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Biomedical subjects

J C Gore

Publications and source records attributed to J C Gore.

At least 127 records · Page 7Linked to original sources
PubMed1994

Analysis and correction of motion artifacts in diffusion weighted imaging.

For diffusion-weighted magnetic resonance imaging and under circumstances where patient movement can be modeled as rigid body motion, it is shown both theoretically and experimentally that translations and rotations produce phase errors which are zero- and first-order, respectively, in position. While a navigator echo can be used to correct the imaging data for arbitrary translations, only when the diffusion gradient is applied in the phase encode direction is there sufficient information to correct for rotations around all axes, and therefore for general rigid body motion. Experiments in test objects and human brain imaging confirm theoretical predictions and demonstrate that appropriate corrections dramatically improve image quality in vivo.

Algorithms↗
PubMed1994

Localized in vivo 31P NMR spectroscopy of skin flap metabolism.

We have used a rectangular surface coil and chemical shift imaging to conduct in vivo localized 31P NMR metabolic studies in a rat dorsal skin flap model. This approach permits regional comparisons without manipulation of either coil position or subject within the magnet bore. Both the PCr:Pi ratio (reflecting ischemia insult) and the PCr:ATP ratio (reflecting phosphagen reserves) decreased as functions of time and distance from the vascular pedicle. The maximum change was nearly 6-fold for the PCr:Pi ratio, and 3-fold for the PCr:ATP ratio. Signal contamination from subjacent muscle is constant and does not interfere with the metabolic evaluations of skin flaps. This technique may facilitate a better understanding of cutaneous metabolic derangements, such as burns and skin flaps used in reconstructive surgery, as well as studies of pharmacologic regimens developed for their treatment. It also holds potential for application in the study of congenital and neoplastic metabolic disorders of skin.

Adenosine Triphosphate↗
PubMed1994

Measurements of transient contrast enhancement by localized water NMR spectroscopy.

It is shown that a localized spectroscopic method can be used to detect transient contrast enhancement of transverse relaxation and to measure cerebral blood volume. High-resolution spectra of the water resonance were recorded from small-volume elements of the brain following bolus administration of contrast agents. The integrated signal corresponds to the intensity that would be portrayed in a single voxel in an MR image. The spectral data can be analyzed to more precisely describe the alterations in tissue NMR signal incurred by the agent than is possible by simple image intensity measurement. In particular, the contributions to relaxation by diffusion of water molecules and static line broadening in the field inhomogeneities generated by intravascular contrast agents can be separately evaluated from the spectral analysis. The method has been used to study rat brain before and during bolus injections of contrast agents, and used to compare the differential effects of two different agents, viz., Gd-DTPA, and Dy-DTPA. While the integrated intensity change produced by Dy-DTPA was approximately 35% greater than that for Gd-DTPA, the corresponding linewidths differed by over 300%. This method may also provide measurements of changes in tissue oxygenation with high signal-to-noise ratios in brain activation studies.

Animals↗
PubMed1994

Mapping of turbulent intensity by magnetic resonance imaging.

The signal produced by turbulent flow in NMR pulse sequences has been analyzed by considering the effects of variations in fluid velocity on the net signal phase variance. It is shown that in a bipolar field gradient, the signal is dependent on the gradient amplitude and the precise time dependence of the velocity fluctuations. This dependence is described using an autocorrelation function, whose characteristic width is the correlation time. When the correlation time is short, the signal from fluid elements decreases as though they are diffusing in a random walk, whereas when the time is long, the signal falls more rapidly with an increase in the duration of the gradient waveform. However, many situations fall into an intermediate regime. A general expression appropriate for all correlation times has been derived and used to characterize the turbulent flow distal to a stenosis in a tube. By use of multiple images of the spatial distribution of NMR signal obtained with differing readout gradients and analyzed by application of the general expression for signal loss, the spatial variations in the correlation time and turbulent intensity have been obtained. The measured variations correlate well with computer calculations obtained by numerical simulation of the flow. This method permits turbulent and complex flows to be characterized without disturbing the flow and may have general applications.

Arterial Occlusive Diseases↗
PubMed1994

Abnormal magnetic resonance imaging T2 relaxation time asymmetries in Tourette's syndrome.

