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Topic Review
Cranial Nerves of Facial Asymmetry
Symmetry of the face is the one of the most important features for the perception of attractiveness. The word “symmetry” derives from Greek and comes from “syn” (together) and “metron” (meter). Symmetry means that both sides of the face, right and left, are alike. The term “asymmetry” refers to dissimilarity between components, altering the balance between structures. Cranial nerve damage, especially the affection of oculomotor, trochlear, trigeminal, and facial nerves, may occur in many neurological conditions. The most common acquired causes of cranial nerve damage are cerebrovascular events, such as ischemic or haemorrhagic stroke.
  • 3.3K
  • 16 Jun 2022
Topic Review
Pre-clinical Cerebral Perfusion MRI Techniques
Alterations to the cerebral microcirculation have been recognized to play a crucial role in the development of neurodegenerative disorders. However, the exact role of the microvascular alterations in the pathophysiological mechanisms often remains poorly understood. The early detection of changes in microcirculation and cerebral blood flow (CBF) can be used to get a better understanding of underlying disease mechanisms. This could be an important step towards the development of new treatment approaches. Animal models allow for the study of the disease mechanism at several stages of development, before the onset of clinical symptoms, and the verification with invasive imaging techniques. Specifically, pre-clinical magnetic resonance imaging (MRI) is an important tool for the development and validation of MRI sequences under clinically relevant conditions. This article reviews MRI strategies providing indirect non-invasive measurements of microvascular changes in the rodent brain that can be used for early detection and characterization of neurodegenerative disorders. The perfusion MRI techniques: Dynamic Contrast Enhanced (DCE), Dynamic Susceptibility Contrast Enhanced (DSC) and Arterial Spin Labeling (ASL), will be discussed, followed by less established imaging strategies used to analyze the cerebral microcirculation: Intravoxel Incoherent Motion (IVIM), Vascular Space Occupancy (VASO), Steady-State Susceptibility Contrast (SSC), Vessel size imaging, SAGE-based DSC, Phase Contrast Flow (PC) Quantitative Susceptibility Mapping (QSM) and quantitative Blood-Oxygenation-Level-Dependent (qBOLD). We will emphasize the advantages and limitations of each strategy, in particular on applications for high-field MRI in the rodent’s brain. 
  • 2.1K
  • 02 Jun 2021
Topic Review
Hippocampal Malrotation
Hippocampal malrotation (HIMAL) is an increasingly recognized neuroimaging feature but the clinical correlation and significance in epilepsies remain under debate.
  • 1.8K
  • 27 Apr 2021
Topic Review
Neurofibromatosis Type 1 and Brain
Neurofibromatosis type 1 (NF1), the most frequent phakomatosis and one of the most common inherited tumor predisposition syndromes, is characterized by several manifestations that pervasively involve central and peripheral nervous system structures. 
  • 1.8K
  • 20 Apr 2021
Topic Review
Brain Tumor MR Image Segmentation
The precise segmentation of brain tumor images is a vital step towards accurate diagnosis and effective treatment of brain tumors. Magnetic Resonance Imaging (MRI) can generate brain images without tissue damage or skull artifacts, providing important discriminant information for clinicians in the study of brain tumors and other brain diseases. Segmentation methods of brain tumor MR image are mainly divided into three categories according to different segmentation principles: traditional segmentation methods, traditional machine learning-based segmentation methods and deep learning-based segmentation methods.
  • 1.7K
  • 23 Sep 2021
Topic Review
Magnetic Resonance Imaging Assessment in Brain Tumor
The non-enhancing peritumoral area (NEPA) is defined as the hyperintense region in T2-weighted and fluid-attenuated inversion recovery (FLAIR) images surrounding a brain tumor. The NEPA corresponds to different pathological processes, including vasogenic edema and infiltrative edema. The analysis of the NEPA with conventional and advanced magnetic resonance imaging (MRI) was proposed in the differential diagnosis of solid brain tumors, showing higher accuracy than MRI evaluation of the enhancing part of the tumor. In particular, MRI assessment of the NEPA was demonstrated to be a promising tool for distinguishing high-grade gliomas from primary lymphoma and brain metastases. Additionally, the MRI characteristics of the NEPA were found to correlate with prognosis and treatment response.
