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1.
SAR QSAR Environ Res ; 32(2): 151-174, 2021 Feb.
Article in English | MEDLINE | ID: mdl-33525942

ABSTRACT

One step towards reduced animal testing is the use of in silico screening methods to predict toxicity of chemicals, which requires high-quality data to develop models that are reliable and clearly interpretable. We compiled a large data set of fish early life stage no observed effect concentration endpoints (FELS NOEC) based on published data sources and internal studies, containing data for 338 molecules. Furthermore, we developed a new quantitative structure-activity-activity relationship (QSAAR) model to inform estimation of this endpoint using a combination of dimensionality reduction, regularization, and domain knowledge. In particular, we made use of a sparse partial least squares algorithm (sPLS) to select relevant variables from a huge number of molecular descriptors ranging from topological to quantum chemical properties. The final QSAAR model is of low complexity, consisting of 2 latent variables based on 8 molecular descriptors and experimental Daphnia magna acute data (EC50, 48 h). We provide a mechanistic interpretation of each model parameter. The model performs well, with a coefficient of determination r 2 of 0.723 on the training set (cross-validated q 2 = 0.686) and comparable predictivity on a test data set of chemically related molecules with experimental Daphnia magna data (r 2 test = 0.687, RMSE = 0.793 log units).


Subject(s)
Daphnia/drug effects , Fishes/metabolism , Larva/drug effects , Quantitative Structure-Activity Relationship , Toxicity Tests/veterinary , Animals , Least-Squares Analysis , Models, Biological , Toxicity Tests/instrumentation
2.
Sanid. mil ; 76(2): 91-95, abr.-jun. 2020. ilus
Article in Spanish | IBECS | ID: ibc-197390

ABSTRACT

En el presente trabajo se exponen las medidas estructurales y logísticas, así como la práctica clínica planificada, para poder responder a la pandemia producida por el virus SARS-CoV-2 en el Departamento de Psiquiatría y Salud Mental del Hospital Central de la Defensa «Gómez Ulla». La planificación de la función asistencial se dividió en cinco grupos: los pacientes psiquiátricos ingresados en la Unidad de Hospitalización Breve; los pacientes con patología psiquiátrica ingresados en otros Servicios diferentes de Psiquiatría; los pacientes ambulatorios atendidos en Consultas Externas; los familiares de los pacientes ingresados por la COVID-19; el personal sanitario del Hospital Central de la Defensa «Gómez Ulla». En función de las necesidades de estos grupos asistenciales se realizó una planificación integral de la atención a los mismos. Durante el periodo 14 de marzo al 30 de mayo el 13% del grupo de profesionales del departamento de psiquiatría y salud mental, presentó síntomas moderados- graves de COVID-19; el 19% de los pacientes psiquiátricos ingresados en la unidad de hospitalización fueron COVID19 positivos, no falleciendo ninguno. El 74% de las interconsultas realizadas fueron sobre pacientes ingresados por COVID-19 que presentaron mayoritariamente cuadros confusionales de diversa intensidad o psicosis secundarias al uso de fármacos en el tratamiento activo del COVID-19. Se hicieron 4.185 llamadas a familiares, de las cuales el 14% (n=575) fueron a demanda de los propios familiares. Se hicieron más de 200 videollamadas y se mantuvo de forma telemática el 100% de las consultas externas


In this work the structural and logistical measures are exposed, as well as the planned clinical practice, to be able to respond to the pandemic caused by the virus SARS-CoV-2 in the Department of Psychiatry and Mental Health of the Central Defense Hospital «Gómez Ulla». The planning of the care function was divided into five groups: psychiatric patients admitted to the Brief Hospitalization Unit; patients with psychiatric pathology admitted to other different Psychiatric Services; outpatients treated in Outpatient Consultations; the relatives of the patients admitted by COVID-19; the health personnel of the Central Defense Hospital «Gómez Ulla». Based on the needs of these care groups, comprehensive care planning was carried out. During the period March 14 to May 30, 13% of the staff presented moderate-severe symptoms of COVID-19; 19% of the psychiatric patients admitted to the hospitalization unit were COVID19 positive, none of whom died. 74% of the inter-consultations carried out were on patients admitted for COVID-19 who presented mostly confusional symptoms of varying intensity or psychosis secondary to the use of drugs in the active treatment of COVID-19. 4.185 calls were made to family members, of which 14% (n = 575) were at the request of the family members themselves. More than 220 video calls were made and 100% of the external consultations were kept online


