49 results match your criteria: "MGH and Harvard Medical School[Affiliation]"

Article Synopsis
  • Target volume contouring for radiation therapy is more complex than typical organ segmentation, requiring integration of both imaging and clinical text information.
  • The solution presented is LLMSeg, a multimodal AI that combines large language models with clinical data to enhance 3D target volume delineation specifically for breast cancer radiotherapy.
  • LLMSeg shows significantly better performance and efficiency in data-limited scenarios compared to traditional unimodal AI models, showcasing its potential for real-world applications in radiation oncology.
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Low-dose computed tomography perceptual image quality assessment.

Med Image Anal

January 2025

Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea; Computational Medicine, Graduate Program in System Health Science and Engineering, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, Republic of Korea. Electronic address:

In computed tomography (CT) imaging, optimizing the balance between radiation dose and image quality is crucial due to the potentially harmful effects of radiation on patients. Although subjective assessments by radiologists are considered the gold standard in medical imaging, these evaluations can be time-consuming and costly. Thus, objective methods, such as the peak signal-to-noise ratio and structural similarity index measure, are often employed as alternatives.

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Physically informed deep neural networks for metabolite-corrected plasma input function estimation in dynamic PET imaging.

Comput Methods Programs Biomed

November 2024

Department of Biomedicine and Prevention, University of Rome, Tor Vergata, Rome, Italy; Athinoula A. Martinos Center For Biomedical Imaging, MGH and Harvard Medical School, Boston, MA, USA.

Introduction: We propose a novel approach for the non-invasive quantification of dynamic PET imaging data, focusing on the arterial input function (AIF) without the need for invasive arterial cannulation.

Methods: Our method utilizes a combination of three-dimensional depth-wise separable convolutional layers and a physically informed deep neural network to incorporatea priori knowledge about the AIF's functional form and shape, enabling precise predictions of the concentrations of [C]PBR28 in whole blood and the free tracer in metabolite-corrected plasma.

Results: We found a robust linear correlation between our model's predicted AIF curves and those obtained through traditional, invasive measurements.

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Decoding visual brain representations from electroencephalography through knowledge distillation and latent diffusion models.

Comput Biol Med

August 2024

Department of Biomedicine and Prevention, University of Rome Tor Vergata (IT), Italy; Athinoula A. Martinos Center for Biomedical Imaging, MGH and Harvard Medical School (US), United States of America.

Decoding visual representations from human brain activity has emerged as a thriving research domain, particularly in the context of brain-computer interfaces. Our study presents an innovative method that employs knowledge distillation to train an EEG classifier and reconstruct images from the ImageNet and THINGS-EEG 2 datasets using only electroencephalography (EEG) data from participants who have viewed the images themselves (i.e.

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Article Synopsis
  • The text discusses open-source tools designed for 3D analysis of photographs from dissected human brain slices, which are often underutilized for quantitative studies.
  • These tools can reconstruct a 3D volume and segment brain images into 11 regions per hemisphere, serving as a cost-effective alternative to traditional MRI imaging.
  • Testing shows that the methodology provides accurate 3D reconstructions and can differentiate between Alzheimer's disease cases and healthy controls, with tools available in the FreeSurfer suite.
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Brain decoding is a field of computational neuroscience that aims to infer mental states or internal representations of perceptual inputs from measurable brain activity. This study proposes a novel approach to brain decoding that relies on semantic and contextual similarity.We use several functional magnetic resonance imaging (fMRI) datasets of natural images as stimuli and create a deep learning decoding pipeline inspired by the bottom-up and top-down processes in human vision.

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Stochastic brain dynamics exhibits differential regional distribution and maturation-related changes.

Neuroimage

April 2024

Department of Information Engineering, School of Engineering, University of Pisa, Italy; Bioengineering and Robotics Research Center E.Piaggio, School of Engineering, University of Pisa, Italy.

Functional magnetic resonance imaging (fMRI) is a powerful non-invasive method for studying brain function by analyzing blood oxygenation level-dependent (BOLD) signals. These signals arise from intricate interplays of deterministic and stochastic biological elements. Quantifying the stochastic part is challenging due to its reliance on assumptions about the deterministic segment.

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Intravenous Thrombolytics in the Treatment of Acute Ischemic Stroke.

Curr Treat Options Cardiovasc Med

January 2023

JPK Stroke Research Center, Department of Neurology, Massachusetts General Hospital (MGH) and Harvard Medical School, Suite 300, 175 Cambridge Street, Boston, MA 02114 USA.

