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Relation between Doppler color flow variables and invasively determined jet variables in patients with aortic regurgitation.

OBJECTIVES: The purpose of this study was to test the hypothesis that invasively derived jet variables including regurgitant orifice area and momentum determine the characteristics of Doppler color flow jets in patients with aortic regurgitation. BACKGROUND: In vitro studies have demonstrated that the velocity distribution of a regurgitant jet is best characterized by the momentum of the jet, which incorporates orifice area and velocity of flow through the orifice. METHODS: Peak jet momentum, peak flow rate and regurgitant orifice area were determined with intraaortic Doppler catheter and cardiac catheterization techniques in 22 patients with chronic aortic regurgitation. These invasively derived variables were compared with apical and parasternal long-axis Doppler color echocardiographic variables obtained in the catheterization laboratory. RESULTS: Jet momentum increased significantly with the angiographic grade of regurgitation. The apical color jet area of aortic regurgitation increased linearly with jet momentum and regurgitant orifice area in vivo, but the correlations were only moderately good (r = 0.63 and 0.65, respectively). Color jet length also increased linearly with jet momentum and with regurgitant orifice area. There was only a trend for Doppler color jet width to increase with all invasively derived jet variables. CONCLUSIONS: Whereas jet area by Doppler color flow imaging is directly related to both orifice area and jet momentum in vivo, Doppler color variables measured in planes normal to the orifice do not correlate well enough with either jet momentum or regurgitant orifice area to predict jet flow variables in patients with aortic regurgitation. It is likely that the important influence of adjacent boundaries will limit the use of the velocity distribution of aortic regurgitant jets for determining the severity of disease.

Aortic Valve Insufficiency↗

Enhancement of mitral regurgitation and normal left atrial color Doppler flow signals with peripheral venous injection of a saccharide-based contrast agent.

OBJECTIVES: The saccharide ultrasound contrast agent SHU 508 A was used to test the hypothesis that an intravenous, transpulmonary contrast method can enhance color Doppler flow signals in the left atrium in a clinically useful manner. BACKGROUND: Color Doppler display of mitral regurgitation may be unreliable because of variable signal to noise ratios that are at times poor. Traditional contrast agents enhance color Doppler flow signals in the right heart chambers. This study describes our observation of a recently developed contrast agent, SHU 508 A, capable of pulmonary transit after peripheral venous injection. METHODS: Control subjects (n = 10) and patients with suspected mitral regurgitation (n = 23) were studied by color Doppler flow imaging before and after 3-g intravenous doses of SHU 508 A. Reference grading of mitral regurgitation (0 to 3) was formulated from left ventricular angiography. In the four-chamber view of the left atrium, we selected for analysis the systolic frame with the maximal retrograde jet of mitral regurgitation (aliased/blue) and the diastolic frame with the maximal color coding from anterograde pulmonary venous flow (red) for planimetry and for grading the intensity of the color Doppler signal (0 to 5). RESULTS: The score of the color Doppler signal intensity increased by > or = 2.5 after 3 g of SHU 508 A (p < 0.001). Flow detection improved, as shown by the increased jet area of mitral regurgitation (> or = 170%), after 3 g of SHU 508 A (3 +/- 3 vs. 12 +/- 8 cm2, p < 0.001) and by a > or = 200% increase in normal anterograde flow area (p < 0.001) in both the mitral regurgitation group and the control group. After contrast enhancement, the correlation between angiographic grading and the relation of jet area to the left atrial area increased from r = 0.79 to r = 0.91. CONCLUSIONS: Contrast-mediated increased echogenicity of the left atrial blood pool improves the signal to noise ratio of Doppler images of mitral regurgitation and anterograde atrial flow. The technique is safe and simple and seems to minimize variability due to instrument design and anatomic signal attenuation.

Adult↗

IL-2 absorption affects IFN-gamma and IL-5, but not IL-4 producing memory T cells in double color cytokine ELISPOT assays.

