Diffusion-weighted MRI in the characterization of cystic pancreatic lesions: usefulness of ADC values

Purpose

To evaluate the usefulness of diffusion-weighted magnetic resonance imaging (DW-MRI) in the differentiation of cystic pancreatic lesions.

Materials and Methods

Institutional review board approval was obtained, and written informed consent was taken from all enrolled subjects. Fifty-four patients with cystic pancreatic lesions of at least 1 cm in diameter (range:10–96 mm) at ultrasonography and/or computed tomography and 10 normal subjects underwent MRI at 1.5 T. These subjects included thirty-four patients with intraductal papillary mucinous tumors (IPMTs), 10 with pseudocysts, 5 with serous cystoadenoma and 5 with mucinous cystoadenoma. The MR protocol included axial T1w and T2w sequences and coronal MR cholangiopancreatography images. DW-MRI was performed using a breath-hold single-shot echo-planar sequence with a b gradient factor value of 500 s/mm² in the three orthogonal axes. Apparent diffusion coefficient (ADC) was calculated for cerebrospinal fluid, normal pancreatic parenchyma, and for each focal pancreatic lesion. Imaging results were correlated with endoscopic retrograde cholangiopancreatography, endoscopic ultrasound-guided fine needle aspiration, surgery and/or imaging follow-up.

Results

Mean ADC value was 4.1×10⁻³ mm²/s for cerebrospinal fluid, 1.73×10⁻³ mm²/s for normal pancreatic parenchyma, 4.09×10⁻³ mm²/s for IPMT, 3.89×10⁻³ mm²/s for mucinous cystoadenoma, 3.65×10⁻³ mm²/s for serous cystoadenoma and 2.83×10⁻³ mm²/s for pseudocyst. Mean ADC values of each of the different types of pancreatic lesions were statistically different (P<.05).

Conclusion

DW-MRI may be helpful in the differential diagnosis of cystic pancreatic lesions.     

A ketogenic diet increases succinic dehydrogenase (SDH) activity and recovers age-related decrease in numeric density of SDH-positive mitochondria in cerebellar Purkinje cells of late-adult rats

Ketogenic diets (KDs) have been applied in the therapy of paediatric epilepsy for nearly a century. Recently, beneficial results have also been reported on metabolic disorders and neurodegeneration, designating aged individuals as possible recipients. However, KDs efficacy decrease after the suckling period, and very little is known about their impact on the aging brain. In the present study, the effect on the neuronal energetic supply of a KD containing 20% of medium chain triglycerides (MCT) was investigated in Purkinje cells of the cerebellar vermis of late-adult (19-month-old) rats. The animals were fed with the KD for 8 weeks, and succinic dehydrogenase (SDH) activity was cytochemically determined. The following parameters of SDH-positive mitochondria were evaluated by the use of a computer-assisted image analysis system connected to a transmission electron microscope: numeric density (Nv), average volume (V), volume density (Vv), and cytochemical precipitate area/mitochondrial area (R). Young, age-matched, and old animals fed with a standard chow were used as controls. We found significantly higher Nv in MCT-KD-fed rats vs. all the control groups, in young vs. late-adult and old controls, and in late-adult vs. old controls. V and Vv showed no significant differences among the groups. R was significantly higher in MCT-KD-fed rats vs. all the control animals, and in old vs. young and late-adult controls. Present data indicate that the ketogenic treatment counteracted age-related decrease in numeric density of SDH-positive mitochondria, and enhanced their metabolic efficiency. Given the central role of mitochondrial impairment in age-related physio-pathological changes of the brain, these findings may represent a starting point to examine novel potentialities for KDs.     

Towards a nonperturbative foundation of the dipole picture: II. High energy limit

This is the second of two papers in which we study real and virtual photon-proton scattering in a nonperturbative framework. In the first paper we have identified the leading contributions to this process at high energies and have derived expressions for them which take into account the renormalisation of the photon-quark-antiquark vertex. In the present paper we investigate the approximations and assumptions that are necessary to obtain the dipole model of high energy scattering from the results derived in the first paper. We discuss the gauge invariance of different contributions to the scattering amplitude and point out some subtleties related to gauge invariance in the correct definition of a perturbative photon wave function. As a phenomenological consequence of the dipole picture we derive a bound on the ratio of the cross sections for longitudinally and transversely polarised photons. This bound is independent of any particular model for the dipole-proton cross section and allows one to test the validity of the assumptions leading to the dipole picture in particular at low photon virtualities. We conclude that the naive dipole model formula should be supplemented by two additional terms which can potentially become large at small photon virtualities.     

The simulation of molecular and organic devices: a critical review and look at future developments

Molecular devices have lately attracted increased attention due to some appealing features such as their low production cost, flexibility in the substrate choice, possibility of large area deployment, and possibly higher integration capabilities. Starting from a series of results obtained from our groups, we critically review the state-of-the-art in the field of simulation of organic and molecular systems, by analyzing and comparing existing approaches, and looking at the open problems and possible solutions and future developments. PACS 72.80.Le     

Continuously tunable 1 byte delay in coupled-resonator optical waveguides

A reconfigurable coupled-resonator optical waveguide made of a few directly coupled ring resonators is employed to control the delay of data streams modulated at tens of gigabits per second. A delay of 8 bit lengths (1 optical byte) with a small pulse broadening and 1 dB/bit fractional loss is achieved by using only eight rings. The limiting role of waveguide loss and spurious backreflections is experimentally investigated. The high storage efficiency (1 bit/ring) of the device enables an easy, reliable, hitless, and relatively low-power-consuming management of the delay. A higher storage efficiency is demonstrated to be associated to an unavoidable higher pulse distortion.     

Absence of broken time-reversal symmetry in the pseudogap state of the high temperature La(2-x)SrxCuO4 superconductor from muon-spin-relaxation measurements

We have performed zero-field muon-spin-relaxation measurements on single crystals of La(2-x)SrxCuO4 to search for spontaneous currents in the pseudogap state. By comparing measurements on materials across the phase diagram, we put strict upper limits on any possible time-reversal symmetry breaking fields that could be associated with the pseudogap. Comparison between experimental limits and the proposed circulating current states effectively eliminates the possibility that such states exist in this family of materials.     

An NMR thermometer for cryogenic magic-angle spinning NMR: the spin-lattice relaxation of (127)I in cesium iodide

The accurate temperature measurement of solid samples under magic-angle spinning (MAS) is difficult in the cryogenic regime. It has been demonstrated by Thurber et al. (J. Magn. Reson., 196 (2009) 84-87) [10] that the temperature dependent spin-lattice relaxation time constant of ⁷⁹Br in KBr powder can be useful for measuring sample temperature under MAS over a wide temperature range (20–296 K). However the value of T₁ exceeds 3 min at temperatures below 20 K, which is inconveniently long. In this communication, we show that the spin-lattice relaxation time constant of ¹²⁷I in CsI powder can be used to accurately measure sample temperature under MAS within a reasonable experimental time down to 10 K.     

Existence and uniqueness for nonlinear boundary value problems in kinetic theory

A boundary value problem for the stationary nonlinear Boltzmann equation in a slab has been examined in a weightedL space. It has been proved that the problem possesses a unique solution for boundary data small enough. The proof is based on the implicit function theorem. It has also been shown that for the linearized problem the Fredholm alternative applies.     

An algorithm producing hyperbolicity equations for a link complement in S 3

We describe a constructive and effective method for decomposing the complement of an alternating link in the three-sphere into tetrahedra with identifications and vertices removed. Consequently we obtain an algorithm for writing down the hyperbolicity equations associated to such decomposition.