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Improving seismic interpretation: a high-contrast approximation to the reflection coefficient of a plane longitudinal wave 被引量:12
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作者 Yin Xingyao Zong Zhaoyun Wu Guochen 《Petroleum Science》 SCIE CAS CSCD 2013年第4期466-476,共11页
Linearized approximations of reflection and transmission coefficients set a foundation for amplitude versus offset(AVO) analysis and inversion in exploration geophysics.However,the weak properties contrast hypothesi... Linearized approximations of reflection and transmission coefficients set a foundation for amplitude versus offset(AVO) analysis and inversion in exploration geophysics.However,the weak properties contrast hypothesis of those linearized approximate equations leads to big errors when the two media across the interface vary dramatically.To extend the application of AVO analysis and inversion to high contrast between the properties of the two layers,we derive a novel nonlinearized high-contrast approximation of the PP-wave reflection coefficient,which establishes the direct relationship between PPwave reflection coefficient and P-wave velocities,S-wave velocities and densities across the interface.(A PP wave is a reflected compressional wave from an incident compressional wave(P-wave).) This novel approximation is derived from the exact reflection coefficient equation with Taylor expansion for the incident angle.Model tests demonstrate that,compared with the reflection coefficients of the linearized approximations,the reflection coefficients of the novel nonlinearized approximate equation agree with those of the exact PP equation better for a high contrast interface with a moderate incident angle.Furthermore,we introduce a nonlinear direct inversion method utilizing the novel reflection coefficient equation as forward solver,to implement the direct inversion for the six parameters including P-wave velocities,S-wave velocities,and densities in the upper and lower layers across the interface.This nonlinear inversion algorithm is able to estimate the inverse of the nonlinear function in terms of model parameters directly rather than in a conventional optimization way.Three examples verified the feasibility and suitability of this novel approximation for a high contrast interface,and we still could estimate the six parameters across the interface reasonably when the parameters in both media across the interface vary about 50%. 展开更多
关键词 high-contrast interface reflection coefficient amplitude variation with angle multiparameter estimation artificial neural network inversion
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Design and study of a long-wavelength monolithic high-contrast grating resonant-cavity-enhanced photodetector 被引量:1
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作者 ZENG Kun DUAN Xiao-feng +2 位作者 HUANG Yong-qing LIU Kai REN Xiao-min 《Optoelectronics Letters》 EI 2019年第4期250-254,共5页
