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Li B, Lu M, Zhou T, Bu M, Gu W, Wang J, Zhu Q, Liu X, Ta D. Removing Artifacts in Transcranial Photoacoustic Imaging With Polarized Self-Attention Dense-UNet. ULTRASOUND IN MEDICINE & BIOLOGY 2024:S0301-5629(24)00251-5. [PMID: 39013725 DOI: 10.1016/j.ultrasmedbio.2024.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Revised: 05/28/2024] [Accepted: 06/16/2024] [Indexed: 07/18/2024]
Abstract
OBJECTIVE Photoacoustic imaging (PAI) is a promising transcranial imaging technique. However, the distortion of photoacoustic signals induced by the skull significantly influences its imaging quality. We aimed to use deep learning for removing artifacts in PAI. METHODS In this study, we propose a polarized self-attention dense U-Net, termed PSAD-UNet, to correct the distortion and accurately recover imaged objects beneath bone plates. To evaluate the performance of the proposed method, a series of experiments was performed using a custom-built PAI system. RESULTS The experimental results showed that the proposed PSAD-UNet method could effectively implement transcranial PAI through a one- or two-layer bone plate. Compared with the conventional delay-and-sum and classical U-Net methods, PSAD-UNet can diminish the influence of bone plates and provide high-quality PAI results in terms of structural similarity and peak signal-to-noise ratio. The 3-D experimental results further confirm the feasibility of PSAD-UNet in 3-D transcranial imaging. CONCLUSION PSAD-UNet paves the way for implementing transcranial PAI with high imaging accuracy, which reveals broad application prospects in preclinical and clinical fields.
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Affiliation(s)
- Boyi Li
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China
| | - Mengyang Lu
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China
| | - Tianhua Zhou
- Department of Biomedical Engineering, School of Information Science and Technology, Fudan University, Shanghai 200438, China
| | - Mengxu Bu
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China
| | - Wenting Gu
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China
| | - Junyi Wang
- Department of Biomedical Engineering, School of Information Science and Technology, Fudan University, Shanghai 200438, China
| | - Qiuchen Zhu
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China
| | - Xin Liu
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China.
| | - Dean Ta
- Academy for Engineering and Technology, Fudan University, Shanghai 200438, China; Department of Biomedical Engineering, School of Information Science and Technology, Fudan University, Shanghai 200438, China
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Nur Kuzan B, Yusuf Kuzan T. Evaluation of Facial Aging in Different Age and Gender Groups With Computed Tomography-Based Calvarium and Face Measurements. Dermatol Surg 2024; 50:636-642. [PMID: 38712856 DOI: 10.1097/dss.0000000000004179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
BACKGROUND The human face is a complex area formed by the combination of many different components and varies among individuals according to gender, age, and ethnicity. OBJECTIVE The aim of this study was to evaluate age-related changes in the facial and calvarial bones in a large sample of both genders. METHODS The retrospective study included nontraumatic brain computed tomography scans of 280 Turkish adults. Participants were divided into 7-decade groups with the age ranging from 20 to 89 years. Measurements of the face and calvaria were recorded, and calvarial volume was calculated. The relationship of these parameters with age and gender was examined. RESULTS Statistically significant differences were observed in all the facial and calvarial measurements, except the transverse diameter of the head, with increasing age in both genders. Regardless of age, no significant differences were found in facial and calvarial measurements between genders. In addition, there was a significant decrease in the calvarial volume in both genders after the seventh decade of life. CONCLUSION The structure of the face and calvarium continues to change and differentiate throughout life. Taking these changes into account during surgical and facial rejuvenation procedures can help predict outcomes and avoid the use of incorrect techniques.
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Affiliation(s)
- Beyza Nur Kuzan
- Department of Radiology, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey
| | - Taha Yusuf Kuzan
- Department of Radiology, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey
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Bastien C, Neal-Sturgess C, Davies H, Wellings R, Bonsor J, Cheng X. A proof of concept model to calculate white and grey matter AIS injuries in pedestrian collisions. Comput Methods Biomech Biomed Engin 2024:1-23. [PMID: 38946517 DOI: 10.1080/10255842.2024.2368658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 06/11/2024] [Indexed: 07/02/2024]
Abstract
In the real world, the severity of traumatic injuries is measured using the Abbreviated Injury Scale (AIS) and is often estimated, in finite element human computer models, with the maximum principal strains (MPS) tensor. MPS can predict when a serious injury is reached, but cannot provide any AIS measures lower and higher from this. To overcome these limitations, a new organ trauma model (OTM2), capable of calculating the threat to life of any organ injured, is proposed. The OTM2 model uses a power method, namely peak virtual power, and defines brain white and grey matters trauma responses. It includes human age effect (volume and stiffness), localised impact contact stiffness and provides injury severity adjustments for haemorrhaging. The focus, in this case, is on real-world pedestrian brain injuries. OTM2 model was tested against three real-life pedestrian accidents and has proven to reasonably predict the post mortem (PM) outcome. Its AIS predictions are closer to the real-world injury severity than the standard maximum principal strain (MPS) methods currently used. This proof of concept suggests that OTM2 has the potential to improve forensic predictions as well as contribute to the improvement in vehicle safety design through the ability to measure injury severity. This study concludes that future advances in trauma computing would require the development of a brain model that could predict haemorrhaging.
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Affiliation(s)
- Christophe Bastien
- Centre for Future Transports and Cities, Coventry University, Coventry, UK
| | - Clive Neal-Sturgess
- Department of Mechanical Engineering, University of Birmingham, Birmingham, UK
| | - Huw Davies
- Centre for Future Transports and Cities, Coventry University, Coventry, UK
| | - Richard Wellings
- Department of Radiology, University Hospital of Coventry and Warwickshire, Coventry, UK
| | - Joshua Bonsor
- Centre for Future Transports and Cities, Coventry University, Coventry, UK
| | - Xiang Cheng
- Centre for Future Transports and Cities, Coventry University, Coventry, UK
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Bezdjian A, Mikolajewicz N, Denton C, Bouchard A, Rummler M, Gludovatz B, Shin M, Zimmermann E, Salameh S, Daniel SJ, Willie BM. Resonance Frequency Analysis Identifies Implant- and Host-Related Factors Associated With Bone-Anchored Hearing Implant Stability. Otol Neurotol 2024; 45:676-683. [PMID: 38865727 DOI: 10.1097/mao.0000000000004213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2024]
Abstract
HYPOTHESIS Resonance frequency analysis (RFA) is a reliable, noninvasive method to assess the stability of bone-anchored hearing implants (BAHIs), although surgical-, implant-, and host-related factors can affect its outcome. BACKGROUND BAHI plays an important role in restoring hearing function. However, implant- and host-related factors contribute to premature implant extrusion. To mitigate this, noninvasive methods to assess implant stability, along with a better understanding of factors contributing to BAHI failure, are needed. METHODS We evaluated the utility of RFA to quantify implant stability in sawbone (bone mimicking material), 29 human cadaveric samples, and a prospective cohort of 29 pediatric and 27 adult participants, and identified factors associated with implant stability. To validate the use of RFA in BAHI, we compared RFA-derived implant stability quotient (ISQ) estimates to peak loads obtained from mechanical push-out testing. RESULTS ISQ and peak loads were significantly correlated (Spearman rho = 0.48, p = 0.0088), and ISQ reliably predicted peak load up to 1 kN. We then showed that in cadaveric samples, abutment length, internal table bone volume, and donor age were significantly associated with implant stability. We validated findings in our prospective patient cohort and showed that minimally invasive Ponto surgery (MIPS; versus linear incision), longer implantation durations (>16 wk), older age (>25 yr), and shorter abutment lengths (≤10 mm) were associated with better implant stability. Finally, we characterized the short-term reproducibility of ISQ measurements in sawbone and patient implants. CONCLUSIONS Together, our findings support the use of ISQ as a measure of implant stability and emphasize important considerations that impact implant stability, including surgical method, implant duration, age, and abutment lengths.
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Affiliation(s)
| | | | | | | | | | - Bernd Gludovatz
- School of Mechanical and Manufacturing Engineering, University of New South Wales Sydney, Australia
| | - Mihee Shin
- School of Mechanical and Manufacturing Engineering, University of New South Wales Sydney, Australia
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Gomez-Guerrero G, Avela J, Jussila I, Pihlajamäki E, Deng FY, Kidgell DJ, Ahtiainen JP, Walker S. Cortical and spinal responses to short-term strength training and detraining in young and older adults in rectus femoris muscle. Eur J Appl Physiol 2024; 124:2209-2223. [PMID: 38441691 PMCID: PMC11199260 DOI: 10.1007/s00421-024-05443-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 02/14/2024] [Indexed: 06/27/2024]
Abstract
INTRODUCTION Strength training mitigates the age-related decline in strength and muscle activation but limited evidence exists on specific motor pathway adaptations. METHODS Eleven young (22-34 years) and ten older (66-80 years) adults underwent five testing sessions where lumbar-evoked potentials (LEPs) and motor-evoked potentials (MEPs) were measured during 20 and 60% of maximum voluntary contraction (MVC). Ten stimulations, randomly delivered, targeted 25% of maximum compound action potential for LEPs and 120, 140, and 160% of active motor threshold (aMT) for MEPs. The 7-week whole-body resistance training intervention included five exercises, e.g., knee extension (5 sets) and leg press (3 sets), performed twice weekly and was followed by 4 weeks of detraining. RESULTS Young had higher MVC (~ 63 N·m, p = 0.006), 1-RM (~ 50 kg, p = 0.002), and lower aMT (~ 9%, p = 0.030) than older adults at baseline. Young increased 1-RM (+ 18 kg, p < 0.001), skeletal muscle mass (SMM) (+ 0.9 kg, p = 0.009), and LEP amplitude (+ 0.174, p < 0.001) during 20% MVC. Older adults increased MVC (+ 13 N·m, p = 0.014), however, they experienced decreased LEP amplitude (- 0.241, p < 0.001) during 20% MVC and MEP amplitude reductions at 120% (- 0.157, p = 0.034), 140% (- 0.196, p = 0.026), and 160% (- 0.210, p = 0.006) aMT during 60% MVC trials. After detraining, young and older adults decreased 1-RM, while young adults decreased SMM. CONCLUSION Higher aMT and MEP amplitude in older adults were concomitant with lower baseline strength. Training increased strength in both groups, but divergent modifications in cortico-spinal activity occurred. Results suggest that the primary locus of adaptation occurs at the spinal level.
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Affiliation(s)
- Gonzalo Gomez-Guerrero
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland.
| | - Janne Avela
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
| | - Ilkka Jussila
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
| | - Esa Pihlajamäki
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
| | - Fu-Yu Deng
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
| | - Dawson J Kidgell
- Monash Exercise Neuroplasticity Research Unit, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Juha P Ahtiainen
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
| | - Simon Walker
- Faculty of Sport and Health Sciences, NeuroMuscular Research Center, Viveca, VIV221, University of Jyväskylä, 40700, Jyväskylä, Finland
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Syed Mohd Hamdan SN, Radzi Z, Abdul Rahim AH, Rahmat RAA, Ibrahim N. Computed tomography study of cranial vault thickness in Malaysian subadult population. Int J Legal Med 2024:10.1007/s00414-024-03276-2. [PMID: 38940946 DOI: 10.1007/s00414-024-03276-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Accepted: 06/17/2024] [Indexed: 06/29/2024]
Abstract
Cranial vault thickness (CVT) and its variations provide valuable insights into an individual's biological attributes such as age and sex. This paper aimed to assess the correlations of CVT with age and sex and develop a regression model for age estimation in Malaysian subadults using computed tomography (CT) images. A total of 521 CT images (male/female: 279/242; age range: 0-20 years; Malay/Chinese/Indian: 221/145/155) were included in the study. Correlations of CVT measurements with age and sex, including frontal bone thickness (FBT), occipital bone thickness (OBT), left parietal bone thickness (LPBT), and right parietal bone thickness (RPBT) were assessed and regression formulae were developed for age estimation in subadults. A significant correlation between CVT measurements and age was demonstrated (p < 0.001). Age estimation was most accurate in the younger age group (< 2 years) at frontal and occipital, and accuracy decreases in the older age groups. Additionally, sexual dimorphism was evident in the frontal and parietal bone thickness within the age range of 3-6 years and 16-20 years, respectively. In conclusion, the findings suggested CVT measurements could be used to corroborate other age estimation methods for subadults.
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Affiliation(s)
| | - Zamri Radzi
- Department of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Amir Hazwan Abdul Rahim
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
| | - Rabiah Al-Adawiyah Rahmat
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
| | - Norliza Ibrahim
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Lembah Pantai, Kuala Lumpur, 50603, Malaysia.
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Hanna M, Ali A, Bhatambarekar P, Modi K, Lee C, Morrison B, Klienberger M, Pfister BJ. Anatomical Features and Material Properties of Human Surrogate Head Models Affect Spatial and Temporal Brain Motion under Blunt Impact. Bioengineering (Basel) 2024; 11:650. [PMID: 39061732 PMCID: PMC11273380 DOI: 10.3390/bioengineering11070650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 06/13/2024] [Accepted: 06/17/2024] [Indexed: 07/28/2024] Open
Abstract
Traumatic brain injury (TBI) is a biomechanical problem where the initiating event is dynamic loading (blunt, inertial, blast) to the head. To understand the relationship between the mechanical parameters of the injury and the deformation patterns in the brain, we have previously developed a surrogate head (SH) model capable of measuring spatial and temporal deformation in a surrogate brain under blunt impact. The objective of this work was to examine how material properties and anatomical features affect the motion of the brain and the development of injurious deformations. The SH head model was modified to study six variables independently under blunt impact: surrogate brain stiffness, surrogate skull stiffness, inclusion of cerebrospinal fluid (CSF), head/skull size, inclusion of vasculature, and neck stiffness. Each experimental SH was either crown or frontally impacted at 1.3 m/s (3 mph) using a drop tower system. Surrogate brain material, the Hybrid III neck stiffness, and skull stiffness were measured and compared to published properties. Results show that the most significant variables affecting changes in brain deformation are skull stiffness, inclusion of CSF and surrogate brain stiffness. Interestingly, neck stiffness and SH size significantly affected the strain rate only suggesting these parameters are less important in blunt trauma. While the inclusion of vasculature locally created strain concentrations at the interface of the artery and brain, overall deformation was reduced.
