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Biomedical subjects

O Nalcioglu

Publications and source records attributed to O Nalcioglu.

At least 19 recordsLinked to original sources

Homonuclear J-refocused spectral editing technique for quantification of glutamine and glutamate by 1H NMR spectroscopy.

Quantification of the excitatory amino acid of glutamine and glutamate is extremely important partly because, when in excessive amounts, they can produce neuronal damage. However, quantification of such metabolites seems to be not straightforward owing to a large number of metabolic signals, particularly between the 2.0- and 3.0-ppm chemical shift range. The authors investigated a quantification method by using a homonuclear J-refocused spectral editing technique, namely the J-refocused PRESS (JPRESS), using both 1.5- and 4-T whole body NMR systems. At first, the J-coupling modulation of each metabolite at different TE values using the PRESS and JPRESS pulse sequences was compared. The suppression of J modulations with the JPRESS is well demonstrated on condition that TE values are less than 1/4J. Then, the accuracy of glutamate quantification after subtracting the two spectra obtained at two different echo times and integrating the difference spectral area at different concentrations was evaluated. The results exhibit an excellent linear relationship between the actual concentration versus the difference spectral peak area at both 1.5 and 4 T. The achievable minimum voxel size was also considered and a 1-ml voxel size seems to be possible at the typical glutamate concentration in vivo at a field strength of 4 T.

Algorithms

Regional comparison of tumor vascularity and permeability parameters measured by albumin-Gd-DTPA and Gd-DTPA.

Sequential albumin-Gd-DTPA and Gd-DTPA dynamic enhancement studies were performed in an animal tumor model for the comparison of regional vascularity and permeability parameters measured by these two different sizes of contrast agents. The early albumin-Gd-DTPA enhancement arises from the vascular compartment, and the averaged signal enhancement derived from the first 3 to first 6 images postinjection can be reliably used to assess vascularity. The signal intensity in the images during the period of 5-10 min post-albumin-Gd-DTPA injection shows a steady linear variation. The intercept of the linear relationship is another indicator of the vascularity and the slope represents the tumor permeability to albumin-Gd-DTPA. The Gd-DTPA enhancement study was analyzed by a two-compartmental pharmacokinetic model to calculate the regional vascularity and permeability. The permeability parameters measured from albumin-Gd-DTPA and Gd-DTPA show an excellent correlation. The vascularity parameters measured from albumin-Gd-DTPA show good linear correlation with the low vascularity groups measured by Gd-DTPA, but show saturation for the high vascularity groups. The enhancement mechanisms for both contrast agents are discussed to relate the imaging parameters to the physiological variables.

Albumins

Data analysis for dynamic contrast-enhanced MRI-based cerebral perfusion measurements: correcting for changing cortical CSF volumes.

The time evolution of the histogram (number of pixels versus signal intensity) is used to calculate delta R2 parameters from dynamic contrast-enhanced magnetic resonance (MR) imaging of the brain. This method partially corrects for partial volume effects and is an improvement over the approach using the signal intensity as a function of time when confounding factors such as changing cortical cerebrospinal fluid volumes are involved. The maximum value for delta R2 is found to correlate with relative cerebral blood flow as assessed by xenon inhalation and can be used to discriminate between vascular dementia and healthy volunteers. With this method, the normal range for delta R2 values is found to be the same for both young (19-40 years old) and elderly (65-85 years old) healthy volunteers.

Adult

Cortical CSF volume fluctuations by MRI in brain aging, dementia and hydrocephalus.

Dynamic MR imaging has revealed dramatic fluctuations in the appearance of CSF in the cortical sulci and cortical subarachnoid spaces in aging individuals and patients with hydrocephalus, dementia and Down syndrome in contrast to young healthy volunteers. The changes have been interpreted as volume fluctuations that represent undamped CSF hydrodynamics and have implications with respect to the origin of CSF in the cortical regions and with respect to the similarity between aging and dementia and edematous states of the brain.

