Sulfamate in environmental waters

Although sulfamate (the anion of sulfamic acid) has been in use for decades in various industrial and other applications, there is no previously published information about its occurrence and fate in environmental waters. In this study sulfamate was widely detected in environmental waters in Ontario, Canada, ranging up to 128,000ng/L. It was always detected (>100ng/L) in bulk precipitation samples and streams, it was usually detected in samples of lake water, and often detected in groundwater. Spatial and temporal variations suggest that both widespread atmospheric deposition and localized land-based anthropogenic sources of sulfamate may be important. Lower concentrations or non-detections of sulfamate in waters that had relatively low dissolved oxygen (e.g. some groundwaters) suggest that sulfamate may be degraded in the environment under suboxic or anoxic conditions. Given our findings of a wide distribution of sulfamate in environmental waters, including precipitation, it is not likely to be very useful as a wastewater tracer.

Rapid mixing of colliding picoliter liquid droplets delivered through-space from piezoelectric-actuated pipettes characterized by time-resolved fluorescence monitoring

Rapid mixing of aqueous solutions is a crucial first step to study the kinetics of fast biochemical reactions with high temporal resolution. Remarkable progress toward this goal has been made through the development of advanced stopped-flow mixing techniques resulting in reduced dead times, and thereby extending reaction monitoring capabilities to numerous biochemical systems. Concurrently, piezoelectric actuators for through-space liquid droplet sample delivery have also been applied in several experimental systems, providing discrete picoliter sample volume delivery and precision sample deposition onto a surface, free of confinement within microfluidic devices, tubing, or other physical constraints. Here, we characterize the inertial mixing kinetics of two aqueous droplets (130 pl) produced by piezoelectric-actuated pipettes, following droplet collision in free space and deposition on a surface in a proof of principle experiment. A time-resolved fluorescence system was developed to monitor the mixing and fluorescence quenching of 5-carboxytetramethylrhodamine (5-Tamra) and N-Bromosuccinimide, which we show to occur in less than 10 ms. In this respect, this methodology is unique in that it offers millisecond mixing capabilities for very small quantities of discrete sample volumes. Furthermore, the use of discrete droplets for sample delivery and mixing in free space provides potential advantages, including the elimination of the requirement for a physical construction as with microfluidic systems, and thereby makes possible and extends the experimental capabilities of many systems.

Sampling of Tissues with Laser Ablation for Proteomics: Comparison of Picosecond Infrared Laser and Microsecond Infrared Laser

It was recently shown that sampling of tissues with a picosecond infrared laser (PIRL) for analysis with bottom-up proteomics is advantageous compared to mechanical homogenization. Because the cold ablation of tissues with PIRL irradiation is soft, proteins remain intact and even enzymatic activities are detectable in PIRL homogenates. In contrast, it was observed that irradiation of tissues with a microsecond infrared laser (MIRL) heats the tissue, thereby causing significant damage. In this study, we investigated the question if sampling of tissues with a MIRL for analysis of their proteomes via bottom-up proteomics is possible and how the results are different from sampling of tissues with a PIRL. Comparison of the proteomes of the MIRL and PIRL tissue homogenates showed that the yield of proteins identified by bottom-up proteomics was larger in PIRL homogenates of liver tissue, whereas the yield was higher in MIRL homogenates of muscle tissue, which has a significantly higher content of connective tissue than liver tissue. In the PIRL homogenate of renal tissue, enzymatic activities were detectable, whereas in the corresponding MIRL homogenate, enzymatic activities were absent. In conclusion, MIRL and PIRL pulses are suited for sampling tissues for bottom-up proteomics. If it is important for bottom-up proteomic investigations to inactivate enzymatic activities already in the tissue before its ablation, MIRL tissue sampling is an option, because the proteins in the tissues are denatured and inactivated by the heating of the tissue during irradiation with MIRL irradiation prior to the ablation of the tissue. This heating effect is absent during irradiation of tissue with a PIRL; therefore, sampling of tissues with a PIRL is a choice for purifying enzymes, because their activities are maintained.

Soft Picosecond Infrared Laser Extraction of Highly Charged Proteins and Peptides from Bulk Liquid Water for Mass Spectrometry

We report the soft laser extraction and production of highly charged peptide and protein ions for mass spectrometry directly from bulk liquid water at atmospheric pressure and room temperature, using picosecond infrared laser ablation. Stable ion signal from singly charged small molecules, as well as highly charged biomolecular ions, from aqueous solutions at low laser pulse fluence (∼0.3 J cm^-2) is demonstrated. Sampling via single picosecond laser pulses is shown to extract less than 27 pL of volume from the sample, producing highly charged peptide and protein ions for mass spectrometry detection. The ablation and ion generation is demonstrated to be soft in nature, producing natively folded proteins ions under sample conditions described for native mass spectrometry. The method provides laser-based sampling flexibility, precision and control with highly charged ion production directly from water at low and near neutral pH. This approach does not require an additional ionization device or high voltage applied directly to the sample.

Protein crystals IR laser ablated from aqueous solution at high speed retain their diffractive properties: applications in high-speed serial crystallography

In order to utilize the high repetition rates now available at X-ray free-electron laser sources for serial crystallography, methods must be developed to softly deliver large numbers of individual microcrystals at high repetition rates and high speeds. Picosecond infrared laser (PIRL) pulses, operating under desorption by impulsive vibrational excitation (DIVE) conditions, selectively excite the OH vibrational stretch of water to directly propel the excited volume at high speed with minimized heating effects, nucleation formation or cavitation-induced shock waves, leaving the analytes intact and undamaged. The soft nature and laser-based sampling flexibility provided by the technique make the PIRL system an interesting crystal delivery approach for serial crystallography. This paper demonstrates that protein crystals extracted directly from aqueous buffer solutionviaPIRL-DIVE ablation retain their diffractive properties and can be usefully exploited for structure determination at synchrotron sources. The remaining steps to implement the technology for high-speed serial femtosecond crystallography, such as single-crystal localization, high-speed sampling and synchronization, are described. This proof-of-principle experiment demonstrates the viability of a new laser-based high-speed crystal delivery system without the need for liquid-jet injectors or fixed-target mounting solutions.