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Affiliation(s)
- Michael Hanna
- Center for Injury Biomechanics, Materials and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA; (M.H.); (A.A.); (P.B.); (K.M.)
| | - Abdus Ali
- Center for Injury Biomechanics, Materials and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA; (M.H.); (A.A.); (P.B.); (K.M.)
| | - Prasad Bhatambarekar
- Center for Injury Biomechanics, Materials and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA; (M.H.); (A.A.); (P.B.); (K.M.)
| | - Karan Modi
- Center for Injury Biomechanics, Materials and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA; (M.H.); (A.A.); (P.B.); (K.M.)
| | - Changhee Lee
- Neurotrauma and Repair Laboratory, Department of Biomedical Engineering, Columbia University, New York, NY 10027, USA; (C.L.)
| | - Barclay Morrison
- Neurotrauma and Repair Laboratory, Department of Biomedical Engineering, Columbia University, New York, NY 10027, USA; (C.L.)
| | - Michael Klienberger
- The Army Research Laboratory, Aberdeen Proving Grounds, Aberdeen, MD 21005, USA;
| | - Bryan J. Pfister
- Center for Injury Biomechanics, Materials and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA; (M.H.); (A.A.); (P.B.); (K.M.)
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Liu J, Chaij J, Linguraru MG, French B, Keating R, Alexander AL, Porras AR. Cranial bone thickness and density anomalies quantified from CT images can identify chronic increased intracranial pressure. Neuroradiology 2024:10.1007/s00234-024-03393-0. [PMID: 38871879 DOI: 10.1007/s00234-024-03393-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 05/30/2024] [Indexed: 06/15/2024]
Abstract
PURPOSE The diagnosis of chronic increased intracranial pressure (IIP)is often based on subjective evaluation or clinical metrics with low predictive value. We aimed to quantify cranial bone changes associated with pediatric IIP using CT images and to identify patients at risk. METHODS We retrospectively quantified local cranial bone thickness and mineral density from the CT images of children with chronic IIP and compared their statistical differences to normative children without IIP adjusting for age, sex and image resolution. Subsequently, we developed a classifier to identify IIP based on these measurements. Finally, we demonstrated our methods to explore signs of IIP in patients with non-syndromic sagittal craniosynostosis (NSSC). RESULTS We quantified a significant decrease of bone density in 48 patients with IIP compared to 1,018 normative subjects (P < .001), but no differences in bone thickness (P = .56 and P = .89 for age groups 0-2 and 2-10 years, respectively). Our classifier demonstrated 83.33% (95% CI: 69.24%, 92.03%) sensitivity and 87.13% (95% CI: 84.88%, 89.10%) specificity in identifying patients with IIP. Compared to normative subjects, 242 patients with NSSC presented significantly lower cranial bone density (P < .001), but no differences were found compared to patients with IIP (P = .57). Of patients with NSSC, 36.78% (95% CI: 30.76%, 43.22%) presented signs of IIP. CONCLUSION Cranial bone changes associated with pediatric IIP can be quantified from CT images to support earlier diagnoses of IIP, and to study the presence of IIP secondary to cranial pathology such as non-syndromic sagittal craniosynostosis.
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Affiliation(s)
- Jiawei Liu
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
| | - Jasmine Chaij
- Department of Pediatric Plastic & Reconstructive Surgery, Children's Hospital Colorado, Aurora, CO, USA
| | - Marius George Linguraru
- Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Hospital, Washington, DC, USA
- Departments of Radiology and Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Brooke French
- Department of Pediatric Plastic & Reconstructive Surgery, Children's Hospital Colorado, Aurora, CO, USA
- Department of Surgery, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
| | - Robert Keating
- Department of Neurosurgery, Children's National Hospital, Washington, DC, USA
| | - Allyson L Alexander
- Department of Neurosurgery, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
- Department of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, CO, USA
| | - Antonio R Porras
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
- Department of Pediatric Plastic & Reconstructive Surgery, Children's Hospital Colorado, Aurora, CO, USA.
- Department of Surgery, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
- Department of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, CO, USA.
- Departments of Pediatrics and Biomedical Informatics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
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Van Hoornweder S, Geraerts M, Verstraelen S, Nuyts M, Caulfield KA, Meesen R. Differences in scalp-to-cortex tissues across age groups, sexes and brain regions: Implications for neuroimaging and brain stimulation techniques. Neurobiol Aging 2024; 138:45-62. [PMID: 38531217 PMCID: PMC11141186 DOI: 10.1016/j.neurobiolaging.2024.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 02/20/2024] [Accepted: 02/21/2024] [Indexed: 03/28/2024]
Abstract
Aging affects the scalp-to-cortex distance (SCD) and the comprising tissues. This is crucial for noninvasive neuroimaging and brain stimulation modalities as they rely on traversing from the scalp to the cortex or vice versa. The specific relationship between aging and these tissues has not been comprehensively investigated. We conducted a study on 250 younger and older adults to examine age-related differences in SCD and its constituent tissues. We identified region-specific differences in tissue thicknesses related to age and sex. Older adults exhibit larger SCD in the frontocentral regions compared to younger adults. Men exhibit greater SCD in the inferior scalp regions, while women show similar-to-greater SCD values in regions closer to the vertex compared to men. Younger adults and men have thicker soft tissue layers, whereas women and older adults exhibit thicker compact bone layers. CSF is considerably thicker in older adults, particularly in men. These findings emphasize the need to consider age, sex, and regional differences when interpreting SCD and its implications for noninvasive neuroimaging and brain stimulation.
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Affiliation(s)
- Sybren Van Hoornweder
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium.
| | - Marc Geraerts
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Stefanie Verstraelen
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Marten Nuyts
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Kevin A Caulfield
- Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA
| | - Raf Meesen
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium; Movement Control and Neuroplasticity Research Group, Department of Movement Sciences, Group Biomedical Sciences, KU Leuven, Leuven, Belgium
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Ribeiro EC, de Mendonça DS, de Barros Silva PG, Kurita LM, de Aguiar ASW, Tuji FM, Neves FS, Carvalho FSR, Costa FWG. Potential role of the sella turcica X-ray imaging aspects for sex estimation in the field of forensic anthropology: a systematic review and meta-analysis. Forensic Sci Res 2024; 9:owad046. [PMID: 38903907 PMCID: PMC11188687 DOI: 10.1093/fsr/owad046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/13/2023] [Indexed: 06/22/2024] Open
Abstract
Several studies have evaluated the parameters of normality of the sella turcica (ST), which is important to face different craniofacial syndromes that may affect this structure. Therefore, this research summarized the scientific evidence on the role of ST in the sex estimation of non-syndromic individuals. The research protocol was registered (Prospective International Registry of Systematic Reviews # CRD42021256469), followed by an electronic search in six databases (PubMed, LILACS, Web of Science, Scopus, EMBASE, and LIVIVO) and gray literature (Google Scholar and OpenGrey). Meta-analysis of linear (width, length, height, and diameter) and volumetric measurements, in addition to an assessment of risk of bias (RoB) and certainty of evidence, were performed. After the screening of 986 articles, 13 were evaluated by meta-analysis (1 307 males and 1 231 females). In subgroup analysis, females had lower values for width (lateral radiograph; -0.67 mm; P = 0.040), length (computed tomography; -0.23 mm; P = 0.020), and diameter (computed tomography; -0.27 mm; P < 0.001) compared to males. There was no statistically significant difference regarding height (P = 0.95), area (P = 0.72), and volume (P = 0.21). Most studies exhibited moderate RoB, and the certainty of evidence of the outcomes was very low. In this review, significant differences were observed between the sexes for the length and diameter of the ST; however, the heterogeneity of the studies must be considered. Key points Studies from different geographic regions evaluated the morphology of ST according to sex and showed this anatomical structure as an important indicator of dimorphism.Meta-analysis showed shorter ST length and diameter in women.Subgroup analysis found lower ST width in women based on lateral skull radiographs.Subgroup analysis found smaller lengths and diameters in women based on CT scans.
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Affiliation(s)
- Esther C Ribeiro
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
| | - Diego S de Mendonça
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
| | - Paulo G de Barros Silva
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
| | - Lúcio M Kurita
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
| | - Andréa S W de Aguiar
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
| | - Fabrício M Tuji
- School of Dentistry, Department of Odontology, Federal University of Pará, Prof. José da Silveira Neto University City, Belém, Brazil
| | - Frederico S Neves
- School of Dentistry, Department of Propedeutics and Integrated Clinic, Federal University of Bahia, Salvador, Brazil
| | - Francisco S R Carvalho
- School of Dentistry, Departament of Odontology, Federal University of Ceará Campus Sobral, Sobral, Brazil
| | - Fábio W G Costa
- School of Dentistry, Dental Clinic Department, Federal University of Ceará, Fortaleza, Brazil
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Berkiten G, Çelik C, Tunç MK, Gürbüz D, Bircan HS, Tutar B, Berkiten E, Uyar Y. The importance of bone density and anatomical structure in superior semicircular canal dehiscence. Eur Arch Otorhinolaryngol 2024; 281:2967-2974. [PMID: 38165436 DOI: 10.1007/s00405-023-08412-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 12/09/2023] [Indexed: 01/03/2024]
Abstract
OBJECTIVE This study investigates the importance of bone density, surface area, and diameter of anatomical structures of the superior semicircular canal (SSC), lateral semicircular canal (LSC), posterior semicircular canal (PSC), utricle, and saccule in patients diagnosed with superior semicircular canal dehiscence (SSCD). MATERIALS AND METHODS The bone density, surface area, and diameter of SSC, LSC, PSC, utricle, and saccule were measured and compared between the SSCD group and control group. Fifteen ears in the SSCD group and 60 ears in the control group were evaluated. Additionally, within the SSCD group, the dehiscent and healthy sides were evaluated independently. RESULTS SSC's bone density was significantly lower in the SSCD group compared to the control group (p = 0.008). No significant differences were found in surface area and diameter between the groups (p > 0.05). While most of the anatomical structures showed no significant difference in bone density between dehiscent and healthy ears (p > 0.05), SSC bone density was significantly lower in affected ears (p = 0.000) in SSCD group. CONCLUSION Based on the data obtained in this study, bone density and anatomical structure may be useful in patients diagnosed with SSCD.
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Affiliation(s)
- Güler Berkiten
- Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Darulaceze Cad. No:16, Sisli, 34384, Istanbul, Turkey.
| | - Cem Çelik
- Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Darulaceze Cad. No:16, Sisli, 34384, Istanbul, Turkey
| | - Melis Koşar Tunç
- Department of Radiology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey
| | - Defne Gürbüz
- Department of Radiology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey
| | - Hasan Sami Bircan
- Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Darulaceze Cad. No:16, Sisli, 34384, Istanbul, Turkey
| | - Belgin Tutar
- Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Darulaceze Cad. No:16, Sisli, 34384, Istanbul, Turkey
| | - Ertan Berkiten
- Faculty of Medicine, Istanbul University Cerrahpasa, Istanbul, Turkey
| | - Yavuz Uyar
- Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Darulaceze Cad. No:16, Sisli, 34384, Istanbul, Turkey
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12
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Bolat E, Polat S, Tunç M, Çoban M, Göker P. Investigation of Skull Cortical Thickness Changes in Healthy Population and Patients With Schizophrenia on Computed Tomography Images. J Craniofac Surg 2024; 35:1284-1288. [PMID: 38727232 DOI: 10.1097/scs.0000000000010261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 04/03/2024] [Indexed: 06/04/2024] Open
Abstract
Cortical bone thickness is essential for the mechanical function of bone. Some factors including aging, sex, body size, hormone levels, behavior, and genetics lead to changes in cranial cortical robusticity. Moreover, the skull is one of the hardest and most durable structures in the human body. Schizophrenia is defined as a psychiatric disease characterized by delusions and hallucinations, and these patients have reduced brain volume; however, there is no study including cortical bone structure. For this reason, the aim of this study was to determine whether there is a difference in the skull cortical thickness of patients with schizophrenia and, compare it with healthy subjects. The cranial length, cranial width, anterior cortical thickness, right and left anterior cortical thickness, right and left lateral cortical thickness, right and left posterior lateral thickness, and posterior cortical thickness were measured with axial computed tomography images of 30 patients with schizophrenia and 132 healthy individuals aged between 18 and 69years. A statistically significant difference was found between the two groups in the measurements of right and left posterior lateral thickness, and posterior cortical thickness ( P = 0.006, P = 0.001, and P = 0.047, respectively). The sexes were compared, and it was found that the cranial width, anterior thickness, left anterior thickness, and right and left posterior thickness measurements of patients with schizophrenia showed a statistically significant difference compared with the control group ( P < 0.001, P = 0.003, P = 0.001, P < 0.001 and P < 0.001, respectively). The authors observed that skull cortical thickness may be different in schizophrenia. The results obtained from this study may be beneficial for evaluating these structures for clinical and pathological processes. Furthermore, knowledge about the skull cortical thickness in planning surgical procedures will increase the reliability and effectiveness of the surgical method, and this will minimize the risk of complications.
