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At least 253 records · Page 14Linked to original sources

Role of capsaicin-sensitive primary afferent inputs from the masseter muscle in the C1 spinal neurons responding to tooth-pulp stimulation in rats.

The aim of the present study was to demonstrate the convergence of inputs from masseter muscle (MM) and tooth pulp (TP) onto C1 spinal neurons and to determine whether the afferent fibers express the functional vanilloid receptor (VR1). Extracellular single-unit recordings were made from 61 C1 units responding to TP electrical stimulation with a constant temporal relationship to a digastric electromyogram signal in pentobarbital anesthetized rats. Eighty-four percent of C1 neurons responding to TP stimulation also responded to the ipsilateral MM stimulation. Of these neurons, 61% were considered to be afferent inputs from Adelta-fibers and the remaining units (39%) were C-fibers, based on calculation of the nerve conduction velocity. Intramuscular injection of capsaicin (0.05 and 0.1%) produced a reduction in a MM-induced C1 neuronal activity in a dose-dependent manner and this effect was antagonized by pretreatment with an antagonist of VR1, capsazepine. Some of these units were also excited by noxious heat stimulation (> 43 degrees C). The trigeminal root ganglion (TRG) neurons that innervated the MM were retrogradely labeled with Fluorogold (FG) and the small-diameter FG-labeled TRG neurons expressed the immunoreactivity for VR1. After intramuscular mustard oil injection (noxious chemical stimulation), the C1 neuronal activity induced by both touch and pinch stimuli was enhanced and their receptive field sizes were significantly expanded. These changes were reversed within 15-20 min. These results suggest that there may be the convergence of noxious afferents inputs from the MM and TP afferents on the same C1 neurons in rats, and that the afferent fibers expressing the functional VR1 may contribute to the hyperalgesia and/or referred pain associated with temporomandibular joint disorder.

Action Potentials↗

Anterior retropharyngeal fixation C1-2 for stabilization of atlantoaxial instabilities: study of feasibility, technical description and preliminary results.

Posterior transarticular screw fixation C1-2 with the Magerl technique is a challenging procedure for stabilization of atlantoaxial instabilities. Although its high primary stability favoured it to sublaminar wire-based techniques, the close merging of the vertebral artery (VA) and its violation during screw passage inside the axis emphasizes its potential risk. Also, posterior approach to the upper cervical spine produces extensive, as well as traumatic soft-tissue stripping. In comparison, anterior transarticular screw fixation C1-2 is an atraumatic technique, but has been neglected in the literature, even though promising results are published and lectured to date. In 2004, anterior screw fixation C1-2 was introduced in our department for the treatment of atlantoaxial instabilities. As it showed convincing results, its general anatomic feasibility was worked up. The distance between mid-sagittal line of C2 and medial border of the VA groove resembles the most important anatomic landmark in anterior transarticular screw fixation C1-2. Therefore, CT based measurements on 42 healthy specimens without pathology of the cervical spine were performed. Our data are compiled in an extended collection of anatomic landmarks relevant for anterior transarticular screw fixation C1-2. Based on anatomic findings, the technique and its feasibility in daily clinical work is depicted and discussed on our preliminary results in seven patients.

Adolescent↗

Kinematics of the upper cervical spine in rotation: in vivo three-dimensional analysis.

STUDY DESIGN: Kinematics of the upper cervical spine during head rotation were investigated using three-dimensional magnetic resonance imaging (MRI) in healthy volunteers. OBJECTIVES: To demonstrate in vivo intervertebral coupled motions of the upper cervical spine. SUMMARY OF BACKGROUND DATA: Although various in vivo and in vitro studies have identified the normal movement patterns of the upper cervical spine, no previous studies have accurately analyzed in vivo three-dimensional intervertebral motions of the upper cervical spine during head rotation. METHODS: Fifteen healthy volunteers underwent three-dimensional MRI of the upper cervical spine using a 1.0-T imager in progressive 15 degrees steps during head rotation. Segmented three-dimensional MRIs of each vertebra in the neutral position were superimposed over images taken at other positions, using voxel-based registration. Relative motions between occiput (Oc) and atlas (C1) and between C1 and axis (C2) were measured and described with 6 degrees of freedom by rigid body Euler angles and translations. RESULTS: Mean (+/- SD) maximum angles of axial rotation in Oc-C1 and C1-C2 were 1.7 +/- 1.5 degrees and 36.2 +/- 4.5 degrees to each side, respectively. Increases in angle of axial rotation in C1-C2 became smaller with increased head rotation, indicating axial rotation in C1-C2 displayed nonlinear motion. Coupled lateral bending with axial rotation was observed in the direction opposition to that of axial rotation in Oc-C1 (mean, 4.1 +/- 1.4 degrees) and C1-C2 (mean, 3.8 +/- 3.0 degrees). Coupled extension with axial rotation occurred at both C0-C1 (mean, 13.3 +/- 4.9 degrees) and C1-C2 (mean, 6.9 +/- 3.0 degrees). CONCLUSIONS: We developed an innovative in vivo three-dimensional motion analysis system using three-dimensional MRI. In vivo coupled motions of the upper cervical spine investigated using this system supported the results of the previous in vitro study.

