We demonstrate applications of a novel setup which is used for measuring the relative phase difference between S and P polarization at an oblique incidence point in optically denser medium by analyzing the relative fr...We demonstrate applications of a novel setup which is used for measuring the relative phase difference between S and P polarization at an oblique incidence point in optically denser medium by analyzing the relative frequency shift of adjacent axial modes of S and P resonances of a monolithic folded Fabry-Perot cavity (MFC). The relative phase difference at a reflection point A in an optically denser medium is inferred to be around -167.4°<span "=""> for a confocal cavity and -201.1° for a parallel cavity. Given the <i>n</i><sub>1</sub>, <i>n</i><sub>3</sub>, <i>φ</i><sub>1</sub>, <i>φ</i><sub>3</sub>, <i>λ</i></span><span "="">, and Δ, the elliptic formula tan(<i>ψ</i>)exp(<i>i</i>Δ) = <i>R<sub>p</sub></i>/<i>R<sub>s</sub></i> is used to find a solution for thickness d and refractive index </span><i>n</i><sub>2</sub><span "=""> of the thin film coated on point A, where <i>R<sub>s</sub></i> and <i>R<sub>p</sub></i> are total refractive index of <i>s</i> and<i> p</i> component of light related to two unknown values. Since it is hard to deduce an analytical solution for thickness and refractive index of the film, we firstly used exhaustion method to find the set of solution about thickness and refractive index when assumed there is no light absorption by the film and then Particle Swarm Optimization (PSO) to find a set of solution of thickness and complex refractive index which accounts the light absorption by the film.展开更多
BACKGROUND Intracranial blister-like microaneurysms are an extremely rare disease.Rupture of intracranial aneurysms can lead to subarachnoid hemorrhage(SAH).Patients with SAH may experience severe neurological symptom...BACKGROUND Intracranial blister-like microaneurysms are an extremely rare disease.Rupture of intracranial aneurysms can lead to subarachnoid hemorrhage(SAH).Patients with SAH may experience severe neurological symptoms,including severe headache,nausea,vomiting,transient or persistent loss of consciousness,limb weakness,and blurred vision.Ruptured aneurysms should be surgically treated as soon as possible.Intravascular electrocoagulation is becoming a promising treatment method for intracranial blister-like microaneurysms.The short-term follow-up results demonstrated that this method is safe and effective.This article presents a case of endovascular electrocoagulation for the treatment of a blisterlike microaneurysm.CASE SUMMARY This article reports the case of 71-year-old female patient with an intracranial aneurysm.The patient experienced a sudden headache with vomiting for 3 hours.Brain computed tomography(CT)scan showed a subarachnoid hemorrhage.She was diagnosed with rupture of an aneurysm and subarachnoid hemorrhage.The aneurysm was located in the choroidal segment of the right internal carotid artery.The size of the aneurysm was 2.00 mm×1.80 mm×1.97 mm,and the neck of the aneurysm was less than 0.5 mm wide.We successfully treated this aneurysm with endovascular electrocoagulation,and the patient was safely returned to the ward and discharged after subsequent supportive treatment.CT angiography reexamination 3 months after surgery revealed no contrast agent extravasation in the original lesion,with a good prognosis.CONCLUSION Endovascular electrocoagulation is an effective and safe method for the treatment of intracranial blister-like microaneurysms.展开更多
Narrow backfill earth pressure estimation is applied to study the stability of supporting structures in the vicinity of existing buildings.Previous narrow backfill earth pressure studies have neglected seismic-unsatur...Narrow backfill earth pressure estimation is applied to study the stability of supporting structures in the vicinity of existing buildings.Previous narrow backfill earth pressure studies have neglected seismic-unsaturated seepage multi-field coupling,resulting in inaccurate estimates.To address these deficiencies,this paper proposed a calculation method for seismic passive earth pressure in unsaturated narrow backfill,based on inclined thin-layer units.It considers the interlayer shear stress,arching effect,and the multi-field coupling of seismic-unsaturated seepage.Additionally,this paper includes a parametric sensitivity analysis.The