Multidetector CT of an antillean zemi idol.

Volumetric multidetector computed tomography (CT) was performed on an anthropomorphic cotton zemi idol from the Taino culture, which flourished in the Antilles between the 13th and 15th centuries ad. The zemi belongs to the permanent collection of the Museum of Anthropology and Ethnography at the University of Torino in Italy. According to some researchers of Taino culture, this is the only known cotton figure functioning as a reliquary that contains a partially preserved human skull. Postprocessing consisted of multiplanar and three-dimensional reformation of the axial CT scans. The built-in capacity of CT to measure the density of materials allowed detailed characterization of the structure of the zemi, which includes vegetable fibers, wood, stone, shells, and bone-in particular, the anterior part of a human skull. The results of this multidisciplinary study involving radiologists and physical anthropologists confirm the importance of multidetector CT in the noninvasive study of delicate museum objects and have awakened anthropologic interest in the form of multidisciplinary studies that are currently underway to better identify the social meaning of the object. These studies will undoubtedly provide new information about Taino culture.

Scenes from the past: multidetector CT study of gallbladder stones in a wrapped Egyptian mummy.

A whole-body examination was performed with multidetector computed tomography (CT) of a completely wrapped Egyptian mummy from the collection at the Egyptian Museum in Turin, Italy. The mummy dates from the Eighteenth Dynasty. Although embalmment of the deceased man should have included evisceration in accordance with his social rank, no canopic jars containing internal organs had been found at the discovery of his tomb, and at CT, all the organs were found to have desiccated inside the body. Numerous calcified stones that were incidentally identified in the gallbladder had attenuation characteristics indicative of a predominant bile pigment content. This case demonstrates the superior capabilities of multidetector CT for the noninvasive study of embalmed bodies. The intrinsic capacity of CT for depicting the density of materials allowed not only the identification of the gallbladder stones but also their characterization.

High energy shock waves enhance the cytotoxic effect of doxorubicin and methotrexate to human osteosarcoma cell lines.

Despite recent advances, the prognosis of relapsed osteosarcoma patients remains very poor. Application of high energy shock waves may change the tumour cell growth and increase the cytotoxic effect of in vivo and in vitro chemotherapeutic agents. We studied the effect of their association with doxorubicin or methotrexate on three in vitro osteosarcoma cell lines. The effect of these combinations on SJSA-1, MG-63 and HOS human osteosarcoma cell lines were evaluated through incubation with doxorubicin or methotrexate and high energy shock wave treatment with 1000 shots at 0.22 mJ/mm(2) and an evaluation of the cell number, cell proliferation and apoptosis at days 1, 3 and 6 from the start of treatment. The combination of high energy shock waves and doxorubicin induced a statistically significant advantage in terms of a decrease in cell number on the SJSA-1 and HOS cell lines, a decrease of cell proliferation on all three cell lines and an increase of apoptosis only on the SJSA-1 cell line. The combination of high energy shock waves with methotrexate induced a decrease of the cell number only in the SJSA-1 and in the HOS cell lines, of the cell proliferation in the SJSA-1 and in the MG-63 cell lines, and an increase of apoptosis only on the SJSA-1 cell line. In conclusion, these experiments show an interesting effect of high energy shock waves on osteosarcoma cell lines, which could lead to future studies of the in vivo effects of high energy shock waves in the murine model as well.

Feasibility of cord blood stem cell manipulation with high-energy shock waves: an in vitro and in vivo study.

OBJECTIVE: Cord blood CD34+ cells are more uncommitted than their adult counterparts as they can be more easily maintained and expanded in vitro and transduced with lentiviral vectors. The aim of this study was to evaluate whether pretreatment with high-energy shock waves (HESW) could further enhance the expansion of cord blood progenitors and the transduction efficiency with lentiviral vectors. METHODS: Human cord blood CD34+ cells underwent HESW treatment with a wide range of energy and number of shots (from 0.22 mJ/mm2 to 0.43 mJ/mm2 and from 200 to 1500 shots). Cells were then evaluated both for their in vitro expansion ability and in vivo engraftment in primary, secondary, and tertiary NOD/SCID mice. The transduction efficiency with a lentiviral vector (LV) was also evaluated in vitro and in vivo. RESULTS: Cell viability following HESW ranged from 75 to 92%. Pretreatment with HESW significantly improved early progenitor cell expansion after short-term suspension culture. Upon transplantation in primary NOD/SCID mice, the HESW treatment enhanced progenitor cell engraftment (total human CD45(+)CD34+ cells were 10% in controls and 14.5% following HESW, human CD45(+)CD34(+)CD38(-) cells were 0.87% in controls and 1.8% following HESW). HESW treatment enhanced the transduction of a GFP+ lentiviral vector (e.g., at day 42 of culture 6.5% GFP+ cells in LV-treated cell cultures compared to 11.4% of GFP+ cells in HESW-treated cell cultures). The percentage of human GFP+ cell engrafting NOD/SCID mice was similar (34% vs 26.4% in controls); however, the total number of human cells engrafted after HESW was higher (39.6% vs 15%). CONCLUSION: The pretreatment of CD34+ cells with HESW represents a new method to manipulate the CD34+ population without interfering with their ability to both expand and engraft and it might be considered as a tool for genetic approaches.

Successful unrelated cord blood transplantation following reduced-intensity conditioning for refractory acute myeloid leukemia.

Patients with relapsed acute myeloid leukemia following autograft have a poor prognosis. The possibility of allograft is frequently time-limited, as the disease reappears before a stem cell donor can be found in the worldwide registries. Cord blood transplantation is a new therapeutic approach, since cord blood units are rapidly available. The authors show how a relapsed chemotherapy-refractory patient was successful transplanted with a mismatched cord blood unit after reduced-intensity conditioning. Twenty-three months after transplantation, the child is in continuous complete remission and has full donor chimerism and no signs of chronic graft-versus-host disease.