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C A Reynolds

Publications and source records attributed to C A Reynolds.

At least 37 records · Page 2Linked to original sources
PubMed1997

Breast MR imaging: interpretation model.

PURPOSE: To develop an interpretation model based on architectural features of suspicious breast findings on magnetic resonance (MR) images. MATERIALS AND METHODS: One hundred ninety-two patients with mammographically visible or palpable findings underwent T1- and fat-saturated T2-weighted spin-echo and contrast agent-enhanced fat-saturated gradient-echo MR imaging. Patients underwent subsequent excisional biopsy for histopathologic confirmation. An interpretation model was constructed by using 98 cases and was tested prospectively and expanded by using 94 different cases. Sensitivity, specificity, predictive values, and receiver operating characteristic curves were computed for all models. RESULTS: Individual features with high predictive values were MR visibility, enhancement degree and pattern, focal mass border characteristics, and focal mass internal septations. Feature combinations with high negative predictive values for malignancy were absence of an MR-visible abnormality, focal masses with smooth borders, lobulated or irregular masses with nonenhancing internal septations, and focal masses with no (or minimal) enhancement. The validated- and revised-model performance characteristics were, respectively, as follows: sensitivity, 100% and 96%; specificity, 69% and 79%; positive predictive value, 75% and 76%; negative predictive value, 100% and 97%; and overall accuracy, 83% and 86%. CONCLUSION: An interpretation model that incorporates breast MR architectural features can achieve high sensitivity and improve specificity for diagnosing breast cancer.

Adult↗
PubMed1997

Fibroadenomas: MR imaging appearances with radiologic-histopathologic correlation.

PURPOSE: To identify histopathologic correlates for the varied magnetic resonance (MR) imaging appearances of fibroadenomas. MATERIALS AND METHODS: Twenty-three fibroadenomas in 21 patients (aged 23-66 years) examined with gadolinium-enhanced MR imaging were graded for signal intensity on T2-weighted images, contrast material enhancement, shape, and internal septations and were correlated with histopathologic findings. RESULTS: Fibroadenomas demonstrated high T2 signal intensity with enhancement (n = 11), low T2 signal intensity with enhancement (n = 3), or low T2 signal intensity without enhancement (n = 9). Low T2 signal intensity and lack of enhancement were associated with more sclerotic stroma and older patient age. Lesion shape was lobular, oval, or round in 19 of 23 fibroadenomas (83%). Internal septations were identified within nine of 14 enhancing fibroadenomas (64%) and appeared to correlate with collagenous bands at histopathologic analysis. CONCLUSION: Fibroadenomas demonstrate marked histopathologic variability. The resultant variability in the MR appearance limits the ability to distinguish between benign and malignant masses on the basis of signal intensity and enhancement alone. Lobulation and internal septation, which appear to reflect intrinsic growth patterns of fibroadenomas, may provide a more reliable basis for distinction.

Adult↗
PubMed1997

Diagnostic performance characteristics of architectural features revealed by high spatial-resolution MR imaging of the breast.

OBJECTIVE: Our objective was twofold: to determine which architectural features revealed by high spatial-resolution MR imaging of the breast contribute to diagnostic accuracy and to evaluate the diagnostic performance characteristics of those architectural features. MATERIALS AND METHODS: Eligible patients with suspicious mammographic or palpable findings or both underwent MR imaging. Ninety-three patients whose MR images revealed lesions that corresponded to the mammographically visible or palpable findings were included in the study. Patients were examined with sagittal T1-weighted spin-echo MR imaging, fat-saturated T2-weighted fast spin-echo MR imaging, and dynamically enhanced fat-saturated fast gradient-echo MR imaging. All patients underwent subsequent excisional biopsy or cyst aspiration. Lesions were identified initially by an experienced radiologist who was aware of the patient's clinical or mammographic information. Two radiologists who were unaware of the patients' histories and who had less experience in MR imaging of the breast then independently evaluated each lesion for the architectural-features and predicted each lesion's potential for malignancy. RESULTS: Architectural features that were highly predictive of benign disease included smooth or lobulated borders (97-100%), the absence of mass enhancement (100%), and enhancement that was less than the enhancement of surrounding breast fibroglandular tissue (93-100%). Nonenhancing internal septations were specific for the diagnosis of fibroadenoma. Architectural features that were highly predictive of malignant disease included spiculated borders (76-88%) and peripheral rim enhancement in the presence of central lesion enhancement (79-92%). CONCLUSION: Architectural features revealed by high spatial-resolution MR imaging of the breast can help distinguish benign from malignant disease.

