Preoperative assessment and staging of hilar cholangiocarcinoma with 16-multidetector computed tomography cholangiography and angiography

BACKGROUND/AIMS

To evaluate prospectively the preoperative use of 16-multidetector computed tomography (MDCT) with cholangiography and angiography in determining the resectability of hilar cholangiocarcinoma.

METHODOLOGY

From January 2002 to January 2008, 75 consecutive patients with hilar cholangiocarcinoma underwent preoperative MDCT with cholangiography and angiography. 3D images of the portal vein, hepatic artery, and bile ducts were created and viewed simultaneously. The accuracy of MDCT with cholangiography and angiography was determined by comparison with intraoperative and pathologic findings.

RESULTS

All patients tolerated the CT imaging well and without serious complication. The sensitivity, specificity, and accuracy rates were 92.9%, 100%, and 96% for portal vein invasion and 83.3%, 100%, and 93.3% for hepatic arterial invasion. The accuracy rate of longitudinal tumor extension, using the modified Bismuth-Corlette classification, was 96%. The sensitivity, specificity, and accuracy of prediction of resectability were 95.7%, 82.1%, and 90.7%, respectively.

CONCLUSIONS

Preoperative MDCT with cholangiography and angiography gave a good assessment of the degree of biliary and vascular involvement of hilar cholangiocarcinoma. It also accurately predicted resectability.

Prolongation of rat intestinal allograft survival by administration of triptolide-modified donor bone marrow-derived dendritic cells

Severe graft rejection remains an important obstacle in intestinal transplantation. In this study, dendritic cells (DCs) isolated from rat bone marrow were cultured for 5 days, and triptolide applied for 3 more days. The recipient rats were pretreated with donor triptolide-modified or not modified DC. Small bowel transplantation was performed to observed survival times. We demonstrated that triptolide markedly inhibited both the expression of CD80 and MHCII expression on DCs. Triptolide-modified DCs stimulated lower proliferative responses among allogeneic T cells, prolonging the survival of intestinal allografts in rats. These results suggested that pretreatment with triptolide-modified DC prolonged the survival of rat small bowel allografts after transplantation.

Caseinolytic protease: a protein vaccine which could elicit serotype-independent protection against invasive pneumococcal infection

Invasive pneumococcal diseases incur significant mortality, morbidity and economic costs. The most effective strategy currently available to reduce the burden of these diseases is vaccination. In this study, we evaluated the protective efficacy of immunizing mice with caseinolytic protease (ClpP) protein antigen whose gene sequences were shown to be highly conserved in different strains of Streptococcus pneumoniae in an invasive-disease model (intraperitoneal infection model), and protection against invasive challenge with 12 different serotypes of S. pneumoniae was assessed in two murine strains. Our findings demonstrated that active immunization with ClpP and passive immunization with antibodies specific for ClpP could elicit serotype-independent protection effectively against invasive pneumococcal infection. Therefore, to our knowledge, this study is the first report that immunization with single pneumococcal ClpP protein antigen could protect against such broad-range pneumococal strains, which thus supports the development of ClpP as a human penumococcal vaccine.

The Effect of Signal Quality on Six Cardiac Output Estimators

The effect of signal quality on the accuracy of cardiac output (CO) estimation from arterial blood pressure (ABP) was evaluated using data from the MIMIC II database. Thermodilution CO (TCO) was the gold standard. A total of 121 records with 1,497 TCO measurements were used. Six lumped-parameter and systolic area CO estimators were tested, using ABP features and a robust heart rate (HR) estimate. Signal quality indices for ABP and HR were calculated using previously described metrics. For retrospective analysis, results showed that the Liljestrand method yielded the lowest error for all levels of signal quality. Increasing signal quality decreased error and only marginally reduced the amount of available data, as a signal quality level of 90% preserved sufficient data for almost continuous CO estimation. At the recommended signal quality thresholds, the lowest gross root mean square normalized error (RMSNE) was found to be 15.4% (or 0.74 L/min) and average RMSNE was 13.7% (0.71 L/min).

