Center for Biomarkers in Imaging

BIOMARKER BY DISEASE CATEGORY

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Neurological


| A | B | C | D | E | G | H | I | M | N | O | P | S | V |

Disease / Medical condition Biomarker Imaging Technique Investigators Comments Disease Category

Abscess

Leukocyte accumulation

SPECT

Fischman A

Tc-99m HMPAO improvement over Tl-201 and Ga-67

Neurological
Inflammatory
Musculoskeletal
Genitourinary
Infectious disease
Gastrointestinal

Abscess Restricted diffusion Diffusion weighted imaging Grant E
Gonzalez RG
Schaefer P

  Neurological
Inflammatory
Infectious disease

Alzheimer's disease Cerebral blood flow (CBF) Perfusion weighted imaging / arterial spin labeling

Hoge R   Neurological
Metabolic

Alzheimer's disease Cerebral blood flow (CBF) Cerebral blood volume (CBV) Mean transit time (MTT)

SPECT fMRI Harris G
Gonzalez RG
Sorensen AG

  Neurological
Metabolic

Alzheimer's disease Directed molecular probes PET SPECT Optical Fischman A
Weissleder R

Animal modeling Optical with exogenous contrast agents

Neurological Metabolic
Alzheimer's disease Entorhinal cortex Anterior cingulate size and thickness MRI Hyman B Can distinguish normal from mild AD with 93% accuracy

Neurological Metabolic
Alzheimer's disease Hippocampal size MRI quantitative volumetric morphometry Dale A
Hyman B
Fischl B
Kennedy D

Accurately indicates absence of disease progression in therapeutic trials - allows markedly reduced subject numbers

Neurological Metabolic
Alzheimer's disease Myoinositol N-acetylaspartate (NAA) MRS Gonzalez RG
Jenkins B

  Neurological Metabolic
Alzheimer's disease Neuritic (senile) plaque In vivo multiphoton microscopy Hyman B Can use histochemical or immuno-fluorescence for amyloid B

Neurological Metabolic
Alzheimer's disease Neuronal injury MRI Gonzalez RG   Neurological Metabolic

Alzheimer's disease Oxygen utilization Cerebral blood flow (CBF) Optical Boas D
Dunn A
Combining of multi-wavelength and laser speckle contrast imaging

Neurological Metabolic
Anorexia Relative cerebral blood flow (rCBF)

PET Alpert N
Fischman A
Rauch SL

  Neurological
Asphyxia Altered vascular and tissue permeability

CT Gonzalez RG Grant E   Neurological
Asphyxia Early diffusion changes Diffusion weighted imaging

Grant E
Schaefer P
Sorensen AG

  Neurological
Asphyxia Lactate : choline ratio

MRS Jenkins B   Neurological
Attention deficit hyperactivity disorder (ADHD)

ACCD activation (anterior cingulate cortex division) fMRI
PET
Bush G
Fischman A
Rosen B

  Neurological
Attention deficit hyperactivity disorder (ADHD)

Cortical thickness and asymmetry MRI (morphometry) Kennedy D   Neurological
Attention deficit hyperactivity disorder (ADHD)

Dopamine transporter density SPECT Fischman A
Rauch SL
  Neurological
Autism Frontal language area MRI Caviness VS
Harris G
Kennedy D

Reversal of morphometric asymmetry in frontal language area

Neurological
Autism Frontal language area fMRI Harris G Abnormal fMRI activation of frontal language areas during semantic language tasks

Neurological
Brain development Oxygen consumption Cerebral blood flow (CBF)

Optical Imaging Boas D
Dunn A
Diffuse optical imaging (DOI)

Neurological Metabolic
Brain development / -anencephaly -microcephaly -holoprosencephaly

Cortical thickness, volume and location MRI
morphometry
fMRI
Caviness VS
Dale A
Fischl B
Kennedy D

  Neurological
Brain function Cerebral blood flow (CBF) MRI
fMRI
PET

Belliveau
Kwong K
Rosen BR

Response to stimuli Neurological Metabolic
Brain function / neuronal content N-acetylaspartate (NAA) Images MRI chemical shift Echo-planar imaging (EPI)

Gonzalez RG
Jenkins B
Rosen B

  Neurological Metabolic
Brain function / drugs of abuse rCMRO2 Cerebral blood volume (CBV) fMRI Jenkins B
Kosofsky B
Mandeville JB
Rosen B

Response to stimuli Neurological Metabolic
Brain function / mapping dopaminergic neurotransmitter activity Relative cerebral blood flow (rCBF) Relative cerebral blood volume (rCBV)

