Publications by authors named "F. Luna"

Hepatobiliary (HB) contrast agents are increasingly valuable diagnostic tools in MRI, offering a wider range of applications as their clinical use expands. Normal hepatocytes take up HB contrast agents, which are subsequently excreted in bile. This property creates a distinct HB phase providing valuable insights into liver function and biliary anatomy.

View Article and Find Full Text PDF

Tissue-resident memory CD8 T (T) cells provide protection from infection at barrier sites. In the small intestine, T cells are found in at least two distinct subpopulations: one with higher expression of effector molecules and another with greater memory potential. However, the origins of this diversity remain unknown.

View Article and Find Full Text PDF

Developmental trajectories during the transition from adolescence to adulthood contribute to the establishment of stable, adult forms of operation. Understanding the neural mechanisms underlying this transition is crucial for identifying variability in normal development and the onset of psychiatric disorders, which typically emerge during this time. Habitual behaviors can serve as a model for understanding brain mechanisms underlying the stabilization of adult behavior, while also conferring risk for psychopathologies.

View Article and Find Full Text PDF

In the aim of designing and developing a novel saponin-based adjuvant system, we combined the QS21 saponin with low microgram amounts of the fully synthetic TLR4 agonist, E6020, in cholesterol-containing liposomes. The resulting adjuvant system, termed SPA14, appeared as a long-term stable and homogeneous suspension of mostly unilamellar and a few multilamellar vesicles, with an average hydrodynamic diameter of 93 nm, when formulated in citrate buffer at pH 6.0-6.

View Article and Find Full Text PDF

The aim of this study was to evaluate different transportation and incubation conditions to test the viability of adult Fasciola hepatica in order to propose a new cultivation workflow. The adult stage of F. hepatica was obtained from naturally infected cattle at a local slaughterhouse in Lima, Peru.

View Article and Find Full Text PDF

Background And Objective: Colorectal cancer is one of the major causes of cancer death worldwide. Essential for prognosis and treatment planning, TNM staging offers critical insights into the advancement of colorectal cancer. However, manual TNM staging from colon magnetic resonance imaging (MRI) is a laborious and error prone process.

View Article and Find Full Text PDF
Article Synopsis
  • Intracranial aneurysms (IAs) are a leading cause of subarachnoid hemorrhage, and using the Neuroform Atlas stent (NAS) with coiling is more effective than coiling alone for treatment.
  • The study conducted a systematic review and meta-analysis of 42 studies covering 2434 participants to evaluate the efficacy and safety of NAS, analyzing outcomes like aneurysm occlusion rates and related adverse events.
  • Results showed high occlusion success (95% overall), favorable modified Rankin Scale scores indicating good patient outcomes (93% mRS grade 0), and low adverse event rates (≤ 5%), though the study noted limitations in specific mortality data and the lack of comparative studies
View Article and Find Full Text PDF

In this letter to the editor, authors highlight the key role of data labeling in training AI models for medical imaging, discussing the complexities, resource demands, costs, and the relevance of quality control in the labeling process including the potential and limitations of AI tools for automated labeling. The article underlines that labeling quality is essential for the accuracy of AI models and the safety of their clinical applications, highlighting the legal responsibilities of labelers in cases where improper labeling leads to AI errors.

View Article and Find Full Text PDF

Background: Endovascular thrombectomy (EVT) has shown promise in randomized controlled trials (RCTs) for large ischemic core stroke patients, yet variability in core definition and onset-to-imaging time creates heterogeneity in outcomes. This study aims to clarify the prevalence and implications of core-perfusion mismatch (MM) versus no mismatch (No MM) in such patients, utilizing established imaging criteria.

Methods: A retrospective cohort study was conducted including patients from 7/29/2019 to 1/29/2023, with data extracted from a continuously maintained database.

View Article and Find Full Text PDF

Background And Purpose: Acute ischemic strokes caused by distal medium vessel occlusions (DMVO) represent a significant proportion of all stroke cases, yet the predictors of excellent functional outcomes in these patients remain poorly understood. This study aims to identify pretreatment computed tomography perfusion (CTP) parameters associated with excellent functional outcomes, defined as a modified Rankin Scale (mRS) score of 0-1 at 90 days, in patients with anterior circulation DMVO.

Materials And Methods: We conducted a retrospective multicenter study involving patients with anterior DMVO, from three stroke centers within the Johns Hopkins Medical Enterprise.

View Article and Find Full Text PDF

The aim of this study is to validate the FIDBv2 online procedure for adult age-at-death estimation using root dentine translucency (RDT) and periodontal retraction (PR) of single-rooted teeth in a worldwide sample. The sample includes 4810 teeth of 2559 individuals from 16 countries of America, Europe and Asia. Bias and inaccuracy between documented (DA) and estimated ages (EA) were calculated.

