Publications by authors named "Jussi Hirvonen"

: In this study, we review the diagnostic accuracy of magnetic resonance imaging (MRI) in detecting orbital and intracranial invasion of sinonasal malignancies (SNMs) using histopathological and surgical evidence as the reference standard. : A systematic search of studies in English was conducted in MEDLINE and Embase, limited to articles published since 1990. We included studies using preoperative MRI to detect the intracranial and orbital invasion of SNMs, with histological or surgical confirmation as the reference standard, and reported patient numbers in each class as required to assess diagnostic accuracy.

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Background: Stroke-like episode (SLE) is a subacute evolving brain syndrome in patients with primary mitochondrial diseases. Despite previous research, the understanding of the clinical spectrum, treatment, and outcomes of mitochondrial SLEs is far from complete. In this single centre study, we report the clinical symptoms and radiological findings as well as the medical treatment and outcomes of SLEs in patients with mitochondrial disease.

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Background: Imaging has an essential role in the diagnostic workup of suspected pediatric spinal trauma. The most suitable imaging method is still being debated and needs to be considered regarding the patient, injury, and local resources. Magnetic resonance imaging (MRI) is often performed after computed tomography (CT) in case of neurological symptoms or suspected ligamentous disruption.

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  • Functional neuroimaging reveals that observing others' pain activates a brain network linked to empathetic responses, potentially affecting how people decide to help others.
  • The study explored the influence of the μ-opioid receptor (MOR) system on altruistic behavior by measuring MOR levels and examining brain activity during a helping task.
  • Results indicated that while lower MOR availability was linked to responses in emotional brain areas, higher MOR levels correlated with activity in regions associated with decision-making and memory during altruistic acts.
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Background: In Parkinson's disease (PD), postural instability and gait disorder (PIGD) symptoms are associated with a worse prognosis for an unknown reason.

Objective: The objective was to explore the relationship between cannabinoid receptor type 1 (CB1R) availability and motor symptoms in PD with [F]FMPEP-d positron emission tomography (PET).

Methods: Fifteen individuals with PD underwent [F]FMPEP-d PET to measure cerebral CB1R availability.

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  • A previous study found a specific brain network linked to cervical dystonia (CD), pointing out its potential for treatment, especially with non-invasive techniques like repetitive transcranial magnetic stimulation (rTMS).
  • The study aimed to evaluate how stimulating the somatosensory cortex (S1) affects brain metabolism in CD patients versus healthy controls, using methods like [F]FDG-PET to measure changes.
  • Results showed that cTBS significantly increased metabolism in the S1 and brainstem of CD patients, suggesting abnormal sensory function in CD and supporting future therapeutic trials using this stimulation method.
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Objectives: Sedentary behaviour (SB) is a plausible intervention target for back pain mitigation. Therefore, this study aimed to investigate the effects of a 6-month SB reduction intervention on back pain and related disability outcomes, and paraspinal muscle (ie, erector spinae and transversospinales separately) insulin sensitivity (glucose uptake, GU) and muscle fat fraction (FF).

Methods: Sixty-four adults with overweight or obesity and metabolic syndrome were randomised into intervention (n=33) and control (n=31) groups.

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Demand for emergency neuroimaging is increasing. Even magnetic resonance imaging (MRI) is often performed outside office hours, sometimes revealing more uncommon entities like brain tumors. The scientific literature studying artificial intelligence (AI) methods for classifying brain tumors on imaging is growing, but knowledge about the radiologist's performance on this task is surprisingly scarce.

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Aims: This study assessed whether changes associated with cerebral small vessel disease (CSVD) evaluated from head computed tomography (CT) images captured for non-related clinical purposes predict overall survival (OS), leg salvage (LS), and amputation-free survival (AFS) after lower extremity amputation (LEA).

Methods: We retrospectively included a cohort of 240 patients who had undergone a lower extremity amputation in Tampere University Hospital between the years 2007 and 2020 and had a head CT scan (within one year before amputation). A neuroradiologist graded the white matter lesions (WMLs) and reported infarcts, and the latter's effects on OS, LS, and AFS were evaluated.

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Background: Obesity is associated with impaired glucose metabolism and hepatic insulin resistance. The aim was to investigate the associations of hepatic glucose uptake (HGU) and endogenous glucose production (EGP) to sedentary behavior (SB), physical activity (PA), cardiorespiratory fitness, dietary factors, and metabolic risk markers.

Methods: Forty-four adults with metabolic syndrome (mean age 58 [SD 7] years, BMI ranging from 25-40kg/; 25 females) were included.

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Background: Dysphagia is commonly evaluated using videofluoroscopy (VFS). As its ratings are usually subjective normal-abnormal ratings, objective measurements have been developed. We compared the inter-rater reliability of the usual VFS ratings to the objective measurement VFS ratings and evaluated their clinical relevance.

