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Biomedical subjects

P C Jackson

Publications and source records attributed to P C Jackson.

At least 19 recordsLinked to original sources

Patch-clamp recording from identified rat ciliary ganglion neurons in primary culture.

Adult rat parasympathetic ciliary ganglion (CG) neurons were retrogradely labelled by intraocular injection of the carbocyanine fluorescent dye 1,1-dioleyl-3,3,3',3'-tetramethylindocarbocyanine methanesulfonate (DiI). Whole-cell and nystatin perforated patch recording techniques were then used to examine the electrophysiological properties of labelled CG neurons growing in primary culture. The resting membrane potential of CG neurons in dissociated cell culture was -50 +/- 8 mV, and isolated neurons fired overshooting action potentials in response to depolarizing current injection. Voltage-clamp recordings of membrane currents revealed a transient tetrodotoxin-sensitive Na+ inward current and both sustained and transient outward K+ currents. Sustained outward K+ current was reduced (55-77%) by 5 mM tetraethylammonium and to a lesser extent (42-46%) by superfusion with nominally Ca2+ free external solution. Transient outward current was blocked by 100 microns 4-aminopyridine and exhibited steady-state inactivation at potentials depolarized to -50 mV. These data demonstrate that identified adult mammalian CG neurons can be successfully maintained in culture. Cultured CG neurons retain electrical excitability, with voltage-sensitive Na+ and K+ currents giving rise to action potentials.

Action Potentials

Phantoms for studying the acceleration and turbulence of liquids using magnetic resonance imaging.

Magnetic resonance angiography is a relatively new method used to image vascular structure. However, a limitation manifested through signal loss due to non-stable flow makes this technique unreliable for directly visualizing occlusions and estimating the degree of stenosis. In this study, a quantitative approach is developed to understand further the situations where signal loss occurs and a phase mapping technique is used quantitatively to study acceleration in test objects designed to generate flow disturbance. In regions of acceleration the correlation coefficient between magnetic resonance imaging velocity and the inverse of area was r > 0.999 (p < 0.001). The range of acceleration calculated was 6514-63,053 mm s-2 and at maximum acceleration the measured velocity had a systematic error of 4.0(+/- 2.0)% and coefficient of variation of 3.1%. Test objects were devised and utilized for demonstrating non-stable flow and jet formation with comparison being made to predictions from fluid dynamics theory.

Acceleration

Ultrasound quantitation of respiratory organ motion in the upper abdomen.

Organ motion can cause artefacts in abdominal imaging particularly with magnetic resonance imaging (MRI), and may often limit the diagnostic quality of an image. If spatial resolution and image quality are to improve in MRI and other imaging techniques, a more detailed understanding of organ motion is required. Despite the importance of organ motion little quantitative information is available to date. This study was the continuation of work instigated to investigate and quantify respiratory movements of upper abdominal organs for a group of healthy volunteers in order to provide the design criteria for a motion test object for use in MRI. A previous phase of the project allowed construction of a test object but refinements were needed to represent respiratory motion more closely as a consequence of the data presented in this paper. Improvements in the scanning technique and the recording procedure have revealed that, contrary to our initial findings, motion of the diaphragm and liver is predominantly in the superior-inferior (SI) direction with an average displacement (+/- SD) (quiet respiration) of 12 +/- 7 mm (range 7-28 mm) and 10 +/- 8 mm (range 5-17 mm), respectively. For some volunteers, motion of the kidneys can be complex, especially during deep inspiration. New data have been provided by this phase of the motion study on the displacement, velocity and acceleration of abdominal organs as a function of time. These data show that MRI motion artefact reduction techniques which assume that either organ displacement, velocity or acceleration are constant are only applicable during certain phases of the respiratory cycle.

Diaphragm

An image processing technique for the identification of contact pixels applied to x-ray CT images of implanted hip prostheses.

Uncemented prosthetic joint implants used in orthopaedic surgery are usually coated with a porous surface to encourage bone ingrowth. Better contact between the endosteal bone and the porous surface improves ingrowth, and such contact may be increased if the joint further subsides into position in the first weeks following implantation. An image processing technique has been developed as part of a study undertaken to determine the effect of early subsidence on endosteal contact. The method provides a measure of the degree of contact between the surfaces from transverse x-ray CT images, but is suitable for application to any image with a similar intensity distribution.

