Feasibility of tracking involuntary head movement for MRI using a coil as a magnetic dipole in a time-varying gradient.

Accurate tracking involuntary head movements is fairly a challenging problem in MR imaging of the brain. Though there are few techniques available to monitor the head movement of the subject for a prospective motion correction, it is still an unsolved problem in MRI. In this theoretical study, we aim to describe an analytical investigation to track head movement inside an MR scanner by calculating the change in induced voltage in the head-mounted coils during the execution of time-varying gradients. We derive an expression to calculate the change in induced voltage in a coil placed in a time-varying gradient. We also derive a general equation to investigate the changes in the induced voltage in a set of coils mounted onto the head for the planar position and orientation of the coils. Each coil is considered as a magnetic dipole with location and sensitivity vectors. The changes of the vectors can track the head movement in the MR scanner by measuring the changes in the induced voltage in the coils. The dipole concept is valid for a wide range of coils. The changes in induced voltage in the coils are linear due to small changes in pose of the head. Movement parameters are estimated from the induced voltage changes. If the random noise voltage is less than 100 µV, it does not significantly affect movement parameters because the change in induced voltage in the coils dominates over the small noise voltage. This method and array of the coils may provide a real-life solution to the long-standing problem of head motion during MRI.

Measurements of the Relationship Between Microstructure, pH, and the Streaming and Zeta Potentials of Sandstones.

A large number (1253) of high-quality streaming potential coefficient ( C sp ) measurements have been carried out on Berea, Boise, Fontainebleau, and Lochaline sandstones (the latter two including both detrital and authigenic overgrowth forms), as a function of pore fluid salinity ( C f ) and rock microstructure. All samples were saturated with fully equilibrated aqueous solutions of NaCl (10 - 5 and 4.5 mol/dm 3 ) upon which accurate measurements of their electrical conductivity and pH were taken. These C sp measurements represent about a fivefold increase in streaming potential data available in the literature, are consistent with the pre-existing 266 measurements, and have lower experimental uncertainties. The C sp measurements follow a pH-sensitive power law behaviour with respect to C f at medium salinities ( C sp = - 1.44 × 10 - 9 C f - 1.127 , units: V/Pa and mol/dm 3 ) and show the effect of rock microstructure on the low salinity C sp clearly, producing a smaller decrease in C sp per decade reduction in C f for samples with (i) lower porosity, (ii) larger cementation exponents, (iii) smaller grain sizes (and hence pore and pore throat sizes), and (iv) larger surface conduction. The C sp measurements include 313 made at C f > 1  mol/dm 3 , which confirm the limiting high salinity C sp behaviour noted by Vinogradov et al., which has been ascribed to the attainment of maximum charge density in the electrical double layer occurring when the Debye length approximates to the size of the hydrated metal ion. The zeta potential ( ζ ) was calculated from each C sp measurement. It was found that ζ is highly sensitive to pH but not sensitive to rock microstructure. It exhibits a pH-dependent logarithmic behaviour with respect to C f at low to medium salinities ( ζ = 0.01133 log 10 C f + 0.003505 , units: V and mol/dm 3 ) and a limiting zeta potential (zeta potential offset) at high salinities of ζ o = - 17.36 ± 5.11  mV in the pH range 6-8, which is also pH dependent. The sensitivity of both C sp and ζ to pH and of C sp to rock microstructure indicates that C sp and ζ measurements can only be interpreted together with accurate and equilibrated measurements of pore fluid conductivity and pH and supporting microstructural and surface conduction measurements for each sample.

Genetic basis of leg health and its relationship with body weight in purebred turkey lines.

