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Article: Photodynamic Therapy with Verteporfin for Choroidal Metastasis Refractory to Radiotherapy.

Zhou, Raymond / Reichstein, David

2019 Volume 12, Issue 3, Page(s) 861–865

Abstract: A 54-year old female with longstanding metastatic breast cancer was referred for management of choroidal metastases. She was first treated with external beam radiotherapy and experienced some response before later suffering progression of her eye disease. ...

Abstract	A 54-year old female with longstanding metastatic breast cancer was referred for management of choroidal metastases. She was first treated with external beam radiotherapy and experienced some response before later suffering progression of her eye disease. We then treated her using full fluence Photodynamic therapy (PDT) with Verteporfin, which resulted in regression of her lesions until she passed away due to other illnesses. This is the first documented successful application of PDT for choroidal metastasis from a primary breast cancer refractory to external beam radiotherapy.
Language	English
Publishing date	2019-11-13
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2458961-5
ISSN	1662-6575
ISSN	1662-6575
DOI	10.1159/000502226
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Transparency in Artificial Intelligence Reporting in Ophthalmology-A Scoping Review.

Chen, Dinah / Geevarghese, Alexi / Lee, Samuel / Plovnick, Caitlin / Elgin, Cansu / Zhou, Raymond / Oermann, Eric / Aphinyonaphongs, Yindalon / Al-Aswad, Lama A

Ophthalmology science

2024 Volume 4, Issue 4, Page(s) 100471

Abstract: Topic: This scoping review summarizes artificial intelligence (AI) reporting in ophthalmology literature in respect to model development and validation. We characterize the state of transparency in reporting of studies prospectively validating models ... ...

Abstract	Topic: This scoping review summarizes artificial intelligence (AI) reporting in ophthalmology literature in respect to model development and validation. We characterize the state of transparency in reporting of studies prospectively validating models for disease classification. Clinical relevance: Understanding what elements authors currently describe regarding their AI models may aid in the future standardization of reporting. This review highlights the need for transparency to facilitate the critical appraisal of models prior to clinical implementation, to minimize bias and inappropriate use. Transparent reporting can improve effective and equitable use in clinical settings. Methods: Eligible articles (as of January 2022) from PubMed, Embase, Web of Science, and CINAHL were independently screened by 2 reviewers. All observational and clinical trial studies evaluating the performance of an AI model for disease classification of ophthalmic conditions were included. Studies were evaluated for reporting of parameters derived from reporting guidelines (CONSORT-AI, MI-CLAIM) and our previously published editorial on model cards. The reporting of these factors, which included basic model and dataset details (source, demographics), and prospective validation outcomes, were summarized. Results: Thirty-seven prospective validation studies were included in the scoping review. Eleven additional associated training and/or retrospective validation studies were included if this information could not be determined from the primary articles. These 37 studies validated 27 unique AI models; multiple studies evaluated the same algorithms (EyeArt, IDx-DR, and Medios AI). Details of model development were variably reported; 18 of 27 models described training dataset annotation and 10 of 27 studies reported training data distribution. Demographic information of training data was rarely reported; 7 of the 27 unique models reported age and gender and only 2 reported race and/or ethnicity. At the level of prospective clinical validation, age and gender of populations was more consistently reported (29 and 28 of 37 studies, respectively), but only 9 studies reported race and/or ethnicity data. Scope of use was difficult to discern for the majority of models. Fifteen studies did not state or imply primary users. Conclusion: Our scoping review demonstrates variable reporting of information related to both model development and validation. The intention of our study was not to assess the quality of the factors we examined, but to characterize what information is, and is not, regularly reported. Our results suggest the need for greater transparency in the reporting of information necessary to determine the appropriateness and fairness of these tools prior to clinical use. Financial disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
Language	English
Publishing date	2024-01-18
Publishing country	Netherlands
Document type	Journal Article
ISSN	2666-9145
ISSN (online)	2666-9145
DOI	10.1016/j.xops.2024.100471
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Book ; Online: Deep Image Debanding

Zhou, Raymond / Athar, Shahrukh / Wang, Zhongling / Wang, Zhou

2021

Abstract: Banding or false contour is an annoying visual artifact whose impact is even more pronounced in ultra high definition, high dynamic range, and wide colour gamut visual content, which is becoming increasingly popular. Since users associate a heightened ... ...

