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Biomedical subjects

D L Parker

Publications and source records attributed to D L Parker.

At least 19 recordsLinked to original sources
PubMed1992

Cerebral MR angiography with multiple overlapping thin slab acquisition. Part II. Early clinical experience.

In a prospective, multicenter study of 164 patients, cerebral magnetic resonance (MR) angiography with multiple overlapping thin slab acquisition was evaluated for image quality and diagnostic accuracy. Of the 164 patients, 87 (53%) underwent either correlative cut-film angiography or surgery. The overall image quality was excellent in 90% of patient studies. Eighteen of 19 aneurysms were detected with MR angiography. The parent artery, the anatomy of the neck and dome, and the size were correctly shown in 17 of the 19 aneurysms. All 19 vascular malformations were seen with MR angiography. Venous malformations and single pedicle arteriovenous malformations were completely defined with MR angiography, while complete definition of complex arteriovenous malformations was frequently difficult. In cerebral tumors, the arteries and veins important in surgical planning were accurately shown in all cases. In ischemic cerebrovascular disease, MR angiography depicted all stenoses and occlusions of first- and second-order cerebral arteries. The inability to depict intraluminal filling defects in any but the large central arteries limited the ability of MR angiography to enable the specific diagnosis of embolic stroke.

Brain Ischemia↗
PubMed1992

Quantitative peroxidase-antiperoxidase complex-substrate mass determination in tissue sections by a dual wavelength method.

The aim of this study was to develop a method of quantitating prostate-specific acid phosphatase (PSAP) in histologic sections of prostate tumor tissue labeled with the peroxidase-antiperoxidase (PAP) complex technique using diaminobenzidine (DAB) as a substrate. Studies of PAP-DAB- and hematoxylin-stained prostate tissue sections were performed with a black-and-white, computerized microscope image system. The mass of brown reaction product generated in PAP-DAB staining was the indicator of PSAP intensity. The mass of brown reaction product was determined by using a dual wavelength method in which two 10-nm bandpass filters, peaked at 450 and 510 nm in wavelength, were used. The wavelength-dependent ratio of mass absorptivity of PAP-DAB stain (brown product) and that of hematoxylin (blue product) were estimated at wavelengths of 450 and 510 nm by using slides stained with only PAP-DAB or hematoxylin. The accuracy of the mass measurements, investigated by relating the measurement to the true mass of the brown PAP-DAB product, is reported. There was no significant difference between the measurements at magnifications of 10x, 20x, 40x or 60x in the reproducibility investigation. The PSAP stain intensity was quantitatively determined by the difference of the PAP-DAB stain mass per pixel between the tumor and normal cell region. The relationship between the objective measurement and the conventional subjective grades is presented.

3,3'-Diaminobenzidine↗
PubMed1991

MR angiography by multiple thin slab 3D acquisition.

Multiple overlapping thin 3D slab acquisition is presented as a magnitude contrast (time of flight) technique which combines advantages from multiple thin slice 2D and direct 3D volume acquisitions to obtain high-resolution cross-sectional images of vessel detail. Details of implementation and example images are presented.

Blood↗
PubMed1991

Hybrid MR angiography and Fourier velocity imaging using two echo 3D acquisition.

Fourier velocity imaging can be accomplished without cardiac gating from the second echo of a standard 3D MR angiography sequence. The stepped bipolar velocity encoding gradient is obtained by adding a gradient pulse opposite in area to the spatial phase encoding gradient. In this technique, Fourier images of three spatial coordinates are obtained from the first echo and images of two spatial coordinates and one velocity component are obtained from the second echo.

Blood Flow Velocity↗
PubMed1991

An MRI perfusion model incorporating nonequilibrium exchange between vascular and extravascular compartments.

A model of MRI signal intensity which is a function of perfusion is developed based upon the assumption that biological tissue can be represented by a blood and tissue compartment. The longitudinal magnetization is derived from the Bloch equations which are modified to model the magnetization in both the blood and tissue as a function of the following physiological parameters: blood flow velocity; perfusion fraction, which in the model is parameterized in terms of the ratio of the cross-sectional areas of the tissue and blood compartments; diffusion; rate of exchange between the blood and extravascular tissue compartments. Simulations of slice profiles excited by a repetitive sequence of 90 degrees slice-selective pulses show that the signal intensity in the blood and tissue compartments are modulated by the physiological parameters. A key factor in the modulation of the MRI signal is a time-of-flight effect whereby unexcited spins perfuse the excited region and exchange with blood and tissue compartments, thus immediately increasing the slice signal intensity but also delaying the spin exits from the slice, thereby decreasing their contribution to slice signal intensity in future repetitive pulse measurements.

Blood Flow Velocity↗
PubMed1991

Cerebral MR angiography with multiple overlapping thin slab acquisition. Part I. Quantitative analysis of vessel visibility.

