Visual Rating System Research Articles

Color Response of Turfgrass Cultivars to Gibberellic Acid under Mediterranean Climate Conditions

Plant growth regulators (PGRs) are broadly used in turfgrass management. Gibberellic acid is also applied in many plants due to its positive effects on plant growth and development. However, some studies have indicated that these applications may have a negative effect on color. The study aimed to find out the effect of different doses of gibberellic acid applications on visual quality in different turfgrass species. Gibberellic acid was applied as control, 0.05 and 0.1 kg ha-1. Among the turfgrass species, twenty different cultivars of 4 different species were used as material in the experiment. Visual quality was assessed using a visual rating system. Color quality was examined using a spectrophotometer. In general, the use of gibberellic acid had negative effects on visual quality. Although there are studies showing that it increases resistance to stress conditions, visual quality is very important for turfgrasses. It was observed that grass species have different responses to gibberellic acid.

Reduced awareness of cognitive deficits in idiopathic normal pressure hydrocephalus and its change following lumbar puncture

ObjectiveAwareness of cognitive deficits is related to executive functions and may, therefore, be sensitive to the effects of lumbar puncture (LP) in idiopathic normal pressure hydrocephalus (iNPH). Although a reduction in awareness of cognitive deficits (RACD) has been previously described in iNPH, there is a lack of systematic, psychometrically validated reports. In this study, we investigated RACD and its LP-related changes in iNPH patients and compared them with those in clinical and healthy control groups. MethodsRACD was assessed before and after lumbar puncture (LP) in 24 patients (14 iNPH, 10 other age-associated cognitive syndromes; AACS) and compared with 23 healthy controls (HC), employing two RACD measures alongside cognitive examination. Local metacognition was measured using a visual percentile-based rating system and operationalized as the t-scaled distance between the participants' task-specific performance estimations and their objective test performance (ΔTSPE). Global metacognition, targeting broader estimates of cognitive functioning (ECF), was quantified by subtracting self- from informant-obtained sum scores on a questionnaire evaluating participants' dysexecutive problems (DEX-DS). Within-group and between-group differences in ΔTSPE and DEX-DS scores were compared non-parametrically, focusing on post-LP changes. ResultsAveraged ΔTSPE was higher in the patient groups and mirrored the groups' lower objective test performance, while averaged DEX-DS showed no group difference. Following LP, group comparisons revealed iNPH-specific decrease in both RACD measures. ConclusionOur study revealed LP-related RACD changes in iNPH patients compared to those in AACS and HC participants. The results suggest a mitigation of impaired metacognitive abilities in iNPH, possibly resulting from LP-induced improvements in (local) metacognitive performance, facilitating ECF adjustment alongside a metacognitively stimulating testing procedure.

Scheltens ratings, clinical white matter hyperintensities and executive: Functioning in the Cache County Memory Study

ObjectiveExamine the association between neuropsychologically assessed executive function and clinically identifiable white matter burden from magnetic resonance imaging, using a visual rating system (Scheltens Rating System) applied to the Cache County Memory Study (CCMS) archival database.MethodWe used the Scheltens Ratings Scale to quantify white matter lesion burden in the CCMS sample and used this metric as a predictor of executive function. The sample included 60 individuals with dementia and 13 healthy controls.ResultsHigher Scheltens ratings were associated with poorer task performance on an Executive Function composite score of common neuropsychological tests. This association held true for both controls and dementing cases.ConclusionsThe current findings support extensive prior literature demonstrating the association between brain vascular health determined by white matter burden and clinical outcomes based on neuropsychological assessment of cognitive performance.

