284 results match your criteria: "Computer Assisted Clinical Medicine[Affiliation]"

Quantitative Na magnetic resonance imaging (MRI) provides tissue sodium concentration (TSC), which is connected to cell viability and vitality. Long acquisition times are one of the most challenging aspects for its clinical establishment. K-space undersampling is an approach for acquisition time reduction, but generates noise and artifacts.

View Article and Find Full Text PDF

Analysis Protocol for Renal Sodium (Na) MR Imaging.

Methods Mol Biol

March 2021

Department of Clinical Medicine, The MR Research Center, Aarhus University, Aarhus, Denmark.

The signal acquired in sodium (Na) MR imaging is proportional to the concentration of sodium in a voxel, and it is possible to convert between the two using external calibration phantoms. Postprocessing, and subsequent analysis, of sodium renal images is a simple task that can be performed with readily available software. Here we describe the process of conversion between sodium signal and concentration, estimation of the corticomedullary sodium gradient and the procedure used for quadrupolar relaxation analysis.

View Article and Find Full Text PDF

Here we present an analysis protocol for dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) data of the kidneys. It covers comprehensive steps to facilitate signal to contrast agent concentration mapping via T mapping and the calculation of renal perfusion and filtration parametric maps using model-free approaches, model free analysis using deconvolution, the Toft's model and a Bayesian approach.This chapter is based upon work from the COST Action PARENCHIMA, a community-driven network funded by the European Cooperation in Science and Technology (COST) program of the European Union, which aims to improve the reproducibility and standardization of renal MRI biomarkers.

View Article and Find Full Text PDF

Sodium (Na) MRI of the Kidney: Experimental Protocol.

Methods Mol Biol

March 2021

Department of Clinical Medicine, The MR Research Center, Aarhus University, Aarhus, Denmark.

Sodium handling is a key physiological hallmark of renal function. Alterations are generally considered a pathophysiologic event associated with kidney injury, with disturbances in the corticomedullary sodium gradient being indicative of a number of conditions. This experimental protocol review describes the individual steps needed to perform Na MRI; allowing accurate monitoring of the renal sodium distribution in a step-by-step experimental protocol for rodents.

View Article and Find Full Text PDF

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) can provide a noninvasive way for assessing renal functional information following the administration of a small molecular weight gadolinium-based contrast agent. This method may be useful for investigating renal perfusion and glomerular filtration rates of rodents in vivo under various experimental (patho)physiological conditions. Here we describe a step-by-step protocol for DCE-MRI studies in small animals providing practical notes on acquisition parameters, sequences, T mapping approaches and procedures.

View Article and Find Full Text PDF

Sodium (Na) MRI of the Kidney: Basic Concept.

Methods Mol Biol

March 2021

The MR Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

The handling of sodium by the renal system is a key indicator of renal function. Alterations in the corticomedullary distribution of sodium are considered important indicators of pathology in renal diseases. The derangement of sodium handling can be noninvasively imaged using sodium magnetic resonance imaging (Na MRI), with data analysis allowing for the assessment of the corticomedullary sodium gradient.

View Article and Find Full Text PDF

Dynamic contrast-enhanced (DCE) MRI monitors the transit of contrast agents, typically gadolinium chelates, through the intrarenal regions, the renal cortex, the medulla, and the collecting system. In this way, DCE-MRI reveals the renal uptake and excretion of the contrast agent. An optimal DCE-MRI acquisition protocol involves finding a good compromise between whole-kidney coverage (i.

View Article and Find Full Text PDF

Background/aim: Sodium (Na) MR imaging is a noninvasive MRI technique that has been shown to be sensitive to visualize biochemical information about tissue viability, their cell integrity, and cell function in various studies. The aim of this study was to evaluate differences in regional brain Na signal intensity between Alzheimer's disease (AD) and healthy controls to preliminarily evaluate the capability of Na imaging as a biomarker for AD.

Patients And Methods: A total of 14 patients diagnosed with AD were included: 12 in the state of dementia and 2 with mild cognitive impairment (MCI), and 12 healthy controls (HC); they were all scanned on a 3T clinical scanner with a double tuned H/Na birdcage head coil.

View Article and Find Full Text PDF

Background And Purpose: To date, treatment response to stereotactic radiosurgery (SRS) in brain metastases (BM) can only be determined by MRI evaluation of contrast-enhancing lesions in a long-time follow-up. Sodium MRI has been a subject of immense interest in imaging research as the measure of tissue sodium concentration (TSC) can give valuable quantitative information on cell viability. We aimed to analyze the longitudinal changes of TSC in BM measured with Na MRI before and after SRS for assessment of early local tumor effects.

View Article and Find Full Text PDF

Background:  Diffusion-weighted imaging (DWI) is an essential component of the multiparametric MRI exam for the diagnosis and assessment of prostate cancer (PCa). Over the last two decades, various models have been developed to quantitatively correlate the DWI signal with microstructural characteristics of prostate tissue. The simplest approach (ADC: apparent diffusion coefficient) - currently established as the clinical standard - describes monoexponential decay of the DWI signal.

View Article and Find Full Text PDF

Consensus-Based Technical Recommendations for Clinical Translation of Renal Phase Contrast MRI.

J Magn Reson Imaging

February 2022

Department of Bioengineering, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.

Background: Phase-contrast (PC) MRI is a feasible and valid noninvasive technique to measure renal artery blood flow, showing potential to support diagnosis and monitoring of renal diseases. However, the variability in measured renal blood flow values across studies is large, most likely due to differences in PC-MRI acquisition and processing. Standardized acquisition and processing protocols are therefore needed to minimize this variability and maximize the potential of renal PC-MRI as a clinically useful tool.