Novel construction of a resonant-cavity-enhanced photodetector(RCE-PD) with monolithic high-contrast grating(HCG)is proposed to overcome the difficulty of fabricating a high reflective mirror of RCE-PD at 1 550 nm. In... Novel construction of a resonant-cavity-enhanced photodetector(RCE-PD) with monolithic high-contrast grating(HCG)is proposed to overcome the difficulty of fabricating a high reflective mirror of RCE-PD at 1 550 nm. In this structure,HCG serves as the top mirror of the RCE-PD, whereas InGaAs serves as a sacrificial layer to achieve monolithic integration.During the bandwidth optimization, the ratio of the thickness of the total intrinsic region and the absorption layer is introduced to realize the simultaneous optimization of the thickness of spacing layers and absorption layer. After structural optimization, the quantum efficiency of the device with diameter of 20 μm is 82% at 1 550 nm, and the 3-dB bandwidth is 34 GHz at a bias of 3 V. 展开更多
关键词 Novel construction resonant-cavity-enhanced photodetector(RCE-PD) high-contrast grating(HCG)
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A Perfect Graphene Absorber with Waveguide Coupled High-Contrast Gratings
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作者 张皓景 郑改革 +2 位作者 陈云云 邹秀娟 徐林华 《Chinese Physics Letters》 SCIE CAS CSCD 2018年第3期101-105,共5页
To achieve the enhancement and manipulation of light absorption in graphene within the visible and near infrared regions, a design consists of high-contrast gratings and two evanescently coupled slabs with graphene mo... To achieve the enhancement and manipulation of light absorption in graphene within the visible and near infrared regions, a design consists of high-contrast gratings and two evanescently coupled slabs with graphene monolayer is demonstrated. The operation principle and design process of the proposed structure are analyzed using the coupled mode theory, which is confirmed by the rigorous coupled wave analysis. It is proved that the absorptance of graphene monolayer can be greatly enhanced to unity. The thickness of grating and slab layers can significantly change the line width and resonant mode position in the absorption spectra. Furthermore, high tunability in amplitude and bandwidth of the absorption spectra can be achieved by controlling the structural parameters of the hybrid structure. The proposed devices could be efficiently exploited as tunable and selective absorbers, and could be allowed to realize other two-dimensional materials-based selective photo-detectors. 展开更多
关键词 A Perfect Graphene Absorber with Waveguide Coupled high-contrast Gratings
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High-contrast imaging based on wavefront shaping to improve low signal-to-noise ratio photoacoustic signals using superpixel method
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作者 Xinjing Lv Xinyu Xu +3 位作者 Qi Feng Bin Zhang Yingchun Ding Qiang Liu 《Chinese Physics B》 SCIE EI CAS CSCD 2020年第3期251-258,共8页
Photoacoustic(PA) imaging has drawn tremendous research interest for various applications in biomedicine and experienced exponential growth over the past decade. Since the scattering effect of biological tissue on ult... Photoacoustic(PA) imaging has drawn tremendous research interest for various applications in biomedicine and experienced exponential growth over the past decade. Since the scattering effect of biological tissue on ultrasound is two-to three-orders magnitude weaker than that of light, photoacoustic imaging can effectively improve the imaging