Biomedical subjects

Shantanu Sinha

Publications and source records attributed to Shantanu Sinha.

At least 19 recordsLinked to original sources

PubMed2006

Soleus aponeurosis strain distribution following chronic unloading in humans: an in vivo MR phase-contrast study.

The in vivo strain properties of human skeletal muscle-tendon complexes are poorly understood, particularly following chronic periods of reduced load bearing. We studied eight healthy volunteers who underwent 4 wk of unilateral lower limb suspension (ULLS) to induce chronic unloading. Before and after the ULLS, maximum isometric ankle plantar flexion torque was determined by using a magnetic resonance (MR)-compatible dynamometry. Volumes of the triceps surae muscles and strain distribution of the soleus aponeurosis and the Achilles tendon at a constant submaximal plantar flexion (20% pre-maximal voluntary contraction) were measured by using MRI and velocity-encoded, phase-contrast MRI techniques. Following ULLS, volumes of the soleus and the medial gastrocnemius and the maximum isometric ankle plantar flexion (maximum voluntary contraction) decreased by 5.5+/-1.9, 7.5+/-2.7, and 48.1+/-6.1%, respectively. The strain of the aponeurosis along the length of the muscle before the ULLS was 0.3+/-0.3%, ranging from -1.5 to 2.7% in different locations of the aponeurosis. Following ULLS, the mean strain was -6.4+/-0.3%, ranging from -1.6 to 1.3%. The strain distribution of the midregion of the aponeurosis was significantly influenced by the ULLS, whereas the more distal component showed no consistent changes. Achilles tendon strain was not affected by the ULLS. These results raise the issue as to whether these changes in strain distribution affect the functional properties of the triceps surae and whether the probability of strain injuries within the triceps surae increases following chronic unloading in those regions of this muscle complex in which unusual strains occur.

Achilles Tendon↗

PubMed2006

Influence of structure on the tissue dynamics of the human soleus muscle observed in MRI studies during isometric contractions.

This article investigates how the internal structure of muscle and its relationship with tendon and even skeletal structures influence the translation of muscle fiber contractions into movement of a limb. Reconstructions of the anatomy of the human soleus muscle from the Visible Human Dataset (available from the National Library of Medicine), magnetic resonance images (MRI), and cadaver studies revealed a complex 3D connective tissue structure populated with pennate muscle fibers. The posterior aponeurosis and the median septum of the soleus form the insertion of the muscle and are continuous with the Achilles tendon. The distal extremities of the pennate muscle fibers attach to these structures. The anterior aponeurosis is located intramuscularly, between the posterior aponeurosis and the median septum. It forms the origin of the muscle and contacts the proximal extremities of the soleus muscle fibers. MRI measurements of in vivo tissue velocities during isometric contractions (20% and 40% maximum voluntary contractions) revealed a similarly complex 3D distribution of tissue movements. The distribution of velocities was similar to the distribution of major connective tissue structures within the muscle. During an isometric contraction, muscle fiber contractions move the median septum and posterior aponeurosis proximally, relative to the anterior aponeurosis. The pennate arrangement of muscle fibers probably amplifies muscle fiber length changes but not sufficiently to account for the twofold difference in muscle fiber length changes relative to excursion of the calcaneus. The discrepancy may be accounted for by an additional gain mechanism operating directly on the Achilles tendon by constraining the posterior movement of the tendon, which would otherwise occur due to the increasingly posterior location of the calcaneus in plantarflexeion.

Achilles Tendon↗

PubMed2006

In vivo diffusion tensor imaging of the human calf muscle.

PURPOSE: To demonstrate the feasibility of in vivo calf muscle fiber tracking in human subjects. MATERIALS AND METHODS: An EPI-based diffusion tensor imaging (DTI) sequence with six-direction diffusion gradient sensitization was implemented, and DT images were acquired at 3 Tesla on five subjects using an extremity coil. The mean diffusivity, fractional anisotropy (FA), and fiber angle (with respect to the magnet z-axis) were measured in different muscles, and fibers were tracked from several regions of interest (ROIs). RESULTS: The fiber orientations in the current DTI studies agree well with those determined in previous spectroscopic studies. The orientation angles ranged from 13.4 degrees in the lateral gastrocnemius to 48.5 degrees in the medial soleus. The diffusion ellipsoid in muscle tissue is anisotropic and approximates a prolate model, as shown by color maps of the anisotropy. Fibers were tracked from the different muscle regions, and the unipennate and bipennate structure of muscle fibers was visualized. CONCLUSION: The study clearly shows that in vivo fiber tracking of muscle fibers is feasible and could potentially be applied to study muscle structure function relationships.

