With rapid urbanization,fires pose significant challenges in urban governance.Traditional fire detection methods often struggle to detect smoke in complex urban scenes due to environmental interferences and variations...With rapid urbanization,fires pose significant challenges in urban governance.Traditional fire detection methods often struggle to detect smoke in complex urban scenes due to environmental interferences and variations in viewing angles.This study proposes a novel multimodal smoke detection method that fuses infrared and visible imagery using a transformer-based deep learning model.By capturing both thermal and visual cues,our approach significantly enhances the accuracy and robustness of smoke detection in business parks scenes.We first established a dual-view dataset comprising infrared and visible light videos,implemented an innovative image feature fusion strategy,and designed a deep learning model based on the transformer architecture and attention mechanism for smoke classification.Experimental results demonstrate that our method outperforms existing methods,under the condition of multi-view input,it achieves an accuracy rate of 90.88%,precision rate of 98.38%,recall rate of 92.41%and false positive and false negative rates both below 5%,underlining the effectiveness of the proposed multimodal and multi-view fusion approach.The attention mechanism plays a crucial role in improving detection performance,particularly in identifying subtle smoke features.展开更多
Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability...Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability to fully extract fused image information.Therefore,a multimodal medical image fusion method based on mask optimization and parallel attention mechanism was proposed to address the aforementioned issues.Firstly,it converted the entire image into a binary mask,and constructed a contour feature map to maximize the contour feature information of the image and a triple path network for image texture detail feature extraction and optimization.Secondly,a contrast enhancement module and a detail preservation module were proposed to enhance the overall brightness and texture details of the image.Afterwards,a parallel attention mechanism was constructed using channel features and spatial feature changes to fuse images and enhance the salient information of the fused images.Finally,a decoupling network composed of residual networks was set up to optimize the information between the fused image and the source image so as to reduce information loss in the fused image.Compared with nine high-level methods proposed in recent years,the seven objective evaluation indicators of our method have improved by 6%−31%,indicating that this method can obtain fusion results with clearer texture details,higher contrast,and smaller pixel differences between the fused image and the source image.It is superior to other comparison algorithms in both subjective and objective indicators.展开更多
Fourier Ptychographic Microscopy(FPM)is a high-throughput computational optical imaging technology reported in 2013.It effectively breaks through the trade-off between high-resolution imaging and wide-field imaging.In...Fourier Ptychographic Microscopy(FPM)is a high-throughput computational optical imaging technology reported in 2013.It effectively breaks through the trade-off between high-resolution imaging and wide-field imaging.In recent years,it has been found that FPM is not only a tool to break through the trade-off between field of view and spatial resolution,but also a paradigm to break through those trade-off problems,thus attracting extensive attention.Compared with previous reviews,this review does not introduce its concept,basic principles,optical system and series of applications once again,but focuses on elaborating the three major difficulties faced by FPM technology in the process from“looking good”in the laboratory to“working well”in practical applications:mismatch between numerical model and physical reality,long reconstruction time and high computing power demand,and lack of multi-modal expansion.It introduces how to achieve key technological innovations in FPM through the dual drive of Artificial Intelligence(AI)and physics,including intelligent reconstruction algorithms introducing machine learning concepts,optical-algorithm co-design,fusion of frequency domain extrapolation methods and generative adversarial networks,multi-modal imaging schemes and data fusion enhancement,etc.,gradually solving the difficulties of FPM technology.Conversely,this review deeply considers the unique value of FPM technology in potentially feeding back to the development of“AI+optics”,such as providing AI benchmark tests under physical constraints,inspirations for the balance of computing power and bandwidth in miniaturized intelligent microscopes,and photoelectric hybrid architectures.Finally,it introduces the industrialization path and frontier directions of FPM technology,pointing out that with the promotion of the dual drive of AI and physics,it will generate a large number of industrial application case,and looks forward to the possibilities of future application scenarios and expansions,for instance,body fluid biopsy and point-of-care testing at the grassroots level represent the expansion of the growth market.展开更多
Pamiparib is a potent and selective oral poly(adenosine diphosphate(ADP)-ribose)-polymerase(PARP)1/2inhibitor(PARPi).Pamiparib has good bioavailability and shows greater cytotoxic potency and similar DNA-trapping capa...Pamiparib is a potent and selective oral poly(adenosine diphosphate(ADP)-ribose)-polymerase(PARP)1/2inhibitor(PARPi).Pamiparib has good bioavailability and shows greater cytotoxic potency and similar DNA-trapping capacity compared to olaparib.It is not affected by adenosine triphosphate(ATP)-binding cassette transporters.展开更多
The phenotypes of the adenine-to-guanine transition at position 3243 of mitochondrial DNA(m.3243A>G)are highly variable,with different symptoms observed in different patients.These include mitochondrial encephalomy...The phenotypes of the adenine-to-guanine transition at position 3243 of mitochondrial DNA(m.3243A>G)are highly variable,with different symptoms observed in different patients.These include mitochondrial encephalomyopathy,lactic acidosis,and stroke-like episodes(MELAS);maternally inherited diabetes and deafness syndrome(MIDD);other syndromic conditions;or non-syndromic mitochondrial disorders.Renal involvement associated with this mutation generally manifests as subnephrotic proteinuria,progressive deterioration of kidney function,and increased morbidity.The retinopathies linked to the m.3243A>G mutation have heterogeneous presentations,characterized by variable degrees of retinal pigment epithelium(RPE)atrophy and hyperpigmentation at the posterior pole.As a severe phenotype of the m.3243A>G mutation,MELAS combined with focal and segmental glomerulosclerosis(FSGS)is rare.We herein firstly reported in detail the ophthalmic manifestations of a patient with this condition.Additionally,we reviewed the literature on fundus,ophthalmic electrophysiology,and optical coherence tomography(OCT)findings related to the m.3243A>G mutation.展开更多
Osteosarcoma is the most common primary bone tumor with high malignancy.It is particularly necessary to achieve rapid and accurate diagnosis in its intraoperative examination and early diagnosis.Accordingly,the multim...Osteosarcoma is the most common primary bone tumor with high malignancy.It is particularly necessary to achieve rapid and accurate diagnosis in its intraoperative examination and early diagnosis.Accordingly,the multimodal microscopic imaging diagnosis system constructed by bright field,spontaneous fluorescence and polarized light microscopic imaging was used to study the pathological mechanism of osteosarcoma from the tissue microenvironment level and achieve rapid and accurate diagnosis.First,the multimodal microscopic images of normal and osteosarcoma tissue slices were collected to characterize the overall morphology of the tissue microenvironment of the samples,the arrangement structure of collagen fibers and the content and distribution of endogenous fluorescent substances.Second,based on the correlation and complementarity of the feature information contained in the three single-mode images,combined with convolutional neural network(CNN)and image fusion methods,a multimodal intelligent diagnosis model was constructed to effectively improve the information utilization and diagnosis accuracy.The accuracy and true positivity of the multimodal diagnostic model were significantly improved to 0.8495 and 0.9412,respectively,compared to those of the single-modal models.Besides,the difference of tissue microenvironments before and after cancerization can be used as a basis for cancer diagnosis,and the information extraction and intelligent diagnosis of osteosarcoma tissue can be achieved by using multimodal microscopic imaging technology combined with deep learning,which significantly promoted the application of tissue microenvironment in pathological examination.This diagnostic system relies on its advantages of simple operation,high efficiency and accuracy and high cost-effectiveness,and has enormous clinical application potential and research significance.展开更多
BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help phys...BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help physicians more accurately diagnose and treat diseases.Combining imaging methods to diagnose RAVF has rarely been reported.CASE SUMMARY A 69-year-old female patient presented with gross hematuria that had persisted for 10 days.The patient underwent ultrasound examinations of the kidneys and renal blood vessels,enhanced computed tomography,three-dimensional com-puted tomography angiography,and digital subtraction angiography of the renal arteries.These revealed dilatation of the left renal vein and abnormal shunting between the left renal artery and vein.The patient was diagnosed with a left RAVF using combined multimodal imaging techniques.The patient was treated with left renal artery embolization immediately after renal arteriography.Hema-turia resolved following the left renal artery embolization without serious bleeding or other complications.The patient made a full recovery after one year of postoperative follow-up.CONCLUSION Multimodal imaging techniques complement each other when diagnosing RAVF,providing detailed diagnostic information that can aid in accurate diagnosis and treatment.In addition,this case reminds the sonographer to pay more attention to the color doppler flow imaging and blood flow spectrum when examining the kidney,so as to avoid misdiagnosis of renal cystic lesions as renal cysts and missed diagnosis of RAVF.展开更多
Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods...Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods An invasive BCI was implanted in the left visual cortex of 4-week-old Sprague–Dawley rats.Multimodal imaging techniques,including micro-CT and 9.0 T MRI,were used to acquire images of the rat cranial bone structure,vascular distribution,brain tissue functional zones,and BCI device before and after implantation.Using 3D-slicer software,the images were fused through spatial transformations,followed by image segmentation and 3D model reconstruction.The HoloLens platform was employed for MR visualization.Results This study constructed a multimodal imaging atlas for rats that included the skull,brain tissue,arterial tissue,and BCI device coupled with MR technology to create an interactive 3D anatomical model.Conclusions This multimodal 3D atlas provides an objective and stable reference for exploring complex relationships between brain tissue structure and function,enhancing the understanding of the operational principles of BCIs.This is the first multimodal 3D imaging atlas related to a BCI created using Sprague–Dawley rats.展开更多
Objective:The study aimed to report the distinctive fundus appearance of bilateral asymmetric choroidal melanocytosis and reviewed the clinical and multimodal imaging characteristics to differentiate choroidal melanoc...Objective:The study aimed to report the distinctive fundus appearance of bilateral asymmetric choroidal melanocytosis and reviewed the clinical and multimodal imaging characteristics to differentiate choroidal melanocytosis from malignant pigmented retinal lesions.Methods:An observational case report and literature review.Results:A 60-year-old patient underwent comprehensive ophthalmologic examinations.Underfunduscopic examination,bilateral choroidal melanocytosis with asymmetry choroidal pigmentation change was observed.In the right eye,there was diffuse darker coloration extending from posterior pole to the mid-peripheral retina.In the left eye,flat patches of choroidal hyperpigmentation were present,involving superior and inferior hemisphere region,while other regions were depigmented.Spectral-domain optical coherence tomography revealed that the layers of retina and choroid were basically normal,with no elevation of the retinal pigment epithelium.Near infrared reflectance images provided a clearer view of mottled focal hyperpigmentation area,which corresponded to the choroidal hyperpigmentation.Conclusions:This case highlights the effectiveness of multimodal imaging in distinguishing choroidal melanocytosis from malignant entities.It emphasizes the crucial role of multimodal imaging in guiding clinical management to prevent vision-threatening complications and monitor potential malignant transformation.展开更多
Multiple evanescent white dot syndrome(MEWDS)is an inflammatory fundus disease primarily affecting the outer retina.It is characterized by transient yellow-white dots on the outer retina.Although the exact pathogenesi...Multiple evanescent white dot syndrome(MEWDS)is an inflammatory fundus disease primarily affecting the outer retina.It is characterized by transient yellow-white dots on the outer retina.Although the exact pathogenesis remains unclear,the progress in multimodal imaging(MMI)has enhanced our understanding of MEWDS.Most cases of MEWDS are idiopathic,lacking a definite cause,and can spontaneously recover;these are what we term classic MEWDS.Consequently,MEWDS is often referred to as the“common cold of the retina”.Simultaneously,patients with other disorders may present with varying degrees of manifestations similar to MEWDS.The resemblance in clinical or imaging findings can lead to misdiagnosis and inappropriate treatment.These MEWDS-like presentations are actually caused by other systemic or ocular disorders with diverse mechanisms.Thus,they differ from classic MEWDS in certain aspects.Using the keywords“MEWDSlike”and“Secondary MEWDS”,we searched for all relevant studies published in the PubMed database from January 2021 to January 2024.Subsequently,we retrospectively summarized the clinical and imaging characteristics of MEWDS,along with the manifestations in other diseases that resembled those of MEWDS,and compared classic MEWDS with these similar presentations.Based on our review,we classified such similar presentations under other conditions into two categories and summarized their features for differential diagnosis.We recommend paying close attention to patients suspected of having MEWDS,as there may be more serious systemic or ocular disorders that require prompt treatment.展开更多
AIM:To determine the differences in levels of systemic C-reactive protein(CRP)in patients with geographic atrophy(GA)and sex-based differences in CRP levels.METHODS:Blood samples from patients with GA and controls wer...AIM:To determine the differences in levels of systemic C-reactive protein(CRP)in patients with geographic atrophy(GA)and sex-based differences in CRP levels.METHODS:Blood samples from patients with GA and controls were collected in a prospective age-related macular degeneration(AMD)registry from August 2014 to June 2021.AMD was confirmed using multimodal imaging and the Beckman and Consensus of Atrophy Meeting criteria for GA.High-sensitivity serum CRP levels were measured using an automated nephelometer.A non-parametric(rank-based)linear regression model was fit with an interaction between sex and GA.RESULTS:There were 97 GA patients and 139 controls,with females comprising 55%and 66%of each cohort,respectively.There is no difference in CRP between cases and controls,with a median(interquartile range)of 1.2(0.6-2.6)mg/L in GA patients versus 1.3(0.8–2.9)mg/L in controls(P=0.52).Although females had higher CRP levels compared to males in both the GA and control groups,this difference did not reach statistical significance after adjustment for multiple comparisons.CONCLUSION:There is no significant difference in systemic CRP levels between GA cases and controls.展开更多
