23 research outputs found

    Advanced image processing methods for automatic liver segmentation

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    This paper presents advanced methods of image segmentation suitable for automatic recognition of the human liver and its vessel system, but in general could be used to segment any organ or body tissue. The comparison of studied methods is being made in terms of segmentation quality and algorithm speed. The main criterion for quality evaluation of each selected method is the level of conformity between the automatically recognized boundary and the reference boundary specified by experienced user. For all the tests sequences of CT and MRI images were used

    Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial

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    Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049

    Comparative analysis of clinicopathological correlations of cyclooxygenase-2 expression in resectable pancreatic cancer

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    AIM: To perform a comparative analysis of clinicopathological correlations of cyclooxygenase-2 (COX-2) expression in pancreatic cancer, examined by monoclonal and polyclonal antibodies

    Advanced image processing methods for automatic liver segmentation

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    This paper presents advanced methods of image segmentation suitable for automatic recognition of the human liver and its vessel system, but in general could be used to segment any organ or body tissue. The comparison of studied methods is being made in terms of segmentation quality and algorithm speed. The main criterion for quality evaluation of each selected method is the level of conformity between the automatically recognized boundary and the reference boundary specified by experienced user. For all the tests sequences of CT and MRI images were used

    Dynamicke chovani betonovych mostu predpjatych vnejsimi kabely.

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    Available from STL Prague, CZ / NTK - National Technical LibrarySIGLECZCzech Republi

    Detection of Orbital Floor Fractures by Principal Component Analysis

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    Part 3: Images, Visualization, ClassificationInternational audiencePrincipal component analysis (PCA) is a statistical method based on orthogonal transformation, which is used to convert possibly correlated datasets into linearly uncorrelated variables called principal components. PCA is one of the simplest methods based on the eigenvector analysis. This method is widely used in many fields, such as signal processing, quality control or mechanical engineering. In this paper, we present the use of PCA in area of medical image processing. In the medical image processing with subsequent reconstruction of 3D models, data from sources such as Computed Tomography (CT) or Magnetic Resonance Imagining (MRI) are used. Series of images representing axial slices of human body are stored in Digital Imaging and Communications in Medicine (DICOM) format. Physical properties of different body tissues are characterized by different shades of grey of each pixel correlated to the tissue density. Properties of each pixel are then used in image segmentation and subsequent creation of 3D model of human organs. Image segmentation splits digital image into regions with similar properties which are later used to create 3D model. In many cases accurate detections of edges of such objects are necessary. This could be for example the case of a tumour or orbital fracture identification. In this paper, identification of the orbital fracture using PCA method is presented as an example of application of the method in the area of medical image processing

    Co-Expression of Cancer Stem Cell Markers Corresponds to a Pro-Tumorigenic Expression Profile in Pancreatic Adenocarcinoma

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    <div><p>Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal malignancies. Its dismal prognosis is often attributed to the presence of cancer stem cells (CSCs) that have been identified in PDAC using various markers. However, the co-expression of all of these markers has not yet been evaluated. Furthermore, studies that compare the expression levels of CSC markers in PDAC tumor samples and in cell lines derived directly from those tumors are lacking. Here, we analyzed the expression of putative CSC markers—CD24, CD44, epithelial cell adhesion molecule (EpCAM), CD133, and nestin—by immunofluorescence, flow cytometry and quantitative PCR in 3 PDAC-derived cell lines and by immunohistochemistry in 3 corresponding tumor samples. We showed high expression of the examined CSC markers among all of the cell lines and tumor samples, with the exception of CD24 and CD44, which were enriched under <i>in vitro</i> conditions compared with tumor tissues. The proportions of cells positive for the remaining markers were comparable to those detected in the corresponding tumors. Co-expression analysis using flow cytometry revealed that CD24<sup>+</sup>/CD44<sup>+</sup>/EpCAM<sup>+</sup>/CD133<sup>+</sup> cells represented a significant population of the cells (range, 43 to 72%) among the cell lines. The highest proportion of CD24<sup>+</sup>/CD44<sup>+</sup>/EpCAM<sup>+</sup>/CD133<sup>+</sup> cells was detected in the cell line derived from the tumor of a patient with the shortest survival. Using gene expression profiling, we further identified the specific pro-tumorigenic expression profile of this cell line compared with the profiles of the other two cell lines. Together, CD24<sup>+</sup>/CD44<sup>+</sup>/EpCAM<sup>+</sup>/CD133<sup>+</sup> cells are present in PDAC cell lines derived from primary tumors, and their increased proportion corresponds with a pro-tumorigenic gene expression profile.</p></div

    qRT-PCR analysis of CSC marker expression.

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    <p>P6B cell line served as the arbitrary calibrator of the gene expression. The error bars indicate the calculated maximum (RQMax) and minimum (RQMin) expression levels that represent the standard error of the mean expression level (RQ value).</p
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