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Mapping Techniques (mapping + techniques)
Selected AbstractsAblation of Atypical Atrial Flutter Guided by the Use of Concealed Entrainment in Patients Without Prior Cardiac SurgeryJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 2 2000FRANK BOGUN M.D. Ablation of Atypical Atrial Flutter. Introduction: Mapping techniques have not been systematically evaluated with respect to atypical atrial flutter (AF) not involving the inferior vena cava isthmus. The purpose of this study was to assess prospectively the use of concealed entrainment (CE) in mapping of AF and to assess the clinical benefit of ablation of clinically relevant atypical AF. Methods and Results: In seven consecutive patients without prior cardiac surgery presenting with atypical AF, mapping was performed in the right and, if necessary, left atrium. At sites with CE, radiofrequency energy was delivered. In a posthoc analysis, the endocardial activation time, stimulus-flutter wave (F) interval, presence of split potentials and diastolic potentials, and postpacing Interval were assessed, and effective sites were compared to ineffective sites. A total of 22 forms of atypical AE either could be induced or were present at the time of the study. Eleven of the 13 targeted atypical AFs (85%) were successfully ablated. The positive predictive value of CE increased from 45% to 75% in the presence of matching electrogram-F and stimulus-F intervals or if flutter terminated during entrainment pacing, and to 88% in the presence of split atrial electrograms or diastolic potentials. During short-term clinical follow-up, none of the patients had recurrence of the ablated AE. However, the majority of patients required either medication for atrial fibrillation or repeated interventions for new forms of AF. Conclusion: Mapping and ablation of atypical AF is feasible if sites with CE can be identified. However, the clinical benefit of successful ablations in patients with atypical flutter appears to be limited. [source] Task-related gamma-band dynamics from an intracerebral perspective: Review and implications for surface EEG and MEGHUMAN BRAIN MAPPING, Issue 6 2009Karim Jerbi Abstract Although non-invasive techniques provide functional activation maps at ever-growing spatio-temporal precision, invasive recordings offer a unique opportunity for direct investigations of the fine-scale properties of neural mechanisms in focal neuronal populations. In this review we provide an overview of the field of intracranial Electroencephalography (iEEG) and discuss its strengths and limitations and its relationship to non-invasive brain mapping techniques. We discuss the characteristics of invasive data acquired from implanted epilepsy patients using stereotactic-electroencephalography (SEEG) and electrocorticography (ECoG) and the use of spectral analysis to reveal task-related modulations in multiple frequency components. Increasing evidence suggests that gamma-band activity (>40 Hz) might be a particularly efficient index for functional mapping. Moreover, the detection of high gamma activity may play a crucial role in bridging the gap between electrophysiology and functional imaging studies as well as in linking animal and human data. The present review also describes recent advances in real-time invasive detection of oscillatory modulations (including gamma activity) in humans. Furthermore, the implications of intracerebral findings on future non-invasive studies are discussed. Hum Brain Mapp, 2009. © 2009 Wiley-Liss, Inc. [source] Optic radiation changes after optic neuritis detected by tractography-based group mappingHUMAN BRAIN MAPPING, Issue 3 2005Olga Ciccarelli Abstract Postmortem data suggest that trans-synaptic degeneration occurs in the lateral geniculate nucleus after optic nerve injury. This study investigated in vivo the optic radiations in patients affected by optic neuritis using fast marching tractography (FMT), a diffusion magnetic resonance imaging (MRI) fiber tracking method, and group mapping techniques, which allow statistical comparisons between subjects. Seven patients, 1 year after isolated unilateral optic neuritis, and ten age and gender-matched controls underwent whole-brain diffusion tensor MR imaging. The FMT algorithm was used to generate voxel-scale connectivity (VSC) maps in the optic radiations in each subject in native space. Group maps of the left and right optic radiations were created in the patient and control group in a standardized reference frame using statistical parametric mapping (SPM99). The reconstructed optic radiations in the patient group were localized more laterally in the posterior part of the tracts and more inferiorly than in the control group. Patients showed reduced VSC values in both tracts compared with controls. These findings suggest that the group mapping techniques might be used to assess changes in the optic radiations in patients after an episode of optic neuritis. The