Molecular dynamics investigation of desorption and ion separation following picosecond infrared laser (PIRL) ablation of an ionic aqueous protein solution

Molecular dynamics simulations were performed to characterize the ablation process induced by a picosecond infrared laser (PIRL) operating in the regime of desorption by impulsive vibrational excitation (DIVE) of a model peptide (lysozyme)/counter-ion system in aqueous solution. The simulations were performed for ablation under typical experimental conditions found within a time-of-flight mass spectrometer (TOF-MS), that is in vacuum with an applied electric field (E = ± 10⁷ V/m), for up to 2 ns post-ablation and compared to the standard PIRL-DIVE ablation condition (E = 0 V/m). Further, a simulation of ablation under an extreme field condition (E = 10¹⁰ V/m) was performed for comparison to extend the effective dynamic range of the effect of the field on charge separation. The results show that the plume dynamics were retained under a typical TOF-MS condition within the first 1 ns of ablation. Efficient desorption was observed with more than 90% of water molecules interacting with lysozyme stripped off within 1 ns post-ablation. The processes of ablation and desolvation of analytes were shown to be independent of the applied electric field and thus decoupled from the ion separation process. Unlike under the extreme field conditions, the electric field inside a typical TOF-MS was shown to modify the ions' motion over a longer time and in a soft manner with no enhancement to fragmentation observed as compared to the standard PIRL-DIVE. The study indicates that the PIRL-DIVE ablation mechanism could be used as a new, intrinsically versatile, and highly sensitive ion source for quantitative mass spectrometry.

Use of an Artificial Sweetener to Identify Sources of Groundwater Nitrate Contamination

The artificial sweetener acesulfame (ACE) is a potentially useful tracer of waste water contamination in groundwater. In this study, ACE concentrations were measured in waste water and impacted groundwater at 12 septic system sites in Ontario, Canada. All samples of septic tank effluent (n = 37) had ACE >6 µg/L, all samples of groundwater from the proximal plume zones (n = 93) had ACE >1 µg/L and, almost all samples from the distal plume zones had ACE >2 µg/L. Mean mass ratios of total inorganic nitrogen/ACE at the 12 sites ranged from 680 to 3500 for the tank and proximal plume samples. At five sites, decreasing ratio values in the distal zones indicated nitrogen attenuation. These ratios were applied to three aquifers in Canada that are nitrate-stressed and an urban stream where septic systems are present nearby to estimate the amount of waste water nitrate contamination. At the three aquifer locations that are agricultural, low ACE values (<0.02-0.15 µg/L) indicated that waste water contributed <15% of the nitrate in most samples. In groundwater discharging to the urban stream, much higher ACE values (0.2-11 µg/L) indicated that waste water was the likely source of >50% of the nitrate in most samples. This study confirms that ACE is a powerful tracer and demonstrates its use as a diagnostic tool for establishing whether waste water is a significant contributor to groundwater contamination or not.

Comparative study of wound healing in rat skin following incision with a novel picosecond infrared laser (PIRL) and different surgical modalities

Background and Objective

As a result of wound healing the original tissue is replaced by dysfunctional scar tissue. Reduced tissue damage during surgical procedures beneficially affects the size of the resulting scar and overall healing time. Thus the choice of a particular surgical instrument can have a significant influence on the postoperative wound healing. To overcome these problems of wound healing we applied a novel picosecond infrared laser (PIRL) system to surgical incisions. Previous studies indicated that negligible thermal, acoustic, or ionization stress effects to the surrounding tissue results in a superior wound healing.

Study Design/Materials and Methods

Using the PIRL system as a surgical scalpel, we performed a prospective wound healing study on rat skin and assessed its final impact on scar formation compared to the electrosurgical device and cold steel. As for the incisions, 6 full‐thickness, 1‐cm long‐linear skin wounds were created on the dorsum of four rats using the PIRL, an electrosurgical device, and a conventional surgical scalpel, respectively. Rats were euthanized after 21 days of wound healing. The thickness of the subepithelial fibrosis, the depth and the transverse section of the total scar area of each wound were analyzed histologically.

Results

After 21 days of wound healing the incisions made by PIRL showed minor scar tissue formation as compared to the electrosurgical device and the scalpel. Highly significant differences (P < 0.001) were noted by comparing the electrosurgical device with PIRL and scalpel. The transverse section of the scar area also showed significant differences (P = 0.043) when comparing PIRL (mean: 141.46 mm²; 95%CI: 105.8–189.0 mm²) with scalpel incisions (mean: 206.82 mm²; 95%CI: 154.8–276.32 mm²). The subepithelial width of the scars that resulted from using the scalpel were 1.3 times larger than those obtained by using the PIRL (95%CI: 1.0–1.6) though the difference was not significant (P < 0.083).

Conclusions

The hypothesis that PIRL results in minimal scar formation with improved cosmetic outcomes was positively verified. In particular the resection of skin tumors or pathological scars, such as hypertrophic scars or keloids, are promising future fields of PIRL application. Lasers Surg. Med. 48:385–391, 2016. © 2016 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.

Homogenization of tissues via picosecond-infrared laser (PIRL) ablation: Giving a closer view on the in-vivo composition of protein species as compared to mechanical homogenization

Posttranslational modifications and proteolytic processing regulate almost all physiological processes. Dysregulation can potentially result in pathologic protein species causing diseases. Thus, tissue species proteomes of diseased individuals provide diagnostic information. Since the composition of tissue proteomes can rapidly change during tissue homogenization by the action of enzymes released from their compartments, disease specific protein species patterns can vanish. Recently, we described a novel, ultrafast and soft method for cold vaporization of tissue via desorption by impulsive vibrational excitation (DIVE) using a picosecond-infrared-laser (PIRL). Given that DIVE extraction may provide improved access to the original composition of protein species in tissues, we compared the proteome composition of tissue protein homogenates after DIVE homogenization with conventional homogenizations. A higher number of intact protein species was observed in DIVE homogenates. Due to the ultrafast transfer of proteins from tissues via gas phase into frozen condensates of the aerosols, intact protein species were exposed to a lesser extent to enzymatic degradation reactions compared with conventional protein extraction. In addition, total yield of the number of proteins is higher in DIVE homogenates, because they are very homogenous and contain almost no insoluble particles, allowing direct analysis with subsequent analytical methods without the necessity of centrifugation.

Biological significance

Enzymatic protein modifications during tissue homogenization are responsible for changes of the in-vivo protein species composition. Cold vaporization of tissues by PIRL-DIVE is comparable with taking a snapshot at the time of the laser irradiation of the dynamic changes that occur continuously under in-vivo conditions. At that time point all biomolecules are transferred into an aerosol, which is immediately frozen.

