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1.
Mol Psychiatry ; 27(12): 4939-4947, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36117211

RESUMO

The significant link between stress and psychiatric disorders has prompted research on stress's impact on the brain. Interestingly, previous studies on healthy subjects have demonstrated an association between perceived stress and amygdala volume, although the mechanisms by which perceived stress can affect brain function remain unknown. To better understand what this association entails at a functional level, herein, we explore the association of perceived stress, measured by the PSS10 questionnaire, with disseminated functional connectivity between brain areas. Using resting-state fMRI from 252 healthy subjects spanning a broad age range, we performed both a seed-based amygdala connectivity analysis (static connectivity, with spatial resolution but no temporal definition) and a whole-brain data-driven approach to detect altered patterns of phase interactions between brain areas (dynamic connectivity with spatiotemporal information). Results show that increased perceived stress is directly associated with increased amygdala connectivity with frontal cortical regions, which is driven by a reduced occurrence of an activity pattern where the signals in the amygdala and the hippocampus evolve in opposite directions with respect to the rest of the brain. Overall, these results not only reinforce the pathological effect of in-phase synchronicity between subcortical and cortical brain areas but also demonstrate the protective effect of counterbalanced (i.e., phase-shifted) activity between brain subsystems, which are otherwise missed with correlation-based functional connectivity analysis.


Assuntos
Tonsila do Cerebelo , Encéfalo , Humanos , Encéfalo/patologia , Lobo Frontal , Mapeamento Encefálico , Imageamento por Ressonância Magnética/métodos , Vias Neurais , Estresse Psicológico
2.
J Digit Imaging ; 36(4): 1565-1577, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37253895

RESUMO

To train an artificial neural network model using 3D radiomic features to differentiate benign from malignant vertebral compression fractures (VCFs) on MRI. This retrospective study analyzed sagittal T1-weighted lumbar spine MRIs from 91 patients (average age of 64.24 ± 11.75 years) diagnosed with benign or malignant VCFs from 2010 to 2019, of them 47 (51.6%) had benign VCFs and 44 (48.4%) had malignant VCFs. The lumbar fractures were three-dimensionally segmented and had their radiomic features extracted and selected with the wrapper method. The training set consisted of 100 fractured vertebral bodies from 61 patients (average age of 63.2 ± 12.5 years), and the test set was comprised of 30 fractured vertebral bodies from 30 patients (average age of 66.4 ± 9.9 years). Classification was performed with the multilayer perceptron neural network with a back-propagation algorithm. To validate the model, the tenfold cross-validation technique and an independent test set (holdout) were used. The performance of the model was evaluated using the average with a 95% confidence interval for the ROC AUC, accuracy, sensitivity, and specificity (considering the threshold = 0.5). In the internal validation test, the best model reached a ROC AUC of 0.98, an accuracy of 95% (95/100), a sensitivity of 93.5% (43/46), and specificity of 96.3% (52/54). In the validation with independent test set, the model achieved a ROC AUC of 0.97, an accuracy of 93.3% (28/30), a sensitivity of 93.3% (14/15), and a specificity of 93.3% (14/15). The model proposed in this study using radiomic features could differentiate benign from malignant vertebral compression fractures with excellent performance and is promising as an aid to radiologists in the characterization of VCFs.


Assuntos
Fraturas por Compressão , Fraturas da Coluna Vertebral , Neoplasias da Coluna Vertebral , Humanos , Pessoa de Meia-Idade , Idoso , Fraturas da Coluna Vertebral/diagnóstico por imagem , Fraturas por Compressão/diagnóstico por imagem , Fraturas por Compressão/patologia , Estudos Retrospectivos , Neoplasias da Coluna Vertebral/complicações , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/patologia , Redes Neurais de Computação
3.
Eur J Neurosci ; 56(8): 5287-5298, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36017669

RESUMO

Daily routines are getting increasingly stressful. Interestingly, associations between stress perception and amygdala volume, a brain region implicated in emotional behaviour, have been observed in both younger and older adults. Life stress, on the other hand, has become pervasive and is no longer restricted to a specific age group or life stage. As a result, it is vital to consider stress as a continuum across the lifespan. In this study, we investigated the relationship between perceived stress and amygdala size in 272 healthy participants with a broad age range. Participants were submitted to a structural magnetic resonance imaging (MRI) to extract amygdala volume, and the Perceived Stress Scale (PSS) scores were used as the independent variable in volumetric regressions. We found that perceived stress is positively associated with the right amygdala volume throughout life.