Multiple overlapping thin slab acquisition (MOTSA) is a novel time-of-flight magnetic resonance (MR) angiography technique that combines many of the advantages of multiple-section two-dimensional and direct three-dimensional volume methods. To rigorously evaluate the vascular detail that can be obtained with MOTSA MR angiography, the authors have quantified the frequency of visibility of intracranial arterial segments and have correlated their visibility with vessel size as measured at cut-film angiography and with the position and orientation of the arterial segment. Intracranial arterial segments at least 0.9 mm in diameter (the voxel dimension used in the current application) are consistently visualized with the MOTSA technique. The fraction of small vessels visualized is improved when voxel dimensions are reduced. Visibility is noticeably better in the primary images compared with the maximum-intensity-projection (MIP) images. Top-of-slab saturation and resulting decreased vessel intensity occurred infrequently and did not result in marked image degradation in the axial images.

Adult↗
PubMed1991

A cross-sectional study of pulmonary function in autobody repair workers.

This study evaluated pulmonary function in workers from 39 autobody repair shops. Based on 152 White male workers with known smoking status, the mean percent predicted FEV1, FVC, and FEV1/FVC were 93.6, 96.8, and 96.6, respectively. Twenty-three percent of workers had a FEV1/FVC ratio less than the fifth percentile. Isocyanate levels ranged from nondetectable to 0.06 parts per million (STEL = 0.02 ppm). No shop had an adequate respiratory protection program. We concluded that there was an increase in abnormal pulmonary function in autobody workers. Three recommendations were made to shop owners: functional paint booths should be maintained, respiratory protection programs should be developed, and isocyanate-free paints should be used.

Adult↗
PubMed1991

Effects of asbestos-related pleural disease on pulmonary function.

The relationship between loss of pulmonary function and the presence of asbestos-related pleural disease was evaluated for 913 Minnesota asbestos workers. Asbestos-related pleural disease was categorized as circumscribed plaques or diffuse thickening. Compared with workers with normal pleura, workers with plaques had a decreased mean percentage for predicted forced vital capacity (FVC) and predicted forced expiratory volume in 1 s (FEV1.0). Diffuse thickening was associated with more profound decreases in FVC and FEV1.0. No relationship was seen between FEV % [(100 x FEV1.0)/FVC)] and either type of pleural disease. Dyspnea was associated with diffuse thickening more so than plaques. These results remained after control for pack-years of smoking, extent of parenchymal disease, and the presence of pulmonary disease history. Pleural plaques and diffuse pleural thickening were considered independent risk factors for the loss of lung function.

Asbestosis↗
PubMed1991

Adolescent occupational injuries in Minnesota. A descriptive study.

A descriptive study of adolescent work injuries was undertaken using information from Minnesota Department of Labor and Industry workers' compensation files. During the two-year period, 1986-1987, 1,607 work-related injuries were reported in adolescents ages 12 through 17. The largest proportions of injuries occurred in wholesale and retail trade (61.2%), services (24.1%), and manufacturing (5.8%). Injuries most commonly reported were sprains (27.1%), lacerations (26.5%), heat burns (11.4%), and contusions (8.8%). Average annual injury rates were estimated at 14.0/1,000 full-time equivalents for adolescents compared with 24.5/1,000 for adults. The extent of disability or severity of injury could not be determined except that there were no deaths reported during this period.

Accidents, Occupational↗
PubMed1990

Determination of left ventricular volume and mass with use of biphasic spin-echo MR imaging: comparison with cine MR.

In this study, the authors compared a new rapid spin-echo magnetic resonance (MR) imaging method, biphasic MR, with cine MR in the determination of left ventricular volume and mass in healthy volunteers. Biphasic spin-echo MR images covering the entire heart were obtained with use of the electrocardiogram R wave and the downslope of the T wave at both end diastole and end systole, respectively. Biphasic MR-determined values correlated well with small standard errors of the estimate (end-diastolic volume = 7.82 cm3, end-diastolic mass = 10.20 g, end-systolic mass = 10.08 g, ejection fraction = 2.62%) and were more reproducible. Cine MR-defined end-systolic volume was significantly larger (P less than .01) and ejection fraction was significantly smaller (P less than .005) than biphasic MR-determined values probably because of the uncertainty in isolating end systole with cine MR. Left ventricular volumes, mass, and ejection fraction are more accurately and reproducibly quantified in a more time-efficient manner with use of biphasic MR than with cine MR because of its significantly shorter image acquisition and reconstruction times.

Adult↗
PubMed1989

Minnesota highway maintenance worker cohort mortality study: methods and noncancer mortality.

In 1984, the Minnesota Department of Health (MDH) began a cohort mortality study of 4,849 workers to follow up concerns with the health and safety of highway maintenance workers (HMWs). A total of 1,530 deaths had occurred, resulting in a standardized mortality ratio (SMR) of 91 (p less than .01) and an all cancer SMR of 84 (p less than .01). There was a significant elevation in the SMR for chronic renal failure among long-term rural workers (SMR = 676, p less than .05). The SMR was also elevated for transportation injuries. The latter SMR was highest among short-term urban workers (SMR = 280, p less than .01). In addition, the SMR for transportation-related injury deaths tended to increase the later the decade of starting work. The SMRs were 137, 259, 502, and 2,145 for urban workers starting work in the decades 1945-1954, 1955-1964, 1965-1974, and 1975-1984, respectively. This study demonstrates the possible adverse health effects of highway maintenance work and the need to comprehensively evaluate injury mortality among selected occupational cohorts.

