Reduction in camera-specific variability in [123I]FP-CIT SPECT outcome measures by image reconstruction optimized for multisite settings: impact on age-dependence of the specific binding ratio in the ENC-DAT database of healthy controls

Purpose Quantitative estimates of dopamine transporter availability, determined with [123I]FP-CIT SPECT, depend on the SPECT equipment, including both hardware and (reconstruction) software, which limits their use in multicentre research and clinical routine. This study tested a dedicated reconstruction algorithm for its ability to reduce camera-specific intersubject variability in [123I]FP-CIT SPECT. The secondary aim was to evaluate binding in whole brain (excluding striatum) as a reference for quantitative analysis. Methods Of 73 healthy subjects from the European Normal Control Database of [123I]FP-CIT recruited at six centres, 70 aged between 20 and 82 years were included. SPECT images were reconstructed using the QSPECT software package which provides fully automated detection of the outer contour of the head, camera-specific correction for scatter and septal penetration by transmission-dependent convolution subtraction, iterative OSEMreconstruction including attenuation correction, and camera-specific Bto kBq/ml^ calibration. LINK and HERMES reconstruction were used for head-to-head comparison. The specific striatal [123I]FP-CIT binding ratio (SBR) was computed using the Southampton method with binding in the whole brain, occipital cortex or cerebellum as the reference. The correlation between SBR and age was used as the primary quality measure. Results The fraction of SBR variability explained by age was highest (1) with QSPECT, independently of the reference region, and (2) with whole brain as the reference, independently of the reconstruction algorithm. Conclusion QSPECT reconstruction appears to be useful for reduction of camera-specific intersubject variability of [123I]FP-CIT SPECT in multisite and single-site multicamera settings. Whole brain excluding striatal binding as the reference provides more stable quantitative estimates than occipital or cerebellar binding

Androgens as adjuvant treatment in postmenopausal female patients with rheumatoid arthritis

To examine the possible beneficial effect of androgens in postmenopausal women with active rheumatoid arthritis. 107 women participated in a double blind placebo controlled trial to evaluate the effect of 50 mg testosterone propionate intramuscularly every two weeks for one year. An improvement in ESR, Dutch health assessment questionnaire, and pain was noted. In addition, 21% of patients treated with testosterone fulfilled the ACR improvement criteria after one year, versus only 4% of the placebo group. The treatment was well tolerated. Testosterone may improve the general wellbeing of postmenopausal women with active rheumatoid arthriti

Monitoring metrical stress in polysyllabic words

Contains fulltext : 55638.pdf (publisher's version ) (Closed access)This study investigated the monitoring of metrical stress information in internally generated speech. In Experiment 1, Dutch participants were asked to judge whether bisyllabic picture names had initial or final stress. Results showed significantly faster decision times for initially stressed targets (e.g., KAno "canoe") than for targets with final stress (e.g., kaNON "cannon"; capital letters indicate stressed syllables). It was demonstrated that monitoring latencies are not a function of the picture naming or object recognition latencies to the same pictures. Experiments 2 and 3 replicated the outcome of the first experiment with trisyllabic picture names. These results are similar to the findings of Wheeldon and Levelt (1995) in a segment monitoring task. The outcome might be interpreted to demonstrate that phonological encoding in speech production is a rightward incremental process. Alternatively, the data might reflect the sequential nature of a perceptual mechanism used to monitor lexical stress.29 p