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1.
Nat Commun ; 13(1): 4310, 2022 07 25.
Article in English | MEDLINE | ID: mdl-35879348

ABSTRACT

Anthropogenic nitrogen inputs cause major negative environmental impacts, including emissions of the important greenhouse gas N2O. Despite their importance, shifts in terrestrial N loss pathways driven by global change are highly uncertain. Here we present a coupled soil-atmosphere isotope model (IsoTONE) to quantify terrestrial N losses and N2O emission factors from 1850-2020. We find that N inputs from atmospheric deposition caused 51% of anthropogenic N2O emissions from soils in 2020. The mean effective global emission factor for N2O was 4.3 ± 0.3% in 2020 (weighted by N inputs), much higher than the surface area-weighted mean (1.1 ± 0.1%). Climate change and spatial redistribution of fertilisation N inputs have driven an increase in global emission factor over the past century, which accounts for 18% of the anthropogenic soil flux in 2020. Predicted increases in fertilisation in emerging economies will accelerate N2O-driven climate warming in coming decades, unless targeted mitigation measures are introduced.


Subject(s)
Greenhouse Gases , Nitrous Oxide , Agriculture , Atmosphere , Nitrogen/metabolism , Nitrous Oxide/metabolism , Soil
2.
Sci Adv ; 7(6)2021 02.
Article in English | MEDLINE | ID: mdl-33547069

ABSTRACT

Nitrous oxide is a powerful greenhouse gas whose atmospheric growth rate has accelerated over the past decade. Most anthropogenic N2O emissions result from soil N fertilization, which is converted to N2O via oxic nitrification and anoxic denitrification pathways. Drought-affected soils are expected to be well oxygenated; however, using high-resolution isotopic measurements, we found that denitrifying pathways dominated N2O emissions during a severe drought applied to managed grassland. This was due to a reversible, drought-induced enrichment in nitrogen-bearing organic matter on soil microaggregates and suggested a strong role for chemo- or codenitrification. Throughout rewetting, denitrification dominated emissions, despite high variability in fluxes. Total N2O flux and denitrification contribution were significantly higher during rewetting than for control plots at the same soil moisture range. The observed feedbacks between precipitation changes induced by climate change and N2O emission pathways are sufficient to account for the accelerating N2O growth rate observed over the past decade.

3.
Ann Bot ; 114(5): 1011-21, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25122656

ABSTRACT

BACKGROUND AND AIMS: Abiotic properties of soil are known to be major drivers of the microbial community within it. Our understanding of how soil microbial properties are related to the functional structure and diversity of plant communities, however, is limited and largely restricted to above-ground plant traits, with the role of below-ground traits being poorly understood. This study investigated the relative contributions of soil abiotic properties and plant traits, both above-ground and below-ground, to variations in microbial processes involved in grassland nitrogen turnover. METHODS: In mountain grasslands distributed across three European sites, a correlative approach was used to examine the role of a large range of plant functional traits and soil abiotic factors on microbial variables, including gene abundance of nitrifiers and denitrifiers and their potential activities. KEY RESULTS: Direct effects of soil abiotic parameters were found to have the most significant influence on the microbial groups investigated. Indirect pathways via plant functional traits contributed substantially to explaining the relative abundance of fungi and bacteria and gene abundances of the investigated microbial communities, while they explained little of the variance in microbial activities. Gene abundances of nitrifiers and denitrifiers were most strongly related to below-ground plant traits, suggesting that they were the most relevant traits for explaining variation in community structure and abundances of soil microbes involved in nitrification and denitrification. CONCLUSIONS: The results suggest that consideration of plant traits, and especially below-ground traits, increases our ability to describe variation in the abundances and the functional characteristics of microbial communities in grassland soils.