Assuntos
Tonsila do Cerebelo , Longevidade , Idoso , Tonsila do Cerebelo/diagnóstico por imagem , Tonsila do Cerebelo/patologia , Humanos , Imageamento por Ressonância Magnética , Percepção , Estresse Psicológico/diagnóstico por imagem , Estresse Psicológico/psicologia
4.
Anal Biochem ; 657: 114905, 2022 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-36154836

RESUMO

In the present study, the objective was to evaluate in situ interaction between Benzo[a]anthracene 7,2-dione 7-oxime (BZA) and calf thymus dsDNA (ct-dsDNA) using electroanalytical genosensor. Analytical techniques based on Ultraviolet/Visible (UV-Vis) spectroscopy and electroanalytical were used to investigate the interaction processes in solution and immobilized on carbon screen-printed electrodes modified with electrochemical mediator Meldola blue. In addition, was possible to evaluate the degree of damage caused to the genetic material by the analyte through of toxicity estimate (S%). The interaction evaluated by genosensor showed processes of intercalation, degradation, and breaks of the double strand of ct-dsDNA, suggesting that the interaction simulates highly toxic (values varying from 0.6 to 0.8 µA in 48 h of interaction), such as 8-oxoguanine (+0.48 V), which is a by-product of guanine oxidation. Furthermore, monitoring A (+1.10 V) after 1 h showed an S% value between 50 and 90%, indicative of high toxicity, and monitoring G (+0.85 V), which showed S>90%, indicated no toxicity after 10 min. Overall, the electroanalytical genosensor developed in a miniaturized system displayed good reproducibility and stability over time being a quick alternative for assesses the degree of toxicity between toxic xenobiotics and biologically electroactive molecules, such as DNA.


Assuntos
Técnicas Biossensoriais , Oximas , Antracenos , Técnicas Biossensoriais/métodos , Carbono/química , DNA/química , Eletrodos , Guanina , Reprodutibilidade dos Testes
5.
J Digit Imaging ; 35(3): 446-458, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35132524

RESUMO

Vertebral Compression Fracture (VCF) occurs when the vertebral body partially collapses under the action of compressive forces. Non-traumatic VCFs can be secondary to osteoporosis fragility (benign VCFs) or tumors (malignant VCFs). The investigation of the etiology of non-traumatic VCFs is usually necessary, since treatment and prognosis are dependent on the VCF type. Currently, there has been great interest in using Convolutional Neural Networks (CNNs) for the classification of medical images because these networks allow the automatic extraction of useful features for the classification in a given problem. However, CNNs usually require large datasets that are often not available in medical applications. Besides, these networks generally do not use additional information that may be important for classification. A different approach is to classify the image based on a large number of predefined features, an approach known as radiomics. In this work, we propose a hybrid method for classifying VCFs that uses features from three different sources: i) intermediate layers of CNNs; ii) radiomics; iii) additional clinical and image histogram information. In the hybrid method proposed here, external features are inserted as additional inputs to the first dense layer of a CNN. A Genetic Algorithm is used to: i) select a subset of radiomic, clinical, and histogram features relevant to the classification of VCFs; ii) select hyper-parameters of the CNN. Experiments using different models indicate that combining information is interesting to improve the performance of the classifier. Besides, pre-trained CNNs presents better performance than CNNs trained from scratch on the classification of VCFs.


Assuntos
Fraturas por Compressão , Fraturas da Coluna Vertebral , Computadores , Diagnóstico por Computador , Fraturas por Compressão/diagnóstico por imagem , Humanos , Redes Neurais de Computação , Fraturas da Coluna Vertebral/diagnóstico por imagem
6.
J Digit Imaging ; 35(1): 29-38, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34997373

