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Diffusion tensor imaging of neural tract injury in a patient with hypoxic-ischemic brain injury

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Neural Regeneration Research 2010年第23期5卷 1825-1828页

作者： ji heon hong,sung ho jang Department of Physical Medicine and Rehabilitation,College of Medicine,Yeungnam University,Daegu 705-717,Republic of Korea Department of Physical Medicine and Rehabilitation College of MedicineYeungnam University sung ho jang

Hypoxic-ischemic brain injury （HI-BI） is one of the most common causes of severe neurological disability, Some studies have reported diffusion tensor imaging （DTI） findings of neonatal patients with HI-BI. however, very little is known about DTI in the adult brain. The present study reports on a 15-year-old male patient with HI-BI, who exhibited no specific focal lesions on conventional brain MRI at 5 weeks. however, neural tract injuries were revealed by DTI. Seven control subjects were also evaluated. The patient suffered from cardiac arrest due to ventricular fibrillation for a period of 10 15 minutes. At 4 weeks after onset of cardiac arrest, although he was conscious and alert, he exhibited mild quadriparesis and severe cognitive dysfunction. DTI was acquired at 5 weeks after HI-BI onset. Decreased fractional anisotropy or voxel number of neural tracts suggested partial injury of the corticospinal tract, fornix, and cingulum. Disruptions of the fornix and cingulum on DTI confirmed neural tract injury. DTI could serve as a useful tool for evaluating the state of neural tracts in patients with HI-BI.

关键词： hypoxic-ischemic brain injury diffusion tensor imaging hemiparesis corticospinal tract

Peri-infarct reorganization at the centrum semiovale and corona radiata A diffusion tensor tractography and functional MRI study

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Neural Regeneration Research 2011年第11期6卷 826-829页

作者： ji heon hong sung ho jang Department of Physical Therapy Yeungnam College of Science & Technology Namgu Daegu 705-717 Republic of Korea Department of Physical Medicine and Rehabilitation College of Medicine Yeungnam University Daegu 705-717 Republic of Korea

Peri-infarct reorganization has been reported in stroke patients with a lesion at the cerebral cortex, corona radiata, or pons, separately. however, there have been no reports describing the patients with peri-infarct reorganization at multiple levels. The present study reported a patient with a middle cerebral artery infarct who showed complete paralysis of the right extremities at stroke onset. Results showed that at 3 years after stroke onset, patient＇s motor function of the affected hand appeared to have been recovered by the motor tract, which reorganized into the anterior areas of the infarcted centrum semiovale and corona radiata, as demonstrated by diffusion tensor tractography study analyzed using functional MRI activation results. This result indicates that the human brain can show extensive brain plasticity and that saving the adjacent area or penumbra around the infarct even though the lesion from multiple levels is important for functional recovery after stroke.

关键词： diffusion tensor imaging functional MRI centrum semiovale corticospinal tract perilesional reorganization motor recovery neural regeneration

Aberrant pyramidal tract in a patient with corona radiata infarct A diffusion tensor tractography study

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Neural Regeneration Research 2011年第13期6卷 1027-1030页

作者： ji heon hong sung ho jang Department of Physical Therapy Yeungnam College of Science & TechnologyNamkuDaegu 705-703Republic of Korea Department of Physical Medicine and Rehabilitation College of MedicineYeungnam UniversityDaegu 705-717Republic of Korea

The aberrant pyramidal tract refers to the collateral pathway of the pyramidal tract through the medial lemniscus in the brainstem. A 63-year-old male patient presented with severe paralysis of the left extremities due to a right corona radiata infarct. He was able to extend the affected fingers against resistance at 2 months after stroke onset. At 6 months after stroke onset, he was able to perform some fine motor activities, as well as to walk with a nearly normal gait. Functional MRI, which was performed at 6 months after onset, showed that the contralateral primary sensorimotor cortex was activated during affected （left） hand movements. Diffusion tensor tractography results showed that at 2 weeks after stroke onset, pyramidal tracts of the affected hemisphere originated from the primary motor cortex and descended along the known pathway of the pyramidal tract with an aberrant pyramidal tract, which was bypassed through the medial lemniscus from the midbrain to the lower pons. however, the pyramidal tract from midbrain to pons in the affected hemisphere could not be depicted by diffusion tensor tractography at 6 months after stroke onset; instead, only the aberrant pyramidal tract existed for the course of the disappeared pyramidal tract. Results from this study indicate that the main motor functions of the affected extremities appeared to be controlled via the aberrant pyramidal tract with degeneration of the pyramidal tract in the brainstem of the affected hemisphere.

