Computed Tomography Imaging of Geriatric Patients with Uncertain Head Trauma.

BACKGROUND: Although clinical decision rules exist for patients with head injuries, no tool assesses patients with unknown trauma events. Patients with uncertain trauma may have unnecessary brain imaging. OBJECTIVE: This study evaluated risk factors and outcomes of geriatric patients with uncertain head injury. METHODS: This prospective cohort study included geriatric patients with definite or uncertain head injury presenting to two emergency departments (EDs). Patients were grouped as definite or uncertain head trauma based on history and physical examination. Outcomes were intracranial hemorrhage (ICH) on head computed tomography (CT), need for neurosurgical intervention, and mortality. Risk factors assessed included gender, alcohol use, tobacco use, history of dementia, anticoagulant use, antiplatelet use, and Glasgow Coma Scale (GCS) score < 15. RESULTS: We enrolled 2905 patients with definite head trauma and 950 with uncertain head trauma. Rates of acute ICH (10.7% vs. 1.5%; odds ratio [OR] 8.02; 95% confidence interval [CI] 4.67-13.76), delayed ICH (0.7% vs. 0.1%; OR 6.58; 95% CI 4.67-13.76), and neurosurgical intervention (1.2% vs. 0.3%; OR 3.74; 95% CI 1.15-12.20) were all higher in definite vs. uncertain head injuries. There were no differences in mortality. Patients with definite trauma had higher rates of ICH with male gender (OR 1.58; 95% CI 1.24-1.99), alcohol use (OR 1.62; 95% CI 1.25-2.09), antiplatelet use (OR 1.84; 95% CI 1.46-2.31), and GCS score < 15 (OR 3.24; 95% CI 2.54-4.13). Patients with uncertain trauma had no characteristics associated with increased ICH. CONCLUSIONS: Although ICH rates among patients with uncertain head trauma was eight times lower than those with definite head trauma, the risk of ICH is high enough to warrant CT imaging of all geriatric patients with uncertain head injury.

Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay.

Background: Pituitary incidentalomas are an occurrence documented in 10.6% of post-mortem examinations, 4%-20% of computed tomography (CT) scans, and 10%-38% of magnetic resonance imaging (MRI) cases, primarily consisting of microincidentalomas (<1 cm in size). However, the prevalence of pituitary incidentalomas in Uruguay remains unexplored. This study aimed to ascertain the prevalence of pituitary incidentalomas at our hospital. Methods: In this investigation, we retrospectively identified patients who underwent brain CT and MRI at our hospital over a 1-year span due to conditions other than suspected or known pituitary disorders. The time frame covered was from 1 January to 31 December 2017. Our analysis encompassed all scans, and we conducted interviews with patients discovered to have pituitary incidentalomas. Furthermore, we conducted biochemical assessments in accordance with clinical and imaging traits. Results: During the study period, a total of 3,894 patients underwent imaging procedures. Of these, 1,146 patients underwent MRI scans, and 2,748 underwent CT scans. The mean age was 53.1 ± 19 years, with a relatively even distribution between genders (50.6% women). The majority of imaging requisitions originated from the emergency department (43%), followed by outpatient clinics (29%), and inpatient wards (28%). Common reasons for imaging requests included trauma (20.4%), headaches (11.3%), and stroke (10.9%). Among these cases, two pituitary incidentalomas were detected, resulting in a prevalence of 5 cases per 10,000 individuals annually (0.051%). Both of these cases were initially identified through CT scans, with subsequent MRI scans performed for further assessment. The final diagnoses were a vascular aneurysm and a sellar meningioma, with the latter patient also exhibiting secondary hypothyroidism. Notably, no instances of pituitary adenomas were encountered. Conclusions: The prevalence of pituitary incidentalomas within our hospital was notably low. Further research is necessary to more comprehensively investigate the occurrence of pituitary incidentalomas in our country.

Double-row 16-element folded-end dipole transceiver array for 3D RF shimming of the whole human brain at 9.4 T.