Adult↗
PubMed1996

Models of spouse similarity: applications to fluid ability measured in twins and their spouses.

Genetic influences have consistently been reported to be the principal explanation for resemblance among relatives for intelligence, with shared environmental effects playing a much smaller role. However, crucial to understanding the nature of environmental influences are the mechanisms of assortative mating. Phenotypic assortment, albeit widely assumed or modeled in biometrical analyses, may be less important than other assortment processes, such as social homogamy. Consequently, effects of shared environment may play a greater role than prior studies have suggested. The goal of this study was to resolve environmental and genetic influences on fluid ability based on alternative models of assortment by examining the similarity of monozygotic (MZ) and dizygotic (DZ) twins and their spouses. Raven's Progressive Matrices scores were available from a population-based Swedish sample of 138 twin kinships. The effects of both social homogamy and phenotypic assortment were tested simultaneously in each of two alternate assortment models. A factor/delta path model represented social homogamy as a common factor and phenotypic assortment as a delta path, while a delta/delta path model represented both social homogamy and phenotypic assortment as delta paths. Overall, the factor/delta path model was found to be superior. Results suggested that social homogamy completely explained spouse similarity; phenotypic assortment was not significant. The results of these analyses suggest the presence of shared environmental effects among twins and their spouses, which would have been underestimated if only phenotypic modeled phenotypic assortment may have underestimated the effects of environment.

Adult↗
PubMed1996

Genetics of educational attainment in Australian twins: sex differences and secular changes.

The relative effects of genetic and environmental factors in producing individual differences in educational achievement are compared across women and men and over birth cohorts. In a large sample of Australian twin pairs, the heritability of self-reported educational attainment did not vary among women and men born before and after 1950. In a "psychometric" model of twin resemblance, based on separate self-reports in 1981 and 1989, genetic factors explained 57% of the stable variance in educational achievement, while environmental factors shared by twins accounted for 24% of the variance. Corrections for phenotypic assortative mating for educational level, however, suggested that estimated common-environmental effects could be entirely explained by the correlation between additive genetic values for mates. Taking this into account, heritability "true" educational attainment in Australia may be as high as 82% with the remaining variation being due to individual environments or experiences. Unlike previous studies in Scandinavian countries, results in Australia suggest that factors influencing educational success are comparable between women and men and for individuals born at different points during this century.

Adult↗
PubMed1996

Sources of covariation among Mini-Mental State Examination scores, education, and cognitive abilities.

An adoption/twin design was used to address issues concerning the relationship between education and Mini-Mental State Examination (MMSE) performance. Data on general cognitive abilities, education, and MMSE from 110 identical twin pairs and 177 fraternal pairs aged 50 through 88 were analyzed using multivariate quantitative genetic methods. Genetic influences account for 32% and 19% of the variation in MMSE for men and women, respectively. Furthermore, all of the genetic variation in MMSE is in common with genetic variation for cognitive abilities and education. Finally, correlations between education and MMSE (.21 and .16 for men and women, respectively), which were reduced to near zero when cognitive abilities were partialed out, are primarily attributable to genetic effects for cognitive abilities. These results support the hypothesis that the association between education and MMSE performance predominantly reflects genetically mediated cerebral capacity rather than test bias or health-endangering life styles in less educated individuals.

Cognition↗
PubMed1996

The genetics of children's oral reading performance.

