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Laser additive manufacturing of high-resolution microscale shell lattices by toolpath engineering
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作者 Junhao Ding Shuo Qu +8 位作者 Shengbiao Zhang Zongxin Hu Zhenyong Feng Tianyu Gao Ming Wang Fu Lei Zhang Chinnapat Panwisawas Wen Chen Xu Song 《International Journal of Extreme Manufacturing》 2026年第1期485-500,共16页
Laser additively manufactured microscale metallic lattices show great potential for high-performance applications,yet trade-offs among geometric precision,structural integrity,and computational efficiency still persis... Laser additively manufactured microscale metallic lattices show great potential for high-performance applications,yet trade-offs among geometric precision,structural integrity,and computational efficiency still persist.Here,we introduce a stereolithography file format-free(STL-free)hybrid toolpath generation method for laser-based powder bed fusion(PBF-LB)that synergizes implicit geometric modeling with optimized laser scanning strategy,overcoming these limitations.By circumventing traditional mesh-based workflows,our method directly translates implicit lattice geometries into laser toolpaths while precisely regulating energy deposition trajectories.This mesh-free process enables the fabrication of complex shell lattices with ultra-thin walls and enhanced surface quality.In addition to reducing memory usage and processing time by up to 90%,the method yields a synergistic enhancement in mechanical performance,notably improving both strength and toughness.By bridging computational design and fabrication,this framework enables the scalable production of high-performance microscale lattices and unlocks their potential for industrial applications. 展开更多
关键词 toolpath engineering STL-free hybrid toolpath high-resolution printing laser-based powder bed fusion microscale lattices
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Integrating high-resolution mass spectrometry and transcriptomics to explore the therapeutic mechanism of Sanhuang Oil in diabetic foot
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作者 Ping Sun Yu-Feng Zhang +4 位作者 Shuang Li Wei Zhang Peng-Fei Zhao Chen-Xia Li Chen-Ning Zhang 《Traditional Medicine Research》 2026年第1期19-38,共20页
Background:Diabetic foot,a severe complication of diabetes,is characterized by chronic refractory wounds.Sanhuang Oil,a topical herbal formula,demonstrates significant therapeutic effects including antibacterial,anti-... Background:Diabetic foot,a severe complication of diabetes,is characterized by chronic refractory wounds.Sanhuang Oil,a topical herbal formula,demonstrates significant therapeutic effects including antibacterial,anti-inflammatory,and immunomodulatory activities.However,its active constituents and mechanisms of action against diabetic foot remain to be elucidated.Methods:In this study,the chemical constituents of Sanhuang Oil were identified using UPLC-QE-Orbitrap-MS.Subsequently,the mechanism by which Sanhuang Oil promotes diabetic foot ulcer healing was predicted by integrating network pharmacology and molecular docking.Additionally,diabetic mouse model was established in ICR mice using a combination of a high-fat diet(HFD)and streptozotocin(STZ)chemical induction.A full-thickness skin defect was created on the dorsum of the mice.Wound healing and the healing rate were observed following Sanhuang Oil intervention.The mechanism underlying Sanhuang Oil’s promotion of diabetic ulcer healing was further investigated using transcriptomics