Advancing imaging technologies for patients with spinal pain : with a focus on whiplash injury

Background: Radiological observations of soft-tissue changes that may relate to clinical symptoms in patients with traumatic and non-traumatic spinal disorders are highly controversial. Studies are often of poor quality and findings are inconsistent. A plethora of evidence suggests some pathoanatomical findings from traditional imaging applications are common in asymptomatic participants across the life span, which further questions the diagnostic, prognostic, and theranostic value of traditional imaging. Although we do not dispute the limited evidence for the clinical importance of most imaging findings, we contend that the disparate findings across studies may in part be due to limitations in the approaches used in assessment and analysis of imaging findings. Purpose: This clinical commentary aimed to (1) briefly detail available imaging guidelines, (2) detail research-based evidence around the clinical use of findings from advanced, but available, imaging applications (eg, fat and water magnetic resonance imaging and magnetization transfer imaging), and (3) introduce how evolving imaging technologies may improve our mechanistic understanding of pain and disability, leading to improved treatments and outcomes. Study Design/Setting: A non-systematic review of the literature is carried out. Methods: A narrative summary (including studies from the authors' own work in whiplash injuries) of the available literature is provided. Results: An emerging body of evidence suggests that the combination of existing imaging sequences or the use of developing imaging technologies in tandem with a good clinical assessment of modifiable risk factors may provide important diagnostic information toward the exploration and development of more informed and effective treatment options for some patients with traumatic neck pain. Conclusions: Advancing imaging technologies may help to explain the seemingly disconnected spectrum of biopsychosocial signs and symptoms of traumatic neck pain

Risk-sensitive filtering and smoothing for continuous-time Markov processes

© 2005 IEEE.We consider risk sensitive filtering and smoothing for a dynamical system whose output is a vector process in 2. The components of the observation process are a Markov process observed through a Brownian motion and a Markov process observed through a Poisson process. Risk-sensitive filters for the robust estimation of an indirectly observed Markov state processes are given. These filters are stochastic partial differential equations for which robust discretizations are obtained. Computer simulations are given which demonstrate the benefits of risk sensitive filtering.W. Paul Malcolm, Robert J. Elliott, and Matthew R. James

Effects of riparian zone buffer widths on vegetation diversity in southern Appalachian headwater catchments

In mountainous areas such as the southern Appalachians USA, riparian zones are difficult to define. Vegetation is a commonly used riparian indicator and plays a key role in protecting water resources, but adequate knowledge of floristic responses to riparian disturbances is lacking. Our objective was to quantify changes in stand-level floristic diversity of riparian plant communities before (2004) and two, three, and seven years after shelterwood harvest using highlead cable-yarding and with differing no cut buffer widths of 0 m, 10 m, and 30 m distance from the stream edge. An unharvested reference stand was also studied for comparison. We examined: (1) differences among treatment sites using a mixed linear model with repeated measures; (2) multivariate relationships between ground-layer species composition and environmental variables (soil water content, light transmittance, tree basal area, shrub density, and distance from stream) using nonmetric multidimensional scaling; and (3) changes in species composition over time using a multi-response permutation procedure. We hypothesized that vegetation responses (i.e., changes in density, species composition, and diversity across the hillslope) will be greatest on harvest sites with an intermediate buffer width (10-m buffer) compared to more extreme (0-m buffer) and less extreme (30-m buffer and no-harvest reference) disturbance intensities. Harvesting initially reduced overstory density and basal area by 83% and 65%, respectively, in the 0-m buffer site; reduced by 50% and 74% in the 10-m buffer site; and reduced by 45% and 29% in the 30-m buffer site. Both the 0-m and 10-m buffer sites showed increased incident light variability across the hillslope after harvesting; whereas, there was no change in the 30-m and reference sites over time. We found significant changes in midstory and ground-layer vegetation in response to harvesting with the greatest responses on the 10-m buffer site, supporting our hypotheses that responses will be greatest on sites with intermediate disturbance. Ground-layer species composition differed significantly over time in the 0-m buffer and 10-m buffer sites (both P \u3c 0.0001), but did not change in the 30-m buffer and reference sites (both P \u3e 0.100). Average compositional dissimilarity increased after seven years, indicating greater within stand heterogeneity (species diversity) after harvesting. These vegetation recovery patterns provide useful information for evaluating management options in riparian zones in the southern Appalachians

Structural characteristics of positionally-disordered lattices: relation to the first sharp diffraction peak in glasses