BACKGROUND Rectal cancer is one of the common digestive system malignant tumors around the world.Its early diagnosis and staging are crucial for rectal cancer treatment and prognosis.In recent years,tumor markers have...BACKGROUND Rectal cancer is one of the common digestive system malignant tumors around the world.Its early diagnosis and staging are crucial for rectal cancer treatment and prognosis.In recent years,tumor markers have gradually received attention in early screening,treatment monitoring and prognostic evaluation of cancer,but their predictive role in rectal cancer staging and differentiation is still unclear.AIM To assess the prognostic value of tumor markers alpha-fetoprotein(AFP)cancer antigen 72-4(CA72-4),carbohydrate antigen 19-9(CA19-9),and carcinoembryonic antigen(CEA),alongside multimodal magnetic resonance imaging(MRI),for staging and differentiating rectal cancer in patients.METHODS This study retrospectively analyzed 167 patients with rectal cancer who were treated at our institution from January 2020 to December 2024.Each patient underwent serological testing and multimodal MRI for diagnosis.Histopathological examination after surgical resection or imaging based on follow-up was used as the gold standard.According to the T stage and differentiation degree,patients were divided into low stage group(T1-T2)and high stage group(T3-T4).In addition,they were divided into low-differentiation groups and high-differentiation groups according to their differentiation degree.We compared the accuracy,sensitivity and specificity of tumor marker levels and MRI in rectal cancer stage and differentiation.RESULTS The study's findings indicate that in the context of rectal cancer T staging,there is substantial concordance between MRI and clinicopathological assessments,with a Kappa coefficient of 0.789(P<0.001).Similarly,for various degrees of tumor differentiation,MRI and clinicopathological evaluations demonstrated substantial agreement,with a Kappa coefficient of 0.651(P<0.001).Notably,the concentrations of tumor markers CA19-9,CA72-4,CEA,and AFP were significantly elevated in the T3-T4 stage compared to the T1-T2 stage.Furthermore,these markers were significantly higher in the low-differentiation group compared to the high-differentiation group(P<0.05).The combined use of tumor markers and MRI for preoperative T staging of rectal cancer yielded a diagnostic sensitivity of 93.7%and a specificity of 94.6%,as evidenced by the receiver operating characteristic analysis,with an area under the curve of 0.947.For tumor differentiation,the diagnostic sensitivity and specificity were 93.6%and 97.1%,respectively,with an area under the curve of 0.978(95%confidence interval:0.946-1.000),surpassing the accuracy of individual detection methods.CONCLUSION The CA19-9,CA72-4,CEA and AFP tumor markers combined with multimodal MRI have high sensitivity and specificity in diagnosing rectal cancer stage and differentiation.Their diagnostic efficacy is significantly better than that of single tests,which can effectively improve the predictive ability of rectal cancer stage and differentiation,provide a more reliable diagnostic reference for clinical practice,and have important clinical significance.展开更多
Transmission matrix(TM)allows light control through complex media,such as multimode fibers(MMFs),gaining great attention in areas,such as biophotonics,over the past decade.Efforts have been taken to retrieve a complex...Transmission matrix(TM)allows light control through complex media,such as multimode fibers(MMFs),gaining great attention in areas,such as biophotonics,over the past decade.Efforts have been taken to retrieve a complex-valued TM directly from intensity measurements with several representative phase-retrieval algorithms,which still see limitations of slow or suboptimum recovery,especially under noisy environments.Here,we propose a modified nonconvex optimization approach.Through numerical evaluations,it shows that the optimum focusing efficiency is approached with less running time or sampling ratio.The comparative tests under different signal-to-noise levels further indicate its improved robustness.Experimentally,the superior focusing performance of our algorithm is collectively validated by single-and multispot focusing;especially with a sampling ratio of 8,it achieves a 93.6%efficiency of the gold-standard holography method.Based on the recovered TM,image transmission through an MMF is realized with high fidelity.Due to parallel operation and GPU acceleration,our nonconvex approach retrieves a 8685×1024 TM(sampling ratio is 8)with 42.3 s on average on a regular computer.The proposed method provides optimum efficiency and fast execution for TM retrieval that avoids the need for an external reference beam,which will facilitate applications of deep-tissue optical imaging,manipulation,and treatment.展开更多
In this paper,we propose a new image fusion algorithm based on two-dimensional Scale-Mixing Complex Wavelet Transform(2D-SMCWT).The fusion of the detail 2D-SMCWT cofficients is performed via a Bayesian Maximum a Poste...In this paper,we propose a new image fusion algorithm based on two-dimensional Scale-Mixing Complex Wavelet Transform(2D-SMCWT).The fusion of the detail 2D-SMCWT cofficients is performed via a Bayesian Maximum a Posteriori(MAP)approach by considering a trivariate statistical model for the local neighboring of 2D-SMCWT coefficients.For the approx imation coefficients,a new fusion rule based on the Principal Component Analysis(PCA)is applied.We conduct several experiments using three different groups of multimodal medical images to evaluate the performance of the proposed method.The obt ained results prove the superiority of the proposed method over the state of the art fusion methods in terms of visual quality and several commonly used metrics.Robustness of the proposed method is further tested against different types of noise.The plots of fusion met rics establish the accuracy of the proposed fusion method.展开更多
BACKGROUND Tuberous sclerosis complex(TSC)and primary lymphedema(PLE)are both rare diseases,and it is even rarer for both to occur in the same patient.In this work,we have provided a detailed description of a patient&...BACKGROUND Tuberous sclerosis complex(TSC)and primary lymphedema(PLE)are both rare diseases,and it is even rarer for both to occur in the same patient.In this work,we have provided a detailed description of a patient's clinical presentation,imaging findings,and treatment.And a retrospective analysis was conducted on 14 published relevant case reports.CASE SUMMARY A 16-year-old male came to our hospital for treatment due to right lower limb swelling.This swelling is already present from birth.The patient’s memory had been progressively declining.Seizures had occurred 1 year prior at an unknown frequency.The patient was diagnosed with TSC combined with PLE through multimodal imaging examination:Computed tomography,magnetic resonance imaging,and lymphoscintigraphy.The patient underwent liposuction.The swelling of the patient's right lower limb significantly improved after surgery.Epilepsy did not occur.after taking antiepileptic drugs and sirolimus.CONCLUSION TSC with PLE is a rare and systemic disease.Imaging can detect lesions of this disease,which are important for diagnosis and treatment.展开更多
Accurate preoperative prediction of lymph node metastasis(LNM)in esophageal cancer(EC)patients is of crucial clinical significance for treatment planning and prognosis.AIM To develop a clinical radiomics nomogram that...Accurate preoperative prediction of lymph node metastasis(LNM)in esophageal cancer(EC)patients is of crucial clinical significance for treatment planning and prognosis.AIM To develop a clinical radiomics nomogram that can predict the preoperative lymph node(LN)status in EC patients.METHODS A total of 32 EC patients confirmed by clinical pathology(who underwent surgical treatment)were included.Real-time fluorescent quantitative reverse transcription-polymerase chain reaction was used to detect the expression of B7-H3 mRNA in EC tissue obtained during preoperative gastroscopy,and its correlation with LNM was analyzed.Radiomics features were extracted from multi-modal magnetic resonance imaging of EC using Pyradiomics in Python.Feature extraction,data dimensionality reduction,and feature selection were performed using XGBoost model and leave-one-out cross-validation.Multivariable logistic regression analysis was used to establish the prediction model,which included radiomics features,LN status from computed tomography(CT)reports,and B7-H3 mRNA expression,represented by a radiomics nomogram.Receiver operating characteristic area under the curve(AUC)and decision curve analysis(DCA)were used to evaluate the predictive performance and clinical application value of the model.RESULTS The relative expression of B7-H3 mRNA in EC patients with LNM was higher than in those without metastasis,and the difference was statistically significant(P<0.05).The AUC value in the receiver operating characteristic(ROC)curve was 0.718(95%CI:0.528-0.907),with a sensitivity of 0.733 and specificity of 0.706,indicating good diagnostic performance.The individualized clinical prediction nomogram included radiomics features,LN status from CT reports,and B7-H3 mRNA expression.The ROC curve demonstrated good diagnostic value,with an AUC value of 0.765(95%CI:0.598-0.931),sensitivity of 0.800,and specificity of 0.706.DCA indicated the practical value of the radiomics nomogram in clinical practice.CONCLUSION This study developed a radiomics nomogram that includes radiomics features,LN status from CT reports,and B7-H3 mRNA expression,enabling convenient preoperative individualized prediction of LNM in EC patients.展开更多