Computer simulation comparison of tripolar, bipolar, and spline Laplacian electrocadiogram estimators

A comparison of the performance of the tripolar and bipolar concentric as well as spline Laplacian electrocardiograms (LECGs) and body surface Laplacian mappings (BSLMs) for localizing and imaging the cardiac electrical activation has been investigated based on computer simulation. In the simulation a simplified eccentric heart-torso sphere-cylinder homogeneous volume conductor model were developed. Multiple dipoles with different orientations were used to simulate the underlying cardiac electrical activities. Results show that the tripolar concentric ring electrodes produce the most accurate LECG and BSLM estimation among the three estimators with the best performance in spatial resolution.

Tailoring the photoluminescence of ZnO nanowires using Au nanoparticles

Rational design of hybrid nanostructures through attaching nanowires with nanoparticles is an effective route to enhance the existing functionalities or to explore new ones. We carry out a systematic investigation on the photoluminescence of ZnO nanowire-Au nanoparticle hybrid nanostructures synthesized by attaching Au nanoparticles onto ZnO nanowires. Citrate-stabilized 40 nm Au nanoparticles effectively quench the green emission and enhance the UV emission of the ZnO nanowires, which is consistent with the wavelength-dependent generation of surface plasmon. The UV/green emission intensity ratio could be reversibly and reproducibly tailored by attaching/detaching Au nanoparticles. This enhancement of UV emission diminishes if the Au nanoparticles are coated with a polymer layer. We also find that the orange-red emission of the ZnO nanowires is related to the excess oxygen on the ZnO surface, and it is also tunable via annealing and surface modifications.

Selenocystine induces apoptosis of A375 human melanoma cells by activating ROS-mediated mitochondrial pathway and p53 phosphorylation

Selenocystine (SeC), a naturally occurring selenoamino acid, has been shown to be a novel compound with broad-spectrum anticancer activity. In this study, we showed that SeC triggered time- and dose-dependent apoptosis in A375 human melanoma cells by activating the mitochondria-mediated and death receptor-mediated apoptosis pathways. Pretreatment of cells with a general caspase inhibitor z-VAD-fmk significantly prevented SeC-induced apoptosis. A375 cells exposed to SeC showed an increase in levels of total p53 and phosphorylated p53 (serine-15). Silencing of p53 expression with RNA interference significantly suppressed SeC-induced p53 phosphorylation, caspase activation and apoptotic cell death. Moreover, generation of reactive oxygen species and subsequent induction of DNA strand breaks were found to be upstream mediators of p53 activation induced by SeC. In a nude mice xenograft experiment, SeC significantly inhibited the tumor growth of A375 cells via induction of apoptosis. Taken together, these results suggest the potential applications of SeC in cancer chemoprevention.

Latent Tree Models and Approximate Inference in Bayesian Networks

We propose a novel method for approximate inference in Bayesian networks (BNs). The idea is to sample data from a BN, learn a latent tree model (LTM) from the data offline, and when online, make inference with the LTM instead of the original BN. Because LTMs are tree-structured, inference takes linear time. In the meantime, they can represent complex relationship among leaf nodes and hence the approximation accuracy is often good. Empirical evidence shows that our method can achieve good approximation accuracy at low online computational cost.

The application of MR brain surface anatomy scanning in the operation of intracranial parasagittal meningiomas

PURPOSE

To assess the usefulness of magnetic resonance (MR) brain surface anatomy scanning (SAS) in neurosurgery for intracranial parasagittal meningiomas.

METHODS AND MATERIALS

Pre-operative MR brain SAS was performed on 22 patients who underwent operations for intracranial parasagittal meningiomas. The tumour, the sagittal sinus and parasagittal circumflex veins adjacent to the tumour were examined.

RESULTS

For all 22 patients, the locations and extensions of brain surface parasagittal circumflex veins observed from MR brain SAS images correlated well with operative findings. Brain surface circumflex veins were preserved completely for 17 patients, in four patients tumour-related brain surface circumflex veins were resected, and in one patient brain surface circumflex veins crossing over the tumour surface were resected. No post-operative oedema or injury in nervous function was found in these patients, hence satisfying surgical outcomes were obtained.

CONCLUSION

MR brain SAS is able to clearly delineate brain surface circumflex veins which are close to parasagittal meningiomas, give an appropriate pre-operative evaluation, and provide instructive suggestions for the preservation or resection of veins on the tumour surface during the operation. It has great significance in the prevention of postoperative vasogenic oedema due to the dysfunction of vein circumfluence and the further neuro-dysfunction due to brain oedema. Consequently the surgical outcome can be improved and post-operative complications can be reduced.

