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1.
AJNR Am J Neuroradiol ; 40(11): 1842-1849, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31694821

RESUMEN

BACKGROUND AND PURPOSE: Imaging CBF is important for managing pediatric moyamoya. Traditional arterial spin-labeling MR imaging detects delayed transit thorough diseased arteries but is inaccurate for measuring perfusion because of these delays. Velocity-selective arterial spin-labeling is insensitive to transit delay and well-suited for imaging Moyamoya perfusion. This study assesses the accuracy of a combined velocity-selective arterial spin-labeling and traditional pulsed arterial spin-labeling CBF approach in pediatric moyamoya, with comparison to blood flow patterns on conventional angiography. MATERIALS AND METHODS: Twenty-two neurologically stable pediatric patients with moyamoya and 5 asymptomatic siblings without frank moyamoya were imaged with velocity-selective arterial spin-labeling, pulsed arterial spin-labeling, and DSA (patients). Qualitative comparison was performed, followed by a systematic comparison using ASPECTS-based scoring. Quantitative pulsed arterial spin-labeling CBF and velocity-selective arterial spin-labeling CBF for the middle cerebral artery, anterior cerebral artery, and posterior cerebral artery territories were also compared. RESULTS: Qualitatively, velocity-selective arterial spin-labeling perfusion maps reflect the DSA parenchymal phase, regardless of postinjection timing. Conversely, pulsed arterial spin-labeling maps reflect the DSA appearance at postinjection times closer to the arterial spin-labeling postlabeling delay, regardless of vascular phase. ASPECTS comparison showed excellent agreement (88%, κ = 0.77, P < .001) between arterial spin-labeling and DSA, suggesting velocity-selective arterial spin-labeling and pulsed arterial spin-labeling capture key perfusion and transit delay information, respectively. CBF coefficient of variation, a marker of perfusion variability, was similar for velocity-selective arterial spin-labeling in patient regions of delayed-but-preserved perfusion compared to healthy asymptomatic sibling regions (coefficient of variation = 0.30 versus 0.26, respectively, Δcoefficient of variation = 0.04), but it was significantly different for pulsed arterial spin-labeling (coefficient of variation = 0.64 versus 0.34, Δcoefficient of variation = 0.30, P < .001). CONCLUSIONS: Velocity-selective arterial spin-labeling offers a powerful approach to image perfusion in pediatric moyamoya due to transit delay insensitivity. Coupled with pulsed arterial spin-labeling for transit delay information, a volumetric MR imaging approach capturing key DSA information is introduced.


Asunto(s)
Angiografía Cerebral/métodos , Circulación Cerebrovascular/fisiología , Enfermedad de Moyamoya/diagnóstico por imagen , Neuroimagen/métodos , Imagen de Perfusión/métodos , Adolescente , Niño , Preescolar , Femenino , Humanos , Angiografía por Resonancia Magnética , Masculino , Arteria Cerebral Media/diagnóstico por imagen , Enfermedad de Moyamoya/fisiopatología , Intensificación de Imagen Radiográfica , Marcadores de Spin , Técnica de Sustracción
2.
Magn Reson Med ; 66(6): 1550-62, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21674615

RESUMEN

While oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO(2)) are fundamental parameters of brain health and function, a robust MRI-based mapping of OEF and CMRO(2) amenable to functional MRI (fMRI) has not been established. To address this issue, a novel method called QUantitative Imaging of eXtraction of Oxygen and TIssue Consumption, or QUIXOTIC, is introduced. The key innovation in QUIXOTIC is the use of velocity-selective spin labeling to isolate MR signal exclusively from postcapillary venular blood on a voxel-by-voxel basis. Measuring the T(2) of this venular-targeted blood allows calibration to venular oxygen saturation (Y(v)) via theoretical and experimental T(2) versus blood oxygen saturation relationships. Y(v) is converted to OEF, and baseline CMRO(2) is subsequently estimated from OEF and additional cerebral blood flow and hematocrit measurements. Theory behind the QUIXOTIC technique is presented, and implications of cutoff velocity (V(CUTOFF)) and outflow time parameters are discussed. Cortical gray matter values obtained with QUIXOTIC in 10 healthy volunteers are Y(v) = 0.73 ± 0.02, OEF = 0.26 ± 0.02, and CMRO(2) = 125 ± 15 µmol/100 g min. Results are compared to global measures obtained with the T(2) relaxation under spin tagging (TRUST) technique. The preliminary data presented suggest that QUIXOTIC will be useful for mapping Y(v), OEF, and CMRO(2), in both clinical and functional MRI settings.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/fisiología , Imagen por Resonancia Magnética/métodos , Oximetría/métodos , Consumo de Oxígeno/fisiología , Oxígeno/metabolismo , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Marcadores de Spin
3.
J Magn Magn Mater ; 322(17): 2607-2617, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20625540

