In this editorial,we comment on the article by Li et al.We specifically focus on the novel use of multicolor near-infrared fluorescence imaging(MCFI)with indocyanine green in laparoscopic cholecystectomy,which is an i...In this editorial,we comment on the article by Li et al.We specifically focus on the novel use of multicolor near-infrared fluorescence imaging(MCFI)with indocyanine green in laparoscopic cholecystectomy,which is an innovative approach for enhancing biliary visualization during laparoscopic cholecystectomy.This study also highlighted the limitations of conventional single-color fluorescence imaging(SCFI),which relies solely on a green fluorescence signal,leading to challenges such as visual fatigue and difficulty in distinguishing biliary structures from background hepatic tissue.Given the complex anatomy of the biliary system and the challenges of visual fatigue encountered with SCFI,MCFI addresses these issues by enabling the differentiation of biliary structures by mapping the fluorescence intensity across a unique blue-to-purple color spectrum,thus improving the clarity of anatomical structures and reducing the visual strain for surgeons.We also focus specifically on the complications and cautious usage of indocyanine green in this context,as well as the advantages and disadvantages of MCFI and SCFI.Overall,MCFI represents a significant advancement in fluorescence-guided surgery,with the potential to become a standard imaging modality for safer and more effective laparoscopic procedures.展开更多
BACKGROUND Syngeneic orthotopic tumor models offer an optimal functional tumor–immune interface for hepatocellular carcinoma research.Yet,unpredictable growth kinetics and spontaneous regression pose major obstacles....BACKGROUND Syngeneic orthotopic tumor models offer an optimal functional tumor–immune interface for hepatocellular carcinoma research.Yet,unpredictable growth kinetics and spontaneous regression pose major obstacles.Efficient induction protocols and continuous monitoring are therefore essential.Routine exploratory surgeries are ethically untenable,making non-invasive imaging modalities attractive alternatives.High-resolution magnetic resonance imaging and microcomputed tomography deliver detailed insights but incur substantial equipment costs,radiation risks,time demands,and require specialized expertise—challenges that limit their routine use.In contrast,ultrasound(US)imaging emerges as a cost-effective,radiation-free,and rapid approach,facilitating practical and ethical longitudinal assessment of tumor progression in preclinical studies.AIM To optimize the orthotopic hepatocellular carcinoma model and evaluate the potential of US imaging for accurate and cost-effective tumor monitoring.METHODS Hepatocellular carcinoma was induced in 28 Sprague Dawley rats by implanting 5×10^(6) N1S1 cells into the left lateral hepatic lobe.Tumor progression was monitored weekly via US.Upon reaching 100-150 mm^(3),an experimental group(n=14)received Sorafenib(40 mg/kg)orally on alternate days for 28 days;efficacy was compared to untreated controls.US accuracy was validated against micro-computed tomography,gross caliper measurements and histopathological analysis.Reliability and operator proficiency in US assessment were also evaluated.RESULTS US images procured 7-day post-surgery revealed a well-defined hypoechoic nodule at the left liver lobe tip,confirming successful tumor induction(mean volume 130±39 mm^(3)).Only three animals exhibited spontaneous regression by week 2,underscoring the model’s stability.Sorafenib treatment elicited a marked tumor reduction(678±103 mm^(3))vs untreated control(6005±1760 mm^(3)).US assessment demonstrated robust intra and interobserver reproducibility with high sensitivity and specificity for tumor detection.Moreover,US derived volumes correlated strongly with gross caliper measurements,histopathological analysis,and microcomputed tomography imaging,validating its reliability as a non-invasive monitoring tool in preclinical hepatocellular carcinoma studies.CONCLUSION The results demonstrate that US imaging is a reliable,cost-effective,and animal sparing approach with an easy tomaster protocol,enabling monitoring of tumor progression and therapeutic response in orthotopic liver tumor models.展开更多
BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical lan...BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical landmark positioning techniques have issues with inaccurate positioning and high complication rates.AIM To evaluate the clinical value of image pre-measurement combined with intracavitary electrocardiogram(IC-ECG)positioning technology in arm port implantation for colorectal cancer patients.METHODS A retrospective analysis was conducted on 216 colorectal cancer patients who received arm port implantation in our hospital from January 2024 to December 2024.Patients were divided into an experimental group(image pre-measurement combined with IC-ECG positioning technology,n=103)and a control group(traditional anatomical landmark positioning technique,n=113).Technical success rate,operation time,catheter tip position accuracy,number of intraoperative catheter adjustments,X-ray exposure time,and postoperative complication rates were compared between the two groups.RESULTS The experimental group demonstrated superior outcomes compared to the control group across all key measures.Technical success rate was higher(98.4%vs 92.7%,P<0.05)with significantly reduced operation time(23.6±5.2 minutes vs 31.5±7.8 minutes,P<0.01).Catheter tip positioning accuracy improved substantially(97.6%vs 85.4%,P=0.002)while X-ray exposure time decreased by 71.8%(5.3±2.1 seconds vs 18.7±4.5 seconds,P<0.001).Threemonth complication rates were markedly lower in the experimental group(4.1%vs 14.6%,P=0.008),including significant reductions in catheter-related thrombosis(0.8%vs 4.9%),displacement(1.6%vs 5.7%),and occlusion(1.6%vs 4.1%).Multivariate analysis identified traditional technique as the strongest risk factor(odds ratio=4.27,P<0.001),while the combined IC-ECG approach was protective(odds ratio=0.34 for displacement,P=0.018).Long-term outcomes favored the experimental group with higher chemotherapy completion rates(97.1%vs 88.5%,P=0.014)and longer catheter dwelling time(189.5±45.3 days vs 162.7±53.8 days,P<0.001).CONCLUSION Image pre-measurement combined with intracavitary electrocardiogram positioning technology in arm port implantation for colorectal cancer patients can significantly improve catheter tip positioning accuracy,reduce operation time and X-ray exposure.展开更多
Photodynamic therapy(PDT),as a non-invasive treatment,is expected to be widely used in clinical cancer treatment.In this paper,a near-infrared(NIR)light responsive Lu_(2)O_(3):Yb/Er/Li-Ce6@MIL-101/GOx-PDA(LCMGP)nanodi...Photodynamic therapy(PDT),as a non-invasive treatment,is expected to be widely used in clinical cancer treatment.In this paper,a near-infrared(NIR)light responsive Lu_(2)O_(3):Yb/Er/Li-Ce6@MIL-101/GOx-PDA(LCMGP)nanodiagnostic platform was prepared for CT/PA imaging-guided multimodality synergistic therapy.Under 808 nm laser irradiation,Lu_(2)O_(3):Yb/Er/Li-Ce6(LC)NPs in the nano-diagnostic platform are activated and sensitized by NIR light,resulting in the generation of more single-linear oxygen(^(1)O_(2))for efficient PDT.Glucose oxidase(GOx)and MIL-101(Fe)nanozymes can utilize their excellent enzyme cascade catalytic properties and peroxidase-like catalytic properties to undergo glycolysis reactions and catalyze the decomposition of endogenous hydrogen peroxide(H_(2)O_(2)),producing a large amount of hydroxyl radicals(·OH),achieving efficient chemodynamic therapy(CDT).The functionalized modification of polydopamine(PDA)endows the LCMGP nanoparticles with higher photothermal conversion efficiency,which can prompt high local temperature at the tumor site under the irradiation of NIR light to achieve efficient photothermal therapy(PTT).In addition,hyperthermia accelerates the catalytic efficiency of the nanozymatic cascade of LCMGP nanoparticles to enhance ROS production while increasing cellular uptake,resulting in PTT-induced PDT/CDT synergistic effect(96%).Based on the excellent photothermal conversion effect of PDA and the high X-ray atte nuation effect of Lu/Fe,the LCMGP nanotherapeutic system demonstrates good CT/PA imaging function,providing new insights and ideas for imaging-mediated multimodal synergistic therapy.展开更多
