Signal Intensity Changes Research Articles

Application of amide proton transfer imaging for the diagnosis of neonatal hypoxic-ischemic encephalopathy.

This study aimed to evaluate cerebral amide proton transfer signal intensity (SI) among controls, hypoxic-ischemic encephalopathy (HIE) neonates with normal conventional magnetic resonance imaging (HIE/MRI-) findings, and HIE neonates with abnormal conventional MRI (HIE/MRI+) findings. Forty neonates diagnosed with neonatal HIE and sixteen normal neonates were evaluated. All neonates underwent conventional MRI scans and APT imaging. Cerebral APT SIs were compared to identify cerebral regions with significant APT changes among sixteen controls, thirteen HIE/MRI- patients, and twenty-seven HIE/MRI+ patients. Significantly increased APT SIs were observed in the HIE/MRI- group compared with controls, in the left insula, right occipital lobe, left cingulate gyrus (posterior part), and corpus callosum. Significantly increased APT SIs were found in the HIE/MRI+ group compared with controls, in the right anterior temporal lobe (medial part), anterior parts of the right parahippocampal and ambient gyri, left superior temporal gyrus (middle part), left insula, left cingulate gyrus (posterior part), and right lentiform nucleus. No significant APT SI differences were observed in the cerebellum and brainstem among the three groups. Amide proton transfer imaging plays an important role in detecting hypoxic-ischemic encephalopathy regardless of conventional MRI findings. Changes in APT signal intensity may provide important insights into the characterization of the cerebral internal environment. This study suggests that APT imaging could be used as a complement to conventional MRI in the detection of hypoxic-ischemic encephalopathy in clinical practice.

Abstract 13267: Angina Burden and Coronary Vascular Function in Women With Ischemia and No Obstructive Coronary Arteries—Role of Oxygenation-Sensitive Cardiovascular Magnetic Resonance Imaging

Introduction: Patients with ischemia and no obstructive coronary arteries (INOCA) often have coronary microvascular dysfunction (CMD). An association between higher angina burden (lower Seattle Angina Questionnaire [SAQ] scores) and increased severity of CMD has previously been reported. Oxygenation-Sensitive Cardiovascular Magnetic Resonance (OS-CMR) is a novel approach that can potentially evaluate CMD. To date, the relationship between angina burden and OS-CMR biomarkers has not been elucidated. Methods: We investigated the association between angina burden, quantified by the mean and 5 individual components of the SAQ, with measures of myocardial oxygenation, using OS-CMR. More severe CMD is reflected by a decreased % signal intensity (SI) change after hyperventilation (Breathing-enhanced Myocardial REserve, B-MORE), calculated by [(Hyperventilation - Breath Hold)/Breath Hold] x 100%. Univariable linear regression analysis was used to investigate the associations. Results: In 44 women with INOCA (mean age 55.1±0.9 years), B-MORE was 5.0±1.4% (Table). Several components of the SAQ were associated with OS-CMR measures of CMD [physical limitation (R 2 =0.281, Beta=0.530, p=0.042), angina frequency (R 2 =0.216, Beta=0.465, p=0.039), disease perception (R 2 =0.254, Beta=0.504, p=0.024), and the mean overall SAQ (R 2 =0.285, Beta=0.534, p=0.015)] (Panel Figure). Conclusion: In women with INOCA, angina burden is associated with coronary vascular function, as assessed by OS-CMR. Therefore, this novel approach may provide objective information to detect the presence of CMD.

