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https://www.readbyqxmd.com/read/28832349/inclusion-body-myositis-advancements-in-diagnosis-pathomechanisms-and-treatment
#1
Karsten Schmidt, Jens Schmidt
PURPOSE OF REVIEW: To review new advances in inclusion body myositis (IBM) and discuss them in light of current knowledge on diagnosis, pathomechanisms, and treatment perspectives. RECENT FINDINGS: IBM is a treatment refractory inflammatory myopathy in middle-aged patients that leads to a slow, relentlessly progressive muscle weakness, and atrophy. Recent data collections suggest that mortality in IBM patients is somewhat elevated compared with the general population...
August 19, 2017: Current Opinion in Rheumatology
https://www.readbyqxmd.com/read/28803940/real-time-motion-analytics-during-brain-mri-improve-data-quality-and-reduce-costs
#2
Nico U F Dosenbach, Jonathan M Koller, Eric A Earl, Oscar Miranda-Dominguez, Rachel L Klein, Andrew N Van, Abraham Z Snyder, Bonnie J Nagel, Joel T Nigg, Annie L Nguyen, Victoria Wesevich, Deanna J Greene, Damien A Fair
Head motion systematically distorts clinical and research MRI data. Motion artifacts have biased findings from many structural and functional brain MRI studies. An effective way to remove motion artifacts is to exclude MRI data frames affected by head motion. However, such post-hoc frame censoring can lead to data loss rates of 50% or more in our pediatric patient cohorts. Hence, many scanner operators collect additional 'buffer data', an expensive practice that, by itself, does not guarantee sufficient high-quality MRI data for a given participant...
August 10, 2017: NeuroImage
https://www.readbyqxmd.com/read/28774783/clinical-value-of-real-time-ultrasonography-mri-fusion-imaging-for-second-look-examination-in-preoperative-breast-cancer-patients-additional-lesion-detection-and-treatment-planning
#3
Ah Young Park, Bo Kyoung Seo, Heon Han, Kyu Ran Cho, Ok Hee Woo, Sang Hoon Cha, Jaehyung Cha
BACKGROUND: This study was conducted to evaluate the clinical effect of real-time magnetic resonance imaging (MRI)-navigated ultrasonography (US) for preoperative second-look examination in patients with breast cancer. PATIENTS AND METHODS: Between October 2013 and February 2015, 232 patients with breast cancer underwent MRI for staging; second-look US was performed in 70 patients to evaluate additional lesions suspected to be disease detected using MRI. We retrospectively included 67 lesions in 55 patients...
July 14, 2017: Clinical Breast Cancer
https://www.readbyqxmd.com/read/28761393/a-combined-intravascular-mri-endoscope-and-intravascular-ultrasound-ivus-transducer-for-high-resolution-image-guided-ablation
#4
Xiaoyang Liu, Nicholas Ellens, Emery Williams, Everette Clif Burdette, Parag Karmarkar, Paul Bottomley
An intravascular MRI (IMRI) loopless antenna is combined for the first time with an intravascular water-cooled ultrasound ablation transducer as a possible tool for providing high-resolution MRI-guided ablations of pathological tissue via intravascular access. High resolution anatomical MRI, and real-time MRI thermometry were used to monitor ablation delivery in phantoms and tissue specimens. Results show that IMRI can guide IVUS-mediated directional ablation with minimal image artifacts. This permits the monitoring of thermal dose and therapy titration while minimizing potential thermal damage to the vessel wall...
April 2017: Proceedings of the International Society for Magnetic Resonance in Medicine ... Scientific Meeting and Exhibition
https://www.readbyqxmd.com/read/28711016/therapeutic-supermolecular-micelles-of-vitamin-e-succinate-grafted-%C3%AE%C2%B5-polylysine-as-potential-carriers-for-curcumin-enhancing-tumour-penetration-and-improving-therapeutic-effect-on-glioma
#5
He-Lin Xu, Zi-Liang Fan, De-Li ZhuGe, Bi-Xin Shen, Bing-Hui Jin, Jian Xiao, Cui-Tao Lu, Ying-Zheng Zhao
Severe toxicity and poor tumour penetration are two intrinsic limited factors to hinder the broad clinical application for most of first-line chemotherapeutics. In this study, a novel vitamin E succinate-grafted ε-polylysine (VES-g-PLL) polymer was synthesized by using ε-polylysine as backbone. By adjusting VES graft ratio, VES-g-PLL (50) with a theoretic VES graft ratio of 50% could self-assemble into a supermolecular micelle with a hydrodynamic diameter (Dh) of ca.20nm, and Zeta potential of 19.6mV. VES-g-PLL micelles themselves displayed a strong anti-tumour effect on glioma...