Infrared and visible image fusion technology integrates the thermal radiation information of infrared images with the texture details of visible images to generate more informative fused images.However,existing method...Infrared and visible image fusion technology integrates the thermal radiation information of infrared images with the texture details of visible images to generate more informative fused images.However,existing methods often fail to distinguish salient objects from background regions,leading to detail suppression in salient regions due to global fusion strategies.This study presents a mask-guided latent low-rank representation fusion method to address this issue.First,the GrabCut algorithm is employed to extract a saliency mask,distinguishing salient regions from background regions.Then,latent low-rank representation(LatLRR)is applied to extract deep image features,enhancing key information extraction.In the fusion stage,a weighted fusion strategy strengthens infrared thermal information and visible texture details in salient regions,while an average fusion strategy improves background smoothness and stability.Experimental results on the TNO dataset demonstrate that the proposed method achieves superior performance in SPI,MI,Qabf,PSNR,and EN metrics,effectively preserving salient target details while maintaining balanced background information.Compared to state-of-the-art fusion methods,our approach achieves more stable and visually consistent fusion results.The fusion code is available on GitHub at:https://github.com/joyzhen1/Image(accessed on 15 January 2025).展开更多
Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence i...Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence imaging in foot and ankle surgeries.A lab-established NIR-II fluorescence surgical navigation system was developed and used to navigate foot and ankle surgeries which enabled obtaining more high-spatial-frequency information and a higher signal-to-background ratio(SBR)in NIR-II fluorescence images compared to NIR-I fluorescence images;our result demonstrates that NIR-II imaging could provide higher-contrast and larger-depth images to surgeons.Three types of clinical application scenarios(diabetic foot,calcaneal fracture,and lower extremity trauma)were included in this study.Using the NIR-II fluorescence imaging technique,we observed the ischemic region in the diabetic foot before morphological alterations,accurately determined the boundary of the ischemic region in the surgical incision,and fully assessed the blood supply condition of the flap.NIR-II fluorescence imaging can help surgeons precisely judge surgical margins,detect ischemic lesions early,and dynamically trace the perfusion process.We believe that portable and reliable NIR-II fluorescence imaging equipment and additional functional fluorescent probes can play crucial roles in precision surgery.展开更多
Due to hardware limitations,existing hyperspectral(HS)camera often suffer from low spatial/temporal resolution.Recently,it has been prevalent to super-resolve a low reso-lution(LR)HS image into a high resolution(HR)HS...Due to hardware limitations,existing hyperspectral(HS)camera often suffer from low spatial/temporal resolution.Recently,it has been prevalent to super-resolve a low reso-lution(LR)HS image into a high resolution(HR)HS image with a HR RGB(or mul-tispectral)image guidance.Previous approaches for this guided super-resolution task often model the intrinsic characteristic of the desired HR HS image using hand-crafted priors.Recently,researchers pay more attention to deep learning methods with direct supervised or unsupervised learning,which exploit deep prior only from training dataset or testing data.In this article,an efficient convolutional neural network-based method is presented to progressively super-resolve HS image with RGB image guidance.Specif-ically,a progressive HS image super-resolution network is proposed,which progressively super-resolve the LR HS image with pixel shuffled HR RGB image guidance.Then,the super-resolution network is progressively trained with supervised pre-training and un-supervised adaption,where supervised pre-training learns the general prior on training data and unsupervised adaptation generalises the general prior to specific prior for variant testing scenes.The proposed method can effectively exploit prior from training dataset and testing HS and RGB images with spectral-spatial constraint.It has a good general-isation capability,especially for blind HS image super-resolution.Comprehensive experimental results show that the proposed deep progressive learning method out-performs the existing state-of-the-art methods for HS image super-resolution in non-blind and blind cases.展开更多
Owing to the high spatiotemporal resolution,the second near-infrared(NIR-II)imaging window can provide high imaging contrast with diminished tissue autofluorescence and suppressed photon scattering to pinpoint the loc...Owing to the high spatiotemporal resolution,the second near-infrared(NIR-II)imaging window can provide high imaging contrast with diminished tissue autofluorescence and suppressed photon scattering to pinpoint the locations for tumor surgery.Due to the unique optical properties and excellent fluorescence performance,quantum dots(QDs)are regarded as ideal nanoprobes for fluorescence-guided surgery(FGS).Moreover,QDs can be excited by a variety of light sources owing to the continuous and wide absorption ranges.Herein,light-emitting diode(LED)was used as the excitation source of QDs-based nanoprobes to realize FGS of tumor with high resolution.Since the LED light could irradiate a large region with consistent light intensity,signal distortion at the edge of imaging field was avoided.The signal intensity of the view edges under LED excitation can be improved by about 5 times compared to laser excitation.Therefore,more micro-vessels and smaller tumors(Vtumor<5 mm^(2))could be detected,thus providing more precise guidance for tumor resection surgery.展开更多
The key factor in photothermal therapy lies in the selection of photothermal agents.Traditional photothermal agents generally have problems such as poor photothermal stability and low photothermal conversion efficienc...The key factor in photothermal therapy lies in the selection of photothermal agents.Traditional photothermal agents generally have problems such as poor photothermal stability and low photothermal conversion efficiency.Herein,we have designed and synthesized an isoindigo(IID)dye.We used isoindigo as the molecular center and introduced common triphenylamine and methoxy groups as rotors.In order to improve the photothermal stability and tumor targeting ability,we encapsulated IID into nanoparticles.As a result,the nanoparticles exhibited high photothermal stability and photothermal conversion efficiency(67%)upon 635 nm laser irradiation.Thus,the nanoparticles demonstrated a significant inhibitory effect on live tumors in photothermal therapy guided by photoacoustic imaging and provided a viable strategy to overcome the treatment challenges.展开更多
Photothermal therapy(PTT)is a cutting-edge cancer treatment that can kill cancer cells in hypoxic environments without relying on oxygen.Seeking of the ideal photothermal agents with a high absorption coefficient in t...Photothermal therapy(PTT)is a cutting-edge cancer treatment that can kill cancer cells in hypoxic environments without relying on oxygen.Seeking of the ideal photothermal agents with a high absorption coefficient in the near-infrared region,and a high excellent photothermal conversion efficiency is of great significance.Sulfone-Rhodanmine dye has showed an impressive absorption wavelength over 700 nm,but suffered from a stability issue.In this study,we synthesized five sulfone rhodamines and investigated the substitution effects on stability.SO_(2)R2 showed high stability and strong absorbance at 714 nm with an excellent photothermal conversion efficiency of 53.06%,making it suitable for accurate photoacoustic imaging-guided photothermal therapy in vivo.展开更多
Combining phototherapy and chemotherapy has been considered a promising modality for cancer therapy due to their synergistic effect.Herein,we developed three D-π-A-structured boron dipyrromethenes(BODIPYs)(named as B...Combining phototherapy and chemotherapy has been considered a promising modality for cancer therapy due to their synergistic effect.Herein,we developed three D-π-A-structured boron dipyrromethenes(BODIPYs)(named as B-B,B-C,and B-C-Pt).Due to their enlargedπ-conjugated structure and high intramolecular charge transfer effect,the synthesized BODIPYs had photothermal conversion capability,and their absorption and fluorescence spectra were red-shifted.The cisplatin-appended BODIPY(B-C-Pt)exhibited good singlet oxygen(^1O_(2))generation ability and near infrared(NIR)absorption and fluorescence(λ_(Abs)=748 nm,λ_(Em)=947 nm).After being encapsulated by distearoyl phosphoethanolamine polyethyleneglycol 2000(DSPE-PEG-2000),which could inhibit the H-aggregation of B-C-Pt,the absorption and fluorescence of the obtained B-C-Pt nanoparticles(NPs)were red-shifted to 762 and 985 nm,respectively.The^1O_(2)quantum yield and photothermal conversion efficiency of the B-C-Pt NPs were 4.0%and 40.6%,respectively.Moreover,B-C-Pt NPs had chemotherapeutic efficacy due to the presence of cisplatin.In vitro and in vivo studies further demonstrated that B-C-Pt NPs had synergistic therapeutic efficacy.Together,B-C-Pt NPs could be employed in NIRⅡfluorescent and photoacoustic imaging-guided synergistic phototherapy and chemotherapy for cancer treatment.展开更多
