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
Team Leader

Assoc. Prof. Martin Kyncl, MD, PhD
Physician

David Kala, MSc, PhD
Post-doctoral fellow

Jan Sanda, Ing, PhD
Biomedical engineer

Yeva Prysiazhniuk, MSc, PhD
Postdoc

Lukas Michal, MSc
PhD student

Zuzana Holubova, MD, PhD
Physician

Jan Svoboda, MSc, PhD
Postdoc
Nora Profantova, MD
Physician
Bruno Jurasek, MD
Physician, PhD student

Adam Kalina, MD, PhD
Physician

Martin Kudr, MD, PhD
Physician

Anezka Belohlavkova, MD, PhD
Post-doctoral fellow, physician

Prof. Pavel Krsek, MD, PhD
Physician

Adela Tefr Faridova, MD
PhD student

Jakub Smid, Ing
PhD student
Timur Abragimovich

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 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 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