BACKGROUND The most primary sites of angiosarcoma are the skin,breast gland,and soft tissues.Primary hepatic angiosarcoma(PHA)is a rare malignant tumor of mesothelial tissue originating from the liver.PHA often presen...BACKGROUND The most primary sites of angiosarcoma are the skin,breast gland,and soft tissues.Primary hepatic angiosarcoma(PHA)is a rare malignant tumor of mesothelial tissue originating from the liver.PHA often presents with multiple intrahepatic foci or metastasis at the time of presentation due to its nonspecific clinical presentation and highly aggressive nature.There are no established or effective treatment guidelines for PHA,so early detection and early treatment are of great value for patient survival.Unfortunately,there is a paucity of literature on the imaging features of PHA,making the diagnosis and treatment of this disease a considerable challenge.CASE SUMMARY In this case report,we present a 59-year-old man who initially presented with abdominal pain and radiating pain in the right shoulder.Magnetic resonance imaging and positron emission tomography-computed tomography revealed multiple intrahepatic nodules that needed to be differentiated from tumors of vascular epithelial origin and tumors with progressive enhancement features,and signs of tumor metastasis were assessed.The patient was then subjected to contrast-enhanced ultrasonography(CEUS)to further clarify the extent of tumor infiltration and the state of microcirculatory perfusion.The manifestations observed on CEUS were similar to the classical characteristic presentation of hepatocellular carcinoma,called"quick wash-in and quick wash-out".In addition,CEUS showed that the lesion exhibited gradual infiltration and growth along the liver pedicle structures with no invading blood vessels.Finally,based on pathological and immunohistochemical tests and the above imaging manifestations,it was confirmed that the patient had infiltrating PHA,which is a rare pathological type of PHA.The patient underwent transcatheter arterial chemoembolization and chemotherapy.Four months after the onset of symptoms,the follow-up radiological examination revealed poor treatment efficacy and rapid deterioration.CONCLUSION This case report complements the imaging modalities of a rare infiltrative PHA,in which CEUS and quantitative analysis are found to offer substantial advantages in characterizing the microcirculatory perfusion of the lesion,providing clinicians with diagnostic information at the earliest opportunity to make a diagnosis and develop a treatment strategy to prolong the patient survival.展开更多
AIM:To describe the multimodal imaging features,treatment,and outcomes of patients diagnosed with adultonset Coats disease.METHODS:This retrospective study included patients first diagnosed with Coats disease at≥18 y...AIM:To describe the multimodal imaging features,treatment,and outcomes of patients diagnosed with adultonset Coats disease.METHODS:This retrospective study included patients first diagnosed with Coats disease at≥18 years of age between September 2017 and September 2021.Some patients received anti-vascular endothelial growth factor(VEGF)therapy(conbercept,0.5 mg)as the initial treatment,which was combined with laser photocoagulation as needed.All the patients underwent best corrected visual acuity(BCVA)and intraocular pressure examinations,fundus color photography,spontaneous fluorescence tests,fundus fluorescein angiography,optical coherence tomography(OCT),OCT angiography,and other examinations.BCVA alterations and multimodal image findings in the affected eyes following treatment were compared and the prognostic factors were analyzed.RESULTS:The study included 15 patients who were aged 24-72(57.33±12.61)y at presentation.Systemic hypertension was the most common associated systemic condition,occurring in 13(86.7%)patients.Baseline BCVA ranged from 2.0 to 5.0(4.0±1.1),which showed improvement following treatment(4.2±1.0).Multimodal imaging revealed retinal telangiectasis in 13 patients(86.7%),patchy hemorrhage in 5 patients(33.3%),and stage 2B disease(Shield’s staging criteria)in 11 patients(73.3%).OCT revealed that the baseline central macular thickness(CMT)ranged from 129 to 964μm(473.0±230.1μm),with 13 patients(86.7%)exhibiting a baseline CMT exceeding 250μm.Furthermore,8 patients(53.3%)presented with an epiretinal membrane at baseline or during follow-up.Hyper-reflective scars were observed on OCT in five patients(33.3%)with poor visual prognosis.Vision deteriorated in one patient who did not receive treatment.Final vision was stable in three patients who received laser treatment,whereas improvement was observed in one of two patients who received anti-VEGF therapy alone.In addition,8 of 9 patients(88.9%)who received laser treatment and conbercept exhibited stable or improved BCVA.CONCLUSION:Multimodal imaging can help diagnose adult-onset Coats disease.Anti-VEGF treatment combined with laser therapy can be an option for improving or maintaining BCVA and resolving macular edema.The final visual outcome depends on macular involvement and the disease stage.展开更多
BACKGROUND Giant cell tumor of bone is a locally aggressive and rarely metastasizing tumor,and also a potential malignant tumor that may develop into a primary malignant giant cell tumor.AIM To evaluate the role of mu...BACKGROUND Giant cell tumor of bone is a locally aggressive and rarely metastasizing tumor,and also a potential malignant tumor that may develop into a primary malignant giant cell tumor.AIM To evaluate the role of multimodal imaging in the diagnosis of giant cell tumors of bone.METHODS The data of 32 patients with giant cell tumor of bone confirmed by core-needle biopsy or surgical pathology at our hospital between March 2018 and March 2023 were retrospectively selected.All the patients with giant cell tumors of the bone were examined by X-ray,computed tomography(CT)and magnetic resonance imaging(MRI),and 7 of them were examined by positron emission tomography(PET)-CT.RESULTS X-ray imaging can provide overall information on giant cell tumor lesions.CT and MRI can reveal the characteristics of the internal structure of the tumor as well as the adjacent relationships of the tumor,and these methods have unique advantages for diagnosing tumors and determining the scope of surgery.PET-CT can detect small lesions and is highly valuable for identifying benign and malignant tumors to aid in the early diagnosis of metastasis.CONCLUSION Multimodal imaging plays an important role in the diagnosis of giant cell tumor of bone and can provide a reference for the treatment of giant cell tumors.展开更多
BACKGROUND The rare co-occurrence of oligodendroglioma and arteriovenous malformation(AVM)in the same intracranial location.CASE SUMMARY In a 61-year-old man presenting with progressive headaches,is described in this ...BACKGROUND The rare co-occurrence of oligodendroglioma and arteriovenous malformation(AVM)in the same intracranial location.CASE SUMMARY In a 61-year-old man presenting with progressive headaches,is described in this case study.Preoperative multimodal imaging techniques(computed tomography,magnetic resonance imaging,magnetic resonance spectroscopy,digital subtraction angiography,and computed tomography angiography)were employed to detect hemorrhage,cystic and solid lesions,and arteriovenous shunting in the right temporal lobe.The patient underwent right temporal craniotomy for lesion removal,and postoperative pathological analysis confirmed the presence of oligodendroglioma(World Health Organization grade II,not otherwise specified)and AVM.CONCLUSION The preoperative utilization of multimodal imaging examination can help clinicians reduce the likelihood of misdiagnosis or oversight of these conditions,and provides important information for subsequent treatment.This case supports the feasibility of craniotomy for the removal of glioma with AVM.展开更多
基金supported by the National Natural Science Foundation of China(32171797)Chunhui Project Foundation of the Education Department of China(HZKY20220026).
