degeneration

变性
  • 文章类型: Journal Article
    一氧化氮(NO)是细胞通讯中的重要分子,在许多生物过程中也起着重要作用。鉴于NO在面神经损伤后神经变性和再生中的双重作用,我们试图通过系统的文献综述更深入地研究它的作用。使用SCOPUS的文献的全面回顾,PubMed,科克伦图书馆,EMBASE,和GoogleScholar数据库用于评估NO在面神经损伤后神经变性和再生中的诱导和作用。从最终审查的20篇论文中,主要发现是神经元型一氧化氮合酶(nNOS),内皮型一氧化氮合酶(eNOS),和诱导一氧化氮合酶(iNOS)的增加或减少取决于面神经损伤的方法,受损区域,收获面积,和动物年龄,并与面神经的变性和再生有关。对大鼠和小鼠进行的研究表明,NO,nNOS,eNOS,iNOS在神经再生和变性中起重要作用。然而,神经损伤与NO之间的关系不能通过简单的因果关系来定义。相反,NOS的参与取决于神经细胞的类型,NO的来源,定时,和表达式的位置,目标动物的年龄,和靠近脑干的损伤位置。因此,nNOS,eNOS,iNOS的表达水平和功能可能有显著差异。
    Nitric oxide (NO) is an important molecule in cell communication that also plays an important role in many biological processes. Given the dual role of NO in nerve degeneration and regeneration after facial nerve injury, we sought to delve deeper into its role through a systematic literature review. A comprehensive review of the literature employing SCOPUS, PubMed, Cochrane Library, EMBASE, and Google Scholar databases was conducted to evaluate the induction and role of NO in neurodegeneration and regeneration after facial nerve injury. From the 20 papers ultimately reviewed, the central findings were that neuronal nitric oxide synthase(nNOS), endothelial nitric oxide synthase (eNOS), and induced nitric oxide synthase (iNOS) increased or decreased depending on the method of facial nerve damage, damaged area, harvested area, and animal age, and were correlated with degeneration and regeneration of the facial nerve. Research conducted on rats and mice demonstrated that NO, nNOS, eNOS, and iNOS play significant roles in nerve regeneration and degeneration. However, the relationship between nerve damage and NO could not be defined by a simple causal relationship. Instead, the involvement of NOS depends on the type of nerve cell, source of NO, timing, and location of expression, age of the target animal, and proximity of the damage location to the brainstem. Consequently, nNOS, eNOS, and iNOS expression levels and functions may vary significantly.
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  • 文章类型: Journal Article
    视网膜,中枢神经系统的组织,对视觉至关重要,因为它的光感受器捕获光并将其转化为电信号,在将它们发送到大脑以解释为图像之前进行进一步处理。视网膜的独特之处在于它持续暴露于光线,并且在体内所有组织中具有最高的代谢率和对能量的需求。因此,视网膜对氧化应激非常敏感。VDAC,线粒体外膜上的一个孔,在线粒体和胞质溶胶之间穿梭代谢物,通常保护细胞免受氧化损伤,但是当细胞的完整性受到极大的损害时,它就会引发细胞死亡。VDAC有三种同工型,现有证据表明这三者都在视网膜中表达。然而,它们在每种细胞类型中的精确定位和功能是未知的。似乎大多数视网膜细胞表达大量的VDAC2和VDAC3,可能是为了保护它们免受氧化应激。光感受器在Warburg途径中表达VDAC2,HK2和PKM2关键蛋白,也保护这些细胞。与它在启动细胞死亡中的作用一致,VDAC在视网膜变性疾病视网膜色素变性中过度表达,年龄相关性黄斑变性(AMD),和青光眼。用抗氧化剂处理或抑制VDAC寡聚化降低其表达并改善细胞存活。因此,VDAC可能是治疗这些疾病的有希望的治疗候选物。
    The retina, a tissue of the central nervous system, is vital for vision as its photoreceptors capture light and transform it into electrical signals, which are further processed before they are sent to the brain to be interpreted as images. The retina is unique in that it is continuously exposed to light and has the highest metabolic rate and demand for energy amongst all the tissues in the body. Consequently, the retina is very susceptible to oxidative stress. VDAC, a pore in the outer membrane of mitochondria, shuttles metabolites between mitochondria and the cytosol and normally protects cells from oxidative damage, but when a cell\'s integrity is greatly compromised it initiates cell death. There are three isoforms of VDAC, and existing evidence indicates that all three are expressed in the retina. However, their precise localization and function in each cell type is unknown. It appears that most retinal cells express substantial amounts of VDAC2 and VDAC3, presumably to protect them from oxidative stress. Photoreceptors express VDAC2, HK2, and PKM2-key proteins in the Warburg pathway that also protect these cells. Consistent with its role in initiating cell death, VDAC is overexpressed in the retinal degenerative diseases retinitis pigmentosa, age related macular degeneration (AMD), and glaucoma. Treatment with antioxidants or inhibiting VDAC oligomerization reduced its expression and improved cell survival. Thus, VDAC may be a promising therapeutic candidate for the treatment of these diseases.
