Lobules

小叶
  • 文章类型: Journal Article
    在本研究中,我们使用带有软盖的超声生物显微镜(UBM)介绍人类泪腺成像,并显示其发现。
    7名受试者(4名非干燥型干眼综合征,1患有干燥综合征,和2名健康受试者)在这项研究中进行了描述。为了脱垂眼睑叶,检查者将上眼睑的颞部拉向上颞部,并指示受试者向鼻下方向看。我们使用UBM纵向和横向扫描了睑叶。我们使用了阿维索UBM(QuantelMedical,克莱蒙费朗,法国),带有50MHz线性探头和ClearScan。
    在两个健康受试者的UBM中,泪腺的回声低于巩膜且均匀。但是,与健康受试者相比,Sjögren干眼综合征患者的实质非常不均匀.在两名干眼症患者中,我们能够观察到薄壁组织中的一些小叶。在某些受试者中,我们可以发现排泄管道在纵向截面的表面平行延伸。在受试者的纵向UBM扫描中,我们观察到1500µm深度的管状结构被认为是血管。它从鼻上方向跑到下流方向。在一个主题中,我们观察到结膜下有一个大囊肿。
    使用UBM进行泪腺成像具有OCT和超声检查的优点,并可用于评估干眼症。
    OBJECTIVE: In the present study, we introduce human lacrimal gland imaging using an ultrasound biomicroscopy (UBM) with a soft cover and show their findings.
    METHODS: The representative UBM findings of palpebral lobes in seven subjects (four with non-Sjögren dry eye syndrome, one with Sjögren syndrome, and two healthy subjects) were described in this study. To prolapse the palpebral lobe, the examiner pulled the temporal part of the upper eyelid in the superotemporal direction and directed the subject to look in the inferonasal direction. We scanned the palpebral lobes longitudinally and transversely using UBM. We used an Aviso UBM with a 50 MHz linear probe and ClearScan.
    RESULTS: In UBM of two healthy subjects, the echogenicity of the lacrimal gland was lower than that of the sclera and homogeneous. But the parenchyma of a patient with Sjögren dry eye syndrome was quite inhomogeneous compared to the healthy subjects. In two patients with dry eye syndrome, we were able to observe some lobules in the parenchyma. We could find excretory ducts running parallel at the surface of the longitudinal section in some subjects. In the longitudinal UBM scan of a subject, we observed a tubular structure at a depth of 1,500 μm that was considered a blood vessel. It ran from the superonasal to the inferotemporal direction. In a subject, we observed a large cyst beneath the conjunctiva.
    CONCLUSIONS: Lacrimal gland imaging using UBM has both advantages of optical coherence tomography and sonography, and could be useful for evaluating dry eye syndrome.
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  • 文章类型: Journal Article
    近年来,大脑储备能力的概念对中风后的恢复过程产生了积极影响。全球大脑健康指标与有利的结果有关。许多研究已经证明小脑参与中风后的恢复。然而,小脑解剖学的特征,中风后直接量化,可能会对卒中后的预后产生影响.39例首次缺血性非小脑卒中患者在卒中后早期接受了MRI脑成像和纵向临床随访。结构图像用于不同小脑区域的体积分析。进行有序logistic回归分析,将小脑体积与卒中后3-6个月的功能结局相关联。通过修改后的Rankin量表进行操作。较大体积的小脑小叶IV,VI,和VIIIB与有利的结果呈正相关,独立于初始损害的严重程度,年龄,病变体积(P<0.01)。小脑总体积没有表现出显著的结构-结果关联。本研究表明,参与运动和认知功能的不同小脑小叶的卒中前解剖可能与急性非小脑卒中后的结果有关。从而促进了中风后恢复过程的结构性大脑储备的新兴概念。
    The concept of brain reserve capacity positively influencing the process of recovery after stroke has been continuously developed in recent years. Global measures of brain health have been linked with a favourable outcome. Numerous studies have evidenced that the cerebellum is involved in recovery after stroke. However, it remains an open question whether characteristics of cerebellar anatomy, quantified directly after stroke, might have an impact on subsequent outcome after stroke. Thirty-nine first-ever ischaemic non-cerebellar stroke patients underwent MRI brain imaging early after stroke and longitudinal clinical follow-up. Structural images were used for volumetric analyses of distinct cerebellar regions. Ordinal logistic regression analyses were conducted to associate cerebellar volumes with functional outcome 3-6 months after stroke, operationalized by the modified Rankin Scale. Larger volumes of cerebellar lobules IV, VI, and VIIIB were positively correlated with favourable outcome, independent of the severity of initial impairment, age, and lesion volume (P < 0.01). The total cerebellar volume did not exhibit a significant structure-outcome association. The present study reveals that pre-stroke anatomy of distinct cerebellar lobules involved in motor and cognitive functioning might be linked to outcome after acute non-cerebellar stroke, thereby promoting the emerging concepts of structural brain reserve for recovery processes after stroke.
