The high mortality rates of colon and rectal tumors have put forward an urgent need for rapid, sensitive, and accurate diagnosis. The polarization imaging technology, with the advantages of noninvasiveness, noncontact...The high mortality rates of colon and rectal tumors have put forward an urgent need for rapid, sensitive, and accurate diagnosis. The polarization imaging technology, with the advantages of noninvasiveness, noncontact, quantification, rapidity, and high sensitivity, is expected to be used for auxiliary diagnosis of colorectal cancer. Herein, the differences in colorectal tissues of four pathological types were studied using this powerful technology. Polarized light imaging combined with the Mueller matrix decomposition (MMPD) method was applied to extract structural features that may be related to colorectal tumors. It demonstrated that parameters δ and θ could reflect the structural differences of colorectal tumors. Preliminary simulated experiment results revealed that the parameter δ was related to the fiber density, and the parameter θ was related to the fiber angle. Then Tamura image texture analysis was used to quantitatively describe tissues of different pathological types, and the results showed that the coarseness, contrast, directionality, and roughness of the four groups were statistically different. Texture analysis based on the quantitative data of the four dimensions could be applied for the identification of benign and malignant colorectal tumors.展开更多
BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonanc...BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonance imaging(MRI),although helpful,fail to provide three-dimensional(3D)relationships of these structures,which are critical for planning and executing complicated surgeries.AIM To explore the use of 3D imaging and virtual surgical planning(VSP)technologies to improve surgical accuracy,reduce complications,and enhance patient recovery in hepatobiliary surgeries.METHODS A comprehensive review of studies published between 2017 and 2024 was conducted through PubMed,Scopus,Google Scholar,and Web of Science.Studies selected focused on 3D imaging and VSP applications in hepatobiliary surgery,assessing surgical precision,complications,and patient outcomes.Thirty studies,including randomized controlled trials,cohort studies,and case reports,were included in the final analysis.RESULTS Various 3D imaging modalities,including multidetector CT,MRI,and 3D rotational angiography,provide high-resolution views of the liver’s vascular and biliary anatomy.VSP allows surgeons to simulate complex surgeries,improving preoperative planning and reducing complications like bleeding and bile leaks.Several studies have demonstrated improved surgical precision,reduced complications,and faster recovery times when 3D imaging and VSP were used in complex surgeries.CONCLUSION 3D imaging and VSP technologies significantly enhance the accuracy and outcomes of hepatobiliary surgeries by providing individualized preoperative planning.While promising,further research,particularly randomized controlled trials,is needed to standardize protocols and evaluate long-term efficacy.展开更多
Cardiovascular damage caused by cancer treatment has become an important cause of death for tumor survivors.With the recognition of cardiovascular diseases and cancer therapy-related cardiovascular toxicity(CTR-CVT)in...Cardiovascular damage caused by cancer treatment has become an important cause of death for tumor survivors.With the recognition of cardiovascular diseases and cancer therapy-related cardiovascular toxicity(CTR-CVT)in tumor patients,noninvasive imaging technologies play pivotal roles in the risk stratification,early diagnosis,monitoring and follow-up for CTR-CVT.In recent years,the field of cardio-oncology has witnessed continual updates in diagnostic and therapeutic strategies,with several pertinent guidelines and expert consensus documents issued in China and abroad.However,there remains a conspicuous absence of systematic guidance documents on the application of imaging techniques in the clinical practice of cardio-oncology.Therefore,the Chinese Anti-Cancer Association Society of Integrative Cardio-oncology,the Ultrasound Branch of the Chinese Medical Association,and the Chinese Society of Echocardiography convened experts to formulate the"Chinese guideline for the clinical application of noninvasive imaging technology in accessing cancer therapy-related cardiovascular toxicity".Building upon the systematic evaluation of guidelines and the latest evidence-based medical research in the field of cardio-oncology domestically and abroad,and in conjunction with data derived from evidence-based medical research in China,this guideline proposes noninvasive imaging examination methods and monitoring strategies for CTR-CVT,aiming to further standardize and guide the clinical practice of multidisciplinary physicians specializing in cardio-oncology in China.展开更多
The core sampling experiments were conducted after hydraulic fracturing in the three-dimensional development zone of Fuling shale gas.Six coring wells of different well types were systematically designed.Based on the ...The core sampling experiments were conducted after hydraulic fracturing in the three-dimensional development zone of Fuling shale gas.Six coring wells of different well types were systematically designed.Based on the integrated engineering technology of post-fracturing drilling,coring and monitoring of shale and the analysis of fracture source tracing,the evaluation of the fracture network after fracturing in the three-dimensional development of shale gas was conducted.The data of core fractures after fracturing indicate that three major types of fractures are formed after fracturing:natural fractures,hydraulic fractures,and fractures induced by external mechanical force,which are further classified into six subcategories:natural structural fractures,natural bedding fractures,hydraulic fractures,hydraulically activated fractures,drilling induced fractures,and fractures induced by core transportation.The forms of the artificial fracture network after fracturing are complex.Hydraulic fractures and hydraulically activated fractures interweave with each other,presenting eight forms of artificial fracture networks,among which the“一”-shaped fracture is the most common,accounting for approximately 70%of the total fractures.When the distance to the fractured wellbore is less than 35 m,the density of the artificial fracture network is relatively high;when it is 35–100 m,the density is lower;and when it is beyond 100 m,the density gradually increases.The results of the fracture tracing in the core sampling area confirm that the current fracturing technology can essentially achieve the differential transformation of the reservoir in the main area of Jiaoshiba block in Fuling.The three-layer three-dimensional development model can efficiently utilize shale gas reserves,although there is still room for improvement in the complexity and propagation uniformity of fractures.It is necessary to further optimize technologies such as close-cutting combined with temporary blocking and deflection within fractures or at fracture mouths,as well as limited flow perforation techniques,to promote the balanced initiation and extension of fractures.展开更多
Conventional fabrication methods lack the ability to control both macro- and micro-structures of generated scaffolds. Three-dimensional printing is a solid free-form fabrication method that provides novel ways to crea...Conventional fabrication methods lack the ability to control both macro- and micro-structures of generated scaffolds. Three-dimensional printing is a solid free-form fabrication method that provides novel ways to create customized scaffolds with high precision and accuracy. In this study, an electrically controlled cortical impactor was used to induce randomized brain tissue defects. The overall shape of scaffolds was designed using rat-specific anatomical data obtained from magnetic resonance imaging, and the internal structure was created by computer- aided design. As the result of limitations arising from insufficient resolution of the manufacturing process, we magnified the size of the cavity model prototype five-fold to successfully fabricate customized collagen-chitosan scaffolds using three-dimensional printing. Results demonstrated that scaffolds have three-dimensional porous structures, high porosity, highly specific surface areas, pore connectivity and good internal characteristics. Neural stem cells co-cultured with scaffolds showed good viability, indicating good biocompatibility and biodegradability. This technique may be a promising new strategy for regenerating complex damaged brain tissues, and helps pave the way toward personalized medicine.展开更多
