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  1. Article ; Online: Neuroimaging as a New Diagnostic Modality in Amyotrophic Lateral Sclerosis.

    Verstraete, Esther / Foerster, Bradley R

    Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics

    2015  Volume 12, Issue 2, Page(s) 403–416

    Abstract: Amyotrophic lateral sclerosis (ALS) is characterized by progressive degeneration of upper and lower motor neurons, with variable involvement of extramotor brain regions. Currently, there are no established objective markers of upper motor neuron and ... ...

    Abstract Amyotrophic lateral sclerosis (ALS) is characterized by progressive degeneration of upper and lower motor neurons, with variable involvement of extramotor brain regions. Currently, there are no established objective markers of upper motor neuron and extramotor involvement in ALS. Here, we review the potential diagnostic value of advanced neuroimaging techniques that are increasingly being used to study the brain in ALS. First, we discuss the role of different imaging modalities in our increasing understanding of ALS pathogenesis, and their potential to contribute to objective upper motor neuron biomarkers for the disease. Second, we discuss the challenges to be overcome and the required phases of diagnostic test development to translate imaging technology to clinical care. We also present examples of multidimensional imaging approaches to achieve high levels of diagnostic accuracy. Last, we address the role of neuroimaging in clinical therapeutic trials. Advanced neuroimaging techniques will continue to develop and offer significant opportunities to facilitate the development of new effective treatments for ALS.
    MeSH term(s) Amyotrophic Lateral Sclerosis/diagnosis ; Humans ; Image Processing, Computer-Assisted ; Neuroimaging/methods
    Language English
    Publishing date 2015-02-27
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2316693-9
    ISSN 1878-7479 ; 1933-7213
    ISSN (online) 1878-7479
    ISSN 1933-7213
    DOI 10.1007/s13311-015-0347-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A brighter future for patients with amyotrophic lateral sclerosis through imaging?

    Foerster, Bradley R / Feldman, Eva L

    JAMA neurology

    2014  Volume 71, Issue 5, Page(s) 539–540

    MeSH term(s) Amyotrophic Lateral Sclerosis/diagnostic imaging ; Amyotrophic Lateral Sclerosis/genetics ; C9orf72 Protein ; Female ; Fluorodeoxyglucose F18 ; Humans ; Male ; Positron-Emission Tomography/standards ; Proteins/genetics
    Chemical Substances C9orf72 Protein ; C9orf72 protein, human ; Proteins ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
    Language English
    Publishing date 2014-05
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2702023-X
    ISSN 2168-6157 ; 2168-6149
    ISSN (online) 2168-6157
    ISSN 2168-6149
    DOI 10.1001/jamaneurol.2014.66
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Microstructural mechanisms of analgesia in percutaneous cervical cordotomy revealed by diffusion tensor imaging.

    Gebarski, Stephen S / Chiravuri, Srinivas / Foerster, Bradley R / Patil, Parag G

    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

    2017  Volume 45, Page(s) 311–314

    Abstract: The purpose of this study is to demonstrate the potential of diffusion tensor imaging (DTI) to reveal structural mechanisms underlying spinal ablative procedures, including percutaneous radiofrequency cordotomy (PRFC). PRFC is a surgical procedure that ... ...

    Abstract The purpose of this study is to demonstrate the potential of diffusion tensor imaging (DTI) to reveal structural mechanisms underlying spinal ablative procedures, including percutaneous radiofrequency cordotomy (PRFC). PRFC is a surgical procedure that produces analgesia through focal ablation of the lateral spinothalamic tract (STT), thereby interrupting the flow of pain information from the periphery to the brain. To date, studies regarding mechanisms of analgesia after PRFC have been limited to postmortem cadaveric dissection and histology. However, with recent advances in DTI, the opportunity has arisen to study the STT non-invasively in vivo. In this technical note, an individual with successful pain relief following unilateral STT PRFC was examined using DTI, with the contralateral STT serving as an internal control. PRFC substantially reduced rostrocaudal directional DTI signal in the STT from the lesion in the cervical spinal cord through the pons and mesencephalon. Our findings confirm that focal ablation and anterograde degeneration accompany the analgesic effects of PRFC. In vivo imaging of the STT with DTI may contribute to surgical targeting for PRFC procedures, better understanding of the therapeutic and untoward effects of PRFC, and a deeper understanding of spinothalamic contributions to nociception.
    Language English
    Publishing date 2017-11
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1193674-5
    ISSN 1532-2653 ; 0967-5868
    ISSN (online) 1532-2653
    ISSN 0967-5868
    DOI 10.1016/j.jocn.2017.08.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Building Imaging Institutes of Patient Care Outcomes: Imaging as a Nidus for Innovation in Clinical Care, Research, and Education.