Subject(s)
Humans , Psychiatric Department, Hospital , Hospitals, Military , Coronavirus Infections/psychology , Pneumonia, Viral/psychology , Pandemics , Crisis Intervention/methods , Mental Health , Family/psychology , Referral and Consultation , Telephone , Videoconferencing/instrumentation , Patient Escort Service , Hospice Care/psychology , Grief
3.
Technol Cancer Res Treat ; 16(1): 57-65, 2017 02.
Article in English | MEDLINE | ID: mdl-26818025

ABSTRACT

OBJECTIVE: To design and demonstrate a customized tool to generate histologic sections of the prostate that directly correlate with needle-based optical coherence tomography pullback measurements. MATERIALS AND METHODS: A customized tool was created to hold the prostatectomy specimens during optical coherence tomography measurements and formalin fixation. Using the tool, the prostate could be sliced into slices of 4 mm thickness through the optical coherence tomography measurement trajectory. In this way, whole-mount pathology slides were produced in exactly the same location as the optical coherence tomography measurements were performed. Full 3-dimensional optical coherence tomography pullbacks were fused with the histopathology slides using the 3-dimensional imaging software AMIRA, and images were compared. RESULTS: A radical prostatectomy was performed in a patient (age: 68 years, prostate-specific antigen: 6.0 ng/mL) with Gleason score 3 + 4 = 7 in 2/5 biopsy cores on the left side (15%) and Gleason score 3 + 4 = 7 in 1/5 biopsy cores on the right side (5%). Histopathology after radical prostatectomy showed an anterior located pT2cNx adenocarcinoma (Gleason score 3 + 4 = 7). Histopathological prostate slides were produced using the customized tool for optical coherence tomography measurements, fixation, and slicing of the prostate specimens. These slides correlated exactly with the optical coherence tomography images. Various structures, for example, Gleason 3 + 4 prostate cancer, stroma, healthy glands, and cystic atrophy with septae, could be identified both on optical coherence tomography and on the histopathological prostate slides. CONCLUSION: We successfully designed and applied a customized tool to process radical prostatectomy specimens to improve the coregistration of whole mount histology sections to fresh tissue optical coherence tomography pullback measurements. This technique will be crucial in validating the results of optical coherence tomography imaging studies with histology and can easily be applied in other solid tissues as well, for example, lung, kidney, breast, and liver. This will help improve the efficacy of optical coherence tomography in cancer detection and staging in solid organs.


Subject(s)
Prostatic Neoplasms/diagnosis , Tomography, Optical Coherence , Aged , Aged, 80 and over , Biomarkers, Tumor , Biopsy , Humans , Imaging, Three-Dimensional , Male , Middle Aged , Neoplasm Grading , Prostate-Specific Antigen , Prostatic Neoplasms/surgery , Tomography, Optical Coherence/methods , Tomography, Optical Coherence/standards
4.
J Clin Pharm Ther ; 41(6): 645-649, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27578276

ABSTRACT

WHAT IS KNOWN AND OBJECTIVES: Clinical pharmacists play an important role in the management of patients undergoing hepatitis C virus (HCV) treatment. No satisfaction surveys have been published on clinical pharmacist interventions in HCV management. The objective was to evaluate patient satisfaction with clinical pharmacist and prescriber services in the HCV patient population at an urban academic hepatology clinic. METHODS: An anonymous patient satisfaction survey was offered to patients who were initiating or receiving HCV treatment under the care of a clinical pharmacist. Survey items assessed demographics and satisfaction with HCV care. Satisfaction was assessed with 17 or 20 Likert-scale questions (1 = poor, 2 = fair, 3 = okay, 4 = good, 5 = great) and two or three open-ended questions. Survey results were analysed via comparative and descriptive statistics. A qualitative content analysis was used for the open-ended survey questions. RESULTS AND DISCUSSION: Sixty-four patients completed 77 (24 pharmacist and 53 prescriber) patient satisfaction surveys. The mean age was 53 (±9·72) years. Patients reported high levels of satisfaction with the pharmacist and prescribers. All 24 (100%) patients ranked overall satisfaction with services provided by pharmacists as 'great', and 36 (69%) of 52 patients ranked overall satisfaction with services provided by prescribers as 'great'. Patients supported the inclusion of a clinical pharmacist on health care teams for other disease states. WHAT IS NEW AND CONCLUSION: Patients reported high levels of satisfaction with the clinical pharmacist involved in HCV treatment management at an urban academic medical centre. Clinical pharmacist services were highly valued and recommended by the patients surveyed. The survey was able to identify areas in need of improvement in the clinic. Clinical pharmacists play an important role in the treatment and management of HCV. This survey may serve as a model for assessment of satisfaction in other pharmacist-run clinic settings.


