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1.
BMC Neurol ; 24(1): 14, 2024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-38166838

RESUMEN

BACKGROUND: Dilated perivascular spaces (DPVS), known as one of imaging markers in cerebral small vessel disease, may be found in patients with moyamoya disease (MMD). However, little is known about DPVS in MMD. The purpose of this study was to investigate the distribution pattern of dPVS in children and adults with MMD and determine whether it is related to steno-occlusive changes of MMD. METHODS: DPVS was scored in basal ganglia (BG) and white matter (WM) on T2-weighted imaging, using a validated 4-point semi-quantitative score. The degree of dPVS was classified as high (score > 2) or low (score ≤ 2) grade. The steno-occlusive changes on MR angiography (MRA) was scored using a validated MRA grading. Asymmetry of DPVS and MRA grading was defined as a difference of 1 grade or higher between hemispheres. RESULTS: Fifty-one patients with MMD (mean age 24.9 ± 21.1 years) were included. Forty-five (88.2%) patients had high WM-DPVS grade (degree 3 or 4). BG-DPVS was found in 72.5% of all patients and all were low grade (degree 1 or 2). The distribution patterns of DPVS degree in BG (P = 1.000) and WM (P = 0.767) were not different between child and adult groups. The asymmetry of WM-DPVS (26%) and MRA grade (42%) were significantly correlated to each other (Kendall's tau-b = 0.604, P < 0.001). CONCLUSIONS: DPVS of high grade in MMD is predominantly found in WM, which was not different between children and adults. The correlation between asymmetry of WM-DPVS degree and MRA grade suggests that weak cerebral artery pulsation due to steno-occlusive changes may affect WM-DPVS in MMD.


Asunto(s)
Enfermedad de Moyamoya , Sustancia Blanca , Adulto , Niño , Humanos , Preescolar , Adolescente , Adulto Joven , Persona de Mediana Edad , Enfermedad de Moyamoya/diagnóstico por imagen , Angiografía por Resonancia Magnética , Imagen por Resonancia Magnética/métodos , Sustancia Blanca/diagnóstico por imagen
2.
Molecules ; 29(2)2024 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-38257211

RESUMEN

Suaeda glauca, a halophyte in the Amaranthaceae family, exhibits remarkable resilience to high salt and alkali stresses despite the absence of salt glands or vesicles in its leaves. While there is growing pharmacological interest in S. glauca, research on its secondary metabolites remains limited. In this study, chemical constituents of the aerial parts of S. glauca were identified using 1D- and 2D-NMR experiments, and its biological activity concerning hair loss was newly reported. Eight compounds, including alkaloids (1~3), flavonoids (4~6), and phenolics (7 and 8), were isolated. The compounds, except the flavonoids, were isolated for the first time from S. glauca. In the HPLC chromatogram, quercetin-3-O-ß-d-glucoside, kaempferol-3-O-ß-d-glucoside, and kaempferol were identified as major constituents in the extract of S. glauca. Additionally, the therapeutic potential of the extract of S. glauca and the isolated compounds 1~8 on the expressions of VEGF and IGF-1, as well as the regulation of Wnt/ß-catenin signaling, were evaluated in human follicle dermal papilla cells (HFDPCs) and human umbilical vein endothelial cells (HUVECs). Among the eight compounds, compound 4 was the most potent in terms of increasing the expression of VEGF and IGF-1 and the regulation of Wnt/ß-catenin. These findings suggest that S. glauca extract and its compounds are potential new candidates for preventing or treating hair loss.


Asunto(s)
Chenopodiaceae , Factor I del Crecimiento Similar a la Insulina , Humanos , Animales , Plantas Tolerantes a la Sal , beta Catenina , Factor A de Crecimiento Endotelial Vascular , Alopecia , Flavonoides/farmacología , Células Endoteliales de la Vena Umbilical Humana , Extractos Vegetales/farmacología
3.
BMC Neurol ; 23(1): 175, 2023 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-37118674