Adult↗

[Interactive atlas with magnetic resonance on CD-ROM for Macintosh].

Computer assisted education in radiology has been increasingly used during the past ten years and now complements traditional learning resources. Magnetic Resonance Imaging (MRI) of musculoskeletal anatomy, and particularly of joints, lends itself naturally to learning modules on computer. This paper describes the design, development and use of an interactive computer assisted teaching module of MR joint anatomy on CD-ROM for Macintosh: to date, we have used this atlas for ankle and elbow anatomy. The atlas is divided into three main sections: MR anatomy, traditional anatomy and a quiz. On each MR image, any anatomical detail can be identified clicking on it with the mouse. Buttons allow to visualize cross-reference points and to go directly on the desired image. If the student wants to look at anatomical drawings of the last identified structure, a button retrieves all the cards in the traditional anatomy section containing that structure. Finally, the student can make his own self-assessment, verifying his learning immediately with the exam mode: the software makes a random selection of 10 MR images where an anatomical structure must be indicated: if the answer is wrong, the software gives the right one and shows the misinterpreted structure. Then, the student is given a total score for his performance. The computer assisted teaching modules present some advantages: the images can be viewed in a given sequence (like traditional learning resources) or in any self-paced, customized way; this possibility, together with the friendly interface of Macintosh computers could make learning more active and pleasant.

Anatomy↗

Some specific anatomical features of the atlas and axis: dens, epitransverse process and articular facets.

Metrical and morphological findings, based on 107 human vertebral columns, related to the variations of the dens are given, and differences in the depth of the superior articular facets of the atlas and specific pertinent details related to the os odontoideum and epitransverse process are also provided and their possible clinical relevance indicated. Findings reveal considerable variation in the height of the dens (11 to 18 mm), but remarkably little in its anteroposterior and transverse diameters at the root. The use of the term "hypoplasia" with reference to the dens is discussed, and a need for more rigid criterian in the use of this term stressed. It is also suggested that there may be sufficient radiological evidence in a lateral radiography to lead one to suspect the presence of an os odontoideum or a separate dens caused by trauma in the distant past.

Adult↗

Postmortem cryosectioning as an anatomic reference for human brain mapping.

This study examined the densitometric and topographic detail of high resolution 3D digital postmortem cryosectioned brain images. Anatomic image data and histology from cryosectioned human brain were compared to in vivo MRI for the ability to delineate neuroanatomic structure. 3D surface reconstructions in the Talairach and Tournoux atlas ("Co-planar stereotaxic atlas of the human brain", Thieme, New York, 1988) coordinate system enabled morphometric comparisons for a representative sample of neuroanatomic structures. Spatial resolution of cryosection images averaged 200 and 170 microns/pixel for whole head and brain, respectively, and 40 microns/pixel for isolated the brain regions. Anatomic detail was far superior to MRI, particularly in deep subcortical regions such as the basal ganglia and in mesencephalic nuclei and tracts. Digital repositioning in the Talairach coordinate system enabled efficient structure localization and morphometric comparison. Histology from collected tissue sections provided cytologic detail that could be mapped to its approximate 3D context. This approach permits comprehensive morphometric analyses necessary for an anatomic framework to a digital atlas of the human brain.

Aged↗

Computational biology for visualization of brain structure.

The complexity and variability of human brain (as well as other species) across subjects is so great that reliance on maps and atlases is essential to effectively manipulate, analyze and interpret brain data. Central to these tasks is the construction of averages, templates and models to describe how the brain and its component parts are organized. Design of appropriate reference systems and visualization strategies for human brain data presents considerable challenges, since these systems must capture how brain structure and function vary in large populations, across age and gender, in different disease states, across imaging modalities and even across species. This paper will describe the application of brain maps to a variety of questions and problems in health and disease. It includes a brief survey of different types of maps, including those that capture dynamic patterns of brain change over time.