Generating a realistic person's image from one source pose conditioned on another different target pose is a promising computer vision task.The previous mainstream methods mainly focus on exploring the transformat...Generating a realistic person's image from one source pose conditioned on another different target pose is a promising computer vision task.The previous mainstream methods mainly focus on exploring the transformation relationship between the keypoint-based source pose and the target pose,but rarely investigate the region-based human semantic information.Some current methods that adopt the parsing map neither consider the precise local pose-semantic matching issues nor the correspondence between two different poses.In this study,a Region Semantics-Assisted Generative Adversarial Network(RSA-GAN)is proposed for the pose-guided person image gen-eration task.In particular,a regional pose-guided semantic fusion module is first devel-oped to solve the imprecise match issue between the semantic parsing map from a certain source image and the corresponding keypoints in the source pose.To well align the style of the human in the source image with the target pose,a pose correspondence guided style injection module is designed to learn the correspondence between the source pose and the target pose.In addition,one gated depth-wise convolutional cross-attention based style integration module is proposed to distribute the well-aligned coarse style information together with the precisely matched pose-guided semantic information to-wards the target pose.The experimental results indicate that the proposed RSA-GAN achieves a 23%reduction in LPIPS compared to the method without using the seman-tic maps and a 6.9%reduction in FID for the method with semantic maps,respectively,and also shows higher realistic qualitative results.展开更多
BACKGROUND Optical coherence tomography(OCT)offers detailed cross-sectional imaging during percutaneous coronary intervention(PCI),aiding in anatomically complex coronary lesions.Despite its advantages,evidence on the...BACKGROUND Optical coherence tomography(OCT)offers detailed cross-sectional imaging during percutaneous coronary intervention(PCI),aiding in anatomically complex coronary lesions.Despite its advantages,evidence on the clinical effectiveness of OCT-guided PCI remains limited.Major databases were systematically searched for randomized controlled trials(RCTs)comparing OCT-guided and angiography-guided PCI in complex lesions.Primary outcomes included major adverse cardiovascular events(MACE)and target vessel failure(TVF);secondary outcomes included mortality,myocardial infarction(MI),and other procedural outcomes.A random-effects model was used to pool risk ratio(RR),with 95%CI.Statistical analysis was conducted in R software(v4.4.1),with significance set at P<0.05.RESULTS Five RCTs(5737 patients)showed OCT-guided PCI significantly reduced MACE(RR:0.63,95%CI:0.52-0.77,P<0.01),TVF(RR:0.68,95%CI:0.56-0.83,P<0.01),all-cause(RR:0.58,95%CI:0.38-0.87,P<0.01)and cardiac mortality(RR:0.43,95%CI:0.24-0.76,P<0.01),target-lesion revascularization(RR:0.53,95%CI:0.33-0.84,P<0.01),stent thrombosis(RR:0.52,95%CI:0.31-0.86,P=0.01),and target-vessel MI(RR:0.64,95%CI:0.42-0.97,P=0.04)vs angiography-guided PCI.Periprocedural MI,any revascularization,target-vessel revascularization,and contrast-associated kidney injury were similar between groups.CONCLUSION OCT-guided PCI improves outcomes in complex lesions by reducing MACE,TVF,mortality,stent thrombosis,and target-vessel MI.These findings highlight the need for further large-scale RCTs to confirm its benefits.展开更多
Hypoxia is the common characteristic of almost all solid tumors,which prevents therapeutic drugs from reaching the tumors.Therefore,the development of new targeted agents for the accurate diagnosis of hypoxia tumors i...Hypoxia is the common characteristic of almost all solid tumors,which prevents therapeutic drugs from reaching the tumors.Therefore,the development of new targeted agents for the accurate diagnosis of hypoxia tumors is widely concerned.As carbonic anhydrase IX(CA IX)is abundantly distributed on the hypoxia tumor cells,it is considered as a potential tumor biomarker.4-(2-Aminoethyl)benzenesulfonamide(ABS)as a CA IX inhibitor has inherent inhibitory activity and good targeting effect.In this study,Ag_(2)S quantum dots(QDs)were used as the carrier to prepare a novel diagnostic and therapeutic bioprobe(Ag_(2)S@polyethylene glycol(PEG)-ABS)through ligand exchange and amide condensation reaction.Ag_(2)S@PEG-ABS can selectively target tumors by surface-modified ABS and achieve accurate tumor imaging by the near infrared-II(NIR-II)fluorescence characteristics of Ag_(2)S QDs.PEG modification of Ag_(2)S QDs greatly improves its water solubility and stability,and therefore achieves high photothermal stability and high photothermal conversion efficiency(PCE)of 45.17%.Under laser irradiation,Ag_(2)S@PEG-ABS has powerful photothermal and inherent antitumor combinations on colon cancer cells(CT-26)in vitro.It also has been proved that Ag_(2)S@PEG-ABS can realize the effective treatment of hypoxia tumors in vivo and show good biocompatibility.Therefore,it is a new efficient integrated platform for the diagnosis and treatment of hypoxia tumors.展开更多
Prostate-specific membrane antigen(PSMA)is known to be overexpressed in prostate cancer(PCa).The development of precise and rapid imaging technologies to monitor PSMA is crucial for early diagnosis and therapy.Fluores...Prostate-specific membrane antigen(PSMA)is known to be overexpressed in prostate cancer(PCa).The development of precise and rapid imaging technologies to monitor PSMA is crucial for early diagnosis and therapy.Fluorescence imaging in the second near-infrared window(NIR-II)has emerged as a powerful tool for real-time tracking and in vivo visualization,offering high sensitivity and resolu-tion.However,there is a lack of stable,bright and easy-to-implement NIR-II fluorescent probes for PSMA targeting.Herein,we presented a PSMA-targeting NIR-II fluorescent probe FC-PSMA based onπ-conjugated crossbreeding dyed strategy that affords high stability,large extinction coefficient,and good bright-ness.As demonstrated,FC-PSMA displayed a high fluorescence quantum yield in fetal bovine serum(FBS).Following intravenous injection of FC-PSMA,the tumor-to-normal ratio of fluorescence intensity steadily increased over time,reaching a peak at 48 h(tumor-to-leg ratio=12.16±0.90).This advancement enables precise identification of PC through NIR-II fluorescence imaging,facili-tating high-performance guidance for prostate cancer resection surgery.展开更多
Objective:The objective of this work is to design and fabricate a novel multifunctional nanocarrier combining thrombus-targeted imaging and ultrasound-mediated drug delivery for the theranostics of thrombotic diseases...Objective:The objective of this work is to design and fabricate a novel multifunctional nanocarrier combining thrombus-targeted imaging and ultrasound-mediated drug delivery for the theranostics of thrombotic diseases.Impact Statement:This study develops a new technology that can accurately visualize the thrombus and deliver drugs with controllable properties to diagnose and treat thrombotic diseases.Introduction:Thrombotic diseases are a serious threat to human life and health.The diagnosis and treatment of thrombotic diseases have always been a challenge.In recent years,nanomedicine has brought new ideas and new methods for the theranostics of thrombotic diseases.However,there are also many problems need to be solved,such as biosafety and stability of nanocarriers,early diagnosis,and timely treatment of thrombotic diseases,difficulty in clinical translation.Methods:The S1P@CD-PLGA-rtPA nanobubbles(NBs)were prepared by integrating sulfur hexafluoride(SF6)-loaded poly(D,L-lactide-co-glycolide)(PLGA)NBs,cyclodextrin(CD),sphingosine-1-phosphate(S1P),and recombinant tissue plasminogen activator(rtPA).Results:S1P@CD-PLGA-rtPA NBs had rapid and excellent thrombosis targeting imaging performance based on the specific interaction of S1P-S1PR1(sphingosine-1-phosphate receptor 1).Furthermore,S1P@CD-PLGA-rtPA NBs that specifically targeting to the thrombosis regions could also respond to external ultrasound to achieve accurate and efficient delivery of rtPA to enhance the thrombolysis effectiveness and efficiency.Conclusion:This study proposes a new idea and strategy of targeting thrombus in rats via the specific interaction of S1P-S1PR1.On this basis,the acoustic response properties of bubble carriers could be fully utilized by combining thrombus-specific targeted imaging and ultrasound-mediated drug delivery for effective thrombolysis,which is expected to be applied in targeted diagnosis and treatment of thrombotic diseases in the future.展开更多
