Spelling suggestions: "subject:"cagnetic resonance imaging (MRI)"" "subject:"cmagnetic resonance imaging (MRI)""
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The Neural Correlates of Auditory Processing in Adults and Children who StutterBeal, Deryk Scott 05 August 2010 (has links)
This dissertation is comprised of four studies investigating the hypothesis that adults and children who stutter differ from their same-age fluent peers in the neuroanatomy and neurophysiology underlying auditory speech processing. It has been consistently reported that adults who stutter demonstrate unique functional neural activation patterns during speech production, including reduced auditory activation, relative to nonstutterers. The extent to which these functional differences are accompanied by abnormal morphology of the brain in stutterers is unclear. The first study in this dissertation examined the neuroanatomical differences in speech-related cortex between adults who do and do not stutter using magnetic resonance imaging and voxel-based morphometry analyses. Adults who stutter were found to have localized grey matter volume increases in auditory and motor speech related cortex. The second study extended this line of research to children who stutter, who were found to have localized grey matter volume decreases in motor speech related cortex. Together, these studies suggest an abnormal trajectory of regional grey matter development in motor speech cortex of people who stutter. The last two studies investigated the mechanism underlying the repeated findings of reduced auditory activation during speech in people who stutter in more detail. Magnetoencephalography was used to investigate the hypothesis that people who stutter have increased speech induced suppression of early evoked auditory responses. Adults and children who stutter demonstrated typical levels of speech induced suppression relative to fluent peers. However, adults and children who stutter showed differences from peers in the timing of cortical auditory responses. Taken together, the studies demonstrate structural and functional abnormalities in brain regions related to auditory processing and point to the possibility that people who stutter have difficulty forming the neural representations of speech sounds necessary for fluent speech production.
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A longitudinal study of brain structure in the early stages of schizophreniaWhitford, Thomas James January 2007 (has links)
Doctor of Philosophy (PhD) / Schizophrenia is a severe mental illness that affects approximately 1% of the population worldwide, and which typically has a devastating effect on the lives of its sufferers. The characteristic symptoms of the disease include hallucinations, delusions, disorganized thought and reduced emotional expression. While many of the early theories of schizophrenia focused on its psychosocial foundations, more recent theories have focused on the neurobiological underpinnings of the disease. This thesis has four primary aims: 1) to use magnetic resonance imaging (MRI) to identify the structural brain abnormalities present in patients suffering from their first episode of schizophrenia (FES), 2) to elucidate whether these abnormalities were static or progressive over the first 2-3 years of patients’ illness, 3) to identify the relationship between these neuroanatomical abnormalities and patients’ clinical profile, and 4) to identify the normative relationship between longitudinal changes in neuroanatomy and electrophysiology in healthy participants, and to compare this to the relationship observed between these two indices in patients with FES. The aim of Chapter 2 was to use MRI to identify the neuroanatomical changes that occur over adolescence in healthy participants, and to identify the normative relationship between the neuroanatomical changes and electrophysiological changes associated with healthy periadolescent brain maturation. MRI and electroencephalographic (EEG) scans were acquired from 138 healthy participants between the ages of 10 and 30 years. The MRI scans were segmented into grey matter (GM) and white matter (WM) images, before being parcellated into the frontal, temporal, parietal and occipital lobes. Absolute EEG power was calculated for the slow-wave, alpha and beta frequency bands, for the corresponding cortical regions. The age-related changes in regional tissue volumes and regional EEG power were inferred with a regression model. The results indicated that the healthy participants experienced accelerated GM loss, EEG power loss and WM gain in the frontal and parietal lobes between the ages of 10 and 20 years, which decelerated between the ages of 20 and 30 years. A linear relationship was also observed between the maturational changes in regional GM volumes and EEG power in the frontal and parietal lobes. These results indicate that the