depth.However, as the depth of imaging further increases, the incident light is seriously affected by scattering that the generated photoacoustic signal is very weak and the signal-to-noise ratio(SNR) is quite low. Low SNR signals can reduce imaging quality and even cause imaging failure. In this paper, we proposed a new wavefront shaping and imaging method of low SNR photoacoustic signal using digital micromirror device(DMD) based superpixel method. We combined the superpixel method with DMD to modulate the phase and amplitude of the incident light, and the genetic algorithm(GA) was used as the wavefront shaping algorithm. The enhancement of the photoacoustic signal reached 10.46. Then we performed scanning imaging by moving the absorber with the translation stage. A clear image with contrast of 8.57 was obtained while imaging with original photoacoustic signals could not be achieved. The proposed method opens new perspectives for imaging with weak photoacoustic signals. 展开更多
关键词 PHOTOACOUSTIC IMAGING WAVEFRONT SHAPING superpixel METHOD high contrast IMAGING
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A differential-imaging polarimeterforhigh-contrast exoplanet imaging
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作者 Deqing Ren Chao Yang +1 位作者 Jing Guo Chengchao Liu 《光电工程》 CAS CSCD 北大核心 2017年第11期1045-1051,共7页
Starlight is generally unpolarized,but the light reflected from the planet is linearly polarized as the result of the Rayleigh scattering.For ground-based exoplanet imaging,atmospheres turbulence is changing from time... Starlight is generally unpolarized,but the light reflected from the planet is linearly polarized as the result of the Rayleigh scattering.For ground-based exoplanet imaging,atmospheres turbulence is changing from time to time,which induces speckle noise and hampers the high-contrast imaging of the faint exoplanets.In this paper,we propose a differential-imaging polarimeter dedicated for exoplanet high-contrast imaging.The system contains a zero-order half-wave plate(HWP)located on the optical pupil plane,which can rotate to modulate the incoming light,and a Wollaston prism(WP)is used to generate two polarized images,which is used for simultaneously polarization differential imaging and thus our system is fundamentally immune to the atmospheric turbulence induced temporally-variable wavefront aberration.Our polarimeter can be inserted near the telescope image focal plane,and provide an extra contrast for the exoplanet high-contrast imaging.To achieve best differential-imaging performance,dedicated algorithm is developed,which can effectively correct the distortion and the intensity unbalance between the two differential images.The system successfully achieves an extra contrast of^30~50 times,which can be used with current adaptive optics and coronagraph system for directly imaging of giant Jupiter-like exoplanets. 展开更多
关键词 《光电工程》 英文摘要 期刊 编辑工作
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Generation and application of high-contrast laser pulses using plasma mirror in the SULF-1PW beamline 被引量:2
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作者 江成 张宗昕 +12 位作者 董浩 史志勇 何坚志 郝书法 孙丰钰 归佳彦 钱佳毅 朱佳诚 王文鹏 许毅 梁晓燕 冷雨欣 李儒新 《Chinese Optics Letters》 SCIE EI CAS CSCD 2023年第4期143-148,共6页
