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1. Analyse quantitative morphologique du cartilage à partir du scanner spectral à comptage de photons

Author

C. Garcelon, Loic Boussel, Françoise Peyrin, Cécile Olivier, Juan F P J Abascal, Philippe Douek, S. Uk, Christine Chappard, H.K. Ea, Salim Si-Mohamed, Biologie, Bioingénierie et Bioimagerie Ostéo-articulaires (B3OA (UMR_7052)), École nationale vétérinaire d'Alfort (ENVA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Paris (UP), Imagerie Tomographique et Radiothérapie, Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), European Synchroton Radiation Facility [Grenoble] (ESRF), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Bioingénierie et Bioimagerie Ostéo-articulaires, Biomécanique et Biomatériaux Ostéo-Articulaires (B2OA (UMR_7052)), Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS)-École nationale vétérinaire d'Alfort (ENVA), Service de Rhumatologie [CHU Lariboisière], Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), École nationale vétérinaire - Alfort (ENVA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPC), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), and École nationale vétérinaire - Alfort (ENVA)-Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS)

Subjects
030203 arthritis & rheumatology, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, 030212 general & internal medicine, [SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing, ComputingMilieux_MISCELLANEOUS
Abstract

Introduction Les modalites d’imagerie qui aident a mieux comprendre le processus arthrosique sont la radiographie, l’IRM, la tomographie X, les ultrasons, la DXA et le TEP. A ce jour, seuls l’IRM et la tomographie sont des modalites tri-dimensionnelles (3D). L’analyse du cartilage sous forme de cartographie 3D ont ete largement developpe en IRM avec des applications in vivo reservees a la recherche clinique. L’arthroscanner permet de visualiser la surface du cartilage et la presence de calcifications mais est tres peu utilise en pratique clinique. La tomographie spectrale a comptage de photons est une nouvelle technologie qui est l’extension en multi-energie de la tomographie a double energie qui a montre son utilite pour la detection des cristaux d’urate de sodium. L’acces a des images mono-energetiques permet d’ameliorer le contraste des tissus mous habituellement non visibles en scanner classique en particulier le cartilage et le menisque. Nous proposons dans ce travail le developpement de biomarqueurs a type d’analyse morphologique quantitative du cartilage. Materiels et methodes Nous avons utilise un prototype (Philips Healthcare, Haifa) situe au CERMEP, Lyon, il s’agit appareil clinique dote d’un tube a rayons X classique et d’un detecteur a conversion directe de photons resolutif en energie qui permet l’obtention de voxels isotropes de 250 × 250 × 250 microns. L’acquisition dure quelques minutes. Cet appareil permet de recuperer une serie d’images mono-energetiques de 30 keV a 120 keV, nous avons selectionne les images a 60 keV qui offraient le meilleur contraste pour la visualisation du cartilage. Pour ce faire, nous avons etudie 24 specimens de genoux (15 normaux et 9 arthrosiques avec presence d’osteophytes), 5 hommes (âge moyen : 75,6 ± 14,3 ans), 17 femmes (87,7 ± 9,7 ans). Nous avons analyse le tibia et le femur separement des compartiments femoro-tibial medial et lateral. Nous avons utilise le logiciel itk-SNAP 3,8.0 selon un processus semi-automatique avec segmentation manuelle et interpolation. Le parametre mesure est l’epaisseur moyenne du cartilage en mm par la methode 3D des spheres. Resultats Les epaisseurs moyennes (ep_moys) du tibia lateral etaient de 2,82 ± 0,44 pour les normaux (Nx) versus 1,96 ± 0,94 mm pour les arthrosiques (OA), au tibia medial, les ep_moys etaient de 2,14 ± 0,36 Nx versus 1,95 ± 0,5 mm OA. Au femur lateral, les ep_moys etaient de 1,74 ± 0,34 Nx versus 1,32 ± 0,5 mm OA et au femur medial les ep_moys etaient de 1,35 ± 0,3 Nx versus 1,28 ± 0,7 mm OA. La difference a ete evalue a l’aide du test t et les differences etaient significatives au compartiment lateral pour le tibia (p = 0,002), femoral (p = 0,01), la difference n’etait pas significative au tibia medial et limite au niveau du femur medial (p = 0,04). Conclusion Le scanner spectral a comptage de photons est un nouvel outil qui permettra d’analyser sur la meme image des parametres quantitatifs 3D du cartilage et de l’os sous chondral pour ameliorer la comprehension du phenomene arthrosique et mieux suivre l’evolution naturelle ou sous l’effet des traitements.

