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Magnetic resonance imaging of rat head with a high-strength (4.7 T) magnetic field.

This study was designed to seek the appropriate scanning parameters for T1 and T2 weighted images of rat head by use of a high (4.7 T) magnetic field strength magnetic resonance imaging unit. The optimum values of variables for T1 weighted images were considered to be a time of repetition of 1,000 msec, and for T2 weighted images, 8 echoes. When the sagittal images of a healthy rat head were scanned using these optimum values, the cerebrum, cerebellum, olfactory bulb, pituitary gland, pineal gland, spinal cord, tongue, nasopharynx, nasal conchae, vermis and cerebrospinal fluid were clearly observed in either T1 or T2 weighted images. Moreover, a primary brain tumor induced by ethylnitrosourea was depicted as a high signal intensity mass in T2 and contrast-enhanced T1 weighted images.

Animals↗

Diels-alder adducts of 3,6-dibromophencyclone with short-chain N-n-alkylmaleimides: 1H and 13C nuclear magnetic resonance studies of hindered rotations and magnetic anisotropy, and ab initio calculations for optimized structures.

3,6-Dibromophencyclone, 2, reacted with N-ethylmaleimide, 3a; N-n-propylmaleimide, 3b; and N-n-butylmaleimide, 3c; to form the corresponding Diels-Alder adducts, 4a, 4b, and 4c. The nuclear magnetic resonance (NMR) spectra of the adducts were studied at ambient temperatures at 300 MHz for proton and 75 MHz for carbon-13. Full proton assignments were achieved by high-resolution COSY45 spectra for the aryl proton regions. Rigorous assignments for protonated carbons were obtained with the heteronuclear chemical shift correlation spectra (HETCOR). Slow exchange limit (SEL) spectra were observed for both proton and carbon-13 NMR for each adduct, with slow rotation on the NMR timescales for the unsubstituted bridgehead phenyl groups. Endo Diels-Alder adduct stereochemistry was supported by substantial magnetic anisotropic shielding effects in the 1H NMR spectra of the alkyl groups. Proton NMR shifts are compared with those previously reported for the corresponding adducts, 5b and 5c, obtained from 3b and 3c, respectively, with the parent compound, phencyclone, 1. Results of ab initio molecular modeling calculations at the Hartree-Fock level using the LACVP* basis set for conformers of the dibrominated adducts, 4a-4c, are presented, together with HF/6-31G* results for the non-brominated adducts, 5a, 5b, and 5c. Novel aspects of this present work include: (a) attempts to quantitatively evaluate alkyl proton NMR shielding magnitudes in the adducts, relative to maleimide precursors, and (b) use of ab initio Hartree-Fock level calculations to try to reconcile adduct geometries with the observed shielding magnitudes. Our results here complement and extend studies of: (a) adducts of the parent phencyclone with straight-chain N-n-alkylmaleimides, and (b) adducts of 3,6-dibromophencyclone with other symmetrical dienophiles.

Anisotropy↗

Numerical calculations of switched magnetic field gradients during magnetic resonance imaging.

During magnetic resonance imaging (MRI) pulse-sequences the human body is exposed to switched magnetic gradient fields. These gradients become stronger and are switched faster for fast imaging. Effects resulting from these fields with trapezoidal waveforms are on the one hand sensory perception of induced currents and on the other hand muscular and cardiac stimulation. All three components of the current density induced by gradient pulse sequence were analysed in a high-resolution model of the human torso. The evaluation of the calculated data was performed thoroughly in the region of the heart muscle of the torso model to find out how different waveforms of the switched gradient field influence strength and direction of induced currents.

Electrocardiography↗

Magnetic resonance findings in amyotrophic lateral sclerosis using a spin echo magnetization transfer sequence. Preliminary report.

