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Friederici AD, Wittig RM, Anwander A, Eichner C, Gräßle T, Jäger C, Kirilina E, Lipp I, Düx A, Edwards LJ, Girard-Buttoz C, Jauch A, Kopp KS, Paquette M, Pine KJ, Unwin S, Haun DBM, Leendertz FH, McElreath R, Morawski M, Gunz P, Weiskopf N, Crockford C. Brain structure and function: a multidisciplinary pipeline to study hominoid brain evolution. Front Integr Neurosci 2024; 17:1299087. [PMID: 38260006 PMCID: PMC10800984 DOI: 10.3389/fnint.2023.1299087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 12/07/2023] [Indexed: 01/24/2024] Open
Abstract
To decipher the evolution of the hominoid brain and its functions, it is essential to conduct comparative studies in primates, including our closest living relatives. However, strong ethical concerns preclude in vivo neuroimaging of great apes. We propose a responsible and multidisciplinary alternative approach that links behavior to brain anatomy in non-human primates from diverse ecological backgrounds. The brains of primates observed in the wild or in captivity are extracted and fixed shortly after natural death, and then studied using advanced MRI neuroimaging and histology to reveal macro- and microstructures. By linking detailed neuroanatomy with observed behavior within and across primate species, our approach provides new perspectives on brain evolution. Combined with endocranial brain imprints extracted from computed tomographic scans of the skulls these data provide a framework for decoding evolutionary changes in hominin fossils. This approach is poised to become a key resource for investigating the evolution and functional differentiation of hominoid brains.
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Affiliation(s)
- Angela D. Friederici
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Roman M. Wittig
- Evolution of Brain Connectivity Project, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
- Institute for Cognitive Sciences Marc Jeannerod, UMR CNRS, University Claude Bernard Lyon, Bron, France
- Taï Chimpanzee Project, CSRS, Abidjan, Côte d'Ivoire
| | - Alfred Anwander
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Cornelius Eichner
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Tobias Gräßle
- Epidemiology of Highly Pathogenic Microorganisms, Robert Koch Institute, Berlin, Germany
| | - Carsten Jäger
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Medical Faculty, Center of Neuropathology and Brain Research, Paul Flechsig Institute, University of Leipzig, Leipzig, Germany
| | - Evgeniya Kirilina
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Ilona Lipp
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Ariane Düx
- Epidemiology of Highly Pathogenic Microorganisms, Robert Koch Institute, Berlin, Germany
- Helmholtz Institute for One Health, University of Greifswald, Greifswald, Germany
| | - Luke J. Edwards
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Cédric Girard-Buttoz
- Evolution of Brain Connectivity Project, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
- Institute for Cognitive Sciences Marc Jeannerod, UMR CNRS, University Claude Bernard Lyon, Bron, France
| | - Anna Jauch
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Kathrin S. Kopp
- Department of Comparative Cultural Psychology, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Michael Paquette
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Kerrin J. Pine
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Steve Unwin
- School of Bioscience, University of Birmingham, Birmingham, United Kingdom
| | - Daniel B. M. Haun
- Department of Comparative Cultural Psychology, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Fabian H. Leendertz
- Epidemiology of Highly Pathogenic Microorganisms, Robert Koch Institute, Berlin, Germany
- Helmholtz Institute for One Health, University of Greifswald, Greifswald, Germany
| | - Richard McElreath
- Department of Human Behavior, Ecology and Culture, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Markus Morawski
- Medical Faculty, Center of Neuropathology and Brain Research, Paul Flechsig Institute, University of Leipzig, Leipzig, Germany
| | - Philipp Gunz
- Department of Human Origins, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | - Nikolaus Weiskopf
- Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Faculty of Physics and Earth System Sciences, Felix Bloch Institute for Solid State Physics, Leipzig University, Leipzig, Germany
| | - Catherine Crockford
- Evolution of Brain Connectivity Project, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
- Institute for Cognitive Sciences Marc Jeannerod, UMR CNRS, University Claude Bernard Lyon, Bron, France
- Taï Chimpanzee Project, CSRS, Abidjan, Côte d'Ivoire
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Brocherie F, Paquette M, Dupont AC, Margue F, Seil R, Martens G. Défis de thermorégulation et d’altitude chez les athlètes de haut niveau : synthèse ReFORM de la déclaration de consensus du Comité International Olympique. Sci Sports 2023. [DOI: 10.1016/j.scispo.2022.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
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Gräßle T, Crockford C, Eichner C, Girard‐Buttoz C, Jäger C, Kirilina E, Lipp I, Düx A, Edwards L, Jauch A, Kopp KS, Paquette M, Pine K, Haun DBM, McElreath R, Anwander A, Gunz P, Morawski M, Friederici AD, Weiskopf N, Leendertz FH, Wittig RM, Albig K, Amarasekaran B, Angedakin S, Anwander A, Aschoff D, Asiimwe C, Bailanda L, Beehner JC, Belais R, Bergman TJ, Blazey B, Bernhard A, Bock C, Carlier P, Chantrey J, Crockford C, Deschner T, Düx A, Edwards L, Eichner C, Escoubas G, Ettaj M, Fedurek P, Flores K, Francke R, Friederici AD, Girard‐Buttoz C, Fortun JG, GoneBi ZB, Gräßle T, Gruber‐Dujardin E, Gunz P, Hartel J, Haun DBM, Henshall M, Hobaiter C, Hofman N, Jaffe JE, Jäger C, Jauch A, Kahemere S, Kirilina E, Klopfleisch R, Knauf‐Witzens T, Kopp KS, Kouima GLM, Lange B, Langergraber K, Lawrenz A, Leendertz FH, Lipp I, Liptovszky M, Theron TL, Lumbu CP, Nzassi PM, Mätz‐Rensing K, McElreath R, McLennan M, Mezö Z, Moittie S, Møller T, Morawski M, Morgan D, Mugabe T, Muller M, Müller M, Njumboket I, Olofsson‐Sannö K, Ondzie A, Otali E, Paquette M, Pika S, Pine K, Pizarro A, Pléh K, Rendel J, Reichler‐Danielowski S, Robbins MM, Forero AR, Ruske K, Samuni L, Sanz C, Schüle A, Schwabe I, Schwalm K, Speede S, Southern L, Steiner J, Stidworthy M, Surbeck M, Szentiks C, Tanga T, Ulrich R, Unwin S, van de Waal E, Walker S, Weiskopf N, Wibbelt G, Wittig RM, Wood K, Zuberbühler K. Sourcing high tissue quality brains from deceased wild primates with known socio‐ecology. Methods Ecol Evol 2023. [DOI: 10.1111/2041-210x.14039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Tobias Gräßle
- Epidemiology of highly pathogenic microorganisms Robert Koch‐Institute Berlin Germany
- Helmholtz Institute for One Health Greifswald Germany
| | - Catherine Crockford
- Ape Social Mind Lab Institute of Cognitive Science Marc Jeannerod, UMR 5229, CNRS Lyon France
- Department of Human Behavior, Ecology and Culture Max Planck Institute for Evolutionary Anthropology Leipzig Germany
- Taï Chimpanzee Project Centre Suisse de Recherches Scientifiques en Côte d'Ivoire Abidjan Ivory Coast
| | - Cornelius Eichner
- Department of Neuropsychology Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Cédric Girard‐Buttoz
- Ape Social Mind Lab Institute of Cognitive Science Marc Jeannerod, UMR 5229, CNRS Lyon France
- Department of Human Behavior, Ecology and Culture Max Planck Institute for Evolutionary Anthropology Leipzig Germany
- Taï Chimpanzee Project Centre Suisse de Recherches Scientifiques en Côte d'Ivoire Abidjan Ivory Coast
| | - Carsten Jäger
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
- Paul Flechsig Institute ‐ Center of Neuropathology and Brain Research, Faculty of Medicine Universität Leipzig Germany
| | - Evgeniya Kirilina
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
- Center for Cognitive Neuroscience Berlin Freie Universität Berlin Berlin Germany
| | - Ilona Lipp
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Ariane Düx
- Epidemiology of highly pathogenic microorganisms Robert Koch‐Institute Berlin Germany
- Helmholtz Institute for One Health Greifswald Germany
| | - Luke Edwards
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Anna Jauch
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Kathrin S. Kopp
- Department of Comparative Cultural Psychology Max Planck Institute for Evolutionary Anthropology Leipzig Germany
| | - Michael Paquette
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Kerrin Pine
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Daniel B. M. Haun
- Department of Comparative Cultural Psychology Max Planck Institute for Evolutionary Anthropology Leipzig Germany
| | - Richard McElreath
- Department of Human Behavior, Ecology and Culture Max Planck Institute for Evolutionary Anthropology Leipzig Germany
| | - Alfred Anwander
- Department of Neuropsychology Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Philipp Gunz
- Department of Human Evolution Max Planck Institute for Evolutionary Anthropology Leipzig Germany
| | - Markus Morawski
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
- Paul Flechsig Institute ‐ Center of Neuropathology and Brain Research, Faculty of Medicine Universität Leipzig Germany
| | - Angela D. Friederici
- Department of Neuropsychology Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
| | - Nikolaus Weiskopf
- Department of Neurophysics Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
- Felix Bloch Institute for Solid State Physics, Faculty of Physics and Earth Sciences Leipzig University Leipzig Germany
| | - Fabian H. Leendertz
- Epidemiology of highly pathogenic microorganisms Robert Koch‐Institute Berlin Germany
- Helmholtz Institute for One Health Greifswald Germany
| | - Roman M. Wittig
- Ape Social Mind Lab Institute of Cognitive Science Marc Jeannerod, UMR 5229, CNRS Lyon France
- Department of Human Behavior, Ecology and Culture Max Planck Institute for Evolutionary Anthropology Leipzig Germany
- Taï Chimpanzee Project Centre Suisse de Recherches Scientifiques en Côte d'Ivoire Abidjan Ivory Coast
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Eichner C, Paquette M, Mildner T, Schlumm T, Pléh K, Samuni L, Crockford C, Wittig RM, Jäger C, Möller HE, Friederici AD, Anwander A. Increased sensitivity and signal-to-noise ratio in diffusion-weighted MRI using multi-echo acquisitions. Neuroimage 2020; 221:117172. [DOI: 10.1016/j.neuroimage.2020.117172] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 07/10/2020] [Accepted: 07/13/2020] [Indexed: 11/29/2022] Open
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Abstract
Familial chylomicronemia syndrome (FCS) is a rare autosomal recessive disorder of chylomicron metabolism causing severe elevation of triglyceride (TG) levels (>10 mmol L-1 ). This condition is associated with a significant risk of recurrent acute pancreatitis (AP). AP caused by hypertriglyceridaemia (HTG) has been associated with a worse prognosis and higher mortality rates compared to pancreatitis of other aetiology. Despite its association with poor quality of life and increased lifelong risk of HTG-AP, few healthcare providers are familiar with FCS. Because this condition is under-recognized, the majority of FCS patients are diagnosed after age 20 often after consulting several physicians. Although other forms of severe HTG such as multifactorial chylomicronemia have been associated with high atherosclerotic cardiovascular disease (ASCVD) risk and metabolic abnormalities, ASCVD and metabolic syndrome are not usually observed in FCS patients. Because FCS is a genetic condition, the optimal diagnosis strategy remains genetic testing. The presence of bi-allelic pathogenic mutations in LPL, APOC2, GPIHBP1, APOA5 or LMF1 genes confirms the diagnosis. However, some cases of FCS caused by autoantibodies against LPL or GPIHBP1 proteins have also been reported. Furthermore, a clinical score for the diagnosis of FCS has been proposed but needs further validation. Available treatment options to lower triglycerides such as fibrates or omega-3 fatty acids are not efficacious in FCS patients. Currently, the cornerstone of treatment remains a lifelong very low-fat diet, which prevents the formation of chylomicrons. Finally, inhibitors of apo C-III and ANGPTL3 are in development and may eventually constitute additional treatment options for FCS patients.
