Multiple-quantum (MQ) -filtered Na-23 NMR has been proposed as a means to p
artially discriminate between intracellular and extracellular sodium. Howev
er, low signal-to-noise ratio (SNR) has been a major obstacle to MQ-filtere
d Na-23 imaging becoming an important technique for biological and clinical
applications. We compared the various MQ-filtered Na-23 imaging pulse sequ
ences to select the optimum sequence that provides the best SNR. The result
s of phantom experiments show that the gradient-ache MQ-filtered Na-23 imag
ing sequence produces the best SNR. We also report, for the first time, thr
ee-dimensional single-quantum (SQ) and triple-quantum (TQ) -filtered Na-23
images of the live dog brain and demonstrate the sensitivity of these image
s to ischemia produced by euthanizing the animal. The SQ images showed a 10
% to 15% decrease in signal intensity from the brain postmortem, whereas th
e TQ-filtered images showed a 40% to 50% increase. These changes in signal
intensities are consistent with the influx of Na+ into the cells upon death
. The feasibility of obtaining TQ-filtered Na-23 images of in situ dog brai
n encourages us to apply this technique to humans.