changes we have observed may be secondary to the optic nerve damage. Hum Brain Mapp, 2005. © 2005 Wiley-Liss, Inc. [source] An assessment of the differences between three satellite snow cover mapping techniques,HYDROLOGICAL PROCESSES, Issue 18 2002David Bitner Abstract The National Operational Hydrologic Remote Sensing Center (NOHRSC) of the National Oceanic and Atmospheric Administration's (NOAA's) National Weather Service (NWS) provides daily satellite-derived snow cover maps to support the NWS Hydrologic Services Program covering the coterminous USA and Alaska. This study compared the NOHRSC snow cover maps with new automated snow cover maps produced by the National Environmental Satellite, Data, and Information Service (NESDIS) and the snow cover maps created from the Moderate Resolution Imaging Spectroradiometer (MODIS) imagery. The purpose of this paper is to demonstrate and account for the differences that occur between the three different snow cover mapping techniques. Because each of these snow cover products uses data from different sensors at different resolutions, the data were degraded to the coarsest relevant resolution. In both comparisons, forest canopy density was examined as a possible explanatory factor to account for those differences. NOHRSC snow cover maps were compared with NESDIS snow cover maps for 32 different dates from November 2000 to February 2001. NOHRSC snow cover maps were also compared with MODIS snow cover maps in the Pacific Northwest and the Great Plains for 18 days and 21 days, respectively, between March and June 2001. In the first comparison, where the NOHRSC product (,1 km) was degraded to match the resolution of the NESDIS data (,5 km), the two products showed an average agreement of 96%. Forest canopy density data provided only weak explanation for the differences between the NOHRSC and the NESDIS snow cover maps. In the second comparison, where the MODIS product (,500 m) was degraded to match the resolution of the NOHRSC product for two sample areas, the agreement was 94% in the study area in the Pacific Northwest, and 95% in the study area in the Great Plains. Published in 2002 by John Wiley & Sons, Ltd. [source] Modeling of microwave devices with space mapping and radial basis functionsINTERNATIONAL JOURNAL OF NUMERICAL MODELLING: ELECTRONIC NETWORKS, DEVICES AND FIELDS, Issue 3 2008Slawomir Koziel Abstract We review recent developments in space mapping techniques for modeling of microwave devices. We present a surrogate modeling methodology that utilizes space mapping combined with radial basis function interpolation. The method has advantages both over the standard space mapping modeling methodology and the recently published space mapping modeling with variable weight coefficients. In particular, it provides accuracy comparable or better than the latter method and computational efficiency as good as the standard space mapping modeling procedure. A comparison between the space mapping modeling methodologies as well as application examples of optimization and statistical analysis of microwave structures is presented. Copyright © 2007 John Wiley & Sons, Ltd. [source] Demonstration of Electrical and Anatomic Connections Between Marshall Bundles and Left Atrium in Dogs: Implications on the Generation of P Waves on Surface ElectrocardiogramJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 12 2002CHIKAYA OMICHI M.D. Marshall Bundle and P Wave.Introduction: The muscle bundles within the ligament of Marshall (LOM) are electrically active. The importance of these muscle bundles (Marshall bundle [MB]) to atrial activation and the generation of the ECG P wave is unclear. Methods and Results: We used optical mapping techniques to study epicardial activation patterns in isolated perfused left atrium in four dogs. In another seven dogs, P waves were studied before and after in vivo radiofrequency (RF) ablation of the connection between coronary sinus (CS) and the LOM. Computerized mapping was performed before and after RF ablation. Optical mapping studies showed that CS pacing resulted in broad wavefronts propagating from the middle and distal LOM directly to the adjacent left atrium (LA). Serial sections showed direct connection between MB and LA near the orifice of the left superior pulmonary vein in two dogs. In vivo studies showed that MB potentials were recorded in three dogs. After ablation, the duration of P waves remained unchanged. In the other four dogs, MB potentials were not recorded. Computerized mapping showed that LA wavefronts propagated to the MB region via LA-MB connection and then excited the CS. After ablation, the activation of CS muscle sleeves is delayed, and P wave duration increased from 65.3 ± 14.9 msec to 70.5 ± 17.2 msec (P = 0.025). Conclusion: In about half of the normal dogs, MB provides an electrical conduit between LA free wall and CS. Severing MB alters the atrial activation and lengthens the P wave. MB contributes to generation of the P wave on surface