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Affiliation(s)
- A Baass
- From the, Lipids, Nutrition and Cardiovascular Prevention Clinic, Montreal Clinical Research Institute, Québec, Canada.,Divisions of Experimental Medicine and Medical Biochemistry, Department of Medicine, McGill University, Québec, Canada
| | - M Paquette
- From the, Lipids, Nutrition and Cardiovascular Prevention Clinic, Montreal Clinical Research Institute, Québec, Canada
| | - S Bernard
- From the, Lipids, Nutrition and Cardiovascular Prevention Clinic, Montreal Clinical Research Institute, Québec, Canada.,Division of Endocrinology, Department of Medicine, Université de Montreal, Montreal, Canada
| | - R A Hegele
- Department of Medicine, University of Western Ontario and Robarts Research Institute, Ontario, Canada
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Nath V, Schilling KG, Parvathaneni P, Huo Y, Blaber JA, Hainline AE, Barakovic M, Romascano D, Rafael-Patino J, Frigo M, Girard G, Thiran JP, Daducci A, Rowe M, Rodrigues P, Prchkovska V, Aydogan DB, Sun W, Shi Y, Parker WA, Ould Ismail AA, Verma R, Cabeen RP, Toga AW, Newton AT, Wasserthal J, Neher P, Maier-Hein K, Savini G, Palesi F, Kaden E, Wu Y, He J, Feng Y, Paquette M, Rheault F, Sidhu J, Lebel C, Leemans A, Descoteaux M, Dyrby TB, Kang H, Landman BA. Tractography reproducibility challenge with empirical data (TraCED): The 2017 ISMRM diffusion study group challenge. J Magn Reson Imaging 2020; 51:234-249. [PMID: 31179595 PMCID: PMC6900461 DOI: 10.1002/jmri.26794] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 05/06/2019] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Fiber tracking with diffusion-weighted MRI has become an essential tool for estimating in vivo brain white matter architecture. Fiber tracking results are sensitive to the choice of processing method and tracking criteria. PURPOSE To assess the variability for an algorithm in group studies reproducibility is of critical context. However, reproducibility does not assess the validity of the brain connections. Phantom studies provide concrete quantitative comparisons of methods relative to absolute ground truths, yet do no capture variabilities because of in vivo physiological factors. The ISMRM 2017 TraCED challenge was created to fulfill the gap. STUDY TYPE A systematic review of algorithms and tract reproducibility studies. SUBJECTS Single healthy volunteers. FIELD STRENGTH/SEQUENCE 3.0T, two different scanners by the same manufacturer. The multishell acquisition included b-values of 1000, 2000, and 3000 s/mm2 with 20, 45, and 64 diffusion gradient directions per shell, respectively. ASSESSMENT Nine international groups submitted 46 tractography algorithm entries each consisting 16 tracts per scan. The algorithms were assessed using intraclass correlation (ICC) and the Dice similarity measure. STATISTICAL TESTS Containment analysis was performed to assess if the submitted algorithms had containment within tracts of larger volume submissions. This also serves the purpose to detect if spurious submissions had been made. RESULTS The top five submissions had high ICC and Dice >0.88. Reproducibility was high within the top five submissions when assessed across sessions or across scanners: 0.87-0.97. Containment analysis shows that the top five submissions are contained within larger volume submissions. From the total of 16 tracts as an outcome relatively the number of tracts with high, moderate, and low reproducibility were 8, 4, and 4. DATA CONCLUSION The different methods clearly result in fundamentally different tract structures at the more conservative specificity choices. Data and challenge infrastructure remain available for continued analysis and provide a platform for comparison. LEVEL OF EVIDENCE 5 Technical Efficacy Stage: 1 J. Magn. Reson. Imaging 2020;51:234-249.
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Affiliation(s)
- Vishwesh Nath
- Computer Science, Vanderbilt University, Nashville, TN, USA
| | | | | | - Yuankai Huo
- Electrical Engineering, Vanderbilt University, Nashville, TN, USA
| | - Justin A. Blaber
- Electrical Engineering, Vanderbilt University, Nashville, TN, USA
| | | | | | | | | | | | | | | | | | | | | | | | - Dogu B. Aydogan
- Keck School of Medicine, University of Southern California (NICR), Los Angeles CA, USA
| | - Wei Sun
- Keck School of Medicine, University of Southern California (NICR), Los Angeles CA, USA
| | - Yonggang Shi
- Keck School of Medicine, University of Southern California (NICR), Los Angeles CA, USA
| | - William A. Parker
- Center for Biomedical Image Computing and Analytics, Dept of Radiology, Perelman School of Medicine, University of Pennsylvania (UPENN)
| | - Abdol A. Ould Ismail
- Center for Biomedical Image Computing and Analytics, Dept of Radiology, Perelman School of Medicine, University of Pennsylvania (UPENN)
| | - Ragini Verma
- Center for Biomedical Image Computing and Analytics, Dept of Radiology, Perelman School of Medicine, University of Pennsylvania (UPENN)
| | - Ryan P. Cabeen
- Laboratory of Neuro Imaging (LONI), USC Stevens Neuroimaging and Informatics Institute
| | - Arthur W. Toga
- Laboratory of Neuro Imaging (LONI), USC Stevens Neuroimaging and Informatics Institute
| | - Allen T. Newton
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN
| | - Jakob Wasserthal
- Medical Image Computing Group, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Peter Neher
- Medical Image Computing Group, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Klaus Maier-Hein
- Medical Image Computing Group, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | | | - Fulvia Palesi
- Brain Connectivity Center, C. Mondino National Neurological Institute (EFG), Pavia, Italy
| | - Enrico Kaden
- Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom
| | - Ye Wu
- Institution of Information Processing and Automation, Zhejiang University of Technology (ZUT), Hangzhou, China
| | - Jianzhong He
- Institution of Information Processing and Automation, Zhejiang University of Technology (ZUT), Hangzhou, China
| | - Yuanjing Feng
- Institution of Information Processing and Automation, Zhejiang University of Technology (ZUT), Hangzhou, China
| | - Michael Paquette
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, 2500 Boul. Université, J1K 2R1, Sherbrooke, Canada
| | - Francois Rheault
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, 2500 Boul. Université, J1K 2R1, Sherbrooke, Canada
| | - Jasmeen Sidhu
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, 2500 Boul. Université, J1K 2R1, Sherbrooke, Canada
| | | | - Alexander Leemans
- Image Sciences Institute, University Medical Center Utrecht, Utrecht, the Netherlands
| | - Maxime Descoteaux
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, 2500 Boul. Université, J1K 2R1, Sherbrooke, Canada
| | - Tim B. Dyrby
- Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital, Hvidovre, Denmark
| | - Hakmook Kang
- Biostatistics, Vanderbilt University, Nashville, TN, USA
| | - Bennett A. Landman
- Computer Science, Vanderbilt University, Nashville, TN, USA
- Biomedical Engineering, Vanderbilt University, Nashville, TN, USA
- Electrical Engineering, Vanderbilt University, Nashville, TN, USA
- Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN
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Lip GYH, Diener HC, Dubner SJ, Halperin JL, Rothman KJ, Ma CS, Lu S, Paquette M, Riou Franca L, Zint K, Teutsch C, Huisman MV. P4783Treatment persistence of patients with atrial fibrillation on VKA or NOAC: Data from GLORIA-AF Phase III 1-year interim analysis. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.1159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Oral anticoagulation (OAC) persistence is important for optimizing stroke prevention in patients with atrial fibrillation (AF); non-vitamin K oral anticoagulants (NOACs) generally show better persistence than vitamin K antagonists (VKAs), while the impact of dosing regimens remains unclear. We compared treatment persistence of NOACs and VKAs, and of NOAC dosing regimens in the prospective GLORIA-AF registry program.
Methods
Patients newly diagnosed with AF were enrolled in Phase III of GLORIA-AF (2014–2016) from 4 geographical regions (North America [NA], Europe, Asia and Latin America). Treatment persistence after 1 year for i) NOAC (dabigatran, rivaroxaban, apixaban, edoxaban) vs VKA, and ii) twice daily (bid, dabigatran, apixaban) vs once daily (od; rivaroxaban, edoxaban) NOAC treatment was analysed using multivariable Cox analysis; propensity score trimming was used to reduce bias due to unmeasured confounders. Missing data was handled by multiple imputation.
Results
Overall, 21,592 patients were enrolled (4970 [23%] patients on VKAs, 12,797 [59%] on NOACs, 2391 [11%] on antiplatelets, and 1426 [6.6%] received no therapy; 8 [0.04%] received other treatment). After trimming, 11,935 and 4484 patients treated with NOACs and VKAs, respectively, were compared. NOACs had better treatment persistence than VKAs (discontinuation hazard ratio [HR]=0.75, 95% confidence interval [CI] 0.69–0.81). Other relevant associations were decreased OAC persistence for symptomatic AF, NA and Asia regions (Table). There was no difference in treatment persistence for patients on a bid (N=7842) vs od (N=4098) NOAC (discontinuation HR=0.94, 95% CI 0.86–1.02).
Conclusion
In this 1-year interim analysis of GLORIA-AF Phase III, treatment persistence was improved with NOACs vs VKAs, whereas for NOACs, dosing regimen (bid vs od) had no impact on treatment persistence.
