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1.
J Equine Vet Sci ; 136: 105052, 2024 May.
Article in English | MEDLINE | ID: mdl-38531516

ABSTRACT

Quarter horses (QH), a prominent athletic breed in Brazil, are affected by muscular genetic disorders such as myosin-heavy chain myopathy (MYHM), polysaccharide storage myopathy (PSSM1), hyperkalemic periodic paralysis (HyPP), and malignant hyperthermia (MH). Bull-catching (vaquejada), primarily involving QH, is a significant equestrian sport in Brazil. Since the allele frequencies (AF) of MYHM, PSSM1, HyPP, and MH in vaquejada QH remain unknown, this study evaluated the AF in 129 QH vaquejada athletes, specifically from the Brazilian Northeast. These variants were exclusively observed in heterozygosity. The MYHM exhibited the highest AF (0.04 ±0.01), followed by PSSM1 (0.01 ±0.01) and the HyPP variant (0.004 ±0.01), while the MH variant was not identified in this study. This study represents the first identification of these variants in vaquejada QH, emphasizing the need to implement measures to prevent the transmission of pathogenic alleles and reduce the occurrence of clinical cases of these genetic diseases.


Subject(s)
Gene Frequency , Horse Diseases , Horses , Muscular Diseases , Muscular Diseases/congenital , Muscular Diseases/genetics , Muscular Diseases/veterinary , Animals , Horses/genetics , Horse Diseases/genetics , Male , Female , Brazil , Paralysis, Hyperkalemic Periodic/genetics , Paralysis, Hyperkalemic Periodic/veterinary , Malignant Hyperthermia/genetics , Malignant Hyperthermia/veterinary , Polysaccharides/metabolism , Genetic Testing
2.
Sci Justice ; 61(6): 657-666, 2021 11.
Article in English | MEDLINE | ID: mdl-34802638

ABSTRACT

Hair can retain important biological traces for forensic investigations. Forensic scientists are used to looking for such traces on clothing and skin of victims, however, when decomposition kicks in and all that remains of the victims is the skeleton, hair may be the only tissue representing the surface of the body at the time of a crime on which biological traces of an aggressor may have been left and still be detectable. Given the lack of research on this topic, this pilot study aims to assess the capacity of hair to retain semen and blood in hair, and the possibility to detect these fluids with well-known techniques and to obtain a useful genetic profile even when exposed to environmental conditions (Open Natural Environment (woods), Open Man Made Environment (urban)) for three months. Results showed that both traces were always visible and detectable with almost all techniques in the Control Environment, while in the two open environments some difficulties arose. However, biomolecular analysis was effective up to three months on both fluids in the Natural Environment and up to two months and one week respectively on blood and semen in the Man Made Environment. The Combur Test, OBTI, and Luminol were effective on blood up to three months in both environments while Sperm-HY-Liter and observation of cellular components were effective on semen up to at least 1 month and PSA testing was positive up to 1 week in both environments. The present work can be considered an encouraging starting point for the analysis of biological traces on hair in forensic contexts, regardless of the PMI, since blood and semen related to a crime may survive.


Subject(s)
Semen , Spermatozoa , Hair , Humans , Luminol , Male , Pilot Projects
3.
Forensic Sci Int ; 244: 50-6, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25195127

ABSTRACT

The near infrared (NIR) spectral region could offer advantages over the visible region in the detection of latent fingermarks due to the enhanced contrast between the background and the print. In this present paper, this spectral range of the electromagnetic spectrum was explored in order to study the possibility to make feasible the inspection of forensic evidences when the substrate is represented by the thermal paper, which is one of the most extensively used porous surfaces for printing receipts. We successfully applied the method to thermal paper treated with several kinds of amino acid sensitive reagents. We demonstrated that, even if the treatments could cause a dark stain over the latent fingermarks, by exploiting the luminescence of thermal paper in the NIR window we were able to create a contrast otherwise impossible in the visible region.


Subject(s)
Dermatoglyphics , Paper , Spectroscopy, Near-Infrared , Aza Compounds , Humans , Indans , Indicators and Reagents , Luminescence , Ninhydrin , Porosity
4.
Eur J Histochem ; 57(1): e4, 2013 Jan 24.
Article in English | MEDLINE | ID: mdl-23549463

