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2.
Arterioscler Thromb Vasc Biol ; 41(6): e284-e298, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33441025
4.
Artigo em Inglês | MEDLINE | ID: mdl-32837106

RESUMO

In this paper, the theory of " Fear injury kidney " in traditional Chinese medicine is systematically reviewed, and it is found that long-term or excessive psychological changes of fear are likely to damage kidney qi and kidney essence. On this basis, the psychological studies of patients, medical staff and the public during the COVID-19 epidemic in China were analyzed, and fear psychology was found to be prevalent among all kinds of people. Modern researches on "Fear injury kidney" have also found that long-term or excessive fear could cause changes in the neuro-endocrine-immune system, which can induce diseases or susceptibility to some diseases. Therefore, during or after the prevalence of COVID-19, different groups of people may have emotional reactions such as stress and fear, which should be paid long-term attention, and the influence of fear on the body cannot be ignored. According to the change rule of psychological state under stress reaction, we should actively respond to and take psychological crisis intervention measures in time to reduce the harm of psychological stress to the body.

5.
Beijing Da Xue Xue Bao Yi Xue Ban ; 48(6): 1074-1076, 2016 12 18.
Artigo em Chinês | MEDLINE | ID: mdl-27987516

RESUMO

IgG4-related disease is a systemic disorder involving a spectrum of multiple indications, and various histopathological features are shared among different IgG4-related disease subtypes, which challenge diagnosis, although certain syndromes have organ-specific involvement. Among them, Mikulicz's disease affecting the salivary and lacrimal glands, distinguished by often elevated levels of serum IgG4, infiltration of IgG4+ plasma cells into target tissues, and diffuse swelling, mass formation, or fibrosis of affected organs. However, there are several diseases, which could manifest as salivary gland swelling, mimicking Mikulicz's disease, such as Sjogren's syndrome, mumps virus infection, obstruction of parotid duct, non-Hodgkin's lymphoma (NHL), and so on. So differential diagnosis is important and essential as to the salivary gland swelling. In this paper, we analyzed a case of a 59-year-old male with symmetric salivary gland swelling. Mikulicz's disease was misdiagnosed at the beginning without biopsy. Prednisone treatment ever seemed to be effective and antibiotics had no effect. Besides salivary involvement, the patient also manifested as testicle swelling and severe pancytopenia with the development of the disease, which rarely appeared in Mikulicz's disease. Physical examination showed skin, sclera yellow dye, swollen submandibular, sublingual and lacrimal gland and splenomegaly. As a result, biopsy of right submandibular gland was made, and mucosa-associated lymphoid tissue lymphoma was confirmed by morphology and immunohistochemistry. Bone marrow biopsy also confirmed that lymphoma cells were found in the bone marrow. Finally, the diagnosis of mucosa-associated lymphoid tissue lymphoma (Phase IVE, Group A) was made on the patient, who was transferred to the hematology department for the treatment. NHL, especially, primary extranodal lymphoma usually involves the salivary gland, and painless swelling of the salivary gland is a common manifestation, similar with Mikulicz's disease. So although salivary gland swelling is often associated with autoimmune diseases such as Sjogren's syndrome and IgG4-related disease, the awareness and suspicion of a possibility of NHL are essential for rheumatologists. Biopsy is a necessary examination to decrease or avoid misdiagnosis.


Assuntos
Linfoma de Zona Marginal Tipo Células B/diagnóstico , Doenças Autoimunes/diagnóstico , Biópsia , Exame de Medula Óssea , Diagnóstico Diferencial , Edema/etiologia , Fibrose , Humanos , Imunoglobulina G/imunologia , Imuno-Histoquímica , Aparelho Lacrimal/imunologia , Aparelho Lacrimal/patologia , Linfoma de Zona Marginal Tipo Células B/patologia , Linfoma de Zona Marginal Tipo Células B/fisiopatologia , Masculino , Pessoa de Meia-Idade , Doença de Mikulicz/diagnóstico , Pancitopenia/etiologia , Glândulas Salivares/imunologia , Glândulas Salivares/patologia , Esplenomegalia/etiologia , Glândula Submandibular , Testículo/patologia
6.
Eur Rev Med Pharmacol Sci ; 20(21): 4435-4444, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27874957

