Biomedical subjects

G Z Yang

Publications and source records attributed to G Z Yang.

At least 19 recordsLinked to original sources

PubMed2000

Asymmetric redirection of flow through the heart.

Through cardiac looping during embryonic development, paths of flow through the mature heart have direction changes and asymmetries whose topology and functional significance remain relatively unexplored. Here we show, using magnetic resonance velocity mapping, the asymmetric redirection of streaming blood in atrial and ventricular cavities of the adult human heart, with sinuous, chirally asymmetric paths of flow through the whole. On the basis of mapped flow fields and drawings that illustrate spatial relations between flow paths, we propose that asymmetries and curvatures of the looped heart have potential fluidic and dynamic advantages. Patterns of atrial filling seem to be asymmetric in a manner that allows the momentum of inflowing streams to be redirected towards atrio-ventricular valves, and the change in direction at ventricular level is such that recoil away from ejected blood is in a direction that can enhance rather than inhibit ventriculo-atrial coupling. Chiral asymmetry might help to minimize dissipative interaction between entering, recirculating and outflowing streams. These factors might combine to allow a reciprocating, sling-like, 'morphodynamic' mode of action to come into effect when heart rate and output increase during exercise.

Adult↗

PubMed1999

Safety and preliminary findings with the intravascular contrast agent NC100150 injection for MR coronary angiography.

In this Phase I clinical study, a novel ultrasmall superparamagnetic iron oxide contrast agent, NC100150 Injection (Nycomed Imaging, Oslo, Norway, a part of Nycomed Amersham), was used in two-dimensional magnetic resonance coronary angiography (MRCA). Safety and imaging data were acquired from 18 healthy male volunteers at both 0.5 and 1.5 T, before and after the administration of NC100150 Injection. Through-plane and in-plane images of the right coronary artery were analyzed. The postcontrast imaging sequences used prepulses and a high flip angle, to introduce T1 weighting. At 1.5 T (TE 2.6 msec), the through-plane coronary artery signal-to-noise ratio (SNR) (P = 0.04), coronary artery-to-fat signal difference-to-noise ratio (SDNR) (P = 0.001), coronary artery-to-myocardium SDNR (P<0.001), and coronary artery delineation (P<0.001) were improved by the administration of NC100150 Injection. For in-plane imaging, coronary artery delineation improved, but there were no significant changes in the SNR and SDNR. At 0.5 T, with the longer TE (6.7 msec) imaging sequence used, there was a reduction in the SNR (P = 0.01), the fat SDNR (through-plane P = 0.02; in-plane P = 0.25), and the coronary artery diameter (P<0.01 in both imaging planes). There was a trend toward improvement in the myocardial SDNR and coronary artery delineation. In conclusion, NC 100150 Injection was given safely to 18 healthy subjects, with no major adverse reactions. Coronary artery delineation was improved in both imaging planes at 1.5 T, with a trend toward improvement at 0.5 T. At 1.5 T, with a short TE imaging sequence, the marked T1 shortening effects of NC100150 Injection were dominant, leading to an improvement in the quantitative parameters for the through-plane images. At 0.5 T, with a longer TE imaging sequence, the T2* effects of the contrast agent played a role in reducing the quantitative image parameters. With further optimization of imaging sequences, to take advantage of the long-lived intravascular T1 shortening effect of NC100150 Injection, further improvements in MRCA will be possible.

Adult↗

PubMed1999

First-pass myocardial perfusion imaging and equilibrium signal changes using the intravascular contrast agent NC100150 injection.