Published
2020
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2. Feasibility of spectral computed tomography to assess knee cartilage

Author

J. Abascal, Françoise Peyrin, Philippe Douek, S. Bussod, S. Uk, Salim Si-Mohamed, Christine Chappard, Biologie, Bioingénierie et Bioimagerie Ostéo-articulaires (B3OA), École nationale vétérinaire - Alfort (ENVA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Imagerie Tomographique et Radiothérapie, Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), European Synchroton Radiation Facility [Grenoble] (ESRF), BUSSOD, Suzanne, Biologie, Bioingénierie et Bioimagerie Ostéo-articulaires (B3OA (UMR_7052)), Institut National de la Santé et de la Recherche Médicale (INSERM)-École nationale vétérinaire d'Alfort (ENVA)-Université de Paris (UP)-Centre National de la Recherche Scientifique (CNRS), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), and Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)

Subjects
030203 arthritis & rheumatology, 0303 health sciences, [SDV.MHEP.RSOA] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, medicine.diagnostic_test, business.industry, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, Biomedical Engineering, Computed tomography, Knee cartilage, 03 medical and health sciences, 0302 clinical medicine, [SDV.IB.IMA] Life Sciences [q-bio]/Bioengineering/Imaging, Rheumatology, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, Medicine, Orthopedics and Sports Medicine, Nuclear medicine, business, [SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing, ComputingMilieux_MISCELLANEOUS, 030304 developmental biology, [SPI.SIGNAL] Engineering Sciences [physics]/Signal and Image processing
Abstract

International audience

Published
2020
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3. Vein Diameter on Unenhanced Multidetector CT Predicts Reperfusion of Pulmonary Arteriovenous Malformation after Embolotherapy

Author

Vincent Cottin, Salim Si-Mohamed, Sophie Gonidec, Loic Boussel, Philippe Douek, Didier Revel, D. Gamondes, Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes), Centre de Référence des Maladies Pulmonaires Rares [Hôpital Louis Pradel - HCL], Hôpital Louis Pradel [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Department of Pneumology [Lyon], Infections Virales et Pathologie Comparée - UMR 754 (IVPC), Institut National de la Recherche Agronomique (INRA)-École pratique des hautes études (EPHE)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Department of Radiology, Cardiological Hospital, Hospices Civils de Lyon, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Institut National de la Recherche Agronomique (INRA)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Claude Bernard Lyon 1 (UCBL), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), and Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)

Subjects
Adult, Male, medicine.medical_specialty, Percutaneous, Adolescent, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, medicine.medical_treatment, Pulmonary Artery, 030218 nuclear medicine & medical imaging, Arteriovenous Malformations, Young Adult, 03 medical and health sciences, 0302 clinical medicine, medicine.artery, Multidetector Computed Tomography, medicine, Humans, Radiology, Nuclear Medicine and imaging, cardiovascular diseases, Embolization, Child, 10. No inequality, Vein, Aged, Retrospective Studies, Neuroradiology, Aged, 80 and over, medicine.diagnostic_test, business.industry, Angiography, Interventional radiology, General Medicine, Middle Aged, medicine.disease, Embolization, Therapeutic, 3. Good health, Pulmonary embolism, medicine.anatomical_structure, Pulmonary Veins, 030220 oncology & carcinogenesis, Pulmonary artery, cardiovascular system, Female, Radiology, Pulmonary Embolism, business
Abstract