Adult

Measurement of vascular volume fraction and blood-tissue permeability constants with a pharmacokinetic model: studies in rat muscle tumors with dynamic Gd-DTPA enhanced MRI.

We propose a compartmental model to explain the signal enhancement curves following the bolus injection of Gd-DTPA. The model incorporates vascular volume fraction contribution, and the possibility of having different transport constants between the plasma and extravascular components. A Walker 256 carcinoma grown in rat muscle was used to demonstrate the capability of this model. Several different types of tissues were included in the measurements: normal, quickly enhanced, slowly enhanced, and necrotic tissues. Blood volume and blood-tissue permeability information can be derived from the dynamic contrast-enhanced MRI study employing the proposed model. In the tissue contrast enhancement curve, the initial rising slope after injection is related to the blood volume (or, vascular volume fraction), the maximum enhancement ratio is related to the uptake of tissue, and the decay rate is related to the clearance of tracer from tissue. The measured permeability constant is not the conventional permeability; instead they are contrast agents uptake and clearance rates, which are limited by the blood perfusion. These parameters can be used to characterize different enhancement patterns.

Albumins

Magnetic resonance imaging analysis of age-related changes in the brains of individuals with Down's syndrome.

Neuroanatomic characteristics of the brains of individuals with Down's syndrome (DS) are typically characterized at autopsy. Apparent anatomic differences in brain between DS and normal individuals are observable upon gross inspection of MRIs. Area measurements from coronal MRIs are used in this study to determine quantitative structural differences that may occur in DS and during aging. In DS individuals, a significantly larger parahippocampal gyrus, and smaller hippocampus and neocortex, are reported relative to age-matched controls. We also examine two DS individuals with a clinical diagnosis of dementia who exhibit atrophy similar to that typically observed in Alzheimer's disease. MRI appears to be a useful tool for quantitative anatomic analysis and may be beneficial for determining baseline anatomic measures that can be useful in the diagnosis of changes associated with dementia.

Adult

Monitoring of pO2 by spin-spin relaxation rate 1/T2 of 19F in a rabbit abscess model.

The purpose of this study was to confirm the relationship of T1 and T2 relaxation rate vs. pO2 in vivo of 19F MR signal measured from intracellular perflubron. Our work to date has demonstrated that 1/T2 is more sensitive to pO2 than 1/T1 in the in vitro environment. The advantage of 1/T2 vs. 1/T1 is the speed of measurement and sensitivity. Seven alternating T1 and T2 measurements were obtained during a continuous acquisition using the TTISS pulse sequence. An abscess model was used for the in vivo experiments where rabbits were infused with 5ml/kg Oxygent HT 10 days prior to scanning. The abscess model was used because it has been shown that perflubron accumulates in macrophages located in the abscess wall. This technique thus provided signal from the intracellular milieu. The results of this study proved that pO2 monitoring by measuring T2 of 19F is feasible and can be used in-lieu of the T1 measurement. Given that the T2 measurement is much more rapid than the T1 measurement and that T2 changes are more sensitive than T1 changes with alterations in pO2, T2 should prove to be practical and useful for monitoring transient rapid changes in pO2.

Abscess

Flow field mapping by multi-zone adiabatic passage excitation.

This paper describes a robust method for flow field mapping by multi-zone adiabatic fast passage (AFP). It provides a quick and simple way to simultaneously acquire flow profiles at several locations and arbitrary orientations inside the field-of-view. The flow profile is the time-averaged evolution of the labeled flowing material. Results obtained using a carotid bifurcation and jet phantoms are similar to the previous experimental studies employing Laser Doppler Anemometry (LDA), and other flow visualization techniques. In addition, the preliminary results obtained with a human volunteer support the feasibility of the technique for in vivo flow quantification.

Blood Flow Velocity

Correction of chemical-shift artifacts in 19F imaging of PFOB: a robust signed magnitude method.

