The utility of MRI using magnetization transfer (MT) enhanced pulse sequences to diagnose hepatic cirrhosis in a rat model was investigated. Hepatic T1 was measured with and without MT off-resonance RF pulses in 17 treated and six control rats. The livers were evaluated histologically, and the hydroxyproline content quantitatively measured. We did not find a statistically significant linear correlation between the MR relaxation times and the degree of tissue injury. However, the MR measurements performed with MT were superior to those without differentiating the treated and control groups. Specifically, the T1 times were 695 +/- 76 ms for the treated group, versus 748 +/- 61 ms in the controls; P = 0.095. The T1sat times were also lower in the treated group, with statistical significance: 367 +/- 51 ms versus 421 +/- 38 ms, P = 0.016. Finally, the change in the relaxation rates (the inverse of the relaxation times) with and without saturation were 1.31 +/- 0.22 s-1 (treated group) versus 1.05 +/- 0.12 s-1 (controls), which differed significantly, P = 0.001.
An artificial neural network approach was applied to the differential diagnosis of interstitial lung diseases. The neural network was designed to distinguish between nine types of interstitial lung diseases on the basis of 20 items of clinical and radiographic information. A data base for training and testing the neural network was created with 10 hypothetical cases for each of the nine diseases. The performance of the neural network was evaluated by means of receiver operating characteristic analysis. The decision performance of the neural network was high; it was comparable to that of chest radiologists and superior to that of senior radiology residents. The preliminary results strongly suggest that the neural network approach has potential utility in the computer-aided differential diagnosis of interstitial lung diseases.
A greater degree of abnormal signal and enhancement seen on MR suggests a more vigorous inflammatory process, as seen with septic arthritis. In spite of advanced septic arthritis, no enhancement was evident within bone, suggesting that enhancement within bone is not an expected finding in isolated septic arthritis and should raise concern for osteomyelitis.
Magnetic resonance imaging of the knee was performed in 28 patients (ages 15-72 years), using a 1.5-T unit. Volume gradient echo (3D GRASS) acquisition with and without presaturation off-resonance RF pulse was used to evaluate magnetization transfer (MT) effects, determined by placing regions of interest on muscle, fat, hyaline, and fibrocartilage; the percent change in signal intensity was calculated and compared using a paired two-sample t test. An in vitro study of the normal meniscus from a cadaver containing a scalpel cut extending to an articular surface was performed to observe the relative improvement in contrast in the presence of a small meniscal defect. MR imaging of the specimen was performed using an Omega CSI 2.0-T system (General Electric Medical Systems, Fremont, CA). Analysis of clinical images resulted in signal loss, compared to that of the identically timed and tuned non-MT images of 47 +/- 5, 8 +/- 5, 49 +/- 5, and 57 +/- 7% for muscle, fat, articular cartilage and fibrocartilage, respectively. Application of MT improved the depiction of the artificially introduced meniscal defect. Meniscal fibrocartilage demonstrates significant MT effect after application of off-resonance RF presaturation, which may improve visualization of meniscal defects.
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