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Biomedical subjects

K O Lim

Publications and source records attributed to K O Lim.

94 records · Page 6Linked to original sources

Mechanical properties of human mitral valve chordae tendineae: variation with size and strain rate.

A knowledge of the mechanical properties of valve tissue is a necessary prerequisite for a better understanding of valvular behavior and design of prosthetic heart valves. Elastic response of chordae tendineae under strain rates of 0.05 cm min(-1)(6.25% min(-1)) to 12.7 cm min(-1)(1600% min(-1)) were obtained by the application of an uniaxial tensile stress using an Instron machine. The chordae exhibited viscoelastic properties in that extensibility decreased with increasing strain rates. The approximate maximum physiological strain rate of the chordae was estimated from echocardiographic traces at the instant of valve closure, and a high value of 29 (S.D. equals 9) cm s(-1) (2000% s(-1)) was found. The breaking strain and stress were found to have values of 21.4 plus or minus 0.5% and 3.1 plus or minus 0.1 times 10(8) dyn cm(-2) respectively, and were independent of strain rates (1 dyn equals 10(-5) N). These values are typical of collagen fibers. The final modulus, before the proportional limit, was found to be about 10(9) dyn cm(-2), which is again typical of collagen fibers. In addition, smaller chordae exhibited less extensibility than the larger chordae. This behavior could be due to structural and functional differences and allows the more centrally inserted chordae to maintain an even valve surface during valve closure.

Adolescent↗

Neuropsychiatric applications of DTI - a review.

Psychiatric disorders are common throughout the world and are a leading cause of disability. There is a growing appreciation of the importance of connectivity to brain function. Disruption of this connectivity can result in brain dysfunction manifested in impaired cognitive functioning and the development of clinical symptoms. White matter forms the basis of anatomical connectivity. Diffusion tensor imaging (DTI) is a useful tool for examining and quantifying white matter microstructure. Clinical research studies in alcoholism, HIV-1 infection, geriatric depression and schizophrenia using DTI have revealed abnormalities in white matter microstructure. The use of complementary imaging methods may be helpful in further characterizing these abnormalities. Other psychiatric disorders may also have white matter involvement amenable to study with DTI. Advances in acquisition and analysis methods will be necessary to further advance work in this field. The study of animal models and postmortem tissue may be helpful in elucidating the neurobiological underpinnings of abnormalities observed with DTI.

Aged↗

Age-related decline in MRI volumes of temporal lobe gray matter but not hippocampus.

The effect of normal aging on the volume of the hippocampus and temporal cortex was assessed cross-sectionally with quantitative Magnetic Resonance Imaging (MRI) in 72 healthy men, spanning 5 decades of the adult age range (21 to 70 years). Neither the hippocampal nor cortical white matter volumes were significantly correlated with age. By contrast, left and right temporal lobe gray matter volumes, exclusive of the hippocampal measures, each decreased with age (p < 0.01). Volumes of temporal lobe sulcal CSF and the ventricular system (temporal horns and lateral and third ventricles) significantly increased with age. Measures of verbal and nonverbal working memory showed age-related declines and were related to enlargement of the three ventricular regions, which may be indicative of age-related atrophy of the adjacent cortex but not the hippocampus, at least up to age 70 years.

Adult↗

Segmentation of MR brain images into cerebrospinal fluid spaces, white and gray matter.

An interactive computer method for quantifying CSF, white matter, and gray matter in magnetic resonance (MR) axial brain scans is presented. A stripping algorithm is used to remove the skull and scalp from each axial section. The images are then filtered to correct for radiofrequency inhomogeneity image artifacts. Late echo images are subtracted from or added to early echo images to enhance fluid/tissue and gray/white tissue contrast, respectively. Thresholds for fluid/tissue and gray/white separation are set interactively. A boundary pixel locking algorithm is used to handle ambiguities due to partial voluming between the fluid and tissue compartments. The MR brain scans from five healthy, young, normal men were obtained using a standard neuroanatomical reference technique. These data were processed and percentages computed for fluid, gray matter and white matter compartments. The gray/white ratios compare favorably with those determined in a published postmortem brain study.

Algorithms↗