MULTIPARAMETRIC MRI OF THE PEDIATRIC SPINAL CORD

MULTIPARAMETRIC MRI OF THE PEDIATRIC SPINAL CORD
Author: Shiva Shahrampour
Publisher:
Total Pages: 0
Release: 2023
Genre:
ISBN:

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Quantitative magnetic resonance imaging (MRI) measurements of the pediatric spinal cord is important for both diagnostic and treatment planning. In recent years several quantitative MRI (qMRI) techniques that have been developed and tested to measure functional and structural information of the spinal cord tissue and microstructure. Several of the existing structural and functional imaging biomarkers (i.e., diffusion tensor imaging (DTI)) have demonstrated potential for providing microstructural information about the spinal cord. However, due to the lack of a standard anatomical template of the pediatric spinal cord, quantification of the spinal cord tissue has been challenging. Therefore, one of the goals of this work is to develop and test tools for quantification as well as the creation of a standard structural template of the typically developing (TD) pediatric spinal cord. This will allow automated measurement of normative values of the spinal cord cross-sectional area (SCCSA) at various levels of the spinal cord. Furthermore, to examine the white matter (WM) microstructure of the pediatric cord we developed a processing pipeline for the atlas-based generation of TD pediatric spinal cord WM tracts. This will facilitate the measurements of normative diffusion values for various WM tracts.A group of 30 TD subjects (age range of 6-17 years old (12.38 ±2.81)), who had no evidence of spinal cord injury or pathology were recruited. We utilized a multiparametric MRI protocol, including high-resolution T2-w structural and diffusion-weighted MRI images to scan the subjects on a 3T MRI scanner. The diffusion data were acquired using a novel iFOV DTI sequence. For quantification, a post-processing pipeline was utilized to generate the structural pediatric template. Next, WM tracts were generated using an atlas-based approach, and diffusion metrics (FA, MD, RD and AD) were quantified in 34 tracts identified in the processing pipeline. Normative SCCSA and DTI diffusion indices were generated for the TD population. Lastly, we demonstrated that DTI indices (i.e. FA) can be a predictive measure of components of the clinical test for spinal cord injury, as well as an indicator of the white matter tracts integrity. Therefore, in the final step of this work, we expanded our quantitative analysis to look at the microstructural and macrostructural changes in 15 children with chronic spinal cord injury (SCI) (AIS A-D, mean age of 12.8 ± 3.1 years). This included measurements of SCCSA, diffusion metrics and T2* WM/GM ratio of various white matter tracts in the patient population. We also examined the relationships between all the metrics and the ISNCSCI clinical scores in SCI subjects. We then compared these measurements between the TD and SCI patients to evaluate the diagnostic utility of these techniques and biomarkers. Statistically significant difference was observed between the two populations in the studied metrics. The results show that the proposed techniques may have the potential to be used as surrogate biomarkers for the quantification of the injured spinal cord. Keywords: diffusion tensor imaging, typically developing, spinal cord injury, spinal cord cross-sectional area, fractional anisotropy, mean diffusivity, axial diffusivity, radial diffusivity.

Pediatric Brain and Spine

Pediatric Brain and Spine
Author: L.M. Ketonen
Publisher: Springer Science & Business Media
Total Pages: 508
Release: 2004-11-23
Genre: Medical
ISBN: 9783540213406

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MR Imaging and Spectroscopy of the Developing Brain.- Congenital Malformation of the Brain.- Inherited Neurological Diseases and Disorders of Myelin.- Acquired Toxic and Metabolic Brain Disorders.- Tumors: Paratentorial Neoplasms.- Tumors: Supratentorial Neoplasms.- Brain Damage.- Miscellaneous.- Vascular Abnormalities.- Temporal Bone.- Spine.- Fetal Imaging.

ACQUISITION, PROCESSING, AND ANALYSIS OF DIFFUSION TENSOR IMAGING AND ATROPHY MRI IN THE INJURED PEDIATRIC SPINAL CORD

ACQUISITION, PROCESSING, AND ANALYSIS OF DIFFUSION TENSOR IMAGING AND ATROPHY MRI IN THE INJURED PEDIATRIC SPINAL CORD
Author: Devon Middleton
Publisher:
Total Pages: 110
Release: 2017
Genre:
ISBN:

