SPECT Imaging of Epilepsy: An Overview and Comparison with F-18 FDG PET

Epilepsy surgery is highly effective in treating refractory epilepsy, but requires accurate presurgical localization of the epileptogenic focus. Briefly, localization of the region of seizure onset traditionally dependents on seizure semiology, scalp EEG recordings and correlation with anatomical imaging modalities such as MRI. The introduction of noninvasive functional neuroimaging methods, including single-photon emission computed tomography (SPECT) and positron emission tomography (PET) has dramatically changed the method for presurgical epilepsy evaluation. These imaging modalities have become powerful tools for the investigation of brain function and are an essential part of the evaluation of epileptic patients. Of these methods, SPECT has the practical capacity to image blood flow functional changes that occur during seizures in the routine clinical setting. In this review we present the basic principles of epilepsy SPECT and PET imaging. We discuss the properties of the SPECT tracers to be used for this purpose and imaging acquisition protocols as well as the diagnostic performance of SPECT in addition to SPECT image analysis methods. This is followed by a discussion and comparison to F-18 FDG PET acquisition and imaging analysis methods

Klaus Vieweg/Michael Winkler (Hrsg.): Bildung und Freiheit. Ein vergessener Zusammenhang. Paderborn: Schöningh, 2012[Rezension]

Rezension von: Klaus Vieweg/Michael Winkler (Hrsg.): Bildung und Freiheit. Ein vergessener Zusammenhang. Paderborn: Schöningh, 2012, 248 S., EUR 29,90

Malignant gliomas: Current perspectives in diagnosis, treatment, and early response assessment using advanced quantitative imaging methods

Malignant gliomas consist of glioblastomas, anaplastic astrocytomas, anaplastic oligodendrogliomas and anaplastic oligoastrocytomas, and some less common tumors such as anaplastic ependymomas and anaplastic gangliogliomas. Malignant gliomas have high morbidity and mortality. Even with optimal treatment, median survival is only 12-15 months for glioblastomas and 2-5 years for anaplastic gliomas. However, recent advances in imaging and quantitative analysis of image data have led to earlier diagnosis of tumors and tumor response to therapy, providing oncologists with a greater time window for therapy management. In addition, improved understanding of tumor biology, genetics, and resistance mechanisms has enhanced surgical techniques, chemotherapy methods, and radiotherapy administration. After proper diagnosis and institution of appropriate therapy, there is now a vital need for quantitative methods that can sensitively detect malignant glioma response to therapy at early follow-up times, when changes in management of nonresponders can have its greatest effect. Currently, response is largely evaluated by measuring magnetic resonance contrast and size change, but this approach does not take into account the key biologic steps that precede tumor size reduction. Molecular imaging is ideally suited to measuring early response by quantifying cellular metabolism, proliferation, and apoptosis, activities altered early in treatment. We expect that successful integration of quantitative imaging biomarker assessment into the early phase of clinical trials could provide a novel approach for testing new therapies, and importantly, for facilitating patient management, sparing patients from weeks or months of toxicity and ineffective treatment. This review will present an overview of epidemiology, molecular pathogenesis and current advances in diagnoses, and management of malignant gliomas. © 2014 Ahmed et al

Obsessive and Compulsive Characteristics of Craving for Alcohol in Alcohol Abuse and Dependence

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65211/1/j.1530-0277.1992.tb01375.x.pd

Effect of Haloperidol on Measures of Craving and Impaired Control in Alcoholic * Subjects

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66324/1/j.1530-0277.1993.tb00755.x.pd

Echocardiographic Confirmation of Mitral Valve Prolapse: A New Finding on Radionuclide Ventriculography- A Case Report

A prominent filling defect was depicted on a radionuclide ventriculogram in a patient with mitral regurgitation. This defect was later shown, by cardiac ultrasound, to be due to mitral valve prolapse into the left ventricle during diastole. This case illustrates that mitral valve prolapse should be added to the list of clinical entities that can result in an intraventricular defect on a radionu clide ventriculogram.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67208/2/10.1177_000331978904000209.pd

Brain structure localization in positron emission tomography: Comparison of magnetic resonance imaging and a stereotactic method

A method commonly used for localization of brain regions on positron emission tomographic (PET) images is direct visualization and designation of structure on the image itself. This technique, however, is limited to portions of the brain having sufficient differential radionuclide uptake to permit the recognition of structure by observers familiar with brain anatomy. Two other methods commonly used instead of direct visualization are magnetic resonance imaging (MRI) and stereotactic methods of localization. This report compares the accuracy of a MRI method versus a stereotactic method of brain structure localization on PET. The three localization methods were analyzed for sixteen different brain regions in 5 different subjects by two independent observers. The results were converted to PET pixel size (1 PIXEL=.127 cm) for comparison. MRI localization differed from direct visualization by a mean and standard deviation of ~2+/-1 pixels in both the X and Y dimensions. Stereotactic localization differed from direct visualization by ~2+/-1 pixels in the X dimension and by ~6+/-2 pixels in the Y dimension. This larger variation seen with the stereotactic method may be, attributed to the questionable assumption of linearity of structure location with respect to size of the inner table of the calvarium.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/29520/1/0000607.pd

‘It stays with you’: multiple evocative representations of dance and future possibilities for studies in sport and physical cultures

This article considers the integration of arts-based representations via poetic narratives together with artistic representation on dancing embodiment so as to continue an engagement with debates regarding multiple forms/representations. Like poetry, visual images are unique and can evoke particular kinds of emotional and visceral responses, meaning that alternative representational forms can resonate in different and powerful ways. In the article, we draw on grandparent-grandchild interactions, narrative poetry, and artistic representations of dance in order to illustrate how arts-based methods might synergise to offer new ways of ‘knowing’ and ‘seeing’. The expansion of the visual arts into interdisciplinary methodological innovations is a relatively new, and sometimes contentious approach, in studies of sport and exercise. We raise concerns regarding the future for more arts-based research in the light of an ever-changing landscape of a neoliberal university culture that demands high productivity in reductionist terms of what counts as ‘output’, often within very restricted time-frames. Heeding feminist calls for ‘slow academies’ that attempt to ‘change’ time collectively, and challenge the demands of a fast-paced audit culture, we consider why it is worth enabling creative and arts-based methods to continue to develop and flourish in studies of sport, exercise and health, despite the mounting pressures to ‘perform’

Academic motherhood and fieldwork: Juggling time, emotions and competing demands

The idea and practice of going ‘into the field’ to conduct research and gather data is a deeply rooted aspect of Geography as a discipline. For global North Development Geographers, amongst others, this usually entails travelling to, and spending periods of time in, often far-flung parts of the global South. Forging a successful academic career as a Development Geographer in the UK, is therefore to some extent predicated on mobility. This paper aims to critically engage with the gendered aspects of this expected mobility, focusing on the challenges and time constraints that are apparent when conducting overseas fieldwork as a mother, unaccompanied by her children. The paper emphasises the emotion work that is entailed in balancing the competing demands of overseas fieldwork and mothering, and begins to think through the implications of these challenges in terms of the types of knowledge we produce, as well as in relation to gender equality within the academy