View Article and Find Full Text PDF
Article Synopsis
  • Recent trials show that mechanical thrombectomy is effective for treating acute ischemic stroke, but there's a need for standardized imaging measures to better select patients.
  • This study analyzed data from patients with large vessel occlusion at Johns Hopkins to find the computed tomography perfusion parameter linked to worse outcomes.
  • The results indicated that a cerebral blood volume (CBV) of less than 42% and ischemic cores over 68 mL strongly predicted unfavorable 90-day outcomes, with a high area under the curve, suggesting this threshold could help guide patient selection for treatment.
View Article and Find Full Text PDF

Background: While the diagnosis of frontotemporal dementia (FTD) is based mostly on clinical features, [F]-FDG-PET has been investigated as a potential imaging standard in ambiguous cases, with arterial spin-labeling (ASL) MRI gaining recent interest.

Purpose: The purpose of this study is to conduct a systematic review and meta-analysis on the diagnostic performance of ASL MRI in patients with FTD and compare it with that of [F]-FDG-PET.

Data Sources: A systematic search of PubMed, Scopus, and Embase was conducted until March 13, 2024.

View Article and Find Full Text PDF

Photoreceptor degeneration is a major cause of untreatable blindness worldwide and has recently been targeted by emerging technologies, including cell- and gene-based therapies. Cell types of neural lineage have shown promise for replacing either photoreceptors or retinal pigment epithelial cells following delivery to the subretinal space, while cells of bone marrow lineage have been tested for retinal trophic effects following delivery to the vitreous cavity. Here we explore an alternate approach in which cells from the immature neural retinal are delivered to the vitreous cavity with the goal of providing trophic support for degenerating photoreceptors.

View Article and Find Full Text PDF

Rationale And Objectives: Large Language Models can capture the context of radiological reports, offering high accuracy in detecting unexpected findings. We aim to fine-tune a Robustly Optimized BERT Pretraining Approach (RoBERTa) model for the automatic detection of unexpected findings in radiology reports to assist radiologists in this relevant task. Second, we compared the performance of RoBERTa with classical convolutional neural network (CNN) and with GPT4 for this goal.

View Article and Find Full Text PDF

Dual-energy CT (DECT) imaging has broadened the potential of CT imaging by offering multiple postprocessing datasets with a single acquisition at more than one energy level. DECT shows profound capabilities to improve diagnosis based on its superior material differentiation and its quantitative value. However, the potential of dual-energy imaging remains relatively untapped, possibly due to its intricate workflow and the intrinsic technical limitations of DECT.

View Article and Find Full Text PDF

Despite not being the first imaging modality for thyroid gland assessment, Magnetic Resonance Imaging (MRI), thanks to its optimal tissue contrast and spatial resolution, has provided some advancements in detecting and characterizing thyroid abnormalities. Recent research has been focused on improving MRI sequences and employing advanced techniques for a more comprehensive understanding of thyroid pathology. Although not yet standard practice, advanced MRI sequences have shown high accuracy in preliminary studies, correlating well with histopathological results.

View Article and Find Full Text PDF

Objectives: This study addresses the critical need for accurate summarization in radiology by comparing various Large Language Model (LLM)-based approaches for automatic summary generation. With the increasing volume of patient information, accurately and concisely conveying radiological findings becomes crucial for effective clinical decision-making. Minor inaccuracies in summaries can lead to significant consequences, highlighting the need for reliable automated summarization tools.

View Article and Find Full Text PDF

The integration of AI in radiology raises significant legal questions about responsibility for errors. Radiologists fear AI may introduce new legal challenges, despite its potential to enhance diagnostic accuracy. AI tools, even those approved by regulatory bodies like the FDA or CE, are not perfect, posing a risk of failure.

View Article and Find Full Text PDF

Tissue-resident memory CD8 T cells (T) kill infected cells and recruit additional immune cells to limit pathogen invasion at barrier sites. Small intestinal (SI) T cells consist of distinct subpopulations with higher expression of effector molecules or greater memory potential. We hypothesized that occupancy of diverse anatomical niches imprints these distinct T transcriptional programs.

View Article and Find Full Text PDF

Susceptibility-weighted imaging (SWI) has become a standard component of most brain MRI protocols. While traditionally used for detecting and characterising brain hemorrhages typically associated with stroke or trauma, SWI has also shown promising results in glioma assessment. Numerous studies have highlighted SWI's role in differentiating gliomas from other brain lesions, such as primary central nervous system lymphomas or metastases.

View Article and Find Full Text PDF