RESUMEN
Speech production introduces signal changes in fMRI data that can mimic or mask the task-induced BOLD response. Rapid event-related designs with variable ISIs address these concerns by minimizing the correlation of task and speech-related signal changes without sacrificing efficiency; however, the increase in residual variance due to speech still decreases statistical power and must be explicitly addressed primarily through post-processing techniques. We investigated the timing, magnitude, and location of speech-related variance in an overt picture naming fMRI study with a rapid event-related design, using a data acquisition system that time-stamped image acquisitions, speech, and a pneumatic belt signal on the same clock. Using a spectral subtraction algorithm to remove scanner gradient noise from recorded speech, we related the timing of speech, stimulus presentation, chest wall movement, and image acquisition. We explored the relationship of an extended speech event time course and respiration on signal variance by performing a series of voxelwise regression analyses. Our results demonstrate that these effects are spatially heterogeneous, but their anatomic locations converge across subjects. Affected locations included basal areas (orbitofrontal, mesial temporal, brainstem), areas adjacent to CSF spaces, and lateral frontal areas. If left unmodeled, speech-related variance can result in regional detection bias that affects some areas critically implicated in language function. The results establish the feasibility of detecting and mitigating speech-related variance in rapid event-related fMRI experiments with single word utterances. They further demonstrate the utility of precise timing information about speech and respiration for this purpose.
Asunto(s)
Concienciación/fisiología , Encéfalo/fisiología , Potenciales Evocados/fisiología , Aumento de la Imagen/métodos , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional/métodos , Imagen por Resonancia Magnética/métodos , Oxígeno/sangre , Tiempo de Reacción/fisiología , Habla/fisiología , Adulto , Artefactos , Corteza Auditiva/fisiología , Mapeo Encefálico , Dominancia Cerebral/fisiología , Femenino , Humanos , Masculino , Reconocimiento Visual de Modelos/fisiología , Ventilación Pulmonar/fisiología , Valores de Referencia , Programas Informáticos , Medición de la Producción del Habla , Estadística como Asunto , Técnica de Sustracción , Conducta Verbal/fisiologíaRESUMEN
The use of body coils is favored for homogeneous excitation, and such coils are often paired with surface coils or arrays for sensitive reception in many MRI applications. While the body coil's physical size and resultant electrical length make this circuit difficult to design for any field strength, recent efforts to build efficient body coils for applications at 3T and above have been especially challenging. To meet this challenge, we developed an efficient new transverse electromagnetic (TEM) body coil and demonstrated its use in human studies at field strengths up to 4 T. Head, body, and breast images were acquired within peak power constraints of <8 kW. Bench studies indicate that these body coils are feasible to 8 T. RF shimming was used to remove a high-field-related cardiac imaging artifact in these preliminary studies. P41RR13230
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Aumento de la Imagen/instrumentación , Diseño de Equipo , Humanos , Imagen por Resonancia Magnética/instrumentaciónRESUMEN
Aortic aneurysm following subclavian flap repair of coarctation of the aorta is thought to occur infrequently. We present a case in which aneurysm of the subclavian flap was found 10 years after the original surgery. The location and extent of the aneurysm was clearly defined using cardiac magnetic resonance imaging (MRI). This report adds further support to recent recommendations to make cardiac MRI a routine imaging study for all postoperative patients from coarctation of the aorta repair.
