LETM1 is the best candidate gene for seizures, the strongest hapl

LETM1 is the best candidate gene for seizures, the strongest haploinsufficiency phenotype of WHS patients.

Here, we identify the Drosophila gene CG4589 as the ortholog of LETM1 and name PHA-739358 the gene DmLETM1. Using RNA interference approaches in both Drosophila melanogaster cultured cells and the adult fly, we have assayed the effects of down-regulating the LETM1 gene on mitochondrial function. We also show that DmLETM1 complements growth and mitochondrial K(+)/H(+) exchange (KHE) activity in yeast deficient for LETM1. Genetic studies allowing the conditional inactivation of LETM1 function in specific tissues demonstrate that the depletion of DmLETM1 results in roughening of the adult eye, mitochondrial swelling and developmental lethality in third-instar larvae, 3 possibly the result of deregulated mitophagy. Neuronal specific down-regulation of DmLETM1 results in impairment of locomotor behavior in the

fly and reduced synaptic neurotransmitter release. Taken together our results demonstrate find more the function of DmLETM1 as a mitochondrial osmoregulator through its KHE activity and uncover a pathophysiological WHS phenotype in the model organism D. melanogaster.”
“F-18-FDG PET is used to investigate the metabolic activity of neural tissue. MRI is used to visualize morphological changes, but the relationship between intramedullary signal changes and clinical outcome remains controversial. The present study was designed to evaluate the use of 3-D MRI/F-18-FDG Selleck Pexidartinib PET fusion imaging for defining intramedullary signal changes on MRI scans and local glucose metabolic rate measured on F-18-FDG PET scans in relation to clinical outcome and prognosis.\n\nWe studied 24 patients undergoing decompressive surgery for

cervical compressive myelopathy. All patients underwent 3-D MRI and F-18-FDG PET before surgery. Quantitative analysis of intramedullary signal changes on MRI scans included calculation of the signal intensity ratio (SIR) as the ratio between the increased lesional signal intensity and the signal intensity at the level of the C7/T1 disc. Using an Advantage workstation, the same slices of cervical 3-D MRI and F-18-FDG PET images were fused. On the fused images, the maximal count of the lesion was adopted as the standardized uptake value (SUVmax). In a similar manner to SIR, the SUV ratio (SUVR) was also calculated. Neurological assessment was conducted using the Japanese Orthopedic Association (JOA) scoring system for cervical myelopathy.\n\nThe SIR on T1-weighted (T1-W) images, but not SIR on T2-W images, was significantly correlated with preoperative JOA score and postoperative neurological improvement. Lesion SUVmax was significantly correlated with SIR on T1-W images, but not with SIR on T2-W images, and also with postoperative neurological outcome. The SUVR correlated better than SIR on T1-W images and lesion SUVmax with neurological improvement.

CMV-, EBV- and ADV-specific T cells were enumerated in 170 G-CSF-

CMV-, EBV- and ADV-specific T cells were enumerated in 170 G-CSF-mobilized stem cell and 24 non-mobilized platelet donors using 14 HLA-matched multimers. T-cell

function was evaluated by IFN-gamma ELISpot and granzyme B secretion. Immunophenotyping was performed by multicolor flow cytometry. G-CSF treatment did not significantly influence frequency of antiviral T cells nor their in vitro expansion rate upon antigen restimulation. However, T-cell function was significantly impaired, as expressed by a mean reduction find more in secretion of IFN-gamma (75% in vivo, 40% in vitro) and granzyme B (32% target-independent, 76% target-dependent) as well as CD107a expression (27%). Clinical follow up data indicate that the first CMV-reactivation in patients and with it the need for T-cell transfer occurs while the

donor is still under the influence of G-CSF. To overcome these limitations, T-cell banking before mobilization or recruitment of third party donors might be an option to optimize T-cell production.”
“We recently introduced a homogeneous immunoassay based on time-resolved Frster resonance energy transfer (TR-FRET) elicited by fluorophore-labeled antigen and fluorophore-labeled protein L, bound by an immunoglobulin. As the first clinical application, we employ this approach (LFRET) in serodiagnosis of Puumala hantavirus (PUUV) infection. A reference panel HDAC inhibitor containing serum from 3 individuals with acute (n = 21) or past (n = 17) PUUV infection and from PUUV-seronegative individuals (n = 20) was used to define the parameters. The clinical assay performance was evaluated with a prospectively collected serum panel (panel 2; n = 153). Based on the