and histopathological examination(H&E staining).Results:A total of 97 active ingredients were identified from Sanhuang Oil.Network pharmacology analysis predicted 543 common targets,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis identified 203 relevant pathways.Molecular docking further confirmed high binding affinity(binding energy≤−5.0 kcal/mol)between specific active components in Sanhuang Oil(e.g.,coptisine,phellodendrine,baicalein)and key targets associated with diabetic foot ulcers(e.g.,EGFR,AKT1,STAT3).In vivo experimental results demonstrated that the wound healing rate was significantly higher in Sanhuang Oil-treated groups compared to the model group(P<0.001).HE staining revealed that the high-dose Sanhuang Oil group exhibited more pronounced epithelial tissue coverage over the wound,reduced inflammatory cell infiltration,and increased collagen deposition and fibroblast proliferation.transcriptomic analysis identified Pdk4,Ttn,Csrp3,Actn2,Myoz2,Tnnc2,Myod1,Myog,Myot,and Myf6 as key regulatory proteins involved in promoting wound healing.Conclusion:Sanhuang Oil promotes wound healing in diabetic ulcer mice,potentially by mitigating inflammation and regulating key targets such as Pdk4 to enhance fibroblast function.These findings provide novel insights into the multi-target,multi-pathway mechanism of Sanhuang Oil for treating diabetic foot ulcers. 展开更多
关键词 Sanhuang Oil diabetic foot high-resolution mass spectrometry molecular network analysis mechanism of action
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Sedimentary Characteristics and Evolution of the High-resolution Sequence Stratigraphic Framework of the Taiyuan Formation in the Hangjinqi Area,Northern Ordos Basin
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作者 ZHAO Mingsheng TIAN Jingchun +1 位作者 SU Bingrui ZHANG Xiang 《Acta Geologica Sinica(English Edition)》 2026年第1期54-68,共15页
The Ordos Basin is a large superimposed hydrocarbon-bearing basin in China,and further research on the sedimentary characteristics and sedimentary evolution of the sequence framework of target layers is of great theor... The Ordos Basin is a large superimposed hydrocarbon-bearing basin in China,and further research on the sedimentary characteristics and sedimentary evolution of the sequence framework of target layers is of great theoretical and practical significance for guiding oil and gas exploration.The sedimentary facies and sedimentary evolution of the high-resolution sequence framework of the Carboniferous Taiyuan Formation in the Hangjinqi area have been systematically analyzed for the first time by drilling,logging and seismic data.The results show that four types of sequence interfaces can be identified in the Taiyuan Formation:regional unconformity surfaces,scour surfaces,lithologic-lithofacies transformation surfaces and flooding surfaces.According to the sedimentary response caused by the upward and downward movements of the base level at different levels,the Taiyuan Formation can be divided into 2 long-term cycles(LSC_(1)-LSC_(2)),4 mid-term cycles(MSC_(1)-MSC4)and 7 short-term cycles(SSC_(1)-SSC7).The long-and mid-term cycles correspond to members T_(1)and T_(2)and layers T_(1)-1,T_(1-2),T_(2-1),and T_(2)-2,respectively.Long-term cycles are dominated by C_(1);mid-term cycles are dominated by C_(1)and C_(2),followed by A2;and short-term cycles are dominated by C_(1),C_(2),A1 and A2.Under the high-resolution sequence stratigraphic framework,the Hangjinqi area underwent a transformation of fan delta and tidal flat depositional systems during the Taiyuan