PARASO, a circum-Antarctic fully coupled ice-sheet–ocean–sea-ice–atmosphere–land model involving f.ETISh1.7, NEMO3.6, LIM3.6, COSMO5.0 and CLM4.5

We introduce PARASO, a novel five-component fully coupled regional climate model over an Antarctic circumpolar domain covering the full Southern Ocean. The state-of-the-art models used are the fast Elementary Thermomechanical Ice Sheet model (f.ETISh) v1.7 (ice sheet), the Nucleus for European Modelling of the Ocean (NEMO) v3.6 (ocean), the Louvain-la-Neuve sea-ice model (LIM) v3.6 (sea ice), the COnsortium for Small-scale MOdeling (COSMO) model v5.0 (atmosphere) and its CLimate Mode (CLM) v4.5 (land), which are here run at a horizontal resolution close to . One key feature of this tool resides in a novel two-way coupling interface for representing ocean–ice-sheet interactions, through explicitly resolved ice-shelf cavities. The impact of atmospheric processes on the Antarctic ice sheet is also conveyed through computed COSMO-CLM–f.ETISh surface mass exchange. In this technical paper, we briefly introduce each model's configuration and document the developments that were carried out in order to establish PARASO. The new offline-based NEMO–f.ETISh coupling interface is thoroughly described. Our developments also include a new surface tiling approach to combine open-ocean and sea-ice-covered cells within COSMO, which was required to make this model relevant in the context of coupled simulations in polar regions. We present results from a 2000–2001 coupled 2-year experiment. PARASO is numerically stable and fully operational. The 2-year simulation conducted without fine tuning of the model reproduced the main expected features, although remaining systematic biases provide perspectives for further adjustment and development

Urolithiasis

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The critical role of CT angiography in the detection and management of lower gastro-intestinal bleeding

Lower gastro-intestinal bleeding (LGIB) is defined as a bleeding site localised in the colon or anorectum. (1) In the past, the diagnosis of LGIB has been a serious challenge for the radiology department because of its possible intermittent character, making it difficult to pinpoint the bleeding site. Patients with a LGIB will typically have undergone a long diagnostic work-up before they end up on the interventional radiology department. The development of multi-detector computed tomography (CT) has made radiological diagnosis of LGIB easier. CT is not only able to localize the active bleeding site but may also demonstrate the vascular anatomy and the underlying cause, hereby directing further management and guiding therapeutic interventions, as will be illustrated in both of our cases

Prevalence of structural lesions typical for axial spondyloarthritis in young military recruits before and after mechanical stress

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Presence of bone marrow edema on magnetic resonance imaging of the sacroiliac joints in military recruits before and after 6 weeks of intensive physical training

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MR enterography in children with Crohn's disease: results from the Belgian Pediatric Crohn registry (Belcro)

Abstract INTRODUCTION: Magnetic Resonance enterography (MRE) is an imaging modality avoiding ionizing radiation and the discomfort associated with enteroclysis. The results of MRE at diagnosis in the patients of the Belgian pediatric Crohn registry (Belcro) are compared to endoscopical and histological results. METHODS: Results of MRE, endoscopy and histology were obtained from the medical charts and assigned to one of the following segments: jejunum, ileum, ascending colon, transverse colon, descending colon or rectosigmoid. MRE images were reviewed in a blinded way by 4 radiologists with specific interest in pediatric MRE. RESULTS: From the Belcro registry, twenty-two patients underwent a MRE during their work-up for Crohn disease. The results of endoscopy, histology and MRE were concordant (either all negative or positive) in the ileum in 16/18 patients and in the rectosigmoid, descending colon, transverse colon and ascending colon in resp 9, 8, 8 and 8/22 patients. In the non-concordant cases (MRE colon negative but endoscopy and/or histology positive), MRE could not reflect the subtle endoscopic or histologic lesions such as erosions that were described.In 4 cases where ileocaecal valve intubation was impossible ileal MRE findings were abnormal. MRE detected ileal stenosis, jejunal lesions and fistula in resp 4/22, 3/22 en 2/22 patients. The 100% and 75% interobserver agreement was resp 50-82% and 773-100% according to the different intestinal segments. CONCLUSIONS: MRE is a promising imaging modality avoiding radiation in Crohn disease. It should probably become the technique of first choice for the evaluation of extensive small bowel disease in children with Crohn disease