Subject(s)
Archaea/metabolism , Bacteria/metabolism , Nitrogen/metabolism , Plants/microbiology , Soil Microbiology , Soil/chemistry , Biodiversity , Denitrification , Ecosystem , Grassland , Nitrification , Oxidation-Reduction , Phenotype , Plant Components, Aerial/metabolism , Plant Components, Aerial/microbiology , Plant Roots/metabolism , Plant Roots/microbiology , Plants/metabolism
4.
Biogeosciences ; 7(7): 2147-2157, 2010 Jul 09.
Article in English | MEDLINE | ID: mdl-23293656

ABSTRACT

Soil respiration (SR) constitutes the largest flux of CO(2) from terrestrial ecosystems to the atmosphere. However, there still exist considerable uncertainties as to its actual magnitude, as well as its spatial and interannual variability. Based on a reanalysis and synthesis of 80 site-years for 57 forests, plantations, savannas, shrublands and grasslands from boreal to tropical climates we present evidence that total annual SR is closely related to SR at mean annual soil temperature (SR(MAT)), irrespective of the type of ecosystem and biome. This is theoretically expected for non water-limited ecosystems within most of the globally occurring range of annual temperature variability and sensitivity (Q(10)). We further show that for seasonally dry sites where annual precipitation (P) is lower than potential evapotranspiration (PET), annual SR can be predicted from wet season SR(MAT) corrected for a factor related to P/PET. Our finding indicates that it can be sufficient to measure SR(MAT) for obtaining a well constrained estimate of its annual total. This should substantially increase our capacity for assessing the spatial distribution of soil CO(2) emissions across ecosystems, landscapes and regions, and thereby contribute to improving the spatial resolution of a major component of the global carbon cycle.

5.
Biogeosciences ; 7(8): 2297-2309, 2010 Aug.
Article in English | MEDLINE | ID: mdl-23293657

ABSTRACT

Changes in land use and management have been strongly affecting mountain grassland, however, their effects on the net ecosystem exchange of CO(2) (NEE) and its components have not yet been well documented. We analysed chamber-based estimates of NEE, gross primary productivity (GPP), ecosystem respiration (R) and light use efficiency (LUE) of six mountain grasslands differing in land use and management, and thus site fertility, for the growing seasons of 2002 to 2008. The main findings of the study are that: (1) land use and management affected seasonal NEE, GPP and R, which all decreased from managed to unmanaged grasslands; (2) these changes were explained by differences in leaf area index (LAI), biomass and leaf-area-independent changes that were likely related to photosynthetic physiology; (3) diurnal variations of NEE were primarily controlled by photosynthetically active photon flux density and soil and air temperature; seasonal variations were associated with changes in LAI; (4) parameters of light response curves were generally closely related to each other, and the ratio of R at a reference temperature/ maximum GPP was nearly constant across the sites; (5) similarly to our study, maximum GPP and R for other grasslands on the globe decreased with decreasing land use intensity, while their ratio remained remarkably constant. We conclude that decreasing intensity of management and, in particular, abandonment of mountain grassland lead to a decrease in NEE and its component processes. While GPP and R are generally closely coupled during most of the growing season, GPP is more immediately and strongly affected by land management (mowing, grazing) and season. This suggests that management and growing season length, as well as their possible future changes, may play an important role for the annual C balance of mountain grassland.

7.
Radiology ; 218(3): 791-7, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11230658

ABSTRACT

PURPOSE: To compare a reduced (three-sequence) magnetic resonance (MR) imaging protocol with a full (eight- to 10-sequence) MR imaging protocol in adults suspected of having stroke. MATERIALS AND METHODS: Six neuroradiologists interpreted a consecutive sample of 265 MR images in patients suspected of having stroke. Each read reduced-protocol images in a discrete series of 40 patients (one read images in only 15) and corresponding full-protocol images 1 month later (reduced/full protocol). Five of the readers each read images in 10 additional cases, five each as full/full and reduced/reduced protocol controls. kappa values between full and reduced protocols, reader assessment of protocol adequacy, confidence level, and need for additional sequences or examinations were evaluated. RESULTS: In the reduced/full protocol, the kappa value for detecting ischemia was 0.797; and that for detecting any clinically important abnormality, 0.635. Statistically similar kappa values were found with the full/full control design (kappa = 0.802 and 0.715, respectively). The full protocol was judged more adequate than the reduced protocol (2.0 of 5.0 points vs 1.6, P <.001) and generated greater diagnostic confidence (8.6 of 10.0 points vs 8.9, P =.01), less need for additional sequences (2.7 of 6.0 points vs 1.5, P <.001), and more requests for additional examinations (28.4% vs 36.3%). CONCLUSION: Disagreement between interpretations of reduced- and full-protocol images might be attributable to baseline-level intraobserver inconsistency, as demonstrated in control designs. A greater number of sequences did not lead to greater consistency.


