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Comparison of Diagnostic Effects of T2-Weighted Imaging,DWI,SWI,and DTI in Acute Cerebral Infarction 被引量:3
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作者 Yu-quan Zheng Xiao-mei Li 《Cardiovascular Innovations and Applications》 2021年第2期283-287,共5页
Objective:To achieve precision medicine,the use of imaging methods to help the clinical detection of cerebral infarction is conducive to the clinical development of a treatment plan and increase of the cure rate and i... Objective:To achieve precision medicine,the use of imaging methods to help the clinical detection of cerebral infarction is conducive to the clinical development of a treatment plan and increase of the cure rate and improvement of the prognosis of patients.Methods:In this work,T2-weighted imaging(T2WI),diffusion-weighted imaging(DWI),susceptibility-weighted imaging(SWI),and diffusion tensor imaging(DTI)examinations were performed on 34 patients with clinically diagnosed cerebral infarction to measure the difference in signal intensity between the lesion and its mirror area and make a comparative analysis by means of the Student-Newman-Keuls method.Results:The detection rate of T2WI was 79%(27/34),the detection rate of DWI was 97%(33/34),the detection rate of SWI was 88%(30/34),and the detection rate of DTI was 94%(32/34).Conclusion:The imaging performance was in the order DWI>DTI>SWI>T2WI for the diagnosis of cerebral infarction,and combined imaging is better than single imaging. 展开更多
关键词 t2-weighted imaging susceptibility-weighted imaging diffusion tensor imaging diffusion-weighted imaging cerebral infarction
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T2-weighted imaging-based radiomic-clinical machine learning model for predicting the differentiation of colorectal adenocarcinoma 被引量:2
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作者 Hui-Da Zheng Qiao-Yi Huang +4 位作者 Qi-Ming Huang Xiao-Ting Ke Kai Ye Shu Lin Jian-Hua Xu 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第3期819-832,共14页
BACKGROUND The study on predicting the differentiation grade of colorectal cancer(CRC)based on magnetic resonance imaging(MRI)has not been reported yet.Developing a non-invasive model to predict the differentiation gr... BACKGROUND The study on predicting the differentiation grade of colorectal cancer(CRC)based on magnetic resonance imaging(MRI)has not been reported yet.Developing a non-invasive model to predict the differentiation grade of CRC is of great value.AIM To develop and validate machine learning-based models for predicting the differ-entiation grade of CRC based on T2-weighted images(T2WI).METHODS We retrospectively collected the preoperative imaging and clinical data of 315 patients with CRC who underwent surgery from March 2018 to July 2023.Patients were randomly assigned to a training cohort(n=220)or a validation cohort(n=95)at a 7:3 ratio.Lesions were delineated layer by layer on high-resolution T2WI.Least absolute shrinkage and selection operator regression was applied to screen for radiomic features.Radiomics and clinical models were constructed using the multilayer perceptron(MLP)algorithm.These radiomic features and clinically relevant variables(selected based on a significance level of P<0.05 in the training set)were used to construct radiomics-clinical models.The performance of the three models(clinical,radiomic,and radiomic-clinical model)were evaluated using the area under the curve(AUC),calibration curve and decision curve analysis(DCA).RESULTS After feature selection,eight radiomic features were retained from the initial 1781 features to construct the radiomic model.Eight different classifiers,including logistic regression,support vector machine,k-nearest neighbours,random