Wednesday, December 06, 2023

 

Swapping blood for spit — for convenient at-home health monitoring


Peer-Reviewed Publication

AMERICAN CHEMICAL SOCIETY




Blood tests are a common, yet often painful, step in health care. But what if we could skip the needles altogether? Saliva and blood contain many of the same biomarkers, and collecting spit is as simple as drooling into a container. Researchers reporting in ACS Sensors have developed a device that detects glucose and adenosine monophosphate (AMP) biomarkers in saliva with high sensitivity, which could help make at-home health monitoring easier and without a poke.

Blood tests provide critical information about a person’s health. But they also rely on uncomfortable procedures, ranging from collecting small blood samples through frequent finger pricks to blood draws from a trained phlebotomist. Saliva has been explored as an alternative way to track important biomarkers, including glucose. However, most methods for analyzing saliva samples for small molecules require laboratory equipment. To make the analyses convenient for at-home testing, a simple, yet accurate, sensing platform is needed. One possibility is the electrochemical aptamer-based (E-AB) biosensor, which produces a measurable, electrochemical change when a specially designed piece of DNA or RNA, known as an aptamer, binds to its desired target. This type of device has previously been used on blood samples, but this time, Philippe Dauphin-Ducharme and colleagues adapted E-AB biosensors for saliva samples. The team wanted to measure the concentration of glucose and AMP — a small molecule biomarker associated with gum disease — in real saliva specimens.

The team took previously reported DNA aptamers that bound to either AMP or glucose, then re-engineered them to improve their sensitivity. They created their E-AB biosensors by mounting the aptamers on a gold electrode. Saliva samples were collected from a group of participants and pooled together. The sensors were then immersed in the saliva, with no additional preparation steps or reagents needed. This simplicity makes the test easy enough to be performed by a patient in their home. In experiments, the researchers found that their devices returned a result within 30 seconds, remained stable in undiluted saliva for up to three days and retained sensitivity for up to a week, if washed after each use. Additionally, the glucose sensor shows high selectivity towards its target, and both the AMP and glucose sensors are sensitive enough to detect the biomarkers at much lower concentrations than typically found in saliva. The researchers say that this simple technology is the first of its kind to detect glucose in human saliva, and they hope it can make at-home health monitoring less invasive and easier to complete, especially for people with chronic diseases such as diabetes.

The authors acknowledge funding from Colgate-Palmolive Company and the Alliance Grant program of the Natural Sciences and Engineering Research Council of Canada. Some authors are employees of Colgate-Palmolive’s Research and Development Center.

The authors have patents pending on this technology.

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The American Chemical Society (ACS) is a nonprofit organization chartered by the U.S. Congress. ACS’ mission is to advance the broader chemistry enterprise and its practitioners for the benefit of Earth and all its people. The Society is a global leader in promoting excellence in science education and providing access to chemistry-related information and research through its multiple research solutions, peer-reviewed journals, scientific conferences, eBooks and weekly news periodical Chemical & Engineering News. ACS journals are among the most cited, most trusted and most read within the scientific literature; however, ACS itself does not conduct chemical research. As a leader in scientific information solutions, its CAS division partners with global innovators to accelerate breakthroughs by curating, connecting and analyzing the world’s scientific knowledge. ACS’ main offices are in Washington, D.C., and Columbus, Ohio.

To automatically receive news releases from the American Chemical Society, contact newsroom@acs.org.

Note: ACS does not conduct research, but publishes and publicizes peer-reviewed scientific studies.

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Why you should be vaccinated even if you have had COVID-19


Convalescent plasma therapy research provides an unanticipated insight into how the body fights COVID-19 variants


Peer-Reviewed Publication

NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY

Why vaccines after COVD-19 infections are effective 

IMAGE: 

TOP: A PERSON IS INFECTED BY THE ALPHA VARIANT OF SARS-COV-2. WITHIN A FEW WEEKS, ANTIBODIES ARE MADE THAT PROTECT THE PERSON AGAINST THE ALPHA VARIANT AS WELL AS BETA AND GAMMA VARIANTS WHICH ARE VERY SIMILAR TO THE ALPHA VARIANT. BOTTOM: A PERSON WHO (1) HAS RECOVERED FROM COVID-19 AND WHO (2) HAS RECEIVED MRNA VACCINE WITH COMPONENTS OF THE ALPHA VARIANT DEVELOPS A STRONG IMMUNE RESPONSE WITHIN A FEW WEEKS. THE ANTIBODIES THAT ARE MADE IN THE BODY PROTECT AGAINST THE ALPHA VARIANT, THE CLOSELY RELATED BETA AND GAMMA VARIANTS AS WELL AS THE MORE DISTANTLY RELATED DELTA AND OMICRON VARIANTS. PEOPLE WHO HAVE RECOVERED FROM COVID-19 AND THEN RECEIVED THE MRNA VACCINE ARE ALSO PROTECTED AGAINST NEW VARIANTS OF SARS-COV-2. ILL: GERDA KAYNOVA

