Potential pitfalls of functional MRI using conventional gradient-recalled echo techniques

The conventional gradient-recalled echo technique, FLASH, has widely been used for functional MRI. FLASH results at 4 T with short TEs of 10-20 ms mimic those at 1.5 T with TEs of 25-50 ms or longer. Under these conditions, large venous vessels dominate the activated area; however, the use of longer TEs at 4 T reveals activation in gray matter areas as well as large vessels. Inflow effects of large vessels can be greatly reduced with centric-reordering of phase-encoding steps and inter-image delay. Finger and toe movement paradigms show that functional activation maps are consistent with classical somatotopic maps, and are specific to the tasks. Navigator-based motion correction generates functional maps with larger activation areas by reducing physiological noise.

Current bicycle helmet ownership, use and related factors among school-aged children in metropolitan Toronto

A random digit dialing telephone survey was conducted to examine bicycle helmet ownership, use and related factors among 707 children in Metropolitan Toronto. The ownership rate was 22% and use rate 12%. Although ownership was similarly distributed by age and sex, helmet use varied considerably across age strata among boys; only about one fifth of teenaged boys who owned a helmet wore it regularly. Both parental education and annual family income were significantly associated with ownership and use. Past bicycle injuries, although increasing helmet ownership, had no positive impact on use. The strength of a parental role model was reflected in the fact that when parents owned and used a helmet, 93% of their children had a helmet and more than 80% of them always wore it. Since about half of parents are cyclists themselves, helmet promotion activities are likely to maximize their effect if they target both parents and children.

Synthesis of myristoyl CoA analogues and myristoyl peptides as inhibitors of myristoyl CoA:protein N-myristoyltransferase

To develop inhibitors of myristoyl CoA:protein N-myristoyltransferase (NMT), a series of myristoyl coenzyme A analogues and myristoyl peptides were synthesized, including S-(2-oxopentadecyl)-CoA (1), S-(2-hydroxypentadecyl)-CoA (2), S-(2-oxopentadecyl)-pantetheine (3), Myr-N-Gly-(L)-Phe (4), Myr-N-Gly-(L)-Tyr (5), and Myr-N-Gly-(L)-Asn-Ala- Ala-Ser-Ala-Arg-(NH2) (6). Biological evaluation of these compounds in an in vitro NMT enzyme assay revealed that the nonhydrolyzable acyl CoA analogue 1 was the most potent inhibitor [inhibitor dissociation constant (Ki) = 24 nM]. A preliminary structure-activity relationship study showed that the adenosine moiety and the 2-keto group in this nonhydrolyzable analogue were necessary for inhibitory activity. A possible mechanism for the inhibition of NMT by 1 was proposed, in which 1 might block the reaction at the stage of an acyl-CoA-NMT-peptide complex. Product analogues such as the myristoylated peptides 4-6 were poor inhibitors of NMT.

Steady-state free precession imaging of the inner ear

The authors describe a steady-state free precession technique for imaging the inner ear. Although the signal-to-noise ratio is not as great as with other three-dimensional MR techniques, the inherent high contrast of inner ear structures makes this a valuable technique for patients with sensorineural hearing loss and for those who refuse paramagnetic contrast material.

Simpler locally focused tomography in MR imaging

The author describes a simple technique for performing locally focused tomography with magnetic resonance imaging. In contrast to a previous technique, which utilized wave functions to represent k-space data, the one described here does not require complicated experimental design and reconstruction procedures and is easy to implement and understand. The technique is verified with an experimental study. Technical details and experimental results are presented.