We present the magnetic resonance (MR) findings of five patients with amyotrophic lateral sclerosis (ALS) using a spin-echo sequence with an additional magnetization transfer (MT) pulse on T1-weighted images (T1 SE/MT). These findings were absent in the control group and consisted of hyperintensity of the corticospinal tract. Moreover we discuss the principles and the use of this fast but simple MR technique in the diagnosis of ALS.

Amyotrophic Lateral Sclerosis↗

Magnetic resonance imaging and confocal microscopy studies of magnetically labeled endothelial progenitor cells trafficking to sites of tumor angiogenesis.

UNLABELLED: AC133 cells, a subpopulation of CD34+ hematopoietic stem cells, can transform into endothelial cells that may integrate into the neovasculature of tumors or ischemic tissue. Most current imaging modalities do not allow monitoring of early migration and incorporation of endothelial progenitor cells (EPCs) into tumor neovasculature. The goals of this study were to use magnetic resonance imaging (MRI) to track the migration and incorporation of intravenously injected, magnetically labeled EPCs into the blood vessels in a rapidly growing flank tumor model and to determine whether the pattern of EPC incorporation is related to the time of injection or tumor size. MATERIALS AND METHODS: EPCs labeled with ferumoxide-protamine sulfate (FePro) complexes were injected into mice bearing xenografted glioma, and MRI was obtained at different stages of tumor development and size. RESULTS: Migration and incorporation of labeled EPCs into tumor neovasculature were detected as low signal intensity on MRI at the tumor periphery as early as 3 days after EPC administration in preformed tumors. However, low signal intensities were not observed in tumors implanted at the time of EPC administration until tumor size reached 1 cm at 12 to 14 days. Prussian blue staining showed iron-positive cells at the sites corresponding to low signal intensity on MRI. Confocal microscopy showed incorporation into the neovasculature, and immunohistochemistry clearly demonstrated the transformation of the administered EPCs into endothelial cells. CONCLUSION: MRI demonstrated the incorporation of FePro-labeled human CD34+/AC133+ EPCs into the neovasculature of implanted flank tumors.

AC133 Antigen↗

Diffusion-weighted magnetic resonance and magnetization transfer imaging in the assessment of ischemic human stroke.

We compared characteristic features in ischemic stroke lesions from the hyperacute to the chronic stage on diffusion-weighted (DW) and magnetization transfer (MT) images with those on T2-weighted (T2W) images, and assessed changes in apparent diffusion coefficient (ADC), MT effect (MTe), and T2 ratios (infarct/normal) over time. DW images were particularly useful for detecting hyperacute infarcts within 6 hours of onset and in distinguishing acute lesions from chronic lesions. ADC ratios were lower within 7 days after onset and rose toward 1.0 in the subacute phase, becoming relatively isotense on ADC maps, but elevated thereafter. Although MTe ratios were unchanged or only subtly changed in the acute stage, they became significantly lower in the subacute and chronic stages. These combined magnetic resonance (MR) techniques were useful in the assessment of ischemic stroke and facilitated the determination of the age of cerebral infarct.

Aged↗

[Brain magnetic resonance with magnetization transfer in multiple sclerosis. Lesion hyperintensity before and after intravenous gadolinium administration].

