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Viscosity
 
A property of a fluid or semi-fluid that affects its mobility, and therefore its intensity in an image.
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DiffusionForum -
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The process by which molecules or other particles intermingle and migrate due to their random thermal motion. Microscopic particles are jittering around with translational and rotational motions as a result of their thermal energy, which is half the Boltzmann constant multiplied by the absolute temperature of the system (˝kT) per degree of freedom (3 directions of translation and 3 directions of rotation for ordinary particles).
MRI provides a sensitive technique for measuring diffusion of some substances. These diffusive processes mean that particles reach areas of low from areas of high concentration, thus leading to equilibration. In body fluids, the distribution of capillaries within tissues is such that transport over macroscopic distances is accomplished by the blood circulation, while over intercapillary distances substances are carried by diffusion. The fluid diffusion constant is itself inversely proportional to the viscosity and the radius of the diffusing particles.
See also Diffusion Tensor Imaging and Diffusion Weighted Imaging.

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Further Reading:
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CHAPTER 55: IschemiaOpen this link in a new window
2003
EVALUATION OF HUMAN STROKE BY MR IMAGING(.pdf)Open this link in a new window
2000
  News & More:
DWI Best in Subacute Stroke ImagingOpen this link in a new window
Tuesday, 1 June 2004   by www.medinews.com    
Medical Imaging Technology RoadmapOpen this link in a new window
Wednesday, 19 October 2005   by www.ncbi.nlm.nih.gov    
 •• There are 12 news about 'Diffusion'.
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MultiHance®InfoSheet: - Contrast Agents - 
Intro, Overview, 
Characteristics, 
Types of, 
etc.MRI Resource Directory:
 - Contrast Agents -
 
MultiHance® is a paramagnetic contrast agent for use in diagnostic magnetic resonance imaging (MRI) of the liver and central nervous system. MultiHance® is a small molecular weight chelate, which tightly binds the Gd atom. The substance is excreted partly by the kidneys, partly by the biliary system, which is especially unique.
MultiHance® is indicated, for the detection of focal liver lesions in patients with known or suspected primary liver cancer (e.g. hepatocellular carcinoma) or metastatic disease.
MultiHance® is also indicated in brain MRI and spine MRI where it improves the detection of lesions and provides diagnostic information additional to that obtained with unenhanced MRI.
Gd-BOPTA–enhanced MRA can provide superior vascular signal intensity and SNR, as compared with Gd-DTPA, due to its higher relaxivity, even at lower doses.
1 ml of solution MultiHance® contains: (0.5M) gadobenate dimeglumine 529 mg = gadobenic acid 334 mg + meglumine 195 mg. Viscosity at 37°C: 5.3 mPa
WARNING: NEPHROGENIC SYSTEMIC FIBROSIS Gadolinium-based contrast agents increase the risk for nephrogenic systemic fibrosis (NSF) in patients with acute or chronic severe renal insufficiency (glomerular filtration rate less than 30 mL/min/1.73m2), or acute renal insufficiency of any severity due to the hepato-renal syndrome or in the perioperative liver transplantation period.


Drug Information and Specification
NAME OF COMPOUND Gadobenate dimeglumine, Gd-BOPTA, E7155
DEVELOPER Bracco
CENTRAL MOIETY Gd2+
CONTRAST EFFECT T1, predominantly positive enhancement
RELAXIVITY r1=9.7, r2=12.5, B0=0.5 T
PHARMACOKINETIC Extracellular, hepatobiliary
OSMOLALITY 1970 mosm/kg
CONCENTRATION 334 mg/ml
DOSAGE 0.05 mmol/kg for Liver MRI
0.1 mmol/kg for CNS MRI
PREPARATION Solution for injection
INDICATION CNS, Liver MRI
DEVELOPMENT STAGE For sale
DISTRIBUTOR See below
PRESENTATION Vials of 5, 10, 15 and 20 mL, and 50 & 100 mL Multipacks (Pharmacy Bulk Package)
DO NOT RELY ON THE INFORMATION PROVIDED HERE, THEY ARE NOT A SUBSTITUTE FOR THE ACCOMPANYING PACKAGE INSERT!

Distribution Information
TERRITORY TRADE NAME DEVELOPMENT
STAGE
DISTRIBUTOR
EU MultiHance® for sale Bracco Diagnostics
USA MultiHance® for sale Bracco Diagnostics
Australia MultiHance® for sale Bracco Pty Ltd
Japan E7155 Bracco-Eisai Co., Ltd.