RESUMEN

In the presence of alternating-sinusoidal or rotating magnetic fields, magnetic nanoparticles will act to realign their magnetic moment with the applied magnetic field. The realignment is characterized by the nanoparticle's time constant, τ. As the magnetic field frequency is increased, the nanoparticle's magnetic moment lags the applied magnetic field at a constant angle for a given frequency, Ω, in rad/s. Associated with this misalignment is a power dissipation that increases the bulk magnetic fluid's temperature which has been utilized as a method of magnetic nanoparticle hyperthermia, particularly suited for cancer in low-perfusion tissue (e.g., breast) where temperature increases of between 4°C and 7°C above the ambient in vivo temperature cause tumor hyperthermia. This work examines the rise in the magnetic fluid's temperature in the MRI environment which is characterized by a large DC field, B(0). Theoretical analysis and simulation is used to predict the effect of both alternating-sinusoidal and rotating magnetic fields transverse to B(0). Results are presented for the expected temperature increase in small tumors (~1 cm radius) over an appropriate range of magnetic fluid concentrations (0.002 to 0.01 solid volume fraction) and nanoparticle radii (1 to 10 nm). The results indicate that significant heating can take place, even in low-field MRI systems where magnetic fluid saturation is not significant, with careful The goal of this work is to examine, by means of analysis and simulation, the concept of interactive fluid magnetization using the dynamic behavior of superparamagnetic iron oxide nanoparticle suspensions in the MRI environment. In addition to the usual magnetic fields associated with MRI, a rotating magnetic field is applied transverse to the main B(0) field of the MRI. Additional or modified magnetic fields have been previously proposed for hyperthermia and targeted drug delivery within MRI. Analytical predictions and numerical simulations of the transverse rotating magnetic field in the presence of B(0) are investigated to demonstrate the effect of Ω, the rotating field frequency, and the magnetic field amplitude on the fluid suspension magnetization. The transverse magnetization due to the rotating transverse field shows strong dependence on the characteristic time constant of the fluid suspension, τ. The analysis shows that as the rotating field frequency increases so that Ωτ approaches unity, the transverse fluid magnetization vector is significantly non-aligned with the applied rotating field and the magnetization's magnitude is a strong function of the field frequency. In this frequency range, the fluid's transverse magnetization is controlled by the applied field which is determined by the operator. The phenomenon, which is due to the physical rotation of the magnetic nanoparticles in the suspension, is demonstrated analytically when the nanoparticles are present in high concentrations (1 to 3% solid volume fractions) more typical of hyperthermia rather than in clinical imaging applications, and in low MRI field strengths (such as open MRI systems), where the magnetic nanoparticles are not magnetically saturated. The effect of imposed Poiseuille flow in a planar channel geometry and changing nanoparticle concentration is examined. The work represents the first known attempt to analyze the dynamic behavior of magnetic nanoparticles in the MRI environment including the effects of the magnetic nanoparticle spin-velocity. It is shown that the magnitude of the transverse magnetization is a strong function of the rotating transverse field frequency. Interactive fluid magnetization effects are predicted due to non-uniform fluid magnetization in planar Poiseuille flow with high nanoparticle concentrations.