ABSTRACT

Homologous tissues, such as adipose tissue, may be an interesting source of acellular scaffolds, maintaining a complex physiological three-dimensional (3D) structure, to be recellularized with autologous cells. The aim of the present work is to evaluate the possibility of obtaining homologous acellular scaffolds from decellularization of the omentum, which is known to have a complex vascular network. Adult rat and human omenta were treated with an adapted decellularization protocol involving mechanical rupture (freeze-thaw cycles), enzymatic digestion (trypsin, lipase, deoxyribonuclease, ribonuclease) and lipid extraction (2-propanol). Histological staining confirmed the effectiveness of decellularization, resulting in cell-free scaffolds with no residual cells in the matrix. The complex 3D networks of collagen (azan-Mallory), elastic fibers (Van Gieson), reticular fibers and glycosaminoglycans (PAS) were maintained, whereas Oil Red and Sudan stains showed the loss of lipids in the decellularized tissue. The vascular structures in the tissue were still visible, with preservation of collagen and elastic wall components and loss of endothelial (anti-CD31 and -CD34 immunohistochemistry) and smooth muscle (anti-alpha smooth muscle actin) cells. Fat-rich and well vascularized omental tissue may be decellularized to obtain complex 3D scaffolds preserving tissue architecture potentially suitable for recellularization. Further analyses are necessary to verify the possibility of recolonization of the scaffold by adipose-derived stem cells in vitro and then in vivo after re-implantation, as already known for homologus implants in regenerative processes.


Subject(s)
Omentum/chemistry , Plastic Surgery Procedures , Regenerative Medicine , Tissue Scaffolds/chemistry , Animals , Extracellular Matrix Proteins/chemistry , Female , Humans , Male , Rats , Rats, Sprague-Dawley
5.
J Food Sci ; 76(7): C997-1002, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21819399

ABSTRACT

UNLABELLED: For the first time, the production of an extracellular ß-glucosidase (Sp-ß-gl) by a Sporidiobolus pararoseus yeast strain is reported. The Sp-ß-gl activity was quantified, characterized, and assessed for its efficiency in releasing aroma-enhancing compounds in wines. The maximum enzymatic synthesis was after 72 h of growth in a complex media with 20 g/L of cellobiose. The optimal pH and temperature were 5.5 and at 50 °C, respectively. It showed a wide range of pH stability and exhibited quite high thermostability at low temperatures. In addition, this ß-glucosidase revealed tolerance to wine-associated inhibitory compounds (sugars and ethanol), showing suitable characteristics for all the stages of alcoholic fermentation. The hydrolysis of the glycosidic terpenes by Sp-ß-gl was studied by gas chromatography, and its ability to efficiently release free terpenols has been demonstrated. The concentrations of geraniol, linalool, α-terpineol, and nerol were significantly increased in treated wines. These results suggest the potential application of this new yeast ß-glucosidase as an aroma-enhancing enzyme in winemaking. PRACTICAL APPLICATION: The search for new ß-glucosidase from yeast sources is important to improve the quality of wines. In this work, an S. pararoseus yeast strain has shown to be capable to produce a ß-glucosidase with suitable combination of properties for functionality in wines and with potential to increase the concentration of free aroma compounds, showing good prospects for an industrial application.


Subject(s)
Basidiomycota/enzymology , Food Handling/methods , Wine , beta-Glucosidase/metabolism , Acyclic Monoterpenes , Cyclohexane Monoterpenes , Cyclohexenes/analysis , Enzyme Stability , Fermentation , Hydrogen-Ion Concentration , Monoterpenes/analysis , Odorants/analysis , Temperature , Terpenes/analysis , Terpenes/metabolism
6.
Rev. esp. med. nucl. (Ed. impr.) ; 29(3): 109-113, mayo-jun. 2010. tab, ilus
Article in Spanish | IBECS | ID: ibc-79409

ABSTRACT

ObjetivoDurante los últimos años varios grupos han utilizado la técnica de RT-PCR para la detección de células tiroideas circulantes, mediante la amplificación del ARNm de Tg y TSH-R, sin embargo los resultados publicados son controvertidos. En este trabajo investigamos la utilidad de la detección de ARNm de Tg y del receptor de TSH (R-TSH) mediante RT-PCR en pacientes con carcinoma diferenciado de tiroides (CDT) durante el tratamiento con levotiroxina.Pacientes y métodosInvestigamos la expresión del ARNm de Tg y del R-TSH mediante RT-PCR con una y dos rondas de amplificación, en la sangre de 3 grupos de pacientes: A) 34 pacientes con CDT sin evidencia de enfermedad actual B) 8 pacientes con CDT y evidencia de metástasis y C) 13 sujetos normales. La expresión del ARNm de Tg fue también analizada mediante RT-PCR semicuantitativo.ResultadosSe detectó la presencia de ARNm de Tg y R-TSH en todos los sujetos (pacientes con CDT con y sin evidencia de enfermedad y en los sujetos normales) mediante RT-PCR con una y dos rondas de amplificación. Mediante RT-PCR semicuantitativo los niveles promedio de ARNm de Tg en los 3 grupos fueron los siguientes: Grupo A 0.182±0.107, GrupoB 0.329±0.298, Grupo C 0.305±0.217.ConclusionesLa detección de ARNm de Tg y de R-TSH por RT-PCR con una o dos rondas de amplificación no es una herramienta útil para el seguimiento de los pacientes con CDT. En los pacientes con CDT sin evidencia de enfermedad vigente, los niveles más bajos de ARNm de Tg, aunque no significativos, podrían indicar que un pequeño número de células tiroideas puede estar presente normalmente en la circulación o podría representar una transcripción ectópica de los mensajeros a partir de células de la sangre(AU)