July 12, 2017: Colloids and Surfaces. B, Biointerfaces
https://www.readbyqxmd.com/read/28665249/improved-operative-efficiency-using-a-real-time-mri-guided-stereotactic-platform-for-laser-amygdalohippocampotomy
#6
Allen L Ho, Eric S Sussman, Arjun V Pendharkar, Scheherazade Le, Alessandra Mantovani, Alaine C Keebaugh, David R Drover, Gerald A Grant, Max Wintermark, Casey H Halpern
OBJECTIVE MR-guided laser interstitial thermal therapy (MRgLITT) is a minimally invasive method for thermal destruction of benign or malignant tissue that has been used for selective amygdalohippocampal ablation for the treatment of temporal lobe epilepsy. The authors report their initial experience adopting a real-time MRI-guided stereotactic platform that allows for completion of the entire procedure in the MRI suite. METHODS Between October 2014 and May 2016, 17 patients with mesial temporal sclerosis were selected by a multidisciplinary epilepsy board to undergo a selective amygdalohippocampal ablation for temporal lobe epilepsy using MRgLITT...
June 30, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28603934/model-based-t1-mapping-with-sparsity-constraints-using-single-shot-inversion-recovery-radial-flash
#7
Xiaoqing Wang, Volkert Roeloffs, Jakob Klosowski, Zhengguo Tan, Dirk Voit, Martin Uecker, Jens Frahm
PURPOSE: To develop a model-based reconstruction technique for single-shot T1 mapping with high spatial resolution, accuracy, and precision using an inversion-recovery (IR) fast low-angle shot (FLASH) acquisition with radial encoding. METHODS: The proposed model-based reconstruction jointly estimates all model parameters, that is, the equilibrium magnetization, steady-state magnetization, 1/ T1*, and all coil sensitivities from the data of a single-shot IR FLASH acquisition with a small golden-angle radial trajectory...
June 11, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28552281/diagnosis-of-disk-displacement-using-real-time-mri-clinical-report-of-two-patients
#8
Sebastian Krohn, Jens Frahm, Klaus-Dietmar Merboldt, Torsten Wassmann, Arun A Joseph, Ralf Bürgers
The clinical application of real-time magnetic resonance imaging (MRI) for the diagnosis of temporomandibular joint disk displacement (DD) with and without reduction is presented. In 2 patients with presumed DD, real-time MRI at 15 frames per second was performed during the natural opening and closing of the mouth. In one patient unilateral DD with reduction and in the other patient bilateral DD without reduction were observed. In contrast with conventional static MRI, real-time MRI moving images of temporomandibular joint DD offer comprehensive information about the dynamics of all involved structures, which in turn promises more reliable diagnoses...
May 26, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28547820/future-of-medical-physics-real-time-mri-guided-proton-therapy
#9
Bradley M Oborn, Stephen Dowdell, Peter E Metcalfe, Stuart Crozier, Radhe Mohan, Paul J Keall
With the recent clinical implementation of real-time MRI-guided x-ray beam therapy (MRXT), attention is turning to the concept of combining real-time MRI guidance with proton beam therapy; MRI-guided proton beam therapy (MRPT). MRI guidance for proton beam therapy is expected to offer a compelling improvement to the current treatment workflow which is warranted arguably more than for x-ray beam therapy. This argument is born out of the fact that proton therapy toxicity outcomes are similar to that of the most advanced IMRT treatments, despite being a fundamentally superior particle for cancer treatment...
August 2017: Medical Physics
https://www.readbyqxmd.com/read/28521346/real-time-magnetic-resonance-imaging-guided-biopsy-using-smartframe%C3%A2-stereotaxis-in-the-setting-of-a-conventional-diagnostic-magnetic-resonance-imaging-suite
#10
Justin K Scheer, Thomas Hamelin, Leon Chang, Brian Lemkuil, Bob S Carter, Clark C Chen
BACKGROUND: Real-time magnetic resonance imaging (MRI) visualization during stereotactic needle biopsies affords several valuable benefits to the neurosurgeon, including the opportunity to visually confirm the biopsy site at the time of surgery. Until now, reported experiences with this technique have been limited to the setting of intraoperative MRI or dedicated procedural MRI suites with modified ventilation systems. OBJECTIVE: To describe our experience with 11 consecutive patients who underwent real-time MRI-guided biopsy performed using SmartFrame® stereotaxis (MRI Interventions, Irvine, California) in the setting of a conventional diagnostic MRI suite...
