772 results on '"Nasrallah, A"'
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2. SO WHAT DID ANDALUSIS LEARN FROM ZIRYĀB? IN SCRUTINY OF HIS ROLE IN SHAPING THEIR CUISINE.
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Nasrallah, Nawal
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Ninth-century Alī Abū Nāfi, famously known as Ziryāb, fled Baghdad and established himself as the most celebrated musician and arbiter of high style and sophisticated dining in the Cordovan courts of Muslim Spain. While this should not be surprising as he left when Abbasid gastronomy had already reached a high level of sophistication, the modern narratives of him extolling the role he played in revolutionising the dining experiences he had on al-Andalus and the rest of Europe ever after are exaggeratedly portrayed and even fallacious at times. The aim of the article, therefore, is to sift through some of the representative modern accounts of him - they are largely based on early modern translations of Arabic sources - and try to figure out how inaccuracies and misinformation could have crept in. A primary source is used in straightening the record. It is the account of Ibn Ḥayyān al-Qurṭubī, the most detailed and the closest to Ziryāb's time but the latest to have been discovered. It is edited in Arabic only and has not been made use of regarding the role he played in shaping the Andalusi cuisine. That is in addition to what we know of it today through the two medieval Andalusi cookbooks that survived from the region. [ABSTRACT FROM AUTHOR]
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- 2024
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3. The menopausal transition and multiple physiologic measures of early brain health in the Coronary Artery Risk Development in Young Adults study
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Tahir, Muna J., Xie, Yang, Nasrallah, Ilya M., Elbejjani, Martine, Wellons, Melissa F., Bryan, R. Nick, Dolui, Sudipto, Erus, Guray, Launer, Lenore J., and Schreiner, Pamela J.
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The findings of this study suggest that the ability of vessels to adapt in response to hypercapnia may be impaired during menopause, even within a relatively short time window.
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- 2025
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4. Enhancing Sepsis Care at an Academic Emergency Department in a Resource-Constrained Setting: A Quality Improvement Initiative
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Noureldeen, Haytham, Bakhsh, Abdullah, Alshabasy, Adel, Alawi, Maha, Bakhribah, Ahmad, Nasrallah, Nihad, Aljuhani, Ohoud, Margushi, Rahaf, Bantan, Rafal, Bokhari, Raneem, Idris, Sarah, Alshamrani, Lamis, Samman, Abeer, Alharthi, Elaf, and Alothman, Ali
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- 2025
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5. from A Long Walk From Gaza
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Alatawna, Asmaa, Nasrallah, Caline, and Hartman, Michelle
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- 2024
6. from Shadow of The Keys
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Nasrallah, Ibrahim and James, Christiaan
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- 2024
7. Ischemic stroke associated with amyloid‐related imaging abnormalities in a patient treated with lecanemab.
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Gibson, Alec W., Elser, Holly, Rosso, Michela, Cornblath, Eli J., Fonkeu, Yombe, Prasad, Sashank, Rothstein, Aaron, Nasrallah, Ilya M., Wolk, David A., and Guo, Michael H.
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INTRODUCTION: Anti‐amyloid antibody therapies such as lecanemab are increasingly being used to treat Alzheimer's disease (AD). These therapies are associated with a high rate of amyloid‐related imaging abnormalities (ARIA). METHODS: We review the case history of a patient who developed ARIA associated with lecanemab treatment. RESULTS: In addition to microhemorrhages and cerebral edema that are recognized features of ARIA, the patient developed several ischemic strokes. The patient also experienced frequent electrographic seizures without overt clinical seizures. The patient demonstrated clinical and radiographic improvement after steroid treatment. DISCUSSION: Our case suggests that ischemic strokes may be a feature of ARIA and highlights the importance of having a high clinical suspicion for seizures in ARIA. As anti‐amyloid therapies are likely going to be increasingly used to treat AD, it is important to appreciate the spectrum of clinical and radiographic findings that can result as side effects from this class of therapies. Highlights: We report a patient who developed severe amyloid‐related imaging abnormalities (ARIA) after treatment with lecanemab.Our report suggests that ischemic strokes may be a novel imaging feature of ARIA.Our report highlights the need for high clinical suspicion for seizures in ARIA. [ABSTRACT FROM AUTHOR]
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- 2024
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8. A pathology foundation model for cancer diagnosis and prognosis prediction
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Wang, Xiyue, Zhao, Junhan, Marostica, Eliana, Yuan, Wei, Jin, Jietian, Zhang, Jiayu, Li, Ruijiang, Tang, Hongping, Wang, Kanran, Li, Yu, Wang, Fang, Peng, Yulong, Zhu, Junyou, Zhang, Jing, Jackson, Christopher R., Zhang, Jun, Dillon, Deborah, Lin, Nancy U., Sholl, Lynette, Denize, Thomas, Meredith, David, Ligon, Keith L., Signoretti, Sabina, Ogino, Shuji, Golden, Jeffrey A., Nasrallah, MacLean P., Han, Xiao, Yang, Sen, and Yu, Kun-Hsing
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Histopathology image evaluation is indispensable for cancer diagnoses and subtype classification. Standard artificial intelligence methods for histopathology image analyses have focused on optimizing specialized models for each diagnostic task1,2. Although such methods have achieved some success, they often have limited generalizability to images generated by different digitization protocols or samples collected from different populations3. Here, to address this challenge, we devised the Clinical Histopathology Imaging Evaluation Foundation (CHIEF) model, a general-purpose weakly supervised machine learning framework to extract pathology imaging features for systematic cancer evaluation. CHIEF leverages two complementary pretraining methods to extract diverse pathology representations: unsupervised pretraining for tile-level feature identification and weakly supervised pretraining for whole-slide pattern recognition. We developed CHIEF using 60,530 whole-slide images spanning 19 anatomical sites. Through pretraining on 44 terabytes of high-resolution pathology imaging datasets, CHIEF extracted microscopic representations useful for cancer cell detection, tumour origin identification, molecular profile characterization and prognostic prediction. We successfully validated CHIEF using 19,491 whole-slide images from 32 independent slide sets collected from 24 hospitals and cohorts internationally. Overall, CHIEF outperformed the state-of-the-art deep learning methods by up to 36.1%, showing its ability to address domain shifts observed in samples from diverse populations and processed by different slide preparation methods. CHIEF provides a generalizable foundation for efficient digital pathology evaluation for patients with cancer.
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- 2024
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9. Brain aging patterns in a large and diverse cohort of 49,482 individuals
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Yang, Zhijian, Wen, Junhao, Erus, Guray, Govindarajan, Sindhuja T., Melhem, Randa, Mamourian, Elizabeth, Cui, Yuhan, Srinivasan, Dhivya, Abdulkadir, Ahmed, Parmpi, Paraskevi, Wittfeld, Katharina, Grabe, Hans J., Bülow, Robin, Frenzel, Stefan, Tosun, Duygu, Bilgel, Murat, An, Yang, Yi, Dahyun, Marcus, Daniel S., LaMontagne, Pamela, Benzinger, Tammie L. S., Heckbert, Susan R., Austin, Thomas R., Waldstein, Shari R., Evans, Michele K., Zonderman, Alan B., Launer, Lenore J., Sotiras, Aristeidis, Espeland, Mark A., Masters, Colin L., Maruff, Paul, Fripp, Jurgen, Toga, Arthur W., O’Bryant, Sid, Chakravarty, Mallar M., Villeneuve, Sylvia, Johnson, Sterling C., Morris, John C., Albert, Marilyn S., Yaffe, Kristine, Völzke, Henry, Ferrucci, Luigi, Nick Bryan, R., Shinohara, Russell T., Fan, Yong, Habes, Mohamad, Lalousis, Paris Alexandros, Koutsouleris, Nikolaos, Wolk, David A., Resnick, Susan M., Shou, Haochang, Nasrallah, Ilya M., and Davatzikos, Christos
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Brain aging process is influenced by various lifestyle, environmental and genetic factors, as well as by age-related and often coexisting pathologies. Magnetic resonance imaging and artificial intelligence methods have been instrumental in understanding neuroanatomical changes that occur during aging. Large, diverse population studies enable identifying comprehensive and representative brain change patterns resulting from distinct but overlapping pathological and biological factors, revealing intersections and heterogeneity in affected brain regions and clinical phenotypes. Herein, we leverage a state-of-the-art deep-representation learning method, Surreal-GAN, and present methodological advances and extensive experimental results elucidating brain aging heterogeneity in a cohort of 49,482 individuals from 11 studies. Five dominant patterns of brain atrophy were identified and quantified for each individual by respective measures, R-indices. Their associations with biomedical, lifestyle and genetic factors provide insights into the etiology of observed variances, suggesting their potential as brain endophenotypes for genetic and lifestyle risks. Furthermore, baseline R-indices predict disease progression and mortality, capturing early changes as supplementary prognostic markers. These R-indices establish a dimensional approach to measuring aging trajectories and related brain changes. They hold promise for precise diagnostics, especially at preclinical stages, facilitating personalized patient management and targeted clinical trial recruitment based on specific brain endophenotypic expression and prognosis.