periadolescent period is a time of great structural and electrophysiological change in the healthy human brain. The aim of Chapter 3 was to identify the GM abnormalities present in patients with FES, both at the time of their first presentation to mental health services (baseline), and over the first 2-3 years of their illness (follow-up). MRI scans were acquired from 41 patients with FES at baseline, and 47 matched healthy control subjects. Of these participants, 25 FES patients and 26 controls returned 2-3 years later for a follow-up scan. The analysis technique of voxel-based morphometry (VBM) was used in conjunction with the Statistical Parametric Mapping (SPM) software package in order to identify the regions of GM difference between the groups at baseline. The related analysis technique of tensor-based morphometry (TBM) was used to identify subjects’ longitudinal GM change over the follow-up interval. Relative to the healthy controls, the FES patients were observed to exhibit widespread GM reductions in the frontal, parietal and temporal cortices and cerebellum at baseline, as well as more circumscribed regions of GM increase, particularly in the occipital lobe. Furthermore, the FES patients lost considerably more GM over the follow-up interval than the controls, particularly in the parietal and temporal cortices. These results indicate that patients with FES exhibit significant structural brain abnormalities very early in the course of their illness, and that these abnormalities progress over the first few years of their illness. Chapter 4 employed the same methodology to investigate the white matter abnormalities exhibited by the FES subjects relative to the controls, both at baseline and over the follow-up interval. Compared to controls, the FES patients exhibited volumetric WM deficits in the frontal and temporal lobes at baseline, as well as volumetric increases at the fronto-parietal junction bilaterally. Furthermore, the FES patients lost considerably more WM over the follow-up interval than did the controls in the middle and inferior temporal cortex bilaterally. While there is substantial evidence indicating that abnormalities in the maturational processes of myelination play a significant role in the development of WM abnormalities in FES, the observed longitudinal reductions in WM were consistent with the death of a select population of temporal lobe neurons over the follow-up interval. The aim of Chapter 5 was to investigate the clinical correlates of the GM abnormalities exhibited by the FES patients at baseline. The volumes of four distinct cerebral regions where 31 patients with FES exhibited reduced GM volumes relative to 30 matched controls were calculated and correlated with patients’ scores on three primary symptom dimensions: Disorganization, Reality Distortion and Psychomotor Poverty. The results indicated that the greater the degree of atrophy exhibited by the FES patients in three of these four ‘regions-of-reduction’, the less severe their degree of Reality Distortion. These results suggest that an excessive amount of GM atrophy may in fact preclude the formation of hallucinations or highly systematized delusions in patients with FES. The aim of Chapter 6 was to identify the relationship between the longitudinal changes in brain structure and brain electrophysiology exhibited by 19 FES patients over the first 2-3 years of their illness, and to compare it to the normative relationship between the two indices reported in Chapter 2. The methodology employed for the parcellation of the MRI and EEG data was identical to Chapter 2. The results indicated that, in contrast to the healthy controls, the longitudinal reduction in GM volume exhibited by the FES patients was not associated with a corresponding reduction in EEG power in any brain lobe. In contrast, EEG power was observed to be maintained or even to increase over the follow-up interval in these patients. These results were consistent with the FES patients experiencing an abnormal elevation of neural synchrony. Such an abnormality in neural synchrony could potentially form the basis of the dysfunctional neural connectivity that has been widely proposed to underlie the functional deficits present in patients with schizophrenia. The primary aim of Chapter 7 was to assimilate the findings from the preceding empirical chapters with the theoretical framework provided in the literature, into an integrated and testable model of schizophrenia. The model emphasized dysfunctions in brain maturation, specifically in the normative processes of synaptic ‘pruning’ and axonal myelination, as playing a key role in the development of disintegrated neural activity and the subsequent onset of schizophrenic symptoms. The model concluded with the novel proposal that disintegrated neural activity arises from abnormal elevations in the synchrony of synaptic activity in patients with first-episode schizophrenia.