Acknowledgement/Funding
The GLORIA-AF Registry program was funded by Boehringer-Ingelheim
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Affiliation(s)
- G Y H Lip
- University of Liverpool, Institute of Cardiovascular Science, Liverpool, United Kingdom
| | - H.-C Diener
- University of Duisburg-Essen, Duisberg, Germany
| | - S J Dubner
- Clínica y Maternidad Suizo Argentina, Caba, Argentina
| | - J L Halperin
- Icahn School of Medicine at Mount Sinai, New York, United States of America
| | - K J Rothman
- RTI Health Solutions, Research Triangle Institute, Durham, United States of America
| | - C.-S Ma
- Beijing Anzhen Hospital, Beijing, China
| | - S Lu
- Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, United States of America
| | - M Paquette
- Boehringer Ingelheim, Burlington, Canada
| | - L Riou Franca
- Boehringer Ingelheim International, Ingelheim am Rhein, Germany
| | - K Zint
- Boehringer Ingelheim International, Ingelheim am Rhein, Germany
| | - C Teutsch
- Boehringer Ingelheim International, Ingelheim am Rhein, Germany
| | - M V Huisman
- Leiden University Medical Center, Leiden, Netherlands (The)
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Lajeunesse-Trempe F, Dufour R, du Souich P, Paquette M, Kaduka LU, Christensen DL. Anthropometric measures and their association with risk factors for cardio-metabolic diseases in Kenyan adults. Ann Hum Biol 2019; 45:486-495. [PMID: 30608195 DOI: 10.1080/03014460.2018.1562568] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND The prevalence of cardio-metabolic diseases (CMD) is drastically increasing worldwide. Anthropometric measures of fat accumulation are correlated with CMD and Metabolic Syndrome (MS), but few studies have addressed this association in sub-Saharan African populations. AIM To investigate the association between anthropometric features, MS and other CMD risk factors in a population from Kenya. SUBJECTS AND METHODS In this cross-sectional study including 1405 Kenyans, anthropometric measurements including visceral adipose tissue (VAT) and abdominal subcutaneous adipose tissue (SAT) were carried out. Fasting blood glucose and standard oral glucose tolerance test, fasting serum insulin and plasma lipids were analysed. Homeostatic model assessment of insulin resistance was calculated. Systolic and diastolic blood pressures were measured. RESULTS CMD risk factors and MS were associated with all anthropometric features, except for high-density lipoprotein cholesterol levels (p < 0.05). The strongest association between MS and anthropometrics was seen with SAT (β = 1.45 ± 0.32 in men and 0.88 ± 0.14 in women, both p < 0.05). CONCLUSIONS Anthropometric measures, especially features of central obesity such as VAT and SAT, are relevant indicators of cardio-metabolic health in Kenyan populations. SAT is the strongest predictor of MS. These results highlight the need for further research on the pathological implication of VAT and SAT, in order to understand patterns of fat distribution and cardio-metabolic health among different ethnic groups.
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Affiliation(s)
- F Lajeunesse-Trempe
- a Faculty of Medicine , University of Montreal , Montreal , Canada.,b Nutrition, Metabolism and Atherosclerosis Clinic , Montreal Clinical Research Institute, affiliated with University of Montreal , Montreal , Canada
| | - R Dufour
- b Nutrition, Metabolism and Atherosclerosis Clinic , Montreal Clinical Research Institute, affiliated with University of Montreal , Montreal , Canada.,c Department of Nutrition , University of Montreal , Montreal , Canada
| | - P du Souich
- b Nutrition, Metabolism and Atherosclerosis Clinic , Montreal Clinical Research Institute, affiliated with University of Montreal , Montreal , Canada.,d Department of Pharmacology and Physiology, Faculty of Medicine , University of Montreal , Montreal , Canada
| | - M Paquette
- b Nutrition, Metabolism and Atherosclerosis Clinic , Montreal Clinical Research Institute, affiliated with University of Montreal , Montreal , Canada
| | - L U Kaduka
- e Centre for Public Health Research , KEMRI , Nairobi , Kenya
| | - D L Christensen
- f Department of Public Health , University of Copenhagen , Copenhagen , Denmark
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Dubner SJ, Huisman MV, Diener HC, Halperin JL, Rothman KJ, Ma CS, Bergler-Klein J, Zint K, Riou Franca L, Lu S, Teutsch C, Paquette M, Lip GYH. P2887Two-year outcomes of dabigatran etexilate treatment in patients with co-morbid heart failure and atrial fibrillation: the GLORIA-AF registry. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2887] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S J Dubner
- Clínica y Maternidad Suizo Argentina, Buenos Aires, Argentina
| | - M V Huisman
- Leiden University Medical Center, Leiden, Leiden, Netherlands
| | - H C Diener
- University Hospital Essen, Essen, Germany
| | - J L Halperin
- Icahn School of Medicine at Mount Sinai, New York, United States of America
| | - K J Rothman
- RTI Health Solutions, Research Triangle Institute, Durham, United States of America
| | - C S Ma
- Beijing Anzhen Hospital, Atrial Fibrillation Center, Beijing, China People's Republic of
| | - J Bergler-Klein
- Department of Cardiology, Medical University of Vienna, Vienna, Austria
| | - K Zint
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - L Riou Franca
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - S Lu
- Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, United States of America
| | - C Teutsch
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - M Paquette
- Boehringer Ingelheim Corporation, Ontario, Burlington, Canada
| | - G Y H Lip
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom
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10
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Paquette M, Huisman MV, Lip GYH, Diener HC, Dubner SJ, Halperin JL, Rothman KJ, Ma CS, Lu S, Riou Franca L, Teutsch C, Zint K, Nieuwlaat R. P4799When are atrial fibrillation patients at risk to discontinue anticoagulation treatment? Results from the GLORIA-AF Registry. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4799] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Paquette
- Boehringer Ingelheim Corporation, Ontario, Canada
| | - M V Huisman
- Leiden University Medical Center, Leiden, Netherlands
| | - G Y H Lip
- University of Birmingham, Birmingham, United Kingdom
| | - H.-C Diener
- University Hospital of Essen (Ruhr), Essen, Germany
| | - S J Dubner
- Clinic and Maternity Suizo Argentina, Buenos Aires, Argentina
| | - J L Halperin
- Mount Sinai School of Medicine, New York, United States of America
| | - K J Rothman
- RTI Health Solutions, Durham, United States of America
| | - C S Ma
- Beijing Anzhen Hospital, Beijing, China People's Republic of
| | - S Lu
- Boehringer Ingelheim Corporation, Ridgefield, CT, United States of America
| | - L Riou Franca
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - C Teutsch
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - K Zint
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
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11
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Beier L, Franca LR, Lip GYH, Huisman MV, Zint K, Halperin JL, Diener HC, Dubner SJ, Ma CS, Teutsch C, Paquette M, Minkenberg R, Lu S, Rothman KJ. P5140Geographic region, stroke risk and renal function strongly affect treatment choice for stroke prevention in patients with non-valvular AF: results from the GLORIA-AF registry program. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Beier
- c/o Theresa Oberst, Nürnberg, Germany
| | - L R Franca
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - G Y H Lip
- Birmingham City Hospital, Birmingham, United Kingdom
| | - M V Huisman
- Leiden University Medical Center, Leiden, Netherlands
| | - K Zint
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - J L Halperin
- Mount Sinai School of Medicine, New York, United States of America
| | - H.-C Diener
- University Hospital of Essen (Ruhr), Essen, Germany
| | - S J Dubner
- Clínica y Maternidad Suizo Argentina, Buenos Aires, Argentina
| | - C.-S Ma
- Beijing Anzhen Hospital, Beijing, China People's Republic of
| | - C Teutsch
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - M Paquette
- Boehringer Ingelheim Corporation, Burlington, Ontario, Canada
| | - R Minkenberg
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - S Lu
- Boehringer Ingelheim Corporation, Ridgefield, Connecticut, United States of America
| | - K J Rothman
- RTI Health Solutions, Durham, North Carolina, United States of America
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12
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Halperin JL, Teutsch C, Huisman MV, Diener HC, Rothman KJ, Ma CS, Dubner SJ, Zint K, Riou Franca L, Paquette M, Lip GYH. P2896Two-year outcomes of dabigatran etexilate in patients with atrial fibrillation with and without a history of coronary artery disease: data from GLORIA-AF. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J L Halperin
- Mount Sinai School of Medicine, New York, United States of America
| | - C Teutsch
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - M V Huisman
- Leiden University Medical Center, Leiden, Netherlands
| | | | - K J Rothman
- RTI Health Solutions, Research Triangle Park, United States of America
| | - C S Ma
- Beijing Anzhen Hospital, Beijing, China People's Republic of
| | - S J Dubner
- Clinic and Maternity Suizo Argentina, Buenos Aires, Argentina
| | - K Zint
- Boehringer Ingelheim GmbH, Ingelheim, Germany
| | - L Riou Franca
- Boehringer Ingelheim Corporation, Ridgefield, CT, United States of America
| | - M Paquette
- Boehringer Ingelheim Corporation, Burlington, Canada
| | - G Y H Lip
- University of Birmingham, Birmingham, United Kingdom
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13
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Huisman MV, Diener HC, Dubner SJ, Halperin JL, Rothman KJ, Ma CS, Lu S, Paquette M, Teutsch C, Franca LR, Zint K, Lip GYH. P3862A prospective global registry on oral antithrombotic treatment in patients with atrial fibrillation: GLORIA-AF Phase III baseline characteristics. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M V Huisman
- Leiden University Medical Center, Leiden, Netherlands
| | - H.-C Diener
- University Hospital of Essen (Ruhr), Essen, Germany
| | - S J Dubner
- Clinic and Maternity Suizo Argentina, Buenos Aires, Argentina
| | - J L Halperin
- Mount Sinai School of Medicine, New York, United States of America
| | - K J Rothman
- RTI Health Solutions, Durham, United States of America
| | - C.-S Ma
- Beijing Anzhen Hospital, Beijing, China People's Republic of
| | - S Lu
- Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, United States of America
| | - M Paquette
- Boehringer Ingelheim Ltd., Ontario, Burlington, Canada
| | - C Teutsch
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - L R Franca
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - K Zint
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - G Y H Lip
- Birmingham City Hospital, Birmingham, United Kingdom
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14
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Lip GYH, Van Der Wall SJ, Teutsch C, Rothman KJ, Diener HC, Dubner SJ, Ma CS, Paquette M, Lu S, Riou Franca L, Zint K, Halperin JL, Huisman MV. 200Safety of uninterrupted dabigatran in cardiovascular interventions in the GLORIA-AF registry program. Europace 2018. [DOI: 10.1093/europace/euy015.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- GYH Lip
- Birmingham City Hospital, Birmingham, United Kingdom
| | | | - C Teutsch
- Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim, Germany
| | - K J Rothman
- RTI Health Solutions, North Carolina, United States of America
| | - H-C Diener
- University Hospital of Essen (Ruhr), Essen, Germany
| | - S J Dubner
- Clinica y maternidad Suizo Argentina, Buenos Aires, Argentina
| | - C S Ma
- Beijing Anzhen Hospital, Beijing, China People's Republic of
| | - M Paquette
- Boehringer Ingelheim Corporation, Ontario, Canada
| | - S Lu
- Boehringer Ingelheim Corporation, Ridgefield, United States of America
| | - L Riou Franca
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - K Zint
- Boehringer Ingelheim International GmbH, Ingelheim, Germany
| | - J L Halperin
- Mount Sinai School of Medicine, New York, United States of America
| | - M V Huisman
- Leiden University Medical Center, Leiden, Netherlands
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15
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Maier-Hein KH, Neher PF, Houde JC, Côté MA, Garyfallidis E, Zhong J, Chamberland M, Yeh FC, Lin YC, Ji Q, Reddick WE, Glass JO, Chen DQ, Feng Y, Gao C, Wu Y, Ma J, He R, Li Q, Westin CF, Deslauriers-Gauthier S, González JOO, Paquette M, St-Jean S, Girard G, Rheault F, Sidhu J, Tax CMW, Guo F, Mesri HY, Dávid S, Froeling M, Heemskerk AM, Leemans A, Boré A, Pinsard B, Bedetti C, Desrosiers M, Brambati S, Doyon J, Sarica A, Vasta R, Cerasa A, Quattrone A, Yeatman J, Khan AR, Hodges W, Alexander S, Romascano D, Barakovic M, Auría A, Esteban O, Lemkaddem A, Thiran JP, Cetingul HE, Odry BL, Mailhe B, Nadar MS, Pizzagalli F, Prasad G, Villalon-Reina JE, Galvis J, Thompson PM, Requejo FDS, Laguna PL, Lacerda LM, Barrett R, Dell'Acqua F, Catani M, Petit L, Caruyer E, Daducci A, Dyrby TB, Holland-Letz T, Hilgetag CC, Stieltjes B, Descoteaux M. The challenge of mapping the human connectome based on diffusion tractography. Nat Commun 2017; 8:1349. [PMID: 29116093 PMCID: PMC5677006 DOI: 10.1038/s41467-017-01285-x] [Citation(s) in RCA: 700] [Impact Index Per Article: 100.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 09/01/2017] [Indexed: 01/14/2023] Open
Abstract
Tractography based on non-invasive diffusion imaging is central to the study of human brain connectivity. To date, the approach has not been systematically validated in ground truth studies. Based on a simulated human brain data set with ground truth tracts, we organized an open international tractography challenge, which resulted in 96 distinct submissions from 20 research groups. Here, we report the encouraging finding that most state-of-the-art algorithms produce tractograms containing 90% of the ground truth bundles (to at least some extent). However, the same tractograms contain many more invalid than valid bundles, and half of these invalid bundles occur systematically across research groups. Taken together, our results demonstrate and confirm fundamental ambiguities inherent in tract reconstruction based on orientation information alone, which need to be considered when interpreting tractography and connectivity results. Our approach provides a novel framework for estimating reliability of tractography and encourages innovation to address its current limitations. Though tractography is widely used, it has not been systematically validated. Here, authors report results from 20 groups showing that many tractography algorithms produce both valid and invalid bundles.