Adult↗

PubMed2006

Regional diastolic dysfunction in individuals with left ventricular hypertrophy measured by tagged magnetic resonance imaging--the Multi-Ethnic Study of Atherosclerosis (MESA).

BACKGROUND: Impairment of global diastolic function is considered to be the mechanism of congestive heart failure in individuals with preserved systolic left ventricular (LV) function. Left ventricular hypertrophy (LVH) is known to be a risk factor for congestive heart failure with preserved systolic function, and this process may begin as a regional process. We investigated whether regional LV diastolic function measured by magnetic resonance tagging is altered in asymptomatic participants of the MESA with LVH and preserved systolic LV function. METHODS: Regional systolic and diastolic strain rates were calculated from strain data in 218 participants of the MESA study. Circumferential strain was calculated from the midwall layer of the septum, anterior, lateral, and inferior walls at mid-LV level. Global LV function measures were studied by magnetic resonance imaging in 4291 MESA participants. Left ventricular hypertrophy for men and women was defined from the MESA population using previously established Framingham criteria. RESULTS: Global systolic function was slightly less in the LVH (ejection fraction = 0.66 +/- 0.10) versus the non-LVH group (ejection fraction = 0.69 +/- 0.07, P < .001). Stepwise regression analyses showed a direct relationship between regional diastolic dysfunction and increasing LV mass. Regional systolic strain and strain rate measures from participants with LVH were not significantly different from those without LVH. However, regional diastolic strain rate was significantly reduced in participants with LVH (1.5 +/- 1.1 s(-1)) compared with the non-LVH group (2.2 +/- 1.1 s(-1), P < .001) regardless of age or sex. CONCLUSIONS: Left ventricular hypertrophy is associated with regional diastolic dysfunction in individuals without evidence of clinical cardiovascular disease and preserved systolic function. Magnetic resonance imaging tagging provides detailed quantification of regional diastolic function noninvasively.

Aged↗

PubMed2006

Visualization and quantification of flow and velocity fields in intracranial arteriovenous malformations using phase-contrast MR angiography.

OBJECTIVE: The objective of this study was to describe postprocessing tools for MR phase-contrast flow quantification images and apply those tools to cerebral arteriovenous malformations (AVMs) to visualize blood flow dynamics noninvasively. CONCLUSION: Inflow and outflow zones were clearly depicted at different regions in the AVM. The processed images showed flow patterns including vortical flow and variations in velocity over the cardiac cycle. Particle tracking gave an impression of the overall flow state and of the venous drainage system in particular.

Blood Flow Velocity↗

PubMed2006

Cardiovascular function in multi-ethnic study of atherosclerosis: normal values by age, sex, and ethnicity.

OBJECTIVE: MRI provides accurate and high-resolution measurements of cardiac anatomy and function. The purpose of this study was to describe the imaging protocol and normal values of left ventricular (LV) function and mass in the Multi-Ethnic Study of Atherosclerosis (MESA). SUBJECTS AND METHODS: Eight hundred participants (400 men, 400 women) in four age strata (45-54, 55-64, 65-74, 75-84 years) were chosen at random. Participants with the following known cardiovascular risk factors were excluded: current smoker, systolic blood pressure > 140 mm Hg, diastolic blood pressure > 90 mm Hg, fasting glucose > 110 mg/dL, total cholesterol > 240 mg/dL, and high-density lipoprotein (HDL) cholesterol < 40 mg/dL. Cardiac MR images were analyzed using MASS software (version 4.2). Mean values, SDs, and correlation coefficients in relationship to patient age were calculated. RESULTS: There were significant differences in LV volumes and mass between men and women. LV volumes were inversely associated with age (p < 0.05) for both sexes except for the LV end-systolic volume index. For men, LV mass was inversely associated with age (slope = -0.72 g/year, p = 0.0021), but LV mass index was not associated with age (slope = -0.179 g/m2/year, p = 0.075). For women, LV mass (slope = -0.15 g/year, p = 0.30) and LV mass index (slope = 0.0044 g/m2/year, p = 0.95) were not associated with age. LV mass was the largest in the African-American group (men, 181.6 +/- 35.8 [SD] g; women, 128.8 +/- 28.1 g) and was smallest in the Asian-American group (men, 129.1 +/- 20.0 g; women, 89.4 +/- 13.3 g). CONCLUSION: The normal LV differs in volume and mass between sexes and among certain ethnic groups. When indexed by body surface area, LV mass was independent of age for both sexes. Studies that assess cardiovascular risk factors in relationship to cardiac function and structure need to account for these normal variations in the population.

