Tumor-associated antigen TA-90 immune complex assay predicts subclinical metastasis and survival for patients with early stage melanoma

BACKGROUND: TA-90 is a tumor-associated antigen first identified in the urine and sera of patients with metastatic melanoma. In the early stages of disease, TA-90 is present in circulating immune complexes (ICs) that may be detected with an antigen specific enzyme-linked immunosorbent assay (ELISA). In this study, the authors evaluated the efficacy of the TA-90 IC assay in detecting subclinical metastasis of early stage melanoma and predicting the survival of patients with this disease. METHODS: Archival sera were collected preoperatively from 114 patients who underwent wide excision with or without regional lymphadenectomy in the treatment of clinical Stage I melanoma. Sera were analyzed for TA-90 IC in a blinded fashion, and results were correlated with the patient's clinical course as determined by database and chart review. Subclinical metastases were considered present at the time of surgery if the lymphadenectomy specimen was pathologically positive and/or the patient subsequently developed recurrence. RESULTS: The TA-90 IC assay predicted subclinical metastasis in 43 of 56 patients (P < 0.0001), with 14 false-positive and 13 false-negative results. Sensitivity and specificity for the detection of occult metastasis were 77% and 76%, respectively. Positive and negative predictive values were 75% and 77%, respectively. Fifteen of 18 tumor positive regional lymph node basins (83%) and 34 of 46 recurrences (74%) were accurately predicted when considered independently (P < 0.004). Preoperative TA-90 IC status was also highly correlated with survival: 5-year overall and disease free survival rates were 63% and 46%, respectively, for the TA-90 IC positive group, compared with 88% and 82%, respectively, for the TA-90 IC negative group (P=0.0001). A multivariate analysis with standard prognostic variables identified preoperative TA-90 IC status as a strong, independent prognostic factor for both overall and disease free survival. CONCLUSIONS: To the authors' knowledge, TA-90 is the first tumor marker that accurately predicts subclinical metastatic disease and survival for patients with early stage melanoma. For this reason, the TA-90 IC assay has the potential to improve dramatically the prognostic evaluation of patients with this disease. Its role in postoperative risk stratification and early detection of recurrence is being evaluated in a prospective study.     

Surface normal overlap: a computer-aided detection algorithm with application to colonic polyps and lung nodules in helical CT

We developed a novel computer-aided detection (CAD) algorithm called the surface normal overlap method that we applied to colonic polyp detection and lung nodule detection in helical computed tomography (CT) images. We demonstrate some of the theoretical aspects of this algorithm using a statistical shape model. The algorithm was then optimized on simulated CT data and evaluated using a per-lesion cross-validation on 8 CT colonography datasets and on 8 chest CT datasets. It is able to achieve 100% sensitivity for colonic polyps 10 mm and larger at 7.0 false positives (FPs)/dataset and 90% sensitivity for solid lung nodules 6 mm and larger at 5.6 FP/dataset.     

Reverberation canceling wireless aid for hearing impaired

The stringent requirements on size and power consumption constrain the conventional hearing aid devices. Besides providing an economic and user friendly aid, reverberation/echo cancellation is an important requirement. With the technological advancements, wireless hearing aids exploiting the usage of multi-microphones, mixed signals and RF signals processing circuits, digital signal processing units sound promising to overcome existing constraints. A new wireless hearing aid system is proposed in this paper. Unlike the previously reported wireless hearing aid concept, it needs only one way data transfer from body unit to the earpiece. It helps in minimizing power consumption in the earpiece RF-linked with a body unit with DSP based reverberation canceling scheme. For this purpose, a noise cancellation algorithm is developed based on beam-forming technique. The functioning of the whole system comprising an earpiece and a body unit has been ensured using the Advanced Design System^TM. The ADS compatible behavioral models were developed in order to enable the system level simulation. A comprehensive noise analysis is carried out and validated.     

Ethanol‐Dispersed Polymer Nanofibers as a Highly Selective Cell Isolation and Release Platform for CD4+ T Lymphocytes

A novel cell isolation and release platform using electrospun polystyrene‐poly(styrene‐co‐maleic anhydride) (PS‐PSMA) nanofibers is presented. Ethanol treatment of PS‐PSMA nanofibers, employed for the purpose of sterilization, significantly increases their inter‐fiber space for both antibody conjugation and subsequent cell separation. For the selective isolation of CD4⁺ T cells from heterogeneous mixtures of mouse lymph nodes, capture efficiencies of up to 100% are achieved while maintaining cellular integrity and viability. Once captured, CD4⁺ T lymphocytes can also be released from the NF scaffolds, further demonstrating its potential functionality as an immune cell‐supporting and releasing matrix. This is the first demonstration of lymphocyte‐culture scaffolds enabling selective isolation, accommodation, and sustained release of CD4⁺ T cells for the purpose of cell therapies.     