Subject(s)
Community Pharmacy Services/statistics & numerical data , Drug Prescriptions/statistics & numerical data , Hepacivirus/drug effects , Hepatitis C, Chronic/drug therapy , Patient Satisfaction/statistics & numerical data , Pharmacists/statistics & numerical data , Pharmacy Service, Hospital/statistics & numerical data , Adult , Aged , Clinical Competence , Disease Management , Female , Humans , Male , Middle Aged , Surveys and Questionnaires
5.
J Urol ; 196(6): 1749-1755, 2016 12.
Article in English | MEDLINE | ID: mdl-27475968

ABSTRACT

PURPOSE: Biopsies and cytology are cornerstones in the diagnosis of upper urinary tract urothelial carcinoma. However, a high rate of nondiagnostic biopsies, tumor upgrading and tumor up staging after nephroureterectomy has been observed. In this prospective in vivo study we evaluated the diagnostic accuracy of optical coherence tomography for the grading and staging of upper tract urothelial carcinoma. MATERIALS AND METHODS: A total of 26 patients underwent diagnostic ureterorenoscopy including biopsies and optical coherence tomography, followed by nephroureterectomy or segmental ureter resection. The sensitivity, specificity, negative predictive value and positive predictive value of upper tract urothelial carcinoma grading and staging by optical coherence tomography were evaluated according to the STARD (Standards for Reporting of Diagnostic Accuracy) initiative and the second stage (2a and 2b) of the IDEAL model. For tumor staging a 2×2 table for sensitivity and specificity was calculated. For tumor grading the Wilcoxon rank sum test was used to test µoct in low and high grade lesions followed by ROC analysis for sensitivity and specificity. RESULTS: In 83% the staging of lesions was in accordance with final histopathology. Sensitivity and specificity analysis for tumor invasion was 100% and 92%, respectively. Tumor size greater than 2 mm and inflammation were risks for false-positives. For low and high grade lesions median µoct was 2.1 and 3.0 mm-1, respectively (p <0.01). ROC analysis showed a sensitivity of 87% and a specificity of 90% using a µoct cutoff of 2.4 mm-1. CONCLUSIONS: This report describes optical coherence tomography as a real-time, intraoperatively diagnostic modality in the diagnostic evaluation of upper tract urothelial carcinoma. We confirmed the ability of optical coherence tomography to visualize, grade and stage urothelial carcinoma in the upper urinary tract.


Subject(s)
Carcinoma, Transitional Cell/diagnostic imaging , Carcinoma, Transitional Cell/pathology , Kidney Neoplasms/diagnostic imaging , Kidney Neoplasms/pathology , Tomography, Optical Coherence , Ureteral Neoplasms/diagnostic imaging , Ureteral Neoplasms/pathology , Aged , Female , Humans , Male , Neoplasm Grading , Neoplasm Staging , Prospective Studies
7.
J Biophotonics ; 9(5): 490-8, 2016 05.
Article in English | MEDLINE | ID: mdl-26856796

ABSTRACT

The diagnostic accuracy of Optical Coherence Tomography (OCT) based optical attenuation coefficient analysis is assessed for the detection of prostate cancer. Needle-based OCT-measurements were performed on the prostate specimens. Attenuation coefficients were determined by an earlier described in-house developed software package. The mean attenuation coefficients (benign OCT data; malignant OCT data; p-value Mann-Whitney U test) were: (3.56 mm(-1) ; 3.85 mm(-1) ; p < 0.0001) for all patients combined. The area under the ROC curve was 0.64. In order to circumvent the effect of histopathology mismatching, we performed a sub-analysis on only OCT data in which tumor was visible in two subsequent histopathological prostate slices. This analysis could be performed in 3 patients. The mean attenuation coefficients (benign OCT data; malignant OCT data; p-value Mann-Whitney U test) were: (3.23 mm(-1) ; 4.11 mm(-1) ; p < 0.0001) for all patients grouped together. The area under the ROC curve was 0.89. Functional OCT of the prostate has shown to differentiate between cancer and healthy prostate tissue. The optical attenuation coefficient in malignant tissue was significantly higher in malignant tissue compared to benign prostate tissue. Further studies are required to validate these initial results in a larger group of patients with a more tailored histopathology matching protocol.