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- 2024
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10. Impact of phytoconstituents on oral health practices: a post COVID-19 observation
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Kumar, Harsh, Singh, Reena, Dhanjal, Daljeet Singh, Chopra, Chirag, Cruz-Martins, Natália, Nasrallah, Gheyath K., Majdalawieh, Amin F., Manickam, Sivakumar, Siddiqui, Shahida Anusha, Kumar, Dinesh, Sharma, Indu, and Sharma, Varun
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Appropriate oral hygiene significantly reduces the possibility of oral infections. However, dental caries and periodontal diseases are major oral health issues causing chronic diseases due to poor oral health. Recently, herbal compounds have gained interest in maintaining oral health. Extracts of burdock root (Arctium), noni fruit (Morinda citrifolia), and neem leaf (Azadirachta indica) are now used as intracanal medicaments in endodontics and periodontics. Plectranthus amboinicusspecies and other plants produces essential oil like β-caryophyllene, p-cymene, and γ-terpinene can exhibit antibacterial activity; highlighting phytoconstituents plays a vital role in oral health. The COVID-19 pandemic highlighted the importance of hygiene and sanitization, to curb SARS-CoV-2. Oral cavity is among the gateways for virus entry into saliva. Saliva is a potential reservoir of SARS-CoV-2, and there is an increased risk of infection if there is any fissure in the mouth. This enables entry of virus into the vascular system through gingival or periodontal pocket, possibly reaching lung periphery then to lung vessels by interacting with endothelial surface receptors triggering pulmonary vasoconstriction and lung damage due to endothelial dysfunction. This review aims to draw attention to the possible route of SARS-CoV-2 infection via the oral cavity and the importance of oral hygiene against COVID-19.
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- 2024
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11. Antiochian Orthodox Liturgy and Formation of Young Adults: Union with the Lord
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Sonnenberg, Ronelle (P.M.) and Nasrallah, Rima
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This practical theological study considers what the participation of young adults in the Antiochian Orthodox liturgy in Lebanon means for their formation. We distinguish four formational categories: (1) formation through liturgical rituals, (2) formation through education and coaching, (3) formation through the energies of God in the dimensions of beauty, peace, and protection, and (4) formation intoliturgical lives. The first two categories demonstrate the mutuality of participation and formation. In the third category, the mystical tradition yields an affect, expressed by words such as beauty, peace, and protection. This affect points to the energies of God in which the young people long to participate. This received love of God in liturgy is shared (in a diaconal way) in daily life. However, this liturgical experience remains incomprehensible for those not properly initiated through the channels of youth movements or clubs.
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- 2024
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12. Revealing the Solubility Enhancement of Active Pharmaceutical Ingredients through Eutectic Mixtures Formation: A Parameter Study.
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Nasrallah, Sahar, Alhadid, Ahmad, and Minceva, Mirjana
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- 2024
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13. Thermodynamic Approach for Estimating the Melting Enthalpy of Cocrystals.
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Alhadid, Ahmad, Kefalianakis, Lea, Wendler, Alexander, Nasrallah, Sahar, Jandl, Christian, Kronawitter, Silva M., Kieslich, Gregor, and Minceva, Mirjana
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- 2024
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14. Medial temporal lobe gray matter microstructure in preclinical Alzheimer's disease.
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Brown, Christopher, Das, Sandhitsu, Xie, Long, Nasrallah, Ilya, Detre, John, Chen‐Plotkin, Alice, Shaw, Leslie, McMillan, Corey, Yushkevich, Paul, and Wolk, David
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INTRODUCTION: Typical MRI measures of neurodegeneration have limited sensitivity in early disease stages. Diffusion MRI (dMRI) microstructural measures may allow for detection in preclinical stages. METHODS: Participants had dMRI and either beta‐amyloid PET or plasma biomarkers of Alzheimer's pathology within 18 months of MRI. Microstructure was measured in portions of the medial temporal lobe (MTL) with high neurofibrillary tangle (NFT) burden based on a previously developed post mortem 3D‐map. Regressions examined relationships between microstructure and markers of Alzheimer's pathology in preclinical disease and then across disease stages. RESULTS: There was higher isometric volume fraction in amyloid‐positive compared to amyloid‐negative cognitively unimpaired individuals in high tangle MTL regions. Similarly, plasma biomarkers and 18F‐flortaucipir were associated with microstructural changes in preclinical disease. Additional microstructural effects were seen across disease stages. DISCUSSION: Combining a post mortem atlas of NFT pathology with microstructural measures allows for detection of neurodegeneration in preclinical Alzheimer's disease. Highlights: Typical markers of neurodegeneration are not sensitive in preclinical Alzheimer's.dMRI measured microstructure in regions with high NFT.Microstructural changes occur in medial temporal regions in preclinical disease.Microstructural changes occur in other typical Alzheimer's regions in later stages.Combining post mortem pathology atlases with in vivo MRI is a powerful framework. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Pathologic and cognitive correlates of plasma biomarkers in neurodegenerative disease.
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Cousins, Katheryn A. Q., Phillips, Jeffrey S., Das, Sandhitsu R., O'Brien, Kyra, Tropea, Thomas F., Chen‐Plotkin, Alice, Shaw, Leslie M., Nasrallah, Ilya M., Mechanic‐Hamilton, Dawn, McMillan, Corey T., Irwin, David J., Lee, Edward B., and Wolk, David A.
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INTRODUCTION: We investigate pathological correlates of plasma phosphorylated tau 181 (p‐tau181), glial fibrillary acidic protein (GFAP), and neurofilament light chain (NfL) across a clinically diverse spectrum of neurodegenerative disease, including normal cognition (NormCog) and impaired cognition (ImpCog). METHODS: Participants were NormCog (n = 132) and ImpCog (n = 461), with confirmed β‐amyloid (Aβ+/‐) status (cerebrospinal fluid, positron emission tomography, autopsy) and single molecule array plasma measurements. Logistic regression and receiver operating characteristic (ROC) area under the curve (AUC) tested how combining plasma analytes discriminated Aβ+ from Aβ‐. Survival analyses tested time to clinical dementia rating (global CDR) progression. RESULTS: Multivariable models (p‐tau+GFAP+NfL) had the best performance to detect Aβ+ in NormCog (ROCAUC = 0.87) and ImpCog (ROCAUC = 0.87). Survival analyses demonstrated that higher NfL best predicted faster CDR progression for both Aβ+ (hazard ratio [HR] = 2.94; p = 8.1e‐06) and Aβ‐ individuals (HR = 3.11; p = 2.6e‐09). DISCUSSION: Combining plasma biomarkers can optimize detection of Alzheimer's disease (AD) pathology across cognitively normal and clinically diverse neurodegenerative disease. Highlights: Participants were clinically heterogeneous, with autopsy‐ or biomarker‐confirmed Aβ.Combining plasma p‐tau181, GFAP, and NfL improved diagnostic accuracy for Aβ status.Diagnosis by plasma biomarkers is more accurate in amnestic AD than nonamnestic AD.Plasma analytes show independent associations with tau PET and post mortem Aβ/tau.Plasma NfL predicted longitudinal cognitive decline in both Aβ+ and Aβ‐ individuals. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Revealing the Solubility Enhancement of Active Pharmaceutical Ingredients through Eutectic Mixtures Formation: A Parameter Study
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Nasrallah, Sahar, Alhadid, Ahmad, and Minceva, Mirjana
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The active pharmaceutical ingredient (API) solubility is critical for their bioavailability, dosing precision, stability, and overall efficacy. Forming eutectic mixtures between an API and an excipient has been widely used to improve API solubility. However, from a thermodynamic perspective, this approach is still relatively underexplored. This study explores the parameters influencing the solubility enhancement of an API with poor solubility in water by eutectic mixture formation. A hypothetical ternary system consisting of an API, excipient, and water was considered. The study investigated the impact of excipient melting properties and molecular interactions among the API, excipient, and water on API solubility in water. The two-suffix Margules equation was used to model the liquid phase nonideality. The study revealed that strong API–excipient and excipient–water interactions notably enhanced API solubility in water. However, this effect was counteracted when excipient–water interactions surpassed API–excipient interactions in strength. Additionally, the melting properties of the excipient had a significant influence on the composition of the mixture at the eutectic point and API solubility enhancement factor. This research underscores the essential characteristics a potential excipient should possess to maximize API solubility in water and other solvents. The results emphasize the importance of eutectic mixture formation in addressing the challenges associated with water-insoluble APIs.
