Publications by authors named "Caohui Duan"

Background: Middle cerebral artery (MCA) stenosis affects lenticulostriate arteries (LSAs) that supply the basal ganglia. Increased spatial resolution and signal-to-noise ratio of 7 T could facilitate morphological imaging of very-small-diameter LSAs.

Purpose: To evaluate differences in morphological characteristics of LSA among different MCA stenoses.

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Magnetic resonance-guided focused ultrasound surgery (MRgFUS) thalamotomy is an emerging technique for medication-refractory essential tremor (ET), but with variable outcomes. This study used pattern regression analysis to identify brain signatures predictive of tremor improvements. Fifty-four ET patients (mean age = 63.

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Synthesizing 7T Susceptibility Weighted Imaging (SWI) from 3T SWI could offer significant clinical benefits by combining the high sensitivity of 7T SWI for neurological disorders with the widespread availability of 3T SWI in diagnostic routines. Although methods exist for synthesizing 7T Magnetic Resonance Imaging (MRI), they primarily focus on traditional MRI modalities like T1-weighted imaging, rather than SWI. SWI poses unique challenges, including limited data availability and the invisibility of certain tissues in individual 3T SWI slices.

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  • The study investigates the correlation between imaging markers of cerebral small vessel disease (cSVD) and damage to deep medullary veins (DMV) in patients with small vessel occlusion acute ischemic stroke (SVO-AIS).
  • Out of 229 SVO-AIS patients, those with severe DMV damage had significantly higher NIHSS scores, indicating greater stroke severity, and a strong correlation was found between DMV damage and features of cSVD such as basal ganglia perivascular space (BG-PVS) and cerebral microbleeds (CMB).
  • The findings suggest that assessing DMV damage could serve as a useful imaging biomarker for evaluating the severity of cSVD and aiding in the risk stratification of S
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Magnetic resonance imaging (MRI) using hyperpolarized noble gases provides a way to visualize the structure and function of human lung, but the long imaging time limits its broad research and clinical applications. Deep learning has demonstrated great potential for accelerating MRI by reconstructing images from undersampled data. However, most existing deep convolutional neural networks (CNN) directly apply square convolution to k-space data without considering the inherent properties of k-space sampling, limiting k-space learning efficiency and image reconstruction quality.

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  • *A generative adversarial network (GAN) was trained on conventional CT images and validated against both internal and external datasets, showing strong similarity in image quality to real CTA scans.
  • *The synthetic CTA images demonstrated high diagnostic accuracy for vascular diseases, with internal and external validation showing accuracies of 94% and 86%, respectively, making the GAN-based model a promising alternative to traditional ICA methods.*
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  • Ultra-high field 7T MRI offers detailed brain imaging but is expensive and not widely available; this study aims to create synthetic 7T images from more accessible 3T images using deep learning technology.
  • The research involved 33 healthy volunteers and 89 patients, using a generative adversarial network (SynGAN) to produce synthetic 7T images, which were then assessed qualitatively by radiologists.
  • Results showed that synthetic 7T images had better tissue contrast and sharpness compared to 3T images, with no significant differences when compared to actual acquired 7T images, suggesting a reliable way to enhance brain imaging accessibility.
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Background: Magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy has been implemented as a therapeutic alternative for the treatment of drug-refractory essential tremor (ET). However, its impact on the brain structural network is still unclear.

Purpose: To investigate both global and local alterations of the white matter (WM) connectivity network in ET after MRgFUS thalamotomy.

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  • The study focuses on the effect of brain frailty on the outcomes of patients with acute perforating artery infarction (PAI) in the posterior circulation, an area not well-researched previously.
  • A total of 100 patients underwent extensive brain imaging using various MRI techniques to assess different markers of brain frailty, including white matter hyperintensities and cerebral microbleeds.
  • Results showed that 34% of patients experienced adverse functional outcomes, with the severity of brain frailty correlating significantly with poorer prognoses on a modified Rankin Scale at 90 days post-symptom onset.
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  • The study aims to understand how cerebral small vessel disease (SVD) impacts prediction models for different types of acute ischemic stroke (AIS).
  • The research involved 573 AIS patients, using methods such as MRI and machine learning to analyze various indicators of SVD and assess functional outcomes after 90 days.
  • Results showed that SVD was a strong predictor of outcomes for small-vessel occlusion strokes (SVO-AIS), while the significance of SVD differed for large artery atherosclerosis strokes (LAA-AIS), with the most effective predictive model being based on eXtreme gradient boosting.
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Background: Glioma genotypes are of importance for clinical decision-making. This data can only be acquired through histopathological analysis based on resection or biopsy. Consequently, there is a need for alternative biomarkers that noninvasively provide reliable information for preoperatively identifying molecular characteristics.

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  • - The study evaluated how effective ultrahigh-field MRI (7-T and 3-T) is for detecting brain tumors, involving 30 patients to compare diagnostic performance.
  • - Results showed that while both MRI strengths performed similarly overall, 7-T MRI provided clearer details regarding the tumors' internal structures and blood supply compared to 3-T MRI.
  • - The findings suggest that 7-T MRI enhances the diagnostic confidence of radiologists, especially among more experienced professionals, leading to better visualization of brain tumor characteristics.
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Background And Objectives: The Alberta Stroke Program CT Score (ASPECTS) is a widely used rating system for assessing infarct extent and location. We aimed to investigate the prognostic value of ASPECTS subregions' involvement in the long-term functional outcomes of acute ischemic stroke (AIS).