[DOI:\hrefhttps://dx.doi.org/10.1007/s00330-015-4090-810.1007/s00330-015-4090-8] [PubMed:\hrefhttps://www.ncbi.nlm.nih.gov/pubmed/1496318114963181]; To evaluate the value of the diameter of the draining vein of pulmonary arteriovenous malformation (PAVM) on unenhanced chest MDCT in diagnosing reperfusion after percutaneous vaso-occlusion therapy.\ We retrospectively reviewed our long-term experience of patients with hereditary haemorrhagic telangiectasia and selected cases on the following criteria: an initial pulmonary angiogram with embolotherapy of at least one PAVM, a follow-up MDCT examination in the following year followed by a second pulmonary angiogram with embolotherapy if needed. Follow-up unenhanced chest MDCT examinations were analyzed blindly from results of pulmonary artery angiogram and clinical data, the diameter of the efferent vein close to the PAVM sac was measured, then compared to those of pulmonary artery angiogram as a gold standard.\ Eighty-eight of 100 patients met inclusion criteria, in whom 62 of 176 PAVMs were reperfused at angiogram. The mean diameter of the efferent vein on MDCT was 4.3 ± 2.1 mm in patent PAVMs and 1.8 ± 0.9 mm in non-patent PAVMs (p < 0.0001). The optimal cutoff diameter based on ROC analysis was 2.5 mm (sensitivity = 98.4 %; specificity = 87.7 %).\ A diameter of the draining vein of PAVM of 2.5 mm or greater on unenhanced MDCT is a strong predictor of reperfusion.\ • Diameter of draining vein of 2.5 mm or greater is associated with reperfusion. • Unenhanced chest MDCT predicts reperfusion of PAVMs with good sensitivity and specificity. • Unenhanced MDCT can guide a decision of repeat pulmonary angiogram and embolotherapy. • The mean vein diameter change of PAVMs occluded at follow-up is 3.8 mm. • Overall success rate after a median of 6 months embolotherapy was 64.7 %.

Published
2015
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4. Pathology-specific late outcome after endovascular repair of thoracic aorta: a single-centre experience

Author

Jacques Robin, Clémence Dufour, Loic Boussel, D. Gamondes, Adeline Mansuy, Philippe Douek, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Département d'économie (Sciences Po) (ECON), Sciences Po (Sciences Po)-Centre National de la Recherche Scientifique (CNRS), Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Department of Radiology, Cardiological Hospital, and Hospices Civils de Lyon

Subjects
Pulmonary and Respiratory Medicine, Adult, Male, medicine.medical_specialty, Pathology, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, Aortic Diseases, Aorta, Thoracic, 030204 cardiovascular system & hematology, Magnetic resonance angiography, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, Pseudoaneurysm, Aortic aneurysm, 0302 clinical medicine, Aneurysm, medicine.artery, medicine, Thoracic aorta, Humans, Computed tomography angiography, Aorta, medicine.diagnostic_test, Aortic Aneurysm, Thoracic, business.industry, Endovascular Procedures, General Medicine, Middle Aged, medicine.disease, Survival Analysis, 3. Good health, Surgery, Aortic Dissection, Treatment Outcome, cardiovascular system, Female, Radiology, Cardiology and Cardiovascular Medicine, business, Complication, Tomography, X-Ray Computed, Aneurysm, False
Abstract

