Current considerations on intraductal papillary neoplasms of the bile duct and pancreatic duct.

Pancreatobiliary intraductal papillary neoplasms (IPNs) represent precursors of pancreatic cancer or bile duct cholangiocarcinoma that can be detected and treated. Despite advances in diagnostic methods, identifying these premalignant lesions is still challenging for treatment providers. Modern imaging, biomarkers and molecular tests for genomic alterations can be used for diagnosis and follow-up. Surgical intervention in combination with new chemotherapeutic agents is considered the optimal treatment for malignant cases. The balance between the risk of malignancy and any risk of resection guides management policy; therefore, treatment should be individualized based on a meticulous preoperative assessment of high-risk stigmata. IPN of the bile duct is more aggressive; thus, early diagnosis and surgery are crucial. The conservative management of low-risk pancreatic branch-duct lesions is safe and effective.

New trends in diagnosis and management of gallbladder carcinoma.

Gallbladder (GB) carcinoma, although relatively rare, is the most common biliary tree cholangiocarcinoma with aggressiveness and poor prognosis. It is closely associated with cholelithiasis and long-standing large (> 3 cm) gallstones in up to 90% of cases. The other main predisposing factors for GB carcinoma include molecular factors such as mutated genes, GB wall calcification (porcelain) or mainly mucosal microcalcifications, and GB polyps ≥ 1 cm in size. Diagnosis is made by ultrasound, computed tomography (CT), and, more precisely, magnetic resonance imaging (MRI). Preoperative staging is of great importance in decision-making regarding therapeutic management. Preoperative staging is based on MRI findings, the leading technique for liver metastasis imaging, enhanced three-phase CT angiography, or magnetic resonance angiography for major vessel assessment. It is also necessary to use positron emission tomography (PET)-CT or 18F-FDG PET-MRI to more accurately detect metastases and any other occult deposits with active metabolic uptake. Staging laparoscopy may detect dissemination not otherwise found in 20%-28.6% of cases. Multimodality treatment is needed, including surgical resection, targeted therapy by biological agents according to molecular testing gene mapping, chemotherapy, radiation therapy, and immunotherapy. It is of great importance to understand the updated guidelines and current treatment options. The extent of surgical intervention depends on the disease stage, ranging from simple cholecystectomy (T1a) to extended resections and including extended cholecystectomy (T1b), with wide lymph node resection in every case or IV-V segmentectomy (T2), hepatic trisegmentectomy or major hepatectomy accompanied by hepaticojejunostomy Roux-Y, and adjacent organ resection if necessary (T3). Laparoscopic or robotic surgery shows fewer postoperative complications and equivalent oncological outcomes when compared to open surgery, but much attention must be paid to avoiding injuries. In addition to surgery, novel targeted treatment along with immunotherapy and recent improvements in radiotherapy and chemotherapy (neoadjuvant-adjuvant capecitabine, cisplatin, gemcitabine) have yielded promising results even in inoperable cases calling for palliation (T4). Thus, individualized treatment must be applied.

Coconut (Cocos nucifera) tree disease dataset: A dataset for disease detection and classification for machine learning applications.

The ``Coconut (Cocos nucifera) Tree Disease Dataset'' comprises 5,798 images across five disease categories: ``Bud Root Dropping,'' ``Bud Rot,'' ``Gray Leaf Spot,'' ``Leaf Rot,'' and ``Stem Bleeding.'' This dataset is intended for machine learning applications, facilitating disease detection and classification in coconut trees. The dataset's diversity and size make it suitable for training and evaluating disease detection models. The availability of this dataset will support advancements in plant pathology and aid in the sustainable management of coconut plantations. By providing a valuable resource for researchers, this dataset contributes to improved disease management and sustainable coconut plantation practices.

An Overview of Phytophthora Species on Woody Plants in Sweden and Other Nordic Countries.

The genus Phytophthora, with 326 species in 12 phylogenetic clades currently known, includes many economically important pathogens of woody plants. Different Phytophthora species often possess a hemibiotrophic or necrotrophic lifestyle, have either a broad or narrow host range, can cause a variety of disease symptoms (root rot, damping-off, bleeding stem cankers, or blight of foliage), and occur in different growing environments (nurseries, urban and agricultural areas, or forests). Here, we summarize the available knowledge on the occurrence, host range, symptoms of damage, and aggressiveness of different Phytophthora species associated with woody plants in Nordic countries with a special emphasis on Sweden. We evaluate the potential risks of Phytophthora species to different woody plants in this geographical area and emphasize the increasing threats associated with continued introduction of invasive Phytophthora species.

