| 1. |
- Borga, Magnus, et al.
(författare)
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Reproducibility and repeatability of MRI-based body composition analysis
- 2020
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Ingår i: Magnetic Resonance in Medicine. - : WILEY. - 0740-3194 .- 1522-2594. ; 84:6, s. 3146-3156
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Tidskriftsartikel (refereegranskat)abstract
- Purpose There is an absence of reproducibility studies on MRI-based body composition analysis in current literature. Therefore, the aim of this study was to investigate the between-scanner reproducibility and the repeatability of a method for MRI-based body composition analysis. Methods Eighteen healthy volunteers of varying body mass index and adiposity were each scanned twice on five different 1.5T and 3T scanners from three different vendors. Two-point Dixon neck-to knee images and two additional liver scans were acquired with similar protocols. Visceral adipose tissue (VAT) volume, abdominal subcutaneous adipose tissue (ASAT) volume, thigh muscle volume, and muscle fat infiltration (MFI) in the thigh muscle were measured. Liver proton density fat fraction (PDFF) was assessed using two different methods, the scanner vendors 6-point method and an in-house 2-point method. Within-scanner test-retest repeatability and between-scanner reproducibility were calculated using analysis of variance. Results Repeatability coefficients were 13 centiliters (cl) (VAT), 24 cl (ASAT), 17 cl (total thigh muscle volume), 0.53% (MFI), and 1.27-1.37% for liver PDFF. Reproducibility coefficients were 24 cl (VAT), 42 cl (ASAT), 31 cl (total thigh muscle volume), 1.44% (MFI), and 2.37-2.40% for liver PDFF. Conclusion For all measures except MFI, the within-scanner repeatability explained much of the overall reproducibility. The two methods for measuring liver fat had similar reproducibility. This study showed that the investigated method eliminates effects due to scanner differences. The results can be used for power calculations in clinical studies or to better understand the scanner-induced variability in clinical applications.
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| 2. |
- Deb, Suryyani, et al.
(författare)
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Self-Reporting Theranostic : Nano Tool for Arterial Thrombosis
- 2023
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Ingår i: Bioengineering. - : MDPI. - 2306-5354. ; 10:9
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Tidskriftsartikel (refereegranskat)abstract
- Arterial thrombosis (AT) originates through platelet-mediated thrombus formation in the blood vessel and can lead to heart attack, stroke, and peripheral vascular diseases. Restricting the thrombus growth and its simultaneous monitoring by visualisation is an unmet clinical need for a better AT prognosis. As a proof-of-concept, we have engineered a nanoparticle-based theranostic (combined therapy and monitoring) platform that has the potential to monitor and restrain the growth of a thrombus concurrently. The theranostic nanotool is fabricated using biocompatible super-paramagnetic iron oxide nanoparticles (SPIONs) as a core module tethered with the anti-platelet agent Abciximab (ReoPro) on its surface. Our in vitro feasibility results indicate that ReoPro-conjugated SPIONS (Tx@ReoPro) can effectively prevent thrombus growth by inhibiting fibrinogen receptors (GPIIbIIIa) on the platelet surface, and simultaneously, it can also be visible through non-invasive magnetic resonance imaging (MRI) for potential reporting of the real-time thrombus status.
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| 3. |
- Karlsson, Anette, 1986-, et al.
(författare)
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The effect on precision and T1 bias comparing two flip angles when estimating muscle fat infiltration using fat-referenced chemical shift-encoded imaging
- 2021
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Ingår i: NMR in Biomedicine. - : John Wiley & Sons. - 0952-3480 .- 1099-1492. ; 34:11
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Tidskriftsartikel (refereegranskat)abstract
- Investigation of the effect on accuracy and precision of different parameter settings is important for quantitative Magnetic Resonance Imaging. The purpose of this study was to investigate T1-bias and precision for muscle fat infiltration (MFI) using fat-referenced chemical shift magnetic resonance imaging at 5° and 10° flip angle. This [MB1] experimental study was done on forty postmenopausal women using 3T MRI test and retest images using 4-point 3D spoiled gradient multi-echo acquisition including real and imaginary images for reconstruction acquired at Flip angles 5° and 10°. Post-processing included T2* correction and fat-referenced calibration of the fat signal. The mean MFI was calculated in six different automatically segmented muscle regions using both the fat-referenced fat signal and the fat fraction calculated from the fat and water image pair for each acquisition. The variance of the difference between mean MFI from test and retest was used as measure of precision. The SNR characteristics were analyzed by measuring difference of the full width half maximum of the fat signal distribution using Student’s t-test.There was no difference in the mean fat-referenced MFI at different flip angles with the fat-referenced technique, which was the case using the fat fraction. No significant difference in the precision was found in any of the muscles analyzed. However, the full width half maximum of the fat signal distribution was significantly lower at 10° flip angle compared to 5°. Fat-referenced MFI is insensitive to T1 bias in chemical shift magnetic resonance imaging enabling usage of a higher and more SNR effective flip angle. The lower full-width-at half-maximum in fat-referenced MFI at 10° indicates that high flip angle acquisition is advantageous although no significant differences in precision was observed comparing 5° and 10°.
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| 4. |
- Karlsson, Markus, et al.