RESUMO

OBJECTIVE: Adult T cell lymphoma is a highly aggressive T-cell malignancy. This study was designed to explore the expression and functional significance of microRNA (miR)-373 in T cell lymphoma. PATIENTS AND METHODS: We analyzed the levels of CCND1 and miR-373 in T cell lymphoma tissue and the relationship of miR-373 levels with patients' prognosis. We then overexpressed miR-373 by miRNA mimics transfection and inhibited miR-373 by miRNA antisense transfection in T cell lymphoma cells. Cell survival and growth were analyzed by CCK-8 assay and MTT assay, respectively. Cell proliferation was analyzed by flow cytometry. Bioinformatics analyses were applied to predict miR-373 targets, which were then confirmed by luciferase reporter assay. RESULTS: We detected significantly higher levels of CCND1, and significantly lower levels of miR-373 in T cell lymphoma tissue, compared to the adjacent non-tumor tissue. Moreover, the low miR-373 levels were associated with poor survival of the patients. Overexpression of miR-373 significantly inhibited cell growth, while depletion of miR-373 increased cell growth in T cell lymphoma cells. Moreover, the effects of miR-373 on cell growth appeared to result from an alteration in cell proliferation. Finally, miR-373 was found to bind to the 3'-UTR of CCND1 mRNA to inhibit its translation in T cell lymphoma cells. CONCLUSIONS: Our study suggests that reduced miR-373 levels in T cell lymphoma tissue may promote T cell lymphoma growth, possibly through CCND1-mediated cell proliferation.


Assuntos
Linfoma de Células T/genética , MicroRNAs/genética , Apoptose/genética , Linhagem Celular Tumoral , Proliferação de Células/genética , Ciclina D1 , Regulação Leucêmica da Expressão Gênica , Humanos
7.
BMC Psychiatry ; 16: 236, 2016 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-27405280

RESUMO

BACKGROUND: Exploration of the information and participation needs of psychiatric inpatients is an important step for the implementation of recovery-oriented mental health service. The objective of this study was to explore the information and participation needs of Chinese psychiatric inpatients in the largest psychiatric hospital in Hong Kong. METHODS: The study was divided into two parts. In the first part, eight focus groups with patients, patients' relatives and healthcare professionals were held to identify 22 items of information needs and 16 items of participation needs of Chinese psychiatric inpatients. Basing on the items identified in the first part of the study, a questionnaire was developed to survey on the importance of the different information and participation needs in the second part of the study. Participants were asked to rate in rank order their perceived importance of the items in the questionnaire survey. RESULTS: A hundred and eighty three Chinese psychiatric inpatients completed the questionnaire and the majority of them suffered from schizophrenia (68.3 %). For information needs, the top three needs rated by patients as the most important in descending order were: "Information on the classifications of mental illnesses, signs and symptoms and factors contributing to relapse", "Information on the criteria and arrangements for discharge", and "Information on the importance of psychiatric drug taking and its side effects". For participation needs, the top three needs rated by patients as the most important in descending order were: "Enquiring about personal needs and arrangements", "Keeping in touch with the outside world", and "Learning and practising self-management". CONCLUSIONS: This study reveals that Chinese psychiatric inpatients are concerned about information on their mental illness and its treatments as well as the criteria for discharge. On the other hand, patients are concerned about their personal needs, their self-management, as well as their keeping in touch with the outside world during their hospitalisation. Moreover, patients with different socio-demographic and clinical characteristics have different information and participation needs. The results of the present study serve as a reference for designing guidelines, strategies, and programmes to meet the information needs and participation needs of psychiatric inpatients in Hong Kong.


Assuntos
Povo Asiático/psicologia , Necessidades e Demandas de Serviços de Saúde/normas , Pacientes Internados/psicologia , Transtornos Mentais/terapia , Serviços de Saúde Mental/normas , Saúde Mental/normas , Adolescente , Adulto , Feminino , Grupos Focais/métodos , Grupos Focais/normas , Hong Kong/epidemiologia , Hospitais Psiquiátricos/normas , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Esquizofrenia/epidemiologia , Esquizofrenia/terapia , Autocuidado/métodos , Autocuidado/psicologia , Autocuidado/normas , Inquéritos e Questionários , Adulto Jovem
8.
Phys Rev Lett ; 116(20): 205501, 2016 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-27258876

RESUMO

The bond-orientational order parameters introduced by Steinhardt et al. [Phys. Rev. B 28, 784 (1983)] have been an invaluable measurement tool for assessing short-range order in disordered, close-packed assemblies of particles in which the particle positions are known. In many glassy systems the measurement of particle position is not possible or limited (field of view, thickness, resolution) and the bond-orientational order parameters cannot be measured, or adequately sampled. Here we calculate a set of rotationally averaged, projected bond-orientational order parameters that reflect the symmetries of close-packed particle clusters when projected onto a plane. We show by simulation that these parameters are unique fingerprints that can be directly compared to angular correlations in limited-volume, transmission geometry, diffraction patterns from close-packed glassy assemblies.

