensity of a rabbit liver was effectively reduced after intravenous administration of PVP-IO. Therefore PVP-IO nanoparticles are potentially useful for T(2)-weighted MR imaging.
View details for PubMedID 21394237
FeCo/graphitic-shell nanocrystals as advanced magnetic-resonance-imaging and near-infrared agents
2006; 5 (12): 971-976
Nanocrystals with advanced magnetic or optical properties have been actively pursued for potential biological applications, including integrated imaging, diagnosis and therapy. Among various magnetic nanocrystals, FeCo has superior magnetic properties, but it has yet to be explored owing to the problems of easy oxidation and potential toxicity. Previously, FeCo nanocrystals with multilayered graphitic carbon, pyrolytic carbon or inert metals have been obtained, but not in the single-shelled, discrete, chemically functionalized and water-soluble forms desired for biological applications. Here, we present a scalable chemical vapour deposition method to synthesize FeCo/single-graphitic-shell nanocrystals that are soluble and stable in water solutions. We explore the multiple functionalities of these core-shell materials by characterizing the magnetic properties of the FeCo core and near-infrared optical absorbance of the single-layered graphitic shell. The nanocrystals exhibit ultra-high saturation magnetization, r1 and r2 relaxivities and high optical absorbance in the near-infrared region. Mesenchymal stem cells are able to internalize these nanoparticles, showing high negative-contrast enhancement in magnetic-resonance imaging (MRI). Preliminary in vivo experiments achieve long-lasting positive-contrast enhancement for vascular MRI in rabbits. These results point to the potential of using these nanocrystals for integrated diagnosis and therapeutic (photothermal-ablation) applications.
View details for DOI 10.1038/nmat1775
View details for Web of Science ID 000242478600021
View details for PubMedID 17115025
Broadband multicoil imaging using multiple demodulation hardware: A feasibility study
MAGNETIC RESONANCE IN MEDICINE
2005; 54 (3): 669-676
Multiple receiver-coil data collection is an effective approach to reduce scan time. There are many parallel imaging techniques that reduce scan time using multiple receiver coils. One of these methods, partially parallel imaging with localized sensitivities (PILS), utilizes the localized sensitivity of each coil. The advantages of PILS over other parallel imaging methods include the simplicity of the algorithm, good signal-to-noise ratio (SNR) properties, and the fact that there is no additional complexity involved in applying the algorithm to arbitrary k-space trajectories. This PILS method can be further improved to provide truly parallel broadband imaging with the use of multiple-demodulation hardware. By customizing the demodulation based on each coil's location, the k-space sampling rate can be chosen based on each coil's localized sensitivity region along the readout direction. A simulated demodulation of data from 2D Fourier transform (FT) and spiral trajectories is shown to demonstrate the method's feasibility.
View details for DOI 10.1002/mrm.20595
View details for Web of Science ID 000231494000018
View details for PubMedID 16086362
Fast 3D imaging using variable-density spiral trajectories with applications to limb perfusion
MAGNETIC RESONANCE IN MEDICINE
2003; 50 (6): 1276-1285
Variable-density k-space sampling using a stack-of-spirals trajectory is proposed for ultra fast 3D imaging. Since most of the energy of an image is concentrated near the k-space origin, a variable-density k-space sampling method can be used to reduce the sampling density in the outer portion of k-space. This significantly reduces scan time while introducing only minor aliasing artifacts from the low-energy, high-spatial-frequency components. A stack-of-spirals trajectory allows control over the density variations in both the k(x)-k(y) plane and the k(z) direction while fast k-space coverage is provided by spiral trajectories in the k(x)-k(y) plane. A variable-density stack-of-spirals trajectory consists of variable-density spirals in each k(x)-k(y) plane that are located in varying density in the k(z) direction. Phantom experiments demonstrate that reasonable image quality is preserved with approximately half the scan time. This technique was then applied to first-pass perfusion imaging of the lower extremities which demands very rapid volume coverage. Using a variable-density stack-of-spirals trajectory, 3D images were acquired at a temporal resolution of 2.8 sec over a large volume with a 2.5 x 2.5 x 8 mm(3) spatial resolution. These images were used to resolve the time-course of muscle intensity following contrast injection.
View details for DOI 10.1002/mrm.10644
View details for Web of Science ID 000186991500019
View details for PubMedID 14648576
Noninvasive measurement of extraction fraction and single-kidney glomerular filtration rate with MR imaging in swine with surgically created renal artery stenoses
2002; 223 (1): 76-82
To test whether magnetic resonance (MR) imaging enables accurate measurement of extraction fraction (EF) in swine with unilateral renal ischemia and to evaluate effects of renal arterial stenosis on EF and single-kidney glomerular filtration rate.High-grade unilateral renal arterial stenoses were surgically created in eight pigs. Direct measurements of renal venous and arterial inulin concentration provided reference standard estimates of single-kidney EF. Pigs were imaged with a 1.5-T imager to estimate EF, renal blood flow, and glomerular filtration rate. A breath-hold inversion-recovery spiral sequence was used to measure T1 of blood in the infrarenal inferior vena cava and renal veins after intravenous administration of gadopentetate dimeglumine, and these data were used to calculate EF. Cine-phase contrast material-enhanced imaging of the renal arteries provided quantitative renal blood flow measurements. Bilateral single-kidney glomerular filtration rate was then determined: glomerular filtration rate = renal blood flow x (1 - hematocrit level) x EF.A statistically significant linear correlation was found between EF, as determined with MR imaging, and inulin (r = 0.77). As compared with kidneys without renal arterial stenosis, kidneys with renal arterial stenosis showed 50% (0.14/0.28) EF reduction (P <.01) and 59% glomerular filtration rate reduction (P <.01).MR imaging shows promise for in vivo measurement of EF and glomerular filtration rate, which may be useful in assessing the clinical importance of renal arterial stenosis.
View details for DOI 10.1148/radiol.2231010420
View details for Web of Science ID 000174611900011
View details for PubMedID 11930050