RESUMEN

BACKGROUND: Cerebral venous and sinus thrombosis (CVST) can cause increased intracranial pressure, often leading to papilledema. In this study, we investigated the association between papilledema and venous stasis on susceptibility weighted imaging (SWI) in CVST. METHODS: Patients with CVST between 2008 and 2020 were reviewed. Patients without fundoscopic examination or SWI were excluded in this study. Venous stasis was evaluated and scored for each cerebral hemisphere: each hemisphere was divided into 5 regions according to the venous drainage territories (superior sagittal sinus, Sylvian veins, transverse sinus and vein of Labbé, deep cerebral veins, and medullary veins) and 1 point was added if venous prominence was confirmed in one territory on SWI. The venous stasis score on SWI between cerebral hemispheres with and without papilledema was compared. RESULTS: Eight of 19 patients with CVST were excluded because of the absence of fundoscopic examination or SWI. Eleven patients (26.5 ± 2.1 years) were included in this study. Papilledema was identified in 6 patients: bilateral papilledema in 4 patients and unilateral papilledema in 2 patients. The venous stasis score on SWI was significantly higher (P = 0.013) in the hemispheres with papilledema (median, 4.0; 95% CI, 3.038-4.562) than in the hemispheres without papilledema (median, 2.5; 95% CI, 0.695-2.805). CONCLUSIONS: This study shows that higher score of venous stasis on SWI is associated with papilledema. Therefore, the venous stasis on SWI may be an imaging surrogate marker of increased intracranial pressure in patients with CVST.


Asunto(s)
Venas Cerebrales , Hipertensión Intracraneal , Papiledema , Trombosis de los Senos Intracraneales , Humanos , Venas Cerebrales/diagnóstico por imagen , Papiledema/diagnóstico por imagen , Papiledema/etiología , Trombosis de los Senos Intracraneales/complicaciones , Trombosis de los Senos Intracraneales/diagnóstico por imagen , Imagen por Resonancia Magnética , Hipertensión Intracraneal/complicaciones
4.
Neuroimage ; 220: 117106, 2020 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-32615253

RESUMEN

There is an urgent need for better detection and understanding of vascular abnormalities at the micro-level, where critical vascular nourishment and cellular metabolic changes occur. This is especially the case for structures such as the midbrain where both the feeding and draining vessels are quite small. Being able to monitor and diagnose vascular changes earlier will aid in better understanding the etiology of the disease and in the development of therapeutics. In this work, thirteen healthy volunteers were scanned with a dual echo susceptibility weighted imaging (SWI) sequence, with a resolution of 0.22 â€‹× â€‹0.44 â€‹× â€‹1 â€‹mm3 at 3T. Ultra-small superparamagnetic iron oxides (USPIO) were used to induce an increase in susceptibility in both arteries and veins. Although the increased vascular susceptibility enhances the visibility of small subvoxel vessels, the accompanying strong signal loss of the large vessels deteriorates the local tissue contrast. To overcome this problem, the SWI data were acquired at different time points during a gradual administration (final concentration â€‹= â€‹4 â€‹mg/kg) of the USPIO agent, Ferumoxytol, and the data was processed to combine the SWI data dynamically, in order to see through these blooming artifacts. The major vessels and their tributaries (such as the collicular artery, peduncular artery, peduncular vein and the lateral mesencephalic vein) were identified on the combined SWI data using arterio-venous maps. Dynamically combined SWI data was then compared with previous histological work to validate that this protocol was able to detect small vessels on the order of 50 â€‹µm-100 â€‹µm. A complex division-based phase unwrapping was also employed to improve the quality of quantitative susceptibility maps by reducing the artifacts due to aliased voxels at the vessel boundaries. The smallest detectable vessel size was then evaluated by revisiting numerical simulations, using estimated true susceptibilities for the basal vein and the posterior cerebral artery in the presence of Ferumoxytol. These simulations suggest that vessels as small as 50 â€‹µm should be visible with the maximum dose of 4 â€‹mg/kg.


Asunto(s)
Arterias/diagnóstico por imagen , Angiografía por Resonancia Magnética/métodos , Imagen por Resonancia Magnética/métodos , Mesencéfalo/diagnóstico por imagen , Venas/diagnóstico por imagen , Adulto , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Mesencéfalo/irrigación sanguínea , Persona de Mediana Edad , Adulto Joven
5.
Sensors (Basel) ; 20(18)2020 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-32957672

RESUMEN

We present two algorithms for aligning two colored point clouds. The two algorithms are designed to minimize a probabilistic cost based on the color-supported soft matching of points in a point cloud to their K-closest points in the other point cloud. The first algorithm, like prior iterative closest point algorithms, refines the pose parameters to minimize the cost. Assuming that the point clouds are obtained from RGB-depth images, our second algorithm regards the measured depth values as variables and minimizes the cost to obtain refined depth values. Experiments with our synthetic dataset show that our pose refinement algorithm gives better results compared to the existing algorithms. Our depth refinement algorithm is shown to achieve more accurate alignments from the outputs of the pose refinement step. Our algorithms are applied to a real-world dataset, providing accurate and visually improved results.

