Fischer et al conducted a randomized study to evaluate the clini

Fischer et al. conducted a randomized study to evaluate the clinical effect of PET–CT on preoperative staging of NSCLC. The study concluded that the

use of PET–CT for preoperative staging of NSCLC reduced both the total number of thoracotomies selleck kinase inhibitor and the number of futile thoracotomies but did not affect overall mortality [4]. FDG-PET is a useful adjunct in NSCLC TNM staging. The usefulness of FDG-PET mainly lies in nodal staging and distant metastatic survey. Defining malignant involvement of mediastinal lymph nodes eventually determines operability of the lung cancer. Several meta-analyses on the performance of CT reported a pooled sensitivity from 51% to 61% and specificity from 77% to 86%, whereas

PET had significantly Compound C cell line better performance with a pooled sensitivity from 74% to 85% and specificity from 85% to 91% [5], [6] and [7]. The performance of PET was also influenced by the presence or absence of lymph node enlargement [8]. When there were enlarged nodes, PET’s sensitivity and specificity operated at 91% and 78% respectively. The performance of imaging in lung cancer is summarized in Table 1. FDG-PET is highly sensitive at identifying distant metastases except metastases to the brain owing to the fact that the brain gray matter has high FDG uptake normally. The rate of discovering unanticipated metastases by PET often varied between 10% and 20% of cases, and that increased with the clinical stages, for example in one study, the rates were 8%, 18% and 24% in patients with stage I, II and III diseases, respectively [10] and [11]. The impact of PET on staging has shown, an up-stage in 16–41%, and down-stage in 6–20% of patients [10], [12] and [13]. Two multi-centric trials have shown that the use of PET could reduce unnecessary thoracotomies in up to 20% of patients with suspected

or proven NSCLC [14] and [15]. The American College of Chest Physicians (ACCP) Clinical Practice Guidelines recommends the use of FDG-PET for mediastinal and extra-thoracic staging in patients with clinical stage IB to IIIB in lung cancer being treated with curative intent. The usefulness of PET-CT is not clear in clinical stage IA. However, it should be considered in patients with clinical 1A lung cancer being treated with curative intent [7]. Although PET is useful in Nintedanib (BIBF 1120) staging NSCLC, there is a false-positive rate in 15–20% and false-negatives rate of 9–28% [7]. The false positive results are primarily due to infective or inflammatory conditions. False negative results may accrue due to low-grade or slow-growing tumors, or small lesions. A positive result from PET-CT needs histopathological confirmation as no patient should be denied potentially curative treatment based on imaging alone in other hand, patients with negative integrated PET-CT can be operated upon without invasive mediastinal staging [8].

108 patients with pleural, ascitic or pericardial effusions condu

108 patients with pleural, ascitic or pericardial effusions conducted EGFR mutation detection. They were all lung adenocarcinoa patients, in stage IV and had PS score 0-1. All patients had signed an informed consent for future molecular analyses. Patient follow-up was ended in 20th, December, 2013. The effusions (50 to 1200 ml) containing lung adenocarcinoma cells were collected from October 2012 to August 2013. Simply, the effusion was centrifuged at 2500 rpm for 3 minutes, the supernatant was removed and the precipitant was mixed with erythrocyte lysate buy Venetoclax for 10 minutes. After centrifuging at 2500 rpm for 3 minutes the precipitant was resuspended in

normal saline solution and then was centrifuged again. The precipitant was packaged by mixing with warm agarose gel and had routinely dehydration before packaging in paraffin wax. Sections of 5 μm thick from the samples were used for hematoxylin and eosin staining and assessed by pathologists. DNA was extracted from the 108 effusion samples or CB samples using tissue DNA kit and FFPE DNA kit (QIAGEN, Hilden, Germany) respectively. EGFR was examined using amplification refractory

mutation system (ARMS) PCR method. The ARMS PCR procedure was as follows: 5 μl of 1 (effusion samples) or 2 ng/μl (CB samples) template DNA solutions was added learn more to each reaction buffer and then [1] initial denaturation at 95°C for 5 min, [2] 15 cycles of 95°C 25 s, 64°C 20s, and 72°C 20s, [3] 31 cycles of 93°C 25 s, 60°C 35 s, and 72°C 20s was conducted before analyzing the results. CB samples were scraped into 1.5 mL tubes, and then total RNA was extracted using RNeasy FFPE kit (QIAGEN, Hilden, Germany). RNA was reversed Baricitinib to cDNA, added to reaction buffer and then ALK, ROS1 and RET fusion genes were detected using EML4-ALK, ROS1 and RET Fusion Gene Detection Kit (Amoydx, Xiamen, China) respectively

