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An analysis of after hours MRI scans in a busy tertiary hospital neuro intensive care unit-Does your patient safety is at jeopardy? (P7.326)
CONCLUSIONS: Based on the above results we are in the process of developing selective patient defined criteria for performing after hours MRI scan in the ICU as an important quality measure to improve patient's safety.We highly recommend all hospitals to take such initiatives to improve patient's safety especially in the ICU setting Study Supported by: Disclosure: Dr. Nattanmai Chandrasekaran has nothing to disclose. Dr. Shutter has received personal compensation for activities with Johnson & Johnson/Codman and UCB Pharma as a consultant and/or speaker.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Nattanmai Chandrasekaran, P., Shutter, L. Tags: Practice, Policy, and Ethics Source Type: research

New Windows into the Brain: Technological Advances in Detecting and Treating Neurological Disorders (P4.185)
CONCLUSIONS • Visualase is a new MRI-guided laser technology often used to treat hard-to-reach and otherwise inoperable brain and spine tumors. The procedure can be performed while a patient is awake and requires only one stitch to close the surgical site. The laser thermal ablation technique destroys lesions and also has proven to be effective for epilepsy patients. • The minimally invasive NICO BrainPath - detailed fiber-tracking combined with precise image-guidance - effectively treats subcortical and deep brain lesions as never before. The procedure is part of the Six Pillar Approach. The presenter is one of ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bailes, J. Tags: Neurodiagnosis and Health Outcomes Source Type: research

Prevalence of Cerebral Small-Vessel Disease in Long-Term Breast Cancer Survivors Exposed to Both Adjuvant Radiotherapy and Chemotherapy Breast Cancer
Conclusion More CMBs were found in the aRCeBCS group than in the population-based controls. These vascular lesions potentially mark cerebrovascular frailty that could partially explain the well-documented association between chemotherapy and cognitive dysfunction. No support was found for a radiotherapy-related origin of CMBs.
Source: Journal of Clinical Oncology - February 18, 2015 Category: Cancer & Oncology Authors: Koppelmans, Vernooij, Boogerd, Seynaeve, Ikram, Breteler, Schagen Tags: Radiation, Chemotherapy Breast Cancer Source Type: research

Traumatic Brain Injuries, Stem Cells and Children: A Conversation With Dr. Charles Cox
One of the world's leading experts on cellular therapies for traumatic brain injury (TBI), Dr. Cox directs the Pediatric Surgical Translational Laboratories and Pediatric Program in Regenerative Medicine at the University of Texas Medical School at Houston, as well as the Pediatric Trauma Program at the University of Texas-Houston/Children's Memorial Hermann Hospital in the Texas Medical Center. He is the author of over 120 scientific publications and 20 book chapters and has served on scientific study sections/review groups for the NIH, American Heart Association, Veterans Affairs MERIT Awards, Department of Defense and C...
Source: Healthy Living - The Huffington Post - February 13, 2015 Category: Consumer Health News Source Type: news

Long-term smoking 'may cause' brain shrinkage
Conclusion This study has shown an association between smoking and a thinner cortex, though it cannot prove that smoking caused the cortex to thin. The study was cross sectional, so cannot say which came first – the smoking or the cortex differences. Also, confounding factors other than smoking may be contributing. Strengths of the study include: Having access to measurements of cognitive ability when the participants were 11 years old, before most of them would have started smoking, as a potential indicator of cortex thickness. The radiologists were blinded to which MRIs came from each group, reducing the risk of ...
Source: NHS News Feed - February 12, 2015 Category: Consumer Health News Tags: Lifestyle/exercise Neurology Source Type: news

Prevalence of Cerebral Small-Vessel Disease in Long-Term Breast Cancer Survivors Exposed to Both Adjuvant Radiotherapy and Chemotherapy.
CONCLUSION: More CMBs were found in the aRCeBCS group than in the population-based controls. These vascular lesions potentially mark cerebrovascular frailty that could partially explain the well-documented association between chemotherapy and cognitive dysfunction. No support was found for a radiotherapy-related origin of CMBs. PMID: 25559803 [PubMed - as supplied by publisher]
Source: Clinical Genitourinary Cancer - January 5, 2015 Category: Cancer & Oncology Authors: Koppelmans V, Vernooij MW, Boogerd W, Seynaeve C, Ikram MA, Breteler MM, Schagen SB Tags: J Clin Oncol Source Type: research

Behind the Headlines 2014 Quiz of the Year
In 2014, Behind the Headlines covered more than 500 health stories that made it into the mainstream media. Test your knowledge of 2014's health news with our month-by-month quiz. If you've been paying attention, you should find this quiz both easy and fun. Answers are at the foot of the page (no peeking!).   In January 2014's health news... What was said to help make bones stronger? 1) Swimming 2) Marriage 3) Listening to classical music Warnings were issued about the possible return of what? 1) Swine flu 2) The Black Death 3) Smallpox   In February 2014's health news... What activity was said to lower your ...
Source: NHS News Feed - December 29, 2014 Category: Consumer Health News Tags: Special reports Medical practice Source Type: news

