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Residual tumor and central lymph node metastasis after thermal ablation of papillary thyroid carcinoma: A case report and review of literature 被引量:1
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作者 Yu Hua Jia-Wen Yang +3 位作者 Liu He Hua Xu Hai-Zhong Huo Chen-Fang Zhu 《World Journal of Clinical Cases》 SCIE 2021年第1期252-261,共10页
BACKGROUND Debate exists regarding the use of thermal ablation(TA)to treat papillary thyroid carcinoma(PTC).Some studies have recommended TA as a new,efcient and safe technology for PTC.In this article,we report one ... BACKGROUND Debate exists regarding the use of thermal ablation(TA)to treat papillary thyroid carcinoma(PTC).Some studies have recommended TA as a new,efcient and safe technology for PTC.In this article,we report one case of a residual tumor and central lymph node metastasis(CLNM)after TA for PTC.CASE SUMMARY A 63-year-old female underwent bilateral ultrasound(US)-guided radiofrequency ablation for PTC.Three months later,she was diagnosed as thyroid cancer with suspected CLNM by US and contrast-enhanced computed tomography.The subsequent fine-needle aspiration(FNA)biopsies were negative.Due to her strong personal preference,she underwent total thyroidectomy and central lymph node dissection.Local tissue adhesion and a difficult dissection were noted during the operation.The pathology of the frozen sections during the operation was still negative.The final pathology results of paraffin-embedded sections revealed residual tumor cells at the edge of the PTC and CLNM.CONCLUSION TA may lead to a residual tumor in patients with PTC.Follow-up using US and FNA biopsy may not be adequate to evaluate the residual tumor.TA should be carefully considered in PTC treatment. 展开更多
关键词 Papillary thyroid carcinoma Thermal ablation Residual tumor central lymph node metastasis FOLLOW-UP Case report
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Nonintubated thoracoscopic lobectomy plus lymph node dissection following segmentectomy for central type pulmonary masses 被引量:7
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作者 Wenlong Shao Wei Wang +4 位作者 Weiqiang Yin Zhihua Guo Guilin Peng Ying Chen Jianxing He 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2013年第1期124-127,共4页
Lung cancer is the most common cancer worldwide. In the United States, it causes more cancer-related deaths than the next four causes (breast cancer, prostate cancer, colon cancer, and pancreatic cancer) of cancer-r... Lung cancer is the most common cancer worldwide. In the United States, it causes more cancer-related deaths than the next four causes (breast cancer, prostate cancer, colon cancer, and pancreatic cancer) of cancer-related mortality combined (1). About 30% of people have already progressed to stage III lung cancer and 40% to stage IV at the time they are diagnosed (2). Although chest X-ray and sputum cytology, when applied in health check-ups, can identify some relatively small tumors, they are not able to lower the overall mortality (3). More recently, 展开更多