Hip Prosthesis

The development of equipment for the technical assessment of respiratory motion induced artefacts in MRI.

A device and technique to study the effects of respiratory motion on the quality of magnetic resonance images is proposed. The construction of the device enables a variety of test objects to be mounted and used in the evaluation of imaging parameters that may be affected by motion. The equipment is constructed of cast acrylic and the movement is actuated and controlled pneumatically thus ensuring that there are no interactions with the magnetic field and radiofrequency detection system to cause further image artefacts. Separate studies have been performed, using ultrasound, to assess the degree and rate of movement of organs owing to respiration in order to derive the motion parameters for the apparatus. Preliminary results indicate that the technique produces motion induced artefacts simulating those which are the result of the effects of respiration.

Diaphragm

A comparative study of velocity measurements in major blood vessels using magnetic resonance imaging and Doppler ultrasound.

Velocity measurements in major blood vessels were obtained in studies of volunteers using magnetic resonance imaging (MRI) and compared with Doppler ultrasound (US). The vessels studied were the abdominal aorta, superior mesenteric artery, common carotid artery, superficial femoral artery and middle cerebral artery. Using a paired t-test, no significant difference was found between velocity values estimated by MRI and US (p > 0.08). The relative advantages of each technique in radiological practice are discussed.

Adult

Optical attenuation characteristics of breast tissues at visible and near-infrared wavelengths.

Optical experiments are described for measuring the attenuation characteristics of breast tissues at visible and near-infrared wavelengths. Total attenuation coefficients post mortem were measured directly in thin tissue sections. They are usually within the range from 10 to 30 mm-1, are rather higher in fat than in fibroglandular specimens and decrease with increasing wavelength. The scattering phase function is strongly forward-peaked with the mean cosine of scattering in the range from 0.85 to 0.97 and appearing more forward-peaked in fat than in fibroglandular tissue. The reduced scattering coefficient is of the order of 1 mm-1 in all tissues. Absorption coefficients were measured indirectly in optically thick sections. They are typically between 0.1 and 0.5 mm-1 at wavelengths around 580 nm and an order of magnitude lower at 850 nm. At 580 nm and shorter wavelengths the absorption in carcinoma is significantly higher than in adjacent uninvolved tissue. Significant differences were observed in the first-order derivatives of the transmission spectra of carcinoma and surrounding tissues at certain infrared wavelengths. Transmission spectra measured in vivo across the wavelength range from 500 to 860 nm have a similar form to the spectra of excised samples. Linear absorption coefficients are generally of the same order of magnitude as those found in vitro although they are lower at green wavelengths.

Adenocarcinoma, Scirrhous

Monte Carlo modelling of light propagation in breast tissue.

Light transport in three-dimensional plane-parallel tissue slabs has been modelled by Monte Carlo analogue simulation. The model design has allowed the study of transmission properties that are pertinent to imaging systems for the detection of breast cancer. An important aspect of the investigations is that they make use of data obtained from quantitative measurements of light scattering and absorption in normal and pathological breast tissues. It is shown that an imaging technique which used a raster scanning laser and detector arrangement and plane-parallel compression of the breast could have considerable advantages in terms of improved transmittance, spatial unsharpness and contrast. Time-of-flight gating of images is also found to be beneficial provided that the light intensities after temporal filtering remain adequate.

Breast

Assessment criteria for diagnostic imaging technologies.

Expensive diagnostic imaging technologies need to be assessed. Assessment is most difficult with new technologies. Rapid technical change creates pressure for widespread provision because of apparently self-evident advantages. For the health care provider, technology assessment is of central importance. Timing is crucial; economic and clinical studies have to be carried out simultaneously; and studies must be broadly based. Assessment should be carried out only on properly selected technologies. Apart from picture archiving and communication systems, existing expensive diagnostic imaging technologies are now so mature that assessment is concerned mainly with costs and benefits. To be provided, a technology needs to be effective, economic, appropriate and needed. The history of computed tomography illustrates technology assessment from innovation to routine application. Technology assessment also provides essential guidance for equipment selection. Different regulations and controls, explicit or implicit, exist in different countries. There are special requirements for technology assessment in each country according to overall health requirements and policies. The main contemporary challenges are the correct selection of equipment for assessment, and the development of predictive methods of assessment.