results for panel 1, the threshold for positivity was set at a signal level that was 3-fold over background, while those with a signal smaller than 3-fold over the background level were considered PUUV seronegative. With panel 1, 20/21 acute-and 7/10 past-infection samples induced positive signals, compared to 0/20 seronegatives. With panel 2, a positive signal was obtained in 39/40 acute-and 4/10 past-infection samples, as opposed to 7/103 seronegatives. However, after IgG depletion, 58/61 acute-infection samples were LFRET positive, while all past-infection and seronegative samples were negative, corresponding to 100% Napabucasin price specificity and 95% sensitivity in detection of acute PUUV infection. We demonstrate that the novel immunoassay is a promising tool for rapid serodiagnosis of acute Puumala virus infection.”
“New series of thiourea derivatives incorporating a hippuric acid moiety have been synthesized through the reaction of 4-hippuric acid isothiocyanate with various nitrogen nucleophiles such as aliphatic amines, aromatic amines, sulfa drugs, aminopyrazoles, phenylhydrazine and hydrazides. The synthesized compounds were tested against bacterial and fungal strains.


“Companies developing and commercializing Healthcare IT ap


“Companies developing and commercializing Healthcare IT applications may decide to involve the users in the software development lifecycle in order to better understand the users’ needs and to optimize their products. Unfortunately direct developers-users dialogues are not sufficient to ensure a proper understanding of the users’ needs. It is

also necessary to involve human factors specialists to analyze the users’ expression of their needs and to properly formalize the requirements for design purposes. The objective of this paper is to present a case study reporting the collaborative work between HF experts and a company developing and commercializing a CPOE. This study shows how this collaboration SYN-117 cost helps resolve the limits of direct users involvement and usual problems pertaining to users’ needs description and understanding.\n\nMethod: The company participating in the study has implemented a procedure to convene regular meetings allowing direct exchanges between the development team and users’

representatives. Those meetings aim at getting users’ feedbacks on the existing products and at validating further developments. In parallel with usual HF methods supporting the analysis of the work system (onsite observations followed by debriefing interviews) and the usability evaluation of the 4 application (usability inspection and usability tests), HF experts took the opportunity of the meetings organized by the company to collect, re-interpret and re-formulate the needs

expressed by the users.\n\nResults: this website The developers perceive the physicians’ requirements concerning the display of the patient’s list of medication as contradictory. In a previous meeting round the users had required a detailed view of the medication list against the synthesized existing one. Once this requirement satisfied, the users participating in the current meeting round require a synthesized view against the existing detailed one. The development team is unable to understand what they perceive as a reverse claim. Relying on a cognitive analysis of the physicians’ decision making concerning the patient’s treatment, https://www.selleckchem.com/products/LBH-589.html the HF experts help re-formulate the physicians’ cognitive needs in terms of synthesized/detailed display of the medication list depending on the stage of the decision making process. This led to an astute re-engineering of the application allowing the physicians to easily navigate back and forth between the synthesized and detailed views depending on the progress of their decision making.\n\nConclusion: This study demonstrates that the integration of users’ representatives in the software lifecycle is a good point for the end users. But it remains insufficient to resolve the complex usability problems of the system. Such solutions require the integration of HF expertise.

Despite widespread study, ofatumumab and GA101 have not been comp

Despite widespread study, ofatumumab and GA101 have not been compared with each other, nor studied for their interactions with monocytes and macrophages which are critical for the efficacy of anti-CD20

Abs in murine models. In CLL cells, we show that direct cell death and complement-dependent cytotoxicity are greatest with GA101 and ofatumumab, respectively. GA101 promotes enhanced NK cell activation and Ab-dependent cellular cytotoxicity at high Ab concentrations. Ofatumumab elicits superior Ab-dependent cellular phagocytosis with monocyte-derived macrophages. GA101 demonstrated OSI906 reduced activation of monocytes with diminished pERK,