Recent imaging studies in Tourette's syndrome (TS) have reported a loss of normal asymmetry in basal ganglia volumes. Our recent report of reduced midline sagittal cross-sectional area in TS suggests that altered lateralization may be widespread throughout the TS cerebrum. We report here our analyses of cerebral asymmetries of T2 (transverse or spin-spin) relaxation times derived from multi-echo/multi-planar/spin-echo magnetic resonance images in 14 adult TS subjects and 14 matched normal control subjects. T2 relaxation times were found to be asymmetric throughout the cerebrum of normal control subjects, with differences seen between T2 times of corresponding regions of both cerebral hemispheres that were small in magnitude (2-5%) but of a high degree of statistical significance in all regions examined. Our hypothesis of altered T2 relaxation time asymmetries in TS was confirmed in a multivariate analysis of variance, with post hoc analyses suggesting that group differences were attributable to specific asymmetry differences in the TS insular cortex and frontal white matter. Exploratory analyses revealed group differences in T2 times of the amygdala and red nucleus, as well as significantly lower ferritin levels in the TS group. These findings are discussed in relation to the previous TS volumetric studies, and the tissue characteristics that might produce normal and abnormal relaxation time asymmetries are considered.

Adolescent↗
PubMed1994

NMR signal from flowing nuclei in fast gradient-echo pulse sequences with refocusing.

A theoretical description of the nuclear magnetic resonance (NMR) signal from flowing nuclei in refocused gradient-echo pulse sequences, both with continuous- and alternating-phase pulse trains, has been developed. Both laminar and plug flow models have been considered and formulae have been derived that relate mean signal intensity to flip angle, pulse sequence repetition interval (TR), and flow velocity. The degree of signal enhancement or reduction in various conditions of flow and pulse sequences depends on the precise phase relationships between the residual transverse magnetization and each radio-frequency (RF) pulse.

Blood Flow Velocity↗
PubMed1994

Magnetic resonance imaging of radiation dose distributions using a polymer-gel dosimeter.

A new formulation of a tissue-equivalent polymer-gel dosimeter for the measurement of three-dimensional dose distributions of ionizing radiation has been developed. It is composed of aqueous gelatin infused with acrylamide and N, N'-methylene-bisacrylamide monomers, and made hypoxic by nitrogen saturation. Irradiation of the gel, referred to as BANG, causes localized polymerization of the monomers, which, in turn, reduces the transverse NMR relaxation times of water protons. The dose dependence of the NMR transverse relaxation rate, R2, is reproducible (less than 2% variation) and is linear up to about 8 Gy, with a slope of 0.25 s(-1)Gy(-1) at 1.5 T. Magnetic resonance imaging may be used to obtain accurate three-dimensional dose distributions with high spatial resolution. Since the radiation-induced polymers do not diffuse through the gelatin matrix, the dose distributions recorded by BANG gels are stable for long periods of time, and may be used to measure low-activity radioactive sources. Since the light-scattering properties of the polymerized regions are different from those of the clear, non-irradiated regions, the dose distributions are visible, and their optical densities are dependent on dose.

Acrylic Resins↗
PubMed1994

Effects of slow flow on slice profile and NMR signal in fast imaging sequences.

A computer program has been developed to evaluate the selective-slice profiles obtained in the steady state for fast gradient-echo imaging. Both spoiled and refocused gradient-echo pulse sequences have been considered. By numerically solving the Bloch equations modified for the effects of flow, for a three-dimensional volume of spins, for realistic RF excitations and linear gradient combinations, the program permits the combined effects of flow and imaging variables on the magnetization slice profile to be assessed quantitatively. We have found that the gradient pattern in gradient-echo pulse sequences is a significant factor for determining the steady-state slice profiles and the strength of the NMR signal from the flowing spins.

Algorithms↗
PubMed1994

A general model of microcirculatory blood flow effects in gradient sensitized MRI.

A general expression is derived for the NMR signal from a fluid undergoing random directional flow such as encountered within the microcirculation. The dependence of the echo amplitude on flow velocity, sample morphology, and experimental parameters are described in terms of a temporal velocity autocorrelation function. The width of the correlation function determines whether the flow can properly be described as diffusive. Comparison is made between the velocity autocorrelation method outlined here and the IVIM model for tissue perfusion. Conditions for the validity of the latter approach for extracting physiologic information from apparent diffusion measurements are discussed. The approach outlined leads to a more robust measure of microcirculatory blood velocity from NMR measurements.

Biophysical Phenomena↗
PubMed1993

Imaging oxygen tension in liver and spleen by 19F NMR.

