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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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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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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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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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卡马西平联合3D CT三维重建辅助经皮微球囊压迫术治疗三叉神经痛临床疗效分析
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作者 张伟 王明宇 +2 位作者 张宇轩 梁利群 李涛 《陕西医学杂志》 2026年第1期102-107,共6页
目的:探讨卡马西平联合3D CT三维重建辅助经皮微球囊压迫术(PMC)治疗三叉神经痛的临床效果。方法:选取206例三叉神经痛患者,随机分为A组(3D CT辅助PMC术+围术期卡马西平,n=68)、B组(3D CT辅助PMC术+常规术后镇痛,n=69)及C组(PMC+常规术... 目的:探讨卡马西平联合3D CT三维重建辅助经皮微球囊压迫术(PMC)治疗三叉神经痛的临床效果。方法:选取206例三叉神经痛患者,随机分为A组(3D CT辅助PMC术+围术期卡马西平,n=68)、B组(3D CT辅助PMC术+常规术后镇痛,n=69)及C组(PMC+常规术后镇痛,n=69)。比较各组术前后疼痛程度、睡眠质量、生活质量及血清疼痛递质水平的变化,记录术后并发症发生率及复发率。结果:①治疗有效率:A组和B组均高于C组(97.06%、95.65%与84.06%,均P<0.05),A组与B组间比较差异无统计学意义(P>0.05);②疼痛评分(NRS):术后各组均较术前降低,A组最低,B组低于C组(均P<0.05);③睡眠质量(PSQI):三组术后评分明显改善,A组在术后3 d、1个月、3个月评分均优于B组和C组,B组1个月及3个月评分优于C组(均P<0.05);④血清疼痛递质水平:术后3 dSP、5-羟色胺(5-HT)、降钙素基因相关肽(CGRP)水平均较术前降低,且A组低于B组和C组(均P<0.05);⑤生活质量(SF-36):A组术后3个月评分高于B组及C组(均P<0.05);⑥并发症及复发率:A组面部麻木发生率(14.71%与41.18%)、术后并发症总发生率(28.99%与66.67%)及复发率(2.90%与24.64%)均低于C组(均P<0.05),A组与B组比较差异无统计学意义(P>0.05)。结论:3D CT三维重建辅助PMC联合围术期卡马西平治疗三叉神经痛疗效显著,能有效缓解疼痛,改善睡眠及生活质量,且并发症及复发率较低,具有较高的临床推广价值。 展开更多
关键词 卡马西平 ct 三维重建 经皮微球囊压迫术 三叉神经痛 疗效
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多排螺旋CT增强扫描评估胃癌脉管浸润及预后的价值
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作者 刘娜 李兴华 +2 位作者 胡伟 胡丹妮 曹阳阳 《中国CT和MRI杂志》 2026年第2期141-143,共3页
目的探究多排螺旋CT增强扫描评估胃癌脉管浸润(LVI)及预后的价值。方法回顾性分析2022年1月至2023年6月于我院就诊的80例胃癌患者临床资料,患者均接受病理诊断和多排螺旋CT增强扫描检查,评估多排螺旋CT增强扫描对LVI的诊断效能。收集患... 目的探究多排螺旋CT增强扫描评估胃癌脉管浸润(LVI)及预后的价值。方法回顾性分析2022年1月至2023年6月于我院就诊的80例胃癌患者临床资料,患者均接受病理诊断和多排螺旋CT增强扫描检查,评估多排螺旋CT增强扫描对LVI的诊断效能。收集患者临床资料,根据是否发生LVI将患者分为LVI组和非LVI组,比较两组患者病理特征,采用多因素Logistic回归分析胃癌患者发生LVI的影响因素,随访1年,采用Kaplan-Meier分析多排螺旋CT增强扫描对胃癌LVI预后的影响。结果以手术病理检查为金标准,多排螺旋CT增强扫描诊断LVI的kappa值为0.796,多因素Logistic回归分析显示,淋巴结转移、血管进入征及静脉标准化CT值是胃癌患者发生LVI独立危险因素(P均<0.05);Kaplan-Meier分析显示,非LVI患者的无病生存期显著高于LVI患者(P均<0.05)。结论多排螺旋CT增强扫描评对胃癌LVI具有较好的评估价值,且可评估胃癌LVI预后。 展开更多
关键词 胃癌 脉管浸润 多排螺旋ct增强扫描 病理特征 预后
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能谱CT影像参数结合PIVKA-Ⅱ预测三阴性乳腺癌患者发生放疗抵抗的应用研究
