53 research outputs found
Non-invasive Predictors of Human Cortical Bone Mechanical Properties: T2-Discriminated 1H NMR Compared with High Resolution X-ray
Recent advancements in magnetic resonance imaging (MRI) have enabled clinical imaging of human cortical bone, providing a potentially powerful new means for assessing bone health with molecular-scale sensitivities unavailable to conventional X-ray-based diagnostics. To this end, 1H nuclear magnetic resonance (NMR) and high-resolution X-ray signals from human cortical bone samples were correlated with mechanical properties of bone. Results showed that 1H NMR signals were better predictors of yield stress, peak stress, and pre-yield toughness than were the X-ray derived signals. These 1H NMR signals can, in principle, be extracted from clinical MRI, thus offering the potential for improved clinical assessment of fracture risk
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Missense mutation of Brain Derived Neurotrophic Factor (BDNF) alters neurocognitive performance in patients with mild traumatic brain injury: a longitudinal study
The predictability of neurocognitive outcomes in patients with traumatic brain injury is not straightforward. The extent and nature of recovery in patients with mild traumatic brain injury (mTBI) are usually heterogeneous and not substantially explained by the commonly known demographic and injury-related prognostic factors despite having sustained similar injuries or injury severity. Hence, this study evaluated the effects and association of the Brain Derived Neurotrophic Factor (BDNF) missense mutations in relation to neurocognitive performance among patients with mTBI. 48 patients with mTBI were prospectively recruited and MRI scans of the brain were performed within an average 10.1 (SD 4.2) hours post trauma with assessment of their neuropsychological performance post full Glasgow Coma Scale (GCS) recovery. Neurocognitive assessments were repeated again at 6 months follow-up. The paired t-test, Cohenâs d effect size and repeated measure ANOVA were performed to delineate statistically significant differences between the groups [wildtype G allele (Val homozygotes) vs. minor A allele (Met carriers)] and their neuropsychological performance across the time point (T1 = baseline/ admission vs. T2 = 6th month follow-up). Minor A allele carriers in this study generally performed more poorly on neuropsychological testing in comparison wildtype G allele group at both time points. Significant mean differences were observed among the wildtype group in the domains of memory (M = -11.44, SD = 10.0, p = .01, d = 1.22), executive function (M = -11.56, SD = 11.7, p = .02, d = 1.05) and overall performance (M = -6.89 SD = 5.3, p = .00, d = 1.39), while the minor A allele carriers showed significant mean differences in the domains of attention (M = -11.0, SD = 13.1, p = .00, d = .86) and overall cognitive performance (M = -5.25, SD = 8.1, p = .01, d = .66).The minor A allele carriers in comparison to the wildtype G allele group, showed considerably lower scores at admission and remained impaired in most domains across the timepoints, although delayed signs of recovery were noted to be significant in the domains attention and overall cognition. In conclusion, the current study has demonstrated the role of the BDNF rs6265 Val66Met polymorphism in influencing specific neurocognitive outcomes in patients with mTBI. Findings were more detrimentally profound among Met allele carriers
Populations of planets in multiple star systems
Astronomers have discovered that both planets and binaries are abundant
throughout the Galaxy. In combination, we know of over 100 planets in binary
and higher-order multi-star systems, in both circumbinary and circumstellar
configurations. In this chapter we review these findings and some of their
implications for the formation of both stars and planets. Most of the planets
found have been circumstellar, where there is seemingly a ruinous influence of
the second star if sufficiently close (<50 AU). Hosts of hot Jupiters have been
a particularly popular target for binary star studies, showing an enhanced rate
of stellar multiplicity for moderately wide binaries (>100 AU). This was
thought to be a sign of Kozai-Lidov migration, however recent studies have
shown this mechanism to be too inefficient to account for the majority of hot
Jupiters. A couple of dozen circumbinary planets have been proposed around both
main sequence and evolved binaries. Around main sequence binaries there are
preliminary indications that the frequency of gas giants is as high as those
around single stars. There is however a conspicuous absence of circumbinary
planets around the tightest main sequence binaries with periods of just a few
days, suggesting a unique, more disruptive formation history of such close
stellar pairs.Comment: Invited review chapter, accepted for publication in "Handbook of
Exoplanets", ed. H. Deeg & J. A. Belmont
T1/T2*-weighted MRI provides clinically relevant pseudo-CT density data for the pelvic bones in MRI-only based radiotherapy treatment planning
Laparoscopic Abdominoperineal Resection with Open Posterior Cylindrical Excision and Primary Transpelvic VRAM Flap
Magnetization transfer imaging of cortical bone in vivo using a zero echo time sequence in mice at 4.7Â T: a feasibility study
Ultrashort echo time and zero echo time MRI at 7T
OBJECT: Zero echo time (ZTE) and ultrashort echo time (UTE) pulse sequences for MRI offer unique advantages of being able to detect signal from rapidly decaying short-T2 tissue components. In this paper, we applied 3D zero echo time (ZTE) and ultrashort echo time (UTE) pulse sequences at 7T to assess differences between these methods. MATERIALS AND METHODS: We matched the ZTE and UTE pulse sequences closely in terms of readout trajectories and image contrast. Our ZTE used the Water- and fat-suppressed solid-state proton projection imaging (WASPI) method to fill the center of k-space. Images from healthy volunteers obtained at 7T were compared qualitatively as well as with SNR and CNR measurements for various ultrashort, short, and long-T2 tissues. RESULTS: We measured nearly identical contrast-to-noise and signal-to-noise ratios (CNR/SNR) in similar scan times between the two approaches for ultrashort, short, and long-T2 components in the brain, knee and ankle. In our protocol, we observed gradient fidelity artifacts in UTE, and our chosen flip angle and readout also resulted as well as shading artifacts in ZTE due to inadvertent spatial selectivity. These can be corrected by advanced reconstruction methods or with different chosen protocol parameters. CONCLUSION: The applied ZTE and UTE pulse sequences achieved similar contrast and SNR efficiency for volumetric imaging of ultrashort-T2 components. Several key differences are that ZTE is limited to volumetric imaging but has substantially reduced acoustic noise levels during the scan. Meanwhile, UTE has higher acoustic noise levels and greater sensitivity to gradient fidelity, but offers more flexibility in image contrast and volume selection
Outcomes Following Immediate Vertical Rectus Abdominis Myocutaneous (VRAM) Flap-Based Perineal Reconstruction Following Resectional Surgery For Pelvic Malignancies
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