Focal Epilepsy: MR Imaging of Nonhemodynamic Field Effects by Using a Phase-cycled Stimulus-induced Rotary Saturation Approach with Spin-Lock Preparation.

Purpose To investigate whether nonhemodynamic resonant saturation effects can be detected in patients with focal epilepsy by using a phase-cycled stimulus-induced rotary saturation (PC-SIRS) approach with spin-lock (SL) preparation and whether they colocalize with the seizure onset zone and surface interictal epileptiform discharges (IED). Materials and Methods The study was approved by the local ethics committee, and all subjects gave written informed consent. Eight patients with focal epilepsy undergoing presurgical surface and intracranial electroencephalography (EEG) underwent magnetic resonance (MR) imaging at 3 T with a whole-brain PC-SIRS imaging sequence with alternating SL-on and SL-off and two-dimensional echo-planar readout. The power of the SL radiofrequency pulse was set to 120 Hz to sensitize the sequence to high gamma oscillations present in epileptogenic tissue. Phase cycling was applied to capture distributed current orientations. Voxel-wise subtraction of SL-off from SL-on images enabled the separation of T2* effects from rotary saturation effects. The topography of PC-SIRS effects was compared with the seizure onset zone at intracranial EEG and with surface IED-related potentials. Bayesian statistics were used to test whether prior PC-SIRS information could improve IED source reconstruction. Results Nonhemodynamic resonant saturation effects ipsilateral to the seizure onset zone were detected in six of eight patients (concordance rate, 0.75; 95% confidence interval: 0.40, 0.94) by means of the PC-SIRS technique. They were concordant with IED surface negativity in seven of eight patients (0.88; 95% confidence interval: 0.51, 1.00). Including PC-SIRS as prior information improved the evidence of the standard EEG source models compared with the use of uninformed reconstructions (exceedance probability, 0.77 vs 0.12; Wilcoxon test of model evidence, P < .05). Nonhemodynamic resonant saturation effects resolved in patients with favorable postsurgical outcomes, but persisted in patients with postsurgical seizure recurrence. Conclusion Nonhemodynamic resonant saturation effects are detectable during interictal periods with the PC-SIRS approach in patients with epilepsy. The method may be useful for MR imaging-based detection of neuronal currents in a clinical environment. (©) RSNA, 2016 Online supplemental material is available for this article.

Changing ecology of Lake Victoria cichlids and their environment: evidence from C13 and N15 analyses

Eutrophication is an increasing global threat to freshwater ecosystems. East Africa’s Lake Victoria has suffered from severe eutrophication in the past decades which is partly responsible for the dramatic decline in haplochromine cichlid species diversity. However, some zooplanktivorous and detritivorous haplochromine species recovered and shifted their diet towards macro invertebrates and fish. We used four formalin preserved cichlid species caught over the past 35 years to investigate whether stable isotopes of these fish are reflecting the dietary changes, habitat differences and if these isotopes can be used as indicators of eutrophication. We found that d15N signatures mainly reflected dietary shifts to larger prey in all four haplochromine species. Shifts in d13C signatures likely represented habitat differences and dietary changes. In addition, a shift to remarkably heavy d13C signatures in 2011 was found for all four species which might infer increased primary production and thus eutrophication although more research is needed to confirm this hypothesis. The observed temporal changes confirm previous findings that preserved specimens can be used to trace historical changes in fish ecology and the aquatic environment. This highlights the need for continued sampling as this information could be of essence for reconstructing and predicting the effects of environmental changes.