w9 Flashcards

1
Q

What is the Visible Human Project

A

the creation of complete, anatomically detailed, three-dimensional representations of the normal male and female human bodies

goal is to produce a system of knowledge structures that will transparently link visual knowledge forms to symbolic knowledge formats, such as the names of body parts.

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2
Q

How was the Visible Human Project completed

A

Acquisition of transverse CT, MR and cryosection images of representative male and female cadavers was completed.

The male was sectioned at one-millimeter intervals, the female at one-third of a millimeter intervals.

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3
Q

What are some applications of the Visible Human Project

A

Simulation of a surgical incisions. Virtual scalpel is haptically interfaced to a real scalpel handle to provide the user with the feel of the cut.

can isolate skeletal, muscular, vascular, etc elements.

allows access to information at the various spatial scales using ontologies (organ, tissue, cells, etc) and web databases that contain models encoded in markup languages (physio, anat, tissue, cell).

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4
Q

what is the goal of modelling physiological systems

A

to identify the parameters and structure of the system, not to design a system.

Ideally, the input and the output of the physiological system are known and some information about the internal dynamics of the system are already available (essentially a black box).

In many cases, either the input or output is not measurable or observable but is estimated
from remote signals (such as medical image data), and no information about the system is
known.

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5
Q

What is System identification

A

the process of creating a model of a system and estimating the parameters of the model

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6
Q

what is a quantitative physiological model

A

a mathematical representation that approximates the
behavior of an actual physiological system.

Physiological systems are almost always dynamic and can be characterized mathematically with differential equations. Approximates the behaviour of an actual physiological system using basic and natural laws.

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7
Q

What is the most important and time consuming task in modelling

A

The design and execution of experiments is one of the most important and time consuming tasks in modelling.

The best experiment is one that provides data that is highly related to variables used in the model.

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8
Q

what are Qualitative physiological models

A

describe the actual physiological system without the use of mathematics.

most often used by biologists

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9
Q

what are the goals of physiological modelling

A

Generation of new knowledge, explaining the
underlying processes that cause the experimental data.

Prediction of observations before they occur

Assistance in designing new experiments

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10
Q

what are the stages of Developing a Model

A

Conjecture: based on observations from an experiment or a phenomenon

Initial Hypothesis: formed via a mathematical model

Obtain Data: extracted from experiments via data acquisition

Test Hypothesis: testing the model against the data

Modify Hypothesis: update model, carry out additional experiments (e.g. to provide information about previously unobservable variables)

State Solution: a good model can predict future performance well. Usually a statistical test is performed to test the goodness of fit.

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11
Q

How did the introduction of digital computers, programming languages, and simulation software
cause a rapid change in the use of physiological models

A

allowed inclusion of as much knowledge as possible about the structure and interrelationships of the physiological system without any overriding concern about the number of calculations

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12
Q

what are compartments

A

When analyzing systems of the body characterized by a transfer of solutes (e.g. a radioactive tracer, a molecule such as glucose, or a gas such as oxygen
or carbon dioxide) from one compartment to another, such as the circulatory and respiratory systems, it is convenient to describe the system as a series of compartments.

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13
Q

what is PET

A

a functional imaging technique that measures the local concentration of an exogenous radioactive tracer molecule in the target tissue.

Thus, given a time sequence of PET images, one can quantify tracer kinetics in vivo.

The power of PET lies in its molecular specificity. By using a particular radiotracer molecule, one can monitor the interaction of that molecule with the body’s physiological processes. Most diseases are functional in nature and structural changes are secondary.

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14
Q

Describe the behavior of the tracer

A

The amount of tracer injected is a trace amount that causes no change in the physiology of the organism;

The tracer is in steady state with the endogenous molecule (the molecule that the tracer seeks to emulate, which we call the tracee, such as glucose in the brain). the tracer goes everywhere that the tracee goes.

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15
Q

What is a tracer and describe its role in PET

A

a “positron-emitting nuclide.”
characterized by its emission of a positive charged particle called positron (positive electron). This positron emission is not naturally occurring, but it requires a device called a cyclotron for the production of positron -emitting nuclides or isotopes. Once emitted, this is followed by a prompt reaction of positrons with surrounding electrons, thus inducing their annihilation. As a consequence of this collision, two high-energy photons called gamma-rays are produced that travels away from the site at almost 180 degrees. These photons are then detected from outside of the patient’s body by the PET scanner.

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16
Q

what is Compartmental Modelling

A

involves describing a system with a finite number of compartments, each connected with a flow of solute from one compartment to another.

Given a system described by a group of compartments, some exchange of solute (i.e., a radioactive tracer, a molecule such as glucose or insulin, or a gas such as oxygen or carbon dioxide) is expected between compartments by diffusion.

17
Q

what is the goal of Compartmental analysis

A

to predict the concentrations of solutes under consideration in each compartment as a function of time using conservation of mass:

accumulation = input - output.

18
Q

describe the state of compartments in basic Compartmental Modelling

A

A compartment is a place where the tracer is assumed to be distributed uniformly & tracer instantly mixes.
A compartment is said to be open if it leaks to the environment and closed if it does not.
Models of real systems usually have at least one open compartment.
A multicompartmental model consists two or more compartments interconnected so that there is exchange of material among some or all of them.

