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Biomedical subjects

Lawrence P Panych

Publications and source records attributed to Lawrence P Panych.

17 recordsLinked to original sources

Rater-dependent accuracy in predicting the spatial location of functional centers on anatomical MR images.

OBJECTIVES: The determination of eloquent cortex is essential when planning neurosurgical approaches to brain lesions. This study examined the abilities of medical personnel of various backgrounds to predict the location of functional cortex using anatomical information provided by MR imaging. PATIENTS AND METHODS: Neurosurgeons, neuroscientists, neuroradiologists, medical students and MR technologists viewed anatomical MR images acquired from patients with brain tumors and healthy controls. These five groups of raters were then asked to locate the primary motor hand, supplementary motor and primary auditory areas and their predictions were compared to fMRI data acquired from the same subjects. RESULTS: The overall mean distance from the center of the fMRI activation was 2.38 cm. The neuroscientists performed the best and MR technologists performed the worst (mean distance from center of 1.83 and 3.04 cm, respectively, p<0.05). The difference between patients and controls was not significant. The mean distance by ROI was primary motor hand 2.03 cm, auditory area 2.06 cm and supplementary motor area 3.18 cm (p<0.05). Raters also performed best in the medial-lateral direction, compared to superior-inferior and anterior-posterior directions (mean distances from center 0.42, 1.04 and 1.81 cm, respectively). Finally, the approximate minimum fields of view necessary to capture the entire fMRI activations using the raters' predictions ranged from 5 to 15 cm, or 3 to 12 cm larger than the fMRI activations. CONCLUSION: Medical personnel of various training perform poorly when using only anatomical information to predict the location of functional areas of cortex.

Adult↗

Increasing cortical activity in auditory areas through neurofeedback functional magnetic resonance imaging.

We report a functional magnetic resonance imaging method to deliver task-specific brain activities as biofeedback signals to guide individuals to increase cortical activity in auditory areas during sound stimulation. A total of 11 study participants underwent multiple functional magnetic resonance imaging scan sessions, while the changes in the activated cortical volume within the primary and secondary auditory areas were fed back to them between scan sessions. On the basis of the feedback information, participants attempted to increase the number of significant voxels during the subsequent trial sessions by adjusting their level of attention to the auditory stimuli. Results showed that the group of individuals who received the feedback were able to increase the activation volume and blood oxygenation level-dependent signal to a greater degree than the control group.

Acoustic Stimulation↗

Complementary aspects of diffusion imaging and fMRI; I: structure and function.

Studying the intersection of brain structure and function is an important aspect of modern neuroscience. The development of magnetic resonance imaging (MRI) over the last 25 years has provided new and powerful tools for the study of brain structure and function. Two tools in particular, diffusion imaging and functional MRI (fMRI), are playing increasingly important roles in elucidating the complementary aspects of brain structure and function. In this work, we review basic technical features of diffusion imaging and fMRI for studying the integrity of white matter structural components and for determining the location and extent of cortical activation in gray matter, respectively. We then review a growing body of literature in which the complementary aspects of diffusion imaging and fMRI, applied as separate examinations but analyzed in tandem, have been exploited to enhance our knowledge of brain structure and function.

Brain Diseases↗

Application of k-space energy spectrum analysis to susceptibility field mapping and distortion correction in gradient-echo EPI.

Echo-planar imaging (EPI) is widely used in functional MRI studies. It is well known that EPI quality is usually degraded by geometric distortions, when there exist susceptibility field inhomogeneities. EPI distortions may be corrected if the field maps are available. It is possible to estimate the susceptibility field gradients from the phase reconstruction of a single-TE EPI image, after a successful phase-unwrapping procedure. However, in regions affected by pronounced field gradients, the phase-unwrapping of a single-TE image may fail, and therefore the estimated field maps may be incorrect. It has been reported that the field inhomogeneity may be calculated more reliably from T2*-weighted images corresponding to multiple TEs. However, the multi-TE MRI field mapping increases the scan time. Furthermore, the measured field maps may be invalid if the subject's position changes during dynamic scans. To overcome the limitations in conventional field mapping approaches, a novel k-space energy spectrum analysis algorithm is developed, which quantifies the spatially dependent echo-shifting effect and the susceptibility field gradients directly from the k-space data of single-TE gradient-echo EPI. Using the k-space energy spectrum analysis, susceptibility field gradients can be reliably measured without phase-unwrapping, and EPI distortions can be corrected without extra field mapping scans or pulse sequence modification. The reported technique can be used to retrospectively improve the image quality of the previously acquired EPI and functional MRI data, provided that the complex-domain k-space data are still available.