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CREDIT: GERD KAYNOVA




“Vaccines help boost the production of antibodies, providing effective protection against serious illness and death,” says Mona Høysæter Fenstad.

Fenstad is a senior consultant at the blood bank at St. Olavs Hospital in Trondheim.

We are already well into autumn, and the COVID-19 virus is rife all over Norway. The Norwegian Institute of Public Health recommends people in risk groups to get vaccinated.

They point out that elderly people in particular will be vulnerable to serious illness if they are infected with COVID-19. However, since the vast majority of us have already had COVID-19 at least once, do we really need to think about getting vaccinated?

Yes, say the scientists.

“The saying ‘what doesn’t kill you makes you stronger’ is not true in this context. The inflammation that occurs in the body during infections such as influenza, COVID-19 and pneumonia can be harmful. Especially for people with heart or lung disease, or where other risk factors are involved,” says Fenstad.

Searching for medicine to combat COVID-19

Fenstand and her international colleagues have recently published a study that looked at the effect of vaccination on people who became ill with COVID-19 before vaccines were available. This work has been closely linked to the search for antibodies that can be used as medicine against COVID-19.

“At the beginning of 2020, the World Health Organization (WHO) asked scientists and therapists around the world to look for treatments for COVID-19. Among the treatments proposed was ‘convalescent plasma therapy’, which uses plasma from blood donors who have recovered from the illness. Along with colleagues from NTNU (the Norwegian University of Science and Technology), we chose to take a closer look at how the antibodies in this plasma were able to neutralize new virus variants that emerged,” says Fenstad.

While big pharmaceutical companies were working hard to develop vaccines and medicines, scientists had already begun to look at the use of blood plasma from COVID-19 patients as a possible treatment.

“Many of these patients had large amounts of antibodies in their blood. Plasma containing these antibodies was therefore given to seriously ill patients to help them fight the virus. It turned out that convalescent plasma therapy was primarily effective in patients who had immunodeficiencies,” says Fenstad.

A constantly changing virus

“We were looking for so-called ‘super-neutralizers’, people who develop specific antibodies that effectively neutralize different variants of SARS-CoV-2,” says Denis Kainov, a professor in NTNU’s Department of Clinical and Molecular Medicine who was part of the research team.

These antibodies were eventually cultivated and cloned, and then turned into medicines used to fight COVID-19.

In Norway, the first COVID-19 outbreak occurred in February 2020. The first Alpha variant was quickly followed by new, mutated variants named Beta and Delta. Omicron, which is currently the prevailing variant, was first reported in late 2021.

By April 2020, blood banks across Norway had begun collecting blood plasma from patients who had recovered from COVID-19. At St. Olavs Hospital, 72 patients were selected for a more detailed study of the antibodies in their blood plasma.

“It turned out that half of these patients had serum containing antibodies that effectively neutralized the Beta variant,” says Kainov.

Found the dream patient

Kainov has been searching for active substances to use in the treatment of COVID-19 and other viral diseases.

He is now looking for antibodies that could provide wider protection, including against new COVID-19 variants that might emerge.

They noticed that four patients had antibodies that effectively neutralized the COVID-19 variant that was dominant in Trondheim at the time.

“We followed up by taking new samples from these patients and found that their antibodies also neutralized other COVID-19 variants. In fact, they were also effective on new virus variants,” says Kainov.

The conclusion is thus that it is a good idea to get vaccinated even if you have already had COVID-19 and even if the virus has mutated since the vaccine was made.

Out of the four patients, the scientists picked the one whose antibodies had been least effective against the Omicron variant. This patient had received their first vaccine dose four months after recovering from COVID-19. The efficacy of the vaccine was striking.

“The vaccine boosted the production of immune cells and antibodies against all tested variants of the virus, including Omicron,” says Kainov.

