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Biomedical subjects

V G Kiselev

Publications and source records attributed to V G Kiselev.

13 recordsLinked to original sources

Theoretical model of intravascular paramagnetic tracers effect on tissue relaxation.

The concentration of MRI tracers cannot be measured directly by MRI and is commonly evaluated indirectly using their relaxation effect. This study develops a comprehensive theoretical model to describe the transverse relaxation in perfused tissue caused by intravascular tracers. The model takes into account a number of individual compartments. The signal dephasing is simulated in a semianalytical way by embedding Monte Carlo simulations in the framework of analytical theory. This approach yields a tool for fast, realistic simulation of the change in the transverse relaxation. The results indicate that the relaxivity of intravascular contrast agents depends significantly on the host tissue. This agrees with experimental data by Johnson et al. (Magn Reson Med 2000;44:909). In particular, the present results suggest a several-fold increase in the relaxivity of Gd-based contrast agents in brain tissue compared with bulk blood. The enhancement of relaxation in tissue is due to the contrast in magnetic susceptibility between blood vessels and parenchyma induced by the presence of paramagnetic tracer. Beyond the perfusion measurements, the results can be applied to quantitation of functional MRI and to vessel size imaging.

Cell Membrane↗

Vessel size imaging in humans.

The relation of contrast-enhanced transverse relaxation rates R2* and R2 provides in vivo mapping of the mean caliber of cerebral vessels. This technique is referred to as vessel size imaging (VSI). Here a quantitative assessment of the vessel caliber in brain tumor patients is presented. The obtained mean vessel size shows sensitivity to the tumor type. A theoretical analysis is given to elucidate the morphological information content of VSI in the context of vessel architecture. The simplification of the theory underlying the data processing results in a systematic overestimation of the vessel caliber. An increase in the magnetic susceptibility of the contrast agent allows for quantitatively more accurate measurements. Quantitative VSI must include measurements of the regional diffusion coefficient and absolute determination of the regional cerebral blood volume.

Anisotropy↗

Theory of susceptibility-induced transverse relaxation in the capillary network in the diffusion narrowing regime.

The transverse relaxation effect of deoxyhemoglobin compartmentalization in erythrocytes in the capillary network is investigated using an analytical approach. The capillaries are modeled as long arrays of paramagnetic spheres, simulating the individual red blood cells. Calculations are performed in the diffusion narrowing regime, which holds for the native blood paramagnetism at moderate fields up to about 1.5 T, for the free induction decay, the Hahn spin-echo, and the Carr-Purcell-Meiboom-Gill sequence. The commonly used model of capillaries as homogeneously magnetized cylinders is shown to underestimate the capillary contribution to the susceptibility-induced relaxation rate by up to 55%. This results in a noticeable change in the predicted deoxyhemoglobin concentration needed to cause the variation in the transverse relaxation rate observed in functional MRI and may affect subsequent quantification of physiological parameters derived from the BOLD signal. Furthermore, the model for the individual red blood cells (RBCs) represents a framework for investigating the effects of interspecies and intersubject variations in hematocrit, RBC deoxyhemoglobin concentration, and cell size on the relaxation rate. The results agree within their validity domain with previous Monte Carlo simulations.

Blood Volume↗

Effect of magnetic field gradients induced by microvasculature on NMR measurements of molecular self-diffusion in biological tissues.

Presence of induced mesoscopic gradients of magnetic field in magnetically heterogeneous samples affects the measured value of apparent diffusion coefficient. This effect is investigated theoretically in the context of diffusion measurements in perfused biological tissues with blood as the paramagnetic compartment. It is shown that the apparent diffusion coefficient is sensitive to mutual correlations in vessel positions. Neglect of these correlations results in a failure of the commonly used model of microvasculature in which vessels are described as independently placed cylinders. The model is modified to account for intervessel correlations. The results indicate an underestimation of apparent diffusion coefficient in proportion to the magnetic susceptibility of intravascular compartment in agreement with published experimental data. The proportionality coefficient depends on the microvascular architecture. Comparison with experimental data yields a numerical value for a new model parameter that characterises the correlation in mutual positions of blood vessels.

Contrast Media↗

Calculation of diffusion effect for arbitrary pulse sequences.

A method is presented for calculating the nuclear spin magnetization created by an arbitrary number of short radio frequency pulses and of piecewise constant gradient applied in a selected direction. The isotropic diffusion, the transverse and longitudinal relaxations as well as the global transport are taken into account. A thorough analysis of the magnetization density evolution results in an algorithm for the analytical calculation of final NMR signal. Computationally, it requires only accumulating numerical coefficients in the found analytical structure. For arbitrary sequences this is done with a computer program. This approach, which can be classified as symbolical computations, results in a high performance and in a practically unlimited accuracy. Results for sample pulse sequences are presented.

Algorithms↗

Effect of graded hypo- and hypercapnia on fMRI contrast in visual cortex: quantification of T(*)(2) changes by multiecho EPI.