Measures of reading achievement and verbal ability have been shown to be heritable. Additionally, recent evidence has been suggestive of a major gene effect on reading disability and for problem reading in a sample of normal readers. We report on the etiology of individual differences in oral reading performance, the Slosson Oral Reading Test (SORT), for which biometrical analyses have not been reported in the literature previously. Oral reading performance was measured in a large population-based sample of twins of the Virginia Twin Study of Adolescent Behavioral Development. Biometrical analyses of the SORT suggested that, in both males and females, 69% of the phenotypic variation was due to heritable influences and 13% of the variation due to shared environmental effects. While the relative importance of genetic and environmental influences is equivalent for males and females, males showed greater phenotypic variability than females.

Achievement↗
PubMed1996

The effect of nontraumatic immobilization on ankle dorsiflexion stiffness in rats.

Experimental evidence supports the general conclusion that 6 or more weeks of immobilization will cause joint contractures due to changes in the capsules of animals whose limbs have been traumatized. There is controversy whether contractures will form in 6 weeks in limbs which are free of trauma. The purpose of this study was to determine if range of motion would be lost in ankle joints of rats following nontraumatic immobilization of the hindlimb for 2 or 6 weeks. The right hindlimb of each animal was immobilized in a plaster cast for 2 or 6 weeks with the left hindlimb serving as a matched control (N = 8). Nonimmobilized rats served as additional controls (N = 4). Following 2 or 6 weeks of immobilization, each rat was sacrificed and the lower leg removed at the knee. An electrogoniometer measured the change in dorsiflexion as torque was applied in increasing increments to the ankle. Load-deformation tests were performed to determine: 1) torque to end range of dorsiflexion, 2) joint excursion with application of 3.57 mNm torque for 2.5 seconds, and 3) joint excursion with prolonged application of 3.57 mNm torque. Only the group casted for 6 weeks demonstrated a significant (p < 0.05) decrease in both degrees of dorsiflexion and joint compliance. The group casted for 6 weeks required five times more torque to achieve end range than the other groups and had a 70% decrease in ankle dorsiflexion when a fixed torque of 3.57 mNm was applied. No significant differences were noted among the remaining groups. These findings suggest that in nontraumatically immobilized joints of rats, dense connective tissue remodels in such a way that mobility is unaffected after 2 weeks, but becomes quite limited by 6 weeks.

Animals↗
PubMed1995

A molecular dynamics approach to receptor mapping: application to the 5HT3 and beta 2-adrenergic receptors.

A molecular dynamics-based approach to receptor mapping is proposed, based on the method of Rizzi (Rizzi, J. P.; et al. J. Med. Chem. 1990, 33, 2721). In Rizzi's method, the interaction energy between a series of drug molecules and probe atoms (which mimic functional groups on the receptor, such as hydrogen bond donors) was calculated. These interactions were calculated on a three-dimensional grid within a molecular mechanics parameters, were placed at these minima. The distances between the dummy atom sites were monitored during molecular dynamics simulations and plotted as distance distribution functions. Important distances within the receptor became apparent, as drugs with a common mode of binding share similar peaks in the distance distribution functions. In the case of specific 5HT3 ligands, the important donor--acceptor distance within the receptor has a range of ca. 7.9--8.9 A. In the case of specific beta 2-adrenergic ligands, the important donor--acceptor distances within the receptor lie between ca. 7--9 A and between 8 and 10 A. These distances distribution functions were used to assess three different models of the beta 2-adrenergic G-protein-coupled receptor. The comparison of the distance distribution functions for the simulation with the actual donor--acceptor distances in the receptor models suggested that two of the three receptor models were much more consistent with the receptor-mapping studies. These receptor-mapping studies gave support for the use of rhodopsin, rather than the bacteriorhodopsin template, for modeling G-protein-coupled receptors but also sounded a warning that agreement with binding data from site-directed mutagenesis experiments does not necessarily validate a receptor model.

Adrenergic Agonists↗
PubMed1994

Non-immune hydrops fetalis associated with impaired fetal movement: a case report and review.

Non-immune hydrops fetalis (NIHF) is due to many different causes. Fetal hypomobility has been alluded to as a possible cause. We present a preterm fetus with NIHF secondary to fetal hypomobility. Fetal movements were undetected after the 20th week of gestation. The infant was born 8 weeks later and was edematous, had pleural effusions, and no spontaneous movements. He died on day four of life. Diffuse massive central nervous system (CNS) destruction found on post-mortem examination was thought to be the origin of the hypomobility. As all other causes of NIHF were eliminated, we propose that the NIHF in this infant was due to the hypomobility. This case then gives support to the assertion that fetal hypomobility is another cause of NIHF. The cause of the CNS catastrophy remains unelucidated.

