Search PubMed⌕ Search

Biomedical subjects

P Laugier

Publications and source records attributed to P Laugier.

At least 73 records · Page 4Linked to original sources

Detection of Duchenne muscular dystrophy carriers: quantitative echography and creatine kinasemia.

Data obtained from simultaneous determinations of serum creatine-kinase levels and estimation of ultrasound attenuation values in muscles greatly improved the detection of obligate carriers of Duchenne muscular dystrophy than when only one of these methods was employed alone. Eleven carriers out of 19 had a high creatine-kinasemia level and nine carriers out of 19 had a high (abnormal) attenuation value. Because of the limited overlapping between the two parameters studied, we were able to recognize 17 obligate carriers out of the 19. This indicates that the parameters studied concern different features of the disease, and the practical and theoretical considerations are discussed. The techniques are discussed together with molecular genetic investigations.

Adult↗

Optimal precision in ultrasound attenuation estimation and application to the detection of Duchenne muscular dystrophy carriers.

This paper deals with the measurement of the attenuation of ultrasound in muscle and its application to the detection of Duchenne Muscular Dystrophy (DMD) carriers. The precision obtained when measuring the attenuation is an important parameter to be considered. A statistical approach is taken on simulated data and compared to in vivo results. The results allow discussion for the minimum tissue volume needed for the estimation. Variations in muscle attenuation between normals were obtained from studies on 27 volunteers. These attenuation values were compared to those obtained from 19 carriers of DMD. Attenuation appears to be a potential clinical indicator of DMD carriers.

Biometry↗

Diffraction correction for focused transducers in attenuation measurements in vivo.

Diffraction effects are a cause of error when estimating the frequency dependent attenuation of ultrasound in biological tissues in the reflection mode. Comparison of attenuation values estimated in vivo by different investigators using different types of transducers makes calibration and correction for diffraction necessary. In this paper, we present experimental results for in vivo calibration and correction for the diffraction effect for focused transducers. We also study numerically the diffraction filter in a time-frequency representation, and show that for a focused probe, there is a region in the time-frequency domain where the frequency slope of the diffraction filter does not vary with time. The main consequence for in vivo estimation is that for a given probe, it is possible to select both the distance between the region of interest and the probe, and the frequency limits, such that the attenuation thus estimated is unbiased by the diffraction effect. This result, obtained by numerical calculations, is confirmed by experimental calibration of a foam phantom and in vivo muscle.

Acoustics↗

[Female transmitters of Duchenne's myopathy: detection by quantitative ultrasonography combined with blood creatine kinase].

Duchenne muscular dystrophy (DMD) is a disease inherited in an X-linked recessive manner. Nothing is yet known about the gene defect involved. The problem of DMD carrier detection is very important and now without satisfactory solution. Presently the best method, for this detection, is the determination of the serum creatine-kinase (CK) level. However about 30% of DMD children's mothers have normal CK levels. In this study we associated CK determination and a new echographic method. This physical investigation is based on the muscle attenuation measurements through the evolution of the running spectral moments. The parameter expressed is the slope of the ultrasound attenuation signal (in decibels by centimetre and by megahertz; dB . cm-1 . MHz-1). We measured this parameter in vivo on the vastus medialis. The use of the chemical technique and of the physical one improves largely the detection of obligate carriers of Duchenne muscular dystrophy than when one of these methods is employed alone. One such combination recognizes 17 out of the 19 obligate carriers in our series. The difference of the results obtained by these two unrelated methods cannot be yet interpreted, but can reflect genetic heterogeneity in DMD and the inactivation of the X chromosomes.

Creatine Kinase↗

Melanonychia induced by topical 5-fluorouracil.

Melanonychia was induced by the topical application of 5-fluorouracil in the treatment of periungual warts affecting two fingers. The pigmentation, involving the lunula of the nails of all fingers, was identical to that induced by systemically administered cytotoxic drugs.

Aged↗

Specular reflector noise: effect and correction for in vivo attenuation estimation.

After reviewing the usual models proposed for the echographic response of soft tissues, we discuss the interaction between the ultrasonic wave and large size obstacles. Structures of this size, specular reflectors, can be found in tissues. The influence of such reflectors on in vivo attenuation measurements is detailed. We point out the importance of the specular echo noise originating from two kinds of reflectors: plane-like and vessel-like reflectors. We present a complete study of their influence on two different algorithms for attenuation estimates: the spectral centroid shift and the narrow band methods. Results are presented on stimulated data, a tissue-mimicking phantom and in vivo muscle data. Different procedures for minimizing the specular echo noise are also discussed.

Humans↗

[Transepidermal elimination].

Transepidermal elimination from dermal material, fibres, cells, deposits, is an essential phänomenon of the skin. It may be missed, however, if not specially looked for in serial sections.

Chordoma↗

[Phthiriasis].

Explore the source record for details and available documents.

Adolescent↗

Senile venous lakes.

Explore the source record for details and available documents.

Diagnosis, Differential↗