关键词 node VATS Nonintubated thoracoscopic lobectomy plus lymph node dissection following segmentectomy for central type pulmonary masses lung
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The Number of Lymph Nodes and Relationship with Presence of Thyroiditis and Thymic Tissue in the Central Neck Dissection Materials for Thyroid Papillary Carcinoma: Pathologic Analysis
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作者 Banu Bilezikçi Seyfettin Ilgan +1 位作者 Serdar Özbaş Savaş Koçak 《International Journal of Clinical Medicine》 2016年第9期566-576,共11页
Background: Central lymph node dissection (CLND) for papillary thyroid carcinoma (PTC) allows correct pathologic staging of lymph nodes and planning of postoperative management. The purpose of this study was to determ... Background: Central lymph node dissection (CLND) for papillary thyroid carcinoma (PTC) allows correct pathologic staging of lymph nodes and planning of postoperative management. The purpose of this study was to determine the number of the lymph nodes in the CLND and the relationship to presence of chronic lymphocytic thyroiditis (CLT) and thymic tissue (TT). Methods: Total thyroidectomy and CLND materials from 153 patients with PTC were included in this study. Two histopathologic features (presence of CLT and TT) were evaluated for their value in adequacy of CLND. Results: Histopathologic examination revealed CLT and TT in CLND materials in 70 (46%) and 63 (41%) patients, respectively. Total number of lymph nodes in CLND materials was significantly higher in CLT (+) and TT (+) groups (p Conclusions: Our study demonstrates that presence of CLT in thyroid gland has been associated with higher number of central lymph nodes mainly due to increased number of benign hyperplastic lymph nodes. It may be possible to conclude that upper limit of lymph nodes for satisfactory CLND would be higher to correctly evaluate central lymph node status in existing staging systems if specimens have CLT. Results of this study also show that the presence of TT in surgical materials may represent the adequacy of CLND. 展开更多
关键词 Thyroid Papillary Carcinoma central Lymph node Dissection THYROIDITIS THYMUS
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Reassembly of the axon initial segment and nodes of Ranvier in regenerated axons of the central nervous system
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作者 Miguel A.Marin Matthew N.Rasband 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第8期1276-1277,共2页
Myelinated axons of the peripheral and central nervous system(PNS&CNS)are divided into molecularly distinct excitable domains,including the axon initial segment(AIS)and nodes of Ranvier.The AIS is composed of a d... Myelinated axons of the peripheral and central nervous system(PNS&CNS)are divided into molecularly distinct excitable domains,including the axon initial segment(AIS)and nodes of Ranvier.The AIS is composed of a dense network of cytoskeletal proteins,cell adhesion molecules,and voltage gated ion channels and is located at the proximal most region of the axon(Koleand Stuart, 2012). 展开更多
