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Claims  |
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What is claimed is:
1. A chemically stable physiologically tolerable contrast agent in a solid
state, for use in vivo solution during diagnostic magnetic resonance
imaging (MRI), to enhance the MRI image of a subject within the MRI
scanning magnetic field, comprising:
a contrast agent of the form:
E-DTPA-PM,
where:
E-DTPA is an ethylene triamine pentaacetic acid chelator in which at least
one of the five acetic acid groups has become a functional ester group E
of the form:
E=--COO--(CH.sub.2).sub.n-1 --CH.sub.3,
wherein "n" is an integer from 1 to 16 indicating the number of Carbon
atoms in the Carbon-Hydrogen portion of the ester group E,
for functionally cooperating with the in vivo environment; and
PM is a paramagnetic metal ion having an atomic charge of +Z, securely
chelated at a plurality of coordination points into the E-DTPA chelator to
chemically isolate the PM(+Z) ion from the in vivo environnent, for
locally affecting the magnetic field of the MRI system;
whereby the contrast agent causes a reduction in the T1 relaxation time
near the region of interest within the subject.
2. The contrast agent of claim 1, wherein the contrast agent is a diester
of the form:
2E-DTPA-PM,
where:
2E-DTPA-PM is ethylene triamine pentaacetic acid chelator in which two of
the five acetic acid groups have been become a pair of functional ester
groups E of the form:
E=--COO--(CH.sub.2).sub.n-1 --CH.sub.3,
wherein n is an integer from 1 to 16 indicating the number of Carbon atoms
in the Carbon-Hydrogen portion of each ester group E1 and E2.
3. The contrast agent of claim 2, wherein Z=+3 and the 2E-DTPA-PM(+3)
molecule has a zero net charge.
4. The contrast agent of claim 2, wherein Z=+2 and the general form is:
2E-IN-DTPA-PM(+2),
where:
IN is an inert cation
of charge +1; and the 2E-IN-DTPA-PM(+2) molecule has a zero net charge.
5. The contrast agent of claim 1, wherein the paramagnetic metal ion PM(+Z)
is at least one element selected from the group consisting of:
Cr(III)
Mn(II)
Fe(III)
Fe(II)
Co(II)
Ni(II)
Cu(III)
Cu(II)
La(III)
Ce(III)
Pr(III)
Nd(III)
Pm(III)
Sm(III)
Eu(III)
Gd(III)
Tb(III)
Dy(III)
Ho(III)
Er(III)
Tm(III)
Yb(III)
Lu(III).
6. The contrast agent of claim 1, wherein the paramagnetic metal ion PM(+Z)
is at least one element selected from the group consisting of:
Cr(III)
Mn(II)
Fe(III)
Fe(II)
Gd(II)
Co(II)
Ni(II)
Cu(III)
Cu(II).
7. A chemically stable physiologically tolerable contrast agent in a
pharmacological state, for in vivo use during diagnostic magnetic
resonance imaging (MRI), to enhance the MRI image of a subject within the
MRI scanning magnetic field, comprising:
a paramagnetic metal ion PM(+Z) having an atomic charge of Z for locally
affecting the MRI scanning magnetic field within the subject to reduce the
T1 relaxation time thereof;
a triamine chelator DTPA' securely polar bonded around the PM(+Z) ion at a
plurality of coordination points to provide a DTPA'-PM, and having the
form:
##STR9##
for chemically isolating the PM(+Z) ion from the in vivo environment;
functional group means formed by an ester compound of the form
--COO--(CH.sub.2).sub.n-1 --CH.sub.3,
wherein "n" is an integer indicating the number of Carbon atoms in the
Carbon-Hydrogen portion of the ester compound, for functionally
cooperating with the in vivo environment, covalently bonded to the
DTPA'-PM chelator forming an Ester-DTPA'-PM contrast agent; and
a pharmaceutically acceptable vehicle means for dispersing the
Ester-DTPA'-PM contrast agent.