Suitability of lectin binding studies for the characterization of redox-active microbial environmental biofilms

Aquatic environmental microbial biofilms grow in a broad range of redox environments from oxic to methanogenic, and they often also establish internal redox gradients. In technical applications, biofilms are also subjected to controlled redox conditions. Studies on biofilms often make use of fluorescence microscopic imaging techniques together with lectin binding analysis to gain insights into structure, composition, and functions of the biofilms. Here we studied the direct influence of redox potentials on fluorescence lectin binding analyses (FLBA) for two commonly used lectin-fluorophore conjugates. An effect of the electrical potential on signal intensity was observed and found to be statistically significant. The signal intensity changes however, remained within the range of a few percent total. A significant drop in intensity was only observed for extremely oxidizing potentials, typically not found under environmental conditions. Our results showed that the fluorophore itself and not the lectin binding to the respective glycoconjugate causes fluorescence changes. The two tested lectin-fluorophores are shown to be suitable for studying the distribution and composition of EPS in environmental biofilms or technical applications and under varying redox conditions.

Gradient-based edge detection with skeletonization (GES) segmentation for magnetic resonance optic nerve images

This study proposes a new segmentation method called gradient-based edge detection with skeletonization (GES) for the cross-sectional optic nerve on magnetic resonance (MR) images acquired with T1-weighted fast spoiled gradient-echo (FSPGR) without fat saturation. The raw optic nerve images have very poor resolution with unclear edges. Therefore, the images were first pre-processed with bicubic interpolation to improve the spatial resolution. Then, the proposed GES segmentation was applied to produce a distinct optic nerve image. The edges of the optic nerve were identified by finding the largest gradient changes in signal intensity between the optic nerve region and its surrounding cerebrospinal fluid (CSF). Particle swarm optimization (PSO) and level set method (LSM) segmentations were applied for comparison. Manual segmentation performed by a certified radiologist was used as the ground truth for the evaluation of the computerized segmentation. GES produced a higher mean Dice similarity coefficient (DSC) index of 0.81 ± 0.04 compared to the LSM with a mean DSC index of 0.67 ± 0.17. The bicubic-GES processed optic nerve images were used for the quantitative measurement on ten normal datasets. This study has reported the quantitative values of the longest length of the optic nerve up to the chiasm (37.2 mm) using MR images. The proposed GES segmentation method for the optic nerve will be useful for investigating any optic nerve-related disease that affects the area or volume of the optic nerve.

Comparison of the diagnostic performance of changes in signal intensity and volume from multiparametric MRI for assessing response of rectal cancer to neoadjuvant chemoradiotherapy.

To evaluate the change in signal intensity (SI) and volume (V) from multiparametric magnetic resonance imaging (MRI) for assessing the response of locally advanced rectal cancer (LARC) to chemoradiotherapy (CRT). Eight-two LARC patients who underwent pre- and post-CRT T2-weighted (T2W), apparent diffusion coefficient (ADC), and contrast-enhanced T1-weighted (ceT1W) MRI were retrospectively analyzed. The change of volume (%△V) and relative SI ratio (%△SIR) from each sequence were determined. All LARCs were confirmed pathologically and classified as tumor regression grade (TRG) -0, 1, 2,or 3. Descriptive statistics and receiver operating characteristic (ROC) analysis, with calculation of area under the curve (AUC), were used to compare the diagnostic performances. Sixteen patients had TRG-0, 15 had TRG-1, 35 had TRG-2, and 16 had TRG-3. Except for ADC-%△SIR, the remaining %△V and %△SIR values on MR sequences had significant differences among the four groups. The %△V and %△SIR (alone or together) did not distinguish TRG-1 from TRG-2, nor TRG-2 from TRG-3; however, differences between other TRGs were identified by %△V and %△SIR. The combined use of ADC-%△V and T2W-%△SIR provided the best diagnostic performance in distinguishing of TRG-0 from TRG-2 (AUC: 0.954) and from TRG-3 (AUC: 1.000). Preoperative MRI of LARC patients after CRT has high diagnostic value for determination TRG, and may therefore improve the selection of patients most suitable for surgery.

