Lumen Size Research Articles

Immediate Tissue Protrusion Following Patent Ductus Arteriosus Stent Placement.

Patent ductus arteriosus (PDA) stent placement is commonly performed in children with ductal-dependent pulmonary circulation. We report an extremely rare complication during the stenting of a tortuous PDA in a newborn with Tetralogy of Fallot and pulmonary atresia, along with its management. Immediately after stent placement, tissue protrusion inside the stent lumen was observed, causing a reduction in lumen size. This complication was successfully managed by placing a shorter stent inside the original one at the site of the tissue protrusion.

In-Stent Restenosis in Peripheral Arterial Disease: Ultra-High-Resolution Photon-Counting Versus Third-Generation Dual-Source Energy-Integrating Detector CT Phantom Study in Seven Different Stent Types.

The visualization of peripheral in-stent restenosis using energy-integrating detector CT is challenging due to deficient spatial resolution and artifact formation. This study compares the first clinically available photon-counting detector CT to third-generation dual-source energy-integrating detector CT. Nylon cylinders with central bores (4mm, 2mm), mimicking 75% and 95% stenoses, were placed inside seven different 8-mm diameter stents and filled with diluted contrast medium. Phantoms were scanned with photon-counting detector CT at slice thicknesses of 0.2mm (available only in this scanner type), 0.5mm, and 1.0mm versus 0.5mm and 1.0mm in energy-integrating detector CT at matched CT dose indices. Contrast-to-noise ratios were calculated from attenuation rates. Residual lumen size was measured as full width at half-maximum. Subjective image quality was assessed by two independent blinded raters. Mean contrast-to-noise ratio was lowest in photon-counting detector CT at 0.2mm slice thickness (0%, 75%, and 95% in-stent restenosis: 6.11 ± 0.6, 5.27 ± 0.54, and 5.02 ± 0.66) and highest at 1.0mm slice thicknesses with similar measurements in photon-counting detector CT and energy-integrating detector CT (11.46 ± 1.08, 9.94 ± 1.01, 8.26 ± 1.0 vs. 3.34 ± 1.0, 9.92 ± 0.38, 7.94 ± 1.07). Mean full width at half-maximum measurements in photon-counting detector CT at 0.2mm slice thickness for 0%, 75%, and 95% in-stent restenosis were 8.00 ± 0.37, 3.98 ± 0.34, and 1.92 ± 0.16mm. Full width at half-maximum was least precise in 95% in-stent restenosis at 1.0mm slice thickness with similar measurements between scanners (1.57 ± 0.33 vs. 1.71 ± 0.15mm). Interrater correlation coefficient was 0.75 [95% CI: [0.53; 0.86]; subjective scores were best at 0.2mm slice thickness in photon-counting detector CT (19.43 ± 0.51 and 19.00 ± 0.68). In phantom in-stent restenosis in 8mm stents, we observed similar full width at half-maximum for photon-counting detector CT and energy-integrating detector CT in 0% and 75% in-stent restenosis, but at 95% in-stent restenosis, FWHM tended to be more accurate in smaller slice thicknesses in both scanners. Subjective image assessment yielded best results at 0.2mm slice thickness in photon-counting detector CT despite lower contrast-to-noise ratio.

Wood Anatomical and Demographic Similarities Between Self-Standing Liana and Tree Seedlings in Tropical Dry Forests of Colombia.

Canopy lianas differ considerably from trees in terms of wood anatomical structure, and they are suggested to have a demographic advantage-faster growth and higher survival-than trees. However, it remains unclear whether these anatomical and demographic differences persist at the seedling stage, when most liana species are self-standing and, consequently, might be ecologically similar to trees. We assessed how self-standing liana and tree seedlings differ in relation to wood anatomy, growth, and survival. We measured 12 wood traits and monitored seedling growth and survival over one year for 10 self-supporting liana and 10 tree seedling species from three tropical dry forests in Colombia. Liana and tree seedlings exhibited similar survival rates and wood anatomies for traits related to water storage and mechanical support. Yet, for traits associated with water transport, liana seedlings showed greater variability in vessel lumen size, while tree seedlings had higher vessel density. Also, the liana relative growth rate was significantly higher than for trees. These results indicate that, while self-supporting liana and tree seedlings are anatomically similar in terms of mechanical support and water storage-likely contributing to their similar survival rates-liana seedlings have a growth advantage, possibly due to more efficient water transport. These findings suggest that the well-documented anatomical and demographic differences between adult lianas and trees may depend on the liana's developmental stage, with more efficient water transport emerging as a key trait from early stages.