outcomes indicate that the earthquake passive ground pressure of unsaturated narrow backfill can be reduced by increasing the aspect ratio,seismic acceleration coefficient,and unsaturation parameterα.It can also be reduced by decreasing the effective interior friction angle,soil cohesion,wallearth friction angle,and vertical discharge.Furthermore,for any width soil,lowering the elevation of the action point of passive thrust can be attained by raising the effective interior friction angle,wall-earth friction angle,and unsaturation parameterα.Reducing soil cohesion,seismic acceleration coefficient,and vertical discharge can also lower the height of the application point of passive thrust.展开更多
Organic-inorganic hybrid solar cells consisting of organic conjugated materials and inorganic quantum dots(QDs)have been of great interest during the past two decades.However,it is still challenging to select desired ...Organic-inorganic hybrid solar cells consisting of organic conjugated materials and inorganic quantum dots(QDs)have been of great interest during the past two decades.However,it is still challenging to select desired organic functional materials for fabricating hybrid films to maximize their photovoltaic performance.Herein,we report the synthesis of three narrow bandgap non-fullerene conjugated polymers and further demonstrate the importance and impact of polymer crystallinity in tuning the organic-inorganic hybrid interface towards improved photovoltaic performance.In specific,we develop an organic-inorganic hybrid active layer using a newly synthesized polymer with relatively weaker crystallinity and FAPbI_(3)QDs,enabling complementary absorption and favorable interface/morphology for efficient charge separation and transport.The champion PCDOT-T/FAPbI_(3)QD hybrid device achieves a record-high efficiency of 13.11%based on the one-step coating organic/QD hybrid bulk heterojunction blend,which is significantly improved relative to the semi-crystalline polymer PYIT-based hybrid device(11.23%)and pristine QD(10.51%).We believe these findings would provide new insight into the organic/QD interface to construct desired hybrid films for high-performing optoelectronic applications.展开更多
Piezoelectric transduction technology enables the direct conversion between mechanical and electrical energy,finding extensive applications in sensing,acoustics,imaging,actuation,and energy harvesting[1].Previous stud...Piezoelectric transduction technology enables the direct conversion between mechanical and electrical energy,finding extensive applications in sensing,acoustics,imaging,actuation,and energy harvesting[1].Previous studies on piezoelectric materials have primarily focused on ceramics or single-crystal materials characterized by wide band gaps(E_(g)>2.0 e V[2])and low electrical conductivity.In contrast,narrow-bandgap(E_(g)<0.5 eV[3])semiconductor materials typically exhibit high electrical conductivity,which is unfavorable for the effective accumulation of charges required to establish a stable voltage response.Consequently,experimental investigations into the piezoelectric effect of narrow-bandgap semiconductors are scarce.展开更多
The effect of the wide and narrow azimuth 3D observation systems on seismic imaging precision is becoming a hot area for studies of high precision 3D seismic acquisition methods in recent years. In this paper we utili...The effect of the wide and narrow azimuth 3D observation systems on seismic imaging precision is becoming a hot area for studies of high precision 3D seismic acquisition methods in recent years. In this paper we utilize 3D physical seismic modeling experiments. A 3D channel sand body physical seismic model is constructed and two acquisition systems are designed with wide azimuth （16 lines） and narrow azimuth （8 lines） to model 3D seismic data acquisition and processing seismic work flows. From analysis of migrated time slice data with high quality and small size, we conclude that when the overlying layers are smooth and lateral velocities have little change, both wide and narrow azimuth observation systems in 3D acquisition can be used for obtaining high precision imaging and equivalent resolution of the channel sand body.展开更多