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Aneurisma de la Aorta Torácica/diagnóstico , Aneurisma de la Aorta Torácica/etiología , Coartación Aórtica/cirugía , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Arteria Subclavia/cirugía , Colgajos Quirúrgicos , Aneurisma de la Aorta Torácica/cirugía , Niño , Humanos , Imagen por Resonancia Magnética , MasculinoRESUMEN
Real-time parametric statistical analysis of functional MRI (fMRI) data would potentially enlarge the scope of experimentation and facilitate its application to clinical populations. A system is described that addresses the need for rapid analysis of fMRI data and lays the foundation for dealing with problems that impede the application of fMRI to clinical populations. The system, I/OWA (Input/Output time-aWare Architecture), combines a general architecture for sampling and time-stamping relevant information channels in fMRI (image acquisition, stimulation, subject responses, cardiac and respiratory monitors, etc.) and an efficient approach to manipulating these data, featuring incremental subsecond multiple linear regression. The advantages of the system are the simplification of event timing and efficient and unified data formatting. Substantial parametric analysis can be performed and displayed in real-time. Immediate (replay) and delayed off-line analysis can also be performed with the same interface. The capabilities of the system are demonstrated in normal subjects using a polar visual angle phase mapping paradigm. The system provides a time-accounting infrastructure that readily supports standard and innovative approaches to fMRI. Magn Reson Med 45:289-298, 2001.
Asunto(s)
Imagen por Resonancia Magnética/métodos , Adulto , Sistemas de Computación , Humanos , Imagen por Resonancia Magnética/instrumentación , Modelos Teóricos , Programas Informáticos , Interfaz Usuario-ComputadorRESUMEN
The authors studied six patients with brainstem ocular motility deficits with 4.0 Tesla (T) magnetic resonance imaging to investigate whether a higher field strength would produce superior images compared with 1.5T. In four patients whose lesions were evident on 1.5T, the increased signal-to-noise achieved with 4.0T allowed for better resolution at 1-mm slice thickness than was achieved at the standard 5-mm slice thickness with 1.5T. In the two patients with unremarkable 1.5T scan results, 4.0T also failed to demonstrate a lesion. Therefore, 4.0T imaging has superior resolution to 1.5T imaging and can provide more detailed images of lesions identified by 1.5T.
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Encefalopatías/diagnóstico , Tronco Encefálico/patología , Imagen por Resonancia Magnética/métodos , Trastornos de la Motilidad Ocular/diagnóstico , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
High-resolution imaging techniques using noninvasive modalities such as magnetic resonance (MR) imaging are being pursued as in vivo cancer screening techniques in an attempt to eliminate the invasive nature of surgical biopsy. When acquiring high-resolution MR images for tissue screening, image fields of view have in the past been limited by the matrix sizes available in conventional MR scanners. We present here a technique that uses aliasing to produce high resolution images with larger matrix sizes than are currently available. The image is allowed to alias in both the frequency encoding and phase encoding dimensions, and the individual, aliased fields of view are recovered by Hadamard encoding methods. These fields may then be tiled to obtain a composite image with high spatial resolution and a large field of view. The technique is demonstrated using two-dimensional and three-dimensional in vivo imaging of the human brain and breast.
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Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética/métodos , Modelos Teóricos , Encéfalo/anatomía & histología , Mama/anatomía & histología , Femenino , Humanos , Fantasmas de ImagenRESUMEN
The preliminary results of magnetization transfer (MT) imaging on a whole body 4.0 T system are presented. Cooked egg phantoms and several volunteers were imaged on 1.5 and 4.0 T magnets interfaced to GE Signa scanners. The MT ratio (MTR), signal difference to noise ratio (SDNR), and contrast parameters were measured at both fields and compared. Furthermore, single-shot Z-spectroscopy was used to characterize the frequency dependence of the MT phenomenon. The results show that MT imaging can be safely performed at 4.0 T without exceeding limitations of radio frequency power. The MT effect is more pronounced at the higher field, leading to better quality images with higher contrast and SDNR. The Z-spectra are not markedly different at the higher field although the MTR is greater. The potential applications of this technique to study neurodegenerative diseases, as well as, perfusion imaging and angiography are discussed. J. Magn. Reson. Imaging 1999;10:527-532.
