23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation

Abstract Background Differentiation between saltwater and freshwater immersion as well as estimating the corpse’s time in water can be challenging. We aimed to establish and examine the feasibility of a novel approach based on sodium magnetic resonance imaging (23Na MRI) of the eye to facilitate non...

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Main Authors: Tobias Lindner, Adrian Konstantin Luyken, Chris Lappe, Oliver Stachs, Thoralf Niendorf, Matthias Lütgens, Stefan Polei, Brigitte Vollmar, Andreas Buettner, Sönke Langner, Marc-André Weber, Ebba Beller
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:European Radiology Experimental
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Online Access:https://doi.org/10.1186/s41747-025-00605-x
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author Tobias Lindner
Adrian Konstantin Luyken
Chris Lappe
Oliver Stachs
Thoralf Niendorf
Matthias Lütgens
Stefan Polei
Brigitte Vollmar
Andreas Buettner
Sönke Langner
Marc-André Weber
Ebba Beller
author_facet Tobias Lindner
Adrian Konstantin Luyken
Chris Lappe
Oliver Stachs
Thoralf Niendorf
Matthias Lütgens
Stefan Polei
Brigitte Vollmar
Andreas Buettner
Sönke Langner
Marc-André Weber
Ebba Beller
author_sort Tobias Lindner
collection DOAJ
description Abstract Background Differentiation between saltwater and freshwater immersion as well as estimating the corpse’s time in water can be challenging. We aimed to establish and examine the feasibility of a novel approach based on sodium magnetic resonance imaging (23Na MRI) of the eye to facilitate noninvasive sodium quantification. Methods Enucleated porcine eyes were immersed in NaCl 0.9%, NaCl 3.0%, NaCl 5.85%, distilled water (DW) or lake water (LW) at different time intervals, followed by 23Na 7-T MRI sodium quantification. Results After 6 h of immersion, a significant difference in vitreous body (VB) sodium concentration was found for NaCl 5.85% versus DW or LW (p ≤ 0.019). After 24 and 48 h of immersion, a significant difference in VB sodium concentration was found for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9%, as well as for NaCl 3.0% versus DW, LW or NaCl 0.9% (p ≤ 0.001). After 24 h of immersion, lens sodium concentration showed a significant difference for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9% (p ≤ 0.009); after 48 h of immersion, for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9% (p ≤ 0.001), as well as for NaCl 3.0% versus DW, LW or NaCl 0.9% (p ≤ 0.007). For VB, sodium concentration changes over immersion time, and exponential curves were fitted to the data. Conclusion Using 23Na MRI in ex vivo porcine eyes with different immersion times in various saltwater concentrations and freshwater equivalents allowed noninvasive quantification of VB and lens sodium concentrations. Relevance statement Although not a substitute for autopsy, 23Na MRI assessment of VB and lens sodium concentrations may provide biochemical support in suspected drowning, especially in cases where an internal examination of the body is not authorized or where objections to autopsy are upheld. Key Points Postmortem porcine eyes with different immersion times in saltwater and freshwater. Noninvasive quantification of vitreous body and lens sodium concentrations with 23Na MRI. Exponential time course of vitreous body sodium concentration in saltwater and freshwater. Graphical Abstract
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spelling doaj-art-e3f739fcf1034e4396f1367389e0ffde2025-08-20T03:04:14ZengSpringerOpenEuropean Radiology Experimental2509-92802025-07-019111110.1186/s41747-025-00605-x23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimationTobias Lindner0Adrian Konstantin Luyken1Chris Lappe2Oliver Stachs3Thoralf Niendorf4Matthias Lütgens5Stefan Polei6Brigitte Vollmar7Andreas Buettner8Sönke Langner9Marc-André Weber10Ebba Beller11Core Facility Multimodal Small Animal Imaging, University Medical Center RostockDepartment of Ophthalmology, University Medical Center RostockInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockDepartment of Ophthalmology, University Medical Center RostockBerlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz AssociationInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockRudolf-Zenker-Institute for Experimental Surgery, University Medical CenterInstitute of Legal Medicine, University Medical CenterInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, University Medical Center RostockAbstract Background Differentiation between saltwater and freshwater immersion as well as estimating the corpse’s time in water can be challenging. We aimed to establish and examine the feasibility of a novel approach based on sodium magnetic resonance imaging (23Na MRI) of the eye to facilitate noninvasive sodium quantification. Methods Enucleated porcine eyes were immersed in NaCl 0.9%, NaCl 3.0%, NaCl 5.85%, distilled water (DW) or lake water (LW) at different time intervals, followed by 23Na 7-T MRI sodium quantification. Results After 6 h of immersion, a significant difference in vitreous body (VB) sodium concentration was found for NaCl 5.85% versus DW or LW (p ≤ 0.019). After 24 and 48 h of immersion, a significant difference in VB sodium concentration was found for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9%, as well as for NaCl 3.0% versus DW, LW or NaCl 0.9% (p ≤ 0.001). After 24 h of immersion, lens sodium concentration showed a significant difference for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9% (p ≤ 0.009); after 48 h of immersion, for NaCl 5.85% versus DW, LW, NaCl 3.0% or NaCl 0.9% (p ≤ 0.001), as well as for NaCl 3.0% versus DW, LW or NaCl 0.9% (p ≤ 0.007). For VB, sodium concentration changes over immersion time, and exponential curves were fitted to the data. Conclusion Using 23Na MRI in ex vivo porcine eyes with different immersion times in various saltwater concentrations and freshwater equivalents allowed noninvasive quantification of VB and lens sodium concentrations. Relevance statement Although not a substitute for autopsy, 23Na MRI assessment of VB and lens sodium concentrations may provide biochemical support in suspected drowning, especially in cases where an internal examination of the body is not authorized or where objections to autopsy are upheld. Key Points Postmortem porcine eyes with different immersion times in saltwater and freshwater. Noninvasive quantification of vitreous body and lens sodium concentrations with 23Na MRI. Exponential time course of vitreous body sodium concentration in saltwater and freshwater. Graphical Abstracthttps://doi.org/10.1186/s41747-025-00605-xDrowningForensic medicineLens (crystalline)Post-mortem examinationVitreous body
spellingShingle Tobias Lindner
Adrian Konstantin Luyken
Chris Lappe
Oliver Stachs
Thoralf Niendorf
Matthias Lütgens
Stefan Polei
Brigitte Vollmar
Andreas Buettner
Sönke Langner
Marc-André Weber
Ebba Beller
23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
European Radiology Experimental
Drowning
Forensic medicine
Lens (crystalline)
Post-mortem examination
Vitreous body
title 23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
title_full 23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
title_fullStr 23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
title_full_unstemmed 23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
title_short 23Na MRI quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
title_sort 23na mri quantification of sodium content in porcine eyes after immersion in saltwater and freshwater en route to time in water estimation
topic Drowning
Forensic medicine
Lens (crystalline)
Post-mortem examination
Vitreous body
url https://doi.org/10.1186/s41747-025-00605-x
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