Pharmacologic MRI PET fMRI Bogdanov M
Chen YC
Jenkins B
Rosen B

Using D-amphetamine and CFT Neurological Metabolic
Brain injury Restricted water mobility Diffusion weighted imaging Apparent diffusion constant Huisman TA
Gonzalez RG
Schaefer P
Sorensen AG

Cytotoxic edema, vasogenic edema and diffuse axonal injury

Neurological
Brain injury / toxicity and trauma

Focal atrophy MRI Caviness VS
Kennedy D

  Neurological
Carotid dissection Anatomic disruption of arterial wall US CT / CTA MRI / MRA Angiography Gonzalez R
Waltman A

  Neurological Cardiology / Vascular
Cerebral malaria Diffuse cerebral edema with thalamic +/- cerebellar hypoattenuation

CT Gonzalez RG   Neurological Infectious disease
CNS AIDS / fungal and opportunistic infections

Focal brain uptake PET
SPECT
Fischman A   Neurological
CNS AIDS / neuroinflammation neurodegeneration

N-acetylaspartate (NAA) Choline Myoinositol (MI) MRS Gonzalez R
Schaefer P
Schwamm LH

  Neurological
CNS neoplasm / primary and secondary Microvascular blood volume and microvascular density

fMRI
MRI
Belliveau
Kennedy D
Rosen BR

  Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary N-acetylaspartate (NAA) Choline Lactate Phosphocreatine

MRS Gonzalez R
Husiman T
Sorensen AG
Metabolism, tumor viability and response to therapy

Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary Tumor angiogenesis MRI
MRS
MRA
Davis T
Rosen B
Wald LL Weissleder R

Measured by dynamic susceptibility contrast (DSC) and monocrystalline iron oxide nanoparticles (MION) Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary Tumor growth rate MRI Bogdanov A
Marecos E
Moore A
Weissleder R

Serial studies of tumor volume using uptake of long-circulating dextrin coated iron oxide (LCDIO)

Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary, presence and viability Glucose metabolism PET Alpert N
Choi N
Fischman A
Kennedy D
Rosen B

Non-specific marker with wide variety of applications Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary Lesion volume CT
MRI
morphometry
Gonzalez R
Harris G
Kennedy D
Lev
Schaefer P
Sorensen AG

Anatomic marker of disease presence Response to therapy Neurological Oncology / Neoplasm
CNS neoplasm / primary and secondary, presence and viability

Oxygen consumption Cerebral blood flow (CBF) Optical Boas D
Dunn A

Diffuse optical imaging (DOI) Neurological Oncology / Neoplasm

CNS neoplasm / primary and secondary, presence and viability Targeted cellular and molecular probes Optical MRI PET Kwong KK
Weissleder R

Exogenous contrast agents Animal models

Neurological Oncology / Neoplasm
CNS Neoplasm / schwannoma and neurofibromatosis

Tumor growth rate MRI Tang Y
Weissleder R

Transgenic murine models of neurofibromatosis

Neurological Oncology / Neoplasm
Dementia Blood oxygen level depletion (BOLD)

fMRI Rosen B   Neurological
Dementia Cerebral blood flow (CBF) MRI / arterial spin labeling Hoge R   Neurological
Dyskinesia (PNKD) Dopa decarboxylase activity PET Fischman A   Neurological Musculoskeletal
Encephalitis / west nile virus Thalamus and substantia nigra hyperintensities MRI Gonzalez RG
Sorensen AG

Disease confirmation and progression monitoring

Neurological Infectious disease Inflammatory
Epilepsy Cortical dysplasia MRI / MEG fMRI Dale A
Grant E
Mandeville J
Rosen B
Stufflebeam SM
Wald LL

  Neurological
Epilepsy Hyperperfusion Cerebral blood flow (CBF) MRI / arterial spin labeling Hoge R
Kwong KK

  Neurological
Epilepsy N-acetylaspartate (NAA) lateralization

MRS Jenkins BG   Neurological
Epilepsy Seizure focus MEG / EEG Halgren E
Stufflebeam SM

  Neurological
Glioma Blood-tumor barrier permeability (BTP) MRI
fMRI
Gonzalez RG
Kwong KK
Sorensen AG
Weissleder R

  Neurological Oncology / Neoplasm
Glioma Cerebral blood volume (CBV) Cerebral blood flow (CBF)

MRI
fMRI
Rosen B   Neurological Oncology / Neoplasm
Glioma Glucose uptake PET Fischman A
Kennedy D
Rosen B

