Analysis of prostate cancer localization toward improved diagnostic accuracy of transperineal prostate biopsy

PurposeDelineating the precise localization of prostate cancer is important in improving the diagnostic accuracy of prostate biopsy.MethodsIn Juntendo University Nerima Hospital, initial 12-core or repeat 16-core biopsies were performed using a transrectal ultrasound guided transperineal prostate biopsy method. We step-sectioned prostates from radical prostatectomy specimens at 5-mm intervals from the urethra to the urinary bladder and designated five regions: the (1) Apex, (2) Apex-Mid, (3) Mid, (4) Mid-Base, and (5) Base. We then mapped prostate cancer localization on eight zones around the urethra for each of those regions.ResultsProstate cancer was detected in 93 cases of 121 cases (76.9%) in the Apex, in 115 cases (95.0%) in the Apex-Mid, in 101 cases (83.5%) in the Mid, in 71 cases (58.7%) in the Mid-Base, and in 23 cases (19.0%) in the Base. In 99.2% of all cases, prostate cancers were detected from the Apex to Mid regions. For this reason, transperineal prostate biopsies have routinely been prioritized in the Apex, Apex-Mid, and Mid regions, while the Base region of the prostate was considered to be of lesser importance. Our analyses of prostate cancer localization revealed a higher rate of cancer in the posterior portion of the Apex, antero-medial and postero-medial portion of the Apex-Mid and antero-medial and postero-lateral portion of the Mid. The transperineal prostate biopsies in our institute performed had a sensitivity of 70.9%, a specificity of 96.6%, a positive predictive value (PPV) of 92.2% and a negative predictive value (NPV) of 85.5%.ConclusionsThe concordance of prostate cancer between prostatectomy specimens and biopsies is comparatively favorable. According to our study, the diagnostic accuracy of transperineal prostate biopsy can be improved in our institute by including the anterior portion of the Apex-Mid and Mid regions in the 12-core biopsy or 16-core biopsy, such that a 4-core biopsy of the anterior portion is included

Analysis of spontaneous regeneration of olfactory structures with emphasis on myelination and re-innervation of cortical areas

Regeneration of the lateral olfactory tract (LOT) occurs spontaneously after transection in developing rats. In neonatally LOT-transected rats, we observed a newly formed myelinated tract near the rhinal sulcus. The aim of this study was to analyze the precise re-innervated cortical areas and to demonstrate ectopic LOT myelination in neonatally LOT-transected rats. Neonatal rats were subjected to unilateral LOT transection and simultaneous injection of a retrograde fluorescent tracer into the posterior olfactory cortex to evaluate the degree of transection. After 8 weeks, bilateral olfactory bulbs of the rats were subjected to multiple injections of an anterograde neuronal tracer to determine the extent of the regenerated fibers. In the completely LOT-transected rats, the regenerated fibers were distributed in the anterior olfactory cortices: the anterior olfactory nucleus, the olfactory tubercle, and the rostral part of the piriform cortex. Ectopic myelination of LOT was evident immediately below the rhinal sulcus in the completely and incompletely LOT-transected rats. We concluded that the regenerated bulbar fibers were confined to the regions of the anterior olfactory cortices and that ectopic myelination of the regenerated LOT occurred only at a specific site near the rhinal sulcus.ArticleNEUROSCIENCE LETTERS. 537:35-39 (2013)journal articl

An alternative method using digital cameras for continuous monitoring of crop status

Crop physiological and phenological status is an important factor that characterizes crop yield as well as carbon exchange between the atmosphere and the terrestrial biosphere in agroecosystems. It is difficult to establish high frequency observations of crop status in multiple locations using conventional approaches such as agronomical sampling and also remote sensing techniques that use spectral radiometers because of the labor intensive work required for field surveys and the high cost of radiometers designed for scientific use. This study explored the potential utility of an inexpensive camera observation system called crop phenology recording system (CPRS) as an alternative approach for the observation of seasonal change in crop growth. The CPRS consisting of two compact digital cameras was used to capture visible and near infrared (NIR) images of maize in 2009 and soybean in 2010 for every hour both day and night continuously. In addition, a four channel sensor SKYE measured crop reflectance and Moderate Resolution Imaging Spectroradiometer (MODIS) satellite images were acquired over crop fields. The six different camera- radiometer- and MODIS-derived vegetation indices (VIs) were calculated and compared with the ground-measured crop biophysical parameters. In addition to VIs that use digital numbers, we proposed to use daytime exposure value-adjusted VIs. The camera-derived VIs were compared with the VIs calculated from spectral reflectance observations taken by SKYE and MODIS. It was found that new camera-derived VIs using daytime exposure values are closely related to VIs calculated using SKYE and MODIS reflectance and good proxies of crop biophysical parameters. Camera-derived green chlorophyll index, simple ratio and NDVI were found to be able to estimate the total leaf area index (LAI) of maize and soybean with high accuracy and were better than the widely used 2g-r-b. However, camera-derived 2g-r-b showed the best accuracy in estimating daily fAPAR in vegetative and reproductive stages of both crops. Visible atmospherically resistant vegetation index showed the highest accuracy in the estimation of the green LAI of maize. A unique VI, calculated from nighttime flash NIR images called the nighttime relative brightness index of NIR, showed a strong relationship with total aboveground biomass for both crops. The study concludes that the CPRS is a practical and cost-effective approach for monitoring temporal changes in crop growth, and it also provides an alternative source of ground truth data to validate time-series VIs derived from MODIS and other satellite systems