文摘With rapid urbanization,fires pose significant challenges in urban governance.Traditional fire detection methods often struggle to detect smoke in complex urban scenes due to environmental interferences and variations in viewing angles.This study proposes a novel multimodal smoke detection method that fuses infrared and visible imagery using a transformer-based deep learning model.By capturing both thermal and visual cues,our approach significantly enhances the accuracy and robustness of smoke detection in business parks scenes.We first established a dual-view dataset comprising infrared and visible light videos,implemented an innovative image feature fusion strategy,and designed a deep learning model based on the transformer architecture and attention mechanism for smoke classification.Experimental results demonstrate that our method outperforms existing methods,under the condition of multi-view input,it achieves an accuracy rate of 90.88%,precision rate of 98.38%,recall rate of 92.41%and false positive and false negative rates both below 5%,underlining the effectiveness of the proposed multimodal and multi-view fusion approach.The attention mechanism plays a crucial role in improving detection performance,particularly in identifying subtle smoke features.
基金supported by Gansu Natural Science Foundation Programme(No.24JRRA231)National Natural Science Foundation of China(No.62061023)Gansu Provincial Education,Science and Technology Innovation and Industry(No.2021CYZC-04)。
文摘Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability to fully extract fused image information.Therefore,a multimodal medical image fusion method based on mask optimization and parallel attention mechanism was proposed to address the aforementioned issues.Firstly,it converted the entire image into a binary mask,and constructed a contour feature map to maximize the contour feature information of the image and a triple path network for image texture detail feature extraction and optimization.Secondly,a contrast enhancement module and a detail preservation module were proposed to enhance the overall brightness and texture details of the image.Afterwards,a parallel attention mechanism was constructed using channel features and spatial feature changes to fuse images and enhance the salient information of the fused images.Finally,a decoupling network composed of residual networks was set up to optimize the information between the fused image and the source image so as to reduce information loss in the fused image.Compared with nine high-level methods proposed in recent years,the seven objective evaluation indicators of our method have improved by 6%−31%,indicating that this method can obtain fusion results with clearer texture details,higher contrast,and smaller pixel differences between the fused image and the source image.It is superior to other comparison algorithms in both subjective and objective indicators.
基金National Natural Science Foundation of China(No.12574332)the Space Optoelectronic Measurement and Perception Lab.,Beijing Institute of Control Engineering(No.LabSOMP-2023-10)Major Science and Technology Innovation Program of Xianyang City(No.L2024-ZDKJ-ZDCGZH-0021)。
文摘Fourier Ptychographic Microscopy(FPM)is a high-throughput computational optical imaging technology reported in 2013.It effectively breaks through the trade-off between high-resolution imaging and wide-field imaging.In recent years,it has been found that FPM is not only a tool to break through the trade-off between field of view and spatial resolution,but also a paradigm to break through those trade-off problems,thus attracting extensive attention.Compared with previous reviews,this review does not introduce its concept,basic principles,optical system and series of applications once again,but focuses on elaborating the three major difficulties faced by FPM technology in the process from“looking good”in the laboratory to“working well”in practical applications:mismatch between numerical model and physical reality,long reconstruction time and high computing power demand,and lack of multi-modal expansion.It introduces how to achieve key technological innovations in FPM through the dual drive of Artificial Intelligence(AI)and physics,including intelligent reconstruction algorithms introducing machine learning concepts,optical-algorithm co-design,fusion of frequency domain extrapolation methods and generative adversarial networks,multi-modal imaging schemes and data fusion enhancement,etc.,gradually solving the difficulties of FPM technology.Conversely,this review deeply considers the unique value of FPM technology in potentially feeding back to the development of“AI+optics”,such as providing AI benchmark tests under physical constraints,inspirations for the balance of computing power and bandwidth in miniaturized intelligent microscopes,and photoelectric hybrid architectures.Finally,it introduces the industrialization path and frontier directions of FPM technology,pointing out that with the promotion of the dual drive of AI and physics,it will generate a large number of industrial application case,and looks forward to the possibilities of future application scenarios and expansions,for instance,body fluid biopsy and point-of-care testing at the grassroots level represent the expansion of the growth market.
基金supported in part by funding from BeiGene,Ltd.,USA(Grant No.:KPR081)with additional support from the Alessandra Bono Foundation,Italy.
文摘Pamiparib is a potent and selective oral poly(adenosine diphosphate(ADP)-ribose)-polymerase(PARP)1/2inhibitor(PARPi).Pamiparib has good bioavailability and shows greater cytotoxic potency and similar DNA-trapping capacity compared to olaparib.It is not affected by adenosine triphosphate(ATP)-binding cassette transporters.
基金Supported by the Clinical Research Plan of SHDC(No.SHDC2020CR6029).
文摘The phenotypes of the adenine-to-guanine transition at position 3243 of mitochondrial DNA(m.3243A>G)are highly variable,with different symptoms observed in different patients.These include mitochondrial encephalomyopathy,lactic acidosis,and stroke-like episodes(MELAS);maternally inherited diabetes and deafness syndrome(MIDD);other syndromic conditions;or non-syndromic mitochondrial disorders.Renal involvement associated with this mutation generally manifests as subnephrotic proteinuria,progressive deterioration of kidney function,and increased morbidity.The retinopathies linked to the m.3243A>G mutation have heterogeneous presentations,characterized by variable degrees of retinal pigment epithelium(RPE)atrophy and hyperpigmentation at the posterior pole.As a severe phenotype of the m.3243A>G mutation,MELAS combined with focal and segmental glomerulosclerosis(FSGS)is rare.We herein firstly reported in detail the ophthalmic manifestations of a patient with this condition.Additionally,we reviewed the literature on fundus,ophthalmic electrophysiology,and optical coherence tomography(OCT)findings related to the m.3243A>G mutation.
基金the National Natural Science Foundation of China(62375127,82272664)Hunan Provincial Natural Science Foundation of China(2022JJ30843)+5 种基金the Science and Technology Development Fund Guided by Central Govern-ment(2021Szvup169)the Scientic Research Program of Hunan Provincial Health Commission(B202304077077)the Fundamental Research Funds for the Central Universities(NS2022035)Prospective Layout Special Fund of Nanjing University of Aero-nautics and Astronautics(ILA-22022)Graduate Research and Innovation Program of Nanjing University of Aeronautics and Astronautics(xcxjh20220328)Experimental Technology Research and Development Project of NUAA(No.SYJS202303Z)for the grant。
文摘Osteosarcoma is the most common primary bone tumor with high malignancy.It is particularly necessary to achieve rapid and accurate diagnosis in its intraoperative examination and early diagnosis.Accordingly,the multimodal microscopic imaging diagnosis system constructed by bright field,spontaneous fluorescence and polarized light microscopic imaging was used to study the pathological mechanism of osteosarcoma from the tissue microenvironment level and achieve rapid and accurate diagnosis.First,the multimodal microscopic images of normal and osteosarcoma tissue slices were collected to characterize the overall morphology of the tissue microenvironment of the samples,the arrangement structure of collagen fibers and the content and distribution of endogenous fluorescent substances.Second,based on the correlation and complementarity of the feature information contained in the three single-mode images,combined with convolutional neural network(CNN)and image fusion methods,a multimodal intelligent diagnosis model was constructed to effectively improve the information utilization and diagnosis accuracy.The accuracy and true positivity of the multimodal diagnostic model were significantly improved to 0.8495 and 0.9412,respectively,compared to those of the single-modal models.Besides,the difference of tissue microenvironments before and after cancerization can be used as a basis for cancer diagnosis,and the information extraction and intelligent diagnosis of osteosarcoma tissue can be achieved by using multimodal microscopic imaging technology combined with deep learning,which significantly promoted the application of tissue microenvironment in pathological examination.This diagnostic system relies on its advantages of simple operation,high efficiency and accuracy and high cost-effectiveness,and has enormous clinical application potential and research significance.