关键词 node CPT AMP Reassembly of the axon initial segment and nodes of Ranvier in regenerated axons of the central nervous system AIS RGCS
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甲状腺乳头状癌伴中央区淋巴结转移危险因素及预测模型构建
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作者 李敏 张志波 +2 位作者 谢晓艳 唐萍 党学娟 《临床医学研究与实践》 2026年第6期30-34,共5页
目的 筛选甲状腺乳头状癌(PTC)患者出现中央区淋巴结转移(CLNM)的独立预测因子,并构建多指标联合模型,以提升术前风险评估效能,为手术方式及淋巴结清扫范围的选择提供量化依据。方法 选取2020年10月至2024年12月在兰州大学第一医院行甲... 目的 筛选甲状腺乳头状癌(PTC)患者出现中央区淋巴结转移(CLNM)的独立预测因子,并构建多指标联合模型,以提升术前风险评估效能,为手术方式及淋巴结清扫范围的选择提供量化依据。方法 选取2020年10月至2024年12月在兰州大学第一医院行甲状腺切除术且病理确诊为PTC的285例患者,按照是否出现CLNM将其分为CLNM组和无CLNM组。比较两组的一般资料、超声特征及血清学指标。结果 285例PTC患者中,发生CLNM 70例,未发生CLNM 215例。两组的年龄、肿瘤最大径、钙化、血供比较,差异具有统计学意义(P<0.05)。二元Logistic回归分析显示,年龄≤47岁、肿瘤最大径>1 cm、血供Ⅲ级是PTC患者发生CLNM的危险因素(P<0.05);据此建立列线图模型,年龄、肿瘤最大径、血供联合预测PTC患者发生CLNM的曲线下面积(AUC)为0.745(95%CI 0.714~0.747),灵敏度67.1%,特异度82.3%。校准曲线表明,模型的预测概率和实际概率具有较好的一致性。结论 年龄≤47岁、肿瘤最大径>1 cm、血供Ⅲ级是PTC患者发生CLNM的危险因素,在此基础上建立列线图模型可以提升PTC患者发生CLNM的预测能力及可靠性。 展开更多
关键词 甲状腺乳头状癌 中央区淋巴结转移 危险因素 预测工具 列线图模型
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基于双模态超声影像组学模型预测临床淋巴结阴性甲状腺乳头状癌中央区淋巴结转移
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作者 杨洁 李梦琳 +4 位作者 崔广和 王文娟 徐宇缘 赵婧瑄 刘菲菲 《肿瘤影像学》 2026年第1期48-56,共9页
目的:探讨基于临床淋巴结阴性(clinical lymph node-negative,CN0)甲状腺乳头状癌(papillary thyroid carcinoma,PTC)原发灶的双模态超声图像(常规灰阶超声和应变式弹性成像)影像组学评分(Rad-score)联合超声特征构建列线图模型,用于术... 目的:探讨基于临床淋巴结阴性(clinical lymph node-negative,CN0)甲状腺乳头状癌(papillary thyroid carcinoma,PTC)原发灶的双模态超声图像(常规灰阶超声和应变式弹性成像)影像组学评分(Rad-score)联合超声特征构建列线图模型,用于术前预测中央区淋巴结转移(central lymph node metastasis,CLNM)的临床价值。方法:回顾并纳入2022年3月—2023年12月于滨州医学院附属医院行甲状腺切除术联合预防性中央区淋巴结清扫(prophylactic central lymph node dissection,pCLND)的CN0 PTC患者,按7∶3比例随机分为训练集和测试集。根据术后病理学检查结果分为CLNM阳性组与阴性组。采用Python对双模态超声图像进行预处理,使用3D Slicer软件手动勾画病灶感兴趣区(region of interest,ROI),基于Pyradiomics提取影像组学特征,通过最小冗余最大相关算法(minimal redundancy maximal relevance,mRMR)和最小绝对收缩与选择算子(least absolute shrinkage and selection operator,LASSO)筛选最优特征,并利用随机森林算法分别构建常规灰阶超声、应变式弹性超声及双模态超声影像组学模型并生成Rad-score。通过单因素及多因素logistic回归分析筛选CLNM的独立危险因素并构建临床模型。采用受试者工作特征(receiver operating characteristic,ROC)曲线评估各模型预测性能,筛选曲线下面积(area under curve,AUC)最优的双模态Rad-score联合独立危险因素建立联合模型并绘制列线图。结果:共纳入220例患者,其中CLNM阳性组80例,阴性组140例。常规灰阶超声、应变式弹性超声及双模态超声3种影像组学模型在训练集的AUC分别为0.697(95%CI 0.620~0.773)、0.715(95%CI 0.639~0.792)、0.734(95%CI 0.626~0.857),在测试集的AUC分别为0.703(95%CI 0.585~0.823)、0.731(95%CI 0.617~0.845)、0.742(95%CI 0.637~0.871)。结节最大径及被膜是否侵犯作为独立风险因素构建的临床模型,在训练集及测试集的AUC分别为0.674 (95%CI 0.599~0.748)、0.675 (95%CI 0.561~0.789)。双模态Rad-score联合结节最大径、被膜是否侵犯构建的联合模型并绘制列线图,在训练集和测试集AUC分别为0.776 (95%CI 0.701~0.851)、0.754 (95%CI 0.659~0.810)。列线图模型的AUC优于3种影像组学模型和临床模型(P<0.05)。结论:列线图模型具有较好的预测效能,其作为可视化工具,在术前预测临床淋巴结阴性甲状腺乳头状癌CLNM状态具有重要的价值,有望协助临床制订个体化诊疗方案。 展开更多
关键词 双模态超声检查 影像组学 甲状腺乳头状癌 临床淋巴结阴性 中央区淋巴结转移
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基于多模态数据的甲状腺髓样癌中央区淋巴结转移术前预测模型的构建与分析
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作者 张祥 柳卫 +1 位作者 杨倩倩 张燕 《南京医科大学学报(自然科学版)》 北大核心 2026年第1期14-20,共7页