Subject(s)
Magnetic Resonance Imaging/methods , Stroke/diagnosis , Female , Humans , Male , Middle Aged , Observer Variation , Sensitivity and Specificity
8.
Oecologia ; 125(3): 350-357, 2000 Nov.
Article in English | MEDLINE | ID: mdl-28547329

ABSTRACT

Based on measurements of δ18O and δ13C in organic matter of C3-plants, we have developed a conceptual model that gives insight into the relationship between stomatal conductance (g l) and photosynthetic capacity (A max) resulting from differing environmental constraints and plant-internal factors. This is a semi-quantitative approach to describing the long-term effects of environmental factors on CO2 and H2O gas exchange, whereby we estimate the intercellular CO2 concentration (c i) from δ13C and the air humidity from δ18O. Assuming that air humidity is an important factor influencing g l, the model allows us to distinguish whether differences in c i are caused by a response of g l or of A max. As an application of the model we evaluated the isotope data from three species in plots differing in intensity of land use (hay meadows and abandoned areas) at three sites along a south north transect in the Eastern Alps. We found three different δ18O-δ13C response patterns in native and planted grassland species (cultivated in the greenhouse). After preliminary confirmation by gas-exchange measurements we conclude that the proposed model is a promising tool for deriving carbon water relations in different functional groups from δ18O and δ13C isotope data.

9.
Radiology ; 215(1): 211-20, 2000 Apr.
Article in English | MEDLINE | ID: mdl-10751489

ABSTRACT

PURPOSE: To investigate differences in water diffusion between white matter and gray matter in acute to early subacute stroke with diffusion-tensor magnetic resonance (MR) imaging. MATERIALS AND METHODS: Twelve patients with unilateral middle cerebral arterial infarcts were examined with diffusion tensor-encoded echo-planar MR imaging 17 hours to 5 days after stroke onset. Isotropic diffusion coefficient (D) and diffusion anisotropy (A(sigma)) images were computed. (D) values were measured in ischemic and contralateral gray matter and white matter by using A(sigma) images to differentiate white matter from gray matter. (D) images were compared with unidirectional and directionally averaged diffusion-weighted images. RESULTS: In all patients, (D) images showed two distinct levels of diffusion reduction in the infarct; more severe reduction occurred exclusively in white matter. (D) values were significantly less in infarcted white matter than in infarcted gray matter, whereas (D) values in the contralateral white matter and gray matter were not significantly different. Relative to the contralateral side, (D) values in the infarct were reduced by 46% in white matter and by 31% in gray matter (P <.001). Diffusion-weighted imaging caused underestimation of the magnitude and, in some cases, the spatial extent of the white matter diffusion abnormality. CONCLUSION: Isotropic diffusion is more reduced in white matter than in gray matter in acute to early subacute middle cerebral arterial stroke. Diffusion-tensor imaging may be more sensitive than diffusion-weighted imaging to white matter ischemia.


Subject(s)
Body Water/metabolism , Brain/metabolism , Magnetic Resonance Imaging/methods , Stroke/metabolism , Acute Disease , Adult , Aged , Aged, 80 and over , Brain/pathology , Brain Ischemia/metabolism , Brain Ischemia/pathology , Diffusion , Echo-Planar Imaging/methods , Female , Humans , Image Processing, Computer-Assisted/methods , Infarction, Middle Cerebral Artery/metabolism , Infarction, Middle Cerebral Artery/pathology , Male , Middle Aged , Retrospective Studies , Stroke/pathology
10.
J Theor Biol ; 200(2): 163-81, 1999 Sep 21.
Article in English | MEDLINE | ID: mdl-10504283