4.
J Magn Magn Mater ; 322(6): 727-733, 2010 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-20161608

RESUMEN

In the presence of alternating-sinusoidal or rotating magnetic fields, magnetic nanoparticles will act to realign their magnetic moment with the applied magnetic field. The realignment is characterized by the nanoparticle's time constant, τ. As the magnetic field frequency is increased, the nanoparticle's magnetic moment lags the applied magnetic field at a constant angle for a given frequency, Ω, in rad/s. Associated with this misalignment is a power dissipation that increases the bulk magnetic fluid's temperature which has been utilized as a method of magnetic nanoparticle hyperthermia, particularly suited for cancer in low-perfusion tissue (e.g., breast) where temperature increases of between 4°C and 7°C above the ambient in vivo temperature cause tumor hyperthermia. This work examines the rise in the magnetic fluid's temperature in the MRI environment which is characterized by a large DC field, B(0). Theoretical analysis and simulation is used to predict the effect of both alternating-sinusoidal and rotating magnetic fields transverse to B(0). Results are presented for the expected temperature increase in small tumors (~1 cm radius) over an appropriate range of magnetic fluid concentrations (0.002 to 0.01 solid volume fraction) and nanoparticle radii (1 to 10 nm). The results indicate that significant heating can take place, even in low-field MRI systems where magnetic fluid saturation is not significant, with careful selection of the rotating or sinusoidal field parameters (field frequency and amplitude). The work indicates that it may be feasible to combine low-field MRI with a magnetic hyperthermia system using superparamagnetic iron oxide nanoparticles.

5.
Magn Reson Med ; 61(2): 493-500, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19161170

RESUMEN

Chemical shift imaging benefits from signal-to-noise ratio (SNR) and chemical shift dispersion increases at stronger main field such as 7 Tesla, but the associated shorter radiofrequency (RF) wavelengths encountered require B1+ mitigation over both the spatial field of view (FOV) and a specified spectral bandwidth. The bandwidth constraint presents a challenge for previously proposed spatially tailored B1+ mitigation methods, which are based on a type of echovolumnar trajectory referred to as "spokes" or "fast-kz". Although such pulses, in conjunction with parallel excitation methodology, can efficiently mitigate large B1+ inhomogeneities and achieve relatively short pulse durations with slice-selective excitations, they exhibit a narrow-band off-resonance response and may not be suitable for applications that require B1+ mitigation over a large spectral bandwidth. This work outlines a design method for a general parallel spectral-spatial excitation that achieves a target-error minimization simultaneously over a bandwidth of frequencies and a specified spatial-domain. The technique is demonstrated for slab-selective excitation with in-plane B1+ mitigation over a 600-Hz bandwidth. The pulse design method is validated in a water phantom at 7T using an eight-channel transmit array system. The results show significant increases in the pulse's spectral bandwidth, with no additional pulse duration penalty and only a minor tradeoff in spatial B1+ mitigation compared to the standard spoke-based parallel RF design.


Asunto(s)
Algoritmos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Imagen por Resonancia Magnética/métodos , Imagen de Cuerpo Entero/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
6.
Magn Reson Med ; 59(4): 908-15, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18383281

RESUMEN

Spatially tailored radio frequency (RF) excitations accelerated with parallel transmit systems provide the opportunity to create shaped volume excitations or mitigate inhomogeneous B(1) excitation profiles with clinically relevant pulse lengths. While such excitations are often designed as a least-squares optimized approximation to a target magnitude and phase profile, adherence to the target phase profile is usually not important as long as the excitation phase is slowly varying compared with the voxel dimension. In this work, we demonstrate a method for a magnitude least squares optimization of the target magnetization profile for multichannel parallel excitation to improve the magnitude profile and reduce the RF power at the cost of a less uniform phase profile. The method enables the designer to trade off the allowed spatial phase variation for the improvement in magnitude profile and reduction in RF power. We validate the method with simulation studies and demonstrate its performance in fourfold accelerated two-dimensional spiral excitations, as well as for uniform in-plane slice selective parallel excitations using an eight-channel transmit array on a 7T human MRI scanner. The experimental results are in good agreement with the simulations, which show significant improvement in the magnitude profile and reductions in the required RF power while still maintaining negligible intravoxel phase variation.