Traditional laparoscopic liver cancer resection faces challenges,such as difficultiesin tumor localization and accurate marking of liver segments,as well as theinability to provide real-time intraoperative navigation....Traditional laparoscopic liver cancer resection faces challenges,such as difficultiesin tumor localization and accurate marking of liver segments,as well as theinability to provide real-time intraoperative navigation.This approach falls shortof meeting the demands for precise and anatomical liver resection.The introductionof fluorescence imaging technology,particularly indocyanine green,hasdemonstrated significant advantages in visualizing bile ducts,tumor localization,segment staining,microscopic lesion display,margin examination,and lymphnode visualization.This technology addresses the inherent limitations oftraditional laparoscopy,which lacks direct tactile feedback,and is increasinglybecoming the standard in laparoscopic procedures.Guided by fluorescenceimaging technology,laparoscopic liver cancer resection is poised to become thepredominant technique for liver tumor removal,enhancing the accuracy,safetyand efficiency of the procedure.展开更多
BACKGROUND Laparoscopic gastrectomy for esophagogastric junction(EGJ)carcinoma enables the removal of the carcinoma at the junction between the stomach and esophagus while preserving the gastric function,thereby provi...BACKGROUND Laparoscopic gastrectomy for esophagogastric junction(EGJ)carcinoma enables the removal of the carcinoma at the junction between the stomach and esophagus while preserving the gastric function,thereby providing patients with better treatment outcomes and quality of life.Nonetheless,this surgical technique also presents some challenges and limitations.Therefore,three-dimensional reconstruction visualization technology(3D RVT)has been introduced into the procedure,providing doctors with more comprehensive and intuitive anatomical information that helps with surgical planning,navigation,and outcome evaluation.AIM To discuss the application and advantages of 3D RVT in precise laparoscopic resection of EGJ carcinomas.METHODS Data were obtained from the electronic or paper-based medical records at The First Affiliated Hospital of Hebei North University from January 2020 to June 2022.A total of 120 patients diagnosed with EGJ carcinoma were included in the study.Of these,68 underwent laparoscopic resection after computed tomography(CT)-enhanced scanning and were categorized into the 2D group,whereas 52 underwent laparoscopic resection after CT-enhanced scanning and 3D RVT and were categorized into the 3D group.This study had two outcome measures:the deviation between tumor-related factors(such as maximum tumor diameter and infiltration length)in 3D RVT and clinical reality,and surgical outcome indicators(such as operative time,intraoperative blood loss,number of lymph node dissections,R0 resection rate,postoperative hospital stay,postoperative gas discharge time,drainage tube removal time,and related complications)between the 2D and 3D groups.RESULTS Among patients included in the 3D group,27 had a maximum tumor diameter of less than 3 cm,whereas 25 had a diameter of 3 cm or more.In actual surgical observations,24 had a diameter of less than 3 cm,whereas 28 had a diameter of 3 cm or more.The findings were consistent between the two methods(χ^(2)=0.346,P=0.556),with a kappa consistency coefficient of 0.808.With respect to infiltration length,in the 3D group,23 patients had a length of less than 5 cm,whereas 29 had a length of 5 cm or more.In actual surgical observations,20 cases had a length of less than 5 cm,whereas 32 had a length of 5 cm or more.The findings were consistent between the two methods(χ^(2)=0.357,P=0.550),with a kappa consistency coefficient of 0.486.Pearson correlation analysis showed that the maximum tumor diameter and infiltration length measured using 3D RVT were positively correlated with clinical observations during surgery(r=0.814 and 0.490,both P<0.05).The 3D group had a shorter operative time(157.02±8.38 vs 183.16±23.87),less intraoperative blood loss(83.65±14.22 vs 110.94±22.05),and higher number of lymph node dissections(28.98±2.82 vs 23.56±2.77)and R0 resection rate(80.77%vs 61.64%)than the 2D group.Furthermore,the 3D group had shorter hospital stay[8(8,9)vs 13(14,16)],time to gas passage[3(3,4)vs 4(5,5)],and drainage tube removal time[4(4,5)vs 6(6,7)]than the 2D group.The complication rate was lower in the 3D group(11.54%)than in the 2D group(26.47%)(χ^(2)=4.106,P<0.05).CONCLUSION Using 3D RVT,doctors can gain a more comprehensive and intuitive understanding of the anatomy and related lesions of EGJ carcinomas,thus enabling more accurate surgical planning.展开更多
A toroidal soft x-ray imaging(T-SXRI)system has been developed to investigate threedimensional(3D)plasma physics on J-TEXT.This T-SXRI system consists of three sets of SXR arrays.Two sets are newly developed and locat...A toroidal soft x-ray imaging(T-SXRI)system has been developed to investigate threedimensional(3D)plasma physics on J-TEXT.This T-SXRI system consists of three sets of SXR arrays.Two sets are newly developed and located on the vacuum chamber wall at toroidal positionsφof 126.4°and 272.6°,respectively,while one set was established previously atφ=65.50.Each set of SXR arrays consists of three arrays viewing the plasma poloidally,and hence can be used separately to obtain SXR images via the tomographic method.The sawtooth precursor oscillations are measured by T-SXRI,and the corresponding images of perturbative SXR signals are successfully reconstructed at these three toroidal positions,hence providing measurement of the 3D structure of precursor oscillations.The observed 3D structure is consistent with the helical structure of the m/n=1/1 mode.The experimental observation confirms that the T-SXRI system is able to observe 3D structures in the J-TEXT plasma.展开更多
The anatomic relationship of oral and maxillofacial region is very com-plex,due to the large number of sinuses,cavities and spaces,and also closely related to the brain.The diagnosis of oral and maxillofacial lesions ...The anatomic relationship of oral and maxillofacial region is very com-plex,due to the large number of sinuses,cavities and spaces,and also closely related to the brain.The diagnosis of oral and maxillofacial lesions usually depends on the imaging examination.The conventional imaging methods are common CT and X-ray plain films.In recent years,with the rapid development of medical science and technology,more intuitive and vivid three-dimensional images have been applied in the diagnosis and treatment of oral and maxillofacial diseases.Therefore,CT three-dimensional imaging technology has been widely used in clinical practice.This paper reviews this topic.展开更多
Skin imaging technologies such as dermoscopy, high-frequency ultrasound, reflective confocal microscopy and optical coherence tomography are developing rapidly in clinical application. Skin imaging technology can impr...Skin imaging technologies such as dermoscopy, high-frequency ultrasound, reflective confocal microscopy and optical coherence tomography are developing rapidly in clinical application. Skin imaging technology can improve clinical diagnosis rate, and its non-invasiveness and repeatability make it occupy an irreplaceable position in clinical diagnosis. With the “booming development” of medical technology, skin imaging technology can improve clinical diagnosis rate. Researchers have made significant advances in assisting clinical diagnosis, prediction, and treatment of disease. This article reviews the application and progress of skin imaging in the diagnosis of psoriasis.展开更多
Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences.In this article,we review the development of terahertz biot...Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences.In this article,we review the development of terahertz biotechnology and its applications in the field of neuropsychiatry.Available evidence indicates promising prospects for the use of terahertz spectroscopy and terahertz imaging techniques in the diagnosis of amyloid disease,cerebrovascular disease,glioma,psychiatric disease,traumatic brain injury,and myelin deficit.In vitro and animal experiments have also demonstrated the potential therapeutic value of terahertz technology in some neuropsychiatric diseases.Although the precise underlying mechanism of the interactions between terahertz electromagnetic waves and the biosystem is not yet fully understood,the research progress in this field shows great potential for biomedical noninvasive diagnostic and therapeutic applications.However,the biosafety of terahertz radiation requires further exploration regarding its two-sided efficacy in practical applications.This review demonstrates that terahertz biotechnology has the potential to be a promising method in the field of neuropsychiatry based on its unique advantages.展开更多
BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various i...BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution,this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs,outlines its typical radiographic features,and provides a literature review on the etiology,clinical presentation,and management of this condition.CONCLUSION This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.展开更多
With the reform and opening up entering a new era,China’s modern civilization and technology are“rolling forward”.In the medical field,innovative changes in radiology imaging technology have presented unprecedented...With the reform and opening up entering a new era,China’s modern civilization and technology are“rolling forward”.In the medical field,innovative changes in radiology imaging technology have presented unprecedented value opportunities in tumor diagnosis.Therefore,this article explores the classification of radiological imaging techniques,specifically including X-ray imaging,Computed Tomography(CT),Magnetic Resonance Imaging(MRI),Positron Emission Tomography(PET),and ultrasound imaging.Furthermore,it analyzes the practical application of these key technologies in tumor diagnosis and propose new ideas.In the end,the advantages and characteristics of radiology imaging technology are evaluated,and two limitations are also pointed out,which deserves profound reflection.展开更多
Brain tumor segmentation from Magnetic Resonance Imaging(MRI)supports neurologists and radiologists in analyzing tumors and developing personalized treatment plans,making it a crucial yet challenging task.Supervised m...Brain tumor segmentation from Magnetic Resonance Imaging(MRI)supports neurologists and radiologists in analyzing tumors and developing personalized treatment plans,making it a crucial yet challenging task.Supervised models such as 3D U-Net perform well in this domain,but their accuracy significantly improves with appropriate preprocessing.This paper demonstrates the effectiveness of preprocessing in brain tumor segmentation by applying a pre-segmentation step based on the Generalized Gaussian Mixture Model(GGMM)to T1 contrastenhanced MRI scans from the BraTS 2020 dataset.The Expectation-Maximization(EM)algorithm is employed to estimate parameters for four tissue classes,generating a new pre-segmented channel that enhances the training and performance of the 3DU-Net model.The proposed GGMM+3D U-Net framework achieved a Dice coefficient of 0.88 for whole tumor segmentation,outperforming both the standard multiscale 3D U-Net(0.84)and MMU-Net(0.85).It also delivered higher Intersection over Union(IoU)scores compared to models trained without preprocessing or with simpler GMM-based segmentation.These results,supported by qualitative visualizations,suggest that GGMM-based preprocessing should be integrated into brain tumor segmentation pipelines to optimize performance.展开更多
This research systematically investigates urban three-dimensional greening layout optimization and smart ecocity construction using deep learning and remote sensing technology.An improved U-Net++ architecture combined...This research systematically investigates urban three-dimensional greening layout optimization and smart ecocity construction using deep learning and remote sensing technology.An improved U-Net++ architecture combined with multi-source remote sensing data achieved high-precision recognition of urban three-dimensional greening with 92.8% overall accuracy.Analysis of spatiotemporal evolution patterns in Shanghai,Hangzhou,and Nanjing revealed that threedimensional greening shows a development trend from demonstration to popularization,with 16.5% annual growth rate.The study quantitatively assessed ecological benefits of various three-dimensional greening types.Results indicate that modular vertical greening and intensive roof gardens yield highest ecological benefits,while climbing-type vertical greening and extensive roof gardens offer optimal benefit-cost ratios.Integration of multiple forms generates 15-22% synergistic enhancement.Compared with traditional planning,the multi-objective optimization-based layout achieved 27.5% increase in carbon sequestration,32.6% improvement in temperature regulation,35.8% enhancement in stormwater management,and 42.3% rise in biodiversity index.Three pilot projects validated that actual ecological benefits reached 90.3-102.3% of predicted values.Multi-scenario simulations indicate optimized layouts can reduce urban heat island intensity by 15.2-18.7%,increase carbon neutrality contribution to 8.6-10.2%,and decrease stormwater runoff peaks by 25.3-32.6%.The findings provide technical methods for urban three-dimensional greening optimization and smart eco-city construction,promoting sustainable urban development.展开更多
Background:Quantum-enhanced medical imaging algorithms–quantum entanglement reconstruction,quantum noise suppression,and quantum beamforming–propose possible remedies for significant constraints in traditional diagn...Background:Quantum-enhanced medical imaging algorithms–quantum entanglement reconstruction,quantum noise suppression,and quantum beamforming–propose possible remedies for significant constraints in traditional diagnostic imaging,such as resolution,radiation efficiency,and real-time processing.Methods:This work used a mixed-methods strategy,including controlled phantom experiments,retrospective multi-center clinical data analysis,and quantum-classical hybrid processing to assess enhancements in resolution,dosage efficiency,and diagnostic confidence.Statistical validation included analysis of variance(ANOVA)and receiver-operating characteristic curve analysis,juxtaposing quantum-enhanced methodologies with conventional and deep learning approaches.Results:Quantum entanglement reconstruction enhanced magnetic resonance imaging spatial resolution by 33.2%(P<0.01),quantum noise suppression facilitated computed tomography scans with a 60%reduction in radiation,and quantum beamforming improved ultrasound contrast by 27%while preserving real-time processing(<2 ms delay).Inter-reader variability(12%in Diagnostic Confidence Scores)showed that systematic training is needed,even if the performance was better.The research presented(1)a reusable clinical quantum imaging framework,(2)enhanced hardware processes(field-programmable gate array/graphics processing unit acceleration),and(3)cost-benefit analyses demonstrating a 22-month return on investment breakeven point.Conclusion:Quantum-enhanced imaging has a lot of promise for use in medicine,especially in neurology and cancer.Future research should focus on multi-modal integration(e.g.,positron emission tomography–magnetic resonance imaging),cloud-based quantum simulations for enhanced accessibility,and extensive trials to confirm long-term diagnostic accuracy.This breakthrough gives healthcare systems a technology roadmap and a reason to spend money on quantum-enhanced diagnostics.展开更多
