Characterization of pheochromocytomas using quantitati analysis of the parameter T2 of the mass (T2-QMRI)

The usefullness of MR imaging in the characterization of pheochromocytomas was evaluated in 9 patients with 13 pheochromocytomas and 1 paraganglioma. In two patients the tumors were multiple and in one, extra-adrenal. Two patients conformed to MEN2 syndrome. Adrenal masses were characterized using several parameters: (a) visual inspection of the signal intensities in T1-, T2-, and Gd-DTPA-enhanced T1-weighted images; (b) observed signal intensity and observed signal intensity ratios (adrenal mass/liver, adrenal mass/retroperitoneal fat and adrenal mass/ subcutaneous fat) in the T2-weighted images; (c) calculated T2 relaxation times and calculated T2 relaxation time ratios (adrenal mass/liver, adrenal mass/retroperitoneal fat and adrenal mass/subcutaneous fat) of the adrenal masses.All pheochromocytomas had a T2 relaxation time greater than 82 ms with a maximum value of 134.3 ms. These values were calculated using T2 quantitative analysis methods based on in-house designed mathematical routines (T2-QMRI). The signal intensities of the tumor on T2-weighted spin-echo images were extremely high.As a conclusion of this preliminary report it is postulated that T2 quantitative MRI examination (T2-QMRI) is an accurate method for the diagnosis and characterization of pheochromocytomas because it gives positive diagnostic results whether the pheochromocytoma is secreting or nonfunctioning. It can also detect extra-adrenal pheochromocytomas (paragangliomas). Comparative studies with other adrenal tumors is essential to assess accuracy of this method for characterizing these tumors.Address for correspondence: Areteion University Hospital, Radiology Department, VasSofias 76 st, 11528 Athens, Greece. Additional reprints of this chapter may be obtained from the Reprints Department, Chapman & Hall, One Venn Plaza, New York, NY 10119.     

Structural, dielectric and conductivity studies of Na2Pb2La2W2Ti4Nb4O30 ferroelectric ceramic

A new single phase orthorhombic ferroelectric ceramic Na₂Pb₂La₂W₂Ti₄Nb₄O₃₀ (NPLWTN) was prepared via high-temperature solid-state reaction method. The grain morphology of the compound was analyzed by scanning electron microscopy (SEM). Studies of dielectric properties (??_r and tan??) of the compound at different frequencies (10²?C10⁶?Hz) in a wide temperature range (300?C700?K) showed multiple phase transitions in it. First phase transition observed at 335?K related to structural type (ferroelectric-ferroelectric) and the second one observed at 536?K is related to the ferroelectric to paraelectric. The ferroelectric property of the compound at room temperature was confirmed by polarization (hysteresis) study. Broadened dielectric peaks at low frequencies were observed above ferroelectric to paraelectric phase transition temperature (Tc). The values of exponent n(T) and pre-factor A(T) at and around Tc were obtained by the fitting ac conductivity data with Jonscher??s universal power law. From the variation of n(T) and A(T) with temperature, the strength of interaction among the charge carriers with the crystal lattice and the strength of polarisability at phase transition are observed. The activation energy of the compound in low and high temperature range suggests the conduction mechanism in the material.     

Brain T2 relaxation times correlate with regional cerebral blood volume

We previously reported cerebellar and putaminal transverse relaxation time (T2) differences in children with ADHD and in adults with childhood trauma. As brain T2 can be altered by deoxyhemoglobin concentration ([dHb]) and because [dHb] is proportional to regional cerebral blood volume (rCBV), at steady state we attributed those differences to rCBV changes. Studies in other species have established a correlation between T2 and rCBV; however this has yet to be demonstrated in human brain. Echo planar imaging (EPI) T2 relaxometry and dynamic susceptibility-contrast (DSC) MRI were used to measure T2 and rCBV in 11 healthy adults. Significant T2-rCBV correlations were observed in both cerebellar vermis and putamen (r=0.759,p=0.007;r=0.782,p=0.004, respectively). These correlations predict 9±3% and 10±3% rCBV changes, respectively, for each 1-msec change in T2. Consequently, brain T2 measurements may be useful for estimating steady-state rCBV.     

