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PubMedDate not supplied

Multi-level adaptive segmentation of multi-parameter MR brain images.

MR brain image segmentation into several tissue classes is of significant interest to visualize and quantify individual anatomical structures. Traditionally, the segmentation is performed manually in a clinical environment that is operator dependent and may be difficult to reproduce. Though several algorithms have been investigated in the literature for computerized automatic segmentation of MR brain images, they are usually targeted to classify image into a limited number of classes such as white matter, gray matter, cerebrospinal fluid and specific lesions. We present a novel model-based method for the automatic segmentation and classification of multi-parameter MR brain images into a larger number of tissue classes of interest. Our model employs 15 brain tissue classes instead of the commonly used set of four classes, which were of clinical interest to neuroradiologists for following-up with patients suffering from cerebrovascular deficiency (CVD) and/or stroke. The model approximates the spatial distribution of tissue classes by a Gauss Markov random field and uses the maximum likelihood method to estimate the class probabilities and transitional probabilities for each pixel of the image. Multi-parameter MR brain images with T(1), T(2), proton density, Gd+T(1), and perfusion imaging were used in segmentation and classification. In the development of the segmentation model, true class-membership of measured parameters was determined from manual segmentation of a set of normal and pathologic brain images by a team of neuroradiologists. The manual segmentation was performed using a human-computer interface specifically designed for pixel-by-pixel segmentation of brain images. The registration of corresponding images from different brains was accomplished using an elastic transformation. The presented segmentation method uses the multi-parameter model in adaptive segmentation of brain images on a pixel-by-pixel basis. The method was evaluated on a set of multi-parameter MR brain images of a twelve-year old patient 48h after suffering a stroke. The results of classification as compared to the manual segmentation of the same data show the efficacy and accuracy of the presented methods as well as its capability to create and learn new tissue classes.

Algorithms↗

PubMed1995

Validation testing of the spacelabs PC2 ST-segment analyzer.

OBJECTIVES: Recent studies have demonstrated that perioperative myocardial ischemia, detected by electrocardiography, is a risk factor for myocardial infarction. ST-segment analyzers and hemodynamic monitors may be useful for on-line detection in perioperative and critical care environments. However, independent performance and accuracy standards for these devices have not been established. Therefore, a testing protocol was developed using an electrocardiogram (ECG) simulator that allowed selectively altered ST-segment displacement, in a calibrated fashion over a wide range. DESIGN: Laboratory bench study. SETTING: Not applicable. PARTICIPANTS: Not applicable. INTERVENTIONS: Not applicable. MEASUREMENTS AND MAIN RESULTS: Custom digital ECG waveform templates were programmed for use with a commercially available ECG simulator (M311 ECG simulator; Fogg Systems, Inc., Aurora, CO). For each template, ST-segment morphology (horizontal elevation or depression, downsloping depression), QRS duration, and the presence or absence of a P wave were manipulated, resulting in seven different QRS shapes. Within each shape, the degree of ST-segment deviation was altered over a wide range. A PC2 Bedside Monitor (SpaceLabs Inc., Redmond, WA) was tested. One hundred forty-eight measurements of ST-segment deviation input from the simulator were made at each of two testing sessions. The first ST-segment value displayed by the analyzer was recorded, and the two measurements averaged for comparison. Placement of the J-point, J + 60 msec, and isoelectric reference points by the analyzer were evaluated. Simulator output was validated for accuracy and stability. Subtle errors in placement of the J-point marker were observed in all seven QRS shapes. These errors usually did not alter placement of the isoelectric marker before, but not exactly at the beginning of, the R-wave upstroke. Thus, ST-segment values returned by the monitor (J + 60 msec - isoelectric reference value) were unaffected. However, in two QRS shapes, the isoelectric point was displaced onto the upstroke of the R wave, resulting in erroneous ST-segment values. In one, the error may have been caused by the difference in QRS duration of that template (120 msec) relative to the fixed 115-msec interval from the J point used by the analyzer and was present in all points tested. In the second (normal QRS duration), the error was present in some, but not all points tested (4/21, 24%). All QRS shapes with proper placement of the isoelectric point returned ST-segment values within +/- 0.5 mm of expected, and 98% were within +/- 0.25 mm of expected. The mean difference between observed and expected ST-segment values for 100 measurements with normal QRS duration and proper isoelectric point placement was 0.08 mm +/- 0.07 mm (SD). CONCLUSIONS: The bench results suggest that visual confirmation of ST-segment analyzer values may be advisable in the clinical setting. Although most complexes with normal conduction and a P wave are likely to be accurately analyzed, those with prolonged QRS duration were problematic. The simulator protocol may be helpful in ensuring accuracy of ST-segment analyzers, especially in their early development stages.

