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1. A workflow to process 3D+time microscopy images of developing organisms and reconstruct their cell lineage

Author

Emmanuel Faure, Thierry Savy, Barbara Rizzi, Camilo Melani, Olga Stašová, Dimitri Fabrèges, Róbert Špir, Mark Hammons, Róbert Čúnderlík, Gaëlle Recher, Benoît Lombardot, Louise Duloquin, Ingrid Colin, Jozef Kollár, Sophie Desnoulez, Pierre Affaticati, Benoît Maury, Adeline Boyreau, Jean-Yves Nief, Pascal Calvat, Philippe Vernier, Monique Frain, Georges Lutfalla, Yannick Kergosien, Pierre Suret, Mariana Remešíková, René Doursat, Alessandro Sarti, Karol Mikula, Nadine Peyriéras, and Paul Bourgine

Subjects
Science
Abstract

Quantitative analysis of embryonic cell dynamics from large data sets remains a major challenge in the field of developmental biology. Here the authors develop software and a workflow to reconstruct cell lineage trees from 3D time lapse imaging data sets from several developing organisms including zebrafish, tunicates and sea urchins.

Published
2016
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2. A digital framework to build, visualize and analyze a gene expression atlas with cellular resolution in zebrafish early embryogenesis.

Author

Carlos Castro-González, Miguel A Luengo-Oroz, Louise Duloquin, Thierry Savy, Barbara Rizzi, Sophie Desnoulez, René Doursat, Yannick L Kergosien, María J Ledesma-Carbayo, Paul Bourgine, Nadine Peyriéras, and Andrés Santos

Subjects
Biology (General), QH301-705.5
Abstract

A gene expression atlas is an essential resource to quantify and understand the multiscale processes of embryogenesis in time and space. The automated reconstruction of a prototypic 4D atlas for vertebrate early embryos, using multicolor fluorescence in situ hybridization with nuclear counterstain, requires dedicated computational strategies. To this goal, we designed an original methodological framework implemented in a software tool called Match-IT. With only minimal human supervision, our system is able to gather gene expression patterns observed in different analyzed embryos with phenotypic variability and map them onto a series of common 3D templates over time, creating a 4D atlas. This framework was used to construct an atlas composed of 6 gene expression templates from a cohort of zebrafish early embryos spanning 6 developmental stages from 4 to 6.3 hpf (hours post fertilization). They included 53 specimens, 181,415 detected cell nuclei and the segmentation of 98 gene expression patterns observed in 3D for 9 different genes. In addition, an interactive visualization software, Atlas-IT, was developed to inspect, supervise and analyze the atlas. Match-IT and Atlas-IT, including user manuals, representative datasets and video tutorials, are publicly and freely available online. We also propose computational methods and tools for the quantitative assessment of the gene expression templates at the cellular scale, with the identification, visualization and analysis of coexpression patterns, synexpression groups and their dynamics through developmental stages.

Published
2014
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3. Region-Based PDEs for Cells Counting and Segmentation in 3D+Time Images of Vertebrate Early Embryogenesis

Author

Barbara Rizzi and Alessandro Sarti

Subjects
Medical physics. Medical radiology. Nuclear medicine, R895-920, Medical technology, R855-855.5
Abstract

This paper is devoted to the segmentation of cell nuclei from time lapse confocal microscopy images, taken throughout early Zebrafish embryogenesis. The segmentation allows to identify and quantify the number of cells in the animal model. This kind of information is relevant to estimate important biological parameters such as the cell proliferation rate in time and space. Our approach is based on the active contour model without edges. We compare two different formulations of the model equation and evaluate their performances in segmenting nuclei of different shapes and sizes. Qualitative and quantitative comparisons are performed on both synthetic and real data, by means of suitable gold standard. The best approach is then applied on a number of time lapses for the segmentation and counting of cells during the development of a zebrafish embryo between the sphere and the shield stage.

Published
2009
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4. Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

