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Biomedical subjects

Peter Boesiger

Publications and source records attributed to Peter Boesiger.

At least 37 records · Page 2Linked to original sources
PubMed2006

Is post-systolic shortening a reliable indicator of myocardial viability? An MR tagging and late-enhancement study.

PURPOSE: In ischemic myocardium systolic strain is reduced and followed by a deformation after systole, the so-called post-systolic shortening. The presence of post systolic shortening is therefore considered a marker of viability even though its mechanism remains unclear. The hypothesis was tested whether post-systolic shortening might be a passive recoil phenomenon and therefore not uniquely associated with viability. METHODS: Five patients with a history of myocardial infarctions and fully transmural scars in late enhancement imaging and five age-matched healthy volunteers underwent a tagging study to analyze systolic and post-systolic deformation in transmurally infarcted and contra-lateral non-infarcted myocardium. From CSPAMM myocardial tagging data, mid-wall circumferential fiber shortening, radial displacement, and rotation parameters were semi-automatically extracted by harmonic phase (HARP). RESULTS: In transmurally infarcted myocardium, a post systolic shortening of 6.2 +/- 1.8% was present occurring in early diastole (time to maximum circumferential fiber shortening increased versus both, contralateral myocardium and corresponding sectors in healthy volunteers, p < 0.01). Maximum radial displacement was decreased in scar tissue (p < 0.001 versus contra-lateral), but time to maximum radial displacement did not differ. Rotation did not discriminate between infarcted and non-infarcted myocardium. CONCLUSIONS: The pure finding of post-systolic shortening is not sufficient for the diagnosis of residual myocardial viability. Post-systolic shortening may be explained in part by passive recoil, which releases energy stored in the scar tissue during systolic intra-ventricular unloading. Circumferential fiber shortening appears best suited for characterization of regional deformation, whereas radial displacement and rotation are more dependent on tethering effects, and thus, are more likely to reflect global chamber mechanics.

Analysis of Variance↗
PubMed2006

2D-spatially-selective real-time magnetic resonance imaging for the assessment of microvascular function and its relation to the cardiovascular risk profile.

BACKGROUND: While local endothelial dysfunction of conduit arteries is well recognized as an early step in atherogenesis, contradictory observations are reported with regard to alterations in the microcirculation and their association with cardiovascular risk factors (RFs). A real-time MR approach was developed to investigate the relationship between the RFs profile and microcirculatory alterations assessed as impairment of reactive hyperemic flow in the leg circulation. METHODS: The MR technique was applied to patients (n = 17, Pats1) with 1.8 +/- 0.8 RFs but without peripheral arterial occlusive disease (PAD), to age-matched healthy controls (n = 13, Con1), to young controls (n = 12, 23 +/- 4 y), and to patients with RFs and PAD (n = 8, Pats2). RESULTS: Superficial femoral artery (SFA) peak hyperemic flow in Pats1 was reduced vs Con1 (24.6 +/- 4.2 vs 30.4 +/- 7.3 mL min-1 100 mL-1 calf tissue, p < 0.02), and minimal vascular resistance increased incrementally with the number of RFs and with Framingham and Procam risk scores. Flow-mediated vasodilation (FMD) of the SFA was blunted in both Pats1 and Con1 (-0.5 +/- 3.4% and +0.6 +/- 3.2%, respectively, both ns vs 0). In young controls, peak hyperemic flow (30.1 +/- 3.3 mL min-1. 100 mL-1) and endothelium-independent vasodilation (9.2 +/- 10.0%) were preserved, while FMD was minimal (2.0 +/- 5.9%,p < 0.02 vs endothelium-independent vasodilation). In Pats2, peak hyperemic flow was severely reduced (12.2 +/- 3.6 mL min-1 100 mL-1, p < 0.0003 vs Con1 and Pats1), and both FMD and endothelium-independent vasodilation were absent. CONCLUSIONS: Reactive hyperemic flow in the SFA, reflecting microcirculatory function of the lower limb, gradually decreases with increasing cardiovascular risk suggesting a role for microvascular dysfunction in atherogenesis. The presented MR approach might become a valuable tool to study (micro)-vascular pathophysiology.