[DOI:\hrefhttps://dx.doi.org/10.1093/ejcts/ezv05410.1093/ejcts/ezv054] [PubMed:\hrefhttps://www.ncbi.nlm.nih.gov/pubmed/2572182125721821]; Endovascular treatment of thoracic aortic lesions appears to be advantageous. However, long-term outcomes remain poorly reported. This retrospective study reported 6-year outcomes of thoracic endovascular aortic repair.\ A total of 74 patients underwent endovascular thoracic aorta treatments between 1999 and 2007; 13 had thoracic aortic dissections, 19 had traumatic aortic injuries, 35 had aneurysms, 6 had pseudoaneurysms and 1 had a penetrating ulcer. The mean follow-up was 66 months after 30 perioperative days. Yearly follow-ups included computed tomography angiography or magnetic resonance angiography. Patient demographics, mortality, complications and reinterventions were analysed.\ The early 30-day mortality and the overall late mortality were 9.5 (7/74) and 37.8% (28/74), respectively. Late mortality was higher in patients with aneurysms than in the other groups (20/35; 57% vs 8/39; 20.5%; P = 0.002). Aortic-related mortality occurred in 5/35 (14%) patients with aneurysms, but not in other groups (P = 0.02). No relationships among late complications were found for traumatic aortic injuries. The most common complication was an endoleak (21/74, 28.4%), which occurred more frequently with aneurysms than other disorders (18/35, 51.4% vs 3/39, 7.7%; P < 0.001). Endoleaks also occurred most frequently in aortic-related deaths (16/69 vs 5/5; P = 0.001). Type 1 endoleaks occurred significantly more often with aneurysms (13/35) than with other disorders (P = 0.004). Reintervention was required in 9 patients (12%); 8 with atherosclerotic aneurysms (8/35; 23%). A false lumen was thrombosed in 54% of dissections (7/13), and shrank in 39% (5/13).\ Long-term outcomes depended on aortic pathology. Aortic aneurysms were the most complicated and caused the highest mortality, probably due to atherosclerotic disease evolution. Patients with traumatic aortic injuries appeared to have the best long-term outcomes.

Published
2015

5. 4D time-resolved magnetic resonance angiography for noninvasive assessment of pulmonary arteriovenous malformations patency

Author

Didier Revel, D. Gamondes, Chahéra Khouatra, Vincent Cottin, Philippe Douek, Alexandru Cernicanu, Loic Boussel, Liesbeth Geerts, Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Infections Virales et Pathologie Comparée - UMR 754 (IVPC), Institut National de la Recherche Agronomique (INRA)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, Centre de Référence des Maladies Pulmonaires Rares [Hôpital Louis Pradel - HCL], Hôpital Louis Pradel [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Department of Pneumology [Lyon], Unité mixte de recherche retrovirus et pathologie comparée, Ecole Nationale Vétérinaire de Lyon (ENVL)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Recherche Agronomique (INRA), Department of Radiology, Cardiological Hospital, Hospices Civils de Lyon, and Institut National de la Recherche Agronomique (INRA)-École pratique des hautes études (EPHE)-Université Claude Bernard Lyon 1 (UCBL)

Subjects
medicine.medical_specialty, Image quality, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, Pulmonary Artery, Magnetic resonance angiography, 030218 nuclear medicine & medical imaging, Arteriovenous Malformations, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Afferent, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Vein, Vascular Patency, Aged, Dynamic Scan, medicine.diagnostic_test, business.industry, Middle Aged, Embolization, Therapeutic, medicine.anatomical_structure, Pulmonary Veins, Time to peak, Telangiectasia, Hereditary Hemorrhagic, Acquisition time, Radiology, business, Magnetic Resonance Angiography, 030217 neurology & neurosurgery, Artery
Abstract

