In this section, a small number of projects are highlighted to provide a sample
of the broad spectrum of research interests currently supported by the MR Research Laboratory.
Neuroimaging Research
RESEARCHERS
(Left to right)
Elizabeth Aylward, PhD, Radiology
Geraldine Dawson, PhD, Psychology
Todd Richards, PhD, Radiology
Dr. Elizabeth Aylward and Dr. Todd Richards, Department of Radiology, are working in conjunction with
Dr. Geraldine Dawson, UW Autism Center, on several
studies exploring the biological basis for social cognition
disabilities found in autistic patients. Prior research has
suggested that these disabilities may be first evident in the
failure to appropriately respond to people’s faces, a very basic
aspect of social cognition. In their research, fMRI and
electroencephalography (EEG) are used to explore abnormalities
in the regional distribution of the brain response to faces
for autistic young adults. Several hypotheses are being tested
by comparing brain processing during the viewing of human
faces to viewing of non-face visual stimuli to look at selective
impairment of social information processing in autism.
These studies also examine the neural patterns associated
with face recognition in autism and are being used to determine
the relationship between neural indices of brain function
and behavioral tests of neuropsychological function, social
cognition and behavior.
Top
RESEARCHERS
Stephen Dager, MD, Radiology
Seth Friedman, PhD, Radiology
Dennis Shaw, MD, Radiology
Imbalances in neurochemicals and brain metabolism are at
the root of many neuropsychiatric diseases and disorders.
Dr. Stephen Dager and Dr. Seth Friedman, Department
of Radiology, have developed methodology that utilizes MR
imaging and spectroscopy of multiple nuclei (hydrogen-1 H,
phosphorus-31P and fluorine-19F) to study brain chemistry,
brain metabolite regulation and brain pharmacokinetics in
adults and children with a variety of psychiatric disorders.
Their research also has extended to the study of the metabolic
effects of caffeine and the mechanisms involved in acute
mountain sickness and respiratory regulation. To carry out
this research, these investigators use RF coils built in the
MR Research Laboratory specifically for these applications
(for example, a fluorine coil and a decoupled, dual-tuned
phosphorus-proton coil) together with laboratory-designed
pulse sequences such as Proton Echo-Planar Spectroscopic
Imaging (PEPSI), which is used to quantitatively measure
regional brain metabolite concentrations in selected areas of
the brain.
Using these MR spectroscopic techniques, Dr. Dager and
colleagues are currently working on several areas of neuroimaging
research:
Bipolar Disorder
This project, in collaboration with imaging researchers at
Harvard University, is aimed at elucidating the chemical
mechanisms in the brain that underlie bipolar disorder.
Recent experimental findings have suggested that there are
alterations in glycolytic flux in unmedicated bipolar disorder
patients. These researchers are also assessing treatment
response to lithium and valproic acid, two medications
commonly prescribed for the disorder. They have found that
the effects of mood stabilizers on brain chemistry are variable
among patients.
Panic Disorder
The focus of this study is the characterization of the cellular
mechanisms that underlie the phenomenon of the panic
attack. Physiological manipulation (hyperventilation) is being
used to study acid-base regulation in panic disorder. Advanced
data acquisition at high-magnetic field (3T) is employed to
study the progression of pH and lactate changes. In addition,
these researchers are evaluating the effect of treatment
(medication or cognitive behavioral therapy) on modulating
brain respiratory regulation.
Early-Onset Autism
This is a several year longitudinal research project to better
understand the neurochemical and morphological alterations
associated with brain development and cognitive/behavioral
abnormalities in young children with autism. Initial results from
a study of children between three and nine years of age suggest
the presence of autism-related abnormalities in brain
development by age three. For this study, the researchers are
imaging children as young as 18 months of age to elucidate the
time course and nature of abnormal brain developmental
processes associated with autism and idiopathic developmental
delay.
Top
RESEARCHERS
Kenneth Maravilla, MD, Radiology
Julia Heiman, PhD, Psychiatry and Behavioral Sciences
Claire Yang, MD, Urology
Human sexuality is currently on the forefront of women’s
health issues, as sexual dysfunction may have a serious impact
on relationships and overall emotional well-being across
different life stages. Dr. Kenneth Maravilla and colleagues are utilizing
fMRI techniques to evaluate the patterns of brain activation
associated with a sexually arousing stimulus in normal female
subjects. Initially, the project is focused on identifying key
patterns of brain response and comparing them across pre- and
post-menopausal groups. By identifying the patterns
associated with female arousal, the researchers will then be
able to characterize the differences in brain activation patterns
seen in patients with neuropsychological or physiologic
impairments. The short-term applications of this research
include comparing the fMRI activation patterns pre- and
post-therapy to evaluate treatment response to new pharmacologic
measures. Ideally, this project will ultimately help to
improve understanding of the interactions between cerebral
and physical arousal in women and to develop effective
treatments for women with sexual arousal difficulties.