by ARMS method as mentioned above. All the fusion positive samples were confirmed by DNA sequencing. The ORR, DCR, the relationship between fusion gene mutations and other clinical characteristics were evaluated by Pearson Chi-square test or Fisher’s exact test. Median PFS was analyzed by Kaplan–Meier method and compared between different groups using the log-rank test. The 2-sided significance level was set at P < 0.05. All data were analyzed using the Statistical Package for the Social Sciences version 17.0 software package (SPSS Inc., Chicago, Ill). The CB samples were preserved between days to 10 months before cut into 5 μm thick sections, and then routinely stained by hematoxylin and eosin. Tumor cell content and pathological type were assessed by pathologists (Figure 1). All the samples were confirmed to be lung adenocarcinoma, and the tumor cell content of each specimen was more than 30%. In the 108 patients, 48 (44%) had EGFR mutation.

There exists, however, a concurrent line of studies that has succ

There exists, however, a concurrent line of studies that has successfully decoded stimulus information (in particular, features) within similar control regions 23, 24••, 25•• and 26]. We turn to

these studies next. Although the majority of work on the click here frontoparietal attention network has focused on the control of spatial attention, a growing body of research suggests that the network is also involved in the selection of non-spatial information. Studies of feature-based attention have shown that shifting attention from one feature to another [27] leads to increased activation within regions of the frontoparietal network analogous to shift-related changes in space-based attention 28, 29 and 30]. Importantly, the same effect is observed when attentional shifts occur between different values

of the same feature dimension [18], suggesting that shift-related activation patterns cannot be explained by potentially unique interactions between different features and space-based attention. Furthermore, regions of the frontoparietal network carry information about feature values within the current attentional set 24•• and 26]. Liu and colleagues [24••] instructed participants to monitor one of two overlapping motion dot fields that differed 17-AAG clinical trial either by color or direction of motion in order to detect changes in either luminance or speed (see Figure 2d for an illustration of the color task). Attending to either color or motion led to widespread activation in topographically defined regions along the IPS, as well as frontal regions, and retinotopically defined early visual areas (Figure 2e). Although overall response amplitude in these regions did not differ across within-feature conditions (e.g., attending to green versus attending Dimethyl sulfoxide to red), activation patterns could nonetheless be used to reliably decode the attended feature value (Figure 2f). Finally, the patterns of classifier weights that resulted in successful decoding differed between the attend-to-motion task and the attend-to-color task.

This suggests that directing attention to different feature dimensions is controlled by distinct subpopulations of neurons within the same network. A number of studies have now also implicated the frontoparietal attention network in the control of object-based attention 31 and 32]. Analogous to the increased activation observed following the re-direction of space-based 28, 29 and 30] or feature-based attention 23 and 27], shifting attention in between two spatially overlapping objects increases responses in frontoparietal areas including SPL, IPS and the superior frontal sulcus [31]. In addition to controlling shifts in object-based attention, the frontoparietal network appears to be involved in the maintenance of object-based attentional sets. In a recent study [25••], participants were instructed to detect luminance changes in one of two spatially superimposed triangles.

J X, A F S , T B S , S L S ) provided support for the authors of

J.X, A.F.S., T.B.S., S.L.S.) provided support for the authors of this manuscript. S.L.S is an investigator of the Howard

Hughes Medical Institute. “
“With regard to the article “Congenital cardiovascular malformations: Noninvasive imaging by MRI INK 128 purchase in neonates,” by Rajesh Krishnamurthy and Edward Lee, which appeared in Magnetic Resonance Imaging Clinics of North America, Nov 2011 19(4):813–22 (doi: 10.1016/j.mric.2011.08.002), the publisher would like to clarify that Dr Lee’s full name is Edward Y. Lee. “
“Current Opinion in Chemical Biology 2012, 16:586–592 This review comes from a themed issue on Aesthetics Edited by Alexandra Daisy Ginsberg For a complete overview see the Issue and the Editorial Available online 6th November 2012 1367-5931/$ – see front matter, © 2012 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.cbpa.2012.10.020 The term synthetic biology was intended simply to denote