Cytokine assays are gaining increasing importance for human immune monitoring because they reliably detect antigen-specific T cells in primary PBMC, even at low clonal sizes. Double color ELISPOT assays permit the simultaneous visualization of cells producing two different cytokines. Permitting the simultaneous assessment of type 1 and 2 immunity and due to the limited numbers of PBMC available from human study subjects, double color assays should be particularly attractive for clinical trials. Since the performance of double color assays has not yet been validated, we set out to compare them to single color measurements. Testing the recall antigen-induced cytokine response of PBMC, we found that double color assays regularly provided lower numbers of IFN-gamma and IL-5 spots than single color measurements when IL-2 detection was part of the double color assay. We showed that the inhibitory effect resulted from IL-2 absorption and could be overcome by either antibody free preactivation cultures or by inclusion of anti-CD28 antibody. In contrast, the simultaneous detection of IL-2 did not affect the numbers of IL-4 spots. Therefore, unlike IL-2/IL-4 and IFN-gamma/IL-5 assays, IL-2/IFN-gamma, and IL-2/IL-5 assays require compensation for the IL-2 capture to provide accurate numbers for the frequencies of cytokine producing memory T cells.

Absorption↗

The sensitivity and specificity of single-field nonmydriatic monochromatic digital fundus photography with remote image interpretation for diabetic retinopathy screening: a comparison with ophthalmoscopy and standardized mydriatic color photography.

PURPOSE: To evaluate single-field digital monochromatic nonmydriatic fundus photography as an adjunct in the screening of diabetic retinopathy. DESIGN: Prospective, comparative, observational case series. METHODS: Patients with type I and type II diabetes mellitus (n = 197) were sequentially evaluated by three different techniques: single-field digital monochromatic nonmydriatic photography; dilated ophthalmoscopy by an ophthalmologist; and seven Early Treatment Diabetic Retinopathy Study (ETDRS) standardized 35-mm color stereoscopic mydriatic images. The seven stereoscopic color photographs served as the reference standard and were compared with either ophthalmoscopy or a single digital photograph transmitted electronically to a reading site. Levels of agreement were determined by kappa analyses. The sensitivity and specificity of the three methods were compared based on a threshold for referral to further ophthalmologic evaluation (ETDRS level > or =35). RESULTS: There was highly significant agreement (kappa = 0.97, P =.0001) between the degree of retinopathy detected by a single nonmydriatic monochromatic digital photograph and that seen in seven standard 35-mm color stereoscopic mydriatic fields. The sensitivity of digital photography compared with color photography was 78%, with a specificity of 86%. Agreement was poor (kappa = 0.40, P =.0001) between mydriatic ophthalmoscopy and the seven-field standard 35-mm color photographs. Sensitivity of ophthalmoscopy compared with color photography was 34%, with a specificity of 100%. CONCLUSION: A single nonmydriatic monochromatic wide-field digital photograph of the disk and macula was more sensitive for diabetic retinopathy screening than mydriatic ophthalmoscopy, the currently accepted screening method. When adjudicated by standard seven-field color photographs, the higher sensitivity of digital photography primarily reflected the reduced sensitivity of ophthalmoscopy in detecting early retinopathy.

Adult↗

Laparoscopic observation of liver colored with indocyanine green in chronic hepatitis. II. Correlation with subcapsular ligandin.

Intravenous injection of indocyanine green improves the laparoscopic diagnosis of liver disease. To clarify the basis for the laparoscopic appearance of indocyanine green-colored liver, local indocyanine green coloration was compared with the hepatic ligandin in the corresponding subcapsular tissue. Two liver biopsy specimens were obtained from each of 13 patients with chronic hepatitis, and the ligandin was stained by an immunohistochemical method. In cases showing homogeneous indocyanine green coloration, the ligandin in the two biopsy specimens was similarly stained. On the other hand, in cases showing inhomogeneous coloration of indocyanine green, biopsy specimens from the well-colored area showed focal regeneration and were rich in ligandin, whereas biopsy specimens from less-colored lesions showed fibrosis, necrosis, or severe inflammation, and the ligandin was poorly stained. These results suggest that the characteristic laparoscopic appearance of the indocyanine green-colored liver reflects the changes of intrahepatic ligandin distribution associated with pathologic changes in the liver of patients with chronic hepatitis.

