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Neuronal responses in extrastriate cortex to objects in optic flow fields.

During locomotion, observers respond to objects in the environment that may represent obstacles to avoid or landmarks for navigation. Although much is known about how visual cortical neurons respond to stimulus objects moving against a blank background, nothing is known about their responses when objects are embedded in optic flow fields (the patterns of motion seen during locomotion). We recorded from cells in the lateral suprasylvian visual area (LS) of the cat, an area probably analogous to area MT. In our first experiments, optic flow simulations mimicked the view of a cat trotting across a plain covered with small balls; a black bar lying on the balls served as a target object. In subsequent experiments, optic flow simulations were composed of natural elements, with target objects representing bushes, rocks, and variants of these. Cells did not respond to the target bar in the presence of optic flow backgrounds, although they did respond to it in the absence of a background. However, 273/423 cells responded to at least one of the taller, naturalistic objects embedded in optic flow simulations. These responses might represent a form of image segmentation, in that cells detected objects against a complex background. Surprisingly, the responsiveness of cells to objects in optic flow fields was not correlated with preferred direction as measured with a moving bar or whole-field texture. Because the direction of object motion was determined solely by receptive-field location, it often differed considerably from a cell's preferred direction. About a quarter of the cells responded well to objects in optic flow movies but more weakly or not at all to bars moving in the same direction as the object, suggesting that the optic flow background modified or suppressed direction selectivity.

Animals↗

HPV DNA in plasma of patients with cervical carcinoma.

BACKGROUND: HPV DNA has been detected in metastatic tumour and HPV plasma viraemia may indicate a poor prognosis and a high risk for metastasis. OBJECTIVE: Detection of HPV DNA in plasma of patients with cervical carcinoma. STUDY DESIGN: A cross-sectional study was done, wherein cervical biopsies and plasma samples were collected from 58 women with invasive cervical carcinoma, 10 women with cervical intraepithelial neoplasia (CIN) and 30 control women in the same age range. Polymerase chain reaction (PCR) was employed to detect the presence of HPV DNA. Samples positive for HPV DNA were typed by restriction fragment length polymorphism (RFLP). To confirm that the HPV sequence in plasma was identical to that in tissue, sequencing was done on all the paired plasma and tissue samples. RESULTS: All the 30 paired cervical tissue and plasma samples from the controls were negative for HPV DNA. HPV DNA was detectable in cervical tissues of 55 (94.8%) of 58 patients with invasive cervical carcinoma and in all 10 patients (100%) with CIN and in eight (11.8%) of the total 68 plasma samples from patients. All eight plasma samples were from women with invasive cervical carcinoma with three each in stages IIIB and IV and one each in stages IIB and IB, respectively. Of the eight positive samples, seven were typed as HPV-16 and 1 as HPV-58. HPV types detected in cervical tissue and plasma pairs from these eight patients correlated as revealed by RFLP and sequencing. A patient with stage IB cancer had detectable HPV DNA in the external iliac lymph node, removed at Wertheims hysterectomy, which was histopathologically free of tumour. The HPV type in the node, was the same as that present in the paired tissue and plasma sample. CONCLUSIONS: HPV DNA is detectable in the plasma of patients with advanced cervical cancer.

Adult↗

Detection of 'rare event' fetal erythroblasts in maternal blood using automated microscopy.

This paper describes the use of automated microscopy to detect fetal erythroblasts in maternal blood. The technology is based on the following approach: (1) the use of centrifugal cytology for the preparation of monolayers; (2) simultaneous staining of fetal hemoglobin (immunoalkaline phosphatase) and chromosome sequences (FISH); (3) multi-mode microscopy to detect rare events; (4) visual evaluation of image memories containing detected objects. Model systems show that fetal cells in frequencies as low as 1 in a million cells can be detected easily (manually or by automated microscopy). Algorithms for automated cell selection were developed for a test set of 6 patients. Optimization of hardware and software routines will make analysis of several million cells in approximately 1 h feasible.

Autoanalysis↗

Detection of ischemia and new insight into left ventricular physiology by strain Doppler and tissue velocity imaging: assessment during coronary bypass operation of the beating heart.

