Diffusion Tensor MR Imaging

This unit reviews the physical principles and methodologies involved in diffusion‐weighted imaging (DWI) and diffusion tensor imaging (DTI) for clinical applications. Diffusion‐sensitive MRI noninvasively provides insight into processes and microscopic cellular structures that alter molecular water mobility. Formalism to extend the Bloch equation to include effects of random translational motion through field gradients is reviewed. Definition of key acquisition parameters is also reviewed along with common methods to calculate and display tissue diffusion properties in a variety of image formats. Characterization of potential directional‐dependence of diffusion (i.e., anisotropy), such as that which exists in white matter, requires DTI. Diffusion tensor formalism and measurement techniques then reduce the diffusion tensor into standard anisotropy quantities that are summarized along with commonly used methods to depict directional information in an image format.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145343/1/cpmib0801.pd

Reduced Interhemispheric Functional Connectivity in the Motor Cortex during Rest in Limb-Onset Amyotrophic Lateral Sclerosis

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder of motor neurons that leads to paralysis and eventually death. There is evidence that atrophy occurs in the primary motor cortex (M1), but it is unclear how the disease affects the intrinsic connectivity of this structure. Thus, the goal of this study was to examine interhemispheric coupling of low frequency blood-oxygen-level dependent (BOLD) signal fluctuations in M1 using functional connectivity magnetic resonance imaging during rest. Because disease progression is rapid, high-functioning patients were recruited to assess neural changes in the relatively early stages of ALS. Twenty patients with limb-onset ALS participated in this study. A parceling technique was employed to segment both precentral gyri into multiple regions of interest (ROI), thus increasing sensitivity to detect changes that exist along discretely localized regions of the motor cortex. We report an overall systemic decrease in functional connectivity between right and left motor cortices in patients with limb-onset ALS. Additionally, we observed a pronounced disconnection between dorsal ROI pairs in the ALS group compared to the healthy control group. Furthermore, measures of limb functioning correlated with the connectivity data from dorsal ROI pairs in the ALS group, suggesting a symptomatic relationship with interhemispheric M1 connectivity

Cultural and Contextual Adaptation of a Childhood Obesity Preventive Intervention Program

This article describes the adaptation of a parent-focused evidence-based childhood obesity intervention program for implementation by county-based Extension educators in coordination with school district personnel in rural Pennsylvania. The Lifestyle Positive Parenting Program was designed and evaluated in Australia in clinical settings. Several minor and more serious adaptations, such as featured recipes and content of follow-up telephone calls, were made so that the program would be more appropriate for and appealing to target families. Conceptual issues regarding the adaptation of evidence-based programs are reviewed