Response of Kentucky Bluegrass Turfgrass to Plant Growth Regulators

Plant growth regulators (PGRs) are widely used in turfgrass management. This study aimed to find the influence of different rates of PGRs on Kentucky bluegrass visual quality. Six PGRs were applied, Trinexapac Ethyl, Paclobutrazol, Flurprimidol, Mefluidide, Ethephon, and Gibberellic Acid. The measurement of the leaf color was performed using a spectrophotometer. The turfgrass visual quality was judged using a visual rating system. Trinexapac Ethyl and Flurprimidol applications improved the overall appearance of turfgrass. Paclobutrazol and Gibberellic Acid decreased the overall appearance of investigated Kentucky bluegrass cultivars. The leaf texture assessment was only improved by Gibberellic Acid. The color assessment was enhanced with Paclobutrazol but deteriorated with Gibberellic Acid. PGRs affected the wavelength in a range of 520 to 630 nm. Gibberellic Acid caused lighter leaves with higher green and yellow hues. Paclobutrazol caused darker leaves with a lower green and a reddish hue. Trinexapac Ethyl application resulted in a more reddish hue. PGR rates also affected the visual quality of Kentucky bluegrass turfgrass.

Factors associated with motor severity in vascular parkinsonism with normal dopamine transporter imaging

IntroductionTo delineate the determinants of motor severity in vascular parkinsonism (VaP), we investigated the impact of regional white matter intensity (WMH) burden and co-morbidities on the motor score in the patients with VaP and normal dopamine transporter (DAT) imaging. MethodsIn this multicenter, retrospective study, we reviewed the records of 63 patients diagnosed with VaP and normal DAT imaging on 18F-FP-CIT PET. Signal hyperintensities in deep white matter (DWMH), periventricular (PVH), basal ganglia (BG) regions, and infratentorial foci (ITF) were rated according to Scheltens scale, a semi-quantitative visual rating system. Motor severity was assessed with Unified Parkinson's Disease Rating Scale (UPDRS) motor score. Regional hyperintensity scores, patients' demographics, and co-morbidities such as type 2 diabetes, hypertension, dyslipidemia, and previous stroke history were used as starting variables, and stepwise regression analysis was performed to select independent predictors of motor severity. ResultsPVH (R = 0.33, p = 0.008) and DWMH score (R = 0.31, p = 0.015) correlated with the motor severity, while BG and ITF scores did not. Diabetic patients had significantly higher motor scores compared with non-diabetics (34.7 (13.0) vs. 27.5 (12.4), p = 0.008). Other factors such as sex, BMI, hypertension, dyslipidemia, and previous history of stroke did not impact motor severity. In multivariate analysis, PVH scores and diabetes significantly correlated with motor severity. ConclusionPVH burden and diabetes were independent factors associated with motor severity in VaP with normal DAT imaging. Our results suggest that diabetes, along with white matter hyperintensities, may have a significant role in the development of motor symptoms in VaP.

Treatment of knee osteoarthritis with intra-articular injection of allogeneic adipose-derived stem cells (ADSCs) ELIXCYTE\xae: a phase I/II, randomized, active-control, single-blind, multiple-center clinical trial

ObjectiveTo evaluate the safety and efficacy of intra-articular (IA) injection of allogeneic adipose-derived stem cells (ADSCs) ELIXCYTE® for knee osteoarthritis.MethodsThis was a patient-blind, randomized, active-control trial consisted of 4 arms including hyaluronic acid (HA) control and 3 ELIXCYTE® doses. A total of 64 subjects were screened, and 57 subjects were randomized. The primary endpoints included the changes from baseline to post-treatment visit of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score at Week 24 and the incidence of adverse events (AEs) and serious adverse events (SAEs).ResultsNo ELIXCYTE®-related serious adverse events were reported during 96 weeks of follow-up and no suspected unexpected serious adverse reaction (SUSAR) or death was reported. The changes of the primary endpoint, WOMAC pain score at Week 24, showed significant differences in all ELIXCYTE® groups, as well as in HA groups between post-treatment visit and baseline. The ELIXCYTE® groups revealed significant decreases at Week 4 compared to HA group in WOMAC total scores, stiffness scores, functional limitation scores suggested the potential of ELIXCYTE® in earlier onset compared to those from HA. The significant differences of visual analog scale (VAS) pain score and Knee Society Clinical Rating System (KSCRS) functional activities score at Week 48 after ELIXCYTE® administration suggested the potential of ELIXCYTE® in the longer duration of the effectiveness compared to HA group.ConclusionsELIXCYTE® for knee osteoarthritis treatment was effective, safe, and well-tolerated. The efficacy results were showed that ELIXCYTE® conferred the earlier onset of reductions in pain scores and improvements in functional scores than HA group.Trial registration: ClinicalTrials.gov Identifier: NCT02784964. Registered 16 May, 2016—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02784964

