Automated Entire Thrombus Density Measurements for Robust and Comprehensive Thrombus Characterization in Patients with Acute Ischemic Stroke

Background and Purpose

In acute ischemic stroke (AIS) management, CT-based thrombus density has been associated with treatment success. However, currently used thrombus measurements are prone to inter-observer variability and oversimplify the heterogeneous thrombus composition. Our aim was first to introduce an automated method to assess the entire thrombus density and then to compare the measured entire thrombus density with respect to current standard manual measurements.

Materials and Method

In 135 AIS patients, the density distribution of the entire thrombus was determined. Density distributions were described using medians, interquartile ranges (IQR), kurtosis, and skewedness. Differences between the median of entire thrombus measurements and commonly applied manual measurements using 3 regions of interest were determined using linear regression.

Results

Density distributions varied considerably with medians ranging from 20.0 to 62.8 HU and IQRs ranging from 9.3 to 55.8 HU. The average median of the thrombus density distributions (43.5 ± 10.2 HU) was lower than the manual assessment (49.6 ± 8.0 HU) (p<0.05). The difference between manual measurements and median density of entire thrombus decreased with increasing density (r = 0.64; p<0.05), revealing relatively higher manual measurements for low density thrombi such that manual density measurement tend overestimates the real thrombus density.

Conclusions

Automatic measurements of the full thrombus expose a wide variety of thrombi density distribution, which is not grasped with currently used manual measurement. Furthermore, discrimination of low and high density thrombi is improved with the automated method.     

A causal analysis of diet composition in free ranging cattle in reed-dominated vegetation

Summary Theoretical and observed diets of free-ranging yearling cattle in an area of reed-dominated vegetation were related to constraints inherent to ruminants (rumination time as reflected in the zone of acceptable crude fibre content of the ration; rumen fill) and in more general terms, to requirements for minerals (Na, Ca, Mg, P), for protein and for metabolisable energy in order to balance the growth rate achieved by experimental animals. Theoretical diets in spring were mainly limited by feeding time; theoretical diets in summer and autumn were mainly limited by rumen capacity. The high proteinto-energy ratio in the forage species caused protein intake to exceed the animals' demands. Mineral intake was in excess of requirements except for sodium. Yearling cattle in our study area maximized their energy intake, with feeding time, rumen capacity and crude fibre content of the forage as important constraints.     

Insulin-like growth factor (IGF) family genes are aberrantly expressed in bovine conceptuses produced in vitro or by nuclear transfer

Embryos produced through somatic cell nuclear transfer (NT) or in vitro production (IVP) are often associated with increased abortion and abnormalities thought to arise from disruptions in normal gene expression. The insulin-like growth factor (IGF) family has a major influence on embryonic, fetal and placental development; differences in IGF expression in NT- and IVP-derived embryos may account for embryonic losses during placental attachment. In the present study, expression of IGF-I, IGF-II, IGF-I receptor (IGF-IR), and IGF-IIR mRNAs was quantitated in Day 7 and 25 bovine embryos produced in vivo, by NT, IVP, or parthenogenesis, to further understand divergent changes occurring during development. Expression of the IGF-I gene was not detected in Day 7 blastocysts for any treatment. However, there were no differences (P>0.10) among Day 7 treatments in the amounts of IGF-IR, IGF-II, and IGF-IIR mRNA. For Day 25 conceptuses, there was higher expression of IGF-I mRNA for NT and IVP embryonic tissues than for in vivo embryonic tissues (P<0.05). Furthermore, embryonic tissues from NT-derived embryos had higher expression of IGF-II mRNA than IVP embryonic tissues (P<0.05). Placental expression of IGF-IIR mRNA was greater for NT-derived than in vivo-derived embryos (P<0.05). There were no differences in IGF-IR mRNA across all treatments and tissues (P>0.10). In conclusion, these differences in growth factor gene expression during early placental attachment and rapid embryonic growth may directly or indirectly contribute to increased losses and abnormalities in IVP- and NT-derived embryos.     