文摘BACKGROUND Congenital renal arteriovenous fistula(RAVF)is a clinically rare condition and frequently missed and misdiagnosed.Multimodal imaging techniques can pro-vide more detailed diagnostic information to help physicians more accurately diagnose and treat diseases.Combining imaging methods to diagnose RAVF has rarely been reported.CASE SUMMARY A 69-year-old female patient presented with gross hematuria that had persisted for 10 days.The patient underwent ultrasound examinations of the kidneys and renal blood vessels,enhanced computed tomography,three-dimensional com-puted tomography angiography,and digital subtraction angiography of the renal arteries.These revealed dilatation of the left renal vein and abnormal shunting between the left renal artery and vein.The patient was diagnosed with a left RAVF using combined multimodal imaging techniques.The patient was treated with left renal artery embolization immediately after renal arteriography.Hema-turia resolved following the left renal artery embolization without serious bleeding or other complications.The patient made a full recovery after one year of postoperative follow-up.CONCLUSION Multimodal imaging techniques complement each other when diagnosing RAVF,providing detailed diagnostic information that can aid in accurate diagnosis and treatment.In addition,this case reminds the sonographer to pay more attention to the color doppler flow imaging and blood flow spectrum when examining the kidney,so as to avoid misdiagnosis of renal cystic lesions as renal cysts and missed diagnosis of RAVF.
基金supported by the National Natural Science Foundation of China(No.82172524 and No.81974355)National Innovation Platform Development Program(No.2020021105012440),China+3 种基金Major Program of Hubei Province(No.2021BEA161),ChinaMajor Key Project of Hubei Province(No.JD2023BAA005),ChinaWuhan Union Hospital Free Innovation Preliminary Research Fund(No.2024XHYN047),ChinaJoint Funds for the Innovation of Science and Technology(No.2024Y9062),Fujian Province,China.
文摘Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods An invasive BCI was implanted in the left visual cortex of 4-week-old Sprague–Dawley rats.Multimodal imaging techniques,including micro-CT and 9.0 T MRI,were used to acquire images of the rat cranial bone structure,vascular distribution,brain tissue functional zones,and BCI device before and after implantation.Using 3D-slicer software,the images were fused through spatial transformations,followed by image segmentation and 3D model reconstruction.The HoloLens platform was employed for MR visualization.Results This study constructed a multimodal imaging atlas for rats that included the skull,brain tissue,arterial tissue,and BCI device coupled with MR technology to create an interactive 3D anatomical model.Conclusions This multimodal 3D atlas provides an objective and stable reference for exploring complex relationships between brain tissue structure and function,enhancing the understanding of the operational principles of BCIs.This is the first multimodal 3D imaging atlas related to a BCI created using Sprague–Dawley rats.
基金found by the Key Research and Development Program of the Ministry of Science and Technology(2022YFF1202901)the National Natural Science Foundation of China(82171404)+3 种基金the Natural Science Foundation of Guangdong Province of China(2023A1515011529)the Science and Technology Planning Project of Guangzhou City(2023A03J0181,2024A04J6481)the Fundamental Research Funds for the Central Universities(22yklj04)the Research Start-up Founds of Sun Yat-sen University(Funded Talent[2020]18).
文摘Objective:The study aimed to report the distinctive fundus appearance of bilateral asymmetric choroidal melanocytosis and reviewed the clinical and multimodal imaging characteristics to differentiate choroidal melanocytosis from malignant pigmented retinal lesions.Methods:An observational case report and literature review.Results:A 60-year-old patient underwent comprehensive ophthalmologic examinations.Underfunduscopic examination,bilateral choroidal melanocytosis with asymmetry choroidal pigmentation change was observed.In the right eye,there was diffuse darker coloration extending from posterior pole to the mid-peripheral retina.In the left eye,flat patches of choroidal hyperpigmentation were present,involving superior and inferior hemisphere region,while other regions were depigmented.Spectral-domain optical coherence tomography revealed that the layers of retina and choroid were basically normal,with no elevation of the retinal pigment epithelium.Near infrared reflectance images provided a clearer view of mottled focal hyperpigmentation area,which corresponded to the choroidal hyperpigmentation.Conclusions:This case highlights the effectiveness of multimodal imaging in distinguishing choroidal melanocytosis from malignant entities.It emphasizes the crucial role of multimodal imaging in guiding clinical management to prevent vision-threatening complications and monitor potential malignant transformation.
文摘Multiple evanescent white dot syndrome(MEWDS)is an inflammatory fundus disease primarily affecting the outer retina.It is characterized by transient yellow-white dots on the outer retina.Although the exact pathogenesis remains unclear,the progress in multimodal imaging(MMI)has enhanced our understanding of MEWDS.Most cases of MEWDS are idiopathic,lacking a definite cause,and can spontaneously recover;these are what we term classic MEWDS.Consequently,MEWDS is often referred to as the“common cold of the retina”.Simultaneously,patients with other disorders may present with varying degrees of manifestations similar to MEWDS.The resemblance in clinical or imaging findings can lead to misdiagnosis and inappropriate treatment.These MEWDS-like presentations are actually caused by other systemic or ocular disorders with diverse mechanisms.Thus,they differ from classic MEWDS in certain aspects.Using the keywords“MEWDSlike”and“Secondary MEWDS”,we searched for all relevant studies published in the PubMed database from January 2021 to January 2024.Subsequently,we retrospectively summarized the clinical and imaging characteristics of MEWDS,along with the manifestations in other diseases that resembled those of MEWDS,and compared classic MEWDS with these similar presentations.Based on our review,we classified such similar presentations under other conditions into two categories and summarized their features for differential diagnosis.We recommend paying close attention to patients suspected of having MEWDS,as there may be more serious systemic or ocular disorders that require prompt treatment.
基金Supported by the Greenwald Family Research Fund,a Research to Prevent Blindness grant to the Department of Ophthalmology,University of Colorado,the Frederic C.Hamilton Macular Degeneration Center,Sue Anschutz-Rodgers Eye Center Research Fund,NIH/NCATS Colorado CTSA(No.UL1 TR002535)in part by the National Eye Institute of the National Institutes of Health[No.R01EY032456(AML)].
文摘AIM:To determine the differences in levels of systemic C-reactive protein(CRP)in patients with geographic atrophy(GA)and sex-based differences in CRP levels.METHODS:Blood samples from patients with GA and controls were collected in a prospective age-related macular degeneration(AMD)registry from August 2014 to June 2021.AMD was confirmed using multimodal imaging and the Beckman and Consensus of Atrophy Meeting criteria for GA.High-sensitivity serum CRP levels were measured using an automated nephelometer.A non-parametric(rank-based)linear regression model was fit with an interaction between sex and GA.RESULTS:There were 97 GA patients and 139 controls,with females comprising 55%and 66%of each cohort,respectively.There is no difference in CRP between cases and controls,with a median(interquartile range)of 1.2(0.6-2.6)mg/L in GA patients versus 1.3(0.8–2.9)mg/L in controls(P=0.52).Although females had higher CRP levels compared to males in both the GA and control groups,this difference did not reach statistical significance after adjustment for multiple comparisons.CONCLUSION:There is no significant difference in systemic CRP levels between GA cases and controls.
基金Supported by the Zhejiang Provincial Natural Science Foundation of China,No.LTGY24H160006Jiaxing Medical Key Discipline,No.2023-ZC-015.
