Convenient Method For Diagnosis Research Articles

Development of a droplet digital PCR method for the sensitive detection and quantification of largemouth bass ranavirus.

Largemouth bass ranavirus (LMBRaV), also known as largemouth bass virus (LMBV), is a high mortality pathogen in largemouth bass. A rapid, sensitive, specific and convenient diagnosis method is an urgent requirement for the prevention of virus transmission. In the present study, a droplet digital PCR (ddPCR) method based on the major capsid protein (mcp) gene was established to detect and quantify the virus genome copy number. Oligonucleotide primers were designed based on the LMBRaV mcp gene sequence. The specificity and sensitivity of ddPCR assay were analysed. The other aquatic virus including Chinese giant salamander iridovirus (GSIV), Cyprinid herpesvirus II (CyHV-2) and infectious spleen and kidney necrosis virus could not be detected by LMBRaV ddPCR assay. The detection limit of ddPCR assay was 2 ± 0.37 copies/μl DNA sample. And this ddPCR assay had great repeatability and reproducibility. In clinical diagnosis of 50 largemouth bass, 43 positive samples were detected by ddPCR, whereas only 34 positive samples were detected by quantitative PCR (qPCR). This LMBRaV detection assay provided a specific and sensitive method for the rapid diagnosis of LMBRaV infection in largemouth bass as well as quantification of the virus load.

D-dimer as a safe, convenient and easily available biomarker, when combined with conventional sentinel node biopsy in clinically node negative breast cancer to assess metastatic disease in axilla and reduce false negative results

Background: Breast cancer is frequently associated with activation of the hemostatic system and the extent of this activation correlates with a more advanced tumor stage. D-dimer is a biomarker that indicates the activation of hemostasis and fibrinolysis.Methods: This is a prospective, observational, analytical study in which we compare plasma D-dimer levels among three groups’ i.e., healthy subjects, benign patients and breast cancer patients. We have also evaluated plasma D-dimer levels in patients with lymphadenopathy and in those patients who did not have palpable lymph nodes. Plasma D-dimer levels were further characterized based on TNM classification in breast cancer patients where quantitative D-dimer levels were correlated with clinical stage grouping.Results: Through our study we have observed that D-dimer level is inexpensive and a convenient method for diagnosis and prognosis of breast cancer. We have used a control group so as to evaluate a more accurate result. Comparison between benign and malignant lesions was made and we have achieved a significant p value, which proved our study positive for raised D-dimer levels in cancer breast.Conclusions: D-dimer proves to be a safe, convenient and easily available biomarker which can be combined with conventional sentinel node biopsy in clinically node negative breast cancer to assess metastatic disease in axilla and reduce false negative results. Plasma D-dimer level was positively correlated with clinical stage of solid cancers.

The accuracy of ultrasonography for detection of enlarged parathyroid glands in patients with different forms of hyperparathyroidism

Background/Aim. Ultrasonography is a cheap, easily available and convenient method for diagnosis. The aims of this study were: to determine the utility of ultrasonography for preoperative identification and localization of enlarged parathyroid glands (PTG) in patients with different forms of hyperparathyroidism (HPT); to examine the frequency of PTG detection in patients previously non-suspected for HPT but having symptoms relevant to the disease; to determine sensitivity and positive predictive value (PPV) of ultrasonography for identification of PTG in HPT and to compare obtained results with those obtained by scintigraphy. Methods. This investigation was designed as a retrospective?prospective study. The total number of patients undergoing ultrasonography prior to surgery was 179 and the number of those subjected to scintigraphy, mostly by the 201Tl/99mTc method, was 112. The patients (52 male, 128 female) were divided into the following four groups: group A ? patients with primary (p)HPT (n = 78); group B ? patients with secondary (s)HPT (n = 47); group C ? patients with tertiary (t)HPT (n = 13); group D ? patients with unrecognized (u)HPT, but with anamnestic data implying the disease (n = 42). High resolution ultrasonography was performed by a single experienced observer. Diagnosis of HPT was based on characteristic clinical and biochemical parameters. Final proof of HPT diagnosis was surgery followed by histopathological examination. Results. Ultrasonography detected enlarged PTG in 93.85% of total patients, whereas scintigraphy uncovered 75.89% of positive cases (p < 0.05). The total number of positive PTG detected by ultrasonography was 211 vs 225 detected by surgery (sensitivity ? 95.9%; PPV ? 99.4%). Histopathology confirmed the predominance of adenoma in the A and D groups in comparison with the B group of patients having PTG hyperplasia. The group C was characterized by the presence of adenomas in hyperplastic PTG. The mean size of PTG measured by ultrasonography was 17.59 ? 8.0 mm (n = 164) vs 18.36 ? 8.54 mm (n = 179) measured after surgery. Ultrasonography proved itself as an accurate technique in all HPT groups, regarding its high sensitivity (range 93.6?100%) and PPV (95.6?100%). In contrast, scintigraphy was shown to be less reliable, especially in the sPTH group (sensitivity: 51.7%; PPV: 78.4%). Conclusion. Ultrasonography is more sensitive and accurate method for pre-operative localization of PTG in comparison with 201Tl/99mTc scintigraphy. It can be also efficiently used for detection of PTG and diagnosis of HPT in patients previously not suspected for this disease.

