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Ultra-low dose computed tomography chest vs chest radiography in paediatric primary ciliary dyskinesia:A prospective study
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作者 Michael G Waldron Patrick W O'Regan +13 位作者 Michael Lane Sahil S Shet Eid Kakish Fiachra Moloney Niamh Moore Mary Jane Murphy Louise Beagan Barry J Plant David Mullane Muireann Ni Chroinin David J Ryan Kevin O'Regan Stephen P Power Michael M Maher 《World Journal of Radiology》 2025年第8期64-73,共10页
BACKGROUND Primary ciliary dyskinesia(PCD)is a rare condition characterised by dysmotile,immotile,or absent cilia.As a result of the impairment in respiratory mucociliary clearance,patients with PCD typically develop ... BACKGROUND Primary ciliary dyskinesia(PCD)is a rare condition characterised by dysmotile,immotile,or absent cilia.As a result of the impairment in respiratory mucociliary clearance,patients with PCD typically develop neonatal respiratory distress,nasal congestion,otitis media and recurrent respiratory infections leading to bronchiectasis and structural lung changes.These changes have been shown by chest computed tomography(CT)to develop in infancy and early childhood.Recent development and refinement of radiation-reducing CT techniques have allowed significant radiation dose reductions,with chest CT doses now in the range of chest radiography(CR).AIM To evaluate the efficacy of ultra-low dose CT(ULDCT)chest in identifying pulmonary changes within a PCD paediatric patient cohort.METHODS Paediatric patients with PCD who presented for routine clinical outpatient follow-up within the study period,were eligible for inclusion in the study.ULDCT and CR were performed on these patients and the results compared.Comparison metrics included radiation dose,subjective and objective image quality and disease severity.RESULTS Six paediatric patients(mean age 9 years)underwent clinically indicated ULDCT chest examinations and CR for surveillance of their PCD.The mean effective dose was 0.08±0.02 mSv,a dose that approximates that of a frontal and lateral chest radiograph.The average Brody II score across the entire cohort was 12.92,with excellent interrater reliability and intra-class correlation coefficient(ICC)of 0.98.The average Chrispin-Norman score on CR was 1 with excellent inter-rater reliability and ICC of 0.92.CONCLUSION ULDCT demonstrates superior diagnostic capabilities,minimal radiation dose penalty,and high interobserver reliability in comparison to CR.Thus,we advocate for ULDCT to be the preferred modality for surveillance imaging in paediatric PCD. 展开更多
关键词 Primary ciliary dyskinesia Ultra-low dose computed tomography Chest radiography Radiation dose Image quality
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双定位像联合Care Dose 4D技术在PET/CT体部检查中的临床价值
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作者 樊俊甫 黄伟 +3 位作者 杨田硕 朱荣华 魏静 陶维静 《医学研究与战创伤救治》 北大核心 2025年第11期1170-1175,共6页
目的研究双定位像联合Care Dose 4D技术在PET/CT体部扫描中的临床应用价值。方法收集2022年7月5日-2023年9月23日在南京医科大学附属淮安第一医院行Care Dose 4D模式下单定位像法(前后位)和双定位像法(前后位和侧位)2次PET/CT扫描的120... 目的研究双定位像联合Care Dose 4D技术在PET/CT体部扫描中的临床应用价值。方法收集2022年7月5日-2023年9月23日在南京医科大学附属淮安第一医院行Care Dose 4D模式下单定位像法(前后位)和双定位像法(前后位和侧位)2次PET/CT扫描的120例患者。计算患者体重指数(BMI)。设Care Dose 4D模式下单定位像法扫描为单定位像组,Care Dose 4D模式下双定位像法扫描为双定位像组。根据BMI值将患者再分为四个亚组:过低组(BMI<18.5 kg/m^(2))、正常组(18.5 kg/m^(2)≤BMI<25 kg/m^(2))、超重组(25 kg/m^(2)≤BMI<30 kg/m^(2))和肥胖组(BMI≥30 kg/m^(2))。记录患者2种扫描模式下毫安秒(mAs)、CT容积剂量指数(CTDI_(vol))、剂量长度乘积(DLP)并计算有效剂量(ED)。通过图像信噪比(SNR)、对比信噪比(CNR)客观评价图像质量;另外由2名高年资核医学诊断医师采用双盲法主观评价图像质量。采用配对样本t检验比较单定位像组及双定位像组的CTDI_(vol)、DLP、ED值。计算每个患者2次扫描辐射剂量差值,记为ΔCTDI_(vol)、ΔDLP及ΔED;分析不同BMI亚组(过低组、正常组、超重组及肥胖组)ΔCTDI_(vol)、ΔDLP及ΔED有无统计学差异。结果图像质量方面,客观评价除舌骨层面外,双定位像组图像SNR、CNR较单定位像组下降,其中左肾门层面及髂总动脉分叉层面差异具有统计学意义(P<0.05);医师主观评价两组图像质量均能满足临床诊断需求。辐射剂量方面,双定位像组[CTDI_(vol):(8.14±1.64)mGy、DLP:(704.89±146.91)mGy·cm、ED:(12.69±2.64)mSv]较单定位像组[CTDI_(vol):(9.49±2.05)mGy、DLP:(822.24±180.31)mGy·cm、ED:(14.80±3.25)mSv]明显下降,差异具有统计学意义(P<0.01)。随BMI升高患者辐射剂量下降越明显,其中正常组与超重组、正常组与肥胖组间ΔCTDI_(vol)、ΔDLP及ΔED差异均具有统计学意义(P<0.05)。结论双定位像联合Care Dose 4D技术应用于PET/CT体部扫描,在保证图像质量前提下,可有效降低患者CT辐射剂量。 展开更多
关键词 Care dose 4D技术 定位像 辐射剂量 图像质量 PET/CT