ObjectiveDuring the last years several groups have used the technique of RT-PCR for the detection of circulating thyroid cells, through the amplification of thyroglobulin (Tg) and TSH receptor(TSH-R) mRNA; however the published results are controversial. In this study we investigated the utility for the detection of Tg and TSH-R mRNA by RT-PCR in patients with differentiated thyroid cancer (DTC) during treatment with levothyroxine.Subjects and methodsWe investigated the expression of Tg and TSH-R mRNA by single and nested RT-PCR in the blood of 3 groups of subjects: (A) 34 patients with DTC and no evidence of disease, (B) 8 patients with DTC and evidence of local or distant metastasis and (C) 13 normal subjects. Expression levels of Tg mRNA were also analysed by comparative semi-quantitative RT-PCR.ResultsTg and TSH-R mRNA signals were detected in all subjects (patients with DTC with and without evidence of disease and in normal subjects) by single or nested RT-PCR. By semi-quantitative RT-PCR and densitometric analysis of PCR products, mean levels of circulating Tg mRNA of the 3 groups were: Group A 0.182±0.107, Group B 0.329±0.298 and Group C 0.305±0.217.ConclusionsSingle or nested RT-PCR for Tg and TSH-R mRNA is not a suitable tool in the follow-up of patients with DTC. Lower levels of Tg mRNA in patients with DTC without evidence of disease, although not significant, may indicate that small numbers of thyroid cells may be normally present in the circulation or may represent an ectopic transcriptionof messengers from blood cells(AU)


Subject(s)
Humans , Thyroglobulin/genetics , RNA, Messenger/analysis , Thyroid Neoplasms/diagnosis , Receptors, Thyrotropin/genetics , Antibody Formation , Reverse Transcriptase Polymerase Chain Reaction/methods
7.
Rev Esp Med Nucl ; 29(3): 109-13, 2010.
Article in English | MEDLINE | ID: mdl-20399540

ABSTRACT

OBJECTIVE: During the last years several groups have used the technique of RT-PCR for the detection of circulating thyroid cells, through the amplification of thyroglobulin (Tg) and TSH receptor(TSH-R) mRNA; however the published results are controversial. In this study we investigated the utility for the detection of Tg and TSH-R mRNA by RT-PCR in patients with differentiated thyroid cancer (DTC) during treatment with levothyroxine. SUBJECTS AND METHODS: We investigated the expression of Tg and TSH-R mRNA by single and nested RT-PCR in the blood of 3 groups of subjects: (A) 34 patients with DTC and no evidence of disease, (B) 8 patients with DTC and evidence of local or distant metastasis and (C) 13 normal subjects. Expression levels of Tg mRNA were also analysed by comparative semi-quantitative RT-PCR. RESULTS: Tg and TSH-R mRNA signals were detected in all subjects (patients with DTC with and without evidence of disease and in normal subjects) by single or nested RT-PCR. By semi-quantitative RT-PCR and densitometric analysis of PCR products, mean levels of circulating Tg mRNA of the 3 groups were: Group A 0.182+/-0.107, Group B 0.329+/-0.298 and Group C 0.305+/-0.217. CONCLUSIONS: Single or nested RT-PCR for Tg and TSH-R mRNA is not a suitable tool in the follow-up of patients with DTC. Lower levels of Tg mRNA in patients with DTC without evidence of disease, although not significant, may indicate that small numbers of thyroid cells may be normally present in the circulation or may represent an ectopic transcription of messengers from blood cells.


