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D J Drost

Publications and source records attributed to D J Drost.

At least 37 records · Page 2Linked to original sources
PubMed1996

An in vivo proton magnetic resonance spectroscopy study of schizophrenia patients.

The level of the 1H metabolites in the left dorsolateral prefrontal region of schizophrenia patients at different stages of illness were measured in vivo using a short echo time spectroscopy technique. During both the early onset and chronic stages, normal N-acetylaspartate levels were observed, which suggests that these patients had no significant neuronal cell damage and/or loss. The in vivo measurements of glutamate in the first-episode, drugnaive patients failed to provide convincing evidence for the involvement of the glutamatergic system in the dorsolateral prefrontal region. Significant differences in the glutamine levels were observed in the acutely medicated and chronic patients; however, the interpretation of these differences requires further study.

Adolescent↗
PubMed1995

An in vivo study of the prefrontal cortex of schizophrenic patients at different stages of illness via phosphorus magnetic resonance spectroscopy.

BACKGROUND: In this study, phospholipid metabolism of cell membranes, high-energy phosphate metabolism, and intracellular free magnesium concentration in the prefrontal cortex of first-episode drug-naive schizophrenic patients and medicated schizophrenic patients at different stages of illness were compared with those of controls. METHODS: Localized in vivo phosphorus 31 magnetic resonance spectra of the left dorsolateral prefrontal cortex of 11 drug-native, eight newly diagnosed medicated, and 10 chronic medicated patients with schizophrenia were compared with controls of similar gender, education, parental education, and handedness. RESULTS: Significantly decreased levels of phosphomonoesters in drug-native, newly diagnosed medicated, and chronic medicated patients and significantly increased levels of phosphodiesters in drug-native patients were observed when compared with controls. There were no significant differences in the levels of high-energy phosphate metabolites between the groups except for a significant decrease in the inorganic orthophosphate levels of newly diagnosed medicated patients. A significant increase in the intracellular free magnesium concentration was observed in drug-naive, newly diagnosed medicated, and chronic medicated patients compared with controls. There were no correlations between the patients' negative and positive symptoms and the observed phosphorus-containing metabolites. CONCLUSIONS: A reduction in precursors of membrane phospholipid are observed during the early and chronic stages of the schizophrenia illness, and breakdown products of membrane phospholipids are increased at the early stage of illness before medication treatment.

Adolescent↗
PubMed1995

The use of a priori knowledge to quantify short echo in vivo 1H MR spectra.

In vivo 1H MR spectra of the prefrontal cortex acquired with the stimulated echo acquisition mode (STEAM) TE = 20 ms sequence were quantified to determine relative levels of cerebral metabolites. A priori knowledge of spectra from individual metabolites in aqueous solution was incorporated into a frequency domain quantification technique. The accuracy and precision of modeling these metabolites were investigated with simulated spectra of varying signal-to-noise ratios (SNRs) and relative metabolite levels. The efficacy of modeling in vivo data was tested by quantifying 10 repeated measures of two consecutively acquired in vivo spectra (an 8-cm3 volume of interest (VOI) and a 4-cm3 VOI positioned within the 8-cm3 VOI) on the same normal subject. The differences in levels of glutamate (Glu), phosphocreatine plus creatine (PCr+Cr) and choline-containing compounds (Cho(t)) between spectra from the 8- and 4-cm3 VOIs corresponded with the expected differences observed in the proportions of gray matter within the VOIs (estimated from 1H images). Correcting for the T1 and T2 relaxation, the estimated concentrations of N-acetylaspartate, PCr+Cr, Cho(t), Glu, and glutamine were consistent with previous in vivo and in vitro reports.

Adult↗
PubMed1994

Blood-brain barrier permeability in rats is altered by exposure to magnetic fields associated with magnetic resonance imaging at 1.5 T.