An alternative method using digital cameras for continuous monitoring of crop status

Crop physiological and phenological status is an important factor that characterizes crop yield as well as carbon exchange between the atmosphere and the terrestrial biosphere in agroecosystems. It is difficult to establish high frequency observations of crop status in multiple locations using conventional approaches such as agronomical sampling and also remote sensing techniques that use spectral radiometers because of the labor intensive work required for field surveys and the high cost of radiometers designed for scientific use. This study explored the potential utility of an inexpensive camera observation system called crop phenology recording system (CPRS) as an alternative approach for the observation of seasonal change in crop growth. The CPRS consisting of two compact digital cameras was used to capture visible and near infrared (NIR) images of maize in 2009 and soybean in 2010 for every hour both day and night continuously. In addition, a four channel sensor SKYE measured crop reflectance and Moderate Resolution Imaging Spectroradiometer (MODIS) satellite images were acquired over crop fields. The six different camera- radiometer- and MODIS-derived vegetation indices (VIs) were calculated and compared with the ground-measured crop biophysical parameters. In addition to VIs that use digital numbers, we proposed to use daytime exposure value-adjusted VIs. The camera-derived VIs were compared with the VIs calculated from spectral reflectance observations taken by SKYE and MODIS. It was found that new camera-derived VIs using daytime exposure values are closely related to VIs calculated using SKYE and MODIS reflectance and good proxies of crop biophysical parameters. Camera-derived green chlorophyll index, simple ratio and NDVI were found to be able to estimate the total leaf area index (LAI) of maize and soybean with high accuracy and were better than the widely used 2g-r-b. However, camera-derived 2g-r-b showed the best accuracy in estimating daily fAPAR in vegetative and reproductive stages of both crops. Visible atmospherically resistant vegetation index showed the highest accuracy in the estimation of the green LAI of maize. A unique VI, calculated from nighttime flash NIR images called the nighttime relative brightness index of NIR, showed a strong relationship with total aboveground biomass for both crops. The study concludes that the CPRS is a practical and cost-effective approach for monitoring temporal changes in crop growth, and it also provides an alternative source of ground truth data to validate time-series VIs derived from MODIS and other satellite systems

Prevalence and cumulative incidence of autism spectrum disorders and the patterns of co-occurring neurodevelopmental disorders in a total population sample of 5-year-old children.

BackgroundsWhether there is a true increase in autism spectrum disorder (ASD) frequency or not remains unclear. Additionally, the rates of co-existing neurodevelopmental disorders (NDD) in a total population sample has not been fully examined before. Therefore, using a total population sample in Japan, we aimed to estimate the prevalence and cumulative incidence of autism spectrum disorder (ASD) annually, to determine whether there is a true increase in ASD prevalence by estimating the cumulative incidence of ASD annually, and to examine the rates of co-existing neurodevelopmental disorders (NDD).MethodIn this cross-sectional sequential design study, all 5-year-old children in the catchment area underwent the screening annually from the year 2013-2016. Screen-positive children were invited to participate in a comprehensive assessment, including child and parent interview, behavioral observation, and cognitive and motor function testing. All cases were reviewed by a multidisciplinary research team.ResultsCaregivers of 3954 children returned the screening, among which 559 children underwent the assessment with 87 children receiving an ASD diagnosis. Adjusted ASD prevalence was 3.22% (95% confidence interval (CI) 2.66-3.76%). The male to female ratio of the crude prevalence was 2.2:1. The cumulative incidence of ASD up to 5 years of age for the total study years was 1.31% (95% CI 1.00-1.62%). A generalized linear model revealed no significant linear trends in 5-year cumulative incidence over the study years. Only 11.5% of children had ASD alone; the remaining 88.5% were found to have at least one co-existing NDD.LimitationsModest sample size for a total population study.ConclusionsOur findings demonstrate the stability of the 5-year cumulative incidence of ASD, implying no true rise in ASD incident cases over the 4-year study period in the study catchment area. High rates of co-existing NDDs reflect the importance of investigating broad developmental challenges in children with ASD