The plasma mirror system was installed on the 1 PW laser beamline of Shanghai Superintense Ultrafast Laser Facility[SULF]for enhancing the temporal contrast of the laser pulse.About 2 orders of magnitude improvement o... The plasma mirror system was installed on the 1 PW laser beamline of Shanghai Superintense Ultrafast Laser Facility[SULF]for enhancing the temporal contrast of the laser pulse.About 2 orders of magnitude improvement on pulse contrast was measured on picosecond and nanosecond time scales.The experiments show that high-contrast laser pulses can significantly improve the cutoff energy and quantity of proton beams.Then different target distributions are assumed in particles in cell simulations,which can qualitatively assume the expansion of nanometer-scale foil.The high-contrast laser enables the SULF-1PW beamline to generally be of benefit for many potential applications. 展开更多
关键词 ultraintense laser plasma mirror high-contrast laser proton acceleration
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Focal plane wave-front sensing algorithm for high-contrast imaging 被引量:1
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作者 DOU JiangPei REN DeQing +1 位作者 ZHU YongTian ZHANG Xi 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2009年第8期1284-1288,共5页
High-contrast imaging provided by a coronagraph is critical for the direction imaging of the Earth-like planet orbiting its bright parent star.A major limitation for such direct imaging is the speckle noise that is in... High-contrast imaging provided by a coronagraph is critical for the direction imaging of the Earth-like planet orbiting its bright parent star.A major limitation for such direct imaging is the speckle noise that is induced from the wave-front error of an optical system.We derive an algorithm for the wave-front measurement directly from 3 focal plane images.The 3 images are achieved through a deformable mirror to provide specific phases for the optics system.We introduce an extra amplitude modulation on one deformable mirror configuration to create an uncorrelated wave-front,which is a critical procedure for wave-front sensing.The simulation shows that the reconstructed wave-front is consistent with the original wave-front theoretically,which indicates that such an algorithm is a promising technique for the wave-front measurement for the high-contrast imaging. 展开更多
关键词 high-contrast imaging multi-image algorithm speckle nulling technique wave-front sensing
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An Integration Strategy to Develop Dual-State Luminophores with Tunable Spectra,Large Stokes Shift,and Activatable Fluorescence for High-Contrast Imaging 被引量:2
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作者 Yongchao Liu Lili Teng +5 位作者 Chengyan Xu Tian-Bing Ren Shuai Xu Xiaofeng Lou Lin Yuan Xiao-Bing Zhang 《CCS Chemistry》 CAS 2022年第6期2153-2164,共12页