Adult↗
PubMed2005

Segregated neural representation of distinct emotion dimensions in the prefrontal cortex-an fMRI study.

Emotions are frequently characterized by distinct dimensions such as valence, intensity, and recognition. However, the exact neural representation of these dimensions in different prefrontal cortical regions remains unclear. One of the problems in revealing prefrontal cortical representation is that the very same regions are also involved in cognitive functions associated with emotion processing. We therefore conducted an fMRI study involving the viewing of emotional pictures (using the International Affective Picture System; IAPS) and controlled for associated cognitive processing like judgment and preceding attention. Functional activation was correlated with subjective post-scanning ratings of valence, intensity, and recognition. Valence significantly correlated with the functional response in ventromedial prefrontal cortex (VMPFC) and dorsolateral prefrontal cortex (DLPFC), intensity with activation in ventrolateral prefrontal cortex (VLPFC) and dorsomedial prefrontal cortex (DMPFC), and recognition with the functional response in perigenual anterior cingulate cortex (PACC). In conclusion, our results indicate segregated neural representation of the different emotion dimensions in different prefrontal cortical regions.

Adult↗
PubMed2005

Linear response equilibrium.

A new periodic pulse sequence employing weak excitation is presented. This type of sequence drives the system into a steady-state with periodic time evolution from which the data can be reconstructed to a spectrum. It is demonstrated that the frequency response of such a sequence can be analyzed using perturbation methods and linear system analysis. A mathematical framework is proposed allowing the frequency response to be tailored by weighting a periodic flip function. The weak excitation level used implies very low specific absorption rates while generating a highly frequency selective signal in the order of 1/T2 with signal strengths comparable to those obtainable with conventional large flip angle balanced steady-state free precession techniques. The concept is illustrated with phantom experiments and in vivo feasibility of water fat separation is shown on human knee images.

Adipose Tissue↗
PubMed2005

Face perception is mediated by a distributed cortical network.

The neural system associated with face perception in the human brain was investigated using functional magnetic resonance imaging (fMRI). In contrast to many studies that focused on discreet face-responsive regions, the objective of the current study was to demonstrate that regardless of stimulus format, emotional valence, or task demands, face perception evokes activation in a distributed cortical network. Subjects viewed various stimuli (line drawings of unfamiliar faces and photographs of unfamiliar, famous, and emotional faces) and their phase scrambled versions. A network of face-responsive regions was identified that included the inferior occipital gyrus, fusiform gyrus, superior temporal sulcus, hippocampus, amygdala, inferior frontal gyrus, and orbitofrontal cortex. Although bilateral activation was found in all regions, the response in the right hemisphere was stronger. This hemispheric asymmetry was manifested by larger and more significant clusters of activation and larger number of subjects who showed the effect. A region of interest analysis revealed that while all face stimuli evoked activation within all regions, viewing famous and emotional faces resulted in larger spatial extents of activation and higher amplitudes of the fMRI signal. These results indicate that a mere percept of a face is sufficient to localize activation within the distributed cortical network that mediates the visual analysis of facial identity and expression.

Adult↗
PubMed2005

Implicit associative learning engages the hippocampus and interacts with explicit associative learning.

The hippocampus is crucial for conscious, explicit memory, but whether it is also involved in nonconscious, implicit memory is uncertain. We investigated with functional magnetic resonance imaging whether implicit learning engages the hippocampus and interacts with subsequent explicit learning. The presentation of subliminal faces-written profession pairs for implicit learning was followed by the explicit learning of supraliminal pairs composed of the same faces combined with written professions semantically incongruous to those presented subliminally (experiment 1), semantically congruous professions (experiment 2), or identical professions (experiment 3). We found that implicit face-profession learning interacted with explicit face-profession learning in all experiments, impairing the explicit retrieval of the associations. Hippocampal activity increased during the subliminal presentation of face-profession pairs versus face-nonword pairs and correlated with the later impairment of explicit retrieval. These findings suggest that implicit semantic associative learning engages the hippocampus and influences explicit memory.

Association Learning↗
PubMed2005

Comparison of fMRI activation as measured with gradient- and spin-echo EPI during visual perception.

