Mechanism and prevention of port-site tumor recurrence after laparoscopy in a murine model

Functional activation of somatosensory cortex was studied in alpha-chloralose anesthetized rats by functional magnetic resonance imaging (fMRI), using both perfusion-weighted and T2*-weighted (blood oxygenation level dependent, BOLD) imaging. The sensitivity of functional activation was altered by ventilating animals for 3 minutes with 6% CO2. Before hypercapnic conditioning, electrical stimulation of the left forepaw at a frequency of 3 Hz led to an increase of signal intensity (relative to the unstimulated baseline condition) in the right somatosensory cortex by 6+/-2% (means+/-SD) in T2*-weighted images and by 45%+/-48% in perfusion-weighted images. After hypercapnic conditioning the signal intensity increase in perfusion-weighted images doubled to 91%+/-62% (P=0.034), whereas that of T2*-weighted images only marginally increased to 7+/-4% (not significant). This different behavior in both imaging modalities is interpreted as evidence for an increased flow response in combination with a higher oxygen extraction. Thus, the fMRI data reflect hypercapnia-induced resetting of the functional-metabolic coupling of the tissue during activation.     

A technique utilizing positron emission tomography and magnetic resonance/computed tomography image fusion to aid in surgical navigation and tumor volume determination

Brain tumors are histologically heterogeneous. A technique for three-dimensional fusing of computed tomography (CT) or magnetic resonance images (MRI) with positron emission tomography (PET) images is described. This allows the anatomic detail provided by CT or MRI scans to be combined with the information about metabolic activity provided by PET scans. The fused images allowed selection of the most metabolically active portions of tumors. Fusion of CT and MRI images with PET scans has allowed first-pass diagnostic yield by providing the surgeon with a map of anatomical as well as functional (metabolic) detail. We describe a technique to allow routine fusion of MRI, CT, and PET information to help guide the neurosurgeon.     

Generic brain activation mapping in functional magnetic resonance imaging: a nonparametric approach

We report a novel method to identify brain regions generically activated by periodic experimental design in functional magnetic resonance imaging data. This involves: 1) registering each of N individual functional magnetic resonance imaging datasets in a standard space; 2) computing the median standardised power of response to the experimental design; 3) testing median standardised power at each voxel against its nonparametrically ascertained distribution under the null hypothesis of no experimental effect; and 4) constructing a generic brain activation map. The method is validated by analysis of 6 null images, acquired under conditions when the null hypothesis was known to be true; 8 images acquired during periodic auditory-verbal stimulation; and 6 images acquired during periodic performance of a covert verbal fluency task.     

Theory and clinical application of functional MRI: 3D-functional brain mapping

Functional magnetic resonance imaging (fMRI) was performed using a clinical 1.5 T MR scanner. Normal volunteers and patients with several neurological disorders were studied with somatosensory stimulation using sponge at right hand and visual stimulation using checkerboard pattern. Both fMR images by gradient echo echo planar imaging and three dimensional gradient echo images were studied. Reconstructed 3 dimensional functional brain mapping was superimposed on 3D anatomical images. Apparent signal increase was observed at contra lateral sensorimotor cortex and secondary sensory cortex with sponge stimulation. In the case of left homonymous hemianopia due to cerebral infarction, increasing signal was only observed surrounding left calcarine fissure by using stimulation of all visual field. In conclusion, fMRI and 3-D functional brain mapping has extremely high potentiality to examine pathophysiology of various neurological disorders.     

Measurement of lumbar spine flexion-extension using a low-field open-magnet magnetic resonance scanner

RATIONALE AND OBJECTIVES: The authors investigated the feasibility of using a low-field open-magnet magnetic resonance (MR) scanner to acquire functional flexion-extension images for range of motion (ROM) measurements on the lumbar spine. METHODS: Seventeen healthy subjects with no symptoms of back pain (age range, 22-59 years) were scanned in a low-field open-magnet MR scanner in the flexed, neutral, and extended positions. Each image was downloaded to a computer workstation for subsequent flexion-extension, lordosis, and ROM measurement. RESULTS: Data from two subjects were not analyzed because their images did not show all the lumbar vertebrae. For the remaining 15, there was a large variation in the magnitude of the ROM values (range, 9 degrees-70 degrees; mean 36.4 degrees, SD 16.5 degrees). However, there was a significant correlation between age and ROM (r = -0.63; P < 0.05). CONCLUSIONS: The low-field open-magnet MR scanner provides a method for noninvasive imaging of the lumbar spine, allowing the subject freedom of movement in the horizontal plane. This enables functional flexion-extension images of the lumbar spine to be acquired.     

