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Almeida T, Monaco BA, Vasconcelos F, Piedade GS, Morell A, Ogobuiro I, Lepski GA, Furlanetti LL, Cordeiro KK, Benjamin C, Jagid JR, Cordeiro JG. Everything old is new again. revisiting hypophysectomy for the treatment of refractory cancer-related pain: a systematic review. Neurosurg Rev 2024; 47:111. [PMID: 38467866 DOI: 10.1007/s10143-024-02347-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 02/19/2024] [Accepted: 03/05/2024] [Indexed: 03/13/2024]
Abstract
Cancer-related pain is a common and debilitating condition that can significantly affect the quality of life of patients. Opioids, NSAIDs, and antidepressants are among the first-line therapies, but their efficacy is limited or their use can be restricted due to serious side effects. Neuromodulation and lesioning techniques have also proven to be a valuable instrument for managing refractory pain. For patients who have exhausted all standard treatment options, hypophysectomy may be an effective alternative treatment. We conducted a comprehensive systematic review of the available literature on PubMed and Scielo databases on using hypophysectomy to treat refractory cancer-related pain. Data extraction from included studies included study design, treatment model, number of treated patients, sex, age, Karnofsky Performance Status (KPS) score, primary cancer site, lead time from diagnosis to treatment, alcohol injection volume, treatment data, and clinical outcomes. Statistical analysis was reported using counts (N, %) and means (range). The study included data from 735 patients from 24 papers treated with hypophysectomy for refractory cancer-related pain. 329 cancer-related pain patients were treated with NALP, 216 with TSS, 66 with RF, 55 with Y90 brachytherapy, 51 with Gamma Knife radiosurgery (GK), and 18 with cryoablation. The median age was 58.5 years. The average follow-up time was 8.97 months. Good pain relief was observed in 557 out of 735 patients, with complete pain relief in 108 out of 268 patients. Pain improvement onset was observed 24 h after TSS, a few days after NALP or cryoablation, and a few days to 4 weeks after GK. Complications varied among treatment modalities, with diabetes insipidus (DI) being the most common complication. Although mostly forgotten in modern neurosurgical practice, hypophysectomy is an attractive option for treating refractory cancer-related pain after failure of traditional therapies. Radiosurgery is a promising treatment modality due to its high success rate and reduced risk of complications.
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Affiliation(s)
- Timoteo Almeida
- Department of Radiation Oncology, University of Miami, Miami, USA.
- Department of Neurosurgery, University of Miami, Miami, USA.
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil.
| | - Bernardo A Monaco
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
| | - Fernando Vasconcelos
- Department of Neurosurgery, McGovern Medical School at UT Health Houston, Houston, USA
| | - Guilherme S Piedade
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
| | - Alexis Morell
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
| | | | | | | | | | - Carolina Benjamin
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
| | - Jonathan R Jagid
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
| | - Joacir G Cordeiro
- Graduate Program in Principles of Surgery, Mackenzie Evangelical University, Paraná, Brazil
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He P, Hariharan R, Karpavičiūtė N, Croft N, Firminger L, Chambost J, Jacques C, Saravelos S, Wouters K, Fréour T, Zaninovic N, Malmsten J, Vasconcelos F, Hickman C. O-177 Towards 3D Reconstructions of Human Preimplantation Embryo Development. Hum Reprod 2022. [DOI: 10.1093/humrep/deac105.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Study question
Can we use focal stacks collected through Hoffman modulation contrast (HMC) microscopy to generate 3D reconstructions of preimplantation embryos?
Summary answer
A machine learning system was designed to generate 3D meshes that approximate the structures of embryos captured on HMC microscopes up to the 8-cell stage.
What is known already
The 3D arrangement of cells in preimplantation human embryos is a topic of clinical interest, with significant associations between the cell arrangement and blastulation potential from as early as the 4-cell stage. In basic research, the use of confocal microscopy for generating 3D reconstructions is commonplace. However, the use of confocal microscopy in the IVF clinic is often infeasible due to cost and concerns for embryos’ wellbeing. The assessment of 3D cell arrangement in clinical settings can thus prove difficult and time-consuming as many embryologists rely on focal stacks captured through the HMC microscopes widely integrated into incubators.
Study design, size, duration
The study was a retrospective analysis of 581 Embryoscope focal stacks of embryos from 4 clinics collected between 2018 and 2020. The number of planes in each stack ranged from 7-11 and cell outlines were annotated along with the depths at which they were most in-focus. A deep learning system was designed to generate 3D reconstructions of the embryos. Two clinics’ data were used for training (N = 551) and the others’ for evaluation (N = 30).