High-Throughput UAV Image-Based Method Is More Precise Than Manual Rating of Herbicide Tolerance.

The traditional visual rating system is labor-intensive, time-consuming, and prone to human error. Unmanned aerial vehicle (UAV) imagery-based vegetation indices (VI) have potential applications in high-throughput plant phenotyping. The study objective is to determine if UAV imagery provides accurate and consistent estimations of crop injury from herbicide application and its potential as an alternative to visual ratings. The study was conducted at the Kernen Crop Research Farm, University of Saskatchewan in 2016 and 2017. Fababean (Vicia faba L.) crop tolerance to nine herbicide tank mixtures was evaluated with 2 rates distributed in a randomized complete block design (RCBD) with 4 blocks. The trial was imaged using a multispectral camera with a ground sample distance (GSD) of 1.2 cm, one week after the treatment application. Visual ratings of growth reduction and physiological chlorosis were recorded simultaneously with imaging. The optimized soil-adjusted vegetation index (OSAVI) was calculated from the thresholded orthomosaics. The UAV-based vegetation index (OSAVI) produced more precise results compared to visual ratings for both years. The coefficient of variation (CV) of OSAVI was ~1% when compared to 18-43% for the visual ratings. Furthermore, Tukey's honestly significance difference (HSD) test yielded a more precise mean separation for the UAV-based vegetation index than visual ratings. The significant correlations between OSAVI and the visual ratings from the study suggest that undesirable variability associated with visual assessments can be minimized with the UAV-based approach. UAV-based imagery methods had greater precision than the visual-based ratings for crop herbicide damage. These methods have the potential to replace visual ratings and aid in screening crops for herbicide tolerance.

Genetic analysis and gain from selection of thrips resistance in cotton

Host plant resistance, in integrated systems, could be a critical tool for reducing thrips damage to seedling cotton. Plant breeders, however, need information regarding the genetic nature of resistance for effective and efficient introgression into breeding material. Trials were conducted in 2011–2014 at the Texas A&M AgriLife Research and Extension Center at Lubbock to elucidate the genetic nature of thrips resistance and the gains to be expected from visual phenotypic selection. Another objective was to validate a visual rating system for assessing thrips feeding injury in seedling cotton. Broad sense heritability (H 2 ) ranged 41–67%, depending on the family. H 2 was higher in families with a day-neutral resistant parent than those with a photoperiodic resistant parent. Observed segregation ratios fit 3:1, 13:3, and 11:5 expected resistant/susceptible ratios, although nearly all of the phenotypic distributions exhibited closer fits to two-gene models. Additionally, the visual rating scale utilized in these evaluations exhibited a strong correlation (r s = 0.884) with directly-quantifiable leaf area reduction data. These results suggest that thrips resistance is a dominant trait, under a high level of genetic control. There also appears to be at least a second gene (Thr2) aiding in genetic control of resistance. Actual gain from selection ranged 2–21% per cycle of selection, depending on the selection intensity. Optimum selection intensity in these evaluations was 5%, resulting in an approximate 21% gain. These evaluations revealed that host plant thrips resistance varies widely in cotton and can be sufficiently captured and advanced by plant breeders using visual selection.

Shapecoder: a new method for visual quantification of body mass index in young children.

