Biomedical subjects

J S Tsuruda

Publications and source records attributed to J S Tsuruda.

57 records · Page 4Linked to original sources

PubMedDate not supplied

Three-dimensional gradient-recalled MR imaging as a screening tool for the diagnosis of cervical radiculopathy.

The purpose of the study was to implement and assess a fast-screening, three-dimensional Fourier transformation (3DFT) MR sequence for the cervical spine. This sequence maintains adequate signal-to-noise and image contrast similar to gradient-recalled echo two-dimensional Fourier transformation (2DFT) imaging. Thirty patients with radiculopathy were examined with 3DFT gradient-recalled echo imaging. The data set consisted of 60 contiguous 1.5- to 2.0-mm-thick axial slices with a total coverage of 9 to 12 cm. In 10 patients, comparison was made with 4-mm-thick axial T1-weighted spin-echo 2DFT or gradient-recalled echo 2DFT studies. With the use of a volume acquisition, adequate signal-to-noise and image contrast similar to T2*-weighted gradient-recalled echo 2DFT acquisitions were obtainable. Coverage was improved despite the use of thinner sections without interslice gap. Thin-section 3DFT provided superior detail of acquired foraminal and spinal canal stenosis and disk morphology. Limitations included increased sensitivity to patient motion and "wraparound" artifact in the slice-select direction. Overall, diagnostic confidence was improved with 3DFT owing to the reduction of partial volume artifact. We have adopted this technique as the primary screening method for diagnosing cervical radiculopathy.

Evaluation Studies as Topic↗

PubMedDate not supplied

MR detection of intracranial calcification: a phantom study.

To make a comparative analysis of calcium detection between MR and CT, anhydrous, insoluble calcium carbonate spheres varying in size from 1.5-7.0 mm were embedded in three physiologic tissue phantoms: low-protein gelatin (3 gm%), high-protein gelatin (6 gm%), and heavy mineral oil. The calcium-containing phantoms were scanned by CT and MR, using both T1- and T2-weighted sequences, with a slice thickness varying from 5-7 mm. Partial volume artifacts were determined by abutting phantoms with and without calcium and by varying the slice position to include different proportions of the calcium- and noncalcium-containing phantoms. Contrast-detail curves, expressed as a ratio of contrast to noise, were determined for varying sizes of calcification and degrees of partial voluming. As expected, the CT conspicuity of calcification (positive contrast) markedly surpasses that of MR (negative contrast). The difference was two orders of magnitude. When the calcification filled more than half the slice on MR, the conspicuity depended on the contrast of the matrix material; i.e., increased matrix intensity caused increased conspicuity. However, as the size of the calcification decreased, partial volume effects increased; i.e., increased matrix intensity caused decreased conspicuity. Conspicuity of small calcifications is independent of matrix material, since contrast and partial volume effects balance. We conclude that CT is clearly the method of choice for identifying small foci of calcification.

Brain↗

PubMedDate not supplied

Phased-array surface coil MR of the orbits and optic nerves.

PURPOSE: To devise a practical technique for high-resolution evaluation of the anterior optic apparatus using a phased-array surface coil system, and to evaluate this system in patients with suspected optic pathway abnormalities. METHODS: A four-element phased-array coil pair was placed on each side of the head, and signal-to-noise measurements were obtained using a head phantom. Comparison between the phased-array coil, the quadrature coil, and a single-turn 12.7-cm (5-in) surface coil was done. T1 spin-echo and T2 fast spin-echo sequences were obtained in the oblique axial and oblique sagittal planes, to approximate the long axis of the optic nerves and the nonoblique coronal plane. RESULTS: The phantom signal-to-noise measurements at simulated locations of the optic nerve head, optic canal, and optic chiasm revealed an improvement of at least 30% using the phased-array system. Of 24 imaged cases, 9 had trauma, 5 had suspected neoplasms, and 2 had optic neuritis. In 3 patients, an unexpected diagnosis of optic pathway contusion or infarction was made. The remaining 8 patients had various suspected visual pathway lesions. CONCLUSION: Phased-array surface coils allow rapid, thin-section imaging of the entire anterior optic pathway, with improved signal-to-noise ratio. This may improve evaluation of optic pathway lesions over conventional techniques.

Adolescent↗