A New SteatoScore in the Evaluation of Non-Alcoholic Liver Disease in Oncologic Patients

PurposeThe aims of this study were to evaluate the reproducibility of a new multi-parametric steatoscore (new SteatoScore) in oncologic patients with non-alcoholic fatty liver disease (NAFLD) and to compare it with computed tomography (CT). Materials and MethodsFifty-one (31 men, 20 women) oncologic patients, with a mean age and weight of 63.9 years and 78.33 kg, respectively, were retrospectively enrolled in the study. Patients underwent ultrasound (US) and computed tomography (CT) examinations as part of their oncologic follow-up protocol. US examinations were performed by using a 3.5-MHz convex probe. During the US examination, three standardized clips were obtained in each patient. Two operators performed all measurements, one of whom repeated the processing twice in 1 year. Hepatic/renal ratio (HR), attenuation rate (AR), diaphragm visualization (DV), hepatic/portal vein ratio (HPV), and portal vein wall visualization (PVW) were acquired and calculated by using Matlab and inserted in a multi-parametric algorithm called new SteatoScore. On unenhanced CT scan, hepatic attenuation (HA), liver-spleen difference (L-S), and liver/spleen ratio (L/S) were measured by placement of a region of interest (ROI) within liver and spleen parenchyma, avoiding areas with vessels and biliary ducts. ResultsThe intra-observer variability was greater than the inter-observer one, with intraclass correlation coefficient (ICC) values of 0.94 and 0.97, respectively. Correlation between single US and CT parameters provided an agreement in no case exceeding 50%. New SteatoScore showed high reproducibility, and high coefficient of correlation with L-S (R = -0.64; p < 0.0001) and L/S (R = -0.62; p < 0.0001) at CT. ConclusionNew SteatoScore has a high reproducibility and shows a good correlation with unenhanced CT in evaluation of oncologic patients with NAFLD

Human glioblastoma multiforme: p53 reactivation by a novel MDM2 inhibitor

Cancer development and chemo-resistance are often due to impaired functioning of the p53 tumor suppressor through genetic mutation or sequestration by other proteins. In glioblastoma multiforme (GBM), p53 availability is frequently reduced because it binds to the Murine Double Minute-2 (MDM2) oncoprotein, which accumulates at high concentrations in tumor cells. The use of MDM2 inhibitors that interfere with the binding of p53 and MDM2 has become a valid approach to inhibit cell growth in a number of cancers; however little is known about the efficacy of these inhibitors in GBM. We report that a new small-molecule inhibitor of MDM2 with a spirooxoindolepyrrolidine core structure, named ISA27, effectively reactivated p53 function and inhibited human GBM cell growth in vitro by inducing cell cycle arrest and apoptosis. In immunoincompetent BALB/c nude mice bearing a human GBM xenograft, the administration of ISA27 in vivo activated p53, inhibited cell proliferation and induced apoptosis in tumor tissue. Significantly, ISA27 was non-toxic in an in vitro normal human cell model and an in vivo mouse model. ISA27 administration in combination with temozolomide (TMZ) produced a synergistic inhibitory effect on GBM cell viability in vitro, suggesting the possibility of lowering the dose of TMZ used in the treatment of GBM. In conclusion, our data show that ISA27 releases the powerful antitumor capacities of p53 in GBM cells. The use of this MDM2 inhibitor could become a novel therapy for the treatment of GBM patients

Structured reporting of computed tomography in the polytrauma patient assessment. A Delphi consensus proposal

Objectives: To develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus of a panel of emergency radiology experts from the Italian Society of Medical and Interventional Radiology. Methods: A multi-round Delphi method was used to quantify inter-panelist agreement for all SR sections. Internal consistency for each section and quality analysis in terms of average inter-item correlation were evaluated by means of the Cronbach’s alpha (Cα) correlation coefficient. Results: The final SR form included 118 items (6 in the “Patient Clinical Data” section, 4 in the “Clinical Evaluation” section, 9 in the “Imaging Protocol” section, and 99 in the “Report” section). The experts’ overall mean score and sum of scores were 4.77 (range 1–5) and 257.56 (range 206–270) in the first Delphi round, and 4.96 (range 4–5) and 208.44 (range 200–210) in the second round, respectively. In the second Delphi round, the experts’ overall mean score was higher than in the first round, and standard deviation was lower (3.11 in the second round vs 19.71 in the first round), reflecting a higher expert agreement in the second round. Moreover, Cα was higher in the second round than in the first round (0.97 vs 0.87). Conclusions: Our SR template for whole-body CT examinations of polytrauma patients is based on a strong agreement among panel experts in emergency radiology and could improve communication between radiologists and the trauma team

Teaching precision farming and entrepreneurship for European students: Sparkle online course