Calibration↗

PubMed1975

Proteolysis of paramyosin from Mercenaria mercenaria and properties of its most stable segment.

The helical muscle protein paramyosin appears to consist of three segments of approximately equal size that differ in stability to guanidine hydrochloride and heat. The N-terminal segment is most stable and the C-terminal segment is least stable. These differences in stability serve as a basis for design of proteolytic digestions to specifically remove segments of low and intermediate stability. Thus, at room temperature only the C-terminal region was susceptible to digestion by pepsin or trypsin. Proteolytic removal of the latter region resulted in the accumulation of the remaining two-thirds of the paramyosin molecule as a segment (PPC-1) of 140,000 daltons that was still in a stable helical conformation. Proceeding to more rigorous conditions, papain digestion of either paramyosin or PPC-1 in 4 M guanidine-HCl that would be expected to destabilize all but the N-terminal segment did result in cleavage of all except that region. The N-terminal region accumulated as a helical segment of 74,000 daltons (PPC-2) if digestion was limited to 1.5 hr or a smaller segment of 58,000 daltons (PPC-3) if digestion continued for 24 hr. Stability of the three PPC segments to guanidine-HCl and heat was measured by change in fluorescence of tyrosyl residues upon loss of the helical conformation. The stability of the segments corresponded well with the stability of those regions in the paramyosin molecule from which the segments were believed to have come. Amino acid composition of the PPC segments and of paramyosin were all very similar, and prediction of relative stability of these helical proteins from inspection of gross amino acid composition does not appear promising.

Amino Acids↗

PubMed1980

The joining of V and J gene segments creates antibody diversity.

The variable regions of mouse kappa (kappa) chains are coded for by multiple variable (V) gene segments and multiple joining (J) gene segments. The V kappa gene segments code for residues 1 to 95; the J kappa gene segments code for residues 96 to 108 (refs 1-3). This gene organisation is similar to that encoding the V lambda regions. Diversity in V kappa regions arises from several sources: (1) there are multiple germ-line V kappa gene segments and J kappa gene segments; (2) combinatorial joining of V kappa gene segments with different germline J kappa gene segments; and possibly, (3) somatic point mutation, as postulated for V lambda gene segments. Also, from a comparison of the number of germ-line J kappa gene segments and amino acid sequences, it has been suggested that J kappa region sequences may be determined by the way V kappa and J kappa gene segments are joined. This report supports this model by directly associating various J kappa sequences with given J kappa gene segments.

Animals↗

PubMed2002

Segmental bioelectrical impedance analysis in children aged 8-12 y: 1. The assessment of whole-body composition.

OBJECTIVES: To investigate the potential of segmental bioelectrical impedance analysis (BIA) for estimating whole-body composition in children. DESIGN: Strengths of relationships were determined between indices of impedance or specific resistivities of body segments and reference four-component model (4-CM) assessments of body composition. SUBJECTS: Eighteen boys and 19 girls aged 8-12 y. MEASUREMENTS: Whole-body and segment BIA and anthropometry were used to calculate impedance indices of the whole body and segments and specific resistivities of segments; total body water (TBW), fat-free mass (FFM) and body fat were assessed using the 4-CM. RESULTS: Segmental BIA indices were significantly related to body composition, provided that appropriate comparisons were undertaken for each index: impedance adjusted for unit segment length was better related to TBW and FFM, whereas segment specific resistivity was better related to body fat. Differences between body composition estimates obtained with the 4-CM and predicted using BIA were partly dependent on limb-to-trunk ratios of BIA indices. CONCLUSION: Segmental BIA has potential for providing additional alternative approaches to the assessment of whole-body composition in children: (a) FFM and TBW were best related to impedance adjusted for segment length; (b) body fat was best related to segment specific resistivity; and (c) the relative influences of different segment BIA indices may be utilisable for generating more valid whole-body composition estimates.