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  • 文章类型: Journal Article
    小脑是中枢神经系统中最早发育的结构之一。尽管如此,直到最近才被重新考虑其重要的神经生物学,功能,和人类的临床相关性。因此,与大脑相比,它的研究相对不足。目前,非侵入性成像模式几乎无法达到必要的分辨率来展开其整体,盘旋表面,而只有组织学分析才能揭示微米尺度的局部信息。在这里,我们使用BigBrain数据集生成小脑皮层所有层的面积和逐点厚度测量值,特别是每个小叶.我们发现小脑颗粒层(包括浦肯野细胞)的总表面积为1,732cm2,分子层为1,945cm2。颗粒层的平均厚度为0.88mm(±0.83),分子层的平均厚度为0.32mm(±0.08)。小脑(颗粒层和分子层)在沟的深度处较厚,而在回的冠处较薄。全球范围内,颗粒层在外-后-下区域比内侧-上区域厚。本文实现的小脑中各个层的表征代表了使用神经影像学将结构和功能连通性与小脑结构相关联的研究的垫脚石,这在基础和临床神经科学中是一个相当重要的问题。此外,这些数据为小脑地形图的构建以及影响小脑的疾病的结构和功能改变的精确定位提供了模板。
    The cerebellum is ontogenetically one of the first structures to develop in the central nervous system; nevertheless, it has been only recently reconsidered for its significant neurobiological, functional, and clinical relevance in humans. Thus, it has been a relatively under-studied compared to the cerebrum. Currently, non-invasive imaging modalities can barely reach the necessary resolution to unfold its entire, convoluted surface, while only histological analyses can reveal local information at the micrometer scale. Herein, we used the BigBrain dataset to generate area and point-wise thickness measurements for all layers of the cerebellar cortex and for each lobule in particular. We found that the overall surface area of the cerebellar granular layer (including Purkinje cells) was 1,732 cm2 and the molecular layer was 1,945 cm2. The average thickness of the granular layer is 0.88 mm (± 0.83) and that of the molecular layer is 0.32 mm (± 0.08). The cerebellum (both granular and molecular layers) is thicker at the depth of the sulci and thinner at the crowns of the gyri. Globally, the granular layer is thicker in the lateral-posterior-inferior region than the medial-superior regions. The characterization of individual layers in the cerebellum achieved herein represents a stepping-stone for investigations interrelating structural and functional connectivity with cerebellar architectonics using neuroimaging, which is a matter of considerable relevance in basic and clinical neuroscience. Furthermore, these data provide templates for the construction of cerebellar topographic maps and the precise localization of structural and functional alterations in diseases affecting the cerebellum.
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  • 文章类型: Journal Article
    In this chapter, we compare current understanding of the anatomy and functional compartmentation of the human cerebellum with detailed knowledge in nonhuman species. The anatomy of the cerebellum is highly conserved across mammals and comparison of functional data suggests that similar principles of organization also hold true for somatotopy. In particular, there is a dual representation of the limbs in the cerebellar cortex in rat, ferret, cat, monkey, and human. In animals, a key organizing principle of the cerebellum is its division into a series of longitudinally oriented olivocorticonuclear modules that are narrow in the mediolateral axis but extend across multiple cerebellar lobules in the rostrocaudal plane. This contrasts with existing understanding of the human cerebellum that suggests that functional compartmentation is organized mainly at the level of different lobes and lobules. However, advances in spatial resolution of imaging techniques mean we are now able to start to examine whether a longitudinal modular organization is also present within the human cerebellum. This has implications for the diagnosis and future treatment of clinical disorders that involve the cerebellum, since it is possible that variations in symptomatology may relate to this finer grain localization.