Developing dual-state luminophores(DSLs)with strong fluorescence in both the monomer and aggregate states is urgently needed but remains a huge challenge because most current luminophores are either aggregation-induce... Developing dual-state luminophores(DSLs)with strong fluorescence in both the monomer and aggregate states is urgently needed but remains a huge challenge because most current luminophores are either aggregation-induced emission or aggregation-caused quenching molecules.Moreover,limited by the structural conservation of the few existing DSLs,there are not enough response sites that can be used to customize various activatable fluorescent probes for specific molecular imaging.Herein,we engineered a general integration strategy for the fabrication of such DSLs with excellent photophysical properties.The DSLs,with their tunable spectra,a large Stokes shift(>170 nm),and achievable near-infrared(NIR)emission,show great potential for high-contrast imaging.Importantly,DSLs can be used as a universal platform for probe customization due to their activatable fluorescence through protection-deprotection of the phenolic hydroxyl group.Based on this,an NIR fluorescent probe DSL-Gal was developed for sensing of β-galactosidase in solutions,senescent cells,and liver metastases with high contrast,further confirming the superiority and universal feasibility of DSLs in probe design.The integration strategy may provide a novel approach for the generation of other DSLs and have great potential applications in bioimaging. 展开更多
关键词 dual-state luminophores probe customization probe platform enzyme activity high-contrast imaging
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Design of High-Contrast Mechanochromic Materials Based on Aggregation-Induced Emissive Pyran Derivatives Guided by Polymorph Predictions 被引量:1
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作者 Wen Wang Ruohan Li +6 位作者 Shuzhang Xiao Qilin Xing Xia Yan Jiayu Zhang Xinghong Zhang Haichuang Lan Tao Yi 《CCS Chemistry》 CAS 2022年第3期899-909,共11页
High-contrast mechanochromic(MC)materials are prominent candidates for sensor,security,and memory applications;however,the development of materials with a large luminescence change(Δλem>100 nm)under external stim... High-contrast mechanochromic(MC)materials are prominent candidates for sensor,security,and memory applications;however,the development of materials with a large luminescence change(Δλem>100 nm)under external stimuli is challenging.Considering that polymorphic molecules usually exhibit reversible mechanochromism,polymorph prediction is adopted for thefirst time to guide the design of high-contrastMC materials in this study.We designed and synthesized a series of donor–π–acceptor pyran derivatives bearing different electron donors and acceptors as model systems.The polymorph prediction indicated that 4-dicyanomethylene-2,6-distyryl-4H-pyran and 4H-pyran-4-one derivatives had the potential to crystallize in both monomer andπ-dimer aggregates,while barbituric acid-based compound tended to pack tightly in all aggregated states.The experimental results agreed well with the prediction that the derivatives potentially possessing both monomer andπ-dimer aggregate structures exhibit excellent MC behavior,whereas the fluorescence difference for the barbituric acid-based compounds is minimal.Moreover,a compound with an excellent fluorescence difference of three colors during reversible mechanochromism was chosen as the candidate for an optical recording material and security ink.This work proposes an effective method to guide the design of stimuli-responsive materials,which may open promising avenues for the development of high-contrast MC molecules. 展开更多