Black or African American↗

PubMed2005

Muscle synergism during isometric plantarflexion in achilles tendon rupture patients and in normal subjects revealed by velocity-encoded cine phase-contrast MRI.

BACKGROUND: The triceps surae muscle is often considered to be the sole contributor to the plantarflexion torque although the deeper plantarflexor muscles may also be activated in the plantarflexion task. METHODS: We measured coordinative strategies and muscle synergism during isometric plantarflexion task from 11 volunteers. Velocities from the distal end of the medial gastrocnemius, soleus, and flexor hallucis longus muscles were encoded in the superior-inferior direction using cine phase-contrast magnetic resonance imaging. Eight of the subjects were healthy and served as controls for subject to subject variability. Three of the subjects had experienced an Achilles tendon rupture followed by surgical repair and they were measured up to 8 weeks of rehabilitation. RESULTS: There were marked individual differences in the use of the different muscles during plantarflexion task in control subjects. Soleus to flexor hallucis longus displacement ratio during contraction varied from 0.4 to 9.6 while the moment arm ratio between Achilles tendon and flexor hallucis longus tendons was 1.9 (standard deviation 0.2). In Achilles tendon rupture patients the relative contribution of flexor hallucis longus was very high both in their injured and uninjured leg. This coordinative strategy remained throughout rehabilitation. INTERPRETATION: The findings suggest that early recovery of plantarflexion torque after Achilles tendon rupture may be due to compensation by flexor hallucis longus as well as to normalization of the triceps surae muscle function. Also, this study suggests that the individual differences in coordinative strategies in addition to moment arms and muscle-tendon properties can influence the calculation of forces produced by individual muscles.

Achilles Tendon↗

PubMed2005

Left ventricular concentric remodeling is associated with decreased global and regional systolic function: the Multi-Ethnic Study of Atherosclerosis.

BACKGROUND: The transition from compensatory concentric remodeling to myocardial failure is not completely understood in humans. To investigate determinants of incipient myocardial dysfunction, we examined the association between concentric remodeling and regional LV function in asymptomatic participants of the Multi-Ethnic Study of Atherosclerosis (MESA). METHODS AND RESULTS: Myocardial tagged MRI was performed. Regional myocardial function expressed as peak systolic midwall circumferential strain (Ecc) was analyzed in 441 consecutive studies by HARP (Harmonic Phase) tool. Peak Ecc was correlated with the extent of concentric remodeling determined by the ratio of left ventricular mass to end-diastolic volume (M/V ratio). In men, a gradual decline in peak global Ecc was seen with increasing M/V ratio (test for trend, P<0.001). Among women, however, Ecc tended to be lower only in the fifth compared with the first quintile of M/V ratio (P=0.1). The association of lower Ecc with increasing M/V ratio was regionally heterogeneous but was particularly prominent in the LAD region in men (test for trend, P<0.001) and in women (test for trend, P=0.02). In the right coronary and left circumflex artery territories, these associations were less marked in both genders. CONCLUSIONS: In this cross-sectional study of asymptomatic individuals, concentric left ventricular remodeling was related to decreased regional systolic function. The reduction in regional function, which was more pronounced in the left anterior descending coronary artery territory, may reflect the local transition from compensatory remodeling to myocardial dysfunction.

Atherosclerosis↗

PubMed2005

In-plane velocity encoding with coherent steady-state imaging.

