Combatting Second Generation Drug Addiction
Helene Benveniste, Anesthesiology, recently reported an innovative combined use of PET (positron emission tomography) scanning and high resolution MRI (magnetic resonance imaging) to non-invasively monitor maternal-fetal drug exchange and pharmacokinetics, the rate at which a drug is taken up and distributed among the body's organs. The combination offers a new technique for assessing damage from prenatal exposure to drugs of abuse. PET scans generate valuable pharmacokinetic data but cannot provide sufficiently detailed pictures of fetal organs, a function easily fulfilled by MRI. Combining the two imaging modalities made it possible to monitor pharmacokinetics down to the level of the placenta and individual regions of the fetal brain. Another important application could be to monitor fetal response to therapeutics, a growing need as the use of fetal surgery in utero becomes increasingly common to correct congenital malformations. When mothers are treated for pain as they recuperate from such surgeries, health professionals depend on the mother transferring the pain medication to the fetus via the placenta. But we actually do not know if what we give is sufficient to satisfy the pain level of the fetus, Prof. Benveniste observed. She was the lead author on a paper reporting these results in the Society of Nuclear Medicine’s Journal of Nuclear Medicine. The research was funded by the Office of Biological and Environmental Research in the U.S. Department of Energy’s Office of Science and by the National Institute on Drug Abuse.


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