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OBJECTIVES: The role of long noncoding RNAs (lncRNAs) in pancreatic ductal adenocarcinoma (PDAC) remain unclear. Extracellular vesicle (EV)-encapsulated RNAs could be effective targets for liquid biopsy. We aimed to identify previously unknown EV-encapsulated lncRNAs in PDAC and establish highly accurate methods for isolating EVs. MATERIALS AND METHODS: Extracellular vesicles were isolated using existing and newly developed methods, namely, PEViA-UC and PEViA-IP, from serum samples of 20 patients with PDAC, 22 patients with intraductal papillary mucinous neoplasms, and 21 healthy individuals. Extracellular vesicle lncRNA expression was analyzed using digital PCR. RESULTS: Gene expression analysis using cDNA microarray revealed a highly expressed lncRNA, HEVEPA , in serum EVs from patients with PDAC. We established PEViA-UC and PEViA-IP using PEViA reagent, ultracentrifugation, and immunoprecipitation. Although detection of EV-encapsulated HEVEPA using existing methods is challenging, PEViA-UC and PEViA-IP detected EV HEVEPA , which was highly expressed in patients with PDAC compared with non-PDAC patients. The detection sensitivity for discriminating PDAC from non-PDAC using the combination of HEVEPA and HULC , which are highly expressed lncRNAs in PDAC, and carbohydrate antigen 19-9 (CA19-9), was higher than that of HEVEPA , HULC , or CA19-9 alone. CONCLUSIONS: Extracellular vesicle lncRNAs isolated using PEViA-IP and CA19-9 together could be effective targets in liquid biopsy for PDAC diagnosis.
Subject(s)
Biomarkers, Tumor , Carcinoma, Pancreatic Ductal , Extracellular Vesicles , Pancreatic Neoplasms , RNA, Long Noncoding , Humans , RNA, Long Noncoding/blood , RNA, Long Noncoding/genetics , Extracellular Vesicles/metabolism , Extracellular Vesicles/genetics , Pancreatic Neoplasms/genetics , Pancreatic Neoplasms/blood , Pancreatic Neoplasms/diagnosis , Pancreatic Neoplasms/pathology , Liquid Biopsy/methods , Carcinoma, Pancreatic Ductal/genetics , Carcinoma, Pancreatic Ductal/blood , Carcinoma, Pancreatic Ductal/diagnosis , Carcinoma, Pancreatic Ductal/pathology , Male , Female , Middle Aged , Aged , Biomarkers, Tumor/blood , Biomarkers, Tumor/genetics , Case-Control StudiesABSTRACT
Changes in the nitrogen cycle due to fertilizer use can cause severe environmental pollution, particularly groundwater pollution, and threaten biosphere integrity. There are many difficulties and limitations in assessing groundwater pollution and a detailed nitrogen budget in an agricultural catchment. Previous methodologies have failed in an accurate assessment of the nitrogen budget in detailed spatial patterns. Herein, we designed a new modeling approach to assess the nitrogen budget using detailed spatial patterns in an agricultural catchment in the Nara Basin. We revised the Soil and Water Assessment Tool file output format, added the results for river nutrient concentrations and ammonia volatilization to the original output file. In this study, we calibrated and validated crop harvests, paddy evapotranspiration, streamflow, and river water concentrations of nitrate-nitrogen and total nitrogen to improve model accuracy as much as possible. Among them, data for evapotranspiration was obtained from a newly released Landsat dataset. The results showed that the amount of nitrogen leaching in rice paddies was 42 kg/ha, accounting for 65 % of total leaching in the study catchment. Cambisols and Fluvic Gleysols were prone to denitrification, and nitrogen leaching or denitrification occurred relatively more readily in low-slope areas. Furthermore, a detailed analysis of nitrogen cycle processes with high spatial precision indicates that areas with severe surface water pollution may also exhibit significant groundwater pollution. Our findings provide new solutions for assessing the nitrogen budget and groundwater pollution in catchments.
