Optical coherence tomography for bladder cancer - ready as a surrogate for optical biopsy? - Results of a prospective mono-centre study

<p>Abstract</p> <p>Introduction</p> <p>New modalities like Optical Coherence Tomography (OCT) allow non-invasive examination of the internal structure of biological tissue in vivo. The potential benefits and limitations of this new technology for the detection and evaluation of bladder cancer were examined in this study.</p> <p>Materials and methods</p> <p>Between January 2007 and January 2008, 52 patients who underwent transurethral bladder biopsy or TUR-BT for surveillance or due to initial suspicion of urothelial carcinoma of the bladder were enrolled in this study. In total, 166 lesions were suspicious for malignancy according to standard white light cystoscopy. All suspicious lesions were scanned and interpreted during perioperative cystoscopy using OCT. Cold cup biopsies and/or TUR-B was performed for all these lesions. For this study we used an OCT-device (Niris^®, Imalux^®, Cleveland, US), that utilizes near-infrared light guided through a flexible fibre-based applicator, which is placed into the bladder via the working channel of the cystoscope. The technology provides high spatial resolution on the order of about 10-20 μm, and a visualization of tissue to a depth of about 2 mm across a lateral span of about 2 mm in width. The device used received market clearance from the FDA and CE approval in Germany. The diagnostic and surgical procedure was videotaped and analyzed afterwards for definitive matching of scanned and biopsied lesion. The primary aim of this study was to determine the level of correlation between OCT interpretation and final histological result.</p> <p>Results</p> <p>Of 166 scanned OCT images, 102 lesions (61.4%) matched to the same site where the biopsy/TUR-BT was taken according to videoanalysis. Only these video-verified lesions were used for further analysis. Of all analyzed lesions 88 were benign (inflammation, edema, hyperplasia etc.) and 14 were malignant (CIS, Ta, T1, T2) as shown by final histo pathology.</p> <p>All 14 malignant lesions were detected correctly by OCT. Furthermore all invasive tumors were staged correctly by OCT regarding tumor growth beyond the lamina propria. There were no false negative lesions detected by OCT. Sensitivity of OCT for detecting the presence of a malignant lesion was 100% and sensitivity for detection of tumor growth beyond the lamina propria was 100% as well. Specificity of OCT for presence of malignancy was 65%, due to the fact that a number of lesions were interpreted as false positive by OCT.</p> <p>Conclusion</p> <p>As a minimally invasive technique, OCT proved to have extremely high sensitivity for detection of malignant lesions as well as estimation of whether a tumor has invaded beyond the lamina propria. However, specificity of OCT within the bladder was impaired (65%), possibly due to a learning curve and/or the relatively low spatial resolution and visualization depth of the OCT technology. Further studies and technical development are needed to establish an adequate surrogate for optical biopsy.</p

Development of Shear Modulus Reduction Curves Based on Lotung Downhole Ground Motion Data

In this study, equivalent shear moduli (or shear-wave velocities) and their variations with shearing strain at the Lotung seismic experiment site were back-calculated from recorded downhole array ground motions. Ground motion data for various levels of shaking (peak ground surface accelerations ranging from 0.03g to 0.21g) recorded during seven earthquakes were used in the analyses. Results show that downhole array ground motion data can be used to infer in-situ dynamic soil properties over a wide strain range

Reduced intraepithelial corneal nerve density and sensitivity accompany desiccating stress and aging in C57BL/6 mice

Dry Eye disease causes discomfort and pain in millions of patients. Using a mouse acute desiccating stress (DS) model we show that DS induces a reduction in intraepithelial corneal nerve (ICN) density, corneal sensitivity, and apical extension of the intraepithelial nerve terminals (INTs) that branch from the subbasal nerves (SBNs). Topical application of 0.02% Mitomycin C (MMC) or vehicle alone has no impact on the overall loss of axon density due to acute DS. Chronic dry eye, which develops progressively as C57BL/6 mice age, is accompanied by significant loss of the ICNs and corneal sensitivity between 2 and 24 months of age. QPCR studies show that mRNAs for several proteins that regulate axon growth and extension are reduced in corneal epithelial cells by 24 months of age but those that regulate phagocytosis and autophagy are not altered. Taken together, these data demonstrate that dry eye disease is accompanied by alterations in intraepithelial sensory nerve morphology and function and by reduced expression in corneal epithelial cells of mRNAs encoding genes mediating axon extension. Précis: Acute and chronic mouse models of dry eye disease are used to evaluate the pathologic effects of dry eye on the intraepithelial corneal nerves (ICNs) and corneal epithelial cells. Data show reduced numbers of sensory nerves and alterations in nerve morphology, sensitivity, corneal epithelial cell proliferation, and expression of mRNAs for proteins mediating axon extension accompany the pathology induced by dry eye

