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Biomedical subjects

Yoshitaka Masutani

Publications and source records attributed to Yoshitaka Masutani.

6 recordsLinked to original sources

MR diffusion tensor imaging: recent advance and new techniques for diffusion tensor visualization.

Recently, diffusion tensor imaging is attracting the biomedical researchers for its application in depiction of fiber tracts based on diffusion anisotropy. In this paper, we briefly describe the basic theory of diffusion tensor MR imaging, the determination process of diffusion tensor, and the basic concepts of diffusion tensor visualization techniques. Several results of clinical application in our institute are also introduced. Finally, the limitations, advantages and disadvantages of the techniques are discussed for further application of diffusion tensor visualization.

Anisotropy↗

MR imaging of ischemic penumbra.

Cerebral ischemic stroke is one of the most fatal diseases despite current advances in medical science. Recent demonstration of efficacy using intravenous and intra-arterial thrombolysis demands therapeutic intervention tailored to the physiologic state of the individual tissue and stratification of patients according to the potential risks for therapies. In such an era, the role of the neuroimaging becomes increasingly important to evaluate the extent and location of tissues at risk of infarction (ischemic penumbra), to distinguish it from unsalvageable infarcted tissues or doomed hemorrhagic parenchyma. In this review, we present briefly the current role and limitation of computed tomography and conventional magnetic resonance imaging (MRI). We also present the possible applications of advanced MR techniques, such as diffusion and perfusion imaging, concentrating on the delineation or detection of ischemic penumbra.

Brain Ischemia↗

[Simple visualization of the corticospinal pathway using tractography: one-ROI and two-ROI methods].

Diffusion tensor imaging (DTI), a magnetic resonance (MR) technique to analyze diffusion anisotropy of the brain, is able to demonstrate subtle white matter anatomy. Tractography is expected to be a unique, non-invasive tool to provide more pertinent insights into brain structure and orientation not accessible by conventional MRI. In this report, preliminary experiences of visualization of the corticospinal tract using tractography are described. DTI of the brain was performed in 5 normal volunteers using single-shot echo-planar imaging, then tractography was generated by our original software. We determined that the two-region-of-interest (ROI) method is superior to the one-ROI method.

Adult↗

Computerized detection of pulmonary embolism in spiral CT angiography based on volumetric image analysis.

A fully automated method for computerized detection of pulmonary embolism in spiral computed tomography angiography was developed based on volumetric image analysis. The detection method is based on segmentation of pulmonary vessels to limit the search space, and analysis of several three-dimensional features inside segmented vessel volume. The features utilized are vascular size, local contrast based on mathematical morphology, degree of curvilinearity based on second derivatives, and geometric features such as volume and length. Detection results were obtained for 19 clinical data sets and the performance of the method was evaluated. Using the number and locations of thrombi diagnosed by radiologists as the gold standard, 100% sensitivity was achieved with 7.7 false positives per case, and 85% sensitivity was obtained with 2.6 false positives. For identification of all the positive cases as positive, i.e., detection of at least one thrombus per positive case, 1.9 false positives per case were obtained. These preliminary results suggest that the method has potential for fully automated detection of pulmonary embolism.

Algorithms↗

Computerized detection of colonic polyps at CT colonography on the basis of volumetric features: pilot study.

PURPOSE: To develop a computer-aided diagnosis (CAD) scheme for automated detection of colonic polyps on the basis of volumetric features and to assess its accuracy on the basis of colonoscopy, the standard. MATERIALS AND METHODS: Computed tomographic (CT) colonography was performed in patients with use of standard bowel cleansing, air insufflation, and helical scanning in supine and prone positions. The colon was extracted from volumetric data sets generated from transverse CT sections. Volumetric features characterizing polyps were computed at each point in the extracted colon. Polyps were detected by means of hysteresis thresholding and fuzzy clustering followed by a rule-based test on the basis of feature values. Locations of the detected polyps were compared with those detected at conventional colonoscopy. RESULTS: Forty-one cases were analyzed: nine cases with polyps and 32 without polyps. Each case with polyps had one polyp of clinically important size (six were 5-9 mm; three, 10 mm). Thus, there were 82 volumetric data sets, 18 included polyps. Eighty-nine percent (16 of 18) of the polyps were detected. Each of the two false-negative findings was detected in the other position; thus, 100% of polyp cases were detected, with 2.5 false-positive findings per patient. The false-positive findings were similar to those due to common perceptual errors. Most of the false-positive findings were easily distinguishable from true polyps by experienced radiologists. CONCLUSION: The CAD scheme has the potential to depict polyps with high sensitivity and an acceptable false-positive rate.

Adult↗

[Evaluation of PROPELLER MR imaging: preliminary experiences].

Periodically Rotated Overlapping ParallEL Lines with Enhanced Reconstruction (PROPELLER) MR imaging (MRI) has a unique ability to correct motion artifacts and is expected to be useful in diffusion-weighted MRI. This article describes preliminary experiences with PROPELLER MRI. PROPELLER uses a radial scan variation of the fast spin-echo sequence and it shows much less spatial deterioration than the echo-planar imaging sequence. To determine the optimal parameters of this technique, we calculated the signal intensities of phantoms and brains in various settings. PROPELLER MR examinations were also performed in 66 patients for clinical use. PROPELLER MRI appears to be a promising and useful technique.

Artifacts↗