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Young's modulus reconstruction of vulnerable atherosclerotic plaque components using deformable curves.

Rupture, with subsequent thrombosis, of thin-cap fibroatheromas (TCFAs) is a major cause of myocardial infarction. A TCFA has two main components: these are a large, soft lipid pool and a thin, stiff fibrous cap covering it. Quantification of their morphology and stiffness is essential for monitoring atherosclerosis and quantifying the effect of plaque-stabilizing pharmaceutical treatment. To accomplish this, we have developed a model-based Young's modulus reconstruction method. From a plaque strain elastogram, measured with an intravascular ultrasound catheter, it reconstructs a Young's modulus image of the plaque. To this end, a minimization algorithm automatically varies the morphology and stiffness parameters of a TCFA computer model, until the corresponding computer-simulated strain elastogram resembles the measured strain elastogram. The morphology parameters of the model are the control-points of two deformable Bézier curves; one curve delineates the distal border of the lipid pool region, the other the distal border of the cap region. These component regions are assumed to be homogeneous and their stiffness is characterized by a Young's modulus. Reconstructions from strain elastograms that were 1. simulated using a histology-derived computer TCFA, 2. measured from a physical phantom with a soft lipid pool, and 3. simulated with a computer TCFA, where the complexity of its plaque component borders was increased, demonstrated the superior reconstruction/delineation behavior of this method, compared with a previously developed circular reconstruction method that used only circles for border delineation. Consequently, this method may become a valuable tool for the quantification of both the morphology and stiffness of vulnerable atherosclerotic plaque components.

Algorithms↗

The interaction of dolomite surfaces with metal impurities: a computer simulation study.

This study investigates the behaviour of selected, morphologically important surfaces of dolomite (CaMg(CO3)2), using computational modelling techniques. Interatomic potential methods have been used to examine impurity substitution at cationic sites in these surfaces. Environmentally prevalent cations were studied to this end, namely Ni2+, Co2+, Zn2+, Fe2+, Mn2+ and Cd2+, all of which are also found as end-member carbonate minerals. Solid-solution substitution was investigated and showed that Cd and Mn will substitute from their end-member carbonate phase at either dolomite cation site. Mn is found to preferentially substitute at Mg sites, in agreement with experimental findings. For Ni2+, Co2+ and Zn2+, the magnitude of substitution energies is approximately equal for all surfaces, with the exception of the (1014) surface. However, for the larger cations, a far greater disparity in substitution energies is observed. At a stepped surface, analogous substitutions were performed and it was found that substitution energies for all impurity cations were reduced, indicating that uptake is more viable during growth. The predominant surface, the (1014), was solvated with a monolayer of water in order to investigate the influence of hydration on substitution energetics. The addition of water changes the relative preference for substitution of the different cations. Under aqueous conditions, the substitution energy is determined by three competing factors, the relative importance of which cannot be predicted without this type of computational investigation.

Calcium Carbonate↗

Computer-assisted analysis of motility, velocity and linearity of dog spermatozoa.

Two different computer systems were tested for the analysis of motility parameters of dog semen. First, the Cellsoft computer videomicrography system was adapted to the morphological and motility traits of dog semen. The computer-calculated motility (percentage of progressively motile spermatozoa) was significantly correlated with the estimated motility (r = 0.97, P < 0.001), as was the sperm concentration determined by counting chamber and by computer (r = 0.62, P < 0.001). Mean velocity varied from 61.1 to 102.0 microns s-1. Irrespective of a low or high motility, the linearity varied from 5.9 +/- 3.5 to 7.6 +/- 0.9. Second, in an investigation into suitability of different concentrations (4, 6 and 8%) of glycerol for freezing dog semen diluted with a Tris-egg-yolk extender, the Strömberg-Mika Cell Motion Analyser was used. Particles identified as spermatozoa ranged in size from 35 to 350 pixels. The mean computer-calculated motility was 93.1 +/- 2.9% in the diluted semen without glycerol; 10 min after adding glycerol it was 88.0 +/- 3.8% with 4% glycerol, 83.7 +/- 4.9% with 6% glycerol, and 78.6 +/- 6.3% with 8% glycerol. Significant correlations were found between the estimated and the computer-analysed motility for the fresh diluted semen (P < 0.01) and for the thawed semen, irrespective of the glycerol concentration (P < 0.001). The mean velocity was 159.3 +/- 13.8 microns s-1 before adding glycerol, showing a decreasing tendency thereafter.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

[Magnetic resonance imaging and x-ray computed tomography in advanced cancer of the oral cavity. A comparative clinical, radiological and morphological study].