  • 1.7K
  • 16 Jun 2023
Topic Review
Magnetic Resonance Imaging in Infants with Hypoxic-Ischemic Encephalopathy
Hypoxic-ischemic encephalopathy (HIE) following perinatal asphyxia is a major cause of neurological sequelae in term and near-term infants. Despite therapeutic hypothermia, a significant number of infants still have adverse outcomes. Neuroimaging is the standard of care in infants with HIE to determine the nature and timing of the injury, guide further treatment, and predict neurodevelopmental outcomes. Cranial ultrasonography is helpful to assess the brain before initiation of therapeutic hypothermia to look for abnormalities suggestive of antenatal onset of injury or HIE mimics. However, magnetic resonance imaging (MRI) which includes diffusion-weighted imaging has become the gold standard to assess brain injury in newborns with HIE, and has an excellent prognostic utility. Magnetic resonance spectroscopy provides complementary metabolic information and has also been shown to be a reliable prognostic biomarker. Advanced imaging modalities, such as diffusion tensor imaging and arterial spin labeling, are increasingly being used to gain further information about the etiology and prognosis of brain injury in infants with HIE due to perinatal asphyxia. 
  • 1.6K
  • 29 Mar 2022
Topic Review
In Vivo Brain Glutathione
Glutathione (GSH) is an important antioxidant implicated in several physiological functions, including the oxidation−reduction reaction balance and brain antioxidant defense against endogenous and exogenous toxic agents. Altered brain GSH levels may reflect inflammatory processes associated with several neurologic disorders. An accurate and reliable estimation of cerebral GSH concentrations could give a clear and thorough understanding of its metabolism within the brain, thus providing a valuable benchmark for clinical applications. 
  • 1.5K
  • 21 Apr 2022
Topic Review
Diffusion Tensor Imaging in Prognostic of Acute/Hyperacute Stroke
Clinical manifestation of stroke is characterized by great diversity, ranging from minor disability to considerable neurological impairment interfering with activities of daily living and even death. Prognostic ambiguity has stimulated the interest for implementing stroke recovery biomarkers, including those provided by structural neuroimaging techniques, i.e., diffusion tensor imaging (DTI) and tractography for the study of white matter (WM) integrity. Diffusion tensor imaging (DTI) is an extension of magnetic resonance imaging (MRI) for in vivo mapping of white matter (WM) directionality and organization, allowing the qualitative and quantitative evaluation of major WM tracts and their microstructural integrity. DTI is based on the random diffusion of water molecules. Research on DTI metrics as stroke outcome biomarker is not limited to the acute and subacute phases, as it is also implemented on chronic stroke patients. Direct visualization of long tracts and their potential disruption provides insight into pathogenesis of functional deficits in stroke survivors as well as compensatory mechanisms on a microstructural level. Such knowledge may elucidate which group of patients is most likely to benefit from rehabilitation, and even help personalize treatment plans after the acute stroke phase according to each individual’s needs. 
  • 1.4K
  • 23 Nov 2022
Topic Review
Imaging Biomarkers in Chronic Neuropathic Pain Management
Chronic neuropathic pain is a very important public health issue with profound negative implications in many aspects of patients’ individual lives, as well as society, health systems, productivity, and macroeconomics. The development of imaging, especially molecular and functional imaging, provides objectivity and makes the connection between structural changes, receptors involved in the mechanisms of action, and potentially therapeutic or diagnostic molecules by highlighting the place of action and the involved systems. The approval of composite biomarkers, including serological, genetic, clinical, and imaging markers, with high sensitivity and specificity will accelerate and improve diagnosis, staging, predictive and prognostic evaluation, stratification (phenotyping) and inclusion in trials, and the development of therapeutic options (pharmacological, biomedical) through preclinical, translational, clinical studies. 
  • 1.4K
  • 06 Jan 2023
Topic Review
Autoimmune Demyelinating Diseases
The magnetic resonance characteristics of autoimmune demyelinating diseases are complex and represent a challenge for the radiologist. Expected and unexpected findings of magnetic resonance imaging examination for autoimmune demyelinating diseases were reported in order to provide a valuable approach for diagnosis.
  • 1.3K
  • 18 Apr 2022
Topic Review
Lung Ultrasound
Lung ultrasound has become increasingly used in both adult and pediatric populations, allowing the rapid evaluation of many lung and pleura diseases. 
  • 1.3K
  • 08 Apr 2021
Topic Review
[18F]FET PET in Glioma Recurrence
[18F]fluoroethyl-tyrosine (FET) is an artificial amino acid taken up into upregulated tumoral cells by the LAT system, independently of blood brain barrier leakage. FET is diffuse in Europe and has been shown to provide high sensitivity and specificity for glioma detection resulting in a reliable diagnostic tool for differentiating tumor recurrence/progression from treatment related changes.
