The respiratory motion of several anatomic regions (right hemidiaphragm, left ventricle of the heart, chest wall, abdominal wall) was investigated during free breathing in 10 healthy volunteers by using multinavigator technology and real-time magnetic resonance (MR) imaging. The respiratory motion shows hysteretic effects, which are strongly subject dependent and might have some effect on the quality of cardiac MR images.

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The aim of this study was to evaluate reactively enlarged cervical lymph nodes and nodal metastases in patients with squamous cell carcinoma, as well as nodes involved by malignant lymphoma, by means of colour Doppler ultrasound (CDUS) and to describe perfusion sites for each nodal group in order to determine if typical flow patterns exist for nodes with different pathology. In a prospective study, 63 untreated patients with palpable cervical lymph node enlargement (n = 208) underwent examination with CDUS. The sites of perfusion were subdivided into three groups: central, peripheral and hilar perfusion. The intensity of perfusion was subjectively quantified in a semiquantitative scale from 0 (no perfusion) to III (high perfusion). Finally, the overall perfused area of the lymph nodes was measured and the percentage of perfused nodal area was calculated. CDUS showed perfusion in 178 of 208 lymph nodes. Histological examination showed 49 reactively enlarged lymph nodes, 82 containing metastases and 47 with lymphoma. Reactively enlarged lymph nodes showed characteristically intense hilar perfusion (91.8%), whereas nodal metastases had mainly peripherally located flow (84.1%) of intensity grades I-III. Lymph nodes invaded by malignant lymphoma were highly perfused, showing colour signals in the centre as well as in the nodal periphery (78.7%). In conclusion, perfusional patterns may provide useful additional information in the differential diagnosis of cervical lymphadenopathy.

E26 transforming sequence-related gene (ERG) is a transcription factor involved in normal hematopoiesis and is dysregulated in leukemia. ERG mRNA overexpression was associated with poor prognosis in a subset of patients with T-cell acute lymphoblastic leukemia (T-ALL) and acute myeloid leukemia (AML). Herein, a genome-wide screen of ERG target genes was conducted by chromatin immunoprecipitation-on-chip (ChIP-chip) in Jurkat cells. In this screen, 342 significant annotated genes were derived from this global approach. Notably, ERG-enriched targets included WNT signaling genes: WNT11, WNT2, WNT9A, CCND1 and FZD7. Furthermore, chromatin immunoprecipitation (ChIP) of normal and primary leukemia bone marrow material also confirmed WNT11 as a target of ERG in six of seven patient samples. A larger sampling of patient diagnostic material revealed that ERG and WNT11 mRNA were coexpressed in 80% of AML (n ¼ 30) and 40% in T-ALL (n ¼ 30) bone marrow samples. Small interfering RNA (siRNA)-mediated knockdown of ERG confirmed downregulation of WNT11 transcripts. Conversely, in a tet-on ERG-inducible assay, WNT11 transcripts were costimulated. A WNT pathway agonist, 6-bromoindirubin-3-oxime (BIO), was used to determine the effect of cell growth on the ERG-inducible cells. The addition of BIO resulted in an ERG-dependent proliferative growth advantage over ERG-uninduced cells. Finally, ERG induction prompted morphological transformation whereby round unpolarized K562 cells developed elongated protrusions and became polarized. This morphological transformation could effectively be inhibited with BIO and with siRNA knockdown of WNT11. In conclusion, ERG transcriptional networks in leukemia converge on WNT signaling targets. Specifically, WNT11 emerged as a direct target of ERG. Potent ERG induction promoted morphological transformation through WNT11 signals. The findings in this study unravel new ERG-directed molecular signals that may contribute to the resistance of current therapies in acute leukemia patients with poor prognosis characterized by high ERG mRNA expression.