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Detection of a human parvovirus intrauterine infection with the polymerase chain reaction.

OBJECTIVE: To detect human parvovirus B19 intrauterine infection in pregnancy with the polymerase chain reaction (PCR). STUDY DESIGN: DNA of chorionic villi and amniotic fluid was extracted and the gene of human parvovirus B19 amplified with PCR. RESULTS: The study analyzed 61 specimens of chorionic villi and 26 specimens of amniotic fluid and found two positive specimens of chorionic villi and 1 positive specimen of amniotic fluid. CONCLUSION: The vertical transmission of human parvovirus B19 infection in early pregnancy may be a pathway of intrauterine infection. Chorionic villus sampling in early pregnancy and PCR could be developed as a method of prenatal diagnosis of human parvovirus B19 intrauterine infection.

Adult↗

[Detection and analysis of Fas gene (exon 1-6) mutations in keloids].

OBJECTIVE: To detect Fas DNA mutations (exon 1-6) in the fibroblasts of patients with keloids, thereby to understand the clinicopathological implications of altered structure of the keloids. METHODS: PCR followed by single-strand conformational polymorphism analysis and direct DNA sequencing were used to detect Fas gene mutations in 15 patients with keloids. RESULTS: Insertion and point mutations were identified on the boundary between intron 5 and exon 6 in two patients, while no Fas mutations were found in the fibroblasts derived from normal skin samples of any of the patients. CONCLUSION: Nonfunction of Fas protein may be related to aberrant gene structure that codes for the transmembrane domain.

Adult↗

Detection of aberrant p16 methylation in the serum of colorectal cancer patients.

OBJECTIVES: To detect aberrant p16 promoter methylation in serum of patients with colorectal cancer (CRC), and to explore the possibility of using this assay in early detection or as a prognostic marker. METHODS: Methylation-specific PCR was used to detect p16 methylation in DNA extracted from 52 CRCs and corresponding serum samples. Serum samples from 34 patients with adenomatous polyps and 10 healthy individuals were used as controls. The association of p16 hypermethylation in serum DNA of CRC patients with clinicopathological characteristics was analyzed. RESULTS: p16 methylation was found in 38% (20 of 52) of CRC tissues. Among the 20 patients with aberrant methylation in the tumor tissues, similar changes were also detected in the serum of 14 (70%) patients. No methylated p16 sequences were detected in the peripheral serum of the 32 CRC patients without these changes in the tumor, in 34 paitents with adenomatous polyps, or in 10 healthy controls. Clinicopathological analysis revealed that p16 methylation in serum was significantly associated with later Dukes' stage (chi(2) = 5.7, P = 0.03). CONCLUSION: This assay offers a potential means for the serum-based detection and/or monitoring of CRC patients.

Colorectal Neoplasms↗

[Detection of hepatitis C virus antibody in saliva and its clinical significance].

OBJECTIVE: To detect hepatitis C virus (HCV) antibody in saliva and find its clinical significance. METHODS: Sera and saliva samples from eighty-six patients were parallely detected HCV antibodies (anti-HCV) with EIA using a modified protocol. RESULTS: Twenty-nine of 86 patients were positive for anti-HCV in sera samples; and, 27/29 were also anti-HCV positive with saliva samples. For the 57 anti-HCV negative sera, the saliva samples were all negative. Comparing with the results of sera, the sensitivity (93.1%, 27/29) and specificity (100%, 57/57) of salivary detection for anti-HCV could be accepted. CONCLUSION: If the results of sera are considered as "golden standard", these results suggest that tests on saliva can be useful in HCV clinical diagnosis and epidemiological studies for estimating the prevalence of HCV in populations.

Antibodies, Viral↗

[Detection of human papillomavirus gene in biopsies from colon carcinoma by PCR].