The virus is always one step ahead

Kainov’s colleagues in Estonia could then proceed with blood plasma from the patient, cloning and cultivating antibodies that neutralised COVID-19 viruses on a wide scale.

The results have also provided the scientists with useful knowledge about the effect of the vaccine on convalescents.

“When it comes to vaccines, it is always a race. The virus is always one step ahead, and the vaccines and medicines will never be completely up to date,” Fenstad said

“Our study is an in-depth study of just one patient, and it constitutes only a tiny piece of research in this field. However, large studies in other countries confirm our findings. Vaccines boost the production of antibodies that are also effective against new variants of the virus,” she said.

The finding demonstrate that it is a good idea to get vaccinated even if you have already had COVID-19 and even if the virus has mutated since the vaccine was made. It may not prevent you from being reinfected, but it will provide protection against serious illness and death.

“When you get sick with COVID-19, you develop antibodies, but the effects of these diminish and are gone after six to nine months. This is why people can get infected again and again by new variants of SARS-CoV-2. The virus mutates to avoid the immune response we have developed through previous infections or vaccines,” says Kainov.

That is why vaccination is important now that we are heading towards winter.

“The studies we have conducted here on COVID-19 patients are extremely important, because there will be new outbreaks of the virus. Almost seven million people have died from COVID-19. We must avoid getting into the same situation again,” says Kainov.

Reference: Mona Høysæter Fenstad et al.: Boosted production of antibodies that neutralized different SARS-CoV-2 variants in a COVID-19 convalescent following messenger RNA vaccination – a case study. International Journal of Infectious Diseases. Volum 137, December 2023
https://doi.org/10.1016/j.ijid.2023.10.011

 

Eye-safe laser technology to diagnose traumatic brain injury


Peer-Reviewed Publication

UNIVERSITY OF BIRMINGHAM




Researchers from the University of Birmingham have designed and developed a novel diagnostic device to detect traumatic brain injury (TBI) by shining a safe laser into the eye.

Described in Science Advances, the technique is dramatically different from other diagnostic methods and is expected to be developed into a hand-held device for use in the critical ‘golden hour’ after traumatic brain injury, when life critical decisions on treatment must be made. 

The device incorporates a class 1, CE marked, eye-safe laser and a unique Raman spectroscopy system, which uses light to reveal the biochemical and structural properties of molecules by detecting how they scatter light, to detect the presence and levels of known biomarkers for brain injury. 

There is an urgent need for new technologies to improve the timeliness of TBI diagnosis, which is a leading cause of death worldwide.  TBI is caused by sudden shock or impact to the head, which can cause mild to severe injury to the brain, and although it needs diagnosis and treatment as soon as possible to prevent further irreversible damage, it is hard to diagnose at the point of injury.  Moreover, radiological investigations such as X-ray or MRI are very expensive and slow to show results.

Birmingham researchers, led by Professor Pola Goldberg Oppenheimer from the School of Chemical Engineering, designed and developed the novel diagnostic hand-held device to assess patients as soon as injury occurs. It is fast, precise and non-invasive for the patient, causing no additional discomfort, can provide information on the severity of the trauma, and will be suitable to be used on-site - at the roadside, on the battlefield or on the sports pitch - to assess TBI.

Professor Pola Goldberg Oppenheimer said: “Early diagnosis of TBI is crucial, as life-critical decisions on treatment must be made with the first ‘golden hour’ after injury.  However current diagnostic procedure relies on observation by ambulance crews, and MRI or CT scans at a hospital – which may be some distance away.”

The device works by scanning the back of the eye where the optic nerve sits. Because the optic nerve is so closely linked to the brain, it carries the same biological information in the form of protein and lipid biomarkers. These biomarkers exist in a very tightly regulated balance, meaning even the slightest change may have serious effects on the ‘brain-health’.  TBI causes these biomarkers to change, indicating that something is wrong.

Previous research has demonstrated the technology can accurately detect the changes in animal brain and eye tissues with different levels of brain injuries - picking up the slightest changes.1,2,3

The device detailed in the current paper detects and analyses the composition and balance of these biomarkers to create ‘molecular fingerprints’.  

The current study details the development, manufacture, and optimisation of a proof-of-concept prototype, and its use in reading biochemical fingerprints of brain injury on the optic nerve, to see whether it is a viable and effective approach for initial ‘on the scene’ diagnosis of TBI.   