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Εφαρμογή και αξιολόγηση των μεθόδων Diffusion Weighted Imaging και Diffusion Tensor Imaging σε χωροκατακτητικές νόσους του κεντρικού νευρικού συστήματοςΔιαμαντής, Απόστολος 07 June 2013 (has links)
Οι τεχνικές απεικόνισης μοριακής διάχυσης (DWI) και τανυστή διάχυσης (DTI) είναι από τις πιο δημοφιλείς τεχνικές μαγνητικής τομογραφίας (MRI) στην έρευνα του εγκεφάλου. Διάχυση (ή θερμική κίνηση Brown) είναι ένα τυχαίο φαινόμενο το οποίο περιγράφει τη μεταφορά υλικού (π.χ μόρια νερού) από μία χωρική θέση σε άλλη με την πάροδο του χρόνου. Η διάχυση του νερού σε βιολογικούς ιστούς παρατηρείται μέσα, έξω, γύρω από τις κυτταρικές δομές και είναι αποτέλεσμα της θερμικής ενέργειας των μορίων. Η κάθε τεχνική υποστηρίζεται από τον δικό της αλγόριθμο από τους οποίους προκύπτουν και οι αντίστοιχοι παραμετρικοί χάρτες. Πιο συγκεκριμένα από την τεχνική διάχυσης προκύπτει ο δείκτης της φαινόμενης σταθεράς διάχυσης (ADC-Apparent Diffusion Coefficient) , ενώ από την τεχνική του τανυστή διάχυσης προκύπτει ο δείκτης της κλασματικής ανισοτροπίας (FA-Fractional Anisotropy). Η παράμετρος ADC δείχνει πόσο διαφέρει η διάχυση στην περιοχή ενδιαφέροντος σε σχέση με την μέση τιμή διάχυσης. Η κλασματική ανισοτροπία (FA) είναι δείκτης μέτρησης του βαθμού ανισοτροπίας της διάχυσης και η τιμή της εξαρτάται άμεσα από την ακεραιότητα των νευρικών ινών. Το φάσμα εφαρμογής των δύο τεχνικών είναι ευρύ (εφαρμογή σε απομυελινωτικές νόσους, ισχαιμικά επεισόδια, εγκεφαλικοί όγκοι). Ο κύριος λόγος είναι ότι η διάχυση των μορίων νερού είναι ιδιαίτερα ευαίσθητη σε τυχόν αλλοιώσεις στη δομή των ινών της Λευκής ουσίας. Σκοπός της παρούσας ερευνητικής είναι η εφαρμογή των τεχνικών Τανυστή Διάχυσης (DTI) και Μοριακής Διάχυσης (DWI) σε τρείς κατηγορίες εγκεφαλικών όγκων (μηνιγγιώματα, γλοιώματα υψηλής και χαμηλής κακοήθειας, εγκεφαλικούς μεταστατικούς όγκους) με σκοπό τον διαχωρισμό αυτών. / The brain is a highly organized organ with a complex microstructural organization . The microstructural organization of brain tissue affects the molecular motion (diffusion) of water. Diffusion therefore reflects the structural organization of tissue. Diffusion imaging is a
Magnetic Resonance (MR) imaging technique that allows the quantification to the molecular motion of water. Magnitude and directionality (anisotropy) of molecular motion of water can be described. Measurements of the magnitude of diffusion have been used to identify abnormal tissue in tumors, stroke, multiple sclerosis and status epilepticus. Diffusion tensor imaging (DTI) is a relatively new technique that allows rotationally invariant measurements of both magnitude and directionality of water diffusion. DTI sequences with calculation of apparent diffusion coefficient (ADC) and fractional anisotropy (FA) scalars allow characterization of the shape and magnitude of the diffusion ellipsoid. These parameters consequently reflect the microstructural architecture of the human brain. In addition, quantification of diffusion can be especially helpful as it may allow early diagnosis of pathology . The purpose of this study was to correlate the changes in FA and ADC between three different brain tumors and outline the probability of presurgical tumor differentiation.