Degradation of sucralose in groundwater and implications for age dating contaminated groundwater

The artificial sweetener sucralose has been in use in Canada and the US since about 2000 and in the EU since 2003, and is now ubiquitous in sanitary wastewater in many parts of the world. It persists during sewage treatment and in surface water environments and as such, has been suggested as a powerful tracer of wastewater. In this study, longer-term persistence of sucralose was examined in groundwater by undertaking a series of three sampling snapshots of a well constrained wastewater plume in Canada (Long Point septic system) over a 6-year period from 2008 to 2014. A shrinking sucralose plume in 2014, compared to earlier sampling, during this period when sucralose use was likely increasing, provides clear evidence of degradation. However, depletion of sucralose from a mean of 40 μg/L in the proximal plume zone, occurred at a relatively slow rate over a period of several months to several years. Furthermore, examination of septic tank effluent and impacted groundwater at six other sites in Canada, revealed that sucralose was present in all samples of septic tank effluent (6-98 μg/L, n = 32) and in all groundwater samples (0.7-77 μg/L, n = 64). Even though sucralose degradation is noted in the Long Point plume, its ubiquitous presence in the groundwater plumes at all seven sites implies a relatively slow rate of decay in many groundwater septic plume environments. Thus, sucralose has the potential to be used as an indicator of 'recent' wastewater contamination. The presence of sucralose identifies groundwater that was recharged after 2000 in Canada and the US and after 2003 in the EU and many Asian countries.

Note: A simple image processing based fiducial auto-alignment method for sample registration

A simple method for the location and auto-alignment of sample fiducials for sample registration using widely available MATLAB/LabVIEW software is demonstrated. The method is robust, easily implemented, and applicable to a wide variety of experiment types for improved reproducibility and increased setup speed. The software uses image processing to locate and measure the diameter and center point of circular fiducials for distance self-calibration and iterative alignment and can be used with most imaging systems. The method is demonstrated to be fast and reliable in locating and aligning sample fiducials, provided here by a nanofabricated array, with accuracy within the optical resolution of the imaging system. The software was further demonstrated to register, load, and sample the dynamically wetted array.

Towards instantaneous cellular level bio diagnosis: laser extraction and imaging of biological entities with conserved integrity and activity

The prospect for spatial imaging with mass spectroscopy at the level of the cell requires new means of cell extraction to conserve molecular structure. To this aim, we demonstrate a new laser extraction process capable of extracting intact biological entities with conserved biological function. The method is based on the recently developed picosecond infrared laser (PIRL), designed specifically to provide matrix-free extraction by selectively exciting the water vibrational modes under the condition of ultrafast desorption by impulsive vibrational excitation (DIVE). The basic concept is to extract the constituent protein structures on the fastest impulsive limit for ablation to avoid excessive thermal heating of the proteins and to use strongly resonant 1-photon conditions to avoid multiphoton ionization and degradation of the sample integrity. With various microscope imaging and biochemical analysis methods, nanoscale single protein molecules, viruses, and cells in the ablation plume are found to be morphologically and functionally identical with their corresponding controls. This method provides a new means to resolve chemical activity within cells and is amenable to subcellular imaging with near-field approaches. The most important finding is the conserved nature of the extracted biological material within the laser ablation plume, which is fully consistent with in vivo structures and characteristics.

Cobinamide production of hydrogen in a homogeneous aqueous photochemical system, and assembly and photoreduction in a (βα)8 protein

Components of a protein-integrated, earth-abundant metal macrocycle catalyst, with the purpose of H2 production from aqueous protons under green conditions, are characterized. The cobalt-corrin complex, cobinamide, is demonstrated to produce H2 (4.4 ± 1.8 × 10(-3) turnover number per hour) in a homogeneous, photosensitizer/sacrificial electron donor system in pure water at neutral pH. Turnover is proposed to be limited by the relatively low population of the gateway cobalt(III) hydride species. A heterolytic mechanism for H2 production from the cobalt(II) hydride is proposed. Two essential requirements for assembly of a functional protein-catalyst complex are demonstrated for interaction of cobinamide with the (βα)8 TIM barrel protein, EutB, from the adenosylcobalamin-dependent ethanolamine ammonia lyase from Salmonella typhimurium: (1) high-affinity equilibrium binding of the cobinamide (dissociation constant 2.1 × 10(-7) M) and (2) in situ photoreduction of the cobinamide-protein complex to the Co(I) state. Molecular modeling of the cobinamide-EutB interaction shows that these features arise from specific hydrogen-bond and apolar interactions of the protein with the alkylamide substituents and the ring of the corrin, and accessibility of the binding site to the solution. The results establish cobinamide-EutB as a platform for design and engineering of a robust H2 production metallocatalyst that operates under green conditions and uses the advantages of the protein as a tunable medium and material support.

Phosphorus retention in a 20-year-old septic system filter bed

Septic systems in lakeshore environments often occur where thin soils overlie bedrock and, consequently, filter beds may be constructed of imported filter sand. The objective of this study was to assess the mobility of wastewater phosphorus (P) in such a potentially vulnerable setting by examining a 20-yr-old domestic septic system located near Parry Sound, ON, Canada, where the filter bed is constructed of imported noncalcareous sand. The groundwater plume is acidic (pH 6.0) and has a zone of elevated PO-P (up to 3.1 ± 1.7 mg L) below the tile lines but no elevated PO-P is present beyond 5 m from the tile lines. Elevated concentrations of desorbable P (up to 137 mg kg) and acid-extractable P (up to 3210 mg kg) occur in the filter sand within 1 m below four of seven tile lines present and the total mass of excess acid-extractable P (39 kg) is similar to the estimated total lifetime P loading to the system (33 kg). Microprobe images reveal abundant Fe and Al-rich authigenic mineral coatings on the sand grains that are increasingly P rich (up to 10% w/w P) near the tile lines. Additionally, 6 yr of monitoring data show that groundwater PO concentrations are not increasing. This indicates that mineral precipitation, not adsorption, dominates P immobilization at this site. This example of robust long-term P retention opens up the possibility of improving P removal in on-site treatment systems by prescribing specific sand types for filter bed construction.

Natural attenuation of septic system nitrogen by anammox

On-site disposal of sewage in septic systems can lead to groundwater plumes with NO(3)(-)-N concentrations exceeding the common drinking water limit of 10 mg/L. Currently, denitrification is considered as the principal natural attenuation process. However, at a large seasonal-use septic system in Ontario (256 campsites), a suboxic zone exists where nitrogen removal of up to 80% occurs including removal of NH(4)(+)-N. This zone has both NO(3)(-)-N and NH(4)(+)-N at >5 mg/L each. In the distal NH(4)(+)-rich zone, NH(4)(+)-N concentrations (8.1 ± 8.0 mg/L) are lower than in the proximal zone (48 ± 36 mg/L) and NH(4)(+)-N is isotopically enriched (concentration-weighted mean δ(15)N of +15.7‰) compared to the proximal zone (+7.8‰). Furthermore, δ(15)N-NH(4)(+) isotopic enrichment increases with depth in the distal zone, which is opposite to what would result if nitrification along the water table zone was the mechanism causing NH(4)(+) depletion. Bacterial community composition was assessed with molecular (DNA-based) analysis and demonstrated that groundwater bacterial populations were predominantly composed of bacteria from two Candidatus genera of the Planctomycetales (Brocadia and Jettenia). Together, these data provide strong evidence that anaerobic ammonium oxidation (anammox) plays an important role in nitrogen attenuation at this site.

