Publications by authors named "Miclea R"

Article Synopsis
  • The study aimed to assess treatment outcomes, overall survival (OS), and factors influencing OS in patients with T1 ampullary cancer, a rare type of gastrointestinal cancer.
  • Out of 244 patients with clinical T1 ampullary cancer, 75% underwent surgery, but a significant number were found to have more advanced disease upon further examination.
  • The results indicated a stark difference in survival based on disease classification, with poor prognostic factors including higher pathological N classification and poorly differentiated tumors, emphasizing the need for aggressive treatment like pancreatoduodenectomy for T1 cases.
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  • This study assessed the effectiveness of magnetic resonance dispersion imaging (MRDI) in detecting clinically significant prostate cancer (csPCa) compared to standard multiparametric MRI (mpMRI).
  • It involved 76 patients, with two radiologists evaluating MRI results and comparing findings to actual prostate cancer histopathology after surgery.
  • Results indicated that MRDI potentially enhances sensitivity in detecting csPCa and reduces variability between observers, with one radiologist finding a 20% increase in detected cases using MRDI.
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  • The study investigates the imaging characteristics in gadoxetic acid-enhanced MRI that differentiate focal nodular hyperplasia (FNH) from hepatocellular adenoma and carcinoma (HCA/HCC), particularly focusing on hyper- or isointensity observed in the hepatobiliary phase.
  • Researchers analyzed data from 124 patients with pathology-proven FNH or HCA/HCC, finding unique imaging traits such as specific patterns and fat content that help distinguish between these liver conditions.
  • The results suggest that if certain imaging characteristics indicative of HCA/HCC are present, further evaluation should be conducted to rule out B-catenin-activated HCA, especially when lesions show high levels of hyper- or isointensity.
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Objectives: The aim of this study is to improve the reliability of subjective IQ assessment using a pairwise comparison (PC) method instead of a Likert scale method in abdominal CT scans.

Methods: Abdominal CT scans (single-center) were retrospectively selected between September 2019 and February 2020 in a prior study. Sample variance in IQ was obtained by adding artificial noise using dedicated reconstruction software, including reconstructions with filtered backprojection and varying iterative reconstruction strengths.

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Rationale And Objectives: Distinguishing malignant from benign liver lesions based on magnetic resonance imaging (MRI) is an important but often challenging task, especially in noncirrhotic livers. We developed and externally validated a radiomics model to quantitatively assess T2-weighted MRI to distinguish the most common malignant and benign primary solid liver lesions in noncirrhotic livers.

Materials And Methods: Data sets were retrospectively collected from three tertiary referral centers (A, B, and C) between 2002 and 2018.

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Background: Data shortage is a common challenge in developing computer-aided diagnosis systems. We developed a generative adversarial network (GAN) model to generate synthetic lung lesions mimicking ground glass nodules (GGNs).

Methods: We used 216 computed tomography images with 340 GGNs from the Lung Image Database Consortium and Image Database Resource Initiative database.

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  • European Association of Urology guidelines suggest a risk-adjusted biopsy approach for detecting prostate cancer in men who haven't had a biopsy before, but the effectiveness of different strategies is still uncertain.
  • This study compared the effectiveness of two pathways: a risk-based ultrasound-directed approach and a magnetic resonance imaging (MRI)-directed approach in biopsy-naïve men suspected of having prostate cancer.
  • Results showed that both methods detected similar rates of significant cancers, but the ultrasound approach found more low-grade cancers, whereas the MRI method was more effective in avoiding unnecessary biopsies.
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Handcrafted radiomic features (HRFs) are quantitative imaging features extracted from regions of interest on medical images which can be correlated with clinical outcomes and biologic characteristics. While HRFs have been used to train predictive and prognostic models, their reproducibility has been reported to be affected by variations in scan acquisition and reconstruction parameters, even within the same imaging vendor. In this work, we evaluated the reproducibility of HRFs across the arterial and portal venous phases of contrast-enhanced computed tomography images depicting hepatocellular carcinomas, as well as the potential of ComBat harmonization to correct for this difference.

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Background And Methods: Treatment strategies for pancreatic cancer patients are made by a multidisciplinary team (MDT) board. We aimed to assess intra-observer variance at MDT boards. Participating units staged, assessed resectability, and made treatment allocations for the same patients as they did two years earlier.

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  • Mobile natural phenomena like fog, rain, snow, haze, and sun glare create visibility issues that pose dangers for drivers, especially in autonomous vehicles.
  • The effects of fog significantly reduce contrast and color visibility, while rain and glare can also cause hazardous driving conditions, making speed choices critical.
  • The paper reviews recent scientific literature over the past decade, focusing on various methods such as image processing and sensor systems, aimed at improving visibility and safety in adverse weather, particularly emphasizing the dangers of fog.
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Visibility is a critical factor for transportation, even if we refer to air, water, or ground transportation. The biggest trend in the automotive industry is autonomous driving, the number of autonomous vehicles will increase exponentially, prompting changes in the industry and user segment. Unfortunately, these vehicles still have some drawbacks and one, always in attention and topical, will be treated in this paper-visibility distance issue in bad weather conditions, particularly in fog.

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Background: Tumor hypoxia increases resistance to radiotherapy and systemic therapy. Our aim was to develop and validate a disease-agnostic and disease-specific CT (+FDG-PET) based radiomics hypoxia classification signature.

