Biomedical subjects

Z H Cho

Publications and source records attributed to Z H Cho.

At least 19 recordsLinked to original sources

PubMed2006

Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms.

OBJECTIVES: Although acupuncture therapy has demonstrated itself to be effective in several clinical areas, the underlying mechanisms of acupuncture in general and the analgesic effect in particular are, however, still not clearly delineated. We, therefore, have studied acupuncture analgesic effect through fMRI and proposed a hypothesis, based on the obtained result, which will enlighten the central role of the brain in acupuncture therapy. METHODS: The proposed model, termed as a broad sense hypothalamus-pituitary-adrenal (BS-HPA) axis, was based on our observed neuroimaging results. The model incorporates the stress-induced HPA axis model together with neuro-immune interaction including the cholinergic anti-inflammatory model. RESULTS: The obtained results coupled with accumulating evidence suggest that the central nervous system is essential for the processing of these effects via its modulation of the autonomic nervous system, neuroimmune system and hormonal regulation. CONCLUSIONS: Based on our fMRI study, it appears that understanding the effects of acupuncture within a neuroscience-based framework is vital. Further, we have proposed the broad sense-HPA axis hypothesis which incorporates the experimental results.

Acupuncture Therapy↗

PubMed2005

The effect of Ting point (tendinomuscular meridians) electroacupuncture on thermal pain: a model for studying the neuronal mechanism of acupuncture analgesia.

OBJECTIVE: The aim of this study was to characterize the role of Ting points (TP) in acute pain management and its potential use in functional imaging studies by quantitatively assessing: (1) the change in peripheral thermal thresholds before and after the electroacupuncture (EA); and (2) the corresponding behavioral feedback of thermal pain stimulation and the de qi sensation of EA. DESIGN: The study design was prospective. SETTINGS/LOCATION: Healthy subjects were recruited for the study at the University of California, San Diego Medical Center. SUBJECTS/INTERVENTIONS: Thirteen (13) healthy subjects were studied. Baseline thermal thresholds (cold and warm sensations and cold and hot pain) were measured at premarked testing sites along the medial aspects of bilateral lower extremities. Five (5) seconds of hot pain (HP) was delivered to the testing sites and the corresponding pain visual analog scale (VAS) scores were recorded. Thirty (30) seconds of EA was delivered via the SP1 and LR1 on the left lower extremities at 5 Hz via a 6-V square-wave stimulator. OUTCOME MEASURES: The VAS scores of the HP and de qi sensation (tingling) during the EA were recorded. The thermal thresholds and VAS scores for the HP and de qi were obtained immediately and both 30 and 60 minutes after the EA. Adaptation testing was also carried out to assess the change in thermal thresholds and the VAS scores of HP without EA. RESULTS: The warm thresholds of bilateral medial calves significantly increased (p < 0.01) after 30 seconds of EA stimulation. The HP VAS score reduced significantly at the ipsilateral calf during EA in comparison to preacupuncture and postacupuncture (p < 0.01) measurements. No significant change in thermal thresholds was noted in the adaptation paradigm. CONCLUSIONS: EA at the TP has an inhibitory effect on the C-fiber afferents. The analgesic benefit observed is most likely A-delta afferent mediated. Further correlation studies in functional imaging may provide defining data for the observed analgesic mechanism.

Acupuncture Analgesia↗

PubMed2000

Total activation change of visual and motor area due to various disturbances.

Brain activation is affected by gradient acoustic noise and various disturbances as well as by other primary tasks. Therefore, we have studied the effects of various disturbances of two different levels of difficulty, that is, weak and strong difficulty levels for primary visual and motor tasks. In the case of visual task with motor and mental disturbances, we found it decreased as motor and mental disturbance difficulty-level increased, compared with the case of without motor and mental disturbances. To the contrary, in the case of motor activity, the total activation of motor cortex with weak and with strong mental disturbance increased as mental disturbance difficulty-levels increased. Therefore, one can conclude that when mental disturbance is added, the visual cortex and motor cortex have an opposite result and when the difficulty-level of the disturbance is increased, the primary tasks are affected more significantly. Although the current observation is preliminary and requires more careful experimental study, it appears that various disturbance effects on brain functions (such as motor and visual cortical responses) produce significant differences in data observations.

Brain Mapping↗

PubMed1998

New findings of the correlation between acupoints and corresponding brain cortices using functional MRI.