Formation sedimentary period.In the MSC_(1)-MSC_(2)stage,owing to a large-scale paleocontinent,the fan delta sedimentary body,which was limited in scale and scope,developed only in the southeastern corner and gradually transitioned basinward to tidal flat facies.In the MSC3-MSC4 stage,as the paleocontinent continuously decreased and the sedimentary range expanded,fan-delta plain sedimentation began in the study area.Several braided distributary channels with poor connectivity developed on the fan-delta plain,and between them were floodplains and peat swamps. 展开更多
关键词 high-resolution sequence framework sedimentary characteristics sedimentary evolution Taiyuan Formation Hangjinqi area northern Ordos Basin
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HUANNet: A High-Resolution Unified Attention Network for Accurate Counting
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作者 Haixia Wang Huan Zhang +2 位作者 Xiuling Wang Xule Xin Zhiguo Zhang 《Computers, Materials & Continua》 2026年第1期1722-1741,共20页
Accurately counting dense objects in complex and diverse backgrounds is a significant challenge in computer vision,with applications ranging from crowd counting to various other object counting tasks.To address this,w... Accurately counting dense objects in complex and diverse backgrounds is a significant challenge in computer vision,with applications ranging from crowd counting to various other object counting tasks.To address this,we propose HUANNet(High-Resolution Unified Attention Network),a convolutional neural network designed to capture both local features and rich semantic information through a high-resolution representation learning framework,while optimizing computational distribution across parallel branches.HUANNet introduces three core modules:the High-Resolution Attention Module(HRAM),which enhances feature extraction by optimizing multiresolution feature fusion;the Unified Multi-Scale Attention Module(UMAM),which integrates spatial,channel,and convolutional kernel information through an attention mechanism applied across multiple levels of the network;and the Grid-Assisted Point Matching Module(GPMM),which stabilizes and improves point-to-point matching by leveraging grid-based mechanisms.Extensive experiments show that HUANNet achieves competitive results on the ShanghaiTech Part A/B crowd counting datasets and sets new state-of-the-art performance on dense object counting datasets such as CARPK and XRAY-IECCD,demonstrating the effectiveness and versatility of HUANNet. 展开更多
关键词 Accurate counting high-resolution representations point-to-point matching
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Combining machine learning algorithms with traditional methods for resolving the atomic-scale dynamic structure of monolayer MoS_(2) in high-resolution transmission electron microscopy 被引量:1
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作者 Yu Meng Shuya Wang +5 位作者 Xibiao Ren Han Xue Xuejun Yue Chuanhong Jin Shanggang Lin Fang Lin 《Chinese Physics B》 2025年第1期162-170,共9页
High-resolution transmission electron microscopy(HRTEM)promises rapid atomic-scale dynamic structure imaging.Yet,the precision limitations of aberration parameters and the challenge of eliminating aberrations in Cs-co... High-resolution transmission electron microscopy(HRTEM)promises rapid atomic-scale dynamic structure imaging.Yet,the precision limitations of aberration parameters and the challenge of eliminating aberrations in Cs-corrected transmission electron microscopy constrain resolution.A machine learning algorithm is developed