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Affiliation(s)
- Esra Bolat
- Department of Anatomy, Çukurova University Faculty of Medicine
| | - Sema Polat
- Department of Anatomy, Çukurova University Faculty of Medicine
| | - Mahmut Tunç
- Department of Therapy and Rehabilitation, Vocational School of Health Services, Baskent University
| | - Muhammet Çoban
- Department of Radiology, Kozan State Hospital, Adana, Turkey
| | - Pinar Göker
- Department of Anatomy, Çukurova University Faculty of Medicine
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13
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Lim DZ, Macbain M, Kok M, Wiggins G, Abbouchie H, Lee ST, Lau E, Lim RP, Chiang C, Kutaiba N. Opportunistic screening for osteoporosis using routine clinical care computed tomography brain studies. Skeletal Radiol 2024:10.1007/s00256-024-04703-6. [PMID: 38755335 DOI: 10.1007/s00256-024-04703-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 05/01/2024] [Accepted: 05/02/2024] [Indexed: 05/18/2024]
Abstract
OBJECTIVE Osteoporosis and falls are both prevalent in the elderly, and CT brain (CTB) is frequently performed post head-strike. We aim to validate the relationship between frontal bone density (Hounsfield unit) from routine CTB and bone mineral density from dual-energy X-ray absorptiometry (DEXA) scan for opportunistic osteoporosis screening. MATERIALS AND METHODS Patients who had a non-contrast CTB followed by a DEXA scan in the subsequent year were included in this multi-center retrospective study. The relationship between frontal bone density on CT and femoral neck T-score on DEXA was examined using ANOVA, Pearson's correlation, and receiver operating curve (ROC) analysis. Sensitivity, specificity, negative and positive predictive values, and area under the curve (AUC) were calculated. RESULTS Three hundred twenty-six patients (205 females and 121 males) were analyzed. ANOVA analysis showed that frontal bone density was lower in patients with DEXA-defined osteoporosis (p < 0.001), while Pearson's correlation analysis demonstrated a fair correlation with femoral neck T-score (r = 0.3, p < 0.001). On subgroup analysis, these were true in females but not in males. On ROC analysis, frontal bone density weakly predicted osteoporosis (AUC 0.6, 95% CI 0.5-0.7) with no optimal threshold identified. HU < 610 was highly specific (87.5%) but poorly sensitive (18.9%). HU > 1200 in females had a strong negative predictive value for osteoporosis (92.6%, 95% CI 87.1-98.1%). CONCLUSION Frontal bone density from routine CTB is significantly different between females with and without osteoporosis, but not between males. However, frontal bone density was a weak predictor for DEXA-defined osteoporosis. Further research is required to determine the role of CTB in opportunistic osteoporosis screening.
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Affiliation(s)
- Dee Zhen Lim
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia.
| | - Milo Macbain
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
| | - Marcus Kok
- Department of Radiology, Eastern Health, 8 Arnold Street, Box Hill, VIC, 3128, Australia
| | - Ghanda Wiggins
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
| | - Hussein Abbouchie
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
| | - Sze Ting Lee
- Department of Molecular Imaging and Therapy, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
- University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia
| | - Eddie Lau
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
- Department of Molecular Imaging and Therapy, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
- University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia
| | - Ruth P Lim
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
- University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia
| | - Cherie Chiang
- University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia
- Department of Endocrinology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
| | - Numan Kutaiba
- Department of Radiology, Austin Health, 145 Studley Road, Heidelberg, VIC, 3084, Australia
- Department of Radiology, Eastern Health, 8 Arnold Street, Box Hill, VIC, 3128, Australia
- University of Melbourne, Grattan Street, Parkville, VIC, 3010, Australia
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14
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Lorente AI, Maza-Peón S, Hidalgo-García C, López-de-Celis C, Rodríguez-Sanz J, Pérez-Bellmunt A, Maza-Frechín M. Skull fractures by glass bottles tested on cadaveric heads. Int J Legal Med 2024; 138:1165-1171. [PMID: 38112757 PMCID: PMC11003884 DOI: 10.1007/s00414-023-03133-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 11/11/2023] [Indexed: 12/21/2023]
Abstract
Head trauma is frequently related to the misuse of drinking vessels as weapons. Forensic reports usually evaluate these blunt injuries as having occurred in scenarios where the alcohol intake is high. Fatal consequences are seen in blows with glass bottles aiming at the head. To prove the outcome that a glass bottle thrown to the head could cause, three intact human cadaver heads were impacted with 1-liter glass bottles at 9.5 m/s using a drop-tower. The impact location covered the left temporal bone, sphenoid bone, and zygomatic arch. The contact between the head and the bottle was produced at an angle of 90° with (1) the valve of the bottle, (2) the bottom of the bottle, and (3) with the head rotated 20° in the frontal plane touching again with the bottom of the bottle. The three bottles remained intact after the impact, and the injury outcomes were determined by computed tomography (CT). The alterations were highly dependent on the impact orientation. The outcome varied from no injury to severe bone fractures. In the most injurious case (#3), fractures were identified in the cranial base, sphenoid bone, and zygomatic bone. These testing conditions were selected to replicate one specific legal case, as required by the plaintiff. Physical disputes with bar glassware can lead to complex combinations of blunt and sharp-force injuries. Controlled biomechanical studies can benefit forensic analyses of violence involving glassware by providing a better understanding of the underlying injury mechanisms.
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Affiliation(s)
- Ana I Lorente
- Instituto Universitario de Investigación en Ingeniería de Aragón (I3A), Universidad de Zaragoza, C/Mariano Esquillor s/n, 50018, Zaragoza, Spain.
- Center for Applied Biomechanics, University of Virginia, 4040 Lewis and Clark Drive, Charlottesville, VA, 22911, USA.
| | - Samuel Maza-Peón
- Instituto Universitario de Investigación en Ingeniería de Aragón (I3A), Universidad de Zaragoza, C/Mariano Esquillor s/n, 50018, Zaragoza, Spain
| | - César Hidalgo-García
- Researching Unit of Physiotherapy, University of Zaragoza, c/Domingo Miral s/n, 50009, Zaragoza, Spain
| | - Carlos López-de-Celis
- Universitat Internacional de Catalunya, Actium Functional Anatomy Group, Faculty of Medicine and Health Sciences, C/Josep Trueta, s/n, 08195, Sant Cugat del Valles (Barcelona), Spain
| | - Jacobo Rodríguez-Sanz
- Universitat Internacional de Catalunya, Actium Functional Anatomy Group, Faculty of Medicine and Health Sciences, C/Josep Trueta, s/n, 08195, Sant Cugat del Valles (Barcelona), Spain
| | - Albert Pérez-Bellmunt
- Universitat Internacional de Catalunya, Actium Functional Anatomy Group, Faculty of Medicine and Health Sciences, C/Josep Trueta, s/n, 08195, Sant Cugat del Valles (Barcelona), Spain
| | - Mario Maza-Frechín
- Instituto Universitario de Investigación en Ingeniería de Aragón (I3A), Universidad de Zaragoza, C/Mariano Esquillor s/n, 50018, Zaragoza, Spain
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15
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Orr TJ, Lesha E, Kramer AH, Cecia A, Dugan JE, Schwartz B, Einhaus SL. Traumatic Brain Injury: A Comprehensive Review of Biomechanics and Molecular Pathophysiology. World Neurosurg 2024; 185:74-88. [PMID: 38272305 DOI: 10.1016/j.wneu.2024.01.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 01/14/2024] [Accepted: 01/16/2024] [Indexed: 01/27/2024]
Abstract
Traumatic brain injury (TBI) is a critical public health concern with profound consequences for affected individuals. This comprehensive literature review delves into TBI intricacies, encompassing primary injury biomechanics and the molecular pathophysiology of the secondary injury cascade. Primary TBI involves a complex interplay of forces, including impact loading, blast overpressure, and impulsive loading, leading to diverse injury patterns. These forces can be categorized into inertial (e.g., rotational acceleration causing focal and diffuse injuries) and contact forces (primarily causing focal injuries like skull fractures). Understanding their interactions is crucial for effective injury management. The secondary injury cascade in TBI comprises multifaceted molecular and cellular responses, including altered ion concentrations, dysfunctional neurotransmitter networks, oxidative stress, and cellular energy disturbances. These disruptions impair synaptic function, neurotransmission, and neuroplasticity, resulting in cognitive and behavioral deficits. Moreover, neuroinflammatory responses play a pivotal role in exacerbating damage. As we endeavor to bridge the knowledge gap between biomechanics and molecular pathophysiology, further research is imperative to unravel the nuanced interplay between mechanical forces and their consequences at the molecular and cellular levels, ultimately guiding the development of targeted therapeutic strategies to mitigate the debilitating effects of TBI. In this study, we aim to provide a concise review of the bridge between biomechanical processes causing primary injury and the ensuing molecular pathophysiology of secondary injury, while detailing the subsequent clinical course for this patient population. This knowledge is crucial for advancing our understanding of TBI and developing effective interventions to improve outcomes for those affected.
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Affiliation(s)
- Taylor J Orr
- College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
| | - Emal Lesha
- Department of Neurological Surgery, University of Tennessee Health Science Center, Memphis, Tennessee; Semmes Murphey Clinic, Memphis, Tennessee
| | - Alexandra H Kramer
- College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Arba Cecia
- School of Medicine, Loyola University Chicago, Chicago, Illinois
| | - John E Dugan
- College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Barrett Schwartz
- Department of Neurological Surgery, University of Tennessee Health Science Center, Memphis, Tennessee; Semmes Murphey Clinic, Memphis, Tennessee
| | - Stephanie L Einhaus
- Department of Neurological Surgery, University of Tennessee Health Science Center, Memphis, Tennessee; Semmes Murphey Clinic, Memphis, Tennessee
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16
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Toth J, Kurtin DL, Brosnan M, Arvaneh M. Opportunities and obstacles in non-invasive brain stimulation. Front Hum Neurosci 2024; 18:1385427. [PMID: 38562225 PMCID: PMC10982339 DOI: 10.3389/fnhum.2024.1385427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 03/05/2024] [Indexed: 04/04/2024] Open
Abstract
Non-invasive brain stimulation (NIBS) is a complex and multifaceted approach to modulating brain activity and holds the potential for broad accessibility. This work discusses the mechanisms of the four distinct approaches to modulating brain activity non-invasively: electrical currents, magnetic fields, light, and ultrasound. We examine the dual stochastic and deterministic nature of brain activity and its implications for NIBS, highlighting the challenges posed by inter-individual variability, nebulous dose-response relationships, potential biases and neuroanatomical heterogeneity. Looking forward, we propose five areas of opportunity for future research: closed-loop stimulation, consistent stimulation of the intended target region, reducing bias, multimodal approaches, and strategies to address low sample sizes.
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Affiliation(s)
- Jake Toth
- Automatic Control and Systems Engineering, Neuroscience Institute, Insigneo Institute, University of Sheffield, Sheffield, United Kingdom
| | | | - Méadhbh Brosnan
- School of Psychology, University College Dublin, Dublin, Ireland
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
- Oxford Centre for Human Brain Activity, Wellcome Centre for Integrative Neuroimaging, Department of Psychiatry, University of Oxford, Oxford, United Kingdom
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, VIC, Australia
| | - Mahnaz Arvaneh
- Automatic Control and Systems Engineering, Neuroscience Institute, Insigneo Institute, University of Sheffield, Sheffield, United Kingdom
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17
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Fishman Z, Mainprize JG, Edwards G, Antonyshyn O, Hardisty M, Whyne CM. Thickness and design features of clinical cranial implants-what should automated methods strive to replicate? Int J Comput Assist Radiol Surg 2024:10.1007/s11548-024-03068-4. [PMID: 38430381 DOI: 10.1007/s11548-024-03068-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/24/2024] [Indexed: 03/03/2024]
Abstract
PURPOSE New deep learning and statistical shape modelling approaches aim to automate the design process for patient-specific cranial implants, as highlighted by the MICCAI AutoImplant Challenges. To ensure applicability, it is important to determine if the training data used in developing these algorithms represent the geometry of implants designed for clinical use. METHODS Calavera Surgical Design provided a dataset of 206 post-craniectomy skull geometries and their clinically used implants. The MUG500+ dataset includes 29 post-craniectomy skull geometries and implants designed for automating design. For both implant and skull shapes, the inner and outer cortical surfaces were segmented, and the thickness between them was measured. For the implants, a 'rim' was defined that transitions from the repaired defect to the surrounding skull. For unilateral defect cases, skull implants were mirrored to the contra-lateral side and thickness differences were quantified. RESULTS The average thickness of the clinically used implants was 6.0 ± 0.5 mm, which approximates the thickness on the contra-lateral side of the skull (relative difference of -0.3 ± 1.4 mm). The average thickness of the MUG500+ implants was 2.9 ± 1.0 mm, significantly thinner than the intact skull thickness (relative difference of 2.9 ± 1.2 mm). Rim transitions in the clinical implants (average width of 8.3 ± 3.4 mm) were used to cap and create a smooth boundary with the skull. CONCLUSIONS For implant modelers or manufacturers, this shape analysis quantified differences of cranial implants (thickness, rim width, surface area, and volume) to help guide future automated design algorithms. After skull completion, a thicker implant can be more versatile for cases involving muscle hollowing or thin skulls, and wider rims can smooth over the defect margins to provide more stability. For clinicians, the differing measurements and implant designs can help inform the options available for their patient specific treatment.
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Affiliation(s)
- Z Fishman
- Orthopaedic Biomechanics Laboratory, Sunnybrook Research Institute, Toronto, ON, Canada.
| | | | | | - Oleh Antonyshyn
- Calavera Surgical Design Inc., Toronto, ON, Canada
- Division of Plastic Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Michael Hardisty
- Orthopaedic Biomechanics Laboratory, Sunnybrook Research Institute, Toronto, ON, Canada
- Department of Surgery, University of Toronto, Toronto, ON, Canada
| | - C M Whyne
- Orthopaedic Biomechanics Laboratory, Sunnybrook Research Institute, Toronto, ON, Canada
- Department of Surgery, University of Toronto, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
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18
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Liao X, Lu H, Wei Z, Chen W, Chen L, Huang Z, Deng M, Zhou J, Liang Y, Liu R, Nie K. Construction and study of a three-dimensional visualization model of superficial temporal artery branches: With an explicatory case. Asian J Surg 2024; 47:1351-1359. [PMID: 38065731 DOI: 10.1016/j.asjsur.2023.11.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 10/26/2023] [Accepted: 11/24/2023] [Indexed: 03/13/2024] Open
Abstract
BACKGROUND The anatomical parameters of the superficial temporal artery branches were measured by a three-dimensional measurement method to provide anatomical reference for relevant clinical operations. METHODS Seventy original images were selected who had cranial CTA examination. The patients were aged 30-79 years, with an average of 60.0 years, including 32 females and 38 males. After reconstructing the superficial temporal artery by professional medical 3D reconstruction software, its anatomical parameters were measured. RESULTS The length of the secondary branches of the frontal branch of the superficial temporal artery were 47.6 ± 23.6 mm and 37.3 ± 21.6 mm in males and females, respectively, with a statistically significant difference. The length of the secondary branches of the parietal branch of the superficial temporal artery were 39.6 ± 20.4 mm and 49.2 ± 20.3 mm in young and middle-aged people and older people respectively, which were statistically different. The remaining measures were not statistically different across gender and age groups. The frontal branch of the superficial temporal artery was divided into three types, and the parietal branch of the superficial temporal artery was divided into two types. CONCLUSIONS The anatomical parameters of the superficial temporal artery branches can be accurately measured by means of 3D visualization, providing an anatomical reference for relevant clinical operations.
