Artifact removal from resting state fMRI data is an essential step for a better identification of the resting state networks and the evaluation of their functional connectivity (FC), especially in ...pathological conditions. There is growing interest in the development of cleaning procedures, especially those not requiring external recordings (data-driven), which are able to remove multiple sources of artifacts. It is important that only inter-subject variability due to the artifacts is removed, preserving the between-subject variability of interest-crucial in clinical applications using clinical scanners to discriminate different pathologies and monitor their staging. In Alzheimer's disease (AD) patients, decreased FC is usually observed in the posterior cingulate cortex within the default mode network (DMN), and this is becoming a possible biomarker for AD. The aim of this study was to compare four different data-driven cleaning procedures (regression of motion parameters; regression of motion parameters, mean white matter and cerebrospinal fluid signal; FMRIB's ICA-based Xnoiseifier-FIX-cleanup with soft and aggressive options) on data acquired at 1.5 T. The approaches were compared using data from 20 elderly healthy subjects and 21 AD patients in a mild stage, in terms of their impact on within-group consistency in FC and ability to detect the typical FC alteration of the DMN in AD patients. Despite an increased within-group consistency across subjects after applying any of the cleaning approaches, only after cleaning with FIX the expected DMN FC alteration in AD was detectable. Our study validates the efficacy of artifact removal even in a relatively small clinical population, and supports the importance of cleaning fMRI data for sensitive detection of FC alterations in a clinical environment.
It is known from physiology that heartbeat and respiration influence venous return, but little is known regarding the extent to which these two factors affect flow. In this study, we estimated the ...prevalence of cardiac- and breathing-induced venous flow modulations in the internal jugular vein (IJV) and vertebral vein (VV) and the effects of posture. In 19 healthy patients, neck vein flow was examined with pulsed wave Doppler. Electrocardiogram and respiratory signals were simultaneously acquired. In supine position, heart contraction always influenced venous flow, whereas breathing influenced 68% of IJV and 34% of VV flow. In sitting position, heart contraction influenced 74% of IJV and 42% of VV flow; breathing influenced 68% of IJV and 61% of VV measures. Thus, cardiac influence is greatly present in supine position, whereas breathing influence prevails in the VV while sitting. This setup allowed us to observe that in some patients, expiration may cause an unexpected increase in venous flow.
Introduction
Parkinson’s disease (PD) is a motor disorder that initially presents with unilateral symptoms. Widespread white matter (WM) alterations have been reported since the early stages of the ...disease. The aim of this study was to investigate WM alterations in right-dominant and left-dominant symptom PD patients (RPD and LPD, respectively) with respect to healthy controls (HC) by diffusion-weighted magnetic resonance imaging (MRI).
Methods
Thirty-eight subjects participated in this study: 12 RPD (median H&Y IQR = 1.5 1.1–2, median UPDRS III IQR = 23 7.8–25), 9 LPD (median H&Y IQR = 1.5 1–2.5, median UPDRS III IQR = 17 12–22), and 17 HC. All the participants were scanned on a 1.5-T MRI scanner. Maps of fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were computed for all the subjects. Tract-based spatial statistics (TBSS) was performed for each diffusion parameter, to test WM differences between RPD, LPD, and HC (ANCOVA design). Family-wise error (FWE) correction was performed and
p
values lower than 0.05 were considered significant.
Results
No significant FA and RD differences were observed between RPD, LPD, and HC. Significantly increased MD and AD were observed in RPD with respect to HC within widespread WM regions, bilaterally. Conversely, no significant WM alterations were detected in LPD.
Conclusion
WM integrity was found to be significantly altered in RPD but not in LPD, suggesting that LPD profile may be associated to more favorable prognosis. Since clinical laterality onset may affect the extent of WM integrity changes, it should be taken into account in neuroimaging studies investigating PD.
We assessed cerebral blood flow (CBF) and cerebrovascular reactivity (CVR) within gray matter (GM), normal appearing white matter (NAWM) and white matter (WM) lesions in a group of multiple sclerosis ...(MS) patients. Furthermore, correlations between CBF, CVR and age were investigated. 31 MS patients and 25 healthy controls (HC) were examined on a 1.5 T MRI scanner, using pseudo-continuous arterial spin labeling MRI. MS vs HC CBF and CVR differences were assessed in GM regions of interest (i.e. resting state networks and vascular territories), and within WM. Correlations between CBF/CVR and age were then computed for MS and HC groups. Whereas no significant CBF and CVR differences were observed between MS and HC in any of the considered brain areas, significantly lower CBF was found in WM lesions with respect to NAWM (
p
< 0.001) in MS patients. Furthermore, CVR was significantly correlated with age in HC, but not in MS patients. The relatively low-grade of inflammation of our MS cohort may be associated with the observed lack of significant CVR differences between MS patients and HC. The loss of correlation between CVR and age in the MS group suggests that CVR may be influenced by MS-related factors.
