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Müller A, Wouters EF, Koul P, Welte T, Harrabi I, Rashid A, Loh LC, Al Ghobain M, Elsony A, Ahmed R, Potts J, Mortimer K, Rodrigues F, Paraguas SN, Juvekar S, Agarwal D, Obaseki D, Gislason T, Seemungal T, Nafees AA, Jenkins C, Dias HB, Franssen FME, Studnicka M, Janson C, Cherkaski HH, El Biaze M, Mahesh PA, Cardoso J, Burney P, Hartl S, Janssen DJA, Amaral AFS. Association between lung function and dyspnoea and its variation in the multinational Burden of Obstructive Lung Disease (BOLD) study. Pulmonology 2024:S2531-0437(24)00044-8. [PMID: 38614859 DOI: 10.1016/j.pulmoe.2024.03.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 03/14/2024] [Accepted: 03/31/2024] [Indexed: 04/15/2024] Open
Abstract
BACKGROUND Dyspnoea is a common symptom of respiratory disease. However, data on its prevalence in general populations and its association with lung function are limited and are mainly from high-income countries. The aims of this study were to estimate the prevalence of dyspnoea across several world regions, and to investigate the association of dyspnoea with lung function. METHODS Dyspnoea was assessed, and lung function measured in 25,806 adult participants of the multinational Burden of Obstructive Lung Disease study. Dyspnoea was defined as ≥2 on the modified Medical Research Council (mMRC) dyspnoea scale. The prevalence of dyspnoea was estimated for each of the study sites and compared across countries and world regions. Multivariable logistic regression was used to assess the association of dyspnoea with lung function in each site. Results were then pooled using random-effects meta-analysis. RESULTS The prevalence of dyspnoea varied widely across sites without a clear geographical pattern. The mean prevalence of dyspnoea was 13.7 % (SD=8.2 %), ranging from 0 % in Mysore (India) to 28.8 % in Nampicuan-Talugtug (Philippines). Dyspnoea was strongly associated with both spirometry restriction (FVC CONCLUSION The prevalence of dyspnoea varies substantially across the world and is strongly associated with lung function impairment. Using the mMRC scale in epidemiological research should be discussed.
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Affiliation(s)
- A Müller
- Ludwig Boltzmann Institute for Lung Health, Vienna, Austria; Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
| | - E F Wouters
- Ludwig Boltzmann Institute for Lung Health, Vienna, Austria; Sigmund Freud University, Faculty of Medicine, Vienna, Austria; Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, the Netherlands
| | - P Koul
- Department of Pulmonary Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, India
| | - T Welte
- Department of Respiratory Medicine/Infectious Disease, Member of the German Centre for Lung Research, Hannover School of Medicine, Hannover, Germany
| | - I Harrabi
- Faculté de Médecine, Sousse, Tunisia
| | - A Rashid
- RCSI and UCD Malaysia Campus, Penang, Malaysia
| | | | - M Al Ghobain
- King Abdullah International Medical Research Center, King Saud ben Abdulaziz University for Health Science, Riyadh, Saudi Arabia
| | - A Elsony
- The Epidemiological Laboratory, Khartoum, Sudan
| | - R Ahmed
- The Epidemiological Laboratory, Khartoum, Sudan
| | - J Potts
- National Heart and Lung Institute, Imperial College London, London, UK
| | - K Mortimer
- University of Cambridge, Cambridge, UK; Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
| | - F Rodrigues
- Pulmonology Department, Lisbon North Hospital Centre, Lisbon, Portugal; Institute of Environmental Health, Associate Laboratory TERRA, Lisbon Medical School, Lisbon University, Lisbon, Portugal
| | - S N Paraguas
- Philippine College of Chest Physicians, Manila, Philippines
| | - S Juvekar
- KEM Hospital Research Centre, Pune, India
| | - D Agarwal
- KEM Hospital Research Centre, Pune, India
| | - D Obaseki
- Department of Medicine, Obafemi Awolowo University, Nigeria; Faculty of Medicine, University of British Columbia, Canada
| | - T Gislason
- Faculty of Medicine, University of Iceland, Reykjavik, Iceland; Department of Sleep, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland
| | - T Seemungal
- Faculty of Medical Sciences, University of West Indies, St Augustine, Trinidad and Tobago
| | | | - C Jenkins
- Woolcock Institute of Medical Research, Sydney, Australia
| | - H B Dias
- Escola Superior de Tecnologia da Saúde de Lisboa, Politecnico de Lisboa, Lisbon, Portugal
| | - F M E Franssen
- Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, the Netherlands; Department of Research and Development, Ciro, Horn, the Netherlands
| | - M Studnicka
- Department of Pulmonary Medicine, Paracelsus Medical University, Salzburg, Austria
| | - C Janson
- Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
| | - H H Cherkaski
- Faculty of Medicine, University Badji Mokhtar, Annaba, Algeria
| | - M El Biaze
- Department of Respiratory Medicine, Faculty of Medicine, Mohammed Ben Abdellah University, Fes, Morocco
| | - P A Mahesh
- Department of Respiratory Medicine, JSS Medical College and Hospital, Mysore, Karnataka, India
| | - J Cardoso
- Pulmonology Department, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal; NOVA Medical School, Nova University Lisbon, Lisboa, Portugal
| | - P Burney
- National Heart and Lung Institute, Imperial College London, London, UK
| | - S Hartl
- Ludwig Boltzmann Institute for Lung Health, Vienna, Austria; Sigmund Freud University, Faculty of Medicine, Vienna, Austria
| | - D J A Janssen
- Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands; Department of Research and Development, Ciro, Horn, the Netherlands
| | - A F S Amaral
- National Heart and Lung Institute, Imperial College London, London, UK; NIHR Imperial Biomedical Research Centre, London, UK
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Cardoso J, Ramos C, Brito J, Almeida TC. Difficulties in Emotion Regulation and Problematic Pornography Use: The Mediating Role of Loneliness. Int J Sex Health 2023; 35:481-493. [PMID: 38601731 PMCID: PMC10903672 DOI: 10.1080/19317611.2023.2224807] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 06/03/2023] [Accepted: 06/08/2023] [Indexed: 04/12/2024]
Abstract
Objectives To analyze the association between difficulties in emotion regulation and problematic pornography use (PPU) and test the mediating effect of loneliness. Methods All 339 participants (M = 28.53 years, SD = 10.32) completed online self-report scales assessing difficulties in emotion regulation, PPU, and loneliness. Results Difficulties in emotion regulation are positively correlated with PPU. Loneliness partially mediates the relationship between difficulties in emotion regulation and PPU. Gender and intimate relationship status had moderating effects on the tested mediation model. Conclusions Greater difficulties in emotion regulation have a significant indirect effect on PPU through loneliness.
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Affiliation(s)
- Jorge Cardoso
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511Caparica, Almada, Portugal
- LabPSI – Laboratório de Psicologia Egas Moniz, Egas Moniz School of Health & Science, Caparica, Almada, Portugal
| | - Catarina Ramos
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511Caparica, Almada, Portugal
- LabPSI – Laboratório de Psicologia Egas Moniz, Egas Moniz School of Health & Science, Caparica, Almada, Portugal
| | - José Brito
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511Caparica, Almada, Portugal
| | - Telma C. Almeida
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511Caparica, Almada, Portugal
- LabPSI – Laboratório de Psicologia Egas Moniz, Egas Moniz School of Health & Science, Caparica, Almada, Portugal
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Ranjan A, Parpaleix A, Cardoso J, Adeleke S. AI vs FRCR: What it means for the future. Eur J Radiol 2023; 165:110918. [PMID: 37311341 DOI: 10.1016/j.ejrad.2023.110918] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Revised: 05/22/2023] [Accepted: 05/31/2023] [Indexed: 06/15/2023]
Abstract
A recent work by Shelmerdine et al. was published in the Christmas edition of the BMJ. The authors were inspired by George Hinton's statement that artificial intelligence (AI) would supersede radiologists, and ventured to investigate whether the AI software Milvue Suite which had been trained on a few hundred thousand chest and musculoskeletal x-rays, could pass the rapid reporting section of the FRCR - an exam which must be passed in order to practice as a consultant radiologist in the UK. This brief comment sums up the company's opinions and perspective from the practical AI developmental angle and also its translation into a commercially viable and clinically useful tool. Hoping this will provide a fair and balanced view of the role of AI in radiology.
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Affiliation(s)
- Aditi Ranjan
- Royal Berkshire Hospital NHS Foundation Trust, Reading, United Kingdom
| | | | - Jorge Cardoso
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
| | - Sola Adeleke
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
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Tchernev G, Kordeva S, Lozev I, Cardoso J, Broshtilova V. SUBUNGUAL HEMATOMA OVERLAPPING WITH SUBUNGUAL LOCATED FOCAL MELANOCYTIC HYPERPLASIA: DERMATOSURGICAL APPROACH AS OPTIMAL TREATMENT CHOICE. Georgian Med News 2023:132-134. [PMID: 37419487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 07/09/2023]
Abstract
Subungual lesions present a serious challenge for clinicians. The following factors can cause certain problems in interpreting the data: 1) Changes in lesion morphology over time: It may indicate the presence of a malignant lesion (increased pigmentation over time and lack of distal growth) but may actually be a benign lesion (chronic persistent subungual hematoma). 2) Patient's medical history can be misleading or difficult to verify, especially in problematic patients, or those with mental health problems or communication disorders (e.g., Asperger's syndrome, autism, schizoid psychosis, etc.). 3) The morphology of the lesion itself can be difficult to determine in the presence of simultaneously overlapping lesions. These patient dilemmas primarily concern the differentiation between subungual hematomas from subungual melanomas. The clinicians's concerns are based on the potential for metastasis and the risk of significantly worse prognosis for patients affected by nail biopsy. We present a 19-year-old patient with a subungual pigmented lesion with a clinical/dermatoscopic suspicion for subungual melanoma. Primary complaints for about 3-4 months. Intensified pigmentation and increase in size within two months led to a partial surgical resection of the nail plate and nail bed, followed by adaptation of the wound edges with single interrupted sutures. The histopathological finding was indicative of a subungual hematoma located above a focal melanocytic hyperplasia of the nail bed, clear resection lines. After a literature review, we believe that this is the first case of a patient with simultaneously present subungual benign focal melanocytic hyperplasia overlapping with a chronic persistent subungual hematoma.
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Affiliation(s)
- G Tchernev
- 1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria; 2Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria
| | - S Kordeva
- 1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria
| | - I Lozev
- 3Department of Common and Vascular Surgery, Medical Institute of Ministry of Interior, Sofia, Bulgaria
| | - J Cardoso
- 4Department of Dermatology, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - V Broshtilova
- 5Department of Dermatology and Venereology, Military Medical Academy, Sofia, Bulgaria
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Kordeva S, Cardoso J, Tchernev G. CONGRESS REPORT OF THE 5TH NATIONAL CONGRESS OF THE BULGARIAN SOCIETY FOR DERMATOLOGIC SURGERY, SOFIA, 11TH MARCH 2023 WITH MAIN TOPICS: NITROSAMINES AS MOST POWERFUL TRIGGER FOR SKIN CANCER DEVELOPMENT AND PROGRESSION/PERSONALISED ONE STEP MELANOMA SURGERY AS POSSIBLE SKIN CANCER TREATMENT OPTION. Georgian Med News 2023:89-95. [PMID: 37354679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
Deciphering the mutational pattern of skin tumours, remains a major challenge for clinicians and researchers. Over 80% of mutations in tumours are acquired, which in practice also means preventable. The surgical treatment of skin cancer and cancer in general is a worldwide, unsolved but at the same time not unsolvable problem. The problem concerning the dilemma of acquired mutations lies in the circumstance of their being allowed and subsequently treated. A more logical solution would be to eliminate the problem by making contact with mutagens in drugs public, clarifying it, studying it in detail and definitively stopping it. At present, there is an alarming and unexplained tendency worldwide : 1) Potential acquired mutations, caused in all probability by contact with known exogenous mutagens- the nitrosamines in most commonly prescribed drugs, are allowed to occur. 2) And subsequently, the diseases generated by them- treated (at a later stage) by multiple surgical interventions and unjustifiably expensive targeted therapy; 3) Mutagens - such as nitrosamines for example, to be in a permissive or possibly permissive availability regime. Moreover, this permissible availability turns out to be ubiquitous and affects the most common medicines worldwide: metformin, ranitidine, propranolol, rifampicin, irbesartan, olmesartan, valsartan, telmisartan, eprosartan, losartan, ACE inhibitors, thiazide diuretics, etc. In certain geographical regions, there is almost no patient taking this type of medication who has not had at least one tumour detected. These significant correlations (nitrosamines/cancer) are labeled by the regulatory institutions as possible, probable, or not currently relevant. But in spite of ˝this inconclusiveness˝, the drugs, containing nitrosamines, are withdrawn from the pharmaceutical market: quickly and quietly, despite the fact that ˝they did not pose a threat˝. The FDA was the only organization and the most important regulatory body worldwide, which lifted the veil from this ominous picture back in 2018: nitrosamines in blood medicines and cancer risk. Unfortunately, at the moment, the problems with this issue are proving to be more than the solutions, and at the same time it remains completely unclear who is to blame for this 'sporadic contamination': the packaging of the drug, the humidity in the rooms where the preparations are stored or the synthesis process itself - the explanations are divergent, the responsibility is blurred. This fuzzy liability does not affect the manufacturers and distributors of the preparations/nitrosamines themselves in the manner required by law for this (mis)act. The Bulgarian Society of Dermatological Surgery remains to be the only organization worldwide that for the 5th consecutive year continues to seek solutions to the above-mentioned problems by: 1) Officialising all cases of skin tumors (but not only) occurring after intake of nitrosamine-contaminated drugs, 2) also officialising a significant number of cases of patients with cutaneous melanomas treated by the one-stage surgical removal method within one surgical session (OSMS). The main priorities of the organization remain: 1) the complete elimination of nitrosamines from drugs worldwide, 2) the optimization of melanoma surgical treatment guidelines with the goal of treatment within 1 surgical session: for thin melanomas, dysplastic nevi and melanoma in situ, a surgical margin of safety of 1 cm in all directions and without detection and removal of the draining sentinel lymph node. Whereas for medium and thick melanomas, the focus should be directed to the following recommendation: 2 cm surgical margin of safety plus detection and removal of the draining lymph node within one surgical session. The indication for the surgical removal of these lesions should be made on the basis of radically different criteria from those used to date by the AJCC/EJC, namely: based on 1) clinical presentation/ clinical morphology, 2) dermatoscopic finding, and if there is a melanoma suspected lesion with possible tumour thickness greater than 1 mm , 3) ultrasonographic measurement for preoperative determination of tumor thickness should be additionally performed. The methodology is applicable in up to 80% of cases, excluding only some rare findings such as: amelanotic cutaneous melanomas, cutaneous melanomas with regression zones or those with localization in the neck and head. However, after careful individual assessment and a subsequent selected approach, even these exceptions could be included in the innovative algorithm for one step surgical removal of cutaneous melanomas. The resulting problems of not resolving these two dilemmas could lead to: 1) Generation of skin cancer (but not only), through the availability of nitrosamines in drugs. 2) Unnecessary and stressful /surgeries for the patients- 2 in number, which not infrequently lead to complication of their status (due to delay of histopathological analysis/ desire for second opinion/ delay regarding the timeframe for the second surgical intervention/ uncertainty regarding the resection lines within the first intervention/ failure to respect the recommended surgical security resection margins already within the first surgical session, etc.). 3) Huge additional costs to health care systems on the order of probably/roughly calculated about $50 billion per year. Resolution of these two dilemmas would likely result in a dramatic drop in cancer incidence worldwide and a significant improvement in the effectiveness/efficiency of surgical treatment for cutaneous melanoma.
