Assessing asymmetric enhancement on breast MRI: Besting the diagnostic challenge with imaging and clinical clues.

Breast magnetic resonance imaging (MRI) has the highest sensitivity for breast cancer detection compared to other breast imaging modalities such as mammography and ultrasound. As a functional modality, it captures the increased angiogenic activity of breast cancer through gadolinium-based contrast enhancement. Normal breast tissue also enhances, albeit in distinct patterns termed background parenchymal enhancement (BPE).

Caesarean section scar: Histological analysis on hysterectomy specimen. A pilot study.

Introduction: In recent years, caesarean section (CS) rate has risen worldwide. Complications associated with CS scars have risen too, such as scar dehiscences and uterine ruptures. Uterine healing is a complex phenomenon still poorly understood.

Dynamic multilayer growth: Parallel vs. sequential approaches.

The decision of when to add a new hidden unit or layer is a fundamental challenge for constructive algorithms. It becomes even more complex in the context of multiple hidden layers. Growing both network width and depth offers a robust framework for leveraging the ability to capture more information from the data and model more complex representations.

A multilayered bidirectional associative memory model for learning nonlinear tasks.

A multilayered bidirectional associative memory neural network is proposed to account for learning nonlinear types of association. The model (denoted as the MF-BAM) is composed of two modules, the Multi-Feature extracting bidirectional associative memory (MF), which contains various unsupervised network layers, and a modified Bidirectional Associative Memory (BAM), which consists of a single supervised network layer. The MF generates successive feature patterns from the original inputs.

MR Virtual Biopsy of Solid Renal Masses: An Algorithmic Approach.

Between 1983 and 2002, the incidence of solid renal tumors increased from 7.1 to 10.8 cases per 100,000.

Cytomegalovirus lymphadenitis mimicking a relapsed diffuse large B-cell lymphoma.

Cytomegalovirus (CMV) reactivation is frequent after autologous stem cell transplantation (ASCT), but generalized CMV lymphadenitis is rare. We report a CMV lymphadenitis after an ASCT mimicking a relapse of a diffuse large B-cell lymphoma. After histopathological documentation, CMV lymphadenitis should be treated to avoid systemic progression.

TROP2, androgen receptor, and PD-L1 status in histological subtypes of high-grade metaplastic breast carcinomas.

Aims: High-grade metaplastic breast carcinoma (HG-MBC) is a rare subtype of invasive breast carcinoma, mostly triple-negative. Metaplastic carcinomas are less responsive to neoadjuvant chemotherapy and are associated with a worse outcome than invasive carcinomas of no special type.

Methods: Clinicopathological characteristics and immunophenotype were retrospectively assessed in a series of 65 patients diagnosed with HG-MBC between 2005 and 2017 at the Curie Institute (antibody panel: oestrogen receptor [ER], progesterone receptor [PR], androgen receptor [AR], human epidermal growth factor receptor 2 [HER2], programmed death ligand-1 [PD-L1], and trophoblast cell surface antigen 2 [TROP2]).

Nestin as a diagnostic and prognostic marker for combined hepatocellular-cholangiocarcinoma.

Background & Aims: Combined hepatocellular-cholangiocarcinoma (cHCC-CCA) is a rare primary liver cancer (PLC) associated with a poor prognosis. Given the challenges in its identification and its clinical implications, biomarkers are critically needed. We aimed to investigate the diagnostic and prognostic value of the immunohistochemical expression of Nestin, a progenitor cell marker, in a large multicentric series of PLCs.

Invasive Fungal Rhinosinusitis Due to Co-infection with Mucormycosis and in a Patient with Acute Lymphoblastic Leukemia.

Invasive fungal infections remain an important cause of complication and morbidity in the management of acute leukemias. Here we report the case of a 27-year-old patient from French Polynesia who was diagnosed with Philadelphia chromosome-negative B-cell acute lymphoblastic leukemia. After induction chemotherapy, she developed rhinosinusitis with extensive bone lysis.

A prospective, multicenter, open-label, single-arm clinical trial design to evaluate the safety and efficacy of Y resin microspheres for the treatment of unresectable HCC: the DOORwaY90 (Duration Of Objective Response with arterial Ytrrium-90) study.

Background: Selective internal radiation therapy (SIRT) with yttrium-90 (Y) resin microspheres is an established locoregional treatment option for unresectable hepatocellular carcinoma (HCC), which delivers a lethal dose of radiation to hepatic tumors, while sparing surrounding healthy tissue. DOORwaY90 is a prospective, multicenter, open-label, single arm study, designed to evaluate the safety and effectiveness of Y resin microspheres as first-line treatment in patients with unresectable/unablatable HCC. It is unique in that it is the first study with resin microspheres to utilize a personalized Y dosimetry approach, and independent review for treatment planning and response assessment.