10.
Psychol Med ; 46(2): 437-47, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26464039

RESUMO

BACKGROUND: Patients with schizophrenia have intact ability to experience emotion, but empirical evidence suggests that they fail to translate emotional salience into effortful behaviour. Previous research in patients with chronic schizophrenia suggests that working memory is important in integrating emotion and behaviour. This study aimed to examine avolition and anhedonia in patients with first-episode schizophrenia and clarify the role of working memory in emotion-behaviour coupling. METHOD: We recruited 72 participants with first-episode schizophrenia and 61 healthy controls, and used a validated emotion-inducing behavioural paradigm to measure participants' affective experiences and how experienced emotion coupled with behaviour. Participants were given the opportunity to expend effort to increase or decrease their exposure to emotion-inducing photographs. Participants with schizophrenia having poor working memory were compared with those with intact working memory in their liking and emotion-behaviour coupling. RESULTS: Patients with first-episode schizophrenia experienced intact 'in-the-moment' emotion, but their emotion was less predictive of the effort expended, compared with controls. The emotion-behaviour coupling was significantly weaker in patients with schizophrenia with poor working memory than in those with intact working memory. However, compared with controls, patients with intact working also showed substantial emotion-behaviour decoupling. CONCLUSIONS: Our findings provide strong evidence for emotion-behaviour decoupling in first-episode schizophrenia. Although working memory deficits contribute to defective translation of liking into effortful behaviour, schizophrenia alone affects emotion-behaviour coupling.


Assuntos
Anedonia , Transtornos Cognitivos/psicologia , Transtornos da Memória/psicologia , Memória de Curto Prazo , Esquizofrenia , Psicologia do Esquizofrênico , Adulto , Estudos de Casos e Controles , Emoções , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Adulto Jovem
11.
East Asian Arch Psychiatry ; 23(2): 37-44, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23807628

RESUMO

OBJECTIVE. Antisocial personality disorder (ASPD) is a risk factor for violence and is associated with poor treatment response when it is a co-morbid condition with substance abuse. It is an under-recognised clinical entity in the local Hong Kong setting, for which there are only a few available Chinese-language diagnostic instruments. None has been tested for its psychometric properties in the Cantonese-speaking population in Hong Kong. This study therefore aimed to assess the reliability and validity of the Chinese version of the ASPD subscale of the Structured Clinical Interview for the DSM-IV Axis II Disorders (SCID-II) in Hong Kong Chinese. METHODS. This assessment tool was modified according to dialectal differences between Mainland China and Hong Kong. Inpatients in Castle Peak Hospital, Hong Kong, who were designated for priority follow-up based on their assessed propensity for violence and who fulfilled the inclusion criteria for the study, were recruited. To assess the level of agreement, best-estimate diagnosis made by a multidisciplinary team was compared with diagnostic status determined by the SCID-II ASPD subscale. The internal consistency, sensitivity, and specificity of the subscale were also calculated. RESULTS. The internal consistency of the subscale was acceptable at 0.79, whereas the test-retest reliability and inter-rater reliability showed an excellent and good agreement of 0.90 and 0.86, respectively. Best-estimate clinical diagnosis-SCID diagnosis agreement was acceptable at 0.76. The sensitivity, specificity, positive and negative predictive values were 0.91, 0.86, 0.83, and 0.93, respectively. CONCLUSION. The Chinese version of the SCID-II ASPD subscale is reliable and valid for diagnosing ASPD in a Cantonese-speaking clinical population.


Assuntos
Transtorno da Personalidade Antissocial/diagnóstico , Povo Asiático/psicologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Adulto , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
12.
Phys Rev Lett ; 110(20): 205505, 2013 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-25167428

RESUMO

By analyzing the angular correlations in scanning electron nanodiffraction patterns from a melt-spun Zr(36)Cu(64) glass, the dominant local order was identified as icosahedral clusters. Mapping the extent of this icosahedral short-range order demonstrates that the medium-range order in this material is consistent with a face-sharing or interpenetrating configuration. These conclusions support results from atomistic modeling and a structural basis for the glass formability of this system.