Incorporation of correlated structural images in PET image reconstruction

Reports on a new method in which spatially correlated magnetic resonance (MR) or X-ray computed tomography (CT) images are employed as a source of prior information in the Bayesian reconstruction of positron emission tomography (PET) images. This new method incorporates the correlated structural images as anatomic templates which can be used for extracting information about boundaries that separate regions exhibiting different tissue characteristics. In order to avoid the possible introduction of artifacts caused by discrepancies between functional and anatomic boundaries, the authors propose a new method called the "weighted line site" method, in which a prior structural image is employed in a modified updating scheme for the boundary variable used in the iterative Bayesian reconstruction. This modified scheme is based on the joint probability of structural and functional boundaries. As to the structural information provided by CT or MR images, only those which have high joint probability with the corresponding PET data are used; whereas other boundary information that is not supported by the PET image is suppressed. The new method has been validated by computer simulation and phantom studies. The results of these validation studies indicate that this new method offers significant improvements in image quality when compared to other reconstruction algorithms, including the filtered backprojection method and the maximum likelihood approach, as well as the Bayesian method without the use of the prior boundary information.

A new strategy for spectroscopic imaging

This paper describes a new approach for reducing ringing artifacts in spectroscopic imaging (or chemical-shift imaging). The new method is aimed at reducing the signal contamination in areas of interest, due to ringing, that often arises from adjacent areas with high intensity, such as subcutaneous fat in the case of 1H spectroscopy and skeletal muscle in case of the 31P spectroscopy. The method is based on the fact that the high-intensity signals which are the major source of contamination can be captured with one or few acquisitions and the metabolite resonances in areas of interest require considerably more averaging in the data acquisition due to low signal-to-noise ratio. In order to reduce ringing and maintain adequate SNR for the metabolites, the data points in high k space are measured with one or few excitations while those in the low k space are sampled with many excitations. By virtue of this sampling scheme, the data contain more noise in the high-spatial-frequency region and direct Fourier transformation reconstruction generates a very noisy image. Therefore, a new reconstruction technique is developed for the reconstruction. This approach has been studied by simulations and its practical utility is demonstrated by an in vivo proton CSI experiment. Technical details and simulation and experimental results are presented. From these results, it is concluded that the technique is robust and can be used for in vivo applications.

Imaging at high magnetic fields: initial experiences at 4 T

This article reviews the preliminary experiences and the results obtained on the human brain at 4 T at the University of Minnesota. Anatomical and functional images are presented. Contrary to initial expectations and the early results, it is possible to obtain high-resolution images of the human brain with exquisite T1 contrast, delineating structures especially in the basal ganglia and thalamus, which were not observed clearly in 1.5-T images until now. These 4-T images are possible using a new approach that achieves maximal contrast for different T1 values at approximately the same repetition time and has built-in tolerance to variations in B1 magnitude. For functional images, the high field provides increased contribution from the venuoles and the capillary bed because the susceptibility-induced alterations in 1/T2* from these small-diameter vessels increase quadratically with the magnitude of the main field. Images obtained with short echo times at 4 T, and by implication at lower fields with correspondingly longer echo times, are expected to be dominated by contributions from large venous vessel or in-flow effects from the large arteries; such images are undesirable because of their poor spatial correspondence with actual sites of neuronal activity.

Murine cortactin is phosphorylated in response to fibroblast growth factor-1 on tyrosine residues late in the G1 phase of the BALB/c 3T3 cell cycle

We have previously reported that BALB/c 3T3 cells require a prolonged exposure to fibroblast growth factor (FGF)-1 for the stimulation of maximal DNA synthesis, and this event correlates with the tyrosine phosphorylation of novel proteins late in G1 including a protein termed p80/p85 (Zhan, X., Hu, X., Friesel, R., and Maciag, T. (1993) J. Biol. Chem. 268, 9611-9620). We have purified, sequenced, and cloned the cDNA encoding p80/p85 and report that it is the murine homolog of the chicken cortactin gene and a member of the human hematopoietic specific-1 gene family. Immunochemical analysis of m-cortactin-tyrosine phosphorylation in response to FGF-1 demonstrates a biphasic phosphorylation pattern both as a weak immediate-early and strong mid to late G1 response protein. Because the chicken cortactin gene was originally isolated as a substrate for v-Src, FGF-1 may influence the enzymatic activity of other cell-associated tyrosine kinases which utilize p80/p85 (cortactin) as a polypeptide substrate.