The sensitivity of functional magnetic resonance imaging (fMRI) in visual cortex to graded hypo- and hypercapnia was quantified in 10 normal subjects using single-shot multiecho echo-planar imaging (Turbo-PEPSI) with eight equidistant echo times (TEs) between 12 and 140 ms. Visual stimulation was combined with controlled hyperventilation and carbon dioxide inhalation to perform fMRI at six levels of end-expiratory pCO(2) (PETCO(2)) between 20 and 70 mm Hg. T(*)(2) in visual cortex during baseline conditions (light off) increased nonlinearly from 20 to 70 mm Hg, from 61.1 +/- 4.2 ms to 72.0 +/- 4.6 ms. Changes in T(*)(2) due to visual stimulation increased 2.1-fold, from 1.2 +/- 0.6 ms at 20 mm Hg to 2.5 +/- 0.7 ms at 50 mm Hg. An almost complete loss of functional contrast was measured at 70 mm Hg. The model of MR signal dephasing by Yablonskiy and Haacke (Mag Reson Med 1994;32:749-763) was used to predict changes in cerebral blood flow (CBF), which were found to be consistent with results from previous positron emission tomography (PET) studies. This study further emphasizes that global CBF changes (due to PETCO(2) changes even in the physiological range) strongly influence fMRI contrast and need to be controlled for.

Adult↗

On the theoretical basis of perfusion measurements by dynamic susceptibility contrast MRI.

A quantitative analysis was undertaken to calibrate the perfusion quantification technique based on tracking the first pass of a bolus of a blood pool contrast agent. A complete simulation of the bolus passage, of the associated changes in the T2 and T2* signals, and of the data processing was performed using the tracer dilution theory, an analytical theory of the MR signal from living tissues and numerical simulations. The noise was excluded in the simulation in order to analyze the ultimate accuracy of the method. It is demonstrated that the relationship between the contrast agent concentration and the associated changes in the transverse relaxation rate shows essentially different forms in studied tissue and in the reference artery. This effect results in systematic deviations of the measured blood flow, blood volume, and the residue function obtained with conventional processing from their true values. The error depends on the microvascular composition, the properties of the contrast agent, and the weights of the various compartments in the total signal. The results show that dynamic susceptibility contrast MRI can reach the goal of absolute perfusion quantification only with additional input from measurements of the microvascular architecture. Alternatively, the method can be used to provide such information if the perfusion is quantified by another modality.

Blood Volume↗

Analytical model of susceptibility-induced MR signal dephasing: effect of diffusion in a microvascular network.

A deterministic analytical model that describes the time course of magnetic resonance signal relaxation due to magnetic field inhomogeneity induced by a vascular network is developed. Both static and diffusion dephasing are taken into account. The contribution of the diffusion dephasing is calculated for relatively large vessels (R>10 microm) or short measurement times when the diffusion length is smaller than the vessel radius. The signal is found to possess the following features: a) an initial deviation from the monoexponential relaxation which is more pronounced for the imaginary part of the signal; b) a deviation from monoexponential relaxation at short echo times for the spin-echo (SE) signal measured as a function of the echo time; c) the echo maximum of the SE signal shifted from the nominal echo time to a shorter time; and d) a diffusion effect much stronger for the SE than for the free induction decay experiment. The model presented agrees within its validity domain with a known Monte Carlo simulation.

Brain↗

Enhancement of BOLD-contrast sensitivity by single-shot multi-echo functional MR imaging.

Improved data acquisition and processing strategies for blood oxygenation level-dependent (BOLD)-contrast functional magnetic resonance imaging (fMRI), which enhance the functional contrast-to-noise ratio (CNR) by sampling multiple echo times in a single shot, are described. The dependence of the CNR on T2*, the image encoding time, and the number of sampled echo times are investigated for exponential fitting, echo summation, weighted echo summation, and averaging of correlation maps obtained at different echo times. The method is validated in vivo using visual stimulation and turbo proton echoplanar spectroscopic imaging (turbo-PEPSI), a new single-shot multi-slice MR spectroscopic imaging technique, which acquires up to 12 consecutive echoplanar images with echo times ranging from 12 to 213 msec. Quantitative T2*-mapping significantly increases the measured extent of activation and the mean correlation coefficient compared with conventional echoplanar imaging. The sensitivity gain with echo summation, which is computationally efficient provides similar sensitivity as fitting. For all data processing methods sensitivity is optimum when echo times up to 3.2 T2* are sampled. This methodology has implications for comparing functional sensitivity at different magnetic field strengths and between brain regions with different magnetic field inhomogeneities.

Adult↗

[Organization and volume of work in the department of anesthesiology and resuscitation in a central district hospital].

The experience accumulated during organization and functioning of an anesthesiology and intensive care unit in a central district hospital is described. The efficacy of anesthesiological aid and intensive care has been demonstrated in conditions of a rural region. The authors believe advisable the establishment of anesthesiology and intensive care units in large central district hospitals.

Anesthesia Department, Hospital↗