Biomedical subjects

F Z Yetkin

Publications and source records attributed to F Z Yetkin.

32 records · Page 2Linked to original sources

PubMed1994

Imaging white matter tracts and nuclei of the hypothalamus: an MR-anatomic comparative study.

PURPOSE: To evaluate the MR appearance of the hypothalamus and its associated white matter tracts. METHODS: Coronal and sagittal spin-echo images were obtained in cadaver brains. Gross and histologic sections were made of the cadaver brains. The size, shape, signal intensity, course, and pattern of structures in the hypothalamic region were identified in MR images by comparison with the anatomic sections. RESULTS: The mamillary bodies, paraventricular zone of hypothalamic nuclei, postcommissural fornix, mammillothalamic fasciculus, and anterior commissure were identified on the MR images. CONCLUSION: This study suggests that, with MR imaging of sufficiently high resolution, some of the tracts and nuclei in the hypothalamus may be identified.

Humans↗

PubMed1993

Functional magnetic resonance imaging of complex human movements.

Functional magnetic resonance imaging (FMRI) is a new, noninvasive imaging tool thought to measure changes related to regional cerebral blood flow (rCBF). Previous FMRI studies have demonstrated functional changes within the primary cerebral cortex in response to simple activation tasks, but it is unknown whether FMRI can also detect changes within the nonprimary cortex in response to complex mental activities. We therefore scanned six right-handed healthy subjects while they performed self-paced simple and complex finger movements with the right and left hands. Some subjects also performed the tasks at a fixed rate (2 Hz) or imagined performing the complex task. Functional changes occurred (1) in the contralateral primary motor cortex during simple, self-paced movements; (2) in the contralateral (and occasionally ipsilateral) primary motor cortex, the supplementary motor area (SMA), the premotor cortex of both hemispheres, and the contralateral somatosensory cortex during complex, self-paced movements; (3) with less intensity during paced movements, presumably due to the slower movement rates associated with the paced (relative to self-paced) condition; and (4) in the SMA and, to a lesser degree, the premotor cortex during imagined complex movements. These preliminary results are consistent with hierarchical models of voluntary motor control.

Adult↗

PubMed1993

Focal hyperintensities in cerebral white matter on MR images of asymptomatic volunteers: correlation with social and medical histories.

OBJECTIVE: Previous attempts to explain the presence of focal hyperintensities in the cerebral white matter on MR images have focused on the patient's age and cardiovascular risk factors. The purpose of this study was to survey many variables in subjects' social, medical, and surgical histories to identify those factors associated with focal hyperintensities in asymptomatic persons. SUBJECTS AND METHODS: Asymptomatic volunteers were examined with MR imaging of the head and questioned concerning smoking history; chemical dependence; alcohol consumption; medical history (e.g., high blood pressure, kidney disease); surgical history (e.g., for appendix, gallbladder); medications (e.g., antihypertensives, analgesics); and other historical family and social variables. Vital signs were recorded. Focal hyperintensities were counted by observers who were not provided any information about the subjects other than that they were either volunteers or patients. Each of the variables in the history was tested for an association with the number of focal hyperintensities seen on MR images. RESULTS: A statistically significant positive association was found between both age and the use of antihypertensive medications and the number of focal hyperintensities. Associations were also found between the number of focal hyperintensities and diastolic and systolic blood pressures at the time of MR imaging, but these associations did not reach statistical significance. No other variables in the medical, surgical, or social histories were found to be significantly related to the number of focal hyperintensities. CONCLUSION: Age and the use of antihypertensive medications were the only significant risk factors identified in respect to focal hyperintensities of the cerebral white matter.

Adult↗

PubMed1992

Quantitative MR in the diagnosis of multiple sclerosis.

In patients with multiple sclerosis (MS), the apparently uninvolved cerebral white matter between demyelinated plaques may have biochemical abnormalities. To what degree the changes in the white matter contribute to symptomatology in MS is unknown. In 39 patients with multiple sclerosis, and in 39 age-matched nondiseased volunteers, T1 and T2 were calculated from spin-echo images in four regions of apparently uninvolved white matter. In three of four white matter areas, the average T1 and T2 were significantly longer in the patients than in the controls. The T1 correlated with the disability, measured by the Kurtzke Extended Disability Status Scale, although the correlation was marginally significant. The results suggest that in patients with MS, white matter disease that is not visualized in MR as distinct foci of abnormal signal intensity may contribute to disease burden and disability.

Brain↗

PubMed1992

Visualization of the distal intratemporal facial nerve with MR imaging: use of an oblique plane.

Although magnetic resonance (MR) imaging routinely is used to evaluate the facial nerve, the conventional axial, coronal, and sagittal planes are not optimal for demonstrating the tympanic and mastoid portions of the nerve. A vertical oblique plane for MR imaging of these portions of the facial nerve was evaluated. With this plane, the course of the nerve was effectively demonstrated on MR images and corresponding cryosections. The oblique plane can be used to supplant or supplement conventional planes in imaging of the facial nerve.

