Biomedical subjects

D J Atkinson

Publications and source records attributed to D J Atkinson.

At least 19 recordsLinked to original sources

PubMed1992

[Cerebral angiography using proton spin tomography].

In only a few years magnetic resonance angiography has evolved to a clinically useful tool. In many situations it can resolve questions which used to be addressed by conventional contrast angiography, such as carotid stenoses, aneurysms, arteriovenous malformations, and venous and sinus disorders. In addition, selective magnetic resonance angiography provides information on direction and origin of flow and circulation in vessels serving as collaterals.

Carotid Artery Diseases↗

PubMed1992

Monoclonal antibodies reveal molecular differences between terminal fields in the rat dentate gyrus.

We have derived a number of monoclonal antibodies which detect molecular differences correlating with the afferent inputs to the molecular layer of the adult rat hippocampal dentate gyrus. One group, dubbed OM-1 to OM-4, strongly stain the outer zone of the molecular layer, which receives its major innervation from the ipsilateral entorhinal cortex. A second group, IM-1 and IM-2, show a complementary pattern and preferentially stain the inner molecular layer, which receives inputs from the ipsilateral and contralateral hippocampus. These antigens are not, however, restricted to these layers, being found outside the hippocampus in several other areas of neuropil in the adult brain. In the developing brain the IM-1 antigen appears ubiquitously from the earliest age studied, embryonic day 12. Within the dentate gyrus, its restriction to the inner terminal field of the molecular layer only occurs during the second postnatal week. In contrast, OM staining appears only sparsely and late in the prenatal brain, appearing in developing cortical white matter between embryonic days 18 and 20. The outer dentate molecular layer becomes OM-positive from birth onwards, corresponding to the time of arrival of entorhinal axons during the first postnatal week. These two groups of monoclonal antibodies recognize a number of different glycoproteins. Ultrastructural immunohistochemistry shows they are cell surface molecules, and as such may be involved in the recognition events required for the establishment of specific patterns of neuronal connectivity.

Animals↗

PubMed1992

Assessment of intracardiac shunts with gadolinium-enhanced ultrafast MR imaging.

Dye dilutional techniques are widely accepted for the assessment of intracardiac shunts, but current techniques require arterial access or radioisotope injection. Ultrafast (less than 500 msec) magnetic resonance (MR) imaging is ideally suited for the evaluation of an indicator during passage through the heart. Twenty patients were studied, including 13 with shunts. Four-chamber, T1-weighted images were obtained during bolus injection of gadopentetate dimeglumine. A single image was obtained in 420 msec, with repetitive images acquired after each QRS complex. After the contrast material was injected, there was pronounced signal intensity enhancement in the right atrium, followed by the right ventricular cavity, left atrium, left ventricular cavity, and descending aorta. Patients with substantial intracardiac shunts demonstrated early recirculation. First-pass contrast material-enhanced MR imaging is a promising new technique for the rapid assessment of intracardiac shunts. Combined with anatomic and functional MR imaging techniques, it can help provide a comprehensive noninvasive evaluation of suspected intracardiac shunts or provide follow-up in patients with known shunts.

Adult↗

PubMed1991

First-pass nuclear magnetic resonance imaging studies using gadolinium-DTPA in patients with coronary artery disease.

Nuclear magnetic resonance (NMR) imaging has been shown to accurately portray cardiac anatomy and function. To investigate the potential of NMR imaging for the assessment of coronary stenosis in patients with chest pain, ultrafast NMR imaging in conjunction with a T1 (longitudinal relaxation time) contrast agent was performed in 17 patients with chest pain who had undergone cardiac catheterization. These included 12 patients with significant coronary artery stenoses and 4 who underwent repeat NMR study after myocardial revascularization. Cardiac images at rest were obtained during rapid intravenous injection of gadolinium-DTPA (0.04 mM/kg). Electrocardiographic-gated images were acquired over 380 ms, with repetitive images obtained every 3 to 4 s. After contrast injection, there was pronounced signal enhancement in the right ventricular cavity, followed by enhancement in the left ventricular cavity and myocardium. Regional myocardium perfused by a diseased vessel demonstrated a lower peak signal intensity (p = 0.001) and lower rate of signal increase (p = 0.001) than did myocardium perfused by coronary arteries without stenosis. Repeat NMR study after revascularization showed an increase in peak signal intensity (p less than 0.002). These results demonstrate the clinical potential of dynamic gadolinium-DTPA-enhanced NMR imaging for the assessment of coronary artery disease in patients with chest pain. In combination with anatomic and functional NMR imaging, this technique has the potential to provide a comprehensive noninvasive cardiac evaluation of patients with suspected coronary artery disease.

Adult↗

PubMed1991

Cineangiography of the heart in a single breath hold with a segmented turboFLASH sequence.