Multimodal lung tumor medical images can provide anatomical and functional information for the same lesion.Such as Positron Emission Computed Tomography(PET),Computed Tomography(CT),and PET-CT.How to utilize the lesio...Multimodal lung tumor medical images can provide anatomical and functional information for the same lesion.Such as Positron Emission Computed Tomography(PET),Computed Tomography(CT),and PET-CT.How to utilize the lesion anatomical and functional information effectively and improve the network segmentation performance are key questions.To solve the problem,the Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network(Guide-YNet)is proposed in this paper.Firstly,a double-encoder single-decoder U-Net is used as the backbone in this model,a single-coder single-decoder U-Net is used to generate the saliency guided feature using PET image and transmit it into the skip connection of the backbone,and the high sensitivity of PET images to tumors is used to guide the network to accurately locate lesions.Secondly,a Cross Scale Feature Enhancement Module(CSFEM)is designed to extract multi-scale fusion features after downsampling.Thirdly,a Cross-Layer Interactive Feature Enhancement Module(CIFEM)is designed in the encoder to enhance the spatial position information and semantic information.Finally,a Cross-Dimension Cross-Layer Feature Enhancement Module(CCFEM)is proposed in the decoder,which effectively extractsmultimodal image features through global attention and multi-dimension local attention.The proposed method is verified on the lung multimodal medical image datasets,and the results showthat theMean Intersection overUnion(MIoU),Accuracy(Acc),Dice Similarity Coefficient(Dice),Volumetric overlap error(Voe),Relative volume difference(Rvd)of the proposed method on lung lesion segmentation are 87.27%,93.08%,97.77%,95.92%,89.28%,and 88.68%,respectively.It is of great significance for computer-aided diagnosis.展开更多
BACKGROUND: Local cryoablation guided by CT or ultrasound has been widely applied in the treatment of hepatocellular carcinoma. However, it is still difficult to apply this technique in certain regions such as the dia...BACKGROUND: Local cryoablation guided by CT or ultrasound has been widely applied in the treatment of hepatocellular carcinoma. However, it is still difficult to apply this technique in certain regions such as the diaphragm dome, the first hepatic hilum, and regions adjacent to the gallbladder. This study aimed to evaluate the safety and efficacy of using magnetic resonance imaging (MRI)-guided percutaneous cryoablation as well as the effect of using an open MRI system in guiding and monitoring the treatment of hepatocellular carcinoma in these regions. METHODS: Cryoablation, guided by an open 0.35T MRI scanner and with the assistance of an MRI-compatible optical navigation system, was performed on 32 patients with hepatocellular carcinoma at the diaphragm dome, the first hepatic hilum, and regions adjacent to the gallbladder. Each patient had one or two tumors. The total number of tumors treated was 36. The tumor diameters ranged from 2.5 to 10.0 cm (mean 4.7+/-1.8 cm). The cryosurgical system was MRI-compatible and equipped with cryoprobes 1.47 mm in outside diameter. Under the guidance of MRI in combination with the optical navigation system, the cryoprobes were introduced percutaneously into a tumor at the planned targeting points while critical organs or tissues were avoided. Each cryoablation procedure included two freezing-thawing cycles, and MRI images were acquired dynamically to monitor the ablation of the tumor from time to time during the operation. In order to investigate the therapeutic effects of a cryoablation procedure, AFP measurements and liver-enhanced MRI or CT-enhanced scans were performed at regular times. RESULTS: MRI and optical navigation system-guided cryoablation procedures were successfully performed on all 32 patients (36 tumor sites) and no serious complications occurred. The follow-up period ranged from 5 to 12 months. The 6- and 12-month overall survival rates were 96.8% and 90.6%, respectively. According to the diagnosis of liver-enhanced MRI scans, 10 patients (31.3%) had complete ablation, 18 (56.3%) partial ablation (>80%), 3 (9.4%) stable disease (>50% ablation), and 1 (3.1%) progressive disease (a new tumor site in the liver). The overall efficacy was 87.5%. CONCLUSIONS: MR-guided percutaneous cryoablation using optical navigation is a safe and effective minimally invasive procedure for the treatment of hepatocellular carcinoma at certain special regions, which is difficult to treat with other imaging guidance approaches. With its unique and superb imaging functions, MRI plays an important role in the display, guidance, and monitoring of the cryoablation procedure in treating hepatocellular carcinoma at these special regions. Equipped with an MRI-compatible optical navigation system, MRI-guided therapy makes the cryoablation procedure more precise and safe.展开更多
Key advances in multifunctional magnetic nanoparticles （MNPs） for magnetic resonance （MR） image-guided pho- tothermal therapy of cancer are reviewed. We briefly outline the design and fabrication of such multifunc...Key advances in multifunctional magnetic nanoparticles （MNPs） for magnetic resonance （MR） image-guided pho- tothermal therapy of cancer are reviewed. We briefly outline the design and fabrication of such multifunctional MNPs. Bimodal image-guided photothermal therapies （MR/fluorescence and MR/ultrasound） are also discussed.展开更多
The utilization of diagnosis to guide/aid therapy procedures has shown great prospects in the era of personalized medicine along with the recognition of tumor heterogeneity and complexity.Herein,a kind of multifunctio...The utilization of diagnosis to guide/aid therapy procedures has shown great prospects in the era of personalized medicine along with the recognition of tumor heterogeneity and complexity.Herein,a kind of multifunctional silicon-based nanostructure,i.e.,gold nanoparticles-decorated fluorescent silicon nanorods(Au@SiNRs),is fabricated and exploited for tumor-targeted multimodal imaging-guided photothermal therapy.In particular,the prepared Au@SiNRs feature high photothermal conversion efficiency(~43.9%)and strong photothermal stability(photothermal performance stays constant after five-cycle NIR laser irradiation),making them high-performance agents for simultaneously photoacoustic and infrared thermal imaging.The Au@SiNRs are readily modified with targeting peptide ligands,enabling an enhanced tumor accumulation with a high value of^8.74%ID g?1.Taking advantages of these unique merits,the Au@SiNRs are superbly suitable for specifically ablating tumors in vivo without appreciable toxicity under the guidance of multimodal imaging.Typically,all the mice treated with the Au@SiNRs remain alive,and no distinct tumor recurrence is observed during 60-day investigation.展开更多
文摘In this editorial,we comment on the article by Li et al.We specifically focus on the novel use of multicolor near-infrared fluorescence imaging(MCFI)with indocyanine green in laparoscopic cholecystectomy,which is an innovative approach for enhancing biliary visualization during laparoscopic cholecystectomy.This study also highlighted the limitations of conventional single-color fluorescence imaging(SCFI),which relies solely on a green fluorescence signal,leading to challenges such as visual fatigue and difficulty in distinguishing biliary structures from background hepatic tissue.Given the complex anatomy of the biliary system and the challenges of visual fatigue encountered with SCFI,MCFI addresses these issues by enabling the differentiation of biliary structures by mapping the fluorescence intensity across a unique blue-to-purple color spectrum,thus improving the clarity of anatomical structures and reducing the visual strain for surgeons.We also focus specifically on the complications and cautious usage of indocyanine green in this context,as well as the advantages and disadvantages of MCFI and SCFI.Overall,MCFI represents a significant advancement in fluorescence-guided surgery,with the potential to become a standard imaging modality for safer and more effective laparoscopic procedures.
