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1.
Radiologia ; 52(5): 432-41, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20655078

RESUMO

OBJECTIVES: To classify the tumor areas in patients with grade IV astrocytoma by calculating and statistically analyzing quantitative MRI perfusion parameters. MATERIAL AND METHODS: We applied two models of MRI perfusion, the unicompartmental and the pharmacokinetic models, in 15 patients diagnosed with grade IV astrocytoma. In the unicompartmental model, we quantified cerebral blood volume (CBV), mean transit time (MTT), and cerebral blood flow (CBF). In the pharmacokinetic model, we measured the permeability constant (K(trans)), the extraction coefficient (k(ep)), the fraction of the volume in the interstitial space (v(e)), the fraction of the volume in the vessels (v(p)), the permeability in the first pass (K(fp)), and the vascular volume in the first pass (v(pfp)). For each parameter, histograms were obtained for the total tumor area, for the peritumoral area, and for the healthy tissue. The statistical analysis included an analysis of variance for each parameter and a discriminant analysis. RESULTS: The most significant differences between the regions were obtained with CBV, CBF, K(trans), and v(pfp); of these, CBV had the best results. The best classificatory function on the discriminant analysis was the combination of K(trans) and CBV. The analysis of the shape of the histogram showed statistically significant differences for the kurtosis of K(trans) and k(ep), as well as for the skewness of CBV, CBF, K(trans), and v(pfp). CONCLUSION: When parameters are considered individually, CBV is the one that best enables differentiation between tumor, peritumoral, and healthy tissue. The classificatory function generated from CBV and K(trans) results in improved classification by areas.


Assuntos
Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/fisiopatologia , Glioblastoma/diagnóstico , Glioblastoma/fisiopatologia , Angiografia por Ressonância Magnética , Adulto , Idoso , Circulação Cerebrovascular , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
2.
Radiologia ; 52(3): 221-7, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20382403

RESUMO

OBJECTIVES: To study the viability of longitudinal relaxation time (T1) of patellar cartilage as a biomarker of the degree of degeneration. MATERIAL AND METHODS: We included 15 subjects classified into three groups according to clinical criteria (pain, functional limitation, and duration of symptoms) and imaging criteria as follows: (a) normal (3 men, 2 women; age 30+/-14 years), (b) with initial degeneration of the patellar cartilage (3 men, 2 women; age 30+/-6 years), or (c) with advanced degeneration (3 men, 2 women; age 57+/-10 years). All underwent MRI examination using special echo-gradient sequences to segment the cartilage and calculate the T1 maps. We selected the entire cartilage and the regions of interest classified according to clinical and imaging criteria as normal, initial degeneration, and advanced degeneration. The T1 values of the cartilage were obtained pixel by pixel and were calculated as the mean for the entire cartilage or by subregions (normal, initial, advanced). Differences between groups for the entire cartilage and the regions were analyzed using Student-Newman-Keuls post-hoc ANOVA. Reproducibility was evaluated using the coefficient of variance. RESULTS: No significant differences in the overall analysis of the entire cartilage were found between the three groups (normal: 1003+/-172 ms, initial: 1064+/-124 ms, advanced: 1041+/-308 ms, p=0.665). However, the analysis by regions revealed significant differences (normal: 908+/-53 ms, initial degeneration: 1057+/-157 ms, advanced degeneration: 1133+/-116 ms, p=0.029). The reproducibility analysis found variations of 1.3% for the overall calculation, 3.7% for the regional calculation, and 8.2% for the acquisition. CONCLUSION: In this preliminary study, calculating the T1 of the cartilage enabled regions with different degrees of degeneration to be differentiated.


Assuntos
Condromalacia da Patela/fisiopatologia , Imageamento por Ressonância Magnética , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino
3.
Artigo em Inglês | MEDLINE | ID: mdl-19680868

RESUMO

This is the first study to be carried out on the incidence of halophenols and haloanisoles, including trichloroanisole, in aged red wines. A total of 966 red wines, aged for 6, 12 and 24 months in oak barrels and from different Spanish production areas, were analysed by stir bar sorptive extraction followed by gas chromatography/mass spectrometry (GC/MS). From the wines sampled, 155 (16.1%) were contaminated with one or several compounds, with 7.6, 6.9 and 1.5% corresponding to the 12- (aged-12), 6- (aged-6) and 24-month-aged (aged-24) wines, respectively. The most abundant compounds causing taint were 2,3,4,6-tetrachloroanisole and 2,4,6-trichloroanisol (6.8 and 5.3%, respectively). No 2,4,6-tribromophenol was found in any of the samples. Contamination with halo compounds was highest in samples from South-West Spain, followed by those from Northern Spain. The mean concentration for all compounds were always higher than their respective olfactory threshold, but none of these halo compounds represent a health hazard to humans through the consumption of commercial red aged wines.


Assuntos
Anisóis/análise , Contaminação de Alimentos/análise , Fenóis/análise , Vinho/análise , Árvores de Decisões , Análise de Alimentos/métodos , Manipulação de Alimentos/métodos , Cromatografia Gasosa-Espectrometria de Massas/métodos , Fatores de Tempo
4.
Br J Psychiatry ; 193(5): 383-8, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18978318

RESUMO

BACKGROUND: Polymorphic variations in the serotonin transporter gene (5-HTT) moderate the depressogenic effects of tryptophan depletion. After childbirth there is a sharp reduction in brain tryptophan availability, thus polymorphic variations in 5-HTT may play a similar role in the post-partum period. AIMS: To study the role of 5-HTT polymorphic variations in mood changes after delivery. METHOD: One thousand, eight hundred and four depression-free Spanish women were studied post-partum. We evaluated depressive symptoms at 2-3 days, 8 weeks and 32 weeks post-partum. We used diagnostic interview to confirm major depression for all probable cases. Based on two polymorphisms of 5-HTT (5-HTTLPR and STin2 VNTR), three genotype combinations were created to reflect different levels of 5-HTT expression. RESULTS: One hundred and seventy-three women (12.7%) experienced major depression during the 32-week post-partum period. Depressive symptoms were associated with the high-expression 5-HTT genotypes in a dose-response fashion at 8 weeks post-partum, but not at 32 weeks. CONCLUSIONS: High-expression 5-HTT genotypes may render women more vulnerable to depressive symptoms after childbirth.


Assuntos
Depressão Pós-Parto/genética , Polimorfismo Genético/genética , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Triptofano/deficiência , Feminino , Seguimentos , Expressão Gênica , Humanos , Gravidez , Estudos Prospectivos , Fatores de Risco , Espanha
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