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Quantitative measurements of brain iron deposition in cirrhotic patients using susceptibility mapping

Background Susceptibility-weighted imaging (SWI) has been used to detect micro-bleeds and iron deposits in the brain. However, no reports have been published on the application of SWI in studying iron changes in the brain of cirrhotic patients. Purpose To compare the susceptibility of different brai...

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Published in:Acta radiologica (1987) 2015-03, Vol.56 (3), p.339-346
Main Authors: Xia, Shuang, Zheng, Gang, Shen, Wen, Liu, Saifeng, Zhang, Long Jiang, Haacke, E Mark, Lu, Guang Ming
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cited_by cdi_FETCH-LOGICAL-c337t-f4124de9484eec10153b40a2f7f73e8e278fcc31a6d52a986b3ee334f32839723
cites cdi_FETCH-LOGICAL-c337t-f4124de9484eec10153b40a2f7f73e8e278fcc31a6d52a986b3ee334f32839723
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container_issue 3
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container_title Acta radiologica (1987)
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creator Xia, Shuang
Zheng, Gang
Shen, Wen
Liu, Saifeng
Zhang, Long Jiang
Haacke, E Mark
Lu, Guang Ming
description Background Susceptibility-weighted imaging (SWI) has been used to detect micro-bleeds and iron deposits in the brain. However, no reports have been published on the application of SWI in studying iron changes in the brain of cirrhotic patients. Purpose To compare the susceptibility of different brain structures in cirrhotic patients with that in healthy controls and to evaluate susceptibility as a potential biomarker and correlate the measured susceptibility and cadaveric brain iron concentration for a variety of brain structures. Material and Methods Forty-three cirrhotic patients (27 men, 16 women; mean age, 50 ± 9 years) and 34 age- and sex-matched healthy controls (22 men, 12 women; mean age, 47 ± 7 years) were included in this retrospective study. Susceptibility was measured in the frontal white matter, basal ganglia, midbrain, and dentate nucleus and compared with results gathered from two postmortem brain studies. Correlation between susceptibility and clinical biomarkers and neuropsychiatric tests scores was calculated. Results In cirrhotic patients, the susceptibility of left frontal white matter, bilateral caudate head, and right substantia nigra was higher than that in healthy controls (P 
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However, no reports have been published on the application of SWI in studying iron changes in the brain of cirrhotic patients. Purpose To compare the susceptibility of different brain structures in cirrhotic patients with that in healthy controls and to evaluate susceptibility as a potential biomarker and correlate the measured susceptibility and cadaveric brain iron concentration for a variety of brain structures. Material and Methods Forty-three cirrhotic patients (27 men, 16 women; mean age, 50 ± 9 years) and 34 age- and sex-matched healthy controls (22 men, 12 women; mean age, 47 ± 7 years) were included in this retrospective study. Susceptibility was measured in the frontal white matter, basal ganglia, midbrain, and dentate nucleus and compared with results gathered from two postmortem brain studies. Correlation between susceptibility and clinical biomarkers and neuropsychiatric tests scores was calculated. Results In cirrhotic patients, the susceptibility of left frontal white matter, bilateral caudate head, and right substantia nigra was higher than that in healthy controls (P &lt; 0.05). There was a positive correlation between susceptibility and iron concentration from one postmortem brain study (r = 0.835, P = 0.01) in eight deep grey matter structures and another in five brain structures (r = 0.900, P = 0.03). The susceptibility of right caudate head (r = 0.402) and left caudate head (r = 0.408) correlated with neuropsychological test scores (both P &lt; 0.05). Conclusion Abnormal iron deposits occur in cirrhotic patients and abnormal susceptibility of some brain regions appears to reflect neurocognitive changes.