Comparison of Technetium-99m-MIBI imaging with MRI for detection of spine involvement in patients with multiple myeloma

BACKGROUND: Recently, radiopharmaceutical scanning with Tc-99m-MIBI was reported to depict areas with active bone disease in multiple myeloma (MM) with both high sensitivity and specificity. This observation was explained by the uptake of Tc-99m-MIBI by neoplastic cells. The present investigation evaluates whether Tc-99m-MIBI imaging and magnetic resonance imaging (MRI) perform equally well in detecting myelomatous bone marrow lesions. METHODS: In 21 patients with MM, MRIs of the vertebral region TH12 to S1 and whole body scans with Tc-99m-MIBI were done. RESULTS: Tc-99m-MIBI scanning missed bone marrow infiltration in 43 of 87 vertebrae (50.5%) in which MRI showed neoplastic bone marrow involvement. In patients with disease stage I+II, Tc-99m-MIBI scanning was negative in all of 24 vertebrae infiltrated according to MRI. In patients with disease stage III, Tc-99m-MIBI scanning detected 44 of 63 (70%) vertebrae involved by neoplastic disease. CONCLUSION: Tc-99m-MIBI scanning underestimated the extent of myelomatous bone marrow infiltration in the spine, especially in patients with low disease stage

Assessment of diffuse Lewy body disease by 2-[18F]fluoro-2-deoxy-D-glucose positron emission tomography (FDG PET)

BACKGROUND: Lewy body disease is, after Alzheimer's disease, the second most common cause of senile degenerative dementia with progressive cognitive deterioration, fluctuation of cognitive and motoric functions and psychotic symptoms. It is characterized histologically by the occurrence of Lewy bodies in allocortical, neocortical and subcortical structures. The aim of this study was to measure the cortical glucose metabolism using FDG PET (2-[18F]fluoro-2-deoxy-D-glucose position emission tomography) compared to normal subjects. PATIENTS AND METHODS: Five patients (5 m, mean age 75 y) with clinically suspected diffuse Lewy body disease (DLB) were studied with FDG PET. PET studies of the head were performed with a Siemens ECAT-ART PET-scanner with attenuation correction using 137-Cs point sources. RESULTS: We found the same distribution pattern of diffuse glucose hypometabolism in the entire cortical region with relative sparing of the primary sensory-motor cortex in all the patients. The few cases reported in the literature so far describe findings similar to ours. CONCLUSION: The pattern of diffuse glucose hypometabolism in the entire cortex including the occipital region seems to be a typical feature of DLB that is distinctive from dementia of Alzheimer's disease

Genetic variability, shell and sperm morphology suggest that the surf clams Donax marincovichi and D. obesulus are one species

The taxonomy of two sympatric surf clams Donax marincovichi Coan, 1983 and Donax obesulus Reeve, 1854, inhabiting the coastal Humboldt Current Upwelling System is revisited. Because both species are exploited by artisanal fisheries, it is essential to verify that they are indeed distinct species that have to be managed separately. In this study, both taxa were sampled across their shared distributional area and specimens were indentified according to their respective morphological characteristics. Although width/height and height/length ratios revealed significant differences within sampling areas, the two morphotypes were frequently incongruent for taxonomically important morphometric parameters. In addition, they showed no significant mitochondrial genetic differentiation within or among populations and exhibited indistinguishable sperm ultrastructure. We conclude that the two morphotypes do not represent distinct species and should be included together under D. obesulus

Genetic and morphological variation in four populations of the surf clam Donax serra (Röding) from southern African sandy beaches

The surf clam Donax serra (Bivalvia, Donacidae) dominates sandy beach communities of two southern African biogeographical regions, a cold (Benguela current) and warm province (Agulhas current). Morphometric and behavioural differences led to a controversial discussion of whether or not populations from the two provinces belong to the same species. Shell size measurements confirmed morphological differences: clams from the cold province were significantly rounder, flatter and less wedge-shaped than clams from the warm province. In this study a genetic approach was used to relate phenotypic differences to genetic variability of four populations of D. serra separated by up to 2 500 km of shoreline. Genetic analysis of twenty-two protein-coding loci was carried out by starch-gel electrophoresis. Populations studied are conspecific (genetic distances range from 0.003 to 0.044) and possess genetic variation (alleles per locus: 1.73 - 1.91; mean heterozygosity: 18 - 22%; percentage polymorphism: 45.5 - 59.1%) in the range of most other marine bivalves, which allows for potential adaptation to environmental changes. Wrights fixation indices show little to moderate genetic divergence among the subpopulations relative to the limiting amount under complete fixation (FST = 0.016 - 0.089), moderate divergence of individuals relative to the total population (FIS = 0.265 - 0.452), and comparably high divergence of individuals relative to the compound population (FIT = 0.300 - 0.473). The effective number of individuals exchanged between populations in each generation is high enough (1.44 - 8.65) to counteract genetic drift. We propose that the observed differences represent phenotypic plasticity enabling this species to inhabit different biogeographic regions. Gene flow, balanced selective pressure and evolutionary inertia are discussed as explanations for similarities of the two outlying populations. The substantial subdivision of the two Namibian populations indicates a potential biotic barrier and requires separate studies of the population dynamics