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  1. Your Radiologist Explains Magnetic Resonance Angiography (MRA)

    MedlinePlus Videos and Cool Tools

    ... talk with you about magnetic resonance angiography, or as it’s commonly known, MRA. MRA is a noninvasive ... possibility that you’re pregnant tell your doctor as well. On the day of your exam, it’s ...

  2. 3MRA UNCERTAINTY AND SENSITIVITY ANALYSIS

    EPA Science Inventory

    This presentation discusses the Multimedia, Multipathway, Multireceptor Risk Assessment (3MRA) modeling system. The outline of the presentation is: modeling system overview - 3MRA versions; 3MRA version 1.0; national-scale assessment dimensionality; SuperMUSE: windows-based super...

  3. Uterine cirsoid aneurysm: MRI and MRA

    SciTech Connect

    Joja, Ikuo; Asakawa, Mari; Motoyama, Kazumi

    1996-03-01

    Uterine cirsoid aneurysm is uncommon. It is important to make a diagnosis of this disease preoperatively, because repeated curettages may induce life-threatening massive genital bleeding. We present a case of a 51-year-old woman with uterine cirsoid aneurysm in whom MRI and MRA were very useful for the preoperative diagnosis. The radiologic appearances on ultrasonography, CT, conventional SE MRI, MRA, dynamic MRI, and pelvic angiography are presented. Conventional SE T1-weighted and T2-weighted images demonstrated multiple flow voids in the uterus and bilateral adnexal regions. MRA demonstrated a cluster of distinct, tortuous, and coiled vascular channels in the pelvis. MRA could obtain images almost equal to angiography and was considered to be an excellent noninvasive imaging technique for the diagnosis of uterine cirsoid aneurysm. 28 refs., 7 figs

  4. FRAMES/3MRA MODEL DEVELOPMENT AND APPLICATIONS

    EPA Science Inventory

    Developed by ORD in collaboration with OSW, the Multimedia, Multi-pathway, Multi-receptor Risk Assessment (3MRA) national risk assessment methodology is designed to assess risks at a statistically sampled number of "actual" sites and organize the results into a national distribut...

  5. The Highly Conserved MraZ Protein Is a Transcriptional Regulator in Escherichia coli

    PubMed Central

    Eraso, Jesus M.; Markillie, Lye M.; Mitchell, Hugh D.; Taylor, Ronald C.; Orr, Galya

    2014-01-01

    The mraZ and mraW genes are highly conserved in bacteria, both in sequence and in their position at the head of the division and cell wall (dcw) gene cluster. Located directly upstream of the mraZ gene, the Pmra promoter drives the transcription of mraZ and mraW, as well as many essential cell division and cell wall genes, but no regulator of Pmra has been found to date. Although MraZ has structural similarity to the AbrB transition state regulator and the MazE antitoxin and MraW is known to methylate the 16S rRNA, mraZ and mraW null mutants have no detectable phenotypes. Here we show that overproduction of Escherichia coli MraZ inhibited cell division and was lethal in rich medium at high induction levels and in minimal medium at low induction levels. Co-overproduction of MraW suppressed MraZ toxicity, and loss of MraW enhanced MraZ toxicity, suggesting that MraZ and MraW have antagonistic functions. MraZ-green fluorescent protein localized to the nucleoid, suggesting that it binds DNA. Consistent with this idea, purified MraZ directly bound a region of DNA containing three direct repeats between Pmra and the mraZ gene. Excess MraZ reduced the expression of an mraZ-lacZ reporter, suggesting that MraZ acts as a repressor of Pmra, whereas a DNA-binding mutant form of MraZ failed to repress expression. Transcriptome sequencing (RNA-seq) analysis suggested that MraZ also regulates the expression of genes outside the dcw cluster. In support of this, purified MraZ could directly bind to a putative operator site upstream of mioC, one of the repressed genes identified by RNA-seq. PMID:24659771

  6. Binding site of MraZ transcription factor in Mollicutes.

    PubMed

    Fisunov, G Y; Evsyutina, D V; Semashko, T A; Arzamasov, A A; Manuvera, V A; Letarov, A V; Govorun, V M

    2016-06-01

    Mollicutes (mycoplasmas) feature a significant loss of known regulators of gene expression. Here, we identified the recognition site of the MraZ-family regulator of Mycoplasma gallisepticum, which is conserved in many species of different clades within class Mollicutes. The MraZ binding site is AAAGTG[T/G], in the promoter of mraZ gene it forms a series of direct repeats with a structure (AAAGTG[T/G]N3)k, where k = 3 most frequently. MraZ binds to a single repeat as an octamer complex. MraZ can also bind a single binding site or a series of repeats with different spacer lengths (2-4 nt); thus, it may play a role in the regulation of multiple operons in Mollicutes. In M. gallisepticum, MraZ acts as a transcriptional activator. The overexpression of MraZ leads to moderate filamentation of cells and the formation of aggregates, likely as a result of incomplete cytokinesis. PMID:26945841

  7. [Dynamic MRA in the evaluation of intracranial vascular diseases].

    PubMed

    Gauvrit, J Y; Oppenheim, C; Savage, J; Nataf, F; Reyns, N; Pruvo, J P; Meder, J F; Leclerc, X

    2005-01-01

    Conventional catheter angiography (CCA) remains the gold standard for the evaluation of most intracranial vascular malformations. MRA techniques such as Time of Flight, Phase Contrast or 3D contrast-enhanced MRA, provide anatomic evaluation but without hemodynamic information. Recently developed, dynamic MRA is based on dynamic acquisition of images and image subtraction; these two principal characteristics produce images comparable to those obtained by CCA. The purpose of this review is to explain the principles, advantages and drawbacks of this technique in the evaluation of arteriovenous malformations, arteriovenous fistulas, aneurysms and venous thrombosis. PMID:15798609

  8. The highly conserved MraZ protein is a transcriptional regulator in Escherichia coli

    SciTech Connect

    Eraso, Jesus M.; Markillie, Lye Meng; Mitchell, Hugh D.; Taylor, Ronald C.; Orr, Galya; Margolin, William

    2014-05-05

    The mraZ and mraW genes are highly conserved in bacteria, both in sequence and location at the head of the division and cell wall (dcw) gene cluster. Although MraZ has structural similarity to the AbrB transition state regulator and the MazE antitoxin, and MraW is known to methylate ribosomal RNA, mraZ and mraW null mutants have no detectable growth phenotype in any species tested to date, hampering progress in understanding their physiological role. Here we show that overproduction of Escherichia coli MraZ perturbs cell division and the cell envelope, is more lethal at high levels or in minimal growth medium, and that MraW antagonizes these effects. MraZGFP localizes to the nucleoid, suggesting that it binds DNA. Indeed, purified MraZ directly binds a region upstream from its own promoter containing three direct repeats to regulate its own expression and that of downstream cell division and cell wall genes. MraZ-LacZ fusions are repressed by excess MraZ but not when DNA binding by MraZ is inhibited. RNAseq analysis indicates that MraZ is a global transcriptional regulator with numerous targets in addition to dcw genes. One of these targets, mioC, is directly bound by MraZ in a region with three direct repeats.

  9. CBCT-based 3D MRA and angiographic image fusion and MRA image navigation for neuro interventions.

    PubMed

    Zhang, Qiang; Zhang, Zhiqiang; Yang, Jiakang; Sun, Qi; Luo, Yongchun; Shan, Tonghui; Zhang, Hao; Han, Jingfeng; Liang, Chunyang; Pan, Wenlong; Gu, Chuanqi; Mao, Gengsheng; Xu, Ruxiang

    2016-08-01

    Digital subtracted angiography (DSA) remains the gold standard for diagnosis of cerebral vascular diseases and provides intraprocedural guidance. This practice involves extensive usage of x-ray and iodinated contrast medium, which can induce side effects. In this study, we examined the accuracy of 3-dimensional (3D) registration of magnetic resonance angiography (MRA) and DSA imaging for cerebral vessels, and tested the feasibility of using preprocedural MRA for real-time guidance during endovascular procedures.Twenty-three patients with suspected intracranial arterial lesions were enrolled. The contrast medium-enhanced 3D DSA of target vessels were acquired in 19 patients during endovascular procedures, and the images were registered with preprocedural MRA for fusion accuracy evaluation. Low-dose noncontrasted 3D angiography of the skull was performed in the other 4 patients, and registered with the MRA. The MRA was overlaid afterwards with 2D live fluoroscopy to guide endovascular procedures.The 3D registration of the MRA and angiography demonstrated a high accuracy for vessel lesion visualization in all 19 patients examined. Moreover, MRA of the intracranial vessels, registered to the noncontrasted 3D angiography in the 4 patients, provided real-time 3D roadmap to successfully guide the endovascular procedures. Radiation dose to patients and contrast medium usage were shown to be significantly reduced.Three-dimensional MRA and angiography fusion can accurately generate cerebral vasculature images to guide endovascular procedures. The use of the fusion technology could enhance clinical workflow while minimizing contrast medium usage and radiation dose, and hence lowering procedure risks and increasing treatment safety. PMID:27512846

  10. CBCT-based 3D MRA and angiographic image fusion and MRA image navigation for neuro interventions

    PubMed Central

    Zhang, Qiang; Zhang, Zhiqiang; Yang, Jiakang; Sun, Qi; Luo, Yongchun; Shan, Tonghui; Zhang, Hao; Han, Jingfeng; Liang, Chunyang; Pan, Wenlong; Gu, Chuanqi; Mao, Gengsheng; Xu, Ruxiang

    2016-01-01

    Abstract Digital subtracted angiography (DSA) remains the gold standard for diagnosis of cerebral vascular diseases and provides intraprocedural guidance. This practice involves extensive usage of x-ray and iodinated contrast medium, which can induce side effects. In this study, we examined the accuracy of 3-dimensional (3D) registration of magnetic resonance angiography (MRA) and DSA imaging for cerebral vessels, and tested the feasibility of using preprocedural MRA for real-time guidance during endovascular procedures. Twenty-three patients with suspected intracranial arterial lesions were enrolled. The contrast medium-enhanced 3D DSA of target vessels were acquired in 19 patients during endovascular procedures, and the images were registered with preprocedural MRA for fusion accuracy evaluation. Low-dose noncontrasted 3D angiography of the skull was performed in the other 4 patients, and registered with the MRA. The MRA was overlaid afterwards with 2D live fluoroscopy to guide endovascular procedures. The 3D registration of the MRA and angiography demonstrated a high accuracy for vessel lesion visualization in all 19 patients examined. Moreover, MRA of the intracranial vessels, registered to the noncontrasted 3D angiography in the 4 patients, provided real-time 3D roadmap to successfully guide the endovascular procedures. Radiation dose to patients and contrast medium usage were shown to be significantly reduced. Three-dimensional MRA and angiography fusion can accurately generate cerebral vasculature images to guide endovascular procedures. The use of the fusion technology could enhance clinical workflow while minimizing contrast medium usage and radiation dose, and hence lowering procedure risks and increasing treatment safety. PMID:27512846

  11. Structural Investigation of Park’s Nucleotide on Bacterial Translocase MraY: Discovery of Unexpected MraY Inhibitors

    PubMed Central

    Chen, Kuo-Ting; Chen, Po-Ting; Lin, Cheng-Kun; Huang, Lin-Ya; Hu, Chia-Ming; Chang, Yi-Fan; Hsu, Hua-Ting; Cheng, Ting-Jen R.; Wu, Ying-Ta; Cheng, Wei-Chieh

    2016-01-01

    Systematic structural modifications of the muramic acid, peptide, and nucleotide moieties of Park’s nucleotide were performed to investigate the substrate specificity of B. subtilis MraY (MraYBS). It was found that the simplest analogue of Park’s nucleotide only bearing the first two amino acids, l-alanine-iso-d-glutamic acid, could function as a MraYBS substrate. Also, the acid group attached to the Cα of iso-d-glutamic acid was found to play an important role for substrate activity. Epimerization of the C4-hydroxyl group of muramic acid and modification at the 5-position of the uracil in Park’s nucleotide were both found to dramatically impair their substrate activity. Unexpectedly, structural modifications on the uracil moiety changed the parent molecule from a substrate to an inhibitor, blocking the MraYBS translocation. One unoptimized inhibitor was found to have a Ki value of 4 ± 1 μM against MraYBS, more potent than tunicamycins. PMID:27531195

  12. 5 CFR 870.708 - MRA-plus-10 annuitants.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false MRA-plus-10 annuitants. 870.708 Section 870.708 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Annuitants and Compensationers § 870.708...

  13. 5 CFR 870.708 - MRA-plus-10 annuitants.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false MRA-plus-10 annuitants. 870.708 Section 870.708 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Annuitants and Compensationers § 870.708...

  14. 5 CFR 870.708 - MRA-plus-10 annuitants.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false MRA-plus-10 annuitants. 870.708 Section 870.708 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Annuitants and Compensationers § 870.708...

  15. 5 CFR 870.708 - MRA-plus-10 annuitants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false MRA-plus-10 annuitants. 870.708 Section 870.708 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Annuitants and Compensationers § 870.708...

  16. 5 CFR 870.708 - MRA-plus-10 annuitants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false MRA-plus-10 annuitants. 870.708 Section 870.708 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Annuitants and Compensationers § 870.708...

  17. Motion corrected intracranial MRA using PROPELLER with RF quadratic encoding.

    PubMed

    Zwart, Nicholas R; Pipe, James G

    2009-06-01

    A new motion corrected Time-of-Flight MRA technique named Variable Pitch PROPELLER is presented. This technique employs the PROPELLER acquisition and reconstruction scheme for in-plane bulk motion correction. A non- Fourier through-plane encoding mechanism called quadratic encoding boosts SNR, relative to conventional 2D MRA, in lieu of traditional 3D encoding. Partial Fourier encoding is applied in the slice direction for a further reduction in scan time. This work details the construction and optimization of this technique. VPPROP MRAs are compared with a clinical MOTSA protocol. Initial results show promising robustness to bulk motion effects. The comparisons with MOTSA provide insight as to the additions required to create a comparable scan. PMID:19353668

  18. Prospective Comparison of CAPR MRA with CTA for Evaluation of Below the Knee Runoff

    PubMed Central

    Young, Phillip M.; Mostardi, Petrice M.; Glockner, James F.; Vrtiska, Terri R.; Macedo, Thanila; Haider, Clifton R.; Riederer, Stephen J.

    2013-01-01

    Purpose To prospectively compare the assessment of stenosis and radiologist confidence in the evaluation of below the knee lower extremity runoff vessels between computed tomographic angiography (CTA) and contrast enhanced magnetic resonance angiography (MRA) in a cohort of 19 clinical patients. Materials and Methods Our study was HIPAA compliant and IRB-approved. 19 consecutive patients with known or suspected peripheral arterial disease were imaged with both CTA and a recently developed MRA technique performed within 24 hours of each other and prior to any therapeutic intervention. Resulting images were randomized and interpreted in blinded fashion by four board certified radiologists with expertise in CTA and MRA. Vasculature of the lower leg was apportioned into 22 segments, 11 for each leg. For each segment, degree of stenosis and confidence of diagnosis were each determined using a three-point scale. Differences between CTA and MRA were assessed for significance using pooled histograms which were analyzed using the Wilcoxon signed rank test. Results For assessment of stenosis, there was no difference in CTA vs. MRA for 20/22 segments. For confidence of diagnosis, assessment of popliteal arteries was superior on CTA compared to MRA (p<0.05). Confidence in assessment of both tibioperoneal trunks and the left proximal anterior tibial artery was not significantly different between CTA and MRA. Confidence in assessment of all other 17 segments was superior with MRA than CTA (p<0.02). Conclusion MRA using the method described here is a promising technique for evaluating lower extremity arterial runoff. MRA had an overall superior performance in radiologist confidence when compared to CTA for imaging runoff vessels below the knee. PMID:23433414

  19. Crystal structure of MraY, an essential membrane enzyme for bacterial cell wall synthesis.

    PubMed

    Chung, Ben C; Zhao, Jinshi; Gillespie, Robert A; Kwon, Do-Yeon; Guan, Ziqiang; Hong, Jiyong; Zhou, Pei; Lee, Seok-Yong

    2013-08-30

    MraY (phospho-MurNAc-pentapeptide translocase) is an integral membrane enzyme that catalyzes an essential step of bacterial cell wall biosynthesis: the transfer of the peptidoglycan precursor phospho-MurNAc-pentapeptide to the lipid carrier undecaprenyl phosphate. MraY has long been considered a promising target for the development of antibiotics, but the lack of a structure has hindered mechanistic understanding of this critical enzyme and the enzyme superfamily in general. The superfamily includes enzymes involved in bacterial lipopolysaccharide/teichoic acid formation and eukaryotic N-linked glycosylation, modifications that are central in many biological processes. We present the crystal structure of MraY from Aquifex aeolicus (MraYAA) at 3.3 Å resolution, which allows us to visualize the overall architecture, locate Mg(2+) within the active site, and provide a structural basis of catalysis for this class of enzyme. PMID:23990562

  20. Automated diagnosis of rolling bearings using MRA and neural networks

    NASA Astrophysics Data System (ADS)

    Castejón, C.; Lara, O.; García-Prada, J. C.

    2010-01-01

    Any industry needs an efficient predictive plan in order to optimize the management of resources and improve the economy of the plant by reducing unnecessary costs and increasing the level of safety. A great percentage of breakdowns in productive processes are caused by bearings. They begin to deteriorate from early stages of their functional life, also called the incipient level. This manuscript develops an automated diagnosis of rolling bearings based on the analysis and classification of signature vibrations. The novelty of this work is the application of the methodology proposed for data collected from a quasi-real industrial machine, where rolling bearings support the radial and axial loads the bearings are designed for. Multiresolution analysis (MRA) is used in a first stage in order to extract the most interesting features from signals. Features will be used in a second stage as inputs of a supervised neural network (NN) for classification purposes. Experimental results carried out in a real system show the soundness of the method which detects four bearing conditions (normal, inner race fault, outer race fault and ball fault) in a very incipient stage.

  1. MraZ from Escherichia coli: cloning, purification, crystallization and preliminary X-ray analysis

    SciTech Connect

    Adams, Melanie A.; Udell, Christian M.; Pal, Gour Pada; Jia, Zongchao

    2005-04-01

    The crystallization and preliminary X-ray diffraction analysis of MraZ, formerly known as hypothetical protein YabB, from Escherichia coli K-12 is presented. The MraZ family of proteins, also referred to as the UPF0040 family, are highly conserved in bacteria and are thought to play a role in cell-wall biosynthesis and cell division. The murein region A (mra) gene cluster encodes MraZ proteins along with a number of other proteins involved in this complex process. To date, there has been no clear functional assignment provided for MraZ proteins and the structure of a homologue from Mycoplasma pneumoniae, MPN314, failed to suggest a molecular function. The b0081 gene from Escherichia coli that encodes the MraZ protein was cloned and the protein was overexpressed, purified and crystallized. This data is presented along with evidence that the E. coli homologue exists in a different oligomeric state to the MPN314 protein.

  2. Combination 3D TOP with 2D PC MRA Techique for cerebral blood flow volume measurement.

    PubMed

    Guo, G; Wu, R H; Zhang, Y P; Guan, J T; Guo, Y L; Cheng, Y; terBrugge, K; Mikulis, D J

    2006-01-01

    To demonstrate the discrepancy of cerebral blood flow volume (BFV) estimation with 2D phase-contrast (2D PC) MRA guided with 3D time-of-flight (3D TOF) MR localization by using an "internal" standard. 20 groups of the common (CCA), internal (ICA), and external (ECA) carotid arteries in 10 healthy subjects were examined with 2D PC MRA guided by 3D TOF MR angiograms. The sum BFV of the internal and external carotid arteries was then compared with the ipsilateral common carotid artery flow. An accurate technique would demonstrate no difference. The difference was therefore a measure of accuracy of the method. 3D TOF MRA localization is presented to allow the determination of a slice orientation to improve the accuracy of 2D PC MRA in estimate the BFV. By using the combined protocols, there was better correlation in BFV estimate between the sum of ICA+ECA with the ipsilateral CCA (R2=0.729, P=0.000). The inconsistency (mean +/- SD) was found to be 6.95 +/- 5.95% for estimate the BFV in ICA+ECA and ipsilateral CCA. The main inconsistency was contributed to the ECA and its branches. Guided with 3D TOF MRA localization, 2D PC MRA is more accurate in the determination of blood flow volume in the carotid arteries. PMID:17946401

  3. New Insight into the Catalytic Mechanism of Bacterial MraY from Enzyme Kinetics and Docking Studies.

    PubMed

    Liu, Yao; Rodrigues, João P G L M; Bonvin, Alexandre M J J; Zaal, Esther A; Berkers, Celia R; Heger, Michal; Gawarecka, Katarzyna; Swiezewska, Ewa; Breukink, Eefjan; Egmond, Maarten R

    2016-07-15

    Phospho-MurNAc-pentapeptide translocase (MraY) catalyzes the synthesis of Lipid I, a bacterial peptidoglycan precursor. As such, MraY is essential for bacterial survival and therefore is an ideal target for developing novel antibiotics. However, the understanding of its catalytic mechanism, despite the recently determined crystal structure, remains limited. In the present study, the kinetic properties of Bacillus subtilis MraY (BsMraY) were investigated by fluorescence enhancement using dansylated UDP-MurNAc-pentapeptide and heptaprenyl phosphate (C35-P, short-chain homolog of undecaprenyl phosphate, the endogenous substrate of MraY) as second substrate. Varying the concentrations of both of these substrates and fitting the kinetics data to two-substrate models showed that the concomitant binding of both UDP-MurNAc-pentapeptide-DNS and C35-P to the enzyme is required before the release of the two products, Lipid I and UMP. We built a model of BsMraY and performed docking studies with the substrate C35-P to further deepen our understanding of how MraY accommodates this lipid substrate. Based on these modeling studies, a novel catalytic role was put forward for a fully conserved histidine residue in MraY (His-289 in BsMraY), which has been experimentally confirmed to be essential for MraY activity. Using the current model of BsMraY, we propose that a small conformational change is necessary to relocate the His-289 residue, such that the translocase reaction can proceed via a nucleophilic attack of the phosphate moiety of C35-P on bound UDP-MurNAc-pentapeptide. PMID:27226570

  4. Diagnostic value of 3D time-of-flight MRA in trigeminal neuralgia.

    PubMed

    Cai, Jing; Xin, Zhen-Xue; Zhang, Yu-Qiang; Sun, Jie; Lu, Ji-Liang; Xie, Feng

    2015-08-01

    The aim of this meta-analysis was to evaluate the diagnostic value of 3D time-of-flight magnetic resonance angiography (3D-TOF-MRA) in trigeminal neuralgia (TN). Relevant studies were identified by computerized database searches supplemented by manual search strategies. The studies were included in accordance with stringent inclusion and exclusion criteria. Following a multistep screening process, high quality studies related to the diagnostic value of 3D-TOF-MRA in TN were selected for meta-analysis. Statistical analyses were conducted using Statistical Analysis Software (version 8.2; SAS Institute, Cary, NC, USA) and Meta Disc (version 1.4; Unit of Clinical Biostatistics, Ramon y Cajal Hospital, Madrid, Spain). For the present meta-analysis, we initially retrieved 95 studies from database searches. A total of 13 studies were eventually enrolled containing a combined total of 1084 TN patients. The meta-analysis results demonstrated that the sensitivity and specificity of the diagnostic value of 3D-TOF-MRA in TN were 95% (95% confidence interval [CI] 0.93-0.96) and 77% (95% CI 0.66-0.86), respectively. The pooled positive likelihood ratio and negative likelihood ratio were 2.72 (95% CI 1.81-4.09) and 0.08 (95% CI 0.06-0.12), respectively. The pooled diagnostic odds ratio of 3D-TOF-MRA in TN was 52.92 (95% CI 26.39-106.11), and the corresponding area under the curve in the summary receiver operating characteristic curve based on the 3D-TOF-MRA diagnostic image of observers was 0.9695 (standard error 0.0165). Our results suggest that 3D-TOF-MRA has excellent sensitivity and specificity as a diagnostic tool for TN, and that it can accurately identify neurovascular compression in TN patients. PMID:26077938

  5. High temporal and high spatial resolution MR angiography (4D-MRA).

    PubMed

    Hadizadeh, D R; Marx, C; Gieseke, J; Schild, H H; Willinek, W A

    2014-09-01

    In the first decade of the twenty-first century, whole-body magnetic resonance scanners with high field strengths (and thus potentially better signal-to-noise ratios) were developed. At the same time, parallel imaging and "echo-sharing" techniques were refined to allow for increasingly high spatial and temporal resolution in dynamic magnetic resonance angiography ("time-resolved" = TR-MRA). This technological progress facilitated tracking the passage of intra-venously administered contrast agent boluses as well as the acquisition of volume data sets at high image refresh rates ("4D-MRA"). This opened doors for many new applications in non-invasive vascular imaging, including simultaneous anatomic and functional analysis of many vascular pathologies including arterio-venous malformations. Different methods were established to acquire 4D-MRA using various strategies to acquire k-space trajectories over time in order to optimize imaging according to clinical needs. These include "keyhole"-based techniques (e. g. 4D-TRAK), TRICKS - both with and without projection - and HYPR-reconstruction, TREAT, and TWIST. Some of these techniques were first introduced in the 1980 s and 1990 s, were later enhanced and modified, and finally implemented in the products of major vendors. In the last decade, a large number of studies on the clinical applications of TR-MRA was published. This manuscript provides an overview of the development of TR-MRA methods and the 4D-MRA techniques as they are currently used in the diagnosis, treatment and follow-up of vascular diseases in various parts of the body. PMID:24955647

  6. Optimization of Coronary Whole-Heart MRA Free Breathing Technique at 3T

    PubMed Central

    Gharib, Ahmed M.; Abd-Elmoniem, Khaled Z.; Herzka, Daniel A.; Ho, Vincent B.; Locklin, Julie; Tzatha, Efstathia; Stuber, Matthias; Pettigrew, Roderic I

    2011-01-01

    Four different techniques for 3T whole-heart coronary MRA using free-breathing 3D segmented parallel imaging and adiabatic T2-Prep were assessed. Coronary MRA at 3T is improved by shortening the acquisition window more than employing the highest spatial resolution. Double oblique whole-heart acquisitions result in better overall image quality and allow for better delineation of the LAD. It is possible to attain shorter acquisition windows and a smaller voxel size at 3T than previously reported at 1.5T. PMID:21871751

  7. Non-contrast MRA using an inflow-enhanced, inversion recovery SSFP technique in pediatric abdominal imaging.

    PubMed

    Serai, Suraj; Towbin, Alexander J; Podberesky, Daniel J

    2012-03-01

    Abdominal contrast-enhanced MR angiography (CE-MRA) is routinely performed in children. CE-MRA is challenging in children because of patient motion, difficulty in obtaining intravenous access, and the inability of young patients to perform a breath-hold during imaging. The combination of pediatric-specific difficulties in imaging and the safety concerns regarding the risk of gadolinium-based contrast agents in patients with impaired renal function has renewed interest in the use of non-contrast (NC) MRA techniques. At our institution, we have optimized 3-D NC-MRA techniques for abdominal imaging. The purpose of this work is to demonstrate the utility of an inflow-enhanced, inversion recovery balanced steady-state free precession-based (b-SSFP) NC-MRA technique. PMID:22072071

  8. Detection of cerebral aneurysms in MRA, CTA and 3D-RA data sets

    NASA Astrophysics Data System (ADS)

    Hentschke, Clemens M.; Beuing, Oliver; Nickl, Rosa; Tönnies, Klaus D.

    2012-03-01

    We propose a system to automatically detect cerebral aneurysms in 3D X-ray rotational angiography images (3D-RA), magnetic resonance angiography images (MRA) and computed tomography angiography images (CTA). After image normalization, initial candidates are found by applying a blob-enhancing filter on the data sets. Clusters are computed by a modified k-means algorithm. A post-processing step reduces the false positive (FP) rate on the basis of computed features. This is implemented as a rule-based system that is adapted according to the modality. In MRA, clusters are excluded that are not neighbored to a vessel. As a final step, FP are further reduced by applying a threshold classification on a feature. Our method was tested on 93 angiographic data sets containing aneurysm and non-aneurysm cases. We achieved 95 % sensitivity with an average rate of 2.6 FP per data set (FP/DS) in case of 3D-RA, 89 % sensitivity at 6.6 FP/DS for MRA and 95 % sensitivity at 37.6 FP/DS with CTA, respectively. We showed that our post-processing approach eliminates FP in MRA with only a slight decrease of sensitivity. In contrast to other approaches, our algorithm does not require a vessel segmentation and does not require training of distributional properties.

  9. 3D DCE-MRA of pedal arteries in patients with diabetes mellitus

    NASA Astrophysics Data System (ADS)

    Zamyshevskaya, M.; Zavadovskaya, V.; Zorkaltsev, M.; Udodov, V.; Grigorev, E.

    2016-02-01

    Purpose was identification and evaluation of pedal vascularization in diabetic patients of using contrast MR-angiography (3D DCE-MRA). 23 diabetic feet of 23 patients (15 male, 8 female; mean age 56 ± 14.6) underwent 3D DCE-MRA (Gadobutrol 15ml) at 1.5 T. Imaging analysis included blood-flow's speed, vascular architectonic's condition and character of contrast's accumulation. Osteomyelitis was verified by surgery in 15 cases. All patients were divided in 3 groups: neuropathic, neuroischemic, ischemic forms of diabetic foot. First- pass MRA detected significant delay of contrast's arrival in ischemic group. There were no significant differences between the values of neuropathic and neuroischemic forms of diabetic foot. Pedal vessels in patients were absent. Contrast MRA revealed three types of contrast distribution in soft tissues: uniform, local increase and local absence. Osteomyelitis was associated with diffuse enhanced contrast accumulation in all cases. In summary, MRI blood vessel imaging is a promising and valuable method for examining peripheral arterial changes in diabetic foot and might be useful for treatment planning in different forms of diabetic foot.

  10. MRA Study on Variation of the Circle of Willis in Healthy Chinese Male Adults

    PubMed Central

    Qiu, Chuanya; Zhang, Yong; Xue, Caixia; Jiang, Shanshan; Zhang, Wei

    2015-01-01

    Aim. To investigate the morphology and variation of the circle of Willis (COW) in healthy Chinese male adults. Materials and Methods. We analyzed cerebral magnetic resonance angiography (MRA) images of 2,246 healthy subjects using typical magnetic resonance imaging (MRI) and MRA. 3D-time of flight (TOF) MRA method was applied to all subjects and the classification was therefore achieved according to the integrity level of COW and the developmental situation of vessels. Results. The overall incidence of COW integrity was 12.24%, with 7.57% nonvariation integral COW. The incidences of partial integrity and nonintegrity were 70.17% and 17.59%, respectively. The integrity rate of anterior circulation was 78.58%, with a close correlation with A1 segment of the anterior cerebral artery (ACA-A1) developmental condition. The developmental variation rate of ACA-A1 was 28.23% and the variation of the right side was higher than that of the left side. The nonintegrity rate of posterior circulation was 83.93% as the hypoplasia of P1 segment of the posterior cerebral artery (PCA-P1) with an incidence rate of 15.85% for PCA-P1 variation. Conclusions. The COW variation is a common phenomenon among the healthy subjects. MRA could enable reflecting the physiological morphology of COW in a comprehensive manner. PMID:25629057

  11. The Mycobacterium tuberculosis H37Ra gene MRA_1916 causes growth defects upon down-regulation.

    PubMed

    Singh, Kumar Sachin; Singh, Sudheer Kumar

    2015-01-01

    D-amino acid oxidases play an important role in converting D-amino acids to their corresponding α-keto acids. MRA_1916 of Mycobacterium tuberculosis H37Ra (Mtb-Ra) is annotated to be a D-amino acid oxidase (DAO). However, not much information is available about its physiological role during Mtb-Ra growth and survival. The present study was taken-up to understand the role of DAO during different stages of growth and effect of its down-regulation on growth. Recombinant Mtb-Ra strains with DAO and GlcB (malate synthase: MRA_1848) gene knockdown were developed and their growth was studied using Microtiter Alamar Blue Assay (MABA) with glycerol, acetate and glycine as a carbon source. Ethyl bromopyruvate (BrP) was used as an inhibitor of GlcB. MABA study showed inhibition of wild-type (WT) and knockdowns in the presence of BrP (2.5mM). However, growth inhibition of WT was less noticeable at lower concentrations of BrP. Mtb-Ra with DAO knockdown showed poor utilization of glycine in the presence of BrP. The DAO localization study showed its prominent distribution in cytosolic fraction and to some extent in cell wall and membrane fractions. Growth profile of WT under oxygen and nutritional stress showed changes in expression of DAO, GlcB, PckA (phosphoenolpyruvate carboxykinase: MRA_0219) and GlyA1 (serine hydroxymethyltransferase: MRA_1104). PMID:26531045

  12. The Mycobacterium tuberculosis H37Ra gene MRA_1916 causes growth defects upon down-regulation

    PubMed Central

    Singh, Kumar Sachin; Singh, Sudheer Kumar

    2015-01-01

    D-amino acid oxidases play an important role in converting D-amino acids to their corresponding α-keto acids. MRA_1916 of Mycobacterium tuberculosis H37Ra (Mtb-Ra) is annotated to be a D-amino acid oxidase (DAO). However, not much information is available about its physiological role during Mtb-Ra growth and survival. The present study was taken-up to understand the role of DAO during different stages of growth and effect of its down-regulation on growth. Recombinant Mtb-Ra strains with DAO and GlcB (malate synthase: MRA_1848) gene knockdown were developed and their growth was studied using Microtiter Alamar Blue Assay (MABA) with glycerol, acetate and glycine as a carbon source. Ethyl bromopyruvate (BrP) was used as an inhibitor of GlcB. MABA study showed inhibition of wild-type (WT) and knockdowns in the presence of BrP (2.5mM). However, growth inhibition of WT was less noticeable at lower concentrations of BrP. Mtb-Ra with DAO knockdown showed poor utilization of glycine in the presence of BrP. The DAO localization study showed its prominent distribution in cytosolic fraction and to some extent in cell wall and membrane fractions. Growth profile of WT under oxygen and nutritional stress showed changes in expression of DAO, GlcB, PckA (phosphoenolpyruvate carboxykinase: MRA_0219) and GlyA1 (serine hydroxymethyltransferase: MRA_1104). PMID:26531045

  13. Investigating Uncertainty and Sensitivity in Integrated, Multimedia Environmental Models: Tools for FRAMES-3MRA

    SciTech Connect

    Babendreier, Justin E.; Castleton, Karl J.

    2005-08-01

    Elucidating uncertainty and sensitivity structures in environmental models can be a difficult task, even for low-order, single-medium constructs driven by a unique set of site-specific data. Quantitative assessment of integrated, multimedia models that simulate hundreds of sites, spanning multiple geographical and ecological regions, will ultimately require a comparative approach using several techniques, coupled with sufficient computational power. The Framework for Risk Analysis in Multimedia Environmental Systems - Multimedia, Multipathway, and Multireceptor Risk Assessment (FRAMES-3MRA) is an important software model being developed by the United States Environmental Protection Agency for use in risk assessment of hazardous waste management facilities. The 3MRA modeling system includes a set of 17 science modules that collectively simulate release, fate and transport, exposure, and risk associated with hazardous contaminants disposed of in land-based waste management units (WMU) .

  14. Non-Contrast SSFP Pulmonary Vein MRA: Impact of Off-Resonance and Flow

    PubMed Central

    Hu, Peng; Stoeck, Christian T.; Smink, Jouke; Peters, Dana C.; Ngo, Long; Goddu, Beth; Kissinger, Kraig V.; Goepfert, Lois A.; Chan, Jonathan; Hauser, Thomas H.; Rofsky, Neil M.; Manning, Warren J.; Nezafat, Reza

    2010-01-01

    Purpose To investigate pulmonary vein (PV) off-resonance and blood flow as causes of signal void artifacts in non-contrast steady-state-free-precession (SSFP) PV MR angiography (MRA). Materials and Methods PV blood off-resonance was measured on 11 healthy adult subjects and 10 atrial fibrillation (AF) patients. Non-contrast PV MRA was performed using a three-dimensional slab-selective SSFP sequence at 1.5T on 7 healthy subjects with signal profile shifts of 0-125Hz. The time-resolved blood flow velocity of the PVs was measured on 5 healthy subjects. The impact of flow was studied on 6 healthy subjects, on whom SSFP PV MRA was acquired twice with the ECG trigger delay corresponding to low and high flow, respectively. Results The PV off-resonance were 97±27Hz, 65±20Hz, 74±25Hz, and 52±17Hz for right inferior, left inferior, right superior and left superior PVs, respectively, on healthy subjects, and were 74±20Hz, 38±9Hz, 51±20Hz, and 28±11Hz on AF patients (P<0.01 for all). The off-resonance caused severe signal voids in the PVs. Signal acquired during mid-diastole with high PV flow caused additional signal voids in the left atrium, which was reduced by setting the ECG trigger delay to late-diastole. Conclusion PV off-resonance and flow causes signal void artifacts in non-contrast three-dimensional slab-selective SSFP PV MRA. PMID:21031533

  15. Contrast-Kinetics-Resolved Whole-Heart Coronary MRA Using 3DPR

    PubMed Central

    Lai, Peng; Huang, Feng; Li, Yu; Nielles-Vallespin, Sonia; Bi, Xiaoming; Jerecic, Renate; Li, Debiao

    2009-01-01

    Slow contrast infusion was recently proposed for contrast-enhanced whole-heart coronary MR angiography (MRA). Current protocols use Cartesian k-space sampling with empirical acquisition delays, potentially resulting in suboptimal coronary artery delineation and image artifacts if there is a timing error. This study aimed to investigate the feasibility of using time-resolved three-dimensional projection reconstruction (3DPR) for whole-heart coronary MRA. With this method, data acquisition was started simultaneously with contrast injection. Sequential time frames were reconstructed by employing a sliding window scheme with temporal tornado filtering. Additionally, a self-timing method was developed to monitor contrast enhancement during a scan and automatically determine the peak enhancement time around which optimal temporal frames were reconstructed. Our preliminary results on 6 healthy volunteers showed that by using time-resolved 3DPR, the contrast kinetics of the coronary artery system throughout a scan could be retrospectively resolved and assessed. In addition, the blood signal dynamics predicted using self-timing was closely correlated to the true dynamics in time-resolved reconstruction. This approach is useful for optimizing delineation of each coronary artery and minimizing image artifacts for contrast-enhanced whole-heart MRA. PMID:20373398

  16. Systolically gated 3D phase contrast MRA of mesenteric arteries in suspected mesenteric ischemia

    SciTech Connect

    Wasser, M.N.; Schultze Kool, L.J.; Roos, A. de

    1996-03-01

    Our goal was to assess the value of MRA for detecting stenoses in the celiac (CA) and superior mesenteric (SMA) arteries in patients suspected of having chronic mesenteric ischemia, using an optimized systolically gated 3D phase contrast technique. In an initial study in 24 patients who underwent conventional angiography of the abdominal vessels for different clinical indications, a 3D phase contrast MRA technique (3D-PCA) was evaluated and optimized to image the CAs and SMAs. Subsequently, a prospective study was performed to assess the value of systolically gated 3D-PCA in evaluation of the mesenteric arteries in 10 patients with signs and symptoms of chronic mesenteric ischemia. Intraarterial digital subtraction angiography and surgical findings were used as the reference standard. In the initial study, systolic gating appeared to be essential in imaging the SMA on 3D-PCA. In 10 patients suspected of mesenteric ischemia, systolically gated 3D-PCA identified significant proximal disease in the two mesenteric vessels in 4 patients. These patients underwent successful reconstruction of their stenotic vessels. Cardiac-gated MRA may become a useful tool in selection of patients suspected of having mesenteric ischemia who may benefit from surgery. 16 refs., 6 figs., 4 tabs.

  17. Anatomic vascular phantom for the verification of MRA and XRA visualization and fusion

    SciTech Connect

    Mankovich, N.J. |; Lambert, T.; Zrimec, T.; Hiller, J.

    1995-12-31

    A project is underway to develop automated methods of fusing cerebral magnetic resonance angiography (MRA) and x-ray angiography (XRA) for creating accurate visualizations used in planning treatment of vascular disease. The authors have developed a vascular phantom suitable for testing segmentation and fusion algorithms with either derived images (pseudo-MRA/pseudo-XRA) or actual MRA or XRA image sequences. The initial unilateral arterial phantom design, based on normal human anatomy, contains 48 tapering vascular segments with lumen diameters from 2.5 millimeter to 0.25 millimeter. The initial phantom used rapid prototyping technology (stereolithography) with a 0.9 millimeter vessel wall fabricated in an ultraviolet-cured plastic. The model fabrication resulted in a hollow vessel model comprising the internal carotid artery, the ophthalmic artery, and the proximal segments of the anterior, middle, and posterior cerebral arteries. The complete model was fabricated but the model`s lumen could not be cleared for vessels with less than 1 millimeter diameter. Measurements of selected vascular outer diameters as judged against the CAD specification showed an accuracy of 0.14 mm and precision (standard deviation) of 0.15 mm. The plastic vascular model produced provides a fixed geometric framework for the evaluation of imaging protocols and the development of algorithms for both segmentation and fusion.

  18. Controlled Experimental Study Depicting Moving Objects in View-Shared Time-Resolved 3D MRA

    PubMed Central

    Mostardi, Petrice M.; Haider, Clifton R.; Rossman, Phillip J.; Borisch, Eric A.; Riederer, Stephen J.

    2010-01-01

    Various methods have been used for time-resolved contrast-enhanced MRA (CE-MRA), many involving view sharing. However, the extent to which the resultant image time series represents the actual dynamic behavior of the contrast bolus is not always clear. Although numerical simulations can be used to estimate performance, an experimental study can allow more realistic characterization. The purpose of this work was to use a computer-controlled motion phantom for study of the temporal fidelity of 3D time-resolved sequences in depicting a contrast bolus. It is hypothesized that the view order of the acquisition and the selection of views in the reconstruction can affect the positional accuracy and sharpness of the leading edge of the bolus and artifactual signal preceding the edge. Phantom studies were performed using dilute gadolinium-filled vials that were moved along tabletop tracks by a computer-controlled motor. Several view orders were tested, which use view-sharing and Cartesian sampling. Compactness of measuring the k-space center, consistency of view ordering within each reconstruction frame, and sampling the k-space center near the end of the temporal footprint were shown to be important in accurate portrayal of the leading edge of the bolus. A number of findings were confirmed in an in vivo CE-MRA study. PMID:19319897

  19. Time Resolved MRA: Evaluation of Intrapulmonary Circulation Parameters in Pulmonary Arterial Hypertension

    PubMed Central

    Jeong, Hyun J.; Vakil, Parmede; Sheehan, John J.; Shah, Sanjiv J.; Cuttica, Michael; Carr, James C.; Carroll, Timothy J.; Davarpanah, Amir

    2010-01-01

    Purpose To determine whether pulmonary arterial and venous transit times measured by time-resolved MRA can be used as a diagnostic tool for pulmonary arterial hypertension (PAH). Materials and Methods 12 patients with confirmed PAH and 10 healthy volunteers were scanned with IRB approval. Time-resolved MRA and 2D phase contrast flow images of the pulmonary vasculature were acquired. Pulmonary arterial and venous transit times (PaTT and PvTT) and pulmonary valve flow (PVF) were obtained. Pulmonary arterial and pulmonary venous blood volumes (PaBV and PvBV) were calculated as the product of flow and transit time. Results Patients with PAH showed statistically significant increases in PaTT and PvTT (p<0.0004, p<0.05 respectively) compared to controls. PaBV (165.2 ± 92.0ml) was significantly higher in PAH subjects than controls (97.0 ± 47.1 ml) (p<0.04), whereas PvBV (127.9 ± 148.9ml) of PAH subjects had no significant increase from those of healthy controls (142.5 ± 104.1 ml) (p<0.38). Conclusion Pulmonary arterial transit times measured using time-resolved MRA can be used as a simple, non-invasive metric for detection of altered hemodynamics in PAH. PMID:21182144

  20. Evaluation of Non-contrast Dynamic MRA in Intracranial Arteriovenous Malformation (AVM): Comparison with time of flight (TOF) and digital subtraction angiography (DSA)

    PubMed Central

    Yu, Songlin; Yan, Lirong; Yao, Yuqiang; Wang, Shuo; Yang, Mingqi; Wang, Bo; Zhuo, Yan; Zhao, Jizong; Wang, Danny J. J.

    2014-01-01

    Purpose Digital subtraction angiography (DSA) remains the gold standard to diagnose intracranial arteriovenous malformations (AVMs) but is invasive. Existing magnetic resonance angiography (MRA) is suboptimal for assessing the hemodynamics of AVMs. The objective of this study was to evaluate the clinical utility of a novel noncontrast four-dimensional (4D) dynamic MRA (dMRA) in the evaluation of intracranial AVMs through comparison with DSA and time-of-flight (TOF) MRA. Materials and methods Nineteen patients (12 women, mean age 26.2±10.7 years) with intracranial AVMs were examined with 4D dMRA, TOF and DSA. Spetzler–Martin grading scale was evaluated using each of the above three methods independently by two raters. Diagnostic confidence scores for three components of AVMs (feeding artery, nidus and draining vein) were also rated. Kendall's coefficient of concordance was calculated to evaluate the reliability between two raters within each modality (dMRA, TOF, TOF plus dMRA). The Wilcoxon signed-rank test was applied to compare the diagnostic confidence scores between each pair of the three modalities Results dMRA was able to detect 16 out of 19 AVMs, and the ratings of AVM size and location matched those of DSA. The diagnostic confidence scores by dMRA were adequate for nidus (3.5/5), moderate for feeding arteries (2.5/5) and poor for draining veins (1.5/5). The hemodynamic information provided by dMRA improved diagnostic confidence scores by TOF MRA. Conclusion As a completely noninvasive method, 4D dMRA offers hemodynamic information with a temporal resolution of 50–100 ms for the evaluation of AVMs and can complement existing methods such as DSA and TOF MRA. PMID:22521994

  1. Time-resolved Non-contrast Enhanced 4-D Dynamic MRA using Multi-bolus TrueFISP based Spin Tagging with Alternating Radiofrequency (True-STAR)

    PubMed Central

    Yan, Lirong; Salamon, Noriko; Wang, Danny JJ

    2013-01-01

    Purpose The goal of the present study was to introduce a new non-contrast enhanced 4D dynamic MR angiography (dMRA) technique termed multi-bolus TrueFISP based spin tagging with alternating radiofrequency (TrueSTAR). Methods Multi-bolus TrueSTAR was developed by taking advantage of the phenomenon that the steady-state signal of TrueFISP is minimally disturbed by periodically inserted magnetization preparations (e.g., spin tagging) that are sandwiched by 2 α/2 RF pulses. Both theoretical analysis and experimental studies were carried out to optimize the proposed method which was compared with both pulsed and pseudo-continuous arterial spin labeling (pCASL) based dMRA in healthy volunteers. Optimized multi-bolus dMRA was also applied in a patient with arteriovenous malformation (AVM) to demonstrate its potential clinical utility. Results Multi-bolus dMRA offered a prolonged tagging bolus compared to the standard single-bolus dMRA, and allowed improved visualization of the draining veins in the AVM patient. Compared to pCASL based dMRA, multi-bolus dMRA provided visualization of the full passage of the labeled blood with the flexibility for both static and dynamic MRA. Conclusion By combining the benefits of pulsed and pCASL based dMRA, multi-bolus TrueSTAR can prolong and enhance the tagging bolus without sacrificing imaging speed or temporal resolution. PMID:23440649

  2. Comparison of 7.0- and 3.0-T MRI and MRA in ischemic-type moyamoya disease: preliminary experience.

    PubMed

    Deng, Xiaofeng; Zhang, Zihao; Zhang, Yan; Zhang, Dong; Wang, Rong; Ye, Xun; Xu, Long; Wang, Bo; Wang, Kai; Zhao, Jizong

    2016-06-01

    OBJECT The authors compared the image quality and diagnostic sensitivity and specificity of 7.0-T and 3.0-T MRI and time-of-flight (TOF) MR angiography (MRA) in patients with moyamoya disease (MMD). METHODS MR images of 15 patients with ischemic-type MMD (8 males, 7 females; age 13-48 years) and 13 healthy controls (7 males, 6 females; age 19-28 years) who underwent both 7.0-T and 3.0-T MRI and MRA were studied retrospectively. The main intracranial arteries were assessed by using the modified Houkin's grading system (MRA score). Moyamoya vessels (MMVs) were evaluated by 2 grading systems: the MMV quality score and the MMV area score. Two diagnostic criteria for MMD were used: the T2 criteria, which used flow voids in the basal ganglion on T2-weighted images, and the TOF criteria, which used the high-intensity areas in the basal ganglion on source images from TOF MRA. All data were evaluated by 2 independent readers who were blinded to the strength field and presence or absence of MMD. Using conventional angiography as the gold standard, the sensitivity and specificity of 7.0-T and 3.0-T MRI/MRA in the diagnosis of MMD were calculated. The differences between 7.0-T and 3.0-T MRI and MRA were statistically compared. RESULTS No significant differences were observed between 7.0-T and 3.0-T MRA in MRA score (p = 0.317) or MRA grade (p = 0.317). There was a strong correlation between the Suzuki's stage and MRA grade in both 3.0-T (rs = 0.930; p < 0.001) and 7.0-T (rs = 0.966; p < 0.001) MRA. However, MMVs were visualized significantly better on 7.0-T than on 3.0-T MRA, suggested by both the MMV quality score (p = 0.001) and the MMV area score (p = 0.001). The correlation between the Suzuki's stage and the MMV area score was moderate in 3.0-T MRA (rs = 0.738; p = 0.002) and strong in 7.0-T MRA (rs = 0.908; p < 0.001). Moreover, 7.0-T MR images showed a greater capacity for detecting flow voids in the basal ganglion on both T2-weighted MR images (p < 0.001) and TOF source

  3. Systematic assessment and evaluation of sliding interleaved kY (SLINKY) acquisition for 3D MRA.

    PubMed

    Liu, K; Lee, D H; Rutt, B K

    1998-01-01

    In comparison with the conventional three-dimensional multiple overlapped thin slab acquisition (MOTSA) for magnetic resonance angiography (MRA), we have developed a novel sliding interleaved kY (SLINKY) acquisition technique, which can eliminate the slab boundary artifact (SBA) or venetian blind artifact without any a priori knowledge of blood flow. This work addresses the systematic assessment and evaluation of the SLINKY technique and verifies the advantages of SLINKY in the following several aspects: (a) scan time efficiency; (b) signal-to-noise ratio (SNR), and signal-difference-to-noise ratio (SDNR); (c) sensitivity to flow velocity range; (d) sensitivity to flow direction; (e) signal loss in slow/reversal flow regions; and (f) reconstruction efficiency and feasibility. Both phantom and in vivo experiments verify the clinical significance of the technique. The new MRA images acquired with this imaging technique in 31 volunteer/patient examinations show highly reliable mapping of vascular morphology without the SBA and reduction of signal voids in complex/slow flow regions. PMID:9702894

  4. A multimodality vascular imaging phantom with fiducial markers visible in DSA, CTA, MRA, and ultrasound.

    PubMed

    Cloutier, Guy; Soulez, Gilles; Qanadli, Salah D; Teppaz, Pierre; Allard, Louise; Qin, Zhao; Cloutier, François; Durand, Louis-Gilles

    2004-06-01

    The objective was to design a vascular phantom compatible with digital subtraction angiography, computerized tomography angiography, ultrasound and magnetic resonance angiography (MRA). Fiducial markers were implanted at precise known locations in the phantom to facilitate identification and orientation of plane views from three-dimensional (3-D) reconstructed images. A vascular conduit connected to tubing at the extremities of the phantom ran through an agar-based gel filling it. A vessel wall in latex was included around the conduit to avoid diffusion of contrast agents. Using a lost-material casting technique based on a low melting point metal, geometries of pathological vessels were modeled. During the experimental testing, fiducial markers were detectable in all modalities without distortion. No leak of gadolinium through the vascular wall was observed on MRA after 5 hours. Moreover, no significant deformation of the vascular conduit was noted during the fabrication process (confirmed by microtome slicing along the vessel). The potential use of the phantom for calibration, rescaling, and fusion of 3-D images obtained from the different modalities as well as its use for the evaluation of intra- and inter-modality comparative studies of imaging systems are discussed. In conclusion, the vascular phantom can allow accurate calibration of radiological imaging devices based on x-ray, magnetic resonance and ultrasound and quantitative comparisons of the geometric accuracy of the vessel lumen obtained with each of these methods on a given well defined 3-D geometry. PMID:15259645

  5. Controlled experimental study depicting moving objects in view-shared time-resolved 3D MRA.

    PubMed

    Mostardi, Petrice M; Haider, Clifton R; Rossman, Phillip J; Borisch, Eric A; Riederer, Stephen J

    2009-07-01

    Various methods have been used for time-resolved contrast-enhanced magnetic resonance angiography (CE-MRA), many involving view sharing. However, the extent to which the resultant image time series represents the actual dynamic behavior of the contrast bolus is not always clear. Although numerical simulations can be used to estimate performance, an experimental study can allow more realistic characterization. The purpose of this work was to use a computer-controlled motion phantom for study of the temporal fidelity of three-dimensional (3D) time-resolved sequences in depicting a contrast bolus. It is hypothesized that the view order of the acquisition and the selection of views in the reconstruction can affect the positional accuracy and sharpness of the leading edge of the bolus and artifactual signal preceding the edge. Phantom studies were performed using dilute gadolinium-filled vials that were moved along tabletop tracks by a computer-controlled motor. Several view orders were tested using view-sharing and Cartesian sampling. Compactness of measuring the k-space center, consistency of view ordering within each reconstruction frame, and sampling the k-space center near the end of the temporal footprint were shown to be important in accurate portrayal of the leading edge of the bolus. A number of findings were confirmed in an in vivo CE-MRA study. PMID:19319897

  6. Computerized detection of unruptured aneurysms in MRA images: reduction of false positives using anatomical location features

    NASA Astrophysics Data System (ADS)

    Uchiyama, Yoshikazu; Gao, Xin; Hara, Takeshi; Fujita, Hiroshi; Ando, Hiromichi; Yamakawa, Hiroyasu; Asano, Takahiko; Kato, Hiroki; Iwama, Toru; Kanematsu, Masayuki; Hoshi, Hiroaki

    2008-03-01

    The detection of unruptured aneurysms is a major subject in magnetic resonance angiography (MRA). However, their accurate detection is often difficult because of the overlapping between the aneurysm and the adjacent vessels on maximum intensity projection images. The purpose of this study is to develop a computerized method for the detection of unruptured aneurysms in order to assist radiologists in image interpretation. The vessel regions were first segmented using gray-level thresholding and a region growing technique. The gradient concentration (GC) filter was then employed for the enhancement of the aneurysms. The initial candidates were identified in the GC image using a gray-level threshold. For the elimination of false positives (FPs), we determined shape features and an anatomical location feature. Finally, rule-based schemes and quadratic discriminant analysis were employed along with these features for distinguishing between the aneurysms and the FPs. The sensitivity for the detection of unruptured aneurysms was 90.0% with 1.52 FPs per patient. Our computerized scheme can be useful in assisting the radiologists in the detection of unruptured aneurysms in MRA images.

  7. Identification of novel inhibitors of phospho-MurNAc-pentapeptide translocase MraY from library screening: Isoquinoline alkaloid michellamine B and xanthene dye phloxine B.

    PubMed

    Mihalyi, Agnes; Jamshidi, Shirin; Slikas, Justinas; Bugg, Timothy D H

    2014-09-01

    The National Cancer Institute (NCI) Diversity Set was screened for potential inhibitors of phospho-MurNAc-pentapeptide translocase MraY from Escherichia coli using a primary fluorescence enhancement assay, followed by a secondary radiochemical assay. One new MraY inhibitor was identified from this screen, a naphthylisoquinoline alkaloid michellamine B, which inhibited E. coli MraY (IC50 456μM) and Bacillus subtilis MraY (IC50 386μM), and which showed antimicrobial activity against B. subtilis (MIC 16μg/mL). Following an earlier report of halogenated fluoresceins identified from a combined MraY/MurG screen, three halogenated fluoresceins were tested as inhibitors of E. coli MraY and E. coli MurG, and phloxine B was identified as an inhibitor of E. coli MraY (IC50 32μM). Molecular docking of inhibitor structures against the structure of Aquifex aeolicus MraY indicates that phloxine B appears to bind to the Mg(2+) cofactor in the enzyme active site, while michellamine B binds to a hydrophobic groove formed between transmembrane helices 5 and 9. PMID:25127465

  8. 5 CFR 875.203 - Am I eligible if I separated under the FERS MRA+10 provision?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Am I eligible if I separated under the FERS MRA+10 provision? 875.203 Section 875.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Eligibility §...

  9. 3MRA: A MULTI-MEDIA HUMAN AND ECOLOGICAL MODELING SYSTEM FOR SITE-SPECIFIC TO NATIONAL SCALE REGULATORY APPLICATIONS

    EPA Science Inventory

    3MRA provides a technology that fully integrates the full dimensionality of human and ecological exposure and risk assessment, thus allowing regulatory decisions a more complete expression of potential adverse health effects related to the disposal and reuse of contaminated waste...

  10. RNase III mediated cleavage of the coding region of mraZ mRNA is required for efficient cell division in Corynebacterium glutamicum.

    PubMed

    Maeda, Tomoya; Tanaka, Yuya; Takemoto, Norihiko; Hamamoto, Nagisa; Inui, Masayuki

    2016-03-01

    The Corynebacterium glutamicum R cgR_1959 gene encodes an endoribonuclease of the RNase III family. Deletion mutant of cgR_1959 (Δrnc mutant) showed an elongated cell shape, and presence of several lines on the cell surface, indicating a required of RNase III for maintaining normal cell morphology in C. glutamicum. The level of mraZ mRNA was increased, whereas cgR_1596 mRNA encoding a putative cell wall hydrolase and ftsEX mRNA were decreased in the Δrnc mutant. The half-life of mraZ mRNA was significantly prolonged in the Δrnc and the Δpnp mutant strains. This indicated that the degradation of mraZ mRNA was performed by RNase III and the 3'-to-5' exoribonuclease, PNPase. Northern hybridization and primer extension analysis revealed that the cleavage site for mraZ mRNA by RNase III is in the coding region. Overproduction of MraZ resulted in an elongated cell shape. The expression of ftsEX decreased while that of cgR_1596 unchanged in an MraZ-overexpressing strain. An electrophoretic mobility shift assay and a transcriptional reporter assay indicate that MraZ is a transcriptional repressor of ftsEX in C. glutamicum. These results indicate that RNase III is required for efficient expression of MraZ-dependent ftsEX and MraZ-independent cgR_1596. PMID:26713407

  11. Time-Resolved 3D Contrast-Enhanced MRA on 3.0T: a Non-Invasive Follow-Up Technique after Stent-Assisted Coil Embolization of the Intracranial Aneurysm

    PubMed Central

    Choi, Jin Woo; Moon, Won-Jin; Kim, Na Ra; Moon, Sung Gyu; Kang, Chung Hwan; Chun, Young Il; Kang, Hyun-Seung

    2011-01-01

    Objective To evaluate the usefulness of time-resolved contrast enhanced magnetic resonance angiography (4D MRA) after stent-assisted coil embolization by comparing it with time of flight (TOF)-MRA. Materials and Methods TOF-MRA and 4D MRA were obtained by 3T MRI in 26 patients treated with stent-assisted coil embolization (Enterprise:Neuroform = 7:19). The qualities of the MRA were rated on a graded scale of 0 to 4. We classified completeness of endovascular treatment into three categories. The degree of quality of visualization of the stented artery was compared between TOF and 4D MRA by the Wilcoxon signed rank test. We used the Mann-Whitney U test for comparing the quality of the visualization of the stented artery according to the stent type in each MRA method. Results The quality in terms of the visualization of the stented arteries in 4D MRA was significantly superior to that in 3D TOF-MRA, regardless of type of the stent (p < 0.001). The quality of the arteries which were stented with Neuroform was superior to that of the arteries stented with Enterprise in 3D TOF (p < 0.001) and 4D MRA (p = 0.008), respectively. Conclusion 4D MRA provides a higher quality view of the stented parent arteries when compared with TOF. PMID:22043147

  12. 3D geometric analysis of the aorta in 3D MRA follow-up pediatric image data

    NASA Astrophysics Data System (ADS)

    Wörz, Stefan; Alrajab, Abdulsattar; Arnold, Raoul; Eichhorn, Joachim; von Tengg-Kobligk, Hendrik; Schenk, Jens-Peter; Rohr, Karl

    2014-03-01

    We introduce a new model-based approach for the segmentation of the thoracic aorta and its main branches from follow-up pediatric 3D MRA image data. For robust segmentation of vessels even in difficult cases (e.g., neighboring structures), we propose a new extended parametric cylinder model which requires only relatively few model parameters. The new model is used in conjunction with a two-step fitting scheme for refining the segmentation result yielding an accurate segmentation of the vascular shape. Moreover, we include a novel adaptive background masking scheme and we describe a spatial normalization scheme to align the segmentation results from follow-up examinations. We have evaluated our proposed approach using different 3D synthetic images and we have successfully applied the approach to follow-up pediatric 3D MRA image data.

  13. Automated quantification of carotid artery stenosis on contrast-enhanced MRA data using a deformable vascular tube model.

    PubMed

    Suinesiaputra, Avan; de Koning, Patrick J H; Zudilova-Seinstra, Elena; Reiber, Johan H C; van der Geest, Rob J

    2012-08-01

    The purpose of this study was to develop and validate a method for automated segmentation of the carotid artery lumen from volumetric MR Angiographic (MRA) images using a deformable tubular 3D Non-Uniform Rational B-Splines (NURBS) model. A flexible 3D tubular NURBS model was designed to delineate the carotid arterial lumen. User interaction was allowed to guide the model by placement of forbidden areas. Contrast-enhanced MRA (CE-MRA) from 21 patients with carotid atherosclerotic disease were included in this study. The validation was performed against expert drawn contours on multi-planar reformatted image slices perpendicular to the artery. Excellent linear correlations were found on cross-sectional area measurement (r = 0.98, P < 0.05) and on luminal diameter (r = 0.98, P < 0.05). Strong match in terms of the Dice similarity indices were achieved: 0.95 ± 0.02 (common carotid artery), 0.90 ± 0.07 (internal carotid artery), 0.87 ± 0.07 (external carotid artery), 0.88 ± 0.09 (carotid bifurcation) and 0.75 ± 0.20 (stenosed segments). Slight overestimation of stenosis grading by the automated method was observed. The mean differences was 7.20% (SD = 21.00%) and 5.2% (SD = 21.96%) when validated against two observers. Reproducibility in stenosis grade calculation by the automated method was high; the mean difference between two repeated analyses was 1.9 ± 7.3%. In conclusion, the automated method shows high potential for clinical application in the analysis of CE-MRA of carotid arteries. PMID:22160666

  14. 3DVIEWNIX-AVS: a software package for the separate visualization of arteries and veins in CE-MRA images.

    PubMed

    Lei, Tianhu; Udupa, Jayaram K; Odhner, Dewey; Nyúl, László G; Saha, Punam K

    2003-01-01

    Our earlier study developed a computerized method, based on fuzzy connected object delineation principles and algorithms, for artery and vein separation in contrast enhanced Magnetic Resonance Angiography (CE-MRA) images. This paper reports its current development-a software package-for routine clinical use. The software package, termed 3DVIEWNIX-AVS, consists of the following major operational parts: (1) converting data from DICOM3 to 3DVIEWNIX format, (2) previewing slices and creating VOI and MIP Shell, (3) segmenting vessel, (4) separating artery and vein, (5) shell rendering vascular structures and creating animations. This package has been applied to EPIX Medical Inc's CE-MRA data (AngioMark MS-325). One hundred and thirty-five original CE-MRA data sets (of 52 patients) from 6 hospitals have been processed. In all case studies, unified parameter settings produce correct artery-vein separation. The current package is running on a Pentium PC under Linux and the total computation time per study is about 3 min. The strengths of this software package are (1) minimal user interaction, (2) minimal anatomic knowledge requirements on human vascular system, (3) clinically required speed, (4) free entry to any operational stages, (5) reproducible, reliable, high quality of results, and (6) cost effective computer implementation. To date, it seems to be the only software package (using an image processing approach) available for artery and vein separation of the human vascular system for routine use in a clinical setting. PMID:12821028

  15. Performance evaluation of an automatic segmentation method of cerebral arteries in MRA images by use of a large image database

    NASA Astrophysics Data System (ADS)

    Uchiyama, Yoshikazu; Asano, Tatsunori; Hara, Takeshi; Fujita, Hiroshi; Kinosada, Yasutomi; Asano, Takahiko; Kato, Hiroki; Kanematsu, Masayuki; Hoshi, Hiroaki; Iwama, Toru

    2009-02-01

    The detection of cerebrovascular diseases such as unruptured aneurysm, stenosis, and occlusion is a major application of magnetic resonance angiography (MRA). However, their accurate detection is often difficult for radiologists. Therefore, several computer-aided diagnosis (CAD) schemes have been developed in order to assist radiologists with image interpretation. The purpose of this study was to develop a computerized method for segmenting cerebral arteries, which is an essential component of CAD schemes. For the segmentation of vessel regions, we first used a gray level transformation to calibrate voxel values. To adjust for variations in the positioning of patients, registration was subsequently employed to maximize the overlapping of the vessel regions in the target image and reference image. The vessel regions were then segmented from the background using gray-level thresholding and region growing techniques. Finally, rule-based schemes with features such as size, shape, and anatomical location were employed to distinguish between vessel regions and false positives. Our method was applied to 854 clinical cases obtained from two different hospitals. The segmentation of cerebral arteries in 97.1%(829/854) of the MRA studies was attained as an acceptable result. Therefore, our computerized method would be useful in CAD schemes for the detection of cerebrovascular diseases in MRA images.

  16. In-vivo study of the thermoregulation of the rat tail using magnetic resonance angiography (MRA)

    NASA Astrophysics Data System (ADS)

    Vanhoutte, Greet; Verhoye, Marleen; Raman, Erik R.; Van der Linden, Anne-Marie

    2000-04-01

    In the rat, almost 20% of the total body heat-loss occurs by sympathetically mediated increases in blood flow through a system of arteriovenous anastomoses (AVAs) in the skin of the tail which are absent at the base and abundant at the tip. To study the mechanisms of thermoregulation in the rat tail we monitored online the blood vessel temperature and the arterial and venous vessel size and their mutual vascular volume interactions using in vivo MRA. During a gradual rise in rectal temperature from 36 degrees Celsius to 40 degrees Celsius, tail surface temperatures were measured at ventral (Ta) and lateral (Tv) sits overlying the respective vascular bundles. At the base, middle and tip, diameter of the ventral artery and the lateral veins of the heat-loaded animal increased clearly upon rising body temperature. Calculation of (Ta - Tv) in function of the rectal temperature during heating showed that at the tail base (Ta - Tv) was maximum at rectal temperature of 38 degrees Celsius and minimum at 39 degrees Celsius. At the middle and the tip of the tail, a steady rise of (Ta - Tv) was observed. If we assume that vasodilatation is a synchronical process along the length of the tail, then the difference in (Ta - Tv) is due to the presence of AVAs.

  17. Structural description and combined 3D display for superior analysis of cerebral vascularity from MRA

    NASA Astrophysics Data System (ADS)

    Szekely, Gabor; Koller, Thomas; Kikinis, Ron; Gerig, Guido

    1994-09-01

    Medical image analysis has to support the clinicians ability to identify, manipulate and quantify anatomical structures. On scalar 2D image data, a human observer is often superior to computer assisted analysis, but the interpretation of vector- valued data or data combined from different modalities, especially in 3D, can benefit from computer assistance. The problem of how to convey the complex information to the clinician is often tackled by providing colored multimodality renderings. We propose to go a step beyond by supplying a suitable modelling of anatomical and functional structures encoding important shape features and physical properties. The multiple attributes regarding geometry, topology and function are carried by the symbolic description and can be interactively queried and edited. Integrated 3D rendering of object surfaces and symbolic representation acts as a visual interface to allow interactive communication between the observer and the complex data, providing new possibilities for quantification and therapy planning. The discussion is guided by the prototypical example of investigating the cerebral vasculature in MRA volume data. Geometric, topological and flow-related information can be assessed by interactive analysis on a computer workstation, providing otherwise hidden qualitative and quantitative information. Several case studies demonstrate the potential usage for structure identification, definition of landmarks, assessment of topology for catheterization, and local simulation of blood flow.

  18. Cervical Vascular and Upper Airway Asymmetry in Velo-Cardio-Facial Syndrome: Correlation of Nasopharyngoscopy with MRA

    PubMed Central

    Oppenheimer, Avi G.; Fulmer, Susan; Shifteh, Keivan; Chang, Ja-Kwei; Brook, Allan; Shanske, Alan L.; Shprintzen, Robert J.

    2010-01-01

    Purpose Velo-cardio-facial syndrome (VCFS), the most common genetic syndrome causing cleft palate, is associated with internal carotid and vertebral artery anomalies, as well as upper airway asymmetry. Medially displaced internal carotid arteries, often immediately submucosal, present a risk of vascular injury during pharyngeal flap surgery for velopharyngeal insufficiency (VPI). We evaluate the frequency and spectrum of cervical vascular anomalies in a large cohort of VCFS patients correlating MRA with nasopharyngolaryngoscopy in detecting at-risk carotid arteries. Furthermore, we assess the relationship with respect to laterality between cervical vascular patterns and the asymmetric abnormalities of these subjects' upper airways. Methods Cervical MRAs of 86 subjects with VCFS and 50 control subjects were independently reviewed by three neuroradiologists. The course of the internal carotid and vertebral arteries were identified within the pharyngeal soft tissues. Medial deviation, level of bifurcation, dominance, anomalous origin, and vessel tortuosity were recorded. Nasopharyngoscopy examinations were available for retrospective review in 43 patients and were assessed for palatal and posterior pharyngeal wall symmetry, true vocal cord motion and size, and for the presence or absence of carotid pulsations. The endoscopic findings were compared with MRA results. Results Of the 86 subjects, 80 (93%) had one or more vascular anomalies. 42 subjects (49%) were found to have medial deviation of at least one internal carotid artery. In 24 subjects (28%) the anomalous internal carotid artery were directly submucosal; four of these were bilateral (5% of the total sample, 17% of those with a submucosal internal carotid). Other carotid anomalies included low carotid bifurcation (44 subjects or 51%), anomalous origin of the right common carotid (32 cases, or 37%), and two cases of internal carotid agenesis/hypoplasia. Vertebral artery anomalies included vessel tortuosity (34

  19. Lipid Requirements for the Enzymatic Activity of MraY Translocases and in Vitro Reconstitution of the Lipid II Synthesis Pathway.

    PubMed

    Henrich, Erik; Ma, Yi; Engels, Ina; Münch, Daniela; Otten, Christian; Schneider, Tanja; Henrichfreise, Beate; Sahl, Hans-Georg; Dötsch, Volker; Bernhard, Frank

    2016-01-29

    Screening of new compounds directed against key protein targets must continually keep pace with emerging antibiotic resistances. Although periplasmic enzymes of bacterial cell wall biosynthesis have been among the first drug targets, compounds directed against the membrane-integrated catalysts are hardly available. A promising future target is the integral membrane protein MraY catalyzing the first membrane associated step within the cytoplasmic pathway of bacterial peptidoglycan biosynthesis. However, the expression of most MraY homologues in cellular expression systems is challenging and limits biochemical analysis. We report the efficient production of MraY homologues from various human pathogens by synthetic cell-free expression approaches and their subsequent characterization. MraY homologues originating from Bordetella pertussis, Helicobacter pylori, Chlamydia pneumoniae, Borrelia burgdorferi, and Escherichia coli as well as Bacillus subtilis were co-translationally solubilized using either detergent micelles or preformed nanodiscs assembled with defined membranes. All MraY enzymes originating from Gram-negative bacteria were sensitive to detergents and required nanodiscs containing negatively charged lipids for obtaining a stable and functionally folded conformation. In contrast, the Gram-positive B. subtilis MraY not only tolerates detergent but is also less specific for its lipid environment. The MraY·nanodisc complexes were able to reconstitute a complete in vitro lipid I and lipid II forming pipeline in combination with the cell-free expressed soluble enzymes MurA-F and with the membrane-associated protein MurG. As a proof of principle for future screening platforms, we demonstrate the inhibition of the in vitro lipid II biosynthesis with the specific inhibitors fosfomycin, feglymycin, and tunicamycin. PMID:26620564

  20. Catalytic mechanism of MraY and WecA, two paralogues of the polyprenyl-phosphate N-acetylhexosamine 1-phosphate transferase superfamily.

    PubMed

    Al-Dabbagh, Bayan; Olatunji, Samir; Crouvoisier, Muriel; El Ghachi, Meriem; Blanot, Didier; Mengin-Lecreulx, Dominique; Bouhss, Ahmed

    2016-08-01

    The MraY transferase catalyzes the first membrane step of bacterial cell wall peptidoglycan biosynthesis, namely the transfer of the N-acetylmuramoyl-pentapeptide moiety of the cytoplasmic precursor UDP-MurNAc-pentapeptide to the membrane transporter undecaprenyl phosphate (C55P), yielding C55-PP-MurNAc-pentapeptide (lipid I). A paralogue of MraY, WecA, catalyzes the transfer of the phospho-GlcNAc moiety of UDP-N-acetylglucosamine onto the same lipid carrier, leading to the formation of C55-PP-GlcNAc that is essential for the synthesis of various bacterial cell envelope components. These two enzymes are members of the polyprenyl-phosphate N-acetylhexosamine 1-phosphate transferase superfamily, which are essential for bacterial envelope biogenesis. Despite the availability of detailed biochemical information on the MraY enzyme, and the recently published crystal structure of MraY of Aquifex aeolicus, the molecular basis for its catalysis remains poorly understood. This knowledge can contribute to the design of potential inhibitors. Here, we report a detailed catalytic study of the Bacillus subtilis MraY and Thermotoga maritima WecA transferases. Both forward and reverse exchange reactions required the presence of the second substrate, C55P and uridine monophosphate (UMP), respectively. Both enzymes did not display any pyrophosphatase activity on the nucleotide substrate. Moreover, we showed that the nucleotide substrate UDP-MurNAc-pentapeptide, as well as the nucleotide product UMP, can bind to MraY in the absence of lipid ligands. Therefore, our data are in favour of a single displacement mechanism. During this "one-step" mechanism, the oxyanion of the polyprenyl-phosphate attacks the β-phosphate of the nucleotide substrate, leading to the formation of lipid product and the liberation of UMP. The involvement of an invariant aspartyl residue in the deprotonation of the lipid substrate is discussed. PMID:27312048

  1. Sliding interleaved kY (SLINKY) acquisition: a novel 3D MRA technique with suppressed slab boundary artifact.

    PubMed

    Liu, K; Rutt, B K

    1998-01-01

    This work addresses the elimination of the slab boundary artifact (SBA) or venetian blind artifact in three-dimensional multiple overlapped thin slab acquisition (3D MOTSA) for magnetic resonance angiography (MRA). Our method uses a sliding-slab, interleaved kY (SLINKY) data acquisition strategy, equalizing flow-related signal intensity weighting across the entire slab dimension. This technique demodulates signal intensity changes along the slab direction and can essentially eliminate the SBA while retaining the same or better imaging time efficiency than that of conventional MOTSA, providing robustness to complicated flow patterns and thereby resulting in more accurate depiction of vascular morphology. In addition, this technique does not need specialized reconstruction and extra computation. The unique penalty of this technique is the sensitivity to phase inconsistency in the data. Both phantom and in vivo experiments verify the clinical significance of the technique. The new MRA images acquired with this imaging technique show highly reliable mapping of vascular morphology without the SBA and reduction of signal voids in complex/slow flow regions. PMID:9702893

  2. Automatic 3D Segmentation and Quantification of Lenticulostriate Arteries from High-Resolution 7 Tesla MRA Images.

    PubMed

    Wei Liao; Rohr, Karl; Chang-Ki Kang; Zang-Hee Cho; Worz, Stefan

    2016-01-01

    We propose a novel hybrid approach for automatic 3D segmentation and quantification of high-resolution 7 Tesla magnetic resonance angiography (MRA) images of the human cerebral vasculature. Our approach consists of two main steps. First, a 3D model-based approach is used to segment and quantify thick vessels and most parts of thin vessels. Second, remaining vessel gaps of the first step in low-contrast and noisy regions are completed using a 3D minimal path approach, which exploits directional information. We present two novel minimal path approaches. The first is an explicit approach based on energy minimization using probabilistic sampling, and the second is an implicit approach based on fast marching with anisotropic directional prior. We conducted an extensive evaluation with over 2300 3D synthetic images and 40 real 3D 7 Tesla MRA images. Quantitative and qualitative evaluation shows that our approach achieves superior results compared with a previous minimal path approach. Furthermore, our approach was successfully used in two clinical studies on stroke and vascular dementia. PMID:26571526

  3. Accelerated Whole-Heart Coronary MRA Using Motion-Corrected Sensitivity Encoding with Three-Dimensional Projection Reconstruction

    PubMed Central

    Pang, Jianing; Sharif, Behzad; Arsanjani, Reza; Bi, Xiaoming; Fan, Zhaoyang; Yang, Qi; Li, Kuncheng; Berman, Daniel S.; Li, Debiao

    2014-01-01

    Purpose To achieve whole-heart coronary magnetic resonance angiography (MRA) with (1.0 mm)3 spatial resolution and 5 min of free-breathing scan time. Methods We used an electrocardiograph-gated, T2-prepared and fat-saturated balanced steady state free precession sequence with 3DPR trajectory for free-breathing data acquisition with 100% gating efficiency. For image reconstruction, we used a self-calibrating iterative SENSE scheme with integrated retrospective motion correction. We performed healthy volunteer study to compare the proposed method with motion-corrected gridding at different retrospective undersampling levels on apparent signal-to-noise ratio (aSNR) and subjective coronary artery (CA) visualization scores. Results Compared with gridding, the proposed method significantly improved both image quality metrics for undersampled datasets with 6000, 8000, and 10,000 projections. With as few as 10,000 projections, the proposed method yielded good CA visualization scores (3.02 of 4) and aSNR values comparable to those with 20,000 projections. Conclusion Using the proposed method, good image quality was observed for free breathing whole-heart coronary MRA at (1.0 mm)3 resolution with an achievable scan time of 5 min. PMID:24435956

  4. MEETING IN TUCSON: 3MRA: A MULTI-MEDIA HUMAN AND ECOLOGICAL MODELING SYSTEM FOR SITE-SPECIFIC TO NATIONAL SCALE REGULATORY APPLICATIONS

    EPA Science Inventory

    3MRA provides a technology that fully integrates the full dimensionality of human and ecological exposure and risk assessment, thus allowing regulatory decisions a more complete expression of potential adverse health effects related to the disposal and reuse of contaminated waste...

  5. A COMPARATIVE RISK REDUCTION ANALYSIS OF THE OFFICE OF SOLID WASTE'S WASTE MINIMIZATION PRIORITY CHEMICALS INITIATIVE USING THE 3MRA MULTIMEDIA MODELING SYSTEM

    EPA Science Inventory

    A study was initiated by the EPA/ORD National Exposure Research Lab (NERL) in FY05 to quantify risk reduction resulting from this national EPA initiative to reduce WMPC disposal. Using the 3MRA modeling system, which was recommended for use by the EPA Science Advisory Board for ...

