BACKGROUND AND PURPOSE: Findings of standard MR imaging examinations are usually normal in primary CD. These findings are now increasingly challenged by studies using advanced neuroimaging techniques detecting abnormalities in brain areas that may be functionally involved in the pathophysiology of CD. Our purpose was to evaluate GM volumes in patients with CD at baseline and 5 years later. MATERIALS AND METHODS: We enrolled 19 patients (F/M = 15:4, mean age = 53.2 + 11.2 years), 12 of whom were studied at baseline and again approximately 5 years later. Twenty-eight healthy volunteers acted as controls (F/M = 17:11, mean age = 47.5 + 15.6 years). The subjects were imaged with a 1.5T scanner by using a 3D T1-weighted sequence on 150 contiguous axial 1-mm-thick sections to apply VBM. RESULTS: At entry, VBM analysis disclosed significantly lower GM volumes in the left caudate head and putamen and in the premotor and primary sensorimotor cortices bilaterally in patients than in controls. No correlation was found between decreased GM volumes and patient age, severity of dystonia, or disease duration. At the 5-year follow-up, GM volumes in the left primary sensorimotor cortex in patients had decreased significantly from baseline. CONCLUSIONS: The findings obtained at entry and after a 5-year follow-up consistently showed decreased caudate, putamen, and sensorimotor cortex GM volumes in patients with CD, and they probably play a pathophysiologic role in CD.

The development of experimental nuclear fusion facilities and the systems connected to them currently involves the operation (or advanced design) of some large plants in the national territory. Devices such as neutron generators and plasma focus systems are also included. The machines developed to test the main components of these systems such as neutral beam generators (Neutral Beam Injector) and the experimental plants for thermonuclear fusion, mainly in the Tokamak configuration (toroidal geometry), are in the list. These applications are characterized by high neutron fluxes of high energy (typically 2.5 and 14 MeV from deuterium-deuterium and deuterium-tritium fusion reactions, respectively). They involve the production of radionuclides in the components of the machines and in the fluids used for targets’ cooling and in the primary containments. In many cases, the atmosphere of the rooms containing these structures is activated and may be affected by the dispersion of powders that are more or less radioactive. The present work addresses the issues mentioned so far, taking into consideration the real cases relating to the devices and the facilities in operation, under construction, and in the advanced design phase. The conclusions highlight the critical aspects related to the management of these types of waste, as well as the low or very low environmental impact, from a radiological point of view, of the examined facilities.

The potential for a radiological or nuclear attack has been widely acknowledged in the last two decades. The use of a dirty bomb by terrorist organizations is considered to be a credible threat for which policymakers and relevant security agencies must prepare. Radioactive materials are stored in thousands of facilities around the world and may not be adequately protected against theft. This article analyzes a hypothetical dirty bomb attack in a large metropolitan area, evaluating the radiation dose to the involved population. The dispersion of radioactive materials is simulated using HOTSPOT code, considering a number of possible radionuclides (alpha, beta and gamma emitters) and scenarios. The findings of the present study corroborate and extend previous research demonstrating that it is unlikely that the atmospheric dispersion of radioactive material contained in a dirty bomb would produce deterministic effects in the exposed population. The radioactive material would be dispersed into the air resulting in relatively low doses. However, depending on the situation, the explosion of a dirty bomb is likely to contaminate properties (rendering them temporarily uninhabitable), thereby requiring potentially costly cleanup. Furthermore, due to the general fear of radiation, pervasive psychological effects are expected.

BACKGROUND AND PURPOSE: Psychiatric symptoms occur in approximately 30% of patients with MS. Such symptoms include OCD, which may interfere heavily with the patient's daily life. We hypothesized that the widespread involvement of both GM and WM, which characterizes MS, may be responsible for the occurrence of OCD when specific brain structures are affected. The aim of this study was to evaluate the relationship between GM and WM tissue damage and OCD in patients with MS. MATERIALS AND METHODS: We evaluated 16 patients with relapsing-remitting MS who had been diagnosed with OCD on the basis of the Diagnostic and Statistical Manual of Mental Disorders (4th edition) and 15 age- and sex-matched patients with relapsing-remitting MS with no psychiatric disorders as a CG. The MR study (1.5T) included 3D T1-weighted fast-field echo sequences, DTI (32 directions), and conventional MRI. Images were processed using SPM5, FSL, and Jim 5.0 software to evaluate VBM, TBSS, and global and regional LV, respectively. RESULTS: The VBM analysis revealed a set of clusters of reduced GM volume in the OCD group, compared with the CG, located in the right inferior and middle temporal gyri and in the inferior frontal gyrus. TBSS did not detect any differences in the FA values between the 2 groups; global and regional LV values also did not differ significantly between the 2 groups. CONCLUSIONS: Our study suggests that OCD in MS may be caused by damage in the right frontotemporal cortex.