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Affiliation(s)
- Klaus H Maier-Hein
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, 69120, Germany.
| | - Peter F Neher
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, 69120, Germany
| | - Jean-Christophe Houde
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Marc-Alexandre Côté
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Eleftherios Garyfallidis
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada.,Department of Intelligent Systems Engineering, School of Informatics and Computing, Indiana University, Bloomington, IN 47408, USA
| | - Jidan Zhong
- Krembil Research Institute, University Health Network, Toronto, Canada, M5G 2C4
| | - Maxime Chamberland
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Fang-Cheng Yeh
- Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
| | - Ying-Chia Lin
- IMT-Institute for Advanced Studies, Lucca, 55100, Italy
| | - Qing Ji
- Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN 38105, USA
| | - Wilburn E Reddick
- Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN 38105, USA
| | - John O Glass
- Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN 38105, USA
| | - David Qixiang Chen
- University of Toronto Institute of Medical Science, Toronto, Canada, M5S 1A8
| | - Yuanjing Feng
- Institute of Information Processing and Automation, Zhejiang University of Technology, Hangzhou, 310023, Zhejiang, China
| | - Chengfeng Gao
- Institute of Information Processing and Automation, Zhejiang University of Technology, Hangzhou, 310023, Zhejiang, China
| | - Ye Wu
- Institute of Information Processing and Automation, Zhejiang University of Technology, Hangzhou, 310023, Zhejiang, China
| | - Jieyan Ma
- United Imaging Healthcare Co., Shanghai, 201807, China
| | - Renjie He
- United Imaging Healthcare Co., Shanghai, 201807, China
| | - Qiang Li
- United Imaging Healthcare Co., Shanghai, 201807, China.,Shanghai Advanced Research Institute, Shanghai, 201210, China
| | - Carl-Fredrik Westin
- Laboratory of Mathematics in Imaging, Harvard Medical School, Boston, MA, 02215, USA
| | | | | | - Michael Paquette
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Samuel St-Jean
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Gabriel Girard
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - François Rheault
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Jasmeen Sidhu
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada
| | - Chantal M W Tax
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands.,Cardiff University Brain Research Imaging Centre, School of Psychology, Cardiff University, Maindy Road, Cardiff, CF24 4HQ, UK
| | - Fenghua Guo
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Hamed Y Mesri
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Szabolcs Dávid
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Martijn Froeling
- Department of Radiology, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Anneriet M Heemskerk
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Alexander Leemans
- PROVIDI Lab, Image Sciences Institute, University Medical Center Utrecht, Utrecht, 3508, The Netherlands
| | - Arnaud Boré
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5
| | - Basile Pinsard
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5.,Sorbonne Universités, UPMC Univ Paris 06, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale (LIB), 75013, Paris, France
| | - Christophe Bedetti
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5.,Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur de Montréal, Montreal, Canada, H4J 1C5
| | - Matthieu Desrosiers
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5
| | - Simona Brambati
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5
| | - Julien Doyon
- Centre de recherche institut universitaire de geriatrie de Montreal (CRIUGM), Université de Montréal, Montreal, QC, Canada, H3W 1W5
| | - Alessia Sarica
- Neuroimaging Unit, Institute of Bioimaging and Molecular Physiology (IBFM), National Research Council (CNR), Policlinico Magna Graecia, Germaneto, 88100, CZ, Italy
| | - Roberta Vasta
- Neuroimaging Unit, Institute of Bioimaging and Molecular Physiology (IBFM), National Research Council (CNR), Policlinico Magna Graecia, Germaneto, 88100, CZ, Italy
| | - Antonio Cerasa
- Neuroimaging Unit, Institute of Bioimaging and Molecular Physiology (IBFM), National Research Council (CNR), Policlinico Magna Graecia, Germaneto, 88100, CZ, Italy
| | - Aldo Quattrone
- Neuroimaging Unit, Institute of Bioimaging and Molecular Physiology (IBFM), National Research Council (CNR), Policlinico Magna Graecia, Germaneto, 88100, CZ, Italy.,Institute of Neurology, University Magna Graecia, Germaneto, 88100, CZ, Italy
| | - Jason Yeatman
- Institute for Learning & Brain Sciences and Department of Speech & Hearing Sciences, University of Washington, Seattle, WA, 98195, USA
| | - Ali R Khan
- Departments of Medical Biophysics & Medical Imaging, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St N, London, ON, Canada, N6A 5C1
| | - Wes Hodges
- Synaptive Medical Inc., MaRS Discovery District, 101 College Street, Suite 200, Toronto, ON, Canada, M5V 3B1
| | - Simon Alexander
- Synaptive Medical Inc., MaRS Discovery District, 101 College Street, Suite 200, Toronto, ON, Canada, M5V 3B1
| | - David Romascano
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland
| | - Muhamed Barakovic
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland
| | - Anna Auría
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland
| | - Oscar Esteban
- Biomedical Image Technologies (BIT), ETSI Telecom., U. Politécnica de Madrid and CIBER-BBN, Madrid, 28040, Spain
| | - Alia Lemkaddem
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland
| | - Jean-Philippe Thiran
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland.,Department of Radiology, University Hospital Center (CHUV) and University of Lausanne (UNIL), Lausanne, 1011, Switzerland
| | - H Ertan Cetingul
- Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ, 08540, USA
| | - Benjamin L Odry
- Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ, 08540, USA
| | - Boris Mailhe
- Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ, 08540, USA
| | - Mariappan S Nadar
- Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ, 08540, USA
| | - Fabrizio Pizzagalli
- Imaging Genetics Center, Stevens Neuro Imaging and Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, 90033, USA
| | - Gautam Prasad
- Imaging Genetics Center, Stevens Neuro Imaging and Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, 90033, USA
| | - Julio E Villalon-Reina
- Imaging Genetics Center, Stevens Neuro Imaging and Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, 90033, USA
| | - Justin Galvis
- Imaging Genetics Center, Stevens Neuro Imaging and Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, 90033, USA
| | - Paul M Thompson
- Imaging Genetics Center, Stevens Neuro Imaging and Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, 90033, USA
| | | | - Pedro Luque Laguna
- NatBrainLab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
| | - Luis Miguel Lacerda
- NatBrainLab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
| | - Rachel Barrett
- NatBrainLab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
| | - Flavio Dell'Acqua
- NatBrainLab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
| | - Marco Catani
- NatBrainLab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
| | - Laurent Petit
- Groupe d'imagerie Neurofonctionnelle-Institut des Maladies Neurodégénératives (GIN-IMN), UMR5293 CNRS, CEA, University of Bordeaux, Bordeaux, 33000, France
| | - Emmanuel Caruyer
- Centre national de la recherche scientifique (CNRS), Institute for Research in IT and Random Systems (IRISA), UMR 6074 VISAGES Project-Team, Rennes, 35042, France
| | - Alessandro Daducci
- Signal Processing Lab (LTS5), Ecole Polytechnique Federale de Lausanne, Lausanne, 1015, Switzerland.,Department of Radiology, University Hospital Center (CHUV) and University of Lausanne (UNIL), Lausanne, 1011, Switzerland
| | - Tim B Dyrby
- Danish Research Centre for Magnetic Resonance, Center for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, 2650, Denmark.,Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, 2800, Denmark
| | - Tim Holland-Letz
- Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, 69120, Germany
| | - Claus C Hilgetag
- Department of Computational Neuroscience, University Medical Center Eppendorf, Hamburg, 20246, Germany
| | - Bram Stieltjes
- University Hospital Basel, Radiology & Nuclear Medicine Clinic, Basel, 4031, Switzerland
| | - Maxime Descoteaux
- Sherbrooke Connectivity Imaging Lab (SCIL), Université de Sherbrooke, Sherbrooke, QC J1K 0A5, QC, Canada.
