RT Journal Article SR Electronic T1 Sodium MR Neuroimaging JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1920 OP 1926 DO 10.3174/ajnr.A7261 VO 42 IS 11 A1 A. Hagiwara A1 M. Bydder A1 T.C. Oughourlian A1 J. Yao A1 N. Salamon A1 R. Jahan A1 J.P. Villablanca A1 D.R. Enzmann A1 B.M. Ellingson YR 2021 UL http://www.ajnr.org/content/42/11/1920.abstract AB SUMMARY: Sodium MR imaging has the potential to complement routine proton MR imaging examinations with the goal of improving diagnosis, disease characterization, and clinical monitoring in neurologic diseases. In the past, the utility and exploration of sodium MR imaging as a valuable clinical tool have been limited due to the extremely low MR signal, but with recent improvements in imaging techniques and hardware, sodium MR imaging is on the verge of becoming clinically realistic for conditions that include brain tumors, ischemic stroke, and epilepsy. In this review, we briefly describe the fundamental physics of sodium MR imaging tailored to the neuroradiologist, focusing on the basics necessary to understand factors that play into making sodium MR imaging feasible for clinical settings and describing current controversies in the field. We will also discuss the current state of the field and the potential future clinical uses of sodium MR imaging in the diagnosis, phenotyping, and therapeutic monitoring in neurologic diseases.ESCextracellular sodium concentrationIDHisocitrate dehydrogenaseISCintracellular sodium concentrationNHE1Na+/H+ exchanger isoform 1TSCtotal sodium concentration