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- 2024
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17. Multi-Modal Traumatic Brain Injury Prognosis via Structure-Aware Field-Wise Learning
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Zhang, Lu, Li, Zhibin, Chandra, Shekhar S., and Nasrallah, Fatima
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Traumatic brain injury (TBI) remains a growing significant public health problem and prognosis of outcome is difficult due to the multitude of factors that underlie the heterogeneity of TBI. Prognosis aims to forecast the likely development of the disease and significantly affects patient's recovery and healthcare. Traditionally, TBI prognosis relies on the physician's insights and their empirical knowledge which makes it infeasible for large-scale implementation. Existing methods utilize a single modality (i.e., either clinical data or Computed Tomography scan images) for TBI prognosis, leaving crucial information from multi-modal data largely underexplored. To address this concern, we explore a Multi-modal Structure-aware Field-wise learning (MSF) method that is capable of mining complex correlations between multi-modal data and TBI outcomes for prognosis on a real-world dataset. Specifically, we develop a High-Level Structure-Aware (HSA) module to capture the structure information of the multilayered clinical data. Experimental results on the publicly available TRACK-TBI dataset demonstrate the viability and effectiveness of our proposed method, by achieving the top-3 accuracy of 96.07% and 98.13% for 3-month and 6-month predictions after injury, respectively.
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- 2024
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18. Scanning ultrasound-mediated memory and functional improvements do not require amyloid-β reduction
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Leinenga, Gerhard, To, Xuan Vinh, Bodea, Liviu-Gabriel, Yousef, Jumana, Richter-Stretton, Gina, Palliyaguru, Tishila, Chicoteau, Antony, Dagley, Laura, Nasrallah, Fatima, and Götz, Jürgen
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A prevalent view in treating age-dependent disorders including Alzheimer’s disease (AD) is that the underlying amyloid plaque pathology must be targeted for cognitive improvements. In contrast, we report here that repeated scanning ultrasound (SUS) treatment at 1 MHz frequency can ameliorate memory deficits in the APP23 mouse model of AD without reducing amyloid-β (Aβ) burden. Different from previous studies that had shown Aβ clearance as a consequence of blood-brain barrier (BBB) opening, here, the BBB was not opened as no microbubbles were used. Quantitative SWATH proteomics and functional magnetic resonance imaging revealed that ultrasound induced long-lasting functional changes that correlate with the improvement in memory. Intriguingly, the treatment was more effective at a higher frequency (1 MHz) than at a frequency within the range currently explored in clinical trials in AD patients (286 kHz). Together, our data suggest frequency-dependent bio-effects of ultrasound and a dissociation of cognitive improvement and Aβ clearance, with important implications for the design of trials for AD therapies.
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- 2024
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19. Thermodynamic Approach for Estimating the Melting Enthalpy of Cocrystals
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Alhadid, Ahmad, Kefalianakis, Lea, Wendler, Alexander, Nasrallah, Sahar, Jandl, Christian, Kronawitter, Silva M., Kieslich, Gregor, and Minceva, Mirjana
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The synthesis of cocrystals is an established and efficient method for tuning the solubility of pharmaceutical and industrially relevant compounds. Predicting the cocrystal solubility prerequisites knowledge about the melting properties and the stoichiometry of the cocrystal along with the activity coefficients of individual constituents in the liquid solution. Reliable thermodynamic models can estimate the activity coefficients of components in the liquid phase; on the other hand, predicting the cocrystal melting properties and stoichiometry remains a key challenge. In this work, we propose an approach for estimating the melting enthalpy of cocrystals, where the melting enthalpy of the cocrystal is calculated using the melting properties of its pure constituents, the cocrystal stoichiometry and melting temperature, and the enthalpy of mixing the constituents in the liquid solution. For selected model systems, we show that by using our approach, the calculated melting enthalpy allowed for predicting the cocrystal liquidus line equally well and, in some cases, better than when using the experimental melting enthalpy values. Furthermore, we apply our approach to accurately predict the complete phase diagram of binary eutectic systems with cocrystal formation, in which the properties of the cocrystals have not been reported before. The advantage of our approach is the ability to model the solid–liquid phase diagram of eutectic systems with cocrystal formation without requiring extensive investigations of the cocrystal stoichiometry and melting properties. Therefore, the approach has the capacity to fill gaps of experimental uncertainties in determining the cocrystal melting enthalpy when isolating the cocrystal is challenging. By streamlining the prediction of cocrystal melting enthalpy, our proposed approach could accelerate the identification and design of pharmaceutically active cocrystals, offering a potent tool for expediting drug development processes.
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- 2024
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20. Genetic and Clinical Correlates of AI-Based Brain Aging Patterns in Cognitively Unimpaired Individuals.
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Skampardoni, Ioanna, Nasrallah, Ilya M., Abdulkadir, Ahmed, Wen, Junhao, Melhem, Randa, Mamourian, Elizabeth, Erus, Guray, Doshi, Jimit, Singh, Ashish, Yang, Zhijian, Cui, Yuhan, Hwang, Gyujoon, Ren, Zheng, Pomponio, Raymond, Srinivasan, Dhivya, Govindarajan, Sindhuja Tirumalai, Parmpi, Paraskevi, Wittfeld, Katharina, Grabe, Hans J., and Bülow, Robin
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APOLIPOPROTEIN E ,ARTIFICIAL intelligence ,GENERATIVE adversarial networks ,CARDIOVASCULAR diseases risk factors ,AGING ,DISEASE progression ,MIND-wandering - Abstract
This cohort study investigates the patterns of morphological brain changes that are reproducibly detectable with artificial intelligence (AI) in cognitively unimpaired populations and their genetic, clinical, lifestyle, and cognitive features. Key Points: Question: What patterns of morphological brain changes are reproducibly detectable in cognitively unimpaired populations, and what are their genetic, clinical, lifestyle, and cognitive features? Findings: In this multistudy harmonized cohort of 27 402 individuals aged 45 to 85 years without diagnosed cognitive impairment, 3 subgroups of structural brain measures in decade-spanning groups in a data-driven manner were found: 1 typical and 2 accelerated aging subgroups, displaying distinct associations with genetics, cognitive decline, cardiovascular risk factors, and amyloid pathology. Meaning: Three genetically distinct and longitudinally stable subgroups display brain changes reflecting differential susceptibility to Alzheimer disease and other neurodegenerative diseases, cognitive decline, and clinical progression. Importance: Brain aging elicits complex neuroanatomical changes influenced by multiple age-related pathologies. Understanding the heterogeneity of structural brain changes in aging may provide insights into preclinical stages of neurodegenerative diseases. Objective: To derive subgroups with common patterns of variation in participants without diagnosed cognitive impairment (WODCI) in a data-driven manner and relate them to genetics, biomedical measures, and cognitive decline trajectories. Design, Setting, and Participants: Data acquisition for this cohort study was performed from 1999 to 2020. Data consolidation and harmonization were conducted from July 2017 to July 2021. Age-specific subgroups of structural brain measures were modeled in 4 decade-long intervals spanning ages 45 to 85 years using a deep learning, semisupervised clustering method leveraging generative adversarial networks. Data were analyzed from July 2021 to February 2023 and were drawn from the Imaging-Based Coordinate System for Aging and Neurodegenerative Diseases (iSTAGING) international consortium. Individuals WODCI at baseline spanning ages 45 to 85 years were included, with greater than 50 000 data time points. Exposures: Individuals WODCI at baseline scan. Main Outcomes and Measures: Three subgroups, consistent across decades, were identified within the WODCI population. Associations with genetics, cardiovascular risk factors (CVRFs), amyloid β (Aβ), and future cognitive decline were assessed. Results: In a sample of 27 402 individuals (mean [SD] age, 63.0 [8.3] years; 15 146 female [55%]) WODCI, 3 subgroups were identified in contrast with the reference group: a typical aging subgroup, A1, with a specific pattern of modest atrophy and white matter hyperintensity (WMH) load, and 2 accelerated aging subgroups, A2 and A3, with characteristics that were more distinct at age 65 years and older. A2 was associated with hypertension, WMH, and vascular disease–related genetic variants and was enriched for Aβ positivity (ages ≥65 years) and apolipoprotein E (APOE) ε4 carriers. A3 showed severe, widespread atrophy, moderate presence of CVRFs, and greater cognitive decline. Genetic variants associated with A1 were protective for WMH (rs7209235: mean [SD] B = −0.07 [0.01]; P value = 2.31 × 10
−9 ) and Alzheimer disease (rs72932727: mean [SD] B = 0.1 [0.02]; P value = 6.49 × 10−9 ), whereas the converse was observed for A2 (rs7209235: mean [SD] B = 0.1 [0.01]; P value = 1.73 × 10−15 and rs72932727: mean [SD] B = −0.09 [0.02]; P value = 4.05 × 10−7 , respectively); variants in A3 were associated with regional atrophy (rs167684: mean [SD] B = 0.08 [0.01]; P value = 7.22 × 10−12 ) and white matter integrity measures (rs1636250: mean [SD] B = 0.06 [0.01]; P value = 4.90 × 10−7 ). Conclusions and Relevance: The 3 subgroups showed distinct associations with CVRFs, genetics, and subsequent cognitive decline. These subgroups likely reflect multiple underlying neuropathologic processes and affect susceptibility to Alzheimer disease, paving pathways toward patient stratification at early asymptomatic stages and promoting precision medicine in clinical trials and health care. [ABSTRACT FROM AUTHOR]- Published
- 2024
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21. Cerebrovascular reactivity in Alzheimer's disease signature regions is associated with mild cognitive impairment in adults with hypertension.
