“Non-alcoholic fatty liver disease (NAFLD) is one of the m


“Non-alcoholic fatty liver disease (NAFLD) is one of the most common forms of chronic liver disease, with a prevalence ranging from 10% to 30%. The use of thyroid hormone receptor (TR) agonists for the treatment of NAFLD has

not been considered viable because thyroid hormones increase free fatty acid (FFA) flux from the periphery to the liver, induce hepatic lipogenesis, and therefore could potentially cause steatosis. MB07811 is an orally active HepDirect prodrug of MB07344, a liver-targeted TR-beta BTSA1 inhibitor agonist. The purpose of these studies was to assess the effects of MB07811 on whole body and liver lipid metabolism of normal rodents and rodent models of hepatic steatosis. In the current studies, MB07811 markedly reduced hepatic steatosis as well as reduced plasma FFA and triglycerides.

In contrast to MB07811, T(3) induced adipocyte lipolysis in vitro and in vivo and had a diminished ability to decrease hepatic steatosis. This suggests the influx of FFA from the periphery to the liver may partially counteract the antisteatotic activity of T(3). Clearance of liver lipids by MB07811 results from accelerated hepatic fatty acid oxidation, a known consequence of hepatic TR activation, as reflected by increased hepatic mitochondrial respiration rates, changes in hepatic gene expression, and increased plasma acyl-carnitine levels. Transaminase levels remained unchanged, or were

reduced, and no evidence for liver fibrosis or other histological liver damage was observed after treatment with MB07811 for up to 10 weeks. Additionally, MB07811, unlike T(3), JQEZ5 did not increase heart weight or decrease pituitary thyroid-stimulating hormone beta (TSH beta) expression. Conclusion. MB07811 represents a novel class of liver-targeted TR agonists with beneficial low-density lipoprotein cholesterol-lowering properties that may provide additional therapeutic benefit to hyperlipidemic patients with concomitant NAFLD. (HEPATOLOGY 2009;49:407-417.)”
“The thermophilic eubacterium Thermus thermophilus belongs to one of the oldest branches of evolution and has a multilayered cell envelope that differs from that of modern Gram-negative bacteria. Its outer membrane Selleckchem Quisinostat contains integral outer membrane proteins (OMPs), of which only a few are characterized. TtoA, a new beta-barrel OMP, was identified by searching the genome sequence of strain HB27 for the presence of a C-terminal signature sequence. The structure of TtoA was determined to a resolution of 2.8 angstrom, representing the first crystal structure of an OMP from a thermophilic bacterium. TtoA consists of an eight-stranded beta-barrel with a large extracellular part to which a divalent cation is bound. A five-stranded extracellular beta-sheet protrudes out of the membrane-embedded transmembrane barrel and is stabilized by a disulfide bridge.

The survival rate (chi(2) = 41 563, P = 0 000) and duration of st

The survival rate (chi(2) = 41.563, P = 0.000) and duration of stent patency (chi(2) = 50.268, P = 0.000) were significantly greater in the combined-treatment group than the control group. Adverse

reactions were observed.The patients in the combined-treatment group developed nausea, vomiting and leukopenia, which were cured with symptomatic treatment. No biliary stent-related complications occurred in either group. Conclusions: Metallic biliary stent insertion combined with different anti-cancer treatments can increase survival and stent patency rates in bile duct cancer patients. This combination treatment was safe and effective.”
“Rationale: It has been hypothesized that, because of the high work of breathing sustained by patients with chronic obstructive pulmonary disease (COPD) during exercise, blood flow may increase in favor of the respiratory muscles, thereby BEZ235 chemical structure PF-03084014 Neuronal Signaling inhibitor compromising locomotor muscle blood flow.\n\nObjectives: To test this hypothesis by investigating whether, at the same work of breathing, intercostal muscle blood flow during exercise is as high

as during resting isocapnic hyperpnea when respiratory and locomotor muscles do not compete for the available blood flow.\n\nMethods: Intercostal and vastus lateralis muscle perfusion was measured simultaneously in 10 patients with COPD (FEV(1) = 50.5 +/- 5.5% predicted) by near-infrared spectroscopy using indocyanine green dye.\n\nMeasurements and Main Results: Measurements were made at several exercise intensities up to peak GSK1120212 cost work rate (WRpeak) and subsequently during resting hyperpnea at minute ventilation levels up to those at WRpeak. During resting hyperpnea, intercostal muscle blood flow increased with the power of breathing to 11.4 +/- 1.6 ml/min per 100 g at the same ventilation recorded at WRpeak. Conversely, during graded exercise, intercostal