目的:基于多模态数据构建甲状腺髓样癌(medullary thyroid carcinoma,MTC)中央区淋巴结转移(central lymph node metastasis,CLNM)的预测模型,并分析其临床意义。方法:回顾性分析2017年1月—2025年5月南京医科大学第一附属医院收治的104... 目的:基于多模态数据构建甲状腺髓样癌(medullary thyroid carcinoma,MTC)中央区淋巴结转移(central lymph node metastasis,CLNM)的预测模型,并分析其临床意义。方法:回顾性分析2017年1月—2025年5月南京医科大学第一附属医院收治的104例MTC患者的临床病理资料、术前影像学特征及实验室指标。通过单因素Logistic回归初步筛选变量(P<0.1),进一步采用向后逐步回归法进行多因素Logistic回归分析筛选CLNM的独立危险因素,构建预测模型并绘制列线图,受试者工作特征(receiver operating characteristic,ROC)曲线、校准曲线和决策曲线分析(decision curve analysis,DCA)评估模型的区分度、校准度和临床适用性,使用Bootstrap法进行内部验证。结果:根据病理结果是否存在CLNM将104例MTC患者分成转移组(55例)与非转移组(49例)。与非转移组患者相比,转移组患者性别(P=0.001)、超声形态是否规则(P<0.001)、超声边缘是否光整(P<0.001)、血清癌胚抗原(carcinoembryonic antigen,CEA)水平(P=0.006)、血清降钙素(calcitonin,CT)水平(P<0.001)等差异有统计学意义。多因素Logistic回归分析显示,患者的性别(OR=6.50,95%CI:2.03~20.81,P=0.002)、超声边缘是否光整(OR=9.77,95%CI:3.12~30.59,P<0.001)以及血清CT水平(OR=1.25,95%CI:1.10~1.42,P<0.001)是CLNM的独立危险因素。联合三者建立的列线图模型可良好地识别CLNM,ROC曲线下面积(area under the curve,AUC)为0.873,95%CI:0.808~0.939,校准曲线和DCA均表明该模型具有良好的性能及临床适用性。使用Bootstrap法进行内部验证也显示该模型具有良好的稳定性和可靠性(AUC=0.874,95%CI:0.865~0.879)。结论:结合患者的性别、超声边缘是否光整以及血清CT水平的多模态数据模型能有效预测MTC患者CLNM风险,为临床决策提供依据。 展开更多
关键词 甲状腺髓样癌 中央区淋巴结转移 多模态数据 预测模型
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超声生境影像组学融合模型预测甲状腺乳头状癌淋巴结转移
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作者 杨语欣 刘水清 +3 位作者 朱优龙 冯嘉伟 叶晶 江勇 《新医学》 2026年第2期171-183,共13页
目的构建整合超声生境影像组学特征、临床参数和免疫学标志物的多模态融合模型,用于术前评估临床淋巴结阴性(c N0)甲状腺乳头状癌(PTC)患者的中央区淋巴结转移(CLNM)风险。方法回顾性分析2022年1月至2024年6月在常州市第一人民医院和徐... 目的构建整合超声生境影像组学特征、临床参数和免疫学标志物的多模态融合模型,用于术前评估临床淋巴结阴性(c N0)甲状腺乳头状癌(PTC)患者的中央区淋巴结转移(CLNM)风险。方法回顾性分析2022年1月至2024年6月在常州市第一人民医院和徐州市中心医院诊治的748例PTC患者临床资料,按约7∶3的比例随机分配到训练组(n=404)和内部验证组(n=179),另设外部验证组(n=165)。采用超像素过度分割和K-means聚类算法识别超声图像中3个不同生境,从各生境中提取放射组学特征并经三步法筛选。多因素Logistic回归分析临床和免疫学参数,运用早期融合、晚期融合和集成融合3种策略整合各模态数据构建机器学习模型。结果多因素Logistic回归分析显示,存在桥本甲状腺炎是CLNM的保护因素(OR=0.357,95%CI:0.146~0.873,P=0.024),多灶性(OR=2.627,95%CI:1.142~6.039,P=0.023)和系统免疫炎症指数升高(OR=1.002,95%CI:1.001~1.003,P<0.001)是独立危险因素。超声生境分析中,生境3(低回声不均质区域)与CLNM关联最强。集成融合投票分类器在预测CLNM中表现最优,在训练集、内部验证集和外部验证集中受试者操作特征(ROC)曲线下面积(AUC)分别为0.98(95%CI:0.96~0.99)、0.98(95%CI:0.96~0.99)和0.97(95%CI:0.95~0.99),准确率分别为0.93、0.95和0.86,灵敏度和特异度均超过0.85。结论多模态生境影像融合模型为术前评估cN0 PTC患者的CLNM风险提供了准确、可解释的工具,有望改善临床决策并优化个体化治疗策略。 展开更多
关键词 甲状腺乳头状癌 中央区淋巴结转移 生境影像学 影像组学 多模态融合 机器学习
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淋巴细胞相关炎症指数在甲状腺乳头状癌淋巴结转移中的研究进展
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作者 闵楠 胡军 朱武飞 《中国现代医学杂志》 2026年第2期31-35,共5页
近年来炎症与肿瘤的相互作用机制成为研究热点,尤其为甲状腺乳头状癌(PTC)淋巴结转移(LNM)患者的预测提供了新视角。该文系统评价了中性粒细胞/淋巴细胞比值、淋巴细胞/单核细胞比值、血小板/淋巴细胞比值及全身免疫炎症指数(SII)与肿... 近年来炎症与肿瘤的相互作用机制成为研究热点,尤其为甲状腺乳头状癌(PTC)淋巴结转移(LNM)患者的预测提供了新视角。该文系统评价了中性粒细胞/淋巴细胞比值、淋巴细胞/单核细胞比值、血小板/淋巴细胞比值及全身免疫炎症指数(SII)与肿瘤细胞相互作用的分子机制,揭示了SII通过整合血小板介导的血管生成、中性粒细胞源性炎症级联及淋巴细胞耗竭动态,精准反映肿瘤免疫反应全过程。同时基于这些炎症指标构建术前决策树模型使中央区淋巴结清扫阳性率提高,为临床上实现PTC患者LNM风险的精准分层及个体化治疗策略的优化提供了理论依据。 展开更多
关键词 甲状腺乳头状癌 中央区淋巴结转移 炎症指标
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基于机器学习构建甲状腺乳头状癌中央区淋巴结转移预测模型及可解释性分析
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作者 方明宇 陈玉琳 《齐齐哈尔医学院学报》 2026年第1期25-30,共6页