  Neurological Oncology / Neoplasm
Glioma Tumor angiogenesis MRI MRS MRA Davis T
Rosen B
Wald LL
Weissleder R

measured by dynamic susceptibility contrast (DSC) and monocrystalline iron oxide nanoparticles (MION)

Neurological Oncology / Neoplasm
Glioma Tumor margin MRI Weissleder via ultra small particulate iron oxide (USPIO)

Neurological Oncology / Neoplasm
Glioma Vascular volume fraction Optical Weissleder   Neurological Oncology / Neoplasm
Head and neck neoplasm / primary and secondary Lesion volume CT MRI Gonzalez R
Lev MH
Schaefer P
Schwamm
Sorensen AG

Anatomic marker of disease presence Neurological Oncology / Neoplasm
Head and neck neoplasm / primary and secondary, presence and viability Glucose metabolism PET Alpert N
Choi N
Fischman A
Non-specific marker with wide variety of applications

Neurological Oncology / Neoplasm
Hepatic encephalopathy Glucose N-acetylaspartate (NAA) Choline Myoinositol (MI) Lactate
MRS Grant E
Jenkins BG
Schaefer P

  Neurological
Huntington's disease Basal ganglia / putamen volume

MRI Harris G   Neurological
Huntington's disease Cortical thickness fMRI
MRI
morphometry
Dale A
Fischl B
Harris G
Kennedy D
Rosas D

  Neurological
Huntington's disease Directed molecular probes MRI
PET
Optical

Fischman A
Weissleder R

  Neurological
Huntington's disease N-acetylaspartate (NAA) Choline : creatine ratio Lactate MRS Jenkins BG
Rosen B
  Neurological
Hypertension Relative cerebral blood volume (rCBV) Dynamic susceptibility contrast MRI Hunter G
Rosen B

Using Gd-DTPA following L-arginine infusion

Neurological Cardiology / Vascular
Infectious disease / -empyema -herpes virus -CJD

Restricted diffusion Diffusion weighted imaging Grant E
Schaefer P
  Neurological Infectious disease
Infectious disease / cerebral malaria Diffuse cerebral edema with thalamic +/- cerebellar hypoattenuation

CT Gonzalez RG   Neurological Infectious disease
Intracranial arterial dissection Anatomic disruption of arterial wall CTA MRA Angiography Gonzalez R
Lev MH
Waltman A

  Neurological Cardiology / Vascular
Migraine Cerebral blood flow (CBF) Laser speckle contrast imaging Diffuse optical topography

Boas D
Bolay
Dunn A

  Neurological
Migraine Cerebral blood flow (CBF) Cerebral blood volume (CBV) Mean Transit time (MTT)

Diffusion / perfusion weighted imaging fMRI Grant E
Schaefer P
Sorensen AG
Rosen BR

  Neurological
Migraine Cortical spreading depression (CSD) Blood oxygen level dependent (BOLD) fMRI Hadjikhani N
Rosen BR
Sorensen AG

Signal changes measured during visual aura Neurological
Migraine Restricted diffusion Optical Boas D
Dunn A

  Neurological
Multiple sclerosis Choline / sodium (NA) ratio Creatine / sodium (NA) ratio

MRS Jenkins B
Gonzalez RG

  Neurological Inflammatory
Multiple sclerosis Comparative brainstem analysis MS plaque demylination MRI Jenkins B
Rosen B
Stufflebeam SM

  Neurological Inflammatory
Multiple sclerosis Decreased N-acetylaspartate (NAA) MRS Jenkins B
Gonzalez RG

  Neurological Inflammatory
Multiple sclerosis Thalamic neuronal loss MRI
fMRI
MRS
Gonzalez RG
Fischl B
Kuperberg G

  Neurological Inflammatory
Multiple sclerosis Tissue characterization Cortical thickness fMRI
MRI
morphometry

Fischl B
Kuperberg G

  Neurological Inflammatory
Neurodegenerative disorders Apparent diffusion constant (ADC) Blood oxygen level depletion fMRI MRI / diffusion weighted imaging Jenkins BG
Kennedy D
Rosas HD
Rosen B

  Neurological
Obsessive compulsive disorder Cortical activation during provoked conditions fMRI
PET
SPECT
Fischman A
Rauch SL
Rosen BR

  Neurological
Obsessive compulsive disorder

Cortical thickness MRI (morphometry) Kennedy D   Neurological
Obsessive compulsive disorder Whole brain morphometry MRI (morphometry) Kennedy D
Rosen BR
Findings include sig. less total white-matter and greater cortex and opercular volumes