The researchers constructed a phantom eye to test its alignment and ability to focus on the back of the eye, used animal tissue to test whether it could discern between TBI and non-TBI states, and also developed decision support tools for the device, using AI, to rapidly classify TBIs.

The device is now ready for further evaluation including clinical feasibility and efficacy studies, and patient acceptability.

The researchers expect the diagnostic device to be developed into a portable technology which is suitable for use in point-of-care conditions capable to rapidly determine whether TBI occurs as well as classify whether it is mild, moderate or severe, and therefore, direct triage appropriately and in timely manner.

 

More than $13M awarded to study childhood obesity interventions in rural and minority communities in Louisiana and Tennessee


Pennington Biomedical’s Amanda Staiano and Vanderbilt University Medical Center’s Bill Heerman are co-principal investigators on the research study


Grant and Award Announcement

PENNINGTON BIOMEDICAL RESEARCH CENTER

Amanda Staiano 

IMAGE: 

AMANDA E STAIANO, PHD, ASSOCIATE PROFESSOR. PEDIATRIC OBESITY AND HEALTH BEHAVIOR AT PENNINGTON BIOMEDICAL RESEARCH CENTER IN BATON ROUGE, LA.

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CREDIT: PBRC





BATON ROUGE – Pennington Biomedical Research Center and Vanderbilt University Medical Center have received $13.8 million for five years of research funding from the Patient-Centered Outcomes Research Institute to study the ideal “dose” of behavioral interventions to treat childhood obesity in rural and minority communities across Louisiana and Tennessee.

Pennington Biomedical’s Amanda Staiano and Vanderbilt University Medical Center’s Bill Heerman are co-principal investigators on the randomized, multisite trial.

Despite ongoing efforts, childhood obesity rates have continued to increase over the last 10 years, with about 1 in 5 children across the U.S. affected by obesity. The prevalence of childhood obesity is higher among children who are underrepresented minorities and those who live in rural areas due to health disparities and limited access to interventions. Across the U.S., about 22 percent of Hispanic or Latin American and 20 percent of African American children have obesity compared to about 14 percent of white children. Additionally, obesity affects about 22 percent of children who live in rural areas.

Researchers in the Dose Childhood Obesity Trial will study the optimal duration of behavioral interventions, including number of sessions and length of sessions, which are best in treating childhood obesity among these groups.

“We know that one-size fits all approaches to treating childhood obesity don’t work. This trial is an opportunity to understand what works best and for whom,” said Heerman, associate professor of Pediatrics and a general pediatrician at Monroe Carell Jr. Children’s Hospital at Vanderbilt.

Researchers plan to enroll 900 parent-child pairs, with children ages 5 to 17 who have obesity and are from rural and minority communities in Tennessee and Louisiana, where childhood obesity rates are among the highest in the country. Underserved communities often have unequal access to evidence-based obesity interventions, contributing to the higher rates among these populations.

“With Louisiana ranking near the top on lists for both children and adults living with obesity, this is an important study for families in our state to be involved in,” Staiano said. “We are gaining momentum in helping with the obesity crisis with programs like the upcoming Greaux Healthy initiative and this new grant that will help expand access to evidence-based obesity treatments to families throughout Louisiana.”

Children are diagnosed with obesity if their body mass index is at or above the 95th percentile for their age and gender category. The long-term risks associated with childhood obesity include Type 2 diabetes, hypertension and heart disease.

Current American Academy of Pediatrics, or AAP, recommendations, on which Staiano helped author, call for children with obesity to receive an intensive behavioral intervention of 26 hours of face-to-face, family-based treatment over six months. These evidence-based behavioral and lifestyle interventions can include regular check-ins with primary care physicians, personalized nutrition plans, healthy learning modules and more.

“At Pennington Biomedical, our scientists are not only working on cutting-edge research to fight chronic diseases like obesity, but they are helping define the best practices for medical professionals to follow,” said Dr. John Kirwan, Pennington Biomedical executive director. Evidence has shown that obesity treatment should begin early and at the highest intensity necessary, and having Pennington Biomedical partner with Vanderbilt University Medical Center on this project will help so many families in both Louisiana and Tennessee as we learn more about various methods to treat childhood obesity.”

In the study, researchers will compare how different “dosing” combinations of face-to-face intervention time may be optimized to help reduce a child’s weight over 12 months and impact a child’s diet, physical activity, sleep, media use and quality of life. Specifically, they want to examine: is the intensity of the AAP-recommended 26 hours needed, or can a reduced-intensity behavioral intervention between 13 and 22 hours be effective in treating childhood obesity and increasing reach to underserved communities?

