| 1. |
- Agerskov, Simon, et al.
(författare)
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MRI diffusion and perfusion alterations in the mesencephalon and pons as markers of disease and symptom reversibility in idiopathic normal pressure hydrocephalus
- 2020
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 15:10
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Core symptomatology in idiopathic normal pressure hydrocephalus (iNPH) points at dysfunction in the mesencephalon and pons indicating pathological changes in these regions, but only a few studies have addressed the issue. The aim of this study was to investigate diffusion (ADC) and perfusion patterns pre- and postoperatively in these areas in iNPH. Methods Twenty iNPH patients and 15 healthy controls were included. Patients underwent a clinical examination and brain MRI pre- and 3-6 months postoperatively. The MRI-scan included diffusion and dynamic susceptibility contrast perfusion weighted sequences. Regions of interest in the mesencephalon and pons were drawn on a FLAIR sequence and co-registered to ADC maps and perfusion data. Results There were no significant differences in pre or postoperative ADC compared to the control group, however postoperative ADC increased by 10% (p = 0.026) in the mesencephalon and 6% (p = 0.016) in the pons in all patients and also in the subgroup of shunt responders by 11% (p = 0.021) and 4% (p = 0.020), respectively. Preoperative relative cerebral blood flow (rCBF) was similar in iNPH patients and controls. Postoperatively, rCBF increased in shunt responders by 6% (p = 0.02) in the mesencephalon and 11% (p = 0.004) in the pons. This increase correlated with the degree of clinical improvement (r(s)= 0.80, p = 0.031 and r(s)= 0.66, p = 0.021, respectively). Conclusion The postoperative increase in ADC and the correlation between postoperative increase in rCBF and clinical improvement in the mesencephalon and pons shown in this study point at an involvement of these areas in the core pathophysiology and its reversibility in iNPH.
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| 2. |
- Alipoor, Mohammad, 1983, et al.
(författare)
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A Novel Framework for repeated measurements in diffusion tensor imaging
- 2016
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Ingår i: 3rd (ACM) Int'l Conf. on Biomedical and Bioinformatics Engineering (ICBBE 2016). - New York, NY, USA : ACM. - 9781450348249 ; Part F125793, s. 1-6
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Konferensbidrag (refereegranskat)abstract
- In the context of diffusion tensor imaging (DTI), the utility of making repeated measurements in each diffusion sensitizing direction has been the subject of numerous stud-ies. One can estimate the true signal value using either the raw complex-valued data or the real-valued magnitudesignal. While conventional methods focus on the former strategy, this paper proposes a new framework for acquiring/processing repeated measurements based on the latter strategy. The aim is to enhance the DTI processing pipeline by adding a diffusion signal estimator (DSE). This permits us to exploit the knowledge of the noise distribution to estimate the true signal value in each direction. An extensive study of the proposed framework, including theoretical analysis, experiments with synthetic data, performance evaluation and comparisons is presented.Our results show that the precision of estimated diffusionparameters is dependent on the number of available samplesand the manner in which the DSE accounts for noise. Theproposed framework improves the precision in estimationof diffusion parameters given a sufficient number of uniquemeasurements. This encourages future work with rich realdatasets and downstream applications.
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| 3. |
- Alipoor, Mohammad, 1983, et al.
(författare)
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K-Optimal Gradient Encoding Scheme for Fourth-Order Tensor-Based Diffusion Profile Imaging
- 2015
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Ingår i: Biomed Research International. - : Hindawi Limited. - 2314-6133 .- 2314-6141.
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Tidskriftsartikel (refereegranskat)abstract
- The design of an optimal gradient encoding scheme (GES) is a fundamental problem in diffusion MRI. It is well studied for the case of second-order tensor imaging (Gaussian diffusion). However, it has not been investigated for the wide range of non-Gaussian diffusion models. The optimal GES is the one that minimizes the variance of the estimated parameters. Such a GES can be realized by minimizing the condition number of the design matrix (K-optimal design). In this paper, we propose a new approach to solve the K-optimal GES design problem for fourth-order tensor-based diffusion profile imaging. The problem is a nonconvex experiment design problem. Using convex relaxation, we reformulate it as a tractable semidefinite programming problem. Solving this problem leads to several theoretical properties of K-optimal design: (i) the odd moments of the K-optimal design must be zero; (ii) the even moments of the K-optimal design are proportional to the total number of measurements; (iii) the K-optimal design is not unique, in general; and (iv) the proposed method can be used to compute the K-optimal design for an arbitrary number of measurements. Our Monte Carlo simulations support the theoretical results and show that, in comparison with existing designs, the K-optimal design leads to the minimum signal deviation.
