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1.
Neurocrit Care ; 40(2): 538-550, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37353670

RESUMEN

BACKGROUND: Early identification of the severity of hypoxic-ischemic brain injury (HIBI) after cardiac arrest can be used to help plan appropriate subsequent therapy. We evaluated whether conductivity of cerebral tissue measured using magnetic resonance-based conductivity imaging (MRCI), which provides contrast derived from the concentration and mobility of ions within the imaged tissue, can reflect the severity of HIBI in the early hours after cardiac arrest. METHODS: Fourteen minipigs were resuscitated after 5 min or 12 min of untreated cardiac arrest. MRCI was performed at baseline and at 1 h and 3.5 h after return of spontaneous circulation (ROSC). RESULTS: In both groups, the conductivity of cerebral tissue significantly increased at 1 h after ROSC compared with that at baseline (P = 0.031 and 0.016 in the 5-min and 12-min groups, respectively). The increase was greater in the 12-min group, resulting in significantly higher conductivity values in the 12-min group (P = 0.030). At 3.5 h after ROSC, the conductivity of cerebral tissue in the 12-min group remained increased (P = 0.022), whereas that in the 5-min group returned to its baseline level. CONCLUSIONS: The conductivity of cerebral tissue was increased in the first hours after ROSC, and the increase was more prominent and lasted longer in the 12-min group than in the 5-min group. Our findings suggest the promising potential of MRCI as a tool to estimate the severity of HIBI in the early hours after cardiac arrest.


Asunto(s)
Lesiones Encefálicas , Reanimación Cardiopulmonar , Paro Cardíaco , Humanos , Animales , Porcinos , Estudios de Factibilidad , Porcinos Enanos , Paro Cardíaco/diagnóstico por imagen , Paro Cardíaco/terapia , Espectroscopía de Resonancia Magnética , Reanimación Cardiopulmonar/métodos
2.
Nano Lett ; 22(8): 3252-3259, 2022 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-35434994

RESUMEN

The nucleation and crystallization of Bi particles on two matrices, crystalline bismuth sulfide (c-Bi2S3) and amorphized bismuth titanium oxide (a-Bi12TiO20), were studied by using in situ transmission electron microscopy (TEM) analysis. The atomic structures of the Bi particles were monitored by acquiring high-resolution TEM images in real time. The Bi particles were grown on c-Bi2S3 and a-Bi12TiO20 via a two-step nucleation mechanism; dense liquid clusters were clearly observed at the initial stage of nucleation, and the coalescence of clusters was frequently observed during the growth. However, the nucleation and crystallization behaviors of Bi particles were governed by the matrix; in particular, the evolution of their morphology and atomic structure was confined on c-Bi2S3 but free from matrix effects on a-Bi12TiO20. The matrix effect on the two-step nucleation mechanism was demonstrated from a thermodynamic point of view.

3.
J Magn Reson Imaging ; 56(6): 1781-1791, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-35543163

RESUMEN

BACKGROUND: The assessment of liver surface nodularity (LSN) for staging hepatic fibrosis is restricted in clinical practice because it requires customized software and time-consuming procedures. A simplified method to estimate LSN score may be useful in the clinic. PURPOSE: To evaluate the regional analysis of LSN and processing time in a single axial liver MR image for staging liver fibrosis. STUDY TYPE: Retrospective. POPULATION: A total of 210 subjects, a multicenter study. FIELD STRENGTH/SEQUENCE: A 3 T/noncontrast gradient echo T1WI. ASSESSMENT: Subjects were divided into five fibrosis groups (F0  = 29; F1  = 20; F2  = 32; F3  = 50; F4  = 79) based on the METAVIR fibrosis scoring system. The mean LSN (on three slices) and regional LSN (on one slice) measurements, and the processing times, are compared. The regional LSN scores in five regions-of-interests (ROI1-5 ) were analyzed in a single axial MRI at the level of the hilum by two independent observers. STATISTICAL TESTS: Regional variations in LSN scores were compared using ANOVA with Tukey test. Agreement between the mean and regional LSN measurements was evaluated using Pearson correlation coefficients (r) and Bland-Altman plots. The diagnostic performance of mean and regional LSN scores according to fibrosis stage was evaluated with the AUROC. A P value < 0.05 was considered statistically significant. RESULTS: Total processing time for a regional LSN measurement (3.6 min) was 75.5% less than that for mean LSN measurement (14.7 min). Mean LSN scores and all five regional LSN scores showed significant differences between fibrosis groups. Among regional LSN scores, ROI5 showed the highest AUROC (0.871 at cut-off 1.12) for discriminating F0-2 vs. F3-4 and the best correlation with mean LSN score (r = 0.800, -0.07 limit of agreement). CONCLUSION: Quantitative regional LSN measurement in a single axial MR image reduces processing time. Regional ROI5 LSN score might be useful for clinical decision-making and for distinguishing the difference between early fibrosis (F0-2 ) and advanced fibrosis (F3-4 ) in the liver. EVIDENCE LEVEL: 3 TECHNICAL EFFICACY: Stage 2.


