Three-dimensional computer reconstruction of prostate cancer from radical prostatectomy specimens: evaluation of the model by core biopsy simulation

OBJECTIVES: A technique was developed for three-dimensional (3D) modeling of prostate cancer and transrectal biopsies. To test the model, the cancer yield of a simulated 10-biopsy protocol was compared with a simulated sextant protocol and with preoperative biopsies regarding cancer detection and correlation with tumor volume. METHODS: Transrectal ultrasound-guided core biopsies were taken from 81 men according to a standardized 10-biopsy protocol that included sextant biopsies. The patients underwent radical prostatectomy and specimens were step-sectioned and whole-mounted. Cancer and the prostate capsule were outlined on the slides and the regions transferred to a computer software program developed by our group. A 3D volume of each prostate was reconstructed from the sections. Virtual core biopsy needles imitating the positions of the real biopsies were inserted into the prostate and the cancer yield was calculated. Only the standardized positions were considered in this study (ie, additional biopsies from hypoechoic foci were not accounted for). RESULTS: Of the cancers detected with 10 standardized virtual biopsies, 24% would have remained undetected with sextant biopsies. The cancer yield of 10 virtual biopsies correlated with the preoperative biopsies (r = 0.64) and with the tumor volume (r = 0.56). A multiple regression analysis showed that the cancer yield of a simulation of 10 biopsies correlated better with tumor volume than did a simulation of sextant biopsies (P = 0.02). CONCLUSIONS: We conclude that computer-assisted 3D reconstruction of prostate cancer can be used as a model for evaluation and optimization of biopsy protocols.     

Programmable Photonic Lattice Filters in InGaAsP–InP

A novel monolithic programmable optical lattice filter consisting of unit cell building blocks is proposed. Single unit cells incorporating a ring resonator in one arm of a Mach–Zehnder are fabricated in an InGaAsP–InP material system. Programmable poles and zeros are demonstrated and monolithically cascaded unit cells are used to synthesize a flat passband.      

Clinical technique and success of the esophageal stent to prevent corrosive strictures

Membrane potential, Vm, and K+ (86Rb+) fluxes have been measured simultaneously on individual cells of Acetabularia mediterranea. During resting state (resting potential approx. -170 mV) the K+ influx amounts to 0.24-0.6 pmol-cm-2-s-1 and the K+ efflux to 0.2-1.5 pmol-cm-2s-1. According to the K+ concentrations inside and outside the cell (40:1) the voltage dependent K+ flux (zero at Vm = EK = -90 mV) is stimulated approx. 40-fold for Vm more positive than EK. It is calculated that during one action potential (temporary depolarization to Vm more positive than EK) a cell looses the same amount of K+, which leaks in during 10-20 min in the resting state (Vm = -170 mV). Since action potentials occur spontaneously in Acetabularia, they are therefore suggested to have a significant function for the K+ balance of this alga.     

The prevalence of verocytotoxin-producingEscherichia coli(VTEC) andE. coliO157:H7 in beef in Sweden determined by PCR assays and an immuno-magnetic separation (IMS) method

The number of cases of enterohaemorrhagicEscherichia coli(EHEC) in Sweden has increased dramatically since 1995, but no source of the infections has been identified. The prevalence of verocytotoxin-producingE. coli(VTEC), includingE. coliO157:H7 in imported and domestic raw beef in Sweden, was determined by PCR assays and immuno-magnetic separation (IMS, Dynal). VTEC was detected by a multiplex PCR directed at sequences on the vt1 and vt2 genes, and the prevalence ofE. coliO157:H7 was estimated by the IMS assay and a SZ-PCR which detectsE. coliO157:H7 (and some strains of O157:NM, O55:H7 and O55:NM). VTEC was detected in 15.055% (57/368) and 1.051% (6/543) of the imported and domestic beef samples, respectively, by the multiplex PCR. E. coliO157:H7 was detected in 0.053% and 2.054% of the imported beef samples by the IMS and SZ-PCR assays, respectively. In domestic beefE. coliO157:H7 was not detected by either method, indicating that the occurrence in Swedish beef was less than 0.056% with a 95% certainty. The overall prevalence of VTEC was estimated to be 4.050%, by adjusting for the relative proportion of imported and domestic beef in Sweden and, similarly, the overall prevalence ofE. coliO157:H7 was 0.0506% (IMS) or 0.055% (SZ-PCR). We propose that a useful strategy to analyse a large number of food samples for VTEC andE. coliO157:H7 is an initial screening of samples using the multiplex VT-PCR in conjunction with enrichment and buoyant density centrifugation, followed by further analyses on the fraction of VT-positive samples using either the IMS method or SZ-PCR.     

Effect of grain microstructure on P diffusion in polycrystalline-on-single crystal silicon systems

Grain microstructure has a major impact on diffusion of P in polysilicon-on-single crystal silicon systems both within the polysilicon layer and inside the single crystal silicon substrate. During annealing, P diffuses very rapidly along grain boundaries in the polysilicon layer to the interface, where it undergoes very fast diffusion laterally along the polysilicon-single crystal silicon interface, followed subsequently by slow indiffusion into the underlying substrate. However, the extrapolated Secondary Ion Mass Spectrometry profiles for P reveal a discontinuity at the interface, which is caused by anomalous diffusion behavior similar to the well known “kink” effect observed in single crystal silicon during P diffusion. The high diffusivity tail region is also much less pronounced for polysilicon-on-silicon systems compared to single crystal silicon due to a reduction of interstitial supersaturation in the substrate. This reduction is believed to result from the absorption of interstitials by the grain boundaries which act as sinks for the excess interstitials.     

Sex-related alcohol expectancies predict sexual risk behavior among severely and persistently mentally ill adults.

Three hundred three adults (57% male, average age 42 years) with severe and persistent mental illness receiving treatment at community mental health clinics completed a survey, which included B. C. Leigh's (1990) sex-related alcohol expectancy scale and measures of alcohol use and sexual risk behavior. Hierarchical logistic regression analyses, controlling for drinking behavior, revealed that participants with stronger expectancies that drinking would lead to enhanced sexual experience were more likely to have drank prior to intercourse and that, among participants who drank prior to intercourse, those with stronger expectancies that alcohol would lead to riskier sexual behavior were more likely to have engaged in sexual risk behavior. Implications for preventing HIV infection among people with severe mental illness are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The importance of the stomach in mediating histamine-induced hypocalcemia in the rat

The effect of histamine on serum calcium homeostasis was studied in the rat. After the intravenous administration of 0.5-1.0 mg histamine base to fasted Holtzman rats weighing 80-100 g, a significant lowering of serum calcium (Ca) level occurred 30 min after injection (decrease in Ca, 1.4-1.9 mg/100 ml), but normocalcemia returned at 60 min. Repeat intravenous injections of histamine 1.0 mg resulted in repeated lowering of the serum Ca level. Hypophosphatemia did not accompany the hypocalcemia. Thyroparathyroidectomy (TPTX) did not eliminate the calcium-lowering effect of histamine in acute TPTX animals but did so in more chronic TPTX animals in which the mean serum Ca was 7.6 mg/100 ml or less. Gastrectomy, however, completely eliminated the calcium-lowering effect of histamine given in doses of up to 2 mg/rat (20 mg/kg of body weight), despite the presence of an intact thyroid gland. These studies support the role of a gastric factor and not the thyroid secretion of calcitonin in mediating this response in the rat.