The effect of salts on the kinetics of iron release from N-terminal and C-terminal monoferrictransferrins

The kinetics of iron release from N-terminal and C-terminal monoferric human transferrins has been studied using EDTA as the accepting chelate. In the absence of added salts iron release from the N-terminal site is more facile but the relative lability can be reversed by the addition of NaClO₄, NaCl and LiCl. The results indicate that both anions and cations can affect the lability of the two sites. Since the relative lability of the two monoferrictransferrins is affected by fairly moderate concentrations of NaCl and NaClO₄ we suggest that the ionic composition serum may play an important role in determining the observed distribution of iron among the sites. A new method for the preparation of N-terminal monoferrictransferrin is described.     

Acceptor specificity of the human leukocyte alpha3 fucosyltransferase: role of FucT-VII in the generation of selectin ligands

The alpha3 fucosyltransferase, FucT-VII, is one of the key glycosyltransferases involved in the biosynthesis of the sialyl Lewis X (sLex) antigen on human leukocytes. The sialyl Lewis X antigen (NeuAcalpha(2-3)Galbeta(1-4)[Fucalpha(1-3)]GlcNAc-R) is an essential component of the recruitment of leukocytes to sites of inflammation, mediating the primary interaction between circulating leukocytes and activated endothelium. In order to characterize the enzymatic properties of the leukocyte alpha3 fucosyltransferase FucT-VII, the enzyme has been expressed in Trichoplusia ni insect cells. The enzyme is capable of synthesizing both sLexand sialyl-dimeric-Lexstructures in vitro , from 3'-sialyl-lacNAc and VIM-2 structures, respectively, with only low levels of fucose transfer observed to neutral or 3'-sulfated acceptors. Studies using fucosylated NeuAcalpha(2-3)-(Galbeta(1- 4)GlcNAc)3-Me acceptors demonstrate that FucT-VII is able to synthesize both di-fucosylated and tri-fucosylated structures from mono- fucosylated precursors, but preferentially fucosylates the distal GlcNAc within a polylactosamine chain. Furthermore, the rate of fucosylation of the internal GlcNAc residues is reduced once fucose has been added to the distal GlcNAc. These results indicate that FucT-VII is capable of generating complex selectin ligands, in vitro , however the order of fucose addition to the lactosamine chain affects the rate of selectin ligand synthesis.      

Quality control of membrane filters for bacteriological examination of water

A standard protocol for quality control of membrane filters for bacteriological examination of water is presented. It is based on the screening test proposed by Brenner and Rankin (1990) making use of Enterobacter aerogenes ATCC 49701 as a test strain and tryptone soya agar as medium for incubation. The protocol is standardized to achieve adequate statistical power. A diluted culture of the test strain is filtered through samples of 20 filters of a test batch and a reference batch. Filters and colony morphology are screened for visual defects and criteria for acceptance are given. Variation in the colony counts within the batches is checked for randomness, because filters of a batch must be of equal quality and must not cause overdispersion. The protocol requires that the mean count of the reference batch should lie between 50 and 80 cfu. Homogeneity of the counts (i.e. variation no greater than random) between the batches is tested at a 99% confidence level. In this way an actual difference in recovery between filter batches of 13% to 16% can be detected with a probability of 90%. Results of several tests within this laboratory show good reproducibility.     

Comparison of searching strategies of five parasitoid species of Bemisia argentifolii Bellows and Perring (Hom., Aleyrodidae)

Amitus bennetti Viggiani and Evans, Encarsia formosa Gahan (two strains), Eretmocerus eremicus Rose and Zolnerowich, Eretmocerus mundus Mercet and Eretmocerus staufferi Rose and Zolnerowich, which are parasitoids of Bemisia argentifolii Bellows and Perring were compared with respect to their searching behaviour as part of a pre-introduction evaluation programme. Within a 5 cm arena, host-finding time was independent of the release distance from the host. Before oviposition, A. bennetti walked fastest, the E. formosa strains walked slowest and the Eretmocerus species intermediate. Leg length was not the most significant factor determining the differences in walking speed. After oviposition, A. bennetti and Er. eremicus had a lower walking speed and higher turn rate which is an indication of area-restricted search. The effect was strongest for A. bennetti . All species showed preference for counter-clockwise turns. Based on the walking speed alone, it is expected that A. bennetti will be the most efficient natural enemy of B. argentifolii , the Eretmocerus species intermediate and the E. formosa strains the least.