In this study, we compared fMRI activation measured with gradient- and spin-echo-based fMRI during visual perception of faces, which is mediated by neural activation within a distributed cortical network. With both fMRI techniques, bilateral activation was observed in multiple regions including the inferior occipital gyrus, fusiform gyrus, superior temporal sulcus, amygdala, inferior frontal gyrus, and orbitofrontal cortex. When compared with the gradient-echo sequence, activation measured with the spin-echo sequence was significantly reduced. This decrease was manifested by smaller cluster size, lower statistical significance, smaller amplitude of the fMRI signal, and smaller number of subjects who showed activation in all face-responsive regions. In orbitofrontal cortex, a region prone to susceptibility-related signal dephasing, the spin-echo acquisition considerably restored the signal, but did not reveal stronger activation when compared with the gradient-echo acquisition. Our data indicate that optimized GE sequences that reduce susceptibility artefacts are sufficient to detect activation in regions such as the orbitofrontal cortex.

Adult↗
PubMed2005

Sensitivity-encoded (SENSE) echo planar fMRI at 3T in the medial temporal lobe.

Parallel imaging techniques are useful for fMRI studies in light of the increasing susceptibility effects at high magnetic field strength. Yet, spatially varying noise amplification constitutes a challenge for the application of these techniques. The medial temporal lobe is particularly vulnerable to susceptibility effect with increasingly strong signal reduction. We present two fMRI studies comparing SENSE single-shot (ssh) echo planar imaging (EPI) at acceleration factors of 2.0, 2.4, 2.7, and 3.0 with conventional sshEPI at TE of 22 and 35 ms. Data were acquired during a learning task which activates the medial temporal lobe bilaterally. Susceptibility related image distortion was markedly reduced with increasing SENSE acceleration. Moreover, in the group results, statistical power increased in the whole brain with SENSE compared to conventional imaging and with a TE of 35 ms compared to 22 ms. Higher SENSE acceleration factors further improved image quality and increased statistical power in the occipital lobe and fusiform gyrus, but not in the medial temporal lobe. We therefore conclude that an sshEPI acquisition protocol with a moderate SENSE acceleration factor of R = 2.0 and TE 35 ms is suitable for the detection of medial temporal activation at 3T.

Adult↗
PubMed2005

Ventricular myocardial architecture as visualised in postmortem swine hearts using magnetic resonance diffusion tensor imaging.

OBJECTIVE: The three-dimensional arrangement of the ventricular myocardial architecture remains controversial, in part because histological assessment is difficult to achieve, while anatomic dissections are, of necessity, destructive. In this study, we describe how the use of magnetic resonance diffusion tensor imaging has permitted us to reconstruct with precision the architecture of the ventricular myocardial fibres in the post-mortem swine heart. METHODS AND RESULTS: We obtained diffusion-weighted spin-echo measurements of autopsied porcine hearts using a whole body MR system. We calculated the diffusion tensor and the corresponding eigenvectors on a voxel-by-voxel basis. This permitted us to colour code the fibres, and reconstruct them by connecting voxels in direction of the largest eigenvector. Such reconstructions show that, in the middle layer of the left ventricle, most of the fibres have a circular orientation, albeit that a far from negligible component runs in a transverse direction. With increasing distance from the epicardium, the orientation of the fibres shows a continuous change in angulation with respect to an axis normal to the epicardium. CONCLUSION: Our data presented here supports the concept that the ventricular mass is arranged as a complex three-dimensional mesh of tangential and intruding fibres. The data offers no support for the concept of a "unique myocardial band". The method has the potential to detecting deviations from this basic normal architecture, being capable of reconstructing the ventricular mass so as to assess the spatial coordinates of any single fibre strand. The technique, therefore, has major potential clinical applications in the setting of the failing or malformed heart, potentially being able to identify either systematic or regional disarray of the myocardial fibres.

Animals↗
PubMed2005

One month of human memory consolidation enhances retrieval-related hippocampal activity.