Subject(s)
Adenocarcinoma, Follicular/blood , Biomarkers, Tumor/blood , Carcinoma, Papillary/blood , Neoplastic Cells, Circulating , RNA, Messenger/blood , RNA, Neoplasm/blood , Receptors, Thyrotropin/genetics , Reverse Transcriptase Polymerase Chain Reaction/methods , Thyroglobulin/genetics , Thyroid Neoplasms/blood , Adenocarcinoma, Follicular/pathology , Adenocarcinoma, Follicular/radiotherapy , Adenocarcinoma, Follicular/surgery , Carcinoma, Papillary/pathology , Carcinoma, Papillary/radiotherapy , Carcinoma, Papillary/surgery , Cell Differentiation , Combined Modality Therapy , False Positive Reactions , Female , Follow-Up Studies , Humans , Iodine Radioisotopes/therapeutic use , Male , Predictive Value of Tests , Radiopharmaceuticals/therapeutic use , Sensitivity and Specificity , Thyroid Neoplasms/pathology , Thyroid Neoplasms/radiotherapy , Thyroid Neoplasms/surgery , Thyroidectomy
8.
Rev Esp Med Nucl ; 28(3): 114-20, 2009.
Article in Spanish | MEDLINE | ID: mdl-19558951

ABSTRACT

INTRODUCTION: Changes in regional cerebral blood flow (rCBF) have been reported in idiopathic Parkinson's disease (PD). Nonetheless, their typical pattern still remains controversial regarding some features, such as basal ganglia involvement and the main cortical regions affected. Functional neuroimaging makes it possible to identify the brain dysfunctions of the neural circuits underlying the disease. Voxel-based analysis methods make it possible to increase the reliability of the results. OBJECTIVE: To assess the rCBF changes in patients with PD and their relation with disease duration. MATERIALS AND METHODS: Thirty PD adult patients without dementia underwent evaluation with (99m)Tc-ECD SPECT. SPM5 was used for statistical comparison with 25 normal controls of similar ages. The disease course duration in years was added as a covariate. Additionally, patients with a 6-year evolution or less and those with more than 6 years were compared separately with normal controls. RESULTS: Significant hypoperfusion was detected in bilateral premotor and posterior parietal cortex and increase of perfusion was present in the cerebellum. These changes correlated with the years of evolution of the illness. Patients with longer evolution also presented thalamic, subthalamic and basal ganglia hypoperfusion. CONCLUSIONS: We describe rCBF changes in PD in neural circuits related with control of movements. These changes are more manifest in patients with a longer duration of the disease.


Subject(s)
Cerebrovascular Circulation , Parkinson Disease/physiopathology , Adult , Aged , Cerebellum/blood supply , Cerebellum/diagnostic imaging , Cerebral Cortex/blood supply , Cerebral Cortex/diagnostic imaging , Confounding Factors, Epidemiologic , Female , Humans , Male , Middle Aged , Parkinson Disease/diagnostic imaging , Prospective Studies , Time Factors , Tomography, Emission-Computed, Single-Photon
9.
Rev. esp. med. nucl. (Ed. impr.) ; 28(3): 114-120, mayo 2009. ilus
Article in Spanish | IBECS | ID: ibc-73573

ABSTRACT

Introducción: En la enfermedad de Parkinson idiopática (EP) se han observado alteraciones del flujo sanguíneo cerebral regional (FSCr) cuyo patrón característico aún presenta aspectos controvertidos, como la existencia de alteraciones gangliobasales y las áreas corticales más afectadas. La neuroimagen funcional permite observar las disfunciones de circuitos neuronales existentes en estos pacientes. Los métodos de análisis estadístico basado en vóxeles permiten incrementar la validez de los resultados. Objetivo: Investigar los cambios de la perfusión cerebral existentes en pacientes con EP y su relación con la duración de los síntomas. Materiales y métodos: Treinta pacientes adultos con EP sin demencia fueron estudiados mediante SPECT cerebral con 99mTc-ECD. Se utilizó SPM5 para su comparación estadística con un grupo control de 25 sujetos sanos de edades similares. Se introdujo, como covariable en dicha comparación, el tiempo de evolución en años y se analizaron por separado los pacientes con 6 años o menos de evolución y aquellos con más de 6 años. Resultados: Se detectó hipoperfusión significativa en la corteza premotora y parietal posterior bilateral y aumento del flujo en el cerebelo. Estas alteraciones se correlacionaron con los años de evolución de la enfermedad. Los pacientes con evolución más prolongada presentaron además hipoperfusión talámica, subtalámica y gangliobasal. Conclusiones: Describimos alteraciones del FSCr en la EP que se relacionan con los circuitos implicados en el control del movimiento. Las mismas son más evidentes en los pacientes con evolución más prolongada de la enfermedad(AU)