Abstract	Banding or false contour is an annoying visual artifact whose impact is even more pronounced in ultra high definition, high dynamic range, and wide colour gamut visual content, which is becoming increasingly popular. Since users associate a heightened expectation of quality with such content and banding leads to deteriorated visual quality-of-experience, the area of banding removal or debanding has taken paramount importance. Existing debanding approaches are mostly knowledge-driven. Despite the widespread success of deep learning in other areas of image processing and computer vision, data-driven debanding approaches remain surprisingly missing. In this work, we make one of the first attempts to develop a deep learning based banding artifact removal method for images and name it deep debanding network (deepDeband). For its training, we construct a large-scale dataset of 51,490 pairs of corresponding pristine and banded image patches. Performance evaluation shows that deepDeband is successful at greatly reducing banding artifacts in images, outperforming existing methods both quantitatively and visually. Comment: 5 pages, 4 figures, 5 tables
Keywords	Electrical Engineering and Systems Science - Image and Video Processing ; Computer Science - Computer Vision and Pattern Recognition
Subject code	004
Publishing date	2021-10-16
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Photodynamic Therapy with Verteporfin for Choroidal Metastasis Refractory to Radiotherapy

Zhou, Raymond / Reichstein, David

Case Reports in Oncology

2019 Volume 12, Issue 3, Page(s) 861–865

Institution	Vanderbilt University School of Medicine, Nashville, Tennessee, USA Tennessee Retina Associates, Nashville, Tennessee, USA
Abstract	A 54-year old female with longstanding metastatic breast cancer was referred for management of choroidal metastases. She was first treated with external beam radiotherapy and experienced some response before later suffering progression of her eye disease. We then treated her using full fluence Photodynamic therapy (PDT) with Verteporfin, which resulted in regression of her lesions until she passed away due to other illnesses. This is the first documented successful application of PDT for choroidal metastasis from a primary breast cancer refractory to external beam radiotherapy.
Keywords	Choroidal metastasis ; Ocular oncology ; Photodynamic therapy ; Radiotherapy
Language	English
Publishing date	2019-11-13
Publisher	S. Karger AG
Publishing place	Basel, Switzerland
Document type	Article
Note	Case Report ; This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).
ZDB-ID	2458961-5
ISSN	1662-6575 ; 1662-6575
ISSN (online)	1662-6575
ISSN	1662-6575
DOI	10.1159/000502226
Database	Karger publisher's database

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Article ; Online: Age Does Not Influence the Positive Predictive Value of Vision Screening to Detect Amblyopia Risk Factors.

Zhou, Raymond / Pfister, Tyler / Liu, Yuhan / Chen, Qingxia / Donahue, Sean P

Ophthalmology

2021 Volume 129, Issue 2, Page(s) 230–231

MeSH term(s)	Age Factors ; Amblyopia/diagnosis ; Amblyopia/physiopathology ; Astigmatism/diagnosis ; Child, Preschool ; False Positive Reactions ; Female ; Humans ; Hyperopia/diagnosis ; Infant ; Male ; Myopia/diagnosis ; Predictive Value of Tests ; Risk Factors ; Strabismus/diagnosis ; Vision Screening/methods ; Vision Screening/standards ; Visual Acuity/physiology
Language	English
Publishing date	2021-09-07
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	392083-5
ISSN	1549-4713 ; 0161-6420
ISSN (online)	1549-4713
ISSN	0161-6420
DOI	10.1016/j.ophtha.2021.08.026
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Ul II Zs.83: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 533: Show issues

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Article ; Online: Age-associated impairment of T cell immunity is linked to sex-dimorphic elevation of N-glycan branching.

Mkhikian, Haik / Hayama, Ken L / Khachikyan, Khachik / Li, Carey / Zhou, Raymond W / Pawling, Judy / Klaus, Suzi / Tran, Phuong Q N / Ly, Kim M / Gong, Andrew D / Saryan, Hayk / Hai, Jasper L / Grigoryan, David / Lee, Philip L / Newton, Barbara L / Raffatellu, Manuela / Dennis, James W / Demetriou, Michael

Nature aging

2022 Volume 2, Issue 3, Page(s) 231–242

Abstract: Impaired T cell immunity with aging increases mortality from infectious disease. The branching of Asparagine-linked glycans is a critical negative regulator of T cell immunity. Here we show that branching increases with age in females more than males, in ...