Diagnostic Imaging

Dosimetry of intrathecal iodine131 monoclonal antibody in cases of neoplastic meningitis.

Radioiodinated monoclonal antibodies (MCA) were administered by the lumbar route into the cerebrospinal fluid (CSF) of four patients with malignant leptomeningeal disease. Evidence suggesting uptake of 131I-MCA by tumour sites was seen in scintigrams. Dosimetry calculations were carried out, assuming that a proportion of the administered radionuclide was bound as a thin layer on the CSF surfaces of the meninges. The percentage injected dose and the clearance curves for the head and four spinal segments were obtained by scintigraphy after administration of tracer amounts of 131I-MCA (7-18 MBq). Although radioisotope levels in the central nervous system (CNS) fell, as determined by both external scintillation counting and direct CSF sampling, a marked difference in the measurements developed with respect to time. The ratio of these two measurements reached a maximum of 49:1, 7 days after monoclonal antibody administration. Patients subsequently received therapeutic amounts (870-1600 MBq) of 131I-MCAs, resulting in clinical remissions and prolonged survival. The mean absorbed radiation dose was estimated as 3.9 cGy.MBq-1 to the thoraco-lumbar region of the spine and 0.51 cGy.MBq-1 to the outer surface of the brain. The maximal dose delivered to the surface of the CNS in the region of the spine and brain was 5800 and 600 cGy, respectively.

Adult

Posthatch day/night differences in synaptic ribbon populations of the chick pineal.

Pineal synaptic ribbon (SR) populations of the early posthatch white leghorn chick were counted to determine if they demonstrate a rhythm that is in accordance with the light/dark cycle. SRs were counted between day 7 and day 10 and on day 14 of posthatch development, with samples at midlight, middark (14L:10D), and constant darkness. SR populations did not exhibit significant changes on days 7 and 8 under cycled lighting conditions nor on days 9 and 10 under constant darkness. A second experiment demonstrated that the dark:light ratio of SR populations of day 14 chicks, under cycled lighting, was 3.4:1.0, indicating SR rhythmicity by that stage of development. In that a preliminary experiment had demonstrated a 4.2:1.0 dark:light ratio in SR populations in a predominantly day-10 population of chicks, we believe that SR rhythmicity begins on, or near, day 10 of posthatch development. To determine if the invasion of sympathetic fibers from the superior cervical ganglion (SCG) correlates with the initiation of SR light/dark population differences, we employed tyrosine hydroxylase immunofluorescence to reveal the distribution of catecholaminergic fibers in chick pineal follicles. Follicular innervation doubled over the day 7 to day 14 period, during which time light/dark differences in SR populations were established. There is a correlation, in time, between the invasion of the pineal by the sympathetic fibers and the initiation of SR light/dark differences. The circadian rhythm of pineal N-acetyltransferase (NAT) activity, the rate-limiting enzyme in the melatonin pathway, is established earlier (day 2) than the light/dark differences in SR populations (day 10). It is possible that SR rhythmicity is influenced by the ingrowth of the pineal sympathetic innervation, and that SRs respond to an extrapineal oscillator rather than the independent oscillators of the chick pineal responsible for the rhythm of NAT activity and melatonin synthesis.

Age Factors

New scans from old: digital reformatting of ultrasound images.

Two-dimensional images obtained using ultrasound have been digitized from videotape recordings and stored within a maximum of 240 digital memory planes to form a three-dimensional data set using a commercially available image processing unit. This data set has been manipulated to produce images in planes perpendicular to the original scan set. The reformatted images represent not only the scans that could have been obtained by rotating the scan head but also demonstrate planes that are not accessible by conventional scanning. The system has been evaluated with a tissue-equivalent phantom to determine the geometric accuracy of the reformatting process. Clinical material has also been used to evaluate the practical value of such a technique and to highlight difficulties that may be encountered in its routine use.