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| 4. |
- Alipoor, Mohammad, 1983, et al.
(författare)
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Optimal Gradient Encoding Schemes for Diffusion Tensor and Kurtosis Imaging
- 2016
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Ingår i: IEEE transactions on Computational Imaging. - 2333-9403. ; 2:3, s. 375 - 391
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Tidskriftsartikel (refereegranskat)abstract
- Diffusion-derived parameters find application in characterizing pathological and developmental changes in living tissues. Robust estimation of these parameters is important because they are used for medical diagnosis. An optimal gradient encoding scheme (GES) is one that minimizes the variance of the estimated diffusion parameters. This paper proposes a method for optimal GES design for two diffusion models: high-order diffusion tensor (HODT) imaging and diffusion kurtosis imaging (DKI). In both cases, the optimal GES design problem is formulated as a D-optimal (minimum determinant) experiment design problem. Then, using convex relaxation, it is reformulated as a semidefinite programming problem. Solving these problems we show that: 1) there exists a D-optimal solution for DKI that is simultaneously D-optimal for second- and fourth-order diffusion tensor imaging (DTI); 2) the traditionally used icosahedral scheme is approximately D-optimal for DTI and DKI; 3) the proposed D-optimal design is rotation invariant; 4) the proposed method can be used to compute the optimal design ($b$ -values and directions) for an arbitrary number of measurements and shells; and 5) using the proposed method one can obtain uniform distribution of gradient encoding directions for a typical number of measurements. Importantly, these theoretical findings provide the first mathematical proof of the optimality of uniformly distributed GESs for DKI and HODT imaging. The utility of the proposed method is further supported by the evaluation results and comparisons with with existing methods.
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| 5. |
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| 6. |
- Arvidsson, Jonathan, et al.
(författare)
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Effects of bolus injection duration on perfusion estimates in dynamic CT and dynamic susceptibility contrast MRI
- 2023
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Ingår i: Magnetic Resonance Materials in Physics, Biology and Medicine. - : Springer Science and Business Media LLC. - 0968-5243 .- 1352-8661. ; 36:1, s. 95-106
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Tidskriftsartikel (refereegranskat)abstract
- Estimates of cerebral blood flow (CBF) and tissue mean transit time (MTT) have been shown to differ between dynamic CT perfusion (CTP) and dynamic susceptibility contrast MRI (DSC-MRI). This study investigates whether these discrepancies regarding CBF and MTT between CTP and DSC-MRI can be attributed to the different injection durations of these techniques. Five subjects were scanned using CTP and DSC-MRI. Region-wise estimates of CBF, MTT, and cerebral blood volume (CBV) were derived based on oscillatory index regularized singular value decomposition. A parametric model that reproduced the shape of measured time curves and characteristics of resulting perfusion parameter estimates was developed and used to simulate data with injection durations typical for CTP and DSC-MRI for a clinically relevant set of perfusion scenarios and noise levels. In simulations, estimates of CBF/MTT showed larger negative/positive bias and increasing variability for CTP when compared to DSC-MRI, especially for high CBF levels. While noise also affected estimates, at clinically relevant levels, the injection duration effect was larger. There are several methodological differences between CTP and DSC-MRI. The results of this study suggest that the injection duration is among those that can explain differences in estimates of CBF and MTT between these bolus tracking techniques.
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| 7. |
- Arvidsson, Jonathan, et al.