Based on the construction of reference e le ment and bilinear transformation, a quasi-Wilson element for arbitrary narrow q uadrilateral is presented. Using the interpolation Theorem for narrow quadrilate ral isoparam...Based on the construction of reference e le ment and bilinear transformation, a quasi-Wilson element for arbitrary narrow q uadrilateral is presented. Using the interpolation Theorem for narrow quadrilate ral isoparametric finite element and related methods, the bounds of interpolatio n error for arbitrary narrow quadrilateral quasi-Wilson element are obtained in case when the condition ρ K/h K≥σ 0】0 is not satisfied, where h K is the diameter of the element K and ρ K is the diameter of an ins cribed circle in K. The interpolation error is O(h2 K) in the L2( K)-norm and O(h K) in the H1(K) -norm provided that the in terpolated function belongs to H2(K).展开更多
AIM: To determine whether the endoscopic findings of depressed-type early gastric cancers(EGCs) could precisely predict the histological type.METHODS: Ninety depressed-type EGCs in 72 patients were macroscopically and...AIM: To determine whether the endoscopic findings of depressed-type early gastric cancers(EGCs) could precisely predict the histological type.METHODS: Ninety depressed-type EGCs in 72 patients were macroscopically and histologically identified. We evaluated the microvascular(MV) and mucosal surface(MS) patterns of depressed-type EGCs using magnifying endoscopy(ME) with narrow-band imaging(NBI)(NBI-ME) and ME enhanced by 1.5% acetic acid, respectively. First, depressed-type EGCs were classified according to MV pattern by NBI-ME. Subsequently, EGCs unclassified by MV pattern were classified according to MS pattern by enhanced ME(EME) images obtained from the same angle.RESULTS: We classified the depressed-type EGCs into the following 2 MV patterns using NBI-ME: a fine-network pattern that indicated differentiated adenocarcinoma(25/25, 100%) and a corkscrew pattern that likely indicated undifferentiated adenocarcinoma(18/23, 78.3%). However, 42 of the 90(46.7%) lesions could not be classified into MV patterns by NBI-ME. These unclassified lesions were then evaluated for MS patterns using EME, which classified 33(81.0%) lesions as MS patterns, diagnosed as differentiated adenocarcinoma. As a result, 76 of the 90(84.4%) lesions were matched with histological diagnoses using a combination of NBI-ME and EME.CONCLUSION: A combination of NBI-ME and EME was useful in predicting the histological type of depressedtype EGC.展开更多
Endoscopy plays an important role in the diagnosis and management of gastrointestinal(GI)tract disorders.Chromoendoscopy has proven to be superior to white light endoscopy for early detection of various GI lesions.Thi...Endoscopy plays an important role in the diagnosis and management of gastrointestinal(GI)tract disorders.Chromoendoscopy has proven to be superior to white light endoscopy for early detection of various GI lesions.This has however been fraught with problems.The use of color stains,time taken to achieve an effect and the learning curve associated with the technique has been some of the pitfalls.Narrow band imaging(NBI)particularly in combination with magnifying endoscopy may allow the endoscopist to accomplish a fairly accurate diagnosis with good histological correlation similar to results achieved with chromoendoscopy.Such enhanced detection of pre-malignant and early neoplastic lesions in the gastrointestinal tract should allow better targeting of biopsies and could ultimately prove to be cost effective.Various studies have been done demonstrating the utility of this novel technology.This article will review the impact of NBI in the diagnosis of upper gastrointestinal tract disorders.展开更多
The growth, expansion and collapse of a bubble in a narrow tube are studied using both experiments and numerical simulations. In experiment, the bubble is generated by an electric spark in a water tank and recorded by...The growth, expansion and collapse of a bubble in a narrow tube are studied using both experiments and numerical simulations. In experiment, the bubble is generated by an electric spark in a water tank and recorded by a highspeed camera system. In numerical simulation, the evolution of the bubble is solved by adopting axisymmetric boundary integral equation, considering the surface tension effect. The results of experiments and numerical simulations are compared and good agreements are achieved. Both of them show that a counter-jet forms and penetrates the bubble at the end of the collapse stage, before a ring type bubble forms. Under the attraction of the tube wall due to Bjerknes force, a ring jet is generated, pointing towards the tube. On the basis of this, some physical quantities like the pressure on the tube wall and kinetic energy are calculated in a case study. The effects of tube diameters and tube lengths on the bubble＇s behaviors are also investigated.展开更多