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Quantifying collateral flow pathways in the brainMcConnell, Flora A. Kennedy January 2017 (has links)
Ischaemic stroke is a major cause of death and disability worldwide. Cerebral autoregulation, which can be impaired during acute stroke, and collateral flow to brain tissue through the circle of Willis, both play a role in preventing tissue infarction. The configuration of the arterial circle varies between individuals. Thus, personalised modelling of the cerebral arterial network, to determine the potential for collateral flow, can be of significant value in the clinical context of stroke. The interaction between autoregulation and collateral flow remains poorly understood. In this study, steady-state physiological models of the cerebral arterial network, including several common variants of the circle of Willis, were coupled to a spatially variable mathematical representation of cerebral autoregulation. The resulting model was used to simulate various arterial occlusions, as well as bilateral and unilateral impairment of autoregulation, in each structural variant. The work identified few circle of Willis variants that present either particularly high-risk or particularly low-risk of cerebral ischaemia. Instead it was found that most variants are dependent upon the bilateral function of autoregulation to facilitate collateral flow and preserve cerebral blood flows. When autoregulation was impaired unilaterally, downstream of an occlusion, blood flows in the contralateral hemisphere were preserved at the expense of the ipsilateral tissue at risk. Arterial network models have in the past been personalised using structural, rather than functional, angiography measurements. This thesis presents a novel model-based method for absolute blood volume flow rate quantification in short arterial segments using dynamic magnetic resonance angiography data. The work also investigated the additional information that can be obtained from such functional angiography. The flow quantification technique was found to accurately estimate flows in shorter arterial segments than an existing technique. However, improvements to noise performance, and strategies for rejection of contaminating signals from overlapping vessels within the imaging plane, are required before the technique can be applied to personalised cerebral arterial network modelling.
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Micro-imagerie par résonance magnétique de matériaux solides en rotation à l'angle magique / Magic angle spinning magnetic resonance micro-imaging of rigid solidsYon, Maxime 24 October 2017 (has links)
L’imagerie par résonance magnétique est une technique non invasive et non ionisante permettant de caractériser la structure anatomique des tissus biologiques mous via la localisation des signaux de résonance magnétique nucléaire (RMN) des molécules mobiles. Cependant, l’application de l’IRM pour l’étude des matériaux rigides reste difficile dû aux forts élargissements des raies de résonances inhérents aux matériaux solides qui diminuent la résolution et le rapport signal sur bruit des images obtenues par encodage fréquentiel.La rotation à l’angle magique (MAS) permet de moyenner efficacement les interactions anisotropes de l’état solide par une rotation de l’échantillon, réduisant ainsi la largeur des raies de résonance. Dans ce manuscrit la possibilité de combiner la rotation à l’angle magique et l’IRM pour effectuer de la micro-imagerie multidimensionnelle et multi-nucléaire (¹H, ³¹P, ²⁷Al et ⁵¹V) à très haut champ magnétique (17,6 T) de matériaux solides avec une résolution et un rapport signal sur bruit largement supérieur à ceux obtenus en condition statique est démontrée. Une large gamme de matériaux (polymères, céramiques et tissus calcifiés biologiques) a été étudiée. Des images avec une résolution comprise entre 30 et 300 μm ont pu être obtenues pour des fréquences de rotation MAS allant jusqu’à 20 kHz, en utilisant des séquences IRM d’écho ou à temps d’écho nul. La possibilité d’utiliser un schéma de sous-échantillonnage associé à des algorithmes de reconstruction est aussi abordée.L’utilisation de séquences de RMN solide tels que la polarisation croisée pour augmenter le contraste et ainsi mettre en évidence des variations physico-chimiques localisées dans des tissus calcifiés biologiques est aussi démontrée. L’utilisation de gradients de champ magnétique pulsés combinés à la rotation à l’angle magique rend aussi possible la spectroscopie RMN de haute résolution localisée spatialement. Cette méthode a été utilisée pour étudier in vivo et dans chacun des segments du corps le métabolome de drosophiles modèles de pathologies neurodégénératives. / Magnetic Resonance Imaging (MRI) is a non-invasive and non-ionizing powerful tool widely used to characterize the structure and function of biological soft tissues through the localization of the NMR signal of mobile species. In contrast, the application of MRI in rigid solids remains challenging as they usually exhibit strong line broadening which decreases both the sensitivity and the resolution obtained with frequency encoding and short transverse relaxation time prohibiting the use of echo MRI sequences.Magic Angle Spinning (MAS) provides an efficient averaging of the an isotropic interactions in the solid statethrough a macroscopic rotation of the sample and allows obtaining narrow resonances. In this manuscript,we show the potentialities of combining MAS and MRI to carry out multi-nuclei (¹H, ³¹P, ²⁷Al or ⁵¹V) multidimensional micro-imaging in rigid solids, at very high magnetic field (17.6 T), with greatly improved SNR and spatial resolution when compared to static conditions. This is exemplified on a wide range of materials(polymers, oxide ceramics, biomaterials and hard tissues) for which the use of MAS at frequencies up to 20 kHz with spin-echo or Zero Echo Time (ZTE) MRI sequences allow obtaining images with spatialre solutions ranging from 30 to 300 μm. It is also demonstrated that solid state NMR sequences such as Cross-Polarization (CP) can be employed to enhance contrast and to further depict spatially localized chemical variations in bones and related materials. The possibility of using under sampled acquisition scheme with reconstruction algorithms is also addressed.The combination between pulsed field gradients and MAS also offers the possibility to perform high resolution localized spectroscopy. This methodology is used to study, in vivo and at the organ level, the metabolism of neuro degenerative pathologies drosophila models.
