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H W Fischer

Publications and source records attributed to H W Fischer.

At least 19 recordsLinked to original sources

Nuclear relaxation of human brain gray and white matter: analysis of field dependence and implications for MRI.

The dependence of 1/T1 on the magnetic field strength (the relaxation dispersion) has been measured at 37 degrees C on autopsy samples of human brain gray and white matter at field strengths corresponding to proton Larmor frequencies between 10 kHz and 50 MHz (0.0002-1.2 T). Additional measurements of 1/T1 and 1/T2 have been performed at 200 MHz (4.7 T) and 20 MHz (0.47 T), respectively. Absolute signal amplitudes are found to be proportional to the sample water content, not to the "proton density," and it is concluded that the myelin lipids do not contribute to the signal. Transverse magnetization decay data can be fitted with a triple exponential function, giving characteristic results for each tissue type, and are insensitive to variations of the pulse spacing interval. The longitudinal relaxation dispersion curves show characteristic shapes for each tissue type. The most striking difference is a large dispersion for white matter at very high fields. As a consequence, the relative difference in 1/T1 between gray and white matter shows a marked maximum around 10 MHz. Possible implications for MRI are discussed. A weighted least-squares fit of the dispersions has been performed using a four-parameter function of the form 1/T1 = 1/T1,w + D + A/(1 + (f/fc)beta'). The quality of the fit is superior to that of other functions proposed previously. The results of these fits are used to predict image contrast between gray and white matter at different field strengths.

Brain↗

The effect of aging and storage conditions on excised tissues as monitored by longitudinal relaxation dispersion profiles.

Knowledge about the dependence of NMR parameters of excised tissues on time and storage conditions is important for correct interpretation of in vivo clinical results based upon in vitro measurements which in many cases are easier to perform. Literature data on this topic are scarce and sometimes contradictory. In this study, we investigated the change of the proton longitudinal relaxation rate (1/T1) of freshly excised rat tissues with storage conditions over a wide range of proton Larmor frequencies (0.01-50 MHz). Special interest was paid to long-term storage in the deep frozen state. After deep freezing of tissue samples on dry ice, no significant changes in 1/T1 over the whole frequency range could be observed for brain tissue, whereas for muscle and liver tissue characteristic alterations were detected. We conclude that for normal brain tissue this storage procedure is suitable for the prediction of in vivo 1/T1 results from in vitro studies.

Animals↗

The uncommon longitudinal relaxation dispersion of human brain white matter.

Human brain white matter exhibits an uncommonly strong dispersion of 1/T1 at high fields. An additional relaxation pathway via the myelin lipids, which are not directly visible to medical NMR due to their fast T2 decay, is proposed. Relaxation dispersion data are successfully analyzed on the basis of this model.

Body Water↗

Particulate suspensions as ultrasonic contrast agents for liver and spleen.

Ultrasonic backscatter and attenuation coefficients of a medium can be increased by the addition of solid, micron-size inhomogeneities. A potentially useful agent for ultrasonic contrast of liver images has been identified. Iodipamide ethyl ester (IDE) particles can be produced in the form of dense, relatively incompressible solids with high impedance mismatch to water. The chemical, biochemical, and pharmacologic properties of the small, uniform diameter IDE particles permit safe intravenous injection followed by rapid accumulation of reticuloendothelial (RE) cells of the liver and spleen, and later elimination from these organs. Since the particles are phagocytized by RE cells, present in normal liver but not in tumors and many lesions, the selective enhancement of ultrasonic backscatter should improve detectability of lesions that are hypoechoic or isoechoic compared with surrounding tissue. The mechanisms of particle-ultrasound interaction may be described by relative motion attenuation, and scattering from a cloud of dense, incompressible spheres for the case of IDE particles in agar. Thus, values of attenuation and backscatter can be controlled by choice of ultrasound frequency and particle concentration and size. When the particles are accumulated in rat and rabbit livers, additional mechanisms induce attenuation and backscatter in excess of that predicted by IDE in agar. This preliminary work demonstrates that solid, biocompatible particles may be useful as an ultrasonic contrast agent.

Animals↗

Field-cycling relaxometry: medical applications.

Relaxometry between 10 kHz and 200 MHz (0.2 mT and 4.7 T) with a field-cycling device and a high-field-strength magnetic resonance (MR) unit permitted the determination of longitudinal relaxation rates of tissues and chemical compounds at numerous field strengths. The resulting nuclear magnetic relaxation dispersion profiles allowed the prediction of tissue contrast and efficacy of contrast agents at any field strength. Pure T1 contrast of normal brain tissue and pathologic lesions (multiple sclerosis, astrocytoma) increased from low field strengths to a maximum between 10 and 20 MHz and decreased afterward. Quadripolar dips reflecting the interaction between water and nitrogen atoms of the protein backbone appeared at 2.15 and 2.8 MHz, reducing T1 and opening the possibility of shorter imaging times and better tissue discrimination at these field strengths. Furthermore, it was shown that zero T1 contrast between normal and pathologic tissue samples may exist at certain field strengths. Gadolinium diethylenetriaminepentaacetic acid and gadolinium tetraazacyclododecanetetraacetic acid provided different contrast enhancement depending on the field strength.