Asunto(s)
Algoritmos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Imagen por Resonancia Magnética/métodos , Análisis de los Mínimos Cuadrados , Control de Calidad , Ondas de Radio , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
7.
Neuroimage ; 30(3): 973-82, 2006 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-16356737

RESUMEN

To perceive the vast array of stimuli in the world around us, the visual system employs parallel processing mechanisms that ensure efficiency in perceiving multiple objects in a scene. A way to test this efficiency is to measure reaction time (RT) to pairs of identical stimuli, presented singly or as doublets; typically, the resulting phenomenon is the redundant targets effect (RTE), which manifests as faster RTs to paired than singly presented stimuli. It is controversial, however, whether the neural locus of the parallel processing mechanisms invoked to produce the RTE is perceptual or motor and why some studies observe a substantial RTE and others do not. To resolve these two issues, we measured the RTE in young adults while undergoing functional MRI. Regarding the question of a perceptual or motor basis for the RTE, we observed that bilateral activation of extrastriate cortex was prominent in paired vs. the sum of the two single stimulus conditions, indicating that the RTE invoked perceptual mechanisms; by contrast, the motor cortex was not disproportionately activated in this comparison. Regarding the magnitude of the RTE, we compared activation patterns in individuals with small vs. large RTEs and observed that frontal and premotor areas were activated with small RTEs. These data indicate that the primary processing level of response facilitation, observed as the RTE, is perceptual, but the modulation of the RTE magnitude is premotor and associated with basic aspects of response selection and preparation.


Asunto(s)
Encéfalo/fisiología , Imagen por Resonancia Magnética , Percepción Visual/fisiología , Adulto , Femenino , Humanos , Masculino
8.
Cereb Cortex ; 15(9): 1384-92, 2005 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-15635059

RESUMEN

Normal aging and chronic alcoholism result in disruption of brain white matter microstructure that does not typically cause complete lesions but may underlie degradation of functions requiring interhemispheric information transfer. We examined whether the microstructural integrity of the corpus callosum assessed with diffusion tensor imaging (DTI) would relate to interhemispheric processing speed. DTI yields estimates of fractional anisotropy (FA), a measure of orientation and intravoxel coherence of water diffusion usually in white matter fibers, and diffusivity (), a measure of the amount of intracellular and extracellular fluid diffusion. We tested the hypothesis that FA and would be correlated with (i) the crossed-uncrossed difference (CUD), testing visuomotor interhemispheric transfer; and (ii) the redundant targets effect (RTE), testing parallel processing of visual information presented to each cerebral hemisphere. FA was lower and higher in alcoholics than in controls. In controls but not alcoholics, large CUDs correlated with low FA and high in total corpus callosum and regionally in the genu and splenium. In alcoholics but not controls, small RTEs, elicited with equiluminant stimuli, correlated with low FA in genu and splenium and high in the callosal body. The results provide in vivo evidence for disruption of corpus callosum microstructure in normal aging and alcoholism that has functional ramifications for efficiency in interhemispheric processing.


Asunto(s)
Cuerpo Calloso/anatomía & histología , Cuerpo Calloso/fisiología , Lateralidad Funcional/fisiología , Envejecimiento/fisiología , Consumo de Bebidas Alcohólicas/fisiopatología , Alcoholismo/patología , Alcoholismo/fisiopatología , Algoritmos , Anisotropía , Imagen de Difusión por Resonancia Magnética , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Estimulación Luminosa , Tiempo de Reacción/fisiología , Percepción Visual/fisiología
9.
Neuroimage ; 22(1): 381-6, 2004 May.
Artículo en Inglés | MEDLINE | ID: mdl-15110030