forest,extreme trees,extreme gradient boosting,light gradient boosting machine,and MLP,were used to construct the model,with MLP demonstrating the best diagnostic performance.The AUC of the radiomic-clinical model was 0.862(95%CI:0.796-0.927)in the training cohort and 0.761(95%CI:0.635-0.887)in the validation cohort.The AUC for the radiomic model was 0.796(95%CI:0.723-0.869)in the training cohort and 0.735(95%CI:0.604-0.866)in the validation cohort.The clinical model achieved an AUC of 0.751(95%CI:0.661-0.842)in the training cohort and 0.676(95%CI:0.525-0.827)in the validation cohort.All three models demonstrated good accuracy.In the training cohort,the AUC of the radiomic-clinical model was significantly greater than that of the clinical model(P=0.005)and the radiomic model(P=0.016).DCA confirmed the clinical practicality of incorporating radiomic features into the diagnostic process.CONCLUSION In this study,we successfully developed and validated a T2WI-based machine learning model as an auxiliary tool for the preoperative differentiation between well/moderately and poorly differentiated CRC.This novel approach may assist clinicians in personalizing treatment strategies for patients and improving treatment efficacy. 展开更多
关键词 Radiomics Colorectal cancer Differentiation grade Machine learning t2-weighted imaging
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Three-dimensional time-of-flight magnetic resonance angiography combined with high resolution T2-weighted imaging in preoperative evaluation of microvascular decompression 被引量:5
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作者 Chen Liang Ling Yang +2 位作者 Bin-Bin Zhang Shi-Wen Guo Rui-Chun Li 《World Journal of Clinical Cases》 SCIE 2022年第34期12594-12604,共11页
BACKGROUND Neurovascular compression(NVC) is the main cause of primary trigeminal neuralgia(TN) and hemifacial spasm(HFS). Microvascular decompression(MVD) is an effective surgical method for the treatment of TN and H... BACKGROUND Neurovascular compression(NVC) is the main cause of primary trigeminal neuralgia(TN) and hemifacial spasm(HFS). Microvascular decompression(MVD) is an effective surgical method for the treatment of TN and HFS caused by NVC. The judgement of NVC is a critical step in the preoperative evaluation of MVD, which is related to the effect of MVD treatment. Magnetic resonance imaging(MRI) technology has been used to detect NVC prior to MVD for several years. Among many MRI sequences, three-dimensional time-of-flight magnetic resonance angiography(3D TOF MRA) is the most widely used. However, 3D TOF MRA has some shortcomings in detecting NVC. Therefore, 3D TOF MRA combined with high resolution T2-weighted imaging(HR T2WI) is considered to be a more effective method to detect NVC.AIM To determine the value of 3D TOF MRA combined with HR T2WI in the judgment of NVC, and thus to assess its value in the preoperative evaluation of MVD.METHODS Related studies published from inception to September 2022 based on PubMed, Embase, Web of Science, and the Cochrane Library were retrieved. Studies that investigated 3D TOF MRA combined with HR T2WI to judge NVC in patients with TN or HFS were included according to the inclusion criteria. Studies without complete data or not relevant to the research topics were excluded. The Quality Assessment of Diagnostic Accuracy Studies checklist was used to assess the quality of included studies. The publication bias of the included literature was examined by Deeks’ test. An exact binomial rendition of the bivariate mixed-effects regression model was used to synthesize data. Data analysis was performed using the MIDAS module of statistical software Stata 16.0. Two independent investigators extracted patient and study characteristics, and discrepancies were resolved