muscle blood flow remained unchanged from rest up to 50% WRpeak (6.8 +/- 1.3 ml/min per 100 g) and then fell to 4.5 +/- 0.8 ml/min per 100 g at WRpeak (P = 0.003). Cardiac output plateaued above 50% WRpeak (8.4 +/- 0.1 l/min), whereas vastus lateralis muscle blood flow increased progressively, reaching 39.8 +/- 7.1 ml/min per 100 g at WRpeak.\n\nConclusions: During intense exercise in COPD, restriction of intercostal muscle perfusion but preservation of quadriceps muscle blood flow along with attainment of a plateau in cardiac output represents the inability of the circulatory system to satisfy the energy demands of locomotor and respiratory muscles.”
“OBJECTIVE. The purpose of this article is to present the route of extension in nine soft-tissue tumors and tumorlike lesions of the pelvic wall.\n\nCONCLUSION. Soft-tissue tumors of the pelvis, particularly malignant ones, extend into other compartments through specific pathways that are bordered by bones, ligaments, and fasciae.

66, 95% CI 0 74-3 74) The meta-analysis indicated the significan

66, 95% CI 0.74-3.74). The meta-analysis indicated the significant association of +869T/C, but not +915G/C polymorphism with hypertension susceptibility. However, given the limited sample size, the associations warrant further investigation.”
“Non-invasive temperature measurement of tissues deep inside the body has great potential for clinical applications, such as temperature monitoring during thermal therapy and early diagnosis of diseases. We developed a novel method for both temperature estimation and thermal mapping that uses ultrasound

B-mode radio-frequency data. The proposed method is a hybrid that combines elements of physical and statistical models to achieve higher precision and resolution of temperature BMS-777607 order variations and distribution. We propose a dimensionless combined index (CI) that combines the echo shift differential and signal intensity difference

with a weighting factor relative to the distance from the heat source. In vitro experiments verified that the combined index has a strong linear relationship with temperature variation and can be used to effectively estimate temperature with an average relative error <5%. This algorithm provides an alternative for imaging guidance-based techniques during thermal therapy Panobinostat inhibitor and could easily be integrated into existing ultrasound systems. (C) 2014 World Federation for Ultrasound in Medicine & Biology.”
“Purpose. – Surgery is the treatment of choice for localized uterine sarcomas. We conducted a retrospective study to define prognostic factors.\n\nPatients and methods. – We studied 111 cases of patients treated by adjuvant radiotherapy for uterine sarcoma in seven French centers. The median decline was 31 months. We conducted a univariate analysis to identify factors correlated with local recurrence. The statistically significant factors were studied in multivariate analysis by Cox model.\n\nResults. – The median dose of external beam radiotherapy

was 45 Gy. Forty-three percent of patients had vaginal vault brachytherapy and 21% chemotherapy. Only 6.3% of patients had complications of acute grade III and 8.1% of long-term sequelae of radiotherapy. The survival rate at 5 years was 74.6%. They noted 12.6% of isolated CYT387 clinical trial locoregional recurrences, against 29.7% for distant recurrences, 80% were pulmonary. Factors correlated with the risk of locoregional relapse were menopausal status (P=0.045) and surgical margins suspicious or not healthy (P=0.0095). The chemotherapy did not improve overall survival or disease free survival but the numbers were low.\n\nConclusion. – The postoperative radiotherapy provides good local control in this disease. Brachytherapy is sometimes done, but it does not improve local control. Chemotherapy is not a standard localized stage but the rate of metastatic recurrence calls for the development of strategies involving systemic treatment with radiotherapy. (C) 2010 Societe francaise de radiotherapie oncologique (SFRO). Published by Elsevier Masson SAS.