6.
J Nanosci Nanotechnol ; 19(2): 1114-1117, 2019 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-30360212

RESUMEN

In this study, functional elements coatings on Ti-6Al-4V alloy by plasma electrolytic oxidation for biomaterials were studied using various experimental techniques. For this study, Ti-6Al-4V ELI disk (grade 5, Timet Co. Ltd., Japan diameter; 10 mm) were used as the substrate for PEO treatment in the electrolyte containing Ca, P, Si, Zn, and Mn ions. The PEO treatment was performed using a pulsed DC power supply at 280 V for 3 min. The PEO-treated surface was observed with field-emission scanning electron microscope (FE-SEM), and energy dispersive X-ray spectrometry (EDS; Oxford ISIS 310, England), Image Analyzer software, and X-ray diffractometer (TF-XRD, X'pert Philips, Netherlands). The number of pores increases, as the Zn ion content increases. And the number of pores decrease, as the Mn ion content increases. The addition of Zn and Mn ions affects the number and size of pores and the area occupied by the pores. Mn and Zn are distributed around pores and in the pores. Anatase and rutile peaks appear and the HA peak shifted to the left in the case of Mn and Zn ion additions.


Asunto(s)
Materiales Biocompatibles , Titanio , Aleaciones , Ensayo de Materiales , Oxidación-Reducción , Espectrometría por Rayos X
7.
Neurol Sci ; 39(2): 243-249, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29086124

RESUMEN

The main features of stroke-induced immunosuppression are lymphopenia and deactivation of monocytes in peripheral blood. We hypothesized that lymphocyte-to-monocyte ratio (LMR) in peripheral blood may represent the degree of stroke-induced immunosuppression. To prove this hypothesis, we evaluated whether LMR is associated with risk of post-stroke infection and clinical outcome at 3 months in patients with acute ischemic stroke. We selected patients with stroke in anterior circulation within 24 h from onset. Peripheral blood sampling for differential blood count was performed on days 1 and 7. The LMRs on days 1 and 7 were analyzed to determine associations with excellent outcomes (modified Rankin Scale of score 0-1 at 3 months). One hundred and two patients were included. The initial National Institutes of Health Stroke Scale score (adjusted odd ratio [OR] 0.89; 95% confidence interval [CI], 0.83-0.95; P = 0.001) and LMR on day 7 (adjusted OR 1.49; 95% CI, 1.09-2.02; P = 0.011) were associated with excellent outcomes. LMRs on day 1 were significantly lower in stroke patients with pneumonia (P = 0.007) and pneumonia or urinary tract infection (P = 0.012) than those without infections. LMRs on day 7 were also significantly lower in stroke patients with infection (P = 0.005 in pneumonia, P = 0.003 in urinary tract infection, and P < 0.001 in pneumonia or urinary tract infection) than those without infections. Lower LMRs on day 7 are associated with worse outcomes at 3 months after stroke onset. LMR may be a useful marker for assessing the stroke-induced immunosuppression.


Asunto(s)
Linfocitos/patología , Monocitos/patología , Accidente Cerebrovascular/patología , Anciano , Anciano de 80 o más Años , Isquemia Encefálica/complicaciones , Femenino , Humanos , Recuento de Linfocitos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Estadísticas no Paramétricas , Accidente Cerebrovascular/etiología , Factores de Tiempo
8.
Molecules ; 23(2)2018 Feb 18.
Artículo en Inglés | MEDLINE | ID: mdl-29463008

RESUMEN

The interfacial electronic structures of a bilayer of fullerene (C60) and zinc phthalocyanine (ZnPc) grown on vanadium pentoxide (V2O5) thin films deposited using radio frequency sputtering under various conditions were studied using X-ray and ultraviolet photoelectron spectroscopy. The energy difference between the highest occupied molecular orbital (HOMO) level of the ZnPc layer and the lowest unoccupied molecular orbital (LUMO) level of the C60 layer was determined and compared with that grown on an indium tin oxide (ITO) substrate. The energy difference of a heterojunction on all V2O5 was found to be 1.3~1.4 eV, while that on ITO was 1.1 eV. This difference could be due to the higher binding energy of the HOMO of ZnPc on V2O5 than that on ITO regardless of work functions of the substrates. We also determined the complete energy level diagrams of C60/ZnPc on V2O5 and ITO.


