Zahra Alirezaei

Bio: Zahra Alirezaei is an academic researcher from Isfahan University of Medical Sciences. The author has contributed to research in topics: Medicine & Effective dose (radiation). The author has an hindex of 4, co-authored 10 publications receiving 45 citations. Previous affiliations of Zahra Alirezaei include Bushehr University of Medical Sciences & Bu-Ali Sina University.

Neurofilament Light Chain as a Biomarker, and Correlation with Magnetic Resonance Imaging in Diagnosis of CNS-Related Disorders.

Abstract: The search for diagnostic and prognostic biomarkers for neurodegenerative conditions is of high importance, since these disorders may present difficulties in differential diagnosis. Biomarkers with high sensitivity and specificity are required. Neurofilament light chain (NfL) is a unique biomarker related to axonal damage and neural cell death, which is elevated in a number of neurological disorders, and can be detected in cerebrospinal fluid (CSF), as well as blood, serum, or plasma samples. Although the NfL concentration in CSF is higher than that in blood, blood measurement may be easier in practice due to its lesser invasiveness, reproducibility, and convenience. Many studies have investigated NfL in both CSF and serum/plasma as a potential biomarker of neurodegenerative disorders. Neuroimaging biomarkers can also potentially improve detection of CNS-related disorders at an early stage. Magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI) are sensitive techniques to visualize neuroaxonal loss. Therefore, investigating the combination of NfL levels with indices extracted from MRI and DTI scans could potentially improve diagnosis of CNS-related disorders. This review summarizes the evidence for NfL being a reliable biomarker in the early detection and disease management in several CNS-related disorders. Moreover, we highlight the correlation between MRI and NfL and ask whether they can be combined.

Tunable spectral shifts and spectral switches by controllable phase modulation.

Abstract: In this work, we offer a novel and flexible approach of spectral switches which can be handled more simply by controlling the phase of the diffracted light field of a completely spatially coherent incident beam with spectral profile from a one-dimensional phase step. This scheme has the benefit of easy implementation by simply varying the height of a one-dimensional phase step which causes spectral switches to occur when the step height reaches certain critical values without modulating any properties of the light source. To illustrate this effect, an explicit and analytical expression at an observation point corresponding to the step edge is obtained and some numerical examples are given and examined experimentally. Finally, based on the obtained results, it is shown that this method with the capability of very short response time can be easily applied to information encoding and transmission.

Electromagnetic fields and optomechanics in cancer diagnostics and treatment

Abstract: In this paper, we discuss biological effects of electromagnetic (EM) fields in the context of cancer biology. In particular, we review the nanomechanical properties of microtubules (MTs), the latter being one of the most successful targets for cancer therapy. We propose an investigation on the coupling of electromagnetic radiation to mechanical vibrations of MTs as an important basis for biological and medical applications. In our opinion, optomechanical methods can accurately monitor and control the mechanical properties of isolated MTs in a liquid environment. Consequently, studying nanomechanical properties of MTs may give useful information for future applications to diagnostic and therapeutic technologies involving non-invasive externally applied physical fields. For example, electromagnetic fields or high intensity ultrasound can be used therapeutically avoiding harmful side effects of chemotherapeutic agents or classical radiation therapy.

Early Detection of Radiation-Induced Injury and Prediction of Cognitive Deficit by MRS Metabolites in Radiotherapy of Low-Grade Glioma

Abstract: Purpose. To compare the sensitivity of MRS metabolites and MoCA and ACE-R cognitive tests in the detection of radiation-induced injury in low grade glioma (LGG) patients in early and early delayed postradiation stages. Methods. MRS metabolite ratios of NAA/Cr and Cho/Cr, ACE-R and MoCA cognitive tests, and dosimetric parameters in corpus callosum were analyzed during RT and up to 6-month post-RT for ten LGG patients. Results. Compared to pre RT baseline, a significant decline in both NAA/Cr and Cho/Cr in the corpus callosum was seen at the 4th week of RT, 1, 3, and 6-month post-RT. These declines were detected at least 3 months before the detection of declines in cognitive functions by ACE-R and MoCA tools. Moreover, NAA/Cr alterations at 4th week of RT and 1-month post-RT were significantly negatively correlated with the mean dose received by the corpus callosum, as well as the corpus callosum 40 Gy dose volume, i.e., the volume of the corpus callosum receiving a dose greater than 40 Gy. Conclusion. MRS-based biomarkers may be more sensitive than the state-of-the-art cognitive tests in the prediction of postradiation cognitive impairments. They would be utilized in treatment planning and dose sparing protocols, with a specific focus on the corpus callosum in the radiation therapy of LGG patients.

