Évaluation de méthodes automatiques de segmentation des volumes tumoraux en tomographie par émission de positons par comparaison avec des contours manuels réalisés par un groupe d’experts

Objective

Set up a framework for evaluating automatic segmentation methods of tumour volumes on PET images.

Patient and methods

This study was performed with PET images of 18 patients with non-Hodgkin's lymphoma. One target lesion per patient was pointed out. Each lesion was then three times manually delineated by five experts. Four automatic methods (the application of a threshold of 42% of the maximum SUV, the MIP-based method, the Daisne et al. method and the Nestle et al. method) were evaluated by comparison with the set of manual delineations.

Results

From the manual delineations, we have concluded to a moderate intra-operator variability and to a reduced interoperator reproducibility. From statistical tests performed on various quantitative criteria, there was no significant difference between the MIP-based method, the Daisne et al. method and the Nestle et al. one. The application of a threshold of 42% of the maximum SUV appears to be less efficient.

Conclusion

This work proposes a comparison and an evaluation protocol for segmentation methods. The generated data set will be distributed online for the community to simplify the evaluation of any new method of segmentation.     

Évaluation de la réponse thérapeutique par tomographie par émission de positons (TEP) au fluoro-désoxyglucose (FDG) en oncologie-hématologie

¹⁸Fluoro-deoxyglucose (FDG) positron emission tomography (PET) is an imaging technique which studies the cellular glucidic metabolism. It is particularly indicated in oncology, especially for cancer diagnosis (with a potential prognosis interest) or detection of recurrence. Because of its functional approach to the tissues, its use has logically evolved into the evaluation of cancer treatments, both for the individual care of patients for clinical trials of new therapies. Also, it tends to displace conventional imaging in this indication, whose main limitation is not to assess the viability of residual masses, potentially necrotic or fibrous after treatment. However, the use of FDG-PET requires a rigorous methodology for both the exams achievement but also for the quality of their interpretation, including the choice of the comparison tool. Based on an increasing literature on the subject, were published and updated interpretation criteria for both lymphoma and solid cancers. For lymphoma, standardized assessment criteria were proposed in 2007 during an International Harmonize Project (IHP). For solid cancers, Positron Emission tomography Response Criteria In Solid Tumors (PERCIST) recommendations version 1.0 were recently proposed by an American workshop in 2009 in order to clarify and standardize practices.     

Tomographie par émission de positons au F-fluorodeoxyglucose dans la mise en évidence de la maladie veineuse thromboembolique

Purpose

Association of venous thromboembolism (VTE) and inflammation reported in the literature may allow the use of FDG PET/CT in the detection of thrombotic process. Published studies remain limited and contradictory. The aim was, therefore, to evaluate the performance of FDG PET/CT for the detection of VTE.

Patients and methods

Patients included in a prospective study evaluating FDG PET/CT for the detection of malignancy in patients with idiopathic VTE were analysed (MVTEP, PHRC 2008). PET/CT images were interpreted initially without and then retrospectively with knowledge of VTE locations.

Results

Hundred and fourteen patients were included in MVTEP study from March 13th 2009 to July 1st 2010. Forty-six patients (median age: 74 years [20-87], 27 males, 19 females) were analysed. No abnormal uptake was initially reported in pulmonary vessels. The retrospective analysis of pulmonary embolism locations did not demonstrate any significant difference in FDG uptake between embolic sites and controlateral vessels (P = 0.883). Initial analysis of lower limbs vessels demonstrated sensitivity and specificity of PET/CT for deep venous thrombosis (DVT) diagnosis of 15 and 99%. The metabolic activity of DVT was significantly higher than the activity of controlateral vessels (P < 0.005) but without showing any significant SUV threshold for DVT diagnosis.

Conclusion

In conclusion, there is insufficient evidence to suggest that FDG PET/CT could be accurate in detection of VTE. These results need to be completed in a larger study with shorter delay between VTE and FDG PET/CT.     

