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1.
J Magn Reson Imaging ; 60(3): 1037-1048, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38100302

RESUMO

BACKGROUND: MR elastography (MRE) may provide quantitative imaging biomarkers of lumbar back muscles (LBMs), complementing MRI in spinal diseases by assessing muscle mechanical properties. However, reproducibility analyses for MRE of LBM are lacking. PURPOSE: To assess technical failure, within-day and inter-day reproducibility, robustness with the excitation source positioning, and inter-observer agreement of MRE of muscles. STUDY TYPE: Prospective. SUBJECTS: Seventeen healthy subjects (mean age 28 ± 4 years; 11 females). FIELD STRENGTH/SEQUENCE: 1.5 T, gradient-echo MRE, T1-weighted turbo spin echo. ASSESSMENT: The pneumatic driver was centered at L3 level. Four MRE were performed during two visits, 2-4 weeks apart, each consisting of two MRE with less than 10 minutes inter-scan interval. At Visit 1, after the first MRE, the coil and driver were removed, then reinstalled. The MRE was repeated. At Visit 2, following the first MRE, only the driver was moved down 5 cm. The MRE was repeated. Two radiologists segmented the multifidus and erector spinae muscles. STATISTICAL TESTS: Paired t-test, analysis of variance, intraclass correlation coefficients (ICCs). P-values <0.05 were considered statistically significant. RESULTS: Mean stiffness of LBM ranged from 1.44 to 1.60 kPa. Mean technical failure rate was 2.5%. Inter-observer agreement was excellent (ICC ranging from 0.82 [0.64-0.96] to 0.99 [0.98-0.99] in the multifidus, and from 0.85 [0.69-0.92] to 0.99 [0.97-0.99] in the erector spinae muscles). Within-day reproducibility was fair in the multifidus (ICC: 0.53 [0.47-0.77]) and good in the erector spinae muscles (ICC: 0.74 [0.48-0.88]). Reproducibility after moving the driver was excellent in both multifidus (ICC: 0.85 [0.69-0.93]) and erector spinae muscles (ICC: 0.84 [0.67-0.92]). Inter-day reproducibility was excellent in the multifidus (ICC: 0.76 [0.48-0.89]) and poor in the erector spinae muscles (ICC: 0.23 [-0.61 to 0.63]). DATA CONCLUSION: MRE of LBM provides measurements of stiffness with fair to excellent reproducibility and excellent inter-observer agreement. However, inter-day reproducibility in the multifidus muscles indicated that the herein used MRE protocol may not be optimal for this muscle. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 1.


Assuntos
Músculos do Dorso , Técnicas de Imagem por Elasticidade , Imageamento por Ressonância Magnética , Humanos , Feminino , Técnicas de Imagem por Elasticidade/métodos , Reprodutibilidade dos Testes , Adulto , Masculino , Estudos Prospectivos , Imageamento por Ressonância Magnética/métodos , Músculos do Dorso/diagnóstico por imagem , Variações Dependentes do Observador , Região Lombossacral/diagnóstico por imagem , Voluntários Saudáveis , Vértebras Lombares/diagnóstico por imagem , Adulto Jovem
2.
NMR Biomed ; 35(7): e4701, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35088465

RESUMO

Magnetic resonance elastography aims to non-invasively and remotely characterize the mechanical properties of living tissues. To quantitatively and regionally map the shear viscoelastic moduli in vivo, the technique must achieve proper mechanical excitation throughout the targeted tissues. Although it is straightforward, ante manibus, in close organs such as the liver or the breast, which practitioners clinically palpate already, it is somewhat fortunately highly challenging to trick the natural protective barriers of remote organs such as the brain. So far, mechanical waves have been induced in the latter by shaking the surrounding cranial bones. Here, the skull was circumvented by guiding pressure waves inside the subject's buccal cavity so mechanical waves could propagate from within through the brainstem up to the brain. Repeatable, reproducible and robust displacement fields were recorded in phantoms and in vivo by magnetic resonance elastography with guided pressure waves such that quantitative mechanical outcomes were extracted in the human brain.


