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1.
J Magn Reson Imaging ; 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38767272

RESUMO

BACKGROUND: Cognitive impairment is commonly observed in hydrocephalus patients. Ventricular enlargement compresses brain parenchyma, especially the white matter (WM). PURPOSE: To investigate whether the relationship between ventricular dilation and cognitive decline in hydrocephalus patients is mediated by WM alterations. STUDY TYPE: Retrospective. POPULATION: 51 communicating hydrocephalus patients (median age, 54 years), 50 obstructive hydrocephalus patients (median age, 49 years), and 53 control subjects (median age, 50 years). FIELD STRENGTH/SEQUENCE: Diffusion tensors imaging, 3D T1 BRAVO, 3D FIESTA, CUBE T2, and FLAIR sequences at 3T. ASSESSMENT: DTI parameters (skeletonized fractional anisotropy (FA), skeletonized mean diffusivity (MD), and peak width of skeletonized mean diffusivity p(PSMD)) were extracted using FSL software. Global, periventricular, and deep white matter hyperintensity (WMH) volumes, degree of ventricular enlargement (Evans index), and other conventional imaging markers (number of lacunes and perivascular spaces, intracranial and brain volume) were extracted using united imaging intelligence. Cognitive tests included Montreal cognitive assessment (MoCA), clock drawing test (CDT), and vocabulary fluency test (VFT). STATISTICAL TESTS: Multivariable linear regression analysis, mediation analyses, and dominance analysis. P-value <0.05 was considered significant. RESULTS: The degree of ventricular dilation, DTI parameters, and cognitive function scores were interrelated. The skeletonized FA values (ß = -0.0917, 95% confidence interval (CI): -0.205, -0.024) and normalized global WMH volume (ß = -0.0635, 95% CI: -0.13, -0.0005) together mediated 37.2% of the association between Evans index and MoCA. A comparable causal pathway was found for periventricular WMHs but not for deep WMHs. Dominance analysis indicated skeletonized FA values had a greater impact on cognition than WMH volume. The skeletonized FA values also mediated the association between Evans index and CDT (ß = -0.0897, 95% CI: -0.165, -0.026) and VFT (ß = -0.1589, 95% CI: -0.27, -0.083). CONCLUSION: WM alterations were causal mediators between ventricular dilation and cognitive decline in hydrocephalus patients. EVIDENCE LEVEL: 3. TECHNICAL EFFICACY: Stage 3.

2.
Eur Radiol ; 33(6): 4148-4157, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36515715

RESUMO

OBJECTIVES: To evaluate the imaging quality of a synthetic phase-sensitive inversion recovery (SyPSIR) vessel and to add value to T2-weighted imaging (T2WI) for extramural venous invasion (EMVI) detection in patients with rectal cancer. METHODS: Participants in this retrospective study underwent preoperative synthetic MRI between October 2020 and April 2022. SyPSIR image reconstruction was performed with a single inversion time of 10 ms. A junior and a senior radiologist evaluated the imaging quality, including overall imaging quality scores, motion artifact scores, and relative image signal intensity contrast between the tumor and peritumoral vessels (SItumor-vessel), of both T2WI and SyPSIR vessels. Differences in imaging quality between the two methods were assessed using the Wilcoxon signed-rank test and two-sample t-test. EMVI scores were recorded for T2WI and T2WI+SyPSIR vessel. The area under the receiver operating characteristic curve (AUC) was calculated to evaluate the diagnostic performance. RESULTS: A total of 106 patients (35 EMVI+ and 71 EMVI-) were evaluated. There were no statistically significant differences in the overall image quality scores, motion artifacts, or SItumor-vessel (p = 0.08-0.93) between the T2WI and SyPSIR vessels. On combining T2WI and SyPSIR vessels, the AUC for pathological EMVI+ diagnoses increased from 0.65 to 0.88 for the junior radiologist and from 0.86 to 0.96 for the senior radiologist. Furthermore, the sensitivity of the analyses by junior and senior radiologists increased from 0.40 to 0.77 and 0.49 to 0.86, respectively. CONCLUSION: A SyPSIR vessel can provide additional information to improve the diagnostic efficiency of pathological EMVI in rectal cancer, which may be beneficial for individualized clinical treatment. KEY POINTS: • SyPSIR vessel and T2WI had similar imaging quality. • EMVI evaluation in SyPSIR vessel has a high inter-observer agreement. • The SyPSIR vessel has the potential to improve the diagnostic efficiency of EMVI detection in rectal cancer.