目的探讨甲状腺乳头状癌(PTC)患者中央区淋巴结转移(CLNM)的关键影响因素,基于机器学习算法构建并验证高效的CLNM预测模型。方法选择2021年2月—2025年1月本院收治的730例PTC患者作为研究对象,按7︰3比例随机分为建模组(n=511)和验证组(... 目的探讨甲状腺乳头状癌(PTC)患者中央区淋巴结转移(CLNM)的关键影响因素,基于机器学习算法构建并验证高效的CLNM预测模型。方法选择2021年2月—2025年1月本院收治的730例PTC患者作为研究对象,按7︰3比例随机分为建模组(n=511)和验证组(n=219)两组。在建模组中采用Lasso回归筛选与CLNM相关的影响因素,基于筛选出的特征变量分别构建XGBoost、支持向量机(SVM)、轻量级梯度提升机(LightGBM)、随机森林(RF)、朴素贝叶斯(NB)和人工神经网络(ANN)共6种机器学习预测模型。采用受试者工作特征曲线下面积(AUC)、准确率、精确率、召回率和F1分数等指标评估各模型的预测效能,并使用SHAP方法分析最优模型的特征重要性。结果建模组与验证组CLNM发生率分别为40.1%(205/511)、37.0%(81/219)。Lasso回归筛选出7个关键预测变量:性别、甲状腺包膜受累、淋巴结长径与短径比值、淋巴结高血供、淋巴结钙化、淋巴结高回声团及淋巴结囊性变。在6种机器学习模型中,XGBoost模型的预测效能最优,其在建模组和验证组中的AUC值分别为0.840和0.841。SHAP分析显示,对XGBoost模型预测贡献度最大的前3个特征依次为性别、淋巴结高血供和淋巴结钙化。结论本研究构建的XGBoost模型对PTC患者CLNM具有良好的预测能力,结合SHAP分析提供模型决策的可解释性,有助于临床术前风险评估和个体化手术方案制定。 展开更多
关键词 甲状腺乳头状癌 中央区淋巴结转移 机器学习 预测模型
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超声影像组学联合血清球蛋白预测甲状腺乳头状癌中央区淋巴结转移的价值
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作者 商留阳 王华 《黑龙江医药科学》 2026年第2期9-12,共4页
目的:基于超声影像组学特征和术前血清甲状腺球蛋白(Tg)水平,构建预测甲状腺乳头状癌(PTC)患者中央区淋巴结转移(CLNM)风险的联合模型。方法:选取2022年1月至2024年6月洛阳市中心医院经病理证实的PTC患者147例,其中CLNM阳性85例,阴性62... 目的:基于超声影像组学特征和术前血清甲状腺球蛋白(Tg)水平,构建预测甲状腺乳头状癌(PTC)患者中央区淋巴结转移(CLNM)风险的联合模型。方法:选取2022年1月至2024年6月洛阳市中心医院经病理证实的PTC患者147例,其中CLNM阳性85例,阴性62例。按7:3比例将患者随机分为训练组103例与测试组44例。所有患者术前检测血清Tg。在灰阶超声图像中勾画感兴趣区域(ROI),提取影像组学特征后采用最小绝对收缩和选择算子(LASSO)进行特征筛选,并计算每例患者的影像组学评分(RadScore)。分别建立血清Tg模型、影像组学模型及联合模型,采用受试者工作特征(ROC)曲线评估各模型预测CLNM的性能。结果:联合模型在训练组和测试组中的曲线下面积(AUC)分别为0.927(95%CI:0.873~0.982)和0.872(95%CI:0.761~0.982),优于血清Tg模型(0.789、0.746)和影像组学模型(0.862、0.760)。临床决策曲线分析(DCA)显示联合模型具有较高临床适用性。结论:基于超声影像组学特征联合术前血清Tg水平构建的模型可有效预测PTC患者CLNM风险,性能优于单一指标模型。 展开更多
关键词 甲状腺乳头状癌 超声影像组学 甲状腺球蛋白 中央区淋巴结转移 预测模型
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基于社团挖掘的双层网络节点重要性评价方法
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作者 罗章凯 唐婉莹 +1 位作者 裴忠民 王新敏 《航天工程大学学报》 2026年第1期86-91,共6页
为更准确定位双层网络中重要节点,提出了一种结合社团结构挖掘和度中心性的节点重要性评价方法。采用社团结构挖掘算法挖掘并分析网络中的社团结构,对每个社团中的节点采用度中心性指标对节点进行排序,获得每个社团中节点重要性排序,进... 为更准确定位双层网络中重要节点,提出了一种结合社团结构挖掘和度中心性的节点重要性评价方法。采用社团结构挖掘算法挖掘并分析网络中的社团结构,对每个社团中的节点采用度中心性指标对节点进行排序,获得每个社团中节点重要性排序,进而依据社团结构大小对社团进行排序,即社团规模越大,社团重要性越高。通过结合社团排序和节点排序,最终得出网络中节点重要性排序表。在具有小世界网络和无标度网络拓扑结构的网络中进行仿真,结果表明:该方法性能优于单独采用度中心性、介数中心性或随机选择方法对网络中节点进行的排序。 展开更多
关键词 双层网络 节点重要性 社团挖掘 度中心性
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Brittleness Analysis and Important Nodes Discovery in Large Time-Evolving Complex Networks 被引量:1
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作者 张红 胡昌振 王小军 《Journal of Shanghai Jiaotong university(Science)》 EI 2017年第1期50-54,共5页
The brittleness analysis and important nodes detection have been a hot spot in the complex networks.How to get the overall feature of the whole network and how to find out some important nodes are requisites to solve ... The brittleness analysis and important nodes detection have been a hot spot in the complex networks.How to get the overall feature of the whole network and how to find out some important nodes are requisites to solve these problems. In this paper, we adopt the trace of the adjacency matrix and the centrality of the complex networks to give a quantitative and qualitative analysis of networks being studied. Results show that the k-shell plays a more important role than the degree centrality and the betweenness in finding important nodes, and it can also be used to give direction on the immunization and maintenance of complex networks. 展开更多