Narrow band imaging(NBI) endoscopy is an optical image enhancing technology that allows a detailed inspection of vascular and mucosal patterns, providing the ability to predict histology during real-time endoscopy. By...Narrow band imaging(NBI) endoscopy is an optical image enhancing technology that allows a detailed inspection of vascular and mucosal patterns, providing the ability to predict histology during real-time endoscopy. By combining NBI with magnification endoscopy(NBI-ME), the accurate assessment of lesions in the gastrointestinal tract can be achieved, as well as the early detection of neoplasia by emphasizing neovascularization. Promising results of the method in the diagnosis of premalignant and malignant lesions of gastrointestinal tract have been reported in clinical studies. The usefulness of NBI-ME as an adjunct to endoscopic therapy in clinical practice, the potential to improve diagnostic accuracy, surveillance strategies and cost-saving strategies based on this method are summarized in this review. Various classification systems of mucosal and vascular patterns used to differentiate preneoplastic and neoplastic lesions have been reviewed. We concluded that the clinical applicability of NBI-ME has increased, but standardization of endoscopic criteria and classification systems, validation in randomized multicenter trials and training programs to improve the diagnostic performance are all needed before the widespread acceptance of the method in routine practice. However, published data regarding the usefulness of NBI endoscopy are relevant in order to recommend the method as a reliable tool in diagnostic and therapy, even for less experienced endoscopists.展开更多
AIM:To compare the tolerability of magnifying narrow band imaging endoscopy for esophageal cancer screening with that of lugol chromoendoscopy.METHODS:We prospectively enrolled and analyzed 51 patients who were at hig...AIM:To compare the tolerability of magnifying narrow band imaging endoscopy for esophageal cancer screening with that of lugol chromoendoscopy.METHODS:We prospectively enrolled and analyzed 51 patients who were at high risk for esophageal cancer.All patients were divided into two groups:a magnifying narrow band imaging group,and a lugol chromoendoscopy group,for comparison of adverse symptoms.Esophageal cancer screening was performed on withdrawal of the endoscope.The primary endpoint was a score on a visual analogue scale for heartburn after the examination.The secondary endpoints were scale scores for retrosternal pain and dyspnea after the examinations,change in vital signs,total procedure time,and esophageal observation time.RESULTS:The scores for heartburn and retrosternal pain in the magnifying narrow band imaging group were significantly better than those in the lugol chromoendoscopy group(P =0.004,0.024,respectively,ANOVA for repeated measures).The increase in heart rate after the procedure was significantly greater in the lugol chromoendoscopy group.There was no significant difference between the two groups with respect to othervital sign.The total procedure time and esophageal observation time in the magnifying narrow band imaging group were significantly shorter than those in the lugol chromoendoscopy group(450 ± 116 vs 565 ± 174,P =0.004,44 ± 26 vs 151 ± 72,P < 0.001,respectively).CONCLUSION:Magnifying narrow band imaging endoscopy reduced the adverse symptoms compared with lugol chromoendoscopy.Narrow band imaging endoscopy is useful and suitable for esophageal cancer screening periodically.展开更多