Airborne hyperspectral imaging spectrometers have been used for Earth observation over the past four decades.Despite the high sensitivity of push-broom hyperspectral imagers,they experience limited swath and wavelengt...Airborne hyperspectral imaging spectrometers have been used for Earth observation over the past four decades.Despite the high sensitivity of push-broom hyperspectral imagers,they experience limited swath and wavelength coverage.In this study,we report the development of a push-broom airborne multimodular imaging spectrometer(AMMIS)that spans ultraviolet(UV),visible near-infrared(VNIR),shortwave infrared(SWIR),and thermal infrared(TIR)wavelengths.As an integral part of China's HighResolution Earth Observation Program,AMMIS is intended for civilian applications and for validating key technologies for future spaceborne hyperspectral payloads.It has been mounted on aircraft platforms such as Y-5,Y-12,and XZ-60.Since 2016,AMMIS has been used to perform more than 30 flight campaigns and gather more than 200 TB of hyperspectral data.This study describes the system design,calibration techniques,performance tests,flight campaigns,and applications of the AMMIS.The system integrates UV,VNIR,SWIR,and TIR modules,which can be operated in combination or individually based on the application requirements.Each module includes three spectrometers,utilizing field-of-view(FOV)stitching technology to achieve a 40°FOV,thereby enhancing operational efficiency.We designed advanced optical systems for all modules,particularly for the TIR module,and employed cryogenic optical technology to maintain optical system stability at 100 K.Both laboratory and in-flight calibrations were conducted to improve preprocessing accuracy and produce high-quality hyperspectral data.The AMMIS features more than 1400 spectral bands,with spectral sampling intervals of 0.1 nm for UV,2.4 nm for VNIR,3 nm for SWIR,and 32 nm for TIR.In addition,the instantaneous fields of view(IFoVs)for the four modules were 0.5,0.25,0.5,and 1 mrad,respectively,with the VNIR module achieving an IFoV of 0.125 mrad in the high-spatial-resolution mode.This study reports on land-cover surveys,pollution gas detection,mineral exploration,coastal water detection,and plant investigations conducted using AMMIS,highlighting its excellent performance.Furthermore,we present three hyperspectral datasets with diverse scene distributions and categories suitable for developing artificial intelligence algorithms.This study paves the way for next-generation airborne and spaceborne hyperspectral payloads and serves as a valuable reference for hyperspectral sensor designers and data users.展开更多
1.Introduction Infrared Imaging Missiles(IRIMs)are advanced weapons utilizing infrared technology for target detection and tracking.Their sensors capture thermal signatures and convert them into electronic images,enab...1.Introduction Infrared Imaging Missiles(IRIMs)are advanced weapons utilizing infrared technology for target detection and tracking.Their sensors capture thermal signatures and convert them into electronic images,enabling precise target identification and tracking.To a certain extent,the all-weather adaptability of IRIMs enables their effective operation across diverse environmental conditions,providing high targeting accuracy and cost efficiency.展开更多
BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is a pivotal intervention for managing esophagogastric variceal bleeding in patients with chronic hepatic schistosomiasis.AIM To evaluate the efficacy of d...BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is a pivotal intervention for managing esophagogastric variceal bleeding in patients with chronic hepatic schistosomiasis.AIM To evaluate the efficacy of digital subtraction angiography image overlay tech-nology(DIT)in guiding the TIPS procedure.METHODS We conducted a retrospective analysis of patients who underwent TIPS at our hospital,comparing outcomes between an ultrasound-guided group and a DIT-guided group.Our analysis focused on the duration of the portosystemic shunt puncture,the number of punctures needed,the total surgical time,and various clinical indicators related to the surgery.RESULTS The study included 52 patients with esophagogastric varices due to chronic hepatic schistosomiasis.Results demonstrated that the DIT-guided group expe-rienced significantly shorter puncture times(P<0.001)and surgical durations(P=0.022)compared to the ultrasound-guided group.Additionally,postoperative assessments showed significant reductions in aspartate aminotransferase,B-type natriuretic peptide,and portal vein pressure in both groups.Notably,the DIT-guided group also showed significant reductions in total bilirubin(P=0.001)and alanine aminotransferase(P=0.023).CONCLUSION The use of DIT for guiding TIPS procedures highlights its potential to enhance procedural efficiency and reduce surgical times in the treatment of esophagogastric variceal bleeding in patients with chronic hepatic schistoso-miasis.展开更多
Radiation‐induced heart disease(RIHD)is a heterogeneous,delayed,and potentially fatal adverse reaction to radiation that can damage all structures of the heart,including the pericardium,myocardium,coronary arteries,v...Radiation‐induced heart disease(RIHD)is a heterogeneous,delayed,and potentially fatal adverse reaction to radiation that can damage all structures of the heart,including the pericardium,myocardium,coronary arteries,valves,and conduction system,leading to a series of diseases.Acute and chronic disease processes play a role in the development of RIHD,the onset times of which range from months to decades.However,the clinical manifestations of RIHD are usually insidious,overlap with several other diseases,and lack specificity.Cardiovascular imaging is essential for early diagnosis,follow‐up,and outcome assessment in patients with RIHD.This review first describes the pathogenesis and clinical manifestations of RIHD before providing an overview of the practical approaches and research advances in multimodal cardiovascular imaging in patients with RIHD,including echocardiography,cardiac magnetic resonance(CMR)and nuclear medicine,and cardiac computed tomography(CT).Then,the value of new cardiac imaging assessments for the early diagnosis of RIHD is described,particularly with relation to speckle‐tracking echocardiography,extracellular volume fraction assessment as a quantitative CMR technique,CMR myocardial strain assessment,positron emission tomography‐CT myocardial perfusion imaging,CT‐ECV,and CT strain assessment,amongst others.In addition,the advantages and disadvantages of each screening technique are compared with the aim of better guiding the follow‐up and diagnosis of subclinical RIHD and preventing cardiovascular events.展开更多
文摘The high mortality rates of colon and rectal tumors have put forward an urgent need for rapid, sensitive, and accurate diagnosis. The polarization imaging technology, with the advantages of noninvasiveness, noncontact, quantification, rapidity, and high sensitivity, is expected to be used for auxiliary diagnosis of colorectal cancer. Herein, the differences in colorectal tissues of four pathological types were studied using this powerful technology. Polarized light imaging combined with the Mueller matrix decomposition (MMPD) method was applied to extract structural features that may be related to colorectal tumors. It demonstrated that parameters δ and θ could reflect the structural differences of colorectal tumors. Preliminary simulated experiment results revealed that the parameter δ was related to the fiber density, and the parameter θ was related to the fiber angle. Then Tamura image texture analysis was used to quantitatively describe tissues of different pathological types, and the results showed that the coarseness, contrast, directionality, and roughness of the four groups were statistically different. Texture analysis based on the quantitative data of the four dimensions could be applied for the identification of benign and malignant colorectal tumors.