We have previously reported that exposure of rats to low-field (0.15 T) magnetic resonance imaging (MRI) increases blood-brain barrier (BBB) permeability. However, a number of investigators have failed to observe this effect when high-field MRI (1.5 T or higher) is used. Therefore, we investigated whether or not we would observe changes using our technique at these higher fields. Adult male Sprague-Dawley rats were anaesthetised and then exposed to a 22.5 min imaging or sham procedure. Immediately following exposure, rats were injected with 1 MBq of 153Gd-DTPA intracardially and then immediately re-exposed for an additional 22.5 min. The rats were killed 1h following the second MRI exposure, at which time the brain was resected and 3 ml of venous blood collected. The ratio of radioactivity per gram of brain to radioactivity per milliliter of blood, known as the brain-blood partition coefficient, was determined and used as a measure of BBB permeability. Groups of animals had different exposures. Group 1 (n = 9) was exposed to a clinically relevant MRI procedure. Group 2 (n = 20) was exposed to the same procedure except the rf specific absorption rate (SAR) was reduced to 25% and the animals were positioned 15 cm from imager centre to increase the time-varying magnetic field from 0.4 to 2.8 T/s. For the sham exposures (n = 21), the animals were placed in the imager with the static field ramped down to zero and exposed to a sound recording simulating a MRI examination.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1994

Membrane phospholipid metabolism and schizophrenia: an in vivo 31P-MR spectroscopy study.

Membrane phospholipid metabolism was studied with 31P magnetic resonance spectroscopy in the left dorsal prefrontal cortex of 19 male, medicated, schizophrenic patients and compared to 18 normal male controls matched in age, education and parental education level. The schizophrenic patients had significantly decreased phosphomonoester levels (PMEs, metabolites predominantly involved in the synthesis of membrane phospholipids). Phosphodiester levels (PDEs, breakdown products of membrane phospholipids) were not statistically different in schizophrenic patients compared to controls. However, a significant increase in the PDE levels was observed in the newly diagnosed patient subgroup. This observed pattern of the PMEs and PDEs would be consistent with the presence of an abnormal neurodevelopment early in the illness of schizophrenia.

Adolescent↗
PubMed1994

Computing the modulation transfer function of a magnetic resonance imager.

A new method for computing the modulation transfer function (MTF) of magnetic resonance (MR) imagers is presented. Previous attempts to compute the MTF of MR images used nonlinear magnitude reconstructed images, resulting in erroneous MTFs. By using complex domain images, the new method produces predisplay MTFs which describe the spatial frequency transfer characteristics of the entire image formation process, except the magnitude operator, eliminating the artifacts previously found in MR imager MTFs. The use of complex domain images results in two-sided MTFs which differentiate the positive and negative frequencies associated with positive and negative phase encoding or positive and negative time relative to the echo formation. Experimental results are presented which confirm the theoretically predicted form of MR imager MTFs and the need for two-sided MTFs.

Magnetic Resonance Imaging↗
PubMed1992

Quantification of myocardial blood flow and extracellular volumes using a bolus injection of Gd-DTPA: kinetic modeling in canine ischemic disease.

In order to clarify the relationship between coronary artery disease (including myocardial infarction) and image contrast in gadolinium diethylenetriaminepentaacetic acid (Gd-DTPA)-enhanced MRI it was decided to model the myocardial tissue distribution and clearance of Gd-DTPA using the modified Kety equation. Using a canine model, myocardial tissue Gd-DTPA concentrations ([Gd-DTPA]m) were measured 1 or 5 min after a bolus injection of Gd-DTPA or immediately after the end of a constant infusion of Gd-DTPA in a total of 35 dogs. It was found that within 5 min of a bolus injection [Gd-DTPA]m is determined primarily by myocardial blood flow (MBF) and after about 10 min primarily by myocardial extracellular volumes (MECV). This study suggests that repeat, rapid (every 2-4 s) measurements of myocardial T1 relaxation rates following the bolus injection of Gd-DTPA are required to calculate MBF (i.e., myocardial tissue perfusion) and MECV.

Animals↗
PubMed1991

Bone densitometric and histomorphometric responses to sequential human parathyroid hormone (1-38) and salmon calcitonin in osteoporotic patients.

