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The need for evidence-based, outcome-focused medical imaging research for cancer management. 癌症管理需要循证、注重结果的医学影像研究。
Pub Date : 2025-02-03 DOI: 10.1038/s44303-024-00067-7
Jiazheng Wang, Richard L Hesketh, John C Gore, Kevin M Brindle
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引用次数: 0
Interventional real-time molecular MRI for targeting early myocardial injury in a pig model. 靶向猪模型早期心肌损伤的介入实时分子MRI。
Pub Date : 2025-02-03 DOI: 10.1038/s44303-025-00069-z
Timo Heidt, Simon Reiss, Julien Thielmann, Christian Weber, Alexander Maier, Thomas Lottner, Heidi R Cristina-Schmitz, Timon Bühler, Diana Chiang, Claus Jülicher, Carolin Wadle, Ingo Hilgendorf, Dennis Wolf, Gavin Tumlinson, Luis Hortells, Dirk Westermann, Michael Bock, Constantin von Zur Mühlen

Myocardial ischemia induces tissue injury with subsequent inflammation and recruitment of immune cells. Besides myocardial tissue characterization, magnetic resonance imaging (MRI) allows for functional assessment using molecular imaging contrast agents. Here, we assessed ischemic cardiac lesions non-invasively directly after ischemia/reperfusion (I/R) in a porcine model by advanced MRI techniques and molecular imaging, targeting the cell adhesion molecule P-selectin functionalized with microparticles of iron oxide (MPIO). We used a closed-chest model of I/R by temporary coronary balloon-occlusion, real time 3T MRI-guided coronary injection of MPIO-based contrast agents, as well as injury, edema and iron-sensitive MRI. Within the first hours after I/R, we found T1 mapping to be most sensitive for tissue injury, with no changes in edema-sensitive MRI. Intriguingly, P-selectin MPIO contrast agent selectively enhanced the ischemic area in iron-sensitive MRI. In conclusion, this approach allows for sensitive detection of early myocardial inflammation beyond traditional edema-sensitive imaging.

心肌缺血引起组织损伤,随后出现炎症和免疫细胞募集。除了心肌组织表征,磁共振成像(MRI)允许使用分子成像造影剂进行功能评估。在这里,我们通过先进的MRI技术和分子成像技术,在猪模型中对缺血/再灌注(I/R)后的缺血性心脏病变进行了无创评估,目标是细胞粘附分子p -选择素被氧化铁微粒(MPIO)功能化。我们采用临时冠状动脉球囊闭塞,实时3T MRI引导下冠状动脉注射mpio造影剂,以及损伤,水肿和铁敏感MRI的闭胸I/R模型。在I/R后的第一个小时内,我们发现T1映射对组织损伤最敏感,而对水肿敏感的MRI没有变化。有趣的是,P-selectin MPIO造影剂选择性地增强了铁敏感MRI的缺血区域。总之,这种方法可以灵敏地检测早期心肌炎症,而不是传统的水肿敏感成像。
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引用次数: 0
A primer on current status and future opportunities of clinical optoacoustic imaging. 浅谈临床光声成像的现状及未来发展机遇。
Pub Date : 2025-01-27 DOI: 10.1038/s44303-024-00065-9
Ferdinand Knieling, Serene Lee, Vasilis Ntziachristos

Despite its introduction in the 1970's, it is only recent technology advances that have propelled growth in clinical optoacoustic (photoacoustic) imaging over the past decade. We analytically present the broad landscape of clinical optoacoustic applications in the context of these key technology advances, the unique contrast achieved, and the tissue biomarkers resolved. We then discuss current challenges and future opportunities to address the unmet clinical needs.

