Lightning Observations and Tropical Cyclogenesis in the Atlantic and East Pacific

It has been hypothesized that deep, intense convective-scale "hot" towers may aid the process of tropical cyclogenesis and intensification through dynamic and thermodynamic feedbacks on the larger meso-to-synoptic scale circulation. In this study, we make use of NCEP Reanalysis data and Tropical Rainfall Measurement Mission (TRMM) lightning imaging sensor (LIS), precipitation radar (PR), and microwave imager (TMI) data to investigate the role that widespread and/or intense lightning-producing convection (i.e., "electrically-hot towers") present in African easterly waves (AEWs) may play in tropical cyclogenesis over the Atlantic, Caribbean, and East Pacific regions. NCEP Reanalysis 700 hPa meridional winds for the months of June to November for the years 2001-2009 were analyzed for the domain of 5degN-20degN and 130degW-20degE in order to partition individual AEWs into northerly, southerly, trough, and ridge phases. Subsequently, information from National Hurricane Center (NHC) storm reports was used to divide the waves into developing and non-developing waves. In addition, information from the NHC reports was used to further divide the developing waves into those waves that spawned storms that only developed to tropical storm strength and those that spawned storms that reached hurricane strength. The developing waves were also divided by the region in which they developed. To assess the evolution of convection associated with the AEWs as they propagated across our analysis domain, the full 130degW-20degE domain was divided into five longitude bands, and waves were analyzed for each band. To help determine the gross nature of the smaller convective scale, composites were created of all developing and non-developing waves as a function of AEW wave phase over the full analysis domain and each longitude band by compositing TRMM PR, TMI, LIS, and IR brightness temperature data extracted from the NASA global-merged infrared brightness temperature dataset. Finally, similar composites were created using various NCEP variables to assess the nature of the larger scale environment and circulation

Tropical Cyclone Diurnal Cycle as Observed by TRMM

Using infrared satellite data, previous work has shown a consistent diurnal cycle in the pattern of cold cloud tops around mature tropical cyclones. In particular, an increase in the coverage by cold cloud tops often occurs in the inner core of the storm around the time of sunset and subsequently propagates outward to several hundred kilometers over the course of the following day. This consistent cycle may have important implications for structure and intensity changes of tropical cyclones and the forecasting of such changes. Because infrared satellite measurements are primarily sensitive to cloud top, the goal of this study is to use passive and active microwave measurements from the Tropical Rainfall Measurement Mission (TRMM) Microwave Imager (TMI) and Precipitation Radar (PR), respectively, to examine and better understand the tropical cyclone diurnal cycle throughout a larger depth of the storm's clouds. The National Hurricane Center's best track dataset was used to extract all PR and TMI pixels within 1000 km of each tropical cyclone that occurred in the Atlantic basin between 1998-2011. Then the data was composited according to radius (100-km bins from 0-1000 km) and local standard time (LST; 3-hr bins). Specifically, PR composites involved finding the percentage of pixels with reflectivity greater than or equal to 20 dBZ at various heights (i.e., 2-14 km in increments of 2 km) as a function of radius and time. The 37- and 85- GHz TMI channels are especially sensitive to scattering by precipitation-sized ice in the mid to upper portions of clouds. Hence, the percentage of 37- and 85-GHz polarization corrected temperatures less than various thresholds were calculated using data from all storms as a function of radius and time. For 37 GHz, thresholds of 260 K, 265 K, 270 K, and 275 K were used, and for 85 GHz, thresholds of 200-270 K in increments of 10 K were utilized. Note that convection forced by the interactions of a tropical cyclone with land (e.g., due to frictional convergence) may disrupt the natural convective cycle of a cyclone. Hence, only data pertaining to storms whose centers were greater than 300 km from land were included in the composites. Early results suggest the presence of a diurnal cycle in the PR composites of all Atlantic basin tropical cyclones from a height of 2-12 km from approximately 0-400 km radius, but the cycle is most apparent above 6 km. At a height of 8 km, there is a peak (minimum) in the percentage of PR pixels greater than or equal to 20 dBZ near 0 (21) LST in the inner core with some indication that this signal propagates outward with time. In contrast, the 37- and 85-GHz composites show little indication of a diurnal cycle at any radii, regardless of the threshold used. Ongoing work with this project will involve sub-setting the composites according to storm intensity to see if the diurnal cycle varies with storm strength. Moderate to strong vertical wind shear often leads to asymmetries in tropical cyclone convection and may disrupt the cyclone's natural diurnal cycle. Therefore, wind shear thresholds will be applied to the composites to determine if the diurnal cycle becomes more apparent in a low shear environment. Finally, other work to be completed will involve developing composites for other tropical cyclone basins, including the East Pacific, Northwest Pacific, South Pacific, and Indian Ocean