Algorithms↗

Analysis of the results of a proficiency test in screening mammography at the CSPO of Florence: review of 705 tests.

PURPOSE: The aim of this study was to evaluate the performance of a sample of Italian radiologists undergoing a proficiency test of screening mammography. MATERIALS AND METHODS: We retrospectively analysed the results of 705 tests (537 first tests, 168 repeat tests) taken during 1997-2005 by 537 Italian radiologists. The test, consisting of 17 screen-detected cancer cases and 133 negative controls, was validated by a panel of expert readers defining a minimum standard as to sensitivity for cancer and recall rate of negative controls. Success rates were assessed as a function of previous experience in mammography (years of experience, total mammograms read, mammograms read in the last year). RESULTS: A total of 176 radiologists successfully passed the test at their first attempt (32.7%). Success correlated with experience, measured in terms of years of experience (5-year cutoff: chi(2) for trend=4.17, p=0.04), total mammograms read (chi(2) for trend =11.8, p=0.002) or mammograms read in the last year (chi(2) for trend=6.27, p=0.04). Training improves performance at repeat testing: after a first negative attempt, a second attempt was successful in 50.6% of cases (74/146) and a third in 68.1% (15/22). CONCLUSIONS: A substantial proportion of Italian radiologists taking the test showed limited proficiency in screening mammography. This finding is consistent with several reports of poor performance of service screening compared with reference standards. As expected, test performance is associated with experience, suggesting that the current policy of employing non-dedicated, untrained, general radiologists in screening should be reconsidered. Test performance improves with training (courses, consultation of teaching atlases). Several screening programmes in Italy have been implemented without prior adequate radiologist training. Radiologist training needs to be considered a priority, at least in those screening programmes that are still to be implemented in one third of the country.

Aged↗

New approaches in brain morphometry.

The complexity and variability of the human brain across subjects is so great that reliance on maps and atlases is essential to effectively manipulate, analyze, and interpret brain data. Central to these tasks is the construction of averages, templates, and models to describe how the brain and its component parts are organized. Design of appropriate reference systems for human brain data presents considerable challenges because these systems must capture how brain structure and function vary in large populations, across age and gender, in different disease states, across imaging modalities, and even across species. The authors introduce the topic of brain maps as applied to a variety of questions and problems in health and disease and include a brief survey of the types of maps relevant to mental disorders, including maps that capture dynamic patterns of brain change in dementia.

Brain↗

Atlas of pesticide concentrations in Dutch surface waters: a pilot study.

A pilot study was conducted to explore the potential for geographically mapping concentrations of individual pesticides in Dutch surface waters and compiling these maps into a National Pesticide Atlas. This atlas could be used for various purposes: 1) To see where specific pesticides are monitored, observed and find out whether these are problematical. 2) To explore the relationship between environmental pesticide levels and land use, using the results as feedback to improve national pesticide admission procedures (post-registration review) 3) To review the quality of the present Dutch pesticide monitoring system. For the study we used measured data for the years 1997 and 1998, preparing maps for six illustrative pesticides. The data are presented on a grid scale of 5x5 km2. Pesticide concentrations are compared with three standards: the EU drinking water standard, the maximum tolerable risk (MTR) level and the admission standard set by the Dutch Pesticide Admission Board (CTB). The results show that all these pesticides can be satisfactorily mapped at the national level and that for most of the compounds investigated a useful relationship can be established between environmental concentration and land use. The maps also serve to show up gaps in the present pesticide monitoring system. The study yielded several new insights, among them that standards were found to be exceeded in areas and at times of the year not anticipated on the basis of land use and pesticide use statistics. As a follow-up to this pilot study a new project has been started to develop an internet version of the pesticide atlas for all measured pesticides in The Netherlands.

Environmental Monitoring↗

A cytoarchitectonic atlas of the mouse hypothalamus.

A description of the organization, areas, and cell groups within the hypothalamus of the mouse is presented in detail. Photomicrographs of cell-stained serial sections through the hypothalamus in frontal, sagittal and horizontal planes are included. The hypothalamus has been divided basically into medial and lateral parts with most well-defined cell groups or nuclei lying within the medial subdivision and surrounded by diffuse collections of cells referred to as areas. The heterogenetiy of cell types within most hypothalamic nuclei and areas has been emphasized with the consequent implications for heterogeneity of neuronal connections and of functions. Recently introduced neuroanatomical techniques permitting increased attention to the cellular level of organization have demonstrated precise connections and functional localization of cells within the hypothalamus. While cytoarchitectonic distinctions imply functional distinctions, morphological and experimental evidence suggest the existence also of systems of cells which transcend conventional cytoarchitectonic boundaries, the cells within each system being interconnected functionally or neuronally.

