% % % % automatically generated % % bibtex2html biblio.bib -force % Date: Fri Jun 6 11:58:18 2003 % Author: mlingura % % % @ARTICLE{andrews:lancet:2003, AUTHOR = {N J Andrews and C P Farrington and H J T Ward and HJ Ward and S N Cousens and P G Smith and A M Molesworth and R S G Knight and RS Knight and J W Ironside and R G Will}, JOURNAL = {Lancet}, TITLE = {Deaths from variant Creutzfeldt-Jakob disease in the UK}, YEAR = {2003}, MONTH = {March}, OPTNOTE = {}, NUMBER = {9359}, PAGES = {751-2}, VOLUME = {361}, KEYWORDS = {Adolescent, Cause of Death, Child, Child Preschool, Cohort Studies, Comparative Study, Creutzfeldt-Jakob Syndrome, mortality, Cross-Sectional Studies, Great Britain, epidemiology, Human, Incidence, Population Surveillance, Support Non-U.S. Gov't}, ABSTRACT = {In 2002, 17 people died from variant CJD (vCJD) in the UK, compared with 20 in 2001 and 28 in 2000. We analysed data for deaths from vCJD since 1995 and estimated the underlying trend in mortality. The trend had a quadratic component (p=0.005), suggesting that the increase was not exponential, and that the previously increasing trend is slowing down. The death rate peaked in 2000. These findings are encouraging, but mortality might increase again in the future.} } @ARTICLE{brown:nan:2003, AUTHOR = {D A Brown and M E Bruce and J R Fraser}, JOURNAL = {Neuropathol Appl Neurobiol}, TITLE = {Comparison of the neuropathological characteristics of bovine spongiform encephalopathy (BSE) and variant Creutzfeldt-Jakob disease (vCJD) in mice}, YEAR = {2003}, MONTH = {June}, OPTNOTE = {}, NUMBER = {3}, PAGES = {262-72}, VOLUME = {29}, ABSTRACT = {Bovine spongiform encephalopathy (BSE) and variant Creutzfeldt-Jakob disease (vCJD) belong to a group of diseases called the transmissible spongiform encephalopathies (TSEs). Transmission studies in inbred mice (strain typing) provided overwhelming evidence that vCJD arose from BSE. In this study, we compare the patterns of neuropathology in a panel of three inbred mouse strains (RIII, C57BL and VM) and one cross (C57BL x VM) infected with either vCJD or BSE. For each mouse strain, patterns of abnormal prion protein (PrPres) deposition, astrocytosis and vacuolation were similar in the vCJD- and BSE-challenged mice. Prion protein (PrP)-positive plaques were prominent in the VM and C57BL x VM mice in addition to diffuse PrPres accumulation, whereas only diffuse PrPres labelling was observed in the RIII and C57BL mice. The hippocampus was targeted in all mouse strains, as was the cochlear nucleus in the medulla, both showing consistent severe vacuolation and heavy PrPres deposition. Although the targeting of PrPres was similar in the BSE- and vCJD-infected brains, the amount and intensity of PrPres observed in the brains treated with formic acid during fixation was reduced considerably. The distribution of astrocytosis was similar to the targeting of PrPres deposition in the brain, although some differences were observed in the hippocampi of mice challenged with vCJD. We conclude that there are no significant differences in the targeting of neuropathological changes observed in the BSE- and vCJD-infected mice, consistent with the previous evidence of a link between BSE and vCJD.} } @ARTICLE{capek:es:2003, AUTHOR = {I Capek and V Vaillant}, JOURNAL = {Euro Surveill}, TITLE = {Creutzfeldt-Jakob disease and related diseases in France from 1998 to 2000}, YEAR = {2003}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1}, PAGES = {14-8}, VOLUME = {8}, KEYWORDS = {Age Distribution, Codon, Creutzfeldt-Jakob Syndrome, epidemiology, France, epidemiology, Human, Mutation, Population Surveillance, Risk Factors}, ABSTRACT = {In France, the number of reports of suspected CJD increased from 1998 to 2000, probably due to the increase in the requests for biological tests: respectively 459 in 1998, 590 in 1999, and 823 in 2000. For all three years, the distribution by sex is similar, with a sex ratio (M/F) of 1.05. The proportion of suspected cases aged under 50 remained stable (16% of all reports in 1998-2000). The number of sporadic CJD, confirmed or probable, was stable, with a mortality ratio of 1.38 per one million in 1998, 1.56 in 1999, and 1.41 in 2000.} } @ARTICLE{demaerel:jn:2003, AUTHOR = {Philippe Demaerel and Raf Sciot and Wim Robberecht and Rene Dom and Dirk Vandermeulen and Frederik Maes and Guido Wilms}, JOURNAL = {J Neurol}, TITLE = {Accuracy of diffusion-weighted MR imaging in the diagnosis of sporadic Creutzfeldt-Jakob disease}, YEAR = {2003}, MONTH = {February}, OPTNOTE = {}, NUMBER = {2}, PAGES = {222-5}, VOLUME = {250}, KEYWORDS = {Aged, Autopsy, Brain, pathology, Creutzfeldt-Jakob Syndrome, pathology, Electroencephalography, Female, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Age, Prospective Studies, Support Non-U.S. Gov't}, ABSTRACT = {The definitive diagnosis of sporadic Creutzfeldt-Jakob disease (sCJD) is based on brain autopsy. The 14-3-3 analysis in the CSF is considered a highly sensitive and specific procedure. Sensitivity, specificity and accuracy of EEG, the 14-3-3 assay and MR imaging in 12 patients referred for suspected sCJD were calculated. We suggest that diffusion-weighted MR imaging (DWI) should be included in the array of diagnostic tests because of the 100 % sensitivity and specificity.} } @ARTICLE{gonen:aajn:2003, AUTHOR = {Oded Gonen}, JOURNAL = {AJNR Am J Neuroradiol}, TITLE = {Higher Field Strength for Proton MR Spectroscopy}, YEAR = {2003}, MONTH = {May}, OPTNOTE = {}, NUMBER = {5}, PAGES = {781-2}, VOLUME = {24} } @ARTICLE{hilton:jnnp:2003, AUTHOR = {D A Hilton and J W Ironside}, JOURNAL = {J Neurol Neurosurg Psychiatry}, TITLE = {Screening for variant Creutzfeldt-Jakob disease}, YEAR = {2003}, MONTH = {June}, OPTNOTE = {}, NUMBER = {6}, PAGES = {828-9}, VOLUME = {74} } @ARTICLE{kaneko:nr:2003, AUTHOR = {Kiyotoshi Kaneko}, JOURNAL = {Nippon Rinsho}, TITLE = {[Creutzfeldt-Jakob disease (CJD), variant CJD, and BSE]}, YEAR = {2003}, MONTH = {March}, OPTNOTE = {}, OPTNUMBER = {}, PAGES = {9-16}, VOLUME = {61 Suppl 3} } @ARTICLE{laplanche:lancet:2003, AUTHOR = {J L Laplanche and V Lepage and K Peoc'h and N Delasnerie-Laupretre and D Charron}, JOURNAL = {Lancet}, TITLE = {HLA in French patients with variant Creutzfeldt-Jakob disease}, YEAR = {2003}, MONTH = {February}, OPTNOTE = {}, NUMBER = {9356}, PAGES = {531-2}, VOLUME = {361}, KEYWORDS = {Alleles, Creutzfeldt-Jakob Syndrome, genetics, France, Gene Frequency, HLA-DQ Antigens, genetics, Histocompatibility Antigens Class II, genetics, Histocompatibility Testing, Human, Tumor Necrosis Factor, genetics} } @ARTICLE{martindale:an:2003, AUTHOR = {Jennifer Martindale and Michael D Geschwind and De Armond, Stephen and Armond S De and Geoffrey Young and W P Dillon and Roland Henry and Jane H Uyehara-Lock and David A Gaskin and Bruce L Miller}, JOURNAL = {Arch Neurol}, TITLE = {Sporadic creutzfeldt-jakob disease mimicking variant creutzfeldt-jakob disease}, YEAR = {2003}, MONTH = {May}, OPTNOTE = {}, NUMBER = {5}, PAGES = {767-70}, VOLUME = {60}, ABSTRACT = {BACKGROUND: The determination of the form of prion disease and early diagnosis are important for prognostic, public health, and epidemiologic reasons. OBJECTIVE: To describe a patient with sporadic Creutzfeldt-Jakob disease (sCJD) who had a clinical history and initial electroencephalogram and magnetic resonance imaging findings consistent with variant CJD (vCJD). RESULTS: Results of a repeated electroencephalogram were suggestive of sCJD, and a subsequent brain biopsy confirmed this diagnosis. CONCLUSIONS: This case cautions against relying solely on T2- and diffusion-weighted pulvinar hyperintensity and clinical features to differentiate between vCJD and sCJD, and further supports established diagnostic criteria for vCJD.} } @ARTICLE{mendez:jn:2003, AUTHOR = {Oscar E Mendez and Jingzi Shang and Charles A Jungreis and Daniel I Kaufer}, JOURNAL = {J Neuroimaging}, TITLE = {Diffusion-weighted MRI in Creutzfeldt-Jakob disease: a better diagnostic marker than CSF protein 14-3-3?}, YEAR = {2003}, MONTH = {April}, OPTNOTE = {}, NUMBER = {2}, PAGES = {147-51}, VOLUME = {13}, KEYWORDS = {Aged, Case Report, Creutzfeldt-Jakob Syndrome, cerebrospinal fluid, Fatal Outcome, Female, Human, Magnetic Resonance Imaging, methods, Male, Support U.S. Gov't P.H.S., Tyrosine 3-Monooxygenase, cerebrospinal fluid}, ABSTRACT = {Two middle-aged patients presented with rapidly progressive dementia and ataxia, nonspecific electroencephalography findings, and negative cerebrospinal fluid (CSF) protein 14-3-3. Both patients underwent brain magnetic resonance imaging (MRI) scans that demonstrated abnormalities on diffusion-weighted imaging (DWI) sequences, and both were later confirmed to have Creutzfeldt-Jakob disease. (CJD) by tissue examination. Because a recent position paper from the American Academy of Neurology characterized CSF protein 14-3-3 as a gold standard for clinically diagnosing CJD, the authors reviewed studies of CJD in which DWI-MRI imaging and CSF protein 14-3-3 studies were both performed. Among 19 reported cases of CJD with DWI-MRI lesions, CSF protein 14-3-3 was negative in 6 cases and positive in 2 others. The authors' findings suggest that multifocal cortical and subcortical hyperintensities confined to gray matter regions in DWI-MRI may be a more useful noninvasive diagnostic marker for CJD than CSF protein 14-3-3. These observations provide a compelling rationale for a prospective comparative study.} } @ARTICLE{nishid:im:2003, AUTHOR = {Takashi Nishid and Aya M Tokumaru and Katsumi Doh-Ura and Akira Hirata and Kazuo Motoyoshi and Keiko Kamakura}, JOURNAL = {Intern Med}, TITLE = {Probable sporadic Creutzfeldt-Jakob disease with valine homozygosity at codon 129 and bilateral middle cerebellar peduncle lesions}, YEAR = {2003}, MONTH = {February}, OPTNOTE = {}, NUMBER = {2}, PAGES = {199-202}, VOLUME = {42}, ABSTRACT = {We describe a 67-year-old Japanese man with probable sporadic Creutzfeldt-Jakob disease (CJD) who had valine homozygosity at codon 129, a rarity in the Japanese. T2-weighted magnetic resonance imaging (MRI) detected high-intensity lesions in the bilateral middle cerebellar peduncles and basal ganglia as well as cerebellar and cortical atrophy. He developed cerebellar ataxia and subsequent mental deterioration, myoclonus, and periodic synchronous discharge as shown in an electroencephalogram. Cerebrospinal fluid examination showed a high level of neuron-specific enolase and a positive immunoassay for the 14-3-3 protein. He died of pneumonia 10 months after the initial symptoms appeared. Whether or not the genetic polymorphism increased his susceptibility to sporadic CJD is not clear because valine homozygosity at codon 129 is less than 1% in the normal Japanese population. Although there is no convincing evidence in the present case, the MRI findings of cerebellar peduncle changes, which are rare in CJD, suggest a kind of degeneration, demyelination, or both.} } @ARTICLE{pandya:cr:2003, AUTHOR = {H G Pandya and S C Coley and I D Wilkinson and P D Griffiths}, JOURNAL = {Clin Radiol}, TITLE = {Magnetic resonance spectroscopic abnormalities in sporadic and variant Creutzfeldt-Jakob disease}, YEAR = {2003}, MONTH = {February}, OPTNOTE = {}, NUMBER = {2}, PAGES = {148-53}, VOLUME = {58}, KEYWORDS = {Adult, Aged, Aspartic Acid, analogs & derivatives, Basal Ganglia, metabolism, Case Report, Creatine, metabolism, Creutzfeldt-Jakob Syndrome, diagnosis, Fatal Outcome, Female, Human, Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, Thalamus, metabolism}, ABSTRACT = {AIM: To study the proton MR spectroscopic findings in Creutzfeldt-Jakob disease (CJD) (sporadic and variant). MATERIALS AND METHODS: MR imaging and proton MR spectra were acquired in two patients with sporadic CJD (biopsy proven) and one patient with variant CJD. RESULTS: The two patients with sporadic CJD demonstrated MR signal change within the basal ganglia and thalami and reduced N-acetylaspartate (NAA):creatine ratios. The patient with variant CJD showed characteristic signal change within the pulvinar of the thalami and a markedly reduced N-acetylaspartate:creatine ratio. CONCLUSION: All three patients with CJD demonstrated evidence of reduced N-acetylaspartate: creatine ratios on MR spectroscopy. These changes imply that neuronal loss and/or dysfunction is a consistent finding in established CJD.} } @ARTICLE{parazzini:neuroradiology:2003, AUTHOR = {Cecilia Parazzini and S Mammi and M Comola and G Scotti}, JOURNAL = {Neuroradiology}, TITLE = {Magnetic resonance diffusion-weighted images in Creutzfeldt-Jakob disease: case report}, YEAR = {2003}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1}, PAGES = {50-2}, VOLUME = {45}, KEYWORDS = {Brain, pathology, Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Diffusion Magnetic Resonance Imaging, Female, Human, Middle Age}, ABSTRACT = {We describe the diffusion-weighted MRI findings and follow-up in a case of autopsy-proven Creutzfeldt-Jakob disease that revealed abnormal hyperintensity in the cortex and basal ganglia.