Electrically-Active Convection in Tropical Easterly Waves and Implications for Tropical Cyclogenesis in the Atlantic and East Pacific

In this study, we investigate the characteristics of tropical easterly wave convection and the possible implications of convective structure on tropical cyclogenesis and intensification over the Atlantic Ocean and East Pacific using data from the Tropical Rainfall Measurement Mission Microwave Imager, Precipitation Radar (PR), and Lightning Imaging Sensor as well as infrared (IR) brightness temperature data from the NASA global-merged IR brightness temperature dataset. Easterly waves were partitioned into northerly, southerly, trough, and ridge phases based on the 700-hPa meridional wind from the NCEP-NCAR reanalysis dataset. Waves were subsequently divided according to whether they did or did not develop tropical cyclones (i.e., developing and nondeveloping, respectively), and developing waves were further subdivided according to development location. Finally, composites as a function of wave phase and category were created using the various datasets. Results suggest that the convective characteristics that best distinguish developing from nondeveloping waves vary according to where developing waves spawn tropical cyclones. For waves that developed a cyclone in the Atlantic basin, coverage by IR brightness temperatures .240 K and .210 K provide the best distinction between developing and nondeveloping waves. In contrast, several variables provide a significant distinction between nondeveloping waves and waves that develop cyclones over the East Pacific as these waves near their genesis location including IR threshold coverage, lightning flash rates, and low-level (<4.5 km) PR reflectivity. Results of this study may be used to help develop thresholds to better distinguish developing from nondeveloping waves and serve as another aid for tropical cyclogenesis forecasting

Pain Management in Patients with Cancer: Focus on Opioid Analgesics

Cancer pain is generally treated with pharmacological measures, relying on using opioids alone or in combination with adjuvant analgesics. Weak opioids are used for mild-to-moderate pain as monotherapy or in a combination with nonopioids. For patients with moderate-to-severe pain, strong opioids are recommended as initial therapy rather than beginning treatment with weak opioids. Adjunctive therapy plays an important role in the treatment of cancer pain not fully responsive to opioids administered alone (ie, neuropathic, bone, and visceral colicky pain). Supportive drugs should be used wisely to prevent and treat opioids’ adverse effects. Understanding the pharmacokinetics, pharmacodynamics, interactions, and cautions with commonly used opioids can help determine appropriate opioid selection for individual cancer patients

Matrix Metalloproteinase (MMP)-8 and MMP-9 in Cerebrospinal Fluid during Bacterial Meningitis: Association with Blood-Brain Barrier Damage and Neurological Sequelae

To evaluate the spectrum and regulation of matrix metalloproteinases (MMPs) in bacterial meningitis (BM), concentrations of MMP-2, MMP-3, MMP-8, and MMP-9 and endogenous inhibitors of metalloproteinases (TIMP-1 and TIMP-2) were measured in the cerebrospinal fluid (CSF) of 27 children with BM. MMP-8 and MMP-9 were detected in 91% and 97%, respectively, of CSF speci-mens from patients but were not detected in control patients. CSF levels of MMP-9 were higher (P <.05) in 5 patients who developed hearing impairment or secondary epilepsy than in those who recovered without neurological deficits. Levels of MMP-9 correlated with concentrations of TIMP-1 (P <.001) and tumor necrosis factor-α (P =.03). Repeated lumbar punctures showed that levels of MMP-8 and MMP-9 were regulated independently and did not correlate with the CSF cell count. Therefore, MMPs may derive not only from granulocytes infiltrating the CSF space but also from parenchymal cells of the meninges and brain. High concentrations of MMP-9 are a risk factor for the development of postmeningitidal neurological sequela

Electrically-Active Convection and Tropical Cyclogenesis in the Atlantic and East Pacific

