• Title/Summary/Keyword: functional medical imaging

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Effects of the Variability of Individual Data on the Group Results; an Acupuncture Study Using fMRI (기능적 자기공명영상을 이용한 침 연구에 있어서 개체 별 다양성이 그룹분석에 미치는 영향 연구)

  • Bae, Seong-In;Jahng, Geon-Ho;Ryu, Chang-Woo;Lim, Sabina
    • Progress in Medical Physics
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    • v.20 no.4
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    • pp.277-289
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    • 2009
  • Recently, functional MRI has been used to investigate the neurobiological mechanisms of acupuncture and the specificity of acupoint. The group data tend to be regarded as more important than the individual data in the most of previous studies. This study was designed to investigate the effect of the variability of individual data on the group results. A functional MRI (fMRI) of the whole brain was performed in fifteen healthy subjects during placebo and acupuncture stimulations at the ST36 acupoint. After remaining at rest for 30 seconds, the acupuncture was inserted and twisted at the rate of 2 Hz for 45 seconds and then the acupuncture was removed immediately. This process was repeated three times. Individual and group analyses were performed by voxel-based analyses using SPM2 software. Visual inspections of the activation and deactivation maps from individual sessions have shown the large variability across fifteen subjects. This means that the group data reflected the brain activation responses of only a few subjects. We suggest that the individual data should be presented to demonstrate the effect of acupuncture.

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Application of Thallium Autometallography for Observation of Changes in Excitability of Rodent Brain following Acute Carbon Monoxide Intoxication (흰쥐에서 급성 일산화탄소 중독 후 뇌 흥분성 변화를 규명하기 위한 탈륨 Autometallography의 적용)

  • Lee, Min Soo;Yang, Seung Bum;Heo, Jun Ho
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.2
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    • pp.66-78
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    • 2019
  • Purpose: Thallium (TI+) autometallography is often used for the imaging of neuronal metabolic activity in the rodent brain under various pathophysiologic conditions. The purpose of this study was to apply a thallium autometallographic technique to observe changes in neuronal activity in the forebrain of rats following acute carbon monoxide (CO) intoxication. Methods: In order to induce acute CO intoxication, adult Sprague-Dawley rats were exposed to 1100 ppm of CO for 40 minutes, followed by 3000 ppm of CO for 20 minutes. Animals were sacrificed at 30 minutes and 5 days after induction of acute CO intoxication for thallium autometallography. Immunohistochemical staining and toluidine blue staining were performed to observe cellular damage in the forebrain following intoxication. Results: Acute CO intoxication resulted in significant reduction of TI+ uptake in major forebrain structures, including the cortex, hippocampus, thalamus, and striatum. In the cortex and hippocampal CA1 area, marked reduction of TI+ uptake was observed in the cell bodies and dendrites of pyramidal neurons at 30 minutes following acute CO intoxication. There was also strong uptake of TI+ in astrocytes in the hippocampal CA3 area following acute CO intoxication. However, there were no significant histological findings of cell death and no reduction of NeuN (+) neuronal populations in the cortex and hippocampus at 5 days after acute CO intoxication. Conclusion: The results of this study suggest that thallium autometallography can be a new and useful technique for imaging functional changes in neural activity of the forebrain structure following mild to moderate CO intoxication.

A feasibility study on new stimulation method in fMRI language examinations using custom designed images (기능적 자기공명영상의 언어기능검사 시 image를 이용한 자극방법의 타당성 연구)

  • Choi, Kwan-Woo;Son, Soon-Yong;Jeong, Mi-Ae;Min, Jung-Whan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5005-5011
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    • 2011
  • The purpose of this work is to know the validity of a new stimulation method in cognitive functional imaging using custom-designed images correspond to words or syllables improving the shortcomings of existing method using text. From March 2011 to May five Subjects in need of language related functional MRI scanning were selected and both of text stimulating method and image stimulating method sacanning were carried out three times each. Using 3.0T Philps MRI machine and Invivo Co's Eloquence system, data acquisition was performed with EPI-BOLD technique. Post processing was performed with SPM 99 while the activated signals were determined within 95 percent confidence level.The number of activation clusters and the activation ratio inside ROI were compared. As as result, all of the subject showed activation inside Broca area but it did not have statistical significance. In conclusion, the image sitimulation method has potential because image itself is a common means of recognition and it can be recognised easily even if there language barrier. This stimulation method can be applied to replacing the exising scanning method especially in the elderly, infants, foerigners who may not fully understand about the examination.