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X-ray-based ultra-high dose rate FLASH radiotherapy mitigates acute radiation-induced hippocampal injury and inflammation 被引量:1
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作者 Renke He Jiayu Liu +10 位作者 Bingxian Wang Hanbo Zhang Shengqiang Xie Yiyuan Zhang Xianhong Liu Jianxin Wang Dai Wu Lehui Du Baolin Qu Gang Cheng Jianning Zhang 《Journal of Neurorestoratology》 2025年第2期39-47,共9页
Background To compare neural damage induced by ultra-high dose rate FLASH radiotherapy(FLASH-RT)with that induced by conventional dose rate radiotherapy(CONV-RT)in healthy mice.Methods Eighty adult male C57BL/6J mice ... Background To compare neural damage induced by ultra-high dose rate FLASH radiotherapy(FLASH-RT)with that induced by conventional dose rate radiotherapy(CONV-RT)in healthy mice.Methods Eighty adult male C57BL/6J mice were divided into five groups:Sham,CONV-RT10Gy,CONV-RT20Gy,FLASH-RT10Gy,and FLASH-RT20Gy.Three days post-irradiation,morphological changes in neurons within the dentate gyrus(DG),CA1,and CA3 were observed using hematoxylin and eosin and Nissl staining.The malondialdehyde(MDA),reduced glutathione(GSH),glutathione peroxidase(GSH-PX),superoxide dismutase(SOD),catalase(CAT),and hydroxyl radical(OH^(-))levels were measured using assay kits.Quantitative reverse transcription PCR was used to assess interleukin(IL)-1β,IL-6,inducible nitric oxide synthase(iNOS),and tumor necrosis factor(TNF)-αmRNA expression levels in hippocampus.Immunofluorescence was employed to observe microglial activation in the DG.Results Compared with Sham,CONV-RT10Gy and CONV-RT20Gy exhibited disorganized neuronal arrangements and blurred nucleoli in the DG;the number of Nissl body was reduced,but FLASH-RT10Gy and FLASH-RT20Gy alleviated these abnormalities.Moreover,FLASH-RT20Gy mitigated the upregulation of MDA and downregulation of GSH,GSH-PX,SOD,CAT,and OH^(-)levels in the hippocampus of mice subjected to CONV-RT20Gy.Additionally,FLASH-RT20Gy attenuated the upregulation of IL-1β,IL-6,iNOS,and TNF-αmRNA levels in hippocampus of mice subjected to CONV-RT20Gy and diminished microglial activation in the DG.Conclusion FLASH-RT mitigate the structural and functional disruptions in hippocampal neurons induced by CONV-RT and alleviate oxidative stress and inflammation in hippocampal tissue by reducing microglial activation. 展开更多
关键词 FLASH radiotherapy Radiation-induced brain injury Ultra-high dose rate FLASH effect Oxidative stress CONV radiotherapy
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CARE Dose 4D联合CARE kV技术在胸部CT扫描中的辐射剂量降低研究
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作者 张佩聪 《影像技术》 2025年第1期62-67,共6页
目的:探究在胸部CT扫描过程中启用CARE Dose 4D联合CARE kV技术对降低CT辐射剂量的有效性。方法:回顾性分析2023年1月至12月期间在本院进行胸部CT扫描的100例患者影像资料,根据是否应用CARE Dose 4D联合CARE kV技术将患者分为A组(常规胸... 目的:探究在胸部CT扫描过程中启用CARE Dose 4D联合CARE kV技术对降低CT辐射剂量的有效性。方法:回顾性分析2023年1月至12月期间在本院进行胸部CT扫描的100例患者影像资料,根据是否应用CARE Dose 4D联合CARE kV技术将患者分为A组(常规胸部CT扫描,n=50例)和B组(应用CARE Dose 4D联合CARE kV技术,n=50例)。采用德国西门子SOMATOM Force双源CT,详细设置包括自动毫安秒调节、120KV管电压等参数。比较两组的辐射剂量指标(CTDI(剂量指数)、DLP(剂量长度乘积)、ED(有效剂量))、图像质量客观评价(平均CT值、噪声(SD)、信号噪声比(SNR))和主观评分。结果:B组的辐射剂量指标显著低于A组(P<0.05);而两组的图像质量对比上无显著差异(P>0.05)。结论:胸部CT扫描中应用CARE Dose 4D联合CARE kV技术能显著减少辐射剂量,同时保持高质量的CT图像,为临床检查提供了一种安全有效的方法,为辐射防护最优化原则的实施提供了有力支持,具有广阔的临床应用前景。 展开更多
关键词 CARE dose4D联合CARE kV技术 胸部CT扫描 辐射剂量 图像质量
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Exploring the critical therapeutic window:Dose-frequency optimization of human umbilical cord mesenchymal stem cells for preclinical asthma treatment
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作者 Qiong-Hua Chen Jing-Yang Zheng +5 位作者 Yu-Qin Zhu Jun-Yao Zhang Chun-Yan Lin Xue-E Zhuang Jing Cheng Xiao-Yi Huang 《World Journal of Stem Cells》 2025年第9期190-199,共10页