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Geometric and numerical modeling of facial mimics derived from Magnetic Resonance Imaging (MRI) using Finite Element Method (FEM) / Modélisation géométrique et numérique de la mimique faciale à partir d'imagerie par résonance magnétique (IRM) utilisant la méthode d'éléments finis (MEF)Fan, Ang-Xiao 27 October 2016 (has links)
Le visage humain joue un rôle important dans la communication interpersonnelle. La dysfonction du visage ou le défigurement due aux traumatismes ou pathologies peuvent entraver les activités sociales normales. Le traitement chirurgical est souvent nécessaire. De nos jours, le résultat du traitement chirurgical et l’état d’établissement ne sont estimé qu’avec les méthodes qualitatives telles que l’observation visuelle et la palpation. Dans l’attente de fournir des critères quantitatifs, cette thèse a pour l’objectif de modéliser la mimique faciale utilisant MEF (Méthode d’Éléments Finis) sur la base des données d’IRM (Imagerie par Résonance Magnétique). Un modèle sujet-spécifique du visage a été construit sur la base de la segmentation des données IRM ; il contient des parties osseuses, muscles de la mimique (p.ex. le muscle grand zygomatique), les tissues mous sous-cutanées et la peau. L’identification des tissus mous biologiques a été réalisée via des essais de traction bi-axiale et la modélisation numérique. Ensuite, le modèle géométrique a été maillé pour effectuer des calculs EF simulant trois mouvements mimiques du visage (sourire, prononciation du son « Pou » et « O »). Les muscles ont été modélisés comme un matériau quasi-incompressible, transversalement isotrope et hyperélastique, avec la capacité d’activation. Des informations pertinentes (p.ex. l’amplitude de contraction du muscle) utilisées dans la simulation ont été extraites de la mesure des données d’IRM. Il est à noter que les mêmes données expérimentales d’IRM telles qu’ils ont utilisées dans la modélisation ont été prises comme une référence de validation pour les résultats de simulation. Cette étude peut être appliquée cliniquement dans l’évaluation du traitement faciale et le rétablissement postopérative. / Human face plays an important role interpersonal communication. Facial dysfunction or disfigurement due to trauma or pathologies may impede normal social activities. Surgical treatment is often necessary. Nowadays, treatment outcome and rehabilitation condition are estimated only by qualitative methods, such as visual observation and palpation. In expectation of providing quantitative criteria, this thesis proposes to model facial mimics using FEM (Finite Element Method) on the basis of MRI (Magnetic Resonance Imaging) data. A subject-specific face model was reconstructed based on segmentation of MRI data; it contains bony parts, mimic muscles (e.g. zygomaticus major muscle), subcutaneous soft tissues and skin. Identification of biological soft tissues was conducted through bi-axial tension tests and numerical modeling. Then the geometric model was meshed to conduct FE calculations simulating three facial mimic movements (smile, pronunciation of sound “Pou” and “O”). Muscle was modeled as quasi-incompressible, transversely-isotropic, hyperelastic material, with activation ability. Relevant information (e.g. contraction amplitude of muscle) used in simulation was extracted from measurement of MRI data. It is to be noted that the same experimental MRI data as used in modeling was taken as validation reference for simulation results. This study can be applied clinically in evaluation of facial treatment andpostoperative recovery.
