Short name: Code 7228, generic name: Ferumoxytol, central moiety: Fe
Code 7228 is the code name for a substance in the development pipeline (AMAG Pharmaceuticals, Inc.) for use as a contrast agent in magnetic resonance angiography (MRA). Ferumoxytol, as a true blood pool agent, resides in the vascular space for an extended period of time and does not leak out into adjacent tissues like currently used gadolinium-based contrast agents. The product is being evaluated in MRA applications for the detection of blood flow in the heart muscle, in exploratory studies for the diagnosis of vulnerable plaque and as a next generation lymph node agent.
Code 7228 is currently in approval phase for use as an iron replacement therapeutic in chronic kidney disease patients receiving erythropoetin.
It is presently contemplated that Ferumoxytol will compete with the contrast agents Vasovist™ from EPIX Pharmaceuticals, Inc. and NC100150 Injection from Nycomed Amersham.

Contrast is the relative difference of signal intensities in two adjacent regions of an image.
Due to the T1 and T2 relaxation properties in magnetic resonance imaging, differentiation between various tissues in the body is possible. Tissue contrast is affected by not only the T1 and T2 values of specific tissues, but also the differences in the magnetic field strength, temperature changes, and many other factors. Good tissue contrast relies on optimal selection of appropriate pulse sequences (spin echo, inversion recovery, gradient echo, turbo sequences and slice profile).
Important pulse sequence parameters are TR (repetition time), TE (time to echo or echo time), TI (time for inversion or inversion time) and flip angle. They are associated with such parameters as proton density and T1 or T2 relaxation times. The values of these parameters are influenced differently by different tissues and by healthy and diseased sections of the same tissue.
For the T1 weighting it is important to select a correct TR or TI. T2 weighted images depend on a correct choice of the TE. Tissues vary in their T1 and T2 times, which are manipulated in MRI by selection of TR, TI, and TE, respectively. Flip angles mainly affect the strength of the signal measured, but also affect the TR/TI/TE parameters.
Conditions necessary to produce different weighted images:
T1 Weighted Image: TR value equal or less than the tissue specific T1 time - TE value less than the tissue specific T2 time.
T2 Weighted Image: TR value much greater than the tissue specific T1 time - TE value greater or equal than the tissue specific T2 time.
Proton Density Weighted Image: TR value much greater than the tissue specific T1 time - TE value less than the tissue specific T2 time.

See also Image Contrast Characteristics, Contrast Reversal, Contrast Resolution, and Contrast to Noise Ratio.

(CEMRV) A 3D dynamic contrast enhanced magnetic resonance venogram with acquisition timing to account for the later arrival of the contrast agent in the venous system. The pulse sequence used, is an enhanced 3D fast gradient echo sequence, the same sequence that is used for MR angiography.

For Ultrasound Imaging (USI) see Venous Ultrasound at Medical-Ultrasound-Imaging.com.

(CNR) In Magnetic Resonance Imaging MRI, Contrast to noise ratio is the relationship of signal intensity differences between two regions, scaled to image noise. Improving CNR increases perception of the distinct differences between two clinical areas of interest. A contrast to noise ratio is a summary of SNR and contrast. It is the difference in SNR between two relevant tissue types.
(A and B): CNR = SNRA - SNRB

See also Signal Intensity, Signal to Noise Ratio and Medical Imaging.

Diamagnetism is a form of magnetism that is only exhibited by a substance in the presence of an externally applied magnetic field. It is the result of changes in the orbital motion of electrons due to the application of an externally applied magnetic field. Applying a magnetic field causes a momentary electromotive force (a consequence of Faraday's law), which modifies the electronic orbitals of atoms/molecules in a substance in such a way, that the orbitals produce an induced magnetic field, which opposes the applied field (a consequence of Lenz's law). However, the induced magnetic moment is very small in most everyday materials.
Diamagnets are repelled by magnetic fields. However, since diamagnetism is such a weak property its effects are not observable in every-day life.
However, in Magnetic Resonance Imaging for example barium sulfate suspensions lead with its weak negative magnetic susceptibility to a decrease in signal.

See also magnetism, ferromagnetism, paramagnetism, and superparamagnetism.