TNF-alpha release, and Fc gamma RIIa recruitment to lipid rafts. These data demonstrate that GA101 and ofatumumab are both superior to rituximab against CLL cells via different mechanisms of potential tumor elimination. These findings bear relevance to potential combination strategies with each of these anti-CD20 Abs in the treatment of CLL. The Journal of Immunology, 2013, 190: 2702-2711.”
“We previously reported that Dot1a center dot AF9 complex represses transcription of the epithelial Na+ channel subunit alpha (alpha-ENaC) selleck inhibitor gene in mouse inner medullary collecting duct mIMCD3 cells and mouse kidney. Aldosterone relieves this repression by down-regulating the complex 123 through click here various mechanisms. Whether these mechanisms are sufficient and conserved in human

cells or can be applied to other aldosterone-regulated genes remains largely unknown. Here we demonstrate that human embryonic kidney 293T cells express the three ENaC subunits and all of the ENaC transcriptional regulators examined. These cells respond to aldosterone and display benzamil-sensitive Na+ currents, as measured by whole-cell patch clamping. We also show that AF17 and AF9 competitively bind to the same domain of Dot1a in multiple assays and have antagonistic effects on expression of an alpha-ENaC promoter-luciferase construct. Overexpression of Dot1a or AF9 decreased mRNA expression of the ENaC subunits and their transcriptional regulators and reduced benzamil-sensitive Na+ currents. AF17 overexpression caused the opposite effects, accompanied by redirection of Dot1a from the nucleus to the cytoplasm and reduction in histone H3 K79 methylation. The nuclear export inhibitor leptomycin B blocked the effect of AF17 overexpression on H3 K79 hypomethylation. RNAi-mediated knockdown of AF17 yielded nuclear enrichment of Dot1a and histone H3 K79 hypermethylation. As with AF9, AF17 displays nuclear and cytoplasmic co-localization with Sgk1.

It was shown that the apoptosis rate was decreased significantly

It was shown that the 3 apoptosis rate was decreased significantly in human umbilical vein endothelial cells treated with homocysteine compared with the control. Furthermore, the mRNA and protein level of dimethylarginine dimethylaminohydrolase 2 were downregulated,

the dimethylarginine dimethylaminohydrolase 2 gene promoter was hypermethylated, and the DNA methyltransferase 1 mRNA and protein level were increased in human umbilical vein endothelial cells treated with homocysteine. Chromatin immunoprecipitationquantitative real-time PCR revealed that homocysteine- induced binding of DNA methyltransferase 1 to the dimethylarginine dimethylaminohydrolase 2 promoter was increased. Pretreatment A-1210477 with epigallocatechin-3-gallate

or 5-Aza inhibited such effects of homocysteine. In conclusion, epigallocatechin-3-gallate exerted protective effects on homocysteine-induced apoptosis in human umbilical vein endothelial cells by inhibiting promoter hypermethylation of the dimethylarginine dimethylaminohydrolase 2 gene and inducing dimethylarginine dimethylaminohydrolase 2 expression. These effects may be due to the decreased DNA methyltransferase 1 expression and binding of DNA methyltransferase 1 to the dimethylarginine dimethylaminohydrolase 2 promoter induced by epigallocatechin-3-gallate. This research suggests LY2603618 datasheet that modulating the epigenetic processes might be a novel plausible way for treatment of atherosclerosis.”
“Androgen deprivation therapy (ADT) has been associated with a plethora of adverse effects, consistent with the androgen dependency of

multiple reproductive selleck compound and somatic tissues. One such tissue is the hemopoietic system, and one of the most predictable consequences of ADT is the development of anemia. Although anemia caused by ADT is rarely severe, ADT is often given to frail, elderly men with increased susceptibility to anemia due to multiple other causes. ADT-associated anemia may contribute to fatigue and reduced quality of life (QoL) in such men, although this requires further study. While anemia is an independent risk factor of mortality in men with prostate cancer, it is not known whether treatment of ADT-associated anemia alters clinically important outcomes, or whether treatment affects mortality. Awareness of the phenomenon of ADT-induced anemia should avoid unnecessary work-up in mild cases of normocytic normochromic anemia. However, assessment and treatment of more severe anemia may be required. This should be determined on an individual basis. In contrast to the well-described actions of ADT on erythropoiesis, its effect on other hemopoietic lineages has been less well elucidated.