文摘BACKGROUND Hepatobiliary surgery is complex and requires a thorough understanding of the liver’s anatomy,biliary system,and vasculature.Traditional imaging methods such as computed tomography(CT)and magnetic resonance imaging(MRI),although helpful,fail to provide three-dimensional(3D)relationships of these structures,which are critical for planning and executing complicated surgeries.AIM To explore the use of 3D imaging and virtual surgical planning(VSP)technologies to improve surgical accuracy,reduce complications,and enhance patient recovery in hepatobiliary surgeries.METHODS A comprehensive review of studies published between 2017 and 2024 was conducted through PubMed,Scopus,Google Scholar,and Web of Science.Studies selected focused on 3D imaging and VSP applications in hepatobiliary surgery,assessing surgical precision,complications,and patient outcomes.Thirty studies,including randomized controlled trials,cohort studies,and case reports,were included in the final analysis.RESULTS Various 3D imaging modalities,including multidetector CT,MRI,and 3D rotational angiography,provide high-resolution views of the liver’s vascular and biliary anatomy.VSP allows surgeons to simulate complex surgeries,improving preoperative planning and reducing complications like bleeding and bile leaks.Several studies have demonstrated improved surgical precision,reduced complications,and faster recovery times when 3D imaging and VSP were used in complex surgeries.CONCLUSION 3D imaging and VSP technologies significantly enhance the accuracy and outcomes of hepatobiliary surgeries by providing individualized preoperative planning.While promising,further research,particularly randomized controlled trials,is needed to standardize protocols and evaluate long-term efficacy.
基金National Key Research and Development Program of China(2022YFC 3602400)Shanghai Municipal Health Commission“Top Priority Research Center”(2023-ZZ02021)+2 种基金Shanghai Public Health Key Discipline Construction Project(GWVI-11.1-26)Shanghai Academic/Technology Research Leader(21XD1432100)Key Research and Development Program of Shandong Province(2021SFGC0503)。
文摘Cardiovascular damage caused by cancer treatment has become an important cause of death for tumor survivors.With the recognition of cardiovascular diseases and cancer therapy-related cardiovascular toxicity(CTR-CVT)in tumor patients,noninvasive imaging technologies play pivotal roles in the risk stratification,early diagnosis,monitoring and follow-up for CTR-CVT.In recent years,the field of cardio-oncology has witnessed continual updates in diagnostic and therapeutic strategies,with several pertinent guidelines and expert consensus documents issued in China and abroad.However,there remains a conspicuous absence of systematic guidance documents on the application of imaging techniques in the clinical practice of cardio-oncology.Therefore,the Chinese Anti-Cancer Association Society of Integrative Cardio-oncology,the Ultrasound Branch of the Chinese Medical Association,and the Chinese Society of Echocardiography convened experts to formulate the"Chinese guideline for the clinical application of noninvasive imaging technology in accessing cancer therapy-related cardiovascular toxicity".Building upon the systematic evaluation of guidelines and the latest evidence-based medical research in the field of cardio-oncology domestically and abroad,and in conjunction with data derived from evidence-based medical research in China,this guideline proposes noninvasive imaging examination methods and monitoring strategies for CTR-CVT,aiming to further standardize and guide the clinical practice of multidisciplinary physicians specializing in cardio-oncology in China.
文摘The core sampling experiments were conducted after hydraulic fracturing in the three-dimensional development zone of Fuling shale gas.Six coring wells of different well types were systematically designed.Based on the integrated engineering technology of post-fracturing drilling,coring and monitoring of shale and the analysis of fracture source tracing,the evaluation of the fracture network after fracturing in the three-dimensional development of shale gas was conducted.The data of core fractures after fracturing indicate that three major types of fractures are formed after fracturing:natural fractures,hydraulic fractures,and fractures induced by external mechanical force,which are further classified into six subcategories:natural structural fractures,natural bedding fractures,hydraulic fractures,hydraulically activated fractures,drilling induced fractures,and fractures induced by core transportation.The forms of the artificial fracture network after fracturing are complex.Hydraulic fractures and hydraulically activated fractures interweave with each other,presenting eight forms of artificial fracture networks,among which the“一”-shaped fracture is the most common,accounting for approximately 70%of the total fractures.When the distance to the fractured wellbore is less than 35 m,the density of the artificial fracture network is relatively high;when it is 35–100 m,the density is lower;and when it is beyond 100 m,the density gradually increases.The results of the fracture tracing in the core sampling area confirm that the current fracturing technology can essentially achieve the differential transformation of the reservoir in the main area of Jiaoshiba block in Fuling.The three-layer three-dimensional development model can efficiently utilize shale gas reserves,although there is still room for improvement in the complexity and propagation uniformity of fractures.It is necessary to further optimize technologies such as close-cutting combined with temporary blocking and deflection within fractures or at fracture mouths,as well as limited flow perforation techniques,to promote the balanced initiation and extension of fractures.
