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Biomedical subjects

A Caprihan

Publications and source records attributed to A Caprihan.

18 recordsLinked to original sources
PubMed1995

Changes in muscle proton transverse relaxation times and acidosis during exercise and recovery.

We studied changes in muscle proton (1H) transverse relaxation times (T2) by magnetic resonance imaging during exercise and compared these changes with alterations in muscle metabolism measured by phosphorus-31 magnetic resonance spectroscopy (31P-MRS). Eleven subjects completed two trials of intermittent incremental forearm wrist flexion exercise requiring 30 contractions/min for 5 min, 7 min of recovery between stages, and 5-N load increments/stage. Between stages of the first trial, T2 images of muscle 1H were obtained. Muscle T2 increased from 27.3 +/- 1.1 (SD) ms at rest to 35.8 +/- 3.6 ms after volitional fatigue (P < 0.05), whereas less active wrist extensor muscle T2 remained unchanged (26.8 +/- 0.9 to 28.8 +/- 1.6 ms; P > 0.05). After localizing the predominant muscle recruited from the T2 images, subjects completed an identical trial at least 1 wk later but involving surface coil 31P-MRS of the T2-enhanced muscle to measure the H+ concentration ([H+]). Intramuscular [H+] of T2-enhancing muscle increased from 1.1 +/- 0.1 x 10(-7) M at rest to 4.1 +/- 2.0 x 10(-7) M after volitional fatigue. Both muscle T2 and intramuscular [H+] increased in a bimodal manner, with T2 increasing before muscle [H+] (P < 0.05). The correlation coefficient between the percent change in T2 and muscle [H+] during exercise was +0.74 (range 0.48-0.98; P < 0.05) and +0.47 during recovery. After 12 min of recovery, muscle [H+] decreased to 1.4 +/- 0.3 x 10(-7) M (P < 0.05), and T2 remained close to postexercise values (32.2 +/- 3.1 ms, P > 0.05). The data indicate that 1) the T2 increases during increases in exercise intensity are nonlinear, 2) the T2 increases during exercise are significantly correlated with increases in [H+], and 3) the slow recovery of T2 compared with [H+] indicates that [H+] has a minor contribution to the recovery in T2.

Acidosis↗
PubMed1993

A weighted least-squares method for nuclear magnetic resonance velocity imaging.

The phase method for velocity measurements in NMR imaging with more than two velocity encoding steps is discussed. The weighted least-squares method takes into account the variation in the accuracy of phase calculations at a voxel with the size of the velocity encoding gradients. We choose the weights so that the method is equivalent to the method of maximum-likelihood for high signal-to-noise ratios. We propose a method of implementation to minimize the problem of phase wrapping. We also discuss the number of velocity encoding steps, the choice of step size, and signal averaging, to improve the reproducibility of velocity measurements. Standard deviation images for the velocity have been calculated and used to reduce velocity noise by thresholding the velocity image.

Algorithms↗
PubMed1993

Alveolar ventilation to perfusion heterogeneity and diffusion impairment in a mathematical model of gas exchange.

This study describes a two-compartment model of pulmonary gas exchange in which alveolar ventilation to perfusion (VA/Q) heterogeneity and impairment of pulmonary diffusing capacity (D) are simultaneously taken into account. The mathematical model uses as input data measurements usually obtained in the lung function laboratory. It consists of two compartments and an anatomical shunt. Each compartment receives fractions of alveolar ventilation and blood flow. Mass balance equations and integration of Fick's law of diffusion are used to compute alveolar and blood O2 and CO2 values compatible with input O2 uptake and CO2 elimination. Two applications are presented. The first is a method to partition O2 and CO2 alveolar-arterial gradients into VA/Q and D components. The technique is evaluated in data of patients with chronic obstructive pulmonary disease (COPD). The second is a theoretical analysis of the effects of blood flow variation in alveolar and blood O2 partial pressures. The results show the importance of simultaneous consideration of D to estimate VA/Q heterogeneity in patients with diffusion impairment. This factor plays an increasing role in gas alveolar-arterial gradients as severity of COPD increases. Association of VA/Q heterogeneity and D may produce an increase of O2 arterial pressure with decreasing QT which would not be observed if only D were considered. We conclude that the presented computer model is a useful tool for description and interpretation of data from COPD patients and for performing theoretical analysis of variables involved in the gas exchange process.

Blood Gas Monitoring, Transcutaneous↗
PubMed1990

Velocity imaging of slow coherent flows using stimulated echoes.