RESUMO

Spondyloarthritis (SpA) is a group of diseases primarily involving chronic inflammation of the spine and peripheral joints, as evaluated by magnetic resonance imaging (MRI). Considering the complexity of SpA, we performed a retrospective study to discover quantitative/radiomic MRI-based features correlated with SpA. We also investigated different fat-suppression MRI techniques to develop detection models for inflammatory sacroiliitis. Finally, these model results were compared with those of experienced musculoskeletal radiologists, and the concordance level was evaluated. Examinations of 46 consecutive patients were obtained using SPAIR (spectral attenuated inversion recovery) and STIR (short tau inversion recovery) MRI sequences. Musculoskeletal radiologists manually segmented the sacroiliac joints for further extraction of 230 MRI features from gray-level histogram/matrices and wavelet filters. These features were associated with sacroiliitis, SpA, and the current biomarkers of ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), BASDAI (Bath Ankylosing Spondylitis Activity Index), BASFI (Bath Ankylosing Spondylitis Functional Index), and MASES (Maastricht Ankylosing Spondylitis Enthesis Score). The Mann-Whitney U test showed that the radiomic markers from both MRI sequences were associated with active sacroiliitis and with SpA and its axial and peripheral subtypes (p < 0.05). Spearman's coefficient also identified a correlation between MRI markers and data from clinical practice (p < 0.05). Fat-suppression MRI models yielded performances that were statistically equivalent to those of specialists and presented strong concordance in identifying inflammatory sacroiliitis. SPAIR and STIR acquisition protocols showed potential for the evaluation of sacroiliac joints and the composition of a radiomic model to support the clinical assessment of SpA.


Assuntos
Sacroileíte , Espondilartrite , Espondilite Anquilosante , Biomarcadores , Humanos , Imageamento por Ressonância Magnética/métodos , Estudos Retrospectivos , Articulação Sacroilíaca/diagnóstico por imagem , Sacroileíte/complicações , Sacroileíte/diagnóstico por imagem , Espondilartrite/complicações , Espondilartrite/diagnóstico por imagem , Espondilite Anquilosante/complicações , Espondilite Anquilosante/diagnóstico
7.
J Neurosci Res ; 99(5): 1354-1376, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33527512

RESUMO

Normal aging is characterized by structural and functional changes in the brain contributing to cognitive decline. Structural connectivity (SC) describes the anatomical backbone linking distinct functional subunits of the brain and disruption of this communication is thought to be one of the potential contributors for the age-related deterioration observed in cognition. Several studies already explored brain network's reorganization during aging, but most focused on average connectivity of the whole-brain or in specific networks, such as the resting-state networks. Here, we aimed to characterize longitudinal changes of white matter (WM) structural brain networks, through the identification of sub-networks with significantly altered connectivity along time. Then, we tested associations between longitudinal changes in network connectivity and cognition. We also assessed longitudinal changes in topological properties of the networks. For this, older adults were evaluated at two timepoints, with a mean interval time of 52.8 months (SD = 7.24). WM structural networks were derived from diffusion magnetic resonance imaging, and cognitive status from neurocognitive testing. Our results show age-related changes in brain SC, characterized by both decreases and increases in connectivity weight. Interestingly, decreases occur in intra-hemispheric connections formed mainly by association fibers, while increases occur mostly in inter-hemispheric connections and involve association, commissural, and projection fibers, supporting the last-in-first-out hypothesis. Regarding topology, two hubs were lost, alongside with a decrease in connector-hub inter-modular connectivity, reflecting reduced integration. Simultaneously, there was an increase in the number of provincial hubs, suggesting increased segregation. Overall, these results confirm that aging triggers a reorganization of the brain structural network.


Assuntos
Envelhecimento/fisiologia , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Imageamento por Ressonância Magnética/tendências , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/fisiologia , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Testes de Estado Mental e Demência , Pessoa de Meia-Idade
8.
Brain ; 143(2): 684-700, 2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32040561

