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Histological subtypes of lung cancers are critical for clinical treatment decision. The aim of this study is to compare the diagnostic performance of multiple radiomics models in differentiating PGL and MIA in pulmonary GGN, in order to identify the most optimal diagnostic model. Patients presenting with GGNs on lung CT, confirmed as PGL or MIA through surgical pathology between October 2015 and June 2023, were included. The GGNs were randomly divided into training and validation sets at a 7:3 ratio. Clinical imaging characteristics were analyzed by univariate and multivariate logistic regression to identify independent risk factors for predicting MIA, leading to the development of a clinical model. ITK-SNAP and Pyradiomics were employed for segmentation and radiomics feature extraction. Subsequently, radiomics and combined models were established. The diagnostic performance of the three models was compared using ROC curves and quantitatively assessed by AUC, accuracy, specificity, and sensitivity. A total of 116 cases of GGNs with pathologically confirmed PGLs and MIAs were included. The clinical model identified three independent predictors. The radiomics model identified seven distinct radiomic features. A combined model was constructed by integrating clinical imaging features with radiomic features. In the training set, the combined model demonstrated a higher AUC than the radiomics model, with AUCs of 0.87 and 0.85 respectively. In the validation set, the radiomics model outperformed the combined model with an AUC of 0.83 versus 0.82. Notably, the radiomics model achieved the highest accuracy and specificity, while the combined model demonstrated the highest sensitivity. However, both models performed significantly better than the clinical model. The independent radiomics model can serve as a rapid, non-invasive diagnostic tool for differentiating between the PGL and MIA. [ABSTRACT FROM AUTHOR]

Objective To review the optimal techniques for localization and characterization of neck paragangliomas (PGL). Material and methods Systematic review of the literature from the PubMed/Medline database. Results Neck PGL are hypervascular tumours essentially arising from paraganglionic tissue situated at the carotid bifurcation (carotid body) and along the vagus nerve. Morphological and functional imaging are indicated to confirm the diagnosis, identify multifocal disease and for local and regional staging. MR angiography is the noninvasive technique of choice. CT scan and especially CT angiography are excellent alternatives for diagnosis and staging. Conventional arteriography remains useful preoperatively for embolization and occlusion tests. Functional imaging allows localization and characterization of PGLs. Somatostatin receptor scintigraphy (SRS) was the reference imaging technique for staging of sporadic PGLs. The indications for PET imaging have been extended over recent years in parallel with the development of new tracers such as [ 18 F]-FDOPA PET or 68 Gallium-labelled DOTA peptides. 68 Gallium-labelled DOTA peptides has become the first-line imaging modality in the evaluation of cervical PGLs, regardless of the genetic background. Conclusion Morphological and functional imaging is essential for the staging of neck PGL. [ABSTRACT FROM AUTHOR]

Studies have reported a wide range of inflammatory responses in the nerve, skin and plasma of leprosy patients. The expression levels of each biomolecule was individualistic, however could be categorized as high and low based on their statistical mean level. Here we report for the first time, expression of a set of biomolecules relating with each other in a defined proportion. The hypothesis of this paper is that the segregation of high and low combinations of a set of biomolecules follows either classical Mendelian dihybrid ratio or epistatic ratios. This hypothesis was tested for 17 molecules in three tissues; nerve, skin and plasma and were confirmed to interact in 9:7, 9:3:4, 12:3:1, 13:3, 15:1 epistatic proportions. These findings suggest that there could be a significant role of networking of molecules in defined epistatic proportions and could be important in pathophysiology of peripheral nerve. [ABSTRACT FROM AUTHOR]

Abstract: Mycobacterium bovis is an important pathogen of both domesticated and wild animals in many countries, and improved vaccines have great potential to assist in its control and eventual eradication. One of the hallmarks of members of the Mycobacterium tuberculosis complex, which includes both M. bovis and M. tuberculosis, is their ability to synthesise an impressive array of unique and complex lipids, many of which act as defensive, offensive or adaptive effectors of virulence. For example, studies focussed on the development of rationally attenuated strains of both M. bovis and M. tuberculosis with efficacy as animal or human vaccines have shown that the phthiocerol dimycocerosates (PDIMs) and glycosylphenol-PDIM (phenolic glycolipid, PGL) are key virulence factors. The availability of the genome sequences for M. bovis and M. tuberculosis, together with mutants of these organisms carrying defects in lipid biosynthesis, and biochemical and molecular tools to dissect lipid biosynthesis pathways, has enabled developments in our understanding of the biosynthesis of PDIMs and PGL, as well as the possible roles played by PDIMs and PGL in virulence. In this article we review some of these developments, and also propose a cryptic lipid biosynthesis pathway in M. bovis and M. tuberculosis that may be involved in the production of an unrecognised, virulence-associated lipopeptide. [Copyright &y& Elsevier]