Diagnosis of lung cancer using functional image of 201Tl SPECT with parameter of 201Tl retention--evaluation of its applicability to post irradiated lung cancer

Thallium-201 (201Tl) SPECT is a useful method for detecting lung cancer. Moreover, the 201Tl Retention Index (R.I.) reported by Tonami et al is now available for differentiating pulmonary lung cancer from benign lesions. The diagnosis of recurrent tumors is, however, difficult to establish as they are often shaded by radiation pneumonitis or fibrosis. Therefore, we employed functional images (F.I.) obtained using as parameter a modified version of the R.I. First we indicated the statistical value of untreated solitary lung tumor as follows: sensitivity 84.6%, specificity 80.0%, and accuracy 83.3%. In our assessment, the lesions with tumor size over 2.0 cm and R.I. by Tonami et al over 12.7 were detected as positive images. Secondly in assessment of 22 cases (23 lesions) of post irradiated lung cancer, the results obtained were: sensitivity 80.0%, specificity 92.3%, and accuracy 87.0%. 201Tl SPECT functional images seem to be useful for the diagnosis of recurrent lung cancer by shaded radiation pneumonitis and fibrosis.     

A voxel-based method for the statistical analysis of gray and white matter density applied to schizophrenia

We describe a novel technique for characterizing regional cerebral gray and white matter differences in structural magnetic resonance images by the application of methods derived from functional imaging. The technique involves automatic scalp-editing of images followed by segmentation, smoothing, and spatial normalization to a symmetrical template brain in stereotactic Talairach space. The basic idea is (i) to convert structural magnetic resonance image data into spatially normalized images of gray (or white) matter density, effected by segmenting the images and smoothing, and then (ii) to use Statistical Parametric Mapping to make inferences about the relationship between gray (or white) matter density and symptoms (or other pathophysiological measures) in a regionally specific fashion. Because the whole brain sum of gray (or white) matter indices is treated as a confound, the analysis reduces to a characterization of relative gray (or white) matter density on a voxel by voxel basis. We suggest that this is a powerful approach to voxel-based statistical anatomy. Using the technique, we constructed maps of the regional cerebral gray and white matter density correlates of syndrome scores (distinct psychotic symptoms) in a group of 15 schizophrenic patients. There was a negative correlation between the score for the reality distortion syndrome and regional gray matter density in the left superior temporal lobe (P = 0.01) and regional white matter density in the corpus callosum (P < 0.001). These abnormalities may be associated with functional changes predisposing to auditory hallucinations and delusions. This method permits the detection of structural differences within the entire brain (as opposed to selected regions of interest) and may be of value in the investigation of structural gray and white matter abnormalities in a variety of brain diseases.     

Intraoperative functional MRI using a real-time neurosurgical navigation system

A 42-year-old-man had focal left hand motor seizures. MR studies demonstrated a right posterior frontal brain tumor. Functional MRI was performed, localizing the motor cortex posterior to the lesion. The functional images were integrated with a neurosurgical navigation computer. A real-time intraoperative display of the anatomic and functional images was produced, registered to a neurosurgical probe. Excellent correlation was demonstrated between the functional maps and invasive electrophysiologic mapping performed at the time of craniotomy.     

Images and affect: A functional analysis of out-group stereotypes.

Drawing from research on inter-nation images, the authors proposed and tested a functional theory of out-group stereotypes in 3 experiments. In the theory, it is hypothesized that behavioral orientations elicited by specific patterns of intergroup relationships (goal compatibility, relative power, and relative status) give rise to unique schematic representations of an out-group. The representations specified in the theory include 1 positive image (i.e., ally) and 3 differentiated negative images (i.e., enemy, dependent, barbarian). In all 3 experiments, participants read and imagined scenarios describing an intergroup situation in which the structure of relationships between in-group and out-group was varied. Results from Experiments 1 and 2 indicated that relationship cues were sufficient to elicit the predicted images, and some of the images were more likely to be activated under high incidental arousal. In a 3rd experiment an implicit measure was used to demonstrate that the images are activated spontaneously. Overall, results implicate the role of affective state and behavioral intent in shaping the content of social stereotypes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment of acute respiratory tract diseases in cattle with Bisolvon in combination with either enrofloxacin, cefquinome, ceftiofur or florfenicol]

