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Diagnostic usefulness and limitation of cardiac magnetic resonance for identifying myocardial damage in survivors of cardiac arrest in midtown
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作者 Yasuo Amano Yasuyuki Suzuki +2 位作者 Kazuki Iso Chisato Ando Maki Amano 《World Journal of Radiology》 2025年第6期106-114,共9页
BACKGROUND Cardiac magnetic resonance(CMR)has been reported to identify myocardial damage inducing out-of-hospital cardiac arrest(OHCA).However,the usefulness of CMR may be affected by the medical institutions,patient... BACKGROUND Cardiac magnetic resonance(CMR)has been reported to identify myocardial damage inducing out-of-hospital cardiac arrest(OHCA).However,the usefulness of CMR may be affected by the medical institutions,patients’ages,and myocardial diseases.AIM To clarify the clinical usefulness and limitation of CMR for identifying myocardial damage in the survivors of OHCA in midtown.METHODS Nineteen patients underwent CMR to detect myocardial damage related to OHCA in the midtown of a capital city.Cine,T1 and T2 mapping,T2-weighted,and late gadolinium enhancement(LGE)imaging were acquired using a 1.5 T scanner.We described the clinical characteristics of the survivors of OHCA and evaluated usefulness of CMR for identifying myocardial damage related to OHCA.RESULTS Among 19 patients experiencing OHCA,7 experienced it in trains or on railway platforms,4 while practicing sports,and 4 during their daily work.Ten of the 19 survivors were diagnosed with coronary vasospasm(CVS),in whom CMR failed to depict its characteristic findings.CMR was useful for identifying myocardial damage associated with hypertrophic cardiomyopathy(HCM)or myocardial infarction(MI).LGE was related to serious ventricular arrhythmias after implantable cardioverter defibrillator(ICD)installation in 3 patients(CVS,2;HCM,1).CONCLUSION CMR is useful for identifying myocardial damage of HCM or MI inducing OHCA and predicting ventricular arrhythmias after ICD implantation but has limited capability for detecting myocardial damage of CVS. 展开更多
关键词 Cardiac magnetic resonance Late gadolinium enhancement Cardiac arrest Coronary vasospasm Implantable cardioverter defibrillator
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DA-ViT:Deformable Attention Vision Transformer for Alzheimer’s Disease Classification from MRI Scans
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作者 Abdullah G.M.Almansour Faisal Alshomrani +4 位作者 Abdulaziz T.M.Almutairi Easa Alalwany Mohammed S.Alshuhri Hussein Alshaari Abdullah Alfahaid 《Computer Modeling in Engineering & Sciences》 2025年第8期2395-2418,共24页
The early and precise identification of Alzheimer’s Disease(AD)continues to pose considerable clinical difficulty due to subtle structural alterations and overlapping symptoms across the disease phases.This study pre... The early and precise identification of Alzheimer’s Disease(AD)continues to pose considerable clinical difficulty due to subtle structural alterations and overlapping symptoms across the disease phases.This study presents a novel Deformable Attention Vision Transformer(DA-ViT)architecture that integrates deformable Multi-Head Self-Attention(MHSA)with a Multi-Layer Perceptron(MLP)block for efficient classification of Alzheimer’s disease(AD)using Magnetic resonance imaging(MRI)scans.In contrast to traditional vision transformers,our deformable MHSA module preferentially concentrates on spatially pertinent patches through learned offset predictions,markedly diminishing processing demands while improving localized feature representation.DA-ViT contains only 0.93 million parameters,making it exceptionally suitable for implementation in resource-limited settings.We evaluate the model using a class-imbalanced Alzheimer’s MRI dataset comprising 6400 images across four categories,achieving a test accuracy of 80.31%,a macro F1-score of 0.80,and an area under the receiver operating characteristic curve(AUC)of 1.00 for the Mild Demented category.Thorough ablation studies validate the ideal configuration of transformer depth,headcount,and embedding dimensions.Moreover,comparison research indicates that DA-ViT surpasses state-of-theart pre-trained Convolutional Neural Network(CNN)models in terms of accuracy and parameter efficiency. 展开更多
关键词 Alzheimer disease classification vision transformer deformable attention MRI analysis bayesian optimization
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应用256层螺旋CT样机进行全脑灌注的初步经验 被引量:36