尽管它在20世纪70年代被引入,但在过去的十年里,只有最近的技术进步才推动了临床光声成像的发展。我们分析了在这些关键技术进步的背景下,临床光声应用的广阔前景,实现了独特的对比,并解决了组织生物标志物。然后我们讨论当前的挑战和未来的机会,以解决未满足的临床需求。
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引用次数: 0
A multiresolution approach with method-informed statistical analysis for quantifying lymphatic pumping dynamics. 一个多分辨率的方法与方法知情的统计分析量化淋巴泵动力学。
Pub Date : 2025-01-17 DOI: 10.1038/s44303-024-00061-z
Mohammad S Razavi, Katarina J Ruscic, Elizabeth G Korn, Marla Marquez, Timothy T Houle, Dhruv Singhal, Lance L Munn, Timothy P Padera

Despite significant strides in lymphatic system imaging, the timely diagnosis of lymphatic disorders remains elusive. This is driven by the absence of standardized, non-invasive, reliable, quantitative methods for real-time functional analysis of lymphatic contractility with adequate spatial and temporal resolution. Here, we address this unmet need by integrating near-infrared fluorescence lymphangiography imaging with an innovative analytical workflow that combines data acquisition, signal processing, and statistical analysis to integrate traditional peak-and-valley analysis with advanced wavelet time-frequency analyses. Variance component analysis was used to evaluate the drivers of variance attributable to each experimental variable for each lymphangiography measurement type. Generalizability studies were used to assess the reliability of measured parameters and how reliability improves as the number of repeat measurements per subject increases. This allowed us to determine the minimum number of repeat measurements needed per subject for acceptable measurement reliability. This approach not only offers detailed insights into lymphatic pumping behaviors across species, sex and age, but also significantly boosts the reliability of these measurements by incorporating multiple regions of interest and evaluating the lymphatic system under various gravitational loads. For example, the reliability of the peak-and-valley analysis of human lymphatic vessels was increased 3-fold using the described approach. By addressing the critical need for improved imaging and quantification methods, our study offers a new standard approach for the imaging and analysis of lymphatic function that can improve our understanding, diagnosis, and treatment of lymphatic diseases. The results highlight the importance of comprehensive data acquisition strategies to fully capture the dynamic behavior of the lymphatic system.

尽管淋巴系统成像取得了重大进展,但淋巴疾病的及时诊断仍然难以捉摸。这是由于缺乏标准化、无创、可靠、定量的方法来实时分析淋巴收缩性的功能,并具有足够的空间和时间分辨率。在这里,我们通过将近红外荧光淋巴管造影成像与创新的分析工作流程相结合来解决这一未满足的需求,该工作流程结合了数据采集,信号处理和统计分析,将传统的峰谷分析与先进的小波时频分析相结合。方差成分分析用于评估每个实验变量对每个淋巴管造影测量类型的方差驱动因素。通用性研究用于评估测量参数的可靠性,以及可靠性如何随着每个受试者重复测量次数的增加而提高。这使我们能够确定每个受试者为可接受的测量可靠性所需的最小重复测量次数。这种方法不仅提供了对不同物种、性别和年龄的淋巴泵送行为的详细见解,而且通过结合多个感兴趣的区域和评估不同重力载荷下的淋巴系统,显著提高了这些测量的可靠性。例如,使用所描述的方法,人类淋巴管峰谷分析的可靠性提高了3倍。通过解决对改进成像和量化方法的迫切需求,我们的研究为淋巴功能的成像和分析提供了一种新的标准方法,可以提高我们对淋巴疾病的理解、诊断和治疗。结果强调了综合数据采集策略的重要性,以充分捕捉淋巴系统的动态行为。
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引用次数: 0
From superior contrast to super resolution label free optical microscopy. 从优越的对比度到超分辨率标签自由光学显微镜。
Pub Date : 2025-01-13 DOI: 10.1038/s44303-024-00064-w
Nikhil Jayakumar, Balpreet Singh Ahluwalia

Label-free optical microscopy utilizes the information encoded in light scattered off unlabeled particles to generate the images. This review article starts off with a discussion on how this light matter interaction gives rise to the issues of poor-contrast and diffraction-limited spatial resolution. Then, this article reviews the various far-field label-free optical microscopy techniques that have been developed, with an emphasis on the physical mechanisms behind the image formation processes in such techniques. Thus the article aims to elucidate the various state-of-the-art label-free techniques and their current applications.