Portable electrochemiluminescence detection system based on silicon photomultiplier single photon detector and aptasensor for the detection of tetracycline in milk

In this work, a portable electrochemiluminescence (ECL) detection system based on silicon photomultiplier (SiPM) single photon detector was proposed for the detection of ECL signals on a screen-printed electrode (SPE). This instrument innovatively used SiPM single photon detector to detect the ECL signal, which solved friability and bloat caused by the high operating voltage and the limitation of detection components in the traditional ECL detection instrument. This detection instrument showed excellent electrochemical and ECL detection performance. On this basis, an aptasensor based on silver (core)-gold (shell) bimetallic nanoparticles (Ag@AuNPs) was constructed for the detection of tetracycline (TET) in milk on SPE. Here, Ag@AuNPs had a significant effect in enhancing luminol ECL signal and immobilizing aptamer. The concentration of TET was detected according to the changes of the ECL signal intensity of the detection instrument. This instrument exhibited an excellent linearity ranging from 0.01 ng/mL to 1,000 ng/mL for the detection of TET, and a limit of detection (LOD) was 0.0053 ng/mL. The developed portable ECL detection instrument provides a new platform for the detection of small molecule contaminants.

Effects of Cryotherapy on Lower Leg Deep Tissue Temperature Changes: As Measured in Healthy Volunteers by Using MRI Technique.

Background: Since the 1950s, researchers have studied temperature changes in deep tissues caused by cooling stimuli. However, these changes have not been investigated non-invasively. Moreover, opinions are divided as to whether the temperature in the joints rises or falls. The present study investigated the effects of cooling on various tissues in the body, including muscles.Methods: Seven healthy subjects (four males and three females) were enrolled (age, 21.5 ± 0.8 years; height, 165.2 ± 10.7 cm; weight, 63.1 ± 12.17 kg). The research was conducted at the Department of Radiology, Okubo Hospital (Akashi, Hyogo, Japan) between March 2015 and December 2020. Magnetic resonance imaging (MRI) was performed on both lower legs in a noncooled resting state. The right lower leg was cooled for 15 minutes using an ice bath, then both legs were examined by MRI (Experiment 1). After two weeks, the left lower leg was cooled, and MRI was performed on both legs (Experiment 2). After the subsequent two weeks, MRI was performed on both legs without cooling (Experiment 3). The target areas were subcutaneous and adipose tissues, muscle, bone, and cartilage. T1 signal intensity changes after cooling were examined for each tissue. Normality was confirmed by the Shapiro-Wilk test in advance, and the effect size (Cohen's d) was calculated as a post-test when a significant difference was found.Results: In Experiments 1 and 2, T1 signal intensities in subcutaneous tissue, lateral inframalleolar fat pad, the extensor digitorum longus, and abductor hallucis muscles were significantly higher in the cooled than in the noncooled leg (P < 0.05). No significant differences were observed in tissues on the noncooled side.Conclusions: A 15-minute cold stimulation, such as that used for ankle sprains, reduced temperatures in subcutaneous adipose tissue, muscles, and the lateral inframalleolar fat pad. As the lateral inframalleolar fat pad was effectively cooled, the joint capsule and ligaments immediately below may have also been cooled. It is important to consider the tissue intended for cooling when performing cryotherapy. An ice bath below the lower leg is effective for promoting the recovery of damaged tissue.

Statistical analysis of long-term precipitation in the Maghreb reveals significant changes in timing and intensity

Statistical analysis of long-term precipitation in the Maghreb reveals significant changes in timing and intensity

Laser pulse shaping in a semiconductor material

We present a model representing the intensity redistribution of a laser when propagating inside an n-InSb semiconductor material. The intensity-dependent behavior of the refractive index of the semiconductor is responsible for the laser focusing, which leads to laser intensity redistribution. The beam width parameter (f) equation is obtained assuming paraxial approximations. Numerical simulations are performed to measure the variation in the intensity of the laser. A significant change in laser intensity is observed. We predict that our model may be helpful in plasma acceleration.

The intervertebral disc during growth: Signal intensity changes on magnetic resonance imaging and their relevance to low back pain.