Experimental observations of bands of suspended colloidal particles subject to shear flow and steady electric field

Manipulating suspended colloidal particles flowing through a microchannel is of interest in microfluidics and nanotechnology. However, the flow itself can affect the dynamics of these suspended particles via wall-normal “lift” forces. The near-wall dynamics of particles suspended in shear flow and subject to a dc electric field was quantified in combined Poiseuille and EO flow through a?~?30 μm deep channel. When the two flows are in opposite directions, the particles are attracted to the wall. They then assemble into very high aspect ratio structures, or concentrated streamwise “bands,” above a minimum electric field magnitude, and, it appears, a minimum near-wall shear rate. These bands only exist over the few micrometers next to the wall and are roughly periodic in the cross-stream direction, although there are no external forces along this direction. Experimental observations and dimensional analysis of the time for the first band to form and the number of bands over a field of view of ~?200 μm are presented for dilute suspensions of polystyrene particles over a range of particle radii, concentrations, and zeta potentials. To our knowledge, there is no theoretical explanation for band assembly, but the results presented here demonstrate that it occurs over a wide range of different particle and flow parameters.     

Information-driven receptor placement for contaminant source determination

Isolating the source of an unknown contaminant emission is a challenging problem when provided with only a limited and noisy set of mean concentration measurements. A Bayesian approach to this inverse problem yields estimates for the source parameters (location and strength) which depend directly on the quality of the information obtained from an array of detectors. If the data are of poor quality, uncertainties associated with the source parameter estimates may be large, necessitating further exploration (e.g., using mobile detection) in order to better isolate the putative source. We employ Bayesian experimental design with the goal of strategically placing an additional detector in order to maximize the ‘expected information’ contained in subsequent posterior distributions for the source parameters. The methodology is demonstrated using synthetic data from detectors lying in a horizontally homogeneous, neutrally-stratified atmospheric surface layer. Markov chain Monte Carlo and a posterior sampling technique are used to calculate the expected information over a grid of potential detector locations, and an auxiliary detector measuring both mean concentration and turbulent scalar fluxes is added where the expected information reaches a maximum. The updated posterior distribution (calculated based on the additional measurements) yields significantly improved estimates for the source location and strength.     

Microbial Populations in Tropical Reservoirs Using Flow Cytometry

Flow cytometry was applied in the study of bacteria and phytoplankton populations in five tropical reservoirs. Water quality between different reservoirs was compared and correlation analyses were carried out to investigate how the biomass of bacteria and phytoplankton related to other water quality parameters measured (i.e., temperature, dissolved oxygen, pH, conductivity, water transparency, turbidity, chlorophyll a, and total nitrogen and phosphorus). Average chlorophyll a concentrations were typically greater than 20?μg/L. Bacteria populations detected with flow cytometry were generally small in size (typically <0.08?μm3 or 0.3?μm equivalent spherical diameter) and contributed less than 13% of the total microbial biomass. Subpopulations of pico-, ultra-, and net phytoplankton were discriminated flow cytometrically by their red and orange autofluorescence. Cyanobacteria dominated four out of the five reservoirs in terms of numbers but only contributed more than 50% of the microbial biomass in two of the reservoirs. In general, local reservoirs were found to be phosphorus limited and alkaline conditions favored the growth of phytoplankton and bacteria.     

The effects of NMDA-induced retrohippocampal lesions on performance of four spatial memory tasks known to be sensitive to hippocampal damage in the rat

Four separate cohorts of rats were employed to examine the effects of cytotoxic retrohippocampal lesions in four spatial memory tasks which are known to be sensitive to direct hippocampal damage and/or fornix-fimbria lesions in the rat. Selective retrohippocampal lesions were made by means of multiple intracerebral infusions of NMDA centred on the entorhinal cortex bilaterally. Cell damage typically extended from the lateral entorhinal area to the distal ventral subiculum. Experiment 1 demonstrated that retrohippocampal lesions spared the acquisition of a reference memory task in the Morris water maze, in which the animals learned to escape from the water by swimming to a submerged platform in a fixed location. In the subsequent transfer test, when the escape platform was removed, rats with retrohippocampal lesions tended to spend less time searching in the appropriate quadrant compared to controls. Experiment 2 demonstrated that the lesions also spared the acquisition of a working memory version of the water maze task in which the location of the escape platform was varied between days. In experiment 3, both reference and working memory were assessed using an eight-arm radial maze in which the same four arms were constantly baited between trials. In the initial acquisition, reference memory but not working memory was affected by the lesions. During subsequent reversal learning in which previously baited arms were now no longer baited and vice versa, lesioned animals made significantly more reference memory errors as well as working memory errors. In experiment 4, spatial working memory was assessed in a delayed matching-to-position task conducted in a two-lever operant chamber. There was no evidence for any impairment in rats with retrohippocampal lesions in this task. The present study demonstrated that unlike direct hippocampal damage, retrohippocampal cell loss did not lead to a general impairment in spatial learning, implying that the integrity of the retrohippocampus and/or its interconnection with the hippocampal formation is not critical for normal hippocampal-dependent spatial learning and memory. This outcome is surprising for a number of current hippocampal theories, and suggests that other cortical as well as subcortical inputs to the hippocampus might be of more importance, and further raises the question regarding the functional significance of the retrohippocampal region.     

Abnormal saccades in paralytic strabismus

Cerebral vasospasm was produced in the dog basilar artery by topically applied five-day-old clotted autologous blood, but not by freshly drawn blood. The spasm was reversed by methysergide, an antiserotonin agent. However, vasospasm was not produced by five-day-old clotted autologous blood from dogs pretreated with reserpine. This suggests platelet serotonin or a similar, unidentified substance as the vasospastic element in dog blood responsible for experimental vasospasm from topically applied whole blood. Other experimental data support these findings.