Six healthy volunteers and three patients with cardiac anomalies were studied in a comparison of segmented turboFLASH (fast low-angle shot) cine, a method of magnetic resonance imaging that permits an entire series of high-resolution cine images to be obtained in one breath hold, with standard cine. Segmented turboFLASH uses a gradient-echo sequence designed for short imaging times in combination with a segmented data acquisition method. Presaturation pulses were applied to eliminate the blood pool signal; the signal-to-noise ratio was assessed with a phantom. Standard hardware and image reconstruction methods were used. The breath-hold images consistently showed reduced ghosting and blurring from respiration. Because a very short echo time was used, segmented turboFLASH was relatively insensitive to dephasing caused by local field disturbances or flow. The authors conclude that, by reducing imaging times and eliminating respiratory artifact, segmented turboFLASH can be useful for performing cine studies of the heart and great vessels.

Cineangiography↗

PubMed1991

Cerebral venography with MR.

The authors describe a two-dimensional time-of-flight magnetic resonance (MR) angiography technique to create projection venograms of the head. The technique was applied to 27 healthy volunteers and 39 patients. The superior sagittal and straight sinuses, the internal cerebral veins, and the Galen vein were visualized in all the volunteers. Other veins were seen in a high percentage of subjects. Systematic comparison of digital subtraction angiography (DSA) after intraarterial contrast medium injection and MR venography in patients showed good correlation between the two techniques. MR venography proved helpful in identifying thrombosis or patency of cerebral veins and sinuses and showed collateral venous drainage and venous drainage from arteriovenous malformations. There was good correlation between conventional contrast angiography and MR venography. In conclusion, MR venography is considered reliable for showing the cerebral venous system and provides information additional to that of conventional spin-echo imaging.

Adolescent↗

PubMed1991

Fast time-of-flight MR angiography with improved background suppression.

A new technique for improving contrast in time-of-flight magnetic resonance (MR) angiography is described. A selective 180 degrees radio-frequency pulse was applied before data acquisition to suppress the signal intensity of stationary tissues. Vascular images were obtained in 1 second or less by using a single-shot, rapid gradient-echo sequence in conjunction with a very short echo time to minimize flow-related dephasing. Alternatively, the data acquisition could be divided into several segments that were combined to create an image. Because of the short imaging times, abdominal single-shot images were relatively insensitive to motion. The major drawback was decreased spatial resolution and limited signal-to-noise ratio. Spatial resolution of segmented flow images was comparable with that of standard gradient-echo images, but there was a marked reduction in the signal intensity of stationary tissues. For high-resolution MR angiography, the effective background suppression obtained by means of the segmented approach can improve the quality and reliability of images created by the maximum intensity projection algorithm.

Abdomen↗

PubMed1991

Middle cerebral artery: determination of flow velocities with MR angiography.

A magnetic resonance (MR) angiographic technique for noninvasive measurement of flow velocities in the intracranial cerebral arteries was studied. Velocity measurements were made in a phantom and in the middle cerebral artery of six volunteers. Velocities were assessed in the volunteers before, during, and after finger movement. Average values for mean maximal velocities determined with MR angiography were 69.8 cm/sec before, 77.2 cm/sec during, and 69.6 cm/sec after finger movement. Correlations between values obtained with MR angiography and transcranial Doppler (TCD) sonography were r = .86 and P = .0001 for values obtained at rest and r = .84 and P = .0001 for values obtained during finger movement. The velocity increase during finger movement compared with that at rest was 11% for MR angiography and 11.3% for TCD sonography. Values measured with TCD sonography, however, were less than those measured with MR angiography (P = .001). The results show the feasibility of measuring flow velocities in intracranial arteries with MR angiography.

Adult↗

PubMed1991

Evaluation of the extracranial carotid arteries: correlation of magnetic resonance angiography, duplex ultrasonography, and conventional angiography.

We compared duplex scanning, "bright blood" and "black blood" magnetic resonance angiography, and conventional angiography for evaluation of the extracranial carotid arteries. All three methods were applied to 39 vessels in 20 patients. Duplex scanning was inaccurate when compared to conventional angiography in six instances. In three instances the degree of stenosis was overgraded by the scanner, and in three cases the stenosis was undergraded. Magnetic resonance angiography was inaccurate when compared to conventional angiography in three instances. In all cases magnetic resonance angiography overgraded the degree of stenosis. By use of a greater than 70% stenosis as a positive study, the sensitivity of magnetic resonance angiography was 100% and the specificity 92%. With use of the same criteria, the sensitivity of duplex scanning was 86%, and specificity was 84%. In those evaluations where the results of the magnetic resonance angiography and duplex scanning were in agreement, the correlation with conventional angiography was 100%. We conclude that magnetic resonance angiography is an alternative means to duplex scanning for noninvasive carotid imaging. A combination of bright and black blood magnetic resonance angiography is precise in delineating lesions of the extracranial carotid artery and may ultimately eliminate the need for conventional angiography in the evaluation of carotid stenosis.