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Affiliation(s)
- Xiaoshuang Liao
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Hui Lu
- School of Medicine, Wuhan University of Science and Technology, Institute of Medical Innovation and Transformation, Puren Hospital Affiliated to Wuhan University of Science and Technology, Department of Orthopedics, Wuhan, China
| | - Zairong Wei
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Wei Chen
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Li Chen
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Zhonglu Huang
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Mingfu Deng
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Jian Zhou
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Yan Liang
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China
| | - Rong Liu
- School of Medicine, Wuhan University of Science and Technology, Institute of Medical Innovation and Transformation, Puren Hospital Affiliated to Wuhan University of Science and Technology, Department of Orthopedics, Wuhan, China.
| | - Kaiyu Nie
- Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi, China.
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19
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Wartman WA, Weise K, Rachh M, Morales L, Deng ZD, Nummenmaa A, Makaroff SN. An adaptive h-refinement method for the boundary element fast multipole method for quasi-static electromagnetic modeling. Phys Med Biol 2024; 69:055030. [PMID: 38316038 PMCID: PMC10902857 DOI: 10.1088/1361-6560/ad2638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 02/05/2024] [Indexed: 02/07/2024]
Abstract
Objective.In our recent work pertinent to modeling of brain stimulation and neurophysiological recordings, substantial modeling errors in the computed electric field and potential have sometimes been observed for standard multi-compartment head models. The goal of this study is to quantify those errors and, further, eliminate them through an adaptive mesh refinement (AMR) algorithm. The study concentrates on transcranial magnetic stimulation (TMS), transcranial electrical stimulation (TES), and electroencephalography (EEG) forward problems.Approach.We propose, describe, and systematically investigate an AMR method using the boundary element method with fast multipole acceleration (BEM-FMM) as the base numerical solver. The goal is to efficiently allocate additional unknowns to critical areas of the model, where they will best improve solution accuracy. The implemented AMR method's accuracy improvement is measured on head models constructed from 16 Human Connectome Project subjects under problem classes of TES, TMS, and EEG. Errors are computed between three solutions: an initial non-adaptive solution, a solution found after applying AMR with a conservative refinement rate, and a 'silver-standard' solution found by subsequent 4:1 global refinement of the adaptively-refined model.Main results.Excellent agreement is shown between the adaptively-refined and silver-standard solutions for standard head models. AMR is found to be vital for accurate modeling of TES and EEG forward problems for standard models: an increase of less than 25% (on average) in number of mesh elements for these problems, efficiently allocated by AMR, exposes electric field/potential errors exceeding 60% (on average) in the solution for the unrefined models.Significance.This error has especially important implications for TES dosing prediction-where the stimulation strength plays a central role-and for EEG lead fields. Though the specific form of the AMR method described here is implemented for the BEM-FMM, we expect that AMR is applicable and even required for accurate electromagnetic simulations by other numerical modeling packages as well.
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Affiliation(s)
- William A Wartman
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 United States of America
| | - Konstantin Weise
- Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, D-04103 Leipzig, Germany
- Department of Clinical Medicine, Aarhus University, DNK-8200, Aarhus, Denmark
| | - Manas Rachh
- Center for Computational Mathematics, Flatiron Institute, New York, NY 10012, United States of America
| | - Leah Morales
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 United States of America
| | - Zhi-De Deng
- Computational Neurostimulation Research Program, Noninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health Intramural Research Program, National Institutes of Health, Bethesda, MD, United States of America
| | - Aapo Nummenmaa
- Athinoula A. Martinos Ctr. for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129 United States of America
| | - Sergey N Makaroff
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 United States of America
- Athinoula A. Martinos Ctr. for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129 United States of America
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20
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Machts R, Schindler M, Unterhauser-Chwastek H, Mertens J, Faust K. Pin penetration depths in the neurocranium using a three-pin head fixation device. Sci Rep 2024; 14:4726. [PMID: 38413760 PMCID: PMC10899659 DOI: 10.1038/s41598-024-55227-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 02/21/2024] [Indexed: 02/29/2024] Open
Abstract
In estimated 10-15% of neurosurgical interventions employing a conventional three-pin head fixation device (HFD) the patient's head loses position due to slippage. At present no scientifically based stability criterion exists to potentially prevent the intraoperative loss of head position or skull fractures. Here, data on the skull penetration depth both on the single and two-pin side of a three-pin HFD are presented, providing scientific evidence for a stability criterion for the invasive three-pin head fixation. Eight fresh, chemically untreated human cadaveric heads were sequentially pinned 90 times in total in a noncommercially calibrated clamp screw applying a predefined force of 270 N (approximately 60 lbf) throughout. Three head positions were pinned each in standardized manner for the following approaches: prone, middle fossa, pterional. Titanium-aluminum alloy pins were used, varying the pin-cone angle on the single-pin side from 36° to 55° and on the two-pin side from 25° to 36°. The bone-penetration depths were directly measured by a dial gauge on neurocranium. The penetration depths on the single-pin side ranged from 0.00 mm (i.e., no penetration) to 6.17 mm. The penetration depths on the two-pin side ranged from 0.00 mm (no penetration) to 4.48 mm. We measured a significantly higher penetration depth for the anterior pin in comparison to the posterior pin on the two-pin side in prone position. One pin configuration (50°/25°) resulted in a quasi-homogenous pin depth distribution between the single- and the two-pin side. Emanating from the physical principle that pin depths behave proportionate to pin pressure distribution, a quasi-homogenous pin penetration depth may result in higher resilience against external shear forces or torque, thus reducing potential complications such as slippage and depressed skull fractures. The authors propose that the pin configuration of 50°/25° may be superior to the currently used uniform pin-cone angle distribution in common clinical practice (36°/36°). However, future research may identify additional influencing factors to improve head fixation stability.
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Affiliation(s)
- René Machts
- Pro Med Instruments GmbH, Part of Black Forest Medical Group, 79111, Freiburg, Germany.
| | - Martina Schindler
- Pro Med Instruments GmbH, Part of Black Forest Medical Group, 79111, Freiburg, Germany
| | | | - Jan Mertens
- Pro Med Instruments GmbH, Part of Black Forest Medical Group, 79111, Freiburg, Germany
| | - Katharina Faust
- Department of Neurosurgery, Charité University Medicine, 10117, Berlin, Germany
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21
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Hodaei M, Mandelis A. Quantitative osteoporosis diagnosis of porous cancellous bone using poroelastodynamic modal analysis. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2023; 154:3101-3124. [PMID: 37966333 DOI: 10.1121/10.0022351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 10/18/2023] [Indexed: 11/16/2023]
Abstract
Osteoporosis is a skeletal disease characterized by reduced bone mass and microarchitectural deterioration, leading to increased fragility. This study presents a novel three-dimensional poroelastodynamic model for analyzing cancellous bone free vibration responses. The model incorporates the Navier-Stokes equations of linear elasticity and the Biot theory of porous media, allowing the investigation of osteoporosis-related changes. The analysis considers parameters like porosity, density, elasticity, Poisson ratio, and viscosity of bone marrow within the porous medium. Our findings indicate that natural frequencies of cancellous bone play a crucial role in osteoporosis prediction. By incorporating experimental data from 12 mouse femurs, we unveil insights into osteoporosis prediction. Increased porosity reduces bone stiffness, lowering natural frequencies. However, it also increases bone mass loss relative to stiffness, leading to higher frequencies. Therefore, the natural frequencies of osteoporotic bone are always higher than the natural frequencies of normal bone. Additionally, an increase in bone marrow within the pores, while increasing damping effects, also increases natural frequencies, which is another indication of osteoporosis growth in bone. The presence of bone marrow within the pores further influences natural frequencies, providing additional insights into osteoporosis growth. Thinner and smaller bones are found to be more susceptible to osteoporosis compared to larger and bigger bones due to their higher natural frequencies at equivalent porosity levels.
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Affiliation(s)
- Mohammad Hodaei
- Center For Advanced Diffusion-Wave and Photoacoustic Technologies (CADIPT), Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario M5S 3G8, Canada
- Institute For Advanced Non-Destructive and Non-Invasive Diagnostic Technologies (IANDIT), Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario M5S 3G8, Canada
| | - Andreas Mandelis
- Center For Advanced Diffusion-Wave and Photoacoustic Technologies (CADIPT), Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario M5S 3G8, Canada
- Institute For Advanced Non-Destructive and Non-Invasive Diagnostic Technologies (IANDIT), Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario M5S 3G8, Canada
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22
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Robins TC, Cueto C, Cudeiro J, Bates O, Agudo OC, Strong G, Guasch L, Warner M, Tang MX. Dual-Probe Transcranial Full-Waveform Inversion: A Brain Phantom Feasibility Study. ULTRASOUND IN MEDICINE & BIOLOGY 2023; 49:2302-2315. [PMID: 37474432 DOI: 10.1016/j.ultrasmedbio.2023.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 05/29/2023] [Accepted: 06/02/2023] [Indexed: 07/22/2023]
Abstract
OBJECTIVE Despite being a low-cost, portable and safe medical imaging technique, transcranial ultrasound imaging is not used widely in adults because of the severe degradation and distortion of signals caused by the skull. Full-waveform inversion (FWI) has recently been found to have potential as an effective method for transcranial ultrasound tomography to obtain high-quality, subwavelength-resolution acoustic models of the brain using low-frequency ultrasound data. In this study is the first demonstration of this method in recovering a high-resolution 2-D reconstruction of a brain and skull ultrasound imaging phantom using experimentally acquired data. METHODS A 2:5 scale brain phantom encased within a 3-D-printed skull-mimicking layer was created to simulate a clinical transcranial imaging target. To obtain tomographic ultrasound data on the brain and skull phantom, a tomographic ultrasound acquisition system was designed and implemented using commercially available low-frequency cardiac probes. FWI reconstructions of the brain and skull phantom were performed using the acquired tomographic data and were compared with corresponding synthetic reconstructions. This comparison was used to evaluate the feasibility of the proposed imaging system when employing different transducer array configurations. RESULTS We demonstrate the successful FWI reconstruction of the brain phantom within the skull mimic from experimentally acquired tomographic ultrasound data. To mitigate the effects of the skull-mimicking material, a reflection-matching algorithm was applied to model the morphology of the skull layer prior to performing the inversion. CONCLUSION The findings of this study provide a promising step toward the clinical use of FWI for transcranial ultrasound imaging in adults.
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Affiliation(s)
- Thomas Caradoc Robins
- Department of Bioengineering, Faculty of Engineering, Imperial College London, London, UK.
| | - Carlos Cueto
- Department of Bioengineering, Faculty of Engineering, Imperial College London, London, UK
| | - Javier Cudeiro
- Department of Earth Science and Engineering, Faculty of Engineering, Imperial College London, London, UK
| | - Oscar Bates
- Department of Bioengineering, Faculty of Engineering, Imperial College London, London, UK
| | - Oscar Calderon Agudo
- Department of Earth Science and Engineering, Faculty of Engineering, Imperial College London, London, UK
| | - George Strong
- Department of Earth Science and Engineering, Faculty of Engineering, Imperial College London, London, UK
| | - Lluis Guasch
- Department of Earth Science and Engineering, Faculty of Engineering, Imperial College London, London, UK
| | - Michael Warner
- Department of Earth Science and Engineering, Faculty of Engineering, Imperial College London, London, UK
| | - Meng-Xing Tang
- Department of Bioengineering, Faculty of Engineering, Imperial College London, London, UK
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23
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Vienneau EP, Byram BC. A Coded Excitation Framework for High SNR Transcranial Ultrasound Imaging. IEEE TRANSACTIONS ON MEDICAL IMAGING 2023; 42:2886-2898. [PMID: 37079411 PMCID: PMC10691235 DOI: 10.1109/tmi.2023.3269022] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Robust transcranial ultrasound imaging is difficult due to poor image quality. In particular, low signal-to-noise ratio (SNR) limits sensitivity to blood flow and has hindered clinical translation of transcranial functional ultrasound neuroimaging thus far. In this work, we present a coded excitation framework to increase SNR in transcranial ultrasound without negatively impacting frame rate or image quality. We applied this coded excitation framework in phantom imaging and showed SNR gains as large as 24.78 dB and signal-to-clutter ratio gains as high as 10.66 dB with a 65 bit code. We also analyzed how imaging sequence parameters can impact image quality and showed how coded excitation sequences can be designed to maximize image quality for a given application. In particular, we show that considering the number of active transmit elements and the transmit voltage is critical for coded excitation with long codes. Finally, we applied our coded excitation technique in transcranial imaging of ten adult subjects and showed an average SNR gain of 17.91 ± 0.96 dB without a significant increase in clutter using a 65 bit code. We also performed transcranial power Doppler imaging in three adult subjects and showed contrast and contrast-to-noise ratio improvements of 27.32 ± 8.08 dB and 7.25 ± 1.61 dB, respectively with a 65 bit code. These results show that transcranial functional ultrasound neuroimaging may be possible using coded excitation.
