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[Study on the development of a choropleth atlas on cancer mortality using the inverse distance weight interpolation in the 1990's].

OBJECTIVE: To draw a chorochromatic atlas of mortality on China Cancer Database in order to display the geographical distribution of selected diseases in China and to identify its demographic and disease-specific patterns in the 1990's. METHODS: The source of data was from nationwide cause-of-death surveys conducted in the 1990's. Standardized rates were computed by direct method using the population age distribution in 1964 as the standard of weights. Inverse distance weight (IDW) was applied as the method of interpolation with the help of Arcview system to draw a choropleth map of cancer mortality. RESULTS: The IDW maps of cancer mortality shows a continuous and smooth variation, especially compared with maps drawn by filling method. CONCLUSION: With the application of inverse distance weight interpolation, it seemed feasible to draw continuous map of cancer on sampling data.

Cause of Death↗

HistoLogical, a computer atlas and drill of histology.

An educational program has been developed to aid the instruction of Histology, a required course for the first year medical student. The program was developed using SuperCard on an Apple Macintosh IIci computer. It incorporates high quality color images with a hypermedia format, i.e. the student can jump from topic to topic as he/she wishes. The program has an "atlas," which provides information about each image and topic being discussed, and a "drill," which presents to the student a question about an image and provides feedback tailored to the student's answer. In the drill, the student is asked to type in responses to the questions; the answer is judged by text recognition. For each question, feedback is written for the correct answer, incorrect answer, and up to 10 "accessory answers" (answers which might be expected although they are not correct). The faculty of the UMMS Histology course has encouraged the use of this program in this years' course, and evaluation received from faculty and students has been quite positive.

Computer Graphics↗

Atlas of the rat brain: quantitative distribution of the choline acetyltransferase.

We have developed a fluorescence microphotometry system for microanalysis of the quantitative distribution of neurotransmitters and their related chemical substances in the brain slice. In the present study, the extensive distributions of cholinergic systems were analyzed quantitatively and in detail throughout the rat whole brains by this novel method through immunohistochemical staining of choline acetyltransferase (CAT). The rat whole brain was slice coronally and continuously, and 50 slices were chosen at approximately 500 microns intervals and stained immunohistochemically for CAT. Immunohistochemical fluorescence intensities were measured through a 6 microns phi (on the slice) pinhole of a microscope, the brain slice was moved along the X- or Y-axes stepwise at 40 microns intervals under the objective lens of the microscope, and the distributions of fluorescence intensities were analyzed over the entire surface of the slice. The brain was divided into approximately 5,000,000 areas, and immunohistochemical fluorescence intensities of those areas were quantitatively measured. The obtained fluorescence intensities of CAT were classified into 8 ranks and were indicated by color coding and by three-dimensional graphics. Also, the actual fluorescence intensity values in large brain regions were presented. This type of brain atlas of the neurotransmitter or its related chemical substances provides very important information on their dynamics in the brain under experimental as well as pathological conditions. Also, this quantitative and detailed analysis is useful for combining morphological data with those from neurochemical and behavioral analyses of brain function.

Anatomy, Artistic↗

Computerized three-dimensional normal atlas.

This paper presents our ongoing project in which normal human anatomy and its quantitative data are systematically arranged in a computer. The final product, the Computerized Three-Dimensional Normal Atlas, will be able to supply tomographic images in any direction, 3-D images, and coded information on organs, e.g., anatomical names, CT numbers, and T1 and T2 values.

Computer Graphics↗

[Dietary preferences of domestic ruminants (cattle, sheep, goats) grazing on natural Sahelian and Sudano-Sahelian ranges. III. Epidermal characteristics of the principal plant species consumed on the pastures: compilation of a reference atlas with a view toward study of dietary preferences].

Microscopic analysis of vegetal fragments contained in the faeces and in the alimentary bolus is a method for studying the animals' diet on pastures. This work is conducted within the scope of a ruminant diet enquiry over Sahelian and Sudano-Sahelian pastures in Senegal. The author describes the epidermal characteristics of the main grazed plants (28 species) so as to constitute a reference atlas. An example of the identification key is exposed for 19 dicotyledons from their epidermal characteristics. This key will have to be completed and will help to recognize the plant debris contained in the faeces and in the alimentary bolus.