BACKGROUND Current drugs primarily target inflammation control but do not reverse tissue remodeling changes for asthma.Human mesenchymal stem cells are known for their anti-inflammatory and tissue remodeling capabilit... BACKGROUND Current drugs primarily target inflammation control but do not reverse tissue remodeling changes for asthma.Human mesenchymal stem cells are known for their anti-inflammatory and tissue remodeling capabilities.However,limited research has explored the therapeutic impact of varying doses and frequencies of human umbilical cord blood-derived mesenchymal stem cells(HUC-MSCs)on established airway remodeling in experimental asthma.AIM To explore and optimize the dosage and administration frequency of HUC-MSCs in experimental models of ovalbumin(OVA)-induced asthma.METHODS BALB/c mice underwent sensitization and were challenged using OVA.Control animals were administered a saline solution following the same protocol.HUC-MSCs were identified using flow cytometry.HUC-MSCs at incremental dosages(1×105,2×105,4×105)were injected via tail veins on day 30(the second after the final stimulation).After comparing each group and determining the optimal dose,supplement the optimal dose twice on day 30 and day 33(the second and fifth day after the final stimulation).Bronchoalveolar lavage fluid(BALF)and serum were harvested for analysis of concentrations of interleukin-4(IL-4),IL-13,immunoglobulin E and interferon-gamma(IFN-γ)by enzyme-linked immunosorbent assay.Pharmacology of airways and lung functions were also evaluated to identify the optimal group.RESULTS The study shows that HUC-MSC transplantation ameliorates OVA-induced asthma by significantly reducing airway inflammation and obstruction in preclinical models.This effect is associated with decreased Th2 cytokines IL-4 and IL-13,and increased Th1 cytokine IFN-γ.The optimal dose of 2×105 cells/mouse was identified as the most effective in reducing local asthmatic airway inflammation and changing levels of IL-4,IL-13,and IFN-γin serum and BALF compared to other single doses of HUC-MSC.Multiple treatments with the medium dose(2×105 cells)of HUC-MSCs on days 30 and 33 yield the best pathological and lung function outcomes.However,double treatments do not reduce IL-4 and IL-13 expression or enhance IFN-γproduction in serum or BALF more effectively than a single medium dose.CONCLUSION HUC-MSCs effectively regulate pro-inflammatory mediators in serum and BALF,modulating airway remodeling and lung function.In this acute mouse asthma model,a single dosage of 2×105 is optimal,with more significant effects of decreasing airway obstruction requiring repeated administration. 展开更多
关键词 ASTHMA Human umbilical cord mesenchymal stem cells MOUSE dose FREQUENCY
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Radiotherapy dosage:A neural network approach for uninvolved liver dose in stereotactic body radiation therapy for liver cancer
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作者 Arunkumar Krishnan 《World Journal of Gastrointestinal Oncology》 2025年第2期315-317,共3页
A recent study by Zhang et al developed a neural network-based predictive model for estimating doses to the uninvolved liver during stereotactic body radiation therapy(SBRT)in liver cancer.The study reported a signifi... A recent study by Zhang et al developed a neural network-based predictive model for estimating doses to the uninvolved liver during stereotactic body radiation therapy(SBRT)in liver cancer.The study reported a significant advancement in personalized radiotherapy by improving accuracy and reducing treatment-related toxicity.The model demonstrated strong predictive performance with R-values above 0.8,indicating its potential to improve treatment consistency.However,concerns arise from the small sample size and exclusion criteria,which may limit generalizability.Future studies should incorporate larger,more diverse patient cohorts,explore potential confounding factors such as tumor characteristics and delivery technique variability,and address the long-term effects of SBRT. 展开更多
关键词 Liver cancer Radiotherapy dosage dose prediction Machine learning Stereotactic body radiotherapy
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In vivo 3D dose distribution verification for lung cancer:from rigid-body model to porcine lung
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作者 Yutao Zhang Kai Xie +9 位作者 Lintao Song Jiewei Lai Haiping Zheng Qianjia Huang Hao Wang Tao Lin Liugang Gao Jiawei Sun Jianrong Dai Xinye Ni 《Bio-Design and Manufacturing》 2025年第6期994-1008,I0032,共16页