ABSTRACT

Recent models of photosynthesis have adopted the close correlation between the main photosynthetic component processes, the maximum rate of carboxylation and the potential rate of RuBP (ribulose-1, 5-bisphosphate) regeneration, at a reference temperature of 20 degrees C. When using the ratio between these two processes in models of photosynthesis, assumptions though have to be made about the temperature response of the potential rate of RuBP regeneration, which varies with growth conditions and among species. In order to assess the effects of deviations from the real temperature response of the potential rate of RuBP regeneration on photosynthesis, a sensitivity analysis, scaling up photosynthesis from the leaf to the canopy level, is applied in the present paper. No changes are predicted to occur for sunlit leaves, which receive both direct and diffuse radiation, as long as incident radiation does not cause carboxylation to shift from RuBP saturation to RuBP limitation, which, depending on incident radiation and canopy structure, might occur deeper down in the canopy. Carboxylation of shaded leaves, which receive solely diffuse radiation, is generally limited by the regeneration of RuBP, and is thus prone to be affected by changes in the temperature response of the potential rate of RuBP regeneration. Due to the saturation type response of the RuBP-limited rate of carboxylation to temperature at light intensities below saturation, the impact of deviations from the real temperature response is negligible at high leaf temperatures, but may become significant when leaf temperatures are low and photosynthetically active radiation incident on shaded leaves is comparably high, as in the upper canopy layers. The largest effects on whole canopy photosynthesis will therefore occur under cool conditions and a completely overcast sky, when all leaves receive diffuse radiation only. Copyright 1999 Academic Press.

11.
Am J Pathol ; 155(4): 1217-28, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10514404

ABSTRACT

Neonatal human immunodeficiency virus (HIV) infection usually occurs intrapartum or postpartum and results in a higher incidence of neurological dysfunction than is seen in adults. To explore the neuropathogenesis of neonatal HIV infection, we infected neonatal macaques with simian immunodeficiency virus (SIV) and followed the course of infection focusing on early time points. Infected neonates had decreased brain growth and mild histological changes in brain that resembled those seen in pediatric AIDS, including perivascular infiltrates of mononuclear cells, mineralization of vessels in the basal ganglia, and gliosis. The perivascular lesions and gliosis were associated with the presence of occasional infected cells that required in situ hybridization with radiolabeled riboprobes for detection. Using this technique, SIV-infected cells were detected in the brain parenchyma within 7 days of infection. These findings were confirmed by nested PCR for SIVgag DNA in brain and RT-PCR for viral RNA in cerebrospinal fluid. Together, these techniques revealed SIV infection of the CNS in 12 of 13 neonates infected with SIVmac239, 3 of 3 infected with SIVmac251, and 2 of 2 infected with SIVmac239/316. The prevalence of CNS infection was indistinguishable from that of older animals infected with the same dose and stock of virus, but neonates appeared to have fewer infected cells in the CNS and detecting them required more sensitive techniques. This observation was true regardless of inoculum and despite the fact that neonates had equal or greater viral loads in the periphery compared with older animals. These data suggest that maturation-dependent host factors have a major impact on the neuropathogenesis of pediatric AIDS.


Subject(s)
Central Nervous System Infections/pathology , Simian Acquired Immunodeficiency Syndrome/pathology , Simian Acquired Immunodeficiency Syndrome/virology , Simian Immunodeficiency Virus/pathogenicity , Animals , Animals, Newborn , Brain/growth & development , Brain/metabolism , Brain/pathology , Brain/virology , Central Nervous System Infections/cerebrospinal fluid , Central Nervous System Infections/virology , Disease Progression , Gene Products, gag/cerebrospinal fluid , Gene Products, gag/metabolism , In Situ Hybridization , Macaca mulatta , Macrophages/metabolism , Macrophages/virology , Organ Size , Polymerase Chain Reaction , RNA, Viral/biosynthesis , RNA, Viral/cerebrospinal fluid , Simian Acquired Immunodeficiency Syndrome/cerebrospinal fluid , Time Factors , Viral Load , Virus Replication
12.
J Magn Reson ; 139(1): 1-7, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10388578

