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Non-invasive MR imaging of human brain lymphatic networks with connections to cervical lymph nodes

Author

Listed:
  • Mehmet Sait Albayram

    (University of Florida, College of Medicine)

  • Garrett Smith

    (University of Florida, College of Medicine)

  • Fatih Tufan

    (Geriatrician (PP), Silivrikapi Mh. Hisaralti Cd)

  • Ibrahim Sacit Tuna

    (University of Florida, College of Medicine)

  • Mehmet Bostancıklıoğlu

    (Elysium Health Center)

  • Michael Zile

    (Medical University of South Carolina
    Ralph H. Johnson Department of Veterans Affairs Medical Center)

  • Onder Albayram

    (Medical University of South Carolina
    Medical University of South Carolina
    Medical University of South Carolina)

Abstract

Meningeal lymphatic vessels have been described in animal studies, but limited comparable data is available in human studies. Here we show dural lymphatic structures along the dural venous sinuses in dorsal regions and along cranial nerves in the ventral regions in the human brain. 3D T2-Fluid Attenuated Inversion Recovery magnetic resonance imaging relies on internal signals of protein rich lymphatic fluid rather than contrast media and is used in the present study to visualize the major human dural lymphatic structures. Moreover we detect direct connections between lymphatic fluid channels along the cranial nerves and vascular structures and the cervical lymph nodes. We also identify age-related cervical lymph node atrophy and thickening of lymphatics channels in both dorsal and ventral regions, findings which reflect the reduced lymphatic output of the aged brain.

Suggested Citation

  • Mehmet Sait Albayram & Garrett Smith & Fatih Tufan & Ibrahim Sacit Tuna & Mehmet Bostancıklıoğlu & Michael Zile & Onder Albayram, 2022. "Non-invasive MR imaging of human brain lymphatic networks with connections to cervical lymph nodes," Nature Communications, Nature, vol. 13(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-021-27887-0
    DOI: 10.1038/s41467-021-27887-0
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    Cited by:

    1. Shinji Naganawa & Yutaka Kato & Tadao Yoshida & Michihiko Sone, 2023. "Fluid signal suppression characteristics of 3D-FLAIR with a T2 selective inversion pulse in the skull base," Nature Communications, Nature, vol. 14(1), pages 1-3, December.
    2. Geir Ringstad & Per Kristian Eide, 2023. "The pitfalls of interpreting hyperintense FLAIR signal as lymph outside the human brain," Nature Communications, Nature, vol. 14(1), pages 1-3, December.

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