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Archive for category: E-News

E-News

Pre-clinical studies use specialised ultrasound to detect presence of cancer

, 26 August 2020/in E-News /by 3wmedia

From the air, the twists and turns of rivers can easily be seen. In the body, however, tracing the twists and turns of blood vessels is difficult, but important. Vessel ‘bendiness’ can indicate the presence and progression of cancer.
This principle led UNC scientists to a new method of using a high-resolution ultrasound to identify early tumours in pre-clinical studies. The method, based on vessel bendiness or ‘tortuosity,’ potentially offers an inexpensive, non-invasive and fast method to detect cancer that could someday help doctors identify cancers when tumours are less than a centimetre in size.
Paul Dayton, PhD, associate professor of biomedical engineering explains, ‘The correlation between vessel tortuosity and cancer is well-established. What’s new about our finding is that we can visualise these vessels in minutes with a very quick scan, using very inexpensive imaging methods.’ Dr. Dayton is a member of UNC Lineberger Comprehensive Cancer Center.
The UNC team used a new high-resolution ultrasound method, called ‘acoustic angiography,’ with an intravascular contrast agent that allowed them to acquire images of only the blood vessels. ‘Unlike current clinical ‘grayscale’ ultrasound, this method filters out all tissue signals, so we can see small blood vessels clearly.’ says Dayton.
‘Our results showed a definitive difference between vessels within and surrounding tumours versus those associated with normal healthy vasculature. The limitation that we must now address is that our method works only for tumours at a shallow depth into tissue, such as melanomas or thyroid cancer. Our next studies will focus on this imaging-depth issue as well as evaluating the ability of this technology to determine a tumour

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Surgeons pilot expandable prosthetic valves for children with congenital heart disease

Cardiology, valves, 26 August 2020/in E-News /by 3wmedia

Surgeons at Boston Children’s Hospital have successfully implanted a modified version of a expandable prosthetic heart valve in several children with mitral valve disease. Unlike traditional prosthetic valves that have a fixed diameter, the expandable valve can be enlarged as a child grows, thus potentially avoiding the repeat valve replacement surgeries that are commonly required in a growing child. The new paradigm of expandable mitral valve replacement has potential to revolutionise care for infants and children with complex mitral valve disease.

The surgical team, led by Sitaram M. Emani, MD, and Pedro J. del Nido, MD, of the Department of Cardiac Surgery at Boston Children’s, have summarised their outcomes with two patients.

The care of patients with disease of the mitral valve

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Yoga proves to reduce depression in pregnant women, boost maternal bonding

, 26 August 2020/in E-News /by 3wmedia

It

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Mount Sinai performs first imaging test to detect Alzheimer’s Disease

, 26 August 2020/in E-News /by 3wmedia

The Mount Sinai Medical Center is the first institution in New York State to use in the clinical setting a newly approved imaging technique to detect Alzheimer’s disease (AD) in people who are cognitively impaired. Until now, physicians have been limited in their ability to diagnose AD, guided almost exclusively by a patient’s mental and behavioural symptoms and family history. The innovative technique

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Stereoscopic mammography could reduce recall rate

, 26 August 2020/in E-News /by 3wmedia

A new three-dimensional (3-D) digital mammography technique has the potential to significantly improve the accuracy of breast cancer screening, according to a study.
Two-dimensional (2-D) x-ray mammography, the current primary screening method for early detection of breast cancer in women, is a valuable tool but has some limitations. Surrounding normal tissue can mask lesions, and 2-D views do not provide direct information about the volumetric appearance

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Robotic surgery through the mouth safe for removing tumours of the voice box

, 26 August 2020/in E-News /by 3wmedia

Robotic surgery though the mouth is a safe and effective way to remove tumours of the throat and voice box, according to a study by head and neck cancer surgeons at the Ohio State University Comprehensive Cancer Center

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Strobe eyewear training improves visual memory