ABSTRACT

The tensors derived from diffusion tensor imaging describe complex diffusion in tissues. However, it is difficult to compare tensors directly or to produce images that contain all of the information of the tensor. Therefore, it is convenient to produce scalar measures that extract desired aspects of the tensor. These measures map the three-dimensional eigenvalues of the diffusion tensor into scalar values. The measures impose an order on eigenvalue space. Many invariant scalar measures have been introduced in the literature. In the present manuscript, a general approach for producing invariant scalar measures is introduced. Because it is often difficult to determine in clinical practice which of the many measures is best to apply to a given situation, two formalisms are introduced for the presentation, definition, and comparison of measures applied to eigenvalues: (1) normalized eigenvalue space, and (2) parametric eigenvalue transformation plots. All of the anisotropy information contained in the three eigenvalues can be retained and displayed in a two-dimensional plot, the normalized eigenvalue plot. An example is given of how to determine the best measure to use for a given situation by superimposing isometric contour lines from various anisotropy measures on plots of actual measured eigenvalue data points. Parametric eigenvalue transformation plots allow comparison of how different measures impose order on normalized eigenvalue space to determine whether the measures are equivalent and how the measures differ. These formalisms facilitate the comparison of scalar invariant measures for diffusion tensor imaging. Normalized eigenvalue space allows presentation of eigenvalue anisotropy information.


Subject(s)
Magnetic Resonance Imaging/methods , Anisotropy , Diffusion
13.
Arch Neurol ; 56(5): 577-83, 1999 May.
Article in English | MEDLINE | ID: mdl-10328253

ABSTRACT

BACKGROUND: Traditional imaging methods, including computed tomography, routine magnetic resonance imaging (MRI), and magnetic resonance spectroscopy, have not been particularly useful in the diagnosis of Creutzfeldt-Jakob disease (CJD). Although abnormalities can be seen using these methods, the findings are evident only late in the disease or lack specificity or sensitivity. OBJECTIVE: To describe abnormalities on diffusion-weighted MRIs in 4 patients with proven CJD. METHODS: Diffusion-weighted MRIs were obtained on 4 patients with CJD as part of a routine MRI brain examination. RESULTS: In all 4 patients, diffusion-weighted MRIs of the brain demonstrated bilateral hyperintensity in the basal ganglia. In 1 patient, the most conspicuous abnormality seen in diffusion-weighted images was in the thalamus. Two patients also demonstrated hyperintensity in the cerebral cortex on diffusion-weighted images. Only 2 of 4 patients demonstrated clear abnormalities on routine (non-diffusion-weighted) MRIs. Diffusion abnormalities were visible in 1 patient within 1 month of symptom onset. The findings were most conspicuous and extensive in the patient with the longest duration of symptoms (7 months). CONCLUSIONS: Diffusion-weighted MRI might provide a noninvasive method of identifying patients with CJD. However, further investigations must be performed to determine the specificity of these findings for CJD.


Subject(s)
Basal Ganglia/pathology , Creutzfeldt-Jakob Syndrome/diagnosis , Diagnosis, Differential , Disease Progression , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged
14.
J Magn Reson ; 137(1): 33-8, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10053130

ABSTRACT

Diffusion in biological tissues can be measured by magnetic resonance diffusion tensor imaging The complex nature of anisotropic diffusion in the brain has been described by a diffusion tensor which contains information about the magnitude of diffusion in different directions. Each tensor contains a set of three eigenvalues which are related to the major, intermediate, and minor axes of a diffusion ellipsoid. This investigation demonstrates that the various sets of diffusion eigenvalues from different regions of the brain lie along a line in ordered eigenvalue space. Sets of ordered diffusion eigenvalues were considered points in ordered eigenvalue space. The line which best fit the data by minimizing the total squared deviations was determined. A new coordinate system was constructed through translation and rotation which spanned ordered eigenvalue space. Eigenvalues from both monkey brain and human brain were studied. It was found that the sets of eigenvalues from both species have significant linear trends. Moreover, the same line may describe the brain eigenvalues from both species. It is likely that this linear relationship of the eigenvalues observed in an ordered eigenvalue plot is related to a combination of (1) conservation of total isotropic diffusion and (2) the degree of orientational dispersion of the microfibers within each voxel.