Assuntos
Técnicas de Imagem por Elasticidade , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Elasticidade , Técnicas de Imagem por Elasticidade/métodos , Humanos , Imageamento por Ressonância Magnética , Imagens de Fantasmas
3.
Eur J Nutr ; 61(3): 1621-1636, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35013789

RESUMO

PURPOSE: Numerous studies, including our previous work with lemon juice, have reported that low-pH meals reduce the glycemic response to starchy foods. However, the underlying mechanism is not yet understood. Tea, for its polyphenol content, has also been investigated. The main objective of this research was to concurrently study gastric emptying, appetite perceptions and glycemic responses to bread consumed with water, tea, or lemon juice. METHODS: In this randomized, crossover intervention, ten participants consumed equal portions of bread (100 g) with 250 mL of water, water-diluted lemon juice, or black tea at breakfast. Gastric volumes, blood glucose concentrations and appetite perceptions were alternately assessed over 180 min using magnetic resonance imaging, the finger-prick method and visual analogue scales, respectively. RESULTS: Compared to water, lemon juice led to a 1.5 fold increase of the volume of gastric contents, 30 min after the meal (454.0 ± 18.6 vs. 298.4 ± 19.5 mL, [Formula: see text] ± SEM P < 0.00001). Gastric emptying was also 1.5 times faster (P < 0.01). Conversely, lemon juice elicited a lower glycemic response than water (blood glucose concentrations at t = 55 min were 35% lower, P = 0.039). Tea had no effect. Changes in appetite perceptions and gastric volumes correlated well, but with no significant differences between the meals. CONCLUSIONS: Lemon juice lowered the glycemic response and increased both gastric secretions and emptying rate. The results are compatible with the hypothesis that the reduction of the glycemic response is mainly due to the interruption of starch hydrolysis via the acid-inhibition of salivary α-amylase. TRIAL REGISTRATION NUMBER: NCT03265392, August 29, 2017.


Assuntos
Glicemia , Pão , Estudos Cross-Over , Esvaziamento Gástrico/fisiologia , Humanos , Imageamento por Ressonância Magnética , Período Pós-Prandial , Resposta de Saciedade , Chá , Água
4.
Adv Healthc Mater ; 10(16): e2100656, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34212539

RESUMO

AGuIX are emerging radiosensitizing nanoparticles (NPs) for precision radiotherapy (RT) under clinical evaluation (Phase 2). Despite being accompanied by MRI thanks to the presence of gadolinium (Gd) at its surface, more sensitive and quantifiable imaging technique should further leverage the full potential of this technology. In this study, it is shown that 89 Zr can be labeled on such NPs directly for positron emission tomography (PET) imaging with a simple and scalable method. The stability of such complexes is remarkable in vitro and in vivo. Using a glioblastoma orthotopic rat model, it is shown that injected 89 Zr-AGuIX is detectable inside the tumor for at least 1 week. Interestingly, the particles seem to efficiently infiltrate the tumor even in necrotic areas, which places great hope for the treatment of radioresistant tumor. Lastly, the first PET/MR whole-body imaging is performed in non-human primate (NHP), which further demonstrates the translational potential of these bimodal NP.


Assuntos
Glioblastoma , Nanopartículas , Animais , Meios de Contraste , Glioblastoma/diagnóstico por imagem , Humanos , Macaca , Imageamento por Ressonância Magnética , Imagem Multimodal , Ratos
5.
NMR Biomed ; 34(8): e4543, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34037285