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作者 K.Murayama K.Katada +4 位作者 M.Nakane H.Toyama H.Anno M.Hayakawa 刘靖 《国际医学放射学杂志》 2009年第2期181-181,共1页
目的 初步评价应用256层螺旋CT样机在覆盖全脑的较大范围内进行全脑灌注对评估缺血性脑血管疾病的可行性和潜在诊断价值。方法 经机构审查委员会批准并获病人知情同意书。应用全脑灌注CT回顾性评价10例患有颅内、外(血管)狭窄受试... 目的 初步评价应用256层螺旋CT样机在覆盖全脑的较大范围内进行全脑灌注对评估缺血性脑血管疾病的可行性和潜在诊断价值。方法 经机构审查委员会批准并获病人知情同意书。应用全脑灌注CT回顾性评价10例患有颅内、外(血管)狭窄受试者(男6例,女4例;平均年龄64.3岁)。3位阅片者独立评价CT灌注成像资料,肉眼下采用3点量表法估测3个因素以评估CT灌注成像的诊断效能。 展开更多
关键词 全脑灌注 螺旋CT 初步经验 缺血性脑血管疾病 CT灌注成像 诊断价值 知情同意书 平均年龄
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Luminescence characteristics of Dy^(3+) doped Gd_2O_3-CaO-SiO_2-B_2O_3 scintillating glasses 被引量:5
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作者 J.Kaewkhao N.Wantana +2 位作者 S.Kaewjaeng S.Kothan H.J.Kim 《Journal of Rare Earths》 SCIE EI CAS CSCD 2016年第6期583-589,共7页
Glasses were prepared from the compositions of 25Gd_2O_3-10 CaO-10 SiO_2-(55–x)B_2O_3-xDy_2O_3(where x is 0.0 mol.%–1.0 mol.%) by the conventional melt-quenching technique at 1400 oC. The results demonstrated th... Glasses were prepared from the compositions of 25Gd_2O_3-10 CaO-10 SiO_2-(55–x)B_2O_3-xDy_2O_3(where x is 0.0 mol.%–1.0 mol.%) by the conventional melt-quenching technique at 1400 oC. The results demonstrated the increase in the glass density with respect to the increase in the doping concentrations of Dy_2O_3. Nine absorption bands were observed. The emission spectra of the developed glass showed two strong peaks at 577 nm(~4F_(9/2)→~6H_(13/2)) and 482 nm(~4F_(9/2)→~6H_(15/2)). The highest emission intensity was observed from the developed glass prepared at 0.4 mol.% of Dy_2O_3, as the efficient energy transfer took place from Gd^(3+) to Dy^(3+). From the X-ray induced optical luminescence, the emission spectra were identical to those from PL measurements, but with the highest intensity observed from the glass quenched at 0.45 mol.% of Dy_2O_3. Finally, the integral scintillation efficiency of the developed glass was determined at 27% of that of the commercially available BGO crystal. 展开更多
关键词 amorphous materials GLASSES OXIDES optical properties LUMINESCENCE rare earths
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Gamma-ray and neutron shielding efficiency of Pb-free gadolinium-based glasses 被引量:3
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作者 V.P.Singh N.M.Badiger +4 位作者 S.Kothan S.Kaewjaeng T.Korkut H.J.Kim J.Kaewkhao 《Nuclear Science and Techniques》 SCIE CAS CSCD 2016年第4期206-213,共8页
The radiation shielding efficiency of material depends upon photon attenuation, exposure buildup factors and neutron removal capacity. A newly developed Pb-free gadolinium-based glasses in compositions(80-x) B_2O_3-10... The radiation shielding efficiency of material depends upon photon attenuation, exposure buildup factors and neutron removal capacity. A newly developed Pb-free gadolinium-based glasses in compositions(80-x) B_2O_3-10 Si O_2-10 Ca O-x Gd_2O_3(where x = 15, 20, 25, 30 and35 mol%) had completely been investigated for their shielding efficiency with Geant4 simulation for mass attenuation coefficients and neutron total macroscopic cross section and by calculating exposure buildup factors.The exposure buildup factors for photon energy from 0.015 to 15 Me V had been calculated up to 40 mean free paths using five factors geometric progression method. The mass attenuation coefficients of the Pb-free glasses were simulated for energies from 223 to 2614 ke V and compared with the possible available experimental results. The neutron shielding efficiency of these glasses was discussed by calculating neutron total macroscopic cross section for energies from 1 e V to 14.1 Me V. Present investigations are found to be very useful for applications in nuclear engineering. 展开更多
关键词 无铅玻璃 屏蔽效率 中子 质量衰减系数 γ射线 光子能量 截面计算 GEANT4
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Radiation-induced inflammation and autoimmune diseases 被引量:13
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作者 Rasoul Yahyapour Peyman Amini +7 位作者 Saeed Rezapour Mohsen Cheki Abolhasan Rezaeyan Bagher Farhood Dheyauldeen Shabeeb Ahmed Eleojo Musa Hengameh Fallah Masoud Najafi 《Military Medical Research》 SCIE CAS 2018年第1期62-71,共10页
