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Editor's e-Note
A new technique, chemical exchange saturation transfer (CEST), that measures specific molecules in the body, may enhance clinical decision making in the treatment of patients with heart disorders, according to a recent study. The new MRI method maps creatine in the heart at higher resolutions to help clinicians detect abnormalities earlier than they can with traditional diagnostic methods.

The technique will allow physicians to pinpoint regional changes in the heart that occur after heart attacks, helping to identify and treat patients at risk of developing heart failure before symptoms develop. The increased sensitivity with CEST can help detect small damaged areas of the heart that may be missed by conventional imaging.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Barbara Worthington, editor
e-News Exclusive
MRI-Measured Creatine Levels
May Detect Heart Problems Earlier

A new MRI method to map creatine at higher resolutions in the heart may help clinicians and scientists find abnormalities and disorders earlier than traditional diagnostic methods, researchers at the Perelman School of Medicine at the University of Pennsylvania suggest in a new study recently published online in Nature Medicine. The preclinical findings show an advantage over less sensitive tests and point to a safer and more cost-effective approach than those with radioactive or contrasting agents.

Creatine is a naturally occurring metabolite that helps supply energy to all cells through creatine kinase reaction, including those involved in heart contractions. When heart tissue becomes damaged from a loss of blood supply, even in the very early stages, creatine levels drop. Researchers exploited this process in a large animal model with a method known as chemical exchange saturation transfer (CEST), which measures specific molecules in the body, to track the creatine on a regional basis.

The team, led by Ravinder Reddy, PhD, a radiology professor and the director of the Center for Magnetic Resonance and Optical Imaging at Penn Medicine, found that imaging creatine through CEST MRI provides higher resolution compared with standard MR spectroscopy (MRS), a commonly used technique for measuring creatine.

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DVTCare System
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The Sensus Pain Management System is a device worn around the calf to alleviate the pain associated with diabetic peripheral neuropathy. The Sensus Ssystem uses transcutaneous electric nerve stimulation to deliver electric currents that stimulate nerves. The FDA has approved the use of the device during sleep, since it can sense electrode dislodgement and avoid electric risks. Learn more »
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The Orlando Sentinel looks at whether physicians, stressed by face time with patients and insurance payment constraints, are trending toward the practice of concierge medicine.
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