RESUMO

In the framework of algebraic inversion, magnetic resonance elastography (MRE) repeatability, reproducibility and robustness were evaluated on extracted shear velocities (or elastic moduli). The same excitation system was implemented at two sites equipped with clinical MR scanners of 1.5 and 3 T. A set of four elastic, isotropic, homogeneous calibrated phantoms of distinct elasticity representing the spectrum of liver fibrosis severity was mechanically characterized. The repeatability of the measurements and the reproducibility between the two platforms were found to be excellent with mean coefficients of variations of 1.62% for the shear velocity mean values and 1.95% for the associated standard deviations. MRE velocities were robust to the amplitude and pattern variations of the displacement field with virtually no difference between outcomes from both magnets at identical excitation frequencies, even when the displacement field amplitude was six times smaller. However, MRE outcomes were very sensitive to the number of voxels per wavelength, s, of the recorded displacement field, with relative biases reaching 62% and precision loss by a factor of up to 23.5. For both magnetic field strengths, MRE accuracy and precision were largely degraded outside of established conditions of validity (6 ≲ s ≲ 9), resulting in estimated shear velocity values not significantly different between phantoms of increasing elasticity. When fulfilling the spatial sampling conditions, either prospectively in the acquisition or retrospectively before the reconstruction, MRE produced quantitative measurements that allowed to unambiguously discriminate, with infinitesimal p values, between the phantoms mimicking increasing severity of liver fibrosis.


Assuntos
Técnicas de Imagem por Elasticidade , Elasticidade , Cirrose Hepática/diagnóstico por imagem , Imageamento por Ressonância Magnética , Imagens de Fantasmas , Fenômenos Biomecânicos , Humanos , Reprodutibilidade dos Testes , Razão Sinal-Ruído
6.
Magn Reson Med ; 85(2): 926-935, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32936490

RESUMO

PURPOSE: Because of short signal lifetimes and respiratory motion, 3D lung MRI is still challenging today. Zero-TE (ZTE) pulse sequences offer promising solutions as they overcome the issue of short T2∗ . Nevertheless, as they rely on continuous readout gradients, the trajectories they follow in k-space are not adapted to retrospective gating and inferred motion correction. THEORY AND METHODS: We propose AZTEK (adaptive ZTE k-space trajectories), a set of 3D radial trajectories featuring three tuning parameters, to adapt the acquisition to any moving organ while keeping seamless transitions between consecutive spokes. Standard ZTE and AZTEK trajectories were compared for static and moving phantom acquisitions as well as for human thoracic imaging performed on 3 volunteers (1 healthy and 2 patients with lung cancer). RESULTS: For the static phantom, we observe comparable image qualities with standard and AZTEK trajectories. For the moving phantom, spatially coherent undersampling artifacts observed on gated images with the standard trajectory are alleviated with AZTEK. The same improvement in image quality is obtained in human, so details are more delineated in the lung with the use of the adaptive trajectory. CONCLUSION: The AZTEK technique opens the possibility for 3D dynamic ZTE lung imaging with retrospective gating. It enables us to uniformly sample the k-space for any arbitrary respiratory motion gate, while preserving static image quality, improving dynamic image quality and guaranteeing continuous readout gradient transitions between spokes, which makes it appropriate to ZTE.


Assuntos
Imageamento Tridimensional , Imageamento por Ressonância Magnética , Artefatos , Humanos , Imagens de Fantasmas , Estudos Retrospectivos
7.
Sci Rep ; 10(1): 16012, 2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-32968093

RESUMO

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

8.
Sci Rep ; 10(1): 9649, 2020 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-32541799

RESUMO

Spirometry is today the gold standard technique for assessing pulmonary ventilatory function in humans. From the shape of a flow-volume loop measured while the patient is performing forced respiratory cycles, the Forced Vital Capacity (FVC) and the Forced Expiratory Volume in one second (FEV1) can be inferred, and the pulmonologist is able to detect and characterize common respiratory afflictions. This technique is non-invasive, simple, widely available, robust, repeatable and reproducible. Yet, its outcomes rely on the patient's cooperation and provide only global information over the lung. With 3D Magnetic Resonance (MR) Spirometry, local ventilation can be assessed by MRI anywhere in the lung while the patient is freely breathing. The larger dimensionality of 3D MR Spirometry advantageously allows the extraction of original metrics that characterize the anisotropic and hysteretic regional mechanical behavior of the lung. Here, we demonstrated the potential of this technique on a healthy human volunteer breathing along different respiratory patterns during the MR acquisition. These new results are discussed with lung physiology and recent pulmonary CT data. As respiratory mechanics inherently support lung ventilation, 3D MR Spirometry may open a new way to non-invasively explore lung function while providing improved diagnosis of localized pulmonary diseases.


