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Precision and accuracy of peripheral quantitative computed tomography (pQCT) in the mouse skeleton compared with histology and microcomputed tomography (microCT).

UNLABELLED: pQCT was evaluated for accuracy of phenotypic characterization of mouse bone in vivo. Bones (tibia, femur, spine) of 27 animals were measured ex vivo with pQCT, microCT, and histomorphometry and of 23 mice in vivo (pQCT). pQCT yielded satisfactory in vivo precision and accuracy in skeletal characterization. INTRODUCTION: Important aspects of modern skeletal research depend on the phenotypic characterization of genetically manipulated mice, with some approaches requiring in vivo measurement. Peripheral quantitative computed tomography (pQCT) is applicable in vivo and provides opportunities to determine a large variety of bone parameters. Here we test the ex vivo and in vivo reproducibility of pQCT, and its accuracy in comparison with histomorphometry and microcomputed tomography (microCT). MATERIALS AND METHODS: We examined the tibia, femur, and lumbar spine of 27 mice ex vivo with high-resolution pQCT, using two mouse models (wild-type and ob/ob) with known differences in bone density. Measurements were repeated three times at different days in nine animals. In a second experiment, 23 animals (10 wild-type and 13 bGH transgenic mice) were repeatedly measured in vivo at 12 and 13 weeks of age, respectively. RESULTS: Among metaphyseal sites, the ex vivo precision was highest at the distal femur (RMS CV < 1% for density and < 2% for area). The correlation between density (pQCT) and bone volume fraction (histomorphometry) was r2 = 0.79 (tibia, femur, and spine), and that with microCT was r2 = 0.94 (femur). At the diaphysis, the precision was highest at the femur (< 2% for total and cortical area), and the correlation with microCT was r2 > 0.77. The in vivo precision for bone density (distal femur) was 2.3-5.1%, and that for absolute and relative cortical area (tibia) was 3.1% and 2.2%. CONCLUSIONS: The results show that pQCT can yield satisfactory precision and accuracy in skeletal characterization of mouse bones, if properly applied. The potential advantage of pQCT is that it provides a large set of parameters on bone properties and that it can be used in vivo, extending the available methodological repertoire for genetic studies.

Animals↗

High-resolution imaging of osteoarthritis using microcomputed tomography.

Three-dimensional imaging of osteoarthritis is so far limited to late stages of the disease. In this chapter we introduce microcomputed tomography (microCT) as a new imaging tool that offers exciting features for diagnosis of earlier disease stages and for disease monitoring. microCT provides spatial resolution better than 100 microm, but the size of the objects that can be scanned is restricted to several centimeters. The strength of X-ray-based techniques like micro CT is the excellent visualization of bone. Therefore, the main application of microCT in osteoarthritis (OA) will be the analysis of bone in small-animal models or of human bone biopsies. As an example, we will exemplarily describe the application of microCT for the examination of knee joints of male STR1N mice. This inbred strain spontaneously develops OA that carries many characteristics of the human disease. With microCT it is possible to monitor the prominent bony alterations such as osteophyte formation, trabecular remodeling, subchondral bone plate thickening, and subchondral sclerosis. We discuss sample preparation, scanning procedures, data processing, and analysis as well as implications and restrictions for in vivo and in vitro applications.

Animals↗

Three-dimensional imaging using microcomputed tomography for studying tooth macromorphology.

BACKGROUND: The authors conducted a study to demonstrate potential applications of microcomputed tomography (microCT) in the analysis of tooth morphology. METHODS: The authors selected for microCT analysis five maxillary first molars with a second canal in the mesiobuccal (MB) root, five mandibular first molars with a mesial root possessing a considerable curvature and five single-canal premolars with complicated apical anatomy. The hardware device used in this study was a desktop X-ray microfocus CT scanner (SkyScan 1072, SkyScan bvba, Aartselaar, Belgium). RESULTS: The authors obtained a three-dimensional image from each of the 15 teeth. In three cases, the MB canals coalesced into one canal, while in the other two molars the canals were separate. Four of the five mandibular molars exhibited a single canal in the mesial root, which had a broad, flat appearance in a mesiodistal dimension. In the premolar teeth, the canals were independent; however, the apical delta and ramifications of the root canals were obvious, yet intricate. CONCLUSIONS: MicroCT offers a reproducible technique for 3-D noninvasive assessment of root canal systems. CLINICAL IMPLICATIONS: While this technique is not suitable for clinical use, it can be applied to improve preclinical training and analysis of fundamental procedures in endodontic and restorative treatment.