Facial Nerve↗

PubMed1992

Proximal cervical spinal nerve: MR appearance.

An interradicular cleft and a segment of nerve containing fascicles have recently been described in the cervical spinal nerve. This study was performed to determine whether the fascicles and the interradicular cleft have a distinctive appearance on magnetic resonance (MR) images. The proximal spinal nerves and nerve roots of C-4 and C-8 were removed from cadavers, imaged with MR, sectioned, and stained. Cervical neural foramina were imaged with MR and then sectioned. The MR images demonstrated a division of the root sheaths into ventral and dorsal portions, separated by fat within the interradicular cleft and located proximal to the dorsal root ganglion. Distal to the dorsal root ganglion, the proximal portion of the cervical spinal nerve containing multiple fascicles gave the proximal portion of the spinal nerve an inhomogeneous appearance on the MR images. This study suggests an anatomic explanation for the variable appearance of the cervical spinal nerves with MR imaging.

Aged↗

PubMed1992

High-signal foci on MR images of the brain: observer variability in their quantification.

Foci of high signal in the cerebral white matter are common incidental findings on MR images of the brain of control subjects or patients with a variety of diseases. Although the number of foci has been reported to correlate with age and several risk factors, the degree of observer variability in quantifying foci has not been reported. We used kappa statistics to determine radiologists' agreement in counting high-signal-intensity foci on MR images obtained in healthy volunteers and in patients with hypertension. Before interpreting the images, one pair of radiologists studied 30 routine MR images and reached consensus on differentiating high-signal foci from other foci of high intensity caused by normal structures (e.g., deep gyri or Virchow-Robin spaces). These two observers than independently determined the number of foci in the study group. Using their own criteria, other radiologists independently counted the foci. Agreement between observers was determined with the kappa statistic. The results showed fair agreement between the radiologists who first reached a consensus in counting foci of hyperintensity and poor agreement between the other observers. We conclude that in order to compare the frequency of foci of hyperintensity in different groups of patients, observer variability must be controlled. Studies without proper control subjects may lead to incorrect conclusions regarding the correlation of focal hyperintensities and various risk factors.

Alzheimer Disease↗

PubMed1991

Multiple sclerosis: specificity of MR for diagnosis.

The specificity of magnetic resonance (MR) imaging in the diagnosis of multiple sclerosis (MS) has not been measured systematically. Conventional MR head images with sagittal localizer and axial multiple-echo sequences with long repetition times were obtained in 92 patients with clinically verified MS (Schumacher criteria), 100 healthy volunteers, 60 subjects with hypertension, and eight patients with dementia. Two readers, without the aid of any clinical or demographic information, classified each of the 260 studies as MS or not MS. The readers classified the studies again after being supplied with the subjects' ages and sex. True-negative and true-positive diagnoses of MS were tabulated. The specificity of the MR diagnosis of MS (true-negative results in proportion to all non-MS studies) was 95%-99% with all the control groups included. There is a small risk of misinterpreting incidental periventricular white matter foci as plaques of MS in MR studies.

Adult↗

PubMed1991

T1 and T2 in the cerebrum: correlation with age, gender, and demographic factors.

The authors measured the T1 and T2 of cerebral tissue in 164 volunteers aged 5-90 years and correlated T1 and T2 with age, gender, and various demographic variables. A weak correlation with statistical significance was found between age and T1 and T2 in white and gray matter structures. The T1 and T2 in the telencephalon increased by about 0.1% per year. No correlation of T1 or T2 with any other demographic, life-style, or medical factors was found.

Adolescent↗

PubMedDate not supplied

Cortical activation response to acoustic echo planar scanner noise.

PURPOSE: Our goal was to determine the distribution of auditory and language cortex activation in response to acoustic echo planar scanner noise with functional MRI (fMRI). METHOD: Acoustic scanner noise and spoken text, reproduced on high output cassette tape, were separately delivered at equivalent intensities to six normal hearing adult volunteers through earphones during fMRI data acquisition. In nine other subjects, taped scanner noise was delivered in five successive iterations of the task to assess the consistency of cortical activation to the noise stimulus. Gyri of the auditory and language system were divided into 10 different subregions for analysis of cortical activation. The number of activated pixels and proportion of volunteers activating each cortical subregion were determined using a cross-correlation analysis. RESULTS: Cortical activation to taped acoustic scanner noise was present within the transverse temporal gyrus (primary auditory cortex) in all subjects, but activation was highly variable between subjects in auditory association and language relevant cortex. Auditory association cortex activation was seen in the planum polari, planum temporali, and middle temporal gyrus/superior temporal sulcus regions in one-half to two-thirds of the volunteers. There was no significant difference in the distribution of cortical activation within individual subjects across five successive iterations of the scanner noise task. Listening to spoken text consistently activated primary and association auditory cortex bilaterally as well as language relevant cortex in some cases. The mean number of activated pixels was significantly greater for text listening than acoustic scanner noise in auditory association and language relevant cortical subregions (p < 0.01), although the distribution of activity was similar between the two tasks. CONCLUSION: This preliminary investigation suggests that the complex sounds produced by the echo planar pulse sequence can activate relatively large regions of auditory and language cortex bilaterally, with the extent of activation outside the primary auditory cortex being variable between subjects. However, the distribution of activation within individual subjects was relatively constant across several iterations of the scanner noise stimulus.

