We looked at abnormalities in the circuit of Papez in patients with the mesial temporal sclerosis (MTS). We reviewed the MRI studies of 15 patients with probable MTS, seeking changes in the fornix, mamillary body, mamillothalamic tract, thalamus and cingulate and parahippocampal gyri. We correlated any abnormalities with each other and with clinical severity. Atrophy and/or signal change in one or more structures in the circuit of Papez were found in five patients. They involved the parahippocampal gyri in all five, the fornices in four, mamillary bodies in three, the thalamus in two and the cingulate gyrus in one. Changes in the fornix, mamillary body, thalamus or cingulate gyrus were always accompanied by hippocampal and parahippocampal atrophy. The patients with abnormalities of the circuit of Papez did not have more severe epilepsy than those without. Changes in the parahippocampal gyrus, including the entorhinal cortex and subiculum, in which forniceal fibres originate, may be crucial in causing abnormalities more distally in the circuit.

A small area of changed signal intensity in the hippocampus is often seen on magnetic resonance (MR) images of the brain in patients without specific clinical signs or symptoms. To ascertain its cause by means of histologic examination, this finding was evaluated retrospectively in 109 patients and correlated with findings in two human brain specimens. This area of change was typically round or curvilinear and 1-2 mm in diameter. Its location was between the hippocampus and dentate gyrus. The signal intensity was the same as that of cerebrospinal fluid (CSF) with all MR sequences used. The incidence of change in signal intensity was greater in elderly patients. Correlation with histologic findings showed that this area of change, a dilated perivascular space, was the residual cavity of the hippocampal sulcus. Whenever an area of CSF-like signal intensity has this shape and topographic features, the possibility of anatomic variation should be considered before the change in signal intensity is diagnosed as brain injury.

The construction and the fundamental studies of a repetitive flash x-ray generator having a simple diode with an energy-selective function are described. This generator consisted of the following components: a constant high-voltage power supply, a high-voltage pulser, a repetitive high-energy impulse switching system, a turbo molecular pump, and a flash x-ray tube. The circuit of this pulser employed a modified two-stage surge Marx generator with a capacity during main discharge of 425pF. The x-ray tube was of the demountable-diode type which was connected to the turbo molecular pump and consisted of the following major devices: a rod-shaped anode tip made of tungsten, a disk cathode made of graphite, an aluminum filter, and a tube body made of glass. Two condensers inside of the pulser were charged from 40 to 60 kV, and the output voltage was about 1.9 times the charging voltage. The peak tube voltage was primarily determined by the anode-cathode (A-C) space, and the peak tube current was less than 0.6 kA. The peak tube voltage slightly increased when the charging voltage was increased, but the amount of change rate was small. Thus, the maximum photon energy could be easily controlled by varying the A-C space. The pulse width ranged from 40 to 100 ns, and the x-ray intensity was less than 1.0 μC/kg at 0.3 m per pulse. The repetitive frequency was less than 50 Hz, and the effective focal spot size was determined by the diameter of the anode tip and ranged from 0.5 to 3.0 mm in diameter.

Fundamental studies on a long-duration flash X-ray generator are described. This generator consisted of the following components: a high-voltage power supply with a maximum voltage of 100 kV, an energy-storage condenser of 500 nF, a main discharge condenser of 10 nF, a turbo molecular pump, a thyratron pulser as a trigger device, and a surface-discharge triode. The effective pulse width was less than 30 µs, and the X-ray intensity approximately had a value of 0.6 µC/kg at 1.0 m per pulse with a charged voltage of 60 kV. The maximum tube voltage was equivalent to the initial charged voltage of the condenser, and the peak tube current was less than 40 A. With this generator, we could obtain stable X-ray intensity maximized by preventing damped oscillations of the tube voltage and current.

The fundamental studies of a repetitive soft flash x-ray generator having a high-durability diode for high-speed radiography in biomedical and technological fields are described. This generator consisted of the following essential components: a constant negative high-voltage power supply, a line-type high-voltage pulser with two 10 m coaxial-cable condensers, each with a capacity of 1.0 nF, a thyratron pulser as a trigger device, an oil-diffusion pump, and a flash x-ray tube. The x-ray tube was of a diode type which was evacuated by an oil-diffusion pump with a pressure of approximately 6.7×10−3 Pa and was composed of a planar tungsten anode, a planar ferrite cathode, and a polymethylmethacrylate tube body. The space between the anode and cathode electrodes (AC space) could be regulated from the outside of the tube. The two cable condensers were charged from −40 to −60 kV by a power supply, and the output voltage was about −1.5 times the charged voltage. Both the first peak voltage and current increased according to increases in the charged voltage, and the maximum values of the voltage and current were about 90 kV and 0.72 kA, respectively. The pulse widths had values of less than 100 ns, and the maximum x-ray intensity was approximately 1.1 μC/kg at 0.5 m per pulse. The repetition rate was less than 54 Hz, and the maximum focal spot size was about 2.0×2.5 mm.