Thestages ofintegration leading fromlocal feature analysis toobject recognition wereexplored inhuman visual cortex byusing thetechnique offunctional magnetic resonance imaging. Herewereport evidence forobject-related activation. Suchactivation waslocated atthelateral-posterior aspect oftheoccipital lobe, just abutting theposterior aspect ofthemotion-sensitive areaMT/V5,inaregion termed the lateral occipital complex (LO). LOshowedpreferential acti- vation toimages ofobjects, compared toawiderangeof texture patterns. Thisactivation wasnotcaused byaglobal difference intheFourier spatial frequency content ofobjects versus texture images, since object images produced enhanced LOactivation compared totextures matched inpowerspectra butrandomized inphase. Thepreferential activation toob- jects alsocould notbeexplained bydifferent patterns ofeye movements: similar levels ofactivation wereobserved when subjects fixated ontheobjects andwhentheyscanned the objects withtheir eyes. Additional manipulations suchas spatial frequency filtering anda4-fold change invisual size didnotaffect LO activation. Theseresults' suggest thatthe enhanced responses toobjects werenotamanifestation of low-level visual processing. A striking demonstration that activity inLOisuniquely correlated toobject detectability was produced bythe"Lincoln" illusion, inwhichblurring of objects digitized intolarge blocks paradoxically increases their recognizability. Suchblurring ledtosignificant en- hancement ofLOactivation. Despite thepreferential activa- tion toobjects, LO didnotseemtobeinvolved inthefinal, "semantic," stages oftherecognition process. Thus,objects varying widely intheir recognizability (e.g., famous faces, commonobjects, andunfamiliar three-dimensional abstract sculptures) activated ittoasimilar degree. Theseresults are thusevidence foranintermediate linkinthechainofpro- cessing stages leading toobject recognition inhumanvisual cortex.

/pdf/object-related-activity-revealed-byfunctional-magnetic-1a8vllt6eu.pdf

Object-related activity revealed byfunctional magnetic resonance imaging inhumanoccipital cortex

Thermoregulation is a vital function of the autonomic nervous system in response to cold and heat stress. Thermoregulatory physiology sustains health by keeping body core temperature within a degree or two of 37°C, which enables normal cellular function. Heat production and dissipation are dependent on a coordinated set of autonomic responses. The clinical detection of thermoregulatory impairment provides important diagnostic and localizing information in the evaluation of disorders that impair thermoregulatory pathways, including autonomic neuropathies and ganglionopathies. Failure of neural thermoregulatory mechanisms or exposure to extreme or sustained temperatures that overwhelm the body's thermoregulatory capacity can also result in potentially life-threatening departures from normothermia. Hypothermia, defined as a core temperature of 40.5°C, may present with sweating, flushing, tachycardia, fatigue, lightheadedness, headache, and paresthesia, progressing to weakness, muscle cramps, oliguria, nausea, agitation, hypotension, syncope, confusion, delirium, seizures, and coma. Mental status changes and core temperature distinguish potentially fatal heat stroke from heat exhaustion. Management requires the immediate reduction of core temperature. Ice water immersion has been shown to be superior to alternative cooling measures. Avoidance of thermal risk and early recognition of cold or heat stress are the cornerstones of preventive therapy.

Thermoregulatory disorders and illness related to heat and cold stress.

Recent reports of a high response to bodies in the fusiform face area (FFA) challenge the idea that the FFA is exclusively selective for face stimuli. We examined this claim by conducting a functional magnetic resonance imaging experiment at both standard (3.125 x 3.125 x 4.0 mm) and high resolution (1.4 x 1.4 x 2.0 mm). In both experiments, regions of interest (ROIs) were defined using data from blocked localizer runs. Within each ROI, we measured the mean peak response to a variety of stimulus types in independent data from a subsequent event-related experiment. Our localizer scans identified a fusiform body area (FBA), a body-selective region reported recently by Peelen and Downing (2005) that is anatomically distinct from the extrastriate body area. The FBA overlapped with and was adjacent to the FFA in all but two participants. Selectivity of the FFA to faces and FBA to bodies was stronger for the high-resolution scans, as expected from the reduction in partial volume effects. When new ROIs were constructed for the high-resolution experiment by omitting the voxels showing overlapping selectivity for both bodies and faces in the localizer scans, the resulting FFA* ROI showed no response above control objects for body stimuli, and the FBA* ROI showed no response above control objects for face stimuli. These results demonstrate strong selectivities in distinct but adjacent regions in the fusiform gyrus for only faces in one region (the FFA*) and only bodies in the other (the FBA*).