ECG. [source] Cellular Mechanisms of Vagally Mediated Atrial Tachyarrhythmia in Isolated Arterially Perfused Canine Right AtriaJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 9 2002MASAMICHI HIROSE M.D. Mechanism of Vagally Mediated AT.Introduction: Increased vagal tone significantly enhances susceptibility to atrial fibrillation (AF); however, the cellular mechanisms responsible for vagally mediated AF are not completely understood. Methods and Results: In 12 isolated arterially perfused canine right atria, high-resolution optical mapping techniques were used to measure action potentials during control conditions, during intracardiac parasympathetic nerve stimulation (IPS; 30 to 50 Hz) as a surrogate for vagal stimulation, and during acetylcholine (ACh) infusion (10 to 30 ,M). During steady-state pacing, action potential duration was shorter during ACh infusion (43 ± 9 msec) than during IPS (78 ± 7 msec, P < 0.001) or control (129 ± 5 msec, P < 0.001). In contrast, repolarization gradients were larger during IPS (13 ± 3 msec/mm) than during ACh infusion (3 ± 1 msec/mm, P < 0.01) or control (5 ± 1 msec/mm, P < 0.01). Transmural repolarization gradients were relatively small for each intervention tested. During ACh infusion, atrial tachyarrhythmia (AT) was easily initiated with a single premature stimulus and was associated with a focal pattern of activation (84%). AT also was easily initiated by a single premature stimulus during IPS; however, when repolarization gradients were large, patterns of conduction block and incomplete macroreentry were often observed (64%). Importantly, AT initiation during IPS was associated with focal activity (36%) when repolarization gradients were small. Conclusion: In contrast to ACh infusion, IPS generally increased dispersion of repolarization and was often associated with patterns of conduction block and incomplete macroreentry, similar to that associated with in vivo cervical vagal stimulation. However, IPS also was associated with a focal pattern of initiation that was independent of local repolarization gradients. These results suggest that during vagal stimulation, AT initiation does not always depend on repolarization gradients. [source] Quantitative misorientation characteristics of interphase boundaries in compositesJOURNAL OF MICROSCOPY, Issue 1 2006K. SZTWIERTNIA Summary Specific crystallographic correlations between neighbouring grains in composites were established by the use of selected area electron diffraction in the transmission electron microscope. However, it was the development of orientation mapping techniques that made it possible to obtain a quantitative description of the distribution of boundaries between the grains of both the same phase and different phases. This study shows that orientation topography measurements made by electron backscatter diffraction in the scanning electron microscope allowed determination of the crystallographic relationships between grains of different phases. An alumina-based composite with a content of 10 vol% tungsten carbide was chosen for investigations. Misorientation distribution functions were calculated to describe the distribution density of misorientations with respect to the nearest neighbouring measured point located in the grain of the second phase. The analysis of misorientation distribution functions permitted the evaluation of preferences for some special crystallographic correlations between the grains of composite matrix and inclusions as well as shares of interphase boundaries characterized by those correlations. [source] Expression of c-Fos in Alko Alcohol Rats Responding for Ethanol in an Operant ParadigmALCOHOLISM, Issue 5 2001Adam Z. Weitemier Background: Identification of the brain regions involved in ethanol administration is important for understanding the neurobiology of ethanol addiction. Animal studies with different brain mapping techniques found that voluntary ethanol self-administration leads to changes in activity of specific brain regions in patterns that only partially overlap with patterns of brain regions affected by involuntary (i.e., experimenter-administered) ethanol administration. As an extension of studies mapping changes in neural activity after voluntary ethanol drinking, this study analyzed expression of the inducible transcription factor c-Fos after ethanol consumption in an operant procedure. Methods: AA (Alko alcohol) rats were trained to operantly respond for water, 0.2% saccharin, 0.2% saccharin/10% (w/v) ethanol, or 10% ethanol in a 30-min limited-access procedure. Animals were allowed to self-administer solutions for at least 40 ethanol response sessions and were killed 1.5 hr after beginning of the last session. Forty-seven brain regions were immunohistochemically analyzed for c-Fos expression. Results: In this paradigm, ethanol dose-dependently increased c-Fos expression in the Edinger-Westphal nucleus (EW) and decreased expression in the dorsal tenia tecta compared with no-ethanol