Adipose Tissue↗

PubMed2002

Segmental bioelectrical impedance analysis in children aged 8-12 y: 2. The assessment of regional body composition and muscle mass.

OBJECTIVES: To investigate the potential of segmental bioelectrical impedance analysis (BIA) for assessing regional composition and muscle mass in children. DESIGN: Strengths of relationships were determined between (a) BIA indices of trunk, limbs or limb segments and (b) segment fat or fat-free mass (FFM) assessed using dual-energy X-ray absorptiometry (DXA); the extent of agreement was established between two independent models, based on DXA and BIA, of limb muscle and adipose tissue (AT) mass. SUBJECTS: Eighteen boys and 19 girls aged 8-12 y. MEASUREMENTS: BIA and anthropometry of trunk, whole limbs, limb segments and defined sections were used to calculate segmental impedance indices and specific resistivities; segment fat and FFM were obtained using DXA; muscle and AT masses of limbs, segments and sections were estimated using DXA and BIA models, and by anthropometry. RESULTS: Segmental BIA indices were significantly related to composition of the segments assessed using DXA; although substantial bias was observed, there was fairly good agreement (low 95% limits of agreement) between the BIA and DXA models of muscle mass and estimates from each were similarly categorised in tertiles, as were estimates of AT. CONCLUSION: Segmental BIA appears to have potential for assessing in children the composition of body segments, as obtained using DXA, and the masses of muscle and AT in whole limbs, limb segments and defined sections.

Absorptiometry, Photon↗

PubMedDate not supplied

Holomeric vs. meromeric segmentation: a tale of centipedes, leeches, and rhombomeres.

Explaining the origin and evolution of segmentation is central to understanding the body plan of major animal groups such as arthropods, annelids, and vertebrates. One major shortcoming of current views on segmentation is the failure to recognize the existence of two layers of segmentation. I distinguish here holomeric segmentation, involving the whole body axis (or the whole axis of an appendage) and producing "true" segments (eosegments); and meromeric segmentation, producing merosegments within one or more eosegment(s). In terms of developmental mechanisms, meromeric segmentation is probably the same as compartmentalization. This process follows two rules: (1) merosegments are formed from a stereotyped pattern of subdivisions, where only the merosegments in contact to the anterior or posterior boundary of the eosegment are allowed to divide; (2) contiguous eosegments undergoing meromeric segmentation generate merosegments according to identical lineage patterns apart from possible lineage truncation in one or a few terminal eosegments. The segmentation model proposed in this paper is mainly supported by evidence from comparative morphology, but it is compatible with known cellular and developmental mechanisms. The development of vertebrate rhombomeres, the annulation of leeches, the subdivision of the distal part of insect antenna into flagellomeres and the segmentation of centipedes are interpreted here in terms of meromeric segmentation. Some of these phenomena, like centipede segmentation, have thus far defied all attempts at an explanation, both in mechanistic (developmental) and phylogenetic terms. The model presented in this paper suggests a rich research agenda at all levels, from molecular and genetic to morphological and phylogenetic.

Animals↗

PubMed1989

Early rearrangements of genes encoding murine immunoglobulin kappa chains, unlike genes encoding heavy chains, use variable gene segments dispersed throughout the locus.

Immunoglobulin heavy-chain variable region (TH) gene segments located closest to the joining (JH) gene segments are preferentially rearranged during ontogeny, indicating that chromosomal position influences the frequency of rearrangement. In addition, certain VH gene segments are repeatedly rearranged, suggesting that the DNA sequence or structure surrounding these segments may increase the probability of rearrangement. To determine whether there is similar based rearrangement of kappa variable (V kappa) gene segments, 25 rearrangements were sequenced from murine fetal and neonatal B-cell hybridomas and from subclones of a pre-B cell line that rearranged V kappa genes during in vitro culture. Four gene segments were isolated twice and one gene segment was isolated three times, suggesting that the process that targets individual variable gene segments for repeated rearrangement operates on both the VH and V kappa loci. Based on a current map of the V kappa locus, the rearranged gene segments belong to nine families that are dispersed throughout the locus. Thus, in these cell types, V kappa rearrangements use germ-line gene segments located across the entire locus, whereas the corresponding VH rearrangements use gene segments proximal to the JH gene segments. Heterogeneity of V kappa rearrangements would add diversity to the biased pool of VH rearrangements, producing a broad repertoire of antibodies early in development.

