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Detection with Proton MR Spectroscopy of cerebral metabolic changes in children with type I diabetes mellitus / (Record no. 64234)

MARC details
000 -LEADER
fixed length control field 03622cam a2200349 a 4500
003 - CONTROL NUMBER IDENTIFIER
control field EG-GiCUC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250223031903.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 171225s2017 ua dh f m 000 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency EG-GiCUC
Language of cataloging eng
Transcribing agency EG-GiCUC
041 0# - LANGUAGE CODE
Language code of text/sound track or separate title eng
049 ## - LOCAL HOLDINGS (OCLC)
Holding library Deposite
097 ## - Thesis Degree
Thesis Level M.Sc
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number Cai01.11.31.M.Sc.2017.Mi.D
100 0# - MAIN ENTRY--PERSONAL NAME
Personal name Mina Ramzy Emanuel Yacoub
245 10 - TITLE STATEMENT
Title Detection with Proton MR Spectroscopy of cerebral metabolic changes in children with type I diabetes mellitus /
Statement of responsibility, etc. Mina Ramzy Emanuel Yacoub ; Supervised Hassan Ali Elkiki , Abeer Atef Ashmawy , Rania Hamdy Hashem
246 15 - VARYING FORM OF TITLE
Title proper/short title التحديد باستخدام الرنين الطيفي التغيرات الأيضية الدماغية لدى الأطفال الذين يعانون من داء السكري من النوع الأول
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Cairo :
Name of publisher, distributor, etc. Mina Ramzy Emanuel Yacoub ,
Date of publication, distribution, etc. 2017
300 ## - PHYSICAL DESCRIPTION
Extent 76 P. :
Other physical details charts , facsimiles ;
Dimensions 25cm
502 ## - DISSERTATION NOTE
Dissertation note Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Radio-diagnosis
520 ## - SUMMARY, ETC.
Summary, etc. Background: Magnetic resonance spectroscopy (MRS) is an imaging diagnostic method that allows non-invasive measurement of metabolites in tissues. MRS may demonstrate metabolic changes in normal appearing MRI examinations. Long term impairment of cognitive function can occur in patients with type I diabetes mellitus (DM). Objective: In this study, we used MRS to investigate the impact of DM on brain neuro-chemical profile. Patients & Methods: MR spectroscopic analysis was performed on 12 children diagnosed with type I DM and 12 age-matched volunteer healthy subjects. The duration of the disease, number of diabetic keto-acidosis episodes (DKA), number of hypoglycemic events and the level of hemoglobin A1C (HbA1C) in the patients were noted. Voxels were placed in the right posterior parietal white matter, the occipital gray matter and the right basal ganglia. Single-voxel MRS with intermediate TE (144 ms) was performed in all 3 regions of interest plus short TE (34.5 ms) done only in the right posterior parietal white matter. N-acetylaspartate (NAA)/Creatinine (Cr) and Choline (Cho)/Cr ratios were recorded and compared between diabetic children and control subjects. The ratios collected from the diabetic group were correlated with the clinical data obtained. The presence of a significant lactate peak was also recorded. Results: Type 1 diabetic subjects had lower NAA/Cr ratio in the white matter than control subjects. Longer duration of DM and increased number of DKA episodes predicted lower NAA/Cr ratio. The study also revealed slightly higher Cho/Cr ratios in the gray matter and basal ganglia in diabetic patients. No other significant differences in the metabolite ratios between the diabetic and control groups. Significant lactate peaks were detected in some diabetic patients performing the exam post recovery from DKA. Conclusion: The decrease in NAA indicates reduced neuronal density or neuronal dysfunction as a consequence of long term poorly controlled type 1 DM. The explanation for the increase in Cho may be demyelination/gliosis or increased membrane turnover. The presence of lactate peaks suggest anaerobic metabolism during DKA
530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE
Additional physical form available note Issued also as CD
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Brain
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term MR spectroscopy
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Type 1 diabetes mellitus
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Abeer Atef Ashmawy ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Hassan Ali Elkiki ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Rania Hamdy Hashem ,
Relator term
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://172.23.153.220/th.pdf">http://172.23.153.220/th.pdf</a>
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Cataloger Nazla
Reviser Revisor
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Cataloger Shimaa
Reviser Cataloger
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis
Holdings
Source of classification or shelving scheme Not for loan Home library Current library Date acquired Full call number Barcode Date last seen Koha item type Copy number
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة قاعة الرسائل الجامعية - الدور الاول 11.02.2024 Cai01.11.31.M.Sc.2017.Mi.D 01010110073880000 22.09.2023 Thesis  
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة مخـــزن الرســائل الجـــامعية - البدروم 11.02.2024 Cai01.11.31.M.Sc.2017.Mi.D 01020110073880000 22.09.2023 CD - Rom 73880.CD