Animal Feed↗

An atlas of a rare neuronal surface antigen in the rat central nervous system.

The mature nervous system contains functional synaptic networks composed of neuronal sets and subsets whose identity and maintenance may rely on external surface molecules specific for these neuronal subdivisions. Such molecules may reside permanently on specific neurons, serving to identify those neurons within a complex population. From a collection of monoclonal antibodies made to the Torpedo cholinergic synaptosome preparation, we have identified several antibodies that bind the surface of some, but not all, neurons of the mature rat brain (Kushner and Stephenson, 1983; Kushner, 1984). In the present study we catalog which neurons of the entire rat brain and spinal cord are immunopositive for one of these antibodies, Tor 23. The atlas we have compiled can be used (1) on a practical level to guide affinity purifications and neuronal cell sorting, and (2) more esoterically to address whether surface antigenic sets of neurons share or define a common functional property. In the forebrain, Tor 23-positive neurons predominate as a rare cell type of the inner cortical laminae. In the midbrain, few cells stain. In the hindbrain, labeled neurons are dispersed among several nuclei. The exceptions to these observations, areas that almost exclusively contain Tor 23-immunopositive neurons, are the spinal cord ventral horn, the deep cerebellar nuclei, some cerebellar-related nuclei, selected auditory nuclei, the supraoptic and paraventricular nuclei of the hypothalamus, and the CA2 pyramidal neurons of the hippocampus. The neurons that bind Tor 23 are related biochemically by virtue of that shared epitope alone. Whether they are related in a functional manner is a separate issue. Tor 23 demarks many motor-related structures, specifically, the ventral horn motor lamina, the orofacial motor nuclei 5 and 7, the ambiguus nucleus, the deep cerebellar nuclei, the pontine reticulotegmental nucleus, the lateral reticular nucleus, the gigantocellular reticular nucleus, the red nucleus, and neurons within the motor and somatosensory cortices. The overlap of Tor 23 with motor structures suggests that Tor 23 is a motor system marker.

Animals↗

[Revision of the radium isodose atlas of Göttingen with a new calculation method].

The Radium Isodose Atlas of Göttingen was recalculated after having established a new computer program for the determination of dose distributions around intracavitary radium inserts. The program takes into consideration the complicated structure of the radium applicators type Buchler. The exactness of the program was checked by computing known radium sources and by detailed measures. The calculated dose values were reduced by 30% on an average with respect to the original measurements. This difference is explained mainly by the dependence on energy of the Cds dosimeter used at that time (1959). The clinically evaluated dose has not been changed (identical milligram element hours), however, a comparison of radium doses with other hospitals and with an additional percutaneous irradiation has become possible by the recalculation. Point A has been redefined according to international practice.

Brachytherapy↗

[Atlas of the stages of development of the nervous system in the intact human embryo].

Many features of the developing nervous system are visible in the intact human embryo, and a photographic atlas from 3-7 postovulatory weeks (stages 10-19) is provided. A number of features, such as the cerebellar plate, the cerebral vesicles, and the epiphysis cerebri, can be detected on external views at as early a stage as they have previously been recorded after microscopical examination. After 7 weeks it becomes increasingly difficult to identify features of the brain from the surface.

Anatomy↗

An atlas of notochord and somite morphogenesis in several anuran and urodelean amphibians.

A scanning electron microscopic, comparative survey of notochord and somite formation including some details of change in cell morphology and arrangement, was made of selected stages of two species of anuran amphibians (Xenopus laevis and Rana pipiens) and two species of urodeles (Ambystoma mexicanum and Pleurodeles waltlii). The ectoderm or neural plate was removed from fixed embryos and the dorsal aspect of the developing notochord and somite mesoderm was photographed. Micrographs of comparable stages of all species were arranged together to form an atlas of notochord and somite formation. Similar morphogenetic events occur in the same sequence in the four species. Notochordal cells become distinguishable from paraxial mesodermal cells by shape, closeness of packing, and arrangement. Notochordal elongation is accompanied by a decrease in cross-sectional area and by cell rearrangement. Somitic mesoderm becomes distinguished from lateral mesoderm by a change in cell shape and orientation, followed by segmentation of somites. The schedule of somite formation was compared and related to the staging series for each species. The urodeles differ from the anurans in that the notochordal region in the early neurula stages in triangular, with the broadest part in the posterior region of the embryo. In anurans it is uniform in width. This difference may reflect differences in gastrulation and in the mechanism of elongation of the posterior part of the embryo in the neurula.