The objective of this prospective study is to assess the impact of magnetic resonance imaging (MRI) and computed tomography (CT) as compared to physical examination in the choice of type of surgery for advanced intraoral cancers (with or without resection of the mandibula). From 1990 to 1993, we operated on 21 intraoral malignant tumors with segmental resection of the mandibula followed by a histological examination. The preoperative evaluation consisted of an MRI (n = 8), a CT (n = 8) or both (n = 5). MRI suspected an infiltration of the bone in 9 cases, CT in 4 and physical examination in 16. This was histologically confirmed in 6 of the 21 patients only. MRI and CT both have a high sensitivity, as does physical examination, but neither have a good specificity (physical examination: 5 true positive, 4 true negative, 11 false positive, 1 false negative; MRI: 4 true positive, 4 true negative, 5 false positive, 0 false negative; CT: 3 true positive, 7 true negative, 3 false positive, 0 false negative). In conclusion, the decision of a mandibular resection can only be taken after a careful physical examination, including palpation under general anesthesia in a fully relaxed patient. This is best accomplished during the pretherapy bronchoesophagoscopy, routinely performed for the detection of synchronous second primary tumors using toluidin blue as a vital staining method. If this initial evaluation gives a suspicion of a massive infiltration of the mandible, an MRI, rather than a CT, should be performed to determine the extent of the resection because of a high rate of artefacts with CT.

Adult↗

Contrast-enhanced computed tomography of freely transplanted jejunal patches after surgery in the oral cavity and oropharynx.

Thirty-two patients with jejunal patches in the oral cavity and oropharynx were examined with contrast-enhanced computed tomography (CT). The morphology of the intestinal wall, the mesenteric fatty tissue, mesenteric lymph nodes and the region of the anastomosis were evaluated and correlated with clinical findings. The size and number of mesenterial lymph nodes, which were found in 16 cases, did not correlate with tumour recurrence. The benign alterations of the intestinal wall ranged from flat surfaces with no enhancement to significant enhancement with persisting folds. In cases with persisting intestinal folds, separation of tumour recurrence was achieved by identification of a typical double-layer configuration of the enhancing mucosa, and the restriction of alterations to the intestinal wall compartment. Tumour recurrences occurred at patch margins and were reliably distinguished from normal patches. For differentiation of findings, an exact localization of jejunum-patch compartments and margins with contrast-enhanced CT was, therefore, necessary.

Adult↗

Computer-aided analyses of thalamocortical afferent ingrowth.

Segregation of thalamocortical afferent (TCA) fibers precedes barrel formation in rodent somatosensory cortex (Killackey and Leshin, 1975; Jeanmonod et al., 1981; Jensen and Killackey, 1987b; Senft, 1989; Erzurumlu and Jhaveri, 1990). Hypotheses about the arborization strategies followed by these ingrowing fibers have been generated from evaluation of labeled terminal fragments of mouse TCAs (Senft and Woolsey, 1991a). Those TCAs were of necessity truncated by the histological processing needed to observe them at high resolution. This fragmentation, along with biological variability, forces conclusions about single intact axons to be derived from populations of parts of arbors. To evaluate the hypotheses critically, we designed a computer program to quantify morphological aspects of labeled TCAs drawn with a camera lucida. We constructed algorithms to abstract, from fiber populations, properties minimally affected by truncation. Our program analyzes, and displays as histograms, fiber and branch densities and orientations. To represent these features by additional graphical means, "average" ingrowing TCAs were generated, based on the accumulated statistics of the traced fiber fragments. Quantitative descriptions of TCA populations from postnatal day 1 (PND1) through PND7 are presented. These analyses show that fibers and their branches accumulate with age within the cortical plate (emergent layer IV), and to a lesser extent within developing layer VI. Simultaneously, the distributions of these afferents within cortical laminae transform from uniform to patchy in the plane of the cortex. Peaks exhibit the periodicity typical of mature barrels. Branches become more numerous focally as and where layer IV barrels emerge. Individually traced arbors show reduced total widths consistent with progressive pruning of branches extending into territories of inappropriate barrels, both in layer IV and deeper in the cortex.

Animals↗

Pulmonary ventilation imaged by magnetic resonance: at the doorstep of clinical application.