Changement de structure de la poly-L-proline à l'état solide par hydratation: Etude par spectrométrie infra-rouge

Films of poly-L -proline I and II have been hy drated by water vapor and their infrared spectra analysed between 1250 and 3500 cm^?1. Forms I and II behave differently. Water binds to the carbonyl of form II through hydrogen bridges and, when released by drying, leaves the polypeptide conformation unchanged. In form I, complex formation with water seems to proceed through a different mechanism involving more than the carbonyls. Hydration of form I yields a partial irreversible transition to form II. Successive hydration and drying of the film brings the transition to completion. This I → II transition in the solid state has a cooperative character; its mechanism is discussed. Poly-L -prolines I and II also absorb vapors of aliphatic alcohols but not change in conformation is observed.     

Intensification de la diapause embryonnaire d‘Archanara sparganii par la température: Incidences écologiques

Résumé L'incubation des oeufs d'Archanara sparganii, Esper (Lepidoptera: Noctuidae) s'étend sur 8 à 9 mois dans les conditions naturelles. Elle est temporairement interrompue par une diapause qui intervient à un stade précoce de l'embryogénèse et se prolonge de l'été à la fin de l'hiver. Au laboratoire, l'incubation est néanmoins possible à température constante entre 8 et 21 °C. Une étude expérimentale a montré que l'intensité de la diapause s'accroît lorsque la température en début d'incubation est portée pendant 15 jours de 11 °C à 15 °C et 21 °C. Aucun des modèles expérimentaux faisant intervenir la température n'a permis d'éviter totalement la diapause. La durée de celle-ci a néanmoins été réduite des trois quarts dans certaines circonstances, rendant possible l'éclosion des larves avant l'hiver. Ces résultats servent à interpréter les altérations du cycle biologique du nord au sud de la distribution d'A. sparganii. La perte rapide de réceptivité de Typha spp. à l'égard des larves jeunes justifie par ailleurs une entrée en diapause précoce de l'espèce sous climat méditerranéen.     

Biosynthèse de cellulose bacterienne à partir de glucose sélectivement deuterié en position 6: Étude par RMN

D-glucose specifically deuterated at C-6 was prepared and used for the biosynthesis of bacterial cellulose with Acetobacter xylinum. The material obtained was converted into glucitol hexaacetate and analyzed by 250 MHz n.m.r. and mass spectrometry. These spectra indicated that about 70% of the starting D-glucose was incorporated without modification of deuteriation at the C-6 position. However an explanation is required of the finding that deuterium was also incorporated at the C-2 and C-1 positions of the cellulose, arising respectively from the 6 pro-R and 6 pro-S positions of the initial D-glucose.     

Étude des principaux facteurs influençant l‘émission d'attractifs sexuels synthétiques à partir de diffuseurs en caoutchouc et en plastique

Deux types de diffuseurs en caoutchouc (Michelin) et en plastique polystratifié (Hercon^®) sont testés en laboratoire pour étudier quelques aspects des phénomènes de diffusion. Trois composantes phéromonales, le Z9-12: Ac, le 12: Ac et le Z9-14: Ac imprégnées dans ces différents supports servent à détermineer le rôle joué par la longueur de la chaîne de la molécule et la présence de doubles liaisons sur la vitesse de diffusion. L'influence de la température, de la vitesse du vent et de l'humidité est déterminée en cellules climatisées.Parmi les facteurs relatifs à la structure chimique, l'influence de la longueur de la chaîne est prédominante par rapport à la présence d'une double liaison. Parmi les facteurs climatiques, le vent agit plus que la température sur la diffusion, alors que l'humidité paraît secondaire.     