Purpose Of Review: To review the current evidence and ongoing clinical trials evaluating the efficacy and safety of tenecteplase (TNK), an alternative tissue plasminogen activator (tPA), in the acute management of arterial ischemic stroke (AIS). To date, alteplase is the only tPA approved by the United States FDA for use in AIS.

Recent Findings: There have been multiple phase two and three trials investigating the safety and efficacy of TNK in AIS.

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Federated Analysis in COINSTAC Reveals Functional Network Connectivity and Spectral Links to Smoking and Alcohol Consumption in Nearly 2,000 Adolescent Brains.

Neuroinformatics

April 2023

Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State University, Georgia Institute of Technology, Emory University, Atlanta, GA, USA.

With the growth of decentralized/federated analysis approaches in neuroimaging, the opportunities to study brain disorders using data from multiple sites has grown multi-fold. One such initiative is the Neuromark, a fully automated spatially constrained independent component analysis (ICA) that is used to link brain network abnormalities among different datasets, studies, and disorders while leveraging subject-specific networks. In this study, we implement the neuromark pipeline in COINSTAC, an open-source neuroimaging framework for collaborative/decentralized analysis.

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We have developed an MRI-safe needle guidance toolkit for MRI-guided interventions intended to enable accurate positioning for needle-based procedures. The toolkit allows intuitive and accurate needle angulation and entry point positioning according to an MRI-based plan, using a flexible, patterned silicone 2D grid. The toolkit automatically matches the grid on MRI planning images with a physical silicon grid placed conformally on the patient's skin and provides the Interventional Radiologist an easy-to-use guide showing the needle entry point on the silicon grid as well as needle angle information.

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Nonlinear inter-modality registration is often challenging due to the lack of objective functions that are good proxies for alignment. Here we propose a synthesis-by-registration method to convert this problem into an easier intra-modality task. We introduce a registration loss for weakly supervised image translation between domains that does not require perfectly aligned training data.

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Background: The relationship of global white matter microstructural integrity and ischemic stroke outcomes is not well understood.

Aims: To investigate the relationship of global white matter microstructural integrity with clinical variables and functional outcomes after acute ischemic stroke.

Methods: A retrospective analysis of neuroimaging data from 300 acute ischemic stroke patients with magnetic resonance imaging brain obtained within 48 hours of stroke onset and long-term functional outcomes (modified Rankin, mRS) was performed.

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Background & Aims: Identifying fibrosis in non-alcoholic fatty liver disease (NAFLD) is essential to predict liver-related outcomes and guide treatment decisions. A protein-based signature of fibrosis could serve as a valuable, non-invasive diagnostic tool. This study sought to identify circulating proteins associated with fibrosis in NAFLD.

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Immune checkpoint blockers (ICBs) have failed in all phase III glioblastoma (GBM) trials. Here, we show that regulatory T (Treg) cells play a key role in GBM resistance to ICBs in experimental gliomas. Targeting glucocorticoid-induced TNFR-related receptor (GITR) in Treg cells using an agonistic antibody (αGITR) promotes CD4 Treg cell differentiation into CD4 effector T cells, alleviates Treg cell-mediated suppression of anti-tumor immune response, and induces potent anti-tumor effector cells in GBM.

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Progression of Metastasis through Lymphatic System.

Cells

March 2021

Edwin L. Steele Laboratories, Department of Radiation Oncology, Massachusetts General Hospital (MGH) Cancer Center, MGH and Harvard Medical School (HMS), Boston, MA 02114, USA.

Lymph nodes are the most common sites of metastasis in cancer patients. Nodal disease status provides great prognostic power, but how lymph node metastases should be treated is under debate. Thus, it is important to understand the mechanisms by which lymph node metastases progress and how they can be targeted to provide therapeutic benefits.

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Fate Mapping of Cancer Cells in Metastatic Lymph Nodes Using Photoconvertible Proteins.

Methods Mol Biol

April 2021

Edwin L. Steele Laboratories, Department of Radiation Oncology, Massachusetts General Hospital (MGH) Research Institute, MGH and Harvard Medical School (HMS), Boston, MA, USA.

The lymph node microenvironment is extremely dynamic and responds to immune stimuli in the host by reprogramming immune, stromal, and endothelial cells. In normal physiological conditions, the lymph node will initiate an appropriate immune response to clear external threats that the host may experience. However, in metastatic disease, cancer cells often colonize local lymph nodes, disrupt immune function, and even leave the lymph node to create additional metastases.

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The sodium-phosphate cotransporter NPT2a plays a key role in the reabsorption of filtered phosphate in proximal renal tubules, thereby critically contributing to phosphate homeostasis. Inadequate urinary phosphate excretion can lead to severe hyperphosphatemia as in tumoral calcinosis and chronic kidney disease (CKD). Pharmacological inhibition of NPT2a may therefore represent an attractive approach for treating hyperphosphatemic conditions.

