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Biomedical subjects

P Mansfield

Publications and source records attributed to P Mansfield.

At least 55 records · Page 3Linked to original sources

NMR microscopy of hydrating hydrophilic matrix pharmaceutical tablets.

NMR microscopy has been used to monitor the formation of the gel layer in hydrating hydrophilic polymer tablets. Such tablets are used in the controlled delivery of drugs, where it has been found that the rate and extent of the swelling of the outer gel layer critically influences the kinetics of drug release. Tablets were hydrated in distilled water at 37 degrees C and then imaged at discrete time intervals using a 500 MHz microscope. The growth of the gel layer was clearly observed in time sequences of radial and axial sections. Axial images showed some interesting dimensional changes, with the gel at the flat surface of the tablet developing a concave shape. This is probably a reflection of the occurrence of uni-axial stress relaxation as hydration proceeds. Diffusion- and T2-weighted images provided evidence that the water in the gel layer is more strongly bound close to the dry core of the tablet than at the more fully hydrated outer surface. In images of tablets containing diclofenac, disruption of the gel layer was shown to occur primarily from the flat surfaces of the tablet, whilst the distribution of particles could be seen in tablets doped with insoluble calcium phosphate.

Diclofenac↗

Resonant trapezoidal gradient generation for use in echo-planar imaging.

Two passive filter circuit designs are compared which enable series resonant trapezoidal drive of the modulated read gradients used in both echo-planar and echo-volumar imaging. Using simple circuit simulation software, details of the expected power requirements and performance have been evaluated for peak operating currents of up to 1000 A. The circuits evaluated were of a 7th order design incorporating a 110 microH gradient coil operating at fundamental frequencies between 800 Hz and 2000 Hz. Results indicate that the simpler circuit design is not necessarily the most efficient. In addition, by suitable modification of the input waveform algorithm, it can be shown that the shape of the resonant gradient waveform may be varied entirely under software control from triangular to trapezoidal, the minimum ramptime being specified by the highest harmonic accommodated in the circuit. The energy storage, non-dissipative nature of the circuit design also means that the gradient ramptime is effectively independent of amplifier power capabilities, making a fast rise trapezoidal waveform as easy to implement as either triangular or sinusoidal waveforms. Using the approach outlined above, trapezoidal gradient modulation at peak current amplitudes in excess of 320 A and risetimes less than 60 microseconds have been easily produced in this laboratory for use in echo-planar imaging and for investigations into ways of optimising gradient performance before the onset of peripheral nerve stimulation.

Echo-Planar Imaging↗

A three-year follow-up of children imaged in utero with echo-planar magnetic resonance.

A 3-year follow-up study was carried out on 20 children examined in utero with echo-planar magnetic resonance imaging when fetal compromise had been demonstrated or was suspected. There was no demonstrable increase in the occurrence of disease or disability (including hearing deficit) that could be related to echo-planar imaging techniques.

Child, Preschool↗

Estimation of fetal lung volume using echo-planar magnetic resonance imaging.

OBJECTIVE: To measure fetal lung volume by echo-planar magnetic resonance imaging (MRI). METHODS: Twenty singleton pregnancies were scanned on one occasion each using echo-planar imaging, a form of MRI. Cases of fetal growth restriction and macrosomia were excluded from the study. RESULTS: Lung volumes increased with gestational age from 21 mL at 23 weeks' gestation to a maximum of 94 mL at term. The relation between lung volume and gestational age was exponential. The ratio of lung volume to total fetal volume decreased with gestational age. CONCLUSION: The use of echo-planar imaging allows estimation of normal fetal growth; it has clear applications for the diagnosis of lung hypoplasia and potential use for the study of lung maturity.

Echo-Planar Imaging↗

Elimination of susceptibility distortions and reduction of diffusion attenuation in NMR microscopy by line-narrowed 2DFT.

NMR imaging at high field strengths is adversely affected by magnetic susceptibility variations within the specimen. This is especially true in NMR microscopy. We present results using a line-narrowed imaging sequence which overcomes the image distortions associated with the frequency encoded readout method. Signal attenuation due to diffusion in static magnetic field gradients is also reduced.

Artifacts↗

Limits to neural stimulation in echo-planar imaging.

Simple electrical circuits are used to model neural stimulation. The stimulation current is evaluated for a variety of magnetically induced waveforms and for sinusoidal stimulation as a function of frequency. Experimental results obtained using a small scale magnetic stimulator show that the transient response rather than the steady-state behavior determines the stimulation characteristics thus suggesting a nonlinear model. We show that a nonlinear circuit changes a steady-state current solution into a repeated transient solution and thereby better explains our experimental results. Our model also shows that for very short times and high frequencies, contrary to the current widely held view, neural stimulation is independent of the magnetic field switching rate dB/dt, but depends on the final magnetic field value, Bm. At lower frequencies and rise-times, there may be a small advantage in using square wave over sine wave gradient modulation for whole body echo-planar imaging (EPI). It is found that the peak stimulation fields Bm, for both sinusoidal and trapezoidal waveforms are equal for equal risetimes. This means that for a given image array size and imaging time, trapezoidal modulation EPI ultimately can be made to operate below the neural triggering threshold while the equivalent sine modulation EPI version transcends the threshold.

Echo-Planar Imaging↗

Prolonged monitoring of the upper gastrointestinal tract using echo planar magnetic resonance imaging.