8. The contrast agent of claim 7, wherein the functional group means
comprises:
a first ester group having nl Carbon atoms in Carbon-Hydrogen portion, and
covalently bonded to the DTPA'-PM chelator; and
a second ester group having n2 Carbon atoms in Carbon-Hydrogen portion, and
covalently bonded to the DTPA'-PM chelator;
to form a Diester-DTPA'-PM.
9. The contrast agent of claim 8, wherein n1 and n2 may by any whole
integer from 1 to 16.
10. The contrast agent of claim 9, wherein the Diester-DTPA'-PM is a
homo-diester in which n1=n2.
11. The contrast agent of claim 9, wherein the Diester-DTPA'-PM is a
hetro-diester in which n1 is larger than n2.
12. The contrast agent of claim 7, wherein the paramagnetic metal ion
(PM+Z) is at leat one element selected from the group consisting of:
Cr(III)
Mn(II)
Fe(III)
Fe(II)
Co(II)
Ni(II)
Cu(III)
Cu(II)
La(III)
Ce(III)
Pr(III)
Nd(III)
Pm(III)
Sm(III)
Eu(III)
Gd(III)
Tb(III)
Dy(III)
Ho(III)
Er(III)
Tm(III)
Yb(III)
Lu(III).
13. The contrast agent of claim 7, wherein the paramagnetic metal ion
(PM(+Z) is at least one element selected from the group consisting of:
Cr(III)
Mn(II)
Fe(III)
Fe(II)
Gd(II)
Co(II)
Ni(II)
Cu(III)
Cu(II).
14. The contrast agent of claim 7, wherin Z=+3 and the Ester-DTPA'-PM
molecule has a zero net charge.
15. The contrast agent of claim 7, wherein Z=+2 and the further comprises
an inert cation IN having an atomic charge of +1 forming a
Ester-IN(+1)-DTPA'-PM(+2) molecule with a zero net charge.
16. The contrast agent of claim 7, wherein the vehicle means is a water
solution.
17. The contrast agent of claim 16, further comprising water of hydration
associated with the Carbon-Hydrogen portion to the ester compound.
18. The contrast agent of claim 7, wherein the paramagnetic metal ion
PM(+Z) is Fe(III).
19. The contrast agent of claim 7, wherein the paramagnetic metal ion
PM(+Z) is Mn(II).
20. The contrast agent of claim 7, wherein the paramagnetic metal ion
PM(+Z) is Co(II).
21. The contrast agent of claim 7, wherein the paramagnetic metal ion
PM(+Z) is Gd(III).
22. The method of imaging a subject with a magnetic resonance imaging (MRI)
system employing an paramagnetic contrast agent, comprising the steps of:
PROVIDING a physiologically tolerable contrast agent in the form:
2E-DTPA-PM(+Z),
where:
2E-DPTA is ethylene triamine pentaacetic acid chelator in which two of the
five acetic acid groups have been become a pair of functional ester groups
E of the form:
E=--COO--(CH.sub.2).sub.n-1 --CH.sub.3, wherein n is an integer from 1 to
16 indicating the number of Carbon atoms in the Carbon-Hydrogen portion of
each ester group E1 and E2,
for functionally cooperating with the in vivo environment; and
PM(+Z) is a paramagnetic metal ion having an atomic charge of +Z, securely
chelated at a plurality of coordination points into the 2E-DTPA chelator
to chemically isolate the PM(+Z) ion from the in vivo environment, for
locally affecting the magnetic field of the MRI system;
INTRODUCING the 2E-DPTA-PM contrast agent into the subject;
WAITING for the ester functional groups to cooperate with the in vivo
environment; and
IMAGING the subject with the MRI system to obtain a contrast agent enhanced
MRI image.
23. The method of imaging a subject as specified in claim 22, wherein the
contrast agent is introduced by intravenous injection.
24. The method of imaging a subject as specified in claim 22, further
comprising the initial step of dispersing the 2E-DTPA-PM contrast agent
into a suitable carrier vehicle.
25. The method of imaging a subject as specified in claim 22, further
comprising:
the initial step of providing data from a prior MRI imaging: and
the final step of subtraction comparing the prior MRI image with the
current MRI image.