Assuntos
Pulmão/diagnóstico por imagem , Pulmão/fisiologia , Espirometria/métodos , Adulto , Anisotropia , Voluntários Saudáveis , Humanos , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios X
9.
J Anat ; 234(6): 787-799, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30901090

RESUMO

The paraspinal compartment acts as a bone-muscle composite beam of the spine. The elastic properties of the paraspinal muscles play a critical role in spine stabilization. These properties depend on the subjects' posture, and they may be drastically altered by low back pain. Supersonic shear wave elastography can be used to provide quantitative stiffness maps (elastograms), which characterize the elastic properties of the probed tissue. The aim of this study was to challenge shear wave elastography sensitivity to postural stiffness changes in healthy paraspinal muscles. The stiffness of the main paraspinal muscles (longissimus, iliocostalis, multifidus) was measured by shear wave elastography at the lumbosacral level (L3 and S1) for six static postures performed by volunteers. Passive postures (rest, passive flexion, passive extension) were performed in a first shear wave elastography session, and active postures (upright, bending forward, bending backward) with rest posture for reference were performed in a second session. Measurements were repeated three times for each posture. Sixteen healthy young adults were enrolled in the study. Non-parametric paired tests, multiple analyses of covariance, and intra-class correlations were implemented for analysis. Shear wave elastography showed good to excellent reliability, except in the multifidus at S1, during bending forward, and in the multifidus at L3, during bending backward. Yet, during bending forward, only poor quality was recorded for nine volunteers in the longissimus. Significant intra- and inter-muscular changes were observed with posture. Stiffness significantly increased for the upright position and bending forward with respect to the reference values recorded in passive postures. In conclusion, shear wave elastography allows reliable assessment of the stiffness of the paraspinal muscles except in the multifidus at S1 and longissimus, during bending forward, and in the multifidus at L3, during bending backward. It reveals a different biomechanical behaviour for the multifidus, the longissimus, and the iliocostalis.


Assuntos
Técnicas de Imagem por Elasticidade/métodos , Elasticidade/fisiologia , Músculos Paraespinais/fisiologia , Postura/fisiologia , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Masculino
10.
NMR Biomed ; 31(12): e4013, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30307075

RESUMO

Asthma is a chronic respiratory disease, commonly treated with inhaled therapy. Better understanding of the mechanisms of aerosol deposition is required to improve inhaled drug delivery. Three-dimensional ultrashort echo time (UTE) MRI acquisitions at 1.5 T were combined with spontaneous nose-only inhalation of aerosolized gadolinium (Gd) to map the aerosol deposition and to characterize signal enhancement in asthmatic rat lungs. The rats were sensitized to ovalbumin (OVA) to develop asthmatic models and challenged before imaging by nebulization of OVA to trigger asthmatic symptoms. The negative controls were not sensitized or challenged by nebulization of saline. The animal lungs were imaged before and after administration of Gd-based aerosol in freely breathing rats, by using a T1 -weighted 3D UTE sequence. A contrast-enhanced quantitative analysis was performed to assess regional concentration. OVA-sensitized rats had lower signal enhancement and lower deposited aerosol concentration. Their enhancement dynamics showed large inter-subject variability. The signal intensity was homogeneously enhanced for controls while OVA-sensitized rats showed heterogeneous enhancement. Contrast-enhanced 3D UTE was applied with aerosolized Gd to efficiently measure spatially resolved deposition in asthmatic lungs. The small administered dose (around 1 µmol/kg body weight) and the use of standard clinical MRI suggest a potential application for the exploration of asthma.


