Concanamycin A

(CMA) and antibody against the ligand for

Concanamycin A

(CMA) and antibody against the ligand for the Fas receptor (FasL) were used to inhibit the NK cell-mediated cytotoxicity. Production of nitric oxide (NO) was quantified using the Griess reagent. Secretion of interferon-gamma gamma (IFN-gamma gamma), interleukin-1 beta beta (IL-1 beta beta), interleukin-12 (IL-12), and tumour necrosis factor-alpha alpha (TNF-alpha alpha) was measured using the enzyme-linked immunosorbent assays.

Results: aEuro integral All the exposures to X-rays significantly reduced the number of the induced tumour colonies and BMS-777607 enhanced cytotoxic properties of the NK cell-enriched splenocytes and activated M phi I center dot.

Conclusion: aEuro integral Suppression of the growth of pulmonary tumour colonies by irradiations of mice with low-dose fractions of X-rays may result from stimulation of anti-tumour reactions mediated by NK cells and/or cytotoxic macrophages.”
“In the present study, nanocrystals of cadmium telluride (CdTe) have been directly synthesized in poly(3-hexylthiophene) (P3HT) matrix without use of any surfactant. In situ synthesis of nanoparticles in polymer β-Nicotinamide molecular weight matrix improves the polymer-nanoparticles interface, which facilitates efficient electronic

interaction between them. Spectral results suggest that CdTe nanocrystals are bound with P3HT via dipole-dipole interaction and form a charge transfer complex. Structural and morphological studies reveal that CdTe works as transport media along/between the polymer chains, which facilitate percolation pathways for charge transport. Therefore, enhancement in current density has been observed for the bulk heterojunction (BHJ) device of P3HT-CdTe nanocomposites blended with PCBM. An open circuit voltage (V-OC) of 0.80 V was obtained from the BHJ device due to the increase in the energy level offset between the donor and acceptor. This new photovoltaic element could provide a new nanoscale criterion for the investigation of photoinduced energy/charge transport in organic-inorganic GDC 973 interfaces. (C) 2011 American Institute

of Physics. [doi:10.1063/1.3626464]“
“Oplopanax horridus (OH), or Devil’s club, is an ethnobotanical used by the indigenous people native to the Pacific Northwest of North America. There are three species in the genus Oplopanax, and OH is the only species that is distributed in North America. Compared with the extensive research on OH’s “”cousin,”" American ginseng, there is comparatively little reported about the chemical makeup and pharmacological effects of OH. Nevertheless, there has been some research over the past few years that shows promise for the future usage perspectives of OH. To date, 17 compounds were isolated and elucidated, including polyynes, glycosides, lignans, and polyenes, with most of the attention being paid to the polyynes.

Conclusions Transcriptome analysis attuned to natural embryonic c

Conclusions Transcriptome analysis attuned to natural embryonic cardiogenesis provides a robust platform to probe coordinated cardiac specification and maturation from bioengineered stem cell-based model systems. A panel of developmental-related genes allowed differential prognosis of cardiogenic competency, thus prioritizing cell lines Selleck SB202190 according to natural blueprint to streamline functional applications.”
“The temperature rise of NiFe2O4 nanoparticles having diameters of 242 and 7.7 nm was measured. The results of the

measurement were analyzed by comparing the areas of the hysteresis loops in order to clarify the mechanism of heat dissipation in the samples. The hysteresis loops were obtained by applying both ac and dc magnetic fields. It was found that the contribution of magnetic relaxation losses to the heat dissipation was negligible in the case of NiFe2O4 nanoparticle of diameter 242 nm. The contribution of the Neel relaxation to the heat dissipation in the case of NiFe2O4 nanoparticle ZD1839 chemical structure of diameter 7.7 nm was observed as the difference between the areas of ac and dc hysteresis loops. From the dependences of temperature rise and hysteresis loops of the nanoparticles on the intensity and frequency of an applied magnetic

field, the relaxation time for NiFe2O4 nanoparticle of diameter 7.7 nm was obtained as approximately 0.5-0.7 mu s. (c) 2010 American Institute of Physics. [doi:10.1063/1.3355936]“
“Background: In the recent World Cancer Research Fund/American Institute for Cancer Research report of diet and cancer, it was concluded that there is limited

but suggestive evidence that animal fat intake increases the risk of colorectal cancer.