Improving the nutritional quality of foods offered from other sou

Improving the nutritional quality of foods offered from other sources, such as the National School Lunch Program and competitive foods, could help improve adolescent dietary behaviors.”
“Background: Libraries are an inherently sedentary environment, but are an understudied setting

for sedentary behavior interventions. Purpose: To investigate the fe asibility of incorporating portable pedal machines in a university library to reduce sedentary behaviors. Methods: The 11-week intervention targeted students at a university library. Thirteen portable pedal machines were placed in learn more the library. Four forms of prompts (e-mail, library website, advertisement monitors, and poster) encouraging pedal machine use were employed during the first 4 weeks. Pedal machine use was measured via automatic timers on each machine and momentary time sampling. Daily library

visits were measured using a gate counter. Individualized data were measured by survey. Data were collected in fall 2012 and analyzed in 2013. Results: Mean (SD) cumulative pedal time per day was 95.5 (66.1) minutes. One or more pedal machines were observed being used 15% of the time (N=589). Pedal machines were used at least once by 7% of students (n=527). Controlled for gate count, no linear change of pedal machine use across days was found (b=-0.1 minutes, p=0.75)and the presence of the prompts PD-1/PD-L1 Inhibitor 3 did not change daily pedal time (p=0.63). Seven of eight items that assessed attitudes toward the intervention supported intervention feasibility (p smaller than 0.05). Conclusions: The unique non-individualized approach of retrofitting a library with pedal machines to reduce sedentary behavior seems feasible, but improvement of its effectiveness this website is needed. This study could inform future studies aimed at reshaping traditionally sedentary settings to improve public health. (C) 2014 American Journal of Preventive Medicine”
“Transient exposure to methoxychlor (MXC), an environmental endocrine-disrupting chemical, during

fetal and neonatal stages causes ovarian dysfunction in pubertal, adult, and aging animals. Adult animals have reduced number of ovulations and abnormal follicular composition associated with altered gene expression and DNA methylation patterns. To test the hypothesis that the ovarian epigenomic changes induced by MXC are detectable following the exposure period, leading to altered gene expression by adulthood, we conducted a targeted genome-wide methylation study using Nimblegen 3x720K CpG Island Plus RefSeq Promoter Arrays. Control (vehicle), low-dose MXC (20 mu g/kg/day), or high-dose MXC (100 mg/kg/day) treatments were administered between Embryonic Day 19 and Postnatal Day (PND) 7. Ovaries were collected at PND 7 immediately after exposure or at adulthood, PND 60. Array hybridizations were conducted with genomic DNA after methylated DNA immuno-precipitation and the array data were analyzed.


“The Institute of Medicine (2006) has recommended that can


“The Institute of Medicine (2006) has recommended that cancer survivors completing treatment receive a survivorship care plan (SCP). The survivorship needs in advanced cancer have been overlooked and understudied. The potential

role of SCPs for survivors with advanced or metastatic cancer is unknown and was explored in this study. We conducted two focus groups of survivors with advanced or metastatic cancer. Participants reviewed a sample JourneyForward (TM) SCP modified SNX-5422 order for advanced cancer. Sessions were audiotaped and transcribed; transcripts and field notes were evaluated using inductive content analysis. Sixteen survivors with metastatic cancer participated: 12 (75 %) were female, 15 (94 %) were white, and median age was 66 (range 55-80); 9 participants had breast cancer, 4 colon, 2 prostate, and 1 ovarian cancer. CP-868596 mouse Participants believed that an SCP would be most helpful after initial diagnosis and treatment, but not as helpful once the cancer progressed. They thought a “cancer care plan” focusing solely on the current management would be better to concisely summarize the treatment plan and time frame for the next segment of care

for those with advanced cancer. Most participants endorsed the need to have written information to reinforce verbal information received during medical visits since it was difficult to remember information provided. Participants expected their oncologist to assume primary responsibility for coordination of the care plan, but anticipated an important supportive

role for primary care providers. To this end, they emphasized the need for better communication between providers. A cancer care plan developed by the oncologist, similar to an SCP but more focused on current management, may be more useful for survivors with advanced cancer. Exploring this topic in larger groups of more diverse survivors GW786034 solubility dmso with advanced cancer will help to elucidate the details a written plan of care should contain, and how to promote effective coordination between oncology and primary care providers. There are many transitions of care along the cancer journey. A written plan of care, similar to an SCP, may be useful for survivors with advanced cancer.”
“Sea cucumbers are fascinating invertebrate organisms because of their ability to rapidly regenerate many organs and appendages. In this study 454 cDNA sequencing method was used to characterize transcriptome in Apostichopus japonicus in order to investigate genes that are active in regeneration. Based on sequence similarity with known genes, our analysis identified 6590 genes expressed in the early stages of regeneration of the intestine and body wall. Assembled sequences were annotated with gene names and gene ontology terms. The transcription of genes associated with structural molecule activity was abundant during regeneration compared with the control sample (based on tissues from an uninjured animal).