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Aslanyan, Vahan, Mack, Wendy J., Ortega, Nancy E., Nasrallah, Ilya M., Pajewski, Nicholas M., Williamson, Jeff D., and Pa, Judy
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INTRODUCTION: Vascular risk factors contribute to cognitive decline suggesting that maintaining cerebrovascular health could reduce dementia risk. The objective of this study is to evaluate the association of cerebrovascular reactivity (CVR), a measure of brain blood vessel elasticity, with mild cognitive impairment (MCI) and dementia. METHODS: Participants were enrolled in the Systolic Blood Pressure Intervention Trial Memory and Cognition in Decreased Hypertension (SPRINT‐MIND) magnetic resonance imaging substudy. Baseline CVR in Alzheimer's disease (AD) signature regions were primary variables of interest. The occipital pole and postcentral gyrus were included as control regions. RESULTS: Higher AD composite CVR was associated with lower MCI risk. No significant associations between inferior temporal gyrus, occipital pole, or postcentral gyrus CVR and MCI risk, or any regional CVR–combined risk associations were observed. DISCUSSION: CVR in AD signature regions is negatively associated with occurrence of MCI, implicating CVR in AD signature regions as a potential mechanism leading to cognitive impairment. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Tau‐neurodegeneration mismatch reveals vulnerability and resilience to comorbidities in Alzheimer's continuum.
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Lyu, Xueying, Duong, Michael Tran, Xie, Long, de Flores, Robin, Richardson, Hayley, Hwang, Gyujoon, Wisse, Laura E. M., DiCalogero, Michael, McMillan, Corey T., Robinson, John L., Xie, Sharon X., Lee, Edward B., Irwin, David J., Dickerson, Bradford C., Davatzikos, Christos, Nasrallah, Ilya M., Yushkevich, Paul A., Wolk, David A., and Das, Sandhitsu R.
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INTRODUCTION: Variability in relationship of tau‐based neurofibrillary tangles (T) and neurodegeneration (N) in Alzheimer's disease (AD) arises from non‐specific nature of N, modulated by non‐AD co‐pathologies, age‐related changes, and resilience factors. METHODS: We used regional T‐N residual patterns to partition 184 patients within the Alzheimer's continuum into data‐driven groups. These were compared with groups from 159 non‐AD (amyloid "negative") patients partitioned using cortical thickness, and groups in 98 patients with ante mortem MRI and post mortem tissue for measuring N and T, respectively. We applied the initial T‐N residual model to classify 71 patients in an independent cohort into predefined groups. RESULTS: AD groups displayed spatial T‐N mismatch patterns resembling neurodegeneration patterns in non‐AD groups, similarly associated with non‐AD factors and diverging cognitive outcomes. In the autopsy cohort, limbic T‐N mismatch correlated with TDP‐43 co‐pathology. DISCUSSION: T‐N mismatch may provide a personalized approach for determining non‐AD factors associated with resilience/vulnerability in AD. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Effects of tumor necrosis factor-α rs1800629and interleukin-10 rs1800872genetic variants on type 2 diabetes mellitus susceptibility and metabolic parameters among Jordanians
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Mousa, Lana Nasrallah, Jarrar, Yazun, Gharaibeh, Munir, and Alhawari, Hussam
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- 2024
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24. CDPNet: a radiomic feature learning method with epigenetic application to estimating MGMT promoter methylation status in glioblastoma
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Gimi, Barjor S., Krol, Andrzej, Guo, Jun, Yu, Fanyang, Nasrallah, Maclean P., and Davatzikos, Christos
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- 2024
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25. Did the intensity of countries’ digital transformation affect IT companies’ performance during covid-19?
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El Khoury, Rim, Nasrallah, Nohade, and G. Harb, Etienne
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ABSTRACTThis study explores the impact of the intensity of countries’ digital transformation on the performance of 3961 global companies in the Information Technology sector in 2020. We analyse the impact of e-government index, e-participation index, and cybersecurity commitment on firms’ performance (enterprise value, book value per share, and cash flow from operation per share) using OLS regression. A structural equation modelling was further employed to explain the mediating role of cybersecurity commitment. Results suggest that e-government has a positive linkage with cybersecurity commitment and performance. However, there is preliminary evidence that cybersecurity measures initiated by e-government will drive performance. The e-participation index has a positive association with cybersecurity commitment and a heterogeneous impact on performance, suggesting the need to differentiate between development and participation. Finally, results highlight the pivotal role of e-government and cybersecurity commitment in boosting the profitability of companies and supporting the influence of the surrounding technological environment on companies’ performance.
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- 2024
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26. Organizational culture, compensation systems, decision-making, and efficiency of public higher education institutions: case study of the University of Sfax
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Nasrallah, Wahiba Ben Fradj and Zouari, Ghazi
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In this research, we examined the mediating effect (decision-making) between governance mechanisms captured by organizational culture and compensation systems (local and/or national criteria bonuses) of public higher education institutions and their efficiency, through an empirical study based on correlational investigation. To identify the relationship between governance mechanisms: organizational culture and compensation systems (local and/or national criteria bonuses), decision-making, and efficiency of public higher education institutions, we selected a sample of 19 public higher education institutions in Sfax for the periods 2017–2020 and 2020–2023. The obtained results revealed that the attribute of organizational culture (captured by student life) and compensation systems (local and/or national criteria bonuses) indirectly affect the efficiency of university institutions through decision-making.
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- 2024
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27. Heart rate fragmentation and brain MRI markers of small vessel disease in MESA.
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Heckbert, Susan R., Jensen, Paul N., Erus, Guray, Nasrallah, Ilya M., Rashid, Tanweer, Habes, Mohamad, Austin, Thomas R., Floyd, James S., Schaich, Christopher L., Redline, Susan, Bryan, R. Nick, and Costa, Madalena D.
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INTRODUCTION: Heart rate (HR) fragmentation indices quantify breakdown of HR regulation and are associated with atrial fibrillation and cognitive impairment. Their association with brain magnetic resonance imaging (MRI) markers of small vessel disease is unexplored. METHODS: In 606 stroke‐free participants of the Multi‐Ethnic Study of Atherosclerosis (mean age 67), HR fragmentation indices including percentage of inflection points (PIP) were derived from sleep study recordings. We examined PIP in relation to white matter hyperintensity (WMH) volume, total white matter fractional anisotropy (FA), and microbleeds from 3‐Tesla brain MRI completed 7 years later. RESULTS: In adjusted analyses, higher PIP was associated with greater WMH volume (14% per standard deviation [SD], 95% confidence interval [CI]: 2, 27%, P = 0.02) and lower WM FA (–0.09 SD per SD, 95% CI: –0.16, –0.01, P = 0.03). DISCUSSION: HR fragmentation was associated with small vessel disease. HR fragmentation can be measured automatically from ambulatory electrocardiogram devices and may be useful as a biomarker of vascular brain injury. [ABSTRACT FROM AUTHOR]
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- 2024
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28. A multivariate MRI model of Alzheimer's disease risk is associated with clinical diagnosis, PET imaging, and plasma biomarkers in a mixed dementia sample.