Participants/materials, setting, methods
The deep learning system consisted of three stages: a super-resolution module, a cell segmentation module and a depth regression module. The super-resolution stage was used to predict missing planes in focal stacks that did not contain 11 focal planes; the segmentation module identified individual cells; the depth regression module identified the focal plane at which each cell was most “in-focus”. Meshes were then generated under the assumption that blastomeres’ dimensions are similar along each axis.
Main results and the role of chance
The superresolution module was evaluated by calculating the structural similarity index (SSIM; an image similarity measure ranging from 0-1) between predicted and true planes when tasked with predicting missing frames in focal stacks with up to 4 planes artificially removed (by uniform random sampling). The module achieved an SSIM of 0.80. The predictions were also evaluated by 2 embryologists, a clinician and a developmental biologist on a scale of 1-5 (1=very unrealistic; 3=usable; 5=very realistic), achieving a mean score of 4.11.
The segmentation module was evaluated on the proportion of cells it managed to identify (91%) as well as the mean overlap between predicted cell segmentations and the ground truth (intersection-over-union of 0.86). The depth module was evaluated on the mean deviation of predictions from the true most “in-focus” plane (0.73 planes).
3D reconstructions generated by the system were evaluated with reference to the original focal stacks by 2 embryologists on a 1-5 scale similar to before, with a mean score of 3.72. The most common issues with the reconstructions identified by the embryologists were missing cells/fragments, incorrect cell shape due to obstruction by the well’s edge and imprecise depth predictions (with the “true” depth being between focal planes).
Limitations, reasons for caution
As previously mentioned, some reconstructions had inaccuracies. These would likely be ameliorated through modifications to the system modules and more training data. Moreover, the system was not trained or evaluated on morulae/blastocysts. Finally, each focal stack was analysed independently - future work may examine enforcing temporal consistency within timelapses.
Wider implications of the findings
This work serves as a first step towards unlocking data captured in IVF clinics for research into cell arrangement in preimplantation embryos. Combined with cell tracking, the system may be useful for research into cell fate. Moreover, the work may find clinical relevance in enabling easier assessment of cell arrangement.
Trial registration number
N/A
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Affiliation(s)
- P He
- Apricity, AI Team , London, United Kingdom
- University College London, Department of Computer Science , London, United Kingdom
- University College London , Wellcome / , London, United Kingdom
- EPSRC Centre for Interventional and Surgical Sciences , Wellcome / , London, United Kingdom
| | - R Hariharan
- Apricity, AI Team , London, United Kingdom
- University Hospitals of Morecambe Bay NHS Foundation Trust, Furness General Hospital , Barrow-in-Furness, United Kingdom
| | | | - N Croft
- Apricity, AI Team , London, United Kingdom
- University of Surrey, Department of Health and Medical Sciences , Guildford, United Kingdom
| | - L Firminger
- Apricity, AI Team , London, United Kingdom
- Manchester Metropolitan University, Department of Life Sciences , Manchester, United Kingdom
| | | | | | - S Saravelos
- Apricity, Care Team , London, United Kingdom
- Imperial College London, Faculty of Medicine , London, United Kingdom
| | - K Wouters
- University Hospital Brussels, Centre for Reproductive Medicine , Jette, Belgium
| | - T Fréour
- Nantes University Hospital, ART Centre , Nantes, France
| | - N Zaninovic
- Weill Cornell Medical College, Department of Obstetrics and Gynecology , New York City, U.S.A
- Weill Cornell Medical College, Department of Reproductive Medicine , New York City, U.S.A
| | - J Malmsten
- Weill Cornell Medical College, Department of Reproductive Medicine , New York City, U.S.A
| | - F Vasconcelos
- University College London, Department of Computer Science , London, United Kingdom
- University College London , Wellcome / , London, United Kingdom
- EPSRC Centre for Interventional and Surgical Sciences , Wellcome / , London, United Kingdom
| | - C Hickman
- Apricity, AI Team , London, United Kingdom
- Imperial College London, Faculty of Medicine , London, United Kingdom
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Sousa S, Pestana D, Faria G, Vasconcelos F, Delerue-Matos C, Calhau C, Domingues VF. Method development for the determination of Synthetic Musks and Organophosphorus Pesticides in Human Adipose Tissue. J Pharm Biomed Anal 2020; 191:113598. [PMID: 32947168 DOI: 10.1016/j.jpba.2020.113598] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 08/03/2020] [Accepted: 08/26/2020] [Indexed: 11/18/2022]
