scholarly journals Correction to: Distinct pattern of microsusceptibility changes on brain magnetic resonance imaging (MRI) in critically ill patients on mechanical ventilation/oxygenation

2021 ◽  
Author(s):  
Majda M. Thurnher ◽  
Jasmina Boban ◽  
Martin Röggla ◽  
Thomas Staudinger
Author(s):  
Majda M. Thurnher ◽  
Jasmina Boban ◽  
Martin Röggla ◽  
Thomas Staudinger

AbstractPurposeOver the years, interesting SWI abnormalities in patients from intensive care units (ICU) were observed, not attributable to a specific cause and with uncertain clinical significance. Recently, multiple SWI-hypointense foci were mentioned related to neurological complications of SARS-COV-2 infection. The purpose of the study was to describe the patterns of susceptibility brain changes in critically-ill patients who underwent mechanical ventilation and/or extracorporeal membrane oxygenation (ECMO).MethodsAn institutional board-approved, retrospective study was conducted on 250 ICU patients in whom brain MRI was performed between January 2011 and May 2020. Out of 48 patients who underwent mechanical ventilation/ECMO, in fifteen patients (median age 47.7 years), the presence of SWI abnormalities was observed and described.ResultsMicrosusceptibilities were located in white-gray matter interface, in subcortical white matter (U-fibers), and surrounding subcortical nuclei in 13/14 (92,8%) patients. In 8/14 (57,1%) patients, SWI foci were seen infratentorially. The corpus callosum was affected in ten (71,4%), internal capsule in five (35,7%), and midbrain/pons in six (42,8%) patients.ConclusionWe showed distinct patterns of diffuse brain SWI susceptibilities in critically-ill patients who underwent mechanical ventilation/ECMO. The etiology of these foci remains uncertain, but the association with mechanical ventilation, prolonged respiratory failure, and hypoxemia seems probable explanations.


2016 ◽  
Vol 7 (01) ◽  
pp. 83-86 ◽  
Author(s):  
Emine Caliskan ◽  
Yeliz Pekcevik ◽  
Adnan Kaya

ABSTRACT Purpose: To evaluate the contribution of conventional brain magnetic resonance imaging (MRI) for the determination of intracranial aneurysms. Materials and Methods: Brain MRI and computed tomography angiography (CTA) of 45 patients (29 women and 16 men; age range, 32–80 years) with aneurysm were analyzed. A comparison was made between brain MRI and CTA based on size and presence of aneurysm. The comparisons between MRI and CTA were investigated through Bland-Altman graphics, receiver operating characteristic curve, and Kappa statistics. Results: Fifty-seven aneurysms were evaluated. Forty-five percent of 57 aneurysms on CTA were detected on conventional brain MRI. A significant correlation was found between CTA and brain MRI in the diagnosis of aneurysm (P < 0.05). In an analysis of the size measurement, a significant correlation was observed between CTA and brain MRI. Seventy-seven percent of aneurysms <4 mm was not detected and the efficiency of MRI in the detection of aneurysms <4 mm was found to be low. Conclusion: Aneurysms can also be appreciated on conventional brain MRI, and vascular structures should be reviewed carefully while analyzing brain MRI.


2007 ◽  
Vol 48 (7) ◽  
pp. 755-762 ◽  
Author(s):  
A. Aalto ◽  
J. Sjöwall ◽  
L. Davidsson ◽  
P. Forsberg ◽  
Ö. Smedby

Background: Borrelia infections, especially chronic neuroborreliosis (NB), may cause considerable diagnostic problems. This diagnosis is based on symptoms and findings in the cerebrospinal fluid but is not always conclusive. Purpose: To evaluate brain magnetic resonance imaging (MRI) in chronic NB, to compare the findings with healthy controls, and to correlate MRI findings with disease duration. Material and Methods: Sixteen well-characterized patients with chronic NB and 16 matched controls were examined in a 1.5T scanner with a standard head coil. T1- (with and without gadolinium), T2-, and diffusion-weighted imaging plus fluid-attenuated inversion recovery (FLAIR) imaging were used. Results: White matter lesions and lesions in the basal ganglia were seen in 12 patients and 10 controls (no significant difference). Subependymal lesions were detected in patients down to the age of 25 and in the controls down to the age of 43. The number of lesions was correlated to age both in patients (ρ = 0.83, P<0.01) and in controls (ρ = 0.61, P<0.05), but not to the duration of disease. Most lesions were detected with FLAIR, but many also with T2-weighted imaging. Conclusion: A number of MRI findings were detected in patients with chronic NB, although the findings were unspecific when compared with matched controls and did not correlate with disease duration. However, subependymal lesions may constitute a potential finding in chronic NB.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yi Bo ◽  
Junli Xie ◽  
Jianguo Zhou ◽  
Shikun Li ◽  
Yuezhan Zhang ◽  
...  

The clinical application of the artificial intelligence-assisted system in imaging was investigated by analyzing the magnetic resonance imaging (MRI) influence characteristics of cerebral infarction in critically ill patients based on the convolutional neural network (CNN). Fifty patients with cerebral infarction were enrolled and examined by MRI. Besides, a CNN artificial intelligence system was established for learning and training. The features were extracted from the MRI image results of the patients, and then, the data were calculated by computer technology. The gray-level cooccurrence matrix (GLCM) of T1-weighted images was 0.872 ± 0.069; the reasonable prediction (ALL) result was 0.766 ± 0.112; the gray-level run-length matrix (GLRLM) was 0.812 ± 0.101; the multigray-level area size matrix (MGLSZM) result was 0.713 ± 0.104; and the result of gray-scale area size matrix (GLSZM) was 0.598 ± 0.099. The GLCM, ALL, GLRLM, MGLSZM, and GLSZM of enhanced T1-weighted images were 0.710 ± 0.169, 0.742 ± 0.099, 0.778 ± 0.096, 0.801 ± 0.104, and 0.598 ± 0.099, respectively. The GLCM, ALL, GLRLM, MGLSZM, and GLSZM of T2-weighted images were 0.780 ± 0.096, 0.798 ± 0.087, 0.888 ± 0.086, 0.768 ± 0.112, and 0.767 ± 0.100, respectively. In short, the image diagnosis method that could reduce the subjective visual judgment error to a certain extent was found by analyzing the characteristics of MRI images of critically ill patients with cerebral infarction based on CNN.


Kanzo ◽  
1996 ◽  
Vol 37 (3) ◽  
pp. 170-175
Author(s):  
Naoaki KUWAHARA ◽  
Toshihiro HIGASHI ◽  
Masako TANABE ◽  
Akiko FUJIWARA ◽  
Takeshi MINATO ◽  
...  

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