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At least 469 records · Page 26Linked to original sources

Mirror-image reversal of coronal computed tomography scans.

OBJECTIVES/HYPOTHESIS: Mirror-image reversal of coronal computed tomography (CT) scans can be a significant problem in patient care, potentially leading to wrong-sided surgery and malpractice suits. There is no literature describing the problem of mirror-image reversal of coronal CT scans. Generally, medical errors are not widely published: however, with the emphasis on reduction of errors in medicine, this topic should be openly discussed. STUDY DESIGN: Retrospective review of patient care and an assessment of current methods. METHODS: Two cases of mirror-image reversal of coronal CT scans were reviewed, and the authors found that each case represented a different type of error. In the first case, the error was recognized in the operating room. The second case resulted in wrong-sided surgery, and a lawsuit was filed. These two separate occurrences led to a review of the methods for determining right versus left side for orienting and labeling of CT scans. Orientation of coronal scans depends on whether the patient is prone or supine. Thus, technician input is required. If a labeling mistake is made, radiologists may not readily catch the mistake because of the symmetry of the head and neck anatomy. RESULTS: A review of the markings on each scan should provide the otolaryngologist with enough information to determine whether the scan is mislabeled. CONCLUSION: The incidence of mislabeled coronal CT scans is unknown. This error can result in inappropriate patient care and lawsuits for wrong-sided surgery. Awareness of the potential problem and open discussion of interpretation and prevention are necessary.

Adult↗

Gender differences in the human mirror system: a magnetoencephalography study.

The present study investigated whether the human mirror-neuron system exhibits gender differences. Neuromagenetic mu (approximately 20 Hz) oscillations were recorded over the right primary motor cortex, which reflect the mirror neuron activity, in 10 female and 10 male participants while they observed the videotaped hand actions and moving dot. In accordance with previous studies, all participants had mu suppression during the observation of hand action, indicating activation of primary motor cortex. Interestingly, the female participants displayed apparently stronger (P < 0.05) suppression for the hand action than for the moving dot whereas the men showed the opposite (P < 0.05). These findings have implications for the extreme male brain theory of autism and support the hypothesis of a dysfunctional mirror-neuron system in autism.

Adult↗

mirror encodes a novel PBX-class homeoprotein that functions in the definition of the dorsal-ventral border in the Drosophila eye.

The Drosophila eye is composed of dorsal and ventral mirror-image fields of opposite chiral forms of ommatidia. The boundary between these fields is known as the equator. We describe a novel gene, mirror (mrr), which is expressed in the dorsal half of the eye and plays a key role in forming the equator. Ectopic equators can be generated by juxtaposing mrr expressing and nonexpressing cells, and the path of the normal equator can be altered by changing the domain of mrr expression. These observations suggest that mrr is a key component in defining the dorsal-ventral boundary of tissue polarity in the eye. In addition, loss of mrr function leads to embryonic lethality and segmental defects, and its expression pattern suggests that it may also act to define segmental borders. Mirror is a member of the class of homeoproteins defined by the human proto-oncogene PBX1. mrr is similar to the Iroquois genes ara and caup and is located adjacent to them in this recently described homeotic cluster.

Amino Acid Sequence↗

Towards quantum superpositions of a mirror.

We propose an experiment for creating quantum superposition states involving of the order of 10(14) atoms via the interaction of a single photon with a tiny mirror. This mirror, mounted on a high-quality mechanical oscillator, is part of a high-finesse optical cavity which forms one arm of a Michelson interferometer. By observing the interference of the photon only, one can study the creation and decoherence of superpositions involving the mirror. A detailed analysis of the requirements shows that the experiment is within reach using a combination of state-of-the-art technologies.

Journal Article↗

Forces between a single atom and its distant mirror image.

An excited-state atom whose emitted light is backreflected by a distant mirror can experience trapping forces, because the presence of the mirror modifies both the electromagnetic vacuum field and the atom's own radiation reaction field. We demonstrate this mechanical action using a single trapped barium ion. We observe the trapping conditions to be notably altered when the distant mirror is translated across an optical wavelength. The well-localized barium ion enables the spatial dependence of the forces to be measured explicitly. The experiment has implications for quantum information processing and may be regarded as the most elementary optical tweezers.

