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05) with bovine serum albumin/agarose concentration; minimal or negative correlations were found with underfitted data. Additionally, a bootstrap analysis demonstrated that significant biases occur in MT parameter estimates (P less then .001) when unmodeled CEST data are included in the analysis. CONCLUSIONS These results indicate that current practices of simultaneously fitting both CEST and MT effects in model-based analyses can lead to significant bias in all parameter estimates unless a sufficiently detailed model is utilized. Therefore, care must be taken when quantifying CEST and MT effects in vivo by properly modeling data to minimize these biases. © 2020 The Authors. Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.Perfluoroalkyl substances (PFAS) are pervasive in aquatic systems globally and capable of causing detrimental effects on human and wildlife health. However, most studies are conducted under artificial conditions that are not representative of environmental exposures. Environmental exposures are characterized by multiple routes of exposure, low aquatic PFAS levels, and greater environmental variability than laboratory tests. Determining whether these factors influence toxicity is critical for understanding the effects of PFAS on aquatic life, including amphibians. Our goal was to assess the impact of PFAS on an amphibian under semi-realistic conditions. We reared northern leopard frog (Rana pipiens) larvae in outdoor mesocosms containing sediment spiked to low, medium, and high levels (nominally 10, 100, or 1000 ppb dw) of perfluorooctanesulfonic acid (PFOS) or perfluorooctanoic acid (PFOA) for 30 days. Larvae in all PFOS treatments and the medium-PFOA treatment were ~1.5 Gosner stages less developed than control animals after 30 days. Notably, these developmental delays were observed at PFOS concentrations in the water as low as 0.06 ppb, which is considerably lower than levels associated with developmental effects in laboratory studies. Our results suggest that deriving toxicity values from laboratory studies examining aquatic exposure only may underestimate the effects of environmental PFAS exposure. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.PURPOSE To evaluate the sensitivity of stimulated-echo acquisition mode (STEAM) and pulsed-gradient spin-echo (PGSE) diffusion tensor imaging (DTI) acquisitions with different diffusion times for measuring renal tissue anisotropy. METHODS Twelve healthy volunteers underwent an MRI examination at a 3T scanner including STEAM and PGSE DTI with variable diffusion times Δ (20.3, 37 and 125 ms). Three volunteers were scanned twice to test the reproducibility for repeated examinations. Diffusion parameters fractional anisotropy (FA) and apparent diffusion coefficient (ADC) in the automatically segmented cortical and medullary regions of interests in both kidneys were calculated and averaged over all subjects for further analysis. Moreover, 5-grade qualitative evaluation of the FA and ADC maps from each sequence was conducted by two experienced radiologists in a consensus. RESULTS The cortex-medulla difference in the STEAM sequence was significantly higher than that in PGSE with short ∆ = 20.3 ms (P less then 0.001) and in PGSE with intermediate ∆ = 37 ms (P less then 0.05) diffusion times. Reproducibility of the FA/ADC measurements was very good and comparable for all acquisition modes investigated. For the FA maps, the PGSE sequence with intermediate diffusion time scored highest in the subjective visual assessment of radiologists. CONCLUSION The delineation of anisotropy in renal tissue is depending on the used diffusion time of the DTI sequence. A PGSE acquisition at a diffusion time of about 37 ms provides reproducible results with optimal corticomedullary contrast in FA and ADC maps and good image quality. © 2020 International Society for Magnetic Resonance in Medicine.EGFR-mutant lung adenocarcinoma transformation to squamous cell carcinoma appears to be a mechanism of acquired EGFR tyrosine kinase inhibitor (TKI) resistance. It is challenging for treatment, because the therapeutic strategies to adopt in these cases are still unclear. The prognosis after transformation is generally poor, and treatment is largely ineffective. This article is protected by copyright. All rights reserved.DISEASE OVERVIEW Epstein Barr virus-positive (EBV+) diffuse large B-cell lymphoma (DLBCL), not otherwise specified (NOS) is an entity included in the 2016 WHO classification of lymphoid neoplasms. EBV+ DLBCL, NOS, is an aggressive B-cell lymphoma associated with chronic EBV infection, and a poor prognosis with standard chemotherapeutic approaches. DIAGNOSIS The diagnosis is made through a careful pathological evaluation. Detection of EBV-encoded RNA (EBER) is considered standard for diagnosis; however, a clear cutoff for positivity has not been defined. The differential diagnosis includes plasmablastic lymphoma (PBL), DLBCL associated with chronic inflammation and primary effusion lymphoma (PEL), among others. RISK-STRATIFICATION The International Prognostic Index (IPI) and the Oyama score can be used for risk-stratification. The Oyama score includes age >70 years and presence of B symptoms. The expression of CD30 and PD-1/PD-L1 are emerging as potential adverse but targetable biomarkers. MANAGEMENT Patients with EBV+ DLBCL, NOS, should be staged and managed following similar guidelines than patients with EBV-negative DLBCL. EBV+ DLBCL, NOS, however, might have a worse prognosis than EBV-negative DLBCL in the era of chemoimmunotherapy. There is an opportunity to study and develop targeted therapy in the management of patients with EBV+ DLBCL, NOS. © 2020 Wiley Periodicals, Inc.Estrogen toxicity has been an area of priority in aquatic toxicology over the last 20 years. Currently, the estrogen toxicity is primarily linked to classical estrogen signalling, ERα and ERβ, interaction. Recent evidence has indicated that a rapid, non-genomic, non-classical estrogen signaling pathway exists via the G protein coupled estrogen receptor (GPER). AZD8186 clinical trial GPER is expressed in many biological systems, with roles in the cardiovascular system. The objective of this research was to investigate the effect of 17α-ethinylestradiol (EE2) on the heart rate of embryonic Japanese medaka (Oryzias latipes). A significant decrease (bradycardia) in embryonic heart rate was observed in all treatment concentrations (0.1 ng/L, 1 ng/L, 10 ng/L, 100 ng/L, and 1000 ng/L EE2) at 144 hpf, 168 hpf, and 192 hpf (P≤0.05). While 120 hpf and 216 hpf embryos experienced a significant a decrease from the control at 10 ng/L, 100 ng/L, and 1000 ng/L EE2, and 0.1 ng/L, 100 ng/L, and 1000 ng/L EE2 respectively (P≤0.05). Additionally, using select estrogen receptor modulators (ERMs) it was demonstrated that estrogen induced bradycardia appears to be linked to GPER and not ERα and ERβ.
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