AimTo determine the prevalence, number, and location of multiple (≥2) T2-hyperintensities on brain magnetic resonance imaging (MRI) in children with neurofibromatosis type 1 (NF1) and their correlation with age, and to establish their sensitivity, specificity, and accuracy for the diagnosis of NF1 in children, especially in the early age (2-7 years).MethodsWe performed a cross-sectional study of 162 patients with NF1 from Croatian Neurofibromatosis Association Database and 163 control children between the ages of 2 and 18 years who underwent brain MRI between 1989 and 2009.ResultsMultiple T2-hyperintensities were present in 74% of NF1 patients and 1.8% of controls. They were mainly located in the basal ganglia, brainstem, and cerebellum and were significantly decreased in prevalence and number in the older age. T2-hyperintensities had excellent diagnostic accuracy with the area under the receiver operating characteristic (ROC) curve of 0.849 and 95% confidence interval (CI) of 0.805-0.886. The diagnostic sensitivity, specificity, and accuracy rate of T2-hyperintensities for NF1 were highest in the youngest age (2-7 years): 81% (95% CI 71%-89.1%), 99% (95% CI 92.3%-100%), and 85.8 (95% CI 83.3-93.8), respectively.ConclusionThis study strongly suggests the inclusion of T2-hyperintensities on brain MRI on the list of diagnostic criteria for NF1, especially in children of early age, when the clinical penetration of the NF1 gene has not yet been completely finished.
Oriented fibres and materials based on orientated fibres have great potential for use in tissue engineering for tissues, where the arrangement of extracellular matrix is fundamental. The drawing method is based on mechanical pulling of a polymer solution out of its base droplet, resulting in a solidified fibre of determined geometrical characteristics. A new machine designed for lab scale drawing was invented enabling a repeatable quality of drawing conditions. The results demonstrate that it is possible to influence and define the fibre diameter and its distribution. From the in vitro experiments, it is evident that the aligned fibres guide the cell growth in the direction of the fibres. Moreover, the prepared fibres were functionalised with polypyrrole as an example of their versatility. These features make drawing an easy and suitable tool for the fabrication of scaffolds with a precise structure for tissues, e.g. nerve tissue.
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