Asunto(s)
Cirrosis Hepática , Hígado , Humanos , Estudios Retrospectivos , Cirrosis Hepática/diagnóstico por imagen , Cirrosis Hepática/patología , Hígado/diagnóstico por imagen , Hígado/patología , Imagen por Resonancia Magnética , Fibrosis
4.
Neuroimage ; 225: 117466, 2021 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-33075557

RESUMEN

Diffusion weighted imaging based on random Brownian motion of water molecules within a voxel provides information on the micro-structure of biological tissues through water molecule diffusivity. As the electrical conductivity is primarily determined by the concentration and mobility of ionic charge carriers, the macroscopic electrical conductivity of biological tissues is also related to the diffusion of electrical ions. This paper aims to investigate the low-frequency electrical conductivity by relying on a pre-defined biological model that separates the brain into the intracellular (restricted) and extracellular (hindered) compartments. The proposed method uses B1 mapping technique, which provides a high-frequency conductivity distribution at Larmor frequency, and the spherical mean technique, which directly estimates the microscopic tissue structure based on the water molecule diffusivity and neurite orientation distribution. The total extracellular ion concentration, which is separated from the high-frequency conductivity, is recovered using the estimated diffusivity parameters and volume fraction in each compartment. We propose a method to reconstruct the low-frequency dominant conductivity tensor by taking into consideration the extracted extracellular diffusion tensor map and the reconstructed electrical parameters. To demonstrate the reliability of the proposed method, we conducted two phantom experiments. The first one used a cylindrical acrylic cage filled with an agar in the background region and four anomalies for the effect of ion concentration on the electrical conductivity. The other experiment, in which the effect of ion mobility on the conductivity was verified, used cell-like materials with thin insulating membranes suspended in an electrolyte. Animal and human brain experiments were conducted to visualize the low-frequency dominant conductivity tensor images. The proposed method using a conventional MRI scanner can predict the internal current density map in the brain without directly injected external currents.


Asunto(s)
Encéfalo/fisiología , Imagen de Difusión por Resonancia Magnética/métodos , Conductividad Eléctrica , Adulto , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos
5.
Magn Reson Med ; 86(1): 382-392, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33533114

RESUMEN

PURPOSE: To establish high-frequency magnetic resonance electrical properties tomography (MREPT) as a novel contrast mechanism for the assessment of glioblastomas using a rat brain tumor model. METHODS: Six F98 intracranial tumor bearing rats were imaged longitudinally 8, 11 and 14 days after tumor cell inoculation. Conductivity and mean diffusivity maps were generated using MREPT and Diffusion Tensor Imaging. These maps were co-registered with T2 -weighted images and volumes of interests (VOIs) were segmented from the normal brain, ventricles, edema, viable tumor, tumor rim, and tumor core regions. Longitudinal changes in conductivity and mean diffusivity (MD) values were compared in these regions. A correlation analysis was also performed between conductivity and mean diffusivity values. RESULTS: The conductivity of ventricles, edematous area and tumor regions (tumor rim, viable tumor, tumor core) was significantly higher (P < .01) compared to the contralateral cortex. The conductivity of the tumor increased over time while MD from the tumor did not change. A marginal positive correlation was noted between conductivity and MD values for tumor rim and viable tumor, whereas this correlation was negative for the tumor core. CONCLUSION: We demonstrate a novel contrast mechanism based on ionic concentration and mobility, which may aid in providing complementary information to water diffusion in probing the microenvironment of brain tumors.