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This paper reports the results of an experiment to evaluate the relationship between results obtained with a drowsiness estimation system we have developed using facial videos and those obtained with the Psychomotor Vigilance Task (PVT), which is a standard index of sleepiness used in sleep medicine. The correlation between PVT scores and the output of the drowsiness estimation system, which outputs drowsiness levels from assigned facial expressions, was calculated using data from 30 subjects. The Spearman's correlation coefficients between the drowsiness estimation results and the PVT mean response time, the slowest 10% response time, and the number of lapses were 0.36 (p <0.001), 0.43 (p <0.001), and 0.40 (p <0.001), respectively. Since this experiment showed a correlation between the drowsiness estimation results and those with PVT, it would seem possible to make specific interventions based on drowsiness estimation results learned from ground-truth drowsiness levels. Such estimation results could help prevent accidents resulting from drowsiness or insufficient vigilance while driving or working.
Subject(s)
Psychomotor Performance , Sleepiness , Humans , Psychomotor Performance/physiology , Wakefulness , Reaction Time/physiology , Facial ExpressionABSTRACT
Sequential extraction was used to study the mobility and ecological risk of chemical fractions of six heavy metals in sediments collected from the Pearl River Delta (PRE) in China. Results revealed that residual fractions (F4) were the dominant forms for Cr and Ni in surface sediments, indicating that they were primarily stable in nature and had low bioavailability and ecotoxicity. Cd had a high environmental risk owing to its higher availability in acid-soluble fraction (F1), whereas Pb occurred predominantly in the reducible fraction (F2) in surface sediments. The profile variations of bioavailable fractions were generally consistent with socioeconomic development in the Pearl River Delta (PRD). A decreasing trend after 2006 suggested a reduction in heavy metal bioavailable fractions owing to the removal of heavy polluting industries and the effective control of sewage discharge. The risk assessment code suggested that the high mobility of Cd posed an extremely high risk and a threat to the aquatic environment.
Subject(s)
Metals, Heavy , Water Pollutants, Chemical , Water Pollutants, Chemical/toxicity , Water Pollutants, Chemical/analysis , Environmental Monitoring/methods , Geologic Sediments , Rivers , Estuaries , Cadmium , Metals, Heavy/analysis , China , Risk AssessmentABSTRACT
Postmating isolation is thought to be an important driver of the late stages of speciation. However, relatively little is empirically known about the process compared with other isolating mechanisms that drive the early stages of speciation, especially in non-model organisms. We characterized the genetic architecture of postmating isolation between 2 rockfishes, Sebastes schlegelii and S. trivittatus, whose reproductive isolation is complete. We examined transmission ratio distortion (TRD) patterns of genetic markers in 2 reciprocal backcross populations. Markers showing either of the 2 types of TRD was widespread across the genome, with some of the distorted markers forming extensive clusters around the recombination coldspots. These suggest that the postmating isolation effectively prevents gene flow across the genome and the recombination landscape contributes to the genetic architecture. Comparisons between 2 backcross families and 2 developmental stages showed little similarity in the distorted markers, suggesting asymmetry and stage specificity of the isolation. This may be due to hybrid incompatibility involving maternal factors or extrinsic selection. The lack of sex-ratio distortion in the mapping families suggested that Haldane's rule in terms of hybrid inviability does not hold. Additionally, quantitative trait loci (QTL) mapping detected significant QTLs for sex and the morphological traits relevant to speciation and convergence of rockfishes, including body coloration. Genes in the melanocortin system, including agouti-signaling protein 1 (asip1) and melanocortin 1 receptor (mc1r), might underlie the horizontal and vertical color patterns on the body, respectively. These findings constitute an essential step toward a comprehensive understanding of speciation and morphological diversification of rockfishes.