19
Q

how do solutes transfer between compartments

A

transfer of materials takes place either by chemical reactions or by physical transport of materials from one compartment to another compartment.

The rate of change of tracer in a compartment is proportional to the amount of tracer in that compartment. The proportional constant = the kinetic rate constant K.

20
Q

what are some challenges of Compartmental Modelling

A

Identifying compartments and the number of compartments to describe a system is difficult.

Acquiring measurement data for model facilitation is another difficult step because some compartments are inaccessible.

21
Q

what is the Two-Compartment Model

A

In its simplest form, the human body could be treated as a (blood) plasma compartment and a tissue
compartment.

Check notes for concentration curves

Note that the instantaneous mixing assumption
in any compartmental-model is only approximately satisfied in a living system.

22
Q

how is the concentration of tracer in blood plasma and tissue tissue measured

A

The plasma radioactivity concentration measurements would come from well-counted blood samples

the tissue measurements would come from a regional analysis of a sequence of PET images obtained over scan intervals of various lengths.

23
Q

how may the kinetic rate constants Ka (arterial blood) and Kt (tissue) be found

A

by solving:
dCt/dt = KaCa - KtCt
using
Ct = KaCa (convolution) exp(-Kt * t)

c = concentration

Check notes!

24
Q

what is glucose and how is it used in the body

A

A monosaccharide sugar (a.k.a. simple sugar), C6H12O6, occurring widely in most plant and animal tissue. It is the principal circulating sugar in the blood and the major energy source of the body.

The glucose molecule burns vigorously in air to form carbon dioxide and water, and in the process energy escapes as heat, which can then be used for biological work such as muscle contraction, protein synthesis and conduction of nerve impulses.

Once a glucose molecule has passed from the bloodstream into a cell, it is gradually transformed
and dismantled in a controlled sequence of some two dozen biochemical steps. The several biochemical transformations are assisted by enzymes, some of which need cofactors supplied by vitamins to function properly. Such a series of biochemical reactions is known as a metabolic pathway.

25
Q

what is metabolism

A

The complex of physical and chemical processes occurring within a living cell or organism that are necessary for the maintenance of life. In metabolism some substances are broken down to yield energy for vital processes while other substances, necessary for life, are synthesized.

26
Q

Why do most cancers have a high glucose metabolic rate ? and how is this property used for PET

A

Malignant cells tend to use glucose for energy over free fatty acids. Many cancers are associated with a high metabolic rate.

It is common to refer FDG-PET imaging as metabolic imaging with the implication that tumors are detected because of their higher rate of metabolism than surrounding tissues.

27
Q

In the fasting state, most tissues use free fatty acids to supply their energy needs. The brain always uses glucose, and many other cells occasionally use glucose. After a meal that includes glucose, insulin rises and several tissues will switch from free fatty acid to glucose metabolism.

why is this good for PET?

A

The PET imaging with FDG (a radioactive glucose tracer) for detection of cancer (malignant tumor) is performed in the fasting state where the uptake by non-malignant tissues is low.

FDG imaging takes advantage of reduced background by studying patients during the fasting state and it takes advantage of the frequent use of glucose by the cancer.

28
Q

It would seem that radioactive glucose would be the best chemical to use to trace glucose metabolism. Although this seems like the obvious choice, what are the challenges associated with this?

A

Most of the glucose that is taken up by cells is promptly metabolized into water and carbon dioxide, both of which rapidly return to the general circulation. Rapid washout makes measuring glucose metabolism difficult under any circumstances; however, it is particularly difficult for imaging.

29
Q

explain how FDG is used to trace glucose metabolism

A

Sokoloff et al. used 2-deoxy-D-glucose (DG) instead of glucose. The missing hydroxyl group in the 2-position had relatively little effect on uptake or phosphorylation, but inhibited the transformation of deoxy-glucose-6-phosphate to deoxyfructose-6-phosphate, thus preventing further stages in glucose metabolism. Therefore, the DG accumulated in cells in proportion to its uptake and phosphorylation. Since these steps are rate limiting, the accumulation of deoxyglucose was in proportion to glucose metabolism.

Wolf et al. found that the same mechanism worked when the hydroxyl in the 2-position is replaced by fluorine, i.e., 2-fluoro-2-deoxy-D-glucose, or [18F]fluorodeoxyglucose (FDG).

30
Q

when does FDG begin to differ from glucose in the way it is treated

A

In the tissues, FDG competes with glucose for hexokinase which phosphorylates both to their
respective hexose-6-phosphates. At this point, the metabolic pathways of the two compounds differ.

FDG-6-phosphate (FDG-6-P) cannot be isomerised to fructose-6-phosphate because of the lack of hydroxyl group at the second carbon atom and its metabolism ceases at this point in the pathway.

Glucose-6-phosphate (G-6-P), however, can be converted to fructose-6-phosphate by phospho-hexoseisomerase and metabolised further eventually to carbon dioxide and water. In addition, it can also be hydrolysed back to free glucose by glucose-6-phosphatase.

31
Q

what is a Parametric Image

A

In parametric images, each voxel represents a value of some physiological parameter e.g. parameters from Tracer Kinetic Modeling

32
Q

what is LCMRGlc imaging

A

local cerebral metabolic rate for glucose.

Imaging glucose metabolism in the brain.