Asunto(s)
Neoplasias Encefálicas , Imagen de Difusión Tensora , Animales , Encéfalo/diagnóstico por imagen , Neoplasias Encefálicas/diagnóstico por imagen , Imagen de Difusión por Resonancia Magnética , Ratas , Tomografía , Microambiente Tumoral
6.
J Magn Reson Imaging ; 53(2): 554-563, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32614131

RESUMEN

BACKGROUND: Liver fibrosis is characterized by the excessive accumulation of extracellular matrix proteins. Electrical conductivity imaging at low frequency can provide novel contrast because the contrast mechanisms originate from the changes in the concentration and mobility of ions in the extracellular space. PURPOSE: To evaluate the feasibility of an MR-based electrical conductivity imaging that can detect the changes in a tissue condition associated with the progression of liver fibrosis. STUDY TYPE: Prospective phantom and animal study. ANIMAL MODEL: Fibrosis was induced by weekly intraperitoneal injection of dimethylnitrosamine (DMN) in 45 male Sprague-Dawley rats. FIELD STRENGTH/SEQUENCE: 3T MRI with a multispin-echo pulse sequence. ASSESSMENT: The percentage change of conductivity (Δσ, %) in the same region-of-interest (ROI) was calculated from the DMN-treated rats based on the values of the normal control rats. The percentage change was also calculated between the ROIs in each DMN-treated group. STATISTICAL TESTS: One-way analysis of variance (ANOVA) and a two-sample t-test were performed. RESULTS: Liver tissues in normal control rats showed a uniform conductivity distribution of 56.6 ± 4.4 (mS/m). In rats more than 5 weeks after induction, the fibrous region showed an increased conductivity of ≥12% compared to that of the corresponding normal control rats. From regional comparisons in the same liver, the fibrous region showed an increased conductivity of ≥11% compared to the opposite, less induced region of rats more than 5 weeks after induction. Liver samples from the fibrous region represent tissue damages such as diffuse centrilobular congestion with marked dilatation of central veins from the histological findings. Immunohistochemistry revealed significant levels of attenuated fibrosis and increased inflammatory response. DATA CONCLUSION: The increased conductivity in the fibrous region is related to the changes of the extracellular space. The correlation between the collagen deposition and conductivity changes is essential for future clinical studies. Level of Evidence 2 Technical Efficacy Stage 2 J. MAGN. RESON. IMAGING 2021;53:554-563.


Asunto(s)
Dimetilnitrosamina , Cirrosis Hepática , Animales , Conductividad Eléctrica , Hígado/diagnóstico por imagen , Hígado/patología , Cirrosis Hepática/inducido químicamente , Cirrosis Hepática/diagnóstico por imagen , Cirrosis Hepática/patología , Masculino , Estudios Prospectivos , Ratas , Ratas Sprague-Dawley
7.
Nanotechnology ; 32(19): 195702, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33513600

RESUMEN

Evaluating the stability of semiconductor photocatalysts is critical in the development of efficient catalysts. The morphological and microstructural behaviors of nanorod-shaped Bi2S3 semiconductors in aqueous solution were studied using a liquid cell transmission electron microscopy (TEM) technique. The rapid decomposition of Bi2S3 in water was observed under electron beam irradiation during TEM. Rounded bright spots due to a reduction in thickness were observed on the Bi2S3 nanorods at the initial stage of the decomposition, and rounded dark particles appeared outside of the nanorods in the solution, continuing the decomposition. This was confirmed by analyzing the atomic structure of the newly formed small particles, which consisted of an orthorhombic Bi2S3 phase. The stability-related decomposition of the Bi2S3 nanorods was demonstrated by considering the reduction and oxidation potentials of Bi2S3 in an aqueous solution. The effect of water radiolysis by the incident electron during TEM observations on the decomposition process was also determined by considering the time-dependent concentration behavior of the chemical species. Our study therefore reflects a novel route to evaluate the stabilities of semiconductor photocatalysts, which could ultimately solve a range of energy and environmental pollution problems.

8.
Biomed Eng Online ; 20(1): 29, 2021 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-33766044

RESUMEN

BACKGROUND: As an object's electrical passive property, the electrical conductivity is proportional to the mobility and concentration of charged carriers that reflect the brain micro-structures. The measured multi-b diffusion-weighted imaging (Mb-DWI) data by controlling the degree of applied diffusion weights can quantify the apparent mobility of water molecules within biological tissues. Without any external electrical stimulation, magnetic resonance electrical properties tomography (MREPT) techniques have successfully recovered the conductivity distribution at a Larmor-frequency. METHODS: This work provides a non-invasive method to decompose the high-frequency conductivity into the extracellular medium conductivity based on a two-compartment model using Mb-DWI. To separate the intra- and extracellular micro-structures from the recovered high-frequency conductivity, we include higher b-values DWI and apply the random decision forests to stably determine the micro-structural diffusion parameters. RESULTS: To demonstrate the proposed method, we conducted phantom and human experiments by comparing the results of reconstructed conductivity of extracellular medium and the conductivity in the intra-neurite and intra-cell body. The phantom and human experiments verify that the proposed method can recover the extracellular electrical properties from the high-frequency conductivity using a routine protocol sequence of MRI scan. CONCLUSION: We have proposed a method to decompose the electrical properties in the extracellular, intra-neurite, and soma compartments from the high-frequency conductivity map, reconstructed by solving the electro-magnetic equation with measured B1 phase signals.