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16
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Lip G, Teusch C, Huisman M, Diener H, Dubner S, Ma C, Rothman K, Elsaesser A, Paquette M, Zint K, Bartels D, Halperin J. P4600Prescribing of dabigatran etexilate in accordance with the European label for stroke prevention in atrial fibrillation: Findings from the GLORIA-AF Registry. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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17
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Dubner SJ, Huisman MV, Diener HC, Halperin J, Rothman KJ, Ma CS, Zint K, Riou Franca L, Lu S, Teutsch C, Paquette M, Lip GYH. P281Baseline characteristics of patients with atrial fibrillation with and without comorbid heart failure: the GLORIA-AF registry. Europace 2017. [DOI: 10.1093/ehjci/eux141.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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18
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Deslauriers-Gauthier S, Marziliano P, Paquette M, Descoteaux M. The application of a new sampling theorem for non-bandlimited signals on the sphere: Improving the recovery of crossing fibers for low b-value acquisitions. Med Image Anal 2016; 30:46-59. [DOI: 10.1016/j.media.2016.01.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Revised: 11/13/2015] [Accepted: 01/07/2016] [Indexed: 11/30/2022]
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19
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Paquette M, Le Blanc O, Lucas SJE, Thibault G, Bailey DM, Brassard P. Effects of submaximal and supramaximal interval training on determinants of endurance performance in endurance athletes. Scand J Med Sci Sports 2016; 27:318-326. [DOI: 10.1111/sms.12660] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2016] [Indexed: 12/21/2022]
Affiliation(s)
- M. Paquette
- Department of Kinesiology; Faculty of Medicine; Université Laval; Québec QC Canada
- Research Center of the Institut Universitaire de Cardiologie et de Pneumologie de Québec; Québec QC Canada
| | - O. Le Blanc
- Department of Kinesiology; Faculty of Medicine; Université Laval; Québec QC Canada
- Research Center of the Institut Universitaire de Cardiologie et de Pneumologie de Québec; Québec QC Canada
| | - S. J. E. Lucas
- School of Sport, Exercise and Rehabilitation Sciences; University of Birmingham; Birmingham UK
- Department of Physiology; University of Otago; Dunedin New Zealand
| | - G. Thibault
- Department of Kinesiology; Faculty of Medicine; Université Laval; Québec QC Canada
| | - D. M. Bailey
- Neurovascular Research, Laboratory, Faculty of Life Sciences and Education; University of South Wales; South Wales UK
- Sondes Moléculaires en Biologie; Laboratoire Chimie Provence UMR 6264 CNRS; Université de Provence Marseille; Marseille France
| | - P. Brassard
- Department of Kinesiology; Faculty of Medicine; Université Laval; Québec QC Canada
- Research Center of the Institut Universitaire de Cardiologie et de Pneumologie de Québec; Québec QC Canada
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Ning L, Laun F, Gur Y, DiBella EVR, Deslauriers-Gauthier S, Megherbi T, Ghosh A, Zucchelli M, Menegaz G, Fick R, St-Jean S, Paquette M, Aranda R, Descoteaux M, Deriche R, O'Donnell L, Rathi Y. Sparse Reconstruction Challenge for diffusion MRI: Validation on a physical phantom to determine which acquisition scheme and analysis method to use? Med Image Anal 2015; 26:316-31. [PMID: 26606457 DOI: 10.1016/j.media.2015.10.012] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 10/23/2015] [Accepted: 10/27/2015] [Indexed: 10/22/2022]
Abstract
Diffusion magnetic resonance imaging (dMRI) is the modality of choice for investigating in-vivo white matter connectivity and neural tissue architecture of the brain. The diffusion-weighted signal in dMRI reflects the diffusivity of water molecules in brain tissue and can be utilized to produce image-based biomarkers for clinical research. Due to the constraints on scanning time, a limited number of measurements can be acquired within a clinically feasible scan time. In order to reconstruct the dMRI signal from a discrete set of measurements, a large number of algorithms have been proposed in recent years in conjunction with varying sampling schemes, i.e., with varying b-values and gradient directions. Thus, it is imperative to compare the performance of these reconstruction methods on a single data set to provide appropriate guidelines to neuroscientists on making an informed decision while designing their acquisition protocols. For this purpose, the SPArse Reconstruction Challenge (SPARC) was held along with the workshop on Computational Diffusion MRI (at MICCAI 2014) to validate the performance of multiple reconstruction methods using data acquired from a physical phantom. A total of 16 reconstruction algorithms (9 teams) participated in this community challenge. The goal was to reconstruct single b-value and/or multiple b-value data from a sparse set of measurements. In particular, the aim was to determine an appropriate acquisition protocol (in terms of the number of measurements, b-values) and the analysis method to use for a neuroimaging study. The challenge did not delve on the accuracy of these methods in estimating model specific measures such as fractional anisotropy (FA) or mean diffusivity, but on the accuracy of these methods to fit the data. This paper presents several quantitative results pertaining to each reconstruction algorithm. The conclusions in this paper provide a valuable guideline for choosing a suitable algorithm and the corresponding data-sampling scheme for clinical neuroscience applications.
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Affiliation(s)
- Lipeng Ning
- Brigham and Women's Hospital, Harvard Medical School, Boston, United States.
| | | | - Yaniv Gur
- IBM Almaden Research Center, San Jose, United States
| | - Edward V R DiBella
- Utah Center for Advanced Imaging Research (UCAIR), Department of Radiology, University of Utah, United States
| | | | | | - Aurobrata Ghosh
- Athena Project-Team, Inria Sophia Antipolis-Méditerranée, France
| | | | - Gloria Menegaz
- Department of Computer Science, University of Verona, Italy
| | - Rutger Fick
- Athena Project-Team, Inria Sophia Antipolis-Méditerranée, France
| | | | | | - Ramon Aranda
- Centro de Investigation en Matematicas, Department of Computer Science, Mexico
| | | | - Rachid Deriche
- Athena Project-Team, Inria Sophia Antipolis-Méditerranée, France
| | - Lauren O'Donnell
- Brigham and Women's Hospital, Harvard Medical School, Boston, United States
| | - Yogesh Rathi
- Brigham and Women's Hospital, Harvard Medical School, Boston, United States
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Daducci A, Canales-Rodríguez EJ, Descoteaux M, Garyfallidis E, Gur Y, Lin YC, Mani M, Merlet S, Paquette M, Ramirez-Manzanares A, Reisert M, Reis Rodrigues P, Sepehrband F, Caruyer E, Choupan J, Deriche R, Jacob M, Menegaz G, Prčkovska V, Rivera M, Wiaux Y, Thiran JP. Quantitative comparison of reconstruction methods for intra-voxel fiber recovery from diffusion MRI. IEEE Trans Med Imaging 2014; 33:384-399. [PMID: 24132007 DOI: 10.1109/tmi.2013.2285500] [Citation(s) in RCA: 95] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Validation is arguably the bottleneck in the diffusion magnetic resonance imaging (MRI) community. This paper evaluates and compares 20 algorithms for recovering the local intra-voxel fiber structure from diffusion MRI data and is based on the results of the "HARDI reconstruction challenge" organized in the context of the "ISBI 2012" conference. Evaluated methods encompass a mixture of classical techniques well known in the literature such as diffusion tensor, Q-Ball and diffusion spectrum imaging, algorithms inspired by the recent theory of compressed sensing and also brand new approaches proposed for the first time at this contest. To quantitatively compare the methods under controlled conditions, two datasets with known ground-truth were synthetically generated and two main criteria were used to evaluate the quality of the reconstructions in every voxel: correct assessment of the number of fiber populations and angular accuracy in their orientation. This comparative study investigates the behavior of every algorithm with varying experimental conditions and highlights strengths and weaknesses of each approach. This information can be useful not only for enhancing current algorithms and develop the next generation of reconstruction methods, but also to assist physicians in the choice of the most adequate technique for their studies.
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Paquette M, Merlet S, Gilbert G, Deriche R, Descoteaux M. Comparison of sampling strategies and sparsifying transforms to improve compressed sensing diffusion spectrum imaging. Magn Reson Med 2014; 73:401-16. [PMID: 24478106 DOI: 10.1002/mrm.25093] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2013] [Revised: 11/21/2013] [Accepted: 12/02/2013] [Indexed: 11/08/2022]
Abstract
PURPOSE Diffusion Spectrum Imaging enables to reconstruct the ensemble average propagator (EAP) at the expense of having to acquire a large number of measurements. Compressive sensing offers an efficient way to decrease the required number of measurements. The purpose of this work is to perform a thorough experimental comparison of three sampling strategies and six sparsifying transforms to show their impact when applied to accelerate compressive sensing-diffusion spectrum imaging. METHODS We propose a novel sampling scheme that assures uniform angular and random radial q-space samples. We also compare and implement six discrete sparse representations of the EAP and thoroughly evaluate them on synthetic and real data using metrics from the full EAP, kurtosis, and orientation distribution function. RESULTS The discrete wavelet transform with Cohen-Daubechies-Feauveau 9/7 wavelets and uniform angular sampling in combination with random radial sampling showed to be better than other tested techniques to accurately reconstruct the EAP and its features. CONCLUSION It is important to jointly optimize the sampling scheme and the sparsifying transform to obtain accelerated compressive sensing-diffusion spectrum imaging. Experiments on synthetic and real human brain data show that one can robustly recover both radial and angular EAP features while undersampling the acquisition to 64 measurements (undersampling factor of 4).