controls. No effects of saccharin on c-Fos expression were found. Conclusions: Our results extend previous findings of preferential sensitivity of EW to alcohol in voluntary self-administration procedures to operant responding for ethanol and warrant further investigation of ethanol's effects on the EW. The finding that ethanol attenuated c-Fos expression in the tenia tecta is novel. Taken together, these findings confirm that voluntary ethanol self-administration leads to changes in activity of a limited number of brain regions with previously unexamined roles in ethanol sensitivity and addiction. [source] Physico-Mechanical Properties, Odor and VOC Emission of Bio-Flour-Filled Poly(propylene) Bio-Composites with Different Volcanic Pozzolan ContentsMACROMOLECULAR MATERIALS & ENGINEERING, Issue 10 2006Hee-Soo Kim Abstract Summary: This study investigated the physico-mechanical properties, odor and VOC emission of bio-flour filled PP bio-composites with different pozzolan contents. On increasing the pozzolan content, the tensile and flexural strengths of the bio-composites were not significantly changed, whereas the impact strength and water absorption increased slightly and the odor intensity decreased due to the absorption of thermal degradation gases of PP and bio-flour at the pore surface of the pozzolan. The VOC emission of the bio-composites, analyzed by GC-MSD, was mainly due to PP oxidation and the thermal degradation of bio-flour during the extrusion process at high manufacturing temperatures. With increased pozzolan content, other organic compounds of the bio-composites were not significantly changed, but the toluene emission of the bio-composites was decreased. SEM and SEM/EDX mapping techniques were employed to investigate the porous form and the pozzolan distribution in the bio-composites. From these results, we concluded that the addition of pozzolan in the bio-composites was an effective method for reducing their odor and VOC emission without any reduction in mechanical properties. SEM micrograph of pozzolan (10,000×). [source] Climate for crops: integrating climate data with information about soils and crop requirements to reduce risks in agricultural decision-makingMETEOROLOGICAL APPLICATIONS, Issue 4 2006D. S. Wratt Abstract Locally applicable information about climate and soil properties can help farmers identify opportunities and reduce risks associated with changing to new land uses. This article describes techniques for preparing high-resolution regional maps and GIS surfaces of agriculturally relevant climate parameters. Ways of combining these climate surfaces with soil data and information about the physical requirements of crops to identify areas likely to be the most suitable for new high-value crops are then outlined. Innovative features include methods for merging observations from temporary climate stations installed for one to two years in conjunction with longer-term climate station observations to improve input data for the maps, and techniques for mapping quantiles of climatic factors that may constrain agricultural operations. Examples are the expected ,one-in-five year' first and last frost dates, and the ,one-in-five year' lowest and highest seasonal rainfalls. The use of night-time satellite infrared observations to improve spatial resolution of frost hazard maps is also described. Typical standard errors of these climate mapping techniques are summarised. The benefits of ongoing consultation with local farmers and local government staff during the design and implementation of climate/soil/crop potential studies are described. These include optimising products to meet local needs, quality control of the resulting maps and GIS surfaces through local knowledge, and improved uptake of information by users. Further applications of techniques described in this paper include products useful to the energy sector, preparation of daily gridded climate data estimates for use in water quality and plant growth modelling, and development of regional climate change scenarios. Copyright © 2006 John Wiley & Sons, Ltd. [source] Electrophysiological mapping for the implantation of deep brain stimulators for Parkinson's disease and tremorMOVEMENT DISORDERS, Issue S14 2006Robert E. Gross MD Abstract The vast majority of centers use electrophysiological mapping techniques to finalize target selection during the implantation of deep brain stimulation (DBS) leads for the treatment of Parkinson's disease and tremor. This review discusses the techniques used for physiological mapping and addresses the questions of how various mapping strategies modify target selection and outcome following subthalamic nucleus (STN), globus pallidus internus (GPi), and ventralis intermedius (Vim) deep brain stimulation. Mapping strategies vary greatly across centers, but can be broadly categorized into those that use microelectrode or semimicroelectrode techniques to optimize position prior to implantation and macrostimulation