In this phase I clinical study, the new ultrasmall superparamagnetic iron oxide contrast agent, NC100150 Injection (Nycomed AS, Oslo, Norway, a part of Nycomed Amersham), was assessed for first-pass magnetic resonance myocardial perfusion studies and its ability to produce equilibrium signal changes, as a possible indicator of myocardial blood volume. Data were acquired in 18 healthy male volunteers at 0.5 T and 1.5 T. At both field strengths, first-pass studies using T1-weighted sequences were acquired. Long TE spin-echo echoplanar imaging (EPI) was used at 0.5 T and short TE fast low-angle shot (FLASH) imaging at 1.5 T. With both sequences, T1 effects dominated the images for low doses, and time intensity curves potentially suitable for perfusion analysis were generated. At higher doses, T2 and T2* effects were observed. At 1.5 T, these predominantly affected the blood pool signal; however, at 0.5 T the myocardial signal was also involved, reflecting the relative T2 and T2* sensitivity of the spin-echo EPI sequence as a result of the long TE and long readout window, respectively. Equilibrium changes were assessed at both field strengths using T1-weighted FLASH sequences and in addition at 1.5 T using T2*-weighted gradient-echo EPI. With the T1-weighted images at both field strengths, signal changes were observed in all subjects; however, no dose-response relationship could be shown. With the T2*-weighted EPI there was significantly lower signal (P < 0.05) with the 3 and 4 mg/kg doses than with the 2 mg/kg dose. In conclusion, NC100150 Injection is useful for first-pass myocardial perfusion using T1-weighted sequences; however, low doses in combination with short TE sequences are required to minimize sensitivity to T2* effects. Equilibrium signal changes can also be induced in the myocardium. More work is required to optimize the imaging sequences and dose of NC100150 Injection for first-pass studies and also to determine whether the equilibrium signal changes can be used to measure myocardial blood volume changes in ischemic heart disease.

Adult↗

PubMed1999

Locally focused 3D coronary imaging using volume-selective RF excitation.

This paper describes a locally focused magnetic resonance (MR) imaging method for three-dimensional (3D) zonal echoplanar coronary angiography using volume-selective radiofrequency (RF) excitation. Spatially variable resolution was used for delineating coronary arteries and reducing the effect of residual signals caused by the imperfect excitation profile of the RF pulse. The use of variable resolution enabled the derivation of basis functions having different spatial characteristics pertaining to regional object details, and a significantly smaller number of phase-encoded signal measurements was needed for image reconstruction. Based on the relative significance of each required phase-encoding step, real-time phase-encode reordering was used to minimize the effect of respiratory motion during coronary imaging. To eliminate Nyquist ghosting in oblique echoplanar imaging, the echoplanar data acquired during forward and reverse echoes were reconstructed separately and then averaged with spatial registration for improving the signal-to-noise ratio. The technique was evaluated with phantom experiments and right coronary artery images of 11 asymptomatic volunteers using a 0.5 T MR system. A marked improvement in image quality has been achieved despite a 30% reduction in imaging time.

Artifacts↗

PubMed1999

Coronary artery imaging in a 0.5-Tesla scanner: implementation of real-time, navigator echo-controlled segmented k-space FLASH and interleaved-spiral sequences.

Coronary angiography techniques have been implemented on a 0.5-Tesla scanner with a view to performing coronary artery imaging. Slice-followed, segmented k-space FLASH sequences and interleaved-spiral sequences have been employed with acquisitions under real-time navigator echo control with patient feed back, enabling poor signal-to-noise levels to be overcome by averaging data acquired over multiple, variable-length, reproducible breath holds. Good-quality, millimetre-resolution coronary images were obtained in ten normal subjects with both techniques. The mean percent of data segments or interleaves acquired with the navigator echo within the 5-mm diaphragm acceptance window was 57% [standard deviation (S.D.), 11%; range, 38-85%], and the average image-acquisition times were 123+/-22 sec and 71+/-14 sec for segmented FLASH and interleaved-spiral imaging, respectively. In addition to shorter acquisition times, the interleaved-spiral sequence has superior temporal resolution, allowing the acquisition of limited, multislice data sets. However, the sequence is particularly sensitive to the off-resonance effects of residual epicardial fat surrounding the artery and to field nonuniformities, both of which lead to image blurring and, unlike segmented FLASH acquisitions (which are very robust), the spiral data sets generally require postprocessing.

Adult↗

PubMed1999

Motion-selective encoding for fast cine imaging.

In magnetic resonance (MR) cine imaging applications, it is common that only a fraction of the field of view is used for delineating dynamic features whereas surrounding static structures are merely served as landmarks for three-dimensional orientation. This paper presents a method of using motion-selective encoding for fast cine imaging. By the use of a simple RF saturation pulse, the imaging field of view was divided into two areas, one with motion and the other without. This allowed the static material to be imaged by fast ungated acquisition and dynamic structures by reduced phase encoding. Issues related to phase error correction were addressed and the proposed algorithm was validated using images acquired from five normal subjects. The saving in imaging time was dependent on the size of the moving structures and a 35% reduction in imaging time did not cause visually noticeable changes in image quality. The application of the technique is limited to cine images with large surrounding static structures and a theoretical analysis of maximum savings in imaging time in relation to the size of the moving structures within the image field of view is provided. Magn Reson Med 42:430-435, 1999.