26. The method of imaging a subject as specified in claim 25, wherein the
prior MRI image is a base line image.
27. The method of imaging a subject as specified in claim 25, wherein the
prior MRI image is not a contrast agent enhanced image. |
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Claims  |
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Description  |
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TECHNICAL FIELD
This invention relates to MRI contrast agents, and more particularly to
homologs of Ester DTPA-PM contrast agents.
BACKGROUND
Schering (No. 3,129,906 Germany) by Gries, Rosenberg, and Weinstien teaches
the incorporation of paramagnetic metals into diethylene triamine
pentaacetic acid (DTPA) forming chelates useful as a contrast agent in
nuclear magnetic resonance (NMR) imaging. The contrast agent DTPA-(GdIII)
as taught by Schering is insoluble in water and requires the addition of
cations "C+" (amines such as gulcamine, N-methylglucamine, etc.) as shown
below: The charge balance of the Schering DTPA-Gd(III) ion is:
##STR1##
The resulting contrast agent has three ion particles in solution for each
paramagnetic atom (a particle to PM ratio of 3:1). A paramagnetic metal
with a valence of two, such as Mn, whoud require an additional glucamine
ion:
##STR2##
raising the PM to particle ratio to 4:1.
These contrast agents raise the in vivo ion concentration and disturb the
local osmolarity balance. The osmolarity is normally regulated at about
300 milliosmols per liter. Increasing the osmolarity with injected ions,
causes water to collect within the unbalance region which dilutes the ion
concentration.
SUMMARY
It is therefore an object of this invention to probice improved contrast
agents for MRI imaging.
It is another object of this invention to provide MRI contrast agents which
have a high stability, a low toxicity and is physiologically tolerable.
It is a further object of this invention to provide contrast agents with a
higher paramagnetic effect for MRI imaging.
It is a further object of this invention to provide contrast agents in
pharmacological form with a low osmolarity.
It is a further object of this invention to provide contrast agents which
are in vivo responsive.
It is a further object of this invention to provide contrast agents which
are organ selective.
It is a furtehr object of this invention to provide a method of
manufacturing such contrast agents.
It is a further object of this invention to provide a method of using such
contrast agents.
It is a further object of this invention to provide an MRI system employing
such contrast agents.
Briefly, these and other object of the present invention are accomplished
by providing a chemically stable physiologically tolerable contrast agent
in a pharmacological state, for in vivo use during diagnostic magnetic
resonance imaging (MRI). The contrast agent enhances the MRI image of a
subject within the MRI scanning magnetic field. A paramagnetic metal ion
PM(+Z) having an atomic charge of Z locally affects the MRI scanning
magnetic field to reduce the T1 relaxation time of local protons within
the subject. The contrast agent contains a triamine chelator DTPA'
securely polar bonded around the PM(+Z) ion at a plurality of coordination
points, has the form:
##STR3##
for chemically isolating the PM(+Z) ion from the in vivo environment. A
functional ester grop of the form:
##STR4##
wherein "n" is an integer from 1 to 16 indicating the number of Carbon
atoms in the Carbon-Hydrogen portion of the ester group. The functional
ester may be a homo-diester or a hetrodiester. The Ester-DTPA'-OM contrast
agent is dispensed in a a pharmaceutically acceptable vehicle means such
as water. The Carbon-Hydrogen portion to the ester compound becomes
associated with water of hydration which increases the paramagnetic
strength of the contrast agent. The PM ion may have a valence of +3 and
produce a contrast agent molecole of zero net charge. The PM ion may have
a valence of +2 and require an inert cation IN having an atomic charge to
produce a molecule with a zero net charge. The paramagnetic metal ion
PM(+Z) is at least one element selected from the Transistion Elements
24-29 or the Lanthanide Elements 57-71.
