Neuroimaging

The aim of our research is to describe the pathological process resulting from a known cause or injury that take place during the development of acquired epilepsy. We focus mainly on alterations in energy metabolism and cerebral perfusion. We strive for the ultimate translation of the acquired knowledge and its implementation into the clinical practice. We also focus on the improvements of epilepsy diagnostic imaging procedures, especially magnetic resonance imaging (MRI). In close collaboration with the Department of Radiology, Department of Neurology, and the Department of Paediatric Neurology, we have been validating for clinical practice the assessment of non-Gaussian diffusion (DKI), perfusion (DSC, pcASL) blood-brain barrier permeability (DCE, DEBBIE ASL), and newly electrical properties of tissue (MR-EPT). We also develop the post-processing methods and implement modern techniques, including artificial intelligence algorithms.

Prof. Jakub Otahal, MD, PhD

Prof. Jakub Otahal, MD, PhD

Team Leader

Assoc. Prof. Martin Kyncl, MD, PhD

Assoc. Prof. Martin Kyncl, MD, PhD

Physician

David Kala, MSc, PhD

David Kala, MSc, PhD

Post-doctoral fellow

Jan Sanda, Ing, PhD

Jan Sanda, Ing, PhD

Biomedical engineer

Yeva Prysiazhniuk, MSc, PhD

Yeva Prysiazhniuk, MSc, PhD

Postdoc

Lukas Michal, MSc

Lukas Michal, MSc

PhD student

Zuzana Holubova, MD, PhD

Zuzana Holubova, MD, PhD

Physician

Jan Svoboda, MSc, PhD

Jan Svoboda, MSc, PhD

Postdoc

Nora Profantova, MD

Nora Profantova, MD

Physician

Bruno Jurasek, MD

Bruno Jurasek, MD

Physician, PhD student

Adam Kalina, MD, PhD

Adam Kalina, MD, PhD

Physician

Martin Kudr, MD, PhD

Martin Kudr, MD, PhD

Physician

Anezka Belohlavkova, MD, PhD

Anezka Belohlavkova, MD, PhD

Post-doctoral fellow, physician

Prof. Pavel Krsek, MD, PhD

Prof. Pavel Krsek, MD, PhD

Physician

Adela Tefr Faridova, MD

Adela Tefr Faridova, MD

PhD student

Jakub Smid, Ing

Jakub Smid, Ing

PhD student

Timur Abragimovich

Timur Abragimovich

Sarka Danacikova, Msc, PhD

Sarka Danacikova, Msc, PhD

Postdoc

Research areas

Acquired epilepsy

In our group we try to describe the changes that take place during the development of so-called acquired epilepsy. I focus mainly on changes in energy metabolism and cerebral perfusion. We are trying to translate the knowledge that my colleagues and I are gaining into clinical practice. We focus on improving the diagnosis of epilepsy using imaging methods, especially magnetic resonance imaging. In close collaboration with the Imaging Methods Clinic, the Neurology Clinic, and the Department of Child Neurology, we are validating for clinical practice the assessment of non-Gaussian diffusion (DKI), perfusion (DSC, pcASL) blood-brain barrier permeability (DCE, DEBBIE ASL), and newly electrical properties of tissue (MR-EPT). We are developing post-processing methods and implementing modern techniques including artificial intelligence algorithms.

In our latest publications, we explore, among other topics, microstructural changes in brain white matter neuronal tracts in epilepsy and the use of advanced diffusion imaging to improve the localization of epileptic foci in epilepsy surgery.

 

 

Imaging of Tissue Electrical Properties

Our group studies the electrical properties of brain tissue, such as electrical conductivity. These properties are linked to cells function and may reveal subtle changes that occur in epilepsy, as well as in other brain disorders, including stroke, brain tumours and inflammatory diseases.

Our goal is to develop and test new imaging methods that can measure these properties non-invasively using magnetic resonance imaging. This work is carried out in collaboration with the Institute for Clinical and Experimental Medicine (IKEM) and the Faculty of Biomedical Engineering of the Czech Technical University in Prague. Together, we are helping to develop new measurement technologies and bring them closer to clinical use.

By studying the electrical properties of brain tissue, we hope to improve diagnosis and gain a deeper understanding of how the brain changes during disease. In the long term, this knowledge may help support more accurate and personalised treatment for patients.