A new T2*-weighting technique for magnetic resonance imaging

This paper describes a method that prepares the longitudinal magnetization with T2* weighting for subsequent acquisition. The main advantage of our technique is its insensitivity to static field inhomogeneity. We have combined this approach with an ultrafast gradient-echo (Turbo-FLASH) sequence and conducted experiments on phantoms and volunteers to demonstrate its capability and utility. With such a technique a T2*-weighted image can be generated in less than a second. In the paper, the detail of the technique and experimental results are presented.

Thrombosis of the portal venous system after splenectomy for pediatric hematologic disease

Splenic, portal, or mesenteric venous thrombosis after splenectomy for hematologic disease has not been reported in the pediatric literature. It is a rare complication associated with significant morbidity and mortality in adult reports. Between 1981 and 1991, 3 patients (13-year-old boy with hereditary elliptocytosis [HE], 13-year-old boy with thalassemia intermedia [TI], and 18-year-old girl with idiopathic thrombocytopenic purpura [ITP]) presented with abdominal pain, nausea, with or without fever, at 4, 11, and 13 days postsplenectomy, respectively. Abdominal Doppler ultrasound (US) and/or computed tomography (CT) showed: (1) an intraluminal filling defect with partial obstruction to flow in the right branch of the portal vein with the remaining vessels patent (HE); (2) splenic vein thrombosis with complete occlusion of the main portal vein and proximal superior mesenteric vein (TI); and (3) complete thrombosis of the splenic vein, proximal superior mesenteric vein and portal vein (including central radicles), with retrogastric collateralization (ITP). Subsequent imaging showed either complete resolution of vascular obstruction on no treatment (patient 1), or portal venous cavernomatous transformation with hepatofugal flow after 6 months of systemic anticoagulation (patients 2 and 3), and all 3 patients are currently asymptomatic. Postoperative sonographic evaluation of a consecutive series of pediatric splenectomies for hematologic disease (n = 16), was performed at a median of 51 days (range, 3 to 124). This demonstrated one case of asymptomatic left portal venous thrombosis with subsequent recanalization in the absence of treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Risk factors for extended disruption of family function after severe injury to a child

OBJECTIVE

To identify risk factors for long-lasting disruption of family function following pediatric trauma that can be measured at the time of trauma.

DESIGN

Prospective, exploratory study. Personal interviews were conducted at the time of admission and 6 months and 1 year after discharge.

SETTING

Level I regional pediatric trauma centre.

PARTICIPANTS

One hundred and five families (86% of those eligible) with a child admitted to hospital for severe trauma with an Abbreviated Injury Scale (AIS) score of 4 or higher or with two or more injuries in different body parts and AIS scores of 2 or higher were recruited; 13 families were lost to follow-up at 6 months or 1 year, so their data were not included in the analyses.

MAIN OUTCOME MEASURES

Family function status (normal or abnormal compared with function before the injury), demographic characteristics of the parents and child, injury severity, presence of maternal psychologic disorder, presence of child behaviour abnormality and functional status of the child.

MAIN RESULTS

At 6 months and at 1 year 41 families (45%) and 21 families (23%) respectively reported that their family lives had not returned to normal. The relative odds for disruption of family life were about five times higher (95% confidence limits [CL] 1.4 and 19.7) and four times higher (95% CL 1.1 and 14.0) for single-parent families than for families with married parents living together at 6 months and 1 year respectively. The presence of maternal psychologic disorders at admission and increased age of the injured child were also significantly associated with extended disruption of family function. Injury severity and functional status at discharge were not good predictors of family function.

CONCLUSIONS

Severe injury to a child places a heavy strain on normal family function. In particular, single parents and parents experiencing mental or emotional problems at the acute stage of the injury need help in coping with their reactions to the trauma and may benefit from individual or group counseling.