The purpose of this study was to compute and compare the group mean HMPAO brain SPECT images of patients with senile dementia of Alzheimer's type (SDAT) and age matched control subjects after transformation of the individual images to a standard size and shape. METHODS: Ten patients with Alzheimer's disease (age 71.6 +/- 5.0 yr) and ten age matched normal subjects (age 71.0 +/- 6.1 yr) participated in this study. Tc-99m HMPAO brain SPECT and X-ray CT scans were acquired for each subject. SPECT images were normalized to an average activity of 100 counts/pixel. Individual brain images were transformed to a standard size and shape with the help of Automated Image Registration (AIR). Realigned brain SPECT images of both groups were used to generate mean and standard deviation images by arithmetic operations on voxel based numerical values. Mean images of both groups were compared by applying the unpaired t-test on a voxel by voxel basis to generate three dimensional T-maps. X-ray CT images of individual subjects were evaluated by means of a computer program for brain atrophy. RESULTS: A significant decrease in relative radioisotope (RI) uptake was present in the bilateral superior and inferior parietal lobules (p < 0.05), bilateral inferior temporal gyri, and the bilateral superior and middle frontal gyri (p < 0.001). The mean brain atrophy indices for patients and normal subjects were 0.853 +/- 0.042 and 0.933 +/- 0.017 respectively, the difference being statistically significant (p < 0.001). CONCLUSION: The use of a brain image standardization procedure increases the accuracy of voxel based group comparisons. Thus, intersubject averaging enhances the capacity for detection of abnormalities in functional brain images by minimizing the influence of individual variation.     

An information integration analysis of retail store image.

The process whereby judges form images of retail stores was analyzed with an information integration approach and functional measurement methodology. The study, which involved 59 university students, sought to determine how 4 factors of image information (kind of store, location, price, and clientele) were combined into a resultant image. Dependent variables concerned the Ss' favorability judgments of the stores and their behavioral intentions to shop there. Results show unequal weighting of information and interactions among image attributes. Results are discussed in terms of the usefulness of the information integration approach for owners and advertisers in their attempts to create optimal store images. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Functional asymmetries in the quality of handwriting movements: A kinematic analysis.

Writing hand preference is a prominent functional asymmetry, but biomechanical factors may also contribute to any kinematic differences in the quality of handwriting movements performed by either hand. Eighteen dextral participants used a noninking pen with their right or left hand to write cursive letter l, inverted ls, and their mirror images (to control for biomechanical differences) on a graphics tablet. Kinematic analysis of the scaling, consistency, efficiency, and shape of writing stroke trajectories revealed functional asymmetries between hands. The right hand was faster and produced more efficient strokes, which were of more consistent length, duration, and peak velocity. Differences between hands do not simply reflect biomechanical factors; therefore, the documentation of any functional asymmetries may allow their subsequent use as markers of underlying pathology in conditions such as schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rest or redistribution thallium myocardial imaging for resting myocardial perfusion: a detailed comparison with regional wall motion

Redistribution thallium-201 (201T1) imaging is the most common method of assessing resting myocardial perfusion. However, the equivalence of a redistribution image and a separate rest injection is unclear. Although the presence of a defect on rest imaging has normally been equated with the presence of a myocardial infarction, it has recently been shown that a significant proportion of fixed defects on exercise-redistribution 201T1 actually represent areas of viable myocardium. This study was a detailed comparison of rest and redistribution imaging in 30 patients undergoing routine exercise 201T1 scanning for the assessment of coronary artery disease. A small dose (15 MBq) of 201T1 was administered at rest following the imaging in three standard planar views. Similar stress images were acquired using a further 50-55 MBq of 201T1 administered at peak effort. Redistribution images were acquired 3-4 h later and equilibrium blood pool ventriculography performed using in vivo labelling with 600 MBq 99Tcm-pertechnetate. Of 150 abnormal segments on the exercise scans, 74 (49%) were identified as being reversible on the redistribution scans and 58 (39%) on the rest images. Only 39 (53%) of these reversible defects were identified on both the redistribution and rest scans. Only 41% of the fixed defects on the redistribution images (32% of fixed defects on the rest images) had abnormal wall motion. Therefore, rest and redistribution images are not equivalent. Both rest and redistribution images significantly overestimate myocardial infarction. This may have significant effects on patient selection for revascularization procedures and therefore all patients having perfusion scintigraphy should also have additional assessment of regional wall motion to allow accurate classification of the functional status of myocardial segments.     

MR imaging contrast enhancement based on intermolecular zero quantum coherences

A new method for magnetic resonance imaging (MRI) based on the detection of relatively strong signal from intermolecular zero-quantum coherences (iZQCs) is reported. Such a signal would not be observable in the conventional framework of magnetic resonance; it originates in long-range dipolar couplings (10 micrometers to 1 millimeter) that are traditionally ignored. Unlike conventional MRI, where image contrast is based on variations in spin density and relaxation times (often with injected contrast agents), contrast with iZQC images comes from variations in the susceptibility over a distance dictated by gradient strength. Phantom and in vivo (rat brain) data confirm that iZQC images give contrast enhancement. This contrast might be useful in the detection of small tumors, in that susceptibility correlates with oxygen concentration and in functional MRI.     