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Affiliation(s)
- Michael Paquette
- Department of Computer Science, Sherbrooke Connectivity Imaging Laboratory, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Sylvain Merlet
- Athena Project-Team, INRIA Sophia Antipolis-Méditerranée, Sophia-Antipolis Cedex, France
| | | | - Rachid Deriche
- Athena Project-Team, INRIA Sophia Antipolis-Méditerranée, Sophia-Antipolis Cedex, France
| | - Maxime Descoteaux
- Department of Computer Science, Sherbrooke Connectivity Imaging Laboratory, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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Tyldesley S, Tran E, Paquette M, Jay J, Liu M, Hamm J, Duncan G, Pickles T. OC-0049 THE IMPACT OF COMORBIDITIES ON THE BENEFITS OF PROLONGED ANDROGEN ABLATION IN PATIENTS WITH T3-4 PROSTATE CANCER. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)70388-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Tran E, Tyldesley S, Paquette M, Hamm J, Liu M, Lim J, Keyes M, Kwan W, Pickles T. Population-based Validation of the Bolla Study in T3-4 Prostate Cancer in British Columbia. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Caon J, Paquette M, Pickles T. Statin and ASA Use in Regards to Comorbidity and Outcome in Men with Prostate Cancer Treated with Curative Intent Radiation Therapy. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Berrang T, Paquette M, Woods R, Speers C, Hayshi A, Lerch L, Walter C, Smith S, Olivotto I. Can We Predict Which Women with a Negative Sentinel Lymph Node Biopsy Are at High Risk of a False Negative Result? Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Standard of care for women with a positive sentinel lymph node biopsy (SLNB) is to have a completion axillary lymph node dissection (cALND). For women with a negative SLNB, cALND is often not performed, accepting that a proportion will have a false negative (FN) result. FN rates are commonly reported based on surgeon experience. In the absence of cALND, information on FN rates will not be available, and other means of assessing the risk for FN SLNB is needed.Materials and Methods: Between May 1999 and December 2006, 1661 women with early-stage breast cancer that had undergone SLNB followed by cALND, were identified from our provincial database: 77 FN, 560 true positive (TP), and 1024 true negative (TN). FN cases were matched 1:3 with TN cases by date of SLNB. Chi-square and Wilcoxon Rank-sum tests were used to screen variables and those with moderate association were identified and included in subsequent models. Logistic regression was used to develop a multivariable model to predict the probability of FN vs. TN status. ROC curves were used to estimate the optimal probability cut-off, at which sensitivity (SN) and specificity (SP) were maximized. The model's performance was then assessed using a cross-validation technique.Results: Factors examined that did not significantly affect FN vs. TN status rate included: age, body mass index, previous breast surgery, histology, estrogen receptor status, margin status, tumor palpability, injection technique (peritumoral, periareolar), mapping agent used (yes/no), and SLNB done pre vs. post breast surgery (all p=NS). Factors identified that significantly affected FN vs. TN status (p<0.05) and thus included for potential use in the model included: tumor size, tumor grade, lymphovascular invasion (+/-LVI), tumor site (central/medial, lateral, other), type of breast surgery (mastectomy vs. lumpectomy), pre-operative lymphoscintiscan (yes/no), colloid (yes/no), number of SLN (1 vs. >1). The final model contained 5 variables: T stage (1 vs. 2), tumor grade, number of SLN removed, tumor site, and LVI. ROC identified an optimal probability cut-point for this model of 0.217 (21.7% risk of FN) with a corresponding SN of 71% and SP of 70%. In the cross-validation, the model correctly classified 66% of cases (SN of 73%, SP of 64%) with an AUC of 0.76. With increasing FN risk, SN declined and SP increased such that at a FN risk of 30%, this model had a SN 56%, SP 77%, and accuracy 72%. Using this model a woman with a T1, lateral, grade 3, 1 SLN and LVI- had a predicted FN risk of 21.5%, increasing to 52.2% if she were LVI+.Discussion: For women with early breast cancer, a negative SLNB result has a significant impact on prognosis and recommendations for further systemic and radiation therapy, this model (T size, tumor grade, number of SLN removed, tumor site, and LVI) is the first that would offer a quantitative prediction of FN risk in this setting, which could influence further discussion and therapeutic decision making. Potential refinements of this model will be explored, incorporating 'lower-priority' variables.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 303.
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Affiliation(s)
- T. Berrang
- 1British Columbia Cancer Agency, BC, Canada
| | | | - R. Woods
- 1British Columbia Cancer Agency, BC, Canada
| | - C. Speers
- 1British Columbia Cancer Agency, BC, Canada
| | - A. Hayshi
- 2University of British Columbia, BC, Canada
| | - L. Lerch
- 2University of British Columbia, BC, Canada
| | - C. Walter
- 1British Columbia Cancer Agency, BC, Canada
| | - S. Smith
- 1British Columbia Cancer Agency, BC, Canada
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Abstract
Previous studies have shown temporal variations in gentamicin-induced renal toxicity characterized by a peak when administered during the resting period and a trough during the active period. This time-dependent toxicity was also altered according to the macronutrient composition of dietary regimens offered to female rats. In the present study, adult female Sprague-Dawley rats were adapted to semipurified isocaloric diets containing 20% casein or soy-protein (10% fat each) or to a standard chow diet (18.1% mixed proteins; 4.5% fat). The animals were then chronically treated for 10 days with a nephrotoxic dose of gentamicin sulfate (40 mg/kg/day ip) or a saline solution administered in the middle of their resting period (1200 h) or in the middle of their activity period (0000 h). Body weights of rats injected in the middle of their resting period decreased over the last 6 days of gentamicin treatment. Total 12-h light and 12-h dark food intakes were decreased in gentamicin-treated rats. Rats fed the standard chow diet had significantly lower corticocellular regeneration, serum creatinine and blood urea nitrogen compared to those fed the casein- and soy-containing diets. The present study demonstrates that chronic gentamicin-induced renal toxicity varies temporally according to the time of administration and that a mixed protein diet containing a lower fat level can protect against gentamicin-induced nephrotoxicity.
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Affiliation(s)
- M Paquette
- School of Dietetics and Human Nutrition, Macdonald Campus of McGill University, Montreal, Québec, Canada H9X 3V9
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Lee DS, Dorian P, Downar E, Burns M, Yeo EL, Gold WL, Paquette M, Lau W, Newman DM. Thrombogenicity of radiofrequency ablation procedures: what factors influence thrombin generation? Europace 2001; 3:195-200. [PMID: 11467460 DOI: 10.1053/eupc.2001.0167] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
AIMS Thromboembolic complications have been reported after radiofrequency ablation but the low incidence of overt clinical events has been a limitation to the study of factors affecting thrombogenic risk. The aim of this study was to determine whether radiofrequency ablation has a procoagulant effect and to examine variables that affect thrombio generation. METHODS AND RESULTS Thirty-seven consecutive patients who underwent radiofrequency ablation were studied prospectively. Blood samples were assayed for thrombin-antithrombin III (TAT) and d-dimer (DD) at five different time points: (1) baseline; (2) after sheath insertion; (3) after electrophysiological study but before radiofrequency ablation; (4) at completion of the procedure; and (5) 24 h post-procedure. TAT levels were within the normal range at baseline and increased significantly after sheath insertion from 2.1 +/- 1.2 microg l(-1) to 13.3 +/- 16.0 microg l(-1) (P<0.01). Levels increased further to 24.0 +/- 19.9 microg l(-1) (P<0.01) after electrophysiological study but did not increase after radiofrequency ablation. TAT normalized at 24 h. DD increased significantly from baseline values (230.2 +/- 176.8 ng ml(-1)) to 285.4 +/- 237.4 ng ml(-1) (P=0.019) after sheath insertion. There was a further significant increase after electrophysiological study to 423.4 +/- 324.3 ng ml(-1) (P<0.01), and a slight but non-significant increase to 464.4 +/- 307.4 ng ml(-1) after radiofrequency ablation (P=0.159). DD remained elevated at 24 h. Procedure duration was the only variable that correlated with the relative increase in TAT and DD. The patients with the longest procedure durations had more catheters inserted, more radiofrequency applications and largely consisted of accessory bypass tract-mediated tachycardias. Heparin administration significantly blunted the relative increase in TAT after radiofrequency ablation (P=0.005). CONCLUSION Radiofrequency ablation procedures confer an increased risk of thrombosis. Catheterization and diagnostic study contribute largely to the thrombogenic stimulus. Thrombogenicity is increased in prolonged, complex procedures and is decreased in patients who have been administered heparin during the procedure.
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Affiliation(s)
- D S Lee
- St Michael's Hospital, Division of Cardiology, Toronto, Canada
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Baker B, Paquette M, Szalai JP, Driver H, Perger T, Helmers K, O'Kelly B, Tobe S. The influence of marital adjustment on 3-year left ventricular mass and ambulatory blood pressure in mild hypertension. Arch Intern Med 2000; 160:3453-8. [PMID: 11112239 DOI: 10.1001/archinte.160.22.3453] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND Of psychosocial stressors, job strain has been associated with a sustained increase in blood pressure. The impact of marital factors on blood pressure and target organ has not been explored. OBJECTIVES To evaluate whether marital adjustment, measured at baseline by self-report (Dyadic Adjustment Scale) influences left ventricular mass index (LVMI) and ambulatory blood pressure measured over 3 years in patients with mild hypertension. METHODS A prospective cohort study was conducted on 103 cohabiting males or females, including 72 with technically adequate echocardiograms, who at baseline were unmedicated, employed, and living with a significant other, all for a minimum of 6 months and had repeated elevated office diastolic blood pressure. MAIN OUTCOME MEASURES Left ventricular mass by M-mode echocardiography indexed to body surface area and blood pressure were measured by ambulatory blood pressure every 15 minutes (daytime) and hourly between 11 PM and 7 AM. RESULTS Marital adjustment, smoking, drinking, and baseline LVMI contributed significantly to the prediction of 3-year LVMI (semipartial correlation, sr(2) = 0.04, 0.07, 0.03, and 0.22; P =.03,.008,.08, and <.001, respectively) together accounting for 36% of the total variability in follow-up LVMI. Three-year ambulatory blood pressure measures were not significantly related to marital adjustment but there were correlations with Dyadic Adjustment Scale subscales. Low or high levels of spousal contact during 3-year ambulatory blood pressure monitoring were associated with an increase or decrease of 3-year, 24-hour diastolic blood pressure, consistent with the quality of marital adjustment (P =.04) or marital satisfaction (Dyadic Adjustment Scale subscale, P =.008). CONCLUSIONS In a cohort of subjects with mild essential hypertension, marital adjustment had an influence on 3-year LVMI. Depending on the quality of marital adjustment, spousal contact at 3 years was associated with an increase or decrease of 3-year diastolic blood pressure. Confirmation of these results, including objective marital assessment and the participation of normotensive subjects, is required. Arch Intern Med. 2000;160:3453-3458.
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Affiliation(s)
- B Baker
- 3D Edith Cavell Wing, Toronto Western Hospital, 399 Bathurst St, Toronto, Ontario, Canada M5T 2S8.
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Abstract
Although ICD therapy is seen as an irrevocable mode of therapy in most patients, a small number of patients do have their devices permanently explanted. The long-term outcome in these patients has not been described. The purpose of this single center study was to evaluate the long-term outcome of patients whose ICD was explanted and not replaced and to propose clinical variables that can be considered when making the decision to discontinue therapy. Ten of 323 (3.1%) patients in our ICD registry had their devices permanently explanted or turned off between 1986 and December 1998. The devices had been in place for 39 +/- 31 months preexplant. No patient had received appropriate therapy prior to surgery, which was indicated for infection or lead fracture. All patients are alive and well 75 +/- 30 months postexplant with 1 (10%) patient requiring late reimplantation. We reviewed the English language literature describing ICD explanation without replacement. A total of 151 patients were reported in eight studies and were followed for up to 30 months postexplant. Excluding patients with terminal illness or heart transplantation 57.6% survived without reimplantation. In selected patients, after not using an ICD for a long period and when clinical circumstances justify, device therapy may be discontinued with some degree of safety.