Assuntos
Neoplasias Retais , Humanos , Estudos Retrospectivos , Invasividade Neoplásica/patologia , Neoplasias Retais/patologia , Imageamento por Ressonância Magnética/métodos , Curva ROC
3.
Neurobiol Dis ; 173: 105838, 2022 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-35985556

RESUMO

Transgenic animal models with homologous etiology provide a promising way to pursue the neurobiological substrates of the behavioral deficits in autism spectrum disorder (ASD). Gain-of-function mutations of MECP2 cause MECP2 duplication syndrome, a severe neurological disorder with core symptoms of ASD. However, abnormal brain developments underlying the autistic-like behavioral deficits of MECP2 duplication syndrome are rarely investigated. To this end, a human MECP2 duplication (MECP2-DP) rat model was created by the bacterial artificial chromosome transgenic method. Functional and structural magnetic resonance imaging (MRI) with high-field were performed on 16 male MECP2-DP rats and 15 male wildtype rats at postnatal 28 days, 42 days, and 56 days old. Multimodal fusion analyses guided by locomotor-relevant metrics and social novelty time separately were applied to identify abnormal brain networks associated with diverse behavioral deficits induced by MECP2 duplication. Aberrant functional developments of a core network primarily composed of the dorsal medial prefrontal cortex (dmPFC) and retrosplenial cortex (RSP) were detected to associate with diverse behavioral phenotypes in MECP2-DP rats. Altered developments of gray matter volume were detected in the hippocampus and thalamus. We conclude that gain-of-function mutations of MECP2 induce aberrant functional activities in the default-mode-like network and aberrant volumetric changes in the brain, resulting in autistic-like behavioral deficits. Our results gain critical insights into the biomarker of MECP2 duplication syndrome and the neurobiological underpinnings of the behavioral deficits in ASD.


Assuntos
Transtorno do Espectro Autista , Deficiência Intelectual Ligada ao Cromossomo X , Animais , Transtorno do Espectro Autista/diagnóstico por imagem , Transtorno do Espectro Autista/genética , Encéfalo/metabolismo , Mapeamento Encefálico/métodos , Humanos , Masculino , Deficiência Intelectual Ligada ao Cromossomo X/genética , Proteína 2 de Ligação a Metil-CpG/genética , Proteína 2 de Ligação a Metil-CpG/metabolismo , Ratos
4.
J Environ Manage ; 292: 112712, 2021 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-33991826

RESUMO

This study deals with the highly significant and cost-effective pretreatment of the high concentration of the Total Ammonia Nitrogen (TAN) in coking wastewater to improve the biodegradability. Struvite crystallization is a promising process for TAN removal, but the high operating cost hinders its application. To solve this problem, a novel struvite recycling process was proposed for pre-treating TAN present in the coking wastewater, within which struvite was decomposed in the solid-liquid system using Ca(OH)2 as the decomposer. The results indicates that 91% of ammonium in struvite could be stripped out from the decomposition solution, with Ca(OH)2:NH4+ in the molar ratio of 2:1, temperature at 35 °C and a gas to liquid volume ratio of 3500. The resulting solution, post the escape of the ammonia, was dissolved by sulfuric acid. Approximately 100% of the phosphate and magnesium were observed to be released from the insoluble phosphate compounds, resulting in the formation of high-purity gypsum. A TAN removal efficiency of 89% could be achieved by reusing the supernatant after the dissolution of the decomposition product, at pH 9.5 and the Mg:TAN:PO4-P molar ratio of 1.2:1:1. The pilot-scale test demonstrated that approximately 86% TAN was removed from the coking wastewater and the purity of recovered could reach over 99%. Further economic analysis proves that the operation cost of the proposed process is 0.55$ per m3 of coking wastewater, showing a 73% cost reduction when compared to struvite crystallization without recycling.


Assuntos
Coque , Águas Residuárias , Amônia , Hidróxido de Cálcio , Sulfato de Cálcio , Desnitrificação , Compostos de Magnésio , Nitrogênio , Fosfatos , Reciclagem , Estruvita
5.
Neuroimage ; 200: 405-413, 2019 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-31280011

RESUMO

Task based and resting state fMRI has been widely utilized to study brain functions. As the foundation of fMRI, the underlying neural basis of the BOLD signal has been extensively studied, but the detailed mechanism remains elusive, particularly during the resting state. To examine the neurovascular coupling, it is important to simultaneously record neural and vascular signals. Here we developed a novel setup of camera based, scalable simultaneous calcium fiber photometry and fMRI in rats. Using this setup, we recorded calcium signals of superior colliculus (SC) and lateral geniculate nucleus (LGN) and fMRI simultaneously during visual stimulation and the resting state. Our results revealed robust, region-specific coupling between calcium and BOLD signals in the task state and weaker, whole brain correlation in the resting state. Interestingly, the spatial specificity of such correlation in the resting state was improved upon regression of white matter, ventricle signals and global signals in fMRI data. Overall, our results suggest differential coupling of calcium and BOLD signals for subcortical regions between evoked and resting states, and the coupling relationship in the resting state was related with resting state BOLD preprocessing strategies.