Within the framework of the European project named ‘SPARKLE’, an online course was created after studying educational needs on precision agriculture (PA), state of the art of technologies and a prospective study of the commercial sector. Five educational and research institutions, high-tech farms and enterprises specializing in technology transfer created the syllabus of the course and the platform contents. The course was designed to provide 30 h of student dedication, via online presentations, documents and videos for each topic. A free pilot course started in April 2020 and 385 students from Italy, Portugal, Greece & Spain enrolled. To trace performance and acquisition of competences, questionnaires were completed by students for each topic and a final overall test. Students’ opinions about the course were also registered using anonymous polls, and results evaluated, to be able to enhance the Sparkle course for subsequent editions. Students also took part in a business model competition, to solve real challenges proposed by farms, related to the use of these technologies

Comparative expression pattern of Matrix-Metalloproteinases in human glioblastoma cell-lines and primary cultures

<p>Abstract</p> <p>Background</p> <p>Glioblastomas (GBM), the most frequent malignant brain tumors in adults, are characterized by an aggressive local growth pattern and highly invasive tumor cells. This invasion is facilitated by expression of matrix metalloproteinases (MMPs), a family of zinc-dependent endopeptidases. They mediate the degradation of protein components of the extracellular matrix. Twenty-three family members are known. Elevated levels of several of them have been reported in GBM. GBM cell-lines are used for <it>in vitro </it>studies of cell migration and invasion. Therefore, it is essential to know their MMP expression patterns. Only limited data for some of the cell-lines are published, yet. To fill the gaps in our knowledge would help to choose suitable model systems for analysis of regulation and function of MMPs during GBM tumorigenesis, cell migration and invasion.</p> <p>Findings</p> <p>We analysed MMP-1, -8, -9, -10, -11, -13, -17, -19, -20, -21, -23, -24, -26, -27, and MMP-28 expression in seven GBM cell-lines (SNB-19, GaMG, U251, U87, U373, U343, U138) and in four primary cell cultures by semiquantitative RT-PCR, followed changes in the MMP expression pattern with increasing passages of cell culture and examined the influence of TNF-α and TGF-β1 stimulation on the expression of selected MMPs in U251 and U373 cells.</p> <p>MMP-13, -17, -19 and -24 were expressed by all analyzed cell-lines, whereas MMP-20 and MMP-21 were not expressed by any of them. The other MMPs showed variable expression, which was dependent on passage number. Primary cells displayed a similar MMP-expression pattern as the cell-lines. In U251 and U373 cells expression of MMP-9 and MMP-19 was stimulated by TNF-α. MMP-1 mRNA expression was significantly increased in U373 cells, but not in U251 cells by this cytokine. Whereas TGF-β1 had no impact on MMP expression in U251 cells, it significantly induced MMP-11 and MMP-24 expression in U373 cells.</p> <p>Conclusions</p> <p>Literature-data and our own results suggest that the expression pattern of MMPs is highly variable, dependent on the cell-line and the cell-culture conditions used and that also regulation of MMP expression by cytokines is cell-line dependent. This is of high impact for the transfer of cell-culture experiments to clinical implementation.</p

Designers' promises or users' expectations?

Several frameworks describe the design process, such as the FBS model and its extensions. Some of them present a designer-centric view, while the most recent ones are more based on the user's point of view. This paper investigates and seeks to explain the different perspectives between designer and user after the first interactions with the product. In particular, the paper models how the designer's promises of functionalities match (or mismatch) the user's expectations. Thus twenty-four examples, including misuses, unperceived functions, hidden functions, failures etc., are mapped in a table. The paper provides also a formal model based on Function-Behavior-Structure approach to describe the possible cases of misunderstanding between the user and the designer. Such a model formally links the designed product, as it is conceived by the designer, and the perceived product, as it is understood and interpreted by the user. Finally a series of redesigned actions are proposed to try to overcome some of the cases of misunderstanding between the user's and the designer's perspectives

Implementing collaborative crowd sourcing in different design problems

The new product development process increasingly involves multidisciplinary teams, that frequently do not belong to the same institution. Innovation often comes from external actors, as suppliers, end-users etc., according to the paradigm of Open Innovation. Crowdsourcing is one of the new trends in the Open Innovation philosophy. The main aim of this study is to present how and for which design activities crowdsourcing is useful for the new product design. After a brief definition of benefits and limitations of collaborative crowdsourcing, the paper presents a new web platform that allows the collaborative design of new products. The main features of the platform are tools suitable to overcome some of the presented criticalities of crowdsourcing, such as an IPR tracking system. These tests have been used to evaluate the developed tools, as well as to identify the typologies of product design problems that can be advantageously solved through crowdsourcing. For each class of problems some guidelines to manage the problem solving sessions are provided

Concept design of new grippers using abstraction and analogy

Design by analogy is a powerful technique for new design solutions. In the literature, there are two possible approaches. The first is more user-friendly but is low structured. The other is more complex, which structures the problem better but is highly time-consuming. This article presents a simple system for structuring the design-by-analogy method, which is based on the abstraction of the problem. The application of these solutions resulted in an increase in design possibilities. Results were collected in a repository, whose order is based on functional logic. The proposed technique was tested on the conceptual phase in the design of novel grippers. The application resulted in the development of innovative grippers. The process can be extended to many different fields. The method can be used as a creativity support during the design phase, also creating repositories that can be enlarged and reused for different applications