Parental peritraumatic distress and feelings of parental competence in relation to COVID-19 lockdown measures: What is the impact on children's peritraumatic distress?

The objective of this study was to measure, via an online survey, the peritraumatic impact of COVID-19-related lockdown measures on parents and their sense of parental competence, as well as the link with their children's peritraumatic distress. We investigated the links between the distress felt by the parent and the distress felt by the child in the lockdown from March to May 2020. Participants were 287 parents and 161 children.

Pinpointing cysteine oxidation sites by high-resolution proteomics reveals a mechanism of redox-dependent inhibition of human STING.

Protein function is regulated by posttranslational modifications (PTMs), among which reversible oxidation of cysteine residues has emerged as a key regulatory mechanism of cellular responses. Given the redox regulation of virus-host interactions, the identification of oxidized cysteine sites in cells is essential to understand the underlying mechanisms involved. Here, we present a proteome-wide identification of reversibly oxidized cysteine sites in oxidant-treated cells using a maleimide-based bioswitch method coupled to mass spectrometry analysis.

Embodied working memory during ongoing input streams.

Sensory stimuli endow animals with the ability to generate an internal representation. This representation can be maintained for a certain duration in the absence of previously elicited inputs. The reliance on an internal representation rather than purely on the basis of external stimuli is a hallmark feature of higher-order functions such as working memory.

Multifocal cocaine-induced pyoderma gangrenosum: A report of two cases and review of literature.

Pyoderma gangrenosum is often associated with a systemic disease. Cocaine-induced pyoderma gangrenosum, most probably caused by levamisole, has been described recently and typically presents as multiple, large cribriform ulcers. Peri-nuclear antineutrophil cytoplasmic antibody is the most common serological finding.

Prenatal diagnosis of cerebro-oculo-facio-skeletal syndrome: Report of three fetuses and review of the literature.

Cerebro-oculo-facio-skeletal syndrome (COFS) is a rare autosomal recessive neurodegenerative disease belonging to the family of DNA repair disorders, characterized by microcephaly, congenital cataracts, facial dysmorphism and arthrogryposis. Here, we describe the detailed morphological and microscopic phenotype of three fetuses from two families harboring ERCC5/XPG likely pathogenic variants, and review the five previously reported fetal cases. In addition to the classical features of COFS, the fetuses display thymus hyperplasia, splenomegaly and increased hematopoiesis.

Comparison of magnetic resonance defecography grading with POP-Q staging and Baden-Walker grading in the evaluation of female pelvic organ prolapse.

Purpose: The physical examination and pelvic imaging with MRI are often used in the pre-operative evaluation of pelvic organ prolapse. The objective of this study was to compare grading of prolapse on defecography phase of dynamic magnetic resonance imaging (dMRI) with physical examination (PE) grading using both the Pelvic Organ Prolapse Quantification (POP-Q) staging and Baden-Walker (BW) grading systems in the evaluation of pelvic organ prolapse (POP).

Methods: We retrospectively reviewed the charts of 170 patients who underwent dMRI at our institution.

Discrimination of Motion Direction in a Robot Using a Phenomenological Model of Synaptic Plasticity.

Recognizing and tracking the direction of moving stimuli is crucial to the control of much animal behaviour. In this study, we examine whether a bio-inspired model of synaptic plasticity implemented in a robotic agent may allow the discrimination of motion direction of real-world stimuli. Starting with a well-established model of short-term synaptic plasticity (STP), we develop a microcircuit motif of spiking neurons capable of exhibiting preferential and nonpreferential responses to changes in the direction of an orientation stimulus in motion.

Spiking Neurons Integrating Visual Stimuli Orientation and Direction Selectivity in a Robotic Context.

Visual motion detection is essential for the survival of many species. The phenomenon includes several spatial properties, not fully understood at the level of a neural circuit. This paper proposes a computational model of a visual motion detector that integrates direction and orientation selectivity features.

Is Lewy pathology in the human nervous system chiefly an indicator of neuronal protection or of toxicity?

Misfolded α-synuclein accumulates in histological inclusions constituting "Lewy pathology" found in idiopathic Parkinson disease, Parkinson disease dementia and dementia with Lewy body. The mechanism inducing α-synuclein misfolding is still unknown. The misfolded molecules form oligomers that organize into fibrils.

The Changing Sensory and Sympathetic Innervation of the Young, Adult and Aging Mouse Femur.

Although bone is continually being remodeled and ultimately declines with aging, little is known whether similar changes occur in the sensory and sympathetic nerve fibers that innervate bone. Here, immunohistochemistry and confocal microscopy were used to examine changes in the sensory and sympathetic nerve fibers that innervate the young (10 days post-partum), adult (3 months) and aging (24 months) C57Bl/6 mouse femur. In all three ages examined, the periosteum was the most densely innervated bone compartment.