by consensus. Individual and pooled sensitivities and specificities were calculated. The I_(2) statistic and Q test were used to test heterogeneity. The study was registered on the website of PROSERO(registration No. CRD42022357158).RESULTS Our search identified 595 articles, of which 12(including 855 patients) fulfilled the inclusion criteria. Bivariate analysis showed that the pooled sensitivity and specificity of 3D TOF MRA combined with HR T2WI for detecting NVC were 0.96 [95% confidence interval(CI): 0.92-0.98] and 0.92(95%CI: 0.74-0.98), respectively. The pooled positive likelihood ratio was 12.4(95%CI: 3.2-47.8), pooled negative likelihood ratio was 0.04(95%CI: 0.02-0.09), and pooled diagnostic odds ratio was 283(95%CI: 50-1620). The area under the receiver operating characteristic curve was 0.98(95%CI: 0.97-0.99). The studies showed no substantial heterogeneity(I2 = 0, Q = 0.001 P = 0.50).CONCLUSION Our results suggest that 3D TOF MRA combined with HR T2WI has excellent sensitivity and specificity for judging NVC in patients with TN or HFS. This method can be used as an effective tool for preoperative evaluation of MVD. 展开更多
关键词 three-dimensional time-of-flight magnetic resonance angiography High resolution t2 weighted imaging Neurovascular compression Microvascular decompression MEtA-ANALYSIS
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Identification and Localization of Prostate Cancer with Combined Use of T2-Weighted,Diffusion Weighted MRI and Proton MR Spectroscopy,Correlation with Histopathology 被引量:1
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作者 Baki Hekimoglu Hasan Aydin +3 位作者 Volkan Kizilgoz Idil Günes Tatar Ali Riza Ugan Irem Paker 《Advances in Molecular Imaging》 2013年第3期23-36,共14页
Purpose: To predict the diagnostic performance of combined use of T2-weighted imaging (T2W)-diffusion weighted MRI (DWI) and apparent diffusion coefficient (ADC)-proton MR spectroscopy (H-MRS) for the detection of pro... Purpose: To predict the diagnostic performance of combined use of T2-weighted imaging (T2W)-diffusion weighted MRI (DWI) and apparent diffusion coefficient (ADC)-proton MR spectroscopy (H-MRS) for the detection of prostate cancer, correlated to histopathology as the reference standard. Method: After institutional review board approval, 40 patients with prostate cancer were included in this retrospective research. Two readers evaluated the results of T2W, DWI-ADC mapping and H-MRS independently for the depiction of prostate cancer. Reference standard was the TRUS-guided biopsy and the surgical histopathological results. Statistical analysis was assessed by Fisher’s exact t-test, Wilcoxon signed rank test, variance analysis test with Kappa (k) values and receiver operating characteristics (ROC) curve for ADC values, Cho/Cit and Cho + Cre/Cit ratios for each observer. Results: Both readers declined 46% sensitivity and 68% specificity for T2W sequence, 29% sensitivity and 82% specificity for DWI-ADC mapping and 49% specificity for Cho/Cit and Cho + Cre/Cit ratios, 69% sensitivity for Cho/Cit 70% sensitivity for Cho + Cre/Cit ratios of H-MRS. T2W + DWI-ADC mapping + H-MRS (Cho/Cit and Cho + Cre/Cit ratios) regarded 81% sensitivity and 66% specificity, with significant statistical differences to the reference histopathology (p 0.05). Conclusion: Combination of T2W, DWI and H-MRS were more sensitive and more accurate than either sequences alone, for prostate cancer localization and detection. 展开更多
关键词 MRI Prostate Cancer DWI H-MRS t2W
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A Prospective Evaluation of T2-Weighted First-Pass Perfusion MR Imaging In Diagnosing Breast Neoplasms
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作者 XiaoJuanUu RenyouZhai TaoJiang LiWang 《Chinese Journal of Clinical Oncology》 CSCD 2004年第5期328-335,共8页
