FDG-PET scan in potentially operable non-small cell lung cancer: do anatometabolic PET-CT fusion images improve the localisation of regional lymph node metastases? The Leuven Lung Cancer Group.

Exact localisation of thoracic lymph nodes (LNs) on fluorine-18 fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET) can be hampered by the paucity of anatomical landmarks. In non-small cell lung cancer (NSCLC) patients referred for locoregional LN staging, we prospectively examined to what extent localisation of LNs at PET reading could be improved by visual correlation with computed tomography (CT), or by anatometabolic PET+CT fusion images. Fifty-six patients with potentially operable NSCLC underwent CT, PET and surgical staging.

Human brain activity related to speed discrimination tasks.

The regional cerebral blood-flow (rCBF) pattern of the human brain was measured using positron emission tomography (PET) while subjects viewed, detected, judged the speed of a moving random dot pattern (RDP) or compared speeds of successive RDPs. In all four conditions, retinal input was identical. Two additional conditions, continuous presentation of a moving and a stationary RDP, were included to identify human MT/V5 (hMT/V5).

Lymph node staging in non-small-cell lung cancer with FDG-PET scan: a prospective study on 690 lymph node stations from 68 patients.

Purpose: To compare the accuracy of computed tomography-(CT) scan and the radiolabeled glucose analog 18F-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET) visually correlated with CT (PET + CT) in the locoregional lymph node (LN) staging of non-small-cell lung cancer (NSCLC).

Patients And Methods: Sixty-eight patients with potentially operable NSCLC underwent thoracic CT, PET, and invasive surgical staging (ISS). Imaging studies were read prospectively and blinded to the surgical and pathologic data.

Human brain regions involved in direction discrimination.

To obtain further evidence for the functional specialization and task-dependent processing in the human visual system, we used positron emission tomography to compare regional cerebral blood flow in two direction discrimination tasks and four control tasks. The stimulus configuration, which was identical in all tasks, included the motion of a random dot pattern, dimming of a fixation point, and a tone burst. The discrimination tasks comprised the identification of motion direction and successive direction discrimination.

Iterative reconstruction for helical CT: a simulation study.

Iterative reconstruction algorithms for helical CT are presented. The algorithms are derived from two-dimensional reconstruction algorithms, by adapting the projector/backprojector to the helical orbit of the source, and by constraining the axial frequencies with a Gaussian sieve. Simulations have been carried out and the performance of the iterative algorithms is compared to that of filtered backprojection of synthetic (interpolated) two-dimensional sinograms.

Human cerebral activity evoked by motion reversal and motion onset. A PET study.

In this PET study, we have investigated the human brain activity evoked by a visual motion paradigm commonly used to measure motion-related visual evoked potentials (VEPs). Because standard PET activation studies have been performed with motion along four axes, we first determined the pattern of brain activation when motion was restricted to a single axis. Motion back and forward along a single horizontal axis compared with a static condition revealed weak differential activations in the cuneus and the parietal cortex.

Laryngeal tumor volume measurements determined with CT: a study on intra- and interobserver variability.

Purpose: To investigate the intra- and interobserver variability of computed tomography-based volume measurements of laryngeal tumors.

Methods And Materials: The volume of 13 laryngeal tumors was repeatedly measured by five independent observers in four different sessions, using the summation-of-areas technique. Mean tumor volume and its standard deviation were calculated for each tumor.

Mediastinal lymph node staging with FDG-PET scan in patients with potentially operable non-small cell lung cancer: a prospective analysis of 50 cases. Leuven Lung Cancer Group.

Study Objective: To compare the performance of CT, radio-labeled 18F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) blinded to CT, and FDG-PET visually correlated with CT, in the detection of N2 metastatic mediastinal lymph nodes (MLN) in patients with non-small cell lung cancer (NSCLC) and to hypothesize how PET could influence our actual mediastinal staging procedures.

Setting: Tertiary university hospital.

Patients And Methods: In 50 patients with potentially operable NSCLC, thoracic CT, PET, and invasive surgical staging were performed.

Positron-emission tomography imaging of long-term shape recognition challenges.

Long-term visual memory performance was impaired by two types of challenges: a diazepam challenge on acquisition and a sensory challenge on recognition. Using positron-emission tomography regional cerebral blood flow imaging, we studied the effect of these challenges on regional brain activation during the delayed recognition of abstract visual shapes as compared with a baseline fixation task. Both challenges induced a significant decrease in differential activation in the left fusiform gyrus, suggesting that this region is involved in the automatic or volitional comparison of incoming and stored stimuli.

Attention to one or two features in left or right visual field: a positron emission tomography study.

In human vision, two features of the same object can be identified concurrently without loss of accuracy. Performance declines, however, when the features belong to different objects in opposite visual fields. We hypothesized that different positron emission tomography activation patterns would reflect these behavioral results.

The kinetic occipital region in human visual cortex.

In the present study we showed that the kinetic occipital (KO) region, located laterally in occipital cortex approximately 20 mm behind human MT/V5, can be strongly and bilaterally activated under passive viewing conditions. We used continuous, randomly changing visual stimulation to compare kinetic gratings to uniform motion and kinetic gratings to luminance defined gratings. The KO activations under these passive conditions are stronger than those observed when the two types of gratings are compared under active conditions, i.

Size quantification of liver metastases in patients undergoing cancer treatment: reproducibility of one-, two-, and three-dimensional measurements determined with spiral CT.

Purpose: To assess the reproducibility of one-, two-, and three-dimensional measurements of the size of liver metastases.