Few tools exist to quantify body mass index visually. To examine the inter-rater reliability and validity (sensitivity and specificity for overweight/obesity and obesity) of a three-dimensional visual rating system to quantify body mass index (BMI) in young children. Children (n = 242, mean age 5.9 years, 50.0% male; 40.5% overweight/ obese) participated in a videotaped protocol and weight and height were measured. Research staff applied a novel three-dimensional computer-based figure rating system (shapecoder) to the child's videotaped image. Inter-rater reliability was calculated, as well as correlation with measured body mass index (BMI) and sensitivity, specificity, positive predictive value and negative predictive value for overweight/obesity and obesity. Inter-rater reliability was excellent (intraclass correlation coefficient = 0.98). The correlation of shapecoder-generated BMI with measured BMI was 0.89. For overweight/obesity, the sensitivity, specificity, positive predictive value and negative predictive value were 62%, 97%, 94% and 79% respectively. For obesity, these values were 65%, 99%, 97% and 92% respectively. shapecoder provides a method to quantify child BMI from video images with high inter-rater reliability, fair sensitivity and good specificity for overweight/obesity and obesity. The approach offers an improvement over existing two-dimensional rating scales for BMI.

An Index for Evaluating Fairy Ring Symptoms in Turfgrass

The term “fairy ring” typically refers to the visual appearance of mushrooms emerged in a circular pattern in a grass lawn, pasture, or meadow. Fairy ring symptoms in turfgrass stands are categorized as Type I (wilted, necrotic turf), Type II (dark green, stimulated turf), and Type III (basidiocarps present). A visual rating system was devised to assist researchers and practitioners with a numerical method to quantify the degree of severity of fairy ring symptoms at a turf site. Therefore, the Fairy Ring Severity Index is based on a 1 to 9 scale, where 1 indicates no fairy ring symptoms present, 2 through 5 indicates the low to high range for Type II symptoms, and 6 through 9 indicates the low to high range for Type I symptoms. For Type III symptoms, the number of mushrooms, toadstools, or puffballs present could be counted if that information is needed or helpful. In experimental research plots, the Fairy Ring Severity Index is a better method for evaluating and comparing fairy ring symptoms vs. using a percent plot area affected estimate.

The proposed physiology-based FDG PET/CT criteria in reducing false-positive results in advanced head and neck cancer after chemoradiotherapy.

Distinguishing benign complications after concurrent chemoradiotherapy (CCRT) from a local residual tumor in advanced head and neck squamous cell carcinoma (HNSCC) remains a clinical challenge. In this study, we propose criteria when considering physiological uptake patterns on F-18-fluorodeoxyglucose (FDG) PET/CT in patients with advanced HNSCC after CCRT. We retrospectively reviewed FDG PET/CT images of 62 patients with advanced HNSCC, which were taken within 16 weeks following CCRT. Visual interpretation criteria were rated by three nuclear medicine physicians, independently, according to the uptake patterns of the primary site. The Cohen k coefficient was calculated to assess inter-reader agreement. The histology of the primary site within a 1 month of the PET/CT study was used as the gold standard for sensitivity, specificity, positive predictive value and negative predictive value. PET/CT was arranged at a median interval of 10.5 weeks (range 4-16 weeks) after CCRT, and the pathologic residual rate was 55.7% at the primary site. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of identifying residual disease were 91.1%, 50.0%, 68.9%, 82.3%, and 72.6%, respectively, by the previously established criteria, and 88.2%, 92.9%, 93.8%, 86.7%, and 90.3%, respectively, by our physiology-based criteria. Our visual rating criteria corrected 12 of 14 (84.6%) false-positive results from the established criteria, while two more false-negative cases identified with our criteria were proven to be small residual tumors. By incorporating physiological changes following CCRT, our visual rating criteria improved the accuracy of the currently used FDG PET/CT visual rating system, especially the number of false-positive cases with advanced HNSCC after CCRT.

Protective effects of a zinc-hydroxyapatite toothpaste on enamel erosion: SEM study.