Over the past few years, magnetic resonance imaging (MRI) has emerged as an important instrument for functional ventilation imaging. The aim of this review is to summarize established clinical methods and emerging techniques for research and clinical arenas. Before the advent of MRI, chest radiography and computed tomography (CT) dominated morphological lung imaging, while functional ventilation imaging was accomplished with scintigraphy. Initially, MRI was not used for morphological lung imaging often, due to technical and physical limitations. However, recent developments have considerably improved anatomical MRI, as well as advanced new techniques in functional ventilation imaging, such as inhaled contrast aerosols, oxygen, hyperpolarized noble gases (Helium-3, Xenon-129), and fluorinated gases (sulphur-hexafluoride). Straightforward images demonstrating homogeneity of ventilation and determining ventilated lung volumes can be obtained. Furthermore, new image-derived functional parameters are measurable, such as airspace size, regional oxygen partial pressure, and analysis of ventilation distribution and ventilation/perfusion ratios. There are several advantages to using MRI: lack of radiation, high spatial and temporal resolution and a broad range of functional information. The MRI technique applied in patients with chronic obstructive pulmonary disease, emphysema, cystic fibrosis, asthma, and bronchiolitis obliterans, may yield a higher sensitivity in the detection of ventilation defects than ventilation scintigraphy, CT or standard pulmonary function tests. The next step will be to define the threshold between physiological variation and pathological defects. Using complementary strategies, radiologists will have the tools to characterize the impairment of lung function and to improve specificity.

Animals↗

A comparison of three methods of assessing renal function.

In a study of 100 patients referred for assessment of renal function a comparison is made between gamma camera computer assisted displays of 99mTc-DTPA(Sn) nephrograms, intra-venous urography (I.V.U.) and triple probe 131I-Hippuran renography. The computer processed data displays renal morphology and activity/time curves which are deconvolved enabling quantitative assessment of glomerular function to be made. Pattern recognition techniques for feature extraction are employed to facilitate classification of the curves. It is concluded that the computer processed data gives better results both in the recognition of morphological defects and in the indication and measurement of renal damage.

Glomerulonephritis↗

[A comparative morphological description of the gingival and buccal epithelium in females in various phases of the menstrual cycle].

Computer morphometry was used to analyze morphologically and histochemically the smears of the gingival and buccal epithelium obtained from women at the secretion and proliferation phases of the menstrual cycle. A variety of reliably statistic differences conditioned by a menstrual-cycle phase was found to be typical of the gingival epithelium. A high percentage of epitheliocytes of differentiation terminal stages as well as signs of enhanced protein-synthesizing processes were typical of the cells ratio in the gingival epithelium at the secretion phase. The number of differences in the buccal epithelium conditioned by a menstrual cycle was by far less, which denotes a lesser dependence of this epithelium on hormones, whose concentration at the proliferation phase essentially differs from that observed at the secretion phase.

Adult↗

Mudpuppy retinal ganglion cell morphology revealed by an HRP impregnation technique which provides Golgi-like staining.

A new technique of retrograde labeling of ganglion cells with horseradish peroxidase (HRP) has been developed, based on orbital injections of HRP combined with a detergent (lysolecithin). When injections are followed by an appropriate survival time, dense staining of a small number of widely scattered cells results in Golgi-like filling of each neuron. This technique, as well as a variation which causes mass staining of ganglion cell somas, has been used to analyze the morphology of mudpuppy retinal ganglion cells. Morphological analysis has relied on computer reconstruction techniques for display, analysis of dendritic sublamination pattern, and morphometric analysis of the dendrites and soma. Based on morphological criteria, the mudpuppy retina contains a rich variety of ganglion cell types which vary according to soma placement, dendritic field size, polar vs. non-polar dendritic fields, dendritic branching pattern, and dendritic sublamination. The mudpuppy retina contains both conventional and displaced ganglion cells: the latter constitute about 15% of the total ganglion cell population. Both conventional and displaced ganglion cells show morphological diversity of dendritic sublamination branching pattern; cells from each group have a dendritic branching pattern confined to either distal or proximal divisions of the inner plexiform layer, whereas other cells have dendrites which branch in both sublaminae. Using morphological criteria, two subtypes of ganglion cells were identified, which have a distinctive branching pattern and dendritic tree size. The size and distribution of ganglion cell somas were analyzed from retinas in which mass staining of ganglion cells was present. The total number of ganglion cells was estimated at approximately 14,500 cells per retina. There was a tendency for soma size and density to decrease near the optic disk. The somas of displaced ganglion cells are smaller than their conventional counterparts, at the same retinal eccentricity. The somas of all HRP filled cells swell when compared to those of unstained fixed and freshly dissected retinas. The degree of swelling is proportional to the length of exposure to HRP. Cell swelling was evident for both retrograde labeling and intracellularly injected HRP. This artifact of HRP staining could influence the interpretation of studies in which quantitative differences in soma sizes are based on the use of HRP labeling.

