Background: Noninvasive magnetic resonance angiography using ultra-high-field magnetic resonance imaging has recently provided us with the potential to image cerebral microvascular structures such as the lenticulostriate arteries. However, most studies using ultra-high-field magnetic resonance angiography have been limited to the visualisation of microvessels in healthy subjects, and the direct comparison of patients with microvascular disease has not been reported.
Aim: The aim of this study was to investigate the lenticulostriate arteries of patients with lacunar strokes of the basal ganglia and surrounding areas using 7 T magnetic resonance angiography.
Methods: Ten stroke patients who had infarctions in the basal ganglia and adjacent areas detected using T2(*)-weighted images obtained from a conventional 1·5 T magnetic resonance imaging and 10 age-matched healthy subjects were recruited for this study. The large main vessels in the patient group were inspected to identify abnormalities such as stenosis. The characteristics of the lenticulostriate arteries visualised by 7 T magnetic resonance angiography, such as the number of branches and stems, curvature and tortuosity were analysed and compared between the patient and the control groups.
Results: All patients had infarctions in the basal ganglia and adjacent regions, which were clearly determined by T2(*)-weighted images. However, there was no evidence of large-vessel abnormalities in the patient group. Analysis of 7 T magnetic resonance angiography data revealed that the overall number of lenticulostriate arteries branches in the patient group was significantly less than the control group (P=0·003). However, no statistical difference in the number of stems, curvature and tortuosity between the two groups was found (P=0·396, 0·258 and 0·888, respectively).
Conclusions: This study demonstrates that noninvasive magnetic resonance angiography using 7 T magnetic resonance imaging can visualise abnormalities in the cerebral microvasculature of stroke patients, and that the number of lenticulostriate arteries supplying the region of the basal ganglia is less in these patients compared with age-matched controls.
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http://dx.doi.org/10.1111/j.1747-4949.2010.00464.x | DOI Listing |
Am J Sports Med
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Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Background: Knee injuries resulting in purely cartilaginous defects are rare, and controversy remains regarding the reliability of chondral-only fixation.
Purpose: To systematically review the literature for fixation methods and outcomes after primary fixation of chondral-only defects within the knee.
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Am J Sports Med
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Department of Orthopaedic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, South Korea.
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Eur J Hum Genet
January 2025
Institute of Bioinformatics, International Technology Park, Bangalore, 560066, India.
Mitochondrial membrane protein-associated neurodegeneration (MPAN) is a rare neurodegenerative disorder characterized by spastic paraplegia, parkinsonism and psychiatric and/or behavioral symptoms caused by variants in gene encoding chromosome-19 open reading frame-12 (C19orf12). We present here seven patients from six unrelated families with detailed clinical, radiological, and genetic investigations. Childhood-onset patients predominantly had a spastic ataxic phenotype with optic atrophy, while adult-onset patients were presented with cognitive, behavioral, and parkinsonian symptoms.
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January 2025
Division of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Myocyte disarray and fibrosis are underlying pathologies of hypertrophic cardiomyopathy (HCM) caused by genetic mutations. However, the extent of their contributions has not been extensively evaluated. In this study, we investigated the effects of genetic mutations on myofiber function and fibrosis patterns in HCM.
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January 2025
Cardiovascular Research Center, Rajaie Cardiovascular, Medical, and Research Center, University of Medical Sciences, Tehran, Iran.
Assessing myocardial viability is crucial for managing ischemic heart disease. While late gadolinium enhancement (LGE) cardiovascular magnetic resonance (CMR) is the gold standard for viability evaluation, it has limitations, including contraindications in patients with renal dysfunction and lengthy scan times. This study investigates the potential of non-contrast CMR techniques-feature tracking strain analysis and T1/T2 mapping-combined with machine learning (ML) models, as an alternative to LGE-CMR for myocardial viability assessment.
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