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https://www.readbyqxmd.com/read/28207745/evolution-of-blood-brain-barrier-permeability-after-acute-ischemic-stroke
#1
Zamir Merali, Kun Huang, David Mikulis, Frank Silver, Andrea Kassner
The dynamics of BBB permeability after AIS in humans are not well understood. In the present study we measured the evolution of BBB permeability after AIS in humans using MRI. Patients presenting to our institution with a diagnosis of AIS underwent a single dynamic contrast-enhanced MRI (DCE-MRI) sequence to measure BBB permeability during their initial workup. Forty-two patients were included in the final analysis. The patient sample underwent DCE-MRI at a mean time of 23.8hrs after the onset of AIS symptoms (range: 1...
2017: PloS One
https://www.readbyqxmd.com/read/28195506/the-use-of-diffusion-weighted-imaging-to-evaluate-pathology-outside-the-brain-parenchyma-in-neuroimaging-studies
#2
Philip Benjamin, Faraan Khan, Andrew D MacKinnon
Diffusion weighted imaging (DWI) has transformed the radiological assessment of a variety of cerebral pathologies, in particular acute stroke. In neuroimaging studies, DWI can also be used to evaluate pathology outside the brain parenchyma, although it is sometimes underutilised for this purpose. In this pictorial review, the principles of diffusion-weighted imaging are outlined and thirteen cases of abnormal diffusion outside the brain parenchyma are illustrated in order to show DWI as a useful sequence for the evaluation of the following recommended review areas: the dural venous sinuses, internal carotid arteries, meninges, ventricles, cavernous sinus and orbits, skull base, and lymph nodes...
February 14, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28187865/a-new-threshold-of-apparent-diffusion-coefficient-values-in-white-matter-after-successful-tissue-plasminogen-activator-treatment-for-acute-brain-ischemia
#3
Atsushi Sato, Yusaku Shimizu, Junichi Koyama, Kazuhiro Hongo
BACKGROUND AND PURPOSE: Tissue plasminogen activator (tPA) is effective for the treatment of acute brain ischemia, but may trigger fatal brain edema or hemorrhage if the brain ischemia results in a large infarct. Herein, we attempted to predict the extent of infarcts by determining the optimal threshold of ADC values on DWI that predictively distinguishes between infarct and reversible areas, and by reconstructing color-coded images based on this threshold. MATERIALS AND METHODS: The study subjects consisted of 36 patients with acute brain ischemia in whom MRA had confirmed reopening of the occluded arteries in a short time (mean: 99min) after tPA treatment...
February 7, 2017: Journal of Neuroradiology. Journal de Neuroradiologie
https://www.readbyqxmd.com/read/28179177/advantage-of-high-b-value-diffusion-weighted-imaging-for-differentiation-of-hemangioblastoma-from-brain-metastases-in-posterior-fossa
#4
Shumpei Onishi, Takanori Hirose, Takeshi Takayasu, Ryo Nosaka, Manish Kolakshyapati, Taiichi Saito, Yuji Akiyama, Kazuhiko Sugiyama, Kaoru Kurisu, Fumiyuki Yamasaki
OBJECTIVE: It is sometimes difficult to make differential diagnosis between brain metastases and hemangioblastoma in posterior fossa. We assessed whether high b-value diffusion weighted image (DWI) at b-4000 could differentiate these tumors. METHODS: We acquired DWI at 3T magnetic resonance imaging (MRI) with b = 1000 and b = 4000 s/mm(2) in histologically confirmed 12 patients of hemangioblastoma without von-Hippel Lindau disease and 16 patients of brain metastases originating at posterior fossa...
February 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28174194/safety-and-efficacy-of-remote-ischemic-preconditioning-in-patients-with-severe-carotid-artery-stenosis-prior-to-carotid-artery-stenting-a-proof-of-concept-randomized-controlled-trial
#5
Wenbo Zhao, Ran Meng, Chun Ma, Baojun Hou, Liqun Jiao, Fengshui Zhu, Weijuan Wu, Jingfei Shi, Yunxia Duan, Renling Zhang, Jing Zhang, Yongxin Sun, Hongqi Zhang, Feng Ling, Yuping Wang, Wuwei Feng, Yuchuan Ding, Bruce Ovbiagele, Xunming Ji
BACKGROUND: -Remote ischemic preconditioning (RIPC) can inhibit recurrent ischemic events effectively in patients with acute or chronic cerebral ischemia. However, it is still unclear that whether RIPC can impede ischemic injury after carotid artery stenting (CAS) in patients with severe carotid artery stenosis. METHODS: -Subjects with severe carotid artery stenosis were recruited in this randomized controlled study, and assigned to RIPC, sham and no intervention (control) groups...