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  • 文章类型: Journal Article
    种马的管理对马的繁殖至关重要。长寿是育种生涯的最终目的,种马是用于自然覆盖还是用于精液采集和人工授精。农场兽医应了解用于评估睾丸功能的技术以及紧急情况下睾丸疾病的诊断方法。本文介绍了用于评估睾丸健康的临床方法,包括触诊,超声检查,活检,和细针抽吸。睾丸疾病的讨论分为四类:先天性疾病(隐睾,单甲,和睾丸发育不全),阴囊肿大的鉴别诊断,进行性睾丸增大的原因的鉴别诊断,以及睾丸不对称或缩小的鉴别诊断,重点是睾丸变性。睾丸大小的突然增加通常伴有严重的临床症状,并且是转诊种马进行手术的主要原因。作者看到的临床病例说明了睾丸疾病。
    Management of breeding stallions is crucial to equine reproduction. The longevity of the breeding career is the ultimate objective, whether the stallion is used for natural cover or for semen collection and artificial insemination. Stud farm veterinarians should be aware of the techniques used to evaluate testicular function and the diagnostic approach to testicular disorders in cases of emergency. This paper presents the clinical methods used to evaluate testicular health, including palpation, ultrasonography, biopsy, and fine-needle aspiration. The discussion of testicular disorders is broken down into four categories: congenital disorders (cryptorchidism, monorchidism, and testicular hypoplasia), differential diagnosis of scrotal enlargement, differential diagnosis of causes of progressive testicular enlargement, and differential diagnosis of testicular asymmetry or reduction in size with an emphasis on testicular degeneration. The sudden increase in testicular size is often accompanied by severe clinical signs and is a major cause for referral of stallion for surgery. Testicular disorders are illustrated with clinical cases seen by the authors.
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  • 文章类型: Case Reports
    副肿瘤性神经变性(PND)表现为通常与潜在癌症相关的突发性或亚急性神经系统综合征。公开或亚临床。在PND的范围内,亚急性副肿瘤小脑变性(PCD)代表了一个独特的子集。虽然罕见,及时诊断具有改善神经系统和肿瘤学结果的潜力.在这里,我们介绍了一个61岁的患者,诊断为亚急性小脑变性,最终揭示了非小细胞肺癌。
    Paraneoplastic neurologic degeneration (PND) manifests as a sudden or subacute neurological syndrome often linked to underlying cancer, either overt or subclinical. Within the spectrum of PND, subacute paraneoplastic cerebellar degeneration (PCD) represents a distinctive subset. While rare, prompt diagnosis holds the potential to ameliorate both neurological and oncological outcomes. Herein, we present the case of a 61-year-old patient diagnosed with subacute cerebellar degeneration, ultimately unveiling non-small cell lung carcinoma.
