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Introduction Dexmedetomidine has been used to treat toxicologic conditions, but high-quality data on its use for this indication in the emergency department setting are lacking. We sought to characterize the use of dexmedetomidine in this context. Methods We conducted a dual-center retrospective cohort study of patients treated with dexmedetomidine in two academic emergency departments. We included patients who received dexmed...
Invasive fungal infections (IFI) are a significant cause of morbidity and mortality in hematologic malignancy patients and hematopoietic cell transplant (HCT) recipients. Mold cholecystitis has rarely been described. We present a case of disseminated Lomentospora prolificans , that had recrudescence of symptoms with acute cholecystitis. Treatment included a temporary cholecystostomy and administration of the novel antifungal f...
Interpretable deep learning reveals spatiotemporal MRI features of brain aging that align with neurodegenerationNARA Subscribed
Cortical thinning and atrophy are hallmarks of brain aging that have been characterized using magnetic resonance imaging (MRI). Brain aging involves many neuroanatomic features whose effects on brain structure remain unexplored. To address this challenge, we trained interpretable deep neural networks (DNNs) to estimate brain age (BA) from T 1 -weighted ( T 1 w) MRI. By identifying MRI features unapparent to humans, DNNs can fi...
Early Imaging Biomarkers of Cartilage Strain After ACL Reconstruction Predict Patient Pain and Altered Knee LoadingNARA Subscribed
Purpose To investigate temporal evolution of cartilage strain and relaxometry following ACL reconstruction, and examine associations between MRI metrics, pain, and knee loading patterns during gait as potential early markers of cartilage degeneration. Methods Twenty-five participants (15 female, 10 male; mean age 25.6 years) undergoing ACL reconstruction completed MRI assessments at 6 and 12 month post-surgery, including displ...
Bidirectional prognostic predictions of conversion and reversion in amnestic mild cognitive impairmentNARA Subscribed
Amnestic mild cognitive impairment (aMCI) and Alzheimer’s disease (AD) are closely related. While some aMCI patients convert to AD (conversion), some revert to age-appropriate cognitive functioning (reversion). Early identification of these bidirectional trajectories informs aMCI-AD pathology and aids patient management. Data from 129 aMCI participants in the Alzheimer’s Disease Neuroimaging Initiative, who either converted or...
Purpose Biomechanical parameters of the temporomandibular joint (TMJ), such as joint contact forces and intra-articular stresses, are suggested to contribute to the development of temporomandibular joint disorders, but are impractical to measure. In this study, we present a computational framework for evaluating these parameters by integrating a function assessment system and a patient-specific modeling approach. Methods The p...
Alzheimer’s disease (AD) disproportionately affects women and carriers of the apolipoprotein E ε4 allele (APOE4), yet little is known about how sex and APOE interact to influence white matter (WM) integrity during disease progression. We integrated diffusion MRI and matched blood transcriptomic data to investigate these interactions and their underlying biological mechanisms. WM microstructure was quantified using diffusion te...