February 7, 2017: Circulation
https://www.readbyqxmd.com/read/28160227/assessment-of-brain-core-temperature-using-mr-dwi-thermometry-in-alzheimer-disease-patients-compared-to-healthy-subjects
#6
Gianvincenzo Sparacia, Koji Sakai, Kei Yamada, Giovanna Giordano, Rosalia Coppola, Massimo Midiri, Luigi Maria Grimaldi
PURPOSE: To assess the brain core temperature of Alzheimer disease (AD) patients in comparison with healthy volunteers using diffusion-weighted thermometry. MATERIALS AND METHODS: Fourteen AD patients (3 men, 11 women; age range 60-81 years, mean age 73.8 ± 6.1 years) and 14 healthy volunteers, age and sex-matched (mean age 70.1 ± 6.9 years; range 62-84 years; 5 men, 9 women) underwent MR examination between February 2014 and March 2016. MR imaging studies were performed with a 1...
February 3, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/28154150/structural-and-functional-cortical-connectivity-mediating-cross-education-of-motor-function
#7
Kathy L Ruddy, Alexander Leemans, Daniel G Woolley, Nicole Wenderoth, Richard G Carson
: Cross Education is the process whereby training with one limb leads to subsequent improvement in performance by the opposite untrained limb. We used multimodal neuroimaging in humans to investigate the mediating neural mechanisms by relating quantitative estimates of functional and structural cortical connectivity to individual levels of interlimb transfer. Resting-state (rs)-fMRI and Diffusion Weighted Imaging (DWI) scans were undertaken prior to unilateral ballistic wrist flexion training...
February 2, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28127514/interhemispheric-characterization-of-small-vessel-disease-imaging-markers-after-subcortical-infarct
#8
Maria Del C Valdés Hernández, Xinyi Qiu, Xin Wang, Stewart Wiseman, Eleni Sakka, Lucy C Maconick, Fergus Doubal, Cathie L M Sudlow, Joanna M Wardlaw
BACKGROUND: In structural Magnetic Resonance Imaging (MRI) of patients with a recent small subcortical infarct (RSSI) and small vessel disease (SVD) imaging markers coexist. However, their spatial distribution and prevalence with respect to the hemisphere of the RSSI remain unknown. MATERIALS AND METHODS: From brain MRI in 187 patients with an acute lacunar ischemic stroke clinical syndrome and a relevant diffusion weighted imaging (DWI)-positive lesion, we semiautomatically extracted the RSSI, microbleeds, lacunes, old cortical infarcts, and white matter hyperintensities (WMH) using optimized thresholding in the relevant sequences, and rated the load of perivascular spaces...
January 2017: Brain and Behavior
https://www.readbyqxmd.com/read/28125807/the-role-of-white-matter-damage-in-the-risk-of-periprocedural-diffusion-weighted-lesions-after-carotid-artery-stenting
#9
Paola Maggio, Claudia Altamura, Domenico Lupoi, Matteo Paolucci, Riccardo Altavilla, Francesco Tibuzzi, Francesco Passarelli, Roberto Arpesani, Guido Di Giambattista, Rosario Francesco Grasso, Giacomo Luppi, Fabrizio Fiacco, Mauro Silvestrini, Patrizio Pasqualetti, Fabrizio Vernieri
BACKGROUND: White matter hyperintensities (WMH) are a common finding in aged individuals affected by carotid artery disease and are a risk factor for first-ever and recurrent stroke. We investigated if white matter damage increases the risk of brain microembolism during carotid artery stenting (CAS), as evaluated by the appearance of new areas of restricted diffusion on diffusion-weighted images (DWI). METHODS: We evaluated 47 patients with severe internal carotid artery (ICA) stenosis undergoing CAS, comparing preprocedural clinical, ultrasound and radiological characteristics...
January 27, 2017: Cerebrovascular Diseases Extra
https://www.readbyqxmd.com/read/28118397/effects-of-orientation-and-anisometry-of-magnetic-resonance-imaging-acquisitions-on-diffusion-tensor-imaging-and-structural-connectomes
#10
Raúl Tudela, Emma Muñoz-Moreno, Xavier López-Gil, Guadalupe Soria
Diffusion-weighted imaging (DWI) quantifies water molecule diffusion within tissues and is becoming an increasingly used technique. However, it is very challenging as correct quantification depends on many different factors, ranging from acquisition parameters to a long pipeline of image processing. In this work, we investigated the influence of voxel geometry on diffusion analysis, comparing different acquisition orientations as well as isometric and anisometric voxels. Diffusion-weighted images of one rat brain were acquired with four different voxel geometries (one isometric and three anisometric in different directions) and three different encoding orientations (coronal, axial and sagittal)...
