Quantitative 3D imaging of scattering media using structured illumination and computed tomography.

An imaging technique capable of measuring the extinction coefficient in 3D is presented and demonstrated on various scattering media. The approach is able to suppress unwanted effects due to both multiple scattering and light extinction, which, in turbid situations, seriously hampers the performance of conventional imaging techniques. The main concept consists in illuminating the sample of interest with a light source that is spatially modulated in both the vertical and horizontal direction and to measure, using Structured Illumination, the correct transmission in 2D at several viewing angles. The sample is then reconstructed in 3D by means of a standard Computed Tomography algorithm. To create the adequate illumination, a novel "crossed" structured illumination approach is implemented. In this article, the accuracy and limitation of the method is first evaluated by probing several homogeneous milk solutions at various levels of turbidity. The unique possibility of visualizing an object hidden within such solutions is also demonstrated. Finally the method is applied on two different inhomogeneous scattering spray systems; one transient and one quasi-steady state.

Analysis of multiple scattering suppression using structured laser illumination planar imaging in scattering and fluorescing media.

The accuracy, precision and limitations of the imaging technique named Structured Laser Illumination Planar Imaging (SLIPI) have been investigated. SLIPI, which allows multiply scattered light to be diminished, has previously demonstrated improvements in image quality and contrast for spray imaging. In the current study the method is applied to a controlled confined environment consisting of a mixture of water and monodisperse polystyrene microspheres. Elastic scattering and fluorescence are studied and the results obtained when probing different particle concentrations and diameters conclusively show the advantages of SLIPI for imaging within moderately turbid media. Although the technique presents both good repeatability and agreement with the Beer-Lambert law, discrepancies in its performance were, however, discovered. Photons undergoing scattering without changing their incident trajectory cannot be discriminated and, owing to differences in scattering phase functions, probing larger particles reduces the suppression of multiply scattered light. However, in terms of visibility such behavior is beneficial as it allows denser media to be probed. It is further demonstrated that the suppression of diffuse light performs equally well regardless of whether photons propagate along the incident direction or towards the camera. In addition, this filtering process acts independently on the spatial distribution of the multiply scattered light but is limited by the finite dynamic range and unavoidable signal noise of the camera.

High-speed structured planar laser illumination for contrast improvement of two-phase flow images.

A high-speed method to remove blurring effects caused by multiple scattering in planar laser images of two-phase flows is demonstrated. The technique is based on structured illumination and is for the first time to our knowledge applied on a dynamic medium. As structured illumination requires three successive images to be recorded and to freeze the flow motion in time, a high-speed laser and imaging system is employed. We show that by using a time delay of 55 micros between the images a single-shot representation of a dilute flow of water droplets can be achieved. By having an additional inner stream with known structure and composition, the efficiency of the method is quantitatively evaluated, showing an increase from 58% to 93% in image contrast. Such an improvement allows more accurate analysis and interpretation of scattering two-phase flow images.

Antigen detection in enteropathogenic Escherichia coli using secretory immunoglobulin A antibodies isolated from human breast milk.

Enteropathogenic Escherichia coli (EPEC) produces a characteristic attaching and effacing (A/E) lesion in the small intestines of infected children. The immune response to EPEC infection remains poorly characterized. The molecular targets that elicit protective immunity against EPEC disease are unknown. In this study protein antigens from EPEC were identified using secretory immunoglobulin A (sIgA) antibodies isolated from milk from Mexican women by Western blot analysis. Purified sIgA antibodies, which inhibit the adherence of EPEC to cells, reacted to many EPEC proteins, the most prominent of which were intimin (a 94-kDa outer membrane protein) and two unknown proteins with apparent molecular masses of 80 and 70 kDa. A culture supernatant protein of 110 kDa also reacted strongly with the sIgA antibodies. The molecular size of this protein and its reactivity with specific anti-EspC antiserum suggest that it is EPEC-secreted protein C (EspC). These EPEC surface protein antigens were consistently recognized by all the different sIgA samples obtained from 15 women. Screening of clinical isolates of various O serogroups from cases of severe infantile diarrhea revealed that all EPEC strains able to produce the A/E lesion showed expression of intimin and the 80- and 70-kDa proteins. Such proteins reacted strongly with the purified sIgA pool. Moreover, nonvirulent E. coli strains were unable to generate a sIgA response. The immunogenic capacities of the 80- and 70-kDa proteins as virulence antigens have not been previously reported. The strong sIgA response to intimin and the 80- and 70-kDa proteins obtained in this study indicates that such antigens stimulate intestinal immune responses and may elicit protective immunity against EPEC disease.