Subject(s)
Prostatic Neoplasms/diagnostic imaging , Tomography, Optical Coherence , Humans , Male , Needles
8.
Dis Esophagus ; 29(6): 505-12, 2016 Aug.
Article in English | MEDLINE | ID: mdl-25951873

ABSTRACT

Volumetric laser endomicroscopy (VLE) is a novel balloon-based optical coherence tomography (OCT) imaging technique that may improve detection of early neoplasia in Barrett's esophagus (BE). Most OCT studies lack a direct correlation between histology and OCT images. The aim is to investigate the optimal approach for achieving one-to-one correlation of ex-vivo VLE images of endoscopic resection (ER) specimens with histology. BE patients with and without early neoplasia underwent ER after delineating areas with electrocoagulation markers (ECM). After ER, specimens underwent additional ex-vivo marking with several different markers (ink, pin, Gold Probe) followed by ex-vivo VLE scanning. ER specimens were carefully sectioned into tissue blocks guided by the markers. Histology and VLE slides were considered a match if ≥ 2 markers were visible on both modalities and mucosal patterns aside from these markers matched on both histology and VLE. From 16 ER specimens 120 tissue blocks were sectioned of which 23 contained multiple markers. Fourteen histology-VLE matches were identified. ECMs and ink markers proved to be the most effective combination for matching. The last 6/16 ER specimens yielded 9/14 matches, demonstrating a learning curve due to methodological improvements in marker placement and tissue block sectioning. One-to-one correlation of VLE and histology is complex but feasible. The groundwork laid in this study will provide high-quality histology-VLE correlations that will allow further research on VLE features of early neoplasia in BE.


Subject(s)
Adenocarcinoma/diagnostic imaging , Barrett Esophagus/diagnostic imaging , Esophageal Neoplasms/diagnostic imaging , Microscopy, Confocal/methods , Tomography, Optical Coherence/methods , Adenocarcinoma/pathology , Aged , Barrett Esophagus/pathology , Barrett Esophagus/surgery , Early Detection of Cancer , Endoscopic Mucosal Resection , Esophageal Neoplasms/pathology , Esophagoscopy , Feasibility Studies , Female , Humans , Male , Middle Aged
9.
Anaesthesia ; 70(11): 1259-63, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26192743

ABSTRACT

The efficiency of a double-lumen tube depends on its position in the airways, which can be verified by fibreoptic bronchoscopy. The VivaSight DL is a single-use double-lumen tube with a camera embedded in the tube's right side. The view from the camera appears continuously on a monitor. In this prospective study of 71 adult patients, we compared intubation times using either the VivaSight DL or a conventional double-lumen tube. Median (IQR [range]) duration of intubation with visual confirmation of tube position was significantly reduced using the VivaSight DL compared with the conventional double-lumen tube (51 (42-60 [35-118]) s vs 264 (233-325 [160-490]) s, respectively, p < 0.0001). None of the patients allocated to the VivaSight DL required fibreoptic bronchoscopy during intubation or surgery. The VivaSight DL enables significantly more rapid intubation compared with the conventional double-lumen tube.


Subject(s)
Intubation, Intratracheal/instrumentation , Thoracic Surgery, Video-Assisted/instrumentation , Aged , Equipment Design , Female , Fiber Optic Technology , Humans , Intubation, Intratracheal/methods , Male , Middle Aged , Operative Time , Prospective Studies , Thoracic Surgery, Video-Assisted/methods
10.
J Eur Acad Dermatol Venereol ; 29(4): 738-44, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25175118