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Affiliation(s)
- S Kordeva
- 1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria
| | - J Cardoso
- 2Department of Dermatology and Venereology, University Hospital of Coimbra, Coimbra, Portugal
| | - G Tchernev
- 1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria; 3Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria
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Antonelli M, Diaz-Pinto A, Mehta P, Cardoso J, Ourselin S, Granados A, Dasgupta P. Patient-specific 3D printed/virtual models from automated segmentation using MONAI labels. EUR UROL SUPPL 2023. [DOI: 10.1016/s2666-1683(23)00051-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
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Bilic P, Christ P, Li HB, Vorontsov E, Ben-Cohen A, Kaissis G, Szeskin A, Jacobs C, Mamani GEH, Chartrand G, Lohöfer F, Holch JW, Sommer W, Hofmann F, Hostettler A, Lev-Cohain N, Drozdzal M, Amitai MM, Vivanti R, Sosna J, Ezhov I, Sekuboyina A, Navarro F, Kofler F, Paetzold JC, Shit S, Hu X, Lipková J, Rempfler M, Piraud M, Kirschke J, Wiestler B, Zhang Z, Hülsemeyer C, Beetz M, Ettlinger F, Antonelli M, Bae W, Bellver M, Bi L, Chen H, Chlebus G, Dam EB, Dou Q, Fu CW, Georgescu B, Giró-I-Nieto X, Gruen F, Han X, Heng PA, Hesser J, Moltz JH, Igel C, Isensee F, Jäger P, Jia F, Kaluva KC, Khened M, Kim I, Kim JH, Kim S, Kohl S, Konopczynski T, Kori A, Krishnamurthi G, Li F, Li H, Li J, Li X, Lowengrub J, Ma J, Maier-Hein K, Maninis KK, Meine H, Merhof D, Pai A, Perslev M, Petersen J, Pont-Tuset J, Qi J, Qi X, Rippel O, Roth K, Sarasua I, Schenk A, Shen Z, Torres J, Wachinger C, Wang C, Weninger L, Wu J, Xu D, Yang X, Yu SCH, Yuan Y, Yue M, Zhang L, Cardoso J, Bakas S, Braren R, Heinemann V, Pal C, Tang A, Kadoury S, Soler L, van Ginneken B, Greenspan H, Joskowicz L, Menze B. The Liver Tumor Segmentation Benchmark (LiTS). Med Image Anal 2023; 84:102680. [PMID: 36481607 PMCID: PMC10631490 DOI: 10.1016/j.media.2022.102680] [Citation(s) in RCA: 61] [Impact Index Per Article: 61.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 09/27/2022] [Accepted: 10/29/2022] [Indexed: 11/18/2022]
Abstract
In this work, we report the set-up and results of the Liver Tumor Segmentation Benchmark (LiTS), which was organized in conjunction with the IEEE International Symposium on Biomedical Imaging (ISBI) 2017 and the International Conferences on Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2017 and 2018. The image dataset is diverse and contains primary and secondary tumors with varied sizes and appearances with various lesion-to-background levels (hyper-/hypo-dense), created in collaboration with seven hospitals and research institutions. Seventy-five submitted liver and liver tumor segmentation algorithms were trained on a set of 131 computed tomography (CT) volumes and were tested on 70 unseen test images acquired from different patients. We found that not a single algorithm performed best for both liver and liver tumors in the three events. The best liver segmentation algorithm achieved a Dice score of 0.963, whereas, for tumor segmentation, the best algorithms achieved Dices scores of 0.674 (ISBI 2017), 0.702 (MICCAI 2017), and 0.739 (MICCAI 2018). Retrospectively, we performed additional analysis on liver tumor detection and revealed that not all top-performing segmentation algorithms worked well for tumor detection. The best liver tumor detection method achieved a lesion-wise recall of 0.458 (ISBI 2017), 0.515 (MICCAI 2017), and 0.554 (MICCAI 2018), indicating the need for further research. LiTS remains an active benchmark and resource for research, e.g., contributing the liver-related segmentation tasks in http://medicaldecathlon.com/. In addition, both data and online evaluation are accessible via https://competitions.codalab.org/competitions/17094.
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Affiliation(s)
- Patrick Bilic
- Department of Informatics, Technical University of Munich, Germany
| | - Patrick Christ
- Department of Informatics, Technical University of Munich, Germany
| | - Hongwei Bran Li
- Department of Informatics, Technical University of Munich, Germany; Department of Quantitative Biomedicine, University of Zurich, Switzerland.
| | | | - Avi Ben-Cohen
- Department of Biomedical Engineering, Tel-Aviv University, Israel
| | - Georgios Kaissis
- Institute for AI in Medicine, Technical University of Munich, Germany; Institute for diagnostic and interventional radiology, Klinikum rechts der Isar, Technical University of Munich, Germany; Department of Computing, Imperial College London, London, United Kingdom
| | - Adi Szeskin
- School of Computer Science and Engineering, the Hebrew University of Jerusalem, Israel
| | - Colin Jacobs
- Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | - Gabriel Chartrand
- The University of Montréal Hospital Research Centre (CRCHUM) Montréal, Québec, Canada
| | - Fabian Lohöfer
- Institute for diagnostic and interventional radiology, Klinikum rechts der Isar, Technical University of Munich, Germany
| | - Julian Walter Holch
- Department of Medicine III, University Hospital, LMU Munich, Munich, Germany; Comprehensive Cancer Center Munich, Munich, Germany; Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Wieland Sommer
- Department of Radiology, University Hospital, LMU Munich, Germany
| | - Felix Hofmann
- Department of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Germany; Department of Radiology, University Hospital, LMU Munich, Germany
| | - Alexandre Hostettler
- Department of Surgical Data Science, Institut de Recherche contre les Cancers de l'Appareil Digestif (IRCAD), France
| | - Naama Lev-Cohain
- Department of Radiology, Hadassah University Medical Center, Jerusalem, Israel
| | | | | | | | - Jacob Sosna
- Department of Radiology, Hadassah University Medical Center, Jerusalem, Israel
| | - Ivan Ezhov
- Department of Informatics, Technical University of Munich, Germany
| | - Anjany Sekuboyina
- Department of Informatics, Technical University of Munich, Germany; Department of Quantitative Biomedicine, University of Zurich, Switzerland
| | - Fernando Navarro
- Department of Informatics, Technical University of Munich, Germany; Department of Radiation Oncology and Radiotherapy, Klinikum rechts der Isar, Technical University of Munich, Germany; TranslaTUM - Central Institute for Translational Cancer Research, Technical University of Munich, Germany
| | - Florian Kofler
- Department of Informatics, Technical University of Munich, Germany; Institute for diagnostic and interventional neuroradiology, Klinikum rechts der Isar,Technical University of Munich, Germany; Helmholtz AI, Helmholtz Zentrum München, Neuherberg, Germany; TranslaTUM - Central Institute for Translational Cancer Research, Technical University of Munich, Germany
| | - Johannes C Paetzold
- Department of Computing, Imperial College London, London, United Kingdom; Institute for Tissue Engineering and Regenerative Medicine, Helmholtz Zentrum München, Neuherberg, Germany
| | - Suprosanna Shit
- Department of Informatics, Technical University of Munich, Germany
| | - Xiaobin Hu
- Department of Informatics, Technical University of Munich, Germany
| | - Jana Lipková
- Brigham and Women's Hospital, Harvard Medical School, USA
| | - Markus Rempfler
- Department of Informatics, Technical University of Munich, Germany
| | - Marie Piraud
- Department of Informatics, Technical University of Munich, Germany; Helmholtz AI, Helmholtz Zentrum München, Neuherberg, Germany
| | - Jan Kirschke
- Institute for diagnostic and interventional neuroradiology, Klinikum rechts der Isar,Technical University of Munich, Germany
| | - Benedikt Wiestler
- Institute for diagnostic and interventional neuroradiology, Klinikum rechts der Isar,Technical University of Munich, Germany
| | - Zhiheng Zhang
- Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital of Nanjing University Medical School, China
| | | | - Marcel Beetz
- Department of Informatics, Technical University of Munich, Germany
| | | | - Michela Antonelli
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | | | | | - Lei Bi
- School of Computer Science, the University of Sydney, Australia
| | - Hao Chen
- Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, China
| | - Grzegorz Chlebus
- Fraunhofer MEVIS, Bremen, Germany; Diagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Erik B Dam
- Department of Computer Science, University of Copenhagen, Denmark
| | - Qi Dou
- Department of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China
| | - Chi-Wing Fu
- Department of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China
| | | | - Xavier Giró-I-Nieto
- Signal Theory and Communications Department, Universitat Politecnica de Catalunya, Catalonia, Spain
| | - Felix Gruen
- Institute of Control Engineering, Technische Universität Braunschweig, Germany
| | - Xu Han
- Department of computer science, UNC Chapel Hill, USA
| | - Pheng-Ann Heng
- Department of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China
| | - Jürgen Hesser
- Mannheim Institute for Intelligent Systems in Medicine, department of Medicine Mannheim, Heidelberg University, Germany; Interdisciplinary Center for Scientific Computing (IWR), Heidelberg University, Germany; Central Institute for Computer Engineering (ZITI), Heidelberg University, Germany
| | | | - Christian Igel
- Department of Computer Science, University of Copenhagen, Denmark
| | - Fabian Isensee
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany; Helmholtz Imaging, Germany
| | - Paul Jäger
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany; Helmholtz Imaging, Germany
| | - Fucang Jia
- Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, China
| | - Krishna Chaitanya Kaluva
- Medical Imaging and Reconstruction Lab, Department of Engineering Design, Indian Institute of Technology Madras, India
| | - Mahendra Khened
- Medical Imaging and Reconstruction Lab, Department of Engineering Design, Indian Institute of Technology Madras, India
| | | | - Jae-Hun Kim
- Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, South Korea
| | | | - Simon Kohl
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Tomasz Konopczynski
- Interdisciplinary Center for Scientific Computing (IWR), Heidelberg University, Germany
| | - Avinash Kori
- Medical Imaging and Reconstruction Lab, Department of Engineering Design, Indian Institute of Technology Madras, India
| | - Ganapathy Krishnamurthi
- Medical Imaging and Reconstruction Lab, Department of Engineering Design, Indian Institute of Technology Madras, India
| | - Fan Li
- Sensetime, Shanghai, China
| | - Hongchao Li
- Department of Computer Science, Guangdong University of Foreign Studies, China
| | - Junbo Li
- Philips Research China, Philips China Innovation Campus, Shanghai, China
| | - Xiaomeng Li
- Department of Electrical and Electronic Engineering, The University of Hong Kong, China
| | - John Lowengrub
- Departments of Mathematics, Biomedical Engineering, University of California, Irvine, USA; Center for Complex Biological Systems, University of California, Irvine, USA; Chao Family Comprehensive Cancer Center, University of California, Irvine, USA
| | - Jun Ma
- Department of Mathematics, Nanjing University of Science and Technology, China
| | - Klaus Maier-Hein
- Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Heidelberg, Germany; Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany; Helmholtz Imaging, Germany
| | | | - Hans Meine
- Fraunhofer MEVIS, Bremen, Germany; Medical Image Computing Group, FB3, University of Bremen, Germany
| | - Dorit Merhof
- Institute of Imaging & Computer Vision, RWTH Aachen University, Germany
| | - Akshay Pai
- Department of Computer Science, University of Copenhagen, Denmark
| | - Mathias Perslev
- Department of Computer Science, University of Copenhagen, Denmark
| | - Jens Petersen
- Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Jordi Pont-Tuset
- Eidgenössische Technische Hochschule Zurich (ETHZ), Zurich, Switzerland
| | - Jin Qi
- School of Information and Communication Engineering, University of Electronic Science and Technology of China, China
| | - Xiaojuan Qi
- Department of Electrical and Electronic Engineering, The University of Hong Kong, China
| | - Oliver Rippel
- Institute of Imaging & Computer Vision, RWTH Aachen University, Germany
| | | | - Ignacio Sarasua
- Institute for diagnostic and interventional radiology, Klinikum rechts der Isar, Technical University of Munich, Germany; Department of Child and Adolescent Psychiatry, Ludwig-Maximilians-Universität, Munich, Germany
| | - Andrea Schenk
- Fraunhofer MEVIS, Bremen, Germany; Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany
| | - Zengming Shen
- Beckman Institute, University of Illinois at Urbana-Champaign, USA; Siemens Healthineers, USA
| | - Jordi Torres
- Barcelona Supercomputing Center, Barcelona, Spain; Universitat Politecnica de Catalunya, Catalonia, Spain