Brain↗
PubMed1994

Electrode potentials for bioreductive agents from neural networks.

The one-electron electrode potentials at pH 7 have been predicted to an average accuracy of about 70 mV for a number of nitrobenzenes, nitrofurans and nitroimidazoles using a neural network. The inputs were the heat of formation and the free energy of hydration of both the nitroarene and its radical anion. The heats of formation were calculated using semiempirical molecular orbital methods; the free energies of hydration were calculated using a modified Born equation with additional semiempirical terms. Since these inputs can be calculated quickly, the neural network promises to be very useful in the design of molecules such as bioreductive agents where the electrode potential is of crucial importance. The success of the neural network in this problem implies that the errors, primarily in the semiempirical heat of formation, are systematic, and offers the hope that these may be corrected in future generations of the semiempirical methods.

Antineoplastic Agents↗
PubMed1991

Anxiety levels in dreams: relation to localized cerebral glucose metabolic rate.

Ten normal male subjects were injected with D-[18F]deoxyglucose during REM sleep, and 32-45 min later they were aroused and reported their dreams as well as free associations to these dreams. Nonparametric correlations between the anxiety scores derived from the typescripts of these verbal reports by the Gottschalk-Gleser content analysis method and localized cerebral glucose metabolic rates obtained from PET scans revealed significant positive correlations in lateral parietal and medial frontal cortex and negative correlations in adjacent white matter.

Anxiety↗
PubMed1991

Positron-emission tomographic studies of the relationship of cerebral glucose metabolism and the magnitude of anxiety and hostility experienced during dreaming and waking.

The authors examined correlations between anxiety and hostility levels experienced during wakefulness, rapid eye movement (REM) dreaming, nonrapid eye movement (NREM) mentation (as assessed by the Gottschalk-Gleser Content Analysis Scales), and cerebral glucose metabolism as measured by positron-emission tomography (PET) in 30 normal volunteers. Different cerebral areas showed significant correlations for anxiety and six anxiety subscales, hostility outward, hostility inward, and ambivalent hostility, as assessed by the patterns of significant positive or negative correlations found with the activation of these emotions. Significant correlations occurred more often in waking and REM dreaming subjects than NREM subjects and were more common in the frontal, parietal, and temporal lobes than in the occipital lobe. Correlations tended to be positive for waking subjects and negative for REM subjects.

Adult↗
PubMed1991

A prototype bioreductive DNA groove binding ligand.

Molecular mechanics calculations have been used to evaluate the potential bioreductive behaviour of several DNA minor groove binding ligands containing quinone/hydroquinone redox systems. The proposed structures are analogues of the Hoechst 33258 molecule with modifications of the benzimidazole rings. Binding energies of simple analogues indicate the reduced forms bind more strongly to the DNA minor groove. N-methylation of the imidazole ring(s) produces structures which can form extended quinone methides. These also show stronger binding in the reduced form and it is speculated that such structures might provide a basis for the design of groove binding ligands which will act as bioreductive alkylating agents.

Base Sequence↗
PubMed1990

Comparison of regional brain metabolism in bulimia nervosa and affective disorder assessed with positron emission tomography.

Women with bulimia often present with symptoms of depression in addition to bingeing and purging behavior. Brain metabolism in eight women with bulimia nervosa was compared to that in eight women with major affective disorder and eight normal women, using positron emission tomography and 18-fluoro-2-deoxyglucose. Normal women have higher right than left cortical metabolic rates and active basal ganglia. Bulimics lost the normal right activation in some areas, but maintained basal ganglia activity. Depressives retained right hemisphere activation, but had decreased metabolism in basal ganglia. This suggests that although women with bulimia frequently present with symptoms of depression, the pathophysiologic changes associated with bulimia differ from major effective disorder.

Adult↗