Subacute myocardial infarction: assessment by STIR T2-weighted MR imaging in comparison to regional function

Purpose Increased T2 signal intensity (SI) can be regularly observed in myocardial infarction. However, there are controversial reports about the relationship of elevated T2 SI to myocardial viability and some authors propose that high T2 SI serves as a sign of irreversible myocardial injury. This study investigates increased T2 SI compared to myocardial function in patients with reperfused subacute myocardial infarction. Preserved function was used as criterion for viability. Methods Ten healthy volunteers and 17 patients with myocardial infarction and patent inlarct related coronary artery were examined on a 1.5 T Magnetom Vision system (Siemens). For T2-weighted MR imaging a breath-hold STIR sequence with dark-blood preparation was used. Cine FLASH 2D imaging was applied to assess myocardial function. Signal-to-noise (S/N) in STIR T2 images was measured in normal and infarcted regions and subsequently identified by two independent observers. Based on a 20 segment model of the left ventricle findings were compared to regional myocardial function. Results Elevated STIR T2 SI was found in all 17 patients and observed in 27% (204/754) of segments. S/N of normal myocardium was 5.1 ±0.7 in volunteers and 4.9 ± 0.8 in patients(P=NS). Infarcted myocardium presented with significantly-increased S/N 12.8 ± 1.9 (P < 0.0001). Significant transmural elevation of T2 SI was noted in 32% of segments with preserved systolic function. Conclusion Increased STIR T2 SI can be observed transmurally in post-ischemic myocardial regions with preserved function. It therefore cannot be used as an exclusive marker for the non-viable region.     

T2-based segmentation of periventricular volumes for quantification of proton magnetic resonance spectra of multiple sclerosis lesions

Partial volume averaging of signal from multiple sclerosis lesions influences biexponential fitting of the water T2 relaxation as used for tissue/CSF segmentation of spectroscopic volumes. Periventricular volumes-of-interest comprising CSF, lesion and normal-appearing white matter in varying proportion were studied. The relaxation of the localized water signal was measured at 12 echo times (STEAM, geometric spacing from 30 ms to 2000 ms, least-squares fit). Magnetization transfer (MT) was applied to identify contributions of tissue signal to the CSF component. The T2 of the longlived component (T2(long)=433-1782 ms) and its prolongation after MT were inversely correlated to the MT ratio. Hence, short T2(long) is associated with overestimation of CSF partial volume, and thus metabolite concentrations. A T2-correction for the CSF partial volume was suggested and applied to the quantification of MR spectra of large MS lesions. The T2 of bulk CSF (2280+/-87 ms) and the influence of the TE sampling scheme were also studied.     

On the correlation between T<Subscript>2</Subscript> and tissue diffusion coefficients in exercised muscle: quantitative measurements at 3T within the tibialis anterior

PURPOSE: To assess the transverse relaxation time T(2) and diffusion coefficient D before and following exercise in the tibialis anterior muscle and determine whether T(2) and D values were correlated. METHODS: Measurements of T(2) and D were performed at 3 T within axial slices through the calf muscles of six healthy volunteers at 95 s intervals before and for 10-12 min after a dorsiflexion exercise to exhaustion. RESULTS: The mean +/- standard deviation (SD) of T(2) and D before exercise were 32 +/- 1.55 ms and 1.52 +/- 0.15 mum(2)/ms, and after exercise were 43 +/- 2.5 ms and 1.72 +/- 0.13 mum(2)/ms, respectively. The mean +/- SD inter-individual recovery times of the % change in T(2) and D after exercise were 7.9 +/- 4.2 and 10.9 +/- 7.0 min, respectively. The T(2) and D values showed a significant correlation throughout the experiments (r (2) = 0.45). CONCLUSIONS: The increase in T(2) of skeletal muscle after exercise is correlated with the increase of the diffusion coefficient D and the recovery times appear similar, indicating that any model used to explain T(2) increases with exercise must also account for increased diffusion coefficients.     

Building a type‐2 fuzzy regression model based on credibility theory and its application on arbitrage pricing theory

Type‐2 (T2) fuzzy set was introduced to model vagueness associated with primary membership function of type‐1 (T1) fuzzy set. While it was invented to handle more fuzzy information, there are only a few algorithms (models) to deal with data in the form of T2 fuzzy variables given their three‐dimensional features. To solve the problem, we define the expected value of a T2 fuzzy variable using credibility theory in this paper. And by substituting the expected value for the original T2 fuzzy set, the vertical uncertainties of data are transferred to horizontal ones without much distortion of information. Calculations between three‐dimensional T2 fuzzy sets are thus transferred to two‐dimensional range calculations between T1 fuzzy sets. Based on that principle, we also build a T2 fuzzy expected regression model and apply it to the arbitrage pricing theory. © 2016 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc.     