Subject(s)
Brain/metabolism , Magnetic Resonance Imaging/methods , Animals , Anisotropy , Brain/anatomy & histology , Diffusion , Haplorhini , Humans , Signal Processing, Computer-Assisted
15.
Magn Reson Imaging ; 16(3): 281-7, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9621969

ABSTRACT

Activation of cortical and subcortical motor areas of the brain, including primary motor cortex, supplementary motor area, basal ganglia and cerebellum, were successfully investigated in seven right-handed, normal volunteers during a simple, rapid, thumb flexion-extension task using functional magnetic resonance imaging. A multi-slice echo-planar imaging sequence was used to cover the entire brain. A signal increase varying from 2% to 6% was observed for the different regions involved in the motor task. Moving the non-dominant thumb was associated with a more bilateral activation pattern in both putamen and cerebellar regions. This study demonstrates the capability of functional magnetic resonance imaging to delineate simultaneously many activated brain areas that are commonly thought to be involved in the performance of motor tasks.


Subject(s)
Basal Ganglia/physiology , Cerebellum/physiology , Image Processing, Computer-Assisted/instrumentation , Magnetic Resonance Imaging/instrumentation , Motor Activity/physiology , Motor Cortex/physiology , Adult , Afferent Pathways/anatomy & histology , Afferent Pathways/physiology , Arousal/physiology , Basal Ganglia/anatomy & histology , Brain Mapping/instrumentation , Cerebellum/anatomy & histology , Echo-Planar Imaging/instrumentation , Evoked Potentials, Motor/physiology , Female , Humans , Male , Reference Values , Thumb/innervation
16.
Retina ; 18(2): 164-8, 1998.
Article in English | MEDLINE | ID: mdl-9564699

ABSTRACT

PURPOSE: This study sought to determine the findings of retinal inflammation on gadolinium-enhanced turbo fluid-attenuated inversion recovery (tFLAIR) images. METHODS: Five patients with retinal abnormalities (acquired immunodeficiency syndrome complicated by cytomegalovirus retinitis, two patients; lymphoma complicated by Herpes zoster retinitis, one patient; and diabetic retinopathy, two patients) were identified on routine brain magnetic resonance imaging examinations performed with gadolinium-enhanced tFLAIR; five healthy subjects were retrospectively reviewed for comparison. Retinal signal features and thickness were evaluated comparing gadolinium-enhanced tFLAIR with turbo spin-echo T2-weighted and spin-echo T1-weighted images with and without gadolinium. RESULTS: Abnormal retinal thickening and hyperintensity were most conspicuous on gadolinium-enhanced tFLAIR images. Unenhanced T1-weighted images failed to demonstrate any abnormalities. In the enhanced tFLAIR and T1-weighted images, retinal thickness greater than 1.2 mm was abnormal. Abnormal retinal contour and signal was most apparent on the tFLAIR images. CONCLUSIONS: Of the sequences studied, gadolinium-enhanced tFLAIR images were found to be the best in identifying incidental retinitis and diabetic retinopathy discovered on routine brain magnetic resonance imaging examinations.


Subject(s)
Gadolinium , Magnetic Resonance Imaging/methods , Retinitis/diagnosis , Adult , Aged , Diabetic Retinopathy/diagnosis , Female , Humans , Male , Middle Aged , Reference Values , Retina/pathology , Retrospective Studies
17.
Neurosurg Focus ; 4(4): e6, 1998 Apr 15.
Article in English | MEDLINE | ID: mdl-17168506

ABSTRACT

Preoperative differentiation between dysembryoplastic neuroepithelial tumor (DNT) and low-grade glioma is often not possible. Dysembryoplastic neuroepithelial tumor is a recently described entity of uncertain origin; however, the diagnosis has important clinical implications. Clinical and radiological findings of DNT and low-grade glioma, especially oligodendroglioma, may be similar. Treatment options and prognosis differ significantly between these two lesions; consequently, accurate diagnosis is imperative. The authors describe two individuals who presented simultaneously at their institution: one patient with an oligodendroglioma and a second patient with DNT. The natural history, neurodiagnostic, and pathological features of each are reviewed with special emphasis on the potential utility of magnetic resonance spectroscopy in differentiating these lesions.