} } @ARTICLE{smith:bwho:2003, AUTHOR = {Peter G Smith}, JOURNAL = {Bull World Health Organ}, TITLE = {The epidemics of bovine spongiform encephalopathy and variant Creutzfeldt-Jakob disease: current status and future prospects}, YEAR = {2003}, OPTMONTH = {}, OPTNOTE = {}, NUMBER = {2}, PAGES = {123-30}, VOLUME = {81}, ABSTRACT = {The large epidemic of bovine spongiform encephalopathy (BSE) in the United Kingdom has been in decline since 1992, but has spread to other countries. The extensive control measures that have been put in place across the European Union and also in Switzerland should have brought the transmission of BSE under control in these countries, provided that the measures were properly enforced. Postmortem tests on brain tissue enable infected animals to be detected during the late stages of the incubation period, but tests that can be performed on live animals (including humans) and that will detect infections early are urgently needed. The number of infected animals currently entering the food chain is probably small, and the controls placed on bovine tissues in the European Union and Switzerland should ensure that any risks to human health are small and diminishing. Vigilance is required in all countries, especially in those in which there has been within-species recycling of ruminant feed. Fewer than 150 people, globally, have been diagnosed with variant Creutzfeldt-Jakob disease (vCJD), but there are many uncertainties about the future course of the epidemic because of the long and variable incubation period. Better control measures are necessary to guard against the possibility of iatrogenic transmission through blood transfusion or contaminated surgical instruments. These measures will required sensitive and specific, diagnostic tests and improved decontamination methods.} } @ARTICLE{turner:bmb:2003, AUTHOR = {Robert Turner and Terry Jones}, JOURNAL = {Br Med Bull}, TITLE = {Techniques for imaging neuroscience}, YEAR = {2003}, OPTMONTH = {}, OPTNOTE = {}, OPTNUMBER = {}, PAGES = {3-20}, VOLUME = {65}, KEYWORDS = {Brain, physiology, Human, Image Interpretation Computer-Assisted, Magnetic Resonance Imaging, instrumentation, Neurosciences, methods, Tomography Emission-Computed, instrumentation}, ABSTRACT = {In the last 20 years, a number of non-invasive spatial mapping techniques have been demonstrated to provide powerful insights into the operation of the brain during task performance. These are, in order of their emergence as robust technologies: positron emission tomography, source localization with EEG and MEG, and functional magnetic resonance imaging. The imaging neuroscience study areas represented in this volume use the first or last of these - PET and fMRI. The physical principles underlying both of these techniques are outlined, and the important assumptions and limitations are made explicit. The range of applications for each is briefly indicated.} } @ARTICLE{ward:clm:2003, AUTHOR = {H J T Ward and HJ Ward and M W Head and R G Will and J W Ironside}, JOURNAL = {Clin Lab Med}, TITLE = {Variant Creutzfeldt-Jakob disease}, YEAR = {2003}, MONTH = {March}, OPTNOTE = {}, NUMBER = {1}, PAGES = {87-108}, VOLUME = {23}, ABSTRACT = {Variant CJD is a novel human prion disease that represents the first known occasion in which animal prion diseases have been transmitted to humans. There are many uncertainties concerning vCJD, including the mechanism of transmission between species, the extent of human exposure to the BSE agent, the infectious dose for humans, and the future burden of human disease. It is hoped that continuing scientific research may lead to answers to some of these questions and that further understanding of the mechanism of prion replication may lead to the development of effective treatment. Indeed a recent publication has suggested that the drugs quinacrine or chloropromazine may be candidates for the treatment of human prion diseases [42].} } @ARTICLE{alperovitch:crasi:2002, AUTHOR = {Annick Alperovitch and Robert G Will}, JOURNAL = {C R Acad Sci III}, TITLE = {Predicting the size of the vCJD epidemic in France}, YEAR = {2002}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1}, PAGES = {33-6}, VOLUME = {325}, KEYWORDS = {Animal, Cattle, Creutzfeldt-Jakob Syndrome, epidemiology, Encephalopathy Bovine Spongiform, transmission, France, epidemiology, Human, Meat}, ABSTRACT = {More than 5 years after the description of the first cases of variant Creutzfeldt-Jakob disease (vCJD), there is still great uncertainty about the size of the vCJD epidemic in the United Kingdom (UK), although the most recent predictions based on statistical modelling are more optimistic than the previous ones. The number of vCJD cases in France is far too small to attempt any direct modelling of the vCJD epidemic in the French population. Comparative assessment of the level of exposure to the bovine spongiform encephalopathy (BSE) agent in the UK and France could help to estimate the size of the vCJD epidemic in France. Data on imports of beef products from the UK between 1985 and 1996, BSE epidemic in French cattle, and travel of French people to the UK suggest that the French population was much less exposed to the BSE agent than the UK population. The France/UK ratio of vCJD incidence is currently approximately equal to 0.05. Further studies are needed to estimate accurately the exposure ratio between UK and France and to examine whether comparative data about exposure and incidence are fully consistent. The temporal pattern of exposure in UK and France, and possible differences in exposure to high risk bovine tissues because of food habits or risk reduction measures should be carefully considered.} } @ARTICLE{beekes:dmw:2002, AUTHOR = {M Beekes and R Kurth}, JOURNAL = {Dtsch Med Wochenschr}, TITLE = {[BSE and Creutzfeldt-Jakob disease. Implication on health politics in Germany and Europe]}, YEAR = {2002}, MONTH = {February}, OPTNOTE = {}, NUMBER = {7}, PAGES = {335-40}, VOLUME = {127}, KEYWORDS = {Adolescent, Adult, Aged, Animal, Belgium, Cats, Cattle, Comparative Study, Creutzfeldt-Jakob Syndrome, epidemiology, Encephalopathy Bovine Spongiform, epidemiology, Europe, Forecasting, France, Germany, Health Policy, Human, Incidence, Meat, adverse effects, Middle Age, Occupations, Prospective Studies, Research, Risk Factors, Sheep} } @ARTICLE{begic:ma:2002, AUTHOR = {Lejla Begic and Adaleta Mulaomerovic and Selma Berbic and Zlata Zigic}, JOURNAL = {Med Arh}, TITLE = {[New findings on the diagnosis and therapy of prion diseases]}, YEAR = {2002}, OPTMONTH = {}, OPTNOTE = {}, NUMBER = {5-6}, PAGES = {305-11}, VOLUME = {56}, KEYWORDS = {English Abstract, Human, Prion Diseases, diagnosis}, ABSTRACT = {Spongiform encephalopathies are the fatal diseases, that affect the brain tissue of mammals. They are caused by a conformational changed prion protein. There is no adequate diagnostic test for in vivo identification of prion protein. Disease can be diagnosed only by clinical sings and EEG in new variant of Creutzfeldt-Jakob disease. Post mortem, histopathological examination of brain tissue reveals spongiform changes and immunohistochemistry detects disease-related prion protein. Appropriate diagnostic in vivo tests are not developed yet; therefore extensive researches are ongoing aimed to introduce such methods. This review describes a few promising experimental methods, which may develop into diagnostic tests in the future: detection of prions in urine samples, PMCA (protein misfolding cyclic amplification), DATAS (differential analysis of transcripts with alternative splicing), SELEX (in vitro selection), detection of prions in tonsils and detection of copper and manganese dysbalance in tissues. Current therapy strategy is based on testing of some known drugs (quinacrine, chlorpromazine), and antioxidant and antibody treatments. The detection of NSE (neuron-specific enolase) and cholesterol in meat products reveals the presence of brain and spinal cord tissue. The spreading of spongiform encephalopathies can be diminished by utilising the adequate in vivo diagnostic tests, effective therapy strategy and preventive steps.} } @ARTICLE{belay:clm:2002, AUTHOR = {Ermias D Belay and Lawrence B Schonberger}, JOURNAL = {Clin Lab Med}, TITLE = {Variant Creutzfeldt-Jakob disease and bovine spongiform encephalopathy}, YEAR = {2002}, MONTH = {December}, OPTNOTE = {}, NUMBER = {4}, PAGES = {849-62}, VOLUME = {22}, KEYWORDS = {Animal, Cattle, Creutzfeldt-Jakob Syndrome, diagnosis, Encephalopathy Bovine Spongiform, diagnosis, Human}, ABSTRACT = {Strong epidemiologic and laboratory evidence indicate that a novel, variant form of Creutzfeldt-Jakob disease (vCJD) first reported in the United Kingdom in 1996 is causally linked with bovine spongiform encephalopathy (BSE). BSE was first identified in the early 1980s in the United Kingdom, and has since spread to other European countries and recently to Japan and Israel. Although the United Kingdom BSE epizootic is on the decline, widespread exposure of humans to infected cattle products may have already occurred, raising concerns about the ultimate magnitude of the vCJD outbreak which, as of October 2002, has already affected 138 patients worldwide, including 128 patients in the United Kingdom.} } @ARTICLE{bocquet:ami:2002, AUTHOR = {Patrick Bocquet and De Stampa, Matthieu and Stampa M De and Celine Foucher and Marie-Pierre Delporte and Joelle Martigny}, JOURNAL = {Ann Med Interne (Paris)}, TITLE = {[Sporadic Creutzfeldt-Jakob disease and isolated dementia. Contribution of brain MRI]}, YEAR = {2002}, MONTH = {February}, OPTNOTE = {}, NUMBER = {1}, PAGES = {62-7}, VOLUME = {153}, KEYWORDS = {Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Dementia, diagnosis, English Abstract, Fatal Outcome, Female, Human, Magnetic Resonance Imaging, methods, Middle Age, Sensitivity and Specificity}, ABSTRACT = {Creutzfeldt-Jakob disease (CJD) is the most frequent transmissible spongiform encephalopathy. Its definite diagnosis is ascertained by cerebral neuropathological exam. However, diagnosis of a probable or possible case of CJD can be evoked on the basis of Masters'classification which is based on the association of different clinical and electroencephalographical criteria. We report the case of a 58-year-old woman who died in a geriatric unit of autopsy proven sporadic CJD. The clinical course over 15 months was rapidly progressive dementia without characteristic clinical and EEG signs. The case presentation did not meet the criteria of probable or possible CJD, according to Masters'classification. However, 4 months after the onset of the disease, t-Flair MRI revealed an increased signal intensity in the right frontal and occipital cortex which could suggest the diagnosis of CJD. This case therefore stresses the contribution of MRI, especially diffusion-weighted imaging, for early diagnosis of CJD. It shows also the short comings of Masters'classification which does not always enable diagnosis of CJD even though control measures would have to be rapidly undertaken, specially the decontamination of medico-surgical equipment. Finally, this case illustrates the great importance of post mortem exam in such context. In light of this clinical observation, we discuss this rare diagnosis which should be considered in geriatrics when confronted with a rapidly progressive dementia} } @ARTICLE{bradley:ane:2002, AUTHOR = {Ray Bradley}, JOURNAL = {Acta Neurobiol Exp (Warsz)}, TITLE = {Bovine spongiform encephalopathy. Update}, YEAR = {2002}, OPTMONTH = {}, OPTNOTE = {}, NUMBER = {3}, PAGES = {183-95}, VOLUME = {62}, KEYWORDS = {Animal, Animals Wild, Cats, Cattle, Cattle Diseases, epidemiology, Encephalopathy Bovine Spongiform, epidemiology, European Union, Great Britain, epidemiology, Human, Legislation Medical}, ABSTRACT = {Bovine spongiform encephalopathy (BSE) is a zoonosis being the origin of variant Creutzfeldt-Jakob disease and an important cattle disease in its own right. Countries have been slow to learn the importance of protecting, not only their cattle populations, but also their human populations. Since 2000, several additional European countries have reported BSE in native-born stock and this has led to a concern about the BSE status of countries that have imported cattle and cattle products from infected countries. Extensive feed and offal bans and application of newly-developed, 'Rapid' tests for prion protein in central nervous tissue of targeted, high-risk animals and slaughter cattle over 30 months old now provides the tools whereby the public are fully protected and BSE can be eradicated.} } @ARTICLE{caboclo:an:2002, AUTHOR = {Luis Otavio Sales Ferreira Caboclo and LO Caboclo and Nancy Huang and Guilherme Alves Lepski and Jose Antonio Livramento and Carlos Alberto Buchpiguel and Claudia Sellitto Porto and Ricardo Nitrini}, JOURNAL = {Arq Neuropsiquiatr}, TITLE = {Iatrogenic Creutzfeldt-Jakob disease following human growth hormone therapy: case report}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {2-B}, PAGES = {458-61}, VOLUME = {60}, KEYWORDS = {Adult, Blotting Western, Case Report, Cerebrospinal Fluid Proteins, analysis, Creutzfeldt-Jakob Syndrome, cerebrospinal fluid, Human, Human Growth Hormone, adverse effects, Iatrogenic Disease, Magnetic Resonance Imaging, Male, Tyrosine 3-Monooxygenase, cerebrospinal fluid}, ABSTRACT = {We report the case of a 41-year-old man with iatrogenic Creutzfeldt-Jakob disease (CJD) acquired after the use of growth hormone (GH) obtained from a number of pituitary glands sourced from autopsy material. The incubation period of the disease (from the midpoint of treatment to the onset of clinical symptoms) was rather long (28 years). Besides the remarkable cerebellar and mental signs, the patient exhibited sleep disturbance (excessive somnolence) from the onset of the symptoms, with striking alteration of the sleep architecture documented by polysomnography. 