[DOI:\hrefhttps://dx.doi.org/10.1002/jmri.2238410.1002/jmri.22384] [PubMed:\hrefhttps://www.ncbi.nlm.nih.gov/pubmed/2103151621031516]; International audience; To assess the capability of four-dimensional (4D) time-resolved magnetic resonance angiography (MRA) to assess pulmonary arteriovenous malformations (PAVMs) patency by analyzing pulmonary arterial and venous enhancement kinetics.\ Seven patients with eight documented patent PAVMs underwent a 4D-MRA with keyhole and viewsharing compression at 3T with the following parameters: spatial resolution 0.87 × 0.87 × 1.4 mm(3); field of view 500 × 350 × 238 mm(3); dynamic scan time (temporal resolution) 1.2 seconds; total acquisition time 18.1 seconds for six dynamic datasets (6 × 1.2 sec + reference scan: 10.9 sec). All images were reviewed by two experienced radiologists. Image quality was rated on a qualitative 5-point scale (1: not assessable to 5: excellent). Signal value was measured on cross-sectional planes for the afferent arteries and efferent veins of the PAVM, and for normal reference healthy arteries and veins. The difference in time to peak for each coupled artery/vein (dTTPav) was calculated and compared with a Mann-Whitney test between PAVMs and reference vessels.\ Mean image quality was 3.2 ± 0.9. dTTPav was significantly smaller in PAVMs (0.15 ± 0.76 sec) than in reference vessels (3.75 ± 1.62 sec), P < 0.001.\ 4D-MRA is a promising tool for noninvasive assessment of PAVM patency.

Published
2010

6. Rapid-clearance iron nanoparticles for inflammation imaging of atherosclerotic plaque: initial experience in animal model

Author

Xavier Violas, Danielle Ibarrola, Eric Lancelot, Christine Laclédère, Catherine Desbleds-Mansard, Philippe Douek, Hasan Alsaid, Claire Corot, Jean-Sebastian Raynaud, D. Gamondes, Loic Boussel, Véronique Vives, Dominique Sappey-Marinier, Emmanuelle Canet-Soulas, Monica Sigovan, Abdulrazzaq Sulaiman, Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre de Recherche et d'Application en Traitement de l'Image et du Signal (CREATIS), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-École Supérieure Chimie Physique Électronique de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre d'Etude et de Recherche Multimodal Et Pluridisciplinaire en imagerie du vivant (CERMEP - imagerie du vivant), Université de Lyon-Université de Lyon-CHU Grenoble-Hospices Civils de Lyon (HCL)-CHU Saint-Etienne-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Service de Radiologie, Hôpital Louis Pradel [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Exploration et de Recherche Médicales par Émission de Positons (CERMEP), Université Joseph Fourier - Grenoble 1 (UJF)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-CHU Grenoble-Hospices Civils de Lyon (HCL)-CHU Saint-Etienne-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), and Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL)

Subjects
Pathology, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, Contrast Media, Pilot Projects, 030204 cardiovascular system & hematology, 030218 nuclear medicine & medical imaging, 0302 clinical medicine, Magnetite Nanoparticles, ComputingMilieux_MISCELLANEOUS, Dextrans, Oxides, [SPI.ELEC]Engineering Sciences [physics]/Electromagnetism, [INFO.INFO-TI]Computer Science [cs]/Image Processing [eess.IV], [PHYS.PHYS.PHYS-MED-PH]Physics [physics]/Physics [physics]/Medical Physics [physics.med-ph], [SDV.IB]Life Sciences [q-bio]/Bioengineering, Rabbits, medicine.symptom, [SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing, medicine.medical_specialty, Metabolic Clearance Rate, Iron, Inflammation, [SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine, Sensitivity and Specificity, 03 medical and health sciences, Animal model, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Inflammation imaging, Metabolic clearance rate, medicine, [INFO.INFO-IM]Computer Science [cs]/Medical Imaging, Animals, Humans, Radiology, Nuclear Medicine and imaging, [SPI.ACOU]Engineering Sciences [physics]/Acoustics [physics.class-ph], Aortitis, business.industry, Vascular disease, Reproducibility of Results, medicine.disease, Atherosclerosis, [INFO.INFO-MO]Computer Science [cs]/Modeling and Simulation, Ferrosoferric Oxide, Disease Models, Animal, Rabbit model, [SPI.OPTI]Engineering Sciences [physics]/Optics / Photonic, business, Magnetic Resonance Angiography, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