OBJECTIVE To compare the results from breast cancer patients who undergo T2-weighted first-pass perfusion imaging after dynamic contrast-enhanced T1-weighted imaging during the same examination,and to evaluate if T2-w... OBJECTIVE To compare the results from breast cancer patients who undergo T2-weighted first-pass perfusion imaging after dynamic contrast-enhanced T1-weighted imaging during the same examination,and to evaluate if T2-weighted imaging can provide additional diagnostic information over that obtained with Tl-weiahted imaaina.METHODS Twenty-nine patients with breast lesions verified by pathology (benign 12, malignant 17) underwent MR imaging with dynamic contrast-enhanced Tl-weighted imaging of the entire breasts,immediately followed by 6-sections of T2-weighted first-pass perfusion imaging of the lesions. The diagnostic indices were acquired by individual 3D Tl-weighted enhancement rate criterion and the T2 signalintensity loss rate criterion. The sensitivity and specificity were calculated and the 2 methods were compared.RESULTS With the dynamic contrast-enhanced T1-weighted imaging there was a significant differences breast lesions (t=2.563, P=0.016)overlap between the signal intensitybetween the benign and malignant However we found a considerable increase in the carcinomas and thatin the benign lesions, for a sensitivity of 94% and a specificity of 25%.With T2-weighted first-pass perfusion imaging, there was a very significant difference between the benign and malignant breast lesions(t=4.777,P<0.001), and the overlap between the signal intensity decrease in the carcinomas and that of the benign lesions on the T2-weighted images was less pronounced than the overlap in the T1-weighted images, for a sensitivity of 88% and a specificity of 75%.CONCLUSION T2-weighted first-pass perfusion imaging may help differentiate between benign and malignant breast lesions with a higher level of specificity. The combination of T1-weighted and T2-weighted imaging is feasible in a single patient examination and may improve breast MR imaging. 展开更多
关键词 预期作用 t2-加权 早期灌注 MR成像 诊断 胸部癌 肿瘤
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T2 magnetic resonance imaging combined with diffusion-weighted imaging for colon cancer lymph nodes
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作者 Yong-Xia Li Sheng-Li Cai +3 位作者 Ming-Yang Peng Tong-Xing Wang Wen Geng Yue-Hu Ma 《World Journal of Gastrointestinal Surgery》 2025年第6期100-106,共7页
BACKGROUND Colorectal cancer is a malignancy with a high risk of lymph node metastasis and poor prognosis,and thus requires an accurate diagnosis.AIM To assess the diagnostic value of combined magnetic resonance T2-we... BACKGROUND Colorectal cancer is a malignancy with a high risk of lymph node metastasis and poor prognosis,and thus requires an accurate diagnosis.AIM To assess the diagnostic value of combined magnetic resonance T2-weighted imaging(T2WI)and diffusion-weighted imaging(DWI)in colorectal cancer.METHODS We included 120 patients with suspected colorectal cancer who underwent magnetic resonance imaging.Surgical pathology was used as the gold standard for comparison.Combined T2WI and DWI showed higher diagnostic efficacy than either of the two methods used individually.RESULTS The combined method achieved 94.74%sensitivity,95.45%specificity,95.00%accuracy,94.74%positive predictive value,and 95.45%negative predictive value in qualitative diagnosis.It showed 94.44%sensitivity,95.00%specificity,94.74%accuracy,94.44%positive predictive value,and 95.00%negative predictive value in clinical staging.Finally,it showed 94.74%sensitivity,94.59%specificity,94.74%accuracy,94.74%positive predictive value,and 94.59%negative predictive value in diagnosing lymph node metastasis.These results were highly consistent with that of the gold standard.CONCLUSION This study combined T2WI and DWI for accurate diagnosis of colorectal cancer,aiding clinical staging and lymph node metastasis assessment.This approach is promising for clinical application. 展开更多