Journal Article↗

Mirror inversion of quantum states in linear registers.

Transfer of data in linear quantum registers can be significantly simplified with preengineered but not dynamically controlled interqubit couplings. We show how to implement a mirror inversion of the state of the register in each excitation subspace with respect to the center of the register. Our construction is especially appealing as it requires no dynamical control over individual interqubit interactions. If, however, individual control of the interactions is available then the mirror inversion operation can be performed on any substring of qubits in the register. In this case, a sequence of mirror inversions can generate any permutation of a quantum state of the involved qubits.

Journal Article↗

Towards quantum superpositions of a mirror: an exact open systems analysis.

We analyze the recently proposed mirror superposition experiment of Marshall, Simon, Penrose, and Bouwmeester, assuming that the mirror's dynamics contains a nonunitary term of the Lindblad-type proportional to -[q,[q,rho]], with q the position operator for the center of mass of the mirror, and rho the statistical operator. We derive an exact formula for the fringe visibility for this system. We discuss the consequences of our result for tests of environmental decoherence and of collapse models. In particular, we find that with the conventional parameters for the continuous spontaneous localization model of state vector collapse, maintenance of coherence is expected to within an accuracy of at least 1 part in 10(8). Increasing the apparatus coupling to environmental decoherence may lead to observable modifications of the fringe visibility, with time dependence given by our exact result.

Journal Article↗

High finesse opto-mechanical cavity with a movable thirty-micron-size mirror.

We report on the demonstration of a high finesse micro-optomechanical system and identify potential applications ranging from optical cooling to weak force detection to massive quantum superpositions. The system consists of a high quality diameter flat dielectric mirror cut from a larger substrate with a focused ion beam and attached to an atomic force microscope cantilever. Cavity ring-down measurements performed on a 25 mm long Fabry-Pérot cavity with the 30 microm mirror at one end show an optical finesse of 2100. Numerical calculations show that the finesse is not diffraction limited and that orders of magnitude higher finesse should be possible. A mechanical quality factor of more than 10(5) at pressures below 10(-3) mbar is demonstrated for the cantilever with a mirror attached.

Journal Article↗

Image quality improvement in a hard X-ray projection microscope using total reflection mirror optics.

A new figure correction method has been applied in order to fabricate an elliptical mirror to realize a one-dimensionally diverging X-ray beam having high image quality. Mutual relations between figure errors and intensity uniformities of diverging X-ray beams have also been investigated using a wave-optical simulator and indicate that figure errors in relatively short spatial wavelength ranges lead to high-contrast interference fringes. By using a microstitching interferometer and elastic emission machining, figure correction of an elliptical mirror with a lateral resolution close to 0.1 mm was carried out. A one-dimensional diverging X-ray obtained using the fabricated mirror was observed at SPring-8 and evaluated to have a sufficiently flat intensity distribution.

Equipment Design↗

Multi-segmented piezoelectric mirrors as active/adaptive optics components.

The angular acceptance of piezoelectric (Pzt) bimorph mirrors is limited by the maximum length of commercially available Pzt ceramic plates. To overcome this limit and manufacture longer devices, several (2n + 1) 150 mm-long bimorph Pzt stacks were assembled side-to-side. Two prototype mirrors, 450 (n = 1) and 750 (n = 2) mm long, were designed, assembled, polished and optically characterized. They are fully UHV compatible and are now installed in the monochromatic section of the ESRF beamlines ID26 and ID32. Both mirrors cover the full range of required bending radii (1 km concave-3.5 km convex). Junctions between segments do not spoil the optical surface quality. The surface slope error r.m.s. can be kept well below 1 arcsec over the full bending range. Adaptive compensation for low-frequency figure errors was shown to be easy and reliable. After compensation, residual shape errors are of the order of 40 nm r.m.s. over 700 mm.