Recently, we reported a case of gastric mucosaassociated lymphoid tissue (MALT) lymphoma presenting with unique vascular features. In the report, we defined the tree-like appearance (TLA) on the images of abnormal blo...Recently, we reported a case of gastric mucosaassociated lymphoid tissue (MALT) lymphoma presenting with unique vascular features. In the report, we defined the tree-like appearance (TLA) on the images of abnormal blood vessels which resembled branches from the trunk of a tree in the shiny mucosa, in which the glandular structure was lost. The 67-year-old female was diagnosed with gastric MALT lymphoma. The patient received eradication therapy for H. pylori. Conventional endoscopy revealed multiple ill-delineated brownish depressions in the stomach and cobblestonelike mucosa was observed at the greater curvature to the posterior wall of the upper gastric body 7 mo after successful eradication. Unsuccessful treatment of gastric MALT lymphoma was suspected on conventional endoscopy. Conventional endoscopic observations found focal depressions and cobblestone-like appearance, and these lesions were subsequently observed using magnified endoscopy combined with narrow band imaging to identify abnormal vessels presenting with a TLA within the lesions. Ten biopsies were taken from the area where abnormal vessels were present within these lesions. Ten biopsies were also taken from the lesions without abnormal vessels as a control. A total of 20 biopsy samples were evaluated to determine whether the diagnosis of MALT lymphoma could be obtained histologically from each sample. A positive diagnosis was obtained in 8/10 TLA (+) sites and in 2/10 TLA(-) sites. Target biopsies of the site with abnormal blood vessels can potentially improve diagnostic accuracy of gastric MALT lymphoma.展开更多
文摘We demonstrate applications of a novel setup which is used for measuring the relative phase difference between S and P polarization at an oblique incidence point in optically denser medium by analyzing the relative frequency shift of adjacent axial modes of S and P resonances of a monolithic folded Fabry-Perot cavity (MFC). The relative phase difference at a reflection point A in an optically denser medium is inferred to be around -167.4°<span "=""> for a confocal cavity and -201.1° for a parallel cavity. Given the <i>n</i><sub>1</sub>, <i>n</i><sub>3</sub>, <i>φ</i><sub>1</sub>, <i>φ</i><sub>3</sub>, <i>λ</i></span><span "="">, and Δ, the elliptic formula tan(<i>ψ</i>)exp(<i>i</i>Δ) = <i>R<sub>p</sub></i>/<i>R<sub>s</sub></i> is used to find a solution for thickness d and refractive index </span><i>n</i><sub>2</sub><span "=""> of the thin film coated on point A, where <i>R<sub>s</sub></i> and <i>R<sub>p</sub></i> are total refractive index of <i>s</i> and<i> p</i> component of light related to two unknown values. Since it is hard to deduce an analytical solution for thickness and refractive index of the film, we firstly used exhaustion method to find the set of solution about thickness and refractive index when assumed there is no light absorption by the film and then Particle Swarm Optimization (PSO) to find a set of solution of thickness and complex refractive index which accounts the light absorption by the film.
文摘BACKGROUND Intracranial blister-like microaneurysms are an extremely rare disease.Rupture of intracranial aneurysms can lead to subarachnoid hemorrhage(SAH).Patients with SAH may experience severe neurological symptoms,including severe headache,nausea,vomiting,transient or persistent loss of consciousness,limb weakness,and blurred vision.Ruptured aneurysms should be surgically treated as soon as possible.Intravascular electrocoagulation is becoming a promising treatment method for intracranial blister-like microaneurysms.The short-term follow-up results demonstrated that this method is safe and effective.This article presents a case of endovascular electrocoagulation for the treatment of a blisterlike microaneurysm.CASE SUMMARY This article reports the case of 71-year-old female patient with an intracranial aneurysm.The patient experienced a sudden headache with vomiting for 3 hours.Brain computed tomography(CT)scan showed a subarachnoid hemorrhage.She was diagnosed with rupture of an aneurysm and subarachnoid hemorrhage.The aneurysm was located in the choroidal segment of the right internal carotid artery.The size of the aneurysm was 2.00 mm×1.80 mm×1.97 mm,and the neck of the aneurysm was less than 0.5 mm wide.We successfully treated this aneurysm with endovascular electrocoagulation,and the patient was safely returned to the ward and discharged after subsequent supportive treatment.CT angiography reexamination 3 months after surgery revealed no contrast agent extravasation in the original lesion,with a good prognosis.CONCLUSION Endovascular electrocoagulation is an effective and safe method for the treatment of intracranial blister-like microaneurysms.