BRIEF DESCRIPTION OF THE DRAWING
Further objects and advantages of the present paramagnetic contrast agents,
and the method of manufacture and use thereof, will become apparent from
the following detailed description and drawing in which:
FIG. 1A is a diagram showing the chelate structure and water of hydration
of a Diester-DTPA-PM(Z) contrast agent in which Z=+3;
FIG. 1B is a diagram showing the chemical structure of the Diester-DTPA-PM
contrast agent of FIG. 1A;
FIG. 1C is a diagram showing the chemical structure of a general
Diester-DTPA-PM(Z) contrast agent in which Z=+2;
FIG. 2 is a diagram showing the anhydride-methanol production of
Dimethyl-DTPA-PM(Z) in which Z=+3;
FIG. 3 is a digram showing the anhydride-methanol production of
Dibutyl-DTPA-PM(Z) in which Z=+2;
FIG. 4 is a chart showing the organ selectivity of homologs of
Diester-DTPA-PM paramagnetic contrast agents;
FIG. 5 is a cut-away perspective view of an MRI system showing the motion
platform and subject using Diester-DPTA-PM paramagnetic contrast agents;
and
FIG. 6 is a flow chart showing a method of using the Diester-DTPA-PM
paramagnetic contrast agents.
DIESTER-DTPA-PM CONTRAST AGENTS (FIG. 1 (A B C)
The present paramagnetic contrast agents are ester homologs of the DTPA-PM
chelate, having the general chemical name diester acetyl - diethylene
triamine triacetic acid (or Diester-DTPA). The probable physical chelation
structure of Diester-DTPA-PM is a classic octahedron (8 faces, 6 apexes)
as shown in FIG. 1A. The Diester-DTPA homolgs are strong chelators with
six polar bond coordination points 104 (three nitrogen points 104:N and
three oxygen points 104:O) which enclose the paramagnetic ion PM(Z) on all
sides.
Diester-DTPA-PM has the general chemical structure shown in FIG. 1B. The
homologs of Diester-DTPA-PM(Z) have similar structures with a specific
number "n" of carbons in the Carbon-Hydrgen portion of the ester group.
The number of Carbons in the methylene CH2 chain between the -COO- active
group and the terminal methylene --CH3, is "n-1".
Two of the original five DTPA acetic acid groups have become ester groups
"E". In general:
Diester-DPTA-PM=2E-DTPA'-PM
where E is a general ester group of the form:
##STR5##
and DTPA' is a modification of DTPA of the form:
##STR6##
and PM is a paramagnetic metal ion. The elimination of the two acetic acid
groups reduces the ion charge of the DTPA chelator from five to three.
Paramagnetic ions having a valence of Z=+3 as shown in FIGS. 1A and 1B,
produce a diester contrast agent of the general form:
Diester-DTPA-PM(+3)=2E-DTPA'-PM(+3).
This Type III contrast agent has a zero net charge as tabulated below:
##STR7##
The particle (osmolarity) to paramagnetic (molar relaxivity) ratio for
Diester-DTPA-PM(+3) type contrast agents (Z=+3) is 1:1. The
Diester-DTPA-PM(Z) contrast agents formed around plus III paramagnetic
metals can be prepared in highly concentrated solutions while retaining
isotonicity with body fluids. The Schering DTPA-PM(+3) has a particle to
paramagnetic ratio of 3:1, and can only be made in isotonic solutions at
substantially lower concentrations. Therefore, greater volumes of the
Schering DTPA-PM(+3) need by injected into animals or humans to obtain the
same paramagnetic effect.
Paramagnetic ions having a valence of Z=2, produces ester contrast agents
of the general form:
Diester-IN-DTPA-PM(+2)=2E-IN-DTPA'-PM(+2)
where IN is a suitable inert ion, such as a simple mineral salt cation
(Na+, Li+, etc.) or an organic ion such as Methyl glucamine or N-methyl
glucamine, having a charge of plus one (see FIG. 1C). This Type II
contrast agent also has a zero net charge as tabulated below:
##STR8##
The particle to paramagnetic ratio for the In-Diester-DTPA-PM(+2) contrast
agents is 2:1, producing a low osmoloarity impact.