Artifacts↗

Computation of transmitted and received B1 fields in magnetic resonance imaging.

Computation of B1 fields is a key issue for determination and correction of intensity nonuniformity in magnetic resonance images. This paper presents a new method for computing transmitted and received B1 fields. Our method combines a modified MRI acquisition protocol and an estimation technique based on the Levenberg-Marquardt algorithm and spatial filtering. It enables accurate estimation of transmitted and received B1 fields for both homogeneous and heterogeneous objects. The method is validated using numerical simulations and experimental data from phantom and human scans. The experimental results are in agreement with theoretical expectations.

Algorithms↗

Functional asymmetry in human primary auditory cortex: identified from longitudinal fMRI study.

The leftward hemispheric dominance in language processing may be associated with fundamental functional asymmetry in the primary auditory cortex (PAC). Based on repeated functional MRI (fMRI) measurements, we investigated the presence of functional asymmetry in the human PAC using binaural presentation of linguistic sounds (two-syllable nouns) and simple tonal stimulation. Eight right-handed volunteers underwent nine fMRI sessions, approximately eight weeks apart, spanning the duration of more than a year. The PAC from each hemisphere was manually segmented and the volume of activation, detected within the segmented region-of-interest, was measured across the subjects and sessions to generate functional laterality indices. Although variations existed in activation volume between sessions and subjects, we found predominant and consistent leftward functional asymmetry in PAC during both linguistic and non-linguistic sound stimulations.

Acoustic Stimulation↗

Reduced field-of-view MRI with two-dimensional spatially-selective RF excitation and UNFOLD.

When the region of interest (ROI) is smaller than the object, one can increase MRI speed by reducing the imaging field of view (FOV). However, when such an approach is used, features outside the reduced FOV will alias into the reduced-FOV image along the phase-encoding direction. Reduced-FOV methods are designed to correct this aliasing problem. In the present study, we propose a combination of two different approaches to reduce the acquired FOV: 1) two-dimensional (2D) spatially-selective RF excitation, and 2) the unaliasing by Fourier-encoding the overlaps using the temporal dimension (UNFOLD) technique. While 2D spatially-selective RF excitation can restrict the spins excited within a reduced FOV, the UNFOLD technique can help to eliminate any residual aliased signals and thus relaxes the requirement for a long RF excitation pulse. This hybrid method was implemented for MR-based temperature mapping, and resulted in artifact-free images with a fourfold improvement in temporal resolution.

Abdomen↗

PSF-choice: a novel MRI method for shaping point-spread functions in phase-encoding dimensions.

An imaging method to obtain arbitrary point-spread functions (PSFs) in phase-encoding dimensions is described. This method, called PSF-Choice, is particularly relevant for applications, such as spectroscopic imaging, in which only a very few phase encodes are acquired and ringing artifact can be a serious problem. PSF-Choice uses partial 2D RF excitations to produce aliased excitations that are encoded using standard phase-encoding gradients. Theoretically, the PSF of the reconstructed result depends only on the RF excitation profile. Simulations demonstrate that a Gaussian-like PSF can be achieved, eliminating the side lobes that are associated with ringing artifact. It is further shown that neither the spatial resolution (as represented by the width of the PSF) nor the signal-to-noise ratio (SNR) of the method is adversely affected when compared to standard phase encoding. In the sense that the same number of encodes are required as with standard phase encoding, temporal resolution is also maintained. Phantom experiments demonstrate the initial feasibility of the method to eliminate ringing artifact.

Algorithms↗

Long-term reproducibility analysis of fMRI using hand motor task.

This article reports test-retest reproducibility of functional MRI (fMRI) measurement on brain activation elicited by auditory-cued sequential finger tapping. Eight right-handed volunteers participated in nine fMRI sessions, approximately eight weeks apart, for the duration of more than a year. The first scan session was repeated within a day to examine the intra-session reproducibility. The frequency of activation for neural substrates relevant to the task was constructed across the subjects and sessions. The spatial reproducibility was measured as the ratio of the size of the volume as well as its overlaps with respect to the first scan session from regions-of-interest in the selected motor circuitry. Consistent activation patterns between sessions and across subjects were observed in the sensorimotor areas such as the left primary, supplementary, and premotor areas, as well as in the right cerebellar areas without evidence of session-dependent trends. Quantitative analysis showed that the reproducibility measures varied within the range obtained from studies on fMRI reproducibility covering much shorter terms. Intra-session fMRI scans yielded slightly better reproducibility measures compared to the results obtained from other scan sessions. The findings suggest that the reproducible fMRI measurement can be obtained for long-term monitoring of brain function.