The aim of the present in vitro study was to evaluate the protective effects of a zinc-hydroxyapatite toothpaste against an erosive challenge produced by a soft drink (Coca-Cola) using Scanning Electron Microscopy (SEM). Forty specimens were assigned to 4 groups of 10 specimens each (group 1: no erosive challenge, no toothpaste treatment, group 2: erosive challenge, no toothpaste treatment, group 3: erosive challenge, fluoride toothpaste treatment, group 4: erosive challenge, zinc-hydroxyapatite toothpaste treatment). The surface of each specimen was imaged by SEM. A visual rating system was used to evaluate the condition of the enamel surface; results were analyzed by nonparametric statistical methods. Statistically significant differences were found between the samples untreated and those immersed in Coca-Cola (group 1, 2); the highest grade of damage was found in group 2, while the lowest grade was recorded in the samples of group 4. Comparing the groups, the two analyzed toothpaste tended to protect in different extend. In this study treatment of erosively challenged enamel with Zn-Hap toothpaste showed a clear protective effect. This was greater than the effect observed for a normal fluoride toothpaste and confirmed the potential benefit the Zn-HAP technology can provide in protecting enamel from erosive acid challenges.

Effect of olfactory impairment and white matter hyperintensities on cognition in Parkinson's disease

IntroductionAlthough white matter hyperintensities (WMH) and olfactory dysfunction are independently associated with the cognitive impairments in Parkinson's disease (PD), the effects of simultaneous presence of these abnormalities remain unknown. Thus, we investigated the different effects of deep WMH and periventricular WMH on olfactory and cognitive performance and evaluated the additive effects of the concurrent presence of WMH and olfactory dysfunction on cognitive performance in PD. MethodsWe enrolled 171 patients with non-demented PD whose WMH scores were assessed using a semi-quantitative visual rating system. The olfactory and cognitive performance was assessed using the Cross-Cultural Smell Identification (CCSI) test and the Seoul Neuropsychological Screening Battery. Additionally, the additive effects of concurrent WMH and olfactory dysfunction on cognitive performance were investigated using binary logistic regression. ResultsThe deep WMH score exhibited a significant negative correlation with the CCSI score (p = 0.026) but the total WMH and periventricular WMH did not. A multiple regression analysis revealed that the total WMH (β = −0.109, p = 0.011) and deep WMH (β = −0.153, p = 0.020) severities had significant negative correlations with semantic fluency. A logistic regression analysis revealed that the simultaneous presence of severe olfactory dysfunction and deep WMH was associated with a greater risk for the semantic fluency impairments (odds ratio = 15.909, p = 0.0005) compared to patients with mild deep WMH or high CCSI scores. ConclusionsThese data indicate that deep WMH was closely coupled with olfactory impairments and cognitive decline in PD. Moreover, the concurrent presence of severe deep WMH and olfactory impairments has a greater influence on semantic fluency.

Comparison of the effects of calcium carbonate and ossein–hydroxyapatite complex on back and knee pain and quality of life in osteopenic perimenopausal women

BackgroundBack and knee pain (BP; KP), which often accompanies osteoporosis, is a prevalent health problem affecting quality of life (QoL) in middle-aged women. AimTo compare the effects of calcium carbonate (CC) and ossein–hydroxyapatite complex (OHC) on BP and KP and QoL in perimenopausal osteopenic women. Subjects74 perimenopausal women were randomized to receive 1200mg/day of CC (n=38) or 1660mg/day of OHC (n=36) for 6 months. MethodsThis was a randomized, open-label, parallel-group, controlled, prospective study. Back and knee basal pain was recorded using a visual analogue scale (VAS) at each control and exercise-induced pain was recorded using a visual rating system (VRS). Changes in QoL were evaluated using the SF-36 questionnaire. ResultsIn patients treated with OHC, mean VAS and VRS pain scores decreased significantly after 5 and 6 months of treatment, indicating a significant analgesic effect. In the CC group, however, changes were minor and non-significant. Two-way analysis of variance using treatment group and time as independent variables revealed a significantly greater effect of OHC over CC on VAS and VRS scores. SF-36 showed significant improvement for OHC on the physical component summary score and no changes for CC. Responses to items assessing emotional and social aspects of QoL showed only a significant improvement in vitality for OHC and no significant changes for CC in any of the four dominions constituting the SF-36 mental component. ConclusionOHC has a significant analgesic effect and improves the physical component of QoL to a greater extent than CC.

