An Lab

Projects

MR Hypoxia Biomarker in Cerebral Small Vessel Disease

In response to the growing societal burden of vascular and other Alzheimer’s related-dementias, NINDS has proposed “Vascular Contributions to Cognitive Impairment and Dementia” (VCID) as a critical area of future research. Cognitive decline in VCID is largely due to progressive cerebral small vessel disease (CSVD). In this grant, we will test a novel neuroimaging biomarker, oxygen extraction fraction (MR-OEF), as a metric of cerebral hypoxia indicating increased risk of CSVD and VCID. By serially imaging adults across a range of vascular risk factors, we will test the ability of MR-OEF to predict neuroimaging progression of CSVD and cognitive decline.

Serguei Astafiey, PhD
Yasheng Chen, PhD
Andria Ford, MD
Rosemary Hamlin
Peter Kang, MD
Jin-Moo Lee, MD, PhD
Maggie Rohn
Wenshang Wang
Chunwei Ying, PhD

MR Imaging in Sickle Cell Disease

Sickle cell anemia (SCA) is the most common disorder identified on newborn screening, affecting one in 1000 individuals worldwide, with a mean life expectancy of 42 years. Among its complications, stroke and cognitive disability are prevalent in patients with SCA. Our multi-disciplinary team use multi-modal MR approach to study cerebral hemodynamic and metabolic stress, neuroinflammation, and functional and structural impairments.

MarkVCID Consortium

Vascular contributions to cognitive impairment and dementia (VCID) are the second leading cause of dementia, and a major contributor to Alzheimer’s disease (AD), the most common cause of dementia. Non-invasive biomarkers will be critical for the development of prevention and treatment strategies for VCID. A strong partnership between Washington University School of Medicine and the University of Texas Southwestern Medical Center has been developed to serve as a site for MarkVCID Consortium.

3D High-Resolution Cranial Bone Imaging for Pediatric Patients Using MRI

Head CT has been widely used in pediatric patients for the diagnosis of cranial fractures in head trauma and cranial suture patency in craniosynostosis, a congenital disability defined by a prematurely fused cranial suture. Unfortunately, these pediatric patients are particularly vulnerable to ionizing radiation from CT scans. Moreover, sedation is commonly used to reduce motion artifacts in children.

Our proposal will develop a motion-robust, fast, and fully automated approach to perform high resolution 3D cranial bone imaging using MR as a safe alternative. The proposed research is relevant to public health as it will have a profound impact on pediatric patients by reducing the risks associated with ionizing radiation and sedation for cranial bone imaging.

Parna Eshraghi Boroojeni, PhD
Yasheng Chen, PhD
Paul Commean
Cihat Eldeniz, PhD
Manu Goyal, MD
Ulugbek Kamilov, PhD
Corinne Merrill
Kamlesh Patel, MD
Gary Skolnick
Matt Smyth, MD
Tongyao (Cornelia) Wang

Neuroinflammation in Cerebral Small Vessel Disease using PET/MR Imaging

Cerebral small vessel disease (CSVD) is the leading cause of vascular contributions to cognitive impairment and dementia (VCID). Thus far, the pathophysiology underlying CSVD has not been well-understood. Several lines of evidence suggest neuroinflammation’s potential contribution to the pathogenesis of CSVD and resulting VCID. However, direct evidence of neuroinflammation in patients with CSVD is still lacking.

In this study, we will determine whether neuroinflammation predicts CSVD severity using a novel PET S1PR1 tracer for in vivo imaging of neuroinflammation. If successful, this study will lay the foundation to identify patients who may benefit from therapy targeting neuroinflammation to reduce CSVD injury and dementia in the future.

Image-Guided Noninvasive Stereotactic Cardiac Radiosurgery

Sudden cardiac death (SCD) caused by ventricular tachycardia (VT) results in >150,000 deaths/year in the U.S. Noninvasive Stereotactic Cardiac Radiosurgery (NSCR) was recently developed as a novel noninvasive treatment for treatment-resistant VT, resulting in >95% reduction in VT episodes. In this R01 project, we will implement enhancements to NSCR that will: 1) Reduce the radiation toxicity to the surrounding healthy tissues of the heart and chest to minimize complications from radiation; and 2) Improve the accuracy and efficacy of the radiation dose delivered to the heart lesion that is causing the VT.

Sihao Chen, PhD
H. Michael Gach, PhD
Chunxu Guo
Deshang Yang, PhD

PET/MR Motion Correction and Deep Learning MR Reconstruction

These projects are to develop methods for self-navigated MR and combined PET/MR motion correction. We will also develop novel deep learning-based MR image reconstruction to accelerate MR acquisition.

Funding for this project comes from Mallinckrodt Institute of Radiology and Siemens.

Our People

The lab, led by Hongyu An, PhD, consists of an interdisciplinary team dedicated in developing MR and PET/MR imaging techniques to impact patient care.