Acoustic Stimulation↗

Brain-computer interface using fMRI: spatial navigation by thoughts.

A brain-computer interface (BCI) is a way of conveying an individual's thoughts to control computer or electromechanical hardware. Capitalizing on the ability to characterize brain activity in a reproducible manner, we explored the possibility of using real-time fMRI to interpret the spatial distribution of brain function as BCI commands. Using a high-field (3T) MRI scanner, brain activities associated with four distinct covert functional tasks were detected and subsequently translated into predetermined computer commands for moving four directional cursors. The proposed fMRI-BCI method allowed volunteer subjects to navigate through a simple 2D maze solely through their thought processes.

Adult↗

Evaluating requirements for spatial resolution of fMRI for neurosurgical planning.

The unambiguous localization of eloquent functional areas is necessary to decrease the neurological morbidity of neurosurgical procedures. We explored the minimum spatial resolution requirements for functional magnetic resonance imaging (fMRI) data acquisition when brain mapping is used in neurosurgical planning and navigation. Using a 1.5 Tesla clinical MRI scanner, eight patients with brain tumors underwent fMRI scans using spatial resolution of approximately 4 x 4 x 4 mm(3) to map the eloquent motor and language areas during the performance of cognitive/sensorimotor tasks. The fMRI results were then used intra-operatively in an open MRI system to delineate eloquent areas. Retrospectively, activation patterns were visually inspected by a neurosurgeon to determine qualitatively whether ambiguity with respect to the activation boundaries, due to low spatial resolution, could be of potential significance for surgical guidance. A significant degree of ambiguity in both the extent and shape of activation was judged to be present in data from six of the eight patients. Analysis of fMRI data at multiple resolutions from a normal volunteer showed that at 3 mm isotropic resolution, eloquent areas were better localized within the gray matter although there was still some potential for ambiguity caused by activations appearing to cross a sulcus. The data acquired with 2-mm isotropic voxels significantly enhanced the spatial localization of activation to within the gray matter. Thus, isotropic spatial resolution on the order of 2 x 2 x 2 mm(3), which is much higher than the resolutions used in typical fMRI examinations, may be needed for the unambiguous identification of cortical activation with respect to tumors and important anatomical landmarks.

Adult↗

Spatially selective T2 and T2 * measurement with line-scan echo-planar spectroscopic imaging.

Line-scan echo planar spectroscopic imaging (LSEPSI) is applied to quickly measure the T2 and T2* relaxation time constants in pre-selected 2D or 3D regions. Results from brain imaging studies at 3T suggest that the proposed method may prove valuable for both basic research (e.g., quantifying the changes of T2/T2* values in functional MRI with blood oxygenation level-dependent contrast) and clinical studies (e.g., measuring the T2' shortening due to iron deposition). The proposed spatially selective T2 and T2* mapping technique is especially well suited for studies, where T2/T2* quantification needs to be performed dynamically in a pre-selected 2D or 3D region.

Brain↗

Fast spectroscopic imaging strategies for potential applications in fMRI.

Technical aspects of two general fast spectroscopic imaging (SI) strategies, one based on gradient echo trains and the other on spin echo trains, are reviewed within the context of potential applications in the field of functional magnetic resonance imaging (fMRI). Fast spectroscopic imaging of water may prove useful for identifying mechanisms underlying the blood oxygenation level dependence (BOLD) of the water signal during brain activation studies. Reasonably rapid mapping of changes in proton signals from brain metabolites, like lactate, creatine or even neurotransmitter associated metabolites like GABA, is substantially more challenging but technically feasible particularly as higher field strengths become available. Fast spectroscopic methods directed towards the 31P signals from phosphocreatine (PCr) and adenosine tri-phosphates (ATP) are also technically feasible and may prove useful for studying cerebral energetics within fMRI contexts.

Adult↗

Functional MRI of auditory verbal working memory: long-term reproducibility analysis.

