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Article
Impaired Neurodevelopmental Outcome Associated with Increased White Matter CHO/CR in Preterm Infants
Background: Diffuse white matter (WM) injury is the commonest MR finding in preterm infants. We aimed to describe the metabolic signature of diffuse WM injury and correlate to neurodevelopmental outcome at 1 year...
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Article
416 Cerebral Alanine Increases During the Evolution of Secondary Energy Failure Following Transient Hypoxia-Ischaemia in Newborn Brain
Background: Alanine (Ala), a nonessential amino acid, is present in normal brain at a concentration of ∼0.5 mmol/kg. During acute hypoxia-ischaemia (HI) Ala increases due to decreased flux of pyruvate through ...
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Article
180 Cerebral Energy Depletion During Hypoxia-Ischaemia, Therapeutic Window, and Regional Severity of Secondary Energy Failure in Newborn Piglets
Background: Following transient hypoxia-ischaemia (HI) a latent phase or therapeutic window exists when intervention, such as hypothermia, may ameliorate the secondary energy failure (SEF), which is associated...
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Article
236 Non-Invasive Cerebral Temperature Map** by Proton Spectroscopic Imaging
Background: Cerebral hypothermia shows promise as a neuroprotective strategy following perinatal hypoxia-ischaemia. A non-invasive technique for the quantification of regional brain temperature is urgently requir...
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Article
118 Delayed Hypoyhermia is Neuroprotective in Moderate, but not Severe, Perinatal Hypoxic-Ischaemic Brain Injury
Background: Hypothermic neuronal rescue therapy is a potent treatment for the newborn infant with hypoxic-ischaemic (HI) brain injury; the degree of neuroprotection, however, may be dependent on the delay, durati...
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Article
269 Secondary Energy Failure in a Model of Hypoxic Ischaemic Brain Injury Assessed by Serial Phosphorous Magnetic Resonance Spectroscopy, Water Apparent Diffusion and Electrophysiology: A Pilot Study
Background: The electroencephalogram (EEG) provides a sensitive means of predicting outcome early after perinatal hypoxia-ischaemia (HI). The amplitude integrated EEG (aEEG), a compressed, rectified and filtered ...
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Article
Influence of muscle temperature during fatiguing work with the first dorsal interosseous muscle in man: a 31P-NMR spectroscopy study
Six healthy subjects rapidly lifted and lowered a small (250 g) weight with the first dorsal interosseous muscle (FDI) of one hand while the work performed was recorded continuously until fatigue (defined as ...
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Article
Changes in the apparent diffusion coefficient of water (ADC) and phosphocreatine to inorganic phosphate ratio (PCr/Pi) in newborn pigs following hypoxia-ischaemia (HI)
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Article
Proton Magnetic Resonance Spectroscopy of the Brain during Acute Hypoxia-Ischemia and Delayed Cerebral Energy Failure in the Newborn Piglet
Studies of the brains of severely birth-asphyxiated infants using proton(1H) magnetic resonance spectroscopy (MRS) have shown changes indicating a rise in cerebral lactate (Lac) and a fall in N- acetylaspartate (...
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Article
Mild Hypothermia after Severe Transient Hypoxia-Ischemia Reduces the Delayed Rise in Cerebral Lactate in the Newborn Piglet
This study tested the hypothesis that mild hypothermia after severe transient hypoxia-ischemia reduces the subsequent delayed rise in cerebral lactate peak-area ratios as determined by proton (1H) magnetic resona...
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Article
Magnesium Sulfate after Transient Hypoxia-Ischemia Fails to Prevent Delayed Cerebral Energy Failure in the Newborn Piglet
Severely birth-asphyxiated human infants develop delayed(“secondary”) cerebral energy failure, which carries a poor prognosis, during the first few days of life. This study tested the hypothesis that i.v. magn...
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Article
Relation between delayed impairment of cerebral energy metabolism and infarction following transient focal hypoxia-ischaemia in the develo** brain
Phosphorus magnetic resonance spectroscopy (31P MRS) was used to determined whether focal cerebral injury caused by unilateral carotid artery occlusion and graded hypoxia in develo** rats led to a delayed impai...
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Article
Proton Magnetic Resonance Spectroscopy of the Brain in Normal Preterm and Term Infants, and Early Changes after Perinatal Hypoxia-Ischemia
The aims of this study were 1) to define normal perinatal maturational changes in proton metabolite peak-area ratios in two regions of the neonatal brain, the thalamic and occipitoparietal regions, and2) to inves...
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Article
Mild Hypothermia after Severe Transient Hypoxia-Ischemia Ameliorates Delayed Cerebral Energy Failure in the Newborn Piglet
ABSTRACT: Severely birth-asphyxiated human infants develop delayed (“secondary”) cerebral energy failure, which carries a poor prognosis, during the first few days of life. This study tested the hypothesis tha...
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Article
Delayed (“Secondary”) Cerebral Energy Failure after Acute Hypoxia-Ischemia in the Newborn Piglet: Continuous 48-Hour Studies by Phosphorus Magnetic Resonance Spectroscopy
ABSTRACT: Phosphorus (31P) spectra from the brains of severely birth-asphyxiated human infants are commonly normal on the first day of life. Later, cerebral energy failure develops, which carries a serious progno...
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Chapter
Magnetic Resonance Spectroscopy
In vivo magnetic resonance spectroscopy (MRS) is noninvasive and can obtain metabolic information concerning developmental changes, regulatory functions, and adaptive mechanisms of the human neonatal central n...
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Chapter
Magnetic Resonance Spectroscopy
This chapter is devoted to magnetic resonance spectroscopy (MRS) of the brain in neonates and young infants. The application of MRS to the noninvasive assessment of cerebral metabolism in vivo is new in neuros...
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Article
CEREBRAL HAEMODYNAMICS DURING FAILURE OF OXIDATIVE PHOSPHORYLATION FOLLOWING BIRTH ASPHYXIA
Twelve infants born at 36-42 weeks of gestation who had suffered severe birth asphyxia were studied repeatedly in the first week of life by near infrared spectroscopy (NIRS) and magnetic resonance spectroscopy...
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Article
Prognosis of Newborn Infants with Hypoxic-Ischemic Brain Injury Assessed by Phosphorus Magnetic Resonance Spectroscopy
ABSTRACT: To investigate the prognostic significance of abnormalities of oxidative phosphorylation, the brains of 61 newborn infants born at 27-42 wk of gestation and suspected of hypoxic-ischemic brain injury...
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Article
Phosphorus Metabolites and Intracellular pH in the Brains of Normal and Small for Gestational Age Infants Investigated by Magnetic Resonance Spectroscopy
ABSTRACT: The brains of 30 normal preterm and term infants whose birth wt were appropriate for gestational age and 13 who were small for gestational age but healthy were studied by phosphorus magnetic resonanc...