Amino Acid Sequence↗

PubMed1999

Transmembrane segment (TMS) VIII of the Na(+)/Citrate transporter CitS requires downstream TMS IX for insertion in the Escherichia coli membrane.

The amino acid sequence of the sodium ion-dependent citrate transporter CitS of K. pneumoniae contains 12 hydrophobic stretches that could form membrane-spanning segments. A previous analysis of the membrane topology in Escherichia coli using the PhoA gene fusion technique indicated that only nine of these hydrophobic segments span the membrane, while three segments, Vb, VIII and IX, were predicted to have a periplasmic location (Van Geest, M., and Lolkema, J. S. (1996) J. Biol. Chem. 271, 25582-25589). A topology study of C-terminally truncated CitS molecules in dog pancreas microsomes revealed that the protein traverses the endoplasmic reticulum membrane 11 times. In agreement with the PhoA fusion data, segment Vb was predicted to have a periplasmic location, but, in contrast, segments VIII and IX were found to be membrane-spanning (Van Geest, M., Nilsson, I., von Heijne, G., and Lolkema, J. S. (1999) J. Biol. Chem. 274, 2816-2823). In the present study, using site-directed Cys labeling, the topology of segments VIII and IX in the full-length CitS protein was determined in the E. coli membrane. Engineered cysteine residues in the loop between the two segments were accessible to a membrane-impermeable thiol reagent exclusively from the cytoplasmic side of the membrane, demonstrating that transmembrane segments (TMSs) VIII and IX are both membrane-spanning. It follows that the folding of CitS in the E. coli and endoplasmic reticulum membrane is the same. Cysteine accessibility studies of CitS-PhoA fusion molecules demonstrated that in the E. coli membrane segment VIII is exported to the periplasm in the absence of the C-terminal CitS sequences, thus explaining why the PhoA fusions do not correctly predict the topology. An engineered cysteine residue downstream of TMS VIII moved from a periplasmic to a cytoplasmic location when the fusion protein containing TMSs I-VIII was extended with segment IX. Thus, downstream segment IX is both essential and sufficient for the insertion of segment VIII of CitS in the E. coli membrane.

Alkaline Phosphatase↗

PubMed1999

Long homozygous chromosomal segments in reference families from the centre d'Etude du polymorphisme humain.

Using genotypes from nearly 8,000 short tandem-repeat polymorphisms typed in eight of the reference families from the Centre d'Etude du Polymorphisme Humain (CEPH), we identified numerous long chromosomal segments of marker homozygosity in many CEPH individuals. These segments are likely to represent autozygosity, the result of the mating of related individuals. Confidence that the complete segment is homozygous is gained only with markers of high density. The longest segment in the eight families spanned 77 cM and included 118 homozygous markers. All individuals in family 884 showed at least one segment of homozygosity: the father and mother were homozygous in 8 and 10 segments with an average length of 13 and 16 cM, respectively, and covering a total of 105 and 160 cM, respectively. The progeny in family 884 were homozygous over 5-16 segments with average length 11 cM. The progeny in family 102 were homozygous over 4-12 segments with average length 19 cM. Of the 100 individuals in the other six families, 1 had especially long homozygous segments, and 19 had short but significant homozygous segments. Our results indicate that long homozygous segments are common in humans and that these segments could have a substantial impact on gene mapping and health.

Alleles↗

PubMed2006

Criteria for conduction block based on computer simulation studies of nerve conduction with human data obtained in the forearm segment of the median nerve.