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Phillips, Jeffrey S, Govindarajan, Sindhuja Tirumalai, Hwang, Gyujoon, Erus, Guray, Cousins, Katheryn A Q, Das, Sandhitsu R., Wolk, David A., Irwin, David J., Grossman, Murray, Nasrallah, Ilya M., and Davatzikos, Christos
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Background: We sought to validate two structural MRI‐based brain health models: Spatial Pattern of Atrophy for REcognition of Alzheimer's disease (SPARE‐AD) and SPARE‐Brain Age Gap (SPARE‐BAG), which estimates the discrepancy between biological brain age and chronological age. These models' generalization to non‐amnestic AD (naAD) syndromes and associations with positron emission tomography (PET) and plasma biomarkers remain underinvestigated. We hypothesized that SPARE‐AD scores in naAD would be lower (less abnormal) than in amnestic AD (aAD) but elevated (more abnormal) relative to controls; and that SPARE‐AD but not SPARE‐BAG scores would be associated with PET and plasma biomarkers of AD. Method: SPARE‐AD and SPARE‐BAG scores were estimated for each of 1607 MRI scans from 277 cognitively normal adults (62.8% female; mean age = 69.5 years) and 902 clinical participants (54.2% female; mean age = 73.1 years), including 585 with amnestic mild cognitive impairment (aMCI) or aAD; 56 with naAD syndromes; 28 with vascular disease; 28 with Lewy body disorders (LBD); 18 with suspected frontotemporal lobar degeneration (FTLD); 56 with non‐amnestic MCI of uncertain etiology; and 131 with other clinical diagnoses. We used mixed effects models adjusting for age, sex, and global cognition to test group differences in SPARE‐AD and SPARE‐BAG. Additionally, we assessed associations with tau (n = 122) and amyloid‐beta (n = 199) PET imaging and plasma‐based phosphorylated tau‐181 (p‐tau181) and glial fibrillary acidic protein (GFAP) (n = 358). Result: SPARE‐AD scores were elevated vs. controls in aMCI/aAD, naAD, vascular disease, FTLD, and naMCI (all p<0.003) but not in LBD or other diagnoses (p>0.1). NaAD patients had lower SPARE‐AD (p<0.02) but higher SPARE‐BAG scores (p<0.02) than aMCI/aAD patients. SPARE‐AD scores were positively associated with mean cortical tau PET uptake, amyloid PET positivity, and plasma p‐tau181 and GFAP (all p<0.001). In contrast, SPARE‐BAG scores were not associated with PET or plasma biomarkers (all p>0.05). Conclusion: SPARE‐AD values for naAD syndromes were intermediate between those of controls and aMCI/AD patients, likely reflecting divergent, partially overlapping cortical atrophy relative to aAD. PET and plasma biomarkers of AD neuropathologic change were associated with SPARE‐AD but not with SPARE‐BAG scores, suggesting SPARE‐BAG reflects age‐related atrophy that is largely independent of AD. [ABSTRACT FROM AUTHOR]
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- 2023
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29. Cross‐scale functional connectivity patterns of the aging brain learned from the multi‐cohort iSTAGing study.
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Zhou, Zhen, Li, Hongming, Tran, Chau B, Ma, Yuncong, Srinivasan, Dhivya, Abdulkadir, Ahmed, Wen, Junhao, Erus, Guray, Mamourian, Elizabeth, Nasrallah, Ilya M., Bryan, Nick, Wolk, David A., Beason‐Held, Lori L, Resnick, Susan M., Shou, Haochang, Davatzikos, Christos, and Fan, Yong
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Background: Brain functional connectivity (FC) measures derived from resting‐state fMRI (rsfMRI) data have advanced our understanding of the brain organization. However, most existing studies investigate the brain functional networks (FNs) at a specific scale, ignoring potentially complementary FC information at different levels of spatial granularity as well as the cross‐scale information. Given that the brain is a multi‐scale, hierarchical system, FCs between FNs at different spatial scales may provide complementary information to those measured within‐scales for characterizing the aging brain. Method: We computed multiscale FNs to capture their FC measures across multiple scales and investigated the associations between cross‐scale FCs and the brain aging based on rsfMRI data of a diverse cohort (n = 4186, aged 22 to 97 years) from seven sites of the iSTAGING study [1]. For each subject, we computed the FNs at seven scales, yielding seven sets of k (k = 17, 25, 50, 75, 100, 125 and 150) FNs, same as our previous study [2‐3]. We estimated FC measures between the 542 FNs using Pearson's correlation, yielding the cross‐scale FC matrices that were harmonized across sites in the tangent space using ComBat‐GAM [4] with sex and age as covariates. The harmonized FC measures were used as features to build an age prediction model using Ridge regression as illustrated in Figure 1. The brain age prediction model was compared with that built on harmonized FC measures between FNs of the same scales, with the performance estimated with a nested five‐fold cross‐validation. Result: The cross‐scale FC measures performed significantly better than the within‐scale FC measures for the brain age prediction, as summarized in Table 1. Figure 2 shows the most informative FC measures for the brain age prediction. Specifically, FC measures computed both cross‐ and within‐scales between the visual, somatomotor, and frontoparietal networks provided relatively more useful information for the brain age prediction than FC measures between other FNs. Conclusion: Our study demonstrated that the cross‐scale FC measures provided complementary information to the within‐scale FC measures for predicting the brain age, facilitating enhanced understanding of aging related changes of the brain functional organization. [ABSTRACT FROM AUTHOR]
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- 2023
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30. Artificial intelligence reveals brain aging patterns in 27,402 individuals without diagnosed cognitive impairment that are linked to genetics, biomedical measures, and cognitive decline.
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Skampardoni, Ioanna, Nasrallah, Ilya M., Wen, Junhao, Cui, Yuhan, Abdulkadir, Ahmed, Yang, Zhijian, Erus, Guray, Mamourian, Elizabeth, Singh, Ashish, Shou, Haochang, Shen, Li, Nikita, Konstantina, and Davatzikos, Christos
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Background: Understanding heterogeneity of structural brain changes in aging may provide insights into susceptibility to neurodegenerative diseases. We characterize the genetics underlying brain structural heterogeneity within cognitively unimpaired (CU) individuals using data‐driven machine learning applied to a diverse dataset of 27,402 individuals from 11 neuroimaging studies from the iSTAGING consortium. Method: Structural brain morphologic patterns of CU individuals were independently examined in four decade‐long intervals spanning ages 45 to 85. Within each interval, Smile‐GAN (Yang et al., 2021) was trained on baseline anatomic and white matter hyperintensity (WMH) volumes. Smile‐GAN probability scores were used as phenotypes in genome‐wide association studies (GWAS). Specifically, we performed multiple linear regressions controlling for confounders (e.g., age) via Plink (Purcell et al., 2007). We observed longitudinal clustering stability across decades, so individuals from adjacent age groups were combined into broader age groups ([45,65), [65,85)) due to the large sample requirement of GWAS. Genomic loci, represented by the top leading single nucleotide polymorphisms (SNPs), were defined considering linkage disequilibrium. We investigated associations of SNPs with clinical traits and mapped them to genes using the GWAS Catalog (Buniello et al., 2019). Result: Three structural brain aging patterns, relative to resilient agers (A0), consistent across decades, emerged: A1, or 'typical' aging with low atrophy and WMHs, and two 'advanced' aging patterns, one showing elevated WMHs and modest atrophy (A2) and the other displaying severe, widespread atrophy and moderate WMH load (A3) (Figure 1). GWAS discovered eight and six genomic loci in [45,65) and [65,85) age groups, respectively (Table 1, Figure 2). The lead SNPs for A1 and A2 were previously associated with several cardiometabolic risk factors, WMHs, and regional brain volumes. Interestingly, rs4843552, previously associated with white matter microstructure and regional brain volumes, showed opposite effects for A1 (protection) and A2 (risk), consistent with the neuroimaging patterns. WDR41 in A3 group was previously associated with the age of Alzheimer's disease onset (Herold et al., 2016). Conclusion: Reproducible neuroimaging patterns defined by regional atrophy and WMH burden were identified across CU individuals and demonstrated unique genetics. Further research is needed to elucidate the neuropathological pathways that mediate these relationships. [ABSTRACT FROM AUTHOR]
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- 2023
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31. A multivariate MRI model of Alzheimer's disease risk is associated with clinical diagnosis, PET imaging, and plasma biomarkers in a mixed dementia sample.
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Phillips, Jeffrey S, Govindarajan, Sindhuja Tirumalai, Hwang, Gyujoon, Erus, Guray, Cousins, Katheryn A Q, Das, Sandhitsu R., Wolk, David A., Irwin, David J., Grossman, Murray, Nasrallah, Ilya M., and Davatzikos, Christos
- Abstract
Background: We sought to validate two structural MRI‐based brain health models: Spatial Pattern of Atrophy for REcognition of Alzheimer's disease (SPARE‐AD) and SPARE‐Brain Age Gap (SPARE‐BAG), which estimates the discrepancy between biological brain age and chronological age. These models' generalization to non‐amnestic AD (naAD) syndromes and associations with positron emission tomography (PET) and plasma biomarkers remain underinvestigated. We hypothesized that SPARE‐AD scores in naAD would be lower (less abnormal) than in amnestic AD (aAD) but elevated (more abnormal) relative to controls; and that SPARE‐AD but not SPARE‐BAG scores would be associated with PET and plasma biomarkers of AD. Method: SPARE‐AD and SPARE‐BAG scores were estimated for each of 1607 MRI scans from 277 cognitively normal adults (62.8% female; mean age = 69.5 years) and 902 clinical participants (54.2% female; mean age = 73.1 years), including 585 with amnestic mild cognitive impairment (aMCI) or aAD; 56 with naAD syndromes; 28 with vascular disease; 28 with Lewy body disorders (LBD); 18 with suspected frontotemporal lobar degeneration (FTLD); 56 with non‐amnestic MCI of uncertain etiology; and 131 with other clinical diagnoses. We used mixed effects models adjusting for age, sex, and global cognition to test group differences in SPARE‐AD and SPARE‐BAG. Additionally, we assessed associations with tau (n = 122) and amyloid‐beta (n = 199) PET imaging and plasma‐based phosphorylated tau‐181 (p‐tau181) and glial fibrillary acidic protein (GFAP) (n = 358). Result: SPARE‐AD scores were elevated vs. controls in aMCI/aAD, naAD, vascular disease, FTLD, and naMCI (all p<0.003) but not in LBD or other diagnoses (p>0.1). NaAD patients had lower SPARE‐AD (p<0.02) but higher SPARE‐BAG scores (p<0.02) than aMCI/aAD patients. SPARE‐AD scores were positively associated with mean cortical tau PET uptake, amyloid PET positivity, and plasma p‐tau181 and GFAP (all p<0.001). In contrast, SPARE‐BAG scores were not associated with PET or plasma biomarkers (all p>0.05). Conclusion: SPARE‐AD values for naAD syndromes were intermediate between those of controls and aMCI/AD patients, likely reflecting divergent, partially overlapping cortical atrophy relative to aAD. PET and plasma biomarkers of AD neuropathologic change were associated with SPARE‐AD but not with SPARE‐BAG scores, suggesting SPARE‐BAG reflects age‐related atrophy that is largely independent of AD. [ABSTRACT FROM AUTHOR]
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- 2023
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32. Exploring the Path of Biomedical Technology in Consumer Neuroscience Research: A Comprehensive Bibliometric Analysis.
