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Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is an early onset dementia characterized by axonal loss in the cerebral white matter with swollen axons (spheroids). It had been reported that the preferential thinning and "focal lesions" of the corpus callosum were observed on T2-weighted MRI in ALSP patients. The present study aimed to reveal the pathologic basis of them in relation to brain lesion staging (I~IV Oyanagi et al. 2017).
Seven autopsied brains of ALSP and five controls were neuropathologically examined.
Even at Stage I, corpus callosum body showed evident atrophy, and the atrophy advanced with stage progression. Spheroid size and density were maximal at Stage II in both centrum semiovale and corpus callosum body, but spheroids were larger in corpus callosum body than in centrum semiovale. Microglia in the body at Stage II had a larger cytoplasm than those in centrum semiovale. But spheroids and microglia in the "focal lesions" were identical with those of centrum semiovale.
Preferential thinning of corpus callosum was considered to be formed in relation to peculiar morphological alteration of microglia there in ALSP. Instead, "focal lesions" were formed in connection with the lesions in centrum semiovale.
Preferential thinning of corpus callosum was considered to be formed in relation to peculiar morphological alteration of microglia there in ALSP. Instead, "focal lesions" were formed in connection with the lesions in centrum semiovale.With the ever-expanding population of patients infected with SARS-CoV-2, we are learning more about the immediate and long-term clinical manifestations of coronavirus disease 2019 (COVID-19). Ischemic stroke (IS) is now one of the well-documented additional clinical manifestations of COVID-19. Most COVID-19 related IS cases have been categorized as cryptogenic or embolic stroke of undetermined source (ESUS), which are most often suspected to have an undiagnosed cardioembolic source. COVID-19 is known to also cause cardiac dysfunction, heart failure, and atrial arrhythmias (AA), but the long-term impact of this cardiac dysfunction on stroke incidence is unknown. With millions afflicted with COVID-19 and the ever-rising infection rate, it is important to consider the potential long-term impact of COVID-19 on future IS incidence. Accomplishing these goals will require novel strategies that allow for diagnosis, data capture, and prediction of future IS risk using tools that are adaptable to the evolving clinical challenges in patient care delivery and research.Radiation therapy for patients with prostate cancer is preferably provided with a full urinary bladder. Full bladder can potentially move the small intestine out of the radiation treatment regions, and results in decreased small bowel radiation dose and gastrointestinal toxicity. Maintaining consistent bladder filling during computerized tomography simulation scan used for treatment planning and at daily radiation treatments is challenging. Ispinesib Here we present an in-development urinary catheter with a floating balloon that drains the bladder only when urine reaches to a prespecified level, and review current methods used in clinic to ensure consistent bladder filling. These includes bladder filling protocols, ultrasound scanning and biofeedback techniques.
The hybrid magnetic resonance linear accelerator (MRL) has the potential to test novel concepts in breast cancer patients such as daily MR-guided real-time plan adaptation. Before starting clinical trials, preparatory studies for example of the MR-dependent electron stream effect (ESE) are necessary.
To prospectively investigate the ESE, data from 11 patients treated with partial breast irradiation (PBI) at the 1.5T MRL were evaluated. A bolus was placed on the chin and
dosimetry results were compared with the dose simulated by the treatment planning system (TPS). The same measurements were carried out for three patients treated at a conventional linac. Toxicity and cosmesis were evaluated.
Median doses measured and simulated on top/ underneath the bolus were 1.91 / 0.62Gy and 2.82 / 0.63Gy, respectively. Median differences between calculations and measurements were 0.8Gy and 0.1Gy. At the conventional linac, median measured doses on top/ underneath the bolus were 0.98 and 1.37Gy. No acute toxicity exceeding grade 2 was recorded. Cosmesis was good or excellent and patient reported outcome measures were mostly scored as none or mild.
The dose due to the ESE is low, correctly predicted by the TPS and effectively minimized by a bolus.
The dose due to the ESE is low, correctly predicted by the TPS and effectively minimized by a bolus.We report an extremely rare case of de novo intracranial squamous cell carcinoma of the cerebellopontine angle. The patient underwent craniotomy for debulking of the lesion to relieve mass effect on the brainstem and to establish a tissue diagnosis. Cancer staging revealed no other primary cancers and no evidence of metastatic disease. Postoperatively, he received image-guided intensity-modulated radiotherapy to the tumor bed followed by fractionated radiosurgery boost to the gross residual disease for a total average dose of 7000 cGy. He had a complete response to radiation and remains 42-months' disease-free post-treatment.[This corrects the article DOI 10.1016/j.ctro.2020.06.007.].[This corrects the article DOI 10.1016/j.ctro.2020.03.007.][This corrects the article DOI 10.1016/j.ctro.2019.03.003.][This corrects the article DOI 10.1016/j.ctro.2018.01.002.][This corrects the article DOI 10.1016/j.ctro.2018.09.001.][This corrects the article DOI 10.1016/j.ctro.2019.02.003.][This corrects the article DOI 10.1016/j.ctro.2018.09.006.][This corrects the article DOI 10.1016/j.ctro.2019.01.001.][This corrects the article DOI 10.1016/j.ctro.2018.05.001.][This corrects the article DOI 10.1016/j.ctro.2018.01.005.][This corrects the article DOI 10.1016/j.ctro.2020.02.005.][This corrects the article DOI 10.1016/j.ctro.2020.05.004.][This corrects the article DOI 10.1016/j.ctro.2018.01.006.][This corrects the article DOI 10.1016/j.ctro.2018.08.003.][This corrects the article DOI 10.1016/j.ctro.2019.04.016.][This corrects the article DOI 10.1016/j.ctro.2020.05.002.].
Website: https://www.selleckchem.com/products/Ispinesib-mesilate(SB-715992).html
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