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Encéfalo/anatomía & histología , Imagen por Resonancia Magnética/métodos , Humanos , Fantasmas de ImagenRESUMEN
The design of a pressure cell that compresses a cartilage specimen in one dimension within an imaging magnet is presented. One-dimensional projection images in a direction perpendicular to the articular surface of the cartilage specimen were used to generate a uniaxial confined deformation creep curve for normal and trypsin-degraded cartilage specimens during a continuous 0.690 MPa (100 psi) pressure application. The resulting curves are shown to fit a two time constant viscoelastic model well and also indicate that the elastic modulus of cartilage decreases and the deformation rate increases upon trypsin proteolysis. Furthermore, cartilage permeability is shown as a function of cartilage strain for both the normal and trypsin-degraded case. Several two-dimensional slice-selective images were collected both before and after 80 minutes of continuous compression. These images were used to evaluate the relative changes in the spin-lattice, T1, and spin-spin, T2, relaxation time constant maps for both normal and degraded cartilage specimens in response to compression. The results of this study demonstrate the utility of a novel, non-magnetic, cartilage compression device and also support the validity of a simple two-component rheological model of articular cartilage.
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Cartílago Articular/patología , Imagen por Resonancia Magnética , Animales , Cartílago Articular/efectos de los fármacos , Cartílago Articular/fisiología , Bovinos , Elasticidad , Técnicas In Vitro , Permeabilidad , Presión , Reología , Estrés Mecánico , Tripsina/farmacología , ViscosidadRESUMEN
RATIONALE AND OBJECTIVES: The authors evaluated the feasibility of using statistical fractal-dimension features to improve discrimination between benign and malignant breast masses at magnetic resonance (MR) imaging. MATERIALS AND METHODS: The study evaluated MR images of 32 malignant and 20 benign breast masses from archived data at the University of Pennsylvania Medical Center. The test set included four cases that were difficult to evaluate on the basis of border characteristics. All diagnoses had been confirmed at excisional biopsy. The fractal-dimension feature was computed as the mean of a sample space of fractal-dimension estimates derived from fractal interpolation function models. To evaluate the performance of the fractal-dimension feature, the classification effectiveness of five expert-observer architectural features was compared with that of the fractal dimension combined with four expert-observer features. Feature sets were evaluated with receiver operating characteristic analysis. Discrimination analysis used artificial neural networks and logistic regression. Robustness of the fractal-dimension feature was evaluated by determining changes in discrimination when the algorithm parameters were perturbed. RESULTS: The combination of fractal-dimension and expert-observer features provided a statistically significant improvement in discrimination over that achieved with expert-observer features alone. Perturbing selected parameters in the fractal-dimension algorithm had little effect on discrimination. CONCLUSION: A statistical fractal-dimension feature appears to be useful in distinguishing MR images of benign and malignant breast masses in cases where expert radiologists may have difficulty. The statistical approach to estimating the fractal dimension appears to be more robust than other fractal measurements on data-limited medical images.
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Neoplasias de la Mama/diagnóstico , Mama/patología , Fractales , Imagen por Resonancia Magnética/estadística & datos numéricos , Algoritmos , Enfermedades de la Mama/diagnóstico , Diagnóstico Diferencial , Análisis Discriminante , Femenino , Humanos , Redes Neurales de la Computación , Variaciones Dependientes del ObservadorRESUMEN
BACKGROUND AND PURPOSE: Although MR spectroscopy and functional MR imaging of the brain have been successful at 4 T, conventional fast spin-echo imaging of the brain at 4 T has not been adequately evaluated. The purpose of this study was to compare the detection of white matter abnormalities in multiple sclerosis (MS) at 1.5 T and 4 T. METHODS: Fifteen patients with clinically definite MS were imaged at both 1.5 T and 4 T within a 1-week period. Comparison was made between fast spin-echo long-TR images at both field strengths. Pulse sequences were tailored to maximize resolution and signal-to-noise ratio in clinically relevant imaging times (< 7 min). Four interpreters independently reviewed the images obtained at both field strengths in separate sessions and evaluated them for lesion identification, size, characterization, and subjective resolution. Differences in interpretations at 1.5 T and 4 T were subsequently recorded. RESULTS: Images obtained at 4 T showed a mean of 88 more lesions as compared with images obtained at 1.5 T. All the lesions measured less than 5 mm and were typically aligned along perivascular spaces. Twenty-five consensually identified lesions on 4-T images were not seen at all on 1.5-T images. Moreover, 4-T images showed 56 additional consensually identified lesions, which were indistinct and seen only in retrospect on 1.5-T images. These lesions were frequently (n = 48) identified in large confluent areas of white matter signal intensity abnormality at 1.5 T. All observers also agreed that 4-T images subjectively enhanced the perception of normal perivascular spaces and small perivascular lesions. CONCLUSION: MR imaging at 4 T can depict white matter abnormalities in MS patients not detectable at 1.5 T through higher resolution with comparable signal-to-noise ratio and imaging times.