无标签光学显微镜利用从未标记粒子散射的光中编码的信息来生成图像。这篇综述文章首先讨论了这种光物质相互作用如何引起低对比度和衍射限制空间分辨率的问题。然后,本文回顾了各种已开发的远场无标签光学显微镜技术,重点介绍了这些技术中图像形成过程背后的物理机制。因此,本文旨在阐明各种最先进的无标签技术及其当前的应用。
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引用次数: 0
Molecular imaging of viral pathogenesis and opportunities for the future. 病毒发病机制的分子成像和未来的机遇。
Pub Date : 2025-01-01 Epub Date: 2025-01-24 DOI: 10.1038/s44303-024-00056-w
Brianna Kelly, Jeanette E Boudreau, Steven Beyea, Kimberly Brewer

Molecular imaging is used in clinical and research settings. Since tools to study viral pathogenesis longitudinally and systemically are limited, molecular imaging is an attractive and largely unexplored tool. This review discusses molecular imaging probes and techniques for studying viruses, particularly those currently used in oncology that are applicable to virology. Expanding the repertoire of probes to better detect viral disease may make imaging even more valuable in (pre-)clinical settings.

分子成像应用于临床和研究。由于纵向和系统地研究病毒发病机制的工具有限,分子成像是一个有吸引力的和很大程度上未开发的工具。本文综述了用于病毒研究的分子成像探针和技术,特别是目前在肿瘤学中应用于病毒学的分子成像探针和技术。扩大探针的范围以更好地检测病毒性疾病可能使成像在(前)临床设置中更有价值。
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引用次数: 0
MRI detects blood-brain barrier alterations in a rat model of Alzheimer's disease and lung infection. 核磁共振成像检测阿尔茨海默病和肺部感染大鼠模型的血脑屏障改变。
Pub Date : 2025-01-01 Epub Date: 2025-03-04 DOI: 10.1038/s44303-025-00071-5
Yolanda Ohene, William J Morrey, Elizabeth Powell, Katherine F Smethers, Nadim Luka, Kieron South, Michael Berks, Catherine B Lawrence, Geoff J M Parker, Laura M Parkes, Hervé Boutin, Ben R Dickie

Pneumonia is a common infection in people suffering with Alzheimer's disease, leading to delirium, critical illness or severe neurological decline, which may be due to an amplified response of the blood-brain barrier (BBB) to peripheral insult. We assess the response of the BBB to repeated Streptococcus pneumoniae lung infection in rat model of Alzheimer's disease (TgF344-AD), at 13- and 18-months old, using dynamic contrast-enhanced (DCE) MRI and filter exchange imaging. Higher BBB water exchange rate is initially detected in infected TgF344-AD rats. BBB water exchange rates correlated with hippocampus aquaporin-4 water channel expression in infected animals. We detected no differences in BBB permeability to gadolinium contrast agent measured by DCE-MRI, confirmed by staining for tight junction proteins, occludin and claudin-5. These findings provide insight into the mechanisms of how peripheral inflammation impacts the BBB.

肺炎是阿尔茨海默病患者的一种常见感染,可导致谵妄、危重疾病或严重的神经功能衰退,这可能是由于血脑屏障(BBB)对外周损伤的反应增强所致。我们评估了13个月和18个月大的阿尔茨海默病大鼠模型(TgF344-AD)血脑屏障对反复肺炎链球菌肺部感染的反应,使用动态对比增强(DCE) MRI和滤光片交换成像。感染的TgF344-AD大鼠最初检测到较高的血脑屏障水交换率。感染动物血脑屏障水交换率与海马水通道蛋白-4表达相关。通过对紧密连接蛋白、occludin和claudin-5的染色,我们发现DCE-MRI测量的钆造影剂对血脑屏障的通透性没有差异。这些发现为外周炎症如何影响血脑屏障的机制提供了见解。
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引用次数: 0
A critical assessment of artificial intelligence in magnetic resonance imaging of cancer. 人工智能在癌症磁共振成像中的关键评估。
Pub Date : 2025-01-01 Epub Date: 2025-04-09 DOI: 10.1038/s44303-025-00076-0
Chengyue Wu, Meryem Abbad Andaloussi, David A Hormuth, Ernesto A B F Lima, Guillermo Lorenzo, Casey E Stowers, Sriram Ravula, Brett Levac, Alexandros G Dimakis, Jonathan I Tamir, Kristy K Brock, Caroline Chung, Thomas E Yankeelov