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  • 文章类型: Journal Article
    陆地哺乳动物的肝脏大小在>3*106的重量范围内遵循异速缩放定律。由于缩放反映了在其他相似动物中大小或尺度的适应性变化,我们可以预期观察到啮齿动物和人类肝脏之间的相似性比差异更多。明显的差异,例如存在(啮齿动物)或不存在(人类)的分叶和存在(小鼠,人类)或胆囊缺失(大鼠),表明这些物种的肝脏之间存在质的差异。审查后,然而,我们得出的结论是,这些差异代表了相对较小的数量差异。肝脏的微观结构在哺乳动物物种中非常相似,最好用小叶概念来表示,在门静脉道的结缔组织发育程度上存在最大差异。虽然较大的哺乳动物有较大的小叶,增加肝脏的大小主要是通过增加小叶的数量来实现的。肝动脉在较大物种的小叶灌注中的作用越来越大,也许,小肝脏和大肝脏之间最重要和最不为人所知的区别,因为它不仅深刻影响肝移植等干预措施,还有肝功能的计算。
    The size of the liver of terrestrial mammals obeys the allometric scaling law over a weight range of >3 ∗ 106. Since scaling reflects adaptive changes in size or scale among otherwise similar animals, we can expect to observe more similarities than differences between rodent and human livers. Obvious differences, such as the presence (rodents) or absence (humans) of lobation and the presence (mice, humans) or absence (rats) of a gallbladder, suggest qualitative differences between the livers of these species. After review, however, we conclude that these dissimilarities represent relatively small quantitative differences. The microarchitecture of the liver is very similar among mammalian species and best represented by the lobular concept, with the biggest difference present in the degree of connective tissue development in the portal tracts. Although larger mammals have larger lobules, increasing size of the liver is mainly accomplished by increasing the number of lobules. The increasing role of the hepatic artery in lobular perfusion of larger species is, perhaps, the most important and least known difference between small and large livers, because it profoundly affects not only interventions like liver transplantations, but also calculations of liver function.
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  • 文章类型: Journal Article
    The mouse cerebellum (Cb) has a remarkably complex foliated three-dimensional (3D) structure, but a stereotypical cytoarchitecture and local circuitry. Little is known of the cellular behaviors and genes that function during development to determine the foliation pattern. In the anteroposterior axis the mammalian cerebellum is divided by lobules with distinct sizes, and the foliation pattern differs along the mediolateral axis defining a medial vermis and two lateral hemispheres. In the vermis, lobules are further grouped into four anteroposterior zones (anterior, central, posterior and nodular zones) based on genetic criteria, and each has distinct lobules. Since each cerebellar afferent group projects to particular lobules and zones, it is critical to understand how the 3D structure of the Cb is acquired. During cerebellar development, the production of granule cells (gcs), the most numerous cell type in the brain, is required for foliation. We hypothesized that the timing of gc accumulation is different in the four vermal zones during development and contributes to the distinct lobule morphologies.
    In order to test this idea, we used genetic inducible fate mapping to quantify accumulation of gcs in each lobule during the first two postnatal weeks in mice. The timing of gc production was found to be particular to each lobule, and delayed in the central zone lobules relative to the other zones. Quantification of gc proliferation and differentiation at three time-points in lobules representing different zones, revealed the delay involves a later onset of maximum differentiation and prolonged proliferation of gc progenitors in the central zone. Similar experiments in Engrailed mutants (En1 (-/+) ;En2 (-/-) ), which have a smaller Cb and altered foliation pattern preferentially outside the central zone, showed that gc production, proliferation and differentiation are altered such that the differences between zones are attenuated compared to wild-type mice.
    Our results reveal that gc production is differentially regulated in each zone of the cerebellar vermis, and our mutant analysis indicates that the dynamics of gc production plays a role in determining the 3D structure of the Cb.
