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Multi-Phase Contrast-Enhanced CT Clinical-Radiomics Model for Predicting Prognosis of Extrahepatic Cholangiocarcinoma After Surgery:A Single-Center Retrospective Study
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作者 Shen-Bo Zhang Zheng Wang +3 位作者 ge hu Si-Hang Cheng Zhi-Wei Wang Zheng-Yu Jin 《Chinese Medical Sciences Journal》 2025年第3期161-170,I0001,共11页
Objective To develop and validate a preoperative clinical-radiomics model for predicting overall survival(OS)and disease-free survival(DFS)in patients with extrahepatic cholangiocarcinoma(eCCA)undergoing radical resec... Objective To develop and validate a preoperative clinical-radiomics model for predicting overall survival(OS)and disease-free survival(DFS)in patients with extrahepatic cholangiocarcinoma(eCCA)undergoing radical resection.Methods In this retrospective study,consecutive patients with pathologically-confirmed eCCA who underwent radical resection at our institution from 2015 to 2022 were included.The patients were divided into a training cohort and a validation cohort according to the chronological order of their CT examinations.Least absolute shrinkage and selection operator(LASSO)-Cox regression was employed to select predictive radiomic features and clinical variables.The selected features and variables were incorporated into a Cox regression model.Model performance for 1-year OS and DFS prediction was assessed using calibration curves,area under receiver operating characteristic curve(AUC),and concordance index(C-index).Results This study included 123 patients(mean age 64.0±8.4 years,85 males/38 females),with 86 in the training cohort and 37 in the validation cohort.The OS-predicting model included four clinical variables and four radiomic features.It achieved a training cohort AUC of 0.858(C-index=0.800)and a validation cohort AUC of 0.649(C-index=0.605).The DFS-predicting model included four clinical variables and four other radiomic features.It achieved a training cohort AUC of 0.830(C-index=0.760)and a validation cohort AUC of 0.717(C-index=0.616).Conclusion The preoperative clinical-radiomics models show promise as a tool for predicting 1-year OS and DFS in eCCA patients after radical surgery. 展开更多
关键词 extrahepatic cholangiocarcinoma radiomics PROGNOSIS retrospective study
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冠状动脉易损斑块行第三代双源CT诊断的价值及相关因素 被引量:2
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作者 许伟坚 葛虎 +2 位作者 李琳 张红荣 朱智奇 《智慧健康》 2022年第8期4-7,共4页
目的分析冠状动脉易损斑块行第三代双源CT诊断价值及影响易损斑块形成的相关因素。方法回顾性分析我院2020年5月-2021年5月收治的50例应用第三代双源CT诊断的冠心病患者临床资料,以冠状动脉造影检查(CAG)结果作为金标准,分析第三代双源C... 目的分析冠状动脉易损斑块行第三代双源CT诊断价值及影响易损斑块形成的相关因素。方法回顾性分析我院2020年5月-2021年5月收治的50例应用第三代双源CT诊断的冠心病患者临床资料,以冠状动脉造影检查(CAG)结果作为金标准,分析第三代双源CT对易损斑块的诊断检出率以及诊断效能,同时将有≥1个易损斑块的患者列为A组,其余列为B组,比较两组患者临床基本情况及各项实验室检测指标差异,对可能影响其易损斑块形成的相关因素进行多因素Logistic回归分析。结果第三代双源CT诊断的检出率为52.78%,和CAG诊断检出率比较,差异P>0.05。双源96排CT诊断灵敏度83.33%,特异度95.24%,准确性87.96%,阳性预测值96.49%,阴性预测值78.43%。两组患者性别、年龄、内皮素-1、TC、HDL、LDL-C、吸烟、饮酒、高血压情况对比,差异均P>0.05,MMP-9、hs-CRP、IL-6、TNF-α以及糖尿病情况对比,差异均P<0.05。多因素Logistic回归分析显示影响易损斑块形成的独立危险因素为MMP-9>5.342ng/L以及hs-CRP>3.611mg/L(P<0.05)。结论在冠状动脉易损斑块的临床诊断中,第三代双源CT具有良好的诊断价值及效能,影响易损斑块形成的独立危险因素为MMP-9>5.342ng/L以及hs-CRP>3.611mg/L,需提高重视。 展开更多
关键词 冠状动脉 易损斑块 第三代双源CT 诊断价值 影响因素
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医药冷链物流现状及问题研究 被引量:13
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作者 葛虎 郑琰 《物流工程与管理》 2019年第6期13-14,12,共3页
通过分析我国医药冷链物流的现状,发现目前我国医药冷链物流存在着制度不明,硬件不足,专业不够,竞争过大等问题。通过针对这些问题,提出了一些改进现代医药冷链物流的建议,从而解决我国医药冷链物流的主要问题,促进我国医药冷链物流的... 通过分析我国医药冷链物流的现状,发现目前我国医药冷链物流存在着制度不明,硬件不足,专业不够,竞争过大等问题。通过针对这些问题,提出了一些改进现代医药冷链物流的建议,从而解决我国医药冷链物流的主要问题,促进我国医药冷链物流的良性发展。 展开更多