Subject(s)
Perciformes , Reproductive Isolation , Humans , Animals , Phenotype , Quantitative Trait Loci , Genetic Markers , Perciformes/genetics , Genetic Speciation , Hybridization, GeneticABSTRACT
PURPOSE: To determine the changes in pelvic inclination in the supine and standing positions after spinal corrective surgery, and to identify the most predictive factor for changes in pelvic inclination with the supine position as the reference plane for total hip arthroplasty. METHODS: We retrospectively analysed the data of 124 patients who underwent spinal corrective fusion surgery for adult spinal deformity between 2012 and 2016 at our institution. Spinal parameters were assessed preoperatively and postoperatively using whole spine radiographs in the standing position. The sacral slope (SS) was measured using spine and pelvis computed tomography. Differences between the preoperative and postoperative SS values in each position were calculated as Δsupine SSpre post and Δstanding SSpre post, respectively. We statistically analysed the correlations between Δsupine SS pre post and preoperative spinal parameters to determine the most useful predictor of Δ supine SSpre post. RESULTS: The mean Δsupine SSpre post of 10.5°(-13°-50°) was significantly smaller than the mean Δstanding SSpre post of 13.2° (-19°-44°) (p = 0.02). Moreover, 21 patients (17%) had Δsupine SSpre post > 20°. The Δsupine SS pre post was correlated with preoperative LL (r = -0.34 p < 0.01), PT (r = 0.42 p < 0.01), and SVA (r = 0.37 p < 0.01). Preoperative supine SS (r = -0.54, p < 0.01) had the highest correlation with Δsupine SSpre post, whereas preoperative standing SS showed no correlation (r = -0.14 p = 0.12). CONCLUSION: Preoperative supine SS is the most useful predictive factor for changes in supine pelvic inclination, and low preoperative values should be noted. This information should be considered for the management of patients with hip-spine syndrome.
Subject(s)
Arthroplasty, Replacement, Hip , Humans , Adult , Supine Position , Arthroplasty, Replacement, Hip/adverse effects , Retrospective Studies , Pelvis/diagnostic imaging , Pelvis/surgery , Sacrum/diagnostic imaging , Sacrum/surgeryABSTRACT
Objective: Negative Pressure Wound Therapy (NPWT) is increasingly being used as a major method of skin graft dressing and fixation. Negative Pressure Wound Therapy with Instillation and Dwelling (NPWTi-d) further enhances wound care over regular NPWT. However, only a few reports have been made on its use for skin graft fixation due to concerns of graft maceration or detachment. We used NPWTi-d to fix skin grafts for 4 cases of severely contaminated complex posttraumatic wounds. Methods: The age ranged from 37 to 72 years, and included trauma of the lower leg, forearm dog bite and incomplete amputations of the upper arm and hand respectively. The mean instillation saline volume per wound size was 0.21 ml/cm2 and the dwelling time reduced to 3 min. The NPWTi-d skin graft fixation was removed after about a week. Results: All the grafts healed well and no complications such as infection or contracture were observed. Follow-up time was 1 -8 months. Conclusions: NPWTi-d may be a useful option for fixing skin grafts particularly in contaminated wounds with a high risk of infection.