Topography of cortical thinning associated with white matter hyperintensities in Parkinson's disease.

Although white matter hyperintensities (WMHs) are associated with cognitive impairments in Parkinson's disease (PD), the relationships between WMHs and cortical atrophy in regard to cognitive impairments are unknown. Here, we investigated the topography of cortical thinning related to deep (DWMHs) and periventricular WMHs (PWMHs) and their differential impacts on cognitive performance in PD. We enrolled 87 patients with non-demented PD and evaluated WMH scores using a semi-quantitative visual rating system. The patients were divided into low-, moderate-, and high-grade groups based on WMH severity for total WMHs (TWMHs), DWMHs, and PWMHs, and cortical thickness was measured using a surface-based method according to the WMHs severity. Additionally, the correlations between WMH-associated cortical thinning and neuropsychological performance were analyzed. The detailed neuropsychological test demonstrated that PD patients with high-grade WMHs showed poorer performance on frontal lobe-based cognitive tasks compared with those with low-grade DWMHs. The areas of cortical thinning were more extensive in patients with DWMHs, involving the entire frontal areas and restricted temporoparietal areas, whereas in patients with PWMHs, cortical thinning was localized in the small frontal areas. A multiple regression analysis of the relationships between WMH-associated cortical thickness and cognition revealed that DWMH-associated frontal thickness had an independent effect on frontal lobe-based cognition, while frontal thickness related to PWMHs did not have a significant correlation with cognitive tasks. These data suggest that in patients with PD, DWMHs are closely coupled with decreased cortical thickness in the frontal areas and may lead to declines in executive function.

Validation of an iPad visual analogue rating system for assessing appetite and satiety

The study aimed to validate appetite ratings made on a new electronic device, the Apple iPad Mini, against an existing but now obsolete electronic device (Hewlett Packard iPAQ). Healthy volunteers (9 men and 9 women) rated their appetite before and 0, 30, 60, 90 and 120 minutes after consuming both a low energy (LE: 77 kcal) and high energy (HE: 274 kcal) beverage at breakfast on 2 non-consecutive days in counter-balanced order. Rated hunger, desire to eat and how much participants could consume was significantly lower after HE than LE on both devices, although there was better overall differentiation between HE and LE for ratings on iPad. Rated satiation and fullness, and a composite measure combining all five ratings, was significantly higher after HE than LE on both devices. There was also evidence that differences between conditions were more significant when analysed at each time point than using an overall area under the curve (AUC) measure. Overall, these data confirm that appetite ratings made using iPad are at least as sensitive as those on iPAQ, and offer a new platform for researchers to collect appetite data.

Quaking Aspen in the Residential-Wildland Interface: Elk Herbivory Hinders Forest Conservation

ABSTRACT: Quaking aspen (Populus tremuloides) forests are experiencing numerous impediments across North America. In the West, recent drought, fire suppression, insects, diseases, climate trends, inappropriate management, and ungulate herbivory are impacting these high biodiversity forests. Additionally, ecological tension zones are sometimes created at residential-wildland interfaces with divergent management directives. For example, private conservation reserves bordering public land may be degraded from browsing where game species find refuge from hunting and plentiful forage. We examined putative herbivore impacts to nearly pure aspen forests at Wolf Creek Ranch (WCR), a sparsely developed residential landscape in northern Utah. Forty-three one-hectare monitoring plots were established to measure forest attributes including site characteristics, tree and vegetation condition, and herbivore use. Additionally, we tested the ability of a plot-level visual rating system to characterize objective field mea...