RESUMO

Brain structural covariance networks reflect covariation in morphology of different brain areas and are thought to reflect common trajectories in brain development and maturation. Large-scale investigation of structural covariance networks in obsessive-compulsive disorder (OCD) may provide clues to the pathophysiology of this neurodevelopmental disorder. Using T1-weighted MRI scans acquired from 1616 individuals with OCD and 1463 healthy controls across 37 datasets participating in the ENIGMA-OCD Working Group, we calculated intra-individual brain structural covariance networks (using the bilaterally-averaged values of 33 cortical surface areas, 33 cortical thickness values, and six subcortical volumes), in which edge weights were proportional to the similarity between two brain morphological features in terms of deviation from healthy controls (i.e. z-score transformed). Global networks were characterized using measures of network segregation (clustering and modularity), network integration (global efficiency), and their balance (small-worldness), and their community membership was assessed. Hub profiling of regional networks was undertaken using measures of betweenness, closeness, and eigenvector centrality. Individually calculated network measures were integrated across the 37 datasets using a meta-analytical approach. These network measures were summated across the network density range of K = 0.10-0.25 per participant, and were integrated across the 37 datasets using a meta-analytical approach. Compared with healthy controls, at a global level, the structural covariance networks of OCD showed lower clustering (P < 0.0001), lower modularity (P < 0.0001), and lower small-worldness (P = 0.017). Detection of community membership emphasized lower network segregation in OCD compared to healthy controls. At the regional level, there were lower (rank-transformed) centrality values in OCD for volume of caudate nucleus and thalamus, and surface area of paracentral cortex, indicative of altered distribution of brain hubs. Centrality of cingulate and orbito-frontal as well as other brain areas was associated with OCD illness duration, suggesting greater involvement of these brain areas with illness chronicity. In summary, the findings of this study, the largest brain structural covariance study of OCD to date, point to a less segregated organization of structural covariance networks in OCD, and reorganization of brain hubs. The segregation findings suggest a possible signature of altered brain morphometry in OCD, while the hub findings point to OCD-related alterations in trajectories of brain development and maturation, particularly in cingulate and orbitofrontal regions.


Assuntos
Encéfalo/fisiopatologia , Córtex Cerebral/fisiopatologia , Vias Neurais/fisiopatologia , Transtorno Obsessivo-Compulsivo/fisiopatologia , Adulto , Encéfalo/patologia , Feminino , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Masculino , Transtorno Obsessivo-Compulsivo/patologia
9.
Sensors (Basel) ; 21(18)2021 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-34577333

RESUMO

Power transformers are central elements of power transmission systems and their deterioration can lead to system failures, causing major disruptions in service. Catastrophic failures can occur, posing major environmental hazards due to fires, explosions, or oil spillage. Early fault detection can be accomplished or estimated using electrical sensors or a chemical analysis of oil or gas samples. Conventional methods are incapable of real-time measurements with a low electrical noise due to time-consuming analyses or susceptibility to electromagnetic interference. Optical fiber sensors, passive elements that are immune to electromagnetic noise, are capable of structural monitoring by being enclosed in power transformers. In this work, optical fiber sensors embedded in 3D printed structures are studied for vibration monitoring. The fiber sensor is encapsulated between two pressboard spacers, simulating the conditions inside the power transformer, and characterized for vibrations with frequencies between 10 and 800 Hz, with a constant acceleration of 10 m/s2. Thermal aging and electrical tests are also accomplished, aiming to study the oil compatibility of the 3D printed structure. The results reported in this work suggest that structural monitoring in power transformers can be achieved using optical fiber sensors, prospecting real-time monitoring.

10.
J Neurosci ; 39(19): 3640-3650, 2019 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-30804096

RESUMO

Exposure to chronic stress leads to an array of anatomical, functional, and metabolic changes in the brain that play a key role in triggering psychiatric disorders such as depression. The hippocampus is particularly well known as a target of maladaptive responses to stress. To capture stress-induced changes in metabolic and functional connectivity in the hippocampus, stress-resistant (low-responders) or -susceptible (high-responders) rats exposed to a chronic unpredictable stress paradigm (categorized according to their hormonal and behavioral responses) were assessed by multimodal neuroimaging; the latter was achieved by using localized 1H MR spectroscopy and resting-state functional MRI (fMRI) at 11,7T data from stressed (n = 25) but also control (n = 15) male Wistar rats.Susceptible animals displayed increased GABA-glutamine (+19%) and glutamate-glutamine (+17%) ratios and decreased levels of macromolecules (-11%); these changes were positively correlated with plasma corticosterone levels. In addition, the neurotransmitter levels showed differential associations with functional connectivity between the hippocampus and the amygdala, the piriform cortex and thalamus between stress-resistant and -susceptible animals. Our observations are consistent with previously reported stress-induced metabolomic changes that suggest overall neurotransmitter dysfunction in the hippocampus. Their association with the fMRI data in this study reveals how local adjustments in neurochemistry relate to changes in the neurocircuitry of the hippocampus, with implications for its stress-associated dysfunctions.SIGNIFICANCE STATEMENT Chronic stress disrupts brain homeostasis, which may increase the vulnerability of susceptible individuals to neuropsychiatric disorders such as depression. Characterization of the differences between stress-resistant and -susceptible individuals on the basis of noninvasive imaging tools, such as magnetic resonance spectroscopy (MRS) and magnetic resonance imaging (MRI), contributes to improved understanding of the mechanisms underpinning individual differences in vulnerability and can facilitate the design of new diagnostic and intervention strategies. Using a combined functional MRI/MRS approach, our results demonstrate that susceptible- and non-susceptible subjects show differential alterations in hippocampal GABA and glutamate metabolism that, in turn, associate with changes in functional connectivity.