Author

Rispoli, Vincenzo, Malara, Alba, Spadea, Fausto, Di Cello, Serena, Ceravolo, Francesco, Fabiano, Francesco, Chiaradia, Giuseppe, Gabriele, Amedeo, Lenino, Peluso, Andrea, Taristano, Settembrini, Vincenzo, Capomolla, Domenico, Citrino, Antonella, Scriva, Antonietta, Bruno, Irene, Secchi, Roberto, De Martino, Eugenio, Muccinelli, Roberto, Lupi, Gerardo, Paonessa, Patrizio, Fabbri, Andrea, Passuti, Maria Teresa, Castellari, Sofia, Po, Andrea, Gaggioli, Guido, Varesi, Massimo, Moneti, Paolo, Capurso, Sebastiano, Latini, Vincenzo, Ghidotti, Stefano, Riccardelli, Francesco, Macchi, Maurizio, Rigo, Rosaria, Claudio, Pascale, Angelo, Bosio, Flavio, Cerrato, Benedetta, Bardelli, Boffelli, Stefano, Cassinadri, Angela, Franzoni, Simone, Spazzini, Elena, Andretto, Daniela, Tonini, Gabriele, Andreani, Laura, Coralli, Mirco, Balotta, Antonio, Cancelliere, Roberto, Ballardini, Giorgio, Simoncelli, Margherita, Mancini, Annarita, Strazzacapa, Mara, Fabio, Stefano, De Filippi, Francesco, Giudice, Chiara, Dentizzi, Cosimo, Azzini, Margherita, Cazzadori, Marco, Mastroeni, Valeria, Bertassello, Paolo, Claudia Benati, Helena Santana, Nesta, Elisa, Tobaldini, Chiara, Guerini, Fabio, Elena, Tambara, Mombelloni, Paolo, Fontanini, Fulvio, Gabriella, Lassa, Pizzorni, Crosio, Oliverio, Martina, Del Grosso, Luciano Luca, Giavedoni, Cristina, Bidoli, Giuliano, Mazzei, Bruno, Corsonello, Andrea, Fusco, Sergio, Vena, Silvio, De Vuono, Tommaso, Maiuri, Giorgio, Luca, Fimognari Filippo, Andrea, Arone, Giovanni, Sgrò, Rossella, Nicolazzo, Castegnaro, Eugenio, De Rosa, Salvatore, Sechi, Rossella Bazzano, Benvenuti, Enrico, Del Lungo, Ilaria, Giardini, Sante, Giulietti, Chiara, Mauro, Di Bari, Eleonora, Barghini, Martina, Paoli, Irene, Fiordelli, Riccardo, Barucci, Federica, Sgrilli, Ilaria, Del Lungo, Bertoletti, Erik, D'Amico, Ferdinando, Caronzolo, Francesco, Grippa, Alessandro, Lombardo, Giuseppina, Pipicella, Tiziana, Antonino, Saitta, Francesco, Corica, Valeria, Prestipino Giarritta, Daniela, Larosa, Domenico, Cucinotta, Giorgio, Basile, March, Albert, Nitti, Maria Teresa, Felici, Alessandro, Pavan, Silvia, Piazzani, Fabrizio, Lunelli, Alessandra, Dimori, Sergio, Margotta, Alessandro, Soglia, Tiziano, Postacchini, Demetrio, Brunelli, Roberto, Santini, Silvia, Francavilla, Monia, Macchiati, Ilenia, Sorvillo, Francesca, Giuli, Cinzia, Mecocci, Patrizia, Longo, Annalisa, Perticone, Francesco, Addesi, Desireè, Rosa, Paola Cerra, Bencardino, Giuseppe, Falbo, Tania, Grillo, Nadia, Marco, Filice, Mirella, Flippo, Fantò, Fausto, Isaia, Gianluca, Pezzilli, Stella, Bergamo, Daniele, Furno, Elisabetta, Rrodhe, Sokol, Lucarini, Simonetta, Dijk, Babette, Dall'Acqua, Francesca, Cappelletto, Francesco, Calvani, Donatella, Becheri, Dimitri, Giuseppe, Mottino, Costanza, Mitidieri, Vito, Antonio, Francesca, Bartalucci, Magherini, Lorenza, Novella, Malin, Franca, Boni, Lucia Gambardella, Paoli Martina, Valente, Carlo, Ilaria, Bracali, Alice, Foschini, Bo, Mario, Porrino, Paola, Ceci, Giacomo, Giuliana, Bottignole, Michela, Tibaldi, Eleonora, Coppo, Ettore, Evaristo, Camellini, Cinzia, Servello, Adriana, Grassi, Alessandro, Rozzini, Renzo, Tironi, Sara, Grassi, Maria Grazia, Troisi, Elio, Carlo, Caltagirone, Simona Gabriella, Di Santo, Flaminia, Franchini, Federica, Ratto, Beatrice, Pavoni, Sofia, Toniolo, Gabutto, Anna, Quazzo, Loredana, Rosatello, Annalisa, Suraci, Domenico, Tagliabue, Benedetta, Perrone, Chiara, Ferrara, Lucia, Castagna, Alberto, Tremolada, Maria Luisa, Giuseppe, Castoldi, Stefano, Barbero, Davide, Oltramonti, Piano, Simonetta, Serviddio, Gaetano, Lo Buglio, Aurelio, Gurrera, Tiziana, Merlo, Valeria, Rovai, Carla, Cotroneo, Antonino Maria, Carlucci, Rosaria, Abbaldo, Anna, Monzani, Fabio, Qasem, Ahmad Amedeo, Bini, Giacomo, Tafuto, Silvia, Galli, Giovanni, Bruni, Amalia Cecilia, Mancuso, Giovanna, Mancuso, Gerardo, Calipari, Daniela, Giuseppe Massimiliano, De Luca, Bernardini, Bruno, Corsini, Carla, Michele, Ciccarelli, Sara, Dal Farra, Cagnin, 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Cazzaniga, Ilaria, Appollonio, Ildebrando, Cereda, Diletta, Stabile, Andrea, Xhani, Rubjona, Acampora, Roberto, Tremolizzo, Lucio, Federico, Pieruzzi, Antonio, Ciaccio, Valerio, Pontecorvi, Cesare, Burti, Zhirajr, Mokini, Giovanni, Vitale, Maria, Amigoni, Mariaelena, Sparacino, Bottacchi, Edo, Bucciantini, Elisabetta, Di Giovanni, Marco, Franchi, Fabrizio, Lucchetti, Lucio, Mariani, Claudio, Grande, Giulia, Rapazzini, Piero, Marco, Mauri, Romanelli, Giuseppe, Marengoni, Alessandra, Franco, Nicosia, Alessio, Margola, Stefano, Bonardelli, Nicola, Latronico, Laura, Porcella, Nazario, Portolani, Carlo, Concoreggi, Chiara, Grassini, Soccorso, Pronto, Andrea, Salvi, Luca, Bianchetti, Francesca, Spagnoli, Roberto, Apuzzo, Marco, Fontanella, Anna, Ceraso, Francesco, Castelli, Fugazza, Luciano, Guerrini, Chiara, De Paduanis, Giovanna, Iallonardo, Lucia, Palumbo, Pasquale, Zuliani, Giovanni, Ortolani, Beatrice, Capatti, Eleonora, Soavi, Cecilia, Bianchi, Lara, Francesconi, Daniela, Miselli, Agata, Gloria, Brombo, Tommaso, Romagnoli, Chiara, Pazzaglini, Agata, Miselli Maria, Marco, Dall'Agata, Luca, Menozzi, Gianluca, Guerra, Suardi, Teresa, Mazzone, Andrea, Zaccarini, Cinzia, Manuela, Riva, Mirra, Gianluca, Muti, Ettore, Bottura, Renato, Gianpaolo, Moretti, Secreto, Piero, Bisio, Erika, Cecchettani, Marco, Naldi, Tamara, Pallavicino, Alessandra, Pugliese, Michela, Iozzo, Rosaria Cosima, Grassi, Guido, Michele, Bombelli, Raffaella, Dell'Oro, Fosca, Quarti Trevano, Giorgio, Giussani Carlo, Giovanni, Paternò, Ernesto, Contro, Mannironi, Antonio, Giorli, Elisa, Oberti, Sara, Fierro, Brigida, Piccoli, Tommaso, Giacalone, Fabio, Mandas, Antonella, Serchisu, Luca, Costaggiu, Diego, Pinna, Elisa, Orrù, Francesca, Mannai, Martina, Cordioli, Zeno, Pelizzari, Luca, Turcato, Emanuela, Arduini, Pietro, Cacace, Carlo, Chiloiro, Roberta, Cimino, Rosella, Ruberto, Carmen, Giovanni, Ruotolo, Pietro, Gareri, Laura, Greco, Alberto, Castagna, Carmen, Ruberto, Santo, Pierluigi Dal, Andriolli, Antonino, Burattin, Giuseppe, Rossi, Laura, Andreolli Antonino, Cervati Giovanna, Giuseppe, Catalano, Tezza, Fabiana, Maddalena, Pizzardini, Laura, Stievano, Crippa, Patrizia, Aloisio, Paola, Di Monda, Tiziana, Malighetti, Alessandro, Galbassini, Gloria, Salutis, Domus, Ivaldi, Claudio, Russo, Anna Maria, Bennati, Ettore, Pino, Elisabetta, Zavarise, Gianmaria, Pesci, Alberto, Suigo, Giulia, Faverio, Paola, Andrea, Gori, Sabrina, Perego, Zanasi, Massimo, Moniello, Giovanni, Rostagno, Carlo, Cartei, Alessandro, Polidori, Gianluca, Ungar, Andrea, Melis, Maria Ramona, Martellini, Eleonora, Enrico, Mossello, Monica, Torrini, Antonella, Giordano, Giovanna, Leone, Migliorini, Marta, Caramelli, Francesca, Battiston, Bruno, Berardino, Maurizio, Cavallo, Simona, Alessandro, Massè, Anna, Santoro, Lombardi, Bruna, D'Ippolito, Pierpaolo, Furini, Angela, Villani, Daniele, Clara, Raimondi, Guarneri, Massimo, Paolucci, Stefano, Bassi, Andrea, Coiro, Paola, De Angelis, Domenico, Morone, Giovanni, Venturiero, Vincenzo, Palleschi, Lorenzo, Raganato, Paolo, Di Niro, Giuseppina, Rosa, Casini Anna, Loredana, Bove, Imoscopi, Alessandra, Isaia, Giancarlo, Tibaldi, V., Bottignole G, G., Calvi, E., Clementi, C., Zanocchi, M., Agosta, L., Nortarelli, Antonella, Provenzano, Giuseppe, Mari, Daniela, Romano, Federica Ylenia, Rosini, Francesca, Mansi, Marta, Rossi, Silvia, Geriatria, Alex Riccardelli, Inzaghi, Lorenzo, Bonini, Giulia, Rossi, Paolo, Potena, Alfredo, Lichii, Mihaela, Candiani, Tiziana, Grimaldi, William, Bertani, Emiliano, Alessandra, Porta, Calogero, Pietro, Pinto, Daniela, Bernardi, Roberto, Nicolino, Francesco, Galetti, Caterina, Gianstefani, Alice, Giulia, Corvalli, Lorenzo, Mulazzani, Odetti, Patrizio, Monacelli, Fiammetta, Prefumo, Matteo, Fiammetta, Monacelli, Canepa, Marta, Minaglia, Cecilia, Paolisso, Giuseppe, Rizzo, Maria Rosaria, Prestano, Raffaele, Dalise, Anna Maria, Barra, Davide, Bosco, Livio Dal, Asprinio, Vincenzo, Dallape, Luciana, Perina, Elisa, Incalzi, Raffaele Antonelli, Bartoli, Isaura Rossi, Pluderi, Alice, Maina, Antonella, Pecoraro, Elisabetta, Sciarra, Michela, Prudente, Angela, Paola, Maina, Francesca, Mete, Manuel, Ventura, Luisella, Cesari, Maria, Pernigotti Luigi, Tina, Santangelo, Benini, Lucia, Levato, Francesco, Mhiuta, Victor, Alius, Florin, Davidoaia, Diana, Giardini, Vittorio, Garancini, Mattia, Bellamoli, Claudio, Terranova, Luciano, Bozzini, Claudia, Tosoni, Paolo, Provoli, Emma, Cascone, Luisa, Dioli, Andrea, Ferrarin, Gianfranco, Bucci, Adelmo, Bua, Guido, Fenu, Sara, Bianchi, Giovanna, Casella, Silvia, Romano, Valentina, Maurizio, Poli, Mascherona, Ilenia, Belotti, Gloria, Cavaliere, Sabina, Cuni, Estella, Merciuc, Nina, Oberti, Rosella, Veneziani, Silvia, Capoferri, Emanuela, De Bernardi, Elisabetta, Colombo, Katia, Bravi, Marco, Nicoletta, Negrinotti, D'Arcangelo, Paolo, Montenegro, Nicola, Montanari, Roberto, Lamanna, Pierpaolo, Gasperini, Beatrice, Isabella, Montesi, Stefania, Diotallevi, Gaia, Altobelli, Filippo, Calcinaro, Palamà, Chiara, Di Emidio, Chiara, Scarpini, Elio, Arighi, Andrea, Fumagalli, Giorgio, Basilico, Paola, De Amicis Margherita, Migone, Marta, Mancarella, Diletta, Maira, Granata, Antonino, Ranalli, Claudia, Cammilli, Alessandra, Cavallini, Maria Chiara, Tricca, Manola, Natella, Daniela, Gabbani, Luciano, Tesi, Francesca, Martella, Letizia, Imbrici, Rosalba, Guerrini, Gianbattista, Scotuzzi, Anna Maria, Sozzi, Ferdinando, Valenti, Luigi, Chiarello, Antonino, Monia, Monella, Pilotto, Alberto, Prete, Camilla, Senesi, Barbara, Meta, Anna Cristina, Pendenza, Enrico, Pasqualetti, Giuseppe, Polini, Antonio, Tognini, Sara, Ballino, Elena, Cherubini, Antonio, Dell'Aquila, Giuseppina, Gasparrini, Pina Maria, Marotti, Elisabetta, Migale, Monica, Scrimieri, Antonia, Falsetti, Lorenzo, Salvi, Aldo, Toigo, Gabriele, Ceschia, Giuliano, Rosso, Alessia, Tongiorgi, Chiara, Scarpa, Cristina, Maurizio, Pacchioni, De Dominicis, Luigino, Pucci, Eugenio, Renzi, Sara, Cartechini, Elisabetta, Tomassini, Pia Francesca, Del Gobbo, Maurizio, Ugenti, Francesca, Romeo, Pasquale, Nardelli, Anna, Lauretani, Fulvio, Visioli, Sandra, Montanari, Ilaria, Ermini, Francesca, Giordano, Antonio, Pigato, Giorgio, Simeone, Emilio, Barbujani, Mario, Giampieri, Marina, Amoruso, Raffaele, Piccinini, Maristella, Ferrari, Camilla, Gambetti, Claudio, Sfrappini, Mario, Semeraro, Letizia, Striuli, Rinaldo, Mariani, Claudia, Pelliccioni, Giuseppe, Marinelli, Donatella, Fabi, Katia, Rossi, Tommaso, Pesallaccia, Martina, Sabbatini, Debora, Gobbi, Beatrice, Cerqua, Raffaella, Tagliani, Giancarla, Schlauser, Elena, Caser, Luciano, Caramello, Elisa, Sandigliano, Franca, Rosso, Giorgio, Ferrari, Alberto, Bendini, Chiara, Luisa, Davoli Maria, Casella, Monica, Prampolini, Raffaella, Scevola, Moreno, Vitale, Enrico, Roberto, Brugiolo, Carlo, Fagherazzi, Sergio, Fusco, Alberto, Scarpa, Daniela, Zara, Giulia, Bertozzo, Serena, Granziera, Michele, Barazzuol, Maugeri, Domenico, Sorace, Rosaria, Anzaldi, Massimiliano, De Gesu, Roberto, Morrone, Giuseppe, Davolio, Federica, Fabbo, Andrea, Palmieri, Marina, Zoli, Marco, Forti, Paola, Pirazzoli, Luca, Fabbri, Elisa, Terenzi, Laura, Bergolari, Federica, Wenter, Christian, Ruffini, Ingrid, Insam, Miriam, Abraham, Elisabeth, Kirchlechner, Christine, Cucinotta, Domenico, Antonino, Lasco, Basile, Giorgio, Grazia, Arena Maria, Parise, Pasquale, Boccali, Andrea, Amici, Serena, Gambacorta, Maurizia, Lasagni, Anna, Lovati, Roberto, Giovinazzo, Francesca, Kimak, Elzbieta, Zappa, Paolo, Medici, Francesco, Lo Castro, Marika, Mauro, Flavia, De Luca, Alessandro, Sancesario, Giuseppe, Martorana, Alessandro, Scaricamazza, Beatrice, Toniolo, Sofia, Di Lorenzo, Francesco, Liguori, Claudio, Lasco, Antonino, Vita, Natale, Giomi, Mirna, Forte, Floriana, Padovani, Alessandro, Rozzini, Luca, Ceraso, Anna, Salvatore, Caratozzolo, Cottino, Maria, Vitali, Silvia, Marelli, Eleonora, Tripi, Gabriele, Miceli, Salvatore, Urso, Giovanni, Grioni, Giuseppe, Vezzadini, Giuliana, Misaggi, Giulia, Forlani, Chiara, Avanzi, Stefano, Serena, Saulle, Claudia, Casarini, Marilena, Viggiano, Alberto, Luisa, Diego, Ghianda, Alessandro, Giordano, Iemolo, Francesco, Giordano, Antonello, Sanzaro, Enzo, D'Asta, Gabriele, Proietto, Maria, Carnemolla, Anna, Razza, Grazia, Spadaro, Daniela, Bertolotti, Marco, Mussi, Chiara, Neviani, Francesca, Roberto, Chiesa, Valentina, Guerzoni, Linda, Morselli, Francesca, Venturelli, Tarozzi, Adriano, Balestri, Francesca, Mannarino, Giulio, Bigolari, Michela, Natale, Alessia, Grassi, Simona, Bottaro, Cinzia, Stefanelli, Sara, Bovone, Ugo, Tortorolo, Umberto, Quadri, Roberto, Leone, Giuseppe, Ponzetto, Maria, Frasson, Paola, Annoni, Giorgio, Bellelli, Giuseppe, Bruni, Adriana, Confalonieri, Roberto, Corsi, Maurizio, Moretti, Daniela, Teruzzi, Fabiola, Umidi, Simona, Mazzola, Paolo, Perego, Sabrina, Persico, Ilaria, Olivieri, Giulia, Bonfanti, Alessandra, Hajnalka, Szabò, Galeazzi, Marianna, Massariello, Francesca, Anzuini, Alessandra, Caffarra, Paolo, Barocco, Federica, Spallazzi, Marco, Paolo, Ceda Gian, Simonetta, Morganti, Andrea, Artoni, Chioatto, Paolo, Bortolamei, Sandra, Soattin, Lucia, Ruotolo, Giovanni, Beneamino, Borelli, Giuseppe, Barilaro, Bertazzoli, Marco, Rota, Elisabetta, Adobati, Annamaria, Scarpa, Alberto, Granziera, Serena, Zuccher, Paola, Fabbro, Angela Dal, Zara, Daniela, Lo Nigro, Ambra, Franchetti, Lorena, Toniolo, Marika, Marcuzzo, Cinzia, Rollone, Marco, Guerriero, Fabio, Sgarlata, Carmelo, Massè, Alessandro, Zatti, Giovanni, Piatti, Massimiliano, Graci, Jole, Benati, Giuseppe, Boschi, Federica, Biondi, Mario, Fiumi, Nicoletta, Erika, Tamburini, Locatelli, Sergio Mario, Mauri, Sabrina, Beretta, Mauro, Margheritis, Laura, Desideri, Giovanbattista, Liberatore, Ester, Carucci, Anna Cecilia, Bonino, Paolo, Caput, Margherita, Antonietti, Maria Paola, Polistena, Giuseppe, De la Pierre, Franz, Mari, Marcello, Massignani, Paola, Tombesi, Fabio, Selvaggio, Fabio, Verbo, Brunella, Bodoni, Paolo, Marchionni, Niccolò, Mossello, Enrico, Sabatini, Tony, Mussio, Eleonora, Magni, Eugenio, Bianchetti, Angelo, Crucitti, Andrea, Titoldini, Giulia, Cossu, Beatrice, Fascendini, Sara, Licini, Cristina, Tomasoni, Angela, Calderazzo, Massimo, Daniela, Tropiano, Valentina, Laganà, Melotti, Rita Maria, Lilli, Albina, Buda, Simona, Adversi, Marco, Noro, Gabriele, Turco, Renato, Ubezio, M Chiara, Mantovani, Anna Roberta, Viola, Maria Cristina, Serrati, Carlo, Pretta, Stefano, Infante, Maria, Gentile, Simona, Morandi, Alessandro, D'Ambrosio, Viviana, Mazzanti, Paolo, Brambilla, Cristina, Sportelli, Silvia, Platto, Caterina, Faraci, Bianca, Quattrocchi, Daniela, Pernigotti, Luigi Maria, Pisu, Cristina, Sicuro, Francesca, Zagnoni, Piergiuseppe, Ghiglia, Stefania, Mosca, Massimiliano, Corazzin, Ileana, Deola, Mariangela, Biagini, Carlo Adriano, Bencini, Francesca, Cantini, Claudia, Tonon, Elisabetta, Pierinelli, Silvia, Onofrj, Marco, Thomas, Astrid, Filomena, Borbone, Bonanni, Laura, Gabriella, Cacchiò, Comi, Giancarlo, Magnani, Giuseppe, Santangelo, Roberto, Mazzeo, Salvatore, Giuseppe, Magnani, Francesca, Caso, Giordano, Cecchetti, Roberto, Sant'Angelo, Barbieri, Cristina, Giroldi, Liviana, Bandini, Fabio, Masina, Marco, Malservisi, Simona, Cicognani, Annalena, Ricca, Laura, Piccininni, Maristella, Tassinari, Tiziana, Brogi, Davide, Sugo, Annalisa, Alessandra, Filippi, Sonia, Manfredi, Valerio, Vanni, Andrea, Usai Carlo, Enrico, Colombo, Vera, Renna Francesca, Assunta, Sauchella, Gianmaria, Zavarise, Mauro, Prete, Pietro, Bisagni, Roberto, Masini, Salvatore, Carrabetta, Barone, Antonella, Razzano, Monica, Giuseppe, Imperoli, Angela, Bini, Francesco, Serra, Valeria, D'Agostino, Federico, Gianolla, Lucia, Pietrangeli, Antonella, Velardi, Elisabetta, Di Cello, Cristina, Rosati, Nadia, Casali, Maria, Sessa, Luciano, Abruzzi, Chiara, Costanzi, Bini, Paolo, Pignata, Michele, Enrico, Buonagurio, Maria, Vollery, Giovanni, Carrieri, Giorgio, Cioni, Andrea, Toschi, Marco, Metra, Piera, Ranieri, Alberto, Zucchelli, Ceccon, Anna, Magrin, Laura, Marin, Sara, Barbara, Sofia, Marco, Masina, Laura, Ghedini, Matteo, Moroni, Marco, Paragona, Caterina, Pallotti Maria, Carla, Rota, Federica, Gottardi, Clara, Tomasoni, Melania, Cappuccio, Giampaolo, Bonini, Stefano, Guerini, Valeria, Guerini, Lucia, Merla, Giovambattista, Desideri, Ester, Liberatore, Cecilia, Carucci Anna, Maurizio, Tovaglieri, Vera, Renna Frandesca, Nadia, Bongiorni, Grillo, Antonio, Arenare, Francesca, Tonino, Mineo, David, Kanah, Giorgio, Vianello Piero, Ubaldo, Balducci, Vincenzo, Sidoti, Stefano, Montanari, Marino, Formilan, Busonera Flavio, Murelli Teodolindo, Paolo, Albanese, Monica, Maselli, Francesco, Bolzetta, Roberto, Fabris, Paolo, Bonino, DuranteMangoni, Emanuele, Testoni, Michela, Fabio, Di Stefano, Loredana, Seccia, Valeria, Sonzini, Fabiano, Maria, Annabella, Di Giorgio, Salvatore, De Cosmo, Greco, Antonio, Grazia, D'Onofrio, Daniele, Sancarlo, Gianluca, Resta, Renzo, Girardello, Sergio, Minervini, Morena, Boni, Vitali, Mariagrazia, Marina, Pizzoni, Paolo, De Colle, Cristina, Scarpa, Alessandra, Frattola, Orlandini, Francesco, La Regina, Micaela, Desirée, Addesi, Mirella, Filippo, Mario, Bo, Paola, Porrino, Padulo, Filomena, Cristina, Margheriti, Dario, Rolano, Giancarla, Moscatelli, Guido, Radaelli, Elena, Montini, Prete, Cosimo, Marileda, Novello, Igor, Bramuzzo, Nicole, Bertin, Elena, Rinaldo, Paolillo, Ciro, Riccardi, Angela, Claudia, Benedetti, Barbara, Rizzi, Francesca, Montagna, Silvia, Vitali, Chiara, Cutaia, Oliver, Baca, Mauro, Colombo, Eleonora, Marelli, Giuseppe, Procino, Rosaria, Tararà, Maria, Cottino, Davide, Dell'Acqua, Stefania, Cislaghi, Marco, Cairati, Massimo, Porta, Luca, Scaglione, Martina, De Feo, Paola, Vertolli, Lia, Salvati, Sandro, Cinotti, Valentina, De Santis, Erminia, Biferi, Paola, Cheli, Romina, Rebizzo, Minisola, Salvatore, Luciano, Colangelo, Pasquale, Abete, Ilaria, Liguori, Francesca, Curcio, Guglielmo, Spassini, Marco, Engheben, Sara, Rotunno, Paola, Arosio, Claudio, Angelini, Francesco, Reggiani, Alessandro, Cappelli, Simona, Marcheselli, Lara, Fratticci, Paola, Ranzani, Simonetta, Cesarini, Antonella, Cerini, Generoso, Uomo, Fernando, Gallucci, Giuliano, Ceschia, Emanuela, Serra, Mariolina, Sola, Alessandro, Delitala, Chiara, Pes, Giulia, Lobianco, Alessandro, Giani, Famularo, Simone, Sandini, Marta, Pinotti, Enrico, Gianotti, Luca, Antonella, Battuello, Giulia, Pintore, Sante, Giardini, Rossi, Andrea, Rubele, Sofia, Sant, Selena, Marco, Vignati, Danila, Clerici, Fabio, Rosa, Bandirali, Maria Pia, Nicoletta, Cattaneo, Laura, Boffi, Paolo, Tosoni, Luciano, Terranova, Leonello, Avalli, Margherita, Scanziani, Stefania, De Notaris, Pierluigi, Del Santo, Laura, Rossi, Fabiana, Tezza, Giovanna, Cervati, Antonino, Andreolli, Felice, Catalano, Giuseppe, Burattin, Danilo, Fogli, Giovanna, Di Bella, Francesco, Landi, Salini, Sara, Angela, Brunetti Maria, Giorgetta, Cappa, Giovanni, Galvagno, Paola, Cena, Gerardo, Bruno, Silvio, Raspo, Letizia, Semeraro, Sabrina, Pedrotti, Davide, Barra, Rosaria, Rizzo Maria, Maria, Dalise Anna, Raffaele, Prestano, Palmieri, Vincenzo Ostilio, Palasciano, Giuseppe, Belfiore, Anna, Portincasa, Piero, Carlo, Sabbà, Vincenzo, Solfrizzi, Alessia, D'introno, Valiani, Vincenzo, Carolina, Bologna, Tiziana, Ciarambino, Paola, Turelli, Ugo, Pazzaglia, Federica, Rodella, Giacomo, Piana, Castellano, Maurizio, Anna, Garelli, Elisa, Casella, Federica, Campana, Antonietta, Coschignano Maria, Luigi, Marinangeli, Fabio, Lorico, Salvatore, Bazzano, Giuseppe, Menculini, Gelosa, Giorgio, Viviana, Ambrogio Teresa, Piras, Valentina, Andrea, Ciricugno, Alessandra, Bollari, Coen, Daniele, Magliola, Renata, Milanesio, Deborah, Muzzulini, Carlo Lorenzo, Paolo, Fogliacco, Marinella, Turla, Sofia, Cotelli Maria, Marta, Bianchi, Siano, Pietro, Capo, Giuseppe, Napoletano, Rosa, Cecilia, Politi, Mancini, Concetta, Del Buono, Corrado, De Bartolomeo, Giuseppe, Addolorata, Martinelli, Carmen, Cefalogli, Roberto, Cozzi, Giovanni, Virtuani Angelo, Moschettini, Gianfilippo, Franco, Mastroianni, Daniela, Roglia, D'Amico, Gabriella, Mirella, Palella, Endrizzi, Cristina, Trotta, Lucia, Ciarambino, Tiziana, Orazio, Zanetti, Emanuela, Terazzi, Marta, Sacchetti, Thomas, Fleetwood, Giacomo, Tondo, Ignazio, Di Fazio, Andrea, Bruni, Giuseppe, Orsitto, Emanuela, Fabbro, Serena, Amici, Elena, D'Imporzano, Anna, Casanova, Serena, Bertolio, Erika, Nervo, Roberto, Silvestri, Elena, Semproni, Manuela, Pintus, Francesca, Aloe, Angelo, Tagliaccica, Zambon, Antonella, and Di Santo, Simona G.