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OBJECTIVES: To develop a modified Vesical Imaging Reporting and Data System (VI-RADS) without dynamic contrast-enhanced imaging (DCEI), termed "non-contrast-enhanced VI-RADS (NCE-VI-RADS)", and to assess the additive impact of denoising deep learning reconstruction (dDLR) on NCE-VI-RADS. METHODS: From January 2019 through December 2020, 163 participants who underwent high-gradient 3-T MRI of the bladder were prospectively enrolled. In total, 108 participants with pathologically confirmed bladder cancer by transurethral resection were analyzed. Tumors were evaluated based on VI-RADS (scores 1-5) by two readers independently: an experienced radiologist (reader 1) and a senior radiology resident (reader 2). Conventional VI-RADS assessment included all three imaging types (T2-weighted imaging [T2WI], diffusion-weighted imaging [DWI], and dynamic contrast-enhanced imaging [DCEI]). Also evaluated were NCE-VI-RADS comprising only non-contrast-enhanced imaging types (T2WI and DWI), and "NCE-VI-RADS with dDLR" comprising T2WI processed with dDLR and DWI. All systems were assessed using receiver-operating characteristic curve analysis and simple and/or weighted κ statistics. RESULTS: Muscle invasion was identified in 23/108 participants (21%). Area under the curve (AUC) values for diagnosing muscle invasion were as follows: conventional VI-RADS, 0.94 and 0.91; NCE-VI-RADS, 0.93 and 0.91; and "NCE-VI-RADS with dDLR", 0.96 and 0.93, for readers 1 and 2, respectively. Simple κ statistics indicated substantial agreement for NCE-VI-RADS and almost perfect agreement for conventional VI-RADS and "NCE-VI-RADS with dDLR" between the two readers. CONCLUSION: NCE-VI-RADS achieved predictive accuracy for muscle invasion comparable to that of conventional VI-RADS. Additional use of dDLR improved the diagnostic accuracy of NCE-VI-RADS. KEY POINTS: ⢠Non-contrast-enhanced Vesical Imaging Reporting and Data System (NCE-VI-RADS) was developed to avoid risk related to gadolinium-based contrast agent administration. ⢠NCE-VI-RADS had predictive accuracy for muscle invasion comparable to that of conventional VI-RADS. ⢠The additional use of denoising deep learning reconstruction (dDLR) might further improve the diagnostic accuracy of NCE-VI-RADS.
Subject(s)
Data Systems , Urinary Bladder Neoplasms , Humans , Urinary Bladder/diagnostic imaging , Urinary Bladder/pathology , Prospective Studies , Retrospective Studies , Magnetic Resonance Imaging/methods , Urinary Bladder Neoplasms/diagnostic imaging , Urinary Bladder Neoplasms/pathology , Magnetic FieldsABSTRACT
PURPOSE: In contrast-enhanced abdominopelvic CT (CE-APCT) for oncologic follow-up, ultrahigh-resolution CT (UHRCT) may improve depiction of fine lesions and low-dose scans are desirable for minimizing the potential adverse effects by ionizing radiation. We compared image quality and radiologists' acceptance of model-based iterative (MBIR) and deep learning (DLR) reconstructions of low-dose CE-APCT by UHRCT. METHODS: Using our high-resolution (matrix size: 1024) and low-dose (tube voltage 100 kV; noise index: 20-40 HU) protocol, we scanned phantoms to compare the modulation transfer function and noise power spectrum between MBIR and DLR and assessed findings in 36 consecutive patients who underwent CE-APCT (noise index: 35 HU; mean CTDIvol: 4.2 ± 1.6 mGy) by UHRCT. We used paired t-test to compare objective noise and contrast-to-noise ratio (CNR) and Wilcoxon signed-rank test to compare radiologists' subjective acceptance regarding noise, image texture and appearance, and diagnostic confidence between MBIR and DLR using our routine protocol (matrix size: 512; tube voltage: 120 kV; noise index: 15 HU) for reference. RESULTS: Phantom studies demonstrated higher spatial resolution and lower low-frequency noise by DLR than MBIR at equal doses. Clinical studies indicated significantly worse objective noise, CNR, and subjective noise by DLR than MBIR, but other subjective characteristics were better (P < 0.001 for all). Compared with the routine protocol, subjective noise was similar or better by DLR, and other subjective characteristics were similar or worse by MBIR. CONCLUSION: Image quality, except regarding noise characteristics, and acceptance by radiologists were better by DLR than MBIR in low-dose CE-APCT by UHRCT.