关键词 complex networks BRITTLENESS important nodes time-evolving node centrality TP 393.0 A
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A New Method for Identifying Influential Nodes and Important Edges in Complex Networks 被引量:2
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作者 ZHANG Wei XU Jia LI Yuanyuan 《Wuhan University Journal of Natural Sciences》 CAS CSCD 2016年第3期267-276,共10页
The identification of the influential nodes in a network is of great significance for understanding the features of the network and controlling the complexity of networks in society and in biology. In this paper, we ... The identification of the influential nodes in a network is of great significance for understanding the features of the network and controlling the complexity of networks in society and in biology. In this paper, we propose a novel centrality measure for a node by considering the importance of edges and compare the performance of this method with existing seven topological-based ranking methods on the Susceptible-Infected-Recovered (SIR) model. The simulation results for four different types of real networks show that the proposed method is robust and exhibits excellent performance in identifying the most influential nodes when spreading starting from both single origin and multipleorigins simultaneously. 展开更多
关键词 complex networks influential nodes centrality methods
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Central neck compartment dissection in papillary thyroid carcinoma: An update 被引量:1
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作者 César P Ramírez-Plaza 《World Journal of Surgical Procedures》 2015年第2期177-186,共10页
Papillary thyroid carcinoma(PTC) is the most common thyroid malignancy, accounting for approximatley 90% of thyroid malignancies in areas of the world without deficit of Iodine. It's universally accepted that tota... Papillary thyroid carcinoma(PTC) is the most common thyroid malignancy, accounting for approximatley 90% of thyroid malignancies in areas of the world without deficit of Iodine. It's universally accepted that total thyroidectomy is the minimal surgical treatment for patients with PTC higher than 1 cm. When a quality surgery is performed, the prognosis for PTC is excellent with 10 and 20-year overall survival rates around 90% and 85%, respectively. Lymph node metastases are very frequent in PTC, occurring in 50%-80% of PTC patients, the most of them being located in the central compartment of the neck(CCN) and with a high rate of occult or clinically undetectable disease. A lot of controversy exists regarding how to treat the central nodal compartment disease of PTC. The first problem is the lack of standardization of the terminology and concepts related to the CCN, which are clearly established and defined in this paper according to the most recent consensus documents of endocrine societies. This uniformity will provide a more consistent and clear communicaction between all the specialist involved in the treatment of PTC. CCN can be performed to treat patients with clinically detectable, radiologically suspected of intraoperative visualized nodal disease(this is defined as therapeutic) or when these findings are absent(also called prophylactic). Indicactions, advantages and disadvantages of both therapeutic and prophylactic CCN dissection are widely discussed and clear recommendations provided. 展开更多
