Publications by authors named "Fourcade C"

Article Synopsis
  • Prosthetic joint infections (PJIs) caused by Candida species are serious complications following joint replacement surgeries, with a study reviewing 269 cases between 2010 and 2021 to assess treatment outcomes.
  • The majority of infections occurred in older patients (average age 73), primarily in hips and knees, and most cases involved additional bacterial infections; roughly 58% achieved a cure at the two-year follow-up.
  • Treatment effectiveness varied significantly depending on the surgical method used, with poorer outcomes linked to the debridement, antibiotics, and implant retention (DAIR) approach and patients older than 70, while infections from Candida parapsilosis tended to have better outcomes.
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  • In March 2020, the International Working Group on the Diabetic Foot published updated guidelines on diabetic foot infections, which were endorsed by the French ID society, SPILF, prompting them to revise their own 2006 guidelines.
  • The new recommendations focus on microbiological diagnosis, antibiotic treatment options, and emphasize a multidisciplinary approach for managing diabetic foot infections.
  • Key points include the necessity of staging the infection severity, proper sampling protocols, tailored empirical antibiotic therapy based on infection grade, and the importance of reevaluating treatment duration, especially when osteomyelitis is suspected.
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Background: Histopathology is one of the diagnostic criteria for prosthetic joint infection (PJI) proposed by all academic societies. The aim of this study was to compare histopathological and microbiological results from samples taken intraoperatively at the same site in patients with suspected or proven PJI.

Patients And Methods: We conducted a monocenter retrospective study including all patients having undergone surgery from 2007 to 2015 with suspected or proven PJI.

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Objectives: Blood-culture-negative infective endocarditis (BCNE) is found in 2 to 48% of cases of infective endocarditis (IE) (Houpikian and Raoult, 2005) [1].IE and vertebral osteomyelitis due to Chlamydia sp. are difficult to diagnose.

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Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches.

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In metastatic breast cancer, bone metastases are prevalent and associated with multiple complications. Assessing their response to treatment is therefore crucial. Most deep learning methods segment or detect lesions on a single acquisition while only a few focus on longitudinal studies.

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This paper proposes a novel approach for the longitudinal registration of PET imaging acquired for the monitoring of patients with metastatic breast cancer. Unlike with other image analysis tasks, the use of deep learning (DL) has not significantly improved the performance of image registration. With this work, we propose a new registration approach to bridge the performance gap between conventional and DL-based methods: medical image registration method regularized by architecture (MIRRBA).

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Metastatic breast cancer patients receive lifelong medication and are regularly monitored for disease progression. The aim of this work was to (1) propose networks to segment breast cancer metastatic lesions on longitudinal whole-body PET/CT and (2) extract imaging biomarkers from the segmentations and evaluate their potential to determine treatment response. Baseline and follow-up PET/CT images of 60 patients from the EPICUREseinmeta study were used to train two deep-learning models to segment breast cancer metastatic lesions: One for baseline images and one for follow-up images.

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Article Synopsis
  • Early initiation of antiretroviral therapy (ART) in HIV-1-infected infants shows a positive impact on immune system health, specifically CD4 and CD8 T lymphocytes, but the effects in older children and adolescents need more study.
  • The ANRS-EP59-CLEAC study examined 27 children and 9 adolescents who started ART early compared to 19 children and 21 adolescents who started later, revealing that early treatment leads to higher CD8 T cell percentages.
  • Overall, while early ART benefits CD8 T cells significantly, the impact on CD4 T cells is less pronounced, suggesting late-treated pediatric patients can still effectively counteract CD4 T-cell loss through thymus production.
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Semi-automatic measurements are performed on FDG PET-CT images to monitor the evolution of metastatic sites in the clinical follow-up of metastatic breast cancer patients. Apart from being time-consuming and prone to subjective approximation, semi-automatic tools cannot make the difference between cancerous regions and active organs, presenting a high FDG uptake.In this work, we combine a deep learning-based approach with a superpixel segmentation method to segment the main active organs (brain, heart, bladder) from full-body PET images.

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FDG PET/CT imaging is commonly used in diagnosis and follow-up of metastatic breast cancer, but its quantitative analysis is complicated by the number and location heterogeneity of metastatic lesions. Considering that bones are the most common location among metastatic sites, this work aims to compare different approaches to segment the bones and bone metastatic lesions in breast cancer.Two deep learning methods based on U-Net were developed and trained to segment either both bones and bone lesions or bone lesions alone on PET/CT images.

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Resting state functional magnetic resonance imaging is used to study how brain regions are functionally connected by measuring temporal correlation of the fMRI signals, when a subject is at rest. Sparse dictionary learning is used to estimate a dictionary of resting state networks by decomposing the whole brain signals into several temporal features (atoms), each being shared by a set of voxels associated to a network. Recently, we proposed and validated a new method entitled Sparsity-based Analysis of Reliable K-hubness (SPARK), suggesting that connector hubs of brain networks participating in inter-network communication can be identified by counting the number of atoms involved in each voxel (sparse number k).

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Objectives: Enterobacter cloacae prosthetic joint infections (PJI) are rare and poorly documented.

Patients And Methods: We conducted a retrospective and monocentric study in an orthopedic unit supporting complex bone and joint infections. Between 2012 and 2016 we collected background, clinical, biological, and microbiological data from 20 patients presenting with prosthetic joint infection and positive for E.

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Background: Diagnosis of short QT syndrome (SQTS) remains difficult in case of borderline QT values as often found in normal populations. Whether some shortening of refractory periods (RP) may help in differentiating SQTS from normal subjects is unknown.

Methods And Results: Atrial and right ventricular RP at the apex and right ventricular outflow tract as determined during standard electrophysiological study were compared between 16 SQTS patients (QTc 324±24 ms) and 15 controls with similar clinical characteristics (QTc 417±32 ms).

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Article Synopsis
  • The rapid spread of Zika virus (ZIKV) in South America prompts concerns, but there's limited information on how long the virus and antibodies last in patients.
  • A study tracked ZIKV levels and anti-ZIKV IgG and IgM antibodies in two patients returning from Martinique, finding ZIKV detectable in plasma for about two weeks, with urine samples remaining positive even longer.
  • Both patients showed different antibody responses, but the quick rise of IgM antibodies enabled diagnosis by the end of the first week.
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