Assuntos
Aerossóis/análise , Asma/diagnóstico por imagem , Asma/patologia , Compostos Heterocíclicos/química , Imageamento Tridimensional , Pulmão/diagnóstico por imagem , Pulmão/patologia , Imageamento por Ressonância Magnética , Compostos Organometálicos/química , Animais , Feminino , Ratos Wistar , Respiração , Fatores de Tempo
11.
Clin Anat ; 31(4): 514-520, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29446170

RESUMO

Back pain is associated with increased lumbar paraspinal muscle (LPM) stiffness identified by manual palpation and strain elastography. Recently, magnetic resonance elastography (MRE) has allowed the stiffness of muscle to be characterized noninvasively in vivo, providing quantitative 3D stiffness maps (elastograms). The aim of this study was to characterize the stiffness (shear modulus, SM) of the LPM (multifidus and erector spinae) using MRE. MRE of the lumbar region was performed on seven adults in supine position. MRE was acquired in three muscular states: relaxed with outstretched legs, stretched with passive pelvis flexion, and contracted with outstretched legs and tightened trunk muscles. The mean SM was measured within a region of interest manually defined in the multifidus, erector spinae, and the entire paraspinal compartment. The intermuscular difference and the effects of stretching and contraction were assessed by ANOVA and t-tests. At rest, the mean SM of the paraspinal compartment was 1.6 ± 0.2 kPa. It increased significantly with stretching to 1.65 ± 0.3 kPa, and with contraction to 2.0 ± 0.7 kPa. Irrespective of muscular state, the erector spinae was significantly stiffer than the multifidus. The multifidus underwent proportionally higher stiffness changes from rest to contraction and stretching. MRE can be used to measure the stiffness of the LPM in different muscular states. We hypothesize that, irrespective of posture, the erector spinae behaves as semi-rigid beam, and ensures permanent stiffness of the spine. The multifidus behaves as an adaptable muscle that provides segmental flexibility to the spine and tunes the spine stiffness. Clin. Anat. 31:514-520, 2018. © 2018 Wiley Periodicals, Inc.


Assuntos
Músculos do Dorso/diagnóstico por imagem , Técnicas de Imagem por Elasticidade , Adulto , Feminino , Humanos , Região Lombossacral , Masculino , Adulto Jovem
12.
Skeletal Radiol ; 47(4): 457-471, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29224123

RESUMO

Imaging plays an important role in the diagnosis and therapeutic response evaluation of muscular diseases. However, one important limitation is its incapacity to assess the in vivo biomechanical properties of the muscles. The emerging shear wave sonoelastography technique offers a quantifiable spatial representation of the viscoelastic characteristics of skeletal muscle. Elastography is a non-invasive tool used to analyze the physiologic and biomechanical properties of muscles in healthy and pathologic conditions. However, radiologists need to familiarize themselves with the muscular biomechanical concepts and technical challenges of shear wave elastography. This review introduces the basic principles of muscle shear wave elastography, analyzes the factors that can influence measurements and provides an overview of its potential clinical applications in the field of muscular diseases.


Assuntos
Fenômenos Biomecânicos/fisiologia , Módulo de Elasticidade/fisiologia , Técnicas de Imagem por Elasticidade/métodos , Músculo Esquelético/diagnóstico por imagem , Doenças Musculares/diagnóstico por imagem , Doenças Musculares/fisiopatologia , Técnicas de Imagem por Elasticidade/tendências , Previsões , Humanos
13.
Phys Med Biol ; 62(22): 8655-8670, 2017 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-28980977

RESUMO

Magnetic resonance elastography (MRE) is a non invasive imaging modality, which holds the promise of absolute quantification of the mechanical properties of human tissues in vivo. MRE reconstruction with algebraic inversion of the Helmholtz equation upon the curl of the shear displacement field may theoretically be flawless. However, its performances are challenged by multiple experimental parameters, especially the frequency and the amplitude of the mechanical wave, the voxel size and the signal-to-noise ratio of the MRE acquisition. A point source excitation was simulated and realistic displacement fields were analytically computed to simulate MRE data sets in an isotropic, homogeneous, linearly-elastic, and half-space infinite medium. Acquisition and reconstruction methods were challenged and the joint influence of the aforementioned parameters was studied. For a given signal-to-noise ratio, the conditions on the number of voxels per wavelength were determined for optimizing voxel-wise accuracy and precision in MRE. It was shown that, once data are acquired, the reconstruction quality could even be improved by effective interpolation or decimation so data could eventually fulfill favorable conditions for mechanical characterization of the tissue. Finally, the overall outcome, which is usually computed from the three acquired motion-encoded directions, may further be improved by appropriate averaging strategies that are based on adapted curl of shear displacement field quality-weighting.


