Patterns of Retinal Damage Facilitate Differential Diagnosis between Susac Syndrome and MS

Susac syndrome, a rare but probably underdiagnosed combination of encephalopathy, hearing loss, and visual deficits due to branch retinal artery occlusion of unknown aetiology has to be considered as differential diagnosis in various conditions. Particularly, differentiation from multiple sclerosis is often challenging since both clinical presentation and diagnostic findings may overlap. Optical coherence tomography is a powerful and easy to perform diagnostic tool to analyse the morphological integrity of retinal structures and is increasingly established to depict characteristic patterns of retinal pathology in multiple sclerosis. Against this background we hypothesised that differential patterns of retinal pathology facilitate a reliable differentiation between Susac syndrome and multiple sclerosis. In this multicenter cross-sectional observational study optical coherence tomography was performed in nine patients with a definite diagnosis of Susac syndrome. Data were compared with age-, sex-, and disease duration-matched relapsing remitting multiple sclerosis patients with and without a history of optic neuritis, and with healthy controls. Using generalised estimating equation models, Susac patients showed a significant reduction in either or both retinal nerve fibre layer thickness and total macular volume in comparison to both healthy controls and relapsing remitting multiple sclerosis patients. However, in contrast to the multiple sclerosis patients this reduction was not distributed over the entire scanning area but showed a distinct sectorial loss especially in the macular measurements. We therefore conclude that patients with Susac syndrome show distinct abnormalities in optical coherence tomography in comparison to multiple sclerosis patients. These findings recommend optical coherence tomography as a promising tool for differentiating Susac syndrome from MS

NetMets: software for quantifying and visualizing errors in biological network segmentation

One of the major goals in biomedical image processing is accurate segmentation of networks embedded in volumetric data sets. Biological networks are composed of a meshwork of thin filaments that span large volumes of tissue. Examples of these structures include neurons and microvasculature, which can take the form of both hierarchical trees and fully connected networks, depending on the imaging modality and resolution. Network function depends on both the geometric structure and connectivity. Therefore, there is considerable demand for algorithms that segment biological networks embedded in three-dimensional data. While a large number of tracking and segmentation algorithms have been published, most of these do not generalize well across data sets. One of the major reasons for the lack of general-purpose algorithms is the limited availability of metrics that can be used to quantitatively compare their effectiveness against a pre-constructed ground-truth. In this paper, we propose a robust metric for measuring and visualizing the differences between network models. Our algorithm takes into account both geometry and connectivity to measure network similarity. These metrics are then mapped back onto an explicit model for visualization

Mammographic density. Measurement of mammographic density

Mammographic density has been strongly associated with increased risk of breast cancer. Furthermore, density is inversely correlated with the accuracy of mammography and, therefore, a measurement of density conveys information about the difficulty of detecting cancer in a mammogram. Initial methods for assessing mammographic density were entirely subjective and qualitative; however, in the past few years methods have been developed to provide more objective and quantitative density measurements. Research is now underway to create and validate techniques for volumetric measurement of density. It is also possible to measure breast density with other imaging modalities, such as ultrasound and MRI, which do not require the use of ionizing radiation and may, therefore, be more suitable for use in young women or where it is desirable to perform measurements more frequently. In this article, the techniques for measurement of density are reviewed and some consideration is given to their strengths and limitations

Testing CPT- and Lorentz-odd electrodynamics with waveguides

We study CPT- and Lorentz-odd electrodynamics described by the Standard Model Extension. Its radiation is confined to the geometry of hollow conductor waveguide, open along $z$. In a special class of reference frames, with vanishing both 0-th and $z$ components of the background field, $(k_{\rm AF})^\mu$, we realize a number of {\em huge and macroscopically detectable} effects on the confined waves spectra, compared to standard results. Particularly, if $(k_{\rm AF})^\mu$ points along $x$ (or $y$) direction only transverse electric modes, with $E_z=0$, should be observed propagating throughout the guide, while all the transverse magnetic, $B_z=0$, are absent. Such a strong mode suppression makes waveguides quite suitable to probe these symmetry violations using a simple and easily reproducible apparatus.Comment: 11pages, double-spacing, tex forma