Asunto(s)
Imagen de Difusión por Resonancia Magnética , Conductividad Eléctrica , Procesamiento de Imagen Asistido por Computador/métodos , Tomografía , Encéfalo/diagnóstico por imagen , Encéfalo/fisiología , Mapeo Encefálico , Líquido Cefalorraquídeo , Impedancia Eléctrica , Humanos , Distribución Normal , Fantasmas de Imagen , Reproducibilidad de los Resultados
9.
Molecules ; 26(18)2021 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-34576970

RESUMEN

Imaging of the electrical conductivity distribution inside the human body has been investigated for numerous clinical applications. The conductivity tensors of biological tissue have been obtained from water diffusion tensors by applying several models, which may not cover the entire phenomenon. Recently, a new conductivity tensor imaging (CTI) method was developed through a combination of B1 mapping, and multi-b diffusion weighted imaging. In this study, we compared the most recent CTI method with the four existing models of conductivity tensors reconstruction. Two conductivity phantoms were designed to evaluate the accuracy of the models. Applied to five human brains, the conductivity tensors using the four existing models and CTI were imaged and compared with the values from the literature. The conductivity image of the phantoms by the CTI method showed relative errors between 1.10% and 5.26%. The images by the four models using DTI could not measure the effects of different ion concentrations subsequently due to prior information of the mean conductivity values. The conductivity tensor images obtained from five human brains through the CTI method were comparable to previously reported literature values. The images by the four methods using DTI were highly correlated with the diffusion tensor images, showing a coefficient of determination (R2) value of 0.65 to 1.00. However, the images by the CTI method were less correlated with the diffusion tensor images and exhibited an averaged R2 value of 0.51. The CTI method could handle the effects of different ion concentrations as well as mobilities and extracellular volume fractions by collecting and processing additional B1 map data. It is necessary to select an application-specific model taking into account the pros and cons of each model. Future studies are essential to confirm the usefulness of these conductivity tensor imaging methods in clinical applications, such as tumor characterization, EEG source imaging, and treatment planning for electrical stimulation.


Asunto(s)
Conductividad Eléctrica , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Anisotropía , Fantasmas de Imagen
10.
Biomed Eng Online ; 19(1): 35, 2020 May 24.
Artículo en Inglés | MEDLINE | ID: mdl-32448134

RESUMEN

BACKGROUND: Electrical conductivity of a biological tissue at low frequencies can be approximately expressed as a tensor. Noting that cross-sectional imaging of a low-frequency conductivity tensor distribution inside the human body has wide clinical applications of many bioelectromagnetic phenomena, a new conductivity tensor imaging (CTI) technique has been lately developed using an MRI scanner. Since the technique is based on a few assumptions between mobility and diffusivity of ions and water molecules, experimental validations are needed before applying it to clinical studies. METHODS: We designed two conductivity phantoms each with three compartments. The compartments were filled with electrolytes and/or giant vesicle suspensions. The giant vesicles were cell-like materials with thin insulating membranes. We controlled viscosity of the electrolytes and the giant vesicle suspensions to change ion mobility and therefore conductivity values. The conductivity values of the electrolytes and giant vesicle suspensions were measured using an impedance analyzer before CTI experiments. A 9.4-T research MRI scanner was used to reconstruct conductivity tensor images of the phantoms. RESULTS: The CTI technique successfully reconstructed conductivity tensor images of the phantoms with a voxel size of [Formula: see text]. The relative [Formula: see text] errors between the conductivity values measured by the impedance analyzer and those reconstructed by the MRI scanner was between 1.1 and 11.5. CONCLUSIONS: The accuracy of the new CTI technique was estimated to be high enough for most clinical applications. Future studies of animal models and human subjects should be pursued to show the clinical efficacy of the CTI technique.