PURPOSE: To evaluate lesion contrast enhancement in brain magnetic resonance (MR) images with and without magnetization transfer pulse (MT) in patients affected with multiple sclerosis (MS). MATERIAL AND METHODS: Ten patients affected with relapsing-remitting MS underwent a 1.5-T (Magnetom Vision, Siemens) MR examination with T1-weighted spin-echo sequences without MT (TR/TE = 630/14 ms) and with MT (840/14 ms) using the following common parameters: 21 para-axial slices (thickness 5 mm, 10% gap); matrix 256 x 256; field of view 25 cm (rectangular 5/8); 2 excitations. The postcontrast sequences with and without MT were acquired in a randomized order, starting 5 minutes after the intravenous injection of 0.1 mmol/kg Gadoteridol (ProHance, Bracco). The images were blindly evaluated in four separate sessions: only the postcontrast images with MT (post-Gd with MT); only the postcontrast images without MT (post-Gd without MT); comparing the pre- and postcontrast images with MT (pre/post-Gd with MT); comparing the pre- and postcontrast images without MT (pre/post-Gd without MT). The number of hyperintense areas referred to contrast enhancement and the evaluation time were measured for each session. The Wilcoxon test was used for statistical analysis. RESULTS: The number of areas referred to lesion contrast enhancement per patient were as follows: post-Gd with MT, 6.9 +/- 6.8 (mean +/- standard deviation) (range 1-24); post-Gd without MT, 3.6 +/- 4.3 (0-14); pre/post-Gd with MT, 5.2 +/- 6.1 (1-21); pre/post-Gd without MT, 3.6 +/- 4.9 (0-16). A nonsignificant difference was found for the comparison between post-Gd without MT and pre/post-Gd without MT while significant differences were found between post-Gd with MT and pre/post-Gd with MT (p = .028), pre/post-Gd without MT and pre/post-Gd with MT (p = .012), as well as between post-Gd without and post-Gd with MT (p = .008). The mean evaluation time for the different sessions was always less than a minute, ranging from 33 seconds for pre/post-Gd without MT to 51 seconds for post-Gd with MT. CONCLUSIONS: The postcontrast sequence obtained with the MT pulse detects more active lesions than the postcontrast sequence without MT. However, the comparison with the plain images with the MT pulse is mandatory to exclude pseudoenhancement foci, i.e. hyperintense areas already present in the precontrast images with the MT pulse, without disruption of the blood-brain barrier. The post-Gd without MT sequence needs not be compared with the precontrast images without MT. Differences in evaluation time are practically negligible.

Adult↗

Perilesional gliosis and seizure outcome: a study based on magnetization transfer magnetic resonance imaging in patients with neurocysticercosis.

We studied the effect of perilesional gliosis on seizure recurrence after stopping antiepileptic drug (AED) therapy in 108 patients with a solitary cysticercal brain cyst. All patients received albendazole therapy in the beginning, and magnetic resonance imaging (MRI) done after 2 seizure-free years showed complete disappearance of the lesion in 67, partial degeneration in 12, and healing by calcification in 29. The gliosis, which was not visible on initial MRI, was observed near the lesion in 22 (20%) patients on T1-weighted magnetization transfer spin-echo (MTSE) MRI. Initial seizure control was difficult with single AED therapy in 16 of 22 patients with gliosis but only in 8 of 86 patients without gliosis. On stopping AED therapy, patients with perilesional gliosis had a higher incidence of seizure recurrence (19 of 22 patients) compared with those who did not demonstrate gliosis (9 of 86 patients). The presumption that gliosis visible on MTSE MRI correlates with seizure recurrence had a high specificity (96%) but only moderate sensitivity (68%). Our findings suggest that there is a group of patients with neurocysticercosis in whom the risk of seizure recurrence is actually high. Several such patients have perilesional gliosis that can be identified on T1-weighted MTSE MRI. These patients probably need long-term AED administration.

Adult↗

Metabolic changes in rats with photochemically induced cerebral infarction and the effects of batroxobin: a study by magnetic resonance imaging, 1H- and 31P-magnetic resonance spectroscopy.