A preliminary study of the correlation between acupuncture points (acupoints) for the treatment of eye disorders suggested by ancient Oriental literature and the corresponding brain localization for vision described by Western medicine was performed by using functional MRI (fMRI). The vision-related acupoint (VA1) is located in the lateral aspect of the foot, and when acupuncture stimulation is performed there, activation of occipital lobes is seen by fMRI. Stimulation of the eye by directly using light results in similar activation in the occipital lobes by fMRI. The experiment was conducted by using conventional checkerboard 8-Hz light-flash stimulation of the eye and observation of the time-course data. This was followed by stimulation of the VA1 by using the same time-course paradigm as visual light stimulation. Results obtained with 12 volunteers yielded very clean data and very close correlations between visual and acupuncture stimulation. We have also stimulated nonacupoints 2 to 5 cm away from the vision-related acupoints on the foot as a control, and activation in the occipital lobes was not observed. The results obtained demonstrate the correlation between activation of specific areas of brain cortices and corresponding acupoint stimulation predicted by ancient acupuncture literature.

Acupuncture Points↗

PubMed1998

A new silent magnetic resonance imaging using a rotating DC gradient.

A new approach to silent MR imaging using a rotating DC gradient has been explored and experimentally studied. Acoustic or sound noise has been one of the problems in examining patients, mainly due to the fast gradient pulsings in interaction with the main magnetic field. The sound noise has been noted to be proportionately louder as the magnetic field strength becomes larger. In this report, we describe a new imaging technique using a mechanically rotating DC gradient coil. The rotating DC gradient coil can effectively replace both phase encoding as well as readout gradient pulsings, and data obtained in this manner can provide a set of projection data that later can be used for projection reconstruction. With some interpolation techniques one can also perform conventional two-dimensional fast Fourier transform image reconstruction. The sound noise intensity compared with the conventional imaging technique, such as the spin-echo sequence, has been reduced down to about -20.7 dB or 117.5 times with this new technique. The experimental pulse sequence and its principle are described and images obtained by the new silent MR imaging technique are reported.

Equipment Design↗

PubMed1998

Effects of the acoustic noise of the gradient systems on fMRI: a study on auditory, motor, and visual cortices.

MR acoustic, or sound, noise due to gradient pulsing has been one of the problems in MRI, both in patient scanning as well as in many areas of psychiatric and neuroscience research, such as brain fMRI. Especially in brain fMRI, sound noise is one of the serious noise sources that obscures the small signals obtainable from the subtle changes occurring in oxygenation status in the cortex and blood capillaries. Therefore, we have studied the effects of acoustic, or sound, noise arising in fMR imaging of the auditory, motor, and visual cortices. The results show that the effects of acoustic noise on motor and visual responses are opposite. That is, for motor activity, there is an increased total motor activation, whereas for visual stimulation, the corresponding (visual) cortical activity is diminished substantially when the subject is exposed to a loud acoustic sound. Although the current observations are preliminary and require more experimental confirmation, it seems that the observed acoustic-noise effects on brain functions, such as in the motor and visual cortices, are new observations and could have significant consequences in data observation and interpretation in future fMRI studies.

Adult↗

PubMed1997

Analysis of acoustic noise in MRI.

Acoustic or sound noise due to gradient pulsing has been one of the problems in magnetic resonance imaging (MRI), both in patient scanning as well as in many areas of psychiatric and neuroscience research such as functional MRI. Our recent observations in functional MRI for the visual and motor cortex show very different results with sound noise in comparison with the results obtained without sound noise. Although a number of ideas have been suggested in the literature about the possible elimination or reduction of sound noise, progress has been slow due to the basic role of gradient pulsing in MR imaging. Before we tackle the sound-noise-reduction problem, we believe that a systematic study of sound or acoustic noise behavior will provide important information for future endeavors in this area of research in MRI systems, in both commercial and research systems. Therefore, we report on some typical behavior of sound noise observed from MRI scanners and the analyses of their characteristics. Data are obtained both from a commercial MRI scanner (GE Signa 1.5-T EPI system) as well as a research-type MRI scanner (KAIS 2.0-T) developed at a university laboratory setting.

Magnetic Resonance Imaging↗

PubMed1996

NMR functional imaging using a tailored RF gradient echo sequence: a true susceptibility measurement technique.

The tailored radio frequency gradient echo (TRFGE) technique that has been used in venography (Cho et al., Magn. Reson. Med. 28, 25-38, 1992; Ro, Cho, Magn. Reson. Med. 28, 237, 1992) is applied to functional imaging. The TRFGE technique has the advantage that it is sensitive to the field gradient created by the susceptibility effect, thereby enhancing only the signals from the regions with local field gradient. In addition, the method is insensitive to the in-flow effect, especially from the arterial blood. The latter further simplifies the functional MRI data analysis. The TRFGE sequence is, therefore, suitable for functional MR imaging for which true susceptibility effect measurements are of prime importance. To examine the TRFGE functional imaging systematically, experiments with various imaging parameters such as flip angle alpha, repetition time, and echo time were performed and the results were compared with the data obtained from the conventional gradient echo functional MR imaging. The experimental results shown were all obtained from human volunteers with a 2.0T whole body MRI system.