through a macroelectrode or the DBS lead, and those that rely solely on macrostimulation and its threshold for clinical effects (benefits and side effects). Microelectrode criteria for implantation into the STN or GPi include length of the nucleus recorded, presence of movement-responsive neurons, and/or distance from the borders with adjacent structures. However, the threshold for the production of clinical benefits relative to side effects is, in most centers, the final, and sometimes only, determinant of DBS electrode position. Macrostimulation techniques for mapping, the utility of microelectrode mapping is reflected in its modification of electrode position in 17% to 87% of patients undergoing STN DBS, with average target adjustments of 1 to 4 mm. Nevertheless, with the absence of class I data, and in consideration of the large number of variables that impact clinical outcome, it is not possible to conclude that one technique is superior to the other in so far as motor Unified Parkinson's Disease Rating Scale outcome is concerned. Moreover, mapping technique is only one out of many variables that determine the outcome. The increase in surgical risk of intracranial hemorrhage correlated to the number of microelectrode trajectories must be considered against the risk of suboptimal benefits related to omission of this technique. © 2006 Movement Disorder Society [source] Mapping of Atrial Activation Patterns After Inducing Contiguous Radiofrequency Lesions: An Experimental StudyPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 2 2001FRANCISCO J. CHORRO CHORRO, F.J., et al.: Mapping of Atrial Activation Patterns After Inducing Contiguous Radiofrequency Lesions: An Experimental Study. High resolution mapping techniques are used to analyze the changes in atrial activation patterns produced by contiguous RF induced lesions. In 12 Langendorff-perfused rabbit hearts, left atrial activation maps were obtained before and after RF induction of epicardial lesions following a triple-phase sequential protocol: (phase 1) three separate lesions positioned vertically in the central zone of the left atrial wall; (phase 2) the addition of two lesions located between the central lesion and the upper and lower lesions; and (phase 3) the placement of four additional lesions between those induced in the previous phases. In six additional experiments a pathological analysis of the individual RF lesions was performed. In phase 1 (lesion diameter = 2.8 ± 0.2 mm, gap between lesions = 3 ± 0.8 mm), the activation process bordered the lesions line in two (2.0-ms cycles) and four experiments (1.0-ms cycles). In phase 2, activation bordered the lesions line in eight (2.0-ms cycles, P < 0.01 vs control) and nine experiments (1.0-ms cycles, P < 0.001), and in phase 3 this occurred in all experiments except one (both cycles, P < 0.001 vs control). In the experiments with conduction block, the increment of the interval between activation times proximal and distal to the lesions showed a significant correlation to the length of the lesions (r = 0.68, P < 0.05, 100-ms cycle). In two (17%) experiments, sustained regular tachycardias were induced with reentrant activation patterns around the lesions line. In conclusion, in this acute model, atrial RF lesions with intact tissue gaps of 3 mm between them interrupt conduction occasionally, and conduction block may be frequency dependent. Lesion overlap is required to achieve complete conduction block lines. Tachycardias with reentrant activation patterns around a lesions line may be induced. [source] BrainProfileDB , a platform for integration of functional genomics dataPROTEINS: STRUCTURE, FUNCTION AND BIOINFORMATICS, Issue 6 2008Johannes Schuchhardt Dr. Abstract BrainProfileDB is a database system for integrating large sets of high throughput functional genomics data of the Human Brain Proteome Project (HBPP). Within HBPP (http://www.smp-proteomics.de/) the molecular pathology of neurodegenerative diseases is investigated, using complementary methods from transcriptomics, proteomics, toponomics and interaction measurements. Aim of the database system is to provide a broad spectrum of scientific users joined in the consortium with a practical integrated view on their data. Employing appropriate mapping techniques and levels of data representation the user is relieved from technical details of gene identification or experimental measurement technique. [source] Technical note: Morphometric maps of long bone shafts and dental roots for imaging topographic thickness variationAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 2 2010Luca Bondioli Abstract Qualitative and quantitative characterization through functional imaging of mineralized tissues is of potential value in the study of the odontoskeletal remains. This technique, widely developed in the medical field, allows the bi-dimensional, planar representation of some local morphometric properties, i.e., topographic thickness variation, of a