14-3-3 protein was detected in the CSF, and MRI revealed increased signal intensity bilaterally in the striatum, being most evident in diffusion-weighted (DW-MRI) sequences. This is the second case of iatrogenic CJD associated with the use of GH reported in Brazil.} } @ARTICLE{cooper:jcep:2002, AUTHOR = {J D Cooper and S M Bird}, JOURNAL = {J Cancer Epidemiol Prev}, TITLE = {UK dietary exposure to BSE in head meat: by birth cohort and gender}, YEAR = {2002}, OPTMONTH = {}, OPTNOTE = {}, NUMBER = {2}, PAGES = {71-83}, VOLUME = {7}, KEYWORDS = {Adult, Animal, Brain, virology, Cattle, Cohort Studies, Computer Graphics, Consumer Product Safety, standards, Creutzfeldt-Jakob Syndrome, epidemiology, Encephalopathy Bovine Spongiform, epidemiology, Female, Food Contamination, Food Handling, standards, Great Britain, epidemiology, Head, Human, Male, Meat, virology, Meat Products, virology, Middle Age, Sex Distribution, Support Non-U.S. Gov't}, ABSTRACT = {BACKGROUND: UK dietary exposure in 1980-1996 to the bovine spongiform encephalopathy (BSE) infectious agent through the consumption of beef mechanically recovered meat (MRM) contained in burgers, sausages and other meat products has already been quantified by birth cohort (born pre-1940, 1940-1969 or post-1969) and gender. In this paper, similar quantification is undertaken for the consumption of bovine head meat. METHODS: Synthesis of evidence on clinical BSE bovines, on bovines slaughtered in the last year of their BSE incubation period, brain contamination during head meat production, brain infectivity (option 1: 1-year preclinical bovine 54% as infectious as clinical BSE bovine; option 2: 1-year pre-clinical bovine as infectious as clinical BSE bovine) and 1980-1996 UK dietary consumption of head meat in burgers, sausages and other meat products. FINDINGS: Median infectivity consumed in head meat was 49 900 (67 800 for infectivity option 2), 96 200 (126 900) and 24950 (32 800) bovine oral (Bo) ID 50 units for the post-1969, 1940-1969 and pre-1940 birth cohorts in 1980-1989; and 143 950 (266 550 for infectivity option 2), 150 900 (279 500) and 38 350 (71 250) Bo ID50 units in 1990-1996. Males consumed almost 58% of infectivity in 1980-1996. For all three birth cohorts, exposure to BSE in head meat was higher in 1990-96 for both infectivity options. Median infectivity consumed in head meat and beef MRM was 83 150 (109 000 for infectivity option 2), 161 900 (207 450) and 39 300 (50 450) Bo ID50 units for the post-1969, 1940-1969 and pre-1940 birth cohorts in 1980-1989; and 188 200 (348 700), 190 600 (353 050) and 47 200 (87 550) Bo ID50 units in 1990-1996. INTERPRETATION: Males consumed almost 58% of BSE infectivity in head meat and beef MRM, which is consistent with 60 males of 113 variant Creutzfeldt-Jakeb disease (vCJD) onsets to 30 November 2001. If vCJD onsets to that date had all been infected in 1980-1989, 65 of 113 vCJD onsets in the post-1969 cohort are not consistent with its BSE exposure in 1980-1989 unless the vCJD incubation period or susceptibility depends on age, or another exposure is involved. Experimental data are needed to identify which brain material contaminates head meat, and further pathogenesis data are needed to determine the corresponding infectivity. Other salient sensitivity issues are highlighted.} } @ARTICLE{daignaux:ije:2002, AUTHOR = {Jerome Huillard D'Aignaux and Simon N Cousens and Nicole Delasnerie-Laupretre and Jean-Philippe Brandel and Dominique Salomon and Jean-Louis Laplanche and Jean-Jacques Hauw and Annick Alperovitch}, JOURNAL = {Int J Epidemiol}, TITLE = {Analysis of the geographical distribution of sporadic Creutzfeldt-Jakob disease in France between 1992 and 1998}, YEAR = {2002}, MONTH = {April}, OPTNOTE = {}, NUMBER = {2}, PAGES = {490-5}, VOLUME = {31}, KEYWORDS = {Adult, Aged, Aged 80 and over, Cluster Analysis, Creutzfeldt-Jakob Syndrome, epidemiology, Female, France, epidemiology, Human, Male, Middle Age, Support Non-U.S. Gov't}, ABSTRACT = {BACKGROUND: Creutzfeldt-Jakob disease (CJD) is a rare fatal dementia caused by a transmissible agent. However, the mechanism leading to the disease is unknown in the majority of cases. The presence of geographically clustered cases might indicate a common environmental exposure to the transmissible agent, or case-to-case transmission of the agent. This study sought evidence of clustering of cases of sporadic CJD in France. METHODS: A total of 402 individuals who died from definite or probable sporadic CJD in France between 1992 and 1998 were analysed. The geographical distribution of cases was analysed using three different clustering methods. An analysis of the distribution of the distances between pairs was performed to look for evidence of clustering. Then, two methods of cluster detection were used to identify the locations of clusters. RESULTS: Each of our analyses found some evidence of clustering, though the extent of that clustering differed between approaches. The strongest evidence, statistically, related to three cases living in a small rural area in South-West France (P = 0.001). Two of the three cases lived in the same area throughout life. They had also both undergone surgery on several occasions. Little information is available on the third case. CONCLUSION: Some sporadic CJD cases in France may be aetiologically linked. There was strong evidence that three cases in South-West France formed a cluster but the precise mechanism underlying this cluster of cases remains unclear. The potentially long incubation period of the disease makes the identification of links between such cases difficult.} } @ARTICLE{dearmond:toxicology:2002, AUTHOR = {Stephen J DeArmond and Essia Bouzamondo}, JOURNAL = {Toxicology}, TITLE = {Fundamentals of prion biology and diseases}, YEAR = {2002}, MONTH = {December}, OPTNOTE = {}, OPTNUMBER = {}, PAGES = {9-16}, VOLUME = {181-182}, KEYWORDS = {Animal, Human, Models Molecular, Prion Diseases, classification, Prions, chemistry, Protein Conformation, Support Non-U.S. Gov't, Support U.S. Gov't P.H.S.}, ABSTRACT = {One of the most remarkable changes in medicine during the last 20 years of the 20th century was the shift from the clinical-neuropathological classification of Creutzfeldt-Jakob disease (CJD) and related disorders as 'transmissible spongiform encephalopathies' to a molecular-etiologic classification as 'prion diseases'. We now know that these diseases are caused by abnormalities of the prion protein (PrP). Specifically, CJD is caused by the conversion of the normal, protease-sensitive PrP isoform, designated PrP(C), to a protease resistant isoform, designated PrP(Sc). PrP(Sc) forms into an infectious particle, named a 'prion', that can transmit the disease. Accumulation of PrP(Sc) in the brain causes neurodegeneration. The main goals of this review are to summarize our understanding of the attributes of the PrP molecule that give it the properties of an infectious agent and to describe how different alterations of the PrP molecule cause the multiple known prion disease variants. Finally, the emergence of a new variant of CJD in Great Britain and to a lesser extent in Europe and its relationship to the emergence of a particularly virulent form of bovine spongiform encephalopathy will be discussed.} } @ARTICLE{donnelly:crb:2002, AUTHOR = {Christl A Donnelly}, JOURNAL = {C R Biol}, TITLE = {BSE in France: epidemiological analysis and predictions}, YEAR = {2002}, MONTH = {July}, OPTNOTE = {}, NUMBER = {7}, PAGES = {793-806}, VOLUME = {325}, KEYWORDS = {Animal, Cattle, Creutzfeldt-Jakob Syndrome, epidemiology, Encephalopathy Bovine Spongiform, epidemiology, France, epidemiology, Human, Incidence, Probability, Support Non-U.S. Gov't}, ABSTRACT = {Attention throughout Europe continues to focus on bovine spongiform encephalopathy (BSE) with increasing evidence linking it to the new variant of Creutzfeldt-Jakob disease (vCJD) in humans. The age- and cohort-specific incidence of BSE in French cattle was modelled as a function of the survival distribution, the cohort-specific incidence of BSE infection, the underreporting rate of BSE cases, and the age-specific probability, conditional on survival, that an infected animal would experience clinical onset. The results reveal that thousands of French cattle were infected with BSE over the course of the epidemic. However, case incidence is predicted to decline in future years.} } @ARTICLE{donnelly:prslbbs:2002, AUTHOR = {Christl A Donnelly and Neil M Ferguson and Azra C Ghani and Roy M Anderson}, JOURNAL = {Proc R Soc Lond B Biol Sci}, TITLE = {Implications of BSE infection screening data for the scale of the British BSE epidemic and current European infection levels}, YEAR = {2002}, MONTH = {November}, OPTNOTE = {}, NUMBER = {1506}, PAGES = {2179-90}, VOLUME = {269}, KEYWORDS = {Animal, Cattle, Creutzfeldt-Jakob Syndrome, epidemiology, Disease Outbreaks, veterinary, Encephalopathy Bovine Spongiform, epidemiology, Epidemiologic Factors, Europe, epidemiology, Female, Great Britain, epidemiology, Human, Maternal-Fetal Exchange, Models Statistical, Pregnancy, Support Non-U.S. Gov't}, ABSTRACT = {The incidence of confirmed clinical cases of bovine spongiform encephalopathy (BSE) in Great Britain continues to decline, but the recent discovery of cases in previously unaffected countries (including Israel, Japan, Poland, Slovenia and Spain) has heightened concerns that BSE transmission was more intense and widespread than previously thought. We use back-calculation methods to undertake an integrated analysis of data on infection prevalence in apparently healthy cattle and the incidence of confirmed clinical disease. The results indicate substantial underascertainment of clinical cases over the course of the British epidemic, and consequently that two- to fourfold more animals were infected than previously estimated. Upper bounds on the predicted size of the new variant Creutzfeldt-Jakob Disease (vCJD) epidemic are unaffected, as the prediction methods employed fit to observed vCJD mortality data, and are not sensitive to estimates of the absolute magnitude of past human exposure to BSE-infected cattle, only to relative changes in exposure through time. We also estimate the per-head incidence of infection in cattle born between 1993 and 1997 in other European Union countries, using data on the testing of apparently healthy cattle slaughtered for consumption. Infection incidence for cattle born after mid-1996 was highest in Greece, Italy and Belgium, with Spain and The Netherlands having intermediate levels, and estimates for Great Britain, Germany and France being comparably low.} } @ARTICLE{dormont:ijfm:2002, AUTHOR = {Dominique Dormont}, JOURNAL = {Int J Food Microbiol}, TITLE = {Prions, BSE and food}, YEAR = {2002}, MONTH = {September}, OPTNOTE = {}, NUMBER = {1-2}, PAGES = {181-9}, VOLUME = {78}, KEYWORDS = {Animal, Biological Markers, Cattle, Consumer Product Safety, Creutzfeldt-Jakob Syndrome, Encephalopathy Bovine Spongiform, Human, Prion Diseases, prevention & control, Prions, isolation & purification, Risk Assessment, Zoonoses}, ABSTRACT = {Biochemical and biophysical properties of prions including possible inactivation methods are reviewed. Possible molecular markers of transmissible spongiform encephalopathy (TSE) and mechanisms behind infectivity and correlation with clinical symptoms are discussed. The risk of Bovine Spongiform Encephalopathy (BSE) for humans i.e. variant Creutzfeldt-Jakob Disease (cCJD) is addressed in detail. The consequences of the emergence of the new cCJD and the lack of information on the infectivity of cCJD at the clinical stage of the disease in relation to the need to reconsider the biological concepts currently used in microbiology.