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  • 文章类型: Journal Article
    肌营养不良是导致肌肉完整性进行性丧失的一类破坏性疾病。杜氏肌营养不良症,最常见的肌肉萎缩症,是由于功能性肌营养不良蛋白的丧失。虽然人们对这些疾病中肌肉组织的破坏有很多了解,对于这些疾病中也发生的突触缺陷,人们知之甚少。突触缺陷也是神经退行性疾病的最早标志之一,包括神经肌肉疾病肌萎缩侧索硬化症(ALS)。我们目前的研究调查了成年肌肉组织中的突触缺陷以及果蝇肌营养不良蛋白突变体中的突触前运动神经元。在这里,我们证明了进步,肌营养不良蛋白突变体的飞行能力的年龄依赖性丧失伴随着神经肌肉结(NMJs)的紊乱,包括突触前和突触后标记的定位受损。我们发现这些突触缺陷,包括运动神经元内的突触前缺陷,是由于肌肉内的肌营养不良蛋白的损失。这些结果应有助于更好地了解神经肌肉疾病中细胞丢失之前的早期突触缺陷。
    Muscular dystrophies are a devastating class of diseases that result in a progressive loss of muscle integrity. Duchenne Muscular Dystrophy, the most prevalent form of Muscular Dystrophy, is due to the loss of functional Dystrophin. While much is known regarding destruction of muscle tissue in these diseases, much less is known regarding the synaptic defects that also occur in these diseases. Synaptic defects are also among the earliest hallmarks of neurodegenerative diseases, including the neuromuscular disease Amyotrophic Lateral Sclerosis (ALS). Our current study investigates synaptic defects within adult muscle tissues as well as presynaptic motor neurons in Drosophila dystrophin mutants. Here we demonstrate that the progressive, age-dependent loss of flight ability in dystrophin mutants is accompanied by disorganization of Neuromuscular Junctions (NMJs), including impaired localization of both presynaptic and postsynaptic markers. We show that these synaptic defects, including presynaptic defects within motor neurons, are due to the loss of Dystrophin specifically within muscles. These results should help to better understand the early synaptic defects preceding cell loss in neuromuscular disorders.
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  • 文章类型: Case Reports
    子宫肌瘤变性是怀孕期间腹痛的罕见原因。它会在怀孕期间引起并发症,包括胎盘早剥,胎儿生长受限,和早产。粘液样变性是纤维瘤变性的不寻常形式。我们介绍了一个38岁女性的案例,G1P0,在妊娠13周时,由于腹痛和阑尾炎的担忧,应产科医生的要求到急诊科就诊。诊断为粘液样变性。患者接受了镇痛药治疗,出院后继续在门诊治疗。
    Uterine fibroid degeneration is a rare cause of abdominal pain during pregnancy. It can cause complications during pregnancy, including placental abruption, fetal growth restriction, and preterm delivery. Myxoid degeneration is an unusual form of fibroid degeneration. We present a case of a 38-year-old female, G1P0, who presented at 13 weeks gestation to the emergency department at the request of her obstetrician due to abdominal pain with concern about appendicitis. A diagnosis of myxoid degeneration was made. The patient was treated with analgesics and discharged to continue her management in the outpatient setting.
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  • 文章类型: Journal Article
    眼科成像仪器,包括共聚焦扫描激光检眼镜和谱域光学相干层析成像系统,最初旨在揭示人眼的眼部微观结构,已经被视觉研究人员部署来评估许多小型和大型动物物种的眼睛超过二十年。在这项研究中,我们已经使用这两种仪器从三个突出的视网膜顺序获得成像数据,广泛使用的实验小鼠模型来记录由两种对比的波室照明条件引起的变化。研究的小鼠包括白化病BALB/cJ和B6(Cg)-Tyrc-2J/J和色素沉着的C57Bl/6J。在暗光条件下饲养小鼠直到约8周龄,在那里它们经历基线成像。Follows,将小鼠放回昏暗的小室或重新定位到标准小室中的顶架笼位置。然后通过眼部成像跟踪小鼠几个月,以根据长期昏暗与升高,标准波室照明曝光水平。在暴露于较高的光照水平时,B6(Cg)-Tyrc-2J/J在光感受器外节缩短方面与BALB/cJ相似,光感受器层近端方面的超反射变化,以及视网膜折叠和自体荧光视网膜下炎性单核细胞浸润的发展。值得注意的是,然而,在B6(Cg)-Tyrc-2J/J中,折叠和渗透发生的速度较慢BALB/cJ.BALB/cJ的光感受器外核层厚度在升高的光开始后稳定退化。相比之下,B6(Cg)-Tyrc-2J/J变性在经历了变性率的显着变化之前,在经历了平稳期以及视网膜折叠和单核细胞浸润数量减少的趋势之前,已经持续了数周。C57Bl/6J小鼠的病理变化对于评估的所有成像生物标志物均不显著,除了自体荧光视网膜下炎性单核细胞浸润,在昏暗与昏暗中显示出显着的积累在观察~1年后,暴露于光的小鼠。使用Spearman相关性和预测能力评分矩阵对这些数据进行评估,以确定指示玻璃体光应激和光诱导的光感受器变性的最佳成像光生理学生物标志物。这项研究表明,近端高反射率的变化,外段缩短,在白化B6(Cg)-Tyrc-2J/J和BALB/cJ小鼠品系中,视网膜折叠和自发荧光视网膜下炎性单核细胞浸润是光应激和光诱导变性的极好指标。
