A near-infrared probe for non-invasively monitoring cerebrospinal fluid flow by (18)F-positron emitting tomography and fluorescence Journal Article


Authors: Guo, H.; Kommidi, H.; Lekaye, C. C.; Koutcher, J.; Judenhofer, M. S.; Cherry, S. R.; Wu, A. P.; Akin, O.; Souweidane, M. M.; Aras, O.; Zhu, Z.; Ting, R.
Article Title: A near-infrared probe for non-invasively monitoring cerebrospinal fluid flow by (18)F-positron emitting tomography and fluorescence
Abstract: Purpose: Knowing the precise flow of cerebrospinal fluid (CSF) is important in the management of multiple neurological diseases. Technology for non-invasively quantifying CSF flow would allow for precise localization of injury and assist in evaluating the viability of certain devices placed in the central nervous system (CNS). Methods: We describe a near-infrared fluorescent dye for accurately monitoring CSF flow by positron emission tomography (PET) and fluorescence. IR-783, a commercially available near-infrared dye, was chemically modified and radiolabeled with fluorine-18 to give [18F]-IR783-AMBF3. [18F]-IR783-AMBF3 was intrathecally injected into the rat models with normal and aberrant CSF flow and evaluated by the fluorescence and PET/MRI or PET/CT imaging modes. Results: IR783-AMBF3 was clearly distributed in CSF-containing volumes by PET and fluorescence. We compared IR783-AMBF3 (fluorescent at 778/793 nm, ex/em) to a shorter-wavelength, fluorescein equivalent (fluorescent at 495/511 nm, ex/em). IR783-AMBF3 was superior for its ability to image through blood (hemorrhage) and for imaging CSF-flow, through-skin, in subdural-run lumboperitoneal shunts. IR783-AMBF3 was safe under the tested dosage both in vitro and in vivo. Conclusion: The superior imaging properties of IR783-AMBF3 could lead to enhanced accuracy in the treatment of patients and would assist surgeons in non-invasively diagnosing diseases of the CNS. © 2020, The Author(s).
Keywords: positron emission tomography; fluorescence; csf flow; cns disease; non-invasively
Journal Title: EJNMMI Research
Volume: 10
ISSN: 2191-219X
Publisher: Springer  
Date Published: 2020-01-01
Start Page: 37
Language: English
DOI: 10.1186/s13550-020-0609-3
PROVIDER: scopus
PMCID: PMC7163004
PUBMED: 32301036
DOI/URL:
Notes: Article -- Source: Scopus
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MSK Authors
  1. Hongbiao Carl Lekaye
    32 Lekaye
  2. Jason A Koutcher
    278 Koutcher
  3. Oguz Akin
    264 Akin
  4. Omer Aras
    75 Aras