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Applications for Transition-Metal Chemistry in Contrast-Enhanced Magnetic Resonance Imaging

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TLDR
This Viewpoint highlights how recent advances in transition-metal chemistry are leading the way for a new generation of MRI contrast agents.
Abstract
Contrast-enhanced magnetic resonance imaging (MRI) is an indispensable tool for diagnostic medicine. However, safety concerns related to gadolinium in commercial MRI contrast agents have emerged in recent years. For patients suffering from severe renal impairment, there is an important unmet medical need to perform contrast-enhanced MRI without gadolinium. There are also concerns over the long-term effects of retained gadolinium within the general patient population. Demand for gadolinium-free MRI contrast agents is driving a new wave of inorganic chemistry innovation as researchers explore paramagnetic transition-metal complexes as potential alternatives. Furthermore, advances in personalized care making use of molecular-level information have motivated inorganic chemists to develop MRI contrast agents that can detect pathologic changes at the molecular level. Recent studies have highlighted how reaction-based modulation of transition-metal paramagnetism offers a highly effective mechanism to achieve MRI contrast enhancement that is specific to biochemical processes. This Viewpoint highlights how recent advances in transition-metal chemistry are leading the way for a new generation of MRI contrast agents.

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Citations
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Positron Emission Tomography-Magnetic Resonance Imaging Pharmacokinetics, In Vivo Biodistribution, and Whole-Body Elimination of Mn-PyC3A.

TL;DR: Dynamic PET-MRI data demonstrate that both Mn-PyC3A and Mn-DPDP were eliminated by mixed renal and hepatobiliary elimination but that a greater fraction of [Mn]Mn- PyC3a was eliminated by renal filtration.
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Dinuclear Fe(III) Hydroxypropyl-Appended Macrocyclic Complexes as MRI Probes.

TL;DR: In this paper, four high-spin Fe(III) macrocyclic complexes, including three dinuclear and one mononuclear complex, were prepared toward the development of more effective iron-based magnetic resonance imaging (MRI) contrast agents.
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Exceptional Manganese(II) Stability and Manganese(II)/Zinc(II) Selectivity with Rigid Polydentate Ligands

TL;DR: Two new bispidine derivatives are reported, which provide rigid and large coordination cavities that perfectly match the size of Mn II, yielding eight-coordinate Mn II complexes with record stabilities and inertness.
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Distinct Coordination Chemistry of Fe(III)-Based MRI Probes.

TL;DR: In this paper , the authors describe different classes of Fe(III) MRI probes with a focus on macrocyclic complexes and multinuclear complexes such as self-assembled metal organic polyhedra (MOP).
References
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Molecular MR imaging of liver fibrosis: A feasibility study using rat and mouse models

TL;DR: Molecular MRI of liver fibrosis with a collagen-specific probe identifies fibrotic tissue in two rodent models of disease and shows positive correlations with hydroxyproline levels.
Journal ArticleDOI

MnDPDP for MR imaging of the liver : Results of an independent image evaluation of the European phase III studies

TL;DR: This independent evaluation of the European phase III trials confirmed the superiority of MnDPDP-enhanced MR images over unenhanced images for lesion detection and characterization.
Journal ArticleDOI

Gadolinium deposition and the potential for toxicological sequelae – A literature review of issues surrounding gadolinium-based contrast agents

TL;DR: This review will address some of the controversies surrounding the safety of GBCA administration based on evidence from in vivo experiments, animal studies and clinical studies, and discuss whether gadolinium deposition disease exists as a new diagnosis.
Journal ArticleDOI

A Redox-Activated MRI Contrast Agent that Switches Between Paramagnetic and Diamagnetic States

TL;DR: The development of probes to map oxygen levels and corresponding redox status of tumor tissue may guide the development of tumor-selective drugs.
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