Clinical validation and diagnostic accuracy of 99mTc-EDDA/HYNIC-TOC compared to 111In-DTPA-octreotide in patients with neuroendocrine tumours: the LACOG 0214 study

99mTc-EDDA/HYNIC-TOC is an easily available and cheaper radionuclide that could be used for somatostatin-receptor-based imaging of neuroendocrine tumours (NETs). We aimed to evaluate the diagnostic performance of 99mTc-EDDA/HYNIC-TOC compared to111In-DTPA-octreotide in patients (pts) with NETs. We performed a prospective diagnostic study including pts with biopsy-confirmed NET and at least one visible lesion at conventional imaging. Two independent nuclear medicine physicians evaluated pts who underwent 99mTc and 111In scans and images. The primary outcome was comparative diagnostic accuracy of 99mTc and 111In. Secondary outcomes include safety. Nine pts were included and performed 14 paired scans. Overall, 126 lesions were identified. 99mTc demonstrated superior sensitivity both when all images were analysed (93.7, 95% CI 88.1% - 96.8% versus 74.8%, 95% CI 66.6 - 81.6%, p < 0.001) and when liver-specific images were analysed (97.8%, 95% CI 92.7% - 99.5% versus 85.1%, 95% CI 76.6% - 91.0%, p < 0.001). 99mTc was also associated with a lower negative likelihood ratio (LR) (0.002, 95% CI 0.009 - 0.1 versus 0.19, 95% CI 0.12 - 0.42, p = 0.009) when evaluating hepatic lesions. Adverse events happened in 3 pts after 111In and in 2 pts after 99mTc, all grade 1. The 99mTc demonstrated a higher sensitivity overall and a better negative LR in liver-specific images compared to 111In in pts with NETs. Our findings suggest that 99mTc is an alternative to 111In and is especially useful in ruling out liver metastases. NCT02691078.

Competitive effects on mercury removal by an agricultural waste: application to synthetic and natural spiked waters

In this work, the efficiency of a local and highly, available agricultural waste, the raw rice husk, was used to remove mercury (Hg) from synthetic and natural waters, spiked with concentrations that reflect the contamination problems found in the environment. Different operating conditions were tested, including initial pH, ionic strength, the presence of co-ions (cadmium) and organic matter. The sorption efficiency of rice husk was slightly affected by the presence H+ ions (pH range between 3 and 9), but in the presence of NaNO3 and NaCl electrolytes and in binary solutions containing Cd2+ and H2+, the sorption efficiency was dependent on the nature and levels of the interfering ion and on the initial concentration of Hg+ used. Nevertheless, in a situation of equilibrium the effect of those ions was negligible and the removal efficiency ranged between 82% and 94% and between 90% and 96% for an initial Hg2+ concentration of 0.05 mg L(-1) and 0.50 mg L(-1), respectively. In more complex matrices, i.e. in the presence ofhumic substances and in natural river waters, the speciation and dynamics of Hg was changed and a fraction of the metal becomes unavailable in solution. Even then, the values obtained for Hg removal were satisfactory, i.e. between 59% and 76% and 81% and 85% for an initial concentration of Hg2+ of 0.05 and 0.50 mg L(-1), respectively.

Neurotropism and neuropathological effects of selected rhabdoviruses on intranasally-infected newborn mice

Viral neurotropism is the ability of viruses to infect neuronal cells. This is well studied for herpesviruses, rabies-related viruses, and a few others, but it is poorly investigated among almost all arboviruses. In this study, we describe both the neurotropism and the neuropathological effects of Amazonian rhabdoviruses on the brains of experimentally infected-newborn mice. Suckling mice were intranasally infected with 10(-4) to 10(-8) LD50 of viruses. Animals were anaesthetized and perfused after they had become sick. Immunohistochemistry using specific anti-virus and anti-active caspase three antibodies was performed. All infected animals developed fatal encephalitis. Survival time ranged from 18 h to 15 days. Viruses presented distinct species-dependent neurotropism for CNS regions. Histopathological analysis revealed variable degrees of necrosis and apoptosis in different brain regions. These results showed that viruses belonging to the Rhabdoviridae family possess distinct tropism for CNS structures and induce different pattern of cell death depending on the CNS region.

Ipsilateral neck cancer recurrences after elective supraomohyoid neck dissection

DESIGN

Retrospective analysis of a case series.

SETTING

Referral center, private or institutional practice, hospitalized care.

OBJECTIVE

To analyze the level (site) of ipsilateral neck recurrences after supraomohyoid (SOH) dissection in patients with lip, oral, and oropharyngeal cancer treated in a single institution.

INTERVENTION

Supraomohyoid neck dissection.

PATIENTS AND METHODS

From 1979 to 1997, 154 patients with oral and oropharyngeal carcinoma and no palpable lymph nodes at the neck underwent ipsilateral elective SOH dissection.

RESULTS

Tumor sites were the lip, 5 cases (3.3%); oral cavity, 128 cases (83.1%); and oropharynx, 21 cases (13.6%). Tumor stages were T1, 13 cases (8.4%); T2, 77 cases (50.0%); T3, 40 cases (27.0%); and T4, 22 cases (14.3%). There were 7 cases (4.5%) of ipsilateral neck recurrences. Three were beyond the limits of the SOH dissection, and 4 were inside these limits. There was no association of neck recurrences with the pathological status of the lymph nodes. Six of the 7 recurrences were in patients who underwent postoperative radiotherapy.

CONCLUSIONS

The incidence of neck recurrence after selective neck dissection was 4.5%, and it occurred either inside (57.1%) or beyond (42.9%) the limits of the selective neck dissection.