19F NMR imaging of the perfluorocarbon emulsion Fluosol has been used to study regional variations in oxygen tension in rat liver and spleen. We have used the linear dependence of spin lattice relaxation rate (1/T1) on the partial oxygen pressure (pO2) of Fluosol to determine the oxygen tension in the reticuloendothelial system (RES) of the liver and spleen of male Sprague-Dawley rats which have received serial infusions of Fluosol. Oxygen tension maps have been computed from 19F NMR images using a calibration obtained for Fluosol in vitro at 37.5 degrees C. The spatial resolution of the pO2 maps computed using this technique is 1.2 x 1.2 mm in 3-mm thick slices. Calculations from in vivo pO2 maps indicate an average change in the median pO2 of the RES from 118 to 80 mmHg for (n = 7) rats breathing 95% O2 and 5% CO2 (carbogen) and air, respectively.

Animals↗
PubMed1993

Changes in water diffusion and relaxation properties of rat cerebrum during status epilepticus.

Diffusion-weighted (DW) imaging has been used to record changes associated with status epilepticus (SE) in rat brain. It was found that the apparent diffusion coefficient (ADC) of water in brain decreased 14-18% during SE, and it fell a further 20-22% when the animals were sacrificed. The transverse decay time constant T2* showed corresponding reductions, but no significant changes were seen in relaxation times T1 or T2 values. Changes in ADC in status epilepticus are similar to those seen in stroke and ischemia but occur under very different conditions of blood flow and metabolism.

Animals↗
PubMed1993

NMR relaxation enhancement in gels polymerized and cross-linked by ionizing radiation: a new approach to 3D dosimetry by MRI.

A new type of tissue-equivalent medium for magnetic resonance imaging of the dose distributions produced by ionizing radiation has been developed. Agarose gel is infused with acrylamide and N,N'-methylene-bis-acrylamide (Bis) comonomers, which are readily polymerized by free radical initiators in de-aerated aqueous solutions. Polymerization and cross-linking induced locally by free radical products of water radiolysis increase the rate of water proton spin relaxation gradually up to doses of about 15 Gy. The slopes of the dose-response curves at 64 MHz are 0.015 and 0.28 s-1 Gy-1 for R1 and R2, respectively. The agarose matrix as well as the high (50% by weight) relative concentration of the cross-linker (Bis) per total comonomer limit the spread of polymerization so that the spatial distribution of the radiation dose is faithfully represented in the resultant spatial distribution of relaxation rates. The gel can be imaged with conventional magnetic resonance imaging devices with high spatial resolution and accuracy. In addition, due to the well established effect of the precipitation of insoluble agglomerates of highly cross-linked acrylamide, the optical turbidity of the gel increases gradually with the absorbed dose. This may provide an additional means of visualizing the dose distribution in three dimensions. The major advantage of the acrylamide-Bis-agarose gels over those that depend on ionic chemical dosimeters, for example, Fricke-infused gels, lies in the lack of diffusion of radiation-induced chemical changes subsequent to or concurrent with irradiation.

Acrylamide↗
PubMed1993

Functional brain imaging at 1.5 T using conventional gradient echo MR imaging techniques.

There is considerable interest in the use of MR imaging to study brain function. Recently, it has been demonstrated that small changes in signal intensity occur in the visual cortex in T2*-weighted imaging in response to appropriate visual stimuli. Similar responses to activation have also been recorded in motor cortex as well as frontal lobes. To date most of these studies have been carried out at very high field strength or they have used echo planar imaging. We report our preliminary results showing that the effects of activation of visual and motor areas of the brains of normal volunteers can be recorded using conventional MR imaging methods on a standard 1.5 T clinical scanner. Using gradient-echo imaging sequences, we have been able to map activated visual and motor cortex with high spatial resolution in multiple planes, and are using this technique to examine the relationship between physiological response and stimulus parameters. Signal changes of the order of 2-12% in images with TE = 45 msec, TR = 120 msec, and alpha = 40 degrees, permit excellent depiction of the regions affected.

Brain↗
PubMed1992

The loss of small objects in variable TE imaging: implications for FSE, RARE, and EPI.