Metabolic changes in rats with photochemically induced cerebral infarction and the effects of batroxobin were investigated 1, 3, 5 and 7 days after infarction by means of magnetic resonance imaging (MRI), 1H- and 31P-magnetic resonance spectroscopy (MRS). A region of T2 hyperintensity was observed in left temporal neocortex in infarction group and batroxobin group 1, 3, 5 and 7 days after infarction. The volume of the region gradually decreased from 1 day to 7 days after infarction. The ratio of NAA/Cho + Cr in the region of T2 hyperintensity in the infarction group was significantly lower than that in the corresponding region in the sham-operated group 3, 5 and 7 days after infarction respectively (P < 0.05). Lac appeared in the region of T2 hyperintensity in the infarction group 1, 3, 5 and 7 days after infarction, but it was not observed in the corresponding region in sham-operated group at all time points. Compared with the sham-operated group, the ratios of beta ATP/PME + PDE and PCr/PME + PDE of the whole brain in the infarction group were significantly lower 1, 3 and 5 days after infarction respectively (P < 0.05), and the ratio of beta ATP/PCr also was significantly lower 1 day after infarction (P < 0.05). Batroxobin significantly decreased the volume of the region of T2 hyperintensity 1 and 3 days after infarction (P < 0.05), significantly increased the ratio of NAA/Cho + Cr in the region 5 and 7 days after infarction (P < 0.05), significantly decreased the ratios of Lac/Cho + Cr and Lac/NAA in the region 5 and 7 days after infarction (P < 0.05), and significantly increased the ratios of beta ATP/PME + PDE and beta ATP/PCr in the whole brain 1 day after infarction (P < 0.05). The results indicated that the infracted region had severe edema, increased Lac and apparent neuronal dysfunction and death, and energy metabolism of the whole brain decreased after focal infarction, and that batroxobin effectively ameliorated the above-mentioned abnormal changes.

Animals↗

Micro-magnetic resonance lymphangiography in mice using a novel dendrimer-based magnetic resonance imaging contrast agent.

Major advances in cancer biology and immunology have been gained using mouse models. However, very few methods are currently available to visualize the deep lymphatic system. A new micro-magnetic resonance lymphangiography (MRL) method in mice, which uses dendrimer-based magnetic resonance imaging contrast agents, was developed. Micro-MRL imaging clearly visualized most of the mouse lymphatic system, including both lymphatics and lymph nodes. This method could detect and distinguish among dilation of lymphatic vessels in a lymphangitis model, proliferative or neoplastic lymph node swellings in a lymphoproliferative model, and inflammatory lymph node swellings in an infection/inflammation model. Changes in the lymphoid system of transgenic mice overexpressing interleukin-15 could be visualized. Abnormal enlarged lymph nodes identified by micro-MRL were selectively removed and analyzed to demonstrate their cell type, receptor expression, and clonality in individual mice. We conclude that the enhanced resolution of this noninvasive micro-MRL can detect and classify lymphatic and lymph node abnormalities in mice, which should have wide applicability to the study of immunology and cancer in both experimental animals and clinical medicine.

Animals↗

[Magnetic resonance angiography with gadolinium (Gd-DTPA) versus baseline magnetic resonance angiography in the study of the intracranial circulation].

The authors evaluated the role of GdDTPA in magnetic resonance angiography (MRA) of intracranial vessels. Fifteen patients affected with different conditions underwent MRA of intracranial vessels before and after paramagnetic contrast medium infusion. A superconductive 1.5-T magnet (Magnetom Siemens) was used, and a head circular coil, together with the 3DFT TOF technique. The enhanced exam was performed following the infusion of 0.2 ml/kg of GdDTPA in about 2 minutes, with simultaneous MRA image acquisition. To compare enhanced with unenhanced images relative to signal intensity, the signal increase at the basilar artery and carotid sinus was studied, together with signal-to-noise (S/N) ratio and spatial resolution. During acquisition, enhanced MRA images at the basilar artery showed a mean intensity value of 423.8 +/- 33.2 vs 357.8 +/- 53.2 of unenhanced scans; a statistically significant difference (p < 0.05; p < 0.01) was observed in favor of enhanced images. At the carotid sinus, enhanced MRA showed 184.5 +/- 28.4 mean intensity value vs 190.5 +/- 19.8 of unenhanced exams; no statistically significant difference was observed (p < 0.05; p < 0.01) in favor of unenhanced exams. At the basilar artery the S/N ratio of baseline exams was 1.9 vs 2.2 for enhanced scans; at the carotid sinus S/N ratio was 2.4 (unenhanced) vs 2.3 (enhanced). Thus, MRA allowed better visualization of peripheral branches of arterial (95.6%) and venous vessels, which unenhanced scans always failed to depict; on the other hand, enhanced images exhibited poorer definition of arterial vessels which were never isolated from the background. The simultaneous visualization of arterial and venous vessels, of choroid plexus and mucosae, affect the quality of enhanced angiograms. At present, GdDTPA is the sole contrast medium suitable for MRA intracranial vessels even though, due to its pharmacokinetic features, it is not the optimum medium.