Subject(s)
Deep Learning , Algorithms , Humans , Pilot Projects , Radiation Dosage , Radiographic Image Interpretation, Computer-Assisted/methods , Radiologists , Tomography, X-Ray Computed/methodsABSTRACT
BACKGROUND AND OBJECTIVE: Exosomes are small vesicles secreted from many cell types. Their biological effects largely depend on their cellular origin and the physiological state of the originating cells. Exosomes secreted by mesenchymal stem cells exert therapeutic effects against multiple diseases and may serve as potential alternatives to stem cell therapies. We previously established and characterized human leukocyte antigen (HLA) haplotype homo (HHH) dental pulp cell (DPC) lines from human wisdom teeth. In this study, we aimed to investigate the effect of local administration of HHH-DPC exosomes in a mouse model of periodontitis. METHODS: Exosomes purified from HHH-DPCs were subjected to particle size analysis, and expression of exosome markers was confirmed by western blotting. We also confirmed the effect of exosomes on the migration of both HHH-DPCs and mouse osteoblastic MC3T3-E1 cells. A mouse experimental periodontitis model was used to evaluate the effect of exosomes in vivo. The morphology of alveolar bone was assessed by micro-computed tomography (µCT) and histological analysis. The effect of exosomes on osteoclastogenesis was evaluated using a co-culture system. RESULTS: The exosomes purified from HHH-DPCs were homogeneous and had a spherical membrane structure. HHH-DPC exosomes promoted the migration of both human DPCs and mouse osteoblastic cells. The MTT assay showed a positive effect on the proliferation of human DPCs, but not on mouse osteoblastic cells. Treatment with HHH-DPC exosomes did not alter the differentiation of osteoblastic cells. Imaging with µCT revealed that the exosomes suppressed alveolar bone resorption in the mouse model of periodontitis. Although no change was apparent in the dominance of TRAP-positive osteoclast-like cells in decalcified tissue sections upon exosome treatment, HHH-DPC exosomes significantly suppressed osteoclast formation in vitro. CONCLUSIONS: HHH-DPC exosomes stimulated the migration of human DPCs and mouse osteoblastic cells and effectively attenuated bone loss due to periodontitis.
Subject(s)
Alveolar Bone Loss , Exosomes , Periodontitis , Alveolar Bone Loss/diagnostic imaging , Alveolar Bone Loss/therapy , Animals , Cell Differentiation , Dental Pulp , Mice , Periodontitis/therapy , X-Ray MicrotomographyABSTRACT
Forest ecosystems are critical for adjusting the dynamic balance of the hydrological cycle. This balance is affected by vegetation community types, phenology, and forest density. Previous long-term catchment-scale model studies have focused on changes in forest areas while ignoring the above factors. Since the 1980s, climate change caused by increases in atmospheric CO2 levels has enhanced forest growth. Moreover, amendments to forest management policies, including intermediate cuttings caused by economic factors, have yielded unprecedented changes in forest ecosystems. In this study, we designed a methodology and created a credible model using the Soil and Water Assessment Tool (SWAT) that can precisely reflect water balance variations caused by different ecosystem situations during long-term changes in forest density. We focused on the Yamato River catchment in Western Japan, which includes three planted forests and one primeval forest, each markedly different with respect to vegetation community composition and management policy. In the process, we examined the ratio of coniferous vegetation and broad-leaved vegetation in different forest areas, used remote sensing methods to quantify the maximum and minimum leaf area index (LAI) of each forest region over 40 years, and calibrated the model by comparing the LAI growth curve, evapotranspiration, and streamflow with observed data. Moreover, we separated the decadal canopy evaporation, transpiration, and soil evaporation from the SWAT output results. We found that (1) forest evapotranspiration has increased in recent decades because of the above reasons; (2) in young or well-managed forests, the forest water balance may have changed significantly with forest growth. For long-term studies, it is necessary to distinguish the growth characteristics of different forests during different periods, and a detailed definition of a mixed forest is required. The forest parameters and growth characteristics are critical for understanding forest ecosystems and cannot be ignored at catchment-scale.