The finding of conduction block (CB) on nerve conduction studies supports the diagnosis of potentially treatable immune-mediated neuropathies. CB in a number of axons may result in reduction of the compound muscle action potential (CMAP) on proximal versus distal stimulation (decrement). Decrement may also result from increased temporal dispersion (TD) as this leads to desynchronization and phase cancellation of the motor unit action potentials (MUAPs) out of which the CMAP is built up; polyphasia of MUAPs possibly yields additional decrement. To prove the occurrence of CB, decrement has to be larger than can be explained by increased TD or increased phase cancellation. This was established previously by simulations using MUAPs recorded in rats assuming maximal TD. Unfortunately, criteria based on human data and criteria for nerves with limited TD are not available. In the present study, criteria for CB were derived using simulations with thenar surface recorded MUAPs affected by collateral reinnervation that were obtained in patients with lower motor neurone disease (LMND). The effect of TD on decrement was determined for a wide range of TDs in the forearm segment of the median nerve and the segment distal to this. Our criteria for CB were based on area decrement because this was less influenced by TD and more by CB than amplitude decrement. The maximal area decrement in the forearm segment increased as TD in the forearm segment increased but decreased as TD in the distal segment increased. This suggests that, when desynchronization and phase cancellation occur in the distal segment due to TD, less phase cancellation and, therefore, less decrement can occur due to TD in the forearm. The finding that duration prolongation on proximal versus distal stimulation reflected TD within the forearm segment and that distal duration reflected TD in the distal segment allowed proposal of a more flexible set of criteria for forearm segments when TD in the forearm segment is limited or TD in the distal segment is pronounced. A separate investigation showed that the maximal TD in chronic inflammatory demyelinating polyneuropathy was within the range of our simulations, indicating that these were realistic. Our criteria were validated retrospectively in patients with multifocal motor neuropathy and patients with LMND. In the forearm segment of the median nerve, our criteria were more sensitive and equally specific for CB as compared with criteria for CB based on the study using rats. Our criteria have to be evaluated prospectively.

Action Potentials↗

PubMed1995

Inferior ST segment depression as a useful marker for identifying proximal left anterior descending artery occlusion during acute anterior myocardial infarction.

To determine whether or not ST segment deviation on admission electrocardiograms can identify patients with anterior acute myocardial infarction due to proximal left anterior descending artery occlusion, the magnitude and location of ST segment elevation or depression were compared between patients with proximal left anterior descending artery occlusion (group A, n = 47) and those with distal left anterior descending artery occlusion (group B, n = 59). ST segment depression in each of the inferior leads was significantly greater in group A than in group B. The incidence of ST segment depression > or = 1 mm in each of the inferior leads (II; 81% vs 27%, III; 85% vs 54%, aVF; 87% vs 47%, P < 0.01) was significantly higher in group A than in group B. In addition, the incidence of ST segment depression > or = 1 mm in all of the inferior leads was significantly greater in group A than in group B (77% vs 22%, P < 0.01). In group A, maximal ST segment elevation was more frequent in lead V2 alone (43% vs 14%, P < 0.01). Group A had greater ST segment elevation in lead aVL than group B, and the incidence of ST segment elevation > or = 1 mm in lead aVL was significantly higher in group A than in group B (66% vs 47%, P < 0.05). ST segment depression > or = 1 mm in all of the inferior leads was most valuable for identifying group A patients (77% sensitivity and 78% specificity). In contrast, the maximal ST segment elevation in lead V2 alone or ST segment elevation > or = 1 mm in lead aVL had a low diagnostic value (43% sensitivity and 86% specificity, 66% sensitivity and 53% specificity, respectively). In conclusion, this study indicates that analysis of ST segment deviation in the inferior leads is useful for identifying patients with acute anterior myocardial infarction due to proximal left anterior descending occlusion.

Adult↗

PubMedDate not supplied

Automated knowledge-guided segmentation of colonic walls for computerized detection of polyps in CT colonography.

PURPOSE: We have developed a novel automated technique for segmenting colonic walls for the application of computer-aided polyp detection in CT colonography. In particular, the technique was designed to minimize the presence of extracolonic components, such as small bowel, in the segmented colon. METHODS: The segmentation technique combines an improved version of our previously reported anatomy-oriented colon segmentation technique with a colon-based analysis step that performs self-adjusting volume-growing within the colonic lumen. Extracolonic components are eliminated by intersecting of the resulting two segmentations, so that the colonic walls remain in the intersection. The technique was evaluated on 88 CT colonography datasets. The colon segmentations were evaluated subjectively by four radiologists, as well as objectively by performance of an automated polyp detection on the segmentation. For comparison, the tests were also performed for the anatomy-oriented colon segmentation technique. RESULTS: On average, the technique covered 98% of the visible colonic walls. Approximately 50% of the extracolonic components remaining in the anatomy-oriented segmentation were removed, but 10-15% of the segmentation still contained extracolonic components. The dataset-based false-positive rate of the automated polyp detection was improved by 10% without compromising the 100% case-based sensitivity, and the case-based false-positive rate was improved by 15% over the previous false-positive rate. CONCLUSIONS: The technique segments practically all of the colonic walls in the region of diagnostic quality with a large reduction in the amount of extracolonic components over our previously used technique. The new segmentation improves the specificity of our computer-aided polyp detection scheme significantly without any degradation in detection sensitivity.