Separate face and body selectivity on the fusiform gyrus

An ever-increasing number of functional magnetic resonance imaging (fMRI) studies are now using information-based multi-voxel pattern analysis (MVPA) techniques to decode mental states. In doing so, they achieve a significantly greater sensitivity compared to when they use univariate frameworks. However, the new brain-decoding methods have also posed new challenges for analysis and statistical inference on the group level. We discuss why the usual procedure of performing t-tests on accuracy maps across subjects in order to produce a group statistic is inappropriate. We propose a solution to this problem for local MVPA approaches, which achieves higher sensitivity than other procedures. Our method uses random permutation tests on the single-subject level, and then combines the results on the group level with a bootstrap method. To preserve the spatial dependency induced by local MVPA methods, we generate a random permutation set and keep it fixed across all locations. This enables us to later apply a cluster size control for the multiple testing problem. More specifically, we explicitly compute the distribution of cluster sizes and use this to determine the p-values for each cluster. Using a volumetric searchlight decoding procedure, we demonstrate the validity and sensitivity of our approach using both simulated and real fMRI data sets. In comparison to the standard t-test procedure implemented in SPM8, our results showed a higher sensitivity. We discuss the theoretical applicability and the practical advantages of our approach, and outline its generalization to other local MVPA methods, such as surface decoding techniques.

Statistical inference and multiple testing correction in classification-based multi-voxel pattern analysis (MVPA): random permutations and cluster size control

Diffusion-weighted imaging (DWI) is increasingly being incorporated into routine breast MRI protocols in many institutions worldwide, and there are abundant breast DWI indications ranging from lesion detection and distinguishing malignant from benign tumors to assessing prognostic biomarkers of breast cancer and predicting treatment response. DWI has the potential to serve as a noncontrast MR screening method. Beyond apparent diffusion coefficient (ADC) mapping, which is a commonly used quantitative DWI measure, advanced DWI models such as intravoxel incoherent motion (IVIM), non-Gaussian diffusion MRI, and diffusion tensor imaging (DTI) are extensively exploited in this field, allowing the characterization of tissue perfusion and architecture and improving diagnostic accuracy without the use of contrast agents. This review will give a summary of the clinical literature along with future directions. Level of Evidence: 5 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2020;52:70-90.

Diffusion MRI of the breast: Current status and future directions

Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography

pdf/bezoar-induced-small-bowel-obstruction-clinical-3hzg7643a1.pdf

Intravoxel incoherent motion diffusion-weighted imaging as an adjunct to dynamic contrast-enhanced MRI to improve accuracy of the differential diagnosis of benign and malignant breast lesions

Hepatoid adenocarcinoma of the lung (HAL) is a rare type of extrahepatic hepatoid adenocarcinoma. The majority of such cases that have been reported in the English literature have demonstrated elevated serum α-fetoprotein (AFP) and/or positive AFP expression on histopathological analysis, and have had poor prognoses. The current study reports an extremely rare case of HAL in the right upper lung without AFP production in a 59-year-old male patient. The patient underwent radical right upper lobectomy via video assisted thoracoscopic surgery. No signs of local recurrence or distant metastasis have been observed for 23 months after the surgery. The serum AFP level following surgery remained within the normal range. Although the diagnosis of HAL predominantly depends on pathological examination, a review of the literature demonstrates that HAL has certain characteristic features with regard to its clinical and computed tomography findings and prognoses, and clinicians should be aware that clinicians should be aware that monitoring serum AFP levels, as well as CT findings, remains important.

/pdf/hepatoid-adenocarcinoma-of-the-lung-without-production-of-a-4hrozoxesq.pdf

Hepatoid adenocarcinoma of the lung without production of α-fetoprotein: A case report and review of the literature

Sex Differences in Spatial Memory.

[Purpose] This study aimed to investigate the clinical diagnostic value of dynamic enhanced multislice computed tomography (MSCT) for Fitz-Hugh-Curtis syndrome (FHCS). [Subjects and Methods] This study retrospectively analyzed the clinical features and manifestations of scanning and dynamic enhanced MSCT in 19 patients with FHCS. [Results] MSCT scans showed different degrees of liver capsule thickness in the lesion area: seven cases of sub-capsular effusion and three cases with a small amount of pleural effusion; thickness of the liver capsular arterial phase showing significant enhancement in 17 cases, and slight enhancement in two; portal venous and delayed phase enhancement decreased with no clear boundary of the liver parenchyma; and adjacent hepatic parenchymal involvement in five cases, in which the arterial phase appeared to have patchy or triangular enhancement, and unclear portal vein and delayed phase imaging findings. MSCT revealed pelvic inflammatory disease in 14 cases, peritonitis in two, endometritis combined with bilateral ovarian abscesses in two, and a tube-ovarian abscess in one. [Conclusion] Dynamic enhanced MSCT can accurately display liver capsule lesions and possible pelvic inflammatory diseases related to FHCS, suggest the infection source, and have high application value for making early, accurate diagnoses and improved prognosis.

Fitz-Hugh-Curtis syndrome: clinical diagnostic value of dynamic enhanced MSCT.

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