Published
2020
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5. Biotestamento

Author

Giada Lonati, Barbara Rizzi

Published
2020

6. Development and External Validation of a Predictive Multivariable Model for Palliative Cancer Patients’ Survival (PACS)

Author

Luca Porcu, Angela Recchia, Cristina Bosetti, Maria Vittoria Chiaruttini, Sara Uggeri, Giada Lonati, Paolo Ubezio, Barbara Rizzi, and Oscar Corli

Abstract

Purpose Various prognostic indexes have been proposed to improve physicians’ ability to predict survival time in advanced cancer patients admitted to palliative care (PC), but no optimal score has still been identified. The study therefore aims to develop and externally validate a new multivariable predictive model in this setting.Methods We developed the model on 1020 cancer patients prospectively enrolled to home care palliative care at VIDAS Milan, Italy, between May 2018 and February 2020 and followed-up to June 2020. The model was then validated among two separate samples of 544 home care and 247 hospice patients. Overall survival was considered as the primary outcome to develop and validate the model; Cox and flexible parametric Royston-Parmar regression models were used.Results Through a four-step modelling process, among 68 clinical factors considered, five predictors were included in the predictive model, i.e., rattle, heart rate, anorexia, liver failure, and the Karnofsky performance status. Patient’s survival probability at various time points was estimated. The predictive model showed a good calibration and moderate discrimination (area under the receiver operating characteristic curve between 0.72 and 0.79) in the home care validation set, but model calibration was suboptimal in hospice patients.Conclusions The new multivariable predictive model for palliative cancer patients’ survival (PACS model) includes clinical parameters routinely at patient’s admission to PC and can be easily used to facilitate immediate and appropriate clinical decisions for PC cancer patients in the home setting.

Published
2023
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7. Prevalence of Delirium in End-of-Life Palliative Care Patients: An Observational Study

Author

Angela Recchia, Barbara Rizzi, Alessandra Favero, Alessandro Nobili, and Luca Pasina

Subjects
Male, Original Paper, Palliative Care, Delirium, General Medicine, behavioral disciplines and activities, nervous system diseases, Death, Cross-Sectional Studies, Neoplasms, mental disorders, Prevalence, Humans, Female, Aged, Retrospective Studies
Abstract

Objectives: The aim of this study was to assess the prevalence of delirium, using the Assessment Test for Delirium and Cognitive Impairment (4AT) in end-of-life palliative care patients. Subjects and Methods: This retrospective cross-sectional study was conducted on end-of-life patients in a hospice or at home. All patients were evaluated with the 4AT for the presence of delirium. Results: Of the 461 patients analyzed, 76 (16.5%) were inpatients and 83.5% (385) outpatients. The median age was 79.5 (72–86) years, and 51.0% were female. According to the 4AT score, 126 patients (27.3%) had delirium (A4T ≥4) at admission, 28 (36.8%) were inpatients, and 98 (25.5%) outpatients. Around 33.8% of the cancer inpatients had delirium, while 20.6% of the cancer outpatients had delirium. The prevalence of delirium varied according to the setting, clinical condition, and life expectancy. In addition, 55.0% (11) actively dying inpatients, within 3 days, had delirium, and 56.7% (17) outpatients had delirium; while among those with life expectancy longer than 4 days, 30.4% (17) inpatients and 22.8% (81) outpatients were with delirium. Conclusions: Our study confirms that delirium is common in cancer and noncancer palliative care patients. Further research on delirium in end-of-life palliative care patients should consider the complexity of palliative care of this population as well as of the characteristics of the settings.

Published
2022
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13. Customised pediatric palliative care: Integrating oncological and palliative care priorities

Author

Elisabetta Schiavello, Giada Lonati, Carlo Alfredo Clerici, Marta Podda, Giovanna Casiraghi, Sonia Ambroset, M. Armiraglio, Alberto Grossi, Maura Massimino, Barbara Rizzi, and Giovanna Visconti

Subjects
Poor prognosis, medicine.medical_specialty, Palliative care, Early introduction, law.invention, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, law, Neoplasms, 030225 pediatrics, Humans, Medicine, 030212 general & internal medicine, Stage (cooking), Child, Referral and Consultation, Retrospective Studies, Terminal Care, business.industry, Paediatric oncology, Palliative Care, Sarcoma, General Medicine, Intensive care unit, Pediatric palliative care, Hospice Care, Pediatrics, Perinatology and Child Health, Cohort, Emergency medicine, business
Abstract

Aim To describe the experience involving the early introduction of palliative care (PC) in oncological patients treated within the paediatric oncology unit of the Istituto Nazionale Tumori of Milan and compare this cohort with a cohort of patients resident in the same area treated before the introduction of early palliative care. Methods A virtual team was assembled in 2015. The PC providers operate outside the hospital. Conference calls were scheduled to discuss patients' problems. This sample was compared with the clinical records of patients residing in the same area who died between 2009 and 2014. Results Between January 2015 and April 2019, 41 patients residing in the Milan area mainly with CNS tumours or sarcomas were referred to the team. Comparing the results with the previous cohort, there was a rise in the number of patients dying at home or in a hospice and the duration of PC increased over time. From 2015, none of the patients died in an intensive care unit. Conclusion Patients managed by the virtual team were able to continue their cancer treatments, take part in Phase I trials and receive PC. All patients with a poor prognosis should have PC at an early stage.

Published
2020
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14. Inappropriate medications among end-of-life patients living at home: an Italian observational study

Author

Barbara Rizzi, Alessandro Nobili, Luca Pasina, and Angela Recchia

Subjects
Longitudinal study, medicine.medical_specialty, Palliative care, 030214 geriatrics, business.industry, Family caregivers, Infant, Newborn, Inappropriate Prescribing, Inappropriate Prescriptions, Death, 03 medical and health sciences, 0302 clinical medicine, Pharmacotherapy, Italy, Humans, Medicine, Observational study, Longitudinal Studies, 030212 general & internal medicine, Medical prescription, business, Intensive care medicine, Case report form, Retrospective Studies
Abstract

To determine the use of preventive and symptomatic medications in a sample of end-of-life patients living at home. Palliative care physicians can improve the appropriate use of medications for patients living at home, but more than half still receive avoidable medications. Drugs for peptic ulcer and antithrombotics were the preventive medications most frequently prescribed. This study supports the need for an appropriate drug review and de-prescribing in this vulnerable population, because unnecessary or inappropriate prescribing has no additional therapeutic benefit and only raises costs. To determine the use of avoidable medications in end-of-life patients living at home when they were moved from the general practice setting to the palliative medicine physician (T1) and before death (T2). This retrospective longitudinal study describes the prevalence of end-of-life patients cared for at home between April 2016 and December 2018 receiving preventive and symptomatic drug treatments. Socio-demographic data, diagnosis and drug treatments for each patient were collected in a web-based Case Report Form. The study sample comprised 1565 end-of-life patients with a median age (25–75 percentile) of 79.8 (72.5–85.3 years). All patients were treated with symptomatic drugs, and there were significantly fewer patients from T1 to T2 with at least one preventive medication at end of life (92.1% and, 60.8%, p

Published
2020
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15. Anticholinergic load and delirium in end-of-life patients

Author

Angela Recchia, Luca Pasina, Barbara Rizzi, and Alessandro Nobili

Subjects
Male, medicine.medical_specialty, Sociodemographic Factors, medicine.drug_class, Comorbidity, behavioral disciplines and activities, 030226 pharmacology & pharmacy, Cholinergic Antagonists, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, mental disorders, Anticholinergic, medicine, Dementia, Humans, Pharmacology (medical), 030212 general & internal medicine, Cumulative effect, Anticholinergic Drugs, Aged, Retrospective Studies, Pharmacology, Aged, 80 and over, Terminal Care, Karnofsky Performance Status, Dose-Response Relationship, Drug, business.industry, Delirium, General Medicine, medicine.disease, nervous system diseases, Increased risk, Cross-Sectional Studies, Functional status, Female, medicine.symptom, business
Abstract

Delirium is a neuropsychiatric syndrome associated with negative outcomes, including worsening of cognitive and functional status and an increased burden on patients and caregivers. Medications with anticholinergic effect have been associated with delirium symptoms, but the relationship is still debated. To assess the relation between delirium and anticholinergic load according to the hypothesis that the cumulative anticholinergic burden increases the risk of delirium. This retrospective cross-sectional study was conducted in a sample of end-of-life patients in a hospice or living at home between February and August 2019. Delirium was diagnosed on admission using the 4 ‘A’s Test (4AT) and each patient’s anticholinergic burden was measured with the Anticholinergic Cognitive Burden (ACB) scale. Of the 461 eligible for analysis, 124 (26.9%) had delirium. Anticholinergic medications were associated with an increased risk of delirium in univariate (OR (95% CI) 1.26 (1.16–1.38), p < 0.0001) and multivariate models adjusted for age, sex, dementia, tumors, Karnofsky Performance Status (KPS) score, days of palliative assistance, and setting (OR (95% CI) 1.16 (1.05–1.28), p < 0.0001). Patients with delirium had a greater anticholinergic burden than those without, with a dose-effect relationship between total ACB score and delirium. Patients who scored 4 or more had 2 or 3 times the risk of delirium than those not taking anticholinergic drugs. The dose-response relationship was maintained in the multivariate model. Anticholinergic drugs may influence the development of delirium due to the cumulative effect of multiple medications with modest antimuscarinic activity.

