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Change of iron content in brain regions after intravenous iron therapy in restless legs syndrome: quantitative susceptibility mapping study

Title: Change of iron content in brain regions after intravenous iron therapy in restless legs syndrome: quantitative susceptibility mapping study
Authors: Kim, TJ; Kim, MH; Kim, JH; Jun, JS; Byun, JI; Sunwoo, JS; Shin, JW; Gho, SM; Sohn, CH; Jung, KY
Contributors: 112418; 112530; Kim, TJ; Kim, MH
Publication Year: 2023
Subject Terms: Brain; Brain Mapping; Humans; Iron; Iron Deficiencies; Restless Legs Syndrome; Treatment Outcome; brain iron deficiency; ferric carboxymaltose; quantitative susceptibility mapping
Description: Study Objectives: The pathomechanism of restless legs syndrome (RLS) is related to brain iron deficiency and iron therapy is effective for RLS; however, the effect of iron therapy on human brain iron state has never been studied with magnetic resonance imaging. This study aimed to investigate the change of brain iron concentrations in patients with RLS after intravenous iron therapy using quantitative susceptibility mapping (QSM). Methods: We enrolled 31 RLS patients and 20 healthy controls. All participants underwent initial baseline (t0) assessment using brain magnetic resonance imaging, serum iron status, and sleep questionnaires including international RLS Study Group rating scale (IRLS). RLS patients underwent follow-up tests at 6 and 24 weeks (t1 and t2) after receiving 1000 mg ferric carboxymaltose. Iron content of region-of-interest on QSM images was measured for 13 neural substrates using the fixed-shaped method. Results: RLS symptoms evaluated using IRLS were significantly improved after iron treatment (t0: 29.7 ± 6.5, t1: 19.5 ± 8.5, t2: 21.3 ± 10.1; p
Document Type: article in journal/newspaper
Language: English
Relation: J001618105; http://repository.ajou.ac.kr/handle/201003/26406
DOI: 10.1093/sleep/zsad154
Availability: http://repository.ajou.ac.kr/handle/201003/26406; https://doi.org/10.1093/sleep/zsad154
Accession Number: edsbas.40D3CC1
Database: BASE