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3D Coding Of MR Images And Estimation Of Hemodynamic Response Function From fMRI DataSrikanth, R 11 1900 (has links) (PDF)
No description available.
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A comparison of three brain atlases for MCI prediction / 軽度認知障害からアルツハイマー病への移行予測精度における脳アトラス選択の影響Ota, Kenichi 23 March 2015 (has links)
京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第18872号 / 医博第3983号 / 新制||医||1008(附属図書館) / 31823 / 京都大学大学院医学研究科医学専攻 / (主査)教授 河野 憲二, 教授 古川 壽亮, 教授 髙橋 良輔 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DGAM
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Das Verhalten von Mikrochips bei magnetresonanztomographischen Untersuchungen: Das Verhalten von Mikrochips bei magnetresonanztomographischenUntersuchungenPiesnack, Susann 19 May 2015 (has links)
Mikrochips zur Tierkennzeichnung bestehen aus verschiedenen metallischen Materialien. Diese treten in der Magnetresonanztomographie in Wechselwirkung mit den elektromagnetischen Feldern. So verursachen die ferromagnetischen Materialen der Mikrochips gravierende fokale Bildstörungen. Diese Suszeptibilitätsartefakte können die Beurteilbarkeit der Halsregion erheblich einschränken. Ziel der Studie war, den Einfluss des Sequenztyps auf die Größe des Artefakts zu untersuchen und herauszufinden, welche Möglichkeiten zur Artefaktreduktion bei Veränderung bestimmter Sequenzparameter bestehen. Zusätzlich sollte geklärt werden, wie groß der Abstand zwischen Spinalkanal und Mikrochip mindestens sein muss, um spinale Strukturen beurteilen zu können.
In das Untersuchungsgut der Studie gingen die Kadaver von 26 Katzen und 2 Hunden ein. An einem 0,5-Tesla-MRT wurde für verschiedene Sequenztypen (SE-Sequenzen, TSE-Sequenzen, GRE-Sequenzen) und Kombinationen modifizierter Sequenzparameter (Echozeit (TE), Voxelgröße, Ausleserichtung) das Ausmaß der Artefakte ermittelt. Berechnet wurde der Flächeninhalt des Artefakts (cm2). Dieser wurde dann als prozentualer Anteil zur Fläche des Halsquerschnitts angegeben. Diese Berechnung erfolgte für alle untersuchten Einstellungen an transversalen Aufnahmen. Eine ergänzende computertomografische Untersuchung dienste dazu, die Distanz zwischen Spinalkanalund Mikrochip zu messen.
Die Untersuchungen der Studie haben gezeigt, dass TSE-Sequenzen wegen ihrer geringeren Artefaktanfälligkeit den SE- und GRE-Sequenzen vorgezogen werden sollten. Besonders kleine Artefakte konnten bei einer T1-TSE-Sequenz mit kleiner TE (10 ms) und kleiner Voxelgröße (große Akquisitionsmatrix von 256 x 256 Pixel, kleines Field of View (FOV) von 160 mm, geringe Schichtdicke (ST) von 2 mm) erreicht werden. Durch Anpassung der Kodierrichtung war es möglich, die Form und Richtung des Artefaktes zu beeinflussen. Lag das Zentrum des Mikrochips näher als 19 mm von der Mitte des Wirbelkanals entfernt, ließen sich auch mit dieser optimierten Sequenz die spinalen Strukturen auf Höhe des Mikrochips nicht beurteilen.
Die Größe und Form der Suszeptibilitätsartefakte konnten durch die Wahl des Sequenztyps und Modifikation von Sequenzparametern verändert werden. Dies ist besonders bei kleinen Tieren von Bedeutung. Bei diesen kann es aufgrund der geringen Distanz zwischen Mikrochip und Wirbelsäule zur Beeinträchtigung der MR-Bildauswertung kommen. Eine T1-gewichtete TSE-Sequenz mit kleiner Echozeit (10 ms) und kleiner Voxelgröße (Akquisitionsmatrix 256 x 256 Pixel, FOV 160 mm, ST 2 mm) bietet bei 0,5 Tesla das größte Potenzial zur Artefaktreduktion.