Abstract
Synthetic musks and organophosphorus pesticides represent a potential risk to the human health since exposure can lead to distinct types of carcinogenesis and endocrine disorders. These are lipophilic compounds as such, prone to deposit and persist in fat tissues, mainly in adipose tissue. Very few studies have reported on the occurrence and accumulation profile of these contaminants in human adipose tissue. Analytical methods for the detection and quantification of synthetic musks and organophosphorus pesticides in adipose tissue are lacking. In this study, the efficacy of different extraction with ultrasonic homogenizer and dispersive solid-phase extraction (d-SPE) clean-up methods were evaluated in human adipose tissue. The relative sample clean-up was assessed by measurement of total lipid content. The quantification of four synthetic musks and six organophosphorus pesticides were performed by gas chromatography (GC) mass spectrometry (MS) and flame photometric detection (FPD), respectively. The d-SPE clean-up with 50 mg PSA, 150 mg MgSO4, 100 mg C18EC and 50 mg Z-Sep provided the most effective clean-up, removing the greatest amount of interfering substances including lipids and simultaneously ensuring good chromatographic separation and recoveries. Method detection limits were between 4 to 9 ng/g for synthetic musk and 1 to 7 ng/g for organophosphorus pesticides in adipose tissue. The proposed method was applied to adipose tissue of obese patients and positive samples were confirmed with GC tandem mass spectrometry. Galaxolide was found in all the samples tested with concentrations ranging from 0.08 to 0.5 μg/g of adipose tissue. No other synthetic musk studied was detected. Organophosphorus pesticides were not found in the analysed samples. The developed analytical procedures were successful and can easily be applied to biomonitoring these compounds in human adipose tissue.
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Affiliation(s)
- Sara Sousa
- REQUIMTE/LAQV-GRAQ, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, 4200-072 Porto, Portugal; Center for Research in Health Technologies and Information Systems, 4200-450 Porto, Portugal
| | - Diogo Pestana
- Center for Research in Health Technologies and Information Systems, 4200-450 Porto, Portugal; Nutrição e Metabolismo NOVA Medical School Faculdade de Ciências Médicas Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal
| | - Gil Faria
- Nutrição e Metabolismo NOVA Medical School Faculdade de Ciências Médicas Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal; General Surgery Department, S. João Hospital, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
| | - Fernando Vasconcelos
- REQUIMTE/LAQV-GRAQ, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, 4200-072 Porto, Portugal; Instituto Federal de Educação, Ciência e Tecnologia do Maranhão, CEP 65700-000 Areal, Bacabal/Maranhão, Brasil
| | - Cristina Delerue-Matos
- REQUIMTE/LAQV-GRAQ, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, 4200-072 Porto, Portugal
| | - Conceição Calhau
- Center for Research in Health Technologies and Information Systems, 4200-450 Porto, Portugal; Nutrição e Metabolismo NOVA Medical School Faculdade de Ciências Médicas Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal
| | - Valentina Fernandes Domingues
- REQUIMTE/LAQV-GRAQ, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, 4200-072 Porto, Portugal.
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Kannan B, Campbell DL, Vasconcelos F, Winik R, Kim DK, Kjaergaard M, Krantz P, Melville A, Niedzielski BM, Yoder JL, Orlando TP, Gustavsson S, Oliver WD. Generating spatially entangled itinerant photons with waveguide quantum electrodynamics. Sci Adv 2020; 6:6/41/eabb8780. [PMID: 33028523 PMCID: PMC7541065 DOI: 10.1126/sciadv.abb8780] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 08/21/2020] [Indexed: 05/31/2023]
Abstract
Realizing a fully connected network of quantum processors requires the ability to distribute quantum entanglement. For distant processing nodes, this can be achieved by generating, routing, and capturing spatially entangled itinerant photons. In this work, we demonstrate the deterministic generation of such photons using superconducting transmon qubits that are directly coupled to a waveguide. In particular, we generate two-photon N00N states and show that the state and spatial entanglement of the emitted photons are tunable via the qubit frequencies. Using quadrature amplitude detection, we reconstruct the moments and correlations of the photonic modes and demonstrate state preparation fidelities of 84%. Our results provide a path toward realizing quantum communication and teleportation protocols using itinerant photons generated by quantum interference within a waveguide quantum electrodynamics architecture.
