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What is an Image?. the vivid representation of anatomy or physiologythe pictorial or graphic display of dataImages are sexy, can convey an enormous amount of information AND can be used in a courtroom.
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1. Imaging in the Courtroom:Alchemy is Back in VogueUniversity of Denver Sturm College of Law 3/4/2011 Jonathan D. Brodie, Ph.D., M.D.
Dept. of Psychiatry
2. What is an Image? the vivid representation of anatomy or physiology
the pictorial or graphic display of data
Images are sexy, can convey an enormous amount of information AND can be used in a courtroom
5. PET Imaging of Amyloid Deposits in Alzheimers Disease vs Normal Controls Figure 4. PIB standardized uptake value (SUV) images demonstrate a marked difference between PIB retention in Alzheimer's disease (AD) patients and healthy control (HC) subjects. PET images of a 67-year-old HC subject (left) and a 79-year-old AD patient (AD6; MMSE = 21; right). (top) SUV PIB images summed over 40 to 60 minutes; (bottom)18FDG rCMRglc images ( mol/min/100ml). The left column shows lack of PIB retention in the entire gray matter of the HC subject (top left) and normal 18FDG uptake (bottom left). Nonspecific PIB retention is seen in the white matter (top left). The right column shows high PIB retention in the frontal and temporoparietal cortices of the AD patient (top right) and a typical pattern of 18FDG hypometabolism present in the temporoparietal cortex (arrows; bottom right) along with preserved metabolic rate in the frontal cortex. PIB and 18FDG scans were obtained within 3 days of each other.Figure 4. PIB standardized uptake value (SUV) images demonstrate a marked difference between PIB retention in Alzheimer's disease (AD) patients and healthy control (HC) subjects. PET images of a 67-year-old HC subject (left) and a 79-year-old AD patient (AD6; MMSE = 21; right). (top) SUV PIB images summed over 40 to 60 minutes; (bottom)18FDG rCMRglc images ( mol/min/100ml). The left column shows lack of PIB retention in the entire gray matter of the HC subject (top left) and normal 18FDG uptake (bottom left). Nonspecific PIB retention is seen in the white matter (top left). The right column shows high PIB retention in the frontal and temporoparietal cortices of the AD patient (top right) and a typical pattern of 18FDG hypometabolism present in the temporoparietal cortex (arrows; bottom right) along with preserved metabolic rate in the frontal cortex. PIB and 18FDG scans were obtained within 3 days of each other.
6. Principles of Neuroimaging (I) Objective is to detect some property of the brain (as measured by attenuation of x-rays, magnetic moments or dipoles, electrical signals, radioactive events) without invading it
Recognize that each imaging technique has a characteristic sensitivity, precision, accuracy and fidelity with respect to a physical and/or physiological process and generally in an artificial environment divorced from the very circumstances and behaviors that engendered the test.
7. Structural Imaging CAT
X-Ray
MRI
9. Proton density, recovery (T1) and decay (T2 and T2*) times.
10. Functional Imaging PET
f MRI
EEG
11. f MRI Paradigms (VF & Pharm) This shows the FDG image of the brain at various stages of life
This shows the FDG image of the brain at various stages of life
12. fMRI Setup
13. Activation Statistics
15. K-Space an MRI literature name for Fourier space
16. PET This shows the FDG image of the brain at various stages of life
Note that metabolism changes with ageThis shows the FDG image of the brain at various stages of life
Note that metabolism changes with age
18. Principles of Neuroimaging (II) Applying a model to interpret the signal
Interpreting the reconstructed data in an experimental context or design
Statistical analysis and comparisons
Experimental conclusions or clinical inferences
19. PET Analysis by within subject Subtraction:Individual Variance and Mean Difference
20. Even Identical twins are not the same