Numerical Insights for AAA Growth Understanding and Predicting: Morphological and Hemodynamic Risk Assessment Features and Transient Coherent Structures Uncovering

Les anévrismes de l'aorte abdominale (AAA) sont des dilatations localisées et fréquentes de l'aorte. En cas de rupture, seul un traitement immédiat peut prévenir la morbidité et la mortalité. Le diamètre maximal AAA ($D_{max}$) et la croissance sont les paramètres actuels pour évaluer le risque associé et planifier l'intervention, avec des seuils inférieurs pour les femmes. Cependant, ces critères ne sont pas personnalisés ; la rupture peut se produire à un diamètre inférieur et les patients vivre avec un AAA important. Si l'on sait que la maladie est associée à une modification de la morphologie et de la circulation sanguine, à un dépôt de thrombus intra-luminal et à des symptômes cliniques, les mécanismes de croissance ne sont pas encore entièrement compris. Dans cette étude longitudinale, une analyse morphologique et des simulations de flux sanguins sont effectuées et comparées aux sujets témoins chez 32 patients ayant reçu un diagnostic clinique d'AAA et au moins 3 tomodensitogrammes de suivi par patient. L'objectif est d'abord d'examiner quels paramètres stratifient les patients entre les groupes sains, à faible risque et à risque élevé. Les corrélations locales entre les paramètres hémodynamiques et la croissance de l'AAA sont également explorées, car la croissance hétérogène de l'AAA n'est actuellement pas comprise. Enfin, les paramètres composites sont construits à partir de données cliniques, morphologiques et hémodynamiques et de leur capacité à prédire si un patient sera soumis à un test de risque. La performance de ces modèles construits à partir de l'apprentissage supervisé est évaluée par les ROC AUC : ils sont respectivement de 0.73 ± 0.09, 0.93 ± 0.08 et 0.96 ± 0.10 . En incorporant tous les paramètres, on obtient une AUC de 0.98 ± 0.06. Pour mieux comprendre les interactions entre la croissance et la topologie de l'écoulement de l'AAA, on propose un worflow spécifique au patient pour calculer les exposants de Lyapunov en temps fini et extraire les structures lagrangiennes-cohérentes (SLC). Ce modèle de calcul a d'abord été comparé à l'imagerie par résonance magnétique (IRM) par contraste de phase 4-D chez 5 patients. Pour mieux comprendre l'impact de la topologie de l'écoulement et du transport sur la croissance de l'AAA, des SLC hyperboliques répulsives ont été calculées chez un patient au cours d'un suivi de 8 ans, avec 9 mesures morphologiques volumétriques de l'AAA par tomographie-angiographie. Les SLC ont défini les frontières du jet entrant dans l'AAA. Les domaines situés entre le SLC et le mur aortique ont été considérés comme des zones de stagnation. Leur évolution a été étudiée lors de la croissance de l'AAA. En plus des SLC hyperboliques (variétés attractives et répulsives) découvertes par FTLE, les SLC elliptiques ont également été considérées. Il s'agit de régions dominées par la rotation, ou tourbillons, qui sont de puissants outils pour comprendre les phénomènes de transport dans les AAA.Abdominal aortic aneurysms (AAA) are localized, commonly-occurring dilations of the aorta. In the event of rupture only immediate treatment can prevent morbidity and mortality. The AAA maximal diameter ($D_{max}$) and growth are the current metrics to evaluate the associated risk and plan intervention, with lower thresholds for women. However, these criteria lack patient specificity; rupture may occur at lower diameter and patients may live with large AAA. If the disease is known to be associated with altered morphology and blood flow, intra-luminal thrombus deposit and clinical symptoms, the growth mechanisms are yet to be fully understood. In this longitudinal study, morphological analysis and blood flow simulations for 32 patients with clinically diagnosed AAA and at least 3 follow-up CT-scans per patient, are performed and compared to control subjects. The aim is first to investigate which metrics stratify patients between healthy, low risk and high risk groups. Local correlations between hemodynamical metrics and AAA growth are also explored, as AAA heterogeneous growth is currently not understood. Finally, composite metrics are built from clinical, morphological, and hemodynamical data, and their ability to predict if a patient will become at risk tested. Performance of these models built from supervised learning is assessed by ROC AUCs: they are respectively, 0.73 ± 0.09, 0.93 ± 0.08 and 0.96 ± 0.10. Mixing all metrics, an AUC of 0.98 ± 0.06 is obtained. For further insights into AAA flow topology/growth interaction, a workout of patient-specific computational flow dynamics (CFD) is proposed to compute finite-time Lyapunov exponents and extract Lagrangian-coherent structures (LCS). This computational model was first compared with 4-D phase-contrast magnetic resonance imaging (MRI) on 5 patients. To better understand the impact of flow topology and transport on AAA growth, hyperbolic, repelling LCS were computed in 1 patient during 8-years follow-up, including 9 volumetric morphologic AAA measures by computed tomography-angiography (CTA). LCS defined barriers to Lagrangian jet cores entering AAA. Domains enclosed between LCS and the aortic wall were considered to be stagnation zones. Their evolution was studied during AAA growth. In addition to hyperbolic (attracting and repelling) LCS uncovered by FTLE, elliptic LCS were also considered. Those encloses rotation-dominated regions, or vortices, which are powerful tools to understand the flow transport in AAA