Published
2020

16. Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

Author

Morandi, Alessandro, primary, Zambon, Antonella, additional, Di Santo, Simona G., additional, Mazzone, Andrea, additional, Cherubini, Antonio, additional, Mossello, Enrico, additional, Bo, Mario, additional, Marengoni, Alessandra, additional, Bellelli, Giuseppe, additional, Rispoli, Vincenzo, additional, Malara, Alba, additional, Spadea, Fausto, additional, Di Cello, Serena, additional, Ceravolo, Francesco, additional, Fabiano, Francesco, additional, Chiaradia, Giuseppe, additional, Gabriele, Amedeo, additional, Lenino, Peluso, additional, Andrea, Taristano, additional, Settembrini, Vincenzo, additional, Capomolla, Domenico, additional, Citrino, Antonella, additional, Scriva, Antonietta, additional, Bruno, Irene, additional, Secchi, Roberto, additional, De Martino, Eugenio, additional, Muccinelli, Roberto, additional, Lupi, Gerardo, additional, Paonessa, Patrizio, additional, Fabbri, Andrea, additional, Passuti, Maria Teresa, additional, Castellari, Sofia, additional, Po, Andrea, additional, Gaggioli, Guido, additional, Varesi, Massimo, additional, Moneti, Paolo, additional, Capurso, Sebastiano, additional, Latini, Vincenzo, additional, Ghidotti, Stefano, additional, Riccardelli, Francesco, additional, Macchi, Maurizio, additional, Rigo, Rosaria, additional, Claudio, Pascale, additional, Angelo, Bosio, additional, Flavio, Cerrato, additional, Benedetta, Bardelli, additional, Boffelli, Stefano, additional, Cassinadri, Angela, additional, Franzoni, Simone, additional, Spazzini, Elena, additional, Andretto, Daniela, additional, Tonini, Gabriele, additional, Andreani, Laura, additional, Coralli, Mirco, additional, Balotta, Antonio, additional, Cancelliere, Roberto, additional, Ballardini, Giorgio, additional, Simoncelli, Margherita, additional, Mancini, Annarita, additional, Strazzacapa, Mara, additional, Fabio, Stefano, additional, De Filippi, Francesco, additional, Giudice, Chiara, additional, Dentizzi, Cosimo, additional, Azzini, Margherita, additional, Cazzadori, Marco, additional, Mastroeni, Valeria, additional, Bertassello, Paolo, additional, Claudia Benati, Helena Santana, additional, Nesta, Elisa, additional, Tobaldini, Chiara, additional, Guerini, Fabio, additional, Elena, Tambara, additional, Mombelloni, Paolo, additional, Fontanini, Fulvio, additional, Gabriella, Lassa, additional, Pizzorni, Crosio, additional, Oliverio, Martina, additional, Del Grosso, Luciano Luca, additional, Giavedoni, Cristina, additional, Bidoli, Giuliano, additional, Mazzei, Bruno, additional, Corsonello, Andrea, additional, Fusco, Sergio, additional, Vena, Silvio, additional, De Vuono, Tommaso, additional, Maiuri, Giorgio, additional, Luca, Fimognari Filippo, additional, Andrea, Arone, additional, Giovanni, Sgrò, additional, Rossella, Nicolazzo, additional, Castegnaro, Eugenio, additional, De Rosa, Salvatore, additional, Sechi, Rossella Bazzano, additional, Benvenuti, Enrico, additional, Del Lungo, Ilaria, additional, Giardini, Sante, additional, Giulietti, Chiara, additional, Mauro, Di Bari, additional, Eleonora, Barghini, additional, Martina, Paoli, additional, Irene, Fiordelli, additional, Riccardo, Barucci, additional, Federica, Sgrilli, additional, Ilaria, Del Lungo, additional, Bertoletti, Erik, additional, D'Amico, Ferdinando, additional, Caronzolo, Francesco, additional, Grippa, Alessandro, additional, Lombardo, Giuseppina, additional, Pipicella, Tiziana, additional, Antonino, Saitta, additional, Francesco, Corica, additional, Valeria, Prestipino Giarritta, additional, Daniela, Larosa, additional, Domenico, Cucinotta, additional, Giorgio, Basile, additional, March, Albert, additional, Nitti, Maria Teresa, additional, Felici, Alessandro, additional, Pavan, Silvia, additional, Piazzani, Fabrizio, additional, Lunelli, Alessandra, additional, Dimori, Sergio, additional, Margotta, Alessandro, additional, Soglia, Tiziano, additional, Postacchini, Demetrio, additional, Brunelli, Roberto, additional, Santini, Silvia, additional, Francavilla, Monia, additional, Macchiati, Ilenia, additional, Sorvillo, Francesca, additional, Giuli, Cinzia, additional, Mecocci, Patrizia, additional, Longo, Annalisa, additional, Perticone, Francesco, additional, Addesi, Desireè, additional, Rosa, Paola Cerra, additional, Bencardino, Giuseppe, additional, Falbo, Tania, additional, Grillo, Nadia, additional, Marco, Filice, additional, Mirella, Flippo, additional, Fantò, Fausto, additional, Isaia, Gianluca, additional, Pezzilli, Stella, additional, Bergamo, Daniele, additional, Furno, Elisabetta, additional, Rrodhe, Sokol, additional, Lucarini, Simonetta, additional, Dijk, Babette, additional, Dall'Acqua, Francesca, additional, Cappelletto, Francesco, additional, Calvani, Donatella, additional, Becheri, Dimitri, additional, Giuseppe, Mottino, additional, Costanza, Mitidieri, additional, Vito, Antonio, additional, Francesca, Bartalucci, additional, Magherini, Lorenza, additional, Novella, Malin, additional, Franca, Boni, additional, Lucia Gambardella, Paoli Martina, additional, Valente, Carlo, additional, Ilaria, Bracali, additional, Alice, Foschini, additional, Porrino, Paola, additional, Ceci, Giacomo, additional, Giuliana, Bottignole, additional, Michela, Tibaldi, additional, Eleonora, Coppo, additional, Ettore, Evaristo, additional, Camellini, Cinzia, additional, Servello, Adriana, additional, Grassi, Alessandro, additional, Rozzini, Renzo, additional, Tironi, Sara, additional, Grassi, Maria Grazia, additional, Troisi, Elio, additional, Carlo, Caltagirone, additional, Simona Gabriella, Di Santo, additional, Flaminia, Franchini, additional, Federica, Ratto, additional, Beatrice, Pavoni, additional, Sofia, Toniolo, additional, Gabutto, Anna, additional, Quazzo, Loredana, additional, Rosatello, Annalisa, additional, Suraci, Domenico, additional, Tagliabue, Benedetta, additional, Perrone, Chiara, additional, Ferrara, Lucia, additional, Castagna, Alberto, additional, Tremolada, Maria Luisa, additional, Giuseppe, Castoldi, additional, Stefano, Barbero, additional, Davide, Oltramonti, additional, Piano, Simonetta, additional, Serviddio, Gaetano, additional, Lo Buglio, Aurelio, additional, Gurrera, Tiziana, additional, Merlo, Valeria, additional, Rovai, Carla, additional, Cotroneo, Antonino Maria, additional, Carlucci, Rosaria, additional, Abbaldo, Anna, additional, Monzani, Fabio, additional, Qasem, Ahmad Amedeo, additional, Bini, Giacomo, additional, Tafuto, Silvia, additional, Galli, Giovanni, additional, Bruni, Amalia Cecilia, additional, Mancuso, Giovanna, additional, Mancuso, Gerardo, additional, Calipari, Daniela, additional, Giuseppe Massimiliano, De Luca, additional, Bernardini, Bruno, additional, Corsini, Carla, additional, Michele, Ciccarelli, additional, Sara, Dal Farra, additional, Cagnin, Annachiara, additional, Fragiacomo, Federica, additional, Pompanin, Sara, additional, Piero, Amodio, additional, Marco, Cagnin, additional, Zurlo, Amedeo, additional, Guerra, Gianluca, additional, Pala, Marco, additional, Menozzi, Luca, additional, Gatti, Chiara Delli, additional, Magon, Stefania, additional, Roberto, Manfredini, additional, Alfredo, De Giorgi, additional, Fabio, Fabbian, additional, Ruana, Tiseo, additional, Elisa, Misurati, additional, Benedetta, Boari, additional, Christian, Molino, additional, Marco, Pala, additional, Massimo, Gallerani, additional, Di Francesco, Vincenzo, additional, Faccioli, Silvia, additional, Pellizzari, Luca, additional, Giorgia, Fontana, additional, Barbagallo, Giuseppe, additional, Lunardelli, Maria Lia, additional, Martini, Emilio, additional, Ferrari, Eleonora, additional, Macchiarulo, Maria, additional, Corneli, Maria, additional, Bacci, Monica, additional, Battaglia, Giuseppe, additional, Anastasio, Luigi, additional, Lo Storto, Mario Sostene, additional, Seresin, Chiara, additional, Simonato, Matteo, additional, Loreggian, Michele, additional, Cestonaro, Fausta, additional, Durando, Mario, additional, Latella, Raffaele, additional, Mazzoleni, Marta, additional, Russo, Giuseppe, additional, Ponte, Martino, additional, Valchera, Alessandro, additional, Salustri, Giuseppe, additional, Petritola, Donatella, additional, Costa, Alfredo, additional, Sinforiani, Elena, additional, Cotta, Matteo Ramusino, additional, Pizio, Renato Nicola, additional, Cester, Alberto, additional, Formilan, Marino, additional, Pietro, Bonometto, additional, Carbone, Pasqualina, additional, Cazzaniga, Ilaria, additional, Appollonio, Ildebrando, additional, Cereda, Diletta, additional, Stabile, Andrea, additional, Xhani, Rubjona, additional, Acampora, Roberto, additional, Tremolizzo, Lucio, additional, Federico, Pieruzzi, additional, Antonio, Ciaccio, additional, Valerio, Pontecorvi, additional, Cesare, Burti, additional, Zhirajr, Mokini, additional, Giovanni, Vitale, additional, Maria, Amigoni, additional, Mariaelena, Sparacino, additional, Bottacchi, Edo, additional, Bucciantini, Elisabetta, additional, Di Giovanni, Marco, additional, Franchi, Fabrizio, additional, Lucchetti, Lucio, additional, Mariani, Claudio, additional, Grande, Giulia, additional, Rapazzini, Piero, additional, Marco, Mauri, additional, Romanelli, Giuseppe, additional, Franco, Nicosia, additional, Alessio, Margola, additional, Stefano, Bonardelli, additional, Nicola, Latronico, additional, Laura, Porcella, additional, Nazario, Portolani, additional, Carlo, Concoreggi, additional, Chiara, Grassini, additional, Soccorso, Pronto, additional, Andrea, Salvi, additional, Luca, Bianchetti, additional, Francesca, Spagnoli, additional, Roberto, Apuzzo, additional, Marco, Fontanella, additional, Anna, Ceraso, additional, Francesco, Castelli, additional, Fugazza, Luciano, additional, Guerrini, Chiara, additional, De Paduanis, Giovanna, additional, Iallonardo, Lucia, additional, Palumbo, Pasquale, additional, Zuliani, Giovanni, additional, Ortolani, Beatrice, additional, Capatti, Eleonora, additional, Soavi, Cecilia, additional, Bianchi, Lara, additional, Francesconi, Daniela, additional, Miselli, Agata, additional, Gloria, Brombo, additional, Tommaso, Romagnoli, additional, Chiara, Pazzaglini, additional, Agata, Miselli Maria, additional, Marco, Dall'Agata, additional, Luca, Menozzi, additional, Gianluca, Guerra, additional, Suardi, Teresa, additional, Zaccarini, Cinzia, additional, Manuela, Riva, additional, Mirra, Gianluca, additional, Muti, Ettore, additional, Bottura, Renato, additional, Gianpaolo, Moretti, additional, Secreto, Piero, additional, Bisio, Erika, additional, Cecchettani, Marco, additional, Naldi, Tamara, additional, Pallavicino, Alessandra, additional, Pugliese, Michela, additional, Iozzo, Rosaria Cosima, additional, Grassi, Guido, additional, Michele, Bombelli, additional, Raffaella, Dell'Oro, additional, Fosca, Quarti Trevano, additional, Giorgio, Giussani Carlo, additional, Giovanni, Paternò, additional, Ernesto, Contro, additional, Mannironi, Antonio, additional, Giorli, Elisa, additional, Oberti, Sara, additional, Fierro, Brigida, additional, Piccoli, Tommaso, additional, Giacalone, Fabio, additional, Mandas, Antonella, additional, Serchisu, Luca, additional, Costaggiu, Diego, additional, Pinna, Elisa, additional, Orrù, Francesca, additional, Mannai, Martina, additional, Cordioli, Zeno, additional, Pelizzari, Luca, additional, Turcato, Emanuela, additional, Arduini, Pietro, additional, Cacace, Carlo, additional, Chiloiro, Roberta, additional, Cimino, Rosella, additional, Ruberto, Carmen, additional, Giovanni, Ruotolo, additional, Pietro, Gareri, additional, Laura, Greco, additional, Alberto, Castagna, additional, Carmen, Ruberto, additional, Santo, Pierluigi Dal, additional, Andriolli, Antonino, additional, Burattin, Giuseppe, additional, Rossi, Laura, additional, Andreolli Antonino, Cervati Giovanna, additional, Giuseppe, Catalano, additional, Tezza, Fabiana, additional, Maddalena, Pizzardini, additional, Laura, Stievano, additional, Crippa, Patrizia, additional, Aloisio, Paola, additional, Di Monda, Tiziana, additional, Malighetti, Alessandro, additional, Galbassini, Gloria, additional, Salutis, Domus, additional, Ivaldi, Claudio, additional, Russo, Anna Maria, additional, Bennati, Ettore, additional, Pino, Elisabetta, additional, Zavarise, Gianmaria, additional, Pesci, Alberto, additional, Suigo, Giulia, additional, Faverio, Paola, additional, Andrea, Gori, additional, Sabrina, Perego, additional, Zanasi, Massimo, additional, Moniello, Giovanni, additional, Rostagno, Carlo, additional, Cartei, Alessandro, additional, Polidori, Gianluca, additional, Ungar, Andrea, additional, Melis, Maria Ramona, additional, Martellini, Eleonora, additional, Enrico, Mossello, additional, Monica, Torrini, additional, Antonella, Giordano, additional, Giovanna, Leone, additional, Migliorini, Marta, additional, Caramelli, Francesca, additional, Battiston, Bruno, additional, Berardino, Maurizio, additional, Cavallo, Simona, additional, Alessandro, Massè, additional, Anna, Santoro, additional, Lombardi, Bruna, additional, D'Ippolito, Pierpaolo, additional, Furini, Angela, additional, Villani, Daniele, additional, Clara, Raimondi, additional, Guarneri, Massimo, additional, Paolucci, Stefano, additional, Bassi, Andrea, additional, Coiro, Paola, additional, De Angelis, Domenico, additional, Morone, Giovanni, additional, Venturiero, Vincenzo, additional, Palleschi, Lorenzo, additional, Raganato, Paolo, additional, Di Niro, Giuseppina, additional, Rosa, Casini Anna, additional, Loredana, Bove, additional, Imoscopi, Alessandra, additional, Isaia, Giancarlo, additional, Tibaldi, V., additional, Bottignole G, G., additional, Calvi, E., additional, Clementi, C., additional, Zanocchi, M., additional, Agosta, L., additional, Nortarelli, Antonella, additional, Provenzano, Giuseppe, additional, Mari, Daniela, additional, Romano, Federica Ylenia, additional, Rosini, Francesca, additional, Mansi, Marta, additional, Rossi, Silvia, additional, Geriatria, Alex Riccardelli, additional, Inzaghi, Lorenzo, additional, Bonini, Giulia, additional, Rossi, Paolo, additional, Potena, Alfredo, additional, Lichii, Mihaela, additional, Candiani, Tiziana, additional, Grimaldi, William, additional, Bertani, Emiliano, additional, Alessandra, Porta, additional, Calogero, Pietro, additional, Pinto, Daniela, additional, Bernardi, Roberto, additional, Nicolino, Francesco, additional, Galetti, Caterina, additional, Gianstefani, Alice, additional, Giulia, Corvalli, additional, Lorenzo, Mulazzani, additional, Odetti, Patrizio, additional, Monacelli, Fiammetta, additional, Prefumo, Matteo, additional, Fiammetta, Monacelli, additional, Canepa, Marta, additional, Minaglia, Cecilia, additional, Paolisso, Giuseppe, additional, Rizzo, Maria Rosaria, additional, Prestano, Raffaele, additional, Dalise, Anna Maria, additional, Barra, Davide, additional, Bosco, Livio Dal, additional, Asprinio, Vincenzo, additional, Dallape, Luciana, additional, Perina, Elisa, additional, Incalzi, Raffaele Antonelli, additional, Bartoli, Isaura Rossi, additional, Pluderi, Alice, additional, Maina, Antonella, additional, Pecoraro, Elisabetta, additional, Sciarra, Michela, additional, Prudente, Angela, additional, Paola, Maina, additional, Francesca, Mete, additional, Manuel, Ventura, additional, Luisella, Cesari, additional, Maria, Pernigotti Luigi, additional, Tina, Santangelo, additional, Benini, Lucia, additional, Levato, Francesco, additional, Mhiuta, Victor, additional, Alius, Florin, additional, Davidoaia, Diana, additional, Giardini, Vittorio, additional, Garancini, Mattia, additional, Bellamoli, Claudio, additional, Terranova, Luciano, additional, Bozzini, Claudia, additional, Tosoni, Paolo, additional, Provoli, Emma, additional, Cascone, Luisa, additional, Dioli, Andrea, additional, Ferrarin, Gianfranco, additional, Bucci, Adelmo, additional, Bua, Guido, additional, Fenu, Sara, additional, Bianchi, Giovanna, additional, Casella, Silvia, additional, Romano, Valentina, additional, Maurizio, Poli, additional, Mascherona, Ilenia, additional, Belotti, Gloria, additional, Cavaliere, Sabina, additional, Cuni, Estella, additional, Merciuc, Nina, additional, Oberti, Rosella, additional, Veneziani, Silvia, additional, Capoferri, Emanuela, additional, De Bernardi, Elisabetta, additional, Colombo, Katia, additional, Bravi, Marco, additional, Nicoletta, Negrinotti, additional, D'Arcangelo, Paolo, additional, Montenegro, Nicola, additional, Montanari, Roberto, additional, Lamanna, Pierpaolo, additional, Gasperini, Beatrice, additional, Isabella, Montesi, additional, Stefania, Diotallevi, additional, Gaia, Altobelli, additional, Filippo, Calcinaro, additional, Palamà, Chiara, additional, Di Emidio, Chiara, additional, Scarpini, Elio, additional, Arighi, Andrea, additional, Fumagalli, Giorgio, additional, Basilico, Paola, additional, De Amicis Margherita, Migone, additional, Marta, Mancarella, additional, Diletta, Maira, additional, Granata, Antonino, additional, Ranalli, Claudia, additional, Cammilli, Alessandra, additional, Cavallini, Maria Chiara, additional, Tricca, Manola, additional, Natella, Daniela, additional, Gabbani, Luciano, additional, Tesi, Francesca, additional, Martella, Letizia, additional, Imbrici, Rosalba, additional, Guerrini, Gianbattista, additional, Scotuzzi, Anna Maria, additional, Sozzi, Ferdinando, additional, Valenti, Luigi, additional, Chiarello, Antonino, additional, Monia, Monella, additional, Pilotto, Alberto, additional, Prete, Camilla, additional, Senesi, Barbara, additional, Meta, Anna Cristina, additional, Pendenza, Enrico, additional, Pasqualetti, Giuseppe, additional, Polini, Antonio, additional, Tognini, Sara, additional, Ballino, Elena, additional, Dell'Aquila, Giuseppina, additional, Gasparrini, Pina