关键词 Magnetic resonance t2-weighted imaging Diffusion-weighted imaging Colorectal cancer Lymph node metastasis Diagnostic efficacy
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磁共振T2WI联合DWI对结肠癌转移的诊断
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作者 李姝毅 何庄超 +2 位作者 郑海军 何玉成 李四翠 《中国CT和MRI杂志》 2026年第1期142-144,共3页
目的探究磁共振(MRI)T2加权成像(T2WI)联合弥散加权成像(DWI)在结肠癌转移中的诊断价值。方法选取2023年10月到2024年5月我院收治的80例(病灶105枚)结肠癌患者为研究对象,所有患者均经手术及病理分析证实为结肠癌,术前接受常规[T1加权成... 目的探究磁共振(MRI)T2加权成像(T2WI)联合弥散加权成像(DWI)在结肠癌转移中的诊断价值。方法选取2023年10月到2024年5月我院收治的80例(病灶105枚)结肠癌患者为研究对象,所有患者均经手术及病理分析证实为结肠癌,术前接受常规[T1加权成像(T1WI)、T2WI、增强容积快速采集(LAVA)]及DWI扫描。根据手术及病理结果判断淋巴结转移情况分为转移组(48例,62枚)和非转移组(32例,43枚)。比较原发灶和转移灶大小及MRI参数差异、MRI参数对结肠癌转移淋巴结的诊断价值及不同MRI检查方法对结肠癌患者N分期的诊断价值。结果转移灶短长径比值、表观扩散系数(ADC)均小于原发灶,转运常数(K^(trans))均大于原发灶(P<0.05),两组速率常数(K_(ep))、血管外细胞间隙体积百分数(V_(e))无明显差异(P>0.05);ADC值、K^(trans)均可用于诊断结肠癌淋巴结转移(P<0.05),上述指标联合可获得更高曲线下面积(AUC);常规检查联合DWI检查可提高对结肠癌患者N分期诊断的灵敏度(P<0.05)。结论MRI T2WI联合DWI检查可看出转移淋巴结的与原发病灶的差异,其检查所得定量参数ADC值、K^(trans)有较好诊断效能,使用此法有助于术前判断N分期。 展开更多
关键词 磁共振 t2WI 增强扫描 DWI 结肠癌 淋巴结转移
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呼吸道合胞病毒肺炎患儿血清TIM4、LCN2、SFRP1表达与病情程度及肺功能的关系
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作者 刘雪茹 杜青 +1 位作者 张慧玲 王艳丽 《疑难病杂志》 2026年第4期463-468,共6页
目的探讨呼吸道合胞病毒(RSV)肺炎患儿血清T细胞免疫球蛋白黏蛋白域蛋白4(TIM4)、脂质运载蛋白2(LCN2)、分泌型卷曲相关蛋白1(SFRP1)的表达水平,分析其与病情程度、肺功能的关联。方法选取2024年3月—2025年8月华中科技大学同济医学院... 目的探讨呼吸道合胞病毒(RSV)肺炎患儿血清T细胞免疫球蛋白黏蛋白域蛋白4(TIM4)、脂质运载蛋白2(LCN2)、分泌型卷曲相关蛋白1(SFRP1)的表达水平,分析其与病情程度、肺功能的关联。方法选取2024年3月—2025年8月华中科技大学同济医学院附属武汉儿童医院呼吸内科收治的RSV肺炎患儿350例为RSV肺炎组,根据病情分为轻症亚组263例与重症亚组87例,另选取同期健康体检儿童350例为健康对照组。采用ELISA法检测血清TIM4、LCN2、SFRP1水平,潮气呼吸肺功能仪检测患儿肺功能指标[潮气量(TV)、达峰时间比(TPTEF/TE)、达峰容积比(VPEF/VE)、呼吸频率(RR)];Spearman相关系数分析血清TIM4、LCN2、SFRP1水平与病情和肺功能的相关性;多因素Logistic回归分析RSV肺炎患儿病情进展的影响因素;ROC曲线分析血清TIM4、LCN2、SFRP1水平预测RSV肺炎患儿病情进展的价值。结果RSV肺炎组血清TIM4、LCN2、SFRP1水平均高于健康对照组(t/P=37.730/<0.001、31.683/<0.001、44.519/<0.001);重症亚组血清TIM4、LCN2、SFRP1水平及RR高于轻症亚组(t/P=8.790/<0.001、8.459/<0.001、8.948/<0.001、24.909/<0.001),TV、TPTEF/TE、VPEF/VE低于轻症亚组(t/P=14.739/<0.001、20.945/<0.001、18.643/<0.001);血清TIM4、LCN2、SFRP1水平与RSV肺炎病情、RR呈正相关(r/P=0.586/<0.001、0.562/<0.001、0.513/<0.001,0.623/<0.001、0.598/<0.001、0.565/<0.001),与TV、TPTEF/TE、VPEF/VE呈负相关(r/P=-0.538/<0.001、-0.515/<0.001、-0.487/<0.001,-0.602/<0.001、-0.578/<0.001、-0.543/<0.001,-0.589/<0.001、-0.556/<0.001、-0.521/<0.001);TIM4高、LCN2高、SFRP1高、病程长、早产、低出生体质量是RSV肺炎患儿病情进展的独立危险因素[OR(95%CI)=3.466(2.030~5.918)、3.415(1.703~6.848)、3.725(1.832~7.573)、4.107(2.308~7.308)、3.199(1.504~6.804)、1.546(1.104~2.166)],母乳喂养是独立保护因素[OR(95%CI)=0.432(0.279~0.669)];血清TIM4、LCN2、SFRP1水平单独及三者联合预测RSV肺炎患儿病情进展的曲线下面积(AUC)分别为0.795、0.793、0.798、0.907,三者联合预测的AUC大于三者各自预测(Z/P=4.791/<0.001、4.788/<0.001、4.343/<0.001)。结论RSV肺炎患儿血清TIM4、LCN2、SFRP1水平升高,不仅与病情加重和肺功能损伤有关,三者联合也对预测病情进展具有较高价值。 展开更多
关键词 呼吸道合胞病毒肺炎 t细胞免疫球蛋白黏蛋白域蛋白4 脂质运载蛋白2 分泌型卷曲相关蛋白1 肺功能 预测价值
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根皮苷通过调节IRS-1/PI3K/Akt信号通路改善T2DM大鼠的糖脂代谢紊乱 被引量:2
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作者 努尔·艾力 曹清雨 +3 位作者 刘欢 何军伟 钟卫红 曹岚 《中国实验方剂学杂志》 北大核心 2026年第3期139-148,共10页