Alzheimer's disease (AD) is a multifactorial disease with a still barely understood etiology. Herpes simplex virus 1 (HSV-1) has long been suspected to play a role in the pathogenesis of AD because ...of its neurotropism, high rate of infection in the general population, and life-long persistence in neuronal cells, particularly in the same brain regions that are usually altered in AD. The goal of this study was to evaluate HSV-1-specific humoral immune responses in patients with a diagnosis of either AD or amnestic mild cognitive impairment (aMCI), and to verify the possible relation between HSV-1-specific antibody (Ab) titers and cortical damage; results were compared to those obtained in a group of healthy controls (HC). HSV-1 serum IgG titers were measured in 225 subjects (83 AD, 68 aMCI, and 74 HC). HSV-specific Ab avidity and cortical gray matter volumes analyzed by magnetic resonance imaging (MRI) were evaluated as well in a subgroup of these individuals (44 AD, 23 aMCI, and 26 HC). Results showed that, whereas HSV-1 seroprevalence and IgG avidity were comparable in the three groups, increased Ab titers (p < 0.001) were detected in AD and aMCI compared to HC. Positive significant correlations were detected in AD patients alone between HSV-1 IgG titers and cortical volumes in orbitofrontal (region of interest, ROI1 RSp0.56; p = 0.0001) and bilateral temporal cortices (ROI2 RSp0.57; p < 0.0001; ROI3 RSp0.48; p = 0.001); no correlations could be detected between IgG avidity and MRI parameters. Results herein suggest that a strong HSV-1-specific humoral response could be protective toward AD-associated cortical damage.
Adrenocortical carcinoma (ACC) has an aggressive but variable clinical course. Prognostic stratification based on the European Network for the Study of Adrenal Tumours stage and Ki67 index is ...limited. We aimed to demonstrate the prognostic role of a points-based score (S-GRAS) in a large cohort of patients with ACC.
This is a multicentre, retrospective study on ACC patients who underwent adrenalectomy.
The S-GRAS score was calculated as a sum of the following points: tumour stage (1-2 = 0; 3 = 1; 4 = 2), grade (Ki67 index 0-9% = 0; 10-19% = 1; ≥20% = 2 points), resection status (R0 = 0; RX = 1; R1 = 2; R2 = 3), age (<50 years = 0; ≥50 years = 1), symptoms (no = 0; yes = 1), and categorised, generating four groups (0-1, 2-3, 4-5, and 6-9). Endpoints were progression-free survival (PFS) and disease-specific survival (DSS). The discriminative performance of S-GRAS and its components was tested by Harrell's Concordance index (C-index) and Royston-Sauerbrei's R2D statistic.
We included 942 ACC patients. The S-GRAS score showed superior prognostic performance for both PFS and DSS, with best discrimination obtained using the individual scores (0-9) (C-index = 0.73, R2D = 0.30, and C-index = 0.79, R2D = 0.45, respectively, all P < 0.01vs each component). The superiority of S-GRAS score remained when comparing patients treated or not with adjuvant mitotane (n = 481 vs 314). In particular, the risk of recurrence was significantly reduced as a result of adjuvant mitotane only in patients with S-GRAS 4-5.
The prognostic performance of S-GRAS is superior to tumour stage and Ki67 in operated ACC patients, independently from adjuvant mitotane. S-GRAS score provides a new important guide for personalised management of ACC (i.e. radiological surveillance and adjuvant treatment).
In this work, monometallic (1 wt% of Ru or 5 wt% of Ni) and bimetallic catalysts (1 wt% Ru-5 wt.% Ni) deposited on alumina (Al2O3), magnesium aluminate spinel (MgAl2O4), and yttria-stabilized ...zirconia (YSZ) were prepared by wet impregnation. The synthesis method of MgAl2O4 was optimized and a well crystallized phase with high specific surface area was obtained by using wet impregnation, as a simple and low cost route, at 800 °C for 2 h.
The catalytic activity was compared at atmospheric pressure and 750 °C toward methane dry reforming (DRM) reaction with a molar ratio CH4/CO2 = 1/1 and a Weight Hourly Space Velocity (WHSV) of 60.000 mL g−1.h−1.
Catalytic activity classification was obtained as the following: Ni/MgAl2O4 > Ru-Ni/Al2O3 > Ru-Ni/MgAl2O4 > Ru-Ni/YSZ > Ni/Al2O3 > Ni/YSZ > Ru/Al2O3 > Ru/YSZ » Ru/MgAl2O4. Between the different catalysts, 5 wt% Ni/MgAl2O4 catalyst exhibited excellent catalytic activity for DRM. Furthermore, this catalyst was found to be very stable without any deactivation after 50 h under reacting mixture with a low carbon formation rate (3.58 mgC/gcat/h). Such superior activity and stability of MgAl2O4 supported Ni catalyst is consistent with characterization results from BET, XRD, TPR, CO-pulse chemisorption and CHNS analysis. It can be due to a strong interaction between Ni and MgAl2O4 leading to the incorporation of Ni into the spinel lattice and the formation of oxygen vacancies offering a benefit for DRM reaction.
Furthermore, it seems that the addition of ruthenium onto Ni/MgAl2O4 decreases the interaction between Ni and the spinel leading to a decrease in the catalyst performance. On the other side, the addition of ruthenium on Ni/Al2O3 leads to an increase in the catalyst stability and efficiency by inhibiting the formation of poorly active phase NiAl2O4 already observed in TPR.
