Development of Synchrotron Based Imaging Tools for Benign Prostatic Hyperplasia Using an Induced Canine Model
Notice bibliographique
Résumé
Benign prostatic hyperplasia (BPH) is a disease that develops spontaneously in men and dogs, and the dog is an accepted model to study BPH in men. As the gland can also be the site of a malignant cancer, definitive diagnosis relies on histological evaluation of prostate tissue following an invasive biopsy. The use of a new imaging technique, synchrotron-based phase contrast computed tomography (PC-CT) for excised prostates shows great detail of the internal structure of the gland, comparable to that of low power histology. Considering this fact, our main objective was to induce BPH in dogs using a combination of hormones dihydrotestosterone (DHT) and estradiol and verify if PC-CT imaging of in situ prostate glands of live dogs allowed for improved non-invasive imaging details compared to conventional medical imaging modalities and early diagnosis of BPH. Two studies were conducted to achieve the objectives. The first study involved the induction of BPH using intact male dogs with DHT and estradiol. The control group (n=3) received triolein carrier and the BPH induction group (n=3) received the hormone combination of DHT and estradiol (dissolved in triolein) injections three times/week for 35 weeks. Parameters that were assessed to diagnosis BPH were in vivo prostate volumes calculated using computed tomography (CT) images, volume of excised prostates determined using water displacement, 3D measurements of the excised gland, semen analysis, digital rectal exam (DRE), hormone analysis (estradiol, testosterone, DHT and canine prostate specific esterase CPSE), morphometric analysis and histological assessment of the tissue slides. The results showed that the gland volumes calculated both in vivo and ex vivo and the 3D measurements from BPH induction group were numerically higher than the control group. Sperm count decreased for all dogs but was reduced to zero or almost zero in the BPH induction group. The CPSE hormone analysis indicated that 1 dog from the treatment and 1 dog from the control group had BPH according to the manufacture’s defined threshold value. DHT hormone levels were higher for the induction group than controls throughout the entire study. This consequently affected the endogenous testosterone and estradiol, which were both decreased due to the negative feedback in the hypothalamic-pituitary-gonadal (HPG) axis. For DRE, prostates from all dogs were found to be enlarged in size by the end of the study and the histological diagnosis revealed that all dogs have a certain degree of BPH. The second study involved the imaging of all six dogs with conventional non-invasive modalities (magnetic resonance imaging, MRI; CT; positron emission tomography, PET-CT; ultrasound, US; radiographs) plus the innovative PC-CT technique at the Canadian Light Source (CLS). None of these techniques resulted in images with the same level of fine detail as that obtained with previous PC-CT imaging of excised canine prostates. Comparisons among images from the various modalities determined that the best modality for the visualization of the internal structures of the prostate gland such as capsule, parenchyma, septa, lobe, urethra and cysts was MRI (T2), followed by US and CT. PC-CT images were comparable with PET-CT, allowing the visualization of the lobes and urethra filled with tracer. In conclusion, all dogs developed BPH, either spontaneously (control group) or following induction (treatment group). Also, images of the in situ prostate gland of dogs were acquired for the first time at the CLS with the PC-CT technique. Although the quality and resolution was not as expected in comparison with PC-CT images of excised canine prostates, this technique shows promise and with additional study and development has the potential to become a useful diagnostic methodology.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».