  6. High Spatial and Temporal Resolution Dynamic Contrast-Enhanced Magnetic Resonance Angiography (CE-MRA) using Compressed Sensing with Magnitude Image Subtraction

    PubMed Central

    Rapacchi, Stanislas; Han, Fei; Natsuaki, Yutaka; Kroeker, Randall; Plotnik, Adam; Lehman, Evan; Sayre, James; Laub, Gerhard; Finn, J Paul; Hu, Peng

    2014-01-01

    Purpose We propose a compressed-sensing (CS) technique based on magnitude image subtraction for high spatial and temporal resolution dynamic contrast-enhanced MR angiography (CE-MRA). Methods Our technique integrates the magnitude difference image into the CS reconstruction to promote subtraction sparsity. Fully sampled Cartesian 3D CE-MRA datasets from 6 volunteers were retrospectively under-sampled and three reconstruction strategies were evaluated: k-space subtraction CS, independent CS, and magnitude subtraction CS. The techniques were compared in image quality (vessel delineation, image artifacts, and noise) and image reconstruction error. Our CS technique was further tested on 7 volunteers using a prospectively under-sampled CE-MRA sequence. Results Compared with k-space subtraction and independent CS, our magnitude subtraction CS provides significantly better vessel delineation and less noise at 4X acceleration, and significantly less reconstruction error at 4X and 8X (p<0.05 for all). On a 1–4 point image quality scale in vessel delineation, our technique scored 3.8±0.4 at 4X, 2.8±0.4 at 8X and 2.3±0.6 at 12X acceleration. Using our CS sequence at 12X acceleration, we were able to acquire dynamic CE-MRA with higher spatial and temporal resolution than current clinical TWIST protocol while maintaining comparable image quality (2.8±0.5 vs. 3.0±0.4, p=NS). Conclusion Our technique is promising for dynamic CE-MRA. PMID:23801456

  7. ECG and Navigator-Free 4D Whole-Heart Coronary MRA for Simultaneous Visualization of Cardiac Anatomy and Function

    PubMed Central

    Pang, Jianing; Sharif, Behzad; Fan, Zhaoyang; Bi, Xiaoming; Arsanjani, Reza; Berman, Daniel S.; Li, Debiao

    2014-01-01

    Purpose To develop a cardiac and respiratory self-gated 4D coronary MRA technique for simultaneous cardiac anatomy and function visualization. Methods A contrast-enhanced, ungated spoiled gradient echo sequence with self-gating (SG) and 3DPR trajectory was used for image acquisition. Data was retrospectively binned into different cardiac and respiratory phases based on information extracted from SG projections using principal component analysis. Each cardiac phase was reconstructed using a respiratory motion-corrected self-calibrating SENSE framework, and those belong to the quiescent period were retrospectively combined for coronary visualization. Healthy volunteer studies were conducted to evaluate the efficacy of the SG method, the accuracy of the left ventricle (LV) function parameters and the quality of coronary artery visualization. Results SG performed reliably for all subjects including one with poor ECG. The LV function parameters showed excellent agreement with those from a conventional cine protocol. For coronary imaging, the proposed method yielded comparable apparent SNR and coronary sharpness and lower apparent CNR on three subjects compared with an ECG and navigator-gated Cartesian protocol and an ECG-gated, respiratory motion-corrected 3DPR protocol. Conclusion A fully self-gated 4D whole-heart imaging technique was developed, potentially allowing cardiac anatomy and function assessment from a single measurement. PMID:25216287

  8. MRA_1571 is required for isoleucine biosynthesis and improves Mycobacterium tuberculosis H37Ra survival under stress

    PubMed Central

    Sharma, Rishabh; Keshari, Deepa; Singh, Kumar Sachin; Yadav, Shailendra; Singh, Sudheer Kumar

    2016-01-01

    Threonine dehydratase is a pyridoxal 5-phosphate dependent enzyme required for isoleucine biosynthesis. Threonine dehydratase (IlvA) participates in conversion of threonine to 2-oxobutanoate and ammonia is released as a by-product. MRA_1571 is annotated to be coding for IlvA in Mycobacterium tuberculosis H37Ra (Mtb-Ra). We developed a recombinant (KD) Mtb-Ra strain by down-regulating IlvA. The growth studies on different carbon sources suggested reduced growth of KD compared to wild-type (WT), also, isoleucine concentration dependent KD growth restoration was observed. The expression profiling of IlvA suggested increased expression of IlvA during oxygen, acid and oxidative stress. In addition, KD showed reduced survival under pH, starvation, nitric oxide and peroxide stresses. KD was more susceptible to antimycobacterial agents such as streptomycin (STR), rifampicin (RIF) and levofloxacin (LVF), while, no such effect was noticeable when exposed to isoniazid. Also, an increase in expression of IlvA was observed when exposed to STR, RIF and LVF. The dye accumulation studies suggested increased permeability of KD to ethidium bromide and Nile Red as compared to WT. TLC and Mass studies confirmed altered lipid profile of KD. In summary down-regulation of IlvA affects Mtb growth, increases its susceptibility to stress and leads to altered cell wall lipid profile. PMID:27353854

  9. Contrast-enhanced 3D MRA with centric ordering in k space: a preliminary clinical experience in imaging the abdominal aorta and renal and peripheral arterial vasculature.

    PubMed

    Shetty, A N; Bis, K G; Vrachliotis, T G; Kirsch, M; Shirkhoda, A; Ellwood, R

    1998-01-01

    The objective of this study was to determine the clinical utility of a contrast-enhanced, centric reordered, three-dimensional (3D) MR angiography (MRA) pulse sequence in imaging the abdominal aorta and renal and peripheral lower extremity arteries. Twenty-eight MRA studies were performed on 23 patients and four volunteers at 1.5 T using a 3D contrast-enhanced, centric reordered pulse sequence. In 20 patients, the abdominal aorta and renal arteries were imaged, and in seven patients, the lower extremity arteries were imaged. In 19 patients, a total of 51 renal vessels were evaluated (33 renal arteries using .1 mmol/kg of gadopentetate dimeglumine and 18 renal arteries using .2 mmol/kg of gadoteridol). A total of 70 peripheral arterial segments were assessed using .2 mmol/kg of gadoteridol. Correlation with conventional angiography was made for the following 14 cases: renal artery stenosis (four cases), abdominal aortic stenosis (one case), arteriovenous fistula in a transplant kidney (one case), renal arteriovenous malformation (one case), common iliac artery aneurysms (one case), and peripheral lower extremity (six cases). Of the 70 peripheral arterial segments evaluated, in 35, there was correlation with x-ray angiography. The mean percent of aortic signal enhancement was significantly higher in the .2 mmol/kg dose group (370.8 +/- 190.3) than in the .1 mmol/kg dose group (184.5 +/- 128.9) (P = .02). However, there was no apparent difference between the two doses for visualization of the renal and accessory renal arteries. There was concordance between the contrast-enhanced 3D MRA studies and conventional angiography in all cases of renal artery and peripheral arterial stenoses and occlusions, including visualization of reconstituted peripheral arterial segments. There was no evidence of spin dephasing effects at sites of stenoses on the 3D contrast-enhanced MRA studies. Contrast-enhanced, centric reordered, 3D MRA can rapidly image the abdominal aorta and renal

  10. The Relative Importance of the Vadose Zone in Multimedia Risk Assessment Modeling Applied at a National Scale: An Analysis of Benzene Using 3MRA

    NASA Astrophysics Data System (ADS)

    Babendreier, J. E.

    2002-05-01

    Evaluating uncertainty and parameter sensitivity in environmental models can be a difficult task, even for low-order, single-media constructs driven by a unique set of site-specific data. The challenge of examining ever more complex, integrated, higher-order models is a formidable one, particularly in regulatory settings applied on a national scale. Quantitative assessment of uncertainty and sensitivity within integrated, multimedia models that simulate hundreds of sites, spanning multiple geographical and ecological regions, will ultimately require a systematic, comparative approach coupled with sufficient computational power. The Multimedia, Multipathway, and Multireceptor Risk Assessment Model (3MRA) is an important code being developed by the United States Environmental Protection Agency for use in site-scale risk assessment (e.g. hazardous waste management facilities). The model currently entails over 700 variables, 185 of which are explicitly stochastic. The 3MRA can start with a chemical concentration in a waste management unit (WMU). It estimates the release and transport of the chemical throughout the environment, and predicts associated exposure and risk. The 3MRA simulates multimedia (air, water, soil, sediments), pollutant fate and transport, multipathway exposure routes (food ingestion, water ingestion, soil ingestion, air inhalation, etc.), multireceptor exposures (resident, gardener, farmer, fisher, ecological habitats and populations), and resulting risk (human cancer and non-cancer effects, ecological population and community effects). The 3MRA collates the output for an overall national risk assessment, offering a probabilistic strategy as a basis for regulatory decisions. To facilitate model execution of 3MRA for purposes of conducting uncertainty and sensitivity analysis, a PC-based supercomputer cluster was constructed. Design of SuperMUSE, a 125 GHz Windows-based Supercomputer for Model Uncertainty and Sensitivity Evaluation is described

  11. Automated segmentation of cerebral vasculature with aneurysms in 3DRA and TOF-MRA using geodesic active regions: An evaluation study

    SciTech Connect

    Bogunovic, Hrvoje; Pozo, Jose Maria; Villa-Uriol, Maria Cruz; and others

    2011-01-15

    Purpose: To evaluate the suitability of an improved version of an automatic segmentation method based on geodesic active regions (GAR) for segmenting cerebral vasculature with aneurysms from 3D x-ray reconstruction angiography (3DRA) and time of flight magnetic resonance angiography (TOF-MRA) images available in the clinical routine. Methods: Three aspects of the GAR method have been improved: execution time, robustness to variability in imaging protocols, and robustness to variability in image spatial resolutions. The improved GAR was retrospectively evaluated on images from patients containing intracranial aneurysms in the area of the Circle of Willis and imaged with two modalities: 3DRA and TOF-MRA. Images were obtained from two clinical centers, each using different imaging equipment. Evaluation included qualitative and quantitative analyses of the segmentation results on 20 images from 10 patients. The gold standard was built from 660 cross-sections (33 per image) of vessels and aneurysms, manually measured by interventional neuroradiologists. GAR has also been compared to an interactive segmentation method: isointensity surface extraction (ISE). In addition, since patients had been imaged with the two modalities, we performed an intermodality agreement analysis with respect to both the manual measurements and each of the two segmentation methods. Results: Both GAR and ISE differed from the gold standard within acceptable limits compared to the imaging resolution. GAR (ISE) had an average accuracy of 0.20 (0.24) mm for 3DRA and 0.27 (0.30) mm for TOF-MRA, and had a repeatability of 0.05 (0.20) mm. Compared to ISE, GAR had a lower qualitative error in the vessel region and a lower quantitative error in the aneurysm region. The repeatability of GAR was superior to manual measurements and ISE. The intermodality agreement was similar between GAR and the manual measurements. Conclusions: The improved GAR method outperformed ISE qualitatively as well as

  12. MR Angiography (MRA)

    MedlinePlus

    ... can be performed with one of three imaging technologies and, in some cases contrast material is administered. ... identify a small aneurysm or arteriovenous malformation (abnormal communications between blood vessels) inside the brain or other ...

  13. Scheuermann's disease as a model displaying the mechanism of venous obstruction in thoracic outlet syndrome and migraine patients: MRI and MRA.

    PubMed Central

    Collins, James D.; Saxton, Emestina H.; Miller, Theodore Q.; Ahn, Samuel S.; Gelabert, Hugh; Carnes, Alfred

    2003-01-01

    Kyphosis of the thoracic spine rotates the scapulae anterior laterally, clavicles and subclavius muscles anteriorly, displaces the manubrium posteriorly, which increases the slope of the first ribs. This increases tension on the anterior scalene muscles and the neurovascular bundles which causes brachial plexopathy (TOS). Scheuermann's disease (spinal osteochondrosis; juvenile kyphoscoliosis) is a disorder which consists of vertebral wedging endplate irregularity and narrowing of the intervertebral disk space causing kyphosis of the thoracic spine and may also involve the lumbar space. It occurs at puberty and involves both male and females. Abduction external rotation of the upper extremities (arms overhead) posterior inferiorly rotate the clavicles and the subclavius muscles which enhances tension on the venous drainage and neurovascular supply that diminishes venous return. This triggers complaints of thoracic outlet syndrome (TOS) and migraine headache. Bilateral magnetic resonance imaging (MRI) demonstrates compressing abnormalities of the brachial plexus. Five patients with Scheuermann's disease were imaged with the 1.5 Tesla magnet (Signa; General Electric Medical Systems, Milwaukee, WI) 3-D reconstruction MRI. T1W and T2W pulse sequences were performed in transverse, the coronal, transverse oblique, sagittal, and coronal abduction external rotation planes using 4 mm slice thickness and 512 x 256 matrix size. Water bags were used to enhance the signal to noise ratio. Magnetic resonance angiography (MRA) 2-D Time Of Flight (TOF) was obtained to compression for anatomic display evaluate perfusion of the brachial plexus. MRI and MRA captured sites of brachial plexus. One patient was selected for this presentation, which demonstrates the compression of the brachial plexus and venous obstruction which triggered complaints of thoracic outlet syndrome. Images Figure 1 Figure 2 Figure 3(A,B) Figure 4 Figure 5(A,B) Figure 6(A,B) Figure 7 Figure 8 PMID:12749621

  14. Inter- and intra-breed comparative study of sperm motility and viability in Iberian and Duroc boar semen during long-term storage in MR-A and XCell extenders.

    PubMed

    Martín-Hidalgo, D; Barón, F J; Robina, A; Bragado, M J; Llera, A Hurtado de; García-Marín, L J; Gil, M C

    2013-06-01

    During boar semen liquid preservation, extender is one of the factors that influence storage tolerance of spermatozoa. However, there are few studies about intra-breed variation in the preservation of semen quality during storage in different extenders. Similarly, boar breed is generally not considered a possible factor influencing variation in the semen storage tolerance in a particular extender. The aim of this study was to compare boar semen storage potential, in terms of the ability to maintain sperm viability and motility, of two currently used long-term extenders, MR-A and XCell. Extended semen from two breeds, Iberian and Duroc that had been stored at 17°C for up to 7 days was used. Intra- and inter-breed effect was studied. On Days 1, 4 and 7 (Day 0=day of semen collection), motility parameters and the percentage of total motile sperm and progressively motile sperm using a CASA system was evaluated. Viability (SYBR-14/PI) was evaluated by flow cytometry. Within each breed and for each storage day, there were differences between extenders, although semen tolerance to preservation was more influenced by the extender in the Iberian than in the Duroc breed. Neither breed nor extender influenced the percentage of viable spermatozoa during the storage time. Moreover, differences in motility parameters were observed between breeds, although the differences were greater when the XCell extender was used. In conclusion, both extender and breed influence motility characteristics of liquid-stored boar semen, so both aspects have to be considered in the design of comparative studies about stored boar semen quality from different breeds or with different extenders. Further studies are needed to corroborate these findings. PMID:23660365

  15. Aerial target recognition using MRA, GVF snakes, and polygon approximation

    NASA Astrophysics Data System (ADS)

    Lu, Zhen Z.; Zhang, Taiyi; Xu, Jian

    2003-04-01

    The traditional method to extract target contour from aerial target image is changing the aerial image into a gray level image with multiple thresholds or binary image with single threshold. From the edge of target, contour can be extracted according to the changed value. The traditional method is useful only when contrast between target and background is in the proper degree. Snakes are curves defined within an image domain that can move under the influence of internal force coming from within the curve itself and external forces are defined so that the snake will conform to an object boundary or other desired features within an image. Snakes have been proved an effective method and widely used in image processing and computer vision. Snakes synthesize parametric curves within an image domain and allow them to move toward desired edges. Particular advantages of the GVF(Gradient Vector Flow) snakes over a traditional snakes are its insensitivity to initialization and its ability to move into boundary concavities. Its initializations can be inside, outside, or across the object"s boundary. The GVF snake does not need prior knowledge about whether to shrink or expand toward the boundary. This increased capture range is achieved through a diffusion process that does not blur the edges of themselves. Affected by the light from different incident angle, the brightness of aerial target surface changed greatly in a complicate mode. So the GVF snakes is not fast, accurate and effective all the time for this kind of images. A new contour extracting method, GVF Snakes Combined with wavelet multi-resolution Analysis is proposed in this paper. In this algorithm, bubble wavelet is used iteratively to do the multi resolution analysis in the order of degressive scale before GVF Snakes is used every time to extract accurate contour of target. After accurate contour is extracted, polygon approximation is used to extract characteristics to realize the recognition of aerial target. The process is in the following: Step 1: use bubble wavelet filter to cut big part of the noises, weakening false edges. Step 2: initialize active contour and control the contour"s move according to GVF to get a new contour. Step 3: decrease the scale of filter, and use the new contour as the initial contour and control the contour"s move to get new contour again. Step 4: repeat step 3 till the set scale is reached. The last new contour is the final contour. Step 5: find the center determine an axis by calculate distance between every point on the final contour to the center. Step 6: adjust the distance threshold and combine the points until the contour is changed into a polygon with fixed angle number which is best fit the target recognition demand. Step 7: use the polygon to match the target plate to recognize target. Applied the new algorithm to aerial target images of a helicopter and a F22 battleplan, the contour extraction and polygon approximation results show that targets can be matched and recognized successfully. This paper mainly focuses on contour extraction and polygon approximation in the recognition area.

  16. High-Resolution Variable-Density 3D Cones Coronary MRA

    PubMed Central

    Addy, Nii Okai; Ingle, R. Reeve; Wu, Holden H.; Hu, Bob S.; Nishimura, Dwight G.

    2015-01-01

    Purpose To improve the spatial/temporal resolution of whole-heart coronary MR angiography (CMRA) by developing a variable-density (VD) 3D cones acquisition suitable for image reconstruction with parallel imaging and compressed sensing techniques. Methods A VD 3D cones trajectory design incorporates both radial and spiral trajectory undersampling techniques to achieve higher resolution. This design is used to generate a VD cones trajectory with 0.8 mm/66 ms isotropic spatial/temporal resolution, using a similar number of readouts as our previous fully sampled cones trajectory (1.2 mm/100 ms). Scans of volunteers and patients are performed to evaluate the performance of the VD trajectory, using non-Cartesian L1-ESPIRiT for high-resolution image reconstruction. Results With gridding reconstruction, the high-resolution scans experience an expected drop in signal-to-noise and contrast-to-noise ratios, but with L1-ESPIRiT, the apparent noise is substantially reduced. Compared to 1.2 mm images, in each volunteer, the L1-ESPIRiT 0.8 mm images exhibit higher vessel sharpness values in the right and left anterior descending arteries. Conclusion CMRA with isotropic sub-millimeter spatial resolution and high temporal resolution can be performed with VD 3D cones to improve the depiction of coronary arteries. PMID:26172829

  17. INVESTIGATING UNCERTAINTY AND SENSITIVITY IN INTEGRATED, MULTIMEDIA ENVIRONMENTAL MODELS: TOOLS FOR FRAMES-3MRA

    EPA Science Inventory

    Elucidating uncertainty and sensitivity structures in environmental models can be a difficult task, even for low-order, single-medium constructs driven by a unique set of site-specific data. Quantitative assessment of integrated, multimedia models that simulate hundreds of sites...

  18. INVESTIGATING UNCERTAINTY AND SENSITIVITY IN INTEGRATED MULTIMEDIA ENVIRONMENTAL MODELS: TOOLS FOR 3MRA

    EPA Science Inventory

    Sufficiently elucidating uncertainty and sensitivity structures in environmental models can be a difficult task, even for low-order, single-media constructs driven by a unique set of site-specific data. The ensuing challenge of examining ever more complex, integrated, higher-ord...

  19. MRA-based wavelet frames and applications: image segmentation and surface reconstruction

    NASA Astrophysics Data System (ADS)

    Dong, Bin; Shen, Zuowei

    2012-06-01

    Theory of wavelet frames and their applications to image restoration problems have been extensively studied for the past two decades. The success of wavelet frames in solving image restoration problems, which includes denoising, deblurring, inpainting, computed tomography, etc., is mainly due to their capability of sparsely approximating piecewise smooth functions such as images. However, in contrast to the wide applications of wavelet frame based approaches to image restoration problems, they are rarely used for some image/data analysis tasks, such as image segmentation, registration and surface reconstruction from unorganized point clouds. The main reason for this is the lack of geometric interpretations of wavelet frames and their associated transforms. Recently, geometric meanings of wavelet frames have been discovered and connections between the wavelet frame based approach and the differential operator based variational model were established.1 Such discovery enabled us to extend the wavelet frame based approach to some image/data analysis tasks that have not yet been studied before. In this paper, we will provide a unified survey of the wavelet frame based models for image segmentation and surface reconstruction from unorganized point clouds. Advantages of the wavelet frame based approach are illustrated by numerical experiments.

  20. A wavelet-MRA-based adaptive semi-Lagrangian method for the relativistic Vlasov-Maxwell system

    SciTech Connect

    Besse, Nicolas Latu, Guillaume Ghizzo, Alain Sonnendruecker, Eric Bertrand, Pierre

    2008-08-10

    In this paper we present a new method for the numerical solution of the relativistic Vlasov-Maxwell system on a phase-space grid using an adaptive semi-Lagrangian method. The adaptivity is performed through a wavelet multiresolution analysis, which gives a powerful and natural refinement criterion based on the local measurement of the approximation error and regularity of the distribution function. Therefore, the multiscale expansion of the distribution function allows to get a sparse representation of the data and thus save memory space and CPU time. We apply this numerical scheme to reduced Vlasov-Maxwell systems arising in laser-plasma physics. Interaction of relativistically strong laser pulses with overdense plasma slabs is investigated. These Vlasov simulations revealed a rich variety of phenomena associated with the fast particle dynamics induced by electromagnetic waves as electron trapping, particle acceleration, and electron plasma wavebreaking. However, the wavelet based adaptive method that we developed here, does not yield significant improvements compared to Vlasov solvers on a uniform mesh due to the substantial overhead that the method introduces. Nonetheless they might be a first step towards more efficient adaptive solvers based on different ideas for the grid refinement or on a more efficient implementation. Here the Vlasov simulations are performed in a two-dimensional phase-space where the development of thin filaments, strongly amplified by relativistic effects requires an important increase of the total number of points of the phase-space grid as they get finer as time goes on. The adaptive method could be more useful in cases where these thin filaments that need to be resolved are a very small fraction of the hyper-volume, which arises in higher dimensions because of the surface-to-volume scaling and the essentially one-dimensional structure of the filaments. Moreover, the main way to improve the efficiency of the adaptive method is to increase the local character in phase-space of the numerical scheme, by considering multiscale reconstruction with more compact support and by replacing the semi-Lagrangian method with more local - in space - numerical scheme as compact finite difference schemes, discontinuous-Galerkin method or finite element residual schemes which are well suited for parallel domain decomposition techniques.

  1. Right Cervical Aortic Arch and Pseudocoarctation of the Aorta Associated with Aneurysms and Steal Phenomena: US, CTA, and MRA Findings

    SciTech Connect

    Tanju, Sumru Ustuner, Evren; Erden, Ilhan; Aytac, Suat Kemal

    2007-02-15

    A 55-year-old woman presented with right cervical aortic arch with pseudocoarctation of the aorta further complicated by the presence of multiple aneurysms and a high-grade stenosis at the origin of the left subclavian trunk from the aorta causing a discrepancy in blood pressure between the right and left arms. The branching pattern and the resulting complex steal syndromes involving the left carotid and the subclavian system are unique. The computed tomography angiography, magnetic resonance angiography, and Doppler ultrasound findings are described.

  2. Ecosystem Services Modeling Infrastructures: Simile/MIMES (Gund Institute) and FRAMES/3MRA (US EPA) Integrated Modeling for Forecasting

    EPA Science Inventory

    The Ecological Research Program (ERP) of the EPA Office of Research and Development has the vision of a comprehensive theory and practice for characterizing, quantifying, and valuing ecosystem services and their relationship to human well-being for environmental decision making. ...

  3. Time Resolved Contrast Enhanced Intracranial MRA Using a Single Dose Delivered as Sequential Injections and Highly Constrained Projection Reconstruction (HYPR CE)

    PubMed Central

    Wu, Yijing; Johnson, Kevin; Kecskemeti, Steven R.; Wang, Kang; Wieben, Oliver; Aagaard-Kienitz, Beverly L.; Rowley, Howard; Korosec, Frank R.; Mistretta, Charles; Turski, Patrick

    2011-01-01

    Time-resolved contrast-enhanced magnetic resonance angiography of the brain is challenging due to the need for rapid imaging and high spatial resolution. Moreover, the significant dispersion of the intravenous contrast bolus as it passes through the heart and lungs increases the overlap between arterial and venous structures, regardless of the acquisition speed and reconstruction window. An innovative technique is presented that divides a single dose contrast into two injections. Initially a small volume of contrast material (2–3 mL) is used to acquiring time-resolved weighting images with a high frame rate (2 frames/s) during the first pass of the contrast agent. The remaining contrast material is used to obtain a high resolution whole brain contrast-enhanced (CE) magnetic resonance angiography (0.57 × 0.57 × 1 mm3) that is used as the spatial constraint for Local Highly Constrained Projection Reconstruction (HYPR LR) reconstruction. After HYPR reconstruction, the final dynamic images (HYPR CE) have both high temporal and spatial resolution. Furthermore, studies of contrast kinetics demonstrate that the shorter bolus length from the reduced contrast volume used for the first injection significantly improves the arterial and venous separation. PMID:21413059

  4. Identification and management of chronic shoulder pain in the presence of an MRA-confirmed humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion

    PubMed Central

    Karmali, Arif; McLeod, Jennifer

    2016-01-01

    Objective: To present the assessment and conservative management of chronic shoulder pain in the presence of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion in an active individual. Clinical Features: A 47 year-old female office-worker with constant, deep, right shoulder pain with occasional clicking and catching claimed to have “tore something” in her right shoulder five years ago while performing reverse bicep curls. A physical exam led to differential diagnoses of a Superior Labrum Anterior to Posterior (SLAP) lesion, Bankart lesion, and bicipital tendinopathy. A Magnetic Resonance Arthrogram revealed a HAGL lesion. Intervention and Outcome: A conservative chiropractic treatment plan in addition to physical therapy was initiated. The patient reported 75% improvement in symptoms after 4 treatments over a four-week duration. Summary: This case demonstrates the successful implementation of a conservative plan of management suggesting that the treatment provided to this patient should be considered and attempted prior to arthroscopic surgery. PMID:27385837

  5. THE RELATIVE IMPORTANCE OF THE VADOSE ZONE IN MULTIMEDIA RISK ASSESSMENT MODELING APPLIED AT A NATIONAL SCALE: AN ANALYSIS OF BENZENE USING 3MRA

    EPA Science Inventory

    Evaluating uncertainty and parameter sensitivity in environmental models can be a difficult task, even for low-order, single-media constructs driven by a unique set of site-specific data. The challenge of examining ever more complex, integrated, higher-order models is a formidab...

  6. Contrast-Enhanced and Time-of-Flight MR Angiographic Assessment of Endovascular Coiled Intracranial Aneurysms at 1.5 T

    PubMed Central

    Levent, Akin; Yuce, Ihsan; Eren, Suat; Ozyigit, Omer; Kantarci, Mecit

    2014-01-01

    Summary This study evaluated contrast-enhanced magnetic resonance angiography (CE-MRA) and three-dimensional time-of-flight magnetic resonance angiography (3D-TOF-MRA) through comparisons with digital subtraction angiography (DSA) for the follow-up of intracranial aneurysms treated with detachable coils. Sixty-seven patients with 79 aneurysms underwent 3D-TOF-MRA, CE-MRA, and catheter angiography one year after coiling. Two independent observers classified recanalization status on images as neck or body remnant or no recanalization. For 3D-TOF-MRA and CE-MRA, the intermodality agreement, interobserver agreement, and correlation with angiography were assessed. Sixty-seven patients with 79 coiled aneurysms agreed to participate in the study. Three aneurysms could not be detected on 3D-TOF-MRA, so they were excluded from this study. Interobserver agreement was very good for 3D-TOF-MRA and CE-MRA (kappa (κ): 0.87, 0.94, respectively). Correlation of TOF-MRA with angiography was good (κ: 0.76). Correlation of CE-MRA with angiography was excellent (κ: 0.91). The sensitivity and specificity of TOF-MRA were 92% and 98%, respectively. The sensitivity and specificity of CE-MRA were 96% and 98%, respectively. After selective embolization of intracranial aneurysms, CE-MRA is useful and comparable to DSA in the assessment of aneurysmal recanalization. Agreement with the gold standard is stronger with CE-MRA than with 3D-TOF-MRA. PMID:25496678

  7. Noncontrast MR Angiography for Comprehensive Assessment of Abdominopelvic Arteries using Quadruple Inversion-Recovery Preconditioning and 3D balanced Steady-State Free Precession Imaging

    PubMed Central

    Atanasova, Iliyana P.; Kim, Daniel; Lim, Ruth P.; Storey, Pippa; Kim, Sooah; Guo, Hua; Lee, Vivian S.

    2011-01-01

    Purpose To develop a non-contrast MR angiography (MRA) method for comprehensive evaluation of abdominopelvic arteries in a single 3D acquisition. Materials and Methods A non-contrast MRA (NC MRA) pulse sequence was developed using 4 inversion-recovery (IR) pulses and 3D balanced steady-state free precession (b-SSFP) readout to provide arterial imaging from renal to external iliac arteries. Respiratory triggered, high spatial resolution (1.3 × 1.3 × 1.7 mm3) non-contrast angiograms were obtained in seven volunteers and ten patients referred for gadolinium-enhanced MRA (CE MRA). Images were assessed for diagnostic quality by two radiologists. Quantitative measurements of arterial signal contrast were also performed. Results NC MRA imaging was successfully completed in all subjects in 7.0 ± 2.3 minutes. In controls, image quality of NC MRA averaged 2.79 ± 0.39 on a scale of 0 to 3, where 3 is maximum. Image quality of NC MRA (2.65 ± 0.41) was comparable to that of CE MRA (2.9 ± 0.32) in all patients. Contrast ratio measurements in patients demonstrated that NC MRA provides arterial contrast comparable to source CE MRA images with adequate venous and excellent background tissue suppression. Conclusion The proposed non-contrast MRA pulse sequence provides high quality visualization of abdominopelvic arteries within clinically feasible scan times. PMID:21591013

  8. Fat-Suppressed Gadolinium-Enhanced Three-Dimensional Magnetic Resonance Angiography Adequately Depicts the Status of Iliac Arteries Following Atherectomy and Stent Placement

    SciTech Connect

    Amano, Yasuo; Gemma, Kazuhito; Kawamata, Hiroshi; Kumazaki, Tatsuo

    1998-07-15

    Fat-suppressed, three-dimensional magnetic resonance angiography (3D MRA) was performed on nine patients with 11 iliac artery stenoses following atherectomy or stent placement. The MRA accurately depicted continued patency, restenosis, or aneurysm formation when compared with immediate posttreatment conventional arteriography. Therefore MRA is accurate and can be used independently for clinical decision making.

  9. Whole-Body Magnetic Resonance Angiography with Additional Steady-State Acquisition of the Infragenicular Arteries in Patients with Peripheral Arterial Disease

    SciTech Connect

    Nielsen, Yousef W.; Eiberg, Jonas P.; Logager, Vibeke B.; Just, Sven; Schroeder, Torben V.; Thomsen, Henrik S.

    2010-06-15

    The purpose of this investigation was to determine if addition of infragenicular steady-state (SS) magnetic resonance angiography (MRA) to first-pass imaging improves diagnostic performance compared with first-pass imaging alone in patients with peripheral arterial disease (PAD) undergoing whole-body (WB) MRA. Twenty consecutive patients with PAD referred to digital-subtraction angiography (DSA) underwent WB-MRA. Using a bolus-chase technique, first-pass WB-MRA was performed from the supra-aortic vessels to the ankles. The blood-pool contrast agent gadofosveset trisodium was used at a dose of 0.03 mmol/kg body weight. Ten minutes after injection of the contrast agent, high-resolution (0.7-mm isotropic voxels) SS-MRA of the infragenicular arteries was performed. Using DSA as the 'gold standard,' sensitivities and specificities for detecting significant arterial stenoses ({>=}50% luminal narrowing) with first-pass WB-MRA, SS-MRA, and combined first-pass and SS-MRA were calculated. Kappa statistics were used to determine intermodality agreement between MRA and DSA. Overall sensitivity and specificity for detecting significant arterial stenoses with first-pass WB-MRA was 0.70 (95% confidence interval 0.61 to 0.78) and 0.97 (0.94 to 0.99), respectively. In first-pass WB-MRA, the lowest sensitivity was in the infragenicular region, with a value of 0.42 (0.23 to 0.63). Combined analysis of first-pass WB-MRA and SS-MRA increased sensitivity to 0.81 (0.60 to 0.93) in the infragenicular region, with specificity of 0.94 (0.88 to 0.97). Sensitivity and specificity for detecting significant arterial stenoses with isolated infragenicular SS-MRA was 0.47 (0.27 to 0.69) and 0.86 (0.78 to 0.91), respectively. Intermodality agreement between MRA and DSA in the infragenicular region was moderate for first-pass WB-MRA ({kappa} = 0.49), fair for SS-MRA ({kappa} = 0.31), and good for combined first-pass/SS-MRA ({kappa} = 0.71). Addition of infragenicular SS-MRA to first-pass WB MRA

  10. Magnetic resonance angiography in perforator flap breast reconstruction.

    PubMed

    Vasile, Julie V; Levine, Joshua L

    2016-04-01

    Magnetic resonance angiography (MRA) is an extremely useful preoperative imaging test for evaluation of the vasculature of donor tissue to be used in autologous breast reconstruction. MRA has sufficient spacial resolution to reliably visualize 1 mm perforating vessels and to accurately locate vessels in reference to a patient's anatomic landmarks without exposing patients to ionizing radiation or iodinated contrast. The use of a blood pool contrast agent and the lack of radiation exposure allow multiple studies of multiple anatomic regions in one examination. The following article is a detailed description of our MRA protocol developed with our radiologists with examples that illustrate the utility of MRA in perforator flap breast reconstruction. PMID:27047787

  11. Intracranial MR angiography: Its role in the integrated approach to brain infarction

    SciTech Connect

    Johnson, B.A.; Heiserman, J.E.; Drayer, B.P.; Keller, P.J.

    1994-05-01

    To determine the contribution of cranial MR angiography (MRA) for the evaluation of patients with acute and subacute brain infarction. MR and MRA studies performed on 78 adult patients with acute and subacute stroke were retrospectively reviewed and correlated with the clinical records. There were 50 acute and 28 subacute infarctions in our series. Five of 78 MRA exams (6%) were nondiagnostic. Sixty examinations (80%) were positive for stenosis or occlusion. The distribution of stenotic or occlusive vascular lesions correlated with the location of infarction in 56 of the 60 positive cases (93%). MRA provided information not obtained from the MR images in 40 cases (55%). One hundred four individual vessels in 8 patients who underwent conventional cerebral angiography were compared with the MRA appearance. The MRA interpretations correlated with the conventional angiographic evaluations for 90 vessels (87%). Vascular lesions demonstrated on intracranial MRA show a high correlation with infarct distribution. MRA provides information adjunctive to conventional MR in a majority of cases. We conclude that MRA is an important component of the complete evaluation of brain infarction. 39 refs., 3 figs., 2 tabs.

  12. Bile salt receptor complex activates a pathogenic type III secretion system

    PubMed Central

    Li, Peng; Rivera-Cancel, Giomar; Kinch, Lisa N; Salomon, Dor; Tomchick, Diana R; Grishin, Nick V; Orth, Kim

    2016-01-01

    Bile is an important component of the human gastrointestinal tract with an essential role in food absorption and antimicrobial activities. Enteric bacterial pathogens have developed strategies to sense bile as an environmental cue to regulate virulence genes during infection. We discovered that Vibrio parahaemolyticus VtrC, along with VtrA and VtrB, are required for activating the virulence type III secretion system 2 in response to bile salts. The VtrA/VtrC complex activates VtrB in the presence of bile salts. The crystal structure of the periplasmic domains of the VtrA/VtrC heterodimer reveals a β-barrel with a hydrophobic inner chamber. A co-crystal structure of VtrA/VtrC with bile salt, along with biophysical and mutational analysis, demonstrates that the hydrophobic chamber binds bile salts and activates the virulence network. As part of a family of conserved signaling receptors, VtrA/VtrC provides structural and functional insights into the evolutionarily conserved mechanism used by bacteria to sense their environment. DOI: http://dx.doi.org/10.7554/eLife.15718.001 PMID:27377244

  13. Fat-subtracted three-dimensional time-of-flight MR angiography of the neck by use of fat-only images with the two-point Dixon technique.

    PubMed

    Fujiwara, Yasuhiro; Ishimori, Yoshiyuki; Yamaguchi, Isao; Kosaka, Nobuyuki; Kimura, Hirohiko; Adachi, Toshiki

    2015-07-01

    For improvement of three-dimensional time-of-flight magnetic resonance angiography (3D-TOF-MRA) image quality in the neck, fat-subtracted MRA by use of the two-point Dixon technique was compared with conventional fat-suppressed MRA techniques. Three different types of neck 3D-TOF-MRA were obtained [minimum echo time (TE) (1.9 ms), opposed-phase TE (3.4 ms), and chemical shift selective fat suppression (CHESS) (TE = 1.9 ms)] on five volunteers at 3.0 T. MRA was obtained with subtraction of fat-only images (produced by a two-point Dixon sequence) from minimum-TE MRA images, and compared with other fat-suppressed MRA images. Fat-subtracted MRA demonstrated uniform fat suppression compared with other techniques. The mean vessel-to-fat contrast in fat-subtracted MRA was significantly higher (p < 0.01) than in other MRA images (minimum-TE: 0.137 ± 0.086, opposed-phase TE: 0.268 ± 0.102, CHESS: 0.307 ± 0.052, fat-subtracted: 0.965 ± 0.101). The mean vessel-to-muscle contrast in opposed-phase TE MRA was significantly lower (p < 0.01) than in other MRA images (minimum-TE: 0.526 ± 0.036, opposed-phase TE: 0.419 ± 0.188, CHESS: 0.511 ± 0.023, fat-subtracted: 0.573 ± 0.016). Fat-subtracted MRA by use of the two-point Dixon technique improves the image quality of neck MRA. This technique would be a useful method for MRA, especially in areas with inhomogeneous magnetic fields, such as the neck. PMID:25577234

  14. Development of a surgical site infection (SSI) surveillance system, calculation of SSI rates and specification of important factors affecting SSI in a digestive organ surgical department.

    PubMed

    Kimura, Koji; Sawa, Akihiro; Akagi, Shinji; Kihira, Kenji

    2007-06-01

    We have developed an original system to conduct surgical site infection (SSI) surveillance. This system accumulates SSI surveillance information based on the National Nosocomial Infections Surveillance (NNIS) System and the Japanese Nosocomial Infections Surveillance (JNIS) System. The features of this system are as follows: easy input of data, high generality, data accuracy, SSI rate by operative procedure and risk index category (RIC) can be promptly calculated and compared with the current NNIS SSI rate, and the SSI rates and accumulated data can be exported electronically. Using this system, we monitored 798 patients in 24 operative procedure categories in the Digestive Organs Surgery Department of Mazda Hospital, Mazda Motor Corporation, from January 2004 through December 2005. The total number and rate of SSI were 47 and 5.89%, respectively. The SSI rates of 777 patients were calculated based on 15 operative procedure categories and Risk Index Categories (RIC). The highest SSI rate was observed in the rectum surgery of RIC 1 (30%), followed by the colon surgery of RIC3 (28.57%). About 30% of the isolated infecting bacteria were Enterococcus faecalis, Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Escherichia coli. Using quantification theory type 2, the American Society of Anesthesiology score (4.531), volume of hemorrhage under operation (3.075), wound classification (1.76), operation time (1.352), and history of diabetes (0.989) increased to higher ranks as factors for SSI. Therefore, we evaluated this system as a useful tool in safety control for operative procedures. PMID:17760267

  15. UTE-ΔR2 -ΔR2 * combined MR whole-brain angiogram using dual-contrast superparamagnetic iron oxide nanoparticles.

    PubMed

    Jung, H S; Jin, S H; Cho, J H; Han, S H; Lee, D K; Cho, H

    2016-06-01

    The ability to visualize whole-brain vasculature is important for quantitative in vivo investigation of vascular malfunctions in cerebral small vessel diseases, including cancer, stroke and neurodegeneration. Transverse relaxation-based ΔR2 and ΔR2 * MR angiography (MRA) provides improved vessel-tissue contrast in animal deep brain with the aid of intravascular contrast agents; however, it is susceptible to orientation dependence, air-tissue interface artifacts and vessel size overestimation. Dual-mode MRA acquisition with superparamagnetic iron oxide nanoparticles (SPION) provides a unique opportunity to systematically compare and synergistically combine both longitudinal (R1 ) and transverse (ΔR2 and ΔR2 *) relaxation-based MRA. Through Monte Carlo (MC) simulation and MRA experiments in normal and tumor-bearing animals with intravascular SPION, we show that ultrashort TE (UTE) MRA acquires well-defined vascularization on the brain surface, minimizing air-tissue artifacts, and combined ΔR2 and ΔR2 * MRA simultaneously improves the sensitivity to intracortical penetrating vessels and reduces vessel size overestimation. Consequently, UTE-ΔR2 -ΔR2 * combined MRA complements the shortcomings of individual angiograms and provides a strategy to synergistically merge longitudinal and transverse relaxation effects to generate more robust in vivo whole-brain micro-MRA. Copyright © 2016 John Wiley & Sons, Ltd. PMID:27061076

  16. Trigeminal Neuralgia Caused by Persistent Primitive Trigeminal Artery

    PubMed Central

    Park, Chang Kyu; Lee, Sung Ho; Rhee, Bong Arm

    2014-01-01

    A 66-year-old man presented with typical trigeminal neuralgia (TN). Magnetic resonance angiography (MRA) revealed a primitive trigeminal artery (PTA) that came into contact with the trigeminal nerve. Based on MRA, we performed microvascular decompression (MVD). In the operational field, we confirmed the PTA location and performed MVD successfully. Postoperatively, the patient's pain subsided without any complications. PMID:25368776

  17. Trigeminal neuralgia caused by persistent primitive trigeminal artery.

    PubMed

    Park, Chang Kyu; Choi, Hyuk Jai; Lee, Sung Ho; Rhee, Bong Arm

    2014-09-01

    A 66-year-old man presented with typical trigeminal neuralgia (TN). Magnetic resonance angiography (MRA) revealed a primitive trigeminal artery (PTA) that came into contact with the trigeminal nerve. Based on MRA, we performed microvascular decompression (MVD). In the operational field, we confirmed the PTA location and performed MVD successfully. Postoperatively, the patient's pain subsided without any complications. PMID:25368776

  18. Does Marketing Attract Less Ethical Students? An Assessment of the Moral Reasoning Ability of Undergraduate Marketing Students

    ERIC Educational Resources Information Center

    Herington, Carmel; Weaven, Scott

    2007-01-01

    This article assesses the level of moral reasoning ability (MRA) of undergraduate marketing students and compares the results with the MRA of students in a range of other business disciplines. The aim was to determine if marketing attracts individuals who have a greater predisposition to unethical behaviors given that marketing is often reported…

  19. Institutional Innovation and Public Extension Services Provision: The Marche Regional Administration Reform in Central Italy

    ERIC Educational Resources Information Center

    Pascucci, Stefano; De Magistris, Tiziana

    2011-01-01

    This paper describes how Marche Regional Administration (MRA) introduced an innovative institutional reform of an Agricultural Knowledge and Information System (AKIS) in central Italy. In order to study the main features of the MRA reform we used a methodological approach based on three steps: (i) first we applied a desk analysis to sketch the…

  20. TECHNICAL MEMORANDUM: ORD RESPONSE TO PUBLIC AND PEER REVIEW COMMENTS FOR THE HAZARDOUS WASTE IDENTIFICATION RULE (HWIR)

    EPA Science Inventory

    The Office and Research and Development (ORD) and the Office of Solid Waste (OSW) have combined to formulate a science-based modeling technology entitled 3MRA ( Multi-media, Multi-pathway, Multi-receptor Risk Analysis). The 3MRA modeling approach has been applied to estimate hum...

  1. Qualitative analysis of the elliptical centric technique and the TRICKS technique

    NASA Astrophysics Data System (ADS)

    Dong, Kyung-Rae; Goo, Eun-Hoe; Lee, Jae-Seung; Chung, Woon-Kwan

    2013-02-01

    This study evaluated the usefulness of time resolved imaging of contrast kinetics (TRICKS) magnetic resonance angiography (MRA) and elliptical centric MRA according to the type of cerebral disease. From February 2010 to January 2012, elliptical centric MRA and TRICKS MRA images were acquired from 50 normal individuals and 50 patients with cerebral diseases by using 3.0-Tesla magnetic resonance imaging (MRI) equipment. The images were analyzed qualitatively by examining areas such as the presence or absence of artifacts on the images, the distinctness of boundaries of blood vessels, accurate representation of the lesions, and the subtraction level. In addition, the sensitivity, specificity, positive prediction rate, negative prediction rate and accuracy were assessed by comparing the diagnostic efficacy of the two techniques. The results revealed TRICKS MRA to have superior image quality to elliptical centric MRA. Regarding each disease, TRICKS MRA showed higher diagnostic efficacy for artery venous malformation (AVM) and middle cerebral artery (MCA) bypass patients whereas elliptical centric MRA was more suitable for patients with brain tumors, cerebral infarction, cerebral stenosis or sinus mass.

  2. Optic disc classification by the Heidelberg Retina Tomograph and by physicians with varying experience of glaucoma

    PubMed Central

    Andersson, S; Heijl, A; Bengtsson, B

    2011-01-01

    Purpose To compare the diagnostic accuracy of the Heidelberg Retina Tomograph's (HRT) Moorfields regression analysis (MRA) and glaucoma probability score (GPS) with that of subjective grading of optic disc photographs performed by ophthalmologists with varying experience of glaucoma and by ophthalmology residents. Methods Digitized disc photographs and HRT images from 97 glaucoma patients with visual field defects and 138 healthy individuals were classified as either within normal limits (WNL), borderline (BL), or outside normal limits (ONL). Sensitivity and specificity were compared for MRA, GPS, and the physicians. Analyses were also made according to disc size and for advanced visual field loss. Results Forty-five physicians participated. When BL results were regarded as normal, sensitivity was significantly higher (P<5%) for both MRA and GPS compared with the average physician, 87%, 79%, and 62%, respectively. Specificity ranged from 86% for MRA to 97% for general ophthalmologists, but the differences were not significant. In eyes with small discs, sensitivity was 75% for MRA, 60% for the average doctor, and 25% for GPS; in eyes with large discs, sensitivity was 100% for both GPS and MRA, but only 68% for physicians. Conclusion Our results suggest that sensitivity of MRA is superior to that of the average physician, but not that of glaucoma experts. MRA correctly classified all eyes with advanced glaucoma and showed the best sensitivity in eyes with small optic discs. PMID:21836629

  3. 78 FR 68699 - IFR Altitudes; Miscellaneous Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    ... ``significant rule'' under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does... Part MC COMB, MS VORTAC *ROMAR, MS FIX **3000 *4000--MRA **1900--MOCA *ROMAR, MS FIX MAGNOLIA, MS VORTAC..... **3000 *4000--MRA **1900--MOCA Sec. 95.6018 VOR Federal Airway V18 is Amended to Read in...

  4. 76 FR 33136 - IFR Altitudes; Miscellaneous Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... ``significant rule'' under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does... FIX 2500 *3500--MRA *3000--MCA Niles, IL FIX, N BND *Niles, IL FIX **Laird, IL FIX......... 3400 *3500... 3400 *3500--MRA *3000--MCA Niles, IL FIX, N BND *Niles, IL FIX Chicago Heights, IL 2500 VORTAC....

  5. Using qPCR for Water Microbial Risk Assessments

    EPA Science Inventory

    Microbial risk assessment (MRA) has traditionally utilized microbiological data that was obtained by culture-based techniques that are expensive and time consuming. With the advent of PCR methods there is a realistic opportunity to conduct MRA studies economically, in less time,...

  6. Structural insights into inhibition of lipid I production in bacterial cell wall synthesis.

    PubMed

    Chung, Ben C; Mashalidis, Ellene H; Tanino, Tetsuya; Kim, Mijung; Matsuda, Akira; Hong, Jiyong; Ichikawa, Satoshi; Lee, Seok-Yong

    2016-05-26

    Antibiotic-resistant bacterial infection is a serious threat to public health. Peptidoglycan biosynthesis is a well-established target for antibiotic development. MraY (phospho-MurNAc-pentapeptide translocase) catalyses the first and an essential membrane step of peptidoglycan biosynthesis. It is considered a very promising target for the development of new antibiotics, as many naturally occurring nucleoside inhibitors with antibacterial activity target this enzyme. However, antibiotics targeting MraY have not been developed for clinical use, mainly owing to a lack of structural insight into inhibition of this enzyme. Here we present the crystal structure of MraY from Aquifex aeolicus (MraYAA) in complex with its naturally occurring inhibitor, muraymycin D2 (MD2). We show that after binding MD2, MraYAA undergoes remarkably large conformational rearrangements near the active site, which lead to the formation of a nucleoside-binding pocket and a peptide-binding site. MD2 binds the nucleoside-binding pocket like a two-pronged plug inserting into a socket. Further interactions it makes in the adjacent peptide-binding site anchor MD2 to and enhance its affinity for MraYAA. Surprisingly, MD2 does not interact with three acidic residues or the Mg(2+) cofactor required for catalysis, suggesting that MD2 binds to MraYAA in a manner that overlaps with, but is distinct from, its natural substrate, UDP-MurNAc-pentapeptide. We have determined the principles of MD2 binding to MraYAA, including how it avoids the need for pyrophosphate and sugar moieties, which are essential features for substrate binding. The conformational plasticity of MraY could be the reason that it is the target of many structurally distinct inhibitors. These findings can inform the design of new inhibitors targeting MraY as well as its paralogues, WecA and TarO. PMID:27088606

  7. False-negative magnetic resonance angiography with extracranial internal carotid artery stenosis: a report of two cases and review of the literature.

    PubMed

    Gluf, Wayne M; O'Neill, Brent; Couldwell, William T

    2005-04-01

    Magnetic resonance angiography (MRA) is increasingly used as a noninvasive means to assess internal carotid artery (ICA) stenosis. When used alone, however, MRA may not be sufficiently accurate in certain settings to determine whether ICA disease meets surgical criteria. Although MRA has been recognized to overestimate the degree of stenosis, the authors present two cases in which it severely underestimated arterial stenosis. Two male patients, 70 and 40 years old, respectively, were admitted with crescendo transient ischemic attacks. Their MRA studies suggested nonsurgical lesions of the ICA. After the patients continued to demonstrate clinical evidence of embolic disease, digital subtraction angiography (DSA) was performed on one patient, and the other received a gadolinium contrast-enhanced MRA. These tests revealed critical stenosis in each patient. Each was taken to the operating room for awake carotid endarterectomy with heparin anticoagulation and electroencephalographic monitoring. At surgery, both patients were found to have severely stenosed ICAs with complex plaques. MRA to determine whether ICA stenosis meets surgical criteria may not be sufficiently accurate in certain clinical settings. Additional imaging studies, such as confirmatory digital ultrasonography, MRA with gadolinium contrast, or DSA, may be required to determine the extent of carotid artery stenosis accurately. PMID:15480890

  8. Detection of Type II Endoleak After Endovascular Aortic Repair: Comparison Between Magnetic Resonance Angiography and Blood-Pool Contrast Agent and Dual-Phase Computed Tomography Angiography

    SciTech Connect

    Wieners, Gero; Meyer, Frank; Halloul, Zuhir; Peters, Nils; Ruehl, Ricarda; Dudeck, Oliver; Tautenhahn, Joerg; Ricke, Jens; Pech, Maciej

    2010-12-15

    PurposeThis prospective study was designed to assess the diagnostic value of magnetic resonance angiography (MRA) with blood-pool contrast agent (gadofosveset) in the detection of type-II endoleak after endovascular aortic repair (EVAR).MethodsThirty-two patients with aortic aneurysms who had undergone EVAR were included in this study. All patients were examined by dual-phase computed tomography angiography (CTA) as well as MRA with gadofosveset in the first-pass and steady-state phases. Two independent readers evaluated the images of CTA and MRA in terms of endoleak type II, feeding vessel, and image quality.ResultsMedian follow-up-time after EVAR was 22 months (range 4 to 59). Endoleak type II was detected by CTA in 12 of 32 patients (37.5%); MRA detected endoleak in all of these patients as well as in another 9 patients (n = 21, 65.6%), of whom the endoleaks in 6 patients showed an increasing diameter. Most endoleaks were detected in the steady-state phase (n = 14). The decrease in diameter of the aneurysmal sac was significantly greater in the patients without a visible endoleak that was visible on MRA (P = 0.004). In the overall estimation of diagnostic accuracy, MRA was judged superior to CTA in 66% of all examinations.ConclusionMRA with gadofosveset appeared superior to CTA, and has higher diagnostic accuracy, in the detection of endoleak after EVAR.

  9. A feasibility study for compressed sensing combined phase contrast MR angiography reconstruction

    NASA Astrophysics Data System (ADS)

    Lee, Dong-Hoon; Hong, Cheol-Pyo; Lee, Man-Woo; Han, Bong-Soo

    2012-02-01

    Phase contrast magnetic resonance angiography (PC MRA) is a technique for flow velocity measurement and vessels visualization, simultaneously. The PC MRA takes long scan time because each flow encoding gradients which are composed bipolar gradient type need to reconstruct the angiography image. Moreover, it takes more image acquisition time when we use the PC MRA at the low-tesla MRI system. In this study, we studied and evaluation of feasibility for CS MRI reconstruction combined PC MRA which data acquired by low-tesla MRI system. We used non-linear reconstruction algorithm which named Bregman iteration for CS image reconstruction and validate the usefulness of CS combined PC MRA reconstruction technique. The results of CS reconstructed PC MRA images provide similar level of image quality between fully sampled reconstruction data and sparse sampled reconstruction using CS technique. Although our results used half of sampling ratio and do not used specification hardware device or performance which are improving the temporal resolution of MR image acquisition such as parallel imaging reconstruction using phased array coil or non-cartesian trajectory, we think that CS combined PC MRA technique will be helpful to increase the temporal resolution and at low-tesla MRI system.

  10. Magnetic resonance angiography in the diagnosis of thoracic venous obstruction.

    PubMed

    Chang, Y C; Su, C T; Yang, P C; Wang, T C; Chiu, L C; Hsu, J C

    1998-01-01

    The aims of this study were to evaluate the diagnostic value of orthogonal magnetic resonance angiography (MRA) and to compare the results of MRA with those of digital subtraction venography (DSV) in thoracic venous diseases. Ten normal volunteers were evaluated using two-dimensional time-of-flight MRA in three orthogonal planes to determine the image quality of each venous segment. Twelve consecutive patients suspected of having thoracic venous disease were studied with both MRA and DSV. In the normal subjects, the plane perpendicular to the target vein provided the most consistent visualization. Using three orthogonal MRA images, a diagnostic-quality image was obtained in 175 (83%) of 210 venous segments in normal volunteers. In patients with thoracic venous obstructive disease, MRA was more effective than DSV in detecting total (84 vs 54), patent (56 vs 36), stenotic (13 vs 10), and obstructive (15 vs 8) venous segments, poststenotic or postobstructive veins (15 vs 10), thrombosis of the internal jugular vein (7 vs 2), intraluminal thrombus (5 vs 3), and azygos veins (12 vs 2). Using venous segments visible on DVS (n = 54) as the standard, the sensitivity and specificity of MRA were 94% and 100%, respectively, in detecting venous patency, and 100% and 98% in detecting complete venous obstruction. In the shoulder region, the sensitivity and specificity of MRA were 93% and 100%, respectively, in detecting venous patency, and 100% and 97% in detecting venous obstruction. We conclude that MRA with three orthogonal planes can provide relatively complete and reliable venous mapping, without the need for contrast medium. PMID:9481063

  11. Evaluation of the lower limb vasculature before free fibula flap transfer. A prospective blinded comparison between magnetic resonance angiography and digital subtraction angiography.

    PubMed

    Klein, Steven; Van Lienden, Krijn P; Van't Veer, Marcel; Smit, Jeroen M; Werker, Paul M N

    2013-10-01

    Introduction The aim of this study was to compare magnetic resonance angiography (MRA) with digital subtraction angiography (DSA) in the preoperative assessment of crural arteries and their skin perforators prior to free fibular transfer. Patients and methods Fifteen consecutive patients, scheduled for free vascularized fibular flap transfer, were subjected to DSA as well as MRA of the crural arteries of both legs (n = 30). All DSA and MRA images were assessed randomly, blindly, and independently by two radiologists. Each of the assessors scored the degree of stenosis of various segments on a 5 point scale from 0 (occlusive) to 4 (no stenosis). The Cohen's Kappa coefficient was used to assess the agreement between DSA and MRA scores. In addition, the number of cutaneous perforators were scored and the assessors were asked if they would advise against fibula harvest and transplantation based on the images. Results A Cohen's Kappa of 0.64, indicating "substantial agreement of stenosis severity scores" was found between the two imaging techniques. The sensitivity of MRA to detect a stenosis compared with DSA was 79% (CI 95%:60-91), and a specificity of 98% (CI 95%: 97-99). In 53 out of 60 assessments, advice on suitability for transfer were equal between DSA and MRA. The median number of cutaneous perforators that perfuse the skin overlying the fibula per leg was one for DSA as well as MRA (P = 0.142).Conclusions A substantial agreement in the assessment of stenosis severity was found between DSA and MRA. The results suggest that MRA is a good alternative to DSA in the preoperative planning of free fibula flap transplantation. PMID:24038374

  12. Factors Affecting Accuracy of Data Abstracted from Medical Records

    PubMed Central

    Zozus, Meredith N.; Pieper, Carl; Johnson, Constance M.; Johnson, Todd R.; Franklin, Amy; Smith, Jack; Zhang, Jiajie

    2015-01-01

    Objective Medical record abstraction (MRA) is often cited as a significant source of error in research data, yet MRA methodology has rarely been the subject of investigation. Lack of a common framework has hindered application of the extant literature in practice, and, until now, there were no evidence-based guidelines for ensuring data quality in MRA. We aimed to identify the factors affecting the accuracy of data abstracted from medical records and to generate a framework for data quality assurance and control in MRA. Methods Candidate factors were identified from published reports of MRA. Content validity of the top candidate factors was assessed via a four-round two-group Delphi process with expert abstractors with experience in clinical research, registries, and quality improvement. The resulting coded factors were categorized into a control theory-based framework of MRA. Coverage of the framework was evaluated using the recent published literature. Results Analysis of the identified articles yielded 292 unique factors that affect the accuracy of abstracted data. Delphi processes overall refuted three of the top factors identified from the literature based on importance and five based on reliability (six total factors refuted). Four new factors were identified by the Delphi. The generated framework demonstrated comprehensive coverage. Significant underreporting of MRA methodology in recent studies was discovered. Conclusion The framework generated from this research provides a guide for planning data quality assurance and control for studies using MRA. The large number and variability of factors indicate that while prospective quality assurance likely increases the accuracy of abstracted data, monitoring the accuracy during the abstraction process is also required. Recent studies reporting research results based on MRA rarely reported data quality assurance or control measures, and even less frequently reported data quality metrics with research results. Given

  13. The Harvard Catalyst Common Reciprocal IRB Reliance Agreement

    PubMed Central

    Winkler, Sabune J.; Witte, Elizabeth; Bierer, Barbara E.

    2014-01-01

    Reduction of duplicative Institutional Review Board (IRB) review for multi-institutional studies is a desirable goal to improve IRB efficiency while enhancing human subject protections. Here we describe the Harvard Catalyst Master Reciprocal Common IRB Reliance Agreement (MRA), a system that provides a legal framework for IRB reliance, with the potential to streamline IRB review processes and reduce administrative burden and barriers to collaborative, multi-institutional research. The MRA respects the legal autonomy of the signatory institutions while offering a pathway to eliminate duplicative IRB review when appropriate. The Harvard Catalyst MRA provides a robust and flexible model for reciprocal reliance that is both adaptable and scalable. PMID:25196592

  14. How Are Brain and Spinal Cord Tumors in Children Diagnosed?

    MedlinePlus

    ... spinal cord tumors in children staged? How are brain and spinal cord tumors diagnosed in children? Brain ... resonance angiography (MRA) or computerized tomographic angiography (CTA). Brain or spinal cord tumor biopsy Imaging tests such ...

  15. 76 FR 59890 - IFR Altitudes; Miscellaneous Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... ``significant rule'' under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does... Read in Part PECAN, GA VORTAC AMAPO, GA FIX 2300 AMAPO, GA FIX *PRATZ, GA FIX **3000 *3000--MRA...

  16. Gadofosveset trisodium-enhanced MR angiography for detection of lower gastrointestinal bleeding.

    PubMed

    Hanna, Robert F; Browne, William F; Khanna, Lauren G; Prince, Martin R; Hecht, Elizabeth M

    2015-01-01

    The purpose of our study is to determine if Gadofosveset trisodium-enhanced magnetic resonance angiography (MRA) could be used for detection and localization of acute lower gastrointestinal (LGI) bleed. Four patients underwent MRA (4 females, mean age of 65 years) for suspected LGI bleeding. MRA detected an active rectal bleed in one patient. All other patients did not demonstrate active bleeding and these true negatives were confirmed by computed tomography angiography, endoscopy, and tagged-red blood cell scan or digital subtraction angiography. Preliminary results suggest that MRA may serve as an alternative technique for detecting acute LGI bleeding when nuclear scintigraphy is unavailable or in the younger radiosensitive population but further investigation in a larger cohort is required. PMID:26355018

  17. Magnetic Resonance Angiography: Current Status in the Planning and Follow-Up of Endovascular Treatment in Lower-Limb Arterial Disease

    SciTech Connect

    Lakshminarayan, Raghuram; Simpson, James O.; Ettles, Duncan F.

    2009-05-15

    Magnetic resonance angiography (MRA) has become an established imaging modality in the management of lower-limb arterial disease, with emerging roles in treatment planning and follow-up. Contrast-enhanced MRA is now the most widely used technique with clinically acceptable results in the majority of patients. Difficulties in imaging and image interpretation are recognised in certain subgroups, including patients with critical limb ischaemia as well as patients with stents. Although newer contrast agents and refined imaging protocols may offer some solutions to these problems, this optimism is balanced by concerns about the toxicity of certain gadolinium chelates. Further development of interventional MRA remains one of the most significant challenges in the development of magnetic resonance imaging-guided peripheral vascular intervention. The status of MRA in managing patients with lower-limb arterial disease in current clinical practice is reviewed.

  18. Contrast-enhanced three-dimensional fast-spoiled gradient magnetic resonance angiography of the renal arteries for potential living renal transplant donors: a comparative study with digital subtraction angiography.

    PubMed

    Al-Saeed, O; Ismail, M; Sheikh, M; Al-Moosawi, M; Al-Khawari, H

    2005-06-01

    Preoperative assessment of the arterial anatomy of prospective renal donors is essential. Various non-invasive techniques are used for such evaluation. We conducted this study using contrast-enhanced 3-D fast-spoiled gradient (CE 3-D FSPGR) magnetic resonance angiography (MRA) on a 1.0 Tesla magnet, for preoperative definition of the renal arteries. Forty-five preoperative living renal donors underwent CE 3-D FSPGR MRA of the renal vessels and the results were compared with conventional digital subtraction angiography (DSA). The renal vascular anatomy, both normal and with variations, was satisfactorily defined in all 45 cases with CE 3-D FSPGR MRA. Fifteen cases showed an accessory or aberrant arterial supply. A small aneurysm was shown in one case. All cases compared well with conventional DSA. Our study revealed that CE 3-D FSPGR MRA on a lower field strength magnet is accurate in defining the renal vascular anatomy and its variations. PMID:15932463

  19. Validity of computational hemodynamics in human arteries based on 3D time-of-flight MR angiography and 2D electrocardiogram gated phase contrast images

    NASA Astrophysics Data System (ADS)

    Yu, Huidan (Whitney); Chen, Xi; Chen, Rou; Wang, Zhiqiang; Lin, Chen; Kralik, Stephen; Zhao, Ye

    2015-11-01

    In this work, we demonstrate the validity of 4-D patient-specific computational hemodynamics (PSCH) based on 3-D time-of-flight (TOF) MR angiography (MRA) and 2-D electrocardiogram (ECG) gated phase contrast (PC) images. The mesoscale lattice Boltzmann method (LBM) is employed to segment morphological arterial geometry from TOF MRA, to extract velocity profiles from ECG PC images, and to simulate fluid dynamics on a unified GPU accelerated computational platform. Two healthy volunteers are recruited to participate in the study. For each volunteer, a 3-D high resolution TOF MRA image and 10 2-D ECG gated PC images are acquired to provide the morphological geometry and the time-varying flow velocity profiles for necessary inputs of the PSCH. Validation results will be presented through comparisons of LBM vs. 4D Flow Software for flow rates and LBM simulation vs. MRA measurement for blood flow velocity maps. Indiana University Health (IUH) Values Fund.

  20. Magnetic resonance angiography

    MedlinePlus

    ... angiography is an MRI exam of the blood vessels. Unlike traditional angiography that involves placing a tube ( ... MRA is used to look at the blood vessels in all parts of the body, including the ...

  1. Optical Coherence Tomography

    MedlinePlus

    ... Cardiac Magnetic Resonance Imaging (MRI and MRA) Computed Tomography (CT) Scan Diagnostic Tests and Procedures Echocardiography Electrocardiogram ... Ultrasound Nuclear Stress Test Nuclear Ventriculography Positron Emission Tomography (PET) Stress ... Optical Coherence Tomography | ...

  2. EVALUATION OF POLLUTION PREVENTION OPPORTUNITIES FOR MOLD RELEASE AGENTS

    EPA Science Inventory

    The report gives results of an assessment of the processes, materials, installation practices, and emission characteristics associated with the application of mold release agents (MRAs). Emissions were estimated based on available information on MRA composition and consumption. V...

  3. Takayasu arteritis

    MedlinePlus

    ... blood count (CBC) C-reactive protein (CRP) Electrocardiogram (ECG) Erythrocyte sedimentation rate (ESR) Magnetic resonance angiography (MRA) ... PA, Saruhan-Direskeneli G, Coit P, et al. Identification of susceptibility loci in IL6, RPS9/LILRB3, and ...

  4. Magnetic resonance angiography in perforator flap breast reconstruction

    PubMed Central

    Levine, Joshua L.

    2016-01-01

    Magnetic resonance angiography (MRA) is an extremely useful preoperative imaging test for evaluation of the vasculature of donor tissue to be used in autologous breast reconstruction. MRA has sufficient spacial resolution to reliably visualize 1 mm perforating vessels and to accurately locate vessels in reference to a patient’s anatomic landmarks without exposing patients to ionizing radiation or iodinated contrast. The use of a blood pool contrast agent and the lack of radiation exposure allow multiple studies of multiple anatomic regions in one examination. The following article is a detailed description of our MRA protocol developed with our radiologists with examples that illustrate the utility of MRA in perforator flap breast reconstruction. PMID:27047787

  5. Diagnostic yield and accuracy of CT angiography, MR angiography, and digital subtraction angiography for detection of macrovascular causes of intracerebral haemorrhage: prospective, multicentre cohort study

    PubMed Central

    Velthuis, Birgitta K; Rinkel, Gabriël J E; Algra, Ale; de Kort, Gérard A P; Witkamp, Theo D; de Ridder, Johanna C M; van Nieuwenhuizen, Koen M; de Leeuw, Frank-Erik; Schonewille, Wouter J; de Kort, Paul L M; Dippel, Diederik W; Raaymakers, Theodora W M; Hofmeijer, Jeannette; Wermer, Marieke J H; Kerkhoff, Henk; Jellema, Korné; Bronner, Irene M; Remmers, Michel J M; Bienfait, Henri Paul; Witjes, Ron J G M; Greving, Jacoba P; Klijn, Catharina J M

    2015-01-01

    Study question What are the diagnostic yield and accuracy of early computed tomography (CT) angiography followed by magnetic resonance imaging/angiography (MRI/MRA) and digital subtraction angiography (DSA) in patients with non-traumatic intracerebral haemorrhage? Methods This prospective diagnostic study enrolled 298 adults (18-70 years) treated in 22 hospitals in the Netherlands over six years. CT angiography was performed within seven days of haemorrhage. If the result was negative, MRI/MRA was performed four to eight weeks later. DSA was performed when the CT angiography or MRI/MRA results were inconclusive or negative. The main outcome was a macrovascular cause, including arteriovenous malformation, aneurysm, dural arteriovenous fistula, and cavernoma. Three blinded neuroradiologists independently evaluated the images for macrovascular causes of haemorrhage. The reference standard was the best available evidence from all findings during one year’s follow-up. Study answer and limitations A macrovascular cause was identified in 69 patients (23%). 291 patients (98%) underwent CT angiography; 214 with a negative result underwent additional MRI/MRA and 97 with a negative result for both CT angiography and MRI/MRA underwent DSA. Early CT angiography detected 51 macrovascular causes (yield 17%, 95% confidence interval 13% to 22%). CT angiography with MRI/MRA identified two additional macrovascular causes (18%, 14% to 23%) and these modalities combined with DSA another 15 (23%, 18% to 28%). This last extensive strategy failed to detect a cavernoma, which was identified on MRI during follow-up (reference strategy). The positive predictive value of CT angiography was 72% (60% to 82%), of additional MRI/MRA was 35% (14% to 62%), and of additional DSA was 100% (75% to 100%). None of the patients experienced complications with CT angiography or MRI/MRA; 0.6% of patients who underwent DSA experienced permanent sequelae. Not all patients with negative CT angiography and

  6. Comparing the diagnostic accuracy of contrast-enhanced computed tomographic angiography and gadolinium-enhanced magnetic resonance angiography for the assessment of hemodynamically significant transplant renal artery stenosis.

    PubMed

    Gaddikeri, Santhosh; Mitsumori, Lee; Vaidya, Sandeep; Hippe, Daniel S; Bhargava, Puneet; Dighe, Manjiri K

    2014-01-01

    To compare diagnostic accuracy of contrast-enhanced computed tomographic angiography (CTA) and gadolinium-enhanced magnetic resonance angiography (MRA) for the assessment of hemodynamically significant transplant renal artery stenosis (TRAS). After institutional review board approval, records of 27 patients with TRAS confirmed on digital subtraction angiography (DSA) were retrospectively reviewed. A total of 13 patients had MRA and 14 had CTA before DSA. Two board-certified fellowship-trained radiologists, one each from interventional radiology and body imaging blindly reviewed the DSA and CTA or MRA data, respectively. Sensitivity (SN), specificity (SP), positive predictive value, and negative predictive value of MRA and CTA were estimated using 50% stenosis as the detection threshold for significant TRAS. These parameters were compared between modalities using the Fisher exact test. Bias between MRA or CTA imaging and DSA was tested using the Wilcoxon signed-rank test. Two patients were excluded from the MRA group owing to susceptibility artifacts obscuring the TRAS. The correlation between MRA and DSA measurements of stenosis was r = 0.57 (95% CI:-0.02, 0.87; P = 0.052) and between CTA and DSA measurements was r = 0.63 (95% CI: 0.14, 0.87; P = 0.015); the difference between the 2 techniques was not significant (P = 0.7). Both imaging modalities tended to underestimate the degree of stenosis when compared with DSA. MRA group (SN and SP: 56% and 100%, respectively) and CTA group (SN and SP: 81% and 67%, respectively). There were no significant differences in detection performance between modalities (P>0.3 for all measures). We did not find that either modality had any advantage over the other in terms of measuring or detecting significant stenosis. Accordingly, MRA may be preferred over CTA after positive color Doppler ultrasound screening when not contraindicated owing to lack of ionizing radiation or nephrotoxic iodinated contrast. However, susceptibility of

  7. Implementation of the mutual recognition agreement between the United States and the European Community; pharmaceutical GMP's and medical devices; establishment of a public docket and FDA contact points. Food and Drug Administration, HHS. Establishment of a public docket and FDA contact points.

    PubMed

    1999-03-01

    The Food and Drug Administration (FDA) is announcing the establishment of a public docket for the submission and public availability of information concerning the implementation of the Mutual Recognition Agreement (MRA) between the United States and the European Community (EC) in the areas of pharmaceutical good manufacturing practices (GMP's) and medical devices. FDA is also establishing contact points for information covering particular subjects under the MRA implementation, and the agency is making appropriate information available on the FDA web site. PMID:10557625

  8. Incorporate Imaging Characteristics Into an Arteriovenous Malformation Radiosurgery Plan Evaluation Model

    SciTech Connect

    Zhang Pengpeng Wu, Leester; Liu Tian; Kutcher, Gerald J..; Isaacson, Steven

    2008-04-01

    Purpose: To integrate imaging performance characteristics, specifically sensitivity and specificity, of magnetic resonance angiography (MRA) and digital subtraction angiography (DSA) into arteriovenous malformation (AVM) radiosurgery planning and evaluation. Methods and Materials: Images of 10 patients with AVMs located in critical brain areas were analyzed in this retrospective planning study. The image findings were first used to estimate the sensitivity and specificity of MRA and DSA. Instead of accepting the imaging observation as a binary (yes or no) mapping of AVM location, our alternative is to translate the image into an AVM probability distribution map by incorporating imagers' sensitivity and specificity, and to use this map as a basis for planning and evaluation. Three sets of radiosurgery plans, targeting the MRA and DSA positive overlap, MRA positive, and DSA positive were optimized for best conformality. The AVM obliteration rate (ORAVM) and brain complication rate served as endpoints for plan comparison. Results: In our 10-patient study, the specificities and sensitivities of MRA and DSA were estimated to be (0.95, 0.74) and (0.71, 0.95), respectively. The positive overlap of MRA and DSA accounted for 67.8% {+-} 4.9% of the estimated true AVM volume. Compared with plans targeting MRA and DSA-positive overlap, plans targeting MRA-positive or DSA-positive improved ORAVM by 4.1% {+-} 1.9% and 15.7% {+-} 8.3%, while also increasing the complication rate by 1.0% {+-} 0.8% and 4.4% {+-} 2.3%, respectively. Conclusions: The impact of imagers' quality should be quantified and incorporated in AVM radiosurgery planning and evaluation to facilitate clinical decision making.

  9. 2009 H1N1 and Seasonal Influenza Immunization Among Pregnant Women: A Comparison of Different Sources of Immunization Information

    PubMed Central

    Specker, Bonny; Wey, Betty; Fuller, Jill; Sandoval, Marie-Noel; Durkin, Maureen; Dole, Nancy; Walter, Emmanuel B.

    2013-01-01

    Validity of prenatal immunization data from different sources has not been assessed. We evaluated prenatal 2009 H1N1 and seasonal influenza (FLU) data obtained from state immunization information systems (IIS), medical record abstraction (MRA), and participant recall using medical care logs (NCS–MCL). 2009 H1N1 and FLU data were obtained from IIS and MRA for 325 pregnant women participating in the National Children’s Study at three locations (SD/MN, NC, WI). Women recalled immunizations at first pregnancy visit and at 16–17 and 36 weeks’ gestation (NCS–MCL). The proportion of women with vaccine information obtainable from each data source was determined, and proportions immunized as determined using different data sources were compared. IIS data were available for 82 %, MRA for 97 %, and NCS–MCL for 93 % of women. No mention of either vaccine occurred in 29 % (range 4–48 %) of IIS, 40 % of MRA (25–59 %), and 59 % (43–82 %) in NCS–MCL. Best agreement between sources was 2009 H1N1 vaccine in MRA versus IIS [kappa (95 % CI) of 0.44 (0.32–0.55)], with poorest agreement for FLU in IIS versus NCS–MCL [0.11 (−0.03 to 0.25)]. IIS was the most sensitive method for identifying women receiving 2009 H1N1 vaccine (92 %); MRA was most sensitive for FLU vaccine (81 %). IIS provided the most complete and sensitive data for 2009 H1N1 immunizations and MRA the most complete and sensitive data for FLU; IIS data were available for a smaller percent of population than MRA. NCS–MCL was the least sensitive method for identifying vaccinated women. PMID:23793534

  10. High-Resolution Postcontrast Time-of-Flight MR Angiography of Intracranial Perforators at 7.0 Tesla

    PubMed Central

    Harteveld, Anita A.; De Cocker, Laurens J. L.; Dieleman, Nikki; van der Kolk, Anja G.; Zwanenburg, Jaco J. M.; Robe, Pierre A.; Luijten, Peter R.; Hendrikse, Jeroen

    2015-01-01

    Background and Purpose Different studies already demonstrated the benefits of 7T for precontrast TOF-MRA in the visualization of intracranial small vessels. The aim of this study was to assess the performance of high-resolution 7T TOF-MRA after the administration of a gadolinium-based contrast agent in visualizing intracranial perforating arteries. Materials and Methods Ten consecutive patients (7 male; mean age, 50.4 ± 9.9 years) who received TOF-MRA at 7T after contrast administration were retrospectively included in this study. Intracranial perforating arteries, branching from the parent arteries of the circle of Willis, were identified on all TOF-MRA images. Provided a TOF-MRA before contrast administration was present, a direct comparison between pre- and postcontrast TOF-MRA was made. Results It was possible to visualize intracranial perforating arteries branching off from the entire circle of Willis, and their proximal branches. The posterior cerebral artery (P1 and proximal segment of P2) appeared to have the largest number of visible perforating branches (mean of 5.1 in each patient, with a range of 2–7). The basilar artery and middle cerebral artery (M1 and proximal segment M2) followed with a mean number of 5.0 and 3.5 visible perforating branches (range of 1–9 and 1–8, respectively). Venous contamination in the postcontrast scans sometimes made it difficult to discern the arterial or venous nature of a vessel. Conclusion High-resolution postcontrast TOF-MRA at 7T was able to visualize multiple intracranial perforators branching off from various parts of the circle of Willis and proximal intracranial arteries. Although confirmation in a larger study is needed, the administration of a contrast agent for high-resolution TOF-MRA at 7T seems to enable a better visualization of the distal segment of certain intracranial perforators. PMID:25774881

  11. Highly porous activated carbons prepared from carbon rich Mongolian anthracite by direct NaOH activation

    NASA Astrophysics Data System (ADS)

    Byamba-Ochir, Narandalai; Shim, Wang Geun; Balathanigaimani, M. S.; Moon, Hee

    2016-08-01

    Highly porous activated carbons (ACs) were prepared from Mongolian raw anthracite (MRA) using sodium hydroxide as an activation agent by varying the mass ratio (powdered MRA/NaOH) as well as the mixing method of chemical agent and powdered MRA. The specific BET surface area and total pore volume of the prepared MRA-based activated carbons (MACs) are in the range of 816-2063 m2/g and of 0.55-1.61 cm3/g, respectively. The pore size distribution of MACs show that most of the pores are in the range from large micropores to small mesopores and their distribution can be controlled by the mass ratio and mixing method of the activating agent. As expected from the intrinsic property of the MRA, the highly graphitic surface morphology of prepared carbons was confirmed from Raman spectra and transmission electron microscopy (TEM) studies. Furthermore the FTIR and XPS results reveal that the preparation of MACs with hydrophobic in nature is highly possible by controlling the mixing conditions of activating agent and powdered MRA. Based on all the results, it is suggested that the prepared MACs could be used for many specific applications, requiring high surface area, optimal pore size distribution, proper surface hydrophobicity as well as strong physical strength.

  12. Modified CHROMagar Acinetobacter Medium for Direct Detection of Multidrug-Resistant Acinetobacter Strains in Nasal and Rectal Swab Samples

    PubMed Central

    Lee, Jacob; Kim, Taek-Kyung; Park, Min-Jeong; Kim, Han-Sung; Kim, Jae-Seok

    2013-01-01

    This study aimed to investigate whether CHROMagar Acinetobacter medium (CHROMagar, France) in combination with an antimicrobial supplement (modified CHROMagar Acinetobacter; CHROMagar, France) can be used for detecting and isolating multidrug-resistant Acinetobacter species (MRA) in nasal and rectal surveillance cultures. Nasal and rectal swab samples were collected from patients in an intensive care unit at a teaching hospital. The samples were used to inoculate modified CHROMagar Acinetobacter plates, which were examined after 24 and 48 hr of incubation at 37℃. Their susceptibility against the antimicrobial agents meropenem, imipenem, ciprofloxacin, and amikacin was analyzed using the Etest (bioMerieux, France). A total of 406 paired samples (406 nasal swabs and 406 rectal swabs) were obtained from 226 patients, and 120 samples (28 nasal and 28 rectal cultures, 47 nasal cultures only, and 17 rectal cultures only) yielded MRA. Seventy-five MRA isolates (18.5%) were recovered from the 406 nasal samples, and 45 MRA isolates (11.1%) were recovered from the 406 rectal samples. Of the 120 MRA isolates, 3 (2.5%) were detected only after 48 hr of incubation. The use of modified CHROMagar Acinetobacter together with nasal and rectal swabs and 1-day incubation is an effective surveillance tool for detecting MRA colonization. PMID:23667846

  13. [Magnetic resonance angiography of the renal arteries].

