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Biomedical subjects

J C Ehrhardt

Publications and source records attributed to J C Ehrhardt.

At least 73 records · Page 4Linked to original sources

Imaging characteristics of gamma-ray collimators.

Imaging characteristics of 43 commercial gamma-ray collimators for rectillinear scanners are measured. The modulation transfer functions, plane sensitivity, full width at half maximum, depth-of-field, and focal length for each collimator are reported. The products of all five companies examined appear to represent the current state of the art.

Humans↗

Interventricular differences in myocardial T2 measurements: experimental and clinical studies.

The goal of this study was to determine the accuracy, the reproducibility, and some of the tissue determinants of image-based myocardial T2 measurements. Image-based T2 calculations for the free walls of the right ventricle (RV) and left ventricle (LV), in vitro T2 determination (at 0.47 T), and water, fat, and collagen content analyses were performed in ex vivo hog hearts. T2 values of the RV and LV free walls were also determined from spin-echo images of 14 healthy human subjects. Preliminary reproducibility studies were performed with 10 sets of images acquired from a single subject. For both in vitro and image-based T2 values of hog hearts, RV T2 was significantly longer than LV T2. Water content was the only tissue factor to significantly correlate with in vitro and image-based T2 values. For the 14 human subjects studied, image-based T2 values calculated from the first- and third-echo images demonstrated a significant difference between LV and RV. The difference was not significant when the first- and second-echo images were used. Image-based T2 measurements of a single subject showed a coefficient of variation of 6.8% for the LV and 9.1% for the RV. The authors conclude that image-based T2 measurements of normal myocardium can be made with sufficient precision to identify differences of the magnitude of those found between RV and LV T2 values. Image-based T2 values of myocardium may provide useful data to aid in patient treatment.

Adult↗

Extrusion of eye socket magnetic implant after MR imaging: potential hazard to patient with eye prosthesis.

Metallic implants or prostheses can be potentially hazardous during magnetic resonance (MR) imaging because of movement or dislodgment of the foreign object. Magnetic eye implants have been reported to exhibit strong movement when placed in water and exposed to a field of 1.5 T. The authors report a case of orbital implant extrusion possibly caused by the movement of a magnetic orbital implant during MR imaging at 0.5 T.

Aged↗

Phantom limb pain induced in amputee by strong magnetic fields.

An amputee (traumatic) experienced increased phantom limb pain when exposed to the magnetic fields of two magnetic resonance imagers. With a visual analog scale used to measure pain, electric stimulation studies demonstrated that the residual limb was unusually sensitive to subthreshold (for muscle twitch) levels of current. The painful symptoms produced mimicked those experienced in the presence of the imagers.

Adult↗

Peripheral nerve stimulation in a whole-body echo-planar imaging system.

Echo-planar techniques in MRI use a rapidly oscillating frequency-encoding gradient with the potential to produce peripheral nerve stimulation. To evaluate the incidence, type, and location of stimulation in a commercial whole-body scanner, we studied two groups: (a) 173 consecutive individuals scanned by echo-planar imaging for other purposes and (b) seven subjects who were scanned with an extensive set of 36 echo-planar sequences (with prompting after each scan to report any peripheral nerve stimulation) to test the effects of various parameters. Although only 5% of group A reported symptoms of peripheral nerve stimulation, all in group B experienced some type of stimulation, dependent primarily on direction of the oscillating gradient and location of the body within the gradient coil. Maximum stimulation typically occurred 30 to 40 cm from isocenter in the region of maximum dB/dt. Generally, y gradients produced truncal stimulation, and x gradients produced stimulation in the head. When hands were clasped over the abdomen, a tingling in the hands occasionally was felt. Patients should be instructed to keep their hands apart.

Adult↗

Comparison of inversion recovery asymmetrical spin-echo EPI and gradient-echo EPI for brain motor activation study.

An inversion recovery asymmetric spin-echo (IR-ASE) echo-planar imaging (EPI) sequence has been developed for functional studies of the brain. This technique uses an 180 degrees inversion pulse with a long inversion time (TI) to suppress the pulsatile cerebrospinal fluid and an asymmetric spin-echo readout to obtain activation signals from brain capillaries. Because gradient-echo sequences are most sensitive to large vessels, motor cortex activation studies using a gradient-echo technique also were conducted for comparison with the IR-ASE method. The results suggest that the IR-ASE pulse sequence may be a useful complement to the gradient-echo technique for the study of neuronal activity of the human brain.