The Learning from the Large Scale Lotung Soil-Structure Interaction Experiments

Blind prediction analyses and subsequent correlation studies of a 1/4-scale reinforced concrete containment model constructed at Lotung, Taiwan subject to forced vibration tests and actual earthquakes are evaluated with the objective of validating soil-structure interaction (SSI) analysis methodologies commonly used in U.S. practice. The SSI methods used range from simple soil-spring representation to more complex finite-element methods and sub structuring techniques. Both forced vibration test (FVT) data and actual earthquake induced response data have been obtained for use in validating selected SSI analysis methodologies. Considering that for forced vibration tests only the stiffness and damping characteristics of the foundation are required (complexities of site response, wave scattering and stiffness degradation of soils are absent), the FVT evaluation shows that acceptable frequency predictions can be obtained by most of the methods; however, soil damping as obtained from geophysical methods does not seem to account for the total energy dissipation during SSI. A number of insights have been obtained with respect to the validity of SSI analysis methodologies for earthquake response. Among these are the following: vertical wave propagation assumption in performing SSI is adequate to describe the wave field; equivalent linear analysis of soil response for SSI analysis, such as performed by the SHAKE code, provides acceptable results; a significant but non-permanent degradation of soil modulus occurs during earthquakes; the development of soil stiffness degradation and damping curves as a function of strain, based on geophysical and laboratory tests, requires improvement to reduce variability and uncertainty; backfill stiffness plays an important role in determining impedance functions and possibly input motions; scattering of ground motion due to embedment is an important element in performing SSI analysis; more than the calculational techniques, the differences in response predictions are due to the modeling of the soil-structure system

Repeated Training with Augmentative Vibrotactile Feedback Increases Object Manipulation Performance

Most users of prosthetic hands must rely on visual feedback alone, which requires visual attention and cognitive resources. Providing haptic feedback of variables relevant to manipulation, such as contact force, may thus improve the usability of prosthetic hands for tasks of daily living. Vibrotactile stimulation was explored as a feedback modality in ten unimpaired participants across eight sessions in a two-week period. Participants used their right index finger to perform a virtual object manipulation task with both visual and augmentative vibrotactile feedback related to force. Through repeated training, participants were able to learn to use the vibrotactile feedback to significantly improve object manipulation. Removal of vibrotactile feedback in session 8 significantly reduced task performance. These results suggest that vibrotactile feedback paired with training may enhance the manipulation ability of prosthetic hand users without the need for more invasive strategies

Criteria for design of the Yucca Mountain structures, systems and components for fault displacement

The DOE intends to design the Yucca Mountain high-level waste facility structures, systems and components (SSCs) for fault displacements to provide reasonable assurance that they will meet the preclosure safety performance objectives established by 10 CFR Part 60. To the extent achievable, fault displacement design of the facility will follow guidance provided in the NRC Staff Technical Position. Fault avoidance will be the primary design criterion, especially for spatially compact or clustered SSCs. When fault avoidance is not reasonably achievable, expected to be the case for most spatially extended SSCs, engineering design procedures and criteria or repair and rehabilitation actions, depending on the SSC`s importance to safety, are provided. SSCs that have radiological safety importance will be designed for fault displacements that correspond to the hazard exceedance frequency equal to their established seismic safety performance goals. Fault displacement loads are generally localized and may cause local inelastic response of SSCs. For this reason, the DOE intends to use strain-based design acceptance criteria similar to the strain-based criteria used to design nuclear plant SSCs for impact and impulsive loads

An empirical comparison of knowledge and skill in the context of traditional ecological knowledge

Background: We test whether traditional ecological knowledge (TEK) about how to make an item predicts a person's skill at making it among the Tsimane' (Bolivia). The rationale for this research is that the failure to distinguish between knowledge and skill might account for some of the conflicting results about the relationships between TEK, human health, and economic development. Methods: We test the association between a commonly-used measure of individual knowledge (cultural consensus analysis) about how to make an arrow or a bag and a measure of individual skill at making these items, using ordinary least-squares regression. The study consists of 43 participants from 3 villages. Results: We find no association between our measures of knowledge and skill (core model, p > 0.5, R2 = .132). Conclusions: While we cannot rule out the possibility of a real association between these phenomena, we interpret our findings as support for the claim that researchers should distinguish between methods to measure knowledge and skill when studying trends in TEK

Mental Models of Soil Management for Food Security in Peri-Urban India

Agricultural development during the Green Revolution brought India food sovereignty but food insecurity persists. Increased crop production was promoted without considering the more holistic impact on food security. Scientists, extension agents, and farmers have different perspectives on how soil health relates to food security. Understanding stakeholders’ perspectives is essential to improving extension communication and mitigating consequences. This study uses qualitative interviews to construct mental models of soil health for food security. The study site is a peri-urban watershed, which is currently participating in the Integrated Farmer Participatory Watershed Management Model (IFPWM). Our study details and defines stakeholders’ mental models of soil health, soil nutrient management, soil sodicity, and food security. A triad belief held by farmers shows the strongly perceived causal relationship between soil health, plant health, and human health. Healthy soil produces healthy food and humans that eat such food will be healthy. Scientists only perceive one condition to achieving food security in the community—food quantity. However, all other stakeholders perceived another risk to food security—food quality. Eating poor quality food is perceived as linked to human health problems in the community. This research suggests the importance of including a fifth dimension of food security, cultural acceptability, within agricultural technology development and dissemination