Endothelin receptors in rat pituitary gland

An algorithm is described for reducing ghost artifacts in echo planar imaging (EPI) using phase corrections derived from images reconstructed using only even or odd k-space lines. The N/2 ghost, that arises principally from time-reversal of alternate k-space lines, was significantly reduced by this algorithm without the need for a calibration scan. In images obtained in eight subjects undergoing EPI for auditory functional MRI (fMRI) experiments, N/2 ghost intensity was reduced from 10.3% +/- 2.1% (range: 7.9-14.1%) to 4.5% +/- 0.2% (range: 4.1-4.9%) of parent image intensity, corresponding to a percent reduction in ghost intensity of 54% +/- 9% (range: 43-65%), and the algorithm restored this intensity to the parent image. It provided a significant improvement in image appearance, and increased the correlation coefficients related to neural activation in functional MRI studies. The algorithm provided reduction of artifacts from all polynomial orders of spatial phase errors in both spatial directions. The algorithm did not eliminate N/2 ghost intensity contributed by field inhomogeneities, susceptibility, or chemical shift.     

Activation of the visual cortex in motivated attention.

Functional activation (measured with fMRI) in occipital cortex was more extensive when participants view pictures strongly related to primary motive states (i.e., victims of violent death, viewer-directed threat, and erotica). This functional activity was greater than that observed for less intense emotional (i.e., happy families or angry faces) or neutral images (i.e., household objects, neutral faces). Both the extent and strength of functional activity were related to the judged affective arousal of the different picture contents, and the same pattern of functional activation was present whether pictures were presented in color or in grayscale. It is suggested that more extensive visual system activation reflects "motivated attention," in which appetitive or defensive motivational engagement directs attention and facilitates perceptual processing of survival-relevant stimuli. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A method of correlating and merging cerebral morphology and function by a special head holder

A method is introduced which records and correlates topographically identical morphological and functional image data by means of a special head holder system which is adaptable to different modalities (MRI, PET, SPECT). It is based on a commercially available thermoplastic headmask. A thermoplastic form is used to mold an individual headmask (time required: 7 min) for all modalities providing a fixation of the patient during acquisition. This method guarantees an exact repositioning and therefore the same slice orientation of the images. The in-plane correlation is performed by adapting standard offset parameters determined with a homogeneous head phantom. By fusion (merging) of the brain outline contours or images themselves the accuracy was tested in MRI vs. PET resp. SPECT (transaxial accuracy: < or = 2.0 mm, axial: < or = 3.0 mm in patients with MRI-slice thickness of 6.0 mm).     

Brain functional MRI of the visual cortex with echo planar imaging

Brain functional MR imaging (fMRI) is a non invasive imaging method for detecting neural activity. We performed functional MRI of the visual cortex with gradient-echo echo planar imaging (GE-EPI) and spin-echo EPI (SE-EPI) using 1.5T MRI system. Visual stimuli was performed with a checkerboard patterns. Magnitude and temporal phase of correlation between each pixel's time-course and sine functions at the frequency of the stimulus was calculated. In all subjects, the activation area in visual cortex obtained from SE-EPI was smaller than that from GE-EPI. Temporal phase delay images from both GE-EPI and SE-EPI showed signal spread from the primary visual cortex to peripheral supplementary areas. Temporal phase analysis is important to discriminate the source of the hemodynamic response to neural activation in fMRI.     

Functional imaging of the brain using computed tomography

Data from rapid-sequence CT scans of the same cross section, obtained following bolus injection of contrast material, were analyzed by functional imaging. The information contained in a large number of images can be compressed into one or two gray-scale images which can be evaluated both qualitatively and quantitatively. The computational techniques are described and applied to the generation of images depicting bolus transit time, arrival time, peak time, and effective width.     

Levels of equivalence in imagery and perception.

Reviews recent experimental work on imagery, identifying specific levels of information processing within the visual system at which mental images and physical objects and events are functionally equivalent, as revealed by their perceptual and behavioral effects. Findings demonstrate that these functional equivalences can extend even to levels of the visual system where the effects produced cannot be explained by what people might know about objects and events, or by how they expect to perform. Effects produced when images are formed are often smaller than corresponding effects produced when objects and events are observed, and vivid imagers often show larger effects when forming images than nonvivid imagers. On the basis of these findings, it is argued that mental imagery can result in the activation of information-processing mechanisms at many levels of the visual system, even those mechanisms whose operating characteristics are not influenced by how objects and events might be conceptualized. (63 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)