Interaction of a self-expandable stent with the arterial wall in the presence of hypocellular and calcified plaques.

Self-expandable stents manufactured from nitinol alloys are commonly utilized alongside traditional balloon-expandable stents to provide scaffolding to stenosed arteries. However, a significant limitation hampering stent efficacy is restenosis, triggered by neointimal hyperplasia and resulting in the loss of gain in lumen size, post-intervention. In this study, a nonlinear finite element model was developed to simulate stent crimping and expansion and its interaction with the surrounding vessel in the presence of a plaque. The main aim was to determine contact pressures and forces induced at the interface between an artery wall with hypocellular and calcified plaques and an expanded stent. The results demonstrated the drawbacks of plaque calcification, which triggered a sharp contact pressure and radial force surge at the interface as well as a significant rise in von Mises stress within the vessel, potentially leading to rupture and restenosis. A regression line was then established to relate hypocellular and calcified plaques. The adjusted coefficient of determination indicated a good correlation between contact pressures for calcified and hypocellular plaque models. Regarding the directionality of wall properties, contact pressure and force observations were not significantly different between isotropic and anisotropic arteries. Moreover, variations in friction coefficients did not substantially affect the interfacial contact pressures.

Investigating the effects of percutaneous endovascular aneurysm repair for abdominal aortic aneurysm on the lumen size of the common femoral artery

BackgroundPercutaneous endovascular aneurysm repair (PEVAR) is the definitive therapy of choice for abdominal aortic aneurysms worldwide. However, current literature regarding the anatomic changes in the common femoral artery (CFA) post-PEVAR is sparse and contradictory, and a significant proportion of these studies did not control for the potential confounding effects of ethnicity. Thus, this study aims to investigate the anatomical effects of PEVAR on the CFA using an Asian study cohort.MethodsBetween January 2019 and September 2023, the records of 113 patients who received PEVAR were reviewed. Groins with previous surgical interventions were excluded. The most proximate pre- and postoperative CT angiography of patients receiving PEVAR via the Perclose ProGlide™ Suture-Mediated Closure System were retrospectively analysed for changes in both the CFA inner luminal diameter (ID) and outer diameter (OD), the latter also encompassing the arterial walls. Access site complications within 3 months post-PEVAR were also recorded per patient.ResultsOne hundred seventeen groins from 60 patients were included in this study, with 1 report of pseudoaneurysm. The CFA ID exhibited a 0.167 mm decrease (p-value = 0.0403), while the OD decreased by 0.247 mm (p-value = 0.0107). This trend persisted when the data was separately analysed with the common cardiovascular risk factors of diabetes mellitus, hypertension and hyperlipidaemia.ConclusionOur analysis demonstrated a statistically significant decrease in the CFA diameters post-PEVAR. However, the percentage changes were below established flow-limiting values, as reflected by the single access site complication reported. Hence, our findings give confidence in the safety profile of this procedure, even with the reported smaller baseline CFA lumen size in Asians. Moving forward, similar longer-term studies should be considered to characterise any late postoperative effects.Graphical

Use of micro-computed tomography to monitor olive fruit damage caused by three insect pests

A complete three-dimensional reconstruction of the internal damage (oviposition holes, entry and exit galleries, cavities caused by fungal infection) of three destructive pests of olive fruit was obtained using micro-computed tomography. In the case of the olive fruit fly (Bactrocera oleae), complete reconstruction of the galleries was achieved. The galleries were colour-coded according to the size of the internal lumens produced by larval instars. In the case of the olive moth (Prays oleae), we confirmed that the larvae only consume olive stones, leaving pulp tissue intact. This study revealed the evolutionary defensive adaptation developed by larvae, creating entrance/exit gallery in the form of a zigzag with alternating angles to avoid the action of possible parasitoids. In the case of olive fruit rot, caused by fungal infection transmitted by the midge (Lasioptera berlesiana), microtomography revealed the infection cavity, which was delimited by a protective layer of tissue produced by the plant to isolate the infection zone, which contained fungal hyphae and reproductive organs of the fungus. Two ovoid cavities were observed below a single external orifice in the concave necrotic depression. These results were interpreted as successive ovipositions of B. oleae, followed by the parasitoid L. berlesiana. High-resolution 3D rendered images are included as well as supplementary videos that could be useful tools for future research and teaching aids.