Etude de quelques propriétés de la phosphofructokinase érythrocytaire de l'homme normal

Human erythrocyte phosphofructokinase was purified 150 fold by DEAE cellulose adsorption and ammonium sulfate precipitation.At pH 7,5 the enzyme exhibits allosteric kinetics with respect to ATP, fructose 6 phosphate, and Mg²⁺.ATP at high concentration acted as an inhibitor and ADP, 5′AMP, 3′,5′, AMP, acted as activators. Both effectors seemed to decrease the homotropic interactions beetween the fructose 6 phosphate molecules.The activators increased the affinity of phosphofructokinase for the substrate (F6P), the inhibitor decreased it.These ligands had no effect on the maximum velocity of the reaction except in the case of ADP.Interactions between the substrates and the effector ligands on the enzyme were considered in terms of the Monod - Changeux - Wyman model for allosteric proteins.With GTP and ITP, no inhibition was observed. At saturing concentration of GTP, ATP still inhibited phosphofructokinase.Both 3′5′ AMP and fructose 6 phosphate increased the concentration of ATP required to produce an inhibition of 50 %.Citrate, like ATP, inhibited phosphofructokinase by binding most likely at the same allosteric site. Erythrocyte phosphofructokinase is inhibited by 2–3 DPG.The study of the relation log V max = f (pH) suggested, that the active center contains at least one imidazole and one sulfhydryl group.     

Approche discriminante de contributions de différents échelons microplanctoniques aux mesures globales d'ETS dans des échantillons de mer. b. Bacteria

Discriminating approach of various microplanktonic-stage contributions to whole electron transport system (ETS) measurements in sea-water sampless. b. Bacateria Data obtained from cultures of natural bacterial populations were applied to various water samples in order to determine both the phytoplanktonic and bacterial contributions to whole ETS water-sample measurements. The bacterial part was estimated both by cell enumerations and HPLC muramic-acid measurements and the phytoplankton contribution by enumeration and chlorophyll levels. An appropriate first-order equation is adequate to low carbon content samples but must be corrested for highly organic loaded samples in order to obtain a better adjustment between the sum of the “estimated” phytoplanktonic and bacterial ETS and the really-measured ETS concentrations in the water samples.     

Étude ultrastructurale du cycle nucléolaire de Physarum polycephalum après mise en évidence préférentielle des RNP par la réaction régressive à l''EDTA

Nucleolar cycle in Physarum polycephalum was studied using EDTA preferential stain for RNP. We have been able to establish the following.

1. 1. The nucleolar remnants that are observed during mitosis correspond to the fibrillar zones of the interphase nucleolus.

2. 2. In prometaphase and metaphase the nucleolar remnants lie peripherically around the chromosomal mass with which they are only superficially associated.

3. 3. Preribosomal granules appear 10–15 min after metaphase in the prenucleolar bodies.

The results shown that the interphase nucleolus is an assembly of multiple subunits. The relationship between the nucleolar remnants and chromosomes is discussed in the light of the recent understanding of the extrachromosomal nature of rDNA.Le cycle nucléolaire de Physarum polycephalum a été étudié en microscopie électronique après réaction régressive à l'EDTA qui met préférentiellement en évidence les RNP. Nous avons suivi ainsi la dispersion du nucléole en prophase, le devenir des restes nucléolaires au cours de la métaphase et de la télophase, puis l'apparition des corps prénucléolaires en début d'interphase.     

Approche discriminante de la contribution de différents échelons microplanctoniques aux mesures globales d'ETS dans des échantillons d'eau de mer. a. Phytoplancton

Discriminating Approach of Various Microplanktonic-stage Contributions to Whole ETS Measurements in Sea-water Samples. a. Phytoplankton Data obtained from algal cell cultures were applied to various sea water samples in order to estimate the specific contribution of phytoplanktonic organisms to whole ETS (electron transport system) measurements of these samples which have been collected at eleven stations in the northwest Mediterranean Sea. When the phytoplankton ETS contributions were quantified by cell enumerations or by other indirect-biomass-indicator measurements, the results are in good accordance to the recorded ETS measurement values of the sample. More specific of the phytoplankton stage is the index used for such an estimation (as chlorophyll a), and better is the relationship between both estimated and measured ETS values.