18.
Arch Neurol ; 54(11): 1411-5, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9362991

ABSTRACT

BACKGROUND: Magnetic resonance imaging of the brain has been of limited usefulness in the diagnosis of Creutzfeldt-Jakob disease. Abnormalities on T2-weighted images have been described, but these are neither highly sensitive nor specific. OBJECTIVE: To determine whether diffusion-weighted magnetic resonance images might be useful in the evaluation of Creutzfeldt-Jakob disease. CASE PRESENTATION: A 61-year-old woman with rapidly progressive dementia was referred for cranial magnetic resonance imaging. Diffusion-weighted images were obtained as part of the examination. Brain biopsy confirmed the diagnosis of Creutzfeldt-Jakob disease histologically. FINDINGS AND CONCLUSIONS: The diffusion-weighted magnetic resonance brain images demonstrated bilaterally symmetrical marked increase in signal intensity in the caudate nuclei, putamina, thalami, cingulate gyri, and right inferior frontal cortex. The apparent diffusion coefficient map showed abnormally low diffusion in these regions (as low as 40% of normal in the caudate head). This suggests that there is restricted diffusion in these regions. The T2-weighted images demonstrated slightly increased signal bilaterally in the caudate nuclei and putamina. These findings indicate that diffusion magnetic resonance imaging might be a sensitive means of imaging the abnormalities seen in Creutzfeldt-Jakob disease.


Subject(s)
Creutzfeldt-Jakob Syndrome/diagnosis , Magnetic Resonance Imaging , Biopsy , Brain/pathology , Creutzfeldt-Jakob Syndrome/pathology , Female , Humans , Middle Aged
19.
AJR Am J Roentgenol ; 169(2): 575-9, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9242780

ABSTRACT

OBJECTIVE: We undertook this study to investigate functional MR imaging as a new clinical method for determining hemispheric language dominance. Seven patients undergoing surgical evaluation for chronic intractable epilepsy were studied. Intracarotid amobarbital injection was also performed and the findings compared with the functional MR imaging results. CONCLUSION: Functional MR imaging studies enabled localization of the frontal and temporal lobe language cortices. The results of functional MR imaging and intracarotid amobarbital testing of hemispheric language dominance agreed in all seven patients, including two right-handed patients with right-hemisphere language dominance. These preliminary results show that functional MR imaging is an accurate noninvasive method of determining language dominance that may replace the amobarbital test for some purposes if confirmed by additional research.


Subject(s)
Amobarbital/administration & dosage , Dominance, Cerebral , Frontal Lobe/physiopathology , Hypnotics and Sedatives/administration & dosage , Language , Magnetic Resonance Imaging , Temporal Lobe/physiopathology , Adult , Brain Mapping , Carotid Arteries , Conscious Sedation , Epilepsy/pathology , Epilepsy/physiopathology , Female , Frontal Lobe/pathology , Humans , Injections, Intra-Arterial , Male , Speech , Temporal Lobe/pathology
20.
Neuroimaging Clin N Am ; 7(1): 51-65, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9100231

ABSTRACT

Medial temporal sclerosis of the hippocampus and other lesions in the adjacent temporal lobe that can cause epilepsy are discussed in this article. The technical factors to consider to optimally image the hippocampus and criteria to diagnose medial temporal sclerosis are emphasized.


Subject(s)
Hippocampus/pathology , Atrophy , Brain Neoplasms/diagnosis , Epilepsy, Complex Partial/diagnosis , Epilepsy, Complex Partial/pathology , Humans , Image Enhancement , Magnetic Resonance Imaging , Sclerosis , Temporal Lobe/pathology
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