Maria, additional, Marotti, Elisabetta, additional, Migale, Monica, additional, Scrimieri, Antonia, additional, Falsetti, Lorenzo, additional, Salvi, Aldo, additional, Toigo, Gabriele, additional, Ceschia, Giuliano, additional, Rosso, Alessia, additional, Tongiorgi, Chiara, additional, Scarpa, Cristina, additional, Maurizio, Pacchioni, additional, De Dominicis, Luigino, additional, Pucci, Eugenio, additional, Renzi, Sara, additional, Cartechini, Elisabetta, additional, Tomassini, Pia Francesca, additional, Del Gobbo, Maurizio, additional, Ugenti, Francesca, additional, Romeo, Pasquale, additional, Nardelli, Anna, additional, Lauretani, Fulvio, additional, Visioli, Sandra, additional, Montanari, Ilaria, additional, Ermini, Francesca, additional, Giordano, Antonio, additional, Pigato, Giorgio, additional, Simeone, Emilio, additional, Barbujani, Mario, additional, Giampieri, Marina, additional, Amoruso, Raffaele, additional, Piccinini, Maristella, additional, Ferrari, Camilla, additional, Gambetti, Claudio, additional, Sfrappini, Mario, additional, Semeraro, Letizia, additional, Striuli, Rinaldo, additional, Mariani, Claudia, additional, Pelliccioni, Giuseppe, additional, Marinelli, Donatella, additional, Fabi, Katia, additional, Rossi, Tommaso, additional, Pesallaccia, Martina, additional, Sabbatini, Debora, additional, Gobbi, Beatrice, additional, Cerqua, Raffaella, additional, Tagliani, Giancarla, additional, Schlauser, Elena, additional, Caser, Luciano, additional, Caramello, Elisa, additional, Sandigliano, Franca, additional, Rosso, Giorgio, additional, Ferrari, Alberto, additional, Bendini, Chiara, additional, Luisa, Davoli Maria, additional, Casella, Monica, additional, Prampolini, Raffaella, additional, Scevola, Moreno, additional, Vitale, Enrico, additional, Roberto, Brugiolo, additional, Carlo, Fagherazzi, additional, Sergio, Fusco, additional, Alberto, Scarpa, additional, Daniela, Zara, additional, Giulia, Bertozzo, additional, Serena, Granziera, additional, Michele, Barazzuol, additional, Maugeri, Domenico, additional, Sorace, Rosaria, additional, Anzaldi, Massimiliano, additional, De Gesu, Roberto, additional, Morrone, Giuseppe, additional, Davolio, Federica, additional, Fabbo, Andrea, additional, Palmieri, Marina, additional, Zoli, Marco, additional, Forti, Paola, additional, Pirazzoli, Luca, additional, Fabbri, Elisa, additional, Terenzi, Laura, additional, Bergolari, Federica, additional, Wenter, Christian, additional, Ruffini, Ingrid, additional, Insam, Miriam, additional, Abraham, Elisabeth, additional, Kirchlechner, Christine, additional, Cucinotta, Domenico, additional, Antonino, Lasco, additional, Basile, Giorgio, additional, Grazia, Arena Maria, additional, Parise, Pasquale, additional, Boccali, Andrea, additional, Amici, Serena, additional, Gambacorta, Maurizia, additional, Lasagni, Anna, additional, Lovati, Roberto, additional, Giovinazzo, Francesca, additional, Kimak, Elzbieta, additional, Zappa, Paolo, additional, Medici, Francesco, additional, Lo Castro, Marika, additional, Mauro, Flavia, additional, De Luca, Alessandro, additional, Sancesario, Giuseppe, additional, Martorana, Alessandro, additional, Scaricamazza, Beatrice, additional, Toniolo, Sofia, additional, Di Lorenzo, Francesco, additional, Liguori, Claudio, additional, Lasco, Antonino, additional, Vita, Natale, additional, Giomi, Mirna, additional, Forte, Floriana, additional, Padovani, Alessandro, additional, Rozzini, Luca, additional, Ceraso, Anna, additional, Salvatore, Caratozzolo, additional, Cottino, Maria, additional, Vitali, Silvia, additional, Marelli, Eleonora, additional, Tripi, Gabriele, additional, Miceli, Salvatore, additional, Urso, Giovanni, additional, Grioni, Giuseppe, additional, Vezzadini, Giuliana, additional, Misaggi, Giulia, additional, Forlani, Chiara, additional, Avanzi, Stefano, additional, Serena, Saulle, additional, Claudia, Casarini, additional, Marilena, Viggiano, additional, Alberto, Luisa, additional, Diego, Ghianda, additional, Alessandro, Giordano, additional, Iemolo, Francesco, additional, Giordano, Antonello, additional, Sanzaro, Enzo, additional, D'Asta, Gabriele, additional, Proietto, Maria, additional, Carnemolla, Anna, additional, Razza, Grazia, additional, Spadaro, Daniela, additional, Bertolotti, Marco, additional, Mussi, Chiara, additional, Neviani, Francesca, additional, Roberto, Chiesa, additional, Valentina, Guerzoni, additional, Linda, Morselli, additional, Francesca, Venturelli, additional, Tarozzi, Adriano, additional, Balestri, Francesca, additional, Mannarino, Giulio, additional, Bigolari, Michela, additional, Natale, Alessia, additional, Grassi, Simona, additional, Bottaro, Cinzia, additional, Stefanelli, Sara, additional, Bovone, Ugo, additional, Tortorolo, Umberto, additional, Quadri, Roberto, additional, Leone, Giuseppe, additional, Ponzetto, Maria, additional, Frasson, Paola, additional, Annoni, Giorgio, additional, Bruni, Adriana, additional, Confalonieri, Roberto, additional, Corsi, Maurizio, additional, Moretti, Daniela, additional, Teruzzi, Fabiola, additional, Umidi, Simona, additional, Mazzola, Paolo, additional, Perego, Sabrina, additional, Persico, Ilaria, additional, Olivieri, Giulia, additional, Bonfanti, Alessandra, additional, Hajnalka, Szabò, additional, Galeazzi, Marianna, additional, Massariello, Francesca, additional, Anzuini, Alessandra, additional, Caffarra, Paolo, additional, Barocco, Federica, additional, Spallazzi, Marco, additional, Paolo, Ceda Gian, additional, Simonetta, Morganti, additional, Andrea, Artoni, additional, Chioatto, Paolo, additional, Bortolamei, Sandra, additional, Soattin, Lucia, additional, Ruotolo, Giovanni, additional, Beneamino, Borelli, additional, Giuseppe, Barilaro, additional, Bertazzoli, Marco, additional, Rota, Elisabetta, additional, Adobati, Annamaria, additional, Scarpa, Alberto, additional, Granziera, Serena, additional, Zuccher, Paola, additional, Fabbro, Angela Dal, additional, Zara, Daniela, additional, Lo Nigro, Ambra, additional, Franchetti, Lorena, additional, Toniolo, Marika, additional, Marcuzzo, Cinzia, additional, Rollone, Marco, additional, Guerriero, Fabio, additional, Sgarlata, Carmelo, additional, Massè, Alessandro, additional, Zatti, Giovanni, additional, Piatti, Massimiliano, additional, Graci, Jole, additional, Benati, Giuseppe, additional, Boschi, Federica, additional, Biondi, Mario, additional, Fiumi, Nicoletta, additional, Erika, Tamburini, additional, Locatelli, Sergio Mario, additional, Mauri, Sabrina, additional, Beretta, Mauro, additional, Margheritis, Laura, additional, Desideri, Giovanbattista, additional, Liberatore, Ester, additional, Carucci, Anna Cecilia, additional, Bonino, Paolo, additional, Caput, Margherita, additional, Antonietti, Maria Paola, additional, Polistena, Giuseppe, additional, De la Pierre, Franz, additional, Mari, Marcello, additional, Massignani, Paola, additional, Tombesi, Fabio, additional, Selvaggio, Fabio, additional, Verbo, Brunella, additional, Bodoni, Paolo, additional, Marchionni, Niccolò, additional, Sabatini, Tony, additional, Mussio, Eleonora, additional, Magni, Eugenio, additional, Bianchetti, Angelo, additional, Crucitti, Andrea, additional, Titoldini, Giulia, additional, Cossu, Beatrice, additional, Fascendini, Sara, additional, Licini, Cristina, additional, Tomasoni, Angela, additional, Calderazzo, Massimo, additional, Daniela, Tropiano, additional, Valentina, Laganà, additional, Melotti, Rita Maria, additional, Lilli, Albina, additional, Buda, Simona, additional, Adversi, Marco, additional, Noro, Gabriele, additional, Turco, Renato, additional, Ubezio, M Chiara, additional, Mantovani, Anna Roberta, additional, Viola, Maria Cristina, additional, Serrati, Carlo, additional, Pretta, Stefano, additional, Infante, Maria, additional, Gentile, Simona, additional, Morandi, Alessandro, additional, D'Ambrosio, Viviana, additional, Mazzanti, Paolo, additional, Brambilla, Cristina, additional, Sportelli, Silvia, additional, Platto, Caterina, additional, Faraci, Bianca, additional, Quattrocchi, Daniela, additional, Pernigotti, Luigi Maria, additional, Pisu, Cristina, additional, Sicuro, Francesca, additional, Zagnoni, Piergiuseppe, additional, Ghiglia, Stefania, additional, Mosca, Massimiliano, additional, Corazzin, Ileana, additional, Deola, Mariangela, additional, Biagini, Carlo Adriano, additional, Bencini, Francesca, additional, Cantini, Claudia, additional, Tonon, Elisabetta, additional, Pierinelli, Silvia, additional, Onofrj, Marco, additional, Thomas, Astrid, additional, Filomena, Borbone, additional, Bonanni, Laura, additional, Gabriella, Cacchiò, additional, Comi, Giancarlo, additional, Magnani, Giuseppe, additional, Santangelo, Roberto, additional, Mazzeo, Salvatore, additional, Giuseppe, Magnani, additional, Francesca, Caso, additional, Giordano, Cecchetti, additional, Roberto, Sant'Angelo, additional, Barbieri, Cristina, additional, Giroldi, Liviana, additional, Bandini, Fabio, additional, Masina, Marco, additional, Malservisi, Simona, additional, Cicognani, Annalena, additional, Ricca, Laura, additional, Piccininni, Maristella, additional, Tassinari, Tiziana, additional, Brogi, Davide, additional, Sugo, Annalisa, additional, Alessandra, Filippi, additional, Sonia, Manfredi, additional, Valerio, Vanni, additional, Andrea, Usai Carlo, additional, Enrico, Colombo, additional, Vera, Renna Francesca, additional, Assunta, Sauchella, additional, Gianmaria, Zavarise, additional, Mauro, Prete, additional, Pietro, Bisagni, additional, Roberto, Masini, additional, Salvatore, Carrabetta, additional, Barone, Antonella, additional, Razzano, Monica, additional, Giuseppe, Imperoli, additional, Angela, Bini, additional, Francesco, Serra, additional, Valeria, D'Agostino, additional, Federico, Gianolla, additional, Lucia, Pietrangeli, additional, Antonella, Velardi, additional, Elisabetta, Di Cello, additional, Cristina, Rosati, additional, Nadia, Casali, additional, Maria, Sessa, additional, Luciano, Abruzzi, additional, Chiara, Costanzi, additional, Bini, Paolo, additional, Pignata, Michele, additional, Enrico, Buonagurio, additional, Maria, Vollery, additional, Giovanni, Carrieri, additional, Giorgio, Cioni, additional, Andrea, Toschi, additional, Marco, Metra, additional, Piera, Ranieri, additional, Alberto, Zucchelli, additional, Ceccon, Anna, additional, Magrin, Laura, additional, Marin, Sara, additional, Barbara, Sofia, additional, Marco, Masina, additional, Laura, Ghedini, additional, Matteo, Moroni, additional, Marco, Paragona, additional, Caterina, Pallotti Maria, additional, Carla, Rota, additional, Federica, Gottardi, additional, Clara, Tomasoni, additional, Melania, Cappuccio, additional, Giampaolo, Bonini, additional, Stefano, Guerini, additional, Valeria, Guerini, additional, Lucia, Merla, additional, Giovambattista, Desideri, additional, Ester, Liberatore, additional, Cecilia, Carucci Anna, additional, Maurizio, Tovaglieri, additional, Vera, Renna Frandesca, additional, Nadia, Bongiorni, additional, Grillo, Antonio, additional, Arenare, Francesca, additional, Tonino, Mineo, additional, David, Kanah, additional, Giorgio, Vianello Piero, additional, Ubaldo, Balducci, additional, Vincenzo, Sidoti, additional, Stefano, Montanari, additional, Marino, Formilan, additional, Busonera Flavio, Murelli Teodolindo, additional, Paolo, Albanese, additional, Monica, Maselli, additional, Francesco, Bolzetta, additional, Roberto, Fabris, additional, Paolo, Bonino, additional, DuranteMangoni, Emanuele, additional, Testoni, Michela, additional, Fabio, Di Stefano, additional, Loredana, Seccia, additional, Valeria, Sonzini, additional, Fabiano, Maria, additional, Annabella, Di Giorgio, additional, Salvatore, De Cosmo, additional, Greco, Antonio, additional, Grazia, D'Onofrio, additional, Daniele, Sancarlo, additional, Gianluca, Resta, additional, Renzo, Girardello, additional, Sergio, Minervini, additional, Morena, Boni, additional, Vitali, Mariagrazia, additional, Marina, Pizzoni, additional, Paolo, De Colle, additional, Cristina, Scarpa, additional, Alessandra, Frattola, additional, Orlandini, Francesco, additional, La Regina, Micaela, additional, Desirée, Addesi, additional, Mirella, Filippo, additional, Mario, Bo, additional, Paola, Porrino, additional, Padulo, Filomena, additional, Cristina, Margheriti, additional, Dario, Rolano, additional, Giancarla, Moscatelli, additional, Guido, Radaelli, additional, Elena, Montini, additional, Prete, Cosimo, additional, Marileda, Novello, additional, Igor, Bramuzzo, additional, Nicole, Bertin, additional, Elena, Rinaldo, additional, Paolillo, Ciro, additional, Riccardi, Angela, additional, Claudia, Benedetti, additional, Barbara, Rizzi, additional, Francesca, Montagna, additional, Silvia, Vitali, additional, Chiara, Cutaia, additional, Oliver, Baca, additional, Mauro, Colombo, additional, Eleonora, Marelli, additional, Giuseppe, Procino, additional, Rosaria, Tararà, additional, Maria, Cottino, additional, Davide, Dell'Acqua, additional, Stefania, Cislaghi, additional, Marco, Cairati, additional, Massimo, Porta, additional, Luca, Scaglione, additional, Martina, De Feo, additional, Paola, Vertolli, additional, Lia, Salvati, additional, Sandro, Cinotti, additional, Valentina, De Santis, additional, Erminia, Biferi, additional, Paola, Cheli, additional, Romina, Rebizzo, additional, Minisola, Salvatore, additional, Luciano, Colangelo, additional, Pasquale, Abete, additional, Ilaria, Liguori, additional, Francesca, Curcio, additional, Guglielmo, Spassini, additional, Marco, Engheben, additional, Sara, Rotunno, additional, Paola, Arosio, additional, Claudio, Angelini, additional, Francesco, Reggiani, additional, Alessandro, Cappelli, additional, Simona, Marcheselli, additional, Lara, Fratticci, additional, Paola, Ranzani, additional, Simonetta, Cesarini, additional, Antonella, Cerini, additional, Generoso, Uomo, additional, Fernando, Gallucci, additional, Giuliano, Ceschia, additional, Emanuela, Serra, additional, Mariolina, Sola, additional, Alessandro, Delitala, additional, Chiara, Pes, additional, Giulia, Lobianco, additional, Alessandro, Giani, additional, Famularo, Simone, additional, Sandini, Marta, additional, Pinotti, Enrico, additional, Gianotti, Luca, additional, Antonella, Battuello, additional, Giulia, Pintore, additional, Sante, Giardini, additional, Rossi, Andrea, additional, Rubele, Sofia, additional, Sant, Selena, additional, Marco, Vignati, additional, Danila, Clerici, additional, Fabio, Rosa, additional, Bandirali, Maria Pia, additional, Nicoletta, Cattaneo, additional, Laura, Boffi, additional, Paolo, Tosoni, additional, Luciano, Terranova, additional, Leonello, Avalli, additional, Margherita, Scanziani, additional, Stefania, De Notaris, additional, Pierluigi, Del Santo, additional, Laura, Rossi, additional, Fabiana, Tezza, additional, Giovanna, Cervati, additional, Antonino, Andreolli, additional, Felice, Catalano, additional, Giuseppe, Burattin, additional, Danilo, Fogli, additional, Giovanna, Di Bella, additional, Francesco, Landi, additional, Salini, Sara, additional, Angela, Brunetti Maria, additional, Giorgetta, Cappa, additional, Giovanni, Galvagno, additional, Paola, Cena, additional, Gerardo, Bruno, additional, Silvio, Raspo, additional, Letizia, Semeraro, additional, Sabrina, Pedrotti, additional, Davide, Barra, additional, Rosaria, Rizzo Maria, additional, Maria, Dalise Anna, additional, Raffaele, Prestano, additional, Palmieri, Vincenzo Ostilio, additional, Palasciano, Giuseppe, additional, Belfiore, Anna, additional, Portincasa, Piero, additional, Carlo, Sabbà, additional, Vincenzo, Solfrizzi, additional, Alessia, D'introno, additional, Valiani, Vincenzo, additional, Carolina, Bologna, additional, Tiziana, Ciarambino, additional, Paola, Turelli, additional, Ugo, Pazzaglia, additional, Federica, Rodella, additional, Giacomo, Piana, additional, Castellano, Maurizio, additional, Anna, Garelli, additional, Elisa, Casella, additional, Federica, Campana, additional, Antonietta, Coschignano Maria, additional, Luigi, Marinangeli, additional, Fabio, Lorico, additional, Salvatore, Bazzano, additional, Giuseppe, Menculini, additional, Gelosa, Giorgio, additional, Viviana, Ambrogio Teresa, additional, Piras, Valentina, additional, Andrea, Ciricugno, additional, Alessandra, Bollari, additional, Coen, Daniele, additional, Magliola, Renata, additional, Milanesio, Deborah, additional, Muzzulini, Carlo Lorenzo, additional, Paolo, Fogliacco, additional, Marinella, Turla, additional, Sofia, Cotelli Maria, additional, Marta, Bianchi, additional, Siano, Pietro, additional, Capo, Giuseppe, additional, Napoletano, Rosa, additional, Cecilia, Politi, additional, Mancini, Concetta, additional, Del Buono, Corrado, additional, De Bartolomeo, Giuseppe, additional, Addolorata, Martinelli, additional, Carmen, Cefalogli, additional, Roberto, Cozzi, additional, Giovanni, Virtuani Angelo, additional, Moschettini, Gianfilippo, additional, Franco, Mastroianni, additional, Daniela, Roglia, additional, D'Amico, Gabriella, additional, Mirella, Palella, additional, Endrizzi, Cristina, additional, Trotta, Lucia, additional, Ciarambino, Tiziana, additional, Orazio, Zanetti, additional, Emanuela, Terazzi, additional, Marta, Sacchetti, additional, Thomas, Fleetwood, additional, Giacomo, Tondo, additional, Ignazio, Di Fazio, additional, Andrea, Bruni, additional, Giuseppe, Orsitto, additional, Emanuela, Fabbro, additional, Serena, Amici, additional, Elena, D'Imporzano, additional, Anna, Casanova, additional, Serena, Bertolio, additional, Erika, Nervo, additional, Roberto, Silvestri, additional, Elena, Semproni, additional, Manuela, Pintus, additional, Francesca, Aloe, additional, and Angelo, Tagliaccica, additional