Adult↗

PubMed1999

[Expression of chimeric single-chain antibody with specificity for HBsAg in E. coli].

The Vk gene of MAb with specificity for HBsAg and human Ck gene have been combined to form chimeric light chain (Vk-Ck) by recombinant PCR, which has combined with VH to construct chimeric single-chain antibody(ScFv-Ck) by a linker encoding a flexible peptide[(Gly3 Ser)3]. The ScFv-Ck has been expressed in the heat-induced expression system and secreted expression system of E. coli respectively. Analysis by Western-blot and indirect ELISA shows that the ScFv-Ck product in two systems both have HBsAg-binding ability, and ScFv-Ck has been secreted from E. coli in the direction of secretion peptide.

Blotting, Western↗

PubMed1998

FID-based lung MRI at 0.5 T: theoretical considerations and practical implications.

Pulse sequences based on FID signals and projection reconstruction (PR) were investigated for lung MRI at 0.5 T and evaluated for artifacts caused by: (1) k-space mismapping due to either delay or distortion of the readout gradient waveform, (2) cardiac motion and pulsatile flow, and (3) respiratory motion. Nonstructured artifacts were described, simulated, and experimentally confirmed for the first time. Nonstructured artifacts did not impair the demonstration of structures of high signal-to-noise ratio (SNR) but generated quantitative errors in the image intensity analysis over the lung parenchyma. The use of FID-based PR techniques for lung MRI is not justified at 0.5 T.

Artifacts↗

PubMed1998

Three-dimensional coronary MR angiography using zonal echo planar imaging.

Using an adapted two-dimensional spatially selective RF excitation scheme, a novel yet practical three-dimensional (3D) zonal echo-planar imaging technique for MR coronary angiography has been developed. The robustness of the technique compared with the two-dimensional (2D) segmented fast low angle shot (FLASH) method was evaluated using the right coronary artery images of 16 asymptomatic volunteers with a 0.5-T mobile scanner. Each 3D acquisition required multiple breath-holds, and real-time navigator echoes were used to ensure consistent breath-holding. Advantages of the technique include an improved signal-to-noise ratio, clearer depiction of tortuous coronary vessels due to decreased partial volume effects, and reduced motion blurring by the use of a short echo-planar readout.

Adult↗

PubMed1998

Diversity of cDNAs encoding phospholipase A2 from Agkistrodon halys pallas venom, and its expression in E. coli.

As a step toward understanding the structure and function of phospholipase A2(PLA2), we isolated several novel cDNAs encoding Agkistrodon halys Pallas PLA2 isoenzymes including B-PLA2, Asn49-PLA2, A-PLA2, A'-PLA2 and BA1-PLA2 by polymerase chain reaction with oligonucleotide primers corresponding to the N- and C-terminus of these enzymes. The amino acid sequences of A-PLA2 deduced from cDNA are consistent with that isolated from venom except for four residues. Asn49-PLA2 and B-PLA2 are highly similar (> 95%), but the critical residue Asp49 in the active centre of B-PLA2 is replaced by Asn49 in Asn49-PLA2. The N-terminal residues (1-24) of BA1-PLA2 shows high similarity to that of B-PLA2 which has strong ability to hemolyze erythrocytes, while its C-terminal residues (72-125) are the same as that of A-PLA2 which can inhibit platelet aggregation. The successful cloning of these isoenzymes not only provide excellent native material to study the structure-function relationship of PLA2s, but also to disclose the genesis of structural diversity of PLA2s, namely DNA modification and gene rearrangement. The cloned cDNA for A-PLA2 has been expressed in E. coli. By Q-Sepharose column chromatography, denaturation-renaturation and FPLC, we obtained the active recombinant protein with the initiator Met. This is the first report of the production of an active recombinant PLA2 with the initiator Met.