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Encéfalo/patología , Imagen Eco-Planar , Aumento de la Imagen , Imagen por Resonancia Magnética , Esclerosis Múltiple/diagnóstico , Fibras Nerviosas Mielínicas/patología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valores de Referencia , Sensibilidad y EspecificidadRESUMEN
The effects of mechanical compression on the multiple quantum coherences generated from sodium ions in articular cartilage were investigated. Cartilage samples obtained from bovine patellae were studied during compression at 0.7 MPa (100 psi) for 1 hour. The double quantum filtered spectra showed marked lineshape changes in the compressed samples. Compression did not seem to influence the lineshapes of the single quantum and triple quantum filtered spectra significantly. We found that the residual quadrupolar interaction was reduced in the compressed samples. Changes in the ordering of collagen fibers may be responsible for the observed effect.
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Cartílago Articular/química , Espectroscopía de Resonancia Magnética , Proteoglicanos/análisis , Sodio/análisis , Soporte de Peso/fisiología , Animales , Cartílago Articular/fisiología , Bovinos , Colágeno/análisis , Rótula/química , Rótula/fisiología , Teoría Cuántica , Resistencia a la TracciónRESUMEN
To probe the sequence requirements for stabilization of a reverse turn conformation in a short peptide in water solution, the behavior of two series of peptides was investigated by nuclear magnetic resonance (NMR) spectroscopy. The peptides have the general sequences XPGDV and AXGDV, where X is a representative subset of all 20 naturally occurring amino acids. The residues chosen at positions 3 and 4, Gly and Asp, respectively, were shown to give the greatest population of reverse turns in a previous study [Dyson, H. J., Rance, M., Houghten, R. A., Lerner, R. A. & Wright, P. E. (1988) J. Mol. Biol. 201, 161-200]. Within this framework, the identity of the first residue of the turn (X in XPGDV) does not greatly influence the turn population, although a small but significant increase is observed for residues such as Ala which have a preference for backbone conformations in the alpha region of (phi,psi) space. The series AXGDV was initially studied for completeness only, since it was expected that the turn would not be stabilized in such a small linear peptide in the absence of proline. In contrast, it appears that a significant population of type II turn conformations is to be found in peptides in the series AXGDV, although proline remains one of the most favorable residues at position 2. These results indicate that while residues at all positions within the turn can influence the turn population, the presence of Gly-Asp as the third and fourth members of the sequence gives a strong bias towards type II turn formation regardless of the residues at positions 1 and 2. Our results give a final prediction that the sequence with the highest intrinsic propensity for turn formation is APGD.