Published
2020
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17. Prevalence of Preventive and Symptomatic Drug Treatments in Hospice Care: An Italian Observational Study

Author

Pasquale Agosti, Luca Pasina, Barbara Rizzi, Angela Recchia, and Alessandro Nobili

Subjects
Drug, Male, medicine.medical_specialty, Palliative care, Prescription Drugs, media_common.quotation_subject, 03 medical and health sciences, 0302 clinical medicine, Pharmacotherapy, 030502 gerontology, medicine, Prevalence, Humans, Symptom control, Longitudinal Studies, Intensive care medicine, Hospice care, media_common, Aged, Retrospective Studies, Polypharmacy, Aged, 80 and over, business.industry, Hospices, General Medicine, Middle Aged, Drug Utilization, Primary Prevention, Hospice Care, Italy, 030220 oncology & carcinogenesis, Observational study, Disease prevention, Female, 0305 other medical science, business
Abstract

Background: The aim of pharmacotherapy in people at the end of life should be symptom control, more than prolonging life. Drugs for disease prevention should therefore be discouraged, but this is not the usual practice. The prevalence of unnecessary preventive drugs at the end of life is not well described, although some studies suggest it is common. Methods: This retrospective longitudinal study describes the prevalence of patients receiving preventive and symptomatic drug treatments at admission (T1) and before death (T2) in an Italian hospice. All adults admitted to the VIDAS hospice between March 2015 and February 2017 were included in the analysis. Results: The study sample comprised 589 end-of-life patients with a mean age of 75.3 (12.1) years. The mean number of drugs decreased from admission to the hospice to the time of death (mean [standard deviation]: 9.7 [3.4] and 8.7 [3.0]). All patients were appropriately treated with symptomatic drugs at T1 and T2, while there were significantly fewer patients from T1 to T2 with at least 1 preventive medication that could be considered for deprescription at the end of life (511, 86.8% and 286, 48.6%; P < .0001). Conclusions: Hospice admission can be associated with a definite reduction in the use of commonly prescribed preventive medications. However, about half of end-of-life patients can be prescribed avoidable medications. Drugs for peptic ulcer and gastroesophageal reflux disease and antithrombotics were the potentially avoidable preventive medications most frequently prescribed at admission to the hospice and before death.

Published
2018

18. Macrobenthic Assemblages and the Influence of Microhabitat in a High-Mountain Lake (Northwest Italy)

Author

Alice Gabetti, Alessandra Maganza, Camilla Mossotto, Barbara Rizzioli, Giuseppe Esposito, Marco Bertoli, Elisabetta Pizzul, Elena Bozzetta, Marino Prearo, and Paolo Pastorino

Subjects
alpine lakes, macroinvertebrates, microhabitat, substrate composition, Biology (General), QH301-705.5
Abstract

High-mountain lakes are freshwater ecosystems situated above the tree line which are known for their remote locations and limited accessibility. These ecosystems host simplified biotic communities primarily concentrated in the littoral zone and dominated by benthic macroinvertebrates that serve as bioindicators of environmental pressures. A two-year monitoring investigation was performed in July 2022 and July 2023 at Nero Lake (Cesana Torinese, Northwest Italy). Five sites along the lakeshore were selected for sampling physicochemical water parameters and macrobenthos. All collected data were analysed to compare trends across years and within specific sites. The results revealed that Nero Lake exhibited consistent macrobenthic communities across the two years studied, but significant differences were observed in its microhabitats. This suggests that substrate type and physicochemical water parameters strongly influence community composition. Chironomidae larvae and Mollusca were the dominant species, showing distinct associations with different substrates and environmental factors from one year to another. These findings contribute to our understanding of the intricate relationships between benthic macroinvertebrates and their environments, highlighting the necessity of detailed, small-scale assessments to comprehend ecosystem dynamics and develop effective conservation strategies.

Published
2024
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19. Palliative Sedation in Terminal Cancer Patients Admitted to Hospice or Home Care Programs: Does the Setting Matter? Results From a National Multicenter Observational Study

Author

Augusto Caraceni, Raffaella Speranza, Elio Spoldi, Cristina Sonia Ambroset, Stefano Canestrari, Mauro Marinari, Anna Maria Marzi, Luciano Orsi, Laura Piva, Mirta Rocchi, Danila Valenti, Gianluigi Zeppetella, Furio Zucco, Alessandra Raimondi, Leonor Vasconcelos Matos, Cinzia Brunelli, Martini Cinzia, Donatella Giannunzio, Cristina Sesana, Ines Pinna, Alessandro Valle, Antonio Conversano, Stefano Guerini, Gianvito Romanelli, Carlo Tempestini, Gabriella Monolo, Michele Fortis, Gianbattista Cossolini, Loretta Gulmini, null Maria Assunta Mariconti, Luca Moroni, Giancarla Moscatelli, Matteo Longo, Franco Rizzi, Leonardo Trentin, Marco Visentin, Massimo Bernardo, Daniela Degiovanni, Maurizio Mannocci Galeotti, Donato Valenti, Eugenia Malinverni, Carla Negretti, Anna Roman, Cristina Mantica, null Gabriella Farina, Agostino Zambelli, Adriana Turriziani, Giuseppe Micheletto, Antonio Orlando, Barbara Rizzi, Fabio Conforti, Benigno Carrara, Nadia Bongiorni, Massimo Luzzani, and Massimo Damini

Subjects
Male, medicine.medical_specialty, Longitudinal study, Clinical Decision-Making, Context (language use), Terminal cancer, Palliative sedation, 03 medical and health sciences, 0302 clinical medicine, Level of consciousness, Care organization, Internal medicine, Neoplasms, medicine, Humans, Hypnotics and Sedatives, Terminally Ill, Symptom control, 030212 general & internal medicine, Longitudinal Studies, Prospective Studies, General Nursing, Aged, Terminal Care, business.industry, Palliative Care, Home Care Services, Anesthesiology and Pain Medicine, 030220 oncology & carcinogenesis, Feasibility Studies, Observational study, Female, Neurology (clinical), Deep Sedation, business
Abstract

Few studies regarding palliative sedation (PS) have been carried out in home care (HC) setting. A comparison of PS rate and practices between hospice (HS) and HC is also lacking.Comparing HC and HS settings for PS rate, patient clinical characteristics before and during PS, decision-making process, and clinical aspects of PS.About 38 HC/HS services in Italy participated in a multicenter observational longitudinal study. Consecutive adult cancer patients followed till death during a four-month period and undergoing PS were eligible. Symptom control and level of consciousness were registered every eight hours to death.About 4276 patients were screened, 2894 followed till death, and 531 (18%) underwent PS. PS rate was 15% in HC and 21% in HS (P 0.001). Principal refractory symptoms were delirium (54%) and dyspnea (45%), respectively, more common in HC (P 0.001) and HS (P = 0.03). Informed consent was not obtained in 72% of patients but achieved by 96% of families. Midazolam was the most used drug (94% HS vs. 75% HC; P 0.001) mainly by continuous infusion (74% HC vs. 89% HS; P 0.001). PS duration was less than 48 hours in 67% of patients. Hydration during PS was less frequent in HC (27% vs. 49%; P 0.001). In the eight hours before death, consciousness level was unrousable to mild physical stimulation in 81% and symptom control complete in 89% of cases.Our results show feasibility of PS in HC and HS and suggest setting differences in rates, indications, and practice of PS, possibly related to patients' selection or care organization.