three-dimensional object, such as a long bone shaft. Nonetheless, the use of morphometric maps is still limited in (paleo)anthropology, and their feasibility has not been adequately tested on fossil specimens. Using high-resolution microtomographic images, here we apply bi-dimensional virtual "unrolling" and synthetic thickness mapping techniques to compare cortical bone topographic variation across the shaft in a modern and a fossil human adult femur (the Magdalenian from Chancelade). We also test, for the first time, the possibility to virtually unroll and assess for dentine thickness variation in modern and fossil (the Neanderthal child from Roc de Marsal) human deciduous tooth roots. The analyses demonstrate the feasibility of using two-dimensional morphometric maps for the synthetic functional imaging and comparative biomechanical interpretation of cortical bone thickness variation in extant and fossil specimens and show the interest of using this technique also for the subtle characterization of root architecture and dentine topography. More specifically, our preliminary results support the use of virtual cartography as a tool for assessing to what extent internal root morphology is capable of responding to loading and directional stresses and strains in a predictable way. Am J Phys Anthropol, 2010. © 2010 Wiley-Liss, Inc. [source] Visual subdivisions of the dorsal ventricular ridge of the iguana (Iguana iguana) as determined by electrophysiologic mappingTHE JOURNAL OF COMPARATIVE NEUROLOGY, Issue 3 2002Paul R. Manger Abstract The dorsal ventricular ridge (DVR) of reptiles is one of two regions of the reptilian telencephalon that receives input from the dorsal thalamus. Although studies demonstrate that two visual thalamic nuclei, the dorsal lateral geniculate and rotundus, send afferents to the dorsal cortex and DVR, respectively, relatively little is known about physiologic representations. The present study determined the organization of the visual recipient region of the iguana DVR. Microelectrode mapping techniques were used to determine the extent, number of subdivisions, and retinotopy within the visually responsive region of the anterior DVR (ADVR). Visually responsive neurons were restricted to the anterior two thirds of the ADVR. Within this region, two topographically organized subdivisions were determined. Each subdivision contained a full representation of the visual field and could be distinguished from the other by differences in receptive field properties and reversals in receptive field progressions across their mutual border. A third subdivision of the ADVR, in which neurons are responsive to visual stimulation is also described; however, a distinct visuotopic representation could not be determined for this region. This third region forms a shell surrounding the lateral, dorsal, and medial aspects of the topographically organized subdivisions. These results demonstrate that there are multiple physiologic subdivisions in the thalamic recipient zone of the ADVR of the iguana. Comparisons to the ADVR of other reptiles are made, homologies to ectostriatial regions of the bird are proposed, and the findings are discussed in relation to telencephalic organization of other vertebrates. J. Comp. Neurol. 453:226,246, 2002. © 2002 Wiley-Liss, Inc. [source] Candidate's Thesis: The Application of Sentinel Node Radiolocalization to Solid Tumors of the Head and Neck: A 10-Year Experience,THE LARYNGOSCOPE, Issue 1 2004James C. Alex MD Abstract Objectives/Hypothesis The goals of the research study were to develop an easily mastered, accurate, minimally invasive technique of sentinel node radiolocalization with biopsy (SNRLB) in the feline model; to compare it with blue-dye mapping techniques; and to test the applicability of sentinel node radiolocalization biopsy in three head and neck tumor types: N0 malignant melanoma, N0 Merkel cell carcinoma, and N0 squamous cell carcinoma. Study Design Prospective consecutive series studies were performed in the feline model and in three head and neck tumor types: N0 malignant melanoma (43 patients), N0 Merkel cell carcinoma (8 patients), and N0 squamous cell carcinoma (20 patients). Methods The technique of sentinel node radiolocalization with biopsy was analyzed in eight felines and compared with blue-dye mapping. Patterns of sentinel node gamma emissions were recorded. Localization success rates were determined for blue dye and sentinel node with radiolocalization biopsy. In the human studies, all patients had sentinel node radiolocalization biopsy performed in a similar manner. On the morning of surgery, each patient had sentinel node radiolocalization biopsy of the sentinel lymph node performed using an intradermal or peritumoral injection of technetium Tc 99m sulfur colloid. Sentinel nodes were localized on the skin surface using a handheld gamma detector. Gamma count measurements were obtained for the following: 1) the "hot" spot/node in vivo before incision, 2) the hot