The aims of this study were to estimate the genetic parameters for leg and foot health and mobility in purebred turkey lines and their genetic correlations with BW. Traits were gait score (GS) as an overall measure of leg health, footpad dermatitis (FPD), and 2 skeletal leg health traits, namely, valgus and varus deformities (VVD) and tibial dyschondroplasia (TD). Data from 4 different lines, comprising 3 yr of phenotypic records and 4 yr of pedigree information per line, were used. The sex average BW for the lines at 18 wk ranged from 19.1 kg (line A) to 12.4 kg (line D). The prevalence of VVD ranged from 5.2 to 14.6% and for TD from 4.1 to 23.2%. The average score for FPD on a scale of 0 to 100 ranged from 48.5 to 61.1. Gait Score was scored on a scale of 1 to 5, standardized to a mean of 3 and SD of 1. Heritabilities were estimated at 0.08 to 0.13 for GS, 0.01 to 0.07 for VVD, 0.06 to 0.12 for TD, and 0.10 to 0.15 for FPD (all SE ≤ 0.02). Estimates of the genetic correlations between VVD and TD ranged from 0.03 to 0.21 (all SE ≤ 0.08), and estimates of these with GS ranged from 0.07 to 0.87 (all SE ≤ 0.09). The genetic correlations of FPD with GS ranged from 0.00 to 0.34 (all SE ≤ 0.04), and with the skeletal leg health traits from -0.06 to 0.33 (all SE ≤ 0.06). Body weight showed estimated genetic correlations ranging from 0.28 to 0.51 (all SE ≤ 0.06) with GS, -0.06 to 0.50 (all SE ≤ 0.13) with VVD/TD and 0.05 to 0.34 (all SE ≤ 0.05) with FPD. The results suggest that selection for improved leg health can be incorporated effectively in a commercial turkey breeding program using balanced breeding goals, in which production traits and leg health traits are considered simultaneously.

Magnetic field effects on the vestibular system: calculation of the pressure on the cupula due to ionic current-induced Lorentz force.

Large static magnetic fields may be employed in magnetic resonance imaging (MRI). At high magnetic field strengths (usually from about 3 T and above) it is possible for humans to perceive a number of effects. One such effect is mild vertigo. Recently, Roberts et al (2011 Current Biology 21 1635-40) proposed a Lorentz-force mechanism resulting from the ionic currents occurring naturally in the endolymph of the vestibular system. In the present work a more detailed calculation of the forces and resulting pressures in the vestibular system is carried out using a numerical model. Firstly, realistic 3D finite element conductivity and fluid maps of the utricle and a single semi-circular canal containing the current sources (dark cells) and sinks (hair cells) of the utricle and ampulla were constructed. Secondly, the electrical current densities in the fluid are calculated. Thirdly, the developed Lorentz force is used directly in the Navier-Stokes equation and the trans-cupular pressure is computed. Since the driving force field is relatively large in comparison with the advective acceleration, we demonstrate that it is possible to perform an approximation in the Navier-Stokes equations that reduces the problem to solving a simpler Poisson equation. This simplification allows rapid and easy calculation for many different directions of applied magnetic field. At 7 T a maximum cupula pressure difference of 1.6 mPa was calculated for the combined ampullar (0.7 µA) and utricular (3.31 µA) distributed current sources, assuming a hair-cell resting current of 100 pA per unit. These pressure values are up to an order of magnitude lower than those proposed by Roberts et al using a simplistic model and calculation, and are in good agreement with the estimated pressure values for nystagmus velocities in caloric experiments. This modeling work supports the hypothesis that the Lorentz force mechanism is a significant contributor to the perception of magnetic field induced vertigo.

Interaction of MRI field gradients with the human body.

In this review, the effects of low-frequency electromagnetic fields encountered specifically during magnetic resonance imaging (MRI) are examined. The primary biological effect at frequencies of between 100 and 5000 Hz (typical of MRI magnetic field gradient switching) is peripheral nerve stimulation, the result of which can be a mild tingling and muscle twitching to a sensation of pain. The models for nerve stimulation and how they are related to the rate of change of magnetic field are examined. The experimental measurements, and analytic and computational modelling work in this area are reviewed. The review concludes with a discussion of current regulation in this area and current practice as both are applied to MRI.

A dynamic vector model of microstrip RF resonators for high-field MR imaging.

This paper describes a dynamic vector model for modelling the electromagnetic characteristics of microstrip radio-frequency (RF) resonators for high field magnetic resonance imaging (MRI). A biological tissue-equivalent load having a circular cross section is assumed in the analysis. The dynamic model uses the well-known Green's function for cylindrically stratified media to characterize all six components of the electromagnetic field excited by the microstrip lines. The accuracy of the method as a function of its parameters is assessed and the results compared with those obtained from the quasi-static method often used at low frequencies. The limits of the quasi-static assumption are investigated by comparing values for the modal propagation constant and the terminating capacitances required to tune the cavity resonance over a frequency range of 100 MHz-1 GHz. The dynamic method is further used to analyse the modal content of a microstrip head resonator. Finally, a variational approach is used to assess the impact of the intermodal coupling for the case of small perturbations in the shape and the position of the cylindrical phantom.

