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Keren et al. Plast Aesthet Res 2017;4:97-103                                       Plastic and
           DOI: 10.20517/2347-9264.2017.14
                                                                                  Aesthetic Research

                                                                                               www.parjournal.net
            Original Article                                                                    Open Access


           A new tool to assess human fat grafts

           transplanted into nude mice using a nuclear

           magnetic resonance device



           Aviad Keren , Simon Filson , Nadia Smirnov-Shalom , Amos Gilhar , Yehuda Ullmann 1,2
                                                                      1
                      1,2
                                    2
                                                         2
           1 Skin Research Laboratory, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3525422, Israel.
           2 Department of Plastic Surgery, Rambam Health Care Centre, Haifa 3525408, Israel.
           Correspondence to: Prof. Yehuda Ullmann, Department of Plastic Surgery, Rambam Health Care Centre, Haifa 352540, Israel.
           E-mail: y_ullmann@rambam.health.gov.il
           How to cite this article: Keren A, Filson S, Smirnov-Shalom N, Gilhar A, Ullmann Y. A new tool to assess human fat grafts transplanted into nude mice
           using a nuclear magnetic resonance device. Plast Aesthet Res 2017;4:97-103.

                          Prof. Yehuda Ullmann is the Head of the Plastic Surgery Department and Aesthetic Services at Rambam Healthcare
                          Campus in Haifa, Israel. In addition, he is an Associate Clinical Professor of Plastic Surgery at the Rappaport
                          Faculty of Medicine at the Technion-Israel Institute of Technology. His research interests include increasing viability
                          of autologous fat transplants, wound healing especially burns, and also reconstructive and aesthetic surgery. He
                          has published over 120 articles in peer-reviewed journals. He is also an internationally acknowledged expert in the
                          use of laser and IPL technologies. Until recently, he served as the President of the Israel Society of Plastic Surgery.



                                         ABSTRACT
            Article history:              Aim: Over the past two decades, there has been a dramatic increase in the research of the
            Received: 20-02-2017          use of autologous fat grafting in clinical practice. Despite the many advantages this method
            Accepted: 02-06-2017          possesses, the unpredictable fat resorption rates limit its use. The primary aim of this
            Published: 27-06-2017         study was to develop an accurate, quick, non-invasive assessment tool, using the nuclear
                                          magnetic resonance (NMR) technique, which allows the injection of fat in small droplets
            Key words:                    rather than in large aliquots (the main drawback of our formerly described method) which
            Nuclear magnetic resonance,   allows assessment of fat retention in a more clinically relevant way. Methods: A total of
            fat,                          7 nude mice were transplanted with human fat using the Coleman technique. Pre- and
            transplantation,              post-transplantation and then once weekly, mice were analyzed using an NMR scanner.
            mouse,                        At the end of the 7-week experimental period the mice were sacrificed. Results: Seven
            model                         weeks following transplantation 7 mice demonstrated a decrease of 40% of their average
                                          fat content compared to immediately  post  transplantation  (standard deviation of 18%).
                                          All mice followed the same trend, and the low standard deviation throughout emphasizes
                                          the accuracy of NMR as a reliable assessment tool. Conclusion: This preliminary study
                                          demonstrates that NMR is a reliable and accurate tool to assess fat content, and has allowed
                                          development of a clinically relevant animal model for human fat transplantation.


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