Currently,ionizing radiation(IR)plays a key role in the agricultural and medical industry,while accidental exposure resulting from leakage of radioactive sources or radiological terrorism is a serious concern.Exposure... Currently,ionizing radiation(IR)plays a key role in the agricultural and medical industry,while accidental exposure resulting from leakage of radioactive sources or radiological terrorism is a serious concern.Exposure to IR has various detrimental effects on normal tissues.Although an increased risk of carcinogenesis is the best-known long-term consequence of IR,evidence has shown that other diseases,particularly diseases related to inflammation,are common disorders among irradiated people.Autoimmune disorders are among the various types of immune diseases that have been investigated among exposed people.Thyroid diseases and diabetes are two autoimmune diseases potentially induced by IR.However,the precise mechanisms of IR-induced thyroid diseases and diabetes remain to be elucidated,and several studies have shown that chronic increased levels of inflammatory cytokines after exposure play a pivotal role.Thus,cytokines,including interleukin-1(IL-1),tumor necrosis factor(TNF-α)and interferon gamma(IFN-α),play a key role in chronic oxidative damage following exposure to IR.Additionally,these cytokines change the secretion of insulin and thyroid-stimulating hormone(TSH).It is likely that the management of inflammation and oxidative damage is one of the best strategies for the amelioration of these diseases after a radiological or nuclear disaster.In the present study,we reviewed the evidence of radiation-induced diabetes and thyroid diseases,as well as the potential roles of inflammatory responses.In addition,we proposed that the mitigation of inflammatory and oxidative damage markers after exposure to IR may reduce the incidence of these diseases among individuals exposed to radiation. 展开更多
关键词 RADIATION INFLAMMATION Autoimmune diseases THYROID DIABETES
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Body mass index and its effects on liver fat content in overweight and obese young adults by proton magnetic resonance spectroscopy technique 被引量:2
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作者 Duanghathai Pasanta Montree Tungjai +2 位作者 Sirirat Chancharunee Warayuth Sajomsang Suchart Kothan 《World Journal of Hepatology》 CAS 2018年第12期924-933,共10页
AIM To assess the association between liver fat content(LFC) and weight status in young adults using proton magnetic resonance spectroscopy(1H MRS) technique.METHODSSeventy-eight healthy young adults, between 19-30 ye... AIM To assess the association between liver fat content(LFC) and weight status in young adults using proton magnetic resonance spectroscopy(1H MRS) technique.METHODSSeventy-eight healthy young adults, between 19-30 years of age participated in this study. This group was then separated into a control of 39 subjects and an overweight/obese group(OW/OB group) consisting of 39 subjects. Blood biochemical quantity and 1 H MRS was performed for LFC assessment.RESULTS LFC was found to be almost three times higher in OW/OB group when compared to the control group. A 48.7% incidence of non-alcoholic fatty liver disease in the OW/OB group was found. Blood biochemical measurements showed statistically higher low-density lipoproteins and triglyceride, lower highdensity lipoproteins, and increased glycosylated hemoglobin and fasting glucose in the OW/OB group. Body mass index was a significant independent predictor for LFC after adjusting for age and sex(multiple linear regression; β = 0.459, P <0.001).CONCLUSION Due to the prevalence of high LFC in the OW/OB group, it can be proposed that weight gain and obesity are sensitive indicators of high hepatic fat content. 展开更多
关键词 Young ADULTS OVERWEIGHT Obesity Non-alcoholic FATTY liver disease Body mass index Proton magnetic resonance spectroscopy CHOLESTEROL
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Performance of 18-fluoro-2-deoxyglucose positron emission tomography for esophageal cancer screening 被引量:3
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作者 Masau Sekiguchi Takashi Terauchi +3 位作者 Yasuo Kakugawa Naoki Shimada Yutaka Saito Takahisa Matsuda 《World Journal of Gastroenterology》 SCIE CAS 2017年第15期2743-2749,共7页