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Spinal cord injury has the potential to be debilitating, particularly in the pediatric population. Identification of the exact injury level can be difficult from conventional structural Magnetic Resonance Imaging (MRI) scans, and younger children often have difficulty in participating in the clinical examinations that define neurologic damage. Because of limitations of existing clinical examinations and conventional imaging, more advanced quantitative imaging techniques are important for improvement in diagnostic and prognostic evaluation of spinal cord injury. A quantitative characterization of the full spinal cord injury from both a functional and structural perspective has not been performed in pediatric subjects and has potential to provide important diagnostic and prognostic information. Diffusion tensor imaging (DTI) gives a non-invasive quantification of water diffusion in the spinal cord and can provide insight into white matter integrity, while high resolution volumetric imaging can determine cord cross sectional area reflecting atrophy occurring post injury. Multiple challenges exist in analysis of pediatric spinal cord data, including physiological motion, low signal-to-noise, thermal noise and image artifact, and cumbersome measurements of cord morphology. In this work, a complete pipeline for the acquisition and analysis of both functional DTI data and high resolution structural data is designed, tested, and implemented including MR image acquisition, motion correction, diffusion tensor estimation, region of interest analysis, and semi-automated cord cross sectional area measurement. Data for both healthy subjects and subjects with spinal cord injury is collected and significant correlations are shown between DTI and cord morphology metrics. This characterization of the injured spinal cord using both structural and functional data has the potential to offer important new information for examination of spinal cord injury.

Multi Spectral Data Analysis for Diagnostic Enhancement of Pediatric Spinal Cord Injury

Multi Spectral Data Analysis for Diagnostic Enhancement of Pediatric Spinal Cord Injury
Author: Mahdi Alizadeh
Publisher:
Total Pages: 85
Release: 2017
Genre:
ISBN:

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A key challenge in the imaging of spinal cord injury (SCI) patients is the ability to accurately determine structural or functional abnormality as well as level and severity of injury. Over the years a substantial number of studies have addressed this issue, however most of them utilized qualitative analysis of the acquired imaging data. Quantitative analysis of patients with SCI is an important issue in both diagnostic and treatment planning. Hence in this work new multispectral magnetic resonance (MR) image based approaches were developed for high-throughput extraction of quantitative features from pediatric spinal cord MR images and subsequent analysis using decision support algorithms. This may potentially improve diagnostic, prognostic, and predictive accuracy between typically developing (TD) pediatric spinal cord subjects and patients with SCI. The technique extracts information from both axial structural MRI images (such as T2-weighted gradient echo images) and functional MRI images (such as diffusion tensor images). The extracted data contains first order statistics (diffusion tensor tractography and histogram based texture descriptors), second order (co-occurrence indices) and high order (wavelet primitives) statistics. MRI data from total of 43 subjects that includes 23 healthy TD subjects with the age range of 6-16 (11.94±3.26 (mean ±standard deviation)) who had no evidence of SCI or pathology and 20 SCI subjects with the age range of 7-16 (11.28±3.00 (mean ±standard deviation)) were recruited and scanned using 3.0T Siemens Verio MR scanner. Standard 4-channel neck matrix and 8-channel spine array RF coils were used for data collection. After data collection various post processing methods were used to improve the data quality. A novel ghost artifact suppression technique was implemented and tested. Initially, 168 quantitative measures of multi-spectral images (functional and structural) were calculated by using regions of interest (ROIs) manually drawn on the whole cord along the entire spinal cord being anatomically localized by an independent board certified neuroradiologist. These measures were then statistically compared between TD and SCI groups using standard least squared linear regression model based on restricted maximum likelihood (REML) method. Statistically, significant changes have been shown in 44 features: 30 features obtained from functional images and 14 features selected from structural images. Also, it has been shown that the quantitative measures of the spinal cord in DTI and T2W-GRE images above and below injury level were altered significantly. Finally, tractography measures were also obtained on a subset of the patients to demonstrate quantitative analysis of the extracted white matter structures. Overall the results show that the proposed techniques may have potential to be used as surrogate biomarkers for detection of the injured spinal cord. These measures enable us to quantify the functional and structural plasticity in chronic SCI and consequently has the potential to improve our understanding of damage and recovery in diseased states of the spinal cord.

Vertebral Lesions

Vertebral Lesions
Author: Luigi Manfrè
Publisher: Springer
Total Pages: 169
Release: 2017-09-06
Genre: Medical
ISBN: 3319526340

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This easy-to-consult guide describes new minimally invasive procedures for the treatment of vertebral lesions that are accompanied by fewer complications and side-effects, reduce the risks of anesthesia, and lower costs. Clear accounts are provided of CT and X-ray guided techniques for vertebral augmentation in different regions of the spine and for the treatment of vertebral tumors by means of cryoablation, radiofrequency ablation, and embolization. Helpful information is also provided on imaging, biomechanics, biopsy, and biomaterials. Like other books in the Springer series New Procedures in Spinal Interventional Neuroradiology, this practice-oriented volume will fill a significant gap in the literature and meet the need expressed by a large number of specialists (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and handy guide that specifically illustrates the presently available materials and methods.