This paper describes a method for correcting the chemical-shift artifacts in 19F NMR imaging of perfluoroctylbromide emulsion (PFOB) by utilizing the two spectral peaks of PFOB which have a long T2 value in conjunction with the Dixon method. Corrected images are obtained from the magnitude of the measured images using the sign determined from the phase images. The method was tested in the presence of several phase deformation factors, such as static magnetic field inhomogeneity and inaccurate time shift of the pi refocusing pulse, which affect the phase errors of each pixel in the reconstructed image. The advantage of the signed magnitude method is demonstrated experimentally by comparing it with the currently used complex and magnitude summation/subtraction methods.

Artifacts

Correction of chemical-shift artifacts in multislice F-19 imaging with perfluorooctyl bromide.

Chemical-shift artifact correction methods for multislice F-19 imaging with perfluorooctyl bromide are described and results obtained with physical phantoms presented. Utilization of the two long-T2 spectral peaks of PFOB in multislice imaging enhances the imaging efficiency considerably. Simultaneous imaging of the adjacent slices is achieved by appropriately adjusting the slice selection gradient amplitude, the bandwidth, and the slice position offset frequency of the selective RF pulses in relation to the frequency separation between the two peaks.

Algorithms

A modified pulse sequence for in vivo diffusion imaging with reduced motion artifacts.

A modified spin-echo diffusion imaging pulse sequence incorporating bipolar gradients that is less sensitive to macroscopic motion-induced artifacts is presented. Expressions for apparent diffusion coefficient in the presence of microcirculation and macroscopic motions and contrast-to-noise ratio in the diffusion map are derived. Diffusion coefficients of liquid phantoms have been measured using a 1.5-T GE Signa system. Experiments performed to demonstrate the immunity to motion-induced errors are reported. Brain images from human volunteer have also been included to show the potential clinical application of the proposed pulse sequence.

Brain

Correction for chemical-shift artifacts in 19F imaging of PFOB: simultaneous multislice imaging.

One of the difficulties encountered in 19F NMR imaging of fluorinated blood substitutes is that these compounds often exhibit complex multipeak spectra. These peaks result in chemical-shift artifacts along the readout direction and blurred images. In addition, each peak excites a different slice (mis-selection) when a slice selection gradient is applied during the selective rf pulse. A simultaneous multislice imaging method has been developed to solve the inherent problem of mis-selection. The essence of this method is to use the two strongest peaks of the spectrum to excite controlled different multiple slices simultaneously, with or without a slice gap. The images corresponding to the two spectral lines are then separated from in- and out-of-phase images (Dixon method). This method corrects the problem of mis-selection and either improves the SNR or increases the number of slices over spectrally selective methods which image only one peak.

Artifacts

NMR angiography with enhanced quasi-half-echo scanning.

Flow dephasing effects in NMR images can be significantly reduced by the use of gradient quasi-half-echo signals. They can also be reduced by moment-nulling techniques. In this paper, an efficient imaging pulse sequence, the flow-insensitive enhanced quasi-half-echo method is developed in which these two techniques are combined. This pulse sequence is used to reduce dephasing effects in images acquired to enhance blood vessels in gradient echo subtraction angiography. Both phase corrected and uncorrected quasi-half-echo reconstruction techniques are used to determine the effect on image resolution and vessel enhancement.

Blood Vessels

Spatially resolved flow velocity measurements and projection angiography by adiabatic passage.

This paper describes the basic principles of gradient modulated adiabatic passage using a CW radiofrequency excitation. The possible applications of this technique include a direct assessment of in-plane and oblique directional flow velocities, and visualization of flow velocity profiles. Flow angiography based on the time-of-flight technique is also discussed with experimental results.

Angiography

Absolute cross-sectional area measurements in quantitative coronary arteriography by dual-energy DSA.