关键词 THYROID Cancer PAPILLARY central node COMPARTMENT DISSECTION PROPHYLACTIC Therapeutic
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Evidential method to identify influential nodes in complex networks 被引量:7
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作者 Hongming Mo Cai Gao Yong Deng 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第2期381-387,共7页
Identifying influential nodes in complex networks is still an open issue. In this paper, a new comprehensive centrality mea- sure is proposed based on the Dempster-Shafer evidence theory. The existing measures of degr... Identifying influential nodes in complex networks is still an open issue. In this paper, a new comprehensive centrality mea- sure is proposed based on the Dempster-Shafer evidence theory. The existing measures of degree centrality, betweenness centra- lity and closeness centrality are taken into consideration in the proposed method. Numerical examples are used to illustrate the effectiveness of the proposed method. 展开更多
关键词 Dempster-Shafer evidence theory (D-S theory) belief function complex networks influential nodes evidential centrality comprehensive measure
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Network Invulnerability Enhancement Algorithm Based on WSN Closeness Centrality
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作者 Qian Sun Fengbo Yang +7 位作者 Xiaoyi Wang Jing Li Jiping Xu Huiyan Zhang Li Wang Jiabin Yu Xiao Peng Ruichao Wang 《Computers, Materials & Continua》 SCIE EI 2022年第11期3021-3038,共18页
Wireless Sensor Network(WSN)is an important part of the Internet of Things(IoT),which are used for information exchange and communication between smart objects.In practical applications,WSN lifecycle can be influenced... Wireless Sensor Network(WSN)is an important part of the Internet of Things(IoT),which are used for information exchange and communication between smart objects.In practical applications,WSN lifecycle can be influenced by the unbalanced distribution of node centrality and excessive energy consumption,etc.In order to overcome these problems,a heterogeneous wireless sensor network model with small world characteristics is constructed to balance the centrality and enhance the invulnerability of the network.Also,a new WSN centrality measurement method and a new invulnerability measurement model are proposed based on the WSN data transmission characteristics.Simulation results show that the life cycle and data transmission volume of the network can be improved with a lower network construction cost,and the invulnerability of the network is effectively enhanced. 展开更多
关键词 Wireless sensor networks INVULNERABILITY small world characteristics heterogeneous nodes node centrality
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Rapid identifying high-influence nodes in complex networks 被引量:1