The parent-child pairs will be randomly assigned to one of five study arms (26, 22, 19, 16 and 13 hours) of the trial. The types of interventions for each arm will be the same and include primary care physician visits; on-demand web-based content that includes learning modules on topics such as choosing healthy foods, being an active family, the importance of sleep; community resource counseling with social or community health workers; and parent-child personalized nutrition services with certified nutritionists. The difference between the arms will be in the frequency and duration of the personalized nutrition counseling.

Speaking about the potential impact of this study, Heerman said, “By testing the optimal dose of behavioral interventions for childhood obesity, we hope to inform future treatment recommendations and build pragmatic solutions that can reach the millions of children with obesity in the United States.”

The research team and scientific advisory board includes researchers from Vanderbilt and Pennington Biomedical, representatives from the American Academy of Pediatrics, multiple international experts in childhood obesity interventions, and patient representatives.

The grant is awarded by PCORI, which is an independent, nonprofit organization authorized by Congress with a mission to fund patient-centered comparative clinical effectiveness research that provides patients, their caregivers and clinicians with the evidence-based information they need to make better informed health and health care decisions.

About the Pennington Biomedical Research Center
The Pennington Biomedical Research Center is at the forefront of medical discovery as it relates to understanding the triggers of obesity, diabetes, cardiovascular disease, cancer and dementia. Pennington Biomedical has the vision to lead the world in promoting metabolic health and eliminating metabolic disease through scientific discoveries that create solutions from cells to society.  The Center conducts basic, clinical, and population research, and is affiliated with LSU.

The research enterprise at Pennington Biomedical includes over 480 employees within a network of 40 clinics and research laboratories, and 13 highly specialized core service facilities. Its scientists and physician/scientists are supported by research trainees, lab technicians, nurses, dietitians, and other support personnel. Pennington Biomedical a state-of-the-art research facility on a 222-acre campus in Baton Rouge.

For more information, see www.pbrc.edu


Children who play baseball risk elbow injury


Reports and Proceedings

RADIOLOGICAL SOCIETY OF NORTH AMERICA

Elbow Images 

IMAGE: 

ELBOW IMAGES. IN IMAGE ON THE LEFT (10-YEAR-OLD BOY), GROWTH PLATE HAS NOT YET FUSED. ON THE RIGHT (15-YEAR-OLD BOY), GROWTH PLATE HAS FUSED.

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CREDIT: RSNA/RADIOLOGY




CHICAGO – Youth baseball players are prone to elbow pain and injuries, including repetitive overuse changes and fractures, based on the maturity of their bones, according to a new study being presented today at the annual meeting of the Radiological Society of North America (RSNA).

The repetitive motion and force of throwing a baseball places a large amount of stress on the growing bones, joints and muscles of the elbows of baseball players. Youth baseball players who have not yet reached skeletal maturity might be especially vulnerable to elbow pain and injuries.   

“When we look at the forces that baseball players, even Little League baseball players, deal with during routine practice and games, it becomes apparent why elbow injuries are so common amongst this group,” said study co-author Vandan Patel, B.S., a radiology-orthopedics research scholar at Children’s Hospital of Philadelphia (CHOP) in Pennsylvania.

Most recent estimates show that 20 to 40% of youth baseball players between the ages of nine and 12 complain of elbow pain at least once during the season.

Skeletally immature children have growth plates, which are areas of bone that are made up of cartilage, a rubbery and flexible connective tissue, that allows the bones to grow and change in shape as a child ages. Growth plates are weaker than the surrounding muscles and bones and prone to injury that can lead to either reversible changes or permanent deformity.

Skeletal maturity occurs when the growth plates have closed, and no more bone (or growth) is being made. This usually occurs at the end of puberty, typically around age 13 to 15 for girls and 15 to 17 for boys.

In this retrospective study, the researchers reviewed elbow MRI exams from 130 youth players (18 years of age and younger) being evaluated for elbow pain. MRI is an ideal method for identifying joint problems, because it can non-invasively show cross-sectional details of soft tissues (cartilage, tendons and ligaments) and bone.

“We conducted this study in order to better understand the patterns of injuries that can occur among youth baseball players with elbow pain,” said senior author Jie C. Nguyen, M.D., M.S., director for the Section of Musculoskeletal Imaging in the Department of Radiology at CHOP. “Tissue vulnerability and, thus, sites at risk for injury, change with growth and maturation. A younger player injures differently than an older player. It is our hope that this data will help us continue to improve and individualize the care of current and future generations of youth baseball players.”