RESUMEN

A clinical 3-T scanner equipped with a custom-made transmit/receive birdcage coil was used to collect 2D J-resolved single-voxel spectroscopy in vivo of rat brain. Four adult Wistar rats were scanned twice each, with a 2-week interval. Voxel size was approximately 5 x 10 x 5 mm(3). Total spectroscopic acquisition time was 14 min for collection of two 4:20 min water-suppressed acquisitions and one 4:20 min acquisition acquired in the absence of water suppression. The unsuppressed water data were used in post-processing to reduce residual water side bands, as well as for metabolite signal normalization to account for variations in coil loading and voxel size. Peak areas were estimated for resonances from N-acetyl aspartate (NAA), creatine, choline, taurine, glutamate, and combined glutamate and glutamine. T(2)-relaxation times were estimated for NAA and creatine. The average deviation from the mean of repeated measures for glutamate, combined glutamate and glutamine, and taurine ranged from 7.6% to 18.3%, while for NAA, creatine, and choline, the deviation was less than 3%. The estimated T(2) values for NAA (mean +/- SD = 330 +/- 57 ms) and creatine (174 +/- 27 ms) were similar to those reported previously for rat brain and for human gray and white matter. These results indicate that reliable, small animal brain MR spectroscopy can be performed on a human clinical 3-T scanner.


Asunto(s)
Química Encefálica/fisiología , Espectroscopía de Resonancia Magnética/métodos , Anestesia , Animales , Agua Corporal/fisiología , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Ratas , Ratas Wistar
10.
Cereb Cortex ; 12(4): 438-45, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11884358

RESUMEN

Brain structure changes in size with normal aging, but the rate at which different structures change is controversial. We used magnetic resonance imaging (MRI) performed twice, 4 years apart, to compare rates of age-related size change of the corpus callosum, which has been inconsistently observed to thin with age, with change in the lateral ventricles, which are well established to enlarge. Subjects were 215 community dwelling, elderly men (70-82 years old at initial MRI), who were participants in a longitudinal study of cardiovascular risk factors. Percent change in size was significant for both the callosal and ventricular measures, but annual rate of ventricular expansion (2.9%) was significantly greater than annual rate of callosal thinning (-0.9%). Callosal regions showed statistically equivalent rates of shrinkage; ventricular dilatation was symmetrical. Neither callosal and ventricular rates of change correlated with each other (r = 0.01), nor did genu and splenium rates of change correlate with each other (r = 0.05). Tests of speeded processing were administered contemporaneously with both MRIs to examine functional ramifications of observed brain changes. Decline in the Mini-Mental State Examination was related to thinning of the splenium, and decline in Stroop test word reading was selectively related to thinning of the callosal body. These longitudinal data support the contentions that differential rates of change occur in different brain regions in normal aging, age-related callosal thinning contributes to functional declines, and rate of change in one region can be independent of rate of change in another region, even within a brain structure.


Asunto(s)
Envejecimiento/fisiología , Ventrículos Cerebrales/anatomía & histología , Ventrículos Cerebrales/fisiología , Cuerpo Calloso/anatomía & histología , Cuerpo Calloso/fisiología , Anciano , Encéfalo/anatomía & histología , Humanos , Ventrículos Laterales/anatomía & histología , Ventrículos Laterales/fisiología , Estudios Longitudinales , Imagen por Resonancia Magnética , Masculino , Memoria a Corto Plazo/fisiología , Persona de Mediana Edad , Pruebas Neuropsicológicas , Desempeño Psicomotor , Lectura , Prueba de Secuencia Alfanumérica
11.
Neuroreport ; 12(1): 99-104, 2001 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-11201100

RESUMEN

Diffusion tensor imaging was used to measure regional differences in brain white matter microstructure (intravoxel coherence) and macrostructure (intervoxel coherence) and age-related differences between men and women. Neuropsychiatrically healthy men and women, spanning the adult age range, showed the same pattern of variation in regional white matter coherence. The greatest coherence measured was in corpus callosum, where commissural fibers have one primary orientation, lower in the centrum semiovale, where fibers cross from multiple axes, and lowest in pericallosal areas, where fibers weave and interstitial fluid commonly pools. Age-related declines in intravoxel coherence was equally strong and strikingly similar in men and women, with evidence for greater age-dependent deterioration in frontal than parietal regions. Degree of regional white matter coherence correlated with gait, balance, and interhemispheric transfer test scores.


