Biomedical subjects

Cláudio C de Castro

Publications and source records attributed to Cláudio C de Castro.

4 recordsLinked to original sources

PubMed2003

Inter- and intrareader variability in the interpretation of two radiographic classification systems for juvenile rheumatoid arthritis.

OBJECTIVE: To evaluate the inter- and intrareader variability for interpretation of a modified Larsen's radiographic classification system for juvenile rheumatoid arthritis (JRA) focused on osteochondral lesions and a conventional Larsen's classification system, compared to a reference MR scoring system of corresponding images. MATERIALS AND METHODS: Seventy-five radiographs of 60 children with JRA, performed within a short interval of time from the MR examinations, were independently evaluated by three experienced radiologists, three diagnostic imaging residents and three rheumatologists, in two separate sessions, according to the two different classification methods, blinded to the corresponding MR images. RESULTS: The inter- and intrareader concordance rates between the two radiographic classification systems and the MR-related radiographs were respectively poor and poor/moderate. The interobserver range of weighted kappa values for the conventional and the modified Larsen's system respectively was 0.25-0.37 vs 0.19-0.39 for radiologists, 0.25-0.37 vs 0.18-0.30 for residents and 0.19-0.51 vs 0.17-0.29 for rheumatologists. The intrareader rate ranged from 0.17-0.55 for radiologists, 0.2-0.56 for residents, and 0.14-0.59 for rheumatologists. CONCLUSION: Although the proposal of a new radiographic classification system for JRA focused on osteochondral abnormalities sounds promising, the low inter- and intrareader concordance rates with an MR-related radiographic system makes the clinical applicability of such a radiographic system less suitable.

Adolescent↗

PubMed2003

The generators of slow potentials obtained during verbal, pictorial and spatial tasks.

The purpose of this study was to test whether slow cortical electrical activity is specific to performance on verbal, pictorial and spatial tasks. Twenty-nine healthy subjects were required to compare pairs of visual stimuli separated by a delay of 2.5 s in a S1-S2 contingent negative variation-type paradigm. Slow potentials (SPs) were recorded by high-resolution EEG (123 channels) and their generators modeled by current density reconstruction using individual MRIs as source space models. Activity in each architectonic area of Brodmann was scored with respect to individual maximum current by a percentile method. Results showed a multifocal pattern of current density foci comprising the SP generators, including frontal and posterior cortices in all subjects, with the most active areas being common to the three tasks. In spite of the intersubject variability in the sets of active areas for each given task, a few cortical areas were observed to discriminate between tasks in a statistically significant way: the verbal task corresponded to stronger electrical activity in right area 45 than the other tasks; the spatial to weaker activity in right area 38 and left area 5 than the other tasks; the pictorial, compared to the spatial task, to stronger activity in left area 39; the verbal, compared to the spatial task, to stronger activity in left area 10, and compared to the pictorial, to weaker activity in right area 20. The present method of SP analysis may aid in the functional mapping of human association cortices in individual cases. We discuss our results emphasizing intersubject variability in cortical activity patterns and the possibility of finding more universal patterns.

Adult↗

PubMed2002

Multifocal slow potential generation revealed by high-resolution EEG and current density reconstruction.

In this work we used high-resolution EEG (123 channels) and current density reconstruction (CDR) to analyze the generators of slow potentials (SPs) in 31 healthy individuals. SPs were obtained during a task-performance feedback anticipation paradigm. The task consisted of a visual paired-associate memory test, with correct performance on single trials indicated by pleasant visual stimuli and incorrect performance by an unpleasant sound. We used realistic models of each subject's head based on their magnetic resonance images (MRIs) to estimate the potentials in the intracranial compartments and to define the source space using individual cortical geometry. Source reconstruction was performed by an Lp-norm minimization algorithm. Results showed a multifocal pattern of current density foci in various association cortices, including prefrontal areas 9 and 10 of Brodmann in all subjects. Posterior cortical areas also contributed importantly to the SP, for instance extrastriate area 19 and parietal area 7, in 90% of the subjects. According to our modeling, we conclude that even the pure stimulus-anticipation SP obtained here, as opposed to traditional motor-task contigent negative variation (CNVs), is not exclusively prefrontal in origin, being generated by multiple association areas. We discuss our results with respect to new possibilities in large-scale cortical physiology and with respect to their application in psychiatry.

Adult↗

PubMed2002

[Reliability of volumetric measures of mesial temporal structures].

RATIONALE: The development of reliable techniques for volumetric measurement of mesial temporal structures (amygdala, hippocampus and parahippocampal gyrus) on magnetic resonance imaging (MRI) can provide data for the study of neuropsychiatric disorders, mainly temporal lobe epilepsy, Alzheimer's disease and schizophrenia. METHOD: We investigated these techniques performing intraobserver and interobserver reliability study concerning normal controls, epilepsy and Alzheimer's disease patients using the intra-class correlation coefficient. RESULTS: Intra-observer reliability of evaluated structures ranged from 0.93 to 0.99 (p<0.001). Inter-observer reliability ranged from 0.70 to 0.95 (p < or = 0.001). CONCLUSION: The results suggest that the technique of MRI morphometry of mesial temporal regions can be considered a reliable tool which may help in the investigation of neuropsychiatric disorders, since used by adequately trained clinicians and researchers.

Alzheimer Disease↗