Standard phase-contrast flow quantification (PC-FQ) using radiofrequency (RF) spoiled steady-state (SS) incoherent gradient-echo sequences have a relatively low signal-to-noise ratio (SNR). Unspoiled SS coherent (SSC) gradient-echo sequences have a higher intrinsic SNR and are T2/T1 weighted so that blood has a relatively large signal compared to other tissues. An SSC sequence that was modified to allow in-plane velocity encoding is presented. Velocity encoding was achieved by inverting the readout gradients. This offers the benefit that there is no resultant increase in repetition time (TR), which avoids increased sensitivity to off-resonance artifacts when conventional velocity-encoding methods using separate velocity-encoding gradients are extended to SSC sequences. The results of standard PC-FQ and the new method from in vitro experiments of constant and sinusoidal flow, and in vivo imaging of the carotid artery were compared. Vector field maps and paths obtained from particle-tracking calculations based on the velocity-encoded images were used to visualize the velocity data. The technique has the potential to increase the precision of PC-FQ measurements.

Algorithms↗

PubMed2005

Bilateral neurostimulation systems used for deep brain stimulation: in vitro study of MRI-related heating at 1.5 T and implications for clinical imaging of the brain.

Deep brain stimulation (DBS) is used increasingly in the field of movement disorders. The implanted electrodes create not only a prior risk to patient safety during MRI, but also a unique opportunity in the collection of functional MRI data conditioned by direct neural stimulation. We evaluated MRI-related heating for bilateral neurostimulation systems used for DBS with an emphasis on assessing clinically relevant imaging parameters. Magnetic resonance imaging was performed using transmit body radiofrequency (RF) coil and receive-only head RF coil at various specific absorption rates (SARs) of RF power. In vitro testing was performed using a gel-filled phantom with temperatures recorded at the electrode tips. Each DBS electrode was positioned with a single extension loop around each pulse generator and a single loop at the "head" end of the phantom. Various pulse sequences were used for MRI including fast spin-echo, echo-planar imaging, magnetization transfer contrast and gradient-echo techniques. The MRI sequences had calculated whole-body averaged SARs and local head SARs ranging from 0.1 to 1.6 W/kg and 0.1 to 3.2 W/kg, respectively. Temperature elevations of less than 1.0 degrees C were found with the fast spin-echo, magnetization transfer contrast, gradient-echo and echo-planar clinical imaging sequences. Using the highest SAR levels, whole-body averaged, 1.6 W/kg, local exposed-body, 3.2 W/kg, and local head, 2.9 W/kg, the temperature increase was 2.1 degrees C. These results showed that temperature elevations associated with clinical sequences were within an acceptable physiologically safe range for the MR conditions used in this evaluation, especially for the use of relatively low SAR levels. Notably, these findings are highly specific to the neurostimulation systems, device positioning technique, MR system and imaging conditions used in this investigation.

Deep Brain Stimulation↗

PubMed2004

Muscle kinematics during isometric contraction: development of phase contrast and spin tag techniques to study healthy and atrophied muscles.

PURPOSE: To develop and compare phase-contrast (PC) and spin-tag (ST) MR imaging techniques for accurate quantification of velocity and displacement distribution in the muscle tendon complex of the lower leg during isometric contractions under in vivo conditions, in healthy subjects and subjects with atrophy. MATERIALS AND METHODS: Techniques were developed to acquire PC and ST dynamic images, gated to the force exerted by a subject during isometric contraction. Algorithms were optimized for correction of phase shading errors. Flow velocity quantification was validated in phantoms and ex vivo rabbit muscles. Trajectories of pixels calculated from PC images were compared with those in ST images. Velocity distributions were determined in healthy muscles, those atrophied by four weeks of suspension, and during physiotherapy-induced recovery. RESULTS: The technique developed allowed acquisition of images retrospectively gated to the isometric contraction performed with the subject in the scanner. Significant phase shading errors in PC images (approximately 3 cm/second over the field of view) were reduced to the background noise level by the correction algorithm. Tissue trajectories calculated from PC images agreed very well with those from ST images both in human and excised animal tissues. Peak velocities in atrophied muscles were significantly lower compared to the preatrophy state but recovered to baseline values after six weeks of therapy. CONCLUSION: We show the feasibility of monitoring muscle velocity and tissue displacement during voluntary contractions in humans under in vivo conditions using MR tissue motion mapping methods. The clinical feasibility of this technique in monitoring atrophied muscle is also demonstrated.