Journal Article↗

Digital and mirror assessment of the adenoids at operation.

The size of an adenoid is generally considered to be a significant factor in the causation of Eustachian tube dysfunction and glue ear in children. We studied 120 consecutive cases of children undergoing adenoidectomy. Our aim was to assess the accuracy of the digital and mirror examinations in identifying adenoid size. Two surgeons of 1 and 2 years' experience in the speciality were found to have a statistically significant correlation between mirror examination and the amount of adenoid removed at operation. One surgeon of 4 years' experience was found to have a higher degree of correlation for both mirror and digital examinations.

Adenoids↗

Normal-mirrored letter recognition, same-different judgment and cerebral dominance.

Either normal or mirror images of Kana, Kanji and capital letters were presented tachistoscopically in a left or right visual field, and then normal letters were flashed simultaneously at the fixation point. Subjects were trained to give same (formula: see text) or different (formula: see text) judgments to pairs of stimuli. Reaction time (RT) and percentage of errors (PE) were measured. Generally, normal letters with same judgments revealed a right field advantage, while with different judgments, there were not significant laterality differences. In the case of mirrored letters, each of two judgments showed no lateral asymmetries for each kind of letters excepting a left field advantage for mirrored Kana words with different judgments. PE methods tended to produce a right field advantage more consistently than did RT methods.

Adult↗

Modulation of premotor mirror neuron activity during observation of unpredictable grasping movements.

Using transcranial magnetic stimulation, we explored the properties of premotor mirror neurons during the passive observation of a reaching-grasping movement in human subjects. Two different experiments were run using video-clips as visual stimuli. Video-clips showed a normally performed (control stimulus) or an anomalous reaching-grasping movement executed by delaying the time of the appearance of the maximal finger aperture (experiment 1), or substituting it with an unpredictable closure (experiment 2). Motor evoked potentials were recorded at different time-points during the observation of the video-clips. Profiles of cortical excitability were drawn and compared with the kinematic profiles of the corresponding movement. Passive observation of the natural movement evoked a profile of cortical excitability that is in concordance with the timing of the kinematic profile of the shown finger movements. Observation of the uncommon movements did not exert any modulation (experiment 1) or evoked an activity that matched, at the beginning, the modulation obtained with observation of the natural movement (experiment 2). Results show that the resonant motor plan is loaded as whole at the beginning of observation and once started tends to proceed to its completion regardless of changes to the visual cues. The results exclude the possibility of a temporal fragmentation of the resonant plan, because activation of different populations of mirror neurons for each phase of the ongoing action. They further support the notion of the role of the mirror system as neural substrate for the observing-execution matching system and extend the current knowledge regarding mechanisms that trigger the internal representation of an action.

Adult↗

Persistent mirror movements: a clinical study of 17 children, adolescents and young adults.

The author reports a series of 17 cases of congenital mirror movements of the hands and forearms (and in a few cases the toes), but no other signs of gross neurological deviation. This is an uncommon disorder that often goes unrecognised. This slight but definite disability seems to persist largely unchanged at least into the late teens, and probably into adulthood. A hereditary background is suggested in about half of the cases. Various neuropsychiatric deficits were seen in combination with the mirror movements in about half the cases, as well as a high incidence of non-right-handedness. Although the clinical heterogeneity of the disorder was clear, the phenomenon of mirror movements was similar in all cases. Recent progress in understanding the pathophysiology of this disorder is reviewed.

Adolescent↗

Inhibition of interleukin-6 release and T-cell proliferation by synthetic mirror pseudo cord factor analogues in human peripheral blood mononuclear cells.

