Intracranial Tumour Characterization: Whole Brain Evaluation with MR Perfusion Images and SPECT-CT.

A comparative study between perfusion magnetic resonance (MR) imaging and single photon emission tomography - computed tomography (SPECT-CT) was performed to disclose the indications and limits of the two techniques for brain tumour characterization. We compared these two techniques because they evaluate the entire brain and often a brain tumour can be too large to be studied entirely with MR spectroscopy. Forty-three patients with 56 lesions were studied with both techniques. The sensitivity in identifying neoplastic tissue was achieved. We did not evaluate the diagnostic sensitivity to differentiate high grade from low-grade tumours because the features of grade II astrocytomas with SPECT-methoxyisobutylisonitrile (SPECT-MIBI) are similar to those of normal brain tissue. Another question that advanced diagnostic techniques can solve is real glioma extension, but we did not consider also this aspect due to the low SPECT-MIBI spatial resolution. In 29 (29/56) cases both techniques accurately identified the presence of neoplastic tissue. Only SPECT-CT was positive in eight cases, whereas perfusion MR was falsely negative. Only perfusion MR identified tumoral tissue in four cases and SPECT-CT not. Finally both perfusion MR and SPECT-CT failed to identify neoplastic tissue in 15 cases out of 56. In most cases the diagnostic gain of both techniques was the same. One technique was superior to the other in only in a few cases. We conclude that, if available, both techniques can be used to study suspected brain tumours to better characterize the lesion.

Effect of rootstocks and harvesting time on the nutritional quality of peel and flesh of peach fruits.

The influence was evaluated of four rootstocks (Ishtara, Mr. S 2/5, GF 677 and Barrier 1) and of harvesting time (early, middle, late) on the quality characteristics and nutritional value (vitamin C, phenols, carotenoids, total antioxidant capacity) of 'Flavorcrest' peach. The better rootstocks were Mr. S 2/5 (low-vigour) and Barrier 1 (high-vigour). In particular, Flavorcrest fruit on Mr. S 2/5 and on Barrier 1 rootstocks had higher antioxidant capacities and also higher phytochemical content, although fruits on Mr. S 2/5 were less firm. Flesh firmness was best for fruits at mid-harvest (H2, 7 July 2006), whereas phytochemical contents were best at late harvest (H3, 13 July 2006), when, for all rootstocks, the best nutritional characteristics were also recorded. Total antioxidant capacity and phytochemical content were determined for the peel and flesh. The results show that removal of peel from peach results in a significant loss of total antioxidant capacity.

Cerebrospinal fluid neuron-specific enolase in Alzheimer's disease and vascular dementia.

Levels of neuron-specific enolase (NSE), a glycolytic enzyme localized in neurons, were measured in serum and cerebrospinal fluid (CSF) of patients with early-onset (e-AD) and late-onset (l-AD) Alzheimer's disease, vascular dementia (VD) and controls. Mean CSF NSE levels in patients with Alzheimer's disease did not significantly differ from those in controls, although in the AD group a correlation was found between NSE levels and severity of cognitive deficits. In VD patients, CSF NSE was lower than in controls or in AD patients. These findings are of physiopathological interest but suggest that CSF NSE is not a useful biological marker in dementia disorders.