June 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28516809/real-time-mri-guided-percutaneous-sclerotherapy-treatment-of-venous-low-flow-malformations-in-the-head-and-neck
#11
Sasan Partovi, Ziang Lu, Lorenna Vidal, Dean A Nakamoto, Ji Buethe, Michael Coffey, Indravadan J Patel
Purpose This manuscript describes the technique of real-time MRI-guided sclerotherapy for low-flow venous malformations in the head and neck based on our institutional experience. Materials and methods Ethanolamine oleate is used as the sclerosant and is mixed with gadolinium for visualization during the procedure. The five procedural steps include: (I) an initial tri-plane T2-weighted sequence to visualize the lesion; (II) a T1 FSE or trueFISP sequence to assess needle placement and advancement within the lesion; (III) a tri-plane T1 FLASH sequence to monitor sclerosant injection; (IV) a T1 FSE or VIBE sequence to assess sclerosant coverage of the malformation before needle removal; (V) a post-procedural tri-plane T1 fat-saturated sequence to confirm sclerosant coverage of the lesion...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28516050/towards-mri-temperature-mapping-in-real-time-the-proton-resonance-frequency-method-with-undersampled-radial-mri-and-nonlinear-inverse-reconstruction
#12
Zhongshuai Zhang, Thomas Michaelis, Jens Frahm
BACKGROUND: Optimal control of minimally invasive interventions by hyperthermia requires dynamic temperature mapping at high temporal resolution. METHODS: Based on the temperature-dependent shift of the proton resonance frequency (PRF), this work developed a method for real-time MRI thermometry which relies on highly undersampled radial FLASH MRI sequences with iterative image reconstruction by regularized nonlinear inversion (NLINV). As a first step, the method was validated with use of a temperature phantom and ex vivo organs (swine kidney) subjected to heating by warm water or a pulsed laser source...
April 2017: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/28493526/real-time-mri-guidance-of-cardiac-interventions
#13
Adrienne E Campbell-Washburn, Mohammad A Tavallaei, Mihaela Pop, Elena K Grant, Henry Chubb, Kawal Rhode, Graham A Wright
Cardiac magnetic resonance imaging (MRI) is appealing to guide complex cardiac procedures because it is ionizing radiation-free and offers flexible soft-tissue contrast. Interventional cardiac MR promises to improve existing procedures and enable new ones for complex arrhythmias, as well as congenital and structural heart disease. Guiding invasive procedures demands faster image acquisition, reconstruction and analysis, as well as intuitive intraprocedural display of imaging data. Standard cardiac MR techniques such as 3D anatomical imaging, cardiac function and flow, parameter mapping, and late-gadolinium enhancement can be used to gather valuable clinical data at various procedural stages...
May 11, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28314241/characterizing-articulation-in-apraxic-speech-using-real-time-magnetic-resonance-imaging
#14
Christina Hagedorn, Michael Proctor, Louis Goldstein, Stephen M Wilson, Bruce Miller, Maria Luisa Gorno-Tempini, Shrikanth S Narayanan
Purpose: Real-time magnetic resonance imaging (MRI) and accompanying analytical methods are shown to capture and quantify salient aspects of apraxic speech, substantiating and expanding upon evidence provided by clinical observation and acoustic and kinematic data. Analysis of apraxic speech errors within a dynamic systems framework is provided and the nature of pathomechanisms of apraxic speech discussed. Method: One adult male speaker with apraxia of speech was imaged using real-time MRI while producing spontaneous speech, repeated naming tasks, and self-paced repetition of word pairs designed to elicit speech errors...
April 14, 2017: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/28213627/real-time-mri-guided-percutaneous-sclerotherapy-of-low-flow-head-and-neck-lymphatic-malformations-in-the-pediatric-population-a-stepwise-approach
#15
Sasan Partovi, Lorenna Vidal, Ziang Lu, Dean A Nakamoto, Ji Buethe, Mark Clampitt, Michael Coffey, Indravadan J Patel
Real-time MRI-guided percutaneous sclerotherapy is a novel and evolving treatment for congenital lymphatic malformations in the head and neck. We elaborate on the specific steps necessary to perform an MRI-guided percutaneous sclerotherapy of lymphatic malformations including pre-procedure patient work-up and preparation, stepwise intraprocedural interventional techniques and post-procedure management. Based on our institutional experience, MRI-guided sclerotherapy with a doxycycline-gadolinium-based mixture as a sclerosant for lymphatic malformations of the head and neck region in children is well tolerated and effective...
