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Biomedical subjects

G A Wright

Publications and source records attributed to G A Wright.

48 records · Page 3Linked to original sources

Flow-independent magnetic resonance projection angiography.

The performance of current, flow-based sequences for imaging vasculature using MR is severely restricted in regions with inherently slow flow. We address this problem with a flow-independent imaging method. Specifically, we generate projection images of blood in the limbs while suppressing signal from all other tissues (primarily skeletal muscle, bone marrow, and subcutaneous fat) using a flow-compensated, water-selective, short TI inversion recovery sequence with a long echo time. We experimentally evaluate the effectiveness of this sequence and present in vivo results clearly demonstrating the method's potential.

Adipose Tissue↗

Computing material-selective projection images in MR.

We detail a robust, general method for computing projection images of individual materials in a volume as linear combinations of MR projection images with different material-dependent weightings. Signal per unit volume for each material in each raw image is acquired directly for accurate cancellation of undesired, overlapping materials. The weighted sum of the input images is determined to maximize the signal-to-noise ratio (SNR) and minimize inhomogeneity effects in the material-selective images. We tested the implementation experimentally in both phantom and human studies, producing selective images with reasonable SNRs and material isolation. With further development of sequences to rapidly acquire input images having greater material differentiability, we envision the application of the selective projection imaging format to screening studies searching over large volumes for diseased tissues.

Humans↗

Tetany and myocardial arrhythmia due to hypomagnesaemia. A case report.

An 11-year-old boy with acute intestinal obstruction presented with tetany, and developed myocardial arrhythmia during anaesthesia. The procedure was abandoned and the patient further investigated. He was found to have hypomagnesaemia and normocalcaemia. Intravenous magnesium sulphate corrected the tetany, and no further arrhythmia occurred during subsequent surgery.

Arrhythmias, Cardiac↗

1991 I.I. Rabi Award. Estimating oxygen saturation of blood in vivo with MR imaging at 1.5 T.

The use of magnetic resonance (MR) imaging is investigated for noninvasively estimating the oxygen saturation of human blood (%HbO2) in vivo by means of relaxation characteristics identified in earlier MR spectrometry studies. To this end, a sequence is presented for determining the T2 of vascular blood in regions in which motions of the body and of the blood itself present a major challenge. With use of this sequence on a commercial 1.5-T whole-body imager, the relationship between the T2 and %HbO2 of blood is calibrated in vitro for the conditions expected in vivo. T2 varies predictably from about 30 to 250 msec as %HbO2 varies from 30% to 96%. T2 values measured in situ for vascular blood in the mediastinum of several healthy subjects qualitatively reflected the behavior observed in vitro. Estimates of %HbO2 for these vessels obtained with the in vitro calibration appear reasonable, particularly for venous blood, although difficulties arise in selecting the appropriate calibration factors. These encouraging initial results support a more systematic study of potential sources of error and an examination of the accuracy of in vivo measurements by comparison with direct measurements of %HbO2 in vessels.

Awards and Prizes↗

Flow-independent angiography for peripheral vascular disease: initial in-vivo results.

Flow-independent angiography (FIA), an approach that isolates arterial blood using MR relaxation characteristics rather than flow effects, was evaluated for application in peripheral vascular disease (PVD). First, pilot studies were conducted in which FIA coronal projection images were obtained from controls and symptomatic patients with PVD to assess clinical utility. All control images corresponded to the expected leg arterial anatomy with little interference from deep veins (one of five) and muscle (zero of five). Superficial venous signal was less well suppressed in comparison to deep veins (four of five). Images of symptomatic patients were less consistent with difficulty suppressing muscle and deep venous signal in some cases and edema when present. We then compared T2 values for muscle (T2m, tibialis anterior), arterial blood (femoral and popliteal arteries), and venous blood (femoral, popliteal, and saphenous veins) in controls (n = 8) and symptomatic patients with intermittent claudication (n = 5) or ischemic rest pain (n = 7). Changes in T2 measurements of various tissues accounted for poorer contrast in symptomatic patients. Patients with ischemic rest pain had significantly higher T2m compared with controls (T2m = 39.3 +/- 2.1 (1 standard error of the mean [SEM]) versus 30.9 +/- .4, P < .01). For all measurements, other than saphenous vein, variances were greater in symptomatic patients. To realize the inherent advantages of FIA for this clinical application, additional work on suppression of signals from muscle, veins, and edema is required. One promising approach involves shifting from projection images to three-dimensional acquisitions for improved tissue suppression.

