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Biomedical subjects

Jens Frahm

Publications and source records attributed to Jens Frahm.

44 records · Page 3Linked to original sources

Functional MRI of self-controlled stereoscopic depth perception.

Stereoscopic depth perception was studied in healthy young adults using fMRI imaging at 2.0 T. In a novel paradigm we compared the cortical activation elicited by single-image stereograms which create alternating 2D and 3D percepts (event-related analysis triggered on the self-controlled switches between the two percepts) with the activation caused by a more conventional approach contrasting pairs of stereoscopic images with pairs of identical images (block design). The data show a distributed network of cortical areas embedded within the visual pathways that included about one-quarter of the cortical surface activated by 2D visual stimulation and about one-half of the area activated by 3D percepts based on stereoscopic image pair. 3D perception recruited mostly neuronal populations in higher order visual areas: whereas about 40% of the visually activated locations along the intraparietal sulcus were also activated by 3D perception based on single-image stereograms (resp. 90% stereoscopic images), only 10% such overlap was found in striate cortex. The study revealed no sup-port for a right-hemispheric lateralization of depth perception.

Adult↗

Succinate in dystrophic white matter: a proton magnetic resonance spectroscopy finding characteristic for complex II deficiency.

A deficiency of succinate dehydrogenase is a rare cause of mitochondrial encephalomyopathy. Three patients, 2 sisters and 1 boy from an unrelated family, presented with symptoms and magnetic resonance imaging signs of leukoencephalopathy. Localized proton magnetic resonance spectroscopy indicated a prominent singlet at 2.40ppm in cerebral and cerebellar white matter not present in gray matter or basal ganglia. The signal was also elevated in cerebrospinal fluid and could be identified as originating from the two equivalent methylene groups of succinate. Subsequently, an isolated deficiency of complex II (succinate:ubiquinone oxidoreductase) was demonstrated in 2 patients in muscle and fibroblasts. One of the sisters died at the age of 18 months. Postmortem examination showed the neuropathological characteristics of Leigh syndrome. Her younger sister, now 12 months old, is also severely affected; the boy, now 6 years old, follows a milder, fluctuating clinical course. Magnetic resonance spectroscopy provides a characteristic pattern in succinate dehydrogenase deficiency.

Brain↗

Half-Fourier single-shot STEAM MRI.

As a high-speed imaging technique based on stimulated echoes single-shot STEAM MRI is insensitive to chemical shift artifacts and magnetic susceptibility differences. The achievable signal-to-noise ratio (SNR) is limited by the fact that high flip angles of the read-out excitation pulses cause a steep decay of the stimulated echo train and therefore degrade the point-spread function of the resulting image. The present work investigates the use of half-Fourier phase encoding which weakens the flip angle constraint by reducing the number of necessary excitations. Single-shot STEAM MRI of the normal human brain at 2.0 T demonstrates that half-Fourier versions either reduce the measurement time by almost a factor of two without sacrificing the SNR or increase the SNR by about 40% while keeping the measurement time constant.

Brain↗

Two-dimensional spatially-selective RF excitation pulses in echo-planar imaging.

Two-dimensional spatially-selective RF (2DRF) excitation pulses were developed for single-shot echo-planar imaging (EPI) with reduced field of view (FOV) in the phase-encoding direction. The decreased number of k-space lines significantly shortens the length of the EPI echo train. Thus, both gradient-echo and spin-echo 2DRF-EPI images of the human brain at 2.0 T exhibit markedly reduced susceptibility artifacts in regions close to major air cavities. Based on a blipped-planar trajectory, implementation of a typical 2DRF pulse resulted in a 26-ms pulse duration, a 5-mm section thickness, a 40-mm FOV along the phase-encoding direction, and a 200-mm distance of the unavoidable side excitations from the center of the FOV. For the above conditions and at 2 x 2 mm(2) resolution, 2DRF-EPI yielded an echo train length of only 21 ms, as opposed to 102 ms for conventional EPI. This gain in time may be used to achieve higher spatial resolution. For example, spin-echo 2DRF-EPI of a 40-mm FOV at 1 x 1 mm(2) resolution led to an echo train of 66 ms. Although the current implementation still lacks user-friendliness, 2DRF pulses are likely to become a useful addition to the arsenal of advanced MRI tools. .

Brain↗

In vivo 3D MRI staining of mouse brain after subcutaneous application of MnCl2.

Follow-up T(1)-weighted 3D gradient-echo MRI (2.35 T) of murine brain in vivo (N = 5) at 120 microm isotropic resolution revealed spatially distinct signal increases 6-48 hr after subcutaneous application of MnCl(2) (20 mg/kg). The effects result from a shortening of the water proton T(1) relaxation time due to the presence of unchelated paramagnetic Mn(2+) ions, which access the brain by systemic circulation and crossing of the blood-brain barrier (BBB). A pronounced Mn(2+)-induced signal enhancement was first seen in structures without a BBB, such as the choroid plexus, pituitary gland, and pineal gland. Within 24 hr after administration, Mn(2+) contrast highlighted the olfactory bulb, inferior colliculi, cerebellum, and the CA3 subfield of the hippocampus. The affinity of Mn(2+) to various brain systems suggests the neuronal uptake of Mn(2+) ions from the extracellular space and subsequent axonal transport. Thus, at least part of the Mn(2+) contrast reflects a functional brain response of behaving animals, for example, in the olfactory system. In vivo MRI staining of the brain by systemic administration of MnCl(2) may contribute to phenotyping mutant mice with morphologic and functional alterations of the central nervous system.