13.
New Phytol ; 197(1): 99-110, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23057508

RESUMO

Iron superoxide dismutases (FeSODs; FSDs) are primary antioxidant enzymes in Arabidopsis thaliana chloroplasts. The stromal FSD1 conferred the only detectable FeSOD activity, whereas the thylakoid membrane- and nucleoid-co-localized FSD2 and FSD3 double mutant showed arrested chloroplast development. FeSOD requires cofactor Fe for its activity, but its mechanism of activation is unclear. We used reversed-phase high-performance liquid chromatography (HPLC), gel filtration chromatography, LC-MS/MS, protoplast transient expression and virus-induced gene silencing (VIGS) analyses to identify and characterize a factor involved in FeSOD activation. We identified the chloroplast-localized co-chaperonin CHAPERONIN 20 (CPN20) as a mediator of FeSOD activation by direct interaction. The relationship between CPN20 and FeSOD was confirmed by in vitro experiments showing that CPN20 alone could enhance FSD1, FSD2 and FSD3 activity. The in vivo results showed that CPN20-overexpressing mutants and mutants with defective co-chaperonin activity increased FSD1 activity, without changing the chaperonin CPN60 protein level, and VIGS-induced downregulation of CPN20 also led to decreased FeSOD activity. Our findings reveal that CPN20 can mediate FeSOD activation in chloroplasts, a role independent of its known function in the chaperonin system.


Assuntos
Proteínas de Arabidopsis/metabolismo , Arabidopsis/enzimologia , Cloroplastos/enzimologia , Chaperoninas do Grupo I/metabolismo , Superóxido Dismutase/metabolismo , Agrobacterium tumefaciens/genética , Agrobacterium tumefaciens/metabolismo , Arabidopsis/genética , Proteínas de Arabidopsis/genética , Cloroplastos/genética , Ativação Enzimática , Regulação Enzimológica da Expressão Gênica , Regulação da Expressão Gênica de Plantas , Inativação Gênica , Proteínas de Fluorescência Verde/metabolismo , Chaperoninas do Grupo I/genética , Solanum lycopersicum/genética , Solanum lycopersicum/metabolismo , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo , Mapeamento de Interação de Proteínas , Proteínas Recombinantes de Fusão/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Superóxido Dismutase/genética , Transfecção , Técnicas do Sistema de Duplo-Híbrido
14.
Psychol Med ; 43(8): 1639-49, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23098329

RESUMO

BACKGROUND: Prospective memory (PM) refers to the ability to remember to carry out an intended action in the future. PM is consistently found to be impaired in individuals with schizophrenia. Bipolar disorder and schizophrenia may represent conditions along a continuum, and share similar neurocognitive and genetic architecture. This study aimed to compare the nature and extent of PM impairment in individuals with schizophrenia and bipolar disorder. METHOD: Participants were 38 out-patients with schizophrenia and 40 out-patients with bipolar disorder in an early psychosis intervention programme, and 37 healthy controls. Time-, event- and activity-based PMs were assessed using a dual-task laboratory paradigm. Self-reported PM performance was gauged using the Prospective and Retrospective Memory Questionnaire. Analysis of covariance (ANCOVA), with intelligence quotient (IQ) and education included as covariates, was used to examine group difference on various types of PM. Repeated measures of ANCOVA were used to examine the group × PM type interaction effect. Correspondence between laboratory and self-reported PM measures was examined using correlational analysis. RESULTS: The group × PM type interaction effect was not significant, but the main effect of group was significant. Patients with schizophrenia and patients with bipolar disorder both performed more poorly than healthy participants in PM. The two clinical groups did not significantly differ in PM. Laboratory and self-reported PM measures did not correlate significantly with each other. CONCLUSIONS: Patients with bipolar disorder shared a similar PM impairment with those with schizophrenia. Findings of this study extended the similarity in neurocognitive impairments between the two psychiatric disorders to PM.


