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Biomedical subjects

J L Lancaster

Publications and source records attributed to J L Lancaster.

82 records · Page 5Linked to original sources

Measurement of abdominal fat with T1-weighted MR images.

The cross-sectional area of visceral and subcutaneous fat in the abdomen was measured with T1-weighted spin-echo images acquired with a 1.5-T magnetic resonance (MR) imager. Four axial images centered on L-4 were acquired in each patient. Outline regions of interest (ROIs) were drawn manually for subcutaneous and visceral fat. The subcutaneous fat cross-sectional area was calculated from the ROIs drawn around the outer and inner margins of subcutaneous fat. Several adaptive processing methods were evaluated for measuring fat in the complex structure of the viscera. These methods were compared with an existing MR imaging measurement method for abdominal fat in 18 patients. The adaptive method that uses the valley between the fat and nonfat distributions in the average histogram curve was judged best for research evaluations because it reduces the effects of volume averaging while using a more natural division between fat and nonfat data. Another adaptive method that yielded comparable measurements was thought to be more suitable for clinical applications. Cross-sectional area measurements of abdominal fat were compared in 18 nonobese and 17 obese women to illustrate the utility of these measurements.

Abdomen↗

Fast spin-echo characteristics of visual stimulation-induced signal changes in the human brain.

A fast spin-echo (FSE) technique used in a conventional MR imaging scanner has been successfully developed for obtaining functional MR images with high spatial resolution and multiple slices. Our preliminary visual stimulation studies using the FSE technique show that the nuclear MR signal increases by 2.6% during activation in the primary visual cortex. These results provide evidence that the diffusion of tissue water molecules plays a key role in determining functional MR signal amplitude. Because the FSE functional MR imaging signal is extremely sensitive to microvascular (brain capillaries) hemodynamics, the FSE technique can be a powerful tool for studying the neuronal activity of the human brain.

Adult↗

Quantification of white matter and gray matter volumes from T1 parametric images using fuzzy classifiers.

White matter (WM) and gray matter (GM) were accurately measured using a technique based on a single standardized fuzzy classifier (FC) for each tissue. Fuzzy classifier development was based on experts' visual assessments of WM and GM boundaries from a set of T1 parametric MR images. The fuzzy classifier method's accuracy was validated and optimized by a set of T1 phantom images that were based on hand-detailed human brain cryosection images. Nine sets of axial T1 images of varying thickness equally distributed throughout the brain were simulated. All T1 data sets were mapped to the standardized FCs and rapidly segmented into WM and GM voxel fraction images. Resulting volumes revealed that, in most cases, the difference between measured and actual volumes was less than 5%. This was consistent throughout most of the brain, and as expected, the accuracy improved to generally less than 2% for the 1-mm simulated brain slices.

Artifacts↗

Quantification of white matter and gray matter volumes from three-dimensional magnetic resonance volume studies using fuzzy classifiers.

We accurately measured white matter (WM) and gray matter (GM) from three-dimensional (3D) volume studies, using a fuzzy classification technique. The new segmentation method is a modification of a recently published method developed for T1 parametric images. 3D MR images were transformed into pseudo forms of T1 parametric images and segmented into WM and GM voxel fraction images with a set of standardized fuzzy classifiers. This segmentation method was validated with synthesized 3D MR images as phantoms. These phantoms were developed from cryosectioned human brain images located in the superior, middle, and inferior regions of the cerebrum. Phantom volume measurements revealed that, generally, the difference between measured and actual volumes was less than 3% for 1.5-mm simulated brain slices. The average cerebral GM/WM ratio calculated from 3D MR studies in four subjects was 1.77, which compared favorably with the estimate of 1.67 derived from anatomical data. Results indicate that this is an accurate and rapid method for quantifying WM and GM from Tl-weighted 3D volume studies.

Brain↗

Regional spatial normalization: toward an optimal target.