2017: PloS One
https://www.readbyqxmd.com/read/28113889/motion-robust-diffusion-weighted-brain-mri-reconstruction-through-slice-level-registration-based-motion-tracking
#11
Bahram Marami, Benoit Scherrer, Onur Afacan, Burak Erem, Simon Warfield, Ali Gholipour
This work proposes a novel approach for motionrobust diffusion-weighted (DW) brain MRI reconstruction through tracking temporal head motion using slice-to-volume registration. The slice-level motion is estimated through a filtering approach that allows tracking the head motion during the scan and correcting for out-of-plane inconsistency in the acquired images. Diffusion-sensitized image slices are registered to a base volume sequentially over time in the acquisition order where an outlier-robust Kalman filter, coupled with slice-tovolume registration, estimates head motion parameters...
April 20, 2016: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28111452/case-report-of-false-negative-diffusion-weighted-image-of-brain-maggnetic-resonance-imaging-mri-in-acute-ischemic-stroke
#12
Wei-Lun Chang, Ji-Ching Lai, Rong-Fu Chen, Han-Hwa Hu, Chau-Shiung Pan
BACKGROUND Acute ischemic stroke is a major cause of mortality and morbidity in Taiwan. Diffusion-weighted image (DWI) is a sensitive and common strategy used for imaging acute ischemic stroke. CASE REPORT We present a case of a negative DWI MRI for detecting acute ischemic stroke in a clinical setting. A 75-year-old male had a DWI performed after onset of symptoms suggesting acute ischemic stroke. The initial DWI result was negative at 72 hours of presentation. The neurological symptoms of the patient persisted and DWI was repeated...
January 23, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28109103/-value-of-diffusion-weighted-imaging-1-h-magnetic-resonance-spectroscopy-and-3d-whole-brain-arterial-spin-labeling-in-the-diagnosis-of-medulloblastoma
#13
Dong-Liang Cheng, Wen-Sheng Wang, Yi-Xin Hu, Meng-Lin Chen, Ge Wen, Li-Na Cheng, Jing Wu, Liu-Qing Yan
OBJECTIVE: To explore the value of diffusion-weighted imaging (DWI), (1)H-magnetic resonance spectroscopy (1H-MRS) and 3D whole-brain arterial spin labeling (3D ASL) in the diagnosis of medulloblastoma in the posterior cranial fossa. METHODS: The magnetic resonance imaging (MRI) findings of 16 patients with pathologically confirmed medulloblastoma in the posterior cranial fossa were analyzed retrospectively. All the patients were examined with plane and enhanced brain MRI scans; 5 patients also underwent examinations with DWI, 12 with MRS, and 5 with 3D ASL...
January 20, 2017: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/28090792/cerebral-schistosomiasis-diffusion-weighted-imaging-helps-to-differentiate-from-brain-glioma-and-metastasis
#14
Jinbai Huang, Jing Luo, Jie Peng, Tao Yang, Huanghua Zheng, Chunping Mao
Background Diffusion-weighted imaging (DWI) was introduced into clinical use some years ago. However, its use in the diagnosis of cerebral schistosomiasis has not been reported. Purpose To investigate the ability of the apparent diffusion coefficient (ADC) value of DWI in the diagnosis of cerebral schistosomiasis, and to differentiate it from brain high-grade gliomas and metastasis. Material and Methods Conventional brain MRI with pre-contrast, post-contrast, and DWI was performed on 50 cases of cerebral schistosomiasis, high-grade glioma, and brain metastasis...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28090658/analysis-of-the-effects-of-noise-dwi-sampling-and-value-of-assumed-parameters-in-diffusion-mri-models
#15
Elizabeth B Hutchinson, Alexandru V Avram, M Okan Irfanoglu, C Guan Koay, Alan S Barnett, Michal E Komlosh, Evren Özarslan, Susan C Schwerin, Sharon L Juliano, Carlo Pierpaoli
PURPOSE: This study was a systematic evaluation across different and prominent diffusion MRI models to better understand the ways in which scalar metrics are influenced by experimental factors, including experimental design (diffusion-weighted imaging [DWI] sampling) and noise. METHODS: Four diffusion MRI models-diffusion tensor imaging (DTI), diffusion kurtosis imaging (DKI), mean apparent propagator MRI (MAP-MRI), and neurite orientation dispersion and density imaging (NODDI)-were evaluated by comparing maps and histogram values of the scalar metrics generated using DWI datasets obtained in fixed mouse brain with different noise levels and DWI sampling complexity...