Measurement of electric fields induced in a human subject due to natural movements in static magnetic fields or exposure to alternating magnetic field gradients.

A dual dipole electric field probe has been used to measure surface electric fields in vivo on a human subject over a frequency range of 0.1-800 Hz. The low-frequency electric fields were induced by natural body movements such as walking and turning in the fringe magnetic fields of a 3 T magnetic resonance whole-body scanner. The rate-of-change of magnetic field (dB/dt) was also recorded simultaneously by using three orthogonal search coils positioned near to the location of the electric field probe. Rates-of-change of magnetic field for natural body rotations were found to exceed 1 T s(-1) near the end of the magnet bore. Typical electric fields measured on the upper abdomen, head and across the tongue for 1 T s(-1) rate of change of magnetic field were 0.15+/-0.02, 0.077+/-0.003 and 0.015+/-0.002 V m(-1) respectively. Electric fields on the abdomen and chest were measured during an echo-planar sequence with the subject positioned within the scanner. With the scanner rate-of-change of gradient set to 10 T m(-1) s(-1) the measured rate-of-change of magnetic field was 2.2+/-0.1 T s(-1) and the peak electric field was 0.30+/-0.01 V m(-1) on the chest. The values of induced electric field can be related to dB/dt by a 'geometry factor' for a given subject and sensor position. Typical values of this factor for the abdomen or chest (for measured surface electric fields) lie in the range of 0.10-0.18 m. The measured values of electric field are consistent with currently available numerical modelling results for movement in static magnetic fields and exposure to switched magnetic field gradients.

Exposure to alternating electromagnetic fields and effects on the visual and visuomotor systems.

Acute effects on the visual and visuo-motor systems by exposure to electromagnetic fields (EMFs) at a frequency and amplitude similar to those produced by MR imaging gradient coils were assessed. 40 volunteers were exposed in random order to three, time varying, magnetic field gradients (0, 20 and 10 mT m(-1)r.m.s.). The waveform was 50 cycles of a 490 Hz sinusoidal waveform repeated every second with a total duration of 10 min for each trial. The EMFs were generated using an in-house designed and built magnetic gradient coil and waveform generator. During each trial, a test battery assessing the visual sensory (FACT) and visuo-motor (Pursuit Aiming II and visual tracking) neurobehavioral domains was completed by all volunteers. The sequence of these tests was assigned at random for each volunteer. Performance in these tests was analysed using linear mixed effects models adjusted for confounding factors collected in a pre-trial questionnaire. Variability of the estimates was assessed using a delete-1 jack-knife procedure. There was a trend for visuo-motor accuracy to be reduced (p = 0.06) by 1% during high exposure, but not at medium exposure. There was a weaker trend for visual contrast sensitivity to be improved by 12% and 21% during medium and high exposure, respectively, compared with the non-exposed sessions (p = 0.08). These effects did not reach 5% statistical significance within a population of 40 volunteers, but also the magnitude of these effects did not depend on single "extreme" observations.

Measurement of electric fields due to time-varying magnetic field gradients using dipole probes.

The operation of dipole probes in measuring electric fields in conductive media exposed to temporally varying magnetic fields is discussed. The potential measured by the probe can be thought of as originating from two contributions to the electric field, namely the gradient of the scalar electric potential and the temporal derivative of the magnetic vector potential. Using this analysis, it is shown that the exact form of the wire paths employed when using electric field probes to measure the effects of temporally varying magnetic fields is very important and this prediction is verified via simple experiments carried out using different probe geometries in a cylindrical sample exposed to a temporally varying, uniform magnetic field. Extending this work, a dipole probe has been used to measure the electric field induced in a cylindrical sample by gradient coils as used in magnetic resonance imaging (MRI). Analytic solutions for the electric field in an infinite cylinder are verified by comparison with experimental measurements. Deviations from the analytic solutions of the electric field for the x-gradient coil due to the finite length of the sample cylinder are also demonstrated.

Magnetic-field-induced vertigo: a theoretical and experimental investigation.