This proteomic study confirms the impact of nitrogen starvation o

This proteomic study confirms the impact of nitrogen starvation on overall metabolism and provides new perspectives to study the lipid over-accumulation in the prymnesiophyte haptophyte T. lutea. Biological significance This paper study consists of the first proteomic analysis on Tisochrysis lutea, a non-model marine microalga of interest for aquaculture and lipids production. Comparative proteomics revealed proteins putatively involved in the up-accumulation of neutral lipids in a mutant strain during nitrogen starvation. The results are of great importance for future works to improve lipid accumulation

in micro algae of biotechnological interest AZD6244 cost for biofuel production. This article is part of a Special Issue entitled: Proteomics of non-model organisms. (C) 2014 Elsevier B.V. All rights reserved.”
“Background It is well known that problems with binocular vision can cause issues for reading; less known is to what

extent binocular vision improves reading performance. The purpose of this study was to explore the role of binocularity by directly comparing monocular and binocular reading in subjects with typical reading skills and normal binocular vision. A secondary purpose was to assess any asymmetry in monocular performance AZD1208 and its association with the sighting dominant eye. Methods In a balanced repeated measures experiment, 18 subjects read paragraphs of text under monocular and binocular conditions. All subjects went through an optometric examination before inclusion. Reading speed and eye movements were recorded with an eye tracker. Results The mean difference

in reading speed (2.1 per cent) between monocular (dominant and non-dominant eye averaged) and binocular reading speed was not significant. A significant difference in reading speed was found between binocular and the non-dominant eye, as determined by the far sighting test (p = 0.03). Monocular reading showed significantly increased (8.9 per cent) fixation duration (p smaller than 0.01) and longer regressive saccades by 0.43 character spaces (p smaller than 0.01). Reading with the non-dominant eye, as determined by the near sighting test, showed increased progressive saccade length by 0.2 characters compared to the dominant eye (p = 0.03). No other significant differences Sapanisertib chemical structure between dominant and non-dominant eyes were found. The agreement between the faster reading eye and ocular dominance was 44 to 56 per cent depending on whether dominance was determined at near or far. Conclusion The outcomes suggest that in subjects with normal binocular vision, there is no marked enhancement in reading performance by binocular vision when reading paragraphs of text. Furthermore, the monocular reading performance appears to be close to equal and any small differences in performance appear not to be strongly associated with ocular dominance.

Aim To evaluate the effect of prior treatment with antipsych

\n\nAim. To evaluate the effect of prior treatment with antipsychotic

and anxiolytic agents to inhibit foot-shock (FS) stress-induced degranulation of mouse dermal mast cells.\n\nMethods. Using a communication box system, FS was administered to mice and the U0126 degranulated dermal mast cells were counted. Chlorpromazine (2 or 4 mgkg body weight), tandospirone (10 mgkg body weight) or CRA1000, a selective non-peptidic CRF receptor type 1 antagonist (10 or 100 mgkg body weight) was injected intraperitoneally 1 h before exposure to FS.\n\nResults. After FS was administered, the number of dermal mast cells did not change. However, FS significantly increased the proportion of degranulated mast cells. Pretreatment of mice with chlorpromazine hydrochloride, an antipsychotic agent (2 or 4 mgkg), or the anxiolytic agents tandospirone citrate (10 mgkg) or CRA1000 (10 or 100

mgkg), significantly inhibited the FS-induced mast-cell degranulation (P < 0.05, P < 0.01, P < 0.05, P < 0.05, and P < 0.05, respectively).\n\nConclusions. Antipsychotic and MK-8776 price anxiolytic agents may be effective treatments for stress-aggravated inflammatory skin diseases by inhibition of mast-cell degranulation.”
“Background: The alpha 7 nicotinic acetylcholine receptor ( nAChR) is involved in cognitive function and synaptic plasticity. Consequently, changes in a7 nAChR function have been implicated in a variety of mental disorders, especially schizophrenia. However, there is little knowledge regarding the Selleck AS1842856 levels of the a7 nAChR in patients with bipolar disorder.\n\nMethods: We performed [125 I]-bungarotoxin autoradiography to selectively visualize and measure a7 nAChRs on postmortem sections of the temporal lobe from patients with schizophrenia, bipolar disorder, or major depressive disorder, as well as control subjects. Radioligand binding was determined in the dentate gyrus, CA3, and CA1 subfields of the hippocampus and