T2 relaxation time study of iron overload in b-thalassemia

Myocardial iron deposition occurs as a result of blood transfusion therapy in b-thalassemia major patients. Since this deposition causes various cardiac complications, it is of interest to assess the iron content of the myocardium in relation to the clinical picture of the patients. Two different MRI indices were used to achieve this purpose: the T2 relaxation time and the heart/skeletal muscle signal intensity ratio. ECG gated spin echo images were obtained from 54 adult thalassemic patients, with a mean age of 26 (18–44) years, at TE = 22 ms and 60 ms, using a 1.5 T system. Patients were divided into 2 groups (A and B), according to their serum ferritin levels (> or < 2000 ng ml^-1). Results were compared with nine controls, with a mean age of 25 (18–43) years. Heart T2 relaxation time in controls (44.3 ± 3.5 ms) was higher than in group A (29.9 ± 5.7 ms,P< 0.001) and group B (33.4 ± 6.8 ms,P < 0.01). T2 was measurable in 66% of group A and 83% of group B patients. The heart/muscle signal intensity ratio in group A (0.45 ± 0.27) was lower than in group B (0.82 ± 0.33,P < 0.001) and the controls (1.15 ± 0.20,P < 0.001). The heart/muscle signal intensity ratio was measurable in 94% of the patients and demonstrated an inverse relationship with the serum ferritin levels(r = - 0.52, P<0.01). This study indicates that the heart/muscle ratio is a sensitive index of iron overload and it can be measured in the majority of patients, irrespective of tissue iron concentration, thereby offering an advantage over the use of T2 relaxation time. © 1998 Elsevier Science B.V. All rights reserved.     

Simultaneous dynamic T1 and T2* measurement for AIF assessment combined with DCE MRI in a mouse tumor model

A double-delay SR-MGE-SNAP sequence allowing simultaneous T1 and T2* measurement was developed for integrating arterial input function (AIF) measurement into DCE MRI. Implemented on a 4.7-T animal MR system, this technique was applied to mice with colorectal tumor xenografts. AIF, measured in the mouse heart, was modeled by a bi-exponential function, whereas tumor K(trans) and v(e) parameter maps were obtained from analysis with a two- compartment model using an individually measured AIF. AIF analysis of T2*-corrected data yielded A1 = 9.2 +/- 4.3 kg/l, A(2) = 4.2 +/- 0.8 kg/l, m1 = 2.3 +/- 1.1 min(-1), and m2 = 0.05 +/- 0.02 min(-1). The mean initial plasma concentration C ( p )(t = 0) = 8.0 +/- 2.7 mM was compatible with estimated 8.6 mM. Without T2*-correction distribution phase parameters A1, m1, and C(p)(t = 0) were underestimated. In tumors, neglect of T2* effects yielded mean K(trans) values which were reduced by 14% (P < 0.05), whereas v(e) showed only a slight non-significant reduction. Simultaneous measurement of DeltaR1 and DeltaR2* studied in highly and poorly vascularized and (pre-)necrotic tumor regions revealed complementary behavior of both parameters with respect to vascular properties. In conclusion, the presented measurement technique is a promising tool for dynamic MRI applications studied in animal models at high field strengths and/or with CA of high relaxivities, as it combines classical DCE MRI integrating AIF assessment with dynamic T2* measurement.     

Volumetric assessment of myocardial viability in rats using 3D double contrast enhanced T1 and T2-weighted MRI

Objective: Volumetric evaluation of the myocardial viability post-infarction in rats using 3D in vivo MR imaging at 7 T using injection of an extracellular paramagnetic contrast agent and intravascular superparamagnetic iron oxide nanoparticles in the same imaging session. Materials and methods: Five hours after induction of permanent myocardial infarction in rats (n=6), 3D in vivo T1- and T2-weighted MR Imaging was performed prior to and after Gd-DOTA injection (0.2 mmol/kg) and prior to and after nanoparticle injection (5 mg Fe/kg) to assess infarct size and myocardial viability. Results: 3D MR Imaging using a successive contrast agent injection showed a difference of infarct size after Gd-DOTA injection on T1-weighted images compared to the one measured on T2-weighted images after Gd-DOTA and nanoparticle injection. Conclusion: The use of 3D T1- and T2-weighted MR Imaging using a double contrast agents protocol made possible the accurate characterization of myocardial infarction volume and allowed the detection of myocardial viability post-infarction in rats     

31P MR spectroscopy and in vitro markers of oxidative capacity in type 2 diabetes patients

