Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28955291
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Neurol
2017 ; 8
(ä): 426
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Assessing Metabolism and Injury in Acute Human Traumatic Brain Injury with
Magnetic Resonance Spectroscopy: Current and Future Applications
#MMPMID28955291
Stovell MG
; Yan JL
; Sleigh A
; Mada MO
; Carpenter TA
; Hutchinson PJA
; Carpenter KLH
Front Neurol
2017[]; 8
(ä): 426
PMID28955291
show ga
Traumatic brain injury (TBI) triggers a series of complex pathophysiological
processes. These include abnormalities in brain energy metabolism; consequent to
reduced tissue pO(2) arising from ischemia or abnormal tissue oxygen diffusion,
or due to a failure of mitochondrial function. In vivo magnetic resonance
spectroscopy (MRS) allows non-invasive interrogation of brain tissue metabolism
in patients with acute brain injury. Nuclei with "spin," e.g., (1)H, (31)P, and
(13)C, are detectable using MRS and are found in metabolites at various stages of
energy metabolism, possessing unique signatures due to their chemical shift or
spin-spin interactions (J-coupling). The most commonly used clinical MRS
technique, (1)H MRS, uses the great abundance of hydrogen atoms within molecules
in brain tissue. Spectra acquired with longer echo-times include
N-acetylaspartate (NAA), creatine, and choline. NAA, a marker of neuronal
mitochondrial activity related to adenosine triphosphate (ATP), is reported to be
lower in patients with TBI than healthy controls, and the ratio of NAA/creatine
at early time points may correlate with clinical outcome. (1)H MRS acquired with
shorter echo times produces a more complex spectrum, allowing detection of a
wider range of metabolites.(31) P MRS detects high-energy phosphate species,
which are the end products of cellular respiration: ATP and phosphocreatine
(PCr). ATP is the principal form of chemical energy in living organisms, and PCr
is regarded as a readily mobilized reserve for its replenishment during periods
of high utilization. The ratios of high-energy phosphates are thought to
represent a balance between energy generation, reserve and use in the brain. In
addition, the chemical shift difference between inorganic phosphate and PCr
enables calculation of intracellular pH.(13) C MRS detects the (13)C isotope of
carbon in brain metabolites. As the natural abundance of (13)C is low (1.1%),
(13)C MRS is typically performed following administration of (13)C-enriched
substrates, which permits tracking of the metabolic fate of the infused (13)C in
the brain over time, and calculation of metabolic rates in a range of biochemical
pathways, including glycolysis, the tricarboxylic acid cycle, and
glutamate-glutamine cycling. The advent of new hyperpolarization techniques to
transiently boost signal in (13)C-enriched MRS in vivo studies shows promise in
this field, and further developments are expected.