PURPOSE: The purpose of this work was to develop methods for defining, constructing, and evaluating a "minimal deformation target" (MDT) brain for multisubject studies based on analysis of the entire group. The goal is to provide a procedure that will create a standard, reproducible target brain image based on common features of a group of three-dimensional MR brain images. METHOD: The average deformation and dispersion distance, derived from discrete three-dimensional deformation fields (DFs), are used to identify the best individual target (BIT) brain. This brain is assumed to be the one with the minimal deformation bias within a group of MR brain images. The BIT brain is determined as the one with the minimal target quality score, our cost function based on the deformation displacement and dispersion distance. The BIT brain is then transformed to the MDT brain using an average DF to create an optimized target brain. This analysis requires the calculation of a large number of DFs. To overcome this limitation, we developed an analysis method (the fast method) that reduces the task from order N2 complexity to one of order N, a tremendous advantage for large-N studies. RESULTS: Multiscale correlation analysis in a group of 20 subjects demonstrated the superiority of warping using the MDT target brain, made from the BIT brain, over several individual and MDT-transformed target brains also from the group. CONCLUSION: Analysis of three-dimensional DF provides a means to quickly create a reproducible MDT target brain for any set of subjects. Warping to the MDT target was shown by an independent multiscale correlation method to produce superior results.

Adult↗

Distance and depth measurements of radioactive objects utilizing rotating slant-hole collimators.

It is desirable to have an accurate method to determine the depth of various organs which are commonly imaged in nuclear medicine. The method presented here utilizes the geometrical characteristics of the rotating slant-hole collimator to calculate distances and depth. The accuracy of the calculated distance was evaluated for point sources in air separated by 11 cm. The reproducibility of the calculated distance was evaluated as a function of the extent of collimator rotation between observations for angular differences of 45 degrees, 90 degrees, 135 degrees, and 180 degrees. The theory of the method is discussed and the relative error in distance calculation analyzed mathematically as a function of (1) collimator rotation angle error, (2) collimator slant angle error, and (3) position calculation error. Our findings indicate this method to be accurate to within 2% with a reproducibility range of 3%-5% for point sources.

Humans↗

Basic theory, design, and preliminary evaluation of a laser scanner for shape sensing below-the-knee amputees.

A scanner which produces surface profiles of residual limbs from below-the-knee amputees was constructed and evaluated. The scanner uses a turntable mounted laser to define a surface profile line, a charge-coupled-device video camera to view the profile, and a custom designed video processing board to extract profile data. A microcomputer is used to control data acquisition and provides the rapid processing capability necessary to resolve scan profile data into a three-dimensional numerical description of the surface in a timely and cost effective manner. Flexibility of use as well as positional accuracy and reproducibility indicate that the laser scanner is well suited to the task of surface scanning of residual limbs for below-the-knee amputees. Additionally, the laser profile scanning technique can be applied to other regions of the body where a mathematical description of the surface is useful, such as in radiotherapy treatment planning.

Amputees↗

A geometric model for measurement of surface distance, surface area, and volume from tomographic images.

Surface area and volume are essential measurements in the morphometric assessment of anatomical structures. New algorithms were developed to measure (1) distance along a curve, (2) surface area, and (3) volume using data extracted from tomographic images as a geometrical surface model. The model is a list of coordinates and normal vectors for each voxel or point gathered from the surface of a selected object. The resulting surface-based pointlist is also used for high-speed rendering of surfaces. Differential arclength and surface area are measured with high numeric precision by using the absolute value of the maximum component of the unit normal vector (MUNC) to approximate their values. These differential values are summed to measure distance along a curve and surface area. A discrete form of the Divergence theorem, also using the MUNC, is used to calculate volume. The intrinsic accuracy of the measurement algorithms was evaluated using computer generated pointlists of circles, ellipses, spheres, and ellipsoids. Compared to standard measurement techniques, the new algorithms provided the greatest accuracy and least shape-related bias for measurement of distance, surface area, and volume. Feasibility of using the new algorithms to measure physical objects was tested with CT images of spherical, egg-shaped, and irregular shaped objects. The Dividing Cubes algorithm was used to segment and create pointlists from the CT data. Volume and surface area measurements from CT data compared extremely well with reference values for most objects tested (errors less than 2%).