Cyclical treatments of osteoporosis utilizing a skeletal Activator of bone remodelling, and sequential therapy with a Depressor to selectively block the resulting phase of osteoclastic resorption have been dubbed 'ADFR' therapy; there is usually a treatment Free interval while the activated bone multicellular units complete the remodelling cycle before the protocol is Repeated. In this report an ADFR protocol was developed in which all patients received synthetic hPTH (1-38) for the first 14 days of a 100 day cycle. Half the patients received no other therapy (Group 1), but were followed closely with repeated vertebral bone mineral measurements over two full cycles. The remaining patients (Group 2) were randomly allocated to receive salmon calcitonin, at an average dose of 79 units per day for a 56 day depressor period immediately following each phase of activation. Detailed bone histomorphometry was performed on iliac biopsies obtained before treatment and at the end of the second cycle (Day 200). In Group 1, the serum alkaline phosphatase (Alk. P'ase) increased by 23 +/- 12% (P less than 0.01) and by 18 +/- 16% (P less than 0.03) of the baseline values following PTH treatment during the first and second cycles, respectively. The overall changes in serum Alk. P'ase across time were significantly less (P less than 0.04) in Group 2; however this parameter also increased by 15 +/- 15% during the first cycle and 8 +/- 6% during the second cycle. Vertebral BMC increased by 13% in Group I (P less than 0.01), but forearm BMC decreased by 11% (P less than 0.05) over the two cycles of therapy. There were no significant changes in bone mineral measurements in Group 2, but the differences between the two groups were not significant. Eighteen paired biopsies were available for histomorphometric analysis. There were no significant changes in static parameters measuring total bone tissue, osteoclastic function or osteoid formation after two cycles of treatment. Individual bone formation rates (surface referent) were not significantly different between the two groups; the pooled data for all biopsies showed a small but insignificant increase from 0.030 +/- 0.018 to 0.035 +/- 0.028 mm3/mm2/day. However there was a significant increase in the activation frequency (the probability of a remodelling event occurring on queiscent cancellous surface) from 13 +/- 7 to 27 +/- 26/day x 10(-4) (P less than 0.05) when calculated for the pooled data from both groups.(ABSTRACT TRUNCATED AT 400 WORDS)

Aged↗
PubMed1990

Time-varying magnetic fields increase cytosolic free Ca2+ in HL-60 cells.

Electromagnetic fields have been reported to cause a variety of biological effects. It has been hypothesized that many of these phenomena are mediated by a primary effect on the concentration of cytosolic free calcium ([Ca2+]i). We investigated the effects of exposure to electromagnetic fields on [Ca2+]i in HL-60 cells using the Ca2(+)-sensitive fluorescent indicator indo-1. Indo-1-loaded cell samples were exposed to a radiofrequency electromagnetic field, a static magnetic field, and a time-varying magnetic field, which were generated by a magnetic resonance imaging (MRI) unit. We found that a 23-min exposure to all three fields, in combination, induced a significant increase in [Ca2+]i of 31 +/- 8 (SE) nM (P less than 0.01, n = 13) from a basal level of 121 +/- 8 nM. Also, cells exposed to only the time-varying magnetic field had a mean [Ca2+]i that was 34 +/- 10 nM (P less than 0.01, n = 11) higher than parallel control samples. Separate exposure to the radio-frequency (6.25 MHz) or static field (0.15 T) had no detectable effects. These results demonstrate that time-varying magnetic fields alter [Ca2+]i and suggest that at least some of the reported biological effects of time-varying magnetic fields may arise from elevation of [Ca2+]i.

Calcium↗
PubMed1989

The response of vertebral bone mineral density during the treatment of osteoporosis with sodium fluoride.