Induction of apoptosis by 2-chlorodeoxyadenosine in B cell chronic lymphocytic leukemia.

We investigated whether 2-chlorodexoyadenosine could induce apoptosis in B cell chronic lymphocytic leukemia (B-CLL) cells in vitro using clinically achievable drug doses, measuring apoptosis ratio by flow cytometry. B cells were isolated from previously untreated patients and apoptosis was measured in these cells immediately after isolation and following incubation in vitro, without and with 2-chlorodeoxyadenosine at different concentrations, for 24 and 48 h. Distribution of cellular DNA content and quantitative analysis of apoptosis were determined by standard propidium iodide staining and flow cytometry. Spontaneous apoptosis occurred in B-CLL cells incubated in vitro in the absence of drug, but the level of apoptosis was greater in cells treated with 2-chlorodeoxyadenosine after the second day of culture. The present in vitro study of B-CLL cells from previously untreated patients suggests this chemotherapeutic agent activates a program of cell death by apoptosis using a drug dose equivalent to the physiological concentration used in patients in vivo. These data reveal an interesting possibility in the 2-chlorodeoxyadenosine treatment of untreated patients by neoplastic B cell apoptosis induction.

Functional and phenotypic analysis of T-lymphocytes in laryngeal carcinoma.

We studied the functional response and phenotypic characterization of peripheral blood T cells and their correlation with the clinical stage of disease in 29 males with previously untreated carcinoma of the larynx and 24 healthy male controls. Peripheral blood T cells, phenotypically CD2+ CD3+, were significantly decreased in the patients relative to the controls. Patients with advanced locoregional extension (T4 and N1, 2, 3) also showed a diminution of the CD4+ subpopulation of T cells. DNA synthesis by purified T cells showed similar blastogenic responses in patients and controls; the interleukin-2 production of phytohemagglutinin stimulated lymphocytes was also normal. We conclude that in patients with laryngeal carcinoma there is a phenotypic alteration of the T cells that is variable according to tumor stage, without functional alterations in blastogenic capacity or IL-2 production.

[Autoimmune hemolytic anemia associated with ulcerative colitis arising after colectomy]. / Anemia hemolítica autoinmune asociada a colitis ulcerosa de aparición tras colectomía.

Autoimmune hemolytic anemia is a rare, although not exceptional, complication of ulcerative colitis. This report presents a case of this association, which is noteworthy in that the hematologic picture appeared immediately after colectomy was performed due to colonic perforation. The features of the only three reported cases in which anemia developed after colectomy are reviewed, and the role of this surgical technique in the treatment of hemolytic anemia associated with ulcerative colitis is discussed. Although colectomy does not protect patients with ulcerative colitis from the onset of hemolytic anemia, we consider that proctocolectomy should be included among the therapeutic alternatives when this association is present, especially in the case of refractory colitis.

[Amyloidosis and sleep-inhibiting apnea. A case improved by continuous positive pressure applied via the nose]. / Amiloidosis y apnea obstructiva del sueño. A propósito de un caso mejorado con presión positiva continua por vía nasal.

We present a patient with primary amyloidosis and sleep-inhibiting apnea and review the only two cases for which adequate references have been made in the medical literature. The importance of a complete anamnesis on the characteristics of sleep are stressed, and it is suggests that treatment with positive pressure applied via the nose (cPAP), as in the case presented here, can mean an important symptomatic improvement in a disease with an unfortunate prognosis.

Double disease in rheumatology: coexistence of rheumatoid arthritis and psoriatic arthritis.

Since rheumatoid arthritis (RA) and psoriatic arthritis (PA) are common diseases, there should be a group of patients in which the two entities coexist, with an estimated prevalence ranging from 0.03/10,000 to 0.15/10,000. The two entities may share clinical, analytic and radiologic features that further complicate the diagnosis. We report here a patient in whom RA and PA coexisted. The features that differentiate peripheral arthritis in RA and PA are discussed.

[Thalassemia minor with iron overload: genetic and clinical study of a family]. / Talasemia minor con sobrecarga de hierro: estudio genético y clínico de una familia.

A patient with thalassemia minor (TM) is reported who ingested 80 g of alcohol/day and presented an important overload of iron with deposits and a hepatic iron ratio compatible with primary hemochromatosis. The results obtained from the study of histocompatibility antigens, clinical manifestations and family analysis discarded the possibility of two genetic diseases, beta-thalassemia and primary hemochromatosis, being concomitantly present in the same progeny. Thalassemia minor and alcoholic hepatopathy are considered as having acted together and being responsible for the iron overload. The relation between alcohol ingested, TM and iron deposits is discussed.