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Oligopéptidos/química , Prolina , Secuencia de Aminoácidos , Estabilidad de Medicamentos , Enlace de Hidrógeno , Modelos Moleculares , Resonancia Magnética Nuclear Biomolecular , Soluciones , Relación Estructura-Actividad , AguaRESUMEN
The detection of breast cancer in women using magnetic resonance imaging (MRI) is increasingly used as a supplement to X-ray mammography. Furthermore, proton MR spectroscopy (1H MRS) has detected alterations in lipid profiles that are linked with tumor development and progression in human biopsy tissue. Because normal "resting" breast is highly active, it is necessary to consider that any alterations observed in lipid profiles may not be indicative of breast tumor development. The purpose of this study was to assess the changes in lipid composition in the breast throughout the menstrual cycle in "normals" using MRS at 4.0 T. Five women with no known history of breast disease were subject to biweekly MRS breast examinations. MRS results showing water and fat resonances revealed cyclic changes in the lipid content throughout the duration of the menstrual cycle. In particular, intensity changes were seen in methylene (-CH2-) and allylic methylene (CH2CH2*CH=) resonances at 2.1 ppm and 1.3 ppm, respectively. These intensity changes assumed a similar cyclic trend for each subject over the 28 days that correlate with the follicular, ovulatory, and luteal phases of the menstrual cycle. The results obtained may indicate cell synthesis or metabolic activity in the breast during the menstrual cycle and provide valuable information pertinent to lipid responses associated with breast disease.
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Mama/metabolismo , Metabolismo de los Lípidos , Ciclo Menstrual/fisiología , Adulto , Femenino , Humanos , Espectroscopía de Resonancia Magnética/métodos , ProtonesRESUMEN
PURPOSE: To evaluate paradoxically decreased signal intensity on gadolinium-enhanced opposed-phase magnetic resonance (MR) images of fatty tissues. MATERIALS AND METHODS: Unenhanced and gadolinium-enhanced axial, opposed-phase, gradient-echo images were analyzed visually and with region-of-interest measurements. Tissues measured included adipose tissue (n = 10), angiomyolipomas (n = 8), and vertebral hemangiomas (n = 7). Additionally, a phantom of mayonnaise, soybean oil, agarose, and water (63% lipid signal) with variable concentrations of gadolinium chelate was imaged with similar technique. RESULTS: After administration of gadolinium chelate, signal intensity reduction averaged 18% for adipose tissue, 34% (72-48 units) for predominately fatty angiomyolipomas, and 39% (85-52 units) for vertebral hemangiomas. Imaging of the phantom showed a maximum of 79% reduction in signal intensity with gadolinium chelate (227-47 units). DISCUSSION: Gadolinium-enhanced opposed-phase images depict a significant loss in signal intensity in tissues with MR signal predominately from lipid. Gadolinium chelate increases the signal of water within fatty tissues, which increases the amount of lipid signal suppression due to destructive interference between water and lipid proton magnetizations.
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Tejido Adiposo/anatomía & histología , Medios de Contraste , Imagen por Resonancia Magnética/métodos , Meglumina , Compuestos Organometálicos , Ácido Pentético/análogos & derivados , Angiomiolipoma/diagnóstico , Combinación de Medicamentos , Hígado Graso/diagnóstico , Gadolinio DTPA , Hemangioma/diagnóstico , Humanos , Aumento de la Imagen , Neoplasias Renales/diagnóstico , Melanoma/diagnóstico , Melanoma/secundario , Fantasmas de Imagen , Neoplasias de la Columna Vertebral/diagnóstico , Neoplasias de la Columna Vertebral/secundarioRESUMEN
The authors tested a noninvasive technique for magnetic resonance imaging of perfusion in human kidneys. Magnetic labeling (spin tagging) of aortic arterial water was performed to generate an endogenous tracer. Breath-hold renal perfusion images obtained in seven volunteers yielded average perfusion rates in cortex and medulla of 278 mL.100 g-1.min-1 +/- 55 (standard error) and 55 mL.100 g-1.min-1 +/- 25, respectively.