Given the enormous output and pace of development of artificial intelligence (AI) methods in medical imaging, it can be challenging to identify the true success stories to determine the state-of-the-art of the field. This report seeks to provide the magnetic resonance imaging (MRI) community with an initial guide into the major areas in which the methods of AI are contributing to MRI in oncology. After a general introduction to artificial intelligence, we proceed to discuss the successes and current limitations of AI in MRI when used for image acquisition, reconstruction, registration, and segmentation, as well as its utility for assisting in diagnostic and prognostic settings. Within each section, we attempt to present a balanced summary by first presenting common techniques, state of readiness, current clinical needs, and barriers to practical deployment in the clinical setting. We conclude by presenting areas in which new advances must be realized to address questions regarding generalizability, quality assurance and control, and uncertainty quantification when applying MRI to cancer to maintain patient safety and practical utility.

鉴于人工智能(AI)方法在医学成像领域的巨大产出和发展速度,确定真正的成功案例以确定该领域的最新进展可能具有挑战性。本报告旨在为磁共振成像(MRI)界提供初步指导,以了解人工智能方法在肿瘤学MRI中的主要领域。在对人工智能的一般介绍之后,我们继续讨论人工智能在MRI中用于图像采集,重建,配准和分割时的成功和当前的局限性,以及它在辅助诊断和预后设置中的实用性。在每个部分中,我们试图通过首先介绍常见技术、准备状态、当前临床需求和临床环境中实际部署的障碍来提供一个平衡的总结。最后,我们提出了在将MRI应用于癌症时必须实现新进展的领域,以解决有关通用性,质量保证和控制以及不确定性量化的问题,以保持患者的安全性和实用性。
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引用次数: 0
MRI detection of senescent cells in porcine knee joints with a β-galactosidase responsive Gd-chelate. β-半乳糖苷酶响应的gd -螯合物对猪膝关节衰老细胞的MRI检测。
Pub Date : 2025-01-01 Epub Date: 2025-05-03 DOI: 10.1038/s44303-025-00078-y
Kerem Nernekli, Dilyana B Mangarova, Vidyani Suryadevara, Mohammadjavad Hajipour, Jian-Hong Tang, Jie Wang, Tie Liang, Marek Harris, Tsuyoshi Ueyama, Jennifer K Lyons, Michael E Moseley, Raheleh Roudi, Laura Pisani, Ricarda von Krüchten, Ramesh Duwa, Sarah Ying Lu-Liang, Zahra Shokri Varniab, Iryna Vasyliv, Neeladrisingha Das, Masatoshi Murayama, Issei Shinohara, Guillem Pratx, Stuart B Goodman, Thomas J Meade, Heike E Daldrup-Link

Senescent cells promote osteoarthritis progression through the secretion of inflammatory mediators. Preclinical studies have identified senescence-associated beta-galactosidase (β-gal) as a biomarker of senescence, but in vivo detection remains challenging. Here, we evaluated whether a β-gal responsive gadolinium (Gd) chelate can non-invasively detect β-gal expressing senescent cells with standard clinical magnetic resonance imaging (MRI) technology in vitro, ex vivo, and in vivo in porcine joints. In vitro studies showed that senescent mesenchymal stromal cells (MSCs) exhibited significant MRI signal enhancement upon incubation with the β-gal responsive Gd-chelate compared to viable control cells. In vivo, intraarticular injection of the probe into pig knee joints revealed its retention and activation by senescent cells in cartilage defects, evidenced by a significant increase in R 1 relaxation rate. MRI-based senescent cell detection holds promise for identifying patients amenable to senolytic therapies, tailoring treatment plans, and monitoring therapy response in real-time.