ABSTRACT

BACKGROUND: Cutaneous melanomas are diagnosed worldwide in 231,130 patients per year. The sensitivity and specificity of melanoma diagnosis expresses the need for an additional diagnostic method. Optical coherence tomography (OCT) has shown that it allows morphological (qualitative) description of image features and quantitative analysis of pathology related light scattering by means of the attenuation coefficient (µoct ). OBJECTIVE: We hypothesize that OCT images of nevi will differ qualitatively and quantitatively from melanomas. METHODS: Forty lesions from 33 consecutive patients were imaged with OCT. After data acquisition, excision was performed. Epidermal layer thickness was measured and values of µoct were extracted from 200 OCT images of pigmented lesions. RESULTS: Morphologically, absence of the lower border of the lesion was characteristic for melanoma (P = 0.02). Also, the µoct was different between benign and malignant lesions (P = 0.02). There were no differences in epidermal layer thickness of benign lesions and melanoma. CONCLUSION: Although this preliminary study comprised a small number of patients, quantitative analysis of OCT images in pigmented skin lesions give valuable additional information about lesions characteristics. When using the attenuation coefficient, it might be possible to distinguish between benign lesions and melanomas.


Subject(s)
Melanoma/pathology , Nevus, Pigmented/pathology , Skin Neoplasms/pathology , Tomography, Optical Coherence , Adult , Epidermis/pathology , Female , Humans , Imaging, Three-Dimensional , Male , Middle Aged , Prospective Studies , ROC Curve
11.
Lasers Med Sci ; 29(3): 1297-305, 2014 May.
Article in English | MEDLINE | ID: mdl-23504262

ABSTRACT

Optical coherence tomography (OCT) is an optical technique that measures the backscattering of near-infrared light by tissue. OCT yields in 2D and 3D images at micrometer-scale resolution, thus providing optical biopsies, approaching the resolution of histopathological imaging. The technique has shown to allow in vivo differentiation between benign and malignant epithelial tissue, through qualitative assessment of OCT images, as well as by quantitative evaluation, e.g., functional OCT. This study aims to summarize the principles of OCT and to discuss the current literature on the diagnostic value of OCT in the diagnosis of epithelial (pre)malignant lesions. The authors did a systematic search of the electronic databases PubMed and Embase on OCT in the diagnostic process of (pre)malignant epithelial lesions. OCT is able to differentiate between benign and (pre)malignant lesions of epithelial origin in a wide variety of tissues. In this way, OCT can detect skin cancers, oral, laryngeal, and esophageal cancer as well as genital and bladder cancer. OCT is an innovative technique which enables an optical biopsy of epithelial lesions. The incorporation of OCT in specific tools, like handheld and catheter-based probes, will further improve the implementation of this technology in daily clinical practice.


Subject(s)
Epithelium/pathology , Tomography, Optical Coherence/methods , Biopsy , Humans , Neoplasms/pathology
12.
Opt Express ; 21(24): 29145-56, 2013 Dec 02.
Article in English | MEDLINE | ID: mdl-24514466

ABSTRACT

We use transmission and backscattering optical coherence tomography (OCT) to distinguish and quantify dependent and multiple scattering effects in turbid media. With transmission OCT the dependent scattering coefficients for a range of monodisperse silica particle suspensions are determined. An excellent agreement is observed between the measured dependent scattering coefficients and calculations based on Mie calculations, the Percus-Yevick radial distribution function, and coherent light scattering theory. Backscattering OCT measurements are fitted using the extended Huygens-Fresnel (EHF) model with the dependent scattering coefficients obtained from the transmission OCT measurements as input parameters. Good agreement between the EHF model and the backscattering OCT measurements is observed. For large particles, the rms scattering angle θrms obtained from the EHF fit is in fair agreement with θrms calculated from the transmission OCT data.


Subject(s)
Algorithms , Image Interpretation, Computer-Assisted/methods , Nephelometry and Turbidimetry/methods , Tomography, Optical Coherence/methods , Image Enhancement/methods , Light , Nephelometry and Turbidimetry/instrumentation , Phantoms, Imaging , Reproducibility of Results , Scattering, Radiation , Sensitivity and Specificity , Tomography, Optical Coherence/instrumentation
13.
Nutr Diabetes ; 2: e52, 2012 Dec 03.
Article in English | MEDLINE | ID: mdl-23208413