Ambystoma mexicanum↗

[The ATLAS study (Assessment of Treatment with Lisinopril and Survival); justification and objectives].

Treatment with ACE inhibitors has improved the prognosis of cardiac failure (CF). The results of CONSENSUS I, SOLVD and V HEFT II show clinical improvement and longer survival with this therapeutic class of drugs. However, the search for the optimal dosage was not undertaken in these trials (a standard dose was fixed at the onset, average dose of enalapril from 15 to 20 mg/day). In clinical practice, patients are prescribed lower doses of ACE inhibitors (enalapril: 7.5 mg/day) than the averages used in large scale trials. In order to optimise the use of ACE inhibitors, the ATLAS study (Assessment of Treatment with Lisinopril and Survival) was undertaken with the precise objective of comparing two dosages (2.5 to 5 mg/day vs 32.5 to 35 mg/day) of lisinopril on the morbidity and mortality of patients with CF. This international, multicenter, randomised, double-blind parallel group trial aims to include 3,000 patients over 18 years of age with NYHA Classes II, III and IV, and an ejection fraction < or = 30% and to follow them up for 3 to 4.5 years. Nearly 30 French centres will participate in this trial. After an initial, open period of evaluation of tolerance (5 mg to 15 mg/day of lisinopril in France), the patients will be randomised to two groups. After randomisation, all patients will receive 5 mg per day of lisinopril. The "high dose" group will receive 20 mg/day for two weeks, then 30 mg/day in addition to the "open dosage". In cases of intolerance, the dosage may be reduced to 20 mg/day or 10 mg/day, or the drug may be withdrawn.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical Protocols↗

[The crystal structure atlas data base system for chemical constituents of Chinese traditional and folk medicine].

The atlas data base system for chemical constituents of Chinese traditional and folk medicine is the first one for single crystal structure in China. It includes about 250 crystal structures of chemical ingredients of Chinese traditional and folk medicine. It has searching, plotting and computing functions. It is a useful reference base. All softwares are written in dbaseIII, FORTRAN and Assembler Languages. They can be run on PC-286,386,486 and their compatible microcomputers.

Crystallography↗

Atlas of individual radiographic features in osteoarthritis.

Radiographs of the hand, hip and knee were screened for evidence of osteoarthritis (OA). Specific sites selected for screening on the postero-anterior radiographs of the hand included the base of the thumb with distal and proximal interphalangeal joints; these regions were examined for formation of marginal osteophytes, joint space narrowing and subchondral lucency. Sites selected from antero-posterior radiographs of the hip included the acetabular and femoral portions of the joint; these regions were examined for joint space narrowing, subchondral lucency, marginal osteophytes and subchondral sclerosis. Sites selected from antero-posterior weight-bearing radiographs of the knee included distal femora and proximal tibiae including the medial and lateral compartments; these regions were examined for joint space narrowing, marginal osteophytes and subchondral sclerosis. Sites selected from axial views of the patellofemoral joint examined the medial and lateral portions; these regions were examined for joint space narrowing, osteophytes, subluxations and subchondral sclerosis. A set of photographic prints was made from the collection of radiographs. These specific features of OA were graded on each print and a subset of prints was selected that best demonstrated the spectrum of severity for each feature of OA. This resultant atlas is offered as an updated guide to standardize interpretation of radiographs prior to and during clinical trials.

Cartilage, Articular↗

An atlas of HIV-associated oral lesions: a new classification and diagnostic criteria.

Many oral lesions are strongly associated with HIV infection. Along with the HIV-infected individual's T helper cell count (CD4 + cell count), they indicate the severity of immune suppression. It is important for dental professionals to recognize these lesions early, as it alerts patients to their HIV status, and allows them to receive appropriate and prompt treatment for their HIV infection and related oral conditions. An atlas of the oral lesions commonly associated with HIV infection is presented. To update dental providers and assist them in the recognition and diagnosis of these conditions, the recent criteria for diagnosis suggested by the European Economic Community (EEC) Clearinghouse on Oral Problems Related to HIV Infection and the World Health Organization (WHO) Collaborating Centre on Oral Manifestations of the Immunodeficiency virus are also presented.