基金supported by the National Natural Science Foundation of China,No.81301050,81401067,81271392,81471275,81541034the Natural Science Foundation of Tianjin City of China,No.14JCQNJC10200,15JCQNJC11100,16JCYBJC27600
文摘Conventional fabrication methods lack the ability to control both macro- and micro-structures of generated scaffolds. Three-dimensional printing is a solid free-form fabrication method that provides novel ways to create customized scaffolds with high precision and accuracy. In this study, an electrically controlled cortical impactor was used to induce randomized brain tissue defects. The overall shape of scaffolds was designed using rat-specific anatomical data obtained from magnetic resonance imaging, and the internal structure was created by computer- aided design. As the result of limitations arising from insufficient resolution of the manufacturing process, we magnified the size of the cavity model prototype five-fold to successfully fabricate customized collagen-chitosan scaffolds using three-dimensional printing. Results demonstrated that scaffolds have three-dimensional porous structures, high porosity, highly specific surface areas, pore connectivity and good internal characteristics. Neural stem cells co-cultured with scaffolds showed good viability, indicating good biocompatibility and biodegradability. This technique may be a promising new strategy for regenerating complex damaged brain tissues, and helps pave the way toward personalized medicine.
文摘Traditional laparoscopic liver cancer resection faces challenges,such as difficultiesin tumor localization and accurate marking of liver segments,as well as theinability to provide real-time intraoperative navigation.This approach falls shortof meeting the demands for precise and anatomical liver resection.The introductionof fluorescence imaging technology,particularly indocyanine green,hasdemonstrated significant advantages in visualizing bile ducts,tumor localization,segment staining,microscopic lesion display,margin examination,and lymphnode visualization.This technology addresses the inherent limitations oftraditional laparoscopy,which lacks direct tactile feedback,and is increasinglybecoming the standard in laparoscopic procedures.Guided by fluorescenceimaging technology,laparoscopic liver cancer resection is poised to become thepredominant technique for liver tumor removal,enhancing the accuracy,safetyand efficiency of the procedure.
文摘BACKGROUND Laparoscopic gastrectomy for esophagogastric junction(EGJ)carcinoma enables the removal of the carcinoma at the junction between the stomach and esophagus while preserving the gastric function,thereby providing patients with better treatment outcomes and quality of life.Nonetheless,this surgical technique also presents some challenges and limitations.Therefore,three-dimensional reconstruction visualization technology(3D RVT)has been introduced into the procedure,providing doctors with more comprehensive and intuitive anatomical information that helps with surgical planning,navigation,and outcome evaluation.AIM To discuss the application and advantages of 3D RVT in precise laparoscopic resection of EGJ carcinomas.METHODS Data were obtained from the electronic or paper-based medical records at The First Affiliated Hospital of Hebei North University from January 2020 to June 2022.A total of 120 patients diagnosed with EGJ carcinoma were included in the study.Of these,68 underwent laparoscopic resection after computed tomography(CT)-enhanced scanning and were categorized into the 2D group,whereas 52 underwent laparoscopic resection after CT-enhanced scanning and 3D RVT and were categorized into the 3D group.This study had two outcome measures:the deviation between tumor-related factors(such as maximum tumor diameter and infiltration length)in 3D RVT and clinical reality,and surgical outcome indicators(such as operative time,intraoperative blood loss,number of lymph node dissections,R0 resection rate,postoperative hospital stay,postoperative gas discharge time,drainage tube removal time,and related complications)between the 2D and 3D groups.RESULTS Among patients included in the 3D group,27 had a maximum tumor diameter of less than 3 cm,whereas 25 had a diameter of 3 cm or more.In actual surgical observations,24 had a diameter of less than 3 cm,whereas 28 had a diameter of 3 cm or more.The findings were consistent between the two methods(χ^(2)=0.346,P=0.556),with a kappa consistency coefficient of 0.808.With respect to infiltration length,in the 3D group,23 patients had a length of less than 5 cm,whereas 29 had a length of 5 cm or more.In actual surgical observations,20 cases had a length of less than 5 cm,whereas 32 had a length of 5 cm or more.The findings were consistent between the two methods(χ^(2)=0.357,P=0.550),with a kappa consistency coefficient of 0.486.Pearson correlation analysis showed that the maximum tumor diameter and infiltration length measured using 3D RVT were positively correlated with clinical observations during surgery(r=0.814 and 0.490,both P<0.05).The 3D group had a shorter operative time(157.02±8.38 vs 183.16±23.87),less intraoperative blood loss(83.65±14.22 vs 110.94±22.05),and higher number of lymph node dissections(28.98±2.82 vs 23.56±2.77)and R0 resection rate(80.77%vs 61.64%)than the 2D group.Furthermore,the 3D group had shorter hospital stay[8(8,9)vs 13(14,16)],time to gas passage[3(3,4)vs 4(5,5)],and drainage tube removal time[4(4,5)vs 6(6,7)]than the 2D group.The complication rate was lower in the 3D group(11.54%)than in the 2D group(26.47%)(χ^(2)=4.106,P<0.05).CONCLUSION Using 3D RVT,doctors can gain a more comprehensive and intuitive understanding of the anatomy and related lesions of EGJ carcinomas,thus enabling more accurate surgical planning.
基金supported by the National Magnetic Confinement Fusion Energy R&D Program of China(Nos.2018YFE0309100 and 2019YFE03010004)National Natural Science Foundation of China(No.51821005)。
文摘A toroidal soft x-ray imaging(T-SXRI)system has been developed to investigate threedimensional(3D)plasma physics on J-TEXT.This T-SXRI system consists of three sets of SXR arrays.Two sets are newly developed and located on the vacuum chamber wall at toroidal positionsφof 126.4°and 272.6°,respectively,while one set was established previously atφ=65.50.Each set of SXR arrays consists of three arrays viewing the plasma poloidally,and hence can be used separately to obtain SXR images via the tomographic method.The sawtooth precursor oscillations are measured by T-SXRI,and the corresponding images of perturbative SXR signals are successfully reconstructed at these three toroidal positions,hence providing measurement of the 3D structure of precursor oscillations.The observed 3D structure is consistent with the helical structure of the m/n=1/1 mode.The experimental observation confirms that the T-SXRI system is able to observe 3D structures in the J-TEXT plasma.
文摘The anatomic relationship of oral and maxillofacial region is very com-plex,due to the large number of sinuses,cavities and spaces,and also closely related to the brain.The diagnosis of oral and maxillofacial lesions usually depends on the imaging examination.The conventional imaging methods are common CT and X-ray plain films.In recent years,with the rapid development of medical science and technology,more intuitive and vivid three-dimensional images have been applied in the diagnosis and treatment of oral and maxillofacial diseases.Therefore,CT three-dimensional imaging technology has been widely used in clinical practice.This paper reviews this topic.