ABSTRACT

BACKGROUND: Obesity is associated with a prothrombotic state, which may contribute to the increased risk of thrombotic events. OBJECTIVE: To assess the effects of (pre)adipocyte-derived adipokines on fibrinogen, plasminogen activator inhibitor-1 (PAI-1) and tissue factor (TF) production by hepatocytes. METHODS: HepG2 hepatocytes were incubated with conditioned media (CM) derived from preadipocytes and adipocytes, which had been untreated or prestimulated with tumor necrosis factor (TNF)-α, interleukin (IL)-1ß or IL-6. After 24 h, supernatants and cell lysates were harvested for measurement of fibrinogen, PAI-1 and TF. RESULTS: (Pre)adipocyte CM significantly enhanced the production of PAI-1 by HepG2 cells 2.5- to 4.4-fold. CM from cytokine-stimulated (pre)adipocytes significantly induced fibrinogen secretion 1.5- to 4.2-fold. TF production was not affected by the CM. After specific depletion of TNF-α, IL-1ß or IL-6 from the CM, IL-6 was shown to be the most prominent stimulus of fibrinogen secretion and IL-1ß of PAI-1 secretion. In addition, fibrinogen, PAI-1 and tissue factor production was evaluated by direct stimulation of HepG2 cells with TNF-α, IL-1ß or IL-6. IL-6 enhanced fibrinogen synthesis 4.3-fold (P<0.01), whereas IL-1ß induced PAI-1 production 5.0-fold (P<0.01). Gene expression analyses showed that TNF-α and IL-1ß stimulate the adipocyte expression of TNF-α, IL-1ß and IL-6. Cytokine stimulation of adipocytes may thus have induced an inflammatory response, which may have stimulated fibrinogen and PAI-1 production by HepG2 cells more potently. CONCLUSIONS: SGBS (pre)adipocytes release cytokines that increase the production of fibrinogen and PAI-1 by HepG2 cells. IL-6 and IL-1ß produced by (pre)adipocytes were the strongest inducers of fibrinogen and PAI-1 secretion, respectively.

14.
Int J Obes (Lond) ; 36(8): 1078-85, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22064157

ABSTRACT

BACKGROUND: Adipose tissue dysfunction is associated with inflammation, type 2 diabetes mellitus and vascular diseases. Visceral adipose tissue (VAT)-derived adipokines, which are released in the portal circulation may influence liver metabolism. OBJECTIVES: (1) To estimate the contribution of VAT and subcutaneous adipose tissue (SAT) on adipokine levels by measuring differences in adipokine concentrations between the portal draining inferior mesenteric vein and the subclavian vein. (2) To determine the relation of both VAT and SAT quantity and composition to mesenteric and systemic concentrations of adipokines. DESIGN: Cross-sectional cohort study. SUBJECTS: A total of 32 patients undergoing abdominal aortic surgery. MEASUREMENTS: A panel of 18 adipokines was measured in perioperatively obtained blood samples from the subclavian vein and the inferior mesenteric vein. Adipocyte size, macrophage infiltration and capillary density were measured in subcutaneous and mesenteric adipose tissue biopsies; SAT and VAT areas were measured on computed tomography images. RESULTS: Serum interferon-γ-inducible protein 10 (IP-10) and hepatocyte growth factor (HGF) concentrations were significantly higher in the inferior mesenteric vein vs the subclavian vein. SAT area (ß -18; 95% confidence interval (CI) -35 to -2), subcutaneous adipocyte size (ß -488; 95% CI -938 to -38) and SAT macrophages quantity (ß -1439; 95% CI -2387 to -491) were negatively associated with adiponectin levels in the systemic circulation. SAT area was related to systemic concentrations of leptin. Mesenteric adiponectin concentrations were related to VAT area (ß -20; 95% CI -35 to -5) and visceral adipocyte size (ß -1076; 95% CI -1624 to -527). VAT area, adipocyte size and capillary density were related to systemic adiponectin concentrations. CONCLUSION: SAT and VAT quantities as well as morphologic characteristics of both adipose tissue depots are related to systemic and mesenteric adipokine concentrations. There were no differences in adipokine concentrations between the mesenteric and subclavian vein, except for higher IP-10 and HGF concentrations in the inferior mesenteric vein, indicating a possible contribution of VAT to IP-10 and HGF levels.