Biopsy↗

Hormonal control of body-color polymorphism in Locusta migratoria: interaction between

The effects of injection of [His(7)]-corazonin and juvenile hormone (JH) III on the body color in L. migratoria were investigated using albino and normal (pigmented) nymphs. Most albino nymphs turned green in the fourth instar if injected with JH III during the last 2 days of the previous instar. When albino third instar nymphs injected with 10 pmol of [His(7)]-corazonin on different days were treated with 100 µg of JH III on day 3.5, they developed various body colors in the following nymphal instar: those injected with [His(7)]-corazonin during the first 2 days developed very dark green or black color, whereas some of those injected after this period turned green and their legs and ventral side of the body were variously pigmented, the coloration being similar to green solitary individuals often found in the field. Field-collected brown solitary nymphs injected with 1 nmol of [His(7)]-corazonin and kept individually, turned reddish without any black spots in the following nymphal instar when the ecdysis occurred within 1 day after injection. Injection of [His(7)]-corazonin 2 days before the following ecdysis induced black patterns on an orange background color, the coloration characteristic of gregarious forms. Similar injections into field-collected green solitary nymphs also induced black patterns but the rest of their body remained green. These results may indicate that the temporal changes in the hemolymph titers of [His(7)]-corazonin and JH play an important role in the control of body-color polymorphism in this locust.

Journal Article↗

Effect of color coding and subtraction on the accuracy of contrast echocardiography.

BACKGROUND: Contrast echocardiography may be used to assess myocardial perfusion. However, gray scale assessment of myocardial contrast echocardiography (MCE) is difficult because of variations in regional backscatter intensity, difficulties in distinguishing varying shades of gray, and artifacts or attenuation. We sought to determine whether the assessment of rest myocardial perfusion by MCE could be improved with subtraction and color coding. METHODS AND RESULTS: MCE was performed in 31 patients with previous myocardial infarction with a 2nd generation agent (NC100100, Nycomed AS), using harmonic triggered or continuous imaging and gain settings were kept constant throughout the study. Digitized images were post processed by subtraction of baseline from contrast data and colorized to reflect the intensity of myocardial contrast. Gray scale MCE alone, MCE images combined with baseline and subtracted colorized images were scored independently using a 16 segment model. The presence and severity of myocardial contrast abnormalities were compared with perfusion defined by rest MIBI-SPECT. Segments that were not visualized by continuous (17%) or triggered imaging (14%) after color processing were excluded from further analysis. The specificity of gray scale MCE alone (56%) or MCE combined with baseline 2D (47%) was significantly enhanced by subtraction and color coding (76%, p<0.001) of triggered images. The accuracy of the gray scale approaches (respectively 52% and 47%) was increased to 70% (p<0.001). Similarly, for continuous images, the specificity of gray scale MCE with and without baseline comparison was 23% and 42% respectively, compared with 60% after post processing (p<0.001). The accuracy of colorized images (59%) was also significantly greater than gray scale MCE (43% and 29%, p<0.001). The sensitivity of MCE for both acquisitions was not altered by subtraction. CONCLUSION: Post-processing with subtraction and color coding significantly improves the accuracy and specificity of MCE for detection of perfusion defects.

Contrast Media↗

Use of color kinesis for evaluation of left ventricular filling in patients with dilated cardiomyopathy and mitral regurgitation.