This study introduces a novel concept,biological in vivo three-dimensional(3D)dose distribution verification,aimed at investigating how respiratory motion affects the efficacy of lung cancer radiotherapy,representing ... This study introduces a novel concept,biological in vivo three-dimensional(3D)dose distribution verification,aimed at investigating how respiratory motion affects the efficacy of lung cancer radiotherapy,representing an evolution from the current standard of rigid-body dose distribution verification.A 3D ex vivo biological lung motion simulation device(3D-BioLungEx)was designed to replicate human respiration.A radiotherapy plan of the patient was copied to the porcine lung,which was driven by 3D-BioLungEx to simulate various respiratory patterns that occur during treatment.To ensure anatomical consistency with the patient’s lung structure,during transmission,skin,skeleton,and organs were adjusted according to CT images of the porcine lung.The patient’s radiotherapy plan was then adapted to the porcine lung using the Monaco treatment planning system(TPS).Next,an iterative optimization and scatter inversion-based dose distribution retro-analysis algorithm(IOSI-BLDose)was developed to calculate the dose distribution during treatment.Gamma passing rates were used to quantify discrepancies between this dose distribution and that of the radiotherapy plan.When respiratory conditions were replicated,the passing rate reached up to 93.61%,while irregular breathing dropped it to 70%-90%,primarily due to amplitude changes.However,cycle variations had minimal impact.Compared to conventional rigid-body dose distribution verification,our method provides real-time biological feedback and more effectively captures motion-induced deviations.Accordingly,our biological in vivo 3D dose distribution verification has potential for improving treatment precision and enabling adaptive radiotherapy in clinical practice. 展开更多
关键词 Biological lung 3D printing Motion simulation device RADIOTHERAPY Lung cancer dose distribution verification
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In situ measurement of environmental γ radiation dose rates of key nuclides for large radioactive surface sources
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作者 Ze-Qian Wu Jian Sun +7 位作者 Wei-Qi Huang Bai-Rong Wang Jin-Xing Cheng Jiang-Feng Wu Yong-Hong Wang Biao Yuan Sheng Qi Kun Shan 《Nuclear Science and Techniques》 2025年第1期69-79,共11页
To monitor nuclear and radiation emergencies,it is crucial to obtain accurate in situ measurements of the environmentalγ radiation dose rate from key radionuclides,particularly for large radioactive surface sources.T... To monitor nuclear and radiation emergencies,it is crucial to obtain accurate in situ measurements of the environmentalγ radiation dose rate from key radionuclides,particularly for large radioactive surface sources.The methods currently used for measuring dose rates are inadequate for obtaining the dose rates of key radionuclides and have large angular response errors when monitoring surface sources.To address this practical problem,this study proposes three methods for measuring the dose rate:the weighted peak total ratio,mean value regression,and numerical integration methods.These methods are based on energy-spectrum measurement data,and they were theoretically derived and numerically evaluated.Finally,a 1-m-long hexagonal radioactive surface source was integrated into a larger surface source.In situ measurement experiments were conducted on a large radioactive surface source using a dose-rate meter and a portable HPGespectrometer to analyze the errors of the three aforementioned methods and verify their validity. 展开更多
关键词 Environmentalγradiation dose rate HPGespectrometer Key radionuclides Radioactive surface source
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Methodology for estimating external radiation dose exposed to deposited activated tungsten dust in the soil
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作者 Feng-Die Wang Bao-Jie Nie +2 位作者 Yu-Xuan Wang De-Yi Chen De-Zhong Wang 《Nuclear Science and Techniques》 2025年第9期226-235,共10页