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    文章类型: Journal Article
    目的:在传统医学中,丹参(鼠尾草)已被用作月经周期调节剂。在本研究中,研究了鼠尾草提取物对乳腺组织的影响。
    方法:将14只雌性大鼠分为两组:1)用1ml蒸馏水灌胃的蒸馏水处理的大鼠(Con)和2)用30mg/kg/体重的鼠尾草提取物(SHE)处理的大鼠灌胃30天。通过每日检查阴道涂片来监测发情周期的变化。将整个右侧骨盆乳房铺展在载玻片上,并被胭脂红染色。对乳腺1型和2型肺泡芽(ABs)和小叶的数量进行评分。制备左盆腔乳腺组织切片并测量其组织形态变化。从背主动脉采集血样,并使用放射免疫分析法测量雌二醇和孕酮的浓度。
    结果:在SHE处理的动物中,发情周期显著降低。SHE治疗组乳腺整体的肺泡芽和小叶数量高于Con组。与Con组相比,SHE治疗组乳腺组织学切片中导管的数量和直径增加。
    结论:鼠尾草可促进乳腺的肺泡形成,可用作乳草。
    OBJECTIVE: In traditional medicine Salvia officinalis (sage) has been used as menstrual cycle regulator. In the present study the effects of sage extract on breast tissue were examined.
    METHODS: Fourteen female rats were divided into two groups: 1) Distilled water-treated rats (Con) that were gavaged with 1ml distilled water and 2) Saliva officinalis hydroalcoholic extract (SHE)-treated rats that were gavaged with 30mg/kg/body weight of sage extract for 30 days. The estrus cycle changes were monitored by daily examination of vaginal smear. Whole mounts of right pelvic breast were spread on the slide and stained by carmine. The number of alveolar buds (ABs) type 1 and 2 and lobules of mammary gland were scored. Tissue sections of left pelvic mammary gland were prepared and its histomorphometrical changes were measured. Blood samples were taken from dorsal aorta and estradiol and progesterone concentrations were measured using radioimmunoassay.
    RESULTS: Estrous cycles decreased significantly in SHE-treated animals. The number of alveolar buds and lobules in mammary gland whole mount of SHE-treated group were higher than the Con group. The number and diameter of ducts in histological section of mammary gland in SHE-treated group increased as compared to the Con group.
    CONCLUSIONS: Sage promotes alveologenesis of mammary glands and it can be used as a lactiferous herb.
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  • 文章类型: Journal Article
    虽然黑质纹状体变化最常见的是与帕金森病有关,小脑在帕金森病中的作用越来越明显。本研究使用基于小脑静息状态的小脑功能连接(1)比较小脑-全脑和小脑-小脑连接在帕金森病患者的ON和OFFL-DOPA药物和对照,和(2)将小脑连通性的变化与行为表现联系起来。结果表明,与对照组相比,帕金森病患者OFF药物治疗的小脑-全脑和小脑-小脑连接水平增加,而帕金森病患者ON药物治疗的小脑-全脑和小脑-小脑连通性水平降低。此外,小脑连通性水平与行为测量的相关分析表明,在每个小组中,连接水平的提高通常与认知和运动表现的改善有关,但是在某些情况下,连接的增加与性能较差有关。总的来说,本研究发现帕金森病患者的药物变异小脑连接,进一步证明与帕金森病相关的小脑变化和药物的调节作用。
    Although nigrostriatal changes are most commonly affiliated with Parkinson\'s disease, the role of the cerebellum in Parkinson\'s has become increasingly apparent. The present study used lobule-based cerebellar resting state functional connectivity to (1) compare cerebellar-whole brain and cerebellar-cerebellar connectivity in Parkinson\'s patients both ON and OFF L-DOPA medication and controls, and to (2) relate variations in cerebellar connectivity to behavioral performance. Results indicated that, when contrasted to the control group, Parkinson\'s patients OFF medication had increased levels of cerebellar-whole brain and cerebellar-cerebellar connectivity, whereas Parkinson\'s patients ON medication had decreased levels of cerebellar-whole brain and cerebellar-cerebellar connectivity. Moreover, analyses relating levels of cerebellar connectivity to behavioral measures demonstrated that, within each group, increased levels of connectivity were most often associated with improved cognitive and motor performance, but there were several instances where increased connectivity was related to poorer performance. Overall, the present study found medication-variant cerebellar connectivity in Parkinson\'s patients, further demonstrating cerebellar changes associated with Parkinson\'s disease and the moderating effects of medication.