Assuntos
Cálcio , Ventrículos Cerebrais/fisiologia , Neuroimagem Funcional/métodos , Corpos Geniculados/fisiologia , Acoplamento Neurovascular/fisiologia , Fotometria/métodos , Colículos Superiores/fisiologia , Percepção Visual/fisiologia , Substância Branca/fisiologia , Animais , Cálcio/metabolismo , Ventrículos Cerebrais/diagnóstico por imagem , Ventrículos Cerebrais/metabolismo , Corpos Geniculados/diagnóstico por imagem , Corpos Geniculados/metabolismo , Imageamento por Ressonância Magnética , Masculino , Estimulação Luminosa , Fotometria/instrumentação , Ratos , Ratos Sprague-Dawley , Colículos Superiores/diagnóstico por imagem , Colículos Superiores/metabolismo , Substância Branca/diagnóstico por imagem , Substância Branca/metabolismo
6.
Eur J Radiol ; 177: 111573, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38905803

RESUMO

PURPOSE: To evaluate the effectiveness of both synthetic magnetic resonance imaging (SyMRI) and conventional diffusion-weighted imaging (DWI) for identifying the human epidermal growth factor receptor 2 (HER2) status in breast cancer (BC) patients. METHOD: In this retrospective study, 114 women with DWI and SyMRI were pathologically classified into three groups: HER2-overexpressing (n = 40), HER2-low-expressing (n = 53), and HER2-zero-expressing (n = 21). T1 and T2 relaxation times and proton density (PD) were assessed before and after enhancement, and the resulting quantitative parameters produced by SyMRI were recorded as T1, T2, and PD and T1e, T2e, and PDe. Logistic regression was used to identify the best indicators for classifying patients based on HER2 expression. The discriminative performance of the models was evaluated using receiver operating characteristic (ROC) curves. RESULTS: Our preliminary study revealed significant differences in progesterone receptor (PR) status, Ki-67 index, and axillary lymph node (ALN) count among the HER2-zero, -low, and -overexpressing groups (p < 0.001 to p = 0.03). SyMRI quantitative indices showed significant differences among BCs in the three HER2 subgroups, except for ΔT2 (p < 0.05). our results indicate that PDe achieved an area under the curve(AUC)of 0.849 (95 % CI: 0.760-0.915) for distinguishing HER2-low and -overexpressing BCs. Further investigation revealed that both the PDe and ADC were indicators for predicting differences among patients with HER2-zero and HER2-low-expressing BC, with AUCs of 0.765(95 % CI: 0.652-0.855) and 0.684(95 % CI: 0.565-0.787), respectively. The addition of the PDe to the ADC improved the AUC to 0.825(95 % CI: 0.719-0.903). CONCLUSIONS: SyMRI could noninvasively and robustly predict the HER2 expression status of patients with BC.

7.
Eur J Radiol ; 170: 111264, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38103492

RESUMO

PURPOSE: To investigate the feasibility of synthetic MRI (syMRI) quantitative parameters and its combination with morphological features in discriminating stage T1 nasopharyngeal carcinoma (T1-NPC) and benign hyperplasia (BH). MATERIAL AND METHODS: Eighty-eight patients with nasopharyngeal lesions (T1-NPC, n = 54; BH, n = 34) were retrospectively enrolled between October 2020 and May 2022. The syMRI quantitative parameters of nasopharyngeal lesions (T1, T2, PD, T1SD, T2SD, PDSD) and longus capitis (T1, T2, PD) were measured, and T1ratio, T2ratio and PDratio were calculated (lesion/longus capitis). The morphological features (lesion pattern, retention cyst, serrated protrusion, middle ear effusion, tumor volume, and retropharyngeal lymph node) were compared. Statistical analyses were performed using the independent sample t test, Chi-square test, logistic regression analysis, receiver operating characteristic curve (ROC), and DeLong test. RESULTS: The T1, T2, PD, T1SD, T1ratio, and T2ratio values of T1-NPC were significantly lower than those of BH. The morphological features (lesion pattern, retention cyst, retropharyngeal lymph node) were significant difference between these two entities. T2 value has the highest AUC in all syMRI quantitative parameters, followed by T1, T1ratio, PD, T2ratio and T1SD. Combined syMRI quantitative parameters (T2, PD, T1ratio) can further improve the diagnosis efficiency. Combined syMRI parameters and morphological feature (T2, PD, lesion pattern, retropharyngeal lymph node) has the excellent diagnostic efficiency, with AUC, sensitivity, specificity, and accuracy of 0.979, 96.30%, 97.06%, 96.77%. CONCLUSIONS: Synthetic MRI was helpful in distinguishing T1-NPC from BH, and combined syMRI quantitative parameters and morphological features has the optimal diagnostic performance.


