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Tuesday, October 25, 2016
The new scanners that can really get inside your head - Cambridge University
New
visions of the brain and body’s detailed operations will be unveiled by
a suite of medical scanners being opened this week. The newly
refurbished Wolfson Brain Imaging Centre in
the University of Cambridge has been equipped with some of the world’s
most powerful magnetic resonance imaging (MRI) and positron emission
tomography (PET) scanners and will give its researchers unprecedented
power to make images of cancers, study the precise makeup of the cortex
and analyse how chemicals in the brain – known as neurotransmitters –
underpin the development of schizophrenia and depression.
“It is a remarkable set of machines,” says Professor Ed Bullmore,
head of neuroscience at Cambridge University. “We will be able to
address clinical issues such as the detailed progression of Parkinson’s
disease. At the same time, we will be able to address basic issues about
the mind. How does the brain develop? How does the adult brain perform
its functions?”
At the heart of the refurbished centre – funded by the Medical
Research Council, Wellcome Trust and Cancer Research UK – are three
groundbreaking devices. Only a handful of these exist at institutions
outside Cambridge and no institution – other than Cambridge – has all
three.
They are:
■ A Siemens 7T Terra MRI scanner that will allow researchers to see details in the brain as tiny as a grain of sand.
■ A GE Healthcare PET/MR scanner, which combines positron emission
and magnetic resonance technologies to enable researchers to understand
how cancers grow, spread and respond to treatment. It should also allow
them to study how dementia progresses.
■ A device known as a hyperpolariser, which enables scientists to
study real-time metabolic changes in cancers and tissues and which will
be able to determine if a cancer therapy is working or not.
“The devices we have assembled are primarily for studying humans and
will have a strong research focus,” Bullmore says. A key example is
provided by the 7T MRI scanner. Current devices have magnetic fields
that have strengths of around 3T (tesla) and can see structures 2-3 mm
in size. By contrast, the new Cambridge scanner with its 7T field will
have a resolution of around 0.5mm.
“That is a very important difference,” adds Bullmore. “The outer
layer of the brain, the cortex, is about 3-4mm thick. That is the grey
matter that provides us with our thoughts. Current scanners show it as a
single strip. The new 7T device will allow us to differentiate the
cortex so we will be able to see its different structures and allow us
to understand how they interact. We are going to learn how the brain
works as a network.”
The power of the 7T scanner has also been emphasised by Professor
James Rowe, who will be leading research using the device. “Often, the
early stages of diseases of the brain – such as Alzheimer’s and
Parkinson’s – occur in very small structures. The early seeds of
dementia for example, which are often sown in middle age, have been
hidden to earlier types of MRI – until now.”
By contrast, the PET/MR scanner will allow scientists not only to
study structural alterations in the brain but to map chemical changes
that go with them. “This should enable researchers to diagnose dementia
before any symptoms have arisen and to understand which treatments may
best halt or slow the disease,” says Professor Fiona Gilbert, who will
lead the work on the PET/MR scanner.
The third new imaging device, the hyperpolariser, is already in
operation and is allowing scientists to make highly sensitive real-time
measurements of bodily processes. Not all patients suffering from a
particular cancer respond in the same way to treatment because of the
underlying differences in the genetics of their tumour. “However, if you
sequence the DNA in the tumour, you can select drugs that might work
for that individual,” explains Professor Kevin Brindle. “Using
hyperpolarisation and MRI, we then hope to be able to tell whether that
drug is working – within a few hours of starting treatment. If it’s
working, you continue, if not, you change the treatment.”
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