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Quantitative susceptibility mapping reveals increased iron content of subcortical nuclei in hypertensive patients
Xin Li1, Yue Qin1, Shaoyu Wang2, Xiang Feng3, Yifan Qian1, Juan Tian1, Liyao Liu1, Yinhu Zhu1, Boyuan Jiang1, and Yanqiang Qiao1
1XI’AN DAXING HOSPITAL, ShaanXi, Xi’an, China, 2Siemens Healthcare Ltd., ShaanXi, Xi’an, China, 3Siemens Healthcare Ltd., Beijing, China
 Hypertension is known to be a major risk factor for damage to target organs, including the brain. As people grow older, iron accumulates, mainly in the form of hemosiderin, in several brain regions and cell types. Hypertension may be associated with increased content of heme and non-heme iron contents. The brain is one of the main target organs affected by hypertension. Iron is the most abundant metal element in human body, most of which are distributed in brain tissue in the form of non heme iron. QSM is a potent imaging method that can be exploited in the clinic to provide noninvasive, accurate, and precise measurements of iron for diagnosing diseases and monitoring progression and treatment. This study evaluated the feasibility of QSM in measurement of brain iron deposition between hypertensive patients and health controls, and found increased iron accumulation mainly in deep gray matter nucleus and CSF in hypertensive patients. Indicate the role of excess brain iron in deep gray matter in hypertension. This suggested iron may be a potential biomarker for further understanding the pathophysiological mechanism of hypertension.
Fig. 1. This image shows six selected regions of one QSM image slice from a 62-year-old subject.
Table 1. Comparison of magnetic sensitivity of ROI between hypertensive patients and healthy controls (p < 0.05 was considered statistically significant)