Management of Biliary Cysts in Adults: A Single-Center 10-Year Experience.

BACKGROUND: A choledochal cyst is a cystic dilatation of the biliary tree, also termed a biliary cyst, including an intrahepatic cyst as well. Magnetic resonance cholangiopancreatography (MRCP) is the gold standard investigation of choice for this pathology. Todani classification is most commonly used to classify choledochal cysts. MATERIALS AND METHODS: A total of 30 adult patients with choledochal cysts presenting at our center from December 1, 2009, to October 31, 2019, were studied retrospectively. RESULTS: The mean age was 35.13 years ranging from 18 to 62 years with a male-to-female ratio of 1:3.29. Of the patients, 86.6% presented with abdominal pain. Total serum bilirubin was raised in six patients with a mean of 1.84 mg/dL. MRCP was done in all patients, which had almost 100% sensitivity. Two cases had anomalous pancreaticobiliary duct union. In our study, we found only type I and type IVA cysts according to the Todani classification (type IA = 56.3%, IB = 11%, 1C = 16%, and IVA = 17%). The mean size of the cyst was 2.37 cm. Complete cyst excision with Roux-en-Y hepaticojejunostomy was performed in all patients. Four patients had surgical site infections and two had bile leaks. One patient developed hepatic artery thrombosis. All complications were eventually managed conservatively. Mortality was nil in our study with the mean postoperative stay being 7.97 days. CONCLUSION: Adult presentation of biliary cysts is not an uncommon entity in the Indian population and should be considered as a differential diagnosis of biliary pathology in adult patients. Complete excision of cysts with bilioenteric anastomosis is the current treatment of choice.

A global analysis of tree pests and emerging pest threats.

SignificanceThe introduction of trees outside their native ranges has greatly expanded the potential ranges of their pathogens and insect pests, which risk spilling over and impacting native flora. However, we often lack a strong understanding of the host, climatic, and geographic factors that allow pests to establish outside their hosts' native ranges. Using global datasets of pest occurrences and the native and nonnative ranges of tree hosts, we show there are strong generalizable trends controlling pest occurrences and can predict the occurrence of pests outside their hosts' native ranges with >75% accuracy. Our modeling framework offers a powerful tool to identify future invasive pest species and the ecological mechanisms controlling the accumulation of pests outside their hosts' native ranges.

Malformation Disease in Tabebuia rosea (Rosy Trumpet) Caused by Fusarium pseudocircinatum in Mexico.

Tabebuia rosea (rosy trumpet) is an economically important neotropical tree in Mexico that is highly valued for the quality of its wood, which is used for furniture, crafts, and packing, and for its use as an ornamental and shade tree in parks and gardens. During surveys conducted in the lower Balsas River Basin region in the states of Guerrero and Michoacán, symptoms of floral malformation were detected in T. rosea trees. The main objectives of this study were to describe this new disease, to determine its causal agent, and to identify it using DNA sequence data. A second set of objectives was to analyze the phylogenetic relationship of the causal agent to Fusarium spp. associated with Swietenia macrophylla trees with malformation surveyed in the same region and to compare mycotoxin production and the mating type idiomorphs of fusaria recovered from T. rosea and S. macrophylla. Tabebuia rosea showed malformed inflorescences with multiple tightly curled shoots and shortened internodes. A total of 31 Fusarium isolates recovered from symptomatic T. rosea (n = 20) and S. macrophylla (n = 11) trees were identified by molecular analysis as Fusarium pseudocircinatum. Pathogenicity tests showed that isolates of F. pseudocircinatum recovered from T. rosea induced malformation in inoculated T. rosea seedlings. Eighteen F. pseudocircinatum isolates were tested for their ability to produce mycotoxins and other secondary metabolites. Moniliformin, fusaric acid, bikaverin, beauvericin, aurofusarin. and 8-O-methylbostrycoidin were produced by at least one strain of the 18 isolates tested. A multiplex PCR assay for mating type idiomorph revealed that 22 F. pseudocircinatum isolates were MAT1-1 and that 9 were MAT1-2. Here, we report a new disease of T. rosea in Mexico caused by F. pseudocircinatum.

Understanding how best to engage recreationists in biosecurity to reduce the impacts of tree diseases: a review.