(författare)
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Image Fusion of Reconstructed Digital Tomosynthesis Volumes From a Frontal and a Lateral Acquisition
- 2016
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Ingår i: Radiation protection dosimetry. - : Oxford University Press (OUP). - 1742-3406 .- 0144-8420. ; 169:1-4, s. 410-415
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Tidskriftsartikel (refereegranskat)abstract
- Digital tomosynthesis (DTS) has been used in chest imaging as a low radiation dose alternative to computed tomography (CT). Traditional DTS shows limitations in the spatial resolution in the out-of-plane dimension. As a first indication of whether a dual-plane dual-view (DPDV) DTS data acquisition can yield a fair resolution in all three spatial dimensions, a manual registration between a frontal and a lateral image volume was performed. An anthropomorphic chest phantom was scanned frontally and laterally using a linear DTS acquisition, at 120 kVp. The reconstructed image volumes were resampled and manually co-registered. Expert radiologist delineations of the mediastinal soft tissues enabled calculation of similarity metrics in regard to delineations in a reference CT volume. The fused volume produced the highest total overlap, implying that the fused volume was a more isotropic 3D representation of the examined object than the traditional chest DTS volumes.
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| 8. |
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| 9. |
- Björnsdotter Åberg, Malin, et al.
(författare)
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Grey matter correlates of autistic traits in women with anorexia nervosa
- 2018
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Ingår i: Journal of Psychiatry & Neuroscience. - : CMA-CANADIAN MEDICAL ASSOC. - 1180-4882 .- 1488-2434. ; 43:2, s. 79-86
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patients with anorexia nervosa exhibit higher levels of behaviours typically associated with autism-spectrum disorder (ASD), but the neural basis is unclear. We sought to determine whether elevated autistic traits in women with anorexia nervosa may be reflected in cortical morphology. Methods: We used voxel-based morphometry (VBM) to examine regional grey matter volumes in high-resolution MRI structural brain scans in women with anorexia nervosa and matched healthy controls. The Autism-spectrum Quotient (AQ) scale was used to assess autistic traits. Results: Women with anorexia nervosa (n = 25) had higher AQ scores and lower bilateral superior temporal sulcus (STS) grey matter volumes than the control group (n = 25). The AQ scores correlated negatively with average left STS grey matter volume in women with anorexia nervosa. Limitations: We did not control for cognitive ability and examined only women with ongoing anorexia nervosa. Conclusion: Elevated autistic traits in women with anorexia nervosa are associated with morphometric alterations of brain areas linked to social cognition. This finding provides neurobiological support for the behavioural link between anorexia nervosa and ASD and emphasizes the importance of recognizing autistic traits in preventing and treating-anorexia nervosa.
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| 10. |
- Brandberg, John, 1966, et al.
(författare)
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Accurate tissue area measurements with considerably reduced radiation dose achieved by patient-specific CT scan parameters
- 2008
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Ingår i: British Journal of Radiology. - : British Institute of Radiology. - 1748-880X .- 0007-1285. ; 81:970, s. 801-8
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Tidskriftsartikel (refereegranskat)abstract
- A low-dose technique was compared with a standard diagnostic technique for measuring areas of adipose and muscle tissue and CT numbers for muscles in a body composition application. The low-dose technique was intended to keep the expected deviation in the measured area of adipose and muscle tissue to <1% of the total tissue area. The largest diameter of the patient determined the parameters for the low-dose technique. 17 patients - chosen to cover a wide range of diameters (31-47 cm) for both abdomen and thighs - were examined using both techniques. Tissue areas were compared, as were CT numbers for muscle tissue. Image noise was quantified by standard deviation measurements. The area deviation was <1%, except in the smallest subjects, in whom it was <2%. The integral radiation dose of the low-dose technique was reduced to 2-3% for diameters of 31-35 cm and to 7.5-50% for diameters of 36-47 cm as compared with the integral dose by the standard diagnostic technique. The CT numbers of muscle tissue remained unchanged with reduced radiation dose. Image noise was on average 20.9 HU (Hounsfield units) for subjects with diameters of 31-35 cm and 11.2 HU for subjects with diameters in the range of 36-47 cm. In conclusion, for body composition studies with CT, scan protocols can be adjusted so that the integral dose is lowered to 2-60% of the standard diagnostic technique at our centre without adversely altering area measurements of adipose and muscle tissue and without altering CT numbers of muscle tissue.
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