} } @ARTICLE{eschweiler:nervenarzt:2002, AUTHOR = {G W Eschweiler and H Wormstall and U Widmann and T Naegele and M Bartels}, JOURNAL = {Nervenarzt}, TITLE = {[Correlation of diffusion-weighted magnetic resonance imaging with neurological deficits in sporadic Creutzfeldt-Jakob Disease]}, YEAR = {2002}, MONTH = {September}, OPTNOTE = {}, NUMBER = {9}, PAGES = {883-6}, VOLUME = {73}, KEYWORDS = {Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Dementia, diagnosis, Diagnosis Differential, Diffusion Magnetic Resonance Imaging, methods, Electroencephalography, English Abstract, Fatal Outcome, Follow-Up Studies, Hemiplegia, diagnosis, Human, Male, Middle Age, Neurologic Examination, Neuropsychological Tests, Occipital Lobe, pathology, Perceptual Disorders, diagnosis, Temporal Lobe, pathology, Tomography Emission-Computed, Vertigo, etiology}, ABSTRACT = {This case report describes the sporadic Creutzfeldt-Jakob disease (CJD) of a 53-year-old man who initially complained about vertigo and dizziness. Within 18 weeks, he developed impaired memory, hemineglect, and sensory impairment of the left half of the body. A CSF tap was positive for 14-3-3 protein and showed increased tau protein, neuron-specific enolase (NSE), and the astroglial protein S-100 B. The EEG showed right temporal sharp waves without periodicity. Diffusion-weighted MRI revealed hyperintensities in the right temporo-occipital cortex which corresponded well with hypometabolic areas in a PET scan and the neurological and neuropsychological deficits. The morphological FLAIR T2 MRI showed no pathological changes. Within 20 weeks, the patient developed severe dementia with decreased spatial orientation and myoclonia, became incontinent, and was confined to bed. He died within 22 weeks after the first presentation of symptoms.} } @ARTICLE{galanaud:jn:2002, AUTHOR = {D Galanaud and D Dormont and D Grabli and P Charles and J J Hauw and C Lubetzki and J P Brandel and C Marsault and P J Cozzone}, JOURNAL = {J Neuroradiol}, TITLE = {MR spectroscopic pulvinar sign in a case of variant Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {December}, OPTNOTE = {}, NUMBER = {4}, PAGES = {285-7}, VOLUME = {29}, KEYWORDS = {Adult, Aspartic Acid, analogs & derivatives, Biopsy, Case Report, Case-Control Studies, Choline, analysis, Creatine, analysis, Creutzfeldt-Jakob Syndrome, diagnosis, Female, Human, Inositol, analysis, Magnetic Resonance Spectroscopy, methods, Phosphocreatine, analysis, Prognosis, Pulvinar, chemistry, Sensitivity and Specificity}, ABSTRACT = {We report MR spectroscopic findings in a patient hospitalized with biopsy-proven variant Creutzfeldt-Jakob (vCJD) disease. N-acetyl aspartate was markedly decreased in the postero-medial part of the thalami (pulvinar) but was not diminished in the parieto-occipital white matter and cortical grey matter. These observations, which are in accordance with the pathological findings in this disease, suggest that MR spectroscopy, a highly sensitive method for the detection of subtle brain metabolic dysfunction, could be of interest for the diagnosis, prognosis and therapeutic follow-up of vCJD.} } @ARTICLE{ghani:crasi:2002, AUTHOR = {Azra C Ghani and Christl A Donnelly and Neil M Ferguson and Roy M Anderson}, JOURNAL = {C R Acad Sci III}, TITLE = {The transmission dynamics of BSE and vCJD}, YEAR = {2002}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1}, PAGES = {37-47}, VOLUME = {325}, KEYWORDS = {Age Factors, Animal, Cattle, Creutzfeldt-Jakob Syndrome, epidemiology, Encephalopathy Bovine Spongiform, epidemiology, Europe, epidemiology, Great Britain, epidemiology, Human, Meat, Northern Ireland, epidemiology, Prions, genetics, Support Non-U.S. Gov't}, ABSTRACT = {The bovine spongiform encephalopathy (BSE) epidemic in cattle has had a huge economic impact on the agricultural industries across Europe. Furthermore, scientific evidence now strongly supporting a link between a new variant of Creutzfeldt-Jakob disease (vCJD) and consumption of BSE-infected animals has further heightened the need both to understand the transmission of these new diseases and to improve control measures to protect public health. In this paper we review work undertaken by our group using epidemiological models to understand the transmission dynamics of BSE and vCJD. We present new estimates of the future number of cases of BSE and the number of infected animals slaughtered for consumption for Great Britain, and summarise similar analyses undertaken for Northern Ireland, Ireland, Portugal and France. We also consider the epidemiological determinants of the future course of the vCJD epidemic, including the age and genetic characteristics of the confirmed cases, and present predictions of future case numbers.} } @ARTICLE{haik:an:2002, AUTHOR = {Stephane Haik and Didier Dormont and Baptiste A Faucheux and Claude Marsault and Jean-Jacques Hauw}, JOURNAL = {Ann Neurol}, TITLE = {Prion protein deposits match magnetic resonance imaging signal abnormalities in Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {6}, PAGES = {797-9}, VOLUME = {51}, KEYWORDS = {Brain, pathology, Brain Chemistry, Creutzfeldt-Jakob Syndrome, metabolism, Human, Magnetic Resonance Imaging, Prions, analysis, Support Non-U.S. Gov't} } @ARTICLE{henkel:jn:2002, AUTHOR = {Karsten Henkel and Inga Zerr and Andreas Hertel and Klaus-F Gratz and Andreas Schroter and Henriette J Tschampa and Heiner Bihl and Udalrich Bull and Frank Grunwald and Alexander Drzezga and Jorg Spitz and Sigrid Poser}, JOURNAL = {J Neurol}, TITLE = {Positron emission tomography with [(18)F]FDG in the diagnosis of Creutzfeldt-Jakob disease (CJD)}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {6}, PAGES = {699-705}, VOLUME = {249}, KEYWORDS = {Adult, Aged, Atrophy, etiology, Brain, metabolism, Cerebrovascular Circulation, physiology, Creutzfeldt-Jakob Syndrome, metabolism, Down-Regulation, physiology, Electroencephalography, Energy Metabolism, physiology, Female, Fludeoxyglucose F 18, diagnostic use, Glucose, metabolism, Human, Laterality, physiology, Magnetic Resonance Imaging, Male, Middle Age, Radiopharmaceuticals, diagnostic use, Support Non-U.S. Gov't, Tomography Emission-Computed}, ABSTRACT = {The aim of this study was to explore the sites of metabolic changes with [(18)F]2-fluoro-2-desoxy-D-glucose (FDG) and positron emission tomography (PET) in patients with Creutzfeldt-Jakob disease and to correlate the findings with clinical symptoms. Static [(18)F]FDG-PET studies of eight patients with the diagnosis of confirmed or probable CJD were retrospectively analysed by two physicians from departments of nuclear medicine independently with a strong interrater agreement (kappa=0,98). The clinical data of the patients, based on a standardized evaluation by physicians from the German Creutzfeldt-Jakob disease surveillance study, was correlated with the PET findings. [(18)F]FDG-PET shows widespread hypometabolism in CJD. All patients had a reduction of cerebral glucose metabolism in at least one temporal or parietal region. Additionally in 7 of our own 8 cases and 3 of 4 cases from the literature the occipital lobe, the cerebellum or the basal ganglia were involved. These findings differ from typical patterns of hypometabolism in Alzheimer's disease and other neurodegenerative disorders. In two thirds of the cases the distribution was markedly asymmetric. Myoclonus was present in five out of our eight own cases. Our data suggest that myoclonus might correlate with metabolic impairment of contralateral parietal and temporal lobes. In three of four patients with visual symptoms FDG uptake was reduced in the visual cortex bilaterally. Typical hyperintensities on MRI were only found in two of the eight cases at the time of PET-studies. Our results demonstrate that [(18)F]FDG-PET appears to be a sensitive investigation in CJD and could be useful to differentiate CJD from other neurodegenerative disorders.} } @ARTICLE{henry:rmv:2002, AUTHOR = {Colm Henry and Richard Knight}, JOURNAL = {Rev Med Virol}, TITLE = {Clinical features of variant Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {May-Jun}, OPTNOTE = {}, NUMBER = {3}, PAGES = {143-50}, VOLUME = {12}, KEYWORDS = {Adult, Age Factors, Comparative Study, Creutzfeldt-Jakob Syndrome, diagnosis, Depression, diagnosis, Disease Progression, Great Britain, epidemiology, Human, Magnetic Resonance Imaging, Thalamus, pathology}, ABSTRACT = {Since 1996, over one hundred cases of variant Creutzfeldt-Jakob disease have appeared, mostly in the United Kingdom. In this review, we summarise the major clinical features of this progressive neurodegenerative condition and compare them with those of sporadic Creutzfeldt-Jakob disease. We emphasise the young age (median 26 years) at presentation and the dominant psychiatric/behavioural features, particularly depression. Sensory symptoms are present initially in half the cases and florid psychiatric symptoms, such as delusions or hallucinations, are also common. Given these symptoms, many patients present in clinical practice initially to a psychiatrist but are referred to neurologists when neurological signs become apparent. Although the definitive diagnosis remains neuropathological, a confident pre-mortem diagnosis is now possible when the 'pulvinar sign' is seen on magnetic resonance imaging studies.} } @ARTICLE{krapfenbauer:electrophoresis:2002, AUTHOR = {Kurt Krapfenbauer and Byong Chul Yoo and Michael Fountoulakis and Eva Mitrova and Gert Lubec}, JOURNAL = {Electrophoresis}, TITLE = {Expression patterns of antioxidant proteins in brains of patients with sporadic Creutzfeldt-Jacob disease}, YEAR = {2002}, MONTH = {August}, OPTNOTE = {}, NUMBER = {15}, PAGES = {2541-7}, VOLUME = {23}, KEYWORDS = {Aged, Antioxidants, isolation & purification, Blotting Western, Case-Control Studies, Creutzfeldt-Jakob Syndrome, genetics, Electrophoresis Gel Two-Dimensional, methods, Female, Gene Expression, Human, Male, Middle Age, Nerve Tissue Proteins, genetics, Peroxidases, genetics, Spectrometry Mass Matrix-Assisted Laser Desorption-Ionization, Support Non-U.S. Gov't}, ABSTRACT = {Using two-dimensional gel electrophoresis (2-DE) and Western blot analysis, we were able to identify and quantify six antioxidant proteins, peroxiredoxin (Prx) I, Prx II, Prx III, 1-Cys Prx, putative peroxisomal antioxidant enzyme (PLP), and mitochondrial Mn superoxide dismutase (Mn-SOD) in two individual brain regions, cerebellum and frontal cortex of patients with sporadic Creutzfeldt-Jacob (sCJD). Among six antioxidant proteins, 1-Cys Prx showed significant increase (P > 0.05) in sCJD frontal cortex whereas Prx I was decreased (P > 0.01). In cerebellum, levels of all antioxidant proteins studied were comparable to those of controls. Our findings provide evidence for the link between aberrant expression of antioxidant proteins, 1-Cys Prx and Prx I and CJD neuropathogenesis and we discuss the neuropathological meaning of these dysregulated antioxidant proteins in sCJD brain.} } @ARTICLE{kubicki:hrp:2002, AUTHOR = {Marek Kubicki and Carl-Fredrik Westin and Stephan E Maier and Hatsuho Mamata and Melissa Frumin and Hal Ersner-Hershfield and Ron Kikinis and Ferenc A Jolesz and Robert McCarley and Martha E Shenton}, JOURNAL = {Harv Rev Psychiatry}, TITLE = {Diffusion tensor imaging and its application to neuropsychiatric disorders}, YEAR = {2002}, MONTH = {Nov-Dec}, OPTNOTE = {}, NUMBER = {6}, PAGES = {324-36}, VOLUME = {10}, KEYWORDS = {Anisotropy, Brain, pathology, Diffusion, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, methods, Mental Disorders, diagnosis, Nervous System Diseases, diagnosis, Support Non-U.S. Gov't, Support U.S. Gov't Non-P.H.S., Support U.S. Gov't P.H.S.}, ABSTRACT = {Magnetic resonance diffusion tensor imaging (DTI) is a new technique that can be used to visualize and measure the diffusion of water in brain tissue; it is particularly useful for evaluating white matter abnormalities. In this paper, we review research studies that have applied DTI for the purpose of understanding neuropsychiatric disorders. We begin with a discussion of the principles involved in DTI, followed by a historical overview of magnetic resonance diffusion-weighted imaging and DTI and a brief description of several different methods of image acquisition and quantitative analysis. We then review the application of this technique to clinical populations. We include all studies published in English from January 1996 through March 2002 on this topic, located by searching PubMed and Medline on the key words "diffusion tensor imaging" and "MRI." Finally, we consider potential future uses of DTI, including fiber tracking and surgical planning and follow-up.} } @ARTICLE{kulldorff:ije:2002, AUTHOR = {Martin Kulldorff}, JOURNAL = {Int J Epidemiol}, TITLE = {Geographical distribution of sporadic Creutzfeldt-Jakob Disease in France}, YEAR = {2002}, MONTH = {April}, OPTNOTE = {}, NUMBER = {2}, PAGES = {495-6}, VOLUME = {31}, KEYWORDS = {Creutzfeldt-Jakob Syndrome, epidemiology, France, epidemiology, Human} } @ARTICLE{lehmann:jsb:2002, AUTHOR = {Sylvain Lehmann}, JOURNAL = {J Soc Biol}, TITLE = {[The prion protein]}, YEAR = {2002}, OPTMONTH = {}, OPTNOTE = {}, NUMBER = {4}, PAGES = {309-12}, VOLUME = {196}, KEYWORDS = {Animal, Cattle, English Abstract, Glycosylphosphatidylinositols, Human, Mice, Mice Transgenic, Neurons, metabolism, Nuclear Magnetic Resonance Biomolecular, PrPC Proteins, chemistry, PrPSc Proteins, metabolism, Prion Diseases, genetics, Protein Conformation, Protein Structure Tertiary, Scrapie, genetics, Sheep, Signal Transduction, Structure-Activity Relationship}, ABSTRACT = {Transmissible spongiform encephalopathies form a group of fatal neurodegenerative disorders represented principally by Creutzfeldt-Jakob disease in humans, and by scrapie and bovine spongiform encephalopathy in animals. Also called prion diseases, these disorders have the property of being infectious, sporadic or genetic in origin. Although the nature of the responsible agent of these diseases is uncertain, it is clear that a protein called PrPSc has a central role in their pathology. PrPSc is a conformational variant of a normal protein called PrPC. PrPC is a glycoprotein expressed by most tissues and is attached on the cell membrane by a glycosyl-phosphatidylinositol anchor which would be consistent with roles in cell adhesion, ligand uptake, or transmembrane signaling. NMR studies revealed that the protein has a globular domain and a long amino-terminal tail that contains repeated octapeptide domains which bind metal ions with high affinities. PrPC is localized on the cell membrane in detergent resistant microdomains and may be part of functional complexes with other molecules. This is particularly relevant, knowing the possible role of the molecule in signal transduction, resistance to oxidative stress and neuronal survival. In conclusion, it appears that the understanding of the biology of PrP is essential for the understanding of the physiological function of the protein as well as for its pathological conversion considering that trafficking of this molecule governs generation of PrPSc.