Comparison between Dual-Energy CT and Quantitative Susceptibility Mapping in Assessing Brain Iron Deposition in Parkinson Disease.

BACKGROUND AND PURPOSE: Both dual-energy CT and quantitative susceptibility mapping can evaluate iron depositions in the brain. The purpose of this study was to compare these 2 techniques in evaluating brain iron depositions in Parkinson disease. MATERIALS AND METHODS: Forty-one patients with Parkinson disease (Parkinson disease group) and 31 age- and sex-matched healthy controls (healthy control group) were included. All participants underwent brain dual-energy CT and quantitative susceptibility mapping. ROIs were set bilaterally in the globus pallidus, substantia nigra, red nucleus, caudate nucleus, and putamen. CT values and magnetic susceptibility values were obtained in each ROI. Differences in CT values and magnetic susceptibility values between the Parkinson disease and healthy control groups were compared, followed by analysis of receiver operating characteristic curves. Correlations between CT values and magnetic susceptibility values were then evaluated. RESULTS: The CT values of the bilateral globus pallidus, substantia nigra, and red nucleus were higher in the Parkinson disease group (P < .05). The magnetic susceptibility values of the bilateral globus pallidus and substantia nigra were higher in the Parkinson disease group (P < .05). The CT value of the right globus pallidus in linear fusion images had the highest diagnostic performance (0.912). Magnetic susceptibility values of the bilateral globus pallidus in the Parkinson disease group were positively correlated with CT values at the level of 80 kV(peak), linear fusion images, and SN150 kV(p) (r = 0.466∼0.617; all, P < .05). CONCLUSIONS: Both dual-energy CT and quantitative susceptibility mapping could assess excessive brain iron depositions in Parkinson disease, and we found a positive correlation between CT values and magnetic susceptibility values in the bilateral globus pallidus.

Abnormal spontaneous brain activity in type 2 diabetic retinopathy revealed by amplitude of low-frequency fluctuations: a resting-state fMRI study.

AIM: To explore the altered spontaneous cerebral activity patterns and impaired functional regions in patients with diabetic retinopathy (DR) using resting-state functional magnetic resonance imaging (rs-fMRI) based on the amplitude of low-frequency fluctuations (ALFF) algorithm. MATERIALS AND METHODS: Twenty-one patients with DR (mean age, 54.9±9.9 years; 11 females) and 17 healthy control subjects (54.8±5.7 years; 9 females) were prospectively studied. The DR patients underwent laboratory tests. All individuals underwent a neuropsychological test. The differences in the ALFF values between the two groups were compared. The relationships between ALFF values and clinical measurements were analysed using a multiple-factor analysis. RESULTS: Compared to the controls, the DR group showed significantly increased ALFF values in the bilateral occipital gyrus, right lingual gyrus, and precuneus, and decreased values in the right posterior/anterior cerebellar lobe and the parahippocampal, fusiform, superior temporal, inferior parietal, and angular gyrus. Furthermore, the Montreal Cognitive Assessment (MoCA) scores were negatively correlated with decreased ALFF values in the right occipital lobe of the DR group, while increased ALFF values in the right precuneus and lingual gyrus were found to be positively correlated with glycosylated haemoglobin (HbA1c) levels. CONCLUSIONS: Patients with DR showed spontaneous cerebral activity abnormalities in many cerebral regions that were associated with cognitive impairments. HbA1c levels altered spontaneous cerebral activity in DR patients.

Initial and middle-term results of treatment for symptomatic spontaneous isolated dissection of superior mesenteric artery.