OBJECTIVES: We tested the feasibility of using analysis of color kinesis images to objectively assess global and regional left ventricular (LV) diastolic function in patients with dilated cardiomyopathy (DCM). In addition, the ability of this technique to track drug-induced changes on LV diastolic properties was studied. BACKGROUND: Diastolic dysfunction contributes to symptomatology in patients with DCM. The assessment of LV diastolic function using conventional Doppler echocardiography is indirect and is confounded by multiple variables. Moreover, the noninvasive evaluation of regional diastolic properties is difficult. In contrast, color kinesis directly tracks and color-encodes regional diastolic endocardial motion. METHODS: We studied 24 patients with DCM and mitral regurgitation (MR) and 24 age-matched normal subjects. Transmitral and pulmonary vein flow velocities were measured using pulsed Doppler echocardiography. Diastolic color kinesis images were used to calculate indexes of magnitude and timing of global and regional diastolic function. Diastolic asynchrony was evaluated in different subgroups of patients with DCM. The effects of drug infusions (nitroprusside and dobutamine) were also studied. RESULTS: Color kinesis indexes of global diastolic function showed significant differences between patients with DCM and normal subjects. Compared with Doppler indexes, color kinesis was less confounded by MR and was capable of differentiating between drug-induced lusitropic and vasodilator effects. Diastolic asynchrony was increased in patients with DCM and severe MR. CONCLUSIONS: Quantitative analysis of global and regional LV diastolic function in patients with DCM using color kinesis is feasible.

Adult↗

New dimensions in color perception.

Colors are generally ordered in three dimensions, with hue and saturation as polar coordinates of a color circle, and brightness as the third dimension. Intuitively, lines of constant hue (but variable saturation) in such a color space should converge on an achromatic point devoid of hue. However, in new experiments by Ekroll et al. using colored patches in colored surrounds, constant hue lines converge not on 'gray' but on the surround color. This paradoxical observation suggests that the standard three-dimensional conception of perceived color is inadequate.

Journal Article↗

Relationships between antioxidant activity, color, and flavor compounds of crystal malt extracts.

Aqueous extracts were prepared from five barley crystal malts (color range 15-440 degrees EBC, European Brewing Convention units). Antioxidant activity was determined by using the 2,2'-azinobis(3-ethylbenothiazoline-6-sulfonic acid) (ABTS(*)(+)) radical cation scavenging method. Antioxidant activity increased with increasing color value although the rate of increase decreased with increasing color value. Color was measured in CIELAB space. Extracts of the 15, 23, and 72 degrees EBC malts followed the same dilution pathway as did the 148 degrees EBC sample at higher dilution levels, indicating that they could each be used to give the same color by appropriate dilution. The 440 degrees EBC sample followed a different dilution pathway, indicating that different compounds were responsible for color in this extract. Fifteen selected volatile compounds were monitored using gas chromatography/mass spectrometry (GC/MS). Levels of methylpropanal, 2-methylbutanal, and 3-methylbutanal were highest for the 72 degrees EBC sample. When odor threshold values of the selected compounds were taken into account, 3-methylbutanal was the most important contributor to flavor. Relationships between levels of the lipid oxidation products, hexanal and (E)-2-nonenal, and antioxidant activity were complex, and increasing antioxidant activity for samples in the range of 15-148 degrees EBC did not result in reduced levels of these lipid-derived compounds. When different colored malt extracts were diluted to give the same a* and b* values, calculated antioxidant activity and amounts of 3-methylbutanal, hexanal, and (E)-2-nonenal decreased with increasing degrees EBC value.

Antioxidants↗

Evaluation of an audiovisual-FM system: investigating the interaction between illumination level and a talker's skin color on speech-reading performance.