基金Supported by Amrita Vishwa Vidyapeetham Seed Grant,No.K-PHAR-24-722DST INSPIRE Fellowship,No.IF190226.
文摘BACKGROUND Syngeneic orthotopic tumor models offer an optimal functional tumor–immune interface for hepatocellular carcinoma research.Yet,unpredictable growth kinetics and spontaneous regression pose major obstacles.Efficient induction protocols and continuous monitoring are therefore essential.Routine exploratory surgeries are ethically untenable,making non-invasive imaging modalities attractive alternatives.High-resolution magnetic resonance imaging and microcomputed tomography deliver detailed insights but incur substantial equipment costs,radiation risks,time demands,and require specialized expertise—challenges that limit their routine use.In contrast,ultrasound(US)imaging emerges as a cost-effective,radiation-free,and rapid approach,facilitating practical and ethical longitudinal assessment of tumor progression in preclinical studies.AIM To optimize the orthotopic hepatocellular carcinoma model and evaluate the potential of US imaging for accurate and cost-effective tumor monitoring.METHODS Hepatocellular carcinoma was induced in 28 Sprague Dawley rats by implanting 5×10^(6) N1S1 cells into the left lateral hepatic lobe.Tumor progression was monitored weekly via US.Upon reaching 100-150 mm^(3),an experimental group(n=14)received Sorafenib(40 mg/kg)orally on alternate days for 28 days;efficacy was compared to untreated controls.US accuracy was validated against micro-computed tomography,gross caliper measurements and histopathological analysis.Reliability and operator proficiency in US assessment were also evaluated.RESULTS US images procured 7-day post-surgery revealed a well-defined hypoechoic nodule at the left liver lobe tip,confirming successful tumor induction(mean volume 130±39 mm^(3)).Only three animals exhibited spontaneous regression by week 2,underscoring the model’s stability.Sorafenib treatment elicited a marked tumor reduction(678±103 mm^(3))vs untreated control(6005±1760 mm^(3)).US assessment demonstrated robust intra and interobserver reproducibility with high sensitivity and specificity for tumor detection.Moreover,US derived volumes correlated strongly with gross caliper measurements,histopathological analysis,and microcomputed tomography imaging,validating its reliability as a non-invasive monitoring tool in preclinical hepatocellular carcinoma studies.CONCLUSION The results demonstrate that US imaging is a reliable,cost-effective,and animal sparing approach with an easy tomaster protocol,enabling monitoring of tumor progression and therapeutic response in orthotopic liver tumor models.
基金Supported by the Affiliated Hospital of Xuzhou Medical University,No.2024ZH04Xuzhou Municipal Science and Technology Bureau,No.KC23282.
文摘BACKGROUND Arm-implanted totally implantable venous access devices(peripherally inserted central catheter port)have become an important vascular access for colorectal cancer chemotherapy,but traditional anatomical landmark positioning techniques have issues with inaccurate positioning and high complication rates.AIM To evaluate the clinical value of image pre-measurement combined with intracavitary electrocardiogram(IC-ECG)positioning technology in arm port implantation for colorectal cancer patients.METHODS A retrospective analysis was conducted on 216 colorectal cancer patients who received arm port implantation in our hospital from January 2024 to December 2024.Patients were divided into an experimental group(image pre-measurement combined with IC-ECG positioning technology,n=103)and a control group(traditional anatomical landmark positioning technique,n=113).Technical success rate,operation time,catheter tip position accuracy,number of intraoperative catheter adjustments,X-ray exposure time,and postoperative complication rates were compared between the two groups.RESULTS The experimental group demonstrated superior outcomes compared to the control group across all key measures.Technical success rate was higher(98.4%vs 92.7%,P<0.05)with significantly reduced operation time(23.6±5.2 minutes vs 31.5±7.8 minutes,P<0.01).Catheter tip positioning accuracy improved substantially(97.6%vs 85.4%,P=0.002)while X-ray exposure time decreased by 71.8%(5.3±2.1 seconds vs 18.7±4.5 seconds,P<0.001).Threemonth complication rates were markedly lower in the experimental group(4.1%vs 14.6%,P=0.008),including significant reductions in catheter-related thrombosis(0.8%vs 4.9%),displacement(1.6%vs 5.7%),and occlusion(1.6%vs 4.1%).Multivariate analysis identified traditional technique as the strongest risk factor(odds ratio=4.27,P<0.001),while the combined IC-ECG approach was protective(odds ratio=0.34 for displacement,P=0.018).Long-term outcomes favored the experimental group with higher chemotherapy completion rates(97.1%vs 88.5%,P=0.014)and longer catheter dwelling time(189.5±45.3 days vs 162.7±53.8 days,P<0.001).CONCLUSION Image pre-measurement combined with intracavitary electrocardiogram positioning technology in arm port implantation for colorectal cancer patients can significantly improve catheter tip positioning accuracy,reduce operation time and X-ray exposure.
基金Project supported by the Natural Science Foundation of Shandong Province(ZR2020ME045,ZR2020ME046)the Taishan Scholar Project of Shandong Province(tsqn201812130)+2 种基金the National Natural Science Foundation of China(82272833)"New Universities 20"Foundation of Jinan(2021GXRC099,T202204)China Postdoctoral Science Foundation(2022M711438)。
文摘Photodynamic therapy(PDT),as a non-invasive treatment,is expected to be widely used in clinical cancer treatment.In this paper,a near-infrared(NIR)light responsive Lu_(2)O_(3):Yb/Er/Li-Ce6@MIL-101/GOx-PDA(LCMGP)nanodiagnostic platform was prepared for CT/PA imaging-guided multimodality synergistic therapy.Under 808 nm laser irradiation,Lu_(2)O_(3):Yb/Er/Li-Ce6(LC)NPs in the nano-diagnostic platform are activated and sensitized by NIR light,resulting in the generation of more single-linear oxygen(^(1)O_(2))for efficient PDT.Glucose oxidase(GOx)and MIL-101(Fe)nanozymes can utilize their excellent enzyme cascade catalytic properties and peroxidase-like catalytic properties to undergo glycolysis reactions and catalyze the decomposition of endogenous hydrogen peroxide(H_(2)O_(2)),producing a large amount of hydroxyl radicals(·OH),achieving efficient chemodynamic therapy(CDT).The functionalized modification of polydopamine(PDA)endows the LCMGP nanoparticles with higher photothermal conversion efficiency,which can prompt high local temperature at the tumor site under the irradiation of NIR light to achieve efficient photothermal therapy(PTT).In addition,hyperthermia accelerates the catalytic efficiency of the nanozymatic cascade of LCMGP nanoparticles to enhance ROS production while increasing cellular uptake,resulting in PTT-induced PDT/CDT synergistic effect(96%).Based on the excellent photothermal conversion effect of PDA and the high X-ray atte nuation effect of Lu/Fe,the LCMGP nanotherapeutic system demonstrates good CT/PA imaging function,providing new insights and ideas for imaging-mediated multimodal synergistic therapy.
基金supported by Universiti Teknologi MARA through UiTM MyRA Research Grant,600-RMC 5/3/GPM(053/2022).
