MRI findings in nonalcoholic steatohepatitis: correlation with histopathology and clinical staging

Purpose

To evaluate magnetic resonance imaging (MRI) findings of nonalcoholic steatohepatitis (NASH) and to determine the correlation of MRI findings with histopathology and Mayo End-Stage Liver Disease (MELD) score.

Materials and Methods

Thirty patients (18 males, 12 females; mean age: 57±8.9 years; age range: 35–71 years) with histopathologically proven NASH who underwent MRI examinations between January 2001 and October 2005 were included in the study. Two radiologists retrospectively reviewed all magnetic resonance (MR) examinations in consensus to evaluate the presence and extent of predetermined findings of NASH including liver steatosis, early patchy liver enhancement indicating inflammation and liver fibrosis. The findings detected on MRI were correlated and compared to histopathological findings and MELD score by using nonparametric Spearman correlation coefficient and Kruskal–Wallis analysis of variance.

Results

Liver steatosis was observed in 10 of 30 patients; early patchy liver enhancement, in 8 of 30 patients and liver fibrosis in 19 of 30 patients on MR images. Liver fibrosis was reticular in all these patients. There were statistically significant moderate correlations between MRI findings of liver steatosis and histopathologic grades of steatosis (r=0.43; P<.05), and between MRI findings of fibrosis and histopathologic stages of fibrosis (r=0.61; P<.001). Early patchy enhancement did not demonstrate statistically significant correlation with inflammation (P=.28). There was no statistically significant overall correlation between MRI findings of NASH and MELD score.

Conclusion

MRI findings of liver steatosis and fibrosis in NASH showed moderate correlations with histopathologic grades of steatosis and stages of fibrosis, but MRI findings of NASH did not demonstrate any significant correlations with MELD score.     

Intensity-related dynamics of femtosecond frequency combs

We have performed systematic studies of intensity-related dynamics of the pulse repetition and carrier-envelope offset frequencies in mode-locked Ti:sapphire lasers. We compared the results far two laser systems that have different intracavity dispersion-compensation schemes. We found that the carrier-envelope phase noise and its dynamic response depend critically on the mode-locking conditions. An intensity-related shift of the laser spectrum was found to be instrumental in interpretations.     

Meeting Reports: Energy-Recovering Linacs for Next-Generation Light Sources

Energy-recovering linear accelerators (ERLs) have the potential of providing two orders of magnitude increase in brightness over third-generation sources while offering bunch lengths as low as tens of femtoseconds for timing experiments. ERLs are different from storage rings in that the electron bunches circulate once only. Thus they are not at equilibrium, and in particular can be packed much more tightly than in storage rings, resulting in brighter sources. However, dumping a 100 mA, 3 GeV beam that carries 300 MW of energy is not practical, so the energy is recovered, and the devices are in some sense energystorage rings.     

Chemiluminescence of IF in the gas phase reaction of I2 with F2

Emission from both the state and the previously unreported $\text{A}{}^3\text{Π}{}_1$ state of IF has been observed in the gas phase reaction of I₂ with F₂ at low pressures. For the state the transition moment and vibrational populations were extracted from the spectra by a least-squares method whereby theoretical band shapes were fit to the experimental data. The effect of flow rates of reactants and Ar on the relative emission from the two electronic states, the effect of pressure on the state, and extinction of emission near 470 nm all favor the population of excited electronic states through a four-center reaction complex, rather than association of F and I atoms.It is argued that there is an avoided curve crossing between the lowest two ³Π_0⁺ states of IF, and that the ground state dissociation energy is 23 229 ± 100 cm^?1. The radiative lifetime of the state is estimated to be 10^?3 sec and to be much shorter than that of the $\text{A}{}^3\text{Π}{}_1$ state.     

On the Frequency of Zeros of Solutions of Second Order Linear Differential Equations

We consider the equation \(\rm f^{\prime\prime}+{A}(z){f}=0\) with linearly independent solutions f₁,₂, where A(z) is a transcendental entire function of finite order. Conditions are given on A(z) which ensure that max{λ(f₁),λ(f₂)} = ∞, where λ(g) denotes the exponent of convergence of the zeros of g. We show as a special case of a further result that if P(z) is a non-constant, real, even polynomial with positive leading coefficient then every non-trivial solution of \(\rm f^{\prime\prime}+{e}^P{f}=0\) satisfies λ(f) = ∞. Finally we consider the particular equation \(\rm f^{\prime\prime}+({e}^Z-K){f}=0\) where K is a constant, which is of interest in that, depending on K, either every solution has λ(f) = ∞ or there exist two independent solutions f₁, f₂ each with λ(f_i) ≤ 1.     