We measure the velocity distribution of slow fluid flow in model systems using stimulated echoes and velocity phase encoding. We show velocity images of slow coherent flow with velocities of the order of 0.1 mm/s which is slower than can be obtained by the bolus-tracking method. The eddy current errors were compensated by phase correction.

Humans↗
PubMed1988

Human left main coronary artery blood flow: noninvasive Doppler echocardiography with sample volume tracking.

We developed sample volume tracking units that controlled the pulsed ultrasonic Doppler sample volume location in relation with the anterior-posterior movement of the human left main coronary artery (LMCA). Combined with noninvasive Doppler echocardiographic mechanical sector scanners (DS), the trackers controlled the axial location of the sample volume by range gate control. The Doppler angle was minimized with the long axis of the imaged LMCA. Both stored waveform, memory-driven (MD) and real-time (RT) trackers were developed. These devices were used to measure blood velocity spectral waveforms and lumen diameters, which were used to calculate flow. Using the RT tracker, we compared DS measurements with known flows (0-1000 ml/min) in a moving 4 mm tygon tubing phantom (r = 0.92, SEE = 32 ml/min). Using the MD tracker, we compared the DS with simultaneous invasive flow measurements in 11 patients with angiographically normal coronaries and ventricular function during cardiac catheterization. Using the RT tracker, we compared the DS measurements with subsequent nonsimultaneous, invasive flow data in 8 similar patients. Invasively determined flows were calculated from angiographic diameters and blood velocities which were obtained with a Doppler velocimeter catheter. Regression coefficients (r) were: (Table: see text). V = maximum velocity, D = diameter, Q = mean flow, *p less than .05 Interoperator and intraoperator variabilities in vivo of DS measurements with RT tracking were 21% and 15%, respectively. We conclude that Doppler echocardiography with either MD or RT sample volume tracking may be of limited clinical usefulness in the noninvasive measurement of phasic left main coronary artery blood flow in unselected patients.

Angiocardiography↗
PubMed1986

Rapid average-flow velocity measurement by NMR.

We describe an NMR method to make a quick determination of average fluid velocity by monitoring the change in phase of the magnetization during a transient signal. We give an example utilizing the second Carr-Purcell-Meiboom-Gill echo in which we measured the velocity of water up to 54 cm/s where each velocity was determined by data taken over 2.5 ms.

Humans↗
PubMed1986

A new method for flow velocity measurement: frequency encoded NMR.

We demonstrate a new rapid NMR method to measure the average velocity and the velocity distribution of a flowing fluid. We use a truncated Carr-Purcel-Meiboom-Gill pulse sequence, pi/2-T-pi-2T-pi-T-echo, in the presence of a static magnetic field gradient. The pi/2 pulse is selective and tags a narrow slice of nuclei. The second echo from the tagged nuclei is Fourier transformed after the nuclei have evolved for a time 4T to give the velocity distribution modified by the initial slice selection profile. In this way, average velocities up to 54 cm/s were measured for water flowing in a plastic tube with either a plug or a developed velocity distribution. Each measurement required about 20 ms but this could be reduced with larger field gradients. Thus, this method is fast enough to apply to such problems as measuring pulsatile flow in arteries.

Animals↗
PubMed1981

Beat-by-beat stroke volume assessment by pulsed Doppler in upright and supine exercise.

A 3.0 MHz pulsed Doppler echocardiography was used to estimate instantaneous stroke volume (SV) and cardiac output (Q) in eight men during steady-state supine (S) and upright (U) exercise at 300 kpm/min. The mean transients in heart rate (HR), SV, and Q for the first 20 s of exercise in each posture were then determined. Center-line blood velocities were obtained in the ascending aorta with the transducer positioned manually in the suprasternal notch. Mean supine values for SV and Q at rest and exercise were 111 ml and 6.4 1/min and 112 ml and 9.71/min, respectively. The corresponding results for U were 76 ml and 5.61/min and 92 ml and 8.41/min, respectively. These values compare favorably with previous studies utilizing invasive procedures. The transient response of Q following the onset of exercise in U was about twice as fast as in S because of the rapid and almost immediate upsurge in SV. In S, only HR served to augment Q, as SV initially fell. The faster rise in aortic flow in U with exercise represented an additional volume (184 ml) of blood passing through the aorta compared with S in the first 20s. This must be related to the rapid mobilization of pooled venous blood from the leg veins during U.

Adult↗