} } @ARTICLE{macleod:jn:2002, AUTHOR = {M-A Macleod and G E Stewart and M Zeidler and R Will and R Knight}, JOURNAL = {J Neurol}, TITLE = {Sensory features of variant Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {6}, PAGES = {706-11}, VOLUME = {249}, KEYWORDS = {Creutzfeldt-Jakob Syndrome, complications, Diagnosis Differential, Diagnostic Errors, Evoked Potentials Somatosensory, physiology, Extremities, physiopathology, Female, Human, Magnetic Resonance Imaging, Male, Pain, etiology, Paresthesia, etiology, Pulvinar, pathology, Referral and Consultation, Sensation Disorders, etiology, Specialism, statistics & numerical data, Support Non-U.S. Gov't}, ABSTRACT = {OBJECTIVE: Sensory symptoms are a prominent feature of variant Creutzfeldt-Jakob disease (vCJD), occurring at an early stage of the illness. They are persistent and can be troublesome. Here, they are described in detail and a possible anatomical basis is discussed. METHODS: The first 50 cases of vCJD confirmed by the National CJD Surveillance Unit (NCJDSU) were reviewed. Where possible the patients and their relatives were interviewed and case notes were examined. The presence and nature of sensory symptoms and signs were noted. Results of investigation and types of treatment offered were also reviewed. RESULTS: Of 50 definite cases, 64 % had persistent sensory symptoms, 16 % had no sensory symptoms and 18 % were uncertain. In 2 % there was insufficient information. Of the 32 with definite symptoms, 31 % were symptomatic from the onset of the illness. The symptoms were varied and some patients complained of more than one type of symptom. Limb pain was described in 63 % cases. This was the most common symptom and was often non-specific and poorly localised, usually occurring in the lower limbs. Other symptoms included cold feelings (25 % patients), dysaesthesia (28 % patients), paraesthesia (31 % patients) and numbness (25 % patients). The symptoms were lateralised in 31 % of patients. CONCLUSIONS: Sensory symptoms are a prominent feature of vCJD, occurring in nearly two thirds of cases. They may help distinguish variant from sporadic CJD. They are likely to be of thalamic origin but the recognised MRI changes in vCJD do not correlate with the presence or absence of sensory symptoms. Neuropathological changes in the thalamus, however, show marked astrocytosis and neuronal loss.} } @ARTICLE{mangin:mia:2002, AUTHOR = {J-F Mangin and C Poupon and C Clark and Le Bihan, D and Bihan D Le and I Bloch}, JOURNAL = {Med Image Anal}, TITLE = {Distortion correction and robust tensor estimation for MR diffusion imaging}, YEAR = {2002}, MONTH = {September}, OPTNOTE = {}, NUMBER = {3}, PAGES = {191-8}, VOLUME = {6}, KEYWORDS = {Artifacts, Brain, anatomy & histology, Comparative Study, Diffusion Magnetic Resonance Imaging, methods, Human, Image Enhancement, methods, Models Statistical, Quality Control, Reproducibility of Results, Sensitivity and Specificity, Statistics, Stochastic Processes}, ABSTRACT = {This paper presents a new procedure to estimate the diffusion tensor from a sequence of diffusion-weighted images. The first step of this procedure consists of the correction of the distortions usually induced by eddy-current related to the large diffusion-sensitizing gradients. This correction algorithm relies on the maximization of mutual information to estimate the three parameters of a geometric distortion model inferred from the acquisition principle. The second step of the procedure amounts to replacing the standard least squares-based approach by the Geman-McLure M-estimator, in order to reduce outlier-related artefacts. Several experiments prove that the whole procedure highly improves the quality of the final diffusion maps.} } @ARTICLE{molko:jcn:2002, AUTHOR = {N Molko and L Cohen and J F Mangin and F Chochon and S Lehericy and Le Bihan, D and Bihan D Le and S Dehaene}, JOURNAL = {J Cogn Neurosci}, TITLE = {Visualizing the neural bases of a disconnection syndrome with diffusion tensor imaging}, YEAR = {2002}, MONTH = {May}, OPTNOTE = {}, NUMBER = {4}, PAGES = {629-36}, VOLUME = {14}, KEYWORDS = {Adult, Anisotropy, Brain, pathology, Brain Mapping, Case Report, Dominance Cerebral, Dyslexia, diagnosis, Human, Magnetic Resonance Imaging, Male, Neural Pathways, physiopathology, Reading, Verbal Behavior}, ABSTRACT = {Disconnection syndromes are often conceptualized exclusively within cognitive box-and-arrow diagrams unrelated to brain anatomy. In a patient with alexia in his left visual field resulting from a posterior callosal lesion, we illustrate how diffusion tensor imaging can reveal the anatomical bases of a disconnection syndrome by tracking the degeneration of neural pathways and relating it to impaired fMRI activations and behavior. Compared to controls, an abnormal pattern of brain activity was observed in the patient during word reading, with a lack of activation of the left visual word form area (VWFA) by left hemifield words. Statistical analyses of diffusion images revealed a damaged fiber tract linking the left ventral occipito-temporal region to its right homolog across the lesioned area of corpus callosum and stopping close to the areas found active in fMRI. The behavioral disconnection syndrome could, thus, be related functionally to abnormal fMRI activations and anatomically to the absence of a connection between those activations. The present approach, based on the "negative tracking" of degenerated bundles, provides new perspectives on the understanding of human brain connections and disconnections.} } @ARTICLE{murata:aajn:2002, AUTHOR = {Takaki Murata and Yusei Shiga and Shuichi Higano and Shoki Takahashi and Shunji Mugikura}, JOURNAL = {AJNR Am J Neuroradiol}, TITLE = {Conspicuity and evolution of lesions in Creutzfeldt-Jakob disease at diffusion-weighted imaging}, YEAR = {2002}, MONTH = {August}, OPTNOTE = {}, NUMBER = {7}, PAGES = {1164-72}, VOLUME = {23}, KEYWORDS = {Aged, Aged 80 and over, Brain, blood supply, Comparative Study, Creutzfeldt-Jakob Syndrome, diagnosis, Disease Progression, Female, Follow-Up Studies, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, methods, Male, Middle Age, Sensitivity and Specificity, Severity of Illness Index, Time Factors}, ABSTRACT = {BACKGROUND AND PURPOSE: Diffusion-weighted imaging can disclose distinct hyperintense lesions in Creutzfeldt-Jakob disease (CJD). However, these findings and chronologic changes of CJD at diffusion-weighted imaging have not been fully investigated. Our purpose was to assess the diagnostic value of diffusion-weighted imaging in depicting CJD-related lesions and in tracking the evolution of these lesions. We also compared the sensitivity of diffusion-weighted imaging in depicting CJD-related lesions to that of fluid-attenuated inversion recovery (FLAIR) imaging. METHODS: We reviewed findings in 13 patients with a diagnosis of CJD who underwent MR imaging, including diffusion-weighted imaging. Nine patients were initially examined within 4 months of onset of symptoms (early stage), and eight were examined 4 months or later (late stage). We evaluated four items: 1) distribution of lesions at diffusion-weighted imaging, 2) conspicuity of lesions at diffusion-weighted imaging and FLAIR imaging, 3) chronologic changes in lesions at diffusion-weighted imaging, and 4) chronologic changes in lesions revealed by apparent diffusion coefficient (ADC) maps. RESULTS: Patients had striatal lesions or cerebral cortical lesions or both. The thalamus was involved in only one patient, and the globus pallidus was spared in all patients. The sensitivity of diffusion-weighted imaging in depicting lesions was superior or at least equal to that of FLAIR imaging. Hyperintense lesions at diffusion-weighted imaging changed in extent and intensity over time. Unlike infarction, lesional ADC decreased for 2 weeks or longer. CONCLUSION: The progressively hyperintense changes in the striata and cerebral cortices at diffusion-weighted imaging are considered characteristic of CJD. Diffusion-weighted imaging may be useful for the early diagnosis of CJD.} } @ARTICLE{nakada:nts:2002, AUTHOR = {Tsutomu Nakada}, JOURNAL = {No To Shinkei}, TITLE = {[Diffusion tensor analysis: principles and applications]}, YEAR = {2002}, MONTH = {April}, OPTNOTE = {}, NUMBER = {4}, PAGES = {290-7}, VOLUME = {54}, KEYWORDS = {Brain, anatomy & histology, Diffusion, English Abstract, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, methods, Sensitivity and Specificity}, ABSTRACT = {Diffusion tensor analysis represents a versatile yet powerful application of magnetic resonance imaging (MRI). Early applications of diffusion weighted imaging(DWI), especially those related to ischemic brain disease were quickly overshadowed by more advanced applications of DTA, namely, those dealing with anisotropy analysis. Considering the array of possibilities, from neuronal tract tracing to neuronal density imaging, DTA is rapidly becoming an indispensable tool not only in neuroscience but also in clinical investigations of the brain.} } @ARTICLE{pappas:ocna:2002, AUTHOR = {Dennis G Jr Pappas and Joel K Cure}, JOURNAL = {Otolaryngol Clin North Am}, TITLE = {Diagnostic imaging}, YEAR = {2002}, MONTH = {April}, OPTNOTE = {}, NUMBER = {2}, PAGES = {239-53}, VOLUME = {35}, KEYWORDS = {Bone Diseases, diagnosis, Cerebellopontine Angle, pathology, Human, Labyrinth, pathology, Magnetic Resonance Imaging, Petrous Bone, pathology, Temporal Bone, pathology, Tomography X-Ray Computed}, ABSTRACT = {Imaging technology continues to advance and simplify the diagnosis of neurotologic pathology. Namely, high resolution magnetic resonance imaging has provided detailed evaluation of the internal auditory canal and membranous labyrinth. Conversely, the role of high resolution magnetic resonance imaging as a screening tool remains controversial. Functional imaging studies such as functional magnetic resonance imaging and single photon emission computed tomography are beginning to find significant roles in the evaluation of cochlear implant patients. General imaging principles and imaging strategies for specific temporal bone pathologies are also discussed.} } @ARTICLE{pereira:an:2002, AUTHOR = {Edgard Pereira}, JOURNAL = {Arq Neuropsiquiatr}, TITLE = {Diffusion-weighted sequence on MRI for the diagnosis of Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {December}, OPTNOTE = {}, NUMBER = {4}, PAGES = {906-8}, VOLUME = {60}, KEYWORDS = {Basal Ganglia, pathology, Case Report, Cerebral Cortex, pathology, Creutzfeldt-Jakob Syndrome, diagnosis, Diagnosis Differential, Diffusion Magnetic Resonance Imaging, methods, Human, Male, Middle Age, Thalamus, pathology}, ABSTRACT = {Creutzfeldt-Jakob disease (CJD) is a progressive and fatal dementing illness caused by a virus like agent called prion. Currently, the definitive diagnosis can only be made through brain biopsy. Given its potential transmissibility, it is paramount to have noninvasive and reliable means to detect the disease. The present case reports on a 63 year-old man with biopsy proven CJD, and evaluates the dependability of diffusion-weighted MRI in this condition, stressing the importance of this particular sequence to its diagnosis.} } @ARTICLE{rabinstein:an:2002, AUTHOR = {Alejandro A Rabinstein and Michelle L Whiteman and Robert T Shebert}, JOURNAL = {Arch Neurol}, TITLE = {Abnormal diffusion-weighted magnetic resonance imaging in Creutzfeldt-Jakob disease following corneal transplantations}, YEAR = {2002}, MONTH = {April}, OPTNOTE = {}, NUMBER = {4}, PAGES = {637-9}, VOLUME = {59}, KEYWORDS = {Brain, pathology, Case Report, Corneal Transplantation, Creutzfeldt-Jakob Syndrome, diagnosis, Human, Magnetic Resonance Imaging, methods, Male, Middle Age, Predictive Value of Tests}, ABSTRACT = {BACKGROUND: The value of magnetic resonance imaging of the brain in the diagnosis of iatrogenic cases of Creutzfeldt-Jakob disease has been questioned. OBJECTIVE: To illustrate the value of magnetic resonance imaging of the brain in the diagnosis of iatrogenic Creutzfeldt-Jakob disease. METHODS: Case report. RESULTS: A patient with a history of 3 corneal transplantations exhibited the alien hand sign on initial examination. Diffusion-weighted magnetic resonance imaging of the brain revealed prominent cortical diffusion abnormalities. During the following months, the patient developed rapidly progressive dementia. The diagnosis of Creutzfeldt-Jakob disease was proven by brain biopsy. CONCLUSION: Brain magnetic resonance imaging, particularly diffusion-weighted magnetic resonance imaging, can be very helpful in the diagnosis of Creutzfeldt-Jakob disease, even in suspected iatrogenic cases.