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Analyse der knöchernen Einheilung von Biomaterialien mit der MagnetresonanztomographieElschner, Cindy 10 June 2016 (has links)
Die Analyse von Implantat-Gewebe-Wechselwirkungen basiert derzeit hauptsächlich auf histologischen Techniken. Der invasive Charakter der histologischen Präparation lässt allerdings keine Untersuchung am lebenden Tier zu. Dadurch ist es nicht möglich, den Prozess der Implantateinheilung wiederholt an einem Tier zu beobachten. Die Folgen sind eine hohe Anzahl aufzuwendender Versuchstiere und eine Vergrößerung der Messunsicherheit infolge der gestiegenen biologischen Variabilität. Nicht-invasive, bildgebende Verfahren spielen daher eine zunehmende Rolle für die Entwicklung neuer Biomaterialien. Während die Computertomographie (CT) häufig zur Untersuchung der knöchernen Implantateinheilung verwendet wird, hat sich die Nutzung der Magnetresonanztomographie (MRT) für diese Fragestellungen bisher nicht etabliert.
Bei der Magnetresonanztomographie handelt es sich, analog zur Computertomographie, um ein bildgebendes Verfahren zur nicht-invasiven Erzeugung digitaler Schnittbilder. Im Gegensatz zur CT, die das Hartgewebe abbildet, wird bei der MRT das Weichgewebe detektiert, wobei keine ionisierende Strahlung verwendet wird. Der große Vorteil der MRT gegenüber anderen bildgebenden Methoden besteht darin, dass es möglich ist, das Weichgewebe auf den Schnittbildern anhand verschiedener Kontraste darzustellen. Zusätzlich können MR-spezifische Parameter quantifiziert werden, die einen direkten Rückschluss auf die Struktur zulassen. Mit diesen Kennzahlen ist es möglich, Veränderungen im Weichgewebe analysieren.
Das Ziel der Arbeit war es deshalb, die Eignung und mögliche Anwendungen der Magnetresonanzto-mographie (MRT) zur Analyse der Implantat-Gewebe-Wechselwirkungen zu erörtern. Für die Untersu-chungen wurde ein NMR-Spektrometer inklusive Imaging-Zubehör verwendet.
Die Dissertationsarbeit beinhaltete sowohl die Untersuchung verschiedener Materialsysteme hinsichtlich ihrer Eignung für die MRT und deren Biokompatibilität, als auch die Analyse der knöchernen Einheilung ausgewählter Biomaterialien. Diese umfasste Aussagen zur Darstellbarkeit und Abgrenzbarkeit von Strukturen und beinhaltete auch quantitativ gewonnene Messparameter. Die Ergebnisse wurden stets im Vergleich mit der Histologie diskutiert.
In der Arbeit konnte dargestellt werden, dass die Überprüfung der Eignung des zu untersuchenden Materials für die MRT vor der Analytik erfolgen muss. Es wurde demonstriert, dass Metalle erheblich mit dem MR-System wechselwirken können, was in der Konsequenz zu drastischen Störungen der Bildqualität führt. Diese Effekte waren stark von den ausgewählten Messparametern abhängig. Als ein MRT-geeignetes Verbundmaterial wurde Titan-beschichtetes Polyetheretherketon (PEEK/Ti) vorgeschlagen. Die Beschichtung mit Titan führte zu einer signifikant verbesserten Biokompatibilität des Kunststoffes.
Die erfolgreiche Analyse der knöchernen Einheilung mit der Magnetresonanztomographie wurde im Rahmen von zwei tierexperimentellen Studien an verschiedenen Biomaterialien gezeigt (die Analyse erfolg-te ex vivo). Die Untersuchung der knöchernen Integration eines Zahnimplantates aus PEEK/Ti hatte das Ziel, die Darstellbarkeit des Implantates und knöcherner Strukturen mit der Magnetresonanztomographie zu evaluieren. Außerdem wurde ebenfalls gezeigt, dass es anhand der MRT-Schnittbilder möglich ist, quantitative Messgrößen zur Beschreibung des Einheilprozesses zu gewinnen. Aufgrund der geringen Versuchstierzahl wurde jedoch eine breite Streuung der Messdaten festgestellt. Allerdings besitzt die Studie durch die Untersuchung eines Zahnimplantates aus Polyetheretherketon/Titan mit der MRT nicht nur Neuheitswert in der Biomaterialforschung, sondern schlägt gleichzeitig eine Brücke zur klinischen, dentalen Implantologie.