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24
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Naveda R, Dos Santos AM, Miranda F, da Cunha Bastos JC, Garib D. Immediate dentoskeletal and periodontal effects of miniscrew-assisted rapid palatal expansion: Comparison between young vs middle-aged adults. Am J Orthod Dentofacial Orthop 2023; 164:416-422. [PMID: 37041098 DOI: 10.1016/j.ajodo.2023.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 02/01/2023] [Accepted: 02/01/2023] [Indexed: 04/13/2023]
Abstract
INTRODUCTION This study aimed to compare the dentoskeletal and periodontal changes after miniscrew-assisted rapid palatal expansion (MARPE) in patients aged 18-29 and 30-45 years. METHODS The sample comprised 28 subjects with transverse maxillary discrepancy successfully treated with MARPE. The young adult (YA) group comprised 14 subjects (mean age, 22.8 years; 3 male, 11 female). The middle adult (MA) group comprised 14 subjects (mean age, 36.8 years; 6 male, 8 female). All patients were treated with a 4-miniscrew MARPE expander. The activation protocol was one quarter turn twice a day until the midline diastema opening, followed by one quarter turn a day until overcorrection. Cone-beam computed tomography (CBCT) scans taken before and immediately after the expansion was analyzed using OnDemand3D Dental software. Using CBCT coronal images, transversal dentoskeletal and periodontal variables were measured in the preexpansion and postexpansion. Intergroup comparisons of expansion changes were performed using t and Mann-Whitney tests (P <0.05). RESULTS Groups were compatible at preexpansion for most CBCT measurements. A success rate of midpalatal suture opening of 100% and 81% was observed for YA and MA groups, respectively. No intergroup differences were found for the maxillary and dental arch widths increases. The buccal tip of anchorage teeth was observed similarly in both groups. The buccal bone thickness of posterior teeth decreased, and the palatal bone thickness increased after expansion with no difference between groups. CONCLUSIONS After MARPE, the MA group showed similar dentoskeletal and periodontal changes compared to the YA group.
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Affiliation(s)
- Rodrigo Naveda
- Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil.
| | | | - Felicia Miranda
- Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil
| | | | - Daniela Garib
- Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil; Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil
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25
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Wartman WA, Weise K, Rachh M, Morales L, Deng ZD, Nummenmaa A, Makaroff SN. An Adaptive H-Refinement Method for the Boundary Element Fast Multipole Method for Quasi-static Electromagnetic Modeling. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.08.11.552996. [PMID: 37645957 PMCID: PMC10461998 DOI: 10.1101/2023.08.11.552996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
Objective In our recent work pertinent to modeling of brain stimulation and neurophysiological recordings, substantial modeling errors in the computed electric field and potential have sometimes been observed for standard multi-compartment head models. The goal of this study is to quantify those errors and, further, eliminate them through an adaptive mesh refinement (AMR) algorithm. The study concentrates on transcranial magnetic stimulation (TMS), transcranial electrical stimulation (TES), and electroencephalography (EEG) forward problems. Approach We propose, describe, and systematically investigate an AMR method using the Boundary Element Method with Fast Multipole Acceleration (BEM-FMM) as the base numerical solver. The goal is to efficiently allocate additional unknowns to critical areas of the model, where they will best improve solution accuracy.The implemented AMR method's accuracy improvement is measured on head models constructed from 16 Human Connectome Project subjects under problem classes of TES, TMS, and EEG. Errors are computed between three solutions: an initial non-adaptive solution, a solution found after applying AMR with a conservative refinement rate, and a "silver-standard" solution found by subsequent 4:1 global refinement of the adaptively-refined model. Main Results Excellent agreement is shown between the adaptively-refined and silver-standard solutions for standard head models. AMR is found to be vital for accurate modeling of TES and EEG forward problems for standard models: an increase of less than 25% (on average) in number of mesh elements for these problems, efficiently allocated by AMR, exposes electric field/potential errors exceeding 60% (on average) in the solution for the unrefined models. Significance This error has especially important implications for TES dosing prediction - where the stimulation strength plays a central role - and for EEG lead fields. Though the specific form of the AMR method described here is implemented for the BEM-FMM, we expect that AMR is applicable and even required for accurate electromagnetic simulations by other numerical modeling packages as well.
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Affiliation(s)
- William A Wartman
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 USA
| | - Konstantin Weise
- Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstr. 1a, 04103 Leipzig, Germany
- Department of Clinical Medicine, Aarhus University, DNK-8200, Aarhus, Denmark
| | - Manas Rachh
- Center for Computational Mathematics, Flatiron Institute, New York, NY 10012, USA
| | - Leah Morales
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 USA
| | - Zhi-De Deng
- Computational Neurostimulation Research Program, Noninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health Intramural Research Program, National Institutes of Health, Bethesda, MD, USA
| | - Aapo Nummenmaa
- Athinoula A. Martinos Ctr. for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129 USA
| | - Sergey N Makaroff
- Electrical and Computer Engineering Department, Worcester Polytechnic Inst., Worcester, MA 01609 USA
- Athinoula A. Martinos Ctr. for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129 USA
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26
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Lum JAG, Byrne LK, Barhoun P, Hyde C, Hill AT, Enticott PG, Clark GM. Resting state electroencephalography power correlates with individual differences in implicit sequence learning. Eur J Neurosci 2023; 58:2838-2852. [PMID: 37317510 DOI: 10.1111/ejn.16059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 05/02/2023] [Accepted: 05/26/2023] [Indexed: 06/16/2023]
Abstract
Neuroimaging resting state paradigms have revealed synchronised oscillatory activity is present even in the absence of completing a task or mental operation. One function of this neural activity is likely to optimise the brain's sensitivity to forthcoming information that, in turn, likely promotes subsequent learning and memory outcomes. The current study investigated whether this extends to implicit forms of learning. A total of 85 healthy adults participated in the study. Resting state electroencephalography was first acquired from participants before they completed a serial reaction time task. On this task, participants implicitly learnt a visuospatial-motor sequence. Permutation testing revealed a negative correlation between implicit sequence learning and resting state power in the upper theta band (6-7 Hz). That is, lower levels of resting state power in this frequency range were associated with superior levels of implicit sequence learning. This association was observed at midline-frontal, right-frontal and left-posterior electrodes. Oscillatory activity in the upper theta band supports a range of top-down processes including attention, inhibitory control and working memory, perhaps just for visuospatial information. Our results may be indicating that disengaging theta-supported top-down attentional processes improves implicit learning of visuospatial-motor information that is embedded in sensory input. This may occur because the brain's sensitivity to this type of information is optimally achieved when learning is driven by bottom-up processes. Moreover, the results of this study further demonstrate that resting state synchronised brain activity influences subsequent learning and memory.
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Affiliation(s)
- Jarrad A G Lum
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Linda K Byrne
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Pamela Barhoun
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Christian Hyde
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Aron T Hill
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Peter G Enticott
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Gillian M Clark
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Victoria, Australia
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27
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Urner TM, Cowdrick KR, Brothers RO, Boodooram T, Zhao H, Goyal V, Sathialingam E, Quadri A, Turrentine K, Akbar MM, Triplett SE, Bai S, Buckley EM. Normative cerebral microvascular blood flow waveform morphology assessed with diffuse correlation spectroscopy. BIOMEDICAL OPTICS EXPRESS 2023; 14:3635-3653. [PMID: 37497521 PMCID: PMC10368026 DOI: 10.1364/boe.489760] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 05/05/2023] [Accepted: 05/20/2023] [Indexed: 07/28/2023]
Abstract
Microvascular cerebral blood flow exhibits pulsatility at the cardiac frequency that carries valuable information about cerebrovascular health. This study used diffuse correlation spectroscopy to quantify normative features of these waveforms in a cohort of thirty healthy adults. We demonstrate they are sensitive to changes in vascular tone, as indicated by pronounced morphological changes with hypercapnia. Further, we observe significant sex-based differences in waveform morphology, with females exhibiting higher flow, greater area-under-the-curve, and lower pulsatility. Finally, we quantify normative values for cerebral critical closing pressure, i.e., the minimum pressure required to maintain flow in a given vascular region.
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Affiliation(s)
- Tara M Urner
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Kyle R Cowdrick
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Rowan O Brothers
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Tisha Boodooram
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Hongting Zhao
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Vidisha Goyal
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Eashani Sathialingam
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Ayesha Quadri
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Katherine Turrentine
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Mariam M Akbar
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Sydney E Triplett
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
| | - Shasha Bai
- Department of Pediatrics, Emory School of Medicine, Atlanta, GA 30322, USA
| | - Erin M Buckley
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA 30322, USA
- Department of Pediatrics, Emory School of Medicine, Atlanta, GA 30322, USA
- Children's Research Scholar, Children's Healthcare of Atlanta, 2015 Uppergate Dr., Atlanta, GA 30322, USA
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28
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Semple BD, Panagiotopoulou O. Cranial Bone Changes Induced by Mild Traumatic Brain Injuries: A Neglected Player in Concussion Outcomes? Neurotrauma Rep 2023; 4:396-403. [PMID: 37350792 PMCID: PMC10282977 DOI: 10.1089/neur.2023.0025] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2023] Open
Abstract
Mild traumatic brain injuries (TBIs), particularly when repetitive in nature, are increasingly recognized to have a range of significant negative implications for brain health. Much of the ongoing research in the field is focused on the neurological consequences of these injuries and the relationship between TBIs and long-term neurodegenerative conditions such as chronic traumatic encephalopathy and Alzheimer's disease. However, our understanding of the complex relationship between applied mechanical force at impact, brain pathophysiology, and neurological function remains incomplete. Past research has shown that mild TBIs, even below the threshold that results in cranial fracture, induce changes in cranial bone structure and morphology. These structural and physiological changes likely have implications for the transmission of mechanical force into the underlying brain parenchyma. Here, we review this evidence in the context of the current understanding of bone mechanosensitivity and the consequences of TBIs or concussions. We postulate that heterogeneity of the calvarium, including differing bone thickness attributable to past impacts, age, or individual variability, may be a modulator of outcomes after subsequent TBIs. We advocate for greater consideration of cranial responses to TBI in both experimental and computer modeling of impact biomechanics, and raise the hypothesis that calvarial bone thickness represents a novel biomarker of brain injury vulnerability post-TBI.
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Affiliation(s)
- Bridgette D. Semple
- Department of Neuroscience, Monash University, Prahran, Victoria, Australia
- Department of Neurology, Alfred Health, Prahran, Victoria, Australia
- Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, Australia
| | - Olga Panagiotopoulou
- Monash Biomedicine Discovery Institute, Department of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia
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29
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Aggarwal S, Ray S. Slope of the power spectral density flattens at low frequencies (<150 Hz) with healthy aging but also steepens at higher frequency (>200 Hz) in human electroencephalogram. Cereb Cortex Commun 2023; 4:tgad011. [PMID: 37334259 PMCID: PMC10276190 DOI: 10.1093/texcom/tgad011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Indexed: 06/20/2023] Open
Abstract
The power spectral density (PSD) of the brain signals is characterized by two distinct features: oscillations, which are represented as distinct "bumps," and broadband aperiodic activity, that reduces in power with increasing frequency and is characterized by the slope of the power falloff. Recent studies have shown a change in the slope of the aperiodic activity with healthy aging and mental disorders. However, these studies analyzed slopes over a limited frequency range (<100 Hz). To test whether the PSD slope is affected over a wider frequency range with aging and mental disorder, we analyzed the slope till 800 Hz in electroencephalogram data recorded from elderly subjects (>49 years) who were healthy (n = 217) or had mild cognitive impairment (MCI; n = 11) or Alzheimer's Disease (AD; n = 5). Although the slope reduced up to ~ 150 Hz with healthy aging (as shown previously), surprisingly, at higher frequencies (>200 Hz), it increased with age. These results were observed in all electrodes, for both eyes open and eyes closed conditions, and for different reference schemes. However, slopes were not significantly different in MCI/AD subjects compared with healthy controls. Overall, our results constrain the biophysical mechanisms that are reflected in the PSD slopes in healthy and pathological aging.
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Affiliation(s)
- Srishty Aggarwal
- Department of Physics, Indian Institute of Science, Bengaluru 560012, India
| | - Supratim Ray
- Centre for Neuroscience, Indian Institute of Science, Bengaluru 560012, India
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30
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Song S, Fallegger F, Trouillet A, Kim K, Lacour SP. Deployment of an electrocorticography system with a soft robotic actuator. Sci Robot 2023; 8:eadd1002. [PMID: 37163609 DOI: 10.1126/scirobotics.add1002] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Electrocorticography (ECoG) is a minimally invasive approach frequently used clinically to map epileptogenic regions of the brain and facilitate lesion resection surgery and increasingly explored in brain-machine interface applications. Current devices display limitations that require trade-offs among cortical surface coverage, spatial electrode resolution, aesthetic, and risk consequences and often limit the use of the mapping technology to the operating room. In this work, we report on a scalable technique for the fabrication of large-area soft robotic electrode arrays and their deployment on the cortex through a square-centimeter burr hole using a pressure-driven actuation mechanism called eversion. The deployable system consists of up to six prefolded soft legs, and it is placed subdurally on the cortex using an aqueous pressurized solution and secured to the pedestal on the rim of the small craniotomy. Each leg contains soft, microfabricated electrodes and strain sensors for real-time deployment monitoring. In a proof-of-concept acute surgery, a soft robotic electrode array was successfully deployed on the cortex of a minipig to record sensory cortical activity. This soft robotic neurotechnology opens promising avenues for minimally invasive cortical surgery and applications related to neurological disorders such as motor and sensory deficits.
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Affiliation(s)
- Sukho Song
- Laboratory for Soft Bioelectronic Interfaces, Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1202 Geneva, Switzerland
- Laboratory of Sustainability Robotics, Swiss Federal Laboratories for Materials Science and Technology (Empa), 8600 Dübendorf, Switzerland
| | - Florian Fallegger
- Laboratory for Soft Bioelectronic Interfaces, Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1202 Geneva, Switzerland
| | - Alix Trouillet
- Laboratory for Soft Bioelectronic Interfaces, Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1202 Geneva, Switzerland
| | - Kyungjin Kim
- Laboratory for Soft Bioelectronic Interfaces, Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1202 Geneva, Switzerland
- Department of Mechanical Engineering, University of Connecticut, Storrs, CT 06269, USA
| | - Stéphanie P Lacour
- Laboratory for Soft Bioelectronic Interfaces, Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1202 Geneva, Switzerland
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31
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Munhoz RP, Albuainain G. Deep brain stimulation - New programming algorithms and teleprogramming. Expert Rev Neurother 2023; 23:467-478. [PMID: 37115193 DOI: 10.1080/14737175.2023.2208749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
INTRODUCTION Thanks to a variety of factors, the field of neuromodulation has evolved significantly over the past decade. Developments include new indications and innovations of hardware, software, and stimulation techniques leading to an expansion in scope and role of these techniques as powerful therapies. They also imply the realization that practical application involves new nuances that make patient selection, surgical technique and the programming process even more complex, requiring continuous education and an organized structured approach. AREAS COVERED In this review, the authors explore the developments in deep brain stimulation technology, including electrodes, implantable pulse generators, contact configurations (i.e, directional leads and independent current control), remote programming and sensing using local field potentials. EXPERT OPINION The innovations in the field of deep brain stimulation discussed in this review potentially provide increased effectiveness and flexibility not only to improve therapeutic response but also to address troubleshooting challenges seen in clinical practice. Directional leads and shorter pulse widths may broaden the therapeutic window of stimulation, avoiding current spread to structures that might trigger stimulation-related side effects. Similarly, independent control of current to individual contacts allows for the shaping of the electric field. Finally, sensing and remote programming represent important developments for more effective and individualized patient care.