    Petrou, Myria / Cronin, Paul / Altaee, Duaa K / Kelly, Aine M / Foerster, Bradley R

    Academic radiology

    2018  Volume 25, Issue 5, Page(s) 594–598

    Abstract: Traditionally, radiologists have been responsible for the protocol of imaging studies, imaging acquisition, supervision of imaging technologists, and interpretation and reporting of imaging findings. In this article, we outline how radiology needs to ... ...

    Abstract Traditionally, radiologists have been responsible for the protocol of imaging studies, imaging acquisition, supervision of imaging technologists, and interpretation and reporting of imaging findings. In this article, we outline how radiology needs to change and adapt to a role of providing value-based, integrated health-care delivery. We believe that the way to best serve our specialty and our patients is to undertake a fundamental paradigm shift in how we practice. We describe the need for imaging institutes centered on disease entities (eg, lung cancer, multiple sclerosis) to not only optimize clinical care and patient outcomes, but also spur the development of a new educational focus, which will increase opportunities for medical trainees and other health professionals. These institutes will also serve as unique environments for testing and implementing new technologies and for generating new ideas for research and health-care delivery. We propose that the imaging institutes focus on how imaging practices-including new innovations-improve patient care outcomes within a specific disease framework. These institutes will allow our specialty to lead patient care, provide the necessary infrastructure for state-of-the art-education of trainees, and stimulate innovative and clinically relevant research.
    MeSH term(s) Academies and Institutes ; Biomedical Research ; Delivery of Health Care, Integrated ; Diagnostic Imaging ; Humans ; Inventions ; Patient Care ; Patient-Centered Care ; Radiology/education ; Radiology/methods
    Language English
    Publishing date 2018-05-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2018.01.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Relative roles of magnetic resonance angiography and computed tomographic angiography in evaluation of symptomatic carotid stenosis: a critically appraised topic.

    Petrou, Myria / Foerster, Bradley R

    Seminars in roentgenology

    2009  Volume 44, Issue 3, Page(s) 184–187

    MeSH term(s) Angiography ; Carotid Stenosis/diagnosis ; Contrast Media/administration & dosage ; Evaluation Studies as Topic ; Evidence-Based Practice ; Humans ; Image Enhancement ; Magnetic Resonance Angiography ; Meta-Analysis as Topic ; Probability ; Review Literature as Topic ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; United States
    Chemical Substances Contrast Media
    Language English
    Publishing date 2009-07
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 80310-8
    ISSN 1558-4658 ; 0037-198X
    ISSN (online) 1558-4658
    ISSN 0037-198X
    DOI 10.1053/j.ro.2009.03.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: 25 years of neuroimaging in amyotrophic lateral sclerosis.

    Foerster, Bradley R / Welsh, Robert C / Feldman, Eva L

    Nature reviews. Neurology

    2013  Volume 9, Issue 9, Page(s) 513–524

    Abstract: Amyotrophic lateral sclerosis (ALS) is a fatal motor neuron disease for which a precise cause has not yet been identified. Standard CT or MRI evaluation does not demonstrate gross structural nervous system changes in ALS, so conventional neuroimaging ... ...