Published
2018

20. Postembryonic Fish Brain Proliferation Zones Exhibit Neuroepithelial-Type Gene Expression Profile

Author

Julia Jouralet, Aurélie Heuzé, Barbara Rizzi, Stéphanie Bouffard, Eric Reiter, Claude Thermes, Jean-Stéphane Joly, Joanne Edouard, Franck Bourrat, Yan Jaszczyszyn, Frédéric Sohm, Matthieu Simion, Spencer Brown, Anne Poupon, Pierre Affaticati, Mickael Bourge, Emilie Dambroise, Thomas Bourquard, Institut des Neurosciences Paris-Saclay (NeuroPSI), Université Paris-Sud - Paris 11 (UP11)-Centre National de la Recherche Scientifique (CNRS), Physiologie de la reproduction et des comportements [Nouzilly] (PRC), Institut National de la Recherche Agronomique (INRA)-Institut Français du Cheval et de l'Equitation [Saumur]-Université de Tours-Centre National de la Recherche Scientifique (CNRS), Institut de Biologie Intégrative de la Cellule (I2BC), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Plateforme intégrée IMAGIF, Centre National de la Recherche Scientifique (CNRS), Animaux Modèles Aquatiques : ingéniérie GENétique (AMAGEN), Institut National de la Recherche Agronomique (INRA)-Centre National de la Recherche Scientifique (CNRS), FINEST project (ANR-11-BSV2-0029), Institut des Neurosciences de Paris-Saclay (Neuro-PSI), Centre National de la Recherche Scientifique (CNRS)-Université de Tours-Institut Français du Cheval et de l'Equitation [Saumur]-Institut National de la Recherche Agronomique (INRA), Université Paris-Sud - Paris 11 (UP11)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Institut National de la Recherche Agronomique (INRA)-Institut Français du Cheval et de l'Equitation [Saumur] (IFCE)-Université de Tours (UT)-Centre National de la Recherche Scientifique (CNRS), Institut des Neurosciences de Paris-Saclay ( Neuro-PSI ), Université Paris-Sud - Paris 11 ( UP11 ) -Centre National de la Recherche Scientifique ( CNRS ), Physiologie de la reproduction et des comportements [Nouzilly] ( PRC ), Institut National de la Recherche Agronomique ( INRA ) -Institut Français du Cheval et de l'Equitation [Saumur]-Université de Tours-Centre National de la Recherche Scientifique ( CNRS ), Institut de Biologie Intégrative de la Cellule ( I2BC ), Université Paris-Saclay-Centre National de la Recherche Scientifique ( CNRS ) -Commissariat à l'énergie atomique et aux énergies alternatives ( CEA ) -Université Paris-Sud - Paris 11 ( UP11 ), Centre National de la Recherche Scientifique ( CNRS ), AMAGEN CNRS UMS3504 / INRA UMS1374 ( AMAGEN ), and Institut National de la Recherche Agronomique (INRA)-Institut Français du Cheval et de l'Equitation [Saumur]-Université de Tours (UT)-Centre National de la Recherche Scientifique (CNRS)

Subjects
0301 basic medicine, G2 Phase, Cell type, Optic tectum, Superior Colliculi, DNA Repair, [SDV.NEU.NB]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology, Green Fluorescent Proteins, Neuroepithelial Cells, Oryzias, Neuroepithelial cell, Biology, Cell cycle, [ SDV.NEU.PC ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior, Animals, Genetically Modified, 03 medical and health sciences, [ SDV.NEU.SC ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Cognitive Sciences, RNA seq, Animals, Progenitor cell, Cell Proliferation, Genetics, [SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior, Sequence Analysis, RNA, Gene Expression Profiling, Neurogenesis, [SDV.NEU.SC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Cognitive Sciences, Brain, Gene Expression Regulation, Developmental, Cell Biology, Cell sorting, Embryonic stem cell, Neural stem cell, Cell biology, Up-Regulation, 030104 developmental biology, [ SDV.NEU.NB ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology, Microcephaly, Molecular Medicine, Stem cell, Biomarkers, Developmental Biology
Abstract

International audience; In mammals, neuroepithelial cells play an essential role in embryonic neurogenesis, whereas glial stem cells are the principal source of neurons at post-embryonic stages. By contrast, neuroepithelial-like stem/progenitor (NE) cells have been shown to be present throughout life in teleosts. We used 3-dimensional (3D) reconstructions of cleared transgenic wdr12:GFP medaka brains to demonstrate that this cell type is widespread in juvenile and to identify new regions containing NE cells. We established the gene expression profile of optic tectum (OT) NE cells by cell sorting followed by RNA-seq. Our results demonstrate that most OT NE cells are indeed active stem cells and that some of them exhibit long G2 phases. We identified several novel pathways (e.g., DNA repair pathways) potentially involved in NE cell homeostasis. In situ hybridization studies showed that all NE populations in the post-embryonic medaka brain have a similar molecular signature. Our findings highlight the importance of NE progenitors in medaka and improve our understanding of NE-cell biology. These cells are potentially useful not only for neural stem cell studies, but also for improving the characterization of neurodevelopmental diseases, such as microcephaly. This article is protected by copyright. All rights reserved.

Published
2016
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21. A workflow to process 3D+time microscopy images of developing organisms and reconstruct their cell lineage

Author

Thierry Savy, Barbara Rizzi, Benoit Maury, Nadine Peyriéras, Ingrid Colin, Pierre Affaticati, Sophie Desnoulez, Emmanuel Faure, Róbert Čunderlík, Yannick L. Kergosien, Adeline Boyreau, Jozef Kollár, René Doursat, Jean Yves Nief, Philippe Vernier, Mariana Remešíková, Pascal Calvat, Camilo Melani, Mark Hammons, Olga Stašová, Alessandro Sarti, Georges Lutfalla, Benoit Lombardot, Dimitri Fabrèges, Louise Duloquin, Karol Mikula, Gaëlle Recher, Paul Bourgine, Róbert Špir, Monique Frain, Pierre Suret, Institut des Systèmes Complexes - Paris Ile-de-France (ISC-PIF), Centre National de la Recherche Scientifique (CNRS)-Institut Curie [Paris]-Sorbonne Université (SU)-École polytechnique (X)-École normale supérieure - Cachan (ENS Cachan)-Université Paris 1 Panthéon-Sorbonne (UP1), Centre de recherche en épistémologie appliquée (CREA), École polytechnique (X)-Centre National de la Recherche Scientifique (CNRS), Neurobiologie et Développement (N&eD), Centre National de la Recherche Scientifique (CNRS), Réseau National des Systèmes Complexes (RNSC), Centre National de la Recherche Scientifique (CNRS)-CPU-CGE-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de la Recherche Agronomique (INRA)-Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad), BioEmergences, Université Paris-Sud - Paris 11 (UP11)-Centre National de la Recherche Scientifique (CNRS), Department of Mathematics and Descriptive Geometry, Slovak University of Technology, Slovak University of Technology in Bratislava, Department of Mathematics (STUBA), Institut des Neurosciences Paris-Saclay (NeuroPSI), Centre de Calcul de l'IN2P3 (CC-IN2P3), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Dynamique des interactions membranaires normales et pathologiques (DIMNP), Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université Montpellier 1 (UM1), Laboratoire d'Informatique Médicale et Ingénierie des Connaissances en e-Santé (LIMICS), Université Paris 13 (UP13)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Laboratoire de Physique des Lasers, Atomes et Molécules - UMR 8523 (PhLAM), Université de Lille-Centre National de la Recherche Scientifique (CNRS), Dipartimento di Elettronica, Informatica e Sistemistica (DEIS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Department of Electronics, Information and Systems, University of Bologna, École normale supérieure - Cachan (ENS Cachan)-Université Paris 1 Panthéon-Sorbonne (UP1)-École polytechnique (X)-Institut Curie [Paris]-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut National de la Recherche Agronomique (INRA)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CGE-CPU-Centre National de la Recherche Scientifique (CNRS), Institut de Neurobiologie Alfred Fessard (INAF), Université Montpellier 1 (UM1)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), École normale supérieure - Cachan (ENS Cachan)-Université Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École polytechnique (X)-Institut Curie-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Institut des Neurosciences de Paris-Saclay (Neuro-PSI), Centre National de la Recherche Scientifique (CNRS)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3), and Università di Bologna [Bologna] (UNIBO)

Subjects
0301 basic medicine, Embryology, Lineage (genetic), In silico, Science, General Physics and Astronomy, Computational biology, Biology, Bioinformatics, computer.software_genre, Article, General Biochemistry, Genetics and Molecular Biology, Workflow, 03 medical and health sciences, [SCCO]Cognitive science, Imaging, Three-Dimensional, 0302 clinical medicine, Software, Animals, Cell Lineage, Segmentation, Urochordata, Interactive visualization, [SDV.BDD]Life Sciences [q-bio]/Development Biology, Zebrafish, Cell Proliferation, Microscopy, Multidisciplinary, [SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior, business.industry, General Chemistry, Tree (data structure), 030104 developmental biology, Sea Urchins, Web service, business, computer, 030217 neurology & neurosurgery
Abstract

The quantitative and systematic analysis of embryonic cell dynamics from in vivo 3D+time image data sets is a major challenge at the forefront of developmental biology. Despite recent breakthroughs in the microscopy imaging of living systems, producing an accurate cell lineage tree for any developing organism remains a difficult task. We present here the BioEmergences workflow integrating all reconstruction steps from image acquisition and processing to the interactive visualization of reconstructed data. Original mathematical methods and algorithms underlie image filtering, nucleus centre detection, nucleus and membrane segmentation, and cell tracking. They are demonstrated on zebrafish, ascidian and sea urchin embryos with stained nuclei and membranes. Subsequent validation and annotations are carried out using Mov-IT, a custom-made graphical interface. Compared with eight other software tools, our workflow achieved the best lineage score. Delivered in standalone or web service mode, BioEmergences and Mov-IT offer a unique set of tools for in silico experimental embryology., Quantitative analysis of embryonic cell dynamics from large data sets remains a major challenge in the field of developmental biology. Here the authors develop software and a workflow to reconstruct cell lineage trees from 3D time lapse imaging data sets from several developing organisms including zebrafish, tunicates and sea urchins.

Published
2016
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22. Identification of the optic recess region as a morphogenetic entity in the zebrafish forebrain

Author

Kei Yamamoto, Charlotte Bureau, Pierre Affaticati, Philippe Vernier, Catherine Pasqualini, Nadine Peyriéras, Barbara Rizzi, Michaël Demarque, Institut des Neurosciences Paris-Saclay (NeuroPSI), Université Paris-Sud - Paris 11 (UP11)-Centre National de la Recherche Scientifique (CNRS), Institut de Neurobiologie Alfred Fessard (INAF), Centre National de la Recherche Scientifique (CNRS), and BioEmergences, CNRS UPS3674

Subjects
Models, Anatomic, endocrine system, Embryo, Nonmammalian, Time Factors, animal structures, medicine.brain, Neurogenesis, [SDV.NEU.NB]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology, ELAV-Like Protein 3, Article, Prosencephalon, biology.animal, medicine, Basic Helix-Loop-Helix Transcription Factors, Animals, Zebrafish, In Situ Hybridization, Fluorescence, Basal forebrain, Multidisciplinary, Microscopy, Confocal, biology, Models, Genetic, [SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior, Cerebrum, Reverse Transcriptase Polymerase Chain Reaction, fungi, Vertebrate, Gene Expression Regulation, Developmental, [SDV.NEU.SC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Cognitive Sciences, Anatomy, Zebrafish Proteins, biology.organism_classification, Preoptic Area, Preoptic area, Repressor Proteins, medicine.anatomical_structure, nervous system, Forebrain, embryonic structures, Optic recess, Neuroscience
Abstract

Regionalization is a critical, highly conserved step in the development of the vertebrate brain. Discrepancies exist in how regionalization of the anterior vertebrate forebrain is conceived since the “preoptic area” is proposed to be a part of the telencephalon in tetrapods but not in teleost fish. To gain insight into this complex morphogenesis, formation of the anterior forebrain was analyzed in 3D over time in zebrafish embryos, combining visualization of proliferation and differentiation markers, with that of developmental genes. We found that the region containing the preoptic area behaves as a coherent morphogenetic entity, organized around the optic recess and located between telencephalon and hypothalamus. This optic recess region (ORR) makes clear borders with its neighbor areas and expresses a specific set of genes (dlx2a, sim1a and otpb). We thus propose that the anterior forebrain (secondary prosencephalon) in teleosts contains three morphogenetic entities (telencephalon, ORR and hypothalamus), instead of two (telencephalon and hypothalamus). The ORR in teleosts could correspond to “telencephalic stalk area” and “alar hypothalamus” in tetrapods, resolving current inconsistencies in the comparison of basal forebrain among vertebrates.

Published
2015
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23. Towards 3D in silico modeling of the sea urchin embryonic development

Author

Barbara Rizzi, Nadine Peyriéras, Institut de Neurobiologie Alfred Fessard (INAF), Centre National de la Recherche Scientifique (CNRS), Neurobiologie et Développement (N&eD), Institut des Systèmes Complexes - Paris Ile-de-France (ISC-PIF), École normale supérieure - Cachan (ENS Cachan)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Institut Curie [Paris]-École polytechnique (X), and École normale supérieure - Cachan (ENS Cachan)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-Université Pierre et Marie Curie - Paris 6 (UPMC)-École polytechnique (X)-Institut Curie [Paris]-Centre National de la Recherche Scientifique (CNRS)

Subjects
Sea urchin, Computer science, In silico, Population, ved/biology.organism_classification_rank.species, Biophysics, Morphogenesis, Nanotechnology, Synthetic biological circuit, Computational biology, Review, Biochemistry, Cellular dynamics, Multiscale digital specimens, education, Model organism, Organism, education.field_of_study, In silico modeling, ved/biology, Cell Biology, In vivo imaging, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Developmental biology, Function (biology)
Abstract

International audience; Embryogenesis is a dynamic process with an intrinsic variability whose understanding requires the integration of molecular, genetic, and cellular dynamics. Biological circuits function over time at the level of single cells and require a precise analysis of the topology, temporality, and probability of events. Integrative developmental biology is currently looking for the appropriate strategies to capture the intrinsic properties of biological systems. The "-omic" approaches require disruption of the function of the biological circuit; they provide static information, with low temporal resolution and usually with population averaging that masks fast or variable features at the cellular scale and in a single individual. This data should be correlated with cell behavior as cells are the integrators of biological activity. Cellular dynamics are captured by the in vivo microscopy observation of live organisms. This can be used to reconstruct the 3D + time cell lineage tree to serve as the basis for modeling the organism's multiscale dynamics. We discuss here the progress that has been made in this direction, starting with the reconstruction over time of three-dimensional digital embryos from in toto time-lapse imaging. Digital specimens provide the means for a quantitative description of the development of model organisms that can be stored, shared, and compared. They open the way to in silico experimentation and to a more theoretical approach to biological processes. We show, with some unpublished results, how the proposed methodology can be applied to sea urchin species that have been model organisms in the field of classical embryology and modern developmental biology for over a century.