Materials And Methods: The sizes of 10 liver metastases were determined 200 times: Ten observers measured each lesion by using images obtained at two different CT studies and with five different measurement techniques (maximum diameter, product of diameters, area, volume, and product of three diameters). They repeated each measurement in a separate session.

Positron emission tomography, magnetic resonance imaging and proton NMR spectroscopy of white matter in multiple sclerosis.

Objective: To assess characteristics of MS lesions and normal appearing white matter (NAWM) with various imaging modalities. Glucose metabolism was investigated with FDG-PET, metabolite concentration with proton NMR spectroscopy, and lesion detection with routine brain MRI.

Methods: Thirteen patients were studied in a stable phase of their disease, and two during an acute episode.

Human brain activity related to orientation discrimination tasks.

In order to relate regional activity in the human brain to the different components of discrimination tasks, we compared regional cerebral blood flow, measured with positron emission tomography, under four conditions: successive orientation discrimination, orientation identification, detection and passive viewing. By adding successive discrimination and passive viewing at a second, lower rate we were able to investigate the main effects and interaction between task and presentation rate. Four occipital regions--the posterior calcarine region bilaterally, the right lingual gyrus and the right interior occipital cortex--displayed a main effect of presentation rate.

[Shortening arthrodesis of three wrist bones].

In advanced cases of wrist osteoarthritis with lesions of the radio-scaphoid and mediocarpal joints, and when a proximal row carpectomy is not possible because of lesions of the head of the capitate, we suggest a new technique: The hamate-capitate-lunate shortening arthrodesis with a scaphoid-triquetral resection. The good results observed with proximal row carpectomies, and particularly their long-term reliability, have encouraged us on this new path. Effectively, this operation takes the concept of proximal row carpectomy one step further by reconstructing the head of the capitate with the lunate whose proximal articular surface is often not deteriorated even in very advanced cases of radio and mediocarpal osteoarthritis.

Visualisation of loss of 5-HT2A receptors with age in healthy volunteers using [18F]altanserin and positron emission tomographic imaging.

We used [18F]altanserin and positron emission tomography (PET) to image serotonin 5-HT2A receptors in humans. The highest [18F]altanserin uptake is found in the cerebral cortex, with specific-to-nonspecific binding ratios varying from 0.53 to 1.

The influence of stimulus location on the brain activation pattern in detection and orientation discrimination. A PET study of visual attention.

This PET study concerns changes in regional cerebral blood flow (rCBF) associated with orientation discrimination tasks and with simple detection of the stimulus. The difference in rCBF between discrimination and detection represents the discrimination, or 'task', component of the response. We have examined how such differences are influenced by the position of the visual stimulus and also how they change when a peripheral distractor is added to a relevant central stimulus.

Task dependency of visual processing in the human visual system.

In this review we contrast passive, attribute driven processing in the visual system with an active, task-dependent view and summarize the evidence from our Positron Emission Tomography (PET) work supporting the task-dependent view. The PET studies involved comparison of regional Cerebral Blood Flow (rCBF) in closely related detection and discrimination tasks. The major finding reported is that the same retinal input or input containing only a single cue activates different extrastriate areas depending on the task.

Blood flow in human anterior temporal cortex decreases with stimulus familiarity.

In this positron emission tomography investigation of human nonverbal visual memory, we determined the anatomical distribution of changes in regional cerebral blood flow (rCBF) reflecting familiarity of visual shapes. All stimuli consisted of relatively simple, abstract outlines generated by Fourier expansions. Subjects performed the same task twice, once using unfamiliar and once using familiar stimuli.

A motion area in human visual cortex.

We have localized an area in the human brain involved in the processing of contours defined by motion differences (kinetic contours) by comparing with positron emission tomography the regional cerebral blood flow in tasks performed with kinetic and luminance-defined gratings. These tasks included passive viewing, counting the total number of grating stimuli, and counting the number of gratings of a given orientation. Comparison between the counting tasks and passive viewing with a given type of contour revealed a set of active areas that were similar for both luminance-defined and kinetic contours.

Candida albicans, the opportunist. A cellular and molecular perspective.

Candida albicans causes the majority of opportunistic fungal infections. The yeast's commensualistic relationship with humans enables it, when environmental conditions are favorable, to multiply and replace much of the normal flora. Virulence factors of C.

A study of the liver-heart artifact in emission tomography.

Unlabelled: With the introduction of 99mTc-teboroxime, a previously undocumented artifact has shown up in cardiac SPECT imaging. In the images, the uptake values near the inferior wall are lower than expected. The artifact has been reported in the literature, but an adequate explanation has not yet been provided.

Many areas in the human brain respond to visual motion.

1. The regions of the human brain responsive to motion were mapped using the H2(15)O position emission tomography (PET) activation technique and compared by viewing a moving random dot pattern with a stationary dot pattern. The stimulus was optimized in dot density and 3 degrees in diameter.

Anatomic basis of lymphatic spread of lung carcinoma to the mediastinum: anatomo-clinical correlations.

Correlation of the anatomic and surgical features in 360 cadavers and in 260 patients operated for bronchial carcinoma reveals that the lymphatics of the lung reach the ipsilateral mediastinum, sometimes directly and sometimes by sites which do not correspond to the anatomic site of the injection or of the pulmonary lesion. This implies the need for systematic eradication of all the lymph nodes of the ipsilateral mediastinum during surgery for bronchial carcinoma. In cases of tumoral lesions (N2), the prognosis is better when only one site is involved, whether the nodal disease is microscopic, uni- or multiglandular, with or without rupture of the capsule and whatever treatment is carried out, even when resection seems macroscopically complete to the surgeon.