Graphene-based nanomaterials for tissue engineering in the dental field

The world of dentistry is approaching graphene-based nanomaterials as substitutes for tissue engineering. Apart from its exceptional mechanical strength, electrical conductivity and thermal stability, graphene and its derivatives can be functionalized with several bioactive molecules. They can also be incorporated into different scaffolds used in regenerative dentistry, generating nanocomposites with improved characteristics. This review presents the state of the art of graphene-based nanomaterial applications in the dental field. We first discuss the interactions between cells and graphene, summarizing the available in vitro and in vivo studies concerning graphene biocompatibility and cytotoxicity. We then highlight the role of graphene-based nanomaterials in stem cell control, in terms of adhesion, proliferation and differentiation. Particular attention will be given to stem cells of dental origin, such as those isolated from dental pulp, periodontal ligament or dental follicle. The review then discusses the interactions between graphene-based nanomaterials with cells of the immune system; we also focus on the antibacterial activity of graphene nanomaterials. In the last section, we offer our perspectives on the various opportunities facing the use of graphene and its derivatives in associations with titanium dental implants, membranes for bone regeneration, resins, cements and adhesives as well as for tooth-whitening procedure

Segmentation of Optic Disc in Fundus Images using Convolutional Neural Networks for Detection of Glaucoma

The condition of the vascular network of human eye is an important diagnostic factor in ophthalmology. Its segmentation in fundus imaging is a difficult task due to various anatomical structures like blood vessel, optic cup, optic disc, macula and fovea. Blood vessel segmentation can assist in the detection of pathological changes which are possible indicators for arteriosclerosis, retinopathy, microaneurysms and macular degeneration. The segmentation of optic disc and optic cup from retinal images is used to calculate an important indicator, cup-to disc ratio( CDR) accurately to help the professionals in the detection of Glaucoma in fundus images.In this proposed work, an automated segmentation of anatomical structures in fundus images such as blood vessel and optic disc is done using Convolutional Neural Networks (CNN) . A Convolutional Neural Network is a composite of multiple elementary processing units, each featuring several weighted inputs and one output, performing convolution of input signals with weights and transforming the outcome with some form of nonlinearity. The units are arranged in rectangular layers (grids), and their locations in a layer correspond to pixels in an input image. The spatial arrangement of units is the primary characteristics that makes CNNs suitable for processing visual information; the other features are local connectivity, parameter sharing and pooling of hidden units. The advantage of CNN is that it can be trained repeatedly so more features can be found. An average accuracy of 95.64% is determined in the classification of blood vessel or not. Optic cup is also segmented from the optic disc by Fuzzy C Means Clustering (FCM). This proposed algorithm is tested on a sample of hospital images and CDR value is determined. The obtained values of CDR is compared with the given values of the sample images and hence the performance of proposed system in which Convolutional Neural Networks for segmentation is employed, is excellent in automated detection of healthy and Glaucoma images

Automated Detection of Malarial Retinopathy in Digital Fundus Images for Improved Diagnosis in Malawian Children with Clinically Defined Cerebral Malaria

Cerebral malaria (CM), a complication of malaria infection, is the cause of the majority of malaria-associated deaths in African children. The standard clinical case definition for CM misclassifies ~25% of patients, but when malarial retinopathy (MR) is added to the clinical case definition, the specificity improves from 61% to 95%. Ocular fundoscopy requires expensive equipment and technical expertise not often available in malaria endemic settings, so we developed an automated software system to analyze retinal color images for MR lesions: retinal whitening, vessel discoloration, and white-centered hemorrhages. The individual lesion detection algorithms were combined using a partial least square classifier to determine the presence or absence of MR. We used a retrospective retinal image dataset of 86 pediatric patients with clinically defined CM (70 with MR and 16 without) to evaluate the algorithm performance. Our goal was to reduce the false positive rate of CM diagnosis, and so the algorithms were tuned at high specificity. This yielded sensitivity/specificity of 95%/100% for the detection of MR overall, and 65%/94% for retinal whitening, 62%/100% for vessel discoloration, and 73%/96% for hemorrhages. This automated system for detecting MR using retinal color images has the potential to improve the accuracy of CM diagnosis