View Article and Find Full Text PDF

Deterministic Arterial Input Function selection in DCE-MRI for automation of quantitative perfusion calculation of colorectal cancer.

Magn Reson Imaging

January 2021

Computer Assisted Clinical Medicine, Mannheim Institute for Intelligent Systems in Medicine, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany.

Development of a deterministic algorithm for automated detection of the Arterial Input Function (AIF) in DCE-MRI of colorectal cancer. Using a filter pipeline to determine the AIF region of interest. Comparison to algorithms from literature with mean squared error and quantitative perfusion parameter K.

View Article and Find Full Text PDF

Purpose: Cardiac stimulation (CS) limits to gradient coil switching speed are difficult to measure in humans; instead, current regulatory guidelines (IEC 60601-2-33) are based on animal experiments and electric field-to-dB/dt conversion factors computed for a simple, homogeneous body model. We propose improvement to this methodology by using more detailed CS modeling based on realistic body models and electrophysiological models of excitable cardiac fibers.

Methods: We compute electric fields induced by a solenoid, coplanar loops, and a commercial gradient coil in two human body models and a canine model.

View Article and Find Full Text PDF

Purpose: We developed a target-based cone beam computed tomography (CBCT) imaging framework for optimizing an unconstrained three dimensional (3D) source-detector trajectory by incorporating prior image information. Our main aim is to enable a CBCT system to provide topical information about the target using a limited angle noncircular scan orbit with a minimal number of projections. Such a customized trajectory should include enough information to sufficiently reconstruct a particular volume of interest (VOI) under kinematic constraints, which may result from the patient size or additional surgical or radiation therapy-related equipment.

View Article and Find Full Text PDF

The aim of this study was to investigate possible sodium triple-quantum (TQ) signal dependence on pH variation and protein unfolding which may happen in vivo. The model system, composed of bovine serum albumin (BSA), was investigated over a wide pH range of 0.70 to 13.

View Article and Find Full Text PDF

Brain-behaviour correlates of habitual motivation in chronic back pain.

Sci Rep

July 2020

Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159, Mannheim, Germany.

Chronic pain may sap the motivation for positive events and stimuli. This may lead to a negative behavioural cycle reducing the establishment of appetitive habitual engagement. One potential mechanism for this might be biased learning.

View Article and Find Full Text PDF

CEST-MRI of the rNOE signal has been demonstrated in vitro to be closely linked to the protein conformational state. As the detectability of denaturation and aggregation processes on a physiologically relevant scale in living organisms has yet to be verified, the aim of this study was to perform heat-shock experiments with living cells to monitor the cellular heat-shock response of the rNOE CEST signal. Cancer cells (HepG2) were dynamically investigated after a mild, non-lethal heat-shock of 42 °C for 20 min using an MR-compatible bioreactor system at 9.

View Article and Find Full Text PDF

Background: The combination of motion-insensitive, high-temporal, and spatial resolution imaging with evaluation of quantitative perfusion has the potential to increase the diagnostic capabilities of magnetic resonance imaging (MRI) in the female pelvis.

Purpose: To compare a free-breathing compressed-sensing VIBE (fbVIBE) with flexible temporal resolution (range = 4.6-13.

View Article and Find Full Text PDF

Correction to: Phase-contrast magnetic resonance imaging to assess renal perfusion: a systematic review and statement paper.

MAGMA

October 2020

Department of Biomedical Engineering, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.

The article Phase‑contrast magnetic resonance imaging to assess renal perfusion: a systematic review and statement paper, written by Giulia Villa, Steffen Ringgaard, Ingo Hermann, Rebecca Noble, Paolo Brambilla, Dinah S. Khatir, Frank G. Zöllner, Susan T.

View Article and Find Full Text PDF

The article Image registration in dynamic renal MRI-current status and prospects, written by Frank G. Zöllner, Amira Šerifović‑Trbalić, Gordian Kabelitz, Marek Kociński, Andrzej Materka and Peter Rogelj, was originally published electronically on the publisher's internet portal on 9 October 2019 without open access.With the author(s)' decision to opt for Open Choice the copyright of the article changed on 24 April 2020 to ©.

View Article and Find Full Text PDF

Purpose: To capture the multiquantum coherence (MQC) Na signal. Different phase-cycling options and sequences are compared in a unified theoretical layout, and a novel sequence is developed.

Methods: An open source simulation overview is provided with graphical explanations to facilitate MQC understanding and access to techniques.

View Article and Find Full Text PDF

Towards measuring the effect of flow in blood T assessed in a flow phantom and in vivo.

Phys Med Biol

April 2020

Magnetic Resonance Systems Lab, Department of Imaging Physics, Delft University of Technology, Lorentzweg 1, 2628 Delft, Netherlands. Computer Assisted Clinical Medicine, University Medical Center Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.

Measurement of the blood T time using conventional myocardial T mapping methods has gained clinical significance in the context of extracellular volume (ECV) mapping and synthetic hematocrit (Hct). However, its accuracy is potentially compromised by in-flow of non-inverted/non-saturated spins and in-flow of spins which are not partially saturated from previous imaging pulses. Bloch simulations were used to analyze various flow effects separately.

View Article and Find Full Text PDF

Several factors can lead to acute kidney injury, but damage following ischemia and reperfusion injuries is the main risk factor and usually develops into chronic disease. MRI has often been proposed as a method with which to assess renal function. It does so by measuring the renal perfusion of an injected Gd-based contrast agent.

View Article and Find Full Text PDF

Purpose: To evaluate the use of magnetic resonance fingerprinting (MRF) for simultaneous quantification of and in a single breath-hold in the kidneys.

Methods: The proposed kidney MRF sequence was based on MRF echo-planar imaging. Thirty-five measurements per slice and overall 4 slices were measured in 15.

View Article and Find Full Text PDF