OBJECTIVE: To detect the human papillomavirus gene (HPVs) in biopsies from colon carcinoma by PCR and to study the relationship between HPV infection and colon carcinoma. METHODS: 46 biopsies from colon carcinoma, 10 biopsies from tissue around carcinoma and 16 control biopsies were collected and DNA were extracted. The HPV DNA in biopsies were amplified by PCR using general primers (GP) and primers for HPV6/11, HPV16/33 and HPV18. RESULTS: 20 out of 46 biopsies from colon carcinoma showed HPV gene positive, HPV6/11, HPV6/33 and HPV18 positivity were 3, 11 and 6 respectively. HPV DNA was found in 1 case from 10 biopsies of surrounding tissue of carcinoma. 16 control biopsies were negative. CONCLUSION: HPV may be related to the etiology of colon carcinoma.

Colorectal Neoplasms↗

[Detection of differentially expressed genes in human autosomal dominant polycystic kidney tissue].

OBJECTIVE: To detect the differentially expressed genes in human polycystic kidney by cDNA microarray. METHODS: The PCR products of 8398 genes were spotted onto a chip in array. Both mRNAs isolated from polycystic kidney tissue and normal kidney tissue were reversely transcribed to cDNAs with the incorporation of fluorescent dUTP (Cy5-dUTP and Cy3-dUTP) for preparing the hybridization probes. The mixed probes were hybridized to the cDNA microarray. Then the cDNA microarray was scanned for the fluorescent signals and the display of differences between the 2 tissues. IGF1 mRNA, one of the up regulated genes was detected by in situ hybridization technique in the two tissues to validate the result from cDNA microarray. RESULTS: The result indicated that the expressions of 263 genes were up regulated while the expressions of 94 genes were down regulated in the polycystic kidney tissue among the 8398 target genes. Bioinformatical analysis of those genes had been performed. The up-regulated genes were mainly the ones of oncogene, cellular skeleton and movement, apoptosis related protein, cell signal transduction protein, and cytokine. The down regulated genes were mainly the ones of anti-oncogene, DNA binding and transcription factors, cell signal transduction protein, and metabolism protein. The IGF1 mRNA expression detected by in situ hybridization was consequently consistent with the cDNA microarray. CONCLUSION: cDNA microarray is an effective and quick method for studying differential expressed genes. Three hundred and fifty-seven differentially expressed genes with different functions were revealed in the polycystic kidney tissue, which may play some roles in the progression of polycystic kidney.

Carbocyanines↗

Initial storage of unfamiliar objects: examining memory stores with signal detection analyses.

The memory source(s) underlying performance of the object decision task were examined. Application of signal detection theory with independent indices of sensitivity and bias indicated that greater object decision sensitivity (possible vs. impossible object discrimination) is observed for primed than for unprimed objects and a greater bias to respond "possible" is observed for primed than for unprimed objects. To test whether a single memory store underlies the two effects, we assessed whether the two effects would be influenced in similar ways by a particular experimental manipulation. Sensitivity did not differ between processing of 180 degrees -rotated primed objects vs. un-rotated primed objects, but bias to respond "possible" differed between those conditions in predictable ways depending on the cerebral hemisphere of direct test presentations. Results support a conciliatory resolution to the debate concerning memory in this task and help to clarify properties of memory stores underlying the initial storage of unfamiliar objects.

Adult↗

Automatic rib segmentation and labeling in computed tomography scans using a general framework for detection, recognition and segmentation of objects in volumetric data.

A system for automatic segmentation and labeling of the complete rib cage in chest CT scans is presented. The method uses a general framework for automatic detection, recognition and segmentation of objects in three-dimensional medical images. The framework consists of five stages: (1) detection of relevant image structures, (2) construction of image primitives, (3) classification of the primitives, (4) grouping and recognition of classified primitives and (5) full segmentation based on the obtained groups. For this application, first 1D ridges are extracted in 3D data. Then, primitives in the form of line elements are constructed from the ridge voxels. Next a classifier is trained to classify the primitives in foreground (ribs) and background. In the grouping stage centerlines are formed from the foreground primitives and rib numbers are assigned to the centerlines. In the final segmentation stage, the centerlines act as initialization for a seeded region growing algorithm. The method is tested on 20 CT-scans. Of the primitives, 97.5% is classified correctly (sensitivity is 96.8%, specificity is 97.8%). After grouping, 98.4% of the ribs are recognized. The final segmentation is qualitatively evaluated and is very accurate for over 80% of all ribs, with slight errors otherwise.