It has been hypothesized that deep, intense convective-scale "hot" towers may aid the process of tropical cyclogenesis and intensification through dynamic and thermodynamic feedbacks on the larger meso-to-synoptic scale circulation. In this study, we make use of NCEP Reanalysis data and Tropical Rainfall Measurement Mission (TRMM) lightning imaging sensor (LIS), precipitation radar (PR), and microwave imager (TMI) data to investigate the role that widespread and/or intense lightning-producing convection (i.e., "electrically-hot towers") present in African easterly waves (AEWs) may play in tropical cyclogenesis over the Atlantic, Caribbean, and East Pacific regions. NCEP Reanalysis 700 hPa meridional winds for the months of June to November for the years 2001-2009 were analyzed for the domain of 5degN-20degN and 130degW-20degE in order to partition individual AEWs into northerly, southerly, trough, and ridge phases. Subsequently, information from National Hurricane Center (NHC) storm reports was used to divide the waves into developing and non-developing waves and to further divide the developing waves into those waves that spawned storms that only developed to tropical storm strength and those that spawned storms that reached hurricane strength. The developing waves were also divided by the region in which they developed. To help determine the gross nature of the smaller convective scale, composites were created of all developing and non-developing waves as a function of AEW wave phase over the full analysis domain and over various smaller longitude bands by compositing TRMM PR, TMI, LIS, and IR brightness temperature data extracted from the NASA global-merged IR brightness temperature dataset. Finally, similar composites were created using various NCEP variables to assess the nature of the larger scale environment and circulation. Results suggest a clear distinction between developing and non-developing waves as developing waves near their region of development in terms of the intensity of convection (indicated by lightning flash rate), coverage of cold cloudiness (indicated by the percentage of a 2.5deg by 2.5deg box covered by IR brightness temperatures less than 210 K), and large-scale variables, such as midlevel moisture and upper-level upward motion. For example, waves that developed in the East Pacific longitude band (i.e., 130degW-95degW) were observed in that band to have a flash rate of 56.4 flashes/day, a coverage by brightness temperatures less than 210 K equal to 2.2%, a 700-hPa specific humidity anomaly of 0.4 g/kg, and a 300-hPa omega value of -0.04 Pascals/s in the trough phase compared to the non-developing wave trough values of 22.1 flashes/day, a coverage by brightness temperatures less than 210 K equal to 0.9%, a 700-hPa specific humidity anomaly of -0.3 g/kg, and a 300-hPa omega value of -0.01 Pascals/s

PIB is a non-specific imaging marker of amyloid-beta (Aβ) peptide-related cerebral amyloidosis

The in vivo imaging probe [11C]-PIB (Pittsburgh Compound B, N-methyl[11C]2-(4′-methylaminophenyl-6-hydroxybenzathiazole) is under evaluation as a key imaging tool in Alzheimer's disease (AD) and to date has been assumed to bind with high affinity and specificity to the amyloid structures associated with classical plaques (CPs), one of the pathological hallmarks of the disease. However, no studies have systematically investigated PIB binding to human neuropathological brain specimens at the tracer concentrations achieved during in vivo imaging scans. Using a combination of autoradiography and histochemical techniques, we demonstrate that PIB, in addition to binding CPs clearly delineates diffuse plaques and cerebrovascular amyloid angiopathy (CAA). The interaction of PIB with CAA was not fully displaceable and this may be linked to the apolipoprotein E-ε4 allele. PIB was also found to label neurofibrillary tangles, although the overall intensity of this binding was markedly lower than that associated with the amyloid-beta (Aβ) pathology. The data provide a molecular explanation for PIB's limited specificity in diagnosing and monitoring disease progression in AD and instead indicate that the ligand is primarily a non-specific marker of Aβ-peptide related cerebral amyloidosi

Neurofilament results for the phase II neuroprotection study of phenytoin in optic neuritis