Treatment of wastewater phosphate by reductive dissolution of iron: use of ferric oxyhydroxide media

In smaller wastewater treatment systems such as septic systems, there is an interest in the development of passive phosphorus (P) removal methods. This study tested fixed-bed filters containing ferric oxyhydroxide media for wastewater P removal in a laboratory column test and in a full-scale domestic septic system. In the column test, during 30 mo of dosing with domestic wastewater, reductive iron dissolution reactions delivered consistent moderate concentrations of Fe into solution (2.9 ± 1.6 mg L), and influent PO-P of 3.7 ± 1.0 mg L was attenuated to 0.09 + 0.04 mg L in the column effluent (98% removal). Phosphorus breakthrough at successive locations along the column indicated that in addition to sorption, mineral precipitation reactions probably also played an important role in the observed P attenuation. This was supported by electron microprobe analyses, which showed the presence of thick (20 μm) secondary Fe-rich coatings containing P on the primary ferric media grains. Assays of NaHCO-leachable and acid-extractable P on the column solids showed accumulation of up to 5.4 mg g acid-extractable P near the column inlet, but <5% of this amount was easily desorbable, further indicating P attenuation from processes other than sorption. Over 19 mo of operation, the domestic septic system also showed generally consistent increased Fe in the filter effluent (2.6 ± 1.7 mg L) and achieved 99% P removal to 0.03 ± 0.02 mg L when the effluent was subsequently oxidized in a sand filter. Ferric iron filters could be attractive options for P removal in smaller wastewater systems because of their passive nature.

Characterization of protein contributions to cobalt-carbon bond cleavage catalysis in adenosylcobalamin-dependent ethanolamine ammonia-lyase by using photolysis in the ternary complex

Protein contributions to the substrate-triggered cleavage of the cobalt-carbon (Co-C) bond and formation of the cob(II)alamin-5'-deoxyadenosyl radical pair in the adenosylcobalamin (AdoCbl)-dependent ethanolamine ammonia-lyase (EAL) from Salmonella typhimurium have been studied by using pulsed-laser photolysis of AdoCbl in the EAL-AdoCbl-substrate ternary complex, and time-resolved probing of the photoproduct dynamics by using ultraviolet-visible absorption spectroscopy on the 10(-7)-10(-1) s time scale. Experiments were performed in a fluid dimethylsulfoxide/water cryosolvent system at 240 K, under conditions of kinetic competence for thermal cleavage of the Co-C bond in the ternary complex. The static ultraviolet-visible absorption spectra of holo-EAL and ternary complex are comparable, indicating that the binding of substrate does not labilize the cofactor cobalt-carbon (Co-C) bond by significantly distorting the equilibrium AdoCbl structure. Photolysis of AdoCbl in EAL at 240 K leads to cob(II)alamin-5'-deoxyadenosyl radical pair quantum yields of <0.01 at 10(-6) s in both holo-EAL and ternary complex. Three photoproduct states are populated following a saturating laser pulse, and labeled, P(f), P(s), and P(c). The relative amplitudes and first-order recombination rate constants of P(f) (0.4-0.6; 40-50 s(-1)), P(s) (0.3-0.4; 4 s(-1)), and P(c) (0.1-0.2; 0) are comparable in holo-EAL and in the ternary complex. Time-resolved, full-spectrum electron paramagnetic resonance (EPR) spectroscopy shows that visible irradiation alters neither the kinetics of thermal cob(II)alamin-substrate radical pair formation, nor the equilibrium between ternary complex and cob(II)alamin-substrate radical pair, at 246 K. The results indicate that substrate binding to holo-EAL does not "switch" the protein to a new structural state, which promptly stabilizes the cob(II)alamin-5'-deoxyadenosyl radical pair photoproduct, either through an increased barrier to recombination, a decreased barrier to further radical pair separation, or lowering of the radical pair state free energy, or a combination of these effects. Therefore, we conclude that such a change in protein structure, which is independent of changes in the AdoCbl structure, and specifically the Co-C bond length, is not a basis of Co-C bond cleavage catalysis. The results suggest that, following the substrate trigger, the protein interacts with the cofactor to contiguously guide the cleavage of the Co-C bond, at every step along the cleavage coordinate, starting from the equilibrium configuration of the ternary complex. The cleavage is thus represented by a diagonal trajectory across a free energy surface, that is defined by chemical (Co-C separation) and protein configuration coordinates.

The Isolation of the Toxic Principle of æNanthe Crocata

A method is described for the preparation of highly toxic crystals from water dropwort root. Previous workers have only reported oils or resins of far less toxicity. These can be purified by recrystallisation, or by chromatography on an alumina column, when a single steel-grey zone is obtained. These purifications do not alter the melting point or the crystalline habit. The crystalline material, m.pt. 80° to 81° C., is insoluble in water, light petroleum, alkalis, and diluted mineral acids, but readily soluble in chloroform, ethyl alcohol and ether. The crystals are extremely unstable, yielding an insoluble infusible resinous material, with no pharmacological activity. If kept under nitrogen at 4°C., the crystals can be preserved for weeks with little loss of activity. Death after characteristic convulsions follows the intraperitoneal injection of an emulsion of the crystalline material into mice. The A.L.D. is 0°83 mg./kg. of body weight.

Photolysis of adenosylcobalamin and radical pair recombination in ethanolamine ammonia-lyase probed on the micro- to millisecond time scale by using time-resolved optical absorption spectroscopy

