742 research outputs found
New global stability estimates for monochromatic inverse acoustic scattering
We give new global stability estimates for monochromatic inverse acoustic
scattering. These estimates essentially improve estimates of [P. Hahner, T.
Hohage, SIAM J. Math. Anal., 33(3), 2001, 670-685] and can be considered as a
solution of an open problem formulated in the aforementioned work
Association Between Cytokines and Liver Histology in Children with Nonalcoholic Fatty Liver Disease.
BackgroundReliable non-invasive markers to characterize inflammation, hepatocellular ballooning, and fibrosis in nonalcoholic fatty liver disease (NAFLD) are lacking. We investigated the relationship between plasma cytokine levels and features of NAFLD histology to gain insight into cellular pathways driving NASH and to identify potential non-invasive discriminators of NAFLD severity and pattern.MethodsCytokines were measured from plasma obtained at enrollment in pediatric participants in NASH Clinical Research Network studies with liver biopsy-proven NAFLD. Cytokines were chosen a priori as possible discriminators of NASH and its components. Minimization of Akaike Information Criterion (AIC) was used to determine cytokines retained in multivariable models.ResultsOf 235 subjects, 31% had "Definite NASH" on liver histology, 43% had "Borderline NASH", and 25% had NAFLD but not NASH. Total plasminogen activator inhibitor 1 (PAI1) and activated PAI1 levels were higher in pediatric participants with Definite NASH and with lobular inflammation. Interleukin-8 (IL-8) was higher in those with stage 3-4 fibrosis and lobular inflammation. sIL-2rα was higher in children with stage 3-4 fibrosis and portal inflammation. In multivariable analysis, PAI1 variables were discriminators of Borderline/Definite NASH, definite NASH, lobular inflammation and ballooning. IL-8 increased with steatosis and fibrosis severity; sIL-2rα increased with fibrosis severity and portal inflammation. IL-7 decreased with portal inflammation and fibrosis severity.ConclusionsPlasma cytokines associated with histology varied considerably among NASH features, suggesting promising avenues for investigation. Future, more targeted analysis is needed to identify the role of these markers in NAFLD and to evaluate their potential as non-invasive discriminators of disease severity
Formulas and equations for finding scattering data from the Dirichlet-to-Neumann map with nonzero background potential
For the Schrodinger equation at fixed energy with a potential supported in a
bounded domain we give formulas and equations for finding scattering data from
the Dirichlet-to-Neumann map with nonzero background potential. For the case of
zero background potential these results were obtained in [R.G.Novikov,
Multidimensional inverse spectral problem for the equation
-\Delta\psi+(v(x)-Eu(x))\psi=0, Funkt. Anal. i Ego Prilozhen 22(4), pp.11-22,
(1988)]
Plasma flows during the ablation stage of an over-massed pulsed-power-driven exploding planar wire array
We characterize the plasma flows generated during the ablation stage of an
over-massed exploding planar wire array, fielded on the COBRA pulsed-power
facility (1 MA peak current, 250 ns rise time). The planar wire array is
designed to provide a driving magnetic field (80-100 T) and current per wire
distribution (about 60 kA), similar to that in a 10 MA cylindrical exploding
wire array fielded on the Z machine. Over-massing the arrays enables continuous
plasma ablation over the duration of the experiment. The requirement to
over-mass on the Z machine necessitates wires with diameters of 75-100 m,
which are thicker than wires usually fielded on wire array experiments. To test
ablation with thicker wires, we perform a parametric study by varying the
initial wire diameter between 33-100 m. The largest wire diameter (100
m) array exhibits early closure of the AK gap, while the gap remains open
during the duration of the experiment for wire diameters between 33-75 m.
Laser plasma interferometry and time-gated XUV imaging are used to probe the
plasma flows ablating from the wires. The plasma flows from the wires converge
to generate a pinch, which appears as a fast-moving (
kms) column of increased plasma density ( cm) and strong XUV emission. Finally, we compare the results
with three-dimensional resistive-magnetohydrodynamic (MHD) simulations
performed using the code GORGON, the results of which reproduce the dynamics of
the experiment reasonably well.Comment: 14 pages; 14 figure
Markov analysis of stochastic resonance in a periodically driven integrate-fire neuron
We model the dynamics of the leaky integrate-fire neuron under periodic
stimulation as a Markov process with respect to the stimulus phase. This avoids
the unrealistic assumption of a stimulus reset after each spike made in earlier
work and thus solves the long-standing reset problem. The neuron exhibits
stochastic resonance, both with respect to input noise intensity and stimulus
frequency. The latter resonance arises by matching the stimulus frequency to
the refractory time of the neuron. The Markov approach can be generalized to
other periodically driven stochastic processes containing a reset mechanism.Comment: 23 pages, 10 figure
Agreement Between Magnetic Resonance Imaging Proton Density Fat Fraction Measurements and Pathologist-assigned Steatosis Grades of Liver Biopsies from Adults with Nonalcoholic Steatohepatitis
Background & Aims
We assessed the diagnostic performance of magnetic resonance imaging (MRI) proton density fat fraction (PDFF) in grading hepatic steatosis and change in hepatic steatosis in adults with nonalcoholic steatohepatitis (NASH) in a multi-center study, using central histology as reference.
Methods
We collected data from 113 adults with NASH participating in a multi-center, randomized, double-masked, placebo-controlled, phase 2b trial to compare the efficacy cross-sectionally and longitudinally of obeticholic acid vs placebo. Hepatic steatosis was assessed at baseline and after 72 weeks of obeticholic acid or placebo by liver biopsy and MRI (scanners from different manufacturers, at 1.5T or 3T). We compared steatosis estimates by PDFF vs histology. Histologic steatosis grade was scored in consensus by a pathology committee. Cross-validated receiver operating characteristic (ROC) analyses were performed.
Results
At baseline, 34% of subjects had steatosis grade 0 or 1, 39% had steatosis grade 2, and 27% had steatosis grade 3; corresponding mean PDFF values were 9.8%±3.7%, 18.1%±4.3%, and 30.1%±8.1%. PDFF classified steatosis grade 0–1 vs 2–3 with an area under the ROC curve (AUROC) of 0.95 (95% CI, 0.91–0.98), and grade 0–2 vs grade 3 steatosis with an AUROC of 0.96 (95% CI, 0.93–0.99). PDFF cut-off values at 90% specificity were 16.3% for grades 2–3 and 21.7% for grade 3, with corresponding sensitivities of 83% and 84%. After 72 weeks' of obeticholic vs placebo, 42% of subjects had a reduced steatosis grade (mean reduction in PDFF from baseline of 7.4%±8.7%), 49% had no change in steatosis grade (mean increase in PDFF from baseline of 0.3%±6.3%), and 9% had an increased steatosis grade (mean increase in PDFF from baseline of 7.7%±6.0%). PDFF change identified subjects with reduced steatosis grade with an AUROC of 0.81 (95% CI, 0.71–0.91) and increased steatosis grade with an AUROC of 0.81 (95% CI, 0.63–0.99). A PDFF reduction of 5.15% identified subjects with reduced steatosis grade with 90% specificity and 58% sensitivity, whereas a PDFF increase of 5.6% identified those with increased steatosis grade with 90% specificity and 57% sensitivity.
Conclusions
Based on data from a phase 2 randomized controlled trial of adults with NASH, PDFF estimated by MRI scanners of different field strength and at different sites, accurately classifies grades and changes in hepatic steatosis when histologic analysis of biopsies is used as a reference
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