    PubMed

    Matos, C; Metens, T; Nicaise, N; Golzarian, J; Dussaussois, L; Struyven, J

    1999-09-01

    Initially, the clinical use of magnetic resonance angiography (MRA) in the abdomen has been restricted because of motion and flow related artifacts. The advent of high performance gradient systems made possible the development of 3D gadolinium-enhanced MRA techniques and expanded the clinical applications of MRA into the abdominal area, particularly for the investigation of renal arteries. This technique is safe, because the administered contrast agent (gadolinium) is free of clinically detectable nephrotoxicity and has a low incidence of allergic reactions. Moreover, contrast MRA also eliminates the risks of ionizing radiation which allows repeating the examination without the accumulation of radiation exposure. The main disadvantages of the technique are its low availability and the fact that the use of contrast agents for this procedure is still not reimbursed by the social security. Many studies demonstrated that contrast MRA allows for the reliable assessment of renal artery morphology and pathologic states. Furthermore, within a single MR examination a comprehensive approach including renal artery morphology, hemodynamic significance of any stenosis and kidney perfusion is available. In this paper, we provide a review of the literature concerning the clinical performance of contrast MRA for the renal arteries and suggest its rationale for the investigation of patients suspected of renovascular disease in our specific environment. PMID:10523920

  14. Failing Hemodialysis Arteriovenous Fistula and Percutaneous Treatment: Imaging with CT, MRI and Digital Subtraction Angiography

    SciTech Connect

    Cavagna, Enrico; D'Andrea, Paolo; Schiavon, Francesco; Tarroni, Giovanni

    2000-07-15

    Purpose: To evaluate failing hemodialysis arteriovenous fistulas with helical CT angiography (CTA), MR angiography (MRA), and digital subtraction angiography (DSA), and to compare the efficacy of the three techniques in detecting the number, location, grade, and extent of stenoses and in assessing the technical results of percutaneous transluminal angioplasty (PTA) and stenting.Methods: Thirteen patients with Brescia-Cimino arteriovenous fistula malfunction underwent MRA and CTA of the fistula and, within 1 week, DSA. A total of 11 PTAs were performed; in three cases an MR-compatible stent was placed. DSA served as the gold standard for comparison in all patients. The presence, site, and number of stenoses or occlusions and the technical results of percutaneous procedures were assessed with DSA, CTA, and MRA.Results: MRA underestimated a single stenosis in one patient; CTA and MRA did not overestimate any stenosis. Significant artifacts related to stent geometry and/or underlying metal were seen in MRA sequences in two cases.Conclusions: CT and MRI can provide information regarding the degree of vascular impairment, helping to stratify patients into those who can have PTA (single or multiple stenoses) versus those who require an operative procedure (occlusion). Conventional angiography can be reserved for candidates for percutaneous intervention.

  15. Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program.

    PubMed

    Nagle, Scott K; Schiebler, Mark L; Repplinger, Michael D; François, Christopher J; Vigen, Karl K; Yarlagadda, Rajkumar; Grist, Thomas M; Reeder, Scott B

    2016-03-01

    The performance of contrast enhanced pulmonary magnetic resonance angiography (MRA) for the diagnosis of pulmonary embolism (PE) is an effective non-ionizing alternative to contrast enhanced computed tomography and nuclear medicine ventilation/perfusion scanning. However, the technical success of these exams is very dependent on careful attention to the details of the MRA acquisition protocol and requires reader familiarity with MRI and its artifacts. Most practicing radiologists are very comfortable with the performance and interpretation of computed tomographic angiography (CTA) performed to detect pulmonary embolism but not all are as comfortable with the use of MRA in this setting. The purpose of this review is to provide the general radiologist with the tools necessary to build a successful pulmonary embolism MRA program. This review will cover in detail image acquisition, image interpretation, and some key elements of outreach that help to frame the role of MRA to consulting clinicians and hospital administrators. It is our aim that this resource will help build successful clinical pulmonary embolism MRA programs that are well received by patients and physicians, reduce the burden of medical imaging radiation, and maintain good patient outcomes. PMID:26860667

  16. Magnetic Resonance Angiography of Uterine Artery: Changes with Embolization Using Gelatin Sponge Particles Alone for Fibroids

    SciTech Connect

    Katsumori, Tetsuya Kasahara, Toshiyuki; Kin, Yoko; Ichihashi, Shigeo

    2007-06-15

    Purpose. To assess uterine artery recanalization, together with tumor devascularization, after embolization using gelatin sponge particles alone for fibroids. Methods. Twenty-seven patients underwent uterine artery embolization (UAE) for fibroids using only gelatin sponge particles. The angiographic endpoint of embolization was defined as near stasis of contrast medium in the ascending segment of the uterine artery. All patients underwent contrast-enhanced magnetic resonance angiography (MRA) before and 4 months after UAE, and contrast-enhanced magnetic resonance imaging (CE-MRI) before, 1 week after, and 4 months after UAE. The visualization of the uterine arteries before and 4 months after UAE was assessed using MRA. The infarction rates of the largest tumor were assessed using CE-MRI 1 week after UAE. Results. MRA 4 months after UAE showed 100% (53/53) of the descending and transverse segments, and 88% (43/49) of the ascending segments that had been noted on baseline MRA. The visualization of the ascending segments on MRA 4 months after UAE was identical to that on baseline MRA in 20 of 27 patients (74%). CE-MRI showed complete infarction of the largest tumor in 22 of 27 patients (81%), and 90-99% infarction of the largest tumor in the remaining 5 of 27 patients (19%). Conclusion. Based on the MR study, in most cases uterine artery recanalization occurred, together with sufficient devascularization of fibroids, after UAE using gelatin sponge particles alone.

  17. Multimodality Imaging of Carotid Stenosis

    PubMed Central

    Adla, Theodor; Adlova, Radka

    2015-01-01

    Four diagnostic modalities are used to image the following internal carotid artery: digital subtraction angiography (DSA), duplex ultrasound (DUS), computed tomography angiography (CTA), and magnetic resonance angiography (MRA). The aim of this article is to describe the potentials of these techniques and to discuss their advantages and disadvantages. Invasive DSA is still considered the gold standard and is an indivisible part of the carotid stenting procedure. DUS is an inexpensive but operator-dependent tool with limited visibility of the carotid artery course. Conversely, CTA and MRA allow assessment of the carotid artery from the aortic arch to intracranial parts. The disadvantages of CTA are radiation and iodine contrast medium administration. MRA is without radiation but contrast-enhanced MRA is more accurate than noncontrast MRA. The choice of methods depends on the clinical indications and the availability of methods in individual centers. However, the general approach to patient with suspected carotid artery stenosis is to first perform DUS and then other noninvasive methods such as CTA, MRA, or transcranial Doppler US. PMID:26417185

  18. Planning Evaluation of C-Arm Cone Beam CT Angiography for Target Delineation in Stereotactic Radiation Surgery of Brain Arteriovenous Malformations

    SciTech Connect

    Kang, Jun; Huang, Judy; Gailloud, Philippe; Rigamonti, Daniele; Lim, Michael; Bernard, Vincent; Ehtiati, Tina; Ford, Eric C.

    2014-10-01

    Purpose: Stereotactic radiation surgery (SRS) is one of the therapeutic modalities currently available to treat cerebral arteriovenous malformations (AVM). Conventionally, magnetic resonance imaging (MRI) and MR angiography (MRA) and digital subtraction angiography (DSA) are used in combination to identify the target volume for SRS treatment. The purpose of this study was to evaluate the use of C-arm cone beam computed tomography (CBCT) in the treatment planning of SRS for cerebral AVMs. Methods and Materials: Sixteen consecutive patients treated for brain AVMs at our institution were included in this retrospective study. Prior to treatment, all patients underwent MRA, DSA, and C-arm CBCT. All images were coregistered using the GammaPlan planning system. AVM regions were delineated independently by 2 physicians using either C-arm CBCT or MRA, resulting in 2 volumes: a CBCT volume (VCBCT) and an MRA volume (V{sub MRA}). SRS plans were generated based on the delineated regions. Results: The average volume of treatment targets delineated using C-arm CBCT and MRA were similar, 6.40 cm{sup 3} and 6.98 cm{sup 3}, respectively (P=.82). However, significant regions of nonoverlap existed. On average, the overlap of the MRA with the C-arm CBCT was only 52.8% of the total volume. In most cases, radiation plans based on V{sub MRA} did not provide adequate dose to the region identified on C-arm CBCT; the mean minimum dose to V{sub CBCT} was 29.5%, whereas the intended goal was 45% (P<.001). The mean volume of normal brain receiving 12 Gy or more in C-arm CBCT-based plans was not greater than in the MRA-based plans. Conclusions: Use of C-arm CBCT images significantly alters the delineated regions of AVMs for SRS planning, compared to that of MRA/MRI images. CT-based planning can be accomplished without increasing the dose to normal brain and may represent a more accurate definition of the nidus, increasing the chances for successful obliteration.

  19. Detection of Residual Brain Arteriovenous Malformations after Radiosurgery: Diagnostic Accuracy of Contrast-Enhanced Three-Dimensional Time of Flight MR Angiography at 3.0 Tesla

    PubMed Central

    Lee, Kyoung Eun; Choi, Jin Woo; Choi, Byung Se; Lee, Deok Hee; Kim, Sang Joon; Kwon, Do Hoon

    2009-01-01

    Objective Although three-dimensional time-of-flight magnetic resonance angiography (3D TOF-MRA) is used frequently as a follow-up tool to assess the response of arteriovenous malformations (AVMs) after radiosurgery, the diagnostic accuracy of 3D TOF-MRA is not well known. We evaluated the diagnostic accuracy of contrast-enhanced 3D TOF-MRA at 3.0 Tesla for the detection of residual AVMs. Materials and Methods This study included 32 AVMs from 32 patients who had been treated with radiosurgery (males/females: 21/11; average patient age, 33.1 years). The time interval between radiosurgery and MRA was an average of 35.3 months (range, 12-88 months). Three-dimensional TOF-MRA was obtained at a magnetic field strength of 3.0 Tesla after infusion of contrast media, with a measured voxel size of 0.40 × 0.80 × 1.4 (0.45) mm3 and a reconstructed voxel size of 0.27 × 0.27 × 0.70 (0.05) mm3 after zero-filling. X-ray angiography was performed as the reference of standard within six months after MRA (an average of two months). To determine the presence of a residual AVM, the source images of 3D TOF-MRA were independently reviewed, focusing on the presence of abnormally hyperintense fine tangled or tubular structures with continuity as seen on consecutive slices by two observers blinded to the X-ray angiography results. Results A residual AVM was identified in 10 patients (10 of 32, 31%) on X-ray angiography. The inter-observer agreement for MRA was excellent (κ= 0.813). For the detection of a residual AVM after radiosurgery as determined by observer 1 and observer 2, the source images of MRA had an overall sensitivity of 100%/90% (10 of 10, 9 of 10), specificity of 68%/68% (15 of 22, 15 of 22), positive predictive value of 59%/56% (10 of 17, 9 of 16), negative predictive value of 100%/94% (15 of 15, 15 of 16) and diagnostic accuracy of 78%/75% (25 of 32, 24 of 32), respectively. Conclusion The sensitivity of contrast-enhanced 3D TOF-MRA at 3.0 Tesla is high but the

  20. Whole-Body Magnetic Resonance Angiography at 3 Tesla Using a Hybrid Protocol in Patients with Peripheral Arterial Disease

    SciTech Connect

    Nielsen, Yousef W.; Eiberg, Jonas P.; Logager, Vibeke B.; Schroeder, Torben V.; Just, Sven; Thomsen, Henrik S.

    2009-09-15

    The purpose of this study was to determine the diagnostic performance of 3T whole-body magnetic resonance angiography (WB-MRA) using a hybrid protocol in comparison with a standard protocol in patients with peripheral arterial disease (PAD). In 26 consecutive patients with PAD two different protocols were used for WB-MRA: a standard sequential protocol (n = 13) and a hybrid protocol (n = 13). WB-MRA was performed using a gradient echo sequence, body coil for signal reception, and gadoterate meglumine as contrast agent (0.3 mmol/kg body weight). Two blinded observers evaluated all WB-MRA examinations with regard to presence of stenoses, as well as diagnostic quality and degree of venous contamination in each of the four stations used in WB-MRA. Digital subtraction angiography served as the method of reference. Sensitivity for detecting significant arterial disease (luminal narrowing {>=} 50%) using standard-protocol WB-MRA for the two observers was 0.63 (95%CI: 0.51-0.73) and 0.66 (0.58-0.78). Specificities were 0.94 (0.91-0.97) and 0.96 (0.92-0.98), respectively. In the hybrid protocol WB-MRA sensitivities were 0.75 (0.64-0.84) and 0.70 (0.58-0.8), respectively. Specificities were 0.93 (0.88-0.96) and 0.95 (0.91-0.97). Interobserver agreement was good using both the standard and the hybrid protocol, with {kappa} = 0.62 (0.44-0.67) and {kappa} = 0.70 (0.59-0.79), respectively. WB-MRA quality scores were significantly higher in the lower leg using the hybrid protocol compared to standard protocol (p = 0.003 and p = 0.03, observers 1 and 2). Distal venous contamination scores were significantly lower with the hybrid protocol (p = 0.02 and p = 0.01, observers 1 and 2). In conclusion, hybrid-protocol WB-MRA shows a better diagnostic performance than standard protocol WB-MRA at 3 T in patients with PAD.

  1. Fusion Guidance in Endovascular Peripheral Artery Interventions: A Feasibility Study

    SciTech Connect

    Sailer, Anna M. Haan, Michiel W. de Graaf, Rick de Zwam, Willem H. van; Schurink, Geert Willem H.; Nelemans, Patricia J.; Wildberger, Joachim E. Das, Marco

    2015-04-15

    PurposeThis study was designed to evaluate the feasibility of endovascular guidance by means of live fluoroscopy fusion with magnetic resonance angiography (MRA) and computed tomography angiography (CTA).MethodsFusion guidance was evaluated in 20 endovascular peripheral artery interventions in 17 patients. Fifteen patients had received preinterventional diagnostic MRA and two patients had undergone CTA. Time for fluoroscopy with MRA/CTA coregistration was recorded. Feasibility of fusion guidance was evaluated according to the following criteria: for every procedure the executing interventional radiologists recorded whether 3D road-mapping provided added value (yes vs. no) and whether PTA and/or stenting could be performed relying on the fusion road-map without need for diagnostic contrast-enhanced angiogram series (CEAS) (yes vs. no). Precision of the fusion road-map was evaluated by recording maximum differences between the position of the vasculature on the virtual CTA/MRA images and conventional angiography.ResultsAverage time needed for image coregistration was 5 ± 2 min. Three-dimensional road-map added value was experienced in 15 procedures in 12 patients. In half of the patients (8/17), intervention was performed relying on the fusion road-map only, without diagnostic CEAS. In two patients, MRA roadmap showed a false-positive lesion. Excluding three patients with inordinate movements, mean difference in position of vasculature on angiography and MRA/CTA road-map was 1.86 ± 0.95 mm, implying that approximately 95 % of differences were between 0 and 3.72 mm (2 ± 1.96 standard deviation).ConclusionsFluoroscopy with MRA/CTA fusion guidance for peripheral artery interventions is feasible. By reducing the number of CEAS, this technology may contribute to enhance procedural safety.

  2. Whole-body three-dimensional contrast-enhanced magnetic resonance (MR) angiography with parallel imaging techniques on a multichannel MR system for the detection of various systemic arterial diseases.

    PubMed

    Lin, Jiang; Chen, Bin; Wang, Jian-Hua; Zeng, Meng-Su; Wang, Yi-Xiang

    2006-11-01

    Using a 1.5-T magnetic resonance (MR) imager equipped with 32 receiving channels and integrated parallel acquisition techniques, 37 patients underwent whole-body three-dimensional (3D) contrast-enhanced MR angiography (WB 3D CE MRA). The patients included had clinically documented or suspected peripheral arterial occlusive disease (PAOD, n = 19), Takayasu arteritis (n = 8), polyarteritis nodosa (n = 1), type-B dissection (n = 4), thoracic and/or abdominal aneurysm (n = 5). Sixty-eight surface coils were employed to encompass the whole body. Four 3D CE MRA stations were acquired successively through automatic table moving. The spatial resolution was 1.6 x 1.0 mm and slice thickness was 1.5 mm for all stations. A total scan range of 188 cm was acquired. Overall image quality of each arterial segment and venous overlay were assessed. The depiction of various systemic arterial diseases was evaluated and compared, in 20 patients, with other imaging modalities. This WB 3D CE MRA yielded a detailed display of the arterial system with an average MR room time of 17.4 min. The image quality was considered diagnostic in 99.3% of the arterial segments. In 7 of 19 patients with PAOD, WB MRA showed additional vascular narrowing apart from peripheral arterial disease. In nine patients with vasculitis, WB MRA depicted luminal irregularity, narrowing or occlusion, aneurysm, and collateral circulation involving multiple vascular segments. WB MRA also clearly revealed the severity and extent of dissection and aortic aneurysm. In 20 cases where additional imaging investigations have been carried out, the vascular pathologies demonstrated by WB MRA agree with these additional imaging investigations. PMID:17143719

  3. Mineralocorticoid Receptor Antagonist Use in Hospitalized Patients with Heart Failure, Reduced Ejection Fraction, and Diabetes Mellitus (from the EVEREST Trial)

    PubMed Central

    Vaduganathan, Muthiah; Cas, Alessandra Dei; Mentz, Robert J.; Greene, Stephen J.; Khan, Sadiya; Subacius, Haris P.; Chioncel, Ovidiu; Maggioni, Aldo P.; Konstam, Marvin A.; Senni, Michele; Fonarow, Gregg C.; Butler, Javed; Gheorghiade, Mihai

    2014-01-01

    Despite the well-established benefits of mineralocorticoid receptor agonists (MRAs) in heart failure with reduced ejection fraction, safety concerns remain in patients with concomitant diabetes mellitus (DM) because of common renal and electrolyte abnormalities in this population. We analyzed all-cause mortality and composite cardiovascular mortality and HF hospitalization over a median 9.9 months among 1,998 patients in the placebo arm of the Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study With Tolvaptan (EVEREST) trial by DM status and discharge MRA use. Of the 750 patients with DM, 59.2% were receiving MRAs compared with 62.5% in the non-DM patients. DM patients not receiving MRAs were older, more likely to be men, with an ischemic heart failure etiology and slightly worse renal function compared with those receiving MRAs. After adjustment for baseline risk factors, among DM patients, MRA use was not associated with either mortality (hazard ratio [HR] 0.93; 95% confidence interval [CI] 0.75 to 1.15) or the composite end point (HR 0.94; 95% CI 0.80 to 1.10). Similar findings were seen in non-DM patients (mortality [HR 1.01; 95% CI 0.84 to 1.22] or the composite end point [HR 0.98; 95% CI 0.85 to 1.13] [p >0.43 for DM interaction]). In conclusion, in-hospital initiation of MRA therapy was low (15% to 20%), and overall discharge MRA use was only 60% (with regional variation), regardless of DM status. There does not appear to be clear, clinically significant in-hospital hemodynamic or even renal differences between those on and off MRA. Discharge MRA use was not associated with postdischarge end points in patients hospitalized for worsening heart failure with reduced ejection fraction and co-morbid DM. DM does not appear to influence the effectiveness of MRA therapy. PMID:25060414

  4. A unified hydrogeological conceptual model of the Milk River transboundary aquifer, traversing Alberta (Canada) and Montana (USA)

    NASA Astrophysics Data System (ADS)

    Pétré, Marie-Amélie; Rivera, Alfonso; Lefebvre, René; Hendry, M. Jim; Folnagy, Attila J. B.

    2016-06-01

    A conceptual model of the transboundary Milk River Aquifer (MRA), extending across the Canada-USA border, was developed based on literature, focused fieldwork and a three-dimensional geological model. The MRA corresponds to the Virgelle Member of the Milk River Formation (Eagle Formation in Montana, USA) and it is an important groundwater resource over a large area (25,000 km2). The Virgelle outcrops near the international border and along the Sweet Grass Arch in Montana. The down-gradient limit of the MRA is the unconformity separating the Virgelle from the gas-bearing sandy shale of the Alderson Member. The MRA is confined above by the Pakowki/Claggett Formations aquitards and below by the Colorado Group aquitard. The MRA contains higher transmissivity areas resulting in preferential flowpaths, confirmed by natural geochemical tracers. Tritium and 14C delineate restricted recharge areas along the outcrops on both sides of the international border. Drastic decreases in horizontal hydraulic gradients indicate that the Milk River intercepts a large proportion of groundwater flowing to the north from the recharge area. Downgradient of the Milk River, groundwater movement is slow, as shown by 36Cl residence times exceeding 1 Ma. These slow velocities imply that groundwater discharge downgradient of the Milk River is via vertical leakage through the Colorado Group and upward along buried valleys, which act as drains and correspond to artesian areas. When confined, the MRA contains a fossil groundwater resource, not significantly renewed by modern recharge. Groundwater exploitation thus far exceeds recharge, a situation requiring properly managed MRA groundwater depletion.

  5. The eye of the beholder: Can patterns in eye movement reveal aptitudes for spatial reasoning?

    PubMed

    Roach, Victoria A; Fraser, Graham M; Kryklywy, James H; Mitchell, Derek G V; Wilson, Timothy D

    2016-07-01

    Mental rotation ability (MRA) is linked to academic success in the spatially complex Science, Technology, Engineering, Medicine, and Mathematics (STEMM) disciplines, and anatomical sciences. Mental rotation literature suggests that MRA may manifest in the movement of the eyes. Quantification of eye movement data may serve to distinguish MRA across individuals, and serve as a consideration when designing visualizations for instruction. It is hypothesized that high-MRA individuals will demonstrate fewer eye fixations, conduct shorter average fixation durations (AFD), and demonstrate shorter response times, than low-MRA individuals. Additionally, individuals with different levels of MRA will attend to different features of the block-figures presented in the electronic mental rotations test (EMRT). All participants (n = 23) completed the EMRT while metrics of eye movement were collected. The test required participants view pairs of three-dimensional (3D) shapes, and identify if the pair is rotated but identical, or two different structures. Temporal analysis revealed no significant correlations between response time, average fixation durations, or number of fixations and mental rotation ability. Further analysis of within-participant variability yielded a significant correlation for response time variability, but no correlation between AFD variability and variability in the number of fixations. Additional analysis of salience revealed that during problem solving, individuals of differing MRA attended to different features of the block images; suggesting that eye movements directed at salient features may contribute to differences in mental rotations ability, and may ultimately serve to predict success in anatomy. Anat Sci Educ 9: 357-366. © 2015 American Association of Anatomists. PMID:26599398

  6. Flow characteristics in a canine aneurysm model: A comparison of 4D accelerated phase-contrast MR measurements and computational fluid dynamics simulations

    PubMed Central

    Jiang, Jingfeng; Johnson, Kevin; Valen-Sendstad, Kristian; Mardal, Kent-Andre; Wieben, Oliver; Strother, Charles

    2011-01-01

    Purpose: Our purpose was to compare quantitatively velocity fields in and around experimental canine aneurysms as measured using an accelerated 4D PC-MR angiography (MRA) method and calculated based on animal-specific CFD simulations. Methods: Two animals with a surgically created bifurcation aneurysm were imaged using an accelerated 4D PC-MRA method. Meshes were created based on the geometries obtained from the PC-MRA and simulations using “subject-specific” pulsatile velocity waveforms and geometries were then solved using a commercial CFD solver. Qualitative visual assessments and quantitative comparisons of the time-resolved velocity fields obtained from the PC-MRA measurements and the CFD simulations were performed using a defined similarity metric combining both angular and magnitude differences of vector fields. Results: PC-MRA and image-based CFD not only yielded visually consistent representations of 3D streamlines in and around both aneurysms, but also showed good agreement with regard to the spatial velocity distributions. The estimated similarity between time-resolved velocity fields from both techniques was reasonably high (mean value >0.60; one being the highest and zero being the lowest). Relative differences in inflow and outflow zones among selected planes were also reasonable (on the order of 10%–20%). The correlation between CFD-calculated and PC-MRA-measured time-averaged wall shear stresses was low (0.22 and 0.31, p < 0.001). Conclusions: In two experimental canine aneurysms, PC-MRA and image-based CFD showed favorable agreement in intra-aneurismal velocity fields. Combining these two complementary techniques likely will further improve the ability to characterize and interpret the complex flow that occurs in human intracranial aneurysms. PMID:22047395

  7. Magnetic resonance imaging arthrography following type II superior labrum from anterior to posterior repair: interobserver and intraobserver reliability

    PubMed Central

    Kurji, Hafeez M; Ono, Yohei; Nelson, Atiba A; More, Kristie D; Wong, Ben; Dyke, Corinne; Boorman, Richard S; Thornton, Gail M; Lo, Ian KY

    2015-01-01

    Background Arthroscopic repair of type II superior labrum from anterior to posterior (SLAP) lesions is a common surgical procedure. However, anatomic healing following repair has rarely been investigated. The intraobserver and interobserver reliability of magnetic resonance imaging arthrography (MRA) following type II SLAP repair has not previously been investigated. This is of particular interest due to recent reports of poor clinical results following type II SLAP lesion repair. Purpose To evaluate the MRA findings following arthroscopic type II SLAP lesion repair and determine its intraobserver and interobserver reliability. Study design Cohort study (diagnosis), Level of Evidence, 2. Methods Twenty-five patients with an isolated type II SLAP lesion (confirmed via diagnostic arthroscopy) underwent standard suture anchor-based repair. At a mean of 25.2 months post-operatively, patients underwent a standardized MRA protocol to investigate the integrity of the repair. MRAs were independently reviewed by two radiologists and a fellowship trained shoulder surgeon. The outcomes were classified as healed SLAP repair or re-torn SLAP repair. Results On average, 54% of MRAs were interpreted as healed SLAP repairs while 46% of MRAs were interpreted as having a re-torn SLAP repair. Overall, only 43% of the studies had 100% agreement across all interpretations. The intraobserver reliability ranged from 0.71 to 0.81 while the interobserver reliability between readers ranged from 0.13 to 0.44 (Table 1). Conclusion The intraobserver agreement of MRA in the evaluation of type II SLAP repair was substantial to excellent. However, the interobserver agreement of MRA was poor to fair. As a result, the routine use of MRA in the evaluation of type II SLAP lesion repair should be utilized with caution. A global evaluation of the patient, including detailed history and physical examination, is paramount in determining the cause of failure and one should not rely on MRA alone. PMID

  8. Intravascular contrast agent improves magnetic resonance angiography of carotid arteries in minipigs.

    PubMed

    Lin, W; Abendschein, D R; Celik, A; Dolan, R P; Lauffer, R B; Walovitch, R C; Haacke, E M

    1997-01-01

    This study was designed to optimize three-dimensional (3D) time-of-flight (TOF) magnetic resonance angiography (MRA) sequences and to determine whether contrast-enhanced MRA could improve the accuracy of lumen definition in stenosed carotid arteries of minipigs. 3D TOF MRA was acquired with use of either an intravascular (n = 13) and/or an extravascular contrast agent (n = 5) administrated at 2 to 4 weeks after balloon-induced injury to a carotid artery in 16 minipigs. Vascular contrast, defined as signal intensity differences between blood vessels and muscle normalized to the signal intensity of muscle, was compared before and after the injection of each contrast agent and between the two agents. Different vascular patencies were observed among the animals, including completely occluded vessels (n = 5), stenotic vessels (n = 3), and vessels with no visible stenosis (n = 8). Superior vascular contrast improvement was observed for small arteries and veins and for large veins with the intravascular contrast agent when compared with the extravascular contrast agent. In addition, preliminary studies in two of the animals showed a good correlation for the extent of luminal stenosis defined by digital subtraction angiography compared with MRA obtained after administration of the intravascular contrast agent (R2 = .71, with a slope of .96 +/- .04 by a linear regression analysis). We concluded that use of an intravascular contrast agent optimizes 3D TOF MRA and may improve its accuracy compared with digital subtraction angiography. PMID:9400838

  9. A hexahedron element formulation with a new multi-resolution analysis

    NASA Astrophysics Data System (ADS)

    Xia, YiMing; Chen, ShaoLin

    2015-01-01

    A multiresolution hexahedron element is presented with a new multiresolution analysis (MRA) framework. The MRA framework is formulated out of a mutually nesting displacement subspace sequence, whose basis functions are constructed of scaling and shifting on element domain of a basic node shape function. The basic node shape function is constructed from shifting to other seven quadrants around a specific node of a basic isoparametric element in one quadrant and joining the corresponding node shape functions of eight elements at the specific node. The MRA endows the proposed element with the resolution level (RL) to adjust structural analysis accuracy. As a result, the traditional 8-node hexahedron element is a monoresolution one and also a special case of the proposed element. The meshing for the monoresolution finite element model is based on the empiricism while the RL adjusting for the multiresolution is laid on the solid mathematical basis. The simplicity and clarity of shape function construction with the Kronecker delta property and the rational MRA enable the proposed element method to be more rational, easier and efficient in its implementation than the conventional mono-resolution solid element method or other MRA methods. The multiresolution hexahedron element method is more adapted to dealing with the accurate computation of structural problems.

  10. The Mackenzie River magnetic anomaly, Yukon and Northwest Territories, Canada-Evidence for Early Proterozoic magmatic arc crust at the edge of the North American craton

    USGS Publications Warehouse

    Pilkington, M.; Saltus, R.W.

    2009-01-01

    We characterize the nature of the source of the high-amplitude, long-wavelength, Mackenzie River magnetic anomaly (MRA), Yukon and Northwest Territories, Canada, based on magnetic field data collected at three different altitudes: 300??m, 3.5??km and 400??km. The MRA is the largest amplitude (13??nT) satellite magnetic anomaly over Canada. Within the extent of the MRA, source depth estimates (8-12??km) from Euler deconvolution of low-altitude aeromagnetic data show coincidence with basement depths interpreted from reflection seismic data. Inversion of high-altitude (3.5??km) aeromagnetic data produces an average magnetization of 2.5??A/m within a 15- to 35-km deep layer, a value typical of magmatic arc complexes. Early Proterozoic magmatic arc rocks have been sampled to the southeast of the MRA, within the Fort Simpson magnetic anomaly. The MRA is one of several broad-scale magnetic highs that occur along the inboard margin of the Cordillera in Canada and Alaska, which are coincident with geometric changes in the thrust front transition from the mobile belt to stable cratonic North America. The inferred early Proterozoic magmatic arc complex along the western edge of the North American craton likely influenced later tectonic evolution, by acting as a buttress along the inboard margin of the Cordilleran fold-and-thrust belt. Crown Copyright ?? 2008.

  11. Comparison of conventional magnetic resonance imaging and nonenhanced three dimensional time-of-flight magnetic resonance angiography findings between dogs with meningioma and dogs with intracranial histiocytic sarcoma: 19 cases (2010-2014).

    PubMed

    Ishikawa, Chieko; Ito, Daisuke; Kitagawa, Masato; Watari, Toshihiro

    2016-05-15

    OBJECTIVE To compare conventional MRI and nonenhanced 3-D time-of-flight (TOF) magnetic resonance angiography (MRA) findings between dogs with meningioma and dogs with intracranial histiocytic sarcoma (IHS). DESIGN Retrospective case series. ANIMALS 14 dogs with meningioma and 5 dogs with IHS. PROCEDURES Medical records of dogs with meningioma or IHS that were examined at a tertiary veterinary hospital from 2010 through 2014 and underwent 3-D TOF MRA in conjunction with conventional MRI were reviewed. Findings for conventional MRI and 3-D TOF MRA were compared between the 2 groups of dogs to evaluate whether there were any characteristics that could be used to differentiate meningioma from IHS. RESULTS Tumor type was significantly associated with signal intensity on conventional T2-weighted and fluid-attenuated inversion recovery MRI images; most meningiomas were hyperintense, and most IHSs were isointense or hypointense on those images. Tumor type was not associated with signal uniformity, tumor location, tumor origin, or the presence of edema, midline shift, or brain herniation. On MRA, blood vessels adjacent to the tumor were identified and characterized for 9 of 14 dogs with meningioma and all 5 dogs with IHS. Vessels adjacent to meningiomas were displaced in 8 of 9 dogs, whereas vessels adjacent to IHSs were not displaced. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated nonenhanced 3-D TOF MRA findings provided additional information that can be assessed in conjunction with conventional MRI findings to help differentiate meningiomas from IHSs in dogs. PMID:27135670

  12. Long term outcome of Aldosteronism after target treatments.

    PubMed

    Wu, Vin-Cent; Wang, Shuo-Meng; Chang, Chia-Hui; Hu, Ya-Hui; Lin, Lian-Yu; Lin, Yen-Hung; Chueh, Shih-Chieh Jeff; Chen, Likwang; Wu, Kwan-Dun

    2016-01-01

    There exists a great knowledge gap in terms of long-term effects of various surgical and pharmacological treatments on outcomes among primary aldosteronism (PA) patients. Using a validated algorithm, we extracted longitudinal data for all PA patients diagnosed in 1997-2010 and treated in the Taiwan National Health Insurance. We identified 3362 PA patients for whom the mean length of follow-up was 5.75 years. PA has higher major cardiovascular events (MACE) than essential hypertension (23.3% vs 19.3%, p = 0.015). Results from the Cox model suggest a strong effect of adrenalectomy on lowering mortality (HR = 0.23 with residual hypertension and 0.21 with resolved hypertension). While need for receptor antagonist (MRA) MRA after diagnosis suggests that a defined daily dose (DDD) of MRA between 12.5 and 50 mg may alleviate risk of death in a U-shape pattern. A specificity test identified patients who has aldosterone producing adenoma (HR = 0.50, p = 0.005) also confirmed adrenalectomy attenuated all-cause mortality. Adrenalectomy decreases long-term all-cause mortality independently from PA cure from hypertension. Prescription corresponding to a DDD between 12.5 and 50 mg may decrease mortality for patients needing MRA. It calls for more attention on early diagnosis, early treatment and prescription of appropriate dosage of MRA for PA patients. PMID:27586402

  13. Relationship between systolic and diastolic function with improvements in forward stroke volume following reduction in mitral regurgitation

    NASA Technical Reports Server (NTRS)

    Firstenberg, M. S.; Greenberg, N. L.; Smedira, N. G.; McCarthy, P. M.; Garcia, M. J.; Thomas, J. D.

    2001-01-01

    Efforts to improve mitral regurgitation (MR) are often performed in conjunction with coronary revascularization. However, the independent effects of a reduced MR area (MRa) are difficult to quantify. Using a previously developed cardiovascular model, ventricular contractility (elastance 1-8 mmHg/ml) and relaxation (tau: 40-150 msec) were independently adjusted for four grades of MR orifice areas (0.0 to 0.8 cm2). Improvements in forward stroke volume (fSV) were determined for the permutations of reduced MRa. For all conditions, LV end-diastolic pressure and volumes ranged from 7.3-24.2 mmHg and 64.8-174.3 ml, respectively. Overall, fSV ranged from 36.0-89.4 (mean: 64.2 +/- 12.8) ml, improved between 6.4 and 35.3% (mean: 15.6 +/- 8.1%), and was best predicted by (r=0.97, p<0.01) %delta(fSV)[correction of fVS]=34[MRa initial] - 46[MRa final] -0.5[elastance]. Reduced MRa, independent of relaxation and minimally influence by contractility, yield improved fSVs.

  14. Long term outcome of Aldosteronism after target treatments

    PubMed Central

    Wu, Vin-Cent; Wang, Shuo-Meng; Chang, Chia-Hui; Hu, Ya-Hui; Lin, Lian-Yu; Lin, Yen-Hung; Chueh, Shih-Chieh Jeff; Chen, Likwang; Wu, Kwan-Dun

    2016-01-01

    There exists a great knowledge gap in terms of long-term effects of various surgical and pharmacological treatments on outcomes among primary aldosteronism (PA) patients. Using a validated algorithm, we extracted longitudinal data for all PA patients diagnosed in 1997–2010 and treated in the Taiwan National Health Insurance. We identified 3362 PA patients for whom the mean length of follow-up was 5.75 years. PA has higher major cardiovascular events (MACE) than essential hypertension (23.3% vs 19.3%, p = 0.015). Results from the Cox model suggest a strong effect of adrenalectomy on lowering mortality (HR = 0.23 with residual hypertension and 0.21 with resolved hypertension). While need for receptor antagonist (MRA) MRA after diagnosis suggests that a defined daily dose (DDD) of MRA between 12.5 and 50 mg may alleviate risk of death in a U-shape pattern. A specificity test identified patients who has aldosterone producing adenoma (HR = 0.50, p = 0.005) also confirmed adrenalectomy attenuated all-cause mortality. Adrenalectomy decreases long-term all-cause mortality independently from PA cure from hypertension. Prescription corresponding to a DDD between 12.5 and 50 mg may decrease mortality for patients needing MRA. It calls for more attention on early diagnosis, early treatment and prescription of appropriate dosage of MRA for PA patients. PMID:27586402

  15. Evaluation of Agreement between HRT III and iVue OCT in Glaucoma and Ocular Hypertension Patients.

    PubMed

    Perdicchi, A; Iester, M; Iacovello, D; Cutini, A; Balestrieri, M; Mutolo, M G; Ferreras, A; Contestabile, M T; Recupero, S M

    2015-01-01

    Purpose. To determine the agreement between Moorfields Regression Analysis (MRA), Glaucoma Probability Score (GPS) of Heidelberg retinal tomograph (HRT III), and peripapillary nerve fibers thickness by iVue Optical Coherence Tomography (OCT). Methods. 72 eyes with ocular hypertension or primary open angle glaucoma (POAG) were included in the study: 54 eyes had normal visual fields (VF) and 18 had VF damage. All subjects performed achromatic 30° VF by Octopus Program G1X dynamic strategy and were imaged with HRT III and iVue OCT. Sectorial and global MRA, GPS, and OCT parameters were used for the analysis. Kappa statistic was used to assess the agreement between methods. Results. A significant agreement between iVue OCT and GPS for the inferotemporal quadrant (κ: 0.555) was found in patients with abnormal VF. A good overall agreement between GPS and MRA was found in all the eyes tested (κ: 0.511). A good agreement between iVue OCT and MRA was shown in the superonasal (κ: 0.656) and nasal (κ: 0.627) quadrants followed by the superotemporal (κ: 0.602) and inferotemporal (κ: 0.586) sectors in all the studied eyes. Conclusion. The highest percentages of agreement were found per quadrant of the MRA and the iVue OCT confirming that in glaucoma damage starts from the temporal hemiretina. PMID:26788363

  16. Diagnostic accuracy of ascitic cholesterol concentration for malignant ascites: a meta-analysis

    PubMed Central

    Zhu, Hong; Shen, Yongchun; Deng, Kai; Liu, Xia; Zhao, Yaqin; Liu, Taiguo; Huang, Ying

    2015-01-01

    Many studies have investigated whether ascitic cholesterol can aid in diagnosis of malignant related ascites (MRA), and the results have varied considerably. To gain a more reliable answer to this question, we meta-analyzed the literature on using ascitic cholesterol as diagnostic tests to help identify MRA. Literature databases were systematically searched for studies examining accuracy of ascitic cholesterol for diagnosing MRA. Data on sensitivity, specificity, positive/negative likelihood ratio (PLR/NLR), and diagnostic odds ratio (DOR) were pooled using random effects models. Summary receiver operating characteristic (SROC) curves and area under the curve (AUC) were used to summarize overall test performance. At last, our meta-analysis included 8 studies involving 743 subjects. Summary estimates for ascitic cholesterol in the diagnosis of MRA were as follows: sensitivity, 0.82 (95% CI 0.78 to 0.86); specificity, 0.90 (95% CI 0.87 to 0.93); PLR, 9.24 (95% CI 4.58 to 18.66); NLR, 0.16 (95% CI 0.08 to 0.32); and DOR, 66.96 (95% CI 18.83 to 238.11). The AUC was 0.96. The ascitic cholesterol level is helpful for the diagnosis of MRA. Nevertheless, the results of ascitic cholesterol assays should be interpreted in parallel with the results of traditional tests and clinical information. PMID:26770458

  17. Evaluation of Agreement between HRT III and iVue OCT in Glaucoma and Ocular Hypertension Patients

    PubMed Central

    Perdicchi, A.; Iester, M.; Iacovello, D.; Cutini, A.; Balestrieri, M.; Mutolo, M. G.; Ferreras, A.; Contestabile, M. T.; Recupero, S. M.

    2015-01-01

    Purpose. To determine the agreement between Moorfields Regression Analysis (MRA), Glaucoma Probability Score (GPS) of Heidelberg retinal tomograph (HRT III), and peripapillary nerve fibers thickness by iVue Optical Coherence Tomography (OCT). Methods. 72 eyes with ocular hypertension or primary open angle glaucoma (POAG) were included in the study: 54 eyes had normal visual fields (VF) and 18 had VF damage. All subjects performed achromatic 30° VF by Octopus Program G1X dynamic strategy and were imaged with HRT III and iVue OCT. Sectorial and global MRA, GPS, and OCT parameters were used for the analysis. Kappa statistic was used to assess the agreement between methods. Results. A significant agreement between iVue OCT and GPS for the inferotemporal quadrant (κ: 0.555) was found in patients with abnormal VF. A good overall agreement between GPS and MRA was found in all the eyes tested (κ: 0.511). A good agreement between iVue OCT and MRA was shown in the superonasal (κ: 0.656) and nasal (κ: 0.627) quadrants followed by the superotemporal (κ: 0.602) and inferotemporal (κ: 0.586) sectors in all the studied eyes. Conclusion. The highest percentages of agreement were found per quadrant of the MRA and the iVue OCT confirming that in glaucoma damage starts from the temporal hemiretina. PMID:26788363

  18. DFT-based QSAR models to predict the antimycobacterial activity of chalcones.

    PubMed

    Barua, Nilakshi; Sarmah, Pubalee; Hussain, Iftikar; Deka, Ramesh C; Buragohain, Alak K

    2012-04-01

    In this study, antimycobacterial activity of a set of synthesized chalcone derivatives against Mycobacterium tuberculosis H37Rv was investigated by quantitative structure-activity relationship (QSAR) analysis using density functional theory (DFT) and molecular mechanics (MM+)-based descriptors in both gas and solvent phases. The best molecular descriptors identified were hardness, E(HOMO) , MR(A-4) and MR(B-4') that contributed to the antimycobacterial activity of the chalcones as independent factors. The correlation of these four descriptors with their antimycobacterial activity increases with the inclusion of solvent medium, indicating their importance in studying biological activity. QSAR models revealed that in gas phase, lower values of E(HOMO) , MR(A-4) and MR(B-4') increase the antimycobacterial activity of the chalcone molecules. However, in solvent phase, lower values of E(HOMO) and MR(B-4') and higher values of MR(A-4) increase their activity. PMID:22151277

  19. Magnetic resonance angiography: physical principles and applications.

    PubMed

    Kiruluta, Andrew J M; González, R Gilberto

    2016-01-01

    Magnetic resonance angiography (MRA) is the visualization of hemodynamic flow using imaging techniques that discriminate flowing spins in blood from those in stationary tissue. There are two classes of MRA methods based on whether the magnetic resonance imaging signal in flowing blood is derived from the amplitude of the moving spins, the time-of-flight methods, or is based on the phase accumulated by these flowing spins, as in phase contrast methods. Each method has particular advantages and limitations as an angiographic imaging technique, as evidenced in their application space. Here we discuss the physics of MRA for both classes of imaging techniques, including contrast-enhanced approaches and the recent rapid expansion of the techniques to fast acquisition and processing techniques using parallel imaging coils as well as their application in high-field MR systems such as 3T and 7T. PMID:27432663

  20. Pulmonary arterial hypertension: an imaging review comparing MR pulmonary angiography and perfusion with multidetector CT angiography

    PubMed Central

    Junqueira, F P; Lima, C M A O; Coutinho, A C; Parente, D B; Bittencourt, L K; Bessa, L G P; Domingues, R C; Marchiori, E

    2012-01-01

    Pulmonary hypertension (PH) is a progressive disease that leads to substantial morbidity and eventual death. Pulmonary multidetector CT angiography (MDCTA), pulmonary MR angiography (MRA) and MR-derived pulmonary perfusion (MRPP) imaging are non-invasive imaging techniques for the differential diagnosis of PH. MDCTA is considered the gold standard for the diagnosis of pulmonary embolism, one of the most common causes of PH. MRA and MRPP are promising techniques that do not require the use of ionising radiation or iodinated contrast material, and can be useful for patients for whom such material cannot be used. This review compares the imaging aspects of pulmonary MRA and 64-row MDCTA in patients with chronic thromboembolic or idiopathic PH. PMID:22932061

  1. Protein disulfide isomerase expression increases in resistance arteries during hypertension development. Effects on Nox1 NADPH oxidase signaling

    PubMed Central

    Androwiki, Aline C. D.; Camargo, Lívia de Lucca; Sartoretto, Simone; Couto, Gisele K.; Ribeiro, Izabela M. R.; Veríssimo-Filho, Sidney; Rossoni, Luciana V.; Lopes, Lucia R.

    2015-01-01

    NADPH oxidases derived reactive oxygen species (ROS) play an important role in vascular function and remodeling in hypertension through redox signaling processes. Previous studies demonstrated that protein disulfide isomerase (PDI) regulates Nox1 expression and ROS generation in cultured vascular smooth muscle cells. However, the role of PDI in conductance and resistance arteries during hypertension development remains unknown. The aim of the present study was to investigate PDI expression and NADPH oxidase dependent ROS generation during hypertension development. Mesenteric resistance arteries (MRA) and thoracic aorta were isolated from 6, 8, and 12 week-old spontaneously hypertensive (SHR) and Wistar rats. ROS production (dihydroethidium fluorescence), PDI (WB, imunofluorescence), Nox1 and NOX4 (RT-PCR) expression were evaluated. Results show a progressive increase in ROS generation in MRA and aorta from 8 to 12 week-old SHR. This effect was associated with a concomitant increase in PDI and Nox1 expression only in MRA. Therefore, suggesting a positive correlation between PDI and Nox1 expression during the development of hypertension in MRA. In order to investigate if this effect was due to an increase in arterial blood pressure, pre hypertensive SHR were treated with losartan (20 mg/kg/day for 30 days), an AT1 receptor antagonist. Losartan decreased blood pressure and ROS generation in both vascular beds. However, only in SHR MRA losartan treatment lowered PDI and Nox1 expression to control levels. In MRA PDI inhibition (bacitracin, 0.5 mM) decreased Ang II redox signaling (p-ERK 1/2). Altogether, our results suggest that PDI plays a role in triggering oxidative stress and vascular dysfunction in resistance but not in conductance arteries, increasing Nox1 expression and activity. Therefore, PDI could be a new player in oxidative stress and functional alterations in resistance arteries during the establishment of hypertension. PMID:25870854

  2. Should the scope of human mixture risk assessment span legislative/regulatory silos for chemicals?

    PubMed

    Evans, Richard M; Martin, Olwenn V; Faust, Michael; Kortenkamp, Andreas

    2016-02-01

    Current chemicals regulation operates almost exclusively on a chemical-by-chemical basis, however there is concern that this approach may not be sufficiently protective if two or more chemicals have the same toxic effect. Humans are indisputably exposed to more than one chemical at a time, for example to the multiple chemicals found in food, air and drinking water, and in household and consumer products, and in cosmetics. Assessment of cumulative risk to human health and/or the environment from multiple chemicals and routes can be done in a mixture risk assessment (MRA). Whilst there is a broad consensus on the basic science of mixture toxicology, the path to regulatory implementation of MRA within chemical risk assessment is less clear. In this discussion piece we pose an open question: should the scope of human MRA cross legislative remits or 'silos'? We define silos as, for instance, legislation that defines risk assessment practice for a subset of chemicals, usually on the basis of substance/product, media or process orientation. Currently any form of legal mandate for human MRA in the EU is limited to only a few pieces of legislation. We describe two lines of evidence, illustrated with selected examples, that are particularly pertinent to this question: 1) evidence that mixture effects have been shown for chemicals regulated in different silos and 2) evidence that humans are co-exposed to chemicals from different silos. We substantiate the position that, because there is no reason why chemicals allocated to specific regulatory silos would have non-overlapping risk profiles, then there is also no reason to expect that MRA limited only to chemicals within one silo can fully capture the risk that may be present to human consumers. Finally, we discuss possible options for implementation of MRA and we hope to prompt wider discussion of this issue. PMID:26573369

  3. Multiresolution analysis of precipitation teleconnections with large-scale climate signals: A case study in South Australia

    NASA Astrophysics Data System (ADS)

    He, Xinguang; Guan, Huade

    2013-10-01

    Climatic teleconnections are often used to interpret and sometimes to predict precipitation temporal variability at various time scales. However, the teleconnections are intertwined between the effects of multiple large-scale climate signals which are often interdependent. Each climate signal is composed of multitemporal components, which may result in different teleconnection patterns. The time lags of precipitation response may vary with climate signals and their multitemporal components. In order to effectively address these problems, a multiresolution analysis (MRA) with a discrete wavelet transform is utilized, and a stepwise linear regression model based on MRA and cross correlation analysis is developed in this study. The method is applied to examine monthly precipitation teleconnections in South Australia (SA) with five large-scale climate signals. The MRA first decomposes each of original monthly precipitation anomaly and climate signals into several component series at different temporal scales. Then the hierarchical lag relationships between them are determined for regression modeling using cross-correlation analysis. The results indicate that the MRA-based method is able to reveal at which time scale(s) and with what time lag(s) the teleconnections occur, and their spatial patterns. The method is also useful to examine the time-scale patterns of the interdependence between climate signals. These altogether make the MRA-based method a promising tool to address the difficulties in the climate teleconnection studies. The multiple linear regression based on MRA-decomposed climate signals is expected to better interpret monthly precipitation temporal variability than that based on the original climate signals.

  4. Effect of a new remineralizing biomaterial on the color of dental enamel.

    PubMed

    Vargas-Sánchez, Paula K; Delgado-Mejía, Edgar; Torres-Rodríguez, Carolina

    2014-01-01

    The aim of this research was to describe the effects of altering the composition of a modified remineralizing agent (MRA) and the osmotic pressure on tooth color by using spectrophotometric analysis. One hundred and four (104) human premolars and molars were randomly divided into 2 groups of 52 specimens each. Group 1 was treated with the remineralizing agent MRA 55, (remineralizing agent 1), a 50% - 50% by weight mixture of coarse-grain and fine-grain generating minerals, and group 2 was treated with the remineralizing agent MRA 91 (remineralizing agent 2), containing the same minerals in a 90% - 10% proportion. Each group was divided into 2 subgroups with 26 specimens each, which were stored as follows: subgroups A were stored in synthetic saliva with isotonic osmotic pressure (IP), and subgroups B in hypotonic osmotic pressure saliva (HP). The initial and final readings were taken with a Vita Easy Shade spectrophotometer. Color parameters (L*, a*, b*) and whiteness indices (WIC, WIO, W) were calculated from the readings. The color changes (deltaL, deltaA, deltaB, and deltaE) and whiteness indices were compared and analyzed with descriptive analyses. The variables deltaL, deltaA, deltaB, deltaE, and the whiteness index W were analyzed with an analysis of variance (ANOVA), and the indices WIC and WIO were analyzed with a nonparametric Kruskal-Wallis ANOVA. The results indicate that combination A2 (MRA 91 and IP) affected variables deltaB and deltaE, while combination B1 (MRA 55 and HP) affected variables deltaA, deltaB and the whiteness index WIO. Only MRA 91 affected the variable deltaL. The osmotic pressure of saliva and the remineralizing agent used affect the color of dental enamel. PMID:25335359

  5. Assessment of the kidneys: magnetic resonance angiography, perfusion and diffusion

    PubMed Central

    2011-01-01

    Renal magnetic resonance (MR) imaging has undergone major improvements in the past several years. This review focuses on the technical basics and clinical applications of MR angiography (MRA) with the goal of enabling readers to acquire high-resolution, high quality renal artery MRA. The current role of contrast agents and their safe use in patients with renal impairment is discussed. In addition, an overview of promising techniques on the horizon for renal MR is provided. The clinical value and specific applications of renal MR are critically discussed. PMID:22085467

  6. Emerging Techniques for Evaluation of the Hemodynamics of Intracranial Vascular Pathology

    PubMed Central

    Huang, Melissa; Chien, Aichi

    2015-01-01

    Advances in imaging modalities have improved the assessment of intracranial hemodynamics using non-invasive techniques. This review examines new imaging modalities and clinical applications of currently available techniques, describes pathophysiology and future directions in hemodynamic analysis of intracranial stenoses, aneurysms and arteriovenous malformations and explores how hemodynamic analysis may have prognostic value in predicting clinical outcomes and assist in risk stratification. The advent of new technologies such as pseudo-continuous arterial spin labeling, accelerated magnetic resonance angiography (MRA) techniques, 4D digital subtraction angiography, and improvements in clinically available techniques such as phase-contrast MRA may change the landscape of vascular imaging and modify current clinical practice guidelines. PMID:25924168

  7. MRI of the Coronary vasculature: Imaging the Lumen, Wall and Beyond

    PubMed Central

    Lin, Kai; Carr, James C.

    2015-01-01

    The characteristics of coronary artery disease (CAD) are gradual thickening of the coronary walls and narrowing of the vascular lumen due to the built-up of atherosclerosis plaques. Those morphological changes can be noninvasively detected by coronary MRI/MRA. In addition, functional changes, such as coronary wall distensibility and flow changes may also be evaluated with MRI. However, the application of current MRI/MRA techniques is limited in clinical practice due to several adverse technical and physiological factors, such as cardiac motion and respiratory motion. Many technical innovations have been adopted to address those problems from multiple aspects. PMID:25726999

  8. Examining Teachers' Struggles as They Attempt to Implement Dialogical Interaction as Part of Promoting Mathematical Reasoning within Their Classrooms

    ERIC Educational Resources Information Center

    Akkus, Recai; Hand, Brian

    2011-01-01

    This study examines the changes in teaching practices during the implementation of a pedagogical model called the mathematics reasoning approach (MRA), which was founded on 2 critical areas in mathematics, problem solving, and writing to learn. Three algebra teachers implemented the approach with their classes, which were divided into control…

  9. MULTI-MEDIA MODELING : RESEARCH AND DEVELOPMENT

    EPA Science Inventory

    Developed by ORD in collaboration with OSW, the Multimedia, Multi-pathway, Multi-receptor Risk Assessment (3MRA) national risk assessment methodology is designed to assess risks at sites containing source(s) of contamination that may release contaminants to the environment. Or...

  10. Interpreting atomic force microscopy nanoindentation of hierarchical biological materials using multi-regime analysis.

    PubMed

    Bonilla, M R; Stokes, J R; Gidley, M J; Yakubov, G E

    2015-02-01

    We present a novel Multi-Regime Analysis (MRA) routine for interpreting force indentation measurements of soft materials using atomic force microscopy. The MRA approach combines both well established and semi-empirical theories of contact mechanics within a single framework to deconvolute highly complex and non-linear force-indentation curves. The fundamental assumption in the present form of the model is that each structural contribution to the mechanical response acts in series with other 'mechanical resistors'. This simplification enables interpretation of the micromechanical properties of materials with hierarchical structures and it allows automated processing of large data sets, which is particularly indispensable for biological systems. We validate the algorithm by demonstrating for the first time that the elastic modulus of polydimethylsiloxane (PDMS) films is accurately predicted from both approach and retraction branches of force-indentation curves. For biological systems with complex hierarchical structures, we show the unique capability of MRA to map the micromechanics of live plant cells, revealing an intricate sequence of mechanical deformations resolved with precision that is unattainable using conventional methods of analysis. We recommend the routine use of MRA to interpret AFM force-indentation measurements for other complex soft materials including mammalian cells, bacteria and nanomaterials. PMID:25569139

  11. Role of Waterborne Pathogens in the Food Supply Chain: Implications to Risk Management with Local and Global Perspectives

    EPA Science Inventory

    Microbial risk assessment (MRA) in the food industry is used to support HACCP – which largely focuses on bacterial pathogen control in processing foodstuffs Potential role of microbially-contaminated water used in food production is not as well understood Emergence...

  12. Mandibular advancement and obstructive sleep apnoea: a method for determining effective mandibular protrusion.

    PubMed

    Dort, L C; Hadjuk, E; Remmers, J E

    2006-05-01

    The objectives of the study were to test the hypotheses that it is possible, during routine polysomnography (PSG), to prospectively identify favourable candidates for mandibular repositioning appliance (MRA) therapy in the treatment of obstructive sleep apnoea (OSA) and to accurately estimate an optimal protrusive distance at which to fabricate the MRA. A series of subjects underwent a remotely controlled mandibular positioner (RCMP) test during PSG monitoring. The ability of the RCMP test to eliminate OSA and the target protrusion at which that occurred was compared with the success of a custom oral MRA in the 33 subjects who completed the protocol. The RCMP test was a success in 15 subjects and a failure in 18 subjects. Appliance therapy was initiated in 38 subjects and completed in 33. MRA therapy was successful at target protrusion in 80% of subjects who had a successful RCMP test and failed in 78% of those who failed the RCMP test. In conclusion the remotely controlled mandibular positioner test outcome demonstrated a statistically significant association with mandibular repositioning appliance outcome. The target protrusion determined during the remotely controlled mandibular positioner test was the effective therapeutic protrusion in subjects with a successful remotely controlled mandibular positioner test. PMID:16707396

  13. USEPA EXAMPLE EXIT LEVEL ANALYSIS RESULTS

    EPA Science Inventory

    Developed by NERL/ERD for the Office of Solid Waste, the enclosed product provides an example uncertainty analysis (UA) and initial process-based sensitivity analysis (SA) of hazardous waste "exit" concentrations for 7 chemicals and metals using the 3MRA Version 1.0 Modeling Syst...

  14. 32 CFR 56.5 - Responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 1 2014-07-01 2014-07-01 false Responsibilities. 56.5 Section 56.5 National... DEFENSE § 56.5 Responsibilities. (a) The Assistant Secretary of Defense (Manpower, Reserve Affairs, and... responsibility, the ASD(MRA&L), or designee, shall: (1) Coordinate efforts of DoD Components to enforce this...

  15. 32 CFR 56.5 - Responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 1 2011-07-01 2011-07-01 false Responsibilities. 56.5 Section 56.5 National... DEFENSE § 56.5 Responsibilities. (a) The Assistant Secretary of Defense (Manpower, Reserve Affairs, and... responsibility, the ASD(MRA&L), or designee, shall: (1) Coordinate efforts of DoD Components to enforce this...

  16. 32 CFR 56.5 - Responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 1 2013-07-01 2013-07-01 false Responsibilities. 56.5 Section 56.5 National... DEFENSE § 56.5 Responsibilities. (a) The Assistant Secretary of Defense (Manpower, Reserve Affairs, and... responsibility, the ASD(MRA&L), or designee, shall: (1) Coordinate efforts of DoD Components to enforce this...

  17. Questions and Answers about Carotid Endarterectomy

    MedlinePlus

    ... noninvasive test in which sound waves above the range of human hearing are sent into the neck. Echoes bounce off the moving blood and the tissue in the artery and can be formed into an image. Ultrasound is fast, risk-free, relatively inexpensive, and painless compared to MRA and ...

  18. EVALUATION OF VADOSE ZONE AND SORUCE MODULES FOR MULTI-MEDIA, MULTI-PATHWAY, AND MULTI-RECEPTOR RISK ASSESSMENT USING LARGE-SOIL-COLUMN EXPERIMENTAL DATA

    EPA Science Inventory

    The United States Environmental Protection Agency (EPA) is developing a comprehensive environmental exposure and risk analysis software system for agency-wide application using the methodology of a Multi-media, Multi-pathway, Multi-receptor Risk Assessment (3MRA) model. This sof...

  19. The Process of Establishing a New Master of Research Administration Program

    ERIC Educational Resources Information Center

    Smith, Jo Ann; Torres, Laurianne

    2011-01-01

    In 2009, the second largest university in the nation was awarded a grant from NCURA to initiate a new fully-online graduate program in research administration. The Master of Research Administration (MRA) was approved by the institution's Board of Trustees in March 2011 and the first classes will begin August 2011. Currently the research literature…

  20. Magnetic Resonance Angiography of the Aorta

    PubMed Central

    Takehara, Yasuo; Yamashita, Shuhei; Sakahara, Harumi; Masui, Takayuki; Isoda, Haruo

    2011-01-01

    Magnetic resonance angiography (MRA) is capable of imaging arteries in the half to whole body by a single acquisition without a nephrotoxic contrast medium, and acquired images can be reconstructed into a specific cross-sectional view in an arbitrary directions. MRA is applicable for vessels non-reachable by a catheter approach, and collateral vessels can be fully visualized. Since MRA is minimally-invasive with no exposure to ionized radiation, it can be repeatedly applied for follow-up. However, there are also disadvantages: the temporal and spatial resolutions are inferior to those of X-ray angiography, and, at present, it cannot be used as a guide for intervention. Moreover, gadolinium administrations may cause NSF in patients who have lost renal function, as a new risk. Accordingly, strict consideration is required for an indication of its application. Development of non-contrast MRA and evaluation of the wall itself may draw more attention in the future. Plaque imaging is being routinely performed nowadays, and the measurement of vascular wall shear stress, which has a close association with arteriosclerosis, may become possible by utilizing the time-resolved phase-contrast method capable of measuring the time-resolved velocity vectors of blood flow throughout the body. (*English Translation of J Jpn Coll Angiol, 2009, 49: 503-516.) PMID:23555465

  1. Sensitivity of Quantified Intracranial Aneurysm Geometry to Imaging Modality

    PubMed Central

    Ramachandran, Manasi; Retarekar, Rohini; Harbaugh, Robert E.; Hasan, David; Policeni, Bruno; Rosenwasser, Robert; Ogilvy, Christopher; Raghavan, Madhavan L.

    2013-01-01

    The objective of this study is to assess the sensitivity of intracranial aneurysm geometry to the modality of imaging. Four imaging modalities—3D rotational angiography (3DRA), computed tomography angiography (CTA), contrast enhanced magnetic resonance angiography (CE-MRA), and time-of-flight magnetic resonance angiography (TOF-MRA)—were assessed using data from a flow phantom and human subjects. A silicone flow phantom of the head and neck arteries with a 10 mm ACOM aneurysm was imaged using all four modalities under steady flow conditions. Three human subjects with mid to large sized intracranial aneurysm who had a 3DRA scan and one of CTA, CE-MRA, or TOF-MRA performed within a day were also studied. The aneurysm and contiguous vasculature were segmented for all available scans and geometric measures of their size (5 indices) and shape (6 indices) were estimated and compared. Visually, the size and shape of segmented 3D models of the aneurysms were similar across scan modalities for both the human subjects and the flow phantom. Consequently, the computed indices were consistent across modalities in the key morphometric indices. In conclusion, quantified indices of 3D geometry of the mid to large sized intracranial aneurysms investigated in this small study population are not sensitive to scanning modality. PMID:24151529

  2. 21 CFR 26.0 - General.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Between the United States of America and the European Community” (the MRA), signed at London May 18, 1998... DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL MUTUAL RECOGNITION OF... part substantially reflects relevant provisions of the framework agreement and its sectoral annexes...

  3. Hemodynamic analysis of renal artery stenosis using computational fluid dynamics technology based on unenhanced steady-state free precession magnetic resonance angiography: preliminary results.

    PubMed

    Zhang, Weisheng; Qian, Yi; Lin, Jiang; Lv, Peng; Karunanithi, Kaavya; Zeng, Mengsu

    2014-02-01

    This study aims to evaluate the feasibility of computational fluid dynamics (CFD) technology in analysis of renal artery stenosis (RAS) based on unenhanced MR angiography (MRA). Thirty hypertensive patients with unilateral RAS, and 10 normal volunteers, underwent unenhanced MRA on a 1.5 T MR scanner. 12 of 30 patients also underwent ultrasound (US) to detect peak systolic velocity. The patient-specific CFD based on MRA was carried out thereafter. Stenosis grades and hemodynamic variables at the stenosis of main renal artery, including pressure difference (PD), velocity and mass flow rate (MFR), were analysed. And the hemodynamic indices of stenoses were compared with the parameters of normal renal arteries and available US velocity profile. High intraclass correlation coefficient (value 0.995) and no significant difference (p > 0.05) was shown between maximum velocity of CFD and peak systolic velocity of US in 12 patients. For normal renal arteries, the average PD, velocity and MFR were all in the reported normal physiological range. However, for stenotic arteries, the translesional PD and velocity of main renal arteries increased with the severity of stenotic degrees, while the MFR decreased. 50 % diameter stenosis was the threshold at which all three hemodynamic parameters experienced significant changes (p < 0.01). This preliminary study shows that unenhanced-MRA-based CFD can be utilized to noninvasively analyse hemodynamic parameters of RAS. The acquired variables may provide meaningful information regarding stratification of the stenosis and further therapeutic treatment. PMID:24318538

  4. 14 CFR 95.1 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., at which adequate reception of VOR signals is assured. (c) The MCA applies to the operation of an... segment, or other direct route, and adequate reception of VOR navigation signals within 22 nautical miles of a VOR station used to define the route. (f) The MRA applies to the operation of an aircraft...

  5. PARTITION COEFFICIENTS FOR METALS IN SURFACE WATER, SOIL, AND WASTE

    EPA Science Inventory

    This report presents metal partition coefficients for the surface water pathway and for the source model used in the Multimedia, Multi-pathway, Multi-receptor Exposure and Risk Assessment (3MRA) technology under development by the U.S. Environmental Protection Agency. Partition ...

  6. Vascular disease.

    PubMed

    Amlie-Lefond, Catherine; Shaw, Dennis

    2016-01-01

    The child presenting with possible sentinel transient ischemic event or stroke requires prompt diagnosis so that strategies to limit injury and prevent recurrent stroke can be instituted. Cerebral arteriopathy is a potent risk factor for arterial ischemic stroke in childhood. Though acute imaging study in the setting of possible stroke is often a head computed tomography, when possible magnetic resonance imaging (MRI) is recommended as the first-line study as confirmation and imaging evaluation of ischemic stroke will typically require MRI. The MRI scanning approach should include diffusion-weighted imaging (DWI) early in the sequence order, since normal DWI excludes acute infarct with rare exception. In most cases, arterial imaging with time-of-flight (TOF) magnetic resonance angiography (MRA) is warranted. Dedicated MRA may not be possible in the acute setting, but should be pursued as promptly as possible, particularly in the child with findings and history suggestive of arteriopathy, given the high risk of recurrent stroke in these children. MRA can overestimate the degree of arterial compromise due to complex/turbulent flow, and be insensitive to subtle vessel irregularity due to resolution and complex flow. In cases with high imaging suspicion for dissection despite normal MRA findings, catheter angiogram is indicated. A thoughtful, stepwise approach to arterial neuroimaging is critical to optimize diagnosis, treatment, and primary and secondary prevention of childhood stroke. PMID:27430463

  7. 78 FR 20783 - IFR Altitudes; Miscellaneous Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-08

    ... ``significant rule'' under DOT Regulatory Policies and Procedures (44 FR 11034; February 26, 1979); and (3) does... DUPONT, DE VORTAC MODENA, PA VORTAC....... *3000 *1800--MOCA ] *2000--GNSS MEA Sec. 95.6068 VOR Federal...--MOCA **4000--GNSS MEA *WACCO, MO FIX *QUALM, MO FIX **3700 *3700--MRA **3000--MOCA QUALM, MO FIX...

  8. SIMULATING INTEGRATED MULTIMEDIA CHEMICAL FATE AND TRANSPORT FOR NATIONAL RISK ASSESSMENTS

    EPA Science Inventory

    The site-based multimedia, multipathway and multireceptor risk assessment (3MRA) approach is comprised of source, fate and transport, exposure and risk modules. The main interconnected multimedia fate and transport modules are: watershed, air, surface water, vadose zone and sat...

  9. Testing the Waters: Can You Involve Community Action in Your College Curriculum?

    ERIC Educational Resources Information Center

    Knapp, Elizabeth P.; Harbor, David J.; Ginwalla, Zenobia F.

    2003-01-01

    Discusses the Maury River Alliance (MRA), a cooperative program developed at the Washington and Lee University that involved local colleges, high schools, government agencies, and conservation groups. Addresses the connection between land use and water quality with a creative merging of technical, social, and educational aspects of local watershed…

  10. 32 CFR 56.5 - Responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 1 2012-07-01 2012-07-01 false Responsibilities. 56.5 Section 56.5 National... DEFENSE § 56.5 Responsibilities. (a) The Assistant Secretary of Defense (Manpower, Reserve Affairs, and... responsibility, the ASD(MRA&L), or designee, shall: (1) Coordinate efforts of DoD Components to enforce this...

  11. 32 CFR 56.5 - Responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Responsibilities. 56.5 Section 56.5 National... DEFENSE § 56.5 Responsibilities. (a) The Assistant Secretary of Defense (Manpower, Reserve Affairs, and... responsibility, the ASD(MRA&L), or designee, shall: (1) Coordinate efforts of DoD Components to enforce this...

  12. Application of sub-image multiresolution analysis of Ground-penetrating radar data in a study of shallow structures

    NASA Astrophysics Data System (ADS)

    Jeng, Yih; Lin, Chun-Hung; Li, Yi-Wei; Chen, Chih-Sung; Yu, Hung-Ming

    2011-03-01

    Fourier-based algorithms originally developed for the processing of seismic data are applied routinely in the Ground-penetrating radar (GPR) data processing, but these conventional methods of data processing may result in an abundance of spurious harmonics without any geological meaning. We propose a new approach in this study based essentially on multiresolution wavelet analysis (MRA) for GPR noise suppression. The 2D GPR section is similar to an image in all aspects if we consider each data point of the GPR section to be an image pixel in general. This technique is an image analysis with sub-image decomposition. We start from the basic image decomposition procedure using conventional MRA approach and establish the filter bank accordingly. With reasonable knowledge of data and noise and the basic assumption of the target, it is possible to determine the components with high S/N ratio and eliminate noisy components. The MRA procedure is performed further for the components containing both signal and noise. We treated the selected component as an original image and applied the MRA procedure again to that single component with a mother wavelet of higher resolution. This recursive procedure with finer input allows us to extract features or noise events from GPR data more effectively than conventional process. To assess the performance of the MRA filtering method, we first test this method on a simple synthetic model and then on experimental data acquired from a control site using 400 MHz GPR system. A comparison of results from our method and from conventional filtering techniques demonstrates the effectiveness of the sub-image MRA method, particularly in removing ringing noise and scattering events. Field study was carried out in a trenched fault zone where a faulting structure was present at shallow depths ready for understanding the feasibility of improving the data S/N ratio by applying the sub-image multiresolution analysis. In contrast to the conventional

  13. Freestanding membrane composed of micro-ring array with ultrahigh sidewall aspect ratio for application in lightweight cathode arrays

    NASA Astrophysics Data System (ADS)

    Wang, Lanlan; Liu, Hongzhong; Jiang, Weitao; Gao, Wei; Chen, Bangdao; Li, Xin; Ding, Yucheng; An, Ningli

    2014-12-01

    A freestanding multilayer ultrathin nano-membrane (FUN-membrane) with a micro-ring array (MRA) is successfully fabricated through the controllable film deposition. Each micro-ring of FUN-membrane is 3 μm in diameter, 2 μm in height and sub-100 nm in sidewall thickness, demonstrating an ultrahigh sidewall aspect ratio of 20:1. In our strategy, a silica layer (200 nm in thickness), a chromium transition layer (5 nm-thick) and a gold layer (40 nm-thick), were in sequence deposited on patterned photoresist. After removal of the photoresist by lift-off process, a FUN-membrane with MRA was peeled off from the substrate, where the gold layer acted as a protecting layer to prevent the MRA from fracture. The FUN-membrane was then transferred to a flexible polycarbonate (PC) sheet coated with indium tin oxide (ITO) layer, which was then used as a flexible and lightweight cathode. Remarkably, the field emission effect of the fabricated FUN-membrane cathode performs a high field-enhancement factor of 1.2 × 104 and a low turn-on voltage of 2 V/μm, indicating the advantages of the sharp metal edge of MRA. Due to the rational design and material versatility, the FUN-membrane thus could be transferred to either rigid or flexible substrate, even curved surface, such as the skin of bio-robot's arm or leg. Additionally, the FUN-membrane composed of MRA with extremely high aspect ratio of insulator-metal sidewall, also provides potential applications in optical devices, lightweight and flexible display devices, and electronic eye imagers.

  14. Technical assessment of whole body angiography and cardiac function within a single MRI examination

    PubMed Central

    Gandy, S.J.; Lambert, M.; Belch, J.J.F.; Cavin, I.D.; Crowe, E.; Littleford, R.; Macfarlane, J.A.; Matthew, S.Z.; Martin, P.; Nicholas, R.S.; Struthers, A.D.; Sullivan, F.; Waugh, S.A.; White, R.D.; Weir-McCall, J.R.; Houston, J.G.

    2015-01-01

    Aim To evaluate a combined protocol for simultaneous cardiac MRI (CMR) and contrast-enhanced (CE) whole-body MR angiography (WB-MRA) techniques within a single examination. Materials and methods Asymptomatic volunteers (n = 48) with low-moderate risk of cardiovascular disease (CVD) were recruited. The protocol was divided into four sections: (1) CMR of left ventricle (LV) structure and function; (2) CE-MRA of the head, neck, and thorax followed by the distal lower limbs; (3) CMR LV “late gadolinium enhancement” assessment; and (4) CE-MRA of the abdomen and pelvis followed by the proximal lower limbs. Multiple observers undertook the image analysis. Results For CMR, the mean ejection fraction (EF) was 67.3 ± 4.8% and mean left ventricular mass (LVM) was 100.3 ± 22.8 g. The intra-observer repeatability for EF ranged from 2.1–4.7% and from 9–12 g for LVM. Interobserver repeatability was 8.1% for EF and 19.1 g for LVM. No LV delayed myocardial enhancement was observed. For WB-MRA, some degree of luminal narrowing or stenosis was seen at 3.6% of the vessel segments (involving n = 29 of 48 volunteers) and interobserver radiological opinion was consistent in 96.7% of 1488 vessel segments assessed. Conclusion Combined assessment of WB-MRA and CMR can be undertaken within a single examination on a clinical MRI system. The associated analysis techniques are repeatable and may be suitable for larger-scale cardiovascular MRI studies. PMID:25791202

  15. Non-contrast 3D time-of-flight magnetic resonance angiography for visualization of intracranial aneurysms in patients with absolute contraindications to CT or MRI contrast

    PubMed Central

    Yanamadala, Vijay; Sheth, Sameer A.; Walcott, Brian P.; Buchbinder, Bradley R.; Buckley, Deidre; Ogilvy, Christopher S.

    2013-01-01

    The preoperative evaluation in patients with intracranial aneurysms typically includes a contrast-enhanced vascular study, such as computed tomography angiography (CTA), magnetic resonance angiography (MRA), or digital subtraction angiography. However, there are numerous absolute and relative contraindications to the administration of imaging contrast agents, including pregnancy, severe contrast allergy, and renal insufficiency. Evaluation of patients with contrast contraindications thus presents a unique challenge. We identified three patients with absolute contrast contraindications who presented with intracranial aneurysms. One patient was pregnant, while the other two had previous severe anaphylactic reactions to iodinated contrast. Because of these contraindications to intravenous contrast, we performed non-contrast time-of-flight MRA with 3D reconstruction (TOF MRA with 3DR) with maximum intensity projections and volume renderings as part of the preoperative evaluation prior to successful open surgical clipping of the aneurysms. In the case of one paraclinoid aneurysm, a high-resolution non-contrast CT scan was also performed to assess the relationship of the aneurysm to the anterior clinoid process. TOF MRA with 3DR successfully identified the intracranial aneurysms and adequately depicted the surrounding microanatomy. Intraoperative findings were as predicted by the preoperative imaging studies. The aneurysms were successfully clip-obliterated, and the patients had uneventful post-operative courses. These cases demonstrate that non-contrast imaging is a viable modality to assess intracranial aneurysms as part of the surgical planning process in patients with contrast contraindications. TOF MRA with 3DR, in conjunction with high-resolution non-contrast CT when indicated, provides adequate visualization of the microanatomy of the aneurysm and surrounding structures. PMID:23685107

  16. Hemodynamic Significance of Internal Carotid or Middle Cerebral Artery Stenosis Detected on Magnetic Resonance Angiography

    PubMed Central

    Seo, Hyo Jung; Pagsisihan, Jefferson R.; Choi, Seung Hong; Cheon, Gi Jeong; Chung, June-Key; Lee, Dong Soo; Kang, Keon Wook

    2015-01-01

    Purpose We evaluated hemodynamic significance of stenosis on magnetic resonance angiography (MRA) using acetazolamide perfusion single photon emission computed tomography (SPECT). Materials and Methods Of 171 patients, stenosis in internal carotid artery (ICA) and middle cerebral artery (MCA) (ICA-MCA) on MRA and cerebrovascular reserve (CVR) of MCA territory on SPECT was measured using quantification and a 3-grade system. Stenosis and CVR grades were compared with each other, and their prognostic value for subsequent stroke was evaluated. Results Of 342 ICA-MCA, 151 (44%) presented stenosis on MRA; grade 1 in 69 (20%) and grade 2 in 82 (24%) cases. Decreased CVR was observed in 9% of grade 0 stenosis, 25% of grade 1, and 35% of grade 2. The average CVR of grade 0 was significantly different from grade 1 (p<0.001) and grade 2 stenosis (p=0.007). In quantitative analysis, average CVR index was -0.56±7.91 in grade 0, -1.81±6.66 in grade 1 and -1.18±5.88 in grade 2 stenosis. Agreement between stenosis and CVR grades was fair in patients with lateralizing and non-lateralizing symptoms (κ=0.230 and 0.346). Of the factors tested, both MRA and CVR were not significant prognostic factors (p=0.104 and 0.988, respectively), whereas hypertension and renal disease were significant factors (p<0.05, respectively). Conclusion A considerable proportion of ICA-MCA stenosis detected on MRA does not cause CVR impairment despite a fair correlation between them. Thus, hemodynamic state needs to be assessed for evaluating significance of stenosis, particularly in asymptomatic patients. PMID:26446655

  17. Anisotropic multi-resolution analysis in 2D, application to long-range correlations in cloud mm-radar fields

    SciTech Connect

    Davis, A.B.; Clothiaux, E.

    1999-03-01

    Because of Earth`s gravitational field, its atmosphere is strongly anisotropic with respect to the vertical; the effect of the Earth`s rotation on synoptic wind patterns also causes a more subtle form of anisotropy in the horizontal plane. The authors survey various approaches to statistically robust anisotropy from a wavelet perspective and present a new one adapted to strongly non-isotropic fields that are sampled on a rectangular grid with a large aspect ratio. This novel technique uses an anisotropic version of Multi-Resolution Analysis (MRA) in image analysis; the authors form a tensor product of the standard dyadic Haar basis, where the dividing ratio is {lambda}{sub z} = 2, and a nonstandard triadic counterpart, where the dividing ratio is {lambda}{sub x} = 3. The natural support of the field is therefore 2{sup n} pixels (vertically) by 3{sup n} pixels (horizontally) where n is the number of levels in the MRA. The natural triadic basis includes the French top-hat wavelet which resonates with bumps in the field whereas the Haar wavelet responds to ramps or steps. The complete 2D basis has one scaling function and five wavelets. The resulting anisotropic MRA is designed for application to the liquid water content (LWC) field in boundary-layer clouds, as the prevailing wind advects them by a vertically pointing mm-radar system. Spatial correlations are notoriously long-range in cloud structure and the authors use the wavelet coefficients from the new MRA to characterize these correlations in a multifractal analysis scheme. In the present study, the MRA is used (in synthesis mode) to generate fields that mimic cloud structure quite realistically although only a few parameters are used to control the randomness of the LWC`s wavelet coefficients.

  18. First step in using molecular data for microbial food safety risk assessment; hazard identification of Escherichia coli O157:H7 by coupling genomic data with in vitro adherence to human epithelial cells

    PubMed Central

    Pielaat, Annemarie; Boer, Martin P.; Wijnands, Lucas M.; van Hoek, Angela H.A.M.; Bouw, El; Barker, Gary C.; Teunis, Peter F.M.; Aarts, Henk J.M.; Franz, Eelco

    2015-01-01

    The potential for using whole genome sequencing (WGS) data in microbiological risk assessment (MRA) has been discussed on several occasions since the beginning of this century. Still, the proposed heuristic approaches have never been applied in a practical framework. This is due to the non-trivial problem of mapping microbial information consisting of thousands of loci onto a probabilistic scale for risks. The paradigm change for MRA involves translation of multidimensional microbial genotypic information to much reduced (integrated) phenotypic information and onwards to a single measure of human risk (i.e. probability of illness). In this paper a first approach in methodology development is described for the application of WGS data in MRA; this is supported by a practical example. That is, combining genetic data (single nucleotide polymorphisms; SNPs) for Shiga toxin-producing Escherichia coli (STEC) O157 with phenotypic data (in vitro adherence to epithelial cells as a proxy for virulence) leads to hazard identification in a Genome Wide Association Study (GWAS). This application revealed practical implications when using SNP data for MRA. These can be summarized by considering the following main issues: optimum sample size for valid inference on population level, correction for population structure, quantification and calibration of results, reproducibility of the analysis, links with epidemiological data, anchoring and integration of results into a systems biology approach for the translation of molecular studies to human health risk. Future developments in genetic data analysis for MRA should aim at resolving the mapping problem of processing genetic sequences to come to a quantitative description of risk. The development of a clustering scheme focusing on biologically relevant information of the microbe involved would be a useful approach in molecular data reduction for risk assessment. PMID:25910947

  19. Magnetic Resonance Angiography of Nonferromagnetic Iliac Artery Stents and Stent-Grafts: A Comparative Study in Sheep

    SciTech Connect

    Schuermann, Karl; Vorwerk, Dierk; Buecker, Arno; Neuerburg, Joerg; Grosskortenhaus, Stefanie; Haage, Patrick; Piroth, Werner; Hunter, David W.; Guenther, Rolf W.