Atlas of Multiparametric Prostate MRI

Atlas of Multiparametric Prostate MRI
Author: Joan C. Vilanova
Publisher: Springer
Total Pages: 164
Release: 2017-09-28
Genre: Medical
ISBN: 3319617869

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This atlas provides a comprehensive, state of the art review of the use of multiparametric MRI (mpMRI) for the imaging of prostate cancer, covering aspects from diagnosis and loco-regional staging through to the role of the technique after treatment and follow-up. The book contains a wealth of high-resolution images, many of them in color, and displays the anatomical-MRI–pathological correlation whenever appropriate. Readers will find a helpful overview on the current standardized method for reading and reporting on mpMRI, the Prostate Imaging Reporting and Data System (PI-RADS), version 2. Dedicated chapters focus on differential diagnosis and imaging pitfalls, and the inclusion of helpful diagrams and algorithms will further assist in image interpretation, enabling readers to ease and improve their use of mpMRI. Edited and written by very experienced radiologists, pathologists, and urologists; the Atlas of Multiparametric Prostate MRI will serve as a unique source of clinically relevant information and an aid to disease management for radiologists, urologists, pathologists, radiotherapists, and oncologists.

Handbook of Neuro-Oncology Neuroimaging

Handbook of Neuro-Oncology Neuroimaging
Author: Herbert B. Newton
Publisher: Academic Press
Total Pages: 1022
Release: 2022-08-21
Genre: Medical
ISBN: 0128229950

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With treatment approaches and the field of neuro-oncology neuroimaging changing rapidly, this third edition of the Handbook of Neuro-Oncology Neuroimaging is very relevant to those in the field, providing a single-source, comprehensive, reference handbook of the most up-to-date clinical and technical information regarding the application of neuroimaging techniques to brain tumor and neuro-oncology patients. This new volume will have updates on all of the material from the second edition, and in addition features several new important chapters covering diverse topics such as imaging for the use of Laser Interstitial Thermal Therapy, advanced imaging techniques in radiation therapy, therapeutic treatment fields, response assessment in clinical trials, surgical planning of neoplastic disease of the spine, and more. Sections first overview neuro-oncological disorders before delving into the physics and basic science of neuroimaging and great focus on CT and MRI. The book then focuses on advances in the neuroimaging of brain tumors and neuroimaging of specific tumor types. There is also discussion of neuroimaging of other neuro-oncological syndromes. This book will serve as a resource of background information to neuroimaging researchers and basic scientists with an interest in brain tumors and neuro-oncology. Summarizes translational research on brain imaging for brain tumors Discusses limitations of neuroimaging for diagnosis and treatment Presents advanced imaging technologies, including CT, MRI, and PET Contains new coverage on Laser Interstitial Thermal Therapy, radiation therapy, clinical trials, and more

Neuroimaging in Developmental Clinical Neuroscience

Neuroimaging in Developmental Clinical Neuroscience
Author: Judith M. Rumsey
Publisher: Cambridge University Press
Total Pages: 473
Release: 2009-02-19
Genre: Medical
ISBN: 1139476750

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Modern neuroimaging offers tremendous opportunities for gaining insights into normative development and a wide array of developmental neuropsychiatric disorders. Focusing on ontogeny, this text covers basic processes involved in both healthy and atypical maturation, and also addresses the range of neuroimaging techniques most widely used for studying children. This book will enable you to understand normative structural and functional brain maturation and the mechanisms underlying basic developmental processes; become familiar with current knowledge and hypotheses concerning the neural bases of developmental neuropsychiatric disorders; and learn about neuroimaging techniques, including their unique strengths and limitations. Coverage includes normal developmental processes, atypical processing in developmental neuropsychiatric disorders, ethical issues, neuroimaging techniques and their integration with psychopharmacologic and molecular genetic research approaches, and future directions. This comprehensive volume is an essential resource for neurologists, neuropsychologists, psychiatrists, pediatricians, and radiologists concerned with normal development and developmental neuropsychiatric disorders.

PET/MRI: Clinical Applications, An Issue of PET Clinics, E-Book

PET/MRI: Clinical Applications, An Issue of PET Clinics, E-Book
Author: Drew A. Torigian
Publisher: Elsevier Health Sciences
Total Pages:
Release: 2016-09-10
Genre: Medical
ISBN: 0323463282

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This issue of PET Clinics focuses on PET/MRI: Clinical Applications, and is edited by Drs. Drew Torigian and Andreas Kjaer. Articles will include: PET/MRI in Prostate Cancer; PET/MRI in Vascular Disease; PET/MRI in Lymphoma; PET/MRI in Head and Neck Cancer; PET/MRI in Brain Disease; PET/MR in Cancers of GI Tract; PET/MRI in Gynecologic Cancer; Clinical PET/MRI Systems and Patient Workflow; PET/MRI in Heart Disease; PET/MR in Breast Cancer and Lung Cancer; PET/MRI in Musculoskeletal Disorders; PET/MRI in Pediatric Oncology; Clinical PET/MRI: Future Perspectives; and more!