关键词 mechanochromism FLUORESCENCE AIE high-contrast polymorph prediction
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医院管理视域下冠心病介入诊疗中不同对比剂注射模式的成本核算
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作者 贾婕 彭宇欣 +2 位作者 干毓翎 陈英耀 魏艳 《中国卫生经济》 北大核心 2026年第3期72-75,共4页
目的:基于医院管理视角,比较传统手动注射模式与自动高压注射模式在冠心病介入治疗中的经济性差异,分析其成本及资源利用效率,为临床实践和医疗管理提供决策依据。方法:通过现场问卷调查、关键知情人访谈和专家咨询,收集样本医院心内科... 目的:基于医院管理视角,比较传统手动注射模式与自动高压注射模式在冠心病介入治疗中的经济性差异,分析其成本及资源利用效率,为临床实践和医疗管理提供决策依据。方法:通过现场问卷调查、关键知情人访谈和专家咨询,收集样本医院心内科导管室的成本及时间消耗数据。采用时间驱动作业成本法核算冠状动脉造影和经皮冠状动脉介入治疗的成本,分析各类成本占比差异,为优化资源配置提供依据。结果:总成本归集后,使用手推式注射器的冠状动脉造影和经皮冠状动脉介入治疗的总成本分别为2802.56元/例和13348.45元/例;使用自动高压注射系统的冠状动脉造影和经皮冠状动脉介入治疗的总成本分别为2700.00元/例和13587.92元/例。在总成本构成上,冠心病介入诊疗相关流程中卫生材料占比最高,其次为设备资源和人力资源。结论:自动高压注射系统能显著提升手术效率、优化资源配置并降低人力成本,尤其适应DRG支付方式改革下的成本控制需求。 展开更多
关键词 医院管理 冠心病介入诊疗 对比剂 自动高压注射系统 成本核算
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Broadband filter using multi-layer sub-wavelength high-contrast grating structure
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作者 Chuan WANG Xi ZHANG +4 位作者 Xiaoying LIU Yang YUE Yong MEI Peng LI Jia DU 《Frontiers of Optoelectronics》 CSCD 2014年第3期393-398,共6页
This paper proposed a novel broadband filter using multi-layer sub-wavelength high-contrast grating (HCG) structure. This filter has wide bandwidth and good sideband suppression. We simulated and analyzed the effect... This paper proposed a novel broadband filter using multi-layer sub-wavelength high-contrast grating (HCG) structure. This filter has wide bandwidth and good sideband suppression. We simulated and analyzed the effects of different numbers of layers and different grating indexes on filtering performance of the broadband filter. According to the simulated results, we designed a multi- layer HCG broadband filter, which has bandwidth of 843 nm and center wavelength of 1550 nm. 展开更多
关键词 filter SUB-WAVELENGTH high-contrast grating (HCO)
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模体感知的多视图协同聚类优化算法
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作者 刘美麟 李华 郑文萍 《计算机研究与发展》 北大核心 2026年第2期324-337,共14页
图神经网络通过迭代聚合邻域特征学习图的嵌入表示,已广泛应用于图数据分析。现有方法主要关注低阶点边交互,而对以模体为载体的高阶成组交互模式关注不足,导致复杂网络中的高阶依赖关系难以被充分捕捉。模体作为网络中频繁出现的功能... 图神经网络通过迭代聚合邻域特征学习图的嵌入表示,已广泛应用于图数据分析。现有方法主要关注低阶点边交互,而对以模体为载体的高阶成组交互模式关注不足,导致复杂网络中的高阶依赖关系难以被充分捕捉。模体作为网络中频繁出现的功能性子结构,能够有效揭示节点间的高阶语义关联,而模体共现视图则为刻画此类交互模式提供了新的表征视角。然而,模体共现视图的弱连通性限制了图神经网络的消息传递能力,影响全局信息的有效传播。针对此提出模体感知的多视图协同聚类优化算法(motif-aware multi-view cooperative clustering optimization algorithm,MMCC),通过自适应多视图融合机制充分挖掘高阶拓扑信息,同时利用对比学习增强不同视图间的表征一致性,从而缓解消息传递受限问题。具体而言,首先MMCC基于不同模体构建多个模体共现视图,并设计基于语义注意力的多视图自编码器动态学习不同模体视图的重要性,实现各视图的自适应融合;其次,引入对比学习约束原始视图与模体共现视图的嵌入空间一致性,缓解因模体共现视图弱连通性导致的消息传递受限问题;最后,通过优化基于KL散度的目标函数,实现特征学习与聚类任务的联合优化。在7个真实网络数据集上的聚类结果表明,MMCC在准确率(accuracy,ACC)、标准化互信息(normalized mutual information,NMI)、F1分数(F1)和调整兰德系数(adjusted Rand index,ARI)上较8个基准算法展现更显著的优势。 展开更多
关键词 复杂网络 模体 高阶相互作用 图神经网络 对比学习 注意力机制
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ICL V4c植入术后视觉质量的研究进展
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作者 祁云凯 汪洋合 +1 位作者 黄小娟 岳红云 《国际眼科杂志》 2026年第1期86-90,共5页