Introduction: Changes in regional cerebral blood flow (rCBF) have been reported in idiopathic Parkinson's disease (PD). Nonetheless, their typical pattern still remains controversial regarding some features, such as basal ganglia involvement and the main cortical regions affected. Functional neuroimaging makes it possible to identify the brain dysfunctions of the neural circuits underlying the disease. Voxel-based analysis methods make it possible to increase the reliability of the results. Objective: To assess the rCBF changes in patients with PD and their relation with disease duration. Materials and methods: Thirty PD adult patients without dementia underwent evaluation with 99mTc-ECD SPECT. SPM5 was used for statistical comparison with 25 normal controls of similar ages. The disease course duration in years was added as a covariate. Additionally, patients with a 6-year evolution or less and those with more than 6 years were compared separately with normal controls. Results: Significant hypoperfusion was detected in bilateral premotor and posterior parietal cortex and increase of perfusion was present in the cerebellum. These changes correlated with the years of evolution of the illness. Patients with longer evolution also presented thalamic, subthalamic and basal ganglia hypoperfusion. Conclusions: We describe rCBF changes in PD in neural circuits related with control of movements. These changes are more manifest in patients with a longer duration of the disease(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cerebellum , Cerebral Cortex , Cerebrovascular Circulation , Parkinson Disease/physiopathology , Tomography, Emission-Computed, Single-Photon , Cerebellum/blood supply , Confounding Factors, Epidemiologic , Parkinson Disease , Prospective Studies , Time Factors
10.
Rev. cuba. med. trop ; 57(3)sept.dic., 2005.
Article in Spanish | CUMED | ID: cum-35892

ABSTRACT

Se realizó una evaluación ecológica de tendencia temporal retrospectiva y descriptiva del período 1999-2000, en 8 cuerpos de agua de la localidad de Fomento, provincia Sancti Spíritus. Para evaluar la efectividad y permanencia del biolarvicida, se utilizaron datos de muestreos sistemáticos y de acciones de control de los programas provinciales de vigilancia y lucha antivectorial, recogidos en los expedientes de cada criadero en la Unidad Municipal de Higiene y Epidemiología de la localidad. Se aplicaron dosis de 10 mL de ingrediente activo por metro cuadrado, alcanzándose la reducción y estabilización de los índices larvales y de adultos en cebo humano, de importantes especies vectoras de malaria, filariais, y fiebre del Nilo occidental. Se comprobó la extensión del rango de recuperación larval hasta las 3 semanas(AU)


Subject(s)
Pest Control, Biological , Disease Vectors
11.
Rev Esp Med Nucl ; 22(4): 250-2, 2003.
Article in Spanish | MEDLINE | ID: mdl-12846950

ABSTRACT

99mTc-MIBI scintigraphy has proven utility as a clinically valuable technique for the diagnosis of various primary and recurrent malignant lesions. We report the case of a 65 year old man with penile squamous cell carcinoma and clinically questionable bilateral inguinal lymph nodes. 99mTc-MIBI scan shows increased focal uptake in both groins and in the right iliac region. The patient underwent penile amputation with bilateral lymphadenectomy. Histopathologic report revealed metastatic lymph nodes in all lymphatic basins seen with 99mTc-MIBI. We conclude that this technique has the potential of supplying clinically relevant information for the diagnosis of regional extension of patients with penile carcinoma.


Subject(s)
Carcinoma, Squamous Cell/secondary , Lymphatic Metastasis/diagnostic imaging , Penile Neoplasms/diagnostic imaging , Radiopharmaceuticals , Technetium Tc 99m Sestamibi , Aged , Amputation, Surgical , Carcinoma, Squamous Cell/diagnostic imaging , Carcinoma, Squamous Cell/surgery , Humans , Lymph Node Excision , Male , Penile Neoplasms/surgery , Radionuclide Imaging
12.
Rev. esp. med. nucl. (Ed. impr.) ; 22(4): 250-252, jul. 2003.
Article in Es | IBECS | ID: ibc-27439

ABSTRACT

La evaluación gammagráfica con 99mTc-MIBI es una técnica de probada utilidad clínica en la evaluación de varias lesiones tumorales primarias y metastásicas. Presentamos el caso de un hombre de 65 años con diagnóstico de carcinoma escamoso de pene y adenopatías inguinales clínicamente dudosas a nivel bilateral. El estudio con 99mTc-MIBI muestra hipercaptación focal en ambas regiones inguinales y en la región ilíaca derecha. El paciente fue sometido a amputación de pene y vaciamiento ganglionar bilateral, revelando el análisis anatomopatológico ganglios con infiltración metastásica en todos los territorios ganglionares marcados por el 99mTc-MIBI. Se concluye que la técnica propuesta tiene el potencial de aportar información clínicamente relevante en el diagnóstico de extensión regional de pacientes con carcinoma de pene (AU)