Cell culture and in vivo analyses of cytopathic hepatitis C virus mutants

AbstractHCV-JFH1 yields subclones that develop cytopathic plaques (Sekine-Osajima Y, et al., Virology 2008; 371:71). Here, we investigated viral amino acid substitutions in cytopathic mutant HCV-JFH1 clones and their characteristics in vitro and in vivo. The mutant viruses with individual C2441S, P2938S or R2985P signature substitutions, and with all three substitutions, showed significantly higher intracellular replication efficiencies and greater cytopathic effects than the parental JFH1 in vitro. The mutant HCV-inoculated mice showed significantly higher serum HCV RNA and higher level of expression of ER stress-related proteins in early period of infection. At 8weeks post inoculation, these signature mutations had reverted to the wild type sequences. HCV-induced cytopathogenicity is associated with the level of intracellular viral replication and is determined by certain amino acid substitutions in HCV-NS5A and NS5B regions. The cytopathic HCV clones exhibit high replication competence in vivo but may be eliminated during the early stages of infection

Solitary Peutz-Jeghers type hamartomatous polyps in the duodenum are not always associated with a low risk of cancer: two case reports

INTRODUCTION: A hamartomatous polyp without associated mucocutaneous pigmentation or a family history of Peutz-Jeghers Syndrome is diagnosed as a solitary Peutz-Jeghers type hamartomatous polyp. As compared with Peutz-Jeghers Syndrome, Peutz-Jeghers type hamartomatous polyps are diagnosed with a lower risk of cancer and are regarded as a different disorder. CASE PRESENTATION: In case one, we describe an 84-year-old Japanese man with a 14 mm duodenal polyp. Endoscopic mucosal resection was performed and histological examination showed findings suggestive of a hamartomatous polyp with a focus of well-differentiated adenocarcinoma. In case two, we describe a 76-year-old Japanese man who had been treated for prostate, rectal and lung cancer. Upper gastrointestinal endoscopy revealed a duodenal polyp measuring 15 mm in diameter. Endoscopic mucosal resection was performed, and histological examination showed findings suggestive of a hamartomatous polyp. Liver and thyroid cancers were found after the endoscopic treatment. CONCLUSION: Although duodenal solitary hamartomatous polyps are associated with a lower risk of cancer, four patients, including our cases, have been diagnosed with cancerous polyps. Patients with duodenal solitary hamartomatous polyps should be treated by endoscopic or surgical resection and need whole-body screening

Feasibility study of immediate pharyngeal cooling initiation in cardiac arrest patients after arrival at the emergency room

AIM: Cooling the pharynx and upper oesophagus would be more advantageous for rapid induction of therapeutic hypothermia since the carotid arteries run in their vicinity. The aim of this study was to determine the effects of pharyngeal cooling on brain temperature and the safety and feasibility for patients under resuscitation. METHODS: Witnessed non-traumatic cardiac arrest patients (n=108) were randomized to receive standard care with (n=53) or without pharyngeal cooling (n=55). In the emergency room, pharyngeal cooling was initiated before or shortly after return of spontaneous circulation by perfusing physiological saline (5 °C) into a pharyngeal cuff for 120 min. RESULTS: There was a significant decrease in tympanic temperature at 40 min after arrival (P=0.02) with a maximum difference between the groups at 120 min (32.9 ± 1.2°C, pharyngeal cooling group vs. 34.1 ± 1.3°C, control group; P<0.001). The return of spontaneous circulation (70% vs. 65%, P=0.63) and rearrest (38% vs. 47%, P=0.45) rates were not significantly different based on the initiation of pharyngeal cooling. No post-treatment mechanical or cold-related injury was observed on the pharyngeal epithelium by macroscopic observation. The thrombocytopaenia incidence was lower in the pharyngeal cooling group (P=0.001) during the 3-day period after arrival. The cumulative survival rate at 1 month was not significantly different between the two groups. CONCLUSIONS: Initiation of pharyngeal cooling before or immediately after the return of spontaneous circulation is safe and feasible. Pharyngeal cooling can rapidly decrease tympanic temperature without adverse effects on circulation or the pharyngeal epithelium