Asunto(s)
Envejecimiento/fisiología , Cuerpo Calloso/fisiología , Lóbulo Frontal/fisiología , Marcha/fisiología , Destreza Motora/fisiología , Lóbulo Parietal/fisiología , Equilibrio Postural/fisiología , Adulto , Factores de Edad , Anciano , Análisis de Varianza , Femenino , Polarización de Fluorescencia , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Análisis de Regresión
13.
Alcohol Clin Exp Res ; 24(8): 1214-21, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10968660

RESUMEN

BACKGROUND: Postmortem studies report degradation of brain white matter microstructure in chronic alcoholism, but until recently, in vivo neuroimaging could provide measurement only at a macrostructural level. The development of magnetic resonance diffusion tensor imaging (DTI) for clinical use offers a method for depicting and quantifying the diffusion properties of white matter expressed as intravoxel and intervoxel coherence of tracts and fibers. METHODS: This study used DTI to examine the intravoxel coherence measured as fractional anisotropy (FA) and intervoxel coherence (C) of white matter tracts of the genu and splenium of the corpus callosum and of the centrum semiovale in 15 detoxified alcoholic men and 31 nonalcoholic control subjects. Exploratory correlational analyses examined the relationships between regional DTI measures and tests of attention and working memory in the alcoholic patients. RESULTS: The alcoholic group had lower regional FA than the control group. C was lower in the alcoholics than controls in the splenium only. Working memory correlated positively with splenium FA, whereas attention correlated positively with genu C. CONCLUSIONS: These results provide in vivo evidence for disruption of white matter microstructure in alcoholism and suggest that interruption of white matter fiber coherence contributes to disturbance in attention and working memory in chronic alcoholism.


Asunto(s)
Alcoholismo/patología , Encéfalo/patología , Imagen por Resonancia Magnética/métodos , Adulto , Anciano , Envejecimiento , Atención , Cuerpo Calloso/patología , Humanos , Memoria , Persona de Mediana Edad
14.
Magn Reson Med ; 44(2): 259-68, 2000 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10918325

RESUMEN

Echo planar (EP) diffusion tensor imaging (DTI) permits in vivo identification of the orientation and coherence of brain white matter tracts but suffers from field inhomogeneity-induced geometric distortion. To reduce spatial distortion, polynomial warping corrections were applied and the effects tested on measures of fractional anisotropy (FA) in the genu and splenium of corpus callosum. Implementation entailed spatially warping EP images obtained without diffusion weighting (b = 0) to long-echo T(2)-weighted fast spin echo images, collected for anatomical delineation, tissue segmentation, and coregistration with the diffusion images. Using the optimal warping procedure (third-order polynomial), the effects of age on FA and a quantitative measure of intervoxel coherence (C) in the genu, splenium, centrum semiovale, and frontal and parietal pericallosal white matter were examined in 31 healthy men (23-76 years). FA declined significantly with age in all regions except the splenium, whereas intervoxel coherence positively correlated with age in the genu. Magn Reson Med 44:259-268, 2000.


Asunto(s)
Envejecimiento/fisiología , Cuerpo Calloso/fisiología , Imagen Eco-Planar/métodos , Adulto , Anciano , Análisis de Varianza , Anisotropía , Difusión , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad
15.
Lancet ; 355(9216): 1696-7, 2000 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-10905250

RESUMEN

In patients with Alzheimer's disease, but not in health controls, longitudinal magnetic resonance spectroscopy shows a striking decline in the neuronal marker, N-acetyl aspartate, despite little decline in underlying grey-matter volume.