    Abstract Amyotrophic lateral sclerosis (ALS) is a fatal motor neuron disease for which a precise cause has not yet been identified. Standard CT or MRI evaluation does not demonstrate gross structural nervous system changes in ALS, so conventional neuroimaging techniques have provided little insight into the pathophysiology of this disease. Advanced neuroimaging techniques--such as structural MRI, diffusion tensor imaging and proton magnetic resonance spectroscopy--allow evaluation of alterations of the nervous system in ALS. These alterations include focal loss of grey and white matter and reductions in white matter tract integrity, as well as changes in neural networks and in the chemistry, metabolism and receptor distribution in the brain. Given their potential for investigation of both brain structure and function, advanced neuroimaging methods offer important opportunities to improve diagnosis, guide prognosis, and direct future treatment strategies in ALS. In this article, we review the contributions made by various advanced neuroimaging techniques to our understanding of the impact of ALS on different brain regions, and the potential role of such measures in biomarker development.
    MeSH term(s) Amyotrophic Lateral Sclerosis/diagnosis ; Amyotrophic Lateral Sclerosis/pathology ; Amyotrophic Lateral Sclerosis/physiopathology ; Biomarkers ; History, 20th Century ; History, 21st Century ; Humans ; Magnetic Resonance Imaging/history ; Magnetic Resonance Imaging/methods ; Magnetic Resonance Imaging/trends ; Neuroimaging/history ; Neuroimaging/methods ; Neuroimaging/trends
    Chemical Substances Biomarkers
    Language English
    Publishing date 2013-08-06
    Publishing country England
    Document type Historical Article ; Journal Article ; Review
    ZDB-ID 2491514-2
    ISSN 1759-4766 ; 1759-4758
    ISSN (online) 1759-4766
    ISSN 1759-4758
    DOI 10.1038/nrneurol.2013.153
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Age-Related Declines in Occipital GABA are Associated with Reduced Fluid Processing Ability.

    Simmonite, Molly / Carp, Joshua / Foerster, Bradley R / Ossher, Lynn / Petrou, Myria / Weissman, Daniel H / Polk, Thad A

    Academic radiology

    2018  Volume 26, Issue 8, Page(s) 1053–1061

    Abstract: Rationale and objectives: Healthy aging is associated with pervasive declines in cognitive, motor, and sensory functioning. There are, however, substantial individual differences in behavioral performance among older adults. Several lines of animal ... ...

    Abstract Rationale and objectives: Healthy aging is associated with pervasive declines in cognitive, motor, and sensory functioning. There are, however, substantial individual differences in behavioral performance among older adults. Several lines of animal research link age-related reductions of gamma-aminobutyric acid (GABA), the brain's primary inhibitory neurotransmitter, to age-related cognitive, motor, and sensory decline. Our study used proton magnetic resonance spectroscopy (MRS) at 3T to explore whether occipital GABA declines with age in humans and whether individual differences in occipital GABA are linked to individual differences in fluid processing ability.
    Materials and methods: We used a MEGA-PRESS sequence that combines frequency spectral editing with a point-resolved spectroscopy sequence to quantify GABA. Spectra were obtained from a 30 × 30 × 25 mm voxel placed in the occipital cortex of 20 young adults (mean age 20.7 years) and 18 older adults (mean age 76.5 years). Participants also performed 11 fluid processing tasks outside the scanner, the results of which were z-scored and averaged to calculate a summary measure of fluid processing ability. Regression analysis was employed to determine the relationship between GABA concentrations in the occipital cortex and a summary measure of fluid processing ability.
    Results: Occipital GABA was significantly lower in older participants compared to the younger participants. We also observed a significant positive relationship between occipital GABA and fluid processing ability. In fact, higher GABA was associated with better task performance in 10 of the 11 tasks.
    Conclusion: These findings suggest that GABA levels decline with age in humans and are associated with declines in fluid processing ability.
    MeSH term(s) Aged ; Aging/physiology ; Aging/psychology ; Cognition/physiology ; Female ; Humans ; Magnetic Resonance Spectroscopy/methods ; Male ; Occipital Lobe/diagnostic imaging ; Occipital Lobe/metabolism ; Young Adult ; gamma-Aminobutyric Acid/metabolism
    Chemical Substances gamma-Aminobutyric Acid (56-12-2)
    Language English
    Publishing date 2018-10-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2018.07.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The utility of independent component analysis and machine learning in the identification of the amyotrophic lateral sclerosis diseased brain.

    Welsh, Robert C / Jelsone-Swain, Laura M / Foerster, Bradley R

    Frontiers in human neuroscience

    2013  Volume 7, Page(s) 251

    Abstract: Amyotrophic lateral sclerosis (ALS) is a devastating disease with a lifetime risk of ∼1 in 2000. Presently, diagnosis of ALS relies on clinical assessments for upper motor neuron and lower motor neuron deficits in multiple body segments together with a ... ...