Objective: To clarify this potential relation, we conducted meta-analyses across a variety of subgroups, AZD7762 order incorporating data from additional studies.

Design: Analyses of high compared with low animal fat intakes and categorical dose-response evaluations were conducted. Subgroup analyses, consisting of evaluations by study design, sex, and tumor site were also performed.

Results: Six prospective cohort studies with comprehensive dietary assessments, contributing 1070 cases of colorectal cancer and approximate to 1.5 million person-years of follow-up, were identified. The summary relative risk estimate (SRRE) for these studies was 1.04 (95% CI: 0.83, 1.31; P for heterogeneity = 0.221) on the basis of high compared with low intakes. When data from case-control studies were combined with the cohort data, the resulting SRRE was 1.15 ( 95% CI: 0.93, 1.42) with increased variability (P for heterogeneity 0.015). In our dose-response analysis of the cohort studies, no association between a 20-g/d increment in animal fat intake and colorectal cancer was observed (SRRE: 1.

Further oxidation of these species results in the formation of ma

Further oxidation of these species results in the formation of maleic and oxalic acid, which behave as intermediates and are completely LY333531 purchase mineralized during the electrolysis. The presence of chloride in water leads to the formation of many more aromatic chlorinated intermediates from the action of hypochlorite on aromatics intermediates. Intermediates found and oxidation mechanisms proposed are consistent with those reported in the literature for other advanced oxidation processes.

CONCLUSIONSDMP, TOC (total organic

carbon) and COD (chemical oxygen demand) can be successfully removed using electrolysis with conductive-diamond anodes. DMP removal is faster than that of COD and TOC indicating the formation of reaction intermediates. (c) 2013 Society of Chemical Industry”
“Proliferative diabetic retinopathy is characterized by pathological retinal neovascularization, mediated by both angiogenesis (involving mature endothelial cells) and vasculogenesis (involving bone marrow-derived circulating endothelial progenitor cells (EPCs)). Pigment epithelium-derived factor (PEDF) contains an N-terminal 34-amino

acid peptide (PEDF-34) that has antiangiogenic properties. Herein, we present a novel finding that PEDF-34 also possesses antivasculogenic activity. In the oxygen-induced retinopathy (OIR) model using Selleckchem GSK1838705A transgenic mice that have Tie2 promoter-driven GFP expression, we quantified Tie2GFP(+) cells in bone marrow and peripheral blood by fluorescence-activated

cell sorting (FACS). OIR significantly increased the number of circulating Tie2-GFP(+) at P16, correlating with the peak progression of neovascularization. Daily A-1210477 molecular weight intraperitoneal injections of PEDF-34 into OIR mice decreased the number of Tie2-GFP(+) cells in the circulation at P16 by 65% but did not affect the number of Tie2-GFP(+) cells in the bone marrow. These studies suggest that PEDF-34 attenuates EPC mobilization from the bone marrow into the blood circulation during retinal neovascularization.”
“Background: Atrioventricular junctional ablation (AVJA) improves symptoms and quality of life in patients with pharmacologically resistant atrial fibrillation (AF). However, long-term right ventricular stimulation has also been reported to lead to deterioration of the left ventricular function. We retrospectively analyzed the incidence of new or aggravated heart failure (HF) during long-term right ventricular stimulation following AVJA.

Methods: Two hundred thirteen patients (110F:103M), 73 +/- 10 years old, were followed for a period of 6 +/- 3 years after AVJA. Forty-nine patients (23%) were known to have HF before AVJA. New HF was diagnosed if at least two of the following criteria were present: NYHA class > 2, an LVEF < 45%, and medication for HF. Aggravated HF was defined as an increase in the functional class and/or new prescription of medication for HF.