Asunto(s)
Enfermedad de Alzheimer/diagnóstico , Ácido Aspártico/análogos & derivados , Imagen por Resonancia Magnética , Espectroscopía de Resonancia Magnética , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/metabolismo , Ácido Aspártico/metabolismo , Encéfalo/metabolismo , Encéfalo/patología , Progresión de la Enfermedad , Femenino , Humanos , Masculino , Neuronas/metabolismo , Neuronas/patología , Estudios Prospectivos , Sensibilidad y Especificidad
16.
Magn Reson Med ; 44(1): 10-8, 2000 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10893515

RESUMEN

Quantification of gray and white matter levels of spectroscopically visible metabolites can provide important insights into brain development and pathological conditions. Chemical shift imaging offers a gain in efficiency for estimation of global gray and white matter metabolite concentrations compared to single voxel methods. In the present study, the optimal voxel size is calculated from segmented human brain data and accompanying field maps. The optimal voxel size is found to be approximately 8 cc, but a wide range of values, 4-64 cc, can be chosen with little increase in estimated concentration error (<15%). Magn Reson Med 44:10-18, 2000.


Asunto(s)
Encéfalo/metabolismo , Procesamiento de Imagen Asistido por Computador , Espectroscopía de Resonancia Magnética/métodos , Agua Corporal/metabolismo , Colina/metabolismo , Creatina/metabolismo , Humanos , Ácido Láctico/metabolismo , Modelos Lineales , Matemática , Protones , Procesamiento de Señales Asistido por Computador
17.
Biol Psychiatry ; 47(6): 475-81, 2000 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-10715353

RESUMEN

BACKGROUND: N-acetyl aspartate (NAA) is an amino acid present in high concentrations in neurons and is thus a putative neuronal marker. In vivo proton magnetic resonance spectroscopy ((1)H MRS) studies have shown lower NAA concentrations in patients with various neurodegenerative disorders, suggesting decreased neuronal number, size, or function. Dorsolateral prefrontal (DLPF) NAA has not been extensively assessed in bipolar disorder patients, but it could be decreased in view of consistent reports of decreased DLPF cerebral blood flow and metabolism in mood disorders. We measured DLPF NAA in patients with bipolar disorder and healthy control subjects using in vivo (1)H MRS. METHODS: We obtained ratios of NAA, choline, and myoinositol (mI) to creatine-phosphocreatine (Cr-PCr) in bilateral DLPF 8-mL voxels of 20 bipolar patients (10 Bipolar I, 10 Bipolar II) and 20 age- and gender-matched healthy control subjects using (1)H MRS. RESULTS: DLPF NAA/Cr-PCr ratios were lower on the right hemisphere (p<.03) and the left hemisphere (p<.003) in bipolar disorder patients compared with healthy control subjects. CONCLUSIONS: These preliminary data suggest that bipolar disorder patients have decreased DLPF NAA/Cr-PCr. This finding could represent decreased neuronal density or neuronal dysfunction in the DLPF region.


Asunto(s)
Ácido Aspártico/metabolismo , Trastorno Bipolar/metabolismo , Corteza Prefrontal/metabolismo , Adulto , Femenino , Lateralidad Funcional/fisiología , Humanos , Espectroscopía de Resonancia Magnética/métodos , Masculino , Corteza Prefrontal/anatomía & histología
18.
Magn Reson Med ; 43(3): 325-30, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10725872

RESUMEN

Spectral/spatial spin-echo pulses with asymmetric excitation profiles were incorporated into a PRESS-based localization sequence to provide lipid suppression while retaining a sufficient amount of water to allow for correction of motion-induced shot-to-shot phase variations. 1H magnetic resonance spectroscopy data were acquired at 1.5 Tesla from a motion phantom and in vivo from the human liver, kidney, and breast. The results demonstrated that lipids in the chemical shift stopband were completely suppressed and that full metabolite signal intensity was maintained after implementation of a regularization algorithm based on phasing the residual water signal. Liver and kidney spectra contained a large resonance at 3.2 ppm that was ascribed to trimethylammonium moieties (betaine plus choline) and a weaker signal at 3.7 ppm that may result from glycogen. A breast spectrum from a histologically proven invasive ductal carcinoma displayed a highly elevated choline signal (3.2 ppm) relative to that from a normal volunteer.