} } @ARTICLE{ruizalzola:mia:2002, AUTHOR = {J Ruiz-Alzola and C-F Westin and S K Warfield and C Alberola and S Maier and R Kikinis}, JOURNAL = {Med Image Anal}, TITLE = {Nonrigid registration of 3D tensor medical data}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {2}, PAGES = {143-61}, VOLUME = {6}, KEYWORDS = {Algorithms, Brain, anatomy & histology, Comparative Study, Computer Simulation, Diffusion, Human, Image Processing Computer-Assisted, methods, Imaging Three-Dimensional, methods, Magnetic Resonance Imaging, methods, Matched-Pair Analysis, Models Anatomic, Models Neurological, Sensitivity and Specificity, Support Non-U.S. Gov't, Support U.S. Gov't P.H.S.}, ABSTRACT = {New medical imaging modalities offering multi-valued data, such as phase contrast MRA and diffusion tensor MRI, require general representations for the development of automated algorithms. In this paper we propose a unified framework for the registration of medical volumetric multi-valued data using local matching. The paper extends the usual concept of similarity between two pieces of data to be matched, commonly used with scalar (intensity) data, to the general tensor case. Our approach to registration is based on a multiresolution scheme, where the deformation field estimated in a coarser level is propagated to provide an initial deformation in the next finer one. In each level, local matching of areas with a high degree of local structure and subsequent interpolation are performed. Consequently, we provide an algorithm to assess the amount of structure in generic multi-valued data by means of gradient and correlation computations. The interpolation step is carried out by means of the Kriging estimator, which provides a novel framework for the interpolation of sparse vector fields in medical applications. The feasibility of the approach is illustrated by results on synthetic and clinical data.} } @ARTICLE{taber:jncn:2002, AUTHOR = {Katherine H Taber and Pietro Cortelli and Wolfgang Staffen and Robin A Hurley}, JOURNAL = {J Neuropsychiatry Clin Neurosci}, TITLE = {The expanding role of imaging in prion disease}, YEAR = {2002}, MONTH = {Fall}, OPTNOTE = {}, NUMBER = {4}, PAGES = {371-6}, VOLUME = {14}, KEYWORDS = {Brain, blood supply, Cerebrovascular Circulation, physiology, Creutzfeldt-Jakob Syndrome, diagnosis, Fludeoxyglucose F 18, diagnostic use, Human, Magnetic Resonance Imaging, Oximes, diagnostic use, Radiopharmaceuticals, diagnostic use, Tomography Emission-Computed, Tomography Emission-Computed Single-Photon, Tomography X-Ray Computed} } @ARTICLE{thakur:nmji:2002, AUTHOR = {Rajeev Thakur and Yasmeen Marbaniang Vincent and Sujata Chaturvedi}, JOURNAL = {Natl Med J India}, TITLE = {Human prion diseases}, YEAR = {2002}, MONTH = {Nov-Dec}, OPTNOTE = {}, NUMBER = {6}, PAGES = {339-45}, VOLUME = {15}, KEYWORDS = {Animal, Human, Population Surveillance, Prion Diseases, epidemiology}, ABSTRACT = {Prion diseases is another name for a group of 'transmissible spongiform encephalopathies'. Creutzfeldt-Jakob disease, the first prion disease described in humans, occurs in sporadic, familial or iatrogenic form. Other transmissible spongiform encephalopathies in humans such as familial Creutzfeldt-]akob disease, Gerstmann-Straussler-Scheinker disease and fatal familial Insomnia have been shown to be associated with specific prion protein gene mutations. In 1996, a new variant of Creutzfeldt-Jakob disease was reported in the United Kingdom among young patients with unusual clinical features and unique neuropathological findings. This new form could be due to transmission to humans of the agent causing bovine spongiform encephalopathy. While examination of brain tissue is the key to making a diagnosis, it is not always possible antemortem. Immunological tests such as ELISA or western blot assays along with tests for 1 4-3-3 protein in the cerebrospinal fluid remain the main tools of diagnosis. Conventional disinfection and sterilization practices are Ineffective for these agents. The unusual properties of prions pose a challenge for treatment, surveillance and control of these diseases.} } @ARTICLE{tribl:neuroradiology:2002, AUTHOR = {G G Tribl and G Strasser and J Zeitlhofer and S Asenbaum and C Jarius and P Wessely and D Prayer}, JOURNAL = {Neuroradiology}, TITLE = {Sequential MRI in a case of Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {March}, OPTNOTE = {}, NUMBER = {3}, PAGES = {223-6}, VOLUME = {44}, KEYWORDS = {Brain, pathology, Case Report, Contrast Media, Creutzfeldt-Jakob Syndrome, diagnosis, Electroencephalography, Gadolinium DTPA, diagnostic use, Human, Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, diagnostic use, Male, Middle Age, Support Non-U.S. Gov't, Time Factors}, ABSTRACT = {A 48-year-old man suddenly developed clinically and electroencephalographically nonspecific dementia. On MRI sequences, only diffusion-weighted images (DWI) of the cortex were unequivocally pathological. Obvious atrophy and basal ganglia signal changes appeared only 9 months after the onset. Brain biopsy confirmed Creutzfeldt-Jakob disease (CJD). In rapidly progressive dementia, we recommend DWI for early diagnosis of CJD.} } @ARTICLE{ward:neurology:2002, AUTHOR = {H J T Ward and HJ Ward and D Everington and E A Croes and A Alperovitch and N Delasnerie-Laupretre and I Zerr and S Poser and van Duijn, C M and Duijn CM van}, JOURNAL = {Neurology}, TITLE = {Sporadic Creutzfeldt-Jakob disease and surgery: a case-control study using community controls}, YEAR = {2002}, MONTH = {August}, OPTNOTE = {}, NUMBER = {4}, PAGES = {543-8}, VOLUME = {59}, KEYWORDS = {Aged, Case-Control Studies, Creutzfeldt-Jakob Syndrome, epidemiology, Female, France, epidemiology, Germany, epidemiology, Great Britain, epidemiology, Human, Male, Middle Age, Netherlands, epidemiology, Odds Ratio, Registries, statistics & numerical data, Risk Assessment, Risk Factors, Sex Distribution, Sex Factors, Support Non-U.S. Gov't, Surgical Procedures Operative, adverse effects}, ABSTRACT = {BACKGROUND: The cause of sporadic Creutzfeldt-Jakob disease (CJD) is unknown. Previous studies found a link with a history of surgery but had methodologic problems. OBJECTIVE: To help elucidate medical and associated risk factors for sporadic CJD as part of the 1993 to 1995 European Union collaborative studies of CJD. METHODS: Medical and associated risk factors from 326 patients with sporadic CJD, taken from population-based studies performed between 1993 and 1995 in France, Germany, the Netherlands, and the UK, were compared with 326 community controls recruited by telephone in 2000. RESULTS: A history of surgery was significantly associated with the risk of sporadic CJD (odds ratio [OR]: 1.8; 95% CI: 1.2 to 2.6), which was not dependent on the number of surgical procedures, and was stronger in females (OR: 2.5; 95% CI: 1.5 to 4.0). Gynecologic (OR: 1.5; 95% CI: 1.0 to 2.3) and "other" operations (any operation other than neurologic, eye, ear, gallbladder, gastrointestinal, and gynecologic operations, tonsillectomy, and appendectomy) (OR: 1.5; 95% CI: 1.1 to 2.1) were associated with risk of CJD. Tonsillectomy (OR: 0.3; 95% CI: 0.2 to 0.5) and appendectomy (OR: 0.6; 95% CI: 0.4 to 0.8) were observed less frequently in cases. An increased risk was also found with a history of ear piercing in females (OR: 1.6; 95% CI: 1.1 to 2.5) and psychiatric visit(s) (OR: 2.6; 95% CI: 1.5 to 4.3). CONCLUSIONS: These results support the hypothesis that cases of sporadic CJD may result from hitherto unrecognized surgical contamination events. However, because of the limits of the study design, the rarity of the disease, and the potential for bias, the results should be interpreted with caution.} } @ARTICLE{westin:mia:2002, AUTHOR = {C-F Westin and S E Maier and H Mamata and A Nabavi and F A Jolesz and R Kikinis}, JOURNAL = {Med Image Anal}, TITLE = {Processing and visualization for diffusion tensor MRI}, YEAR = {2002}, MONTH = {June}, OPTNOTE = {}, NUMBER = {2}, PAGES = {93-108}, VOLUME = {6}, KEYWORDS = {Brain, anatomy & histology, Data Display, Human, Image Processing Computer-Assisted, methods, Magnetic Resonance Imaging, methods, Models Theoretical, Sensitivity and Specificity, Support Non-U.S. Gov't, Support U.S. Gov't P.H.S.}, ABSTRACT = {This paper presents processing and visualization techniques for Diffusion Tensor Magnetic Resonance Imaging (DT-MRI). In DT-MRI, each voxel is assigned a tensor that describes local water diffusion. The geometric nature of diffusion tensors enables us to quantitatively characterize the local structure in tissues such as bone, muscle, and white matter of the brain. This makes DT-MRI an interesting modality for image analysis. In this paper we present a novel analytical solution to the Stejskal-Tanner diffusion equation system whereby a dual tensor basis, derived from the diffusion sensitizing gradient configuration, eliminates the need to solve this equation for each voxel. We further describe decomposition of the diffusion tensor based on its symmetrical properties, which in turn describe the geometry of the diffusion ellipsoid. A simple anisotropy measure follows naturally from this analysis. We describe how the geometry or shape of the tensor can be visualized using a coloring scheme based on the derived shape measures. In addition, we demonstrate that human brain tensor data when filtered can effectively describe macrostructural diffusion, which is important in the assessment of fiber-tract organization. We also describe how white matter pathways can be monitored with the methods introduced in this paper. DT-MRI tractography is useful for demonstrating neural connectivity (in vivo) in healthy and diseased brain tissue.} } @ARTICLE{yoo:nl:2002, AUTHOR = {Byong Chul Yoo and Kurt Krapfenbauer and Nigel Cairns and Girma Belay and Michal Bajo and Gert Lubec}, JOURNAL = {Neurosci Lett}, TITLE = {Overexpressed protein disulfide isomerase in brains of patients with sporadic Creutzfeldt-Jakob disease}, YEAR = {2002}, MONTH = {December}, OPTNOTE = {}, NUMBER = {3}, PAGES = {196-200}, VOLUME = {334}, KEYWORDS = {Aged, Alzheimer Disease, enzymology, Bacterial Proteins, analysis, Blotting Western, methods, Cerebellum, enzymology, Comparative Study, Creutzfeldt-Jakob Syndrome, enzymology, Down Syndrome, enzymology, Electrophoresis Gel Two-Dimensional, methods, Female, Glial Fibrillary Acidic Protein, chemistry, Human, Male, Middle Age, Peptide Mapping, methods, Phosphoprotein Phosphatase, analysis, Phosphopyruvate Hydratase, chemistry, PrPSc Proteins, analysis, Protein Conformation, Protein Disulfide-Isomerase, metabolism, Spectrometry Mass Matrix-Assisted Laser Desorption-Ionization, Statistics Nonparametric}, ABSTRACT = {Earlier studies have failed to detect covalent modifications in beta-sheet-rich scrapie isoform prion protein (PrP(Sc)) and have concluded that the conversion of alpha-helix-rich cellular form prion protein (PrP(C)) to PrP(Sc) represents purely conformational transition not involving chemical reactions. However, recent studies have shown that the intradisulfide bond of PrP(C) can play an important role for instability and conformational change to PrP(Sc). Interestingly, we found overexpressed protein disufide isomerase (PDI) in brains of sporadic Creutzfeldt-Jakob disease (sCJD, human prion disease) patients using two dimensional electrophoresis and Western blot analysis but not in other neurodegenerative disorders as Down Syndrome and Alzheimer's disease. However, proteinase K digestion and plasminogen binding assay of brain homogenates incubated with PDI suggest that PDI has no effect on either proteinase resistance or conformational change of PrP. Overexpression of PDI protein in sCJD brain may simply reflect a cellular defense response against the altered prion protein.