Assuntos
Cistos , Neoplasias Nasofaríngeas , Humanos , Carcinoma Nasofaríngeo/diagnóstico por imagem , Neoplasias Nasofaríngeas/diagnóstico por imagem , Neoplasias Nasofaríngeas/patologia , Hiperplasia , Estudos Retrospectivos , Imageamento por Ressonância Magnética
8.
Sci Adv ; 10(4): eadn0479, 2024 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-38277463

RESUMO

Antiferromagnetic spintronics have attracted wide attention due to its great potential in constructing ultradense and ultrafast antiferromagnetic memory that suits modern high-performance information technology. The electrical 180° switching of Néel vector is a long-term goal for developing electrical-controllable antiferromagnetic memory with opposite Néel vectors as binary "0" and "1." However, the state-of-art antiferromagnetic switching mechanisms have long been limited for 90° or 120° switching of Néel vector, which unavoidably require multiple writing channels that contradict ultradense integration. Here, we propose a deterministic switching mechanism based on spin-orbit torque with asymmetric energy barrier and experimentally achieve electrical 180° switching of spin-splitting antiferromagnet Mn5Si3. Such a 180° switching is read out by the Néel vector-induced anomalous Hall effect. On the basis of our writing and readout methods, we fabricate an antiferromagnet device with electrical-controllable high- and low-resistance states that accomplishes robust write and read cycles. Besides fundamental advance, our work promotes practical spin-splitting antiferromagnetic devices based on spin-splitting antiferromagnet.

9.
Front Neurosci ; 17: 1187979, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37397447

RESUMO

Purpose: White matter hyperintensity lesions (WMHL) in the brain are a consequence of cerebral small vessel disease and microstructural damage. Patients with WMHL have diverse clinical features, and hypertension, advanced age, obesity, and cognitive decline are often observed. However, whether these clinical features are linked to interrupted structural connectivity in the brain requires further investigation. This study therefore explores the white matter pathways associated with WMHL, with the objective of identifying neural correlates for clinical features in patients with WMHL. Methods: Diffusion magnetic resonance imaging (MRI) and several clinical features (MoCA scores, hypertension scores, body mass index (BMI), duration of hypertension, total white matter lesion loads, and education.) highly related to WMHL were obtained in 16 patients with WMHL and 20 health controls. We used diffusion MRI connectometry to explore the relationship between clinical features and specific white matter tracts using DSI software. Results: The results showed that the anterior splenium of the corpus callosum, the inferior longitudinal fasciculus, the anterior corpus callosum and the middle cerebellar peduncle were significantly correlated with hypertension scores (false discovery rate (FDR) = 0.044). The anterior splenium of the corpus callosum, the left thalamoparietal tract, the inferior longitudinal fasciculus, and the left cerebellar were significantly correlated with MoCA scores (FDR = 0.016). The anterior splenium of corpus callosum, inferior fronto-occipital fasciculus, cingulum fasciculus, and fornix/fimbria were significantly correlated with body mass index (FDR = 0.001). Conclusion: Our findings show that hypertension score, MoCA score, and BMI are important clinical features in patients with WMHL, hypertension degree and higher BMI are associated with whiter matter local disconnection in patients with WMHL, and may contribute to understanding the cognitive impairments observed in patients with WMHL.

10.
J Pain Res ; 16: 3775-3784, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38026465

RESUMO

Purpose: To explore resting-state functional connectivity (rsFC) of the amygdala in patients with low-back-related leg pain (LBLP). Patients and Methods: For this prospective study, a total of 35 LBLP patients and 30 healthy controls (HCs) were included and underwent functional MRI and clinical assessments. Then, patients with LBLP were divided into acute LBLP (aLBLP) and chronic LBLP (cLBLP) subgroups. We further evaluated the between-group rsFC differences using left and right amygdala seeds in a whole-brain voxel analysis strategy. Finally, we performed correlation analysis between the rsFC values of altered regions and clinical indices. Results: Compared to HCs, hypoconnectivity of the amygdala was observed in LBLP patients (P < 0.01, with correction). The amygdala's rsFC pattern was different between aLBLP and cLBLP patients: decreased the amygdala's FC to the right putamen, to the right paracentral lobule (PCL), or to the right posterior temporal lobe in aLBLP patients, while right amygdala to the bilateral anterior cingulate cortex (ACC) and the left postcentral gyrus (PoCG) in cLBLP patients. Correlation analysis showed that lower rsFC of the left amygdala to the right PCL was correlated with the von Frey filament (vF) test values of the left lumbar (p = 0.025) and right lumbar (p = 0.019) regions, and rsFC of the right amygdala to the left PoCG was correlated with lower vF test values of the left lumbar (p = 0.017), right lumbar spine (p = 0.003); to right PoCG was correlated with calf (p = 0.015); the rsFC of the right amygdala to bilateral ACC was negatively correlated with the pain rating index (p = 0.003). Conclusion: LBLP patients showed amygdala hypoconnectivity, and the altered pattern of amygdala rsFC was different in the acute and chronic phases. Moreover, the amygdala hypoconnectivity was related to individual mechanical sensitivity (vF test) in LBLP patients.