Life-time prevalence of low back pain (LBP) in children and adolescents varies from 7% to 72%. Disc changes on magnetic resonance imaging (MRI) have been reported in up to 44% of children with earliest observations around pre-puberty. In this longitudinal cohort study, our objective was to determine the natural history of disc changes from childhood to early adulthood, and the possible association of these changes to LBP. Healthy 8-year-old schoolchildren were recruited for this longitudinal study consisting of a semi-structured interview, a clinical examination, and an MRI investigation at the age of 8-9 (Y8), 11-12 (Y12) and 18-19 (Y19) years. The interview inquired about LBP without trauma. T2-weighted sagittal MRI of the lumbar spine was acquired. Life-long prevalence of LBP was determined, and the disc signal intensity (SI) at the three lowest lumbar levels was assessed both visually using the Schneiderman classification (Bright-Speckled-Dark), and digitally using the disc to cerebrospinal fluid -SI ratio. Possible associations between SI changes and LBP were analyzed. Ninety-four of 208 eligible children were included at Y8 in 1994, 13 and 23 participants were lost to follow-up at Y12 and Y19, respectively. Prevalence of LBP increased after the pubertal growth spurt reaching 54% at Y19. On MRI, 18%, 10% and 38% of participants had disc SI changes at Y8, Y12 and Y19, respectively. No significant associations between self-reported LBP and either qualitative or quantitative disc SI changes were observed at any age. Life-time prevalence of LBP reached 54% by early adulthood. Disc SI changes on MRI traditionally labeled as degenerative were seen earlier than previously reported. Changes in disc SI were not associated with the presence of LBP in childhood, adolescence or early adulthood.

КВАНТОВЫЕ ТОЧКИ СУЛЬФИДА КАДМИЯ, ПОЛУЧЕННЫЕ С ИСПОЛЬЗОВАНИЕМ БЕЛКОВ-ПОРИНОВ, КАРРАГИНАНОВ, ХИТОЗАНОВ И ЛИПОПОЛИСАХАРИДОВ

Quantum dots (QDs) are a new generation of fluorochromes with significant advantages over traditional organic dyes. QDs based on CdS are promising materials for optics, optoelectronics, biology, and medicine. QDs in the form of colloidal solutions are of great scientific and practical interest. CdS quantum dots were synthesized by chemical condensation in an aqueous solution using Yersinia pseudotuberculosis porin proteins, positively (chitosan) and negatively (carrageenan, lipopolysaccharide) charged polysaccharides. The maxima of the emission spectra for all samples were 450 nm, which indicates the same QD size; is determined by the size of the "cells" of the grid matrix, which limit the size of the QD. It was shown that the fluorescence intensity of QDs synthesized in LPS solutions was two times higher than that of other samples. The fluorescence of the samples and the maxima of the emission spectra (450 nm) are preserved during intensive dialysis against buffers, which indicates the stability of QDs and the possibility of using the obtained labeled preparations. Keeping samples at pH 3 leads to a significant decrease in fluorescence, especially for acidic polysaccharides. Anionic oxygen of phosphate, hydroxyl groups of sugar, nitrogen atoms can interact with metal ions, which are precursors (precursors) for CdS nanocrystals. It was found that the interaction with porin-specific IgG leads to a significant change in the luminescence intensity of QD-porin samples. This is of interest from the point of view of chemical sensing and opens the prospect of using QD-labeled porin-based nanostructures as biosensors.

Assessing splenic switch-off in Adenosine stress CMR for patients with atrial fibrillation: a propensity-matched study.