The quantum yield and kinetics of decay of cob(II)alamin formed by pulsed-laser photolysis of adenosylcobalamin (AdoCbl; coenzyme B(12)) in AdoCbl-dependent ethanolamine ammonia-lyase (EAL) from Salmonella typhimurium have been studied on the 10(-7)-10(-1) s time scale at 295 K by using transient ultraviolet-visible absorption spectroscopy. The aim is to probe the mechanism of formation and stabilization of the cob(II)alamin-5'-deoxyadenosyl radical pair, which is a key intermediate in EAL catalysis, and the influence of substrate binding on this process. Substrate binding is required for cobalt-carbon bond cleavage in the native system. Photolysis of AdoCbl in EAL leads to a quantum yield at 10(-7) s for cob(II)alamin of 0.08 +/- 0.01, which is 3-fold smaller than for AdoCbl in aqueous solution (0.23 +/- 0.01). The protein binding site therefore suppresses photoproduct radical pair formation. Three photoproduct states, P(f), P(s), and P(c), are identified in holo-EAL by the different cob(II)alamin decay kinetics (subscripts denote fast, slow, and constant, respectively). These states have the following first-order decay rate constants and quantum yields: 2.2 x 10(3) s(-1) and 0.02 for P(f), 4.2 x 10(2) s(-1) and 0.01 for P(s), and constant amplitude, with no recombination, and 0.05 for P(c), respectively. Binding of the substrate analogue (S)-1-amino-2-propanol to EAL eliminates the P(f) state and lowers the quantum yield of P(c) (0.03) relative to that of P(s) (0.01) but does not significantly change the quantum yield or decay rate constant of P(s), relative to those of holo-EAL. The substrate analogue thus influences the quantum yield at 10(-7) s by changing the cage escape rate from the geminate cob(II)alamin-5'-deoxyadenosyl radical pair state. However, the predicted substrate analogue binding-induced increase in the quantum yield is not observed. It is proposed that the substrate analogue does not induce the radical pair stabilizing changes in the protein that are characteristic of true substrates.

In-stream bioreactor for agricultural nitrate treatment

Nitrate from agricultural activity contributes to nutrient loading in surface water bodies such as the Mississippi River. This study demonstrates a novel in-stream bioreactor that uses carbonaceous solids (woodchips) to promote denitrification of agricultural drainage. The reactor (40 m3) was trenched into the bottom of an existing agricultural drainage ditch in southern Ontario (Avon site), and flow was induced through the reactor by construction of a gravel riffle in the streambed. Over the first 1.5 yr of operation, mean influent NO3-N of 4.8 mg L(-1) was attenuated to 1.04 mg L(-1) at a mean reactor flow rate of 24 L min(-1). A series of flow-step tests, facilitated by an adjustable height outlet pipe, demonstrated that nitrate mass removal generally increased with increasing flow rate. When removal rates were not nitrate-limited, areal mass removal ranged from 11 mg N m(-2) h(-1) at 3 degrees C to 220 mg N m(-2) h(-1) at 14 degrees C (n = 27), exceeding rates reported for some surface-flow constructed wetlands in this climatic region by a factor of about 40. Over the course of the field trial, reactor flow rates decreased as a result of silt accumulation on top of the gravel infiltration gallery. Design modifications are currently being implemented to mitigate the effects of siltation. In-stream reactors have the potential to be scaled larger and could be more manageable than attempting to address nitrate loading from individual tile drains. They could also work well in combination with other nitrate control techniques.

Electron ionization time-of-flight mass spectrometry: historical review and current applications

This review presents an overview of electron ionization time-of-flight mass spectroscopy (EITOFMS), beginning with its early development to the employment of modern high-resolution electron ionization sources. The EITOFMS is demonstrated to be ideally suited for analytical and basic chemical physics studies. Studies of the formation of positive ions by electron ionization time-of-flight mass spectroscopy have been responsible for many of the known ionization potentials of molecules and radicals, as well as accepted bond dissociation energies for ions and neutral molecules. The application of TOFMS has been particularly important in the area of negative ion physics and chemistry. A wide variety of negative ion properties have been discovered and studied by using these methods including: autodetachment lifetimes, metastable dissociation, Rydberg electron transfer reactions and field detachment, SF(6) Scavenger method for detecting temporary negative ion states, and many others.

Irreversible phosphorus sorption in septic system plumes?

The mobility of phosphorus (P) in septic system plumes remains a topic of debate because of the considerable reactivity of this constituent. In this study, a septic system plume in Ontario was monitored over a 16-year period with detail that clearly shows the advancing frontal portion of the P plume. This monitoring record provides insight into the extent of secondary P attenuation in the ground water zone beyond that available from previous studies. A P plume 16 m in length developed over the monitoring period with PO(4)-P concentrations (3 to 6 mg/L) that approached the concentrations present under the tile bed. Simulations using an analytical model showed that when first-order solute decay was considered to account for the possibility of secondary P attenuation in the ground water zone, field values could only be matched when decay was absent or occurred at an exceedingly slow rate (half-life greater than 30 years). Thus, hypothesized secondary P attenuation mechanisms such as slow recystallization of sorbed P into insoluble metal phosphate minerals, diffusion into microsites, or kinetically slow direct precipitation of P minerals such as hydroxyapatite were inactive in the ground water zone at this site or occurred at rates that were too slow to be observed in the context of the current 16-year study. Desorption tests on sediment samples from below the tile bed indicated a PO(4) distribution coefficient (K(d)) of 4.8, which implies a P retardation factor of 25, similar to the field apparent value of 37 determined from model calibrations. This example of inactive secondary P attenuation in the ground water zone shows that phosphorus in some ground water plumes can remain mobile and conservative for decades. This has important implications for septic systems located in lakeshore environments when long-term usage scenarios are considered.

High-permeability layers for remediation of ground water; go wide, not deep

A nitrate-reactive porous media layer comprising wood particles with very high hydraulic conductivity (K approximately 1 cm/s) was used to successfully treat nitrate in a shallow sand-and-gravel aquifer in southern Ontario. Nitrate concentrations of 1.3 to 14 mg/L as N in the aquifer were attenuated to <0.5 mg/L as N in the reactive layer. Borehole dilution testing indicated that ground water velocities in the reactive layer, although variable, averaged five times higher than in the surrounding aquifer, suggesting that the layer was capturing ground water flow from deeper in the aquifer. The use of high-K reactive media opens up the possibility of installing permeable reactive barriers as horizontal layers in the shallow water table zone that do not necessarily have to penetrate the full depth of a contaminant plume to be effective. Model simulations show that the depth of capture of a high-K layer increases as the layer width in the direction of flow increases. Shallower emplacement could decrease barrier costs at some sites.

Negative ions of ethylene sulfite

The formation of negative ions in molecular beams of ethylene sulfite (ES, alternately called glycol sulfite or ethylene glycol, C(2)H(4)SO(3)) molecules has been studied using both Rydberg electron transfer (RET) and free electron attachment methods. RET experiments with jet-cooled ES show an unexpected broad profile of anion formation as a function of the effective quantum number (n(*)) of the excited rubidium atoms, with peaks at n(max)(*) approximately 13.5 and 16.8. The peak at n(max)(*) approximately 16.8 corresponds to an expected dipole-bound anion with an electron binding energy of 8.5 meV. It is speculated that the peak at n(max)(*) approximately 13.5 derives from the formation of a distorted C(2)H(4)SO(3)(-) ion. We suggest that quasifree electron attachment promotes the breaking of one ring bond giving a long-lived acyclic anion and term this process incomplete dissociative electron attachment. Theoretical calculations of plausible ionic structures are presented and discussed. Electron beam studies of ES reveal the presence of multiple dissociative attachment channels, with the dominant fragment, SO(2)(-), peaking at 1.3 eV and much weaker signals due to SO(3)(-), SO(-), and (ES-H)(-) peaking at 1.5, 1.7, and 0.9 eV, respectively. All of these products appear to originate from a broad temporary negative ion resonance centered at approximately 1.4 eV.

