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Biomedical subjects

Ming-Long Wu

Publications and source records attributed to Ming-Long Wu.

4 recordsLinked to original sources

Tensor deflection (TEND) tractography with adaptive subvoxel stepping.

PURPOSE: To develop an adaptive subvoxel stepping scheme, as an adjunct to tensor deflection (TEND) tractography, that automatically adjusts the stepping size by considering the tensor linearity to properly trace fiber bundles in regions with different degrees of tensor anisotropy. MATERIALS AND METHODS: A theoretical investigation of the TEND algorithm was performed to assess the degree of deflection of the propagation vector toward the major eigenvector. Mathematically generated phantoms (one with curved fibers and the other with crossing fibers) at wide ranges of signal-to-noise ratio (SNR), and human brain images obtained in vivo were used to test the performance of the adaptive stepping algorithm. RESULTS: The degree of deflection was found to be inversely related to the stepping size. A small stepping size was advantageous for tracing single curved fiber bundles, whereas a large stepping size was beneficial for passing through fiber crossing regions. The performance of the adaptive stepping algorithm was superior to fixed stepping in both situations, leading to an approximately 0.17 voxel of deviation in curved fibers and a nearly 100% successful tracking rate in crossing fibers at typical SNR. Human brain images demonstrated similar results. CONCLUSION: The adaptive stepping algorithm is a helpful adjunct to TEND tractography.

Algorithms↗

Application of model-free analysis in the MR assessment of pulmonary perfusion dynamics.

Dynamic contrast-enhanced (DCE) MRI has been used to quantitatively evaluate pulmonary perfusion based on the assumption of a gamma-variate function and an arterial input function (AIF) for deconvolution. However, these assumptions may be too simplistic and may not be valid in pathological conditions, especially in patients with complex inflow patterns (such as in congenital heart disease). Exploratory data analysis methods make minimal assumptions on the data and could overcome these pitfalls. In this work, two temporal clustering methods--Kohonen clustering network (KCN) and Fuzzy C-Means (FCM)--were concatenated to identify pixel time-course patterns. The results from seven normal volunteers show that this technique is superior for discriminating vessels and compartments in the pulmonary circulation. Patient studies with five cases of acquired or congenital pulmonary perfusion disorders demonstrate that pathologies can be highlighted in a concise map that combines information of the mean transit time (MTT) and pulmonary blood volume (PBV). The method was found to provide greater insight into the perfusion dynamics that might be overlooked by current model-based analyses, and may serve as a basis for optimal hemodynamic quantitative modeling of the interrogated perfusion compartments.

Adult↗

MR ventriculocisternography by using 3D balanced steady-state free precession imaging: technical note.

This study investigated the effects of flip angle setting in 3D balanced steady-state free precession (SSFP) imaging on CSF-parenchyma contrast and section aliasing artifacts. Theoretical derivations indicated that the extent of section aliasing artifacts decreased as the flip angle was lowered, at the expense of a sacrifice in CSF-parenchyma contrast. Experimental data agreed closely with theoretical predictions. A flip angle of about 40 degrees is therefore recommended for 3D balanced SSFP MR ventriculocisternography.

Artifacts↗

Hippocampal alterations in children with temporal lobe epilepsy with or without a history of febrile convulsions: evaluations with MR volumetry and proton MR spectroscopy.

BACKGROUND AND PURPOSE: The causal effect of early febrile convulsions (FC) on later-onset temporal lobe epilepsy (TLE) remains unclear. In this study, we sought to examine the hippocampal alterations in epileptic children with or without FC history by using MR spectroscopy and volumetry. METHODS: Fifty-five children ranging in age from 18 months to 15 years were enrolled in this study. Subjects were divided into three groups: the control group without either TLE or history of FC (n = 16), the TLE group with early history of FC (TLE + FC; n = 22), and the TLE group without FC history (n = 17). Measurement of hippocampal volume (HV) was performed on thin section T1-weighted images acquired with a 3D gradient echo MR image and normalized by the intracranial volume. Each individual subject had two measures of lateralization; one gives the smaller side of HV and the other the contralateral larger side of HV, assuming that the side with smaller HV is the possible primary site of seizure focus and the contralateral larger HV the secondary or normal site. Single-voxel proton MR spectroscopy of the hippocampi was performed, with metabolic ratio n-acetylaspartate (NAA)/choline (Cho) + creatine plus phosphocreatine (Cr) calculated and grouped separately as were with volumetry. RESULTS: The overall mean HV for the control group was 2.61 +/- 0.21 cm(3) at an average intracranial volume of 965 +/- 241 cm(3), and the asymmetry index for hippocampal volume was (2.32 +/- 1.58)%. The overall mean HV was 2.30 +/- 0.33 cm(3) for TLE + FC group and 2.34 +/- 0.33 cm(3) for TLE group. Mean HV differed significantly for the three groups (P < .01). When the small and large sides were analyzed separately, significant differences were found between control and TLE as well as between control and TLE + FC for the smaller side (P < .05), whereas for the larger side significant differences were found only between control and TLE + FC. In MR spectroscopic measurements, the mean NAA/(Cr + Cho) of bilateral hippocampi was 0.77 +/- 0.06 for control group, 0.62 +/- 0.12 for TLE + FC group, and 0.66 +/- 0.11 for TLE group. In terms of statistically significant difference between groups, spectroscopic results were similar to volumetric measurements, except that there was no significant interaction effect between groups and measures of asymmetrical indices (P = .272). CONCLUSION: Children with TLE and early history of FC tend to have lower hippocampal volumes and NAA/(Cr + Cho) ratios than do TLE children without FC history. The TLE + FC group seems to have increased vulnerability of the contralateral hippocampus as compared with TLE group. MR volumetry and spectroscopy are equally capable of showing the trends of hippocampal alternations in children with TLE with or without FC history.

Adolescent↗