Stroke

We also study ischemic stroke and its complications, particularly hemorrhagic transformation, when bleeding develops in previously ischemic brain tissue. This is an important complication that can affect both patient outcomes and the safety of reperfusion therapy.

Our research focuses on understanding why some areas of the brain become more vulnerable after stroke and why bleeding may occur after blood flow is restored. We are particularly interested in changes in the blood-brain barrier, microvascular function and brain perfusion during the acute phase of stroke and after reperfusion.

To study these processes, we use advanced imaging methods, especially magnetic resonance imaging, including perfusion techniques and approaches that allow us to assess the permeability of the blood-brain barrier. In collaboration with clinical departments of Motol Hospital, we evaluate quantitative imaging markers related to perfusion, permeability and the extent of ischemic injury.

Our aim is to identify early imaging predictors of hemorrhagic transformation and to help translate these findings into clinical practice. In the long term, this research may support better patient stratification, safer use of reperfusion therapy and more personalised care for patients with stroke.

 

Cell Metabolism and Neuroprotection
We use in vitro neural cell cultures, including neurons and glial cells, to study the biological effects of selected candidate molecules. We examine how these compounds affect cell viability and morphology, oxidative stress, cytotoxicity and their potential neuroprotective effects.

We also perform proteomic analyses, which allow us to better understand how selected compounds act in models of neurological diseases, including epilepsy, neurodegeneration, neuroinflammation and demyelinating disorders.

Experimental Research into Nervous System Disorders
Our in vivo experimental research platform combines advanced imaging and electrophysiological methods to study disorders of the nervous system and to evaluate potential therapeutic approaches. We use technologies such as multiphoton microscopy, micro-MRI, CT-PET, EEG and laser Doppler velocimetry, allowing us to observe changes in brain activity, tissue morphology and vascular supply in detail and in real time.

Our research focuses on understanding the mechanisms underlying epilepsy, stroke, neurodegeneration and other disorders of the central nervous system.

 

Selected publications

Prysiazhniuk Y et al

Diffuse glioma molecular profiling with Arterial Spin Labeling and Dynamic Susceptibility Contrast perfusion MRI: a comparative study

Neuro-Oncology Advances 2024

Kyncl M et al

Structural MR imaging of the brain in patients with Alzheimer’s disease/ARIA assessment – initial practical information

Czech Radiology 2024

Danacikova S et al

In vitro human cell culture models in a bench-to-bedside approach to epilepsy

Epilepsia Open 2024

Buckova BR et al

Structural connectivity-based predictors of cognitive impairment in stroke patients attributable to aging

PLoS One 2023

Kyncl M et al

Recommendations for structural brain MRI in the diagnosis of epilepsy

Czech and Slovak Neurology and Neurosurgery 2023

Folbergrova J et al

Protective effect of sulforaphane on oxidative stress and mitochondrial dysfunction associated with status epilepticus in immature rats

Molecular Neurobiology 2023

Kala D et al

Evaluation of blood-brain barrier integrity by the analysis of dynamic contrast-enhanced MRI – a comparison of quantitative and semi-quantitative methods

Physiological Research 2022

Danek J et al

Sulforaphane ameliorates metabolic changes associated with status epilepticus in immature rats

Frontiers in Cellular Neuroscience 2022

Current grant projects

NU21-08-00228
Detection of changes in microstructure and structural connectivity of focal cortical dysplasias using diffusion kurtosis imaging

NU21-02-00289
Neuroimaging in prediction of haemorrhagic complications after mechanical recanalization treatment of ischemic stroke

NU23-08-00460 PediTuMRI
Advanced Magnetic Resonance Imaging of Paediatric Brain Tumors

National Recovery Program – Excelles

COGNI (NPO cooperation)

CADASIL (CERICA clinical trial)

MedWaveImage (EU-Interreg)
Microwave imaging technology transfer to innovate the medical sector

NW25-08-00371
Advancing MRI Protocol for Detecting Epileptogenic Tissue through Vascular Response Analysis during Hypercapnic Challenge — /MrEpiVaR/

 

International cooperation

University of Liverpool

UMC Utrecht

HZDR Dresden

Amsterdam UMC

Fraunofer MEVIS

University of Oslo

GliMR

University of South Carolina

IKEM

Keywords

epilepsy, magnetic resonance imaging, diffusion, perfusion, energy metabolism