Tungsten is considered the most promising plasma-facing material for fusion reactors with exceptional performance.Under certain conditions,activated tungsten dust can be generated through plasma–wall interactions and... Tungsten is considered the most promising plasma-facing material for fusion reactors with exceptional performance.Under certain conditions,activated tungsten dust can be generated through plasma–wall interactions and released into the atmosphere.Activated tungsten migrates downward in the soil after atmospheric deposition.However,effective methods for evaluating the environmental dose of gamma rays emitted by activated tungsten are still lacking.Consequently,a method for evaluating the air-absorbed dose rate of activated tungsten dust was proposed considering soil attenuation.Key parameters including the mass attenuation coefficient and energy absorption build-up factor were determined for the main gamma ray energies of radionuclides within the activated tungsten dust.Additionally,air-absorbed dose rates were calculated by assuming that radioactive sources were located at different soil depths and radii.It was found that a soil depth of 50 cm significantly attenuated the environmental dose by 99.9%,whereas the air-absorbed dose rates within the horizontal distance of 500 cm accounted for 91%of the total dose rate.Therefore,this study underscored the importance of soil attenuation in environmental dose assessments,which must be carefully re-examined for the safety analysis of fusion reactors. 展开更多
关键词 Fusion reactor Activated tungsten dust Soil attenuation Air-absorbed dose rates Monte Carlo method
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Clinical translation of ultra-high dose rate flash radiotherapy:Opportunities,challenges,and prospects
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作者 Xiang-Xiang Yang Hui Luo +2 位作者 Jia-Jun Zhang Heng Ge Liang Ge 《World Journal of Radiology》 2025年第4期1-11,共11页
Ultra-high dose rate flash radiotherapy(FLASH-RT)has attracted wide attention in the field of radiotherapy in recent years.For FLASH-RT,radiation is delivered at a very high dose rate[usually thousands of times compar... Ultra-high dose rate flash radiotherapy(FLASH-RT)has attracted wide attention in the field of radiotherapy in recent years.For FLASH-RT,radiation is delivered at a very high dose rate[usually thousands of times compared with conventional radiotherapy(CONV-RT)]in an extremely short time.This novel irradiation technique shows a protective effect on normal tissues,also known as the flash effect.At the same time,FLASH-RT is comparable to CONV-RT in terms of tumorkilling efficacy.As basic research dedicates to uncover the mechanisms by which FLASH-RT reduces radiation-induced normal tissue damage,clinical trials of FLASH-RT have been gradually conducted worldwide.This article systematically reviews the evidence of the feasibility and safety of FLASH-RT in clinical practice and offers insights into the future translation of this technology in clinic. 展开更多
关键词 Ultra-high dose rate flash radiotherapy MECHANISM Clinical translation Radiation-induced damage to normal tissues PROSPECTS
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Saturation effect study and ion recombination correction on ionization chamber for ultra‑high dose rate (FLASH) of carbon ions
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作者 Xin-Le Lang Zheng-Guo Hu +10 位作者 Zhi-Guo Xu Juan Li Kai Zhou Fa-Ming Luo Yu-Cong Chen Rui-Shi Mao Chuan Huang Zu-Long Zhao Jia-Li Fu Li-Bin Zhou Guo-Qing Xiao 《Nuclear Science and Techniques》 2025年第10期35-46,共12页
The ionization chamber produces significant space-charge and ion recombination effects at ultra-high dose rates,posing achallenge for dose monitoring.In addition,there is no generally accepted ion correction model for... The ionization chamber produces significant space-charge and ion recombination effects at ultra-high dose rates,posing achallenge for dose monitoring.In addition,there is no generally accepted ion correction model for dosimetry in FLASHradiotherapy,making it crucial to monitor the dose at ultra-high dose rates accurately and in real time.In this study,the airpressure of the ionization chamber was reduced to perform real-time beam monitoring,and a Faraday cup was used for calibrationfor active dosimetry.To study the saturation effect of the ionization chamber,the drift,attachment,recombination,anddiffusion