January 16, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28079257/a-safe-cheap-and-easy-to-use-isotropic-diffusion-mri-phantom-for-clinical-and-multicenter-studies
#16
Pim Pullens, Piet Bladt, Jan Sijbers, Andrew I R Maas, Paul M Parizel
PURPOSE: Since Diffusion Weighted Imaging (DWI) data acquisition and processing are not standardized, substantial differences in DWI derived measures such as Apparent Diffusion Coefficient (ADC) may arise which are related to the acquisition or MRI processing method, but not to the sample under study. Quality assurance using a standardized test object, or phantom, is a key factor in standardizing DWI across scanners. METHODS: Current diffusion phantoms are either complex to use, not available in larger quantities, contain substances unwanted in a clinical environment, or are expensive...
January 12, 2017: Medical Physics
https://www.readbyqxmd.com/read/28076012/imaging-of-creutzfeldt-jakob-disease-imaging-patterns-and-their-differential-diagnosis
#17
Diego Cardoso Fragoso, Augusto Lio da Mota Gonçalves Filho, Felipe Torres Pacheco, Bernardo Rodi Barros, Ingrid Aguiar Littig, Renato Hoffmann Nunes, Antônio Carlos Martins Maia Júnior, Antonio J da Rocha
Diagnosis of sporadic Creutzfeldt-Jakob disease (sCJD) remains a challenge because of the large variability of the clinical scenario, especially in its early stages, which may mimic several reversible or treatable disorders. The molecular basis of prion disease, as well as its brain propagation and the pathogenesis of the illness, have become better understood in recent decades. Several reports have listed recognizable clinical features and paraclinical tests to supplement the replicable diagnostic criteria in vivo...
January 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28070568/construction-of-neonatal-diffusion-atlases-via-spatio-angular-consistency
#18
Behrouz Saghafi, Geng Chen, Feng Shi, Pew-Thian Yap, Dinggang Shen
Atlases constructed using diffusion-weighted imaging (DWI) are important tools for studying human brain development. Atlas construction is in general a two-step process involving image registration and image fusion. The focus of most studies so far has been on improving registration thus image fusion is commonly performed using simple averaging, often resulting in fuzzy atlases. In this paper, we propose a patch-based method for DWI atlas construction. Unlike other atlases that are based on the diffusion tensor model, our atlas is model-free...
October 2016: Patch Based Tech Med Imaging (2016)
https://www.readbyqxmd.com/read/28065851/high-resolution-distortion-free-diffusion-imaging-using-hybrid-spin-warp-and-echo-planar-psf-encoding-approach
#19
Myung-Ho In, Oleg Posnansky, Oliver Speck
High-resolution diffusion-weighted imaging (DWI) has great potential to provide unique information about tissue microstructure in-vivo. Although single-shot echo-planar imaging (EPI) is a most popular tool for DWI, its application for high-resolution DWI is limited due to T2* blurring and susceptibility- and eddy-current-induced geometric distortions, especially at ultra-high field (UHF) such as 7T. In this study, we adapt a hybrid spin-warp and echo-planar encoding strategy inspired by point spread function (PSF) mapping and optimize it for high-resolution and distortion-free diffusion imaging applications...
January 5, 2017: NeuroImage
https://www.readbyqxmd.com/read/28045213/longitudinal-diffusion-changes-in-prodromal-and-early-hd-evidence-of-white-matter-tract-deterioration
#20
Joseph J Shaffer, Ali Ghayoor, Jeffrey D Long, Regina Eun-Young Kim, Spencer Lourens, Lauren J O'Donnell, Carl-Fredrik Westin, Yogesh Rathi, Vincent Magnotta, Jane S Paulsen, Hans J Johnson
INTRODUCTION: Huntington's disease (HD) is a genetic neurodegenerative disorder that primarily affects striatal neurons. Striatal volume loss is present years before clinical diagnosis; however, white matter degradation may also occur prior to diagnosis. Diffusion-weighted imaging (DWI) can measure microstructural changes associated with degeneration that precede macrostructural changes. DWI derived measures enhance understanding of degeneration in prodromal HD (pre-HD). METHODS: As part of the PREDICT-HD study, N = 191 pre-HD individuals and 70 healthy controls underwent two or more (baseline and 1-5 year follow-up) DWI, with n = 649 total sessions...
March 2017: Human Brain Mapping
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