A lumen-tunable triangular DNA nanopore for molecular sensing and cross-membrane transport

Synthetic membrane nanopores made of DNA are promising systems to sense and control molecular transport in biosensing, sequencing, and synthetic cells. Lumen-tunable nanopore like the natural ion channels and systematically increasing the lumen size have become long-standing desires in developing nanopores. Here, we design a triangular DNA nanopore with a large tunable lumen. It allows in-situ transition from expanded state to contracted state without changing its stable triangular shape, and vice versa, in which specific DNA bindings as stimuli mechanically pinch and release the three corners of the triangular frame. Transmission electron microscopy images and molecular dynamics simulations illustrate the stable architectures and the high shape retention. Single-channel current recordings and fluorescence influx studies demonstrate the low-noise repeatable readouts and the controllable cross-membrane macromolecular transport. We envision that the proposed DNA nanopores could offer powerful tools in molecular sensing, drug delivery, and the creation of synthetic cells.

The results of thoracic endovascular aortic repair for high-risk type B aortic dissection

Overview: Evaluating the efficacy of endovascular intervention in treatment of high-risk type B aortic dissection Methods: Review a series case of high-risk type B aortic dissection cases treated with endovascular intervention at Cho Ray Hospital from January 2020 to December 2022. Results: The study included a total of 30 patients with high-risk type B aortic dissection who underwent endovascular intervention meeting all sampling criteria. The average age was 53 years (26-73 years), with males accounting for 86.7%. The most common risk factor was hypertension (86.7%). Pain was the primary reason for hospital admission, with chest pain being the most frequent (80%). The most prevalent high-risk factors were false lumen diameter > 22mm (66.7%), followed by aortic diameter > 40mm (36.7%), and entry tear diameter > 10mm (33.3%). Regarding intervention characteristics, the average stent graft length was 207.3mm, with proximal landing zones predominantly in zone 1 (23.3%), zone 2 (40%), and zone 3 (36.7%). Twenty-nine patients were continuously monitored for an average of 4.3 months, with a complication rate of 10% including endoleak type Ia (6.9%) and retrograde dissection (3.4%). Aortic remodeling was evidenced by a significant reduction in false lumen size (p<0.001) Conclusion: Follow-up results show a low rate of complications and a high rate of aortic reconstruction post-intervention.

Quantitative analysis of blooming artifact caused by calcification based on X-ray energy difference using computed tomography

Blooming artifacts caused by calcifications appearing on computed tomography (CT) images lead to an underestimation of the coronary artery lumen size, and higher X-ray energy levels are suggested to reduce the blooming artifacts with subjective visual assessment. This study aimed to evaluate the effect of higher X-ray energy levels on the quantitative measurement of adjacent pixels affected by calcification using CT images. In this two-part study, CT images were acquired from dual-energy CT scanners by changing the X-ray energy levels such as kilovoltage peak (kVp) and kilo-electron volts (keV). Adjacent pixels affected by calcification were measured using the brightened length, excluding the actual calcified length, as determined by the full width at third maximum. In a separate clinical study, the adjacent affected pixels associated with 23 calcifications across 10 patients were measured using the same method as that used in the phantom study. Phantom and clinical studies showed that the change in kVp (field of view [FOV] 300 mm: p = 0.167, 0.494, and 0.861 for vendors 1, 2, and 3, respectively) and keV levels (p = 0.178 for vendor 2) failed to reduce the adjacent pixels affected by calcification, respectively. Moreover, the change in keV levels showed different aspects of adjacent pixels affected by calcification in the phantom study (FOV 300 mm: no significant difference [p = 0.191], increase [p < 0.001], and decrease [p < 0.001] for vendors 1, 2, and 3, respectively). Quantitative measurements revealed no significant relationship between higher X-ray energy levels and the adjacent pixels affected by calcification.

