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^(18)F-FDG PET/MRI临床及影像学特征在宫颈癌不同病理亚型中的对照研究
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作者 杨洪彬 梁妍 +2 位作者 尹永芳 陈志仁 王蕤 《中国实验诊断学》 2026年第1期64-69,共6页
目的旨在分析不同病理亚型宫颈癌的^(18)F-FDG PET/MRI临床及影像学特征。方法回顾性分析12例经病理确诊的宫颈癌,对^(18)F-FDG PET/MRI影像表现及临床特征进行分析。结果临床特征为患者年龄范围21~69,平均年龄(49.92±13.62)岁,12... 目的旨在分析不同病理亚型宫颈癌的^(18)F-FDG PET/MRI临床及影像学特征。方法回顾性分析12例经病理确诊的宫颈癌,对^(18)F-FDG PET/MRI影像表现及临床特征进行分析。结果临床特征为患者年龄范围21~69,平均年龄(49.92±13.62)岁,12例均出现不同程度的阴道出血,仅1例鳞癌HPV阴性。影像学形态特征表现为肿块样10例,条状1例,结节状1例,最大径范围约0.6 cm~8.7 cm(平均4.78 cm)。信号特征表现为12例均呈T1WI稍低信号,T2WI稍高信号,DWI显著高信号,ADC低信号,平均ADC值约(0.72±0.15)×10^(-3)mm^(2)/s,其中鳞癌、腺癌及小细胞神经内分泌癌(SCNEC)ADC值分别约为0.63±0.11、0.88、0.845±0.078,鳞癌ADC值低于腺癌及SCNEC,12例^(18)F-FDG摄取均表现为异常增高,SUVmax4.59~19.1,鳞癌、腺癌及SCNEC SUVmax分别为11.47±4.67、6.97及9.105±4.801,其中鳞癌SUVmax显著高于腺癌及SCNEC。7例鳞癌出现远处及淋巴结转移。结论不同病理亚型宫颈癌的^(18)F-FDG PET/MRI临床特征多表现为阴道出血及HPV阳性,形态以肿块样居多,ADC值显著降低、SUVmax明显升高。鳞癌与腺癌、SCNEC在ADC值和SUVmax上存在显著差异,^(18)F-FDG PET/MRI通过提供ADC值及SUVmax等关键参数,为宫颈癌病理亚型的临床判断提供重要影像参考。 展开更多
关键词 氟代脱氧葡萄糖 正电子发射断层显像-磁共振成像(PET/mri) 子宫颈癌 正电子发射断层扫描技术 磁共振成像技术
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Age-related connectivity differences between attention deficit and hyperactivity disorder patients and typically developing subjects:a resting-state functional MRI study 被引量:2
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作者 Jisu Hong Bo-yong Park +1 位作者 Hwan-ho Cho Hyunjin Park 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第10期1640-1647,共8页
Attention deficit and hyperactivity disorder(ADHD) is a disorder characterized by behavioral symptoms including hyperactivity/impulsivity among children,adolescents,and adults.These ADHD related symptoms are influen... Attention deficit and hyperactivity disorder(ADHD) is a disorder characterized by behavioral symptoms including hyperactivity/impulsivity among children,adolescents,and adults.These ADHD related symptoms are influenced by the complex interaction of brain networks which were under explored.We explored age-related brain network differences between ADHD patients and typically developing(TD) subjects using resting state f MRI(rs-f MRI) for three age groups of children,adolescents,and adults.We collected rs-f MRI data from 184 individuals(27 ADHD children and 31 TD children;32 ADHD adolescents and 32 TD adolescents;and 31 ADHD adults and 31 TD adults).The Brainnetome Atlas was used to define nodes in the network analysis.We compared three age groups of ADHD and TD subjects to identify the distinct regions that could explain age-related brain network differences based on degree centrality,a well-known measure of nodal centrality.The left middle temporal gyrus showed significant interaction effects between disease status(i.e.,ADHD or TD) and age(i.e.,child,adolescent,or adult)(P 0.001).Additional regions were identified at a relaxed threshold(P 0.05).Many of the identified regions(the left inferior frontal gyrus,the left middle temporal gyrus,and the left insular gyrus) were related to cognitive function.The results of our study suggest that aberrant development in cognitive brain regions might be associated with age-related brain network changes in ADHD patients.These findings contribute to better understand how brain function influences the symptoms of ADHD. 展开更多
关键词 nerve regeneration attention deficit and hyperactivity disorder cognitive function connectivity resting-state f mri Brainnetome Atlas whole brain analysis disease-aging interaction effect neuroscience neural regeneration
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解郁和中汤辨治肝脾胃失调型偏头痛疼痛矩阵局部一致性fMRI研究 被引量:6
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作者 王玭 华荣 +4 位作者 王道弘 郭歆 张岳 武毫 欧爱华 《中华中医药杂志》 CAS CSCD 北大核心 2020年第8期4218-4221,共4页
目的:观察解郁和中汤辨治偏头痛患者疼痛矩阵(PM)改变,探讨其中枢机制。方法:采用前瞻性观察性研究方法,将符合纳入标准20例偏头痛患者,先予4周的疗前观察,后予解郁和中汤治疗,分别在干预前、治疗结束后,对纳入患者予静息态功能磁共振(f... 目的:观察解郁和中汤辨治偏头痛患者疼痛矩阵(PM)改变,探讨其中枢机制。方法:采用前瞻性观察性研究方法,将符合纳入标准20例偏头痛患者,先予4周的疗前观察,后予解郁和中汤治疗,分别在干预前、治疗结束后,对纳入患者予静息态功能磁共振(fMRI)扫描,采用局部一致性(ReHo)分析观察脑部PM功能区改变,并评价治疗前后视觉模拟评分法(VAS)、偏头痛特异性生活质量评估(MSQ)评分。结果:治疗前后PM脑区右侧的脑岛、扣带回中部ReHo值增强;右侧的中央前后回,左侧的辅助运动区、额上回内侧、扣带回中部减弱。VAS评分、MSQ评分治疗前后比较,差异有统计学意义(P<0.01)。结论:解郁和中汤调节迷走神经的外周通路进入中枢,调节痛觉内外侧传导系统,提高痛阈,以脑岛、扣带回等代表的多个脑区相互作用,以整合的方式解郁镇痛、改善临床诸症。 展开更多
关键词 偏头痛 解郁和中汤 静息态功能磁共振成像技术 疼痛矩阵 局部一致性
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