Subject(s)
Ecosystem , Forests , Plant Leaves , Soil , Trees , WaterABSTRACT
Copper-based sulfides are promising materials for thermoelectric applications, which can convert waste heat into electricity. This study reports the enhanced thermoelectric performance of Cu26V2Ge6S32 colusite via substitution of antimony (Sb) for germanium (Ge) and introduction of copper (Cu) as an interstitial atom. The crystal structure of the solid solutions and Cu-rich compounds were analyzed by powder X-ray diffraction and scanning transmission electron microscopy. Both chemical approaches decrease the hole carrier concentration, which leads to a reduction in the electronic thermal conductivity while keeping the thermoelectric power factor at a high value. Furthermore, the interstitial Cu atoms act as phonon scatterers, thereby decreasing the lattice thermal conductivity. The combined effects increase the dimensionless thermoelectric figure of merit ZT from 0.3 (Cu26V2Ge6S32) to 0.8 (Cu29V2Ge5SbS32) at 673 K.
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BACKGROUND: Though there are several reports on the high dislocation rates following total hip arthroplasty (THA) before or after spinal surgery, the literature specific to extensive spinal corrective fusion with pelvic fixation for adult spinal deformity is limited. This study determined the rate and risk of hip dislocation after THA and extensive spinal corrective fusion. METHODS: We retrospectively analyzed the data of 23 adults (27 hips) who underwent both extensive spinal corrective fusion with pelvic fixation and THA between 2010 and 2018. Surgery-related characteristics were investigated from medical records, while standing anteroposterior pelvic radiographs and lateral spinal radiographs were used to measure spinal alignment parameters and THA acetabular orientation. Patients were grouped based on the occurrence of dislocation, and the rate and risk of dislocation were compared. RESULTS: The rate of THA dislocations was extremely high-22% (6 of 27 hips) of patients. All dislocations occurred posteriorly in patients with prior THAs that were performed using the posterior approach. The pelvic tilt was significantly greater in patients with THA dislocations (p = 0.02) than in those without. Cup radiographic anteversion in the supine (p = 0.02) and standing (p = 0.05) positions was significantly smaller in patients with dislocations than in those without. CONCLUSION: Total hip arthroplasty concurrent with extensive spinal corrective fusion with pelvic fixation for adult spinal deformity has an extremely high rate of posterior hip dislocation. The posterior surgical approach and prior THA were high risk factors for dislocation. Hip and spine surgeons need focused pre-surgical planning to account for this risk.
Subject(s)
Arthroplasty, Replacement, Hip , Hip Dislocation , Hip Prosthesis , Spinal Fusion , Adult , Arthroplasty, Replacement, Hip/adverse effects , Hip Dislocation/diagnostic imaging , Hip Dislocation/etiology , Hip Dislocation/surgery , Humans , Retrospective Studies , Risk Factors , Spinal Fusion/adverse effectsABSTRACT
PURPOSE: The Vesical Imaging Reporting and Data System (VI-RADS) was launched in 2018 to standardize reporting of magnetic resonance imaging for bladder cancer. This study aimed to prospectively validate VI-RADS using a next-generation magnetic resonance imaging scanner and to investigate the usefulness of denoising deep learning reconstruction. MATERIALS AND METHODS: We prospectively enrolled 98 patients who underwent bladder multiparametric magnetic resonance imaging using a next-generation magnetic resonance imaging scanner before transurethral resection of bladder tumor. Tumors were categorized according to VI-RADS, and we ultimately analyzed 68 patients with pathologically confirmed urothelial bladder cancer. We used receiving operating characteristic curve analyses to assess the predictive accuracy of VI-RADS for muscle invasion. Sensitivity, specificity, positive/negative predictive value, accuracy and area under the curve were calculated for different VI-RADS score cutoffs. RESULTS: Muscle invasion was detected in the transurethral resection of bladder tumor specimens of 18 patients (26%). The optimal cutoff value of the VI-RADS score was determined as ≥4 based on the receiver operating curve analyses. The accuracy of diagnosing muscle invasion using a cutoff of VI-RADS ≥4 was 94% (AUC 0.92). Additionally, we assessed the utility of denoising deep learning reconstruction. Combination with denoising deep learning reconstruction significantly improved the AUC of category by T2-weighted imaging, and of the 4 patients who were misdiagnosed by the final VI-RADS score 3 were correctly diagnosed by T2-weighted imaging+denoising deep learning reconstruction. CONCLUSIONS: In this prospective validation study with a next-generation magnetic resonance imaging scanner, VI-RADS showed high predictive accuracy for muscle invasion in patients with bladder cancer before transurethral resection of bladder tumor. Combining T2-weighted imaging with denoising deep learning reconstruction might further improve the diagnostic accuracy of VI-RADS.