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Affiliation(s)
- M Geist
- Division of Cardiology, St. Michael's Hospital and University of Toronto, Canada.
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Abstract
Patients with atrial fibrillation (AF) report impaired health-related quality of life (QOL). Differences between men and women with AF have not been described and personality attributes such as somatization (tendency to amplify benign bodily sensations) may mediate potential gender differences in QOL. Patients with AF (n = 264, 59% men) who participated in the Canadian Trial of Atrial Fibrillation (n = 403) completed validated QOL questionnaires at baseline, 3 months, and 12 months after antiarrhythmic drug treatment. Women were significantly older than men and a greater proportion had hypertension, but other cardiac variables did not differ between women and men. At baseline, after controlling for significant clinical and demographic factors, women reported worse physical health (p = 0.002) and functional capacity (p < 0.001), but not mental health or general well-being. Women also had more frequent and severe cardiac symptoms than men (both p < 0.001). Physical health improved significantly from baseline to 3 months for women (p = 0.002), but not for men (p = 0.066). Conversely, mental health improved for men (p = 0.007), but not for women. Cardiac symptom frequency and severity improved over time for women and men (all p < 0.001). Tendency to somatize predicted poor QOL, and women had higher scores than men (p = 0.023). However, after controlling for somatization, women still had worse physical function, functional capacity, and symptom burden than men. Independent of cardiac disease severity and age, women with AF had significantly more impaired QOL than men, specifically on domains related to physical rather than emotional functioning. Personality attributes may have a role in influencing QOL outcomes.
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Affiliation(s)
- M Paquette
- St. Michael's Hospital, Toronto, Ontario, Canada
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Dorian P, Jung W, Newman D, Paquette M, Wood K, Ayers GM, Camm J, Akhtar M, Luderitz B. The impairment of health-related quality of life in patients with intermittent atrial fibrillation: implications for the assessment of investigational therapy. J Am Coll Cardiol 2000; 36:1303-9. [PMID: 11028487 DOI: 10.1016/s0735-1097(00)00886-x] [Citation(s) in RCA: 419] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES We sought to assess the impact of intermittent atrial fibrillation (AF) on health-related quality of life (QoL). BACKGROUND Intermittent AF is a common condition with little data on health-related QoL questionnaires to guide investigational therapies. METHODS Outpatients from four centers, with documented AF (n = 152), completed validated QoL questionnaires (Medical Outcomes Study Short Form 36 [SF-36], Specific Activity, Symptom Checklist, Illness Intrusiveness and University of Toronto AF Severity Scales). Comparison groups were made up of healthy individuals (n = 47) and four cardiac control groups: published (n = 78) and created for study (n = 69) percutaneous transluminal coronary angioplasty (PTCA); published heart failure (n = 216) and published postmyocardial infarction (MI) (n = 107). RESULTS Across all domains of the SF-36, AF patients reported substantially worse QoL than healthy controls (1.3 to 2.0 standard deviation units), with scores of 24%, 23%, 16% and 30% lower than healthy individuals on measures of physical and social functioning, mental and general health, respectively (all p < 0.001). Patients with AF were either significantly worse (p < 0.05, published controls) or as impaired (study controls) as either PTCA or post-MI patients on all domains of the SF-36 and the same as heart failure controls on SF-36 psychological subscales. Patients with AF were as impaired or worse than study PTCA controls on measures of illness intrusiveness, activity limitations and symptoms. Associations between objective disease indexes and subjective QoL measures had poor correlations and accounted for <6% of the total variability in QoL scores. CONCLUSIONS Quality of life is as impaired in patients with intermittent AF as in patients with significant structural heart disease. Patients' perception of QoL is not dependent on the objective measures of disease severity that are usually employed.
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Affiliation(s)
- P Dorian
- St. Micheal's Hospital, Toronto, Ontario, Canada
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Greene M, Newman D, Geist M, Paquette M, Heng D, Dorian P. Is electrical storm in ICD patients the sign of a dying heart? Outcome of patients with clusters of ventricular tachyarrhythmias. Europace 2000; 2:263-9. [PMID: 11227599 DOI: 10.1053/eupc.2000.0104] [Citation(s) in RCA: 90] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Electrical storm in patients with implanted cardioverter defibrillators (ICDs) is purported to carry an ominous prognosis. METHODS AND RESULTS We retrospectively compared 40 patients with electrical storm (defined as three or more episodes of ventricular arrhythmia requiring ICD therapy in a 24 h period) with those only having isolated appropriate ICD therapy (n=57) and with patients having no or only inappropriate ICD therapy (n=125). All patients received ICDs for documented sustained VT or VF. There was no significant difference in age, sex, ejection fraction, total follow-up time, or underlying heart disease between any of the three groups. Patients who had electrical storm received their first appropriate ICD therapy 275 +/- 369 days post-implant (35% had storm as their first event) with storm occurring an average of 599 +/- 710 days post-implant. Patients had 1.5 +/- 1.0 storms in total (median= 1), with 55 +/- 91 episodes per storm. There were no significant differences in actuarial survival at 5-year follow-up between the three groups. Eighty percent of storm patients were alive 5 years post-implant. CONCLUSION Storm is a common occurrence in ICD patients, can occur at any time during the follow-up period, and does not independently confer increased mortality.
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Affiliation(s)
- M Greene
- Division of Cardiology, St Michael's Hospital, University of Toronto, Canada
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Mok E, Paquette M, Thibault L. Effect of quipazine, a selective 5-HT3 agonist, on dietary self-selection of different macronutrient diets in male and female rats. Appetite 2000; 34:313-25. [PMID: 10888295 DOI: 10.1006/appe.2000.0321] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Macronutrient intakes, 2h and 12h, following administration of a selective 5-HT3 agonist, quipazine, N methyl, dimaleate (QUIPAZINE; 2.5, 5.0 and 7.5 mg/kg, i.p.) at dark onset were examined in three groups of adult male and female Wistar rats fed different sources of the three macronutrients: Group 1 (casein, corn starch, safflower oil), Group 2 (egg protein, corn starch/sucrose, lard) and Group S (casein hydrolysate, maltose dextrin, butter). QUIPAZINE decreased total food intake only in female rats from Group 1 (2 h) at a dose of 7.5 mg/kg and Group 2 (2h and 12h) with doses of 2.5 and 7.5 mg/kg. Intakes from corn starch and corn starch/sucrose diet (12h) were reduced in male and female rats, respectively, with doses of 2.5 and 7.5 mg/kg of QUIPAZINE. In conclusion, when provided with different sources of the three macronutrients, quipazine injection reduces specifically carbohydrate ingestion from corn starch-containing diets in male and female rats. Thus, the nature of the macronutrient source is of major importance to assess the effect of a drug on nutrient-specific selection.
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Affiliation(s)
- E Mok
- School of Dietetics and Human Nutrition, McGill University, Ste Anne de Bellevue, Quebec, Canada
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Nanthakumar K, Paquette M, Newman D, Deno DC, Malden L, Gunderson B, Gilkerson J, Greene M, Heng D, Dorian P. Inappropriate therapy from atrial fibrillation and sinus tachycardia in automated implantable cardioverter defibrillators. Am Heart J 2000; 139:797-803. [PMID: 10783212 DOI: 10.1016/s0002-8703(00)90010-3] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND Inappropriate therapy from supraventricular tachyarrhythmias (atrial fibrillation [AF] and sinus tachycardia [ST]) in patients with implanted cardioverter defibrillators is a major challenge. We tested the performance of stability algorithms from 3 manufacturers for episodes of inappropriate therapy delivered because of AF and an onset algorithm for all episodes of inappropriate therapy caused by ST. METHODS Therapy was classified as caused by ventricular tachycardia (VT), ST, or AF from review of stored intracardiac electrograms, history, clinical information, and R-R data before study inception. By using 30 to 60 R-R intervals before therapy, sensitivity and specificity for a family of stability values and percentage of onset values were calculated for each manufacturer and receiver operating characteristic curves generated. RESULTS Of the 217 patients monitored, 62 (29%) received inappropriate therapy, and 40 had complete R-R information available. Of the 40 patients, 21 patients received therapy for AF, 19 for ST, and 1 patient for noise; 15 (38%) also received appropriate therapy for VT. We analyzed 83 episodes of VT from 18 patients, 94 episodes of AF from 21 patients, and 56 episodes of ST from 19 patients. Specificity, in the clinically relevant sensitivity range of >/=95%, was comparable across manufacturers at about 40%. An onset value of 80% was associated with 91% sensitivity and 95% specificity for the specific algorithm tested. CONCLUSIONS Inappropriate therapy is a common problem in implantable cardiac defibrillators. The performance of the stability algorithms used to differentiate AF from VT was less than ideal, though comparable across manufacturers. The onset algorithm accurately differentiates ST from VT.
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Nanthakumar K, Dorian P, Paquette M, Hutchison S, Andrews J, Newman D. Effect of physiological mechanical perturbations on intact human myocardial repolarization. Cardiovasc Res 2000; 45:303-9. [PMID: 10728350 DOI: 10.1016/s0008-6363(99)00261-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate the relationship between acute decreases in right ventricular volume during Valsalva strain (with resultant changes in autonomic neural tone) and measures of local endocardial repolarization time independent of heart rate and autonomic neural tone. METHODS Patients implanted with a stimulus to T wave (Stim-T) sensing pacemaker specially adapted to output a validate measure of beat to beat local repolarization (n = 9) performed Valsalva manoeuvers (40 mmHg for 15 s) while paced at a cycle length of 500 ms. Stim-T intervals were measured before and after autonomic blockade (Block: 0.03 mg/kg i.v. atropine +/- 0.15 mg/kg propranolol). Right ventricular end diastolic volume was estimated by simultaneous 2D-echocardiography. RESULTS Without autonomic blockade, compared to baseline, repolarization significantly prolonged during Valsalva strain (1.1 +/- 0.7%) and shortened during release (-1.4 +/- 1.0%). After block, strain related repolarization prolongation was also observed (1.0 +/- 0.6%), with significantly less release related repolarization shortening (-0.8 +/- 0.8%) compared to pre-block (P < 0.05). Right ventricular end diastolic volume decreased during strain by 11 +/- 10 and 9 +/- 16% from baseline, pre- and post-block respectively (P < 0.05). CONCLUSION In a chronically instrumented human model, an acute physiologic volume reduction modestly prolongs right ventricular repolarization independent of changes in rate or autonomic tone.