Artificial Intelligence↗

PubMed1998

The stiffness of lumbar spinal motion segments with a high-intensity zone in the anulus fibrosus.

STUDY DESIGN: Biomechanical and anatomic study of human cadaveric spinal motion segments. OBJECTIVES: To measure the stiffness of spinal motion segments by disc type and by load type (flexion, extension, axial rotation, or lateral bending). To compare stiffness in motion segments with and without a high-intensity zone or radial tear in the anulus fibrosus. SUMMARY OF BACKGROUND DATA: The high-intensity zone, that is a linear zone of high-intensity on T2-weighted magnetic resonance images corresponding to a radial tear in the anulus fibrosus, is a marker for a painful disc at discography. The high-intensity zone is hypothetically associated with diminished stiffness of the motion segment. METHODS: Human cadaveric lumbar spinal motion segments with normal disc morphology or a high-intensity zone of the anulus fibrosus were selected on the basis of magnetic resonance imaging. The motion segments were subjected to incremental flexion, extension, rotation, and lateral bending torques. Rotation was measured with a kinematic system. Torque-rotation curves and stiffness were calculated for each motion segment and for each torque. The motion segments were sectioned on a cryomicrotome to verify the disc morphology as normal or as that of a radial tear. RESULTS: In four motion segments with normal discs, stiffness was greater in axial rotation (8.4 Nm/degree) than in lateral bending (2.3 Nm/degree), flexion (1.8 Nm/degree), or extension (2.6 Nm/degree). In 16 motion segments with a high-intensity zone, stiffness was 2.4 Nm/degree in axial rotation, and less severely reduced in lateral bending, flexion, and extension. Stiffness in motion segments with a high-intensity zone was significantly less with smaller than with larger axial rotation loads. CONCLUSIONS: The presence of a high-intensity zone in the intervertebral disc is associated with reduced stiffness of motion segments. The reduction is greater in axial rotation than in other torques. The reduction is more in smaller than in larger axial torques.

Aged↗

PubMed2003

Increased sagittal plane segmental motion in the lower cervical spine in women with chronic whiplash-associated disorders, grades I-II: a case-control study using a new measurement protocol.

STUDY DESIGN: Case-control study comparing sagittal plane segmental motion in women (n = 34) with chronic whiplash-associated disorders, Grades I-II, with women (n = 35) with chronic insidious onset neck pain and with a normal database of sagittal plane rotational and translational motion. OBJECTIVE: To reveal whether women with chronic whiplash-associated disorders, Grades I-II, demonstrate evidence of abnormal segmental motions in the cervical spine. SUMMARY OF BACKGROUND DATA: It is hypothesized that unphysiological spinal motion experienced during an automobile accident may result in a persistent disturbance of segmental motion. It is not known whether patients with chronic whiplash-associated disorders differ from patients with chronic insidious onset neck pain with respect to segmental mobility. METHODS: Lateral radiographic views were taken in assisted maximal flexion and extension. A new measurement protocol determined rotational and translational motions of segments C3-C4 and C5-C6 with high precision. Segmental motion was compared with normal data as well as among groups. RESULTS: In the whiplash-associated disorders group, the C3-C4 and C4-C5 segments showed significantly increased rotational motions. Translational motions within each segment revealed a significant deviation from normal at the C3-C4 segment in the whiplash-associated disorders and insidious onset neck pain groups and at the C5-C6 segment in the whiplash-associated disorders group. Significantly more women in the whiplash-associated disorders group (35.3%) had abnormal increased segmental motions compared to the insidious onset neck pain group (8.6%) when both the rotational and the translational parameters were analyzed. When the translational parameter was analyzed separately, no significant difference was found between groups, or 17.6% (whiplash-associated disorders group) and 8.6% (insidious onset neck pain group), respectively. CONCLUSION: Hypermobility in the lower cervical spine segments in 12 out of 34 patients with chronic whiplash-associated disorders in this study point to injury caused by the accident. This subgroup, identified by the new radiographic protocol, might need a specific therapeutic intervention.