Angiography, Digital Subtraction↗

PubMed1990

First-pass cardiac perfusion: evaluation with ultrafast MR imaging.

The authors studied cardiac perfusion by administering gadolinium diethylenetriaminepentaacetic acid (DTPA) in conjunction with an ultrafast imaging technique that produces strongly T1-weighted images. The method consisted of a 180 degrees inversion pulse, followed by a gradient-echo acquisition with a very short repetition time (less than 4 msec). Each image was acquired throughout a small fraction of the cardiac cycle. The method was applied in an isolated perfused rat heart model (acquisition time = 116 msec) and in human subjects without known cardiac disease (acquisition time = 125 msec). Fast, high-resolution images (128 X 128 matrix) were created by combining sequentially acquired small matrixes. After bolus administration of Gd-DTPA in the perfused rat heart model, contrast was pronounced between the nonperfused myocardium and perfused normal myocardium. First-pass wash-in and washout phases of the contrast material were observed in the perfused rat heart model and in human subjects. Results demonstrated the clinical feasibility of first-pass perfusion studies of the heart. The studies can be performed on a conventional whole-body imaging system with standard hardware.

Animals↗

PubMed1990

Cerebral blood flow: assessment with dynamic contrast-enhanced T2*-weighted MR imaging at 1.5 T.

The authors assessed regional cerebral blood flow dynamics with magnetic resonance (MR) imaging enhanced with gadolinium diethylenetriaminepentaacetic acid (DTPA). After bolus administration of Gd-DTPA, rapid T2*-weighted gradient-echo images were acquired. Image acquisition time ranged from 2 to 3 seconds. The signal intensity (SI) of brain tissue and blood vessels markedly decreased during the first pass of contrast agent through the brain due to the local field inhomogeneity caused by the concentrated paramagnetic contrast agent. The method was used in 18 subjects with no cerebrovascular disease and 32 patients with stroke, vascular stenosis, arteriovenous malformation, and cerebral neoplasm. Comparison with intracranial angiography was performed in three patients and with single-photon emission computed tomography of blood flow in four. The change in T2* relaxation rate was approximately linearly related to the dose of contrast agent. The SI change increased as the echo time was lengthened. Regions in cerebral infarcts, metastases, and arteriovenous malformations showed different enhancement patterns than those of edema around a lesion and of normal brain tissue. Abnormal circulation times in patients with vascular stenoses were demonstrated. The method provides information about cerebral blood flow dynamics not available from conventional MR imaging and MR angiography.

Adolescent↗

PubMed1990

Extracranial carotid arteries: evaluation with "black blood" MR angiography.

The authors evaluated the accuracy of "black blood" magnetic resonance (MR) angiography for depicting disease involving the extracranial carotid arteries. Two- and three-dimensional flow-compensated gradient-echo sequences were employed to create "bright blood" images. A thin-section spin-echo sequence with flow presaturation allowed the creation of black blood images. Projection angiograms were made from bright and black blood images with application of a maximum- or minimum-intensity projection algorithm, respectively. These methods were used in 13 healthy volunteers and 17 patients, and a prospective blinded comparison of MR angiography and conventional angiography was performed. Normal carotid arteries were well shown with both bright and black blood methods; in patients, both methods were sensitive for detecting carotid disease. However, bright blood angiography exaggerated the severity of carotid lesions in 13 of 33 arteries, mostly in severe disease; this problem was not encountered with black blood angiography. The authors conclude that bright blood angiography is a sensitive method for screening carotid disease; when a significant abnormality is found, black blood angiography should be performed for more precise delineation of the lesion.

Adult↗

PubMed1990

Segmented turboFLASH: method for breath-hold MR imaging of the liver with flexible contrast.

A method called segmented turboFLASH imaging allows high-resolution, multisection, short-inversion-time (TI) inversion-recovery (STIR), T1- or T2-weighted magnetic resonance (MR) studies of the liver to be completed within a breath-hold interval. The method was applied in a phantom and in 19 patients with hepatic lesions. Sequence comparisons were performed among segmented turboFLASH, single-shot turboFLASH, T1-weighted gradient-echo with ultrashort echo time, and T2-weighted spin-echo (SE) techniques. Signal from fat and liver could be nulled with the segmented turboFLASH method, with TIs of 10 and 300 msec, respectively; signal from these tissues could not be eliminated with the single-shot approach. Signal-difference-to-noise ratios and contrast for the best segmented sequences were comparable with those of the best T2-weighted SE and T1-weighted gradient-echo techniques. It is concluded that it is feasible to obtain breath-hold images with arbitrary tissue contrast by means of segmented turboFLASH imaging. The method may prove helpful for the detection and characterization of hepatic lesions and will likely have applications to other anatomic regions such as the chest and pelvis.