| | - Christian Wachinger
- Department of Informatics, Technical University of Munich, Germany; Institute for diagnostic and interventional radiology, Klinikum rechts der Isar, Technical University of Munich, Germany; Department of Child and Adolescent Psychiatry, Ludwig-Maximilians-Universität, Munich, Germany
| | - Chunliang Wang
- Department of Biomedical Engineering and Health Systems, KTH Royal Institute of Technology, Sweden
| | - Leon Weninger
- Institute of Imaging & Computer Vision, RWTH Aachen University, Germany
| | - Jianrong Wu
- Tencent Healthcare (Shenzhen) Co., Ltd, China
| | | | - Xiaoping Yang
- Department of Mathematics, Nanjing University, China
| | - Simon Chun-Ho Yu
- Department of Imaging and Interventional Radiology, Chinese University of Hong Kong, Hong Kong, China
| | - Yading Yuan
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, NY, USA
| | - Miao Yue
- CGG Services (Singapore) Pte. Ltd., Singapore
| | - Liping Zhang
- Department of Imaging and Interventional Radiology, Chinese University of Hong Kong, Hong Kong, China
| | - Jorge Cardoso
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Spyridon Bakas
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, PA, USA; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, PA, USA
| | - Rickmer Braren
- German Cancer Consortium (DKTK), Germany; Institute for diagnostic and interventional radiology, Klinikum rechts der Isar, Technical University of Munich, Germany; Comprehensive Cancer Center Munich, Munich, Germany
| | - Volker Heinemann
- Department of Hematology/Oncology & Comprehensive Cancer Center Munich, LMU Klinikum Munich, Germany
| | | | - An Tang
- Department of Radiology, Radiation Oncology and Nuclear Medicine, University of Montréal, Canada
| | | | - Luc Soler
- Department of Surgical Data Science, Institut de Recherche contre les Cancers de l'Appareil Digestif (IRCAD), France
| | - Bram van Ginneken
- Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Hayit Greenspan
- Department of Biomedical Engineering, Tel-Aviv University, Israel
| | - Leo Joskowicz
- School of Computer Science and Engineering, the Hebrew University of Jerusalem, Israel
| | - Bjoern Menze
- Department of Informatics, Technical University of Munich, Germany; Department of Quantitative Biomedicine, University of Zurich, Switzerland
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8
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Tsui A, Tudosiu PD, Brudfors M, Jha A, Cardoso J, Ourselin S, Ashburner J, Rees G, Davis D, Nachev P. Predicting mortality in acutely hospitalised older patients: the impact of model dimensionality. BMC Med 2023; 21:10. [PMID: 36617542 PMCID: PMC9827638 DOI: 10.1186/s12916-022-02698-2] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 12/07/2022] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND The prediction of long-term mortality following acute illness can be unreliable for older patients, inhibiting the delivery of targeted clinical interventions. The difficulty plausibly arises from the complex, multifactorial nature of the underlying biology in this population, which flexible, multimodal models based on machine learning may overcome. Here, we test this hypothesis by quantifying the comparative predictive fidelity of such models in a large consecutive sample of older patients acutely admitted to hospital and characterise their biological support. METHODS A set of 804 admission episodes involving 616 unique patients with a mean age of 84.5 years consecutively admitted to the Acute Geriatric service at University College Hospital were identified, in whom clinical diagnoses, blood tests, cognitive status, computed tomography of the head, and mortality within 600 days after admission were available. We trained and evaluated out-of-sample an array of extreme gradient boosted trees-based predictive models of incrementally greater numbers of investigational modalities and modelled features. Both linear and non-linear associations with investigational features were quantified. RESULTS Predictive models of mortality showed progressively increasing fidelity with greater numbers of modelled modalities and dimensions. The area under the receiver operating characteristic curve rose from 0.67 (sd = 0.078) for age and sex to 0.874 (sd = 0.046) for the most comprehensive model. Extracranial bone and soft tissue features contributed more than intracranial features towards long-term mortality prediction. The anterior cingulate and angular gyri, and serum albumin, were the greatest intracranial and biochemical model contributors respectively. CONCLUSIONS High-dimensional, multimodal predictive models of mortality based on routine clinical data offer higher predictive fidelity than simpler models, facilitating individual level prognostication and interventional targeting. The joint contributions of both extracranial and intracranial features highlight the potential importance of optimising somatic as well as neural functions in healthy ageing. Our findings suggest a promising path towards a high-fidelity, multimodal index of frailty.
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Affiliation(s)
- Alex Tsui
- MRC Unit for Lifelong Health and Ageing at UCL, London, UK.
| | | | - Mikael Brudfors
- School of Imaging and Biomedical Engineering, King's College London, London, UK
- Wellcome Centre for Human Neuroimaging, UCL, London, UK
| | - Ashwani Jha
- UCL Queen Square Institute of Neurology, UCL, London, UK
| | - Jorge Cardoso
- School of Imaging and Biomedical Engineering, King's College London, London, UK
| | - Sebastien Ourselin
- School of Imaging and Biomedical Engineering, King's College London, London, UK
| | | | - Geraint Rees
- UCL Queen Square Institute of Neurology, UCL, London, UK
| | - Daniel Davis
- MRC Unit for Lifelong Health and Ageing at UCL, London, UK
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9
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Dorent R, Kujawa A, Ivory M, Bakas S, Rieke N, Joutard S, Glocker B, Cardoso J, Modat M, Batmanghelich K, Belkov A, Calisto MB, Choi JW, Dawant BM, Dong H, Escalera S, Fan Y, Hansen L, Heinrich MP, Joshi S, Kashtanova V, Kim HG, Kondo S, Kruse CN, Lai-Yuen SK, Li H, Liu H, Ly B, Oguz I, Shin H, Shirokikh B, Su Z, Wang G, Wu J, Xu Y, Yao K, Zhang L, Ourselin S, Shapey J, Vercauteren T. CrossMoDA 2021 challenge: Benchmark of cross-modality domain adaptation techniques for vestibular schwannoma and cochlea segmentation. Med Image Anal 2023; 83:102628. [PMID: 36283200 DOI: 10.1016/j.media.2022.102628] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 06/17/2022] [Accepted: 09/10/2022] [Indexed: 02/04/2023]
Abstract
Domain Adaptation (DA) has recently been of strong interest in the medical imaging community. While a large variety of DA techniques have been proposed for image segmentation, most of these techniques have been validated either on private datasets or on small publicly available datasets. Moreover, these datasets mostly addressed single-class problems. To tackle these limitations, the Cross-Modality Domain Adaptation (crossMoDA) challenge was organised in conjunction with the 24th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2021). CrossMoDA is the first large and multi-class benchmark for unsupervised cross-modality Domain Adaptation. The goal of the challenge is to segment two key brain structures involved in the follow-up and treatment planning of vestibular schwannoma (VS): the VS and the cochleas. Currently, the diagnosis and surveillance in patients with VS are commonly performed using contrast-enhanced T1 (ceT1) MR imaging. However, there is growing interest in using non-contrast imaging sequences such as high-resolution T2 (hrT2) imaging. For this reason, we established an unsupervised cross-modality segmentation benchmark. The training dataset provides annotated ceT1 scans (N=105) and unpaired non-annotated hrT2 scans (N=105). The aim was to automatically perform unilateral VS and bilateral cochlea segmentation on hrT2 scans as provided in the testing set (N=137). This problem is particularly challenging given the large intensity distribution gap across the modalities and the small volume of the structures. A total of 55 teams from 16 countries submitted predictions to the validation leaderboard. Among them, 16 teams from 9 different countries submitted their algorithm for the evaluation phase. The level of performance reached by the top-performing teams is strikingly high (best median Dice score - VS: 88.4%; Cochleas: 85.7%) and close to full supervision (median Dice score - VS: 92.5%; Cochleas: 87.7%). All top-performing methods made use of an image-to-image translation approach to transform the source-domain images into pseudo-target-domain images. A segmentation network was then trained using these generated images and the manual annotations provided for the source image.
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Affiliation(s)
- Reuben Dorent
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom.
| | - Aaron Kujawa
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Marina Ivory
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Spyridon Bakas
- Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Samuel Joutard
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Ben Glocker
- Department of Computing, Imperial College London, Department of Computing, London, United Kingdom
| | - Jorge Cardoso
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Marc Modat
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | | | - Arseniy Belkov
- Moscow Institute of Physics and Technology, Moscow, Russia
| | | | - Jae Won Choi
- Department of Radiology, Armed Forces Yangju Hospital, Yangju, Republic of Korea
| | | | - Hexin Dong
- Center for Data Science, Peking University, Beijing, China
| | - Sergio Escalera
- Artificial Intelligence in Medicine Lab (BCN-AIM) and Human Behavior Analysis Lab (HuPBA), Universitat de Barcelona, Barcelona, Spain
| | - Yubo Fan
- Vanderbilt University, Nashville, USA
| | - Lasse Hansen
- Institute of Medical Informatics, Universität zu Lübeck, Germany
| | | | - Smriti Joshi
- Artificial Intelligence in Medicine Lab (BCN-AIM) and Human Behavior Analysis Lab (HuPBA), Universitat de Barcelona, Barcelona, Spain
| | | | - Hyeon Gyu Kim
- School of Electrical and Electronic Engineering, Yonsei University, Seoul, Republic of Korea
| | | | | | | | - Hao Li
- Vanderbilt University, Nashville, USA
| | - Han Liu
- Vanderbilt University, Nashville, USA
| | - Buntheng Ly
- Inria, Université Côte d'Azur, Sophia Antipolis, France
| | - Ipek Oguz
- Vanderbilt University, Nashville, USA
| | - Hyungseob Shin
- School of Electrical and Electronic Engineering, Yonsei University, Seoul, Republic of Korea
| | - Boris Shirokikh
- Skolkovo Institute of Science and Technology, Moscow, Russia; Artificial Intelligence Research Institute (AIRI), Moscow, Russia
| | - Zixian Su
- University of Liverpool, Liverpool, United Kingdom; School of Advanced Technology, Xi'an Jiaotong-Liverpool University, Suzhou, China
| | - Guotai Wang
- School of Mechanical and Electrical Engineering, University of Electronic Science and Technology of China, Chengdu, China
| | - Jianghao Wu
- School of Mechanical and Electrical Engineering, University of Electronic Science and Technology of China, Chengdu, China
| | - Yanwu Xu
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, USA
| | - Kai Yao
- University of Liverpool, Liverpool, United Kingdom; School of Advanced Technology, Xi'an Jiaotong-Liverpool University, Suzhou, China
| | - Li Zhang
- Center for Data Science, Peking University, Beijing, China
| | - Sébastien Ourselin
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Jonathan Shapey
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom; Department of Neurosurgery, King's College Hospital, London, United Kingdom
| | - Tom Vercauteren
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
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10
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Costa G, Cardoso J, Goncalves L, Teixeira R. Early aortic valve replacement in asymptomatic severe aortic stenosis with preserved ejection fraction. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1593] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Aortic stenosis (AS) is the most common valvular disease in developed countries. Specific timing of intervention for asymptomatic patients with severe aortic stenosis and preserved ejection fraction remains controversial.
Purpose
To compare the outcomes of early aortic valve replacement (AVR) versus watchful waiting (WW) in asymptomatic AS patients with preserved ejection.
Methods
We systematically searched PubMed, Embase and Cochrane databases, in November 2021, for both interventional or observational studies comparing early-AVR with WW in the treatment of asymptomatic severeAS with preserved ejection fraction criteria. Random-effects meta-analysis was performed.