We identified a network conserved across species that highlighted

We identified a network conserved across species that highlighted cell-cell signaling, Selleck GSK461364 cell-adhesion and sterol biosynthesis as main biological processes represented in genome-wide association study candidate gene sets for blood lipid levels. We further developed a heterogeneity statistic to test for network differences among multiple

datasets, and demonstrated that genes with species-specific interactions tend to be under positive selection throughout evolution. Finally, we identified a human-specific sub-network regulated by RXRG, which has been validated to play a different role in hyperlipidemia and Type 2 diabetes between human and mouse. Taken together, our approach represents a novel step forward in integrating gene co-expression networks from multiple large scale datasets to leverage not only common information but also differences that are dataset-specific.”
“We describe techniques to selectively harvest single ferroelectric domain nanoparticles of BaTiO(3) as small as 9 nm from a plethora of nanoparticles produced by mechanical grinding. High resolution transmission electron microscopy imaging shows

the unidomain Cediranib Protein Tyrosine Kinase inhibitor atomic structure of the nanoparticles and reveals compressive and tensile surface strains which are attributed to the preservation of ferroelectric behavior in these particles. We demonstrate the positive benefits of using harvested nanoparticles in disparate liquid crystal systems. (C) 2010 American Institute of Physics. [doi:10.1063/1.3477163]“
“Objectives: To analyze the distribution of HLA Cyclosporin A clinical trial alleles and HLA microsatellite alleles in Croatian patients with testicular carcinoma, compare it with that of healthy controls and investigate whether the polymorphism within the HLA region could be associated with the development of testicular cancer. Methods: Genomic DNA was isolated from the peripheral blood of 24 patients with testicular germ cell tumors (TGCT).

Patients and controls were typed for HLA class I and class II polymorphism by the PCR-SSO method. Nine HLA microsatellites were analyzed by PCR and electrophoresis in an automated sequencer. Results: No significant deviation in the distribution of frequencies at HLA class I alleles was observed between patients and controls. Among HLA class II alleles, a statistically significant increase in the frequency of the HLA-DPB1*1701 allele was found among patients. The frequency of the HLA-DRB1*07-DQA1*0201-DQB1*0202 haplotype was increased in patients in comparison to the controls. Analysis of HLA microsatellites showed an increased frequency of D6S291-3 allele (p(corr) = 0.0455, OR = 3.05) among patients. Conclusions: The observed association of the disease and the DPB1*1701 allele as well as with the D6S291-3 allele suggests that this part of the HLA region might be involved in the pathogenesis of TGCT. Our data provide a basis for further studies about the correlation between the HLA region and testicular cancer. Copyright (C) 2011 S.


“We previously reported the results of the use of a cement


“We previously reported the results of the use of a cementless acetabular shell for revision total hip arthroplasty in 138 hips at a minimum of three, seven, and fifteen years postoperatively. The current report presents the long-term outcomes of this group at a minimum follow-up of twenty years.

Since the last report, two additional hips required repeat revision, both for infection; no additional acetabular shell was loose. In the entire series to date, repeat acetabular revision was performed in twenty-one (15%) of the original 138 hips. https://www.selleckchem.com/products/Adriamycin.html Twenty of the twenty-one shells were well fixed at the time of repeat revision, and one had become aseptically loose. The most common reasons for repeat revision were infection (eight hips) and

recurrent instability (eight hips). In the metal shells that were well fixed, an isolated liner change for polyethylene wear and/or osteolysis was performed in a total of six hips; four of these liner exchanges were performed since the time of our last report. A liner change had been recommended because of severe wear in four additional hips; thus, 18% of the fifty-six unrevised metal shells were associated with polyethylene wear-related problems. Survivorship,

with revision of the shell for aseptic loosening or radiographic evidence of loosening as the end point, was 95% at twenty years (95% confidence interval, 83% to 98%).

Reoperations for wear and osteolysis were first seen at approximately twelve years postoperatively. buy Elafibranor At the time of

the present long-term follow-up, the reoperation rate for polyethylene wear and/or osteolysis had increased. We continue to use a hemispherical, titanium metal shell with multiple screws for fixation in the majority of acetabular revisions.”
“Choline citrate (CC) and acetylmethionine (AM) are lipotropic drugs used in several pharmaceutical formulations. The objective of this research was to develop and validate a high performance liquid chromatographic (HPLC) method for simultaneous determination of CC and AM in injectable solutions, aiming its application in routine analysis for quality control of these pharmaceutical formulations. The method was validated using a Shim-Pack (R) C18 (250 x 4.6 mm, 5 mu m) column. The mobile phase was constituted of 25 mM potassium phosphate buffer solution, pH 5.7, adjusted SRT2104 clinical trial with 10 % orthophosphoric acid, acetonitrile and methanol (88:10:2, v/v/v). The flow rate was 1.1 mL.min(-1) and the UV detection was made at 210 nm. The analyses were made at room temperature (25 +/- 1 degrees C). The method is precise, selective, accurate and robust, and was successfully applied for simultaneous quantitative determination of CC and AM in injectables.”
“Background: Brace prescription for children with diplegic cerebral palsy challenges the clinician with a variety of options and little evidence for rational decisions. Previous studies have indicated that ankle-foot orthoses improve toe-walking, but it is unclear if any brace is better than another.