The average age of this study group of patients was 13.9 years, with 115 boys and 15 girls included. The frequency with which the patients played baseball varied from daily to recreationally.

Two radiologists independently reviewed the MRI exams to categorize the skeletal maturity and different findings of each patient’s elbow. They classified 85 patients as skeletally mature and 45 patients as skeletally immature.

The most common MRI findings in skeletally immature players included fluid build-up around the joint, stress injuries near the growth plate, fractures, and osteochondritis dissecans (OCD) lesions, where a piece of bone and the overlying cartilage is injured and can detach, leading to reduced range of motion and risk for premature osteoarthritis in adulthood.

Conversely, in skeletally mature players, the injury pattern shifts from the growth plates to the soft tissue. These players most often had triceps tendinosis—a condition in which the tendon connecting the triceps muscle to the elbow bone becomes strained, irritated or torn—and fluid build-up in the bony area of the elbow where the ulnar collateral ligament attaches. The ulnar collateral ligament runs on the inner side of the elbow and helps stabilize it.

Injuries that required surgery included intra-articular bodies (small fragments inside the joint), and unstable OCD.

“In terms of the skeletally immature children, 9 patients (11%) had intra-articular bodies, and 19 patients (22%) had OCD lesions,” Patel said.

The researchers hope that the results of this study will help to identify elbow injuries in children who play baseball and to individualize treatment based on skeletal maturity.

“This information is critically important not only to physicians, but also to parents and team coaches, all of whom provide crucial support for these children, reducing injury and preventing permanent damage on and off the field,” said co-author Theodore J. Ganley, M.D., director of Sports Medicine and Performance Center in the Division of Orthopaedics at CHOP. “As parents, caregivers and coaches, it is important to be aware of these findings in order to ensure that symptoms of pain are not overlooked during the baseball season.”

Although they did find that prevalence of injury was linked to prolonged play, the researchers said further studies are needed to identify exactly which injuries are more time dependent compared to others.

“This does not mean that elbow injuries are inevitable in baseball,” Patel said. “With proper technique and proper rest, these injuries could potentially be avoided.”

Additional co-authors are Shahwar M. Tariq, B.S., Liya Gendler, D.O., Apurva S. Shah, M.D., M.B.A., and Adam C. Zoga, M.D., M.B.A.

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Note: Copies of RSNA 2023 news releases and electronic images will be available online at RSNA.org/press23.

RSNA is an association of radiologists, radiation oncologists, medical physicists and related scientists promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook, Illinois. (RSNA.org)

Editor’s note: The data in these releases may differ from those in the published abstract and those actually presented at the meeting, as researchers continue to update their data right up until the meeting. To ensure you are using the most up-to-date information, please call the RSNA Newsroom at 1-312-791-6610.

For patient-friendly information on pediatric and musculoskeletal imaging, visit RadiologyInfo.org.



 

New study: Lost brain function restored after stroke


Peer-Reviewed Publication

LUND UNIVERSITY





Researchers have succeeded in restoring lost brain function in mouse models of stroke using small molecules that in the future could potentially be developed into a stroke recovery therapy. “Communication between nerve cells in large parts of the brain changes after a stroke and we show that it can be partially restored with the treatment”, says Tadeusz Wieloch, senior professor of neurobiology at Lund University in Sweden.

“Concomitantly, the rodents regain lost somatosensory functions, something that around 60 per cent of all stroke patients experience today. The most remarkable result is that the treatment began several days after a stroke,” Wieloch continues. 

In an ischemic stroke, lack of blood flow to the brain causes damage, which rapidly leads to nerve cell loss that affects large parts of the the vast network of nerve cells in the brain. This may lead to loss of function such as paralysis, sensorimotor impairment and vision and speech difficulties, but also to pain and depression. There are currently no approved drugs that improve or restore the functions after a stroke, apart from clot-dissolving treatment in the acute phase (within 4.5 hours of the stroke). Some spontaneous improvements occur, but many stroke patients suffer chronic loss of function. For example, about 60 per cent of stroke sufferers, experience lost somatosensori functions such as touch and position sense.

