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Biomedical subjects

K C Li

Publications and source records attributed to K C Li.

At least 73 records · Page 4Linked to original sources

Differential response of rat limb bones to strenuous exercise.

We examined the influence of a strenuous exercise regimen on tibial and metatarsal bones to show not only how the geometric, histological, and mechanical properties of immature bone respond to strenuous exercise but also how long bones within the same limb may respond differentially to exercise. Female Sprague-Dawley rats (8 wk old) were divided randomly into two groups: a sedentary control (n = 15) and an exercised group (n = 15). The exercise intensity was 80-90% of maximum oxygen capacity 5 days/wk for 10 wk. Mechanical properties of tibia and second metatarsus (MT) were determined with three-point bending, and contralateral bones were used for geometric and histological analyses. Length and middiaphyseal cross-sectional geometry of the exercised tibiae were significantly less than controls, but material properties were not different. The exercised tibiae had significantly lower structural properties (e.g., loads at the proportional limit and maximum and energy at failure load). The middiaphyseal dorsal cortex of exercised MT was significantly thicker than controls, but tensile stress at the proportional limit and elastic modulus of exercised MT were significantly less than controls. The average number of osteons and osteocytes per unit area of the tibial middiaphysis was significantly greater in the exercised group--especially in lateral and posterior cortices. The number of osteons and osteocytes per unit area in the MT, however, was significantly less in the exercised group. The differential effects of strenuous exercise on tibia and MT suggest that local loading and bone-specific responses have important roles in modulating the response of immature bone to strenuous exercise.

Adaptation, Physiological↗

Dynamic CT of hepatic masses using intraarterial enhancement: advantages and pitfalls.

Forty-two patients were evaluated by dynamic incremental computed tomography (CT) following transcatheter infusion of contrast material into the celiac and hepatic arteries. Most of these patients had liver metastases from colorectal carcinoma, but the series also included two cases of hepatic hemangiomas, one case of granulomas due to atypical mycobacterium, and two cases of retroperitoneal tumors involving the liver. Several distinct patterns of liver opacification were recognized, reflecting differential perfusion of hepatic lobes during selective intraarterial contrast enhancement. The spectrum of observed findings, as well as the advantage or limitations of this technique, are described.

Colorectal Neoplasms↗

Effects of a high fat-sucrose diet on cortical bone morphology and biomechanics.

High fat-sucrose (HFS) diets can reportedly produce glucose intolerance and hyperinsulinemia that may indirectly have deleterious effects on bone. The effects of a high-fat diet on calcium absorption, bone calcium content, and bone mechanical properties, however, remain controversial. Thus, we examined the morphological and biomechanical adaptations in limb bones of rats that were fed a HFS diet. Female Sprague-Dawley rats (8 weeks old) were randomly assigned to two groups, either a control group (n = 9) fed a standard diet (low-fat complex-carbohydrate) or an experimental group (n = 9) fed a HFS diet for 10 weeks. The right tibia and second metatarsus (MT) were fractured in three-point bending, and contralateral bones were used for morphological and histological analyses. HFS tibias had significantly lower maximum load and failure energy, and tensile stress at the proportional limit for both HFS tibia and MT was significantly less than controls. In addition, the elastic modulus and density of the HFS MT was significantly lower than controls. Geometry of the tibial mid-diaphysial cross section did not differ for the two diets, but the cortical cross-sectional area of HFS MT increased significantly compared to control MT. The total number of osteons in the mid-diaphysis of HFS MT decreased, but tibial and MT porosities did not change with the HFS diet. Our results suggest that the deleterious effects of the HFS diet may be more related to changes in the material properties of the cortical bone rather than to osteoporotic changes in the bone.

Animals↗

Preautopsy magnetic resonance imaging: initial experience.

To our knowledge, there are no prospective data in the literature investigating the role of magnetic resonance imaging (MRI) in detecting abnormalities in cadavers to determine the feasibility of this concept. We prospectively studied six cadavers (three stillborn infants, one infant, and two adults) with a 0.15 T resistive magnet. The images obtained allowed detection of abnormalities in multiple organs. Although autopsy was superior to MRI in detecting very small abnormalities, MRI was equal to autopsy in detecting gross cranial, pulmonary, abdominal, and vascular pathology in this small series. In addition, MRI was superior to autopsy in detecting air and fluid in potential body spaces. Preautopsy MRI may be an alternate method in restricted or denied autopsies and may provide an additional MRI research and educational tool.

Aged↗

Paramagnetic oil emulsions as oral magnetic resonance imaging contrast agents.

