315 research outputs found
A nyugdíjbiztosítás rendszere Magyarországon
Without abstract.Absztrakt nélkül
A nyugdíjbiztosítás rendszere Magyarországon
Without abstract.Absztrakt nélkül
Functional assessment of a left coronary-pulmonary artery fistula by coronary flow reserve
We report a 71-year-old man who presented with atypical chest pain. Coronary angiography did not reveal left main or proximal left anterior descending coronary artery stenosis, but a fistulous communication with a stronger tube-like fistula was present originating from the proximal left anterior descending coronary artery and emptying into the main pulmonary artery. Fractional flow reserve and coronary flow reserve measurements were performed to gain more data on the potential functional aspects of this fistula. With the present case, the importance of functional evaluation of these fistulas is demonstrated
Learning Generalized Non-Rigid Multimodal Biomedical Image Registration from Generic Point Set Data
Free Point Transformer (FPT) has been proposed as a data-driven, non-rigid
point set registration approach using deep neural networks. As FPT does not
assume constraints based on point vicinity or correspondence, it may be trained
simply and in a flexible manner by minimizing an unsupervised loss based on the
Chamfer Distance. This makes FPT amenable to real-world medical imaging
applications where ground-truth deformations may be infeasible to obtain, or in
scenarios where only a varying degree of completeness in the point sets to be
aligned is available. To test the limit of the correspondence finding ability
of FPT and its dependency on training data sets, this work explores the
generalizability of the FPT from well-curated non-medical data sets to medical
imaging data sets. First, we train FPT on the ModelNet40 dataset to demonstrate
its effectiveness and the superior registration performance of FPT over
iterative and learning-based point set registration methods. Second, we
demonstrate superior performance in rigid and non-rigid registration and
robustness to missing data. Last, we highlight the interesting generalizability
of the ModelNet-trained FPT by registering reconstructed freehand ultrasound
scans of the spine and generic spine models without additional training,
whereby the average difference to the ground truth curvatures is 1.3 degrees,
across 13 patients.Comment: Accepted to ASMUS 2022 Workshop at MICCA
ACTH- and cortisol-associated neutrophil modulation in coronary artery disease patients undergoing stent implantation
BACKGROUND: Psychosocial stress and activation of neutrophil granulocytes are increasingly recognized as major risk factors of coronary artery disease (CAD), but the possible relationship of these two factors in CAD patients is largely unexplored. Activation of neutrophils was reported to be associated with stenting; however, the issue of neutrophil state in connection with percutaneous coronary intervention (PCI) is incompletely understood from the aspect of stress and its hypothalamic-pituitary-adrenal axis (HPA) background. Thus, we aimed to study cortisol- and ACTH-associated changes in granulocyte activation in patients undergoing PCI. METHODOLOGY/PRINCIPAL FINDINGS: Blood samples of 21 stable angina pectoris (SAP) and 20 acute coronary syndrome (ACS) patients were collected directly before (pre-PCI), after (post-PCI) and on the following day of PCI (1d-PCI). Granulocyte surface L-selectin, CD15 and (neutrophil-specific) lactoferrin were analysed by flow cytometry. Plasma cortisol, ACTH, and lactoferrin, IL-6 were also assayed. In both groups, pre- and post-PCI ratios of lactoferrin-bearing neutrophils were relatively high, these percentages decreased substantially next day; similarly, 1d-PCI plasma lactoferrin was about half of the post-PCI value (all p</=0.0001). Post-PCI ACTH was reduced markedly next day, especially in ACS group (SAP: p<0.01, ACS: p</=0.0001). In ACS, elevated pre-PCI cortisol decreased considerably a day after stenting (p<0.01); in pre-PCI samples, cortisol correlated with plasma lactoferrin (r approximately 0.5, p<0.05). In 1d-PCI samples of both groups, ACTH showed negative associations with the ratio of lactoferrin-bearing neutrophils (SAP: r = -0.601, p<0.005; ACS: r = -0.541, p<0.05) and with plasma lactoferrin (SAP: r = -0.435, p<0.05; ACS: r = -0.609, p<0.005). CONCLUSIONS/SIGNIFICANCE: Pre- and post-PCI states were associated with increased percentage of activated/degranulated neutrophils indicated by elevated lactoferrin parameters, the 1d-PCI declines of which were associated with plasma ACTH in both groups. The correlation of plasma cortisol with plasma lactoferrin in the extremely stressed ACS before stenting, however, suggests an association of cortisol with neutrophil activation
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