文摘BACKGROUND Rectal cancer is one of the common digestive system malignant tumors around the world.Its early diagnosis and staging are crucial for rectal cancer treatment and prognosis.In recent years,tumor markers have gradually received attention in early screening,treatment monitoring and prognostic evaluation of cancer,but their predictive role in rectal cancer staging and differentiation is still unclear.AIM To assess the prognostic value of tumor markers alpha-fetoprotein(AFP)cancer antigen 72-4(CA72-4),carbohydrate antigen 19-9(CA19-9),and carcinoembryonic antigen(CEA),alongside multimodal magnetic resonance imaging(MRI),for staging and differentiating rectal cancer in patients.METHODS This study retrospectively analyzed 167 patients with rectal cancer who were treated at our institution from January 2020 to December 2024.Each patient underwent serological testing and multimodal MRI for diagnosis.Histopathological examination after surgical resection or imaging based on follow-up was used as the gold standard.According to the T stage and differentiation degree,patients were divided into low stage group(T1-T2)and high stage group(T3-T4).In addition,they were divided into low-differentiation groups and high-differentiation groups according to their differentiation degree.We compared the accuracy,sensitivity and specificity of tumor marker levels and MRI in rectal cancer stage and differentiation.RESULTS The study's findings indicate that in the context of rectal cancer T staging,there is substantial concordance between MRI and clinicopathological assessments,with a Kappa coefficient of 0.789(P<0.001).Similarly,for various degrees of tumor differentiation,MRI and clinicopathological evaluations demonstrated substantial agreement,with a Kappa coefficient of 0.651(P<0.001).Notably,the concentrations of tumor markers CA19-9,CA72-4,CEA,and AFP were significantly elevated in the T3-T4 stage compared to the T1-T2 stage.Furthermore,these markers were significantly higher in the low-differentiation group compared to the high-differentiation group(P<0.05).The combined use of tumor markers and MRI for preoperative T staging of rectal cancer yielded a diagnostic sensitivity of 93.7%and a specificity of 94.6%,as evidenced by the receiver operating characteristic analysis,with an area under the curve of 0.947.For tumor differentiation,the diagnostic sensitivity and specificity were 93.6%and 97.1%,respectively,with an area under the curve of 0.978(95%confidence interval:0.946-1.000),surpassing the accuracy of individual detection methods.CONCLUSION The CA19-9,CA72-4,CEA and AFP tumor markers combined with multimodal MRI have high sensitivity and specificity in diagnosing rectal cancer stage and differentiation.Their diagnostic efficacy is significantly better than that of single tests,which can effectively improve the predictive ability of rectal cancer stage and differentiation,provide a more reliable diagnostic reference for clinical practice,and have important clinical significance.
基金supported by the National Natural Science Foundation of China(NSFC)(Grant No.81930048)the Hong Kong Innovation and Technology Commission(Grant Nos.GHP/043/19SZ and GHP/044/19GD)+3 种基金the Hong Kong Research Grant Council(Grant Nos.15217721,R5029-19 and C7074-21GF)the Guangdong Science and Technology Commission(Grant No.2019BT02X105)the Shenzhen Science and Technology Innovation Commission(Grant No.JCYJ20220818100202005)the Hong Kong Polytechnic University(Grant Nos.P0038180,P0039517,P0043485 and P0045762).
文摘Transmission matrix(TM)allows light control through complex media,such as multimode fibers(MMFs),gaining great attention in areas,such as biophotonics,over the past decade.Efforts have been taken to retrieve a complex-valued TM directly from intensity measurements with several representative phase-retrieval algorithms,which still see limitations of slow or suboptimum recovery,especially under noisy environments.Here,we propose a modified nonconvex optimization approach.Through numerical evaluations,it shows that the optimum focusing efficiency is approached with less running time or sampling ratio.The comparative tests under different signal-to-noise levels further indicate its improved robustness.Experimentally,the superior focusing performance of our algorithm is collectively validated by single-and multispot focusing;especially with a sampling ratio of 8,it achieves a 93.6%efficiency of the gold-standard holography method.Based on the recovered TM,image transmission through an MMF is realized with high fidelity.Due to parallel operation and GPU acceleration,our nonconvex approach retrieves a 8685×1024 TM(sampling ratio is 8)with 42.3 s on average on a regular computer.The proposed method provides optimum efficiency and fast execution for TM retrieval that avoids the need for an external reference beam,which will facilitate applications of deep-tissue optical imaging,manipulation,and treatment.
文摘In this paper,we propose a new image fusion algorithm based on two-dimensional Scale-Mixing Complex Wavelet Transform(2D-SMCWT).The fusion of the detail 2D-SMCWT cofficients is performed via a Bayesian Maximum a Posteriori(MAP)approach by considering a trivariate statistical model for the local neighboring of 2D-SMCWT coefficients.For the approx imation coefficients,a new fusion rule based on the Principal Component Analysis(PCA)is applied.We conduct several experiments using three different groups of multimodal medical images to evaluate the performance of the proposed method.The obt ained results prove the superiority of the proposed method over the state of the art fusion methods in terms of visual quality and several commonly used metrics.Robustness of the proposed method is further tested against different types of noise.The plots of fusion met rics establish the accuracy of the proposed fusion method.
基金Supported by National Natural Science Foundation of China,No.61876216.
文摘BACKGROUND Tuberous sclerosis complex(TSC)and primary lymphedema(PLE)are both rare diseases,and it is even rarer for both to occur in the same patient.In this work,we have provided a detailed description of a patient's clinical presentation,imaging findings,and treatment.And a retrospective analysis was conducted on 14 published relevant case reports.CASE SUMMARY A 16-year-old male came to our hospital for treatment due to right lower limb swelling.This swelling is already present from birth.The patient’s memory had been progressively declining.Seizures had occurred 1 year prior at an unknown frequency.The patient was diagnosed with TSC combined with PLE through multimodal imaging examination:Computed tomography,magnetic resonance imaging,and lymphoscintigraphy.The patient underwent liposuction.The swelling of the patient's right lower limb significantly improved after surgery.Epilepsy did not occur.after taking antiepileptic drugs and sirolimus.CONCLUSION TSC with PLE is a rare and systemic disease.Imaging can detect lesions of this disease,which are important for diagnosis and treatment.
基金The Yancheng Key Research and Development Program(Social Development),No.YCBE202324。
文摘Accurate preoperative prediction of lymph node metastasis(LNM)in esophageal cancer(EC)patients is of crucial clinical significance for treatment planning and prognosis.AIM To develop a clinical radiomics nomogram that can predict the preoperative lymph node(LN)status in EC patients.METHODS A total of 32 EC patients confirmed by clinical pathology(who underwent surgical treatment)were included.Real-time fluorescent quantitative reverse transcription-polymerase chain reaction was used to detect the expression of B7-H3 mRNA in EC tissue obtained during preoperative gastroscopy,and its correlation with LNM was analyzed.Radiomics features were extracted from multi-modal magnetic resonance imaging of EC using Pyradiomics in Python.Feature extraction,data dimensionality reduction,and feature selection were performed using XGBoost model and leave-one-out cross-validation.Multivariable logistic regression analysis was used to establish the prediction model,which included radiomics features,LN status from computed tomography(CT)reports,and B7-H3 mRNA expression,represented by a radiomics nomogram.Receiver operating characteristic area under the curve(AUC)and decision curve analysis(DCA)were used to evaluate the predictive performance and clinical application value of the model.RESULTS The relative expression of B7-H3 mRNA in EC patients with LNM was higher than in those without metastasis,and the difference was statistically significant(P<0.05).The AUC value in the receiver operating characteristic(ROC)curve was 0.718(95%CI:0.528-0.907),with a sensitivity of 0.733 and specificity of 0.706,indicating good diagnostic performance.The individualized clinical prediction nomogram included radiomics features,LN status from CT reports,and B7-H3 mRNA expression.The ROC curve demonstrated good diagnostic value,with an AUC value of 0.765(95%CI:0.598-0.931),sensitivity of 0.800,and specificity of 0.706.DCA indicated the practical value of the radiomics nomogram in clinical practice.CONCLUSION This study developed a radiomics nomogram that includes radiomics features,LN status from CT reports,and B7-H3 mRNA expression,enabling convenient preoperative individualized prediction of LNM in EC patients.