Splenic switch-off (SSO) is a validated indicator of adequate vasodilator stress unique to adenosine stress cardiac MR (CMR). Patients in atrial fibrillation (AF) may have a reduced adenosine response due to lower hyperaemic coronary flow reserve and may achieve SSO less frequently versus sinus rhythm (SR). 1100 stress CMR studies were identified from a clinical CMR database (2016-2021). 70 patients in AF were propensity score matched to a SR group for age, sex, and body mass index. The adenosine dose administered, symptoms, heart-rate change and scan result were recorded. SSO was evaluated subjectively and semi-quantitatively via changes in splenic and myocardial signal intensity (SI) from rest to stress. SSO occurred significantly less frequently in AF than SR (34/70 [49%] vs 53/70 [76%], p = 0.003). Semi-quantitative assessment supported this, with a smaller splenic SI difference between stress and rest in AF vs SR (median splenic stress:rest peak SI ratio 0.92 [IQR:0.61-1.11] vs 0.56 [IQR:0.45-0.75], p < 0.001). A heart-rate increase >10 bpm predicted visual SSO in SR but not AF. Fewer patients in AF than SR had inducible ischaemia (9/70 [13%] vs 17/69 [25%], p = 0.058). This difference was not driven by inducible ischaemia rates in patients who did not achieve SSO (6/36 [17%] AF vs 4/17 [24%] SR, p = 0.403). SSO occurs significantly less frequently with AF. This may risk the under diagnosis of inducible ischaemia and requires further assessment. SSO, a validated marker of adequate stress in CMR, occurs significantly less frequently in the presence of AF, risking a suboptimal functional assessment of coronary disease.

Fibrocartilaginous embolism: a rare cause leading to spinal cord infarction?

Fibrocartilaginous nucleus pulposus components herniation and embolism rarely causes acute ischaemic events involving the spinal cord. Few reports have suggested this as a mechanism leading to anterior spinal artery syndrome. The purpose of this study was to evaluate the topography and pattern of this rare myelopathy by MRI. A retrospective observational case series of patients, admitted to our Institute between 2008 and 2021, with a diagnosis of fibrocartilaginous embolism based on typical clinical and radiological features. Five patients were identified (2 men and 3 women; range 13-38years). No one had pre-existing vascular risk factors. All referred potential precipitating event in the 24h prior to symptom onset. MRI findings showed increased signal intensity of the spinal cord on T2-weighted images in all cases and degenerative disc changes opposite to it in four of them. The outcome was poor: three showed only partial sensitivity and motor improvement (mRs 4, 3, and 2, respectively); one completely recovered except for isolated hand paresis (mRs 1); and one remained severely neurologically affected (mRs 5). Fibrocartilaginous embolism must be a differential diagnosis in case of otherwise unexplained spinal cord infarction in adult and paediatric low risk population. Neuroradiological findings such as abnormal spinal cord signal intensity and degenerative disc changes can aid in early diagnosis of this rare myelopathy. The prevalent myelopathy location was thoracic. All signal alterations were detected in the anterior region of the spinal cord in the territories of the anterior spinal artery.

Flare kernels may be smaller than you think: modelling the radiative response of chromospheric plasma adjacent to a solar flare

ABSTRACT Numerical models of solar flares typically focus on the behaviour of directly heated flare models, adopting magnetic-field-aligned, plane-parallel methodologies. With high spatial- and spectral-resolution ground-based optical observations of flares, it is essential also to understand the response of the plasma surrounding these strongly heated volumes. We investigate the effects of the extreme radiation field produced by a heated column of flare plasma on an adjacent slab of chromospheric plasma, using a two-dimensional radiative transfer model and considering the time-dependent solution to the atomic level populations and electron density throughout this model. The outgoing spectra of H α and Ca ii 854.2 nm synthesized from our slab show significant spatial-, time-, and wavelength-dependent variations (both enhancements and reductions) in the line cores, extending of the order of 1 Mm into the non-flaring slab due to the incident transverse radiation field from the flaring boundary. This may lead to significant overestimates of the sizes of directly heated flare kernels, if line-core observations are used. However, the radiation field alone is insufficient to drive any significant changes in continuum intensity, due to the typical photospheric depths at which they form, so continuum sources will not have an apparent increase in size. We show that the line formation regions near the flaring boundary can be driven upwards in altitude by over 1 Mm despite the primary thermodynamic parameters (other than electron density) being held horizontally uniform. This work shows that in simple models these effects are significant and should be considered further in future flare modelling and interpretation.