Vertigo-like sensations or apparent perception of movement are reported by some subjects and operators in and around high field whole body magnetic resonance body scanners. Induced currents (which modulate the firing rate of the vestibular hair cell), magneto-hydrodynamics (MDH), and tissue magnetic susceptibility differences have all been proposed as possible mechanisms for this effect. In this article, we examine the theory underlying each of these mechanisms and explore resulting predictions. Experimental evidence is summarised in the following findings: 30% of subjects display a postural sway response at a field-gradient product of 1 T(2)m(-1); a determining factor for experience of vertigo is the total unipolar integrated field change over a period greater than 1 s; the perception of dizziness is not necessarily related to a high value of the rate of change of magnetic field; eight of ten subjects reported sensations ranging from mild to severe when exposed to a magnetic field change of the order of 4.7 T in 1.9 s; no subjects reported any response when exposed to 50 ms pulses of dB/dt of 2 Ts(-1) amplitude. The experimental evidence supports the hypothesis that magnetic-field related vertigo results from both magnetic susceptibility differences between vestibular organs and surrounding fluid, and induced currents acting on the vestibular hair cells. Both mechanisms are consistent with theoretical predictions.

Cognitive effects of head-movements in stray fields generated by a 7 Tesla whole-body MRI magnet.

The study investigates the impact of exposure to the stray magnetic field of a whole-body 7 T MRI scanner on neurobehavioral performance and cognition. Twenty seven volunteers completed four sessions, which exposed them to approximately 1600 mT (twice), 800 mT and negligible static field exposure. The order of exposure was assigned at random and was masked by placing volunteers in a tent to hide their position relative to the magnet bore. Volunteers completed a test battery assessing auditory working memory, eye-hand co-ordination, and visual perception. During three sessions the volunteers were instructed to complete a series of standardized head movements to generate additional time-varying fields ( approximately 300 and approximately 150 mT.s(-1) r.m.s.). In one session, volunteers were instructed to keep their heads as stable as possible. Performance on a visual tracking task was negatively influenced (P<.01) by 1.3% per 100 mT exposure. Furthermore, there was a trend for performance on two cognitive-motor tests to be decreased (P<.10). No effects were observed on working memory. Taken together with results of earlier studies, these results suggest that there are effects on visual perception and hand-eye co-ordination, but these are weak and variable between studies. The magnitude of these effects may depend on the magnitude of time-varying fields and not so much on the static field. While this study did not include exposure above 1.6 T, it suggests that use of strong magnetic fields is not a significant confounder in fMRI studies of cognitive function. Future work should further assess whether ultra-high field may impair performance of employees working in the vicinity of these magnets.

Quantitative density profiling with pure phase encoding and a dedicated 1D gradient.

A new centric scan imaging methodology for density profiling of materials with short transverse relaxation times is presented. This method is shown to be more robust than our previously reported centric scan pure phase encode methodologies. The method is particularly well suited to density imaging of low gyro-magnetic ratio non-proton nuclei through the use of a novel dedicated one-dimensional magnetic field gradient coil. The design and construction of this multi-layer, water cooled, gradient coil is presented. Although of large diameter (7.62 cm) to maximize sample cross section, the gradient coil has an efficiency of several times that offered by conventional designs (6 mT/m/A). The application of these ideas is illustrated with high resolution density-weighted proton (1H) images of hazelnut oil penetration into chocolate, and lithium ion (7Li) penetration into cement paste. The methods described in this paper provide a straightforward and reliable means for imaging a class of samples that, until now, have been very difficult to image.

A novel high temperature 1H NMR imaging probe for combustion studies: the behaviour of both a lit and unlit methane gas jet.

The design of a NMR probe suitable for very high temperature samples is described. The loop gap resonator is water cooled and tuned to 100 MHz for use in a 2.4 T horizontal bore magnet. The probe has been specifically designed for imaging of the combustion process. An experiment is described in this paper which shows the behaviour of a methane gas jet when both lit and unlit. The jet of gas may be observed in its unlit state flowing at up to 2 ms(-1) from a 1 mm diameter orifice using a Single Point Imaging technique. Images of the lit gas show loss of nuclear polarisation within 3 mm of the orifice. A residual amount of un-decomposed gas is visible in the first few millimetres of the flame neck. A computational fluid dynamics model is used to verify the distribution of molecular methane, as well as the temperature of the flame.

The physiology and clinical applications of vasopressin in critical illness.