    Ophthalmic imaging instruments, including the confocal scanning laser ophthalmoscope and spectral-domain optical coherence tomography system, originally intended for revealing ocular microstructures in the human eye, have been deployed by vision researchers to evaluate the eyes of numerous small and large animal species for more than two decades. In this study, we have used these two instruments to obtain imaging data sequentially from the retinas of three prominent, widely used experimental mouse models to document changes induced by two contrasting vivarium lighting conditions. Mice studied include albino BALB/cJ and B6(Cg)-Tyrc-2J/J and pigmented C57Bl/6J. Mice were reared under dim light conditions until ~8 weeks of age where they underwent baseline imaging. Following, mice were returned to the dim vivarium or relocated to the top rack cage position in a standard vivarium. Mice were then followed for several months by ocular imaging to catalog the retinal dynamics as a function of long-term dim vs. elevated, standard vivarium lighting exposure levels. Upon exposure to elevated light levels, B6(Cg)-Tyrc-2J/J underwent similar changes as BALB/cJ in regard to photoreceptor outer segment shortening, photoreceptor layer proximal aspect hyperreflective changes, and the development of retinal infoldings and autofluorescent sub-retinal inflammatory monocyte infiltrate. Noteworthy, however, is that infoldings and infiltrate occurred at a slower rate of progression in B6(Cg)-Tyrc-2J/J vs. BALB/cJ. The photoreceptor outer nuclear layer thickness of BALB/cJ degenerated steadily following elevated light onset. In contrast, B6(Cg)-Tyrc-2J/J degeneration was unremarkable for many weeks before experiencing a noticeable change in the rate of degeneration that was concomitant with a plateau and decreasing trend in number of retinal infoldings and monocyte infiltrate. Pathological changes in C57Bl/6J mice were unremarkable for all imaging biomarkers assessed with exception to autofluorescent sub-retinal inflammatory monocyte infiltrate, which showed significant accumulation in dim vs. elevated light exposed mice following ~1 year of observation. These data were evaluated using Spearman\'s correlation and Predictive Power Score matrices to determine the best imaging optophysiological biomarkers for indicating vivarium light stress and light-induced photoreceptor degeneration. This study suggests that changes in proximal aspect hyperreflectivity, outer segment shortening, retinal infoldings and autofluorescent sub-retinal inflammatory monocyte infiltrate are excellent indicators of light stress and light-induced degeneration in albino B6(Cg)-Tyrc-2J/J and BALB/cJ mouse strains.
