The Mesh Propagation Algorithm for Isosurface Construction

A new algorithm, Mesh Propagation, is presented for the generation of isosurfaces from three-dimensional discrete data sets. While producing the same surface mesh as that generated by a corrected Marching Cubes algorithm, its characteristic is that it constructs an isosurface using connected strips of dynamically triangulated polygons. This compact data structure speeds up surface construction and reduces surface storage requirements. The surface can also be displayed more quickly, particularly where there is hardware support for rendering triangle strips. With engineering as well as medical imaging applications in mind, the algorithm can be used with both irregular and rectilinear grids of data, the primitive volume elements need not be hexahedral only, and volumes of heterogeneous polyhedral elements are supported without traversal complications. The algorithm propagates through the cells in the grid and uses the same lookup table topologies as Marching Cubes to determine patches of surface-element intersection; additional tables are used for non-hexahedral elements. The surface patches are dynamically coded into triangle strips which are then concatenated and linked to construct the surface. The data structures used for propagating through the volume overcome the topological ambiguities associated with table-based methods of surface construction and no holes are generated in the final mesh.     

A prospective clinical study of stereotactic subcaudate tractotomy

This study describes a cohort of 23 patients undergoing stereotactic subcaudate tractotomy. Research Diagnostic Criteria indicated that 70% suffered major depressive disorder; the remainder mostly had a bipolar affective disorder. There were serial assessments pre-operatively and at 2 weeks and 6 months post-operatively using the Hamilton Rating Scale for depression, the Present State Examination (PSE), Newcastle Scale, the Beck Depression Inventory, and the Taylor Manifest Anxiety Scale. Neuropsychological assessment included tests thought to be sensitive to frontal lobe dysfunction, as well as tests of general intelligence, attention, memory, language and visuo-spatial function. Post-operatively, depression rating scale scores decreased significantly but most patients continued to exhibit a number of PSE syndromes. Depression rating scale scores were correlated with 1 year global outcome: there was no significant correlation except for the 6 month assessment when lower Hamilton scores were found to be associated with better global outcome. Correlations between the neuropsychological tests and the Hamilton and Beck depression scales at 2 weeks post-operatively suggested that an improvement in psychiatric condition was associated with greater efficiency on some tests of attention and verbal recall, as well as faster performance on a sorting task. By contrast, the changes at 6 months suggested an association between improvement in psychiatric condition and less efficient performance on certain neuropsychological tests including verbal recognition memory, attention and two tests of frontal lobe dysfunction.     

A 3D damage model for trabecular bone based on fabric tensors

Motivated by the role of damage in normal and pathological conditions of trabecular bone, a novel 3D constitutive law was developed that describes anisotropic elasticity and the rate-independent degradation in mechanical properties resulting from the growth of cracks or voids in the trabecular tissue. The theoretical model was formulated within the framework of continuum damage mechanics and based on two fabric tensors characterizing the local trabecular morphology. Experimental validation of the model was achieved by uniaxial and torsional testing of waisted bovine trabecular bone specimens. Strong correlations were found between cumulated permanent strain, reduction in elastic moduli and nonlinear postyield stress, which support the hypothesis that these variables reflect the same underlying damage process.     

Pathophysiological mechanisms of central neuropathic pain after spinal cord injury

After spinal cord injury (SCI), between 10% and 20% of the patients may develop central neuropathic pain. This type of chronic pain usually is a very bothersome sequel and represents a major therapeutic challenge since conventional medical and surgical pain therapies generally are ineffective. This review focuses on recent advances in the understanding of the pathophysiology of this pain syndrome. Important clinical features of central neuropathic pain after SCI include loss of sensations mediated by spinothalamic pathways combined with development of abnormal pain perception (spontaneous continuous pain and abnormally evoked pain). Up-regulation of neuronal activity leading to spontaneous and evoked neuronal hyperactivity/hyperexcitability, may be the neurophysiological substrate for development of abnormal pain perception. This paper describes some neurochemical changes that may be important for the induction and maintenance of neuronal hyperactivity and abnormal pain perception: Increased excitatory glutaminergic activity involving N-methyl-D-aspartate (NMDA) receptor activation, may trigger the intracellular cascade reaction leading to upregulation of neuronal activity/excitability. Changes in voltage-sensitive Na+ channels may contribute to changes in nerve membrane excitability. Other important mechanisms may be loss of endogenous inhibition, including reduced gamma-amino-butyric acid (GABA)ergic, opioid and monoaminergic inhibition. These various mechanisms may provide new targets for treatment of a pain syndrome that traditionally has been so difficult to handle.     

Math5 encodes a murine basic helix-loop-helix transcription factor expressed during early stages of retinal neurogenesis

We have identified Math5, a mouse basic helix-loop-helix (bHLH) gene that is closely related to Drosophila atonal and Xenopus Xath5 and is largely restricted to the developing eye. Math5 retinal expression precedes differentiation of the first neurons and persists within progenitor cells until after birth. To position Math5 in a hierarchy of retinal development, we compared Math5 and Hes1 expression in wild-type and Pax6-deficient (Sey) embryos. Math5 expression is downregulated in Sey/+ eyes and abolished in Sey/Sey eye rudiments, whereas the bHLH gene Hes1 is upregulated in a similar dose-dependent manner. These results link Pax6 to the process of retinal neurogenesis and provide the first molecular correlate for the dosage-sensitivity of the Pax6 phenotype. During retinogenesis, Math5 is expressed significantly before NeuroD, Ngn2 or Mash1. To test whether these bHLH genes influence the fates of distinct classes of retinal neurons, we ectopically expressed Math5 and Mash1 in Xenopus retinal progenitors. Unexpectedly, lipofection of either mouse gene into the frog retina caused an increase in differentiated bipolar cells. Directed expression of Math5, but not Xath5, in Xenopus blastomeres produced an expanded retinal phenotype. We propose that Math5 acts as a proneural gene, but has properties different from its most closely related vertebrate family member, Xath5.