Experimental and clinical investigations of human insoluble bone matrix gelatin. A report of 24 cases

Human bone matrix gelatin (hBMG) was implanted into the quadriceps muscles of mice to determine its osteoinductive activity and immune responses. The host mouse muscle assay reacted positively to the hBMG, providing an experimental basis for clinical application. At two weeks after implantation, cartilage was produced in the mouse muscle, and new bone and bone marrow were formed at three to four weeks after implantation. Human bone matrix gelatin, which was thus shown to have osteoinductive activity, was subsequently implanted in 24 patients. Generally, the bone defects were filled with new bone tissue with increased density within two to four months after operation. Nonunion and delayed unions were healed at two to six months after surgery.

Functional magnetic resonance imaging of Broca's area during internal speech

Conventional gradient-echo magnetic resonance imaging (MRI) at 4 Tesla was used successfully to study the activity of Broca's area during internal speech word generation in healthy right-handed volunteers. Activity was demonstrated in the internal gray matter surrounding the ascending ramus of the lateral sulcus, deep to the cortical surface representation of Broca's area, in all the subjects. These studies demonstrate the capability of functional MRI to non-invasively map language related cognitive functions. Such functional mapping has value for both the study of basic neuroscience and neurosurgical planning.

Long term growth factor exposure and differential tyrosine phosphorylation are required for DNA synthesis in BALB/c 3T3 cells

The importance of growth factor-mediated immediate-early cellular events to the cell cycle has influenced the development and identity of oncogenes and tumor suppressor genes as well as the concept that growth factors commit mammalian cells to enter a biochemical program that ultimately yields DNA synthesis. However, the mid and late events involved in the regulation of growth factor-induced signal transduction remain largely unknown. In this report we demonstrate that BALB/c 3T3 cells require continuous exposure to fibroblast growth factor (FGF)-1 for a minimum of 12 h to achieve near maximal DNA synthesis. This correlates with the continuous internalization of radiolabeled FGF-1 into the cytosol and nucleus of BALB/c 3T3 cells and the maintenance of a low level of FGF receptors on the cell surface during the entire G1 phase of the cell cycle. Further analysis demonstrates the maintenance of a continuous series of differential FGF-1-induced tyrosine phosphorylation events including the phosphorylation of phospholipase C-gamma as well as novel FGF receptor polypeptide substrates, p60, p85, p90, and p130 throughout the G1 phase of the BALB/c 3T3 cell cycle. The tyrosine phosphorylation events are biphasic during the 12-h period after the administration of FGF-1, and the second phase is characterized by hyper-tyrosine phosphorylation of p60, p85, and p130. Interestingly, NIH 3T3 cells which overexpress the FGF receptor-1 polypeptide demonstrate exaggerated tyrosine phosphorylation of p60 and p85 but not p90 and exhibit growth factor-independent cell proliferation. These results suggest that the initiation of DNA synthesis in BALB/c 3T3 cells by FGF-1 is regulated by a complex biochemical program that involves the continuous tyrosine phosphorylation of known and novel polypeptides throughout the G0 to G1 transition period of the cell cycle.

Application of an event marker in the occupational epidemiologic study of acute irritant symptoms

Field studies of occupational exposure to airborne irritants have predominantly relied on symptom surveys of study participants. As part of a new approach to the study of acute irritant symptoms, subjects exposed to sodium borate dusts recorded their symptom responses at hourly interviews as well as instantaneously on an electronic device called an event marker. Overall, the unprompted marks indicated fewer irritant events than the interviews. Marks were more frequent in the presence of more than one type of symptom and also appeared to reflect more severe symptoms. A proportion of the marked events occurred in time intervals when no symptoms were recalled during the interview. The exposure-response relations were similar regardless of whether they were based on the interview reports or the electronically marked symptoms. The event marker provided a means to examine the time of onset of the acute symptom event. It also made it possible to examine directly the timing profiles of symptom response in relation to changes in exposure levels in a field setting. Despite some inconsistencies, the finding suggests that the event marker may provide an alternative to frequent interviews of exposed workers to obtain irritant symptom responses for exposure-response modeling.