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  • 文章类型: Journal Article
    (1)背景:椎间盘退变与肥胖有关;其对椎间盘的潜在机械作用尚不清楚。本研究旨在开发和验证L3-L4椎骨的患者特异性模型,然后使用该模型来评估体重增加对椎间盘退变的影响。(2)方法:建立了L3-L4椎体的脊柱功能单元及其组成部分的三维模型,并进行了验证。通过将运动范围(RoM)和椎间盘内压力与以前的文献进行比较来实现验证。随后,根据体重指数和估计的应力加载经过验证的模型,变形,和RoM评估椎间盘退变。(3)结果:在验证期间,L3-L4RoM和椎间盘内压力:屈曲5.17°和1.04MPa,延伸1.54°和0.22MPa,横向弯曲3.36°和0.54MPa,轴向旋转1.14°和0.52MPa,分别。在研究体重对椎间盘退变的影响时,从正常体重到肥胖的升级揭示了RoM的增加,屈曲时的3.44%,延长期间的22.7%,侧向弯曲时29.71%,轴向旋转时的33.2%,分别。此外,应力和圆盘变形随着所有RoM重量的增加而升高。(4)结论:所开发模型的预测力学响应与验证数据集紧密匹配。经过验证的模型可以预测体重增加时的椎间盘退变,并为将来旨在确定由于椎间盘退变引起的下背痛的预测因子的建议奠定了基础。
    (1) Background: Intervertebral disc degeneration has been linked to obesity; its potential mechanical effects on the intervertebral disc remain unknown. This study aimed to develop and validate a patient-specific model of L3-L4 vertebrae and then use the model to estimate the impact of increasing body weight on disc degeneration. (2) Methods: A three-dimensional model of the functional spinal unit of L3-L4 vertebrae and its components were developed and validated. Validation was achieved by comparing the range of motions (RoM) and intradiscal pressures with the previous literature. Subsequently, the validated model was loaded according to the body mass index and estimated stress, deformation, and RoM to assess disc degeneration. (3) Results: During validation, L3-L4 RoM and intradiscal pressures: flexion 5.17° and 1.04 MPa, extension 1.54° and 0.22 MPa, lateral bending 3.36° and 0.54 MPa, axial rotation 1.14° and 0.52 MPa, respectively. When investigating the impact of weight on disc degeneration, escalating from normal weight to obesity reveals an increased RoM, by 3.44% during flexion, 22.7% during extension, 29.71% during lateral bending, and 33.2% during axial rotation, respectively. Also, stress and disc deformation elevated with increasing weight across all RoM. (4) Conclusions: The predicted mechanical responses of the developed model closely matched the validation dataset. The validated model predicts disc degeneration under increased weight and could lay the foundation for future recommendations aimed at identifying predictors of lower back pain due to disc degeneration.
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  • 文章类型: Journal Article
    椎间盘(IVD)变性会影响人类和犬科动物,并且是下腰痛(LBP)的主要原因。肥大细胞(MC)和巨噬细胞(MØ)浸润已在人类和啮齿动物模型中的IVD变性(IVDD)的发病机理中得到鉴定,但在犬科动物中仍未得到充分研究。IVD中的MC脱粒导致促炎级联并激活IVD细胞上的蛋白酶激活受体2(PAR2)。本研究的目的是:(1)强调在退化犬IVD中观察到的病理生理变化,(2)进一步表征与犬髓核(NP)细胞共培养的MC的炎症作用,(3)评价构造刚度对NP和MC的影响,和(4)确定潜在的治疗方法,以减轻IVD微环境的病理变化。
    从健康的尸检研究犬(比格犬)和接受椎板切除术治疗IVD疝的宠物犬中分离出犬IVD组织。形态学,蛋白质含量,和炎症标志物进行评估。将从健康尸检(Mongrel猎犬)组织中分离的NP细胞与犬MC在琼脂糖构建体中共培养,并用色甘酸钠(CS)和PAR2拮抗剂(PAR2A)处理。基因表达,硫酸化糖胺聚糖含量,和结构的刚度进行了评估。
    CD31+血管,肥大细胞类胰蛋白酶,与健康尸检相比,变性手术犬组织中的巨噬细胞CD163增加。当犬NP细胞与MC共培养时,促炎基因上调,并且更硬的微环境增强了这些作用。用CS和PAR2抑制剂处理在犬NP细胞中介导关键的促炎标志物。
    MC增加了,MØs,退化犬IVD组织中的血管向内生长,与IVDD和LBP临床人群的观察结果相似。与犬NP细胞共培养的MC驱动炎症,CS和PAR2A是可能减轻体外IVDD病理生理学的潜在疗法。
    UNASSIGNED: Intervertebral disk (IVD) degeneration affects both humans and canines and is a major cause of low back pain (LBP). Mast cell (MC) and macrophage (MØ) infiltration has been identified in the pathogenesis of IVD degeneration (IVDD) in the human and rodent model but remains understudied in the canine. MC degranulation in the IVD leads to a pro-inflammatory cascade and activates protease activated receptor 2 (PAR2) on IVD cells. The objectives of the present study are to: (1) highlight the pathophysiological changes observed in the degenerate canine IVD, (2) further characterize the inflammatory effect of MCs co-cultured with canine nucleus pulposus (NP) cells, (3) evaluate the effect of construct stiffness on NP and MCs, and (4) identify potential therapeutics to mitigate pathologic changes in the IVD microenvironment.