Paramagnetic hyperfine splitting in the Eu Mössbauer spectra of CaF(2):Eu

(151)Eu Mössbauer spectra in zero magnetic field of highly dilute (0.1 mol%) Eu(2+) ions in CaF(2) showed an almost temperature-independent asymmetrically split pattern, arising from the paramagnetic hyperfine interaction AS. I in a cubic crystal field with slow electron spin relaxation; in a small external magnetic field B of 0.2 T such that gμ(B)B>A an almost symmetrical pattern was observed. Both the spectra with and without external field are well described using the spin Hamiltonian and previous electron paramagnetic resonance data. A more concentrated (2 mol% Eu(2+)) sample exhibited a strongly broadened symmetrical resonance line due to an increased Eu-Eu spin relaxation rate; in an external magnetic field of 0.2 T the Mössbauer spectra exhibited further broadening and additional magnetic structures due to the reduced relaxation rate. When a large field of 6 T was applied such that gμ(B)B is much larger than the crystal field splitting, a fully resolved hyperfine pattern was observed at 2.5 K, with an effective field at the Eu nuclei of -33.7 T; at higher temperatures superimposed patterns originating from excited electronic states were observed in the spectra. The present results on the highly dilute CaF(2) : 0.1%Eu(2+) sample deliver a straightforward explanation for previous observations of a seemingly large dependence of the Eu(2+) isomer shift on europium concentration.

Non-invasive Laplacian electrocardiography and moment of activation mapping

Laplacian Electrocardiogram (LECG) is a non-invasive approach providing high spatiotemporal distributed information of cardiac electrical activity. Recently researchers have recorded surface potentials from monopolar disc electrodes to estimate the Laplacian using finite difference algorithms or spline surface Laplacian estimators. Bipolar and quasi-bipolar electrodes have also been used to record LECG directly. Here based on the "Nine Point Method" (NPM), Laplacian tripolar concentric ring electrode active sensors were designed. High spatiotemporal resolution body surface LECG using the new tripolar active sensors was recorded. Moment of activation (MOA) isochronal maps used to detect cardiac electrical activation patterns exhibited on the body surface was also generated.

A high sensitivity gas sensor for formaldehyde based on CdO and In(2)O(3) doped nanocrystalline SnO(2)

The gas-sensing characteristics of In(2)O(3) and CdO doped nanocrystalline SnO(2) compounds for formaldehyde were investigated in this study. The phases of the resulting materials and the morphologies of the sensing layers were characterized by x-ray diffraction (XRD) and scanning electron microscopy (SEM), respectively. Indirect-heating sensors using SnO(2)-In(2)O(3)-CdO compounds as sensitive materials were fabricated on an alumina tube with Au electrodes and platinum wires. All measurements were performed at several operating temperatures from 100 to 180 °C. Good gas-sensing responses to formaldehyde have been found for all the prepared samples. It is shown that the sensors exhibited high sensitivity at low operating temperature (133 °C), making them promising candidates for practical detectors for formaldehyde.

PCDD/F concentrations of agricultural soil in the vicinity of fluidized bed incinerators of co-firing MSW with coal in Hangzhou, China

The concentrations of 17PCDD/F congeners as well as tetra- to octa-homologues were determined in 33 soil samples collected within a radius of 7 km from a municipal solid waste (MSW) incineration plant that is equipped with three fluidized bed incinerators (FBIs) of co-firing MSW with coal in Hangzhou, China. The total PCDD/F concentrations ranged from 0.39 to 5.04 pg I-TEQ g(-1) (54-285 pg g(-1)), with an average and a median value of 1.22 and 0.84 pg I-TEQ g(-1) (105 and 86 pg g(-1)), respectively. A systematic decrease of PCDD/F levels was observed with the increasing distances and with the decreasing downwind frequencies from the plant. The comparisons of homologue and congener patterns and multivariate analysis of soil and flue gas samples strongly indicated that most of the soil samples were influenced by the FBIs. Apart from the incineration plant, historical PCDD/F emissions of hazardous waste incinerator (HWI) and motor vehicles as well as the application of 1,3,5-trichloro-2-(4-nitrophenoxy) benzene (CNP) seemed to play an important role in soil samples adjacent to these potential sources.