Material And Methods: A total of 808 patients with imaging data were included: N = 100 training/N = 183 external validation cases for a disease-agnostic CT hypoxia classification signature, N = 76 training/N = 39 validation cases for the H&N CT signature and N = 62 training/N = 36 validation cases for the Lung CT signature.

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Use of ustekinumab in Crohn's disease was approved in 2016, and consequently data regarding its real-world safety are still limited. We here present a 29-year-old woman with severe therapy-refractory Crohn's disease, who developed an anaplastic large cell T cell lymphoma during treatment with ustekinumab.

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  • The study aimed to evaluate the radiation doses used in CT urography (CTU) before and after adopting a new scanning protocol that utilizes iterative reconstruction (AIDR 3D).
  • Researchers compared historical CTU data from 2011 (using filtered back projection) with more recent data from 2012-2013 (using AIDR 3D), focusing on patient characteristics and various dose metrics.
  • Results indicated a significant reduction in median total dose (DLP and effective dose) with AIDR 3D, while maintaining diagnostic image quality, suggesting improved safety in routine clinical practice.
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Introduction: In this study, we tested the ability of small molecule inhibitors of WNT/β-catenin signaling to block interleukin 1β (IL-1β)- and tumor necrosis factor α (TNFα)-induced cartilage degradation. Proinflammatory cytokines such as IL-1β and TNFα are potent inducers of cartilage degradation by upregulating matrix metalloproteinase (MMP) expression and activity. Because WNT/β-catenin signaling was found to be involved in IL-1β- and TNFα-induced upregulation of MMP activity, we hypothesized that inhibition of WNT/β-catenin signaling might block IL-1β- and TNFα-induced cartilage degradation.

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In adult articular cartilage, the extracellular matrix is maintained by a balance between the degradation and the synthesis of matrix components. Chondrocytes that sparsely reside in the matrix and rarely proliferate are the key cellular mediators for cartilage homeostasis. There are indications for the involvement of the WNT signaling pathway in maintaining articular cartilage.

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Objective: In the past years, the canonical Wnt/β-catenin signaling pathway has emerged as a critical regulator of cartilage development and homeostasis. In this pathway, glycogen synthase kinase-3β (GSK3β) down-regulates transduction of the canonical Wnt signal by promoting degradation of β-catenin. In this study we wanted to further investigate the role of Gsk3β in cartilage maintenance.

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The canonical Wnt signaling pathway influences the differentiation of mesenchymal cell lineages in a quantitative and qualitative fashion depending on the dose of β-catenin signaling. Adenomatous polyposis coli (Apc) is the critical intracellular regulator of β-catenin turnover. To better understand the molecular mechanisms underlying the role of Apc in regulating the differentiation capacity of skeletal progenitor cells, we have knocked down Apc in the murine mesenchymal stem cell-like KS483 cells by stable expression of Apc-specific small interfering RNA.

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Replacement therapy using recombinant factor VIII (rFVIII) is currently the most common therapy for hemophilia A, a bleeding disorder caused by the deficiency of FVIII. However, 15-30% of patients develop inhibitory antibodies against administered rFVIII, which complicates the therapy. Encapsulation or association of protein with lipidic structures can reduce this immune response.

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The canonical Wnt pathway plays a key regulatory role in osteoblastogenesis and bone mass acquisition through its main effector, β-catenin. Adenomatous polyposis coli (APC) represents the key intracellular gatekeeper of β-catenin turnover, and heterozygous germ-line mutations in the APC gene cause familial adenomatous polyposis (FAP). Whether APC mutations affect bone mass has not been previously investigated.

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Factor VIII is a multi-domain glycoprotein and is an essential cofactor in the blood coagulation cascade. Its deficiency or dysfunction causes Hemophilia A, a bleeding disorder. Replacement using exogenous recombinant Factor VIII (FVIII) is the first line of therapy for Hemophilia A.

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Factor VIII (FVIII) is a multi-domain glycoprotein that is an essential cofactor in the blood coagulation cascade. Its deficiency or dysfunction causes hemophilia A, a bleeding disorder. Replacement using exogenous recombinant human factor VIII (rFVIII) is the first line of therapy for hemophilia A.

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Article Synopsis
  • - During skeletal development, beta-catenin levels, influenced by the Apc gene, are crucial for determining whether precursor cells become bone-forming osteoblasts or cartilage-forming chondrocytes.
  • - Researchers created mice with a specific deletion of the Apc gene in cells that express Col2a1, leading to increased beta-catenin levels and severe skeletal defects, including perinatal death and malformed bones.
  • - The study found that Apc is necessary for proper differentiation of skeletal stem cells; without it, most cells fail to mature into chondrocytes or osteoblasts, although some rib precursor cells managed to become active osteoblasts despite Apc loss.
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Longitudinal bone growth occurs within the epiphyseal growth plate, a highly organized biological structure located at the distal ends of the long bones, via endochondral bone formation. This developmentally regulated process is finely tuned through the interaction of circulating systemic hormones and locally produced peptide growth factors, the net result of which is to trigger changes in gene expression by growth plate chondrocytes. These molecular events lead to carefully orchestrated alterations in chondrocyte size, extracellular matrix components, secreted enzymes, growth factors and receptor expression.

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The replacement therapy using recombinant human FVIII (rFVIII) is the first line of therapy for hemophilia A. Approximately 15-30% of the patients develop inhibitory antibodies. Recently, we reported that liposomes composed of phosphatidylserine (PS) could reduce the immunogenicity of rFVIII.

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