Adult↗

[Magnetic resonance angiography using a magnetic resonance flow tagging technique].

A direct bolus imaging method, which was developed for flow quantitation, was applied to the cervical regions of four normal volunteers to perform magnetic resonance angiography. A transverse section of 10 mm thickness was selectively excited to tag blood flow in the supraclavicular region and a projected image of the tagged bolus viewed in terms of anteroposterior direction was obtained after the echo time (TE). Like cine magnetic resonance imaging, multiple images representing four to 16 cardiac phases were obtained with repeated excitations. With a relatively long TE, ranging from 50 to 200 msec, we advanced tagged blood farther downstream, so as to elongate the visualized bolus along the vessel. Within the visualized bolus, the outer layer close to the vessel wall, where the blood flow velocity was slow, stretched like long tails behind the central part of the bolus producing arrow-head shapes, and the tails were assumed to represent the vascular structure. Bilateral common carotid and vertebral arteries were visualized in each image size approximately 5 cm obtained at the systolic phase. Since prolonged TE yielded less signal intensity, the bolus was not clearly visualized when TE was longer than 100 msec. The cine display of images with multiple cardiac phases produced good evaluations of dynamic changes of pulsatile flow, and this method is expected to be a useful diagnostic tool which combines the capability of flow quantitation with non-invasive angiography. The accuracy of this method in delineating a stenotic lesion was also evaluated using phantom with steady flow, since it is one of the most important capabilities of a clinically used angiographic method.(ABSTRACT TRUNCATED AT 250 WORDS)

Angiography↗

[Experimental study of the trajectories of the upper first molar with extraoral force. Practical measurement of the movements in the three planes by a magnet-magnetic sensing system].

The upper first molar trajectory under the loading of extraoral force was studied in human subjects. The five loading directions, that is horizontal, upper, lower, high-pull and cervical were tested. Using a magnet-magnetic sensing system, the rectilinear and rotational movements were traced in the three planes, i.e. sagittal, frontal, and horizontal planes. It was concluded; 1. The molar inclined buccally with the loading in all the applied directions. 2. New evidence was found in the horizontal plane, i.e. the molar rotated mesially with the loading in the lower direction. The rotation may depend on the direction of the loop at the terminal of the inner-bow. Therefore it was suggested that the form of the loop affected the molar movements. 3. With the loading in the horizontal direction, the distal movement of the molar was evident and small displacement was observed in the extruded direction. 4. Loading both in upper and lower directions, the rotation of the molar was more evident than the rectilinear displacement. It was suggested that these loading would not be applicable to control the tooth in the rectilinear movements. 5. With the high-pull loading, the molar inclined mesially and shifted distally a little. On the other hand, it was greatly intruded. The results suggested that effective distal and intrusive movements would be expected by bending the outer-bow downward, since this procedure would prevent the tooth from tipping mesially. 6. The loading in the cervical direction caused large distal movement of the molar. Extrusion was also evident as it was expected from the loading direction.

Dental Stress Analysis↗

[Experimental studies and theoretical considerations on the behavior of stapes metal prostheses in the magnetic field of a nuclear magnetic resonance tomograph].