Results
Eight studies were included in which two were randomized clinical trials. A total of 2672 patients were included, providing a 642 pooled death events (327 in early-AVR and 941 in watchful waiting). In our meta-analysis, early-AVR revealed a significant lower all-cause mortality (pooled OR, 0.39; 95% CI [0.30, 0.51], P<0.01; I2=47%). Additionally, the early-AVR group presented a lower rate of cardiovascular mortality (pooled OR, 0.33; 95% CI [0.19, 0.56], P<0.01; I2=64%). Both strategies had similar rate of stroke (pooled OR, 1.30; 95% CI [0.39, 4.27], P=0.67; I2=0%) and myocardial infarction (pooled OR, 0.49; 95% CI [0.14, 1.78], P=0.28; I2=0%). Heart Failure hospitalizations presented a lower trend early-AVR group (pooled OR, 0.22; 95% CI [0.05, 1.08], P=0.36; I2=36%).
Conclusion
Our pooled data suggests that early-AVR strategy is preferable for asymptomatic severe AS patients with preserved ejection fraction.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- G Costa
- Centro hospitalar de Coimbra , Coimbra , Portugal
| | - J Cardoso
- Hospital Center of Vila Nova de Gaia/Espinho, Cardiothoracic Surgery , Vila Nova de Gaia , Portugal
| | - L Goncalves
- Coimbra Institute for Clinical and Biomedical Research , Coimbra , Portugal
| | - R Teixeira
- Centro Hospitalar Universitario de Coimbra , Coimbra , Portugal
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11
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Costa G, Cardoso J, Goncalves L, Teixeira R. Early intervention versus conservative management of asymptomatic severe aortic stenosis: a systematic review and meta-analysis. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1628] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Aortic stenosis (AS) is the most common valvular disease in developed countries. However, the specific timing of intervention for asymptomatic patients with severe AS remains controversial.
Purpose
To compare the outcomes of early aortic valve replacement (AVR) versus watchful waiting (WW) in asymptomatic patients with AS.
Methods
We systematically searched PubMed, Embase and Cochrane databases, in December 2021, for both interventional or observational studies comparing early AVR with WW in the treatment of asymptomatic severe AS. Random-effects meta-analysis was performed.
Results
Thirteen studies were included in which two were randomised clinical trials. A total of 4,679 patients were included, providing a 1,268 pooled death events (327 in early AVR and 941 in WW). Our meta-analysis showed a significantly lower all-cause mortality for the early-AVR compared with WW group, although with a moderate amount of heterogeneity between studies in the magnitude of the effect (pooled odds ratio [OR], 0.41; 95% confidence interval [CI] 0.34, 0.50, P<0.01; I2=60%). An early surgery strategy displayed a significantly lower cardiovascular mortality (pooled OR, 0.33; 95% CI [0.19, 0.56], P<0.01; I 2=64%) and heart failure hospitalisations (pooled OR 0.19; 95% CI [0.10, 0.39], P<0.01, I2=7%). However, both groups had similar rates of stroke (pooled OR 1.30; 95% CI [0.73, 2.29], P=0.36, I2=0%) and myocardial infarction (pooled OR 0.49; 95% CI [0.19, 1.27], P=0.14, I2=0%).
Conclusions
Our pooled data suggest that an early-AVR strategy is preferable for asymptomatic patients with severe AS.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- G Costa
- Centro hospitalar de Coimbra , Coimbra , Portugal
| | - J Cardoso
- Hospital Center of Vila Nova de Gaia/Espinho, Cardiothoracic Surgery , Vila Nova de Gaia , Portugal
| | - L Goncalves
- Coimbra Institute for Clinical and Biomedical Research , Coimbra , Portugal
| | - R Teixeira
- Centro Hospitalar Universitario de Coimbra , Coimbra , Portugal
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12
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Costa G, Cardoso J, Donato H, Goncalves L, Teixeira R. Concomitant tricuspid repair in mitral regurgitation surgery: a systematic review and meta-analysis. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1592] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Tricuspid Regurgitation (TR) is common in patients with severe mitral disease. However, the evidence is insufficient to inform a decision about whether to perform prophylactic tricuspid-valve repair during mitral-valve surgery in patients who have moderate TR or less-than-moderate regurgitation.
Purpose
To compare the outcomes of concomitant tricuspid repair in mitral valve surgery versus no concomitant tricuspid repair in less-than-severe TR patients.
Methods
We systematically searched PubMed, Embase and Cochrane databases, in December 2021, for interventional studies comparing concomitant tricuspid repair in mitral valve surgery versus no tricuspid intervention. Random-effects meta-analysis was performed.
Results
Four randomised trials were included, providing a total of 651 patients (323 in prophylactic tricuspid intervention group and 328 patients in conservative group). Our meta-analysis showed a similar all-cause mortality for concomitant prophylactic tricuspid repair compared with no tricuspid intervention (pooled OR, 0.54; 95% CI [0.25, 1.15], P=0.11; I2=0%). Additionally, there is a similar New York Heart Association (NYHA) III–IV classes in both groups, despite a lower trend in the tricuspid intervention group (pooled OR, 0.63; 95% CI [0.38, 1.06], P=0.08; I2=0%) (Figure 3). However, there was a significant lower progression of TR (pooled OR, 0.06; 95% CI [0.02, 0.24], P<0.01; I2=0%) and moderate-severe TR (pooled OR, 0.23; 95% CI [0.11, 0.46], P<0.01; I2=27%).
Conclusions
Our pooled analysis suggests that a tricuspid-valve repair at the time of mitral-valve surgery in patients with moderate or less-than-moderate TR does not impact perioperative or postoperative all-cause mortality, despite reducing TR severity and progression of TR following intervention.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- G Costa
- Centro hospitalar de Coimbra , Coimbra , Portugal
| | - J Cardoso
- Hospital Center of Vila Nova de Gaia/Espinho, Cardiothoracic Surgery , Vila Nova de Gaia , Portugal
| | - H Donato
- Centro Hospitalar Universitario de Coimbra , Coimbra , Portugal
| | - L Goncalves
- Coimbra Institute for Clinical and Biomedical Research , Coimbra , Portugal
| | - R Teixeira
- Centro Hospitalar Universitario de Coimbra , Coimbra , Portugal
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13
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Gouveia P, Ramos C, Brito J, Almeida TC, Cardoso J. Correction: The Difficulties in Emotion Regulation Scale - Short Form (DERS-SF): psychometric properties and invariance between genders. Psicol Reflex Crit 2022; 35:19. [PMID: 35781848 PMCID: PMC9253204 DOI: 10.1186/s41155-022-00225-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Patrícia Gouveia
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal.
| | - Catarina Ramos
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
| | - José Brito
- WDXRFLab, Center for Interdisciplinary Research Egas Moniz (CIIEM), Health Sciences Institute, Monte de Caparica, Portugal
| | - Telma C Almeida
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
| | - Jorge Cardoso
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
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14
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Lucena O, Borges P, Cardoso J, Ashkan K, Sparks R, Ourselin S. Informative and Reliable Tract Segmentation for Preoperative Planning. Front Radiol 2022; 2:866974. [PMID: 37492653 PMCID: PMC10365092 DOI: 10.3389/fradi.2022.866974] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 03/31/2022] [Indexed: 07/27/2023]
Abstract
Identifying white matter (WM) tracts to locate eloquent areas for preoperative surgical planning is a challenging task. Manual WM tract annotations are often used but they are time-consuming, suffer from inter- and intra-rater variability, and noise intrinsic to diffusion MRI may make manual interpretation difficult. As a result, in clinical practice direct electrical stimulation is necessary to precisely locate WM tracts during surgery. A measure of WM tract segmentation unreliability could be important to guide surgical planning and operations. In this study, we use deep learning to perform reliable tract segmentation in combination with uncertainty quantification to measure segmentation unreliability. We use a 3D U-Net to segment white matter tracts. We then estimate model and data uncertainty using test time dropout and test time augmentation, respectively. We use a volume-based calibration approach to compute representative predicted probabilities from the estimated uncertainties. In our findings, we obtain a Dice of ≈0.82 which is comparable to the state-of-the-art for multi-label segmentation and Hausdorff distance <10mm. We demonstrate a high positive correlation between volume variance and segmentation errors, which indicates a good measure of reliability for tract segmentation ad uncertainty estimation. Finally, we show that calibrated predicted volumes are more likely to encompass the ground truth segmentation volume than uncalibrated predicted volumes. This study is a step toward more informed and reliable WM tract segmentation for clinical decision-making.
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Affiliation(s)
- Oeslle Lucena
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
| | - Pedro Borges
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
- Medical Physics and Biomedical Engineering, University College London, London, United Kingdom
| | - Jorge Cardoso
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
| | - Keyoumars Ashkan
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
- King's College Hospital Foundation Trust, London, United Kingdom
| | - Rachel Sparks
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
| | - Sebastien Ourselin
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
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15
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Gouveia P, Ramos C, Brito J, Almeida TC, Cardoso J. The Difficulties in Emotion Regulation Scale - Short Form (DERS-SF): psychometric properties and invariance between genders. Psicol Reflex Crit 2022; 35:11. [PMID: 35522349 PMCID: PMC9076757 DOI: 10.1186/s41155-022-00214-2] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 04/19/2022] [Indexed: 11/26/2022] Open
Abstract
Background The understanding of how individuals manage their emotional experiences has flourished dramatically over the last decades, including assessing of emotion (dys)regulation. The Difficulties in Emotion Regulation Scale (DERS) is a well-validated and extensively used self-report instrument for emotion regulation problems. Despite the wide use of DERS in both clinical and research settings, its length potentially increases fatigue and frustration in respondents and limits its inclusion in brief research protocols. Consequently, a short-form version of the DERS (DERS-SF) was developed, which requires cross-cultural adaptations and the study of its reliability and validity. Objectives In order to address this issue, this study aimed to analyze the factorial structure and psychometric properties of the Portuguese version of DERS-SF and examine the DERS-SF factor structure invariance between men and women. Methods The sample comprised 646 participants aged between 18 and 66 years (M = 29.93, SD = 11.71). Results The correlated six-factor structure of the original version has an acceptable fit, good reliability, and convergent validity. Our results also suggested the invariance of the factor structure of the DERS-SF across genders. Conclusion The DERS-SF has good psychometric properties, and it may be useful for future research and clinical work to use this six-factor brief version and improve emotion regulation assessment.
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Affiliation(s)
- Patrícia Gouveia
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal.
| | - Catarina Ramos
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
| | - José Brito
- WDXRFLab, Center for Interdisciplinary Research Egas Moniz (CIIEM), Health Sciences Institute, Monte de Caparica, Portugal
| | - Telma C Almeida
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
| | - Jorge Cardoso
- Laboratório de Psicologia Egas Moniz (LabPSI), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Caparica, Portugal
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16
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Cardoso J, Ramos C, Brito J, Almeida TC. Predictors of Pornography Use: Difficulties in Emotion Regulation and Loneliness. J Sex Med 2022; 19:620-628. [PMID: 35165051 DOI: 10.1016/j.jsxm.2022.01.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 09/03/2021] [Revised: 01/03/2022] [Accepted: 01/07/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Pleasure-seeking reasons are the main drivers of pornography use (PU), but the regulation of unpleasant states, namely distraction from or suppression of negative emotions and stress relief, are other potential predictors of this behavior. AIM Our main objective is to develop an explanatory model of problematic PU, assessing difficulties in emotion regulation, loneliness, perceived stress, as well as age and gender as predictors. METHODS A cross-sectional study was conducted that included a total of 340 participants (M = 28.50 years, SD = 10.32). Self-report inventories were administered that measured problematic PU (PPCS), difficulties in emotion regulation (DERS-SF), loneliness (UCLALS-3), and perceived stress (PSS-10). RESULTS The findings were indicative of recreational PU, with only a small number of participants (4.6%) reporting a possible problematic PU. There were statistically significant gender differences (F(1,337) = 33.306, P ≤ .001), namely that men were more likely to report problematic PU (M = 36.03, SD = 21.30) than women (M = 25.32, SD = 9.24). Problematic PU was significantly and positively correlated either with difficulties in emotion regulation, loneliness, perceived stress and age. Stepwise multiple linear regression analysis showed that difficulties in emotion regulation (β = 0.259, P ≤ .001), loneliness (β = 0.209, P = .001), and gender (β = -0.377, P ≤ .001) define the best subset of predictors of problematic PU. Age and perceived stress were not selected as predictors in this subset. CLINICAL TRANSLATION The promotion of better emotion regulation abilities and strategies for adaptive coping with loneliness must be taken into consideration, namely in cases of problematic PU or compulsive sexual behavior disorder. STRENGTHS & LIMITATIONS Being a cross-sectional study with a convenience sample and the fact that these variables explain only a part of the explained variance of the problematic PU are the main limitations. Despite the limitations, the principal contribution of this study is the understanding that gender, difficulties in emotion regulation, and loneliness remain as main predictors of problematic PU, even when combined in the explanatory model. CONCLUSION The current study provides a better understanding of the predictors of problematic PU related with the reduction or avoidance of unpleasant states. Emotion regulation, loneliness, and perceived stress, studied simultaneously, provide a better understanding of the complex relationships between these factors and problematic PU. Difficulties in emotion regulation and loneliness are predictors of higher problematic PU, as well as the expected gender effect. Cardoso J, Ramos C, Brito J, et al. Predictors of Pornography Use: Difficulties in Emotion Regulation and Loneliness. J Sex Med 2022;19:620-628.