Animals↗

Development of a protocol for multiple staining with fluorochromes to assess the functional status of boar spermatozoa.

The aim of this study was to design a simple and reliable method for the simultaneous evaluation of the nucleus, the acrosome, and the mitochondrial sheath of boar spermatozoa. Sperm samples coming from healthy and sexually mature Pietrain boars were incubated with two nuclear fluorochromes--bis-benzamide specific for viable cells, and propidium iodide specific for nonviable cells--the fluorochrome Mitotracker Green FM specific for functional mitochondria, and the lectin Trypsin inhibitor from Soybean (SBTI) conjugated with the fluorochrome Alexa Fluor 488 specific for proacrosin. The results obtained from assessing the functional status of the spermatozoa using fluorochromes were compared with the conventional sperm parameters of sperm vitality using the eosin exclusion test (EE test), and sperm motility and morphology using the computer-assisted semen analyzer SCA 2002Producció. Applying the multiple staining test, it was found that the frequency of viable spermatozoa with intact acrosome and intact mitochondria was not different from the frequency of viable spermatozoa obtained with the EE test, and also correlated positively with the frequency of motile spermatozoa and the frequency of mature spermatozoa. Therefore, this technique is useful to characterize the status of boar spermatozoa by assessing the nuclear, acrosomal, and mitochondrial integrity. Moreover, it provides reliable diagnostic information about the fertility potential of boars.

Acrosome↗

The biphasic morphology of voluntary and spontaneous single muscle fiber action potentials.

The extracellular morphology of single muscle fiber action potentials (SMFAPs) is anticipated by volume conductor theory to be triphasic. Single muscle fiber action potentials recorded during single muscle fiber studies (500 Hz to 20 kHz) usually appear triphasic; however, when recorded with an open bandwidth (1 Hz to 20 kHz) they are found to be biphasic. Fibrillation potentials recorded with a single fiber electrode and open bandwidth have identical biphasic morphologies as volitional SMFAPs. Computer simulations suggest that the intracellular action potential models currently used to derive simulated extracellularly recorded SMFAPs must have the repolarization phase considerably prolonged to yield the clinically recorded potentials. This implies that either the models presently used require significant modification, or there is some distortion of the transmembrane source current induced in needle recording studies such that biphasic and not triphasic potentials are detected.

Action Potentials↗

Short-term rhythmic proliferation of human breast cancer cell lines: surface effects and fractal growth patterns.

Kinetic studies of cell proliferation rates shed light on the growth dynamics of cancer. Most such studies are based on measurements of cell numbers that were evaluated in time intervals of about 12 h. Studies of the initial tumour growth with short measuring intervals are rare. This study was therefore designed with 1 h measuring intervals over a 24 h period. Human breast cancer cell lines (ZR-75-1, SK-BR-3, MCF-7) and a benign cell line (HBL-100) were used to study the hourly thymidine uptake as a measure of cells in synthesis. In parallel experiments, the same cell lines were also exposed to tumour necrosis factor alpha (TNF-alpha) to explore the effect of an apoptosis-inducing substance on initial tumour growth kinetics. In time-evolution plots, there was an oscillation of the labelling index of thymidine uptake for all investigated cell lines, with and without TNF-alpha. Based on the results obtained, a mathematical model was developed mimicking the real experiment. To describe the system dynamically a cellular automaton model was studied. The growth kinetics revealed by the simulation were in accordance with our experimental data. Two- and three-dimensional growth simulations of this computer model yielded objects morphologically similar to real images of human breast cancer. Almost identical fractal dimensions of the virtual and real tumours further supported this visual similarity. The cellular automata models could, therefore, be seen as a bridge towards realistic in vivo scenarios. From a clinical point of view, the results obtained may be applicable not only to primary tumours, but even to tumour cell microfoci and small metastases, which are a major concern in early metastasizing tumours such as breast cancer.

Breast Neoplasms↗

Tumour-like thallium-201 accumulation in brain infarcts, an unexpected finding on single-photon emission tomography.