Abstract	Impaired T cell immunity with aging increases mortality from infectious disease. The branching of Asparagine-linked glycans is a critical negative regulator of T cell immunity. Here we show that branching increases with age in females more than males, in naïve more than memory T cells, and in CD4
MeSH term(s)	Humans ; Male ; Female ; Animals ; Mice ; CD8-Positive T-Lymphocytes ; Acetylglucosamine ; Interleukin-7 ; Aging ; Polysaccharides
Chemical Substances	Acetylglucosamine (V956696549) ; Interleukin-7 ; Polysaccharides
Language	English
Publishing date	2022-03-18
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ISSN	2662-8465
ISSN (online)	2662-8465
DOI	10.1038/s43587-022-00187-y
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Article ; Online: Risk of vigabatrin-associated brain abnormalities on MRI in the treatment of infantile spasms is dose-dependent.

Hussain, Shaun A / Tsao, Jackie / Li, Menglu / Schwarz, Madeline D / Zhou, Raymond / Wu, Joyce Y / Salamon, Noriko / Sankar, Raman

Epilepsia

2017 Volume 58, Issue 4, Page(s) 674–682

Abstract: Objective: Although the link between vigabatrin (VGB) and retinotoxicity is well known, little attention has been focused on the risk of VGB-associated brain abnormalities on magnetic resonance imaging (MRI) (VABAM), namely reversible-and largely ... ...

Abstract	Objective: Although the link between vigabatrin (VGB) and retinotoxicity is well known, little attention has been focused on the risk of VGB-associated brain abnormalities on magnetic resonance imaging (MRI) (VABAM), namely reversible-and largely asymptomatic-signal changes in the thalami, basal ganglia, brainstem tegmentum, and cerebellar nuclei. Using a large infantile spasms cohort, we set out to identify predictors of these phenomena. Methods: Children with infantile spasms were retrospectively identified. Brain MRI reports were serially reviewed without knowledge of VGB exposure. Upon VABAM discovery, records were systematically reviewed to ascertain presence of symptoms attributable to VGB. Separately, progress notes were sequentially reviewed to identify and quantify VGB exposure. Results: We identified 507 brain MRI studies among 257 patients with infantile spasms. VGB treatment was documented in 143 children, with detailed exposure data available for 104, of whom 45 had at least one MRI study during VGB treatment. Among the limited subset of asymptomatic children who underwent MRI (n = 40), 6 exhibited VABAM. Risk of asymptomatic VABAM was dose-dependent, as peak (but not cumulative) VGB dosage was strongly associated with asymptomatic VABAM (p = 0.0028). In an exploratory analysis, we encountered 4 children with symptomatic VABAM among 104 patients with detailed VGB exposure data. Risk of symptomatic VABAM was seemingly dose-independent, and potentially associated with concomitant hormonal therapy (i.e., prednisolone and adrenocorticotropic hormone [ACTH]) (p = 0.039). Significance: We have demonstrated dose-dependent risk of asymptomatic VABAM and uncovered a possible association between symptomatic VABAM and concomitant hormonal therapy. Caution should be exercised in the use of high VGB dosage (i.e., >175 mg/kg/day), and further study is warranted to confirm the potential impact of hormonal therapy.
MeSH term(s)	Anticonvulsants/adverse effects ; Brain/diagnostic imaging ; Brain/drug effects ; Child, Preschool ; Dose-Response Relationship, Drug ; Electroencephalography ; Female ; Humans ; Image Processing, Computer-Assisted ; Infant ; Magnetic Resonance Imaging ; Male ; Retrospective Studies ; Spasms, Infantile/diagnostic imaging ; Spasms, Infantile/drug therapy ; Vigabatrin/adverse effects
Chemical Substances	Anticonvulsants ; Vigabatrin (GR120KRT6K)
Language	English
Publishing date	2017-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	216382-2
ISSN	1528-1167 ; 0013-9580
ISSN (online)	1528-1167
ISSN	0013-9580
DOI	10.1111/epi.13712
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Zs.A 517: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Golgi self-correction generates bioequivalent glycans to preserve cellular homeostasis.

Mkhikian, Haik / Mortales, Christie-Lynn / Zhou, Raymond W / Khachikyan, Khachik / Wu, Gang / Haslam, Stuart M / Kavarian, Patil / Dell, Anne / Demetriou, Michael

eLife

2016 Volume 5

Abstract: Essential biological systems employ self-correcting mechanisms to maintain cellular homeostasis. Mammalian cell function is dynamically regulated by the interaction of cell surface galectins with branched N-glycans. Here we report that N-glycan branching ...