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Thrombolysis beyond 4.5 h in Acute Ischemic Stroke.

Curr Neurol Neurosci Rep

June 2020

JPK Stroke Research Center, Department of Neurology, Massachusetts General Hospital (MGH) and Harvard Medical School, Boston, MA, USA.

Purpose Of Review: The purpose of this article is to review the current approaches using neuroimaging techniques to expand eligibility for intravenous thrombolytic therapy in acute ischemic stroke patients with stroke of unknown symptom onset.

Recent Findings: In recent years, several randomized, placebo-controlled trials have shown neuroimaging-guided approaches to be feasible in determining eligibility for alteplase beyond 4.5 h from last known well, and efficacious for reducing disability.

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There are currently no proven or approved treatments for coronavirus disease 2019 (COVID-19). Early anecdotal reports and limited in vitro data led to the significant uptake of hydroxychloroquine (HCQ), and to lesser extent chloroquine (CQ), for many patients with this disease. As an increasing number of patients with COVID-19 are treated with these agents and more evidence accumulates, there continues to be no high-quality clinical data showing a clear benefit of these agents for this disease.

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Despite extensive neuroimaging research of primary sensory cortices involved in auditory and visual functions, subcortical structures within these domains, such as the inferior and superior colliculi, the medial and lateral geniculate nuclei and the superior olivary complex, are currently understudied with magnetic resonance imaging (MRI) in living humans. This is because a precise localization of these nuclei is hampered by the limited contrast and sensitivity of conventional neuroimaging methods for deep brain nuclei. In this work, we used 7 Tesla multi-modal (T-weighted and diffusion fractional anisotropy) 1.

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Purpose: RBP-7000 (PERSERIS™) is a once-monthly subcutaneous extended-release risperidone formulation approved by the United States Food and Drug Administration for the treatment of schizophrenia in adults. The objective of this study was to describe the long-term impact of RBP-7000 on health-related quality of life (HRQoL), subjective well-being, treatment satisfaction and medication preference in patients with schizophrenia.

Patients And Methods: HRQoL was derived from a 52-week multicentre Phase III single-arm open-label outpatient study that assessed the safety and efficacy of RBP-7000 (120 mg) in patients with schizophrenia.

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Alzheimer's disease (AD) is a neurodegenerative disorder characterized by extracellular deposits of fibrillary β-amyloid (Aβ) plaques in the brain that initiate an inflammatory process resulting in neurodegeneration. The neuronal loss associated with AD results in gross atrophy of affected regions causing a progressive loss of cognitive ability and memory function, ultimately leading to dementia. Growing evidence suggests that vasoactive intestinal peptide (VIP) could be beneficial for various neurodegenerative diseases, including AD.

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Breast cancer metastasis through the lympho-vascular system.

Clin Exp Metastasis

August 2018

Edwin L. Steele Laboratories, Department of Radiation Oncology, Massachusetts General Hospital Cancer Center, MGH and Harvard Medical School, Boston, MA, 02114, USA.

Breast cancer metastasizes through the lymphovascular system to the regional lymph nodes in the axilla and to both visceral and non-visceral sites. Renewed interest in the route by which tumor cells gain access to blood and lymphatic capillaries are the subject of research at mechanical, anatomic, pathologic, genetic, epidemiologic and molecular levels. Two papers presented at the 7th International Symposium on Cancer Metastasis in San Francisco showed tumor cells entering the systemic circulation through the sentinel lymph node.

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Lymph node metastases can invade local blood vessels, exit the node, and colonize distant organs in mice.

Science

March 2018

Edwin L. Steele Laboratories, Department of Radiation Oncology, Massachusetts General Hospital (MGH) Cancer Center, MGH and Harvard Medical School (HMS), Boston, MA 02114, USA.

Lymph node metastases in cancer patients are associated with tumor aggressiveness, poorer prognoses, and the recommendation for systemic therapy. Whether cancer cells in lymph nodes can seed distant metastases has been a subject of considerable debate. We studied mice implanted with cancer cells (mammary carcinoma, squamous cell carcinoma, or melanoma) expressing the photoconvertible protein Dendra2.

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Objective: HIV patients have increased atherosclerotic coronary vascular disease (ASCVD), thought to be mediated through inflammatory mechanisms. We hypothesized that among asymptomatic HIV-infected patients with subclinical coronary plaque, statin therapy would modulate unique inflammatory and cardiovascular proteins in relation to change in subclinical coronary plaque volume. We tested this hypothesis using a novel proteomics approach.

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