The combination of a paramagnetic agent with an oil emulsion can uniformly enhance the small bowel. We discovered that the entire small bowel becomes homogeneously brighter than its surroundings when imaged with all commonly utilized pulse sequences. We have tried various combinations of ferric ammonium citrate, ferrous sulfate, gadolinium-DPTA and corn oil, olive oil and peanut oil. All paramagnetic oil emulsions tested were uniformly distributed throughout the small bowel, but the enhancement effect is much stronger with the ferric ammonium citrate and gadolinium-DPTA oil emulsions. We have also developed a mixture of Geritol, corn oil, ice cream and milk, which uniformly coats the small bowel wall, has good enhancement effect, tastes good, and is nutritious. With this dietary contrast, retroperitoneal structures including the pancreas can be well delineated. We conclude that the combination of a paramagnetic agent with an oil emulsion can work as a safe and effective magnetic resonance imaging (MRI) oral contrast agent with high patient acceptance.

Animals↗

Effects of spaceflight on rat humerus geometry, biomechanics, and biochemistry.

The effects of a 12.5-day spaceflight (Cosmos 1887 biosatellite) on the geometric, biomechanical, and biochemical characteristics of humeri of male specific pathogen-free rats were examined. Humeri of age-matched basal control, synchronous control, and vivarium control rats were contrasted with the flight bones to examine the influence of growth and space environment on bone development. Lack of humerus longitudinal growth occurred during the 12.5 days in spaceflight. In addition, the normal mid-diaphysial periosteal appositional growth was affected; compared with their controls, the spaceflight humeri had less cortical cross-sectional area, smaller periosteal circumferences, smaller anterior-posterior periosteal diameters, and smaller second moments of area with respect to the bending and nonbending axes. The flexural rigidity of the flight humeri was comparable to that of the younger basal control rats and significantly less than that of the synchronous and vivarium controls; the elastic moduli of all four groups, nonetheless, were not significantly different. Generally, the matrix biochemistry of the mid-diaphysial cross sections showed no differences among groups. Thus, the spaceflight differences in humeral mechanical strength and flexural rigidity were probably a result of the differences in humeral geometry rather than material properties.

Animals↗

Research resources in academic radiology.

Research resources in academic radiology were investigated by analyzing the responses to a survey from 72 North American institutions. The questionnaire addressed five general areas: department size, departmental resources committed to research, availability of research training, research quality control, and research productivity. The highest correlates of grant productivity included measures of departmental resources committed to research, for example, space devoted to research, size of research budget, and full-time employee support for engineers, physicists, and chemists. In a regression model, measures of the number of engineers employed by a department, the number of attending staff, and the number of training lectures given by engineers were found to be most highly associated with dollar value of grant support. The average level of research resources available at responding institutions was generally low, despite a seemingly strong desire to do quality research. This is evidenced by a strong sentiment among respondents in favor of research training and quality control of research.

Humans↗

Suspension effects on rat femur-medial collateral ligament-tibia unit.

To study the influence of a 2-wk absence of normal weight-bearing forces on dense fibrous connective tissues of growing animals, the geometrical and biomechanical characteristics were examined of femur-medial collateral ligament (MCL)-tibia units (FMT unit) of age-matched controls and tail-suspended young male rats. During the 2-wk suspension, the rate of longitudinal growth of MCL decreased significantly, but no differences were found in the cross-sectional area of the MCL of the two groups. The tensile stiffness of suspension FMT units was significantly less than control, and the proportional, maximum, and failure loads of FMT units were also significantly less for the suspended animals. The stresses in the suspension MCL at the proportional limit were significantly less than control values. These results indicated that a 2-wk absence of normal weight-bearing forces adversely affected the rate of longitudinal growth of MCL and the mechanical properties of the rat FMT unit.

Animals↗

Interactive effects of nutrition, environment, and rat-strain on cortical and vertebral bone geometry and biomechanics.

Because of differences between rodent experiments on USSR and USA spaceflights, the present experiment was designed to generate comparative data about the sensitivity of cortical (humerus) and vertebral (T7) bones to cage environment, diet, and rat-strain differences. For 2 weeks (48-62 d), male Taconic-Sprague-Dawley and Czechoslovakian-Wistar rats were maintained in flight-simulation cages (1 rat/cage = USA, 10 rats/cage = USSR) and fed either USSR or USA diets. All rats increased (greater than 60%) their body mass during the two weeks, and there were no differences among humeral lengths for the different groups. Rats in USSR cages had significantly larger total and medullary cross-sectional areas for the humerus, and the cross-sectional areas of T7 of Taconic rats were greater than the Czech rats. USSR caging resulted in significantly enhanced structural and material properties in rat humeri, while the USA diet produced significantly greater humeral maximum and failure loads. The flexural rigidity of the Czech-rat humeri was significantly greater than the Taconic rats. Humeri from Czech rats on the USA diet had significantly greater material properties in the elastic-loading region than did Taconic rats on the USSR diet. Further, the humeral failure loads of Taconic rats on the USSR diet were more adversely affected by USA cages than were the Czech rats on the USSR diet. In T7 vertebrae, no significant structural differences were found among the groups, but material properties were influenced by all three factors; generally, the combination of factors that produced the significantly greater T7 material properties was: USSR caging, USSR diet, and the Czech strain of rat.

