ABSTRACT
INTRODUCTION: Measurement of an- hippocampal area or volume is useful in clinical practice as a supportive aid for diagnosis of Alzheimer's disease. Since it is time-consuming and not simple, it is not being used very often. We present a simplified protocol for hippocampal atrophy evaluation based on a single optimal slice in Alzheimer's disease. METHODS: We defined a single optimal slice for hippocampal measurement on brain magnetic resonance imaging (MRI) at the plane where the amygdala disappears and only the hippocampus is present. We compared an absolute area and volume of the hippocampus on this optimal slice between 40 patients with Alzheimer disease and 40 age-, education- and gender-mateched elderly controls. Furthermore, we compared these results with those relative to the size of the brain or the skull: the area of the optimal slice normalized to the area of the brain at anterior commissure and the volume of the hippocampus normalized to the total intracranial volume. RESULTS: Hippocampal areas on the single optimal slice and hippocampal volumes on the left and right in the control group were significantly higher than those in the AD group. Normalized hippocampal areas and volumes on the left and right in the control group were significantly higher compared to the AD group. Absolute hippocampal areas and volumes did not significantly differ from corresponding normalized hippocampal areas as well as normalized hippocampal volumes using comparisons of areas under the receiver operating characteristic curves. CONCLUSION: The hippocampal area on the well-defined optimal slice of brain MRI can reliably substitute a complicated measurement of the hippocampal volume. Surprisingly, brain or skull normalization of these variables does not add any incremental differentiation between Alzheimer disease patients and controls or give better results.
Subject(s)
Alzheimer Disease/diagnostic imaging , Hippocampus/diagnostic imaging , Image Interpretation, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Magnetic Resonance Imaging/methods , Aged , Female , Humans , Male , Middle AgedABSTRACT
The hair and skin of 300 clinically healthy animals, 268 dogs and 32 cats, were examined mycologically. The method described by Mariat and Tapia (1966) was used for the examination, along with square pieces of the fitted carpet Kovral. The dermatophytes were isolated in 12 samples, all from the material taken from dogs. Trichophyton mentagrophytes was isolated six times, Microsporum canis four times, Trichophyton gallinae once, Trichophyton rubrum once. The origin of the dermatophyte Trichophyton gallinae, found in a village dog, was not determined. In one case of occurrence of the dermatophyte Trichophyton mentagrophytes in a dog the dermatophyte was probably transmitted from man to the dog. Microsporum canis was not proved to be the most frequent dermatophyte in dogs or cats in this country.
