[Purpose] To develop a digital radiographic bone trabecular structure analyzing system and to applied it to mandible. [Methods] Structural change was simulated by removing spongy bone in human dried mandible. Using a morphological filter processing, the skeletal features were extracted from digital radiographic image data obtained by computed radiography before and after the removal of spongy bone. The skeletal volume, surface, thickness, number, separation, complexity, spacing continuity and connectivity on the skeletal binary images were determined by morphometric indices calculation, star volume analysis and node-strut analysis. Using these quantified skeletal feature parameters, a mapping sheet for the structural evaluation was produced. The correlation between the fluctuation rate of each parameter after the removal of spongy bone with respect to the value before the removal of spongy bone and simulated structural change was examined. [Results] The skeletal binary image data quantified sixteen skeletal feature parameters using morphometric indices calculation, star volume analysis and node-strut analysis. These parameters agreed with the theoretical fluctuation pattern in the simulated skeletal structure deterioration of the mandibular bone trabeculae. [Conclusion] Using a morphological filter and bone histomorphometry, the radiological bone-morphometric analyzing system is useful for the evaluation of the mandibular trabecular structure.

The purpose of this study was to investigate the effect of the sleep deprivation for central information processing. Therefore we examined the changes in the amplitude and the latency of P300 event-related potentials (ERPs) before and after sleep deprivation in eight subjects. In addition to P300, we examined the power spectral changes of the EEG and the R-R intervals at rest before ERP measurements. The subjects performed an auditory target discrimination task and were instructed to keep mental count of each target stimulus. Then 2000 Hz tones (target) and 1000 Hz tones (nontarget) were randomly presented with probabilities of 0.2 and 0.8.
P300 latency at Fz, Cz, C3 and C4 was significantly prolonged after sleep deprivation (p<0.05) . P300 amplitude at Cz after sleep deprivation was significantly smaller than before sleep deprivation (p<0.05) . Alpha 1 power (8-10 Hz) at Cz on EEG was significantly decreased after sleep deprivation, but no other bands changed on EEG. The R-R interval was also significantly extended after sleep deprivation. We concluded that both central information processing and the autonomic nervous system may be influenced by sleep deprivation.

OBJECTIVETo identify the ankyrin-B gene mutations that cause long QT syndrome (LQTS) and determine the prevalence of such mutations in Japanese patients with LQTS.

METHODSWe conducted a search for ankyrin-B gene mutation in 78 unrelated patients with LQTS (28 males and 50 females, aged 2 to 89 years). With informed consent from all the subjects and/or their parents, genomic DNA was purified from the white blood cells of the patients and amplified using polymerase chain reaction (PCR). Single-strand conformational polymorphism (SSCP) analysis of the amplified DNA was performed to screen for mutations and aberrant SSCP products were isolated and sequenced by dye terminator cycle sequencing method using an automated fluorescent sequencer. PCR and restriction fragment length polymorphism (PCR-RFLP) analysis was carried out to further confirm the missense mutations by comparison with samples from 150 normal healthy individuals.

RESULTSWe identified a T to A transition mutation at position 4,603 in exon 40, resulting in the substitution of arginine for a tryptophan at amino acid residue 1,535 (W1535R) in the regulatory domain of 220-kD ankyrin-B, which is a highly conserved domain shared by different species.

CONCLUSIONThis novel missense mutation in the ankyrin-B gene may be a cause of type 4 LQTS. Ankyrin-B gene mutation might not play the major role in LQTS in Japanese.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amino Acid Substitution ; Ankyrins ; genetics ; Base Sequence ; Child ; Child, Preschool ; Exons ; Female ; Humans ; Long QT Syndrome ; genetics ; Male ; Middle Aged ; Molecular Sequence Data ; Mutation, Missense ; Point Mutation

INTRODUCTION: The pathophysiology and mechanism of in-stent restenosis (ISR) after implantation of second-generation drug-eluting stents (DESs) are not fully clear. We compared the morphological characteristics of ISR between first- and second-generation DESs using frequency domain optical coherence tomography (OCT). METHODS: Patients who underwent follow-up coronary angiography (CAG) after first-generation (CYPHER™ and TAXUS™) and second-generation (Nobori®, PROMUS Element™, Resolute Integrity and XIENCE) DES implantations were examined. ISR was defined as lesions of over 50% diameter stenosis at follow-up CAG. Frequency domain OCT was performed at the time of revascularisation of ISR. Tissue morphology was assessed at minimum lumen area. OCT images of DESs at both early (≤ 1 year) and late (> 1 year) phase follow-up were compared. RESULTS: On qualitative OCT assessment, the ratios of homogeneous, layered, heterogeneous without-attenuation and heterogeneous with-attenuation morphologies were 57.1%, 17.1%, 20.0% and 5.7%, respectively, for second-generation DES ISR (n = 35), and 16.7%, 25.0%, 25.0% and 33.3%, respectively, for first-generation DES ISR (n = 36). At late phase follow-up, homogeneous morphology was significantly more common for second-generation DES ISR compared to first-generation DES ISR (first-generation: 8.0% vs. second-generation: 50.0%; p < 0.01) while heterogeneous with-attenuation morphology was significantly more common for first-generation DES ISR (first-generation: 44.0% vs. second-generation: 5.6%; p < 0.01). CONCLUSION Homogeneous tissue morphology was more frequently found for second-generation than first-generation DES ISR, especially in the late phase. This suggested that neointimal hyperplasia was the main mechanism in second-generation DES ISR, and that the neointima was stabilised, much like in bare metal stent implantation.
Aged ; Constriction, Pathologic ; pathology ; Coronary Angiography ; Coronary Restenosis ; diagnostic imaging ; pathology ; Coronary Vessels ; diagnostic imaging ; pathology ; surgery ; Drug-Eluting Stents ; adverse effects ; Female ; Humans ; Incidence ; Male ; Metals ; Middle Aged ; Neointima ; Retrospective Studies ; Tomography, Optical Coherence