    1999-09-15

    Purpose: To compare nonferromagnetic iliac artery prostheses in their suitability for patency monitoring with magnetic resonance angiography (MRA) using conventional angiography as a reference. Methods: In experiment 1, three Memotherm stents were inserted into the iliac arteries of each of six sheep: two 'tandem' stents on one side and a single stent on the other side. In experiment 2, four prostheses (normal and low-porosity Corvita stent-grafts, Memotherm, ZA-stent) were inserted in each of 11 sheep. Patency was monitored before and 1, 3, and 6 months after insertion with 3D phase-contrast and two 2D time-of-flight sequences (TOF-1: TR/TE = 18/6.9, TOF-2: 13/2.5) with and without contrast at 1.5 T. On 206 coronal MIP images (72 pre-, 134 post-stenting), three readers analyzed 824 iliac segments (206 x 4) for patency and artifacts. Results: There was no difference in the number of artifacts between tandem and single iliac Memotherm stents. The ZA-stent induced significantly fewer artifacts than the other prostheses (p < 0.00001). With MRA, patency of the ZA-stent was correctly diagnosed in 88% of cases, which was almost comparable to nonstented iliac segments (95%), patency of the Memotherm stent in 59%, and of the Corvita stent-grafts in 57% and 55%. The TOF-2 sequence with contrast yielded the best images. Conclusion: MRA compatibility of nonferromagnetic prostheses depends strongly on the design of the device. MRA may be used to monitor the patency of iliac ZA-stents, whereas iliac Memotherm stents and Corvita stent-grafts appear to be less suited for follow-up with MRA.

  20. Imaging blood vessels of the head and neck.

    PubMed Central

    Sellar, R J

    1995-01-01

    ATHEROSCLEROTIC DISEASE: Patients with transient ischaemic attacks or a non-disabling stroke who are surgical candidates should be screened with Doppler ultrasound, or MRA/CT, or both. The choice will depend on local expertise and availability. If DUS is used it is recommended that the equipment is regularly calibrated and a prospective audit of results, particularly of those patients that go on to angiography, is maintained locally. Those patients found to have the DUS equivalent of a 50% stenosis should have angiography only if surgical or balloon angioplasty treatment is contemplated. Angiography should be performed with meticulous technique to minimise risks. ANEURYSM AND ARTERIOVENOUS MALFORMATIONS: Angiography remains the investigation of choice for patients with subarachnoid haemorrhage. Magnetic resonance angiography and CT can demonstrate the larger aneurysm but because even small aneurysms can rupture with devastating effects, these techniques are not the examination of first choice. Angiography is also the only technique that adequately defines the neck of an aneurysm. This information is becoming increasingly important in management decisions-for instance, whether to clip or use a coil. Likewise angiography is the only technique to fully define the vascular anatomy of arteriovenous malformations although the size of the nidus can be monitored by MRA and this is a useful method of follow up after stereotactic radiosurgery, embolisation, or surgery. There are specific uses for MRA such as in patients presenting with a painful 3rd nerve palsy and as a screening test for those patients with a strong family history of aneurysms. VASCULITIS, FIBROMUSCULAR HYPERPLASIA, AND DISSECTION: These rare arterial diseases are best detected by angiography, although there are increasing reports of successful diagnosis by MRA. There are traps for the many unwary and MRA does not give an anatomical depiction of the arteries but a flow map. Slow flow may lead to signal loss

  1. Prognostic value of cardiovascular MR imaging biomarkers on outcome in peripheral arterial disease: a 6-year follow-up pilot study.

    PubMed

    van den Bosch, Harrie; Westenberg, Jos; Setz-Pels, Wikke; Kersten, Erik; Tielbeek, Alexander; Duijm, Lucien; Post, Johannes; Teijink, Joep; de Roos, Albert

    2016-08-01

    The objective of this pilot study was to explore the prognostic value of outcome of cardiovascular magnetic resonance (MR) imaging biomarkers in patients with symptomatic peripheral arterial disease (PAD) in comparison with traditional risk factors. Forty-two consecutive patients (mean age 64 ± 11 years, 22 men) referred for contrast-enhanced MR angiography (CE-MRA) were included. At baseline a comprehensive cardiovascular MRI examination was performed: CE-MRA of the infra-renal aorta and run-off vessels, carotid vessel wall imaging, cardiac cine imaging and aortic pulse wave velocity (PWV) assessment. Patients were categorized for outcome at 72 ± 5 months follow-up. One patient was lost to follow-up. Over 6 years, six patients had died (mortality rate 14.6 %), six patients (14.6 %) had experienced a cardiac event and three patients (7.3 %) a cerebral event. The mean MRA stenosis class (i.e., average stenosis severity visually scored over 27 standardized segments) was a significant independent predictor for all-cause mortality (beta 3.0 ± standard error 1.3, p = 0.02). Descending aorta PWV, age and diabetes mellitus were interrelated with stenosis severity but none of these were significant independent predictors. For cardiac morbidity, left ventricular ejection fraction (LVEF) and mean MRA stenosis class were associated, but only LVEF was a significant independent predictor (beta -0.14 ± 0.05, p = 0.005). Diabetes mellitus was a significant independent predictor for cerebral morbidity (beta 2.8 ± 1.3, p = 0.03). Significant independent predictors for outcome in PAD are mean MRA stenosis class for all-cause mortality, LVEF for cardiac morbidity and diabetes mellitus for cerebral morbidity. PMID:27209283

  2. Augmented EGF receptor tyrosine kinase activity impairs vascular function by NADPH oxidase-dependent mechanism in type 2 diabetic mouse.

    PubMed

    Kassan, Modar; Ait-Aissa, Karima; Ali, Maha; Trebak, Mohamed; Matrougui, Khalid

    2015-10-01

    We previously determined that augmented EGFR tyrosine kinase (EGFRtk) impairs vascular function in type 2 diabetic mouse (TD2). Here we determined that EGFRtk causes vascular dysfunction through NADPH oxidase activity in TD2. Mesenteric resistance arteries (MRA) from C57/BL6 and db-/db- mice were mounted in a wired myograph and pre-incubated for 1h with either EGFRtk inhibitor (AG1478) or exogenous EGF. The inhibition of EGFRtk did not affect the contractile response to phenylephrine-(PE) and thromboxane-(U46619) or endothelium-dependent relaxation (EDR) to acetylcholine in MRA from control group. However, in TD2 mice, AG1478 reduced the contractile response to U46619, improved vasodilatation and reduced p22phox-NADPH expression, but had no effect on the contractile response to PE. The incubation of MRA with exogenous EGF potentiated the contractile response to PE in MRA from control and diabetic mice. However, EGF impaired the EDR and potentiated the vasoconstriction to U46619 only in the control group. Interestingly, NADPH oxidase inhibition in the presence of EGF restored the normal contraction to PE and improved the EDR but had no effect on the potentiated contraction to U46619. Vascular function improvement was associated with the rescue of eNOS and Akt and reduction in phosphorylated Rho-kinase, NOX4 mRNA levels, and NADPH oxidase activity. MRA from p47phox-/- mice incubated with EGF potentiated the contraction to U46619 but had no effect to PE or ACh responses. The present study provides evidence that augmented EGFRtk impairs vascular function by NADPH oxidase-dependent mechanism. Therefore, EGFRtk and oxidative stress should be potential targets to treat vascular dysfunction in TD2. PMID:26036345

  3. Low-dose Computed Tomography in a Pregnant Woman with a Ruptured Pseudoaneurysm of the Abdominal Aorta.

    PubMed

    Ramac, Jelena Popić; Vidjak, Vinko; Skegro, Dinko; Duić, Zeljko; Blasković, Darko; Erdelez, Lidija; Skopljanac-Macina, Andrija; Suknaić, Slaven; Slavica, Marko; Leder, Nikola Ivan

    2015-09-01

    Imaging the pregnant patient presents a unique challenge to radiologist due to the risk of radiation to the conceptus (embryo/fetus). A rare case of a successfully recognized and treated pseudoaneurysm (PA) of the abdominal aorta is to be presented. The pseudoaneurysm occurred in the third trimester and had a favorable outcome for the mother and the baby. Emergent abdominal ultrasound (US) is the first modality in diagnostic algorithm for the rupture of aortic aneurysm in a pregnant woman. It provides the most rapid diagnostic information, although intestinal gas and abdominal tenderness may limit its accuracy. To confirm the findings, magnetic resonance angiography (MRA) or CT angiography (CTA) can be used. In our case, the diagnosis was established using a color Doppler ultrasonography of the abdomen and was later confirmed by a low dose CT scan of the abdominal aorta. MRA in such cases have some disadvantages. At many health centers, the monitoring of patients with acute ruptures is more difficult in the MR suite than at the CT scanner. MRA angiographic images are also subject to degradation by multiple artifacts and the visualization of the distal vasculature is suboptimal and inferior to the one done by CTA. Due to fetal movements, a small quantity of fresh blood can be overlooked by MR. MRA is often not available on a 24-hours basis, and the time required for making a diagnosis can preclude the use of MRA in an unstable patient. For this reason, we used a low dose CTA protocol to confirm the diagnosis. Low dose scanning protocols in CT can obtain sufficient diagnostic information while reducing the risk of radiation. A particular focus is put on the outline of new concepts for dose management and optimization. We used new approaches based on tube current modulation. The birth was induced by an urgent Caesarean section followed by a resection of a pseudoaneurysm and a reconstruction of the aorta with an end-to-end vascular prosthesis. PMID:26898082

  4. Value of Single-Dose Contrast-Enhanced Magnetic Resonance Angiography Versus Intraarterial Digital Subtraction Angiography in Therapy Indications in Abdominal and Iliac Arteries

    SciTech Connect

    Schaefer, Philipp J. Schaefer, Fritz K. W.; Mueller-Huelsbeck, Stefan; Both, Markus; Heller, Martin; Jahnke, Thomas

    2007-06-15

    The objective of the study was to prove the value of single-dose contrast-enhanced magnetic resonance angiography [three-dimensional (3D) ceMRA] in abdominal and iliac arteries versus the reference standard intra-arterial digital subtraction angiography (i.a.DSA) when indicating a therapy. Patients suspected of having abdominal or iliac artery stenosis were included in this study. A positive vote of the local Ethics Committee was given. After written informed consent was obtained, 37 patients were enrolled, of which 34 were available for image evaluation. Both 3D ceMRA and i.a. DSA were performed for each patient. The dosage for 3D ceMRA was 0.1 mmol/kg body weight in a 1.5-T scanner with a phased-array coil. The parameters of the 3D-FLASH sequence were as follows: TR/TE 4.6/1.8 ms, effective thickness 3.5 mm, matrix 512 x 200, flip angle 30{sup o}, field of view 420 mm, TA 23 s, coronal scan orientation. Totally, 476 vessel segments were evaluated for stenosis degree by two radiologists in a consensus fashion in a blinded read. For each patient, a therapy was proposed, if clinically indicated. Sensitivity, specificity, positive and negative predictive values, and accuracy for stenoses {>=}50% were 68%, 92%, 44%, 97%, and 90%, respectively. In 13/34 patients, a discrepancy was found concerning therapy decisions based on MRA findings versus therapy decisions based on the reference standard DSA. The results showed that the used MRA imaging technique of abdominal and iliac arteries is not competitive to i.a. DSA, with a high rate of misinterpretation of the MRAs resulting in incorrect therapies.

  5. Measurement of Capsular Thickness in Magnetic Resonance Arthrography in Idiopathic Adhesive Capsulitis of Hip

    PubMed Central

    Joo, Young-Deuk; Sobti, Anshul Shyam

    2014-01-01

    Purpose The clinical suspicion of idiopathic adhesive capsulitis of the hip (IACH) involves restricted range of motion and normal hip radiographs. The purpose of this study was to delineate the characteristic findings observed on magnetic resonance arthrography (MRA) by identifying the anatomical structures involved and their significance on clinical presentation of restricted range of motion. Materials and Methods We retrospectively evaluated MRA's of 46 hips (44 patients) who suffered hip pain from September 2006 to August 2012 in our hospital. Of those, 10 cases (8 patients) with clinical suspicion of IACH were compared to 20 normal hip cases (control group). To identify anatomical evidence of adhesive capsulitis in the MRA's of the IACH group, capsular thickness was measured superiorly, inferiorly, anteriorly and posteriorly, and compared to that of the randomly selected control group. Results Comparison of the MRA findings of the control group to that of the IACH group showed that there was a statistically significant increase in the mean thickness of the joint capsule superiorly and posteriorly (P<0.01), while comparison of examination findings revealed a statistically significant decrease in the mean range of motion (flexion 122.5°±5.5°/abduction 28.0°±2.8°/adduction 26.5°±2.4°/external rotation 30.5°±3.8°/internal rotation 25.5°±2.4°) in the IACH group. Conclusion A change in the capsular thickness on MRA is a common finding in IACH patients with the increase more evident in the posterior and superior capsules than the anterior and inferior capsules.

  6. Complications of rotator cuff surgery—the role of post-operative imaging in patient care

    PubMed Central

    Thakkar, R S; Thakkar, S C; Srikumaran, U; Fayad, L M

    2014-01-01

    When pain or disability occurs after rotator cuff surgery, post-operative imaging is frequently performed. Post-operative complications and expected post-operative imaging findings in the shoulder are presented, with a focus on MRI, MR arthrography (MRA) and CT arthrography. MR and CT techniques are available to reduce image degradation secondary to surgical distortions of native anatomy and implant-related artefacts and to define complications after rotator cuff surgery. A useful approach to image the shoulder after surgery is the standard radiography, followed by MRI/MRA for patients with low “metal presence” and CT for patients who have a higher metal presence. However, for the assessment of patients who have undergone surgery for rotator cuff injuries, imaging findings should always be correlated with the clinical presentation because post-operative imaging abnormalities do not necessarily correlate with symptoms. PMID:24734935

  7. Characterization of vascular tree architecture using the Tokunaga taxonomy

    NASA Astrophysics Data System (ADS)

    Galarreta-Valverde, Miguel A.; Zoghbi, Jihan M.; Pereira, Fabricio; Beregi, Jean-Paul; Mekkaoui, Choukri; Jackowski, Marcel P.

    2015-03-01

    The diagnosis of cardiovascular disease is usually assisted by resonance angiography (MRA) or computed tomography angiography (CTA) imaging. The identification of abnormal vascular architecture from angiographic three-dimensional images is therefore crucial to the diagnosis of cardiovascular disease. Automated detection and quantification of vascular structure and architecture thus holds significant clinical value. In this work, we employ a Lindenmayer system to represent vascular trees from angiographic images and describe a quantitative measure based on the Tokunaga taxonomy to differentiate vascular architectures. Synthetic vessel architectures with varying bifurcation patterns were compared and results showed that this architectural measure is proportional to the level of branching. In real MRA images, this measure was able to differentiate between normal and abnormal intracerebral vasculature containing an aneurysm. Hence, this methodology not only allows for compact representation of vascular architectures but also provides a quantitative metric of bifurcation complexity, which has the potential to characterize different types of vascular abnormalities.

  8. SIM.EM-K3 Key comparison of 10 mH inductance standards at 1 kHz

    NASA Astrophysics Data System (ADS)

    Moreno, J. A.; Côté, M.; Koffman, A.; Castro, B. I.; Vasconcellos, R. de Barros e.; Kyriazis, G.; Cazabat, M.; Izquierdo, D.; Faverio, C.; Slomovitz, D.

    2016-01-01

    A key comparison of 10 mH inductance standards at 1 kHz has been carried out with the participation of seven National Metrology Institutes of the Inter-American Metrology System, within the frame of the International Committee for Weights and Measures Mutual Recognition Arrangement (MRA), which was piloted by CENAM, Mexico. Three previously characterized commercial inductors, contained in individual enclosures with controlled temperature were used as traveling standards. This document presents the results and technical details of the comparison. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  9. Diagnostic imaging and pacemaker implantation in a domestic goat with persistent left cranial vena cava.

    PubMed

    Ranjan, Ravi; Dosdall, Derek; Norlund, Layne; Higuchi, Koji; Silvernagel, Joshua M; Olsen, Aaron L; Davies, Christopher J; MacLeod, Rob; Marrouche, Nassir F

    2014-03-01

    Difficulty was encountered with the insertion of a right atrial pacing lead via the left jugular vein during lead and pacemaker implantation in a clinically normal goat as part of an ongoing rapid atrial pacing - induced atrial fibrillation research project. Fluoroscopic visualization of an abnormal lead advancement path prompted angiographic assessment which revealed a persistent left cranial vena cava (PLCVC) and prominent coronary sinus communicating with the right atrium. Angiography facilitated successful advancement and securing of the pacing lead into the right side of the interatrial septum. Cardiac magnetic resonance imaging/magnetic resonance angiography (MRI/MRA) allowed further characterization of this rare venous anomaly. Even though PLCVC has been reported once in a goat, to the authors' knowledge this is the first report to include MRI/MRA characterization of PLCVC and prominent coronary sinus with successful cardiac pacemaker implantation using the PLCVC. PMID:24480717

  10. Recent advances in 3D time-resolved contrast-enhanced MR angiography.

    PubMed

    Riederer, Stephen J; Haider, Clifton R; Borisch, Eric A; Weavers, Paul T; Young, Phillip M

    2015-07-01

    Contrast-enhanced magnetic resonance angiography (CE-MRA) was first introduced for clinical studies approximately 20 years ago. Early work provided 3-4 mm spatial resolution with acquisition times in the 30-second range. Since that time there has been continuing effort to provide improved spatial resolution with reduced acquisition time, allowing high resolution 3D time-resolved studies. The purpose of this work is to describe how this has been accomplished. Specific technical enablers have been: improved gradients allowing reduced repetition times, improved k-space sampling and reconstruction methods, parallel acquisition, particularly in two directions, and improved and higher count receiver coil arrays. These have collectively made high-resolution time-resolved studies readily available for many anatomic regions. Depending on the application, ∼1 mm isotropic resolution is now possible with frame times of several seconds. Clinical applications of time-resolved CE-MRA are briefly reviewed. PMID:26032598

  11. The value of MR angiography in predicting the risk of torsion of a pelvic spleen during pregnancy.

    PubMed

    Karantanas, A H; Stagianis, K D

    2002-02-01

    A case of an enlarged pelvic spleen, studied with MRI and MR angiography (MRA), is presented in a 32-year-old female wishing to become pregnant. An ectopic located spleen may be complicated by an acute abdomen due to torsion of the splenic vascular pedicle, resulting in splenic infarction. Displacement of the spleen and splenic pedicle during pregnancy may further increase the risk of torsion. Urgent splenectomy during pregnancy is associated with a high fetal and maternal mortality and morbidity. On the other hand, elective splenectomy of a pelvic spleen before pregnancy can result in adhesion formation, compromising the patient's fertility. The abilities of MRI and MRA in predicting the risk of these life-threatening complications during pregnancy are discussed, in order to evaluate the benefit-risk ratio of surgical treatment by splenectomy of splenopexia. PMID:11870427

  12. Integrated photonic reservoir computing based on hierarchical time-multiplexing structure.

    PubMed

    Zhang, Hong; Feng, Xue; Li, Boxun; Wang, Yu; Cui, Kaiyu; Liu, Fang; Dou, Weibei; Huang, Yidong

    2014-12-15

    An integrated photonic reservoir computing (RC) based on hierarchical time-multiplexing structure is proposed by numerical simulations. A micro-ring array (MRA) is employed as a typical time delay implementation of RC. At the output port of the MRA, a secondary time-multiplexing is achieved by multi-mode interference (MMI) splitter and delay line array. This hierarchical time-multiplexing structure can ensure a large reservoir size with fast processing speed. Simulation results indicate that the proposed RC system yields better performance than previously reported ones. The achieved normalized mean square error between the system output and target sequence are 0.5% and 2.7% for signal classification and chaotic time series prediction, respectively, while the sample rate is as high as 1.3 Gbps. PMID:25607084

  13. Recent Advances in 3D Time-Resolved Contrast-Enhanced MR Angiography

    PubMed Central

    Riederer, Stephen J.; Haider, Clifton R.; Borisch, Eric A.; Weavers, Paul T.; Young, Phillip M.

    2015-01-01

    Contrast-enhanced MR angiography (CE-MRA) was first introduced for clinical studies approximately 20 years ago. Early work provided 3 to 4 mm spatial resolution with acquisition times in the 30 sec range. Since that time there has been continuing effort to provide improved spatial resolution with reduced acquisition time, allowing high resolution three-dimensional (3D) time-resolved studies. The purpose of this work is to describe how this has been accomplished. Specific technical enablers have been: improved gradients allowing reduced repetition times, improved k-space sampling and reconstruction methods, parallel acquisition particularly in two directions, and improved and higher count receiver coil arrays. These have collectively made high resolution time-resolved studies readily available for many anatomic regions. Depending on the application, approximate 1 mm isotropic resolution is now possible with frame times of several seconds. Clinical applications of time-resolved CE-MRA are briefly reviewed. PMID:26032598

  14. Early middle cerebral artery stenosis following stent-assisted thrombectomy

    PubMed Central

    Akpınar, Süha

    2015-01-01

    Stent-assisted thrombectomy (SAT) is an extensively used endovascular treatment method for stroke in which the thrombectomy stents come into direct contact with the vascular intimal surface and entrap the thrombus causing the arterial occlusion. Although there are a few studies that demonstrate that the vessel wall changes in the arteries where stroke intervention is performed, we observed progressive stenosis in early follow-up imaging studies in a case. We present a middle cerebral artery (MCA) stroke patient who had four repetitive stent passes during SAT and developed distal MCA stenosis 2 months after SAT at the control magnetic resonance angiography (MRA). Inclusion of early follow-up MRA studies would be helpful in defining the silent vascular changes in patients who have undergone repetitive SAT. PMID:26015531

  15. Usefulness of cervical magnetic resonance imaging for detecting type A acute aortic dissection with acute stroke symptoms.

    PubMed

    Matsumoto, Hiroaki; Yoshida, Yasuhisa; Hirata, Yutaka

    2016-09-01

    Type A acute aortic dissection (TAAAD) sometimes presents with acute stroke-like symptoms. When intravenous tissue plasminogen activator (IV-tPA) therapy is considered for acute ischemic stroke, TAAAD must be excluded. Painless TAAAD presenting with acute stroke may be easily missed. Two cases of painless TAAAD presenting with acute stroke in which IV-tPA therapy was considered are reported. In these cases, cervical magnetic resonance angiography (MRA) was useful for detecting TAAAD, and IV-tPA therapy was canceled. The mottled high signal ("snowstorm") in the common carotid artery on cervical MRA is specific for TAAAD. We have thus named this phenomenon the "snowstorm sign" and believe it can help diagnose TAAAD. PMID:27118510

  16. Recurrent Congenital Diaphragmatic Hernia in Ehlers-Danlos Syndrome

    SciTech Connect

    Lin, I.C.; Ko, S.F.; Shieh, C.S.; Huang, C.F.; Chien, S.J.; Liang, C.D.

    2006-10-15

    Ehlers-Danlos syndrome (EDS) includes a group of connective tissue disorders with abnormal collagen metabolism and a diverse clinical spectrum. We report two siblings with EDS who both presented with congenital diaphragmatic hernia (CDH). The elder sister suffered from recurrent diaphragmatic hernia twice and EDS was overlooked initially. Echocardiography as well as contrast-enhanced magnetic resonance angiography (MRA) showed dilatation of the pulmonary artery, and marked elongation and tortuosity of the aorta and its branches. A diagnosis of EDS was eventually established when these findings were coupled with the clinical features of hyperelastic skin. Her younger brother also had similar features. This report emphasizes that EDS may present as CDH in a small child which could easily be overlooked. Without appropriate surgery, diaphragmatic hernia might occur. Echocardiographic screening is recommended in patients with CDH. Contrast-enhanced MRA can be helpful in delineation of abnormally tortuous aortic great vessels that are an important clue to the early diagnosis of EDS.

  17. Usefulness of magnetic resonance angiography for the evaluation of varices at hepaticojejunostomy after liver transplantation

    PubMed Central

    Suzuki, Mitsuyoshi; Fujii, Tohru; Ohtsuka, Yoshikazu; Sugo, Hiroyuki; Kawasaki, Seiji; Shimizu, Toshiaki

    2015-01-01

    A 7-year-old Japanese girl who had undergone living-donor liver transplantation (LT) at the age of 10 months for decompensated liver cirrhosis caused by biliary atresia presented with recurrent episodes of obscure gastrointestinal bleeding (GIB) with anemia. Over the following 6 years, she experienced five episodes of GIB requiring hospitalization. Subsequent evaluations including repeat esophagogastroduodenoscopy (EGD), colonoscopy (CS), contrast-enhanced computed tomography (CT), and Meckel’s scan all failed to reveal a bleeding source. However, varices at the site of hepaticojejunostomy were detected on abdominal ultrasonography and magnetic resonance angiography (MRA) at the age of 7 years. MRA might be more helpful than contrast-enhanced CT for identifying such bleeding. PMID:26034644

  18. Time-resolved contrast-enhanced magnetic resonance angiography of the hand with parallel imaging and view sharing: initial experience.

    PubMed

    Brauck, Katja; Maderwald, Stefan; Vogt, Florian M; Zenge, Michael; Barkhausen, Jörg; Herborn, Christoph U

    2007-01-01

    We sought to compare a three-dimensional, contrast-enhanced, magnetic resonance angiogram (3D CE MRA) sequence combining parallel-imaging (generalised autocalibrating partially parallel acquisitions (GRAPPA)) with a time-resolved echo-shared angiographic technique (TREAT) in an intraindividual comparison to a standard 3D MRA sequence. Four healthy volunteers (27-32 years), and 11 patients (11-82 years) with vascular pathologies of the hand were examined on a 1.5-Tesla (T) MR system (Magnetom Avanto, Siemens, Erlangen, Germany) using two multichannel receiver coils. Following automatic injection (flow rate 2.5 cc/s) of 0.1 mmol/kg gadoterate (Dotarem, Guerbet, Roissy, France), 32 consecutive 3D data sets were collected with the TREAT sequence (TR/TE: 4.02/1.31 ms, FA: 10 degrees, GRAPPA acceleration factor: R=2, TREAT factor: 5, voxel size: 1.0 x 0.7 x 1.3 mm(3)) and a T1-wwighted 3D gradient-echo sequence (TR/TE: 5.3/1.57 ms, FA: 30 degrees, GRAPPA acceleration factor: 2, voxel size: 0.71 x 0.71 x 0.71 mm(3,)). MR data sets were evaluated and compared for image quality and visualisation of vascular details. In the volunteer group, all MR imaging was successful while technical problems prevented acquisition of the standard protocol in two patients. For the corresponding segments, the number of visible segments was equal on both sequences. Overall image quality was significantly better on the standard protocol than on the TREAT protocol. TREAT MRA provided functional information in lesions with rapid blood flow, e.g. detection of feeding and draining vessels in an haemangioma. TREAT-MRA is a robust technique that combines morphological and functional information of the hand vasculature and deals with the very special physiological demands of vascular lesions, such as quick arteriovenous transit time. PMID:16710664

  19. Effects of mineralocorticoid receptor antagonists in patients with hypertension and diabetes mellitus: a systematic review and meta-analysis.

    PubMed

    Takahashi, S; Katada, J; Daida, H; Kitamura, F; Yokoyama, K

    2016-09-01

    Blood pressure (BP) control is important to ameliorate cardiovascular events in patients with diabetes mellitus (DM). However, achieving the target BP with a single drug is often difficult. The objective of this study was to evaluate the antihypertensive effects of mineralocorticoid receptor antagonists (MRAs) as add-on therapy to renin-angiotensin system (RAS) inhibitor(s) in patients with hypertension and DM. Studies were searched through October 2014 in MEDLINE, Embase and the Cochrane Central Register of Controlled Trials. Randomized, controlled trials or prospective, observational studies regarding concomitant administration of MRA and RAS inhibitor(s) in patients with DM were included. Articles were excluded if the mean systolic BP (SBP) was <130 mm Hg before randomization for interventional studies or at baseline for prospective cohort studies. We identified nine eligible studies (486 patients): five randomized placebo-controlled trials; three randomized active drug-controlled trials; and one single-arm observational study. The mean differences in office SBP and diastolic BP (DBP) between the MRA and placebo groups were -9.4 (95% confidence interval (CI) -12.9 to -5.9) and -3.8 (95% CI, -5.5 to -2.2) mm Hg, respectively. Subgroup analysis results for study type, age, baseline office SBP and follow-up duration were similar to those of the main analysis. MRA mildly increased serum potassium (0.4 mEq l(-1); 95% CI, 0.3-0.5 mEq l(-1)). A consistent reduction of albuminuria across these studies was also demonstrated. MRA further reduced SBP and DBP in patients with hypertension and DM already taking RAS inhibitors. Serum potassium levels should be monitored to prevent hyperkalemia. PMID:26674759

  20. A system to detect cerebral aneurysms in multimodality angiographic data sets

    SciTech Connect

    Hentschke, Clemens M. Tönnies, Klaus D.; Beuing, Oliver; Paukisch, Harald; Scherlach, Cordula; Skalej, Martin

    2014-09-15

    Purpose: The early detection of cerebral aneurysms plays a major role in preventing subarachnoid hemorrhage. The authors present a system to automatically detect cerebral aneurysms in multimodal 3D angiographic data sets. The authors’ system is parametrizable for contrast-enhanced magnetic resonance angiography (CE-MRA), time-of-flight magnetic resonance angiography (TOF-MRA), and computed tomography angiography (CTA). Methods: Initial volumes of interest are found by applying a multiscale sphere-enhancing filter. Several features are combined in a linear discriminant function (LDF) to distinguish between true aneurysms and false positives. The features include shape information, spatial information, and probability information. The LDF can either be parametrized by domain experts or automatically by training. Vessel segmentation is avoided as it could heavily influence the detection algorithm. Results: The authors tested their method with 151 clinical angiographic data sets containing 112 aneurysms. The authors reach a sensitivity of 95% with CE-MRA data sets at an average false positive rate per data set (FP{sub DS}) of 8.2. For TOF-MRA, we achieve 95% sensitivity at 11.3 FP{sub DS}. For CTA, we reach a sensitivity of 95% at 22.8 FP{sub DS}. For all modalities, the expert parametrization led to similar or better results than the trained parametrization eliminating the need for training. 93% of aneurysms that were smaller than 5 mm were found. The authors also showed that their algorithm is capable of detecting aneurysms that were previously overlooked by radiologists. Conclusions: The authors present an automatic system to detect cerebral aneurysms in multimodal angiographic data sets. The system proved as a suitable computer-aided detection tool to help radiologists find cerebral aneurysms.

  1. Multimedia-modeling integration development environment

    SciTech Connect

    Pelton, Mitchell A.; Hoopes, Bonnie L.

    2002-09-02

    There are many framework systems available; however, the purpose of the framework presented here is to capitalize on the successes of the Framework for Risk Analysis in Multimedia Environmental Systems (FRAMES) and Multi-media Multi-pathway Multi-receptor Risk Assessment (3MRA) methodology as applied to the Hazardous Waste Identification Rule (HWIR) while focusing on the development of software tools to simplify the module developer?s effort of integrating a module into the framework.

  2. Comparative analysis of fluorescent angiography, computed tomographic angiography and magnetic resonance angiography for planning autologous breast reconstruction

    PubMed Central

    Chae, Michael P.; Hunter-Smith, David J.

    2015-01-01

    Background The high incidence of breast cancer and growing number of breast cancer patients undergoing mastectomy has led to breast reconstruction becoming an important part of holistic treatment for these patients. In planning autologous reconstructions, preoperative assessment of donor site microvascular anatomy with advanced imaging modalities has assisted in the appropriate selection of flap donor site, individual perforators, and lead to an overall improvement in flap outcomes. In this review, we compare the accuracy of fluorescent angiography, computed tomographic angiography (CTA), and magnetic resonance angiography (MRA) and their impact on clinical outcomes. Methods A review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken. Results Fluorescent angiography is technically limited by its inability to evaluate deep-lying perforators and hence, it has a minimal role in the preoperative setting. However, it may be useful intraoperatively in evaluating microvascular anastomotic patency and the mastectomy skin perfusion. CTA is currently widely considered the standard, due to its high accuracy and reliability. Multiple studies have demonstrated its ability to improve clinical outcomes, such as operative length and flap complications. However, concerns surrounding exposure to radiation and nephrotoxic contrast agents exist. MRA has been explored, however despite recent advances, the image quality of MRA is considered inferior to CTA. Conclusions Preoperative imaging is an essential component in planning autologous breast reconstruction. Fluorescent angiography presents minimal role as a preoperative imaging modality, but may be a useful intraoperative adjunct to assess the anastomosis and the mastectomy skin perfusion. Currently, CTA is the gold standard preoperatively. MRA has a role, particularly for women of younger age, iodine allergy, and renal impairment. PMID

  3. Effects of mineralocorticoid receptor antagonists in patients with hypertension and diabetes mellitus: a systematic review and meta-analysis

    PubMed Central

    Takahashi, S; Katada, J; Daida, H; Kitamura, F; Yokoyama, K

    2016-01-01

    Blood pressure (BP) control is important to ameliorate cardiovascular events in patients with diabetes mellitus (DM). However, achieving the target BP with a single drug is often difficult. The objective of this study was to evaluate the antihypertensive effects of mineralocorticoid receptor antagonists (MRAs) as add-on therapy to renin–angiotensin system (RAS) inhibitor(s) in patients with hypertension and DM. Studies were searched through October 2014 in MEDLINE, Embase and the Cochrane Central Register of Controlled Trials. Randomized, controlled trials or prospective, observational studies regarding concomitant administration of MRA and RAS inhibitor(s) in patients with DM were included. Articles were excluded if the mean systolic BP (SBP) was <130 mm Hg before randomization for interventional studies or at baseline for prospective cohort studies. We identified nine eligible studies (486 patients): five randomized placebo-controlled trials; three randomized active drug-controlled trials; and one single-arm observational study. The mean differences in office SBP and diastolic BP (DBP) between the MRA and placebo groups were −9.4 (95% confidence interval (CI) −12.9 to −5.9) and −3.8 (95% CI, −5.5 to −2.2) mm Hg, respectively. Subgroup analysis results for study type, age, baseline office SBP and follow-up duration were similar to those of the main analysis. MRA mildly increased serum potassium (0.4 mEq l−1; 95% CI, 0.3–0.5 mEq l−1). A consistent reduction of albuminuria across these studies was also demonstrated. MRA further reduced SBP and DBP in patients with hypertension and DM already taking RAS inhibitors. Serum potassium levels should be monitored to prevent hyperkalemia. PMID:26674759

  4. Different β-adrenoceptor subtypes coupling to cAMP or NO/cGMP pathways: implications in the relaxant response of rat conductance and resistance vessels

    PubMed Central

    Flacco, N; Segura, V; Perez-Aso, M; Estrada, S; Seller, JF; Jiménez-Altayó, F; Noguera, MA; D'Ocon, P; Vila, E; Ivorra, MD

    2013-01-01

    Background and Purpose To analyse the relative contribution of β1-, β2- and β3-adrenoceptors (Adrb) to vasodilatation in conductance and resistance vessels, assessing the role of cAMP and/or NO/cGMP signalling pathways. Experimental Approach Rat mesenteric resistance artery (MRA) and aorta were used to analyse the Adrb expression by real-time-PCR and immunohistochemistry, and for the pharmacological characterization of Adrb-mediated activity by wire myography and tissue nucleotide accumulation. Key Results The mRNAs and protein for all Adrb were identified in endothelium and/or smooth muscle cells (SMCs) in both vessels. In MRA, Adrb1 signalled through cAMP, Adrb3 through both cAMP and cGMP, but Adrb2, did not activate nucleotide formation; isoprenaline relaxation was inhibited by propranolol (β1, β2), CGP20712A (β1), and SQ22536 (adenylyl cyclase inhibitor), but not by ICI118,551 (β2), SR59230A (β3), ODQ (soluble guanylyl cyclase inhibitor), L-NAME or endothelium removal. In aorta, Adrb1 signalled through cAMP, while β2- and β3-subtypes through cGMP; isoprenaline relaxation was inhibited by propranolol, ICI118,551, ODQ, L-NAME, and to a lesser extent, by endothelium removal. CL316243 (β3-agonist) relaxed aorta, but not MRA. Conclusion and Implication Despite all three Adrb subtypes being found in both vessels, Adrb1, located in SMCs and acting through the adenylyl cyclase/cAMP pathway, are primarily responsible for vasodilatation in MRA. However, Adrb-mediated vasodilatation in aorta is driven by endothelial Adrb2 and Adrb3, but also by the Adrb2 present in SMCs, and is coupled to the NO/cGMP pathway. These results could help to understand the different physiological roles played by Adrb signalling in regulating conductance and resistance vessels. PMID:23373597

  5. Screening for lipid requirements of membrane proteins by combining cell-free expression with nanodiscs.

    PubMed

    Henrich, Erik; Dötsch, Volker; Bernhard, Frank

    2015-01-01

    Cell-free (CF) protein expression has emerged as one of the most efficient production platforms for membrane proteins. Central bottlenecks prevalent in conventional cell-based expression systems such as mistargeting, inclusion body formation, degradation as well as product toxicity can be addressed by taking advantage of the reduced complexity of CF expression systems. However, the open accessibility of CF reactions offers the possibility to design customized artificial expression environments by supplying synthetic hydrophobic compounds such as micelles or membranes of defined composition. The open nature of CF systems therefore generally allows systematic screening approaches for the identification of efficient cotranslational solubilization environments of membrane proteins. Synergies exist in particular with the recently developed nanodisc (ND) technology enabling the synthesis of stable and highly soluble particles containing membrane discs of defined composition. Specific types of lipids frequently modulate folding, stability, and activity of integrated membrane proteins. One recently reported example are phospho-MurNAc-pentapeptide (MraY) translocases that catalyze a crucial step in bacterial peptidoglycan biosynthesis making them interesting as future drug targets. Production of functionally active MraY homologues from most human pathogens in conventional cellular production systems was so far not successful due to their obviously strict lipid dependency for functionally folding. We demonstrate that the combination of CF expression with ND technologies is an efficient strategy for the production of folded MraY translocases, and we present a general protocol for the rapid screening of lipid specificities of membrane proteins. PMID:25857790

  6. AICA syndrome with facial palsy following vertigo and acute sensorineural hearing loss.

    PubMed

    Ikegami-Takada, Tomoko; Izumikawa, Masahiko; Doi, Tadashi; Takada, Yohei; Tomoda, Koichi

    2012-04-01

    We report a case of infarction of the anterior inferior cerebellar artery (AICA) with peripheral facial palsy following vertigo and acute sensorineural hearing loss. A 39-year-old female presented with vertigo and sudden hearing loss, tinnitus, and aural fullness of the right ear. An audiogram revealed a severe hearing loss at all tested frequencies in the right ear. Spontaneous nystagmus toward the left side was also observed. Otoneurological examinations showed sensorineural hearing loss of the right ear and horizontal and rotatory gaze nystagmus toward the left side, and a caloric reflex test demonstrated canal paresis. Initially, we diagnosed the patient for sudden deafness with vertigo. However, right peripheral facial palsy appeared 2 days later. An eye tracking test (ETT) and optokinetic pattern test (OKP) showed centralis abnormality. The patient's brain was examined by magnetic resonance imaging (MRI) and magnetic resonance angioglaphy (MRA) and showed an infarction localized in the pons and cerebellum. MRI and MRA revealed infarction of the right cerebellar hemisphere indicating occlusion of the AICA. Consequently, the patient was diagnosed with AICA syndrome but demonstrated regression following steroid and edaravone treatment. We suggest that performing MRI and MRA in the early stage of AICA syndrome is important for distinguishing cerebellar infarction resulting from vestibular disease. PMID:21862260

  7. Examination of Reticulocytosis among Chronically Transfused Children with Sickle Cell Anemia.

    PubMed

    Kaushal, Megha; Byrnes, Colleen; Khademian, Zarir; Duncan, Natalie; Luban, Naomi L C; Miller, Jeffery L; Fasano, Ross M; Meier, Emily Riehm

    2016-01-01

    Sickle cell anemia (SCA) is an inherited hemolytic anemia with compensatory reticulocytosis. Recent studies have shown that increased levels of reticulocytosis during infancy are associated with increased hospitalizations for SCA sequelae as well as cerebrovascular pathologies. In this study, absolute reticulocyte counts (ARC) measured prior to transfusion were analysed among a cohort of 29 pediatric SCA patients receiving chronic transfusion therapy (CTT) for primary and secondary stroke prevention. A cross-sectional flow cytometric analysis of the reticulocyte phenotype was also performed. Mean duration of CTT was 3.1 ± 2.6 years. Fifteen subjects with magnetic resonance angiography (MRA) -vasculopathy had significantly higher mean ARC prior to initiating CTT compared to 14 subjects without MRA-vasculopathy (427.6 ± 109.0 K/μl vs. 324.8 ± 109.2 K/μl, p<0.05). No significant differences in hemoglobin or percentage sickle hemoglobin (HbS) were noted between the two groups at baseline. Reticulocyte phenotyping further demonstrated that the percentages of circulating immature [CD36(+), CD71(+)] reticulocytes positively correlated with ARC in both groups. During the first year of CTT, neither group had significant reductions in ARC. Among this group of children with SCA, cerebrovasculopathy on MRA at initiation of CTT was associated with increased reticulocytosis, which was not reduced after 12 months of transfusions. PMID:27116614

  8. Pulmonary toxicity in a rabbit model of stereotactic lung radiation therapy: efficacy of a radioprotector.

    PubMed

    Mata, Jaime; Sheng, Ke; Hagspiel, Klaus; Ruppert, Kai; Sylvester, Peter; Mugler, John; Fernandes, Carolina; Guan, Steven; Larner, James; Read, Paul

    2014-08-01

    This study aimed to assess the efficacy of the radioprotector amifostine in limiting radiation toxicity in a rabbit model of lung stereotactic body radiation therapy (SBRT) by correlating contrast-enhanced magnetic resonance angiography (ce-MRA), computed tomography (CT), and helium-3 (He-3) magnetic resonance imaging (MRI) with histopathology. Multiple MRI techniques were tested to obtain complementing physiologic information. Thirteen rabbits received SBRT to the right lower lobe of the lung. Specifically, 4 received 3 × 11 Gray (Gy), 6 received 3 × 11 Gy and 50 mg/kg of amifostine pre-SRBT, and 3 received 3 × 7, 3 × 9, or 3 × 13 Gy. Imaging was performed at baseline and 4, 8, 12, and 16 weeks post-SBRT. Ce-MRA perfusion difference between lungs in the irradiated group at 16 weeks post-treatment was statistically significant (P = .04) whereas the difference in the irradiated + amifostine group was not (P = .30). Histologically observed low red blood cell (RBC) count and CT hypodensity suggests changes were primarily related to perfusion; however, structural changes, such as increased alveolar size, were also present. No changes in He-3 MRI lung ventilation were observed in either group. Although radiation-induced injury detected in rabbits as CT hypodensity contrasted with increased density observed in humans/rodents, the changes in ce-MRA and CT were still significantly reduced after the addition of amifostine to SBRT. Use of CT and selected MRI techniques helped to pinpoint primary physiologic changes. PMID:24926529

  9. Initial Imaging Analysis of Budd-Chiari Syndrome in Henan Province of China: Most Cases Have Combined Inferior Vena Cava and Hepatic Veins Involvement

    PubMed Central

    Han, Xinwei; Wu, Gang; Zhang, Wenguang; Ding, Pengxu; Bi, Yonghua

    2014-01-01

    Aim To evaluate the type of venous involvement in Chinese Budd-Chiari syndrome (BCS) patients and the relative diagnostic accuracy of the different imaging modalities. Methods Using digital subtraction angiography (DSA) as a reference standard, color Doppler ultrasound (CDUS), computed tomography angiography (CTA), and magnetic resonance angiography (MRA) were performed on 338 patients with BCS. We analyzed the course of the main and any accessory hepatic veins (HVs) and the inferior vena cava (IVC) to assess the etiology of obstructed segments and diagnostic accuracy of CDUS, CTA and MRA. Results Among the 338 cases, there were 8 cases (2.4%) of isolated IVC membranous obstruction, 45 cases (13.3%) of isolated HV occlusion, and 285 cases (84.3%) with both IVC membranous obstruction and HV occlusion. Comparing with DSA, CDUS, CTA had a diagnostic accuracy of 89.3% and 80.2% in detecting BCS, and 83.4% of cases correctly correlated by MRA. Conclusion In Henan Province, most patients with BCS have complex lesions combining IVC and HV involvement. The combination of CDUS and CTA or MRI is useful for diagnosis of BCS and guiding therapy. PMID:24416352

  10. Cognition and the Default Mode Network in Children with Sickle Cell Disease: A Resting State Functional MRI Study

    PubMed Central

    Montanaro, Maria; Rampazzo, Patrizia; Ermani, Mario; Talenti, Giacomo; Baracchini, Claudio; Favero, Angela; Basso, Giuseppe; Manara, Renzo; Sainati, Laura

    2016-01-01

    Cerebrovascular complications are frequent events in children with sickle cell disease, yet routinely used techniques such as Transcranial Doppler (TCD), Magnetic Resonance (MRI) and Angiography (MRA), insufficiently explain the cause of poor cognitive performances. Forty children with SS-Sβ° (mean age 8 years) underwent neurocognitive evaluation and comprehensive brain imaging assessment with TCD, MRI, MRA, Resting State (RS) Functional MRI with evaluation of the Default Mode Network (DMN). Sixteen healthy age-matched controls underwent MRI, MRA and RS functional MRI.Children with SCD display increased brain connectivity in the DMN even in the absence of alterations in standard imaging techniques. Patients with low neurocognitive scores presented higher brain connectivity compared to children without cognitive impairment or controls, suggesting an initial compensatory mechanism to maintain performances. In our cohort steady state haemoglobin level was not related to increased brain connectivity, but SatO2<97% was. Our findings provide novel evidence that SCD is characterized by a selective disruption of connectivity among relevant regions of the brain, potentially leading to reduced cognition and altered functional brain dynamics. RS functional MRI could be used as a useful tool to evaluate cognition and cerebral damage in SCD in longitudinal trials. PMID:27281287

  11. Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients

    PubMed Central

    Jiang, Chunjing; Lin, Ping; Fu, Xiaoyan; Shu, Jiner; Li, Huimin; Hu, Xiaogang; He, Jianrong; Ding, Mingxing

    2016-01-01

    Flap transfer is increasingly used for repairing limb defects secondary to trauma or tumor, and appropriate preoperative planning plays a critical role. The present study aimed to examine the use of three-dimensional (3D) contrast-enhanced magnetic resonance angiography (CE-MRA) in evaluating the blood supply distribution and perforating branch pattern of anterolateral thigh (ALT) flaps. Bilateral donor lower limbs were scanned in 68 patients (136 limbs) using a Siemens Avanto 1.5 T magnetic resonance imaging scanner with a 3D fast low-angle shot sequence, following the thin-slab maximum intensity projection (TS-MIP) technique. The lateral femoral circumflex artery (LFCA) was visualized in all patients: 101 limbs (101/136, 74.3%) were type I; 20 limbs (20/136, 14.7%) were type II; 3 limbs (3/136, 2.2%) were type III; and 12 limbs (12/136, 8.8%) were type IV. Tertiary branches were identified in 94 limbs (94/136, 69.1%). Donor flaps were outlined according to MRA TS-MIP findings in 4 patients. All flaps survived uneventfully following the transfer. In donor flap outlining, 3D CE-MRA with the TS-MIP technique allowed an accurate, direct visualization of the branching pattern and distribution profile of the LFCA supplying the ALT flap.

  12. Perceptual enhancement of arteriovenous malformation in MRI angiography displays

    NASA Astrophysics Data System (ADS)

    Abhari, Kamyar; Baxter, John S. H.; Eagleson, Roy; Peters, Terry; de Ribaupierre, Sandrine

    2012-02-01

    The importance of presenting medical images in an intuitive and usable manner during a procedure is essential. However, most medical visualization interfaces, particularly those designed for minimally-invasive surgery, suffer from a number of issues as a consequence of disregarding the human perceptual, cognitive, and motor system's limitations. This matter is even more prominent when human visual system is overlooked during the design cycle. One example is the visualization of the neuro-vascular structures in MR angiography (MRA) images. This study investigates perceptual performance in the usability of a display to visualize blood vessels in MRA volumes using a contour enhancement technique. Our results show that when contours are enhanced, our participants, in general, can perform faster with higher level of accuracy when judging the connectivity of different vessels. One clinical outcome of such perceptual enhancement is improvement of spatial reasoning needed for planning complex neuro-vascular operations such as treating Arteriovenous Malformations (AVMs). The success of an AVM intervention greatly depends on fully understanding the anatomy of vascular structures. However, poor visualization of pre-operative MRA images makes the planning of such a treatment quite challenging.

  13. Modular robotic architecture

    NASA Astrophysics Data System (ADS)

    Smurlo, Richard P.; Laird, Robin T.

    1991-03-01

    The development of control architectures for mobile systems is typically a task undertaken with each new application. These architectures address different operational needs and tend to be difficult to adapt to more than the problem at hand. The development of a flexible and extendible control system with evolutionary growth potential for use on mobile robots will help alleviate these problems and if made widely available will promote standardization and cornpatibility among systems throughout the industry. The Modular Robotic Architecture (MRA) is a generic control systern that meets the above needs by providing developers with a standard set of software hardware tools that can be used to design modular robots (MODBOTs) with nearly unlimited growth potential. The MODBOT itself is a generic creature that must be customized by the developer for a particular application. The MRA facilitates customization of the MODBOT by providing sensor actuator and processing modules that can be configured in almost any manner as demanded by the application. The Mobile Security Robot (MOSER) is an instance of a MODBOT that is being developed using the MRA. Navigational Sonar Module RF Link Control Station Module hR Link Detection Module Near hR Proximi Sensor Module Fluxgate Compass and Rate Gyro Collision Avoidance Sonar Module Figure 1. Remote platform module configuration of the Mobile Security Robot (MOSER). Acoustical Detection Array Stereoscopic Pan and Tilt Module High Level Processing Module Mobile Base 566

  14. Tissular distributions and kinetics of two renal 99mTc-radiopharmaceuticals in rat.

    PubMed

    Bonnin, F; Petiet, A; Petegnief, Y; Colas-Linhart, N; Bok, B

    2001-05-01

    A digital radioimager (RI), conventional radioautography (RA), and tracks microradioautography (MRA) were used to assess the biodistributions and kinetics of 99mTc-dimercaptosuccinic (99mTc-DMSA) and 99mTc-mercaptoacetyltriglycine (99mTc-MAG3) in rat at both macroscopic and microscopic levels. Three groups of male Wistar rats were studied. Using gamma-counting, kidney, liver, spleen and blood kinetics of both tracers were assessed in the three groups. Using RA and RI, renal slices were analyzed in group 1 the animals being sacrified from 2 to 60 min after injection of 99mTc-MAG3, and in group 2 the animals being sacrificed from 0.5 to 24 hr after injection of 99mTc-DMSA. Using MRA, renal slices were analyzed for 99mTc-DMSA (group 3). RA films and RI images displayed the variation with time of the cortical and medullary uptakes of the tracers. No regional heterogeneity within the different structures could be seen neither with RA films nor with MRA. The remaining activity in the blood 24 hr after injection of 99mTc-DMSA was evaluated. The tissular distributions of both tracer being homogenous, mean values of cortical uptake seems to be acceptable for dosimetric studies. Our results incite to use of 99mTc-MAG3 instead of 99mTc-DMSA when both tracers may be indicated. PMID:11441950

  15. Diagnosing RCVS Without the CV: The Evolution of Reversible Cerebral Vasoconstriction Syndrome.

    PubMed

    Jacoby, Nuri; Kaunzner, Ulrike; Dinkin, Marc; Safdieh, Joseph

    2016-07-01

    This is a case of a 52-year-old man with a past medical history of 2 episodes of coital thunderclap headaches as well as recent cocaine, marijuana, and pseudoephedrine use, who presented with sudden, sharp, posterior headache associated with photophobia and phonophobia. His initial magnetic resonance imaging (MRI) of the brain, magnetic resonance angiography (MRA) of the head, and magnetic resonance venography (MRV) of the head were all normal as well as a normal lumbar puncture. Given the multiple risk factors for reversible cerebral vasoconstriction syndrome (RCVS), the patient was treated for suspected RCVS, despite the normal imaging. Repeat MRI brain 3 days after hospital admission demonstrated confluent white matter T2 hyperintensities most prominent in the occipital lobes, typical of posterior reversible encephalopathy syndrome (PRES). Repeat MRA of the head 1 day after discharge and 4 days after the abnormal MRI brain showed multisegment narrowing of multiple arteries. This case demonstrates that RCVS may present with PRES on MRI brain and also exemplifies the need to treat suspected RCVS even if imaging is normal, as abnormalities in both the MRI and the MRA may be delayed. PMID:27366300

  16. Whole-Heart Contrast-Enhanced Coronary Magnetic Resonance Angiography using Gradient Echo Interleaved EPI

    PubMed Central

    Bhat, Himanshu; Zuehlsdorff, Sven; Bi, Xiaoming; Li, Debiao

    2009-01-01

    Whole-heart coronary magnetic resonance angiography (MRA) is a promising method for detecting coronary artery disease. However, the imaging time is relatively long (on the order of 10–15 minutes). Such a long imaging time may result in patient discomfort and compromise the robustness of whole-heart coronary MRA due to increased respiratory and cardiac motion artifacts. The goal of this study was to optimize a gradient echo interleaved EPI (GRE-EPI) acquisition scheme for reducing the imaging time of contrast-enhanced whole-heart coronary MRA. Numerical simulations and phantom studies were used to optimize the GRE-EPI sequence parameters. Healthy volunteers were scanned with both the proposed GRE-EPI sequence and a 3D TrueFISP sequence for comparison purposes. Slow infusion (0.5 cc/sec) of Gd-DTPA was used to enhance the SNR of the GRE-EPI acquisition. Whole-heart images with the GRE-EPI technique were acquired with a true resolution of 1.0 × 1.1 × 2.0 mm3 in an average scan time of 4.7 ± 0.7 minutes with an average navigator efficiency of 44 ± 6%. The GRE-EPI acquisition showed excellent delineation of all the major coronary arteries with scan time reduced by a factor of 2 compared with the TrueFISP acquisition. PMID:19319898

  17. The melanoma research alliance: the power of patient advocacy to accelerate research and novel therapies.

    PubMed

    Black, Debra; Brockway-Lunardi, Laura

    2013-12-01

    Patient advocacy organizations play a major role in accelerating research and are particularly important in a disease like melanoma, for which there is an urgent need for new tools and treatments. Melanoma is a growing public health burden. In the United States alone, the incidence of melanoma has tripled over the past 30 years, and one American dies every hour from the disease. To accelerate the field, the Melanoma Research Alliance (MRA) was founded in 2007 and is now the largest private funder of melanoma research, having invested more than $48 million in innovative and translational research projects worldwide to date. This investment is bearing fruit in the recent transformation of the melanoma clinical landscape, which has brought new hope to patients and their families. Yet, even with new drugs on the market, much more needs to be done until melanoma is effectively addressed. MRA is part of a growing group of nonprofit disease research foundations collectively called "venture philanthropies" that are playing a powerful role in transforming the outlook for their disease by overcoming barriers that bog down progress, targeting key areas, and enhancing collaboration. MRA is leading an innovative agenda to accelerate efforts on behalf of patients. Our goal, while significant, is straightforward: to end suffering and death due to melanoma. PMID:24778128

  18. [Patient with innominate artery steal accompanied with cerebral infarction].

    PubMed

    Yasuda, Takashi; Kobayashi, Kenji; Takahashi, Wakoh; Takizawa, Shunya; Kanabuchi, Kazuo; Takagi, Shigeharu

    2007-10-01

    A 49-year-old man suddenly suffered left hemiplegia, and was brought to our hospital by ambulance at the beginning of August, 2006. He had a history of hypertension, and had received replacement of a synthetic graft in the ascending aorta and aortic arch with innominate artery for dissecting aneurysm in the aorta 2 years before. On diffusion-weighted magnetic resonance images obtained after admission, cerebral infarction was detected at the right corona radiata, and MR angiography (MRA) showed obstruction of the right middle cerebral artery. He was given intravenous tissue-plasminogen activator (t-PA) a few hours after arrival, and his hemiplegia was improved on the following day. At 11 days after onset, recanalization of the right middle cerebral artery was seen by MRA. On Doppler ultrasonographic examination, obstruction and thrombus in the innominate artery were observed. Retrograde flow of the right vertebral artery was demonstrated by both pulse-Doppler ultrasonography and velocity-coded color MRA. This patient is a rare example of innominate artery steal and ischemic cerebrovascular disease with obstruction of the innominate artery. Cerebral infarction in this patient might have developed via artery-to-artery embolism, with the thrombus in the innominate artery, rather than through a hemodynamic mechanism with innominate artery steal. PMID:18095497

  19. Diagnosing RCVS Without the CV

    PubMed Central

    Kaunzner, Ulrike; Dinkin, Marc; Safdieh, Joseph

    2015-01-01

    This is a case of a 52-year-old man with a past medical history of 2 episodes of coital thunderclap headaches as well as recent cocaine, marijuana, and pseudoephedrine use, who presented with sudden, sharp, posterior headache associated with photophobia and phonophobia. His initial magnetic resonance imaging (MRI) of the brain, magnetic resonance angiography (MRA) of the head, and magnetic resonance venography (MRV) of the head were all normal as well as a normal lumbar puncture. Given the multiple risk factors for reversible cerebral vasoconstriction syndrome (RCVS), the patient was treated for suspected RCVS, despite the normal imaging. Repeat MRI brain 3 days after hospital admission demonstrated confluent white matter T2 hyperintensities most prominent in the occipital lobes, typical of posterior reversible encephalopathy syndrome (PRES). Repeat MRA of the head 1 day after discharge and 4 days after the abnormal MRI brain showed multisegment narrowing of multiple arteries. This case demonstrates that RCVS may present with PRES on MRI brain and also exemplifies the need to treat suspected RCVS even if imaging is normal, as abnormalities in both the MRI and the MRA may be delayed. PMID:27366300

  20. Application of wavelet-based multiple linear regression model to rainfall forecasting in Australia

    NASA Astrophysics Data System (ADS)

    He, X.; Guan, H.; Zhang, X.; Simmons, C.

    2013-12-01

    In this study, a wavelet-based multiple linear regression model is applied to forecast monthly rainfall in Australia by using monthly historical rainfall data and climate indices as inputs. The wavelet-based model is constructed by incorporating the multi-resolution analysis (MRA) with the discrete wavelet transform and multiple linear regression (MLR) model. The standardized monthly rainfall anomaly and large-scale climate index time series are decomposed using MRA into a certain number of component subseries at different temporal scales. The hierarchical lag relationship between the rainfall anomaly and each potential predictor is identified by cross correlation analysis with a lag time of at least one month at different temporal scales. The components of predictor variables with known lag times are then screened with a stepwise linear regression algorithm to be selectively included into the final forecast model. The MRA-based rainfall forecasting method is examined with 255 stations over Australia, and compared to the traditional multiple linear regression model based on the original time series. The models are trained with data from the 1959-1995 period and then tested in the 1996-2008 period for each station. The performance is compared with observed rainfall values, and evaluated by common statistics of relative absolute error and correlation coefficient. The results show that the wavelet-based regression model provides considerably more accurate monthly rainfall forecasts for all of the selected stations over Australia than the traditional regression model.

  1. Quantum Mechanical Operators in Multiresolution Hilbert Spaces

    NASA Astrophysics Data System (ADS)

    Pipek, János

    2007-12-01

    Wavelet analysis, which is a shorthand notation for the concept of multiresolution analysis (MRA), becomes increasingly popular in high efficiency storage algorithms of complex spatial distributions. This approach is applied for describing wave functions of quantum systems. At any resolution level of MRA expansions a physical observable is represented by an infinite matrix which is "canonically" chosen as the projection of its operator in the Schrödinger picture onto the subspace of the given resolution. It is shown that this canonical choice is only a particular member of possible operator representations. Among these, there exits an optimal choice, usually different from the canonical one, which gives the best numerical values in eigenvalue problems. This construction works even in those cases, where the canonical definition is unusable. The commutation relation of physical operators is also studied in MRA subspaces. It is shown that the required commutation rules are satisfied in the fine resolution limit, whereas in coarse grained spaces a correction appears depending only on the representation of the momentum operator.

  2. Cervical carotid pseudoaneurysm: A carotid artery stenting complication

    PubMed Central

    Raso, Jair; Darwich, Rogerio; Ornellas, Carlos; Cariri, Gustavo

    2011-01-01

    Background: As carotid artery stenting becomes increasingly used, more complications are likely to occur. We present a case of Staphylococcus septicemia and pseudoaneurysm arising in the neck portion of the carotid artery after stenting. Case Description: A 51-year-old man was admitted with mild left hemiparesis. CT and MRI showed right hemisphere ischemia. Duplex Scan and MRA showed bilateral severe stenosis of the carotid arteries in the neck. A percutaneous angioplasty with stenting of the left carotid artery was performed. Two weeks after the procedure, he developed fever and swelling in the right leg and shoulder. An abscess, near where the groin had been punctured for the angioplasty was surgically drained. Blood samples were positive for S. aureus. After treatment the patient complained of a painful bulky pulsatile left cervical mass. Duplex scan and MRA showed a pseudoaneurysm of the left carotid artery. We excised the pseudoaneurysm and rebuilt the carotid artery with a saphenous vein graft. The postoperative period was uneventful, and the MRA revealed a patent saphenous graft. Conclusion: Mycotic pseudoaneurysm of the carotid artery is a rare complication of percutaneous angioplasty and stenting. Surgical treatment with saphenous vein graft is the treatment of choice. PMID:21748038

  3. Automated transformation-invariant shape recognition through wavelet multiresolution

    NASA Astrophysics Data System (ADS)

    Brault, Patrice; Mounier, Hugues

    2001-12-01

    We present here new results in Wavelet Multi-Resolution Analysis (W-MRA) applied to shape recognition in automatic vehicle driving applications. Different types of shapes have to be recognized in this framework. They pertain to most of the objects entering the sensors field of a car. These objects can be road signs, lane separation lines, moving or static obstacles, other automotive vehicles, or visual beacons. The recognition process must be invariant to global, affine or not, transformations which are : rotation, translation and scaling. It also has to be invariant to more local, elastic, deformations like the perspective (in particular with wide angle camera lenses), and also like deformations due to environmental conditions (weather : rain, mist, light reverberation) or optical and electrical signal noises. To demonstrate our method, an initial shape, with a known contour, is compared to the same contour altered by rotation, translation, scaling and perspective. The curvature computed for each contour point is used as a main criterion in the shape matching process. The original part of this work is to use wavelet descriptors, generated with a fast orthonormal W-MRA, rather than Fourier descriptors, in order to provide a multi-resolution description of the contour to be analyzed. In such way, the intrinsic spatial localization property of wavelet descriptors can be used and the recognition process can be speeded up. The most important part of this work is to demonstrate the potential performance of Wavelet-MRA in this application of shape recognition.

  4. Role of lactate dehydrogenase in metmyoglobin reduction and color stability of different bovine muscles.

    PubMed

    Kim, Y H; Keeton, J T; Smith, S B; Berghman, L R; Savell, J W

    2009-11-01

    The role of lactate dehydrogenase (LDH) in metmyoglobin reducing activity (MRA) and color stability of different bovine muscles was studied in two consecutive experiments. In experiment 1, three different bovine muscles -M. longissimus lumborum (LL), M. semimembranosus (SM), and M. psoas major (PM) - were obtained (n=7, respectively), cut into steaks, PVC packaged, and then displayed for 7days at 1°C. The LL was the most red over display time and had more (P<0.05) LDH-B activity (catalyzing toward NADH generation), LDH1 isoform expression, NADH, and higher (P<0.05) MRA than the other two muscles studied. The PM had the least color stability and lowest MRA. In experiment 2, LL steaks (n=8) were cut in half, one side syringe-injected with oxamate, and the other injected with distilled water. Inclusion of oxamate decreased (P<0.05) LDH-B activity, NADH, and a* values after 10days display at 1°C. These results suggest that variation in color stability of physiologically different muscles is regulated by different replenishment rates of NADH via different LDH isozymes. PMID:20416707

  5. Examination of Reticulocytosis among Chronically Transfused Children with Sickle Cell Anemia

    PubMed Central

    Kaushal, Megha; Byrnes, Colleen; Khademian, Zarir; Duncan, Natalie; Luban, Naomi L. C.; Miller, Jeffery L.; Fasano, Ross M.; Meier, Emily Riehm

    2016-01-01

    Sickle cell anemia (SCA) is an inherited hemolytic anemia with compensatory reticulocytosis. Recent studies have shown that increased levels of reticulocytosis during infancy are associated with increased hospitalizations for SCA sequelae as well as cerebrovascular pathologies. In this study, absolute reticulocyte counts (ARC) measured prior to transfusion were analysed among a cohort of 29 pediatric SCA patients receiving chronic transfusion therapy (CTT) for primary and secondary stroke prevention. A cross-sectional flow cytometric analysis of the reticulocyte phenotype was also performed. Mean duration of CTT was 3.1 ± 2.6 years. Fifteen subjects with magnetic resonance angiography (MRA) -vasculopathy had significantly higher mean ARC prior to initiating CTT compared to 14 subjects without MRA-vasculopathy (427.6 ± 109.0 K/μl vs. 324.8 ± 109.2 K/μl, p<0.05). No significant differences in hemoglobin or percentage sickle hemoglobin (HbS) were noted between the two groups at baseline. Reticulocyte phenotyping further demonstrated that the percentages of circulating immature [CD36(+), CD71(+)] reticulocytes positively correlated with ARC in both groups. During the first year of CTT, neither group had significant reductions in ARC. Among this group of children with SCA, cerebrovasculopathy on MRA at initiation of CTT was associated with increased reticulocytosis, which was not reduced after 12 months of transfusions. PMID:27116614

  6. Prehepatic secretion and disposal of insulin in obese adolescents as estimated by three-hour, eight-sample oral glucose tolerance tests.

    PubMed

    Vogt, Josef A; Domzig, Christian; Wabitsch, Martin; Denzer, Christian

    2016-07-01

    The body compensates for early-stage insulin resistance by increasing insulin secretion. A reliable and easy-to-use mathematical assessment of insulin secretion and disposal could be a valuable tool for identifying patients at risk for the development of type 2 diabetes. Because the pathophysiology of insulin resistance is incompletely understood, assessing insulin metabolism with minimal assumptions regarding its metabolic regulation is a major challenge. To assess insulin secretion and indexes of insulin disposal, our marginalized and regularized absorption approach (MRA) was applied to a sparse sampling oral glucose tolerance test (OGTT) protocol measuring the insulin and C-peptide concentrations. Identifiability and potential bias of metabolic parameters were estimated from published data with dense sampling. The MRA was applied to OGTT data from 135 obese adolescents to demonstrate its clinical applicability. Individual prehepatic basal and dynamic insulin secretion and clearance levels were determined with a precision and accuracy greater than 10% of the nominal value. The intersubject variability in these parameters was approximately four times higher than the intrasubject variability, and there was a strong negative correlation between prehepatic secretion and plasma clearance of insulin. MRA-based analysis provides reliable estimates of insulin secretion and clearance, thereby enabling detailed glucose homeostasis characterization based on restricted datasets that are obtainable during routine patient care. PMID:27143555

  7. Retro-regression--another important multivariate regression improvement.

    PubMed

    Randić, M

    2001-01-01

    We review the serious problem associated with instabilities of the coefficients of regression equations, referred to as the MRA (multivariate regression analysis) "nightmare of the first kind". This is manifested when in a stepwise regression a descriptor is included or excluded from a regression. The consequence is an unpredictable change of the coefficients of the descriptors that remain in the regression equation. We follow with consideration of an even more serious problem, referred to as the MRA "nightmare of the second kind", arising when optimal descriptors are selected from a large pool of descriptors. This process typically causes at different steps of the stepwise regression a replacement of several previously used descriptors by new ones. We describe a procedure that resolves these difficulties. The approach is illustrated on boiling points of nonanes which are considered (1) by using an ordered connectivity basis; (2) by using an ordering resulting from application of greedy algorithm; and (3) by using an ordering derived from an exhaustive search for optimal descriptors. A novel variant of multiple regression analysis, called retro-regression (RR), is outlined showing how it resolves the ambiguities associated with both "nightmares" of the first and the second kind of MRA. PMID:11410035

  8. Rosmarinic acid improves function and in vitro fertilising ability of boar sperm after cryopreservation.

    PubMed

    Luño, Victoria; Gil, Lydia; Olaciregui, Maite; González, Noelia; Jerez, Rodrigo Alberto; de Blas, Ignacio

    2014-08-01

    During cryopreservation, oxidative stress exerts physical and chemical changes on sperm functionality. In the present study we investigated the antioxidant effect of rosmarinic acid (RA) on quality and fertilising ability of frozen-thawed boar spermatozoa. Ejaculates collected from mature boar were cryopreserved in lactose-egg yolk buffer supplemented with different concentrations of RA (0 μM, 26.25 μM, 52.5 μM and 105 μM). Motion parameters, acrosome and plasma membrane integrity, lipoperoxidation levels, DNA oxidative damage (8-hydroxy-2-deoxyguanosine base lesion) and in vitro fertilisation ability were evaluated. Total and progressive motility were significantly higher in experimental extenders with RA than in the control (P<0.05) at 0 and 120 min post-thawing. The plasma and acrosomal membrane integrity were improved by supplementation with 105 μMRA (P<0.05). Negative correlation between RA and malondialdehyde (MDA) concentration were determined (P<0.05). After thawing, the percentage of spermatozoa with oxidised DNA did not differ between extenders, however, at 120 and 240 min post-thawing, the samples supplemented with 105 μMRA showed the lowest DNA oxidation rate (P<0.05). The penetration rate was significantly higher on spermatozoa cryopreserved with 105 μMRA (P<0.05). The results suggest that RA provides a protection for boar spermatozoa against oxidative stress during cryopreservation by their antioxidant properties. PMID:25019219

  9. [Important of magnetic resonance angiography with gadolinium injection in pulmonary vein diseases].

    PubMed

    Godart, F; Cocheteux, B; Willoteaux, S; Francart, Ch; Brevière, G M; Jaillard, S; Beregi, J P; Rey, Ch

    2002-05-01

    The study of the pulmonary veins by echocardiography is sometimes difficult especially when the ultrasonic window is restricted. Conventional angiography is the classic reference examination but it exposes the patient to ionising radiation and requires the injection of an iodine contrast product. Another technique that can provide the essential information is magnetic resonance angiography (MRA) with injection of gadolinium. It was performed in 9 patients for suspected congenital or acquired anomalies of the pulmonary veins between June 1999 and December 2001. The patient's ages varied from 1 month to 10 years. The examinations were carried out on a 1.5 T Vision machine (Siemens, Erlangen, Germany) without "cardiac gating" or apnoea after parental consent. MRA with gadolinium injection showed 5 drainage anomalies (3 partial pulmonary venous refluxes in the superior vena cava, 2 scimitar syndromes) and 3 stenoses (one due to compression by an aneurysm of the left pulmonary artery, a second secondary to pericardial agenesis, and a third secondary to hypoplasia of an isolated vein). MRA allowed three dimensional visualisation of these anomalies. This is a rapid, non-invasive and certain imaging technique which does not expose the patient to ionising radiation. It is therefore of significance in the investigation of anomalies of the pulmonary veins complementing echocardiography, and could in future replace cardiac catheterisation. PMID:12085741

  10. High Temporal and Spatial Resolution Imaging of Peripheral Vascular Malformations

    PubMed Central

    Mostardi, Petrice M.; Young, Phillip M.; McKusick, Michael A.; Riederer, Stephen J.

    2013-01-01

    Purpose To assess the performance of a recently developed 3D time-resolved CE-MRA technique, Cartesian Acquisition with Projection-Reconstruction-like sampling (CAPR), for accurate characterization and treatment planning of vascular malformations of the periphery. Materials and Methods Twelve patient studies were performed (eight female, four male; average age, 33 years). The protocol consisted of three-dimensional (3D) time-resolved CE-MRA followed by a single late phase T1-weighted acquisition. Vascular malformations were imaged in the forearm, hand, thigh, and foot. Imaging evaluation was performed for accurate characterization of lesion type, identification of feeding and draining vessels, involvement with surrounding tissue, overall quality for diagnosis and treatment planning, and correlation with conventional angiography. Results Time-resolved CE-MRA allowed for characterization of malformation flow and type. Feeding and draining vessels were identified in all cases. Overall quality for diagnosis and treatment planning was 3.58/4.0, and correlation with conventional angiography was scored as 3.89/4.0. Conclusion The CAPR time series has been shown to portray the temporal dynamics and structure of vascular malformations as well as the normal vasculature with high quality. CAPR time-resolved imaging is able to accurately characterize high and low flow lesions, allowing for pretreatment lesion assessment and treatment planning. Delayed imaging is important to capture complete filling of very slow flow vascular malformations. PMID:22674646

  11. Imaging Ferromagnetic Tracers with a Magnetoresistive Sensors Array

    NASA Astrophysics Data System (ADS)

    Leyva, Juan A.; Carneiro, Antonio A. O.; Murta, Luís O.; Baffa, O.

    2006-09-01

    The aim of this work was to study the feasibility to obtain images from a distribution of ferromagnetic tracers using a magnetoresistive multichannel sensor array (MRA). A magnetic imaging system formed by a linear array composed of 12 magnetoresistive sensors (Honeywell HMC 1001) was constructed covering a scanning area of (16×18) cm2. The signal was pre-processed for off-set correction and interpolation to generate a matrix of (256×256). The point spread function of the MRA was evaluated and the sensors were spaced accordingly. The magnetic images were generated by mapping the response of the MRA at short distances from the presence of a magnetite powder dispersed in planar phantoms with different shapes. The phantoms were magnetized by a pulse field of approximately 80 mT produced by a Helmholtz coil. Using the Wiener filtering, the magnetic source images were obtained. We conclude that this biomagnetic method can be successfully used to generate planar functional images of the gastrointestinal tract using magnetic markers in the near field.

  12. Numerically accurate linear response-properties in the configuration-interaction singles (CIS) approximation.

    PubMed

    Kottmann, Jakob S; Höfener, Sebastian; Bischoff, Florian A

    2015-12-21

    In the present work, we report an efficient implementation of configuration interaction singles (CIS) excitation energies and oscillator strengths using the multi-resolution analysis (MRA) framework to address the basis-set convergence of excited state computations. In MRA (ground-state) orbitals, excited states are constructed adaptively guaranteeing an overall precision. Thus not only valence but also, in particular, low-lying Rydberg states can be computed with consistent quality at the basis set limit a priori, or without special treatments, which is demonstrated using a small test set of organic molecules, basis sets, and states. We find that the new implementation of MRA-CIS excitation energy calculations is competitive with conventional LCAO calculations when the basis-set limit of medium-sized molecules is sought, which requires large, diffuse basis sets. This becomes particularly important if accurate calculations of molecular electronic absorption spectra with respect to basis-set incompleteness are required, in which both valence as well as Rydberg excitations can contribute to the molecule's UV/VIS fingerprint. PMID:25913482

  13. Undersampled projection reconstruction applied to MR angiography.

    PubMed

    Peters, D C; Korosec, F R; Grist, T M; Block, W F; Holden, J E; Vigen, K K; Mistretta, C A

    2000-01-01

    Undersampled projection reconstruction (PR) is investigated as an alternative method for MRA (MR angiography). In conventional 3D Fourier transform (FT) MRA, resolution in the phase-encoding direction is proportional to acquisition time. Since the PR resolution in all directions is determined by the readout resolution, independent of the number of projections (Np), high resolution can be generated rapidly. However, artifacts increase for reduced Np. In X-ray CT, undersampling artifacts from bright objects like bone can dominate other tissue. In MRA, where bright, contrast-filled vessels dominate, artifacts are often acceptable and the greater resolution per unit time provided by undersampled PR can be realized. The resolution increase is limited by SNR reduction associated with reduced voxel size. The hybrid 3D sequence acquires fractional echo projections in the k(x)-k(y) plane and phase encodings in k(z). PR resolution and artifact characteristics are demonstrated in a phantom and in contrast-enhanced volunteer studies. PMID:10642735

  14. Follow-up of atheroma burden with sequential whole body contrast enhanced MR angiography: a feasibility study.

    PubMed

    Weir-McCall, Jonathan R; White, Richard D; Ramkumar, Prasad G; Gandy, Stephen J; Khan, Faisel; Belch, Jill J F; Struthers, Allan D; Houston, J Graeme

    2016-05-01

    Assess the feasibility of whole body magnetic resonance angiography (WB-MRA) for monitoring global atheroma burden in a population with peripheral arterial disease (PAD). 50 consecutive patients with symptomatic PAD referred for clinically indicated MRA were recruited. Whole body MRA (WB-MRA) was performed at baseline, 6 months and 3 years. The vasculature was split into 31 anatomical arterial segments. Each segment was scored according to degree of luminal narrowing: 0 = normal, 1 = <50 %, 2 = 50-70 %, 3 = 71-99 %, 4 = vessel occlusion. The score from all assessable segments was summed, and then normalised to the number of assessable vessels. This normalised score was divided by four (the maximum vessel score) and multiplied by 100 to give a final standardised atheroma score (SAS) with a score of 0-100. Progression was assessed with repeat measure ANOVA. 36 patients were scanned at 0 and 6 months, with 26 patients scanned at the 3 years follow up. Only those who completed all three visits were included in the final analysis. Baseline atherosclerotic burden was high with a mean SAS of 15.7 ± 10.3. No significant progression was present at 6 months (mean SAS 16.4 ± 10.5, p = 0.67), however there was significant disease progression at 3 years (mean SAS 17.7 ± 11.5, p = 0.01). Those with atheroma progression at follow-up were less likely to be on statin therapy (79 vs 100 %, p = 0.04), and had significantly higher baseline SAS (17.6 ± 11.2 vs 10.7 ± 5.1, p = 0.043). Follow up of atheroma burden is possible with WB-MRA, which can successfully quantify and monitor atherosclerosis progression at 3 years follow-up. PMID:26809611

  15. Anatomic vs. Acquired Image Frame Discordance in Spectral Domain Optical Coherence Tomography Minimum Rim Measurements

    PubMed Central

    Yang, Hongli; Hardin, Christy; Reyes, Luke; Reynaud, Juan; Gardiner, Stuart K.; Fortune, Brad; Demirel, Shaban; Burgoyne, Claude F.

    2014-01-01

    Purpose To quantify the effects of using the fovea to Bruch's membrane opening (FoBMO) axis as the nasal-temporal midline for 30° sectoral (clock-hour) spectral domain optical coherence tomography (SDOCT) optic nerve head (ONH) minimum rim width (MRW) and area (MRA) calculations. Methods The internal limiting membrane and BMO were delineated within 24 radial ONH B-scans in 222 eyes of 222 participants with ocular hypertension and glaucoma. For each eye the fovea was marked within the infrared reflectance image, the FoBMO angle (θ) relative to the acquired image frame (AIF) horizontal was calculated, the ONH was divided into 30°sectors using a FoBMO or AIF nasal/temporal axis, and SDOCT MRW and MRA were quantified within each FoBMO vs. AIF sector. For each sector, focal rim loss was calculated as the MRW and MRA gradients (i.e. the difference between the value for that sector and the one clockwise to it divided by 30°). Sectoral FoBMO vs. AIF discordance was calculated as the difference between the FoBMO and AIF values for each sector. Generalized estimating equations were used to predict the eyes and sectors of maximum FoBMO vs. AIF discordance. Results The mean FoBMO angle was −6.6±4.2° (range: −17° to +7°). FoBMO vs. AIF discordance in sectoral mean MRW and MRA was significant for 7 of 12 and 6 of 12 sectors, respectively (p<0.05, Wilcoxon test, Bonferroni correction). Eye-specific, FoBMO vs. AIF sectoral discordance was predicted by sectoral rim gradient (p<0.001) and FoBMO angle (p<0.001) and achieved maximum values of 83% for MRW and 101% for MRA. Conclusions Using the FoBMO axis as the nasal-temporal axis to regionalize the ONH rather than a line parallel to the AIF horizontal axis significantly influences clock-hour SDOCT rim values. This effect is greatest in eyes with large FoBMO angles and sectors with focal rim loss. PMID:24643069

  16. Prospective Screening for Blunt Cerebrovascular Injuries

    PubMed Central

    Miller, Preston R.; Fabian, Timothy C.; Croce, Martin A.; Cagiannos, Catherine; Williams, J. Scott; Vang, Meng; Qaisi, Waleed G.; Felker, Richard E.; Timmons, Shelly D.