Subject(s)
Carcinoma, Transitional Cell/diagnostic imaging , Deep Learning , Multiparametric Magnetic Resonance Imaging , Urinary Bladder Neoplasms/diagnostic imaging , Aged , Aged, 80 and over , Female , Humans , Male , Multiparametric Magnetic Resonance Imaging/instrumentation , Noise , Predictive Value of Tests , Prospective Studies , Research DesignABSTRACT
OBJECTIVE: Hip instability may be based not only on some mismatch between the size of the femoral head and acetabulum but also on the deviation of the centre of rotation of the femoral head. The aim of this study was to compare the differences between the centre of rotation of the femoral head and that of the acetabulum in normal and dysplastic hips. MATERIALS AND METHODS: Thirty dysplastic hips and 30 control hips without dysplastic hip were included in this study. Computed tomography data were imported into three-dimensional analysis software. The sphere radius of the acetabulum, the sphere radius of the femoral head, and the deviation of the centre of rotation of the femoral head from that of the acetabulum were analysed. RESULTS: The sphere radii of the acetabulum and femoral head were significantly larger in dysplastic hips. Distances between the centre of rotation of the acetabulum and that of the femoral head were significantly larger in dysplastic group than in control group. The centre of rotation of the femoral head was significantly deviated anterosuperiorly in dysplastic hips. We found significant negative correlations between centre-edge angle and the distance between the centre of rotation of the acetabulum and that of the femoral head in all subjects. CONCLUSION: In dysplastic hip joints, the centre of rotation of the femoral head was more deviated anterosuperiorly from that of the acetabulum than in normal hip joints even in static condition, which might be clinically associated with the micro-instability in dysplastic hips.
Subject(s)
Femur Head , Hip Dislocation , Acetabulum/diagnostic imaging , Femur Head/diagnostic imaging , Hip Dislocation/diagnostic imaging , Hip Joint/diagnostic imaging , Humans , Rotation , Tomography, X-Ray ComputedABSTRACT
STUDY DESIGN: A retrospective case series. OBJECTIVE: The aim of this study was to introduce the prevention of total hip arthroplasty (THA) dislocation using an implant impingement simulation after spinal corrective fusion and to verify the outcomes. SUMMARY OF BACKGROUND DATA: A high dislocation rate was found among patients who underwent spinal deformity corrective fusion with previous THA. To avoid dislocation, an appropriate position of the stem and cup is important, but the pelvic inclination may change after corrective fusion for spinal deformity. METHODS: Twelve consecutive patients (two men, 10 women; average age, 72.1 [range, 55-81] years during spine surgery) with previous THA were included. Data were retrospectively retrieved from a single-center's prospectively collected database of adult spinal deformity operation. Before surgery, anterior implant impingement simulation in THA was performed using computed tomography-based software. The tolerable pelvic tilt (PT) in which the anterior implant impingement occurred in the hip at the 120° flexion position was measured. The lumbar lordosis angle was deliberately reduced during spinal surgery according to the tolerable PT. The effect of the implant impingement simulation was verified by comparison with patients who underwent surgery before simulation (before 2014). RESULTS: THA dislocation occurred in six patients: four of five (80%) in the non-simulation, and two of seven (28.6%) in the simulation group. The difference between the preoperative and tolerable PT angles was-25° to 33°, and three patients had negative angles. In these three patients, the risk of anterior impingement and THA dislocation significantly increased with correction of lumbar lordosis if the PT was anterior. Two patients experienced repeated THA dislocation with postoperative and tolerable PT angle differences of 2° and -23°. CONCLUSION: Our simulation of anterior implant impingement and subsequent adjustment of the degree of spinal correction was useful to prevent dislocation. However, this method did not prevent dislocation in some patients.Level of Evidence: 4.
