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Opis: The malignant pleural mesothelioma (MPM) response rate to chemotherapy is low. The identification of imaging biomarkers that could help guide the most effective therapy approach for individual patients is highly desirable. Our aim was to investigate the dynamic contrast-enhanced (DCE) MR parameters as predictors for progression-free (PFS) and overall survival (OS) in patients with MPM treated with cisplatin-based chemotherapy. Methods: Thirty-two consecutive patients with MPM were enrolled in this prospective study. Pretreatment and intratreatment DCE-MRI were scheduled in each patient. The DCE parameters were analyzed using the extended Tofts (ET) and the adiabatic approximation tissue homogeneity (AATH) model. Comparison analysis, logistic regression and ROC analysis were used to identify the predictors for the patient's outcome. Results: Patients with higher pretreatment ET and AATH-calculated Ktrans and ve values had longer OS (P≤.006). Patients with a more prominent reduction in ET-calculated Ktrans and kep values during the early phase of chemotherapy had longer PFS (P =.008). No parameter was identified to predict PFS. Pre-treatment ET-calculated Ktrans was found to be an independent predictive marker for longer OS (P=.02) demonstrating the most favourable discrimination performance compared to other DCE parameters with an estimated sensitivity of 89% and specificity of 78% (AUC 0.9, 95% CI 0.74-0.98, cut off > 0.08 min-1). Conclusions: In the present study, higher pre-treatment ET-calculated Ktrans values were associated with longer OS. The results suggest that DCE-MRI might provide additional information for identifying MPM patients that may respond to chemotherapy.
Ključne besede: cisplatin, magnetic resonance imaging, mesothelioma
Objavljeno: 06.04.2022; Ogledov: 13382; Prenosov: 1233
Celotno besedilo (1,55 MB)
Ogledov v mesecu: 7968

Opis: Understanding the neural underpinning of human gait and balance is one of the most pertinent challenges for 21st-century translational neuroscience due to the profound impact that falls and mobility disturbances have on our aging population. Posture and gait control does not happen automatically, as previously believed, but rather requires continuous involvement of central nervous mechanisms. To effectively exert control over the body, the brain must integrate multiple streams of sensory information, including visual, vestibular, and somatosensory signals. The mechanisms which underpin the integration of these multisensory signals are the principal topic of the present work. Existing multisensory integration theories focus on how failure of cognitive processes thought to be involved in multisensory integration leads to falls in older adults. Insufficient emphasis, however, has been placed on specific contributions of individual sensory modalities to multisensory integration processes and cross-modal interactions that occur between the sensory modalities in relation to gait and balance. In the present work, we review the contributions of somatosensory, visual, and vestibular modalities, along with their multisensory intersections to gait and balance in older adults and patients with Parkinson's disease. We also review evidence of vestibular contributions to multisensory temporal binding windows, previously shown to be highly pertinent to fall risk in older adults. Lastly, we relate multisensory vestibular mechanisms to potential neural substrates, both at the level of neurobiology (concerning positron emission tomography imaging) and at the level of electrophysiology (concerning electroencephalography). We hope that this integrative review, drawing influence across multiple subdisciplines of neuroscience, paves the way for novel research directions and therapeutic neuromodulatory approaches, to improve the lives of older adults and patients with neurodegenerative diseases.
Ključne besede: aging, gait, balance, encephalography, functional magnetic resonance imaging, multisensory integration
Objavljeno: 17.06.2024; Ogledov: 13958; Prenosov: 1093
Celotno besedilo (1,36 MB)
Ogledov v mesecu: 5757

Objavljeno: 12.07.2017; Ogledov: 24424; Prenosov: 1873
Povezava na celotno besedilo
Ogledov v mesecu: 4691

Objavljeno: 02.06.2020; Ogledov: 30889; Prenosov: 1510
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Ogledov v mesecu: 3059

Opis: During the life of animals, epithelial tissues undergo extensive deformations–first to form organs during embryogensis and later to preserve integrity and function in adulthood. To what extent these deformations resemble that of non-living elastic materials is not well understood. We derive an elasticity theory of epithelia, supported by a thin layer of extracellular material and the stroma, in which the mechanics of individual cells are dominated by differential interfacial tensions stemming from cell cortical tension and adhesion. Upon coarse-graining a discrete cell-level mechanics model, we obtain a harmonic deformation energy and derive the critical conditions for the elastic instability, where an initially flat tissue either buckles out of plane or forms wrinkles. Due to the distinct origin of elasticity, the scaling of the critical buckling load and the wrinkling wavelength with layer’s thickness is fundamentally different than in solid plates. The theory also naturally describes reversal of the groove-to-crest thickness-modulation phase–a recently observed epithelial shape feature which cannot be explained by the classical elasticity theory. Our work provides a guideline for understanding the relative role of cell surface tensions and the interaction of tissues with substrates during epithelial morphogenesis.
Ključne besede: tissue mechanics, differential interfacial tension, buckling instability
Objavljeno: 29.04.2026; Ogledov: 2850; Prenosov: 66
Celotno besedilo (1,08 MB)
Ogledov v mesecu: 2850