文摘Infrared and visible image fusion technology integrates the thermal radiation information of infrared images with the texture details of visible images to generate more informative fused images.However,existing methods often fail to distinguish salient objects from background regions,leading to detail suppression in salient regions due to global fusion strategies.This study presents a mask-guided latent low-rank representation fusion method to address this issue.First,the GrabCut algorithm is employed to extract a saliency mask,distinguishing salient regions from background regions.Then,latent low-rank representation(LatLRR)is applied to extract deep image features,enhancing key information extraction.In the fusion stage,a weighted fusion strategy strengthens infrared thermal information and visible texture details in salient regions,while an average fusion strategy improves background smoothness and stability.Experimental results on the TNO dataset demonstrate that the proposed method achieves superior performance in SPI,MI,Qabf,PSNR,and EN metrics,effectively preserving salient target details while maintaining balanced background information.Compared to state-of-the-art fusion methods,our approach achieves more stable and visually consistent fusion results.The fusion code is available on GitHub at:https://github.com/joyzhen1/Image(accessed on 15 January 2025).
基金supported by the Fundamental Research Fund for the Central Universities(K20220220)the National Key Research and Development Program of China(2018YFC1005003,2018YFE0190200,and 2022YFB3206000)+4 种基金the National Natural Science Foundation of China(U23A20487,82001874,61975172,and 82102105)the Zhejiang Engineering Research Center of Cognitive Healthcare(2017E10011)the Natural Science Foundation of Zhejiang Province(LQ22H160017)the Zhejiang Province Science and Technology Plan Project(2022C03134)the Science and Technology Innovation 2030 Plan Project(2022ZD0160703).
文摘Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence imaging in foot and ankle surgeries.A lab-established NIR-II fluorescence surgical navigation system was developed and used to navigate foot and ankle surgeries which enabled obtaining more high-spatial-frequency information and a higher signal-to-background ratio(SBR)in NIR-II fluorescence images compared to NIR-I fluorescence images;our result demonstrates that NIR-II imaging could provide higher-contrast and larger-depth images to surgeons.Three types of clinical application scenarios(diabetic foot,calcaneal fracture,and lower extremity trauma)were included in this study.Using the NIR-II fluorescence imaging technique,we observed the ischemic region in the diabetic foot before morphological alterations,accurately determined the boundary of the ischemic region in the surgical incision,and fully assessed the blood supply condition of the flap.NIR-II fluorescence imaging can help surgeons precisely judge surgical margins,detect ischemic lesions early,and dynamically trace the perfusion process.We believe that portable and reliable NIR-II fluorescence imaging equipment and additional functional fluorescent probes can play crucial roles in precision surgery.
基金National Key R&D Program of China,Grant/Award Number:2022YFC3300704National Natural Science Foundation of China,Grant/Award Numbers:62171038,62088101,62006023。
文摘Due to hardware limitations,existing hyperspectral(HS)camera often suffer from low spatial/temporal resolution.Recently,it has been prevalent to super-resolve a low reso-lution(LR)HS image into a high resolution(HR)HS image with a HR RGB(or mul-tispectral)image guidance.Previous approaches for this guided super-resolution task often model the intrinsic characteristic of the desired HR HS image using hand-crafted priors.Recently,researchers pay more attention to deep learning methods with direct supervised or unsupervised learning,which exploit deep prior only from training dataset or testing data.In this article,an efficient convolutional neural network-based method is presented to progressively super-resolve HS image with RGB image guidance.Specif-ically,a progressive HS image super-resolution network is proposed,which progressively super-resolve the LR HS image with pixel shuffled HR RGB image guidance.Then,the super-resolution network is progressively trained with supervised pre-training and un-supervised adaption,where supervised pre-training learns the general prior on training data and unsupervised adaptation generalises the general prior to specific prior for variant testing scenes.The proposed method can effectively exploit prior from training dataset and testing HS and RGB images with spectral-spatial constraint.It has a good general-isation capability,especially for blind HS image super-resolution.Comprehensive experimental results show that the proposed deep progressive learning method out-performs the existing state-of-the-art methods for HS image super-resolution in non-blind and blind cases.
基金supported by the National Natural Science Foundation of China grant(Nos.22174105 and 21974104)the National Key R&D Program of China(No.2020YFA0908800)。
文摘Owing to the high spatiotemporal resolution,the second near-infrared(NIR-II)imaging window can provide high imaging contrast with diminished tissue autofluorescence and suppressed photon scattering to pinpoint the locations for tumor surgery.Due to the unique optical properties and excellent fluorescence performance,quantum dots(QDs)are regarded as ideal nanoprobes for fluorescence-guided surgery(FGS).Moreover,QDs can be excited by a variety of light sources owing to the continuous and wide absorption ranges.Herein,light-emitting diode(LED)was used as the excitation source of QDs-based nanoprobes to realize FGS of tumor with high resolution.Since the LED light could irradiate a large region with consistent light intensity,signal distortion at the edge of imaging field was avoided.The signal intensity of the view edges under LED excitation can be improved by about 5 times compared to laser excitation.Therefore,more micro-vessels and smaller tumors(Vtumor<5 mm^(2))could be detected,thus providing more precise guidance for tumor resection surgery.
基金financially supported by the National Natural Science Foundation of China(22078046)Fundamental Research Fundamental Funds for the Central Universities(DUT22LAB601)+1 种基金Liaoning Binhai Laboratory(LBLB-2023-03)China Postdoctoral Science Foundation(2023M740487)。
文摘The key factor in photothermal therapy lies in the selection of photothermal agents.Traditional photothermal agents generally have problems such as poor photothermal stability and low photothermal conversion efficiency.Herein,we have designed and synthesized an isoindigo(IID)dye.We used isoindigo as the molecular center and introduced common triphenylamine and methoxy groups as rotors.In order to improve the photothermal stability and tumor targeting ability,we encapsulated IID into nanoparticles.As a result,the nanoparticles exhibited high photothermal stability and photothermal conversion efficiency(67%)upon 635 nm laser irradiation.Thus,the nanoparticles demonstrated a significant inhibitory effect on live tumors in photothermal therapy guided by photoacoustic imaging and provided a viable strategy to overcome the treatment challenges.
基金the National Natural Science Foundation of China(Nos.21762045,21911540466)Shandong Provincial Natural Science Foundation(No.ZR2019YQ12)+1 种基金China Postdoctoral Science Foundation(No.219M652306)Taishan Scholar Project(No.tsqn201812049)for supporting this work。
文摘Photothermal therapy(PTT)is a cutting-edge cancer treatment that can kill cancer cells in hypoxic environments without relying on oxygen.Seeking of the ideal photothermal agents with a high absorption coefficient in the near-infrared region,and a high excellent photothermal conversion efficiency is of great significance.Sulfone-Rhodanmine dye has showed an impressive absorption wavelength over 700 nm,but suffered from a stability issue.In this study,we synthesized five sulfone rhodamines and investigated the substitution effects on stability.SO_(2)R2 showed high stability and strong absorbance at 714 nm with an excellent photothermal conversion efficiency of 53.06%,making it suitable for accurate photoacoustic imaging-guided photothermal therapy in vivo.
