Top videos

From axons to tracts
From axons to tracts Mohamed 21,105 Views • 3 years ago

The complex circuitry interconnecting different areas in the brain, known collectively as white matter, is composed of millions of axons organized into fascicles and bundles. Upon macroscopic examination of sections of the brain, it is difficult to discern the orientation of the fibers. The same is true for conventional imaging modalities. However, recent advancements in magnetic resonance imaging (MRI) make such task possible in a live subject. By sensitizing an otherwise typical MRI sequence to the diffusion of water molecules it is possible to measure their diffusion coefficient in a given direction1. Normally, the axonal membrane and myelin sheaths pose barriers to the movement of water molecules and, thus, they diffuse preferentially along the axon2. Therefore, the direction of white matter bundles can be elucidated by determining the principal diffusivity of water. The three-dimensional representation of the diffusion coefficient can be given by a tensor and its mathematical decomposition provides the direction of the tracts3; this MRI technique is known as diffusion tensor imaging (DTI). By connecting the information acquired with DTI, three-dimensional depictions of white matter fascicles are obtained4. The virtual dissection of white matter bundles is rapidly becoming a valuable tool in clinical research.

Our journey begins with a transverse section of tightly packed axons as seen through light microscopy. Although represented as a two-dimensional "slice", we see that these axons in fact resemble tubes. A simulation of water molecules diffusing randomly inside the axons demonstrates how the membranes and myelin hinder their movement across them and shows the preferred diffusion direction --along the axons. The tracts depicted through DTI slowly blend in and we ride along with them. As we zoom out even more, we realize that it is a portion of the corpus callosum connecting the two sides of the brain we were traveling on and the great difference in relative scale of the individual axons becomes evident. The surface of the brain is then shown, as well as the rest of the white matter bundles--a big, apparently chaotic tangle of wires. Finally, the skin covers the brain.

With the exception of the simulated water molecules, all the data presented in the animation is obtained through microscopy and MRI. Computer algorithms for the extraction of the cerebral structures and a custom-built graphics engine make our journey through the brain's anatomy possible in a living person.

Micrograph courtesy of Dr. Christian Beaulieu, University of Alberta.
Music by Mario Mattioli.

References:
1. Stejskal, E.O., et al., J. Chem. Phys., 1965. 42:
2. Beaulieu, C., NMR Biomed., 2002. 15:435-55.
3. Basser, P.J., et al., J. Magn. Reson. B, 1994. 103:247-54.
4. Mori, S., et al., NMR Biomed., 2002. 15:468-80.

Instrumental Tie
Instrumental Tie M_Nabil 9,546 Views • 3 years ago

Instrumental Tie

New tension free open inguinal hernia repair without mesh based on the physiological principle
New tension free open inguinal hernia repair without mesh based on the physiological principle M_Nabil 20,254 Views • 3 years ago

Mesh repair is based on the anatomical principle with associated complications of a foreign body and recurrence. Use of an un-detached strip of the external oblique aponeurosis in place of mesh between the muscle arch and the inguinal ligament gives a strong and physiologically dynamic posterior wal...l that gives radical cure.

Trypan Blue for Penetrating Keratoplasty
Trypan Blue for Penetrating Keratoplasty DrHouse 11,020 Views • 3 years ago

The trypan blue-stained viscoelastic is removed in its entirety using a Simcoe cannula. A stream of Healonid GV can be seen flowing into the cannula with some residual viscoelastic remaning, which is subsequently removed. Without the dye, much of the viscoelastic might have been left in the anterior... chamber – a risk factor for an acute rise in intra ocular pressure.

Cardiac Catheterization
Cardiac Catheterization M_Nabil 15,080 Views • 3 years ago

cardiac catheterization in the work up of heart disease.

Birmingham Hip Resurfacing Surgery- Vijay Bose_Part 2
Birmingham Hip Resurfacing Surgery- Vijay Bose_Part 2 Dr. Vijay Bose 11,011 Views • 3 years ago

Another video of Dr.Vijay C. Bose from Apollo Speciality Hospital chennai perform Birmingham Hip Resurfacing Surgery procedure for a case of Avascular necrosis.The NCP ( Neck Capsule Preserving) approach is being used. Total hip replacement, hip resurfacing simply shaves and caps a few centimeters of bone within the joint. The bone-conserving approach of the Birmingham Hip Resurfacing System.