Neovascularization by DPSC-ECs in a Tube Model for Pulp Regeneration Study

The process of neovascularization during cell-based pulp regeneration is difficult to study. Here we developed a tube model that simulates root canal space and allows direct visualization of the vascularization process in vitro. Endothelial-like cells (ECs) derived from guiding human dental pulp stem cells (DPSCs) into expressing endothelial cell markers CD144, vWF, VEGFR1, and VEGFR2 were used. Human microvascular endothelial cells (hMVECs) were used as a positive control. DPSC-ECs formed tubules on Matrigel similar to hMVECs. Cells were mixed in fibrinogen/thrombin or mouse blood and seeded into wells of 96-well plates or injected into a tapered plastic tube (14 mm in length and 1 or 2 mm diameter of the apex opening) with the larger end sealed with MTA to simulate root canal space. Cells/gels in wells or tubes were incubated for various times in vitro and observed under the microscope for morphological changes. Samples were then fixed and processed for histological analysis to determine vessel formation. Vessel-like networks were observed in culture from 1 to 3 d after cell seeding. Cells/gels in 96-well plates were maintained up to 25 d. Histologically, both hMVECs and DPSC-ECs in 96-well plates or tubes showed intracellular vacuole formation. Some cells showed merged large vacuoles indicating the lumenization. Tubular structures were also observed resembling blood vessels. Cells appeared healthy throughout the tube except some samples (1 mm apical diameter) in the coronal third. Histological analysis also showed pulp-like soft tissue throughout the tube samples with vascular-like structures. hMVECs formed larger vascular lumen size than DPSC-ECs while the latter tended to have more lumen and tubular structure counts. We conclude that DPSC-ECs can form vascular structures and sustained in the 3-dimensional fibrin gel system in vitro. The tube model appears to be a proper and simple system simulating the root canal space for vascular formation and pulp regeneration studies.

Revolutionizing Cardiovascular Frontiers: A Dive Into Cutting-Edge Innovations in Coronary Stent Technology.

Plain balloon angioplasty was the initial method used to enlarge the intracoronary lumen size. However, it was linked to acute coronary closure due to early vessel recoil. This led to the invention of coronary stents, which offer mechanical support to open and maintain the vascular lumen. Nevertheless, the metallic scaffold introduced other issues, such as thrombosis and restenosis caused by neointimal proliferation. To address these concerns, polymers were employed to cover the scaffold, acting as drug reservoirs and regulators for controlled drug release. The use of polymers prevents direct contact between blood and metallic scaffolds. Drugs within the stent were incorporated to inhibit proliferation and expedite endothelialization in the healing process. Despite these advancements, adverse effects still arise due to the inflammatory reaction caused by the polymer material. Consequently, resorbable polymers and scaffolds were later discovered, but they have limitations and are not universally applicable. Various scaffold designs, thicknesses, materials, polymer components, and drugs have their own advantages and complications. Each stent generation has been designed to address the shortcomings of the preceding generation, yet new challenges continue to emerge. Conflicting data regarding the long-term safety and efficacy of coronary stents, especially in the extended follow-up, further complicates the assessment.

Targeted Rapamycin Delivery via Magnetic Nanoparticles to Address Stenosis in a 3D Bioprinted in Vitro Model of Pulmonary Veins.

Vascular cell overgrowth and lumen size reduction in pulmonary vein stenosis (PVS) can result in elevated PV pressure, pulmonary hypertension, cardiac failure, and death. Administration of chemotherapies such as rapamycin have shown promise by inhibiting the vascular cell proliferation; yet clinical success is limited due to complications such as restenosis and off-target effects. The lack of in vitro models to recapitulate the complex pathophysiology of PVS has hindered the identification of disease mechanisms and therapies. This study integrated 3D bioprinting, functional nanoparticles, and perfusion bioreactors to develop a novel in vitro model of PVS. Bioprinted bifurcated PV constructs are seeded with endothelial cells (ECs) and perfused, demonstrating the formation of a uniform and viable endothelium. Computational modeling identified the bifurcation point at high risk of EC overgrowth. Application of an external magnetic field enabled targeting of the rapamycin-loaded superparamagnetic iron oxide nanoparticles at the bifurcation site, leading to a significant reduction in EC proliferation with no adverse side effects. These results establish a 3D bioprinted in vitro model to study PV homeostasis and diseases, offering the potential for increased throughput, tunability, and patient specificity, to test new or more effective therapies for PVS and other vascular diseases.