Steric Stabilization of Colloids by Poly(dimethylsiloxane) in Carbon Dioxide: Effect of Cosolvents

Steric stabilization and flocculation of colloids with surface-grafted poly(dimethylsiloxane) (PDMS) chains are examined in liquid and supercritical carbon dioxide with and without hexane as a cosolvent. Neither poly(methyl methacrylate) (PMMA) nor silica particles with grafted 10,000 g/mol PDMS could be stabilized in pure CO(2) at pressures up to 345 bar at 25 degrees C and 517 bar at 65 degrees C without stirring. The addition of 15 wt% hexane to CO(2) led to stable dispersions with sedimentation velocities of 0.2 mm/min for 1-2 μm PMMA particles. The critical flocculation pressure of the colloids in the hexane/CO(2) mixture, determined from turbidity versus time measurements, was found to be the same for silica and PMMA particles and was well above the upper critical solution pressure for the PDMS-CO(2) system. The addition of a nonreactive cosolvent, hexane, eliminates flocculation of PMMA particles synthesized through dispersion polymerization in CO(2) with PDMS-based surfactants. Copyright 2000 Academic Press.     

Synthesis of arene-soluble mixed-metal Zr/Ce,Zr/Y,and related [[Zr2(OiPr)9]LnX2]n complexes using the dizirconium nonaisopropoxide ligand

The utility of polydentate monoanionic [Zr2(OiPr)9]- in generating arene-soluble, unsolvated, mixed-metal Zr/Ce and Zr/Y complexes is described. The synthesis of other mixed-metal zirconium lanthanide complexes was also studied to explore the relationship of metal size to structure. Lanthanide trihalides react in THF with KZr2(OiPr)9 to form unsolvated dimers, [[Zr2(OiPr)9]LnCl2]2, with the larger metals, Ln = Ce (1), Ho (2), Y (3), and unsolvated monomers, [Zr2(OiPr)9]LnCl2, with the smaller elements, Ln = Er (4), Yb (5). The synthesis of a monomeric iodide analogue, [Zr2(OiPr)9]TmI2, 6, by reduction of Zr2(OiPr)8(iPrOH)2 with TmI2(DME)3 is also reported. In all of these complexes, the [Zr2(OiPr)9]- subunit is tetradentate. 1-6 are compared with related cyclopentadienyl halide complexes to evaluate the special features of the dizirconium nonaisopropoxide ligand versus cyclopentadienide.     

1-[Ferrocenyl(hydroxy)methyl]-1,7-dicarba<Emphasis Type="Italic">-closo</Emphasis>-dodecaborane: Synthesis and X-ray crystal structure

The synthesis and molecular structure of the novel 1-[ferrocenyl(hydroxy)methyl]-1,7-dicarba-closo-dodecaborane (1) is described. Compound 1 was synthesized from reaction of m-carborane and ferrocene carboxaldehyde using n-butyllithium (n-BuLi) or tetrabutylammonium fluoride (TBAF) in THF in 45% and 36% yield, respectively. Compound 1 consists of a ferrocene molecule tethered to m-carborane through a methylhydroxy bridge. The crystal structure of 1 was determined by single crystal X-ray diffraction analysis. Crystal data: 1 [Fe(C₅H₅)(C₅H₄-CH₂O-1,7-C₂B₁₀H₁₂)], formula weight = 359.17, crystallized in orthorhombic system, space group Pna2 ₁ with a=19.698(4) ?, b=10.709(2) ?, c=8.520(2) ?, and V=1797.3(7) ?³ and Z=4. Refined to R ₁=0.043 for 4124 observed reflections with I/σ>2σ(I). The compound was crystallized as racemic twins in a ratio of 73(2)/27(2). The unsubstituted Cp ring was disordered and modeled as two conformations in a 53(3)/47(3) ratio. Intermolecular hydrogen bonding was observed from the hydrogen of the meta-carbon on the carborane cluster towards the hydroxyl oxygen.