the perirhinal cortex.\n\nResults: Bungarotoxin binding was significantly increased in the CA1 and perirhinal cortex of patients with bipolar disorder compared to control subjects, whereas in patients with schizophrenia or major depressive disorder the level of binding did not significantly differ from control subjects in any region measured.\n\nConclusions: These data are consistent with the reported genetic associations linking the a7 nAChR to the pathology of bipolar disorder, and may suggest a dysfunction of a7 nAChR-dependent signalling in bipolar disorder. We could not reproduce the previously reported decrease in hippocampal bungarotoxin binding in schizophrenia.”
“Background and Design: We assessed attention, memory, verbal-linguistic ability, and executive functions in acne vulgaris patients before and during isotretinoin treatment.\n\nMaterials and Methods: Fifty-two treatment-naive acne patients at baseline and 24 at the second visit were evaluated.

5) years There appeared to be left-sided predominance of desmoid

5) years. There appeared to be left-sided predominance of desmoid tumors in the pediatric mandible with a ratio of 3:1. The mean size of the turners was 4.6 cm (SD +/- 2.1) at the largest diameter. We have tabulated Stattic order the relevant data of all the cases including the methods of treatment and recurrence. It is found that when compared with conservative management, radiation therapy, chemotherapy, and curettage or surgical local excisions as treatment options the most efficient treatment was partial mandiblectomy,

which resulted ill complete tumor dissipation with no turner recurrence. In summary, this is the largest review of the pediatric desmoid tumor of the mandible to date where we provide for the first time all algorithm for the management and treatment of the pediatric desmoid turner of the mandible.”
“Coastal BMS-777607 nmr ocean upwelling ecosystems generally represent the most productive large marine ecosystems of the world’s oceans, in terms of both

primary production rates and tonnages of exploitable fish produced. The Peruvian upwelling system, in particular, stands out as a major factor in world fish production. The Pacific trade winds have traditionally been considered to be the primary driving force for the upwelling system off Peru, but are projected to weaken as climate change proceeds. This leads to concern that the upwelling process in the Peru system, to which its productivity is linked, may likewise weaken. However, other mechanisms

involving greenhouse-associated intensification of thermal low-pressure cells over the coastal landmasses of upwelling regions Linsitinib suggest general intensification of wind-driven ocean upwelling in coastal upwelling regions of the world’s oceans. But although certain empirical results have supported this expectation, it has not been consistently corroborated in climate model simulations, possibly because the scale of the coastal intensification may be small relative to the scales that are appropriately reflected in the standard models. Here we summarize available evidence for the intensification mechanism and present a proxy test that uses variations in water vapor, the dominant natural greenhouse gas, to offer multiple-realization empirical evidence for action of the proposed mechanism in the real world situation. While many potential consequences to the future of marine ecosystems would codepend on climate change-related changes in the thermocline and nutricline structures, an important subset, involving potential increased propensities for hypoxia, noxious gas eruptions, toxic red tide blooms, and/or jellyfish outbreaks, may depend more directly on changes in the upwelling-favorable wind itself. A prospective role of fisheries in either mitigating or reinforcing this particular class of effects is suggested.

59, P < 0 0001) This assay could be used in screening and mon

59, P < 0.0001). This assay could be used in screening and monitoring individuals on therapy, showing no genotype-dependent Quizartinib ic50 differences in detection. (c) 2008

Elsevier Inc. All rights reserved.”
“The aim of the work is to study the mechanisms of the interaction of risperidone with human and bovine serum albumins using the fluorescence quenching technique. Risperidone is an atypical antipsychotic drug used to treat many psychiatric disorders. We selectively excited the fluorescence of tryptophan residues with a 290 nm wavelength light, and observed quenching by titrating human and bovine serum albumin solutions with risperidone. Emission spectra were recorded in the range from 300 to 450 nm for each quencher addition. Stern-Volmer Protein Tyrosine Kinase inhibitor graphs were plotted and quenching constants were estimated. Results showed that the drug quenches the fluorescence of the human serum albumin by the formation of a complex risperidone-albumin. Association constants calculated from Stern-Volmer equation for low concentrations (lower than 1:10 ratio risperidone/albumin) were of 2.56 x 10(5) M-1, at 25 degrees C, and 1.43 x 10(5) M-1, at 37