CONCEPT OF AGNI IN ATHEROSCLEROSIS AND ITS MANAGEMENT THROUGH YOGA&amp; AYURVEDA

In Ayurveda, the concept of Agni is inevitable in determining the overall health of an individual, where Agni is said to be the base (moola) of life. The whole catabolic and metabolic processes are carried out in human body, regulated by Agni .But if due to Pragyaparadh or faulty lifestyle, the Agni is deranged then the metabolic activity becomes disturbed at cellular tissue and organ level and it fascilitates to the formation of Ama. Hence, Ama is a triggering factor of many diseases that in turn destroys the Agni. Atherosclerosis occurs mainly due to lifestyle abnormality which is a direct result of Ama accumulation in the body. It is observed that 17.7 million people die each year from Cardiovascular Disorders, in which Atherosclerosis is the precipitating factor and an estimated 31% of all deaths worldwide (acc to WHO). Atherosclerosis is a condition where the arteries become narrowed and hardened due to a build up of Plaque around the artery wall. This disease disrupts the flow of blood around the body, posing the risk of serious complications. The term ‘Atherosclerosis’ is derived from the Greek word ‘athero’ meaning gruel or wax corresponding to the necrotic core area at the base of atherosclerotic plaque and ‘sclerosis’ for hardening the plaques luminal edge. Apart from drug, Yoga therapy may play a pivotal role for alleviation of Atherosclerosis. Yoga therapy improves the blood flow to the organs by neuromuscular action. Practice of Pranayama stimulates and changes the lumen size of the arterioles, which helps to regulate the circulation.

Bark cloth structure and properties: A naturally occurring fabric and ancestral textile craft from Uganda

Natural fabrics from two bark trees of Uganda (“Kilundu”: Antiaris toxicaria and “Mutuba”: Ficus natalensis) are being considered today for the local footwear industry. Here, we thoroughly examined to determine their structural, biochemical and mechanical properties of the two bark cloths, in order to ascertain their potential use as locally-available, low-cost composite reinforcements and eventually for a use in textile industry as well. Fibres in both fabrics are rich in highly crystalline cellulose (76.6 ± 4.9% and 66.3 ± 0.5%) and have very cohesive cell walls with small lumen size and stiff middle lamellae. However, their low indentation modulus is due to a high microfibrillar angle, penalizing their longitudinal stiffness but making them interesting for impact or deformation performance. The two fabrics exhibit layers of preferred fibres orientations, quasi similar to unidirectional or +/-45° preforms, and hence may be used “as produced” as polymer reinforcements in technical composites but also in textile sector, in place of leather. Finally, their water uptake behaviour (21.2%-wt for Mutuba and 13.8%-wt for Kilundu) indicates opportunities for a range of environmentally-sensitive applications.

Abstract LB192: AGR2 knockdown reduces cell proliferation and increases endoplasmic reticulum proteotoxic stress in pancreatic cancer

Abstract Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal solid malignancy with low survival rates due to a dense stroma, abnormal gene expression patterns, and limited treatment options. Anterior gradient 2 (AGR2) is often overexpressed in many cancers, including PDAC. AGR2 belongs to the protein disulfide isomerase family of proteins and is located in the endoplasmic reticulum, where it helps with protein-disulfide isomerase reactions to ensure proper protein folding. However, the molecular mechanisms underpinning AGR2 overexpression in PDAC pathophysiology are not well understood. Gene expression data obtained from the pancreatic adenocarcinoma (PAAD) dataset shows that AGR2 is overexpressed in PDAC tumors compared to normal tissues. We confirmed this gene over-expression in PDAC tumors and multiple pancreatic cancer cell lines using fluorescent microscopy, RT-qPCR, and western blotting. Using stable inducible short hairpin (shRNA) technology, we showed that AGR2 knockdown significantly decreases the viability and colony-forming ability of HPAF-II and PANC-1 cells. Gene Ontology (GO) enrichment analysis revealed that AGR2 knockdown suppresses a host of protein biosynthesis pathways, including protein targeting and localization to the endoplasmic reticulum (ER). Significantly, ER stress was induced in knockdown cells, shown by the activation of unfolded protein response, suggesting an accumulation of unfolded proteins. To determine the effects of unfolded protein accumulation on the ER, we performed transmission electron microscopy. Here, the results show an increase in the ER lumen size of knockdown cells compared to controls. Interestingly, we observed a decrease in mitochondria size and confirmed the increased expression of mitochondria fission proteins DRP1 and MFF. Finally, flow cytometry analysis revealed increased apoptosis in AGR2 knockdown cells compared to controls. Overall, our data provide insights into the role of AGR2 in PDAC tumorigenesis. However, more research is warranted to determine if AGR2 could be a potential therapeutic target. Citation Format: Philip Salu, Katie Reindl. AGR2 knockdown reduces cell proliferation and increases endoplasmic reticulum proteotoxic stress in pancreatic cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 2 (Late-Breaking, Clinical Trial, and Invited Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(7_Suppl):Abstract nr LB192.