Animal Nutritional Physiological Phenomena↗

Mediastinal lymph nodes: relaxation time/pathologic correlation and implications in staging of lung cancer with MR imaging.

The authors measured the T1 and T2 relaxation times of freshly excised human mediastinal lymph nodes to determine whether the times are clinically useful in distinguishing benign from malignant nodes. All measurements were performed at 20 MHz and 40 degrees C, within 45 minutes of lymph node excision. Mean T1 and T2 relaxation times of 99 benign nodes were 566 msec (standard deviation [SD], 117 msec) and 92 msec (SD, 29 msec), respectively. For the 16 malignant nodes, these times were 640 msec (SD, 138 msec) and 105 msec (SD, 26 msec), respectively (P less than .05 for difference in T1 times, P greater than .05 for difference in T2 times). Histograms showed considerable overlap in the relaxation times of benign and malignant nodes such that absolute measurement of these times will likely be of limited clinical value.

Humans↗

In vivo and in vitro MR imaging of renal tumors: histopathologic correlation and pulse sequence optimization.

Magnetic resonance (MR) imaging has given mixed results in the detection of renal masses. To identify the reasons for this and to determine the optimal pulse sequences for evaluating renal tumors, the authors imaged 12 primary renal tumors in vivo and 17 in vitro at 0.35 T. Histopathologic findings for each specimen were closely correlated with the MR images. Four of seven solid tumors imaged in vivo were isointense with surrounding normal renal parenchyma at all pulse sequences. The other three tumors were hyperintense in vivo at T2-weighted sequences. At heavily T2-weighted sequences eight solid tumors were hyperintense in vitro and four were hypointense. There was no correlation between signal intensity and specific tissue type or histologic pattern for solid tumors. The five cystic tumors were well seen both in vivo and in vitro on T2-weighted images. However, the signal intensity of the cyst fluid was an unreliable indicator of benignancy. SE MR imaging at 0.35 T has significant limitations in the detection of solid renal masses.

Carcinoma, Renal Cell↗

Distinction of hepatic cavernous hemangioma from hepatic metastases with MR imaging.

Twenty-four hepatic cavernous hemangiomas and 91 metastases from a variety of hypovascular and hypervascular primary neoplasms were prospectively studied with magnetic resonance (MR) imaging. In addition to qualitative analysis, quantitative analysis of signal intensity ratios of lesion to normal liver was performed with images obtained with 500/28-30 (repetition time msec/echo time msec) and 2,000/28-150 sequences. Quantitative data did not improve the ability to distinguish hemangiomas from metastases in our series compared with qualitative analysis. Hypovascular metastases, such as colon carcinoma, could be differentiated from hemangioma more frequently (97.5%) than hypervascular endocrine metastases, such as islet cell tumor, carcinoid, and pheochromocytoma (61%). These findings indicate that the utility of MR imaging in differentiating hemangiomas from metastases is dependent on the histologic type of the primary neoplasm.

Diagnosis, Differential↗

MR imaging of orbital tumors with CT and ultrasound correlations.

Fourteen patients with various orbital space-occupying lesions were studied by magnetic resonance (MR) imaging with a 0.15 T imager using spin-echo and inversion-recovery pulse sequences. Computed tomographic and ultrasonographic (US) examinations were done in 13 of these patients. All 14 lesions could be demonstrated by MR. Magnetic resonance was found to be better than US but not as good as CT in providing morphological details. Regarding tissue characterization, US was the most useful among the three modalities. With the T2-weighted spin-echo pulse sequence, a possible trend in tissue characterization could be shown. From our preliminary experience, we conclude that MR imaging using a 0.15 T resistive magnet offers no distinct advantage over the combination of CT and US in the diagnosis of orbital tumors.

Adult↗

MR imaging of the normal knee.

The knees of 11 volunteers were examined by magnetic resonance (MR) imaging. The imaging was done with a 0.15 T resistive magnet using spin-echo pulse sequences. Normal anatomy was well displayed. The visualized structures included the menisci, cruciate ligaments, articular cartilage, cortical and cancellous bone, muscles, tendons, subcutaneous and intraarticular fat, and blood vessels. To obtain optimal visualization of the anterior cruciate ligaments, various positionings of the subjects and angulation of the imaging planes were tried. Rotation of the sagittal scanning plane away from the longitudinal axis of the body was found to be most satisfactory. The results obtained so far are very promising and demonstrate the real potential of MR imaging in the knee, which we believe lies in its ability to visualize the menisci and cruciate ligaments without use of contrast agents.

Adipose Tissue↗

Paragonimiasis: treatment with praziquantel in 40 human cases and in 1 cat.

40 patients infected with P. westermani were divided into 3 groups and treated with praziquantel (2-cyclohexylcarbonyl-1,2,3,6,7,11b-hexahydro-4H-pyrazino[2,1-a]++ +isoquinolin- 4-one) by 3 different dosages. Parasitological cure was achieved in 27/40 patients, i.e. 67.5%. Details are given in this short communication.

Animals↗