OBJECTIVE: To present the physiology of vasopressin, and review published data on its use in critically ill patients. DATA SOURCES: A review of articles on the clinical use of vasopressin in critical care medicine up to 2002 and identified through a MEDLINE search. SUMMARY OF REVIEW: Vasopressin (antidiuretic hormone) acts via vasopressinergic receptors to maintain osmotic and baroreceptor homeostasis. It has complex and varying effects depending on serum levels, coexisting disease states and organs studied. Synthetic vasopressin is available for clinical use. In large doses (e.g. 40 U) it has vasoconstrictor effects comparable to epinephrine during cardiopulmonary resuscitation. The use of much lower "replacement" doses (e.g. 0.04 U/min) may have a marked vasopressor effect in clinical states associated with vasopressin deficiency; for example sepsis, the organ donor and after cardiopulmonary bypass. These doses are much lower than those leading to cardiovascular effects in healthy patients and may avoid the adverse vasoconstrictor effects seen at "pharmacological" doses. The use of vasopressin to reduce portal pressure and bleeding in oesophageal varices is well established. CONCLUSIONS: Vasopressin has widespread effects throughout the body and has several important clinical applications in the critically ill patient.

Pharmacologic treatments for the nicotine dependent smoker.

OBJECTIVE: To explore the biology of nicotine addiction and to investigate the latest pharmacological treatments for nicotine dependence. METHODS: Explore the research literature for treating nicotine dependence. RESULTS: Nicotine is an additive drug and the most effective methods for treating dependence are nicotine replacement therapy (NRT) and bupropion SR. CONCLUSION: The best available treatments for nicotine dependence are pharmacological adjuncts; specifically, NRT and bupropion SR when combined with behavioral counseling.

Effect of a range of microbial polysaccharides on the diffusion of manganese ions using spatially resolved NMR relaxometry.

In accordance with the theory of contact exchange, it is hypothesized that the presence of negative charge in microbial exopolysaccharides increases the rate of cation transport. These typically acidic materials may provide a fast-track for the diffusion of nutrient cations through the polymer layer for uptake at the organism cell surface. We have measured the diffusion coefficient of a model cation, Mn(2+,) through xanthan, de-acetylated xanthan, scleroglucan and chitosan using spatially resolved NMR relaxometry. The concentration of Mn(2+) in solution was measured by recording the change in the spin-spin (T(2)) relaxation time of water (1)H over time in compartments either side of a polymer layer. This approach provides a sensitive, in situ, non-invasive method of measuring the rate of diffusion of paramagnetic cations through hydrophilic polysaccharides. The negatively-charged polysaccharides, xanthan and de-acetylated xanthan, permitted a significantly faster rate (2-2.5x) of cation transport compared to the uncharged polymer, scleroglucan. The positively-charged polysaccharide chitosan reduced the rate of Mn(2+) diffusion to around half the value obtained for scleroglucan. These results suggest that the presence and nature of fixed charges on the polysaccharide molecule affects the rate of cation transport in accordance with the theory of contact exchange. The presence of negative charge on microbial exopolysaccharides may thus improve the availability of nutrient cations at the organism cell surface.

Treating nicotine dependence.

To explore the biology of nicotine addiction and to discuss the latest effective treatments for nicotine dependence. Research indicates that the most effective methods for treating nicotine dependence are nicotine replacement therapy (NRT) and bupropion SR (BUP). We conclude that pharmacological adjuncts (NRT & BUP) achieve their greatest success when combined with behavioral counseling.

The partograph. Used daily but rarely questioned.

The partograph is part of the midwifery tools of practice, used everyday, but rarely questioned. This paper explores the history of the partograph and describes its development from 1954. It examines the components of the partograph and discusses when one should be commenced. The value of the partograph in practice today is questioned.

The enculturation of our nursing graduates.

The transition from undergraduate nursing student to employment as a registered nurse is fraught with difficulties for a neophyte. This qualitative study used interviews and focus groups with graduate nurses from the Flinders University of South Australia in their first year of practice to ascertain their experiences as new graduates. The results reveal an enculturation of graduates not conducive to ongoing learning, consolidation of skills and application to practice. A rushed environment that was unpredictable, together with a lack of support, were recurrent themes from the graduates' perspective. Graduate nurse programs are run by institutions focused on outcomes and expenditure. There is little or no collaboration with the tertiary sector in providing appropriate programs according to graduates' needs. The graduates, as beginning practitioners, focused on not having the time to nurse holistically, an unrealistic workload, and the need for backup and continuous support on an individual basis. The wards, although possibly efficient and effective in providing health care, provided a culture where the graduates felt inadequate, rushed, overworked and unsupported, which is contrary to the aims and objectives of the graduate nurse programs. The nursing profession as a whole needs to develop a culture that is nurturing, enabling, supportive and protective of our young.