Recent studies have emphasized the limitations of conventional coronary angiography. These limitations include the lack of correlation between the severity of coronary stenosis as estimated from coronary angiograms and the actual severity of stenotic lesions measured in postmortem hearts. As a result, attempts have been made to quantitate luminal dimension more precisely. The application of quantitative digital subtraction angiography (DSA) in the assessment of coronary artery lesion dimension has been limited by cardiac and respiratory motion artifacts. We have reported previously on a motion-immune dual-energy (DE) cardiac mode in which kVp and filtration are switched at 30 Hz. To assess the potential advantages of a videodensitometric technique for quantification of absolute vessel cross-sectional area (CSA), three different quantitative coronary arteriography (QCA) algorithms were compared. The three algorithms under comparison were a videodensitometric (V) algorithm, which does not require any geometric assumption for absolute vessel CSA measurement, and videodensitometric (VC) and edge detection (ED) algorithms, which do require the assumption of circular cross-section for CSA measurements. A cylindrical vessel phantom (0.5-4.75 mm in diameter) and a crescentic vessel phantom, producing 25% to 90% area stenosis, were imaged over the chest of a humanoid phantom. The low- and high-energy images were corrected for scatter and veiling glare before energy subtraction. For CSA measurements in crescentic vessel phantoms, the V algorithm produced significantly improved results (slope = 0.87, intercept = 0.51 mm2, r = .95) when compared to the VC (slope = 1.05, intercept = 4.19 mm2, r = .75) and the ED (slope = 1.57, intercept = 5.21 mm2, r = .60) algorithms.

Algorithms

Quantification of magnetic resonance scans for hippocampal and parahippocampal atrophy in Alzheimer's disease.

The brains of patients with Alzheimer's disease (AD) invariably exhibit neuropathology in the hippocampus and entorhinal cortex when examined postmortem. Magnetic resonance imaging (MRI) offers a noninvasive, high-resolution method for quantifying volumetric changes in the AD brain antemortem. Eight patients diagnosed with probable AD and 7 age-matched controls had MRI scans and were tested on a battery of cognitive and olfactory tests. The hippocampus and entorhinal cortex (parahippocampal gyrus) showed significant atrophy, with over 40% reduction in size. Areas of the brain that are not highly involved in the degenerative state of AD, such as the striatum, did not show significant volumetric changes. Hippocampal and parahippocampal gyrus volumes had the highest correlation with scores on the Mini-Mental State Examination (r = 0.89), with lower correlations for a smell identification test (r = 0.65), odor match-to-sample test (r = 0.72), and a visual match-to-sample test (r = 0.26).

Aged

Measurement of three-dimensional radiation dose distributions using MRI.

Recent investigations have shown that nuclear magnetic resonance (NMR) can be used in conjunction with a suitable chemical dosimeter to estimate the dose from ionizing radiation (Gore et al., Phys Med. Biol. 29, 1189-1197, 1984). Based on this fact it was proposed that spatial dose distributions can be measured in gels infused with the chemical dosimeter using NMR imaging. There have been few such attempts and they provided only qualitative results. In this paper, we report results demonstrating the feasibility of obtaining quantitative dose distribution measurements by this technique. It is shown that quantitative dose distribution measurements necessitate the calculation of relaxation rate maps. We have determined that the spin-spin relaxation rate is a more sensitive parameter than the spin-lattice relaxation rate. It is also demonstrated that the addition of chemical sensitizers could improve the dose sensitivity of the measured NMR parameters. The two features characterizing a photon beam, depth-dose relationship, and beam profile as measured by this technique are in good agreement with the measurements using conventional methods, ionization chambers, and film dosimetry.

Ferrous Compounds

Projection images of the position-velocity joint spin density distribution.

A new concept of phase encoding called position-velocity combined oblique Fourier phase encoding is introduced. It encodes both spatial and velocity information in a single oblique direction in the position-velocity space. Using this method, two-dimensional projection images of the three-dimensional position-velocity joint spin density distribution along different directions can be obtained. These projection images can provide detailed information on the flow system under study. The imaging of the two-dimensional projection is less time consuming compared to three-dimensional Fourier flow imaging and can be easily implemented on a conventional magnetic resonance imaging scanner.

Fourier Analysis