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Psychopathy is characterized by antisocial behavior, poor behavioral control and lacking empathy, and structural alterations in the corresponding neural circuits. Molecular brain basis of psychopathy remains poorly characterized. Here we studied type 2 dopamine receptor (D2R) and mu-opioid receptor (MOR) availability in convicted violent offenders with high psychopathic traits (n = 11) and healthy matched controls (n = 17) using positron emission tomography (PET).

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Background And Purpose: Traumatic brain injury (TBI) is a major source of health loss and disability worldwide. Accurate and timely diagnosis of TBI is critical for appropriate treatment and management of the condition. Neuroimaging plays a crucial role in the diagnosis and characterization of TBI.

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  • Emergency MR imaging is often used for patients experiencing acute dizziness or vertigo to detect stroke and other serious conditions; a study analyzed outcomes and risk factors over five years in a tertiary hospital.
  • Of the 1169 patients studied, about 17% had acute strokes, 8% had other significant pathologies, and 75% showed no major abnormalities, indicating a challenge in diagnosing these conditions.
  • Key risk factors for stroke included age, sex, cardiovascular issues, and neurological signs, with existing risk scores having moderate success in predicting findings, highlighting the need for careful patient selection for imaging.
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Objective: To investigate the association between intracranial aneurysms (IAs) and thoracic aortic diameter.

Methods: This observational cohort study examined thoracic aortic diameters in patients with IA. Patients were categorized by IA size (<7 mm and ≥7 mm) and IA status (ruptured/unruptured) based on radiologic findings.

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Purpose: Imaging is the gold standard in diagnosing traumatic brain injury, but unnecessary scans should be avoided, especially in children and adolescents. Clinical decision-making rules often help to distinguish the patients who need imaging, but if spinal trauma is suspected, concomitant brain imaging is often conducted. Whether the co-occurrence of brain and spine injuries is high enough to justify head imaging in patients without symptoms suggesting brain injury is unknown.

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  • A low ankle-brachial index (ABI) is linked to increased systemic inflammation and a higher risk of cardiovascular events, prompting investigation into its association with unruptured intracranial aneurysms (IAs).
  • A study of 776 patients found a significant correlation between low ABI values and higher prevalence rates of unruptured IAs, indicating that lower ABI scores may suggest greater risk for these conditions.
  • The findings suggest that ABI measurements could be useful for identifying individuals more likely to have unruptured IAs, potentially guiding further screening and prevention strategies.
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Background: Imaging plays a crucial role in the diagnostic workup of pediatric spinal trauma. Computed tomography and conventional radiographs are widely used as the primary imaging methods. Magnetic resonance imaging (MRI) is a radiation-free alternative with high sensitivity for bony and soft tissue injuries.

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  • The study evaluated how accurately MRI detects perineural spreading (PNS) of head and neck tumors, using histopathological or surgical evidence as the reference.
  • Researchers analyzed 11 retrospective studies involving 245 patients, calculating metrics like sensitivity (85%) and specificity (85%) to assess MRI's diagnostic performance.
  • Although MRI showed high accuracy for detecting PNS, the findings were based on limited and variable study data, with common characteristics like nerve enlargement and enhancement noted in affected nerves.
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  • * The results showed that both groups had similar levels of competence, but specialists were better at identifying subtle cases, and there were no significant differences in error rates based on time of day.
  • * Findings indicated a notable number of missed and overcalled cases, underlining the importance of double readings and improved training in radiology, particularly in certain musculoskeletal regions with lower sensitivity and specificity.
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  • A study examined a 5-minute MRI protocol using T2-weighted and diffusion-weighted imaging to differentiate between tonsillar infections, peritonsillar abscesses, and more severe abscesses in patients suspected of having pharyngotonsillar infections.
  • The study involved 52 patients, with radiologists assessing diagnostic accuracy and confidence using a short protocol versus a longer, contrast-enhanced protocol, finding both provided similar accuracy for identifying abscesses.
  • Results indicated the short MRI protocol was effective for diagnosing abscesses and while the full protocol improved reader confidence, it didn’t significantly enhance diagnostic accuracy or agreement among observers.
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  • - The study aimed to assess trends in the detection rates of asymptomatic unruptured intracranial aneurysms (UIAs) using brain CTA/MRA from 2005 to 2019, revealing a notable increase in detection frequencies during this period.
  • - Analysis of data from over 81,000 scans indicated a significant rise in new UIA cases, with a detection rate growth from 1.7% (2005-2009) to 3.4% (2015-2019), particularly among older age groups.
  • - The findings suggest a trend toward increased identification of smaller UIAs, specifically less than 5 mm, raising important considerations for the management of these asymptomatic conditions in clinical practice.*
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Background: It is known that blood levels of neurofilament light (NF-L) and diffusion-weighted magnetic resonance imaging (DW-MRI) are both associated with outcome of patients with mild traumatic brain injury (mTBI). Here, we sought to examine the association between admission levels of plasma NF-L and white matter (WM) integrity in post-acute stage DW-MRI in patients with mTBI.

Methods: Ninety-three patients with mTBI (GCS ≥ 13), blood sample for NF-L within 24 h of admission, and DW-MRI ≥ 90 days post-injury (median = 229) were included.

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