Background: Skeletal muscle mitochondrial function in type 2 diabetes (T2D) is currently being studied intensively. In vivo ³¹P magnetic resonance spectroscopy (³¹P MRS) is a noninvasive tool used to measure mitochondrial respiratory function (MIFU) in skeletal muscle tissue. However, microvascular co-morbidity in long-standing T2D can interfere with the ³¹P MRS methodology. Aim: To compare ³¹P MRS-derived parameters describing in vivo MIFU with an in vitro assessment of muscle respiratory capacity and muscle fiber-type composition in T2D patients. Methods: ³¹P MRS was applied in long-standing, insulin-treated T2D patients. ³¹P MRS markers of MIFU were measured in the M. vastus lateralis. Muscle biopsy samples were collected from the same muscle and analyzed for succinate dehydrogenase activity (SDH) and fiber-type distribution. Results: Several ³¹P MRS parameters of MIFU showed moderate to good correlations with the percentage of type I fibers and type I fiber-specific SDH activity (Pearson’s R between 0.70 and 0.75). In vivo and in vitro parameters of local mitochondrial respiration also correlated well with whole-body fitness levels (VO _2peak) in these patients (Pearson’s R between 0.62 and 0.90). Conclusion: Good correlations exist between in vivo and in vitro measurements of MIFU in long-standing insulin-treated T2D subjects, which are qualitatively and quantitatively consistent with previous results measured in healthy subjects. This justifies the use of ³¹P MRS to measure MIFU in relation to T2D.     

In vivo quantitative MRI: T1 and T2 measurements of the human brain at 0.064 T

Objective

To measure healthy brain \({T}_{1}\) and \({T}_{2}\) relaxation times at 0.064 T.

Materials and methods

\({T}_{1}\) and \({T}_{2}\) relaxation times were measured in vivo for 10 healthy volunteers using a 0.064 T magnetic resonance imaging (MRI) system and for 10 test samples on both the MRI and a separate 0.064 T nuclear magnetic resonance (NMR) system. In vivo \({T}_{1}\) and \({T}_{2}\) values are reported for white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF) for automatic segmentation regions and manual regions of interest (ROIs).

Results

\({T}_{1}\) sample measurements on the MRI system were within 10% of the NMR measurement for 9 samples, and one sample was within 11%. Eight \({T}_{2}\) sample MRI measurements were within 25% of the NMR measurement, and the two longest \({T}_{2}\) samples had more than 25% variation. Automatic segmentations generally resulted in larger \({T}_{1}\) and \({T}_{2}\) estimates than manual ROIs.

Discussion

\({T}_{1}\) and \({T}_{2}\) times for brain tissue were measured at 0.064 T. Test samples demonstrated accuracy in WM and GM ranges of values but underestimated long \({T}_{2}\) in the CSF range. This work contributes to measuring quantitative MRI properties of the human body at a range of field strengths.

     

T2 ACSR conductors: lessons learned

Electric utilities are under increasing pressure to provide better quality service to the customer. In the information age, even momentary interruptions are now unacceptable. The Central Iowa Power Cooperative (USA) has 10 years of experience using variable cross-section ACSR conductor (T2) in an attempt to improve line performance. This article presents a summary of the lessons learned during that time     

Design of a qualitative classification model through fuzzy support vector machine with type‐2 fuzzy expected regression classifier preset

Methods of qualitative analysis, such as qualitative classification, have gained importance as an essential complement of existing quantitative analysis in numerous fields. Only a few models have been developed to deal with qualitative inputs in the form of type‐2 fuzzy(T2F) sets properly, given that traditional defuzzification method like the Karnik–Mendel algorithm performs dimensionality reduction at the cost of loss of information. To improve the situation, we define the expected value and variance of T2F set in this paper. By using a combination of them, we transfer the vertical three‐dimensional uncertainty of T2F set to horizontal range uncertainty without much distortion of information. Additionally, current classification models are unsuitable to the partial classification problem if an output is not fully assigned to a single class. We build a comprehensive qualitative classification model based on fuzzy support vector machine (FSVM) combined with type‐2 fuzzy expected regression (FER) to solve the partial classification problem as mentioned. This classifier (i.e. FER‐FSVM) makes it possible to achieve the discrimination of output while characterizing membership for each class in terms of multidimensional qualitative inputs (attributes) in the form of T2F sets. FER‐FSVM also can self‐learn the data structure and shift between FER or FSVM for classification automatically, thus largely improving the efficiency of the classification process. The new model is almost 7 times more efficient than FSVM, as shown by our empirical experiments. © 2016 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc.     