Brain Mapping↗

Pediatric extracranial applications of MR angiography.

Extracranial magnetic resonance angiography (MRA) was performed in 20 children to evaluate for various arterial and venous conditions. Time-of-flight and phase-contrast angiograms were constructed using a maximal-intensity-projection algorithm. The accuracy of MRA was comparable to Doppler ultrasound (n = 12) and conventional angiography (n = 3). MRA could provide an excellent mapping of patent (including collaterals) versus thrombosed vessels at sites not evaluated or inaccessible by sonography. Limitations included assessment of small and/or tortuous vessels, severely stenotic lesions, and very slow flow.

Adolescent↗

MR imaging of morning glory syndrome.

The magnetic resonance (MR) imaging features of morning glory syndrome are described. In our case, MR demonstrated a colobomatous area in the region of the optic disk, as well as an associated cataract and retinal detachment.

Child↗

Reduced MR acquisition time with the CROCUS technique.

A technique to reduce magnetic resonance (MR) image acquisition time by approximately 50% is introduced. The conjugate reconstruction by off-center under-sampling (CROCUS) method samples only every other phase-encoded line in raw data space and uses the conjugate symmetry of the data to reconstruct a real image. If acquisition and image reconstruction were done in the simplest manner, this under-sampling would produce unacceptable image aliasing. However, if the phase-encoded lines are offset from the origin, the assumption of conjugate symmetry allows the image to be calculated without aliasing. Unfortunately, information from all practical MR systems contain phase-shift errors that produce deviations from conjugate symmetry. The CROCUS method incorporates a correction technique, similar to that used in other half-Fourier methods, which uses low-resolution phase-shift information obtained from a few extra lines of phase-encoded data. This paper provides a theoretical derivation of the reconstruction algorithm and correction technique and illustrates the results. Excellent image quality is obtained with no loss of spatial resolution. Image signal-to-noise ratio is reduced by a factor of approximately 1.4 because of the reduced acquisition time. When the imaging circumstances are such that a high signal level is available, CROCUS imaging can be an effective means of reducing imaging time.

Humans↗

Automatic atlas-based volume estimation of human brain regions from MR images.

OBJECTIVE: MRI offers many opportunities for noninvasive in vivo measurement of structure-function relationships in the human brain. Although automated methods are now available for whole-brain measurements, an efficient and valid automatic method for volume estimation of subregions such as the frontal or temporal lobes is still needed. MATERIALS AND METHODS: We adapted the Talairach atlas to the study of brain subregions. We supplemented the atlas with additional boxes to include the cerebellum. We assigned all the boxes to 1 of 12 regions of interest (ROIs) (frontal, parietal, temporal, and occipital lobes, cerebellum, and subcortical regions on right and left sides of the brain). Using T1-weighted MR scans collected with an SPGR sequence (slice thickness = 1.5 mm), we manually traced these ROIs and produced volume estimates. We then transformed the scans into Talairach space and compared the volumes produced by the two methods ("traced" versus "automatic"). The traced measurements were considered to be the "gold standard" against which the automatic measurements were compared. RESULTS: The automatic method was found to produce measurements that were nearly identical to the traced method. We compared absolute measurements of volume produced by the two methods, as well as the sensitivity and specificity of the automatic method. We also compared the measurements of cerebral blood flow obtained through [15O]H2O PET studies in a sample of nine subjects. Absolute measurements of volume produced by the two methods were very similar, and the sensitivity and specificity of the automatic method were found to be high for all regions. The flow values were also found to be very similar by both methods. CONCLUSION: The automatic atlas-based method for measuring the volume of brain subregions produces results that are similar to manual techniques. The method is rapid, efficient, unbiased, and not subject to the problems of rater drift or potentially poor interrater reliability that plague manual methods. Consequently, this method may be very useful for the study of structure-function relationships in the human brain.

Anatomy, Artistic↗

Modulation transfer function of the EMI CT head scanner.

The two-dimensional modulation transfer function [MTF(vx, vy)] has been determined for the EMI CT head scanner by measuring the point spread function (PSF) in different locations in the field of view. This PSF was obtained by scanning a fine wire supported perpendicular to the tomographic slice. Based on these MTFs, the resolving power of the EMI scanner was found to be 3.1 line pairs/cm. Our results also verify the symmetry of the system response and the uniformity of the system resolution.

Tomography, X-Ray Computed↗