The GRAVITY young stellar object survey XIII. Tracing the time-variable asymmetric disk structure in the inner AU of the Herbig star HD98922

Temporal variability in the photometric and spectroscopic properties of protoplanetary disks is common in YSO. However, evidence pointing toward changes in their morphology over short timescales has only been found for a few sources, mainly due to a lack of high cadence observations at mas resolution. We combine GRAVITY multi-epoch observations of HD98922 at mas resolution with PIONIER archival data covering a total time span of 11 years. We interpret the interferometric visibilities and spectral energy distribution with geometrical models and through radiative transfer techniques. We investigated high-spectral-resolution quantities to obtain information on the properties of the HI BrG-line-emitting region. The observations are best fitted by a model of a crescent-like asymmetric dust feature located at 1 au and accounting for 70% of the NIR emission. The feature has an almost constant magnitude and orbits the central star with a possible sub-Keplerian period of 12 months, although a 9 month period is another, albeit less probable, solution. The radiative transfer models show that the emission originates from a small amount of carbon-rich (25%) silicates, or quantum-heated particles located in a low-density region. Among different possible scenarios, we favor hydrodynamical instabilities in the inner disk that can create a large vortex. The high spectral resolution differential phases in the BrG-line show that the hot-gas component is offset from the star and in some cases is located between the star and the crescent feature. The scale of the emission does not favor magnetospheric accretion as a driving mechanism. The scenario of an asymmetric disk wind or a massive accreting substellar or planetary companion is discussed. With this unique observational data set for HD98922, we reveal morphological variability in the innermost 2 au of its disk region.Comment: 45 pages, 20 figures, accepted by and to be published in Astronomy & Astrophysics (A&A

Interaction of hyperalgesia and sensory loss in complex regional pain syndrome type I (CRPS I)

Sensory abnormalities are a key feature of Complex Regional Pain Syndrome (CRPS). In order to characterise these changes in patients suffering from acute or chronic CRPS I, we used Quantitative Sensory Testing (QST) in comparison to an age and gender matched control group

Adenovirus-5-Vectored P. falciparum Vaccine Expressing CSP and AMA1. Part B: Safety, Immunogenicity and Protective Efficacy of the CSP Component

Background: A protective malaria vaccine will likely need to elicit both cell-mediated and antibody responses. As adenovirus vaccine vectors induce both these responses in humans, a Phase 1/2a clinical trial was conducted to evaluate the efficacy of an adenovirus serotype 5-vectored malaria vaccine against sporozoite challenge.\ud \ud Methodology/Principal Findings: NMRC-MV-Ad-PfC is an adenovirus vector encoding the Plasmodium falciparum 3D7 circumsporozoite protein (CSP). It is one component of a two-component vaccine NMRC-M3V-Ad-PfCA consisting of one adenovector encoding CSP and one encoding apical membrane antigen-1 (AMA1) that was evaluated for safety and immunogenicity in an earlier study (see companion paper, Sedegah et al). Fourteen Ad5 seropositive or negative adults received two doses of NMRC-MV-Ad-PfC sixteen weeks apart, at 1x1010 particle units per dose. The vaccine was safe and well tolerated. All volunteers developed positive ELISpot responses by 28 days after the first immunization (geometric mean 272 spot forming cells/million[sfc/m]) that declined during the following 16 weeks and increased after the second dose to levels that in most cases were less than the initial peak (geometric mean 119 sfc/m). CD8+ predominated over CD4+ responses, as in the first clinical trial. Antibody responses were poor and like ELISpot responses increased after the second immunization but did not exceed the initial peak. Pre-existing neutralizing antibodies (NAb) to Ad5 did not affect the immunogenicity of the first dose, but the fold increase in NAb induced by the first dose was significantly associated with poorer antibody responses after the second dose, while ELISpot responses remained unaffected. When challenged by the bite of P. falciparum-infected mosquitoes, two of 11 volunteers showed a delay in the time to patency compared to infectivity controls, but no volunteers were sterilely protected.\ud \ud Significance: The NMRC-MV-Ad-PfC vaccine expressing CSP was safe and well tolerated given as two doses, but did not provide sterile protection