Comparaison de techniques de débruitage des images scintigraphiques

Scintigraphic images are strongly affected by Poisson noise. This article presents the results of a comparison between denoising methods for Poisson noise according to different criteria: the gain in signal-to-noise ratio, the preservation of resolution and contrast, and the visual quality. The wavelet techniques recently developed to denoise Poisson noise limited images are divided into two groups based on: (1) the Haar representation, (2) the transformation of Poisson noise into white Gaussian noise by the Haar–Fisz transform followed by a denoising. In this study, three variants of the first group and three variants of the second, including the adaptative Wiener filter, four types of wavelet thresholdings and the Bayesian method of Pizurica were compared to Metz and Hanning filters and to Shine, a systematic noise elimination process. All these methods, except Shine, are parametric. For each of them, ranges of optimal values for the parameters were highlighted as a function of the aforementioned criteria. The intersection of ranges for the wavelet methods without thresholding was empty, and these methods were therefore not further compared quantitatively. The thresholding techniques and Shine gave the best results in resolution and contrast. The largest improvement in signal-to-noise ratio was obtained by the filters. Ideally, these filters should be accurately defined for each image. This is difficult in the clinical context. Moreover, they generate oscillation artefacts. In addition, the wavelet techniques did not bring significant improvements, and are rather slow. Therefore, Shine, which is fast and works automatically, appears to be an interesting alternative.     

Comparaison randomisee en double insu d’injections intracaverneuses d’alprostadil-alfadex et de chlorhydrate de moxisylyte dans 156 cas de dysfonction erectile chronique

Purpose

To compare the efficacy and safety of Alprostadil Alfadex (PGE1a-cd) and Moxisylyte — chlorhydrate to induce reactions adequate for sexual intercouse in a prospective, randomized, parallel double blind study in patients with erectile dysfunction.

Methods

156 patients with erectile dysfunction due to organic, non-organic and mixed origin were randomized into two paralle treatment groups receiving titrations of their individual optimum dose of either Alprostadil Alfadex or Moxisylyte chlorhydrate. Erectile response was measured by the buckling test. A positive test was associated with an axial erection rigidity that did not buckle/deform to 1.0 kg load. The buckling test was repeated every 10 minutes for up to 60 minutes.

Results

56 patients (75%) in the Alprostadil Alfadex group and 32 patients (40%) in the Moxisylyte chlorhydrate group responded with at least one positive buckling test during the office period. The investigators assessed erections following. Alprostadil Alfadex to be adequate for sexual intercourse in 61 patients (81%) compared to 37 patients (46%) following Moxisylyte chlorhydrate. All efficacy parameters in offcice reached statistical significance of p<0.001 in favour of Alprostadil Alfadex. During self-injection therapy at home 58 patients (85%) reported at least one rigid erection following Alprostadil Alfadex compared to 37 patients (61%) after Moxisylyte chlorhydrate. Patient’s and partner’s opinion of the treatment achieved statistically significant better scores in the Alprostadil Alfadex group compared to the Moxisylyte chlorhydrate group.

Conclusions

Alprostadil Alfadex is significantly more effective than Moxisylyte chlorhydrate in producing full penile rigidity in office and at home. Injection related side effects occur with the same frequency while Moxisylyte results in more systemic side effects and PGE1 is related with more painful and prolonged erections. Both the patients and their partners significantly more satisfied with the use of Alprostadil Alfadex.     

Le développement de l’inventaire de dépistage ERIraos: un outil global d’appréciation du risque d’évolution psychotique

Adequate identification of patients for early intervention programmes requires reliable and valid assessment tools. Within the German Schizophrenia Network (Kompetenznetz Schizophrenie) a set of schedules for early detection of schizophrenia has been proposed: the Early Recognition Inventory ERIraos. ERIraos is a two-step procedure with a 17-item checklist used at step 1 by GPs, psychologists, teachers, while a comprehensive 110-item symptom list is applied at early intervention centres at the expert level. In addition, ERIraos allows the assessment of several risk factors for psychosis such as familial load, childhood deficiencies, alcohol and drug use by special modules. Some preliminary results are presented here. The frequency of the 17 checklist symptoms increases from the early to the late prodrome, and more specific symptoms occur over time. The 17 checklist symptoms are grouped by factor analysis to 5 factors (psychotic, depressive, disorganised, withdrawn, dysphoric). In addition to prodromal symptoms, most patients (86.2%) report at least one additional risk factor (mean: 1.7 risks). 68% demonstrate some schizotypal features, 53% report alcohol and/or drug consumption, 24% demonstrate some deficiency or delay in childhood development, 21% report definite obstetric or birth complications, and 10% have a family history of schizophrenia or some schizophrenia-like diagnosis in first degree relatives. So far, the results are of a preliminary nature, and when sufficient information on psychotic transitions is available, the predictive value of ERIraos will be determined.     