the assembly of biological parts into larger systems, just as synthetic chemists build larger molecules from smaller molecules [1]. From this perspective, synthetic biology has grown into a wide spectrum of research programs this website (Figure 1) incorporating elements from engineering, biology, chemistry, physics, design, and art. The predominant way in which synthetic biology is practiced is to engineer subsystems within the larger framework of a cell that was not engineered. Individual, mostly natural, biological parts are thoroughly characterized, that is standardized, so that predictable (sub)systems consisting of these parts can be built. Just as the same set of Lego pieces can be used to build many different structures, standardized biological parts can be put together in many ways giving organisms that 4-Aminobutyrate aminotransferase manufacture fuel, produce pharmaceuticals, or detect environmental pollutants. The exercise of building biological behavior, in turn, contributes to our understanding of how natural biological systems function. However, the construction of systems that operate within a host that

is dependent upon genes with unknown function, as is the case for all known life, leaves many gaps in our knowledge untouched. The engineering of life does not solely rely on the use of previously existing natural biological parts. Instead, new cellular pathways can be built with artificial components. Because of the difficulties associated with engineering proteins with new functionality, artificial RNA rather than protein molecules are more commonly exploited. For example, Gallivan and colleagues built a ligand responsive artificial RNA to engineer Escherichia coli to swim towards a pollutant molecule [ 2]. In this case, the artificial RNA was integrated with natural RNA and protein components to elicit the new behavior. Conversely, entire artificial systems can be made to exist within a natural host cell.

A flexible choice for F  (z  ) is to take the following

e

A flexible choice for F  (z  ) is to take the following

explicit function: F(z)=cosh(κ(z+h))cosh(κh)−1where κκ is a suitable effective wave number. Another approximation is the shallow water (long wave) model where the dispersion relation is given as ΩSW=c0kΩSW=c0k. In Fig. 1 we show the plot of the exact dispersion relation and the exact group velocity together with the approximations described above. In the following also the spatial inverse Fourier transform of the group velocity will be used, defined with a scaling factor as equation(2) γ(x,h)=^Vg(k,h)/(2π)The scaling property of the group Everolimus cost velocity implies that γ(x;h)γ(x;h) scales with depth like γ(x;h)=γ(x/h;1)/h. For later interest is especially that for increasing depth, the spatial extent of the

area grows proportionally with h; see Fig. 2. Consider the first order in time uni-directional equation for to the right (positive x  -axis) traveling waves ∂tη=−A1η∂tη=−A1ηThe signaling problem for this equation is to find the solution ζζ such that at one position, taken without restriction of generality to be x=0x=0, the surface elevation is prescribed by the given signal s(t)s(t) equation(3) {∂tζ=−A1ζζ(0,t)=s(t)here and in the following it is assumed that the initial surface elevation and the signal vanish for negative buy Galunisertib time: ζ(x,0)=0ζ(x,0)=0 and s(t)=0s(t)=0 for t≤0t≤0. The solution of the signaling problem can be written explicitly as ζ(x,t)=Θ(x)∫sˇ(ω)ei[K1(ω)x−ωt]dωwith Θ(x)Θ(x) being the Heaviside function. Rewriting leads to the expression in which s(t)s(t) appears explicitly equation(4) ζ(x,t)=12πΘ(x)∬s(τ)ei[K1(ω)x−ω(t−τ)]dωdτ.In this paper the solution

of the signaling problem will be obtained by describing an influx in an embedded way. That is, for a forced problem of the form equation(5) {∂tη=−A1η+S1(x,t)η(x,0)=0the embedded source(s) S1(x,t)S1(x,t) will be determined in such a way that the source contributes to the elevation at x=0 by an amount determined out by the prescribed signal s(t). For this first order uni-directional equation, a unique solution will be found; but, as will turn out, the source function is not unique. The ambiguity is caused by the dependence of the source on the two independent variables x and t. Once the dependence on one variable is prescribed, for instance a localized force that acts only at the point x=0, the source will be uniquely defined by the signal. The ambiguity can be exploited to satisfy additional requirements, as will become evident in the next subsection. To obtain the condition for the source, consider the temporal–spatial Fourier transform of Eq. (5), which reads equation(6) (−iω+iΩ1(k))η¯(k,ω)=S¯1(k,ω)For S1=0S1=0 this requires that the dispersion relation ω=Ω1(k)ω=Ω1(k) should be satisfied.