(författare)
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Assessing Tissue Hydration Dynamics Based on Water/Fat Separated MRI
- 2023
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Ingår i: Journal of Magnetic Resonance Imaging. - : Wiley. - 1053-1807 .- 1522-2586. ; 58:2, s. 652-660
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Tidskriftsartikel (refereegranskat)abstract
- Background: Optimal fluid status is an important issue in hemodialysis. Clinical evaluation of volume status and different diagnostic tools are used to determine hydration status in these patients. However, there is still no accurate method for this assessment. Purpose: To propose and evaluate relative lean water signal (LWSrel) as a water–fat MRI-based tissue hydration measurement. Study Type: Prospective. Population: A total of 16 healthy subjects (56 ± 6 years, 0 male) and 11 dialysis patients (60.3 ± 12.3 years, 9 male; dialysis time per week 15 ± 3.5 hours, dialysis duration 31.4 ± 27.9 months). Field Strength/Sequence: A 3 T; 3D spoiled gradient echo. Assessment: LWSrel, a measurement of the water concentration of tissue, was estimated from fat-referenced MR images. Segmentations of total adipose tissue as well as thigh and calf muscles were used to measure LWSrel and tissue volumes. LWSrel was compared between healthy subjects and dialysis patients, the latter before and after dialysis. Bioimpedance-based body composition monitor over hydration (BCM OH) was also measured. Statistical Tests: T-tests were used to compare differences between the healthy subjects and dialysis patients, as well as changes between before and after dialysis. Pearson correlation was calculated between MRI and non-MRI biomarkers. A P value <0.05 was considered statistically significant. Results: The LWSrel in adipose tissue was significantly higher in the dialysis cohort compared with the healthy cohort (246.8% ± 60.0% vs. 100.0% ± 10.8%) and decreased significantly after dialysis (246.8 ± 60.0% vs. 233.8 ± 63.4%). Thigh and calf muscle volumes also significantly decreased by 3.78% ± 1.73% and 2.02% ± 2.50% after dialysis. There was a significant correlation between changes in adipose tissue LWSrel and ultrafiltration volume (r = 87), as well as with BCM OH (r = 0.66). Data Conclusion: MRI-based LWSrel and tissue volume measurements are sensitive to tissue hydration changes occurring during dialysis. Evidence Level: 2. Technical Efficacy: Stage 3.
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| 5. |
- Mandic, Mirko, et al.
(författare)
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Interval-induced metabolic perturbation determines tissue fluid shifts into skeletal muscle
- 2021
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Ingår i: Physiological Reports. - : Wiley. - 2051-817X. ; 9:7
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Tidskriftsartikel (refereegranskat)abstract
- Intense interval exercise has proven to be as effective as traditional endurance exercise in improving maximal oxygen uptake. Shared by these two exercise regimes is an acute reduction in plasma volume, which is a suggested stimulus behind exercise-induced increases in blood volume and maximal oxygen uptake. This study aimed to link exercise-induced metabolic perturbation with volume shifts into skeletal muscle tissue. Ten healthy subjects (mean age 33 +/- 8 years, 5 males and 5 females) performed three 30 s all-out sprints on a cycle ergometer. Upon cessation of exercise magnetic resonance imaging, (31)Phosphorus magnetic resonance spectroscopy and blood samples were used to measure changes in muscle volume, intramuscular energy metabolites and plasma volume. Compared to pre-exercise, muscle volume increased from 1147.1 +/- 35.6 ml to 1283.3 +/- 11.0 ml 8 min post-exercise. At 30 min post-exercise, muscle volume was still higher than pre-exercise (1147.1 +/- 35.6 vs. 1222.2 +/- 6.8 ml). Plasma volume decreased by 16 +/- 3% immediately post-exercise and recovered back to - 5 +/- 6% after 30 min. Principal component analysis of exercise performance, muscle and plasma volume changes as well as changes in intramuscular energy metabolites showed generally strong correlations between metabolic and physiological variables. The strongest predictor for the volume shifts of muscle and plasma was the magnitude of glucose-6-phosphate accumulation post-exercise. Interval training leads to large metabolic and hemodynamic perturbations with accumulation of glucose-6-phosphate as a possible key event in the fluid flux between the vascular compartment and muscle tissue.
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| 6. |
- Widholm, Per, et al.
(författare)
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Quantitative muscle analysis in facioscapulohumeral muscular dystrophy using whole-body fat-referenced MRI: Protocol development, multicenter feasibility, and repeatability
- 2022
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Ingår i: Muscle and Nerve. - : WILEY. - 0148-639X .- 1097-4598. ; 66:2, s. 183-192
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Tidskriftsartikel (refereegranskat)abstract
- Introduction/Aims Functional performance tests are the gold standard to assess disease progression and treatment effects in neuromuscular disorders. These tests can be confounded by motivation, pain, fatigue, and learning effects, increasing variability and decreasing sensitivity to disease progression, limiting efficacy assessment in clinical trials with small sample sizes. We aimed to develop and validate a quantitative and objective method to measure skeletal muscle volume and fat content based on whole-body fat-referenced magnetic resonance imaging (MRI) for use in multisite clinical trials. Methods Subjects aged 18 to 65 years, genetically confirmed facioscapulohumeral muscular dystrophy 1 (FSHD1), clinical severity 2 to 4 (Riccis scale, range 0-5), were enrolled at six sites and imaged twice 4-12 weeks apart with T1-weighted two-point Dixon MRI covering the torso and upper and lower extremities. Thirty-six muscles were volumetrically segmented using semi-automatic multi-atlas-based segmentation. Muscle fat fraction (MFF), muscle fat infiltration (MFI), and lean muscle volume (LMV) were quantified for each muscle using fat-referenced quantification. Results Seventeen patients (mean age +/- SD, 49.4 years +/- 13.02; 12 men) were enrolled. Within-patient SD ranged from 1.00% to 3.51% for MFF and 0.40% to 1.48% for MFI in individual muscles. For LMV, coefficients of variation ranged from 2.7% to 11.7%. For the composite score average of all muscles, observed SDs were 0.70% and 0.32% for MFF and MFI, respectively; composite LMV coefficient of variation was 2.0%. Discussion We developed and validated a method for measuring skeletal muscle volume and fat content for use in multisite clinical trials of neuromuscular disorders.
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