Asunto(s)
Fulerenos/química , Indoles/química , Compuestos Organometálicos/química , Compuestos de Vanadio/química , Isoindoles , Espectroscopía de Fotoelectrones , Especificidad por Sustrato , Compuestos de Estaño/química , Compuestos de Zinc
9.
Stroke ; 48(3): 556-562, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28100765

RESUMEN

BACKGROUND AND PURPOSE: The aim of this study was to determine the prevalence of stroke and efficacy of bedside evaluation in diagnosing stroke in acute transient vestibular syndrome (ATVS). METHODS: We performed a prospective, single-center, observational study that had consecutively recruited 86 patients presenting with ATVS to the emergency department of Pusan National University Yangsan Hospital from January to December 2014. All patients received a constructed evaluation, including HINTS plus (head impulse, nystagmus patterns, test of skew, and finger rubbing) and brain magnetic resonance imagings. Patients without an obvious cause further received perfusion-weighted imaging. Multivariable logistic regression was used to determine clinical parameters to identify stroke in ATVS. RESULTS: The prevalence of stroke was 27% in ATVS. HINTS plus could not be applied to the majority of patients because of the resolution of the vestibular symptoms, and magnetic resonance imagings were falsely negative in 43% of confirmed strokes. Ten patients (12%) showed unilateral cerebellar hypoperfusion on perfusion-weighted imaging without an infarction on diffusion-weighted imaging, and 8 of them had a focal stenosis or hypoplasia of the corresponding vertebral artery. The higher risk of stroke in ATVS was found in association with craniocervical pain (odds ratio, 9.6; 95% confidence interval, 2.0-45.2) and focal neurological symptoms/signs (odds ratio, 15.2; 95% confidence interval, 2.5-93.8). CONCLUSIONS: Bedside examination and routine magnetic resonance imagings have a limitation in diagnosing strokes presenting with ATVS, and perfusion imaging may help to identify strokes in ATVS of unknown cause. Associated craniocervical pain and focal neurological symptoms/signs are the useful clues for strokes in ATVS.


Asunto(s)
Mareo/diagnóstico , Servicio de Urgencia en Hospital/estadística & datos numéricos , Imagen por Resonancia Magnética/métodos , Pruebas en el Punto de Atención , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Mareo/diagnóstico por imagen , Mareo/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Estudios Prospectivos , República de Corea/epidemiología , Accidente Cerebrovascular/diagnóstico por imagen , Síndrome , Adulto Joven
10.
J Stroke Cerebrovasc Dis ; 26(1): e14-e17, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27789150

RESUMEN

Contrast leakage on non-enhanced brain computed tomography (CT) is a common phenomenon after diagnostic or interventional cerebral angiography in patients with acute ischemic stroke. Contrast leakage is known to be related to the loosening of the blood-brain barrier. Sometimes, the contrast leakage on non-enhanced brain CT has been mistaken for intracranial hemorrhage. Differentiating the contrast leakage from the intracranial hemorrhage on non-enhanced brain CT is a very important issue, because subsequent treatment after intravenous thrombolysis (IVT) or intra-arterial thrombolysis would depend on the result of brain CT after thrombolysis. Recently, we experienced a case of contrast leakage mimicking intraventricular hemorrhage in a patient with IVT. The contrast leakage into the lateral ventricles after IVT is not a common phenomenon. We describe here our case.