Pests and diseases introduced from other countries are known to pose a threat to trees, woods and forests in many locations throughout the world. Once introduced they can be spread inadvertently by countryside visitors hiking, biking or riding along paths and trails through wooded areas. Engaging and communicating with these groups of countryside users to encourage and facilitate positive biosecurity behaviours is crucial for the future resilience of trees, woods and forests. This review draws on literature outlining principles for stakeholder engagement in forestry as well as evaluations of biosecurity campaigns from around the world. Key points are briefly presented for communicators aiming to encourage better biosecurity in the countryside. These include, the need to design campaigns based on the values and motivations of recreationists, using trusted information sources and understanding the importance of combining information with facilities so as to reduce the cost (in terms of effort and inconvenience) to hikers and other countryside users.

Invasive forest pathogens in Europe: Cross-country variation in public awareness but consistency in policy acceptability.

Political action can reduce introductions of diseases caused by invasive forest pathogens (IPs) and public support is important for effective prevention. The public's awareness of IP problems and the acceptability of policies aiming to combat these pathogens were surveyed in nine European countries (N = 3469). Although awareness of specific diseases (e.g., ash dieback) varied, problem awareness and policy acceptability were similar across countries. The public was positive towards policies for informational measures and stricter standards for plant production, but less positive towards restricting public access to protected areas. Multilevel models, including individual and country level variables, revealed that media exposure was positively associated with awareness of IP problems, and strengthened the link between problem awareness and policy acceptability. Results suggest that learning about IPs through the media and recognizing the associated problems increase policy acceptability. Overall, the study elaborates on the anthropogenic dimension of diseases caused by IPs.

Pest categorisation of Gremmeniella abietina.

Following a request from the European Commission, the EFSA Plant Health (PLH) Panel performed a pest categorisation of Gremmeniella abietina, a well-defined species and distinguishable fungus of the family Godroniaceae. The species G. abietina includes several varieties, races and biotypes that are found in different geographical locations, on different hosts and that vary in aggressiveness. The pathogen causes diseases on Pinus species and other conifers such as Abies spp., Picea spp., Larix spp. and Pseudotsuga spp. known as Scleroderris canker in North America and Brunchorstia dieback in Europe. G. abietina has been reported from 19 EU Member States, without apparent ecoclimatic factors limiting establishment. The pathogen is a protected zone (PZ) quarantine pest (Annex IIB) for Ireland and the UK (Northern Ireland). The main European hosts are widespread throughout most of the EU and have been frequently planted in the PZ. The main means of spread are wind-blown ascospores, rain-splashed conidia, plants for planting and traded Christmas trees. Given that G. abietina is most damaging to species that are grown towards the limit of their range, impacts can be expected in the PZ, should the pathogen be introduced there. Risk reduction options include selection of disease-free planting material, nursery inspections, selection of planting sites at some distance from infested plantations, appropriate spacing between plants and thinning. The main uncertainties concern the indeterminate endophytic stage of the fungus, the pathogen distribution and the future taxonomic status of G. abietina, given its intraspecific diversity. All the criteria assessed by the Panel for consideration as potential PZ quarantine pest are met. The criterion of plants for planting being the main pathway for spread for regulated non-quarantine pests is not met: plants for planting are only one of the means of spread of the pathogen.

IMA Genome-F 7: Draft genome sequences for Ceratocystis fagacearum, C. harringtonii, Grosmannia penicillata, and Huntiella bhutanensis.

Draft genomes for the fungi Ceratocystis fagacearum, C. harringtonii, Grosmannia penicillata, and Huntiella bhutanensis are presented. Ceratocystis fagacearum is a major causal agent of vascular wilt of oaks and other trees in the family Fagaceae. Ceratocystis harringtonii, previously known as C. populicola, causes disease in Populus species in the USA and Canada. Grosmannia penicillata is the causal agent of bluestain of sapwood on various conifers, including Picea spp. and Pinus spp. in Europe. Huntiella bhutanensis is a fungus in Ceratocystidaceae and known only in association with the bark beetle Ips schmutzenhorferi that infests Picea spinulosa in Bhutan. The availability of these genomes will facilitate further studies on these fungi.

An overview of Australia's Phytophthora species assemblage in natural ecosystems recovered from a survey in Victoria.