degrees C. As the quenching intensity of bovine serum albumin, which contains two tryptophan residues, was found to be higher than that of human serum albumin, which contains only one tryptophan residue. Hence, we suggest that the primary binding site for risperidone in albumin should be located in sub domain IB. (C) 2011 Elsevier B.V. All rights reserved.”
“Light exerts a direct effect on sleep and wakefulness in nocturnal and diurnal animals, with a light pulse during the dark phase suppressing locomotor activity and promoting sleep in the former. In the present study, we investigated this direct effect of light on various sleep parameters by exposing mice to a broad range of illuminances (0.2-200W/cm2;

equivalent to 1-1000lux) for 1h during the dark phase find more (zeitgeber time 13-14). Fitting the data with a three-parameter log model indicated that approximate to 0.1W/cm2 can generate half the sleep response observed at 200W/cm2. We observed decreases in total sleep time during the 1h following the end of the light pulse. Light reduced the latency to sleep from similar to 30min in darkness (baseline) to similar to 10min at the highest intensity, although this effect was invariant across the light intensities used. We then assessed the role of melanopsin during the rapid transition from wakefulness to sleep at the onset of a light pulse and the maintenance of sleep with a 6-h 20W/cm2 light pulse. Even though the melanopsin knockout mice had robust induction of sleep (similar to 35min) during the first hour of the pulse, it was not maintained. Total sleep decreased by almost 65% by the third hour in comparison with the first hour of the pulse in mice lacking melanopsin, whereas only an 8% decrease was observed in wild-type mice.

Thus, tumor cells represented 97 A center dot 31 % of total cells

Thus, tumor cells represented 97 A center dot 31 % of total cells and leukocytes 2 A center dot 69 % (leukocyte, tumor cell ratio = 0 A center dot

071 A +/- 0 A center dot 174). Our data suggested that combination treatment with vincristine and doxorubicin in the future could be an excellent therapeutic alternative for the treatment www.selleckchem.com/products/elacridar-gf120918.html of TVT for probably reducing the resistance to vincristine, and also, treatment success could easily be followed by the cytological changes.”
“Cdk4 and Cdk6 are related protein kinases that bind D-type cyclins and regulate cell-cycle progression. Cdk4/6 inhibitors are currently being used in advanced clinical trials and show great promise against many types of tumors. Cdk4 and Cdk6 are inhibited by INK4 proteins, which exert tumor-suppressing functions. To test the significance of this inhibitory mechanism, we generated knock-in mice that express a Cdk6 mutant (Cdk6 R31C) insensitive to INK4-mediated inhibition. Cdk6(R/R) mice display altered development of the hematopoietic system without enhanced tumor susceptibility,

either in the presence or absence of p53. Unexpectedly, Cdk6 R31C impairs the potential of hematopoietic progenitors to repopulate upon adoptive transfer or after 5-fluorouracil-induced damage. The defects are overcome by eliminating sensitivity of cells to INK4 inhibitors by introducing the INK4-insensitive KPT-8602 research buy Cdk4 R24C allele, and

INK4-resistant mice are more susceptible to hematopoietic and endocrine tumors. In BCR-ABL-transformed selleck chemicals hematopoietic cells, Cdk6 R31C causes increased binding of p16(INK4a) to wild-type Cdk4, whereas cells harboring Cdk4 R24C and Cdk6 R31C are fully insensitive to INK4 inhibitors, resulting in accelerated disease onset. Our observations reveal that Cdk4 and Cdk6 cooperate in hematopoietic tumor development and suggest a role for Cdk6 in sequestering INK4 proteins away from Cdk4.”
“This study assesses the utility of compartmental analysis of SPECT data in lateralizing ictal onset in cases of a putative mesial temporal lobe epilepsy (mTLE). An institutional archival review provided 46 patients (18M, 28F) operated for a putative mTLE who achieved an Engel class la postoperative outcome. This established the standard to assure a true ictal origin. Ictal and interictal SPECT images were separately coregistered to T1-weighted (T1W) magnetic resonance (MR) image using a rigid transformation and the intensities matched with an l(1) norm minimization technique. The T1W MR image was segmented into separate structures using an atlas-based automatic segmentation technique with the hippocampi manually segmented to improve accuracy. Mean ictal-interictal intensity difference values were calculated for select subcortical structures and the accuracy of lateralization evaluated using a linear classifier.