BACKGROUND AND OBJECTIVES: Detection of myocardial ischemia in humans by strain Doppler and tissue velocity imaging was validated in a novel, experimentally designed study model during coronary bypass operation of the beating heart. METHODS: Assessment of ischemia was made with an opened chest and pericardium inherent in the operative procedure. Longitudinal strain and tissue velocity of interventricular septal regions were measured by transesophageal echocardiography during occlusion of the left anterior descending coronary artery (LAD). RESULTS: Unexpectedly, baseline velocities demonstrated that the apical and basal septum moved toward each other during systole. This occurred when the apex was dislodged from the pericardial sac to obtain access to the LAD, without any change in strain. The preceding motion of all septal regions toward the apex was reestablished after the heart was repositioned within the pericardium. In 16 patients with antegrade LAD flow, strain Doppler detected ischemia during LAD occlusion by disclosing systolic lengthening of the apical septum ( P <.01) and reduced shortening of the mid septum ( P <.05). The location and degree of ischemic changes coincided with the concomitant deterioration of wall motion. Tissue velocity changed in the basal and mid septum ( P <.05) but not in the apical region, explained by tethering effects and the distinctive motion pattern at baseline. There was no evidence of ischemia by invasive hemodynamic measures. In 7 patients with retrograde LAD flow, there were no significant changes in strain or tissue velocity measurements during LAD occlusion. CONCLUSIONS: Strain by Doppler is a sensitive means for detecting myocardial ischemia, also capable of correctly localizing the ischemia, as opposed to tissue velocity assessment. However, velocity measurements provided new physiological information by disclosing the normal longitudinal motion of the heart to be dependent on the pericardial sac enveloping the apex, irrespective of the structural integrity of the pericardium.

Aged↗

Combined detection of CEA, CK-19 and c-met mRNAs in peripheral blood: a highly sensitive panel for potential molecular diagnosis of non-small cell lung cancer.

OBJECTIVE: Detection of tumor-related mRNA in blood has become a potential cancer diagnostic approach. However, the sensitivity of single-marker assays is not high enough for clinical applications. The present study was aimed to evaluate the efficacy of a multimarker panel for molecular diagnosis of non-small cell lung cancer (NSCLC). METHODS: Carcinoembryonic antigen (CEA), cytokeratin 19 (CK-19), c-met and heterogeneous nuclear ribonucleoprotein (hnRNP) B1 mRNAs were quantified by quantitative real-time reverse transcriptase polymerase chain reaction in 34 tumor tissues and 69 peripheral blood samples of NSCLC patients. RESULTS: All four markers displayed high overexpression rates (range 82.3-97.1%) in NSCLC tumors. When used as single markers in blood for NSCLC diagnosis, CEA, CK-19, c-met and hnRNP B1 could only reach sensitivities of 52.2, 50.7, 42 and 17.4%, respectively. However, the sensitivity was enhanced up to 85.5% when CEA, CK-19 and c-met were combined in a 3-marker panel. Moreover, the expression of c-met and hnRNP B1 in blood was significantly correlated with patients' pathological stages. CONCLUSIONS: The combined detection of CEA, CK-19 and c-met mRNAs in blood provided a valuable tool for molecular diagnosis of NSCLC. In addition, our results also suggested that hnRNP B1 was not a valuable diagnostic marker but a potential prognostic marker for NSCLC.

Actins↗

[Neurologic examinations for facial nerve damage in surgically treated mandibular collum fractures].

Transcranial magnetic stimulation is a new method for objective evaluation of the facial nerve without constraints for the patient. By the first time, especially cortical lesions can be detected objectively. Using this method, a permanent disturbance of the ramus marginalis mandibularis after operative treatment of fractures of the mandibular condyle could be certainly excluded. Therefore, because of the clear presentation and the possibility of enlargement, the deep submandibular approach, using a correct operative technique, can be strictly recommended.

Electromagnetic Fields↗

Outbreak of multiple drug-resistant tuberculosis in Lisbon: detection by restriction fragment length polymorphism analysis.

SETTING: Multidrug-resistant tuberculosis (MDR-TB) mainly among human immunodeficiency virus (HIV) seropositive patients in Lisbon hospitals in 1996-1997. OBJECTIVE: Detection of transmission of MDR-TB strains and epidemic outbreaks in several hospital units in the city of Lisbon, including a prison hospital. DESIGN: Use of restriction fragment length polymorphism (RFLP) to fingerprint isolates of Mycobacterium tuberculosis resistant to isoniazid, rifampicin, and one other drug. RESULTS: A total of 43 MDR-TB strains were typed. Sixty-seven per cent of the patients were HIV positive, 12% were HIV negative, and the remainder had unknown HIV status. About 88% of the isolates were grouped in three genetically similar clusters, suggesting possible recent transmission. A predominant cluster (cluster A), corresponding to 72% of the cases, was found, 45% of which came from the prison hospital. Strains from this cluster were resistant to isoniazid, rifampicin, streptomycin, and sometimes ethambutol. A retrospective epidemiological investigation was conducted with respect to all patients in cluster A, and epidemiological links were established between them. CONCLUSION: Our results suggest recent transmission of MDR-TB, mainly in HIV-positive patients, in Lisbon hospitals. Moreover, the predominant MDR-TB clustered strains were not confined to HIV-infected individuals, as they were also isolated in some immunocompetent patients.

