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Abstract #1007

Initial Application of PH-Weighted Imaging with Pulsed CEST to Image an Acute Ischemic Stroke Patient

MAGNA25Alan J. Huang1, 2, Craig Jones1, 3, Richard Leigh4, Samson Jarso1, 3, Peter van Zijl1, 3

1FM Kirby Research Center for Functional Brain Imaging, Johns Hopkins University, Baltimore, MD, United States; 2Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States; 3Russell Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, Baltimore, MD, United States; 4Department of Neurology, Johns Hopkins University, Baltimore, MD, United States


We demonstrate the initial application of pH-weighted imaging with pulsed CEST to image the ischemic penumbra of an acute cerebral ischemic stroke patient. The magnetization transfer asymmetry ratio around 3.5 ppm was used to compare regions of interest between the patient and a healthy volunteer. The patient showed a region of reduced CEST contrast, which was attributed to tissue acidosis in the ischemic region. This region was larger than the diffusion impaired region but smaller than the perfusion impaired regions.