关键词： diffusion tensor tractography pyramidal tract aberrant pyramidal tract motor recovery cerebral infarct

Functional magnetic resonance imaging and diffusion tensor tractography of the corticopontocerebellar tract in the human brain

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Neural Regeneration Research 2011年第1期6卷 76-80页

作者： ji heon hong sung ho jang Department of Physical Medicine and Rehabilitation College of MedicineYeungnam University

The anatomical organization of the corticopontocerebellar tract （CPCT） in the human brain remains poorly understood. The present study investigated probabilistic tractography of the CPCT in the human brain using diffusion tensor tractography with functional magnetic resonance imaging. CPCT data was obtained from 14 healthy subjects. CPCT images were obtained from functional magnetic resonance imaging and diffusion tensor tractography, revealing that the CPCT originated from the primary sensorimotor cortex and descended to the pontine nucleus through the corona radiata, the posterior limb of the internal capsule, and the cerebral peduncle. After crossing the pons through the transverse pontine fibers, the CPCT entered the cerebellum via the middle cerebral peduncle. however, some variation was detected in the midbrain （middle cerebral peduncle and/or medial lemniscus） and pons （ventral and/or dorsal transverse pontine fibers）. The CPCT was analyzed in 3 dimensions from the cerebral cortex to the cerebellum. These results could be informative for future studies of motor control in the human brain.

关键词： functional magnetic resonance imaging diffusion tensor image corticopontocerebellar tract: motor control: ataxia

Recovery of corticospinal tract injury following subdural hematoma removal A diffusion tensor imaging study

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Neural Regeneration Research 2010年第20期5卷 1555-1558页

作者： ji heon hong sung ho jang Department of Physical Medicine and Rehabilitation College of Medicine Yeungnam University

Subdural hematoma can cause compression or damage to the neural tracts in the brain;however,very little is known about this *** report on a patient with subdural hematoma who was evaluated by diffusion tensor imaging prior to and after trephination and drainage of subdural hematoma.A 58-year-old male patient and ten age-matched normal control subjects were *** patient showed mild hemiparesis for 3 weeks prior to *** hemiparesis recovered to a nearly normal state at 5 weeks post-surgery when the follow up diffusion tensor image was *** diffusion tensor image parameters,fractional anisotropy and apparent diffusion coefficient,were measured along the corticospinal ***-operative diffusion tensor image showed that the corticospinal tract of the affected hemisphere seemed to be injured or ***,the follow up diffusion tensor image showed recovery of this corticospinal tract to a normal *** would appear that diffusion tensor images are a useful tool for evaluation of the effects of subdural hematomas on neural tracts.

关键词： subdural hematoma diffusion tensor imaging hemiparesis corticospinal tract

Diffusion tensor imaging for measuring recovery from cerebellar peduncle injury due to intracerebral hemorrhage: A case report

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Neural Regeneration Research 2010年第12期5卷 954-957页

作者： ji heon hong sung ho jang Department of Physical Medicine and Rehabilitation College of Medicine Yeungnam University

Diffusion tensor tractography （DTT） in diffusion tensor imaging （DTI） examination allows for the three-dimensional visualization of cerebellar peduncles. The present case-control study analyzed the relationship between functional recovery of intracerebral hematoma patient and cerebellar peduncle injury, as detected by DTI. The enrolled patient could not sit at 3 weeks after onset, but was able to walk independently and perform most daily activities after 4 months. The 3-week DTT images revealed that all six cerebellar peduncles were compressed by the hematoma, posterior portions of all three left cerebellar peduncles were shortened, and the left middle cerebellar peduncle was interrupted in the mid-portion. The 4-week DTT images showed that all compressed cerebellar peduncles were ameliorated, although injured posterior portions of the three left cerebellar peduncles did not recover. The fractional anisotropy value of the right inferior cerebellar peduncle increased from two standard deviations below the normal control value to within two standard deviations of the normal control value. These findings suggested that functional recovery was primarily due to decompression of compressed cerebellar peduncles, and not to recovery of injured cerebellar peduncles. DTI evaluations of cerebellar peduncles could be helpful when cerebellar peduncle injury is suspected.

关键词： diffuse tensor imaging cerebellar peduncle injury intracerebral hematoma brain injury cerebellar peduncle

Is combined functional magnetic resonance imaging and diffusion tensor tractography a useful tool for evaluation of somatosensory dysfunction recovery after intracerebral hemorrhage?