基金Project(42277175)supported by the National Natural Science Foundation of ChinaProject(NRMSSHR-2022-Z08)supported by the Key Laboratory of Natural Resources Monitoring and Supervision in Southern Hilly Region,Ministry of Natural Resources,China。
文摘Narrow backfill earth pressure estimation is applied to study the stability of supporting structures in the vicinity of existing buildings.Previous narrow backfill earth pressure studies have neglected seismic-unsaturated seepage multi-field coupling,resulting in inaccurate estimates.To address these deficiencies,this paper proposed a calculation method for seismic passive earth pressure in unsaturated narrow backfill,based on inclined thin-layer units.It considers the interlayer shear stress,arching effect,and the multi-field coupling of seismic-unsaturated seepage.Additionally,this paper includes a parametric sensitivity analysis.The outcomes indicate that the earthquake passive ground pressure of unsaturated narrow backfill can be reduced by increasing the aspect ratio,seismic acceleration coefficient,and unsaturation parameterα.It can also be reduced by decreasing the effective interior friction angle,soil cohesion,wallearth friction angle,and vertical discharge.Furthermore,for any width soil,lowering the elevation of the action point of passive thrust can be attained by raising the effective interior friction angle,wall-earth friction angle,and unsaturation parameterα.Reducing soil cohesion,seismic acceleration coefficient,and vertical discharge can also lower the height of the application point of passive thrust.
基金financially supported by the National Key Research and Development Program of China(2022YFE0110300)the National Natural Science Foundation of China(52261145696 and 52473187)+1 种基金the“111”Projectthe Collaborative Innovation Center of Suzhou Nano Science and Technology,Soochow University。
文摘Organic-inorganic hybrid solar cells consisting of organic conjugated materials and inorganic quantum dots(QDs)have been of great interest during the past two decades.However,it is still challenging to select desired organic functional materials for fabricating hybrid films to maximize their photovoltaic performance.Herein,we report the synthesis of three narrow bandgap non-fullerene conjugated polymers and further demonstrate the importance and impact of polymer crystallinity in tuning the organic-inorganic hybrid interface towards improved photovoltaic performance.In specific,we develop an organic-inorganic hybrid active layer using a newly synthesized polymer with relatively weaker crystallinity and FAPbI_(3)QDs,enabling complementary absorption and favorable interface/morphology for efficient charge separation and transport.The champion PCDOT-T/FAPbI_(3)QD hybrid device achieves a record-high efficiency of 13.11%based on the one-step coating organic/QD hybrid bulk heterojunction blend,which is significantly improved relative to the semi-crystalline polymer PYIT-based hybrid device(11.23%)and pristine QD(10.51%).We believe these findings would provide new insight into the organic/QD interface to construct desired hybrid films for high-performing optoelectronic applications.
文摘Piezoelectric transduction technology enables the direct conversion between mechanical and electrical energy,finding extensive applications in sensing,acoustics,imaging,actuation,and energy harvesting[1].Previous studies on piezoelectric materials have primarily focused on ceramics or single-crystal materials characterized by wide band gaps(E_(g)>2.0 e V[2])and low electrical conductivity.In contrast,narrow-bandgap(E_(g)<0.5 eV[3])semiconductor materials typically exhibit high electrical conductivity,which is unfavorable for the effective accumulation of charges required to establish a stable voltage response.Consequently,experimental investigations into the piezoelectric effect of narrow-bandgap semiconductors are scarce.
基金supported by the National Basic Research Program (the 973 Program, No. 2007CB209601).
文摘The effect of the wide and narrow azimuth 3D observation systems on seismic imaging precision is becoming a hot area for studies of high precision 3D seismic acquisition methods in recent years. In this paper we utilize 3D physical seismic modeling experiments. A 3D channel sand body physical seismic model is constructed and two acquisition systems are designed with wide azimuth （16 lines） and narrow azimuth （8 lines） to model 3D seismic data acquisition and processing seismic work flows. From analysis of migrated time slice data with high quality and small size, we conclude that when the overlying layers are smooth and lateral velocities have little change, both wide and narrow azimuth observation systems in 3D acquisition can be used for obtaining high precision imaging and equivalent resolution of the channel sand body.