processes of the electron-ion pairs were modeled using finite-element analysis based on physical phenomenologicalprinciples,and the correction factor was calculated.The experimental results showed that the FLASH ionization chambermeasures good dose linearity at a dose rate of approximately 0.2 Gy/s.When the air pressure of the chamber was adjustedto 10 mbar,the response of the FLASH ionization chamber was linear at a dose rate of approximately 50 Gy/s,with theresiduals within 2%.Furthermore,by using physical phenomenology to resolve the process of electron-ion pair motion inthe sensitive volume of the ionization chamber,the analytical model better describes the saturation effect of carbon ions atultra-high dose rates.The maximum deviation in the calculated correction factor is less than 10%.We studied the saturationeffect in dose measurement,achieving accurate and fast dose and profile position measurement across different dose ratesin a wide range based on the Heavy Ion Research Facility in Lanzhou. 展开更多
关键词 FLASH radiotherapy Ultra-high dose rate Carbon ions·Dosimetry Saturation effect Correction factor
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Commentary on the dose-response effect of pre-exercise carbohydrates in McArdle disease:Methodological considerations and practical implications
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作者 Jiawei Du Jinghua Hou 《Journal of Sport and Health Science》 2025年第2期77-78,共2页
We read with great interest the recent article by Valenzuela et al.1titled“Dose-response effect of pre-exercise carbohydrates under muscle glycogen unavailability:Insights from McArdle disease”published in the Journ... We read with great interest the recent article by Valenzuela et al.1titled“Dose-response effect of pre-exercise carbohydrates under muscle glycogen unavailability:Insights from McArdle disease”published in the Journal of Sport and Health Science The study's exploration of the effects of varying carbohydrate(CHO)doses on exercise capacity in Mc Ardle disease,a condition characterized by complete muscle glycogen unavailability,is a significant contribution to the field of sports science and metabolic disorders. 展开更多
关键词 dose response exercise capacity mcardle disease published muscle glycogen sports science metabolic disorders McArdle disease pre exercise carbohydrates
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Enhanced inhibition of triple-negative breast cancer metastases with high-dose Rujifang treatment assessed by optical flow cytometry in vivo
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作者 Fuli Zhang Hongliang Li +9 位作者 Xianxun Zhong Xi Zhu Xuezhang Chen Bin Wang Zhixia Zhu Xikang Chen Guiwen Liang Jingtao Zhang Xunbin Wei Huaqin Tian 《Journal of Innovative Optical Health Sciences》 2025年第5期89-98,共10页
Triple-negative bresst canær(TNBC)metastscis is particularly severe due to its aggressive nsture,leading to rapid disease progresion and significantly reduced survival rates.Rujifang(RJF),a traditional Chinese fo... Triple-negative bresst canær(TNBC)metastscis is particularly severe due to its aggressive nsture,leading to rapid disease progresion and significantly reduced survival rates.Rujifang(RJF),a traditional Chinese formula,has demonstrated potential anti-tumor effects and theability to inhibit TNBC metastasis.However,the efects af varying R.IF dors remain undear.This study utilized Laser-based in vino fow cytometry(IVFC)to monitor circulating tumor cells(CTCs)and evaluate the efficacy of R.IF at different doses.The results indicated that R.IF at the high dose inhibited both the number af CTC:and the formaton of metatatic foci more eflectively compared to the lower dose.TUNEL assays revealed that R.IF trentment promotes apoptosis of tumor cells,with a more pronounced effect observed at the higher dose.Immuno-fluorescence experiments demonstrated that administering a higher dose of R.IF suppreses theеxprescion of Kindlin-1 more effectively in the tumor microenvironment.Although higher doses showed enhanced efficacy,they might also lesd to an increase in side efects.These findings underscore the promise and challenges of using R.IF at high doses for anti-tumor therspy.They highlight the criticnl importance of optimizing the dose of R.JP in the treatment of TNBC and provide valuable insights for its dinical application. 展开更多