Abstract	Essential biological systems employ self-correcting mechanisms to maintain cellular homeostasis. Mammalian cell function is dynamically regulated by the interaction of cell surface galectins with branched N-glycans. Here we report that N-glycan branching deficiency triggers the Golgi to generate bioequivalent N-glycans that preserve galectin-glycoprotein interactions and cellular homeostasis. Galectins bind N-acetyllactosamine (LacNAc) units within N-glycans initiated from UDP-GlcNAc by the medial-Golgi branching enzymes as well as the trans-Golgi poly-LacNAc extension enzyme β1,3-N-acetylglucosaminyltransferase (B3GNT). Marginally reducing LacNAc content by limiting N-glycans to three branches results in T-cell hyperactivity and autoimmunity; yet further restricting branching does not produce a more hyperactive state. Rather, new poly-LacNAc extension by B3GNT maintains galectin binding and immune homeostasis. Poly-LacNAc extension is triggered by redistribution of unused UDP-GlcNAc from the medial to trans-Golgi via inter-cisternal tubules. These data demonstrate the functional equivalency of structurally dissimilar N-glycans and suggest a self-correcting feature of the Golgi that sustains cellular homeostasis.
MeSH term(s)	Animals ; Cells, Cultured ; Galectins/metabolism ; Glycoproteins/metabolism ; Golgi Apparatus/metabolism ; Homeostasis ; Mice ; Polysaccharides/metabolism ; Protein Binding ; T-Lymphocytes/metabolism
Chemical Substances	Galectins ; Glycoproteins ; Polysaccharides
Language	English
Publishing date	2016-06-08
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2687154-3
ISSN	2050-084X ; 2050-084X
ISSN (online)	2050-084X
ISSN	2050-084X
DOI	10.7554/eLife.14814
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Article ; Online: A lack of clinically apparent vision loss among patients treated with vigabatrin with infantile spasms: The UCLA experience.

Schwarz, Madeline D / Li, Menglu / Tsao, Jackie / Zhou, Raymond / Wu, Yvonne W / Sankar, Raman / Wu, Joyce Y / Hussain, Shaun A

Epilepsy & behavior : E&B

2016 Volume 57, Issue Pt A, Page(s) 29–33

Abstract: Background: Vigabatrin (VGB) is one of two FDA-approved medications for treatment of infantile spasms. Despite demonstrated efficacy, its use has been curtailed by reports indicating a substantial risk of VGB-associated visual field loss (VAVFL). As ... ...

Abstract	Background: Vigabatrin (VGB) is one of two FDA-approved medications for treatment of infantile spasms. Despite demonstrated efficacy, its use has been curtailed by reports indicating a substantial risk of VGB-associated visual field loss (VAVFL). As these reports have conflicted with our clinical observations in routine practice, we systematically reviewed the experiences of patients treated with VGB at UCLA to estimate the prevalence of clinically apparent VAVFL. Methods: Patients with video-EEG-confirmed infantile spasms evaluated at our center between February 2007 and February 2014 were retrospectively identified. Among patients with VGB exposure, we documented relevant clinical factors and determined the duration of therapy, peak dosage, and cumulative dosage. Based on a review of serial neurologic and ophthalmologic reports and aided by electroretinography (ERG) assessments when available, we ascertained whether each patient had evidence of clinically apparent vision impairment (i.e., recognized by a neurologist or ophthalmologist during any follow-up visit) and whether or not the vision loss was attributed to VGB exposure (i.e., evidence of bilateral, symmetric, and peripheral visual field loss), either by the treating physician or on retrospective review by the study team. Results: During the study period, 257 patients with video-EEG-confirmed infantile spasms were identified. One hundred and forty-three (56%) patients received VGB. Although visual loss of any cause was common among patients with (31%) and without (32%) VGB exposure, there were no cases in which visual field defects were plausibly linked to VGB. We estimate that the risk of clinically significant VAVFL does not exceed 3.2% (95% CI upper bound). Vision loss was never characterized as exclusively peripheral and was always better explained by other causes (e.g., hemianopsia following hemispherectomy and cortical vision impairment after hypoxic ischemic encephalopathy). Precise quantitative exposure data were available for 104 (73%) patients treated with VGB, among whom the median duration of treatment was 8.6 (IQR: 3.7-16.2) months, the median peak dosage was 141.5 (IQR: 104.8-166.0) mg/kg/day, and the median cumulative dosage was 314 (IQR: 140.8-645.7) grams. Conclusions: We found that the risk of clinically apparent vision loss is quite low among young children treated for infantile spasms. Our estimate of risk contrasts with prior studies and likely reflects our ascertainment of vision loss without the aid of perimetry or serial ERG, the short treatment duration, and the relatively young age of our patients. In the treatment of infantile spasms, risk-benefit assessment should consider both the low prevalence of ERG-identified VAVFL among patients with brief (<6-9months) exposure and the very low prevalence of clinically apparent VAVFL in this population.
MeSH term(s)	Anticonvulsants/adverse effects ; Anticonvulsants/therapeutic use ; California/epidemiology ; Child ; Child, Preschool ; Cohort Studies ; Electroencephalography ; Female ; Humans ; Infant ; Male ; Prevalence ; Retrospective Studies ; Risk Assessment ; Spasms, Infantile/drug therapy ; Time Factors ; Vigabatrin/adverse effects ; Vigabatrin/therapeutic use ; Vision Disorders/chemically induced ; Vision Disorders/epidemiology ; Visual Field Tests
Chemical Substances	Anticonvulsants ; Vigabatrin (GR120KRT6K)
Language	English
Publishing date	2016-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2010587-3
ISSN	1525-5069 ; 1525-5050
ISSN (online)	1525-5069
ISSN	1525-5050
DOI	10.1016/j.yebeh.2016.01.012
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Article ; Online: Hypomorphic MGAT5 polymorphisms promote multiple sclerosis cooperatively with MGAT1 and interleukin-2 and 7 receptor variants.