Cluster Analysis↗

Needle core length in sextant biopsy influences prostate cancer detection rate.

OBJECTIVES: Prostate cancer detection in biopsies increases with the number of sites and total tissue sampled. Its dependence on needle core fragment length is uncertain. METHODS: We surveyed two consecutive series of sextant needle biopsies from two practices in 1998 to 2000: 251 patients from Pennsylvania (group P) and 1596 from Virginia (group V). We tabulated the gross needle core lengths per sextant site and classified the diagnoses as benign or into four nonbenign categories: high-grade prostatic intraepithelial neoplasia; atypical small acinar proliferation, suspicious; atypical small acinar proliferation, suspicious plus high-grade prostatic intraepithelial neoplasia; and cancer. Logistic regression analysis was used to correlate cancer or a nonbenign diagnosis with the total length (sum of six sites) and, after excluding the sites with more than one core, with the length per single core, and the anatomic site of origin (apex, mid-gland, base). RESULTS: The mean total tissue length sampled was 108 +/- 27 mm (range 30 to 275) in group P and 81 +/- 22 mm (range 30 to 228) in group V. Sextant sites with a single core contained a mean of 12.8 +/- 3.5 mm tissue, with a 3.6-fold variation among the middle 95%. Group V core lengths at the apex averaged 11.8 mm, shorter (P = 0.0001) than mid (13.3 mm) or base (12.7 mm). A predictive value of longer length for a nonbenign diagnosis was noted in four of six sextants (P <0.04), with trend strongest at the apex, for which detection was influenced by abnormal digital rectal examination (P = 0.02) or ultrasound (P = 0.04) findings. CONCLUSIONS: The length of single cores sampled by sextant biopsy can vary more than 3.6-fold and represents a quality assurance consideration. The effect of length on cancer or nonbenign detection was maximal at the prostatic apex where the cores were shortest.

Biopsy, Needle↗

Ultrasound-stimulated vibro-acoustic spectrography.

An ultrasound method based on radiation force is presented for imaging the acoustic response of a material to mechanical excitation. Acoustic energy was emitted from solids and tissues in response to an oscillatory radiation force produced by interfering focused beams of ultrasound. Frequency spectra of ultrasound-stimulated acoustic emission exhibited object resonances. Raster-scanning the radiation force over the object and recording the amplitude and phase of the emitted sound resulted in data from which images related to the elastic compositions of the acoustically emitting objects could be computed. Acoustic emission signals distinguished tuning-fork resonances, submillimeter glass spheres, and calcification in excised arteries and detected object motions on the order of nanometers.

Acoustic Stimulation↗

Local circuit for the computation of object approach by an identified visual neuron in the locust.

The lobula giant movement detector (LGMD) neuron in the locust visual system is part of a motion-sensitive pathway that detects objects approaching on a collision course. Here we show that the retinotopic units presynaptic to the LGMD make synapses directly with each other and these synapses are immediately adjacent to their outputs onto the LGMD. Synapses occur along the fine dendrites of the LGMD in the distal lobula, often in large numbers and completely covering the LGMD processes. Gamma aminobutyric acid (GABA) was eliminated as a possible neurotransmitter at these synapses when immunogold-tagged monoclonal GABA antibody did not specifically label the afferent processes. We used a histochemical method to demonstrate that acetylcholine esterase, the enzyme that hydrolyses acetylcholine at cholinergic synapses, was present in the synaptic clefts between the retinotopic units and along the membrane of the LGMD. It is well established that acetylcholine has both excitatory and inhibitory effects and we propose that these retinotopic units excite the LGMD, but inhibit each other; and that the synapses form the substrate for a critical race between excitation caused by edges moving out over successive photoreceptors, and inhibition spreading laterally. This results in the selective response to objects approaching on a collision course.

Acetylcholine↗

Feature synergy depends on feature contrast and objecthood.