Digital Image Analysis and Spectral Reflectance to Determine Turfgrass Quality

The limitations of the conventional visual rating system used to assess turfgrass quality include its subjective nature and the need for properly trained observers who can discern differences among treatments or turfgrass varieties. The objective of our study was to investigate if digital image analysis (DIA) and spectral reflectance [normalized difference vegetative index (NDVI)] can be used to evaluate turfgrass varieties. Trials were established at New Mexico State University and visual quality ratings, digital images, and NDVI were collected monthly on three warm‐season and three cool‐season variety trials and on one cool‐season and one warm‐season mixed species trial. Correlations among quality, NDVI, dark green color index (DGCI) and percent green cover (PCov) were computed. Multiple regression was used to determine if combining NDVI and DIA improved the association between visual turfgrass quality and other variables. Quality was most strongly associated with NDVI (R2 ranging from 0.37 to 0.65) for most datasets. Additionally, multiple linear regressions identified NDVI as the variable affecting a higher change in R2 when entered to the model than either DGCI or PCov. Visual quality had a weaker association with sampling date than did NDVI or DGCI, which indicates that NDVI may track quality changes more reliably over time. However, a stronger association between variety and visual quality than between variety and NDVI or DGCI indicates that a visual assessment detects varietal differences better. Therefore, it is questionable whether visual assessments can be replaced by NDVI or DIA to characterize the aesthetic appeal of turfgrasses accurately.

Visual rating and volumetric measurement of medial temporal atrophy in the Alzheimer's Disease Neuroimaging Initiative (ADNI) cohort: baseline diagnosis and the prediction of MCI outcome.

This study aims to determine the clinical utility of visual ratings and volumetric measurements of medial temporal atrophy among subjects from the Alzheimer's Disease Neurorimaging Initiative (ADNI) cohort. A sample of 189 subjects from the ADNI, Phase 1 (ADNI-1), was chosen as follows: 49 cognitively normal (CN), 89 with mild cognitive impairment (MCI), and 50 with Alzheimer's disease (AD). Structural MRI images were downloaded from the ADNI website, and a visual rating system (VRS) was used to obtain semi-quantitative ratings of the hippocampus (HPC) and entorhinal cortex (ERC). VRS ratings and FreeSurfer measures of the HPC and ERC were used to predict (i) baseline diagnosis and (ii) progression to AD among subjects with MCI at baseline. VRS and FreeSurfer measures of ERC were equivalent in classifying subjects at baseline, but FreeSurfer measures of HPC were superior to VRS measures for classifying CN versus MCI subjects. VRS and FreeSurfer measures of both HPC and ERC were significant predictors of progression from MCI to AD. However, VRS ratings of ERC were superior to other MRI measures. MCI subjects with minimal ERC atrophy by VRS had a threefold lower progression rate to AD at 3.2 years compared with those with mild, moderate, or severe atrophy (23% vs 63%, 69%, and 87%, respectively). Visual ratings of HPC and ERC provide useful information to a physician in a clinical setting. Visual ratings of ERC may be especially useful in following patients with MCI.

Orthostatic and Supine Blood Pressures Are Associated with White Matter Hyperintensities in Parkinson Disease

Background and Purpose:Several reports on the elderly population have suggested that orthostatic hypotension is associated with white matter hyperintensities (WMH); however, little information is available on patients with Parkinson’s disease (PD).Methods:We analyzed the association blood pressure profiles during tilt table testing with WMH scores in 117 patients with PD. WMH were rated using the semiquantitative visual rating system proposed by Scheltens et al.Results:The presence of orthostatic hypotension was associated with increasing tendency of WMH score and the blood pressure changes during tilting and supine blood pressure were positively correlated with increasing WMH score.Conclusions:This finding indicates that hemodynamic changes associated with orthostatic hypotension may be associated with white matter changes in patients with PD.