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Affiliation(s)
- Renato Puppi Munhoz
- Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
- Krembil Research Institute, Toronto, ON, M5T 2S8, Canada
| | - Ghadh Albuainain
- Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
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Van Hoornweder S, Geraerts M, Verstraelen S, Nuyts M, Caulfield KA, Meesen R. From scalp to cortex, the whole isn't greater than the sum of its parts: introducing GetTissueThickness (GTT) to assess age and sex differences in tissue thicknesses. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.04.18.537177. [PMID: 37131842 PMCID: PMC10153183 DOI: 10.1101/2023.04.18.537177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Noninvasive techniques to record and stimulate the brain rely on passing through the tissues in between the scalp and cortex. Currently, there is no method to obtain detailed information about these scalp-to-cortex distance (SCD) tissues. We introduce GetTissueThickness (GTT), an open-source, automated approach to quantify SCD, and unveil how tissue thicknesses differ across age groups, sexes and brain regions (n = 250). We show that men have larger SCD in lower scalp regions and women have similar-to-larger SCD in regions closer to the vertex, with aging resulting in increased SCD in fronto-central regions. Soft tissue thickness varies by sex and age, with thicker layers and greater age-related decreases in men. Compact and spongy bone thickness also differ across sexes and age groups, with thicker compact bone in women in both age groups and an age-related thickening. Older men generally have the thickest cerebrospinal fluid layer and younger women and men having similar cerebrospinal fluid layers. Aging mostly results in grey matter thinning. Concerning SCD, the whole isn't greater than the sum of its parts. GTT enables rapid quantification of the SCD tissues. The distinctive sensitivity of noninvasive recording and stimulation modalities to different tissues underscores the relevance of GTT.
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Affiliation(s)
- Sybren Van Hoornweder
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Marc Geraerts
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Stefanie Verstraelen
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Marten Nuyts
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
| | - Kevin A. Caulfield
- Brain Stimulation Laboratory, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA
| | - Raf Meesen
- REVAL - Rehabilitation Research Center, Faculty of Rehabilitation Sciences, University of Hasselt, Diepenbeek, Belgium
- Movement Control and Neuroplasticity Research Group, Department of Movement Sciences, Group Biomedical Sciences, KU Leuven, Leuven, Belgium
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Fu C, Wang D, Wang L, Zhu L, Li Z, Chen T, Feng H, Li F. Diffuse optical detection of global cerebral ischemia in an adult porcine model. JOURNAL OF BIOPHOTONICS 2023; 16:e202200168. [PMID: 36397661 DOI: 10.1002/jbio.202200168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 11/13/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
Rapid screening for ischemic strokes in prehospital settings may improve patient outcomes by allowing early deployment of vascular recanalization therapies. However, there are no low-cost and convenient methods that can assess ischemic strokes in such a setting. Diffuse correlation spectroscopy (DCS) is a promising method for continuous, noninvasive transcranial monitoring of cerebral blood flow. In this study, we used a DCS system to detect cerebral hemodynamics before and after acute ischemic stroke in pigs. Seven adult porcines were chosen to establish ischemic stroke models via bilateral common carotid artery ligation (n = 5) or air emboli (n = 2). The results showed a significant difference in blood flow index (BFI) between the normal and ischemic groups. Relative blood flow index (rBFI) exhibited excellent results. Therefore, the diffuse optical method can assess the hemodynamic changes in acute cerebral ischemic stroke onset in pigs, and rBFI may be a promising biomarker for identifying cerebral ischemic stroke.
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Affiliation(s)
- Chuhua Fu
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
- Department of Neurosurgery, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, People's Republic of China
| | - Detian Wang
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
- Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang, Sichuan, People's Republic of China
| | - Long Wang
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
| | - Liguo Zhu
- Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang, Sichuan, People's Republic of China
| | - Zeren Li
- Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang, Sichuan, People's Republic of China
| | - Tunan Chen
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
| | - Hua Feng
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
| | - Fei Li
- Department of Neurosurgery of Southwest Hospital, Army Medical University, Chong Qing, People's Republic of China
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Zhang J, Treyer V, Sun J, Zhang C, Gietl A, Hock C, Razansky D, Nitsch RM, Ni R. Automatic analysis of skull thickness, scalp-to-cortex distance and association with age and sex in cognitively normal elderly. Brain Stimul 2023; 16:653-656. [PMID: 36963563 DOI: 10.1016/j.brs.2023.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 03/21/2023] [Indexed: 03/26/2023] Open
Affiliation(s)
- Junhao Zhang
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland; Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093, Zurich, Switzerland
| | - Valerie Treyer
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland; Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Junfeng Sun
- School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Chencheng Zhang
- Department of Neurosurgery, Center for Functional Neurosurgery, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Anton Gietl
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland
| | - Christoph Hock
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland; Neurimmune, Schlieren, Switzerland
| | - Daniel Razansky
- Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093, Zurich, Switzerland
| | - Roger M Nitsch
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland; Neurimmune, Schlieren, Switzerland
| | - Ruiqing Ni
- Institute for Regenerative Medicine, University of Zurich, 8952, Zurich, Switzerland; Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093, Zurich, Switzerland; Zentrum für Neurowissenschaften Zurich, Zurich, Switzerland.
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Alawi M, Lee PF, Deng ZD, Goh YK, Croarkin PE. Modelling the differential effects of age on transcranial magnetic stimulation induced electric fields. J Neural Eng 2023; 20. [PMID: 36240726 DOI: 10.1088/1741-2552/ac9a76] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 10/14/2022] [Indexed: 11/11/2022]
Abstract
Objective. The therapeutic application of noninvasive brain stimulation modalities such as transcranial magnetic stimulation (TMS) has expanded in terms of indications and patient populations. Often neurodevelopmental and neurodegenerative changes are not considered in research studies and clinical applications. This study sought to examine TMS dosing across time points in the life cycle.Approach. TMS induced electric fields with a figure-of-eight coil was simulated at left dorsolateral prefrontal cortex regions and taken in vertex as a control region. Realistic magnetic resonance imaging-based head models (N= 48) were concurrently examined in a cross-sectional study of three different age groups (children, adults, and elderlies).Main results. Age had a negative correlation with electric field peaks in white matter, grey matter and cerebrospinal fluid (P< 0.001). Notably, the electric field map in children displayed the widest cortical surface spread of TMS induced electric fields.Significance. Age-related anatomical geometry beneath the coil stimulation site had a significant impact on the TMS induced electric fields for different age groups. Safety considerations for TMS applications and protocols in children are warranted based on the present electric field findings.
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Affiliation(s)
- Mansour Alawi
- Lee Kong Chian Faculty of Engineering & Science, University Tunku Abdul Rahman, Kajang, Malaysia
| | - Poh Foong Lee
- Lee Kong Chian Faculty of Engineering & Science, University Tunku Abdul Rahman, Kajang, Malaysia
| | - Zhi-De Deng
- Noninvasive Neuromodulation Unit, National Institute of Mental Health, NIH, Bethesda, MD, United States of America
| | - Yong Kheng Goh
- Lee Kong Chian Faculty of Engineering & Science, University Tunku Abdul Rahman, Kajang, Malaysia
| | - Paul E Croarkin
- Department of Psychiatry and Psychology, Mayo Clinic, Minnesota, MN, United States of America
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Lang SS, Rahman R, Kumar N, Tucker A, Flanders TM, Kirschen M, Huh JW. Invasive Neuromonitoring Modalities in the Pediatric Population. Neurocrit Care 2023; 38:470-485. [PMID: 36890340 DOI: 10.1007/s12028-023-01684-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 01/30/2023] [Indexed: 03/10/2023]
Abstract
Invasive neuromonitoring has become an important part of pediatric neurocritical care, as neuromonitoring devices provide objective data that can guide patient management in real time. New modalities continue to emerge, allowing clinicians to integrate data that reflect different aspects of cerebral function to optimize patient management. Currently, available common invasive neuromonitoring devices that have been studied in the pediatric population include the intracranial pressure monitor, brain tissue oxygenation monitor, jugular venous oximetry, cerebral microdialysis, and thermal diffusion flowmetry. In this review, we describe these neuromonitoring technologies, including their mechanisms of function, indications for use, advantages and disadvantages, and efficacy, in pediatric neurocritical care settings with respect to patient outcomes.
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Affiliation(s)
- Shih-Shan Lang
- Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA. .,Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
| | - Raphia Rahman
- Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA.,School of Osteopathic Medicine, Rowan University, Stratford, NJ, USA
| | - Nankee Kumar
- Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA
| | - Alexander Tucker
- Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA
| | - Tracy M Flanders
- Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA
| | - Matthew Kirschen
- Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Jimmy W Huh
- Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Murata T, Hayashi Y, Onoguchi M, Shibutani T, Iimori T, Sawada K, Umezawa T, Masuda Y, Uno T. Optimization of the Attenuation Coefficient for Chang Attenuation Correction in 123I Brain Perfusion SPECT. J Nucl Med Technol 2023; 51:49-56. [PMID: 36750381 DOI: 10.2967/jnmt.122.264990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/17/2023] [Accepted: 01/17/2023] [Indexed: 02/09/2023] Open
Abstract
N-isopropyl-p-123I-iodoamphetamine brain perfusion SPECT has been used with various attenuation coefficients (μ-values); however, optimization is required. This study aimed to determine the optimal μ-value (μopt-value) for Chang attenuation correction (AC) using clinical data by comparing the Chang method and CT-based AC. Methods: We used 100 patients (reference group, 60; disease group, 40) who underwent N-isopropyl-p-123I-iodoamphetamine SPECT. SPECT images of the reference group were obtained to calculate the AC using the Chang method (μ-values, 0.07-0.20; 0.005 interval) and the CT-based method, both without scatter correction (SC) and with SC. The μopt-value with the smallest mean percentage error for the brain regions of the reference group was calculated. Agreement between the Chang and CT-based methods applying the μopt-value was evaluated using Bland-Altman analysis. Additionally, the percentage error in the region of hypoperfusion in the diseased group was compared with the percentage error in the same region in the reference group when the μopt-value was applied. Results: The μopt-values were 0.140 for Chang without SC and 0.160 for Chang with SC. In the Chang method, with the μopt-value applied, fixed and proportional biases were observed in the Bland-Altman analysis (both P < 0.05), and there was a tendency for the percentage error to be underestimated in the limbic regions and overestimated in the central brain regions. There was no significant difference between the disease group and the reference group in the region of hypoperfusion in either Chang without SC or Chang with SC. Conclusion: The present study revealed that the μopt-values of the Chang method are 0.140 without SC and 0.160 with SC.
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Affiliation(s)
- Taisuke Murata
- Department of Radiology, Chiba University Hospital, Chiba, Japan.,Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
| | - Yuri Hayashi
- Department of Radiology, Chiba University Hospital, Chiba, Japan
| | - Masahisa Onoguchi
- Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
| | - Takayuki Shibutani
- Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
| | - Takashi Iimori
- Department of Radiology, Chiba University Hospital, Chiba, Japan
| | - Koichi Sawada
- Department of Radiology, Chiba University Hospital, Chiba, Japan
| | - Tetsuro Umezawa
- Department of Radiology, Chiba University Hospital, Chiba, Japan
| | - Yoshitada Masuda
- Department of Radiology, Chiba University Hospital, Chiba, Japan
| | - Takashi Uno
- Department of Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan
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Alter SM, Gonzalez MR, Solano JJ, Clayton LM, Hughes PG, Shih RD. Comparing rates of skull fractures in female versus male geriatric patients who sustain head injuries. Am J Emerg Med 2023; 65:168-171. [PMID: 36640625 DOI: 10.1016/j.ajem.2022.12.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Head trauma is the leading cause of serious injury in the older adult population with skull fractures as a serious reported outcome. This study aims to evaluate the role of sex in the risk of skull fracture in patients over the age of 65. METHODS A prospective cohort study was conducted at two level-one trauma centers, serving a population of 360,000 geriatric residents. Over a year-long period, consecutive patients aged 65 years and older who presented with blunt head injury were included. Patients who did not receive head CT imaging were excluded. The primary outcome was rate of skull fracture due to the acute trauma, compared by sex. Additional factors examined included patient race/ethnicity and mechanism of injury. RESULTS Among 5402 patients enrolled, 3010 (56%) were female and 2392 (44%) were male. 4612 (85%) of the head injuries sustained were due to falls, and 4536 (90%) of all subjects were Caucasian. Overall, 199 patients (3.7%) sustained skull fractures. Males had a significantly greater rate of skull fracture when compared to females (4.6% vs 3.0%, OR 1.5, 95% CI: 1.2-2.1, p = 0.002). This trend was also seen across race/ethnicity and mechanism of injury. CONCLUSIONS Older males were found to have a higher rate of skull fractures compared to females after sustaining blunt head trauma, mostly due to falls.
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Affiliation(s)
- Scott M Alter
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Emergency Medicine, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, USA.
| | - Michelly R Gonzalez
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA.
| | - Joshua J Solano
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Emergency Medicine, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, USA.
| | - Lisa M Clayton
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Emergency Medicine, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, USA.
| | - Patrick G Hughes
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Emergency Medicine, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, USA.
| | - Richard D Shih
- Department of Emergency Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Emergency Medicine, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, USA.