文摘Skin imaging technologies such as dermoscopy, high-frequency ultrasound, reflective confocal microscopy and optical coherence tomography are developing rapidly in clinical application. Skin imaging technology can improve clinical diagnosis rate, and its non-invasiveness and repeatability make it occupy an irreplaceable position in clinical diagnosis. With the “booming development” of medical technology, skin imaging technology can improve clinical diagnosis rate. Researchers have made significant advances in assisting clinical diagnosis, prediction, and treatment of disease. This article reviews the application and progress of skin imaging in the diagnosis of psoriasis.
基金supported by grants from the National Key R&D Program of China,No.2017YFC0909200(to DC)the National Natural Science Foundation of China,No.62075225(to HZ)+1 种基金Zhejiang Provincial Medical Health Science and Technology Project,No.2023XY053(to ZP)Zhejiang Provincial Traditional Chinese Medical Science and Technology Project,No.2023ZL703(to ZP).
文摘Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences.In this article,we review the development of terahertz biotechnology and its applications in the field of neuropsychiatry.Available evidence indicates promising prospects for the use of terahertz spectroscopy and terahertz imaging techniques in the diagnosis of amyloid disease,cerebrovascular disease,glioma,psychiatric disease,traumatic brain injury,and myelin deficit.In vitro and animal experiments have also demonstrated the potential therapeutic value of terahertz technology in some neuropsychiatric diseases.Although the precise underlying mechanism of the interactions between terahertz electromagnetic waves and the biosystem is not yet fully understood,the research progress in this field shows great potential for biomedical noninvasive diagnostic and therapeutic applications.However,the biosafety of terahertz radiation requires further exploration regarding its two-sided efficacy in practical applications.This review demonstrates that terahertz biotechnology has the potential to be a promising method in the field of neuropsychiatry based on its unique advantages.
文摘BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution,this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs,outlines its typical radiographic features,and provides a literature review on the etiology,clinical presentation,and management of this condition.CONCLUSION This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.
文摘With the reform and opening up entering a new era,China’s modern civilization and technology are“rolling forward”.In the medical field,innovative changes in radiology imaging technology have presented unprecedented value opportunities in tumor diagnosis.Therefore,this article explores the classification of radiological imaging techniques,specifically including X-ray imaging,Computed Tomography(CT),Magnetic Resonance Imaging(MRI),Positron Emission Tomography(PET),and ultrasound imaging.Furthermore,it analyzes the practical application of these key technologies in tumor diagnosis and propose new ideas.In the end,the advantages and characteristics of radiology imaging technology are evaluated,and two limitations are also pointed out,which deserves profound reflection.
基金Princess Nourah Bint Abdulrahman University Researchers Supporting Project number(PNURSP2025R826),Princess Nourah Bint Abdulrahman University,Riyadh,Saudi ArabiaNorthern Border University,Saudi Arabia,for supporting this work through project number(NBU-CRP-2025-2933).
文摘Brain tumor segmentation from Magnetic Resonance Imaging(MRI)supports neurologists and radiologists in analyzing tumors and developing personalized treatment plans,making it a crucial yet challenging task.Supervised models such as 3D U-Net perform well in this domain,but their accuracy significantly improves with appropriate preprocessing.This paper demonstrates the effectiveness of preprocessing in brain tumor segmentation by applying a pre-segmentation step based on the Generalized Gaussian Mixture Model(GGMM)to T1 contrastenhanced MRI scans from the BraTS 2020 dataset.The Expectation-Maximization(EM)algorithm is employed to estimate parameters for four tissue classes,generating a new pre-segmented channel that enhances the training and performance of the 3DU-Net model.The proposed GGMM+3D U-Net framework achieved a Dice coefficient of 0.88 for whole tumor segmentation,outperforming both the standard multiscale 3D U-Net(0.84)and MMU-Net(0.85).It also delivered higher Intersection over Union(IoU)scores compared to models trained without preprocessing or with simpler GMM-based segmentation.These results,supported by qualitative visualizations,suggest that GGMM-based preprocessing should be integrated into brain tumor segmentation pipelines to optimize performance.
文摘This research systematically investigates urban three-dimensional greening layout optimization and smart ecocity construction using deep learning and remote sensing technology.An improved U-Net++ architecture combined with multi-source remote sensing data achieved high-precision recognition of urban three-dimensional greening with 92.8% overall accuracy.Analysis of spatiotemporal evolution patterns in Shanghai,Hangzhou,and Nanjing revealed that threedimensional greening shows a development trend from demonstration to popularization,with 16.5% annual growth rate.The study quantitatively assessed ecological benefits of various three-dimensional greening types.Results indicate that modular vertical greening and intensive roof gardens yield highest ecological benefits,while climbing-type vertical greening and extensive roof gardens offer optimal benefit-cost ratios.Integration of multiple forms generates 15-22% synergistic enhancement.Compared with traditional planning,the multi-objective optimization-based layout achieved 27.5% increase in carbon sequestration,32.6% improvement in temperature regulation,35.8% enhancement in stormwater management,and 42.3% rise in biodiversity index.Three pilot projects validated that actual ecological benefits reached 90.3-102.3% of predicted values.Multi-scenario simulations indicate optimized layouts can reduce urban heat island intensity by 15.2-18.7%,increase carbon neutrality contribution to 8.6-10.2%,and decrease stormwater runoff peaks by 25.3-32.6%.The findings provide technical methods for urban three-dimensional greening optimization and smart eco-city construction,promoting sustainable urban development.