与其他屈光手术相比,有晶状体眼后房型人工晶状体(ICL)植入手术是目前屈光手术中最受欢迎的术式之一。ICL手术具有可逆性、高清视觉效果、不会改变角膜解剖结构等优点。目前临床最常用的是V4c型有中央孔型晶状体,围手术期不需要行虹膜... 与其他屈光手术相比,有晶状体眼后房型人工晶状体(ICL)植入手术是目前屈光手术中最受欢迎的术式之一。ICL手术具有可逆性、高清视觉效果、不会改变角膜解剖结构等优点。目前临床最常用的是V4c型有中央孔型晶状体,围手术期不需要行虹膜激光打孔术。且术后可获得良好的裸眼视力,然而,部分患者术后早期可能出现视觉干扰现象,如光晕、眩光等,尤其在暗光环境下可能影响视觉舒适度。文章针对ICL V4c术后高阶像差(HOA)、调制传递函数(MTF)、对比敏感度(CS)等视觉质量指标及影响因素进行综述,并探讨术后视觉质量可能存在的相对缺陷与相关机制。 展开更多
关键词 V4c型有晶状体眼后房型人工晶状体(ICL V4c) 视觉质量 高阶像差 调制传递函数 对比敏感度 影响因素
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肩关节超声造影、高频超声和MRI检查对肩袖损伤分型的鉴别诊断价值
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作者 杨迎青 钱利海 +1 位作者 文祥明 孔祥海 《医学影像学杂志》 2026年第1期111-115,125,共6页
目的 对比肩关节超声造影(CEUS)、高频超声和MRI检查对肩袖损伤分型的鉴别诊断价值。方法 选取23例肩袖损伤患者,均行肩关节镜检查和肩关节CEUS、高频超声、MRI检查,评估冈上肌损伤范围和类型。以肩关节镜检查为诊断金标准,计算CEUS、... 目的 对比肩关节超声造影(CEUS)、高频超声和MRI检查对肩袖损伤分型的鉴别诊断价值。方法 选取23例肩袖损伤患者,均行肩关节镜检查和肩关节CEUS、高频超声、MRI检查,评估冈上肌损伤范围和类型。以肩关节镜检查为诊断金标准,计算CEUS、高频超声检查和MRI检查对肩袖损伤分型诊断的灵敏度、特异度、准确率;采用Kappa检验分析三种检查方法与肩关节镜检查结果的一致性;采用ROC曲线分析三种检查方法对肩袖损伤分型的鉴别诊断效能。结果 肩关节镜检查显示全层撕裂12例、部分撕裂8例、无撕裂3例。肩关节CEUS、高频超声、MRI检查对全层撕裂的诊断准确率分别为91.30%、65.22%、86.96%,AUC分别为0.913、0.655、0.818;三种检查方法对部分撕裂的诊断准确率分别为86.96%、69.57%、86.96%,AUC分别为0.871、0.650、0.842;三种检查方法对无撕裂的诊断准确率分别为95.65%、69.57%、91.30%,AUC分别为0.833、0.542、0.808。三种检查方法与诊断金标准一致性的Kappa值分别为0.775、0.701、0.245,CEUS>MRI>高频超声。结论 肩关节CEUS检查能够直观显示肩袖损伤的位置和范围,有效评估肩袖损伤类型,其诊断效能高于高频超声检查,与MRI检查相当。 展开更多
关键词 超声造影检查 高频超声检查 磁共振成像 肩袖撕裂
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肝脏高帧率超声造影临床应用专家共识 被引量:2
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作者 中国研究型医院学会超声医学专业委员会 中国医学影像技术研究会超声分会 +3 位作者 北京超声医学学会 罗渝昆 费翔 姜波 《中国医学影像学杂志》 北大核心 2025年第3期225-228,237,共5页
超声造影技术在评估肝脏疾病的动态血流、血管结构和组织灌注方面具有优势,是诊断肝脏疾病的一线影像学方法。高帧率超声造影通过提高帧率,能更精准地捕捉快速动态血流过程,对于快速增强的肝脏病变诊断具有重要临床意义。本专家共识的... 超声造影技术在评估肝脏疾病的动态血流、血管结构和组织灌注方面具有优势,是诊断肝脏疾病的一线影像学方法。高帧率超声造影通过提高帧率,能更精准地捕捉快速动态血流过程,对于快速增强的肝脏病变诊断具有重要临床意义。本专家共识的制订根据肝脏高帧率超声造影的多中心临床应用经验及研究报告,从临床实用角度总结肝脏高帧率超声造影的适应证及诊断流程,旨在推动高帧率超声造影在肝脏疾病中的规范化临床应用。 展开更多
关键词 肝疾病 超声检查 高帧率超声造影 专家共识
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胆囊高帧率超声造影临床应用专家共识 被引量:2
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作者 中国研究型医院学会超声医学专业委员会 中国医学影像技术研究会超声分会 +3 位作者 北京超声医学学会 罗渝昆 费翔 朱连华 《中国医学影像学杂志》 北大核心 2025年第3期229-232,共4页
超声造影技术在评估胆囊疾病的血流动态、血管结构和组织灌注等方面具有优势,是诊断胆囊疾病的一线影像学方法。高帧率超声造影通过提高帧率,能更精准地捕捉快速动态血流过程,对于快速增强的胆囊病变诊断具有重要临床意义。本研究通过... 超声造影技术在评估胆囊疾病的血流动态、血管结构和组织灌注等方面具有优势,是诊断胆囊疾病的一线影像学方法。高帧率超声造影通过提高帧率,能更精准地捕捉快速动态血流过程,对于快速增强的胆囊病变诊断具有重要临床意义。本研究通过多中心临床应用经验及研究报告,制订《胆囊高帧率超声造影临床应用专家共识》,从临床实用角度总结胆囊高帧率超声造影的适应证、诊断流程及报告书写规范,旨在推动高帧率超声造影在胆囊疾病中的规范化临床应用。 展开更多
关键词 胆囊 胆囊疾病 超声检查 高帧率超声造影 专家共识
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基于病理特征评价术前超声造影与高分率磁共振对颈动脉易损斑块的诊断价值
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作者 张丽丽 曾宇琪 +3 位作者 王佑玲 陈科岐 周大勇 张逸莎 《血管与腔内血管外科杂志》 2025年第1期17-21,25,共6页
目的 通过术后斑块病理检查结果验证术前超声造影(CEUS)和高分辨率磁共振成像(HR-MRI)对颈动脉易损斑块的诊断价值。方法 选取2021年1月至2024年6月于南京医科大学附属苏州医院/苏州市立医院(本部)由颈动脉粥样硬化斑块导致中度、重度... 目的 通过术后斑块病理检查结果验证术前超声造影(CEUS)和高分辨率磁共振成像(HR-MRI)对颈动脉易损斑块的诊断价值。方法 选取2021年1月至2024年6月于南京医科大学附属苏州医院/苏州市立医院(本部)由颈动脉粥样硬化斑块导致中度、重度颈动脉狭窄并接受颈动脉内膜剥脱术治疗的32例患者,将手术所得的颈动脉斑块行苏木精-伊红(HE)染色、Masson三色染色及CD34抗体染色,分析斑块成分,判断斑块稳定性。以术后病理检查结果为金标准,比较术前CEUS与HR-MRI对颈动脉易损斑块的诊断效能,评估两种影像学检查方法之间的一致性及其与病理检查结果的一致性,分析CEUS增强强度与每斑块面积的微血管密度(MVD)的相关性。结果 病理组织学切片结果显示,易损斑块25个,稳定斑块7个。以术后病理检查结果为金标准,CEUS诊断颈动脉易损斑块的灵敏度为92.0%(23/25),特异度为57.1%(4/7),准确度为84.4%(27/32),阳性预测值为88.5%(23/26),阴性预测值为66.7%(4/6)。HR-MRI诊断颈动脉易损斑块的灵敏度为92.0%(23/25),特异度为71.4%(5/7),准确度为87.5%(28/32),阳性预测值为92.0%(23/25),阴性预测值为71.4%(5/7)。CEUS检查与病理检查诊断颈动脉易损斑块的一致性中等,HR-MRI检查与病理检查结果的一致性较好,Kappa值分别为0.518和0.634(P<0.01)。CEUS与HR-MRI诊断颈动脉易损斑块的一致性中等,Kappa值为0.518(P<0.01)。CEUS分级的增加与每斑块面积的MVD呈正相关(P<0.01)。结论 CEUS和HR-MRI评估颈动脉斑块易损性具有较高的准确性,两种影像学方法在诊断效能方面具有良好的一致性。CEUS可有效检测斑块内新生血管,识别潜在的脑卒中风险,可以成为颈动脉斑块初步筛选评估有价值的临床工具。 展开更多