目的:观察根皮苷改善2型糖尿病(T2DM)大鼠肝脏糖脂代谢紊乱的药效学作用,并基于胰岛素受体底物-1(IRS-1)/磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(Akt)通路探讨其作用机制。方法:采用高脂饲料和链脲佐菌素(STZ)建立T2DM大鼠模型,分为空白组,... 目的:观察根皮苷改善2型糖尿病(T2DM)大鼠肝脏糖脂代谢紊乱的药效学作用,并基于胰岛素受体底物-1(IRS-1)/磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(Akt)通路探讨其作用机制。方法:采用高脂饲料和链脲佐菌素(STZ)建立T2DM大鼠模型,分为空白组,模型组,二甲双胍组(300 mg·kg^(-1)),根皮苷高、低剂量组(100、25 mg·kg^(-1)),灌胃给药6周,观察大鼠体质量和空腹血糖(FBG)的变化,开展口服葡萄糖耐量实验(OGTT);全自动生化分析仪检测血清中总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)及高密度脂蛋白胆固醇(HDL-C)、糖化血清蛋白(GSP)水平、天冬氨酸氨基转移酶(AST),丙氨酸氨基转移酶(ALT);酶联免疫吸附测定法(ELISA)检测空腹胰岛素(FINS)、白细胞介素(IL)-1β、IL-6、肿瘤坏死因子(TNF)-α;生化法测定肝脏中超氧化物歧化酶(SOD)、丙二醛(MDA)水平;计算胰腺指数、肝脏指数、胰岛素抵抗指数;苏木素-伊红(HE)染色观察大鼠肝脏和胰腺病理变化,免疫荧光法(IF)检测胰腺组织中胰岛素和胰高血糖素的变化;蛋白免疫印迹法(Western blot)检测肝脏组织IRS-1/PI3K/Akt通路相关蛋白及其下游糖原合酶激酶-3β(GSK-3β)和叉头盒转录因子O1(FoxO1)蛋白的表达。结果:与空白组比较,模型组大鼠体质量持续下降、FBG水平明显升高,OGTT血糖曲线下面积(AUC)、GSP、TC、TG、LDL-C、MDA、IL-1β、IL-6、TNF-α水平及胰腺指数、肝脏指数、胰岛素抵抗指数明显升高,HDL-C、SOD、FINS水平明显降低(P<0.05,P<0.01);组织学结果显示,模型组大鼠胰岛萎缩,呈现显著结构紊乱,胰岛素阳性β细胞显著减少(P<0.01),胰高血糖素阳性α细胞显著增加(P<0.01);模型组大鼠肝有炎性细胞浸润,部分细胞坏死,而且肝脏磷酸化(p)-IRS-1/IRS-1、p-GSK-3β/GSK-3β、p-FoxO1/FoxO1蛋白表达显著升高(P<0.01),p-PI3K/PI3K、p-Akt/Akt蛋白表达显著降低(P<0.01)。与模型组比较,各给药组大鼠糖尿病症状有所改善,体质量和FBG变化趋势接近空白组,OGTT-AUC、GSP、TC、TG、LDL-C、MDA、IL-1β、IL-6、TNF-α水平及胰腺指数、肝脏指数、胰岛素抵抗指数明显减少(P<0.05,P<0.01),HDL-C、SOD、FINS水平明显升高(P<0.05,P<0.01);各给药组大鼠胰腺和肝脏病理改变得到有效改善,胰腺中胰岛素阳性β细胞显著增加(P<0.01),胰高血糖素阳性α细胞显著减少(P<0.01),肝脏中p-IRS-1/IRS-1、p-GSK-3β/GSK-3β、p-FoxO1/FoxO1蛋白表达显著减少(P<0.01),p-PI3K/PI3K、p-Akt/Akt蛋白表达显著升高(P<0.01)。结论:根皮苷逆转T2DM大鼠出现的体质量减轻和FBG异常升高,改善血脂、氧化应激、炎症水平,缓解胰岛素抵抗,且对肝脏和胰腺有一定的保护作用,其降糖作用机制可能是通过调节IRS-1/PI3K/Akt信号通络,降低GSK-3β和FoxO1活性,促进肝脏糖原合成,抑制肝脏糖异生功能,进而发挥改善糖脂代谢紊乱。 展开更多
关键词 根皮苷 胰岛素受体底物-1(IRS-1)/磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(Akt) 2型糖尿病(t2DM) 胰岛素抵抗 糖脂代谢
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正常视神经纤维 DTI 的 T2-weighted trace 图定量研究
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作者 张艳秋 史大鹏 田勤 《中国实用医刊》 2016年第10期84-86,共3页
目的:定量研究正常视神经纤维扩散张量成像(DTI)的 T2-weighted trace(T2-WT)参数值的特点。方法选择无视功能障碍的健康志愿者68例,男36例,女32例,年龄9~78岁,中位年龄38岁,均为右利手,行视神经常规 MRI 和 DTI 检查,获取... 目的:定量研究正常视神经纤维扩散张量成像(DTI)的 T2-weighted trace(T2-WT)参数值的特点。方法选择无视功能障碍的健康志愿者68例,男36例,女32例,年龄9~78岁,中位年龄38岁,均为右利手,行视神经常规 MRI 和 DTI 检查,获取 DTI 的 T2-WT、FA 及 MD 三种后处理参数图:测量视神经纤维的三种参数值,研究T2-WT 参数值左右侧间及性别间的差异,分析其值与年龄的关系,并得出其值与 FA、MD 的相关性。结果视神经纤维 T2-WT 值双侧不对称,左侧高于右侧,差异有统计学意义(P =0.004),FA、MD 左右侧比较差异未见统计学意义(P >0.05);T2-WT 值男女比较差异未见统计学意义(P >0.05);T2-WT 与 MD 呈负相关(r =-0.374,P =0.000),尚不能认为与 FA、年龄相关(P >0.05)。结论正常视神经纤维 T2-WT 参数存在左侧优势,T2-WT 参数值男女比较差异未见统计学意义,且其值不受年龄的影响,T2-WT 与 MD 呈负相关,尚不能认为与 FA 相关。 展开更多
关键词 视神经纤维 t2-weighted tRACE 扩散张量成像
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间充质干细胞经Treg-ILC2轴治疗变应性鼻炎的研究进展
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作者 陈瑞 曹守明 +4 位作者 吴海莺 黄浩甦 周小英 韩维悦 蒋宗城 《昆明医科大学学报》 2026年第3期1-11,共11页
变应性鼻炎(allergic rhinitis,AR)是由2型炎症驱动的慢性气道疾病,辅助性T细胞(T helper cells,Th)与先天性淋巴样细胞(innate lymphoid cells,ILCs)及其分泌的2型细胞因子是其核心发病机制。近年来,调节性T细胞(regulatory T cells,Tr... 变应性鼻炎(allergic rhinitis,AR)是由2型炎症驱动的慢性气道疾病,辅助性T细胞(T helper cells,Th)与先天性淋巴样细胞(innate lymphoid cells,ILCs)及其分泌的2型细胞因子是其核心发病机制。近年来,调节性T细胞(regulatory T cells,Tregs)与2组先天性淋巴样细胞(group 2 innate lymphoid cells,ILC2s)之间的免疫失衡(即Treg-ILC2轴)被认为是AR免疫调节的关键环节。间充质干细胞(mesenchymal stem cells,MSCs)凭借其强大的免疫调节潜能,可通过分泌TGF-β、IL-10等可溶性因子,以及基于ICOS-ICOSL(inducible T-cell costimulator-inducible T-cell costimulator ligand)介导的细胞直接接触,有效诱导iTregs分化并抑制ILC2的过度活化。此外,MSC来源的外泌体作为“无细胞疗法”的新策略,展现出更高的安全性和局部递送优势。对Treg与ILC2的交互作用机制进行综述,重点阐述MSCs经Treg-ILC2轴重塑AR免疫平衡的研究进展,旨在为AR的精准免疫靶向治疗提供理论依据与新思路。 展开更多
关键词 变应性鼻炎 免疫靶向治疗 2组先天性淋巴样细胞 调节性t细胞 间充质干细胞 动物模型
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基于杂交瘤技术的BTN2A1单克隆抗体制备及其特异性研究
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作者 伍靳函 牛亚燕 +1 位作者 蔡宁宁 吴妹英 《中国药理学通报》 北大核心 2026年第3期593-598,共6页
目的探究靶向BTN2A1的单克隆抗体制备方法及其检测工具开发,为免疫治疗策略优化提供实验依据。方法采用杂交瘤技术筛选高亲和力BTN2A1单克隆抗体;通过流式细胞术验证抗体对天然构象抗原的特异性识别;运用竞争ELISA进行表位解析;基于抗... 目的探究靶向BTN2A1的单克隆抗体制备方法及其检测工具开发,为免疫治疗策略优化提供实验依据。方法采用杂交瘤技术筛选高亲和力BTN2A1单克隆抗体;通过流式细胞术验证抗体对天然构象抗原的特异性识别;运用竞争ELISA进行表位解析;基于抗体配对实验评估双抗夹心检测体系可行性。结果成功获得15株高亲和力BTN2A1单克隆抗体(最小半数有效浓度可达0.002862 g·L^(-1)),流式检测显示所有抗体均能在过表达BTN2A1的CHO细胞及Daudi肿瘤细胞系中高特异性识别细胞表面天然BTN2A1,并且抗体结合阳性率>95%。表位分析表明所有抗体均靶向同一表位。结论本研究成功制备了一组高亲和力BTN2A1单克隆抗体,成功制备了高亲和力BTN2A1单抗,为功能研究提供了工具。但这些抗体均识别同一表位,无法建立双抗夹心检测系统,因此需进一步开发针对不同表位的抗体组合,为优化BTN2A1免疫检测方法及治疗性抗体开发奠定了基础。 展开更多