However, this difference was observed at a broad scale and not at

However, this difference was observed at a broad scale and not at a specific this website TEAE level except for headache. (C) 2009 Elsevier Inc. All rights reserved.”
“We investigate the structure of the (0001) basal twin boundary in Bi2Te3. Electron diffraction measurements show that this interface corresponds to a 180 degrees rotation of the crystal about the [0001] axis, an alignment that reverses the stacking of the basal planes. The basal planes in the perfect Bi2Te3 structure are arranged in a repeating sequence of five-layer wide Te-(1)-Bi-Te-(2)-Bi-Te-(1)

packets. Thus, it is possible for the twin interface to be located at one of three distinct locations: at the Te-(2) layer, the Bi layer, or the Te-(1) layer. Using aberration-corrected high-angle annular dark field scanning transmission electron microscopy, we show that the twin boundary is terminated at the Te-(1) layer, where the stacking forms a double-layer of

Te. Our observations are consistent with ab initio calculations, which predict this twin termination to have the lowest interfacial energy of the three configurations we considered. Our calculations and observations also find a small expansion in the interplanar spacing at the interface. (C) 2010 American AZD1208 molecular weight Institute of Physics. [doi:10.1063/1.3457902]“
“Electrospinning is the only known technique for fabrication of long non-woven ultrafine-fibers. However, a number of limitations, including low productivity and clogging of a spinneret, substantially paralyses industrial scale up of the process. Clogging is indeed an unavoidable phenomenon during electrospinning of biopolymers and the exact PF2341066 reason

for clogging is still unclear. The aim of the present study was thus to investigate the clogging phenomenon via the study of a solution of zein/ethanol, which was used as a model biopolymer system. The gel-like substance causing clogging at the spinneret was collected and its infrared spectrum and rheological properties were determined via Fourier transform infrared (FTIR) spectrophotometry and rheometry, respectively. The results indicated that clogging was due to solvent evaporation, which led to formation of a highly viscous semi-solid at the spinneret. Moreover, the results also revealed that the applied voltage and polymer concentration were the key parameters affecting clogging. A means to help avoid clogging and hence an ability to continuously perform electrospinning was also proposed and tested. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 118: 1821 1829, 2010″
“We sought to determine significant predictors of seizure and cognitive outcome following surgery for epilepsy. Participants included 41 patients who had undergone anterior temporal lobectomy (ATL). Higher presurgical verbal/language scores and lower nonverbal memory scores were predictive of seizure-free status following ATL.

A new HPLC method adjusted to our laboratory conditions was devel

A new HPLC method adjusted to our laboratory conditions was developed for the evaluation of assay and purity of clopidogrel in film-coated tablets.”
“Objective: To investigate whether a short interdelivery interval from cesarean section (CS) to a subsequent delivery is associated with adverse G418 concentration obstetric outcomes, and specifically uterine rupture.

Study design: A retrospective study was conducted, comparing all patients who delivered following CS during the years 1988-2010. Time interval was defined as the time from the day of CS to the day of the subsequent delivery. Women with multiple gestations or more than one previous CS were excluded from the study.

Results: Three-thousand

one-hundred and seventy-six deliveries were included in the study. Of these, 176 patients had an interval <12 month, 728 had an interval of 13-18 months, 635 had an interval of 19-24 months and 1637 had an interval of more than 24 AZD3965 months. The rate of uterine rupture did not differ between the groups. Patients with short interval of less than 12 month had higher rates of preterm deliveries (11.9% versus 4.9-6.6% in the other groups; p < 0.001). The rate of post partum perinatal death was comparable between the groups.

Conclusion: Short time interval is not a risk factor for major maternal and neonatal complications

such as uterine rupture and post-partum Selleckchem Compound C death. However, in our population,

it is a risk factor for preterm delivery.”
“Objective: To investigate the efficacy, toxicity, and drug discontinuation in patients with psoriatic arthritis treated with anti-tumor necrosis factor agents.

