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Visualization of annular fissures on MRI is becoming increasingly important but remains challenging. Our purpose was to test whether an image processing algorithm could improve detection of annular fissures.

In this retrospective study, two neuroradiologists identified 56 IVDs with annular fissures and 97 IVDs with normal annulus fibrosus in lumbar spine MRIs of 101 patients (58M, 43 F; age ± SD 15.1 ± 3.0years). Signal intensities of diseased and normal annulus fibrosus, and contrast-to-noise ratio between them on sagittal T2-weighted images were calculated before and after processing with a proprietary software. Effect of processing on detection of annular fissures by two masked neuroradiologists was also studied for IVDs with Pfirrmann grades of ≤ 2 and > 2.

Mean (SD) signal baseline intensities of diseased and normal annulus fibrosus were 57.6 (23.3) and 24.4 (7.8), respectively (p < 0.001). Processing increased (p < 0.001) the mean (SD) intensity of diseased annulus to 110.6 (47.9), without affecting the signal intensity of normal annulus (p = 0.14). Mean (SD) CNR between the diseased and normal annulus increased (p < 0.001) from 11.8 (14.1) to 29.6 (29.1). Both masked readers detected more annular fissures after processing in IVDs with Pfirrmann grade of ≤ 2 and > 2, with an apparent increased sensitivity and decreased specificity using predefined image-based human categorization as a reference standard.

Image processing improved CNR of annular fissures and detection rate of annular fissures. However, further studies with a more stringent reference standard are needed to assess its effect on sensitivity and specificity.

Image processing improved CNR of annular fissures and detection rate of annular fissures. However, further studies with a more stringent reference standard are needed to assess its effect on sensitivity and specificity.

Splenic contraction increases circulating hemoglobin (Hb) with advantages during hypoxia. As both hypoxia and exercise have been shown to be important separate triggers of splenic contraction we aimed to investigate if the spleen response to simulated high altitude (HA) is enhanced by superimposing exercise.

Fourteen healthy volunteers (seven females) performed the following protocol in a normobaric environment sitting on an ergometer cycle 20min rest in normoxia; 20min rest while breathing hypoxic gas simulating an altitude of 3500m; 10min exercise at an individually set intensity while breathing the hypoxic gas; 20min rest in hypoxia; and finally 20min rest in normoxia. Spleen measurements were collected by ultrasonic imaging and venous Hb measured at the end of each intervention.

Mean ± SD baseline spleen volume during normoxic rest was 280 ± 107mL, the volume was reduced by 22% during rest in hypoxia to 217 ± 92mL (p < 0.001) and by 33% during exercise in hypoxia (189mL; p < 0.001). Hb was 140 to HA may occur also in the short term. This "graded response" may be beneficial during acclimatization to HA, to cope with moderate chronic hypoxia during rest while allowing additional enhancement of oxygen carrying capacity to overcome short bouts of extreme hypoxia caused by exercise.A game-theoretical model is constructed to capture the effect of imitation on the evolution of cooperation. This imitation describes the case where successful individuals are more likely to be imitated by newcomers who will employ their strategies and social networks. Two classical repeated strategies 'always defect (ALLD)' and 'tit-for-tat (TFT)' are adopted. Mathematical analyses are mainly conducted by the method of coalescence theory. Under the assumption of a large population size and weak selection, the results show that the evolution of cooperation is promoted in this dynamic network. As we observed that the critical benefit-to-cost ratio is smaller compared to that in well-mixed populations. The critical benefit-to-cost ratio approaches a specific value which depends on three parameters, the repeated rounds of the game, the effective strategy mutation rate, and the effective link mutation rate. Specifically, for a very high value of the effective link mutation rate, the critical benefit-to-cost ratio approaches 1. EGFR signaling pathway Remarkably, for a low value of the effective link mutation rate, by letting the effective strategy mutation is nearly equal to zero, the critical benefit-to-cost ratio approaches [Formula see text] for the resulting highly connected networks, which allows TFT to be evolutionary stable. It illustrates that dominance of TFTs is associated with more connected networks. This research can enrich the theory of the coevolution of game strategy and network structure with dynamic imitation.Transmembrane integrin receptors mediate cell-extracellular matrix as well as cell-cell adhesion. As placental trophoblast cells undergo differentiation they display changes in integrin expression or switching, but the mechanism(s) of integrin activation that supports this differentiation is still unknown. The Fermitin family of adapter proteins (FERMT 1-3) are integrin activators that mediate integrin-mediated signaling. In this study, we examined the spatiotemporal pattern of expression of FERMT1 in human chorionic villi throughout gestation and its role in HTR8-SVneo substrate adhesion and invasion. Placental villous tissue was obtained from patients undergoing elective terminations at weeks 8-14, as well as from term deliveries at weeks 37-40 and analyzed by immunofluorescence. Additionally, HTR8-SVneo trophoblast cells were transfected with FERMT1-specific siRNA or non-targeting siRNA (control) and used in cell-substrate adhesion as well as invasion assays. FERMT1 was primarily localized to membrane-associated regions at the base or around the periphery of the villous cytotrophoblast and proximal as well as distal cell column trophoblast. FERMT1 was also localized to endothelial cells of blood vessels in chorionic villi. siRNA-mediated depletion of FERMT1 in HTR8-SVneo cells did not markedly alter HTR8-SVneo cell-substrate adhesion but did significantly decrease invasion (P  less then  0.05) compared to control cells. These novel findings identify the presence of the integrin activator FERMT1 in trophoblast cells and that FERMT1 can regulate HTR8-SVneo cell invasion. FERMT1 may directly influence integrin activation and the subsequent integrin-mediated signaling and differentiation that underlies the acquisition of the invasive trophoblast phenotype in vivo.

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