Adult↗

PubMed2004

In vivo diffusion tensor imaging of the human prostate.

This study demonstrates the feasibility of in vivo prostate diffusion tensor imaging (DTI) in human subjects. We implemented an EPI-based diffusion-weighted (DW) sequence with seven-direction diffusion gradient sensitization, and acquired DT images from six subjects using cardiac gating with a phased-array prostate surface coil operating in a linear mode. We calculated two indices to quantify diffusion anisotropy. The direction of the eigenvector corresponding to the leading eigenvalue was displayed by means of a color-coding scheme. The average diffusion values of the prostate peripheral zone (PZ) and central gland (CG) were 1.95 +/- 0.08 x 10(-3) mm2 s and 1.53 +/- 0.34 x 10(-3) mm2 s, respectively. The average fractional anisotropy (FA) values for the PZ and CG were 0.46 +/- 0.04 and 0.40 +/- 0.08, respectively. The diffusion ellipsoid in prostate tissue was anisotropic and approximated a prolate model, as shown in the color maps of the anisotropy. Consistent with the tissue architecture, the prostate fiber orientations were predominantly in the superior-inferior (SI) direction for both the PZ and CG. This study shows the feasibility of in vivo DTI and establishes normative DT values for six subjects.

Anisotropy↗

PubMed2004

Intraaneurysmal flow visualization by using phase-contrast magnetic resonance imaging: feasibility study based on a geometrically realistic in vitro aneurysm model.

OBJECT: The aim of this study was to evaluate the feasibility of complex intraaneurysmal flow visualization with the currently available phase-contrast magnetic resonance (MR) imaging modality. METHODS: A geometrically realistic in vitro aneurysm model, in which detailed flow velocity analysis had already been conducted using laser Doppler velocimetry was used for this in vitro hemodynamic simulation, so that the results of phase-contrast velocity measurements could be compared with the previous reliable results. On a 1.5-tesla unit, three orthogonal components of velocity were obtained using a standard two-dimensional fast low-angle shot flow quantification sequence. Three-dimensional (3D) intraaneurysmal flow structures recorded during one cardiac cycle were depicted in one midsagittal and three axial cross-sectional planes with the aid of gray scale phase-contrast velocity maps. Isovelocity contour maps and secondary flow vectors were also created based on the phase-contrast velocity maps by using MATLAB software. The isovelocity contours in those three axial sections could demonstrate the shapes of inward and outward flow areas and their alternation over one cardiac cycle. The secondary flow vectors demonstrated twin vortices within the outward flow area adjacent to the boundary layer of inward and outward flow in all axial planes. CONCLUSIONS: The phase-contrast MR imaging method was able to depict the complex 3D intraaneurysmal flow structures in the in vitro aneurysm model. Detailed 3D intraaneurysmal flow information will be obtainable in vivo after improvements are made in spatial resolution, which is expected in the near future. The capability to visualize intraaneurysmal flow structures directly with the use of noninvasive MR imaging technology will have a positive impact on future clinical practice.

Hemodynamics↗

PubMed2003

Mapping of movement in the isometrically contracting human soleus muscle reveals details of its structural and functional complexity.

It is becoming increasingly apparent that precise knowledge of the anatomic features of muscle, aponeurosis, and tendons is necessary for understanding how a muscle-tendon complex generates force and accomplishes length changes. This report presents both anatomic and functional data from the human soleus muscle acquired by using magnetic resonance imaging. The results show a strong relationship between the complex three-dimensional structure of the muscle-tendon system and the intramuscular distribution of tissue velocities during in vivo isometric contractions. The proximal region of the muscle is unipennate, whereas the midregion has a radially bipennate hemicylindrical structure, and the distal region is quadripennate. Tissue velocity mapping shows that the highest velocity regions overlay the aponeuroses connected to the Achilles tendon. These are located on the anterior and posterior surfaces of the muscle. The lowest velocities overlay the aponeuroses connected to the origin of the muscle and are generally located intramuscularly.

Adult↗

PubMed2003

Nonuniform strain of human soleus aponeurosis-tendon complex during submaximal voluntary contractions in vivo.