Background: A randomized trial of phenytoin in acute optic neuritis (ON) demonstrated a 30% reduction in retinal nerve fiber layer (RNFL) loss with phenytoin versus placebo. Here we present the corresponding serum neurofilament analyses. Methods: Eighty-six acute ON cases were randomized to receive phenytoin (4–6 mg/kg/day) or placebo for 3 months, and followed up for 6 months. Serum was collected at baseline, 3 and 6 months for analysis of neurofilament heavy chain (NfH) and neurofilament light chain (NfL). Results: Sixty-four patients had blood sampling. Of these, 58 and 56 were available at 3 months, and 55 and 54 were available at 6 months for NfH and NfL, respectively. There was no significant correlation between serum NfH and NfL at the time points tested. For NfH, the difference in mean placebo – phenytoin was −44 pg/ml at 3 months (P = 0.019) and −27 pg/ml at 6 months (P = 0.234). For NfL, the difference was 1.4 pg/ml at 3 months (P = 0.726) and −1.6 pg/ml at 6 months (P = 0.766). Conclusions: At 3 months, there was a reduction in NfH, but not NFL, in the phenytoin versus placebo group, while differences at 6 months were not statistically significant. This suggests a potential neuroprotective role for phenytoin in acute ON, with the lower NfH at 3 months, when levels secondary to degeneration of the anterior visual pathway are still elevated, but not at 6 months, when levels have normalized

Optimization of acquisition parameters for cortical inhomogeneous magnetization transfer (ihMT) imaging using a rapid gradient echo readout

Purpose: Imaging biomarkers with increased myelin specificity are needed to better understand the complex progression of neurological disorders. Inhomogeneous magnetization transfer (ihMT) imaging is an emergent technique that has a high degree of specificity for myelin content but suffers from low signal-to-noise ratio (SNR). This study used simulations to determine optimal sequence parameters for ihMT imaging for use in high-resolution cortical mapping. Methods: MT-weighted cortical image intensity and ihMT SNR were simulated using modified Bloch equations for a range of sequence parameters. The acquisition time was limited to 4.5 min/volume. A custom MT-weighted RAGE sequence with center-out k-space encoding was used to enhance SNR at 3 Tesla. Pulsed MT imaging was studied over a range of saturation parameters and the impact of the turbo-factor on effective ihMT was investigated. 1 mm isotropic ihMTsat maps were generated in 25 healthy adults using an optimized protocol. Results: Greater SNR was observed for larger number of bursts consisting of 6-8 saturation pulses each, combined with a high readout turbo-factor. However, that protocol suffered from a point spread function that was more than twice the nominal resolution. For high-resolution cortical imaging, we selected a protocol with a higher effective resolution at the cost of a lower SNR. We present the first group-average ihMTsat whole-brain map at 1 mm isotropic resolution. Conclusion: This study presents the impact of saturation and excitation parameters on ihMTsat SNR and resolution. We demonstrate the feasibility of high-resolution cortical myelin imaging using ihMTsat in less than 20 minutes

Correcting for T1 bias in Magnetization Transfer Saturation (MTsat) Maps Using Sparse-MP2RAGE

Purpose: Magnetization transfer saturation (MTsat) mapping is commonly used to examine the macromolecular content of brain tissue. This study compared variable flip angle (VFA) T1 mapping against compressed sensing (cs)MP2RAGE T1 mapping for accelerating MTsat imaging. Methods: VFA, MP2RAGE and csMP2RAGE were compared against inversion recovery (IR) T1 in a phantom at 3 Tesla. The same 1 mm VFA, MP2RAGE and csMP2RAGE protocols were acquired in four healthy subjects to compare the resulting T1 and MTsat. Bloch-McConnell simulations were used to investigate differences between the phantom and in vivo T1 results. Finally, ten healthy controls were imaged twice with the csMP2RAGE MTsat protocol to quantify repeatability. Results: The MP2RAGE and csMP2RAGE protocols were 13.7% and 32.4% faster than the VFA protocol, respectively. All approaches provided accurate T1 values (<5% difference) in the phantom, but the accuracy of the T1 times was more impacted by differences in T2 for VFA than for MP2RAGE. In vivo, VFA generated longer T1 times than MP2RAGE and csMP2RAGE. Simulations suggest that the bias in the T1 values between VFA and IR-based approaches (MP2RAGE and IR) could be explained by the MT-effects from the inversion pulse. In the test-retest experiment, we found that the csMP2RAGE has a minimum detectable change of 3% for T1 mapping and 7.9% for MTsat imaging. Conclusions: We demonstrated that csMP2RAGE can be used in place of VFA T1 mapping in an MTsat protocol. Furthermore, a shorter scan time and high repeatability can be achieved using the csMP2RAGE sequence.Comment: 23 pages, 7 figures, 2 table