Top
RESEARCHERS
(left to right)Cecil Hayes, PhD, Radiology
Mark Mathis, Radiology
Tim Wilbur, Radiology
The quality of an image and the accuracy of the quantitative
information it contains is limited by the degree to which the
desired signal intensity exceeds the random noise that is also
present. A radio frequency (RF) receiver coil picks up both
the MR signal, which is a weak oscillating magnet field from
the rotating hydrogen nuclei in the patient, and the noise,
which is due to the random motion of charged particles in the
imaging system. The RF receiver coil is basically a sophisticated
antenna that functions as the imaging detector and is
the critical element that conveys imaging information from
the patient to the scanner. As such, its performance largely
determines the signal-to-noise ratio (SNR) in the resulting
image. High SNR can be used to reduce the time needed to
acquire an image, to see smaller features of the anatomy
(improve resolution), or to distinguish subtle variations in
image contrast due to disease. The focus of the RF Coil
Laboratory is to design RF coils that maximize signal and
minimize noise picked up when imaging a subject. Often this
improved SNR is the key requirement for making a new
diagnostic or research procedure possible.
Dr. Cecil Hayes, a pioneer in RF coil physics, founded the RF Coil Laboratory in 1992. With the assistance of engineers Mark Mathis, and recently Tim Wilbur, the laboratory has produced numerous custom RF coils for research and clinical projects at the UW. These include coils for high resolution imaging of the temporal lobes of the brain, the brachial plexus, peripheral nerves, the wrist, the carotid arteries, the neck, the torso, the pelvis, the heart, and for fMRI brain studies. Special coils have also been produced for our research affiliates in Seattle; Children’s and Veteran’s Administration hospitals. Experimental coils supporting high field, 4.7T and 7T scanners at the UW are also designed and supported.
Current projects include a neurovascular array funded under NIH grant, and carotid four and eight channel variants for research in the United States, Europe and Asia.
All coils for human studies conform to US Food and Drug Administration (FDA) and Institutional Review Board (IRB) guidelines.
Several inventions, patents and applications, and commercial interests have been realized as a result of these activities.
In addition to RF coil
design and construction, the
laboratory scientists also develop
mechanical and electronic accessories that are utilized for specific experiments
in the high magnet field environment of the MRI scanners. Mechanical
devices that provide comfort and restrict patient movement during scanning
are of particular interest because patient motion is a major cause of reduced
image quality. For functional MRI studies of brain activity, sound and video
devices have been built and then integrated into custom high-resolution head
coils. The RF lab also provides electronic and mechanical design support
for the UW MR Research Laboratory and has built devices for physiologic
monitoring, stimulus response, and temperature control in the
magnetic environment. Additionally, the RF Coil Lab scientists design, build,
modify, and maintain the electronic hardware for the MR Research
Laboratory’s 4.7T and 7T MR systems.
Top
Chun Yuan, PhD, Radiology
Thomas Hatsukami, MD, Surgery
Vasily Yarnykh, PhD, Radiology
William Kerwin, PhD, Radiology
Website: http://depts.washington.edu/vil/
MRI is a powerful tool for in vivo studies of the pathophysiology
of human atherosclerosis (AS) progression. In
addition to allowing for the precise assessment of AS plaque
burden, MR images can be used to classify cardiovascular
AS disease according to established criteria and to identify
critical plaque features. In vivo MR studies in humans improve
scientific understanding of cardiovascular disease mechanisms
and associated risk factors and result in improved identification
of high-risk stroke and heart disease in individuals as well
as more appropriate clinical intervention.
The Vascular Imaging Laboratory (VIL) is comprised of a
multi-disciplinary group of researchers and clinicians who are
dedicated to the development of innovative MRI techniques
for the analysis of cardiovascular systems. These techniques
include both new acquisition strategies for obtaining images of
the heart and blood vessels and post-processing strategies for
extracting quantitative measurements of their form and
function. The Vascular Imaging Laboratory consists of the
following groups:
-
The Imaging Physics Lab develops novel high-resolution
magnetic resonance imaging protocols and technology to
identify and characterize the underlying features of atheroscerotic
plaques that cause ischemic stroke and heart disease
and is directed by Dr. Chun Yuan and Dr. Vasily Yarnykh.
The Image Processing division has created a state-of-the-art
computer-aided system for cardiovascular disease evaluation
(CASCADE). This system extracts both morphological and
compositional indices of atherosclerotic plaque severity,
progression, and vulnerability to rupture. Dr. William Kerwin
is the director.
-
The Reading Center is the data management core for clinical
studies of new therapeutic approaches to stroke and ischemic heart disease. The Center also ensures laboratory compliance
with all research regulations and is coordinated by Dr.
Dongiang Xu.
-
The Pathology Core Lab provides histology validation of MR
images and generates the fundamental research questions to be
addressed in imaging research. The laboratory is directed by
Dr. Thomas Hatsukami and managed by Marina Ferguson, MT.
Top