An international study published recently in the journal Brain and led by a research team from Lund University in collaboration with University of Rome La Sapeinza and Washington University at St. Louis, shows promising results in mice and rats that were treated with a class of substances that inhibit the metabotropic glutamate receptor (mGluR5), a receptor that regulates communication in the brain’s nerve cell network. 

“Rodents treated with the GluR5 inhibitor regained their somatosensori functions,” says Tadeusz Wieloch, who led the study published in BRAIN.

Two days after the stroke, i.e. when the damage had developed and function impairment was most prominent, the researchers started treating the rodents that exhibited the greatest impaired function. 

“A temporary treatment effect was seen after just 30 minutes, but treatment for several weeks is needed to achieve a permanent recovery effect. Some function improvement was observed even when the treatment started 10 days after a stroke,” says Tadeusz Wieloch.

Importantly, sensorimotor functions improved, even though the extent of the brain damage was not diminished. This, explains Tadeusz Wieloch, is due to the intricate network of nerve cells in the brain, known as the connectome, i.e. how various areas of the brain are connected and communicate with each to form the basis for various brain functions.

“Impaired function after a stroke is due to cell loss, but also because of reduced activity in large parts of the connectome in the undamaged brain. The receptor mGluR5 is apparently an important factor in the reduced activity in the connectome, which is prevented by the inhibitor which therefore restores the lost brain function,” says Tadeusz Wieloch.

The results also showed that sensorimotor function was further improved if treatment with the mGluR5 inhibitor is combined with somatosensory training by housing several rodents in cages enriched with toys, chains, grids, and plastic tubes. 

The researchers hope that in the future their results could lead to a clinical treatment that could be initiated a few days after an ischemic stroke.

“Combined with rehabilitation training, it could eventually be a new promising treatment. However, more studies are needed. The study was conducted on mice and rats, and of course needs to be repeated in humans. This should be possible since several mGluR5 inhibitors have been studied in humans for the treatment of neurological diseases other than stroke, and shown to be tolerated by humans,” says Tadeusz Wieloch.  

The research is conducted with support from the Swedish Research Council, Alborada Trust, Hans-Gabriel and Alice Wachtmeister Foundation, and Multipark Strategic Research Area.  

 

INU researchers develop novel deep learning-based detection system for autonomous vehicles


The new system, aided by the Internet of things, improves the detection capabilities of autonomous vehicles even under unfavorable conditions


Peer-Reviewed Publication

INCHEON NATIONAL UNIVERSITY

Autonomous vehicle with object detection capabilities. 

IMAGE: 

A NEW OBJECT DETECTION SYSTEM UTILIZES THE STATE-OF-THE-ART YOLOV3 (YOU ONLY LOOK ONCE) ALGORITHM, OFFERING SIGNIFICANTLY IMPROVED DETECTION CAPABILITIES EVEN UNDER UNFAVORABLE CONDITIONS AND CAN, THEREFORE, HELP AUTONOMOUS VEHICLES BECOME MORE MAINSTREAM.

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CREDIT: ESCHENZWEIG FROM WIKIMEDIA COMMONS (HTTPS://COMMONS.WIKIMEDIA.ORG/WIKI/FILE:AUTONOMOUS-DRIVING-BARCELONA.JPG)




Autonomous vehicles hold the promise of tackling traffic congestion, enhancing traffic flow through vehicle-to-vehicle communication, and revolutionizing the travel experience by offering comfortable and safe journeys. Additionally, integrating autonomous driving technology into electric vehicles could contribute to more eco-friendly transportation solutions.

A critical requirement for the success of autonomous vehicles is their ability to detect and navigate around obstacles, pedestrians, and other vehicles across diverse environments. Current autonomous vehicles employ smart sensors such as LiDARs (Light Detection and Ranging) for a 3D view of the surroundings and depth information, RADaR (Radio Detection and Ranging) for detecting objects at night and cloudy weather, and a set of cameras for providing RGB images and a 360-degree view, collectively forming a comprehensive dataset known as point cloud. However, these sensors often face challenges like reduced detection capabilities in adverse weather, on unstructured roads, or due to occlusion.

To overcome these shortcomings, an international team of researchers led by Professor Gwanggil Jeon from the Department of Embedded Systems Engineering at Incheon National University (INU), Korea, has recently developed a groundbreaking Internet-of-Things-enabled deep learning-based end-to-end 3D object detection system. “Our proposed system operates in real time, enhancing the object detection capabilities of autonomous vehicles, making navigation through traffic smoother and safer,” explains Prof. Jeon. Their paper was made available online on October 17, 2022, and published in Volume 24, Issue 11 of the journal IEEE Transactions on Intelligent Transport Systems on November 2023.