Algorithms↗

Extracting object motion during observer motion: combining constraints from optic flow and binocular disparity.

Detection of object motion by moving observers and perception of velocity by stationary or moving observers ordinarily require information about object distance. It might be expected that object motion could be obtained without distance by use of a combination of optic flow and binocular disparity information. We describe how object motion could, in principle, be derived this way. The analysis also permits recovery of target distance. Finally, information about the observer's motion may be obtained in a similar fashion, assuming the existence of two stationary environmental points at an unknown distance. Although studies of human observers have not been completed, it appears that these informational variables are available under conditions in which observers perform well at detecting motion and stability. In particular, the information may help to explain why a visible surface in near space facilitates accurate perception.

Humans↗

Quantitative assessment of phototoxicity in the skin of hairless mice.

For determining threshold levels of inflammation resulting from a phototoxic regimen, measurement of ear thickness with a hand-held micrometer was compared with assessment by eye of the reaction on the dorsa of hairless mice. The ear-measurement technique was less sensitive with respect to the minimum concentration of 8-methoxypsoralen at which phototoxicity could be detected. However this technique was more quantifiable and more objective than detection of threshold responses by eye. Changes in ear thickness were detectable over an extended period of time with a maximum increase at 16 days; return to normal thickness occurred by 35 days. Compressibility of affected ears changed during the course of measurement, but repetitive measurement of the ears did not alter the development or resolution of the inflammatory response.

Animals↗

Contour symmetry detection: the influence of axis orientation and number of objects.

Participants discriminated symmetrical from random contours connected by straight lines to form part of one- or two-objects. In experiment one, symmetrical contours were translated or reflected and presented at vertical, horizontal, and oblique axis orientations with orientation constant within blocks. Translated two-object contours were detected more easily than one, replicating a "lock-and-key" effect obtained previously for vertical orientations only [M. Bertamini, J.D. Friedenberg, M. Kubovy, Acta Psychologica, 95 (1997) 119-140]. A second experiment extended these results to a wider variety of axis orientations under mixed block conditions. The pattern of performance for translation and reflection at different orientations corresponded in both experiments, suggesting that orientation is processed similarly in the detection of these symmetries.

Adult↗

Time series analysis of plasma LH and FSH concentrations as a method of assessing episodic secretion.

Time series analysis was used to detect LH and FSH episodes in untreated seasonally anoestrous ewes and prepubertal heifers, and in these animals when treated with low doses of GnRH. For comparison, these profiles were also assessed for episodic secretion by subjective, visual appraisal methods and by cycle detection-an objective threshold method. In untreated animals, time series analysis detected recurring events in the LH and FSH profiles, the period lengths of which varied between individual animals. When GnRH was injected at 2-h intervals, cycles in LH secretion with period lengths of 120 min were recorded in all animals, of 60 min in all ewes and 11/12 heifers, and of 40.5 min in 22/24 ewes and 10/12 heifers. The cycles with period lengths of 60 and 40.5 min are probably artefacts of this method of analysis. No consistent cycles in FSH release were detected in GnRH-injected anoestrous ewes, but 120-min cycles were recorded in 8/12 GnRH-injected heifers. When GnRH was administered to seasonally anoestrous ewes by continuous infusion, recurring cycles in both LH and FSH secretion were evident. However, there was no consistency in their period lengths and the mean number and frequency of cycles were similar to pretreatment values. The number of episodes detected by visual appraisal was influenced by the choice of episode definition. Both methods identified LH, but not FSH, episodes in response to each injection in all GnRH-injected animals. Cycle detection, which does not identify individual episodes, recorded LH and FSH episode frequencies similar to those detected by the more stringent method of visual appraisal. Time series analysis detected an FSH response to GnRH injections in prepubertal heifers that was not identified by the other methods of analysis. However, because of the asymmetric nature of LH episodes, it also detected cycles in LH profiles that were probably spurious. Subjective decisions influenced the frequencies of LH and FSH episodes recorded by visual appraisal, and the variation in episode amplitude in these profiles made cycle detection inappropriate. Each of these methods can contribute to the interpretation of hormone profiles, but their constraints and limitations must be recognized.

Anestrus↗

Web-based VR training simulator for percutaneous rhizotomy.