11.
World Neurosurg ; 176: e208-e218, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37187345

RESUMO

OBJECTIVE: To identify the morphological characteristics together with cerebrospinal fluid (CSF) hydrodynamics on preoperative magnetic resonance imaging that improve the prediction of foramen magnum decompression (FMD) treatment outcome for Chiari malformations type I (CM-I) patients compared with the CSF hydrodynamics-based model. METHODS: This retrospective study included CM-I patients who underwent FMD, phase-contrast cine magnetic resonance, and static MR between January 2018 and March 2022. The relationships of the preoperative CSF hydrodynamic quantifications derived from phase-contrast cine magnetic resonance and morphological measurements from static magnetic resonance imaging, clinical indicators with different outcomes, were analyzed with logistic regression analysis. The outcomes were determined using the Chicago Chiari Outcome Scale. The predictive performance was evaluated with receiver operating characteristic, calibration, decision curves and area under the receiver operating characteristic curve, net reclassification index, and integrated discrimination improvement and was compared with CSF hydrodynamics-based model. RESULTS: A total of 27 patients were included. 17 (63%) had improved outcomes and 10 (37%) had poor outcomes. The peak diastolic velocity of the aqueduct midportion (odd ratio, 5.17; 95% confidence interval: 1.08, 24.70; P = 0.039) and the fourth ventricle outlet diameter (odd ratio, 7.17; 95% confidence interval: 1.07, 48.16; P = 0.043) were predictors of different prognoses. The predictive performance improved significantly than the CSF hydrodynamics-based model. CONCLUSIONS: Combined CSF hydrodynamic and static morphologic MR measurements can better predict the response to FMD. A higher peak diastolic velocity of the aqueduct midportion and broader fourth ventricle outlet were associated with satisfying outcomes after decompression in CM-I patients.


Assuntos
Malformação de Arnold-Chiari , Siringomielia , Humanos , Malformação de Arnold-Chiari/diagnóstico por imagem , Malformação de Arnold-Chiari/cirurgia , Malformação de Arnold-Chiari/líquido cefalorraquidiano , Hidrodinâmica , Quarto Ventrículo/cirurgia , Estudos Retrospectivos , Siringomielia/cirurgia , Prognóstico , Imageamento por Ressonância Magnética , Descompressão Cirúrgica/métodos , Líquido Cefalorraquidiano/diagnóstico por imagem , Líquido Cefalorraquidiano/fisiologia
12.
J Environ Manage ; 101: 68-74, 2012 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-22406846

RESUMO

Chemical precipitation, in combination with a sequencing batch reactor (SBR) process, was employed to remove pollutants from anaerobic digester effluents of nylon wastewater. The effects of the chemicals along with various Mg:N:P ratios on the chemical precipitation (struvite precipitation) were investigated. When brucite and H(3)PO(4) were applied at an Mg:N:P molar ratio of 3:1:1, an ammonia-removal rate of 81% was achieved, which was slightly more than that (80%) obtained with MgSO(4)·7H(2)O and Na(2)HPO(4)·12H(2)O at Mg:N:P molar ratios greater than the stoichiometric ratio. To further reduce the ammonia loads of the successive biotreatment, an overdose of phosphate with brucite and H(3)PO(4) was applied during chemical precipitation. The ammonia-removal rate at the Mg:N:P molar ratio of 3.5:1:1.05 reached 88%, with a residual PO(4)-P concentration of 16 mg/L. The economic analysis showed that the chemical cost of chemical precipitation could be reduced by about 41% when brucite and H(3)PO(4) were used instead of MgSO(4)·7H(2)O and Na(2)HPO(4)·12H(2)O. The subsequent biological process that used a sequencing batch reactor showed high removal rates of contaminants. The quality of the final effluent met the requisite effluent-discharging standards.


Assuntos
Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/química , Purificação da Água/métodos , Amônia/isolamento & purificação , Anaerobiose , Precipitação Química , Custos e Análise de Custo , Magnésio/química , Compostos de Magnésio/química , Hidróxido de Magnésio/química , Sulfato de Magnésio/química , Nitrogênio/química , Nylons , Fosfatos/química , Fósforo/química , Estruvita , Eliminação de Resíduos Líquidos/economia
13.
Eur J Radiol ; 157: 110597, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36379097