•5 wt% Ni/MgAl2O4 exhibits highest performance in DRM.•Strong Ni/MgAl2O4 interaction leads to incorporation of Ni into spinel lattice.•Ru addition has positive effect on Ni/Al2O3for DRM contrary to Ni/MgAl2O4 and Ni/YSZ.•5 wt% Ni/MgAl2O4: high stability without deactivation after 50 h in reacting mixture.
Alterations of neck vessel cross-sectional area in multiple sclerosis have been reported. Our aim was to investigate the evolution of the neck vessel cross-sectional area in patients with MS and ...healthy controls during 5 years.
Sixty-nine patients with MS (44 relapsing-remitting MS, 25 progressive MS) and 22 age- and sex-matched healthy controls were examined twice, 5 years apart, on a 3T MR imaging scanner using 2D neck MR angiography. Cross-sectional areas were computed for the common carotid/internal carotid arteries, vertebral arteries, and internal jugular veins for all slices between the C3 and C7 cervical levels. Longitudinal cross-sectional area differences at each cervical level and the whole-vessel course were tested within study groups and between patients with MS with and without cardiovascular disease using mixed-model analysis and the related-samples Wilcoxon singed rank test. The Benjamini-Hochberg procedure was performed to correct for multiple comparisons.
No significant cross-sectional area differences were seen between patients with MS and healthy controls at baseline or at follow-up. During the follow-up, significant cross-sectional area decrease was found in patients with MS for the common carotid artery-ICAs (C4:
= .048; C7:
= .005; whole vessel:
= .012), for vertebral arteries (C3:
= .028; C4:
= .028; C7:
= .028; whole vessel:
= .012), and for the internal jugular veins (C3:
= .014; C4:
= .008; C5:
= .010; C6:
= .010; C7:
= .008; whole vessel:
= .002). Patients with MS without cardiovascular disease had significantly greater change than patients with MS with cardiovascular disease for internal jugular veins at all levels.
For 5 years, patients with MS showed significant cross-sectional area decrease of all major neck vessels, regardless of the disease course and cardiovascular status.
Histopathologic diversity and several distinct histologic subtypes of hepatocellular carcinoma (HCC) are well-recognized. Recent advances in molecular pathology and growing knowledge about the ...biology associated with distinct histologic features and immuno-profile in HCC allowed pathologists to update classifications. Improving sub-classification will allow for more clinically relevant diagnoses and may allow for stratification into biologically meaningful subgroups. Therefore, immuno-histochemical and molecular testing are not only diagnostically useful, but also are being incorporated as crucial components in predicting prognosis of the patients with HCC. Possibilities of targeted therapy are being explored in HCC, and it will be important for pathologists to provide any data that may be valuable from a theranostic perspective. Herein, we review and provide updates regarding the pathologic sub-classification of HCC. Pathologic diagnostic approach and the role of biomarkers as prognosticators are reviewed. Further, the histopathology of four particular subtypes of HCC: Steatohepatitic, clear cell, fibrolamellar and scirrhous - and their clinical relevance, and the recent consensus on combined HCC-cholangiocarcinoma is summarized. Finally, emerging novel biomarkers and new approaches to HCC stratification are reviewed.
Hydrogen production from dry reforming of methane (DRM) was investigated on different Nickel based catalysts deposited on MgAl2O4. MgAl2O4 spinel was prepared using γ-Alumina supplied from different ...manufacturers (Sigma Aldrich, Alfa Aesar and Degussa) with low and high specific surface area. Moreover, the influence of different parameters on the catalytic activity on methane dry reforming was studied such as the effect of Ni content, the effect of commercial alumina and the effect of doping nickel with cerium and lanthanum.
During this study, the catalytic activity was compared at atmospheric pressure at 750 °C during 4 h then 650 °C during 4 h toward methane dry reforming (DRM) reaction with a molar ratio CH4/CO2 = 1/1 and a Weight Hourly Space Velocity (WHSV) of 60.000 mL g−1.h−1. The results showed that among the different catalysts 1.5Ce–Ni5/MgAl2O4, synthesized with alumina from Alfa Aesar, exhibited the best catalytic activity for DRM.
Furthermore, this catalyst showed the best performance during a stability test at 600 °C for 24 h under reacting mixture with a low carbon formation rate (2.71 mgC/gcat/h). Such superior activity is consistent with characterization results from BET, XRD, SEM, TPR and TPO analysis. Furthermore, it seems that the addition of Cerium on Ni/MgAl2O4 leads to an increase in catalyst efficiency. It can be due to an effective active oxygen transfer due to the redox properties of CeO2, leading to the formation of oxygen vacancies offering a benefit for DRM reaction.
•5 wt.% Ni can be used as optimal concentration in order to obtain high performance.•Between Ce and La promoters, Ce addition has positive effect on Ni/MgAl2O4 for DRM.•1.5Ce-Ni5/MgAl2O4 exhibits highest performance in DRM.
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