Adult↗

PubMed2006

Fatigue failure in shear loading of porcine lumbar spine segments.

STUDY DESIGN: An in vitro study on porcine spinal segments. OBJECTIVES: To determine the differences in mechanical behavior and fatigue strength in shear loading between intact spinal segments and segments without posterior elements, and between segments in neutral and flexed positions. SUMMARY OF BACKGROUND DATA: Limited data are available on shear strength of spinal segments. Literature suggests that shear loading can lead to failure of the posterior elements and failure of the disc, when the posterior elements cannot provide adequate protection. METHODS: In 2 experiments, 18 and 20 spines of pigs (80 kg) were used, respectively. Shear strength of the T13-L1 segment was tested, while loaded with 1600-N compression. L2-L3 and L4-L5 segments were loaded with a sinusoidal shear between 20% and 80% of the strength of the corresponding T13-L1 segment and 1600-N compression. In experiment No. 1, the posterior elements were removed in half the segments. In experiment No. 2, half the segments were tested in the neutral position, and half were tested in 10 degrees flexion. RESULTS: The group without posterior elements had failure earlier than the intact group. In the group without posterior element, stiffness increased on failure; in the intact group, it decreased. In experiment No. 2, no differences between groups were found. CONCLUSIONS: Repetitive shear loading can induce failure of porcine spinal segments, likely caused by fracture of the posterior elements, and, although repetitive anterior shear forces can also induce disc damage, this appears not to occur in intact segments, not even when flexed close to maximal.

Animals↗

PubMed2025

Orthobunyavirus neurovirulence is a complex trait involving all three genome segments.

La Crosse orthobunyavirus (LACV) is a tri-segmented negative sense RNA virus and is the leading cause of pediatric arboviral encephalitis in the USA. The viral factors that mediate LACV's ability to replicate and cause damage and disease in the brain (neurovirulence) are not fully understood. We previously characterized the neurovirulence of LACV and closely related Inkoo virus (INKV) and discovered they have opposing neurovirulence phenotypes in mice and human neuronal cells: LACV has high neurovirulence and INKV has low neurovirulence. We therefore generated reassortant viruses between LACV and INKV to map the genome segments that mediate LACV's high neurovirulence phenotype. We recovered all six possible reassortant viruses of the L, M, and S genome segments using coinfection and reverse genetics approaches. We evaluated the neurovirulence of these reassortant viruses in mice in vivo and in human neuronal cells in vitro. Our results show that no single LACV genome segment alone was sufficient to cause wildtype LACV-like neurological disease in mice, and in fact all six reassortant viruses were attenuated from wildtype LACV. We found that the LACV M and S segments together were the primary drivers of neurological disease in mice, whereas the LACV L segment played a minor role. Our in vitro results indicate that the LACV M segment is crucial for efficient replication in neurons, but the LACV L segment appears to mediate slightly more efficient neuronal replication than the INKV L segment. The LACV M and S segments together induced wildtype LACV-like levels of neuronal death, indicating the LACV M and S are the primary mediators of neuronal death, and the L segment is not required. Together, these results indicate that LACV neurovirulence is a complex trait mediated by viral proteins on all three genome segments.

Journal Article↗

PubMed1993

Anatomical studies on the spinal cord segments of the impala (Aepyceros melampus).

The anatomy of the spinal cord segments was studied and recorded for the impala. The root attachment lengths were greatest at C3, T10 and L3 cord segment levels in the respective regions. As to the root emergence length the greatest lengths were observed at C7, T10, L5 and S1 cord segment levels respectively. The interroot interval was longest at C2, T8 and L1 segments respectively. The longest cord segments were C2, T13, L2 and S2 segments. The widest cord segments of their respective regions were C7, T1, L5 and S1 cord segments. As to segment volume C3, T13, L2 and S1 were the most voluminous cord segments in the respective cord regions. Statistical analysis revealed a high correlation among all of the study parameters suggesting a high degree of multicolinearity. Gross anatomical relationships concerning the location of the spinal cord segments with respect to the vertebrae were studied. The cord segments C1, T1-T4 and L1-L3 were within their vertebral limits. In the impala the spinal cord terminated at the midlevel of S4 vertebra.

Animals↗