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Biomedical subjects

G Sperber

Publications and source records attributed to G Sperber.

22 records · Page 2Linked to original sources

Quantitative study of flow dependence in NMR images at low flow velocities.

A basic theoretical model that describes the effects of flow in and out of the imaging plane in nuclear magnetic resonance (NMR) images, obtained with the standard pulse sequences single spin echo, multiple spin echo, and inversion recovery, is presented. Theoretically calculated signal values are compared with experimental results obtained from single-slice images of a flow phantom for variable flow velocity v as well as for variable echo time and inversion time at flow velocities less than 10 mm/s, corresponding to those found in cerebrospinal fluid, in capillary systems, and in smaller veins. The quantitative correspondence between theory and experiment is good in the range of velocities studied and for the imaging parameters used, but discrepancies occur when higher velocities are studied. In addition, flow in a capillary model is demonstrated qualitatively for very low linear flow velocities, less than 1 mm/s. It is concluded that the model describes the essentials of the inflow-outflow effect and that this effect can predict the flow dependence of the NMR signal for low flow velocities. Observed differences between model and experiment may be due to effects of flow-induced phase alterations and due to uncertainty in measurements of the relaxation times T1 and T2. The model described here can be extended to suit other types of pulse sequences and to suit multislice imaging. It can also be extended to incorporate flow-induced phase effects.

Blood Flow Velocity↗

Structure enhancement by subtraction in magnetic resonance imaging.

Two patients with tumours in the pituitary gland and the liver, respectively, were studied with MRI. Regions of different transverse relaxation times were found in the tumours. Subtraction of images recorded with different echo times demonstrated the tumour regions better than the original images although these were recorded with 2 repetition times and double and multiple echo sequences. Subtraction techniques may thus aid diagnosis in MRI.

Adenoma, Islet Cell↗

Magnetic resonance imaging in primary amyloidosis.

Twelve patients with primary amyloidosis (AL) were investigated with magnetic resonance imaging (MRI). In 9 patients an abnormal thickening of the heart walls was present and in 2 macroglossia was found at MRI. T1 was significantly increased in liver (p less than 0.05) and subcutaneous fat (p less than 0.01) while it was decreased in the spleen (p less than 0.05). T2 was significantly decreased (p less than 0.01) in the spleen in patients with amyloidosis, while it was not significantly altered in the liver or subcutaneous fat. After therapy T1 of the liver was reduced towards normal values in 4 patients. It is concluded that MRI might be a method to quantitate the amount of amyloid deposits in the tissue, and that the effect of therapy may be monitored with this technique.

Aged↗

[Evaluation of systematic anti-meningococcal vaccination strategy in French military recruits].

The objective of the study was to assess the efficacy of meningococcal meningitidis vaccination among French military recruits, two years after the introduction of systematic vaccination. Protective efficacy (PE) was calculated using two epidemiological methods. The first was based on the incidence and density rates among vaccinated and unvaccinated subjects during the period when both groups were simultaneously available: PE = 100% (95% CI: 0-100%). The second was to compare the incidence density rates among vaccinated subjects with expected rates. The expected rates were calculated using a model involving adjustment of incidence rates observed before the introduction of vaccination. This second, more powerful method confirmed the efficacy of systematic vaccination for meningococcal meningitidis: PE = 100% (95% CI 30%-100%).

Bacterial Vaccines↗