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Affiliation(s)
- B Kannan
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - D L Campbell
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - F Vasconcelos
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - R Winik
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - D K Kim
- MIT Lincoln Laboratory, 244 Wood Street, Lexington, MA 02420, USA
| | - M Kjaergaard
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - P Krantz
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - A Melville
- MIT Lincoln Laboratory, 244 Wood Street, Lexington, MA 02420, USA
| | - B M Niedzielski
- MIT Lincoln Laboratory, 244 Wood Street, Lexington, MA 02420, USA
| | - J L Yoder
- MIT Lincoln Laboratory, 244 Wood Street, Lexington, MA 02420, USA
| | - T P Orlando
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - S Gustavsson
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - W D Oliver
- Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
- Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
- MIT Lincoln Laboratory, 244 Wood Street, Lexington, MA 02420, USA
- Department of Physics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
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5
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Lacher RM, Vasconcelos F, Williams NR, Rindermann G, Hipwell J, Hawkes D, Stoyanov D. Nonrigid reconstruction of 3D breast surfaces with a low-cost RGBD camera for surgical planning and aesthetic evaluation. Med Image Anal 2019; 53:11-25. [PMID: 30660103 PMCID: PMC6854464 DOI: 10.1016/j.media.2019.01.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 01/06/2019] [Accepted: 01/10/2019] [Indexed: 12/18/2022]
Abstract
A nonrigid 3D breast surface reconstruction pipeline running on a standard PC taking a noisy RGBD input video from a Kinect-style camera is proposed. Pairwise nonrigid ICP is extended to the multi-view case incorporating soft mobility constraints in areas of non-overlap. Shortest distance correspondences as a new technique for data association are shown to lead to consistently better alignment. The method is able to reconstruct clinical-quality surface models in spite of varying degrees of postural sway during data capture. Landmark and volumetric quantitative validation in metric units demonstrate improved reconstruction quality on par with the gold standard and superior to a competing method.
Accounting for 26% of all new cancer cases worldwide, breast cancer remains the most common form of cancer in women. Although early breast cancer has a favourable long-term prognosis, roughly a third of patients suffer from a suboptimal aesthetic outcome despite breast conserving cancer treatment. Clinical-quality 3D modelling of the breast surface therefore assumes an increasingly important role in advancing treatment planning, prediction and evaluation of breast cosmesis. Yet, existing 3D torso scanners are expensive and either infrastructure-heavy or subject to motion artefacts. In this paper we employ a single consumer-grade RGBD camera with an ICP-based registration approach to jointly align all points from a sequence of depth images non-rigidly. Subtle body deformation due to postural sway and respiration is successfully mitigated leading to a higher geometric accuracy through regularised locally affine transformations. We present results from 6 clinical cases where our method compares well with the gold standard and outperforms a previous approach. We show that our method produces better reconstructions qualitatively by visual assessment and quantitatively by consistently obtaining lower landmark error scores and yielding more accurate breast volume estimates.
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Affiliation(s)
- R M Lacher
- Wellcome / EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK.
| | - F Vasconcelos
- Wellcome / EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK.
| | - N R Williams
- Surgical & Interventional Trials Unit, University College London, London, United Kingdom.
| | | | - J Hipwell
- Centre for Medical Image Computing (CMIC), University College London, London, United Kingdom.
| | - D Hawkes
- Wellcome / EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK.
| | - D Stoyanov
- Wellcome / EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK.