to determine the aberration parameters with higher precision from small,lattice-periodic crystal images.The proposed algorithm is then validated with simulated HRTEM images of graphene and applied to the experimental images of a molybdenum disulfide(MoS_(2))monolayer with 25 variables(14 aberrations)resolved in wide ranges.Using these measured parameters,the phases of the exit-wave functions are reconstructed for each image in a focal series of MoS_(2)monolayers.The images were acquired due to the unexpected movement of the specimen holder.Four-dimensional data extraction reveals time-varying atomic structures and ripple.In particular,the atomic evolution of the sulfur-vacancy point and line defects,as well as the edge structure near the amorphous,is visualized as the resolution has been improved from about 1.75?to 0.9 A.This method can help salvage important transmission electron microscope images and is beneficial for the images obtained from electron microscopes with average stability. 展开更多
关键词 aberration measurement high-resolution transmission electron microscopy feature-extraction networks exit-wave reconstruction monolayer MoS_(2)
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Screening for Illegally Added Drugs in Self-Formulated Feeds Using High-Resolution Mass Spectrometry
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作者 Xing Qianwen Xa Cui +5 位作者 Zhao Fang Cui Shasha Wu Liyong Zhang Liang Li Yandong Han Xue 《Animal Husbandry and Feed Science》 2025年第1期41-48,共8页
[Objective]The paper aimed to effectively reduce the occurrence of bacterial resistance associated with breeding practices and to mitigate food safety risks by controlling the illegal use of veterinary drugs in self-f... [Objective]The paper aimed to effectively reduce the occurrence of bacterial resistance associated with breeding practices and to mitigate food safety risks by controlling the illegal use of veterinary drugs in self-formulated feed at the source.[Method]A screening database comprising 274 illegally added chemical drugs in self-formulated feed was established utilizing ultra-performance liquid chromatography coupled with quadrupole/electrostatic field orbitrap high-resolution mass spectrometry(HPLC-Q-Exactive Focus/MS).Subsequently,253 batches of self-formulated feed samples from various farms in Hebei Province were screened and quantitatively analyzed.[Result]The screening results indicated the presence of 8 pharmaceutical components across 10 batches of self-formulated feed samples,with a detection rate of 3.2%and concentrations ranging from 0.06 to 28851.8μg/g.[Conclusion]The application of high-resolution mass spectrometry is feasible and highly significant for the risk monitoring of illegally added drugs in self-formulated feed. 展开更多
关键词 high-resolution mass spectrometry Self-formulated feed Illegal addition
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Comparative analysis of different machine learning algorithms for urban footprint extraction in diverse urban contexts using high-resolution remote sensing imagery
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作者 GUI Baoling Anshuman BHARDWAJ Lydia SAM 《Journal of Geographical Sciences》 2025年第3期664-696,共33页
