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Day-night variation and age-related differences in gadolinium-based contrast media enhancement in the brain: A T1 mapping study.

Overview

Authors: Dongjun Lee1, Yangsean Choi1, Eunseon Jeong1, Yoonho Nam2, Sungyang Jo3, Sun Ju Chung3, Ho-Sung Kim1
  1. Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Seoul, Republic of Korea
  2. Department of Biomedical Engineering, Hankuk University of Foreign Studies, Yongin-Si, Gyeonggi‐do, Republic of Korea
  3. Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
Institutions: University of Ulsan (South Korea); Hankuk University of Foreign Studies (South Korea); Asan Medical Center (South Korea)
Journal: PloS one, volume 21, issue 4, article e0346730
Dates: received 5 November 2025; accepted 23 March 2026; published online 9 April 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1371/journal.pone.0346730 · PMID 41955227 · PMCID PMC13065030 · OpenAlex W7152717385
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: structural MRI / diffusion (modality), human (organism), clinical / translational (subfield)
Methods: Statistics, Machine learning, Smoothing, state filtering, decompositions
MeSH: Aging*, Brain*, Brain Mapping*, Circadian Rhythm*, Contrast Media*, Gadolinium*, Magnetic Resonance Imaging*, Adult, Age Factors, Aged, Aged, 80 and over, Female, Glymphatic System, Humans, Male, Middle Aged, Retrospective Studies, Young Adult (* major topic)
Topic: Cerebrospinal fluid and hydrocephalus (Cellular and Molecular Neuroscience, Neuroscience), according to OpenAlex
Funding: National Research Foundation of Korea (RS-2025-16064441)
Citations: not cited yet (Europe PMC); 39 references in the paper

Abstract

The glymphatic system clears metabolic waste from the brain and can be probed using contrast-enhanced MRI. We investigated whether early-phase gadolinium-based contrast agent (GBCA) uptake varies with time of day and age. In this retrospective study, 447 patients who underwent brain MRI for suspected movement disorders received pre- and post-contrast T1 mapping a median of 5.9 minutes after GBCA injection. Scans were categorized as daytime (n = 307) or nighttime (n = 140). Regional ΔT1 values were measured in the cerebral and cerebellar cortices, white matter, basal ganglia perivascular spaces, and choroid plexus. Daytime cohorts showed significantly greater cortical enhancement than nighttime cohorts, particularly in the frontal, parietal, and temporal lobes, while no differences were observed in white matter, perivascular spaces, or choroid plexus. Increasing age was independently associated with stronger cortical enhancement across both day and night scans, with no significant interaction between age and time. These findings suggest that cortical GBCA retention is influenced by both circadian timing and aging, supporting early-phase T1 mapping as a practical approach to evaluate human glymphatic function.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

The paper links to its data, not to its authors' code: see the Data section.

Tracing map

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Data

Datasets cited

Data Availability

The minimal de-identified dataset underlying the findings of this study is publicly available in figshare at: https://doi.org/10.6084/m9.figshare.31322251. The email address of the Institutional Review Board of Asan Medical Center is .

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 29 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 7 authors, 18 MeSH terms, 1 funder, 39 references.

Cite

This paper

Lee, D., Choi, Y., Jeong, E., Nam, Y., Jo, S., Chung, S. J., & Kim, H.-S. (2026). Day-night variation and age-related differences in gadolinium-based contrast media enhancement in the brain: A T1 mapping study. PloS one, 21(4), e0346730. https://doi.org/10.1371/journal.pone.0346730

BibTeX

@article{lee2026day,
author = {Lee, Dongjun and Choi, Yangsean and Jeong, Eunseon and Nam, Yoonho and Jo, Sungyang and Chung, Sun Ju and Kim, Ho-Sung},
title = {{Day-night variation and age-related differences in gadolinium-based contrast media enhancement in the brain: A T1 mapping study}},
journal = {PloS one},
year = {2026},
month = apr,
volume = {21},
number = {4},
pages = {e0346730},
publisher = {PLOS},
issn = {1932-6203},
doi = {10.1371/journal.pone.0346730},
url = {https://doi.org/10.1371/journal.pone.0346730},
pmid = {41955227},
pmcid = {PMC13065030}
}

RIS

TY - JOUR
AU - Lee, Dongjun
AU - Choi, Yangsean
AU - Jeong, Eunseon
AU - Nam, Yoonho
AU - Jo, Sungyang
AU - Chung, Sun Ju
AU - Kim, Ho-Sung
TI - Day-night variation and age-related differences in gadolinium-based contrast media enhancement in the brain: A T1 mapping study
T2 - PloS one
J2 - PLoS One
PY - 2026
DA - 2026/04/09
VL - 21
IS - 4
SP - e0346730
SN - 1932-6203
PB - PLOS
DO - 10.1371/journal.pone.0346730
UR - https://doi.org/10.1371/journal.pone.0346730
LA - en
ER -

CSL-JSON

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"issued": {
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