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Further Reading:
  Basics:
Important Drug Warning for Gadolinium-Based Contrast AgentsOpen this link in a new window
Wednesday, 12 September 2007   by www.ismrm.org    
MultiHance Package InsertOpen this link in a new window
   by www.multihanceusa.com    
  News & More:
MAGNETIC RESONANCE IMAGING OF FOCAL LIVER LESIONS(.pdf)Open this link in a new window
2002
Comparative Studies on the Efficacy of MRIContrast Agents in MRA1, WEINMANN ET AL Academic Radiology, Vol 9, Suppl 1, 2002(.pdf)Open this link in a new window
   by www.academicradiology.com       [Free, but registration is required.]
BRACCO DIAGNOSTICS' MULTIHANCE EARNS FDA APPROVALOpen this link in a new window
Wednesday, 24 November 2004   by salesandmarketingnetwork.com    
 •• There is 1 news about 'MultiHance®'.
Nonionic Intravenous Contrast AgentsInfoSheet: - Contrast Agents - 
Intro, Overview, 
Characteristics, 
Types of, 
etc.MRI Resource Directory:
 - Contrast Agents -
 
Radiographic low-osmolar nonionic contrast agents have less side effects and fewer nephrotoxicity than ionic, high-osmolar agents. Gadolinium-based MRI contrast agents have a different formulation from iodinated X-ray contrast media, and there is no known cross sensitivity between these two types of contrast agents. Intravenous MRI contrast agents, specifically the gadolinium chelates have a high safety and lack of nephrotoxicity compared with X-ray contrast media.
The used gadolinium chelates differ in following properties: linear (e.g., gadodiamide and gadoversetamide have nonionic linear structures) vs. macrocyclic cores, and ionic vs. nonionic types. The nonionic molecules have lower osmolality and viscosity, which increase digestibility at greater concentrations, and make faster bolus injections conceivable. The macrocyclic molecules (e.g., gadoteridol has a nonionic macrocyclic ring structure) are more stable and show fewer tendencies to dissociate free Gd.
See also ProHance®, Omniscan®, OptiMARK®, Ionic Intravenous Contrast Agents.

See also the related poll result: 'MRI will have replaced 50% of x-ray exams by'
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Further Reading:
  Basics:
MRI Contrast AgentsOpen this link in a new window
   by www.macrocyclics.com    
  News & More:
Spurious Hypocalcemia After Omniscan- or OptiMARK-Enhanced Magnetic Resonance Imaging: An Algorithm for Minimizing a False-Positive Laboratory ValueOpen this link in a new window
   by arpa.allenpress.com    
Positive Oral Contrast AgentsInfoSheet: - Contrast Agents - 
Intro, Overview, 
Characteristics, 
Types of, 
etc.MRI Resource Directory:
 - Contrast Agents -
 
Types of oral contrast agents with positive signal enhancement:
Paramagnetic contrast agents (e.g., Gd-DTPA solutions)
Short T1-relaxation gastrointestinal agents (e.g., mineral oil)
Combinations of these
Ideal oral contrast agents are immiscible with water, biologically inert, have a low viscosity and surface tension. Oral positive contrast agents may improve the separation of bowel loops, the detection of polyps in colon MRI or the assessment of inflammatory bowel in the small intestine. Several positive oral contrast agents are available and they are safe to use, for example gadolinium solution, ferric ammonium citrate, different oil emulsions and pediatric formula.
Unfavourably motion artifacts caused by respiration and peristalsis may be increased in MR imaging. In addition, the signal of the positive contrast medium may decrease caused by dilution in gastrointestinal (GI) secretions. With the use of contrast agents that are immiscible with water, no dilution and accompanying signal loss occur even when the contrast agent is in contact with the intraluminal contents of the GI tract. Another disadvantage may be residual substances in the bowel, resembling masses when enclosed by bright signal. In addition, positive contrast agents may have a similar signal as bright masses, which make their (e.g. lipoma) detection difficult.
See also Gastrointestinal Paramagnetic Contrast Agents, Combination Oral Contrast Agents, Gastrointestinal Diamagnetic Contrast Agents.
 
Images, Movies, Sliders:
 MR Colonography Gadolinium per Rectum  Open this link in a new window
      

Courtesy of  Robert R. Edelman
 
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Further Reading:
  Basics:
Components of Oral Contrast Agent for Magnetic Resonance Imaging(.pdf)Open this link in a new window
   by www.ffcr.or.jp    
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