To evaluate the use of a recently developed fast-clearing ultrasmall superparamagnetic iron oxide (USPIO) for detection of vascular inflammation in atherosclerotic plaque.The study protocol was approved by the animal experimentation ethics committee. A recently introduced USPIO, P904, and a reference-standard USPIO, ferumoxtran-10, were tested in a rabbit model of induced aortic atherosclerosis. In vivo magnetic resonance (MR) angiography and T2*-weighted plaque MR imaging were performed at baseline and after administration of P904 and ferumoxtran-10 (administered dose for both, 1000 micromol of iron per kilogram of body weight) in 26 hyperlipidemic New Zealand white rabbits. The variation in vessel wall area over time was evaluated with nonparametric testing. Ex vivo MR imaging findings were compared with iron content at linear regression analysis.With in vivo MR imaging, plaque analysis was possible as early as 24 hours after P904 injection. The authors observed a 27.75% increase in vessel wall area due to susceptibility artifacts on day 2 (P = .04) and a 38.81% increase on day 3 (P = .04) after P904 administration compared with a 44.5% increase in vessel wall area on day 7 (P = .04) and a 34.8% increase on day 10 (P = .22) after ferumoxtran-10 administration. These susceptibility artifacts were correlated with intraplaque iron uptake in the corresponding histologic slices. The number of pixels with signal loss on the ex vivo MR images was linearly correlated with the logarithm of the iron concentration (P = .0001; R(2) = 0.93).Plaque inflammation in rabbits can be detected earlier with P904 than with ferumoxtran-10 owing to the faster blood pharmacokinetics and the early uptake of P904 in the reticuloendothelial system.http://radiology.rsnajnls.org/cgi/content/full/252/2/401/DC1.

Published
2009
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7. Acute chest pain with normal coronary angiogram: role of contrast-enhanced multidetector computed tomography in the differential diagnosis between myocarditis and myocardial infarction

Author

Philippe Douek, Loic Boussel, Brett M. Elicker, D. Gamondes, Didier Revel, P. Staat, Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Groupe Hospitalier Est, Service de Radiologie, Hospices Civils de Lyon (HCL), Department of Radiology, Cardiological Hospital, and Hospices Civils de Lyon

Subjects
Adult, Male, medicine.medical_specialty, Chest Pain, Myocarditis, [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging, Myocardial Infarction, Contrast Media, Coronary angiogram, Coronary Angiography, Diagnosis, Differential, Imaging, Three-Dimensional, Meglumine, Predictive Value of Tests, Multidetector computed tomography, medicine, Acute chest pain, Image Processing, Computer-Assisted, Organometallic Compounds, Humans, Radiology, Nuclear Medicine and imaging, In patient, Myocardial infarction, Aged, Observer Variation, medicine.diagnostic_test, business.industry, Reproducibility of Results, Magnetic resonance imaging, Middle Aged, medicine.disease, Magnetic Resonance Imaging, Iopamidol, Radiographic Image Enhancement, Acute Disease, Female, Radiology, Differential diagnosis, business, Tomography, X-Ray Computed
Abstract

[DOI:\hrefhttps://dx.doi.org/10.1097/RCT.0b013e318145219910.1097/RCT.0b013e3181452199] [PubMed:\hrefhttps://www.ncbi.nlm.nih.gov/pubmed/1837930718379307]; International audience; To evaluate the accuracy of delayed-enhanced multidetector computed tomography (MSCT) for differentiating between myocarditis and myocardial infarction in patients with normal x-ray coronary angiography.\ Twelve consecutive patients referred for acute chest pain and normal coronary arteries on x-ray coronary angiography were involved in this study. Delayed-enhanced MSCT and postgadolinium delayed-enhanced magnetic resonance imaging (MRI) examinations were performed within 36 hours and 4 days, respectively, after patient admission. Comparison between delayed-enhanced MSCT and MRI was performed by 3 independent blinded observers in term of final diagnosis, number of involved segments, and transmural extent.\ Final diagnosis between myocarditis and myocardial infarction was identical for delayed-enhanced MSCT and MRI with a significant agreement for number of involved segments and transmural extension. Interobserver reproducibility was good for both techniques.\ We demonstrated that delayed-enhanced MSCT allows differentiation between myocardial infarction and myocarditis with the same accuracy at acute phase compared with MRI.