RESUMO

PURPOSE: To investigate the mediating effect of abnormal brain micro-structures on the relationship between clinical risk factors and mild cognitive impairment (MCI), and further predict individual cognitive function in end-stage renal disease (ESRD) patients undergoing maintenance hemodialysis. METHODS: In total, 40 ESRD patients and 30 healthy controls were prospectively enrolled in our study. All subjects completed diffusion kurtosis imaging (DKI) examinations and Montreal cognitive assessment (MoCA) test. Between-group differences in the DKI metrics were analyzed. In addition, the mediating effects of altered brain micro-structures on the association between clinical risk factors and MCI were determined by mediation analysis. Finally, cognitive function was predicted based on DKI metrics and clinical characteristics by applying the optimized least squares support vector regression machine. RESULTS: We observed disrupted brain micro-structures in ESRD patients with MCI, as indicated by significantly altered DKI parameters. Significant correlations were found between the DKI metrics, clinical characteristics, and MoCA scores. In ESRD patients, low hemoglobin level and high serum creatine level were clinical risk factors for MCI. A decreased axial kurtosis value in the left hippocampus may partially mediate the impact of serum creatine on MCI. Furthermore, the prediction model could predict cognitive scores associated with ESRD with relatively high accuracy. CONCLUSION: Aberrant micro-structures partially mediated the association between clinical risk factors and MCI, which is a novel insight into the progression of cognitive dysfunction in ESRD patients. Combined DKI metrics and clinical characteristics could be used as features to efficiently predict cognitive function associated with ESRD.


Assuntos
Disfunção Cognitiva , Falência Renal Crônica , Humanos , Creatina , Disfunção Cognitiva/diagnóstico por imagem , Disfunção Cognitiva/etiologia , Imagem de Tensor de Difusão/métodos , Falência Renal Crônica/complicações , Falência Renal Crônica/diagnóstico por imagem , Falência Renal Crônica/terapia , Encéfalo/diagnóstico por imagem
14.
Front Neurosci ; 16: 967760, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36033631

RESUMO

Purpose: To characterize the topological properties of gray matter (GM) and functional networks in end-stage renal disease (ESRD) patients undergoing maintenance hemodialysis to provide insights into the underlying mechanisms of cognitive impairment. Materials and methods: In total, 45 patients and 37 healthy controls were prospectively enrolled in this study. All subjects completed resting-state functional magnetic resonance imaging (rs-fMRI) and diffusion kurtosis imaging (DKI) examinations and a Montreal cognitive assessment scale (MoCA) test. Differences in the properties of GM and functional networks were analyzed, and the relationship between brain properties and MoCA scores was assessed. Cognitive function was predicted based on functional networks by applying the least squares support vector regression machine (LSSVRM) and the whale optimization algorithm (WOA). Results: We observed disrupted topological organizations of both functional and GM networks in ESRD patients, as indicated by significantly decreased global measures. Specifically, ESRD patients had impaired nodal efficiency and degree centrality, predominantly within the default mode network, limbic system, frontal lobe, temporal lobe, and occipital lobe. Interestingly, the involved regions were distributed laterally. Furthermore, the MoCA scores significantly correlated with decreased standardized clustering coefficient (γ), standardized characteristic path length (λ), and nodal efficiency of the right insula and the right superior temporal gyrus. Finally, optimized LSSVRM could predict the cognitive scores of ESRD patients with great accuracy. Conclusion: Disruption of brain networks may account for the progression of cognitive dysfunction in ESRD patients. Implementation of prediction models based on neuroimaging metrics may provide more objective information to promote early diagnosis and intervention.

15.
Nat Commun ; 11(1): 1788, 2020 04 14.
Artigo em Inglês | MEDLINE | ID: mdl-32286290

RESUMO

Simultaneous deep brain stimulation (DBS) and functional magnetic resonance imaging (fMRI) constitutes a powerful tool for elucidating brain functional connectivity, and exploring neuromodulatory mechanisms of DBS therapies. Previous DBS-fMRI studies could not provide full activation pattern maps due to poor MRI compatibility of the DBS electrodes, which caused obstruction of large brain areas on MRI scans. Here, we fabricate graphene fiber (GF) electrodes with high charge-injection-capacity and little-to-no MRI artifact at 9.4T. DBS-fMRI with GF electrodes at the subthalamic nucleus (STN) in Parkinsonian rats reveal robust blood-oxygenation-level-dependent responses along the basal ganglia-thalamocortical network in a frequency-dependent manner, with responses from some regions not previously detectable. This full map indicates that STN-DBS modulates both motor and non-motor pathways, possibly through orthodromic and antidromic signal propagation. With the capability for full, unbiased activation pattern mapping, DBS-fMRI using GF electrodes can provide important insights into DBS therapeutic mechanisms in various neurological disorders.