Subject(s)
Aged , Male , Humans , Radiopharmaceuticals , Technetium Tc 99m Sestamibi , Carcinoma, Squamous Cell , Amputation, Surgical , Lymph Node Excision , Lymphatic Metastasis , Penile Neoplasms
13.
J Nucl Med Technol ; 29(3): 152-3, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11564839

ABSTRACT

Previous reports have shown that (99m)Tc-sestamibi (MIBI) could detect clinically occult metastatic melanoma lesions. This article reports on a patient with invasive melanoma of the right heel in whom the sentinel node status was preoperatively evaluated with this tracer. Although regional lymph nodes were clinically negative, (99m)Tc-MIBI scintigraphy showed focal increased tracer uptake in the right groin that corresponded to the location of 2 sentinel nodes visualized by lymphoscintigraphy with (99m)Tc-colloidal rhenium sulfide performed the same day. A gamma-probe was used intraoperatively to guide the excision of the sentinel nodes that were further classified as metastatic by histopathology. This double-technique approach is technically feasible and has the potential of selecting a group of patients who might benefit from a selective complete lymphadenectomy.


Subject(s)
Lymph Nodes/diagnostic imaging , Melanoma/pathology , Radiopharmaceuticals , Sentinel Lymph Node Biopsy , Skin Neoplasms/pathology , Technetium Tc 99m Sestamibi , Humans , Lymphatic Metastasis , Male , Melanoma/diagnostic imaging , Middle Aged , Radionuclide Imaging , Rhenium , Skin Neoplasms/diagnostic imaging , Technetium Compounds
14.
Endocrinol. nutr. (Ed. impr.) ; 48(3): 70-77, mar. 2001. tab, graf
Article in Es | IBECS | ID: ibc-1317

ABSTRACT

El carcinoma diferenciado de tiroides (CDT) se comporta habitualmente como un tumor de baja agresividad para el que disponemos de tratamientos específicos y efectivos, con cuya aplicación tiene muy buen pronóstico. Sin embargo, hay algunos especialmente agresivos, a veces en pacientes mayores de 50 años, pero otras en jóvenes, que representan un desafío a la optimización de su tratamiento y seguimiento1,2.Por otra parte, en muchos casos no tenemos elementos clínicos ni histopatológicos que nos permitan predecir su evolución. Hemos visto casos de gran invasividad locorregional y que, sin embargo, con el tratamiento adecuado han tenido excelente evolución y durante largo plazo (¿curación?). En el otro extremo, existen casos que a pesar de presentarse clínicamente como un nódulo tiroideo inocente, han tenido un comportamiento locorregional agresivo o han producido metástasis distantes de forma temprana3,4.Por todo ello, cuando instituimos un tratamiento para un CDT, éste debe ser altamente eficaz de modo que no sea insuficiente en pacientes de alto riesgo ni excesivamente agresivo en pacientes de buen pronóstico. El cuestionamiento actual es si disponemos de algún modo de predecir el comportamiento agresivo como para efectuar un tratamiento adecuado y oportuno que pueda evitar o atenuar su agresividad. En el tratamiento y seguimiento del CDT contamos con un valioso recurso (el yodo-131) que permite la detección de remanentes tumorales o metástasis y proporciona la posibilidad de destruirlos utilizando una dosis grande del mismo5,6. En el momento actual uno de los desafíos de la oncología es lograr una sustancia con estas características, específica de cada tipo de tumor. En el CDT, el yodo-131 lo es desde hace más de 50 años. Sin embargo, si éste no es utilizado en la forma adecuada y en el momento oportuno, son más remotas las posibilidades de curación o de que las recidivas sean más tardías. El motivo de este trabajo es una propuesta de escalonamiento y correcta utilización de los recursos diagnósticos y terapéuticos para el CDT en general, pero siempre adaptándose a cada paciente. La evaluación de la evolución del CDT en un estudio prospectivo es muy dificultosa, por diversos motivos: 1. La larga evolución habitual de este tipo de tumores, en los que el seguimiento no debería ser menor de 20 años.2. La velocidad de avance de los conocimientos médicos que obligaría a cambios en la conducta terapéutica antes del cumplimiento de dichos plazos, por un beneficio indispensable desde el punto de vista asistencial. La experiencia en los resultados de las diferentes conductas terapéuticas se basa, por tanto, en su mayor parte, en trabajos retrospectivos y en vivencias clínicas 7-9 (AU)