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Alsharif, Ahmed H., Salleh, Nor Zafir Md, Khraiwish, Ahmad, and Homsi, Lama Nasrallah
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BIBLIOMETRICS ,NEUROSCIENCES ,GALVANIC skin response ,CONSUMER research ,CONSUMER behavior ,TELEVISION advertising ,EYE tracking - Abstract
This study performs a comprehensive bibliometric analysis of biomedical (i.e., non-brain) technology such as eye-tracking (ET), electromyography (EMG), galvanic skin response (GSR), implicit association test (IAT), and electrocardiogram (ECG) tools in studying consumer' behavior. To achieve this aim, we adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol and bibliometric analysis (VOSviewer software) for extracting the relevant documents from the Web of Science (WOS) database between 2013 and June 2023. A total of 58 documents (fifty-one articles and seven review articles) were included in the analysis. The results showed an increasing trend in publications over the years--the top countries in terms of publication outcome were Spain (13 papers) and the USA (10 papers). The analysis also identified the most influential authors, such as Babiloni, F. and Cherubino, P. It was further analyzed for the most cited article, which is titled "Neurophysiological Tools to Investigate Consumer's Gender Differences during the Observation of TV Commercials", and keywords related to neuromarketing and non-brain tools. Additionally, Frontiers in Psychology was determined as the most-productive journal. This bibliometric analysis reveals insights into the current state of non-brain tools research. It also provides insights into future research directions in the consumer neuroscience field. This study will provide general insights and details about current trends in consumer neuroscience research using biomedical technology. [ABSTRACT FROM AUTHOR]
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- 2023
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33. Follow up and comparative assessment of IgG, IgA, and neutralizing antibody responses to SARS-CoV-2 between mRNA-vaccinated naïve and unvaccinated naturally infected individuals over 10 months.
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Younes, Salma, Nicolai, Eleonora, Al-Sadeq, Duaa W., Younes, Nadin, Al-Dewik, Nader, Abou-Saleh, Haissam, Abo-Halawa, Bushra Y., Eid, Ali Hussein, Pieri, Massimo, Liu, Na, Daas, Hanin I., Yassine, Hadi M., Nizamuddin, Parveen B., Abu-Raddad, Laith J., and Nasrallah, Gheyath K.
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Evidence on the effectiveness of vaccination-induced immunity compared to SARS-CoV-2 natural immunity is warranted to inform vaccination recommendations. In this study, we aimed to conduct a comparative assessment of antibody responses between vaccinated naïve (VN) and unvaccinated naturally infected individuals (NI) over 10 Months. The study comprised fully-vaccinated naïve individuals (VN; n = 596) who had no history of SARS-CoV-2 infection, and received two doses of either BNT162b2 or mRNA-1273, and naturally infected individuals who had a documented history of SARS-CoV-2 infection and no vaccination record (NI cohort; n = 218). We measured the levels of neutralizing total antibodies (NtAbs), anti-S-RBD IgG, and anti-S1 IgA titers among VN and NI up to ∼10 months from administration of the first dose, and up to ∼7 months from SARS-CoV-2 infection, respectively. To explore the relationship between the antibody responses and time, Spearman's correlation coefficient was computed. Furthermore, correlations between the levels of NtAbs/anti-S-RBD IgG and NtAbs/anti-S1 IgA were examined through pairwise correlation analysis. Up to six months, VN individuals had a significantly higher NtAb and anti-S-RBD IgG antibody responses compared to NI individuals. At the 7th month, there was a significant decline in antibody responses among VN individuals, but not NI individuals, with a minimum decrease of 3.7-fold (p < 0.001). Among VN individuals, anti-S1 IgA levels began to decrease significantly (1.4-fold; p = 0.007) after two months, and both NtAb and S-RBD IgG levels began to decline significantly (NtAb: 2.0-fold; p = 0.042, S-RBD IgG: 2.4-fold; p = 0.035) after three months. After 10 months, the most significant decline among VN individuals was observed for S-RBD-IgG (30.0-fold; P < 0.001), followed by NtAb (15.7-fold; P < 0.001) and S-IgA (3.7-fold; P < 0.001) (most stable). Moreover, after 5 months, there was no significant difference in the IgA response between the two groups. These findings have important implications for policymakers in the development of vaccination strategies, particularly in the consideration of booster doses to sustain long-lasting protection against COVID-19. [ABSTRACT FROM AUTHOR]
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- 2023
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34. Ultrasound for management of pediatric nasal fractures.
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Noy, Roee, Gvozdev, Natalia, Ilivitzki, Anat, Nasrallah, Nagib, and Gordin, Arie
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- 2023
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35. Studies Pertaining to the Emerging Cannabinoid Hexahydrocannabinol (HHC).
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Nasrallah, Daniel J. and Garg, Neil K.
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- 2023
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36. Analysis of Serum Ferritin Levels in a Group of Elite Ballet Dancers.
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Jack, Melissa L., Sumrall, Keilea, Nasrallah, Carina, Stuckey, Dawn, and Jotwani, Vijay
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Introduction: Iron plays a significant role in energy production. However, it is not uncommon for athletes to be diagnosed with iron deficiency (ID), suggesting a correlation between performance and iron regulation. As a result, the International Olympic Committee has recommended iron screenings during health evaluations for elite athletes. Furthermore, athletes participating in esthetic sports are at increased risk for suboptimal iron intake due to disordered eating. Therefore, the purpose of this study was to investigate the distribution of serum ferritin (SF) in a cohort of elite ballet dancers and determine associations between vitamin D, anthropometric measures, stress injury, and dietary preferences. Methods: Electronic health records of 40 elite ballet dancers (22 female, 18 male), age 19 to 38 years old, from the 2020 to 2021 pre-participation physical screening were examined. Chi squared comparisons were calculated to evaluate the association between SF and additional variables (ie, gender, age, height, weight, body mass index, vitamin D, stress injury history, and dietary preferences). SF values were compared to published normal and athletic population data. Results: 58.97% of participants displayed normal or above SF values (>50 ng/ml), while 41.02% displayed minimal (<50 ng/ml) to depleted (<0.12/ng/ml) SF values. Approximately, 68% of the female dancers were ID and did not meet the minimal value needed for athletes. Females were more likely to have lower SF distributions (x² [4] = 15.6377, P = .004) compared to male dancers. Additionally, dancers who reported dietary preferences (ie, vegetarian) were more likely to display lower SF distributions (x² [4] = 13.3366, P = .010). Conclusion: Over half of the female elite ballet dancers were ID which is consistent with current research. Females were at a significant higher risk compared to male dancers who reported dietary preferences. These findings suggest iron screenings should be considered in elite dancer populations. [ABSTRACT FROM AUTHOR]
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- 2023
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37. Association of brain microbleeds with risk factors, cognition, and MRI markers in MESA.
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Jensen, Paul N., Rashid, Tanweer, Ware, Jeffrey B., Cui, Yuhan, Sitlani, Colleen M., Austin, Thomas R., Longstreth, W. T., Bertoni, Alain G., Mamourian, Elizabeth, Bryan, R. Nick, Nasrallah, Ilya M., Habes, Mohamad, and Heckbert, Susan R.