Émission de rayonnement par les œufs de Discoglosse en cours de développement

Sans résumé     

Validité de la somme angulaire comme technique d’extraction d’images planaires à partir de données tomoscintigraphiques pulmonaires de ventilation-perfusion

The aim of our study was to assess the concordance between the results of angular summed images obtained from lung SPECT data versus true planar images in the diagnosis of pulmonary embolism. One hundred and ten patients suspected of pulmonary embolism included in a prospective study underwent a planar lung scan and a lung SPECT. Planar images were extracted from SPECT data using an angular summing technique. Both modalities were reviewed according to revised Pioped criteria by two nuclear medicine physicians. Concordance between modalities and observers was compared with a weighted kappa test. A good degree of agreement between the two modalities (κ = 0.696) were found. Interobserver degree of agreement was similar in planar images (κ = 0.919) and in angular summed images (κ = 0.903). These results suggest that angular sum images from SPECT data are usable and concordant with ventilation perfusion planar images.     

Etude des premiers stades de développement de la Coccidie Coelotropha durchoni

Summary This study considers the earlier growth stages of Coccidium Coelotropha durchoni in its host, Nereis diversicolor. Before evolving into free trophozoites and gamontes in coeliac fluid, the parasites remain in muscular and coeliac cells in microscopic intracellular form. Electron microscope reveals that these stages show an intermediary fine structure between that of a sporozoite — from which they keep some typical characteristics such as the conoid, the fibers and the involuted tubuli — and that of the future free trophozoites. The wall consisting in two clear membrans is provided with one or several micropores. The classical cytoplasmic organites clearly stand out: dictyosomes show constant relationship with ergastoplasm, the mitochondria contain short inner tubuli. Besides the paraglycogen granules and lipoid vacuoles, at least three types of vacuoles may be observed. Peculiar topographic relationship connects mitochondria and paraglycogen granules probably in formation. In the nucleus with classical membrane and heterogeneous structure, a rather voluminous nucleolus may be seen.     

Le cycle de développement des Castes chezReticulitermes

Résumé La production des castes, notamment des nymphes, futurs imagos ailés et des ouvriers chez leReticulitermes lucifugus est soumise à un cycle biologique annuel. L'auteur montre que dans les colonies naturelles les nymphes apparaissent quelques semaines après l'essaimage des jeunes imagos, vers la fin du printemps en une fois et en grande quantité. Elles se développent pendant l'été et arrivent en automne à l'avant-dernier ou même au dernier stade avant la mue imaginale. En hiver le développement de la colonie est normalement arrêté par le froid. Au début du printemps les nymphes se transforment en imagos et quittent la colonie. Pendant le repos hivernal les sexuées femelles accumulent beaucoup de corps gras et, au moment où les grandes nymphes se transforment en imagos, une ponte massive se produit dans le nid. Après la disparition des imagos la colonie voit son potentiel nutritif considérablement augmenté, puisqu'il n'y a plus de nymphes à nourrir. Pour cette raison les larves, à leur tour bien alimentées, peuvent se transformer en nymphes. Celles-ci, par leur croissance et leur constant besoin de nourriture, abaissent de nouveau le potentiel alimentaire. En conséquence de cette baisse, les larves qui apparaissent pendant l'été et l'automne sont mal nourries et donnent des ouvriers.Si les colonies deReticulitermes l. santonensis ont leur nid dans une maison bien chauffée en hiver, comme c'est le cas dans quelques immeubles de La Rochelle, lecycle annuel peut se transformer encycle semestriel. Les nymphes formées au printemps arrivent à l'état imaginal en automne et essaiment alors. Quand ils quittent la colonie un nouveau cycle commence qui permet un autre essaimage cinq à six mois plus tard, au printemps.L'auteur suppose que le facteur climatique et le facteur alimentaire jouent le rôle principal dans la formation des nymphes et dans le cycle biologique des Termitières.     

