Cerebral Cortex 2 and Language Flashcards
what are the structural methods for imaging a live brain?
- CT
- MRI
- DTI
functional methods for imaging a live brain
- PET
- fMRI
Computerized tomography (CT)
a narrow beam of x-rays is aimed at a patient and quickly rotated around the body, producing signals that are processed by the machines computer to generate cross sectional images or slices
- These images can be reconstructed to form a 3D view of the body
- CT scanner is like a donut, not a tube like an MRI
- Can be easier for claustrophobic patients to tolerate it
clinical situations when you use a CT (5)
- Stroke
- Headache
- Abdominal pain
- Unexplained bleeding
- Guiding neurosurgery
how are CT’s used in research situations?
- Can do CT on a variety of animals as well as humans
- Allows for tracking changes in an animal over time
what identifying things are in a CT? (3)
- The very bright region is the skull
- Acute blood would be bright
- Chronic blood would be dark
Subdural hematoma features (3)
- Midline shift
- Sulci in right hemisphere are thin or difficult to see ⇒ due to swelling
- Isointensity indicates subacute blood
what dye can be used to examine blood supply to the brain
iodine based
Advantages of CT (4)
- Non invasive
- Can use tracers to distinguish particular tissues of interest
- Very little distortion
- Quick
Disadvantages of CT (2)
- Difficult to see fine features ⇒ low resolution
- Like X-rays you need to worry about repeated exposure to radiation
Magnetic resonance imaging (MRI)
uses powerful magnets that produce a strong magnetic field to force protons in the body to align with the field
how does MRI work?
- When radiofrequency current is pulsed through the patient, the protons are stimulated and strain against the pull of the magnetic field
- When the radiofrequency is turned off, the MRI sensors detect the energy that is given off as the protons realign
- The amount of energy released varies with various environments
what can be difficult for patients with an MRI?
Can be difficult for claustrophobic patients
when can you use MRI clinically (3)
- Stroke ⇒ not acute
- Dementia
- Tumor
when can you use MRI for research?
Whenever you want a detailed image of the brain
MRI settings (4)
- PD
- TD
- T1
- MRA => MR angiography
PD MRI
good for viewing subtle changes in anatomy
TD MRI
fluid appears light and good for viewing edema, MS lesions, demyelination
T1 MRI
good for viewing general anatomy and with contrast (gadolinium) good for detecting breakdown in blood brain barrier
MRA MRI
good for viewing blood vessels
what happens in frontotemporal dementia
Reduced volume of gyri because the brain has shrunk
what do multiple sclerosis lesions look like?
white dots on the MRI
advantages of MRI (4)
- Non invasive
- Beautiful, very detailed images of the brian
- Aligned with functional MRI
- No significant radiation exposure
disadvantages of MRI (3)
- Take longer to obtain and can be uncomfortable
- Expensive
- Not possible for people who have metal in their bodies
Diffusion tensor imaging (DTI)
specific sequences are used that take advantage of diffusion of water molecules along white matter in the brain ⇒ used to look at white matter
- Technically a particular type of MRI
Positron emission tomography (PET)
radioactive tracer is given before the scan and will build up in areas of higher chemical activity
- may bind to particular receptors, transporters, etc.
- can be combined with Ct to look for cancer
where does Fluorodeoxyglucose build up
in areas where brain cells are more active ⇒ consuming more glucose
Functional magnetic resonance imaging (fMRI)
takes advantage of the fact that changes in blood flow are associated with neural activity
- Measures the BOLD (blood oxygenation level dependent) signal
- Does not measure neural activity, but BOLD correlates highly with neural activity
how fast do BOLD measurements change?
over seconds
how is fMRI used in clinical settings? (3)
- Plan surgical approach
- Plan radiation treatment
- Use for biofeedback
does fMRI or PET have better temporal resolution
fMRI offers a much faster temporal resolution than PET
what is an advantage of PET?
PET can give molecular specificity with the use of particular radiotracers
what sensorimotor cortices are functions of the cerebral cortex?
- primary visual
- primary auditory