Subject(s)
Adipokines/metabolism , Inflammation/metabolism , Intra-Abdominal Fat/metabolism , Liver/metabolism , Mesenteric Veins/metabolism , Subclavian Vein/metabolism , Subcutaneous Fat/metabolism , Aged , Chemokine CXCL10/blood , Cohort Studies , Cross-Sectional Studies , Female , Hepatocyte Growth Factor/blood , Humans , Intra-Abdominal Fat/pathology , Liver/pathology , Male , Mesenteric Veins/pathology , Subclavian Vein/pathology , Subcutaneous Fat/pathology
15.
Minerva Urol Nefrol ; 63(3): 213-25, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21993320

ABSTRACT

In modern medicine the profound use of abdominal imaging has led to a dramatic change of presentation of renal tumors. Smaller tumors and therefore more benign masses are being discovered, and as systemic use of renal mass biopsies is not recommended by the general guidelines, an appropriate tool to assess the biology of renal tumors is highly desirable. Apart from new developments of currently applied diagnostic modalities, several research groups focus on the potential of optical diagnostic techniques to contribute to the diagnostic process of renal tumors. They use the interaction of light with biological tissue to gather information on the optical properties of a tissue sample and therefore providing information on the histological composition of this tissue in a non-invasive manner and in real-time. In this review we provide an overview of novel diagnostic techniques starting with the future of conventional diagnostics like Contrast-enhanced ultrasonography (CEUS) and positron emission tomography-computed tomography (PET-CT) followed by optical technologies that are potentially employed in the nearby future to improve the diagnostic process of renal tumors with a focus on optical diagnostic techniques.


Subject(s)
Carcinoma, Renal Cell/diagnosis , Kidney Neoplasms/diagnosis , Carcinoma, Renal Cell/diagnostic imaging , Diagnostic Imaging/methods , Diagnostic Imaging/trends , Equipment Design , Forecasting , Humans , Kidney Neoplasms/diagnostic imaging , Multimodal Imaging , Positron-Emission Tomography , Spectrum Analysis, Raman/instrumentation , Spectrum Analysis, Raman/methods , Tomography, Optical Coherence/instrumentation , Tomography, Optical Coherence/methods , Tomography, X-Ray Computed , Ultrasonography
16.
Opt Express ; 19(7): 6131-40, 2011 Mar 28.
Article in English | MEDLINE | ID: mdl-21451637

ABSTRACT

In this work we demonstrate measurements with optical coherence tomography (OCT) of the scattering phase function in the backward direction and the scattering anisotropy parameter g. Measurements of the OCT attenuation coefficient and the backscattering amplitude are performed on calibrated polystyrene microspheres with a time-domain OCT system. From these measurements the phase function in the backward direction is determined. The measurements are described by the single scattering model and match Mie calculations very well. Measurements on Intralipid demonstrate the ability to determine the g of polydisperse samples and, for Intralipid, g = 0.35 ± 0.03 is measured, which is well in agreement with g from literature. These measurements are validated using the Intralipid particle size distribution determined from TEM measurements. Measurements of g and the scattering phase function in the backward direction can be used to monitor changes in backscattering, which can indicate morphological changes of the sample or act as contrast enhancement mechanism.


Subject(s)
Algorithms , Image Enhancement/methods , Image Interpretation, Computer-Assisted/methods , Tomography, Optical Coherence/methods , Anisotropy , Light , Phantoms, Imaging , Scattering, Radiation
17.
Eye (Lond) ; 25(1): 105-12, 2011 Jan.
Article in English | MEDLINE | ID: mdl-21057522

ABSTRACT

PURPOSE: Accurate assessment of the amount of macular pigment (MPOD) is necessary to investigate the role of carotenoids and their assumed protective functions. High repeatability and reliability are important to monitor patients in studies investigating the influence of diet and supplements on MPOD. We evaluated the Macuscope (Macuvision Europe Ltd., Lapworth, Solihull, UK), a recently introduced device for measuring MPOD using the technique of heterochromatic flicker photometry (HFP). We determined agreement with another HFP device (QuantifEye; MPS 9000 series: Tinsley Precision Instruments Ltd., Croydon, Essex, UK) and a fundus reflectance method. METHODS: The right eyes of 23 healthy subjects (mean age 33.9 ± 15.1 years) were measured. We determined agreement with QuantifEye and correlation with a fundus reflectance method. Repeatability of QuantifEye was assessed in 20 other healthy subjects (mean age 32.1 ± 7.3 years). Repeatability was also compared with measurements by a fundus reflectance method in 10 subjects. RESULTS: We found low agreement between test and retest measurements with Macuscope. The average difference and the limits of agreement were -0.041 ± 0.32. We found high agreement between test and retest measurements of QuantifEye (-0.02 ± 0.18) and the fundus reflectance method (-0.04 ± 0.18). MPOD data obtained by Macuscope and QuantifEye showed poor agreement: -0.017 ± 0.44. For Macuscope and the fundus reflectance method, the correlation coefficient was r = 0.05 (P = 0.83). A significant correlation of r = 0.87 (P<0.001) was found between QuantifEye and the fundus reflectance method. CONCLUSIONS: Because repeatability of Macuscope measurements was low (ie, wide limits of agreement) and MPOD values correlated poorly with the fundus reflectance method, and agreed poorly with QuantifEye, the tested Macuscope protocol seems less suitable for studying MPOD.