Pairs of texture figures, defined by contrast in spatial frequency, orientation or both cues (redundant texture definition) had to be detected within a homogeneous Gabor field. In line with expectation we find better detection performance for arrangements with higher feature contrast along the border where the figures abut. Redundantly defined figures show synergy, a significant performance increase compared to the prediction of independent processing of orientation and spatial frequency cues. As found in previous studies [Spatial Vision 16 (2003) 459; Vision Research (submitted for publication)] this performance advantage is negatively correlated with visibility. In particular, figures with high border feature contrast are easily detectable but show weak synergy whereas figures with low border feature contrast are barely detectable but remarkably benefit from redundant texture definition. Closer analysis reveals that the form of the figures is also crucial: As long as they maintain a clear two dimensional shape the synergy effect is only marginally affected by variation figure size and border length. But when they degrade to one dimensional Gabor element arrays, synergy almost completely vanishes. The results imply that both factors, low visibility and objecthood, are critical for feature synergy. We conclude that facilitation across feature domains serves to segregate figure from ground when the signal from a single domain is too weak to enable object detection and vanishes under conditions of stable object vision.

Contrast Sensitivity↗

Detection thresholds for object motion and self-motion during vestibular and visuo-oculomotor stimulation.

We compared the detection threshold for object motion with that of self-motion in space in healthy human subjects. Stimuli consisted of horizontal rotations of subjects' body with a fixation spot kept in fixed alignment with their heads (vestibular stimulus), rotation of the fixation spot relative to the stationary subjects (visuo-oculomotor stimulus), and a combination thereof by applying rotations of subjects body relative to the stationary object (sinusoidal oscillations, 0.025-0.4 Hz). Two series of experiments were performed. 1) One group of subjects was instructed to attend to, and to indicate the occurrence of, either object or self-motion. 2) A second group was instructed not only to detect the occurrence of a perception, but also to quality it either as object motion or self-motion, depending on which modality dominated perceptually. With either instruction it was found that all three stimulus conditions could evoke both, either an object motion perception or a self-motion perception. The detection thresholds of both perceptions were essentially similar. Thresholds were highest with the vestibular stimulus, intermediate with the stimulus combination, and lowest with the visuo-oculomotor stimulus. The vestibular threshold depended on stimulus frequency, in that it decreased with increasing frequency. Thereby, it became similar to the visuo-oculomotor one, which was essentially constant across frequency. Probability of occurrence of the perceptions in the first experimental series was considerably higher than in the second series, suggesting an important role of attentional mechanisms. In the second series, percent frequency of occurrence of veridical perception (object motion with visuo-oculomotor stimulus, self-motion with stimulus combination) was at chance level (50%) at low stimulus frequency, but was augmented considerably at high frequency. We assume that the latter effect is brought about by a visual-vestibular conflict measure by which the visual stimulus (light spot) is qualified as representing either a moving object or a spatial reference for self-motion. While at suprathreshold stimulus intensities the conflict can determine perception magnitude, at threshold levels its influence is restricted mainly on the probability of occurrence of object and self-motion perception.

Adult↗

Analysis of scanning probe microscope images using wavelets.

The utility of wavelet transforms for analysis of scanning probe images is investigated. Simulated scanning probe images are analyzed using wavelet transforms and compared to a parallel analysis using more conventional Fourier transform techniques. The wavelet method introduced in this paper is particularly useful as an image recognition algorithm to enhance nanoscale objects of a specific scale that may be present in scanning probe images. In its present form, the applied wavelet is optimal for detecting objects with rotational symmetry. The wavelet scheme is applied to the analysis of scanning probe data to better illustrate the advantages that this new analysis tool offers. The wavelet algorithm developed for analysis of scanning probe microscope (SPM) images has been incorporated into the WSxM software which is a versatile freeware SPM analysis package.

Algorithms↗

Medical image segmentation using analysis of isolable-contour maps.

A common challenge for automated segmentation techniques is differentiation between images of close objects that have similar intensities, whose boundaries are often blurred due to partial-volume effects. We propose a novel approach to segmentation of two-dimensional images, which addresses this challenge. Our method, which we call intrinsic shape for segmentation (ISeg), analyzes isolabel-contour maps to identify coherent regions that correspond to major objects. ISeg generates an isolabel-contour map for an image by multilevel thresholding with a fine partition of the intensity range. ISeg detects object boundaries by comparing the shape of neighboring isolabel contours from the map. ISeg requires only little effort from users; it does not require construction of shape models of target objects. In a formal validation with computed-tomography angiography data, we showed that ISeg was more robust than conventional thresholding, and that ISeg's results were comparable to results of manual tracing.

Algorithms↗

Patterns of activity in the categorical representations of objects.