The effects of synthetic alkyl ((alkyl 6-deoxy-a-D-gluco-heptopyranosyluronate) 6-deoxy-a-D-gluco-heptopyranoside) uronates, a novel type of mirror pseudo cord factor, on the in vitro modulation of interleukin-6 production and T-cell proliferation in human peripheral blood mononuclear cells, were investigated. Synthetic mirror pseudo cord factors with alkyl chains ranging from C16 to C18 have very weak interleukin-6-inducing capacities and lack mitogenic activities for T-cell proliferation. However, they could inhibit IL-6 release induced by sonicated Bacillus Calmette-Guérin (S-BCG), bacterial endotoxin, and phytohaemagglutinin in a dose-dependent manner. Inhibition was observed not only with mononuclear cells but also with purified monocytes. Furthermore, these synthetic compounds could suppress T-lymphocyte proliferation stimulated by sonicated Mycobacterium tuberculosis H37Rv (S-H37Rv) antigens, S-BCG antigens, as well as by recombinant 65 kDa mycobacterial heat-shock protein. In contrast, these compounds failed to inhibit the phytohaemagglutinin-induced T-cell proliferation. We conclude that the inhibition of cytokine release and T-cell proliferation by synthetic mirror pseudo cord factors was due to direct blocking of the function and/or activity of monocytes or antigen-presenting cells.

Biological Assay↗

Mirror movements in parkinsonism: evaluation of a new clinical sign.

BACKGROUND: Mirror movements (MM) are not widely appreciated in parkinsonism and no report has evaluated this clinical sign in detail. OBJECTIVES: To define the parkinsonian clinical features associated with MM in patients with early, asymmetric parkinsonism. METHODS: Twenty seven patients with early Parkinson's disease were evaluated using a standardised videotaping protocol. MM were scored from blinded video assessment using a clinical scale that rates the amplitude, distribution, and proportion of mirroring in the less affected limb. Parkinsonian features were combined into axial and lateralised scores using related items of the Unified Parkinson's Disease Rating Scale. RESULTS: MM were present in 24 of 27 patients. There was a significant linear correlation between the degree of asymmetry of motor deficits and MM on the less affected side. The effect of asymmetry was greater when the proportional rather than the absolute motor difference between sides was largest. Asymmetry in leg rigidity was the most important examination feature in the prediction of contralateral foot mirroring. CONCLUSIONS: MM are a clinical feature of the unaffected or less affected side in mild asymmetric parkinsonism. Their presence may be a useful clinical finding in early parkinsonism.

Adult↗

Color and spectral Doppler mirror-image artifact of the subclavian artery.

The mirror-image artifact, which has been previously described in gray-scale sonographic imaging, is also readily visualized with both spectral and color Doppler flow imaging. In 10 consecutive healthy subjects, a mirror image of the subclavian artery was readily apparent at gray-scale, spectral Doppler, and color Doppler sonography. An experimental in vitro model was constructed to demonstrate that the lung apex, which is located immediately posterior to the subclavian artery, acts as the highly reflective acoustic interface to form this artifact. Knowledge of the presence of the mirror-image artifact should be helpful to the radiologist and sonographer in avoiding misinterpretation of this important pitfall in both spectral and color Doppler flow imaging of the subclavian region, where there is a plethora of branching vessels.

Humans↗

Persistent mirror movements: functional MR imaging of the hand motor cortex.

PURPOSE: To compare cortical areas involved in hand motor function in patients with persistent motor movements with those in healthy control subjects by using functional magnetic resonance (MR) imaging. MATERIALS AND METHODS: Nine patients (five patients with autosomal-dominant mirror movements, three with Kallmann syndrome, one with Wildervanck syndrome) and 10 healthy control subjects participated in the study. Functional MR imaging was performed at 1.5 T with a two-dimensional fast low-angle shot sequence. Participants were imaged while performing sequential finger-thumb opposition and during a rest period. RESULTS: During unimanual intentional movements, MR imaging in all control subjects showed increased signal intensity along the superior bend of the central sulcus contralateral to the moved hand. This increase was predominantly located in a region that included the medial part of the precentral gyrus. In contrast, MR imaging in patients with mirror movements showed bilateral activity in the medial region of the precentral gyrus. CONCLUSION: Bifurcations of the corticospinal tract may not be solely responsible for mirror movements. Bilateral activity of the primary motor cortex seems to play an additional role.

Adolescent↗