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作者 孙莉薇 蔡小萍 +2 位作者 郭鹭鑫 王金岸 叶锋 《西部医学》 2026年第1期131-137,共7页
目的基于能谱CT影像参数并结合维生素K缺乏或拮抗剂Ⅱ诱导蛋白(PIVKA-Ⅱ)预测三阴性乳腺癌患者发生放疗抵抗。方法选取2022年12-2024年5月于本院就诊并进行放射治疗的80例三阴性乳腺癌患者,根据治疗效果分为抵抗组56例,有效组24例。并... 目的基于能谱CT影像参数并结合维生素K缺乏或拮抗剂Ⅱ诱导蛋白(PIVKA-Ⅱ)预测三阴性乳腺癌患者发生放疗抵抗。方法选取2022年12-2024年5月于本院就诊并进行放射治疗的80例三阴性乳腺癌患者,根据治疗效果分为抵抗组56例,有效组24例。并对其一般资料和能谱CT影像学特征分析。Logistic回归分析影响患者发生放疗抵抗的临床因素以及探讨能谱CT影像学参数和PIVKA-Ⅱ的关系。采用逻辑回归算法建立能谱CT影像学参数结合PIVKA-Ⅱ预测放疗抵抗模型,ROC曲线及AUC评价预测效能。结果两组在癌变位置、BMI、月经状态、吸烟史、饮酒史、高血压、糖尿病、初产年龄、家族病史、乳腺癌易感基因(BRCA)突变、淋巴结转移情况、手术类型、CEA、CA153等方面差异均无统计学意义(P>0.05),在年龄、病理分级、病程、长期服用避孕药或雌激素、PIVKA-Ⅱ方面有统计学差异(P<0.05)。能谱CT影像学特征参数中,两组患者的动脉期及静脉期k值、IC值、病灶长径、肿瘤边缘方面有统计学差异(P<0.05)。患者的年龄、病理分级、病程、长期服用避孕药或雌激素、PIVKA-Ⅱ浓度是发生放疗抵抗的危险影响因素(OR>1,P<0.05),变量之间相互独立,不存在多重共线性。调整年龄、病理分级、病程、长期服用避孕药或雌激素因素后,动脉期k 40~70keV、动脉期IC、静脉期k 40~70keV、静脉期IC和病灶长径与PIVKA-Ⅱ浓度存在相关性(P<0.05)。能谱CT影像学各参数结合PIVKA-Ⅱ均具有较好的预测价值,其中PIVKA-Ⅱ+动脉期k 40~70keV+静脉期k 40~70keV+动脉期IC+静脉期IC+病灶长径模型预测效能最高,AUC为0.855。结论能谱CT影像参数结合PIVKA-Ⅱ对三阴性乳腺癌患者发生放疗抵抗具有较好的预测价值,PIVKA-Ⅱ+动脉期k 40~70keV+静脉期k 40~70keV+动脉期IC+静脉期IC+病灶长径模型预测效能最高。 展开更多
关键词 能谱ct 影像参数 维生素K缺乏或拮抗剂Ⅱ诱导蛋白 三阴性乳腺癌 放疗抵抗
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故障模式与影响分析方法在CT诊断中对比剂引起过敏反应风险评估中的应用价值
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作者 孙翾 顾敦星 《河北北方学院学报(自然科学版)》 2026年第2期10-13,共4页
目的对比剂在CT检查中虽能增强影像对比度,但存在过敏反应风险,目前缺乏有效的预防方法。探讨故障模式与影响分析(FMEA)作为事前风险分析方法在对比剂过敏反应风险评估中的应用价值。方法组建由多学科专业人员构成的团队,梳理对比剂CT... 目的对比剂在CT检查中虽能增强影像对比度,但存在过敏反应风险,目前缺乏有效的预防方法。探讨故障模式与影响分析(FMEA)作为事前风险分析方法在对比剂过敏反应风险评估中的应用价值。方法组建由多学科专业人员构成的团队,梳理对比剂CT检查全流程,通过头脑风暴识别潜在失效模式,从严重性(S)、发生频率(O)、检测概率(D)三个维度评分,计算风险优先级数(RPN=S×O×D)以评估风险。结果识别出177种失效模式,其中15种RPN值超过150,主要集中在准备阶段(9种)、CT检查阶段(2种)和观察与后处理阶段(4种)。最严重的两种模式为放射科医师因患者过敏信息缺失而错误使用对比剂(RPN=256.5)及护士误判过敏症状并允许患者离院(RPN=256.5)。结论FMEA可识别对比剂CT扫描中过敏反应的高风险环节,为制定针对性预防措施、优化临床流程和提升患者安全提供参考依据。 展开更多
关键词 故障模式与影响分析 对比剂 ct 过敏反应 风险评估
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CT灌注成像参数联合血清Hcy、D-二聚体水平检测对急性脑梗死患者静脉溶栓疗效的评估价值
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作者 胡义平 朱星阳 +2 位作者 魏红霞 宋元贞 朱一柯 《中国CT和MRI杂志》 2026年第2期12-15,共4页
目的探讨CT灌注成像(CTP)参数联合血清同型半胱1氨酸(Hcy)及D-二聚体(DD)水平在评估急性脑梗死患者静脉溶栓治疗效果中的临床价值。方法选取2022年1月至2024年12月于某三甲医院神经内科接受静脉溶栓治疗的急性脑梗死患者共150例,根据治... 目的探讨CT灌注成像(CTP)参数联合血清同型半胱1氨酸(Hcy)及D-二聚体(DD)水平在评估急性脑梗死患者静脉溶栓治疗效果中的临床价值。方法选取2022年1月至2024年12月于某三甲医院神经内科接受静脉溶栓治疗的急性脑梗死患者共150例,根据治疗后临床疗效分为良好组(n=98)与不良组(n=52)。所有患者在治疗前均行CT灌注成像检查,并检测血清Hcy及DD水平。