Homogeneity and longitudinal coverage of transmit (Tx) human head RF coils at ultrahigh field (UHF, ≥7 T) can be improved by 3D RF shimming, which requires using multi-row Tx arrays. Examples of 3D RF shimming using double-row UHF loop transceiver (TxRx) and Tx arrays have been described previously. Dipole antennas provide unique simplicity and robustness while offering comparable Tx efficiency and signal-to-noise ratio to conventional loop designs. Single-row Tx and TxRx human head UHF dipole arrays have been previously described by multiple groups. Recently, we developed a novel type of dipole antenna, a folded-end dipole, and presented single-row eight-element array prototypes for human head imaging at 7 and 9.4 T. These studies have shown that the novel antenna design can improve the longitudinal coverage and minimize peak local specific absorption rate (SAR) as compared with common unfolded dipoles. In this work, we developed, constructed, and evaluated a 16-element double-row TxRx folded-end dipole array for human head imaging at 9.4 T. To minimize cross-talk between neighboring dipoles located in different rows, we used transformer decoupling, which decreased coupling to a level below -20 dB. The developed array design was demonstrated to be capable of 3D static RF shimming and can be potentially used for dynamic shimming using parallel transmission. For optimal phase shifts between the rows, the array provides 11% higher SAR efficiency and 18% higher homogeneity than a folded-end dipole single-row array of the same length. The design also offers a substantially simpler and more robust alternative to the common double-row loop array with about 10% higher SAR efficiency and better longitudinal coverage.

[Diagnosis and Treatment in frontobasal fractures]. / Vorgehen bei frontobasalen Frakturen.

Traumatic brain injury can result in frontobasal fractures (FBF). The goals of treatment for FBF are to eliminate primary morbidity and/or prevent secondary morbidity. Of particular importance in this regard is the proximity of important sensory organs for hearing, vision, smell, and taste, as well as their supplying nervous structures. Medical history, clinical findings, or CT scan are necessary and should lead to an individual evaluation. Depending on the severity of the fractures, the following disciplines may be involved in the treatment of FBF: neurosurgery, plastic surgery, oral and maxillofacial surgery, and/or otorhinolaryngology. Particularly less invasive endoscopic endonasal therapy is a specialty of otorhinolaryngologic surgeons and has not been widely established in other disciplines. The present work provides an overview of the current state of the art in terms of the following aspects, taking into account the current literature: anatomic principles, classification of fractures, diagnostics (in particular clinical examination, imaging, and laboratory chemistry tests), clinical symptoms, and treatment.

The Assessment of the Rationale for Urgent Head CT-Comparative Analysis of Referrals and Results of Examinations without and with Contrast Enhancement.

The study analyzes the correlation between the indications and results of head CT examinations in search of evidence of the excessive use of this diagnostic method. In total, 1160 referrals for urgent head CT were analyzed retrospectively, including the following parameters: patients' sex and age, type of scan (C-, C+, angio-CT), description of symptoms and presence of diagnostic target. Pathologies identified by the radiologist were assigned to four classes, regarding the severity of diagnosed conditions. The analysis of the CT results has shown that over half (55.22%) of the examinations revealed no deviations or showed chronic, asymptomatic lesions. As many as 73.71% referrals constituted group 0 in terms of the lack of a diagnostic target of a specific pathology. The presence of specific clinical targeting in a referral correlated significantly with a higher frequency of acute diagnosis. Contrast-enhanced follow-up examinations allowed the unequivocal classification of patients into extreme classes (I or IV) and accurate identification of patients requiring urgent or chronic treatment. Excessive use of diagnostic imaging is harmful, not only to patients, who often are unnecessarily exposed to radiation, but also to the quality of healthcare, since it increases the costs and radiologists' workload.

Double-row dipole/loop combined array for human whole brain imaging at 7 T.

Important issues in designing radiofrequency (RF) coils for human head imaging at ultra-high field (UHF; ≥7 T) are the inhomogeneity and longitudinal coverage (along the magnet axis) of the transmit (Tx) RF field. Both the homogeneity and coverage produced by Tx volume coils can be improved by means of three-dimensional (3D) RF shimming, which requires the use of multirow Tx-arrays. In addition, according to recent findings of the ultimate intrinsic signal-to-noise ratio (UISNR) theory, the loop-only receive (Rx) arrays do not provide optimal SNR near the brain center at UHF. The latter can be obtained by combining complementary conductive structures carrying different current patterns (e.g., loops and dipole antennas). In this work, we developed, constructed, and evaluated a novel 32-element hybrid array design for human head imaging at 7 T. The array consists of 16 transceiver loops placed in two rows circumscribing the head and 16 folded-end Rx-only dipoles positioned in the centers of loops. By placing all elements in a single layer, we increased RF power deposition into the tissue and, thus, preserved the Tx-efficiency. Using this hybrid design also simplifies the coil structure by minimizing the total number of array elements. The array demonstrated whole brain coverage, 3D RF shimming capability, and high SNR. It provided ~15% higher SNR near the brain center and, depending on the RF shim mode, from 20% to 40% higher Tx-efficiency than a common commercial head array coil.