“BACKGROUND in men with prostate cancer, pretreatment pro


“BACKGROUND. in men with prostate cancer, pretreatment prostate-specific antigen (PSA) velocity (PSAV) has been demonstrated as a predictor of biochemical and survival

outcomes in patients undergoing radical prostatectomy (RP). The utility of pretreatment PSAV in predicting outcomes after radiotherapy (RT), with or without androgen-deprivation therapy (ADT), is less certain. This study was undertaken to determine whether pretreatment PSAV is associated with biochemical disease-free survival, patterns of find more recurrence, and survival outcomes in men treated with radiation therapy and ADT.\n\nMETHODS. Two hundred seventy-seven patients with intermediate- and high-risk prostate cancer treated with RT and ADT formed the study cohort. Kaplan-Meier survival estimates and Cox regression analyses were used to evaluate whether PSAV was associated with disease outcomes.\n\nRESULTS. The median age of diagnosis was 70 years, and the median follow-up was 6.8 years. Men with a

PSAV in the highest quartile tended to have higher risk disease at presentation (P =.028). After adjustment for known prognostic factors and duration of ADT, selleck chemicals men who had a PSAV in the highest quartile had an increased risk of distant metastasis (hazard ratio [HR], 4.0; 95% confidence interval [95% CI], 1.61-9.9 [P =.003]) and prostate cancer-specific mortality (HR, 2.75; 95% CI, 1.27-5.95 [P =.01]) compared with men who had a lower PSAV, but had no increase in the risk of local recurrence (P =.76).\n\nCONCLUSIONS. A high pretreatment PSAV was associated

with distant metastasis and prostate cancer-specific mortality but not with local recurrence. A high pretreatment PSAV may signify the presence of occult metastatic disease. Randomized trials are needed to determine whether more aggressive SNX-5422 supplier intervention is required in men who present with high pretreatment PSAV.”
“Purpose A high rate of sustained viral response (SVR) in Koreans with chronic hepatitis C (CHC) is related to a favorable IL28B genotype. We compared two dosing strategies for peginterferon alfa-2a in Koreans with CHC and defined the combined effect of polymorphisms and dosing on the virological response.\n\nMethods A total of 178 treatment-na < ve patients with CHC genotype 1 were prospectively enrolled. All patients were randomly assigned to treatment with one of two peginterferon alfa-2a regimens: 180 mu g per week for 48 weeks (full-dose group) or 180 mu g per week during the first 12 weeks followed by 135 mu g per week for the next 36 weeks (dose-reduction group). Polymorphisms related to IL28B, ITPA, C20orf194 and SLC29A1 were studied.\n\nResults SVR rates did not differ between the full-dose and dose-reduction groups (56.5 and 51.2 %, respectively, p = 0.474).

Group 1 consisted of 8, group 2 of 17, and group

Group 1 consisted of 8, group 2 of 17, and group 3 of 14 patients. Dyspnea was present in 35 of the 123 patients (90%) and cyanosis in 17 patients (44%). Preembolization Pao(2) was different between groups 1 (52.6 +/- 11.6 mm Hg) and 3 (70.7 +/- 14.1 mm Hg). Neurologic events were more frequently reported before treatment in group 1 (62.5%) than in group 2 (35%) or in group 3 (43%). Eighty percent of patients reported improvement in their dyspnea after embolization. Pao(2) levels improved more in group 2 than in groups I and 3. Eight ischemic or infectious Complications occurred

in 4 patients (10%) due to reperfusion of embolized PAVMs or enlargement of non-embolized PAVMs. Complete and partial treatment success was reported using CT scanning in 59% and 38% of cases, respectively.\n\nConclusion: learn more Dyspnea and paradoxical embolism are frequently encountered in HHT patients with diffuse PAVMs. Prevention of complications and improvement of dyspnea can be achieved after successful embolization in most patients. Better improvement of Pao(2) can be achieved in group 2.”
“OBJECTIVES Prune belly syndrome (PBS) is a rare condition characterized by the congenital absence or deficiency of the abdominal

wall musculature, with associated abnormalities of the genitourinary tract, including hydronephrosis and cryptorchidism. Few population-based epidemiology or mortality data are available.\n\nMETHODS We retrospectively reviewed the Kids’ Inpatient Database to evaluate PBS among newborn infants during their initial hospitalization in 2000, see more 2003, and 2006. The International Classification of Diseases, Ninth Revision, Clinical Modification codes were used to identify patients and to determine the comorbidity status. The PBS incidence, demographics, comorbid conditions,