Although Phytophthora species cause serious diseases worldwide, until recently the main focus on disease in natural ecosystems in southern Australia has been on the distribution and impact of P. cinnamomi. However, new Phytophthora pathogens have emerged from natural ecosystems, and there is a need to better understand the diversity and distribution of these species in our natural forests, woodlands and heathlands. From a survey along a 70 km pipeline easement in Victoria, Phytophthora species were isolated from 249 rhizosphere samples and 25 bait bags deployed in 21 stream, river, or wetland locations. Of the 186 Phytophthora isolates recovered, 130 were identified to species based on ITS sequence data. Ninety-five isolates corresponded to 13 described Phytophthora species while additionally 35 isolates were identified as Clade 6 hybrids. Phytophthora cinnamomi was the most common species isolated (31 %), followed by P. elongata (6 %), both species were only recovered from soil. Samples from sites with the highest soil moisture at the time of sampling had the highest yield of isolates. Consistent with other studies throughout the world, Clade 6 species and their hybrids dominated water samples, although many of these species were also recovered less frequently from soil samples. Many of the species recovered in this study have not previously been reported from eastern Australia, reinforcing that Phytophthora species are widespread, abundant and diverse in natural ecosystems. We have probably been underestimating Phytophthora diversity in Australia.

Development of a sensitive molecular detection assay for mango malformation disease caused by Fusarium mangiferae.

OBJECTIVES: To develop a sensitive and specific molecular assay for detection of mango malformation disease (MMD), which is caused primarily by Fusarium mangiferae. RESULTS: We screened 100 ISSR primers and identified one (UBC888) that directed the stable amplification of a specific gene fragment of 479 bp (GenBank accession number KJ526382). Based on the DNA sequence of this fragment, a pair of SCAR primers (W342 and W1772) were designed to amplify another gene fragment of 1376 bp (GenBank accession number KJ526383), demonstrating the successful conversion of an ISSR marker to a SCAR marker. An effective and simple detection assay for MMD was established based on this pair of PCR primers, with a high level of specificity and sensitivity to the DNA of F. mangiferae and other species of Fusarium both in vitro and in vivo. It can detect as little as 10 pg fungal DNA from the DNA of mango's tissues. CONCLUSIONS: Our assay provides a practical method for the early diagnosis so that proper prevention of the mango malformation disease can be developed.

Disruption of the 'disease triangle' by chemical and physical environmental change.

The physical and chemical environment of the Earth has changed rapidly over the last 100 years and is predicted to continue to change into the foreseeable future. One of the main concerns with potential alterations in climate is the propensity for increases in the magnitude and frequency of extremes to occur. Even though precipitation is predicted to increase in some locations, in others precipitation is expected to decrease and evapotranspiration increase with air temperature, resulting in exacerbated drought in the future. Chemical [ozone (O3 ) and other air contaminants] and subsequent physical alterations in the environment will have a profound effect on the 'disease triangle' (a favourable environment, a susceptible host and a virulent pathogen) and should be included in any analysis of biological response to climate change. The chemical and physical environment affects plant health and alters plant susceptibility to insect and pathogen attack through increased frequency, duration and severity of drought and reduction in host vigour. The potential effects of climate change and O3 on tree diseases with emphasis on the western United States are discussed. We describe a generalised modelling approach to incorporate the complexities of the 'disease triangle' into dynamic vegetation models.

Susceptibility of Fraser Fir to Phytophthora capsici.

Phytophthora cinnamomi, P. drechsleri, P. citricola, and P. cactorum limit Fraser fir production, whereas P. capsici affects Solanaceous, Cucurbitaceous, and Fabaceous crops. Some vegetable growers in Michigan plant conifers for the Christmas tree market in fields infested with P. capsici. To determine the susceptibility of Fraser fir to P. capsici, stems (no wound or 1- or 3-mm-diameter wound) or roots (2 or 4 g of infested millet seed or 2 or 5 × 103 zoospores/ml of a zoospore suspension) of seedlings were inoculated with each of four P. capsici isolates and incubated in growth chambers (20 or 25°C). In addition, Fraser fir seedlings were planted in two commercial fields naturally infested with P. capsici. All P. capsici isolates tested incited disease in the seedlings regardless of incubation temperature or inoculation method. Seedlings (72%) planted in P. capsici-infested fields developed disease symptoms and died. Most of the P. capsici isolates obtained from the Fraser fir seedlings infected while in the field were recovered from root tissue. Identification was confirmed by species-specific direct colony polymerase chain reaction. The pathogen was successfully recovered from stems of all stem-inoculated seedlings, and from roots and stems of all root-inoculated seedlings; the phenotype of the recovered isolate matched the phenotype of the inoculum. This study suggests that planting Fraser fir in fields infested with P. capsici could result in infection and that adjustments in current rotational schemes are needed.