Adult↗

Dynamic scan-plane tracking using MR position monitoring.

An MR-based method for tracking subject motion is presented. The technique identifies subject motion from the three-dimensional positions of three small samples attached to the subject in a fixed, triangular configuration. The updated positions of these samples relative to their initial positions determine a rigid body transformation. Applied to the MRI scan prescription via adaptive feedback controls, this transformation yields an updated MRI scan plane that tracks the prescribed imaging section as the subject moves. The scan-plane tracking procedure is demonstrated experimentally for two-dimensional imaging of a standard imaging phantom and the head of a human subject. Sets of images were acquired sequentially, with motion (translations and/or rotations) introduced between image frames. The scan-plane tracking system provides well registered image slices of the same section, adaptively compensating for the subject motion.

Artifacts↗

Noise in stenosis measurement using digital subtraction angiography.

This paper examines statistical errors in the measurement of arterial stenoses by digital videodensitometry. Images of vessel phantoms were acquired using digital subtraction angiographic techniques with low concentrations of an iodine contrast medium and low levels of x-ray exposure. Effects of the spatial and temporal averaging of image information on signal-to-noise ratios in the stenosis measurement were of primary interest. The influences of iodine concentration, x-ray scatter, veiling glare, x-ray energy spectrum, x-ray exposure, and detective quantum efficiency of the system were also included in the theoretical analysis. The agreement between theoretical calculation and experimental measurement of a simulated vessel was verified using measured values of the imaging system parameters. With a 14.2 mg/ml iodine concentration, using 20 mR per image at the entrance to a 13-cm water phantom, and averaging over a 6-mm length of a vessel 6.2 mm in diameter, the standard deviation in a measurement of a vessel's relative cross-sectional area was about 0.05. The extension of these results to practical applications in vivo is discussed.

Angiography↗

Repeated dose toxicity study (28 days) in rats and mice with N-methylpyrrolidone (NMP).

Twenty-eight day feeding studies were conducted to evaluate the repeated dose toxicity of NMP, a widely used industrial solvent, in Crl:CD BR rats and B6C3F1 mice. Groups of 5 male and 5 female rats each were fed either 0, 2,000, 6,000, 18,000, or 30,000 ppm NMP; similar groups of mice were fed either 0, 500, 2,500, 7,500, or 10,000 ppm. In vivo parameters, hematology and clinical chemistry parameters, and complete pathology evaluations were conducted after approximately 28 days. Decrements in mean body weight gains, reflecting decreases in food consumption and efficiency, were seen in male rats fed 18,000 ppm and in both sexes fed 30,000 ppm. In rats, clinical chemical changes, indicating possible compound-related alterations in lipid, protein, and carbohydrate metabolism, occurred at 18,000 ppm in males and 30,000 ppm in both sexes. No histopathological changes in rats were judged to be directly related to NMP exposure. Hematological (mild to moderate leukopenia) and histopathological alterations (hypocellular bone marrow, testicular degeneration and atrophy, and thymic atrophy) were judged to be secondary to nutritional and body weight effects in male and/or female rats at 30,000 ppm. In mice, cloudy swelling of the epithelia of the distal parts of the renal tubuli was observed in 4 males and 3 females at 10,000 ppm and in 2 male mice at 7,500 ppm. For both rats and mice, abnormal urine coloration was observed (in mice at 2,500 ppm and above, and in rats at 18,000 ppm and above). The discoloration was interpreted as a sign of systemic availability of the test substance, but not as an adverse effect. The NOAEL was 6,000 ppm for male rats and 18,000 ppm for female rats. In mice, the NOAEL was 2,500 ppm based on the kidney histopathology.

Administration, Oral↗