The effects of Nuclear Magnetic Resonance Imaging fields on stapedectomy prostheses were studied in several experiments and calculated theoretically. Sufficiently strong forces to create a risk of dislodgement were found to be exerted on ferromagnetic alloys. However, with the paramagnetic steelwire prosthesis (Schuknecht) or the platinumpiston types no hazards are to be feared. Studies with operated patients proved the expected hearing loss inside the magnetic field at distinct positions of the head, as vibrations of the steelwire are attenuated.

Electromagnetic Fields↗

Magnetic resonance imaging of the normal pituitary gland and pituitary adenoma: preliminary experience with a resistive magnet.

Magnetic resonance (MR) imaging was performed in fifty normal pituitary glands, ten pituitary microadenomas, and twelve adenomas with extrasellar extension using a 0.15 Tesla resistive magnet. The average height of normal glands was 5.6 +/- 1.2 mm, whereas that of microadenomas was 6.8 +/- 1.0 mm. The superior surface and internal texture of these conditions were well delineated. Adenomas that showed extrasellar extension together with surrounding structures were well demonstrated on sagittal and coronal scans. It can be expected that with further technical developments MR imaging will play an important role in the clinical management of pituitary adenomas.

Adenoma↗

[Magnetic resonance angiography of the intracranial circle using magnetization transfer contrast (MTC)].

Magnetic Resonance Angiography (MRA) is becoming an accurate technique to study vascular conditions, especially when the intracranial circulation is involved. Nevertheless, the contrast-to-noise (C/N) ratio in MRA images is often inadequate to obtain diagnostic images. C/N ratio can be increased by using magnetization transfer contrast (MTC), the technique which allows to reduce the signal from the stationary tissues surrounding vascular structures. To demonstrate the value of MTC, 10 healthy volunteers and 10 patients with different cerebral vascular conditions were examined. All exams were performed using 3D MOTSA (Multiple Overlapping Thin Slab Acquisition) Time of Flight sequences, with and without MTC. A quantitative analysis was carried out in the images with and without MTC, measuring the signal intensity value in the regions of interest at the vascular and stationary structures. A qualitative analysis was also carried out with a double blind study by two independent radiologists. Our results showed that MTC allows to reduce stationary tissues signal intensity, without affecting flowing blood signal intensity. Therefore, the C/N ratio is increased, thus allowing better depiction of smaller peripheral branches. In conclusion, MTC applied to intracranial MRA allows image quality to be markedly improved, with an overall increase in the diagnostic accuracy of this technique.

Cerebrovascular Circulation↗

[Interaction mechanisms and biological effects of the static magnetic field (B0) in magnetic resonance for clinical use].

This chapter summarizes the main mechanisms of interaction of a static magnetic field with the human body, during magnetic resonance examinations. The biological effects are evaluated at the level of physiological parameters, such as neuronal conduction and blood pressure. The artifacts on ECG traces are also described in the light of the Lorentz and Faraday laws.

Electromagnetic Fields↗

[Interaction mechanisms and biological effects of time-variable magnetic fields (dB/dt) in magnetic resonance for clinical use].

The first part of this paper is devoted to discuss the necessity of using time-varying magnetic fields, with frequencies up to a few kHz, during NMR tomographic and spectroscopic clinical examinations. It is then shown that these magnetic fields induce in the biological systems an electric field, with associated current densities, whose intensities span from physiological currents to currents able to depolarize the axonal membrane. Therefore particular emphasis is given to the involvement of excitable tissues, which can produce biological responses of variable intensity, from the less hazardous, such as magnetophosphenes, to muscle twitches, to more serious phenomena, such as extrasistoles and ventricular fibrillation. The thresholds above which these effects become physiologically relevant depend upon the different conditions and modalities of stimulus administration. Regarding weak electric currents, with their associated biological effects, the more important mechanisms of action at present hypothesized, along with some better studied experimental models, have been shortly outlined.

Electromagnetic Fields↗