基金supported by National Natural Science Foundation of China(No.62175262)the Science and Technology Innovation Program of Hunan Province(No.2022RC1201)the Fundamental Research Funds for the Central Universities of Central South University(No.2019zzts849)。
文摘Combining phototherapy and chemotherapy has been considered a promising modality for cancer therapy due to their synergistic effect.Herein,we developed three D-π-A-structured boron dipyrromethenes(BODIPYs)(named as B-B,B-C,and B-C-Pt).Due to their enlargedπ-conjugated structure and high intramolecular charge transfer effect,the synthesized BODIPYs had photothermal conversion capability,and their absorption and fluorescence spectra were red-shifted.The cisplatin-appended BODIPY(B-C-Pt)exhibited good singlet oxygen(^1O_(2))generation ability and near infrared(NIR)absorption and fluorescence(λ_(Abs)=748 nm,λ_(Em)=947 nm).After being encapsulated by distearoyl phosphoethanolamine polyethyleneglycol 2000(DSPE-PEG-2000),which could inhibit the H-aggregation of B-C-Pt,the absorption and fluorescence of the obtained B-C-Pt nanoparticles(NPs)were red-shifted to 762 and 985 nm,respectively.The^1O_(2)quantum yield and photothermal conversion efficiency of the B-C-Pt NPs were 4.0%and 40.6%,respectively.Moreover,B-C-Pt NPs had chemotherapeutic efficacy due to the presence of cisplatin.In vitro and in vivo studies further demonstrated that B-C-Pt NPs had synergistic therapeutic efficacy.Together,B-C-Pt NPs could be employed in NIRⅡfluorescent and photoacoustic imaging-guided synergistic phototherapy and chemotherapy for cancer treatment.
文摘Generating a realistic person's image from one source pose conditioned on another different target pose is a promising computer vision task.The previous mainstream methods mainly focus on exploring the transformation relationship between the keypoint-based source pose and the target pose,but rarely investigate the region-based human semantic information.Some current methods that adopt the parsing map neither consider the precise local pose-semantic matching issues nor the correspondence between two different poses.In this study,a Region Semantics-Assisted Generative Adversarial Network(RSA-GAN)is proposed for the pose-guided person image gen-eration task.In particular,a regional pose-guided semantic fusion module is first devel-oped to solve the imprecise match issue between the semantic parsing map from a certain source image and the corresponding keypoints in the source pose.To well align the style of the human in the source image with the target pose,a pose correspondence guided style injection module is designed to learn the correspondence between the source pose and the target pose.In addition,one gated depth-wise convolutional cross-attention based style integration module is proposed to distribute the well-aligned coarse style information together with the precisely matched pose-guided semantic information to-wards the target pose.The experimental results indicate that the proposed RSA-GAN achieves a 23%reduction in LPIPS compared to the method without using the seman-tic maps and a 6.9%reduction in FID for the method with semantic maps,respectively,and also shows higher realistic qualitative results.
文摘BACKGROUND Optical coherence tomography(OCT)offers detailed cross-sectional imaging during percutaneous coronary intervention(PCI),aiding in anatomically complex coronary lesions.Despite its advantages,evidence on the clinical effectiveness of OCT-guided PCI remains limited.Major databases were systematically searched for randomized controlled trials(RCTs)comparing OCT-guided and angiography-guided PCI in complex lesions.Primary outcomes included major adverse cardiovascular events(MACE)and target vessel failure(TVF);secondary outcomes included mortality,myocardial infarction(MI),and other procedural outcomes.A random-effects model was used to pool risk ratio(RR),with 95%CI.Statistical analysis was conducted in R software(v4.4.1),with significance set at P<0.05.RESULTS Five RCTs(5737 patients)showed OCT-guided PCI significantly reduced MACE(RR:0.63,95%CI:0.52-0.77,P<0.01),TVF(RR:0.68,95%CI:0.56-0.83,P<0.01),all-cause(RR:0.58,95%CI:0.38-0.87,P<0.01)and cardiac mortality(RR:0.43,95%CI:0.24-0.76,P<0.01),target-lesion revascularization(RR:0.53,95%CI:0.33-0.84,P<0.01),stent thrombosis(RR:0.52,95%CI:0.31-0.86,P=0.01),and target-vessel MI(RR:0.64,95%CI:0.42-0.97,P=0.04)vs angiography-guided PCI.Periprocedural MI,any revascularization,target-vessel revascularization,and contrast-associated kidney injury were similar between groups.CONCLUSION OCT-guided PCI improves outcomes in complex lesions by reducing MACE,TVF,mortality,stent thrombosis,and target-vessel MI.These findings highlight the need for further large-scale RCTs to confirm its benefits.
基金supported by the National Natural Science Foundation of China(Grant Nos:82073808,82273885).
文摘Hypoxia is the common characteristic of almost all solid tumors,which prevents therapeutic drugs from reaching the tumors.Therefore,the development of new targeted agents for the accurate diagnosis of hypoxia tumors is widely concerned.As carbonic anhydrase IX(CA IX)is abundantly distributed on the hypoxia tumor cells,it is considered as a potential tumor biomarker.4-(2-Aminoethyl)benzenesulfonamide(ABS)as a CA IX inhibitor has inherent inhibitory activity and good targeting effect.In this study,Ag_(2)S quantum dots(QDs)were used as the carrier to prepare a novel diagnostic and therapeutic bioprobe(Ag_(2)S@polyethylene glycol(PEG)-ABS)through ligand exchange and amide condensation reaction.Ag_(2)S@PEG-ABS can selectively target tumors by surface-modified ABS and achieve accurate tumor imaging by the near infrared-II(NIR-II)fluorescence characteristics of Ag_(2)S QDs.PEG modification of Ag_(2)S QDs greatly improves its water solubility and stability,and therefore achieves high photothermal stability and high photothermal conversion efficiency(PCE)of 45.17%.Under laser irradiation,Ag_(2)S@PEG-ABS has powerful photothermal and inherent antitumor combinations on colon cancer cells(CT-26)in vitro.It also has been proved that Ag_(2)S@PEG-ABS can realize the effective treatment of hypoxia tumors in vivo and show good biocompatibility.Therefore,it is a new efficient integrated platform for the diagnosis and treatment of hypoxia tumors.
基金supported by NSFC/China(22225805,21878087,22378122,32394001,and 32121005)National Key Research and Development Program(2021YFA0910000),Shanghai Science and Technology Innovation Action Plan(No.23J21901600)+4 种基金Innovation Program of Shanghai Municipal Education Commission,Shanghai Frontier Science Research Base of Optogenetic Techniques for Cell Metabolism(Shanghai Municipal Education Commission,grant 2021 Sci&Tech 03-28)Shanghai Municipal Science and Technology Major Project(Grant 2018SHZDZX03)Shanghai Science and Technology Committee Rising-Star Program(22QC1400400)Programme of Introducing Talents of Discipline to Universities(B16017)Natural Science Foundation of Shanghai(23ZR1416600).
文摘Prostate-specific membrane antigen(PSMA)is known to be overexpressed in prostate cancer(PCa).The development of precise and rapid imaging technologies to monitor PSMA is crucial for early diagnosis and therapy.Fluorescence imaging in the second near-infrared window(NIR-II)has emerged as a powerful tool for real-time tracking and in vivo visualization,offering high sensitivity and resolu-tion.However,there is a lack of stable,bright and easy-to-implement NIR-II fluorescent probes for PSMA targeting.Herein,we presented a PSMA-targeting NIR-II fluorescent probe FC-PSMA based onπ-conjugated crossbreeding dyed strategy that affords high stability,large extinction coefficient,and good bright-ness.As demonstrated,FC-PSMA displayed a high fluorescence quantum yield in fetal bovine serum(FBS).Following intravenous injection of FC-PSMA,the tumor-to-normal ratio of fluorescence intensity steadily increased over time,reaching a peak at 48 h(tumor-to-leg ratio=12.16±0.90).This advancement enables precise identification of PC through NIR-II fluorescence imaging,facili-tating high-performance guidance for prostate cancer resection surgery.
基金supported by the project of National Natural Science Foundation of China(81971750)Natural Science Foundation of Jiangsu Province(Grant No.BK20222002)+1 种基金National Key Research and Development Program of China(2018YFA0704103)Project 333 of Jiangsu Province.