and disposition were assessed.\n\nRESULTS A total of 133 newborn male infants diagnosed with PBS were identified of 1 420 991 live male births, for a weighted incidence estimate of 3.8 cases/100 000 live births. Of the newborns with PBS, 50% were white, 31% black, and 10% were Hispanic. In-hospital mortality was high (39 of 133, 29%). Of the 133 patients with PBS, 55 (41%) were discharged home and 39 (29%) required inpatient transfer or home nursing care. Fifty-seven patients (43%) were born premature; Small molecule library high throughput 56% of the PBS deaths occurred in premature infants. Mechanical ventilation was required in 64 newborns (48%), and 33 (24%) had coexisting congenital cardiovascular anomalies. Renal failure was uncommon, occurring in only 5 newborns (4%); none required dialysis. Only 13 patients (10%) underwent urinary diversion (vesicostomy or ureterostomy).\n\nCONCLUSIONS The incidence of PBS was 3.8 cases/100 000 live births. Despite advances in care for children with PBS, this condition continues to be associated with high perinatal mortality, likely related to the associated prematurity and pulmonary complications. Renal failure was rare, as was immediate urinary diversion. UROLOGY 76: 44-48, 2010.


“Objectives: To explore the effect of the educational leve


“Objectives: To explore the effect of the educational level of the head of household on the prevalence of malnutrition in Saudi children.\n\nMethods: The study was conducted over 2 years in 2004 and 2005 in all regions of the Kingdom of Saudi Arabia (KSA). The design consisted of a stratified multistage probability random sampling of the population of the KSA. The educational level of the heads of the household, and measurements of weight and height of the children were obtained during house visits. Nutritional indicators in the form of weight for age, height for age, and weight for height for children below 5 years of age were determined, and the prevalence of each indicator below

-2 standard deviations (SD) was calculated for each level of education.\n\nResults: The sample size EPZ-6438 price was 7390 in the weight for age, 7275 height for age, and 7335 for

weight for height. The prevalence of underweight (weight for age below -2 SD) increased from 7.4% for the university level to 15.2% in the children of illiterate heads of household. Similar patterns were found for the prevalence of stunting (height for age below -2 SD) and wasting (weight for height below -2 SD).\n\nConclusion: This study Ulixertinib demonstrates that the higher the education level of the heads of the household, the lower the prevalence of malnutrition in their children, suggesting that completing at least 9-12 years of education (intermediate and secondary school) is needed for better improvement in the nutritional status of the children.”
“Objectives: We explored the relationship between the experience level of nurses and the peritonitis risk in peritoneal dialysis (PD) patients.\n\nMethods: Our observational cohort study followed 305 incident PD patients until a

first episode of peritonitis, death, or censoring. Patients were divided into 3 groups according to the work experience in general medicine of their nurses-that is, least experience (<10 years), moderate experience (10 to <15 years), and advanced experience (>= 15 years). Demographic characteristics, baseline biochemistry, and residual renal function were also recorded. Multivariate Cox regression was used to analyze the association of risks for all-cause and gram-positive peritonitis with patient training provided Selleckchem BIX 01294 by nurses at different experience levels.\n\nResults: Of the 305 patients, 91 were trained at the initiation of PD by nurses with advanced experience, 100 by nurses with moderate experience, and 114 by nurses with the least experience. Demographic and clinical variables did not vary significantly between the groups. During 13 582 patient-months of follow-up, 129 first episodes of peritonitis were observed, with 48 episodes being attributed to gram-positive organisms. Kaplan-Meier analysis showed that training by nurses with advanced experience predicted the longest period free of first-episode gram-positive peritonitis.

Therefore, we hypothesized that acetylation and/or methylation of

Therefore, we hypothesized that acetylation and/or methylation of histone H3 may underlie sexual differentiation, at least in some regions of the brain. We measured levels of acetylated (H3K9/14Ac)