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Affiliation(s)
- Jorge Cardoso
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), LabPSI - Laboratório de Psicologia Egas Moniz, Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Caparica, Portugal.
| | - Catarina Ramos
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), LabPSI - Laboratório de Psicologia Egas Moniz, Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Caparica, Portugal
| | - José Brito
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Caparica, Portugal
| | - Telma C Almeida
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), LabPSI - Laboratório de Psicologia Egas Moniz, Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Caparica, Portugal
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17
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Pinto M, Rodrigues J, Santos S, Campainha S, Semedo L, Cardoso J. Relapse of Sarcoidosis After Lung Transplantation. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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18
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Notaro P, Cardoso J, Gerndt M. A Survey of AIOps Methods for Failure Management. ACM T INTEL SYST TEC 2021. [DOI: 10.1145/3483424] [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: 10/19/2022]
Abstract
Modern society is increasingly moving toward complex and distributed computing systems. The increase in scale and complexity of these systems challenges O&M teams that perform daily monitoring and repair operations, in contrast with the increasing demand for reliability and scalability of modern applications. For this reason, the study of automated and intelligent monitoring systems has recently sparked much interest across applied IT industry and academia. Artificial Intelligence for IT Operations (AIOps) has been proposed to tackle modern IT administration challenges thanks to Machine Learning, AI, and Big Data. However, AIOps as a research topic is still largely unstructured and unexplored, due to missing conventions in categorizing contributions for their data requirements, target goals, and components. In this work, we focus on AIOps for Failure Management (FM), characterizing and describing 5 different categories and 14 subcategories of contributions, based on their time intervention window and the target problem being solved. We review 100 FM solutions, focusing on applicability requirements and the quantitative results achieved, to facilitate an effective application of AIOps solutions. Finally, we discuss current development problems in the areas covered by AIOps and delineate possible future trends for AI-based failure management.
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Affiliation(s)
- Paolo Notaro
- Chair of Computer Architecture and Parallel Systems, Technical University of Munich, Germany and Huawei Munich Research Center, Munich, Bavaria, Germany
| | - Jorge Cardoso
- Department of Informatics Engineering/CISUC, University of Coimbra, Portugal and Huawei Munich Research Center, Munich, Bavaria, Germany
| | - Michael Gerndt
- Chair of Computer Architecture and Parallel Systems, Technical University of Munich, Bavaria, Germany
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Fernández‐Figueras M, Malvehi J, Tschandl P, Rutten A, Rongioletti F, Requena L, Kittler H, Kerl K, Kazakov D, Cribier B, Calonje E, André J, Kempf W, Cardoso J, Filosa A, Hetzer S, Kervarrec T, Llamas‐Velasco M, Valeska Matter A, Rickaby W, Saggini A, Vandersleyen V. Position paper on a simplified histopathological classification of basal cell carcinoma: results of the European Consensus Project. J Eur Acad Dermatol Venereol 2021; 36:351-359. [DOI: 10.1111/jdv.17849] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 11/11/2021] [Indexed: 12/26/2022]
Affiliation(s)
- M.T. Fernández‐Figueras
- Department of Pathology Hospital Universitari General de Catalunya Grupo Quironsalud & Universitat Internacional de Catalunya Sant Cugat del Vallés Spain
| | - J. Malvehi
- Department of Dermatology Hospital Clínic de Barcelona (Melanoma Unit) University of Barcelona IDIBAPS Barcelona & CIBERER Barcelona Spain
| | - P. Tschandl
- Department of Dermatology Medical University of Vienna Vienna Austria
| | - A. Rutten
- Dermatopathology Practice Friedrichshafen/Lake Constance Friedrichshafen Germany
| | - F. Rongioletti
- Dermatology Clinic IRCCS San Raffaele Hospital Vita Salute University Milan Italy
| | - L. Requena
- Department of Dermatology Fundación Jiménez Díaz Universidad Autónoma Madrid Spain
| | - H. Kittler
- Department of Dermatology Medical University of Vienna Vienna Austria
| | - K. Kerl
- Department of Dermatology University Hospital Zürich Zürich Switzerland
| | - D. Kazakov
- Sikl's Department of Pathology Medical Faculty in Pilsen Charles University in Prague Pilsen Czech Republic
| | - B. Cribier
- Dermatology Department University Hospital Strasbourg France
| | - E. Calonje
- St John's Institute of Dermatology St Thomas Hospital London UK
| | - J. André
- Department of Dermatology Centre Hospitalier Universitaire Saint‐Pierre Université Libre de Bruxelles Brussels Belgium
| | - W. Kempf
- Kempf Pfaltz Histologische Diagnostik Zurich Switzerland
- Department of Dermatology University Hospital Zurich Zürich Switzerland
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20
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Cardoso J, Ferreira T, Dores A. The psychological determinants of internet gaming disorder: Vulnerability to stress, psychological well-being, and comorbidity. Eur Psychiatry 2021. [PMCID: PMC9471561 DOI: 10.1192/j.eurpsy.2021.458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Introduction A variety of psychological determinants, such as vulnerability to stress, low levels of psychological well-being and several comorbidities, have been hypothesized to play a role in the development, and maintenance of Internet Gaming Disorder (IGD). However, evidence has been insufficient to sustain an overarching model of the causal pathways leading to IGD. Objectives . This study aimed to depict a model of the causal links between vulnerability to stress, psychological well-being, and symptoms of common mental disorders (e.g., depression, generalized anxiety, phobic anxiety, obsessive-compulsive disorder, somatization, and hostility). Methods . A community-based sample of Portuguese gamers (N = 153; Mage = 21.92; 15.29% female) completed measures of IGD (IGDS9-SF), mental health (SCL-90-R), psychological well-being (EBEP), and vulnerability to stress (23QVS). A machine learning algorithm – Greedy Fast Causal Inference – was used to infer a model of the causal pathways linking those psychological determinants to IGD. Results . Hostility and psychological well-being were directly involved with a subgroup of IGD symptoms (i.e., gaming used as escape, tolerance, withdrawal, and loss of control). Stress vulnerability and symptoms of mental disorders were only indirectly implicated in the causal pathways leading to IGD. Conclusions . It is likely that several psychological factors implicated in the causal pathways leading to IGD, have not been yet identified. Future research should directly test specific models of the causal pathways involved in the development and maintenance of IGD symptoms. Disclosure No significant relationships.
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21
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Reis J, Costa R, Figueiredo C, Silva J, Murinello N, Semedo L, Calvinho P, Cardoso J, Fragata J. Should We Assess the Donor's Lymph Nodes during Lung Procurement? How to Manage When Lymph Node Tuberculosis is Found. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.2048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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22
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James SN, Nicholas JM, Lane CA, Parker TD, Lu K, Keshavan A, Buchanan SM, Keuss SE, Murray-Smith H, Wong A, Cash DM, Malone IB, Barnes J, Sudre CH, Coath W, Prosser L, Ourselin S, Modat M, Thomas DL, Cardoso J, Heslegrave A, Zetterberg H, Crutch SJ, Schott JM, Richards M, Fox NC. A population-based study of head injury, cognitive function and pathological markers. Ann Clin Transl Neurol 2021; 8:842-856. [PMID: 33694298 PMCID: PMC8045921 DOI: 10.1002/acn3.51331] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 02/12/2021] [Indexed: 02/01/2023] Open
Abstract
Objective To assess associations between head injury (HI) with loss of consciousness (LOC), ageing and markers of later‐life cerebral pathology; and to explore whether those effects may help explain subtle cognitive deficits in dementia‐free individuals. Methods Participants (n = 502, age = 69–71) from the 1946 British Birth Cohort underwent cognitive testing (subtests of Preclinical Alzheimer Cognitive Composite), 18F‐florbetapir Aβ‐PET and MR imaging. Measures include Aβ‐PET status, brain, hippocampal and white matter hyperintensity (WMH) volumes, normal appearing white matter (NAWM) microstructure, Alzheimer’s disease (AD)‐related cortical thickness, and serum neurofilament light chain (NFL). LOC HI metrics include HI occurring: (i) >15 years prior to the scan (ii) anytime up to age 71. Results Compared to those with no evidence of an LOC HI, only those reporting an LOC HI>15 years prior (16%, n = 80) performed worse on cognitive tests at age 69–71, taking into account premorbid cognition, particularly on the digit‐symbol substitution test (DSST). Smaller brain volume (BV) and adverse NAWM microstructural integrity explained 30% and 16% of the relationship between HI and DSST, respectively. We found no evidence that LOC HI was associated with Aβ load, hippocampal volume, WMH volume, AD‐related cortical thickness or NFL (all p > 0.01). Interpretation Having a LOC HI aged 50’s and younger was linked with lower later‐life cognitive function at age ~70 than expected. This may reflect a damaging but small impact of HI; explained in part by smaller BV and different microstructure pathways but not via pathology related to AD (amyloid, hippocampal volume, AD cortical thickness) or ongoing neurodegeneration (serum NFL).
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Affiliation(s)
- Sarah-Naomi James
- MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.,Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Jennifer M Nicholas
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.,Department of Medical Statistics, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Christopher A Lane
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Thomas D Parker
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Kirsty Lu
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Ashvini Keshavan
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Sarah M Buchanan
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Sarah E Keuss
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Heidi Murray-Smith
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Andrew Wong
- MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom
| | - David M Cash
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Ian B Malone
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Josephine Barnes
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Carole H Sudre
- MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.,Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.,School of Biomedical Engineering and Imaging Sciences, King's College London, Institute of Nuclear Medicine, University College London Hospitals, London, United Kingdom.,Centre for Medical Image Computing, Department of Computer Science, University College London, London, United Kingdom
| | - William Coath
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Lloyd Prosser
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Sebastien Ourselin
- School of Biomedical Engineering and Imaging Sciences, King's College London, Institute of Nuclear Medicine, University College London Hospitals, London, United Kingdom
| | - Marc Modat
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.,School of Biomedical Engineering and Imaging Sciences, King's College London, Institute of Nuclear Medicine, University College London Hospitals, London, United Kingdom
| | - David L Thomas
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Jorge Cardoso
- School of Biomedical Engineering and Imaging Sciences, King's College London, Institute of Nuclear Medicine, University College London Hospitals, London, United Kingdom
| | - Amanda Heslegrave
- UK Dementia Research Institute at UCL, University College London, London, United Kingdom.,Department of Neurodegenerative Disease, UCL Institute of Neurology, London, United Kingdom
| | - Henrik Zetterberg
- UK Dementia Research Institute at UCL, University College London, London, United Kingdom.,Department of Neurodegenerative Disease, UCL Institute of Neurology, London, United Kingdom.,Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.,Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden
| | - Sebastian J Crutch
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Jonathan M Schott
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom
| | - Nick C Fox
- Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom.,UK Dementia Research Institute at UCL, University College London, London, United Kingdom
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23
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Eiber CD, Delbeke J, Cardoso J, de Neeling M, John SE, Won Lee C, Skefos J, Sun A, Prodanov D, McKinney Z. Preliminary Minimum Reporting Requirements for In-Vivo Neural Interface Research: I. Implantable Neural Interfaces. IEEE Open J Eng Med Biol 2021; 2:74-83. [PMID: 33997788 PMCID: PMC8118094 DOI: 10.1109/ojemb.2021.3060919] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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] [Indexed: 01/10/2023] Open
Abstract
The pace of research and development in neuroscience, neurotechnology, and neurorehabilitation is rapidly accelerating, with the number of publications doubling every 4.2 years. Maintaining this progress requires technological standards and scientific reporting guidelines to provide frameworks for communication and interoperability. The present lack of such neurotechnology standards limits the transparency, repro-ducibility, and meta-analysis of this growing body of literature, posing an ongoing barrier to research, clinical, and commercial objectives. Continued neurotechnological innovation requires the development of some minimal standards to promote integration between this broad spectrum of technologies and therapies. To preserve design freedom and accelerate the translation of research into safe and effective technologies with maximal user benefit, such standards must be collaboratively co-developed by the full range of neuroscience and neurotechnology stakeholders. This paper summarizes the preliminary recommendations of IEEE P2794 Standards Working Group, developing a Reporting Standard for in-vivo Neural Interface Research (RSNIR).