The above Diester-DTPA-PM Type III and Type II contrast agents have a
higher paramagnetic effect than the Schering DTPA-PM. For example,
Methyl-DTPA-Gd(III) requires a concentration of only about 1.91 mM to
produce a T1 relaxation time of 67 msec (10 MHz field strength, using an
RADX). The concentration of Schering DTPA-Gd(III) required to produce a
similar result is about 3.16.
Methyl-DTPA-Gd(III) has about twice the paramagnetism of Schering
DTPA-Gd(III); and Methyl-DTPA-Fe(III) has about 1.3 times the
paramagnetism of Schering DTPA-Fe(III). Possibly the water of hydration
108 (see FIG. 1A) which collects around the ester CH2 chains offers a
reliable source of protons (H+) 110 for resonanting with the applied MRI
fields. Protons 110 have a high probablity of being present within the
local magnetic field of the PM ions. These protons form a class of protons
for MRI imaging which is distinct from random in vivo protons. The
prolonged association time of bound water 108, and the close proximity of
protons 110 to the PM ion, establishes a definite and distinct T1
relaxation time which is longer than the T1 for random protons. As a
result, protons 110 provided by the water of hydration appear at a higher
intensity in the MRI image.
METHOD OF MANUFACTURE (FIGS. 2 and 3)
A general annydride-diester method is suitable for making each homolog of
the ester family of DTPA'-PM contrast agents. In the example below the
paramagnetic ion is provided by Fe(III)-(Cl)3, for chelation into dimethyl
ester (n=1). However, other paramagnetic ions in other forms may be
employed for chelation into other ester homologs.
(Step 1)
FORMATION of Ester-DTPA (see FIG. 2)
Mix 1-5 grams dianhydride DTPA (obtained from Sigma Chemical Co, St Louis,
Mo.) into 50-150 mL of pure methanol.
The alcohol forms both the reactant and the solvent for the DTPA anhydride.
ratios of alcohol/DTPA are not required, Precise so long as excess alcohol
is provided.
(Step 2)
HEAT the solution for several hours (overnight) at reflux temperature, to
produce the ester derivative Dimethyl-DTPA (n=1) plus water.
Higher homologs of Diester-DPTA may be formed using the corresponding
higher homolog of alcohol for the solvent-reactant. Chloroform may be used
as the solvent for higher homologs.
Formation of the Dibutyl-DTPA (n=4) diester homolog is shown in FIG. 3.
(Step 3)
REMOVE the excess alcohol, by vacuum rotary evaporation leaving an
Diester-DTPA crystal residue.
(Step 4)
MIX the Diester-DTPA residue in an FeCl3 water solution of stochiometric
proportions, to form Diester-DTPA-(Fe+3) plus 3HCl.
Type II metals will require an inert cation (IN) which may be added to the
solution at this point.
(Step 5)
REMOVE the HCl
(A) by evaporation using a rotary evaporator.
(B) by neutralization using NaOH or NH3OH.
(C) by chromatograpy using a silica gel column.
(Step 6)
REMOVE the water by vacuum-freezing to form a highly stable form of
Diester-DTPA-PM.
(Step 7)
DISPERSE the Ester-DTPA-PM in suitable vehicle to provide a pharmacological
form.
Water is a suitable vehicle for dissolving the lower homologs of
Diester-DTPA-PM (n less than 10). Higher homologs are hydrophobic and form
an emulsion with water. These higher homologs have the same density as
water and therefore do not settle out. The isodense character of the
homologs of Diester-DTPA-PM permits a wide range of water:homolog ratios.
ESTER FAMILY
(n=1 to n=16)
The ester family of DTPA'-PM contrast agents include the homo-diesters
(n=n') structure and the hetero-diesters (n not equal to n') structure.
______________________________________
Name of Ester n,n' Properties of Interest
______________________________________
Methyl-DTPA-PM
1,1 Excellent renal
Ethyl-DTPA-PM 2,2 and blood-brain
Propyl-DTPA-PM
3,3 barrier constrast
Butyl-DTPA-PM 4,4 agent.