关键词 颈动脉狭窄 易损斑块 超声造影 高分辨率磁共振成像 斑块内新生血管
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高海拔环境下CT增强扫描造影剂过敏反应应急管理策略
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作者 卢英 达娃曲珍 《中外女性健康研究》 2025年第8期48-51,共4页
随着高海拔地区医疗条件的不断改善,CT增强检查在诊断和治疗中的应用日益增多。然而,造影剂过敏反应的发生为临床实践带来了挑战,尤其是在高海拔环境中,患者的生理状态和反应机制可能与平原地区有所不同。当前,尽管已有一定的研究探讨... 随着高海拔地区医疗条件的不断改善,CT增强检查在诊断和治疗中的应用日益增多。然而,造影剂过敏反应的发生为临床实践带来了挑战,尤其是在高海拔环境中,患者的生理状态和反应机制可能与平原地区有所不同。当前,尽管已有一定的研究探讨了造影剂过敏的发生机制及其风险因素,但在高海拔地区特有的环境和医疗条件下,相关研究仍显不足。本文旨在系统分析高海拔地区放射科在进行CT增强检查时,针对造影剂过敏的相关处理方案,探讨其发生机制、风险评估、预防措施及应急处理策略,以期为临床医生提供有效的指导,保障患者的安全和检查效果。 展开更多
关键词 高海拔地区 CT增强检查 造影剂 过敏反应
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高时间对比度300 W飞秒全碟片激光器(特邀)
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作者 和星宇 徐思志 +8 位作者 刘星 李云 陈俊展 高瑜博 吴宠昊 赵俊清 郭春雨 吕启涛 阮双琛 《中国激光》 北大核心 2025年第23期327-333,共7页
高重复频率、高功率、高时间对比度的飞秒激光器,凭借极高的峰值功率与优异的时间分辨率,为阿秒科学、强场物理及高能粒子加速等前沿研究提供了重要技术支撑。然而,在提升平均功率的过程中,寄生脉冲干扰与噪声累积常导致时间对比度显著... 高重复频率、高功率、高时间对比度的飞秒激光器,凭借极高的峰值功率与优异的时间分辨率,为阿秒科学、强场物理及高能粒子加速等前沿研究提供了重要技术支撑。然而,在提升平均功率的过程中,寄生脉冲干扰与噪声累积常导致时间对比度显著下降。针对这一问题,构建了一套基于克尔透镜锁模(KLM)振荡器与多通放大的飞秒激光系统:以重复频率为32.75 MHz、平均功率为46.9 W的KLM碟片振荡器作为种子光,将其注入36通放大系统后,实现了平均功率为304 W、脉冲宽度为567 fs、单脉冲能量为9.1μJ的激光输出。该系统连续运行1 h的功率均方根(RMS)波动小于0.6%,横向光束质量因子M和纵向光束质量因子M_(y)^(2)分别为1.15和1.16。值得注意的是,功率放大后该系统有效抑制了皮秒脉冲基底的产生,在1.1 ns时间窗口内,主脉冲与前后沿脉冲的时间对比度达99.85%,为高功率超快激光在强场相互作用等研究领域中的应用提供了强有力的技术平台。 展开更多
关键词 克尔透镜锁模 碟片多通放大 高时间对比度 高功率飞秒激光
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中性粒细胞/淋巴细胞比值、单核细胞/高密度脂蛋白胆固醇比值及两者联合对急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入治疗术后造影剂肾病的预测价值研究 被引量:4
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作者 孙沁瑜 邓毅凡 +1 位作者 何胜虎 张晶 《中国全科医学》 北大核心 2025年第15期1891-1897,共7页
背景既往研究发现中性粒细胞、单核细胞计数增多和高密度脂蛋白胆固醇减少与ST段抬高型心肌梗死(STEMI)相关,然而中性粒细胞/淋巴细胞比值(NLR)、单核细胞/高密度脂蛋白胆固醇比值(MHR)与急诊经皮冠状动脉介入治疗(PCI)术后发生造影剂肾... 背景既往研究发现中性粒细胞、单核细胞计数增多和高密度脂蛋白胆固醇减少与ST段抬高型心肌梗死(STEMI)相关,然而中性粒细胞/淋巴细胞比值(NLR)、单核细胞/高密度脂蛋白胆固醇比值(MHR)与急诊经皮冠状动脉介入治疗(PCI)术后发生造影剂肾病(CIN)的相关性研究较少。目的探究NLR、MHR及两者联合对STEMI患者急诊PCI术后CIN的预测价值。方法选取2019—2022年在扬州大学附属苏北人民医院接受急诊PCI的437例STEMI患者为研究对象,根据入组患者术后是否发生CIN,分成CIN组(65例)和非CIN组(372例)。收集患者一般资料及实验室检查指标,计算NLR和MHR的数值,并比较2组患者临床资料。运用单因素及多因素Logistic回归分析筛选出STEMI患者PCI术后发生CIN的独立危险因素。绘制NLR、MHR及两者联合预测STEMI患者PCI术后发生CIN的受试者工作特征(ROC)曲线,并计算ROC曲线下面积(AUC)评估NLR、MHR及两者联合对CIN发生的预测效能。结果CIN组患者2型糖尿病史、利尿剂使用、白细胞计数、中性粒细胞计数、单核细胞计数、空腹血糖、NLR、MHR水平高于非CIN组,血红蛋白、淋巴细胞计数和肌酐水平低于非CIN组(P<0.05)。多因素Logistic回归分析结果显示,2型糖尿病史(OR=1.997,95%CI=1.063~3.751,P=0.032)、单核细胞计数(OR=2.372,95%CI=1.060~5.310,P=0.036)、NLR(OR=1.311,95%CI=1.171~1.468,P<0.001)、MHR(OR=7.075,95%CI=1.893~26.439,P=0.004)水平升高为STEMI患者急诊PCI术后发生CIN的独立危险因素。ROC曲线结果显示,NLR、MHR及两者联合预测STEMI患者急诊PCI术后发生CIN的AUC分别为0.733(95%CI=0.669~0.796,P<0.001)、0.706(95%CI=0.633~0.779,P<0.001)、0.796(95%CI=0.740~0.852,P<0.001);灵敏度分别为66.2%、60.0%、69.2%;特异度分别为71.8%、75.3%、73.1%。结论2型糖尿病史、单核细胞计数、NLR、MHR水平升高为STEMI患者急诊PCI术后发生CIN的独立危险因素;NLR、MHR及两者联合均可作为有效识别STEMI患者急诊PCI术后发生CIN的早期生物标志物。 展开更多
关键词 ST段抬高型心肌梗死 经皮冠状动脉介入治疗 中性粒细胞/淋巴细胞比值 单核细胞/高密度脂蛋白胆固醇比值 造影剂肾病 预测
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