Animals↗

Differentiating contact lens induced warpage from true keratoconus using corneal topography.

PURPOSE: Superior corneal flattening associated with inferior corneal steepening is a videokeratoscopic topography pattern that usually describes both keratoconus and contact lens induced warpage. To differentiate these two conditions topographically, we analyzed ten different corneal topographic shape variables and found that two distinct conditions were described. Three unique measurements of corneal geometry: shape factor (SF), irregularity (CIM), and apical toricity (TKM) were analyzed and evaluated as an additional method for differentiating these two conditions. METHODS: A retrospective series of 100 eyes with a medical diagnosis of either contact lens induced warpage or true keratoconus were mapped using the Humphrey Atlas Corneal Topographer (San Leandro, CA) and their individual topographic indices were analyzed in an attempt differentiate the two conditions with videokeratoscopy. Variables included Flat Keratometry Reading, Maximum Axial Curvature, Maximum Tangential Curvature, Corneal Astigmatism, Corneal Shape Factor, Reference Sphere, Corneal Irregularity Measure (CIM), Maximum Elevation, and Mean Reference Toric K (TKM). All patients wore rigid gas permeable contact lenses. RESULTS: True keratoconic eyes had steeperflat K readings (46.9+/-3.7 D vs. 43.04+/-1.18 D; P<6.3E-13) with greater variations in maximum axial curvature (54.1+/-4.76 D vs. 43.6+/-1.5 D; P<2.4E-15) and maximum tangential curvature (55.1 7+/-4.56 D vs. 47.7+/-1.5 D; P<5.4E-16) than did eyes with contact lens induced warpage. The amount of corneal toricity (-3.43+/-2.29 D vs. -1.33+/-0.88 D; P<1.5E-07) was also greater for true keratoconus. True keratoconic eyes had larger and more variable shape factors (0.61+/-0.26 vs. 0.02+/-0.13; P<2.5E-19) and CIM's (2.30+/-1.16 vs. 1.03+/-0.37; P<7.5E-10) than those with contact lens induced warpage. Steeper reference spheres (47.58+/-3.55 D vs. 43.6+/-0.37 D; P<2.2E-10), greater maximum elevation over their respective reference spheres (15.51+/-9.91 microns vs. 6.2+/-3.0 microns; P<8.1E-08) and steeper, more variable toric mean reference spheres (51.88+/-4.01 D vs. 43.82+/-1.82 D; P<3.9E-17) are also present in true keratocon us. True keratoconic eyes can be separated from contact lens induced warpage eyes with a sensitivity of 98%, while identification of contact lens induced warpage demonstrates 94% specificity using corneal topography. CONCLUSIONS: While contact lens induced warpage and true keratoconus exhibit similar corneal topography patterns (superior flattening and inferior steepening), they demonstrate two uniquely different geometric shapes that can be readily differentiated using the various corneal shape indices of videokeratoscopy with a high degree of accuracy and specificity.

Contact Lenses↗

Regional and global changes in cerebral diffusion with normal aging.

BACKGROUND AND PURPOSE: We used quantitative diffusion MR imaging to investigate the microstructural changes that occur in white matter during normal aging in order to identify regional changes in anisotropy and to quantify global microstructural changes by use of whole-brain diffusion histograms. METHODS: Full diffusion tensor MR imaging was performed in 20 healthy volunteers, 20 to 91 years old. Thirteen subjects also underwent high-resolution T1-weighted imaging, so that diffusion images could be coregistered and standardized to normal coordinates for statistical probability mapping. Relative anisotropy (RA) was calculated, as was linear regression of RA with age for each pixel; pixels with a significant correlation coefficient were displayed. For histographic analysis, the average apparent diffusion coefficient (ADC) histograms were calculated on a pixel-by-pixel basis. Subjects were divided into two equal groups by the median age (55 years) of the population and plotted for statistical comparison. RESULTS: Regional analysis showed statistically significant decreases in RA with increasing age in the periventricular white matter, frontal white matter, and genu and splenium of the corpus callosum, despite the absence of signal abnormalities on visual inspection of conventional images. Significant increases in RA were found in the internal capsules bilaterally. ADC histograms showed higher mean ADC and reduced peak height and skew in the older age group on group comparisons. CONCLUSION: Quantitative diffusion histograms correlate with normal aging and may provide a global assessment of normal age-related changes and serve as a standard for comparison with neurodegenerative diseases.