OrgaSegment: deep-learning based organoid segmentation to quantify CFTR dependent fluid secretion

Epithelial ion and fluid transport studies in patient-derived organoids (PDOs) are increasingly being used for preclinical studies, drug development and precision medicine applications. Epithelial fluid transport properties in PDOs can be measured through visual changes in organoid (lumen) size. Such organoid phenotypes have been highly instrumental for the studying of diseases, including cystic fibrosis (CF), which is characterized by genetic mutations of the CF transmembrane conductance regulator (CFTR) ion channel. Here we present OrgaSegment, a MASK-RCNN based deep-learning segmentation model allowing for the segmentation of individual intestinal PDO structures from bright-field images. OrgaSegment recognizes spherical structures in addition to the oddly-shaped organoids that are a hallmark of CF organoids and can be used in organoid swelling assays, including the new drug-induced swelling assay that we show here. OrgaSegment enabled easy quantification of organoid swelling and could discriminate between organoids with different CFTR mutations, as well as measure responses to CFTR modulating drugs. The easy-to-apply label-free segmentation tool can help to study CFTR-based fluid secretion and possibly other epithelial ion transport mechanisms in organoids.

Time-dependent force depreciation of intraoral orthodontic elastics of variable force and lumen sizes – An in vitro study

: To evaluate force decay of elastics of different dimensions and different force values over 48-hours.Steps included extension and immersion of elastics in artificial saliva and measurement of force levels at a specified point of time. A model with vertical pins placed at in the oral cavity. The initial force measurement was done using Universal testing machine before the elastics were engaged onto the pins 37⁰C in artificial saliva. The reading was taken after this in the Universal testing machine for the samples. The elastics were then placed back into the static simulation for the next 23 hours and again into the dynamic simulation for the next 1 hour. Statistically significant difference (P&amp;#60;0.05) was observed between force depreciation between rest and maximum stretch of the elastic. Statistically significant difference was observed in force depreciation with varying time intervals of a particular elastic sample. Lumen size and pre-determined force values affect the overall force decrease pattern of elastics. Elastics with higher force and smaller lumen size show comparatively higher loss of force than the lighter elastics with larger internal diameter. The maximum force loss of a particular elastic happens within the first 24 hours of elastic stretch. The study would help provide information about how an elastic's lumen size and initial force are interdependent, giving clinicians a better understanding of how to prescribe the right elastics for the force they need to apply for treatment.

Genetic association of lipid-lowering drugs with aortic aneurysms: a Mendelian randomization study.

