Oxygen metabolism MRI - A comparison with perfusion imaging in a rat model of MCA branch occlusion and reperfusion.

The penumbra is sustained by an increased extraction of oxygen (OEF) from blood to brain tissue. Metabolic imaging may improve penumbra specificity when examining stroke patients with wake-up stroke and a long time between admission and symptom onset. We used MRI to examine OEF, and compared the volume of regions with elevated OEF to the volume of regions with perfusion deficit in a M2 occlusion model (M2CAO) with preserved collateral blood flow. OEF was calculated from BOLD MRI examining tissue R2', with ASL perfusion imaging employed to determine cerebral blood flows (CBF) and volumes. Diffusion imaging was used to identify the ischemic core (IC). Examinations were performed during and after transient M2CAO in rats. The IC-OEF mismatch was significantly smaller than the IC-CBF mismatch during M2CAO. The penumbra OEF was significantly increased during M2CAO, and decreased significantly after reperfusion. The IC-OEF mismatch may provide increased penumbra specificity compared to IC-CBF mismatch regimens. Results strongly indicate the potential of metabolic MRI for thrombectomy patient selection in cases with a long time from symptom onset to admission. Results demonstrate the effectiveness of reperfusion in alleviating metabolic disturbances in ischemic regions, emphasizing fast treatment to achieve significant neurological recovery in stroke patients.

Assessment of a novel angiographic image stabilization system for percutaneous coronary intervention.

BACKGROUND: Optimization of coronary images for percutaneous coronary intervention (PCI) remains difficult due to cardiac motion throughout the respiratory and cardiac cycles. We tested a novel system to stabilize angiographic images at the region of interest in order to assist during PCI. METHODS: Patients undergoing PCI to the right coronary artery (RCA) (group 1, n = 22) or complex PCI (group 2, n = 16) were prospectively enrolled and the angiographic image sequences of patients who died suddenly of confirmed or presumed stent thrombosis following PCI (group 3, n = 16) were retrospectively reviewed. All image sequences were analyzed off-line by three cardiologists before and after image stabilization for accuracy of stent placement, presence of residual edge dissection, and adequacy of procedural outcome. RESULTS: Image stabilization was successful in 100% of cases in a mean time of 95 +/- 71 seconds and was considered to be helpful in 13.6% of group 1, in 18.3% of group 2, and in 10% of group 3 cases. There was good correlation between observers with a kappa statistic of 0.85 to 1.0 for all observations. However, there was no difference in the reviewers' opinions of stent placement, presence of edge dissection, or adequacy of procedural result when comparing the standard angiographic views and the stabilized images. In particular, no previously unrecognized edge dissections were apparent in group 3 with stabilized display. CONCLUSION: Image stabilization centered on the region of interest was considered helpful in a small subset of patients, particularly the complex PCI patients. However, no differences in objective parameters could be demonstrated.

Feeding responses of adapted and non-adapted insects to the defensive properties of Baccharis halimifolia L. (Compositae).

Trirhabda bacharidis (Weber) (Chrysomelidae), a univoltine, monophagous beetle is the dominant herbivore on Baccharis halimifolia (Compositae), a woody, perennial shrub that leafs out in early spring and retains its leaves into November. Available plant biomass increases during the season but T. bacharidis feeds only during spring and early summer. During the remainder of the growing season, there are no major herbivores feeding on B. halimifolia. B. halimifolia leaves increase in toughness and thickness and decrease in moisture and nutrients as the season progresses. In feeding preference tests, T. bacharidis larvae preferred young leaves over leaves of older age classes. When reared on leaves of different ages, larvae fed on young leaves, weighed more, pupated earlier and had greater survivorship. T. bacharidis larvae showed no significant feeding preference for similarly tough B. halimifolia leaves painted with differing concentrations of late season acetone leaf extract. Elm leaves painted with the same leaf extracts were avoided by larvae of the non-adapted specialist Pyrrhalta luteola (Mueller) (Chrysomelidae).These results suggest that the adapted specialist, T. bacharidis, is not deterred by the B. halimifolia acetone soluble secondary chemical which increases in amount over the season. Decreasing leaf nitrogen (perhaps in concert with increasing leaf toughness) seems to be the primary factor that dissuades its feeding. However, acetone soluble secondary chemicals in the leaves of B. halimifolia may be effective in preventing herbivory from non-adapted insects.