A program designed to evaluate the benefits of an audiovisual-frequency modulated (FM) system led to some questions concerning the effects of illumination level and a talker's skin color on speech-reading performance. To address those issues, the speech of a Caucasian female was videotaped under 2 conditions: a light skin color condition and a dark skin color condition. For the latter condition, makeup was applied to the talker's face. For both skin color conditions, the talker was recorded while speaking sentences under 7 different levels of illumination: 2, 3, 4, 16, 60, 256, and 600 footcandles (fc). Fifteen participants completed the speech perception task in a visual-only modality. The results revealed a significant interaction of illumination level and skin color. For the light skin color condition, speech-reading performance improved systematically as the illumination level increased from 3 to 16 fc. For the dark skin color condition, no differences in speech-reading performance were observed between the 2-fc and the 3-fc conditions. However, a large improvement in speech-reading performance was observed as the illumination level increased from 4 fc to 16 fc. It is speculated that in addition to an overall effect of illumination level, the contrast in luminance at the level of the talker's face has an effect on speech-reading performance.

Adult↗

Color Doppler identification of a pericardial effusion in the fetus.

The aim of the study was to determine whether color Doppler identifies abnormal fluid within the pericardial space of the fetal were referred for heart. Second- and third-trimester fetuses diagnostic ultrasound. The four-chamber view of the fetal heart was imaged with real-time ultrasonography and examined for the presence or absence of separation of the pericardium from the epicardium, which extended from the atrioventricular junction toward the apex of the ventricle. To examine the pericardial space, the color Doppler maximal velocity was set at low Nyquist limits (0.08-0.24 m/s). In each fetus the transducer was angled so that the axis of the interventricular septum was parallel or tangential to the ultrasound beam to optimize the color Doppler recording. The control group consisted of 50 fetuses (16-38 weeks of gestation) who did not demonstrate evidence of pericardial effusion when examined with real-time ultrasound. Second- and third-trimester fetuses were selected from our database who demonstrated a pericardial effusion identified with real-time ultrasound. Color Doppler signals were not identified within the pericardial space in the 50 control fetuses. Fetuses with a pericardial effusion identified with real-time ultrasound demonstrated color Doppler within the pericardial space which was opposite to the direction of blood entering and exiting the ventricles. Color Doppler enhanced the detection of a pericardial effusion in the second-trimester fetus when the axis of the heart was and third-parallel or tangential to the ultrasound beam, which is suboptimal for real-time imaging. Color Doppler provides a new method to identify a pericardial effusion in the fetus during the second and third trimesters of pregnancy and complements the real-time examination.

Journal Article↗

Color-flow duplex scanning for the surveillance and diagnosis of acute deep venous thrombosis.

Compared with conventional duplex imaging, color-flow scanning facilitates the identification of veins (especially below the knee), decreases the need to assess Doppler flow patterns and venous compressibility, and allows veins to be surveyed longitudinally. These advantages translate into a less demanding and time-consuming examination. This study was designed to determine the accuracy of color-flow scanning for detecting acute deep venous thrombosis in patients in whom the diagnosis is clinically suspected and in asymptomatic patients at high risk for developing postoperative deep venous thrombosis. The diagnostic group included 77 limbs of 75 patients, and the surveillance group included 190 limbs of 99 patients undergoing total hip or knee replacement. All patients were prospectively examined with color-flow scanning and phlebography. In the diagnostic group, the incidence of thrombi in below-knee veins (47%) was approximately equal to that in above-knee veins (43%); but in the surveillance group, the incidence of thrombi in below-knee veins (41%) far exceeded that in veins above the-knee (3%). Nonocclusive clots and clots isolated to a single venous segment were more common in the surveillance group. In symptomatic patients, color-flow scanning was 100% sensitive and 98% specific above the knee and 94% sensitive and 75% specific below the knee. In the surveillance group, color-flow scanning was significantly (p less than 0.001) less sensitive (55%) for detecting thrombi, 93% of which were confined to the tibioperoneal veins. Negative predictive values were 100% and 88% for the diagnostic and surveillance limbs, respectively. Positive predictive values were 80% for the diagnostic limbs and 89% for the surveillance limbs. Color-flow scanning effectively excludes above-knee deep venous thrombosis in symptomatic patients and asymptomatic high-risk patients and predicts the presence of above-knee thrombi in patients in the diagnostic group with reasonable accuracy (97%). We conclude that color-flow scanning is as accurate as conventional duplex imaging and, because of its advantages, is the noninvasive method of choice for evaluating patients with suspected deep venous thrombosis. Its role in the surveillance of patients at high risk remains to be determined and awaits further clinical evaluation.