Asunto(s)
Conductividad Eléctrica , Imagen por Resonancia Magnética , Liposomas Unilamelares/metabolismo , Procesamiento de Imagen Asistido por Computador , Fantasmas de Imagen , Suspensiones
11.
Molecules ; 25(22)2020 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-33233332

RESUMEN

Allium macrostemon (AM) may affect bone growth by regulating bone formation and resorption. To examine the effect of AM on bone growth, 48 rats were divided into four administration groups in which either distilled water, AM (100 and 300 mg/kg), or recombinant human growth hormone (rhGH; 20 µg/kg) was administered for 10 days. On day 9, all animals were intraperitoneally injected with tetracycline hydrochloride (20 mg/kg), and 48 h after the injection, the rats were sacrificed. Their tibial sections were photographed to measure bone growth. Antigen-specific immunohistochemistry was performed to detect insulin-like growth factor-1 (IGF-1) and bone morphogenetic protein-2 (BMP-2). The food intake of the AM 100 mg/kg group was higher; however, the food intake of the AM 300 mg/kg group was less than that of the control group. The rhGH and AM 100 mg/kg groups showed greater rates of bone growth (359.0 ± 23.7 and 373.1 ± 28.0 µm/day, respectively) compared with the control group. IGF-1 and BMP-2 in the AM and rhGH groups were highly expressed. Indigestion at higher doses of AM led to nonsignificant bone growth in spite of increased IGF-1 and BMP-2 expression. Therefore, a suitable amount of AM could increase bone growth.


Asunto(s)
Envejecimiento/fisiología , Allium/química , Desarrollo Óseo , Animales , Peso Corporal/efectos de los fármacos , Desarrollo Óseo/efectos de los fármacos , Proteína Morfogenética Ósea 2/metabolismo , Conducta Alimentaria/efectos de los fármacos , Femenino , Fluorescencia , Placa de Crecimiento/efectos de los fármacos , Placa de Crecimiento/metabolismo , Humanos , Factor I del Crecimiento Similar a la Insulina/metabolismo , Extractos Vegetales/farmacología , Ratas , Tibia/diagnóstico por imagen , Tibia/efectos de los fármacos , Tibia/crecimiento & desarrollo
12.
BMC Urol ; 19(1): 95, 2019 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-31638952

RESUMEN

BACKGROUND: Electrical conductivity-based magnetic resonance (MR) imaging may provide unique information on tissue condition because its contrast originates from the concentration and mobility of ions in the cellular space. We imaged the conductivity of normal canine prostate in vivo and evaluated tissue contrast in terms of both the conductivity distribution and anatomical significance. METHODS: Five healthy laboratory beagles were used. After clipping the pelvis hair, we attached electrodes and placed each dog inside the bore of an MRI scanner. During MR scanning, we injected imaging currents into two mutually orthogonal directions between two pairs of electrodes. A multi spin echo pulse sequence was used to obtain the MR magnitude and magnetic flux density images. The projected current density algorithm was used to reconstruct the conductivity image. RESULTS: Conductivity images showed unique contrast depending on the prostatic tissues. From the conductivity distribution, conductivity was highest in the center area and lower in the order of the middle and outer areas of prostatic tissues. The middle and outer areas were, respectively, 11.2 and 25.5% lower than the center area. Considering anatomical significance, conductivity was highest in the central zone and lower in the order of the transitional and peripheral zones in all prostates. The transitional and peripheral zones were, respectively, 7.5 and 17.8% lower than the central zone. CONCLUSIONS: Current conductivity-based MR imaging can differentiate prostatic tissues without using any contrast media or additional MR scans. The electrical conductivity images with unique contrast to tissue condition can provide a prior information on tissues in situ to be used for human imaging.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Próstata/anatomía & histología , Próstata/diagnóstico por imagen , Animales , Perros , Conductividad Eléctrica , Estudios de Factibilidad , Masculino
13.
Mediators Inflamm ; 2018: 5491797, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29887757

RESUMEN

In oriental medicine, curcumin is used to treat inflammatory diseases, and its anti-inflammatory effect has been reported in recent research. In this feasibility study, the hepatoprotective effect of curcumin was investigated using a rat liver cirrhosis model, which was induced with dimethylnitrosamine (DMN). Together with biochemical analysis, we used a magnetic resonance-based electrical conductivity imaging method to evaluate tissue conditions associated with a protective effect. The effects of curcumin treatment and lactulose treatment on liver cirrhosis were compared. Electrical conductivity images indicated that liver tissues damaged by DMN showed decreased conductivity compared with normal liver tissues. In contrast, cirrhotic liver tissues treated with curcumin or lactulose showed increased conductivity than tissues in the DMN-only group. Specifically, conductivity of cirrhotic liver after curcumin treatment was similar to that of normal liver tissues. Histological staining and immunohistochemical examination showed significant levels of attenuated fibrosis and decreased inflammatory response after both curcumin and lactulose treatments compared with damaged liver tissues by DMN. The conductivity imaging and biochemical examination results indicate that curcumin's anti-inflammatory effect can prevent the progression of irreversible liver dysfunction.