While algorithms have been created for land usage in urban settings,there have been few investigations into the extraction of urban footprint(UF).To address this research gap,the study employs several widely used imag... While algorithms have been created for land usage in urban settings,there have been few investigations into the extraction of urban footprint(UF).To address this research gap,the study employs several widely used image classification method classified into three categories to evaluate their segmentation capabilities for extracting UF across eight cities.The results indicate that pixel-based methods only excel in clear urban environments,and their overall accuracy is not consistently high.RF and SVM perform well but lack stability in object-based UF extraction,influenced by feature selection and classifier performance.Deep learning enhances feature extraction but requires powerful computing and faces challenges with complex urban layouts.SAM excels in medium-sized urban areas but falters in intricate layouts.Integrating traditional and deep learning methods optimizes UF extraction,balancing accuracy and processing efficiency.Future research should focus on adapting algorithms for diverse urban landscapes to enhance UF extraction accuracy and applicability. 展开更多
关键词 urban footprint mapping high-resolution remote sensing imagery machine learning deep learning segmentanythingmodel
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Value of high-resolution magnetic resonance imaging and dynamic contrast-enhanced scanning in the preoperative diagnosis of rectal cancer in older patients
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作者 Yan-Lei Gao Hui-Na Li +1 位作者 Qiang Wang Wen Shen 《World Journal of Gastrointestinal Surgery》 2025年第11期270-277,共8页
BACKGROUND Rectal cancer is a common malignant tumor of the digestive system,with older patients representing the predominantly affected population.Magnetic resonance imaging(MRI)has been widely applied in preoperativ... BACKGROUND Rectal cancer is a common malignant tumor of the digestive system,with older patients representing the predominantly affected population.Magnetic resonance imaging(MRI)has been widely applied in preoperative tumor assessment;however,the value of high-resolution MRI(HR-MRI)combined with dynamic contrast-enhanced(DCE)scanning in the preoperative diagnosis of rectal cancer in older patients remains unclear.AIM To evaluate the value of HR-MRI combined with DCE scanning in the preoperative diagnosis of rectal cancer in older patients.METHODS This retrospective study included 148 consecutive older female patients with rectal cancer who were treated at our hospital between December 2020 and December 2024.Clinical data and HR-MRI and DCE scan findings were collected.Histopathological examination after surgical resection served as the gold standard.The diagnostic accuracy of MRI for preoperative T and N staging was calculated.Consistency,sensitivity,and specificity between HR-MRI combined with DCE scanning and pathological staging were analyzed using the k test.Among the 148 patients,the overall accuracy of T staging was 84.5%.Sensitivity for T1,T2,T3,and T4 staging was 75.00%,62.50%,89.47%,and 90.48%,respectively,whereas specificity was 100.00%,94.35%,79.25%,and 96.06%,respectively.T staging based on HR-MRI combined with DCE scanning showed good agreement with pathological staging(k=0.8176,P<0.001).For N staging,sensitivity and specificity were 54.88%and 84.85%for N0,36.96%and 72.55%for N1,and 70.00%and 73.44%for N2,respectively;agreement with pathological N staging was poor(k=0.259,P<0.001).CONCLUSION HR-MRI combined with DCE scanning demonstrates high diagnostic accuracy for T staging of rectal cancer in older patients and can provide a theoretical basis for treatment planning.However,its diagnostic accuracy for N staging requires improvement. 展开更多