Agkistrodon↗

PubMed1998

Motion and deformation tracking for short-axis echo-planar myocardial perfusion imaging.

The assessment of regional myocardial perfusion during the first-pass of a contrast agent bolus requires tracking of the signal time course for each myocardial segment so that a detailed perfusion map can be derived. To obtain such a map in practice, however, is not trivial because deformation of the shape of the myocardium and respiratory-induced motion render a major difficulty in this process. This study describes an automated approach for motion and deformation tracking of functional myocardial perfusion images. The effectiveness of the described method has been evaluated using a numerical phantom and results are compared with those from existing techniques which use deformable models. Preliminary results from applying our approach to 20 patients are discussed and compared with those from SPECT studies.

Aged↗

PubMed1998

Enhancement of subtle density differences of the lung parenchyma on CT.

Several pulmonary conditions are characterized by the finding of areas of decreased attenuation relative to adjacent normal lung parenchyma on computed tomography. In particular, the identification of areas of the lung affected by small airways disease is difficult as the reduction in lung density is subtle and the regions are poorly marginated. This paper presents a novel wavelet analysis technique which increases the conspicuity of differences between normal and abnormal lung parenchyma.

Humans↗

PubMed1997

Non-breath-hold lung magnetic resonance imaging with real-time navigation.

Magnetic resonance imaging (MRI) with navigating techniques based on consecutive breath-holds demand a level of respiratory control that is often beyond the capability of patients with lung disease. The objectives of this investigation were to develop and evaluate a navigating technique for lung MRI that does not rely on patient cooperation. Navigating techniques were implemented at 0.5 T using conventional imaging techniques of short echo-time and imaging during normal breathing in the diastolic phase of the cardiac cycle. A column of spins, orthogonal to the diaphragm, was excited both immediately before and after the imaging segment. These signals were processed in real time to provide the position of the lung-diaphragm interface. An imaging segment was considered correctly acquired only when the interface position was within the acceptance window both before and after the acquisition of the segment. A distribution of lung-diaphragm interface positions obtained during normal respiration was employed to define the acceptance window. In the case of multislice techniques, the position of the lung-diaphragm interface immediately before the imaging segment was also employed to decide which phase-encoding step to acquire next, therefore reducing the apparent frequency of the respiratory motion. A distribution of interface positions, updated in real time, served as a reference for the allocation of phase-encoding steps according to diaphragm position. The lung images obtained represent a significant advance in image quality, improving further the ability of MR to detect and monitor pulmonary disease. Motion artifacts were reduced, and images reliably demonstrated smaller vessels, which are not normally visible without navigation.

Computer Systems↗

PubMed1997

Three-dimensional computed tomography bronchoscopy using clinical datasets: a comparison with fibreoptic bronchoscopy.

OBJECTIVE: To assess three-dimensional computed tomography 'bronchoscopic' (3-DCTB) reconstruction of routine CT data as a non-invasive method of airway visualization, and compare it with fibreoptic bronchoscopy (FOB). METHODS: Fourteen datasets were acquired from 13 patients undergoing both FOB and CT examination of the chest. Standard continuous volume CT using 6 mm collimation and clinical FOB techniques were employed. Images were obtained from 3-DCTB reconstructions by segmentation and surface recognition algorithms generating surface rendered 'bronchoscopic views'. These were scored for technical quality and anatomical detail. The most distal bronchi seen in left upper and right lower lobes were recorded for FOB and 3-DCTB. RESULTS: On FOB, the subsegmental bronchi were seen in right lower and in left upper lobe in 10/14 cases and 4/14 cases, respectively. Visualization of the subsegmental airways was not achieved with 3-DCTB, as they could not be identified with confidence. 3-DCTB never achieved a more distal view than obtained by FOB. Using 3-DCT, the right, lower lobe segmental bronchi were seen in 10/14 cases, and lobar bronchus in 14/14 cases (two occluded). In the left upper lobe, 3-DCT showed segmental bronchi in 6/14 cases, lobar bronchus in 11/14 cases (one occluded) and the left main bronchus appeared occluded in 3/14 cases. Overall, technical quality and anatomical detail scores of the carina and proximal bronchi ranked significantly higher than views of segmental bronchi. CONCLUSIONS: 3-DCTB cannot routinely replace FOB for inspection of major and segmental bronchi. Subsegmental bronchi cannot be adequately demonstrated by 3-DCTB using 6 mm collimation datasets.