Li, Carey F / Zhou, Raymond W / Mkhikian, Haik / Newton, Barbara L / Yu, Zhaoxia / Demetriou, Michael

Journal of neuroimmunology

2013 Volume 256, Issue 1-2, Page(s) 71–76

Abstract: Deficiency of the Golgi N-glycan branching enzyme Mgat5 in mice promotes T cell hyperactivity, endocytosis of CTLA-4 and autoimmunity, including a spontaneous multiple sclerosis (MS)-like disease. Multiple genetic and environmental MS risk factors lower ... ...

Abstract	Deficiency of the Golgi N-glycan branching enzyme Mgat5 in mice promotes T cell hyperactivity, endocytosis of CTLA-4 and autoimmunity, including a spontaneous multiple sclerosis (MS)-like disease. Multiple genetic and environmental MS risk factors lower N-glycan branching in T cells. These include variants in interleukin-2 receptor-α (IL2RA), interleukin-7 receptor-α (IL7RA), and MGAT1, a Golgi branching enzyme upstream of MGAT5, as well as vitamin D3 deficiency and Golgi substrate metabolism. Here we describe linked intronic variants of MGAT5 that are associated with reduced N-glycan branching, CTLA-4 surface expression and MS (p=5.79×10(-9), n=7,741), the latter additive with the MGAT1, IL2RA and IL7RA MS risk variants (p=1.76×10(-9), OR=0.67-1.83, n=3,518).
MeSH term(s)	Adult ; CTLA-4 Antigen/metabolism ; Case-Control Studies ; Cohort Studies ; Down-Regulation ; Female ; Flow Cytometry ; Galactosyltransferases/genetics ; Galactosyltransferases/metabolism ; Genetic Variation/genetics ; Humans ; Male ; Middle Aged ; Multiple Sclerosis/genetics ; Multiple Sclerosis/pathology ; N-Acetylglucosaminyltransferases/genetics ; N-Acetylglucosaminyltransferases/metabolism ; Receptors, Interleukin-2/genetics ; Receptors, Interleukin-7/genetics ; Risk Factors ; T-Lymphocytes/metabolism ; Young Adult
Chemical Substances	CTLA-4 Antigen ; Receptors, Interleukin-2 ; Receptors, Interleukin-7 ; Galactosyltransferases (EC 2.4.1.-) ; N-Acetylglucosaminyltransferases (EC 2.4.1.-)
Language	English
Publishing date	2013-01-22
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	8335-5
ISSN	1872-8421 ; 0165-5728
ISSN (online)	1872-8421
ISSN	0165-5728
DOI	10.1016/j.jneuroim.2012.12.008
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