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Neural Regeneration Research 2010年第14期5卷 1109-1112页

作者： ji heon hong sung ho jang Department of Physical Medicine & Rehabilitation Yeungnam University College of Medicine

Diffusion tensor tractography allows the sensory fiber course of the medial lemniscus to be visualized. But diffusion tensor tractography for accurate evaluation of the repair of injured somatosensory tracts in stroke patients has been rarely reported. A 55-year-old female patient presented with severe somatosensory dysfunction of the left side caused by a spontaneous intracerebral hemorrhage on the right side. The somatosensory function of the affected side recovered to a nearly normal state at 7 weeks from onset. Functional magnetic resonance imaging revealed that at 3 weeks from onset, there was no cortical activation by touch at each hand; at 7 weeks, the contralateral cortex centered on the primary sensory cortex was found to be activated during touch and passive movements, and activation by passive movements was increased compared with that at 3 weeks. Diffusion tensor tractography revealed that a medial lemniscus on the affected （right） hemisphere was not observed at 3 weeks from onset, however, at 7 weeks, the unaffected （left） hemisphere passed along the medial lemniscus pathway from the pons to the primary sensory cortex. These findings indicate that combined functional magnetic resonance imaging and diffusion tensor tractography would allow more accurate evaluation of the architecture and integrity of somatosensory tracts and is a useful method to investigate the recovery of somatosensory dysfunction in stroke patients.

关键词： functional magnetic resonance imaging diffusion tensor tractography stroke somatosensory recovery intracerebral hemorrhage brain injury

3D-printed versatile biliary stents with nanoengineered surface for anti-hyperplasia and antibiofilm formation

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Bioactive Materials 2024年第7期37卷 172-190页

作者： Hyun Lee Dong-sung Won Sinwoo Park Yubeen Park ji Won Kim Ginam Han Yuhyun Na Min-ho Kang Seok Beom Kim Heemin Kang Jun-Kyu Park Tae-Sik jang Sang jin Lee Su APark Sang Soo Lee Jung-hoon Park Hyun-Do Jung Department of Biomedical-Chemical Engineering The Catholic University of KoreaBucheon14662Gyeonggi-doRepublic of Korea Department of Biotechnology The Catholic University of KoreaBucheon14662Republic of Korea Biomedical Engineering Research Center Asan Institute for Life SciencesAsan Medical Center88 Olympic-ro 43-gilSongpa-guSeoul05505Republic of Korea Department of Gastroenterology Asan Medical CenterUniversity of Ulsan College of Medicine88 Olympic-ro 43-gilSongpa-guSeoul05505Republic of Korea Research Center Metamorp IncSeoul08584Republic of Korea Department of Materials Science and Engineering Korea UniversitySeoul02841Republic of Korea IMT Inc Gwangju61086Republic of Korea School of Biomedical Convergence Engineering Pusan National UniversityYangsan50612Republic of Korea Biofunctional Materials Division of Applied Oral Sciences and Community Dental CareFaculty of DentistryThe University of Hong Kong34 Hospital RoadSai Ying PunHong Kong SARPR China Nano-Convergence Manufacturing Systems Research Division Korea Institute of Machinery and Materials(KIMM)Daejeon34103Republic of Korea Department of Convergence Medicine Asan Medical CenterUniversity of Ulsan College of Medicine88Olympic-ro 43-GilSongpa-guSeoul05505Republic of Korea Division of Materials Science and Engineering Hanyang UniversitySeoul04763Republic of Korea

Biliary strictures are characterized by the narrowing of the bile duct lumen,usually caused by surgical biliary injury,cancer,inflammation,and scarring from *** stent placement is a well-established method for the management of biliary ***,maintaining optimal mechanical properties of stents and designing surfaces that can prevent stent-induced tissue hyperplasia and biofilm formation are challenges in the fabrication of biodegradable biliary stents(BBSs)for customized *** study proposes a novel approach to fabricating functionalized polymer BBSs with nanoengineered surfaces using 3D *** 3D printed stents,fabricated from bioactive silica poly(ε-carprolactone)(PCL)via a sol-gel method,exhibited tunable mechanical properties suitable for supporting the bile duct while ensuring ***,a nanoengineered surface layer was successfully created on a sirolimus(SRL)-coated functionalized PCL(fPCL)stent using Zn ion sputtering-based plasma immersion ion implantation(S-PIII)treatment to enhance the performance of the *** nanoengineered surface of the SRL-coated fPCL stent effectively reduced bacterial responses and remarkably inhibited fibroblast proliferation and initial burst release of SRL in vitro *** physicochemical properties and biological behaviors,including in vitro biocompatibility and in vivo therapeutic efficacy in the rabbit bile duct,of the Zn-SRL@fPCL stent demonstrated its potential as a versatile platform for clinical applications in bile duct tissue engineering.

关键词： 3D printing Biodegradable biliary stent Functionalized polymer Zinc ion implantation Antibiofilm formation Anti-hyperplasia