Neurological
Pain Cortical activity fMRI PET SPECT MEG Fischman A
Halgren E
Rosen B
Sorensen AG
Stuffelbeam SM

  Neurological Musculoskeletal
Parkinson’s disease Cerebral blood volume (CBV) Cerebral blood flow (CBF)

MRI / Arterial spin labeling Hoge R   Neurological
Parkinson’s disease Directed molecular probes PET Optical Weissleder R

  Neurological
Parkinson’s disease Dopamine binding potential Dopamine transporter (DAT) density

SPECT (using I-123 altropane) Fischman A
Halpern E
Sahani D

  Neurological
Parkinson’s disease Dopaminergic neurotransmitter activity fMRI
PET
Fishman A
Livni E
Rosen B

Pet using 11C-CRT Neurological
Parkinson’s disease N-acetylaspartate (NAA) levels over time

MRS Gonzales RG
Jenkins BG

  Neurological
Schizophrenia Cerebral blood flow (CBF) Neural activation of dorsolateral pre-frontal cortex, hippocampus and cerebellum PET Alpert N
Fischman A
Heckers S
Rauch SL
Schaefer P

Regional activation during cognitive paradigms Neurological
Schizophrenia Cortical thickness MRI (morphometry) Fischl B
Harris G
Kennedy D
Kuperberg G

  Neurological
Schizophrenia Specific regional uptake, target selection and functional activation fMRI Kuperberg G
Manoach D
Stufflebeam SM
Rosen B

Regional activation during cognitive paradigms Neurological
Stroke Apparent diffusion constant (ADC) Relative cerebral blood flow index (rCBF)

Diffusion weighted imaging fMRI MRI (morphometry) Kennedy D
Lo E
Rosen B

  Neurological Cardiology / Vascular
Stroke Cerebral blood flow (CBF) Cerebral blood volume (CBV) Mean transit time (MTT) Flow heterogeneity (FH)

MRI (combined Arterial spin labeling and Dynamic susceptibility contrast) CAPTIVE Harris G
Hoge R
Ostergaard L
Rosen B
Sorensen AG
Wald LL

MTT helps to stratify patients in clinical trials MR perfusion territory imaging Neurological Cardiology / Vascular
Stroke Intravascular thrombus CT / CTA MRI / MRA Angiography Caviness VS
Gonzalez RG
Schaefer P
Sorensen AG

  Neurological Cardiology / Vascular
Stroke Neuronal activation CMRO2 Arterial spin labeling MRI O2 15 PET Xenon Enhanced CT

Wald LL   Neurological Cardiology / Vascular
Stroke Neuronal activation CMRO2 fMRI Diffuse optical topography (Near infrared spectroscopy) Boas D
Mandeville JB
Strangman G

NIRS agrees well with fMRI, useful in longitudinal studies

Neurological Cardiology / Vascular
Stroke Oxygen consumption Cerebral blood flow (CBF) Optical Imaging Boas D
Dunn A
Lo E

  Neurological Cardiology / Vascular
Stroke / ischemic Cerebral blood flow (CBF) Relative cerebral blood volume (rCBV) Water EF

CAPTIVE MRI Bogdanov A
Jenkins B
Kwong K
Weissleder R

  Neurological Cardiology / Vascular
Stroke / ischemic Vascular occlusion Ischemic brain tissue Diffusion / perfusion weighted imaging MRI CT perfusion CTA

Gonzalez R
Harris G
Sorensen AG

  Neurological Cardiology / Vascular
Stroke / recovery Cortical activation during sensorimotor tasks fMRI Schaechter J
Rosen BR

  Neurological Cardiology / Vascular
Visual process disorders Neuronal activation fMRI Mandeville JB
Rosen B
Tootell RBH

  Neurological
Vulnerable plaque Atherosclerotic plaque temperature Thermography Brady T
Lev M
Waltman A

  Neurological Cardiology/ Vascular Inflammatory
Vulnerable plaque Macrophage content Fibrous cap thickness Plaque Type Optical coherence topography Weissleder R   Neurological Cardiology / Vascular Inflammatory

Vulnerable plaque Subendothelial lipid pool Optical coherence topography Near infrared spectroscopy

Brady T
Muller J
  Neurological Cardiology / Vascular
Vulnerable plaque Targeted mircobubble contrast agents Contrast enhanced US O'Neill MJ
Waltman A
  Neurological Cardiology / Vascular Inflammatory

Vulnerable plaque Thickness and composition of plaque Intravascular US IVUS Brady T
Lev M
O'Neill MJ
Waltman A

  Neurological Cardiology / Vascular Inflammatory

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