Ground Penetrating Radar Algorithm to Sense the Depth of Blood Clot in Microwave Head Imaging.

BACKGROUND: Microwave imaging is one of the emerging non-invasive portable imaging techniques, which uses nonionized radiations to take a detailed view of biological tissues in the microwave frequency range. Brain stroke is an emergency caused by the interruption of the blood supply into parts of the brain, leading to the loss of millions of brain cells. Imaging plays a major role in stroke diagnosis for prompt treatment. OBJECTIVE: This work proposes a computationally efficient algorithm called the GPR algorithm to locate the blood clot with a size of 10 mm in microwave images. METHODS: The electromagnetic waves are radiated, and backscattered reflections are received by Antipodal Vivaldi antenna with the parasitic patch (48 mm*21 mm). The received signals are converted to a planar 2D image, and the depth of the blood clot is identified from the B-scan image. The novelty of this work lies in applying the GPR algorithm for the accurate positioning of a blood clot in a multilayered head tissue. RESULTS: The proposed system is effectively demonstrated using a 3D M.E.M. simulator, and simulated results are verified in a Vector network analyzer (E8363B) with an experimental setup. CONCLUSION: This is an alternative safe imaging modality compared to present imaging systems (T.C.T. and MRI).

A 16-Channel Dipole Antenna Array for Human Head Magnetic Resonance Imaging at 10.5 Tesla.

For ultra-high field and frequency (UHF) magnetic resonance imaging (MRI), the associated short wavelengths in biological tissues leads to penetration and homogeneity issues at 10.5 tesla (T) and require antenna transmit arrays for efficiently generated 447 MHz B1+ fields (defined as the transmit radiofrequency (RF) magnetic field generated by RF coils). Previously, we evaluated a 16-channel combined loop + dipole antenna (LD) 10.5 T head array. While the LD array configuration did not achieve the desired B1+ efficiency, it showed an improvement of the specific absorption rate (SAR) efficiency compared to the separate 8-channel loop and separate 8-channel dipole antenna arrays at 10.5 T. Here we compare a 16-channel dipole antenna array with a 16-channel LD array of the same dimensions to evaluate B1+ efficiency, 10 g SAR, and SAR efficiency. The 16-channel dipole antenna array achieved a 24% increase in B1+ efficiency in the electromagnetic simulation and MR experiment compared to the LD array, as measured in the central region of a phantom. Based on the simulation results with a human model, we estimate that a 16-channel dipole antenna array for human brain imaging can increase B1+ efficiency by 15% with similar SAR efficiency compared to a 16-channel LD head array.

Clinical Role of Smartphone Fundus Imaging in Diabetic Retinopathy and Other Neuro-retinal Diseases.

Purpose: In today's life, many electronic gadgets have the potential to become invaluable health care devices in future. The gadgets in this category include smartphones, smartwatches, and others. Till now, smartphone role has been highlighted on many occasions in different areas, and they continue to possess immense role in clinical documentation, clinical consultation, and digitalization of ocular care. In last one decade, many treatable conditions including diabetic retinopathy, glaucoma, and other pediatric retinal diseases are being imaged using smartphones.Methods: To comprehend this cumulative knowledge, a detailed medical literature search was conducted on PubMed/Medline, Scopus, and Web of Science till February 2021.Results: The included literature revealed a definitive progress in posterior segment imaging. From simple torch light with smartphone examination to present day compact handy devices with artificial intelligence integrated software's have changed the very perspectives of ocular imaging in ophthalmology. The consistently reproducible results, constantly improving imaging techniques, and most importantly their affordable costs have renegotiated their role as effective screening devices in ophthalmology. Moreover, the obtained field of view, ocular safety, and their key utility in non-ophthalmic specialties are also growing.Conclusions: To conclude, smartphone imaging can now be considered as a quick, cost-effective, and digitalized tool for posterior segment screenings, however, their definite role in routine ophthalmic clinics is yet to be established.

Rapid-sequence MRI for evaluation of pediatric traumatic brain injury: a systematic review.