关键词 医药冷链物流 发展现状 问题分析 方案建议
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5G网络在物流行业中的应用研究 被引量:15
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作者 葛虎 郑琰 《物流工程与管理》 2020年第1期73-74,91,共3页
5G商用时代的到来,将给物流行业带来革命性的变革。文中简要介绍了5G网络的特点、发展现状及其在物流领域应用的优势,并结合5G网络的特性探讨分析了其对物流行业体系中的改进应用场景,研究发现5G网络不仅使智能化设施、设备得到普及应用... 5G商用时代的到来,将给物流行业带来革命性的变革。文中简要介绍了5G网络的特点、发展现状及其在物流领域应用的优势,并结合5G网络的特性探讨分析了其对物流行业体系中的改进应用场景,研究发现5G网络不仅使智能化设施、设备得到普及应用,而且使物流服务更加动态化、透明化,最后,对未来5G网络在物流企业的应用做出展望。 展开更多
关键词 5G网络 物流应用 智能化
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红细胞分布宽度在套细胞淋巴瘤患者预后评估中的价值 被引量:6
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作者 胡歌 王先火 张会来 《中国肿瘤临床》 CAS CSCD 北大核心 2020年第22期1152-1158,共7页
目的:探讨红细胞分布宽度(red blood cell distribution width,RDW)在套细胞淋巴瘤(mantle cell lymphoma,MCL)患者预后评估中的价值。方法:回顾性分析2010年1月至2018年1月天津医科大学肿瘤医院收治的83例初诊MCL患者的临床资料。采用... 目的:探讨红细胞分布宽度(red blood cell distribution width,RDW)在套细胞淋巴瘤(mantle cell lymphoma,MCL)患者预后评估中的价值。方法:回顾性分析2010年1月至2018年1月天津医科大学肿瘤医院收治的83例初诊MCL患者的临床资料。采用受试者工作特征(receiver operating characteristic,ROC)曲线确定RDW截断值。采用Kaplan-Meier法及Cox回归模型进行生存分析。结果:83例MCL患者的中位年龄61(23~88)岁,男女比例3∶1。RDW截断值为13.55%,预后单因素分析显示:ECOG PS≥2分、RDW>13.55%、LDH>250 U/L、β2-MG>2.6 mg/L为预后不良因素(均P<0.05)。将上述因素纳入Cox比例风险模型多因素分析发现,RDW>13.55%及β2-MG>2.6 mg/L为患者独立预后不良因素(均P<0.05)。生存分析显示,RDW>13.55%为影响患者总生存期(overall survival,OS)的独立不良预后因素(P=0.028),但对无进展生存期(progression-free survival,PFS)的影响无统计学意义(P=0.34)。结论:初诊时RDW升高(>13.55%)的MCL患者预后不良,RDW可能作为MCL患者预后评估的指标。 展开更多
关键词 套细胞淋巴瘤 外周血 红细胞分布宽度 预后
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湖南地区4132例备孕女性遗传性耳聋基因筛查结果分析 被引量:5
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作者 葛虎 余艳 +5 位作者 周梅华 杨瑶 汪静 张家美 何媛 龚强 《中华耳科学杂志》 CSCD 北大核心 2021年第4期567-571,共5页
目的探讨湖南地区4132例备孕女性遗传性耳聋基因筛查结果特点。方法通过多重PCR扩增、高通量测序等技术联合,对18个耳聋致病基因的108个突变位点进行筛查,对阳性样本中的突变基因、位点以及突变阳性率等特点进行统计分析。结果4132例检... 目的探讨湖南地区4132例备孕女性遗传性耳聋基因筛查结果特点。方法通过多重PCR扩增、高通量测序等技术联合,对18个耳聋致病基因的108个突变位点进行筛查,对阳性样本中的突变基因、位点以及突变阳性率等特点进行统计分析。结果4132例检测样本中,阳性202例,检出率为4.89%。单基因突变型200例,包括SLC26A4(70/200,占35.00%)、GJB2(86/200,占43.00%)、GJB3(12/200,占6.00%)以及线粒体基因(32/200,占16.00%);多基因突变型2例(SLC26A4/MT-RNR1和GJB2/GJB3)。统计发现SLC26A4(IVS7-2A>G,0.75%)、GJB2(c.235delC,1.67%、c.299_300delAT,0.24%)、GJB3(c.538C>T,0.17%)以及线粒体基因MT-CO1(m.7444G>A,0.34%)和MT-RNR1(m.1555A>G,0.41%)突变位点在备孕女性中携带率较高。另外,7种常见位点(c.235delC,c.299_300de⁃lAT,c.176_191del16,c.538C>T,c.2168A>G,IVS7-2A>G,m.1555A>G)的携带率占比3.44%,其他少见位点的阳性率占比1.45%。结论湖南地区备孕女性遗传性耳聋基因筛查常见基因突变为单基因突变,包括7种常见突变位点和一些罕见突变位点。基因筛查范围必须包含常见的7种突变位点,增加一些湖南地区罕见的突变位点。 展开更多
关键词 耳聋 基因突变 基因筛查 湖南地区
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一种多功能声光报警警示牌的研制与应用 被引量:1
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作者 曾娟 高波 +2 位作者 魏敏 陈昶 葛虎 《电力系统装备》 2019年第6期220-221,共2页
随着社会经济的飞速发展,电力企业的规模也在不断扩大,因此对电网的安全稳定运行质量要求也越来越高。现阶段配电网线路由于高压危险性较大,配电架空线路长,沿途所经区域多为树木丛林、跨塘跨河,自然环境较为复杂,因此存在的安全隐患较... 随着社会经济的飞速发展,电力企业的规模也在不断扩大,因此对电网的安全稳定运行质量要求也越来越高。现阶段配电网线路由于高压危险性较大,配电架空线路长,沿途所经区域多为树木丛林、跨塘跨河,自然环境较为复杂,因此存在的安全隐患较多。供电企业为了应对安全管理需求,在这些高压危险区域设置了一些传统的告警装置,如:悬挂标识牌,埋设警示桩,但是由于户外气象环境复杂,这些告警标识牌多被人们所忽略,或根本从思想上不被人们所重视,经常有人员在这些高压危险区域被电击致死,如攀爬变压器台区、攀爬高压杆塔等等,因此需要一种智能型的多功能自动报警装置,能够提醒人们的思想意识,从人的视觉感观上和听力感知两个方面结合实现报警效果,达到真正意思上的警示作用。本文从装置的功能性开发上作为出发点,结合人的视觉观和听知观,对报警警示装置从文字提示到发光报警再到语音报警,进行深层次研究。文章通过装置的研发应用,着重讲述了装置对电力企业的管理要求。 展开更多
关键词 多功能化 灯光告警 语音报警 应用范畴
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Topological Transition in Monolayer Blue Phosphorene with Transition-Metal Adatom under Strain
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作者 ge hu Jun hu 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2020年第4期443-449,I0001,共8页