Subject(s)
Arthroplasty, Replacement, Hip/trends , Computer Simulation/trends , Joint Dislocations/prevention & control , Spinal Diseases/surgery , Spinal Fusion/trends , Aged , Aged, 80 and over , Arthroplasty, Replacement, Hip/methods , Female , Humans , Imaging, Three-Dimensional/methods , Imaging, Three-Dimensional/trends , Joint Dislocations/diagnostic imaging , Joint Dislocations/etiology , Male , Middle Aged , Posture/physiology , Range of Motion, Articular/physiology , Retrospective Studies , Spinal Diseases/diagnostic imaging , Spinal Fusion/methodsABSTRACT
In-plane mesopatterns derived from block-copolymer (BCP) micro-phase segregation in thin films have attracted much interest in practical applications as well as fundamental research programs. However, phase segregation along the film-normal direction has been less studied. Here, we describe a strategy to concurrently, yet independently, control in-plane micro-phase and out-of-plane macro-phase segregation in multiblended films composed of liquid-crystalline BCPs (LCBCPs), affording spontaneously layered three-dimensional (3D) mesostructures. This strategy relies on sequential liquid crystallization during the cooling process in thermal annealing as follows. The constituent LCBCP with the highest isotropic-transition temperature (Tiso) first liquid-crystallizes and segregates from the other LCBCP mixture remaining in isotropic states to form a noncontaminated layer at the top surface. This preformed LCBCP layer preserves its inherent in-plane pattern and acts as a template guiding the subsequent micro-phase segregations of the other low-Tiso LCBCPs underneath. This self-template-assisted micro-phase segregation (STAMPS) readily provides 3D mesostructures, the potential toward rational material design of which is also demonstrated in water-separation applications.
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OBJECTIVE: To evaluate the effect of ultra high-resolution computed tomography (UHRCT) and model-based iterative reconstruction (MBIR) on the detectability of simulated submillimeter artery. METHODS: A small vessel phantom ranging from 0.4 to 2.0 mm in diameter and edge phantoms of low to high attenuation values were scanned by UHRCT (super-high-resolution mode and normal-resolution-mode) and conventional CT, and data were reconstructed by MBIR and filtered back projection (FBP). Vessel detectability was assessed subjectively and the effective size at which 50% of response was achieved (ES50 [mm]) was calculated. Modulation transfer function (MTF) was calculated by an edge spread function method. RESULTS: ES50 of super high-resolution mode (0.36 mm for MBIR and 0.50 mm for FBP) was significantly smaller than those of normal-resolution mode (P < 0.01). In the MTF analysis, the MTF of MBIR improved as the edge phantom attenuation increased, whereas that of FBP was stable. CONCLUSIONS: Both UHRCT and MBIR are effective for the detectability of simulated submillimeter artery.
Subject(s)
Computed Tomography Angiography/methods , Coronary Vessels/diagnostic imaging , Algorithms , Humans , Phantoms, Imaging , Radiation Dosage , Radiographic Image Interpretation, Computer-AssistedABSTRACT
In this study, we investigated the historical variation, source identification, and distribution of heavy metal pollution in sediments of the Pearl River Estuary (PRE) using 210Pb dating. Our results suggest that the heavy metal concentrations were higher in the western part of the estuary. For all heavy metals, Cd was significantly enriched in the sediments. The Pearl River Delta (PRD) has experienced rapid economic development in the past 40 years, a decreasing trend in heavy metal fluxes after 2004 was identified, which suggests a reduction in heavy metal concentrations due to the removal of heavy polluting industries and the effective control of sewage discharge. A binary mixing model reveals that the contributions of anthropogenic Pb ranged from 45.4 to 64%. Based on lead isotopic ratios (206/207Pb and 208/206Pb), it was found that geologic materials and industrial pollution were the main sources of heavy metals in the PRE sediments.