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Biomedical subjects

J E Barnes

Publications and source records attributed to J E Barnes.

At least 19 recordsLinked to original sources

Developmental expression of hexokinase 1 and 3 in rats.

Mammalian hexokinase types one and three (HK1 and HK3) are 100 kDa isozymes that phosphorylate glucose to glucose-6-phosphate. HK1 is present in most tissues but is especially prominent in brain and kidney. HK3 is less well studied, but may be most prominent in the spleen and lymphocytes. In this study, we determined the ontogeny of the expression of these isoforms in the rat. Using immunohistochemistry, we identified HK1 and HK3 immunoreactivity in the brain, heart, kidney, liver, skeletal muscle and spleen from gestational day 14 (E14) to 45 days after birth (P45). With the exception of the liver and spleen, we observed a similar age- and cell-dependent staining pattern for both isoforms in all organs studied. The brain and spleen were analyzed in more detail to identify specific regions of immunoreactivity during maturation. A transient expression of HK1 and HK3 was noted in the cell bodies of mature neurons, including layers V and VI of the cerebral cortex and the cerebellar Purkinje cells followed by localization to the white matter of the cerebrum and cerebellum. In the spleen, HK3 immunoreactivity was detected postnatally and appeared to track with the infiltration of B cells. Our demonstration of changing patterns of immunoreactivity for HK1 and HK3 in fetal and postnatal organs suggests that these HK isoforms are involved the process of development. We speculate that HK1 and HK3 share a complex interaction during development of these organs and regulate glucose metabolism at multiple levels during development.

Animals↗

Characteristics and control of contrast in CT.

Understanding how contrast is produced and controlled in computed tomography (CT) is essential to proper application of this modality. In the typical CT scanner, a narrow x-ray beam in the section thickness direction and an air gap in the section plane are used to reduce scatter and improve contrast. High- and low-contrast detectability of a CT scanner are important performance parameters contributing to optimal image quality. The limits of detectability of high-contrast objects (ie, spatial resolution) are affected by detector aperture size, pixel size of the image, algorithm used to reconstruct the image, and section thickness. Visibility of low-contrast objects is limited by image noise and the algorithm. Contrast in CT images can be controlled by the window level and window width settings used to display the image. These settings dictate how the actual measurements of tissue attenuation are translated into a gray-scale image. Wide window widths can be used to provide an accurate representation of bone, and narrow widths are more useful for visualizing soft tissues.

Contrast Media↗

Stable xenon CT blood flow mapping for evaluation of patients with extracranial-intracranial bypass surgery.

Xenon computerized tomography (Xe CT) blood flow studies were conducted in 25 patients referred for a possible extracranial-intracranial bypass procedure for occlusive vascular disease in one or more extra- or intracranial vessels. These studies were helpful in selecting eight candidates for surgery. The Xe CT studies were performed at one or two brain levels using a prototype Xe CT system for measurement of cerebral blood flow which was designed in collaboration with the General Electric Co., and adapted for the GE 9800 scanner. In those patients selected to undergo operation, Xe CT demonstrated compromise of flow reserve regionally, globally, and/or in the watershed area. All eight patients who underwent the procedure showed a favorable clinical response postoperatively, and seven had a dramatic increase in flow. The 17 patients whose baseline CT studies showed no reduction of flow with the Xe CT method were not selected for surgery. All 25 patients have remained neurologically stable to date. Case studies of three of the eight patients undergoing bypass surgery are presented. This limited but consistent experience suggests that Xe CT blood flow mapping makes possible the recognition of brain regions in which flow reserves are compromised. This is due to the relatively high degree of spatial resolution that this technique provides and to the fact that mapping can be correlated directly with the anatomy. Used in combination with a careful clinical examination and an accurate medical history, this study method appears to be a useful guide in the selection of patients who are most at risk from hemodynamic instability and those who are most likely to benefit from flow-augmentation surgery.

Aged↗

Accurate CT measurement of the spinal cord using metrizamide: physical factors.

Computed tomography (CT) using metrizamide is a valuable tool in the neuroradiologic evaluation of the spinal cord, but CT must be used with care when measuring object size because size may vary with different window center (level) settings. A simple method to determine appropriate window center (level) settings during CT object measurement is described. A polystyrene core with a Teflon outer cylinder designed to simulate the spinal column, spinal cord, and subarachnoid space was scanned with varying concentrations of metrizamide with an EMI 1010 unit. Computer printouts of the CT pixel matrix were analyzed and a constant relationship of the phantom cord true size to the CT numbers of the metrizamide concentration and the phantom spinal cord was found. Window center (level) selection greatly influences measurement of cord size, whereas window width dose not. The appropriate window center (level) selection is the mean between the metrizamide CT attenuation number and the cord CT attenuation number.

Evaluation Studies as Topic↗

Optimization of xeroradiographic exposures.

Xeroradiographs were exposed over a range of mAs and kVp in the mammographic energy range. At each kVp, the technique yielding the widest halo also produced the greatest detectability of small aluminum specks in mammographic phantoms. As the kVp increased, the maximum halo width and number of visible specks decreased. At all kVps, the techniques yielding the widest halo furnished almost constant energy deposition in the selenium plate. This constant plate dose was correlated to patient exposure at the entrance of the breast, and the relationships between patient entrance exposure, kVp, and minumum detectable speck size were determined.

Female↗

Initial comparative response to peak pions and x-rays of normal skin and underlying tissue surrounding superficial metastatic nodules.

Given the limitations of available material and methods for measuring skin response, the relative biological effectivenss (RBE) for the development and healing of skin reaction to pions in this experiment is 1.43. This is based on data obtained from a patient with malignant melanoma, in whom multiple skin nodules and the surrounding normal skin were randomized into three dose levels for pions and x-rays. The RBE for skin reaction was obtained while the skin tumor nodules appeared to regress at least as rapidly with pion therapy as with x-rays. Without benefit of adequate observation of time required for nodule regrowth, any estimate of tumor RBE is speculative.

Dose-Response Relationship, Radiation↗