OBJECTIVE: Rapid-sequence MRI (RSMRI) of the brain is a limited-sequence MRI protocol that eliminates ionizing radiation exposure and reduces imaging time. This systematic review sought to examine studies of clinical RSMRI use for pediatric traumatic brain injury (TBI) and to evaluate various RSMRI protocols used, including their reported accuracy as well as clinical and systems-based limitations to implementation. METHODS: PubMed, EMBASE, and Web of Science databases were searched, and clinical articles reporting the use of a limited brain MRI protocol in the setting of pediatric head trauma were identified. RESULTS: Of the 1639 articles initially identified and reviewed, 13 studies were included. An additional article that was in press at the time was provided by its authors. The average RSMRI study completion time was variable, spanning from 1 minute to 16 minutes. RSMRI with "blood-sensitive" sequences was more sensitive for detection of hemorrhage compared with head CT (HCT), but less sensitive for detection of skull fractures. Compared with standard MRI, RSMRI had decreased sensitivity for all evidence of trauma. CONCLUSIONS: Protocols and uses of RSMRI for pediatric TBI were variable among the included studies. While traumatic pathology missed by RSMRI, such as small hemorrhages and linear, nondisplaced skull fractures, was frequently described as clinically insignificant, in some cases these findings may be prognostically and/or forensically significant. Institutions should integrate RSMRI into pediatric TBI management judiciously, relying on clinical context and institutional capabilities.

Folded-end dipole transceiver array for human whole-brain imaging at 7 T.

The advancement of clinical applications of ultrahigh field (UHF) MRI depends heavily on advances in technology, including the development of new radiofrequency (RF) coil designs. Currently, the number of commercially available 7 T head RF coils is rather limited, implying a need to develop novel RF head coil designs that offer superior transmit and receive performance. RF coils to be used for clinical applications must be robust and reliable. In particular, for transmit arrays, if a transmit channel fails the local specific absorption rate may increase, significantly increasing local tissue heating. Recently, dipole antennas have been proposed and used to design UHF head transmit and receive arrays. The dipole provides a unique simplicity while offering comparable transmit efficiency and signal-to-noise ratio with the conventional loop design. Recently, we developed a novel array design in our laboratory using a folded-end dipole antenna. In this work, we developed, constructed and evaluated an eight-element transceiver bent folded-end dipole array for human head imaging at 7 T. Driven in the quadrature circularly polarized mode, the array demonstrated more than 20% higher transmit efficiency and significantly better whole-brain coverage than that provided by a widely used commercial array. In addition, we evaluated passive dipole antennas for decoupling the proposed array. We demonstrated that in contrast to the common unfolded dipole array, the passive dipoles moved away from the sample not only minimize coupling between the adjacent folded-end active dipoles but also produce practically no destructive interference with the quadrature mode of the array.

Development of an L-band resonator optimized for fast scan EPR imaging of the mouse head.

PURPOSE: To develop a novel resonator for high-quality fast scan electron paramagnetic resonance (EPR) and EPR/NMR co-imaging of the head and brain of mice at 1.25 GHz. METHODS: Resonator dimensions were scaled to fit the mouse head with maximum filling factor. A single-loop 6-gap resonator of 20 mm diameter and 20 mm length was constructed. High resonator stability was achieved utilizing a fixed position double coupling loop. Symmetrical mutually inverted connections rendered it insensitive to field modulation and fast scan. Coupling adjustment was provided by a parallel-connected variable capacitor located at the feeding line at λ/4 distance. To minimize radiation loss, the shield around the resonator was supplemented with a planar conductive disc that focuses return magnetic flux. RESULTS: Coupling of the resonator loaded with the mouse head was efficient and easy. This resonator enabled high-quality in vivo 3D EPR imaging of the mouse head following intravenous infusion of nitroxide probes. With this resonator and rapid scan EPR system, 4 ms scans were acquired in forward and reverse directions so that images with 2-scan 3,136 projections were acquired in 25 s. Head images were achieved with resolutions of 0.4 mm, enabling visualization of probe localization and uptake across the blood-brain barrier. CONCLUSIONS: This resonator design provides good sensitivity, high stability, and B1 field homogeneity for in vivo fast scan EPR of the mouse head and brain, enabling faster measurements and higher resolution imaging of probe uptake, localization, and metabolism than previously possible.

In vivo human head MRI at 10.5T: A radiofrequency safety study and preliminary imaging results.