Digital Image Analysis of Vitiligo for Monitoring of Vitiligo Treatment

Vitiligo is an acquired pigmentary skin disorder characterized by depigmented macules that result from damage to and destruction of epidermal melanocytes. Visually, the vitiligous areas are paler in contrast to normal skin or completely white due to the lack of pigment melanin. The course of vitiligo is unpredictable where the vitiligous skin lesions may remain stable for years before worsening. Vitiligo treatments have two objectives, to arrest disease progression and to re-pigment the vitiligous skin lesions. To monitor the efficacy of the treatment, dermatologists observe the disease directly, or indirectly using digital photos. Currently there is no objective method to determine the efficacy of the vitiligo treatment. Physician's Global Assessment (PGA) scale is the current scoring system used by dermatologists to evaluate the treatment. The scale is based on the degree of repigmentation within lesions over time. This quantitative tool however may not be help to detect slight changes due to treatment as it would still be largely dependent on the human eye and judgment to produce the scorings. In addition, PGA score is also subjective, as it varies with dermatologists. The progression of vitiligo treatment can be very slow and can take more than 6 months. It is observed that dermatologists find it visually hard to determine the areas of skin repigmentation due to this slow progress and as a result the observations are made after a longer time frame. The objective of this research is to develop a tool that enables dermatologists to determine and quantify areas of repigmentation objectively over a shorter time frame during treatment. The approaches towards achieving this objective are based on digital image processing techniques. Skin color is due to the combination of skin histological parameters, namely pigment melanin and haemoglobin. However in digital imaging, color is produced by combining three different spectral bands, namely red, green, and blue (RGB). It is believed that the spatial distribution of melanin and haemoglobin in skin image could be separated. It is found that skin color distribution lies on a two-dimensional melanin-haemoglobin color subspace. In order to determine repigmentation (due to pigment melanin) it is necessary to perform a conversion from RGB skin image to this two-dimensional color subspace. Using principal component analysis (PCA) as a dimensional reduction tool, the two-dimensional subspace can be represented by its first and second principal components. Independent component analysis is employed to convert the twodimensional subspace into a skin image that represents skin areas due to melanin and haemoglobin only. In the skin image that represents skin areas due to melanin, vitiligous skin lesions are identified as skin areas that lack melanin. Segmentation is performed to separate the healthy skin and the vitiligous lesions. The difference in the vitiligous surface areas between skin images before and after treatment will be expressed as a percentage of repigmentation in each vitiligo lesion. This percentage will represent the repigmentation progression of a particular body region. Results of preliminary and pre-clinical trial study show that our vitiligo monitoring system has been able to determine repigmentation progression objectively and thus treatment efficacy on a shorter time cycle. An intensive clinical trial is currently undertaken in Hospital Kuala Lumpur using our developed system. VI

DETECTION OF GRANULATION TISSUE FOR HEALING ASSESSMENT OF CHRONIC ULCERS

Wounds that fail to heal within an expected period develop into ulcers that cause severe pain and expose patients to limb amputation. Ulcer appearance changes gradually as ulcer tissues evolve throughout the healing process. Dermatologists assess the progression of ulcer healing based on visual inspection of ulcer tissues, which is inconsistent and subjective. The ability to measure objectively early stages of ulcer healing is important to improve clinical decisions and enhance the effectiveness of the treatment. Ulcer healing is indicated by the growth of granulation tissue that contains pigment haemoglobin that causes the red colour of the tissue. An approach based on utilising haemoglobin content as an image marker to detect regions of granulation tissue on ulcers surface using colour images of chronic ulcers is investigated in this study. The approach is utilised to develop a system that is able to detect regions of granulation tissue on ulcers surface using colour images of chronic ulcers

Colposcopy of the Vulva and Perineum

Due to the normal histology of this area and the multifocal nature of vulvar intraepithelial disease, vulvoscopy is more difficult and less objective than the cervix examination. Basis of vulvar colposcopy as well as benign vulvar skin disorders that are usually found in a routine gynecology examination will be reviewed

Global gene expression profiling of brown to white adipose tissue transformation in sheep reveals novel transcriptional components linked to adipose remodeling

BACKGROUND: Large mammals are capable of thermoregulation shortly after birth due to the presence of brown adipose tissue (BAT). The majority of BAT disappears after birth and is replaced by white adipose tissue (WAT). RESULTS: We analyzed the postnatal transformation of adipose in sheep with a time course study of the perirenal adipose depot. We observed changes in tissue morphology, gene expression and metabolism within the first two weeks of postnatal life consistent with the expected transition from BAT to WAT. The transformation was characterized by massively decreased mitochondrial abundance and down-regulation of gene expression related to mitochondrial function and oxidative phosphorylation. Global gene expression profiling demonstrated that the time points grouped into three phases: a brown adipose phase, a transition phase and a white adipose phase. Between the brown adipose and the transition phase 170 genes were differentially expressed, and 717 genes were differentially expressed between the transition and the white adipose phase. Thirty-eight genes were shared among the two sets of differentially expressed genes. We identified a number of regulated transcription factors, including NR1H3, MYC, KLF4, ESR1, RELA and BCL6, which were linked to the overall changes in gene expression during the adipose tissue remodeling. Finally, the perirenal adipose tissue expressed both brown and brite/beige adipocyte marker genes at birth, the expression of which changed substantially over time. CONCLUSIONS: Using global gene expression profiling of the postnatal BAT to WAT transformation in sheep, we provide novel insight into adipose tissue plasticity in a large mammal, including identification of novel transcriptional components linked to adipose tissue remodeling. Moreover, our data set provides a useful resource for further studies in adipose tissue plasticity. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12864-015-1405-8) contains supplementary material, which is available to authorized users