记录CTP参数[包括脑血容量(CBV)、脑血流量(CBF)、平均通过时间(MTT)、峰值时间(TTP)]与血清指标变化,采用Pearson相关性分析上述指标和患者NIHSS评分的相关性,采用Logistic回归分析患者疗效不良的影响因素,并采用受试者工作特征曲线(ROC)分析CT灌注成像参数和血清Hcy和DD水平对静脉溶栓疗效的评估价值。结果良好组患者梗死体积较不良组小,NIHSS评分、MTT、TTP、Hcy和DD水平较不良组低,CBV、CBF水平较不良组高,差异有统计学意义(P<0.05)。相关性分析显示,患者CBV、CBF和NIHSS评分成反比,MTT、TTP、Hcy和DD与NIHSS评分成正比(P<0.05)。Logistic回归结果显示:患者高NIHSS评分、低水平CBV、低水平CBF以及高水平MTT、Hcy和DD是患者疗效不佳的独立危险因素(P<0.05)。CBV、CBF、MTT、Hcy、DD以及联合检测评估患者疗效不佳的ROC下曲线面积(AUC)为0.789、0.737、0.744、0.674、0.845和0.884,其中联合检测敏感度为92.31%,特异度为77.55%,具有较好评估效能。结论CT灌注成像参数联合血清Hcy与D-二聚体水平可有效评估急性脑梗死患者静脉溶栓治疗的疗效。 展开更多
关键词 急性脑梗死 ct灌注成像 同型半胱氨酸 D-二聚体 静脉溶栓 疗效评估
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数字算法骨折CT影像识别软件识别AO-C2型桡骨远端骨折的精准性及稳定性 被引量:1
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作者 刘飞 邓新恒 +4 位作者 成永忠 尹晓冬 李晓敏 朱书朝 王朝鲁 《中国组织工程研究》 北大核心 2026年第15期3929-3935,共7页
背景:传统的骨折CT影像阅片主要依赖于医生的经验,存在主观性强和误差较大的问题。因此,开发基于数字算法的骨折CT影像识别软件能够有效辅助医生进行骨折类型及位移、旋转等特征的准确识别,具有重要的临床意义。目的:验证自主开发骨折C... 背景:传统的骨折CT影像阅片主要依赖于医生的经验,存在主观性强和误差较大的问题。因此,开发基于数字算法的骨折CT影像识别软件能够有效辅助医生进行骨折类型及位移、旋转等特征的准确识别,具有重要的临床意义。目的:验证自主开发骨折CT影像识别软件在AO-C2型桡骨远端骨折中的诊断准确性、骨折点识别稳定性,对比软件与医师测量的骨折块位移、旋转角度的差异,探讨CT影像识别软件的临床应用前景。方法:收集2024年1-6月南阳市中医院收治的25例AO-C2型桡骨远端骨折患者的CT影像,应用骨折CT影像识别软件进行了一系列验证,包括软件在骨折类型、骨折点识别、骨折移位方面的测量,对比骨折CT影像识别软件与医师医疗影像存储与传输系统影像识读测量数据的差异;应用变异系数、双向组内相关系数一致性分析、Bland-Altman分析评估两种方案测量结果的稳定性及一致性。结果与结论:①骨折CT影像识别软件对骨折类型识别准确率达92%;总骨折点识别的变异系数均小于19%,关节面骨折点变异系数均小于25%,骨干部骨折点变异系数均小于18%,骨折点识读稳定性良好;②组内相关系数分析表明,不同级别医师应用骨折CT影像识别软件测量骨折块移位、旋转值均具有较高的一致性;③Bland-Altman分析表明软件测量与医师医疗影像存储与传输系统测量在骨折位移中无显著差异,软件在骨折块旋转测量中具有较高的精准性;④提示基于数字算法的骨折CT影像识别软件在骨折点识别中具有较好的稳定性,在骨折移位、旋转识别上具有较好的一致性与精准性,对骨折旋转的识别明显优于医疗影像存储与传输系统测量,在AO-C2型桡骨远端骨折的应用中具有良好的临床应用前景,能够辅助医师更快地做出治疗决策。 展开更多
关键词 桡骨远端骨折 ct影像 数字算法 识别软件 骨折类型 骨折点识别 骨折移位
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采用手术肩枕改善甲状腺CT图像质量的应用研究
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作者 旷欣汝 周燕 +3 位作者 苏国义 张玲 李大鹏 吴飞云 《南京医科大学学报(自然科学版)》 北大核心 2026年第1期77-81,93,共6页
目的:探讨基于手术肩枕的改良体位在优化甲状腺CT图像质量中的价值。方法:前瞻性纳入176例拟行CT检查的甲状腺结节患者,分为对照组(常规体位,n=88)和实验组(改良体位,n=88)。对照组采用标准摆位法,患者呈仰卧位,双臂置于身体两侧,自然下... 目的:探讨基于手术肩枕的改良体位在优化甲状腺CT图像质量中的价值。方法:前瞻性纳入176例拟行CT检查的甲状腺结节患者,分为对照组(常规体位,n=88)和实验组(改良体位,n=88)。对照组采用标准摆位法,患者呈仰卧位,双臂置于身体两侧,自然下垂;实验组采用手术肩枕垫高肩部,双肩与肩枕上缘平行,双臂置于身体两侧,头呈过伸位。比较两组动脉期和静脉期CT图像的主观质量评分(整体图像质量、主观噪声评价、伪影)、客观质量评分[信噪比(signal-to-noise ratio,SNR)、对比噪声比(contrast-to-noise ratio,CNR)]及辐射剂量[CT剂量指数(volume computed tomography dose index,CTDIvol)、剂量长度乘积(dose-length product,DLP)、有效剂量(effective dose,ED)]。