Asunto(s)
Medios de Contraste/efectos adversos , Fibrinolíticos/administración & dosificación , Hemorragias Intracraneales/fisiopatología , Activador de Tejido Plasminógeno/administración & dosificación , Administración Intravenosa , Anciano , Humanos , Hipertensión/complicaciones , Ventrículos Laterales/diagnóstico por imagen , Angiografía por Resonancia Magnética , Masculino , Paresia/diagnóstico por imagen , Paresia/tratamiento farmacológico , Paresia/etiología
11.
J Neuroradiol ; 44(5): 308-312, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28579039

RESUMEN

BACKGROUND AND PURPOSE: Multiple hypointense vessels (MHV) on susceptibility-weighted imaging (SWI) is associated with an increased oxygen demand in acute cerebral ischemia. Occasionally, some patients exhibit extensive MHV on SWI despite of negative diffusion-weighted imaging (DWI), which is a phenomenon called total mismatch DWI-SWI. We analyzed the clinical characteristics and imaging findings in patients with the total DWI-SWI mismatch. MATERIALS AND METHODS: We selected patients with total DWI-SWI mismatch who underwent MRI within 12hours from onset. To evaluate the degree of collateral flow, we graded vessels on post-contrast time-of-flight MR angiography as 3 groups. Perfusion lesion volume was measured using threshold of>6seconds of mean transit time on perfusion-weighted imaging. RESULTS: Total DWI-SWI mismatch was found in 10 (2.7%) out of 370 patients. Four out of 10 patients were excluded due to lack of data on perfusion studies. Hence 6 patients were finally selected in the study. Two patients with internal carotid artery dissection were treated with emergent stenting, one patient with intravenous thrombolysis and mechanical thrombectomy, and two patients with drug-induced hypertension. All of the enrolled patients exhibited extensive MHV on SWI and good collateral flows. The mean perfusion lesion volume was 72.6±15.3ml (range 0-325.0ml). Clinical outcome was favorable in all of the patients (mRS at 3 months, 0). CONCLUSIONS: Our results demonstrate that total mismatch of DWI-SWI is associated with good collateral flow and may be a predictor of good response to treatment in patients with acute cerebral ischemia.


Asunto(s)
Isquemia Encefálica/diagnóstico por imagen , Imagen de Difusión por Resonancia Magnética/métodos , Angiografía por Resonancia Magnética/métodos , Enfermedad Aguda , Adulto , Anciano , Isquemia Encefálica/terapia , Circulación Colateral , Medios de Contraste , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del Tratamiento
12.
Ann Neurol ; 77(4): 726-33, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25627980

RESUMEN

We prospectively recruited 10 patients who presented with urinary retention as a neurological deficit that was attributable to lateral medullary infarction. Of these, 9 patients underwent a urodynamic study, which demonstrated detrusor underactivity of the bladder in 7 patients. Urinary retention developed mainly when the lesions involved the lateral tegmentum of the middle or caudal medulla. We concluded that interruption of the descending pathway from the pontine micturition center to the sacral spinal cord in the lateral medulla was responsible for the development of urinary retention.


Asunto(s)
Isquemia Encefálica/diagnóstico , Bulbo Raquídeo/patología , Tractos Piramidales/anatomía & histología , Accidente Cerebrovascular/diagnóstico , Retención Urinaria/diagnóstico , Anciano , Isquemia Encefálica/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Accidente Cerebrovascular/complicaciones , Retención Urinaria/etiología
13.
Knee Surg Sports Traumatol Arthrosc ; 24(12): 3820-3827, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26194117

RESUMEN

PURPOSE: The purpose of this study was to document the distribution of the articular branch of the lateral pectoral nerve (LPN) to the shoulder and to identify a suitable point for its blockade. METHODS: This study involved the dissection of 43 shoulders of 22 unembalmed cadavers (6 male and 16 female) to identify the LPN and its articular branch to the shoulder. To identify the suitable anatomical point for blocking the articular branch of the LPN, several anatomical landmarks around the shoulder were measured. RESULTS: The articular branch of the LPN to the shoulder was present in 29 of 43 cases (67.4 %). The appropriate point to block the articular branch of the LPN was identified at a mean distance of 1.5 cm below the clavicle, on the line connecting the closest points between the clavicle and the coracoid process, and at a mean depth of 1.0 cm from the skin. CONCLUSION: The articular branch of the LPN to the shoulder, as well as the muscular and cutaneous branches of the LPN, covers a portion of the shoulder joint with suprascapular and axillary nerves. Surgeons might consider a peripheral block of the suprascapular, axillary, and LPNs to provide maximum block coverage after shoulder joint surgery.