Another example of the beneficial engineering of an aldolase for

Another example of the beneficial engineering of an aldolase for use in cascade reactions involves 2-deoxy-ribose-5-phosphate aldolase (DERA). This enzyme has been applied as a biocatalyst for the synthesis of (3R,5S)-6-chloro-2,4,6-trideoxyhexapyranoside, a valuable chiral precursor for statin drugs such as atorvastatin (Lipitor). (3R,5S)-6-chloro-2,4,6-trideoxyhexapyranoside can be formed from chloroacetaldehyde (CAA) and two equivalents of acetaldehyde in a sequential tandem enzymic aldol reaction ( Table 1); however, economically

efficient large-scale synthesis was hampered by the enzyme’s low find more affinity for CAA and the concentrations of CAA needed for efficient biocatalysis lead to rapid and permanent enzyme inactivation. Error prone PCR and DNA recombination were used to engineer DERA for increased stability to CAA, and a number of variants resistant

to inhibition at CAA concentrations up to 400 mM CAA were identified (e.g. variant M185V or variants altered at the C-terminus). In addition, variants with increased activity were also identified by error-prone PCR, for example variant F200I, which showed 14-fold improved activity and a twofold to threefold lower KM for CAA. Subsequent combination of the F200I mutation with the ΔY259 C-terminal deletion or with a variant containing Y259T and a 9-residue extension to the C-terminus resulted in ∼10-fold higher catalytic activity in the presence of 1 M acetaldehyde and 500 mM CAA than the wild-type under industrially relevant conditions [ 19]. Enzymes have high specificity, but the NU7441 narrow substrate range is problematic if no natural enzyme exists for a desired, specific reaction. There are many examples where protein engineering has been applied to aldolases to broaden or change the substrate specificities, for both the aldehyde acceptor and the ketone donor, and to exploit catalytic promiscuity for the production of synthetically

useful compounds. The Class I pyruvate-dependent 2-keto-3-deoxy-6-phosphogluconate-aldolase (KDPGA) catalyses the cleavage of 2-keto-3-deoxy-6-phosphogluconate (KDPG) into pyruvate and glyceraldehyde 3-phosphate and has been the subject of many studies to alter its substrate specificity [20••, 21, 22, 23 and 24]. Recent engineering has used both directed evolution [21] and structure-based mutagenesis Tau-protein kinase [20••] to expand its substrate range to non-functionalized electrophilic substrates and pyridine carboxaldehyde substrates, respectively. Furthermore, the activity of the variant KDPGA with the pyridine carboxaldehyde substrate (4S)-2-keto-4-hydroxy-4-(2′-pyridyl) butyrate (S-KHPB) maintains high stereoselectivity at a similar rate to that of the wild-type enzyme with KDPG. These new substrate specificities could prove useful in the synthesis of important antifungal and antimicrobial compounds. In general, aldolases are much more specific for their aldol donor substrate than for their acceptor.

The hydrohalite in the remaining Raman images seem to be rather n

The hydrohalite in the remaining Raman images seem to be rather non-uniformly distributed, which contrasts the study of Okotrub et al., where it is hypothesized from point measurements that the hydrohalite form a uniform shell around the cell, since a higher Raman Nutlin-3a ic50 response was measured at the border of the cell. We cannot directly conclude from our Raman images whether the hydrohalite detected in the confocal probing volume is within the cell or outside, due to the limited axial resolution of our setup and the small thickness of the lipid membrane of the cell. This knowledge is critical to the understanding of the injury mechanisms

of eutectic crystallization. In order to determine the location of the hydrohalite we will employ colocalization image analysis. Through the use of colocalization image analysis we can determine whether two phases in a Raman image are spatially correlated. Many of the features found in the Raman images can be found in their corresponding colocalization map. We will use the colocalization map Fig. 1f as an example. The high density of data points in the lower left corner corresponds to data points containing no cellular matter or hydrohalite crystals, and thus describes the dominant ice phase of the Raman image. Any clearly extracellular hydrohalite will result in a vertical this website branch from the ice region in the colocalization

map, which can be seen in Fig. 1f and corresponds to the hydrohalite located in the dendritic channel. Data points containing cellular matter but no hydrohalite are similarly located along the horizontal axis. Data points containing both cellular matter and hydrohalite in the focal volume are located in the remaining of the colocalization map. In the example shown in Fig. 1f the data points are approximately located along a line, meaning that these data points show a spatial correlation between the hydrohalite phase and cellular