关键词 Vγ9Vδ2 t细胞 BtN2A1 单克隆抗体 t细胞 抗体 免疫
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CBFA2T3::GLIS2融合基因阳性急性髓系白血病一例
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作者 欧晓燕 奎莉越 +5 位作者 桑宝华 陈俊伶 蒋鸿超 廖莹燕 夏世梅 周百灵 《华西医学》 2026年第2期346-349,共4页
病例介绍患儿,男,11个月,因“发热8 d,腹泻4 d”于2024年6月就诊于昆明医科大学附属儿童医院(以下简称“我院”)。患儿入院前8 d无明显诱因出现发热,热峰40℃,无寒战、抽搐,家长自行给予“布洛芬”后约半小时体温可降至正常,间隔4~5 h... 病例介绍患儿,男,11个月,因“发热8 d,腹泻4 d”于2024年6月就诊于昆明医科大学附属儿童医院(以下简称“我院”)。患儿入院前8 d无明显诱因出现发热,热峰40℃,无寒战、抽搐,家长自行给予“布洛芬”后约半小时体温可降至正常,间隔4~5 h体温复升,伴烦哭难安抚。 展开更多
关键词 白血病 儿童 CBFA2t3::GLIS2融合基因
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冠心病心绞痛患者血清Tim-3、GATA-3、sST2水平及其与心肌损伤和心功能的相关性
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作者 陆倩倩 李平珍 张永 《江苏医药》 2026年第2期177-182,共6页
目的分析冠心病心绞痛患者血清T淋巴细胞免疫球蛋白黏蛋白分子3(Tim-3)、GATA结合蛋白3(GATA-3)、可溶性肿瘤抑制基因2(sST2)水平及其与心肌损伤和心功能的相关性。方法146例冠心病心绞痛患者根据相关诊断标准和冠状动脉造影结果分为稳... 目的分析冠心病心绞痛患者血清T淋巴细胞免疫球蛋白黏蛋白分子3(Tim-3)、GATA结合蛋白3(GATA-3)、可溶性肿瘤抑制基因2(sST2)水平及其与心肌损伤和心功能的相关性。方法146例冠心病心绞痛患者根据相关诊断标准和冠状动脉造影结果分为稳定型心绞痛(SAP)组(69例)和不稳定型心绞痛(UAP)组(77例)。比较两组患者血清Tim-3、GATA-3、sST2水平,心肌损伤标志物[肌酸激酶同工酶(CK)、肌酸激酶同工酶MB(CK-MB)、心肌肌钙蛋白I(cTnI)]水平及心功能指标[左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)]。采用Pearson相关分析法分析冠心病心绞痛患者血清Tim-3、GATA-3、sST2水平与心肌损伤标志物及心功能指标的相关性,绘制ROC曲线分析血清Tim-3、GATA-3、sST2水平单独及三者联合检测对冠心病UAP患者的诊断价值。结果与SAP组比较,UAP组血清Tim-3、sST2、CK、CK-MB、cTnI水平升高,LVESD、LVEDD增大,血清GATA-3水平和LVEF降低(P<0.05)。冠心病心绞痛患者血清Tim-3、sST2水平与血清CK、CK-MB、cTnI水平及LVEDD、LVESD呈正相关,而与LVEF呈负相关(P<0.05)。冠心病心绞痛患者血清GATA-3水平与血清CK、CK-MB、cTnI水平及LVEDD、LVESD呈负相关,而与LVEF呈正相关(P<0.05)。血清Tim-3、GATA-3、sST2水平单独及三者联合诊断冠心病UAP患者的AUC分别为0.776、0.797、0.806及0.907,联合检测的AUC大于单个指标(P<0.01)。结论血清Tim-3、GATA-3、sST2水平与冠心病心绞痛患者心肌损伤及心功能密切相关,三者联合检测可显著提高冠心病UAP患者的诊断效能。 展开更多
关键词 冠心病 心绞痛 t淋巴细胞免疫球蛋白黏蛋白分子3 GAtA结合蛋白3 可溶性肿瘤抑制基因2 心肌损伤 心功能
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反复呼吸道感染患儿外周血lncRNA MEG3表达水平及与Th1/Th2平衡的相关性
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作者 祁淼 韩旭 吕倩 《河南医学研究》 2026年第3期522-525,共4页
目的探讨反复呼吸道感染(RRI)患儿外周血lncRNA MEG3的表达水平及与机体Th1/Th2平衡的关系。方法选择2022年8月至2023年9月在南阳市中心医院接受相应治疗的RRI患儿共95例为此次试验的病例组,另挑选同一段时间内健康体检的儿童102例为此... 目的探讨反复呼吸道感染(RRI)患儿外周血lncRNA MEG3的表达水平及与机体Th1/Th2平衡的关系。方法选择2022年8月至2023年9月在南阳市中心医院接受相应治疗的RRI患儿共95例为此次试验的病例组,另挑选同一段时间内健康体检的儿童102例为此次试验的对照组。采用RT-qPCR检测外周血lncRNA MEG3表达水平,采用BD FACSCantoⅡ流式细胞仪检测Th1和Th2细胞数。采用Pearson相关法进行相关性分析,应用受试者工作特征(ROC)曲线评估各指标在RRI诊断方面的价值,通过多因素logistic回归分析对RRI发生的影响因素进行探讨。结果与对照组比较,病例组IgE、白介素-2、白介素-10、Th2显著升高,干扰素γ、lncRNA MEG3、Th1和Th1/Th2显著降低(P<0.05)。RRI患儿外周血lncRNA MEG3水平与Th1/Th2呈正相关(r=0.581,P<0.05)。lncRNA MEG3及Th1/Th2诊断RRI的ROC曲线下面积分别为0.87和0.81,lncRNA MEG3及Th1/Th2诊断RRI患儿的灵敏度为86.3%和80.0%,特异度为70.6%和60.8%。lncRNA MEG3<0.84[OR=2.69(95%CI:1.49~4.85)]、Th1<6.32%[OR=3.85(95%CI:1.92~7.71)]、Th2≥8.72%[OR=2.83(95%CI:1.45~5.55)]和Th1/Th2<0.72[OR=4.44(95%CI:2.14~9.20)]是儿童出现RRI的相关因素(P<0.05)。结论RRI患儿外周血中lncRNA MEG3及Th1/Th2均异常降低,lncRNA MEG3表达水平与Th1/Th2存在正相关,lncRNA MEG3及Th1/Th2对RRI患儿具有较高的诊断价值。 展开更多
关键词 反复呼吸道感染 lncRNA MEG3 辅助性t细胞1 辅助性t细胞2
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工艺参数对真空扩散焊接GH4099高温合金-T2紫铜异种金属接头组织及性能的影响
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作者 吕沐轩 刘伟 +4 位作者 廖子颖 王健 熊成悦 陈明和 武永 《机械工程材料》 北大核心 2026年第1期76-81,共6页
采用真空扩散焊接对GH4099高温合金与T2紫铜进行异种金属连接,研究了扩散温度(860,890,920℃)、扩散压力(1.5,2.8,4.2 MPa)、保温时间(0.5,1.0,2.0 h)对接头成形质量、硬度和拉伸性能的影响,确定了真空扩散焊接最佳工艺参数范围。结果表... 采用真空扩散焊接对GH4099高温合金与T2紫铜进行异种金属连接,研究了扩散温度(860,890,920℃)、扩散压力(1.5,2.8,4.2 MPa)、保温时间(0.5,1.0,2.0 h)对接头成形质量、硬度和拉伸性能的影响,确定了真空扩散焊接最佳工艺参数范围。结果表明:当扩散温度为860℃时,焊接界面明显且出现较多连续分布的孔洞缺陷,成形质量较差,当扩散温度为890℃及以上时无明显孔洞缺陷,焊合质量高。随着扩散温度升高或扩散压力增加,连接界面扩散层厚度增大;随着保温时间延长,扩散层呈早期快速增厚、随后受阻、再增厚的分阶段演化特征。随着扩散温度升高,扩散层硬度增大,接头抗拉强度先增大后减小;扩散压力对硬度和抗拉强度影响较小;随着保温时间延长,抗拉强度增大。真空扩散焊接最佳工艺参数范围为扩散温度890℃、保温时间2 h、扩散压力1.5~4.2 MPa,此时接头连接界面呈波形,扩散层中心生成富铜固溶体、富铬固溶体以及Ni-Si硬脆相,扩散层厚度在13~20μm,抗拉强度高于紫铜母材。 展开更多