文摘Based on the construction of reference e le ment and bilinear transformation, a quasi-Wilson element for arbitrary narrow q uadrilateral is presented. Using the interpolation Theorem for narrow quadrilate ral isoparametric finite element and related methods, the bounds of interpolatio n error for arbitrary narrow quadrilateral quasi-Wilson element are obtained in case when the condition ρ K/h K≥σ 0】0 is not satisfied, where h K is the diameter of the element K and ρ K is the diameter of an ins cribed circle in K. The interpolation error is O(h2 K) in the L2( K)-norm and O(h K) in the H1(K) -norm provided that the in terpolated function belongs to H2(K).
文摘AIM: To determine whether the endoscopic findings of depressed-type early gastric cancers(EGCs) could precisely predict the histological type.METHODS: Ninety depressed-type EGCs in 72 patients were macroscopically and histologically identified. We evaluated the microvascular(MV) and mucosal surface(MS) patterns of depressed-type EGCs using magnifying endoscopy(ME) with narrow-band imaging(NBI)(NBI-ME) and ME enhanced by 1.5% acetic acid, respectively. First, depressed-type EGCs were classified according to MV pattern by NBI-ME. Subsequently, EGCs unclassified by MV pattern were classified according to MS pattern by enhanced ME(EME) images obtained from the same angle.RESULTS: We classified the depressed-type EGCs into the following 2 MV patterns using NBI-ME: a fine-network pattern that indicated differentiated adenocarcinoma(25/25, 100%) and a corkscrew pattern that likely indicated undifferentiated adenocarcinoma(18/23, 78.3%). However, 42 of the 90(46.7%) lesions could not be classified into MV patterns by NBI-ME. These unclassified lesions were then evaluated for MS patterns using EME, which classified 33(81.0%) lesions as MS patterns, diagnosed as differentiated adenocarcinoma. As a result, 76 of the 90(84.4%) lesions were matched with histological diagnoses using a combination of NBI-ME and EME.CONCLUSION: A combination of NBI-ME and EME was useful in predicting the histological type of depressedtype EGC.
文摘Endoscopy plays an important role in the diagnosis and management of gastrointestinal(GI)tract disorders.Chromoendoscopy has proven to be superior to white light endoscopy for early detection of various GI lesions.This has however been fraught with problems.The use of color stains,time taken to achieve an effect and the learning curve associated with the technique has been some of the pitfalls.Narrow band imaging(NBI)particularly in combination with magnifying endoscopy may allow the endoscopist to accomplish a fairly accurate diagnosis with good histological correlation similar to results achieved with chromoendoscopy.Such enhanced detection of pre-malignant and early neoplastic lesions in the gastrointestinal tract should allow better targeting of biopsies and could ultimately prove to be cost effective.Various studies have been done demonstrating the utility of this novel technology.This article will review the impact of NBI in the diagnosis of upper gastrointestinal tract disorders.
基金supported by the Lloyd’s Register Educational Trust(The LRET)the National Natural Foundation of China(10976008)
文摘The growth, expansion and collapse of a bubble in a narrow tube are studied using both experiments and numerical simulations. In experiment, the bubble is generated by an electric spark in a water tank and recorded by a highspeed camera system. In numerical simulation, the evolution of the bubble is solved by adopting axisymmetric boundary integral equation, considering the surface tension effect. The results of experiments and numerical simulations are compared and good agreements are achieved. Both of them show that a counter-jet forms and penetrates the bubble at the end of the collapse stage, before a ring type bubble forms. Under the attraction of the tube wall due to Bjerknes force, a ring jet is generated, pointing towards the tube. On the basis of this, some physical quantities like the pressure on the tube wall and kinetic energy are calculated in a case study. The effects of tube diameters and tube lengths on the bubble＇s behaviors are also investigated.
