ECG-synchronized DSA exposure control: improved cervicothoracic image quality

Prepubescent female rodents have enhanced hippocampal LTP and learning relative to males, reversing in adulthood as inhibition increases

Multiple studies indicate that adult male rodents perform better than females on spatial problems and have a lower threshold for long-term potentiation (LTP) of hippocampal CA3-to-CA1 synapses. We report here that, in rodents, prepubescent females rapidly encode spatial information and express low-threshold LTP, whereas age-matched males do not. The loss of low-threshold LTP across female puberty was associated with three inter-related changes: increased densities of α5 subunit-containing GABAARs at inhibitory synapses, greater shunting of burst responses used to induce LTP and a reduction of NMDAR-mediated synaptic responses. A negative allosteric modulator of α5-GABAARs increased burst responses to a greater degree in adult than in juvenile females and markedly enhanced both LTP and spatial memory in adults. The reasons for the gain of functions with male puberty do not involve these mechanisms. In all, puberty has opposite consequences for plasticity in the two sexes, albeit through different routes.

Automatic Remasking of Digital Subtraction Angiography Images in Pulmonary Angiography

In pulmonary angiography, the heartbeat creates artifacts that hinder extraction of blood vessel images in digital subtraction angiography. Remasking according to the cardiac phase of the angiogram may be effective but has yet to be automated. Here, automatic remasking was developed and assessed according to the cardiac phase from electrocardiographic information collected simultaneously with imaging. Manual remasking, fixed remasking, and our proposed automatic remasking were applied to 14 pulmonary angiography series from five participants with either chronic thromboembolic pulmonary hypertension or pulmonary arteriovenous malformation. The processing time and extent of artifacts from the heartbeat were compared. In addition, the peak signal-to-noise ratio (PSNR) was measured from differential images between mask image groups before the injection of the contrast medium to investigate optimal mask images. The mean time required for automatic remasking was 4.7 s/series, a significant reduction in processing time compared with the mean of 266 s/series for conventional manual processing. A visual comparison of the different approaches showed virtually no misregistration artifacts from the heartbeat in manual or automatic remasking according to cardiac phase. The results from measuring the PSNR for differential images between mask image groups also showed that smaller cardiac phase difference and time difference between two images ensure higher PSNR (p < 0.01). Automatic remasking according to the cardiac phase was fast and easy to implement and reduced misregistration artifacts from heartbeat.

Acquisition-related motion compensation for digital subtraction angiography

Subtraction methods in angiography are generally applied in order to enhance the visualization of blood vessels by eliminating bones and surrounding tissues from X-ray images. The main limitation of these methods is the sensitivity to patient movement, which leads to artifacts and reduces the clinical value of the subtraction images. In this paper we present a novel method for rigid motion compensation with primary application to road mapping, frequently used in image-guided interventions. Using the general concept of image-based registration, we optimize the physical position and orientation of the C-arm X-ray device, thought of as the rigid 3D transformation accounting for the patient movement. The registration is carried out using a hierarchical optimization strategy and a similarity measure based on the variance of intensity differences, which has been shown to be most suitable for fluoroscopic images. Performance evaluation demonstrated the capabilities of the proposed approach to compensate for potential intra-operative patient motion, being more resilient to the fundamental problems of pure image-based registration.

Retrospective motion correction in digital subtraction angiography: a review

Digital subtraction angiography (DSA) is a well-established modality for the visualization of blood vessels in the human body. A serious disadvantage of this technique, inherent to the subtraction operation, is its sensitivity to patient motion. The resulting artifacts frequently reduce the diagnostic value of the images. Over the past two decades, many solutions to this problem have been put forward. In this paper, we give an overview of the possible types of motion artifacts and the techniques that have been proposed to avoid them. The main purpose of this paper is to provide a detailed review and discussion of retrospective motion correction techniques that have been described in the literature, to summarize the conclusions that can be drawn from these studies, and to provide suggestions for future research.