Assuntos
Hipocampo/diagnóstico por imagem , Hipocampo/metabolismo , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/métodos , Estresse Psicológico/diagnóstico por imagem , Estresse Psicológico/metabolismo , Animais , Doença Crônica , Modelos Animais de Doenças , Masculino , Distribuição Aleatória , Ratos , Ratos Wistar , Descanso , Estresse Psicológico/psicologia
11.
J Psychiatry Neurosci ; 45(2): 98-107, 2020 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-31509362

RESUMO

Background: Patients with obsessive­compulsive disorder (OCD) employ ritualistic behaviours to reduce or even neutralize the anxiety provoked by their obsessions. The presence of excessive rumination and indecision has motivated the view of OCD as a disorder of decision-making. Most studies have focused on the "cold," cognitive aspects of decision-making. This study expands current understanding of OCD by characterizing the abnormalities associated with affective, or "hot" decision-making. Methods: We performed a functional MRI study in a sample of 34 patients with OCD and 33 sex- and age-matched healthy controls, during which participants made 2-choice gambles taking varying levels of risk. Results: During risky decisions, patients showed significantly reduced task-related activation in the posterior cingulum, lingual gyrus and anterior cingulate cortex. We identified significant group × risk interactions in the calcarine cortex, precuneus, amygdala and anterior cingulate cortex. During the outcome phase, patients with OCD showed stronger activation of the orbitofrontal cortex, anterior cingulate cortex and putamen in response to unexpected losses. Limitations: The group of patients not receiving medication was very small (n = 5), which precluded us from assessing the effect of medication on risk-taking behaviour in these patients. Conclusion: Obsessive­compulsive disorder is associated with abnormal brain activity patterns during risky decision-making in a set of brain regions that have been consistently implicated in the processing of reward prediction errors. Alterations in affective "hot" processes implicated in decision-making may contribute to increased indecisiveness and intolerance to uncertainty in patients with OCD.


Assuntos
Tonsila do Cerebelo/diagnóstico por imagem , Tomada de Decisões , Giro do Cíngulo/diagnóstico por imagem , Transtorno Obsessivo-Compulsivo/diagnóstico por imagem , Lobo Occipital/diagnóstico por imagem , Lobo Parietal/diagnóstico por imagem , Assunção de Riscos , Adulto , Tonsila do Cerebelo/fisiopatologia , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Feminino , Neuroimagem Funcional , Giro do Cíngulo/fisiopatologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiopatologia , Transtorno Obsessivo-Compulsivo/fisiopatologia , Lobo Occipital/fisiopatologia , Lobo Parietal/fisiopatologia , Recompensa , Adulto Jovem
12.
Int J Geriatr Psychiatry ; 35(1): 113-121, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31657069

RESUMO

The positive association between obesity and depressive mood in young- and middle-age individuals is a phenomenon with major clinical implications in public health. Interestingly, the trend of this association in older individuals is not clear, given the conflicting results of multiple studies. Since aging is accompanied by changes in body fat distribution, we questioned whether age is a modulator of such association. This study explores the role of age in the association between mood and general (body mass index [BMI]) and abdominal adiposity (waist circumference [WC]) in older adults characterizing the different abdominal adipose tissue compartments (subcutaneous adipose tissue [SAT] and visceral adipose tissue [VAT]) with magnetic resonance imaging (MRI) techniques. METHODS: One hundred twenty aged community-dwelling individuals (≥50 y of age) were assessed regarding depressive mood (Geriatric Depression Scale) and adiposity (BMI and WC). From these, 96 were assessed for SAT and VAT using MRI. RESULTS: Using multiple linear regression models, depressive mood was positively associated with BMI, WC, and VAT. Age was a significant moderator of the association between depressive mood and BMI, WC, and SAT: positive in younger participants and null or negative in older participants. On the other hand, higher VAT was significantly associated with a more depressive mood, independently of age. CONCLUSIONS: This study identifies age as a relevant moderator in the association between depressive mood and adiposity in the elderlies. Furthermore, the body fat compartment analysis revealed that the effect of age is specific for the SAT, suggesting its protective role in depressive mood.