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Affiliation(s)
- K Nanthakumar
- Division of Cardiology, St. Michael's Hospital, University of Toronto, Ontario, Canada
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Irvine J, Basinski A, Baker B, Jandciu S, Paquette M, Cairns J, Connolly S, Roberts R, Gent M, Dorian P. Depression and risk of sudden cardiac death after acute myocardial infarction: testing for the confounding effects of fatigue. Psychosom Med 1999; 61:729-37. [PMID: 10593621 DOI: 10.1097/00006842-199911000-00001] [Citation(s) in RCA: 124] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES This study examined the impact of depressive symptoms and social support on 2-year sudden cardiac death (SCD) risk, controlling for fatigue symptoms. METHODS Myocardial infarction (MI) patients (N = 671) participating in the Canadian Amiodarone Myocardial Infarction Arrhythmia Trial completed measures of depression, hostility, and social support. RESULTS After controlling for significant biological predictors, psychosocial predictors of increased SCD risk in the survival analysis were greater social network contacts (RR = 1.04; 95% CI = 1.01-1.06; p < .007), lower social participation (RR = 0.98; 95% CI = 0.96-1.00; p < .05), and, in placebo-treated patients, elevated depressive symptoms (RR = 2.45; 95% CI = 1.14-5.35; p < .02). Fatigue was associated with SCD (RR = 1.31; 95% CI = 1.11-1.53; p < .001), and, when included in the model, diminished the influence of depression (RR = 1.73; 95% CI = 0.75-3.98; p = .20). When the cognitive-affective depressive symptoms were examined separately from somatic symptoms, there was a trend for an association between cognitive-affective symptoms and SCD in placebo-treated patients after controlling for fatigue (RR = 1.09; 95% CI = 0.99-1.19, p < .06). CONCLUSIONS Symptoms of depression and fatigue overlap in patients with MI. The trend for the cognitive-affective symptoms of depression to be associated with SCD risk, even after controlling for dyspnea/fatigue, suggests that the association between depression and mortality after AMI cannot be entirely explained as a confound of cardiac-related fatigue. The independent contribution of social participation suggests a role of both depressive symptomatology and social factors in influencing mortality risk after MI.
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Affiliation(s)
- J Irvine
- Toronto General Hospital, University Health Network, Department of Psychiatry, University of Toronto, Ontario, Canada.
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Lee SD, Dorian P, Geist M, Davies E, Barr A, Dunne C, Paquette M, Newman D. Validation of a noninvasive measure of local myocardial repolarization in a conscious human model: adaptation of repolarization to changes in rate. J Cardiovasc Electrophysiol 1999; 10:1171-9. [PMID: 10517648 DOI: 10.1111/j.1540-8167.1999.tb00292.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
INTRODUCTION A commercial pacemaker sensor measure of the unipolar endocardial stimulus to T wave interval may accurately reflect changes in the monophasic action potential duration at 90% repolarization (APD90). This sensor system was used to study the kinetics of adaptation of repolarization duration to changes in heart rate in humans. METHODS AND RESULTS Patients were studied using an external pacemaker capable of displaying all stimulus to T wave intervals for each paced beat. Right ventricular stimulation was delivered via the pacemaker and compared simultaneously to APD90. Steady-state pacing was simulated by 60 seconds of pacing at cycle lengths (CLs) 350 to 700 msec. Adaptation to a new ventricular rate was analyzed with a sudden 200-msec decrease in CL. The relation between repolarization measure and steady-state CL (n = 16) was linear with a slope of 0.16 and 0.19 for APD90 and stimulus to T wave interval, respectively (P = NS). The adaptation of both repolarization measures to a sudden change in rate were best modeled by a biexponential function. Stimulus to T wave interval exhibited a parallel course to APD90, and an analysis of normalized differences between APD90 and stimulus to T wave interval followed an approximately normal distribution, with 93.5% of the paired differences within 2 SD of the mean. CONCLUSION A pacemaker sensor measure of stimulus to T wave interval accurately parallels APD90 during both steady-state and sudden changes in rate. Repolarization in human endocardium follows a linear relation to steady-state CL and adapts to a new rate with a biexponential function. This model represents a novel method for studying human cardiac repolarization.
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Affiliation(s)
- S D Lee
- Division of Cardiology, St. Michael's Hospital, University of Toronto, Canada
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Irvine J, Baker B, Smith J, Jandciu S, Paquette M, Cairns J, Connolly S, Roberts R, Gent M, Dorian P. Poor adherence to placebo or amiodarone therapy predicts mortality: results from the CAMIAT study. Canadian Amiodarone Myocardial Infarction Arrhythmia Trial. Psychosom Med 1999; 61:566-75. [PMID: 10443767 DOI: 10.1097/00006842-199907000-00023] [Citation(s) in RCA: 74] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE This study examined the relationship between adherence, mortality, and psychosocial factors. METHODS Subjects were 1141 patients participating in the Canadian Amiodarone Myocardial Infarction Arrhythmia Trial. Poor adherence to study medication (amiodarone or placebo), measured by pill count over 2 years, was defined as the lower 20th percentile of the pill count distribution. Predictors of adherence were also studied and included demographic and cardiac variables and, in a subset of participants (N = 671), measures of depression, distress, hostility, and social support. RESULTS In survival analysis controlling for cardiac and demographic variables, poor adherence in the placebo and amiodarone groups was associated with an increased risk of sudden cardiac death (relative risk (RR) = 2.11, 95% confidence interval (CI) = 1.03-4.56, p < .05; and RR = 3.15, 95% CI = 1.34-7.44, p < .01, respectively), total cardiac mortality (RR = 2.04, 95% CI = 1.12-3.72, p < .02; and RR = 2.49, 95% CI = 1.32-4.72, p < .01, respectively), and all-cause mortality (RR = 2.25, 95% CI = 1.27-3.97, p < .001; and RR = 2.34, 95% CI = 1.32-4.17, p < .004, respectively). Logistic regression analysis identified two predictors of poor adherence to placebo: age > 70 years (odds ratio = 2.18, 95% CI = 1.11-4.29, p < .03) and social activities in the month before the index heart attack (odds ratio = 1.02, 95% CI = 1.00-1.04, p < .05). CONCLUSIONS Poor adherence is associated with a greater risk of mortality. The relationship between adherence and social activities suggests a higher motivation to adhere to treatment in individuals more engaged in enjoyable activities.
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Affiliation(s)
- J Irvine
- The Toronto Hospital, Department of Psychiatry, University of Toronto, Ontario, Canada.
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Nanthakumar K, Newman D, Paquette M, Greene M, Rakovich G, Dorian P. Circadian variation of sustained ventricular tachycardia in patients subject to standard adrenergic blockade. Am Heart J 1997; 134:752-7. [PMID: 9351744 DOI: 10.1016/s0002-8703(97)70060-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Morning peaks in the circadian variation of sustained ventricular tachycardia (VT) may reflect the contribution of sympathetic activation to onset of VT. We hypothesized that adrenergic blockade would eliminate this morning peak. Fifty-four patients using a defibrillator had 1114 time-stamped episodes of VT requiring therapy with a device: 1012 episodes with and 102 episodes without antiadrenergic medications. Nine patients had episodes both with and without antiadrenergic medication and were examined separately. In patients taking antiadrenergic agents, data fitted to a harmonic regression model revealed a morning peak at 9:00 AM (R2= 0.542; p < 0.05), with a secondary peak at 4 PM. Those not receiving antiadrenergic therapy had a similar morning peak. Antiadrenergic agents as used in standard clinical practice do not prevent circadian variation in onset of VT. This variation may be mediated by systems other than adrenergic receptor-linked activation or may reflect inadequacy of adrenergic blockade in standard clinical dosing.
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Affiliation(s)
- K Nanthakumar
- Division of Cardiology, St. Michael's Hospital, University of Toronto, Ontario, Canada
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Sattar SA, Taylor YE, Paquette M, Rubino J. In-hospital evaluation of 7.5% hydrogen peroxide as a disinfectant for flexible endoscopes. Can J Infect Control 1996; 11:51-54. [PMID: 8868803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The effectiveness of Sporox (Reckitt and Colman Inc, New Jersey), a 7.5% solution of hydrogen peroxide, was compared with that of Cidex (Johnson & Johnson), a 2% solution of alkaline glutaraldehyde, in the manual disinfection of flexible endoscopes at a large general hospital. For disinfection with Sporox, a soaking time of 10 mins at room temperature was used. The same disinfectant bath was used for nearly seven weeks and the Sporox level was monitored using reagent strips supplied with the product. Controls included endoscopes with precleaning (enzyme-detergent) but without any disinfection, and endoscopes that were precleaned and disinfected in Cidex only. A total of 3 mL of sterile normal saline was used for sampling each channel and immediately plated to detect aerobic and anaerobic bacteria as well as mycobacteria. There were 76 endoscopes sampled. Of these, 55 were disinfected in Sporox, 13 were disinfected in Cidex and eight were precleaned but not disinfected. None of the samples from endoscopes disinfected with either Sporox or Cidex yielded isolates generally regarded as pathogenic for humans. The findings of this in-hospital study indicate that Sporox is at least as efficacious as Cidex in the disinfection of flexible endoscopes between patients. In addition, the exposure time to Sporox was half as long compared with Cidex, and hydrogen peroxide is much less toxic to humans and the environment. Therefore, Sporox appears to have considerable potential as a safer substitute for glutaradehyde-based products in the decontamination of flexible endoscopes.
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Paquette M. [The organization of mental health services in the North-Shore region.]. Sante Ment Que 1987; 12:144-9. [PMID: 16946976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
During the course of a regional symposium on mental health that took place at Sept-îles in October 1986, the author presented his views concerning the organization of mental health services in the North Shore region. In this article, he develops the two central ideas that supported his presentation. Firstly, he attempts to show to what extent it is imperative to deal with the issues surrounding alternatives to institutionalization; secondly, he attempts to show the importance of operationalizing services offered in small communities, in the area of preventive mental health care.
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Paquette M, Potworowski EF. Development of three Thy 1 + cell populations induced by distinct thymic stromal elements. Dev Comp Immunol 1983; 7:151-158. [PMID: 6132844 DOI: 10.1016/0145-305x(83)90063-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Thymectomized, X-irradiated mice, reconstituted with T cell-deprived bone marrow, were treated for 10 weeks with various thymic stromal fractions. Their splenocytes were then assayed for Thy 1 antigen. Three Thy 1 + populations were identified: cells of population 1 were found in mice treated with a membrane extract of thymic stroma. They had a high Thy 1 concentration which could be reduced (Population 2) after incubation with a thymic hormone preparation (STF). Population 3 was also composed of high Thy 1 cells but these were induced by STF treatment in vivo and could not be further differentiated into low Thy 1 cells.
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