  • 1.2K
  • 19 Apr 2022
Topic Review
Cerebrovascular Leak and Glymphatic Obstruction in Neurodegenerative Disease
New approaches are required to successfully intervene therapeutically in neurodegenerative diseases. Addressing the earliest phases of disease, blood brain barrier (BBB) leak before the accumulation of misfolded proteins has significant potential for success.
  • 1.2K
  • 26 Oct 2021
Topic Review
Boron Neutron Capture Therapy
Boron neutron capture therapy (BNCT) is a type of targeted radiotherapy. BNCT shows promising results in treating lung cancer, recurrent head and neck cancer, sarcomas, and high grade brain tumors.
  • 1.2K
  • 29 Nov 2021
Topic Review
Ultrasound Technologies in Giant Cell Arteritis Diagnosis
Giant cell arteritis (GCA) is a primary autoimmune vasculitis that specifically affects medium-sized extracranial arteries, like superficial temporal arteries (TAs). The most important data to be considered for the ultrasound (US) diagnosis of temporal arteritis are stenosis, acute occlusions and “dark halo” sign, which represent the edema of the vascular wall. The vessel wall thickening of large vessels in GCA can be recognized by the US, which has high sensitivity and is facile to use. Ocular complications of GCA are common and consist especially of anterior arterial ischemic optic neuropathies or central retinal artery occlusion with sudden, painless, and sharp loss of vision in the affected eye. Color Doppler imaging of the orbital vessels (showing low-end diastolic velocities and a high resistance index) is essential to quickly differentiate the mechanism of ocular involvement (arteritic versus non-arteritic), since the characteristics of TAs on US do not correspond with ocular involvement on GCA. GCA should be cured immediately with systemic corticosteroids to avoid further visual loss of the eyes. 
  • 1.2K
  • 30 Jan 2022
Topic Review
Artificial Intelligence and Machine Learning in Stroke Care
Stroke is an emergency for which delays in treatment can lead to significant loss of neurological function and be fatal. Technologies that increase the speed and accuracy of stroke diagnosis or assist in post-stroke rehabilitation can improve patient outcomes. No resource exists that comprehensively assesses artificial intelligence/machine learning (AI/ML)-enabled technologies indicated for the management of ischemic and hemorrhagic stroke.
  • 1.1K
  • 16 Jun 2023
Topic Review
Bilingual Speech and Neuroimaging
It is documented that most bilingual speakers voluntarily engage in code-mixing in conversation and bilinguals use speech sound inventories from both their first (L1) and second language (L2) when code-mixing. Code-mixed language offers a unique opportunity to study first- and second-language speech perception while both languages are being assessed. In addition, it is possible to investigate neural activation monitoring during such a task with the use of functional near-infrared spectroscopy (fNIRS). fNIRS is a non-evasive imaging technology that has been previously used to investigate bilingualism and brain localization function.
  • 1.1K
  • 07 Oct 2023
Topic Review
Neurotransmitter Imaging in Parkinsonian Disorders
Neurodegenerative parkinsonian disorders are characterized by a great diversity of clinical symptoms and underlying neuropathology, yet differential diagnosis during lifetime remains probabilistic. Molecular imaging is a powerful method to detect pathological changes in vivo on a cellular and molecular level with high specificity. Thereby, molecular imaging enables to investigate functional changes and pathological hallmarks in neurodegenerative disorders, thus allowing to better differentiate between different forms of degenerative parkinsonism, improve the accuracy of the clinical diagnosis and disentangle the pathophysiology of disease-related symptoms. 
  • 1.1K
  • 21 Sep 2022
Topic Review
Aβ Optical Imaging in AD
Alzheimer’s disease (AD) is a multifactorial, irreversible, and incurable neurodegenerative disease. The main pathological feature of AD is the deposition of misfolded β-amyloid protein (Aβ) plaques in the brain. The abnormal accumulation of Aβ plaques leads to the loss of some neuron functions, further causing the neuron entanglement and the corresponding functional damage, which has a great impact on memory and cognitive functions. The imaging techniques for the clinical AD diagnosis currently mainly include computed tomography (CT), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), positron emission tomography (PET), single-photon emission computed tomography (SPECT), magnetic resonance spectroscopy (MRS), and so on. Compared with clinical imaging modalities, optical imaging possesses many advantages (e.g., noninvasiveness, high sensitivity, low cost, high imaging speed, and the ability to carry out three-dimensional imaging with high spatial and temporal resolution), allowing for the detection of biological processes at the cellular or molecular level.
  • 1.1K
  • 17 Aug 2021
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