Asunto(s)
Aumento de la Imagen/métodos , Metabolismo de los Lípidos , Espectroscopía de Resonancia Magnética/métodos , Adulto , Algoritmos , Agua Corporal/metabolismo , Mama/metabolismo , Neoplasias de la Mama/metabolismo , Carcinoma Ductal de Mama/metabolismo , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Riñón/metabolismo , Hígado/metabolismo , Fantasmas de Imagen
19.
AJNR Am J Neuroradiol ; 21(1): 183-93, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10669248

RESUMEN

BACKGROUND AND PURPOSE: Current diagnostic methods for head and neck metastasis are limited for monitoring recurrence and assessing oxygenation. 1H MR spectroscopy (1H MRS) provides a noninvasive means of determining the chemical composition of tissue and thus has a unique potential as a method for localizing and characterizing cancer. The purposes of this investigation were to measure 1H spectral intensities of total choline (Cho), creatine (Cr), and lactate (Lac) in vivo in human lymph node metastases of head and neck cancer for comparison with normal muscle tissue and to examine relationships between metabolite signal intensities and tissue oxygenation status. METHODS: Volume-localized Lac-edited MRS at 1.5 T was performed in vivo on the lymph node metastases of 14 patients whose conditions were untreated and who had primary occurrences of squamous cell carcinoma. MRS measurements were acquired also from the neck muscle tissue of six healthy volunteers and a subset of the patients. Peak areas of Cho, Cr, and Lac were calculated. Tissue oxygenation (pO2) within the abnormal lymph nodes was measured independently using an Eppendorf polarographic oxygen electrode. RESULTS: Cho:Cr ratios were significantly higher in the nodes than in muscle tissue (node Cho:Cr = 2.9 +/- 1.6, muscle Cho:Cr = 0.55 +/- 0.21, P = .0006). Lac was significantly higher in cancer tissue than in muscle (P = .01) and, in the nodes, showed a moderately negative correlation with median pO2 (r = -.76) over a range of approximately 0 to 30 mm Hg. Nodes with oxygenation values less than 10 mm Hg had approximately twice the Lac signal intensity as did nodes with oxygenation values greater than 10 mm Hg (P = .01). Cho signal intensity was not well correlated with pO2 (r = -.46) but seemed to decrease at higher oxygenation levels (>20 mm Hg). CONCLUSION: 1H MRS may be useful for differentiating metastatic head and neck cancer from normal muscular tissue and may allow for the possibility of assessing oxygenation. Potential clinical applications include the staging and monitoring of treatment.


Asunto(s)
Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/secundario , Neoplasias de Cabeza y Cuello/diagnóstico , Neoplasias de Cabeza y Cuello/secundario , Espectroscopía de Resonancia Magnética , Oxígeno/análisis , Adulto , Anciano , Carcinoma de Células Escamosas/metabolismo , Colina/metabolismo , Creatina/metabolismo , Neoplasias de Cabeza y Cuello/metabolismo , Humanos , Ácido Láctico/metabolismo , Metástasis Linfática , Masculino , Persona de Mediana Edad , Oxígeno/metabolismo
20.
Magn Reson Med ; 42(2): 314-23, 1999 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10440957

RESUMEN

Density-weighted k-space sampling with spiral trajectories is used to reduce spatial side lobes in chemical-shift imaging (CSI). In this method, more time is spent collecting data at the center of k space and less time at the edges of k space in order to make the sampling density proportional to a given apodization function, subject to constraints imposed by gradient performance and Nyquist sampling. The efficient k-space coverage of spiral-based trajectories enables good control over the sampling density within practical in vivo scan times. The density-weighted acquisition is compared to a conventional, nonweighted spiral sampling without the application of a window function. For a fixed voxel size and imaging time, the noise variance is observed to be the same for both cases, while spatial side lobes are greatly reduced with the variable-density sampling. This method is demonstrated on a normal volunteer by imaging of brain metabolites at 1.5 T with both single slice CSI and volumetric CSI. Magn Reson Med 42:314-323, 1999.


Asunto(s)
Química Encefálica , Espectroscopía de Resonancia Magnética , Encéfalo/metabolismo , Humanos , Metabolismo de los Lípidos , Masculino , Fantasmas de Imagen , Sensibilidad y Especificidad , Procesamiento de Señales Asistido por Computador
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