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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. 相似文献
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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. 相似文献
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Marco Casu Daniela Casu Tiziana Lai Piero Cossu Marco Curini-Galletti 《Marine Biology》2006,149(5):1163-1174
The giant Mediterranean limpet Patella ferruginea Gmelin, 1791 is an endangered marine gastropod, whose range has progressively shrinked to few, restricted areas, due to intense human exploitation. We have studied the genetic structure of the species, in order to (1) gather information about the levels of genetic variability within and between natural populations of P. ferruginea collected in two Sardinian marine protected areas (MPAs) (Penisola del Sinis—Isola di Mal di Ventre and Isola dell’ Asinara), and (2) make an attempt to find relationships between ecological and biological attributes of the species and the genetic differentiation of the populations studied. The genetic study was carried out by means of the analysis of ten inter-simple sequence repeat (ISSR) primers on a total of 40 individuals collected at four localities. Genetic analysis evidenced (1) medium to high levels of within-population genetic variability, (2) a pattern of genetic structuring that varied with spatial scales, and (3) a strong genetic differentiation between the two MPAs. Although preliminary, these results suggest that gene flow may be present only at very small geographic scale, raising concerns on the future of the conservation of the species. 相似文献
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Andráš Peter Dadová Jana Romančík Roman Borošová Daniela Midula Pavol Dirner Vojtech 《Environmental geochemistry and health》2021,43(9):3675-3681
Environmental Geochemistry and Health - The abandoned Malachov deposit belongs among the most important historic Hg deposits in the world. The soil, groundwater, surface water, plants, and animals... 相似文献