, 26 August 2020/in E-News /by 3wmedia

Stroboscopic training, performing a physical activity while using eyewear that simulates a strobe-like experience, has been found to increase visual short-term memory retention, and the effects last for 24 hours.
Participants in a Duke University study engaged in physical activities, such as playing catch, while using either specialised eyewear that limits vision to only brief snapshots or while using eyewear with clear lenses that provides uninterrupted vision. Participants from the Duke community, including varsity athletes, completed a computer-based visual memory test before and after the physical activities. The study found that participants who trained with the strobe eyewear gained a boost in visual memory abilities.
Participants completed a memory test that required them to note the identity of eight letters of the alphabet that were briefly displayed on a computer screen. After a variable delay, participants were asked to recall one of the eight letters. On easy-level trials, the recall prompt came immediately after the letters disappeared, but on more difficult trials, the prompt came as late as 2.5 seconds following the display. Because participants did not know which letter they would be asked to recall, they had to retain all of the items in memory.
‘Humans have a memory buffer in their brain that keeps information alive for a certain short-lived period,’ said Greg Appelbaum, assistant professor of psychiatry at Duke and first author of the study. ‘Wearing the strobe eyewear during the physical training seemed to boost the ability to retain information in this buffer.’
The strobe eyewear disrupts vision by only allowing the user to see glimpses of the world. Users must adjust their visual processing in order to perform normally, and this adjustment produces a lingering benefit: once participants removed the strobe eyewear, there was an observed boost in their visual memory retention that was found to still be active 24 hours later.
Earlier work by Appelbaum and the project’s senior researcher, Stephen Mitroff, had shown that stroboscopic training improves visual perception, including the ability to detect subtle motion cues and the processing of briefly presented visual information. Yet the earlier study had not determined how long the benefits might last.
‘Our earlier work on stroboscopic training showed that it can improve perceptual abilities, but we dont know exactly how,’ said Mitroff, associate professor of psychology and neuroscience and member of the Duke Institute for Brain Sciences. ‘This project takes a big step by showing that these improved perceptual abilities are driven, at least in part, by improvements in visual memory.’
‘Improving human cognition is an important goal with so many benefits,’ said Appelbaum, also a member of the Duke Institute for Brain Sciences. ‘Interestingly, our findings demonstrate one way in which visual experience has the capacity to improve cognition.’ Duke University

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Breast cancer scans possible with a 25 times reduced radiation dose

, 26 August 2020/in E-News /by 3wmedia

Scientists have developed a way to produce three-dimensional X-ray images of the breast at a radiation dose that is lower than the 2D radiography methods used in clinics today. The new method enables the production of 3D diagnostic computed tomography (CT) images with a spatial resolution 2-3 times higher than present hospital scanners, but with a radiation dose that is about 25 times lower. This breakthrough has the potential to overcome the main obstacle limiting conventional CT imaging of the breast: the high radio-sensitivity of the breast glandular tissue. Synchrotron X-rays at beamline ID17, the medical station of the ESRF, have been used to test the technique which, once deployed in hospitals, will make CT scans a diagnostic tool to complement dual view mammography.

The multidisciplinary team comprised physicists, radiologists and mathematicians from the European Synchrotron Radiation Facility (ESRF, Grenoble, France), the Ludwig Maximilians University in Munich (LMU, Cluster of Excellence MAP) and the University of California at Los Angeles (UCLA). The first authors are Yunzhe Zhao of UCLA and Emmanuel Brun of the LMU/ESRF.

Early detection contributes to an improved prognosis and results in reduced breast cancer mortality. The breast cancer screening method typically used today is ‘dual-view digital mammography’. The limitation is that it only provides two images of the breast tissue, which can explain why 10 percent to 20 percent of breast tumours are not detectable on mammograms. Mammograms can also sometimes appear abnormal, when no breast cancers are actually present.

Computed tomography (CT), an X-ray technique that allows a precise 3D visualisation of the human body organs, cannot be routinely used for breast cancer diagnosis because the risk of long-term effects in radiosensitive organs like the breast is considered too high.

Recognising these limitations, scientists have tackled the problem using a new approach. They combined three ingredients that together should now make CT scans for early detection of breast cancer become possible. These ingredients are: high energy X-rays, a special detection method called ‘phase contrast imaging’ and the use of a sophisticated novel mathematical algorithm, known as ‘equally sloped tomography’ (EST), to reconstruct the CT images from X-ray data. Tissues are more transparent to high energy X-rays and therefore less dose is deposited (a factor of 6 in radiation dose reduction). Phase contrast imaging, mastered by the ESRF and the LMU-MAP teams, allows the production of images using fewer X-rays to obtain the same image contrast. Finally, the EST method, originally developed by researchers at UCLA, needs 4 times less radiation to obtain the same image quality.

The team X-rayed a human breast at multiple different angles using phase contrast tomography and applied the EST algorithm to 512 images to produce higher resolution 3-D images of the organ than ever before and at a lower dose than a mammogram.

In a blind evaluation, five independent radiologists from the LMU ranked the generated images as having the highest sharpness, contrast, and overall image quality compared to 3-D images of breast tissue created through other standard methods.