February 17, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28185301/feasibility-of-through-time-spiral-generalized-autocalibrating-partial-parallel-acquisition-for-low-latency-accelerated-real-time-mri-of-speech
#16
Sajan Goud Lingala, Yinghua Zhu, Yongwan Lim, Asterios Toutios, Yunhua Ji, Wei-Ching Lo, Nicole Seiberlich, Shrikanth Narayanan, Krishna S Nayak
PURPOSE: To evaluate the feasibility of through-time spiral generalized autocalibrating partial parallel acquisition (GRAPPA) for low-latency accelerated real-time MRI of speech. METHODS: Through-time spiral GRAPPA (spiral GRAPPA), a fast linear reconstruction method, is applied to spiral (k-t) data acquired from an eight-channel custom upper-airway coil. Fully sampled data were retrospectively down-sampled to evaluate spiral GRAPPA at undersampling factors R = 2 to 6...
February 10, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28168936/dosimetric-comparison-of-real-time-mri-guided-tri-cobalt-60-versus-linear-accelerator-based-stereotactic-body-radiation-therapy-lung-cancer-plans
#17
Andrzej P Wojcieszynski, Patrick M Hill, Stephen A Rosenberg, Craig R Hullett, Zacariah E Labby, Bhudatt Paliwal, Mark W Geurts, R Adam Bayliss, John E Bayouth, Paul M Harari, Michael F Bassetti, Andrew M Baschnagel
PURPOSE: Magnetic resonance imaging-guided radiation therapy has entered clinical practice at several major treatment centers. Treatment of early-stage non-small cell lung cancer with stereotactic body radiation therapy is one potential application of this modality, as some form of respiratory motion management is important to address. We hypothesize that magnetic resonance imaging-guided tri-cobalt-60 radiation therapy can be used to generate clinically acceptable stereotactic body radiation therapy treatment plans...
June 2017: Technology in Cancer Research & Treatment
https://www.readbyqxmd.com/read/28116500/magnetic-resonance-imaging-of-pulmonary-embolism-diagnostic-accuracy-of-unenhanced-mr-and-influence-in-mortality-rates
#18
Lilian Pasin, Matheus Zanon, Jose Moreira, Ana Luiza Moreira, Guilherme Watte, Edson Marchiori, Bruno Hochhegger
OBJECTIVES: We evaluated the diagnostic value for pulmonary embolism (PE) of the True fast imaging with steady-state precession (TrueFISP) MRI, a method that allows the visualization of pulmonary vasculature without breath holding or intravenous contrast. METHODS: This is a prospective investigation including 93 patients with suspected PE. All patients underwent TrueFISP MRI after undergoing CT pulmonary angiography (CTPA). Two independent readers evaluated each MR study, and consensus was obtained...
January 23, 2017: Lung
https://www.readbyqxmd.com/read/28115952/salvage-high-dose-rate-brachytherapy-for-histologically-confirmed-macroscopic-local-relapsed-prostate-cancer-after-radical-prostatectomy
#19
David Buchser, Alfonso Gomez-Iturriaga, J Ignacio Rodriguez Melcon, Francisco Casquero, Roberto Llarena, Jon Cacicedo, Pedro Bilbao
PURPOSE: To evaluate the feasibility of the use of real-time magnetic resonance imaging (MRI)-transrectal ultrasound (TRUS) fusion guided high-dose-rate brachytherapy (HDR-BT) +/- external beam radiation therapy (EBRT) in patients with histologically-proven local relapse after radical prostatectomy. MATERIAL AND METHODS: We retrospectively reviewed 13 patients treated with real-time MRI-TRUS fusion HDR-BT for a local relapse of prostate cancer after radical surgery...
December 2016: Journal of Contemporary Brachytherapy
https://www.readbyqxmd.com/read/28047606/su-g-bra-04-simulation-of-errors-in-maximal-intensity-projection-mip-based-lung-tumor-internal-target-volumes-itv-using-real-time-2d-mri-and-deformable-image-registration-based-lung-tumor-tracking
#20
D Thomas, A Kishan, A Santhanam, Y Min, D O'Connell, J Lamb, M Cao, N Agazaryan, Y Yang, P Lee, D Low
PURPOSE: To evaluate the effect of inter- and intra-fractional tumor motion on the error in four-dimensional computed tomography (4DCT) maximal intensity projection (MIP)-based lung tumor internal target volumes (ITV), using deformable image registration of real-time 2D-sagital cine-mode MRI acquired during lung SBRT treatments. METHODS: Five lung tumor patients underwent free breathing SBRT treatment on the ViewRay, with dose prescribed to PTV (4DCT MIP-based ITV+3-6mm margin)...
June 2016: Medical Physics
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