Assuntos
Simulação por Computador , Técnicas de Imagem por Elasticidade/métodos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Imagens de Fantasmas , Humanos , Movimento (Física) , Razão Sinal-Ruído
14.
Magn Reson Med ; 75(2): 594-605, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25809444

RESUMO

PURPOSE: Aerosol toxicology and drug delivery through the lungs, which depend on various parameters, require methods to quantify particle deposition. Intrapulmonary-administered MRI contrast agent combined with lung-specific imaging sequences has been proposed as a high performance technique for aerosol research. Here, aerosol deposition is assessed using ultra-short echo (UTE) sequences. METHODS: Before and after administration of Gd-DOTA-based aerosol delivered nose-only in free-breathing healthy rats, a T1 -weighted 3D UTE sequence was applied in a clinical 1.5 Tesla scanner. Administration lasted 14 min, and the experiment was performed on six rats. A contrast-enhanced quantitative analysis was done. RESULTS: Fifty percent signal enhancement was obtained in the lung parenchyma. Lung clearance of the contrast agent was evaluated to be 14% per h (corresponding to a characteristic clearance time of 3.6 h) and aerosol deposition was shown to be homogeneous throughout the lung in healthy rats. The total deposited dose was estimated to be 1.05 µmol/kg body weight, and the concentration precision was 0.02 mM. CONCLUSION: The UTE protocol with nebulized Gd-DOTA is replicable to significantly enhance the lung parenchyma and to map aerosol deposition. This functional strategy, applied in a clinical system with a clinical nebulization setup and a low inhaled dose, suggests a feasible translation to human.


Assuntos
Meios de Contraste/administração & dosagem , Compostos Heterocíclicos/administração & dosagem , Pulmão/anatomia & histologia , Imagem Cinética por Ressonância Magnética/métodos , Compostos Organometálicos/administração & dosagem , Administração por Inalação , Administração Intranasal , Aerossóis , Animais , Estudos de Viabilidade , Processamento de Imagem Assistida por Computador/métodos , Masculino , Ratos , Ratos Wistar
15.
NMR Biomed ; 28(2): 180-7, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25476994

RESUMO

One of the key challenges in the study of health-related aerosols is predicting and monitoring sites of particle deposition in the respiratory tract. The potential health risks of ambient exposure to environmental or workplace aerosols and the beneficial effects of medical aerosols are strongly influenced by the site of aerosol deposition along the respiratory tract. Nuclear medicine is the only current modality that combines quantification and regional localization of aerosol deposition, and this technique remains limited by its spatial and temporal resolutions and by patient exposure to radiation. Recent work in MRI has shed light on techniques to quantify micro-sized magnetic particles in living bodies by the measurement of associated static magnetic field variations. With regard to lung MRI, hyperpolarized helium-3 may be used as a tracer gas to compensate for the lack of MR signal in the airways, so as to allow assessment of pulmonary function and morphology. The extrathoracic region of the human respiratory system plays a critical role in determining aerosol deposition patterns, as it acts as a filter upstream from the lungs. In the present work, aerosol deposition in a mouth-throat phantom was measured using helium-3 MRI and compared with single-photon emission computed tomography. By providing high sensitivity with high spatial and temporal resolutions, phase-contrast helium-3 MRI offers new insights for the study of particle transport and deposition.


Assuntos
Aerossóis/administração & dosagem , Meios de Contraste , Hélio , Imageamento por Ressonância Magnética/métodos , Sistema Respiratório/anatomia & histologia , Humanos , Imageamento Tridimensional , Ferro/metabolismo , Campos Magnéticos , Imagens de Fantasmas , Tomografia Computadorizada de Emissão de Fóton Único , Tomografia Computadorizada por Raios X
16.
BMC Pharmacol Toxicol ; 15: 53, 2014 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-25253660