Assessment of Effective Dose Associated with Coronary Computed Tomography Angiography in Isfahan Province, Iran.

Abstract: Computed tomography coronary angiography (CTCA) has generated a great interest over the past two decades, due to its high diagnostic accuracy and efficacy in the assessment of patients having coronary artery disease. This method is associated with high radiation dose and this has raised serious concerns in the literature. Effective dose (E) is a single parameter meant to reflect the relative risk from exposure to ionizing radiation. Therefore, it is necessary to calculate this parameter to indicate ionizing radiation relative risk. The aim of this study was to calculate the effective dose from 64-slice CTCA in Isfahan. To calculate the effective dose, an ionization chamber and a body phantom with diameter of 32 cm and length of 15 cm were used. CTCA radiation conditions commonly used in two centers were applied for this work. For all scans, computed tomography volume dose index (CTDIv), dose-length product (DLP), and effective dose were obtained using dose-length-product method. The obtained CTDIv, DLP, and effective dose were compared in two centers, and mean, maximum, and minimum values of effective dose for heart coronary CT angiography (CCTA) examinations and calcium score were compared with other studies. The amount of average, maximum, and minimum effective doses for heart CCTA examinations in two centers are 4.65 ± 0.06, 6.0489, and 3.492 mSv, respectively, and for calcium score test are, 1.04 ± 0.04, 2.155, and 0.98 mSv, respectively. CTDIv, DLP, and effective dose values did not show any significant difference in two centers. Although the effective dose of CTCA and calcium score was lower than that of other studies, it is reasonable to reduce the effective dose to the minimum possible value to reduce the risk of cancer associated with ionizing radiation. The results of this study can be used to introduce the effective dose as a local diagnostic reference dose (DRL) for CTCA examinations in Isfahan Province.

MicroRNAs: Target Recognition and Regulatory Functions

Abstract: MicroRNAs (miRNAs) are endogenous ∼23 nt RNAs that play important gene-regulatory roles in animals and plants by pairing to the mRNAs of protein-coding genes to direct their posttranscriptional repression. This review outlines the current understanding of miRNA target recognition in animals and discusses the widespread impact of miRNAs on both the expression and evolution of protein-coding genes.

Approach to the Quantum Limit of a Nanomechanical Resonator

Abstract: By coupling a single-electron transistor to a high–quality factor, 19.7-megahertz nanomechanical resonator, we demonstrate position detection approaching that set by the Heisenberg uncertainty principle limit. At millikelvin temperatures, position resolution a factor of 4.3 above the quantum limit is achieved and demonstrates the near-ideal performance of the single-electron transistor as a linear amplifier. We have observed the resonator's thermal motion at temperatures as low as 56 millikelvin, with quantum occupation factors of NTH = 58. The implications of this experiment reach from the ultimate limits of force microscopy to qubit readout for quantum information devices.

High precision refractometry based on Fresnel diffraction from phase plates

Abstract: When a transparent plane-parallel plate is illuminated at a boundary region by a monochromatic parallel beam of light, Fresnel diffraction occurs because of the abrupt change in phase imposed by the finite change in refractive index at the plate boundary. The visibility of the diffraction fringes varies periodically with changes in incident angle. The visibility period depends on the plate thickness and the refractive indices of the plate and the surrounding medium. Plotting the phase change versus incident angle or counting the visibility repetition in an incident-angle interval provides, for a given plate thickness, the refractive index of the plate very accurately. It is shown here that the refractive index of a plate can be determined without knowing the plate thickness. Therefore, the technique can be utilized for measuring plate thickness with high precision. In addition, by installing a plate with known refractive index in a rectangular cell filled with a liquid and following the described procedures, the refractive index of the liquid is obtained. The technique is applied to measure the refractive indices of a glass slide, distilled water, and ethanol. The potential and merits of the technique are also discussed.