Forty-eight female patients with postmenopausal osteoporotic vertebral compression fractures were treated with sodium fluoride and calcium supplements; their response to treatment was documented by sequential measurements of vertebral and forearm bone mineral density (BMD). During treatment 25 patients developed significant side-effects due to fluoride, and ultimately, 18 patients (37%) were intolerant of the drug after 17.3 +/- 7.3 (+/- SD) months. The remaining patients were followed for 29.4 +/- 9.6 months. By linear regression analysis, 69% of patients had a positive slope of vertebral BMD vs. time of greater than 0.0017 g/cm2.month (range, 0.0017-0.01) and were classified as treatment responders. The increment in vertebral BMD above the baseline value over time was described by the relationship delta BMD (g/cm2.month) = 0.042 + 0.0053 x months, equivalent to a rate of 8.4%/yr. Because the rates of increasing BMD were very variable, it was difficult to determine in individual patients the point at which a positive response to treatment had occurred; by calculating the 95% confidence target BMD by which the BMD must rise above the initial value before discounting the imprecision of the measurements (0.062 g/cm2), only 70% of responders were identified by 12 months. The total cumulative dose of sodium fluoride (31.3 +/- 16.4 g) was significantly higher in patients classified as responders than in the nonresponders (20.6 +/- 13.4 g; P less than 0.05), probably because of differences in side-effects between the two groups. In contrast, forearm BMD fell significantly in the responders by an average of 7.7%/yr, suggesting the possibility of a preferential improvement in axial bone density at the expense of cortical bone. Thus, the majority of patients treated with fluoride respond with increasing vertebral BMD, but it may take 12-24 months to identify these individually.

Absorptiometry, Photon↗
PubMed1987

Cardiac T1 calculations from MR spin-echo images.

Normally, cardiac triggering in MR spin-echo imaging restricts repetition times (TR) to integral values of the cardiac period (TC), and introduces irregularities in TR due to variations in TC. We have investigated how much these restrictions decrease the accuracy and precision of spin-lattice relaxation (T1) values of the myocardium calculated from two cardiac-triggered spin-echo images. By introducing additional excitation pulses, TR can effectively be reduced to a fractional value of TC and considerable improvement in T1 precision is possible. For TC = 800 ms, the improvement in T1 precision is 30% when two spin-echo images of TR = 1/2 X TC and TR = 2 X TC are used to calculate T1 instead of two images with TR = TC and TR = 2 X TC. The irregularities in TR decrease both T1 precision and accuracy. Irregularities of the order of 15% in a mean TR of 800 ms produce a fourfold decrease in precision. Since irregularities in TC easily exceed 15%, MRI data should be acquired when individual TR values are approximately within +/- 15% of the subject's mean TC.

Animals↗
PubMed1987

An optimized head coil design for MR imaging at 0.15 T.

Receive-only head coils employing a modified solenoid design were developed for a 0.15-T imager with horizontal main static and radiofrequency transmit fields. This coil design uses three or five identical horseshoe-shaped elements, constructed of 1/2-in. outside diameter copper tubing, lying one above the other in equally spaced horizontal planes. Coils of this design were compared to the half-saddle coil supplied with our imager and to the Hammersmith Hospital spherical coil (G.M. Bydder et al., J. Comput. Assist. Tomogr. 9, 987 (1985]. Compared to the half-saddle coil, one of our new head coils has the same field of view while improving the signal-to-noise ratio (S/N) by 80% in the upper brain and 20% in the cervical vertebrae; compared to the spherical coil the S/N was up to 60% lower but the field of view was larger and patient comfort was better.

Brain↗
PubMed1986

Optimization of signal-to-noise ratio in calculated T1 images derived from two spin-echo images.

A simplified model relating signal intensity in an MR image to spin-lattice relaxation time (T1), repetition time (TR), number of signal averages and the average tip angle (-alpha) of the protons within the slice has been developed. This model has been used to select the optimal repetition times of two spin-echo images for a fixed total imaging time to maximize signal to noise in calculated T1 images. Theoretical predictions of T1 are virtually identical to spectroscopically measured values, and the relative noise (delta T1) in T1 images calculated from two measured spin-echo images is in good agreement with the theoretically predicted values of delta T1/T1. This model predicts that: (a) for a T1 of approximately 500 ms, the least T1 image noise is obtained with one of the spin-echo images collected with a TR of 400-500 ms. The longer the TR of the other spin-echo image, the lower the T1 image noise, but past a TR of approximately 1400 ms, T1 image signal/noise is optimized for the same total imaging time by increasing the number of averages in the shorter TR spin-echo image rather than increasing the TR of the second spin-echo image. (b) The error is reduced and the optimum TR1 is reduced as -alpha is increased from 63 to 90 degrees. (c) For a range of T1, optimal selection of TR1 and TR2 based on an intermediate value of T1, results in relatively little increase over optimal values in delta T1/T1 for the entire T1 range.