Humans↗

Correlations between microcomputed tomography and bone histomorphometry in Korean young females.

The bone mass and microarchitecture are important determinants of bone strength, with microarchitectural deterioration being one of the specific changes associated with osteoporosis. The purpose of this study was to evaluate and compare the results of microcomputed tomography (micro-CT) and histomorphometry of biopsied specimens. A bone biopsy was performed on the iliac crest of 10 normal premenopausal Korean women. Measurements of the bone mineral density (BMD), micro-CT, and bone histomorphometry were performed. The bone volume, as determined by both micro-CT and histomorphometry, was significantly correlated (r=0.88, p < 0.01). The osteoid surface was correlated with both the bone volume (r=0.84, p < 0.01) and the structure model index (SMI) (r= -0.89, p < 0.01) measured by micro-CT. The SMI was correlated with both the bone volume (r=-0.85, p < 0.01) and the total hip BMD (r=-0.65, p < 0.05). In conclusion, some, but not all of the parameters of the micro-CT, were well correlated with the bone histomorphometric results. Micro-CT and histomorphometry appear to be complementary techniques in the study of bone microarchitecture.

Adult↗

Determining i.v. infusion rates for critical care drugs using a microcomputer.

Calculating intravenous (IV) infusion rates for critical care drugs can be a time-consuming and error-prone task. A microcomputer program was developed to: generate IV infusion rate charts that are both patient and drug-specific; provide the user with on-line drug information necessary to correctly prepare and administer the drug; and allow the user to rapidly perform individual dose-to-rate and rate-to-dose calculations. The program was written in BASIC programming language and runs in compiled form. It is completely menu-driven, requiring only single-keystroke commands. This program demonstrates that specific pharmacy software programs can be developed "in-house" easily and inexpensively.

Critical Care↗

[Three-dimensional microstructural analysis of human lumbar vertebrae using microcomputed tomography in bone metastasis from prostate cancer].

Prostate cancer frequently metastasizes to bone, inducing osteosclerotic lesions. However, the morphological details of bone metastasis of prostate cancer have not been clarified. The trabecular bone structure of bone metastasis from prostate cancer was investigated in three dimensions using microcomputed tomography (micro-CT). A total of 17 cubes of the lumbar spine of a 77-year-old man with prostate cancer were excised post mortem: four of them from non-metastatic and the rest from metastatic sites. The samples were measured using micro-CT with a resolution of 23.2 microns and the standard structural indices and degree of anisotropy were computed. After micro-CT measurement, the samples were tested in a destructive manner for the assessment of mechanical properties. Samples from the metastatic sites showed significantly higher values than those from non-metastatic sites for bone volume (BV), bone surface (BS), bone volume fraction (BV/TV), trabecular thickness (Tb.Th), and trabecular number (Tb.N) (p < 0.005). Bone surface density (BS/BV) and trabecular separation (Tb.Sp) were significantly higher in the samples from non-metastatic sites (p < 0.001). Samples from metastatic sites showed a more isotropic arrangement of trabecular bone than those from non-metastatic sites. Three-dimensionally reconstructed images depicted several different patterns of sclerotic bone metastasis, and osteolytic appearance was observed in all of them. Structural parameters such as BV/TV were well correlated with the mechanical properties (r = 0.899). The present study clarified the trabecular microstructure of bone metastasis from prostate cancer and suggests that both osteolysis and osteogenesis progress while interacting with each other in all phases of bone metastasis.

Aged↗

Three-dimensional imaging of fractures in outlet struts of Björk-Shiley convexo-concave heart valves by microcomputed tomography in vitro.