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Affiliation(s)
| | | | - Jorge Cardoso
- Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisbon 1649-028, Portugal
| | | | - Sam E John
- University of Melbourne, Melbourne 3010, Australia
| | | | | | - Argus Sun
- University of California, Los Angeles, CA 90095 USA
| | | | - Zach McKinney
- BioRobotics Institute and Center for Excellence in Robotics and AI, Scuola Superiore Sant'Anna, 56127 Pisa, Italy
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24
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Booth TC, Thompson G, Bulbeck H, Boele F, Buckley C, Cardoso J, Dos Santos Canas L, Jenkinson D, Ashkan K, Kreindler J, Huskens N, Luis A, McBain C, Mills SJ, Modat M, Morley N, Murphy C, Ourselin S, Pennington M, Powell J, Summers D, Waldman AD, Watts C, Williams M, Grant R, Jenkinson MD. A Position Statement on the Utility of Interval Imaging in Standard of Care Brain Tumour Management: Defining the Evidence Gap and Opportunities for Future Research. Front Oncol 2021; 11:620070. [PMID: 33634034 PMCID: PMC7900557 DOI: 10.3389/fonc.2021.620070] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 01/06/2021] [Indexed: 12/19/2022] Open
Abstract
Objectiv e To summarise current evidence for the utility of interval imaging in monitoring disease in adult brain tumours, and to develop a position for future evidence gathering while incorporating the application of data science and health economics. Methods Experts in 'interval imaging' (imaging at pre-planned time-points to assess tumour status); data science; health economics, trial management of adult brain tumours, and patient representatives convened in London, UK. The current evidence on the use of interval imaging for monitoring brain tumours was reviewed. To improve the evidence that interval imaging has a role in disease management, we discussed specific themes of data science, health economics, statistical considerations, patient and carer perspectives, and multi-centre study design. Suggestions for future studies aimed at filling knowledge gaps were discussed. Results Meningioma and glioma were identified as priorities for interval imaging utility analysis. The "monitoring biomarkers" most commonly used in adult brain tumour patients were standard structural MRI features. Interval imaging was commonly scheduled to provide reported imaging prior to planned, regular clinic visits. There is limited evidence relating interval imaging in the absence of clinical deterioration to management change that alters morbidity, mortality, quality of life, or resource use. Progression-free survival is confounded as an outcome measure when using structural MRI in glioma. Uncertainty from imaging causes distress for some patients and their caregivers, while for others it provides an important indicator of disease activity. Any study design that changes imaging regimens should consider the potential for influencing current or planned therapeutic trials, ensure that opportunity costs are measured, and capture indirect benefits and added value. Conclusion Evidence for the value, and therefore utility, of regular interval imaging is currently lacking. Ongoing collaborative efforts will improve trial design and generate the evidence to optimise monitoring imaging biomarkers in standard of care brain tumour management.
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Affiliation(s)
- Thomas C Booth
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom.,Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, United Kingdom
| | - Gerard Thompson
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | | | - Florien Boele
- Leeds Institute of Medical Research at St James's, St James's University Hospital, Leeds, United Kingdom.,Faculty of Medicine and Health, Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom
| | | | - Jorge Cardoso
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Liane Dos Santos Canas
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | | | - Keyoumars Ashkan
- Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, United Kingdom
| | | | - Nicky Huskens
- The Tessa Jowell Brain Cancer Mission, London, United Kingdom
| | - Aysha Luis
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom
| | - Catherine McBain
- Department of Oncology, Christie Hospital NHS Foundation Trust, Manchester, United Kingdom
| | - Samantha J Mills
- Department of Neuroradiology, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom
| | - Marc Modat
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Nick Morley
- Department of Radiology, Wales Research and Diagnostic PET Imaging Centre, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - Caroline Murphy
- King's College Trials Unit, King's College London, London, United Kingdom
| | - Sebastian Ourselin
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, United Kingdom
| | - Mark Pennington
- King's Health Economics, King's College London, London, United Kingdom
| | - James Powell
- Department of Oncology, Velindre Cancer Centre, Cardiff, United Kingdom
| | - David Summers
- Department of Neuroradiology, Western General Hospital, Edinburgh, United Kingdom
| | - Adam D Waldman
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Colin Watts
- Birmingham Brain Cancer Program, University of Birmingham, Birmingham, United Kingdom.,University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
| | - Matthew Williams
- Department of Neuro-oncology, Imperial College Healthcare NHS Trust, London, United Kingdom
| | - Robin Grant
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Michael D Jenkinson
- Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.,Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom
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25
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Dorent R, Booth T, Li W, Sudre CH, Kafiabadi S, Cardoso J, Ourselin S, Vercauteren T. Learning joint segmentation of tissues and brain lesions from task-specific hetero-modal domain-shifted datasets. Med Image Anal 2021; 67:101862. [PMID: 33129151 PMCID: PMC7116853 DOI: 10.1016/j.media.2020.101862] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 09/09/2020] [Accepted: 09/25/2020] [Indexed: 12/14/2022]
Abstract
Brain tissue segmentation from multimodal MRI is a key building block of many neuroimaging analysis pipelines. Established tissue segmentation approaches have, however, not been developed to cope with large anatomical changes resulting from pathology, such as white matter lesions or tumours, and often fail in these cases. In the meantime, with the advent of deep neural networks (DNNs), segmentation of brain lesions has matured significantly. However, few existing approaches allow for the joint segmentation of normal tissue and brain lesions. Developing a DNN for such a joint task is currently hampered by the fact that annotated datasets typically address only one specific task and rely on task-specific imaging protocols including a task-specific set of imaging modalities. In this work, we propose a novel approach to build a joint tissue and lesion segmentation model from aggregated task-specific hetero-modal domain-shifted and partially-annotated datasets. Starting from a variational formulation of the joint problem, we show how the expected risk can be decomposed and optimised empirically. We exploit an upper bound of the risk to deal with heterogeneous imaging modalities across datasets. To deal with potential domain shift, we integrated and tested three conventional techniques based on data augmentation, adversarial learning and pseudo-healthy generation. For each individual task, our joint approach reaches comparable performance to task-specific and fully-supervised models. The proposed framework is assessed on two different types of brain lesions: White matter lesions and gliomas. In the latter case, lacking a joint ground-truth for quantitative assessment purposes, we propose and use a novel clinically-relevant qualitative assessment methodology.
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Affiliation(s)
- Reuben Dorent
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom.
| | - Thomas Booth
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom; Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, United Kingdom
| | - Wenqi Li
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom; NVIDIA, Cambridge, United Kingdom
| | - Carole H Sudre
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom; Dementia Research Centre, UCL Institute of Neurology, UCL, London, United Kingdom; Department of Medical Physics, UCL, London, United Kingdom
| | - Sina Kafiabadi
- Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London, United Kingdom
| | - Jorge Cardoso
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom
| | - Sebastien Ourselin
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom
| | - Tom Vercauteren
- King's College London, School of Biomedical Engineering & Imaging Sciences, St. Thomas' Hospital, London, United Kingdom
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26
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Ghazi MM, Sørensen L, Pai A, Cardoso J, Modat M, Ourselin S, Nielsen M. Disease progression modeling‐based prediction of cognitive decline. Alzheimers Dement 2020. [DOI: 10.1002/alz.043850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | | | | | - Jorge Cardoso
- KCL School of Biomedical Engineering and Imaging Sciences London United Kingdom
| | - Marc Modat
- Translational Imaging Group Centre for Medical Image Computing, UCL London United Kingdom
| | - Sebastien Ourselin
- Translational Imaging Group Centre for Medical Image Computing, UCL London United Kingdom
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27
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Cash DM, Markiewicz PJ, Jiao J, Coath W, Modat M, Lane CA, Parker TD, Keuss SE, Buchanan SM, Burgos N, Dickson J, Barnes A, Cardoso J, Alves IL, Barkhof F, Thomas DL, Beasley D, Wong A, Schöll M, Richards M, Ourselin S, Fox NC, Schott JM. Comparison of static and dynamic analysis techniques for longitudinal analysis of amyloid PET. Alzheimers Dement 2020. [DOI: 10.1002/alz.045991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- David M Cash
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | | | - Jieqing Jiao
- UCL Centre for Medical Image Computing London United Kingdom
| | - William Coath
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | - Marc Modat
- KCL School of Biomedical Engineering and Imaging Sciences London United Kingdom
| | - Christopher A Lane
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | - Thomas D Parker
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | - Sarah E Keuss
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | - Sarah M Buchanan
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
| | | | - John Dickson
- UCL Institute of Nuclear Medicine London United Kingdom
| | - Anna Barnes
- UCL Institute of Nuclear Medicine London United Kingdom
| | - Jorge Cardoso
- KCL School of Biomedical Engineering and Imaging Sciences London United Kingdom
| | | | - Frederik Barkhof
- Amsterdam UMC VU University Medical Center Amsterdam Netherlands
- Queen Square Institute of Neurology and Centre for Medical Image Computing University College London United Kingdom
| | - David L Thomas
- UCL Queen Square Institute of Neurology London United Kingdom
| | - Daniel Beasley
- KCL School of Biomedical Engineering and Imaging Sciences London United Kingdom
| | - Andrew Wong
- MRC Unit for Lifelong Health and Ageing at UCL London United Kingdom
| | | | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL London United Kingdom
| | - Sebastien Ourselin
- KCL School of Biomedical Engineering and Imaging Sciences London United Kingdom
| | - Nick C Fox
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
- UK Dementia Research Institute London United Kingdom
| | - Jonathan M Schott
- Dementia Research Centre UCL Queen Square Institute of Neurology London United Kingdom
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28
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Saramago MA, Cardoso J, Leal I. Predicting Sexual Offenders' Specialization/Versatility: The Role of Impulsivity and Moral Reasoning. Sex Abuse 2020; 32:986-1011. [PMID: 31551009 DOI: 10.1177/1079063219878164] [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] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The main purpose of this exploratory study was to examine the predictive ability of impulsivity and moral reasoning on offending specialization/versatility. The latter was measured using the diversity index which calculates the amount of variation within an individual's criminal history. The sample consisted of 88 individuals convicted of sexual offenses incarcerated in a Portuguese prison. Group comparisons and multiple linear regression analyses on untransformed and corrected versions of the diversity index were conducted. Overall, the different versions of the diversity index presented disparate results. Individuals were found to be generally alike, but those convicted of rape tended to be more versatile than those who molested extrafamilial children. Moral reasoning was the strongest predictor of offending specialization/versatility, while impulsivity was mostly not statistically significant. A better understanding of these predictors' roles on offending specialization/versatility, as it relates to recidivism, is important to tailor successful interventions.
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Affiliation(s)
| | - Jorge Cardoso
- Instituto Universitário Egas Moniz, Monte de Caparica, Portugal
| | - Isabel Leal
- ISPA-Instituto Universitário, Lisboa, Portugal
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29
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Cardoso J, Almeida TC, Ramos C, Sousa S, Brito J. Bidirectional relationship between perceived stress and insomnia symptoms: the role of coping and quality of life. Sleep Biol Rhythms 2020. [DOI: 10.1007/s41105-020-00284-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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30
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Gouveia P, Bessa S, Oliveira H, Batista E, Aleluia M, Ip J, Costa J, Nuno L, Pinto D, Mavioso C, Anacleto J, Abreu N, Morgado P, Martinho M, Teixeira J, Carvalho P, Cardoso J, Alves C, Cardoso F, Cardoso M. A Breast 3D model as a possible tool for non-invasive tumour localization in breast surgery. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30736-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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31
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Jácome C, Pereira R, Almeida R, Amaral R, Correia MA, Mendes S, Vieira-Marques P, Ferreira JA, Lopes I, Gomes J, Vidal C, López Freire S, Méndez Brea P, Arrobas A, Valério M, Chaves Loureiro C, Santos LM, Couto M, Araujo L, Todo Bom A, Azevedo JP, Cardoso J, Emiliano M, Gerardo R, Lozoya C, Pinto PL, Castro Neves A, Pinto N, Palhinha A, Teixeira F, Ferreira-Magalhães M, Alves C, Coelho D, Santos N, Menezes F, Gomes R, Cidrais Rodrigues JC, Oliveira G, Carvalho J, Rodrigues Alves R, Moreira AS, Costa A, Abreu C, Silva R, Morête A, Falcão H, Marques ML, Câmara R, Cálix MJ, Bordalo D, Silva D, Vasconcelos MJ, Fernandes RM, Ferreira R, Freitas P, Lopes F, Almeida Fonseca J. Validation of App and Phone Versions of the Control of Allergic Rhinitis and Asthma Test (CARAT). J Investig Allergol Clin Immunol 2020; 31:270-273. [PMID: 32856596 DOI: 10.18176/jiaci.0640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C Jácome
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Pereira
- Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - R Almeida
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Amaral
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Dept. of Cardiovascular and Respiratory Sciences, Porto Health School, Polytechnic Institute of Porto, Porto, Portugal
| | - M A Correia
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - S Mendes
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - P Vieira-Marques
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - J A Ferreira
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - I Lopes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - J Gomes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - C Vidal
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - S López Freire
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - P Méndez Brea
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - A Arrobas
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Valério
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Chaves Loureiro
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L M Santos
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Couto
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - L Araujo
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - A Todo Bom
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J P Azevedo
- Imunoalergologia, Centro Hospitalar de Leiria, Leiria, Portugal
| | - J Cardoso
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - M Emiliano
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - R Gerardo
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - C Lozoya
- Serviço de Imunoalergologia, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, Castelo Branco, Portugal
| | - P L Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Castro Neves
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - N Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Palhinha
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - F Teixeira
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M Ferreira-Magalhães
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - C Alves
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - D Coelho
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
| | - F Menezes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - R Gomes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - J C Cidrais Rodrigues
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - G Oliveira
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - J Carvalho
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - R Rodrigues Alves
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A S Moreira
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Costa
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - C Abreu
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - R Silva
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - A Morête
- Serviço de Imunoalergologia, Hospital Infante D. Pedro, Centro Hospitalar Baixo Vouga, Aveiro, Portugal
| | - H Falcão
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M L Marques
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - R Câmara
- Serviço de Imunoalergologia, Serviço de Saúde da Região Autónoma da Madeira, Funchal, Portugal
| | - M J Cálix
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - D Bordalo
- Serviço de Pediatria, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal
| | - D Silva
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - M J Vasconcelos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - R M Fernandes
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - R Ferreira
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Clínica Universitária de Pediatria, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - P Freitas
- Bloco operatório, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - F Lopes
- MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
| | - J Almeida Fonseca
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
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32
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Goodkin O, Pemberton HG, Vos SB, Prados F, Das RK, Moggridge J, De Blasi B, Bartlett P, Williams E, Campion T, Haider L, Pearce K, Bargallό N, Sanchez E, Bisdas S, White M, Ourselin S, Winston GP, Duncan JS, Cardoso J, Thornton JS, Yousry TA, Barkhof F. Clinical evaluation of automated quantitative MRI reports for assessment of hippocampal sclerosis. Eur Radiol 2020; 31:34-44. [PMID: 32749588 PMCID: PMC7755617 DOI: 10.1007/s00330-020-07075-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 02/13/2020] [Revised: 05/07/2020] [Accepted: 07/15/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVES Hippocampal sclerosis (HS) is a common cause of temporal lobe epilepsy. Neuroradiological practice relies on visual assessment, but quantification of HS imaging biomarkers-hippocampal volume loss and T2 elevation-could improve detection. We tested whether quantitative measures, contextualised with normative data, improve rater accuracy and confidence. METHODS Quantitative reports (QReports) were generated for 43 individuals with epilepsy (mean age ± SD 40.0 ± 14.8 years, 22 men; 15 histologically unilateral HS; 5 bilateral; 23 MR-negative). Normative data was generated from 111 healthy individuals (age 40.0 ± 12.8 years, 52 men). Nine raters with different experience (neuroradiologists, trainees, and image analysts) assessed subjects' imaging with and without QReports. Raters assigned imaging normal, right, left, or bilateral HS. Confidence was rated on a 5-point scale. RESULTS Correct designation (normal/abnormal) was high and showed further trend-level improvement with QReports, from 87.5 to 92.5% (p = 0.07, effect size d = 0.69). Largest magnitude improvement (84.5 to 93.8%) was for image analysts (d = 0.87). For bilateral HS, QReports significantly improved overall accuracy, from 74.4 to 91.1% (p = 0.042, d = 0.7). Agreement with the correct diagnosis (kappa) tended to increase from 0.74 ('fair') to 0.86 ('excellent') with the report (p = 0.06, d = 0.81). Confidence increased when correctly assessing scans with the QReport (p < 0.001, η2p = 0.945). CONCLUSIONS QReports of HS imaging biomarkers can improve rater accuracy and confidence, particularly in challenging bilateral cases. Improvements were seen across all raters, with large effect sizes, greatest for image analysts. These findings may have positive implications for clinical radiology services and justify further validation in larger groups. KEY POINTS • Quantification of imaging biomarkers for hippocampal sclerosis-volume loss and raised T2 signal-could improve clinical radiological detection in challenging cases. • Quantitative reports for individual patients, contextualised with normative reference data, improved diagnostic accuracy and confidence in a group of nine raters, in particular for bilateral HS cases. • We present a pre-use clinical validation of an automated imaging assessment tool to assist clinical radiology reporting of hippocampal sclerosis, which improves detection accuracy.