Assuntos
Adiposidade , Afeto , Depressão/epidemiologia , Distribuição por Idade , Idoso , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Gordura Subcutânea/diagnóstico por imagem
13.
Sensors (Basel) ; 20(14)2020 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-32668738

RESUMO

Long period fiber gratings (LPFGs) were fabricated in a standard single mode fiber (SMF-28e) through femtosecond (fs) laser direct writing. LPFGs with longer and shorter periods were fabricated, which allows coupling from the fundamental core mode to lower and higher order asymmetric cladding modes (LP1,6 and LP1,12, respectively). For the grating periods of 182.7 and 192.5 µm, it was verified that the LP1,12 mode exhibits a TAP at approximately 1380 and 1448 nm in air and water, respectively. Characterization of the LPFGs subjected to high-temperature thermal treatment was accomplished. Fine-tuning of the resonance band's position and thermal stability up to 600 °C was shown. The temperature sensitivity was characterized for the gratings with different periods and for different temperature ranges. A maximum sensitivity of -180.73, and 179.29 pm/°C was obtained for the two resonances of the 182.7 µm TAP LPFG, in the range between 250 and 600 °C.

14.
J Digit Imaging ; 33(1): 88-98, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31197560

RESUMO

Information infrastructures involve the notion of a shared, open infrastructure, constituting a space where people, organizations, and technical components associate to develop an activity. The current infrastructure for medical image sharing, based on PACS/DICOM technologies, does not constitute an information infrastructure since it is limited in its ability to share in a scalable, comprehensive, and secure manner. This paper proposes the DICOMFlow, a decentralized, distributed infrastructure model that aims to foment the formation of an information infrastructure in order to share medical images and teleradiology. As an installed base, it uses the PACS/DICOM infrastructure of radiology departments and the internet e-mail infrastructure. Experiments performed in real and simulated environments have indicated the feasibility of the proposed infrastructure to foment the formation of an information infrastructure for medical image sharing and teleradiology.


Assuntos
Sistemas de Informação em Radiologia , Telerradiologia , Humanos
15.
Cell Mol Life Sci ; 75(11): 2027-2044, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29196797

RESUMO

The sorting nexins family of proteins (SNXs) plays pleiotropic functions in protein trafficking and intracellular signaling and has been associated with several disorders, namely Alzheimer's disease and Down's syndrome. Despite the growing association of SNXs with neurodegeneration, not much is known about their function in the nervous system. The aim of this work was to use the nematode Caenorhabditis elegans that encodes in its genome eight SNXs orthologs, to dissect the role of distinct SNXs, particularly in the nervous system. By screening the C. elegans SNXs deletion mutants for morphological, developmental and behavioral alterations, we show here that snx-3 gene mutation leads to an array of developmental defects, such as delayed hatching, decreased brood size and life span and reduced body length. Additionally, ∆snx-3 worms present increased susceptibility to osmotic, thermo and oxidative stress and distinct behavioral deficits, namely, a chemotaxis defect which is independent of the described snx-3 role in Wnt secretion. ∆snx-3 animals also display abnormal GABAergic neuronal architecture and wiring and altered AIY interneuron structure. Pan-neuronal expression of C. elegans snx-3 cDNA in the ∆snx-3 mutant is able to rescue its locomotion defects, as well as its chemotaxis toward isoamyl alcohol. Altogether, the present work provides the first in vivo evidence of the SNX-3 role in the nervous system.


Assuntos
Proteínas de Caenorhabditis elegans/genética , Caenorhabditis elegans/crescimento & desenvolvimento , Caenorhabditis elegans/genética , Deleção de Genes , Nexinas de Classificação/genética , Animais , Tamanho Corporal , Caenorhabditis elegans/fisiologia , Regulação da Expressão Gênica no Desenvolvimento , Locomoção , Longevidade , Sistema Nervoso/crescimento & desenvolvimento , Sistema Nervoso/metabolismo , Fenômenos Fisiológicos do Sistema Nervoso , Neurônios/metabolismo , Neurônios/patologia , Pressão Osmótica , Estresse Oxidativo , Filogenia
16.
J Digit Imaging ; 31(4): 451-463, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29047033