Asunto(s)
Plexo Braquial/anatomía & histología , Articulación del Hombro/anatomía & histología , Anciano , Anciano de 80 o más Años , Axila , Cadáver , Clavícula/anatomía & histología , Apófisis Coracoides/anatomía & histología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Bloqueo Nervioso , Hombro/inervación , Articulación del Hombro/inervación , Piel , Cirujanos
14.
J Stroke Cerebrovasc Dis ; 24(9): e283-6, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26194847

RESUMEN

BACKGROUND: Monocular blindness may appear as the first symptom of internal carotid artery dissection (ICAD). However, there have been no reports that monocular visual loss repeatedly occurs and disappears in response to postural change in ICAD. METHODS: A 33-year-old woman presented with transient monocular blindness (TMB) following acute-onset headache. TMB repeatedly occurred in response to postural change. Two days later, she experienced transient dysarthria and right hemiparesis in upright position. Pupil size and light reflex were normal, but a relative afferent pupillary defect was positive in the left eye. Diffusion-weighted imaging showed no acute lesion, but perfusion-weighted imaging showed perfusion delay in the left ICA territory. Digital subtraction angiography demonstrated a false lumen and an intraluminal filling defect in proximal segment of the left ICA. RESULTS: Carotid stenting was performed urgently. After carotid stenting, left relative afferent pupillary defect disappeared and TMB was not provoked anymore by upright posture. At discharge, left visual acuity was completely normalized. CONCLUSIONS: Because fluctuating visual symptoms in the ICAD may be associated with hemodynamically unstable status, assessment of the perfusion status should be done quickly. Carotid stenting may be helpful to improve the fluctuating visual symptoms and hemodynamically unstable status in selected patient with the ICAD.


Asunto(s)
Ceguera/etiología , Disección de la Arteria Carótida Interna/complicaciones , Disección de la Arteria Carótida Interna/cirugía , Procedimientos Endovasculares/métodos , Recuperación de la Función/fisiología , Adulto , Angiografía de Substracción Digital , Imagen de Difusión por Resonancia Magnética , Femenino , Humanos
15.
J Stroke Cerebrovasc Dis ; 24(6): 1229-34, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25906931

RESUMEN

BACKGROUND: Susceptibility vessel sign (SVS) on susceptibility-weighted imaging (SWI) has a high sensitivity and specificity to detect the intra-arterial thrombus in anterior circulation stroke. However, SVS has not been evaluated in posterior circulation stroke. METHODS: We reviewed the data from patients with acute posterior cerebral artery (PCA) infarction within 24 hours from stroke onset. To elucidate the usefulness of SVS for the detection of intraluminal thrombus in acute PCA infarction, the frequency and location of SVS were compared with those of occlusion on magnetic resonance angiography (MRA) and hyperdense PCA sign on computed tomography (CT). RESULTS: Twenty-five patients with acute PCA infarction were enrolled in the study. The SVS was found in 92% (23 of 25). MRA showed occlusions in 64% (16 of 25). The SVS was identified in 100% (16 of 16) of patients with occlusion on MRA. Patients without occlusion on MRA also showed the SVS in 78% (7 of 9; P = .0233). The positive SVS without occlusion on MRA was mainly identified in patients with occlusion of distal branches of PCA; P3 segment in 4 and P4 segment in 3. However, the hyperdense PCA sign on CT showed in only 8% (2 of 25) of all patients; its sensitivity was significantly lower than those of the SVS on SWI (P < .001). CONCLUSIONS: SWI is more sensitive than MRA for the detection of intraluminal thrombus, especially peripheral one, in patients with acute ischemic stroke of the PCA territory. In addition, irrespective of thrombus location, SWI is significantly superior to CT in detecting thrombus in acute PCA infarction.