AIM To evaluate the performance of 18-fluoro-2-deoxyglucose positron emission tomography(FDG-PET) for esophageal cancer(EC) screening.METHODS We retrospectively analyzed the data of consecutive asymptomatic individual... AIM To evaluate the performance of 18-fluoro-2-deoxyglucose positron emission tomography(FDG-PET) for esophageal cancer(EC) screening.METHODS We retrospectively analyzed the data of consecutive asymptomatic individuals who underwent FDG-PET and esophagogastroduodenoscopy(EGD) simultaneously for cancer screening at our institution from February 2004 to March 2013. In total, 14790 FDG-PET and EGD procedures performed for 8468 individuals were included in this study, and the performance of FDGPET for EC screening was assessed by comparing the results of FDG-PET and EGD, considering the latter as the reference.RESULTS Thirty-two EC lesions were detected in 28 individuals(31 squamous cell carcinomas and 1 adenocarcinoma). The median tumor size was 12.5 mm, and the depths of the lesions were as follows: Tis(n = 12), T1a(n = 15), and T1b(n = 5). Among the 14790 FDG-PET procedures, 51 examinations(0.3%) showed positive findings in the esophagus; only 1 was a true-positive finding. The screen sensitivity, specificity, positive predictive value, and negative predictive value of FDGPET for ECs were 3.6%(95%CI: 0.1-18.3), 99.7%(95%CI: 99.6-99.7), 2.0%(95%CI: 0.0-10.4), and 99.8%(95%CI: 99.7-99.9), respectively. Of the 50 FDG-PET false-positive cases, 31 were observed in the lower esophagus, and gastroesophageal reflux disease was observed in 17 of these 31 cases.CONCLUSION This study is the first to clarify the FDG-PET performance for EC screening. Based on the low screen sensitivity, FDG-PET is considered to be difficult to use as a screening modality for ECs. 展开更多
关键词 Cancer screening Esophageal cancer ESOPHAGOGASTRODUODENOSCOPY Positron emission tomography Screen sensitivity
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Deep Venous Thrombosis: Commonly Affected Veins in the Lower Limbs 被引量:2
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作者 Sultan Abdulwadoud Alshoabi Abdullatif Mothanna 《Journal of Biosciences and Medicines》 2019年第3期12-19,共8页
Aim and Objectives: This study aimed to record the commonly affected veins in the lower limbs, to compare the affected sides and gender and to correlate the Doppler findings and stages of deep venous thrombosis (DVT).... Aim and Objectives: This study aimed to record the commonly affected veins in the lower limbs, to compare the affected sides and gender and to correlate the Doppler findings and stages of deep venous thrombosis (DVT). Materials and Methods: A descriptive retrospective study of 46 already diagnosed cases of lower limb DVT. Results: Out of 46 cases of DVT, 71.74% were females. The majority of patients (93.47%) were affected in unilateral lower limb with significant predominance (65.22%) to affect the left lower limb (p Conclusion: Lower limb deep venous thrombosis affects left lower limb more than right and females more than males. Superficial femoral vein (SFV) and common femoral vein (CFV) are the most common affected veins. Lower limb DVT predominantly present in acute stage with venous distension and absent blood flow. 展开更多
关键词 Common LOCATIONS Deep VENOUS THROMBOSIS (DVT) Lower LIMBS
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Testing the validity of the Ehrenfest theorem beyond simple static systems: Caldirola–Kanai oscillator driven by a time-dependent force 被引量:1
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作者 Salim Medjber Hacene Bekkar +1 位作者 Salah Menouar Jeong Ryeol Choi 《Chinese Physics B》 SCIE EI CAS CSCD 2016年第8期15-20,共6页
The relationship between quantum mechanics and classical mechanics is investigated by taking a Gaussian-type wave packet as a solution of the Schr o¨dinger equation for the Caldirola–Kanai oscillator driven by a... The relationship between quantum mechanics and classical mechanics is investigated by taking a Gaussian-type wave packet as a solution of the Schr o¨dinger equation for the Caldirola–Kanai oscillator driven by a sinusoidal force. For this time-dependent system, quantum properties are studied by using the invariant theory of Lewis and Riesenfeld. In particular,we analyze time behaviors of quantum expectation values of position and momentum variables and compare them to those of the counterpart classical ones. Based on this, we check whether the Ehrenfest theorem which was originally developed in static quantum systems can be extended to such time-varying systems without problems. 展开更多
关键词 Ehrenfest theorem time-dependent Hamiltonian system invariant theory
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Applicability of Lung Equivalent Phantom Using the Cork with Absorbed Water in Radiotherapeutic Dosimetry 被引量:1
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作者 Hiraku Fuse Tatsuya Fujisaki +1 位作者 Ryutaro Ikeda Zen Hakani 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2018年第1期27-34,共8页