Adult↗

AChE-stained horizontal sections of the rat brain in stereotaxic coordinates.

This paper presents an atlas of the rat brain based on horizontal sections stained for acetylcholinesterase (AChE). Fourteen labeled photographs from sections at 0.5 mm intervals are presented. The atlas is intended for use with male rats 250-300 g in weight. It was constructed using the flat-skull position (lambda and bregma in same horizontal plane). Either the interaural midline or bregma can serve as the reference zero point. We have found the stain for AChE to be a useful general purpose stain for identifying brain nuclei and tracts.

Acetylcholinesterase↗

Comparison of [11C]flumazenil and [18F]FDG as PET markers of epileptic foci.

Recent PET results indicate that the benzodiazepine (BZ) receptor density measured with the BZ receptor antagonist [11C]flumazenil is reduced in human epileptic foci. The present study examines the applicability of this finding in the presurgical investigation of patients with intractable partial epilepsy. In eight patients, the PET measurements were performed after injection of the BZ receptor antagonist [11C]flumazenil and [2-18F]2-deoxy-2-fluoro-D-glucose ([18F]FDG)--a tracer for measurements of the rate of regional glucose metabolism. The focus localising ability of the two PET tracers was examined using extra--and intracranial EEG recordings as reference. The focus was first determined visually on the PET images obtained after a bolus injection of each of the PET tracers. Its anatomical localisation and spatial delimitation was then evaluated for each patient with a computerised anatomical brain atlas. [11C]flumazenil was found to be a more sensitive and accurate focus localiser than [18F]FDG. This observation was valid both for quantified and non-quantified images. In the preoperative diagnosis of epileptic foci, the PET measurements of BZ receptors may be a suitable and, in some cases, superior method to the generally used "[18F]FDG-PET" method.

Adult↗

A map of the major nuclei of the fetal sheep brainstem.

The fetal sheep has been used to investigate a wide range of developmental and pathological processes such as the effect of severe hypoxia, asphyxia, or intrauterine infection on the brain but, until now, there has been no complete description of the normal anatomical organisation of neuronal groups to facilitate interpretation of these studies. In this paper, we describe the major nuclei of the fetal sheep brainstem based on a study of 5 fetal sheep at 140 days of gestation (G140: term is G147). Nuclei were identified with the aid of brain atlases available for other species, and from the previously published, partial descriptions available for the sheep. Fifty-five distinct nuclei were identified after Nissl (thionin) staining, and their caudal and rostral margins were defined. This paper provides an easy reference to the position of the major nuclei within the fetal sheep brainstem, and can be used as a guide for future studies examining the organisation of neuronal populations under normal and pathological conditions in this animal model.

Animals↗

CoxFormer enables spatial omics inference with multimodal generative modeling.

Gene co-expression maps transcriptome-wide gene-gene relationships, yet high-quality estimates cover less than half the genome. Meanwhile, spatial omics either profiles restricted in situ panels or lacks cellular resolution. Extending co-expression transcriptome-wide could overcome these limitations by inferring unassayed gene expression at subcellular resolution. Here we show that CoxFormer integrates literature-derived gene knowledge with co-expression networks from bulk tissues and large-scale single-cell atlases to learn 512-dimensional representations for 32,016 human genes. These embeddings capture functional gene relationships and serve as a generative prior for spatial inference across platforms and modalities. Without requiring a matched single-cell RNA-sequencing reference, CoxFormer supports four applications beyond measured genes: histology-based expression imputation, gene activity prediction from chromatin accessibility, subcellular super-resolution inference, and pathological region detection. Together, CoxFormer extends gene embedding from gene- and cell-level tasks to whole-transcriptome spatial inference, providing a unified framework for biological analysis beyond the limited gene coverage of current spatial omics technologies.

Humans↗

Interactive volume visualization using "intelligent movies".

High quality visualization of medical volume models as performed by the VOXEL-MAN and similar systems is still too time consuming and the interaction complicated when sophisticated tools like dissection are used. We hence developed a new paradigm allowing to create simpler derivatives of the model, called "intelligent movies". These are in QuickTime or QuickTime VR format which allow interactive exploration with two degrees of freedom. As a decisive novelty, we extended it by a pixelwise link to the knowledge base which may be queried in the image context. Thus scenes emphasizing a selected aspect of the volume model may be created as intelligent movies, which a user (referring physician, student) can explore largely with the functionality of VOXEL-MAN, but in real time--on any standard PC--and also via a JAVA applet within web browsers. This is shown with the example of 3D interactive anatomical atlases and clinical cases.

Anatomy, Cross-Sectional↗