Adult↗

PubMedDate not supplied

Functional magnetic resonance imaging in partial epilepsy.

Functional magnetic resonance imaging (FMRI) detects signal changes in brain that accompany regional changes in neuronal activity. In normal human brain, FMRI shows changes in signal in the postcentral gyrus or superior temporal gyrus that correlate with voluntary motor activity or language processing, respectively. The model used to explain the changes in signal linked temporally with cerebral activity is a reduction in cerebral capillary deoxyhemoglobin concentration due to the increased blood flow that accompanies neuronal activity in the cerebrum. FMRI has been used in normal subjects but not extensively in patients. To determine the feasibility of using FMRI to map cerebral functions in patients with partial epilepsy syndromes, we performed a pilot study, using FMRI to identify signal changes in motor and language areas in response to tasks that activate those areas. Signal changes in epilepsy patients approximated those observed in volunteers. We conclude that FMRI can be developed as a method for functional cerebral mapping in partial epilepsies.

Adult↗

PubMedDate not supplied

Location of the sensorimotor cortex: functional and conventional MR compared.

PURPOSE: To determine the value of functional MR imaging to supplement conventional MR imaging for locating the rolandic cortex. METHODS: Parasagittal MR images acquired in conjunction with functional MR images were reviewed. The central sulcus was identified on the MR images by conventional parcellation methods. In the functional MR images, the sensorimotor cortex (rolandic cortex) was identified by the activation secondary to finger and thumb movement or tactile stimulation of the palm. The location of the central sulcus and rolandic cortex was compared. RESULTS: In 18 of 23 studies, the central sulcus selected by anatomic criteria coincided exactly or approximately with the cortex activated by the motor or sensory tasks. In two cases of tumor, the rolandic cortex could be located by means of the activation, but the central sulcus was not identified because of severe distortion of anatomic landmarks. In two volunteers, the central sulcus identified by anatomic landmarks did not coincide with the activated cortex. CONCLUSION: This study demonstrates that functional imaging supplements anatomic imaging in locating the sensorimotor cortex. Functional MR imaging may be a useful adjunct to conventional MR imaging to determine noninvasively the proximity of eloquent brain to focal brain lesions.

Adult↗

PubMedDate not supplied

Effect of motion outside the field of view on functional MR.

PURPOSE: To evaluate the effect of objects moving outside the field of view on functional MR imaging. METHODS: Echo-Planar image sequences were acquired in the sagittal plane of a stationary phantom or of the head of a volunteer subject while a second phantom was moved periodically outside the field of view. The signal intensity changes in each pixel within the field of view were measured. RESULTS: Movement of the phantom outside the field of view produced signal intensity changes in the field of view that equaled or exceeded typical functional activation without the latency that characterizes activation. The greatest changes occurred at the bottom and top edges in the phantom and at the interfaces in the head. CONCLUSION: If temporally correlated with the performance of a task, movement of objects or tissues outside the field of view may produce artifactual changes in signal intensity. The artifactual signal intensity changes were characterized by their location, greater magnitude, and more rapid rise to maximum than seen with typical "activation."

Artifacts↗

PubMedDate not supplied

Functional MR of frontal lobe activation: comparison with Wada language results.

PURPOSE: Our purpose was to determine the utility of functional MR imaging in conjunction with a word-generation paradigm in the assessment of language lateralization. METHODS: Functional MR imaging and Wada testing for language lateralization was performed in patients with complex partial seizures during the performance of word-generation tasks. A language lateralization quotient was calculated from the number of activated pixels in the right and left hemispheres. A language laterality score was derived from the Wada results as the percentage of correct responses during right internal carotid artery injection minus the percentage of correct responses during left internal carotid injection. A correlation coefficient between the functional MR imaging results and the Wada language laterality scores was calculated. RESULTS: In 13 patients, hemispheric dominance based on Wada testing was confirmed by functional MR imaging during silent word generation. The Wada laterality scores varied from 100 to -100 and the functional MR imaging scores varied from 100 to -10. The language lateralization scores determined by functional MR imaging correlated significantly with the language lateralization scores derived from Wada testing. CONCLUSION: Functional MR imaging performed during word generation is an accurate method for lateralizing language function in patients with complex partial epilepsy.

Adult↗