Arousal↗

PubMed1996

Some new observations on pulse sequence dependent diffusion related edge enhancement in MR microscopy.

Self-diffusion of nuclear spins has been suggested to cause edge enhancement in images especially on a microscopic scale. According to previously published work, theory suggests that edge enhancement is caused by motional narrowing due to the boundaries and spin self-diffusion during the data acquisition period. More careful examination reveals that edge enhancement due to motional narrowing develops only under a few specific conditions. This lack of generality of motional narrowing theory, as well as experimental observations, indicate that edge enhancement due to effects other than motional narrowing alone can exist. It is found that edge enhancement depends greatly on the data acquisition mode; therefore, the images obtained are different depending on the pulse sequence employed. For example, excessive attenuation of DC components due to diffusion can result in edge enhancement in the spin echo signal. However, in the case of FID-like signals, DC components are preserved while positive high frequency parts are attenuated, thereby degrading resolution. The new phenomenon observed has been termed selective spectral suppression since the observed edge enhancement results from the selective attenuation of certain frequency components in the nuclear signals due to diffusion-dependent signal attenuation for a given pulse sequence.

Diffusion↗

PubMed1996

Applications of NMR imaging to the time-dependent swelling effect in polymers.

The swelling process is often observed in many polymers of interest and is an important phenomenon for the understanding of many biopolymers. This important process, however, is known as poorly understood in the area in polymer science. One of the reasons is that the conventional method of examining the swelling process is often inconsistent. Since it has many important properties including non-invasiveness, Nuclear Magnetic Resonance (NMR) Micro-imaging has become a significant method of analyzing biomaterials as well as biological specimens [1,2]. In the present study, a time-dependent swelling process was observed non-invasively to investigate the polymeric swelling effect using NMR micro-imaging. The present study provides a noble and non-invasive method of measuring the degree of swelling as well as volumetric changes occurring in polymers immersed in liquid. The information obtained relates to both a water ingress process and volumetric changes of polymer specimens. This proposed method also will provide more reliable techniques to ascertain the time-dependent swelling process than the other conventional methods. One of the important aspects of the present study is that the proposed method is a non-invasive technique and is also capable of ascertaining the time-dependent process of the swelling. This may be a new method of measuring the degree of swelling as well as the time-dependent water ingress process in a polymer.

Biocompatible Materials↗

PubMed1995

Susceptibility magnetic resonance imaging using spectral decomposition.

Susceptibility differences of materials in magnetic resonance imaging (MRI) usually lead to the intravoxel spin phase variations. Subsequently, the phase variation in the voxel results in a reduction of the signal intensity. This signal intensity reduction is known as the susceptibility effect in MRI and has been studied extensively. In this paper, a new spectral decomposition technique is proposed with which the signal change due to the susceptibility effect can be analyzed. Further, an NMR pulse sequence for the spectral decomposition of the susceptibility was developed and applied to susceptibility imaging of venous blood possessing paramagnetic properties. The computer simulations of the spectral decomposition method and their corresponding experimental results obtained using both a phantom and human volunteers are reported.

Brain↗

PubMed1995

Breakthrough of single-quantum coherence and its elimination in double-quantum filtering.

Breakthrough of single-quantum coherence is shown to occur after application of a double-quantum filter with the conventional four-step phase-cycling scheme. This single-quantum breakthrough is due to the intersequence stimulated echo which has been generated by the radiofrequency pulses in the preceding pulse sequence and appears at the same time as the double-quantum coherence signal in the current pulse sequence. Moreover, the phase of the intersequence stimulated echo is the same as the phase of the double-quantum coherence signal; i.e., the phase of the intersequence stimulated echo is twice the phase change of the radiofrequency pulses in the creation period when their phase is rotated in accordance with the conventional four-step phase-cycling scheme. Consequently, the intersequence stimulated echo passes through the double-quantum filtration in the conventional four-step phase-cycling scheme and gradient pulses. A new phase-cycling scheme which can filter out the single-quantum breakthrough signal is proposed here and its effectiveness is verified experimentally and by computer simulations.

Computer Simulation↗

PubMed1994

A new 3D localization technique using quadratic field gradients.