文摘Objective:The objective of this work is to design and fabricate a novel multifunctional nanocarrier combining thrombus-targeted imaging and ultrasound-mediated drug delivery for the theranostics of thrombotic diseases.Impact Statement:This study develops a new technology that can accurately visualize the thrombus and deliver drugs with controllable properties to diagnose and treat thrombotic diseases.Introduction:Thrombotic diseases are a serious threat to human life and health.The diagnosis and treatment of thrombotic diseases have always been a challenge.In recent years,nanomedicine has brought new ideas and new methods for the theranostics of thrombotic diseases.However,there are also many problems need to be solved,such as biosafety and stability of nanocarriers,early diagnosis,and timely treatment of thrombotic diseases,difficulty in clinical translation.Methods:The S1P@CD-PLGA-rtPA nanobubbles(NBs)were prepared by integrating sulfur hexafluoride(SF6)-loaded poly(D,L-lactide-co-glycolide)(PLGA)NBs,cyclodextrin(CD),sphingosine-1-phosphate(S1P),and recombinant tissue plasminogen activator(rtPA).Results:S1P@CD-PLGA-rtPA NBs had rapid and excellent thrombosis targeting imaging performance based on the specific interaction of S1P-S1PR1(sphingosine-1-phosphate receptor 1).Furthermore,S1P@CD-PLGA-rtPA NBs that specifically targeting to the thrombosis regions could also respond to external ultrasound to achieve accurate and efficient delivery of rtPA to enhance the thrombolysis effectiveness and efficiency.Conclusion:This study proposes a new idea and strategy of targeting thrombus in rats via the specific interaction of S1P-S1PR1.On this basis,the acoustic response properties of bubble carriers could be fully utilized by combining thrombus-specific targeted imaging and ultrasound-mediated drug delivery for effective thrombolysis,which is expected to be applied in targeted diagnosis and treatment of thrombotic diseases in the future.
基金supported in part by the National Natural Science Foundation of China(Grant No.62062003)Natural Science Foundation of Ningxia(Grant No.2023AAC03293).
文摘Multimodal lung tumor medical images can provide anatomical and functional information for the same lesion.Such as Positron Emission Computed Tomography(PET),Computed Tomography(CT),and PET-CT.How to utilize the lesion anatomical and functional information effectively and improve the network segmentation performance are key questions.To solve the problem,the Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network(Guide-YNet)is proposed in this paper.Firstly,a double-encoder single-decoder U-Net is used as the backbone in this model,a single-coder single-decoder U-Net is used to generate the saliency guided feature using PET image and transmit it into the skip connection of the backbone,and the high sensitivity of PET images to tumors is used to guide the network to accurately locate lesions.Secondly,a Cross Scale Feature Enhancement Module(CSFEM)is designed to extract multi-scale fusion features after downsampling.Thirdly,a Cross-Layer Interactive Feature Enhancement Module(CIFEM)is designed in the encoder to enhance the spatial position information and semantic information.Finally,a Cross-Dimension Cross-Layer Feature Enhancement Module(CCFEM)is proposed in the decoder,which effectively extractsmultimodal image features through global attention and multi-dimension local attention.The proposed method is verified on the lung multimodal medical image datasets,and the results showthat theMean Intersection overUnion(MIoU),Accuracy(Acc),Dice Similarity Coefficient(Dice),Volumetric overlap error(Voe),Relative volume difference(Rvd)of the proposed method on lung lesion segmentation are 87.27%,93.08%,97.77%,95.92%,89.28%,and 88.68%,respectively.It is of great significance for computer-aided diagnosis.
文摘BACKGROUND: Local cryoablation guided by CT or ultrasound has been widely applied in the treatment of hepatocellular carcinoma. However, it is still difficult to apply this technique in certain regions such as the diaphragm dome, the first hepatic hilum, and regions adjacent to the gallbladder. This study aimed to evaluate the safety and efficacy of using magnetic resonance imaging (MRI)-guided percutaneous cryoablation as well as the effect of using an open MRI system in guiding and monitoring the treatment of hepatocellular carcinoma in these regions. METHODS: Cryoablation, guided by an open 0.35T MRI scanner and with the assistance of an MRI-compatible optical navigation system, was performed on 32 patients with hepatocellular carcinoma at the diaphragm dome, the first hepatic hilum, and regions adjacent to the gallbladder. Each patient had one or two tumors. The total number of tumors treated was 36. The tumor diameters ranged from 2.5 to 10.0 cm (mean 4.7+/-1.8 cm). The cryosurgical system was MRI-compatible and equipped with cryoprobes 1.47 mm in outside diameter. Under the guidance of MRI in combination with the optical navigation system, the cryoprobes were introduced percutaneously into a tumor at the planned targeting points while critical organs or tissues were avoided. Each cryoablation procedure included two freezing-thawing cycles, and MRI images were acquired dynamically to monitor the ablation of the tumor from time to time during the operation. In order to investigate the therapeutic effects of a cryoablation procedure, AFP measurements and liver-enhanced MRI or CT-enhanced scans were performed at regular times. RESULTS: MRI and optical navigation system-guided cryoablation procedures were successfully performed on all 32 patients (36 tumor sites) and no serious complications occurred. The follow-up period ranged from 5 to 12 months. The 6- and 12-month overall survival rates were 96.8% and 90.6%, respectively. According to the diagnosis of liver-enhanced MRI scans, 10 patients (31.3%) had complete ablation, 18 (56.3%) partial ablation (>80%), 3 (9.4%) stable disease (>50% ablation), and 1 (3.1%) progressive disease (a new tumor site in the liver). The overall efficacy was 87.5%. CONCLUSIONS: MR-guided percutaneous cryoablation using optical navigation is a safe and effective minimally invasive procedure for the treatment of hepatocellular carcinoma at certain special regions, which is difficult to treat with other imaging guidance approaches. With its unique and superb imaging functions, MRI plays an important role in the display, guidance, and monitoring of the cryoablation procedure in treating hepatocellular carcinoma at these special regions. Equipped with an MRI-compatible optical navigation system, MRI-guided therapy makes the cryoablation procedure more precise and safe.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.81371580 and 21273014)the State Key Program of the National Natural Science Foundation of China(Grant No.81230036)the National Natural Science Foundation for Distinguished Young Scholars(Grant No.81225011)
文摘Key advances in multifunctional magnetic nanoparticles （MNPs） for magnetic resonance （MR） image-guided pho- tothermal therapy of cancer are reviewed. We briefly outline the design and fabrication of such multifunctional MNPs. Bimodal image-guided photothermal therapies （MR/fluorescence and MR/ultrasound） are also discussed.
基金financial support from the National Basic Research Program of China(973 Program,2013CB934400)the National Natural Science Foundation of China(21825402,31400860,21575096,and 21605109)+3 种基金the Natural Science Foundation of Jiangsu Province of China(BK20170061)Collaborative Innovation Center of Suzhou Nano Science and Technology,and the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)the 111 ProjectJoint International Research Laboratory of Carbon-Based Functional Materials and Devices.
文摘The utilization of diagnosis to guide/aid therapy procedures has shown great prospects in the era of personalized medicine along with the recognition of tumor heterogeneity and complexity.Herein,a kind of multifunctional silicon-based nanostructure,i.e.,gold nanoparticles-decorated fluorescent silicon nanorods(Au@SiNRs),is fabricated and exploited for tumor-targeted multimodal imaging-guided photothermal therapy.In particular,the prepared Au@SiNRs feature high photothermal conversion efficiency(~43.9%)and strong photothermal stability(photothermal performance stays constant after five-cycle NIR laser irradiation),making them high-performance agents for simultaneously photoacoustic and infrared thermal imaging.The Au@SiNRs are readily modified with targeting peptide ligands,enabling an enhanced tumor accumulation with a high value of^8.74%ID g?1.Taking advantages of these unique merits,the Au@SiNRs are superbly suitable for specifically ablating tumors in vivo without appreciable toxicity under the guidance of multimodal imaging.Typically,all the mice treated with the Au@SiNRs remain alive,and no distinct tumor recurrence is observed during 60-day investigation.
