The MRI spectrum of congenital cytomegalovirus infection

Human cytomegalovirus (CMV) is an ubiquitous pathogen, with a high worldwide seroprevalence. When acquired in the prenatal period, congenital CMV (cCMV) is a major cause of neurodevelopmental sequelae and hearing loss. cCMV remains an underdiagnosed condition, with no systematic screening implemented in pregnancy or in the postnatal period. Therefore, imaging takes a prominent role in prenatal diagnosis of cCMV. With the prospect of new viable therapies, accurate and timely diagnosis becomes paramount, as well as identification of fetuses at risk for neurodevelopmental sequelae. Fetal magnetic resonance imaging (MRI) provides a complementary method to ultrasound (US) in fetal brain and body imaging. Anterior temporal lobe lesions are the most specific finding, and MRI is superior to US in their detection. Other findings such as ventriculomegaly, cortical malformations and calcifications, as well as hepatosplenomegaly, liver signal changes and abnormal effusions are unspecific. However, when seen in combination these should raise the suspicion of fetal infection, highlighting the need for a full fetal assessment. Still, some fetuses deemed normal on prenatal imaging are symptomatic at birth or develop delayed cCMV-associated symptoms, leaving room for improvement of diagnostic tools. Advanced MR sequences may help in this field and in determining prognosis, but further studies are needed.     

Magnetic resonance spectroscopy of the fetal brain

Fetal magnetic resonance spectroscopy (MRS) is technically feasible in utero and demonstrates similar findings to those observed in neonatal populations. MRS can provide additional information to conventional T1- and T2-weighted imaging of the fetal brain. It is of particular use when subtle changes are present on conventional fetal MRI sequences, and when imaging fetuses at risk of brain injury and metabolic abnormalities. Copyright © 2009 John Wiley & Sons, Ltd.     

Sand stress as a non-determinant of habitat segregation of indigenous (Perna perna) and invasive (Mytilus galloprovincialis) mussels in South Africa

Periodical sand inundation influences diversity and distribution of intertidal species throughout the world. This study investigates the effect of sand stress on survival and on habitat segregation of the two dominant mussel species living in South Africa, the invasive Mytilus galloprovincialis and the indigenous Perna perna. P. perna occupies a lower intertidal zone which, monthly surveys over 1.5 years showed, is covered by sand for longer periods than the higher M. galloprovincialis zone. Despite this, when buried under sand, P. perna mortality rates were significantly higher than those of M. galloprovincialis in both laboratory and in field experiments. Under anoxic condition, P. perna mortality rates were still significantly higher than those for M. galloprovincialis, but both species died later than when exposed to sand burial, underlining the importance of the physical action of sand on mussel internal organs. When buried, both species accumulate sediments within the shell valves while still alive, but the quantities are much greater for P. perna. This suggests that P. perna gills are more severely damaged by sand abrasion and could explain its higher mortality rates. M. galloprovincialis has longer labial palps than P. perna, indicating a higher particle sorting ability and consequently explaining its lower mortality rates when exposed to sand in suspension. Habitat segregation is often explained by physiological tolerances, but in this case, such explanations fail. Although sand stress strongly affects the survival of the two species, it does not explain their vertical zonation. Contrary to our expectations, the species that is less well adapted to cope with sand stress maintains dominance in a habitat where such stress is high. GI Zardi, KR Nicastro contributed equally to the work