A new method of 3D spatial selection using pulsed quadratic field gradients is presented. Like previous pulsed quadratic gradient methods the new method requires only two RF pulses to achieve selection in three dimensions. Unlike previous methods, however, precise alignment of linear and quadratic gradient coils is not required. This characteristic allows the method to be used with small or surface quadratic gradient coils. The method is demonstrated on phantom and rats.

Image Processing, Computer-Assisted↗

PubMed1994

Multipoint K-space point mapping (KPM) technique for NMR microscopy.

An extended version of point mapping in k-space for microscopic imaging applications is analyzed and described. Because the method can offer a number of advantages over the other conventional techniques due to the short echo time (TE), the technique is ideally suited for microscopic imaging where field inhomogeneity dependent signal degradation is one of the main causes of image resolution degradation (1-3). Another application area is the case of imaging in a highly inhomogeneous situation such as the fringe field imaging (Z.H. Cho, E. Wong, U.S. Patent #5023554 (1990). The first original point mapping technique described by Nauert et al. (1) and Emid and Creyghton (2) is analyzed as a k-space point mapping technique, and the original technique is extended to a multipoint k-space point mapping (MKPM) technique. With the extended MKPM technique, much faster microscopic imaging that is free of susceptibility and diffusion effects can be performed (4-6). To examine this idea, computer simulations are performed and their results are given.

Magnetic Resonance Spectroscopy↗

PubMed1993

A novel flow-suppression technique using tailored RF pulses.

The pulsatile nature of blood flow makes zipper-like artifacts along the coding direction in the two-dimensional Fourier transform NMR image. So far, spatial presaturation, one of the correction methods, is known to be effective in eliminating flow artifacts when the Fourier spin echo acquisition is employed. However, this method requires an additional RF pulse and a spoiling gradient for presaturation. Described in this paper is a new flow suppression technique, based on spin dephasing, using a set of tailored RF pulses. The proposed method does not require additional saturation RF pulses or spoiling gradient pulses, making it advantageous over other methods. In addition, the method is relatively robust to flow velocity. The proposed technique is equivalent to the existing flow saturation technique except that the elimination of the flow component is achieved by a pair of tailored 90-180 degrees RF pulses in the spin echo sequence. The principle of the proposed method is the creation of a linear phase gradient within the slice along the slice selection direction for the moving material by use of two opposing quadratic phase RF pulses, i.e., 90 degrees and 180 degrees RF pulses with opposing quadratic phase distributions. That is to say, all the spins of the moving materials along the slice selection direction become dephased. Therefore, no observable signal is generated. Computer simulations and experimental results obtained using a 2.0-T whole-body imaging system on both a phantom and a human volunteer are also presented.

Arteries↗

PubMed1992

Reduction of susceptibility artifact in gradient-echo imaging.

A new technique with which susceptibility artifact in gradient-echo imaging can be reduced substantially by use of a tailored RF pulse is described. The proposed technique can ideally be applied to the case where high local magnetic field inhomogeneity is dominated by the susceptibility. The signal loss and void phenomena due to susceptibility in a voxel are studied and a correction method is also proposed. The description of the tailored RF pulse and its proposed application are given and experimental results obtained using a human volunteer with a 2.0-T KAIS NMR system are presented.

Artifacts↗

PubMed1992

Radial scanning technique for volume selective 31P spectroscopy.

An interlaced radial scanning method that is ideally suited for 31P spectroscopy with short T2 components and a wide spectral range is presented. The proposed method, which uses an additional radial gradient and radial scans in the k-space, minimizes T2 decay during the selection time and also optimizes the volume selectivity in a given gradient field strength. Simulation and experimental results with a short selection time of 2 ms demonstrate that the proposed method is suitable for volume selective 31P spectroscopy.

Adenosine Triphosphate↗

PubMed1992

Cardiac cycle extraction from projection data using static signal suppression.

As an extension of the projection-data-based cardiac cycle extraction that we developed previously (W. S. Kim, K. J. Jung, K. D. Lee, J. B. Ra, and Z. H. Cho, "Proceedings, Seventh Annual Meeting of the Society of Magnetic Resonance in Medicine, 1988," p. 958; W. S. Kim, C. W. Mun, D. J. Kim, and Z. H. Cho, Magn. Reson. Med. 13, 25, 1990), a new technique with which one can extract the cardiac cycle by flow-based projection data measurements is described. Because the method uses flow-dependent projection data, it is possible to obtain the cardiac cycle even from regions such as the head, which has virtually no geometrically varying parts, unlike the cardiac region. The signal-to-noise of this flow (such as blood and CSF) based projection data acquisition is further enhanced by the use of the static sample signal suppression technique developed for angiography (J. H. Kim and Z. H. Cho, Magn. Reson. Med. 14, 554, 1990).

Carotid Artery, Internal↗