    2002-01-01

    Objective To prospectively examine outcomes associated with an aggressive screening protocol for blunt cerebrovascular injury (BCVI), and to compare the accuracy of computed tomographic angiography (CTA) and magnetic resonance angiography (MRA) versus conventional angiography with respect to BCVI diagnosis. Summary Background Data In the past 5 years, BCVI (carotid and vertebral arteries) has been recognized with increasing frequency. Initial studies described blunt carotid injuries and their associated morbidity, while more recent reports have established the devastating potential of blunt vertebral injuries. It has been suggested that early diagnosis and anticoagulation will improve outcomes and that less-invasive diagnostic techniques than conventional angiography are desirable for screening. However, there are neither established screening criteria nor studies comparing optimal diagnostic modalities. Methods The screened population included all patients with cervical spine fractures, LeFort II or III facial fractures, Horner’s syndrome, skull base fractures involving the foramen lacerum, neck soft tissue injury, or neurological abnormalities unexplained by intracranial injuries. Patients underwent screening with four-vessel cerebral angiography. During the first half of the study, patients also underwent helical CTA. Selected patients during this same period underwent MRA. At the time of diagnosis, anticoagulant or antiplatelet therapy was instituted unless clinically contraindicated. Results of this screening protocol were compared to a previously published cohort with cerebrovascular injuries (1995–1999) from the authors’ institution. Results Two hundred sixteen patients were screened over a 2-year period (3.5% of all blunt trauma admissions). Angiography identified 24 patients with carotid artery injuries (CAI) and 43 patients with vertebral artery injuries (VAI) for an overall screening yield of 29%. While the incidence of CAI remained similar between

  17. Experimental Glaucoma Causes Optic Nerve Head Neural Rim Tissue Compression: A Potentially Important Mechanism of Axon Injury

    PubMed Central

    Fortune, Brad; Reynaud, Juan; Hardin, Christy; Wang, Lin; Sigal, Ian A.; Burgoyne, Claude F.

    2016-01-01

    Purpose We tested the hypothesis that experimental glaucoma (EG) results in greater thinning of the optic nerve head (ONH) neural rim tissue than the peripapillary retinal nerve fiber layer (RNFL) tissue. Methods Longitudinal spectral-domain optical coherence tomography (SDOCT) imaging of the ONH and peripapillary RNFL was performed every other week under manometric IOP control (10 mm Hg) in 51 nonhuman primates (NHP) during baseline and after induction of unilateral EG. The ONH parameter minimum rim area (MRA) was derived from 80 radial B-scans centered on the ONH; RNFL cross-sectional area (RNFLA) from a peripapillary circular B-scan with 12° diameter. Results In control eyes, MRA was 1.00 ± 0.19 mm2 at baseline and 1.00 ± 0.19 mm2 at the final session (P = 0.77), while RNFLA was 0.95 ± 0.09 and 0.95 ± 0.10 mm2, respectively (P = 0.96). In EG eyes, MRA decreased from 1.00 ± 0.19 mm2 at baseline to 0.63 ± 0.21 mm2 at the final session (P < 0.0001), while RNFLA decreased from 0.95 ± 0.09 to 0.74 ± 0.19 mm2, respectively (P < 0.0001). Thus, MRA decreased by 36.4 ± 20.6% in EG eyes, significantly more than the decrease in RNFLA (21.7 ± 19.4%, P < 0.0001). Other significant changes in EG eyes included increased Bruch's membrane opening (BMO) nonplanarity (P < 0.05), decreased BMO aspect ratio (P < 0.0001), and decreased MRA angle (P < 0.001). Bruch's membrane opening area did not change from baseline in either control or EG eyes (P = 0.27, P = 0.15, respectively). Conclusions Optic nerve head neural rim tissue thinning exceeded peripapillary RNFL thinning in NHP EG. These results support the hypothesis that axon bundles are compressed transversely within the ONH rim along with glaucomatous deformation of connective tissues. PMID:27564522

  18. Vascular hand-arm vibration syndrome--magnetic resonance angiography.

    PubMed

    Poole, C J M; Cleveland, T J

    2016-01-01

    The diagnosis of vascular hand-arm vibration syndrome (HAVS) requires consistent symptoms, photographic evidence of digital blanching and sufficient exposure to hand-transmitted vibration (HTV; A(8) > 2.5 m/s2). There is no reliable quantitative investigation for distinguishing HAVS from other causes of Raynaud's phenomenon and from normal individuals. Hypothenar and thenar hammer syndromes produce similar symptoms to HAVS but are difficult to diagnose clinically and may be confused with HAVS. Magnetic resonance angiography (MRA) is a safe and minimally invasive method of visualizing blood vessels. Three cases of vascular HAVS are described in which MRA revealed occlusions of the ulnar, radial and superficial palmar arteries. It is proposed that HTV was the cause of these occlusions, rather than blows to the hand unrelated to vibration, the assumed mechanism for the hammer syndromes. All three cases were advised not to expose their hands to HTV despite one of them being at Stockholm vascular stage 2 (early). MRA should be the investigation of choice for stage 2 vascular HAVS or vascular HAVS with unusual features or for a suspected hammer syndrome. The technique is however technically challenging and best done in specialist centres in collaboration with an occupational physician familiar with the examination of HAVS cases. Staging for HAVS should be developed to include anatomical arterial abnormalities as well as symptoms and signs of blanching. Workers with only one artery supplying a hand, or with only one palmar arch, may be at increased risk of progression and therefore should not be exposed to HTV irrespective of their Stockholm stage. PMID:26470947

  19. Enlargement of the middle meningeal artery on MR angiography in chronic subdural hematoma.

    PubMed

    Takizawa, Ken; Sorimachi, Takatoshi; Ishizaka, Hideo; Osada, Takahiro; Srivatanakul, Kittipong; Momose, Hiroaki; Matsumae, Mitsunori

    2016-06-01

    OBJECT The middle meningeal artery (MMA) is suspected to play an important role in the development of chronic subdural hematoma (CSDH). The aim of this study was to clarify whether the MMA was enlarged in patients with CSDHs. METHODS The authors retrospectively assessed 55 patients in whom CSDH was diagnosed between 2010 and 2014 and who underwent MR angiography (MRA) after the onset of CSDH. The authors compared MMA diameters between hemispheres with and without CSDHs on MR angiograms. A case-control study was also performed with 55 sex- and age-matched patients with incidental unruptured aneurysms as controls. RESULTS In 55 patients with CSDHs, the diameters of the 79 MMAs on the CSDH side were significantly larger than the diameters of the 31 MMAs on the non-CSDH side (p < 0.05). In 24 patients with bilateral CSDHs, no significant difference was found between the MMA diameters on the larger hematoma side and those on the smaller hematoma side. In 13 patients who underwent MRA before the onset of the CSDH, the MMAs on MR angiograms acquired after onset of the CSDH were significantly larger than those on MR angiograms acquired before the CSDH onset (p < 0.05). The diameters of the MMAs in 55 patients with CSDHs were significantly larger than those of the MMAs in the 55 control patients (p < 0.05). CONCLUSIONS The MMA is enlarged with development of a CSDH. Information about the MMA observed on MRA in patients with CSDHs may be useful in developing a strategy for future treatment of CSDHs. PMID:26517775

  20. Hyperintense Acute Reperfusion Marker on FLAIR in Posterior Circulation Infarction

    PubMed Central

    Wenz, Holger; Böhme, Johannes; Al-Zghloul, Mansour; Groden, Christoph

    2016-01-01

    Purpose In the present study, we aimed to investigate the frequency of blood brain barrier injury in posterior circulation infarction as demonstrated by the hyperintense acute reperfusion marker (HARM) on fluid attenuated inversion recovery images (FLAIR). Methods From a MRI report database we identified patients with posterior circulation infarction who underwent MRI, including perfusion-weighted images (PWI), within 12 hours after onset and follow-up MRI within 24 hours and analyzed diffusion-weighted images (DWI), PWI, FLAIR, and MR angiography (MRA). On FLAIR images, the presence of HARM was noted by using pre-specified criteria (focal enhancement in the subarachnoid space and/or the ventricles). Results Overall 16 patients (median age of patients 68.5 (IQR 55.5–82.75) years) with posterior circulation infarction were included. Of these, 13 (81.3%) demonstrated PCA occlusion, and 3 (18.7%) patients BA occlusion on MRA. Initial DWI demonstrated ischemic lesions in the thalamus (68.8%), splenium (18.8%), hippocampus (75%), occipital lobe (81.3%), mesencephalon (18.8%), pons (18.8%), and cerebellum (50%). On follow-up MRA recanalization was noted in 10 (62.5%) patients. On follow-up FLAIR images, HARM was observed in 8 (50%) patients. In all of these, HARM was detected remote from the acute ischemic lesion. HARM was more frequently observed in patients with vessel recanalization (p = 0.04), minor infarction growth (p = 0.01), and smaller ischemic lesions on follow-up DWI (p = 0.05). Conclusions HARM is a frequent finding in posterior circulation infarction and associated with vessel recanalization, minor infarction growth as well as smaller infarction volumes in the course. Neuroradiologists should be cognizant of the fact that HARM may be present on short interval follow-up FLAIR images in patients with acute ischemic infarction who initially underwent MRI and received intravenous gadolinium-based contrast agents. PMID:27326459

  1. Development of an automated processing method to detect still timing of cardiac motion for coronary magnetic resonance angiography

    NASA Astrophysics Data System (ADS)

    Asou, Hiroya; Ichikawa, Katsuhiro; Imada, Naoyuki; Masuda, Takanori; Satou, Tomoyasu

    2011-03-01

    Whole-heart coronary magnetic resonance angiography (WH-MRA) is useful noninvasive examination. Its signal acquisition is performed during very short still timing in each cardiac motion cycle, and therefore the adequate still timing selection is important to obtain the better image quality. However, since the current available selection method is only manual one using visual comparison of cine MRI images with different phases, the selected timings are often incorrect and their reproducibility is not sufficient. We developed an automated selection method to detect the best still timing for the WH-MRA and compared the automated method with conventional manual one. Cine MRI images were used for the analysis. In order to extract the high-speed cardiac cine image, each phase directional pixel set at each pixel position in all cine images were processed by a high-pass filtering using the Fourie transform. After this process, the cine images with low speed timing became dark, and the optimal timing could be determined by a threshold processing. We took ten volunteers' WH-MRA with the manually and automatically selected timings, and visually assessed image quality of each image on a 5-point scale (1=excellent, 2=very good, 3=good, 4=fair, 5=poor). The mean scores of the manual and automatic methods for right coronary arteries (RCA), LDA left anterior descending arteries (LAD) and LCX left circumflex arteries (LCX) were 4.2+/-0.38, 4.1+/-0.44, 3.9+/-0.52 and 4.1+/-0.42, 4.1+/-0.24, 3.2+/-0.35 respectively. The score were increased by our method in the RCA and LCX, and the LCX was significant (p<0.05). As the results, it was indicated that our automated method could determine the optimal cardiac phase more accurately than or equally to the conventional manual method.

  2. Review of Source Images is Necessary for the Evaluation of Gadolinium-Enhanced MR Angiography for Renal Artery Stenosis

    SciTech Connect

    Wehrschuetz, M. Aschauer, M.; Portugaller, H.; Stix, A.; Wehrschuetz-Sigl, E.; Hausegger, K.; Ebner, F.

    2004-09-15

    The purpose of this study was to assess interobserver variability and accuracy in the evaluation of renal artery stenosis (RAS) with gadolinium-enhanced MR angiography (MRA) and digital subtraction angiography (DSA) in patients with hypertension. The authors found that source images are more accurate than maximum intensity projection (MIP) for depicting renal artery stenosis. Two independent radiologists reviewed MRA and DSA from 38 patients with hypertension. Studies were postprocessed to display images in MIP and source images. DSA was the standard for comparison in each patient. For each main renal artery, percentage stenosis was estimated for any stenosis detected by the two radiologists. To calculate sensitivity, specificity and accuracy, MRA studies and stenoses were categorized as normal, mild (1-39%), moderate (40-69%) or severe ({>=}70%), or occluded. DSA stenosis estimates of 70% or greater were considered hemodynamically significant. Analysis of variance demonstrated that MIP estimates of stenosis were greater than source image estimates for both readers. Differences in estimates for MIP versus DSA reached significance in one reader. The interobserver variance for MIP, source images and DSA was excellent (0.80< {kappa}{<=} 0.90). The specificity of source images was high (97%) but less for MIP (87%); average accuracy was 92% for MIP and 98% for source images. In this study, source images are significantly more accurate than MIP images in one reader with a similar trend was observed in the second reader. The interobserver variability was excellent. When renal artery stenosis is a consideration, high accuracy can only be obtained when source images are examined.

  3. Artifacts of vena cava filters ex vivo on MR angiography.

    PubMed

    Honda, Minoru; Obuchi, Masao; Sugimoto, Hideharu

    2003-07-01

    We evaluated magnetic susceptibility artifacts of nine types of vena cava filters in MR angiography (MRA) at 1.0T ex vivo in order to assess the filters' compatibility with MRA. Each filter (tulip filter, tulip MReye filter, stainless Greenfield filter, titanium Greenfield filter, TrapEase filter, Simon filter, LGM Vena-Tech filter, Antheor temporary filter, and Bird's nest filter) was inserted into an acrylic tube (20 or 25 mm in diameter, 15 or 30 cm in length). Gd-DTPA was poured into each tube at a concentration of 1/500 and each was placed in a water-filled container for imaging. We evaluated artifacts of the filters according to the following criteria: signal void beyond the tube, 3+; signal void within the tube but at more than one-half the diameter of the tube, 2+; and signal void within the tube but at less than one-half the diameter of the tube, 1+. We evaluated artifacts originating at the tip, intermediate portion, and distal end of the filters. We judged the artifacts as follows: tulip (3+, 3+, 3+); tulip MReye (2+, 1+, 1+); stainless Greenfield (2+, 1+, 2+); titanium Greenfield (1+, 1+, 1+); TrapEase (1+, 2+, 1+); Simon (2+, 2+, 1+); LGM (2+, 2+, 1+); Antheor (2+, 2+, 2+); and Bird's nest (3+, 3+, 3+). The numbers in parentheses refer to the degree of signal void at the tip, intermediate portion, and distal end of the filter, respectively. The tulip filter and Bird's nest filter made of 304 stainless steel caused extensive signal voids beyond the areas defined by the filters. The signal voids in the remaining seven filters were limited to within the tube. We concluded that seven of the nine filters were compatible with MRA ex vivo. PMID:16210823

  4. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

    PubMed Central

    Roy, Jean-Sébastien; Braën, Caroline; Leblond, Jean; Desmeules, François; Dionne, Clermont E; MacDermid, Joy C; Bureau, Nathalie J; Frémont, Pierre

    2015-01-01

    Background Different diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists. Methods A systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies. Results Diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it. Conclusions Our results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option. PMID:25677796

  5. Study Protocol: Asymptomatic Intracranial Atherosclerotic Disease in Pakistanis

    PubMed Central

    Kamal, Ayeesha Kamran; Majeed, Farzin; Pasha, Omrana; Islam, Muhammad; Azam, Iqbal; Ilyas, Muhammad Saleem; Hussain, Munawar; Masood, Kamran; Ahmed, Bilal; Nazir, Sumaira; Sajjad, Zafar; Kasner, Scott E.

    2015-01-01

    Background Intracranial atherosclerotic disease (ICAD) is the most frequent subtype of ischemic stroke globally. It is important to describe the determinants of early ICAD as a strategy to prevent strokes from clinically evident and progressive ICAD. Our objective is to report the determinants of asymptomatic ICAD by linking the presence or absence of ICAD on magnetic resonance angiogram (MRA) with detailed risk assessment in asymptomatic adults. Methods This is an observational cross-sectional analytical study. We plan to recruit 200 adult participants from the radiology departments of two tertiary care centers of Karachi, Pakistan. The participants will first be screened for the absence of stroke symptoms via the Questionnaire for Verifying Stroke Free Status (QVSFS). QVSFS negative will be participants will be eligible. After written informed consent, participants will undergo detailed medical, sociodemographic, lifestyle, and anthropometric evaluation by a detailed interview. They will, in addition, undergo MRA to study the presence, degree, and distribution of asymptomatic ICAD. All MRA scans will be reviewed centrally by vascular neurologists blinded to clinical information. These images would be reviewed on DICOM Viewer 3.0 used for calculating the degree of stenosis using Warfarin–Aspirin Symptomatic Intracranial Disease (WASID) study defined criteria employing electronic calipers. A sample size of 200 will achieve 80% power for detecting a minimum difference of 20% in the prevalence of exposure factors (medical and lifestyle) between asymptomatic ICAD positive and ICAD negative persons. This study will generate regional data on risks for ICAD development and prevention in a high-risk susceptible population. Study ID: NCT02072876 PMID:25825629

  6. Treatment of unstable osteochondritis dissecans in adults with autogenous osteochondral grafts (Mosaicplasty): long-term results

    PubMed Central

    RONGA, MARIO; STISSI, PLACIDO; LA BARBERA, GIUSEPPE; VALOROSO, MARCO; ANGERETTI, GLORIA; GENOVESE, EUGENIO; CHERUBINO, PAOLO

    2015-01-01

    Purpose the unstable osteochondritis dissecans (OCD-type II and III according to the ICRS classification) of the knee largher than > 2.5 cm2 in adults are uncommon lesions and there is no consensus on how to treat them. Medium-term studies have reported good results using autogenous osteochondral plugs (mosaicplasty). The aim of this study is to analyze the long-term results of this technique for the treatment of unstable OCD in a selected group of adult patients. Methods four patients with OCD at either one of the femoral condyles were included in this prospective study. The average age was 21.2 years (range, 18–24 years). The OCD lesions were classified as type II in three patients and type III in one patient and the average size was 3.8 cm2 (range, 2.55–5.1 cm2). The lesions were treated in situ with a variable number of autogenous osteochondral plugs (Ø 4.5 mm2). The Modified Cincinnati, Lysholm II and Tegner scores were used for clinical and functional evaluation. Magnetic resonance arthrography (MRA) was performed before surgery and at 2, 5 and 10 years after surgery. A modified MOCART score was used to evaluate MRA findings. Results the average follow-up duration was ten years and 6 months (range, 10–11 years). No complications occurred. At the final follow-up, all scores (clinical, functional and MOCART) improved. In all but one of the patients MRA showed complete osteochondral repair. Conclusions the fixation of large and unstable OCD lesions with mosaicplasty may be a good option for treating type II or III OCD lesions in adults. The advantages of this technique include stable fixation, promotion of blood supply to the base of the OCD fragment, and grafting of autologous cancellous bone that stimulates healing with preservation of the articular surface. Level of evidence Level IV, therapeutic case series. PMID:26904522

  7. Comparison of the air kerma standards of the IAEA and the BIPM in mammography x-rays

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Burns, D. T.; Czap, L.; Csete, I.; Gomola, I.

    2013-01-01

    The Dosimetry Laboratory of the International Atomic Energy Agency (IAEA), Seibersdorf, Austria, calibrates reference standards in mammography x-ray beams for IAEA/WHO SSDL Network members (more than 80 laboratories worldwide). As a signatory of the Mutual Recognition Arrangement (CIPM MRA), the IAEA laboratory maintains a Quality Management System (QMS) complying with ISO 17025 and requires updated 'supporting evidence' for its dosimetry calibration and measurement capabilities (CMC), first published in Appendix C of the CIPM MRA key comparison database in 2007. For this purpose, an indirect comparison has been made between the air kerma standards of the IAEA and the Bureau International des Poids et Mesures (BIPM) in the mammography x-ray range from 25 kV to 35 kV, using as transfer instruments two thin-window parallel-plate ionization chambers belonging to the IAEA. The IAEA and BIPM standards for mammography x-rays are shown to be in agreement within the standard uncertainty of the comparison of 5.5 parts in 103. This agreement can be used to support the calibration and measurements capabilities of the IAEA listed in Appendix C of the key comparison database. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  8. Development of a Numerical Method for Patient-Specific Cerebral Circulation Using 1D-0D Simulation of the Entire Cardiovascular System with SPECT Data.

    PubMed

    Zhang, Hao; Fujiwara, Naoya; Kobayashi, Masaharu; Yamada, Shigeki; Liang, Fuyou; Takagi, Shu; Oshima, Marie

    2016-08-01

    The detailed flow information in the circle of Willis (CoW) can facilitate a better understanding of disease progression, and provide useful references for disease treatment. We have been developing a one-dimensional-zero-dimensional (1D-0D) simulation method for the entire cardiovascular system to obtain hemodynamics information in the CoW. This paper presents a new method for applying 1D-0D simulation to an individual patient using patient-specific data. The key issue is how to adjust the deviation of physiological parameters, such as peripheral resistance, from literature data when patient-specific geometry is used. In order to overcome this problem, we utilized flow information from single photon emission computed tomography (SPECT) data. A numerical method was developed to optimize physiological parameters by adjusting peripheral cerebral resistance to minimize the difference between the resulting flow rate and the SPECT data in the efferent arteries of the CoW. The method was applied to three cases using different sets of patient-specific data in order to investigate the hemodynamics of the CoW. The resulting flow rates in the afferent arteries were compared to those of the phase-contrast magnetic resonance angiography (PC-MRA) data. Utilization of the SPECT data combined with the PC-MRA data showed a good agreement in flow rates in the afferent arteries of the CoW with those of PC-MRA data for all three cases. The results also demonstrated that application of SPECT data alone could provide the information on the ratios of flow distributions among arteries in the CoW. PMID:26721836

  9. Screening for Unruptured Intracranial Aneurysms in Autosomal Dominant Polycystic Kidney Disease: A Survey of 420 Nephrologists

    PubMed Central

    Flahault, Adrien; Trystram, Denis; Fouchard, Marie; Knebelmann, Bertrand; Nataf, François; Joly, Dominique

    2016-01-01

    Background Despite a high prevalence of intracranial aneurysm (ICA) in autosomal dominant polycystic kidney disease (ADPKD), rupture events are rare. The current recommendations for ICA screening are based on expert opinions and studies with low levels of evidence. Objectives The aim of our study was to describe the attitudes of practicing nephrologists in Europe towards screening for ICA using magnetic resonance angiography (MRA). Methods We conducted a web-based survey among 1315 European French-speaking nephrologists and nephrology residents. An anonymous, electronic questionnaire including 24 independent questions related to ICA screening modalities, indications and participant profiles was sent by email between September and December 2014. Four hundred and twenty nephrologists (mostly from France) participated, including 31 nephrology residents; the response rate was 32%. Results Systematic screening for ICA was advocated by 28% of the nephrologists. A family history of ICA rupture, sudden death, stroke and migraine were consensual indications for screening (> 90% of the panel). In other clinical situations largely not covered by the recommendations (pregnancy, nephrectomy, kidney transplantation, cardiac or hepatic surgery, uncontrolled hypertension, lack of familial ADPKD history, at-risk activity, tobacco use), the attitudes towards screening were highly divergent. ICA screening was influenced by nephrologists experience with ADPKD and by their practice setting. The majority of participants (57%) would not repeat a normal ICA screening. Only a few participants (22%) knew that non-contrast MRA was the reference diagnostic tool for ICA screening, whereas most participants thought that contrast enhancement was necessary to screen for ICA. The results from the nephrology residents were analyzed separately and yielded similar results. Conclusion This practice survey revealed that most nephrologists follow the current recommendations for the initial screening of

  10. Corneal Segmentation Analysis Increases Glaucoma Diagnostic Ability of Optic Nerve Head Examination, Heidelberg Retina Tomograph's Moorfield's Regression Analysis, and Glaucoma Probability Score

    PubMed Central

    Saenz-Frances, F.; Jañez, L.; Berrozpe-Villabona, C.; Borrego-Sanz, L.; Morales-Fernández, L.; Acebal-Montero, A.; Mendez-Hernandez, C. D.; Martinez-de-la-Casa, J. M.; Santos-Bueso, E.; Garcia-Sanchez, J.; Garcia-Feijoo, J.

    2015-01-01

    Purpose. To study whether a corneal thickness segmentation model, consisting in a central circular zone of 1 mm radius centered at the corneal apex (zone I) and five concentric rings of 1 mm width (moving outwards: zones II to VI), could boost the diagnostic accuracy of Heidelberg Retina Tomograph's (HRT's) MRA and GPS. Material and Methods. Cross-sectional study. 121 healthy volunteers and 125 patients with primary open-angle glaucoma. Six binary multivariate logistic regression models were constructed (MOD-A1, MOD-A2, MOD-B1, MOD-B2, MOD-C1, and MOD-C2). The dependent variable was the presence of glaucoma. In MOD-A1, the predictor was the result (presence of glaucoma) of the analysis of the stereophotography of the optic nerve head (ONH). In MOD-B1 and MOD-C1, the predictor was the result of the MRA and GPS, respectively. In MOD-B2 and MOD-C2, the predictors were the same along with corneal variables: central, overall, and zones I to VI thicknesses. This scheme was reproduced for model MOD-A2 (stereophotography along with corneal variables). Models were compared using the area under the receiver operator characteristic curve (AUC). Results. MOD-A1-AUC: 0.771; MOD-A2-AUC: 0.88; MOD-B1-AUC: 0.736; MOD-B2-AUC: 0.845; MOD-C1-AUC: 0.712; MOD-C2-AUC: 0.838. Conclusion. Corneal thickness variables enhance ONH assessment and HRT's MRA and GPS diagnostic capacity. PMID:26180641

  11. Evaluation of Cranial and Cervical Arteries and Brain Tissue in Transient Ischemic Attack Patients with Magnetic Resonance Angiography and Diffusion-Weighted Imaging

    PubMed Central

    Li, Jian-Long; Li, Chang-Shan; Fu, Jun-Hua; Zhang, Ke; Xu, Rui; Xu, Wen-Jian

    2015-01-01

    Background Magnetic resonance angiography (MRA) and diffusion-weighted imaging (DWI) have been widely used in the prediction of ischemic stroke; however, the differences of the 2 methods in detection the artery lesion differences between transient ischemic attack (TIA) and infarction patients have been long neglected. We performed the present study to investigate the differences between vessel characteristics detected by MRA and DWI in acute stroke and TIA patients. Material/Methods We classified 110 subjects into 2 groups and all the patients underwent both MRA and DWI. The degree of stenosis of cranial and cervical arteries, the distribution of the stenosis, the development and changes of the vessels, and the DWI scanning results of the brain tissue were all analyzed. Results We detected a significant difference in the number and the degree of stenosis of cranial and cervical arteries among the 3 groups (P=0.006). Compared with health controls, patients with TIA and cerebral infraction had much more severe stenosis and occlusive arteries (P<0.05). However, no significant difference was detected between TIA and cerebral infraction patients (P=0.148). Moreover, a higher rate of unilateral vertebral artery dysplasia was found in the vertebrobasilar TIA patients. Higher lesion signals were also observed by DWI in TIA patients of internal carotid artery system (4/8, 50%). Conclusions Vessel characteristics were not significantly different between TIA and infarction patients. Unilateral vertebral artery hypoplasia was a predisposing factor for vertebrobasilar TIA and ischemic focus in DWI detection was always caused by severe artery lesions. PMID:26073092

  12. Report on the EURAMET key comparison EURAMET.AUV.V-K3

    NASA Astrophysics Data System (ADS)

    Bartoli, C.; Prasil, M.; Andersson, H.; Hof, C.; Schiavi, A.; Kolasa, J.; Medina, N.; Bruns, T.; Gazioch, S.; Licht, T. R.; Hamalainen, J.

    2015-01-01

    This report presents the result of the first EURAMET comparison in the area of 'low frequency vibration', in this case implying sinusoidal acceleration between DC and 200 Hz Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  13. A Scale-Adaptive Approach for Spatially-Varying Urban Morphology Characterization in Boundary Layer Parametrization Using Multi-Resolution Analysis

    NASA Astrophysics Data System (ADS)

    Mouzourides, P.; Kyprianou, A.; Neophytou, M. K.-A.

    2013-12-01

    Urban morphology characterization is crucial for the parametrization of boundary-layer development over urban areas. One complexity in such a characterization is the three-dimensional variation of the urban canopies and textures, which are customarily reduced to and represented by one-dimensional varying parametrization such as the aerodynamic roughness length and zero-plane displacement . The scope of the paper is to provide novel means for a scale-adaptive spatially-varying parametrization of the boundary layer by addressing this 3-D variation. Specifically, the 3-D variation of urban geometries often poses questions in the multi-scale modelling of air pollution dispersion and other climate or weather-related modelling applications that have not been addressed yet, such as: (a) how we represent urban attributes (parameters) appropriately for the multi-scale nature and multi-resolution basis of weather numerical models, (b) how we quantify the uniqueness of an urban database in the context of modelling urban effects in large-scale weather numerical models, and (c) how we derive the impact and influence of a particular building in pre-specified sub-domain areas of the urban database. We illustrate how multi-resolution analysis (MRA) addresses and answers the afore-mentioned questions by taking as an example the Central Business District of Oklahoma City. The selection of MRA is motivated by its capacity for multi-scale sampling; in the MRA the "urban" signal depicting a city is decomposed into an approximation, a representation at a higher scale, and a detail, the part removed at lower scales to yield the approximation. Different levels of approximations were deduced for the building height and planar packing density . A spatially-varying characterization with a scale-adaptive capacity is obtained for the boundary-layer parameters (aerodynamic roughness length and zero-plane displacement ) using the MRA-deduced results for the building height and the planar packing

  14. Single-row vs. double-row arthroscopic rotator cuff repair: clinical and 3 Tesla MR arthrography results

    PubMed Central

    2013-01-01

    Background Arthroscopic rotator cuff repair has become popular in the last few years because it avoids large skin incisions and deltoid detachment and dysfunction. Earlier arthroscopic single-row (SR) repair methods achieved only partial restoration of the original footprint of the tendons of the rotator cuff, while double-row (DR) repair methods presented many biomechanical advantages and higher rates of tendon-to-bone healing. However, DR repair failed to demonstrate better clinical results than SR repair in clinical trials. MR imaging at 3 Tesla, especially with intra-articular contrast medium (MRA), showed a better diagnostic performance than 1.5 Tesla in the musculoskeletal setting. The objective of this study was to retrospectively evaluate the clinical and 3 Tesla MRA results in two groups of patients operated on for a medium-sized full-thickness rotator cuff tear with two different techniques. Methods The first group consisted of 20 patients operated on with the SR technique; the second group consisted of 20 patients operated on with the DR technique. All patients were evaluated at a minimum of 3 years after surgery. The primary end point was the re-tear rate at 3 Tesla MRA. The secondary end points were the Constant-Murley Scale (CMS), the Simple Shoulder Test (SST) scores, surgical time and implant expense. Results The mean follow-up was 40 months in the SR group and 38.9 months in the DR group. The mean postoperative CMS was 70 in the SR group and 68 in the DR group. The mean SST score was 9.4 in the SR group and 10.1 in the DR group. The re-tear rate was 60% in the SR group and 25% in the DR group. Leakage of the contrast medium was observed in all patients. Conclusions To the best of our knowledge, this is the first report on 3 Tesla MRA in the evaluation of two different techniques of rotator cuff repair. DR repair resulted in a statistically significant lower re-tear rate, with longer surgical time and higher implant expense, despite no

  15. Persistent Trigeminal Artery Variant: MR Angiographic Demonstration. A Report of Two Cases.

    PubMed

    Soens, J; Vrabec, M; Demaerel, P; Wilms, G

    2010-12-01

    A variant (PTAV) is the persistence after birth of the fetal carotid-basilar anastomosis between the internal carotid artery and a cerebellar artery. We describe two cases of a PTAV demonstrated on MR angiography. A comparison with a persistant trigeminal artery is made and an explanation of the extended Saltzman classification is given. These variants have only little clinical significance, but their recognition is crucial before surgical or interventional procedures or to understand paradoxical cerebellar lesions. MRA appears inferior to selective angiography in diagnosing these variants. PMID:24148723

  16. Complete oculomotor palsy caused by persistent trigeminal artery.

    PubMed

    Bosco, Domenico; Consoli, Domenico; Lanza, Pier Luigi; Plastino, Massimiliano; Nicoletti, Francesco; Ceccotti, Claudio

    2010-10-01

    Primitive trigeminal artery (PTA) is the most frequent embryonic communication between the carotid and vertebro-basilar system. PTA is a pathophysiology phenomenon which has been implicated as a rare cause of cranial nerve dysfunction. We report the case of a 40-year-old woman who developed a complete oculomotor nerve palsy caused by a persistent ecstatic trigeminal artery. Brain MRI and MRA studies documented a neurovascular conflict between the oculomotor nerve and a PTA. To the best of our knowledge there is no report about complete third cranial nerve palsy NC due to a PTA. A role of this rare vascular condition is discussed. PMID:20552240

  17. Clinical and Radiological Evaluation after Arthroscopic Rotator Cuff Repair Using Suture Bridge Technique

    PubMed Central

    Lee, Kwang Won; Bae, Kyoung Wan; Choy, Won Sik

    2013-01-01

    Background We retrospectively assessed the clinical outcomes and investigated risk factors influencing retear after arthroscopic suture bridge repair technique for rotator cuff tear through clinical assessment and magnetic resonance arthrography (MRA). Methods Between January 2008 and April 2011, sixty-two cases of full-thickness rotator cuff tear were treated with arthroscopic suture bridge repair technique and follow-up MRA were performed. The mean age was 56.1 years, and mean follow-up period was 27.4 months. Clinical and functional outcomes were assessed using range of motion, Korean shoulder score, Constant score, and UCLA score. Radiological outcome was evaluated with preoperative and follow-up MRA. Potential predictive factors that influenced cuff retear, such as age, gender, geometric patterns of tear, size of cuff tear, acromioplasty, fatty degeneration, atrophy of cuff muscle, retraction of supraspinatus, involved muscles of cuff and osteolysis around the suture anchor were evaluated. Results Thirty cases (48.4%) revealed retear on MRA. In univariable analysis, retear was significantly more frequent in over 60 years age group (62.5%) than under 60 years age group (39.5%; p = 0.043), and also in medium to large-sized tear than small-sized tear (p = 0.003). There was significant difference in geometric pattern of tear (p = 0.015). In multivariable analysis, only age (p = 0.036) and size of tear (p = 0.030) revealed a significant difference. The mean active range of motion for forward flexion, abduction, external rotation at the side and internal rotation at the side were significantly improved at follow-up (p < 0.05). The mean Korean shoulder score, Constant score, and UCLA score increased significantly at follow-up (p < 0.01). The range of motion, Korean shoulder score, Constant score, and UCLA score did not differ significantly between the groups with retear and intact repairs (p > 0.05). The locations of retear were insertion site in 10 cases (33.3%) and

  18. Final report. SIM comparison in mass standards SIM.M.M-K4

    NASA Astrophysics Data System (ADS)

    Becerra, L. O.; Peña, L. M.; Luján, L.; Díaz, J. C.; Centeno, L. M.; Loayza, V.; Cacais, F.; Olman, Ramos; Rodriguez, S.; Garcia, Fe; Garcia, Fr; Leyton, F.; Santo, C.; Caceres, J.; Kornblit, F.; Leiblich, J.; Jacques, C.

    2016-01-01

    This report summarizes the results of a SIM comparison of a 1 kg mass standard carried out by 7 NMIs. The results reported by the participants are consistent with each other and they can be linked to the comparison CCM.M-K4 with satisfactory degrees of equivalence. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. Applications of minimum redundancy arrays in adaptive beamforming

    NASA Astrophysics Data System (ADS)

    Fattouche, M.; Nichols, S. T.; Jorgenson, M. B.

    1991-10-01

    It is shown, through analysis and simulation, that the use of a minimum redundancy array (MRA) in conjunction with an adaptive beamformer results in performance superior to that attained by a comparable system based on an array with uniformly spaced elements, or uniform array (UA) in terms of rejecting interferences located in close angular proximity to the look direction. Further, it is demonstrated that choosing the adaptive elements of a thinned adaptive array (TAA) based on a minimum spatial redundancy criterion, rather than spacing them uniformly, results in improved rejection of main lobe interferences, with negligible degradation in sidelobe interference rejection capabilities.

  20. Remotely Controlled Mandibular Protrusion during Sleep Predicts Therapeutic Success with Oral Appliances in Patients with Obstructive Sleep Apnea

    PubMed Central

    Remmers, John; Charkhandeh, Shouresh; Grosse, Joshua; Topor, Zbigniew; Brant, Rollin; Santosham, Peter; Bruehlmann, Sabina

    2013-01-01

    Study Objectives: The present study addresses the need for a validated tool that prospectively identifies favorable candidates for oral appliance therapy in treatment of obstructive sleep apnea. The objective of the study was to evaluate the ability of a mandibular titration study, performed with a remotely controlled mandibular positioner (RCMP), to predict treatment outcome with a mandibular repositioning appliance (MRA) and to predict an effective target protrusive position (ETPP). Design: A prospective, blinded, outcome study. Setting: Standard clinical care with tests performed in the polysomnographic laboratory. Participants: Consecutive patients (n = 67) recruited from a sleep center or a dental practice using broad inclusion criteria (age 21-80 years; AHI > 10/h; BMI < 40 kg/m2). Interventions: Therapeutic outcome with a mandibular protruding oral appliance was predicted following a mandibular protrusive titration study in the polysomnographic laboratory using a remotely controlled positioner and prospectively established predictive rules. An ETPP was also prospectively determined for participants predicted to be therapeutically successful with MRA therapy. All participants were blindly treated with a MRA, at either the predicted ETPP or a sham position, and therapeutic outcome was compared against prediction. Measurements and Results: At the final protrusive position, standard predictive parameters (sensitivity, specificity, positive and negative predictive values) showed statistically significant predictive accuracy (P < 0.05) in the range of 83% to 94%. The predicted ETPP provided an efficacious protrusive position in 87% of participants predicted to be therapeutically successful with MRA therapy (P < 0.05). Conclusions: Using prospectively established rules for interpreting the polysomnographic data, the mandibular titration study predicted mandibular repositioning appliance therapeutic outcome with significant accuracy, particularly with regard to

  1. International Comparisions Database

    National Institute of Standards and Technology Data Gateway

    International Comparisions Database (Web, free access)   The International Comparisons Database (ICDB) serves the U.S. and the Inter-American System of Metrology (SIM) with information based on Appendices B (International Comparisons), C (Calibration and Measurement Capabilities) and D (List of Participating Countries) of the Comit� International des Poids et Mesures (CIPM) Mutual Recognition Arrangement (MRA). The official source of the data is The BIPM key comparison database. The ICDB provides access to results of comparisons of measurements and standards organized by the consultative committees of the CIPM and the Regional Metrology Organizations.

  2. Comparison APMP.QM-S2.1: oxygen in nitrogen at atmospheric level

    NASA Astrophysics Data System (ADS)

    Kim, B. M.; Kim, K.; Jung, J.; Oh, S.; Hui, L.; Li, H.; Keat, T. B.; Ann, C. H.

    2016-01-01

    This document describes results of the bilateral comparison of an oxygen in nitrogen gas mixture. The nominal amount-of-substance fraction was 0.2 mol/mol oxygen in nitrogen Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  3. Segmental neurofibromatosis type 1 (NF1) associated with Cobb syndrome: case report.

    PubMed

    Pascual-Castroviejo, I; Pascual-Pascual, S-I; Viaño, J

    2008-12-01

    We present a 3-month-old girl who showed segmental NF1 and Cobb syndrome. She has a cutaneous vascular malformation located on the middle T (4)-T (6) region superimposed on a giant cutaneous café-au-lait spot. Magnetic resonance arteriography (MRA) revealed bilateral renal artery stenosis, extensive hypertrophy of the spinal epidural venous plexus, coarctation and tubular hypoplasia of the aortic arch and proximal portion of descending aorta. To the best of our knowledge the association of both neurocutaneous disorders has not being previously described. PMID:19568998

  4. Transboundary study of the Milk River aquifer (Canada, USA): geological, conceptual and numerical models for the sound management of the regional groundwater resources

    NASA Astrophysics Data System (ADS)

    Pétré, Marie-Amélie; Rivera, Alfonso; Lefebvre, René

    2016-04-01

    The Milk River transboundary aquifer straddles southern Alberta (Canada) and northern Montana (United States), a semi-arid and water-short region. The extensive use of this regional sandstone aquifer over the 20th century has led to a major drop in water levels locally, and concerns about the durability of the resources have been raised since the mid-1950. Even though the Milk River Aquifer (MRA) has been studied for decades, most of the previous studies were limited by the international border, preventing a sound understanding of the aquifer dynamics. Yet, a complete portrait of the aquifer is required for proper management of this shared resource. The transboundary study of the MRA aims to overcome transboundary limitations by providing a comprehensive characterization of the groundwater resource at the aquifer scale, following a three-stage approach: 1) The development of a 3D unified geological model of the MRA (50,000 km2). The stratigraphic framework on both sides of the border was harmonized and various sources of geological data were unified to build the transboundary geological model. The delineation of the aquifer and the geometry and thicknesses of the geological units were defined continuously across the border. 2) Elaboration of a conceptual hydrogeological model by linking hydrogeological and geochemical data with the 3D unified geological model. This stage is based on a thorough literature review and focused complementary field work on both sides of the border. The conceptual model includes the determination of the groundwater flow pattern, the spatial distribution of hydraulic properties, a groundwater budget and the definition of the groundwater types. Isotopes (3H, 14C, 36Cl) were used to delineate the recharge area as well as the active and low-flow areas. 3) The building of a 3D numerical groundwater flow model of the MRA (26,000 km2). This model is a transposition of the geological and hydrogeological conceptual models. A pre

  5. Chemical Logic and Enzymatic Machinery for Biological Assembly of Peptidyl Nucleoside Antibiotics

    PubMed Central

    Walsh, Christopher T.; Zhang, Wenjun

    2011-01-01

    Peptidyl nucleoside antibiotics are a group of natural products targeting MraY, a bacterial translocase involved in the lipid-linked cycle in peptidoglycan biosynthesis. In this Perspective, we explore how Nature builds complex peptidyl nucleoside antibiotics scaffolds from simple nucleoside and amino acid building blocks. We discuss the current stage of research on biosynthetic pathways for peptidyl nucleoside antibiotics, primarily focusing on chemical logic and enzymatic machinery for uridine transformation and coupling to peptides. We further survey the nonribosomal biosynthetic paradigm for a subgroup of uridyl peptide antibiotics represented by pacidamycins, concluded by diversification opportunities for antibiotic optimization. PMID:21851099

  6. Muraymycin nucleoside-peptide antibiotics: uridine-derived natural products as lead structures for the development of novel antibacterial agents

    PubMed Central

    Wirth, Marius; Niro, Giuliana; Leyerer, Kristin

    2016-01-01

    Summary Muraymycins are a promising class of antimicrobial natural products. These uridine-derived nucleoside-peptide antibiotics inhibit the bacterial membrane protein translocase I (MraY), a key enzyme in the intracellular part of peptidoglycan biosynthesis. This review describes the structures of naturally occurring muraymycins, their mode of action, synthetic access to muraymycins and their analogues, some structure–activity relationship (SAR) studies and first insights into muraymycin biosynthesis. It therefore provides an overview on the current state of research, as well as an outlook on possible future developments in this field. PMID:27340469

  7. Key comparison on pH of an unknown phosphate buffer

    NASA Astrophysics Data System (ADS)

    Bastkowski, F.; Spitzer, P.; Sander, B.; Máriássy, M.; Dimitrova, L.; Reyes, A.; Rodríguez, A.; Manzano, V. Lara; Vospelova, A.; Jakobsen, P. T.; Pawlina, M.; Korol, M.; Kozlowski, W.; Delgado, M.; Ticona Canaza, G.; Dias, J. C.; Gonzaga, F. B.; Nagyné Szilágyi, Z.; Jakusovszky, B.; Nongluck, T.; Waters, J.; Pratt, K. W.; Asakai, T.; Maksimov, I.; Hankova, Z.; Uysal, E.; Gavrilkin, V.; Prokunin, S. V.; Ferreira, E.; Fajardo, S.

    2016-01-01

    Results of CCQM-K99 key comparison on unknown phosphate buffer pH ~ 7.5 at 5 °C, 15 °C, 25 °C, 37 °C and 50 °C are reported. Good agreement is found between the majority of participants. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  8. Substantial Reduction of Parenchymal Cerebral Blood Flow in Mice with Bilateral Common Carotid Artery Stenosis.

    PubMed

    Hattori, Yorito; Enmi, Jun-Ichiro; Iguchi, Satoshi; Saito, Satoshi; Yamamoto, Yumi; Nagatsuka, Kazuyuki; Iida, Hidehiro; Ihara, Masafumi

    2016-01-01

    The bilateral common carotid artery stenosis (BCAS) mouse model, which replicates chronic cerebral hypoperfusion and white matter ischemic lesions, is considered to model some aspects of vascular cognitive impairment. Cerebral blood flow (CBF) changes in the brain surface post-BCAS have been demonstrated by laser speckle flowmetry, but CBF levels in the brain parenchyma remain unknown. Adult C57BL/6J male mice were subjected to BCAS using external microcoils. Brain magnetic resonance angiography (MRA) was conducted to visualize the intracranial main arteries while arterial spin labeling (ASL) was used to measure cortical and subcortical parenchymal CBF levels before and after BCAS. Brain MRA showed anterior circulation flow was substantially decreased until 14 days post-BCAS, which gradually but incompletely recovered over the following 14 days, with probable growth of collaterals from the posterior cerebral artery. ASL showed that cortical and subcortical parenchymal CBF remained decreased at approximately 50% of the baseline level during 1 and 14 days post-BCAS, recovering to approximately 70% at day 28. CBF levels in the parenchyma were lower than the cortical superficial region in the BCAS model and remained decreased without recovery during the first 2 weeks post-BCAS. These results suggest that the BCAS model reliably replicates chronic cerebral hypoperfusion. PMID:27535801

  9. Color attributes and oxidative stability of longissimus lumborum and psoas major muscles from Nellore bulls.

    PubMed

    Canto, Anna C V C S; Costa-Lima, Bruno R C; Suman, Surendranath P; Monteiro, Maria Lucia G; Viana, Fernanda M; Salim, Ana Paula A A; Nair, Mahesh N; Silva, Teofilo J P; Conte-Junior, Carlos A

    2016-11-01

    The influence of muscle source on color stability of fresh beef from purebred Bos indicus cattle was investigated. Longissimus lumborum (LL) and psoas major (PM) muscles obtained from twelve (n=12) Nellore bull carcasses (24h post-mortem) were fabricated into 2.54-cm steaks, aerobically packaged, and stored at 4°C for nine days. Steaks were analyzed on day 0 for proximate composition and myoglobin concentration, whereas pH, instrumental color, metmyoglobin reducing activity (MRA), lipid oxidation, and protein oxidation were evaluated on days 0, 3, 6, and 9. LL steaks exhibited greater (P<0.05) redness, color stability, and MRA than PM counterparts. On the other hand, PM steaks demonstrated greater (P<0.05) myoglobin content, lipid oxidation, and protein oxidation than LL steaks. These results indicated the critical influence of muscle source on discoloration of fresh beef from Bos indicus animals and suggested the necessity to engineer muscle-specific strategies to improve color stability and marketability of beef from Bos indicus cattle. PMID:27236337

  10. Dynamic changes in blood flow of a bypassed superficial temporal artery with unstable internal carotid artery stenosis

    PubMed Central

    Ishida, Atsushi; Matsuo, Seigo; Asakuno, Keizoh; Yoshimoto, Haruko; Shiramizu, Hideki; Niimura, Kaku; Hori, Tomokatsu

    2012-01-01

    Background: There are limited indications for superficial temporal artery to middle cerebral artery (STA–MCA) bypass in the treatment of cerebral atherosclerotic disease. However, recent reports emphasize that STA–MCA bypass may be beneficial for select patients. In this report, we describe a case in which a flow-dependent STA–MCA bypass was achieved in a patient with unstable internal carotid artery (ICA) stenosis. Case Description: A 51-year-old woman presented with left ICA occlusion. A severely elongated mean transit time (MTT) indicated misery perfusion. STA–MCA bypass was performed immediately and blood flow through the graft appeared excellent on magnetic resonance angiography (MRA). Two weeks later, MRA revealed normal anterograde ICA blood flow and the bypass graft was not visible. Three years later, the left ICA stenosis again became severe and the patient developed contralateral hemiparesis. She underwent endovascular surgery and the ipsilateral MCA became occluded during the procedure. The STA–MCA bypass graft appeared immediately after the MCA occlusion and became a major provider of blood flow to the ipsilateral MCA area. She recovered with almost no deficit. Conclusion: This is a rare case which shows that dynamic flow changes through an STA–MCA bypass can occur with variable ICA blood flow. STA–MCA bypass can be beneficial for the treatment of unstable ICA stenosis. PMID:22439111

  11. Final report on RMO comparison SIM.EM-S10: High value resistance comparison with two-terminal cryogenic current comparators

    NASA Astrophysics Data System (ADS)

    Bierzychudek, Marcos E.; Elmquist, Randolph; Hernández, Felipe

    2014-01-01

    This work presents a supplementary comparison of high value resistance standards performed during 2012 and January 2013, following the guidelines presented in a document about measurement comparisons in the CIPM MRA. The purpose of this task was to compare the high resistance cryogenic current comparator scaling of the participating institutes: National Institute of Standards and Technology, USA (NIST), Centro Nacional de Metrología, Mexico (CENAM) and Instituto Nacional de Tecnología Industrial, Argentina (INTI), all of which are members of the Sistema Interamericano de Metrología (SIM) Regional Metrology Organization. All the measurements of this comparison were performed with two-terminal cryogenic current comparators (CCC). Degrees of equivalence of the participating institutes relative to the comparison reference values are given in the report for the measured resistance values. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by SIM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  12. Comparison of blood velocity measurements between ultrasound Doppler and accelerated phase-contrast MR angiography in small arteries with disturbed flow

    NASA Astrophysics Data System (ADS)

    Jiang, Jingfeng; Strother, Charles; Johnson, Kevin; Baker, Sara; Consigny, Dan; Wieben, Oliver; Zagzebski, James

    2011-03-01

    Ultrasound Doppler (UD) velocity measurements are commonly used to quantify blood flow velocities in vivo. The aim of our work was to investigate the accuracy of in vivo spectral Doppler measurements of velocity waveforms. Waveforms were derived from spectral Doppler signals and corrected for intrinsic spectral broadening errors by applying a previously published algorithm. The method was tested in a canine aneurysm model by determining velocities in small arteries (3-4 mm diameter) near the aneurysm where there was moderately disturbed flow. Doppler results were compared to velocity measurements in the same arteries acquired with a rapid volumetric phase contrast MR angiography technique named phase contrast vastly undersampled isotropic projection reconstruction magnetic resonance angiography (PC-VIPR MRA). After correcting for intrinsic spectral broadening, there was a high degree of correlation between velocities obtained by the real-time UD and the accelerated PC-MRA technique. The peak systolic velocity yielded a linear correlation coefficient of r = 0.83, end diastolic velocity resulted in r = 0.81, and temporally averaged mean velocity resulted in r = 0.76. The overall velocity waveforms obtained by the two techniques were also highly correlated (r = 0.89 ± 0.06). There were, however, only weak correlations for the pulsatility index (PI: 0.25) and resistive index (RI: 0.14) derived from the two techniques. Results demonstrate that to avoid overestimations of peak systolic velocities, the results for UD must be carefully corrected to compensate for errors caused by intrinsic spectral broadening.

  13. Statistical methods for analysis of coordination of chest wall motion using optical reflectance imaging of multiple markers

    NASA Astrophysics Data System (ADS)

    Kenyon, C. M.; Ghezzo, R. H.; Cala, S. J.; Ferrigno, Giancarlo; Pedotti, Antonio; Macklem, P. T.; Rochester, D. F.

    1994-07-01

    To analyze coordination of chest wall motion we have used principle component analysis (PCA) and multiple regression analysis (MRA) with respect to spirometry on the displacements of 93 optical reflective markers placed upon the chest wall (CW). Each marker is tracked at 10 Hz with an accuracy of 0.2 mm in each spatial dimension using the ELITE system (IEEE Trans. Biomed. Eng. 11:943-949, 1985). PCA enables the degree of linear coordination between all of the markers to be assessed using the eigenvectors and eigenvalues of the covariance of the matrix of marker displacements in each dimension against time. Thus the number of linear degrees of freedom (DOF) which contribute more than a particular amount to the total variance can be determined and analyzed. MRA with respect to spirometrically measured lung volume changes enables identification of the CW points whose movement correlates best with lung volume. We have used this analysis to compare a quiet breathing sequence with one where tidal volume was increased fourfold involuntarily and show that the number of DOF with eigenvalues accounting for >5% of the covariance increased from 2 to 3. Also the point whose movement correlated best with lung volume changed from halfway down the lower costal margin to a more lateral point at the level of the bottom of the sternum. This quantification of CW coordination may be useful in analysis and staging of many respiratory disorders and is applicable to any nonrigid body motion where points can be tracked.

  14. Persistent Trigeminal Artery Variant Detected by Conventional Angiography and Magnetic Resonance Angiography-Incidence and Clinical Significance-

    PubMed Central

    Rhee, Sun Joo; Lee, Chae Heuck; Lee, Ghi Jai

    2007-01-01

    Objective Persistent trigeminal artery variant (PTAV) is an anastomosis between the internal carotid artery (ICA) and the cerebellar artery without any interposing basilar artery segment. We discuss its probable embryological origin and emphasize clinical implications. Methods Retrospectively 1250 conventional cerebral angiograms and 2947 cranial magnetic resonance angiographies (MRAs) were evaluated for the patients with PTAV. Results Five patients (four men and one woman, 23 to 76 years of age, median age 65 years) had a PTAV. Three patients who underwent MRA had a PTAV (3/2947=0.1%). Four of the patients who underwent cerebral angiography had a PTAV (4/1250=0.32%). Two of 143 patients who underwent both conventional angiography and cranial MRA showed PTAV. The PTAV was an incidental finding in all five patients. The PTAV originated from the cavernous segment of the left ICA in four patients and from the cavernous segment of the right ICA in one patient. The terminal branch of the PTAV was the anterior inferior cerebellar artery (AICA) and superior cerebellar artery (SCA) in two patients and the AICA only in the other three patients. Conclusion Neurosurgeons should be aware of possible presence of PTAV. Manipulation of this vessel during a surgical approach to the parasellar region and percutaneous gasserian ganglion procedure may result in hemorrhage or ischemia. PMID:19096587

  15. Automated pericardial fat quantification from coronary magnetic resonance angiography: feasibility study.

    PubMed

    Ding, Xiaowei; Pang, Jianing; Ren, Zhou; Diaz-Zamudio, Mariana; Jiang, Chenfanfu; Fan, Zhaoyang; Berman, Daniel S; Li, Debiao; Terzopoulos, Demetri; Slomka, Piotr J; Dey, Damini

    2016-01-01

    Pericardial fat volume (PFV) is emerging as an important parameter for cardiovascular risk stratification. We propose a hybrid approach for automated PFV quantification from water/fat-resolved whole-heart noncontrast coronary magnetic resonance angiography (MRA). Ten coronary MRA datasets were acquired. Image reconstruction and phase-based water-fat separation were conducted offline. Our proposed algorithm first roughly segments the heart region on the original image using a simplified atlas-based segmentation with four cases in the atlas. To get exact boundaries of pericardial fat, a three-dimensional graph-based segmentation is used to generate fat and nonfat components on the fat-only image. The algorithm then selects the components that represent pericardial fat. We validated the quantification results on the remaining six subjects and compared them with manual quantifications by an expert reader. The PFV quantified by our algorithm was [Formula: see text], compared to [Formula: see text] by the expert reader, which were not significantly different ([Formula: see text]) and showed excellent correlation ([Formula: see text],[Formula: see text]). The mean absolute difference in PFV between the algorithm and the expert reader was [Formula: see text]. The mean value of the paired differences was [Formula: see text] (95% confidence interval: [Formula: see text] to 6.21). The mean Dice coefficient of pericardial fat voxels was [Formula: see text]. Our approach may potentially be applied in a clinical setting, allowing for accurate magnetic resonance imaging (MRI)-based PFV quantification without tedious manual tracing. PMID:26958578

  16. HSCT Sector Combustor Evaluations for Demonstration Engine

    NASA Technical Reports Server (NTRS)

    Greenfield, Stuart; Heberling, Paul; Kastl, John; Matulaitis, John; Huff, Cynthia

    2004-01-01

    In LET Task 10, critical development issues of the HSCT lean-burn low emissions combustor were addressed with a range of engineering tools. Laser diagnostics and CFD analysis were applied to develop a clearer understanding of the fuel-air premixing process and premixed combustion. Subcomponent tests evaluated the emissions and operability performance of the fuel-air premixers. Sector combustor tests evaluated the performance of the integrated combustor system. A 3-cup sector was designed and procured for laser diagnostics studies at NASA Glenn. The results of these efforts supported the earlier selection of the Cyclone Swirler as the pilot stage premixer and the IMFH (Integrated Mixer Flame Holder) tube as the main stage premixer of the LPP combustor. In the combustor system preliminary design subtask, initial efforts to transform the sector combustor design into a practical subscale engine combustor met with significant challenges. Concerns about the durability of a stepped combustor dome and the need for a removable fuel injection system resulted in the invention and refinement of the MRA (Multistage Radial Axial) combustor system in 1994. The MRA combustor was selected for the HSR Phase II LPP subscale combustor testing in the CPC Program.

  17. Optimization of Regularization Parameters in Compressed Sensing of Magnetic Resonance Angiography: Can Statistical Image Metrics Mimic Radiologists' Perception?

    PubMed Central

    Akasaka, Thai; Fujimoto, Koji; Yamamoto, Takayuki; Okada, Tomohisa; Fushumi, Yasutaka; Yamamoto, Akira; Tanaka, Toshiyuki; Togashi, Kaori

    2016-01-01

    In Compressed Sensing (CS) of MRI, optimization of the regularization parameters is not a trivial task. We aimed to establish a method that could determine the optimal weights for regularization parameters in CS of time-of-flight MR angiography (TOF-MRA) by comparing various image metrics with radiologists’ visual evaluation. TOF-MRA of a healthy volunteer was scanned using a 3T-MR system. Images were reconstructed by CS from retrospectively under-sampled data by varying the weights for the L1 norm of wavelet coefficients and that of total variation. The reconstructed images were evaluated both quantitatively by statistical image metrics including structural similarity (SSIM), scale invariant feature transform (SIFT) and contrast-to-noise ratio (CNR), and qualitatively by radiologists’ scoring. The results of quantitative metrics and qualitative scorings were compared. SSIM and SIFT in conjunction with brain masks and CNR of artery-to-parenchyma correlated very well with radiologists’ visual evaluation. By carefully selecting a region to measure, we have shown that statistical image metrics can reflect radiologists’ visual evaluation, thus enabling an appropriate optimization of regularization parameters for CS. PMID:26744843

  18. Calibration of surface roughness standards

    NASA Astrophysics Data System (ADS)

    Thalmann, R.; Nicolet, A.; Meli, F.; Picotto, G. B.; Matus, M.; Carcedo, L.; Hemming, B.; Ganioglu, O.; De Chiffre, L.; Saraiva, F.; Bergstrand, S.; Zelenika, S.; Tonmueanwai, A.; Tsai, C.-L.; Shihua, W.; Kruger, O.; de Souza, M. M.; Salgado, J. A.; Ramotowski, Z.

    2016-01-01

    The key comparison EURAMET.L-K8.2013 on roughness was carried out in the framework of a EURAMET project starting in 2013 and ending in 2015. It involved the participation of 17 National Metrology Institutes from Europe, Asia, South America and Africa representing four regional metrology organisations. Five surface texture standards of different type were circulated and on each of the standards several roughness parameters according to the standard ISO 4287 had to be determined. 32 out of 395 individual results were not consistent with the reference value. After some corrective actions the number of inconsistent results could be reduced to 20, which correspond to about 5% of the total and can statistically be expected. In addition to the material standards, two softgauges were circulated, which allow to test the software of the instruments used in the comparison. The comparison results help to support the calibraton and measurement capabilities (CMCs) of the laboratories involved in the CIPM MRA. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCL, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. 2010 Manufacturing Readiness Assessment Update to the 2008 Report for Fuel Cell Stacks and Systems for the Backup Power and Materials Handling Equipment Markets

    SciTech Connect

    Wheeler, D.; Ulsh, M.

    2012-08-01

    In 2008, the National Renewable Energy Laboratory (NREL), under contract to the US Department of Energy (DOE), conducted a manufacturing readiness assessment (MRA) of fuel cell systems and fuel cell stacks for back-up power and material handling applications (MHE). To facilitate the MRA, manufacturing readiness levels (MRL) were defined that were based on the Technology Readiness Levels previously established by the US Department of Energy (DOE). NREL assessed the extensive existing hierarchy of MRLs developed by Department of Defense (DoD) and other Federal entities, and developed a MRL scale adapted to the needs of the Fuel Cell Technologies Program (FCTP) and to the status of the fuel cell industry. The MRL ranking of a fuel cell manufacturing facility increases as the manufacturing capability transitions from laboratory prototype development through Low Rate Initial Production to Full Rate Production. DOE can use MRLs to address the economic and institutional risks associated with a ramp-up in polymer electrolyte membrane (PEM) fuel cell production. In 2010, NREL updated this assessment, including additional manufacturers, an assessment of market developments since the original report, and a comparison of MRLs between 2008 and 2010.

  20. Cationic gadolinium chelate for magnetic resonance imaging of cartilaginous defects.

    PubMed

    Nwe, Kido; Huang, Ching-Hui; Qu, Feini; Warden-Rothman, Robert; Zhang, Clare Y; Mauck, Robert L; Tsourkas, Andrew

    2016-05-01

    The ability to detect meniscus defects by magnetic resonance arthrography (MRA) can be highly variable. To improve the delineation of fine tears, we synthesized a cationic gadolinium complex, (Gd-DOTA-AM4 )(2+) , that can electrostatically interact with Glycosaminoglycans (GAGs). The complex has a longitudinal relaxivity (r1) of 4.2 mM(-1) s(-1) and is highly stable in serum. Its efficacy in highlighting soft tissue tears was evaluated in comparison to a clinically employed contrast agent (Magnevist) using explants obtained from adult bovine menisci. In all cases, Gd-DOTA-AM4 appeared to improve the ability to detect the soft tissue defect by providing increased signal intensity along the length of the tear. Magnevist shows a strong signal near the liquid-meniscus interface, but much less contrast is observed within the defect at greater depths. This provides initial evidence that cationic contrast agents can be used to improve the diagnostic accuracy of MRA. Copyright © 2016 John Wiley & Sons, Ltd. PMID:26853708

  1. Vascular Tree Segmentation in Medical Images Using Hessian-Based Multiscale Filtering and Level Set Method

    PubMed Central

    Jin, Jiaoying; Yang, Linjun; Zhang, Xuming

    2013-01-01

    Vascular segmentation plays an important role in medical image analysis. A novel technique for the automatic extraction of vascular trees from 2D medical images is presented, which combines Hessian-based multiscale filtering and a modified level set method. In the proposed algorithm, the morphological top-hat transformation is firstly adopted to attenuate background. Then Hessian-based multiscale filtering is used to enhance vascular structures by combining Hessian matrix with Gaussian convolution to tune the filtering response to the specific scales. Because Gaussian convolution tends to blur vessel boundaries, which makes scale selection inaccurate, an improved level set method is finally proposed to extract vascular structures by introducing an external constrained term related to the standard deviation of Gaussian function into the traditional level set. Our approach was tested on synthetic images with vascular-like structures and 2D slices extracted from real 3D abdomen magnetic resonance angiography (MRA) images along the coronal plane. The segmentation rates for synthetic images are above 95%. The results for MRA images demonstrate that the proposed method can extract most of the vascular structures successfully and accurately in visualization. Therefore, the proposed method is effective for the vascular tree extraction in medical images. PMID:24348738

  2. Standardized cardiovascular magnetic resonance imaging (CMR) protocols, society for cardiovascular magnetic resonance: board of trustees task force on standardized protocols

    PubMed Central

    Kramer, Christopher M; Barkhausen, Jorg; Flamm, Scott D; Kim, Raymond J; Nagel, Eike

    2008-01-01

    Index 1. General techniques 1.1. Stress and safety equipment 1.2. Left ventricular (LV) structure and function module 1.3. Right ventricular (RV) structure and function module 1.4. Gadolinium dosing module. 1.5. First pass perfusion 1.6. Late gadolinium enhancement (LGE) 2. Disease specific protocols 2.1. Ischemic heart disease 2.1.1. Acute myocardial infarction (MI) 2.1.2. Chronic ischemic heart disease and viability 2.1.3. Dobutamine stress 2.1.4. Adenosine stress perfusion 2.2. Angiography: 2.2.1. Peripheral magnetic resonance angiography (MRA) 2.2.2. Thoracic MRA 2.2.3. Anomalous coronary arteries 2.2.4. Pulmonary vein evaluation 2.3. Other 2.3.1. Non-ischemic cardiomyopathy 2.3.2. Arrhythmogenic right ventricular cardiomyopathy (ARVC) 2.3.3. Congenital heart disease 2.3.4. Valvular heart disease 2.3.5. Pericardial disease 2.3.6. Masses PMID:18605997

  3. Morphological Characteristics of the Vertebrobasilar Arterial System Are Associated with Vertebrobasilar Dolichoectasia

    PubMed Central

    Wu, Xi; Li, Yanjun; Huang, Qinghai; Liu, Jianmin

    2016-01-01

    Background Vertebrobasilar dolichoectasia (VBD) is characterized by abnormal dilation, distortion, and extension of the vertebral artery (VA) and basilar artery (BA). This study investigated whether BA and VA morphological characteristics were factors predicting VBD. Material/Methods Individuals aged ≥18 years undergoing contrast-enhanced magnetic resonance angiography (CE-MRA) of the head/neck were enrolled in 2012 at Changhai Hospital, Shanghai. Data concerning cardiovascular risk factors were recorded. Bilateral VA diameter and lateral displacement, BA diameter and lateral displacement, VA confluence displacement, and dominant VA (DVA) presence/absence were determined from CE-MRA. VBD was diagnosed using established criteria. DVA and no-DVA groups were compared. Logistic regression analysis was used to identify variables independently associated with VBD. Results Our study included 1153 individuals, of which 614 (53.3%) had DVA. The DVA group had higher mean age, hypertension prevalence (44.6% vs. 37.5%), and VBD prevalence (8.1% vs. 4.5%), and lower smoking prevalence (24.3% vs. 30.6%), than no-DVA patients. Univariate analysis revealed that age, female sex, hypertension, hyperlipidemia, smoking, alcohol consumption, and DVA presence were associated with VBD occurrence. Multivariate analysis showed that age and presence of a DVA were independently associated with VBD. Conclusions Age and presence of DVA are independently associated with VBD. PMID:27206494

  4. Devascularizing complications of free fibula harvest: peronea arteria magna.

    PubMed

    Rosson, Gedge D; Singh, Navin K

    2005-11-01

    The authors present a case report of devascularizing complications following free fibula harvest. A retrospective review of 93 consecutively imaged limbs demonstrated a peronea arteria magna (PAM) prevalence of 5.3 percent in an urban population, which was used to perform a cost-effectiveness analysis for preoperative vascular imaging of the donor limb using magnetic resonance angiography (MRA) and traditional angiography (TA). Donor-site complications of fibula harvest range from 15 to 30 percent, but are rarely limb-threatening. Limb loss is a dreaded complication of congenital PAM, which can be present with a normal vascular exam. Some microsurgery groups advocate using no preoperative imaging of the donor limb; they rely on intraoperative assessment of the vascular anatomy. An aborted harvest due to aberrant anatomy leads to both direct and indirect added costs. The authors believe that MRA imaging of the donor limb, being minimally invasive, is cost-effective and indicated for free fibula transfers. For equivocal results, conversion to more invasive and costly TA may be necessary. PMID:16292729

  5. Prevention of increases in blood pressure and left ventricular mass and remodeling of resistance arteries in young New Zealand genetically hypertensive rats: the effects of chronic treatment with valsartan, enalapril and felodipine.

    PubMed

    Ledingham, J M; Phelan, E L; Cross, M A; Laverty, R

    2000-01-01

    The relative efficacy of three antihypertensive drugs in the prevention of further elevation of blood pressure (BP) and cardiovascular structural remodeling in 4-week-old genetically hypertensive (GH) rats was studied by means of two complementary methods, stereology and myography. Four to 10-week-old GH rats were treated with valsartan (10 mg/kg/day), enalapril (10 mg/kg/day) or felodipine (30 mg/kg/day). Untreated GH and normotensive control rats of Wistar origin served as controls. Tail-cuff systolic SBP was measured weekly and left ventricular (LV) mass determined at the end of the experiment. Mesenteric resistance arteries (MRA) were either fixed by perfusion, embedded in Technovit and sections stained for stereological analysis, or mounted on a wire myograph for structural and functional measurements. BP and LV mass were significantly reduced by all drugs; decreases in BP and LV mass were smaller after felodipine treatment. Valsartan and enalapril caused a decrease in BP to normotensive control values. Felodipine kept BP at the 4-week level and prevented further rise with age. Valsartan caused hypotrophic outward remodeling of MRA, enalapril eutrophic outward remodeling and felodipine hypotrophic remodeling. Myograph measurements showed remodeling of the same order. While all drugs lowered the media/lumen ratio in GH to normal, the outward remodeling after valsartan and enalapril indicates that valsartan and enalapril might be more effective in reversing the inward remodeling of resistance arteries found in essential hypertension. PMID:10754398

  6. MR arthrogram findings of luxatio erecta in a pediatric patient-arthroscopic confirmation and review of the literature.

    PubMed

    Stensby, J Derek; Fox, Michael G

    2014-08-01

    Luxatio erecta or inferior glenohumeral dislocation is a rare type of shoulder dislocation, accounting for less than 1 % of all reported shoulder dislocations. We describe a 15-year-old male who presented with luxatio erecta following an injury to his shoulder that resulted from a mountain biking accident. Clinically, the patient had shoulder pain and fixed abduction of the arm. Radiographs confirmed the diagnosis of luxatio erecta. A magnetic resonance arthrogram (MRA) performed 9 days after presentation demonstrated both a greater tuberosity fracture and avulsion of the anterior and posterior inferior glenohumeral ligaments from their humeral attachment. The MR findings were confirmed on arthroscopy. The bone and soft tissue injury pattern seen in our patient clearly supports the described mechanism of injury for luxatio erecta and lends credence to the theory that a fracture of the greater tuberosity spares injury to the rotator cuff, especially in children. A review of the literature failed to reveal any prior description of the MRI or MRA findings of luxatio erecta in a pediatric patient or any publication with arthroscopic confirmation of the MR findings. PMID:24695879

  7. Multiresolution analysis over graphs for a motor imagery based online BCI game.

    PubMed

    Asensio-Cubero, Javier; Gan, John Q; Palaniappan, Ramaswamy

    2016-01-01

    Multiresolution analysis (MRA) over graph representation of EEG data has proved to be a promising method for offline brain-computer interfacing (BCI) data analysis. For the first time we aim to prove the feasibility of the graph lifting transform in an online BCI system. Instead of developing a pointer device or a wheel-chair controller as test bed for human-machine interaction, we have designed and developed an engaging game which can be controlled by means of imaginary limb movements. Some modifications to the existing MRA analysis over graphs for BCI have also been proposed, such as the use of common spatial patterns for feature extraction at the different levels of decomposition, and sequential floating forward search as a best basis selection technique. In the online game experiment we obtained for three classes an average classification rate of 63.0% for fourteen naive subjects. The application of a best basis selection method helps significantly decrease the computing resources needed. The present study allows us to further understand and assess the benefits of the use of tailored wavelet analysis for processing motor imagery data and contributes to the further development of BCI for gaming purposes. PMID:26599827

  8. Silent cerebral infarcts in very young children with sickle cell anaemia are associated with a higher risk of stroke.

    PubMed

    Cancio, Maria I; Helton, Kathleen J; Schreiber, Jane E; Smeltzer, Matthew P; Kang, Guolian; Wang, Winfred C

    2015-10-01

    Silent cerebral infarctions (SCI) are the most common neurological injury in children with sickle cell anaemia (SCA), but their incidence/prognosis in early childhood has not been well described. We report clinical, neuroradiological, psychometric and academic follow-up over an average period of 14 years in 37 children with SCA who had magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain between ages 7 and 48 months. Ten patients (27%) younger than age 5 years (Group I) had SCI, as did 12 (32%) older than 5 years (Group II). Fifteen (41%) had no lesions (Group III). Overt stroke or transient ischaemic attack occurred in 5/9 (56%) in Group I. Most Group I patients had progressive MRI abnormalities, concurrent stenosis, decreased cognitive ability, attention/executive function deficits and hindered academic attainment. The proportions of subjects in Group I with subsequent neurological events (P ≤ 0·006), progressive ischaemia (P ≤ 0·001) and vascular stenosis (P ≤ 0·006) were greater than in Groups II and III. Thus, SCI in young children with SCA may predict overt central nervous system events, progressive MRI abnormalities, stenosis, cognitive dysfunction and poor academic performance. Children younger than 5 years may benefit from MRI/MRA testing and should be considered for aggressive intervention when SCI are detected. PMID:26058476

  9. Quantifying Errors in Flow Measurement Using Phase Contrast Magnetic Resonance Imaging: Comparison of Several Boundary Detection Methods

    PubMed Central

    Jiang, Jing; Kokeny, Paul; Ying, Wang; Magnano, Chris; Zivadinov, Robert; Haacke, E. Mark

    2014-01-01

    Quantifying flow from phase-contrast MRI (PC-MRI) data requires that the vessels of interest be segmented. This estimate of the vessel area will dictate the type and magnitude of the error sources that affect the flow measurement. These sources of errors are well understood and mathematical expressions have been derived for them in previous work. However, these expressions contain many parameters that render them difficult to use for making practical error estimates. In this work, some realistic assumptions were made that allow for the simplification of such expressions in order to make them more useful. These simplified expressions were then used to numerically simulate the effect of segmentation accuracy and provide some criteria that if met, would keep errors in flow quantification below 10% or 5%. Four different segmentation methods were used on simulated and phantom MRA data to verify the theoretical results. Numerical simulations showed that including partial volumed edge pixels in vessel segmentation provides less error than missing them. This was verified with MRA simulations, as the best performing segmentation method generally included such pixels. Further, it was found that to obtain a flow error of less than 10% (5%), the vessel should be at least 4 (5) pixels in diameter, have an SNR of at least 10:1 and a peak velocity to saturation cut-off velocity ratio of at least 5:3. PMID:25460329

  10. Pulmonary Hemorrhage: Imaging with a New Magnetic Resonance Blood Pool Agent in Conjunction with Breathheld Three-Dimensional Magnetic Resonance Angiography

    SciTech Connect

    Weishaupt, Dominik; Hilfiker, Paul R.; Schmidt, Michaela; Debatin, Joerg F.

    1999-07-15

    Purpose: To describe the three-dimensional magnetic resonance angiography (3D MRA) imaging appearance of the pulmonary arteries following administration of a superparamagnetic iron oxide blood pool agent to human volunteers, and to demonstrate in an animal model (pigs) how this technique can be used to detect pulmonary parenchymal hemorrhage. Methods: Two volunteers were examined following the intravenous administration of a superparamagnetic iron oxide blood pool agent (NC100150 Injection, Nycomed Amersham Imaging, Wayne, PA, USA). T1-weighted 3D gradient recalled echo (GRE) image sets (TR/TE 5.1/1.4 msec, flip angle 30 deg.) were acquired breathheld over 24 sec. To assess the detectability of pulmonary bleeding with intravascular MR contrast, pulmonary parenchymal injuries were created in two animals under general anesthesia, and fast T1-weighted 3D GRE image sets collected before and after the injury. Results: Administration of the intravascular contrast in the two volunteers resulted in selective enhancement of the pulmonary vasculature permitting complete visualization and excellent delineation of central, segmental, and subsegmental arteries. Following iatrogenic injury in the two animals, pulmonary hemorrhage was readily detected on the 3D image sets. Conclusion: The data presented illustrate that ultrafast 3D GRE MR imaging in conjunction with an intravenously administered intravascular blood pool agent can be used to perform high-quality pulmonary MRA as well as to detect pulmonary hemorrhage.

  11. Visualization of hepatic arteries with 3D ultrasound during intra-arterial therapies

    NASA Astrophysics Data System (ADS)

    Gérard, Maxime; Tang, An; Badoual, Anaïs.; Michaud, François; Bigot, Alexandre; Soulez, Gilles; Kadoury, Samuel

    2016-03-01

    Liver cancer represents the second most common cause of cancer-related mortality worldwide. The prognosis is poor with an overall mortality of 95%. Moreover, most hepatic tumors are unresectable due to their advanced stage at discovery or poor underlying liver function. Tumor embolization by intra-arterial approaches is the current standard of care for advanced cases of hepatocellular carcinoma. These therapies rely on the fact that the blood supply of primary hepatic tumors is predominantly arterial. Feedback on blood flow velocities in the hepatic arteries is crucial to ensure maximal treatment efficacy on the targeted masses. Based on these velocities, the intra-arterial injection rate is modulated for optimal infusion of the chemotherapeutic drugs into the tumorous tissue. While Doppler ultrasound is a well-documented technique for the assessment of blood flow, 3D visualization of vascular anatomy with ultrasound remains challenging. In this paper we present an image-guidance pipeline that enables the localization of the hepatic arterial branches within a 3D ultrasound image of the liver. A diagnostic Magnetic resonance angiography (MRA) is first processed to automatically segment the hepatic arteries. A non-rigid registration method is then applied on the portal phase of the MRA volume with a 3D ultrasound to enable the visualization of the 3D mesh of the hepatic arteries in the Doppler images. To evaluate the performance of the proposed workflow, we present initial results from porcine models and patient images.

  12. The New INTA High-Range Standard Humidity Generator and Its Comparison with the Austrian National Humidity Standard Maintained at BEV/E+E

    NASA Astrophysics Data System (ADS)

    Benyon, Robert; Mitter, Helmat

    2008-10-01

    A EUROMET collaborative project has been set up between Instituto Nacional de Técnica Aeroespacial (INTA) and E+E ELEKTRONIK Ges.m.b.H, the two designated laboratories of the Spanish and Austrian National Metrology Institutes, Centro Español de Metrología (CEM) and Bundesamt für Eich- und Vermessungswesen (BEV), respectively. The objective of the project is to provide INTA with a new standard that covers the dew-point temperature range from - 27°C to +90°C with a gas flow up to 5 L· min-1 in the “two-pressure” mode, extended to 95°C when operated as a continuous flow “single-pressure” generator, and investigate the importance of the enhancement factors in the uncertainty estimations used in support of the participants’ calibration and measurement capabilities (CMC) (The CIPM Mutual Recognition Arrangement, http://www.bipm.fr/en/cipm-mra/ mra/" TargetType="URL"/> ). The equivalence of the Spanish and Austrian national standards is also to be evaluated, further supporting the outcomes of the Key Comparisons, in which both have already participated. The preliminary results obtained to date are reported and discussed in the context of the project and the consistency of the declared CMC’s.

  13. Supplementary comparison EURAMET.L-S24 on involute gear standards

    NASA Astrophysics Data System (ADS)

    Kniel, K.; Chanthawong, N.; Eastman, N.; Frazer, R.; Kupko, V.; Osawa, S.; Xue, Z.

    2014-01-01

    At its meeting in 2007, the EURAMET TC-Length decided to run an intercomparison of involute gear standards as a regional comparison with non-European involvement. The Physikalisch-Technische Bundesanstalt, Braunschweig und Berlin, Germany (PTB) was identified as the pilot laboratory, responsible for planning, organizing and analyzing the comparison. In all, seven participants from China, Germany, Japan, Thailand, Ukraine, United Kingdom and USA were asked to measure three different gear standards specialized for profile, helix and pitch measurements. The measurements started mid 2008 and were finished at the end of 2010. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The comparison was registered as the supplementary comparison EURAMET.L-S24. The final report has been peer-reviewed and approved for publication by the CCL WG-MRA, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  14. Long-term forecasting of internet backbone traffic.

    PubMed

    Papagiannaki, Konstantina; Taft, Nina; Zhang, Zhi-Li; Diot, Christophe

    2005-09-01

    We introduce a methodology to predict when and where link additions/upgrades have to take place in an Internet protocol (IP) backbone network. Using simple network management protocol (SNMP) statistics, collected continuously since 1999, we compute aggregate demand between any two adjacent points of presence (PoPs) and look at its evolution at time scales larger than 1 h. We show that IP backbone traffic exhibits visible long term trends, strong periodicities, and variability at multiple time scales. Our methodology relies on the wavelet multiresolution analysis (MRA) and linear time series models. Using wavelet MRA, we smooth the collected measurements until we identify the overall long-term trend. The fluctuations around the obtained trend are further analyzed at multiple time scales. We show that the largest amount of variability in the original signal is due to its fluctuations at the 12-h time scale. We model inter-PoP aggregate demand as a multiple linear regression model, consisting of the two identified components. We show that this model accounts for 98% of the total energy in the original signal, while explaining 90% of its variance. Weekly approximations of those components can be accurately modeled with low-order autoregressive integrated moving average (ARIMA) models. We show that forecasting the long term trend and the fluctuations of the traffic at the 12-h time scale yields accurate estimates for at least 6 months in the future. PMID:16252820

  15. SUPPLEMENTARY COMPARISON: Final report EURAMET.EM-S30 on EURAMET Project 1081: Supplementary comparison of measurements of current transformers

    NASA Astrophysics Data System (ADS)

    Dimitrov, Emil; Kumanova, Ginka; Styblíková, Renata; Draxler, Karel; Dierikx, Erik

    2010-01-01

    The supplementary comparison was carried out between CMI, Czech Republic and BIM, NCM Bulgaria in the field of current transformer ratio measurements. The current errors and phase displacement of the traveling standards, current transformers: Tettex 4720, CLA 2.2, CLA 2.2, CLA 3.2, CLB 10, I 523 were determined at 50 Hz, 5 VA burden at unity power factor at ratios: primary (4000, 2000, 1000, 500, 100, 5, 1 and 0.5) A/secondary 5 A. Both participants used their own standard measurement method. The obtained results show good agreement for all of the current ratio error measurements (except for the measurements at 2 kA) and for the current phase displacement measurements (the agreement on several measurement points is marginal). The aim of the comparison was to demonstrate the improvement and extension of the calibration and measurement capabilities (CMCs) of BIM in this working field and to support the improved CMCs in Appendix C of the CIPM Mutual Recognition Arrangement (MRA). Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by EURAMET, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  16. Mitochondrial respiratory activity in porcine longissimus muscle fibers of different pig genetics in relation to their meat quality.