In Vivo Quantification of Cerebral Translocator Protein Binding in Humans Using 6-Chloro-2-(4'-123I-Iodophenyl)-3-(N,N-Diethyl)-Imidazo1,2-aPyridine-3-Acetamide SPECT
Conclusion: As demonstrated within a group of stroke and GBM patients, 123I-CLINDE SPECT can be used for quantitative assessment of TSPO expression in vivo. Because of the absence of a region devoid of TSPO, reference tissue models should be used with caution. The 2-tissue-compartment kinetic analysis of a 90-min dynamic scan with arterial blood sampling is recommended for the quantification of 123I-CLINDE binding with SPECT.
Source: Journal of Nuclear Medicine - December 1, 2014 Category: Radiology Authors: Feng, L., Svarer, C., Thomsen, G., de Nijs, R., Larsen, V. A., Jensen, P., Adamsen, D., Dyssegaard, A., Fischer, W., Meden, P., Krieger, D., Moller, K., Knudsen, G. M., Pinborg, L. H. Tags: Clinical Investigations Source Type: research

Regional quantification of cerebral venous oxygenation from MRI susceptibility during hypercapnia
Publication date: 1 January 2015 Source:NeuroImage, Volume 104 Author(s): Audrey P. Fan , Karleyton C. Evans , Jeffrey N. Stout , Bruce R. Rosen , Elfar Adalsteinsson There is an unmet medical need for noninvasive imaging of regional brain oxygenation to manage stroke, tumor, and neurodegenerative diseases. Oxygenation imaging from magnetic susceptibility in MRI is a promising new technique to measure local venous oxygen extraction fraction (OEF) along the cerebral venous vasculature. However, this approach has not been tested in vivo at different levels of oxygenation. The primary goal of this study was to test whether ...
Source: NeuroImage - November 4, 2014 Category: Neuroscience Source Type: research

Assessment of blood–brain barrier disruption using dynamic contrast-enhanced MRI. A systematic review
In conclusion, DCE-MRI is shown to provide valuable information in a large variety of applications, ranging from common applications, such as grading of primary brain tumors, to more recent applications, such as assessment of subtle BBB dysfunction in Alzheimer's disease. Further research is required in order to establish consensus-based recommendations for data acquisition and analysis and, hence, improve inter-study comparability and promote wider use of DCE-MRI.
Source: NeuroImage: Clinical - November 3, 2014 Category: Radiology Source Type: research

Small-animal PET demonstrates brain metabolic change after using bevacizumab in a rat model of cerebral ischemic injury
Abstract To evaluate the effect of bevacizumab on cerebral ischemia, we used 2-deoxy-2-18F-fluoro-D-glucose (18F-FDG) small-animal positron emission tomography (PET) in the middle cerebral artery occlusion (MCAO) rat model. After baseline neurologic function tests and PET studies, MCAO Sprague-Dawley rats received bevacizumab or normal saline (controls). Weekly PET imaging and neurologic function tests showed that the 18F-FDG accumulation in the bevacizumab group was similar to that in the controls during the first 2 weeks, but lower than in controls at weeks 3 and 4. However, no difference was found in neurologi...
Source: Neuroscience Bulletin - October 1, 2014 Category: Neuroscience Source Type: research

The Case Files: Unusual Headache
By Al-Hashimi, Siddhartha DO; Leavens, John MD A 23-year-old woman with a history of migraine headaches presented to the emergency department for a different-than-usual headache. She had a six-day history of intermittent headaches. The onset was at rest, and there was no history of trauma.   The headache was located behind her left eye, and it radiated into the posterior portion of her head. She characterized it as being 8/10 in intensity. Bright lights were reported as an exacerbating factor. The headache was associated with nausea and multiple episodes of emesis. She had 10 episodes of vomiting the evening prior to arri...
Source: The Case Files - June 5, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: research

PET scans may improve brain injury diagnosis
ConclusionThis is a valuable diagnostic study that tested how accurate PET and fMRI imaging are at distinguishing between different levels of conscious state and helping to predict recovery. Diagnostic assessments are traditionally made using bedside clinical tests – but as the researchers say, judging the level of awareness in people with severe brain damage can be difficult.In particular, the researchers wanted to see whether the scans could accurately distinguish between people with “unresponsive wakefulness syndrome” and “minimally conscious state”, as distinguishing between these two states can have impor...
Source: NHS News Feed - April 16, 2014 Category: Consumer Health News Tags: Medical practice Neurology Source Type: news

Epilepsy and Cancer: Ancient Problem in a Top Mortality Illness (P3.313)
CONCLUSIONS: Seizures in patients with cancer is a frequent comorbid condition with a high mortality rate, further studies are required to study the efficacy and security of AED and other forms of treatment.Study Supported by: NoneDisclosure: Dr. Cacho Diaz has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Cacho Diaz, B. Tags: Neurologic Complications of Cancer Source Type: research

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