Activations of Cerebral and Cerebellar Cortex Induced by Repetitive Bilateral Motor Excercise (반복적 양측 운동학습에 따른 대뇌 및 소뇌 피질 활성화)

  • Tae, Ki-Sik;Song, Sung-Jae;Kim, Young-Ho
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.139-147
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    • 2007
  • The aim of this study was to evaluate effects of short-tenn repetitive-bilateral excercise on the activation of motor network using functional magnetic resonance imaging (fMRI). The training program was performed at 1 hr/day, 5 days/week during 6 weeks. Fugl-Meyer Assessments (FMA) were performed every two weeks during the training. We compared cerebral and cerebellar cortical activations in two different tasks before and after the training program: (1) the only unaffected hand movement (Task 1); and (2) passive movements of affected hand by the active movement of unaffected hand (Task 2). fMRI was performed at 3T with wrist flexion-extension movement at 1 Hz during the motor tasks. All patients showed significant improvements of FMA scores in their paretic limbs after training. fMRI studies in Task 1 showed that cortical activations decreased in ipsilateral sensorimotor cortex but increased in contralateral sensorimotor cortex and ipsilateral cerebellum. Task 2 showed cortical reorganizations in bilateral sensorimotor cortex, premotor area, supplemetary motor area and cerebellum. Therefore, this study demonstrated that plastic changes of motor network occurred as a neural basis of the improvement subsequent to repetitive-bilateral excercise using the symmetrical upper-limb ann motion trainer.

Differences between 20s and 40s in Activation of the Parietal and Frontal Areas during Visuospatial Task (공간 과제 수행 시 20대와 40대의 두정엽과 전두엽에서의 활성화 차이)

  • You, Ji-Hye;Hong, Yong-Pyo;Lee, Hang-Woon;Lee, Soo-Yeol;Chung, Soon-Cheol
    • Journal of Biomedical Engineering Research
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    • v.27 no.6
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    • pp.318-322
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    • 2006
  • The purpose of this study is to examine differences between 20s and 40s in visuospatial performance and brain activation areas using functional Magnetic Resonance Imaging (fMRI). Eight male college students in their twenties ($21.5{\pm}2.3$ years old) and six male adults in their forties ($45.7{\pm}2.6$ years old) who were graduated from college participated in the study. A visuospatial task was presented while brain images were acquired by a 3T fMRI system. Compared to the 20s the 40s showed lower visuospatial performance. There were more activations observed at the parietal and superior frontal areas at 20s compared to 40s. There were more activations observed at the middle frontal and occipital areas at 40s compared to 20s. The results of this study show that the lowering of visuospatial performance with aging was correlated to the decrease of activation area at the parietal lobe and the change of activation area at the frontal lobe.

A comparison of functional MRI and MRSI on occipital cortex by visual stimulation (시각자극에 의한 후두엽 피질에서의 기능적 자기공명영상법과 양성자 대사물질영상의 비교)

  • Kim, T.;Suh, T.S.;Choe, B.Y.;Shinn, K.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.291-292
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    • 1998
  • The purpose of the study was aimed to evaluate the BOLD contrast fMRI in occipital lobe and compare this imaging with metabolite changes based on $^1H$ MRS and MRSI before and after visual stimulation. As a result, the activation map were sucessfully produced by thresholding with minimum cross-correlate value of 0.45. In MRS, NAA/Cr ratio is almost same. however, latate was elevated almost 9 times higher than before activation. Lactate metabolic images were consistent with the BOLD effect map. The BOLD contrast fMRI is not enough to detect the activation area in human brain. so, the other modality was required such as lactate metabolic map.

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Relations of multilingual's L1, L2, L3 lexical processing and cerebral activation areas in fMRI (fMRI에 반영된 다중언어화자의 L1, L2, L3 어휘 정보처리 특성과 대뇌 활성화 영역의 관련성)

  • Nam Kichun;Lee Donghoon;Oh Hyun-Gum;Ryu Jaeook
    • Proceedings of the Acoustical Society of Korea Conference
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    • spring
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    • pp.313-316
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    • 2002
  • 본 연구에서는 기능적 자기공명 영상법(functional magnetic resonance imaging)을 이용하여, 한국어, 일어, 프랑스어, 영어 등 여러 언어를 구사할 수 있는 다중언어화자들을 대상으로 각 언어에 따른 대뇌 언어처리 과정을 알아보고, 그 처리과정이 해당언어의 유창성, 습득시기에 따라 어떻게 달라지는지를 알아보았다. 실험 결과, 언어처리에 있어 핵심적인 역할을 하는 것으로 보고되는 Broca 영역은 언어의 이해와 산출 과정에 모두 관계된 것으로 보이며, 언어의 산출과정에는 언어의 이해과정에 관계되는 영역외에 조음과정에 따른 영역의 활성화가 보고되었다. 또한 언어습득시기와 유창성에 따른 각 언어의 활성화를 살펴보면, 유창성이 높을수록 대뇌 활성화는 줄어들며, 유창성이 낮은 언어조건에서는 언어처리 영역의 활성화 수준이 높아지며 또한 우반구 및 전전두회(prefrontal gyrus)의 활성화가 높아지는 것이 보인다.