Assuntos
Estimulação Encefálica Profunda/métodos , Grafite/química , Imageamento por Ressonância Magnética/métodos , Animais , Eletrodos , Masculino , Ratos , Ratos Sprague-Dawley , Núcleo Subtalâmico/diagnóstico por imagem
16.
Neurosci Bull ; 36(6): 570-584, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32144612

RESUMO

Methyl-CpG binding protein 2 (MeCP2) is a basic nuclear protein involved in the regulation of gene expression and microRNA processing. Duplication of MECP2-containing genomic segments causes MECP2 duplication syndrome, a severe neurodevelopmental disorder characterized by intellectual disability, motor dysfunction, heightened anxiety, epilepsy, autistic phenotypes, and early death. Reversal of the abnormal phenotypes in adult mice with MECP2 duplication (MECP2-TG) by normalizing the MeCP2 levels across the whole brain has been demonstrated. However, whether different brain areas or neural circuits contribute to different aspects of the behavioral deficits is still unknown. Here, we found that MECP2-TG mice showed a significant social recognition deficit, and were prone to display aversive-like behaviors, including heightened anxiety-like behaviors and a fear generalization phenotype. In addition, reduced locomotor activity was observed in MECP2-TG mice. However, appetitive behaviors and learning and memory were comparable in MECP2-TG and wild-type mice. Functional magnetic resonance imaging illustrated that the differences between MECP2-TG and wild-type mice were mainly concentrated in brain areas regulating emotion and social behaviors. We used the CRISPR-Cas9 method to restore normal MeCP2 levels in the medial prefrontal cortex (mPFC) and bed nuclei of the stria terminalis (BST) of adult MECP2-TG mice, and found that normalization of MeCP2 levels in the mPFC but not in the BST reversed the social recognition deficit. These data indicate that the mPFC is responsible for the social recognition deficit in the transgenic mice, and provide new insight into potential therapies for MECP2 duplication syndrome.


Assuntos
Proteína 2 de Ligação a Metil-CpG , Córtex Pré-Frontal , Reconhecimento Psicológico , Comportamento Social , Animais , Ansiedade , China , Modelos Animais de Doenças , Medo , Duplicação Gênica , Masculino , Proteína 2 de Ligação a Metil-CpG/metabolismo , Camundongos , Camundongos Transgênicos , Córtex Pré-Frontal/metabolismo
17.
Sci Total Environ ; 655: 211-219, 2019 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-30471589

RESUMO

Human urine is characterized by high concentrations of nitrogen (N), phosphorus (P) and potassium (K), of which the P and K can be recovered as K-struvite crystals. This study first investigated the formation of Na-struvite because of the high Na+ present in the urine. From the results, the optimal pH for the Na-struvite crystallization was observed to be 12, and the rise in the Na+ concentration distinctly favored the Na-struvite formation. As magnesium needed to be added to induce the K-struvite crystallization, several magnesium sources including MgCl2, Mg sacrificial electrode and Mg(OH)2 were applied to recover P and K from synthetic urine. The findings indicated that when MgCl2 was used as the magnesium source, the K removal could be slightly enhanced by prolonging the reaction time, which would correspondingly decrease the Na concentration in the precipitates; besides, the intermittent addition of MgCl2 could noticeably improve the removal efficiency of K by 6%, but simultaneously raise the Na content in the precipitates recovered. With respect to the use of the Mg sacrificial electrode, the recovery efficiencies of the P and K from synthetic urine were close to those with the use of MgCl2. However, when Mg(OH)2 was used as the magnesium source, the recovery efficiencies of P and K achieved only roughly 50%, which was much lower than those noted when MgCl2 and the Mg sacrificial electrode were employed. A comprehensive analysis revealed that the MgCl2 was the best magnesium source for the K-struvite crystallization, followed by the Mg sacrificial electrode and Mg(OH)2.


Assuntos
Cloreto de Magnésio/química , Fósforo/isolamento & purificação , Potássio/isolamento & purificação , Sódio/química , Estruvita/química , Urina/química , Cristalização , Modelos Teóricos , Águas Residuárias/química
18.
Neurosci Bull ; 34(3): 438-448, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29247318

RESUMO

Diffusion-weighted magnetic resonance imaging (dMRI) is widely used to study white and gray matter (GM) micro-organization and structural connectivity in the brain. Super-resolution track-density imaging (TDI) is an image reconstruction method for dMRI data, which is capable of providing spatial resolution beyond the acquired data, as well as novel and meaningful anatomical contrast that cannot be obtained with conventional reconstruction methods. TDI has been used to reveal anatomical features in human and animal brains. In this study, we used short track TDI (stTDI), a variation of TDI with enhanced contrast for GM structures, to reconstruct direction-encoded color maps of fixed tree shrew brain. The results were compared with those obtained with the traditional diffusion tensor imaging (DTI) method. We demonstrated that fine microstructures in the tree shrew brain, such as Baillarger bands in the primary visual cortex and the longitudinal component of the mossy fibers within the hippocampal CA3 subfield, were observable with stTDI, but not with DTI reconstructions from the same dMRI data. The possible mechanisms underlying the enhanced GM contrast are discussed.