关键词 Rectal cancer Older patients high-resolution magnetic resonance imaging Preoperative diagnosis Dynamic contrast enhancement Tumor staging
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Clinical study on high-resolution CT and pulmonary function in severe acute respiratory syndrome patients during recovery phase 被引量:2
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作者 YINCheng-hong WANGChao +10 位作者 WENYan JIANGLi LIUYing JIAOYun-min CHENJiang-hong TANGShu-zhen YUEMao-xing HEZheng-yi MADa-qing ZHANGShu-wen WANGBao-en 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第6期512-515,共4页
Severe acute respiratory syndrome (SARS) is an acute respiratory infectious disease caused by a novel coronavirus, firstly broke out in November 2002 in Guangdong and prevailed quickly in Beijing, Hong Kong, Taiwan an... Severe acute respiratory syndrome (SARS) is an acute respiratory infectious disease caused by a novel coronavirus, firstly broke out in November 2002 in Guangdong and prevailed quickly in Beijing, Hong Kong, Taiwan and other regions of China. It was one of the most potential pandemic diseases and had affected more than 20 other countries.^(1,2) There have been a lot of resear-ches^(2-7) in terms of its etiology, epidemiology, pathogenesis, clinical characteristics, diagnostics, treatment and prevention, vaccines and so on.Along with control of the epidemic situation, a great number of SARS patients were in the recovery phase, therefore, we undertook a half-year follow-up investigation on their clinical, laboratory and image situations. 展开更多
关键词 severe acute respiratory syndrome · recovery phase · high-resolution ct · pulmonary function
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基于CT扫描技术的透水混凝土孔隙特性研究
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作者 徐丽娜 魏超 +2 位作者 丁旭 黄占芳 刘宁 《水电能源科学》 北大核心 2026年第1期114-118,共5页
为深入研究聚丙烯仿钢纤维透水混凝土的微观机理,采用CT扫描技术对试件进行扫描,通过三维数字重构技术建立了孔隙结构的可视化模型。基于图像分析方法对比研究了纤维改性前后材料内部孔隙系统的形态演变特征。结果表明,聚丙烯仿钢纤维... 为深入研究聚丙烯仿钢纤维透水混凝土的微观机理,采用CT扫描技术对试件进行扫描,通过三维数字重构技术建立了孔隙结构的可视化模型。基于图像分析方法对比研究了纤维改性前后材料内部孔隙系统的形态演变特征。结果表明,聚丙烯仿钢纤维的加入可有效提高试件的强度,但会抑制试块的透水性能,试块各层面孔隙率稳定在15%~20%之间,且连通孔隙占总孔隙的97%以上;未添加纤维的试块中大孔数量较少,但其体积占比较大;加入纤维后,部分大孔转化为中孔并抑制孔隙间的连通,从而改变孔隙结构。 展开更多
关键词 聚丙烯仿钢纤维透水混凝土 ct扫描 孔隙结构 透水性能
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冠状动脉CTA团注追踪阈值触发时间与CT值预测和对比剂外渗的相关性研究
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作者 付玲 韩菲 +3 位作者 甘良英 刘卓 安备 程瑾 《中国循证心血管医学杂志》 2026年第2期195-200,共6页
目的分析CT冠状动脉造影检查中对比剂团注追踪阈值触发时间、CT值与对比剂外渗的关联性,为临床快速识别并处理对比剂外渗提供科学的参考依据。方法回顾性选取2022年1月至2023年12月于北京大学人民医院接受CT冠状动脉造影检查的1124例门... 目的分析CT冠状动脉造影检查中对比剂团注追踪阈值触发时间、CT值与对比剂外渗的关联性,为临床快速识别并处理对比剂外渗提供科学的参考依据。方法回顾性选取2022年1月至2023年12月于北京大学人民医院接受CT冠状动脉造影检查的1124例门诊患者作为研究对象,收集一般人口学资料。根据患者是否发生对比剂外渗分为外渗组和未外渗组,再根据体重指数(BMI)、对比剂注射剂量及注射速度将患者分为4个亚组(组1:BMI提示偏瘦,注射剂量为48 mL,注射速度为4 mL/s;组2:BMI提示正常,注射剂量为54 mL,注射速度为4.5 mL/s;组3:BMI提示超重,注射剂量为60 mL,注射速度为5 mL/s;组4:BMI提示肥胖,注射剂量为66 mL,注射速度为5.5 mL/s)。统计所有患者的团注追踪阈值触发时间及CT值,比较外渗组和未外渗组患者的性别、年龄、文化程度、体质指数及CT值的变化,以及4个亚组的外渗情况。采用多因素Logistic回归分析对比剂外渗的危险因素,采用多元线性回归分析CT值及触发时间的影响因素。结果在1124例患者中,发生静脉外渗者25例(2.22%)。外渗组和未外渗组患者的性别、年龄、文化程度、BMI比较,差异无统计学意义(P>0.050);两组患者的CT值比较,差异有统计学意义(P<0.050)。4个亚组的外渗情况比较,差异无统计学意义(P>0.050)。多因素回归分析结果显示,性别、年龄、BMI、文化程度、亚组均非对比剂外渗的危险因素(P>0.050)。触发时间及CT值的多元线性回归分析结果显示,性别、文化程度、BMI均非二者的影响因素(P>0.050),年龄、组别是二者的影响因素(P<0.050)。结论基于团注追踪阈值触发时间及CT值预测CT冠状动脉造影检查中的对比剂外渗具有较高的科学性,可为临床评估对比剂外渗风险提供可靠的参考依据。 展开更多
关键词 ct冠状动脉造影 对比剂 团注追踪阈值触发法 外渗 触发时间 ct
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AI算法分析后交叉韧带胫骨撕脱骨折CT三维图像诊断及精准评估
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作者 成永忠 李锐 +3 位作者 罗想利 王璠 陈洋 闫威 《中国组织工程研究》 北大核心 2026年第21期5589-5596,共8页