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作者 宋波 蒋国平 +1 位作者 宋玉蓉 夏玲玲 《Chinese Physics B》 SCIE EI CAS CSCD 2015年第10期1-9,共9页
A tiny fraction of influential individuals play a critical role in the dynamics on complex systems. Identifying the influential nodes in complex networks has theoretical and practical significance. Considering the unc... A tiny fraction of influential individuals play a critical role in the dynamics on complex systems. Identifying the influential nodes in complex networks has theoretical and practical significance. Considering the uncertainties of network scale and topology, and the timeliness of dynamic behaviors in real networks, we propose a rapid identifying method(RIM)to find the fraction of high-influential nodes. Instead of ranking all nodes, our method only aims at ranking a small number of nodes in network. We set the high-influential nodes as initial spreaders, and evaluate the performance of RIM by the susceptible-infected-recovered(SIR) model. The simulations show that in different networks, RIM performs well on rapid identifying high-influential nodes, which is verified by typical ranking methods, such as degree, closeness, betweenness,and eigenvector centrality methods. 展开更多
关键词 high-influence nodes dynamic model complex networks centrality measures
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基于深度学习的多样化复杂网络影响力节点识别 被引量:1
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作者 马玉磊 郭莎莎 《电信科学》 北大核心 2025年第6期154-165,共12页
为提高多样化复杂网络中影响力节点识别的准确性和鲁棒性,提出一种基于深度学习的多样化复杂网络影响力节点识别方法。首先,采用多个中心性指标从不同方面评估节点在网络拓扑结构中的重要性,通过可学习权重向量自适应地决定不同复杂网... 为提高多样化复杂网络中影响力节点识别的准确性和鲁棒性,提出一种基于深度学习的多样化复杂网络影响力节点识别方法。首先,采用多个中心性指标从不同方面评估节点在网络拓扑结构中的重要性,通过可学习权重向量自适应地决定不同复杂网络中各指标的权重;接着,提出一种支持不同特征维度的Transformer框架;最后,利用Transformer模型对不同距离的邻居信息进行分级聚合,以提取邻域的上下文信息。在多种复杂网络数据集上完成了验证实验,结果表明,所提方法在不同规模、不同类型的复杂网络上均取得了较好的影响力节点识别性能,有效提高了影响力节点识别的准确性和鲁棒性。 展开更多
关键词 复杂网络 深度学习 自注意力机制 中心性度量 影响力节点
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经颏下前庭入路腔镜与开放手术行甲状腺乳头状癌根治术的疗效比较 被引量:1
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作者 陈念 倪志强 +2 位作者 董宇轩 徐添旺 彭书旺 《中国现代手术学杂志》 2025年第3期171-177,共7页
目的比较经颏下前庭入路腔镜手术与传统开放手术治疗甲状腺乳头状癌(PTC)的临床效果,探讨其手术操作特点、肿瘤学安全性及美容效果。方法回顾性分析2021年9月至2024年3月收治100例单侧PTC患者的临床资料,按手术方式分为腔镜组(n=38)与... 目的比较经颏下前庭入路腔镜手术与传统开放手术治疗甲状腺乳头状癌(PTC)的临床效果,探讨其手术操作特点、肿瘤学安全性及美容效果。方法回顾性分析2021年9月至2024年3月收治100例单侧PTC患者的临床资料,按手术方式分为腔镜组(n=38)与开放组(n=62),分别行经颏下前庭入路腔镜和开放甲状腺癌根治术。比较两组手术相关指标、并发症、切口美容效果及患者生活质量。结果与开放组比较,腔镜组手术时间显著延长[(126.5±60.1)min vs.(67.7±23.9)min,P<0.001],术中出血量明显减少[(13.5±8.9)mL vs.(16.9±5.7)mL,P<0.05],淋巴结清扫数目显著增加[(9.3±3.5)枚vs.(6.2±5.8)枚,P<0.01],术后WBC及CRP均升高(P<0.05)。两组术中喉返神经监测信号衰减、甲状旁腺种植、术后住院时间、引流量及引流时间比较,均无统计学差异(P>0.05)。术后两组均未发生伤口感染、永久性喉返神经损伤、甲状旁腺功能减退。两组暂时性喉返神经损伤、暂时性甲状旁腺功能减退、淋巴瘘、饮水呛咳、皮下瘀斑、口角损伤、血肿、感觉异常以及并发症发生率比较,均无统计学差异(P>0.05)。均随访12个月,均无复发或转移。腔镜组术后3个月温哥华瘢痕量表(VSS)评分显著低于开放组(3.7±0.9 vs.8.1±1.6),术后1年EORTC QLQ-C30评分显著高于开放组(80.4±7.1 vs.64.3±10.9),差异均有统计学意义(P<0.001)。结论经颏下前庭入路腔镜甲状腺癌根治术在保证肿瘤根治效果的同时,通过直视下游离隧道、视角优化等技术,有效减少术中出血,提高淋巴结清扫效率,其切口隐蔽性可显著改善术后美容效果及患者生活质量,但需克服操作空间受限及学习曲线较长等难点,适用于对外观要求较高的年轻患者。 展开更多
关键词 甲状腺乳头状癌 腔镜甲状腺癌根治术 经颏下前庭入路 开放手术 中央区淋巴结清扫
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