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Kutleša Z, Ordulj I, Perić I, Jerković K, Poljak D, Gavrilović V, Čapkun V, Devčić Š, Budimir Mršić D. Opportunistic measures of bone mineral density at multiple skeletal sites during whole-body CT in polytrauma patients. Osteoporos Int 2023; 34:775-782. [PMID: 36799980 DOI: 10.1007/s00198-023-06699-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 02/08/2023] [Indexed: 02/18/2023]
Abstract
UNLABELLED Whole-body CT in polytrauma patients revealed bone mineral density variations throughout the skeleton. Bone density was the highest in cranial bones and the lowest in proximal extremities and pelvis. Skeletal age-related changes were generally more pronounced than sex-related changes. Cranial bones did not follow the same aging pattern compared to other bones. INTRODUCTION Whole-body CT (WBCT) in polytrauma patients enables the detection of numerous incidental findings, such as estimates of bone mineral density (BMD) at multiple skeletal sites. This could help in better understanding of age- and sex-related changes in BMD through skeleton. METHODS Data were retrospectively retrieved from the WBCTs requested during a 2-year period. BMD, expressed in CT Hounsfield units (HU), was measured at frontal and occipital bone, four vertebrae (C4, Th7, L4, and S2), iliac bone, and proximal humerus and femur. Measurements were done on native and postcontrast scans. The population sample was age-, sex-, and visceral fat volume adjusted for analysis. RESULTS A total of 296 patients were included, with a median age of 51 years. BMD varied from the highest HU in cranial bones (629 HU) to the lowest HU in the pelvic bones (114 HU), P < 0.001. Sex differences were independent predictors of BMD in cranial bones and proximal humerus. The age-related decline in BMD was significant in all other bones, but the association with age differed among the measurement's sites. Visceral fat showed the strongest correlation with the lumbar spine and iliac wing, although multivariate analysis revealed it was not an independent predictor of bone density, such as age and sex. CONCLUSIONS BMD varies through skeleton, being the highest in the proximal axial skeleton. Age-related changes in BMD are significant and more pronounced than sex-related changes in almost all bones. Cranial bones do not follow the same pattern compared to other bones.
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Affiliation(s)
- Zvonimir Kutleša
- Department of Orthopaedics and Traumatology, Split-Dalmatia County Health Center, Kavanjinova 2, 21000, Split, Croatia
| | - Ivan Ordulj
- Clinical Department of Diagnostic and Interventional Radiology, University Hospital Split, Spinčičeva 1, Šoltanska 2, 21000, Split, Croatia
| | - Iva Perić
- Clinical Department of Diagnostic and Interventional Radiology, University Hospital Split, Spinčičeva 1, Šoltanska 2, 21000, Split, Croatia
| | - Kristian Jerković
- Clinical Department of Diagnostic and Interventional Radiology, University Hospital Split, Spinčičeva 1, Šoltanska 2, 21000, Split, Croatia
| | - Dino Poljak
- Department of Orthopaedics and Traumatology, University Hospital Split, Šoltanska 2, 21000, Split, Croatia
| | - Vlado Gavrilović
- Department of Orthopaedics and Traumatology, University Hospital Split, Šoltanska 2, 21000, Split, Croatia
| | - Vesna Čapkun
- Department of Anatomy, Histology and Embryology, University of Split School of Medicine, Šoltanska 2, 21000, Split, Croatia
| | - Šime Devčić
- Department of Orthopaedics and Traumatology, University Hospital Split, Šoltanska 2, 21000, Split, Croatia
| | - Danijela Budimir Mršić
- Clinical Department of Diagnostic and Interventional Radiology, University Hospital Split, Spinčičeva 1, Šoltanska 2, 21000, Split, Croatia.
- School of Medicine, University of Split, Šoltanska 2, 21000, Split, Croatia.
- University Department of Health Studies, University of Split, Ruđera Boškovića 35, 21000, Split, Croatia.
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Ni R, Deán-Ben XL, Treyer V, Gietl A, Hock C, Klohs J, Nitsch RM, Razansky D. Coregistered transcranial optoacoustic and magnetic resonance angiography of the human brain. OPTICS LETTERS 2023; 48:648-651. [PMID: 36723554 DOI: 10.1364/ol.475578] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 12/17/2022] [Indexed: 06/18/2023]
Abstract
Imaging modalities capable of visualizing the human brain have led to major advances in neurology and brain research. Multi-spectral optoacoustic tomography (MSOT) has gained importance for studying cerebral function in rodent models due to its unique capability to map changes in multiple hemodynamic parameters and to directly visualize neural activity within the brain. The technique further provides molecular imaging capabilities that can facilitate early disease diagnosis and treatment monitoring. However, transcranial imaging of the human brain is hampered by acoustic attenuation and other distortions introduced by the skull. Here, we demonstrate non-invasive transcranial MSOT angiography of pial veins through the temporal bone of an adult healthy volunteer. Time-of-flight (TOF) magnetic resonance angiography (MRA) and T1-weighted structural magnetic resonance imaging (MRI) were further acquired to facilitate anatomical registration and interpretation. The superior middle cerebral vein in the temporal cortex was identified in the MSOT images, matching its location observed in the TOF-MRA images. These initial results pave the way toward the application of MSOT in clinical brain imaging.
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Zhang J, Treyer V, Sun J, Zhang C, Gietl A, Hock C, Razansky D, Nitsch RM, Ni R. Automatic analysis of skull thickness, scalp-to-cortex distance and association with age and sex in cognitively normal elderly. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.01.19.524484. [PMID: 36711717 PMCID: PMC9882276 DOI: 10.1101/2023.01.19.524484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Personalized neurostimulation has been a potential treatment for many brain diseases, which requires insights into brain/skull geometry. Here, we developed an open source efficient pipeline BrainCalculator for automatically computing the skull thickness map, scalp-to-cortex distance (SCD), and brain volume based on T 1 -weighted magnetic resonance imaging (MRI) data. We examined the influence of age and sex cross-sectionally in 407 cognitively normal older adults (71.9±8.0 years, 60.2% female) from the ADNI. We demonstrated the compatibility of our pipeline with commonly used preprocessing packages and found that BrainSuite Skullfinder was better suited for such automatic analysis compared to FSL Brain Extraction Tool 2 and SPM12- based unified segmentation using ground truth. We found that the sphenoid bone and temporal bone were thinnest among the skull regions in both females and males. There was no increase in regional minimum skull thickness with age except in the female sphenoid bone. No sex difference in minimum skull thickness or SCD was observed. Positive correlations between age and SCD were observed, faster in females (0.307%/y) than males (0.216%/y) in temporal SCD. A negative correlation was observed between age and whole brain volume computed based on brain surface (females -1.031%/y, males -0.998%/y). In conclusion, we developed an automatic pipeline for MR-based skull thickness map, SCD, and brain volume analysis and demonstrated the sex-dependent association between minimum regional skull thickness, SCD and brain volume with age. This pipeline might be useful for personalized neurostimulation planning.
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Affiliation(s)
- Junhao Zhang
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
- Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093 Zurich, Switzerland
| | - Valerie Treyer
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
- Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Junfeng Sun
- School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Chencheng Zhang
- Department of Neurosurgery, Center for Functional Neurosurgery, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Anton Gietl
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
| | - Christoph Hock
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
- Neurimmune, Schlieren, Switzerland
| | - Daniel Razansky
- Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093 Zurich, Switzerland
| | - Roger M Nitsch
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
- Neurimmune, Schlieren, Switzerland
| | - Ruiqing Ni
- Institute for Regenerative Medicine, University of Zurich, 8952 Zurich, Switzerland
- Institute for Biomedical Engineering, ETH Zurich & University of Zurich, 8093 Zurich, Switzerland
- Zentrum für Neurowissenschaften Zurich, Zurich, Switzerland
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Goto S, Kataoka K, Isa M, Nakamori K, Yoshida M, Murayama S, Arasaki A, Ishida H, Kimura R. Factors associated with bone thickness: Comparison of the cranium and humerus. PLoS One 2023; 18:e0283636. [PMID: 36989318 PMCID: PMC10057751 DOI: 10.1371/journal.pone.0283636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 03/14/2023] [Indexed: 03/30/2023] Open
Abstract
Cortical bone thickness is important for the mechanical function of bone. Ontogeny, aging, sex, body size, hormone levels, diet, behavior, and genetics potentially cause variations in postcranial cortical robusticity. However, the factors associated with cranial cortical robusticity remain poorly understood. Few studies have examined cortical robusticity in both cranial and postcranial bones jointly. In the present study, we used computed tomography (CT) images to measure cortical bone thicknesses in the cranial vault and humeral diaphysis. This study clearly showed that females have a greater cranial vault thickness and greater age-related increase in cranial vault thickness than males. We found an age-related increase in the full thickness of the temporal cranial vault and the width of the humeral diaphysis, as well as an age-related decrease in the cortical thickness of the frontal cranial vault and the cortical thickness of the humeral diaphysis, suggesting that the mechanisms of bone modeling in cranial and long bones are similar. A positive correlation between cortical indices in the cranial vault and humeral diaphysis also suggested that common factors affect cortical robusticity. We also examined the association of polymorphisms in the WNT16 and TNFSF11 genes with bone thickness. However, no significant associations were observed. The present study provides fundamental knowledge about similarities and differences in the mechanisms of bone modeling between cranial and postcranial bones.
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Affiliation(s)
- Shimpei Goto
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
- Department of Oral and Maxillofacial Surgery, University of the Ryukyus Hospital, Nishihara, Nakagami, Okinawa, Japan
| | - Keiichi Kataoka
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
- Department of Oral and Maxillofacial Surgery, University of the Ryukyus Hospital, Nishihara, Nakagami, Okinawa, Japan
| | - Mutsumi Isa
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
| | - Kenji Nakamori
- Department of Oral and Maxillofacial Surgery, Regional Independent Administrative Corporation Naha City Hospital, Naha, Okinawa, Japan
| | - Makoto Yoshida
- Department of Dentistry and Oral Surgery, Doujin Hospital, Urasoe, Okinawa, Japan
| | - Sadayuki Murayama
- Department of Radiology, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
| | - Akira Arasaki
- Department of Oral and Maxillofacial Surgery, University of the Ryukyus Hospital, Nishihara, Nakagami, Okinawa, Japan
- Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
| | - Hajime Ishida
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
| | - Ryosuke Kimura
- Department of Human Biology and Anatomy, Graduate School of Medicine, University of the Ryukyus, Nishihara, Nakagami, Okinawa, Japan
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Attali D, Tiennot T, Schafer M, Fouragnan E, Sallet J, Caskey CF, Chen R, Darmani G, Bubrick EJ, Butler C, Stagg CJ, Klein-Flügge M, Verhagen L, Yoo SS, Pauly KB, Aubry JF. Three-layer model with absorption for conservative estimation of the maximum acoustic transmission coefficient through the human skull for transcranial ultrasound stimulation. Brain Stimul 2023; 16:48-55. [PMID: 36549480 DOI: 10.1016/j.brs.2022.12.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 12/05/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022] Open
Abstract
Transcranial ultrasound stimulation (TUS) has been shown to be a safe and effective technique for non-invasive superficial and deep brain stimulation. Safe and efficient translation to humans requires estimating the acoustic attenuation of the human skull. Nevertheless, there are no international guidelines for estimating the impact of the skull bone. A tissue independent, arbitrary derating was developed by the U.S. Food and Drug Administration to take into account tissue absorption (0.3 dB/cm-MHz) for diagnostic ultrasound. However, for the case of transcranial ultrasound imaging, the FDA model does not take into account the insertion loss induced by the skull bone, nor the absorption by brain tissue. Therefore, the estimated absorption is overly conservative which could potentially limit TUS applications if the same guidelines were to be adopted. Here we propose a three-layer model including bone absorption to calculate the maximum pressure transmission through the human skull for frequencies ranging between 100 kHz and 1.5 MHz. The calculated pressure transmission decreases with the frequency and the thickness of the bone, with peaks for each thickness corresponding to a multiple of half the wavelength. The 95th percentile maximum transmission was calculated over the accessible surface of 20 human skulls for 12 typical diameters of the ultrasound beam on the skull surface, and varies between 40% and 78%. To facilitate the safe adjustment of the acoustic pressure for short ultrasound pulses, such as transcranial imaging or transcranial ultrasound stimulation, a table summarizes the maximum pressure transmission for each ultrasound beam diameter and each frequency.
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Affiliation(s)
- David Attali
- Physics for Medicine Paris, Inserm U1273, ESPCI Paris, CNRS UMR8063, PSL University, Paris, France; Pôle Paris 16 (Secteurs 17-18) et Pôle Neuro Sainte-Anne, Centre Hospitalier Sainte-Anne, GHU Paris Psychiatrie & Neurosciences, Université Paris Cité, Paris, France
| | - Thomas Tiennot
- Physics for Medicine Paris, Inserm U1273, ESPCI Paris, CNRS UMR8063, PSL University, Paris, France
| | - Mark Schafer
- School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA, USA
| | - Elsa Fouragnan
- Brain Research Imaging Center and School of Psychology, University of Plymouth, Plymouth, UK; School of Psychology, Portland Square, Plymouth PL4 8AA, UK
| | - Jérôme Sallet
- Univ Lyon, Université Lyon 1, Inserm, Stem Cell and Brain Research Institute U1208, Bron, France
| | - Charles F Caskey
- Vanderbilt University Institute of Imaging Sciences, VU Medical Center, Nashville, TN, United States
| | - Robert Chen
- Division of Neurology, Department of Medicine, University of Toronto, Canada; Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Ghazaleh Darmani
- Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Ellen J Bubrick
- Brigham and Women's Hospital, Harvard Medical School, Department of Neurology, 75 Francis St., Boston, MA, USA
| | - Christopher Butler
- Department of Brain Sciences, Imperial College London, 9th Floor, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK
| | - Charlotte J Stagg
- Wellcome Centre for Integrative Neuroimaging (WIN), Centre for Functional MRI of the Brain (FMRIB), University of Oxford, Nuffield Department of Clinical Neurosciences, Level 6, West Wing, John Radcliffe Hospital, Oxford OX3 9DU, UK
| | - Miriam Klein-Flügge
- Wellcome Centre for Integrative Neuroimaging (WIN), Centre for Functional MRI of the Brain (FMRIB), University of Oxford, Nuffield Department of Clinical Neurosciences, Level 6, West Wing, John Radcliffe Hospital, Oxford OX3 9DU, UK; Wellcome Centre for Integrative Neuroimaging (WIN), Department of Experimental Psychology, University of Oxford, Tinsley Building, Mansfield Road, Oxford OX1 3TA, UK
| | - Lennart Verhagen
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, 6525 GD Nijmegen, the Netherlands
| | - Seung-Schik Yoo
- Brigham and Women's Hospital, Harvard Medical School, Department of Radiology, 75 Francis St., Boston, MA, USA
| | - Kim Butts Pauly
- Stanford University, Department of Radiology, Stanford CA, 94305, USA
| | - Jean-Francois Aubry
- Physics for Medicine Paris, Inserm U1273, ESPCI Paris, CNRS UMR8063, PSL University, Paris, France.