We studied the role of the hippocampus in memory retrieval at 1 day and 1 month following associative learning of word pairs. Retrieval-related brain activity was recorded using functional magnetic resonance imaging in 20 healthy students, of which 12 were good learners and eight were poor learners. At the day lag, the poor learners exhibited enhanced neural recruitment in the hippocampus and neocortex to reach a retrieval performance comparable to that of the good learners. Over the 20 subjects, there was a positive correlation between retrieval-related hippocampal activity at the day lag and forgetting over the month retention interval (the greater the activity, the more forgetting). Although the poor learners' retrieval performance declined dramatically from the day to the month lag, the good learners maintained a high retrieval performance, which distinguishes them as good memory consolidators. Their retrieval-related hippocampal and neocortical activity increased from the day to the month lag. This increase was observed both when retrieval performance was matched between the day and the month lag and when the learning procedure for information retrieved at the day and the month lag was matched. This activity increase in the task-specialized neural network from the day lag to the month lag may reflect an increase in task demands or the proliferation of hippocampal-neocortical memory traces during memory consolidation as suggested by the multiple trace theory.

Adult↗
PubMed2005

Improved artery delineation in dual-stack coronary magnetic resonance angiography using parallel imaging at 3 T.

PURPOSE: To improve vessel sharpness and T2 preparation (T2Prep) in dual-stack three-dimensional coronary magnetic resonance angiography (MRA) by shortening the time delays between the magnetization preparation pulses and the imaging stacks using sensitivity encoding (SENSE) at 3 T. MATERIALS AND METHODS: By combining dual-stack three-dimensional coronary MRA with the parallel imaging technique SENSE at 3 T, the acquisition duration of each three-dimensional imaging stack was shortened by a factor of 2. The proposed technique was implemented and tested in experiments with a moving phantom and in measurements on six healthy volunteers. RESULTS: The time delay between the navigator, T2Prep, and second imaging stack was reduced by 37%, relative to conventional dual-stack angiography without parallel imaging. This enabled the achievement of comparable high-vessel sharpness values for the left and the right coronary arteries relative to values known from conventional single-stack three-dimensional coronary MRA at 3 T. CONCLUSION: Parallel imaging allows for improved vessel visualization in dual-stack coronary MRA, given shorter temporal delays between navigator, T2Prep, and the actual image acquisitions, and thus considerably facilitates simultaneous acquisition of high-resolution angiograms of the left and right coronary systems.

Adult↗
PubMed2005

Effect of ingestion order of the fat component of a solid meal on intragastric fat distribution and gastric emptying assessed by MRI.

PURPOSE: To develop an MRI technique to investigate how varying the ingestion order of nonfat and fat components of a solid meal influences three-dimensional intragastric distribution and gastric emptying (GE). MATERIALS AND METHODS: Eight healthy subjects were studied twice in randomized order. On one occasion (condition F-NF), the fat component (40 g mayonnaise on toast) was served before the nonfat component (270 g pasta, 200 g tomato sauce, 100 mL water); on the other (condition NF-F), the ingestion order was reversed. GE and intragastric distribution of both components were assessed by MRI for 180 minutes. RESULTS: During condition F-NF, GE of fat was significantly faster than during condition NF-F (T(25) [min]: F-NF: 20 +/- 9; NF-F: 40 +/- 7; P < 0.05), a larger amount of fat was observed in the antrum during condition F-NF, and more fat layering occurred. No differences were observed in total GE between the two conditions. CONCLUSION: Meal ingestion order influences GE and intragastric distribution of fat, which can be assessed by MRI techniques, providing new insights into the physiology of gastric processing and intragastric distribution of different meal phases.

Adult↗
PubMed2005

Transmit and receive transmission line arrays for 7 Tesla parallel imaging.

Transceive array coils, capable of RF transmission and independent signal reception, were developed for parallel, 1H imaging applications in the human head at 7 T (300 MHz). The coils combine the advantages of high-frequency properties of transmission lines with classic MR coil design. Because of the short wavelength at the 1H frequency at 300 MHz, these coils were straightforward to build and decouple. The sensitivity profiles of individual coils were highly asymmetric, as expected at this high frequency; however, the summed images from all coils were relatively uniform over the whole brain. Data were obtained with four- and eight-channel transceive arrays built using a loop configuration and compared to arrays built from straight stripline transmission lines. With both the four- and the eight-channel arrays, parallel imaging with sensitivity encoding with high reduction numbers was feasible at 7 T in the human head. A one-dimensional reduction factor of 4 was robustly achieved with an average g value of 1.25 with the eight-channel transmit/receive coils.

