Hematocrit and vessel wall shear rate are important factors in the transport and subsequent adherence of platelets to vessel wall subendothelium. When mass transport theory is applied to platelets in flowing blood, the blood is usually considered to be a fluid with platelet and red cell wall concentrations similar to the average tube concentration. With the laser-Doppler technique, we found how red blood cell ghosts and platelets were distributed radially for various hematocrits and wall shear rates. Red cell ghosts are crowded near the axis of the tube, with a local hematocrit higher than the average tube hematocrit, and they decrease steadily toward the wall. In the absence of ghosts, platelets exhibit the 'tubular pinch' effect (rigid particles crowding at 0.6 x tube radius). In the presence of ghosts, the platelets are expelled toward the wall region. This high concentration at the wall increases with higher average tube hematocrit and wall shear rates. Increasing the average tube platelet concentration 10 times causes the wall concentration to increase only three times. The increase in platelet adherence observed with increasing hematocrit and increasing wall shear rate can be partially ascribed to increased platelet concentration near the wall. The observation that the increased platelet concentration does not fully explain the platelet adherence data suggests that platelet transport may also be enhanced by a shear rate-dependent rotary motion.

The electric resistivity of various human tissues has been reported in many studies, but on comparison large differences appear between these studies. The aim of this study was to investigate systematically the resistivities of human tissues as published in review studies (100 Hz-10 MHz). A data set of 103 resistivities for 21 different human tissues was compiled from six review studies. For each kind of tissue the mean and its 95% confidence interval were calculated. Moreover, an analysis of covariance showed that the calculated means were not statistically different for most tissues, namely skeletal (171 omega cm) and cardiac (175 omega cm) muscle, kidney (211 omega cm), liver (342 omega cm), lung (157 omega cm) and spleen (405 omega cm), with bone (> 17,583 omega cm), fat (3,850 omega cm) and, most likely, the stratum corneum of the skin having higher resistivities. The insignificance of differences between various tissue means could imply an equality of their resistivities, or, alternatively, could be the result of the large confidence intervals which obscured real existing differences. In either case, however, the large 95% confidence intervals reflected large uncertainties in our knowledge of resistivities of human tissues. Applications based on these resistivities in bioimpedance methods, EEG and EKG, should be developed and evaluated with these uncertainties in mind.

A method is presented that combines steady-state free precession (SSFP) cine imaging with myocardial tagging. Before the tagging preparation at each ECG-R wave, the steady-state magnetization is stored as longitudinal magnetization by an ␣/2 flip-back pulse. Imaging is continued immediately after tagging preparation, using linearly increasing startup angles (LISA) with a rampup over 10 pulses. Interleaved segmented k-space ordering is used to prevent artifacts from the increasing signal during the LISA rampup. First, this LISA-SSFP method was evaluated regarding ghost artifacts from the steady-state interruption by comparing LISA with an ␣/2 startup method. Next, LISA-SSFP was compared with spoiled gradient echo (SGRE) imaging, regarding tag contrast-to-noise ratio and tag persistence. The measurements were performed in phantoms and in six subjects applying breathhold cine imaging with tagging The deformation and motion of the myocardial tissue can be quantified by means of MR tissue tagging (1,2) and strain analysis. A promising, fully automated strain analysis method is the harmonic phase technique (3). For this technique it has been shown (4) that the strain maps improve considerably when subtracted complementary tagged images are used (which we refer to as complementary SPAMM or CSPAMM images (5)). However, this method is only practical when the CSPAMM images can be acquired in a single breathhold, since breathhold misregistration leads to mismatch errors at subtraction.In this article we combine steady-state free precession (SSFP) cine imaging, which has a high SNR efficiency, with magnetization preparation to acquire CSPAMM images in a single breathhold. First, the interruption of the steady state by the application of the magnetization preparation is addressed, since the subsequent approach to steady state can be accompanied by severe signal oscillations, which lead to ghost artifacts in the image. The ghost artifacts are studied with simulations and experiments. Second, we compare SSFP with the current standard, spoiled gradient echo (SGRE) imaging, using CSPAMM images from a phantom and six healthy subjects. The CSPAMM images are compared regarding tag contrast to noise ratio (TagCNR), TagCNR-efficiency, tag persistence, and artifacts. THEORY SSFP Steady-State PropertiesThe SSFP sequence considered consists of alternating Ϯ␣ pulses with a gradient refocused echo at TE ϭ TR/2, as described by Oppelt et al. (6). Between the successive pulses, stationary spins develop a phase offset due to field inhomogeneity or due to chemical shift.The SSFP with TE ϭ TR/2 has a specific characteristic with regard to its signal phase. In steady state, the signal phase is either (approximately) 0°or 180°, depending on the phase offset. This can be derived from the equations given by Haacke et al. (7). In this article we will refer to spins that have a phase of 0°after a ϩ␣ pulse as "in-phase spins," and to the spins with a phase of 180°(after a ϩ␣ pulse) as "opposed-phase spins." SSFP Startup MethodsWhen SSFP is combined w...

In this study we present experimental data on the inhomogeneous distribution of platelets in polyethylene tubes (200 microns diam) based on the inverse Fåhraeus effect for platelets. It is shown that platelets are expelled toward the red blood cell-depleted marginal layer near the tube wall by mutual interaction with erythrocytes. By means of a straightforward model, the near-wall concentration of platelets could be estimated from measurements on the average tubular platelet concentration. The marginal layer originates from the hydrodynamic interaction of the deformable erythrocytes with the tube wall. If the tube diameter is large compared with the size of the erythrocytes, the lateral migration effects can effectively be scaled on the absolute distance between the erythrocytes and the tube wall. This results in the main conclusion that the near-wall concentration of platelets is significantly enhanced up to about seven times the average concentration, practically irrespective of the tube diameter in the range of 100-500 microns. Where comparable, the results of this study are in accordance with experimental data of other authors.

Early after infarction in the perfusion bed of the left anterior descending coronary artery, cine MRI with spatial modulation of magnetization (SPAMM) tagging (7-mm grid) was used for short- and long-axis cardiac imaging. Two-dimensional strain analysis of triangular finite elements was performed between end-diastole and end-systole. Patients (n = 10) were compared with age-matched healthy subjects (n = 8). The anteroseptal region at midventricular level was considered representative for "infarcted" and the posterolateral region at basal level was considered "remote". The left ventricular end-diastolic volume index was larger in the patients (69 +/- 15 ml/m2 versus 56 +/- 4 ml/m2, P < 0.05). Short-axis images showed in the infarcted region a decrease of first principal strain (greatest systolic lengthening: 1.10 +/- .06 versus 1.27 +/- 0.04, P < 0.0001), and in the remote region an increase (1.48 +/- 0.11 versus 1.36 +/- 0.07, P < 0.025). The lateral and inferior ventricular regions at mid- and basal levels were found to function normally. Long-axis images yielded similar results. Early after infarction, regions with dysfunction, normal function, and hyperfunction can be delineated with MR tagging. The compensatory increased contraction in the remote region is possibly triggered by the Frank-Starling mechanism.