RESUMO

Lung cancer is the leading cause of cancer-related deaths in the world, and one of its manifestations occurs with the appearance of pulmonary nodules. The classification of pulmonary nodules may be a complex task to specialists due to temporal, subjective, and qualitative aspects. Therefore, it is important to integrate computational tools to the early pulmonary nodule classification process, since they have the potential to characterize objectively and quantitatively the lesions. In this context, the goal of this work is to perform the classification of pulmonary nodules based on image features of texture and margin sharpness. Computed tomography scans were obtained from a publicly available image database. Texture attributes were extracted from a co-occurrence matrix obtained from the nodule volume. Margin sharpness attributes were extracted from perpendicular lines drawn over the borders on all nodule slices. Feature selection was performed by different algorithms. Classification was performed by several machine learning classifiers and assessed by the area under the receiver operating characteristic curve, sensitivity, specificity, and accuracy. Highest classification performance was obtained by a random forest algorithm with all 48 extracted features. However, a decision tree using only two selected features obtained statistically equivalent performance on sensitivity and specificity.


Assuntos
Interpretação de Imagem Assistida por Computador , Neoplasias Pulmonares/diagnóstico por imagem , Nódulos Pulmonares Múltiplos/diagnóstico por imagem , Reconhecimento Automatizado de Padrão , Nódulo Pulmonar Solitário/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Área Sob a Curva , Árvores de Decisões , Feminino , Humanos , Neoplasias Pulmonares/patologia , Aprendizado de Máquina , Masculino , Nódulos Pulmonares Múltiplos/patologia , Curva ROC , Sensibilidade e Especificidade , Nódulo Pulmonar Solitário/patologia
17.
Rev Esc Enferm USP ; 52: e03380, 2018 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-30484486

RESUMO

OBJECTIVE: To detect oral soft tissue injuries in older people. METHOD: A quantitative analytical cross-sectional study conducted in Fortaleza, Ceará. Individual interviews addressed age, gender, marital status, income, and education. The community oral health indicator was used to detect oral soft tissue injuries and their location. RESULTS: Most of the 821 participants aged 60-100 years were women (580; 70.6%), attended school for up to 5 years (401; 48.8%), were illiterate (201; 24.5%), were retired (608; 74.1%), and received up to 2 wages (701; 85.4%). A total of 604 participants (73.6%) wore dentures. Injuries included red patches (152; 55.9%), blisters (58; 21.3%), lesions and/or wounds (39; 14.3%), and white patches (30; 11%). Locations of injuries were the roof of the mouth (167; 61.4%), gums (62; 22.8%), cheeks (39; 14.3%), tongue (15; 5.5%), lips (15; 5.5%), and the floor of the mouth (12; 4.4%). Injuries were associated with age (p<0.001), retirement (p=0.005), education (p=0.010), dentures (p<0.001) and red patches (p<0.001). CONCLUSION: Tracking soft tissue injuries and referring older adults with suspected malignant lesions to the health team should be included as oral cancer identification and prevention measures. Furthermore, health care providers should raise older adults' awareness of the importance of regular preventive examinations.


Assuntos
Doenças da Boca/diagnóstico , Neoplasias Bucais/prevenção & controle , Saúde Bucal , Lesões dos Tecidos Moles/diagnóstico , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/epidemiologia , Doenças da Boca/patologia , Neoplasias Bucais/patologia , Encaminhamento e Consulta , Fatores de Risco , Lesões dos Tecidos Moles/epidemiologia , Lesões dos Tecidos Moles/patologia
18.
Antimicrob Agents Chemother ; 60(6): 3794-801, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27067332

RESUMO

Visceral leishmaniasis (VL) is the most severe form of leishmaniasis and is the second major cause of death by parasites, after malaria. The arsenal of drugs against leishmaniasis is small, and each has a disadvantage in terms of toxicity, efficacy, price, or treatment regimen. Our group has focused on studying new drug candidates as alternatives to current treatments. The pterocarpanquinone LQB-118 was designed and synthesized based on molecular hybridization, and it exhibited antiprotozoal and anti-leukemic cell line activities. Our previous work demonstrated that LQB-118 was an effective treatment for experimental cutaneous leishmaniasis. In this study, we observed that treatment with 10 mg/kg of body weight/day LQB-118 orally inhibited the development of hepatosplenomegaly with a 99% reduction in parasite load. An in vivo toxicological analysis showed no change in the clinical, biochemical, or hematological parameters. Histologically, all of the analyzed organs were normal, with the exception of the liver, where focal points of necrosis with leukocytic infiltration were observed at treatment doses 5 times higher than the therapeutic dose; however, these changes were not accompanied by an increase in transaminases. Our findings indicate that LQB-118 is effective at treating different clinical forms of leishmaniasis and presents no relevant signs of toxicity at therapeutic doses; thus, this framework is demonstrated suitable for developing promising drug candidates for the oral treatment of leishmaniasis.