Methods: Sixty-five patients with active disease were included in this open-label study. They had tender or swollen joint count Psoriatic Arthritis Severity Index (PAST) score >= 10, and erythrocyte sedimentation rate >= 28 mm Hg/1st hour and/or C-reactive protein >= 10 mg/L. All were refractory to at least 2 disease-modifying antirheumatic drugs. Thirty were treated with influximab, 25 with etanercept, and 10 with adalimumab. Infliximab (5 mg/kg body weight) was given intravenously at weeks 0, 2, 6, and every 8 weeks thereafter; etanercept was given subcutaneously (25 mg twice a week), while adalimumab was given subcutaneously (40 mg every other week) for a period of 5 years. Data concerning anti-tumor necrosis factor efficacy tolerability, adverse events, and drug discontinuation were recorded. The percentage of patients who achieved the Psoriatic Arthritis Response Criteria (PSARC), the improvement of PAST, the improvement according to the American College of Rheumatology (ACR) criteria, and the disease activity for 28 joint indices score (DAS-28) were recorded.

Results: After 5 years, PSARC was 60%, PAST 70 was 66.7%, PAST 90 was 63.3%, while ACR 50 was 56.

ntnu edu/hunt), whether affiliated in Norway or abroad “
“In

ntnu.edu/hunt), whether affiliated in Norway or abroad.”
“Introduction: Folic acid (FA) may delay the formation of atherosclerotic lesions. Increased plasma levels of von Willebrand factor (VWF) are observed in cardiovascular disease, which leads to higher risk MEK162 concentration of thrombosis. Fibrinogen (Fb) is a well-documented risk factor of cardiovascular disease. The aim of this study was to analyze the effect of FA

supplementation on the Fb, VWF and C-reactive protein (CRP) plasma concentrations in subjects with atherosclerosis risk factors.

Material/Methods: The study enrolled 124 Caucasian individuals (60 M, 64 F) with atherosclerosis risk factors – family history of premature ischaemic stroke, arterial hypertension, dyslipidaemia, overweight and obesity, cigarette smoking and low physical activity. The participants were asked to take FA in the low dose of 0.4 mg/24 h for three months.

Results: After FA supplementation a significant reduction of the VWF concentrations in females (76.6 vs

72.3%; p=0.028) and in males (75.5 vs 66.9%; p=0.001) was observed. Among women and men with dyslipidaemia concentrations of VWF decreased after FA supplementation (76.8% vs 69.6%; p=0.003 and 76.7% vs 67.8%; p=0.001 respectively). Among females and males with BMI >= 25 kg/m(2) concentrations of VWF decreased KU-57788 manufacturer only in men (77.6% vs 66.5%; p=0.001). In female and male smokers supplementation of FA

BLZ945 chemical structure decreased VWF concentrations (82.5% vs 74.4%; p=0.012 and 76.6% vs 69.5%; p=0.036 respectively).

Discussion: The results of our study suggest that there is an effect of FA supplementation on VWF concentrations in subjects with atherosclerosis risk factors.”
“The proteome analysis of endocytic compartments has been constrained by the limited purity of the organelle fractions obtained by current biochemical methods. Duclos and coworkers have developed a novel method to isolate highly purified endosomal organelles based on small latex beads internalization followed by gradient centrifugation and successfully combined it with a redundant peptide counting method to compare the relative abundance of proteins in organelles. The presence of bona fide markers in their respective subcellular organelles and the identification of several new endosomal-associated proteins, attested the applicability of their combinatory approach. Future applications of this strategy may deliver a comprehensive endosomal proteome chart: from the identification of the key players to the determination of time and signaling-dependent proteome changes. As a long-term perspective, such an approach may unveil new clues to the molecular mechanisms underlining human diseases associated with endosomal biogenesis defects.

The aim of the present study was to assess the working time contr

The aim of the present study was to assess the working time contribution of final-year medical students on operation room performance at the surgical department of a university hospital.

Methods Over an 8-year period, purely surgical times of 24,214 operations in 2,792 days were analyzed with special regard to final-year medical students’ participation rate. Students’ cumulative workload in the operating room was compared to that of surgical residents.