The proposed innovative system is built on the YOLOv3 (You Only Look Once) deep learning object detection technique, which is the most active state-of-the-art technique available for 2D visual detection. The researchers first used this new model for 2D object detection and then modified the YOLOv3 technique to detect 3D objects. Using both point cloud data and RGB images as input, the system generates bounding boxes with confidence scores and labels for visible obstacles as output.

To assess the system’s performance, the team conducted experiments using the Lyft dataset, which consisted of road information captured from 20 autonomous vehicles traveling a predetermined route in Palo Alto, California, over a four-month period. The results demonstrated that YOLOv3 exhibits high accuracy, surpassing other state-of-the-art architectures. Notably, the overall accuracy for 2D and 3D object detection were an impressive 96% and 97%, respectively.

Prof. Jeon emphasizes the potential impact of this enhanced detection capability: "By improving detection capabilities, this system could propel autonomous vehicles into the mainstream. The introduction of autonomous vehicles has the potential to transform the transportation and logistics industry, offering economic benefits through reduced dependence on human drivers and the introduction of more efficient transportation methods."

Furthermore, the present work is expected to drive research and development in various technological fields such as sensors, robotics, and artificial intelligence. Going ahead, the team aims to explore additional deep learning algorithms for 3D object detection, recognizing the current focus on 2D image development.

In summary, this groundbreaking study could pave the way for a widespread adoption of autonomous vehicles and, in turn, a more environment-friendly and comfortable mode of transport.

 

***

Reference

DOI: https://doi.org/10.1109/TITS.2022.3210490

Authors: Imran Ahmed1 , Gwanggil Jeon2,* , and Abdellah Chehri3

Affiliations:        

1School of Computing and Information Sciences, Anglia Ruskin University

2Department of Embedded Systems Engineering, Incheon National University

3Department of Mathematics and Computer Science, Royal Military College of Canada

 

*Corresponding author’s email: gjeon@inu.ac.kr

 

About Incheon National University

Incheon National University (INU) is a comprehensive, student-focused university. It was founded in 1979 and given university status in 1988. One of the largest universities in South Korea, it houses nearly 14,000 students and 500 faculty members. In 2010, INU merged with Incheon City College to expand capacity and open more curricula. With its commitment to academic excellence and an unrelenting devotion to innovative research, INU offers its students real-world internship experiences. INU not only focuses on studying and learning but also strives to provide a supportive environment for students to follow their passion, grow, and, as their slogan says, be INspired.

Website: http://www.inu.ac.kr/mbshome/mbs/inuengl/index.html

 

About the author

Gwanggil Jeon received his B.S., M.S., and Ph.D. (summa cum laude) degrees from the Department of Electronics and Computer Engineering at Hanyang University, Seoul, Korea, in 2003, 2005, and 2008, respectively. From 2009 to 2011, he was with the School of Information Technology and Engineering, University of Ottawa, Ottawa, ON, Canada, as a Post-doctoral Fellow. From 2011 to 2012, he served as an Assistant Professor at the Graduate School of Science and Technology at Niigata University, Japan. From 2014 to 2015 and 2015.06 to 2015.07, he remained a Visiting Scholar at Centre de Mathématiques et Leurs Applications (CMLA), École Normale Supérieure Paris-Saclay (ENS-Cachan) in France. From 2019 to 2020, he served as a Prestigious Visiting Professor at Dipartimento di Informatica, Università degli Studi di Milano Statale, Italy. He has also been a visiting professor at Sichuan University, China, Universitat Pompeu Fabra, Barcelona, Spain, Xinjiang University, China, King Mongkut's Institute of Technology Ladkrabang, Bangkok, Thailand, and University of Burgundy, Dijon, France. Dr. Jeon is currently a Full Professor at Incheon National University in Korea.

He is an Associate Editor of IEEE Transactions on Circuits and Systems for Video Technology (TCSVT), Elsevier Sustainable Cities and Society, IEEE Access, Springer Real-Time Image Processing, Journal of System Architecture, and Wiley Expert Systems. Dr. Jeon was a recipient of the IEEE Chester Sall Award in 2007, ACM’s Distinguished Speaker in 2022, the ETRI Journal Paper Award in 2008, and Industry-Academic Merit Award by Ministry of SMEs and Startups of Korea Minister in 2020.