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INTRODUCTION: Little is known about the epidemiology of brain microbleeds in racially/ethnically diverse populations. METHODS: In the Multi‐Ethnic Study of Atherosclerosis, brain microbleeds were identified from 3T magnetic resonance imaging susceptibility‐weighted imaging sequences using deep learning models followed by radiologist review. RESULTS: Among 1016 participants without prior stroke (25% Black, 15% Chinese, 19% Hispanic, 41% White, mean age 72), microbleed prevalence was 20% at age 60 to 64.9 and 45% at ≥85 years. Deep microbleeds were associated with older age, hypertension, higher body mass index, and atrial fibrillation, and lobar microbleeds with male sex and atrial fibrillation. Overall, microbleeds were associated with greater white matter hyperintensity volume and lower total white matter fractional anisotropy. DISCUSSION: Results suggest differing associations for lobar versus deep locations. Sensitive microbleed quantification will facilitate future longitudinal studies of their potential role as an early indicator of vascular pathology. [ABSTRACT FROM AUTHOR]
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- 2023
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38. A comparative study for data approximation between two explainable artificial intelligence approaches
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Nassrullah, Karrar Sahib, Stepanyan, Ivan Viktorovich, Nasrallah, Haider Sahib, and Florez, Neder Jair Mendez
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- 2024
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39. Immune responses in checkpoint myocarditis across heart, blood and tumour
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Blum, Steven M., Zlotoff, Daniel A., Smith, Neal P., Kernin, Isabela J., Ramesh, Swetha, Zubiri, Leyre, Caplin, Joshua, Samanta, Nandini, Martin, Sidney, Wang, Mike, Tirard, Alice, Song, Yuhui, Xu, Katherine H., Barth, Jaimie, Sen, Pritha, Slowikowski, Kamil, Tantivit, Jessica, Manakongtreecheep, Kasidet, Arnold, Benjamin Y., Nasrallah, Mazen, Pinto, Christopher J., McLoughlin, Daniel, Jackson, Monica, Chan, PuiYee, Lawless, Aleigha, Michaud, William A., Sharova, Tatyana, Nieman, Linda T., Gainor, Justin F., Wu, Catherine J., Juric, Dejan, Mino-Kenudson, Mari, Oliveira, Giacomo, Sullivan, Ryan J., Boland, Genevieve M., Stone, James R., Thomas, Molly F., Neilan, Tomas G., Reynolds, Kerry L., and Villani, Alexandra-Chloé
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Immune checkpoint inhibitors are widely used anticancer therapies1that can cause morbid and potentially fatal immune-related adverse events such as immune-related myocarditis (irMyocarditis)2–5. The pathogenesis of irMyocarditis and its relationship to antitumour immunity remain poorly understood. Here we sought to define immune responses in heart, tumour and blood in patients with irMyocarditis by leveraging single-cell RNA sequencing coupled with T cell receptor (TCR) sequencing, microscopy and proteomics analyses of samples from 28 patients with irMyocarditis and 41 unaffected individuals. Analyses of 84,576 cardiac cells by single-cell RNA sequencing combined with multiplexed microscopy demonstrated increased frequencies and co-localization of cytotoxic T cells, conventional dendritic cells and inflammatory fibroblasts in irMyocarditis heart tissue. Analyses of 366,066 blood cells revealed decreased frequencies of plasmacytoid dendritic cells, conventional dendritic cells and B lineage cells but an increased frequency of other mononuclear phagocytes in irMyocarditis. Fifty-two heart-expanded TCR clones from eight patients did not recognize the putative cardiac autoantigens α-myosin, troponin I or troponin T. Additionally, TCRs enriched in heart tissue were largely nonoverlapping with those enriched in paired tumour tissue. The presence of heart-expanded TCRs in a cycling blood CD8 T cell population was associated with fatal irMyocarditis case status. Collectively, these findings highlight crucial biology driving irMyocarditis and identify putative biomarkers.
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- 2024
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40. Prescribing semaglutide for weight loss in non-diabetic, obese patients is associated with an increased risk of erectile dysfunction: a TriNetX database study
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Able, Corey, Liao, Brian, Saffati, Gal, Maremanda, Ankith, Applewhite, James, Nasrallah, Ali A., Sonstein, Joseph, Alzweri, Laith, and Kohn, Taylor P.
- Abstract
Semaglutide was approved in June 2021 for weight loss in non-diabetic, obese patients. While package inserts include sexual dysfunction as a side effect, no study has assessed the degree of this risk. The objective of our study is to assess the risk of developing erectile dysfunction after semaglutide is prescribed for weight loss in obese, non-diabetic men. The TriNetX Research database was used to identify men without a diagnosis of diabetes ages 18 to 50 with BMI > 30 who were prescribed semaglutide after June 1st, 2021. Men were excluded if they had a prior erectile dysfunction diagnosis, any phosphodiesterase-5 inhibitors prescription, intracavernosal injections, penile prosthesis placement, history of testosterone deficiency, testosterone prescription, pelvic radiation, radical prostatectomy, pulmonary hypertension, or were deceased. We further restricted our cohort to non-diabetic, obese men by excluding men with a prior diabetes mellitus diagnosis, a hemoglobin A1c > 6.5%, or having ever received insulin or metformin. Men were then stratified into cohorts of those that did and did not receive a semaglutide prescription. The primary outcome was the risk of new ED diagnosis and/or new prescription of phosphodiesterase type 5 inhibitors at least one month after prescription of semaglutide. The secondary outcome was risk of testosterone deficiency diagnosis. Risk was reported using risk ratios with 95% confidence intervals (95% CI). 3,094 non-diabetic, obese men ages 18–50 who received a prescription of semaglutide were identified and subsequently matched to an equal number cohort of non-diabetic, obese men who never received a prescription of semaglutide. After matching, average age at index prescription for non-diabetic, obese men was 37.8 ± 7.8 and average BMI at index prescription was 38.6 ± 5.6. Non-diabetic men prescribed semaglutide were significantly more likely to develop erectile dysfunction and/or were prescribed phosphodiesterase type 5 inhibitors (1.47% vs 0.32%; RR: 4.5; 95% CI [2.3, 9.0]) and testosterone deficiency (1.53% vs 0.80%; RR: 1.9; 95% CI [1.2, 3.1]) when compared to the control cohort of non-diabetic men who never received a semaglutide prescription.
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- 2024
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41. A population analysis of delayed ejaculation using a claims database: characteristics and national trends in prevalence, incidence, and pharmacotherapy
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Liao, Brian, Able, Corey, Banner, Steven, An, Clemens, Nasrallah, Ali A., Vu, Kevin, Sonstein, Joseph, Alzweri, Laith, and Kohn, Taylor P.
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We investigated the prevalence, incidence, and rates of pharmacological treatment of delayed ejaculation using the TriNetX Diamond Network. We included all men evaluated in the inpatient, outpatient, and emergency settings. Prevalence was determined by comparing the number of men diagnosed with delayed ejaculation to the entire population. Incidence was determined by comparing the number of men diagnosed with delayed ejaculation without a prior diagnosis to the overall population without a prior diagnosis. Rates of pharmacologic treatment were calculated by comparing the number of men who received a prescription to the total number of men with delayed ejaculation. Trends in prevalence and incidence were compared using six-month intervals, while trends in pharmacologic treatment were compared using one-year intervals. A total of 23,164 adult males were diagnosed with delayed ejaculation from 2013 to 2019. During the final six-month interval (July to December 2019), 2,747 of 16,496,744 men received a delayed ejaculation diagnosis, and 1,375 of 16,488,270 men without a prior diagnosis were diagnosed with delayed ejaculation. In 2019, only 916 of 4,733 (19.4%) men diagnosed with delayed ejaculation received any prescription, with the most common being testosterone (9.5%), bupropion (6.6%), and buspirone (2.3%). Prevalence, incidence and pharmacologic treatment all had increasing trends.
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- 2024
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42. Prediction of DNA methylation-based tumor types from histopathology in central nervous system tumors with deep learning
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Hoang, Danh-Tai, Shulman, Eldad D., Turakulov, Rust, Abdullaev, Zied, Singh, Omkar, Campagnolo, Emma M., Lalchungnunga, H., Stone, Eric A., Nasrallah, MacLean P., Ruppin, Eytan, and Aldape, Kenneth
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Precision in the diagnosis of diverse central nervous system (CNS) tumor types is crucial for optimal treatment. DNA methylation profiles, which capture the methylation status of thousands of individual CpG sites, are state-of-the-art data-driven means to enhance diagnostic accuracy but are also time consuming and not widely available. Here, to address these limitations, we developed Deep lEarning from histoPathoLOgy and methYlation (DEPLOY), a deep learning model that classifies CNS tumors to ten major categories from histopathology. DEPLOY integrates three distinct components: the first classifies CNS tumors directly from slide images (‘direct model’), the second initially generates predictions for DNA methylation beta values, which are subsequently used for tumor classification (‘indirect model’), and the third classifies tumor types directly from routinely available patient demographics. First, we find that DEPLOY accurately predicts beta values from histopathology images. Second, using a ten-class model trained on an internal dataset of 1,796 patients, we predict the tumor categories in three independent external test datasets including 2,156 patients, achieving an overall accuracy of 95% and balanced accuracy of 91% on samples that are predicted with high confidence. These results showcase the potential future use of DEPLOY to assist pathologists in diagnosing CNS tumors within a clinically relevant short time frame.