Assuntos
Antiprotozoários/farmacologia , Hepatomegalia/prevenção & controle , Leishmania infantum/efeitos dos fármacos , Leishmaniose Visceral/tratamento farmacológico , Naftoquinonas/farmacologia , Parasitemia/prevenção & controle , Pterocarpanos/farmacologia , Esplenomegalia/prevenção & controle , Animais , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos , Feminino , Absorção Gástrica , Humanos , Concentração Inibidora 50 , Intubação Gastrointestinal , Leishmania infantum/crescimento & desenvolvimento , Leishmaniose Visceral/parasitologia , Leishmaniose Visceral/patologia , Camundongos , Camundongos Endogâmicos BALB C , Especificidade de Órgãos , Testes de Toxicidade Subaguda
19.
Hum Brain Mapp ; 37(9): 3310-22, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27144904

RESUMO

Cognitive Reserve (CR) designates the brain's capacity to actively cope with insults through a more efficient use of its resources/networks. It was proposed in order to explain the discrepancies between the observed cognitive ability and the expected capacity for an individual. Typical proxies of CR include education and Intelligence Quotient but none totally account for the variability of CR and no study has shown if the brain's greater efficiency associated with CR can be measured. We used a validated model to estimate CR from the residual variance in memory and general executive functioning, accounting for both brain anatomical (i.e., gray matter and white matter signal abnormalities volume) and demographic variables (i.e., years of formal education and sex). Functional connectivity (FC) networks and topological properties were explored for associations with CR. Demographic characteristics, mainly accounted by years of formal education, were associated with higher FC, clustering, local efficiency and strength in parietal and occipital regions and greater network transitivity. Higher CR was associated with a greater FC, local efficiency and clustering of occipital regions, strength and centrality of the inferior temporal gyrus and higher global efficiency. Altogether, these findings suggest that education may facilitate the brain's ability to form segregated functional groups, reinforcing the view that higher education level triggers more specialized use of neural processing. Additionally, this study demonstrated for the first time that CR is associated with more efficient processing of information in the human brain and reinforces the existence of a fine balance between segregation and integration. Hum Brain Mapp 37:3310-3322, 2016.. © 2016 The Authors Human Brain Mapping Published by Wiley Periodicals, Inc.


Assuntos
Encéfalo/fisiologia , Reserva Cognitiva/fisiologia , Escolaridade , Modelos Neurológicos , Vias Neurais/fisiologia , Idoso , Idoso de 80 Anos ou mais , Mapeamento Encefálico , Conectoma , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Rede Nervosa/fisiologia
20.
Chem Senses ; 41(9): 745-754, 2016 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-27516210

RESUMO

The role of odors in the long-distance navigation of birds has elicited intense debate for more than half a century. Failure to resolve many of the issues fueling this debate is due at least in part to the absence of controls for a variety of non-specific effects that odors have on the navigational process. The present experiments were carried out to investigate whether the olfactory inputs are involved only in "activation" of neuronal circuitry involved in navigation or are also playing a role in providing directional information. Experienced adult pigeons were exposed to controlled olfactory stimuli during different segments of the journey (release site vs. displacement + release site). Protein levels of IEGs (immediate early genes used to mark synaptic activity) were analyzed in areas within the olfactory/navigation avian circuitry. The results indicate that 1) exposure to natural odors at the release site (and not before) elicit greater activation across brain regions than exposure to filtered air, artificial odors, and natural odors along the entire outward journey (from home to the release site, inclusive); 2) activation of the piriform cortex in terms of odor discrimination is lateralized; 3) activation of the navigation circuitry is achieved by means of lateralized activation of piriform cortex neurons. Altogether, the findings provide the first direct evidence that activation of the avian navigation circuitry is mediated by asymmetrical processing of olfactory input occurring in the right piriform cortex.

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