Pentyl-DTPA-PM
5,5 Demonstrates renal
Hexyl-DTPA-PM 6,6 and hepatobiliary
Heptyl-DTPA-PM
7,7 imaging.
Octyl-DTPA-PM 8,8 Also shows cardiac
Nonyl-DTPA-PM 9,9 imaging of infarctions
Decyl-DTPA-PM 10,10 and ischemic lesions.
to 16,16
Methyl-Stearyl-
1,16 Passes into the
DTPA-PM Cardiac system imaging.
______________________________________
The hetero-diesters have one short CH2 chain (n=1 or more), and one long
CH2 chain (n=16 or less). A single long hydrophobic chain, together with
the charged DTPA' moiety, renders the chelate an isosteric substitute for
fatty acids; and produces substantial tissue levels of the chelate in
those organs which have efficient fatty acid uptake systems such as the
myocardium.
ORGAN SELECTIVE
The contrast agent is immediately distributed throughout the circulatory
system for imaging. The distribution to organs is based on relative blood
flow. Organs such as the kidney, brain, liver, and heart receive
substantial blood flow; and therefore provide selective images which are
correspondingly enhanced.
The higher homologs of Ester-DTPA-PM tend to be less polar and to bind to
serum -roteings prolonging their circuilation time. They also tend to be
extracted from circulation by the liver and excreted in the hepatobiliary
system. These homologs are liver selective and suitable for imaging the
liver and hepatobiliary (gall bladder) system.
The lower homologs tend to be more polar and remain in solution longer.
They are eventually absorbed by the kidney. These homologs are kidney
selective and suitable for imaging the kidney, ureter, and bladder.
The higher homologs are fatty acid analogs and are thus extracted by the
heart along with the regular fatty acids. These homologs (n=7 and greater)
are cardiac selective and suitable for imaging the cardiac system and
cardiac related functions.
STABLE-POWDER STATE
The stable powder state of the Diester-DTPA-PM contrast agents have an
indefinite shelf life, and is the preferred state for shipping and
storage. The contrast agent in water solution (or other solvent) is
packaged in small storage vials, and frozen under a vacuum. The low
pressure sublimates the solvent, leaving crystals of the contrast agent.
The vial is sealed to prevent entry of external contaminants, and to to
preserve the internal vacuum. The resulting freeze-dried, vacuum sealed
powder, is highly stable and free from cnvironmental degradation effects.
PHARMACOLOGICAL-SOLUTION STATE
Prior to injection, the stable-powdered contrast agent may be raised to the
pharacalogical state by the addition of a suitable solvent such as water,
serum, albumin solutions, or saline. A typical injectable composition
contains about 10 mg human serum albumin (1 percent USP Parke-Davis) and
from about 10 to 500 micrograms of Diester-DTPA-PM material per milliliter
of 0.01 M phosphate buffer (pH 7.5) containing 0.9 percent NaCl. The pH of
the aqueous solutions may range between 5-9, preferably between 6-8. The
storage vial may have twin compartments containing the desired amounts of
powdered Diester-DTPA-PM and solvent for a single application. When the
seal between the compartments is broken, the Diester-DTPA-PM goes into
solution at the desired concentration for immediate use. The
Diester-DTPA-PM solution mixes readily with the in vivo fluids.
PARAMAGNETIC EXAMPLES
Paramagnetic material PM may be any paramagnetic element, molecule, ion or
compound having a combined valence of "Z". Paramagnetic material PM
includes at least one of the following elements:
______________________________________
Ions of Transition Elements
Cr(III) 24 (Chromium)
Co(II) 27 (Cobalt)
Mn(II) 25 (Manganese)
Ni(II) 28 (Nickel)
Fe(III) 26 (Iron) Cu(III) 29 (Copper)
Fe(II) 26 (Iron) Cu(II) 29 (Copper)
Ions of Lanthanide Elements
La(III) 57 (Lanthanum)
Gd(III) 64 (Gadolinium)
Ce(III) 58 (Cerium)
Tb(III) 65 (Terbium)
Pr(III) 59 (Praseodymium)
Dy(III) 66 (Dysprosium)
Nd(III) 60 (Neodymium)
Ho(III) 67 (Holmium)
Pm(III) 61 (Promethium)
Er(III) 68 (Erbium)
Sm(III) 62 (Samarium)
Tm(III) 69 (Thulium)
Eu(III) 63 (Europium)
Yb(III) 70 (Ytterbium)
Lu(III) 71 (Lutetium)
______________________________________
Gd has the highest paramagnetic property; but is a costly and highly toxic
in the free state. Placing the Gd within the chelator produces a
physiologically tolerable form of Gd; but also reduces paramagnetic effect
of the Gd. The chelate structure tends to shield the paramagnetic ions and
prevents close proximity to local H+ protons. Fe and Mn have a high
paramagnetic property and excellent physiological tolerence. Both of these
paramagnetic ions are normally present in the physiological environment.