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- 2024
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43. Single-cell transcriptomic analyses reveal distinct immune cell contributions to epithelial barrier dysfunction in checkpoint inhibitor colitis
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Thomas, Molly Fisher, Slowikowski, Kamil, Manakongtreecheep, Kasidet, Sen, Pritha, Samanta, Nandini, Tantivit, Jessica, Nasrallah, Mazen, Zubiri, Leyre, Smith, Neal P., Tirard, Alice, Ramesh, Swetha, Arnold, Benjamin Y., Nieman, Linda T., Chen, Jonathan H., Eisenhaure, Thomas, Pelka, Karin, Song, Yuhui, Xu, Katherine H., Jorgji, Vjola, Pinto, Christopher J., Sharova, Tatyana, Glasser, Rachel, Chan, PuiYee, Sullivan, Ryan J., Khalili, Hamed, Juric, Dejan, Boland, Genevieve M., Dougan, Michael, Hacohen, Nir, Li, Bo, Reynolds, Kerry L., and Villani, Alexandra-Chloé
- Abstract
Immune checkpoint inhibitor (ICI) therapy has revolutionized oncology, but treatments are limited by immune-related adverse events, including checkpoint inhibitor colitis (irColitis). Little is understood about the pathogenic mechanisms driving irColitis, which does not readily occur in model organisms, such as mice. To define molecular drivers of irColitis, we used single-cell multi-omics to profile approximately 300,000 cells from the colon mucosa and blood of 13 patients with cancer who developed irColitis (nine on anti-PD-1 or anti-CTLA-4 monotherapy and four on dual ICI therapy; most patients had skin or lung cancer), eight controls on ICI therapy and eight healthy controls. Patients with irColitis showed expanded mucosal Tregs, ITGAEHiCD8 tissue-resident memory T cells expressing CXCL13and Th17 gene programs and recirculating ITGB2HiCD8 T cells. Cytotoxic GNLYHiCD4 T cells, recirculating ITGB2HiCD8 T cells and endothelial cells expressing hypoxia gene programs were further expanded in colitis associated with anti-PD-1/CTLA-4 therapy compared to anti-PD-1 therapy. Luminal epithelial cells in patients with irColitis expressed PCSK9, PD-L1 and interferon-induced signatures associated with apoptosis, increased cell turnover and malabsorption. Together, these data suggest roles for circulating T cells and epithelial–immune crosstalk critical to PD-1/CTLA-4-dependent tolerance and barrier function and identify potential therapeutic targets for irColitis.
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- 2024
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44. 68Ga-DOTATATE PET to Characterize Lesions in the Neuroaxis
- Author
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Hartmann, Katherine, Gillman, Jennifer A., Lazor, Jillian W., Ware, Jeffrey B., Weeks, Joanna K., Nasrallah, Ilya M., Farwell, Michael D., and Pantel, Austin R.
- Published
- 2024
- Full Text
- View/download PDF
45. A Flexible Smart Sensor System Based on Hybrid Integration of Organic and Metal-Oxide Transistors
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Hyo Kang, Moon, Nasrallah, Iyad, Faraji, Sheida, Garlapati, Suresh K., Rahmanudin, Aiman, Tate, Daniel J., Sunley Saez, Glenn, Persaud, Krishna C., Turner, Michael L., and Sirringhaus, Henning
- Abstract
Over the last decade, flexible electronic technology has been developed intensively and applied in sensor electronics. The use of sensors in a wide range of environments has been demanding a more compact and flexible platform. This article demonstrates a flexible smart sensor system integrating a p-type polymer field-effect transistor (FET) sensor and a flexible operational amplifier using complementary n-type metal-oxide and organic p-type FETs. The fabricated flexible operational amplifier (OpAmp) showed high differential voltage gain (>100 V/V) and successfully converted the sensing current to output voltage. The sensing functions are integrated in a thin and flexible card format with power provided by a small photovoltaic (PV) module and we demonstrate successful PV-powered operation and detection of gaseous molecular analytes, such as ethanol. The system detects the sensing current change from 114 nA (without ethanol) to 86 nA (with ethanol) and transforms to an output voltage of ~1.2 V through the OpAMP. The ethanol sensing output is displayed on an electrophoretic display (EPD) implemented in the system.
- Published
- 2024
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46. Intrathecal bivalent CAR T cells targeting EGFR and IL13Rα2 in recurrent glioblastoma: phase 1 trial interim results
- Author
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Bagley, Stephen J., Logun, Meghan, Fraietta, Joseph A., Wang, Xin, Desai, Arati S., Bagley, Linda J., Nabavizadeh, Ali, Jarocha, Danuta, Martins, Rene, Maloney, Eileen, Lledo, Lester, Stein, Carly, Marshall, Amy, Leskowitz, Rachel, Jadlowsky, Julie K., Christensen, Shannon, Oner, Bike Su, Plesa, Gabriela, Brennan, Andrea, Gonzalez, Vanessa, Chen, Fang, Sun, Yusha, Gladney, Whitney, Barrett, David, Nasrallah, MacLean P., Hwang, Wei-Ting, Ming, Guo-Li, Song, Hongjun, Siegel, Donald L., June, Carl H., Hexner, Elizabeth O., Binder, Zev A., and O’Rourke, Donald M.
- Abstract
Recurrent glioblastoma (rGBM) remains a major unmet medical need, with a median overall survival of less than 1 year. Here we report the first six patients with rGBM treated in a phase 1 trial of intrathecally delivered bivalent chimeric antigen receptor (CAR) T cells targeting epidermal growth factor receptor (EGFR) and interleukin-13 receptor alpha 2 (IL13Rα2). The study’s primary endpoints were safety and determination of the maximum tolerated dose. Secondary endpoints reported in this interim analysis include the frequency of manufacturing failures and objective radiographic response (ORR) according to modified Response Assessment in Neuro-Oncology criteria. All six patients had progressive, multifocal disease at the time of treatment. In both dose level 1 (1 ×107cells; n= 3) and dose level 2 (2.5 × 107cells; n= 3), administration of CART-EGFR-IL13Rα2 cells was associated with early-onset neurotoxicity, most consistent with immune effector cell-associated neurotoxicity syndrome (ICANS), and managed with high-dose dexamethasone and anakinra (anti-IL1R). One patient in dose level 2 experienced a dose-limiting toxicity (grade 3 anorexia, generalized muscle weakness and fatigue). Reductions in enhancement and tumor size at early magnetic resonance imaging timepoints were observed in all six patients; however, none met criteria for ORR. In exploratory endpoint analyses, substantial CAR T cell abundance and cytokine release in the cerebrospinal fluid were detected in all six patients. Taken together, these first-in-human data demonstrate the preliminary safety and bioactivity of CART-EGFR-IL13Rα2 cells in rGBM. An encouraging early efficacy signal was also detected and requires confirmation with additional patients and longer follow-up time. ClinicalTrials.gov identifier: NCT05168423.
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- 2024
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47. The impact of substrate type on the characteristics of tin monosulphide (SnS) thin films deposited via CBD
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Nasrallah, Saif M., Abdullah, Manal M., and Mahdi, Mohamed S.
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- 2023
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48. I Saw Death
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Nasrallah, Ibrahim and Fakhreddine, Huda
- Published
- 2024
49. Forced Extrusion of an Endodontically Treated Lower Incisor Prior to Extraction.
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NASRALLAH, TAHA, EL-BEIALY, AMRRAGAB, SALAMA, OMAR AHMED, and MOSTAFA, YEHYA A.
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INCISORS ,GINGIVAL recession ,MALOCCLUSION ,BONE resorption ,PERMANENT dentition - Published
- 2023
50. Effects of Heat Treatment on Characteristics of Zn Substituted Co/Mn Ferrite Nanoparticles.
- Author
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Deraz, Nasrallah M.
- Subjects
HEAT treatment ,MAGNETIC properties ,FERRITES ,NANOPARTICLES ,X-ray diffraction ,ZINC ferrites ,SURFACE properties - Abstract
Glycine assisted self-combustion method resulted in fabrication of cobalt-manganese ferrite substituted by zinc (Zn) element. The as- synthesized Zn substituted Co- Mn ferrite was subjected to heat treatment at 600 oC and 800 oC for 2h. Effects of heat treatment on the structural, morphological, surface and magnetic properties of ZnCoMn ferrite were studied. These properties were characterized by using various techniques including TGA-DTGA, FTIR, XRD, SEM, EDX, TEM and VSM. The results showed that the used preparation route led to the formation of nano crystalline Zn0.2Co0.4Mn0.4Fe2O4 particle with cubic spinel type structure. The crystallinity of this ferrite increases as the heat treatment increases. However, the preparation method resulted to the creation of spongy, fluffy, foamy and fragile material with cubic type structure with some agglomerations. Increasing the calcination temperature from 600 oC to 800 oC, led to a decrease in the surface area (39.4 %) of the as- synthesized ferrite. This treatment causes an increase in the magnetization(40.3 %) of this ferrite. The heat treatment that led to various changes in the different properties of the manufactured ferrite was discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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