Hyperfixations costales bifocales découvertes à la TEP au fluorure (18F) de sodium lors de la stadification d’un cancer de la prostate

A prostate biopsy screening (PSA = 2 ng/mL) evidenced a prostate adenocarcinoma featuring a Gleason score of 8 (4 + 4) in a 62-year-old patient incurring an increased familial risk of prostate cancer. In order to stage the prostate adenocarcinoma, 2 PET scans were ordered. A PET/CT examination with FNa disclosed two hot spots on distinct ribs matching with heterogeneous sclerotic areas on low dose CT. A PET/CT examination with FDG disclosed a hypermetabolic focus of prostate left lobe and a weak intensity hypermetabolic focus of left ilio-obturator node but no bone metabolic abnormality. Staging was categorized distant (bone) metastatic disease upon FNa PET/CT findings. The patient benefited from pelvic external beam radiation therapy and hormone therapy. One year later, a PET/CT examination with FCH while patient was still on hormone therapy depicted a photopaenic area of prostate left lobe and a questionable hypermetabolic focus of right lobe but no bone metabolic abnormality. Retrospectively, bone lesions visible on PET with FNa were already conspicuous on plain X-rays and a CT examination performed a decade before. A new advice in a center specialized in bone and joint imaging suggested a benign condition for these protracted rib lesions even if the exact benign condition was elusive (fibrous dysplasia, aneurysmal bone cyst…). Two years later, the patient is symptom-free and his PSA level is 0.03 ng/mL.     

Seuil thermique de développement de trois coccinelles prédatrices de la cochenille du manioc au congo

Résumé Le seuil thermique de développement de 3 prédateurs de la famille desCoccinellidae (un exotique et deux locaux) a été étudié. L'équation de la constante thermique a été utilisée pour le calcul du seuil thermique. Les données obtenues ont été comparées entre elles. L'espèce exotiqueHyperaspis raynevali a un seuil thermique de développement plus bas que celui des 2 espèces locales (Hyperaspis senegalensis hottentotta etExochomus flaviventris). Le seuil thermique suivant a été obtenu pour chaque espèce, à savoir: 11,81°C pourH. raynevali; 13,78°C pourH. s. hottentotta; 13,63°C pourE. flaviventris. Des différences de seuil thermique de développement et de mortalité ont été enregistrées entre le prédateur exotique et les espèces indigènes. Des hypothèses explicatives sont évoquées dans la discussion.      

Sélection dépendant de la fréquence et durée de développement embryonnaire chez Drosophila melanogaster

Sans résuméEquipe de Recherche Associée du C.N.R.S. N^o 406 Analyse et mécanismes de maintien du polymorphisme.     

Conception et suites de la Paléontologie française d’Alcide d’Orbigny

The whole formed by his Paléontologie française, his Prodrome, and his Cours élémentaire, which are closely linked, constitutes one of the major parts of Alcide d’Orbigny’s scientific production, in which he exposed his concept of Palaeontology as a science closely related with Zoology and as an indispensable tool for Stratigraphy. The result was a remarkable impulsion for palaeontological and stratigraphical research, which from that time developed on new scientific foundations. Two annexes complete this communication, the first concerning the ‘Comité de la Paléontologie française’ (1860–1893), the second specifying the publication dates of four volumes of the Paléontologie française.     

Rappels physiques et outils d’optimisation de la qualité image et de la dose

Many parameters can affect the patient's dose and the CT image quality. It is therefore essential, in order to optimize the patient's dosimetry, to know the influence of these parameters as well as their link with the dose modulation tools.     

Étude de la décomposition de la matière organique dans le sol au moyen de carbone radioactif

Conclusions Par l'emploi de substrats radioactifs, il a été possible de montrer que le glucose, le ray-grass tel quel, la fraction soluble, les hemicelluloses et la fraction cellulosique du ray-grass ne sont pas, dans les conditions expérimentales appliquées, entièrement transformés en CO₂ dans le sol après une période de deux mois.La décomposition du glucose est plus rapide que celle des hemicelluloses et celle-ci est plus rapide que celle de la fraction cellulosique. Pour le glucose et pour la fraction cellulosique, 11% et 15% respectivement ne se retrouvent pas sous forme de C¹⁴O₂ tandis que pour la fraction soluble, pour les hemicelluloses et pour le ray-grass tel quel, c'est près de 20% qui ne sont pas oxydés en CO₂.La décomposition de chacun de ces substrats radioactifs donne encore lieu à la production de produits organiques radioactifs que l'on trouve dans la fraction des substances solubles, dans la fraction groupant l'- et le -humus et dans l'humine. La radioactivité de cette dernière fraction est du même ordre de grandeur que la somme des deux autres fractions.Travail effectué sous les auspices de l'Institut pour l'Encouragement de la Recherche Scientifique dans l'Industrie et l'Agriculture (I.R.S.I.A.).