Analysis of recombination centers near an interface of a metal–SiO2–Si structure by double carrier pulse deep-level transient spectroscopy

This paper proposes a new double carrier pulse deep-level transient spectroscopy (DC-DLTS) method that is applicable for evaluating metal–insulator–semiconductor (MIS) structures and the recombination centers in carrier-selective contact solar cells. Specifically, this study evaluated recombination characteristics of defects induced in bulk Si near SiO2/Si interfaces by reactive plasma deposition (RPD). In this method, a pulse voltage was first applied to inject majority carriers. Subsequently, a second pulse voltage was applied, which allowed minority carriers to be injected into the MIS structure. With these two types of carrier injections, carriers were recombined in recombination-active defects, and the DC-DLTS spectrum changed. During the injection of minority carriers, some majority carriers were thermally emitted from the defects, resulting in a decrease in the signal intensity. The recombination activity was analyzed by considering the effect of thermal emission on the change in signal intensity. The number of induced defect types and defect properties were estimated using Bayesian optimization. According to the results, three types of electron traps were generated using the RPD process. Based on the DC-DLTS results, defects with energy level 0.57 eV below the conduction band and capture cross section of ∼10−15 cm2 act as recombination centers.

Microwave‐Assisted Synthesis of Cobalt‐Doped Rutile/Ilmenite Derived from Natural Sands as Visible‐Light‐Active Photocatalytic and Antimicrobial Agents

Herein, we report cobalt doped TiO2 nanohybrids which were prepared by a novel and greener, microwave assisted synthetic approach. Furthermore, we have validated action of cobalt doped TiO2 as a promising photocatalytic/ antimicrobial agent under visible light irradiation.

An intensity-based post-processing tool for 3D instance segmentation of organelles in soft X-ray tomograms.

Investigating the 3D structures and rearrangements of organelles within a single cell is critical for better characterizing cellular function. Imaging approaches such as soft X-ray tomography have been widely applied to reveal a complex subcellular organization involving multiple inter-organelle interactions. However, 3D segmentation of organelle instances has been challenging despite its importance in organelle characterization. Here we propose an intensity-based post-processing tool to identify and separate organelle instances. Our tool separates sphere-like (insulin vesicle) and columnar-shaped organelle instances (mitochondrion) based on the intensity of raw tomograms, semantic segmentation masks, and organelle morphology. We validate our tool using synthetic tomograms of organelles and experimental tomograms of pancreatic β-cells to separate insulin vesicle and mitochondria instances. As compared to the commonly used connected regions labeling, watershed, and watershed + Gaussian filter methods, our tool results in improved accuracy in identifying organelles in the synthetic tomograms and an improved description of organelle structures in β-cell tomograms. In addition, under different experimental treatment conditions, significant changes in volumes and intensities of both insulin vesicle and mitochondrion are observed in our instance results, revealing their potential roles in maintaining normal β-cell function. Our tool is expected to be applicable for improving the instance segmentation of other images obtained from different cell types using multiple imaging modalities.

Development and practical evaluation of a saturation effect learning simulator for inflow magnetic resonance angiography.

The quality of visualization in inflow magnetic resonance angiography (MRA) depends highly on the excitation state of the longitudinal magnetization obtained using specified imaging parameters. In addition, signal intensity changes controlled by the preparation pulse-such as inversion recovery (IR) and saturation recovery (SR)-can potentially be used as quantitative physiological values. Although having practitioners understand these relationships both qualitatively and quantitatively is important, handling clinical equipment in practical learning or experiments involves limited opportunities. The simulator corresponds to a three-dimensional spoiled gradient echo sequence and allows users to freely input multiple virtual excitation effects in space and time. The purpose of this study was to quantitatively evaluate the agreement between the measured MRAs obtained in flow phantom tests and virtual MRAs simulated under similar conditions. We imaged two vascular flow phantoms on a 3.0T MR system using three-dimensional (3D) time-of-flight (TOF) MRA and 3D inversion recovery tissue signal suppression (IR-suppression) MRA protocols. We evaluated quantitative values for consistency between the measured and virtual MRAs images with matched spatial resolution. Then we assessed the coincidence by reformatting maximum-intensity projection images with 1mm isotropic pixels, with it ranging from 89.6 to 92.0% and 89.1 to 92.9% for TOF MRA and IR-suppression MRA, respectively. These results may be useful as a reference index for the theoretical study of MRA images by practitioners, for complementary validation by phantom testing, or for the development of MRI-related simulators.