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Imagen por Resonancia Magnética/métodos , Circulación Renal , HumanosRESUMEN
Using sodium multiple quantum filtered methods, we have, for the first time, demonstrated the presence of residual quadrupolar interaction in human skeletal muscle and brain in vivo. Surface coils were used in both skeletal muscle and brain studies on healthy human volunteers. Theoretical analysis shows that even with arbitrary flip angles the double quantum filter retains filtering capability; it passes even rank two quantum coherence more efficiently than odd rank two quantum coherence. Multiple quantum filtered spectra were obtained from the gastrocnemius muscle in the leg and from the parietal lobe region of the brain. In double quantum filtered spectra, we observed different proportions of narrow and broad components with preparation time, while the line shape of triple quantum filtered spectra remained similar to the one observed in isotropic environment. These results suggest that, in human skeletal muscle and brain, sodium ions are bound to some ordered structures.
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Espectroscopía de Resonancia Magnética , Músculo Esquelético/metabolismo , Lóbulo Parietal/metabolismo , Sodio/análisis , Femenino , Humanos , Espectroscopía de Resonancia Magnética/métodos , Masculino , Procesamiento de Señales Asistido por ComputadorRESUMEN
Near-infrared (NIR) spectroscopy is a noninvasive technique that uses the differential absorption properties of hemoglobin to evaluate skeletal muscle oxygenation. Oxygenated and deoxygenated hemoglobin absorb light equally at 800 nm, whereas at 760 nm absorption is primarily from deoxygenated hemoglobin. Therefore, monitoring these two wavelengths provides an index of deoxygenation. To investigate whether venous oxygen saturation and absorption between 760 and 800 nm (760-800 nm absorption) are correlated, both were measured during forearm exercise. Significant correlations were observed in all subjects (r = 0.92 +/- 0.07; P < 0.05). The contribution of skin flow to the changes in 760-800 nm absorption was investigated by simultaneous measurement of skin flow by laser flow Doppler and NIR recordings during hot water immersion. Changes in skin flow but not 760-800 nm absorption were noted. Intra-arterial infusions of nitroprusside and norepinephrine were performed to study the effect of alteration of muscle perfusion on 760-800 nm absorption. Limb flow was measured with venous plethysmography. Percent oxygenation increased with nitroprusside and decreased with norepinephrine. Finally, the contribution of myoglobin to the 760-800 nm absorption was assessed by using 1H-magnetic resonance spectroscopy. At peak exercise, percent NIR deoxygenation during exercise was 80 +/- 7%, but only one subject exhibited a small deoxygenated myoglobin signal. In conclusion, 760-800 nm absorption is 1) closely correlated with venous oxygen saturation, 2) minimally affected by skin blood flow, 3) altered by changes in limb perfusion, and 4) primarily derived from deoxygenated hemoglobin and not myoglobin.
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Hemoglobinas/análisis , Rayos Infrarrojos , Músculo Esquelético/metabolismo , Oxígeno/metabolismo , Absorción , Adulto , Antebrazo/irrigación sanguínea , Humanos , Espectroscopía de Resonancia Magnética , Mioglobina/análogos & derivados , Mioglobina/metabolismo , Flujo Sanguíneo Regional , Piel/irrigación sanguínea , VenasRESUMEN
BACKGROUND: Skeletal muscle metabolic abnormalities have been described in patients with heart failure that are independent of total limb perfusion, histochemical changes, and muscle mass. However, these skeletal muscle metabolic abnormalities may result from tissue hypoxia caused by maldistribution of flow. Myoglobin is an O2 binding protein that can indirectly assess tissue hypoxia. METHODS AND RESULTS: In vivo measurement of deoxymyoglobin was performed by use of proton (1H) magnetic resonance spectroscopy in 16 heart failure (HF) (left ventricular ejection fraction = 20 +/- 6%; VO2 = 14.5 +/- 5.1 mL/kg per minute) and 7 healthy (Nl) subjects. Simultaneous phosphorus (31P) magnetic resonance spectroscopy and near-infrared spectroscopy also were obtained to examine muscle metabolism and oxygenation. Supine calf plantarflexion was performed every 4 seconds. Incremental