PURPOSE: The purpose of this study is to safely acquire the first human head images at 10.5T. METHODS: To ensure safety of subjects, we validated the electromagnetic simulation model of our coil. We obtained quantitative agreement between simulated and experimental B1+ and specific absorption rate (SAR). Using the validated coil model, we calculated radiofrequency power levels to safely image human subjects. We conducted all experiments and imaging sessions in a controlled radiofrequency safety lab and the whole-body 10.5T scanner in the Center for Magnetic Resonance Research. RESULTS: Quantitative agreement between the simulated and experimental results was obtained including S-parameters, B1+ maps, and SAR. We calculated peak 10 g average SAR using 4 different realistic human body models for a quadrature excitation and demonstrated that the peak 10 g SAR variation between subjects was less than 30%. We calculated safe power limits based on this set and used those limits to acquire T2 - and T2∗ -weighted images of human subjects at 10.5T. CONCLUSIONS: In this study, we acquired the first in vivo human head images at 10.5T using an 8-channel transmit/receive coil. We implemented and expanded a previously proposed workflow to validate the electromagnetic simulation model of the 8-channel transmit/receive coil. Using the validated coil model, we calculated radiofrequency power levels to safely image human subjects.

Validation of clinical criteria for referral to head imaging in the neurologic emergency setting.

BACKGROUND: In recent decades, diagnostic imaging became an important generator of large increases in medical spending. Inappropriate head CT referrals also increase population irradiation and unnecessarily burden and frighten patients. OBJECTIVE: To validate previously proposed clinical criteria for referral to head imaging (age > 55 years, focal neurological deficit, changed mental state, nausea or vomiting, coagulation disorder, cancer) in a setting of emergency neurological service. METHODS: We retrospectively analyzed electronic records of 500 consecutive referrals to neurological emergency and 500 referrals to emergency head imaging. In patients with several referrals, only results of the first evaluation were further analyzed. We calculated relations between clinical predictors, referrals, and findings of head imaging. RESULTS: Of 486 first referrals of consecutive patients, 216 (44%) were referred to the emergency, and 100 (21%) to non-emergency head imaging. Remaining 170 (35%) were not referred to head imaging. Clinical predictors of pathologic head imaging fulfilled 77%, 41%, and 43% of patients, respectively. Pathologic head imaging had 153 of 490 (31%) referred patients. Referral criteria fulfilled 146 (sensitivity 95%) of them. Intracranial pathology was found in 7 of 125 patients not fulfilling referral criteria (negative predictive value 94%): 3 reported transient neurological symptoms, 2 sudden headache, and 2 headache with nausea and vomiting. CONCLUSION: We confirmed utility of previously proposed clinical criteria for referral to head CT in emergency neurological setting. In addition, we found transient neurological symptoms, sudden severe headache, and headache with nausea or vomiting as additional independent indications for emergency head imaging.

Diagnosis and Imaging of Optic Nerve Head Drusen.

The presence of optic nerve swelling in pediatric patients is a frequent cause for referral to pediatric ophthalmologists and neuro-ophthalmologists because this finding can be the harbinger of serious neurologic disease including brain tumor, demyelinating disease, infiltrative disease of the optic nerve, or idiopathic intracranial hypertension. Optic nerve head drusen (ONHD) are common and can be particularly difficult to distinguish from true optic nerve swelling in pediatric patients because the ONHD are typically buried beneath the substance of the optic nerve. Correct identification of ONHD is relevant because of the visual morbidity associated with this condition and because of the need to distinguish pseudopapilledema secondary to ONHD from true optic nerve swelling. A variety of imaging modalities may be employed to evaluate for the presence of ONHD, including ultrasound, optical coherence tomography (OCT), enhanced depth imaging-OCT, fluorescein angiography, fundus autofluorescence, and optical coherence tomography angiography. To date, there is no consensus as to which of these techniques is most accurate and which should be part of a standardized evaluation for children suspected of ONHD. This review examines the recent literature analyzing these diagnostic tools and summarizes data regarding best practices for identifying ONHD.

Decoupling of a double-row 16-element tight-fit transceiver phased array for human whole-brain imaging at 9.4 T.