Published
2013
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24. 3D early embryogenesis image filtering by nonlinear partial differential equations

Author

Olga Stašová, Alessandro Sarti, Barbara Rizzi, Nadine Peyriéras, Zuzana Krivá, Karol Mikula, Department of Mathematics, Slovak University of Technology, Slovak University of Technology in Bratislava, Institut de Neurobiologie Alfred Fessard (INAF), Centre National de la Recherche Scientifique (CNRS), Développement, évolution et plasticité du système nerveux (DEPSN), Department of Electrical Energy and Information Engineering 'Guglielmo Marconi' (DEI), and Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO)

Subjects
Discretization, Anisotropic diffusion, Embryonic Development, Health Informatics, 010103 numerical & computational mathematics, 02 engineering and technology, 01 natural sciences, Sensitivity and Specificity, Imaging, Three-Dimensional, Image Interpretation, Computer-Assisted, 0202 electrical engineering, electronic engineering, information engineering, Animals, Radiology, Nuclear Medicine and imaging, 0101 mathematics, Zebrafish, Mathematics, Mean curvature flow, Finite volume method, Partial differential equation, Radiological and Ultrasound Technology, Mathematical analysis, Reproducibility of Results, Signal Processing, Computer-Assisted, Filter (signal processing), Image Enhancement, Computer Graphics and Computer-Aided Design, Magnetic Resonance Imaging, Nonlinear system, Hausdorff distance, Subtraction Technique, 020201 artificial intelligence & image processing, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Computer Vision and Pattern Recognition, Algorithm, Algorithms
Abstract

International audience; We present nonlinear diffusion equations, numerical schemes to solve them and their application for filtering 3D images obtained from laser scanning microscopy (LSM) of living zebrafish embryos, with a goal to identify the optimal filtering method and its parameters. In the large scale applications dealing with analysis of 3D+time embryogenesis images, an important objective is a correct detection of the number and position of cell nuclei yielding the spatio-temporal cell lineage tree of embryogenesis. The filtering is the first and necessary step of the image analysis chain and must lead to correct results, removing the noise, sharpening the nuclei edges and correcting the acquisition errors related to spuriously connected subregions. In this paper we study such properties for the regularized Perona-Malik model and for the generalized mean curvature flow equations in the level-set formulation. A comparison with other nonlinear diffusion filters, like tensor anisotropic diffusion and Beltrami flow, is also included. All numerical schemes are based on the same discretization principles, i.e. finite volume method in space and semi-implicit scheme in time, for solving nonlinear partial differential equations. These numerical schemes are unconditionally stable, fast and naturally parallelizable. The filtering results are evaluated and compared first using the Mean Hausdorff distance between a gold standard and different isosurfaces of original and filtered data. Then, the number of isosurface connected components in a region of interest (ROI) detected in original and after the filtering is compared with the corresponding correct number of nuclei in the gold standard. Such analysis proves the robustness and reliability of the edge preserving nonlinear diffusion filtering for this type of data and lead to finding the optimal filtering parameters for the studied models and numerical schemes. Further comparisons consist in ability of splitting the very close objects which are artificially connected due to acquisition error intrinsically linked to physics of LSM. In all studied aspects it turned out that the nonlinear diffusion filter which is called geodesic mean curvature flow (GMCF) has the best performance.

Published
2010
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25. Cells segmentation from 3-D confocal images of early zebrafish embryogenesis

Author

Gonzalo Sanguinetti, Alessandro Sarti, Camilo Melani, Karol Mikula, Nadine Peyriéras, Barbara Rizzi, Paul Bourgine, M. Campana, C. Zanella, Department of Electronics, Computer Science and Systems [Bologne] (DEIS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Centre de recherche en épistémologie appliquée (CREA), École polytechnique (X)-Centre National de la Recherche Scientifique (CNRS), Centre for Analysis, Scientific computing and Applications (CASA), Department of Mathematics and Computer Science [Eindhoven], Eindhoven University of Technology [Eindhoven] (TU/e)-Eindhoven University of Technology [Eindhoven] (TU/e), Institut de Neurobiologie Alfred Fessard (INAF), Centre National de la Recherche Scientifique (CNRS), and Développement, évolution et plasticité du système nerveux (DEPSN)

Subjects
Embryo, Nonmammalian, Computer science, Confocal, Feature extraction, Cell segmentation, Image processing, 03 medical and health sciences, 0302 clinical medicine, Robustness (computer science), Image Processing, Computer-Assisted, Animals, Segmentation, Computer vision, Zebrafish, Cell Shape, 030304 developmental biology, Cell Nucleus, 0303 health sciences, biology, business.industry, Cell Membrane, Reproducibility of Results, Image segmentation, biology.organism_classification, Computer Graphics and Computer-Aided Design, Feature (computer vision), [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Algorithm design, Artificial intelligence, business, 030217 neurology & neurosurgery, Software, Algorithms, Cell Division
Abstract

We designed a strategy for extracting the shapes of cell membranes and nuclei from time lapse confocal images taken throughout early zebrafish embryogenesis using a partial-differential-equation-based segmentation. This segmentation step is a prerequisite for an accurate quantitative analysis of cell morphodynamics during embryogenesis and it is the basis for an integrated understanding of biological processes. The segmentation of embryonic cells requires live zebrafish embryos fluorescently labeled to highlight sub-cellular structures and designing specific algorithms by adapting classical methods to image features. Our strategy includes the following steps: the signal-to-noise ratio is first improved by an edge-preserving filtering, then the cell shape is reconstructed applying a fully automated algorithm based on a generalized version of the Subjective Surfaces technique. Finally we present a procedure for the algorithm validation either from the accuracy and the robustness perspective.

Published
2009
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26. Cells tracking in a live zebrafish embryo

Author

Alessandro Sarti, Nadine Peyriéras, C. Zanella, Barbara Rizzi, M. Campana, Paul Bourgine, Benoit Lombardot, Federico Veronesi, Camilo Melani, Karol Mikula, Dipartimento di Elettronica, Informatica e Sistemistica (DEIS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Développement, évolution et plasticité du système nerveux (DEPSN), Centre National de la Recherche Scientifique (CNRS), Institut de Neurobiologie Alfred Fessard (INAF), C.Melani, M.Campana, B.Lombardot, B.Rizzi, F.Veronesi, C.Zanella, P.Bourgine, K.Mikula, N.Peyriera, and A.Sarti

Subjects
Embryo, Nonmammalian, Denoising algorithm, Optical flow, MESH: Algorithms, MESH: Microscopy, Fluorescence, 02 engineering and technology, MESH: Imaging, Three-Dimensional, Biology, Tracking (particle physics), Sensitivity and Specificity, Pattern Recognition, Automated, 03 medical and health sciences, Imaging, Three-Dimensional, Artificial Intelligence, Image Interpretation, Computer-Assisted, 0202 electrical engineering, electronic engineering, information engineering, Confocal laser scanning microscopy, MESH: Artificial Intelligence, MESH: Microscopy, Confocal, MESH: Pattern Recognition, Automated, Animals, Computer vision, MESH: Animals, MESH: Zebrafish, Zebrafish, 030304 developmental biology, 0303 health sciences, Microscopy, Confocal, business.industry, MESH: Embryo, Nonmammalian, Reproducibility of Results, biology.organism_classification, Image Enhancement, MESH: Sensitivity and Specificity, MESH: Reproducibility of Results, Microscopy, Fluorescence, Feature (computer vision), Zebrafish embryo, 020201 artificial intelligence & image processing, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Artificial intelligence, MESH: Image Enhancement, business, MESH: Image Interpretation, Computer-Assisted, Image signal, Algorithms
Abstract

We designed a set of procedures for achieving the tracking of cell nuclei and the identification of cell divisions in live zebrafish embryos using 3D+time images acquired by confocal laser scanning microscopy (CLSM). Our strategy includes image signal enhancement with feature preserving denoising algorithm, automated identification of the nuclei position, extraction of the optical flow from 3D images sequences and tracking of nuclei.

Published
2007
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27. Segmentation of cells from 3-D confocal images of live zebrafish embryo

Author

Barbara Rizzi, M. Campana, Camilo Melani, Paul Bourgine, Nadine Peyriéras, C. Zanella, Alessandro Sarti, Karol Mikula, Dipartimento di Elettronica, Informatica e Sistemistica (DEIS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Développement, évolution et plasticité du système nerveux (DEPSN), Centre National de la Recherche Scientifique (CNRS), Institut de Neurobiologie Alfred Fessard (INAF), C.Zanella, B.Rizzi, C.Melani, M.Campana, P.Bourgine, K.Mikula, N.Peyriera, and A.Sarti

Subjects
Embryo, Nonmammalian, 02 engineering and technology, Pattern Recognition, Automated, law.invention, law, 0202 electrical engineering, electronic engineering, information engineering, MESH: Microscopy, Confocal, MESH: Pattern Recognition, Automated, Segmentation, Computer vision, MESH: Animals, Zebrafish, 0303 health sciences, education.field_of_study, Microscopy, Confocal, MESH: Reproducibility of Results, 020201 artificial intelligence & image processing, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], MESH: Image Enhancement, Algorithms, Confocal, Population, MESH: Algorithms, Iterative reconstruction, MESH: Imaging, Three-Dimensional, Biology, Sensitivity and Specificity, Edge detection, 03 medical and health sciences, Imaging, Three-Dimensional, Artificial Intelligence, Confocal microscopy, Image Interpretation, Computer-Assisted, Animals, Humans, MESH: Artificial Intelligence, education, MESH: Zebrafish, 030304 developmental biology, MESH: Humans, business.industry, Reproducibility of Results, MESH: Embryo, Nonmammalian, Image segmentation, Image Enhancement, biology.organism_classification, MESH: Sensitivity and Specificity, Artificial intelligence, business, MESH: Image Interpretation, Computer-Assisted
Abstract

In this paper, we use partial-differential-equation-based segmentation to accurately extract the shapes of membranes and nuclei from time lapse confocal microscopy images, taken throughout early Zebrafish embryogenesis. This strategy is a prerequisite for an accurate quantitative analysis of cell shape and morphodynamics during organogenesis and is the basis for an integrated understanding of biological processes. This data will also serve for the measurement of the variability between individuals in a population. The segmentation of cellular structures is achieved by first using an edge-preserving image filtering method for noise reduction and then applying an algorithm for cell shape reconstruction based on the Subjective Surfaces technique.

Published
2007
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28. Efficiency of the Italian Banking Sector via a Parametric Approach

Author

Sergio Bonzani, Silvia Biffignandi, and Barbara Rizzi

Subjects
Income statement, Production (economics), Business, Productivity, Industrial organization, Banking sector, Parametric statistics
Abstract

The analysis of productivity and efficiency of manufacturing activities is a well-known field of research. The recent structural changes of the economic systems have contributed to move researchers’ attention from goods production activities to the services sector and among them to the banking activity, object of this study.

Published
1999
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29. Complications of Internal Jugular Vein Retrograde Catheterization

Author

Cristina Mattioli, Armando D'Angelo, Barbara Rizzi, L. Crippa, Marco Gemma, A. Antonino, Maria Rosa Calvi, Luigi Beretta, and A. de Vitis

Subjects
medicine.medical_specialty, business.industry, Lumen (anatomy), Venous plexus, medicine.disease, Asymptomatic, Thrombosis, Surgery, Catheter, Hematoma, Jugular vein, cardiovascular system, medicine, medicine.symptom, business, Internal jugular vein
Abstract

We report on the incidence of complications of 172 internal jugular vein retrograde catheterizations (IJVRCs) performed on 126 patients. Standard cannulation and X-ray control of the catheter tip placement were performed. Difficulties encountered during the manouvre were registered. Patients with a jugular catheter in place for more than one day had neck echography on catheter removal and one week later. Carotid artery puncture occured in 20 (12%) cases and lymphatic vessel puncture in one. In 13 (8%) cases IJVRC failed due to difficulties in advancing the guide. X-ray films documented catheter misplacement in 39 (23%) cases: loop into the internal jugular vein in 11 (6%); paravertebral venous plexus cannulated in one; other extracranial jugular afferent cannulated in 4 (2%); catheter tip into the jugular lumen in 10 (6%); catheter tip beyond the jugular bulb in 13 (8%). First neck echography documented: one perivascular hematoma (absent one week later); 3 (4%) jugular vein thrombosis (2 asymptomatic and absent one week later; one symptomatic and still evident one week later). Positive neck echography was not associated with difficulties, length of catheterization, diameter of the catheter. IJVRC is a simple and safe procedure with a low incidence of serious complications.

Published
1998
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30. 3-D zebrafish embryo image filtering by nonlinear partial differential equations

Author

Nadine Peyriéras, M. Campana, C. Zanella, Róbert Čunderlík, Alessandro Sarti, Camilo Melani, Paul Bourgine, Zuzana Krivá, Barbara Rizzi, Karol Mikula, B.Rizzi, M.Campana, C.Zanella, C.Melani, R.Cunderlík, Z.Krivá, P.Bourgine, K.Mikula, N.Peyriera, A.Sarti, Dipartimento di Elettronica, Informatica e Sistemistica (DEIS), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Développement, évolution et plasticité du système nerveux (DEPSN), Centre National de la Recherche Scientifique (CNRS), and Institut de Neurobiologie Alfred Fessard (INAF)

Subjects
Embryo, Nonmammalian, 02 engineering and technology, MESH: Signal Processing, Computer-Assisted, Pattern Recognition, Automated, 030218 nuclear medicine & medical imaging, 0302 clinical medicine, 0202 electrical engineering, electronic engineering, information engineering, MESH: Pattern Recognition, Automated, MESH: Microscopy, Confocal, MESH: Animals, Computer vision, Zebrafish, Mathematics, Microscopy, Confocal, Partial differential equation, Mean curvature, Mathematical model, Detector, Signal Processing, Computer-Assisted, MESH: Reproducibility of Results, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], 020201 artificial intelligence & image processing, MESH: Image Enhancement, Algorithm, Algorithms, MESH: Algorithms, MESH: Imaging, Three-Dimensional, Models, Biological, Sensitivity and Specificity, Image (mathematics), 03 medical and health sciences, Imaging, Three-Dimensional, MESH: Computer Simulation, Artificial Intelligence, Image Interpretation, Computer-Assisted, MESH: Artificial Intelligence, Animals, Humans, Computer Simulation, MESH: Zebrafish, MESH: Humans, business.industry, MESH: Models, Biological, MESH: Embryo, Nonmammalian, Reproducibility of Results, Image Enhancement, MESH: Sensitivity and Specificity, Nonlinear system, Hausdorff distance, Computer Science::Computer Vision and Pattern Recognition, Artificial intelligence, business, Focus (optics), MESH: Image Interpretation, Computer-Assisted
Abstract

We discuss application of nonlinear PDE based methods to filtering of 3-D confocal images of embryogenesis. We focus on the mean curvature driven and the regularized Perona-Malik equations, where standard as well as newly suggested edge detectors are used. After presenting the related mathematical models, the practical results are given and discussed by visual inspection and quantitatively using the mean Hausdorff distance.

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