We carried out first-principles calculations to investigate the electronic properties of the monolayer blue phosphorene(BlueP)decorated by the group-IVB transition-metal adatoms(Cr,Mo and W),and found that the Cr-deco... We carried out first-principles calculations to investigate the electronic properties of the monolayer blue phosphorene(BlueP)decorated by the group-IVB transition-metal adatoms(Cr,Mo and W),and found that the Cr-decorated BlueP is a magnetic half metal,while the Mo-and W-decorated BlueP are semiconductors with band gaps smaller than 0.2 eV.Compressive biaxial strains make the band gaps close and reopen,and band inversions occur during this process,which induces topological transitions in the Mo-decorated BlueP(with strain of-5.75%)and W-decorated BlueP(with strain of-4.25%)from normal insulators to topological insulators(TIs).The TI gap is 94 meV for the Mo-decorated BlueP and218 me V for the W-decorated BlueP.Such large TI gaps demonstrate the possibility to engineer topological phases in the monolayer BlueP with transition-metal adatoms at high temperature. 展开更多
关键词 Topological transition Monolayer Blue phosphorene Biaxial strain Transition-metal adatom
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DIW1 encoding a cladeⅠPP2C phosphatase negatively regulates drought tolerance by de-phosphorylating TaSnRK1.1 in wheat 被引量:7
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作者 Jingyi Wang Chaonan Li +8 位作者 Long Li Lifeng Gao ge hu Yanfei Zhang Matthew P.Reynolds Xueyong Zhang Jizeng Jia Xinguo Mao Ruilian Jing 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2023年第8期1918-1936,共19页
Drought seriously impacts wheat production(Triticum aestivum L.),while the exploitation and utilization of genes for drought tolerance are insufficient.Leaf wilting is a direct reflection of drought tolerance in plant... Drought seriously impacts wheat production(Triticum aestivum L.),while the exploitation and utilization of genes for drought tolerance are insufficient.Leaf wilting is a direct reflection of drought tolerance in plants.Clade A PP2Cs are abscisic acid(ABA)co-receptors playing vital roles in the ABA signaling pathway,regulating drought response.However,the roles of other clade PP2Cs in drought tolerance,especially in wheat,remain largely unknown.Here,we identified a gain-of-function drought-induced wilting 1(DIW1)gene from the wheat Aikang 58 mutant library by map-based cloning,which encodes a cladeⅠprotein phosphatase 2C(TaPP2C158)with enhanced protein phosphatase activity.Phenotypic analysis of overexpression and CRISPR/Cas9 mutant lines demonstrated that DIW1/TaPP2C158 is a negative regulator responsible for drought resistance.We found that TaPP2C158 directly interacts with TaSnRK1.1 and de-phosphorylates it,thus inactivating the TaSnRK1.1–Ta AREB3 pathway.TaPP2C158 protein phosphatase activity is negatively correlated with ABA signaling.Association analysis suggested that C-terminal variation of TaPP2C158 changing protein phosphatase activity is highly correlated with the canopy temperature,and seedling survival rate under drought stress.Our data suggest that the favorable allele with lower phosphatase activity of TaPP2C158 has been positively selected in Chinese breeding history.This work benefits us in understanding the molecular mechanism of wheat drought tolerance,and provides elite genetic resources and molecular markers for improving wheat drought tolerance. 展开更多
关键词 association analysis drought elite genetic resources map-based clone PP2C protein phosphatase WHEAT WILTING