matter. Fig. 3d shows the colocalization map from Class A where the hydrohalite are primarily located in dendritic channels around the cell. This results in two rather distinct lines along the cellular and hydrohalite axes in the colocalization map. The Raman spectra measured at the edge of the cell will Bay 11-7085 contain contributions from both cellular matter and hydrohalite which leads to the data points slightly centered in colocalization map. The most distinct feature of extracellular hydrohalite is however the branch located close to and along the vertical axis. The main characteristic of colocalization maps of images with intracellular hydrohalite (Class B) is that a significant amount of data points are located along a line towards the top right corner of the colocalization map, such as in the colocalization map shown in Fig. 3e. This shows a spatial correlation between the amount of hydrohalite and cellular matter in the focal volume, which is a clear indication of intracellular hydrohalite. The Raman image in Fig. 3b can thus be attributed to Class B.

Arora et al (1996) also reported that melittin, as a PLA2 activa

Arora et al. (1996) also reported that melittin, as a PLA2 activator, increased the calpain activity and cell necrosis in the hepatocellular carcinoma cell lines N1S1 and McA-RH7777. Wu et al.

(1998) suggested that melittin can be effective against leukemic cells, KG1a, CEM, and CEM/VLB100, which are relatively resistant to tumor necrosis factor α (TNF-α), a cytokine that activates cell death. This is because melittin can activate low levels of cPLA2 activity in the KG1a cell line. Furthermore, melittin-mediated cytolysis of U937 human monocytic leukemia cells is associated with the transient activation of endogenous phospholipase-D, which has been suggested to participate in an uncharacterized signal transduction pathway involved in the permeabilization of cancer cell membranes ( Saini et al., 1999). Melittin and a fragment of a melittin-conjugated hormone receptor (e.g., hecate) were shown to have an anti-tumor effect in ovarian and testicular Baf-A1 in vitro tumors. Gawronska et al. (2002) reported that the melittin fragment (hecate) conjugated to a learn more 15-amino acid beta-chain of human chorionic gonadotropin (hCG) shown that the conjugates selectively destroys ovarian cancer cells (OVCAR-3) in vitro and OVCAR-3

cells engrafted in nude mice models in vivo. In a group of animals treated by hecate-hCG-ß, tumor volume expressed as a percentage of increase was 199 ± 18.57% when compared with control animals (263.0 ± 21.72%). Gawronska et al. (2002) also reported the expression of the luteinizing hormone (LH)/hCG receptor protein in OVCAR-3 cells and tumor tissues. Other authors (Leuschner et al., 2003a and Zaleska et al., 2003) also found that injections of a luteinizing-hormone-releasing-hormone (LHRH)-hecate conjugate resulted in tumor growth arrest and a marked

decrease in the tumor burden and tumor viability in PC-3 cells and a granulosa cancer cell line (KK-1) possessing LH/CG receptors, selectively killing cells that bear this receptor. The ability of hecate-betaCG to destroy xenografts of human breast PDK4 cancer cells (MDA-MB-435S) in nude mice was also demonstrated (Leuschner et al., 2003b). This suggests that the melittin fragment might be a potent candidate for treating cancer cells that contain the LHR receptor. Liu et al. (2002a) reported that BV inhibits proliferation of melanoma K1735M2 cells in vitro, as well as B16 melanoma, a transplantable solid melanoma in C57BL/6 mice, invivo. The proliferation of K1735M2 cells in vitro was inhibited by BV in a concentration- and time-dependent manner. The inhibition was indicated by the arrest of the cell cycle at the G1 stage, as detected by flow cytometric measurements. Bee venom induced apoptosis-like cell death as identified by histological observations and by DNA fragmentation. In the in vivo study, BV was injected intraperitoneally into the mice 24 h after they had been inoculated with B16 cells and inhibition of the solid tumor was observed. Holle et al.