Geochemical stability of phosphorus solids below septic system infiltration beds

Review of 10 mature septic system plumes in Ontario, revealed that phosphorus (P) attenuation commonly occurred close to the infiltration pipes, resulting in discrete narrow intervals enriched in P by a factor of 2-4 (. MSc thesis, Dept. Earth Sci., University of Waterloo, Waterloo, Ont.; Ground Water 36 (1995) 1000; J. Contam. Hydrol. 33 (1998) 405). Although these attenuation reactions appeared to be sustainable under present conditions, the potential for remobilization of this P mass, should geochemical conditions change, is unknown. To test the stability of these P solids, dynamic flow column tests were carried out using sediments from three of the previously studied sites (Cambridge, Langton and Muskoka) focusing on sediments from the 'High-P' and underlying (Below) zones. Tests were continued for 166-266 pore volumes (PVs), during which time varying degrees of water saturation were maintained. During saturated flow conditions, relatively high concentrations of PO4 were eluted from the Cambridge and Langton High-P zones (up to 4 and 9 mg/l P, respectively), accompanied by elevated concentrations of Fe (up to 1.4 mg/l) and Mn (up to 4 mg/l) and lower values of Eh (<150 mV). The Below zones from Cambridge and Langton, however, maintained lower concentrations of P (generally<2 mg/l), Fe (<0.2 mg/l) and Mn (<1 mg/l) and maintained higher Eh (>250 mV) during saturated flow conditions. During unsaturated flow, P and Fe declined dramatically in the High-P zones (P<1 mg/l, Fe<0.2 mg/l), whereas concentrations remained about the same during saturated and unsaturated flow in the Below zones. This behavior is at least partly attributed to the development of reducing conditions during saturated flow in the High-P zones, leading to reductive dissolution of Fe (III)-P solids present in the sediments. Reducing conditions did not develop in the Below zones apparently because of lower sediment organic carbon (OC) contents (0.03-0.04 wt.%) compared to the High-P zones (0.2-0.65 wt.%). At the Muskoka site, where the sediments were noncalcareous, low values of P (<0.2 mg/l) were maintained in both the High-P and Below columns and reducing conditions did not develop. Results indicate the possibility of remobilizing P accumulated below septic system infiltration beds should conditions become more reducing. This could occur if sewage loading patterns change, for example when a seasonal use, lakeshore cottage is converted to a permanent dwelling.

Enhanced attenuation of septic system phosphate in noncalcareous sediments

Review of phosphate behavior in four mature septic system plumes on similar textured sand has revealed a strong correlation between carbonate mineral content and phosphate concentrations. A plume on calcareous sand (Cambridge site, 27 wt % CaCO3 equiv.) has proximal zone PO4 concentrations (4.8 mg/L P average) that are about 75% of the septic tank effluent value, whereas three plumes on noncalcareous sand (Muskoka, L. Joseph, and Nobel sites, <1 wt % CaCO3 equiv.) have proximal zone phosphate concentrations (<0.1 mg/L P) that are consistently less than 2% of the effluent values. Phosphate attenuation at the noncalcareous sites appears to be an indirect result of the development of acidic conditions (site average pH 3.5 to 5.9) and elevated Al concentrations (up to 24 mg/L), which subsequently causes the precipitation of Al-P minerals such as variscite (AlPO4 x 2H2O). This is supported by scanning electron microscope analyses, which show the widespread occurrence of (Al+P)--rich secondary mineral coatings on sand grains below the infiltration beds. All of these septic systems are more than 10 years old, indicating that these attenuation reactions have substantial longevity. A field lysimeter experiment demonstrated that this reaction sequence can be readily incorporated into engineered waste water treatment systems. We feel this important P removal mechanism has not been adequately recognized, particularly for its potential significance in reducing P loading from septic systems in lakeshore environments.

Numerical simulation of a fine-grained denitrification layer for removing septic system nitrate from shallow groundwater

One of the most common methods to dispose of domestic wastewater involves the release of septic effluent from drains located in the unsaturated zone. Nitrogen from such systems is currently of concern because of nitrate contamination of drinking water supplies and eutrophication of coastal waters. It has been proposed that adding labile carbon sources to septic distribution fields could enhance heterotrophic denitrification and thus reduce nitrate concentrations in shallow groundwater. In this study, a numerical model which solves for variably saturated flow and reactive transport of multiple species is employed to investigate the performance of a drain field design that incorporates a fine-grained denitrification layer. The hydrogeological scenario simulated is an unconfined sand aquifer. The model results suggest that the denitrification layer, supplemented with labile organic carbon, may be an effective means to eliminate nitrogen loading to shallow groundwater. It is also shown that in noncalcareous aquifers, the denitrification reaction may provide sufficient buffering capacity to maintain near neutral pH conditions beneath and down gradient of the drain field. Leaching of excess dissolved organic carbon (DOC) from the denitrification layer is problematic, and causes an anaerobic plume to develop in simulations where the water table is less than 5-6 m below ground surface; this anaerobic plume may lead to other down gradient changes in groundwater quality. A drain field and denitrification layer of smaller dimensions is shown to be just as effective for reducing nitrate, but has the benefit of reducing the excess DOC leached from the layer. This configuration will minimize the impact of wastewater disposal in areas where the water table is as shallow as 3.5 m.

Multicomponent simulation of wastewater-derived nitrogen and carbon in shallow unconfined aquifers. II. Model application to a field site

A multicomponent reactive transport model as presented by MacQuarrie and Sudicky [MacQuarrie, K.T.B., Sudicky, E.A., this volume. Multicomponent simulation of wastewater-derived nitrogen and carbon in shallow unconfined aquifers: I. Model formulation and performance, J. Contam. Hydrol.] is applied to a well-studied wastewater plume in a sandy aquifer near Cambridge, Ontario. Domestic wastewater is released into the unsaturated zone via a drain field at a depth of about 0.8 m. The physical transport parameters for the model are obtained by simulating a non-reactive solute, while kinetic input data for the nitrogen and carbon reaction network are obtained from the literature. The model shows that the wastewater-loading rate has little influence on the moisture content in the unsaturated zone, thus oxygen diffusion in the air phase is an important transport mechanism. The model results are in general agreement with the field-determined moisture and oxygen profiles near the drain field. The simulation results show that oxidation of ammonium and dissolved organic carbon (DOC) goes to completion in the 1.5-m distance between the drain field and the water table, and that calcite dissolution limits the pH reduction to about 0.2 units. The model-predicted nitrate concentrations in the core of the plume are in the range of 20-25 mg N/l and are in good agreement with the field data. Overall, the results for the major reactive species from the model simulation agree well with the geochemical data obtained below the drain field and it is concluded that the major physical and biochemical processes have been correctly captured in the current model formulation.