背景:后交叉韧带附着点撕脱骨折的手术决策高度依赖影像学评估,传统方法依赖CT影像进行主观判读,存在三维空间位移参数量化困难、旋转角度评估精度不足等局限,鉴于AI技术的发展,有必要开发基于AI算法的自动化、智能化影像识别软件。目的... 背景:后交叉韧带附着点撕脱骨折的手术决策高度依赖影像学评估,传统方法依赖CT影像进行主观判读,存在三维空间位移参数量化困难、旋转角度评估精度不足等局限,鉴于AI技术的发展,有必要开发基于AI算法的自动化、智能化影像识别软件。目的:探讨AI算法在CT三维图像中对后交叉韧带胫骨撕脱骨折的智能诊断能力及其对骨折块三维参数的精准评估效能。方法:回顾性纳入2022-12-01/2024-08-30在中国中医科学院望京医院就诊的24例后交叉韧带胫骨撕脱骨折患者的膝关节CT数据,使用自主研发的AI影像识别软件进行三维重建、骨折点智能识别及模拟复位,获取骨折块在X、Y、Z轴上的平移和旋转参数。与传统放射阅片软件(PACS系统)测量结果进行对比,采用秩和检验、Bland-Altman分析及线性回归模型评估两种方法的一致性,并计算变异系数验证软件稳定性。结果与结论:①AI软件与传统方法测量的骨折块位移(X/Y/Z轴平移及旋转)差异均无显著性意义(P>0.05);②Bland-Altman分析显示两种方法一致性良好,差异均无显著性意义(P>0.05);③X、Y、Z轴位移、角度两组拟合情况线性回归模型R^(2)值均>0.99;④AI软件重复3次骨折点识别的变异系数显示:总骨折识别时21例影像资料的变异系数<20%,识别关节面骨折点时18例变异系数<20%;⑤表明AI影像识别软件可精准量化后交叉韧带撕脱骨折块的三维参数,其测量结果与传统方法一致且稳定性良好,可辅助医生判断移位程度,为术前规划提供精准数据支持;该软件在撕脱骨折中有良好的应用前景,未来需扩大样本量并进一步验证其对手术疗效的影响。 展开更多
关键词 后交叉韧带撕脱骨折 人工智能 ct影像识别 三维测量 术前规划
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精细化护理在增强CT造影剂外渗护理中的应用效果观察
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作者 赵春生 赵立森 +1 位作者 彭双双 黄国芳 《首都食品与医药》 2026年第2期103-106,共4页
目的分析精细化护理在增强CT造影剂外渗护理中的应用效果。方法选取首都医科大学附属北京胸科医院2023年11月-2024年11月患者68例,随机分为两组,每组34例,对照组予以常规护理,观察组予以精细化护理,对比其护理效果。结果观察组并发症发... 目的分析精细化护理在增强CT造影剂外渗护理中的应用效果。方法选取首都医科大学附属北京胸科医院2023年11月-2024年11月患者68例,随机分为两组,每组34例,对照组予以常规护理,观察组予以精细化护理,对比其护理效果。结果观察组并发症发生率低于对照组;消极情绪评分低于对照组;护理满意度高于对照组;护理质量高于对照组(P<0.05)。结论在增强CT造影剂外渗中实行精细化护理,其临床价值显著,可有效提升护理质量,并改善患者消极情绪,值得推广。 展开更多
关键词 精细化护理 增强ct 造影剂 外渗 应用效果
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基于胰腺CT评估不同糖耐量受损人群胰腺脂肪成分占比及与胰岛功能相关性
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作者 张梦琪 李晶晶 +1 位作者 刘烁 陈杰 《中国CT和MRI杂志》 2026年第2期108-111,共4页
目的基于胰腺CT评估不同糖耐量受损人群胰腺脂肪成分占比及其与胰岛功能相关性。方法选取本院178例接受口服葡萄糖耐量试验(OGTT)的糖耐量受损者作为研究对象,根据糖耐量受损情况,分为4组:空腹血糖受损(IFG)组、糖耐量减低(IGT)组、IFG+... 目的基于胰腺CT评估不同糖耐量受损人群胰腺脂肪成分占比及其与胰岛功能相关性。方法选取本院178例接受口服葡萄糖耐量试验(OGTT)的糖耐量受损者作为研究对象,根据糖耐量受损情况,分为4组:空腹血糖受损(IFG)组、糖耐量减低(IGT)组、IFG+IGT组与新诊断2型糖尿病(T2DM)组,使用胰腺CT评估胰腺脂肪成分占比,分析胰腺脂肪成分占比与胰岛功能[空腹胰岛素(FINS)、饭后2h胰岛素(2h INS)、β细胞功能指数(HOMA-β)、胰岛素抵抗指数(HOMA-IR)]的相关性。结果胰腺脂肪脂肪成分占比为:T2DM组(19.72±3.50)%>IFG+IGT组(16.09±3.14)%>IFG组(11.42±2.38)%>IGT组(9.98±1.85)%,差异有统计学意义(P<0.05);FINS与2h INS:T2DM组[(32.02±5.73)μU/mL、(116.79±17.82)μU/m L]>IGT组[(27.74±4.20)μU/mL、(93.78±15.35)μU/mL]与IFG+IGT组[(27.81±4.25)μU/mL、(93.29±16.54)μU/mL]>IFG组[(3.19±0.83)μU/mL、(23.16±5.08)μU/mL],差异有统计学意义(P<0.05);HOMA-β:IGT组(64.56±8.60)%>IFG组(43.71±5.54)%与IFG+IGT组(42.69±5.56)%>T2DM组(33.39±7.48)%,差异有统计学意义(P<0.05);HOMA-IR:T2DM组(1.25±0.26)>IFG+IGT组(0.91±0.16)>IFG组(0.69±0.12)>IGT组(0.31±0.08),差异有统计学意义(P<0.05);FINS、2h INS、HOMA-IR与胰腺脂肪成分占比呈正相关(r=0.345、0.459、0.689,P<0.05),HOMA-β与胰腺脂肪成分占比呈负相关(r=-0.576,P<0.05)。结论IFG、IFG+IGT、T2DM人群胰腺脂肪成分占比逐渐升高,且与FINS、2hINS、HOMA-IR、HOMA-β密切相关。 展开更多
关键词 糖耐量受损 胰腺 脂肪 ct 胰岛功能
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急性胰腺炎CT严重度指数与血清CRP、IL-6水平及预后的关系
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作者 兰国宾 刘闯 +4 位作者 王浩 马红玉 李泽亮 陈雯 张文强 《中国CT和MRI杂志》 2026年第3期102-105,共4页
目的分析急性胰腺炎(AP)患者CT严重指数(CTSI)与血清C反应蛋白(CRP)、白细胞介素-6(IL-6)水平及预后的关系。方法回顾性收集了我院2022年1月至2025年1月期间接受诊治的共计100例AP患者的临床数据。根据CTSI评分将患者分为轻中度组(CTSI... 目的分析急性胰腺炎(AP)患者CT严重指数(CTSI)与血清C反应蛋白(CRP)、白细胞介素-6(IL-6)水平及预后的关系。方法回顾性收集了我院2022年1月至2025年1月期间接受诊治的共计100例AP患者的临床数据。根据CTSI评分将患者分为轻中度组(CTSI评分≤6分,n=62)和重度组(CTSI评分>6分,n=38)。所有患者进行为期28天的随访,根据随访期间是否出现低钙血症、呼吸功能不全或死亡等不良结局,将患者分为预后良好组和预后不良组。比较轻中度组和重度组AP患者血清CRP、IL-6水平,分析AP患者CTSI与血清CRP、IL-6水平的相关性,比较预后良好组和预后不良组一般资料及CTSI评分、血清CRP、IL-6水平,多因素分析影响AP患者预后不良的危险因素,并经ROC曲线分析各项指标评估AP患者预后不良的ROC曲线。结果相比于轻中度组,重度组血清CRP、IL-6水平更高(P<0.05);相关性分析表明,AP患者CTSI与血清CRP、IL-6水平均呈正相关(P<0.05);100例AP患者中28例出现预后不良,其发生率为28.00%,包含低钙血症12例、呼吸功能不全10例、死亡6例。相比于预后良好组,预后不良组CTSI评分、血清CRP、IL-6水平更高(P<0.05);多因素证实,CTSI评分、血清CRP、IL-6水平升高均是AP患者预后不良的危险因素(P<0.05);通过ROC分析验证,上述指标均可用于AP患者预后不良的评估,曲线下面积:0.893、0.866、0.835,均有P<0.05。结论AP患者CTSI与血清CRP、IL-6水平呈正相关,CTSI评分、血清CRP、IL-6水平升高会影响AP患者预后不良,且CTSI评分、血清CRP、IL-6水平均可用于AP患者预后情况的评估。 展开更多