Results Mean participation rate of final-year medical students was 47.8%, being higher Geneticin in vivo in elective surgery than in emergency

surgery (53.9% vs. 24.7%; p<0.001). When students participated in operations, mean daily cumulative working time of student’s cohort was 10.3 +/- 0.12 h. Daily cumulative workload of medical students in the operating room strongly correlated with both medical doctors’ cumulative workload (r(2)=0.573) and daily workload of the team (r(2)=0.740, p<0.001 each). Final-year medical students assisted significantly more often in time-consuming operations.

Conclusion Final-year medical students contribute significantly to surgical operation room performance, similarly but less intensively than residents. Employment of students may counterbalance staff shortage in operating rooms. Therefore, it is likely Blebbistatin that the German health care system relies on unpaid medical students

to minimize the total cost of surgery. According to the extent of workload accomplished by final-year medical students, a remuneration of the “”practical year”" seems reasonable.”
“This work aims to improve the process of speckle noise reduction while preserving edges and other relevant features through filter expansion from 2-D to

3-D. Despeckling is very important for data visual inspection and as a preprocessing step for other algorithms, as they are usually notably influenced by speckle noise. To that intent, a 3-D approach is proposed for MK5108 ic50 the adaptive complex-diffusion filter. This 3-D iterative filter was applied to spectral-domain optical coherence tomography medical imaging volumes of the human retina and a quantitative evaluation of the results was performed to allow a demonstration of the better performance of the 3-D over the 2-D filtering and to choose the best total diffusion time. In addition, we propose a fast graphical processing unit parallel implementation so that the filter can be used in a clinical setting.”
“Objective: To collate and categorize the ways in which selective inclusion and reporting can occur in randomized controlled trials (RCTs) and systematic reviews.

Study Design and Setting: Searches of the Cochrane Methodology Register, PubMed, and PsycInfo were conducted in April 2011. Methodological reports describing empirically investigated or hypothetical examples of selective inclusion or reporting were eligible for inclusion. Examples were extracted from the reports by one author and categorized by three authors independently.

The qualitative and quantitative evaluations showed that our algo

The qualitative and quantitative evaluations showed that our algorithm substantially suppresses streaking artifacts and can outperform both linear interpolation and NMAR algorithms.”
“Objective(s): Heat shock protein 70 (Hsp70) is detected in substantial amounts in normal neurons and this basal content may protect a cell against harmful conditions without the need for additional synthesis. Herein, we investigate the potential

protective role of these basal levels of Hsp70, in an early ischaemic preconditioning (IPC) experimental model, suggesting a possible role of this protein as a first window of protection.

Design, material and methods: Forty-two pigs were used in an experimental thoraco-abdominal aortic occlusion model. Twelve animals (two groups) were used for neurological evaluation. The remaining 30 animals (five groups) were used for immunoprecipitation and immunohistochemical

studies. These were performed to study the PXD101 ic50 binding relationship of Hsp70/cytoskeleton elements and the cellular distribution of Hsp70, BLZ945 respectively.

Results: The IPC ischaemia-group showed significant better neurologic scores compared with those of the ischaemia group, indicating a protective role for IPC (P = 0.003). The immunoprecipitations demonstrated that early IPC increased significantly the binding profile of Hsp70/neurofilaments (P = 0.025). In addition, translocation of Hsp70 into the nucleus was observed, which was conserved until the sustained ischaemia.

Conclusions: These results indicate that Hsp70 may have an important role in early IPC of the spinal cord, by protecting neurofilaments and by

ensuring the functionality and the integrity of the nucleus, at the time the intensive insult begins. (C) 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“A robust automated find more segmentation of abdominal organs can be crucial for computer aided diagnosis and laparoscopic surgery assistance. Many existing methods are specialized to the segmentation of individual organs and struggle to deal with the variability of the shape and position of abdominal organs. We present a general, fully-automated method for multi-organ segmentation of abdominal computed tomography (CT) scans. The method is based on a hierarchical atlas registration and weighting scheme that generates target specific priors from an atlas database by combining aspects from multi-atlas registration and patch-based segmentation, two widely used methods in brain segmentation. The final segmentation is obtained by applying an automatically learned intensity model in a graph-cuts optimization step, incorporating high-level spatial knowledge. The proposed approach allows to deal with high inter-subject variation while being flexible enough to be applied to different organs. We have evaluated the segmentation on a database of 150 manually segmented CT images.