Variation in the quality of lumbar spine MR images in Washington State

PURPOSE

To investigate the variation in quality of lumbar spine magnetic resonance (MR) images as a function of type of ownership of the imaging center, number of studies performed per month, specialty training of the image interpreter, and field strength of the MR unit.

MATERIALS AND METHODS

Data were collected from all imaging facilities in western Washington state that received reimbursement from the Washington State Health Care Authority. Three readers with expertise in spine imaging, who were blinded to center and patient identification information, rated the technical image quality of each study. All MR images of the lumbar spine (maximum of six) paid for by the health care authority were evaluated. If a center had performed more than six studies, then six were randomly selected for evaluation.

RESULTS

Variation in quality scores among sites was significant (P =.001). Field strength was the strongest predictor of better quality. Poorer quality was associated with for-profit ownership, a larger number of radiologists at the site reading MR images, and a larger percentage of studies checked by a radiologist prior to the end of the examination.

CONCLUSION

There was significant variation in the quality of MR images of the lumbar spine, and at least a portion of this variation was attributable to characteristics of the imaging center.

Sacral plexus: optimal imaging planes for MR assessment

PURPOSE

To identify the optimal imaging planes for magnetic resonance (MR) evaluation of the sacral plexus (SP) and proximal sciatic nerve (SN).

MATERIALS AND METHODS

The SPs of 10 health adult volunteers were prospectively studied with T1-weighted MR imaging with custom-built pelvic phased-array coils. The conspicuity of 12 anatomic characteristics (comprising the SP and their relationship to normal pelvic anatomy) on a series of coronal, axial, and oblique images was graded. Results were evaluated with the Kruskal-Wallis and Wilcoxon signed rank tests.

RESULTS

At least two planes were necessary to assess the anatomy of the SP and SN. Analysis of average conspicuity scores showed that the direct coronal and direct axial planes were the best overall and were superior to other imaging planes in the demonstration of the L-4 and L-5 ventral rami, the lumbosacral trunk, the S-1 contribution to the SN, and the SN in the greater sciatic foramen. The sacral coronal plane was best for the visualization of the bony sacrum, sacral foramina, and proximal S-1 to S-4 nerve roots. The remaining imaging planes had limited utility.

CONCLUSION

MR imaging with a combination of direct coronal and direct axial planes enables thorough evaluation of all components of the SP and proximal SN.

The comparison of a rapid screening MR protocol with a conventional MR protocol for lumbar spondylosis

PURPOSE

To assess the degree of agreement between a rapid T2-weighted fast spin-echo protocol and a detailed protocol for the detection of lumbar spondylosis and to determine the sensitivity and specificity of the rapid protocol with respect to the detailed protocol.

MATERIALS AND METHODS

Forty-eight patients with low back pain were studied with both a detailed four-sequence protocol and a two-sequence rapid screening protocol (acquisition time of 28 and 2.5 min for the detailed and screening protocols, respectively). The two protocol groups were numerically graded for the findings of lumbar spondylosis.

RESULTS

Agreement for presence or absence of disc abnormality was 87% for the two techniques. The screening protocol showed a disc abnormality in 91% of all disc herniations and 84% of all disc bulges seen on the detailed study. All moderate and severe (grades two and three in this protocol) bulges and herniations were detected by the screening protocol. Foraminal narrowing, annular tear of the disc, degenerative changes of the facet joints, and nerve root swelling were all better shown on the detailed protocol.

CONCLUSION

A rapid, two-plane, single-echo fast spin-echo sequence protocol is adequate to detect potentially significant degenerative disease of the lumbar spine. Its 2.5-min acquisition time allows a complete patient study (including patient preparation) to be performed in less than 10-15 min.

Immunohistochemical study of oral keratoses including lichen planus

Biopsies of non-ulcerated oral mucosa from 13 patients with oral lichen planus and 12 patients with leukoplakia were immunohistochemically stained using monoclonal antibodies to pan T, pan B, T helper and T suppressor/cytotoxic cells and the stained lymphocytes enumerated using an image analyser. The results show the preponderance of T cells infiltrating both oral lichen planus and leukoplakia. The T helper: T suppressor/cytotoxic cell ratio was the same (1:2) for both oral lichen planus and leukoplakia. A similar proportion of T suppressor/cytotoxic cells was found infiltrating the epithelium. These data indicate that T cell subset analysis is of no value in distinguishing oral lichen planus from other oral keratoses.

The structure of a complex of bovine alpha-thrombin and recombinant hirudin at 2.8-A resolution

Crystals of the complex of bovine alpha-thrombin with recombinant hirudin variant 1 have space group C222(1) with cell constants a = 59.11, b = 102.62, and c = 143.26 A. The orientation and position of the thrombin component was determined by molecular replacement and the hirudin molecule was fit in 2 magnitude of Fo - magnitude of Fc electron density maps. The structure was refined by restrained least squares and simulated annealing to R = 0.161 at 2.8-A resolution. The binding of hirudin to thrombin is generally similar to that observed in the crystals of human thrombin-hirudin. Several differences in the interactions of the COOH-terminal polypeptide of hirudin, specifically of residues Asp-55h, Phe-56h, Glu-57h, and Glu-58h, and a few differences in the interactions of the hirudin core, specifically of residues Asp-5h, Ser-19h, and Asn-20h, with thrombin from human thrombin-hirudin suggest that there is some flexibility in the binding of these 2 molecules. Most of the residues in the 9 subsites that bind fibrinopeptide A7-16 to thrombin also interact with the NH2-terminal domain of hirudin. The S1 subsite is a notable exception in that only 1 of its 6 residues, namely Ser-214, interacts with hirudin. The only difference between human and bovine thrombins that appears to influence the binding of hirudin is the replacement of Lys-149E by an acidic glutamate in the bovine enzyme.