Subject(s)
Humans , 3-Iodobenzylguanidine/therapeutic use , Iodine/therapeutic use , Thyroidectomy , Thyroid Neoplasms/therapy , Follow-Up Studies , Disease-Free Survival , Thyroid Hormones/therapeutic use , Clinical Protocols , Data Collection/methods
15.
J Nucl Med Technol ; 28(2): 85-7, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10824618

ABSTRACT

OBJECTIVE: This study compares 2 imaging protocols, planar pinhole technique (PPHT) and SPECT, for evaluating ocular masses with 99mTc-MIBI. METHODS: Sixteen patients with ocular lesions were studied. Planar images were acquired 10 min after the injection of 740 MBq 99mTc-MIBI with an LFOV camera fitted with a pinhole collimator (5.0 mm). A SPECT study was performed immediately after the planar study, using a 360 degrees orbit, 64 steps, 20 s/stop, a 128 x 128 matrix, and a low-energy high-resolution (LEHR) collimator. Twelve lesions (9.5-18.0 mm) proved to be malignant: 8 primary tumors (ocular melanoma); 3 local relapses of different tumors of the conjunctiva; and 1 ocular metastasis from breast cancer. The remaining 4 lesions (10.0-16.0 mm) were benign: 1 inflammatory lesion; 1 benign intraocular calcification; and 2 naevi. RESULTS: SPECT images showed 11 of 12 malignant lesions (91.6%), whereas the planar technique demonstrated only 4 of the 12 lesions (33.3%). One false-positive result, the inflammatory lesion, was visualized by both techniques. The remaining benign lesions were not detected with either method. CONCLUSION: Technetium-99m-MIBI SPECT is a sensitive technique for detecting malignant ocular tumors. SPECT imaging is a better alternative to planar imaging for ocular tumors.


Subject(s)
Eye Neoplasms/diagnostic imaging , Gamma Cameras , Radiopharmaceuticals , Technetium Tc 99m Sestamibi , Tomography, Emission-Computed, Single-Photon , Adolescent , Adult , Aged , Aged, 80 and over , Breast Neoplasms/pathology , Calcinosis/diagnostic imaging , Conjunctival Neoplasms/diagnostic imaging , Equipment Design , Eye Diseases/diagnostic imaging , Eye Neoplasms/secondary , False Positive Reactions , Female , Humans , Image Processing, Computer-Assisted/instrumentation , Image Processing, Computer-Assisted/methods , Male , Melanoma/diagnostic imaging , Middle Aged , Neoplasm Recurrence, Local/diagnostic imaging , Nevus/diagnostic imaging , Sensitivity and Specificity , Tomography, Emission-Computed/instrumentation , Tomography, Emission-Computed/methods , Tomography, Emission-Computed, Single-Photon/methods , Uveitis/diagnostic imaging
16.
Acta Otolaryngol ; 119(2): 239-43, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10320084

ABSTRACT

Five postlingually deaf patients (age range 28-58 years) with multichannel cochlear implants were examined with single photon emission tomography (SPECT) (triple-head rotating gamma camera). Changes in the regional cerebral blood flow (rCBF) after intravenous administration of technetium-99m ethyl cysteinate dimer (Tc-99m ECD) were assessed through a stimulation paradigm, consisting of: i) click stimuli (75 dB SPL) in the ear that was to be implanted, 2 weeks before surgery; ii) stimulation with the same click, one month after initial fitting; iii) stimulation with hearing sequential Spanish sentences one month after initial fitting. The results showed a significant increase in the rCBF in the primary left auditory area and in the right auditory cortex, in conditions ii) and iii). The rCBF also showed a significant asymmetrical increase in the frontal lobes when the patient was hearing sequential sentences (condition iii)) with asymmetrical distribution among patients. These results are discussed, principally the correlation between speech discrimination scores and the rCBF distribution in the frontal and temporal lobes.


Subject(s)
Brain/diagnostic imaging , Cerebrovascular Circulation/physiology , Cochlear Implants , Deafness/surgery , Tomography, Emission-Computed, Single-Photon , Adult , Cysteine/analogs & derivatives , Deafness/diagnostic imaging , Female , Humans , Male , Middle Aged , Organotechnetium Compounds , Radiopharmaceuticals , Speech Perception
17.
Forensic Sci Int ; 97(1): 53-60, 1998 Oct 12.
Article in English | MEDLINE | ID: mdl-9854840

ABSTRACT

A population study on thirteen short tandem repeat (STR) loci was performed on 223 unrelated Italian Caucasians. The DNA was amplified by PCR. Separation and detection of the amplified STR fragments was carried out by use of 377 automated system (Applied Biosystems Division/Perkin Elmer). All loci meet Hardy-Weinberg expectations, and the data show only five departures out of seventy-eight pairwise locus tests which is close to expectations of 5% (5/78 = 6.4%). When correcting for multiple tests, there is little evidence for departures from expectations between loci. The combined Power of Exclusion for the thirteen STR loci is 0.99999270. The results demonstrate that these loci will be very useful for human identification in forensic cases in Italy.