Subject(s)
Macula Lutea/chemistry , Photometry/methods , Retinal Pigments/analysis , Adult , Female , Fundus Oculi , Humans , Male , Middle Aged , Photometry/instrumentation , Reproducibility of Results
18.
Opt Express ; 18(4): 3883-92, 2010 Feb 15.
Article in English | MEDLINE | ID: mdl-20389399

ABSTRACT

Doppler optical coherence tomography (OCT) is a technique to image tissue morphology and to measure flow in turbid media. In its most basic form, it is based on single (Mie) scattering. However, for highly scattering and dense media multiple and concentration dependent scattering can occur. For Intralipid solutions with varying scattering strength, the effect of multiple and dependent scattering on the OCT signal attenuation and Doppler flow is investigated. We observe a non-linear increase in the OCT signal attenuation rate and an increasingly more distorted Doppler OCT flow profile with increasing Intralipid concentration. The Doppler OCT attenuation and flow measurements are compared to Monte Carlo simulations and good agreement is observed. Based on this comparison, we determine that the single scattering attenuation coefficient micros is 15% higher than the measured OCT signal attenuation rate. This effect and the distortion of the measured flow profile are caused by multiple scattering. The non-linear behavior of the single scattering attenuation coefficient with Intralipid concentration is attributed to concentration dependent scattering.


Subject(s)
Image Enhancement/methods , Image Interpretation, Computer-Assisted/methods , Laser-Doppler Flowmetry/methods , Tomography, Optical Coherence/methods , Light , Scattering, Radiation
19.
J Anim Sci ; 88(7): 2530-9, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20228236

ABSTRACT

Indirect modification of animal genomes by interspecific hybridization, cross-breeding, and selection has produced an enormous spectrum of phenotypic diversity over more than 10,000 yr of animal domestication. Using these established technologies, the farming community has successfully increased the yield and efficiency of production in most agricultural species while utilizing land resources that are often unsuitable for other agricultural purposes. Moving forward, animal well-being and agricultural sustainability are moral and economic priorities of consumers and producers alike. Therefore, these considerations will be included in any strategy designed to meet the challenges produced by global climate change and an expanding world population. Improvements in the efficiency and precision of genetic technologies will enable a timely response to meet the multifaceted food requirements of a rapidly increasing world population.


Subject(s)
Animal Husbandry/methods , Animals, Domestic/genetics , Genetic Techniques/veterinary , Animal Welfare , Animals , Animals, Genetically Modified/genetics , Food/standards , Food Microbiology/standards , Food Supply , Genetic Engineering/veterinary , Humans , Nutritional Status
20.
Biomed Opt Express ; 1(1): 176-185, 2010 Jul 16.
Article in English | MEDLINE | ID: mdl-21258456

ABSTRACT

One of the present challenges in optical coherence tomography (OCT) is the visualization of deeper structural morphology in biological tissues. Owing to a reduced scattering, a larger imaging depth can be achieved by using longer wavelengths. In this work, we analyze the OCT imaging depth at wavelengths around 1300 nm and 1600 nm by comparing the scattering coefficient and OCT imaging depth for a range of Intralipid concentrations at constant water content. We observe an enhanced OCT imaging depth for 1600 nm compared to 1300 nm for Intralipid concentrations larger than 4 vol.%. For higher Intralipid concentrations, the imaging depth enhancement reaches 30%. The ratio of scattering coefficients at the two wavelengths is constant over a large range of scattering coefficients and corresponds to a scattering power of 2.8 ± 0.1. Based on our results we expect for biological tissues an increase of the OCT imaging depth at 1600 nm compared to 1300 nm for samples with high scattering power and low water content.

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