Ingestion of medication among patients with oral keratoses including lichen planus

One hundred forty-nine patients attending Edinburgh Dental Hospital had oral keratosis diagnosed clinically and histologically. The keratoses were grouped into erosive and nonerosive lichen planus, other keratoses infiltrated with inflammatory cells, and noninfiltrated keratoses. Drug histories were obtained from each patient on presentation, and the groups were analyzed to assess the association between the ingestion of commonly prescribed drugs and oral keratoses. Patients with infiltrated keratoses took nonsteroidal anti-inflammatory drugs twice as often as patients in the other groups, whereas those with lichen planus more frequently ingested antihypertensive drugs. Patients with erosive lichen planus were 10 times more likely to ingest nonsteroidal anti-inflammatory drugs than those with nonerosive lichen planus (p = 0.01).

Routine contrast enhancement for cranial magnetic resonance imaging: an analysis of its diagnostic value in adults

This study evaluated the diagnostic value of contrast enhancement in consecutive adults referred for cranial magnetic resonance imaging (MRI). All of the 112 participating patients underwent two sets of studies, first without and then with a contrast medium. Three neuroradiologists independently reviewed the information for each patient. Contrast enhancement contributed diagnostically useful information in 75% of cases: in 4% because undiagnosed lesions became apparent, in 26% because more information was obtained regarding the size, extent or margins of a lesion and in 45% because the lack of contrast enhancement in the area of interest allowed more confident exclusion of disease in patients with compelling clinical findings or demonstrated the nonaggressive nature of a lesion apparent with unenhanced MRI. The authors conclude that contrast enhancement is diagnostically useful for most patients referred for cranial MRI. Although the proportion of cases in which contrast enhancement was useful was much higher than in previous studies conducted in the United States, the authors believe that this finding is due to the high prevalence of disease in the population referred to this Canadian MRI centre.

Magnetic resonance imaging of the skull base

Magnetic resonance imaging (MRI) is the principal imaging procedure for assessing skull-base lesions. Superior contrast resolution, increased lesion conspicuity, better definition of the margin of the lesions and multiplanar capability are its main advantages. Computed tomography is currently used to assess skull-base lesions when superior bone detail is required or when MRI cannot be carried out.

Carotid and vertebral artery trauma: clinical and angiographic features

Injury to the carotid or vertebral artery is an important clinical entity that requires angiography for definitive diagnosis and evaluation. The common carotid artery may be injured by penetrating trauma while the internal carotid artery is usually damaged by either trivial or blunt trauma. With trivial trauma extracranial internal carotid artery dissection should be considered if there is unilateral headache, Horner's syndrome or delayed transient ischaemic attack, and intracranial dissection if a profound neurological defect occurs immediately following trauma. Injury to the internal carotid artery following blunt trauma includes dissection of the extracranial internal carotid artery, carotid-cavernous fistula and pseudoaneurysm formation. These should be considered in a patient with delayed neurological deficit, mandibular or skull fracture, a constellation of orbital signs or diffuse subarachnoid haemorrhage, respectively. Vertebral artery injury is less frequent. Dissection typically follows abrupt cervical rotation and occurs at C1-2, whereas penetrating trauma may involve either the proximal or distal vertebral artery and occlusion, arteriovenous fistula or pseudoaneurysm may be found. Endovascular techniques may be used in either the carotid or vertebral artery to close fistulae or occlude an extensively damaged vessel.

Graves orbitopathy: correlation of CT and clinical findings

The clinical and high-resolution computed tomographic (CT) findings in 71 patients (142 orbits) with Graves orbitopathy and 20 healthy patients (40 orbits) were retrospectively reviewed. The orbits with orbitopathy were subgrouped at clinical examination into those with (n = 18) and those without (n = 124) optic neuropathy. Mean extraocular muscle diameters and the calculated muscle diameter index were significantly increased in all orbits with ophthalmopathy, particularly in those with optic neuropathy. Graves orbitopathy affected the superior muscle group (63.4%) more than the medial (61.3%) or inferior (57%) recti. The most common pattern of muscle involvement involved all five measured extraocular muscles. Solitary muscle involvement most frequently involved the superior muscle group (6.3%). Significant enlargements of the retrobulbar optic nerve sheath and superior ophthalmic vein were noted only in orbits with optic neuropathy. Anterior displacement of the lacrimal gland at CT correlated with clinical palpability and occurred more frequently in patients with optic neuropathy. Severe apical crowding was the most sensitive indication of optic neuropathy at CT.

Orbital lymphangiomas: clinical, radiologic, and pathologic characteristics

To assess the value of computed tomography (CT) in evaluation of orbital lymphangioma, the CT findings in 11 patients were retrospectively analyzed and correlated with the clinical, hemodynamic, surgical, and pathologic findings. The lesions were classified by location in three categories: superficial (n = 1), deep (n = 6), or combined (n = 6); the latter were evident earlier in life. The CT findings correlated well with the surgical and histologic findings. Orbital lymphangiomas were poorly defined lesions that crossed anatomic boundaries such as the conal fascia and orbital septum. Some degree of enhancement was the rule, ranging from scattered patchy areas to enhancement of the majority of the lesion. Areas of hemorrhage caused cystlike masses with rim enhancement. Preoperative identification of the vascular enhancing component at CT examination enables the surgeon to resect this area to prevent postoperative hemorrhage. High-resolution CT is of great value in the diagnosis and preoperative treatment planning of orbital lymphangioma.

Globe tenting: a sign of increased orbital tension

Globe tenting is a change in the posterior globe configuration that results in a tented or conical appearance and is objectively defined as a posterior globe angle of less than 130 degrees. Globe tenting is caused by an acute/subacute intraorbital mass effect producing significant proptosis with tethering of the globe by the stretched optic nerve. In this series of 10 patients, globe tenting was produced by subperiosteal abscess (five cases), hemorrhage into a lymphangioma (two cases), a varix (one case), traumatic carotid hemorrhage into a lymphangioma (two cases), a varix (one case), traumatic carotid cavernous fistula (one case), and multiple epithelial implantation cysts (one case). Progressive narrowing of the posterior globe angle correlated with an increase in proptosis and in optic nerve length, as well as with more severe visual impairment. Tenting with a posterior globe angle of 120-130 degrees correlated with mild visual symptoms and a good recovery. A posterior globe angle of less than 120 degrees with acute proptosis constitutes a surgical emergency; a delay in surgical decompression in these patients may prevent complete recovery of visual function. CT is useful in providing good characterization of globe tenting and, thus, in helping to determine the clinical significance of this abnormality.

Middle fossa arachnoid cyst and subdural hematoma: CT studies

A patient with a history of previous head injury presented with an isodense subdural hematoma with extension into a preexisting middle fossa arachnoid cyst. The latter, suspected on the basis of findings pointing to chronic expansion of the middle fossa, was confirmed in a repeat CT study carried out after evacuation of the hematoma.