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Biomedical subjects

T Greitz

Publications and source records attributed to T Greitz.

133 records · Page 8Linked to original sources

Quantitative study of flow dependence in NMR images at low flow velocities.

A basic theoretical model that describes the effects of flow in and out of the imaging plane in nuclear magnetic resonance (NMR) images, obtained with the standard pulse sequences single spin echo, multiple spin echo, and inversion recovery, is presented. Theoretically calculated signal values are compared with experimental results obtained from single-slice images of a flow phantom for variable flow velocity v as well as for variable echo time and inversion time at flow velocities less than 10 mm/s, corresponding to those found in cerebrospinal fluid, in capillary systems, and in smaller veins. The quantitative correspondence between theory and experiment is good in the range of velocities studied and for the imaging parameters used, but discrepancies occur when higher velocities are studied. In addition, flow in a capillary model is demonstrated qualitatively for very low linear flow velocities, less than 1 mm/s. It is concluded that the model describes the essentials of the inflow-outflow effect and that this effect can predict the flow dependence of the NMR signal for low flow velocities. Observed differences between model and experiment may be due to effects of flow-induced phase alterations and due to uncertainty in measurements of the relaxation times T1 and T2. The model described here can be extended to suit other types of pulse sequences and to suit multislice imaging. It can also be extended to incorporate flow-induced phase effects.

Blood Flow Velocity↗

Stereotactic radiation therapy of intracranial lesions. Methodologic aspects.

A technique for stereotactic radiation therapy of cerebral tumours and arteriovenous malformations using a linear accelerator (6 MV photons) is proposed. Treatment relies on a fixation system that permits a precise use of the coordinates estimated at stereotactic angiography or stereotactic computed tomography. The field of treatment can be exactly outlined in the CT images during repeat examinations, thus facilitating the recognition of changes induced by radiation. The system also allows the extent of the arteriovenous malformation, as seen at angiography, to be accurately traced in the CT sections thus enabling evaluation of possible radiation damage to surrounding brain structures. The precision of the method as well as its hypothetical merits and disadvantages are discussed. The number of patients treated is still small and the follow-up time is too short in the majority of cases to allow definite conclusions. Examples of preliminary results are given.

Aged↗

A computerized brain atlas: construction, anatomical content, and some applications.

An adjustable computerized atlas of the human brain has been developed, which can be adapted to fit individual anatomy. It is primarily intended for positron emission tomography (PET) but may also be used for single photon emission CT, transmission CT, magnetic resonance imaging, and neuroimaging-based procedures, such as stereotactic surgery and radiotherapy. The atlas is based on anatomical information obtained from brains fixed in situ soon after death. All structures have been drawn in on digitized photos of slices from one cryosectioned brain. The definition and classification of the anatomical structures and divisions are in agreement with the standard textbooks of anatomy, and the nomenclature is that of the Nomina Anatomica of 1965. The boundaries of the cortical cytoarchitectonic areas (Brodmann areas) have been determined using information from several sources, since three-dimensional literature data on their distribution are incomplete, scarce, and partly contradictory. However, no analysis of the cytoarchitectonics of the atlas brain itself has been undertaken. At present the data base contains three-dimensional representations of the brain surface, the ventricular system, the cortical gyri and sulci, as well as the Brodmann cytoarchitectonic areas. The major basal ganglia, the brain stem nuclei, the lobuli of the vermis, and the cerebellar hemispheres are also included. The computerized atlas can be used to improve the quantification and evaluation of PET data in several ways. For instance, it can serve as a guide in selecting regions of interest. It may also facilitate comparisons of data from different individuals or groups of individuals, by applying the inverse atlas transformation to PET data volume, thus relating the PET information to the anatomy of the reference atlas rather than to the patient's anatomy. Reformatted PET data from individuals can thus be averaged, and averages from different categories or different functional states of patients can be compared.

Anatomy, Artistic↗

PET studies of glucose metabolism in patients with schizophrenia.

The hypothesis of abnormal patterns of metabolism in schizophrenia was examined in a series of six young patients with psychotic symptoms satisfying the research diagnostic criteria. After intravenous injection of 11C-glucose obtained through a photosynthetic process, the regional activity of 11C in brain was measured with a four-ring positron camera. Regions of interest were obtained from computed tomographic images. Each patient underwent a second positron emission tomographic examinations after 4-5 weeks of treatment with a neuroleptic drug. No evidence of a hypofrontal pattern was found, but after treatment there was a reduced frontal uptake on the left side compared with temporal regions. The left-right asymmetry in the lentiform nucleus was reduced after treatment.

Acute Disease↗

Adjustable computerized stereotaxic brain atlas for transmission and emission tomography.

A computerized brain atlas adjustable to the patient's anatomy would serve serveral purposes. It could be used in stereotaxic surgery. Even more important would be its use in medical imaging to identify various brain structures, such as the basal ganglia and their nuclei, as well as individual cortical gyri. This atlas could be used for additional mapping of nonvisible structures in images obtained with methods having a high spatial resolution, such as computed tomography and nuclear magnetic resonance. Anatomic information obtained in this way might then be transferred to images of low resolution, such as those obtained in positron emission tomography or single-photon emission computed tomography, in order to select anatomically correct regions of interest. The methods used in the construction of such an atlas are briefly described. An attempt to implement such an atlas based on digitized photographs of brain slices is described.

Brain↗