MRI with intrathecal MRI gadolinium contrast medium administration: a possible method to assess glymphatic function in human brain
Open accessAbstract
Recently, the “glymphatic system” of the brain has been discovered in rodents, which is a paravascular, transparenchymal route for clearance of excess brain metabolites and distribution of compounds in the cerebrospinal fluid. It has already been demonstrated that intrathecally administered gadolinium (Gd) contrast medium distributes along this route in rats, but so far not in humans. A 27-year-old woman underwent magnetic resonance imaging (MRI) with intrathecal administration of gadobutrol, which distributed throughout her entire brain after 1 and 4.5 h. MRI with intrathecal Gd may become a tool to study glymphatic function in the human brain.
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Literature reporting human in vivo CSF tracer studies is lacking, and observations made in animals have not been translated into humans.
“However, literature reporting human in vivo CSF tracer studies is lacking, and observations made in animals have not been translated into humans.”
From Brain-wide glymphatic enhancement and clearance in humans assessed with MRI. (2018) · cites this paper as [12]
The Introduction (page not provided) says that how rodent tracer observations relate to human brain physiology had not been established, supporting the claim's historical point. But it also describes existing human intrathecal contrast MRI for CSF leaks, and this paper reports a human tracer observation. It therefore does not support an unqualified claim that human in vivo CSF tracer studies are lacking or that the animal observations remain untranslated. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTwo recent human studies demonstrated brain parenchyma enhancement subsequent to intrathecal administration of a MRI contrast agent, but observations were limited to selected ROIs.
“Two recent human studies demonstrated brain parenchyma enhancement subsequent to subarachnoid (intrathecal) administration of a MRI contrast agent, but observations were limited to selected ROIs (12, 13).”
From Brain-wide glymphatic enhancement and clearance in humans assessed with MRI. (2018) · cites this paper as [12]
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The lymphatic drainage systems in the brain: a novel target for ischemic stroke?
Wang, Y.-J., Sun, Y., Pei, Y., Ma, H.-W., Ma, H., Qin, L., & Yan, J.-H. (2022) · Neural Regeneration Research · doi:10.4103/1673-5374.346484 · Cited by 58 · see citing works
The glymphatic system and its role in cerebral homeostasis
Benveniste, H., Elkin, R., Heerdt, P. M., Koundal, S., Xue, Y., Lee, H., Wardlaw, J. M., & Tannenbaum, A. (2020) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00852.2019 · Cited by 54 · see citing works
Piantino, J. A., Iliff, J. J., & Lim, M. M. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.06.025 · Cited by 55 · see citing works
Glymphatic pathways in the gyrencephalic brain
Bèchet, N. B., Shanbhag, N. C., & Lundgaard, I. (2021) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1177/0271678x21996175 · Cited by 55 · see citing works
van Osch, M. J. P., Wåhlin, A., Scheyhing, P., Mossige, I., Hirschler, L., Eklund, A., Mogensen, K., Gomolka, R. S., Radbruch, A., Qvarlander, S., et al. (2024) · NMR in Biomedicine · doi:10.1002/nbm.5159 · Cited by 55 · see citing works
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The Glymphatic System in Diabetes-Induced Dementia
Kim, Y., Nam, K. I., & Song, J. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00867 · Cited by 52 · see citing works
van Veluw, S. J., Benveniste, H., Bakker, E. N. T. P., Carare, R. O., Greenberg, S. M., Iliff, J. J., Lorthois, S., Nostrand, W. E. V., Petzold, G. C., Shih, A. Y., et al. (2024) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-024-05277-1 · Cited by 50 · see citing works
The stress of losing sleep: Sex-specific neurobiological outcomes
Wright, C. J., Milosavljevic, S., & Pocivavsek, A. (2023) · Neurobiology of Stress · doi:10.1016/j.ynstr.2023.100543 · Cited by 45 · see citing works
Gadolinium and Multiple Sclerosis: Vessels, Barriers of the Brain, and Glymphatics
Saade, C., Bou‐Fakhredin, R., Yousem, D. M., Asmar, K., Naffaa, L. N., & El‐Merhi, F. (2018) · American Journal of Neuroradiology · doi:10.3174/ajnr.a5773 · Cited by 41 · see citing works
Hennig, J., Kiviniemi, V. J., Riemenschneider, B., Barghoorn, A., Akın, B., Wang, F., & LeVan, P. (2020) · Magnetic Resonance Materials in Physics Biology and Medicine · doi:10.1007/s10334-020-00891-z · Cited by 41 · see citing works
Automated Methods for Detecting and Quantitation of Enlarged Perivascular spaces on MRI
Moses, J., Sinclair, B., Law, M., O'Brien, T. J., & Vivash, L. E. (2022) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.28369 · Cited by 44 · see citing works
Neurofluids and the glymphatic system: anatomy, physiology, and imaging
Wang, D. J. J., Hua, J., Cao, D., & Ho, M. (2023) · British Journal of Radiology · doi:10.1259/bjr.20230016 · Cited by 38 · see citing works
Glymphatic system dysfunction and risk of clinical milestones in patients with Parkinson disease
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Multimodal Imaging Study of Gadolinium Presence in Rat Cerebellum
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Light sheet fluorescence microscopy of optically cleared brains for studying the glymphatic system
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Assessment of factors influencing glymphatic activity and implications for clinical medicine
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Ramaswamy, S., Khasiyev, F., & Gutierrez, J. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.122.026601 · Cited by 37 · see citing works
An explanation for Terson syndrome at last: the glymphatic reflux theory
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The glymphatic system and multiple sclerosis: An evolving connection
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Novel PET Biomarkers to Disentangle Molecular Pathways across Age-Related Neurodegenerative Diseases
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- Authors
- Eide, P. K., & Ringstad, G.
- Affiliations
- Oslo University Hospital (NO)
- Corresponding author
- Eide, Per Kristian
- Venue
- Acta Radiologica Open
- Publisher
- SAGE Publications
- Published
- 2015-11-01
- Volume
- 4
- Issue
- 11
- Pages
- 205846011560963
- ISSN
- 2047-9816 (ISSN-L)
- 2058-4601
- PMC
- PMC4652208
- OpenAlex
- W2252352100
- Cited by
- 218
- References
- 10
- Citations by year
- 2026: 17 · 2025: 33 · 2024: 22 · 2023: 22 · 2022: 15 · 2021: 22 · 2020: 26 · 2019: 17 · 2018: 22 · 2017: 15 · 2016: 7
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Acta Radiologica Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- glymphatic system, gadobutrol, cerebrospinal fluid, human brain imaging
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