Brain↗
PubMed2005

Sensitivity encoding as a means of enhancing the SNR efficiency in steady-state MRI.

Sensitivity encoding (SENSE) with a receiver coil array is typically used as a means of reducing the scan time in MRI. The speed benefit usually comes at some expense in terms of the signal-to-noise ratio (SNR) efficiency, which has been notorious as the main downside of SENSE and parallel MRI in general. In this work it is shown that in steady-state gradient-echo imaging the parallel approach may as well be used to increase the SNR efficiency. The basic idea is to balance reduced phase encoding by increasing the repetition time. In this fashion both the acquisition duty cycle and the steady-state magnetization can be enhanced, resulting in considerable net gains in SNR yield. It is argued that the reduction factor in parallel imaging is essentially an additional degree of freedom in optimizing the SNR. The optimal SENSE factor depends on scan, tissue, and hardware parameters, assuming values up to 3.0 and higher. The achievable SNR benefit also depends on the spoiling regime and is most pronounced for RF-spoiled techniques. The proposed mechanism is demonstrated by simulations and phantom experiments, as well as by contrast-enhanced angiography in vivo, achieving an approximate doubling of the SNR efficiency.

Computer Simulation↗
PubMed2005

Chemical-shift-selective filter for the in vivo detection of J-coupled metabolites at 3T.

A chemical-shift-selective filter (CSSF) was applied to the detection of J-coupled metabolites in the human brain. This filter is an acquisition-based technique that requires the chemical shifts (CS's) of different metabolites, but not their whole multiplet structures, to be resolved. The sequence is based on the 2D constant-time spin-echo experiment, which yields pure CS spectra in the indirect dimension. Localization is achieved through point-resolved spectroscopy (PRESS). The method enables unequivocal detection of glutamate and myo-inositol, both in vitro and in vivo in the human brain, at 3T.

Adult↗
PubMed2005

Optimizing spatiotemporal sampling for k-t BLAST and k-t SENSE: application to high-resolution real-time cardiac steady-state free precession.

In k-t BLAST and k-t SENSE, data acquisition is accelerated by sparsely sampling k-space over time. This undersampling in k-t space causes the object signals to be convolved with a point spread function in x-f space (x = spatial position, f = temporal frequency). The resulting aliasing is resolved by exploiting spatiotemporal correlations within the data. In general, reconstruction accuracy can be improved by controlling the k-t sampling pattern to minimize signal overlap in x-f space. In this work, we describe an approach to obtain generally favorable patterns for typical image series without specific knowledge of the image series itself. These optimized sampling patterns were applied to free-breathing, untriggered (i.e., real-time) cardiac imaging with steady-state free precession (SSFP). Eddy-current artifacts, which are otherwise increased drastically in SSFP by the undersampling, were minimized using alternating k-space sweeps. With the synergistic combination of the k-t approach with optimized sampling and SSFP with alternating k-space sweeps, it was possible to achieve a high signal-to-noise ratio, high contrast, and high spatiotemporal resolutions, while achieving substantial immunity against eddy currents. Cardiac images are shown, demonstrating excellent image quality and an in-plane resolution of approximately 2.0 mm at >25 frames/s, using one or more receiver coils.

Artifacts↗
PubMed2005

Optimizing PRESS localized citrate detection at 3 Tesla.

Analytical methods are used to characterize the response of the strongly coupled two-spin system of citrate to point-resolved spectroscopy (PRESS)-based sequences at 3 T. The signal output is analyzed line by line, as well as in the Cartesian product operator basis. Patterns with a periodicity of 80.9 ms are identified. Furthermore, it is shown that at TE = n . 80.9 ms (n in {0,1,2,...}), the spin evolution can be described without direct reference to strong coupling terms. The theoretical results are found to be in good agreement with in vivo experiments. These results can be used to design protocols for prostate MRS and MRSI at 3 T, and give guidelines for optimizing spin-echo-based acquisition schemes for detecting two-spin systems at arbitrary field strengths.

Adult↗