} } @ARTICLE{zerr:dmw:2002, AUTHOR = {I Zerr and B Mollenhauer and Ch Werner and S Poser}, JOURNAL = {Dtsch Med Wochenschr}, TITLE = {[Early and differential diagnosis of Creutzfeldt-Jakob disease]}, YEAR = {2002}, MONTH = {February}, OPTNOTE = {}, NUMBER = {7}, PAGES = {323-7}, VOLUME = {127}, KEYWORDS = {Adult, Comparative Study, Creutzfeldt-Jakob Syndrome, cerebrospinal fluid, Diagnosis Differential, Electroencephalography, Human, Magnetic Resonance Imaging, Male, Middle Age, Sensitivity and Specificity, Time Factors, Tomography X-Ray Computed} } @ARTICLE{collie:jbrbtr:2001, AUTHOR = {D A Collie}, JOURNAL = {JBR-BTR}, TITLE = {The role of MRI in the diagnosis of sporadic and variant Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {August}, OPTNOTE = {}, NUMBER = {4}, PAGES = {143-6}, VOLUME = {84}, KEYWORDS = {Creutzfeldt-Jakob Syndrome, pathology, Human, Magnetic Resonance Imaging}, ABSTRACT = {Creutzfeldt-Jakob disease (CJD) is a rare but important fatal, dementing illness. A number of types of CJD are identified, each with distinct clinical features. Characteristic MRI changes have been described recently. Sporadic CJD, the commonest type, is found worldwide, and causes hyperintensity of the putamen and caudate nuclei. In the recently described variant CJD, which affects younger patients and has been linked to Bovine Spongiform Encephalopathy (BSE) in cattle, a highly characteristic finding of bilateral hyperintensity of the pulvinar nuclei is seen. The MRI features of CJD are reviewed in this article.} } @ARTICLE{collie:cr:2001, AUTHOR = {D A Collie and R J Sellar and M Zeidler and A C Colchester and R Knight and R G Will}, JOURNAL = {Clin Radiol}, TITLE = {MRI of Creutzfeldt-Jakob disease: imaging features and recommended MRI protocol}, YEAR = {2001}, MONTH = {September}, OPTNOTE = {}, NUMBER = {9}, PAGES = {726-39}, VOLUME = {56}, KEYWORDS = {Clinical Protocols, Creutzfeldt-Jakob Syndrome, classification, Diagnosis Differential, Human, Magnetic Resonance Imaging, methods, Pulvinar, pathology, Support Non-U.S. Gov't, Thalamus, pathology}, ABSTRACT = {Creutzfeldt-Jakob Disease (CJD) is a rare, progressive and invariably fatal neurodegenerative disease characterized by specific histopathological features. Of the four subtypes of CJD described, the commonest is sporadic CJD (sCJD). More recently, a new clinically distinct form of the disease affecting younger patients, known as variant CJD (vCJD), has been identified, and this has been causally linked to the bovine spongiform encephalopathy (BSE) agent in cattle. Characteristic appearances on magnetic resonance imaging (MRI) have been identified in several forms of CJD; sCJD may be associated with high signal changes in the putamen and caudate head and vCJD is usually associated with hyperintensity of the pulvinar (posterior nuclei) of the thalamus. These appearances and other imaging features are described in this article. Using appropriate clinical and radiological criteria and tailored imaging protocols, MRI plays an important part in the in vivodiagnosis of this disease.} } @ARTICLE{dervaux:bjp:2001, AUTHOR = {A Dervaux and S Vicart and F Lopes and Le Borgne, M H and Borgne MH Le}, JOURNAL = {Br J Psychiatry}, TITLE = {Psychiatric features of vCJD similar in France and UK}, YEAR = {2001}, MONTH = {March}, OPTNOTE = {}, OPTNUMBER = {}, PAGES = {276}, VOLUME = {178}, KEYWORDS = {Adult, Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Depressive Disorder, etiology, Female, France, Great Britain, Human} } @ARTICLE{kim:kjr:2001, AUTHOR = {H C Kim and K H Chang and I C Song and S H Lee and B J Kwon and M H Han and S Y Kim}, JOURNAL = {Korean J Radiol}, TITLE = {Diffusion-weighted MR imaging in biopsy-proven Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {Oct-Dec}, OPTNOTE = {}, NUMBER = {4}, PAGES = {192-6}, VOLUME = {2}, KEYWORDS = {Adult, Aged, Biopsy, Comparative Study, Creutzfeldt-Jakob Syndrome, diagnosis, Female, Human, Magnetic Resonance Imaging, methods, Male, Middle Age, Retrospective Studies, Sensitivity and Specificity, Support Non-U.S. Gov't}, ABSTRACT = {OBJECTIVE: To compare conventional and diffusion-weighted MR imaging in terms of their depiction of the abnormalities occurring in Creutzfeldt-Jakob disease. MATERIALS AND METHODS: We retrospectively analyzed the findings of conventional (T2-weighted and fluid-attenuated inversion recovery) and diffusion-weighted MR imaging in four patients with biopsy-proven Creutzfeldt-Jakob disease. The signal intensity of the lesion was classified by visual assessment as markedly high, slightly high, or isointense, relative to normal brain parenchyma. RESULTS: Both conventional and diffusion-weighted MR images demonstrated bilateral high signal intensity in the basal ganglia in all four patients. Cortical lesions were observed on diffusion-weighted MR images in all four, and on fluid-attenuated inversion recovery MR images in one, but in no patient on T2-weighted images. Conventional MR images showed slightly high signal intensity in all lesions, while diffusion-weighted images showed markedly high signal intensity in most. CONCLUSION: Diffusion-weighted MR imaging is more sensitive than its conventional counterpart in the depiction of Creutzfeldt-Jakob disease, and permits better detection of the lesion in both the cerebral cortices and basal ganglia.} } @ARTICLE{konagaya:nts:2001, AUTHOR = {M Konagaya and M Sakai and K Asakura and Y Matsuoka and Y Hashizume}, JOURNAL = {No To Shinkei}, TITLE = {[T2-weighted MRI and pathological findings in the cerebral hemisphere of panencephalitic Creutzfeldt-Jakob disease]}, YEAR = {2001}, MONTH = {April}, OPTNOTE = {}, NUMBER = {4}, PAGES = {398-9}, VOLUME = {53}, KEYWORDS = {Brain, pathology, Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Encephalitis, diagnosis, Female, Human, Magnetic Resonance Imaging, Middle Age} } @ARTICLE{koppinen:avj:2001, AUTHOR = {J Koppinen}, JOURNAL = {Aust Vet J}, TITLE = {The French reflect on BSE}, YEAR = {2001}, MONTH = {July}, OPTNOTE = {}, NUMBER = {7}, PAGES = {452}, VOLUME = {79}, KEYWORDS = {Animal, Animal Feed, Cattle, Creutzfeldt-Jakob Syndrome, prevention & control, Encephalopathy Bovine Spongiform, prevention & control, France, Human} } @ARTICLE{kraft:vcnaep:2001, AUTHOR = {S L Kraft and P Gavin}, JOURNAL = {Vet Clin North Am Equine Pract}, TITLE = {Physical principles and technical considerations for equine computed tomography and magnetic resonance imaging}, YEAR = {2001}, MONTH = {April}, OPTNOTE = {}, NUMBER = {1}, PAGES = {115-30}, VOLUME = {17}, KEYWORDS = {Animal, Horse Diseases, diagnosis, Horses, Magnetic Resonance Imaging, methods, Tomography X-Ray Computed, methods}, ABSTRACT = {This article discusses how cross-sectional imaging methods such as computed tomography and magnetic resonance imaging can provide unique and diagnostically important information in situations where radiography or diagnostic ultrasound have been unrewarding.} } @ARTICLE{lebihan:jmri:2001, AUTHOR = {Le Bihan, D and Bihan D Le and J F Mangin and C Poupon and C A Clark and S Pappata and N Molko and H Chabriat}, JOURNAL = {J Magn Reson Imaging}, TITLE = {Diffusion tensor imaging: concepts and applications}, YEAR = {2001}, MONTH = {April}, OPTNOTE = {}, NUMBER = {4}, PAGES = {534-46}, VOLUME = {13}, KEYWORDS = {Brain Diseases, diagnosis, Diffusion, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, methods}, ABSTRACT = {The success of diffusion magnetic resonance imaging (MRI) is deeply rooted in the powerful concept that during their random, diffusion-driven displacements molecules probe tissue structure at a microscopic scale well beyond the usual image resolution. As diffusion is truly a three-dimensional process, molecular mobility in tissues may be anisotropic, as in brain white matter. With diffusion tensor imaging (DTI), diffusion anisotropy effects can be fully extracted, characterized, and exploited, providing even more exquisite details on tissue microstructure. The most advanced application is certainly that of fiber tracking in the brain, which, in combination with functional MRI, might open a window on the important issue of connectivity. DTI has also been used to demonstrate subtle abnormalities in a variety of diseases (including stroke, multiple sclerosis, dyslexia, and schizophrenia) and is currently becoming part of many routine clinical protocols. The aim of this article is to review the concepts behind DTI and to present potential applications.} } @ARTICLE{mathews:cnm:2001, AUTHOR = {D Mathews and D H Unwin}, JOURNAL = {Clin Nucl Med}, TITLE = {Quantitative cerebral blood flow imaging in a patient with the Heidenhain variant of Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {September}, OPTNOTE = {}, NUMBER = {9}, PAGES = {770-3}, VOLUME = {26}, KEYWORDS = {Acetazolamide, pharmacology, Brain, pathology, Case Report, Cerebrovascular Circulation, drug effects, Creutzfeldt-Jakob Syndrome, diagnosis, Human, Magnetic Resonance Imaging, Male, Middle Age, Tomography Emission-Computed Single-Photon, Xenon Radioisotopes, diagnostic use}, ABSTRACT = {PURPOSE: This report describes quantitative SPECT cerebral blood flow (CBF) changes in a patient with the confirmed Heidenhain variant of Creutzfeldt-Jakob disease. MATERIALS AND METHODS: A 60-year-old man reported visual disturbances, including left hemianopsia. An electroencephalogram, magnetic resonance imaging, cerebral arteriogram, and quantitative SPECT CBF imaging with Xe-133, with and without acetazolamide, were performed. After the patient's death, an autopsy was performed. RESULTS: The electroencephalographic findings were nonspecific, those of magnetic resonance imaging were normal, and the cerebral arteriogram showed minimal atherosclerosis. However, the SPECT scan revealed marked depression of perfusion in the parietal and occipital cortices that did not change with the administration of acetazolamide. Autopsy results were consistent with CJD. CONCLUSIONS: Although there is no consistent pattern of CBF changes that is characteristic of Creutzfeldt-Jakob disease, the Heidenhain variant of that disease may be an exception. Clinical symptoms include profound changes in vision, and the pattern of CBF changes in the patient described here included depression of perfusion in areas of primary and associated visual cortex. Also of interest is the finding that although other imaging did not reveal an abnormality, the CBF changes were marked. In addition, vasoreactivity is poor in response to acetazolamide, a finding that occurs only late in other neuronal degenerative conditions such as Alzheimer's disease.} } @ARTICLE{matoba:jcat:2001, AUTHOR = {M Matoba and H Tonami and H Miyaji and H Yokota and I Yamamoto}, JOURNAL = {J Comput Assist Tomogr}, TITLE = {Creutzfeldt-Jakob disease: serial changes on diffusion-weighted MRI}, YEAR = {2001}, MONTH = {Mar-Apr}, OPTNOTE = {}, NUMBER = {2}, PAGES = {274-7}, VOLUME = {25}, KEYWORDS = {Aged, Brain, pathology, Case Report, Creutzfeldt-Jakob Syndrome, diagnosis, Female, Human, Magnetic Resonance Imaging}, ABSTRACT = {We present serial changes on diffusion-weighted MRI (DWI) in a patient with Creutzfeldt-Jakob disease (CJD). DWI revealed serial changes of abnormal hyperintense lesions that had become more extensive and conspicuous with progression of neurologic findings, more sensitively than conventional MRI. In the late stage, disappearance of abnormal hyperintense lesions on DWI was observed. DWI proved to be particularly useful for monitoring the progression of CJD.} } @ARTICLE{poon:neuroradiology:2001, AUTHOR = {M A Poon and S Stuckey and E Storey}, JOURNAL = {Neuroradiology}, TITLE = {MRI evidence of cerebellar and hippocampal involvement in Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {September}, OPTNOTE = {}, NUMBER = {9}, PAGES = {746-9}, VOLUME = {43}, KEYWORDS = {Brain, pathology, Case Report, Cerebellum, pathology, Creutzfeldt-Jakob Syndrome, diagnosis, Diagnosis Differential, Female, Hippocampus, pathology, Human, Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, diagnostic use, Middle Age}, ABSTRACT = {We report a 51-year-old woman with the Brownell-Oppenheimer (cerebellar) variant of Creutzfeldt-Jakob disease (CJD). She had the typical findings of bilateral basal ganglion changes on MRI, as well as changes in the cerebellum and hippocampus. This case adds further information to the known imaging characteristics of CJD.} } @ARTICLE{poupon:mia:2001, AUTHOR = {C Poupon and J Mangin and C A Clark and V Frouin and J Regis and Le Bihan, D and Bihan D Le and I Bloch}, JOURNAL = {Med Image Anal}, TITLE = {Towards inference of human brain connectivity from MR diffusion tensor data}, YEAR = {2001}, MONTH = {March}, OPTNOTE = {}, NUMBER = {1}, PAGES = {1-15}, VOLUME = {5}, KEYWORDS = {Axons, physiology, Brain Mapping, Diffusion, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, methods, Mathematics, Nerve Fibers, physiology}, ABSTRACT = {This paper describes a method to infer the connectivity induced by white matter fibers in the living human brain. This method stems from magnetic resonance tensor imaging (DTI), a technique which gives access to fiber orientations. Given typical DTI spatial resolution, connectivity is addressed at the level of fascicles made up by a bunch of parallel fibers. We propose first an algorithm dedicated to fascicle tracking in a direction map inferred from diffusion data. This algorithm takes into account fan-shaped fascicle forks usual in actual white matter organization. Then, we propose a method of inferring a regularized direction map from diffusion data in order to improve the robustness of the tracking. The regularization stems from an analogy between white matter organization and spaghetti plates. Finally, we propose a study of the tracking behavior according to the weight given to the regularization and some examples of the tracking results with in vivo human brain data.