Asunto(s)
Infarto de la Arteria Cerebral Posterior/diagnóstico , Trombosis Intracraneal/diagnóstico , Accidente Cerebrovascular/diagnóstico , Anciano , Anciano de 80 o más Años , Ecocardiografía Transesofágica , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Sensibilidad y Especificidad , Tomografía Computarizada por Rayos X
16.
Cerebrovasc Dis ; 38(4): 254-61, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25401484

RESUMEN

BACKGROUND: Multiple hypointense vessels (MHV) on susceptibility-weighted imaging (SWI) are frequently observed in patients with acute cerebral ischemia, but their implication has not been clearly established. To elucidate the clinical significance of MHV on SWI, we investigated the association of MHV on SWI with clinical data and other MR markers in patients with acute ischemic stroke. METHODS: We enrolled acute stroke patients with internal carotid or proximal middle cerebral artery occlusion who underwent MRI including SWI within 3 days from stroke onset. Baseline clinical data were reviewed. Stroke severity was measured by the National Institutes of Health Stroke Scale (NIHSS). We graded the degree of MHV on SWI as four groups of none, subtle, relative, or extensive by the modified Alberta Stroke Program Early CT Scan (ASPECTS) system. To evaluate the degree of collateral flow, distal hyperintense vessels (DHV) on FLAIR and vessels on post-contrast time-of-flight MR angiography (TOF MRA) source images were graded respectively as 3 groups: none/subtle/prominent and poor/moderate/good. Diffusion and perfusion lesion volume and diffusion-perfusion mismatch (DPM) ratio were measured in all patients. We analyzed the association of the degree of MHV on SWI with clinical data and MR markers. RESULTS: Eighty patients were included in the study. The mean MR time from stroke onset was 12.4 h (range 0.5-63.0). There is no difference in MR time from stroke onset between groups of MHV on SWI. MHV were observed in 68 (85%) of 80 patients: none in 12, subtle in 11, relative in 13, and extensive in 44. There were no statistically significant associations between MHV on SWI and vascular risk factors. Patients with more extensive MHV on SWI had a smaller diffusion volume (p < 0.001), larger DPM (p < 0.001), and lower initial NIHSS scores (p = 0.022). Prominent DHV was presented in 29 of 44 patients with extensive MHV (p < 0.001). Good collateral flow on TOF MRA source images was presented in 37 of 44 patients with extensive MHV (p < 0.001). CONCLUSIONS: More extensive MHV on SWI in acute ischemic stroke is associated with lower initial NIHSS scores, smaller diffusion lesion volume, better collateral flow, and larger DPM. Our results show the possibility that MHV on SWI may be a useful surrogate marker for predicting increased oxygen extraction fraction and diffusion-perfusion mismatch in acute ischemic hemisphere.


Asunto(s)
Isquemia Encefálica/diagnóstico , Arterias Cerebrales/metabolismo , Arterias Cerebrales/fisiopatología , Circulación Cerebrovascular , Circulación Colateral , Imagen de Difusión por Resonancia Magnética , Infarto de la Arteria Cerebral Media/diagnóstico , Angiografía por Resonancia Magnética , Consumo de Oxígeno , Imagen de Perfusión/métodos , Anciano , Anciano de 80 o más Años , Isquemia Encefálica/metabolismo , Isquemia Encefálica/fisiopatología , Evaluación de la Discapacidad , Femenino , Humanos , Infarto de la Arteria Cerebral Media/metabolismo , Infarto de la Arteria Cerebral Media/fisiopatología , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Pronóstico , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Factores de Tiempo
17.
J Stroke Cerebrovasc Dis ; 23(7): 1865-70, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24809669

RESUMEN

BACKGROUND: Spontaneous isolated posterior inferior cerebellar artery dissection (PICAD) is a very rare cause of ischemic stroke. Clinical and radiologic features of ischemic type of isolated spontaneous PICAD are not well established. METHODS: We consecutively enrolled patients who had spontaneous isolated PICAD confirmed by digital subtraction cerebral angiography. Clinical manifestation, magnetic resonance imaging (MRI), and angiography were analyzed. RESULTS: Seven patients were diagnosed as ischemic type of spontaneous isolated PICAD. Patients experienced an occipital headache, followed by vertigo, postural imbalance, or Wallenberg syndrome. Six showed medullar, unilateral, or bilateral cerebellar infarctions on diffusion-weighted imaging (DWI). One presented with transient cerebellar ischemia and negative on DWI. T1-weighted imaging showed high signal intensity in posterior inferior cerebellar artery in only 1 patient. Susceptibility-weighted imaging (SWI) revealed hypointense signal with blooming effect in posterior inferior cerebellar artery in 5 patients. The modified Rankin Scale score at 3 months was 0 or 1 in all patients. CONCLUSIONS: Clinical manifestations in ischemic type of spontaneous isolated PICAD were similar to those of intracranial vertebral artery dissection. Clinical course was relatively stable and benign. SWI was more helpful to suspect abnormality of posterior inferior cerebellar artery than conventional MRI or magnetic resonance angiography in our small series. Cerebral angiography is recommended in patients with clinically suspected spontaneous isolated PICAD for definite diagnosis.