Object perception has been a subject of extensive fMRI studies in recent years. Yet the nature of the cortical representation of objects in the human brain remains controversial. Analyses of fMRI data have traditionally focused on the activation of individual voxels associated with presentation of various stimuli. The current analysis approaches functional imaging data as collective information about the stimulus. Linking activity in the brain to a stimulus is treated as a pattern-classification problem. Linear discriminant analysis was used to reanalyze a set of data originally published by Ishai et al. (2000), available from the fMRIDC (accession no. 2-2000-1113D). Results of the new analysis reveal that patterns of activity that distinguish one category of objects from other categories are largely independent of one another, both in terms of the activity and spatial overlap. The information used to detect objects from phase-scrambled control stimuli is not essential in distinguishing one object category from another. Furthermore, performing an object-matching task during the scan significantly improved the ability to predict objects from controls, but had minimal effect on object classification, suggesting that the task-based attentional benefit was non-specific to object categories.

Brain Mapping↗

Evaluation of a radar-based proximity warning system for off-highway dump trucks.

A radar-based proximity warning system was evaluated by researchers at the Spokane Research Laboratory of the National Institute for Occupational Safety and Health to determine if the system would be effective in detecting objects in the blind spots of an off-highway dump truck. An average of five fatalities occur each year in surface mines as a result of an equipment operator not being aware of a smaller vehicle, person or change in terrain near the equipment. Sensor technology that can detect such obstacles and that also is designed for surface mining applications is rare. Researchers worked closely with the radar system manufacturer to test and modify the system on large, off-highway dump trucks at a surface mine over a period of 2 years. The final system was thoroughly evaluated by recording video images from a camera on the rear of the truck and by recording all alarms from the rear-mounted radar. Data show that the system reliably detected small vehicles, berms, people and other equipment. However, alarms from objects that posed no immediate danger were common, supporting the assertion that sensor-based systems for proximity warning should be used in combination with other devices, such as cameras, that would allow the operator to check the source of any alarm.

Accidents, Occupational↗

Detection of minimal residual disease in unselected patients with acute myeloid leukemia using multiparameter flow cytometry for definition of leukemia-associated immunophenotypes and determination of their frequencies in normal bone marrow.

BACKGROUND AND OBJECTIVES: Detection of minimal residual disease (MRD) by multiparameter flow cytometry is an emerging prognostic factor in patients with acute myeloid leukemia (AML). The present analysis aimed at improving the applicability of this approach to more patients with AML. DESIGN AND METHODS: Bone marrow samples from unselected patients with AML at diagnosis and from healthy volunteers were immunophenotyped applying triple-stainings of 31 antigens. Leukemia-associated immunophenotypes were defined by gating on populations displaying an aberrant or infrequent immunophenotype and by applying Boolean algebra. The combination of gates obtained was applied to list mode data files containing measurements of normal bone marrow samples. Dilution experiments of AML samples in normal bone marrow were performed to test the linearity of measurements. RESULTS: At least one aberrant/infrequent immunophenotype was identified (median, 2; range, 1-5) in all of 68 analyzed AML patients. The median frequencies of cells displaying an aberrant/infrequent immunophenotype within normal bone marrow ranged from 0.00% to 1.20% (median, 0.07%). Limiting this analysis to only the most sensitive aberrant/infrequent immunophenotype per patient resulted in frequencies of cells displaying an aberrant/infrequent immunophenotype within normal bone marrow ranging from 0.00% to 0.43% (median, 0.05%). Serial dilution experiments confirmed the linearity of measurements (R>0.90 in all cases analyzed). INTERPRETATION AND CONCLUSIONS: The application of multiparameter flow cytometry to identify cells displaying an aberrant/infrequent immunophenotype and to quantify MRD is feasible in unselected patients with AML.

Acute Disease↗

Combining various projection access schemes with the algebraic reconstruction technique for low-contrast detection in computed tomography.

We separately applied three different projection access orders (the multilevel scheme (MLS), the sequence access scheme (SAS) and the random permutation scheme (RPS)) to the algebraic reconstruction technique (ART) in an attempt to improve low-contrast object detection in computed tomography (CT). We used both simulated (from various numbers of projections of low-contrast and contrast detail phantoms) and actual data (from megavoltage portal CT) during our study. When coupled with ART, SAS and RPS led to poor low-contrast detection and required multiple iterations for convergence. In contrast, one-iteration MLS yielded the most uniform reconstructions with the highest contrast-to-noise ratios. Therefore, MLS-ART provides the highest dose efficiency of all current reconstruction techniques for imaging low-contrast objects from a small number of projections.

Algorithms↗