OBJECTIVE: Spontaneous isolated dissection of the superior mesenteric artery (SIDSMA) is extremely rare. Various treatment options are currently available, including conservative treatment, endovascular stenting (ES) and surgical repair. Herein, we present our experience in the treatment of symptomatic SIDSMA. METHODS: A retrospective study was conducted on 17 consecutive patients with symptomatic SIDSMA from May 2002 to May 2012. Conservative treatment consisted of strict blood-pressure control, bowel rest, nasogastric suction, intravenous fluid therapy and nutritional support as required; fasting was released on resolution of abdominal pain, and fluid food was given first; then, diet was resumed after complete resolution of abdominal pain. The decision to intervene was based on patient symptoms and signs, as well as the morphological characteristics of SMA dissection on computed tomography (CT) angiography. Self-expandable stents were placed via the common femoral artery approach. ES was indicated in patients with severe compression of the true lumen or dissecting aneurysm likely to rupture. RESULTS: All patients had acute-onset abdominal pain. Treatment included conservative treatment with the use of anticoagulation in five and without in nine patients, respectively. Three patients with severe compression of the true lumen or large dissecting aneurysm underwent ES as a primary treatment. ES was performed in two patients in whom initial conservative treatment failed. Patients who underwent ES were maintained on anti-platelet therapy for 3 months postoperatively. The median follow-up time was 24 months (range, 2-72 months). No complications were associated with the SIDSMA or ES. The patency of stents was demonstrated on follow-up CT scans up to 8.5 months (range, 4-38 months). CONCLUSIONS: Conservative treatment without anticoagulation can be applied successfully to the patients with symptomatic SIDSMA. Our strategy of restricting ES for these patients who have compression of the true lumen or dissecting aneurysm likely to rupture (and for those with failed conservative treatment) was successful.

First Report of Pratylenchus neglectus on Winter Wheat in China.

Root-lesion nematodes are major pathogens of wheat and have been reported in the United States, Mexico, India, Australia, Egypt, Canary Islands, South Africa, Iran, Japan, the Netherlands, Belgium, Italy, Germany, and Yugoslavia (1). They can also cause injury in a large number of crops, including grasses, cereal grains, and vegetables. In 2009 and 2010, a survey was conducted for nematodes in winter wheat fields near Taian city, Shandong, northern China. Root tissues were stained via the acid fuchsin tissue stain technique, and nematode numbers were recorded under a stereo microscope. Sixty-eight root samples were collected during the winter wheat growing season, and root lesion nematode was found in all samples. The highest average lesion nematode populations in fresh roots were 154.3 nematodes/g in 2009 and 236.7 nematodes/g in 2010. Nematodes were collected from infested wheat roots by a modified Baermann funnel method. Dimensions of the nematodes were: length, 0.42 to 0.54 mm; a, 18.8 to 24.2; b, 4.4 to 5.7; c, 19.8 to 25.4; V, 80.4 to 84.8; and spear, 17.1 to 18.9 µm. DNA was extracted from individual nematodes using liquid nitrogen. Amplification of rDNA-internal transcribed spacer region using the forward primers 5'-CGTAACAAGGTAGCTGTAG-3' and the reverse primer 5'-TTTCACTCGCCGTTACTAAGG-3' yielded a PCR fragment of approximately 900 bp. PCR products were purified using Universal Plant DNA Purification Kit (Tiangen, China) and ligated to the pMD18-T vector system (TaKaRa Bio, Japan) and transformed to E. coli strain DH5α. Plasmid DNA carrying the insert was extracted and used as the template for DNA sequencing. DNA sequencing was carried out in an ABI 3730, compared and aligned using MEGA 5.0. Sequences showed 96% sequence identity with those of Pratylenchus neglectus (GenBank Accession No. FR692291.1). The sequence was submitted to the GenBank database (JX228136). To our knowledge, this is the first report of P. neglectus infesting winter wheat in China. P. neglectus has been reported as causing economically significant damage to wheat production of up to 70% yield loss in the Pacific Northwest. Damage from lesion nematode may therefore be potentially significant to wheat production in Shandong Province, and further information should be obtained on its prevalence. References: (1) P. A. A. Loof. The family Pratylenchidae Thorne, 1949. W. R. Nickle, ed., Manual of Agricultural Nematol. Marcel Dekker, Inc. New York, 1991. (2) R. W. Smiley et al. J. Nematol. 37:45, 2005.

[A review of the studies on fungi and mycotoxins in foodstuffs in Beijing during 1976-1986].

Fungi and mycotoxins contaminating foods in Beijing during 1976-1986 were studied. A total of more than 5,000 food samples classified into 104 kinds of 16 types were examined of analysed. The results showed that the natural occurrence of Aflatoxin B1 in foods in Beijing was not serious, but from the results of analysis 59 cases of food poisoning and food seriously contaminated with moulds, the hazards of fungal contamination of food should receive serious consideration. In order to improve food hygiene and facilitate supervision the author suggested that a mycological standard should be established for marketing foods in China, such as grain, and beverage which are highly susceptible to fungal contamination.