    PubMed

    Werner, C; Natter, R; Schellander, K; Wicke, M

    2010-05-01

    The pig genetics of Duroc, Pietrain (MHS homozygote negative, PiNN), Pietrain (MHS homozygote positive, PiPP) and a F2-Duroc-Pietrain cross-breed were analyzed. The animals had comparable (P>0.05) carcass weights, but the PiPP pigs had higher carcass yield and lean meat values (P<0.05). Considering the meat quality characteristics, the PiPP showed a faster pH drop and higher electrical conductivity, drip loss, shear force as well as lightness and redness values (P<0.05). The PiPP animals had less slow-twitch-oxidative (STO) and more fast-twitch-glycolytic (FTG) muscle fibers, whereas the results of the Duroc animals were converse (P<0.05). The STO and FTG fibers of the PiPP animals were larger than those of the other genetics (P<0.05). The analysis of the mitochondrial respiratory activity (MRA) using permeabilized longissimus muscle fibers resulted in no differences between the pig genetics before and immediately after slaughter. During chilling the MRA decreased in all pigs but to a higher extent in the PiPP pigs (P<0.05). PMID:20374876

  17. Three-dimensional stereotactic atlas of the extracranial vasculature correlated with the intracranial vasculature, cranial nerves, skull and muscles

    PubMed Central

    Shoon Let Thaung, Thant; Choon Chua, Beng; Hnin Wut Yi, Su; Yang, Yili; Urbanik, Andrzej

    2015-01-01

    Our objective was to construct a 3D, interactive, and reference atlas of the extracranial vasculature spatially correlated with the intracranial blood vessels, cranial nerves, skull, glands, and head muscles. The atlas has been constructed from multiple 3T and 7T magnetic resonance angiogram (MRA) brain scans, and 3T phase contrast and inflow MRA neck scans of the same specimen in the following steps: vessel extraction from the scans, building 3D tubular models of the vessels, spatial registration of the extra- and intracranial vessels, vessel editing, vessel naming and color-coding, vessel simplification, and atlas validation. This new atlas contains 48 names of the extracranial vessels (25 arterial and 23 venous) and it has been integrated with the existing brain atlas. The atlas is valuable for medical students and residents to easily get familiarized with the extracranial vasculature with a few clicks; is useful for educators to prepare teaching materials; and potentially can serve as a reference in the diagnosis of vascular disease and treatment, including craniomaxillofacial surgeries and radiologic interventions of the face and neck. PMID:25923683

  18. Final report on APMP.T-K7 key comparison of water triple point cells

    NASA Astrophysics Data System (ADS)

    Tsai, S. F.; White, R.; Tamba, J.; Yamazawa, K.; Ho, M. K.; Tsui, C. M.; Zaid, G.; Achmadi, A.; Gam, K. S.; Othman, H.; Ali, N. M.; Yuan, K. H.; Shaochun, Y.; Liedberg, H.; Yaokulbodee, C.

    2016-01-01

    APMP.T-K7, was held from February 2008 to September 2009 to compare the national realizations of the water triple point among eleven NMIs. To reach the objective, each participating laboratory sent a transfer cell to CMS and stated a value for the temperature difference of the transfer cell, relative to the corresponding national standard, representing 273.16 K. CMS (Taiwan) organized the comparison, with the support from co-pilot institutes MSL (New Zealand) and NMIJ (Japan). The other eight participating laboratories included NMIA, SCL, KIM-LIPI, KRISS, NMIM/SIRIM, NMC, NMISA, and NIMT. This report presents the results of the TPW comparison, gives detailed information about the measurements made at the CMS and at the participating laboratories, and aims to link the results of APMP.T-K7 to CCT-K7. The results of this key comparison are also represented in the form of degrees of equivalence for the purposes of the MRA. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. Determination of boiling point of petrochemicals by gas chromatography-mass spectrometry and multivariate regression analysis of structural activity relationship.

    PubMed

    Fakayode, Sayo O; Mitchell, Breanna S; Pollard, David A

    2014-08-01

    Accurate understanding of analyte boiling points (BP) is of critical importance in gas chromatographic (GC) separation and crude oil refinery operation in petrochemical industries. This study reported the first combined use of GC separation and partial-least-square (PLS1) multivariate regression analysis of petrochemical structural activity relationship (SAR) for accurate BP determination of two commercially available (D3710 and MA VHP) calibration gas mix samples. The results of the BP determination using PLS1 multivariate regression were further compared with the results of traditional simulated distillation method of BP determination. The developed PLS1 regression was able to correctly predict analytes BP in D3710 and MA VHP calibration gas mix samples, with a root-mean-square-%-relative-error (RMS%RE) of 6.4%, and 10.8% respectively. In contrast, the overall RMS%RE of 32.9% and 40.4%, respectively obtained for BP determination in D3710 and MA VHP using a traditional simulated distillation method were approximately four times larger than the corresponding RMS%RE of BP prediction using MRA, demonstrating the better predictive ability of MRA. The reported method is rapid, robust, and promising, and can be potentially used routinely for fast analysis, pattern recognition, and analyte BP determination in petrochemical industries. PMID:24881546

  20. Region based feature extraction from non-cooperative iris images using triplet half-band filter bank

    NASA Astrophysics Data System (ADS)

    Barpanda, Soubhagya Sankar; Majhi, Banshidhar; Sa, Pankaj Kumar

    2015-09-01

    In this paper, we have proposed energy based features using a multi-resolution analysis (MRA) on iris template. The MRA is based on our suggested triplet half-band filter bank (THFB). The THFB derivation process is discussed in detail. The iris template is divided into six equispaced sub-templates and two level decomposition has been made to each sub-template using THFB except second one. The reason for discarding the second template is due to the fact that it mostly contains the noise due to eyelids, eyelashes, and occlusion due to segmentation failure. Subsequently, energy features are derived from the decomposed coefficients of each sub-template. The proposed feature has been experimented on standard databases like CASIAv3, UBIRISv1, and IITD and mostly on iris images which encounter a segmentation failure. Comparative analysis has been done with existing features based on Gabor transform, Fourier transform, and CDF 9/7 filter bank. The proposed scheme shows superior performance with respect to FAR, GAR and AUC.

  1. Three-dimensional elliptical reconstruction for stereoscopic magnetic resonance angiography.

    PubMed

    Liao, Jan-Ray; Kuo, Shye-Chorng

    2012-06-01

    Stereoscopic MRA acquires a pair of blood vessel projections at two different viewing angles. Previously, we have developed two algorithms to reconstruct 3-D blood vessels from stereoscopic MRA. The assumption we made was that blood vessels were tilting circular tubes and the shape of the vessel on every cross-section was an ellipse. Since an ellipse can be represented in either algebraic form or parametric form, our previous algorithms reconstructed the ellipses by representing them in these two forms. In this paper, we further improved the accuracy of our previous algorithms by an order through two enhancements. The first improvement we made was a better method to estimate the rotation angle of the major axis of an ellipse. Instead of using the center of two adjacent ellipses to estimate the rotation angle as in our previous method, the new method used the projection lengths of the two views to estimate the angle. The second improvement we made was the equation to describe the relationship between the major/minor axes and the projection lengths. In our experiments, the average estimation error for the parametric algorithm was improved from 0.471 pixels to 0.066 pixels. The average error for the algebraic algorithm was improved from 0.101 pixels to 0.014 pixels. PMID:21899986

  2. Update on imaging techniques in oculoplastics

    PubMed Central

    Cetinkaya, Altug

    2012-01-01

    Imaging is a beneficial aid to the oculoplastic surgeon especially in orbital and lacrimal disorders when the pathology is not visible from outside. It is a powerful tool that may be benefited in not only diagnosis but also management and follow-up. The most common imaging modalities required are CT and MRI, with CT being more frequently ordered by oculoplastic surgeons. Improvements in technology enabled the acquisition times to shorten incredibly. Radiologists can now obtain images with superb resolution, and isolate the site and tissue of interest from other structures with special techniques. Better contrast agents and 3D imaging capabilities make complicated cases easier to identify. Color Doppler imaging is becoming more popular both for research and clinical purposes. Magnetic resonance angiography (MRA) added so much to the vascular system imaging recently. Although angiography is still the gold standard, new software and techniques rendered MRA as valuable as angiography in most circumstances. Stereotactic navigation, although in use for a long time, recently became the focus of interest for the oculoplastic surgeon especially in orbital decompressions. Improvements in radiology and nuclear medicine techniques of lacrimal drainage system imaging provided more detailed analysis of the system. PMID:23961020

  3. Advanced level set segmentation of the right atrium in MR

    NASA Astrophysics Data System (ADS)

    Chen, Siqi; Kohlberger, Timo; Kirchberg, Klaus J.

    2011-03-01

    Atrial fibrillation is a common heart arrhythmia, and can be effectively treated with ablation. Ablation planning requires 3D models of the patient's left atrium (LA) and/or right atrium (RA), therefore an automatic segmentation procedure to retrieve these models is desirable. In this study, we investigate the use of advanced level set segmentation approaches to automatically segment RA in magnetic resonance angiographic (MRA) volume images. Low contrast to noise ratio makes the boundary between the RA and the nearby structures nearly indistinguishable. Therefore, pure data driven segmentation approaches such as watershed and ChanVese methods are bound to fail. Incorporating training shapes through PCA modeling to constrain the segmentation is one popular solution, and is also used in our segmentation framework. The shape parameters from PCA are optimized with a global histogram based energy model. However, since the shape parameters span a much smaller space, it can not capture fine details of the shape. Therefore, we employ a second refinement step after the shape based segmentation stage, which follows closely the recent work of localized appearance model based techniques. The local appearance model is established through a robust point tracking mechanism and is learned through landmarks embedded on the surface of training shapes. The key contribution of our work is the combination of a statistical shape prior and a localized appearance prior for level set segmentation of the right atrium from MRA. We test this two step segmentation framework on porcine RA to verify the algorithm.

  4. Morphological Characteristics of the Vertebrobasilar Arterial System Are Associated with Vertebrobasilar Dolichoectasia.

    PubMed

    Wu, Xi; Li, Yanjun; Huang, Qinghai; Liu, Jianmin

    2016-01-01

    BACKGROUND Vertebrobasilar dolichoectasia (VBD) is characterized by abnormal dilation, distortion, and extension of the vertebral artery (VA) and basilar artery (BA). This study investigated whether BA and VA morphological characteristics were factors predicting VBD. MATERIAL AND METHODS Individuals aged ≥18 years undergoing contrast-enhanced magnetic resonance angiography (CE-MRA) of the head/neck were enrolled in 2012 at Changhai Hospital, Shanghai. Data concerning cardiovascular risk factors were recorded. Bilateral VA diameter and lateral displacement, BA diameter and lateral displacement, VA confluence displacement, and dominant VA (DVA) presence/absence were determined from CE-MRA. VBD was diagnosed using established criteria. DVA and no-DVA groups were compared. Logistic regression analysis was used to identify variables independently associated with VBD. RESULTS Our study included 1153 individuals, of which 614 (53.3%) had DVA. The DVA group had higher mean age, hypertension prevalence (44.6% vs. 37.5%), and VBD prevalence (8.1% vs. 4.5%), and lower smoking prevalence (24.3% vs. 30.6%), than no-DVA patients. Univariate analysis revealed that age, female sex, hypertension, hyperlipidemia, smoking, alcohol consumption, and DVA presence were associated with VBD occurrence. Multivariate analysis showed that age and presence of a DVA were independently associated with VBD. CONCLUSIONS Age and presence of DVA are independently associated with VBD. PMID:27206494

  5. [A Case of Fibromuscular Dysplasia in a Patient with Various Main Trunk Dissections in the Head and Neck over a Short Period].

    PubMed

    Ando, Kazuhiro; Sasaki, Osamu; Watanabe, Masatoshi; Nashimoto, Takeo; Kikuchi, Bumpei

    2016-07-01

    We report a case of subarachnoid hemorrhage(SAH)from an intracranial vertebral artery(VA)dissection in a patient with fibromuscular dysplasia(FMD)who presented with headache. A 54-year-old woman complained of spontaneous occipital headache. The dilatation of the left VA was detected on magnetic resonance angiography(MRA). She was diagnosed with left VA dissection(headache onset type). After sudden onset of headache on the second day of hospitalization, her consciousness level, as defined by the Japan Coma Scale, was 300. Computed tomography(CT)revealed SAH. Cerebral angiography showed the dilatation of the left intracranial VA and contrast material pooling, which was suspected to be a sign of dissection. We performed VA intravascular ligation by coil embolization. The postoperative course was good but postoperative MRA revealed arterial wall irregularities in both the extra cranial internal carotid artery and the right VA. Cerebral angiography showed the presence of the string-of-beads sign at these arteries. She was diagnosed with FMD. SAH might develop during the follow-up period in patients with VA dissection, even those in whom the initial symptom is headache. In addition, cases of FMD might also be complicated by various lesions of the main trunk of the cerebral artery. PMID:27384119

  6. [Successful Treatment of Repeated Bilateral Middle Cerebral Artery Occlusion by Performing Mechanical Thrombectomy in a Patient with Trousseau Syndrome].

    PubMed

    Inoue, Satoshi; Fujita, Atsushi; Mizowaki, Takashi; Uchihashi, Yoshito; Kuroda, Ryuichi; Urui, Seishirou; Kurihara, Eiji; Kohmura, Eiji

    2016-06-01

    We report a patient with Trousseau syndrome who presented with repeated acute middle cerebral artery (MCA) occlusion, which was successfully treated by performing mechanical thrombectomy. A 66-year-old man with a lung lesion and abdominal lymph node swelling experienced a sudden onset of left hemiparesis. Magnetic resonance angiography (MRA) revealed a right MCA occlusion. Perfusion-weighted imaging revealed reduced cerebral blood flow in the right MCA territory. Complete recanalization of the occluded vessel was achieved by performing mechanical thrombectomy, and his symptoms remarkably disappeared. Twenty days after the procedure, he experienced right hemiparesis and total aphasia. MRA revealed a left MCA occlusion, which was located on the contralateral side of the first occlusion. The second mechanical thrombectomy was successfully performed, and complete recanalization was successfully achieved. Right hemiparesis improved after the procedure. Histological examination of the retrieved clots revealed coagulated fibrin and platelets. Cytodiagnosis of pleural effusion revealed adenocarcinoma, and he was diagnosed with lung adenocarcinoma and cancerous pleurisy. Trousseau syndrome was the presumed primary cause of the patient's tendency for thrombogenesis. To the best of our knowledge, there were no reports regarding the repeated use of mechanical thrombectomy for patients with bilateral MCA occlusion caused by Trousseau syndrome. Neuroendovascular therapy can offer good neurological outcomes even in patients with malignant lesions. PMID:27270149

  7. Substantial Reduction of Parenchymal Cerebral Blood Flow in Mice with Bilateral Common Carotid Artery Stenosis

    PubMed Central

    Hattori, Yorito; Enmi, Jun-ichiro; Iguchi, Satoshi; Saito, Satoshi; Yamamoto, Yumi; Nagatsuka, Kazuyuki; Iida, Hidehiro; Ihara, Masafumi

    2016-01-01

    The bilateral common carotid artery stenosis (BCAS) mouse model, which replicates chronic cerebral hypoperfusion and white matter ischemic lesions, is considered to model some aspects of vascular cognitive impairment. Cerebral blood flow (CBF) changes in the brain surface post-BCAS have been demonstrated by laser speckle flowmetry, but CBF levels in the brain parenchyma remain unknown. Adult C57BL/6J male mice were subjected to BCAS using external microcoils. Brain magnetic resonance angiography (MRA) was conducted to visualize the intracranial main arteries while arterial spin labeling (ASL) was used to measure cortical and subcortical parenchymal CBF levels before and after BCAS. Brain MRA showed anterior circulation flow was substantially decreased until 14 days post-BCAS, which gradually but incompletely recovered over the following 14 days, with probable growth of collaterals from the posterior cerebral artery. ASL showed that cortical and subcortical parenchymal CBF remained decreased at approximately 50% of the baseline level during 1 and 14 days post-BCAS, recovering to approximately 70% at day 28. CBF levels in the parenchyma were lower than the cortical superficial region in the BCAS model and remained decreased without recovery during the first 2 weeks post-BCAS. These results suggest that the BCAS model reliably replicates chronic cerebral hypoperfusion. PMID:27535801

  8. Clinical presentation and imaging results of patients with symptomatic gluteus medius tears

    PubMed Central

    Lindner, Dror; Shohat, Noam; Botser, Itamar; Agar, Gabriel; Domb, Benjamin G.

    2015-01-01

    Greater trochanteric pain syndrome (GTPS) is a common complaint. Recently, it has become well recognized that tendinopathy and tears of the gluteus medius (GM) are a cause of recalcitrant GTPS. Nevertheless, the clinical syndrome associated with GM tears is not fully characterized. We characterize the clinical history, findings on physical examination, imaging and intraoperative findings associated with symptomatic GM tears. Forty-five patients (47 hips) who underwent GM repair for the diagnosis of tear were evaluated. Pain was estimated on the visual analog scale (VAS) and hip-specific scores were administered to assess functional status. The imaging modalities were reviewed and intra operative findings were recorded. The average patient age was 54 years (17–76), 93% were females. Symptom onset was commonly insidious (75%) and the average time to diagnosis was 28 months (2–240). The most common pain location was the lateral hip (75%). The average pre-surgery VAS and modified Harris Hip Score were 6.65 (0–10) and 55.5 (12–90), respectively. All patients had pathological findings on magnetic resonance angiogram (MRA) ranging from tendinosis to complete tears of the GM tendon. There was a discrepancy between MRA interpretation by a radiologist and findings during surgery. Hip abductor tears are an under-recognized cause of hip pain and hip symptomatology. In this study, we further characterize the clinical presentation of this entity. The data we present here may facilitate early diagnosis, early orthopedic care and avoid unnecessary prolonged patient sufferings. PMID:27011854

  9. Gadofosveset: MS 325, MS 32520, Vasovist, ZK 236018.

    PubMed

    2004-01-01

    100 sales representatives. In January 2001, EPIX Medical reacquired the Japanese rights for gadofosveset from Daiichi Radioisotope Laboratories and exclusively licensed them to Schering AG. With this agreement, Schering AG has worldwide rights for gadofosveset. The financial terms of the Japanese rights agreement included a US$3 million upfront fee, and additional milestone payments from Schering AG to EPIX Medical. On 16 December 2003, EPIX announced that it submitted an NDA to the US FDA for gadofosveset for vascular imaging using magnetic resonance angio-graphy (MRA). This is the first NDA filed for approval with the FDA for a MR contrast agent for the primary indication of MRA. The NDA is based on the results of 18 clinical trials in 1438 patients who received gadofosveset. In February 2004, EPIX Medical announced that the NDA for gadofosveset was accepted for filing by the FDA and would proceed through a standard review cycle. The approval for gadofosveset is expected at the end of 2004. In January 2004, Schering reported at the JP Morgan Healthcare Conference that it plans a product launch in the US sometime in 2005.EPIX and Schering have completed four phase III studies in patients with suspected atherosclerotic disease in the aortoilliac, pedal and renal arteries for inclusion in the NDA submission. These trials were conducted at 86 clinical sites and involved 782 patients. The blinded reading of almost 4000 vessels showed that gadofosveset improved diagnostic accuracy of MRA compared with non-contrast MRA. The diagnostic efficacy of gadofosveset-enhanced MRA was comparable to that of x-ray angiography. These trials were initiated in accordance with the recommendations of the FDA to expand gadofosveset's target indication of aortoiliac occlusive disease to a broader peripheral vascular disease indication. In July 2004, EPIX Medical initiated a multicentre, post-NDA trial with gadofosveset for use in high-resolution vessel imaging for the characterisation of

  10. Effects of extended aging and modified atmospheric packaging on beef top loin steak color.

    PubMed

    English, A R; Mafi, G G; VanOverbeke, D L; Ramanathan, R

    2016-04-01

    The objective of this study was to evaluate the effects of extended aging and modified atmospheric packaging on beef LM color. Using a randomized complete block design, each beef longissimus lumborum muscle ( = 10; USDA Choice, 3 d postmortem) was equally divided into 3 sections and randomly assigned to 1 of 3 aging periods (21, 42, or 62 d at 2°C). After respective aging, each loin section was cut into four 2.5-cm-thick steaks and randomly assigned to 1 of 3 packaging types (PVC, HiOx-MAP [80% oxygen and 20% carbon dioxide], or CO-MAP [0.4% carbon monoxide, 69.6% nitrogen, and 30% carbon dioxide]). The steaks were displayed under continuous fluorescent lighting for 6 d, and surface color was determined daily using a HunterLab Miniscan XE Plus spectrophotometer and a visual panel. The fourth steak was used to characterize oxygen consumption (OC), lipid oxidation, and metmyoglobin reducing activity (MRA) on 21, 42, and 62 d (before display). On d 6 display, MRA, OC, and lipid oxidation also were measured. An increase in aging time decreased ( < 0.0001) muscle pH. Loin sections aged for 42 and 62 d had a lower ( < 0.0002) pH compared with loin sections aged for 21 d. An aging period × packaging × display time interaction ( < 0.0001) resulted for a* values (redness), chroma, and visual color (muscle color and surface discoloration). As aging time increased, HiOx-MAP had the most discoloration ( < 0.0001) compared with other packaging types on d 6. At all aging periods, steaks packaged in CO-MAP had greater ( < 0.0001) MRA on d 6 than PVC and HiOx-MAP, whereas steaks packaged in HiOx-MAP had the least MRA ( < 0.0001). There were no differences ( = 0.34) in thiobarbituric acid reactive substances values between steaks aged for 21 and 42 d when steaks were packaged in CO-MAP and displayed for 6 d. However, steaks packaged in HiOx-MAP and displayed 6 d had greater ( < 0.0001) lipid oxidation than CO-MAP. Steaks packaged in HiOx-MAP had a lower ( < 0.0001) OC compared

  11. Common Carotid Intima Media Thickness and Ankle-Brachial Pressure Index Correlate with Local but Not Global Atheroma Burden: A Cross Sectional Study Using Whole Body Magnetic Resonance Angiography

    PubMed Central

    Weir-McCall, Jonathan R.; Khan, Faisel; Lambert, Matthew A.; Adamson, Carly L.; Gardner, Michael; Gandy, Stephen J.; Ramkumar, Prasad Guntur; Belch, Jill J. F.; Struthers, Allan D.; Rauchhaus, Petra; Morris, Andrew D.; Houston, J. Graeme

    2014-01-01

    Background Common carotid intima media thickness (CIMT) and ankle brachial pressure index (ABPI) are used as surrogate marker of atherosclerosis, and have been shown to correlate with arterial stiffness, however their correlation with global atherosclerotic burden has not been previously assessed. We compare CIMT and ABPI with atheroma burden as measured by whole body magnetic resonance angiography (WB-MRA). Methods 50 patients with symptomatic peripheral arterial disease were recruited. CIMT was measured using ultrasound while rest and exercise ABPI were performed. WB-MRA was performed in a 1.5T MRI scanner using 4 volume acquisitions with a divided dose of intravenous gadolinium gadoterate meglumine (Dotarem, Guerbet, FR). The WB-MRA data was divided into 31 anatomical arterial segments with each scored according to degree of luminal narrowing: 0 = normal, 1 = <50%, 2 = 50–70%, 3 = 70–99%, 4 = vessel occlusion. The segment scores were summed and from this a standardized atheroma score was calculated. Results The atherosclerotic burden was high with a standardised atheroma score of 39.5±11. Common CIMT showed a positive correlation with the whole body atheroma score (β 0.32, p = 0.045), however this was due to its strong correlation with the neck and thoracic segments (β 0.42 p = 0.01) with no correlation with the rest of the body. ABPI correlated with the whole body atheroma score (β −0.39, p = 0.012), which was due to a strong correlation with the ilio-femoral vessels with no correlation with the thoracic or neck vessels. On multiple linear regression, no correlation between CIMT and global atheroma burden was present (β 0.13 p = 0.45), while the correlation between ABPI and atheroma burden persisted (β −0.45 p = 0.005). Conclusion ABPI but not CIMT correlates with global atheroma burden as measured by whole body contrast enhanced magnetic resonance angiography in a population with symptomatic peripheral

  12. Markers of acute neuropsychiatric systemic lupus erythematosus: a multidisciplinary evaluation.

    PubMed

    Abda, Essam A; Selim, Zahraa I; Radwan, Moustafa E M; Mahmoud, Nagham M; Herdan, Omar M; Mohamad, Khalid A; Hamed, Sherifa A

    2013-05-01

    This study was aimed to assess: (1) the additive diagnostic utility of diffusion-weighted imaging (DWI) and magnetic resonance angiography (MRA) over conventional MRI in detecting brain lesions in patients with acute primary neuropsychiatric systemic lupus erythematosus (NPSLE), and (2) the relevance of their findings to the associated NP manifestations. Included were 34 patients with acute NPSLE with mean age of 33.26 ± 10.14 years and duration of illness of 3.33 ± 1.71 years. Clinical interviewing and psychiatric and cognitive evaluations were performed by applying the criteria of the diagnostic and statistical manual of mental health disorders criteria (DSM-IV), Stanford Binet Subset Testing, Mini-Mental State Examination and Wechsler Memory Scale-Revised. Serologic tests included looking for antinuclear antibodies, anti-double strand DNA, anti-phospholipid antibodies. Radiologic evaluation included conventional MRI, DWI and MRA. One or more NP manifestations were diagnosed in 28 patients, in which cognitive deficits were reported with headache, psychosis and CVS. Anti-phospholipid antibodies were reported in patients with CVS. Twenty patients (71.43 %) with primary NPSLE (n = 28) had MRI abnormalities in which hyperintense signals at subcortical and periventricular white matter and at the junction between the gray and white matter represented 75 % (n = 15) and with headache (n = 6), psychosis (n = 6) and acute confusional state (n = 3) with and without cognitive deficits, respectively. Moderate-sized infarctions with restricted diffusion in the distribution of middle cerebral arteries were represented in 35 % (n = 7) and with CVS, of them, 71.43 % (n = 5) had beading and focal narrowing of carotid arteries were consistent with vasculitis. Brain atrophy represented 20 % (n = 4) and with psychosis. Compared to those with normal MRI, patients with MRI abnormalities were older (P < 0.050) and had longer duration of illness (P < 0.050). To conclude, although DWI

  13. Regorafenib assessment in refractory advanced colorectal cancer: RegARd-C study protocol

    PubMed Central

    Hendlisz, Alain; Deleporte, Amélie; Vandeputte, Caroline; Charette, Nicolas; Paesmans, Marianne; Guiot, Thomas; Garcia, Camilo; Flamen, Patrick

    2015-01-01

    Introduction Regorafenib was recently approved for patients with pretreated advanced colorectal cancer (aCRC), despite a moderate improvement of the patients’ outcome, and significant toxicities. Based on previous studies showing that early fluorodeoxyglucose-positron emission tomography (FDG-PET)-based metabolic response assessment (MRA) might adequately select patients unlikely to benefit from treatment, the RegARd-C trial uses early MRA to identify likely non-responders to regorafenib in a population of patients with aCRC and guide a comprehensive evaluation of genomic and epigenetic determinants of resistance to treatment. Methods and analysis RegARd-C is a multicentric prospective study. Its primary objective is to identify non-benefitters from regorafenib given at 160 mg/day, 3 weeks out of 4 in a population of patients with pretreated aCRC. Baseline PET is repeated at day 14 of the first treatment course. MRA is blinded for the investigators. Overall survival (OS) is the primary end point and will be correlated with metabolic parameters and (epi)genetic alterations assessed from tumour and serial blood samples. A target sample size of 105 evaluable patients (70 as derivation set and 35 as validation set), is considered as sufficient to validate an expected HR for OS of metabolic responders compared to metabolic non-responders significantly <1 (with 80% power and 1-sided 5% α in case of a true HR≤0.59 and a responders rate of 47%). Ethics and dissemination The study was approved by the Institut Jules Bordet's competent ethics committee and complies with the Helsinki declaration or the Belgian laws and regulations, whichever provides the greatest protection for the patient, and follows the International Conference on Harmonisation E 6 (R1) Guideline for Good Clinical Practice, reference number CPMP/ICH/135/95. The protocol and the trials results, even inconclusive, will be presented at international oncology congresses, and published in peer

  14. Cardiovascular magnetic resonance physics for clinicians: Part II.

    PubMed

    Biglands, John D; Radjenovic, Aleksandra; Ridgway, John P

    2012-01-01

    This is the second of two reviews that is intended to cover the essential aspects of cardiovascular magnetic resonance (CMR) physics in a way that is understandable and relevant to clinicians using CMR in their daily practice. Starting with the basic pulse sequences and contrast mechanisms described in part I, it briefly discusses further approaches to accelerate image acquisition. It then continues by showing in detail how the contrast behaviour of black blood fast spin echo and bright blood cine gradient echo techniques can be modified by adding rf preparation pulses to derive a number of more specialised pulse sequences. The simplest examples described include T2-weighted oedema imaging, fat suppression and myocardial tagging cine pulse sequences. Two further important derivatives of the gradient echo pulse sequence, obtained by adding preparation pulses, are used in combination with the administration of a gadolinium-based contrast agent for myocardial perfusion imaging and the assessment of myocardial tissue viability using a late gadolinium enhancement (LGE) technique. These two imaging techniques are discussed in more detail, outlining the basic principles of each pulse sequence, the practical steps required to achieve the best results in a clinical setting and, in the case of perfusion, explaining some of the factors that influence current approaches to perfusion image analysis. The key principles of contrast-enhanced magnetic resonance angiography (CE-MRA) are also explained in detail, especially focusing on timing of the acquisition following contrast agent bolus administration, and current approaches to achieving time resolved MRA. Alternative MRA techniques that do not require the use of an endogenous contrast agent are summarised, and the specialised pulse sequence used to image the coronary arteries, using respiratory navigator gating, is described in detail. The article concludes by explaining the principle behind phase contrast imaging techniques

  15. Spherical wavelet transform: linking global seismic tomography and imaging

    NASA Astrophysics Data System (ADS)

    Pan, J.

    2001-12-01

    Each year, numerous seismic tomographic images are published based on either new parameterization, damping schemes or datasets. Though people agree generally on the longer- wavelength seismic structures, large discrepencies still exist among various models. Normally the data is noisy, thus the inverse problem is often ill-conditioned. Sampling rate may be enough to resolve for long-wavelength structures when we parameterize the earth to a low harmonic order. However, higher order signals (slabs, plume-like structures, and local seismic velocity anomalies (SVA)) on a global scale remain under-sampled. Finer discretization of the model space increases the problem size dramatically but does not alleviate the nature of the problem. The main challenge thus is to find an efficient representation of the model space to solve for the lower- and higher- degree SVAs simultaneously. Spherical wavelets are a good choice because of their compact support (locaized) in both spatial and frequency domains. If SVAs can be viewed as an image, they consist of smooth-varying signals superpositioned by small-scale local changes and can be compressed greatly and represented better using spherical wavelets. By mapping the model parameters into a nested multi-resolution analysis (MRA) space, the signals become comparable in size therefore stable solutions can be achieved at every level of the resolution without introducing subjective damping. The efficiency of using wavelets and MRA to denoise and compress signals can be used to reduce the problem size and eliminate effects of noisy data. This new algorithm can achieve better resolving power for 2D and 3D seismic tomography, by linking image processing with inverse theory. Advances in spherical wavelets enable the introduction of wavelet analysis and a new parameterization of MRA into global tomography studies. In this paper, we present the new inversion method based on spherical wavelet transform. An application to 2D surface wave

  16. Can Automated Imaging for Optic Disc and Retinal Nerve Fiber Layer Analysis Aid Glaucoma Detection?

    PubMed Central

    Banister, Katie; Boachie, Charles; Bourne, Rupert; Cook, Jonathan; Burr, Jennifer M.; Ramsay, Craig; Garway-Heath, David; Gray, Joanne; McMeekin, Peter; Hernández, Rodolfo; Azuara-Blanco, Augusto

    2016-01-01

    Purpose To compare the diagnostic performance of automated imaging for glaucoma. Design Prospective, direct comparison study. Participants Adults with suspected glaucoma or ocular hypertension referred to hospital eye services in the United Kingdom. Methods We evaluated 4 automated imaging test algorithms: the Heidelberg Retinal Tomography (HRT; Heidelberg Engineering, Heidelberg, Germany) glaucoma probability score (GPS), the HRT Moorfields regression analysis (MRA), scanning laser polarimetry (GDx enhanced corneal compensation; Glaucoma Diagnostics (GDx), Carl Zeiss Meditec, Dublin, CA) nerve fiber indicator (NFI), and Spectralis optical coherence tomography (OCT; Heidelberg Engineering) retinal nerve fiber layer (RNFL) classification. We defined abnormal tests as an automated classification of outside normal limits for HRT and OCT or NFI ≥ 56 (GDx). We conducted a sensitivity analysis, using borderline abnormal image classifications. The reference standard was clinical diagnosis by a masked glaucoma expert including standardized clinical assessment and automated perimetry. We analyzed 1 eye per patient (the one with more advanced disease). We also evaluated the performance according to severity and using a combination of 2 technologies. Main Outcome Measures Sensitivity and specificity, likelihood ratios, diagnostic, odds ratio, and proportion of indeterminate tests. Results We recruited 955 participants, and 943 were included in the analysis. The average age was 60.5 years (standard deviation, 13.8 years); 51.1% were women. Glaucoma was diagnosed in at least 1 eye in 16.8%; 32% of participants had no glaucoma-related findings. The HRT MRA had the highest sensitivity (87.0%; 95% confidence interval [CI], 80.2%–92.1%), but lowest specificity (63.9%; 95% CI, 60.2%–67.4%); GDx had the lowest sensitivity (35.1%; 95% CI, 27.0%–43.8%), but the highest specificity (97.2%; 95% CI, 95.6%–98.3%). The HRT GPS sensitivity was 81.5% (95% CI, 73.9%–87.6%), and

  17. A finite element solution to conjugated heat transfer in tissue using magnetic resonance angiography to measure the in vitro velocity field

    NASA Astrophysics Data System (ADS)

    Dutton, Andrew William

    1993-12-01

    A combined numerical and experimental system for tissue heat transfer analysis was developed. The goal was to develop an integrated set of tools for studying the problem of providing accurate temperature estimation for use in hyperthermia treatment planning in a clinical environment. The completed system combines (1) Magnetic Resonance Angiography (MRA) to non-destructively measure the velocity field in situ, (2) the Streamwise Upwind Petrov-Galerkin finite element solution to the 3D steady state convective energy equation (CEE), (3) a medical image based automatic 3D mesh generator, and (4) a Gaussian type estimator to determine unknown thermal model parameters such as thermal conductivity, blood perfusion, and blood velocities from measured temperature data. The system was capable of using any combination of three thermal models (1) the Convective Energy Equation (CEE), (2) the Bioheat Transfer Equation (BHTE), and (3) the Effective Thermal Conductivity Equation (ETCE) Incorporation of the theoretically correct CEE was a significant theoretical advance over approximate models made possible by the use of MRA to directly measure the 3D velocity field in situ. Experiments were carried out in a perfused alcohol fixed canine liver with hyperthermia induced through scanned focused ultrasound Velocity fields were measured using Phase Contrast Angiography. The complete system was then used to (1) develop a 3D finite element model based upon user traced outlines over a series of MR images of the liver and (2) simulate temperatures at steady state using the CEE, BHTE, and ETCE thermal models in conjunction with the gauss estimator. Results of using the system on an in vitro liver preparation indicate the need for improved accuracy in the MRA scans and accurate spatial registration between the thermocouple junctions, the measured velocity field, and the scanned ultrasound power No individual thermal model was able to meet the desired accuracy of 0.5 deg C, the resolution

  18. A prospective study of shoulder pain in primary care: Prevalence of imaged pathology and response to guided diagnostic blocks

    PubMed Central

    2011-01-01

    Background The prevalence of imaged pathology in primary care has received little attention and the relevance of identified pathology to symptoms remains unclear. This paper reports the prevalence of imaged pathology and the association between pathology and response to diagnostic blocks into the subacromial bursa (SAB), acromioclavicular joint (ACJ) and glenohumeral joint (GHJ). Methods Consecutive patients with shoulder pain recruited from primary care underwent standardised x-ray, diagnostic ultrasound scan and diagnostic injections of local anaesthetic into the SAB and ACJ. Subjects who reported less than 80% reduction in pain following either of these injections were referred for a magnetic resonance arthrogram (MRA) and GHJ diagnostic block. Differences in proportions of positive and negative imaging findings in the anaesthetic response groups were assessed using Fishers test and odds ratios were calculated a for positive anaesthetic response (PAR) to diagnostic blocks. Results In the 208 subjects recruited, the rotator cuff and SAB displayed the highest prevalence of pathology on both ultrasound (50% and 31% respectively) and MRA (65% and 76% respectively). The prevalence of PAR following SAB injection was 34% and ACJ injection 14%. Of the 59% reporting a negative anaesthetic response (NAR) for both of these injections, 16% demonstrated a PAR to GHJ injection. A full thickness tear of supraspinatus on ultrasound was associated with PAR to SAB injection (OR 5.02; p < 0.05). Ultrasound evidence of a biceps tendon sheath effusion (OR 8.0; p < 0.01) and an intact rotator cuff (OR 1.3; p < 0.05) were associated with PAR to GHJ injection. No imaging findings were strongly associated with PAR to ACJ injection (p ≤ 0.05). Conclusions Rotator cuff and SAB pathology were the most common findings on ultrasound and MRA. Evidence of a full thickness supraspinatus tear was associated with symptoms arising from the subacromial region, and a biceps tendon sheath effusion

  19. Application of 3.0T magnetic resonance arterial spin labeling (ASL) technology in mild and moderate intracranial atherosclerotic stenosis

    PubMed Central

    LI, ZHONGWEI; LI, NAIKUN; QU, YANYAN; GAI, FENG; ZHANG, GUOWEI; ZHANG, GUANGHUI

    2016-01-01

    The application value of 3.0T magnetic resonance arterial spin labeling (ASL) technology in mild and moderate intracranial atherosclerotic stenosis was evaluated. A total of 58 cases of transient ischemic attack (TIA) and 60 cases of ischemic cerebral apoplexy cases were selected. The cases were analysed using a GE Healthcare Signa HDx 3.0T superconducting whole-body magnetic resonance scan within 24 h of attack. Eight-channel head phased array coils and conventional sequence were used to create T1-weighted images (T1WI), T2WI, diffusion-weighted imaging, magnetic resonance angiography (MRA) and ASL imaging, which were generated into ASL pseudo-color images (blue was hypoperfusion area) through post-processing in order to compare and analyze the correlation and differences between ASL and conventional imaging in terms of lesion location, size, blood perfusion situation and signal range of relative cerebral blood flow (rCBF). The results showed that, 13 TIA cases of abnormal signal in conventional magnetic resonance imaging (MRI) can also be found through ASL technology. Diameter stenosis beyond 30% in MRA can also be tested in ASL. A positive rate in ASL was significantly higher than that of conventional MRI (χ2=29.078, P<0.001) and hypoperfusion area was greatly increased (t=32.526, P<0.001). The rCBF value was positively correlated with the degree of diameter stenosis shown in MRA (r=0.524, P=0.012). Additionally, the positive rate of ASL was positively correlated with the attack times of TIA (r=0.352, P=0.027). A total of 39 cerebral apoplexy cases of abnormal signal in conventional MRI were also found through ASL technology. A positive rate in ASL was significantly higher than that of conventional MRI (χ2=7.685, P=0.006) and hypoperfusion area was greatly increased (t=9.425, P<0.001). The rCBF value was positively correlated with the degree of diameter stenosis (r=0.635, P=0.009). In conclusion, 3.0T ASL correlated with early diagnosis of TIA and mild and

  20. Cardiovascular magnetic resonance physics for clinicians: part II

    PubMed Central

    2012-01-01

    This is the second of two reviews that is intended to cover the essential aspects of cardiovascular magnetic resonance (CMR) physics in a way that is understandable and relevant to clinicians using CMR in their daily practice. Starting with the basic pulse sequences and contrast mechanisms described in part I, it briefly discusses further approaches to accelerate image acquisition. It then continues by showing in detail how the contrast behaviour of black blood fast spin echo and bright blood cine gradient echo techniques can be modified by adding rf preparation pulses to derive a number of more specialised pulse sequences. The simplest examples described include T2-weighted oedema imaging, fat suppression and myocardial tagging cine pulse sequences. Two further important derivatives of the gradient echo pulse sequence, obtained by adding preparation pulses, are used in combination with the administration of a gadolinium-based contrast agent for myocardial perfusion imaging and the assessment of myocardial tissue viability using a late gadolinium enhancement (LGE) technique. These two imaging techniques are discussed in more detail, outlining the basic principles of each pulse sequence, the practical steps required to achieve the best results in a clinical setting and, in the case of perfusion, explaining some of the factors that influence current approaches to perfusion image analysis. The key principles of contrast-enhanced magnetic resonance angiography (CE-MRA) are also explained in detail, especially focusing on timing of the acquisition following contrast agent bolus administration, and current approaches to achieving time resolved MRA. Alternative MRA techniques that do not require the use of an endogenous contrast agent are summarised, and the specialised pulse sequence used to image the coronary arteries, using respiratory navigator gating, is described in detail. The article concludes by explaining the principle behind phase contrast imaging techniques

  1. Non-contact measurement of pulse wave velocity using RGB cameras

    NASA Astrophysics Data System (ADS)

    Nakano, Kazuya; Aoki, Yuta; Satoh, Ryota; Hoshi, Akira; Suzuki, Hiroyuki; Nishidate, Izumi

    2016-03-01

    Non-contact measurement of pulse wave velocity (PWV) using red, green, and blue (RGB) digital color images is proposed. Generally, PWV is used as the index of arteriosclerosis. In our method, changes in blood volume are calculated based on changes in the color information, and is estimated by combining multiple regression analysis (MRA) with a Monte Carlo simulation (MCS) model of the transit of light in human skin. After two pulse waves of human skins were measured using RGB cameras, and the PWV was calculated from the difference of the pulse transit time and the distance between two measurement points. The measured forehead-finger PWV (ffPWV) was on the order of m/s and became faster as the values of vital signs raised. These results demonstrated the feasibility of this method.

  2. SUPPLEMENTARY COMPARISON: Final report on COOMET.RI(II)-S2.Cs-137 (319/RU/04): Comparison measurements of radionuclide volume sources (Cs-137)

    NASA Astrophysics Data System (ADS)

    Korostin, S.; Hernandez, T.; Oropesa, P.; Arnold, D.; Evseev, V.; Ivanukovich, A.; Milevskiy, V.; Svec, A.; Lapenas, A.; Andonova, V.; Steiner, V.

    2010-01-01

    Measurements of the Cs-137 specific activity in artificial volume material of water density were performed in nine laboratories with the HPGe spectrometry technique. Analysis of the gamma radiation absorption in the measured material and in the most important substances for environmental monitoring (food, water, biological materials, soils) confirmed Compton scattering as the main mechanism of interaction. The list of CMCs supported by the comparison is suggested in the report of this comparison. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by COOMET, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  3. KEY COMPARISON: Measurement of activity concentration of radionuclide Cs-137 in a solution (COOMET Project no 386/RU/06)

    NASA Astrophysics Data System (ADS)

    Kharitonov, I. A.; Zanevsky, A. V.; Milevski, V.; Ivaniukovich, A.; Oropesa Verdecia, P.; Moreno León, Y.; Svec, A.

    2008-01-01

    A COOMET.RI(II)-K2.Cs-137 comparison of the measurement of a standardized solution of Cs-137 has enabled three national metrology institutes in the COOMET to demonstrate their traceability to the SI. The results of the comparison will be used to evaluate degrees of equivalence for these institutes through the measurements of the linking laboratory in the key comparison BIPM.RI(II)-K1.Cs-137. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI Section II, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  4. SUPPLEMENTARY COMPARISON: Final report on COOMET.RI(II)-S2.Eu-152 (319/RU/04): Comparison measurements of radionuclide volume sources (Eu-152)

    NASA Astrophysics Data System (ADS)

    Korostin, S.; Hernandez, T.; Oropesa, P.; Arnold, D.; Evseev, V.; Ivanukovich, A.; Milevskiy, V.; Svec, A.; Lapenas, A.; Andonova, V.; Steiner, V.

    2010-01-01

    Measurements of the Eu-152 specific activity in an artificial volume sample of water density were performed in nine laboratories with the HPGe spectrometry technique. Analysis of the gamma radiation absorption in the sample material confirmed Compton scattering as the main mechanism of interaction of photons with energy between 300-600 keV and 779-1408 keV in the most important substances for environmental monitoring (food, water, biological materials, soils). A list of CMCs supported by the comparison is suggested in the report. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by COOMET, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  5. Final report on COOMET.RI(II)-K2.Eu-152: Measurement of activity concentration of radionuclide Eu-152 in a solution (COOMET project no 423/RU/08)

    NASA Astrophysics Data System (ADS)

    Kharitonov, I. A.; Zanevsky, A. V.; Milevski, V.; Ivaniukovich, A.; Oropesa Verdecia, P.; Moreno León, Y.; Švec, A.

    2013-01-01

    The COOMET.RI(II)-K2.Eu-152 comparison of measurements of a standardized solution of Eu-152 has enabled the demonstration of the traceability to the SI of the national measurement standards of three national metrology institutes of the COOMET countries: BelGIM, CENTIS-DMR and SMU. The pilot laboratory is the D I Mendeleyev Institute for Metrology (VNIIM), which participated in the BIPM.RI(II)-K1.Eu-152 key comparison and will provide the link to evaluate the degrees of equivalence for these institutes. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  6. Final report of supplementary comparison AFRIMETS.AUV.A-S1: primary pressure calibration of LS2aP microphones according to IEC 61094-2, over the frequency range 1 Hz to 31.5 kHz.

    NASA Astrophysics Data System (ADS)

    Nel, R.; Barrera-Figueroa, S.; Dobrowolska, D.; Defilippo Soares, Z. M.; Maina, A. K.; Hof, C.

    2016-01-01

    This is the final report of the AFRIMETS.AUV-S1 comparison of the pressure sensitivity, modulus and phase, of LS2aP microphones in the frequency range 1 Hz to 31.5 kHz in accordance with IEC 61094-2. Six national metrology institutes from three different regional metrology organisations participated in the comparison for which two LS2aP microphones were circulated simultaneously to all the participants in a hybrid-star configuration. The comparison reference values were calculated as the weighted mean for modulus and phase for each individual microphone. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  7. Management of anterior triangle swellings in a tertiary vascular centre with emphasis on the roles of duplex ultrasound, computed tomography angiogram and magnetic resonance angiogram: a case series

    PubMed Central

    2009-01-01

    Background Anterior triangle masses pose an important clinical dilemma. It is very difficult to distinguish the potential pathologies pre operatively by clinical and radiological assessment. Case report The first case highlights the management of a bilateral chemodectoma, the second case is a presentation of castleman's disease and the third is that of metastatic tonsillar adenocarcinoma. All three cases had a similar presentation and radiological appearance pre-operatively. Conclusion Anterior triangle masses span the clinical spectrum of pathologies from chemodectoma to castleman's disease to carcinoma. Expert vascular and radiological management is required for optimum patient care and should take place in a tertiary referral centre. Duplex US, CTA and MRA are important pre operative assessment tools to ensure that adequate information regarding the relationship of the lesion to the carotid artery is available to the operating surgeon who should have vascular expertise as deliberate practice volume has been repeatedly shown to result in improved patient outcome. PMID:20062689

  8. Comparison of Two Machine Learning Regression Approaches (Multivariate Relevance Vector Machine and Artificial Neural Network) Coupled with Wavelet Decomposition to Forecast Monthly Streamflow in Peru

    NASA Astrophysics Data System (ADS)

    Ticlavilca, A. M.; Maslova, I.; McKee, M.

    2011-12-01

    This research presents a modeling approach that incorporates wavelet-based analysis techniques used in statistical signal processing and multivariate machine learning regression to forecast monthly streamflow in Peru. Two machine learning regression approaches, Multivariate Relevance Vector Machine and Artificial Neural Network, are compared in terms of performance and robustness. The inputs of the model utilize information of streamflow and Pacific sea surface temperature (SST). The monthly Pacific SST data (from 1950 to 2010) are obtained from the NOAA Climate Prediction Center website. The inputs are decomposed into meaningful components formulated in terms of wavelet multiresolution analysis (MRA). The outputs are the forecasts of streamflow two, four and six months ahead simultaneously. The proposed hybrid modeling approach of wavelet decomposition and machine learning regression can capture sufficient information at meaningful temporal scales to improve the performance of the streamflow forecasts in Peru. A bootstrap analysis is used to explore the robustness of the hybrid modeling approaches.

  9. HYPR: constrained reconstruction for enhanced SNR in dynamic medical imaging

    NASA Astrophysics Data System (ADS)

    Mistretta, C.; Wieben, O.; Velikina, J.; Wu, Y.; Johnson, K.; Korosec, F.; Unal, O.; Chen, G.; Fain, S.; Christian, B.; Nalcioglu, O.; Kruger, R. A.; Block, W.; Samsonov, A.; Speidel, M.; Van Lysel, M.; Rowley, H.; Supanich, M.; Turski, P.; Wu, Yan; Holmes, J.; Kecskemeti, S.; Moran, C.; O'Halloran, R.; Keith, L.; Alexander, A.; Brodsky, E.; Lee, J. E.; Hall, T.; Zagzebski, J.

    2008-03-01

    During the last eight years our group has developed radial acquisitions with angular undersampling factors of several hundred that accelerate MRI in selected applications. As with all previous acceleration techniques, SNR typically falls as least as fast as the inverse square root of the undersampling factor. This limits the SNR available to support the small voxels that these methods can image over short time intervals in applications like time-resolved contrast-enhanced MR angiography (CE-MRA). Instead of processing each time interval independently, we have developed constrained reconstruction methods that exploit the significant correlation between temporal sampling points. A broad class of methods, termed HighlY Constrained Back PRojection (HYPR), generalizes this concept to other modalities and sampling dimensions.

  10. SUPPLEMENTARY COMPARISON: Final report on the APMP comparison of capacitance at 100 pF (APMP supplementary comparison APMP.EM-S7)

    NASA Astrophysics Data System (ADS)

    Johnson, Leigh; Chua, Wey; Corney, Andrew; Hsu, Jimmy; Sardjono, Hadi; Lee, Rae Duk; Zhonghua, Zhang; Charoensook, Ajchara; Coogan, Peter; Nakamura, Yasuhiro; Moodley, Alan; Saxena, A. K.; Yan, Y. K.; Zainal Abidin, Abdul Rashid Bin; Lee, Jinni; Semenov, Yuri

    2008-01-01

    A comparison of capacitance at 100 pF was conducted between thirteen participating laboratories from the Asia-Pacific region. Measurements were made over the period 2004 to 2006. The behaviour of the travelling artefact was consistent with a steady linear drift at a rate of less than 0.1 µF/F per year. Despite the wide range of capabilities within the region, the results showed good agreement between all participating laboratories. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the APMP, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  11. KEY COMPARISON: Final report on the APMP comparison of capacitance at 10 pF: APMP.EM-K4.1

    NASA Astrophysics Data System (ADS)

    Johnson, Leigh; Chua, Wey; Corney, Andrew; Hsu, Jimmy; Sardjono, Hadi; Lee, Rae Duk; Zhonghua, Zhang; Charoensook, Ajchara; Coogan, Peter; Nakamura, Yasuhiro; Moodley, Alan; Saxena, A. K.; Yan, Y. K.; Zainal Abidin, Abdul Rashid Bin; Lee, Jinni; Semenov, Yuri

    2009-01-01

    A comparison of capacitance at 10 pF was conducted between thirteen participating laboratories from the Asia-Pacific region. Measurements were made between 2004 and 2006. The behaviour of the travelling artefact was consistent with a steady linear drift at a rate of approximately 0.1 µF/F per year. Despite the wide range of capabilities within the region, the results showed good agreement between all but one of the participating laboratories. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  12. KEY COMPARISON: Final report on CCEM-K10: Key comparison of resistance standards at 100 Ω

    NASA Astrophysics Data System (ADS)

    Schumacher, Bernd

    2007-01-01

    A key comparison of resistance standards at 100 Ω started in 2001. The pilot laboratory, seven national metrological institutes and the BIPM participated in that comparison. Within an expanded measurement uncertainty (k = 2) of 2 × 10-8 the results of the participants agreed with the key comparison reference value. The comparison was limited by the transport behaviour of the travelling standards and hence does not reflect the actual calibration capabilities of the participants. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  13. Key comparison BIPM.RI(I)-K5 of the air kerma standards of the ININ, Mexico and the BIPM in 137Cs gamma radiation

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Burns, D. T.; Alvarez Romero, J. T.; De la Cruz Hernández, D.; Cabrera Vertti, M. R.; Tovar-Muñoz, V. M.

    2015-01-01

    A direct comparison of the standards for air kerma of the Instituto Nacional de Investigaciones Nucleares (ININ), Mexico, and of the Bureau International des Poids et Mesures (BIPM) was carried out in the 137Cs radiation beam of the BIPM in February 2015. The comparison result, evaluated as a ratio of the ININ and the BIPM standards for air kerma, is 1.0048 with a combined standard uncertainty of 2.0 × 10-3. The results are analysed and presented in terms of degrees of equivalence for entry in the BIPM key comparison database. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  14. Bilateral key comparison SIM.T-K6.2 on humidity standards in the dew/frost-point temperature range from -20 °c to 20 °c

    NASA Astrophysics Data System (ADS)

    Huang, P. H.; Meyer, C. W.; Martines-López, E.; Dávila Pacheco, J. A.; Méndez-Lango, E.

    2014-01-01

    A Regional Metrology Organization (RMO) Key Comparison of dew/frost point temperatures was carried out by the National Institute of Standards and Technology (NIST, USA) and the Centro Nacional de Metrologia (CENAM, Mexico) between July 2008 and December 2008. The results of this comparison are reported here, along with descriptions of the humidity laboratory standards for NIST and CENAM and the uncertainty budget for these standards. This report also describes the protocol for the comparison and presents the data acquired. The results are analyzed, determining degree of equivalence between the dew/frost-point standards of NIST and CENAM. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  15. Comparison BIPM.RI(I)-K8 of high dose-rate Ir-192 brachytherapy standards for reference air kerma rate of the PTB and the BIPM

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Allisy-Roberts, P. J.; Selbach, H. J.

    2015-01-01

    An indirect comparison of the standards for reference air kerma rate (RAKR) for 192Ir high dose rate (HDR) brachytherapy sources of the Physikalisch-Technische Bundesanstalt (PTB), Germany, and of the Bureau International des Poids et Mesures (BIPM) was carried out at the PTB in September 2011. The comparison result, based on the calibration coefficients for a transfer standard and expressed as a ratio of the PTB and the BIPM standards for reference air kerma rate, is 1.0003 with a combined standard uncertainty of 0.0099. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  16. Comparison BIPM.RI(I)-K8 of high dose-rate Ir-192 brachytherapy standards for reference air kerma rate of the NRC and the BIPM

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Downton, B.; Mainegra-Hing, E.

    2015-01-01

    An indirect comparison of the standards for reference air kerma rate for 192Ir high dose rate (HDR) brachytherapy sources of the National Research Council (NRC), Canada, and of the Bureau International des Poids et Mesures (BIPM) was carried out at the NRC in August 2014. The comparison result, based on the calibration coefficients for a transfer standard and expressed as a ratio of the NRC and the BIPM standards for reference air kerma rate, is 0.9966 with a combined standard uncertainty of 0.0050. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. Reversible Cerebral Vasoconstriction Syndrome Presenting With Visual Field Defects.

    PubMed

    Raven, Meisha L; Ringeisen, Alexander L; McAllister, Angela R; Knoch, Daniel W

    2016-06-01

    A 45-year-old woman with a history of depression and anxiety, treated with selective serotonin reuptake inhibitors (SSRIs), experienced acute, recurrent, and severe bifrontal headaches. Over time, she developed a left homonymous hemianopia and mental status changes. MRA revealed segmental vasoconstriction of cerebral arteries in multiple vascular distributions. She was treated with a calcium-channel blocker and magnesium, and there was resolution of her symptoms and cerebrovascular changes. Her clinical course and neuroimaging findings were consistent with reversible cerebral vasoconstriction syndrome. Although rare, this disorder frequently manifests with visual complaints. Although the prognosis is generally favorable, patients with this syndrome require prompt diagnosis and care directed to avoid complications including stroke, seizure, and subarachnoid hemorrhage. PMID:26807800

  18. Determination of the magnetic susceptibility and the magentic polarization of weights by means of the susceptometer method

    NASA Astrophysics Data System (ADS)

    Quiroga, A.; Bermudez, A.; Kornblit, F.; Garcia, F.; Fang, H.; Caceres, J.; Peña, L. M.; Ramos, O.; Viaggio, A.; Santo, C.

    2016-01-01

    This report summarizes the results of a SIM comparison of magentic properties by means of the susceptometer method. It was carried out by seven SIM laboraories and BIPM. Five standards have been circulated: two OIML weights class E2, two of them with nominal value 1 kg and two of them with nominal value 2 g, and a steel disk. Most of the results were consistent with each other. This final report shows the degree of equivalence achieved by the participants Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. Simultaneous segmentation and anatomical labeling of the cerebral vasculature.

    PubMed

    Robben, David; Türetken, Engin; Sunaert, Stefan; Thijs, Vincent; Wilms, Guy; Fua, Pascal; Maes, Frederik; Suetens, Paul

    2016-08-01

    We present a novel algorithm for the simultaneous segmentation and anatomical labeling of the cerebral vasculature. Unlike existing approaches that first attempt to obtain a good segmentation and then perform labeling, we optimize for both by simultaneously taking into account the image evidence and the prior knowledge about the geometry and connectivity of the vasculature. This is achieved by first constructing an overcomplete graph capturing the vasculature, and then selecting and labeling the subset of edges that most likely represents the true vasculature. We formulate the latter problem as an Integer Program (IP), which can be solved efficiently to provable optimality. We evaluate our approach on a publicly available dataset of 50 cerebral MRA images, and demonstrate that it compares favorably against state-of-the-art methods. PMID:27131026

  20. Varicella zoster CNS vascular complications. A report of four cases and literature review.

    PubMed

    Chiang, Francisco; Panyaping, Theeraphol; Tedesqui, Gustavo; Sossa, Daniel; Costa Leite, Claudia; Castillo, Mauricio

    2014-06-01

    This study explored the neurologic vascular complications of varicella zoster virus (VZV). We describe four patients presenting at our institution with neurologic involvement by VZV. MR and MRA studies of the intracranial arterial circulation in the head were read by board-certified radiologists using standard clinical procedures. On MRI, three patients had acute infarcts and in two instances irregularities and narrowings of vessels were visible. Many of these complications are recognized to be due to a vasculopathy affecting small or large vessels and resulting in cerebral infarctions and rarely hemorrhages. The pattern of cerebral infarction and vascular abnormalities is not specific and resembles those of vasculitis/vasculopathy from other causes. The central nervous system (CNS) vascular complications of VZV should be considered in the patients with simultaneous primary or prior VZV infection whose imaging studies show cerebral infarction and/or vasculitic appearing intracranial arteries. PMID:24976200

  1. [Angiographically documented hemorrhagic transformation of embolic stroke: A case report].

    PubMed

    Matsubara, Soichiro; Watanabe, Masaki; Inoue, Yasuteru; Ando, Yukio

    2015-01-01

    A 81-year-old man with rheumatoid vasculitis presented with total aphasia followed by right hemiplegia. The NIHSS score was 24. Diffusion weighted magnetic resonance imaging (DWI) demonstrated an acute infarct in the left middle cerebral artery (MCA) territory, and magnetic resonance angiogram (MRA) revealed left MCA M1 occlusion. We administrated recombinant tissue plasminogen activator (rt-PA) at 132 min after symptom onset, but symptom was not improved. Emergency neuroendovascular recanalization was conducted with Penumbra(®) system. After MCA was recanalized partially, extravasations appeared on left lenticulostriate arteries territory at 376 min from symptom onset. Multiple extravasations spread over perforating branches, and ventricular rupture recognized angiographically. After the procedure, head CT demonstrated hematoma on left basal ganglia territory with intraventricular bleeding. Rheumatoid vasculitis might affect hemorrhagic infarction in emergency neuroendovascular recanalization procedure, and careful choice of treatment would be required. PMID:26004258

  2. Final report. SIM comparison in mass standards SIM.M.M-K5

    NASA Astrophysics Data System (ADS)

    Becerra, L. O.; Peña, L. M.; Luján, L.; Díaz, J. C.; Centeno, L. M.; Loayza, V.; Cacais, F.; Ramos, O.; Rodriguez, S.; Garcia, Fr; Garcia, Fe; Leyton, F.; Santo, C.; Caceres, J.; Kornblit, F.; Leiblich, J.; Jacques, C.

    2016-01-01

    This report summarizes the results of a SIM comparison in masss carried out between 7 NMIs. Five mass standards with nominal values 2 kg, 200 g, 50 g, 1 g and 200 mg have been circulated by the NMIs. The results reported by the participants are consistent with each other and with the key comparison reference valu of the comparison CCM.M-K5 to which the present comparison has been linked. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  3. Noise in waveguide between 18 GHz and 26.5 GHz

    NASA Astrophysics Data System (ADS)

    Allal, D.

    2016-01-01

    This report summarises the results of the Key Comparison CCEM.RF-K22.W on noise temperature, performed between October 2007 and February 2011. In this comparison, the available noise temperature of three noise sources was determined by six National Metrology Institutes (NMIs) in the frequency range from 18 GHz to 26.5 GHz. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  4. Key comparison BIPM.RI(I)-K7 of the air-kerma standards of the CMI, Czech Republic and the BIPM in mammography x-rays

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Burns, D.; Roger, P.; Sochor, V.

    2016-01-01

    A first key comparison has been made between the air-kerma standards of the CMI, Czech Republic and the BIPM in mammography x-ray beams. The results show the standards to be in agreement at the level of the standard uncertainty for the comparison of 3.5 parts in 103. The results for an indirect comparison made at the same time are consistent with the direct results at the level of 1 part in 103. The results are analysed and presented in terms of degrees of equivalence, suitable for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  5. Final report on the ongoing key comparison BIPM.QM-K1: Ozone at ambient level, comparison with CENICA (October 2010)

    NASA Astrophysics Data System (ADS)

    Viallon, Joële; Moussay, Philippe; Idrees, Faraz; Wielgosz, Robert; Fentanes, Oscar

    2011-01-01

    As part of the ongoing key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Centro Nacional de Investigación y Capacitación Ambiental (CENICA) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM). The instruments have been compared over a nominal ozone amount-of-substance fraction range of 0 nmol/mol to 500 nmol/mol. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  6. SUPPLEMENTARY COMPARISON: Report of the bilateral comparison of the calibrations of hydrometers for liquid density determination between CENAM-Mexico and INRIM-Italy: SIM.M.D-S1

    NASA Astrophysics Data System (ADS)

    Becerra, Luis Omar; Lorefice, Salvatore

    2009-01-01

    Hydrometers are instruments usually made of glass which are widely used for different levels of precision to measure liquid density and related quantities to control different products and processes. This bilateral comparison on the calibration of hydrometers shows that results reported by CENAM-Mexico and INRIM-Italy are consistent within the claimed uncertainty in the range of 800 kg/m3 to 1200 kg/m3. This bilateral comparison is intended to link the two regional comparisons SIM.M.D-K4 and EURAMET.D-K4. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by SIM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  7. KEY COMPARISON: Final report of comparison of the calibrations of hydrometers for liquid density determination between SIM laboratories: SIM.M.D-K4

    NASA Astrophysics Data System (ADS)

    Becerra, Luis Omar

    2009-01-01

    This SIM comparison on the calibration of high accuracy hydrometers was carried out within fourteen laboratories in the density range from 600 kg/m3 to 1300 kg/m3 in order to evaluate the degree of equivalence among participant laboratories. This key comparison anticipates the planned key comparison CCM.D-K4, and is intended to be linked with CCM.D-K4 when results are available. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  8. SUPPLEMENTARY COMPARISON Bilateral comparison on the calibrations of hydrometers for liquid density between INRIM-Italy and INMETRO-Brazil: SIM.M.D-S2

    NASA Astrophysics Data System (ADS)

    Lorefice, Salvatore; Malta, Dalni; Julio Pinheiro, José; Marteleto, Paulo Roberto

    2010-01-01

    The results of the SIM.M.D-S2 bilateral comparison between INRIM-Italy and INMETRO-Brazil are summarized in this report. The aims of this comparison were to check the stated uncertainty levels and the degrees of equivalence between the two institutes on the calibration of hydrometers for liquid density in the range of 800 kg m-3 to 1000 kg m-3 at 20 ºC, by means of two transfer standards of excellent metrological characteristics. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by SIM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  9. [Effect of MRSA on treatment and care in Finland - applications for compensation and complaints in 1993 to 2012].

    PubMed

    Lumio, Jukka

    2015-01-01

    Events involving applications for compensation or filing a complaint in a MRSA case in Finland by patients or family members were studied for over a twenty-year period. The number of cases found was 305. Of the applications, only 7% resulted in compensation, and none of the complaints led to a change in decision. The discontentment was more commonly associated with the possible MRSA-induced impairment of the given treatment or limitations in freedom than with the fear of the direct health effects of the infection. In order to avoid problems, essential aspects include an intimate knowledge of guidelines among those working in the treatment and care sector, and proper informing of the patients about the effects of MRA on life. PMID:26536722

  10. Determining Pressure and Velocity Fields from Experimental Schlieren Data

    NASA Astrophysics Data System (ADS)

    Lee, Frank M.; Allshouse, Michael R.; Morrison, P. J.; Swinney, Harry L.

    2015-11-01

    Internal gravity waves generated by tidal flow over bottom topography in the ocean are important because they contribute significantly to the energy composition of the ocean. Determination of the instantaneous internal wave energy flux requires knowledge of the pressure and velocity fields, each of which is difficult to measure in the ocean or the laboratory. However, the density perturbation field can be measured using a laboratory technique known as ``synthetic schlieren.'' We present an analytical method for deducing both the pressure and velocity fields from the density perturbation field. This yields the instantaneous energy flux of linear internal waves. Our method is verified in tests with data from a Navier-Stokes direct numerical simulation. The method is then applied to laboratory schlieren data obtained for the conditions in the numerical simulations. MRA and HLS were supported by ONR. FML and PJM supported by DOE contract DE-FG02-04ER-54742.

  11. A rat model for the treatment of melanoma metastatic to the brain by means of neutron capture therapy

    SciTech Connect

    Matalka, K.Z.; Bailey, M.Q.; Barth, R.F.; Staubus, A.E.; Adams, D.M.; Soloway, A.H.; James, S.M.; Goodman, J.H. ); Coderre, J.A.; Fairchild, R.G. ); Rofstad, E.K. )

    1991-01-01

    Melanoma metastatic to the brain is a serious clinical problem for which there currently is no satisfactory treatment. Boron neutron capture therapy (BNCT) has been shown by Mishima et al. to be clinically effective in the treatment of cutaneous melanoma using {sup 10}B-enriched boronophenylalaine (BPA) as the capture agent. In the present pilot study we have observed a significant prolongation in survival time of nude rats bearing intracerebral implants of the human melanoma cell line MRA 27 following administration of BPA and neutron irradiation. These findings suggest therapeutic efficacy, but unequivocal proof depends upon confirmation in a more definitive experiment using large numbers of animals with both solitary and multiple implants of melanoma. If our preliminary results are confirmed, then this will lay the groundwork for a clinical study of BNCT for the treatment of melanoma metastatic to the brain. 7 refs., 2 figs., 2 tabs.

  12. Reconstructing cerebrovascular networks under local physiological constraints by integer programming

    SciTech Connect

    Rempfler, Markus; Schneider, Matthias; Ielacqua, Giovanna D.; Xiao, Xianghui; Stock, Stuart R.; Klohs, Jan; Szekely, Gabor; Andres, Bjoern; Menze, Bjoern H.

    2015-04-23

    We introduce a probabilistic approach to vessel network extraction that enforces physiological constraints on the vessel structure. The method accounts for both image evidence and geometric relationships between vessels by solving an integer program, which is shown to yield the maximum a posteriori (MAP) estimate to the probabilistic model. Starting from an over-connected network, it is pruning vessel stumps and spurious connections by evaluating the local geometry and the global connectivity of the graph. We utilize a high-resolution micro computed tomography (µCT) dataset of a cerebrovascular corrosion cast to obtain a reference network and learn the prior distributions of our probabilistic model. As a result, we perform experiments on micro magnetic resonance angiography (µMRA) images of mouse brains and discuss properties of the networks obtained under different tracking and pruning approaches.

  13. Reconstructing cerebrovascular networks under local physiological constraints by integer programming

    DOE PAGESBeta

    Rempfler, Markus; Schneider, Matthias; Ielacqua, Giovanna D.; Xiao, Xianghui; Stock, Stuart R.; Klohs, Jan; Szekely, Gabor; Andres, Bjoern; Menze, Bjoern H.

    2015-04-23

    We introduce a probabilistic approach to vessel network extraction that enforces physiological constraints on the vessel structure. The method accounts for both image evidence and geometric relationships between vessels by solving an integer program, which is shown to yield the maximum a posteriori (MAP) estimate to the probabilistic model. Starting from an over-connected network, it is pruning vessel stumps and spurious connections by evaluating the local geometry and the global connectivity of the graph. We utilize a high-resolution micro computed tomography (µCT) dataset of a cerebrovascular corrosion cast to obtain a reference network and learn the prior distributions of ourmore » probabilistic model. As a result, we perform experiments on micro magnetic resonance angiography (µMRA) images of mouse brains and discuss properties of the networks obtained under different tracking and pruning approaches.« less

  14. KEY COMPARISON: Key comparison of stainless steel 1 kg mass standards: COOMET.M.M-K1

    NASA Astrophysics Data System (ADS)

    Spurný, Robert; Kolozinska, Irina; Snegov, Viktor; Evsievich, Ludmila; Borys, Michael; Milkamanavičiene, Ilona

    2010-01-01

    The COOMET.M.M-K1 key comparison is an international COOMET comparison of 1 kg stainless steel mass standards, using two travelling artefacts from SMU, Slovakia. Thanks to the participation of the PTB in this comparison, it was made possible to link the results to those of the corresponding CCM key comparison, namely CCM.M-K1, thus adding new values of degrees of equivalence for BelGIM (Belarus), NSC IM (Ukraine), PTB (Germany), SMU (Slovakia), VMT/VMC (Lithuania) and VNIIM (Russia), on the CCM.M-K1 graph of equivalence. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  15. Final report on supplementary comparison COOMET.L-S3 (COOMET project 265/UA/02): Comparisons of high-accuracy gauge block interferometers

    NASA Astrophysics Data System (ADS)

    Semenovich Kupko, Vladimir

    2011-01-01

    The COOMET.L-S3 comparison of high-accuracy gauge block interferometers at nominal value 100 mm is a supplementary COOMET comparison between the national metrology institutes of Ukraine and Kazakhstan. The measurements were carried out between June and August 2010. The results obtained using a steel gauge block as well as a quartz gauge block show that the differences of values obtained by both laboratories do not exceed the estimated expanded uncertainties, which confirms a good degree of equivalence between the installations that were compared. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by COOMET, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  16. Comparisons of the reference measuring instruments of surface parameters

    NASA Astrophysics Data System (ADS)

    Kupko, Vladimir; Lysenko, Valeriy

    2015-01-01

    A bilateral comparison of measurements on a Type A1 roughness standard has been undertaken between metrology institutes in Ukraine and Russia. The measurand was the parameter Rmax, located on two different sections of the artefact with nominal values of 0.250 μm and 49 μm. The results of the two participants are in agreement within the combined uncertainties, thus equivalence of the measurements is demonstrated. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCL, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. KEY COMPARISON Comparison of the standards of air kerma of the ENEA-INMRI and the BIPM for 137Cs gamma rays

    NASA Astrophysics Data System (ADS)

    Allisy-Roberts, P. J.; Kessler, C.; Toni, M.; Bovi, M.

    2010-01-01

    A comparison of the standards of air kerma of the Istituto Nazionale di Metrologia delle Radiazioni Ionizzanti of the Ente per le Nuove Tecnologie, l'Energia e l'Ambiente, Italy (ENEA-INMRI) and of the Bureau International des Poids et Mesures (BIPM) was carried out in 137Cs radiation in 1998. The comparison result, updated for changes in the standards in 2003 and 2009, is 0.9927 (0.0067) and demonstrates that the ENEA-INMRI and BIPM standards are in agreement within the uncertainties. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI Section I, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  18. Discovery of a capuramycin analog that kills non-replicating Mycobacterium tuberculosis and its synergistic effects with translocase I inhibitors

    PubMed Central

    Siricilla, Shajila; Mitachi, Katsuhiko; Wan, Bajoie; Franzblau, Scott G.; Kurosu, Michio

    2014-01-01

    Capuramycin (1) and its analogs are strong translocase I (MurX/MraY) inhibitors. In our SAR studies of capuramycin analogs against M. tuberculosis (Mtb), we observed for the first time that a capuramycin analog, UT-01320 (3) killed non-replicating (dormant) Mtb at low concentrations under low-oxygen conditions, whereas selective MurX inhibitors killed only replicating Mtb under aerobic conditions. Interestingly, 3 did not exhibit MurX enzyme inhibitory activity even at high concentrations, however, 3 inhibited bacterial RNA polymerases with the IC50 values of 100-150 nM range. A new RNA polymerase inhibitor 3 displayed strong synergistic effects with a MurX inhibitor SQ 641 (2), a promising preclinical TB drug. PMID:25269459

  19. Effect of dietary zinc and ractopamine hydrochloride on pork chop muscle fiber type distribution, tenderness, and color characteristics.

    PubMed

    Paulk, C B; Tokach, M D; Nelssen, J L; Burnett, D D; Vaughn, M A; Phelps, K J; Dritz, S S; Derouchey, J M; Goodband, R D; Woodworth, J C; Houser, T A; Haydon, K D; Gonzalez, J M

    2014-05-01

    A total of 320 finishing pigs (PIC 327 × 1050; initially 98 kg) were used to determine the effects of adding Zn to diets containing ractopamine HCl (RAC) on muscle fiber type distribution, fresh chop color, and cooked meat characteristics. Dietary treatments were fed for approximately 35 d and consisted of a corn-soybean meal-based negative control (CON), a positive control diet with 10 mg/kg of RAC (RAC+), and the RAC+ diet plus 75, 150, or 225 mg/kg added Zn from either ZnO or Availa-Zn. Loins randomly selected from each treatment (n = 20) were evaluated using contrasts: CON vs. RAC+, interaction of Zn level × source, Zn level linear and quadratic polynomials, and Zn source. There were no Zn source effects or Zn source × level interactions throughout the study (P > 0.10). Pigs fed RAC+ had increased (P < 0.02) percentage type IIX and a tendency for increased (P = 0.10) percent type IIB muscle fibers. Increasing added Zn decreased (linear, P = 0.01) percentage type IIA and tended to increase (P = 0.09) IIX muscle fibers. On d 1, 2, 3, 4, and 5 of display, pork chops from pigs fed the RAC+ treatment had greater (P < 0.03) L* values compared to the CON. On d 0 and 3 of display, increasing added Zn tended to decrease (quadratic, P = 0.10) L* values and decreased (quadratic, P < 0.03) L* values on d 1, 2, 4, and 5. Pigs fed RAC+ had decreased (P < 0.05) a* values on d 1 and 4 of display and tended to have decreased (P < 0.10) a* values on d 0 and 2 compared to CON pork chops. Pork chops from the RAC+ treatment had a tendency for increased (P < 0.08) oxymyoglobin percentage compared to CON pork chops on d 1, 2, 4, and 5. On d 0, as dietary Zn increased in RAC+ diets, there was a decrease (linear, P < 0.01) in the formation of pork chop surface oxymyoglobin percentage. Metmyoglobin reducing ability (MRA) of pork chops on d 5 was decreased in the RAC+ group. Chops from pigs fed added Zn had increased (quadratic, P < 0.03) MRA on d 3 and 5 of the display period. There

  20. Blood Pool Segmentation Results in Superior Virtual Cardiac Models than Myocardial Segmentation for 3D Printing.

    PubMed

    Farooqi, Kanwal M; Lengua, Carlos Gonzalez; Weinberg, Alan D; Nielsen, James C; Sanz, Javier

    2016-08-01

    The method of cardiac magnetic resonance (CMR) three-dimensional (3D) image acquisition and post-processing which should be used to create optimal virtual models for 3D printing has not been studied systematically. Patients (n = 19) who had undergone CMR including both 3D balanced steady-state free precession (bSSFP) imaging and contrast-enhanced magnetic resonance angiography (MRA) were retrospectively identified. Post-processing for the creation of virtual 3D models involved using both myocardial (MS) and blood pool (BP) segmentation, resulting in four groups: Group 1-bSSFP/MS, Group 2-bSSFP/BP, Group 3-MRA/MS and Group 4-MRA/BP. The models created were assessed by two raters for overall quality (1-poor; 2-good; 3-excellent) and ability to identify predefined vessels (1-5: superior vena cava, inferior vena cava, main pulmonary artery, ascending aorta and at least one pulmonary vein). A total of 76 virtual models were created from 19 patient CMR datasets. The mean overall quality scores for Raters 1/2 were 1.63 ± 0.50/1.26 ± 0.45 for Group 1, 2.12 ± 0.50/2.26 ± 0.73 for Group 2, 1.74 ± 0.56/1.53 ± 0.61 for Group 3 and 2.26 ± 0.65/2.68 ± 0.48 for Group 4. The numbers of identified vessels for Raters 1/2 were 4.11 ± 1.32/4.05 ± 1.31 for Group 1, 4.90 ± 0.46/4.95 ± 0.23 for Group 2, 4.32 ± 1.00/4.47 ± 0.84 for Group 3 and 4.74 ± 0.56/4.63 ± 0.49 for Group 4. Models created using BP segmentation (Groups 2 and 4) received significantly higher ratings than those created using MS for both overall quality and number of vessels visualized (p < 0.05), regardless of the acquisition technique. There were no significant differences between Groups 1 and 3. The ratings for Raters 1 and 2 had good correlation for overall quality (ICC = 0.63) and excellent correlation for the total number of vessels visualized (ICC = 0.77). The intra-rater reliability was good for Rater A (ICC = 0.65). Three models were successfully printed

  1. Evolving a common surgical curriculum for ASEAN nations with a public health approach.

    PubMed

    Lum, Siew Kheong

    2013-03-01

    The Association of Southeast Asian Nations (ASEAN) Mutual Recognition Arrangement (MRA) on medical practitioners' agreement will become a reality in the year 2015. Doctors registered in one ASEAN country will be given reciprocal recognition in another country under this agreement. Rapid and excessive movement of human resources between countries in a short span of time is undesirable and can be destabilizing. The surgical fraternity in the ASEAN countries should plan for a common surgical curriculum, a common examination and an ASEAN Board of Surgery so that standards of future trainees in different countries are comparable. The curriculum should take into consideration the diversity of the countries in socio-economic development. Ideally, it should be based on a public health approach to bring affordable quality surgical care to the masses in an efficient and effective manner. PMID:23320799

  2. Final report, ongoing key comparison BIPM.QM-K1, ozone at ambient level, comparison with ISCIII (December 2014)

    NASA Astrophysics Data System (ADS)

    Viallon, Joële; Moussay, Philippe; Idrees, Faraz; Wielgosz, Robert; Sanchez, Carmen; Morillo Gomez, Pilar

    2015-01-01

    As part of the ongoing key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Instituto de Salud Carlos III (ISCIII) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM). The instruments have been compared over a nominal ozone amount-of-substance fraction range of 0 nmol/mol to 500 nmol/mol. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  3. Final report on the ongoing key comparison BIPM.QM-K1: Ozone at ambient level, comparison with ISCIII (December 2012)

    NASA Astrophysics Data System (ADS)

    Viallon, Joële; Moussay, Philippe; Idrees, Faraz; Wielgosz, Robert; Morillo Gomez, Pilar; Sánchez, Carmen

    2013-01-01

    As part of the ongoing key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Instituto de Salud Carlos III (ISCIII) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM). The instruments have been compared over a nominal ozone amount-of-substance fraction range of 0 nmol/mol to 500 nmol/mol. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  4. Final report on the ongoing key comparison BIPM.QM-K1: Ozone at ambient level, comparison with ISCIII (December 2010)

    NASA Astrophysics Data System (ADS)

    Viallon, Joële; Moussay, Philippe; Idrees, Faraz; Wielgosz, Robert; Morillo Gomez, Pilar; Sánchez, Carmen

    2011-01-01

    As part of the ongoing key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Instituto de Salud Carlos III (ISCIII) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM). The instruments have been compared over a nominal ozone amount-of-substance fraction range of 0 nmol/mol to 500 nmol/mol. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  5. KEY COMPARISON: Final report, on-going key comparison BIPM.QM-K1: Ozone at ambient level, comparison with ISCIII, 2007

    NASA Astrophysics Data System (ADS)

    Viallon, Joële; Moussay, Philippe; Wielgosz, Robert; Morillo Gomez, Pilar; Sánchez Blaya, Carmen

    2009-01-01

    As part of the on-going key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Instituto de Salud Carlos III (ISCIII) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM). The instruments have been compared over a nominal ozone mole fraction range of 0 nmol/mol to 500 nmol/mol. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  6. Bilateral thalamic infarcts due to occlusion of the Artery of Percheron and discussion of the differential diagnosis of bilateral thalamic lesions.