Asunto(s)
Curcumina/uso terapéutico , Lactulosa/uso terapéutico , Cirrosis Hepática/tratamiento farmacológico , Animales , Antiinflamatorios/uso terapéutico , Dimetilnitrosamina/toxicidad , Conductividad Eléctrica , Hígado/efectos de los fármacos , Hígado/metabolismo , Cirrosis Hepática/inducido químicamente , Cirrosis Hepática/metabolismo , Ratas , Ratas Sprague-Dawley
14.
Circ J ; 81(10): 1522-1527, 2017 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-28515370

RESUMEN

BACKGROUND: Acute kidney injury (AKI) is the most common and most serious complication following heart surgery. We aimed to determine the prevalence of, and risk factors for, AKI following pediatric cardiac surgery.Methods and Results:We retrospectively analyzed 135 patients aged ≤18 years who underwent cardiac surgery for congenital heart defects; by RACHS-1 category, 58 patients (43%) had an operative risk score ≥3. AKI was defined and classified using the pediatric pRIFLE criteria (Pediatric Risk, Injury, Failure, Loss, and End-stage Kidney Disease); 19 patients (14.1%) developed AKI: 17 had AKI with a severity classified as risk (R) and 2 had AKI classified as injury (I). Body weight, height, body surface area, and preoperative mechanical ventilation were all independently associated with AKI development (P=0.038, 0.040, 0.033 and 0.008, respectively). Preoperative ventilation strongly correlated with AKI severity. Higher pRIFLE classification positively correlated with increased incidence of peritoneal dialysis, increased postoperative mechanical ventilation duration, and longer hospital stay (P=0.009, 0.039 and 0.042, respectively). CONCLUSIONS: In this study, we found a low prevalence of postoperative AKI in pediatric patients undergoing severe cardiac surgery. AKI was associated with worse early postoperative outcomes. Early prediction and appropriate treatment of AKI during the postoperative period are emphasized.


Asunto(s)
Lesión Renal Aguda/etiología , Puente Cardiopulmonar/efectos adversos , Lesión Renal Aguda/diagnóstico , Lesión Renal Aguda/terapia , Adolescente , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Niño , Preescolar , Femenino , Cardiopatías Congénitas/complicaciones , Cardiopatías Congénitas/cirugía , Humanos , Lactante , Masculino , Complicaciones Posoperatorias , Estudios Retrospectivos , Factores de Riesgo , Resultado del Tratamiento
15.
Magn Reson Med ; 75(5): 2009-19, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26095037

RESUMEN

PURPOSE: To develop a novel, current-controlled alternating steady-state free precession (SSFP)-based conductivity imaging method and corresponding MR signal models to estimate current-induced magnetic flux density (Bz ) and conductivity distribution. METHODS: In the proposed method, an SSFP pulse sequence, which is in sync with alternating current pulses, produces dual oscillating steady states while yielding nonlinear relation between signal phase and Bz . A ratiometric signal model between the states was analytically derived using the Bloch equation, wherein Bz was estimated by solving a nonlinear inverse problem for conductivity estimation. A theoretical analysis on the signal-to-noise ratio of Bz was given. Numerical and experimental studies were performed using SSFP-FID and SSFP-ECHO with current pulses positioned either before or after signal encoding to investigate the feasibility of the proposed method in conductivity estimation. RESULTS: Given all SSFP variants herein, SSFP-FID with alternating current pulses applied before signal encoding exhibits the highest Bz signal-to-noise ratio and conductivity contrast. Additionally, compared with conventional conductivity imaging, the proposed method benefits from rapid SSFP acquisition without apparent loss of conductivity contrast. CONCLUSION: We successfully demonstrated the feasibility of the proposed method in estimating current-induced Bz and conductivity distribution. It can be a promising, rapid imaging strategy for quantitative conductivity imaging.