Operation Simulation of an 8F21T2C-Type Ferroelectric Memory Array with a Revised Data Writing Method

A planar 1T2C-type ferroelectric memory cell structure which has a unit cell area of 8F² (F: minimum feature length) has been proposed. In this structure, the gate area, which is covered with a floating gate electrode, is 3F in length and F in width. Through the SPICE simulation for a 2 × 2 cell array, the basic operation for 8F² 1T2C-type memory cell was identified. Also, data disturbance problem during the data writing process in the 1T2C-type ferroelectric memory array was investigated using an equivalent capacitor model. Based on the analysis, a modified V/3 rule voltage application method for reducing the data disturbance effect was proposed and its validity was verified by SPICE simulation.     

Automatic segmentation of human supraclavicular adipose tissue using high-resolution T2-weighted magnetic resonance imaging

Magnetic Resonance Materials in Physics, Biology and Medicine - To achieve efficient segmentation of human supraclavicular adipose tissue (sclavAT) using high-resolution T2-weighted magnetic...     

Variable echo time imaging for detecting the short T2* components of the sciatic nerve: a validation study

Objective

The aim of this study was to develop and validate an MRI protocol based on a variable echo time (vTE) sensitive to the short T2* components of the sciatic nerve.

Materials and methods

15 healthy subjects (M/F: 9/6; age: 21–62) were scanned at 3T targeting the sciatic nerve at the thigh bilaterally, using a dual echo variable echo time (vTE) sequence (based on a spoiled gradient echo acquisition) with echo times of 0.98/5.37 ms. Apparent T2* (aT2*) values of the sciatic nerves were calculated with a mono-exponential fit and used for data comparison.

Results

There were no significant differences in aT2* related to side, sex, age, and BMI, even though small differences for side were reported. Good-to-excellent repeatability and reproducibility were found for geometry of ROIs (Dice indices: intra-rater 0.68–0.7; inter-rater 0.70–0.72) and the related aT2* measures (intra-inter reader ICC 0.95–0.97; 0.66–0.85) from two different operators. Side-related signal-to-noise-ratio non-significant differences were reported, while contrast-to-noise-ratio measures were excellent both for side and echo.

Discussion

Our study introduces a novel MR sequence sensitive to the short T2* components of the sciatic nerve and may be used for the study of peripheral nerve disorders.

     

A 2- to 12-GHz 65-nm transmit/receive CMOS DP8T switching matrix for ultra-wideband antenna arrays

An ultra-wideband 2- to 12-GHz transmit/receive (T/R) double-pole–eight-throw (DP8T) switching matrix is developed with a 65-nm complementary metal oxide semiconductor (CMOS) process for a radar-based breast cancer detection system. The measured average insertion losses are 5.2, 7, and 10.6 dB at 2, 6, and 12 GHz, respectively, with input and output matching bandwidths of 2 to 12 GHz and a third-order input intercept point (IIP3) of 31 dBm at 8 GHz. The power consumption is less than 1 mW for a 1.2-V power supply. To the best of the authors' knowledge, this is the first reported DP8T CMOS switching matrix to replace the conventional mechanical switch to control a portable radar antenna.     

Effects of functional electrical stimulation in denervated thigh muscles of paraplegic patients mapped with T 2 imaging

OBJECT: Functional electrical stimulation (FES) for paraplegic patients, with the long-term goal of ultimately restoring muscle function, is associated with several positive effects: improvement of blood circulation, skin condition, peripheral trophism and metabolism, prophylaxis against decubitus ulcer and better physical fitness. Since fibres of denervated muscles (lacking a supplying nerve) need to be activated directly, the fraction of elicited muscle tissue follows the geometric distribution of the electrical field, which can be simulated using electrophysiological computer models. Experimental validation of these results, however, has not yet been established. MATERIALS AND METHODS: We acquired T (2) parameter images using a multislice multi-spin-echo MR sequence before and immediately after FES in nine denervated paraplegic patients and three healthy subjects in order to visualise the geometric distribution of activation by electrically induced muscle stimulation in denervated versus innervated (healthy) thigh muscle. RESULTS AND CONCLUSION: After realigning and normalisation, maps of relative T (2) increase were calculated. The results demonstrate that the spatial distribution of short-term effects of FES of denervated muscle tissue of paraplegic patients who regularly perform FES can be visualised by T (2) parameter images. This may be used to refine models of the electrical field of FES in muscle and fibre activation in the future.