Acute Disease↗

Focal colors are universal after all.

It is widely held that named color categories in the world's languages are organized around universal focal colors and that these focal colors tend to be chosen as the best examples of color terms across languages. However, this notion has been supported primarily by data from languages of industrialized societies. In contrast, recent research on a language from a nonindustrialized society has called this idea into question. We examine color-naming data from languages of 110 nonindustrialized societies and show that (i) best-example choices for color terms in these languages cluster near the prototypes for English white, black, red, green, yellow, and blue, and (ii) best-example choices cluster more tightly across languages than do the centers of category extensions, suggesting that universal best examples (foci) may be the source of universal tendencies in color naming.

Journal Article↗

Coloration strategies in peacock feathers.

We report the mechanism of color production in peacock feathers. We find that the cortex in differently colored barbules, which contains a 2D photonic-crystal structure, is responsible for coloration. Simulations reveal that the photonic-crystal structure possesses a partial photonic bandgap along the direction normal to the cortex surface, for frequencies within which light is strongly reflected. Coloration strategies in peacock feathers are very ingenious and simple: controlling the lattice constant and the number of periods in the photonic-crystal structure. Varying the lattice constant produces diversified colors. The reduction of the number of periods brings additional colors, causing mixed coloration.

Animals↗

Effect of rotational symmetry on colored lattices.

A colored lattice L(c) has a geometrical lattice L. A subgroup lattice L' of L and each of its cosets consist of like-colored points, each coset having a different color. The index of L' in L is given by Delta, the determinant of the matrix (t(jk)) that converts L into L'. This is the order of the factor group {L/L'}, and is also the number n of colors present. The crystal systems-i.e., the combinations of rotational symmetry axes-of L(c), L, and L' are all the same, but L and L' may have different centerings; this results in 39 combinations of centerings, called here the 39 symmetry types of colored lattices. These types are tabulated here, together with the special forms taken by (t(jk)) and the formulas for Delta. In only 7 of the 39 types can the number of colors be arbitrary; in most types certain numbers of colors are impossible.

Journal Article↗

Inheritance of seed color in Capsicum.

The mode of seed color inheritance in Capsicum was studied via an interspecific hybridization between C. pubescens Ruiz and Pav. (black seed color) and C. eximium Hunz. (yellow seed color). Black seed color was dominant over yellow seed color. The F(2) segregation pattern showed continuous variation. The generation means analysis indicated the presence of a significant effect of additive [d], dominance [h], and additive x additive [i] interaction for seed color inheritance. The estimate for a minimum number of effective factors (genes) involved in seed color inheritance was approximately 3.

Capsicum↗

The genetic basis of naturally occurring pollen color dimorphisms in Nigella degenii (Ranunculaceae).

Nigella degenii ssp. barbro and ssp. jenny differ from related taxa in being dimorphic for pollen color, with some plants having dark pollen and others light pollen. In this study we performed experimental crosses to determine whether the difference in pollen color is governed by few or many loci and whether the two subspecies utilize the same gene to control pollen color. Patterns of segregation in crosses between morphs show that dark pollen is dominant over light pollen and that a single major gene is responsible for most of the variation in pollen color. Consequently it should be relatively easy for pollen color dimorphisms to establish and spread in these subspecies. Aberrant segregation ratios were attributed to genetic factors that reduced the expression of the allele conferring dark pollen or processes that sorted between color morphs during seed development. Crosses between dark pollen plants from different subspecies showed signs of complementation in the F2 generation, but the frequency of the light morph was too low to support a model involving complementary action of recessive alleles at two separate loci. Based on this and other observations, we hypothesize that the pollen color difference is controlled by the same major locus in the two subspecies.

Analysis of Variance↗