Adult↗

PubMed1997

Automatic tracking of the aorta in cardiovascular MR images using deformable models.

We present a new algorithm for the robust and accurate tracking of the aorta in cardiovascular magnetic resonance (MR) images. First, a rough estimate of the location and diameter of the aorta is obtained by applying a multiscale medial-response function using the available a priori knowledge. Then, this estimate is refined using an energy-minimizing deformable model which we define in a Markov-random-field (MRF) framework. In this context, we propose a global minimization technique based on stochastic relaxation, Simulated annealing (SA), which is shown to be superior to other minimization techniques, for minimizing the energy of the deformable model. We have evaluated the performance and robustness of the algorithm on clinical compliance studies in cardiovascular MR images. The segmentation and tracking has been successfully tested in spin-echo MR images of the aorta. The results show the ability of the algorithm to produce not only accurate, but also very reliable results in clinical routine applications.

Algorithms↗

PubMed1997

CT image enhancement with wavelet analysis for the detection of small airways disease.

Bronchiolar obstruction is commonly manifested in computed tomography (CT) images as areas of decreased attenuation relative to adjacent normal lung parenchyma. The certain identification of such areas is difficult in practice, particularly if they are poorly marginated. This paper presents a novel approach to the enhancement of feature differences between normal and diseased lung parenchyma so that reliable visual assessment can be made. The method relies on a hybrid structural filtering technique which removes pulmonary vessels appearing in the CT cross-sectional images without affecting intrinsic subtle intensity details of the lung parenchyma. In order to restore possible structural distortions introduced by the hybrid filter, a feature localization process based on wavelet reconstruction of feature extrema is used. After contrast enhancement the resultant images are used to delineate region borders of the diseased areas and quantification is made with regard to the extent of the disease.

Bronchiolitis Obliterans↗

PubMed1996

Computation of flow pressure fields from magnetic resonance velocity mapping.

Magnetic resonance phase velocity mapping has unrivalled capacities for acquiring in vivo multi-directional blood flow information. In this study, the authors set out to derive both spatial and temporal components of acceleration, and hence differences of pressure in a flow field using cine magnetic resonance velocity data. An efficient numerical algorithm based on the Navier-Stokes equations for incompressible Newtonian fluid was used. The computational approach was validated with in vitro flow phantoms. This work aims to contribute to a better understanding of cardiovascular dynamics and to serve as a basis for investigating pulsatile pressure/flow relationships associated with normal and impaired cardiovascular function.

Algorithms↗

PubMed1996

A comparison of left ventricular myocardial velocity in diastole measured by magnetic resonance and left ventricular filling measured by Doppler echocardiography.

Abnormal diastolic left ventricular function is an early marker for myocardial disease and may be impaired even when global systolic function is normal. Subendocardial function is affected early in ischaemic heart disease and by altering left ventricular long axis motion, may contribute to abnormal transmitral pressure gradients. Regional myocardial long axis velocity in diastole measured by magnetic resonance was compared with left ventricular filling measured by Doppler echocardiography in 25 patients with coronary artery disease. Fifteen patients also underwent magnetic resonance assessment at the time of onset of early diastolic blood flow. The onset of diastolic long axis velocity preceded flow across the mitral valve by a mean of 46 ms. Mean long axis myocardial velocity correlated with peak early filling velocity (E) (r = 0.73, P < 0.001), early deceleration (r = -0.73, P < 0.001), and the early to late filling ratio (E/A) ratio (r = 0.6, P < 0.01). Maximum myocardial long axis velocity also correlated with peak early filling velocity (r = 0.56, P < 0.01), early deceleration rate (r = 0.63, P < 0.001), and the E/A ratio (r = 0.53, P < 0.01). The variability of long axis velocity around the ventricle correlated inversely with peak early filling, (r = -0.7, P < 0.001), early deceleration (r = -0.56, P < 0.01), and the E/A ratio (r = -0.48, P < 0.02). Peak atrial filling velocity did not correlate with any measure of long axis myocardial velocity. We conclude that early diastolic long axis myocardial velocity has a significant effect on left ventricular filling.

Adult↗