关键词 In vito fow cytometry fluorescence imaging triple-negative breæst cancer circulating tumorælls Rujifang dose
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DETERMINATION OF SUPERFICAL ABSORBED DOSE FROMEXTERNAL EXPOSURE OF WEAKLY PENETRATING RADEATIONS
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作者 陈丽姝 《Nuclear Science and Techniques》 SCIE CAS CSCD 1994年第1期29-34,共6页
The methods of determining the superficial absorbed dose distributions in a water phantom by means of the experiments and available theories have been reported. The distributions of beta dose were measured by an extra... The methods of determining the superficial absorbed dose distributions in a water phantom by means of the experiments and available theories have been reported. The distributions of beta dose were measured by an extrapolation ionization chamber at definite depthes corresponding to some superficial organs and tissues such as the radiosensitive layer of the skin, cornea, sclera, anterior chamber and lens of eyeball.The ratios among superficial absorbed dose D (0.07) and average absorbed doses at the depthes 1,2,3,4,5 and 6 mm are also obtained with Cross's methods. They can be used for confining the deterministic effects of some superficial tissues and organs such as the skin and the components of eyeball for weakly penetrating radiations. 展开更多
关键词 Water phantom Superficial absorbed dose EYES dose limits Weakly penetrating radiations Safety standards Extrapolation chamber Skin dose
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用CARE Dose4D技术进行胸部扫描的临床价值 被引量:14
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作者 杨杰 冷建文 +2 位作者 吴南洲 赵绍宏 李家开 《医疗卫生装备》 CAS 2008年第3期88-89,共2页
目的:探讨优化胸部CT扫描剂量在减少辐射方面的价值。方法:对50例患者利用在线式自动化实时动态放射剂量调节技术(CARE Dose4D)进行胸部CT扫描,观察其成像质量,分析其每一层的曝光量(mAs)和容积CT剂量指数(CTDIvol),然后和常规胸部CT扫... 目的:探讨优化胸部CT扫描剂量在减少辐射方面的价值。方法:对50例患者利用在线式自动化实时动态放射剂量调节技术(CARE Dose4D)进行胸部CT扫描,观察其成像质量,分析其每一层的曝光量(mAs)和容积CT剂量指数(CTDIvol),然后和常规胸部CT扫描(200 mAs,15.3 mGy)进行比较。结果:利用CARE Dose4D技术进行胸部CT扫描的单层曝光量与常规胸部CT扫描的曝光量200 mAs比较,最多下降幅度84%,平均下降48.2%;CTDIvol最多下降56.5%,平均下降32.98%。两者有统计学意义(P<0.05)。结论:CARE Dose4D技术在胸部扫描中可以有效降低患者的受照射剂量,且不影响图像质量。 展开更多
关键词 胸部 螺旋CT CARE dose4D 辐射防护
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双源CT 70与120 kV不同CARE Dose 4D预设值下图像质量的对比研究 被引量:6
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作者 赵海波 罗焕江 +2 位作者 廖明壮 龙腾河 冯庆 《医疗卫生装备》 CAS 2019年第2期56-59,共4页
目的:探讨双源CT不同管电压和CARE Dose 4D预设值下的辐射剂量与图像质量相关性,为低剂量扫描方案奠定基础。方法:使用西门子FLASH双源CT对水模进行图像采集。根据管电压分为A、B 2组,A组:管电压70 kV,B组:管电压120 k V。每组CARE Dose... 目的:探讨双源CT不同管电压和CARE Dose 4D预设值下的辐射剂量与图像质量相关性,为低剂量扫描方案奠定基础。方法:使用西门子FLASH双源CT对水模进行图像采集。根据管电压分为A、B 2组,A组:管电压70 kV,B组:管电压120 k V。每组CARE Dose 4D预设值均为150、200、250、300、350和400 m As,其他参数不变。采用SPSS 18.0软件对CT值、图像信噪比(signal noise ratio,SNR)、剂量长度乘积(dose length produce,DLP)、容积CT剂量指数(CT dose index volumes,CTDIvol)进行统计分析,以P<0.05为差异有统计学意义。结果:在A组中,不同预设值间CT值无统计学差异(F=0.832,P=0.537>0.05),CT值标准差具有统计学差异(F=6.115,P=0.001<0.05);在B组中,不同预设值间CT值无统计学差异(F=0.880,P=0.506>0.05),CT值标准差具有统计学差异(F=9.470,P=0.000<0.05)。在相同预设值150 mAs下,A组和B组间CT值和SNR值无统计学差异(P>0.05),B组的CTDIvol和DLP是A组的4.4倍。结论:在相同的管电压下,随着CARE Dose 4D预设值增加,辐射剂量增大,噪声降低,图像质量提高;在相同的CARE Dose4D预设值下,70 k V下降低了辐射剂量,但与120 k V下图像质量没有统计学差异。 展开更多
关键词 双源CT CARE dose 4D预设值 管电压 毫安秒 辐射剂量 图像质量
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Pharmacokinetics of Controlled Release and Immediate Release Morphine Sulphate Tablets after a Single Dose and Multiple Doses in Chinese Volunteers
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作者 邓艳萍 王凯 +3 位作者 刘立京 刘静雯 蔡志基 楼雅卿 《Journal of Chinese Pharmaceutical Sciences》 CAS 1997年第4期39-42,共4页