    PubMed

    Rodriguez, Eva Guy; Lee, Jane A

    2013-07-01

    The Artery of Percheron is a rare vascular variant in which a single dominant thalamoperforating artery arises from one P1 segment and bifurcates to supply both paramedian thalami. Occlusion of this uncommon vessel results in a characteristic pattern of bilateral paramedian thalamic infarcts with or without mesencephalic infarctions. We report a case of a 31-year-old man with acute bilateral thalamic infarcts and a truncated Artery of Percheron demonstrated on magnetic resonance angiography (MRA). Occlusion of the vessel was presumably due to embolism from a patent foramen ovale that was subsequently closed. The case presentation is followed by a discussion of bilateral paramedian thalamic infarcts including the causes and clinical presentation. The differential diagnosis of vascular and nonvascular etiologies of bilateral thalamic lesions is also discussed. PMID:24421943

  7. Interlaboratory mass comparison between laboratories belonging to CARIMET, SIM.M.M-S7

    NASA Astrophysics Data System (ADS)

    Mitchell, Tweedsmuir; Reddock, Theodore; Melville, Edward; Medford, Robert; Gittens, Anselm; Miller, Jemold; Rhynd, Hadyn

    2013-01-01

    From October 2009 to November 2010 a star-shaped comparison in mass measurements was carried out between CARIMET countries. The Bureau of Standards Jamaica (BSJ) acted as the pilot laboratory. Six travelling standards were circulated with the following nominal values: 2 kg, 1 kg, 200 g, 50 g, 1 g and 200 mg. These travelling standards complied with the accuracy requirements of OIML class E2. The results of the intercomparison are presented here. In general, the agreement between all participants is very good, except for the 50 g weight where one laboratory clearly made an outlier measurement. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by SIM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  8. SUPPLEMENTARY COMPARISON: NORAMET intercomparison of volume standards at 50 mL and 100 mL (SIM.M.FF-S1)

    NASA Astrophysics Data System (ADS)

    Jacques, C.; Trujillo Juarez, S.; Maldonado, J. M.; Bean, V.

    2003-01-01

    An intercomparison of volume standards, 50 mL and 100 mL pycnometers, was decided on at the NORAMET Technical Contacts Meeting of 8-9 June 1998. The participating laboratories were CENAM, NIST, and NRC. NRC acted as the pilot laboratory. The comparison was done between April 1999 and October 1999. The pycnometers were not protected against evaporation by a supplementary cap. Even with this handicap, the three laboratories agreed with one another very well. The difference between maximum and minimum reported volumes never exceeded 0.014%. This comparison was assigned the number SIM.M.FF-S1. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the SIM, according to the provisions of the Mutual Recognition Arrangement (MRA).

  9. Multiresolution Analysis Using Wavelet, Ridgelet, and Curvelet Transforms for Medical Image Segmentation

    PubMed Central

    AlZubi, Shadi; Islam, Naveed; Abbod, Maysam

    2011-01-01

    The experimental study presented in this paper is aimed at the development of an automatic image segmentation system for classifying region of interest (ROI) in medical images which are obtained from different medical scanners such as PET, CT, or MRI. Multiresolution analysis (MRA) using wavelet, ridgelet, and curvelet transforms has been used in the proposed segmentation system. It is particularly a challenging task to classify cancers in human organs in scanners output using shape or gray-level information; organs shape changes throw different slices in medical stack and the gray-level intensity overlap in soft tissues. Curvelet transform is a new extension of wavelet and ridgelet transforms which aims to deal with interesting phenomena occurring along curves. Curvelet transforms has been tested on medical data sets, and results are compared with those obtained from the other transforms. Tests indicate that using curvelet significantly improves the classification of abnormal tissues in the scans and reduce the surrounding noise. PMID:21960988

  10. Gadolinium-enhanced magnetic resonance angiography in brain death

    NASA Astrophysics Data System (ADS)

    Luchtmann, M.; Beuing, O.; Skalej, M.; Kohl, J.; Serowy, S.; Bernarding, J.; Firsching, R.

    2014-01-01

    Confirmatory tests for the diagnosis of brain death in addition to clinical findings may shorten observation time required in some countries and may add certainty to the diagnosis under specific circumstances. The practicability of Gadolinium-enhanced magnetic resonance angiography to confirm cerebral circulatory arrest was assessed after the diagnosis of brain death in 15 patients using a 1.5 Tesla MRI scanner. In all 15 patients extracranial blood flow distal to the external carotid arteries was undisturbed. In 14 patients no contrast medium was noted within intracerebral vessels above the proximal level of the intracerebral arteries. In one patient more distal segments of the anterior and middle cerebral arteries (A3 and M3) were filled with contrast medium. Gadolinium-enhanced MRA may be considered conclusive evidence of cerebral circulatory arrest, when major intracranial vessels fail to fill with contrast medium while extracranial vessels show normal blood flow.

  11. Reversible cerebral vasoconstriction syndrome and nonaneurysmal subarachnoid hemorrhage

    PubMed Central

    Barboza, Miguel A; Maud, Alberto; Rodriguez, Gustavo J

    2014-01-01

    Background Reversible cerebral vasoconstriction syndrome was first described by Call, Fleming, and colleagues. Clinically this entity presents acutely, with severe waxing and waning headaches (“thunderclap”), and occasional fluctuating neurological signs. Case presentation We present four subsequent cases of patients with severe thunderclap headache and brain tomography with evidence of subarachnoid hemorrhage. The brain angiogram showed no aneurysm but intracranial vasculopathy consistent with multiple areas of stenosis and dilatation (angiographic beading) in different territories. Conclusion Neurologists should be aware of Call Fleming syndrome presenting with severe headache and associated convexity subarachnoid hemorrhage. After other diagnoses are excluded, patients can be reassured about favorable prognosis with symptomatic management. Abbreviations RCVS Reversible cerebral vasoconstriction syndrome CT Computed tomography SAH Subarachnoid hemorrhage MR Magnetic resonance CTA Computed tomography angiography MRA Magnetic resonance angiography PMID:25132905

  12. KEY COMPARISON: Final report on CCEM key comparison CCEM.RF-K10.CL (GT-RF/99-2) 'Power in 50 Ω coaxial lines, frequency: 50 MHz to 26 GHz' measurement techniques and results

    NASA Astrophysics Data System (ADS)

    Janik, Dieter; Inoue, T.; Michaud, A.

    2006-01-01

    This report summarizes the results and the measuring methods of an international key comparison between twelve national metrology institutes (NMIs) and is concerning the calibration factor of RF power sensors in the coaxial 3.5 mm line for frequencies up to 26 GHz. Two RF power travelling standards fitted with male PC 3.5 mm connectors were measured at seven frequencies. The following NMIs participated: NMIJ (Japan), NRC (Canada), NIST (USA), METAS (Switzerland), CSIR-NML (South Africa), NMIA (Australia), NPL (UK), SiQ (Slovenia), IEN (Italy), VNIIFTRI (Russian Federation), SPRING (Singapore) and PTB (Germany), as the pilot laboratory. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  13. Precursory Subsurface 222Rn and 220Rn Degassing Signatures of the 2004 Seismic Crisis at Tenerife, Canary Islands

    NASA Astrophysics Data System (ADS)

    Pérez, Nemesio M.; Hernández, Pedro A.; Padrón, Eleazar; Melián, Gladys; Marrero, Rayco; Padilla, Germán; Barrancos, José; Nolasco, Dácil

    2007-12-01

    Precursory geochemical signatures of radon degassing in the subsurface of the Tenerife Island were observed several months prior to the recent 2004 seismic-volcanic crisis. These premonitory signatures were detected by means of a continuous monitoring of 222Rn and 220Rn activity from a bubbling CO2-rich gas spot located at 2.850 m depth inside a horizontal gallery for groundwater exploitation at Tenerife. Multivariate Regression Analysis (MRA) on time series of the radon activity was applied to eliminate the radon activity fluctuation due to external variables such as barometric pressure, temperature and relative humidity as well as power supply. Material Failure Forecast Method (FFM) was successfully applied to forecast the anomalous seismicity registered in Tenerife Island in 2004. The changes in the 222Rn/220Rn ratio observed after the period of anomalous seismicity might suggest a higher gas flow rate and/or changes in the vertical permeability induced by seismic activity.

  14. Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving.

    PubMed

    Alonso Formento, Jose Enrique; Fernández Reyes, Jose Luis; Envid Lázaro, Blanca Mar; Fernández Letamendi, Teresa; Yeste Martín, Ryth; Jódar Morente, Francisco José

    2016-01-01

    Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner's syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner's syndrome and neck pain and was successfully treated with anticoagulants. PMID:27525139

  15. International key comparison CCQM-K94: 10 μmol/mol dimethyl sulfide in nitrogen

    NASA Astrophysics Data System (ADS)

    Lee, S.; Heo, G. S.; Kim, Y.; Oh, S.; Han, Q.; Wu, H.; Konopelko, L. A.; Kustikov, Y. A.; Kolobova, A. V.; Efremova, O. V.; Pankratov, V. V.; Pavlov, M. V.; Culleton, L. P.; Brown, A. S.; Brookes, C.; Li, J.; Ziel, P. R.; van der Veen, A. M. H.

    2016-01-01

    Dimethyl sulfide (DMS) is an important compound in monitoring climate change and is monitored by the World Meteorological Organization Global Atmospheric Watch Volatile Organic Compounds (WMO-GAW VOC) program at several monitoring sites. It is essential that measurement results are accurate and consistent among the assigned values for primary gas mixtures to meet the WMO requirement. The purpose of this comparison is to compare the measurement capability of DMS at approximately 10 μ­mol/mol and expectation to contribute the establishment of traceability to single measurement scale for DMS between NMIs. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  16. Key comparison BIPM.RI(I)-K1 of the air-kerma standards of the NIM, China and the BIPM in 60Co gamma radiation

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Burns, D.; Wang, K.; Fan, Y.; Jin, S.; Yang, X.

    2016-01-01

    An indirect comparison of the standards for air kerma of the National Institute of Metrology (NIM), China and of the Bureau International des Poids et Mesures (BIPM) was carried out in the 60Co radiation beam of the BIPM in November 2015. The comparison result, evaluated as a ratio of the NIM and the BIPM standards for air kerma, is 0.9997 with a combined standard uncertainty of 2.7 × 10-3. The results are analysed and presented in terms of degrees of equivalence for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. Key comparison BIPM.RI(I)-K7 of the air-kerma standards of the ENEA-INMRI, Italy and the BIPM in mammography x-rays

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Burns, D.; Roger, P.; Toni, M. P.; Pinto, M.; Bovi, M.; Cappadozzi, G.; Silvestri, C.

    2015-01-01

    A first key comparison has been made between the air-kerma standards of the ENEA-INMRI, Italy and the BIPM in mammography x-ray beams. The results show the standards to be in agreement at the level of the standard uncertainty for the comparison of 4.8 parts in 103. The results are analysed and presented in terms of degrees of equivalence, suitable for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  18. Key comparison BIPM.RI(I)-K3 of the air-kerma standards of the NMIJ, Japan and the BIPM in medium-energy x-rays

    NASA Astrophysics Data System (ADS)

    Burns, D. T.; Kessler, C.; Tanaka, T.; Kurosawa, T.; Saito, N.

    2016-01-01

    A key comparison has been made between the air-kerma standards of the NMIJ, Japan and the BIPM in the medium-energy x-ray range. The results show the standards to be in agreement at the level of the standard uncertainty of the comparison of 3.1 parts in 103. A trend is evident in the results for the different radiation qualities. The results are analysed and presented in terms of degrees of equivalence, suitable for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. Key comparison BIPM.RI(I)-K2 of the air-kerma standards of the CMI, Czech Republic and the BIPM in low-energy x-rays

    NASA Astrophysics Data System (ADS)

    Burns, D. T.; Kessler, C.; Sochor, V.

    2016-01-01

    A key comparison has been made between the air-kerma standards of the CMI, Czech Republic and the BIPM in the low-energy x-ray range. The results show the standards to be in agreement at around the level of the standard uncertainty of the comparison of 3.5 parts in 103. The results are analysed and presented in terms of degrees of equivalence, suitable for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  20. Key comparison BIPM.RI(I)-K3 of the air-kerma standards of the NRC, Canada and the BIPM in medium-energy x-rays

    NASA Astrophysics Data System (ADS)

    Burns, D. T.; Kessler, C.; Mainegra-Hing, E.; Shen, H.; McEwen, M. R.

    2016-01-01

    A key comparison has been made between the air-kerma standards of the NRC, Canada and the BIPM in the medium-energy x-ray range. The results show the standards to be in agreement at the level of the standard uncertainty of the comparison of 3.3 parts in 103. The results are analysed and presented in terms of degrees of equivalence, suitable for entry in the BIPM key comparison database. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  1. [Pre- and postoperative imaging of type B aortic dissection].

    PubMed

    Ohana, M; Labani, A; Georg, Y; Jeung, M-Y; Thaveau, F; Schwein, A; Karmonik, C; Bismuth, J; Chakfé, N; Roy, C

    2016-07-01

    Type B aortic dissections are serious diseases with a 60 to 80 % 5-year survival rate. Although typically managed with a medical treatment, surgery may be necessary in the acute/subacute or the chronic phase if significant complications are encountered. For these patients, CT angiography is the first-line imaging modality, used for indicating and preparing the surgical procedure as well as for follow-up. Physicians in charge of these patients should be familiar with the key reading points. Visceral malperfusion is the most common acute complication, while aneurysmal dilatation of the false lumen is the most common chronic complication, with surgical management generally indicated when the axial diameter of the aorta exceeds 55mm. Endovascular treatment tends to replace open surgery: it requires precise measurements and identification of the entry tear (contribution of 4D-MRA). PMID:27342640

  2. Final report, on-going key comparison BIPM.QM-K1: ozone at ambient level, comparison with DMDM, July 2015

    NASA Astrophysics Data System (ADS)

    Viallon, J.; Moussay, P.; Wielgosz, R.; Bebic, J.; Norris, J. E.; Guenther, F.

    2016-01-01

    As part of the on-going key comparison BIPM.QM-K1, a comparison has been performed between the ozone national standard of the Directorate of Measures and Precious Metals (DMDM) and the common reference standard of the key comparison, maintained by the Bureau International des Poids et Mesures (BIPM), via a transfer standard maintained by the National Institute of Standards and Technology (NIST). The instruments have been compared over a nominal ozone amount-of-substance fraction range of 0 nmol/mol to 500 nmol/mol Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  3. Reduction of reconstruction time for time-resolved spiral 3D contrast-enhanced magnetic resonance angiography using parallel computing.

    PubMed

    Kressler, Bryan; Spincemaille, Pascal; Prince, Martin R; Wang, Yi

    2006-09-01

    Time-resolved 3D MRI with high spatial and temporal resolution can be achieved using spiral sampling and sliding-window reconstruction. Image reconstruction is computationally intensive because of the need for data regridding, a large number of temporal phases, and multiple RF receiver coils. Inhomogeneity blurring correction for spiral sampling further increases the computational work load by an order of magnitude, hindering the clinical utility of spiral trajectories. In this work the reconstruction time is reduced by a factor of >40 compared to reconstruction using a single processor. This is achieved by using a cluster of 32 commercial off-the-shelf computers, commodity networking hardware, and readily available software. The reconstruction system is demonstrated for time-resolved spiral contrast-enhanced (CE) peripheral MR angiography (MRA), and a reduction of reconstruction time from 80 min to 1.8 min is achieved. PMID:16892189

  4. Comparison BIPM.RI(I)-K8 of high dose-rate Ir-192 brachytherapy standards for reference air kerma rate of the NMIJ and the BIPM

    NASA Astrophysics Data System (ADS)

    Kessler, C.; Kurosawa, T.; Mikamoto, T.

    2016-01-01

    An indirect comparison of the standards for reference air kerma rate for 192Ir high dose rate (HDR) brachytherapy sources of the National Metrology Institute of Japan (AIST-NMIJ), Japan, and of the Bureau International des Poids et Mesures (BIPM) was carried out at the Japan Radioisotope Association (JRIA) in April 2015. The comparison result, based on the calibration coefficients for a transfer standard and expressed as a ratio of the NMIJ and the BIPM standards for reference air kerma rate, is 1.0036 with a combined standard uncertainty of 0.0054. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  5. Detection of Orthoimage Mosaicking Seamlines by Means of Wavelet Transform

    NASA Astrophysics Data System (ADS)

    Pyka, K.

    2016-06-01

    The detection of orthoimage mosaicking seamlines by means of wavelet transform was examined. Radiometric alignment was omitted, giving priority to the issue of seamlines which bypass locations where there is a parallax between orthoimages. The importance of this issue is particularly relevant for images with very high resolution. In order to create a barrier image between orthoimages, the redundant wavelet transform variant known as MODWT-MRA was used. While more computationally complex than the frequently used DWT, it enables very good multiresolution edge detection. An IT prototype was developed on the basis of the described concept, and several cases of seamline detection were tested on the basis of data with a resolution of 10 cm to 1 m. The correct seamline location was obtained for each test case. This result opens the door to future expansion of the radiometric alignment method, which is also based on wavelets.

  6. Recovery of phase inconsistencies in continuously moving table extended field of view magnetic resonance imaging acquisitions.

    PubMed

    Kruger, David G; Riederer, Stephen J; Rossman, Phillip J; Mostardi, Petrice M; Madhuranthakam, Ananth J; Hu, Houchun H

    2005-09-01

    MR images formed using extended FOV continuously moving table data acquisition can have signal falloff and loss of lateral spatial resolution at localized, periodic positions along the direction of table motion. In this work we identify the origin of these artifacts and provide a means for correction. The artifacts are due to a mismatch of the phase of signals acquired from contiguous sampling fields of view and are most pronounced when the central k-space views are being sampled. Correction can be performed using the phase information from a periodically sampled central view to adjust the phase of all other views of that view cycle, making the net phase uniform across each axial plane. Results from experimental phantom and contrast-enhanced peripheral MRA studies show that the correction technique substantially eliminates the artifact for a variety of phase encode orders. PMID:16086304

  7. The dimensions of mobilities: the spatial relationships between corporeal and digital mobilities.

    PubMed

    Taipale, Sakari

    2014-01-01

    The aim of this article is to study how the corporeal and digital mobilities are spatially organised in relation to each other in everyday life. The dimensions of mobilities are modelled by using survey data (N=612) collected from Finland in 2011, Multiple Correspondence Analysis (MCA) and Multiple Regression Analysis (MRA). The results show that the combined use of corporeal and digital means of mobility affect the spatial organisation of mobilities only little. The results indicate that young people and students are more likely to benefit from their mobility in networking activities as they are equipped with a larger variety of mobility means than older people and pensioners. Lastly, women and people living in essentially urban areas are more likely to augment their physical travelling practices by using small-sized digital mobilities than men and people living in rural locations. PMID:24267759

  8. The role of renal autotransplantation in treatment of nutcracker syndrome.

    PubMed

    Salehipour, Mehdi; Rasekhi, Alireza; Shirazi, Mehdi; Haghpanah, Abdolreza; Jahanbini, Shahrokh; Eslahi, Seyed Ali

    2010-03-01

    To report our experience with renal autotransplantation in treatment of gross hematuria caused by nutcracker Syndrome (NCS). Between September 2005 and January 2008, four patients of mean age 25.5 years (range: 23-28) with gross hematuria were diagnosed to have NCS. Investigations revealed isolated hematuria on urinalysis, a bloody efflux from left ureteral orifice by urethrocystoscopy, dilatation of left renal vein (LRV) with significant difference in peak systolic velocity in colour doppler ultrasonography (CDUS) and dilatation and compression of LRV between aorta and superior mesenteric artery in MRA. After operation, hematuria dis-appeared in all patients. No vascular or urological complication was seen. Follow up ranged from 4 to 24 months. In conclusion, autotransplatation of left kidney is very effective for the treatment of symptomatic NCS. PMID:20228506

  9. Horner's Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving

    PubMed Central

    Fernández Reyes, Jose Luis; Envid Lázaro, Blanca Mar; Fernández Letamendi, Teresa; Yeste Martín, Ryth; Jódar Morente, Francisco José

    2016-01-01

    Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner's syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner's syndrome and neck pain and was successfully treated with anticoagulants. PMID:27525139

  10. Cystic adventitial disease of the popliteal artery: report of two cases and review of the literature

    PubMed Central

    VERALDI, G.F.; SCUDO, G.; SCORSONE, L.; MEZZETTO, L.; CASTELLANI, R.L.

    2014-01-01

    Cystic adventitial disease (CAD) is a rare vascular disease that causes a localized stenosis or occlusion in absence of alterations of blood vessels in other sites of the body. CAD is predominantly located to the popliteal artery, although cases have been described involving other arteries. Typically it affects young men with minimal cardiovascular risk factors, presenting a short history of progressive claudication. Imaging is based on US, CTA and MRA. Suspected diagnosis is confirmed at the time of the surgery. We report two cases of CAD involving the popliteal artery. In the first case a 59 year-old man was treated by resection of the popliteal artery and a reversed saphenous vein was used to restore circulation. In the second case a 53 year-old man was treated by resection of the popliteal artery and a cryo-preserved arterial graft was used to restore circulation. We also made a review of the literature on this subject. PMID:25419589

  11. Multiresolution analysis using wavelet, ridgelet, and curvelet transforms for medical image segmentation.

    PubMed

    Alzubi, Shadi; Islam, Naveed; Abbod, Maysam

    2011-01-01

    The experimental study presented in this paper is aimed at the development of an automatic image segmentation system for classifying region of interest (ROI) in medical images which are obtained from different medical scanners such as PET, CT, or MRI. Multiresolution analysis (MRA) using wavelet, ridgelet, and curvelet transforms has been used in the proposed segmentation system. It is particularly a challenging task to classify cancers in human organs in scanners output using shape or gray-level information; organs shape changes throw different slices in medical stack and the gray-level intensity overlap in soft tissues. Curvelet transform is a new extension of wavelet and ridgelet transforms which aims to deal with interesting phenomena occurring along curves. Curvelet transforms has been tested on medical data sets, and results are compared with those obtained from the other transforms. Tests indicate that using curvelet significantly improves the classification of abnormal tissues in the scans and reduce the surrounding noise. PMID:21960988

  12. Synoptic Solar Magnetic Fields: Explored and Predicted

    NASA Astrophysics Data System (ADS)

    Lundstedt, H.; Wik, M.; Wintoft, P.

    2006-12-01

    Solar synoptic maps provide an important visualization of global patterns. Maps are available of sub-surface flows, photospheric and coronal magnetic fields. We have carried out a multiresolution analysis (MRA) of longitudinally averaged synoptic magnetograms. The magnetograms were observed at Wilcox Solar Observatory (WSO), Stanford and with Michelson Doppler Imager (MDI) onboard SOHO of ESA/NASA. We performed a multilevel wavelet decomposition of the solar magnetic field signal for each latitude. Trends and periods in the decomposed signal are shown. Solar cycle 24 is discussed. Predictions of the synoptic magnetic fields, using neural networks, have been developed. With the launch of Solar Dynamics Observatory (SDO), real-time synoptic maps will be available. That would be of great importance for real-time predictions of space weather effects.

  13. Graft Patency in Long-term Survivors after Renovisceral Debranching with VORTEC

    SciTech Connect

    Winklehner, Anna Nguyen-Kim, Thi Dan Linh Pfammatter, Thomas; Rancic, Zoran Mayer, Dieter Lachat, Mario; Frauenfelder, Thomas

    2015-06-15

    PurposeThis study was designed to evaluate retrospectively the long-term stent-graft patency after renovisceral revascularization with Viabahn Open Revascularization Technique (VORTEC) using computed tomography angiography (CTA) and magnetic resonance angiography (MRA).MethodsIn 34 patients (seven women; mean age 72 ± 8 years) with aortic aneurysm, 63 renovisceral vessels (i.e., 54 renal, nine visceral arteries) were revascularized with VORTEC between 2004 and 2009. All patients obtained a pre- and postinterventional CTA and at least one follow-up CTA or MRA after 6 or more months following intervention (median follow up: 43 months). Detection of bypass occlusion, bypass stenosis, infolding, stent-graft fractures and dislocations, and kidney shrinkage were noted by two readers in consensus. Furthermore, mortality during follow-up was assessed using the medical report.ResultsDuring follow-up, 12.6 % of stent-grafts occluded. Cumulative patency rate was 95.2 ± 2.7 % at 12 months, 87.7 ± 4.4 % at 24 and 36 months, and 84.7 ± 5.2 % at 48, 60, 72, 84, and 89 months, respectively. Overall, 19 % of stent-grafts (12/63) developed bypass stenosis (<50 %, 10 stent-grafts; > 50 %, 2 stent-grafts), in one case stenosis (>70 %) was suspected to be hemodynamically significant. No secondary dislocation, no infolding of renovisceral stent-grafts, and no stent-graft fracture occurred. Kidney shrinkage occurred in nine patients, primarily in patients with an occluded Viabahn (n = 7). Eleven patients (32.3 %) died within the follow-up time period.ConclusionsIn long-term survivors after VORTEC cumulative patency rate remained high, and no stent-graft fractures or secondary dislocations occurred.

  14. Intracranial stenosis, cerebrovascular diseases, and cognitive impairment in chinese.

    PubMed

    Hilal, Saima; Saini, Monica; Tan, Chuen Seng; Catindig, Joseree A; Dong, Yan Hong; Holandez, Rachelle L; Niessen, Wiro J; Vrooman, Henri A; Ting, Eric; Wong, Tien Yin; Chen, Christopher; Venketasubramanian, Narayanaswamy; Ikram, Mohammad K

    2015-01-01

    Extracranial carotid artery disease has been shown to be related to cognitive deficits. However, limited data are available on intracranial stenosis (ICS) and cognitive impairment. We investigate the association between ICS and cognitive impairment in Chinese. Subjects (n=278), recruited from the Epidemiology of Dementia in Singapore Study, underwent comprehensive clinical evaluation, neuropsychological testing, and brain magnetic resonance imaging (MRI), including 3-dimensional-time-of-flight magnetic resonance angiography (MRA). Cognitive function was expressed as composite and domain-specific Z-scores. Cognitive impairment no dementia and dementia were diagnosed according to internationally accepted diagnostic criteria. Linear and logistic regression models were adjusted for age, sex, education, vascular risk factors, and other MRI markers. A total of 29 (10.4%) persons had ICS on MRA, which was significantly associated with both composite cognitive Z-scores [mean difference in Z-score, presence vs. absence of ICS: -0.37 (95% confidence interval: -0.63, -0.12)] and specific domains including executive function, language, visuomotor speed, verbal memory, and visual memory. ICS was also related to significant cognitive impairment (odds ratio: 5.10 [1.24 to 21.02]). With respect to other MRI markers, adjusted for the presence of lacunar infarcts, the associations of ICS with both composite and domain-specific Z-scores, and significant cognitive impairment became nonsignificant; however, adjustment for other MRI markers did not alter these associations. In this Chinese population, presence of ICS was associated with cognitive impairment independent of vascular risk factors. These associations may be mediated through the presence of infarcts. PMID:24731981

  15. Magnetic resonance imaging/angiography and transcranial Doppler velocities in sickle cell anemia: results from the SWiTCH trial

    PubMed Central

    Helton, Kathleen J.; Adams, Robert J.; Kesler, Karen L.; Lockhart, Alex; Aygun, Banu; Driscoll, Catherine; Heeney, Matthew M.; Jackson, Sherron M.; Krishnamurti, Lakshmanan; Miller, Scott T.; Sarnaik, Sharada A.; Schultz, William H.

    2014-01-01

    The Stroke With Transfusions Changing to Hydroxyurea (SWiTCH) trial compared standard (transfusions/chelation) to alternative (hydroxyurea/phlebotomy) treatment to prevent recurrent stroke and manage iron overload in children chronically transfused over 7 years before enrollment. Standardized brain magnetic resonance imaging/magnetic resonance angiography (MRA) and transcranial Doppler (TCD) exams were performed at entry and exit, with a central blinded review. A novel MRA vasculopathy grading scale demonstrated frequent severe baseline left/right vessel stenosis (53%/41% ≥Grade 4); 31% had no vessel stenosis on either side. Baseline parenchymal injury was prevalent (85%/79% subcortical, 53%/37% cortical, 50%/35% subcortical and cortical). Most children had low or uninterpretable baseline middle cerebral artery TCD velocities, which were associated with worse stenoses (incidence risk ratio [IRR] = 5.1, P ≤ .0001 and IRR = 4.1, P < .0001) than normal velocities; only 2% to 12% had any conditional/abnormal velocity. Patients with adjudicated stroke (7) and transient ischemic attacks (19 in 11 standard/8 alternative arm subjects) had substantial parenchymal injury/vessel stenosis. At exit, 1 child (alternative arm) had a new silent infarct, and another had worse stenosis. SWiTCH neuroimaging data document severe parenchymal and vascular abnormalities in children with SCA and stroke and support concerns about chronic transfusions lacking effectiveness for preventing progressive cerebrovascular injury. The novel SWiTCH vasculopathy grading scale warrants validation testing and consideration for use in future clinical trials. This trial was registered at www.clinicaltrials.gov as #NCT00122980. PMID:24914136

  16. Fluid dynamic simulation of rat brain vessels, geometrically reconstructed from MR-angiography and validated using phase contrast angiography.

    PubMed

    Lehmpfuhl, Monika Carola; Hess, Andreas; Gaudnek, M André; Sibila, Michael

    2011-07-01

    The exact knowledge of the blood vessel geometry plays an important role, not only in clinical applications (stroke diagnosis, detection of stenosis), but also for deeper analysis of hemodynamic functional data, such as fMRI. Such vessel geometries can be obtained by different MR angiographic measurements. It is shown that simulations using computational fluid dynamics (CFD) can be used to validate the vessel geometry, automatically reconstructed from time of flight (TOF) angiograms or phase contrast angiography (PC-MRA) data. CFD simulations are based on PC-MRA data, since these data contain additionally rheological information (phases) besides merely amplitudes as is the case for TOF measurements. Parts of the rat brain vessel system are carefully modeled consisting of a main tube and second order branches. By analyzing velocity changes up and downstream of bifurcations, it is shown that CFD can be used to help detecting missing vessels in the TOF based reconstruction. It is demonstrated by artificially deleting a branch from the reconstruction and compared the flow in both resulting CFD simulations. Finally the simulations help to understand the effects of secondary branches on the flow in the main tube. The aim of this study is to compare the measured (PCA) flow data with the CFD simulation results, based on the vessel geometry gained from the PCA image using an in house reconstruction algorithm. If a more accurate simulation method is found and if in principal the simulation matches the PCA data, it might be possible to deduct that in cases where the measured data varies from the CFD simulation, the reconstruction is not complete, i.e. branches are missing or wrong branches were reconstructed. PMID:20696607

  17. 3D MRI Analysis of the Lower Legs of Treated Idiopathic Congenital Talipes Equinovarus (Clubfoot)

    PubMed Central

    Duce, Suzanne L.; D’Alessandro, Mariella; Du, Yimeng; Jagpal, Baljit; Gilbert, Fiona J.; Crichton, Lena; Barker, Simon; Collinson, J. Martin; Miedzybrodzka, Zosia

    2013-01-01

    Background Idiopathic congenital talipes equinovarus (CTEV) is the commonest form of clubfoot. Its exact cause is unknown, although it is related to limb development. The aim of this study was to quantify the anatomy of the muscle, subcutaneous fat, tibia, fibula and arteries in the lower legs of teenagers and young adults with CTEV using 3D magnetic resonance imaging (MRI), and thus to investigate the anatomical differences between CTEV participants and controls. Methodology/Principal Findings The lower legs of six CTEV (2 bilateral, 4 unilateral) and five control young adults (age 12–28) were imaged using a 3T MRI Philips scanner. 5 of the CTEV participants had undergone soft-tissue and capsular release surgery. 3D T1-weighted and 3D magnetic resonance angiography (MRA) images were acquired. Segmentation software was used for volumetric, anatomical and image analysis. Kolmogorov-Smirnov tests were performed. The volumes of the lower affected leg, muscle, tibia and fibula in unilateral CTEV participants were consistently smaller compared to their contralateral unaffected leg, this was most pronounced in muscle. The proportion of muscle in affected CTEV legs was significantly reduced compared with control and unaffected CTEV legs, whilst proportion of muscular fat increased. No spatial abnormalities in the location or branching of arteries were detected, but hypoplastic anomalies were observed. Conclusions/Significance Combining 3D MRI and MRA is effective for quantitatively characterizing CTEV anatomy. Reduction in leg muscle volume appears to be a sensitive marker. Since 5/6 CTEV cases had soft-tissue surgery, further work is required to confirm that the treatment did not affect the MRI features observed. We propose that the proportion of muscle and intra-muscular fat within the lower leg could provide a valuable addition to current clinical CTEV classification. These measures could be useful for clinical care and guiding treatment pathways, as well as

  18. High-resolution MR venography of cerebral arteriovenous malformations.

    PubMed

    Essig, M; Reichenbach, J R; Schad, L R; Schoenberg, S O; Debus, J; Kaiser, W A

    1999-12-01

    The purpose of this study was to evaluate the diagnostic potential of a high-resolution magnetic resonance (MR) venography technique in patients with cerebral arteriovenous malformations (AVMs). A high-resolution 3D gradient echo sequence was used with a long echo time TE to obtain venous information down to sub-pixel sized vessel diameters of several hundred microns. The method is based on the paramagnetic property of deoxyhemoglobin, and the resulting developing phase difference between veins and brain parenchyma at long echo times which leads to signal cancellation. The reconstructed venograms were compared with time-of-flight (TOF)-MR angiography using qualitative and quantitative criteria with the conventional digital subtraction angiography serving as the reference gold standard. In 17 patients with angiographically proven cerebral AVMs, the method indicates its potential in clinical applications. Venography was able to detect all AVMs whereas TOF-MRA failed in three patients. In the delineation of venous drainage patterns MR venography was superior to TOF-MRA, however, the method failed in the detection of about half of the main feeding arteries, as expected. Due to susceptibility artifacts at air/tissue boundaries and interference with paramagnetic hemosiderin, venography was limited with respect to the delineation of the exact nidus sizes and shapes in ten patients with AVMs located close to the skull base or having suffered from previous bleeding. Although the visualization of draining veins represents an important prerequisite in the surgical and radiosurgical treatment planning of cerebral AVMs, application of high resolution MR venography may be limited in the diagnostic work-up in some of these patients. On the other hand, it may be of special importance in the early detection and assessment of small AVMs that are difficult to diagnose with other MR methods. PMID:10609990

  19. Endovascular Repair of Complex Aortic Aneurysms: Intravascular Ultrasound Guidance with an Intracardiac Probe

    SciTech Connect

    Zanchetta, Mario Rigatelli, Gianluca; Pedon, Luigi; Zennaro, Marco; Ronsivalle, Salvatore; Maiolino, Pietro

    2003-09-15

    To assess the accuracy and efficacy of intravascular ultrasound guidance obtained by an intracardiac ultrasound probe during complex aortic endografting. Between November 1999 and July 2002, 19 patients (5 female, 14 male; mean age 73.5 {+-} 2.1 years) underwent endovascular repair of thoracic (n = 10), complex abdominal (n = 6) and concomitant thoraco-abdominal (n = 3) aortic aneurysm. The most suitable size and configuration of the stent-graft were chosen on the basis of preoperative computed tomographic angiography (CTA) or magnetic resonance angiography (MRA). Intraoperative intravascular ultrasound imaging was obtained using a 9 Fr, 9 MHz intracardiac echocardiography (ICE) probe, 110 cm in length, inserted through a 10 Fr precurved long sheath. The endografts were deployed as planned by CTA or MRA. Before stent-graft deployment, the ICE probe allowed us to view the posterior aortic arch and descending thoraco-abdominal aorta without position-related artifacts, and to identify both sites of stent-graft positioning. After stent-graft deployment, the ICE probe allowed us to detect the need for additional modular components to internally reline the aorta in 11 patients, and to discover 2 incomplete graft expansions subsequently treated with adjunctive balloon angioplasty. In 1 patient, the ICE probe supported the decision that the patient was ineligible for the endovascular exclusion procedure. The ICE probe provides accurate information on the anatomy of the posterior aortic arch and thoracic and abdominal aortic aneurysms and a rapid identification of attachment sites and stent-graft pathology, allowing refinement and improvement of the endovascular strategy.

  20. Multiresolution quantum chemistry in multiwavelet bases: excited states from time-dependent Hartree–Fock and density functional theory via linear response

    SciTech Connect

    Yanai, Takeshi; Fann, George I.; Beylkin, Gregory; Harrison, Robert J.

    2015-02-25

    Using the fully numerical method for time-dependent Hartree–Fock and density functional theory (TD-HF/DFT) with the Tamm–Dancoff (TD) approximation we use a multiresolution analysis (MRA) approach to present our findings. From a reformulation with effective use of the density matrix operator, we obtain a general form of the HF/DFT linear response equation in the first quantization formalism. It can be readily rewritten as an integral equation with the bound-state Helmholtz (BSH) kernel for the Green's function. The MRA implementation of the resultant equation permits excited state calculations without virtual orbitals. Moreover, the integral equation is efficiently and adaptively solved using a numerical multiresolution solver with multiwavelet bases. Our implementation of the TD-HF/DFT methods is applied for calculating the excitation energies of H2, Be, N2, H2O, and C2H4 molecules. The numerical errors of the calculated excitation energies converge in proportion to the residuals of the equation in the molecular orbitals and response functions. The energies of the excited states at a variety of length scales ranging from short-range valence excitations to long-range Rydberg-type ones are consistently accurate. It is shown that the multiresolution calculations yield the correct exponential asymptotic tails for the response functions, whereas those computed with Gaussian basis functions are too diffuse or decay too rapidly. Finally, we introduce a simple asymptotic correction to the local spin-density approximation (LSDA) so that in the TDDFT calculations, the excited states are correctly bound.

  1. Influence of Diet and Postmortem Ageing on Oxidative Stability of Lipids, Myoglobin and Myofibrillar Proteins and Quality Attributes of Gluteus Medius Muscle in Goats.

    PubMed

    Adeyemi, Kazeem Dauda; Shittu, Rafiat Morolayo; Sabow, Azad Behnan; Ebrahimi, Mahdi; Sazili, Awis Qurni

    2016-01-01

    This study appraised the effects of dietary blend of 80% canola oil and 20% palm oil and postmortem ageing on oxidative stability, fatty acids and quality attributes of gluteus medius (GM) muscle in goats. Twenty-four Boer bucks were randomly allotted to diet supplemented with 0, 4 and 8% oil blend, fed for 100 days and slaughtered, and the GM muscle was subjected to a 7 d chill storage (4±1°C). Diet had no effect (P> 0.05) on the colour, drip loss, thiobarbituric acid-reactive substances (TBARS) value, free thiol, carbonyl, myoglobin and metmyoglobin contents, metmyoglobin reducing activity (MRA), antioxidant enzyme activities and abundance of myosin heavy chain (MHC) and actin in the GM muscle in goats. The meat from goats fed 4 and 8% oil blend had higher (P< 0.05) concentration of α and γ-tocopherol and abundance of troponin T compared with that from the control goats. The GM muscle from the oil-supplemented goats had lower (P< 0.05) concentration of C16:0 and greater (P< 0.05) concentration of C18:1n-9, C18:3n-3 and C20:5n-3 compared with that from the control goats. Nonetheless, diet did not affect (P< 0.05) the total fatty acid in the GM muscle in goats. Regardless of the diet, the free thiol and myoglobin contents, concentration of tocopherol and total carotenoids, MHC and MRA in the GM muscle decreased (P< 0.05) while carbonyl content, TBARS, drip loss and metmyoglobin content increased over storage. Dietary blend of 80% canola oil and 20% palm oil beneficially altered tissue lipids without hampering the oxidative stability of chevon. PMID:27138001

  2. Magnetic resonance imaging/angiography and transcranial Doppler velocities in sickle cell anemia: results from the SWiTCH trial.

    PubMed

    Helton, Kathleen J; Adams, Robert J; Kesler, Karen L; Lockhart, Alex; Aygun, Banu; Driscoll, Catherine; Heeney, Matthew M; Jackson, Sherron M; Krishnamurti, Lakshmanan; Miller, Scott T; Sarnaik, Sharada A; Schultz, William H; Ware, Russell E

    2014-08-01

    The Stroke With Transfusions Changing to Hydroxyurea (SWiTCH) trial compared standard (transfusions/chelation) to alternative (hydroxyurea/phlebotomy) treatment to prevent recurrent stroke and manage iron overload in children chronically transfused over 7 years before enrollment. Standardized brain magnetic resonance imaging/magnetic resonance angiography (MRA) and transcranial Doppler (TCD) exams were performed at entry and exit, with a central blinded review. A novel MRA vasculopathy grading scale demonstrated frequent severe baseline left/right vessel stenosis (53%/41% ≥Grade 4); 31% had no vessel stenosis on either side. Baseline parenchymal injury was prevalent (85%/79% subcortical, 53%/37% cortical, 50%/35% subcortical and cortical). Most children had low or uninterpretable baseline middle cerebral artery TCD velocities, which were associated with worse stenoses (incidence risk ratio [IRR] = 5.1, P ≤ .0001 and IRR = 4.1, P < .0001) than normal velocities; only 2% to 12% had any conditional/abnormal velocity. Patients with adjudicated stroke (7) and transient ischemic attacks (19 in 11 standard/8 alternative arm subjects) had substantial parenchymal injury/vessel stenosis. At exit, 1 child (alternative arm) had a new silent infarct, and another had worse stenosis. SWiTCH neuroimaging data document severe parenchymal and vascular abnormalities in children with SCA and stroke and support concerns about chronic transfusions lacking effectiveness for preventing progressive cerebrovascular injury. The novel SWiTCH vasculopathy grading scale warrants validation testing and consideration for use in future clinical trials. This trial was registered at www.clinicaltrials.gov as #NCT00122980. PMID:24914136

  3. Hybrid Application of Model Reconstruction, Principal Components, and Multifractal Analyses for Detection of Phenomena in Radar Backscatter

    NASA Astrophysics Data System (ADS)

    Borissova, M. N.; Shirer, H. N.

    2001-05-01

    Remotely sensing cirrus clouds with a 35 GHz radar is made difficult by the fact that insects flying through the radar beam backscatter signals that are statistically and geometrically similar to those from ice crystals. The distinction between ice crystals in cirrus clouds and insects flying in the boundary layer is achieved by creating a hybrid procedure, which synergistically combines the power of the Model Reconstruction Algorithm (MRA), Principal Components Analysis (PCA) and MultiFractal Analysis (MFA). This procedure isolates and identifies objectively the typical fractal structures of ice crystals and insects that are embedded in the radar backscattering signals. MRA is used to determine the length of correlated subsets in the data series and to construct the multivariate data arrays containing the principal variance structures. PCA then is employed to separate the typical structures of the ice-crystal signals from those of the insects that are captured in the multivariate arrays. MFA is applied for final separation of the two types of signals. To demonstrate this separation, the results are presented on the traditional bifractal plane of Davis and collaborators and in a new three-dimensional separation space, in which a third parameter related to the variance of the power of the signals is added to the two multifractal parameters. The new procedure is tested on 50 ice-crystal and 50 insect series that were collected in June 1998 using a single-channel, narrow-beam radar located at the Atmospheric Radiation Measurement Facility in Lemont, Oklahoma. A 98% data separation is achieved using the three-parameter depiction, in contrast to the 87% separation obtained using the two traditional multifractal parameters enhanced by PCA filtering, and the 50% separation resulting from the unenhanced bifractal analysis of the original signals.

  4. Advances in imaging technologies for planning breast reconstruction

    PubMed Central

    Mohan, Anita T.

    2016-01-01

    The role and choice of preoperative imaging for planning in breast reconstruction is still a disputed topic in the reconstructive community, with varying opinion on the necessity, the ideal imaging modality, costs and impact on patient outcomes. Since the advent of perforator flaps their use in microsurgical breast reconstruction has grown. Perforator based flaps afford lower donor morbidity by sparing the underlying muscle provide durable results, superior cosmesis to create a natural looking new breast, and are preferred in the context of radiation therapy. However these surgeries are complex; more technically challenging that implant based reconstruction, and leaves little room for error. The role of imaging in breast reconstruction can assist the surgeon in exploring or confirming flap choices based on donor site characteristics and presence of suitable perforators. Vascular anatomical studies in the lab have provided the surgeon a foundation of knowledge on location and vascular territories of individual perforators to improve our understanding for flap design and safe flap harvest. The creation of a presurgical map in patients can highlight any abnormal or individual anatomical variance to optimize flap design, intraoperative decision-making and execution of flap harvest with greater predictability and efficiency. This article highlights the role and techniques for preoperative planning using the newer technologies that have been adopted in reconstructive clinical practice: computed tomographic angiography (CTA), magnetic resonance angiography (MRA), laser-assisted indocyanine green fluorescence angiography (LA-ICGFA) and dynamic infrared thermography (DIRT). The primary focus of this paper is on the application of CTA and MRA imaging modalities. PMID:27047790

  5. KEY COMPARISON: Final report on International Key Comparison COOMET.QM-K1: Carbon monoxide in nitrogen

    NASA Astrophysics Data System (ADS)

    Konopelko, L. A.; Kustikov, Y. A.; Gromova, E. V.; Rozhnov, M. S.; Ananyin, V. N.; Kluchits, A. S.; Heine, H.-J.

    2010-01-01

    Key comparison COOMET.QM-K1.a is the second key comparison in the field of gas analysis organized by the Technical Committee 1.8 'Physical Chemistry' of COOMET, and corresponds to measurements of carbon monoxide in nitrogen for nominal amount-of-substance fractions of 100 µmol/mol and 1000 µmol/mol. COOMET.QM-K1.a results could be linked to those of an earlier key comparison, CCQM-K1.a, carried out by the Consultative Committee for Amount of Substance, and published in 1999. The aims of this COOMET exercise were the recognition of national measurement standards of Belarus and Ukraine in view of entering calibration and measurement capabilities (CMCs) of BelGIM and Ukrmetrteststandard in the KCDB of the BIPM in accordance with the Mutual Recognition Arrangement (CIPM MRA) for national measurement standards and for calibration and measurement certificates issued by NMIs; and to improve the CMCs of those laboratories which previously participated in the key comparison CCQM-K1a: BAM and VNIIM. All the laboratory results stand within +/-0.6% relative to the gravimetric value obtained by the coordinating laboratory for the nominal value 100 µmol/mol, and within +/-0.3% relative to the gravimetric value for the nominal value 1000 µmol/mol. This represents a satisfying output. For all the laboratories the observed difference between the gravimetric and reported values does not exceed its combined uncertainty. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  6. Unenhanced Time-of-Flight MR Angiography versus Gadolinium-Enhanced Time-of-Flight MR Angiography in the Follow-Up of Coil-Embolized Aneurysms.

    PubMed

    Behme, D; Malinova, V; Kallenberg, K; Knauth, M; Mohr, A

    2016-09-01

    Background and Purpose Coil embolization of ruptured and unruptured aneurysms has emerged as a widely accepted alternative to clipping. Unfortunately, coil-embolized aneurysms need a long-term imaging follow-up to confirm the stability of the occlusion status. We investigated whether contrast-enhanced time-of-flight (ToF) magnetic resonance angiography (MRA) (gadolinium [Gd]-ToF) provides any diagnostic benefit over conventional ToF MRA (nonenhanced [NE]-ToF) in this context. Material and Methods From October 2013 to January 2015, all patients who were regularly scheduled for their follow-up after coil embolization were examined with Gd-ToF and NE-ToF angiography. The general visibility of the occlusion result was compared between the two MRAs as well as with the last digital subtraction angiography (DSA) available. Subgroups of interest (follow-up after stent-assisted coil embolization, cases with already known aneurysm remnants) were also analyzed. Results A total of 70 patients (44 female) harboring 74 treated aneurysms were examined. The reproducibility of the DSA result in terms of therapeutic relevance was 100%. In 10 of 74 cases (14%), the aneurysm status was more difficult to judge in the NE-ToF images (p = 0.02), and the visualization of small vessels was significantly better in the Gd-ToF (p = 0.003). NE-ToF did not fail to show any aneurysm remnants but were more difficult to depict in 35% of the cases (p = 0.09). Regarding the aneurysms that were coiled with stent assistance, there was no significant difference in terms of the visualization (p = 0.1). Conclusion Gd-ToF angiography is in general not superior to NE- ToF for the follow-up of coil-embolized aneurysms. PMID:27168318

  7. Influence of Diet and Postmortem Ageing on Oxidative Stability of Lipids, Myoglobin and Myofibrillar Proteins and Quality Attributes of Gluteus Medius Muscle in Goats

    PubMed Central

    Adeyemi, Kazeem Dauda; Shittu, Rafiat Morolayo; Sabow, Azad Behnan; Ebrahimi, Mahdi; Sazili, Awis Qurni

    2016-01-01

    This study appraised the effects of dietary blend of 80% canola oil and 20% palm oil and postmortem ageing on oxidative stability, fatty acids and quality attributes of gluteus medius (GM) muscle in goats. Twenty-four Boer bucks were randomly allotted to diet supplemented with 0, 4 and 8% oil blend, fed for 100 days and slaughtered, and the GM muscle was subjected to a 7 d chill storage (4±1°C). Diet had no effect (P> 0.05) on the colour, drip loss, thiobarbituric acid-reactive substances (TBARS) value, free thiol, carbonyl, myoglobin and metmyoglobin contents, metmyoglobin reducing activity (MRA), antioxidant enzyme activities and abundance of myosin heavy chain (MHC) and actin in the GM muscle in goats. The meat from goats fed 4 and 8% oil blend had higher (P< 0.05) concentration of α and γ-tocopherol and abundance of troponin T compared with that from the control goats. The GM muscle from the oil-supplemented goats had lower (P< 0.05) concentration of C16:0 and greater (P< 0.05) concentration of C18:1n-9, C18:3n-3 and C20:5n-3 compared with that from the control goats. Nonetheless, diet did not affect (P< 0.05) the total fatty acid in the GM muscle in goats. Regardless of the diet, the free thiol and myoglobin contents, concentration of tocopherol and total carotenoids, MHC and MRA in the GM muscle decreased (P< 0.05) while carbonyl content, TBARS, drip loss and metmyoglobin content increased over storage. Dietary blend of 80% canola oil and 20% palm oil beneficially altered tissue lipids without hampering the oxidative stability of chevon. PMID:27138001

  8. Synthesis and characterization of new low-molecular-weight lysine-conjugated Gd-DTPA contrast agents.

    PubMed

    Laurent, Sophie; Burtea, Carmen; Vander Elst, Luce; Muller, Robert N

    2011-01-01

    Various blood pool contrast agents (CAs), characterized by intravascular distribution, have been developed to assist contrast enhanced magnetic resonance angiography (MRA). Among these CAs, the DTPA derivatives conjugated to synthetic polypeptides, such as polylysine, represent attractive candidates for blood pool imaging. However, due to the presence of charged residues located on their backbone, these agents are retained in the kidneys and this compromises their long blood half-life. In order to overcome this major drawback of the polylysine compounds, two new low-molecular-weight CAs were synthesized in the present work by conjugating four or six 1-p-isothiocyanatobenzyl-DTPA moieties to tri- or penta-Lys peptides [(Gd-DTPA)(4) Lys(3) and (Gd-DTPA)(6) Lys(5)], respectively. All the -NH(2) groups of Lys were thus blocked by covalent conjugation to DTPA. The stability and relaxometric properties of these compounds, as well as their pharmacokinetic and biodistribution characteristics, were then evaluated. The half-life in blood of these new polylysine derivatives, as determined in rats, is twofold longer than that of Gd-DTPA. The compounds could thus be optimal blood pool markers for MRA, which typically uses fast acquisition times. The absence of positive molecular charge did not limit their retention in kidneys 2 h after administration. On the other hand, (Gd-DTPA)(4) Lys(3) is retained in kidneys to a lesser extent than (Gd-DTPA)(6) Lys(5) . Their moderate retention in blood and their higher stability and relaxivity in comparison with Gd-DTPA highlight these polylysine derivatives as optimal compared with previously developed polylysine compounds. PMID:21861283

  9. Administered activity and metastatic cure probability during radioimmunotherapy of ovarian cancer in nude mice with {sup 211}At-MX35 F(ab'){sub 2}

    SciTech Connect

    Elgqvist, Joergen . E-mail: jorgen.elgqvist@radfys.gu.se; Andersson, Hakan; Bernhardt, Peter; Baeck, Tom; Claesson, Ingela; Hultborn, Ragnar; Jensen, Holger; Johansson, Bengt R.; Lindegren, Sture; Olsson, Marita; Palm, Stig; Warnhammar, Elisabet; Jacobsson, Lars

    2006-11-15

    Purpose: To elucidate the therapeutic efficacy of {alpha}-radioimmunotherapy of ovarian cancer in mice. This study: (i) estimated the minimum required activity (MRA), giving a reasonable high therapeutic efficacy; and (ii) calculated the specific energy to tumor cell nuclei and the metastatic cure probability (MCP) using various assumptions regarding monoclonal-antibody (mAb) distribution in measured tumors. The study was performed using the {alpha}-particle emitter Astatine-211 ({sup 211}At) labeled to the mAb MX35 F(ab'){sub 2}. Methods and Materials: Animals were inoculated intraperitoneally with {approx}1 x 10{sup 7} cells of the cell line NIH:OVCAR-3. Four weeks later animals were treated with 25, 50, 100, or 200 kBq {sup 211}At-MX35 F(ab'){sub 2} (n = 74). Another group of animals was treated with a nonspecific mAb: 100 kBq {sup 211}At-Rituximab F(ab'){sub 2} (n = 18). Eight weeks after treatment the animals were sacrificed and presence of macro- and microscopic tumors and ascites was determined. An MCP model was developed and compared with the experimentally determined tumor-free fraction (TFF). Results: When treatment was given 4 weeks after cell inoculation, the TFFs were 25%, 22%, 50%, and 61% after treatment with 25, 50, 100, or 200 kBq {sup 211}At-MX35 F(ab'){sub 2}, respectively, the specific energy to irradiated cell nuclei varying between {approx}2 and {approx}400 Gy. Conclusion: As a significant increase in the therapeutic efficacy was observed between the activity levels of 50 and 100 kBq (TFF increase from 22% to 50%), the conclusion was that the MRA is {approx}100 kBq {sup 211}At-MX35 F(ab'){sub 2}. MCP was most consistent with the TFF when assuming a diffusion depth of 30 {mu}m of the mAbs in the tumors.

  10. Advances in imaging technologies for planning breast reconstruction.

    PubMed

    Mohan, Anita T; Saint-Cyr, Michel

    2016-04-01

    The role and choice of preoperative imaging for planning in breast reconstruction is still a disputed topic in the reconstructive community, with varying opinion on the necessity, the ideal imaging modality, costs and impact on patient outcomes. Since the advent of perforator flaps their use in microsurgical breast reconstruction has grown. Perforator based flaps afford lower donor morbidity by sparing the underlying muscle provide durable results, superior cosmesis to create a natural looking new breast, and are preferred in the context of radiation therapy. However these surgeries are complex; more technically challenging that implant based reconstruction, and leaves little room for error. The role of imaging in breast reconstruction can assist the surgeon in exploring or confirming flap choices based on donor site characteristics and presence of suitable perforators. Vascular anatomical studies in the lab have provided the surgeon a foundation of knowledge on location and vascular territories of individual perforators to improve our understanding for flap design and safe flap harvest. The creation of a presurgical map in patients can highlight any abnormal or individual anatomical variance to optimize flap design, intraoperative decision-making and execution of flap harvest with greater predictability and efficiency. This article highlights the role and techniques for preoperative planning using the newer technologies that have been adopted in reconstructive clinical practice: computed tomographic angiography (CTA), magnetic resonance angiography (MRA), laser-assisted indocyanine green fluorescence angiography (LA-ICGFA) and dynamic infrared thermography (DIRT). The primary focus of this paper is on the application of CTA and MRA imaging modalities. PMID:27047790

  11. Cavernous Sinus Dural Arteriovenous Fistula Patients Presenting With Headache as an Initial Symptom

    PubMed Central

    Nomura, Motohiro; Mori, Kentaro; Tamase, Akira; Kamide, Tomoya; Seki, Syunsuke; Iida, Yu; Kawabata, Yuichi; Nakano, Tatsu; Shima, Hiroshi; Taguchi, Hiroki

    2016-01-01

    Cavernous sinus (CS) dural arteriovenous fistula (dAVF) patients presenting with only headache as an initial symptom are not common. Patients with CS-dAVF commonly present with symptoms related to their eyes. In all three patients, headache was the initial symptom. Other symptoms related to the eyes developed 1 - 7 months after headache. In one patient, headache was controlled by sumatriptan succinate, but not diclofenac sodium or loxoprofen sodium. In another patient, headache was controlled by loxoprofen sodium. In the third patient, headache was improved by stellate ganglion block. In all patients, magnetic resonance angiography (MRA) in the early stage of the clinical course showed abnormal blood flow in the CS. However, reflux to the superior ophthalmic vein (SOV) was not detected. As treatment, transarterial and transvenous embolizations were necessary for one patient, and transvenous embolization was performed for another patient with significant blood flow to the SOV and cortical veins. On the other hand, manual compression of the bilateral carotid arteries at the neck resulted in disappearance of the fistula in the third patient. In all patients, the symptoms improved after the disappearance of blood reflux to the CS. The refluxed blood to the CS might cause elevation of the CS pressure and stimulate the trigeminal nerve in the dural membrane, resulting in headache before developing reflux in an anterior direction. CS-dAVF could induce both migraine and common headache. In cases with blood reflux to the CS on magnetic resonance imaging and/or MRA even without eye symptoms, a differential diagnosis of CS-dAVF should be taken into consideration. PMID:26985257

  12. Multiresolution quantum chemistry in multiwavelet bases: excited states from time-dependent Hartree–Fock and density functional theory via linear response

    DOE PAGESBeta

    Yanai, Takeshi; Fann, George I.; Beylkin, Gregory; Harrison, Robert J.

    2015-02-25

    Using the fully numerical method for time-dependent Hartree–Fock and density functional theory (TD-HF/DFT) with the Tamm–Dancoff (TD) approximation we use a multiresolution analysis (MRA) approach to present our findings. From a reformulation with effective use of the density matrix operator, we obtain a general form of the HF/DFT linear response equation in the first quantization formalism. It can be readily rewritten as an integral equation with the bound-state Helmholtz (BSH) kernel for the Green's function. The MRA implementation of the resultant equation permits excited state calculations without virtual orbitals. Moreover, the integral equation is efficiently and adaptively solved using amore » numerical multiresolution solver with multiwavelet bases. Our implementation of the TD-HF/DFT methods is applied for calculating the excitation energies of H2, Be, N2, H2O, and C2H4 molecules. The numerical errors of the calculated excitation energies converge in proportion to the residuals of the equation in the molecular orbitals and response functions. The energies of the excited states at a variety of length scales ranging from short-range valence excitations to long-range Rydberg-type ones are consistently accurate. It is shown that the multiresolution calculations yield the correct exponential asymptotic tails for the response functions, whereas those computed with Gaussian basis functions are too diffuse or decay too rapidly. Finally, we introduce a simple asymptotic correction to the local spin-density approximation (LSDA) so that in the TDDFT calculations, the excited states are correctly bound.« less

  13. SIM.RI(I)-K3 comparison of calibration coefficients at radiotherapy level for orthovoltage x-ray beams

    NASA Astrophysics Data System (ADS)

    O'Brien, M.; McCaffrey, J.; Shen, H.; Saraví, M.; Stefanic, A.; Montaño Ortiz, G.; Carlos, M.; da Silva, C.; Álvarez, J.; Tovar, V.

    2015-01-01

    Air-kerma calibration coefficients were compared at the radiotherapy level for orthovoltage x ray beams in the SIM.RI(I)-K3 comparison for members of the Sistema Interamericano de Metrología (SIM). Five SIM laboratories participated in the comparison: NIST, NRC, ININ, CNEA and LNMRI, the NIST being the pilot laboratory. Results from the comparison are linked to the BIPM.RI(I)-K3 key comparison reference value through the NIST-BIPM comparison made in 2003 and will meet requirements of the Mutual Recognition Arrangement (MRA) to support several CMCs (calibration and measurement capability claims) of the participants. The comparison began in October of 2007 and the measurements were completed in September 2008. The results reveal the degree to which the participating calibration facility can demonstrate proficiency in transferring air-kerma calibrations under the conditions of the said facility at the time of the measurements. The evaluation of the degrees of equivalence was performed as described in the comparison protocol. The comparison of the calibration coefficients for the four chambers is based on the average ratios of the calibration coefficients measured at the NIST and at each participating laboratory. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  14. Wavelet analysis of atmospheric turbulence

    SciTech Connect

    Hudgins, L.H.

    1992-12-31

    After a brief review of the elementary properties of Fourier Transforms, the Wavelet Transform is defined in Part I. Basic results are given for admissable wavelets. The Multiresolution Analysis, or MRA (a mathematical structure which unifies a large class of wavelets with Quadrature Mirror Filters) is then introduced. Some fundamental aspects of wavelet design are then explored. The Discrete Wavelet Transform is discussed and, in the context of an MRA, is seen to supply a Fast Wavelet Transform which competes with the Fast Fourier Transform for efficiency. In Part II, the Wavelet Transform is developed in terms of the scale number variable s instead of the scale length variable a where a = 1/s. Basic results such as the admissibility condition, conservation of energy, and the reconstruction theorem are proven in this context. After reviewing some motivation for the usual Fourier power spectrum, a definition is given for the wavelet power spectrum. This `spectral density` is then intepreted in the context of spectral estimation theory. Parseval`s theorem for Wavelets then leads naturally to the Wavelet Cross Spectrum, Wavelet Cospectrum, and Wavelet Quadrature Spectrum. Wavelet Transforms are then applied in Part III to the analysis of atmospheric turbulence. Data collected over the ocean is examined in the wavelet transform domain for underlying structure. A brief overview of atmospheric turbulence is provided. Then the overall method of applying Wavelet Transform techniques to time series data is described. A trace study is included, showing some of the aspects of choosing the computational algorithm, and selection of a specific analyzing wavelet. A model for generating synthetic turbulence data is developed, and seen to yield useful results in comparing with real data for structural transitions. Results from the theory of Wavelet Spectral Estimation and Wavelength Cross-Transforms are applied to studying the momentum transport and the heat flux.

  15. Wavelets as basis functions to represent the coarse-graining potential in multiscale coarse graining approach

    NASA Astrophysics Data System (ADS)

    Maiolo, M.; Vancheri, A.; Krause, R.; Danani, A.

    2015-11-01

    In this paper, we apply Multiresolution Analysis (MRA) to develop sparse but accurate representations for the Multiscale Coarse-Graining (MSCG) approximation to the many-body potential of mean force. We rigorously framed the MSCG method into MRA so that all the instruments of this theory become available together with a multitude of new basis functions, namely the wavelets. The coarse-grained (CG) force field is hierarchically decomposed at different resolution levels enabling to choose the most appropriate wavelet family for each physical interaction without requiring an a priori knowledge of the details localization. The representation of the CG potential in this new efficient orthonormal basis leads to a compression of the signal information in few large expansion coefficients. The multiresolution property of the wavelet transform allows to isolate and remove the noise from the CG force-field reconstruction by thresholding the basis function coefficients from each frequency band independently. We discuss the implementation of our wavelet-based MSCG approach and demonstrate its accuracy using two different condensed-phase systems, i.e. liquid water and methanol. Simulations of liquid argon have also been performed using a one-to-one mapping between atomistic and CG sites. The latter model allows to verify the accuracy of the method and to test different choices of wavelet families. Furthermore, the results of the computer simulations show that the efficiency and sparsity of the representation of the CG force field can be traced back to the mathematical properties of the chosen family of wavelets. This result is in agreement with what is known from the theory of multiresolution analysis of signals.

  16. Machine Learning in Ionospheric Phenomena Detection Using Passive Radar

    NASA Astrophysics Data System (ADS)

    Pankratius, V.; Barari, S.; Lind, F. D.

    2015-12-01

    This work describes an approach to automate ionospheric feature detection in passive radar data using a tunable pipeline of Python-implemented algorithms for detection and classification. In particular, our detector is tuned to capture E-region irregularities and various other events such as meteors, aircraft, and ambiguities that result from poor transmission of signals or noise interference. The detection stage applies to passive radar images with pixels normalized to a defined value range. To separate the background, we apply a thresholding value and an area cuttoff to keep regions with connected pixels of a minimum size; for each particular image, these parameters can be determined algorithmically in two ways through our ExplainedEntropy (EE) and MaximumRegionArea (MRA) techniques. EE identifies the smallest set of regions that explain the most entropy of the image. MRA sets the area threshold to be a function of the largest region size. The classification stage picks up on these detected areas and applies neural networks and random forests to the image feature space. This way we are able categorize images based on their scientific content and make them searchable for scientists. A training set of real radar images was available to evaluate our approach and its adaptivity. Based on these labeled real images, we also evaluated the robustness of the detection with enhanced set of perturbed images that were generated through a model-based simulator. The simulator also allowed for controlled experiments in the amount of perturbation and noise added, to precisely characterize the operation ranges of our machine learning algorithms. We will discuss the performance of the algorithms and potential scientific applications. Acknowledgements. We would like to acknowledge support from the NSF ACI-1442997 (PI V. Pankratius).

  17. Morphometric analysis and taxonomic revision of Anisopteromalus Ruschka (Hymenoptera: Chalcidoidea: Pteromalidae) – an integrative approach

    PubMed Central

    Baur, Hannes; Kranz-Baltensperger, Yvonne; Cruaud, Astrid; Rasplus, Jean-Yves; Timokhov, Alexander V; Gokhman, Vladimir E

    2014-01-01

    We use an integrative taxonomic approach to revise the genus Anisopteromalus. In particular, we apply multivariate ratio analysis (MRA), a rather new statistical method based on principal component analysis (PCA) and linear discriminant analysis (LDA), to numerous body measurements and combine the data with those from our molecular analysis of Cytb and ITS2 genetic markers (on a subset of species) and all available published data on morphology, karyology, behaviour, host associations and geographic distribution. We demonstrate that the analysis of quantitative characters using MRA plays a major role for the integration of name-bearing types and thus for the association of taxa with names. Six species are recognized, of which two are new: A. cornis Baur sp.n. and A. quinarius Gokhman & Baur sp.n. For Anisopteromalus calandrae (Howard), a well-known, cosmopolitan parasitoid of stored-product pests, we have selected a neotype to foster continuity and stability in the application of this important name. The species was sometimes confused with the related A. quinarius sp.n., another cosmopolitan species that is frequently encountered in similar environments. We also show that several species originally described or later put under Anisopteromalus actually belong to different genera: Cyrtoptyx camerunus (Risbec) comb.n.; Meraporus glaber (Szelényi) comb.n.; Dinarmus schwenkei (Roomi, Khan & Khan) comb.n. Neocatolaccus indicus Ayyar & Mani is confirmed as a junior synonym of Oxysychus sphenopterae (Ferrière) syn.n. and Anisopteromalus calandrae brasiliensis (Domenichini) stat.rev. must be considered as a valid but doubtful taxon. This published work has been registered in ZooBank, http://zoobank.org/urn:lsid:zoobank.org:pub:BDFE96D3-D0F4-4012-90F5-9A087F7F5864. PMID:26074661

  18. Delayed gadolinium-enhanced magnetic resonance imaging of hip joint cartilage: pearls and pitfalls

    PubMed Central

    Bittersohl, Bernd; Zilkens, Christoph; Kim, Young-Jo; Werlen, Stefan; Siebenrock, Klaus A.; Mamisch, Tallal C.; Hosalkar, Harish S.

    2011-01-01

    With the increasing advances in hip joint preservation surgery, accurate diagnosis and assessment of femoral head and acetabular cartilage status is becoming increasingly important. Magnetic resonance imaging (MRI) of the hip does present technical difficulties. The fairly thin cartilage lining necessitates high image resolution and high contrast-to-noise ratio (CNR). With MR arthrography (MRA) using intraarticular injected gadolinium, labral tears and cartilage clefts may be better identified through the contrast medium filling into the clefts. However, the ability of MRA to detect varying grades of cartilage damage is fairly limited and early histological and biochemical changes in the beginning of osteoarthritis (OA) cannot be accurately delineated. Traditional MRI thus lacks the ability to analyze the biological status of cartilage degeneration. The technique of delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) is sensitive to the charge density of cartilage contributed by glycosaminoglycans (GAGs), which are lost early in the process of OA. Therefore, the dGEMRIC technique has a potential to detect early cartilage damage that is obviously critical for decision-making regarding time and extent of intervention for joint-preservation. In the last decade, cartilage imaging with dGEMRIC has been established as an accurate and reliable tool for assessment of cartilage status in the knee and hip joint. This review outlines the current status of dGEMRIC for assessment of hip joint cartilage. Practical modifications of the standard technique including three-dimensional (3D) dGEMRIC and dGEMRIC after intra-articular gadolinium instead of iv-dGEMRIC will also be addressed. PMID:22053252

  19. Delayed gadolinium-enhanced magnetic resonance imaging of hip joint cartilage: pearls and pitfalls.

    PubMed

    Bittersohl, Bernd; Zilkens, Christoph; Kim, Young-Jo; Werlen, Stefan; Siebenrock, Klaus A; Mamisch, Tallal C; Hosalkar, Harish S

    2011-01-01

    With the increasing advances in hip joint preservation surgery, accurate diagnosis and assessment of femoral head and acetabular cartilage status is becoming increasingly important. Magnetic resonance imaging (MRI) of the hip does present technical difficulties. The fairly thin cartilage lining necessitates high image resolution and high contrast-to-noise ratio (CNR). With MR arthrography (MRA) using intraarticular injected gadolinium, labral tears and cartilage clefts may be better identified through the contrast medium filling into the clefts. However, the ability of MRA to detect varying grades of cartilage damage is fairly limited and early histological and biochemical changes in the beginning of osteoarthritis (OA) cannot be accurately delineated. Traditional MRI thus lacks the ability to analyze the biological status of cartilage degeneration. The technique of delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) is sensitive to the charge density of cartilage contributed by glycosaminoglycans (GAGs), which are lost early in the process of OA. Therefore, the dGEMRIC technique has a potential to detect early cartilage damage that is obviously critical for decision-making regarding time and extent of intervention for joint-preservation. In the last decade, cartilage imaging with dGEMRIC has been established as an accurate and reliable tool for assessment of cartilage status in the knee and hip joint.This review outlines the current status of dGEMRIC for assessment of hip joint cartilage. Practical modifications of the standard technique including three-dimensional (3D) dGEMRIC and dGEMRIC after intra-articular gadolinium instead of iv-dGEMRIC will also be addressed. PMID:22053252

  20. Development of in vivo tissue-engineered microvascular grafts with an ultra small diameter of 0.6 mm (MicroBiotubes): acute phase evaluation by optical coherence tomography and magnetic resonance angiography.

    PubMed

    Ishii, Daizo; Enmi, Jun-Ichiro; Moriwaki, Takeshi; Ishibashi-Ueda, Hastue; Kobayashi, Mari; Iwana, Shinichi; Iida, Hidehiro; Satow, Tetsu; Takahashi, Jun C; Kurisu, Kaoru; Nakayama, Yasuhide

    2016-09-01

    Biotubes, i.e., in vivo tissue-engineered connective tubular tissues, are known to be effective as vascular replacement grafts with a diameter greater than several millimeters. However, the performance of biotubes with smaller diameters is less clear. In this study, MicroBiotubes with diameters <1 mm were prepared, and their patency was evaluated noninvasively by optical coherence tomography (OCT) and magnetic resonance angiography (MRA). MicroBiotube molds, containing seven stainless wires (diameter 0.5 mm) covered with silicone tubes (outer diameter 0.6 mm) per mold, were embedded into the dorsal subcutaneous pouches of rats. After 2 months, the molds were harvested with the surrounding capsular tissues to obtain seven MicroBiotubes (internal diameter 0.59 ± 0.015 mm, burst pressure 4190 ± 1117 mmHg). Ten-mm-long MicroBiotubes were allogenically implanted into the femoral arteries of rats by end-to-end anastomosis. Cross-sectional OCT imaging demonstrated the patency of the MicroBiotubes immediately after implantation. In a 1-month follow-up MRA, high patency (83.3 %, n = 6) was observed without stenosis, aneurysmal dilation, or elongation. Native-like vascular structure was reconstructed with completely endothelialized luminal surfaces, mesh-like elastin fiber networks, regular circumferential orientation of collagen fibers, and α-SMA-positive cells. Although the long-term patency of MicroBiotubes still needs to be confirmed, they may be useful as an alternative ultra-small-caliber vascular substitute. PMID:27003431

  1. Stretch-dependent changes in surface profiles of the human crystalline lens during accommodation: A finite element study

    PubMed Central

    Pour, Hooman Mohammad; Kanapathipillai, Sangarapillai; Zarrabi, Khosrow; Manns, Fabrice; Ho, Arthur

    2015-01-01

    Background A nonlinear isotropic finite element (FE) model of a 29 year old human crystalline lens was constructed to study the effects of various geometrical parameters on lens accommodation. Methods The model simulates dis-accommodation by stretching of the lens and predicts the change in the lens capsule, cortex and nucleus surface profiles at select states of stretching/accommodation. Multiple regression analysis (MRA) is used to develop a stretch-dependent mathematical model relating the lens sagittal height to the radial position of the lens surface as a function of dis-accommodative stretch. A load analysis is performed to compare the FE results to empirical results from lens stretcher studies. Using the predicted geometrical changes, the optical response of the whole eye during accommodation was analysed by ray-tracing. Results Aspects of lens shape change relative to stretch were evaluated including change in diameter (d), central thickness (T) and accommodation (A). Maximum accommodation achieved was 10.29 D. From the MRA, the stretch-dependent mathematical model of the lens shape related lens curvatures as a function of lens ciliary stretch well (maximum mean-square residual error 2.5×10−3 µm, p<0.001). The results are compared with those from in vitro studies. Conclusions The FE and ray-tracing predictions are consistent with EVAS studies in terms of load and power change versus change in thickness. The mathematical stretch-dependent model of accommodation presented may have utility in investigating lens behaviour at states other than the relaxed or fully-accommodated states. PMID:25727940

  2. Trends of ice breakup date in south-central Ontario

    NASA Astrophysics Data System (ADS)

    Fu, Congsheng; Yao, Huaxia

    2015-09-01

    Large-scale ice phenology studies have revealed overall patterns of later freeze, earlier breakup, and shorter duration of ice in the Northern Hemisphere. However, there have been few studies regarding the trends, including their spatial patterns, in ice phenology for individual waterbodies on a local or small regional scale, although the coherence of ice phenology has been shown to decline rapidly in the first few hundred kilometers. In this study, we extracted trends, analyzed affecting factors, and investigated relevant spatial patterns for ice breakup date time series at 10 locations with record length ≥90 years in south-central Ontario, Canada. Wavelet methods, including the multiresolution analysis (MRA) method for nonlinear trend extraction and the wavelet coherence (WTC) method for identifying the teleconnections between large-scale climate modes and ice breakup date, are proved to be effective in ice phenology analysis. Using MRA method, the overall trend of ice breakup date time series (1905-1991) varied from earlier ice breakup to later ice breakup, then to earlier breakup again from south to north in south-central Ontario. Ice breakup date is closely correlated with air temperature during certain winter/spring months, as well as the last day with snow on the ground and number of snow-on-ground days. The influences of solar activity and Pacific North American on ice breakup were comparatively uniform across south-central Ontario, while those of El Niño-Southern Oscillation, North Atlantic Oscillation, and Arctic Oscillation on ice phenology changed with distance of 50-100 km in the north-south direction.

  3. Temporal profile of magnetic resonance angiography and decreased ratio of regulatory T cells after immunological adjuvant administration to mice lacking RNF213, a susceptibility gene for moyamoya disease.

    PubMed

    Kanoke, Atsushi; Fujimura, Miki; Niizuma, Kuniyasu; Fujimura, Taku; Kakizaki, Aya; Ito, Akira; Sakata, Hiroyuki; Sato-Maeda, Mika; Kure, Shigeo; Tominaga, Teiji

    2016-07-01

    Moyamoya disease (MMD) is a chronic, occlusive cerebrovascular disease with an unknown etiology and is characterized by an abnormal vascular network at the base of the brain. Recent studies identified the RNF213 gene (RNF213) as an important susceptibility gene for MMD; however, the mechanisms underlying the RNF213 abnormality related to MMD have not yet been elucidated. We previously reported that Rnf213-deficient mice and Rnf213 p. R4828K knock-in mice did not spontaneously develop MMD, indicating the importance of secondary insults in addition to genetic factors in the pathogenesis of MMD. The most influential secondary insult is considered to be an immunological reaction because RNF213 is predominantly expressed in immunological tissues. Therefore, we herein attempted to evaluate the role of an immunological stimulation as a supplementary insult to the target disruption of RNF213 in the pathophysiology of MMD. Rnf213-deficient mice were treated with strong immunological adjuvants including muramyl dipeptide (MDP)-Lys (L18), and then underwent time-sequential magnetic resonance angiography (MRA) up to 40 weeks of age. The results obtained did not reveal any characteristic finding of MMD, and no significant difference was observed in MRA findings or the anatomy of the circle of Willis between Rnf213-deficient mice and wild-type mice after the administration of MDP-Lys (L18). The ratio of regulatory T cells after the administration of MDP-Lys (L18) was significantly decreased in Rnf213-deficient mice (p<0.01), suggesting the potential role of the RNF213 abnormality in the differentiation of regulatory T cells. Although the mechanisms underlying the development of MMD currently remain unclear, the RNF213 abnormality may compromise immunological self-tolerance, thereby contributing to the development of MMD. PMID:26972532

  4. KEY COMPARISON: APMP.QM-K3: automotive emission gas measurements

    NASA Astrophysics Data System (ADS)

    Kim, Jin Seog; Moon, Dong Min; Kato, Kenji; Maruyama, Masaaki; Kao, Ming-Je; Botha, Angelique; Dimashki, Marwan

    2003-01-01

    This comparison, APMP.QM-K3, is intended to be an equivalent RMO key comparison in the APMP (Asia Pacific Metrology Program) region and uses basically the same protocol as CCQM-K3. Four national metrology institutes, CSIR-NML (South Africa), CMS-ITRI (Taiwan), KRISS (Republic of Korea) and NMIJ/CERI (Japan), participated in the key comparison. ERL-HIAST (Syria) participated as a 'study' and the results will not be included in MRA Appendix B. APMP.QM-K3 was organized by the Korea Research Institute of Standards and Science (KRISS). The selected primary gas mixtures for this comparison were individually prepared using gravimetry and thoroughly studied for their chemical composition and stability. The comparison was carried out at an amount-of-substance fraction level of 28 mmol/mol carbon monoxide, 124 mmol/mol carbon dioxide and 1.95 mmol/mol propane in nitrogen (balance gas). All laboratories participated as key comparison submitted results that were within +/-1% relative to the gravimetric value. The results of this comparison are linked to the key comparison CCQM-K3 through the link laboratories: NMIJ/CERI and KRISS. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the Mutual Recognition Arrangement (MRA).

  5. KEY COMPARISON: Final report on key comparison APMP.QM-K4 of ethanol in air

    NASA Astrophysics Data System (ADS)

    Milton, M. J. T.; Brookes, C.; Marschal, A.; Guenther, F.; de Leer, E.; Zhen, Wang Lin; Takahashi, C.; Deák, E.; Kustikov, Y.