and trim-ethylated (H3K9Me3) H3 in whole neonatal mouse brains and in three regions: preoptic area + hypothalamus, amygdala and cortex + hippocampus (CTX/HIP). Sex differences in H3K9/14Ac and H3K9Me3 (males > females) were noted in CAL-101 the CTX/HIP on embryonic day 18, the day of birth, and six days later. To determine if T mediates these changes in H3 modifications, pregnant dams received vehicle or T for the final four days of gestation; pup brains were collected at birth. Methylation of H3 was sexually dimorphic despite hormone treatment. In contrast, H3 acetylation in the CTX/HIP of females from T-treated dams rose to levels equivalent to males. Thus, H3 modifications are sexually dimorphic in the developing mouse CTX/HIP and acetylation, but not methylation, is masculinized in females by T in utero. This is the first demonstration that histone modification is associated with neural sexual differentiation.”
“Alkaline fuel cell membranes have the potential to reduce the cost and LY3039478 weight of

current fuel cell technology, but they still have not been broadly commercialized due to poor hydroxide conductivities and mechanical properties, in addition to low chemical stability. One approach to address these mechanical and transport shortcomings is forming a morphologically 123 bicontinuous network of an ion transporting phase and a hydrophobic phase to provide mechanical strength. In this report, membranes having bicontinuous morphologies are fabricated by cross-linking

cation-containing block copolymers with hydrophobic constituents. This is accomplished in a single step and does not require postpolymerization modification. The resulting materials conduct hydroxide ions very rapidly, as high as 120 mS cm(-1) in liquid water at 60 degrees C. The methodological changes required to obtain a bicontinuous check details morphology from such strongly self-segregating block copolymers, relevant to other applications in which bicontinuous structures are desired, are also described.”
“The hydroalcoholic extract of fruits of Ziziphus jujuba (ZJ) was investigated for its anti-inflammatory effect using acute and chronic models of inflammation in rat. Wistar albino rats of either sex were employed in the present study (n = 6). Acute inflammation was induced by subplantar administration of carrageenan (1%) in rat hind paw. Chronic inflammation was induced by interscapular implantation of a sterile cotton pellet (50 mg). ZJ extract as test drug and indomethacin (10 mg/kg) as standard were used. Serum nitrite/nitrate was also estimated to determine the expression of nitric oxide. In the acute study, carrageenan (1%) administration caused marked paw edema.

Analyses of partial DNA sequences at these loci show no obvious c

Analyses of partial DNA sequences at these loci show no obvious conservation, indicating that they are unlikely to share a common ancestral origin. This suggests convergent evolution of repeat-rich hemizygous chromosomal regions containing apospory loci in these monocot and eudicot species, which may be required for the function and maintenance of the trait.”
“Transient magnetic fields induce changes in magnetic

resonance (MR) images ranging from small, visually undetectable effects (caused, for instance, by neuronal currents) to more significant ones, such as those created by the gradient fields and eddy currents. Accurately simulating these effects may assist in correcting or optimising MR imaging for many applications (e.g., diffusion imaging, current density imaging, use of magnetic contrast GM6001 concentration agents, Selleck GSK923295 neuronal current imaging, etc.). Here we have extended

an existing MR simulator (POSSUM) with a model for changing magnetic fields at a very high-resolution time-scale. This simulator captures a realistic range of scanner and physiological artifacts by modeling the scanner environment, pulse sequence details and subject properties (e.g., brain geometry and air-tissue boundaries).\n\nThe simulations were validated by using previously published experimental data sets. In the first dataset a transient magnetic field was produced by a single conducting wire with varying current amplitude (between 17 mu A and 765 mu A). The second was identical except that current amplitude was fixed (at 7.8 mA) and current timing varied. A very close match between simulated images and experimental data was observed. In addition, these validation results led to the observation that the current-induced

effects included ringing in the image, which extended away from the conductor, primarily in the phase-encode direction. This effect had previously not been noticed in the noisy, experimentally-acquired images, demonstrating one way in which simulated images can provide potential insight into imaging experiments. (C) 2010 Elsevier Inc. All rights reserved.”
“The P5091 research buy 432 increasing rainfall intensity and cumulative rainfall induced by climate change magnify the flow rate of a river and significantly erode a dyke. Securing the integrity of a dyke to protect the land is an essential topic in disaster prevention and water resource management. A concrete-faced river dyke increases erosion resistance and is usually used along the main river in south Taiwan. However, eroded caves behind the thick concrete face are difficult to detect. This study attempts to develop a new visual-based statistical model to estimate the degree of cavity erosion behind the concrete-faced river dyke. Because removing the in-situ concrete face of the dyke is usually forbidden, a non-destructive ground-penetrating radar (GPR) image is used to confirm the location and the size of the cavity.