Materials And Methods: Consecutive patients with AIS and anterior circulation large-vessel stenosis and occlusion between January 2019 and December 2020 were included.

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  • The study explores the relationship between collateral circulation and ischemic core size in predicting stroke outcomes in acute ischemic stroke (AIS) patients.
  • A new imaging marker called the collateral-core ratio (CCR) was developed to quantify this interaction and assess its predictive power using machine learning (ML).
  • Results showed CCR is a strong predictor of unfavorable functional outcomes, enhancing the predictive capability of models that include clinical factors and imaging variables.
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Background: Arterial spin labeling (ASL) has shown potential for the assessment of penumbral tissue in patients with acute ischemic stroke (AIS). The postlabeling delay (PLD) parameter is sensitive to arterial transit delays and influences cerebral blood flow measurements.

Purpose: To assess the impact of ASL acquisition at different PLDs for penumbral tissue quantification and to compare their performance regarding assisting patient selection for endovascular treatment with dynamic susceptibility contrast MRI (DSC-MRI) as the reference method.

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Objectives: The prognostic value of fluid-attenuated inversion recovery vessel hyperintensity (FVH) remains controversial in acute ischemic stroke (AIS). The objective was to investigate whether the presence of FVH could predict long-term functional outcomes in patients with AIS receiving medical therapy.

Methods: Consecutive AIS patients with anterior circulation large vessel stenosis (LVS) in multiple centers between January 2019 and December 2020 were studied.

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Objectives: Susceptibility-weighted imaging (SWI) is crucial for the characterization of intracranial hemorrhage and mineralization, but has the drawback of long acquisition times. We aimed to propose a deep learning model to accelerate SWI, and evaluate the clinical feasibility of this approach.

Methods: A complex-valued convolutional neural network (ComplexNet) was developed to reconstruct high-quality SWI from highly accelerated k-space data.

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Objective: Tractography-based direct targeting of the ventral intermediate nucleus (T-VIM) is a novel method that provides patient-specific VIM coordinates. This study aimed to explore the accuracy and predictive value of using T-VIM in combination with tractography and resting-state functional connectivity techniques to perform magnetic resonance imaging-guided focused ultrasound (MRgFUS) thalamotomy as a treatment of Parkinson's disease (PD).

Methods: PD patients underwent MRgFUS thalamotomy and were recruited for functional MRI scanning.

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Background: Small vessel disease (SVD) shares common vascular risk factors with large artery disease (LAD). However, little is known about the relationship between intracranial artery stenosis and SVD burden.

Purpose: To investigate whether SVD burden correlates with severity of intracranial LAD.

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Objective: MRI-guided focused ultrasound (MRgFUS) thalamotomy is a novel and minimally invasive alternative for medication-refractory tremor in Parkinson's disease (PD). However, the impact of MRgFUS thalamotomy on spontaneous neuronal activity in PD remains unclear. The purpose of the current study was to evaluate the effects of MRgFUS thalamotomy on local fluctuations in neuronal activity as measured by the fractional amplitude of low-frequency fluctuations (fALFF) in patients with PD.

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Objectives: Multiple b-value gas diffusion-weighted MRI (DW-MRI) enables non-invasive and quantitative assessment of lung morphometry, but its long acquisition time is not well-tolerated by patients. We aimed to accelerate multiple b-value gas DW-MRI for lung morphometry using deep learning.

Methods: A deep cascade of residual dense network (DC-RDN) was developed to reconstruct high-quality DW images from highly undersampled k-space data.

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Purpose: To fast and accurately reconstruct human lung gas MRI from highly undersampled k-space using deep learning.

Methods: The scheme was comprised of coarse-to-fine nets (C-net and F-net). Zero-filling images from retrospectively undersampled k-space at an acceleration factor of 4 were used as input for C-net, and then output intermediate results which were fed into F-net.

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Hyperpolarized (HP) gas (e.g., He or Xe) dynamic MRI could visualize the lung ventilation process, which provides characteristics regarding lung physiology and pathophysiology.

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Dynamic hyperpolarized (HP) Xe MRI is able to visualize the process of lung ventilation, which potentially provides unique information about lung physiology and pathophysiology. However, the longitudinal magnetization of HP Xe is nonrenewable, making it difficult to achieve high image quality while maintaining high temporal-spatial resolution in the pulmonary dynamic MRI. In this paper, we propose a new accelerated dynamic HP Xe MRI scheme incorporating the low-rank, sparse and gas-inflow effects (L + S + G) constraints.

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Objectives: To evaluate the diagnostic performance of different mathematical models and different b-value ranges of diffusion-weighted imaging (DWI) in peripheral zone prostate cancer (PZ PCa) detection.

Methods: Fifty-six patients with histologically proven PZ PCa who underwent DWI-magnetic resonance imaging (MRI) using 21 b-values (0-4500 s/mm2) were included. The mean signal intensities of the regions of interest (ROIs) placed in benign PZs and cancerous tissues on DWI images were fitted using mono-exponential, bi-exponential, stretched-exponential, and kurtosis models.

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