The radiation dosimetry in medical practice requires special phantom to simulate the organs and tissues of a human body. To achieve the same elemental composition as that of the human lung by weight percent, we constr... The radiation dosimetry in medical practice requires special phantom to simulate the organs and tissues of a human body. To achieve the same elemental composition as that of the human lung by weight percent, we constructed lung equivalent phantom (LEP) using cork with absorbed water in order for it to uniformly absorb the water. Then, we presented the physical properties and dosimetric characteristics of other commercial phantoms and the LEP. We found that the physical properties and dosimetric characteristics of the LEP were approximately the same as those of human lung tissue. LEP constitutes a new dosimetry tool because it can provide the dose distributions and point doses similar to those for the body with respiratory motion of lung. 展开更多
关键词 CORK LUNG EQUIVALENT PHANTOM Respiratory Motion DOSIMETRY
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Diagnostic performance of abbreviated gadoxetic acid-enhanced magnetic resonance protocols with contrast-enhanced computed tomography for detection of colorectal liver metastases 被引量:1
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作者 Kumi Ozaki Shota Ishida +8 位作者 Shohei Higuchi Toyohiko Sakai Ayaki Kitano Kenji Takata Kazuyuki Kinoshita Yuki Matta Takashi Ohtani Hirohiko Kimura Toshifumi Gabata 《World Journal of Radiology》 2022年第10期352-366,共15页
BACKGROUND Although contrast-enhanced magnetic resonance imaging(MRI)using gadoxetic acid has been shown to have higher accuracy,sensitivity,and specificity for the detection and characterization of hepatic metastases... BACKGROUND Although contrast-enhanced magnetic resonance imaging(MRI)using gadoxetic acid has been shown to have higher accuracy,sensitivity,and specificity for the detection and characterization of hepatic metastases compared with other modalities,the long examination time would limit the broad indication.Several abbreviated enhanced MRI(Ab-MRI)protocols without dynamic phases have been proposed to achieve equivalent diagnostic performance for the detection of colorectal liver metastases.However,an optimal protocol has not been established,and no studies have assessed the diagnostic performance of Ab-MRI combined with contrast-enhanced computed tomography(CE-CT),which is the preoperative imaging of colorectal cancer staging in clinical settings,to determine the best therapeutic strategy.AIM To compare the diagnostic performance of two kinds of Ab-MRI protocol with the standard MRI protocol and a combination of the Ab-MRI protocol and CE-CT for the detection of colorectal liver metastases.METHODS Study participants comprised 87 patients(51 males,36 females;mean age,67.2±10.8 years)who had undergone gadoxetic acid-enhanced MRI and CE-CT during the initial work-up for colorectal cancer from 2010 to 2021.Each exam was independently reviewed by two readers in three reading sessions:(1)Only single-shot fast spin echo(FSE)T2-weighted or fat-suppressed-FSE-T2-weighted,diffusion-weighted,and hepatobiliary-phase images(Ab-MRI protocol 1 or 2);(2)all acquired MRI sequences(standard protocol);and(3)a combination of an Ab-MRI protocol(1 or 2)and CE-CT.Diagnostic performance was then statistically analyzed.RESULTS A total of 380 Lesions were analyzed,including 195 metastases(51.4%).Results from the two Ab-MRI protocols were similar.The sensitivity,specificity,and positive and negative predictive values from Ab-MRI were non-inferior to those from standard MRI(P>0.05),while those from the combination of Ab-MRI protocol and CE-CT tended to be higher than those from Ab-MRI alone,although the difference was not significant(P>0.05),and were quite similar to those from standard MRI(P>0.05).CONCLUSION The diagnostic performances of two Ab-MRI protocols were non-inferior to that of the standard protocol.Combining Ab-MRI with CE-CT provided better diagnostic performance than Ab-MRI alone. 展开更多
关键词 Colorectal liver metastases Gadoxetic acid Magnetic resonance imaging Hepatobiliary phase Contrast-enhanced computed tomography Diagnostic performance
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Predicting visual acuity with machine learning in treated ocular trauma patients 被引量:1
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作者 Zhi-Lu Zhou Yi-Fei Yan +8 位作者 Jie-Min Chen Rui-Jue Liu Xiao-Ying Yu Meng Wang Hong-Xia Hao Dong-Mei Liu Qi Zhang Jie Wang Wen-Tao Xia 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第7期1005-1014,共10页