Humans↗
PubMed1986

Comparison of respiratory triggering and gating techniques for the removal of respiratory artifacts in MR imaging.

Respiratory movement degrades magnetic resonance (MR) images of the chest and abdomen by increasing noise through the production of "ghost" artifacts and by decreasing edge sharpness in moving structures. Respiratory gating, which limits data acquisition to end-expiration, is successful in restoring edge sharpness and reducing ghosts but increases imaging time two to three times, which limits its use to sequences with short repetition times (TRs). To overcome this limitation, an alternative technique, respiratory triggering, was developed, which triggers the acquisition of an MR section at a fixed point on the respiratory cycle. This technique restores edge sharpness and reduces ghosts, but unlike gating, it can be used to produce an image at any phase of the respiratory cycle. Triggering requires long TRs since the TR is limited to the respiratory period (TP) or one-half of TP, depending on whether the same section is triggered once or twice during a single respiratory cycle. Gating and triggering were evaluated and compared for single-section and multi-section imaging of both volunteers and patients. The authors conclude that when a chest or abdominal survey is required, triggering takes less time than gating if TRs are required that exceed one-fifth of TP.

Abdomen↗
PubMed1986

Hazards and associated recommendations for Canadian MR imaging sites.

The recent national survey reported here indicates that the use of magnetic resonance (MR) imaging in Canada for medical diagnosis may rapidly become widespread. However, the technique involves a number of potential hazards to patients, operating staff and the general public. MR involves exposure to magnetic and radiofrequency fields which may have biological effects, indicating a need for guidelines on acceptable limits of exposure for both patients and operating personnel. Other hazards include effects on cardiac pacemaker function, effects on other medical equipment important for patient management, dislodgement of metallic surgical clips, induced heating of tissue or metallic implants, danger of ferromagnetic objects becoming projectiles and a risk of asphyxiation if a superconducting magnet quenches. The recommendations in the report are practical guidelines to minimize these risks and hazards.

Accident Prevention↗
PubMedDate not supplied

Experimental dual xenon detectors for quantitative CT and spectral artifact correction.

A 41-channel xenon detector array has been built in our laboratory to be used in a fan-beam CT scanner. Each channel is split into a front and rear detector producing two signals for each ray through the patient. Since the front and rear detectors measure different photon energies of the x-ray spectra, dual energy information is obtained from a single CT scan. This information can be used to determine electron density and effective atomic number images of the patient and correct spectral artefacts. A 7.7-cm-diam plexiglas cylinder, filled with water and various plastics, was scanned. With this phantom, electron density was determined to an accuracy of 2% and effective atomic number to 4%. Details of the detector design and calibration are discussed and electron density, effective atomic number, and spectral artifact corrected images are presented.

Technology, Radiologic↗
PubMedDate not supplied

A xenon ionization detector for digital radiography.

Xenon gas x-ray detectors have been used successfully in CT scanners; however, they have been found to be unsuitable for digital radiography. We have designed and built a new type of xenon x-ray detector array and tested its suitability for digital radiography. The detector consists of two parallel plates separated by a 0.5-mm gap, filled with xenon gas at a pressure of about 30 atm. One of the plates is the high-voltage electrode, while the other is a circuit board etched to form an array of metal collector strips focused on the x-ray source. Since there are no metal septa separating the individual detector elements, the dose efficiency of the detector is high, but image degradation will occur due to cross-talk between detector elements. Measurements of the cross-talk show that about an 18% reduction in contrast will occur, when a low contrast object, subtending one detector element, is imaged. We have also measured a detector MTF of 14% at 2 lp/mm, a signal of 10 pC for a 1-mR x-ray exposure at the detector entrance, a 6% nonlinearity in the detector signal over about 3 orders of magnitude in x-ray exposure, and a charge collection time (time response) of about 0.1 ms. From these results it is concluded that this new detector design is feasible for digital radiography.

Computers↗