Outcome after ischaemic stroke is adversely influenced by complications, especially ischaemic stroke progression, symptomatic hemorrhagic transformation, pneumonia, extracranial bleeding, and urinary tract infection. Interventions to prevent those complications might improve ischaemic stroke outcome.
Neuronal intranuclear inclusion disease (NIID), caused by an expansion of GGC repeats in the 5’-untranslated region of NOTCH2NLC, is an important but underdiagnosed cause of adult-onset leukoencephalopathies. The present study aimed to investigate the prevalence, clinical spectrum, and brain MRI characteristics of NIID in adult-onset nonvascular leukoencephalopathies and assess the diagnostic performance of neuroimaging features.
One hundred and sixty-one unrelated Taiwanese patients with genetically undetermined nonvascular leukoencephalopathies were screened for the NOTCH2NLC GGC repeat expansions using fragment analysis, repeat-primed PCR, southern blot analysis and/or nanopore sequencing with Cas9-mediated enrichment. Among them, 32 (19.9%) patients had an expanded NOTCH2NLC allele and diagnosed with NIID. We enrolled another two affected family members from one patient for further analysis. The size of the expanded NOTCH2NLC GGC repeats in the 34 patients ranged from 73 to 323 repeats. Skin biopsy from five patients all showed eosinophilic, p62-positive intranuclear inclusions in the sweat gland cells and dermal adipocytes.
Among the 34 NIID patents presenting with nonvascular leukoencephalopathies, the median age at symptom onset was 61 years (range, 41-78 years) and the initial presentations included cognitive decline (44.1%; 15/34), acute encephalitis-like episodes (32.4%; 11/34), limb weakness (11.8%, 4/34), and parkinsonism (11.8%; 4/34). Cognitive decline (64.7%; 22/34) and acute encephalitis-like episodes (55.9%; 19/34) were also the most common overall manifestations. Two-thirds of the patients had either bladder dysfunction or visual disturbance. Comparing the brain MRI features between the NIID patients and individuals with other undetermined leukoencephalopathies, corticomedullary junction curvilinear lesion on diffusion weighted imaging (DWI) was the best biomarker to diagnose NIID with high specificity (98.4%) and sensitivity (88.2%). However, such DWI abnormality was absent in 11.8% of the NIID patients. When only fluid-attenuated inversion recovery images were available, presence of white matter hyperintensity lesions (WMH) either in paravermis or middle cerebellar peduncles also favored the diagnosis of NIID with a specificity of 85.3% and a sensitivity of 76.5%. Among the ten patients’ MRI performed within 5 days of the onset of acute encephalitis-like episodes, five showed cortical DWI hyperintense lesions and two revealed focal brain edema.
In conclusion, NIID accounts for 19.9% (32/161) of patients with adult-onset genetically undiagnosed nonvascular leukoencephalopathies in Taiwan. Half of the NIID patients ever developed encephalitis-like episodes with restricted diffusion in the cortical regions at the acute stage DWI. Corticomedullary junction hyperintense lesions, WMH in paravermis or middle cerebellar peduncles, bladder dysfunction and visual disturbance are useful hints to diagnose NIID.
Calibrating the extrinsic parameters on a system of 3D Light Detection And Ranging (LiDAR) and the monocular camera is a challenging task, because accurate 3D-2D or 3D-3D point correspondences are hard to establish from the sparse LiDAR point clouds in the calibration procedure. In this paper, we propose a geometric calibration method for estimating the extrinsic parameters of the LiDAR-camera system. In this method, a novel combination of planar boards with chessboard patterns and auxiliary calibration objects are proposed. The planar chessboard provides 3D-2D and 3D-3D point correspondences. Auxiliary calibration objects provide extra constraints for stable calibration results. After that, a novel geometric optimization framework is proposed to utilize these point correspondences, thus leading calibration results robust to LiDAR sensor noise. Besides, we contribute an automatic approach to extract point clouds of calibration objects. In the experiments, our method has a superior performance over state-of-the-art calibration methods. Furthermore, we verify our method by computing depth map and improvements can also be found. These results demonstrate that our method performance on the LiDAR-camera system is applicable for future advanced visual applications.
In this study, surface enhanced Raman spectroscopy (SERS) was used to investigate the spectral characteristics of blood serum for the purpose of diagnosing stomach diseases. SERS spectral data was collected from patients with atrophic gastritis, both preoperation and post-operation gastric cancer, and from healthy individuals. Visual differences in the SERS spectra were observed between the four groups which indicate corresponding biomolecule concentration changes in blood. To further investigate the diagnostic ability of human serum, the spectral data was analyzed with three chemometric processes. These three methods extracted features and classified from the spectral data. Principal component analysis (PCA) was first performed to reduce the dimensionality of the original spectral data. Then, the classification methods support vector machine (SVM), linear discriminant analysis (LDA) and classification and regression tree (CART) were used for the evaluation of diagnostic ability. Accuracies of 96.5%, 88.8% and 87.1% were obtained for PCA-SVM, PCA-LDA and PCA-CART, respectively.
The amplitude and spatial phase of the intrinsic error field of Joint TEXT (J-TEXT) tokamak were measured by scanning the spatial phase of an externally exerted resonant magnetic perturbation and fitting the mode locking thresholds. For a typical plasma with current of 180 kA, the amplitude of the 2∕1 component of the error field at the plasma edge is measured to be 0.31 G, which is about 1.8 × 10(-5) relative to the base toroidal field. The measured spatial phase is about 317° in the specified coordinate system (r, θ, ϕ) of J-TEXT tokamak. An analytical model based on the dynamics of rotating island is developed to verify the measured phase.
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