Granulomatous-Lymphocytic Interstitial Lung Disease in Common Variable Immunodeficiency-Features of CT and 18F-FDG Positron Emission Tomography/CT in Clinically Progressive Disease.

Common variable immunodeficiency (CVID) is characterized not only by recurrent bacterial infections, but also autoimmune and inflammatory complications including interstitial lung disease (ILD), referred to as granulomatous-lymphocytic interstitial lung disease (GLILD). Some patients with GLILD have waxing and waning radiologic findings, but preserved pulmonary function, while others progress to end-stage respiratory failure. We reviewed 32 patients with radiological features of GLILD from our Norwegian cohort of CVID patients, including four patients with possible monogenic defects. Nineteen had deteriorating lung function over time, and 13 had stable lung function, as determined by pulmonary function testing of forced vital capacity (FVC), and diffusion capacity of carbon monoxide (DLCO). The overall co-existence of other non-infectious complications was high in our cohort, but the prevalence of these was similar in the two groups. Laboratory findings such as immunoglobulin levels and T- and B-cell subpopulations were also similar in the progressive and stable GLILD patients. Thoracic computer tomography (CT) scans were systematically evaluated and scored for radiologic features of GLILD in all pulmonary segments. Pathologic features were seen in all pulmonary segments, with traction bronchiectasis as the most prominent finding. Patients with progressive disease had significantly higher overall score of pathologic features compared to patients with stable disease, most notably traction bronchiectasis and interlobular septal thickening. 18F-2-fluoro-2-deoxy-D-glucose (18F-FDG) positron emission tomography/CT (PET/CT) was performed in 17 (11 with progressive and six with stable clinical disease) of the 32 patients and analyzed by quantitative evaluation. Patients with progressive disease had significantly higher mean standardized uptake value (SUVmean), metabolic lung volume (MLV) and total lung glycolysis (TLG) as compared to patients with stable disease. Nine patients had received treatment with rituximab for GLILD. There was significant improvement in pathologic features on CT-scans after treatment while there was a variable effect on FVC and DLCO. Conclusion: Patients with progressive GLILD as defined by deteriorating pulmonary function had significantly greater pathology on pulmonary CT and FDG-PET CT scans as compared to patients with stable disease, with traction bronchiectasis and interlobular septal thickening as prominent features.

Hybrid Scheme for Modeling Local Field Potentials from Point-Neuron Networks.

With rapidly advancing multi-electrode recording technology, the local field potential (LFP) has again become a popular measure of neuronal activity in both research and clinical applications. Proper understanding of the LFP requires detailed mathematical modeling incorporating the anatomical and electrophysiological features of neurons near the recording electrode, as well as synaptic inputs from the entire network. Here we propose a hybrid modeling scheme combining efficient point-neuron network models with biophysical principles underlying LFP generation by real neurons. The LFP predictions rely on populations of network-equivalent multicompartment neuron models with layer-specific synaptic connectivity, can be used with an arbitrary number of point-neuron network populations, and allows for a full separation of simulated network dynamics and LFPs. We apply the scheme to a full-scale cortical network model for a ∼1 mm2 patch of primary visual cortex, predict laminar LFPs for different network states, assess the relative LFP contribution from different laminar populations, and investigate effects of input correlations and neuron density on the LFP. The generic nature of the hybrid scheme and its public implementation in hybridLFPy form the basis for LFP predictions from other and larger point-neuron network models, as well as extensions of the current application with additional biological detail.

Authentication and self-correction in sequential MRI slices.

One of the new challenges of Information Technology in the medical world is the protection and authentication of a variety of digital medical files, datasets, and images. In this work, the ability of magnetic resonance imaging (MRI) slice sequences to hide digital data is investigated and more specifically the case that the hidden data are the regions of interest (ROI) of the MRI slices. The regions of non-interest (RONI) are used as cover. The hiding capacity of the whole sequence is taken into account. Any ROI-targeted tampering attempt can be detected, and the original image can be self-restored (under certain conditions) by extracting the ROI from the RONI.

The hypnospectrogram: an EEG power spectrum based means to concurrently overview the macroscopic and microscopic architecture of human sleep.

This study introduces a complementary tool for the description and evaluation of human sleep. The nocturnal sleep electroencephalographic (EEG) time-frequency analysis (TFA) plot (hypnospectrogram for short) is hereby proposed as a means to visualize both the macroscopic and the microscopic architecture of human sleep. It provides the ability to concurrently visually inspect the coarse sleep architecture, that is, the time-course of non-rapid eye movement (NREM) and REM stages, along with finer sleep elements such as slow and fast spindles, NREM delta distribution, REM alpha and beta, microarousals (MAs), and NREM cyclic alternating patterns (CAPs). Furthermore, the hypnospectrogram has the potential to provide visual quality of sleep (QoS) evaluation, as well as reveal the dominant rhythms and their transitions for every cerebral locus - as represented at the electrode space - during the night.

Evaluation of cortical connectivity during real and imagined rhythmic finger tapping.

Accumulating evidence suggests the existence of a shared neural substrate between imagined and executed movements. However, a better understanding of the mechanisms involved in the motor execution and motor imagery requires knowledge of the way the co-activated brain regions interact to each other during the particular (real or imagined) motor task. Within this general framework, the aim of the present study is to investigate the cortical activation and connectivity sub-serving real and imaginary rhythmic finger tapping, from the analysis of multi-channel electroencephalogram (EEG) scalp recordings. A sequence of 250 auditory pacing stimuli has been used for both the real and imagined right finger tapping task, with a constant inter-stimulus interval of 1.5 s length. During the motor execution, healthy subjects were asked to tap in synchrony with the regular sequence of stimulus events, whereas in the imagery condition subjects imagined themselves tapping in time with the auditory cue. To improve the spatial resolution of the scalp fields and suppress unwanted interferences, the EEG data have been spatially filtered. Further, event related synchronization and desynchronization phenomena and phase synchronization analysis have been employed for the study of functionally active brain areas and their connectivity during real and imagery finger tapping. Our results show a fronto-parietal co-activation during both real and imagined movements and similar connectivity patterns among contralateral brain areas. The results support the hypothesis that functional connectivity over the contralateral hemisphere during finger tapping is preserved in imagery. The approach and results can be regarded as indicative evidences of a new strategy for recognizing imagined movements in EEG-based brain computer interface research.

Temporal dynamics of plastic changes in human primary somatosensory cortex after finger webbing.

The primary somatosensory cortex (SI) exhibits a detailed topographic organization of the hand and fingers, which has been found to undergo plastic changes following modifications of the sensory input. Although the spatial properties of these changes have been extensively investigated, little is known about their temporal dynamics. In this study, we adapted the paradigm of finger webbing, in which 4 fingers are temporarily webbed together, hence modifying their sensory feedback. We used magnetoencephalography, to measure changes in the hand representation in SI, before, during, and after finger webbing for about 5 h. Our results showed a decrease in the Euclidean distance (ED) between cortical sources activated by electrical stimuli to the index and small finger 30 min after webbing, followed by an increase lasting for about 2 h after webbing, which was followed by a return toward baseline values. These results provide a unique frame in which the different representational changes occur, merging previous findings that were only apparently controversial, in which either increases or decreases in ED were reported after sensory manipulation for relatively long or short duration, respectively. Moreover, these observations further confirm that the mechanisms that underlie cortical reorganization are extremely rapid in their expression and, for the first time, show how brain reorganization occurs over time.