文摘Background:Quantum-enhanced medical imaging algorithms–quantum entanglement reconstruction,quantum noise suppression,and quantum beamforming–propose possible remedies for significant constraints in traditional diagnostic imaging,such as resolution,radiation efficiency,and real-time processing.Methods:This work used a mixed-methods strategy,including controlled phantom experiments,retrospective multi-center clinical data analysis,and quantum-classical hybrid processing to assess enhancements in resolution,dosage efficiency,and diagnostic confidence.Statistical validation included analysis of variance(ANOVA)and receiver-operating characteristic curve analysis,juxtaposing quantum-enhanced methodologies with conventional and deep learning approaches.Results:Quantum entanglement reconstruction enhanced magnetic resonance imaging spatial resolution by 33.2%(P<0.01),quantum noise suppression facilitated computed tomography scans with a 60%reduction in radiation,and quantum beamforming improved ultrasound contrast by 27%while preserving real-time processing(<2 ms delay).Inter-reader variability(12%in Diagnostic Confidence Scores)showed that systematic training is needed,even if the performance was better.The research presented(1)a reusable clinical quantum imaging framework,(2)enhanced hardware processes(field-programmable gate array/graphics processing unit acceleration),and(3)cost-benefit analyses demonstrating a 22-month return on investment breakeven point.Conclusion:Quantum-enhanced imaging has a lot of promise for use in medicine,especially in neurology and cancer.Future research should focus on multi-modal integration(e.g.,positron emission tomography–magnetic resonance imaging),cloud-based quantum simulations for enhanced accessibility,and extensive trials to confirm long-term diagnostic accuracy.This breakthrough gives healthcare systems a technology roadmap and a reason to spend money on quantum-enhanced diagnostics.
基金supported by the Shanghai Industrial Collaborative Innovation Fund(HCXBCY-2021-001)the Academy of Finland(349229)。
文摘Airborne hyperspectral imaging spectrometers have been used for Earth observation over the past four decades.Despite the high sensitivity of push-broom hyperspectral imagers,they experience limited swath and wavelength coverage.In this study,we report the development of a push-broom airborne multimodular imaging spectrometer(AMMIS)that spans ultraviolet(UV),visible near-infrared(VNIR),shortwave infrared(SWIR),and thermal infrared(TIR)wavelengths.As an integral part of China's HighResolution Earth Observation Program,AMMIS is intended for civilian applications and for validating key technologies for future spaceborne hyperspectral payloads.It has been mounted on aircraft platforms such as Y-5,Y-12,and XZ-60.Since 2016,AMMIS has been used to perform more than 30 flight campaigns and gather more than 200 TB of hyperspectral data.This study describes the system design,calibration techniques,performance tests,flight campaigns,and applications of the AMMIS.The system integrates UV,VNIR,SWIR,and TIR modules,which can be operated in combination or individually based on the application requirements.Each module includes three spectrometers,utilizing field-of-view(FOV)stitching technology to achieve a 40°FOV,thereby enhancing operational efficiency.We designed advanced optical systems for all modules,particularly for the TIR module,and employed cryogenic optical technology to maintain optical system stability at 100 K.Both laboratory and in-flight calibrations were conducted to improve preprocessing accuracy and produce high-quality hyperspectral data.The AMMIS features more than 1400 spectral bands,with spectral sampling intervals of 0.1 nm for UV,2.4 nm for VNIR,3 nm for SWIR,and 32 nm for TIR.In addition,the instantaneous fields of view(IFoVs)for the four modules were 0.5,0.25,0.5,and 1 mrad,respectively,with the VNIR module achieving an IFoV of 0.125 mrad in the high-spatial-resolution mode.This study reports on land-cover surveys,pollution gas detection,mineral exploration,coastal water detection,and plant investigations conducted using AMMIS,highlighting its excellent performance.Furthermore,we present three hyperspectral datasets with diverse scene distributions and categories suitable for developing artificial intelligence algorithms.This study paves the way for next-generation airborne and spaceborne hyperspectral payloads and serves as a valuable reference for hyperspectral sensor designers and data users.
基金co-supported by the China Postdoctoral Science Foundation(No.2024M754304)the Hunan Provincial Natural Science Foundation of China(No.2025JJ60072)。
文摘1.Introduction Infrared Imaging Missiles(IRIMs)are advanced weapons utilizing infrared technology for target detection and tracking.Their sensors capture thermal signatures and convert them into electronic images,enabling precise target identification and tracking.To a certain extent,the all-weather adaptability of IRIMs enables their effective operation across diverse environmental conditions,providing high targeting accuracy and cost efficiency.
基金Jinshan Science and Technology Committee(the data collection for this study was partially funded by the project),No.2021-3-05.
文摘BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is a pivotal intervention for managing esophagogastric variceal bleeding in patients with chronic hepatic schistosomiasis.AIM To evaluate the efficacy of digital subtraction angiography image overlay tech-nology(DIT)in guiding the TIPS procedure.METHODS We conducted a retrospective analysis of patients who underwent TIPS at our hospital,comparing outcomes between an ultrasound-guided group and a DIT-guided group.Our analysis focused on the duration of the portosystemic shunt puncture,the number of punctures needed,the total surgical time,and various clinical indicators related to the surgery.RESULTS The study included 52 patients with esophagogastric varices due to chronic hepatic schistosomiasis.Results demonstrated that the DIT-guided group expe-rienced significantly shorter puncture times(P<0.001)and surgical durations(P=0.022)compared to the ultrasound-guided group.Additionally,postoperative assessments showed significant reductions in aspartate aminotransferase,B-type natriuretic peptide,and portal vein pressure in both groups.Notably,the DIT-guided group also showed significant reductions in total bilirubin(P=0.001)and alanine aminotransferase(P=0.023).CONCLUSION The use of DIT for guiding TIPS procedures highlights its potential to enhance procedural efficiency and reduce surgical times in the treatment of esophagogastric variceal bleeding in patients with chronic hepatic schistoso-miasis.
文摘Radiation‐induced heart disease(RIHD)is a heterogeneous,delayed,and potentially fatal adverse reaction to radiation that can damage all structures of the heart,including the pericardium,myocardium,coronary arteries,valves,and conduction system,leading to a series of diseases.Acute and chronic disease processes play a role in the development of RIHD,the onset times of which range from months to decades.However,the clinical manifestations of RIHD are usually insidious,overlap with several other diseases,and lack specificity.Cardiovascular imaging is essential for early diagnosis,follow‐up,and outcome assessment in patients with RIHD.This review first describes the pathogenesis and clinical manifestations of RIHD before providing an overview of the practical approaches and research advances in multimodal cardiovascular imaging in patients with RIHD,including echocardiography,cardiac magnetic resonance(CMR)and nuclear medicine,and cardiac computed tomography(CT).Then,the value of new cardiac imaging assessments for the early diagnosis of RIHD is described,particularly with relation to speckle‐tracking echocardiography,extracellular volume fraction assessment as a quantitative CMR technique,CMR myocardial strain assessment,positron emission tomography‐CT myocardial perfusion imaging,CT‐ECV,and CT strain assessment,amongst others.In addition,the advantages and disadvantages of each screening technique are compared with the aim of better guiding the follow‐up and diagnosis of subclinical RIHD and preventing cardiovascular events.