关键词 GH4099高温合金 t2紫铜 扩散连接 微观形貌 力学性能
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T2 Mapping联合DWI序列评估直肠癌脉管侵犯价值研究
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作者 李茜玮 陈安良 +2 位作者 王楠 林良杰 刘爱连 《中国CT和MRI杂志》 2026年第1期149-152,共4页
目的探讨T2 mapping与DWI序列预测直肠癌脉管侵犯的价值。方法回顾性分析经本院行3.0T MRI扫描且经术后病理证实的直肠癌脉管侵犯13例,脉管非侵犯20例,2名观察者分别于瘤体显示最大层面参考增强动脉期图像及DWI图像于T2 mapping及ADC图... 目的探讨T2 mapping与DWI序列预测直肠癌脉管侵犯的价值。方法回顾性分析经本院行3.0T MRI扫描且经术后病理证实的直肠癌脉管侵犯13例,脉管非侵犯20例,2名观察者分别于瘤体显示最大层面参考增强动脉期图像及DWI图像于T2 mapping及ADC图像上测量病灶T2值及ADC值。采用组内相关系数(intraclass correlation cofficient,ICC)评估两名观察者测量参数值的一致性。采用独立样本t检验或Mann-Whitney U检验分析两组病例各参数的差异。采用Logistic回归计算有统计学差异的参数联合评估直肠癌LVI的预测值。采用ROC曲线评估有差异参数单独或联合的诊断效能,并利用De-Long检验比较各ROC曲线间的差异。采用Pearson相关性检验分析两参数值的相关性。结果2名观察者测量T2值及ADC值一致性好(ICC>0.75)。脉管侵犯组的T2值及ADC值低于非脉管侵犯组(77.15±6.95ms、0.69±0.15mm^(2)/s vs 87.04±7.75ms、0.90±0.21 mm^(2)/s,P<0.05)。ADC值与ADC-T2联合鉴别两组疾病的AUC值比较差异具有统计学意义(P=0.036)。结论T2 mapping和DWI序列可预测直肠癌脉管侵犯,两序列联合效能提升,因此T2值与ADC值联合可为临床诊疗直肠癌脉管侵犯提供参考信息。 展开更多
关键词 直肠癌 脉管侵犯 磁共振成像 t2 mapping成像 弥散加权成像
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基于聚集诱导荧光微球的T-2毒素免疫层析快速检测方法
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作者 张干 赖卫华 +2 位作者 赖怡辉 郑祖兰 徐蔚 《食品与机械》 北大核心 2026年第1期30-35,共6页
[目的]为实现T-2毒素的现场快速筛查,建立聚集诱导发光荧光免疫层析试纸条测定玉米中T-2毒素的分析方法。[方法]采用溶胀法制备聚集诱导发光荧光微球,通过静电吸附偶联抗体,得到免疫探针。通过优化试验参数,构建荧光免疫层析试纸条。[结... [目的]为实现T-2毒素的现场快速筛查,建立聚集诱导发光荧光免疫层析试纸条测定玉米中T-2毒素的分析方法。[方法]采用溶胀法制备聚集诱导发光荧光微球,通过静电吸附偶联抗体,得到免疫探针。通过优化试验参数,构建荧光免疫层析试纸条。[结果]构建的聚集诱导发光荧光免疫层析法具有良好的线性关系(0.10~5.00 ng/mL),回归方程为y=-0.57141 lg(x)+0.75088(R2=0.9675),方法检测限为0.09 ng/mL,加标回收率为81.82%~92.46%,变异系数低于10%。[结论]该方法准确性好,灵敏度高,适用于玉米中T-2毒素的现场大批量筛查。 展开更多
关键词 t-2毒素 聚集诱导发光 免疫层析试纸条 玉米
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C3H10T1/2细胞分化为成熟棕色脂肪细胞的培养、诱导分化及鉴定
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作者 冯晴晴 陈思沅 +8 位作者 潘静芸 王瑞婷 张纸麟 曾莹 廖俊斌 陈锦贤 陈赣英 林丹蓉 朱伟 《中国病理生理杂志》 北大核心 2026年第2期409-416,共8页
目的:通过对C3H10T1/2细胞分化为成熟棕色脂肪细胞的培养、诱导分化及鉴定,深入探讨棕色脂肪细胞的生物学特性,为人类棕色脂肪细胞的相关研究提供实验参考与理论依据。方法:C3H10T1/2细胞经细胞接种、培养及诱导分化处理,利用光学显微... 目的:通过对C3H10T1/2细胞分化为成熟棕色脂肪细胞的培养、诱导分化及鉴定,深入探讨棕色脂肪细胞的生物学特性,为人类棕色脂肪细胞的相关研究提供实验参考与理论依据。方法:C3H10T1/2细胞经细胞接种、培养及诱导分化处理,利用光学显微镜观察细胞形态变化,并通过油红O染色、免疫荧光法、线粒体探针法以及线粒体电镜技术对分化细胞进行鉴定分析。结果:未分化的C3H10T1/2细胞形态多样,具有突触伸展特征;分化后的细胞逐渐变为圆形或椭圆形,形成环形脂滴;未分化组细胞形态无明显变化。油红O染色显示,未分化组细胞基本无染色,而分化组中约90%的细胞红染,脂滴分布于细胞核周围,吸光度值显著升高(P<0.05)。分化组解偶联蛋白1(uncoupling protein 1,UCP1)、过氧化物酶体增殖激活受体γ(peroxisome proliferator-activated receptorγ,PPARγ)辅激活因子1α(PPARγco-activator-1α,PGC-1α)、PPARγ和转录因子PRDM16的相对荧光强度和蛋白表达量显著高于未分化组(P<0.05),且线粒体活性增强。结论:本研究成功诱导C3H10T1/2细胞分化为成熟棕色脂肪细胞,结合细胞形态观察、关键蛋白表达检测及线粒体功能分析进行综合评估,证实了细胞的有效分化及成熟棕色脂肪细胞的功能特性。 展开更多
关键词 C3H10t1/2细胞 棕色脂肪细胞 细胞培养 细胞分化 鉴定
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高分辨磁共振T2WI对面神经炎的诊断价值
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作者 杨国戈 陈康 +1 位作者 麻琳 张凌 《西部医学》 2026年第4期610-615,共6页
目的探讨3.0T高分辨磁共振T2加权成像(T2WI)对面神经炎的诊断价值。方法选取2023年9—12月我院收治的50例临床诊断为面神经炎的患者,采用三维可变翻转角快速自旋回波T2WI进行扫描。基于原始影像数据,分别进行最大密度投影(MIP)重建及曲... 目的探讨3.0T高分辨磁共振T2加权成像(T2WI)对面神经炎的诊断价值。方法选取2023年9—12月我院收治的50例临床诊断为面神经炎的患者,采用三维可变翻转角快速自旋回波T2WI进行扫描。基于原始影像数据,分别进行最大密度投影(MIP)重建及曲面重组(CPR)重建。系统评估面神经炎的成像特征、神经受累节段,并与瞬目反射检查结果进行对比分析。最终量化比较患侧与健侧面神经的直径差异及相对信号强度差异。结果50例面神经炎患者,42例成功完成扫描,30例能在磁共振图像上观察到面神经炎,其中鼓室段16例(53%),乳突段23例(77%),腮腺段11例(37%),鼓室-乳突段均受累10例(33%),乳突-腮腺段均受累7例(23%),鼓室-乳突-腮腺段均受累3例(10%),两名放射科医师的对面神经炎诊断的一致性评价较好,Kappa值>0.75;轻度面神经炎的检出率为为64%,与瞬目反射的检查结果有统计学差异(P<0.05),重度面神经炎的检出率为86%,与瞬目反射的检查结果相比无统计学差异(P>0.05);患侧与健侧面神经直径比较差异有统计学意义(P<0.05),患侧与健侧面神经信号强度比值比较差异有统计学意义(P<0.05);面神经直径和信号强度比值的ROC曲线下面积分别为0.909(最佳截断值为1.62 mm,敏感性83.33%,特异性90.00%),0.876(最佳截断值为1.99,敏感性76.67%,特异性80.00%),面神经直径和信号强度比值联合诊断的ROC曲线下面积为0.959,敏感性为96.67%,特异性为83.33%。结论基于高分辨磁共振T2加权成像的MIP及CPR图像能够清楚地显示面神经且能够有效用于重度面神经炎的诊断,面神经直径和信号强度比值可作为诊断面神经炎的重要指标。 展开更多
关键词 磁共振成像 高分辨t2WI 面神经成像 面神经炎
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