Virtual Reality offers great potential for surgical training--yet is typically limited by the dedicated and expensive equipment required. Web-based VR has the potential to offer a much cheaper alternative, in which simulations of fundamental techniques are downloaded from a server to run within a web browser. The equipment requirement is modest--an Internet-connected PC or small workstation--and the simulation can be accessed worldwide. In a collaboration between computer scientists and neurosurgeons, we have studied the use of web-based VR to train neurosurgeons in Percutaneous Rhizotomy--a treatment for the intractable facial pain which occurs in trigeminal neuralgia. This involves the insertion of a needle so as to puncture the foramen ovale, and lesion the nerve. Our simulation uses VRML to provide a 3D visualization environment, but the work immediately exposes a key limitation of VRML for surgical simulation. VRML does not support collision detection between objects--only between viewpoint and object. Thus collision between needle and skull cannot be detected and fed back to the trainee. We have developed a novel solution in which the training simulation has linked views: a normal view, plus a view as seen from the tip of the needle. Collision detection is captured in the needle view, and fed back to the viewer. A happy consequence of this approach has been the chance to aid the trainee with this additional view from needle tip, which helps locate the foramen ovale. The technology to achieve this is Java software communicating with the VRML worlds through the External Authoring Interface (EAI). The training simulator is available on the Web, with accompanying tutorial on its use. A major advantage of web-based VR is that the techniques generalize to a whole range of surgical simulations. Thus we have been able to use exactly the same approach as described above for neurosurgery, to develop a shoulder arthroscopy simulator--where again collision detection, and the view from the scope, are fundamental.

Computer-Assisted Instruction↗

The design of matching pursuit filters.

This paper presents a new technique for creating efficient and compact models from data, called matching pursuit filters. The design of a matching pursuit filter is based on an adapted wavelet expansion, where the expansion is adapted to both the data and the pattern recognition problem being addressed. This contrasts with most adaptation schemes, where the representation is a function of the data, but not of the problem to be solved. This approach does not decompose the images in the training set individually, but rather determines the expansion by simultaneously decomposing all the images. Because it uses two-dimensional wavelets as the building blocks for the decomposition, the representation is explicitly two-dimensional and is composed of local information. Matching pursuit filters can be trained to detect, recognize, or identify objects and have been applied to recognizing faces and detecting objects in infrared imagery.

Algorithms↗

Regional N-acetylaspartate reduction in the hippocampus detected with fast proton magnetic resonance spectroscopic imaging in patients with Alzheimer disease.

OBJECTIVE: To detect regional metabolic changes that resemble the expected spatial pattern of neuronal loss in patients with Alzheimer disease (AD). METHODS: Thirty-four patients with AD and 22 healthy control subjects were included in the study. Single-slice fast proton spectroscopic imaging was performed in parallel angulation to the temporal lobes. Proton spectra were selected from the hippocampus, the lateral temporal lobe, and the occipital lobe of both hemispheres to determine metabolite concentration of N-acetylaspartate (NAA), total creatine (tCr), including phosphocreatine and creatine, and choline-containing compounds (Cho). The metabolic ratios of NAA/tCr and Cho/tCr were calculated and compared between patients with AD and healthy volunteers. RESULTS: The NAA/tCr ratios were significantly reduced in the left (F(1,1) = 4.34, P =.04) and right hippocampus (F(1,1) = 9.96, P =.003) in patients with AD. The Cho/tCr ratios remained unchanged in both hippocampi. There was no significant change of either NAA/tCr or Cho/tCr in the lateral temporal and occipital lobes of patients with AD. CONCLUSION: This study provides evidence that fast proton spectroscopic imaging may detect the regional pattern of disturbed neuronal integrity in patients with AD with high spatial resolution in a short acquisition time.

Aged↗

Validation and reproducibility of ultrasonography in the detection of synovitis in the knee: a comparison with arthroscopy and clinical examination.