Asunto(s)
Isquemia Encefálica/etiología , Enfermedades Cerebelosas/complicaciones , Enfermedades Arteriales Intracraneales/complicaciones , Accidente Cerebrovascular/etiología , Adulto , Angiografía de Substracción Digital , Isquemia Encefálica/diagnóstico , Enfermedades Cerebelosas/diagnóstico , Femenino , Humanos , Enfermedades Arteriales Intracraneales/diagnóstico , Masculino , Persona de Mediana Edad , Inhibidores de Agregación Plaquetaria/uso terapéutico , Factores de Riesgo , Hemorragia Subaracnoidea/complicaciones , Resultado del Tratamiento , Disección de la Arteria Vertebral/complicaciones
18.
Mater Horiz ; 11(2): 566-577, 2024 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-37987204

RESUMEN

In principle, hybrid energy storages can utilize the advantages of capacitor-type cathodes and battery-type anodes, but their cathode and anode materials still cannot realize a high energy density, fast rechargeable capability, and long-cycle stability. Herein, we report a strategy to synthesize cathode and anode materials as a solution to overcome this challenge. Firstly, 3D nitrogen-doped hierarchical porous graphitic carbon (NHPGC) frameworks were synthesized as cathode materials using Co-Zn mixed metal-organic frameworks (MOFs). A high capacity is achieved due to the abundant nitrogen and micropores produced by the MOF nanocages and evaporation of Zn. Also, fast ion/electron transport channels were derived through the Co-catalyzed hierarchical porosity control and graphitization. Moreover, tin oxide precursors were introduced in NHPGC to form the SnO2@NHPGC anode. Operando X-ray diffraction revealed that the rescaled subnanoparticles as anodic units facilitated the high capacity during ion insertion-induced rescaling. Besides, the Sn-N bonds endowed the anode with a cycling stability. Furthermore, the NHPGC cathode and SnO2@NHPGC achieved an ultrahigh energy density (up to 244.5 W h kg-1 for Li and 146.1 W h kg-1 for Na), fast rechargeable capability (up to 93C-rate for Li and 147C-rate for Na) as exhibited by photovoltaic recharge within a minute and a long-cycle stability with ∼100% coulombic efficiency over 10 000 cycles.

19.
Phys Rev Lett ; 110(24): 247201, 2013 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-25165955

RESUMEN

We report the effective methods to induce weak ferromagnetism in pristine MoS2 persisting up to room temperature with the improved transport property, which would lead to new spintronics devices. The hydrogenation of MoS2 by heating at 300 °C for 1 h leads to the easy axis out of plane, while the irradiation of proton with a dose of 1 × 10(13) P/cm(2) leads to the easy axis in plane. The theoretical modeling supports such magnetic easy axes.

20.
Microsc Microanal ; 19 Suppl 5: 194-7, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23920204

RESUMEN

The "LEXT" confocal laser scanning microscope has been used for the three-dimensional (3D) imaging of the surface of specimens, especially in materials science fields, by the penetration of near-infrared (NIR) light without mechanical cutting, deposition, or other specimen pretreatment. Noninvasive investigation of various biological tissues such as human spinal dura mater, rat aorta, and cornea without the dehydration process was successfully carried out with the "LEXT," in order to access both surface and internal topographic images of the biological structures at a good status of the wet tissue such as in vivo, especially in measuring tissue thickness. The confocal NIR laser microscopy offers the viable means to visualize tissue architecture and its thickness in microdomain to integrate 3D images efficiently. We believe that the "LEXT" has a good application for biological researchers to study biomaterials, and it would be useful as a diagnostic tool in the near future.


Asunto(s)
Aorta/anatomía & histología , Córnea/anatomía & histología , Duramadre/anatomía & histología , Imagenología Tridimensional/métodos , Microscopía Confocal/métodos , Tomografía/métodos , Animales , Humanos , Ratas , Propiedades de Superficie
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