Objective: Carotid body tumour (CBT) is a rare but the most common form of head and neck paraganglioma (PGL). We present the biggest ever series on CBT in UK/EU discussing diagnostic challenges, surgical treatment and complications of surgical intervention. Method: A detailed proforma was designed and sent to all members of Joint Vascular Reasearch Group (JVRG). Data of 95 patients was collected. Generic terms including carotid body tumour/s, or paraganglioma/s were used to search a variety of electronic database in order to get latest informations available in literature. Results: A total of 95 patients were recorded in our data from 1979 to 2005. Mean age of presentation was 55 years. Incidence was higher in females. CBT was more common on right side (58%). 18% tumours were bilateral. Neck lump (98%) and pressure symptoms including cranial nerve deficits and pain were main presenting complaints. About 18% of tumours were familial. Only 4.2% were malignant. Duplex scan is the best investigation for diagnosis, though MRI, DSA and CT scan are important for preoperative assessment. Surgery is the treatment of choice. Stroke and cranial nerve injury constitute postoperative morbidity (35%) and mortality (1%). Incidence of postoperative cranial nerve deficit was about 19%. Combined ipsilateral and contralateral recurrence rate was 4.2%. Conclusion: CBT is a rare condition which needs surgical excision by experienced vascular surgeon. Surgical resection is associated with significant morbidity of 35% and mortality of 1%. Mostly CBT is benign but malignant forms are not uncommon. [Copyright &y& Elsevier]

An extracellular endo-polygalacturonase (PGL) from the psychrophilic fungus, Mucor flavus was purified to homogeneity by two ion-exchange chromatography steps using CM-Sepharose CL 6B. The PGL with a molecular mass of 40 kDa by SDS–PAGE, 38.7 kDa by mass spectrometry and a pI above 8.3 was optimally active at 45 °C and between pH 3.5 and 5.5. It was stable up to 40 °C for 4 h and between pH 2.5 and 6.0 for 20 h at 20 °C. Activity and stability of PGL decreased rapidly above 50 °C. The PGL was active on polygalacturonic acid and esterified pectin, but the activity on pectin decreased with an increase in degree of esterification. The enzyme rapidly decreased the viscosity of polygalacturonic acid and 89% esterified pectin, but the amount of reducing sugars released from polygalacturonic acid was double that of from 89% esterified pectin. The PGL released a series of oligo-galacturonates from polygalacturonic acid and pectin. The concentration of oligo-galacturonates with DP above 5 was initially high and decreased with time. The enzyme preferentially hydrolysed the oligo-galacturonates with DP 5 and above in an endo-fashion and appeared to possess 6–7 sugar binding sites in its active site. A 39 amino acid sequence at the N-terminal of this PGL showed only 17–29% sequence identity with PGLs of glycoside hydrolase family 28. [Copyright &y& Elsevier]

Summary: Paragangliomas are rare tumours of the autonomic nervous system that occur in both sporadic and hereditary forms. They are usually benign tumours with low mortality, but can cause significant morbidity related to mass effect. Genetic predisposition to develop paraganglioma can occur within known tumour syndromes and familial tumours tend to present at a younger age and at multiple sites compared to sporadic tumours. Tumours should be diagnosed and excised as early as possible, as studies have shown morbidity to be directly related to tumour size. We present a case of a 14-year-old boy with multiple paraganglioma and a strong family history of paraganglioma. He suffered significant morbidity at resection of an extra-adrenal retroperitoneal tumour due to late diagnosis and was later unable to undergo excision of a head and neck paraganglioma due to its size and relation to neurovascular structures in the neck. We review the current literature on suggested genetic counselling (psychological counselling and DNA analysis) and radiological screening guidelines and recommend that genetic counselling should be offered to all patients with a family history of paraganglioma from the age of 5 years. Those positive for paternal paraganglioma locus gene should then undergo regular radiological screening with MRI. [Copyright &y& Elsevier]