AIDS-Related Opportunistic Infections↗

Structural and functional analyses of human cerebral cortex using a surface-based atlas.

We have analyzed the geometry, geography, and functional organization of human cerebral cortex using surface reconstructions and cortical flat maps of the left and right hemispheres generated from a digital atlas (the Visible Man). The total surface area of the reconstructed Visible Man neocortex is 1570 cm2 (both hemispheres), approximately 70% of which is buried in sulci. By linking the Visible Man cerebrum to the Talairach stereotaxic coordinate space, the locations of activation foci reported in neuroimaging studies can be readily visualized in relation to the cortical surface. The associated spatial uncertainty was empirically shown to have a radius in three dimensions of approximately 10 mm. Application of this approach to studies of visual cortex reveals the overall patterns of activation associated with different aspects of visual function and the relationship of these patterns to topographically organized visual areas. Our analysis supports a distinction between an anterior region in ventral occipito-temporal cortex that is selectively involved in form processing and a more posterior region (in or near areas VP and V4v) involved in both form and color processing. Foci associated with motion processing are mainly concentrated in a region along the occipito-temporal junction, the ventral portion of which overlaps with foci also implicated in form processing. Comparisons between flat maps of human and macaque monkey cerebral cortex indicate significant differences as well as many similarities in the relative sizes and positions of cortical regions known or suspected to be homologous in the two species.

Anatomy, Cross-Sectional↗

[Analysis of cerebral blood flow SPECT imaging on standard brain atlas in patients with dementia of Alzheimer type].

Statistical parametric map (SPM) has been developed by Friston et al. to analyze focal changes in rCBF induced by brain activation. This automated and objective approach has the potential of being applied to SPECT image data sets. This study evaluated an automated analysis of brain SPECT imaging in patients with dementia of Alzheimer type (DAT) using SPM95. Seventeen patients with clinically diagnosed moderate to severe DAT and nine normal control subjects were studied. The SPECT device used was a triple-headed rotation gamma camera GCA9300A/HG. All images were transformed into the standard anatomical space of the stereotactic brain atlas of Talairach and Tournoux, and then smoothed. Statistical analysis was made between DAT and normal control groups. SPM analysis of SPECT images revealed that the parieto-temporal areas and posterior cingulate gyrus of both cerebral hemispheres were significantly decreased in DAT patients compared to normal controls. In conclusion, SPM analysis of SPECT images proved to be useful in the evaluation of abnormal perfusion areas of demented patients.

Aged↗

[Stepwise analysis of cerebral blood flow SPECT imaging on standard brain atlas in patients with dementia of Alzheimer's type].

Statistical parametric mapping (SPM) has been developed by Friston et al. to analyze focal changes in regional cerebral blood flow (rCBF) induced by brain activation. This automated and objective approach has the potential of being applied to single photon emission computed tomography (SPECT) image data sets. This study evaluated an automated analysis of N-isopropyl-p[123I]iodoamphetamine SPECT (123I-IMP) imaging in patients with dementia of Alzheimer's type (DAT) using statistical parametric mapping '95 (SPM'95). Eighteen patients with clinically diagnosed mild to severe DAT who were classified into two groups and ten normal control subjects were studied. The SPECT device used was a triple-headed rotation gamma camera. All images were transformed into the standard anatomical space of the stereotaxic brain atlas of Talairach and Tournoux, and then smoothed. Statistical analyses were made between severe DAT, mild DAT and normal control groups. SPM analysis of 123I-IMP SPECT images revealed that the parietotemporal association areas and posterior cingulate gyri of both cerebral hemispheres were significantly decreased in CBF in mild DAT group compared to normal controls. In comparison of DAT groups, the right hippocampal area and basal forebrain were significantly decreased in CBF in severe DAT group. In conclusion, these results obtained by SPM analysis of SPECT images suggested that the right hippocampal area and basal forebrain followed the parietotemporal association areas and posterior cingulate gyri in the reduction of the rCBF in patients with DAT.

Aged↗