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Artificial Intelligence in Health                                Algorithm and metal oxide nanoparticle in MRI



            between  neurodegenerative  conditions  such  as  multiple   The vast amount of  data generated during MRI
            sclerosis (MS), which is characterized by brain lesions   presents challenges for visual analysis, necessitating
            primarily in the white matter. These lesions are identified   advanced analytical methods. Artificial intelligence-based
            through demyelination, inflammation, and axonal loss.    algorithms are gaining prominence in the biomedical field
                                                         3,4
            A comprehensive understanding of brain MRI findings is   and medical image analysis.  Automated image analysis
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            essential for accurate MS diagnosis. 5             enables the handling of extensive datasets with consistent
                                                               precision, overcoming the limitations of manual methods.
              In MRI, a portion of proton nuclei within the body
            aligns parallel to an external magnetic field (B ) to generate   AI applications serve as decision support systems, although
                                                0
                                                               their development poses challenges.
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            images.  These nuclei precess at a Larmor frequency (w )
                  6
                                                         0
            and are excited to an antiparallel state by a radio frequency   AI algorithms are widely used for targeting specific
            (RF) pulse. On removing the RF pulse, the nuclei return   regions (organs or tissues), classifying disease stages, and
            to their equilibrium state, a process involving longitudinal   diagnosing tumors. 28-31  For instance, Chang et al.  explored
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                                           6,7
            (T1) and transverse (T2) relaxations.   T1 denotes the   the use of a deep learning algorithm for the automated
            time required to reach 63% longitudinal magnetization,   segmentation and quantification of the myocardial
            while  T2 is defined as the time required for a decrease   T1 values, while Bidhult  et al.  developed algorithms
                                                                                         33

            in the transverse magnetization by 37% its initial value.    for  T1 and  T2 relaxation mapping in cardiac imaging.
                                                          8
            Standard MRI sequences, including T1-weighted (T1-w),   Specifically, for brain regions, Jibon  et al.  improved a
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            T2-weighted (T2-w), fluid-attenuated inversion recovery   classification method to distinguish between cancerous
            (FLAIR),  and  T1-weighted  contrast  modalities,  are   and noncancerous tumors from brain MRI using log polar
            employed to detect overt lesions and assess tissue atrophy   transformation and convolutional neural networks. In
            in MS.  MS lesions typically manifest as hyperintensities   addition, the improved algorithm developed by Oliveira
                 2,9
                                                                   11
            in T2-w and FLAIR images and as hypointensities in T1-w   et al.   demonstrated  the  effectiveness of  convolutional
            images. 2                                          neural networks for detecting brain lesions in individuals
                                                               with MS. In general, the primary role of AI is to create tools
              Recent research has revealed an imbalance in the metal
            levels among individuals suffering from MS, suggesting a   that automatically learn from data and produce accurate
                                                               results,  potentially minimizing medical errors and aiding
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            link between metal levels and neurodegenerative diseases.   clinicians. 36
            This imbalance may contribute to brain injuries. 10-15
            Metallic elements are considered potential causes of brain   Given the role of metal oxide NPs as CAs and
            lesions. Furthermore, these metals are hypothesized to   importance of  algorithms in medical  image analysis,
            accumulate within lesions, altering the MRI contrast signal   developing an algorithm to study NP signals in MRI is
            similar to contrast agents (CAs). However, the mechanism   essential. This study investigates the relationship between
            by which these metals influence the MRI signals of lesions   different metal oxide NP concentrations and relaxation
            remains underexplored.                             times, hypothesizing the following. (1) Various metal
                                                               oxides affect signal intensity, (2) different metal oxide NP
              Advancements in nanotechnology and the unique    concentrations alter signal intensity, and (3) metal oxide
            properties of metallic nanoparticles (NPs) that influence   NPs  influence  the  longitudinal  relaxation  time  in  MRI.
            MRI relaxation times have facilitated the use of NPs as   Moreover, we present an algorithm to analyze the signal
            CAs in MRI. 1,8,16-19  Metallic NPs can reduce T1 or T2 by   intensity and autonomously determine relaxation times in
            accelerating relaxation rates and inducing magnetic field   MRI using metal oxide NPs.
            inhomogeneity.  Regions containing these NPs appear
                        20
            bright in  T1-w images, and NPs act as negative CAs,   2. Methods
            reducing T2 signals.  CAs are essential for enhancing the
                            16
            contrast and sensitivity in MRI diagnostics. For instance,   2.1. Chemicals and reagents
            Gd is widely used as a CA in MRI, favored for its prolonged   Five distinct NPs were synthesized using the
            magnetic relation time and large magnetic moment. 21,22    sol‒gel  method,  a  bottom-up  chemical  approach
            Studies have also explored MRI CAs based on iron   enabling enhanced control over procedural steps and
            oxide (Fe O ), gadolinium oxide, and manganese oxide   the  chemical  compositions of  the  final  products.   All
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                      3
                    2
            NPs. 7,22-25  Cai  et al. (2019)  highlighted advancements   reagents  were  sourced from Sigma-Aldrich, including
                                  21
            in the utilization of Mn oxide as a CA in MRI, while   cobalt(II) nitrate  hexahydrate  (Co(NO )·6H O, 98%),
                                                                                                 3
                                                                                                     2
            Blanco-Andujar et al.  emphasized the design of Fe O -  copper(II)  nitrate  tetrahydrate  (Cu(NO ) ·3H O,  99%),
                             24
                                                                                                3 2
                                                         3
                                                       2
                                                                                                     2
            based magnetic NPs that enable the optimization of their   iron(III) nitrate nonahydrate (Fe(NO ) .9H O, 98%),
                                                                                                     2
                                                                                                3 3
            relaxivity for use as CAs in T2-w MRI.             nickel(II) nitrate hexahydrate (Ni(NO ) ·6H O, 97%), and
                                                                                             3 2
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            Volume 2 Issue 1 (2025)                         54                               doi: 10.36922/aih.3947
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