The Principles of Laparoscopic Suturing
The Principles of Laparoscopic Suturing DrPhil 14,437 Views • 3 years ago

The Principles of Laparoscopic Suturing

Air Knot with Drain
Air Knot with Drain DrPhil 11,072 Views • 3 years ago

Demonstration of the technique used to insert a drain using an air knot in the operating room.

Subtotal Thyroidectomy
Subtotal Thyroidectomy Mohamed 16,211 Views • 3 years ago

Subtotal Thyroidectomy

Pregnancy and Diabetes
Pregnancy and Diabetes Anatomist 14,356 Views • 3 years ago

Five percent of pregnant women have gestational diabetes, so if you're expecting, understanding the basics of this common condition is vital

Wide exision of a Melanoma
Wide exision of a Melanoma Doctor 11,381 Views • 3 years ago

Wide exision of a Melanoma

Pneumonia -Terminology
Pneumonia -Terminology academyo 10,491 Views • 3 years ago

The video will describe the terms that were used in last video of streptococcal/pneumococcal pneumonia. Please see my website for disclaimer.

Less Invasive Uterine Surgery
Less Invasive Uterine Surgery Emery King 17,462 Views • 3 years ago

DMC Specialists use minimally invasive surgery to remove an extremely large uterine fibroid from a patient. ~ Detroit Medical Center

Detroit Medical Center Campus of Breakthroughs
Detroit Medical Center Campus of Breakthroughs Emery King 13,397 Views • 3 years ago

Medicine is advancing faster than ever and breakthroughs are happening right now at the Detroit Medical Center. ~ Detroit Medical Center

Oral Medications Absorption
Oral Medications Absorption Surgeon 21,001 Views • 3 years ago

A video showing the process of Oral Medications Absorption

Abdominal Closure
Abdominal Closure Surgeon 15,292 Views • 3 years ago

A closure device and method to close the abdomen between surgical procedures and maintain a normal physiologic tension on the fascia to prevent undue retraction. In one embodiment, the closure device includes a “needled carabiner” attached to a rubberband of specific tension. The rubberband mimics the physiologic tension the abdominal wall normally experiences during daily activities and allows the abdominal compartment to expand as needed to maintain a healthy intra-abdominal pressure. The bands contract to maintain the intra-abdominal pressure and slowly pull the abdominal fascia back to the midline to facilitate surgical closure of the abdomen. In one embodiment, the “needled carabiner” includes a hinged surgical needle with a protected cap. The hinged needle is placed outside the normal suture line, thereby limiting the amount of surgical trauma the fascia endures. The strength of the rubberbands may be varied to accommodate differently sized individuals.

Ovarian pregnancy
Ovarian pregnancy Mohamed 12,720 Views • 3 years ago

Ovarian pregnancy: an unusual location of ectopic pregnancy

Malar Cheek Pexing Suture  / Surgery Video Vignettes
Malar Cheek Pexing Suture / Surgery Video Vignettes Richard DeAngelis 8,838 Views • 3 years ago

Graphic video demonstrating the reconstruction of a facial cheek defect following the removal of a common skin cancer in a challenging location near the lower eyelid. Visit us @ www.skincancercentre.com.

USMLE Step 2 CS - Dysphagia
USMLE Step 2 CS - Dysphagia usmle tutoring 6,500 Views • 3 years ago

USMLE Step 2 CS - Dysphagia This is just preview video. To get full access please visit our website : www.usmletutoring.com

Swallowing with Endotracheal Tube in
Swallowing with Endotracheal Tube in Mohammed Wahba 10,764 Views • 3 years ago

This patient swallows with the endotracheal tube in situ.He is not yet in the late stage of anaesthesia. Unfortunately, this may lead to intubation granuloma later on.

Showing 195 out of 373