衰老细胞通过分泌炎症介质促进骨关节炎的进展。临床前研究已经确定衰老相关的β-半乳糖苷酶(β-gal)是衰老的生物标志物,但在体内检测仍然具有挑战性。在这里,我们评估了β-gal反应性钆(Gd)螯合物是否可以通过标准临床磁共振成像(MRI)技术在体外、离体和体内检测猪关节中表达β-gal的衰老细胞。体外研究表明,衰老间充质间质细胞(MSCs)在与β-gal反应性gd -螯合物孵育后,与活的对照细胞相比,表现出显著的MRI信号增强。在体内,将探针注射到猪膝关节内,发现其在软骨缺损处被衰老细胞保留和激活,r1松弛率显著增加。基于mri的衰老细胞检测有望识别适合抗衰老治疗的患者,定制治疗计划,并实时监测治疗反应。
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引用次数: 0
Three-dimensional fiber orientation mapping of ex vivo human brain at micrometer resolution. 离体人脑在微米分辨率下的三维纤维定向映射。
Pub Date : 2025-01-01 Epub Date: 2025-04-08 DOI: 10.1038/s44303-025-00074-2
Chao J Liu, William Ammon, Robert J Jones, Jackson C Nolan, Dayang Gong, Chiara Maffei, Nathan Blanke, Brian L Edlow, Jean C Augustinack, Caroline Magnain, Anastasia Yendiki, Martin Villiger, Bruce Fischl, Hui Wang

The accurate measurement of three-dimensional (3D) fiber orientation in the brain is crucial for reconstructing fiber pathways and studying their involvement in neurological diseases. Comprehensive reconstruction of axonal tracts and small fascicles requires high-resolution technology beyond the ability of current in vivo imaging (e.g., diffusion magnetic resonance imaging). Optical imaging methods such as polarization-sensitive optical coherence tomography (PS-OCT) can quantify fiber orientation at micrometer resolution but have been limited to two-dimensional in-plane orientation, preventing the comprehensive study of connectivity in 3D. In this work we present a novel method to quantify volumetric 3D orientation in full angular space with PS-OCT in postmortem human brain tissues. We measure the polarization contrasts of the brain sample from two illumination angles of 0 and 15° and apply a computational method that yields the 3D optic axis orientation and true birefringence. We further present 3D fiber orientation maps of entire coronal cerebrum sections and brainstem with 10 μm in-plane resolution, revealing unprecedented details of fiber configurations. We envision that our method will open a promising avenue towards large-scale 3D fiber axis mapping in the human brain as well as other complex fibrous tissues at microscopic level.

精确测量大脑中三维(3D)纤维的方向对于重建纤维通路和研究它们在神经系统疾病中的作用至关重要。轴突束和小束的全面重建需要高分辨率技术,这超出了当前体内成像(如扩散磁共振成像)的能力。偏振敏感光学相干层析成像(PS-OCT)等光学成像方法可以在微米分辨率下量化光纤的方向,但仅限于二维平面内方向,无法在三维上对连通性进行全面研究。在这项工作中,我们提出了一种新的方法,用PS-OCT在死后人脑组织的全角空间中量化体积三维方向。我们从0°和15°两个照明角度测量大脑样本的偏振对比,并应用计算方法产生3D光轴方向和真正的双折射。我们进一步以10 μm的平面分辨率绘制了整个大脑冠状区和脑干的三维纤维定向图,揭示了纤维结构的前所未有的细节。我们设想,我们的方法将为人类大脑以及其他复杂纤维组织在微观水平上的大规模3D纤维轴映射开辟一条有希望的道路。
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引用次数: 0
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npj Imaging
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