RESUMO

BACKGROUND: The respiratory properties of perfluorocarbons (PFC) have been widely studied for liquid ventilation in humans and animals. Several PFC were tested but their tolerance may depend on the species. Here, the effects of a single administration of liquid PFC into pig lungs were assessed and compared. Three different PFC having distinct evaporative and spreading coefficient properties were evaluated (Perfluorooctyl bromide [PFOB], perfluorodecalin [PFD] and perfluoro-N-octane [PFOC]). METHODS: Pigs were anesthetized and submitted to mechanical ventilation. They randomly received an intra-tracheal administration of 15 ml/kg of either PFOB, PFD or PFOC with 12 h of mechanical ventilation before awakening and weaning from ventilation. A Control group was submitted to mechanical ventilation with no PFC administration. All animals were followed during 4 days after the initial PFC administration to investigate gas exchanges and clinical recovery. They were ultimately euthanized for histological analyses and assessment of PFC residual concentrations within the lungs using dual nuclei fluorine and hydrogen Magnetic Resonance Imaging (MRI). Sixteen animals were included (4/group). RESULTS: In the PFD group, animals tended to be hypoxemic after awakening. In PFOB and PFOC groups, blood gases were not significantly different from the Control group after awakening. The poor tolerance of PFD was likely related to a large amount of residual PFC, as observed using MRI in all lung samples (≈10% of lung volume). This percentage was lower in the PFOB group (≈1%) but remained significantly greater than in the Control group. In the PFOC group, the percentage of residual PFC was not significantly different from that of the Control group (≈0.1%). Histologically, the most striking feature was an alveolar infiltration with foam macrophages, especially in the groups treated by PFD or PFOB. CONCLUSIONS: Of the three tested perfluorocarbons, PFOC offered the best tolerance in terms of lung function, gas exchanges and residuum in the lung. PFOC was rapidly cleared from the lungs and virtually disappeared after 4 days whereas PFOB persisted at significant levels and led to foam macrophage infiltration. PFOC could be relevant for short term total liquid ventilation with a rapid weaning.


Assuntos
Fluorocarbonos/administração & dosagem , Pulmão/efeitos dos fármacos , Animais , Pulmão/fisiopatologia , Imageamento por Ressonância Magnética , Respiração Artificial , Suínos
17.
Magn Reson Med ; 72(4): 1072-8, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24407833

RESUMO

PURPOSE: In MR-velocity phase-contrast measurements, increasing the encoding bipolar gradient, i.e., decreasing the field of speed, usually improves measurement precision. However, in gases, fast diffusion during the bipolar gradient pulses may dramatically decrease the signal-to-noise ratio, thus degrading measurement precision. These two effects are contradictory. This work aims at determining the optimal sequence parameters to improve the velocity measurement precision. THEORY AND METHODS: This work presents the theoretical optimization of bipolar gradient parameters (duration and amplitude) to improve velocity measurement precision. An analytical approximation is given as well as a numerical optimization. It is shown that the solution depends on the diffusion coefficient and T2 *. Experimental validation using hyperpolarized (3) He diluted in various buffer gases ((4) He, N2 , and SF6 ) is presented at 1.5 Tesla (T) in a straight pipe. RESULTS: Excellent agreement was found with the theoretical results for prediction of optimal field of speed and good agreement was found for the precision in measured velocity, but for SF6 buffered gas. CONCLUSION: The theoretical predictions were validated, providing a way to optimize velocity mapping in gases.


Assuntos
Algoritmos , Hélio/análise , Hélio/química , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Reologia/métodos , Meios de Contraste/análise , Meios de Contraste/química , Difusão , Isótopos/análise , Isótopos/química , Compostos Radiofarmacêuticos/análise , Compostos Radiofarmacêuticos/química , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
18.
J Appl Physiol (1985) ; 102(5): 2012-23, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17289906