The lack of effective pharmacotherapies for aortic aneurysms (AA) is a persistent clinical challenge. Lipid metabolism plays an essential role in AA. However, the impact of lipid-lowering drugs on AA remains controversial. The study aimed to investigate the genetic association between lipid-lowering drugs and AA. Our research used publicly available data on genome-wide association studies (GWASs) and expression quantitative trait loci (eQTL) studies. Genetic instruments, specifically eQTLs related to drug-target genes and SNPs (single nucleotide polymorphisms) located near or within the drug-target loci associated with low-density lipoprotein cholesterol (LDL-C), have been served as proxies for lipid-lowering medications. Drug-Target Mendelian Randomization (MR) study is used to determine the causal association between lipid-lowering drugs and different types of AA. The MR analysis revealed that higher expression of HMGCR (3-hydroxy-3-methylglutaryl coenzyme A reductase) was associated with increased risk of AA (OR = 1.58, 95% CI = 1.20-2.09, P = 1.20 × 10-03) and larger lumen size (aortic maximum area: OR = 1.28, 95% CI = 1.13-1.46, P = 1.48 × 10-04; aortic minimum area: OR = 1.26, 95% CI = 1.21-1.42, P = 1.78 × 10-04). PCSK9 (proprotein convertase subtilisin/kexin type 9) and CETP (cholesteryl ester transfer protein) show a suggestive relationship with AA (PCSK9: OR = 1.34, 95% CI = 1.10-1.63, P = 3.07 × 10-03; CETP: OR = 1.38, 95% CI = 1.06-1.80, P = 1.47 × 10-02). No evidence to support genetically mediated NPC1L1 (Niemann-Pick C1-Like 1) and LDLR (low-density lipoprotein cholesterol receptor) are associated with AA. This study provides causal evidence for the genetic association between lipid-lowering drugs and AA. Higher gene expression of HMGCR, PCSK9, and CETP increases AA risk. Furthermore, HMGCR inhibitors may link with smaller aortic lumen size.

The anatomical pattern of ductal arborization in parotid glands using cone-beam computerized sialography.

Cone-Beam Computed Tomography-Sialography (Sialo-CBCT) is used to demonstrate salivary ductal structure. This study aimed to conduct a volumetric analysis of the anatomical morphology of Normal-Appearing Glands (NAGs) in parotid sialo-CBCT. Our retrospective study included 14 parotid sialo-CBCT scans interpreted as NAGs in 11 patients with salivary gland impairment. The main duct length and width, as well as number and width of secondary and tertiary ducts were manually evaluated. We found that the main parotid duct showed an average width of 1.39 mm, 1.15 mm, and 0.98 mm, for the proximal, middle and distal thirds, respectively. The arborization pattern showed approximately 20% more tertiary (average number 11.1 ± 2.7) than secondary ducts (average number 9.0 ± 2.4) and approximately 8% narrower tertiary ducts (average width 0.65 ± 0.11 mm) compared to the secondary ducts (average width 0.77 ± 0.14 mm). Our anatomical analysis of NAGs in parotid sialo-CBCT demonstrated progressive narrowing of the main duct and increasing arborization and decreasing lumen size starting from the primary to the tertiary ducts. This is the most updated study regarding the anatomy of the parotid glands as demonstrated in sialo-CBCT. Our results may provide clinicians with the basic information for understanding aberration from normal morphology, as seen in salivary gland pathologies as well facilitate planning of treatment strategies, such as minimally invasive sialo-endoscopies, commonly practiced today.

Vascular architecture mapping reveals sex-specific changes in cerebral microvasculature with aging

Abstract Objectives: Previous studies indicate region-specific age- and sex-related changes in cerebral microvasculature. Using whole-brain vascular architecture mapping (VAM), our objective was to map and assess these changes in human microvasculature in vivo. Materials and methods: Cardiovascular healthy women (n = 40) and men (n = 32) with unifocal low-grade glioma, matched for age [range: 20-70 years] and BMI, were examined on the non-tumor hemisphere with a combined spin and gradient echo echo-planar imaging sequence at 3 T MRI. Vessel vortex curves were obtained by pair-wise plotting changes in relaxation rates R2* and R2 during contrast agent bolus passage, which each generate a set of VAM parameters that characterize microvascular properties, such as vessel type, lumen size, or blood flow. Averaged VAM values of cortical grey matter, white matter, putamen, globus pallidus, caudate nucleus, thalamus, insular cortex, and hippocampus were assessed for age- and sex-related changes. Results: With age, dominant vessel types changed from capillaries to an arteriole-dominated profile, particularly in insula, thalamus, and globus pallidus. In white matter, blood flow velocity decreased significantly with aging for both sexes (r = −0.33, p = 0.004). In women, aging was associated with an increase in microvessel caliber, particularly in thalamus (r = 0.39, p = 0.01) and insula (r = 0.34, p = 0.03). In all grey matter areas, women had a higher microvessel density than men (4.33 ± 0.26ˑ102 ms-1/3 vs. 4.18 ± 0.26ˑ102 ms-1/3; p = 0.025, respectively). Conclusions: Aging affects microvasculature differently across brain regions in women and men, especially in thalamus and insula.