Upper gastrointestinal motility and transit has been studied in five human volunteers with the ultra high speed, magnetic resonance imaging (MRI) technique MBEST (Modulus Blipped Echo-planar Single pulse Technique), a variant of echo planar imaging. Snapshot images requiring a data acquisition time of only 64-128 msec allowed visualisation of peristalsis in the antrum and duodenum in real time, without motional image degradation, as would normally be seen using conventional MRI. Gastroduodenal flow of the luminal contents was visualised using water as a contrast medium, with appropriate adjustment of the time constant (T2) weighting of the system. Rapid (0.3 Hz) imaging of gastroduodenal motility in both transverse and coronal planes was achieved by respiratory gating to the imaging frequency, allowing repetition rates of up to 20 frames per minute for 2-3 hours. Fast replay of stored images, to produce a 'movie loop', allowed identification of fasting motility patterns of the gastric antrum and proximal small intestine, with depiction of the phases of the migrating motor complex. Images of the fed patterns after the ingestion of a test meal showed good separation of solid and liquid particulate matter and mixing waves in the gastric body. The potential for quantitative measurements with this new imaging modality of the gastrointestinal tract is under development, which will allow us to measure transit and correlate this with motility data.

Adult↗

Dynamic studies of gadolinium uptake in brain tumors using inversion-recovery echo-planar imaging.

Echo-planar imaging has been used to observe the dynamics of Gd-DTPA uptake in brain tumors. It has been possible to examine both vascular uptake and diffusion across the blood-brain barrier in a single experiment, by using the IR-MBEST echo-planar sequence which combines a high temporal resolution (approximately 3 s) with strong T1 weighting. To model the uptake it is necessary to know the arterial concentration of Gd-DTPA; in this study the signal in the sagittal sinus was measured to avoid the need to take repeated blood samples. The time constant for transfer across the blood-brain barrier was measured to be between 20 and 1050 s for different tumors. The results of the modeling correlated with the results of other assessments of tumor vascularity.

Adult↗

Magnetic resonance imaging: applications of novel methods in studies of porous media.

NMR imaging is finding broad applications in nonbiological areas including the study of fluid flow and fluid ingress in porous media. The porous media include at the one end mineral rocks and various building materials through various solid plastic materials to foodstuffs at the other end of the spectrum. The fluids within these various media range from crude oil and water mixtures, and water itself, to a range of organic solvents in plastic materials. This paper is concerned with the flow and ingress of water through Bentheimer sandstone and Ninian reservoir specimens, and also in solid nylon blocks.

Echo-Planar Imaging↗

Echo-planar imaging: magnetic resonance imaging in a fraction of a second.

Progress has recently been made in implementing magnetic resonance imaging (MRI) techniques that can be used to obtain images in a fraction of a second rather than in minutes. Echo-planar imaging (EPI) uses only one nuclear spin excitation per image and lends itself to a variety of critical medical and scientific applications. Among these are evaluation of cardiac function in real time, mapping of water diffusion and temperature in tissue, mapping of organ blood pool and perfusion, functional imaging of the central nervous system, depiction of blood and cerebrospinal fluid flow dynamics, and movie imaging of the mobile fetus in utero. Through shortened patient examination times, higher patient throughput, and lower cost per MRI examination, EPI may become a powerful tool for early diagnosis of some common and potentially treatable diseases such as ischemic heart disease, stroke, and cancer.

Diffusion↗

RF cavity resonator and split-resonator designs.

A simple high-pass cavity resonator has been constructed for NMR imaging use at 500 MHz. A capacitative circuit arrangement is used to drive the device. A novel split-coil or half-resonator design is also introduced for lower-frequency operation with applications in whole-body medical imaging.

Equipment Design↗

Gradient coil design using active magnetic screening.

Active magnetic screening allows the production of gradient coils which are magnetically decoupled from their surroundings. Using such coils the eddy current problems associated with the generation of large, rapidly switched gradients within the confines of a superconductive magnet can be eliminated. In this paper the principles of active screening are outlined and some of the methods of designing screened gradient coils are described. Problems relating to the construction of screened gradient coils are also addressed.

Equipment Design↗

Real-time flow measurements using echo-planar imaging.

The ultra-high-speed echo-planar imaging (EPI) method is combined with velocity encoding prior to EPI read-out, thereby allowing real-time measurement of flow. Results of EPI flow measurement experiments are presented on phantoms and human volunteers.

Blood Flow Velocity↗

Dynamic imaging of contrast enhancement in brain tumors.

Gadolinium-DTPA has been shown to be a good probe for demonstrating defects in the blood-brain barrier, but it has a rapid rate of elimination so that peak circulating levels are short-lived. In this study ultrafast echo-planar imaging has been used in combination with a bolus injection of gadolinium-DTPA to evaluate perfusion within brain tumors and to assess the degree of disruption of the blood-brain barrier. The temporal profile of enhancement may allow discrimination between different tumor types.

Blood-Brain Barrier↗

Clinical experience with contrast enhanced echo-planar imaging of the brain.

The overall effects of intravenous Gd-DTPA on tissue signal in intracranial tumors are complex depending on dose, time of administration, pulse sequence, and tissue structure. Ultrahigh speed EPI permits the kinetics of tissue enhancement in intracranial tumors to be studied during the "wash-in" equilibrium and "wash-out" phases. Ongoing studies employing dynamic scanning have shown it to be a valuable adjunct to a morphological study of tumors, providing an assessment of vascularity which is important in planning resection; and demonstrating areas with maximal breakdown of the blood-brain barrier which are most suitable for stereotactic biopsy. There are grounds for anticipating that the analysis of the temporal profile of enhancement may allow discrimination between different tumor types and provide information on factors which relate to the malignant potential of a single type.

Brain Neoplasms↗