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  • 文章类型: Journal Article
    The mammalian cerebellum consists of folds of different sizes and shapes that house distinct neural circuits. A crucial factor underlying foliation is the generation of granule cells (gcs), the most numerous neuron type in the brain. We used clonal analysis to uncover global as well as folium size-specific cellular behaviors that underlie cerebellar morphogenesis. Unlike most neural precursors, gc precursors divide symmetrically, accounting for their massive expansion. We found that oriented cell divisions underlie an overall anteroposteriorly polarized growth of the cerebellum and gc clone geometry. Clone geometry is further refined by mediolateral oriented migration and passive dispersion of differentiating gcs. Most strikingly, the base of each fissure acts as a boundary for gc precursor dispersion, which we propose allows each folium to be regulated as a developmental unit. Indeed, the geometry and size of clones in long and short folia are distinct. Moreover, in engrailed 1/2 mutants with shorter folia, clone cell number and geometry are most similar to clones in short folia of wild-type mice. Thus, the cerebellum has a modular mode of development that allows the plane of cell division and number of divisions to be differentially regulated to ensure that the appropriate number of cells are partitioned into each folium.
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  • 文章类型: Journal Article
    在过去的几十年中,人类小脑的可靠和快速分割及其复杂的小叶和小叶结构一直是一个挑战。在各种感觉运动和认知行为回路中小脑功能整合的新兴知识需要新的自动分割技术,具有类似于手动分割的准确性,但适用于在合理的时间范围内的大量主题。本文介绍了一种新型管道的开发和应用,用于快速自动分割人类小脑及其小叶(RASCAL),该管道结合了基于补丁的标签融合和来自国际联盟的16个健康对照的手动标记小脑的模板库大脑映射(ICBM)数据库。省略实验表明,手动和自动分割之间具有良好的一致性(Dicekappa=0.82)。计算组内相关系数(ICC)以测试分段体积的可靠性,并且对于全局测量(总体和半球形灰质和白质)最高(ICC>0.9),其次是后叶的较大小叶(ICC>0.8)。此外,我们将管道应用于ICBM数据库的所有152名年轻健康对照,以寻找半球和性别差异。结果表明,男性的固有空间体积大于女性(女性的平均(±SD)总小脑体积=217cm(3)(±26),男性=259cm(3)(±29);P<0.001)。仅在白质核心(男性>女性)和前叶体积(女性>男性)的立体定位空间体积中发现了显着的半球性别相互作用。这种新方法在大型患者队列中对小脑进行精确有效的分析方面显示出巨大的潜力。
    Reliable and fast segmentation of the human cerebellum with its complex architecture of lobes and lobules has been a challenge for the past decades. Emerging knowledge of the functional integration of the cerebellum in various sensori-motor and cognitive-behavioral circuits demands new automatic segmentation techniques, with accuracies similar to manual segmentations, but applicable to large subject numbers in a reasonable time frame. This article presents the development and application of a novel pipeline for rapid automatic segmentation of the human cerebellum and its lobules (RASCAL) combining patch-based label-fusion and a template library of manually labeled cerebella of 16 healthy controls from the International Consortium for Brain Mapping (ICBM) database. Leave-one-out experiments revealed a good agreement between manual and automatic segmentations (Dice kappa = 0.82). Intraclass correlation coefficients (ICC) were calculated to test reliability of segmented volumes and were highest (ICC > 0.9) for global measures (total and hemispherical grey and white matter) followed by larger lobules of the posterior lobe (ICC > 0.8). Further we applied the pipeline to all 152 young healthy controls of the ICBM database to look for hemispheric and gender differences. The results demonstrated larger native space volumes in men then women (mean (± SD) total cerebellar volume in women = 217 cm(3) (± 26), men = 259 cm(3) (± 29); P < 0.001). Significant gender-by-hemisphere interaction was only found in stereotaxic space volumes for white matter core (men > women) and anterior lobe volume (women > men). This new method shows great potential for the precise and efficient analysis of the cerebellum in large patient cohorts.
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