Positional disorder has been introduced into the atomic structure of certain crystalline lattices, and the orientationally-averaged structure factor S(k) and pair-correlation function g(r) of these disordered lattices have been studied. Analytical expressions for S(k) and g(r) for Gaussian positional disorder in 2D and 3D are confirmed with precise numerical simulations. These analytic results also have a bearing on the unsolved Gauss circle problem in mathematics. As the positional disorder increases, high-k peaks in S(k) are destroyed first, eventually leaving a single peak, that with the lowest-k value. The pair-correlation function for lattices with such high levels of positional disorder exhibits damped oscillations, with a period equal to the separation between the furthest-separated (lowest-k) lattice planes. The last surviving peak in S(k) is, for example for silicon and silica, at a wavevector nearly identical to that of the experimentally-observed first sharp diffraction peak (FSDP) in the amorphous phases of those materials. Thus, for these amorphous materials at least, the FSDP can be regarded as arising from scattering from atomic configurations equivalent to the single family of positionally-disordered local Bragg planes having the furthest separation.Comment: v2: changes in response to referees' comments: Figure 2 made more readable, improved discussion of height of peaks in S(k), other minor changes 4 pages, 3 figures, submitted to Physical Review

Synchronization and Control in Intrinsic and Designed Computation: An Information-Theoretic Analysis of Competing Models of Stochastic Computation

We adapt tools from information theory to analyze how an observer comes to synchronize with the hidden states of a finitary, stationary stochastic process. We show that synchronization is determined by both the process's internal organization and by an observer's model of it. We analyze these components using the convergence of state-block and block-state entropies, comparing them to the previously known convergence properties of the Shannon block entropy. Along the way, we introduce a hierarchy of information quantifiers as derivatives and integrals of these entropies, which parallels a similar hierarchy introduced for block entropy. We also draw out the duality between synchronization properties and a process's controllability. The tools lead to a new classification of a process's alternative representations in terms of minimality, synchronizability, and unifilarity.Comment: 25 pages, 13 figures, 1 tabl

Carbon Sequestration by Reforesting Legacy Grasslands on Coal Mining Sites

Future carbon management during energy production will rely on carbon capture and sequestration technology and carbon sequestration methods for offsetting non-capturable losses. The present study quantifies carbon sequestration via reforestation using measurements and modeling for recent and legacy surface coal mining grasslands that are re-restored through tree planting. This paper focuses on a case study of legacy coal mining sites in the southern Appalachia the United States. This five million-hectare region has a surface mining footprint of approximately 12% of the land area, and the reclamation method was primarily grassland. The results of the soil carbon sequestration rates for restored forest soils approach 2.0 MgC ha−1 y−1 initially and average 1.0 MgC ha−1 y−1 for the first fifty years after reclamation. Plant, coarse root and litter carbon sequestration rates were 2.8 MgC ha−1 y−1 with plant carbon estimated to equilibrate to 110 MgC ha−1 after forty years. Plant, root and litter carbon stocks are projected to equilibrate at an order of magnitude greater carbon storage than the existing conditions, highlighting the net carbon gain. Reforestation of legacy mine sites shows carbon sequestration potential several orders of magnitude greater than typical land sequestration strategies for carbon offsets. Projections of future scenarios provide results that show the study region could be carbon neutral or a small sink if widespread reforesting during reclamation was implemented, which is contrary to the business-as-usual projections that result in a large amount of carbon being released to the atmosphere in this region

Manually defining regions of interest when quantifying paravertebral muscles fatty infiltration from axial magnetic resonance imaging : a proposed method for the lumbar spine with anatomical cross-reference

Background: There is increasing interest in paravertebral muscle composition as a potential prognostic and diagnostic element in lumbar spine health. As a consequence, it is becoming popular to use magnetic resonance imaging (MRI) to examine muscle volume and fatty infiltration in lumbar paravertebral muscles to assess both age-related change and their clinical relevance in low back pain (LBP). A variety of imaging methods exist for both measuring key variables (fat, muscle) and for defining regions of interest, making pooled comparisons between studies difficult and rendering post-production analysis of MRIs confusing. We therefore propose and define a method as an option for use as a standardized MRI procedure for measuring lumbar paravertebral muscle composition, and to stimulate discussion towards establishing consensus for the analysis of skeletal muscle composition amongst clinician researchers. Method: In this descriptive methodological study we explain our method by providing an examination of regional lumbar morphology, followed by a detailed description of the proposed technique. Identification of paravertebral muscles and vertebral anatomy includes axial E12 sheet-plastinates from cadaveric material, combined with a series of axial MRIs that encompass sequencing commonly used for investigations of muscle quality (fat-water DIXON, T1-, and T2-weighted) to illustrate regional morphology; these images are shown for L1 and L4 levels to highlight differences in regional morphology. The method for defining regions of interest (ROI) for multifidus (MF), and erector spinae (ES) is then described. Results: Our method for defining ROIs for lumbar paravertebral muscles on axial MRIs is outlined and discussed in relation to existing literature. The method provides a foundation for standardising the quantification of muscle quality that particularly centres on examining fatty infiltration and composition. We provide recommendations relating to imaging parameters that should additionally inform a priori decisions when planning studies examining lumbar muscle tissues with MRI. Conclusions: We intend this method to provide a platform towards developing and delivering meaningful comparisons between MRI data on lumbar paravertebral muscle quality