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The Emerging Role of Ferumoxytol-Enhanced MRI in the Management of Cerebrovascular Lesions
Journal article   Open access   Peer reviewed

The Emerging Role of Ferumoxytol-Enhanced MRI in the Management of Cerebrovascular Lesions

Nohra Chalouhi, Pascal Jabbour, Vincent Magnotta and David Hasan
Molecules (Basel, Switzerland), Vol.18(8), pp.9670-9683
08/2013
DOI: 10.3390/molecules18089670
PMCID: PMC6270297
PMID: 23945642
url
https://doi.org/10.3390/molecules18089670View
Published (Version of record) Open Access

Abstract

Inflammation is increasingly being understood to be a key component to the pathophysiology of cerebrovascular lesions. Ferumoxytol, an iron oxide nanoparticle coated by a carbohydrate shell, has been used in MRI studies as an inflammatory marker because it is cleared by macrophages. Ferumoxytol-enhanced MRI has emerged as an important tool for noninvasive assessment of the inflammatory status of cerebrovascular lesions, namely aneurysms and arteriovenous malformations. Moreover, preliminary evidence suggests that ferumoxytol-enhanced MRI could be applied as a non-invasive tool to differentiate “unstable” lesions that require early intervention from “stable” lesions in which observation may be safe. Assessment of the effects of anti-inflammatory pharmacological interventions on cerebrovascular lesions is also a potentially crucial application of the technique. Future improvements in technique and MRI signal quantification will certainly pave the way for widespread and efficient use of ferumoxytol-enhanced MRI in clinical practice. In this paper, we review current data regarding ferumoxytol-enhanced MRI and discuss its current/potential applications and future perspectives.
arteriovenous malformation aneurysm magnetic resonance imaging Review ferumoxytol inflammation

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