AIM:To predict best-corrected visual acuity(BCVA)by machine learning in patients with ocular trauma who were treated for at least 6mo.METHODS:The internal dataset consisted of 850 patients with 1589 eyes and an averag... AIM:To predict best-corrected visual acuity(BCVA)by machine learning in patients with ocular trauma who were treated for at least 6mo.METHODS:The internal dataset consisted of 850 patients with 1589 eyes and an average age of 44.29y.The initial visual acuity was 0.99 log MAR.The test dataset consisted of 60 patients with 100 eyes collected while the model was optimized.Four different machine-learning algorithms(Extreme Gradient Boosting,support vector regression,Bayesian ridge,and random forest regressor)were used to predict BCVA,and four algorithms(Extreme Gradient Boosting,support vector machine,logistic regression,and random forest classifier)were used to classify BCVA in patients with ocular trauma after treatment for 6mo or longer.Clinical features were obtained from outpatient records,and ocular parameters were extracted from optical coherence tomography images and fundus photographs.These features were put into different machine-learning models,and the obtained predicted values were compared with the actual BCVA values.The best-performing model and the best variable selected were further evaluated in the test dataset.RESULTS:There was a significant correlation between the predicted and actual values[all Pearson correlation coefficient(PCC)>0.6].Considering only the data from the traumatic group(group A)into account,the lowest mean absolute error(MAE)and root mean square error(RMSE)were 0.30 and 0.40 log MAR,respectively.In the traumatic and healthy groups(group B),the lowest MAE and RMSE were 0.20 and 0.33 log MAR,respectively.The sensitivity was always higher than the specificity in group A,in contrast to the results in group B.The classification accuracy and precision were above 0.80 in both groups.The MAE,RMSE,and PCC of the test dataset were 0.20,0.29,and 0.96,respectively.The sensitivity,precision,specificity,and accuracy of the test dataset were 0.83,0.92,0.95,and 0.90,respectively.CONCLUSION:Predicting BCVA using machine-learning models in patients with treated ocular trauma is accurate and helpful in the identification of visual dysfunction. 展开更多
关键词 ocular trauma predicting visiual acuity best-corrected visual acuity visual dysfunction machine learning
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A preliminary study on rectal dose reduction associated with hyaluronic acid implantation in brachytherapy for prostate cancer 被引量:1
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作者 Tairo Kashihara Yuka Urago +11 位作者 Hiroyuki Okamoto Mihiro Takemori Hiroki Nakayama Shohei Mikasa Tetsu Nakaichi Kotaro Iijima Takahito Chiba Junichi Kuwahara Satoshi Nakamura Weishan Chang Yoshiyuki Matsui Hiroshi Igaki 《Asian Journal of Urology》 CSCD 2024年第2期286-293,共8页
Objectives: Hydrogel spacer (HS) was developed to reduce rectal toxicities caused by radiotherapy, but has been reported to cause major adverse events. Our institute has attempted to introduce a hyaluronic acid (HA) a... Objectives: Hydrogel spacer (HS) was developed to reduce rectal toxicities caused by radiotherapy, but has been reported to cause major adverse events. Our institute has attempted to introduce a hyaluronic acid (HA) as an alternative spacer. This study aimed to compare rectal doses and geometric distributions between the HS and HA implantation in prostate cancer.Methods: HS and HA were inserted in 20 and 18 patients undergoing high-dose brachytherapy, respectively. The rectum spacer volumes injected were 10 mL and 22 mL, respectively. In the treatment planning system, 13.5 Gy was administered with common catheter positions. The rectal dose indices were assessed between the spacer groups for dosimetry evaluation. Distances between the prostate and rectum and configurations of the spacers were compared.Results: The mean doses irradiated to 0.1 and 2 mL of the rectum were 10.45 Gy and 6.71 Gy for HS, and 6.73 Gy and 4.90 Gy for HA (p<0.001). The mean minimum distances between the prostate and rectum were 1.23 cm and 1.79 cm for HS and HA, respectively (p<0.05). Geometrical configuration comparisons revealed that HA has a higher ability to expand the space than HS.Conclusion: The rectal dose reduction ability of HA is significantly greater than that of HS, suggesting its potential as a new spacer. 展开更多
关键词 BRACHYTHERAPY Hyaluronicacid HYDROGEL Prostaticneoplasm RADIOTHERAPY
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Challenges and optimization strategies in medical imaging service delivery during COVID-19 被引量:1