BACKGROUND AND AIMS OF THE STUDY: For implanted Björk-Shiley convexo-concave (BSCC) heart valves, structural failure of the valve's U-shaped outlet strut results in embolization of its blood flow-regulating disc (occluder), with consequent patient morbidity and mortality. After a variable and unpredictable number of cardiac cycles, one strut leg may fatigue ('single-leg separation'; SLS); subsequently the other strut leg may also fatigue, resulting in full structural failure ('outlet strut failure'; OSF). Some BSCC valves are believed to be at more risk of SLS and OSF than others. As valves may function in the SLS condition for some time before OSF occurs, several investigators have sought non-invasive methods to differentiate valves with SLS struts from valves with intact struts in order to provide a rationale for prophylaxis. Herein, we report the use of X-ray microcomputed tomography (micro-CT) to image and characterize SLS strut fractures, including fracture faces otherwise visible only by means of physical sectioning. METHODS: An X-ray micro-CT system was adapted to provide high-resolution, three-dimensional (3D) images of intact and fractured BSCC valve outlet struts in vitro. System modifications included use of a tungsten anode X-ray source to achieve sufficiently high X-ray energies to overcome attenuation within the metal structures, and a hafnium filter to minimize the imaging artifact caused by X-ray beam hardening. For rotating the valve for tomographic scanning, special alignment procedures were developed to maintain the region of interest within the field of view. Typical 3D images of the outlet struts were composed of cubic voxels, 10 microm on a side. Image analysis and display software was used to view the outlet struts and the fractures from several perspectives, including en-face images of fracture surfaces. RESULTS: 3D volume data representations of the SLS and intact outlet struts were obtained, facilitating identification of fracture location and geometry. Enface images of the fracture surfaces were also generated. Several different fracture geometries were observed, such as fractures with and without longitudinal gaps between the fracture faces, and fractures with and without lateral displacement between the faces. En-face views showed varying degrees of roughness on fracture faces. CONCLUSION: This application of micro-CT to image outlet strut fractures in BSCC valve explants demonstrates the value of this method for fracture characterization in vitro, including visualization of fracture faces of SLS struts without physical sectioning. Although the method is not suitable for clinical use because it requires high-intensity X-rays, micro-CT can serve as a tool to understand further any failure mechanisms, and to aid the development of clinical differentiation methods.

Heart Valve Prosthesis↗

In-house microcomputer software package for management of histopathology reports.

A system for computerising histopathology records developed in-house using dBASE IV on IBM-compatible microcomputers in a local area network is described. The software package uses a horizontal main menu bar with associated pull-down submenus as interface between the machine and the user. It is very easy to use. The package provides options for selecting databases by years, entering/editing records, browsing data, making multi-characteristics searches/retrievals, printing data, and maintaining databases that includes backing-up and repairing corrupted databases.

Database Management Systems↗

Microcomputed tomographic analysis of the peri-implant bone.

A recently developed technology allows evaluation of bone biopsies with 3-D microcomputed tomography (microCT). The present study evaluated the feasibility of application of microCT to the analysis of peri-implant bone tissues. A human bone biopsy containing a titanium screw was analyzed using a microCT scan. The parameters computed by the microCT were bone volume, bone surface, trabecular thickness, trabecular separation, and bone connectivity. Also, the bone-to-implant apposition was measured, and all results were compared with those obtained with standard histomorphometry of the same biopsy. The results of the present study suggest that microCT enables 3-D nondestructive evaluation of bone biopsies containing endosseous titanium implants, also allowing analysis of the bone-implant interface. Measurements of bone-to-implant apposition obtained by microCT were similar to those obtained with standard undecalcified histology.

Biopsy↗

Microcomputer-generated antigen panel worksheets.

Many antibody identifications require testing with cells of rare or uncommon phenotypes. To expedite the resolution of these identifications, we developed a microcomputer database using Lotus 123 to enter antigen phenotypes from our frozen cell inventory. Data is entered into a customized screen input form and automatically copied to the database The use of an input form protects the database from inadvertent errors made while entering data. The database can be searched for any combination of red cell phenotypes. When found, the selected cells are extracted tu a predesigned worksheet. Panel worksheet forms are created with Allways, a software program used in conjunction with Lotus 123, Allways is specifically designed to generate quality printouts with a laser printer. The program has many formatting features that simplify horizontal and vertical ruling for the worksheet. In addition, the program provides degrees of shading to highlight specific antigens or entire columns or rows of information. Once the worksheet template has been designed, it is automatically saved with the database file. More than one worksheet template can be stored in the database file. This program reduces the amount of time spent searching through records to find the necessary cells for testing, It also reduces potential error in hand copying antigen phenotypes to a worksheet. This application can also he used for HLA panels.

Journal Article↗

[Development of a portable glucose meter based on PIC microcomputer].