Die Bewertung der Darstellbarkeit knöcherner Strukturen und der verwendeten (teils tissue-engineerten) Knochenersatzmaterialien mit MRT und Histologie und des klinischen Erfolges derselben bildeten einen Schwerpunkt der zweiten tierexperimentellen Studie (die Analyse erfolgte ex vivo). Es war möglich, mit beiden bildgebenden Verfahren zu zeigen, dass sich die verwendeten Knochenersatzmaterialien nicht für die vorgesehene Anwendung eigneten.
Die Beurteilung der Übereinstimmung der quantitativ gewonnenen Parameter beider Analysenmethoden bildete den Abschluss der Arbeit. Es wurde festgestellt, dass zwischen den Messdaten stets ein syste-matischer Unterschied bestand. Nachweislich war dieser aber weniger das Resultat der ungleichen lateralen Auflösungen oder der unterschiedlichen Darstellbarkeit von Gewebestrukturen der beiden Verfahren, sondern konnte auf den Einfluss der Analyse verschiedener Schichtebenen und individueller Unterschiede bei der digitalen Quantifizierung der auswertenden Personen zurückgeführt werden. / Currently, histological techniques are used to analyse implant-tissue-interactions. However, these methods are destructive and do not allow for the investigation of living animals. Therefore, it is not possible to study the integration of biomaterials repeatedly with one animal, resulting in a large number of animals and an increase of biological variability. Non-invasive imaging techniques have gained interest in the field of biomaterials. Whereas Computed Tomography (CT) was often used to evaluate the osseous integration, the assessment using Magnetic Resonance Imaging (MRI) has not been established, yet.
MRI is a non-invasive medical imaging method that detects soft tissue. In contrast to CT the method does not require individuals to be exposed to radiation. The most important benefit of MRI is the possibility to acquire different soft tissue contrasts in situ because the various tissues have different signal intensities on MR images that can be altered by using different experimental parameters. Furthermore, it is possible to gain MR-specific properties that allow conclusions to the tissue structure.
Thus, the objective of the doctoral thesis has been to investigate the suitability of MRI for the use in biometerial research and to show potential areas of application. The examinations were performed using a laboratory NMR-spectrometer inclusive imaging accessory.
The thesis included an evaluation of the MR compatibility of different materials and their biocompati-bility and an analysis of the ingrowth of chosen biomaterials into bone. For that, the detection and identification of tissue structures and biomaterials was investigated with both, MRI and histology. Additionally, quantitative parameters were acquired and their comparability was assessed.
It was clearly demonstrated, that metals interacted with the MR system and provoked large image distortions. These effects were strongly dependent on experimental parameters chosen.
Polyetheretherketone with titanium coating (PEEK/Ti) was investigated and has been found to be MR safe. Above all, it was demonstrated that the biocompatibility of the polymer was significantly enhanced by coating with titanium.
Within two animal studies the successful analysis of the osseous healing of different biomaterials with MRI was presented. To demonstrate the visibility of bony structures and biomaterials a dental implant made of PEEK/Ti was analysed. The ability to measure quantitative data in analogy to histomorphometry was shown, ditto. A large variation of the values was detected due to the limited number of animals used for the pilot study.
Evaluating the displayability of bone and (to some extent tissue engineered) bone substitutes and assessing the clinical success of these materials was one main focus of the second animal study. Both, MRI and histological analysis could undeniably illustrate that all of the bone substitutes were not suitable for the chosen application. The thesis was completed with the determination of the agreement of quantitative values from both analysing methods. It was concluded that all values gained from the animal study were significantly different. It was proven that the chosen slice position and the image interpretation with two evaluators had a larger share to disagreement than the different lateral resolution of MRI and histological images or the diverging displayability of bone and bone substitutes.
By investigating a MR suitable dental PEEK implant the doctoral thesis fulfils the criteria of novelty in biomaterial research. Moreover, it forges links between preclinical research and dental implantology.
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