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.     

Discreteness of space from the generalized uncertainty principle

Various approaches to Quantum Gravity (such as String Theory and Doubly Special Relativity), as well as black hole physics predict a minimum measurable length, or a maximum observable momentum, and related modifications of the Heisenberg Uncertainty Principle to a so-called Generalized Uncertainty Principle (GUP). We propose a GUP consistent with String Theory, Doubly Special Relativity and black hole physics, and show that this modifies all quantum mechanical Hamiltonians. When applied to an elementary particle, it implies that the space which confines it must be quantized. This suggests that space itself is discrete, and that all measurable lengths are quantized in units of a fundamental length (which can be the Planck length). On the one hand, this signals the breakdown of the spacetime continuum picture near that scale, and on the other hand, it can predict an upper bound on the quantum gravity parameter in the GUP, from current observations. Furthermore, such fundamental discreteness of space may have observable consequences at length scales much larger than the Planck scale.     

Eye tissue structure and refraction alterations upon nondestructive laser action

A new approach to alterations in eye refraction upon nondestructive laser action on the sclera and cornea is studied. It is demonstrated in in vivo experiments on rabbit eyes that sequential laser irradiation of the sclera and cornea yields a significant alteration in the eye refraction. The collagen structure of the sclera and cornea is studied after the nondestructive laser action with noninvasive polarization-sensitive optical coherence tomography. It is demonstrated that collagen fibers that provide for the cornea tension and applanation partially survive in the zone of the local denaturation of sclera. An irradiation mode that corresponds to an increase in the cornea’s plasticity and does not cause visible structural changes is chosen. The simplest theoretical model for alterations in the eye refraction upon the nonablative laser action on sclera is analyzed. The alteration in the cornea curvature upon stretching resulting from the local sclera coagulation and the corresponding decrease in its volume is calculated. The model makes it possible to approximately estimate the laser irradiation modes that provide the desired alterations in eye refraction.     

The impact of ice particle roughness on the scattering phase matrix

The goal of this study is to explore the influence of ice particle habit (or shape) and surface roughness on the scattering phase matrix. As an example, reported here are the results for two wavelengths: 0.67 and 1.61 μm. For this effort, a database of single-scattering properties has been computed for a set of habits including hexagonal plates, hollow and solid columns, hollow and solid 3D bullet rosettes, droxtals, aggregates of solid columns, and aggregates of plates. The database provides properties for each of the habits at 101 wavelengths between 0.45 and 2.24 μm for smooth, moderately roughened, and severely roughened particles. At each wavelength, the scattering properties are provided at 233 discrete particle diameters ranging from 2 to 10,000 μm. A single particle size distribution from a very cold ice cloud sampled during the CRYSTAL-FACE field campaign (T_cld=–76 °C) is used to illustrate the influence of habit and roughness on the phase matrix. In all, four different habit mixtures are evaluated. The nonzero elements of the phase matrix are shown to be quite sensitive to the assumed habit, particularly in the case of ?P₁₂/P₁₁ that is associated with the degree of linear polarization of scattered radiation. Surface roughness is shown to smooth out maxima in the scattering phase function and in the other elements of the phase matrix, consistent with other studies. To compare with the theoretical simulations of the phase matrix for smooth and roughened particles, a full year of cloud-aerosol lidar with orthogonal polarization (CALIOP) data from 2008 is analyzed to provide global statistics on the values of P₁₁ and P₂₂/P₁₁ in the backscattering direction. In a comparison of two of the habit mixtures (one used for MODIS Collection 5 and another that incorporates new habits including hollow bullet rosettes and aggregates of plates) with the CALIOP data, the values for P₁₁ are higher regardless of the degree of particle surface roughness, and the values for P₂₂/P₁₁ are lower than those for CALIOP. Further investigation is warranted to better understand this discrepancy.     

Synthesis of Soluble,Alkyne‐Substituted Trideca‐ and Hexadeca‐Starphenes

Two literature‐known TIPS‐ethynyl‐dibromoacenes were prepared and employed to synthesize cyclotrimers by using Yamamoto coupling conditions. Two large, well‐soluble starphenes were isolated in good yields. Crystallographic characterization verifies the triangular shape and shows significant differences in crystal packing.     

Highly Tin‐Selective Stille Coupling: Synthesis of a Polymer Containing a Stannole in the Main Chain

The incorporation of heavier Group 14 element heteroles into semiconducting polymers leads to unusual optoelectronic properties. However, polymers containing stannoles have not been accessible to date. We report a synthetic route to a well‐defined, stannole‐containing polymer, the first example of this class of π‐conjugated polymers. This route was made possible by developing difunctionalized stannole monomers and highly tin‐selective Stille coupling reactions that leave the tin in the stannole untouched. Compared to poly(3‐n‐hexylthiophene), the resulting polymer displays a remarkable bathochromic shift in its absorption.     

Beitrag zur Züchtung von ZnSiP2 unter nichtstöchiometrischen Bedingungen aus der Gasphase in Auswertung mikroanalytischer Untersuchungen

Röntgenographically identified single-phase ZnSiP₂ of stoichiometric composition which has been grown in gas phase has a specific resistance of > 10³ Ωcm and locally limited luminescence spectra. The presence of foreign phases and inhomogeneities as well as stoichiometric deviations in the ZnSiP₂ are possible causes of these physical properties. An attempt was made to grow, in the gas phase, ZnSiP₂ containing foreign phases. For this purpose, synthesis and crystallization of ZnSiP₂ were carried out using non-stoichiometric proportions of silicon. The phase composition of the crystals was investigated by means of light microscopy and electron-beam microanalysis. In the case of hypostoichiometric silicon amounts (–50 mole% Si) the ZnSiP₂ matrix contains the binary phases ZnP₂ and Zn₃P₂. Under hyperstoichiometric conditions (> 100 mole% Si) ZnS₁₃P₂ layers are deposited on the ZnSiP₂. Distinct differences between the physical properties of stoichiometric single-phase ZnSiP₂ and ZnSiP₂ containing foreign phases could not be detected.