A portable glucose meter based on PIC microcomputer with data storage, analysis and historical data curve display functions, is presented. The concentration of blood glucose is detected with a glucose oxidase electrode. Test records may be stored and historic data can be displayed on the LCD with a fitting curve.

Blood Glucose Self-Monitoring↗

Microcomputer-based rehabilitation for unilateral left visual neglect: a randomized controlled trial.

Microcomputers are widely used in cognitive rehabilitation of brain damage. Unilateral neglect is commonly a target of cognitive rehabilitation, both computer-based and non-computer-based. This study reports the results of a randomized controlled trial of computer-based rehabilitation with blind follow-up for six months. Thirty-six patients with unilateral neglect, as defined by the behavioral subtests of the Behavioural Inattention Test, were randomized into two groups. One group of 20 subjects received a mean of 15.5 (SD = 1.8) hours of computerized scanning and attentional training; the second group of 16 subjects received a mean of 11.4 (SD = 5.2) hours of recreational computing (selected to minimize scanning and timed attentional tasks). Blind follow-up at the end of training and six months after revealed no statistically or clinically significant results between groups. These findings argue against routine clinical use of this type of computerized training until further studies establish what type, frequency, and duration of training produces clinically significant changes in unilateral visual neglect if, indeed, computerized training can have an effect with this type of disorder.

Aged↗

Differential effects of scopolamine and amphetamine on microcomputer-based performance tests.

Scopolamine (1.0 mg) and d-amphetamine (10 mg) were administered alone and in combination to 16 subjects (medical students), randomly assigned to testing sessions in a fully crossed-over (Latin square) within-subjects design. After being practiced to stability, 9 performance tests from a menu of portable microcomputer-based tests were administered double-blind over 4 weekly treatments (including a placebo). Differential effects of drugs on performance were found. Motor and perceptual speed tests appeared enhanced by d-amphetamine and not degraded by scopolamine. Two of the five cognitive tests showed reductions with scopolamine. The findings are discussed in connection with using a menu of performance tests that can have diagnostic significance for assessment of drug treatments. The effects of scopolamine in this study and others are considered in terms of a model which implies that magnitude of performance deficit depends on performance type (cognitive, motor, self-report) and dosage level. Applying the model, we offer the following summary: below 0.15 mg scopolamine is without any effect; below 0.50 mg, the effect is limited, but can be revealed by some sensitive, complex performance tests and self-report; above 1.0 mg, the effect is likely to impact on operational efficiency.

Administration, Oral↗

Microcomputers in the teaching laboratory: a hematology case study.

The new mass market microcomputers offer an economical means of providing individualized instruction to medical technology students. A program that uses case studies to familiarize students with the erythrokinetic model for classifying anemias is being used to supplement classroom instruction at Minot State College, Minot, North Dakota. The program encourages students to apply the information they receive in class to solving practical problems in hematology.

Computer-Assisted Instruction↗

A microcomputer based program for the storage and retrieval of experimental animal information.

A microcomputer based program for the storage and selective retrieval of experimental animal information has been developed for use on any system which runs under CP/M system software. The program has been designed to be completely conversational, to communicate with the user in French, English, or Spanish, and to allow the user to define the data format and the alphanumeric coding scheme.

Animals↗

A microcomputer based portable hemodialysis system.

A microprocessor controlled portable hemodialysis system (The Suitcase Kidney) has been designed and 18 dialyses have been successfully completed. The microprocessor is shown to be an improvement and simplification over the conventional discrete control mechanisms presently used to monitor and control system functions. The microprocessor is shown to reduce development time, complexity and size of the system while improving patient safety. A description of the system is presented emphasizing the functioning of the microcomputer.

Computers↗

Acquisition of high-resolution digital images in video microscopy: automated image mosaicking on a desktop microcomputer.

For the digital processing of microscopical images, mosaicking is a prerequisite if the specimen is larger than the camera field at the necessary magnification. This study investigates the possibilities and limitations of fully automated mosaicking on a desktop computer. Cross-correlation-based frame registration was performed with high reliability if the video frames were edge-enhanced before matched filtering, and also in a reasonable time since the search for matches was restricted to pairs of consecutive frames. An environment for routine mosaicking was developed and implemented in a widely used desktop image-processing program. The software developed during this study has been released to the public domain.

Animals↗