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1177/0284185114525374</identifier><identifier>PMID: 24646625</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Biomarkers - analysis ; Brain - pathology ; Brain Chemistry ; Brain Diseases - etiology ; Brain Diseases - pathology ; Brain Mapping - methods ; Cadaver ; Disease Susceptibility - blood ; Female ; Humans ; Iron - analysis ; Liver Cirrhosis - blood ; Liver Cirrhosis - complications ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neuropsychological Tests - statistics &amp; numerical data ; Reference Values ; Retrospective Studies</subject><ispartof>Acta radiologica (1987), 2015-03, Vol.56 (3), p.339-346</ispartof><rights>The Foundation Acta Radiologica 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>The Foundation Acta Radiologica 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-f4124de9484eec10153b40a2f7f73e8e278fcc31a6d52a986b3ee334f32839723</citedby><cites>FETCH-LOGICAL-c337t-f4124de9484eec10153b40a2f7f73e8e278fcc31a6d52a986b3ee334f32839723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24646625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xia, Shuang</creatorcontrib><creatorcontrib>Zheng, Gang</creatorcontrib><creatorcontrib>Shen, Wen</creatorcontrib><creatorcontrib>Liu, Saifeng</creatorcontrib><creatorcontrib>Zhang, Long Jiang</creatorcontrib><creatorcontrib>Haacke, E Mark</creatorcontrib><creatorcontrib>Lu, Guang Ming</creatorcontrib><title>Quantitative measurements of brain iron deposition in cirrhotic patients using susceptibility mapping</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Background Susceptibility-weighted imaging (SWI) has been used to detect micro-bleeds and iron deposits in the brain. However, no reports have been published on the application of SWI in studying iron changes in the brain of cirrhotic patients. Purpose To compare the susceptibility of different brain structures in cirrhotic patients with that in healthy controls and to evaluate susceptibility as a potential biomarker and correlate the measured susceptibility and cadaveric brain iron concentration for a variety of brain structures. Material and Methods Forty-three cirrhotic patients (27 men, 16 women; mean age, 50 ± 9 years) and 34 age- and sex-matched healthy controls (22 men, 12 women; mean age, 47 ± 7 years) were included in this retrospective study. Susceptibility was measured in the frontal white matter, basal ganglia, midbrain, and dentate nucleus and compared with results gathered from two postmortem brain studies. Correlation between susceptibility and clinical biomarkers and neuropsychiatric tests scores was calculated. Results In cirrhotic patients, the susceptibility of left frontal white matter, bilateral caudate head, and right substantia nigra was higher than that in healthy controls (P &lt; 0.05). There was a positive correlation between susceptibility and iron concentration from one postmortem brain study (r = 0.835, P = 0.01) in eight deep grey matter structures and another in five brain structures (r = 0.900, P = 0.03). The susceptibility of right caudate head (r = 0.402) and left caudate head (r = 0.408) correlated with neuropsychological test scores (both P &lt; 0.05). Conclusion Abnormal iron deposits occur in cirrhotic patients and abnormal susceptibility of some brain regions appears to reflect neurocognitive changes.</description><subject>Adult</subject><subject>Biomarkers - analysis</subject><subject>Brain - pathology</subject><subject>Brain Chemistry</subject><subject>Brain Diseases - etiology</subject><subject>Brain Diseases - pathology</subject><subject>Brain Mapping - methods</subject><subject>Cadaver</subject><subject>Disease Susceptibility - blood</subject><subject>Female</subject><subject>Humans</subject><subject>Iron - analysis</subject><subject>Liver Cirrhosis - blood</subject><subject>Liver Cirrhosis - complications</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests - statistics &amp; numerical data</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kMtLAzEQxoMotlbvniRHL6t5btKjFF8giKDnJbs7W1O6mzUPof-9qa0eBE8zzPy-j5kPoXNKrihV6powLaiWlArJJFfiAE1pSUhBhJSHaLpdF9v9BJ2EsCKEMiXpMZowUYqyZHKK4CWZIdpoov0E3IMJyUMPQwzYdbj2xg7YejfgFkYXbLS5zaPGev_uom3wmJXfeAp2WOKQQgNjtLVd27jBvRnHPD5FR51ZBzjb1xl6u7t9XTwUT8_3j4ubp6LhXMWiE5SJFuZCC4CGEip5LYhhneoUBw1M6a5pODVlK5mZ67LmAJyLjjPN54rxGbrc-Y7efSQIseptvme9NgO4FCpaSq2IJFJnlOzQxrsQPHTV6G1v_KaipNqGW_0NN0su9u6p7qH9FfykmYFiBwSzhGrlkh_yt_8bfgEpYIMN</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Xia, Shuang</creator><creator>Zheng, Gang</creator><creator>Shen, Wen</creator><creator>Liu, Saifeng</creator><creator>Zhang, Long Jiang</creator><creator>Haacke, E