(Mn-DPDP) This agent,
mangafodipir trisodium, is a hepatocyte specific
MRI contrast agent. Manganese is very toxic, so it has to be chelated and put in the form of a vitamin B6
analog, which is taken up by normal hepatocytes to some extent.
Teslascan® was developed in the early 1980's, went through clinical
trials in the early 1990's, and was approved in 1997. One problem with assessing the efficacy of this agent is the fact that the
phase III
trials finished in the early 1990's, and the techniques used for MR today are very different from the techniques used almost a decade ago.
This
contrast agent shortens the
T1 relaxation time. On
T1 weighted pictures it makes a normal
liver look brighter. Since metastases, for example, do not generally take up this agent, the
contrast between the enhancing
liver and the non-enhancing lesions will increase on
T1 weighted pictures. It does not have much effect on
T2 weighted images.