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医学影像世界的人工智能:挑战与机遇 被引量:5
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作者 薛华丹 胡歌 +2 位作者 洪楠 N.Reed Dunnick 金征宇 《Science Bulletin》 SCIE EI CAS CSCD 2023年第7期648-652,共5页
Medical imaging is involved in all processes of clinical practice.Approximately 70%of diagnostic information originates from radiologic images,which also account for 90%of the digital data volume of a hospital.However... Medical imaging is involved in all processes of clinical practice.Approximately 70%of diagnostic information originates from radiologic images,which also account for 90%of the digital data volume of a hospital.However,the number of physicians has increased only modestly compared to the rapid growth in the number of medical images.In China,data from medical imaging increases by 30%every year,whereas the number of radiologists increases by only 4%annually.Artificial intelligence(AI),which is representative technology of the fourth industrial revolution,may alleviate the increasing pressure and job burnout,and further improve the diagnostic efficiency of radiology services[1].Despite the urgent and realistic demand for AI technology,many challenges remain in the development and translation of AI products.The rate of the scientific translation of AI research into clinical applications is extremely low.Furthermore,AI models that are applied in clinical settings exhibit unreliable performance and are often impractical[2].Therefore,radiologists may not have access to suitable medical imaging AI models to solve specific clinical problems.This paper analyzes and discusses this problem according to two aspects:the data sources and the AI algorithm(Fig.1). 展开更多
关键词 SPITE 人工智能 annually
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Predicting hiCE inhibitors based upon pharmacophore models derived from the receptor and its ligands 被引量:1
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作者 ZHANG GuoDong ge hu +1 位作者 GU Qiong XU Jun 《Science China Chemistry》 SCIE EI CAS 2013年第10期1402-1412,共11页
Human intestinal carboxyl esterase (hiCE) is a drug target for ameliorating irinotecan-induced diarrhea. By reducing irinotecan- induced diarrhea, hiCE inhibitors can improve the anti-cancer efficacy of irinotecan. ... Human intestinal carboxyl esterase (hiCE) is a drug target for ameliorating irinotecan-induced diarrhea. By reducing irinotecan- induced diarrhea, hiCE inhibitors can improve the anti-cancer efficacy of irinotecan. To find effective hiCE inhibitors, a new virtual screening protocol that combines pharmacophore models derived from the hiCE structure and its ligands has been pro- posed. The hiCE structure has been constructed through homology techniques using hCESI's crystal structure. The hiCE structure was optimized via molecular dynamics simulations with the most known active hiCE inhibitors docked into the structure. An optimized pharmacophore, derived from the receptor, was then generated. A ligand-based pharmacophore was also generated from a larger set of known hiCE inhibitors. The final hiCE inhibitor predictions were based upon the virtual screening hits from both ligand-based and receptor-based pharmacophore models. The hit rates from the ligand-based and receptor-based pharmacophore models are 88% and 86%, respectively. The final hit rate is 94%. The two models are highly consistent with one another (85%). This proves that both models are reliable. 展开更多
关键词 carboxyl esterase PHARMACOPHORE virtual screening ANTI-CANCER
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