Assuntos
Transtorno Bipolar/fisiopatologia , Transtornos da Memória/diagnóstico , Memória Episódica , Esquizofrenia/fisiopatologia , Adulto , Transtorno Bipolar/complicações , Transtorno Bipolar/epidemiologia , Comorbidade , Feminino , Humanos , Masculino , Transtornos da Memória/epidemiologia , Transtornos da Memória/etiologia , Esquizofrenia/complicações , Esquizofrenia/epidemiologia , Adulto Jovem
15.
Ultramicroscopy ; 111(8): 959-68, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21736866

RESUMO

Single defocused transmission electron microscope phase contrast images are used to reconstruct the projected thickness map of a single-material object. The algorithm is non-iterative and stable, and we extend it to account for the presence of spherical aberration in the objective optics. The technique can reconstruct the projected thickness map of general single-material objects in the strong phase/weak amplitude regime. It is sensitive to any excursions in the projected thickness from the average, and ideal for examining voids and free volume accumulation in amorphous/glassy materials at the nanometer scale. The resolution of the technique depends on the choice of defocus and the thickness of the specimen. In a certain regime, we demonstrate that variations in the transverse projected thickness with a lateral diameter of ∼ 0.25 nm may be detected. We use our algorithm to quantitatively reconstruct the projected thickness of latex sphere test specimens from single defocused electron micrographs. We demonstrate that the reconstruction has a large tolerance for error in the input parameters. Simulations confirm that the technique is quantitative, and demonstrate that the origin of low-frequency artifacts is an instability due to noise. We show that the autocorrelation of the projected thickness map may be used to measure the size of open structures in the object using both simulation and latex sphere data.

16.
J Appl Microbiol ; 105(5): 1372-83, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18713283

RESUMO

AIMS: To investigate the effects of the organic solvent dimethyl sulfoxide (DMSO) on the expression of a citrate-inducible gene, encoding a putative tricarboxylate transporter, in Agrobacterium tumefaciens. METHODS AND RESULTS: By two-dimensional gel electrophoresis, we discovered a putative tricarboxylate transporter named ActC, whose expression was downregulated by DMSO. The expression of actC is also induced by tricarboxylates but not affected by other organic acids of the TCA cycle. Intriguingly, transcriptional activation of actC by citrate is compromised in the presence of DMSO. Furthermore, expression of actC is abolished by deletion of actDE, encoding a putative two-component regulatory system upstream of the actCBA gene cluster. CONCLUSIONS: actC is a citrate-inducible gene that is repressed by DMSO and whose expression is likely regulated by a two-component system. SIGNIFICANCE AND IMPACT OF THE STUDY: This study provides useful information as to a potential DMSO-regulatory system of A. tumefaciens or other soil bacteria when encountering DMSO in nature. In addition, DMSO-regulated genes should be taken into account for studies in which bacterial cultures were treated with compounds dissolved in DMSO.


Assuntos
Agrobacterium tumefaciens/efeitos dos fármacos , Proteínas de Transporte/metabolismo , Dimetil Sulfóxido/farmacologia , Agrobacterium tumefaciens/genética , Agrobacterium tumefaciens/metabolismo , Western Blotting , Proteínas de Transporte/genética , Citratos , Regulação para Baixo , Eletroforese em Gel Bidimensional , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos , Genes Bacterianos/genética , Regiões Promotoras Genéticas
17.
Histol Histopathol ; 22(8): 873-82, 2007 08.
Artigo em Inglês | MEDLINE | ID: mdl-17503344

RESUMO

Valve interstitial cells (VIC) are the most prevalent cells in the heart valve, regulating to a large extent the normal biology of the valve and its pathobiological response to disease. In the process of valve tissue repair by VICs, single cell motility is likely to be important, as it is in wound repair by most mesenchymal type cells. We designed in vitro experiments using low density monolayer cultures to study the association of morphology and motility in single VICs which expressed alpha-smooth muscle actin. We observed that the morphology of single VICs can be categorized into six types which are reminiscent of the shape of VICs seen in vivo during valve repair. Of these morphologies, round, rhomboid, tailed and spindled shaped VICs were the most common. VICs did change their morphology over time. Rhomboid cells could become tailed or spindle-shaped and vice versa. Using time-lapse imaging and immunofluorescent microscopy, we showed that VIC morphologies reflect differences in cell motility and cell-matrix interactions. Tailed and spindle-shaped VICs were the predominant motile types and were associated with few extracellular fibronectin fibrils and less focal adhesions, as demonstrated by vinculin staining. Round and rhomboid shaped VICs were less motile and were associated with prominent vinculin and extracellular fibronectin fibrils. We found that cell mitosis is an important determinant of VIC migration. Many of the motile VICs were associated with mitosis as the daughter cells separated by migrating as tailed and spindle shaped cells. Thus cell morphology is an important determinant of VIC motility.


