No abstract

Cancer is one of the leading causes of mortality worldwide, specifically lung cancer. Computer-Aided Detection (CADe) systems are being proposed to assist radiologists in the task of pulmonary nodule detection. In this paper, we propose a CADe system that uses Deep Convolutional Neural Network (DCNN). In the Nodule Candidate Detection (NCD) step, we used Mask Region-Convolutional Neural Network (Mask R-CNN) to detect bounding boxes in 2D slices of low-dose Computed Tomography (CT) scans. In the False Positive Reduction (FPR) step, we used a classifier ensemble based on CT attenuation patterns to boost 3D pulmonary nodule classification performance. The final confidence index generated by the CADe system to the pulmonary nodule candidates is the average of the prediction obtained with the NCD and FPR steps. The CADe system was validated on the publicly available LUng Nodule Analysis 2016 (LUNA16) challenge and obtained a sensitivity of 94.90% and an average of 1.0 False Positives per scan (FP/Scan), against 96.90% of the proposal that combines different existing CADe systems. To the best of our knowledge, our proposal has one of the best results of CADe systems, outperforming other state-of-the-art individual methods.

Objetivo: Investigar as repercussões clínicas, biomecânicas e histomorfométricas do ácido zoledrônico em tíbias de ratas osteoporóticas, após ooforectomia bilateral. Métodos: Foram estudadas, prospectivamente, 40 ratas da linhagem Wistar (Rattus novergicus albinus). Com 60 dias de vida, os animais foram aleatorizados em dois grupos de acordo com o procedimento cirúrgico: ooforectomia bilateral (O) (n=20) e pseudo-cirurgia ("sham") (P) (n=20). Após 30 dias, os animais foram divididos em quatro subgrupos, de acordo com a administração de 0,1mg/kg de ácido zoledrônico (AZ) ou água destilada (AD): OAZ (n=10), OAD (n=10), PAZ (n=10) e PAD (n=10). Após 12 meses, os animais foram eutanasiados e suas tíbias analisadas. No estudo clínico foi considerado o peso dos animais; no estudo biomecânico foram realizados ensaios compressivos e na análise histomorfométrica foi determinada a área trabecular óssea. Resultados: Os grupos "O" tiveram aumento de peso significativamente maior que os grupos "P" (p=0,005). Os grupos OAZ e PAZ tiveram aumento, não significativo, de peso quando comparados aos grupos OAD (p=0,47) e PAD (p=0,68). Os grupos com ácido zoledrônico e com água destilada suportaram carga máxima, semelhante (p=0,2), no momento em que ocorreu fratura. Nos grupos com ácido zoledrônico verificou-se o aumento não significante da área trabecular óssea quando comparados aos grupos com água destilada (p=0,21). Houve correlação positiva entre a área trabecular e a carga máxima (p=0,04; r=0,95). Conclusão: O ácido zoledrônico não influiu significativamente no peso dos animais. Os resultados mostraram aumento, não significante, tanto da resistên-cia óssea diafisária tibial, como da área trabecular óssea. Descritores -

To investigate clinical, biomechanic and histomorphometric effects of zoledronic acid on osteoporotic rats’ tibiae after bilateral ooforectomy. Methods: 40 female Wistar (Rattus novergicus albinus) rats were prospectively studied. On the 60th day of life, the animals were randomized into two groups according to the surgical procedure: bilateral ooforectomy (O) (n=20) and sham surgery (“sham”) (P) (n=20). After 30 days, the animals were divided into four groups, according to the administration of zoledronic acid (ZA) 0.1mg/kg or distilled water (DW): OZA (n=10), ODW (n=10), PZA (n=10) and PDW (n=10). After 12 months, the animals were sacrificed, and had their tibiae assessed. In the clinical study, animals’ weight was considered; in the biomechanical study, compressive assays were applied and, in the histomorphometric analysis, the bone trabecular area was determined. Results: “O” groups showed a significantly greater weight gain than “P” groups (p=0.005). Groups OZA and PZA showed an insignificant weight gain when compared to ODW (p=0.47) and PDW (p=0.68). The groups receiving zoledronic acid and distilled water were able to bear maximum load, similar (p=0.2), at the moment of fracture. In the groups receiving zoledronic acid, an insignificant increase of the bone trabecular area was found when compared to the groups receiving distilled water (p=0.21). There was a positive correlation between trabecular area and maximum load (p=0.04; r=0.95). Conclusion: Zoledronic acid did not significantly influence animals’ weight. The results showed an insignificant increase both of the tibial shaft bone resistance and the bone trabecular area.

This research aimed to evaluate the relationship of membrane integrity analysis, mitochondrial cytochemical analysis, and sperm kinetics of bovine semen after thawing and the pregnancy rate in Nelore females submitted to fixed-time artificial insemination (FTAI). Thirty-seven conventional semen straws, from 16 Nelore bulls and 3 Aberdeen Angus bulls were used. The semen samples were evaluated in conventional microscopy for sperm motility, vigor, and morphology, through flow cytometry for membrane integrity and mitochondrial function, and the CASA system for evaluation of sperm kinetics. All females were subjected to the same FTAI protocol and were inseminated by the same technical team. The correlation between all variables was performed by Pearson's correlation. Cluster analysis was used to analyze the relationship between pregnancy rate and combinations of laboratory tests (P ≤ 0.05). Semen samples from Angus bulls (89.2 ± 5.5) presented superior VSL (P=0.004) to Nelore semen (78.6 ± 8.6), but this did not affect the pregnancy rate (Nelore: 51.0% versus Angus: 50.5%, P > 0.05). By flow cytometry, 44.3% membrane integrity and 47.3% mitochondrial integrity were identified. Five clusters were selected, one of which presented the best pregnancy rate, containing the most balanced rates between progressive velocity and mitochondrial activity (VSL 71.16 μm/s, MITO 49.69%, TxP 62.4%). Samples of thawed bovine semen with progressive velocity and balanced mitochondrial activity demonstrated better fertility to TAI program.