Asunto(s)
Procesamiento de Imagen Asistido por Computador/métodos , Imagen por Resonancia Magnética , Algoritmos , Conductividad Eléctrica , Estudios de Factibilidad , Humanos , Aumento de la Imagen/métodos , Campos Magnéticos , Dinámicas no Lineales , Oscilometría , Fantasmas de Imagen , Reproducibilidad de los Resultados , Relación Señal-Ruido
16.
Bioelectromagnetics ; 36(4): 277-86, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25779916

RESUMEN

We demonstrated the feasibility of time difference and weighted frequency difference conductivity imaging for real-time monitoring of temperature distribution and ablation region estimation during radiofrequency (RF) ablation. The electrical conductivity spectrum of biological tissue reflects mobility of ions in intra- and extra-cellular fluids and changes in cellular morphology induced by heating. The time series conductivity spectra were measured in an ex vivo bovine liver by a high-speed electrical impedance tomography (EIT) system. The EIT system was protected by filters to suppress RF energy and allow interleaved real-time imaging. We recorded time and weighted frequency-difference conductivity images and direct temperature variations at the ablation region and control region during 8 min ablation and for the following 66 min of cooling. Conductivity variation in regions of interest was compared with temperature recordings. Contours of conductivity change were visualized and compared to estimate the ablation area. EIT images confirmed increase of conductivity at all frequencies and loss of frequency conductivity change associated with loss of cellular structure. Time difference conductivity images showed changes due to both heating during ablation and heat dissipation following ablation together with tissue property changes. Weighted frequency-difference images presented persistent changes following heating due to the morphological change in the ablation zone.


Asunto(s)
Técnicas de Ablación , Conductividad Eléctrica , Hígado/citología , Ondas de Radio , Temperatura , Tomografía , Animales , Bovinos , Impedancia Eléctrica , Hígado/efectos de la radiación , Factores de Tiempo
17.
Magn Reson Med ; 71(1): 200-8, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23400804

RESUMEN

PURPOSE: To propose a single magnetic resonance scan conductivity imaging technique providing dual-frequency characteristics of tissue conductivity. METHODS: Using a modified spin-echo pulse sequence, the magnetic flux density induced by externally injected currents and the B1+ phase map with injected current effects removed were acquired simultaneously. The low-frequency conductivity was reconstructed from the measured magnetic flux density by the projected current density method, while the high-frequency conductivity was reconstructed using the B1+ maps. Three different conductivity phantoms were used to demonstrate low- and high-frequency conductivity characteristics. RESULTS: A conductivity spectrum at two frequencies was successfully acquired with the proposed scheme. Magnetic resonance electrical impedance tomography is advantageous for seeing an anomaly itself wrapped with a thin insulating membrane. In addition, if the membrane is porous, the membrane property can be quantitatively visualized with magnetic resonance electrical impedance tomography. Magnetic resonance electrical properties tomography does not detect such membranes, which enable it to probe things inside an insulating membrane. CONCLUSION: Considering these pros and cons and also the fact that the conductivity of biological tissue changes with frequency, a dual-frequency conductivity imaging incorporating both magnetic resonance electrical impedance tomography and magnetic resonance electrical properties tomography in future animal and human experiments is suggested.


Asunto(s)
Espectroscopía Dieléctrica/métodos , Conductividad Eléctrica , Interpretación de Imagen Asistida por Computador/métodos , Imagen por Resonancia Magnética/métodos , Imagen Multimodal/métodos , Espectroscopía Dieléctrica/instrumentación , Humanos , Imagen por Resonancia Magnética/instrumentación , Imagen Multimodal/instrumentación , Fantasmas de Imagen , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
18.
Biomed Eng Online ; 13: 87, 2014 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-24970640

RESUMEN

BACKGROUND: In magnetic resonance electrical impedance tomography (MREIT), we reconstruct conductivity images using magnetic flux density data induced by externally injected currents. Since we extract magnetic flux density data from acquired MR phase images, the amount of measurement noise increases in regions of weak MR signals. Especially for local regions of MR signal void, there may occur excessive amounts of noise to deteriorate the quality of reconstructed conductivity images. In this paper, we propose a new conductivity image enhancement method as a postprocessing technique to improve the image quality. METHODS: Within a magnetic flux density image, the amount of noise varies depending on the position-dependent MR signal intensity. Using the MR magnitude image which is always available in MREIT, we estimate noise levels of measured magnetic flux density data in local regions. Based on the noise estimates, we adjust the window size and weights of a spatial averaging filter, which is applied to reconstructed conductivity images. Without relying on a partial differential equation, the new method is fast and can be easily implemented. RESULTS: Applying the novel conductivity image enhancement method to experimental data, we could improve the image quality to better distinguish local regions with different conductivity contrasts. From phantom experiments, the estimated conductivity values had 80% less variations inside regions of homogeneous objects. Reconstructed conductivity images from upper and lower abdominal regions of animals showed much less artifacts in local regions of weak MR signals. CONCLUSION: We developed the fast and simple method to enhance the conductivity image quality by adaptively adjusting the weights and window size of the spatial averaging filter using MR magnitude images. Since the new method is implemented as a postprocessing step, we suggest adopting it without or with other preprocessing methods for application studies where conductivity contrast is of primary concern.