} } @ARTICLE{smart:aajr:2001, AUTHOR = {J M Smart and A Wood}, JOURNAL = {AJR Am J Roentgenol}, TITLE = {Value of fluid-attenuated inversion recovery MR imaging in an unusual case of sporadic Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {October}, OPTNOTE = {}, NUMBER = {4}, PAGES = {948-9}, VOLUME = {177}, KEYWORDS = {Case Report, Creutzfeldt-Jakob Syndrome, pathology, Human, Magnetic Resonance Imaging, methods, Male, Middle Age} } @ARTICLE{thompson:bba:2001, AUTHOR = {A J Thompson and K J Barnham and R S Norton and C J Barrow}, JOURNAL = {Biochim Biophys Acta}, TITLE = {The Val-210-Ile pathogenic Creutzfeldt-Jakob disease mutation increases both the helical and aggregation propensities of a sequence corresponding to helix-3 of PrP(C)}, YEAR = {2001}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1-2}, PAGES = {242-54}, VOLUME = {1544}, KEYWORDS = {Amino Acid Sequence, Circular Dichroism, Creutzfeldt-Jakob Syndrome, genetics, Isoleucine, genetics, Molecular Sequence Data, Mutation, Nuclear Magnetic Resonance Biomolecular, Phosphoprotein Phosphatase, chemistry, Protein Structure Secondary, Support Non-U.S. Gov't, Valine, genetics}, ABSTRACT = {A peptide corresponding to the third helical region within the PrP(C) protein, from residues 198 to 218 (helix-3), was synthesised with and without the familial 210-Val to Ile Creutzfeldt-Jakob disease mutation. The NMR structure of PrP(C) predicts no global variation in stability for this mutation, indicating that local sequence rather than global structural factors are involved in the pathological effects of this mutation. 1H NMR analysis of peptides with and without this mutation indicated that it had no significant effect on local helical structure. Temperature denaturation studies monitored by CD showed that the mutation increased the helical content within this region (helical propensity), but did not stabilise the helix toward denaturation (helical stability). Aggregation data indicated that, in addition to increasing helical propensity, this mutation increased the aggregation propensity of this sequence. CD and NMR data indicate that helical interactions, stabilised by the Val-210-Ile mutation, may precede the formation of beta-sheet aggregates in this peptide sequence. Therefore, this pathological mutation probably does not facilitate PrP(C) to PrP(Sc) conversion by directly destabilising the helical structure of PrP(C), but may preferentially stabilise PrP(Sc) by facilitating beta-sheet formation within this sequence region of PrP. In addition, helical interactions between helix-3 in two or more PrP(C) molecules may promote conversion to PrP(Sc).} } @ARTICLE{zeidler:neurology:2001, AUTHOR = {M Zeidler and D A Collie and M A Macleod and R J Sellar and R Knight}, JOURNAL = {Neurology}, TITLE = {FLAIR MRI in sporadic Creutzfeldt-Jakob disease}, YEAR = {2001}, MONTH = {January}, OPTNOTE = {}, NUMBER = {2}, PAGES = {282}, VOLUME = {56}, KEYWORDS = {Brain, pathology, Creutzfeldt-Jakob Syndrome, pathology, Human, Magnetic Resonance Imaging} } @ARTICLE{collins:jcn:2000, AUTHOR = {S Collins and A Boyd and A Fletcher and M F Gonzales and C A McLean and C L Masters}, JOURNAL = {J Clin Neurosci}, TITLE = {Recent advances in the pre-mortem diagnosis of Creutzfeldt-Jakob disease}, YEAR = {2000}, MONTH = {May}, OPTNOTE = {}, NUMBER = {3}, PAGES = {195-202}, VOLUME = {7}, KEYWORDS = {Biological Markers, cerebrospinal fluid, Biopsy, Brain, pathology, Creutzfeldt-Jakob, Diagnosis Differential, Electroencephalography, Human, Magnetic Resonance Imaging, Prions, cerebrospinal fluid, Support Non-U.S. Gov't, Tomography Emission-Computed, Tomography Emission-Computed Single-Photon, Tonsil, pathology}, ABSTRACT = {Included in the spectrum of human transmissible spongiform encephalopathies are Creutzfeldt-Jakob disease (CJD) and the new variant form (vCJD), Gerstmann-Straussler-Scheinker syndrome, fatal familial insomnia, kuru and various less distinct neuropsychiatric disorders. Progress in our understanding of this group of disorders continues at a prodigious rate, although important vexing practical issues persist. The definitive confirmation of symptomatic prion disease still requires pathological examination, most reliably performed post-mortem. However, paralleling the recent advances in the molecular biological understanding of normal prion protein (PrP(c)) function and the pathophysiology of prion diseases, there have been worthwhile developments in the pre-mortem diagnosis of CJD. Efforts to develop less invasive but very reliable ante-mortem diagnostic tests have received an additional impetus because of the potential epidemic of vCJD. Historically, the ancillary investigation of most merit has been the EEG, whereas the recent advances have encompassed a broader range of technologies, including both magnetic resonance and radioisotopic neuroimaging, and immunoassays for a range of non-specific marker proteins in both CSF, and less commonly, blood. However, given the recent refinement of sophisticated immunoassays, it is envisaged that the pathognomonic, protease-resistant, disease-associated isoforms of the prion protein (PrPres) may soon be directly detectable in the blood and tissues of patients manifesting or incubating a spongiform encephalopathy.} } @ARTICLE{dormont:es:2000, AUTHOR = {D Dormont}, JOURNAL = {Euro Surveill}, TITLE = {New variant of Creutzfeldt Jakob disease}, YEAR = {2000}, MONTH = {September}, OPTNOTE = {}, NUMBER = {9}, PAGES = {95-97}, VOLUME = {5}, ABSTRACT = {Work on experimental pathology carried out for over 10 years indicates that the biological properties of the BSE agent, responsible for the new variant of Creutzfeldt-Jakob disease (vCJD), are particular. In contrast to the situation observed in the other} } @ARTICLE{molloy:aajr:2000, AUTHOR = {S Molloy and R O'Laoide and F Brett and M Farrell}, JOURNAL = {AJR Am J Roentgenol}, TITLE = {The Pulvinar sign in variant Creutzfeldt-Jakob disease}, YEAR = {2000}, MONTH = {August}, OPTNOTE = {}, NUMBER = {2}, PAGES = {555-6}, VOLUME = {175}, KEYWORDS = {Adult, Case Report, Creutzfeldt-Jakob Syndrome, pathology, Female, Human, Magnetic Resonance Imaging, Pulvinar, pathology} } @ARTICLE{oppenheim:lancet:2000, AUTHOR = {C Oppenheim and J P Brandel and J J Hauw and J P Deslys and B Fontaine}, JOURNAL = {Lancet}, TITLE = {MRI and the second French case of vCJD}, YEAR = {2000}, MONTH = {July}, OPTNOTE = {}, NUMBER = {9225}, PAGES = {253-4}, VOLUME = {356}, KEYWORDS = {Adult, Brain Diseases, diagnosis, Case Report, Caudate Nucleus, pathology, Corpus Striatum, pathology, Creutzfeldt-Jakob Syndrome, diagnosis, Fatal Outcome, Female, France, Human, Image Processing Computer-Assisted, methods, Magnetic Resonance Imaging, methods, Pulvinar, pathology, Putamen, pathology} } @ARTICLE{poupon:neuroimage:2000, AUTHOR = {C Poupon and C A Clark and V Frouin and J Regis and I Bloch and Le Bihan, D and Bihan D Le and J Mangin}, JOURNAL = {Neuroimage}, TITLE = {Regularization of diffusion-based direction maps for the tracking of brain white matter fascicles}, YEAR = {2000}, MONTH = {August}, OPTNOTE = {}, NUMBER = {2}, PAGES = {184-95}, VOLUME = {12}, KEYWORDS = {Algorithms, Bayes Theorem, Brain, anatomy & histology, Brain Mapping, methods, Diffusion, Human, Image Processing Computer-Assisted, Magnetic Resonance Imaging, statistics & numerical data, Models Statistical}, ABSTRACT = {Magnetic resonance diffusion tensor imaging (DTI) provides information about fiber local directions in brain white matter. This paper addresses inference of the connectivity induced by fascicles made up of numerous fibers from such diffusion data. The usual fascicle tracking idea, which consists of following locally the direction of highest diffusion, is prone to erroneous forks because of problems induced by fiber crossing. In this paper, this difficulty is partly overcomed by the use of a priori knowledge of the low curvature of most of the fascicles. This knowledge is embedded in a model of the bending energy of a spaghetti plate representation of the white matter used to compute a regularized fascicle direction map. A new tracking algorithm is then proposed to highlight putative fascicle trajectories from this direction map. This algorithm takes into account potential fan shaped junctions between fascicles. A study of the tracking behavior according to the influence given to the a priori knowledge is proposed and concrete tracking results obtained with in vivo human brain data are illustrated. These results include putative trajectories of some pyramidal, commissural, and various association fibers.} } @ARTICLE{urbach:neuroreport:2000, AUTHOR = {H Urbach}, JOURNAL = {Neuroreport}, TITLE = {Creutzfeldt-Jakob disease: analysis of the MRI signal}, YEAR = {2000}, MONTH = {November}, OPTNOTE = {}, NUMBER = {17}, OPTPAGES = {}, VOLUME = {11}, KEYWORDS = {Brain, pathology, Creutzfeldt-Jakob Syndrome, pathology, Gliosis, pathology, Human, Magnetic Resonance Imaging} } @ARTICLE{cecil:ncna:1998, AUTHOR = {K M Cecil and R E Lenkinski}, JOURNAL = {Neuroimaging Clin N Am}, TITLE = {Proton MR spectroscopy in inflammatory and infectious brain disorders}, YEAR = {1998}, MONTH = {November}, OPTNOTE = {}, NUMBER = {4}, PAGES = {863-80}, VOLUME = {8}, KEYWORDS = {AIDS Dementia Complex, diagnosis, Brain Abscess, diagnosis, Brain Diseases, diagnosis, Creutzfeldt-Jakob Syndrome, diagnosis, Herpes Simplex, diagnosis, Human, Magnetic Resonance Spectroscopy, Support U.S. Gov't P.H.S., Tuberculoma, diagnosis}, ABSTRACT = {This article reviews the proton MR spectroscopy literature regarding brain infarction and inflammatory diseases. We examine the salient findings reported for bacterial abscesses, intracranial tuberculomas, Creutzfeldt-Jakob disease, herpes simplex encephalitis and HIV. These processes demonstrate specific metabolic profiles which may be useful in differential diagnosis. The results reported in the literature support the view that MR spectroscopy can be employed in longitudinal studies to monitor the response to therapy and therefore may lead to individual optimized treatment effectiveness.} } @ARTICLE{peled:br:1998, AUTHOR = {S Peled and H Gudbjartsson and C F Westin and R Kikinis and F A Jolesz}, JOURNAL = {Brain Res}, TITLE = {Magnetic resonance imaging shows orientation and asymmetry of white matter fiber tracts}, YEAR = {1998}, MONTH = {January}, OPTNOTE = {}, NUMBER = {1}, PAGES = {27-33}, VOLUME = {780}, KEYWORDS = {Anisotropy, Brain Mapping, methods, Diffusion, Female, Human, In Vitro, Laterality, physiology, Linear Models, Magnetic Resonance Imaging, Male, Nerve Fibers, pathology, Neural Pathways, physiology, Reference Values, Support Non-U.S. Gov't, Support U.S. Gov't P.H.S.}, ABSTRACT = {Apparent diffusion tensor maps of the human brain were acquired with a magnetic resonance imaging sequence (Gudbjartsson, H., Maier, S.E., Mulkern, R.V., M6rocz, I.A., Patz, S., Jolesz, F.A., Magn. Reson. Med. 36 (1996) 509-519). It was shown that the geometric nature of the apparent diffusion tensors can quantitatively characterize the tissue structure. Display of the orientation and directional uniformity of the water diffusion in the brain demonstrated most of the known major anatomical constituents of human white matter. A comparison of corresponding anatomic regions in the white matter of both hemispheres in 24 healthy volunteers revealed that fiber tracts within the anterior limb of the internal capsule have a significantly higher (P < 0.01) measure of alignment in the right hemisphere. This method offers a unique tool for the in vivo demonstration of neural connectivity in healthy and diseased brain.} } @ARTICLE{mooyaart:ntt:1993, AUTHOR = {E L Mooyaart}, JOURNAL = {Ned Tijdschr Tandheelkd}, TITLE = {[Magnetic resonance imaging. Principles and applications in the head and neck area]}, YEAR = {1993}, MONTH = {June}, OPTNOTE = {}, NUMBER = {6}, PAGES = {291-3}, VOLUME = {100}, KEYWORDS = {English Abstract, Head, pathology, Human, Magnetic Resonance Imaging, methods, Neck, pathology}, ABSTRACT = {Magnetic Resonance Imaging is one of the most recently developed imaging techniques of the human body. In this review the physical principles and applications for oral surgeons are discussed.} } @MISC{dorozynski:2000, AUTHOR = {A Dorozynski}, OPTHOWPUBLISHED = {}, MONTH = {November}, OPTNOTE = {}, TITLE = {France prepares for more cases of vCJD}, YEAR = {0}, JOURNAL = {BMJ}, KEYWORDS = {Creutzfeldt-Jakob Syndrome, epidemiology, Disease Outbreaks, France, epidemiology, Human}, NUMBER = {7271}, PAGES = {1241}, VOLUME = {321 YEAR = 2000} } @MISC{sellars:2002, AUTHOR = {Robin J Sellars and Donald A Collie and Robert J Will}, OPTHOWPUBLISHED = {}, MONTH = {August}, OPTNOTE = {}, TITLE = {Progress in understanding Creutzfeldt-Jakob disease}, YEAR = {0}, JOURNAL = {AJNR Am J Neuroradiol}, KEYWORDS = {Brain, blood supply, Creutzfeldt-Jakob Syndrome, diagnosis, Disease Progression, Human, Magnetic Resonance Imaging, Sensitivity and Specificity, Severity of Illness Index}, NUMBER = {7}, PAGES = {1070-2}, VOLUME = {23 YEAR = 2002} }