Published
2008

8. GRM7-related disorder: five additional patients from three independent families and review of the literature.

Author

Januel L, Chatron N, Rivier-Ringenbach C, Cabet S, Labalme A, Sahin Y, Darvish H, Kruer M, Bakhtiari S, Sanlaville D, de Sainte Agathe JM, and Lesca G

Subjects
Humans, Seizures, Phenotype, Epilepsy genetics, Brain Diseases genetics, Neurodevelopmental Disorders genetics, Receptors, Metabotropic Glutamate
Abstract

Developmental and epileptic encephalopathies (DEEs) refer to a group of severe epileptic syndromes characterized by seizures as well as a developmental delay which can be a consequence of the underlying etiology and/or the epileptic encephalopathy. The genes responsible for DEEs are numerous and their number is increasing since the availability of Next-Generation Sequencing. Pathogenic variants in GRM7, encoding the metabotropic glutamate receptor 7, were recently shown as a cause of a severe DEE with autosomal recessive inheritance. To date, only ten patients have been reported in the literature, generally with severe phenotypes including early-onset epilepsy, microcephaly, brain anomalies, and spasticity. We report here 5 patients from 3 independent families with biallelic variants in the GRM7 gene. We review the literature and provide further elements for the understanding of the genotype-phenotype correlation of this rare syndrome., (Copyright © 2024 The Authors. Published by Elsevier Masson SAS.. All rights reserved.)

Published
2024
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9. Interstitial pneumonia with autoimmune features: Clinical, radiologic, and histological characteristics and outcome in a series of 57 patients.

Author

Ahmad K, Barba T, Gamondes D, Ginoux M, Khouatra C, Spagnolo P, Strek M, Thivolet-Béjui F, Traclet J, and Cottin V

Subjects
Aged, Autoimmune Diseases pathology, Diagnosis, Differential, Female, Humans, Idiopathic Pulmonary Fibrosis diagnosis, Kaplan-Meier Estimate, Lung Diseases, Interstitial pathology, Male, Microscopic Angioscopy, Middle Aged, Prognosis, Retrospective Studies, Severity of Illness Index, Tomography, X-Ray Computed, Autoimmune Diseases diagnosis, Lung Diseases, Interstitial diagnosis
Abstract

Background: Interstitial pneumonia with autoimmune features (IPAF) has recently been defined by an international Taskforce to characterize interstitial lung disease associated with systemic manifestations limited to subtle serological and clinical autoimmune abnormalities and not fulfilling the international criteria for the diagnosis of a given connective tissue disease., Objective: to report on a series of patients with IPAF, and to compare their outcome to that of a cohort of patients with idiopathic pulmonary fibrosis (IPF)., Methods: Retrospective analysis of consecutive patients in a single institution over a 3-year period., Results: Out of 778 consecutive patients with interstitial lung disease, 55% had idiopathic interstitial pneumonia (including 20.1% with IPF), 21.5% had connective tissue disease, and 7.3% had IPAF. Patients (49% of females) had a mean FVC of 64% and a mean DLco of 49%. Serologic criteria for IPAF were the most frequent (93%), followed by "morphologic" criteria (79%), and clinical criteria (47%). Fifty three percent of patients had a NSIP pattern on CT. Nailfold capillaroscopy found giant capillaries in 13/30 patients tested (23%). No significant was found in overall survival between patients with IPAF and those with IPF., Conclusion: The recently defined criteria for IPAF are fulfilled by a significant proportion of patients referred for interstitial lung disease. As compared to those with IPF, patients with IPAF are more frequently females, have distinctive characteristics, have relatively frequent abnormalities at nailfold capillaroscopy, with no difference in age or in overall survival. Prospective studies are needed to guide the management of IPAF., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

Published
2017
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