‘This new technique can open up the doors to the clinical use of computed tomography in the breast diagnosis, which would be a powerful tool to fight even better and earlier against breast cancer’, says Prof. Maximilian Reiser, Director of the Radiology Department of the LMU, which provided the medical expertise for this research. ‘This result has been obtained thanks to the synergy of the expertise by researchers from very different disciplines. These high-quality X-ray CT images at high energies are the result of a 10-year effort at the ESRF’ says Alberto Bravin, head of the ESRF medical research laboratory who led the team in Grenoble. ‘After dramatically reducing the dose delivered during the examination of the breast, our next objective is to develop this technique in the early visualisation of other human diseases and to work towards its clinical implementation.’ adds Paola Coan, Professor of X-ray imaging at the LMU and member of the Munich-Centre for Advanced Photonics (MAP), who led the group from Munich.

ESRF
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New device to remove stroke-causing blood clots proves better than standard tool

, 26 August 2020/in E-News /by 3wmedia

Stroke is the fourth leading cause of death and a common cause of long-term disability in the United States, but doctors have very few proven treatment methods. Now a new device that mechanically removes stroke-causing clots from the brain is being hailed as a game-changer.
In a recent clinical trial, the SOLITAIRE Flow Restoration Device dramatically outperformed the standard mechanical treatment.

SOLITAIRE, which was approved by the U.S. Food and Drug Administration in March, is among an entirely new generation of devices designed to remove blood clots from blocked brain arteries in patients experiencing an ischemic stroke. It has a self-expanding, stent-like design, and once inserted into a blocked artery using a thin catheter tube, it compresses and traps the clot. The clot is then removed by withdrawing the device, reopening the blocked blood vessel.

‘This new device is significantly changing the way we can treat ischemic stroke,’ said the study’s lead author, Dr. Jeffrey L. Saver, director of the UCLA Stroke Center and a professor of neurology at the David Geffen School of Medicine at UCLA. ‘We are going from our first generation of clot-removing procedures, which were only moderately good in reopening target arteries, to now having a highly effective tool.’

Results of the study showed that the device opened blocked vessels without causing symptomatic bleeding in or around the brain in 61 percent of patients. The standard FDA

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Researchers develop secure protocol for linking data registries for HPV surveillance

, 26 August 2020/in E-News /by 3wmedia

Monitoring the effectiveness of the HPV vaccine in Canada requires that data from multiple registries and other data sources be combined. Linking registries can be problematic, however, since they are often managed by unrelated organisations. Privacy legislation may also restrict the sharing of data for such linkages. To address these challenges, Dr. Khaled El Emam and his team at the CHEO Research Institute have developed a secure protocol that allows the linking of individual patient records without revealing personal information.
According to Dr. El Emam, previous protocols were not secure or did not protect privacy; this new evidence-based protocol, however, is the strongest on record. It can be generalised for use in monitoring other conditions or diseases, or vaccination programs.
‘There is a need to do long-term evaluations of vaccines, and to monitor vaccination rates and how they vary by individual and family characteristics. Access to data to perform such surveillance is often challenging because of legitimate privacy concerns. Our protocol addresses these concerns directly and facilitates rapid data sharing,’ explained Dr. El Emam.
HPV, or the human papillomavirus, is one of the most prevalent sexually transmitted viral infections in the world, causing symptoms that range from genital warts to increased risk of cervical cancer. An effective preventative quadrivalent vaccine has been available in Canada since 2007 (and a second, bivalent vaccine was approved for use in 2010) and is regularly administered to girls through publicly funded school-based programs. The vaccine can potentially reduce health care costs and HPV-related illnesses and death, but the long-term effectiveness of the vaccine is not yet known. Further research is required to gauge the vaccine’s lasting impact on health and to inform policy decisions concerning the allocation of health resources.
The new protocol uses a number of cryptographic techniques, including a commutative hash function and homomorphic cryptosystem. The secure computation allows registries to match records on identifiers such as SIN, health card number and date of birth without revealing these values to anyone, and then perform analytics on the linked data without that linked data being disclosed. The protocol provides end-to-end privacy protection for surveillance programs and eliminates many concerns about sharing data.
‘We set out to assess the impact of the HPV vaccine by creating a secure protocol to link simulated databases on cancer, cervical screening, health care services and immunisation. Such linkage can only be done in an environment that is responsive to patient privacy concerns,’ explained Dr. El Emam. ‘The protocol we created would allow any public health unit to link databases from multiple sources and compute relevant statistics from linked data without revealing personal information, and hence, still provide strong patient privacy guarantees.’ Children’s Hospital of Eastern Ontario Research Institute

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