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44
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Boyd DC, Cheek KG, Boyd CC. Fatal non-accidental pediatric cranial fracture risk and three-layered cranial architecture development. J Forensic Sci 2023; 68:46-58. [PMID: 36529468 PMCID: PMC10108079 DOI: 10.1111/1556-4029.15183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 10/31/2022] [Accepted: 11/29/2022] [Indexed: 12/23/2022]
Abstract
This study examines the influence of three-layered cranial architecture development upon blunt force trauma (BFT) cranial outcomes associated with pediatric non-accidental injury (NAI). Macroscopic and microscopic metric and morphological comparisons of subadult crania ranging from perinatal to 17 years of age chronicle the ontogenetic development and spatial and temporal variability in the emergence of a mature cranial architecture. Cranial vault thickness increases with subadult age, accelerating in the first 2 years of life due to rapid brain growth during this period. Three-layer differentiation of the cranial tables and diploë initiates by 3-6 months but is not consistently observed until 18 months to 2 years; diploë formation is not well developed until after age 4 and does not manifest a mature appearance until after age 8. These results allow topographic documentation of cortical and diploic development and temporal and spatial variability across the growing cranium. The lateral cranial vault is identified as expressing delayed development and reduced expression of the three-layer architecture, a pattern that continues into adulthood. Comparison of fracture locations from known BFT pediatric cases with identified cranial fracture high-risk impact regions shows a concordance and suggests the presence of a higher fracture risk associated with non-accidental BFT in the lateral vault region in subadults below the age of 2. The absence or lesser development of a three-layered architecture in subadults leaves their cranial bones, particularly in the lateral vault, thin and vulnerable to the effects of BFT.
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Affiliation(s)
- Donna C Boyd
- Department of Anthropological Sciences, Radford University Forensic Science Institute, Radford, Virginia, USA.,Department of Basic Science, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA
| | - Kimber G Cheek
- Department of Anthropology, University of Tennessee, Knoxville, Tennessee, USA
| | - C Clifford Boyd
- Department of Anthropological Sciences, Radford University Forensic Science Institute, Radford, Virginia, USA
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Rowbotham SK, Mole CG, Tieppo D, Blaszkowska M, Cordner SM, Blau S. Average thickness of the bones of the human neurocranium: development of reference measurements to assist with blunt force trauma interpretations. Int J Legal Med 2023; 137:195-213. [PMID: 35486199 DOI: 10.1007/s00414-022-02824-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 03/31/2022] [Indexed: 01/10/2023]
Abstract
The accurate interpretation of a blunt force head injury relies on an understanding of the case circumstances (extrinsic variables) and anatomical details of the individual (intrinsic variables). Whilst it is often possible to account for many of these variables, the intrinsic variable of neurocranial thickness is difficult to account for as data for what constitutes 'normal' thickness is limited. The aim of this study was to investigate the effects of age, sex and ancestry on neurocranial thickness, and develop reference ranges for average neurocranial thickness in the context of those biological variables. Thickness (mm) was measured at 20 points across the frontal, left and right parietals, left and right temporals and occipital bones. Measurements were taken from post-mortem computed tomography scans of 604 individuals. Inferential statistics assessed how age, sex and ancestry affected thickness and descriptive statistics established thickness means. Mean thickness ranged from 2.11 mm (temporal squama) to 19.19 mm (petrous portion). Significant differences were noted in thickness of the frontal and temporal bones when age was considered, all bones when sex was considered and the, right parietal, left and right temporal and occipital bones when ancestry was considered. Furthermore, significant interactions in thickness were seen between age and sex in the frontal bone, ancestry and age in the temporal bone, ancestry and sex in the temporal bone, and age, sex and ancestry in the occipital bone. Given the assorted influence of the biological variables, reference measurement ranges for average thickness incorporated these variables. Such reference measurements allow forensic practitioners to identify when a neurocranial bone is of normal, or abnormal, thickness.
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Affiliation(s)
- Samantha K Rowbotham
- Victorian Institute of Forensic Medicine, 65 Kavanagh St, Southbank, VIC, 3006, Australia. .,Department of Forensic Medicine, School of Public Health and Preventative Medicine, Monash University, 65 Kavanagh St, Southbank, VIC, 3006, Australia.
| | - Calvin G Mole
- Division of Forensic Medicine and Toxicology, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa
| | - Diana Tieppo
- Department of Forensic Medicine, School of Public Health and Preventative Medicine, Monash University, 65 Kavanagh St, Southbank, VIC, 3006, Australia
| | - Magda Blaszkowska
- Centre for Forensic Anthropology, Faculty of Arts, Business, Law and Education, University of Western Australia, 35 Stirling Hwy, Crawley, WA, 6009, Australia
| | - Stephen M Cordner
- Victorian Institute of Forensic Medicine, 65 Kavanagh St, Southbank, VIC, 3006, Australia.,Department of Forensic Medicine, School of Public Health and Preventative Medicine, Monash University, 65 Kavanagh St, Southbank, VIC, 3006, Australia
| | - Soren Blau
- Victorian Institute of Forensic Medicine, 65 Kavanagh St, Southbank, VIC, 3006, Australia.,Department of Forensic Medicine, School of Public Health and Preventative Medicine, Monash University, 65 Kavanagh St, Southbank, VIC, 3006, Australia
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46
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Fang T, Wang J, Mu W, Song Z, Zhang X, Zhan G, Wang P, Bin J, Niu L, Zhang L, Kang X. Noninvasive neuroimaging and spatial filter transform enable ultra low delay motor imagery EEG decoding. J Neural Eng 2022; 19. [PMID: 36541542 DOI: 10.1088/1741-2552/aca82d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 12/01/2022] [Indexed: 12/04/2022]
Abstract
Objective.The brain-computer interface (BCI) system based on sensorimotor rhythm can convert the human spirit into instructions for machine control, and it is a new human-computer interaction system with broad applications. However, the spatial resolution of scalp electroencephalogram (EEG) is limited due to the presence of volume conduction effects. Therefore, it is very meaningful to explore intracranial activities in a noninvasive way and improve the spatial resolution of EEG. Meanwhile, low-delay decoding is an essential factor for the development of a real-time BCI system.Approach.In this paper, EEG conduction is modeled by using public head anatomical templates, and cortical EEG is obtained using dynamic parameter statistical mapping. To solve the problem of a large amount of computation caused by the increase in the number of channels, the filter bank common spatial pattern method is used to obtain a spatial filter kernel, which reduces the computational cost of feature extraction to a linear level. And the feature classification and selection of important features are completed using a neural network containing band-spatial-time domain self-attention mechanisms.Main results.The results show that the method proposed in this paper achieves high accuracy for the four types of motor imagery EEG classification tasks, with fairly low latency and high physiological interpretability.Significance.The proposed decoding framework facilitates the realization of low-latency human-computer interaction systems.
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Affiliation(s)
- Tao Fang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Junkongshuai Wang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Wei Mu
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Zuoting Song
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Xueze Zhang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Gege Zhan
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Pengchao Wang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China
| | - Jianxiong Bin
- Ji Hua Laboratory, Foshan, People's Republic of China
| | - Lan Niu
- Ji Hua Laboratory, Foshan, People's Republic of China
| | - Lihua Zhang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China.,Ji Hua Laboratory, Foshan, People's Republic of China
| | - Xiaoyang Kang
- Laboratory for Neural Interface and Brain Computer Interface, Engineering Research Center of AI & Robotics, Ministry of Education, Shanghai Engineering Research Center of AI & Robotics, MOE Frontiers Center for Brain Science, State Key Laboratory of Medical Neurobiology, Institute of AI & Robotics, Institute of Meta-Medical, Academy for Engineering & Technology, Fudan University, Shanghai, People's Republic of China.,Ji Hua Laboratory, Foshan, People's Republic of China.,Yiwu Research Institute of Fudan University, Yiwu City, People's Republic of China.,Research Center for Intelligent Sensing, Zhejiang Lab, Hangzhou, People's Republic of China.,Greater Bay Area Institute of Precision Medicine, Guangzhou, People's Republic of China
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Itoh T, Noguchi K. Evaluation of the quantitative performance of non-enhanced dual-energy CT X-map in detecting acute ischemic brain stroke: A model observer study using computer simulation. Phys Med 2022; 104:85-92. [PMID: 36371946 DOI: 10.1016/j.ejmp.2022.10.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 09/02/2022] [Accepted: 10/30/2022] [Indexed: 11/11/2022] Open
Abstract
PURPOSE A simulation study was performed to evaluate the quantitative performance of X-map images-derived from non-enhanced (NE) dual-energy computed tomography (DECT)-in detecting acute ischemic stroke (AIS) compared with that of NE-DECT mixed images. METHODS A virtual phantom, 150 mm in diameter, filled with tissues comprising various gray- and white-matter proportions was used to generate pairs of NE-head images at 80 kV and Sn150 kV at three dose levels (20, 40, and 60 mGy). The phantom included an inserted low-contrast object, 15 mm in diameter, with four densities (0%, 5%, 10%, and 15%) mimicking ischemic edema. Mixed and X-map images were generated from these sets of images and compared in terms of detectability of ischemic edema using a channelized Hotelling observer (CHO). The area under the curve (AUC) of the receiver operating characteristic that generated CHO for each condition was used as a figure of merit. RESULTS The AUCs of X-map images were always significantly higher than those of mixed images (P < 0.001). The improvement in AUC for X-map images compared with that for mixed images at edema densities was 9.2%-12.6% at 20 mGy, 10.1%-17.7% at 40 mGy, and 14.0%-19.4% at 60 mGy. At any edema density, X-map images at 20 mGy resulted in higher AUCs than mixed images acquired at any other dose level (P < 0.001), which corresponded to a 66% dose reduction on X-map images. CONCLUSIONS The simulation study confirmed that NE-DECT X-map images have superior capability of detecting AIS than NE-DECT mixed images.
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Affiliation(s)
- Toshihide Itoh
- Department of CT Research and Collaboration, Siemens Healthineers, 1-11-1 Osaki, Shinagawa, Tokyo 141-8644, Japan.
| | - Kyo Noguchi
- Department of Radiology, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, 2630 Sugitani, Toyama city, Toyama 930-0194, Japan
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Rowbotham SK, Mole CG, Tieppo D, Blaszkowska M, Cordner S, Blau S. Reference measurements for average human neurocranial bone density to inform head trauma interpretations. AUST J FORENSIC SCI 2022. [DOI: 10.1080/00450618.2022.2141320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Samantha K Rowbotham
- Victorian Institute of Forensic Medicine, Melbourne, Australia
- Department of Forensic Medicine, Monash University, Melbourne, Australia
| | - Calvin G Mole
- Department of Pathology, Division of Forensic Medicine and Toxicology, University of Cape Town, Cape Town, South Africa
| | - Diana Tieppo
- Department of Forensic Medicine, Monash University, Melbourne, Australia
| | - Magda Blaszkowska
- Centre for Forensic Anthropology, University of Western Australia, Perth, Australia
| | - Stephen Cordner
- Victorian Institute of Forensic Medicine, Melbourne, Australia
- Department of Forensic Medicine, Monash University, Melbourne, Australia
| | - Soren Blau
- Victorian Institute of Forensic Medicine, Melbourne, Australia
- Department of Forensic Medicine, Monash University, Melbourne, Australia
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49
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Radiomorphometric indices for sex estimation in edentulous individuals: a receiver operating characteristic curve and discriminant function analysis-based study. Forensic Sci Int 2022; 341:111513. [DOI: 10.1016/j.forsciint.2022.111513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 10/31/2022] [Accepted: 11/03/2022] [Indexed: 11/06/2022]
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50
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Localized, time-dependent responses of rat cranial bone to repeated mild traumatic brain injuries. Sci Rep 2022; 12:14175. [PMID: 36050485 PMCID: PMC9437056 DOI: 10.1038/s41598-022-18643-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Accepted: 08/17/2022] [Indexed: 11/25/2022] Open
Abstract
While it is well-established that bone responds dynamically to mechanical loading, the effects of mild traumatic brain injury (mTBI) on cranial bone composition are unclear. We hypothesized that repeated mTBI (rmTBI) would change the microstructure of cranial bones, without gross skull fractures. To address this, young adult female Piebald Viral Glaxo rats received sham, 1×, 2× or 3× closed-head mTBIs delivered at 24 h intervals, using a weight-drop device custom-built for reproducible impact. Skull bones were collected at 2 or 10 weeks after the final injury/sham procedure, imaged by micro computed tomography and analyzed at predetermined regions of interest. In the interparietal bone, proximal to the injury site, modest increases in bone thickness were observed at 2 weeks, particularly following 2× and 3× mTBI. By 10 weeks, 2× mTBI induced a robust increase in the volume and thickness of the interparietal bone, alongside a corresponding decrease in the volume of marrow cavities in the diploë region. In contrast, neither parietal nor frontal skull samples were affected by rmTBI. Our findings demonstrate time- and location-dependent effects of rmTBI on cranial bone structure, highlighting a need to consider microstructural alterations to cranial bone when assessing the consequences of rmTBI.
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