Monoaminergic modulation of photoreception in ascidian:evidence for a proto-hypothalamo-retinal territory

Background : The retina of craniates/vertebrates has been proposed to derive from a photoreceptor prosencephalic territory in ancestral chordates, but the evolutionary origin of the different cell types making the retina is disputed. Except for photoreceptors, the existence of homologs of retinal cells remains uncertain outside vertebrates. Methods : The expression of genes expressed in the sensory vesicle of the ascidian Ciona intestinalis including those encoding components of the monoaminergic neurotransmission systems, was analyzed by in situ hybridization or in vivo transfection of the corresponding regulatory elements driving fluorescent reporters. Modulation of photic responses by monoamines was studied by electrophysiology combined with pharmacological treatments. Results : We show that many molecular characteristics of dopamine-synthesizing cells located in the vicinity of photoreceptors in the sensory vesicle of the ascidian Ciona intestinalis are similar to those of amacrine dopamine cells of the vertebrate retina. The ascidian dopamine cells share with vertebrate amacrine cells the expression of the key-transcription factor Ptf1a, as well as that of dopamine-synthesizing enzymes. Surprisingly, the ascidian dopamine cells accumulate serotonin via a functional serotonin transporter, as some amacrine cells also do. Moreover, dopamine cells located in the vicinity of the photoreceptors modulate the light-off induced swimming behavior of ascidian larvae by acting on alpha2-like receptors, instead of dopamine receptors, supporting a role in the modulation of the photic response. These cells are located in a territory of the ascidian sensory vesicle expressing genes found both in the retina and the hypothalamus of vertebrates (six3/6, Rx, meis, pax6, visual cycle proteins). Conclusion : We propose that the dopamine cells of the ascidian larva derive from an ancestral multifunctional cell population located in the periventricular, photoreceptive field of the anterior neural tube of chordates, which also gives rise to both anterior hypothalamus and the retina in craniates/vertebrates. It also shows that the existence of multiple cell types associated with photic responses predates the formation of the vertebrate retina

Approche multivariée des facteurs influençant le bilan de masse d’un glacier arctique

National audienceL’Arctique est la zone géographique où la modification du climat au cours du XXIieme siècle sera la plus forte de la planète. La totalité de la cryosphère (banquise, glaciers, pergélisol, etc.) subira de profondes altérations qui se traduiront spatialement par des évolutions majeures. Les glaciers sont de bons indicateurs de ces changements, aussi bien à une échelle locale que globale, car leur dynamique est très sensible au climat. Cette étude porte sur un glacierdu Spitsberg où il a été observé que des conditions climatiques et nivologiques contrastées d’une année sur l’autre avaient des conséquences multiples, et parfois inattendues, sur les bilans de masse

Numerical analysis of pulsed local plane-wave generation in a TREC

International audienceThe feasibility of generating arbitrary wavefronts within a time-reversal electromagnetic chamber (TREC) has been demonstrated both theoretically and experimentally. Though originally motivated for EMC tests, the generation of coherent wavefronts within a reverberating cavity has a potential interest in antenna testing, too. In this paper, the generation of locally planar wavefronts is addressed by means of numerical simulations involving a 2D cavity, for a scalar electric field. The relationship between the quality of the wavefronts and its defining parameters (bandwidth, curvature, phase center, etc.) is investigated