    2003-01-01

    This report describes key comparison APMP.QM-K4 that was held under the auspices of the Asia Pacific Metrology Program (APMP) Technical Committee for Amount of Substance (TCQM) in 2000-2001, and piloted by the NMIJ. The report was checked by the CCQM Working Group on Gas Analysis and approved by the CCQM. Four national metrology institutes, CSIR-NML (South Africa), CMS-ITRI (Taiwan), KRISS (Republic of Korea) and NMIJ/CERI (Japan) participated in the key comparison. ERL-HIAST (Syria) participated as a 'study' and the results will not be included in MRA Appendix B. The protocol used is equivalent to that of the CCQM-K4, and the link laboratory is NMIJ. Gas mixtures of ethanol in air with a nominal amount-of-substance fraction of 120 µmol/mol were prepared in cylinders using the gravimetric method by CERI. One cylinder was delivered to each participant and analysed based on the participant's standard. Two of the participants have their own gravimetric primary standards, one carried out the analysis using the standard by a static volumetric method, and two purchased gravimetrically mixed gases in cylinders from other national laboratories for their standards. This key comparison demonstrates that the level of comparability between three of the four participants is adequate to meet the requirements for ethanol/air mixtures at this amount-of-substance fraction. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the Mutual Recognition Arrangement (MRA).

  6. Spontaneous vertebral dissection: Clinical, conventional angiographic, CT, and MR findings

    SciTech Connect

    Provenzale, J.M.; Morgenlander, J.C.; Gress, D.

    1996-03-01

    The purpose of this study was to determine if typical clinical and neuroradiologic patterns exist in patients with spontaneous vertebral artery (VA) dissection. The medical records and neuroradiologic examinations of 14 patients with spontaneous VA dissection were reviewed. The medical records were examined to exclude patients with a history of trauma and to record evidence of a nontratimatic precipitating event ({open_quotes}trivial trauma{close_quotes}) and presence of possible risk factors such as hypertension. All patients under-went conventional angiography, 13 either CT or MRI (II both CT and MRI), and 3 MRA. Conventional arteriograrris were evaluated for dissection site, evidence of fibromuscular dysplasia, luminal stenosis or occlusion, and pseudoaneurysm formation, CT examinations for the presence of infarction or subarachnoid hemorrhage, MR examinations for the presence of infarction or arterial signal abnormality, and MR angiograms for abnormality of the arterial signal column. Seven patients had precipitating events within 24 h of onset of symptoms that may have been causative of dissection and five had hypertension. At catheter angiography, two patients had dissections in two arteries (both VAs in one patient, VA and internal carotid artery in one patient), giving a total of 15 VAs with dissection. Dissection sites included V1 in four patients, V2 in one patient, V3 in three patients, V4 in six patients, and both V3 and V4 in one patient. Luminal stenosis was present in 13 VAs, occlusion in 2, pseudoaneurysm in 1, and evidence of fibromuscular dysplasia in 1. Posterior circulation infarcts were found on CT or MR in five patients. Subarachnoid hemorrhage was found on CT in two patients and by lumbar puncture alone in two patients. Abnormal periarterial signal on MRI was seen in three patients. MRA demonstrated absent VA signal in one patient, pseudoaneurysm in one, and a false-negative examination in one.

  7. Cavernous Sinus Dural Arteriovenous Fistula Patients Presenting With Headache as an Initial Symptom.

    PubMed

    Nomura, Motohiro; Mori, Kentaro; Tamase, Akira; Kamide, Tomoya; Seki, Syunsuke; Iida, Yu; Kawabata, Yuichi; Nakano, Tatsu; Shima, Hiroshi; Taguchi, Hiroki

    2016-04-01

    Cavernous sinus (CS) dural arteriovenous fistula (dAVF) patients presenting with only headache as an initial symptom are not common. Patients with CS-dAVF commonly present with symptoms related to their eyes. In all three patients, headache was the initial symptom. Other symptoms related to the eyes developed 1 - 7 months after headache. In one patient, headache was controlled by sumatriptan succinate, but not diclofenac sodium or loxoprofen sodium. In another patient, headache was controlled by loxoprofen sodium. In the third patient, headache was improved by stellate ganglion block. In all patients, magnetic resonance angiography (MRA) in the early stage of the clinical course showed abnormal blood flow in the CS. However, reflux to the superior ophthalmic vein (SOV) was not detected. As treatment, transarterial and transvenous embolizations were necessary for one patient, and transvenous embolization was performed for another patient with significant blood flow to the SOV and cortical veins. On the other hand, manual compression of the bilateral carotid arteries at the neck resulted in disappearance of the fistula in the third patient. In all patients, the symptoms improved after the disappearance of blood reflux to the CS. The refluxed blood to the CS might cause elevation of the CS pressure and stimulate the trigeminal nerve in the dural membrane, resulting in headache before developing reflux in an anterior direction. CS-dAVF could induce both migraine and common headache. In cases with blood reflux to the CS on magnetic resonance imaging and/or MRA even without eye symptoms, a differential diagnosis of CS-dAVF should be taken into consideration. PMID:26985257

  8. Arthroscopic repair of type II SLAP lesions: Clinical and anatomic follow-up

    PubMed Central

    Trantalis, John N.; Sohmer, Stephen; More, Kristie D.; Nelson, Atiba A.; Wong, Ben; Dyke, Corinne H.; Thornton, Gail M.; Boorman, Richard S.; Lo, Ian K.Y.

    2015-01-01

    Aims: The aim was to evaluate the clinical and anatomic outcome of arthroscopic repair of type II SLAP lesions. Materials and Methods: The senior author performed isolated repairs of 25 type II SLAP lesions in 25 patients with a mean age of 40.0 ± 12 years. All tears were repaired using standard arthroscopic suture anchor repair to bone. All patients were reviewed using a standardized clinical examination by a blinded, independent observer, and using several shoulder outcome measures. Patients were evaluated by magnetic resonance imaging arthrogram at a minimum of 1-year postoperatively. Statistical Analysis Used: Two-tailed paired t-test were used to determine significant differences in preoperative and postoperative clinical outcomes scores. In addition, a Fisher's exact test was used. Results: At a mean follow-up of 54-month, the mean American Shoulder and Elbow Surgeons Shoulder Index (ASES) scores improved from 52.1 preoperatively to 86.1 postoperatively (P < 0.0001) and the Simple Shoulder Test (SST) scores from 7.7 to 10.6 (P < 0.0002). Twenty-two out of the 25 patients (88%) stated that they would have surgery again. Of the 21 patients who had postoperative magnetic resonance imaging arthrographys (MRAs), 9 patients (43%) demonstrated dye tracking between the labrum bone interface suggestive of a recurrent tear and 12 patients (57%) had a completely intact repair. There was no significant difference in ASES, SST, and patient satisfaction scores in patients with recurrent or intact repairs. Conclusions: Arthroscopic repair of type II SLAP lesions demonstrated improvements in clinical outcomes. However, MRA imaging demonstrated 43% of patients with recurrent tears. MRA results do not necessarily correlate with clinical outcome. PMID:26288536

  9. Oral Mineralocorticoid-Receptor Antagonists: Real-Life Experience in Clinical Subtypes of Nonresolving Central Serous Chorioretinopathy With Chronic Epitheliopathy

    PubMed Central

    Daruich, Alejandra; Matet, Alexandre; Dirani, Ali; Gallice, Mathilde; Nicholson, Luke; Sivaprasad, Sobha; Behar-Cohen, Francine

    2016-01-01

    Purpose To evaluate the efficacy and safety of oral mineralocorticoid-receptor antagonist (MRa) therapy in three clinical presentations of nonresolving central serous chorioretinopathy (CSCR) with chronic epitheliopathy. Methods Retrospective case series of consecutive patients with nonresolving CSCR treated with oral eplerenone or spironolactone. Treatment criteria were: persistent CSCR with subretinal fluid (SRF) lasting longer than 4 months; recurrent CSCR with SRF lasting longer than 2 months; persistent CSCR (SRF ≥ 4 months) with fundus autofluorescence gravitational tracks. Outcomes at 1, 3, and 6 months were: foveal SRF height, central macular thickness (CMT), subfoveal choroidal thickness (SFCT), best-corrected visual acuity (BCVA), and occurrence of side effects. Results Among 54 eyes from 42 patients (mean age: 53 years), mean foveal SRF, CMT, and SFCT decreased significantly at 1, 3, and 6 months after treatment initiation. Mean BCVA improved significantly at 6 months. In the subgroup analysis, mean foveal SRF, CMT, and SFCT decreased significantly at 3 and 6 months in the persistent and recurrent groups. In persistent cases with tracks, a significant diminution of mean CMT and SFCT was achieved at 6 months. Treatment-related side effects were observed in 6 patients, prompting treatment discontinuation in one case. Conclusion Response to treatment was observed in the three subgroups. In persistent CSCR with tracks the response was delayed compared with persistent and recurrent cases, suggesting that longer treatment durations would be beneficial in patients with gravitational tracks of RPE alteration. Translational Relevance The clinical response to oral MRa is consistent with the involvement of the mineralocorticoid pathway in CSCR pathogenesis. PMID:26966638

  10. Measurement of gauge blocks by interferometry

    NASA Astrophysics Data System (ADS)

    Matus, M.; Haas, S.; Piree, H.; Gavalyugov, V.; Tamakyarska, D.; Thalmann, R.; Balling, P.; Garnaes, J.; Hald, J.; Farid, N.; Prieto, E.; Lassila, A.; Salgado, J. A.; Lewis, A.; Bandis, C.; Mudronja, V.; Banreti, E.; Balsamo, A.; Pedone, P.; Bergmans, R. H.; Karlsson, H.; Ramotowski, Z.; Eusebio, L.; Saraiva, F.; Duta, A.; Zelenika, S.; Bergstrand, S.; Fira, R.; Yandayan, T.; Sendogdu, D.; Ganioglu, O.; Asli Akgoz, S.; Franke, P.

    2016-01-01

    The key comparison EURAMET.L-K1.2011 on gauge blocks was carried out in the framework of a EURAMET project starting in 2012 and ending in 2015. It involved the participation of 24 National Metrology Institutes from Europe and Egypt, respectively. 38 gauge blocks of steel and ceramic with nominal central lengths between 0.5 mm and 500 mm were circulated. The comparison was conducted in two loops with two sets of artifacts. A statistical technique for linking the reference values was applied. As a consequence the reference value of one loop is influenced by the measurements of the other loop although they did not even see the artifacts of the others. This influence comes solely from three "linking laboratories" which measure both sets of artifacts. In total there were 44 results were not fully consistent with the reference values. This represents 10% of the full set of 420 results which is a considerable high number. At least 12 of them are clearly outliers where the participants have been informed by the pilot as soon as possible. The comparison results help to support the calibration and measurement capabilities (CMCs) of the laboratories involved in the CIPM MRA. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCL, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  11. SUPPLEMENTARY COMPARISON: EUROMET.L-S10 Comparison of squareness measurements

    NASA Astrophysics Data System (ADS)

    Mokros, Jiri

    2005-01-01

    The idea of performing a comparison of squareness resulted from the need to review the MRA Appendix C, Category 90° square. At its meeting in October 1999 (in Prague) it was decided upon a first comparison of squareness measurements in the framework of EUROMET, numbered #570, starting in 2000, with the Slovak Institute of Metrology (SMU) as the pilot laboratory. During the preparation stage of the project, it was agreed that it should be submitted as a EUROMET supplementary comparison in the framework of the Mutual Recognition Arrangement (MRA) of the Metre Convention and would boost confidence in calibration and measurement certificates issued by the participating national metrology institutes. The aim of the comparison of squareness measurement was to compare and verify the declared calibration measurement capabilities of participating laboratories and to investigate the effect of systematic influences in the measurement process and their elimination. Eleven NMIs from the EUROMET region carried out this project. Two standards were calibrated: granite squareness standard of rectangular shape, cylindrical squareness standard of steel with marked positions for the profile lines. The following parameters had to be calibrated: granite squareness standard: interior angle γB between two lines AB and AC (envelope - LS regression) fitted through the measured profiles, and/or granite squareness standard: interior angle γLS between two LS regression lines AB and AC fitted through the measured profiles, cylindrical squareness standard: interior angles γ0°, γ90°, γ180°, γ270° between the LS regression line fitted through the measurement profiles at 0°, 90°, 180°, 270° and the envelope plane of the basis (resting on a surface plate), local LS straightness deviation for all measured profiles (2 and 4) of both standards. The results of the comparison are the deviations of profiles and angles measured by the individual NMIs from the reference values. These resulted

  12. A multi-resolution analysis of lidar-DTMs to identify geomorphic processes from characteristic topographic length scales

    NASA Astrophysics Data System (ADS)

    Sangireddy, H.; Passalacqua, P.; Stark, C. P.

    2013-12-01

    Characteristic length scales are often present in topography, and they reflect the driving geomorphic processes. The wide availability of high resolution lidar Digital Terrain Models (DTMs) allows us to measure such characteristic scales, but new methods of topographic analysis are needed in order to do so. Here, we explore how transitions in probability distributions (pdfs) of topographic variables such as (log(area/slope)), defined as topoindex by Beven and Kirkby[1979], can be measured by Multi-Resolution Analysis (MRA) of lidar DTMs [Stark and Stark, 2001; Sangireddy et al.,2012] and used to infer dominant geomorphic processes such as non-linear diffusion and critical shear. We show this correlation between dominant geomorphic processes to characteristic length scales by comparing results from a landscape evolution model to natural landscapes. The landscape evolution model MARSSIM Howard[1994] includes components for modeling rock weathering, mass wasting by non-linear creep, detachment-limited channel erosion, and bedload sediment transport. We use MARSSIM to simulate steady state landscapes for a range of hillslope diffusivity and critical shear stresses. Using the MRA approach, we estimate modal values and inter-quartile ranges of slope, curvature, and topoindex as a function of resolution. We also construct pdfs at each resolution and identify and extract characteristic scale breaks. Following the approach of Tucker et al.,[2001], we measure the average length to channel from ridges, within the GeoNet framework developed by Passalacqua et al.,[2010] and compute pdfs for hillslope lengths at each scale defined in the MRA. We compare the hillslope diffusivity used in MARSSIM against inter-quartile ranges of topoindex and hillslope length scales, and observe power law relationships between the compared variables for simulated landscapes at steady state. We plot similar measures for natural landscapes and are able to qualitatively infer the dominant geomorphic

  13. KEY COMPARISON: Final report on CCQM-K38: Determination of PAHs in solution

    NASA Astrophysics Data System (ADS)

    Duewer, D. L.; May, W. E.; Parris, R. M.; Schantz, M. M.; Wise, S. A.; Piechotta, C.; Philipp, R.; Win, T.; Avila, M.; Pérez Urquiza, M.; Ulberth, F.; Kim, B.; Ishikawa, K.; Chen, D.; Krylov, A. I.; Kustidov, Y. A.; Lopushanskaya, E. M.

    2009-01-01

    Solutions of known mass fraction of organic analytes of interest are typically used to calibrate the measurement processes used in the determination of these analytes. Appropriate value assignments and uncertainty calculations for these calibration solutions are critical. For the Mutual Recognition Arrangement (MRA) developed by the CIPM, there are numerous Calibration and Measurement Capability Claims (CMCs) published in Category 3 Organic Solutions in the CIPM MRA Appendix C. Additional CMCs in this category are being proposed and reviewed. Evidence of successful participation in formal, relevant international comparisons is needed to support these claims. A CCQM pilot study conducted in 2004 was comprised of three parts: CCQM-P31a Organic Solution—Polycyclic Aromatic Hydrocarbons (PAHs), CCQM-P31b Organic Solution—Polychlorinated Biphenyl (PCB) Congeners, and CCQM-P31c Organic Solution—Chlorinated Pesticides. The results from the CCQM-P31a study are summarized below for the PAHs. After review of the P31a results at the April 2004 Organic Analytical Working Group (OAWG) meeting (Sèvres 2004) and the October 2004 OAWG meeting (Beijing 2004), it was decided to proceed with a key comparison study for PAHs in solution (CCQM-K38) with a concurrent second pilot study for the PAHs in solution (CCQM-P31a.1). CCQM-K38 was conducted during the same time period as a PAHs in soil pilot study (CCQM-P69) coordinated by CENAM and BAM. This Key Comparison study demonstrated a high level of equivalence in capabilities of the participating NMIs to successfully identify and measure five PAHs (phenanthrene, fluoranthene, benz[a]anthracene, benzo[a]pyrene, and benzo[ghi]perylene) in a solution using GC/MS-based methods. The PAHs measured in CCQM-K38 were selected to be representative of PAHs typically used as calibrants in the determination of the PAHs found in environmental samples and to provide the typical analytical measurement challenges encountered in the value

  14. Final report on SIM Regional Key Comparison SIM.L-K1.2007: Calibration of gauge blocks by optical interferometry

    NASA Astrophysics Data System (ADS)

    Colín, C.; Viliesid, M.; Chaudhary, K. P.; Decker, J.; Dvorácek, F.; Franca, R.; Ilieff, S.; Rodríguez, J.; Stoup, J.

    2012-01-01

    This Key Comparison of gauge blocks (GB) calibration by optical interferometry was carried out to support this Calibration and Measurement Capability (CMC) of the National Measurement Institutes (NMI) from the SIM Region for this specific service and for those that rely on this kind of technique as required by the Mutual Recognition Arrangement (MRA). It provides evidence of the participant's technical competence and supports the uncertainties they state in their CMC. It is a Regional Key Comparison and should be linked to the upper level corresponding comparison CCL-K1. The comparison had nine participants, five from the SIM Region—NRC-CNRC, Canada; NIST, USA; CENAM, Mexico; INMETRO, Brazil; and INTI, Argentina— and four from other regions—CMI, Czech Rep.; CEM, Spain; NPLI, India; and NMISA South Africa. It included the circulation of fourteen GB—seven steel GB and seven ceramic GB. The circulation of the artifacts started on 2007-11-01 and ended on 2010-04-25. Some additional time was required to publish the results as the same artifacts were used thereafter for comparison SIM.L-S6, Calibration of GB by mechanical comparison, and the results could not be disclosed until the participants of the second circulation loop had sent their results. The final report of this comparison was sent out for review in May 2012 and the final version was approved in August 2012. The behavior of the artifacts throughout the circulation was good and therefore the results obtained were judged technically valid. The reference value was taken as arithmetic mean of the largest subset of consistent results. Most of participates obtained results in good agreement with the reference values with a few exceptions mentioned in the report. The corresponding NMIs are responsible for identifying the causes and taking corrective action. This makes the present comparison exercise valid to support the CMC claims of the participants in GB calibration by optical interferometry. Main text. To

  15. Characterizing land condition variability in Ferlo, Senegal (2001-2009) using multi-temporal 1-km Apparent Green Cover (AGC) SPOT Vegetation data

    NASA Astrophysics Data System (ADS)

    Martínez, B.; Gilabert, M. A.; García-Haro, F. J.; Faye, A.; Meliá, J.

    2011-04-01

    The ecosystem state or 'land condition' can be characterized by a set of attributes, which show variations at different temporal scales. A multi-resolution analysis (MRA) based on the wavelet transform (WT) has been implemented to examine the land condition of a dryland region in Ferlo (Senegal) over the period 2001-2009. This methodology has proven to be useful for smoothing time series while considering those temporal resolutions that incorporate information about the vegetation dynamics. For this purpose, time series of the 1-km Apparent Green Cover (AGC) from the 10-day composites SPOT Vegetation (VGT) data are analyzed. Two relevant outputs from the MRA, A1 (de-noised) and the A6 (inter-annual) components have served us for characterizing the annual vegetation production and assess the long-term variation, respectively. In a first stage, the vegetation seasonality (or intra-annual variation) over the area is described by using several metrics related to vegetation phenology derived from the de-noised time series ( A1). In a second phase, the temporal variability of the inter-annual component series ( A6) is accomplished to detect potential vegetation changes over the considered period. A Mann-Kendall test has been applied to confirm the significance of the observed inter-annual changes. A higher number of significant pixels (86%) are obtained when considering the inter-annual component in the trend analysis instead of the original time-series (47%). The results confirm a general greening up over the period 2001-2009, not fully explained by precipitation, as well as rather local negative trends. The Rain-Use Efficiency (RUE) ratio computed using the AGC as a proxy of vegetation production has been considered to further analyze the detected changes. Inter-annual changes in RUE provide a potential method of separating vegetation declines due to lack of rainfall from declines associated with degradation. Some spots of negative values in inter-annual RUE changes

  16. Use of a semi-automated cardiac segmentation tool improves reproducibility and speed of segmentation of contaminated right heart magnetic resonance angiography.

    PubMed

    Tandon, Animesh; Byrne, Nicholas; Nieves Velasco Forte, Maria de Las; Zhang, Song; Dyer, Adrian K; Dillenbeck, Jeanne M; Greil, Gerald F; Hussain, Tarique

    2016-08-01

    Three-dimensional printing has an increasing number of clinical applications in pediatric cardiology. Time required for dataset segmentation and conversion to stereolithography (STL) format remains a significant limitation. We investigated the impact of semi-automated cardiovascular-specific segmentation software on time and reproducibility of segmentation. Magnetic resonance angiograms (MRAs) of 19 patients undergoing intervention for right ventricular outflow lesions were segmented to demonstrate the right heart. STLs were created by two independent clinicians using semi-automated cardiovascular segmentation (SAS) and traditional manual segmentation (MS). Time was recorded and geometric STL disagreement was determined (0 % = no disagreement, 100 % = complete disagreement). MRA datasets were categorized as clean when only right heart structures were present in the MRA, or contaminated when left heart structures were also present and required removal. Eighteen (seven clean and 11 contaminated) cases were successfully segmented with both methods. Time to STL for clean datasets was faster with MS than SAS [median 209 s (IQR 192-252) vs. 296 s (272-317), p = 0.018] while contaminated datasets were faster with SAS [455 s (384-561) vs. 866 s (310-1429), p = 0.033]. Interobserver STL geometric disagreement was significantly lower using SAS than MS overall (0.70 ± 1.15 % vs. 1.31 ± 1.52 %, p = 0.030), and for the contaminated subset (0.81 ± 1.08 % vs. 1.75 ± 1.57 %, p = 0.036). Most geometric disagreement occurred at areas where left heart contamination was removed. Semi-automated segmentation was faster and more reproducible for contaminated datasets, while MS was faster but equally reproducible for clean datasets. Semi-automated segmentation methods are preferable for contaminated datasets and continued refinement of these tools should be supported. PMID:27173489

  17. Final report on APMP.QM-S5: Essential and toxic elements in seafood

    NASA Astrophysics Data System (ADS)

    Valiente, Liliana; Bennett, John W.; Caciano de Sena, Rodrigo; Kotzeva, Boriana; Massiff, Gabriela; Chao, Jingbo; Wang, Jun; Nasr, Randa; Labarraque, Guillaume; Kakoulidis, Elias; Lampi, Eugenia; Wai-mei Sin, Della; Mok, Chuen-shing; Wong, Siu-kay; Yip, Yiu-chung; Gopala Aggarwal, Shankar; Gupta, Prabhat K.; Zhu, Yanbei; Miyashita, Shin-ichi; Yim, Yong-Hyeon; Zakaria, Osman; Manzano, Judith Velina Lara; Shin, Richard; Horvat, Milena; Yafa, Charun

    2013-01-01

    The supplementary comparison APMP.QM-S5 was undertaken to demonstrate the capability of participating national metrology institutes (NMIs) and designated institutes (DIs) in measuring the contents of the incurred essential elements (iron and zinc) and toxic elements (total arsenic and cadmium) at µg/g levels in a test sample of dried shrimp by various analytical techniques. At the APMP TCQM Meeting held in Pattaya, Thailand in November 2010, Government Laboratory of the Government of the Hong Kong Special Administrative Region (GLHK) proposed this APMP supplementary comparison. The proposal was further discussed and agreed upon at the CCQM Inorganic Analysis Working Group Meeting held in Paris in April 2011. GLHK was the coordinating laboratory for the supplementary comparison. For enhancing the collaboration amongst specialized regional bodies in Asia-Pacific and to help build the laboratory capacity of NMIs/DIs from developing economies, the reference values of the supplementary comparison are used for evaluation of performance of participants of an APMP proficiency testing programme (APMP PT 11-01), an Asia-Pacific Laboratory Accreditation Cooperation proficiency testing programme (APLAC T082) and an Asia-Pacific Economic Co-operation proficiency testing programme (APEC PT), which were concurrently run using the same testing material as in APMP.QM-S5. The supplementary comparison serves to facilitate claims by participants on the Calibration and Measurement Capabilities (CMCs) as listed in Appendix C of the Key Comparison Database (KCDB) under the Mutual Recognition Arrangement of the International Committee for Weights and Measures (CIPM MRA). A total of 18 institutes registered for the supplementary comparison and all of them submitted their results. Most of the participants used microwave acid digestion methods for sample dissolution. For the instrumental determination, a variety of techniques like ICP-MS, ICP-OES, INAA and AAS were employed by the

  18. Final report on CCQM-K89: Trace and essential elements in Herba Ecliptae

    NASA Astrophysics Data System (ADS)

    Valiente, Liliana; Saxby, David; Merrick, Jeffrey; Kotzeva, Boriana; Mester, Zoltan; Yang, Lu; Willie, Scott; Feng, Liuxing; Wang, Jun; Labarraque, Guillaume; Rienitz, Olaf; Wai-mei Sin, Della; Mok, Chuen-sing; Wong, Siu-kay; Ng, Chi-shing; Fung, Wai-hong; Yau, Ho-pan; Zhu, Yanbei; Yim, Yong-Hyeon; Lee, Kyoung Seok; Kim, In Jung; Lim, Young Ran; Ramirez Cruz, Pedro; Mercader Trejo, Flora E.; Valle Moya, Edith; Santiago Castellanos, Itzel; del Rocio Arvizu Torres, Maria; Manzano, Judith Velina Lara; Konopelko, L. A.; Kustikov, Yu A.; Shin, Richard; Horvat, Milena; Jacimovic, Radojko; Milacic, Radmila; Yafa, Charun; Taebunpakul, Sutthinun; Kaewkhomdee, Nattikarn; Phukphatthanachai, Pranee; Cankur, Oktay; Gonca Coskun, F.; Turk, Gregory C.; Davis, W. Clay; Wood, Laura J.; Murphy, Karen E.; Entwisle, John

    2013-01-01

    The key comparison CCQM-K89 was undertaken to demonstrate the capability of participating NMIs and DIs in measuring the contents of incurred trace elements (total arsenic, cadmium and lead) and essential elements (calcium and zinc) at µg/g (for arsenic, cadmium, lead and zinc) and mg/g (for calcium) levels in a herb matrix sample by various analytical techniques. This key comparison was organized by the Government Laboratory of the Hong Kong Special Administrative Region (GLHK) and agreed at the Inorganic Analysis Working Group Meeting in Hindås, Sweden in October 2010 as a benchmarking exercise with arsenic (a trace element) and calcium (an essential element) chosen as the 'exemplary' elements. It was also agreed that a pilot study CCQM-P126 would be run in parallel with this key comparison. The key comparison serves to facilitate claims by participants on the Calibration and Measurement Capabilities (CMCs) as listed in Appendix C of the Key Comparison Database (KCDB) under the Mutual Recognition Arrangement of the International Committee for Weights and Measures (CIPM MRA). A total of 20 NMIs/DIs registered for this programme and 18 of them submitted their results. Most of the participants used microwave acid digestion methods for sample dissolution. For the instrumental determination, a variety of techniques like ICP-MS, AAS, INAA, ICP-AES were employed by the participants. For this key comparison, inorganic core capabilities have been demonstrated by concerned participants with respect to methods including ICP-MS (without isotope dilution), ID-ICP-MS, ICP-AES, INAA, AAS and ion chromatography with iteratively matrix-matched calibration on the determination of total arsenic, calcium, cadmium, lead and zinc in a matrix of herb. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for

  19. KEY COMPARISON: International Comparison COOMET.QM-K3: National measurement standards in the field of analysis of gas mixtures of CO2, CO and C3H8 in nitrogen (automobile gases)

    NASA Astrophysics Data System (ADS)

    Konopelko, L. A.; Kustikov, Yu A.; Kolobova, A. V.; Rozhnov, M. S.; Khairova, N. V.; Kluchits, A. S.; Heine, H.-J.

    2007-01-01

    This comparison is the first key comparison in the field of gas analysis organized by Technical Committee 1.8 'Physical Chemistry' COOMET. This comparison is the fourth key comparison on automobile gases. Earlier key comparisons on automobile gases were carried out by the Consultative Committee for Amount of Substance CCQM-K3 (the results were published on 21 November 2001) and by regional metrological organizations EUROMET and APMP (EUROMET.QM-K3—the results were published on 5 July 2002, APMP.QM-K3—the results were published on 14 November 2003). The relevance of the comparison is based on the tightening of requirements on the control of automobile emissions (putting EURO 4 and EURO-5 into operation). The foundation of this comparison is: The formation of circumstances for recognition of the national measurement standards of Belarus and Ukraine, which earlier did not participate in key comparisons, and entering of the calibration and measurement capabilities (CMC) of BelGIM and Ukrmetrteststandard in the field of automobile gases to the international database KCDB in accordance with the Mutual Recognition Arrangement (CIPM MRA) for national measurement standards and for calibration and measurement certificates issued by NMIs; The objective of NMIs which participated in key comparisons on automobile gases earlier (BAM and VNIIM) is to support or improve their calibration and measurement capabilities. All laboratories find the gravimetric value within ±0.7% relative to the gravimetric value. This holds for all three components, CO, CO2 and C3H8 in nitrogen. This is a satisfying result. For all laboratories the observed difference between the gravimetric and reported values does not exceed its combined uncertainty. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication

  20. Report to the CCT on COOMET comparison COOMET.T-K3.1 (previously COOMET.T-S1): Key regional comparison of the national standards of temperature in the range from the triple point of water to the freezing point of zinc

    NASA Astrophysics Data System (ADS)

    Pokhodun, A. I.

    2010-01-01

    In the framework of the CIPM MRA, a first COOMET comparison "Comparison of the ITS-90 realizations in the range from 0.01 °C to 429.7485 °C (from the triple point of water to the freezing point of zinc)", registered in the KCDB under the identifier "COOMET.T-K3", was carried out in 2005-2007. Four national metrology institutes took part in this comparison: VNIIM (Russian Federation), SMU (Slovakia), BelGIM (Republic of Belarus) and NSC IM (Ukraine), and two of them (VNIIM and SMU) ensured the linkage with key comparisons CCT-K3 and CCT-K4, in order to disseminate the metrological equivalence to the measurement standards of NSC IM and BelGIM. NSC IM, however, had to withdraw its results, and at the meeting of Technical Committee T-10 of COOMET it was decided to carry out a supplementary bilateral comparison between VNIIM and the NSC IM for realization of the ITS-90 in the same range of temperature. This was registered in the KCDB under the identifier COOMET.T-S1 and measurements were performed in 2008-2009. From the results presented in this report, it is possible to draw the conclusion that the COOMET supplementary comparison COOMET.T-S1 demonstrates the CMC uncertainties claimed by the NSC IM for the melting point of gallium 0.236 mK (k = 2), and the freezing points of indium 1.040 mK (k = 2), tin 0.858 mK (k = 2) and zinc 0.944 mK (k = 2). In September 2012 the Working Group on key Comparisons (WG 7) of the CCT upgraded this comparison to a COOMET key comparison of the 'CCT-K3' type. It is now identified as COOMET.T-K3.1. In April 2013 this report was superseded by item 03006 in the Technical Supplement of 2013. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  1. [Prevalence of asymmetrical blood pressure in uncontrolled hypertensive patients is high and highly related with cardiovascular diseases prevalence].

    PubMed

    Allaert, F-A; Fouchères, G; Elias-Billon, I; Maigret, P

    2016-06-01

    A meta-analysis has shown that an asymmetry of the blood pressure (ABP) between arm≥15mmHg and perhaps≥10mmHg is associated with an increase of cardiovascular diseases. To describe the prevalence of ABP in patients presenting an uncontrolled blood pressure (BP) under treatment, an observational cross sectional study was conducted. Factors influencing prevalence of ABP were identified and relation of ABP with the frequency of the cardiovascular diseases or subclinicals organs damages was evaluated. A total of 2417 patients, 63.3±11.0years old, presenting uncontrolled BP (according ESC criteria) by a previous antihypertensive therapy were included. Only 36.8% (95% CI [34.9-38.7]) were presenting a between-arm difference in systolic blood pressure≥10mmHg, and 17.1% (95% CI [15.6-18.6])≥15mmHg. MRA shows systolic ABP≥10mmHg prevalence was influenced by dyslipidemia (OR: 1.5 [1.2-1.7], P<0.0001) and by family history of early cardiovascular disease (OR: 1.6 [1.3-1.9], P<0.0001). MRA adjusted on CVRF shows that besides the dyslipidemia effect, systolic ABP≥10mmHg influences the frequency of sub-clinical impairment of target organ (OR: 1.6 [1.3-1.9], P<0.0001), of coronary heart disease (OR: 1.8 [1.4-2.4], P<0.0001), and globally the presence of a cardiovascular disease (OR: 1.7 [1.4-2.1], P<0.0001). The effect on stroke frequency was showed with an systolic ABP≥15mmHg (OR: 1.6 [1.1-2.4], P<0.02). In uncontrolled hypertensive patients, screening of an ABP should help to identify clinically patients with high risk of cardiovascular diseases or with subclinical organs damages. PMID:27211351

  2. Imaging and Clinical Findings in Patients with Aberrant Course of the Cervical Internal Carotid Arteries

    PubMed Central

    Muñoz, Alberto; De Vergas, Joaquín; Crespo, José

    2010-01-01

    Background and Purpose: Aberrrant course of the cervical internal carotid arteries (ICAs) may result in submucosal masses in the posterior pharyngeal wall, may cause confusion at physical examination, may be symptomatic, and can be at risk of surgical injury. The aim of this report is to present the clinical and imaging characteristics associated with aberrant course of the cervical portion of the ICAs. Methods: Imaging studies of 5.500 patients were prospectively selected from CT studies of the head and neck performed in a five years period, in which the course of the one or both ICAs at the level of the hypopharynx and oropharynx was assessed as aberrant by means of a proposed classification. We then reviewed the medical records to establish which symptoms were present and if these symptoms could be caused by these variations in the course of the ICAs. In selected cases, further studies including magnetic resonance (MR) imaging, MR angiography (MRA), or selective catheter angiography were obtained. Results: In our restricted classification, we found 14 (0.2%) patients who met the cervical ICA aberrancy criteria. In all patients contrast enhanced CT or CT angiography was performed, 4 also have had MRI and MRA, and in two additional catheter angiograms were performed. Mean age was 62 years. Eight patients were male and seven were female. Four patients (28%) were considered to have clinical symptoms related to aberrant course of the ICAs. In most of the symptomatic patients both ICAs had aberrant courses. Overall, the course of the right ICA was aberrant in 43%, the left ICA in 14%, and both in 43%. In 50% of the cases the aberrancy of the artery was focal (localized to the oropharynx or laryngopharynx) and in the other 50% it involved the entire cervical course of the ICA. Conclusions: In most of our patients variations in the course of the cervical portion of the ICA involved the right side and were asymptomatic, except with regard to potential surgical risks

  3. A nude rat model for neutron capture therapy of human intracerebral melanoma

    SciTech Connect

    Barth, R.F.; Matalka, K.Z.; Bailey, M.Q.; Staubus, A.E.; Soloway, A.H.; Moeschberger, M.L. ); Coderre, J.A. ); Rofstad, E.K. )

    1994-03-30

    The present study was carried out to determine the efficacy of Boron Neutron Capture Therapy (BNCT) for intracerebral melanoma using nude rats, the human melanoma cell line MRA 27, and boronophenylalanine as the capture agent. MRA 27 cells (2 [times] 10[sup 5]) were implanted intracerebrally, and 30 days later, 120 mg of [sup 10]B-L-BPA were injected intraperitoneally into nude rats. Thirty days following implantation, tumor bearing rats were irradiated at the Brookhaven Medical Research Reactor. Six hours following administration of BPA, tumor, blood, and normal brain boron-10 levels were 23.7, 9.4, and 8.4 [mu]g/g respectively. Median survival time of untreated rats was 44 days compared to 76 days and 93 days for those receiving physical doses of 2.73 Gy and 3.64 Gy, respectively. Rats that have received both [sup 10]B-BPA and physical doses of 1.82, 2.73, or 3.64 Gy had median survival times of 170, 182, and 262 days, respectively. Forty percent of rats that had received the highest tumor dose (10.1 Gy) survived for > 300 days and in a replicate experiment 21% of the rats were longterm survivors (>220 days). Animals that received 12 Gy in a single dose or 18 Gy fractionated (2 Gy [times] 9) of gamma photons from a [sup 137]Cs source had median survival times of 86 and 79 days, respectively, compared to 47 days for untreated animals. Histopathologic examination of the brains of longterm surviving rats, euthanized at 8 or 16 months following BNCT, showed no residual tumor, but dense accumulations of melanin laden macrophages and minimal gliosis were observed. Significant prolongations in median survival time were noted in nude rats with intracerebral human melanoma that had received BNCT, thereby suggesting therapeutic efficacy. Large animal studies should be carried out to further assess BNCT of intracerebral melanoma before any human trials are contemplated. 49 refs., 7 figs., 2 tabs.

  4. MR-guided Periarterial Ethanol Injection for Renal Sympathetic Denervation: A Feasibility Study in Pigs

    SciTech Connect

    Streitparth, F. Walter, A.; Stolzenburg, N.; Heckmann, L.; Breinl, J.; Rinnenthal, J. L.; Beck, A.; De Bucourt, M.; Schnorr, J.; Bernhardt, U.; Gebauer, B.; Hamm, B.; Guenther, R. W.

    2013-06-15

    Purpose. To evaluate the feasibility and efficacy of image-guided periarterial ethanol injection as an alternative to transluminal radiofrequency ablation. Methods. Unilateral renal periarterial ethanol injection was performed under general anesthesia in 6 pigs with the contralateral kidney serving as control. All interventions were performed in an open 1.0 T MRI system under real-time multiplanar guidance. The injected volume was 5 ml (95 % ethanol labelled marked MR contrast medium) in 2 pigs and 10 ml in 4 pigs. Four weeks after treatment, the pigs underwent MRI including MRA and were killed. Norepinephrine (NE) concentration in the renal parenchyma served as a surrogate parameter to analyze the efficacy of sympathetic denervation. In addition, the renal artery and sympathetic nerves were examined histologically to identify evidence of vascular and neural injury. Results. In pigs treated with 10 ml ethanol, treatment resulted in neural degeneration. We found a significant reduction of NE concentration in the kidney parenchyma of 53 % (p < 0.02) compared with the untreated contralateral kidney. In pigs treated with 5 ml ethanol, no significant changes in histology or NE were observed. There was no evidence of renal arterial stenosis in MRI, macroscopy or histology in any pig. Conclusion. MR-guided periarterial ethanol injection was feasible and efficient for renal sympathetic denervation in a swine model. This technique may be a promising alternative to the catheter-based approach in the treatment of resistant arterial hypertension.

  5. The 'Safari' Technique to Perform Difficult Subintimal Infragenicular Vessels

    SciTech Connect

    Gandini, Roberto; Pipitone, Vincenzo; Stefanini, Matteo; Maresca, Luciano Spinelli, Alessio; Colangelo, Vittorio; Reale, Carlo Andrea; Pampana, Enrico; Simonetti, Giovanni

    2007-06-15

    The purpose of this study was to describe the efficacy of planned combined subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) to obtain the precise recanalization of the patent portion of a distal runoff vessel in critical limb ischemia (CLI) patients presenting long occlusions involving the popliteal trifurcation. Four patients at risk of limb loss due to long occlusions involving the leg vessel tree and not suitable for a surgical bypass were treated by the subintimal antegrade and retrograde (posterior tibial or anterior tibial artery) approach. The patent portion of the runoff vessel was previously assessed by magnetic resonance angiography (MRA) and directly punctured under Doppler ultrasound (US) guidance. A subintimal channel rendezvous was performed to allow snaring of the guidewires. Subsequently, a balloon dilatation was performed without stent deployment. All patients were successfully recanalized and had complete healing of the limb lesions. At the 12-month follow-up all patients showed clinical improvement with no major complications related to the procedure. This combined antegrade and retrograde subintimal approach is currently an excellent endovascular option in patients with long occlusions extending onto the leg vessels trifurcation and at risk of limb loss.

  6. Final report on the regional supplementary comparison APMP.AUV.A-S1

    NASA Astrophysics Data System (ADS)

    Plangsangmas, Virat; Leeudomwong, Surat; Scott, Andrew; Zhong, Bo; Huang, Yuchung

    2014-01-01

    A regional supplementary comparison APMP.AUV.A-S1 has been carried out for the measurement of sound pressure level, frequency and total distortion of a multi-frequency sound calibrator. The role of the Pilot laboratory was undertaken by the National Institute of Metrology (Thailand) (NIMT). The multi-frequency sound calibrator was circulated through thirteen National Metrology Institutes (NMIs). Two NMIs were added to the original time schedule after starting the circulation. The measurements took place between September 2008 and July 2010. This report includes the measurement results from all the participants. Supplementary Comparison Reference Values (SCRVs) have been determined from the results. Deviations from the SCRVs are mostly within declared expanded uncertainties. It has been found that a term for the inherent instability in this type of device needs to be included in any uncertainty budget, and a recommended minimum value of this has been given. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  7. KEY COMPARISON: COOMET.RI(I)-K1 comparison of national measurement standards of air kerma for 60Co γ radiation

    NASA Astrophysics Data System (ADS)

    Büermann, L.; Oborin, A. V.; Dobrovosky, J.; Milevsky, V. S.; Walwyn Salas, G.; Lapenas, A.

    2009-01-01

    Results are presented of the COOMET key comparison of the national measurement standards of air kerma for 60Co γ radiation. Participants of the comparison were PTB (Germany, pilot institute), VNIIM (Russia), SMU (Slovakia), BelGIM (Belarus), CPHR (Cuba) and RMTC (Latvia). PTB, VNIIM and SMU had previously taken part in a key comparison with the Bureau International de Poids et Mesures (BIPM) and operated as link laboratories in order to evaluate the degree of equivalence of the participants' results with the key comparison reference value. These data form the basis of the results entered into the BIPM key comparison database for comparison COOMET.RI(I)-K1. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI Section I, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  8. Performance of the Wavelet Decomposition on Massively Parallel Architectures

    NASA Technical Reports Server (NTRS)

    El-Ghazawi, Tarek A.; LeMoigne, Jacqueline; Zukor, Dorothy (Technical Monitor)

    2001-01-01

    Traditionally, Fourier Transforms have been utilized for performing signal analysis and representation. But although it is straightforward to reconstruct a signal from its Fourier transform, no local description of the signal is included in its Fourier representation. To alleviate this problem, Windowed Fourier transforms and then wavelet transforms have been introduced, and it has been proven that wavelets give a better localization than traditional Fourier transforms, as well as a better division of the time- or space-frequency plane than Windowed Fourier transforms. Because of these properties and after the development of several fast algorithms for computing the wavelet representation of any signal, in particular the Multi-Resolution Analysis (MRA) developed by Mallat, wavelet transforms have increasingly been applied to signal analysis problems, especially real-life problems, in which speed is critical. In this paper we present and compare efficient wavelet decomposition algorithms on different parallel architectures. We report and analyze experimental measurements, using NASA remotely sensed images. Results show that our algorithms achieve significant performance gains on current high performance parallel systems, and meet scientific applications and multimedia requirements. The extensive performance measurements collected over a number of high-performance computer systems have revealed important architectural characteristics of these systems, in relation to the processing demands of the wavelet decomposition of digital images.

  9. COOMET.AUV.W-S1 supplementary comparison of free-field hydrophone calibrations in the frequency range 250 Hz to 8 kHz

    NASA Astrophysics Data System (ADS)

    Isaev, A. E.; Yi, Chen; Matveev, A. N.; Zihong, Ping

    2015-01-01

    A description is given of COOMET.AUV.W-S1 supplementary comparison of free-field hydrophone calibrations in the frequency range 250 Hz to 8 kHz between Hangzhou Applied Acoustics Research Institute—a pilot and Russian National Research Institute for Physicotechnical and Radio Engineering Measurements. Two standard hydrophones of TC 4033 and GI 55 were calibrated in this comparison. Reciprocity method, comparison methods, and their facilities were used to assess the current state of free-field hydrophone calibration in the frequency range 250 Hz to 8 kHz of China and Russia. The consistency of calibration results between two participants was confirmed, and the maximum deviation observed was 0.59 dB at frequency 400 Hz. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  10. MR for the investigation of murine vasculature.

    PubMed

    Jacoby, Christoph; Flögel, Ulrich

    2011-01-01

    The investigation of alterations in vessel morphology of transgenic mouse models generally requires time-consuming and laborious planimetry of histological sections. This postmortem analysis is per se restricted to endpoint studies and, furthermore, may reflect the situation in vivo to a limited degree only. For the repetitive and noninvasive monitoring of dynamic changes in the murine vasculature, several protocols for high-resolution 3D MR angiography (MRA) at a vertical 9.4 T system are described. These protocols are based on flow-compensated 3D gradient echo sequences with application-dependent spatial resolution, resulting in voxel sizes between 1 and 13 nL. To ensure constant physiological conditions, particular attention is paid to minimize the acquisition time. All measurements are carried out without a contrast agent to avoid temporal inconstancy of the contrast-to-noise-ratio (CNR) as well as toxic side effects. Moreover, metabolic alterations as a consequence of disturbed vascularization and blood supply are monitored by (31)P MR spectroscopy. PMID:21874492

  11. Analysis of haemodynamic disturbance in the atherosclerotic carotid artery using computational fluid dynamics.

    PubMed

    Birchall, Daniel; Zaman, Azfar; Hacker, Jacob; Davies, Gavin; Mendelow, David

    2006-05-01

    Computational fluid dynamics (CFD) provides a means for the quantitative analysis of haemodynamic disturbances in vivo, but most work has used phantoms or idealised geometry. Our purpose was to use CFD to analyse flow in carotid atherosclerosis using patient-specific geometry and flow data. Eight atherosclerotic carotid arteries and one healthy control artery were imaged with magnetic resonance angiography (MRA) and duplex ultrasound, and the data used to construct patient-specific computational models used for CFD and wall shear stress (WSS) analysis. There is a progressive change in three-dimensional (3-D) velocity profile and WSS profile with increasing severity of stenosis, characterised by increasing restriction of areas of low WSS, change in oscillation patterns, and progressive rise in WSS within stenoses and downstream jets. Areas of turbulent, retrograde flow and of low WSS are demonstrated in the lee of the stenoses. This study presents the largest CFD analysis of abnormal haemodynamics at the atheromatous carotid bifurcation using patient-specific data and provides the basis for further investigation of causal links between haemodynamic variables and atherogenesis and formation of unstable plaque. We propose that this provides a means for the prospective assessment of relative stroke risk in patients with carotid atherosclerosis. PMID:16402252

  12. Final report on EURAMET.M.M-S4: Bilateral comparison of mass standards between INRIM and MCCAA

    NASA Astrophysics Data System (ADS)

    Malengo, Andrea; Testa, Nicola; Torchio, Davide

    2013-01-01

    This report describes the results of the bilateral comparison EURAMET.M.M-S4 (EURAMET 1232) between the Istituto Nazionale di Ricerca Metrologica (INRIM, Italy) and the Malta Competition and Consumer Affairs Authority (MCCAA, Malta). The results of the comparison will be used to support the Calibration and Measurement Capability (CMC) declaration of MCCAA in the field of mass standards calibration. INRIM was the pilot laboratory for this bilateral comparison. For this comparison the travelling standards were nine mass standards having the following nominal values: 50 kg, 5 kg, 1 kg, 200 g, 50 g, 5 g, 500 mg, 100 mg and 2 mg. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by EURAMET, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  13. KEY COMPARISON: Update of the comparison BIPM.RI(II)-K1.Co-56 of activity measurements of the radionuclide 56Co to include the result of the CMI-IIR

    NASA Astrophysics Data System (ADS)

    Michotte, C.; Courte, S.; Ratel, G.; Sochorová, J.

    2010-01-01

    In 2006, the Ceský Metrologický Institut/Czech Metrological Institute - Inspectorate for Ionizing Radiation (CMI-IIR) submitted an ampoule of known activity of 56Co to the International Reference System (SIR) for activity comparison at the Bureau International des Poids et Mesures. The activity was about 6.7 MBq. The degrees of equivalence between each of the four national metrology institute results now measured in the SIR and the re-evaluated key comparison reference value (KCRV) have been calculated and the results are given in the form of a matrix. A graphical presentation is also given. The comparison identifier is BIPM.RI(II)-K1.Co-56. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI Section II, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  14. KEY COMPARISONS: Final report: SIM regional comparison of ac-dc voltage transfer difference (SIM.EM.K6a, SIM.EM-K9 and SIM.EM-K11)

    NASA Astrophysics Data System (ADS)

    Campos, Sara; Filipski, Piotr; Izquierdo, Daniel; Afonso, Edson; Landim, Régis P.; Di Lillo, Lucas; Lipe, Thomas

    2009-01-01

    Three comparisons of ac-dc voltage transfer difference held from January to December 2004 are reported. Six NMIs in the SIM region took part: NRC (Canada), NIST (United States of America), CENAM (Mexico), INTI (Argentina), UTE (Uruguay) and INMETRO (Brazil). The comparisons were proposed to assess the measurement capabilities in ac-dc voltage transfer difference of the NMIs in the SIM region. The test points were selected to link the results with the equivalent CCEM Key Comparisons, through three NMIs participating in both SIM and CCEM key comparisons. Additionally, a SIM.EM-Supplementary comparison was proposed, in support of the SIM NMIs' power/energy meter calibration capabilities. One technical protocol and one travelling standard were used, to economize on time and resources. The report shows the degree of equivalence in the SIM region and also the degree of equivalence with the corresponding CCEM reference value. The results of all participants support the values and uncertainties of the applicable CMC entries for ac-dc voltage transfer difference in the Key Comparison Database held at the BIPM. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  15. The Lantibiotic NAI-107 Binds to Bactoprenol-bound Cell Wall Precursors and Impairs Membrane Functions*

    PubMed Central

    Münch, Daniela; Müller, Anna; Schneider, Tanja; Kohl, Bastian; Wenzel, Michaela; Bandow, Julia Elisabeth; Maffioli, Sonia; Sosio, Margherita; Donadio, Stefano; Wimmer, Reinhard; Sahl, Hans-Georg

    2014-01-01

    The lantibiotic NAI-107 is active against Gram-positive bacteria including vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus. To identify the molecular basis of its potency, we studied the mode of action in a series of whole cell and in vitro assays and analyzed structural features by nuclear magnetic resonance (NMR). The lantibiotic efficiently interfered with late stages of cell wall biosynthesis and induced accumulation of the soluble peptidoglycan precursor UDP-N-acetylmuramic acid-pentapeptide (UDP-MurNAc-pentapeptide) in the cytoplasm. Using membrane preparations and a complete cascade of purified, recombinant late stage peptidoglycan biosynthetic enzymes (MraY, MurG, FemX, PBP2) and their respective purified substrates, we showed that NAI-107 forms complexes with bactoprenol-pyrophosphate-coupled precursors of the bacterial cell wall. Titration experiments indicate that first a 1:1 stoichiometric complex occurs, which then transforms into a 2:1 (peptide: lipid II) complex, when excess peptide is added. Furthermore, lipid II and related molecules obviously could not serve as anchor molecules for the formation of defined and stable nisin-like pores, however, slow membrane depolarization was observed after NAI-107 treatment, which could contribute to killing of the bacterial cell. PMID:24627484

  16. Comparison of density determination of liquid samples by density meters

    NASA Astrophysics Data System (ADS)

    Buchner, C.; Wolf, H.; Vámossy, C.; Lorefice, S.; Lenard, E.; Spohr, I.; Mares, G.; Perkin, M.; Parlic-Risovic, T.; Grue, L.-L.; Tammik, K.; van Andel, I.; Zelenka, Z.

    2016-01-01

    Hydrostatic density determinations of liquids as reference material are mainly performed by National Metrology Institutes to provide means for calibrating or checking liquid density measuring instruments such as oscillation-type density meters. These density meters are used by most of the metrology institutes for their calibration and scientific work. The aim of this project was to compare the results of the liquid density determination by oscillating density meters of the participating laboratories. The results were linked to CCM.D.K-2 partly via Project EURAMET.M.D.K-2 (1019) "Comparison of liquid density standards" by hydrostatic weighing piloted by BEV in 2008. In this comparison pentadecane, water and of oil with a high viscosity were measured at atmospheric pressure using oscillation type density meter. The temperature range was from 15 °C to 40 °C. The measurement results were in some cases discrepant. Further studies, comparisons are essential to explore the capability and uncertainty of the density meters Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. Key comparison BIPM.RI(I)-K6 of the standards for absorbed dose to water at 10 g cm-2 of the NPL, United Kingdom and the BIPM in accelerator photon beams

    NASA Astrophysics Data System (ADS)

    Picard, S.; Burns, D. T.; Roger, P.; Duane, S.; Bass, G. A.; Manning, J. W.; Shipley, D. R.

    2015-01-01

    A comparison of the dosimetry for accelerator photon beams was carried out between the National Physical Laboratory (NPL) and the Bureau International des Poids et Mesures (BIPM) from 23 September to 7 October 2014. The comparison was based on the determination of absorbed dose to water at 10 g cm-2 for three radiation qualities at the NPL. The results, reported as ratios of the NPL and the BIPM evaluations (and with the combined standard uncertainties given in parentheses), are 1.0000(62) at 6 MV, 0.9999(70) at 10 MV and 0.9993(80) at 25 MV. This result is the seventh in the on-going BIPM.RI(I)-K6 series of comparisons. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  18. Key comparison BIPM.RI(I)-K6 of the standards for absorbed dose to water at 5 g cm-2 and 7 g cm-2 of the NPL, United Kingdom and the BIPM in accelerator photon beams

    NASA Astrophysics Data System (ADS)

    Picard, S.; Burns, D. T.; Roger, P.; Duane, S.; Bass, G. A.; Manning, J. W.; Shipley, D. R.

    2015-01-01

    A comparison of the dosimetry for accelerator photon beams was carried out between the National Physical Laboratory (NPL) and the Bureau International des Poids et Mesures (BIPM) in two periods from September to November 2013. The comparison was based on the determination of absorbed dose to water for three radiation qualities at the NPL. The results, reported as ratios of the NPL and the BIPM evaluations (and with the combined standard uncertainties given in parentheses), are 0.9973(62) at 6 MV, 0.9995(66) at 10 MV and 0.9957(81) at 25 MV. This result is the sixth in the on-going BIPM.RI(I)-K6 series of comparisons. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  19. KEY COMPARISON: Final report on international key comparison CCQM-K65: Gas standards containing methyl and ethyl mercaptans (at the level of 20-30 µmol/mol) in methane

    NASA Astrophysics Data System (ADS)

    Konopelko, L. A.; Kustikov, Y. A.; Vishnyakov, I. M.; Pavlov, M. V.; Efremova, O. V.; Woo, Jin-Chun; Kim, Yong-Doo; Wessel, Rob M.; Ziel, Paul R.; Milton, Martin J. T.; Vargha, G.; Brown, A.; Uprichard, Ian

    2010-01-01

    The key comparison CCQM-K65 was intended to compare the capabilities for the preparation and value assignment of gas standards for methyl and ethyl mercaptans in methane, maintained at the participating national metrological institutes: VNIIM (Russia), KRISS (Korea), VSL (Netherlands) and NPL (United Kingdom). The range of the nominal amount of substance fractions of the comparison gas mixtures was 20 µmol/mol to 30 µmol/mol, which is close to regulatory level (in several countries including Russia) for mercaptans in odorated natural gas. This comparison was proposed at the 12th GAWG meeting in October 2004 and was conducted in 2008. Conclusions are as follows: The results of all laboratories are consistent with the reference values. The observed differences between the reference and reported values are within +/-0.9% for methyl mercaptan and +/-0.75% for ethyl mercaptan relative to the gravimetric values, and do not exceed the appropriate assigned expanded uncertainties. The prepared mixtures were found to be stable during about a year within the uncertainty of the measurements. The gravimetric values were successfully validated with a dynamic method. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  20. 3T MR imaging of the brain.

    PubMed

    DeLano, Mark C; Fisher, Charles

    2006-02-01

    The advent of very high field clinical scanners that operate at 3T is taking structural and functional imaging to new levels and is reinvigorating clinical spectroscopy, fMR imaging, and noncontrast-enhanced methods of MRA. Most of the challenges that are related to 3T imaging have been addressed to facilitate routine clinical imaging. An awareness of the complexities that underlie the solutions to these challenges is important to the continued improvements to the 3T platform so that its maximal potential can be reached. The development of the multichannel-head coils and the improvement in the design of body coils, concurrently with the development of multichannel capabilities that enable parallel imaging, have benefited all field platforms. Perhaps the added value of parallel imaging has been greatest at 3T where the additional signal can be exploited. The definition of very high field is a moving target, and may be well on its way to 7.0 T, although in terms of the current clinical state of the art, 3T is our current reference. PMID:16530636

  1. Image fusion based on millimeter-wave for concealed weapon detection

    NASA Astrophysics Data System (ADS)

    Zhu, Weiwen; Zhao, Yuejin; Deng, Chao; Zhang, Cunlin; Zhang, Yalin; Zhang, Jingshui

    2010-11-01

    This paper describes a novel multi sensors image fusion technology which is presented for concealed weapon detection (CWD). It is known to all, because of the good transparency of the clothes at millimeter wave band, a millimeter wave radiometer can be used to image and distinguish concealed contraband beneath clothes, for example guns, knives, detonator and so on. As a result, we adopt the passive millimeter wave (PMMW) imaging technology for airport security. However, in consideration of the wavelength of millimeter wave and the single channel mechanical scanning, the millimeter wave image has law optical resolution, which can't meet the need of practical application. Therefore, visible image (VI), which has higher resolution, is proposed for the image fusion with the millimeter wave image to enhance the readability. Before the image fusion, a novel image pre-processing which specifics to the fusion of millimeter wave imaging and visible image is adopted. And in the process of image fusion, multi resolution analysis (MRA) based on Wavelet Transform (WT) is adopted. In this way, the experiment result shows that this method has advantages in concealed weapon detection and has practical significance.

  2. Final report of APMP.QM-S6: clenbuterol in porcine meat

    NASA Astrophysics Data System (ADS)

    Sin, D. W.-M.; Ho, C.; Yip, Y.-C.

    2016-01-01

    At the CCQM Organic Analysis Working Group (OAWG) Meeting held in April 2012 and the APMP TCQM Meeting held in November 2012, an APMP supplementary comparison (APMP.QM-S6) on the determination of clenbuterol in porcine meat was supported by the OAWG and APMP TCQM. This comparison was organized by the Government Laboratory, Hong Kong. In order to accommodate a wider participation, a pilot study (APMP.QM-P22) was run in parallel to APMP.QM-S6. This study provided the means for assessing the measurement capabilities for determination of low-polarity measurands in a procedure that requires extraction, clean-up, analytical separation, and selective detection in a food matrix. A total of 7 institutes registered for the supplementary comparison and 6 of them submitted their results. 4 results were included for SCRV calculation. All participating laboratories applied Isotope Dilution Liquid Chromatography-Tandem Mass Spectrometry (ID-LCMS/MS) technique with clenbuterol-d9 as internal standard spiked for quantitation in this programme. KEY WORDS FOR SEARCH APMP.QM-S6 and Clenbuterol Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  3. KEY COMPARISON: Final report of International Comparison EUROMET.QM-K1c: Comparison of measurements of nitrogen monoxide in nitrogen

    NASA Astrophysics Data System (ADS)

    van der Veen, A. M. H.; Nieuwenkamp, G.; Oudwater, R.; Wessel, R. M.; Novak, J.; Perrochet, J.-F.; Ackermann, A.; Rakowska, A.; Cortez, L.; Dias, F.; Konopelko, L.; Kustikov, Y.; Sutour, C.; Masé, T.; Milton, M. J. T.; Uprichard, I. J.; Woods, P. T.; Walden, J.; Lopez Esteban, M. T.

    2005-01-01

    Following-up the key comparison CCQM-K1c, EUROMET organized a regional key comparison involving ten laboratories. The objectives of this EUROMET key comparison were essentially the same as for the CCQM-K1c comparison: to compare the measurement capabilities of national metrological institutes (NMIs) in measuring amount of substance fractions of nitrogen monoxide in nitrogen. The nominal amount of substance fraction of the standards used for the comparison was 100 µmol/mol. The pilot laboratory in this key comparison also piloted the CCQM key comparison and has long-term experience in the behaviour of these mixtures and the technical challenges in preparing batches of very similar mixtures. Most participants used chemiluminescence as the measurement method; two participants used UV techniques and one ND-IR. The degrees of equivalence between this comparison and CCQM-K1c were calculated; four laboratories participated in both key comparisons, thus providing sufficient data for demonstrating the comparability. Main text. To reach the main text of this paper, click on Final Report. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the Mutual Recognition Arrangement (MRA).

  4. Clinical applications of three-dimensional tortuosity metrics

    NASA Astrophysics Data System (ADS)

    Dougherty, Geoff; Johnson, Michael J.

    2007-03-01

    The measurement of abnormal vascular tortuosity is important in the diagnosis of many diseases. Metrics based on three-dimensional (3-D) curvature, using approximate polynomial spline-fitting to "data balls" centered along the mid-line of the vessel, minimize digitization errors and give tortuosity values largely independent of the resolution of the imaging system. In order to establish their clinical validity we applied them to a number of clinical vascular systems, using both 2-D (standard angiograms and retinal images) and 3-D datasets (from computed tomography angiography (CTA) and magnetic resonance angiography (MRA)). Using the abdominal aortograms we found that the metrics correlated well with the ranking of an expert panel of three vascular surgeons. Both the mean curvature and the root-mean square curvature provided good discrimination between vessels of different tortuosity: and using a data ball size of one-quarter of the local vessel radius in the spline fitting gave consistent results. Tortuous retinal vessels resulting from retinitis or diabetes, but not from vasculitis, could be distinguished from normal vessels. Tortuosity values based on 3-D data sets gave higher values than their 2-D projections, and could easily be implemented in automatic measurement. They produced values sufficiently discriminating to assess the relative utility of arteries for endoluminal repair of aneurysms.

  5. Development of a realistic, dynamic digital brain phantom for CT perfusion validation

    NASA Astrophysics Data System (ADS)

    Divel, Sarah E.; Segars, W. Paul; Christensen, Soren; Wintermark, Max; Lansberg, Maarten G.; Pelc, Norbert J.

    2016-03-01

    Physicians rely on CT Perfusion (CTP) images and quantitative image data, including cerebral blood flow, cerebral blood volume, and bolus arrival delay, to diagnose and treat stroke patients. However, the quantification of these metrics may vary depending on the computational method used. Therefore, we have developed a dynamic and realistic digital brain phantom upon which CTP scans can be simulated based on a set of ground truth scenarios. Building upon the previously developed 4D extended cardiac-torso (XCAT) phantom containing a highly detailed brain model, this work consisted of expanding the intricate vasculature by semi-automatically segmenting existing MRA data and fitting nonuniform rational B-spline surfaces to the new vessels. Using time attenuation curves input by the user as reference, the contrast enhancement in the vessels changes dynamically. At each time point, the iodine concentration in the arteries and veins is calculated from the curves and the material composition of the blood changes to reflect the expected values. CatSim, a CT system simulator, generates simulated data sets of this dynamic digital phantom which can be further analyzed to validate CTP studies and post-processing methods. The development of this dynamic and realistic digital phantom provides a valuable resource with which current uncertainties and controversies surrounding the quantitative computations generated from CTP data can be examined and resolved.

  6. Final report: Interamerican Metrology System (SIM) Regional Metrology Organization (RMO) capacitance comparison. SIM.EM-K4.1, 10 pF fused-silica standard capacitor at 1000 Hz and SIM.EM-S4.1, 100 pF fused-silica standard capacitor at 1000 Hz

    NASA Astrophysics Data System (ADS)

    Sanchez, H.; Castro, B. I.; Koffman, A. D.; Zhang, N. F.; Wang, Y.; Shields, S.

    2015-01-01

    Two bilateral capacitance comparisons between the National Institute of Standards and Technology (NIST) and the Instituto Costarricense de Electricidad (ICE) were carried out to demonstrate the significant improvements achieved in capacitance metrology by ICE. These comparisons were a follow-up to the 2006 SIM.EM-K4, -S3, and -S4 capacitance comparisons. These bilateral activities consist of capacitance comparison SIM.EM-K4.1, comparing a 10 pF fused-silica standard at 1000 Hz, and comparison SIM.EM-S4.1, comparing a 100 pF fused-silica standard at 1000 Hz. The result of these bilateral comparisons have provided improved degrees of equivalence between ICE and the participants of the SIM.EM-K4, -S3, and -S4 capacitance comparisons. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  7. Automatic detection of pelvic lymph nodes using multiple MR sequences

    NASA Astrophysics Data System (ADS)

    Yan, Michelle; Lu, Yue; Lu, Renzhi; Requardt, Martin; Moeller, Thomas; Takahashi, Satoru; Barentsz, Jelle

    2007-03-01

    A system for automatic detection of pelvic lymph nodes is developed by incorporating complementary information extracted from multiple MR sequences. A single MR sequence lacks sufficient diagnostic information for lymph node localization and staging. Correct diagnosis often requires input from multiple complementary sequences which makes manual detection of lymph nodes very labor intensive. Small lymph nodes are often missed even by highly-trained radiologists. The proposed system is aimed at assisting radiologists in finding lymph nodes faster and more accurately. To the best of our knowledge, this is the first such system reported in the literature. A 3-dimensional (3D) MR angiography (MRA) image is employed for extracting blood vessels that serve as a guide in searching for pelvic lymph nodes. Segmentation, shape and location analysis of potential lymph nodes are then performed using a high resolution 3D T1-weighted VIBE (T1-vibe) MR sequence acquired by Siemens 3T scanner. An optional contrast-agent enhanced MR image, such as post ferumoxtran-10 T2*-weighted MEDIC sequence, can also be incorporated to further improve detection accuracy of malignant nodes. The system outputs a list of potential lymph node locations that are overlaid onto the corresponding MR sequences and presents them to users with associated confidence levels as well as their sizes and lengths in each axis. Preliminary studies demonstrates the feasibility of automatic lymph node detection and scenarios in which this system may be used to assist radiologists in diagnosis and reporting.

  8. An Active Contour Model Based on Adaptive Threshold for Extraction of Cerebral Vascular Structures

    PubMed Central

    Wang, Jiaxin; Zhao, Shifeng; Liu, Zifeng; Duan, Fuqing; Pan, Yutong

    2016-01-01

    Cerebral vessel segmentation is essential and helpful for the clinical diagnosis and the related research. However, automatic segmentation of brain vessels remains challenging because of the variable vessel shape and high complex of vessel geometry. This study proposes a new active contour model (ACM) implemented by the level-set method for segmenting vessels from TOF-MRA data. The energy function of the new model, combining both region intensity and boundary information, is composed of two region terms, one boundary term and one penalty term. The global threshold representing the lower gray boundary of the target object by maximum intensity projection (MIP) is defined in the first-region term, and it is used to guide the segmentation of the thick vessels. In the second term, a dynamic intensity threshold is employed to extract the tiny vessels. The boundary term is used to drive the contours to evolve towards the boundaries with high gradients. The penalty term is used to avoid reinitialization of the level-set function. Experimental results on 10 clinical brain data sets demonstrate that our method is not only able to achieve better Dice Similarity Coefficient than the global threshold based method and localized hybrid level-set method but also able to extract whole cerebral vessel trees, including the thin vessels. PMID:27597878

  9. Final report on international comparison CCQM-K83: Halocarbons in dry whole air

    NASA Astrophysics Data System (ADS)

    Rhoderick, George; Guenther, Franklin; Duewer, David; Lee, Jeongsoon; Moon, Dongmin; Lee, Jinbok; Lim, Jeongsik; Seog Kim, Jin

    2014-01-01

    The growing awareness of climate change/global warming and continuing concerns regarding stratospheric ozone depletion will require future measurements and standards for many compounds, in particular halocarbons that are linked to these issues. In order to track and control the emissions of these species globally in the atmosphere, it is necessary to demonstrate measurement equivalence at the highest levels of accuracy for assigned values of standards. This report describes the results of a key comparison for several of the more important halocarbons at atmospheric concentration levels. The comparison includes the chlorofluorocarbons (CFCs) dichlorodifluoromethane (CFC 12), trichlorofluoromethane (CFC 11), and 1,1,2 trichlorotrifluoroethane (CFC 113); the hydrochlorofluorocarbons (HCFCs) chlorodifluoromethane (HCFC 22) and 1-chloro-1,1-difluoroethane (HCFC 142b); and the hydrofluorocarbon (HFC) 1,1,1,2 tetrafluoroethane (HFC 134a), all in a dried whole air sample. The objective of this key comparison is to compare the measurement capabilities of the participants for these halocarbons at trace atmospheric levels. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  10. BIPM comparison BIPM.RI(II)-K1.Th-228 of activity measurements of the radionuclide 228Th

    NASA Astrophysics Data System (ADS)

    Michotte, C.; Ratel, G.; Courte, S.; Lucas, L.; Kossert, K.; Nähle, O.; Ott, O.

    2016-01-01

    Since 1986, two national metrology institutes (NMI) have submitted two samples of known activity of 228Th to the International Reference System (SIR) for activity comparison at the Bureau International des Poids et Mesures (BIPM), with comparison identifier BIPM.RI(II)-K1.Th-228. The values of the activity submitted were about 300 kBq and 2 MBq. A key comparison reference value (KCRV) has been evaluated for the first time for 228Th. There is only one result remaining in the BIPM.RI(II)-K1.Th-228 comparison, the 1986 NIST result being outdated. The degrees of equivalence between each equivalent activity measured in the SIR and the KCRV have been calculated and the results are given in the form of a table. A graphical presentation is also given. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  11. Update of the BIPM comparison BIPM.RI(II)-K1.Sn-113 of activity measurements of the radionuclide 113Sn to include the 2010 results of the PTB (Germany) and the LNE-LNHB (France), and the 2011 result of the CIEMAT (Spain)

    NASA Astrophysics Data System (ADS)

    Michotte, C.; Ratel, G.; Courte, S.; Kossert, K.; Nähle, O.; Bobin, C.; Lépy, M.-C.; Moune, M.; Garcia-Toraño, E.; Peyres, V.; Roteta, M.

    2016-01-01

    Since 1975, seven national metrology institutes (NMI) have submitted eleven samples of known activity of 113Sn to the International Reference System (SIR) for activity comparison at the Bureau International des Poids et Mesures (BIPM), with comparison identifier BIPM.RI(II)-K1.Sn-113. The values of the activity submitted were between about 0.7 MBq and 22 MBq. The present primary standardization results for the PTB, Germany and the LNE-LNHB, France, replace their earlier results of 1989 and 1992, respectively. A key comparison reference value (KCRV) has been evaluated for the first time for 113Sn. There are only three results remaining in the BIPM.RI(II)-K1.Sn-113 comparison, all the previously published ones being outdated. The degrees of equivalence between each of these three equivalent activities measured in the SIR and the KCRV have been calculated and the results are given in the form of a table. A graphical presentation is also given. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  12. Update of the BIPM comparison BIPM.RI(II)-K1.F-18 of activity measurements of the radionuclide 18F to include the 2010 result of the LNE-LNHB (France)

    NASA Astrophysics Data System (ADS)

    Michotte, C.; Ratel, G.; Courte, S.; Cassette, P.; Moune, M.

    2016-01-01

    Since 2001, six national metrology institutes (NMI) have submitted seven samples of known activity of 18F to the International Reference System (SIR) for activity comparison at the Bureau International des Poids et Mesures (BIPM), with comparison identifier BIPM.RI(II)-K1.F-18. The values of the activity submitted were between about 1 MBq and 18 MBq. The primary standardization result for the LNE-LNHB, France, replaces their earlier result of 2002 and the key comparison reference value (KCRV) has been recalculated. In the frame of the BIPM.RI(II)-K4.F18 comparison, the NPL updated their result in the KCDB. Consequently there are now five results in the BIPM.RI(II)-K1.F-18 comparison. The degrees of equivalence between each equivalent activity measured in the SIR and the updated KCRV have been calculated and the results are given in the form of a table. A graphical presentation is also given. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  13. Effect of storage in short--and long-term commercial semen extenders on the motility, plasma membrane and chromatin integrity of boar spermatozoa.

    PubMed

    De Ambrogi, Marco; Ballester, Juan; Saravia, Fernando; Caballero, Ignacio; Johannisson, Anders; Wallgren, Margareta; Andersson, Magnus; Rodriguez-Martinez, Heriberto

    2006-10-01

    For artificial insemination (AI) in pigs, preservation of liquid boar semen at 16-20 degrees C is still common practice as sperm cryopreservation remains suboptimal in this species. To meet the different needs of the swine industry, several extenders have been developed to preserve semen in liquid form for short--and long-term storage. In the present study, three different commercial extenders devised for short-term (BTS+) or long-term preservation (MR-A and X-Cell), were used to test whether storage of semen from four mature, fertile boars at 17 degrees C for 96 h would affect sperm characteristics relevant for fertility, such as motility, membrane integrity and chromatin stability. Computer-assisted sperm analysis, and stainings with the acylated membrane dye SYBR-14/propidium iodide, and acridine orange in connection with flow cytometry were used to evaluate these variables. Percentages of total motile spermatozoa decreased slightly, but significantly, after 72-96 h. While membrane integrity values varied during the period of study, no significant changes in either membrane integrity or chromatin stability were, however, registered. This suggests a customary 96-day storage at 17 degrees C in these extenders was too short an interval to cause losses of integrity in nuclear DNA in the boar population studied. PMID:16573706

  14. Comparison of air kerma measurements between the PTB and the IAEA for x-radiation qualities used in general diagnostic radiology and mammography

    NASA Astrophysics Data System (ADS)

    Csete, István; Büermann, Ludwig; Gomola, Igor; Girzikowsky, Reinhard

    2013-01-01

    A comparison of the air kerma standards for x-radiation qualities used in general diagnostic radiology and mammography, identified as EURAMET.RI(I)-S10 (EURAMET project #1221), was performed between the PTB and the IAEA. Two spherical and two parallel-plate reference-class ionization chambers of the IAEA and 12 beam qualities standardized in the IEC standard 61267:2005 plus 7 additional standard beam qualities established at both laboratories were selected for the comparison. The calibration coefficients were determined for the transfer chambers at the PTB in September 2012 and before and after this at the IAEA Dosimetry Laboratory. The results show the calibration coefficients of both laboratories to be in good agreement within the standard uncertainty of the comparison of about 0.47%. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by EURAMET, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  15. Contribution of cardiovascular magnetic resonance in the evaluation of coronary arteries

    PubMed Central

    Mavrogeni, Sophie; Markousis-Mavrogenis, George; Kolovou, Genovefa

    2014-01-01

    Cardiovascular magnetic resonance (CMR) allows the nonradiating assessment of coronary arteries; to achieve better image quality cardiorespiratory artefacts should be corrected. Coronary MRA (CMRA) at the moment is indicated only for the detection of abnormal coronary origin, coronary artery ectasia and/or aneurysms (class I indication) and coronary bypass grafts (class II indication). CMRA utilisation for coronary artery disease is not yet part of clinical routine. However, the lack of radiation is of special value for the coronary artery evaluation in children and women. CMRA can assess the proximal part of coronary arteries in almost all cases. The best results have been observed in the evaluation of the left anterior descending and the right coronary artery, while the left circumflex, which is located far away from the coil elements, is frequently imaged with reduced quality, compared to the other two. Different studies detected an increase in wall thickness of the coronaries in patients with type I diabetes and abnormal renal function. Additionally, the non-contrast enhanced T1-weighed images detected the presence of thrombus in acute myocardial infarction. New techniques using delayed gadolinium enhanced imaging promise the direct visualization of inflamed plaques in the coronary arteries. The major advantage of CMR is the potential of an integrated protocol offering assessment of coronary artery anatomy, cardiac function, inflammation and stress perfusion-fibrosis in the same study, providing an individualized clinical profile of patients with heart disease. PMID:25349650

  16. Final report on SIM.M-S14: Mass comparison in Central America

    NASA Astrophysics Data System (ADS)

    Medina, Nieves; Edgardo Brito, Douglas; Lilieth Chinchilla, Wendy; Chow, Yanisareth; Ramos Alfaro, Olman Fernando; José Reyes Valverde, Renato; Salguero., Rómulo

    2014-01-01

    The scope of the comparison is the demonstration of the coherency of the calibration of 200 mg, 1 g, 50 g, 200 g, 1 kg and 2 kg stainless steel mass standard weights as realized by the participating institutes: CEM (pilot), CEHM, CENAME, CENAMEP, CIM, LACOMET and LANAMET. This comparison is based on a decision taken on 27 August 2013 as part of the program PRACAMS (Regional Program for Quality Support and Implementation of Sanitary and Phytosanitary Measures in Central America). Each participating NMI determined the true mass and conventional mass of 200 mg, 1 g, 50 g, 200 g, 1 kg and 2 kg stainless steel mass standard weights. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. Force key comparison CCM.F-K2.a.1 (50 kN and 100 kN)

    NASA Astrophysics Data System (ADS)

    Savarin, A.; Medina, N.; Knott, A.

    2016-01-01

    This report describes CIPM key comparison CCM.F-K2.a.1, a key comparison between force standard machines at the national measurement institutes of Argentina (INTI), Spain (CEM), and the United Kingdom (NPL), at generated forces of 50 kN and 100 kN, in the period from 2010 to 2012. Two transducers were used and the force-time profile was strictly controlled, to minimise effects of creep. The final results are linked to the KCRV determined in CIPM Key Comparison CCM.F-K2.a through the use of one common deadweight force standard machine (NPL's 120 kN machine) in the two comparison exercises. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  18. Intraosseous ganglion cyst of the humeral head in a competitive flat water paddler: case report

    PubMed Central

    Muir, Brad; Kissel, Jaclyn A.; Yedon, Dominique Forand

    2011-01-01

    Objective To present the diagnostic and clinical features of an intraosseous ganglion cyst of the humeral head of a female flat water canoe athlete. Clinical Features An 18-year old female flat water canoeist complaining of right shoulder pain following a strenuous paddling training camp. Intervention and outcome A trial of passive care was conducted, including soft tissue therapy, spinal manipulative therapy, acupuncture, and rehabilitation. The patient seemed to be responding with treatment, but pain would always resume with paddling. A diagnostic ultrasound displayed mild thickening and effusion in the subacromial/subdeltoid bursae. Continued passive care was not able to resolve the symptoms and she underwent an MRI which revealed an intraosseus ganglion cyst subjacent to the lesser tuberosity and floor of the intertubercular groove. A subsequent MRA was ordered to assess the labrum, which was intact, but the cyst had progressed in size. She was referred to an orthopedic surgeon who performed surgery. Conclusion An IOG cyst within the humeral head is a rare, potentially painful condition that can mimic other pathologies including impingement and labral tear. It is important to be aware of the clinical features to obtain a prompt diagnosis and appropriate treatment of this condition. PMID:22131566

  19. Final report on EURAMET.T-K3.1: Bilateral comparison of the realisations of the ITS-90 at the fixed points of Hg, H2O, Ga, Sn and Zn

    NASA Astrophysics Data System (ADS)

    Nedialkov, Sasho; Bosma, Rien; Dierikx, Erik

    2013-01-01

    A bilateral comparison has been organized between VSL, The Netherlands, and BIM, Bulgaria, of the realisations of the international temperature scale ITS-90 at the fixed points of Hg, H2O, Ga, In, Sn and Zn using a long-stem SPRT of very good stability as the transfer device. This comparison is registered as EURAMET project T-K3.1 in the BIPM key comparison database and its results are linked to those of key comparison CCT-K3. This comparison was organized in the framework of Phare project BG 2005/017-353.02.02, Lot 1, and is in this framework financed by the EU. This project ran from March 2008 to the end of February 2009. For all points of the measurements, a good agreement between the results obtained by BIM and in CCT-K3 could be demonstrated. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  20. Bilateral comparison of 100 pF capacitance standards (ongoing BIPM key comparison BIPM.EM-K14.b) between the BIM, Bulgaria, and the BIPM, April 2012 to September 2012

    NASA Astrophysics Data System (ADS)

    Sapunova, I.; Fletcher, N.; Goebel, R.; Stock, M.

    2015-01-01

    This report gives the result of a bilateral comparison of capacitance between the BIM (Bulgaria) and the BIPM carried out in 2012. Two 100 pF travelling standards belonging to the BIPM were used. The comparison was carried out with an 'A-B-A' pattern of measurements; the standards were measured first at the BIPM for a period of about one month, then for a similar period at the BIM, and finally again at the BIPM. The measurand was the two terminal-pair capacitance at a frequency of 1000 Hz and for a measuring voltage of 15 V. The BIPM was the pilot laboratory, and the comparison forms part of the ongoing BIPM key comparison BIPM.EM-K14.a. The results from the BIM and the BIPM were found to be in good agreement, with a difference smaller than the relative expanded uncertainty (95% confidence, k = 2) of 1.1 × 10-6. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).