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D A Finelli

Publications and source records attributed to D A Finelli.

23 records · Page 2Linked to original sources

Flip angle dependence of experimentally determined T1sat and apparent magnetization transfer rate constants.

The purpose of this work was to develop a method for determining the T1sat and magnetization transfer (MT) rate constants by analyzing the slice-select flip angle dependent MT behavior of normal white and gray matter. The technique uses a high MT power, three-dimensional (3D) gradient-recalled echo (GRE) sequence, with a well chosen MT pulse frequency offset, such that the experimental conditions closely satisfy requisite assumptions for invoking a first order rate process for MT. Integral to this method is that the T1sat and MT ratio values are obtained under explicitly identical MT saturation conditions. The T1sat of white matter was found to be approximately 300 msec, and the MT rate constant was approximately 2.0 sec(-1). The T1sat of gray matter was approximately 500 msec, and the MT rate constant was 1.1 sec(-1). We also found a strong dependence of the MT rate constant on the slice-select flip angle used for the imaging sequence, independent of the MT saturation parameters. Strongly T1-weighted imaging sequences can result in the underestimation of the MT rate constant by 50%. Practical technical suggestions for quantitative MT experiments are put forth.

Adult↗

Magnetic resonance coronary artery imaging.

Coronary artery imaging with magnetic resonance imaging carries the potential for a noninvasive, essentially risk-free screening test for those at risk for coronary heart disease. Many physiologic and anatomic challenges including cardiac and respiratory motion and the small size, tortuosity, and variable flow characteristics of the coronary arteries hamper effort to achieve this goal. This article reviews the efforts of several research groups to surmount these difficulties through the use of 2D and 3D techniques; spin echo, gradient echo, and ultrafast sequences; saturation pulses; and contrast agents. Promising results have been and continue to be reported although no obvious optimal solution has yet been determined.

Coronary Angiography↗

Leptomeningeal and calvarial sarcoidosis: CT and MR appearance.

We report an unusual case of biopsy-proven combined leptomeningeal and calvarial sarcoidosis, as seen on CT and MRI. A solitary large thick plaque was present in the left hemisphere, with overlying bony infiltration and erosion and associated abundant vasogenic edema in the brain. The lytic lesion was visible on Scout digital radiography for CT slice positioning. The typical manifestations of CNS sarcoidosis, i.e., chronic leptomeningitis in the basilar cisterns and hypothalamic regions, were absent.

Adult↗

Menkes kinky hair disease: characteristic MR angiographic findings.

We report two cases of Menkes kinky hair disease in which MR and MR angiography were performed. The clinical and imaging features are reviewed. MR demonstrated characteristic cerebrovascular tortuousity and thus may be a valuable aid in diagnosis and follow-up.

Brain↗

Multifocal varicella-zoster virus leukoencephalitis in a patient with AIDS: MR findings.

We describe a patient with AIDS who presented with an acute encephalitis caused by infection with varicella-zoster virus. The hemorrhagic, necrotizing encephalitis had an unusual MR appearance, with innumerable discrete, small, targetlike lesions in the right cerebral hemisphere, which were coalescent in the posterior temporal, parietal, and occipital regions. Of the several known disease patterns of varicella-zoster viral infection in the CNS, this histopathologic pattern of multifocal leukoencephalitis is rare. It is important to recognize, as effective antiviral drug treatments are available.

AIDS-Related Opportunistic Infections↗