The Value of Echocardiography in the Diagnosis of Non-compaction of the Ventricular Myocardium

To analyze the echocardiographic features of non-compaction of the ventricular myocardium (NVM) and evaluate the diagnostic value of echocardiography in NVM. 34 patients with clinically diagnosed cardiac insufficiency and cardiac arrhythmia were examined by multi-slice scan with GE vivid 7 and Philips IE33 color Doppler sonography. The echocardiographic findings were NVM. Echocardiographic features of NVM were summarized and the distribution characteristics of the lesion area were analyzed. It was found that echocardiography in all 34 patients had obvious characteristics. The myocardium at the lesion site was divided into 2 distinct layers. The outer layer was thin and dense, and the inner layer was thicker, consisting of rich trabeculae and deep recesses with different sizes, which tended to occur in the apical and lateral walls. Color Doppler ultrasound can detect blood flow in the recess and interconnect with the heart cavity. 34 patients were involved in varying degrees of valvular regurgitation of mitral, tricuspid and aortic valves. 29 patients had left ventricular dysfunction, 17 patients with complete left bundle branch block, 12 patients with premature ventricular contractions, and 7 patients with atrial fibrillation. To be concluded, NVM has typical echocardiographic features. Echocardiography can be diagnosed without noticeable symptoms, and it is the most convenient method for diagnosis of NVM.

Spontaneous Regression of Infantile Hepatic Hemangioendothelioma

Many primary hepatic tumors such as the rare pediatric neoplasms can be evaluated by sonography. Infantile hepatic hemangioendothelioma (IHH), the most common hepatic benign vascular tumor in infancy, has an excellent prognosis and spontaneous involution within 6–8 months in most cases. A 25-day-old baby girl was admitted to the hospital due to nonbilious vomiting for 2 days. Sonography showed multiple hypoechoic masses in the liver, and abdominal computed tomography demonstrated multifocal hypervascular lesions that were characteristic of IHH. The patient was then treated with supportive care and discharged in a stable condition without medication. Serial follow-up sonographic examinations showed that the size of the masses decreased gradually. At the age of 11 months, a follow-up sonogram confirmed complete resolution of IHH. Sonography is a useful and convenient method for diagnosis and follow-up of IHH. Long-term follow-up is necessary for IHH, even if the lesions are in regression, to watch for rare but possible malignant transformation.

Review of Coconut “Lethal Yellowing” type diseases Diversity, variability and diagnosis

Coconut palms (Cocos nucifera L.) can be affected by several types of Lethal Yellowing (LY) diseases worldwide. Some of the syndromes are caused by phytoplasmas, small bacteria that are impossible to detect by light microscopy. Amplification of a given gene of the phytoplasmas by polymerase chain reaction (PCR) is the most convenient diagnosis method. The problem is that there are at least 28 “groups” of phytoplasmas and only one pair of primers -P1/P7- commonly used for PCR. As these primers belong to a very conserved gene, false positives are frequent. Consequently, alternative primers specific to one “strain” (or subgroup) have to be used, such as LY-F/LY-R for the Caribbean LY, Rohde primers for LD Tanzania. Such specific primers are sometimes restrictive. Indeed, there is variability within each strain and the sequence of the primers has to be adapted to that variability. There are at least five LY subgroups. The subgroups can only be identified by restriction fragment length polymorphism or sequencing. In Africa, two subgroups of LY phytoplasmas have been identified so far.