The pharmacokinetics of morphine sulphate was studied in 10 Chinese healthy volunteers after a single oral dose. Blood samples were collected before and after administration of controlled release tablets (CRMS, 30 mg)... The pharmacokinetics of morphine sulphate was studied in 10 Chinese healthy volunteers after a single oral dose. Blood samples were collected before and after administration of controlled release tablets (CRMS, 30 mg) and immediate release tablets (IRMS, 20 mg). The plasma concentration of morphine was determined by GC MS. The pharmacokinetic parameters of controlled release tablets and immediate release tablets were calculated∶ C max was 19.38±3.80 and 21.27±6.21 ng/ml, t max was 2.36 ±0.37 h and 0.56±0.16 h, t 1/2β was 3.53±0.87 and 3.03±0.74 h, AUC was 145.15±17.65 and 93.08±16.65 ng/ml, respectively. The steady state plasma concentration of morphine sulphate in cancer patients after multiple doses was achieved, C max of CRMS and IRMS was 27.43±0.33 ng/ml and 22.68±0.16 ng/ml, C min of CRMS and IRMS was 19.45±1.44 ng/ml and 18.14±0.49 ng/ml, respectively. 展开更多
关键词 Controlled release morphine sulphate tablet Immediate release morphine sulphate tablet PHARMACOKINETICS Single dose Multiple doses GC MS
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CARE Dose 4D技术在肝脏扫描中的应用 被引量:3
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作者 曾宪春 刘昌杰 +2 位作者 王楠竹 蒲伟 王谦 《广东医学》 CAS 北大核心 2016年第21期3215-3217,共3页
目的探讨双源CT自动管电流调节(CARE Dose 4D)技术在肝脏CT扫描中的运用价值。方法疑肝脏病变行CT扫描患者90例,按时间顺序分:A组常规扫描(管电压100 kVp、管电流160 mAs),B组开启CARE Dose 4D扫描(管电压100 kVp、参考管电流160 mAs),... 目的探讨双源CT自动管电流调节(CARE Dose 4D)技术在肝脏CT扫描中的运用价值。方法疑肝脏病变行CT扫描患者90例,按时间顺序分:A组常规扫描(管电压100 kVp、管电流160 mAs),B组开启CARE Dose 4D扫描(管电压100 kVp、参考管电流160 mAs),其余条件保持不变。比较两组扫描方案的辐射剂量及所得图像的平均CT值、噪声、信号噪声比(SNR)、对比噪声比(CNR)、主观评分等。结果与A组比较,B组有效剂量辐射剂量显著降低,差异有统计学意义(t=-3.0,P=0.02)。B组图像的平均CT值、噪声、SNR、CNR及主观评分与A组比较差异无统计学意义(P>0.05)。结论双源CT CARE Dose 4D技术在肝脏CT检查中,能降低辐射剂量,且不影响图像质量,值得临床推广、运用。 展开更多
关键词 双源CT CARE dose 4D 肝脏扫描 辐射剂量
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双源CT CARE Dose 4D技术在儿童牙齿扫描中的应用 被引量:1
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作者 曾宪春 蒲伟 +2 位作者 徐睿 王玉权 刘莉 《重庆医学》 CAS 北大核心 2016年第28期3925-3927,共3页
目的探讨双源CT CARE Dose 4D(管电流调节技术)在儿童牙齿CT扫描中的运用价值。方法疑牙齿畸形行CT平扫及重建了解根尖情况的患儿70例,按时间先后分A、B两组,A组常规扫描(100kVp/150mAs),B组开启CARE Dose4D扫描(100kVp/参考电流150mAs)... 目的探讨双源CT CARE Dose 4D(管电流调节技术)在儿童牙齿CT扫描中的运用价值。方法疑牙齿畸形行CT平扫及重建了解根尖情况的患儿70例,按时间先后分A、B两组,A组常规扫描(100kVp/150mAs),B组开启CARE Dose4D扫描(100kVp/参考电流150mAs),其余条件保持不变。比较A、B两组扫描方案的辐射剂量及所得图像的平均CT值、噪声、信号噪声比(SNR)、对比噪声比(CNR)、主观评分等。结果 A、B两组辐射剂量差异有统计学意义(t=-2.24,P=0.03)。与A组比较,B组有效剂量(ED)下降约23.15%;图像的平均CT值、噪声、SNR、CNR及主观评分比较差异无统计学意义(P>0.05)。结论应用双源CT CARE Dose 4D技术行儿童牙齿CT扫描,在降低辐射剂量的同时,不影响图像质量,值得临床推广。 展开更多
关键词 双源CT CARE dose 4D 牙齿扫描 辐射剂量
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Effects of Low Dose Radiation on Tumor Apoptosis, Cell Cycle and Apoptosis-Related Protein Bcl-2 in Tumor-Bearing Mice 被引量:2
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作者 于洪升 宋爱琴 +2 位作者 费从合 王卓敏 邱文生 《The Chinese-German Journal of Clinical Oncology》 CAS 2005年第2期89-92,共4页
To study the effects of low dose radiation (LDR) on tumor apoptosis, cellcycle progression and changes of apoptosis-related protein Bcl-2 in tumor-bearing mice. Methods:Male mice of Kunming strain were implanted subcu... To study the effects of low dose radiation (LDR) on tumor apoptosis, cellcycle progression and changes of apoptosis-related protein Bcl-2 in tumor-bearing mice. Methods:Male mice of Kunming strain were implanted subcutaneously with S180 sarcoma cells in the left inguenas an in situ experimental animal model. Seven days later, the mice were subjected to 75 mGywhole-body γ-irradiation. At 24 and 48 h after the irradiation, all mice were sacrificed. The tumorsizes were measured, and tumor cell apoptosis and cell cycle progression were analyzed by flowcytometry. The expression of apoptosis-related protein Bcl-2 and the apoptotic rate of tumor cellswere observed by immunohistochemistry and electron microscopy. Results: Tumors grew significantlyslower after LDR (P 【 0.05). The tumor cells were arrested in G1 phrase and the expression of Bcl-2protein decreased at 24 h. Apoptotic rate of tumor cells was increased significantly at 48 h afterLDR (P 【 0.01). Conclusion: LDR could cause a G1-phase arrest and increase the apoptosis of tumorcells through the low level of apoptosis-related protein bcl-2 in the tumor-bearing mice. Theorganized immune function and anti-tumor ability are markedly increased after LDR. Our studyprovides practical evidence of clinical application to cancer treatment. 展开更多
关键词 low dose radiation S180 sarcoma APOPTOSIS cell cycle BCL-2
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