steady-state work was performed. A second exercise protocol studied rapid incremental (RAMP) exercise with plantarflexion every 2 seconds. Arterial occlusion at end exercise provided physiological calibration for myoglobin and hemoglobin signals. With steady-state exercise, the work slope, ie, inorganic phosphorus to phosphocreatine ratios versus work, was significantly greater in patients with heart failure (Nl: 0.18 +/- 0.08; HF: 0.40 +/- 0.32 W-1; P < .05). Intracellular pH was reduced significantly at end exercise in patients but not healthy subjects. Despite these metabolic abnormalities, muscle oxygenation derived from 760- to 850-nm absorption was comparable in both groups throughout exercise. The relation of inorganic phosphorus/phosphocreatine (P1/PCr) ratio and muscle oxygenation was shifted upward in patients with heart failure such that at the same muscle oxygenation, Pi/PCr ratio in these patients was increased. No deoxymyoglobin signals were observed at rest. At maximal exercise, 4 of the healthy subjects and 3 of the patients exhibited deoxymyoglobin (P = NS). With RAMP exercise, the work slope was again significantly greater in patients with heart failure (Nl: 0.21 +/- 0.10; HF: 0.57 +/- 0.32 W-1; P < .05). Intracellular pH again was significantly decreased at end exercise in patients but not healthy subjects. Five of the healthy subjects and 3 of the heart failure patients had deoxymyoglobin signal (P = NS). With arterial occlusion, deoxymyoglobin was seen in all subjects. CONCLUSION: Abnormal skeletal muscle metabolism in patients with heart failure usually occurs in the absence of myoglobin deoxygenation, suggesting that the abnormalities are not a result of cellular hypoxia during exercise with minimal cardiovascular stress.
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Gasto Cardíaco Bajo/metabolismo , Músculos/metabolismo , Mioglobina/análogos & derivados , Consumo de Oxígeno , Esfuerzo Físico , Anciano , Femenino , Homeostasis , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Mioglobina/metabolismo , Fosfocreatina/metabolismo , Fósforo/metabolismo , Valores de ReferenciaRESUMEN
PURPOSE: To study solitary metastatic lesions of the brain with routine spin-echo (SE) and magnetization transfer (MT) magnetic resonance (MR) imaging. MATERIALS AND METHODS: In 15 patients with such lesions, the MT ratio (MTR) was calculated in the center and at the periphery of the metastatic lesion, and distally in adjacent white matter, from the periphery of the lesion radially to the most distant cortex. It also was calculated for mirror-image locations in the opposite hemisphere to provide control values. RESULTS: MTRs were decreased in and immediately around the site of the metastatic focus. MTRs also were lower than control values far distal to the metastatic focus, even when no abnormality was seen on SE MR images obtained before and those obtained after administration of gadopentetate dimeglumine. CONCLUSION: MT enables demonstration of white matter abnormalities in patients with metastatic lesions not seen on SE MR images. These changes can be found in white matter far distal to the lesion and surrounding areas of edema.
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Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/secundario , Imagen por Resonancia Magnética , Adulto , Anciano , Encéfalo/patología , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
We report our experience using a noninvasive magnetic resonance technique for quantitative imaging of human brain perfusion at 1.5 T. This technique uses magnetically inverted arterial water as a freely diffusible blood flow tracer. A perfusion image is calculated from magnetic resonance images acquired with and without arterial blood inversion and from an image of the apparent spin-lattice relaxation time. Single-slice perfusion maps were obtained from nine volunteers with approximately 1 x 2 x 5-mm resolution in an acquisition time of 15 min. Analysis yielded average perfusion rates of 93 +/- 16 ml.100 g-1.min-1 for gray matter, 38 +/- 10 ml.100 g-1.min-1 for white matter, and 52 +/- 8 ml.100 g-1.min-1 for whole brain. Significant changes in perfusion were observed during hyperventilation and breath holding. This technique may be used for quantitative measurement of perfusion in human brain without the risks and expense of methods which use exogenous tracers.