spot/node in vivo during dissection, 3) the hot spot/node ex vivo, 4) the lymphatic bed after hot spot/node removal, and 5) the background in the operating room. The first draining lymph node(s) was identified, and biopsy of the node was performed. The radioactive sentinel lymph node(s) was submitted separately for routine histopathological evaluation. Preoperative lymphoscintigrams were performed in patients with melanoma and patients with Merkel cell carcinoma. In patients with head and neck squamous cell carcinoma, the relationship between the sentinel node and the remaining lymphatic basin was studied and all patients received complete neck dissections. The accuracy of sentinel node radiolocalization with biopsy, the micrometastatic rate, the false-negative rate, and long-term recurrence rates were reported for each of the head and neck tumor types. In the melanoma study, the success of sentinel node localization was compared for sentinel node radiolocalization biopsy, blue-dye mapping, and lymphoscintigraphy. In the Merkel cell carcinoma study, localization rates were evaluated for sentinel node radiolocalization biopsy and lymphoscintigraphy. In the head and neck squamous cell carcinoma study, the localization rate of sentinel node radiolocalization biopsy and the predictive value of the sentinel node relative to the remaining lymphatic bed were determined. All results were analyzed statistically. Results Across the different head and neck tumor types studied, sentinel node radiolocalization biopsy had a success rate approaching 95%. Sentinel node radiolocalization biopsy was more successful than blue-dye mapping or lymphoscintigraphy at identifying the sentinel node, although all three techniques were complementary. There was no instance of a sentinel node-negative patient developing regional lymphatic recurrence. In the head and neck squamous cell carcinoma study, there was no instance in which the sentinel node was negative and the remaining lymphadenectomy specimen was positive. Conclusion In head and neck tumors that spread via the lymphatics, it appears that sentinel node radiolocalization biopsy can be performed with a high success rate. This technique has a low false-negative rate and can be performed through a small incision. In head and neck squamous cell carcinoma, the histological appearance of the sentinel node does appear to reflect the regional nodal status of the patient. [source] Digit-specific aberrations in the primary somatosensory cortex in Writer's cramp,ANNALS OF NEUROLOGY, Issue 2 2009Aimee J. Nelson PhD Objective One approach to the treatment of focal hand dystonia (FHD) is via sensory-based training regimes. It is known that FHD patients demonstrate a reduced distance between the representations of digits 1 and 5 and also digits 2 and 5 in primary somatosensory cortex. However, we lack information on the spatial relationships among digits, such as reduced inter-digit spacing or shifts of representations within the cortical areas, and whether aberrations are specific to symptomatic digits. Our aim was to characterize the spatial relationships among individual digits to determine the types of aberrations that exist and whether these are specific to symptomatic digits only. Methods Using high-resolution fMRI over a limited volume and surface-based mapping techniques, the cortical representations of all digits of the dystonia-affected hand within the sub-regions of the postcentral gyrus were mapped in patients with task-specific Writer's cramp (WC). Results In area 3b, digits directly involved in writing (D1, D2 and D3) show reduced inter-digit separation, reversals, and overlapping activation. The thumb representation occupies territory normally occupied by digit 2 in controls. Asymptomatic digits 4 and 5 preserve their inter-digit separation yet shift towards the D1/D2/D3 cluster, suggesting that reduced spacing, not simply digit shifts, are associated with dystonia symptoms. Area 3a was less responsive to sensory input in WC patients providing evidence of reduced afferent drive or top-down modulation to this sub-region. Interpretation Therapeutic regimes aimed at facilitating inter-digit separation of digits 1, 2 and 3 may promote beneficial plasticity in WC patients. Ann Neurol 2009;66:146,154. [source] New Patterns in Urban DesignARCHITECTURAL DESIGN, Issue 6 2009Brian McGrath Abstract Brian McGrath and VictoriaMarshall discern the newly resilient urban patterns that are emerging in the meta-city, shifting and adjusting to changing local and global conditions. Based on smart infrastructure, self-sufficiency and hybrid local models, highly adaptive design patterns take the form of responsive micropatches rather than overarching masterplans. As demonstrated by the featured projects, ,pattern recognition', sensory mapping techniques and sensitivity to a city's ecosystem are becoming essential tools to the urban designer. Copyright © 2009 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||||||||