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Affiliation(s)
- Olivia Goodkin
- Centre for Medical Image Computing (CMIC), University College London, London, UK. .,Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.
| | - Hugh G Pemberton
- Centre for Medical Image Computing (CMIC), University College London, London, UK.,Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - Sjoerd B Vos
- Centre for Medical Image Computing (CMIC), University College London, London, UK.,Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Epilepsy Society MRI Unit, Chalfont St Peter, UK
| | - Ferran Prados
- Centre for Medical Image Computing (CMIC), University College London, London, UK.,Universitat Oberta de Catalunya, Barcelona, Spain
| | - Ravi K Das
- Clinical, Educational and Health Psychology, University College London, London, UK
| | - James Moggridge
- Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Bianca De Blasi
- Department of Medical Physics and Bioengineering, University College London, London, UK
| | - Philippa Bartlett
- Epilepsy Society MRI Unit, Chalfont St Peter, UK.,Department of Clinical and Experimental Epilepsy, University College London, London, UK
| | - Elaine Williams
- Wellcome Trust Centre for Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - Thomas Campion
- Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Lukas Haider
- Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Vienna, Austria.,NMR Research Unit, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, University College London, London, UK
| | - Kirsten Pearce
- Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Nuria Bargallό
- Radiology Department, Hospital Clínic de Barcelona and Magnetic Resonance Image Core Facility, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Esther Sanchez
- Radiology & Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands
| | - Sotirios Bisdas
- Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Mark White
- Digital Services, University College London Hospital, London, UK
| | - Sebastien Ourselin
- Department of Medical Physics and Bioengineering, University College London, London, UK.,School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
| | - Gavin P Winston
- Epilepsy Society MRI Unit, Chalfont St Peter, UK.,Department of Clinical and Experimental Epilepsy, University College London, London, UK.,Department of Medicine, Division of Neurology, Queen's University, Kingston, Ontario, Canada
| | - John S Duncan
- Epilepsy Society MRI Unit, Chalfont St Peter, UK.,Department of Clinical and Experimental Epilepsy, University College London, London, UK
| | - Jorge Cardoso
- School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
| | - John S Thornton
- Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Tarek A Yousry
- Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK
| | - Frederik Barkhof
- Centre for Medical Image Computing (CMIC), University College London, London, UK.,Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, University College London, London, UK.,Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, UK.,Radiology & Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands
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Morais-Almeida M, Pité H, Cardoso J, Costa R, Robalo Cordeiro C, Silva E, Todo-Bom A, Vicente C, Agostinho Marques J. Strengths of breath-triggered inhalers in asthma management. Pulmonology 2020; 26:327-329. [PMID: 32474058 DOI: 10.1016/j.pulmoe.2020.04.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 04/25/2020] [Accepted: 04/28/2020] [Indexed: 11/24/2022] Open
Affiliation(s)
| | - H Pité
- Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital, Lisboa, Portugal; CEDOC (Chronic Diseases Research Center), NOVA Medical School, Lisboa, Portugal
| | - J Cardoso
- Pulmonology Department, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; NOVA Medical School, Lisboa, Portugal
| | - R Costa
- Family Medicine, Porto, Portugal; Coordinator of GRESP (Grupo de Estudos de Doenças Respiratórias da APMGF), Portugal
| | - C Robalo Cordeiro
- Pulmonology Department, Centro Hospitalar Universitário de Coimbra, Portugal; Faculty of Medicine, University of Coimbra, Portugal
| | - E Silva
- Family Medicine USF João Semana, Ovar, Aveiro, Portugal; Coordinator of GRESP Inhalers and Technical Devices Working Group, Portugal
| | - A Todo-Bom
- Immunoallergology Department, Centro Hospitalar Universitário de Coimbra, Portugal; Faculty of Medicine, University of Coimbra, Portugal
| | - C Vicente
- Family Medicine UCSP Soure, Coimbra, Portugal; Secretary of GRESP (Grupo de Estudos de Doenças Respiratórias da APMGF), Portugal
| | - J Agostinho Marques
- Pulmonology Department, Centro Hospitalar de São João, Porto, Portugal; Faculty of Medicine, University of Porto, Portugal
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Abstract
Sex offenders who cross over in victims' age, gender and relationship usually have a greater number of victims, which is associated with sexual recidivism. This investigation aimed to examine the prevalence of crossover index offending in Portugal, and to explore the predictive ability of sociodemographic and criminological variables on this outcome. A retrospective sample of 247 male individuals incarcerated for sex offenses in a Portuguese prison was drawn from official records. From those offenders with multiple victims (n = 94), 48% had victims of different age categories, 10% had both gendered victims, and 12% had intrafamilial and extrafamilial victims. Comparative statistics and logistic regressions were able to identify variables that distinguished noncrossover and crossover offenders and that predicted crossover, respectively. While likely underestimates of the prevalence of victim crossover, these findings are compared to previous international studies and provide a better understanding of the phenomenon.
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Affiliation(s)
| | - Jorge Cardoso
- Instituto Universitário Egas Moniz, Monte de Caparica, Portugal
| | - Isabel Leal
- ISPA-Instituto Universitário, Lisboa, Portugal
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35
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Abstract
AIM To review how machine learning (ML) is applied to imaging biomarkers in neuro-oncology, in particular for diagnosis, prognosis, and treatment response monitoring. MATERIALS AND METHODS The PubMed and MEDLINE databases were searched for articles published before September 2018 using relevant search terms. The search strategy focused on articles applying ML to high-grade glioma biomarkers for treatment response monitoring, prognosis, and prediction. RESULTS Magnetic resonance imaging (MRI) is typically used throughout the patient pathway because routine structural imaging provides detailed anatomical and pathological information and advanced techniques provide additional physiological detail. Using carefully chosen image features, ML is frequently used to allow accurate classification in a variety of scenarios. Rather than being chosen by human selection, ML also enables image features to be identified by an algorithm. Much research is applied to determining molecular profiles, histological tumour grade, and prognosis using MRI images acquired at the time that patients first present with a brain tumour. Differentiating a treatment response from a post-treatment-related effect using imaging is clinically important and also an area of active study (described here in one of two Special Issue publications dedicated to the application of ML in glioma imaging). CONCLUSION Although pioneering, most of the evidence is of a low level, having been obtained retrospectively and in single centres. Studies applying ML to build neuro-oncology monitoring biomarker models have yet to show an overall advantage over those using traditional statistical methods. Development and validation of ML models applied to neuro-oncology require large, well-annotated datasets, and therefore multidisciplinary and multi-centre collaborations are necessary.
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Affiliation(s)
- T C Booth
- School of Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London SE1 7EH, UK; Department of Neuroradiology, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
| | - M Williams
- Department of Neuro-oncology, Imperial College Healthcare NHS Trust, Fulham Palace Rd, London W6 8RF, UK
| | - A Luis
- School of Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London SE1 7EH, UK; Department of Radiology, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, UK
| | - J Cardoso
- School of Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London SE1 7EH, UK
| | - K Ashkan
- Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK
| | - H Shuaib
- Department of Medical Physics, Guy's & St. Thomas' NHS Foundation Trust, London SE1 7EH, UK; Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, SE5 8AF, UK
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Kanber B, Ruffle J, Cardoso J, Ourselin S, Ciccarelli O. Neurosense: deep sensing of full or near-full coverage head/brain scans in human magnetic resonance imaging. Neuroinformatics 2019; 18:333-336. [PMID: 31749021 DOI: 10.1007/s12021-019-09442-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Baris Kanber
- UCL Centre for Medical Image Computing, University College London, 90 High Holborn, Holborn, London, WC1V 6LJ, UK. .,Department of Medical Physics and Biomedical Engineering, University College London, London, UK. .,National Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK.
| | - James Ruffle
- Department of Radiology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Jorge Cardoso
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Sebastien Ourselin
- School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Olga Ciccarelli
- National Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK.,Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK
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Kanber B, Nachev P, Barkhof F, Calvi A, Cardoso J, Cortese R, Prados F, Sudre CH, Tur C, Ourselin S, Ciccarelli O. Erratum: Author Correction: High-dimensional detection of imaging response to treatment in multiple sclerosis. NPJ Digit Med 2019; 2:66. [PMID: 31341954 PMCID: PMC6635413 DOI: 10.1038/s41746-019-0144-7] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
[This corrects the article DOI: 10.1038/s41746-019-0127-8.].