Assuntos
Imagem de Tensor de Difusão/métodos , Hipocampo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Tupaiidae/anatomia & histologia , Córtex Visual/diagnóstico por imagem , Animais , Mapeamento Encefálico , Masculino , Vias Neurais/diagnóstico por imagem
19.
Brain Struct Funct ; 222(4): 1733-1751, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27624528

RESUMO

Tree shrews are small mammals now commonly classified in the order of Scandentia, but have relatively closer affinity to primates than rodents. The species has a high brain-to-body mass ratio and relatively well-differentiated neocortex, and thus has been frequently used in neuroscience research, especially for studies on vision and neurological/psychiatric diseases. The available atlases on tree shrew brain provided only limited information on white matter (WM) anatomy. In this study, diffusion tensor imaging (DTI) was used to study the WM anatomy of tree shrew, with the goal to establish an image-based WM atlas. DTI and T2-weighted anatomical images were acquired in vivo and from fixed brain samples. Deterministic tractography was used for three-dimensional reconstruction and rendering of major WM tracts. Myelin and neurofilaments staining were used to study the microstructural properties of certain WM tracts. Taking into account prior knowledge on tree shrew neuroanatomy, tractography results, and comparisons to the homologous structures in rodents and primates, an image-based WM atlas of tree shrew brain was constructed, which is available to research community upon request.


Assuntos
Encéfalo/anatomia & histologia , Tupaiidae/anatomia & histologia , Substância Branca/anatomia & histologia , Animais , Atlas como Assunto , Imagem de Difusão por Ressonância Magnética , Imagem de Tensor de Difusão , Masculino
20.
PLoS One ; 11(6): e0157562, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27310133

RESUMO

BACKGROUND: Ventral intermediate nucleus thalamotomy is an effective treatment for Parkinson's disease tremor. However, its mechanism is still unclear. PURPOSE: We used resting-state fMRI to investigate short-term ReHo changes after unilateral thalamotomy in tremor-dominant PD, and to speculate about its possible mechanism on tremor suppression. METHODS: 26 patients and 31 healthy subjects (HS) were recruited. Patients were divided into two groups according to right- (rPD) and left-side (lPD) thalamotomy. Tremor was assessed using the 7-item scale from the Unified Parkinson's disease rating scale motor score (mUPDRS). Patients were scanned using resting state fMRI after 12h withdrawal of medication, both preoperatively (PDpre) and 7- day postoperatively (PDpost), whereas healthy subjects were scanned once. The regions associated with tremor and altered ReHo due to thalamic ablation were examined. RESULTS: The impact of unilateral VIM thalamotomy was characterized in the frontal, parietal, temporal regions, basal ganglia, thalamus, and cerebellum. Compared with PDpre, significantly reduced ReHo was found in the left cerebellum in patients with rPDpost, and slightly decreased ReHo in the cerebellum vermis in patients with lPDpost, which was significantly higher than HS. We demonstrated a positive correlation between the ReHo values in the cerebellum (in rPD, peak coordinate [-12, -54, -21], R = 0.64, P = 0.0025, and peak coordinate [-9, -54, -18], R = 0.71, P = 0.0025; in lPD, peak coordinate [3, -45, -15], R = 0.71, P = 0.004) in the pre-surgical condition, changes of ReHo induced by thalamotomy (in rPD, R = 0.63, P = 0.021, R = 0.6, P = 0.009; in lPD, R = 0.58, P = 0.028) and tremor scores contralateral to the surgical side, respectively. CONCLUSION: The specific area that may be associated with PD tremor and altered ReHo due to thalamic ablation is the cerebellum. The neural basis underlying thalamotomy is complex; cerebellum involvement is far beyond cerebello-thalamic tract breakage.


Assuntos
Cerebelo/fisiopatologia , Lateralidade Funcional , Doença de Parkinson/fisiopatologia , Tremor/fisiopatologia , Núcleos Ventrais do Tálamo/fisiopatologia , Idoso , Gânglios da Base/diagnóstico por imagem , Gânglios da Base/patologia , Gânglios da Base/fisiopatologia , Estudos de Casos e Controles , Cerebelo/diagnóstico por imagem , Cerebelo/patologia , Feminino , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/patologia , Lobo Frontal/fisiopatologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/patologia , Lobo Parietal/fisiopatologia , Doença de Parkinson/diagnóstico por imagem , Doença de Parkinson/patologia , Doença de Parkinson/cirurgia , Desempenho Psicomotor , Projetos de Pesquisa , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/patologia , Lobo Temporal/fisiopatologia , Tremor/diagnóstico por imagem , Tremor/patologia , Tremor/cirurgia , Núcleos Ventrais do Tálamo/diagnóstico por imagem , Núcleos Ventrais do Tálamo/patologia , Núcleos Ventrais do Tálamo/cirurgia
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