RESUMO

Computational fluid dynamics (CFD) and magnetic resonance (MR) gas velocimetry were concurrently performed to study airflow in the same model of human proximal airways. Realistic in vivo-based human airway geometry was segmented from thoracic computed tomography. The three-dimensional numerical description of the airways was used for both generation of a physical airway model using rapid prototyping and mesh generation for CFD simulations. Steady laminar inspiratory experiments (Reynolds number Re = 770) were performed and velocity maps down to the fourth airway generation were extracted from a new velocity mapping technique based on MR velocimetry using hyperpolarized (3)He gas. Full two-dimensional maps of the velocity vector were measured within a few seconds. Numerical simulations were carried out with the experimental flow conditions, and the two sets of data were compared between the two modalities. Flow distributions agreed within 3%. Main and secondary flow velocity intensities were similar, as were velocity convective patterns. This work demonstrates that experimental and numerical gas velocity data can be obtained and compared in the same complex airway geometry. Experiments validated the simulation platform that integrates patient-specific airway reconstruction process from in vivo thoracic scans and velocity field calculation with CFD, hence allowing the results of this numerical tool to be used with confidence in potential clinical applications for lung characterization. Finally, this combined numerical and experimental approach of flow assessment in realistic in vivo-based human airway geometries confirmed the strong dependence of airway flow patterns on local and global geometrical factors, which could contribute to gas mixing.


Assuntos
Brônquios/fisiologia , Simulação por Computador , Hélio , Imageamento por Ressonância Magnética/métodos , Respiração , Reologia , Traqueia/fisiologia , Brônquios/anatomia & histologia , Broncografia , Humanos , Processamento de Imagem Assistida por Computador , Isótopos , Masculino , Pessoa de Meia-Idade , Modelos Anatômicos , Modelos Biológicos , Reprodutibilidade dos Testes , Mecânica Respiratória , Tomografia Computadorizada por Raios X , Traqueia/anatomia & histologia , Traqueia/diagnóstico por imagem
19.
Magn Reson Med ; 55(6): 1318-25, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16700024

RESUMO

This paper describes a technique that combines radial MRI and phase contrast (PC) to map the velocities of hyperpolarized gases ((3)He) in respiratory airways. The method was evaluated on well known geometries (straight and U-shaped pipes) before it was applied in vivo. Dynamic 2D maps of the three velocity components were obtained from a 10-mm slice with an in-plane spatial resolution of 1.6 mm within 1 s. Integration of the in vitro through-plane velocity over the slice matched the input flow within a relative precision of 6.4%. As expected for the given Reynolds number, a parabolic velocity profile was obtained in the straight pipe. In the U-shaped pipe the three velocity components were measured and compared to a fluid-dynamics simulation so the precision was evaluated as fine as 0.025 m s(-1). The technique also demonstrated its ability to visualize vortices and localize characteristic points, such as the maximum velocity and vortex-center positions. Finally, in vivo feasibility was demonstrated in the human trachea during inhalation.


Assuntos
Hélio , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Pulmão/fisiologia , Imageamento por Ressonância Magnética/métodos , Ventilação Pulmonar/fisiologia , Reologia/métodos , Meios de Contraste , Hélio/administração & dosagem , Humanos , Isótopos/administração & dosagem , Pulmão/anatomia & histologia , Imageamento por Ressonância Magnética/instrumentação , Imagens de Fantasmas , Reologia/instrumentação
20.
Magn Reson Med ; 55(1): 171-6, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16342055

RESUMO

A family of velocity-selective pulses consisting of a series of RF hard pulses followed by bipolar gradients was designed. The succession of required pulses was deduced using a k-space approach within a small tip-angle approximation. Fourier transform of the desired velocity excitation determined the flip-angle series, and the corresponding position in the generalized k-space identified the bipolar-gradient first moments. Spins from any velocity class can be selected. To illustrate this approach we designed and experimentally tested a velocity-slice selection that is analogous to standard spatial-slice selection but involves excitation of spins moving at a chosen velocity (velocity-slice center) and within a given interval (velocity-slice thickness). The assumed approximation does not limit the design to small angles, because velocity selection still holds for angles up to 90 degrees. Velocity slices were experimentally selected, centered on velocities ranging from -1 m s(-1) to 1 m s(-1) with a velocity-slice thickness of 0.4 m s(-1). The experimental velocity-slice profile was assessed and the flow was quantified.


Assuntos
Imageamento por Ressonância Magnética/métodos , Análise de Fourier , Imagens de Fantasmas , Ondas de Rádio
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