Assuntos
Movimento Celular , Forma Celular , Valva Mitral/citologia , Actinas/metabolismo , Animais , Células Cultivadas , Matriz Extracelular/metabolismo , Fibronectinas/metabolismo , Adesões Focais/metabolismo , Microscopia de Fluorescência , Microscopia de Vídeo , Mitose , Valva Mitral/metabolismo , Suínos , Fatores de Tempo , Vinculina/metabolismo
18.
J Chromatogr B Biomed Sci Appl ; 750(1): 33-9, 2001 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-11204221

RESUMO

Demonstrated in this study is that without pretreatment and preconcentration nanomolar-level catecholamines in human urine samples can be quantitatively determined with ease by utilizing capillary electrophoresis coupled with amperometric detection. The detector employs a parallel-opposed dual-electrode scheme assembled with an on-capillary electrode and a disk electrode and takes advantage of the redox cycling of analytes between the two working electrodes to improve the limit of detection. The matrix effect of urine samples significantly decreases the detection sensitivity from that obtained in standard solutions. Therefore, calibration curves derived from standard solutions cannot be used in quantitative determination of catecholamines. Methods of standard addition and internal standard have been studied. The results suggest that isoproterenol is a good internal standard to facilitate the measurements of dopamine, epinephrine, and norepinephrine in human urine samples.


Assuntos
Catecolaminas/urina , Eletroforese Capilar/métodos , Eletroquímica/métodos , Humanos , Isoproterenol/urina , Padrões de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
19.
J Am Coll Cardiol ; 32(7): 2049-56, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9857892

RESUMO

OBJECTIVES: We conducted an initial clinical trial of a newly developed cardiac magnetic resonance imaging (CMRI) system. We evaluated left ventricular (LV) function in 85 patients to compare the clinical utility of the CMRI system with echocardiography, the current noninvasive gold standard. BACKGROUND: Conventional CMRI systems require cardiac-gating and respiratory compensation to synthesize a single image from data acquired over multiple cardiac cycles. In contrast, the new CMRI system allows continuous real-time dynamic acquisition and display of any scan plane at 16 images/s without the need for cardiac gating or breath-holding. METHODS: A conventional 1.5T Signa MRI Scanner (GE, Milwaukee, Wisconsin) was modified by the addition of an interactive workstation and a bus adapter. The new CMRI system underwent clinical trial by testing its ability to evaluate global and regional LV function. The first group (A) consisted of 31 patients with acceptable echocardiography image quality. The second group (B) consisted of 31 patients with suboptimal echocardiography image quality. The third group (C) consisted of 29 patients with severe lung disease or congenital cardiac malformation who frequently have suboptimal echo study. Two independent observers scored wall motion and image quality using the standard 16-segment model and rank-order analysis. RESULTS: CMRI evaluation was complete in less than 15 min. In group A, no significant difference was found between ECHO and CMRI studies (p = NS). In group B, adequate visualization of wall segments was obtained 38% of the time using ECHO and 97% of the time using CMRI (p < 0.0001). When grouped into coronary segments, adequate visualization of at least one segment occurred in 18 of 30 patients (60%) with ECHO and in all 30 patients (100%) with CMRI (p < 0.0001). In group C, adequate visualization of the wall segments was obtained in 58% (CI 0.53-0.62) of the time using echocardiography and 99.7% (CI 0.99-1.0) of the time using CMRI (p < 0.0001). CONCLUSIONS: The new CMRI system provides clinically reliable evaluation of LV function and complements suboptimal echocardiography. In comparison with the conventional CMRI, the new CMRI system significantly reduces scan time, patient discomfort and associated cost.


Assuntos
Cardiopatias Congênitas/diagnóstico , Processamento de Imagem Assistida por Computador , Pneumopatias/diagnóstico , Imageamento por Ressonância Magnética/métodos , Função Ventricular Esquerda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Sistemas Computacionais , Feminino , Cardiopatias Congênitas/diagnóstico por imagem , Cardiopatias Congênitas/fisiopatologia , Humanos , Pneumopatias/diagnóstico por imagem , Pneumopatias/fisiopatologia , Masculino , Pessoa de Meia-Idade , Contração Miocárdica , Ultrassonografia
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