The importance to MR image quality of the order of acquisition of different phase-encoded views with sequences that have variable TR and TE has been recently reported. It has been shown that the effective point spread function (PSF) may be manipulated by varying TE or TR, or both, with each phase-encoding step. This paper explores the behavior of the PSF in a variable TE sequence and its dependence on both imaging and tissue parameters. It is shown that the PSF is different for each tissue type and that its effect on tissue contrast is a function of both the shape and size of the structure. The important problem of signal loss from small objects that arises when the effective PSF is broad and the difficulty in detecting this phenomenon in practical MR images is illustrated. It is shown that the PSF can produce significant blurring and loss of object contrast in fast spin-echo images but that this blurring may be not be obvious in practice because the noise is unaffected by the PSF. It is also shown that the signal from small lesions with short T2 can easily be lost through this blurring mechanism. The importance of signal loss from small objects and its implication for the clinical use of such sequences as fast spin-echo or rapid acquisition relaxation-enhanced and echo planar imaging is stressed.

Humans↗
PubMed1992

Factors influencing contrast in fast spin-echo MR imaging.

Multi-echo pulse sequences for producing T2-weighted images in much reduced imaging times have recently been developed for routine clinical use. A number of recent articles have described the contrast obtained with fast spin-echo (FSE) sequences and have generally indicated that they depict tissues very similarly to conventional spin-echo (SE) imaging. There are, however, some important differences in contrast between some tissues in FSE images. This work presents a detailed study of the contrast obtained with FSE imaging sequences and examines the image sequence and tissue parameters which influence contrast. The use of multiple refocusing pulses produces several subtle effects not seen in conventional SE imaging sequences, and in this study the precise nature and extent of such effects are described. The relative contributions to image contrast of magnetization transfer, the decoupling of J-modulation effects, the production of stimulated echoes and direct saturation effects, of diffusion and of the effects of the differential attenuation of different spatial frequencies, are each quantified. The mechanisms responsible for the brighter fat signal seen in FSE images, as well as the loss of signal from some other tissues, are explained. Computer simulations, phantom experiments, and clinical images are all used to support the conclusions.

Brain↗
PubMed1992

Lactic acidosis: effect of treatment on intracellular pH and energetics in living rat heart.

Systemic acidemia may impair cardiac contractility and predispose to arrhythmias. Moreover, bicarbonate treatment may further depress cardiac performance and increase mortality. Whether changes in myocardial intracellular pH or energy metabolism underlie this diminished performance has not been clarified in the in vivo setting. Thus we investigated the effect of lactic acidosis and two proposed treatments on myocardial energetics and intracellular pH in anesthetized living rats. A previously validated 31P-labeled nuclear magnetic resonance (31P-NMR) spectroscopic technique using saturating pulses was used to follow myocardial intracellular pH, phosphocreatine (PCr), ATP, and inorganic phosphate (Pi). After obtaining baseline values, we infused lactic acid to achieve a level greater than 5 mM. We then added an infusion of either bicarbonate (n = 7) or saline (n = 5). During lactic acid infusion, arterial pH declined (from 7.27 to 7.07, P less than 0.0001), but myocardial intracellular pH did not change (7.13 vs. 7.07, P not significant). The ratio of PCr to Pi, however, decreased with acidemia (from 3.13 to 2.24, P = 0.004), suggesting impaired energy metabolism. Compared with saline, bicarbonate infusion restored systemic pH (from 7.08 to 7.29), but myocardial pH was unaltered. In addition, PCr/Pi declined further following bicarbonate treatment (1.41 vs. 2.42, P = 0.08) but not following saline. Thus, despite reversal of systemic acidemia, bicarbonate treatment was associated with more severe impairment of energy metabolism than saline. This suggests a mechanism for previously reported adverse cardiac effects of bicarbonate treatment.

Acidosis, Lactic↗
PubMed1992

Hyperglycemia and the rate of lactic acid accumulation during cerebral ischemia in developing animals: in vivo proton MRS study.

During cerebral ischemia, hyperglycemia has a deleterious effect upon the adult brain but not the neonatal brain. This phenomenon may be related to the fact that hyperglycemia in adult animals subjected to cerebral ischemia raises the ischemic accumulation of lactate by as much as 10-fold. The purpose of this study was to determine whether hyperglycemia during cerebral ischemia produces a similar increase in the rate of lactic acid accumulation in developing animals. Data from in vivo proton magnetic resonance spectroscopic experiments showed that blood glucose concentration did not affect the rate of lactic acid accumulation during cerebral ischemia in either the neonatal dog or juvenile rabbit. The lack of increase in the ischemic rate of lactic acid accumulation during hyperglycemia in the developing animal contrasts sharply with the marked effect of blood glucose concentration upon the rate of lactic acid accumulation in the adult animal. Differences in the total amount of lactic acid formed and the rate at which it is accumulated may contribute, in part, to the greater tolerance of the young animal to cerebral ischemia.

Aging↗