1.Evaluation of the Agatston Coronary Artery Calcium score using contrast enhanced CT-Coronary angiography
Badamsed Ts ; Lkhagvasuren Z ; Delgertsetseg D ; Batgerel O ; Dulamsuren T
Mongolian Medical Sciences 2023;203(1):3-7
Background:
In 1904, Monkeberg was first described about the coronary calcification which is the degenerative change that occurs with aging process, but the last decades many studies have been confirmed that coronary calcification was an active process same as the signaling pathways with bone mineralization. Coronary calcification increases the risk of myocardial infarction during bypass graft surgery and PCI (СМ СN. Shanahan, 1999).
Goal:
To evaluate Agatston Coronary Artery Calcium score using contrast enhanced CT-Coronary angiography.
Objectives:
1. To assess Agatston Coronary Artery Calcium score
2. Age and gender relationship of coronary calcification
Materials and Methods:
We evaluated total 215 patients who were admitted to the Reference center of Diagnostic Imaging named after R.Purev State Laureate, People’s physician and Honorary Professor of the Third State
Central Hospital awarded with the Red banner of the Labor diagnosed with the coronary calcification by contrast enhanced 64 slice CT (Philips Ingenuity CT 64) between 2020 to 2022. Patient’s age was
considered into 6 groups and coronary calcification was assessed by Agatston’s score. The result of our study determined by common statistical averages and errors and probabilities of the indicators
were determined by Student’s criteria.
Result:
When evaluating Agatston coronary artery calcium scoring by CT-coronary angiography, 11-400 Agatston score was predominantly in our study with p value of (P<0.001). Considering relationship of age and gender, coronary calcification occurs 42.3% of patients aged 50-69, male and female ratio was 1.7:1.
Conclusions
1. We established Agatston coronary calcification 11-400 was occurred in 66.96% of the patients.
2. Coronary calcification predominantly occurred in 65% patients aged 50-69 years.
2.The utilization of biotinylated RNA baits on captured sequencing of cancer marker genes functional regions
Byambasuren B ; Dulamsuren O ; Lkhagvadorj G ; Amarsanaa E ; Khurelbaatar S ; Shiirevnyamba A ; Batsaikhan B ; Zanabazar E
Mongolian Medical Sciences 2021;198(4):3-14
Background:
Nucleic acid sequencing is a multi-step process taken place in medical research or diagnostic
laboratories. Since the emerge of second generation sequencing technology generally referred as
next generation sequencing (NGS), the mass parallel reads covering human genome or transcriptome
is achieved by cost cut down over thousand folds. Though the technology made tremendous push
forward to various applications, its data analysis time and effort still takes worrisome time and human
effort, bringing the emerge of next-step demand: targeted mass sequencing of only desired part
from human genome or transcriptome with lower material cost and labor. By targeted sequencing,
both run cost and data analysis process can be further cut down, and the read results are more
reliable on changes such as determining varied number of repeats, heterozygote alleles, deletions,
chromosomal scale abnormality and more.
Objective:
In this study, we explored the utilization of biotinylated RNA baits on captured sequencing of cancer
marker genes functional regions.
Method:
Targeted NGS was achieved by capturing desired genomic regions using preparatory nucleic acid
probes. RNA bait capturing of desired genomic regions has shown to have high specificity and quality.
The study was carried out with informed consent obtained from patients, with the approval №53 in
2018.03.15 by Medical Ethics committee, Ministry of Health, Mongolia.
Result:
By preparing library of biotinylated RNA baits with 75000 unique sequences, we achieved mass
parallel sequencing of human 410 cancer-marker-genes’ exons and UTRs with average read depth
~760, and covered thousands of SNPs on 5 genomic DNA samples. Tissue samples derived from
breast cancer and ovary cancer had SNP and deletion on 7 marker genes (BRCA1, BRCA2, ATM, BRIP1, PTEN, TP53, RAD51C) not registered in database.
Conclusion
Experiments showed RNA baits with up to 117 nucleotide length, produced from ssDNA oligonucleotide
stock, can be utilized to capture desired regions of human genome, and bring the cost of captured
mass sequencing to 1500 USD, with 93.14-93.33% of Q30 read quality.