PaFSe: A Parameter-Free Segmentation Approach for 3D Fluorescent Images

Confocal fluorescent microscopy is a major tool to investigate the molecular orchestration of biomedical samples. The quality of the image acquisition depends critically on the tissue quality and thickness, the type, and concentration of antibodies used, as well as on microscope parameters. Due to these factors, intra-sample and inter-sample variability inevitably arises. Segmentation and quantification of targeted proteins can thus become a challenging process. Image processing techniques need therefore to address the acquisitions variability to minimize the risk of biases originating from changes in signal intensity, background noise, and parameterization. Here, we introduce PaFSe, a parameter-free segmentation algorithm for 3D fluorescent images. The algorithm is based on our established PRAQA approach, which evaluates the dispersion of several pixel intensity neighborhoods allowing for a statistical assessment whether individual subfields of an image can be considered as positive signal or background. PaFSe extends PRAQA by a fully automatic estimate for the segmentation parameters, and thereby provides a completely parameter-free and robust segmentation algorithm. By comparing PaFSe with Ilastik on synthetic examples, we show that our method achieves similar performances as a supervised approach in low-to-moderate noise environments without the need of tedious training. Furthermore, we validate the efficiency of PaFSe by segmenting and quantifying the abundance of hyperphosphorylated Tau protein in post-mortem human brain samples from Alzheimer’s disease patients and age-matched controls, where we obtain quantification values highly correlated with manual neuropathological segmentation. PaFSe is a parameter-free, fast, and adaptive approach for robust segmentation and quantification of protein abundance from complex 3D fluorescent images and is freely available at https://doi.org/10.17881/j20h-pa27.

Structural association between heterotopia and cortical lesions visualised with 7 T MRI in patients with focal epilepsy

PurposeTo analyze structural characteristics of malformations of cortical development (MCD) at 7T and 3T MRI. MethodsTwenty-five patients were examined with a 7T MRI-scanner in addition to 3T examinations performed for epilepsy evaluation. 7T sequences included a 3D-T1-weighted (T1w) MPRAGE, 3D-T2w FLAIR, and heavily T2w axial and coronal high-resolution (0.5 × 0.5 × 0.75–1.0 mm3) 2D-TSE sequences. Images were reviewed for 7T MRI imaging characteristics of MCD, visibility and frequency of identified lesions on 7T and on 3T (original reports and second reading). ResultsIn 25 patients 112 lesions were identified (57 gray matter (GM) heterotopia, 37 focal cortical dysplasia (FCD), and 18 other MCD). Imaging characteristics of the 37 FCD were cortical thickening (n = 11); GM-WM border blurring (n = 30); GM signal intensity changes (n = 18); juxtacortical WM signal intensity changes (n = 18); and transmantle WM signal intensity changes (n = 11). None of the 7T MRI sequences was sufficient to detect all types of lesions. Heterotopia were in general isointense to normal GM. Structural associations between 36 heterotopia and overlaying cortex were observed, composed either of a direct connection, vessel-like structures, or GM-like bridges.FCD were mentioned in 30% (11 of 37) of the original reports at 3T, and in 57% (21 of 37) after second reading. FCD connections to subcortical heterotopia were clinically not reported at all. Conclusion7T MRI revealed subtle connections between heterotopia and previous unidentified pathology in overlaying cortex. These findings may be significant for the understanding of the anatomical seizure origin and propagation pathways.