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Native 1st Metatarso-Phalangeal Joint Infection: A Rare Case Report

  • Iliopoulos, Efthymios;Hossain, Natasha;Bendall, Stephen
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.2
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    • pp.67-70
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    • 2019
  • Septic arthritis is a serious medical condition that can lead to significant complications if misdiagnosed or mismanaged. A rare case of a 1st metatarso-phalangeal joint septic arthritis in a native joint is presented in a patient with no significant risk factors. A 41-year-old patient was referred by his general practitioner owing to ongoing pain and swelling over his native 1st metatarso-phalangeal joint with difficulty on weightbearing for three months. After a series of investigations, including blood tests and a foot magnetic resonance imaging, which were inconclusive, the patient was led to the operating theatre for sampling and washout of his joint. The samples taken in the theatres revealed septic arthritis with Streptococcus mitis as the causative microorganism. The patient was treated with six weeks of oral antibiotics with a good functional outcome. This case report illuminates this rare condition and makes foot and ankle surgeons aware of its existence. A high suspicion for this condition can prevent misdiagnosis and mismanagement.

The clinical outcomes of infraspinatus rotational transfer for irreparable posterosuperior rotator cuff tears: a preliminary report

  • Harada, Nobuya;Ishitani, Eiichi;Gotoh, Masafumi;Shiba, Naoto
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.195-201
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    • 2022
  • Background: This study aimed to examine the preliminary clinical results of the infraspinatus rotational transfer procedure for irreparable posterosuperior rotator cuff tears. Methods: This study included 34 patients (mean age, 68.4 years). Their mean tear width and length measurements were 50.9 mm and 50.6 mm, respectively. The functional outcomes, including physician-determined and patient-reported scores, were evaluated before and at 1 year after surgery. The structural outcomes determined using the magnetic resonance imaging examination results were also assessed. Results: The clinical scores significantly improved after surgery compared with the scores before surgery: the Constant-Murley score (53.3±21.1 to 76.8±10.5), University of California at Los Angeles Shoulder score (15.6±3.6 to 27.8±6.7), American Shoulder and Elbow Surgeons Shoulder score (51.8±18.3 to 89.1±13.5), and WORC score (925.0±436.8 to 480.3±373.2) (all p<0.001). Postoperative re-tears were noted in two patients (5.9%). Conclusions: One year postoperatively, the patient's clinical scores significantly improved, with a re-tear rate of 5.9%.

Magnetic Resonance Imaging Assessment of Paraspinal Muscles in Dogs with Intervertebral Disc Herniation

  • Ye-Jin Kim;Ju-Yeong Kim;Ah-Won Sung;Hyun-Ju Cho;I-Se O;Ho-Jung Choi;Young-Won Lee
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.334-341
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    • 2022
  • A decrease in the paraspinal muscle cross-sectional area (CSA) and functional cross-sectional area (FCSA) are associated with low back pain and disc herniation in humans. This study examined whether chronicity or lateralization of disc herniation affects the CSA and FCSA of the paraspinal muscles. The CSA and FCSA of the paraspinal muscles between the 12th and 13th thoracic vertebrae were measured in 31 dogs with intervertebral disc herniation (IVDH). The muscle CSA and FCSA were evaluated by dividing the values of the body weight, spinal disc CSA, and spinal canal CSA to offset the differences in body type between subjects. In the chronic IVDH group, the ratio of the paraspinal muscle CSA divided by the body weight was significantly lower, and fat infiltration in the paraspinal muscle was significantly higher than in the acute group. The lateralization of the disc herniation was significantly related to the changes in the paraspinal muscle CSA. In the right-sided disc herniation group, right epaxial muscle CSA was significantly reduced compared to the left-sided disc herniation group. The change in the paraspinal muscle might be a helpful indicator to localize less obvious disc pathologies and target the search for the pathology responsible for disc-related symptoms in dogs.