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Zaghloul M, Ahmed S, Eldebaway E, Mousa A, Amin A, Elkhateeb N, Sabry M, Ogiwara H, Morota N, Sufit A, Donson A, Birks D, Patel P, Foreman N, Handler M, Massimino M, Biassoni V, Gandola L, Schiavello E, Pecori E, Potepan P, Bach F, Janssens GO, Jansen MH, Lauwers SJ, Nowak PJ, Oldenburger FR, Bouffet E, Saran F, van Ulzen KK, van Lindert EJ, Schieving JH, Boterberg T, Kaspers GJ, Span PN, Kaanders JH, Gidding CE, Hargrave D, Bailey S, Howman A, Pizer B, Harris D, Jones D, Kearns P, Picton S, Saran F, Wheatley K, Gibson M, Glaser A, Connolly D, Hargrave D, Kawamura A, Nagashima T, Yamamoto K, Sakata J, Lober R, Freret M, Fisher P, Edwards M, Yeom K, Monje M, Jansen M, Aliaga ES, Van Der Hoeven E, Van Vuurden D, Heymans M, Gidding C, De Bont E, Reddingius R, Peeters-Scholte C, van Meeteren AS, Gooskens R, Granzen B, Paardekoper G, Janssens G, Noske D, Barkhof F, Vandertop WP, Kaspers G, Saratsis A, Yadavilli S, Nazarian J, Monje M, Freret M, Mitra S, Mallick S, Kim J, Beachy P, Nobre L, Vasconcelos F, Lima F, Mattos D, Kuiven N, Lima G, Silveira J, Sevilha M, Lima MA, Ferman S, Leblond P, Lansiaux A, Rialland X, Gentet JC, Geoerger B, Frappaz D, Aerts I, Bernier-Chastagner V, Shah R, Zaky W, Grimm J, Bluml S, Wong K, Dhall G, Caretti V, Schellen P, Lagerweij T, Bugiani M, Navis A, Wesseling P, Vandertop WP, Noske DP, Kaspers G, Wurdinger T, Lee H, Ziegler D, Schroeder K, Huang E, Berlow N, Patel R, Becher O, Taylor I, Mao XG, Hutt M, Weingart M, Kahlert U, Maciacyk J, Nikkhah G, Eberhart C, Raabe E, Barton K, Misuraca K, Misuraca K, Becher O, Zhou Z, Rotman L, Ho S, Souweidane M, Hutt M, Lim KJ, Warren K, Chang H, Eberhart C, Raabe E, Lightner D, Haque S, Souweidane M, Khakoo Y, Dunkel I, Gilheeney S, Kramer K, Lyden D, Wolden S, Greenfield J, De Braganca K, Ting-Rong H, Muh-Li L, Kai-Ping C, Tai-Tong W, Hsin-Hung C, Kebudi R, Cakir FB, Agaoglu FY, Gorgun O, Dizdar Y, Ayan I, Darendeliler E, Zapotocky M, Churackova M, Malinova B, Kodet R, Kyncl M, Tichy M, Stary J, Sumerauer D, Minturn J, Shu HK, Fisher M, Patti R, Janss A, Allen J, Phillips P, Belasco J, Taylor K, Baudis M, von Beuren A, Fouladi M, Jones C. DIFFUSE INTRINSIC PONTINE GLIOMA (DIPG). Neuro Oncol 2012. [DOI: 10.1093/neuonc/nos098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Cusinato DAC, Souza AM, Vasconcelos F, Guimarães LFL, Leite FP, Gregório ZMO, Giglio JR, Arantes EC. Assessment of biochemical and hematological parameters in rats injected with Tityus serrulatus scorpion venom. Toxicon 2010; 56:1477-86. [PMID: 20837041 DOI: 10.1016/j.toxicon.2010.09.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2010] [Revised: 09/01/2010] [Accepted: 09/03/2010] [Indexed: 10/19/2022]
Abstract
The aim of this work was to evaluate the hematological changes induced by Tityus serrulatus venom (TsV). Blood of Wistar rats was collected 0.5, 2, 6 and 24 h after i.p. injection of TsV (0.5 mg/kg) or saline (controls). Two additional groups were injected with 0.67 mg/kg and 0.25 mg/kg of TsV and the blood was collected after 0.5 and 2 h, respectively. The results showed an increase on hematocrit (Ht), red blood cells (RBC) count, hemoglobin concentration (Hb), albumin and total protein, mainly 2-6 h after envenoming. Increase in serum activities of amylase, creatine kinase and aspartate aminotransferase were also observed, indicating tecidual damages. Hyperglycemia was observed at all times analyzed, as a consequence of catecholamine release. No significant changes were detected in the urea, [Na(+)] and [Ca(2+)], but an increase of [Mg(2+)], [K(+)] and conductivity was observed. TsV induced a reduction of erythrocytes osmotic fragility as consequence of dehydration and increase in plasma electrolytes concentration, as evidenced by its higher conductivity. This study demonstrated that TsV is able to induce severe hematological changes, that appear within the first hours after envenoming, justifying the seeking of medical attention as soon as possible to avoid worsening of clinical symptoms.
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Affiliation(s)
- D A C Cusinato
- Depto. Física e Química, Faculdade de Ciências Farmacêuticas de Ribeirão Preto - USP, Av. do Café, s/n, 14040-903 Ribeirão Preto-SP, Brazil
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