Animals↗

On the effects of spatial filtering--a comparative fMRI study of episodic memory encoding at high and low resolution.

The effects of spatial filtering in functional magnetic resonance imaging were investigated by reevaluating the data of a previous study of episodic memory encoding at 2 x 2 x 4-mm(3) resolution with use of a SPM99 analysis involving a Gaussian kernel of 8-mm full width at half maximum. In addition, a multisubject analysis of activated regions was performed by normalizing the functional images to an approximate Talairach brain atlas. In individual subjects, spatial filtering merged activations in anatomically separated brain regions. Moreover, small foci of activated pixels which originated from veins became blurred and hence indistinguishable from parenchymal responses. The multisubject analysis resulted in activation of the hippocampus proper, a finding which could not be confirmed by the activation maps obtained at high resolution. It is concluded that the validity of multisubject fMRI analyses can be considerably improved by first analyzing individual data sets at optimum resolution to assess the effects of spatial filtering and minimize the risk of signal contamination by macroscopically visible vessels.

Adult↗

Safety aspects of chronic low-frequency transcranial magnetic stimulation based on localized proton magnetic resonance spectroscopy and histology of the rat brain.

Because repetitive transcranial magnetic stimulation (rTMS) is capable of inducing lasting alterations of cortical excitability, it represents a promising therapeutic tool in several neuropsychiatric disorders. However, rTMS, especially when applied chronically, may cause harmful effects in the stimulated tissue. To study the safety of chronic rTMS we used a novel small stimulation coil, which was specially designed to treat rats, and investigated brain tissue using in vivo localized proton magnetic resonance spectroscopy (MRS) and post mortem histological analysis. Histology was based on a modified stereology method in combination with immunohistochemistry applying antibodies against OX-6, OX-42, ED, and GFAP to detect any microglial and/or astrocytic activation 48 h after the last TMS session. Conscious rats were treated with a daily suprathreshold rTMS regimen of 1000 stimuli applied on 5 consecutive days at a frequency of 1 Hz. In comparison with control animals receiving magnetic stimulation over the lumbar spine, quantitative evaluations of cerebral metabolite concentrations by proton MRS revealed no significant alterations of N-acetyl-aspartate, creatine and phosphocreatine, choline-containing compounds, myo-inositol, glucose and lactate after chronic rTMS. Similarly to the in vivo results, post mortem histology revealed no changes in microglial and astrocytic activation after rTMS. In conclusion, these data provide support for the safety of chronic rTMS. However, they do not exclude acute changes on neurotransmitters systems or other physiologic responses during or directly after the rTMS treatment.

Animals↗

Diffusion-weighted MR imaging of metastatic disease of the spine: assessment of response to therapy.

BACKGROUND AND PURPOSE: In cases of metastatic disease of the spine, monitoring the response to medical therapy with plain radiography, bone scanning, and conventional spin-echo sequence MR imaging is unsatisfactory because of the insensitivity or nonspecific findings of these imaging modalities. The purpose of this study was to investigate signal intensity changes of bone marrow after therapy by using diffusion-weighted MR imaging to monitor the response to medical therapy in cases of metastatic disease of the spine. METHODS: Twenty-four patients with metastatic disease of the spine were examined with MR imaging. Diffusion-weighted MR imaging and spin-echo MR imaging were performed in all patients before and after radiation therapy. Follow-up diffusion-weighted MR imaging and spin-echo MR imaging were performed for comparison purposes in nine cases at 1 month, in seven cases at 2 months, in seven cases at 3 months, and in three cases at 6 months after therapy. The diffusion-weighted MR imaging sequences were based on a steady-state free precession with a low b value (165 s/mm(2)) and a single shot stimulated echo-acquisition mode with a high b value (650 s/mm(2)). Apparent diffusion coefficient maps were obtained using two different b values incorporated in a diffusion-weighted single shot stimulated echo-acquisition mode sequence. Apparent diffusion coefficient maps were obtained in three cases. Signal intensity changes of the metastatic disease of the vertebral bone marrow before and after therapy on conventional spin-echo sequence and diffusion-weighted MR images were evaluated. RESULTS: As shown by diffusion-weighted MR imaging, metastatic disease of the vertebral bone marrow included in our study before therapy was hyperintense to normal vertebral bodies. In 23 patients with clinical improvement, metastatic disease of the spine after therapy was hypointense relative to normal vertebral bodies on the follow-up diffusion-weighted MR images. In one patient with hepatocellular carcinoma, the clinical symptoms did not improve and follow-up bone scanning performed 6 months after therapy showed increased uptake. Persistent hyperintense bone marrow after therapy was also noted on diffusion-weighted MR images. Decreased signal intensity of the metastatic disease of the spine on diffusion-weighted MR images was observed >1 month after therapy. CONCLUSION: Diffusion-weighted MR imaging shows that, with successful therapy, there is decreased signal intensity of metastatic disease of the vertebral bone marrow.

Adult↗