Trunk lateral cells are neural crest-like cells in the ascidian Ciona intestinalis: Insights into the ancestry and evolution of the neural crest

AbstractNeural crest-like cells (NCLC) that express the HNK-1 antigen and form body pigment cells were previously identified in diverse ascidian species. Here we investigate the embryonic origin, migratory activity, and neural crest related gene expression patterns of NCLC in the ascidian Ciona intestinalis. HNK-1 expression first appeared at about the time of larval hatching in dorsal cells of the posterior trunk. In swimming tadpoles, HNK-1 positive cells began to migrate, and after metamorphosis they were localized in the oral and atrial siphons, branchial gill slits, endostyle, and gut. Cleavage arrest experiments showed that NCLC are derived from the A7.6 cells, the precursors of trunk lateral cells (TLC), one of the three types of migratory mesenchymal cells in ascidian embryos. In cleavage arrested embryos, HNK-1 positive TLC were present on the lateral margins of the neural plate and later became localized adjacent to the posterior sensory vesicle, a staging zone for their migration after larval hatching. The Ciona orthologues of seven of sixteen genes that function in the vertebrate neural crest gene regulatory network are expressed in the A7.6/TLC lineage. The vertebrate counterparts of these genes function downstream of neural plate border specification in the regulatory network leading to neural crest development. The results suggest that NCLC and neural crest cells may be homologous cell types originating in the common ancestor of tunicates and vertebrates and support the possibility that a putative regulatory network governing NCLC development was co-opted to produce neural crest cells during vertebrate evolution

A cohort longitudinal study identifies morphology and hemodynamics predictors of abdominal aortic aneurysm growth

International audienceAbdominal aortic aneurysms (AAA) are localized, commonly occurring aortic dilations. Following rupture only immediate treatment can prevent morbidity and mortality. AAA maximal diameter and growth are the current metrics to evaluate the associated risk and plan intervention. Although these criteria alone lack patient specificity, predicting their evolution would improve clinical decision. If the disease is known to be associated with altered morphology and blood flow, intraluminal thrombus deposit and clinical symptoms, the growth mechanisms are yet to be fully understood. In this retrospective longitudinal study of 138 scans, morphological analysis and blood flow simulations for 32 patients with clinically diagnosed AAAs and several follow-up CT-scans, are performed and compared to 9 control subjects. Several metrics stratify patients between healthy, low and high risk groups. Local correlations between hemodynamic metrics and AAA growth are also explored but due to their high inter-patient variability, do not explain AAA heterogeneous growth. Finally, high-risk predictors trained with successively clinical, morphological, hemodynamic and all data, and their link to the AAA evolution are built from supervise learning. Predictive performance is high for morphological, hemodynamic and all data, in contrast to clinical data. The morphology-based predictor exhibits an interesting effort-predictability tradeoff to be validated for clinical translation

Intravital Dynamic and Correlative Imaging of Mouse Livers Reveals Diffusion-Dominated Canalicular and Flow-Augmented Ductular Bile Flux

Background and Aims Small‐molecule flux in tissue microdomains is essential for organ function, but knowledge of this process is scant due to the lack of suitable methods. We developed two independent techniques that allow the quantification of advection (flow) and diffusion in individual bile canaliculi and in interlobular bile ducts of intact livers in living mice, namely fluorescence loss after photoactivation and intravital arbitrary region image correlation spectroscopy. Approach and Results The results challenge the prevailing “mechano‐osmotic” theory of canalicular bile flow. After active transport across hepatocyte membranes, bile acids are transported in the canaliculi primarily by diffusion. Only in the interlobular ducts is diffusion augmented by regulatable advection. Photoactivation of fluorescein bis‐(5‐carboxymethoxy‐2‐nitrobenzyl)‐ether in entire lobules demonstrated the establishment of diffusive gradients in the bile canalicular network and the sink function of interlobular ducts. In contrast to the bile canalicular network, vectorial transport was detected and quantified in the mesh of interlobular bile ducts. Conclusions The liver consists of a diffusion‐dominated canalicular domain, where hepatocytes secrete small molecules and generate a concentration gradient and a flow‐augmented ductular domain, where regulated water influx creates unidirectional advection that augments the diffusive flux

