A prospective study on contrast-enhanced magnetic resonance imaging of testicular lesions: distinctive features of Leydig cell tumours

OBJECTIVES: Up to 20 % of incidentally found testicular lesions are benign Leydig cell tumours (LCTs). This study evaluates the role of contrast-enhanced magnetic resonance imaging (MRI) in the identification of LCTs in a large prospective cohort study. MATERIALS AND METHODS: We enrolled 44 consecutive patients with at least one solid non-palpable testicular lesion who underwent scrotal MRI. Margins of the lesions, signal intensity and pattern of wash-in and wash-out were analysed by two radiologists. The frequency distribution of malignant and benign MRI features in the different groups was compared by using the chi-squared or Fisher's exact test. Sensitivity, specificity, positive and negative predictive value, and diagnostic accuracy were calculated. RESULTS: The sensitivity of scrotal MRI to diagnose LCTs was 89.47 % with 95.65 % specificity; sensitivity for malignant lesions was 95.65 % with 80.95 % specificity. A markedly hypointense signal on T2-WI, rapid and marked wash-in followed by a prolonged washout were distinctive features significantly associated with LCTs. Malignant lesions were significantly associated with blurred margins, weak hypointense signal on T2-WI ,and weak and progressive wash-in. The overall diagnostic accuracy was 93 %. CONCLUSIONS: LCTs have distinctive contrast-enhanced MRI features that allow the differential diagnosis of incidental testicular lesions. KEY POINTS: • MRI is able to characterize testicular lesions suggesting a specific diagnosis. • Rapid and marked wash-in is a common feature of Leydig cell tumours. • Markedly hypointense T2-WI signal is significantly correlated with benign lesions. • Blurred margins and weak hypointense T2-WI signal are correlated with malignant tumours. • Weak and progressive wash-in features are present in 85 % of seminomatous lesions

Compressive Phase Contrast Tomography

When x-rays penetrate soft matter, their phase changes more rapidly than their amplitude. In- terference effects visible with high brightness sources creates higher contrast, edge enhanced images. When the object is piecewise smooth (made of big blocks of a few components), such higher con- trast datasets have a sparse solution. We apply basis pursuit solvers to improve SNR, remove ring artifacts, reduce the number of views and radiation dose from phase contrast datasets collected at the Hard X-Ray Micro Tomography Beamline at the Advanced Light Source. We report a GPU code for the most computationally intensive task, the gridding and inverse gridding algorithm (non uniform sampled Fourier transform).Comment: 5 pages, "Image Reconstruction from Incomplete Data VI" conference 7800, SPIE Optical Engineering + Applications 1-5 August 2010 San Diego, CA United State

Predicting individual contrast sensitivity functions from acuity and letter contrast sensitivity measurements.

Contrast sensitivity (CS) is widely used as a measure of visual function in both basic research and clinical evaluation. There is conflicting evidence on the extent to which measuring the full contrast sensitivity function (CSF) offers more functionally relevant information than a single measurement from an optotype CS test, such as the Pelli-Robson chart. Here we examine the relationship between functional CSF parameters and other measures of visual function, and establish a framework for predicting individual CSFs with effectively a zero-parameter model that shifts a standard-shaped template CSF horizontally and vertically according to independent measurements of high contrast acuity and letter CS, respectively. This method was evaluated for three different CSF tests: a chart test (CSV-1000), a computerized sine-wave test (M&S Sine Test), and a recently developed adaptive test (quick CSF). Subjects were 43 individuals with healthy vision or impairment too mild to be considered low vision (acuity range of -0.3 to 0.34 logMAR). While each test demands a slightly different normative template, results show that individual subject CSFs can be predicted with roughly the same precision as test-retest repeatability, confirming that individuals predominantly differ in terms of peak CS and peak spatial frequency. In fact, these parameters were sufficiently related to empirical measurements of acuity and letter CS to permit accurate estimation of the entire CSF of any individual with a deterministic model (zero free parameters). These results demonstrate that in many cases, measuring the full CSF may provide little additional information beyond letter acuity and contrast sensitivity

Protein-based molecular contrast optical coherence tomography with phytochrome as the contrast agent

We report the use of phytochrome A (phyA), a plant protein that can reversibly switch between two states with different absorption maxima (at 660 and 730 nm), as a contrast agent for molecular contrast optical coherence tomography (MCOCT). Our MCOCT scheme builds up a difference image revealing the distribution of phyA within a target sample from pairs of consecutive OCT A-scans acquired at a probe wavelength of 750 nm, both with and without additional illumination of the target sample with 660-nm light. We demonstrate molecular imaging with this new MCOCT modality in a target sample containing a mixture of 0.2% Intralipid and 83 µM of phyA

The evolution of auditory contrast

This paper reconciles the standpoint that language users do not aim at improving their sound systems with the observation that languages seem to improve their sound systems. Computer simulations of inventories of sibilants show that Optimality-Theoretic learners who optimize their perception grammars automatically introduce a so-called prototype effect, i.e. the phenomenon that the learner’s preferred auditory realization of a certain phonological category is more peripheral than the average auditory realization of this category in her language environment. In production, however, this prototype effect is counteracted by an articulatory effect that limits the auditory form to something that is not too difficult to pronounce. If the prototype effect and the articulatory effect are of a different size, the learner must end up with an auditorily different sound system from that of her language environment. The computer simulations show that, independently of the initial auditory sound system, a stable equilibrium is reached within a small number of generations. In this stable state, the dispersion of the sibilants of the language strikes an optimal balance between articulatory ease and auditory contrast. The important point is that this is derived within a model without any goal-oriented elements such as dispersion constraints

Contrast

This thesis will discuss the importance of contrast within a piece of artwork as well as a history and explanation of the other elements and principles of art. It is important for artists to understand the elements and principles to have a good base in creating artwork. This thesis will explore the history of the elements and principles, review other artists using these principles within their artwork as well as the significance of these elements and principles within my own artwork. Through this exploration an artist will be able to understand as well as utilize these elements and principles within their own artwork to create the principle of aesthetic and emotional contrast

Contrast

Contrast (Azim Celik, General Electric Company, Milwaukee, Wisconsin and Weili Lin, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina). SNR (signal‐to‐noise ratio) determines the effectiveness of an imaging experiment. However, even the highest SNR does not guarantee the usefulness of an image. An important aim of imaging for diagnostic purposes is to be able to distinguish between diseased and neighboring normal tissues. If the imaging method used does not have a signal‐manipulating mechanism which produces different signals for the diseased and normal tissues, then distinguishing the two tissues is not possible. This unit provides a detailed discussion of the contrast‐producing mechanisms that arise from the signal dependence on a wide variety of tissue parameters.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145270/1/cpmib0603.pd