Thallium-201 brain single-photon emission tomography (201Tl-SPET) is widely used to detect viable tumour tissue with increased metabolic activity. When reperfusion takes place early in cerebrovascular lesions of embolic origin, the presence of tissue areas with increased regional blood flow and preserved metabolic activity can also be assumed. In the present study our purpose was to investigate whether or not foci of 201Tl accumulation occur in reperfused areas with sustained morphological integrity indicated by computed tomography (CT) scans not showing hypodensity in the acute or subacute period. In 16 stroke patients with possible cortical embolic infarction, dual 201Tl and technetium-99m hexamethylpropylene amine oxime (99mTc-HMPAO) SPET was performed in both the acute and the subacute period. 99mTc-HMPAO SPET was performed to detect reperfusion. Follow-up CT scans from the same period were also available. In five cases 99mTc-HMPAO SPET ruled out reperfusion and 201Tl SPET was also negative. In four cases 99mTc-HMPAO studies indicated reperfusion early in the acute phase (24-72 h), and comparative CT, without showing hypodensity in the acute or subacute period, also favoured the possibility of sustained metabolic activity. In these cases 201Tl SPET was negative in both the acute and the subacute period. In seven cases CT already showed necrosis in 99mTc-HMPAO hypoperfused areas in the acute period, with negative results on corresponding 201Tl SPET. Later reperfusion occurred in the subacute period (8-14 days) as indicated by 99mTc-HMPAO SPET, at which time an unexpected focal accumulation of 201Tl was detected.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

Morphology and measurements of the cervical spinal cord in computer-assisted myelography.

Thirty-six control subjects had computer assisted myelography (CAM) using the EMI CT 5005 scanner. The normal cervical cord is elliptical, more circular at the upper and lower ends and flatter in the mid-segments. Asymptomatic cord deformities, usually mild, were present in nine subjects (25%). Four measurements, namely, sagittal diameter (APD), transverse diameter (TD), area (a) and circumference (c) were made and two more parameters calculated i.e. APD/TD ratio and circularity (= 4 pi a/c2). These control values form the basis of qualitative and quantitative assessment of cord deformity. When cord measurements are to be used, control values should be obtained for each scanner and procedures should be standardized.

Adult↗

The unusual imaging appearance of primary retroperitoneal teratoma: report of a case.

Primary retroperitoneal (RP) teratoma is a rare entity which has a distinctive imaging appearance. We describe herein the case of a 25-year-old man in whom a RP teratoma was found to have an extremely unusual imaging morphology by ultrasound and computed tomography (CT). The tumor was resected and histopathological examination confirmed the diagnosis of primary benign RP teratoma.

Adult↗

Condylar restoration after early TMJ fractures and functional appliance therapy. Part I: Remodelling.

The aim of this study was to measure quantitatively and to analyze the process of condylar restoration during and after functional appliance therapy with an activator in children and juveniles who had sustained condylar fractures. Spiral computed measurement of condylar morphology was performed in order to quantify the association described in the literature between condylar remodelling and age as well as certain types of fracture. Nineteen patients with an average age of 13.4 years, who had sustained a functionally treated unilateral condylar fracture 4.9 years earlier on average, were included in the present study as the follow-up group. Twenty patients, who had sustained a unilateral fracture at an average age of 8.1 years and had been treated functionally for 6 to 8 months, formed the treatment group. The condylar dimension and the condylar neck length of the ipsilateral and of the contralateral temporomandibular joints were measured from the axial and parasagittal reconstructions and were compared on the basis of sex, age and fracture type. The mediolateral condylar dimension of the follow-up group showed a sex-specific difference of 0.2 cm on the contralateral side and 0.4 cm on the ipsilateral side. The fracture side condyle indicated a relative mediolateral decrease of 4.2% and an anteroposterior increase of 12.6%. Shortening of the condylar neck and excessive bony overgrowth were found to occur more often in fractures with displacement and in low fracture types. The "10-plus" subgroup at time of trauma showed a significantly greater variation and greater differences in mediolateral and anteroposterior condylar dimension than the younger patients.

Adolescent↗

Wavelet analysis of EEG for three-dimensional mapping of epileptic events.

This paper is aimed at understanding epileptic patient disorders through the analysis of surface electroencephalograms (EEG). It deals with the detection of spikes or spike-waves based on a nonorthogonal wavelet transform. A multilevel structure is described that locates the temporal segments where abnormal events occur. These events are then visually interpreted by means of a 3D mapping technique. This 3D display makes use of a ray tracing scheme and combines both the functional (the EEG but also its wavelet representation) and the morphological data (acquired from computed tomography [CT] or magnetic resonance imaging [MRI] devices). The results show that a significant reduction of the clinical workload is obtained while the most important episodes are better reviewed and analyzed.

Algorithms↗