The distribution of strain along the soleus aponeurosis tendon was examined during voluntary contractions in vivo. Eight subjects performed cyclic isometric contractions (20 and 40% of maximal voluntary contraction). Displacement and strain in the apparent Achilles tendon and in the aponeurosis were calculated from cine phase-contrast magnetic resonance images acquired with a field of view of 32 cm. The apparent Achilles tendon lengthened 2.8 and 4.7% in 20 and 40% maximal voluntary contraction, respectively. The midregion of the aponeurosis, below the gastrocnemius insertion, lengthened 1.2 and 2.2%, but the distal aponeurosis shortened 2.1 and 2.5%, respectively. There was considerable variation in the three-dimensional anatomy of the aponeurosis and muscle-tendon junction. We suggest that the nonuniformity in aponeurosis strain within an individual was due to the presence of active and passive motor units along the length of the muscle, causing variable force along the measurement site. Force transmission along intrasoleus connective tissue may also be a significant source of nonuniform strain in the aponeurosis.

Achilles Tendon↗

PubMed2002

In vivo diffusion-weighted MRI of the breast: potential for lesion characterization.

PURPOSE: To investigate the potential of apparent diffusion coefficients (ADCs) in characterizing breast lesions in vivo. MATERIALS AND METHODS: Two diffusion-weighted (DW) sequences were implemented on a 1.5 Tesla scanner, with low b-value orthogonal and high b-value tetrahedral sensitized sequences. The orthogonal sequence was evaluated on 16 normal volunteers and 23 patients with known lesion types (six benign and 17 malignant). The tetrahedral sequence was evaluated on a smaller number of subjects: two normal, two malignant, and two benign. RESULTS: The mean value of the ADC of the malignant tumors was reduced compared to that of the benign lesions and normal tissue. This finding was related to the increased cellularity of the malignant lesions. The ADC values were elevated for all tissue types with the low b-value sequence as compared to the high b-value sequence, indicating contributions from perfusion effects at the low b-values. CONCLUSION: The study clearly shows that DW-MRI can help characterize breast lesions in vivo.

Breast↗

PubMed2002

Functional magnetic resonance of human breast tumors: diffusion and perfusion imaging.

This review is focused on two relatively new developments in magnetic resonance imaging (MRI) and their application to breast lesion characterization: diffusion and perfusion MRI. Diffusion MRI measures the mobility of the water protons and thus provides a window to tissue microstructure. Perfusion MRI measures the rate at which blood is delivered to tissue and thus provides information about microvasculature. Because both tissue structure and vasculature are likely to change in disease states, measurement of diffusion and perfusion may have direct physiologic relevance. This review covers topics related to the imaging sequences, image analysis, and clinical studies for diffusion and perfusion breast MRI. Preliminary studies show that the apparent diffusion coefficient (ADC) is a marker of cell density and can distinguish malignant from benign lesions. Perfusion MR also shows promise for breast tumor characterization: malignant tumors have consistently higher relative tissue blood volumes (rTBV) than normal and benign tumors. Additional research is required with large patient cohorts to establish these two techniques on a clinical footing.

Breast↗

PubMedDate not supplied

Reduction of electronic noise from radiofrequency generator during radiofrequency ablation in interventional MRI.

MRI has been used increasingly in the recent past for the guidance and monitoring of minimally invasive interventional procedures, using typically radiofrequency (RF) and laser energy, cryoablation, and percutaneous ethanol. RF energy has been used over the last 30 years for the ablation of tissues. Its use in conjunction with MRI for monitoring is limited, however, because of the electronic noise produced by the RF generators, which can significantly deteriorate image quality. The objective of this work was to devise methods by which this noise can be reduced to an acceptable level to allow simultaneous acquisition of MR images for monitoring purposes with the application of RF energy. Three different methods of noise reduction were investigated in a 0.2 T MR scanner: filtration using external hardware circuitry, MR scanner software-controlled filtration, and keyholing. The last two methods were unable by themselves to suppress the noise to an acceptable degree. Hardware filtration, however, provides excellent suppression of RF noise and is able to withstand up to 12 W of RF energy. When all the three approaches are combined, significant reduction of RF noise is achieved. The feasibility of creating an RF lesion of about 1.2 cm diameter in vivo in a porcine model simultaneously with temperature-sensitive MRI with adequate noise suppression is demonstrated.

Animals↗