Mark</creator><creator>Lu, Guang Ming</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Quantitative measurements of brain iron deposition in cirrhotic patients using susceptibility mapping</title><author>Xia, Shuang ; Zheng, Gang ; Shen, Wen ; Liu, Saifeng ; Zhang, Long Jiang ; Haacke, E Mark ; Lu, Guang Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-f4124de9484eec10153b40a2f7f73e8e278fcc31a6d52a986b3ee334f32839723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Biomarkers - analysis</topic><topic>Brain - pathology</topic><topic>Brain Chemistry</topic><topic>Brain Diseases - etiology</topic><topic>Brain Diseases - pathology</topic><topic>Brain Mapping - methods</topic><topic>Cadaver</topic><topic>Disease Susceptibility - blood</topic><topic>Female</topic><topic>Humans</topic><topic>Iron - analysis</topic><topic>Liver Cirrhosis - blood</topic><topic>Liver Cirrhosis - complications</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests - statistics &amp; numerical data</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xia, Shuang</creatorcontrib><creatorcontrib>Zheng, Gang</creatorcontrib><creatorcontrib>Shen, Wen</creatorcontrib><creatorcontrib>Liu, Saifeng</creatorcontrib><creatorcontrib>Zhang, Long Jiang</creatorcontrib><creatorcontrib>Haacke, E Mark</creatorcontrib><creatorcontrib>Lu, Guang Ming</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xia, Shuang</au><au>Zheng, Gang</au><au>Shen, Wen</au><au>Liu, Saifeng</au><au>Zhang, Long Jiang</au><au>Haacke, E Mark</au><au>Lu, Guang Ming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantitative measurements of brain iron deposition in cirrhotic patients using susceptibility mapping</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2015-03</date><risdate>2015</risdate><volume>56</volume><issue>3</issue><spage>339</spage><epage>346</epage><pages>339-346</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><abstract>Background Susceptibility-weighted imaging (SWI) has been used to detect micro-bleeds and iron deposits in the brain. However, no reports have been published on the application of SWI in studying iron changes in the brain of cirrhotic patients. Purpose To compare the susceptibility of different brain structures in cirrhotic patients with that in healthy controls and to evaluate susceptibility as a potential biomarker and correlate the measured susceptibility and cadaveric brain iron concentration for a variety of brain structures. Material and Methods Forty-three cirrhotic patients (27 men, 16 women; mean age, 50 ± 9 years) and 34 age- and sex-matched healthy controls (22 men, 12 women; mean age, 47 ± 7 years) were included in this retrospective study. Susceptibility was measured in the frontal white matter, basal ganglia, midbrain, and dentate nucleus and compared with results gathered from two postmortem brain studies. Correlation between susceptibility and clinical biomarkers and neuropsychiatric tests scores was calculated. Results In cirrhotic patients, the susceptibility of left frontal white matter, bilateral caudate head, and right substantia nigra was higher than that in healthy controls (P &lt; 0.05). There was a positive correlation between susceptibility and iron concentration from one postmortem brain study (r = 0.835, P = 0.01) in eight deep grey matter structures and another in five brain structures (r = 0.900, P = 0.03). The susceptibility of right caudate head (r = 0.402) and left caudate head (r = 0.408) correlated with neuropsychological test scores (both P &lt; 0.05). Conclusion Abnormal iron deposits occur in cirrhotic patients and abnormal susceptibility of some brain regions appears to reflect neurocognitive changes.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24646625</pmid><doi>10.1177/0284185114525374</doi><tpages>8</tpages></addata></record>
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subjects Adult
Biomarkers - analysis
Brain - pathology
Brain Chemistry
Brain Diseases - etiology
Brain Diseases - pathology
Brain Mapping - methods
Cadaver
Disease Susceptibility - blood
Female
Humans
Iron - analysis
Liver Cirrhosis - blood
Liver Cirrhosis - complications
Magnetic Resonance Imaging
Male
Middle Aged
Neuropsychological Tests - statistics & numerical data
Reference Values
Retrospective Studies
title Quantitative measurements of brain iron deposition in cirrhotic patients using susceptibility mapping
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