关键词 急性胰腺炎 ct严重指数 C反应蛋白 白细胞介素-6 预后
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术前CT小肠成像对克罗恩病炎症活动度及初次肠切除术后早期吻合口复发的预测价值
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作者 李冬雪 詹志勇 +2 位作者 李超 于兰英 王洋 《川北医学院学报》 2026年第1期89-93,共5页
目的:探讨术前CT小肠成像(CTE)对克罗恩病(CD)炎症活动度及初次肠切除术后早期吻合口复发(EAR)的预测价值。方法:选取70例行初次肠切除的CD患者为研究对象,依据炎症活动度分为活动期组(n=42)和缓解期组(n=28);依据术后6个月内发生EAR与... 目的:探讨术前CT小肠成像(CTE)对克罗恩病(CD)炎症活动度及初次肠切除术后早期吻合口复发(EAR)的预测价值。方法:选取70例行初次肠切除的CD患者为研究对象,依据炎症活动度分为活动期组(n=42)和缓解期组(n=28);依据术后6个月内发生EAR与否分复发组(n=16)和未复发组(n=54)。比较不同炎症活动度组、复发与未复发组的临床特征、CTE征象及CD简化内镜(SES-CD)评分;受试者工作特征(ROC)曲线分析CTE征象对CD炎症活动度及初次肠切除术后EAR的预测价值。结果:活动期组患者肠壁厚度、肠黏膜静脉期CT值、ΔCT值、肠腔狭窄率、肠系膜淋巴结肿大率、肠系膜纤维脂肪增生率、梳状征率、脓肿/瘘管率及肠壁分层强化分型A型与B型概率高于缓解期组,差异均有统计学意义(P<0.05)。复发组患者肠壁厚度、肠黏膜静脉期CT值、ΔCT值、肠系膜淋巴结肿大率、肠系膜纤维脂肪增生率、脓肿/瘘管率高于未复发组,差异均有统计学意义(P<0.05)。受试者工作特征曲线(ROC)曲线分析显示,CTE征象联合预测CD炎症活动度的曲线下面积(AUC)为0.967;预测术后EAR的AUC为0.977,均高于单个征象预测的AUC(P<0.05)。结论:术前CTE各征象联合评估对CD患者炎症活动度及初次肠切除后术后EAR均有较好的预测价值。 展开更多
关键词 ct小肠成像 克罗恩病 炎症活动度 肠切除术 早期吻合口复发
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CT结合DR乳腺钼靶X线诊断乳腺良恶性病变的价值分析
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作者 谭延召 徐红卫 +1 位作者 梁盼 夏燕娜 《中国CT和MRI杂志》 2026年第2期97-100,共4页
目的探析CT结合数字化(DR)乳腺钼靶X线成像技术(DBT)诊断乳腺良恶性病变的价值。方法对2022年12月至2023年12月我院收治的80例乳腺病变患者的临床资料进行回顾性分析,所有患者均行CT、DBT及病理学检查,以病理结果为金标准,分析不同检查... 目的探析CT结合数字化(DR)乳腺钼靶X线成像技术(DBT)诊断乳腺良恶性病变的价值。方法对2022年12月至2023年12月我院收治的80例乳腺病变患者的临床资料进行回顾性分析,所有患者均行CT、DBT及病理学检查,以病理结果为金标准,分析不同检查方法诊鉴别诊断乳腺良恶性病变的价值。结果80例患者经病理确诊为良性病变42例(52.50%),恶性病变者38例(47.50%);良性组和恶性组在CT、DBT各检查中的影像学特征对比,差异均有统计学意义(P<0.05);CT、DBT单独及联合检测诊断乳腺良恶性病变与病理检查的Kappa值分别为0.474、0.424、0.800(P<0.05),二者联合的灵敏性、准确率均高于上述方式单独检测(P<0.05)。结论CT结合DBT在乳腺良恶性病变诊断中具有一定的价值,其病灶形态、边缘、钙化灶分布等影像学征象可为疾病的鉴别诊断提供丰富的依据。 展开更多
关键词 乳腺病变 ct 乳腺钼靶数字化X线成像技术 鉴别诊断 价值
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基于遗传算法的电磁波CT技术在深部地基注浆加固效果评价中的应用研究
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作者 黄生根 李梓俊 +1 位作者 张涵 胡波 《岩土工程学报》 北大核心 2026年第2期434-440,共7页
目前国内外针对深部地基注浆加固效果的评价研究还不够深入,特别是缺乏对注浆后固结体形态和分布范围的精准识别研究。注浆后固结体的精准识别的核心是层析反演算法,传统的层析反演算法都依赖于单一初始模型的选择,容易陷入局部最优解,... 目前国内外针对深部地基注浆加固效果的评价研究还不够深入,特别是缺乏对注浆后固结体形态和分布范围的精准识别研究。注浆后固结体的精准识别的核心是层析反演算法,传统的层析反演算法都依赖于单一初始模型的选择,容易陷入局部最优解,无法实现对注浆后固结体的精准识别。建立了一种基于电磁波CT层析反演过程中目标函数模型求解的遗传算法,并通过数值模拟和现场测试进行了验证。结果表明:①MPGA智能算法增强了算法在全局搜索和局部搜索方面的能力;②MPGA智能算法在注浆后固结体的识别效果优于SGA智能算法,在反演计算过程中具有更高的准确性和稳定性;③MPGA智能算法反演效果显著,能精准识别注浆后固结体的形态和分布范围,对注浆后固结体的识别效果明显优于传统算法ART和SIRT。 展开更多
关键词 深部地基 注浆加固 遗传算法 电磁波ct 层析反演
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冠状动脉CT血管造影及FFR-CT对冠心病患者心肌缺血的诊断价值
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作者 王华锋 张晓瑞 +3 位作者 高云云 王琦 相世峰 冯强 《广东医学》 2026年第1期64-69,共6页
目的分析冠状动脉CT血管造影(CCTA)及冠状动脉无创血流储备分数(FFR-CT)对冠心病患者心肌缺血的诊断价值。方法选取2022年5月至2024年5月该院收治的140例冠心病患者为研究对象,入院后均行冠状动脉造影(CAG)、FFR检查、CCTA,并计算FFR-CT... 目的分析冠状动脉CT血管造影(CCTA)及冠状动脉无创血流储备分数(FFR-CT)对冠心病患者心肌缺血的诊断价值。方法选取2022年5月至2024年5月该院收治的140例冠心病患者为研究对象,入院后均行冠状动脉造影(CAG)、FFR检查、CCTA,并计算FFR-CT,以FFR值≤0.8作为心肌缺血诊断标准并分为心肌缺血组、无心肌缺血组,比较心肌缺血组与无心肌缺血组的CCTA斑块特征参数指标(钙化积分、斑块总体积、钙化斑块体积、斑块负荷、重建指数、病变长度等)及FFR-CT值差异性,绘制受试者工作特征(ROC)曲线评估CCTA及FFR-CT对冠心病心肌缺血的诊断价值。结果心肌缺血组(FFR≤0.8)的CCTA钙化积分、斑块负荷、重建指数、病变长度及正性重构、餐巾环征比例高于无心肌缺血组(P<0.05),心肌缺血组FFR值、FFR-CT值低于无心肌缺血组(P<0.05),两组斑块总体积、钙化斑块体积比、低密度斑块、点状钙化比例差异无统计学意义(P>0.05);ROC曲线分析显示,以FFR为金标准,CCTA诊断冠心病患者心肌缺血的敏感度、特异度、阳性预测值、阴性预测值、曲线下面积均低于FFR-CT诊断(P<0.05)。结论FFR-CT诊断冠心病患者心肌缺血的效能较CCTA好,利于临床上对冠心病患者进行心肌缺血筛查。 展开更多
关键词 冠状动脉ct血管造影 冠状动脉无创血流储备分数 冠心病 心肌缺血
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