    UNASSIGNED: Canine IVD tissue was isolated from healthy autopsy research dogs (beagle) and pet dogs undergoing laminectomy for IVD herniation. Morphology, protein content, and inflammatory markers were assessed. NP cells isolated from healthy autopsy (Mongrel hounds) tissue were co-cultured with canine MCs within agarose constructs and treated with cromolyn sodium (CS) and PAR2 antagonist (PAR2A). Gene expression, sulfated glycosaminoglycan content, and stiffness of constructs were assessed.
    UNASSIGNED: CD 31+ blood vessels, mast cell tryptase, and macrophage CD 163+ were increased in the degenerate surgical canine tissue compared to healthy autopsy. Pro-inflammatory genes were upregulated when canine NP cells were co-cultured with MCs and the stiffer microenvironment enhanced these effects. Treatment with CS and PAR2 inhibitors mediated key pro-inflammatory markers in canine NP cells.
    UNASSIGNED: There is increased MC, MØs, and vascular ingrowth in the degenerate canine IVD tissue, similar to observations in the clinical population with IVDD and LBP. MCs co-cultured with canine NP cells drive inflammation, and CS and PAR2A are potential therapeutics that may mitigate the pathophysiology of IVDD in vitro.
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  • 文章类型: Journal Article
    椎间盘退变在犬中很常见,可能与症状和功能障碍有关。可以使用Pfirrmann分类方案在T2加权MRI扫描上评估椎间盘退变的程度,是为人类脊柱开发的。然而,它也可用于量化椎间盘再生疗法的有效性。我们开发并测试了一种深度学习工具,能够自动对狗棘椎间盘退变的程度进行评分,从设计用于处理人类患者图像的现有模型开始。
    收集狗患者5991个腰椎间盘的MRI中矢状扫描,并使用Pfirrmann方案和具有过渡等级的修改方案进行手动评估。基于这两种方案训练了深度学习模型以对光盘图像进行分类,并通过将其性能与处理人类图像的模型进行比较来进行测试。
    Pfirrmann等级的测定显示,对于所有变性等级,灵敏度均高于83%,除了在狗刺中很少见的5级,和高特异性。相比之下,相应的人体模型的灵敏度略高,犬模型的平均90%对85%。相对于原始Pfirrmann等级,具有分数等级的修改方案没有显示出明显的优势。
    该新工具能够准确可靠地对狗椎间盘退变的严重程度进行评分,尽管性能不如人体模型。该工具在犬患者椎间盘退变的临床管理中以及在评估用作人类疾病动物模型的狗的再生疗法的纵向研究中具有潜力。
    UNASSIGNED: Intervertebral disc degeneration is frequent in dogs and can be associated with symptoms and functional impairments. The degree of disc degeneration can be assessed on T2-weighted MRI scans using the Pfirrmann classification scheme, which was developed for the human spine. However, it could also be used to quantify the effectiveness of disc regeneration therapies. We developed and tested a deep learning tool able to automatically score the degree of disc degeneration in dog spines, starting from an existing model designed to process images of human patients.
    UNASSIGNED: MRI midsagittal scans of 5991 lumbar discs of dog patients were collected and manually evaluated with the Pfirrmann scheme and a modified scheme with transitional grades. A deep learning model was trained to classify the disc images based on the two schemes and tested by comparing its performance with the model processing human images.
    UNASSIGNED: The determination of the Pfirrmann grade showed sensitivities higher than 83% for all degeneration grades, except for grade 5, which is rare in dog spines, and high specificities. In comparison, the correspondent human model had slightly higher sensitivities, on average 90% versus 85% for the canine model. The modified scheme with the fractional grades did not show significant advantages with respect to the original Pfirrmann grades.
    UNASSIGNED: The novel tool was able to accurately and reliably score the severity of disc degeneration in dogs, although with a performance inferior than that of the human model. The tool has potential in the clinical management of disc degeneration in canine patients as well as in longitudinal studies evaluating regenerative therapies in dogs used as animal models of human disorders.
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