The effects of ten weeks resistance training on sticking region in chest-press exercises

The aim of the study was to compare the effects of a 10-week chest-press resistance training on lifting regions in a trained exercise and a none-trained exercise; the barbell bench press (BBP). Thirty-five resistance trained men with 4.2 (± 2.3) years of resistance training experience were recruited. The participants were randomized to attend a resistance program, performing the chest-press, twice per week using either, Smith machine, dumbbells or laying on Swiss ball using a barbell. A six-repetitions maximum (6RM) test was conducted pre- and post-training in the trained chest-press exercise and non-trained BBP to examine lifting velocity, load displacement and the time of the pre-sticking, sticking and post-sticking regions. Additionally, the muscle activity in pectoralis major, triceps brachii, biceps brachii and deltoid anterior was examined. In the post-test, all three chest-press groups decreased lifting velocity and increased the time to reach the sticking- and post-sticking region. Independent of the type of chest-press exercise trained, no differences were observed in vertical displacement or in the muscle activity for the three lifting regions. In general, similar changes in kinematics in trained exercise and those observed in the BBP were observed for all three groups. This indicates that none of the three chest-press exercises (Swiss ball, Smith machine or dumbbells) were specific regarding the lifting regions but displaced a transferability towards the non-trained BBP. However, improved strength altered the sticking region among resistance trained men.publishedVersio

Phylogenomics and morphological evolution of the mega-diverse genus Artemisia (Asteraceae: Anthemideae): implications for its circumscription and infrageneric taxonomy

Background and Aims Artemisia is a mega-diverse genus consisting of ~400 species. Despite its medicinal importance and ecological significance, a well-resolved phylogeny for global Artemisia, a natural generic delimitation and infrageneric taxonomy remain missing, owing to the obstructions from limited taxon sampling and insufficient information on DNA markers. Its morphological characters, such as capitulum, life form and leaf, show marked variations and are widely used in its infrageneric taxonomy. However, their evolution within Artemisia is poorly understood. Here, we aimed to reconstruct a well-resolved phylogeny for global Artemisia via a phylogenomic approach, to infer the evolutionary patterns of its key morphological characters and to update its circumscription and infrageneric taxonomy. Methods We sampled 228 species (258 samples) of Artemisia and its allies from both fresh and herbarium collections, covering all the subgenera and its main geographical areas, and conducted a phylogenomic analysis based on nuclear single nucleotide polymorphisms (SNPs) obtained from genome skimming data. Based on the phylogenetic framework, we inferred the possible evolutionary patterns of six key morphological characters widely used in its previous taxonomy. Key Results The genus Kaschgaria was revealed to be nested in Artemisia with strong support. A well-resolved phylogeny of Artemisia consisting of eight highly supported clades was recovered, two of which were identified for the first time. Most of the previously recognized subgenera were not supported as monophyletic. Evolutionary inferences based on the six morphological characters showed that different states of these characters originated independently more than once. Conclusions The circumscription of Artemisia is enlarged to include the genus Kaschgaria. The morphological characters traditionally used for the infrageneric taxonomy of Artemisia do not match the new phylogenetic tree. They experienced a more complex evolutionary history than previously thought. We propose a revised infrageneric taxonomy of the newly circumscribed Artemisia, with eight recognized subgenera to accommodate the new results.This work was supported by the National Natural Science Foundation of China (grant nos. 31870179, 31570204, 31270237 and J1310002), the International Partnership Program (grant no. 151853KYSB20190027), Sino-Africa Joint Research Center (grant no. SAJC201614), Key technology projects of Jiangxi Province's major scientific and technological research and development project (grant no. 20223AAF01007), Survey of Wildlife Resources in Key Areas of Tibet (grant no. ZL202203601) and National Plant Specimen Resource Center (grant no. E0117G1001) of the Chinese Academy of Sciences, Key Project at Central Government Level: The Ability Establishment of Sustainable Use of Valuable Chinese Medicine Resources (grant no. 2060302) and Project of the Central Siberian Botanical Garden of the Siberian Branch of the Russian Academy of Sciences (grant no. AAAA-A21-121011290024-5).Abstract INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION Conclusions SUPPLEMENTARY DATA FUNDING ACKNOWLEDGEMENTS CONFLICT OF INTEREST LITERATURE CITED Supplementary dat