结果:主观图像质量评分方面,实验组在图像整体质量(Z=-5.385,P<0.001)、主观噪声(Z=-5.609,P<0.001)及伪影抑制(Z=-3.473,P=0.001)方面均优于对照组。客观图像质量评分方面,实验组动脉期SNR(Z=-6.533,P<0.001)、CNR(Z=-6.475,P<0.001)和静脉期SNR(t=-7.193,P<0.001)、CNR(Z=-5.705,P<0.001)均显著高于对照组。辐射剂量方面,实验组与对照组动脉期CTDIvol(Z=-0.527,P=0.598)、DLP(Z=-1.493,P=0.136)、ED(Z=-1.493,P=0.136)和静脉期CTDIvo(l Z=-0.611,P=0.541)、DLP(Z=-1.151,P=0.250)、ED(Z=-1.151,P=0.250)差异均无统计学意义。结论:基于手术肩枕的改良体位可充分拉伸患者颈部,在不增加辐射剂量的前提下改善甲状腺CT图像质量。 展开更多
关键词 甲状腺ct 图像质量 外科肩枕
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Projection of Future Precipitation Change over China with a High-Resolution Global Atmospheric Model 被引量:40
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作者 冯蕾 周天军 +1 位作者 吴波 Tim LI 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2011年第2期464-476,共13页
Projections of future precipitation change over China are studied based on the output of a global AGCM, ECHAM5, with a high resolution of T319 (equivalent to 40 km). Evaluation of the model’s performance in simulat... Projections of future precipitation change over China are studied based on the output of a global AGCM, ECHAM5, with a high resolution of T319 (equivalent to 40 km). Evaluation of the model’s performance in simulating present-day precipitation shows encouraging results. The spatial distributions of both mean and extreme precipitation, especially the locations of main precipitation centers, are reproduced reasonably. The simulated annual cycle of precipitation is close to the observed. The performance of the model over eastern China is generally better than that over western China. A weakness of the model is the overestimation of precipitation over northern and western China. Analyses on the potential change in precipitation projected under the A1B scenario show that both annual mean precipitation intensity and extreme precipitation would increase significantly over southeastern China. The percentage increase in extreme precipitation is larger than that of mean precipitation. Meanwhile, decreases in mean and extreme precipitation are evident over the southern Tibetan Plateau. For precipitation days, extreme precipitation days are projected to increase over all of China. Both consecutive dry days over northern China and consecutive wet days over southern China would decrease. 展开更多
关键词 future precipitation change high-resolution AGCM simulation extreme precipitation
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