Although functional MRI (fMRI) has shown to be a tool with great potential to study the normal and diseased human brain, the large variability in the detected hemodynamic responses across sessions and across subjects hinders a wider application. To investigate the long-term reproducibility of fMRI activation of verbal working memory (WM), eight normal subjects performed an auditory version of the 2-back verbal WM task while fMRI images were acquired. The experiment was repeated nine times with the same settings for image acquisition and fMRI task. Data were analyzed using SPM99 program. Single-session activation maps and multi-subject session-specific activation maps were generated. Regions of interest (ROIs) associated to specific components of verbal WM were defined based on the voxels' coordinates in Talairach space. Visual observation of the multi-subject activation maps showed similar activation patterns, and quantitative analysis showed small coefficients of variance of activation within ROIs over time, suggesting small longitudinal variability of activation. Visual observation of the activation maps of individual sessions demonstrated striking variation of activation across sessions and across subjects, and quantitative analysis demonstrated larger contribution from between-subject variation to overall variation than that from within-subject variation. We concluded that by multi-subject analysis of data from a relatively small number of subjects, reasonably reproducible activation for the 2-back verbal WM paradigm can be achieved. The level of reproducibility encourages the application of this fMRI paradigm to the evaluation of cognitive changes in future investigations. The quantitative estimation of the proportions of within-subject and between-subject variabilities in the overall variability may be helpful for the design of future studies.

Acoustic Stimulation↗

Neural substrates associated with the concurrent performance of dual working memory tasks.

The neural substrates of the dual working memory (WM) process were investigated using concurrent performance of auditory and visual n-back WM tasks. Based on the pre-fMRI behavioral testing, a lettered 1-back WM paradigm was implemented for an fMRI examination of healthy volunteers who performed (1) auditory, (2) visual, and (3) simultaneous visual and auditory WM tasks. The behavioral performance, as measured by the reaction time, was deteriorated in the dual task condition compared to the single task condition. Group analysis of the fMRI data revealed that the majority of activation identified during each component task was concurrently activated in the dual task condition. However, several neural substrates such as left middle frontal gyrus, left superior parietal lobule, posterior aspect of right inferior temporal gyrus, and bilateral parahippocampal gyri were selectively activated during the dual WM task. These data suggest that new neural networks come into play to assist in the greater load placed on the WM with the incongruent stimulation modality, which may also have implications in crossmodal integrative processes.

Acoustic Stimulation↗

Functional MRI with variable echo time acquisition.

A new functional MRI protocol that integrates variable echo time (TE) acquisition and a block-design paradigm is proposed and evaluated with finger-tapping motor task. Simulations and experimental data show that the blood oxygenation level-dependent (BOLD) sensitivity achieved with this approach is comparable to that achieved using a conventional constant-TE protocol. The proposed variable-TE fMRI protocol provides valuable information that cannot be obtained with the constant-TE protocol. First, a field inhomogeneity map can be derived from the multi-TE data and used to correct EPI geometric distortions. Second, changes of T2* values due to the BOLD effect can be quantified. Third, for brain regions with pronounced susceptibility field gradients, the reduced BOLD sensitivity may be compensated for when the acquired multi-TE data are processed appropriately (e.g., with weighted summation). Fourth, large venules and veins may possibly be identified (depending on the vessel orientation and volume fraction) by evaluating the phase values of the multi-TE data. Finally, magnetic field drift over time can be measured from dynamic field maps available with this protocol.

Algorithms↗

Selection of voxel size and slice orientation for fMRI in the presence of susceptibility field gradients: application to imaging of the amygdala.

The impact of voxel geometry on the blood oxygenation level-dependent (BOLD) signal detectability in the presence of field inhomogeneity is assessed and a quantitative approach to selecting appropriate voxel geometry is developed in this report. Application of the developed technique to BOLD sensitivity improvement of the human amygdala is presented. Field inhomogeneity was measured experimentally at 1.5 T and 3 T and the dominant susceptibility field gradient in the human amygdala was observed approximately along the superior-inferior direction. Based on the field mapping studies, an optimal selection for the slice orientation would be an oblique pseudo-coronal plane with its frequency-encoding direction parallel to the field gradient measured from each subject. Experimentally this was confirmed by comparing the normalized standard deviation of time-series echo-planar imaging signals acquired with different slice orientations, in the absence of a functional stimulus. A further confirmation with a carefully designed functional magnetic resonance imaging study is needed. Although the BOLD sensitivity may generally be improved by a voxel size commensurable with the activation volume, our quantitative analysis shows that the optimal voxel size also depends on the susceptibility field gradient and is usually smaller than the activation volume. The predicted phenomenon is confirmed with a hybrid simulation, in which the functional activation was mathematically added to the experimentally acquired rest-period echo-planar imaging data.

Adult↗