Abdomen

New approaches to transillumination imaging.

A review of the current state of transillumination imaging for the detection and diagnosis of breast cancer and the difficulties that impede more widespread acceptance of the methods is presented. An outline is given of the physical models that may be used to describe the propagation and scattering of light in a tissue matrix and how these models might be valuable in identifying imaging improvements. Some of the proposals for future imaging arrangements are described and the preliminary work on a system for light transmission computed tomography is presented.

Breast Neoplasms

Development of synaptic connections between muscle sensory and motor neurons: anatomical evidence that postsynaptic dendrites grow into a preformed sensory neuropil.

The anatomical development of muscle sensory arbors and dendrites of brachial motoneurons in the spinal cord of the bullfrog was studied by labeling both types of cells with horseradish peroxidase. Sensory and motoneurons were labeled in tadpoles (stages XV-XVIII) by backfilling the triceps nerve in vivo with HRP throughout the stages in development when functional monosynaptic connections between these cells are first being formed. Individual triceps motoneurons were injected with HRP in other tadpoles at the same developmental stages. By stage XV, triceps sensory afferents already projected to and arborized in the ventral sensory neuropil region of the spinal cord where sensory-motor connections are made. In contrast, the dendrites of triceps motoneurons rarely were present in this region until stage XVI. By stage XVII, triceps dendrites in this region were common and they intermingled with the collaterals of muscle sensory axons. Thus, sensory axons supplying limb muscles grow into the future neuropil region well in advance of the arrival of motoneuronal dendrites. Electrophysiological studies have shown that the connections between triceps sensory and motor neurons are already specific at stage XVII, as soon as monosynaptic potentials between these cells can be detected (Frank and Westerfield: J. Physiol. (Lond.) 343:593-610, '83). The present anatomical results demonstrate that the processes of sensory and motor cells are not in close anatomical proximity before this time; thus the selection of appropriate synaptic partners must occur from the outset.

Animals

The development of a system for transillumination computed tomography.

A transillumination computed tomography system has been developed for studies of the breast, testes, neonatal skull and peripheral limbs. Initial experiments on test objects have emphasised the problems of scattering and geometrical dependence of lesion detection that are likely to be encountered in conventional diaphanography, but have demonstrated the feasibility of computed tomography as a means of improving the sensitivity of the transillumination technique. The problems of transillumination computed tomography have been addressed and further areas of research identified.

Humans

The accuracy of digital subtraction angiography for the quantification of atherosclerosis.

Digital subtraction angiography (DSA) allows the degree of arterial patency or stenosis to be rapidly quantified. We have assessed the accuracy with which a single-plane DSA system is able to quantify area patency by densitometric and geometric methods. Arterial phantoms were designed to test for systematic error; intra-arterial DSA images of critical lesions of the carotid bifurcation and the lower abdominal and peripheral vessels were used to determine intra- and interobserver reproducibility. The densitometric method, which was more accurate than the geometric method, had a mean systematic error of up to 4% and a mean intra-observer variability of about 15% (coefficient of variation). We have identified the principal sources of inaccuracy and ways in which it may be reduced.

Arteriosclerosis

Osteoporosis and amenorrhea in young women.

Bone density of the radius was measured using both standard photon absorptiometry and X-ray computed tomography (CT) scanning, and of the femur using CT, in 21 young women with amenorrhea and estrogen deficiency due to hyperprolactinemia, 8 due to ovarian failure or weight loss, 17 postmenopausal women with bone fractures presumed to be due to osteoporosis, and 36 young normal controls. Bone density in the postmenopausal women was reduced by 18-20% in the radius and 11% in the femur (p less than 0.001). In the hyperprolactinemic group bone density was significantly reduced only in the femur (by 4%, p less than 0.01). Bone density appeared to be reduced in the other young amenorrheic women both in the radius (by 2-5%) and the femur (3%) but the difference was not significant, although the group was small. This and other studies of bone density suggest the need for prophylactic treatment to prevent osteoporosis in young women with amenorrhea and estrogen deficiency, whatever the cause.

Absorptiometry, Photon