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作者 Yi Xiang Tay Suchart Kothan +2 位作者 Sundaran Kada Sihui Cai Christopher Wai Keung Lai 《World Journal of Radiology》 2021年第5期102-121,共20页
In coronavirus disease 2019(COVID-19),medical imaging plays an essential role in the diagnosis,management and disease progression surveillance.Chest radiography and computed tomography are commonly used imaging techni... In coronavirus disease 2019(COVID-19),medical imaging plays an essential role in the diagnosis,management and disease progression surveillance.Chest radiography and computed tomography are commonly used imaging techniques globally during this pandemic.As the pandemic continues to unfold,many healthcare systems worldwide struggle to balance the heavy strain due to overwhelming demand for healthcare resources.Changes are required across the entire healthcare system and medical imaging departments are no exception.The COVID-19 pandemic had a devastating impact on medical imaging practices.It is now time to pay further attention to the profound challenges of COVID-19 on medical imaging services and develop effective strategies to get ahead of the crisis.Additionally,preparation for operations and survival in the post-pandemic future are necessary considerations.This review aims to comprehensively examine the challenges and optimization of delivering medical imaging services in relation to the current COVID-19 global pandemic,including the role of medical imaging during these challenging times and potential future directions post-COVID-19. 展开更多
关键词 COVID-19 Medical imaging service PANDEMIC Optimization strategies Radiology department RADIOGRAPHY
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Synergism of calycosin and bone marrow-derived mesenchymal stem cells to combat podocyte apoptosis to alleviate adriamycininduced focal segmental glomerulosclerosis 被引量:1
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作者 Qiong-Dan Hu Rui-Zhi Tan +4 位作者 Yuan-Xia Zou Jian-Chun Li Jun-Ming Fan Fahsai Kantawong Li Wang 《World Journal of Stem Cells》 SCIE 2023年第6期617-631,共15页
BACKGROUND Bone marrow-derived mesenchymal stem cells(MSCs)show podocyte-protective effects in chronic kidney disease.Calycosin(CA),a phytoestrogen,is isolated from Astragalus membranaceus with a kidney-tonifying effe... BACKGROUND Bone marrow-derived mesenchymal stem cells(MSCs)show podocyte-protective effects in chronic kidney disease.Calycosin(CA),a phytoestrogen,is isolated from Astragalus membranaceus with a kidney-tonifying effect.CA preconditioning enhances the protective effect of MSCs against renal fibrosis in mice with unilateral ureteral occlusion.However,the protective effect and underlying mechanism of CA-pretreated MSCs(MSCsCA)on podocytes in adriamycin(ADR)-induced focal segmental glomerulosclerosis(FSGS)mice remain unclear.AIM To investigate whether CA enhances the role of MSCs in protecting against podocyte injury induced by ADR and the possible mechanism involved.METHODS ADR was used to induce FSGS in mice,and MSCs,CA,or MSCsCA were administered to mice.Their protective effect and possible mechanism of action on podocytes were observed by Western blot,immunohistochemistry,immunofluorescence,and real-time polymerase chain reaction.In vitro,ADR was used to stimulate mouse podocytes(MPC5)to induce injury,and the supernatants from MSC-,CA-,or MSCsCA-treated cells were collected to observe their protective effects on podocytes.Subsequently,the apoptosis of podocytes was detected in vivo and in vitro by Western blot,TUNEL assay,and immunofluorescence.Overexpression of Smad3,which is involved in apoptosis,was then induced to evaluate whether the MSCsCA-mediated podocyte protective effect is associated with Smad3 inhibition in MPC5 cells.RESULTS CA-pretreated MSCs enhanced the protective effect of MSCs against podocyte injury and the ability to inhibit podocyte apoptosis in ADR-induced FSGS mice and MPC5 cells.Expression of p-Smad3 was upregulated in mice with ADR-induced FSGS and MPC5 cells,which was reversed by MSCCA treatment more significantly than by MSCs or CA alone.When Smad3 was overexpressed in MPC5 cells,MSCsCA could not fulfill their potential to inhibit podocyte apoptosis.CONCLUSION MSCsCA enhance the protection of MSCs against ADR-induced podocyte apoptosis.The underlying mechanism may be related to MSCsCA-targeted inhibition of p-Smad3 in podocytes. 展开更多
关键词 CALYCOSIN Mesenchymal stem cells Focal segmental glomerulosclerosis APOPTOSIS SMAD3