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Affiliation(s)
- Baris Kanber
- 1Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, UK.,2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK.,3National Institute for Health Research (NIHR), University College London Hospitals Biomedical Research Centre (BRC), London, UK
| | - Parashkev Nachev
- 3National Institute for Health Research (NIHR), University College London Hospitals Biomedical Research Centre (BRC), London, UK.,4High Dimensional Neurology Group, Queen Square Institute of Neurology, University College London, London, UK
| | - Frederik Barkhof
- 1Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, UK.,2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK.,3National Institute for Health Research (NIHR), University College London Hospitals Biomedical Research Centre (BRC), London, UK.,5Department of Radiology & Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands
| | - Alberto Calvi
- 2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK
| | - Jorge Cardoso
- 6School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Rosa Cortese
- 2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK
| | - Ferran Prados
- 1Centre for Medical Image Computing, Department of Medical Physics and Biomedical Engineering, University College London, London, UK.,2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK
| | - Carole H Sudre
- 6School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Carmen Tur
- 2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK
| | - Sebastien Ourselin
- 6School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK
| | - Olga Ciccarelli
- 2Multiple Sclerosis Research Centre, NMR Research Unit, Department of Neuroinflammation, Queen Square Institute of Neurology, University College London, London, UK.,3National Institute for Health Research (NIHR), University College London Hospitals Biomedical Research Centre (BRC), London, UK
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Leijenaar JF, Groot C, Sudre CH, Bergeron D, Leeuwis AE, Cardoso J, Carrasco FP, Laforce R, Barkhof F, van der Flier WM, Scheltens P, Prins ND, Ossenkoppele R. O3-04-06: COMORBID AMYLOID-β PATHOLOGY AFFECTS NEUROPSYCHIATRIC, NEUROPSYCHOLOGICAL, AND IMAGING FEATURES IN VASCULAR COGNITIVE DISORDERS. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.4647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Jolien F. Leijenaar
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
| | - Colin Groot
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
| | - Carole H. Sudre
- University College London; London United Kingdom
- King's College London; London United Kingdom
| | | | - Anna E. Leeuwis
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
| | - Jorge Cardoso
- University College London; London United Kingdom
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | | | - Robert Laforce
- Centre de Recherche du CHU de Québec-Université Laval; Québec QC Canada
| | - Frederik Barkhof
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
- University College London; London United Kingdom
| | | | - Philip Scheltens
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
| | - Niels D. Prins
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
- Brain Research Center; Amsterdam Netherlands
| | - Rik Ossenkoppele
- Amsterdam Neuroscience; Vrije Universiteit Amsterdam, Amsterdam UMC; Amsterdam Netherlands
- Lund University; Lund Sweden
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Cash DM, Modat M, Coath W, Cardoso J, Markiewicz PJ, Lane CA, Parker TD, Keuss SE, Buchanan SM, Burgos N, Dickson J, Barnes A, Thomas DL, Beasley D, Malone IB, Erlandsson K, Thomas BA, Ourselin S, Fox NC, Richards M, Schott JM. P3-412: LONGITUDINAL RATES OF AMYLOID ACCUMULATION IN A 70-YEAR-OLD BRITISH BIRTH COHORT. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.3446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- David M. Cash
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Marc Modat
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - William Coath
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Jorge Cardoso
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | | | - Christopher A. Lane
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Thomas D. Parker
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Sarah E. Keuss
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Sarah M. Buchanan
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | | | - John Dickson
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Anna Barnes
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - David L. Thomas
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Daniel Beasley
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Ian B. Malone
- UCL Queen Square Institute of Neurology; London United Kingdom
| | | | - Ben A. Thomas
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Sebastien Ourselin
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Nick C. Fox
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL; London United Kingdom
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Coath W, Modat M, Cardoso J, Markiewicz PJ, Lane CA, Parker TD, Keuss SE, Buchanan SM, Burgos N, Dickson J, Barnes A, Thomas DL, Beasley D, Malone IB, Wong A, Thomas BA, Ourselin S, Richards M, Fox NC, Schott JM, Cash DM. IC-P-007: CENTILOID SCALE TRANSFORMATION OF FLORBETAPIR DATA ACQUIRED ON A PET/MR SCANNER. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.4169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- William Coath
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Marc Modat
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Jorge Cardoso
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | | | | | | | - Sarah E. Keuss
- UCL Queen Square Institute of Neurology; London United Kingdom
| | | | | | - John Dickson
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Anna Barnes
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - David L. Thomas
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Daniel Beasley
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Ian B. Malone
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Andrew Wong
- MRC Unit for Lifelong Health and Ageing at UCL; London United Kingdom
| | - Ben A. Thomas
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Sebastien Ourselin
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL; London United Kingdom
| | - Nick C. Fox
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | | | - David M. Cash
- UCL Queen Square Institute of Neurology; London United Kingdom
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Cash DM, Modat M, Coath W, Cardoso J, Markiewicz PJ, Lane CA, Parker TD, Keuss SE, Buchanan SM, Burgos N, Dickson J, Barnes A, Thomas DL, Beasley D, Malone IB, Erlandsson K, Thomas BA, Ourselin S, Fox NC, Richards M, Schott JM. IC-P-006: LONGITUDINAL RATES OF AMYLOID ACCUMULATION IN A 70-YEAR OLD BRITISH BIRTH COHORT. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.4168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- David M. Cash
- UCL Queen Square Institute of Neurology; London United Kingdom
| | - Marc Modat
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - William Coath
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Jorge Cardoso
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | | | - Christopher A. Lane
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Thomas D. Parker
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Sarah E. Keuss
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Sarah M. Buchanan
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | | | - John Dickson
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Anna Barnes
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - David L. Thomas
- Dementia Research Centre; UCL Institute of Neurology; London United Kingdom
| | | | - Ian B. Malone
- UCL Queen Square Institute of Neurology; London United Kingdom
| | | | - Ben A. Thomas
- UCL Institute of Nuclear Medicine; London United Kingdom
| | - Sebastien Ourselin
- KCL School of Biomedical Engineering and Imaging Sciences; London United Kingdom
| | - Nick C. Fox
- Dementia Research Centre; UCL Queen Square Institute of Neurology; London United Kingdom
| | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL; London United Kingdom
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Cardoso J, Ramos C, Almeida T. Portuguese Version of the Cyber Pornography Use Inventory-9: Psychometric Properties and Gender Invariance. J Sex Marital Ther 2019; 45:594-603. [PMID: 30912476 DOI: 10.1080/0092623x.2019.1594477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
We aimed to analyze the factor structure and the psychometric properties of the Portuguese version of the Cyber Pornography Use Inventory-9 (CPUI-9) and to verify the invariance between men and women. A total sample of 257 university students (153 women and 104 men) participated through a web survey. The results of confirmatory factor analysis showed that the three-factor structure of the original version of the CPUI-9 has a good model fit and good convergent and discriminant validities. The findings of the multigroup confirmatory factor analysis demonstrated non-invariance on factor structure across both genders, suggesting that the CPUI-9 should be applied with caution to men and women.
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Affiliation(s)
- Jorge Cardoso
- Centro de investigação interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz , Caparica , Portugal
| | - Catarina Ramos
- Centro de investigação interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz , Caparica , Portugal
| | - Telma Almeida
- Centro de investigação interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz , Caparica , Portugal
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Mota RL, Fonseca R, Santos JC, Covita AM, Marques N, Matias P, Simões H, Ramos C, Machado D, Cardoso J. Sexual Dysfunction and Satisfaction in Kidney Transplant Patients. J Sex Med 2019; 16:1018-1028. [PMID: 31010779 DOI: 10.1016/j.jsxm.2019.03.266] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Revised: 03/10/2019] [Accepted: 03/20/2019] [Indexed: 02/07/2023]
Abstract
INTRODUCTION 10% of the world's population suffers from chronic kidney disease. Kidney transplants provide an improvement in the quality of life of those patients. Sexual dysfunction is common after kidney transplantation, and its etiology is presumed to be multifactorial. It has a negative impact on sexual satisfaction and health-related quality-of-life. The integration of a new organ into the body can imply an adjustment of body image, which may eventually have a negative influence on intimacy and sexual behaviors. AIM To evaluate male sexual function, sexual satisfaction, and body image satisfaction among a convenience sample of patients who have had a kidney transplant. METHODS This is a cross-sectional study that included 460 patients, from a single healthcare center, who had undergone a kidney transplant procedure >4 weeks ago. A total of 112 respondents (mean = 55.5 years, SD = 11.4) answered the questionnaires properly. MAIN OUTCOME MEASURES All recruited patients answered a self-reported sociodemographic questionnaire, in addition to the International Index of Erectile function, the New Scale of Sexual Satisfaction, the Brief Symptom Inventory, and the Body Image Scale. RESULTS A correlation was found between sexual function and sexual satisfaction (r = 0.598, P < .001, n = 112), as well as between body image satisfaction and sexual function (r = -0.193, P = .042, n = 112). The length of time after a kidney transplant (≤ or >36 months) was not associated with a difference in sexual functioning or sexual satisfaction. CLINICAL IMPLICATIONS This study showed the obvious implications of sexual function on sexual satisfaction, which should alert healthcare professionals to the importance of identifying and managing sexual dysfunction in patients with chronic kidney disease, to optimize their global and sexual health satisfaction. STRENGTH & LIMITATIONS This study identified a high prevalence of sexual dysfunction among kidney transplant recipients. This should reinforce the need for the medical community to evaluate the quality-of-life domains of patients with chronic disease. There is still a lack of information concerning any longitudinal evaluation of kidney transplant patients' sexual function and the effects that this surgery has on sexuality. CONCLUSIONS This study corroborated the severe effects that kidney transplant patients often report regarding their sexuality. Among the patients who participated in the study, sexual function proved to be relevant in relation to sexual satisfaction. Mota RL, Fonseca R, Santos JC, et al. Sexual Dysfunction and Satisfaction in Kidney Transplant Patients. J Sex Med 2019;16:1018-1028.
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Affiliation(s)
- Renato Lains Mota
- Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
| | - Rita Fonseca
- Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal
| | - José Carlos Santos
- Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal
| | - Ana Mateus Covita
- Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal
| | | | - Patricia Matias
- Nephrology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Carnaxide, Portugal
| | - Hélder Simões
- Endocrinology Department at Instituto Português de Oncologia de Lisboa, Lisbon, Portugal
| | - Catarina Ramos
- Instituto Universitário Egas Moniz, ISPA- Instituto Universitário; ISPA - Instituto Superior de Psicologia Aplicada, Lisbon, Portugal
| | - Domingos Machado
- Nephrology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Carnaxide, Portugal
| | - Jorge Cardoso
- Instituto Universitário Egas Moniz, ISPA- Instituto Universitário; ISPA - Instituto Superior de Psicologia Aplicada, Lisbon, Portugal
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Salvador M, Almeida I, Cardoso J, Namorado S, Gonçalves S, Romana G. Excess weight of school backpacks: a study in Portuguese second cycle students. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M Salvador
- Unidade de Saúde Pública do Agrupamento de Centro de Saúde Dão Lafões, Portugal
| | - I Almeida
- Unidade de Saúde Pública do Agrupamento de Centro de Saúde Dão Lafões, Portugal
| | - J Cardoso
- Unidade de Saúde Pública do Agrupamento de Centro de Saúde Dão Lafões, Portugal
| | - S Namorado
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Portugal
| | - S Gonçalves
- Unidade de Saúde Pública do Agrupamento de Centro de Saúde Médio Tejo, Portugal
| | - G Romana
- Unidade de Saúde Pública do Agrupamento de Centro de Saúde Lisboa Norte, Portugal
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Saramago MA, Cardoso J, Leal I. Pornography Use by Sex Offenders at the Time of the Index Offense: Characterization and Predictors. J Sex Marital Ther 2019; 45:473-487. [PMID: 30896374 DOI: 10.1080/0092623x.2018.1562501] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The purpose of this study was to characterize and predict sex offenders' pornography consumption at the time of the index offense. Participants were 146 male sex offenders incarcerated in a Portuguese prison establishment. A semi-structured interview and the Wilson Sex Fantasy Questionnaire were administered. While for some individuals pornography did not appear to play a role in their offenses, there were others whose prolonged use led to more sex fantasies and urges to enact the visualized contents. As pornography does not have the same effects on all people, management officials should bear this in mind when tailoring specific treatment programs.
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Affiliation(s)
- Mariana A Saramago
- a William James Center for Research , ISPA-Instituto Universitário , Lisboa , Portugal
| | - Jorge Cardoso
- b Centro de investigação interdisciplinar Egas Moniz (CiiEM) , Instituto Universitário Egas Moniz , Monte da Caparica , Portugal
| | - Isabel Leal
- a William James Center for Research , ISPA-Instituto Universitário , Lisboa , Portugal
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Abstract
COPD is one of the major public health problems in people aged 40 years or above. It is currently the 4th leading cause of death in the world and projected to be the 3rd leading cause of death by 2020. COPD and cardiac comorbidities are frequently associated. They share common risk factors, pathophysiological processes, signs and symptoms, and act synergistically as negative prognostic factors. Cardiac disease includes a broad spectrum of entities with distinct pathophysiology, treatment and prognosis. From an epidemiological point of view, patients with COPD are particularly vulnerable to cardiac disease. Indeed, mortality due to cardiac disease in patients with moderate COPD is higher than mortality related to respiratory failure. Guidelines reinforce that the control of comorbidities in COPD has a clear benefit over the potential risk associated with the majority of the drugs utilized. On the other hand, the true survival benefits of aggressive treatment of cardiac disease and COPD in patients with both conditions have still not been clarified. Given their relevance in terms of prevalence and prognosis, we will focus in this paper on the management of COPD patients with ischemic coronary disease, heart failure and dysrhythmia.
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Affiliation(s)
- S André
- Pulmonology Department, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, EPE (CHLO), Lisbon, Portugal
| | - B Conde
- Pulmonology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - E Fragoso
- Pulmonology Department, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE (CHLN), Lisbon, Portugal
| | - J P Boléo-Tomé
- Pulmonology Department, Hospital Prof. Doutor Fernando Fonseca, EPE, Amadora, Portugal
| | - V Areias
- Pulmonology Department, Hospital de Faro, Centro Hospitalar do Algarve, EPE, Faro, Portugal; Department of Biomedical Sciences and Medicine, Algarve University, Portugal
| | - J Cardoso
- Pulmonology Department, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central, EPE (CHLC), Lisbon, Portugal; Nova Medical School, Nova University, Lisbon, Portugal.
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Gouveia P, Leal I, Cardoso J. Preventing and reducing school violence: development of a Student and Family Office—a pilot study. Educational Psychology in Practice 2018. [DOI: 10.1080/02667363.2018.1532875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Patrícia Gouveia
- Centro de Investigação Interdisciplinar Egas Moniz, Instituto Universitário Egas Moniz, Monte da Caparica, Portugal
- William James Center for Research, ISPA, Instituto Universitário, Lisbon, Portugal
| | - Isabel Leal
- William James Center for Research, ISPA, Instituto Universitário, Lisbon, Portugal
| | - Jorge Cardoso
- Centro de Investigação Interdisciplinar Egas Moniz, Instituto Universitário Egas Moniz, Monte da Caparica, Portugal
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Gomes A, Fernandes A, Ribeiro R, Cardoso J, Ramos C. 678 Perceived addiction to online pornography and sexual attitudes in Portuguese college students. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Marques N, Cardoso J. 472 Sexual dysfunction in portuguese women with type 2 diabetes. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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