OBJECTIVE: Accurate detection of synovitis is important in both the diagnosis and outcome assessment of arthritis. This study was undertaken to assess the validity and reproducibility of ultrasonography (US) as a means of detecting synovitis in the knee, by comparing US findings with findings of arthroscopy and clinical examination. METHODS: Sixty consecutive patients with knee pain due to various arthritides had a clinical examination and US of their knee performed immediately prior to arthroscopy. All 3 assessments were performed by different clinicians who were blinded to the results obtained with the other modalities. US and clinical examination were compared with arthroscopically detected synovitis as the gold standard. Data from a subset of patients were used for calculating the inter- and intrareader reproducibility of US results, using a standard dichotomous (absence/presence of synovitis) as well as a graded (absence/grade of synovitis) scoring system. RESULTS: With the use of arthroscopy as the gold standard, US had a higher sensitivity (98% versus 85%), specificity (88% versus 25%), accuracy (97% versus 77%), positive predictive value (98% versus 88%), and negative predictive value (88% versus 20%) compared with clinical examination. The Cohen kappa values for inter- and intrareader reproducibility of US for distinguishing between presence and absence of synovitis were 0.71 and 0.85, respectively (P < 0.05 for both). The weighted kappa values for distinguishing grade of synovitis were 0.65 for inter- and 0.74 for intrareader reproducibility. The kappa value for intrareader reproducibility of arthroscopy results was 0.88. CONCLUSION: Ultrasonography is a valid and reproducible technique for detecting synovitis in the knee, and is more accurate than clinical examination. It may be valuable as a tool in studies investigating pain, diagnosis, and treatment response in knee arthritis.

Adolescent↗

Detection of Chlamydia trachomatis intrauterine infection using polymerase chain reaction on chorionic villi.

OBJECTIVE: To detect Chlamydia trachomatis intrauterine infection in the early pregnancy by using chorionic villi. METHOD: The C. trachomatis infection in pregnant women was investigated by cervical specimens and Clearview kits. DNA of chorionic villi was extracted and the gene of a major outer membrane protein of C. trachomatis was amplified by polymerase chain reaction (PCR). RESULTS: 120 cervical specimens of the pregnant women were analyzed and 10 cervical specimens were positive for C. trachomatis infection. In this study, the prevalence of C. trachomatis infection was approx. 8.3%. Fifty-nine specimens of chorionic villi and three positive specimens of C. trachomatis infection were analyzed by PCR. The incidence of C. trachomatis intrauterine infection in the early pregnancy was 5.1%. CONCLUSION: The vertical transmission of C. trachomatis infection in the early pregnancy may be a pathway of intrauterine infection. Chorionic villus sampling in early pregnancy and the PCR method could be developed as a technique for prenatal diagnosis of C. trachomatis intrauterine infection.

Cervix Uteri↗

Detection and isolation of prostate cancer cells from peripheral blood and bone marrow.

OBJECTIVES: To detect and isolate disseminated prostate cancer cells because significant effort has been directed toward defining the characteristics of the primary tumor that predict progression, but little progress has been made on evaluating the disseminated prostate cancer cell. Prostate-specific antigen (PSA) reverse transcriptase-polymerase chain reaction results in the bone marrow (BM) and peripheral blood (PB) of men with prostate cancer suggest many have disseminated cancer cells. METHODS: Disseminated epithelial cells were isolated from the BM and PB using Miltenyi antibody-coated paramagnetic microparticle technology. In the two-step selection process, anti-CD45 and anti-CD61 were used for negative selection, and anti-human epithelial antigen was used for positive selection. Cells were then stained for Ber-EP4 (a distinct epitope of the human epithelial antigen) and PSA. PSA reverse transcriptase-polymerase chain reaction was performed on an enriched aliquot. RESULTS: The normal controls were negative. Before prostatectomy, PSA-expressing epithelial cells were detected in 54% of BM and 24% of PB samples. At a median of 4 months after prostatectomy, PSA-expressing cells were detected in 33% of BM and 9% of PB specimens from men without evidence of disease. In men more than 5 years after prostatectomy, PSA-expressing cells were detected in the BM of 4 (29%) of 14, 2 of whom subsequently developed evidence of disease recurrence. CONCLUSIONS: The findings suggest that dissemination of cells is an early event in prostate cancer that is insufficient for the development of metastases. Isolation will allow interrogation of the phenotype and genotype of the cells.

Bone Marrow Cells↗