Animals↗

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Hospital Information Systems↗

Effect of multiple intravenous injections of diatrizoate on iodine concentrations and osmolality. An experimental study in rabbits.

Multiple intravenous injections of contrast media are used in radiology, but information regarding corresponding changes in the serum iodine concentrations and osmolality is lacking. We measured the changes in serum iodine concentration and serum osmolality in rabbits after a series of intravenous injections of contrast media. Hypaque-76 (1 cc/kg) was injected intravenously in awake rabbits at 10-minute intervals for 1 hour and arterial blood sampled at midpoint times between injections. During the 1-hour period of seven serial injections, mean serum iodine concentration at 5 minutes was 2.3 mg I/cc (+/- 0.1 SEM, n = 14); at 35 minutes, 5.1 mg I/cc (+/- 0.2); and at 65 minutes, 6.7 mg I/cc (+/- 0.4). The mean peak concentration was 6.8 mg I/cc (+/- 0.4). Serum osmolality underwent a mean increase of 16 mosm/kg during the injection period. Hypertonic mannitol injections produced a smaller increase in osmolality (10 mosm/kg). Isotonic saline injections in control animals produced no change in osmolality.

Animals↗

High-dose clinical urography with the low-osmolality contrast agent Hexabrix: comparison with a conventional contrast agent.

A double-blind clinical trial was performed in 60 patients to compare Hexabrix (ioxaglate meglumine and ioxaglate sodium) and Renografin-60 (diatrizoate meglumine and diatrizoate sodium). Use of Hexabrix produced higher urinary iodine concentrations, lower urine volumes at 30 minutes, and excretory urograms significantly better in diagnostic quality, as rated by four independent observers. There was no difference in nephrogram quality between contrast agents. Patients receiving Hexabrix had less of an increase in heart rate and demonstrated a slight rise in mean arterial blood pressure, rather than the biphasic rise then fall seen with Renografin-60. There was no significant change for up to 96 hours after urography in results of hematology, clinical chemistry, or urinalysis, except for an increase of 0.005 in urine specific gravity with Renografin-60. Patients reported significantly less body heat, heat in the injection arm, and overall discomfort with Hexabrix. There was a similar amount of nausea and vomiting in the two groups. Hexabrix also caused histaminic-type reactions in three patients.

Adult↗

Effects of contrast media on renal function and subcellular morphology in the dog.

The effects of intravenous contrast media (CM) on renal excretory function and subcellular morphology are examined in this animal investigation. A decrease in GFR (12.0 +/- 1.6 vs. control 30.2 +/- 2.5 ml/min) was observed when renal function was evaluated by means of the artero-venous extraction method with Tc99m DTPA and the anticipated inverse relationship to urinary flow (Vml/min) noted. An artifactual increase in GFR (43.5 +/- 10.0 vs. control 39.1 +/- 3.8 ml/min) was observed using the timed urinary clearance of inulin. V(ml/min) increased four-fold (0.6 +/- 0.16 control vs. 2.7 +/- 0.7 ml/min; P less than .05) over the first five minutes after injection of CM. Urine osmolality initially approached isotonicity and then returned toward preinjection values. Osmolal clearance (Cosm) rose 2.5 times (1.4 +/- 0.3 control vs. 3.7 +/- 1.0 ml/min; P less than .05). The fractional excretion of both Na+ (FENa+) and K+ (FEK+) increased. A comparison of urinary osmolality vs. time after injection of CM confirms a nonspecific osmotic effect on tubular (and hence total urine) flow. The hemodynamic effects of CM on the kidney via the i.v. route reflect a predominant and nonspecific osmotically mediated vasodilation. No significant light or electron microscopic changes were observed. These findings suggest that the major renal physiologic actions of hypertonic CM are a nonspecific response to agent osmolality.

Animals↗

Measurement of lung gas volume and regional density by computed tomography in dogs.

To determine if computed tomography (CT) can accurately measure lung volume, we compared lung gas volume measured by helium dilution with the equivalent volume calculated from CT total lung volume and density in 13 supine dogs. CT lung gas volume underestimated helium volume by 34% (range: -63 to 0%). Studies of wooden lung phantoms varying in density from 0.082g/cc to 0.776g/cc showed that only 15% of this error could be mimicked by the phantoms. The rest of the discrepancy is attributed to the lung's irregular borders, and the sharp density gradients surrounding and within the lung that result in x-ray beam hardening, sampling limitations, and partial volume measurement errors. Serial biweekly measurements in three dogs for 14 weeks showed CT gas volume to be highly reproducible with less scatter than seen in the helium measurements. Density in the lungs of all dogs showed a uniform gradual decrease from approximately 0.60g/cc at the dependent surface to 0.20g/cc at the superior surface with relatively constant density at any horizontal level. These studies show that whereas CT underestimates gas volume in the lungs, serial measurements are highly reproducible in experimental studies and are a promising technique to monitor diseases or response to therapy. Density gradients in the lungs were sufficiently uniform so that disruption of the normal gradient may be an indicator of early lung disease.

Animals↗