Asunto(s)
Conductividad Eléctrica , Aumento de la Imagen/métodos , Tomografía/métodos , Animales , Perros , Impedancia Eléctrica , Masculino , Fantasmas de Imagen , Relación Señal-Ruido
19.
Biomed Eng Online ; 13(1): 24, 2014 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-24607262

RESUMEN

BACKGROUND: The spectroscopic conductivity distribution of tissue can help to explain physiological and pathological status. Dual frequency conductivity imaging by combining Magnetic Resonance Electrical Property Tomography (MREPT) and Magnetic Resonance Electrical Impedance Tomography (MREIT) has been recently proposed. MREIT can provide internal conductivity distributions at low frequency (below 1 kHz) induced by an external injecting current. While MREPT can provide conductivity at the Larmor frequency related to the strength of the magnetic field. Despite this potential to describe the membrane properties using spectral information, MREPT and MREIT techniques currently suffer from weak signals and noise amplification as they both reply on differentiation of measured phase data. METHODS: We proposed a method to optimize the measured phase signal by finding weighting factors according to the echo signal for MREPT and MREIT using the ICNE (Injected current nonlinear encoding) multi-echo pulse sequence. Our target weights are chosen to minimize the measured noise. The noise standard deviations were precisely analyzed for the optimally weighted magnetic flux density and the phase term of the positive-rotating magnetic field. To enhance the quality of dual-frequency conductivity images, we applied the denoising method based on the reaction-diffusion equation with the estimated noise standard deviations. A real experiment was performed with a hollow cylindrical object made of thin insulating film with holes to control the apparent conductivity using ion mobility and an agarose gel cylinder wrapped in an insulating film without holes to show different spectroscopic conductivities. RESULTS: The ability to image different conductivity characteristics in MREPT and MREIT from a single MR scan was shown by including the two objects with different spectroscopic conductivities. Using the six echo signals, we computed the optimized weighting factors for each echo. The qualities of conductivity images for MREPT and MREIT were improved by optimization of the phase map. The proposed method effectively reduced the random noise artifacts for both MREIT and MREPT. CONCLUSION: We enhanced the dual conductivity images using the optimally weighted magnetic flux density and the phase term of positive-rotating magnetic field based on the analysis of the noise standard deviations and applying the optimization and denoising methods.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Espectrofotometría/métodos , Algoritmos , Impedancia Eléctrica , Geles/química , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Sefarosa/química , Procesamiento de Señales Asistido por Computador , Tomografía/métodos
20.
Int J Hyperthermia ; 30(7): 447-55, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25329351

RESUMEN

PURPOSE: This study shows the potential of magnetic resonance electrical impedance tomography (MREIT) as a non-invasive RF ablation monitoring technique. MATERIALS AND METHODS: We prepared bovine muscle tissue with a pair of needle electrodes for RF ablation, a temperature sensor, and two pairs of surface electrodes for conductivity image reconstructions. We used the injected current non-linear encoding with multi-echo gradient recalled echo (ICNE-MGRE) pulse sequence in a series of MREIT scans for conductivity imaging. We acquired magnetic flux density data induced by externally injected currents, while suppressing other phase artefacts. We used an 8-channel RF head coil and 8 echoes to improve the signal-to-noise ratio (SNR) in measured magnetic flux density data. Using the measured data, we reconstructed a time series of 180 conductivity images at every 10.24 s during and after RF ablation. RESULTS: Tissue conductivity values in the lesion increased with temperature during RF ablation. After reaching 60 °C, a steep increase in tissue conductivity values occurred with relatively little temperature increase. After RF ablation, tissue conductivity values in the lesion decreased with temperature, but to values different from those before ablation due to permanent structural changes of tissue by RF ablation. CONCLUSION: We could monitor temperature and also structural changes in tissue during RF ablation by producing spatio-temporal maps of tissue conductivity values using a fast MREIT conductivity imaging method. We expect that the new monitoring method could be used to estimate lesions during RF ablation and improve the efficacy of the treatment.


Asunto(s)
Impedancia Eléctrica , Imagen por Resonancia Magnética/métodos , Ondas de Radio , Estudios Transversales
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