One of the major challenges in constructing multi-channel and multi-row transmit (Tx) or transceiver (TxRx) arrays is the decoupling of the array's loop elements. Overlapping of the surface loops allows the decoupling of adjacent elements and also helps to improve the radiofrequency field profile by increasing the penetration depth and eliminating voids between the loops. This also simplifies the design by reducing the number of decoupling circuits. At the same time, overlapping may compromise decoupling by generating high resistive (electric) coupling near the overlap, which cannot be compensated for by common decoupling techniques. Previously, based on analytical modeling, we demonstrated that electric coupling has strong frequency and loading dependence, and, at 9.4 T, both the magnetic and electric coupling between two heavily loaded loops can be compensated at the same time simply by overlapping the loops. As a result, excellent decoupling was obtained between adjacent loops of an eight-loop single-row (1 × 8) human head tight-fit TxRx array. In this work, we designed and constructed a 9.4-T (400-MHz) 16-loop double-row (2 × 8) overlapped TxRx head array based on the results of the analytical and numerical electromagnetic modeling. We demonstrated that, simply by the optimal overlap of array loops, a very good decoupling can be obtained without additional decoupling strategies. The constructed TxRx array provides whole-brain coverage and approximately 1.5 times greater Tx efficiency relative to a transmit-only/receive-only (ToRo) array, which consists of a larger Tx-only array and a nested tight-fit 31-loop receive (Rx)-only array. At the same time, the ToRo array provides greater peripheral signal-to-noise ratio (SNR) and better Rx parallel performance in the head-feet direction. Overall, our work provides a recipe for a simple, robust and very Tx-efficient design suitable for parallel transmission and whole-brain imaging at ultra-high fields.

Stroke localization and classification using microwave tomography with k-means clustering and support vector machine.

For any chance for stroke patients to survive, the stroke type should be classified to enable giving medication within a few hours of the onset of symptoms. In this paper, a microwave-based stroke localization and classification framework is proposed. It is based on microwave tomography, k-means clustering, and a support vector machine (SVM) method. The dielectric profile of the brain is first calculated using the Born iterative method, whereas the amplitude of the dielectric profile is then taken as the input to k-means clustering. The cluster is selected as the feature vector for constructing and testing the SVM. A database of MRI-derived realistic head phantoms at different signal-to-noise ratios is used in the classification procedure. The performance of the proposed framework is evaluated using the receiver operating characteristic (ROC) curve. The results based on a two-dimensional framework show that 88% classification accuracy, with a sensitivity of 91% and a specificity of 87%, can be achieved. Bioelectromagnetics. 39:312-324, 2018. © 2018 Wiley Periodicals, Inc.

Prospective head motion correction using FID-guided on-demand image navigators.

PURPOSE: We suggest a motion correction concept that employs free-induction-decay (FID) navigator signals to continuously monitor motion and to guide the acquisition of image navigators for prospective motion correction following motion detection. METHODS: Motion causes out-of-range signal changes in FID time series that, and in this approach, initiate the acquisition of an image navigator. Co-registration of the image navigator to a reference provides rigid-body-motion parameters to facilitate prospective motion correction. Both FID and image navigator are integrated into a prototype magnetization-prepared rapid gradient-echo (MPRAGE) sequence. The performance of the method is investigated using image quality metrics and the consistency of brain volume measurements. RESULTS: Ten healthy subjects were scanned (a) while performing head movements (nodding, shaking, and moving in z-direction) and (b) to assess the co-registration performance. Mean absolute errors of 0.27 ± 0.38 mm and 0.19 ± 0.24° for translation and rotation parameters were measured. Image quality was qualitatively improved after correction. Significant improvements were observed in automated image quality measures and for most quantitative brain volume computations after correction. CONCLUSION: The presented method provides high sensitivity to detect head motion while minimizing the time invested in acquiring navigator images. Limits of this implementation arise from temporal resolution to detect motion, false-positive alarms, and registration accuracy. Magn Reson Med 78:193-203, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Dielectric properties of dog brain tissue measured in vitro across the 0.3-3 GHz band.

Dielectric properties of dead Greyhound female dogs' brain tissues at different ages were measured at room temperature across the frequency range of 0.3-3 GHz. Measurements were made on excised tissues, in vitro in the laboratory, to carry out dielectric tests on sample tissues. Each dataset for a brain tissue was parametrized using the Cole-Cole expression, and the relevant Cole-Cole parameters for four tissue types are provided. A comparison was made with the database available in literature for other animals and human brain tissue. Results of two types of tissues (white matter and skull) showed systematic variation in dielectric properties as a function of animal age, whereas no significant change related to age was noticed for other tissues. Results provide critical information regarding dielectric properties of animal tissues for a realistic animal head model that can be used to verify the validity and reliability of a microwave head scanner for animals prior to testing on live animals. Bioelectromagnetics. 37:549-556, 2016. © 2016 Wiley Periodicals, Inc.

Imaging of osteonecrosis of the femoral head.

Osteonecrosis of the femoral head is a common disease affecting both children and adults causing acute hip pain and functional impairment. Among the various techniques allowing a correct diagnosis, MRI represents the gold standard for an early detection, the latter being useful for a positive outcome. The purpose of this review is to describe the imaging findings of the osteonecrosis of the femoral head.