We restricted fMRI analysis to Hits because this has been convent

We restricted fMRI analysis to Hits because this has been conventional

in this field (as well as in ERP research), and has the advantage of controlling for other confounding differences between Hits and, say, Misses, for example in terms of a different “old/new” key press. It would be possible to estimate the mean BOLD response to all primed and all unprimed trials, regardless of R/K judgment type or of study status, which might identify brain regions whose activity correlates with the number of R/K judgments given (and hence be more comparable to the present behavioral measure of priming). The downside of this type of analysis however, as noted above, would be that any such differences between

primed and unprimed trials (or correlations across participants) could reflect trivial differences in the number of trials given a specific key press, rather than Veliparib solubility dmso the number of trials associated with recollection versus familiarity per se, or with correct versus incorrect recognition memory. 17-AAG molecular weight A second caveat concerns how we identified brain regions associated with recollection/familiarity. The appropriate comparison of experimental conditions actually depends on the hypothetical relationship between recollection and familiarity: Whether they are redundant, independent or exclusive (Knowlton and Squire, 1995; Mayes et al., 2007). By contrasting R Hits with K Hits to isolate

recollection, we have implicitly assumed that recollection is redundant with familiarity (i.e., that familiarity always co-occurs with recollection, so can be canceled by subtracting K Hits from R Hits). If however recollection and familiarity are mutually MAPK inhibitor exclusive, then any activations found for R Hits versus K Hits could reflect either increased activity associated with recollection, or decreased activity associated with familiarity. In this case, an arguably more appropriate contrast would be R Hits versus Correct Rejections to isolate recollection (and K Hits versus Correct Rejections to isolate familiarity). Or if recollection and familiarity are independent, then an appropriate test for recollection might be the conjunction of a difference between R Hits versus Correct Rejections, but no difference between K Hits and Correct Rejections (while the contrast for familiarity would be the conjunction of a difference between K Hits versus Correct Rejections, but no difference between R Hits and Correct Rejections). We have not explored these other alternatives here, since our aim was to isolate recollection (less so familiarity), and the fact remains that the parietal regions we found for our comparison of R Hits versus K Hits concur with many previous neuroimaging studies that have used other procedures (such as objective measures of source memory).

Nevertheless recent recommendations of the AHA accepted duplex so

Nevertheless recent recommendations of the AHA accepted duplex sonography for indicating invasive treatment of asymptomatic patients [3]. This makes evident the dependence of consensus recommendations on the time and design of selected studies. Training, quality control and certification are prerequisites before using Doppler duplex sonography for decision making. Documentation has to be comprehensive and conclusive. These prerequisites are the same as for other methods. Vascular ultrasonography Selumetinib is non-invasive but not “quick

and easy”. In case of definitely low or high degree disease as shown by using several main criteria, decisions may be based directly on the sonographic diagnosis. Then angiography is not justified (risk and expenses) just for additional documentation. In case of a symptomatic patient with a diagnosis in between both of these situations the decision may be based on additional imaging with angiography

(intraarterial, CTA, MRA) in case of unfavourable insonation conditions or contradictory findings. The presently available guidelines shall provide a common terminology and promote the diagnosis based on Protein Tyrosine Kinase inhibitor a set of weighted criteria. The author thanks Alfred Persson M.D. (Wellesley Massachusetts) for kindly reviewing the text. “
“Vulnerable atherosclerotic plaque rupture with surface apposition of thrombotic material is the predominant pathological substrate of acute cerebrovascular events, accounting for 30% learn more of all strokes [1]. In acute ischemic stroke patients, in addition to standard imaging techniques

aimed at the decision whether to perform thrombolysis, early ultrasound investigation is fundamental to detect potential embolic carotid source in order to avoid further embolization by means of carotid surgery. The aim of this report is to evaluate the possibility of early detection of these carotid plaque features with ultrasound and to discuss the implications of this diagnosis in order to plan the most appropriate strategy in acute cerebrovascular ischemic patients. All patients referred to the emergency area for the onset of acute ischemic neurological symptoms were subjected to Duplex Ultrasonography (DUS) (Siemens Sequoia 512 and Siemens S2000 apparatus), according to the conventional methodology and standard AHA and European Guidelines with high-resolution probes (9, 15, 18 MHz), Tissue Harmonics and Spatial Compound. DUS was performed immediately after brain imaging. No patients with ipsilateral (middle cerebral artery) occlusion or an ischemic area > 1/3 of the Middle Cerebral Artery area underwent carotid endarterectomy. We report 8 patients (M: 6, F: 2, mean age 64.7 yrs, range 53–78 yrs), referred to the emergency area for the onset of acute neurological symptoms occurred no more than 6 h before, in whom we detected with US immediately performed after brain CT scan, plaque features of high risk of further embolic events, as mobile thrombus over plaque ruptures.