GENERAL MRI SYSTEM
(FIG. 5)
Magnetic resonance imaging (MRI) system 500 has two magnetic components
which scan subject 504 for obtaining MRI data enhanced by the presence of
contrast agent 508. Bulk magnetic field Mz from Z field source 510 causes
Paramagnetic particles such as local hydrogen protons within the subject
to aline with the Z axiz. Periodic or rotating field Mxy from XY field
generator 514 extends between XY electrodes 516. The subject to be scanned
is positioned on support platform 520 and moved through the magnetic
fields by drive 522. Rotating field Mxy is tuned to cause resonant
precession of the local protons within the tissue of interest. Each local
proton precesses about the Z axis in respopse to a particular frequency of
rotating field Mxy. When rotating field Mxy is removed, the precessing
protons decay back into alinement with Mz.
The decay period of the local protons (spin lattice relaxation time T1)
varies between organs and between conditions within the same organ. Tumor
tissue tends to have a longer T1 than healthy tissue. The presence of the
Paramagnetic metal ions PM causes a shortening of the proton T1, without
substantially affecting T2 (spin-spin relaxation time). The energy of
precession is released forming a free induction signal. Grid detector 526
senses the decay signals which are stored and processed by data processer
system 530. to form an image 532 on monitor 536. The metal ion in the
contrast agent are not directly imaged by the MRI system.
The imaging system is further disclosed in Scientific American, May 1982,
pages 78-88, which disclosure is hereby incorporated by reference.
METHOD OF USE
(FIG. 6)
FIG. 6 shows a method of imaging subject 504 with MRI system 500 employing
an paramagnetic contrast agent 508.
(Step 1)
PROVIDING a physiologically tolerable contrast agent 508 in the form:
2E-DTPA-PM(+Z).
If initially in powder form, the 2E-DTPA-PM contrast agent must be
dispensed into a suitable carrier vehicle.
(Step 2)
INTRODUCING the 2E-DTPA-PM contrast agent into subject 508 (preferrable by
intravenous injection).
(Step 3)
WAITING for the ester functional groups to cooperate with the in vivo
environment.
(Step 4)
IMAGING the subject the MRI system 500 to obtain an enhanced MRI image.
Comparison or subtraction imaging, requires an initial step of providing
data from a prior MRI imaging, and the final step of subtraction comparing
the prior MRI image with the current MRI image. A historical base line
image from the subjects file may be employed as the prior image.
Alternatively, a current MRI image made without the use of a contrast
agent may be employed.
INDUSTRIAL APPLICABILITY
It will be apparent to those skilled in the art that the objects of this
invention have been achieved as described hereinbefore by providing an
improved physiologically tolerable contrast agents with a high stability,
and a low toxicity. The contrast agent has a higher paramagnetic effect
due to the ester water of hydration, and a low osmolarity due to the ester
bonding. The variability of the ester structure permits a range of vivo
response and organ selection.
CONCLUSION
Clearly various changes may be made in the structure and embodiments shown
herein without departing from the concept of the invention. Further, the
features of the embodiments shown in the various Figures may be employed
with the embodiments of the other Figures.
Therefore, the scope of the invention is to be determined by the
terminology of the following claims and the legal equivalents thereof.
* * * * *
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