文摘Narrow band imaging(NBI) endoscopy is an optical image enhancing technology that allows a detailed inspection of vascular and mucosal patterns, providing the ability to predict histology during real-time endoscopy. By combining NBI with magnification endoscopy(NBI-ME), the accurate assessment of lesions in the gastrointestinal tract can be achieved, as well as the early detection of neoplasia by emphasizing neovascularization. Promising results of the method in the diagnosis of premalignant and malignant lesions of gastrointestinal tract have been reported in clinical studies. The usefulness of NBI-ME as an adjunct to endoscopic therapy in clinical practice, the potential to improve diagnostic accuracy, surveillance strategies and cost-saving strategies based on this method are summarized in this review. Various classification systems of mucosal and vascular patterns used to differentiate preneoplastic and neoplastic lesions have been reviewed. We concluded that the clinical applicability of NBI-ME has increased, but standardization of endoscopic criteria and classification systems, validation in randomized multicenter trials and training programs to improve the diagnostic performance are all needed before the widespread acceptance of the method in routine practice. However, published data regarding the usefulness of NBI endoscopy are relevant in order to recommend the method as a reliable tool in diagnostic and therapy, even for less experienced endoscopists.
文摘AIM:To compare the tolerability of magnifying narrow band imaging endoscopy for esophageal cancer screening with that of lugol chromoendoscopy.METHODS:We prospectively enrolled and analyzed 51 patients who were at high risk for esophageal cancer.All patients were divided into two groups:a magnifying narrow band imaging group,and a lugol chromoendoscopy group,for comparison of adverse symptoms.Esophageal cancer screening was performed on withdrawal of the endoscope.The primary endpoint was a score on a visual analogue scale for heartburn after the examination.The secondary endpoints were scale scores for retrosternal pain and dyspnea after the examinations,change in vital signs,total procedure time,and esophageal observation time.RESULTS:The scores for heartburn and retrosternal pain in the magnifying narrow band imaging group were significantly better than those in the lugol chromoendoscopy group(P =0.004,0.024,respectively,ANOVA for repeated measures).The increase in heart rate after the procedure was significantly greater in the lugol chromoendoscopy group.There was no significant difference between the two groups with respect to othervital sign.The total procedure time and esophageal observation time in the magnifying narrow band imaging group were significantly shorter than those in the lugol chromoendoscopy group(450 ± 116 vs 565 ± 174,P =0.004,44 ± 26 vs 151 ± 72,P < 0.001,respectively).CONCLUSION:Magnifying narrow band imaging endoscopy reduced the adverse symptoms compared with lugol chromoendoscopy.Narrow band imaging endoscopy is useful and suitable for esophageal cancer screening periodically.
文摘Recently, we reported a case of gastric mucosaassociated lymphoid tissue (MALT) lymphoma presenting with unique vascular features. In the report, we defined the tree-like appearance (TLA) on the images of abnormal blood vessels which resembled branches from the trunk of a tree in the shiny mucosa, in which the glandular structure was lost. The 67-year-old female was diagnosed with gastric MALT lymphoma. The patient received eradication therapy for H. pylori. Conventional endoscopy revealed multiple ill-delineated brownish depressions in the stomach and cobblestonelike mucosa was observed at the greater curvature to the posterior wall of the upper gastric body 7 mo after successful eradication. Unsuccessful treatment of gastric MALT lymphoma was suspected on conventional endoscopy. Conventional endoscopic observations found focal depressions and cobblestone-like appearance, and these lesions were subsequently observed using magnified endoscopy combined with narrow band imaging to identify abnormal vessels presenting with a TLA within the lesions. Ten biopsies were taken from the area where abnormal vessels were present within these lesions. Ten biopsies were also taken from the lesions without abnormal vessels as a control. A total of 20 biopsy samples were evaluated to determine whether the diagnosis of MALT lymphoma could be obtained histologically from each sample. A positive diagnosis was obtained in 8/10 TLA (+) sites and in 2/10 TLA(-) sites. Target biopsies of the site with abnormal blood vessels can potentially improve diagnostic accuracy of gastric MALT lymphoma.