Accidents, Traffic↗
PubMed1989

Minnesota Highway Maintenance Worker Study: cancer mortality.

Highway maintenance workers (HMWs) have been exposed to a broad range of potentially toxic substances, including diesel fuels and exhaust, asphalts and tars, herbicides, gasoline, polynuclear aromatic hydrocarbons, benzene, and lead. The number of current and former state, county, and municipal HMWs in the United States exceeds 500,000, yet the health risks of this occupation had never been studied. To fill this void and to respond to the public perception that Minnesota HMWs were at high risk of developing leukemia, an occupational cohort mortality study was conducted of Minnesota HMWs employed between 1945 and 1984. Leukemia mortality in HMWs with 30-39 years of work (standardized mortality ratio [SMR] = 425; 95% confidence interval [CI] = 171-876) and urologic cancer mortality in HMWs with 40-49 year latency (SMR = 292; CI = 117-602) were significantly elevated. The extent to which these and other findings were directly related to work exposures is unknown. Further investigations to resolve the significance of the risks associated with the HMW occupation are currently underway.

Cohort Studies↗
PubMed1989

Flow-induced phase effects and compensation technique for slice-selective pulses.

Flowing spins experience a time-varying frequency during the application of slice-selective radiofrequency (RF) pulses. As a result the flowing spins accumulate phase relative to stationary spins as the spins are rotated toward the transverse plane. Using finite difference techniques to solve the Bloch equations for flowing spins, the phase of the transverse magnetization after a slice-selective pulse was evaluated for varying flow velocities and for tip angles which ranged between 0 degrees and 180 degrees. The following results were obtained for constant slice thickness: (1) For a fixed tip angle, the phase varies nonlinearly with velocity. (2) For a fixed velocity, the phase varies nonlinearly with tip angle. For small tip angles the nonlinearity in the variation as a function of velocity is very small but increases for tip angles greater than 90 degrees and becomes especially severe near 180 degrees. A method is proposed to desensitize the phase of flowing spins during the application of slice-selective pulses. The compensation scheme depends upon tip angle but is virtually independent of flow velocity. The technique was tested and verified with clinical images.

Abdomen↗
PubMed1989

Efficient biphasic spin-echo magnetic resonance imaging.

The concept of temporal echo multiplexing is defined and used to develop rapid biphasic spin-echo sequences for imaging the heart. Three imaging sequences, based on four-echo and two-echo multiplexing and rapid single echo (i.e., conventional spin-echo imaging), are compared. Preliminary results indicate that two-echo multiplexing yields a significantly reduced acquisition time window with image quality that is only slightly inferior to single-echo imaging. Single-echo biphasic imaging results in the most consistent image quality.

Adult↗
PubMed1989

Public health implications of the variability in the interpretation of 'B' readings for pleural changes.

During 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind conditions. The implications of this variability in radiographic readings for public health decisions was illustrated in Minnesota, where selective overreading of radiographs of female subjects created an illusion of a generalized environmental problem rather than an occupational exposure. One solution to this dilemma is establishment of criteria to minimize false-positive pleural findings. The study also supports the need for more careful consideration of other disease processes in the interpretation of "B" readings.

False Negative Reactions↗
PubMed1989

Lead exposure and radiator repair work.

In 1986, the ambient air for lead in radiator repair shops in the Minneapolis-St. Paul metropolitan area exceeded the Occupational Safety and Health Administration (OSHA) action level in nine of 12 shops sampled by Minnesota OSHA. We therefore sought to determine the prevalence of lead exposure/toxicity in this industry. Thirty-five radiator shops were identified, 30 were visited, and 53 workers were studied. The mean blood lead level was 1.53 (range 0.24-2.80). Seventeen individuals had blood lead levels greater than or equal to 1.93 mumol/L (40 micrograms/dl). The mean zinc protoporphyrin level (ZPP) was 0.55 mumol/L (range 0.16-1.43). No single worksite or personal characteristic was a strong determinant of either blood lead or ZPP level.

Adult↗
PubMed1988

Interactions of paramagnetic contrast agents and the spin echo pulse sequence.

The theoretical equations for paramagnetic contrast agent effects and the spin echo pulse sequence are combined to graph magnetic resonance (MR) intensity as a function of paramagnetic contrast agent concentration for various tissues. Analysis of the graphs and equations demonstrate several technical and clinical implications. These include: (1) positive enhancement is most likely to occur with short TEs and TRs; (2) changes in machine parameters TE and TR will change the concentration of agent at which the peak enhancing MR intensity will occur; (3) there is an absolute maximum MR intensity that can be reached with contrast enhancement; (4) the maximum MR intensity reached with enhancement is dependent on the tissues' T2 and, to a lesser degree, T1 relaxation times; (5) certain TE and TR combinations will cause no enhancement; (6) if positive enhancement does occur, it will usually occur only over a limited range of agent concentration; and (7) the tissues' T1 relaxation time but not its T2 time determines whether positive enhancement will occur and the relative amount of enhancement.

Contrast Media↗