    Abstract Amyotrophic lateral sclerosis (ALS) is a devastating disease with a lifetime risk of ∼1 in 2000. Presently, diagnosis of ALS relies on clinical assessments for upper motor neuron and lower motor neuron deficits in multiple body segments together with a history of progression of symptoms. In addition, it is common to evaluate lower motor neuron pathology in ALS by electromyography. However, upper motor neuron pathology is solely assessed on clinical grounds, thus hindering diagnosis. In the past decade magnetic resonance methods have been shown to be sensitive to the ALS disease process, namely: resting-state connectivity measured with functional MRI, cortical thickness measured by high-resolution imaging, diffusion tensor imaging (DTI) metrics such as fractional anisotropy and radial diffusivity, and more recently magnetic resonance spectroscopy (MRS) measures of gamma-aminobutyric acid concentration. In this present work we utilize independent component analysis to derive brain networks based on resting-state functional magnetic resonance imaging and use those derived networks to build a disease state classifier using machine learning (support-vector machine). We show that it is possible to achieve over 71% accuracy for disease state classification. These results are promising for the development of a clinically relevant disease state classifier. Future inclusion of other MR modalities such as high-resolution structural imaging, DTI and MRS should improve this overall accuracy.
    Language English
    Publishing date 2013-06-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2425477-0
    ISSN 1662-5161
    ISSN 1662-5161
    DOI 10.3389/fnhum.2013.00251
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  9. Article ; Online: Translational research in radiology: challenges and role in a patient-based practice.

    Petrou, Myria / Foerster, Bradley R / Reich, Daniel S

    Academic radiology

    2008  Volume 16, Issue 5, Page(s) 593–596

    MeSH term(s) Biomedical Research/trends ; Patient-Centered Care/trends ; Practice Patterns, Physicians'/trends ; Radiology/trends ; Technology Transfer ; United States
    Language English
    Publishing date 2008-12-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2009.01.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Vision Loss After Central Retinal Artery Occlusion Secondary to Orbital Sarcoid Mass.

    Kim, Denise S / Korgavkar, Kaveri / Zahid, Sarwar / De Lott, Lindsey / Prabhakar, Avinash / Foerster, Bradley R / Besirli, Cagri G

    Ophthalmic plastic and reconstructive surgery

    2016  Volume 32, Issue 2, Page(s) e37–40

    Abstract: The authors describe the first report in the literature of central retinal artery occlusion as the presenting manifestation of sarcoidosis. A 33-year-old man with asthma, headache, and 6 days of intermittent, transient vision loss in the OS presented ... ...

    Abstract The authors describe the first report in the literature of central retinal artery occlusion as the presenting manifestation of sarcoidosis. A 33-year-old man with asthma, headache, and 6 days of intermittent, transient vision loss in the OS presented with persistent vision loss in the OS. Ophthalmic examination was consistent with diagnosis of central retinal artery occlusion in the OS. Vascular imaging with CT angiography revealed an incidental finding of an intraconal mass surrounding the left optic nerve and hilar lymphadenopathy. Broncho scopic lymph node biopsy demonstrated noncaseating granulomas consistent with sarcoidosis. This case proffers a unique mechanism of vision loss in sarcoidosis and highlights that atypical causes of central retinal artery occlusion must be considered in patients without typical risk factors.
    MeSH term(s) Adult ; Blindness/etiology ; Blindness/physiopathology ; Fluorescein Angiography ; Humans ; Male ; Orbital Diseases/complications ; Orbital Diseases/diagnosis ; Retinal Artery Occlusion/diagnosis ; Retinal Artery Occlusion/etiology ; Sarcoidosis/complications ; Sarcoidosis/diagnosis ; Tomography, X-Ray Computed ; Visual Acuity/physiology ; Visual Field Tests ; Visual Fields/physiology
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632830-1
    ISSN 1537-2677 ; 0740-9303
    ISSN (online) 1537-2677
    ISSN 0740-9303
    DOI 10.1097/IOP.0000000000000223
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