Relationship between parathyroid gland scintigraphy and its histopathology, oxyphil cell content and volume: a retrospective study

BACKGROUND: Mechanisms that are responsible for positive 99mTc-MIBI uptake in parathyroid glands are not clearly understood, some authors suggest there is a correlation between 99mTc MIBI accumulation and oxyphil cell content or parathyroid gland volume. The aim of our work was to assess the relationship between the pathological structure of parathyroids, their volume, oxyphil cell content and parathyroid 99mTc-MIBI retention. MATERIAL AND METHODS: A total of 62 hyperfunctioning parathyroid glands in 46 patients were retrospectively analyzed. Preoperative 99mTc-MIBI scintigraphy was performed according to the double-phase and subtraction protocol. After surgery all glands were evaluated histologically, oxyphil cell content was assessed and volume of each excised gland was calculated. RESULTS: Scintigraphy was positive in 41 of 62 parathyroid glands (66%). The median volume of positive glands was larger than that of negative glands (1.33 ml vs 0.7 ml, p = 0.015). Of the parathyroid lesions, there were 14 (22.6%) cases of nodular hyperplasia, 23 (37.1%) cases of diffuse hyperplasia, and 25 (40.3%) cases of adenomas. A high (≥ 25%) oxyphil cell content was found in 16 glands (25.8%) and a low ( < 25%) oxyphil cell content in 46 (74.2%) glands. Histopathology of parathyroid glands was related to the scintigraphy result (p = 0.002), but not to the 99mTc-MIBI uptake pattern (p = 0.868). The overall result of scintigraphy was not related to the oxyphil cell content (p = 0.797). 99mTc-MIBI uptake pattern wasn’t related to the oxyphil cell content (p = 0.833). In general, parathyroid lesions with low oxyphil cell content were larger than parathyroid glands with high oxyphil cell content (1.33 ml vs 0.5 ml, respectively; p = 0.01). The median volume of parathyroids containing a high number of oxyphil cells and having a prolonged 99mTc-MIBI retention was larger than those without prolonged 99mTc-MIBI retention (1.62 ml vs 0.3 ml, respectively; p = 0.008). The median volume of parathyroids with low oxyphil cells content and showing prolonged 99mTc-MIBI retention was larger than those without prolonged 99mTc-MIBI retention (1.95 ml vs 1.07 ml, respectively; p = 0.014). CONCLUSIONS: Our findings suggest that a positive scintigraphy result depends on parathyroid histopathology and gland volume and does not depend on the presence of oxyphil cells. Prolonged 99mTc-retention is not related to the parathyroid gland histopathology and the presence of oxyphil cells but to the gland volume

Taxonomic, phylogenetic and functional diversity of leeches (Hirudinea) and their suitability in biological assessment of environmental quality

Different components of biological diversity of leeches (Hirudinea), sampled in lowland watercourses in Poland were compared between sites differed in terms of environmental quality, measured by officially approved procedures. Indices based on taxonomic diversity, rarefied species richness, taxonomic distinctness, phylogenetic diversity and functional diversity were considered in the analysis, for sites belonging to three biocoenotic types of watercourses. In most cases values of all indices except Pielou's evenness show unimodal relationships with environmental quality and in any case monotonic increase in diversity was not shown. Median values of diversity were significantly higher and its highest values were significantly more frequent at sites with moderate than with low or high environmental quality. This pattern of relationships was observed both for indices based on presence/absence data and those based on relative abundance of species. The significance of this mode of relationships differed between biocoenotic types and between procedures using to measure environmental quality. The results obtained show low and doubtful usefulness of each component of leech diversity as an element of biological assessment in lowland watercourses

Taxonomic, phylogenetic and functional diversity of leeches (Hirudinea) and their suitability in biological assessment of environmental quality

Different components of biological diversity of leeches (Hirudinea), sampled in lowland watercourses in Poland were compared between sites differed in terms of environmental quality, measured by officially approved procedures. Indices based on taxonomic diversity, rarefied species richness, taxonomic distinctness, phylogenetic diversity and functional diversity were considered in the analysis, for sites belonging to three biocoenotic types of watercourses. In most cases values of all indices except Pielou's evenness show unimodal relationships with environmental quality and in any case monotonic increase in diversity was not shown. Median values of diversity were significantly higher and its highest values were significantly more frequent at sites with moderate than with low or high environmental quality. This pattern of relationships was observed both for indices based on presence/absence data and those based on relative abundance of species. The significance of this mode of relationships differed between biocoenotic types and between procedures using to measure environmental quality. The results obtained show low and doubtful usefulness of each component of leech diversity as an element of biological assessment in lowland watercourses

Diversity of macrobenthos in lowland streams: ecological determinants and taxonomic specificity

The present study contains the results of an investigation of the relationships between the environmental variables and the taxonomic diversity of common and important groups of benthic macrofauna: Chironomidae, Ephemeroptera, Odonata, Hirudinea and Gastropoda, collected from various types of bottom substrate in seven lowland streams of north-eastern Poland. Four metrics were used to express the diversity of the studied taxa in each sample as the examples of its four different aspects: species richness, rarity, Shannon-Weaver's diversity index and Pielou evenness index. The values of total species richness and Shannon-Weaver index were rarified by functional extrapolation with Michaelis-Menten asymptotic function chosen as a richness estimator. There are high differences in taxonomic diversity of benthic animals between the studied streams. The results of estimation of total species richness and total species diversity are mainly affected by the diversity of the taxon richest in species – larval Chironomidae and, to a lesser extent, Hirudinea. The total taxonomic diversity significantly correlates with the status of riparian vegetation and with the isolation of the sampling site, while the relationship with other environmental parameters, i.e. pollution and seasonality, is not significant. The diversity of Gastropoda and Hirudinea is significantly affected by pollution (positively), water depth and seasonality; whereas the diversity of Ephemeroptera and Chironomidae by the state of riparian vegetation, and that of Odonata by stream width and isolation of the site. The study presents and discusses reduced diversity of certain higher taxa as a result of a reduction in pollution loading to a stream with simultaneous unchanged values of the total diversity

Environmental quality of a stream can be better predicted by phylogenetic than by taxonomic diversity

Different indices of taxonomic diversity (TD) and phylogenetic diversity (PD) of the macrobenthos were compared to determine the efficient predictors of environmental quality (EQ) in different types of watercourses in Poland. Archived data of 864 samples of benthic invertebrates identified to the family level were analysed on the basis of linear and non-linear multiply regression. The strengths of the correlations between two measures of EQ:BMWPpl (British Monitoring Working Party score system, Polish modification) and MMI (Multimetric Macroinvertebrate Index) and the values of taxonomic richness and three well-known TD indices: Shannon, Margalef and J' Evenness were compared to those for values of three PD indices, based on taxonomic distinctness. Taxonomic richness and all PD indices correlated more strongly with both measures of EQ than all TD indices. Correlations with both types of diversity indices were visibly stronger for BMWPpl when compared with MMI. We suggest that analysed indices of PD, especially MDis (mean phylogenetic distance between families in a sample), are related with EQ strongly enough to be taken into account as potential metrics in selection procedures of biological assessment