Subject(s)
Genetics, Population , Tandem Repeat Sequences , Alleles , Forensic Medicine , Humans , Italy , Polymerase Chain Reaction , Sequence Analysis, DNA/methods
18.
Clin Nucl Med ; 23(10): 683-5, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9790043

ABSTRACT

Two cases of malignant melanoma (primary and metastatic lesions) imaged with Tc-99m tetrofosmin are reported. One patient showed intense uptake in a primary skin lesion of the thorax, and the other patient had accumulation in skin, cerebellum, breast, and lymph node metastases. Like Tc-99m MIBI, Tc-99m tetrofosmin imaging may be of clinical relevance in the evaluation of suspicious skin lesions and in patients with known cutaneous malignant melanoma in the assessment of recurrent disease during follow-up evaluation.


Subject(s)
Melanoma/diagnostic imaging , Organophosphorus Compounds , Organotechnetium Compounds , Radiopharmaceuticals , Skin Neoplasms/diagnostic imaging , Adult , Female , Humans , Male , Melanoma/secondary , Middle Aged , Radionuclide Imaging
19.
Melanoma Res ; 8(4): 355-60, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9764811

ABSTRACT

Initial reports suggest that 99mTc-methoxyisobutylisonitrile (MIBI) scanning may be of clinical value in staging patients with malignant melanoma. We carried out a study to evaluate the potential of this technique in the detection of recurrent disease. Whole-body 99mTC-MIBI scans were performed in 81 patients with a history of a surgically excised MM: 28 with known recurrent lesions and 53 during follow-up without evidence of disease. Images started 10 min post-injection, using a dose of 740 MBq. Diagnoses were confirmed by cytological/histological examination or at least one conventional imaging modality. Blinded interpretations of the MIBI scans were performed. Whole-body MIBI scanning correctly detected 68 (92%) of 74 metastatic lesions in the following sites: regional lymph nodes (n=23), non-regional lymph nodes (n=10), skin (n=16), brain/cerebellum (n=6), lung (n=8), bone (n=4) and breast (n=1). The technique failed to detect three subcutaneous regressive lesions (< 1 cm), one liver metastasis, one spleen metastasis and a case of multiple small lesions of the duodenal mucous membrane. In 14 patients the procedure detected previously unknown metastatic lesions. These results suggest that 99mTc-MIBI scanning is an effective imaging modality for whole-body screening of metastatic disease in malignant melanoma patients with the potential to influence treatment planning.


Subject(s)
Lymphatic Metastasis/diagnostic imaging , Melanoma/diagnostic imaging , Melanoma/secondary , Neoplasm Recurrence, Local/diagnostic imaging , Radioimmunodetection , Skin Neoplasms/diagnostic imaging , Technetium Tc 99m Sestamibi , Adult , Aged , Aged, 80 and over , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/secondary , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/secondary , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/secondary , Digestive System Neoplasms/diagnostic imaging , Digestive System Neoplasms/secondary , Evaluation Studies as Topic , Female , Humans , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/secondary , Male , Melanoma/surgery , Middle Aged , Neoplasm Staging/methods , Neoplasm, Residual , Sensitivity and Specificity
20.
J Forensic Sci ; 43(4): 837-40, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9670508

ABSTRACT

A population study on five short tandem repeat (STR) loci and five sequence specific polymorphism loci was performed on unrelated Italian Caucasians. Separation and detection of the amplified STR fragments were carried out by high resolution vertical denaturing polyacrylamide gel electrophoresis (PAGE) and silver staining, respectively. The sequence specific loci were analyzed using the AmpliType PM Typing Kit (Perkin Elmer, Foster City, CA). All loci, except Gc (p = 0.031), meet Hardy-Wienberg expectations. In addition, there is no evidence for association of alleles between pairs of loci. The combined power of discrimination for the five STR loci is 0.9999862 and for the PM loci is 0.99503. The results suggest that these loci may be useful for human identification cases in Italy.


Subject(s)
DNA/analysis , Gene Frequency , Minisatellite Repeats/genetics , Polymorphism, Genetic/genetics , Alleles , DNA Fingerprinting/methods , Electrophoresis, Polyacrylamide Gel , Genetic Linkage , Genetic Markers , Homozygote , Humans , Italy , Polymerase Chain Reaction
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