Algorithms↗

MR imaging volumetry of subcortical structures and cerebellar hemispheres in temporal lobe epilepsy.

BACKGROUND AND PURPOSE: There is mounting evidence of extratemporal volume changes associated with medically refractory temporal lobe epilepsy (TLE). This MR imaging study aimed to characterize volume changes in subcortical structures and cerebellar hemispheres with respect to lateralization of the seizure focus, onset and duration of epilepsy, and frequency of generalized tonic-clonic seizures (GTCS). METHODS: Amygdalar, hippocampal, thalamic, caudate head, and cerebellar volume measurements were obtained in the preoperative MR images of 40 patients with TLE (20 right, 20 left), who underwent temporal lobe resection with good outcome, and in 20 right-handed control participants. All 3D MR images were spatially aligned and normalized before measurements were obtained. Standardized volumes and right-to-left volume ratios (VRs) were compared between control participants and right and left TLE groups. Multiple regression analyses were performed to study the effects of epilepsy onset and duration and GTCS frequency on ipsilateral-to-contralateral VRs with respect to the resected seizure focus. RESULTS: Thalamic volumes were smaller bilaterally in patients with TLE. Hippocampal volumes were smaller ipsilateral to the seizure focus, but there was no significant volume loss involving the amygdala, caudate, or cerebellum. Hippocampal and amygdalar right-to-left VRs differed significantly between right and left TLE groups and controls, whereas thalamic right-to-left VRs differed only between the TLE groups. Thalamic ipsilateral-to-contralateral VRs were correlated positively with epilepsy onset and negatively with epilepsy duration. Caudate ipsilateral-to-contralateral VRs were positively, whereas amygdalar and cerebellar VRs were negatively, correlated with GTCS frequency. CONCLUSIONS: Unilateral amygdalar and bilateral thalamic volume loss, in the absence of caudate head atrophy, is likely to reflect seizure-induced injury due to TLE. Correlations of VRs affecting the amygdala, caudate, and cerebellum with GTCS frequency may also reflect injury or a prediposition for secondary generalization. Potential effects of complex partial seizures, febrile seizures, or antiepileptic medications on subcortical structures need to be evaluated in future studies.

Cerebellum↗

Enhanced drug retention in VX2 tumors by use of degradable starch microspheres.

Twenty-nine rabbits with 12- to 14-day-old VX2 tumors in the hind leg were injected intraarterially with technetium-99m (99mTc) DTPA and various combinations of biodegradable starch microspheres, Spherex (Pharmacia, Sweden), to evaluate the efficacy of the microspheres in enhancing tumor retention of 99mTc DTPA. A gamma camera and nuclear medicine computer were used to generate time activity curves of 99mTc DTPA concentration in the tumors. Blood flow to the tumor and various muscles was also measured at intervals by left ventricular injection of 15 micron radiolabeled plastic microspheres. Ninety minutes following the administration of 99mTc DTPA, specimens from the tumor, plasma and different muscles were counted in a NaI well counter connected to a multichannel analyzer. When biodegradable microspheres mixed with 99mTc DTPA were injected and followed by a slow infusion of plain starch microspheres, the 99mTc DTPA was retained in the tumor at concentrations up to 11 times that seen when 99mTc DTPA alone was injected; the corresponding biological half-time was 13 times longer than control values. Additionally, the degree of drug retention was inversely related to blood flow, with retention increasing as blood flow decreased. The results have possible applications to the use of biodegradable microspheres in the intraarterial delivery of chemotherapeutic agents to solid tumors.

Animals↗