文摘BACKGROUND The most primary sites of angiosarcoma are the skin,breast gland,and soft tissues.Primary hepatic angiosarcoma(PHA)is a rare malignant tumor of mesothelial tissue originating from the liver.PHA often presents with multiple intrahepatic foci or metastasis at the time of presentation due to its nonspecific clinical presentation and highly aggressive nature.There are no established or effective treatment guidelines for PHA,so early detection and early treatment are of great value for patient survival.Unfortunately,there is a paucity of literature on the imaging features of PHA,making the diagnosis and treatment of this disease a considerable challenge.CASE SUMMARY In this case report,we present a 59-year-old man who initially presented with abdominal pain and radiating pain in the right shoulder.Magnetic resonance imaging and positron emission tomography-computed tomography revealed multiple intrahepatic nodules that needed to be differentiated from tumors of vascular epithelial origin and tumors with progressive enhancement features,and signs of tumor metastasis were assessed.The patient was then subjected to contrast-enhanced ultrasonography(CEUS)to further clarify the extent of tumor infiltration and the state of microcirculatory perfusion.The manifestations observed on CEUS were similar to the classical characteristic presentation of hepatocellular carcinoma,called"quick wash-in and quick wash-out".In addition,CEUS showed that the lesion exhibited gradual infiltration and growth along the liver pedicle structures with no invading blood vessels.Finally,based on pathological and immunohistochemical tests and the above imaging manifestations,it was confirmed that the patient had infiltrating PHA,which is a rare pathological type of PHA.The patient underwent transcatheter arterial chemoembolization and chemotherapy.Four months after the onset of symptoms,the follow-up radiological examination revealed poor treatment efficacy and rapid deterioration.CONCLUSION This case report complements the imaging modalities of a rare infiltrative PHA,in which CEUS and quantitative analysis are found to offer substantial advantages in characterizing the microcirculatory perfusion of the lesion,providing clinicians with diagnostic information at the earliest opportunity to make a diagnosis and develop a treatment strategy to prolong the patient survival.
文摘AIM:To describe the multimodal imaging features,treatment,and outcomes of patients diagnosed with adultonset Coats disease.METHODS:This retrospective study included patients first diagnosed with Coats disease at≥18 years of age between September 2017 and September 2021.Some patients received anti-vascular endothelial growth factor(VEGF)therapy(conbercept,0.5 mg)as the initial treatment,which was combined with laser photocoagulation as needed.All the patients underwent best corrected visual acuity(BCVA)and intraocular pressure examinations,fundus color photography,spontaneous fluorescence tests,fundus fluorescein angiography,optical coherence tomography(OCT),OCT angiography,and other examinations.BCVA alterations and multimodal image findings in the affected eyes following treatment were compared and the prognostic factors were analyzed.RESULTS:The study included 15 patients who were aged 24-72(57.33±12.61)y at presentation.Systemic hypertension was the most common associated systemic condition,occurring in 13(86.7%)patients.Baseline BCVA ranged from 2.0 to 5.0(4.0±1.1),which showed improvement following treatment(4.2±1.0).Multimodal imaging revealed retinal telangiectasis in 13 patients(86.7%),patchy hemorrhage in 5 patients(33.3%),and stage 2B disease(Shield’s staging criteria)in 11 patients(73.3%).OCT revealed that the baseline central macular thickness(CMT)ranged from 129 to 964μm(473.0±230.1μm),with 13 patients(86.7%)exhibiting a baseline CMT exceeding 250μm.Furthermore,8 patients(53.3%)presented with an epiretinal membrane at baseline or during follow-up.Hyper-reflective scars were observed on OCT in five patients(33.3%)with poor visual prognosis.Vision deteriorated in one patient who did not receive treatment.Final vision was stable in three patients who received laser treatment,whereas improvement was observed in one of two patients who received anti-VEGF therapy alone.In addition,8 of 9 patients(88.9%)who received laser treatment and conbercept exhibited stable or improved BCVA.CONCLUSION:Multimodal imaging can help diagnose adult-onset Coats disease.Anti-VEGF treatment combined with laser therapy can be an option for improving or maintaining BCVA and resolving macular edema.The final visual outcome depends on macular involvement and the disease stage.
基金Supported by the Technology Innovation Leading Program of Shaanxi,No.2023KXJ-095the Shaanxi Provincial People's Hospital Science and Technology Talent Support Program for Elite Talents,No.2021JY-38 and No.2021JY-50the Shaanxi Provincial People's Hospital Science and Technology Development Incubation Foundation,No.2023YJY-39.
文摘BACKGROUND Giant cell tumor of bone is a locally aggressive and rarely metastasizing tumor,and also a potential malignant tumor that may develop into a primary malignant giant cell tumor.AIM To evaluate the role of multimodal imaging in the diagnosis of giant cell tumors of bone.METHODS The data of 32 patients with giant cell tumor of bone confirmed by core-needle biopsy or surgical pathology at our hospital between March 2018 and March 2023 were retrospectively selected.All the patients with giant cell tumors of the bone were examined by X-ray,computed tomography(CT)and magnetic resonance imaging(MRI),and 7 of them were examined by positron emission tomography(PET)-CT.RESULTS X-ray imaging can provide overall information on giant cell tumor lesions.CT and MRI can reveal the characteristics of the internal structure of the tumor as well as the adjacent relationships of the tumor,and these methods have unique advantages for diagnosing tumors and determining the scope of surgery.PET-CT can detect small lesions and is highly valuable for identifying benign and malignant tumors to aid in the early diagnosis of metastasis.CONCLUSION Multimodal imaging plays an important role in the diagnosis of giant cell tumor of bone and can provide a reference for the treatment of giant cell tumors.
文摘BACKGROUND The rare co-occurrence of oligodendroglioma and arteriovenous malformation(AVM)in the same intracranial location.CASE SUMMARY In a 61-year-old man presenting with progressive headaches,is described in this case study.Preoperative multimodal imaging techniques(computed tomography,magnetic resonance imaging,magnetic resonance spectroscopy,digital subtraction angiography,and computed tomography angiography)were employed to detect hemorrhage,cystic and solid lesions,and arteriovenous shunting in the right temporal lobe.The patient underwent right temporal craniotomy for lesion removal,and postoperative pathological analysis confirmed the presence of oligodendroglioma(World Health Organization grade II,not otherwise specified)and AVM.CONCLUSION The preoperative utilization of multimodal imaging examination can help clinicians reduce the likelihood of misdiagnosis or oversight of these conditions,and provides important information for subsequent treatment.This case supports the feasibility of craniotomy for the removal of glioma with AVM.