Adenoma, Bile Duct↗

PubMed1990

Flow quantification in the superior sagittal sinus using magnetic resonance.

To date, the intracerebral veins and venous sinuses have not been amenable to noninvasive study. We describe a magnetic resonance (MR) technique using "bolus tracking" for rapid imaging and measurement of cerebral venous flow. We specifically applied the technique to the superior sagittal sinus, but it can be used for evaluation of other cerebral venous structures. In 10 healthy subjects and 21 patients referred for MR brain studies, mean flow was 420 ml/min. There was a significant inverse correlation between blood flow and age. There were dynamic changes in cerebral blood flow (CBF) during hyperventilation and hypercapnia. Since the cerebral cortex drains almost exclusively to the superior sagittal sinus, these flow measurements represent an index of global CBF. MR flow quantification provides a new means for assessing dynamic changes in CBF, and may prove useful for monitoring the effects of various disease processes and pharmaceutical agents on CBF.

Adolescent↗

PubMed1990

MR angiography.

Explore the source record for details and available documents.

Angiography↗

PubMed1989

A monoclonal antibody, Py, distinguishes different classes of hippocampal neurons.

A monoclonal antibody, Py, was produced by immunizing mice with a glycoprotein fraction isolated from 3-week-old rat hippocampus. Py antibodies gave strong immunocytochemical staining of the perikarya and dendrites of large neurons in many areas of the rat brain, including the cerebral cortex, hippocampus, cerebellum, brain stem, and olfactory bulb. Immunoelectron microscopy showed the antigen to be predominantly intracellular, although its presence on the neuronal cell surface was not excluded. The antibody gave differential staining of adult hippocampal neurons, large pyramids of field CA3 being strongly immunoreactive, while CA1 pyramids and the dentate granule cells were unstained. Some interneurons were positive in each of the hippocampal fields. In developing hippocampus, the Py antigen appeared by the middle of the first postnatal week, and the adult pattern of staining was achieved by the end of the second week. Immunoblotting showed the antigen to have a relative mobility of 146 kDa with an additional faint band at 166 kDa. Differential Py staining of neurons was seen in dissociated cultures of embryonic hippocampus and in subdissected hippocampal fragments transplanted into adult host brains. This antibody can therefore be used for identification of hippocampal neurons that have been removed from their normal anatomical context.

Animals↗

PubMed1988

FRODO pulse sequences: a new means of eliminating motion, flow, and wraparound artifacts.

Magnetic resonance images of the spine, chest, abdomen, and pelvis are commonly degraded by ghost artifacts. The authors have developed a new technique named FRODO (Flow and Respiratory artifact Obliteration with Directed Orthogonal pulses) to suppress these artifacts. Signal from tissues responsible for the artifacts is eliminated by use of radio frequency pulses specifically optimized for high selectivity to saturate proton magnetization over one or more independently defined slabs (large rectangular volumes) of tissue. Ghost artifacts from pulsatile flow in the heart and blood vessels, as well as from respiratory motion and swallowing, are suppressed. Additional applications of this technique include elimination of intraluminal signal in blood vessels and suppression of wraparound artifact along the phase-encoding axis. Preliminary clinical experience suggests that the FRODO technique, in conjunction with other flow compensation methods, may provide a definitive solution to the problem of motion in spine imaging. FRODO pulse sequences may also prove useful for imaging of blood vessels, heart, abdomen, and other areas where motion, flow, or wraparound artifacts limit image quality.

Abdomen↗

PubMed1985

Serum factors affect Na+ pump activity and DNA synthesis in cultured cerebellar neural cells.

In neurone-enriched cultures derived from early postnatal rat cerebellum and maintained in serum-free medium, addition of serum (10% FCS) evoked a rapid increase in Na+ pump activity (as measured by ouabain-sensitive 86Rb accumulation) by activation of a Na+/H+ exchanger. This effect did not occur with cultured cerebellar astrocytes. In contrast, exposure to serum increased DNA synthesis ([3H]thymidine incorporation) in both cultured cerebellar astrocytes and in the neurone-enriched cultures. However, in the latter cultures this effect was shown by autoradiography to be due to contaminating astrocytes. Thus, in cultured cerebellar neural cells an enhancement of intracellular Na+ accumulation by serum factors may not be linked to initiation of DNA synthesis. Furthermore, raising intracellular Na+ by ouabain exposure actually decreased neural cellular DNA synthesis.

Animals↗