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A Method of Using Information Entropy of an Image as an Effective Feature for Com-puter-Aided Diagnostic Applications 被引量:1
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作者 Eri Matsuyama Noriyuki Takahashi +1 位作者 Haruyuki Watanabe Du-Yih Tsai 《Journal of Biomedical Science and Engineering》 2016年第6期315-322,共8页
Computer-aided detection and diagnosis (CAD) systems are increasingly being used as an aid by clinicians for detection and interpretation of diseases. In general, a CAD system employs a classifier to detect or disting... Computer-aided detection and diagnosis (CAD) systems are increasingly being used as an aid by clinicians for detection and interpretation of diseases. In general, a CAD system employs a classifier to detect or distinguish between abnormal and normal tissues on images. In the phase of classification, a set of image features and/or texture features extracted from the images are commonly used. In this article, we investigated the characteristic of the output entropy of an image and demonstrated the usefulness of the output entropy acting as a texture feature in CAD systems. In order to validate the effectiveness and superiority of the output-entropy-based texture feature, two well-known texture features, i.e., mean and standard deviation were used for comparison. The database used in this study comprised 50 CT images obtained from 10 patients with pulmonary nodules, and 50 CT images obtained from 5 normal subjects. We used a support vector machine for classification. A leave-one-out method was employed for training and classification. Three combinations of texture features, i.e., mean and entropy, standard deviation and entropy, and standard deviation and mean were used as the inputs to the classifier. Three different regions of interest (ROI) sizes, i.e., 11 × 11, 9 × 9 and 7 × 7 pixels from the database were selected for computation of the feature values. Our experimental results show that the combination of entropy and standard deviation is significantly better than both the combination of mean and entropy and that of standard deviation and mean in the case of the ROI size of 11 × 11 pixels (p < 0.05). These results suggest that information entropy of an image can be used as an effective feature for CAD applications. 展开更多
关键词 Information Entropy Image and Texture Feature Computer-Aided Diagnosis Support Vector Machine
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Effects of muscle fiber orientation to main magnetic field on muscle metabolite profiles for magnetic resonance spectroscopy acquisition
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作者 Duanghathai Pasanta Tipparat Kongseha Suchart Kothan 《World Journal of Radiology》 CAS 2019年第1期1-9,共9页
BACKGROUND Proton magnetic resonance spectroscopy(~1H MRS) is a technique widely used for investigating metabolites in humans. Lipids are stored outside the muscle cell are called extramyocellular lipids(EMCL), and li... BACKGROUND Proton magnetic resonance spectroscopy(~1H MRS) is a technique widely used for investigating metabolites in humans. Lipids are stored outside the muscle cell are called extramyocellular lipids(EMCL), and lipids stored on the inside of muscle cells are called intramyocellular lipids(IMCL). The relationship between metabolic syndrome and IMCL has been extensively studied.AIM To determine the effects of muscle fiber orientations on muscle metabolites using ~1H MRS.METHODS Chicken muscles were used as the subject in this study. MRS spectra were performed on a 1.5 T Magnetic resonance imaging machine(1.5 Tesla Philips Achieva). A single voxel(8 mm × 8 mm × 20 mm) was placed on the chicken extensor iliotibialis lateralis muscle with the muscle fiber oriented at 0°, 30°, 60°,and 90° to the main magnetic field. ~1H MRS spectra were acquired using a pointresolved spectroscopy, TR = 2000 ms, TE = 30 ms, and NSA = 256. Metabolites of interest from each orientation to the main magnetic field were compared using Wilcoxon signed-rank test. Differences less than 0.05 were considered to be statistically significant with 95%CI.RESULTS The metabolite profiles were different for each orientation of muscle fibers to the main magnetic field. The orientation at 90° was the most different compared to other orientations. The quantity of IMCL and EMCL exhibited statistically significantly changes with impacts at 30°, 60°, and 90° when compared with muscles aligned at 0° to the main magnetic field. Statistical analysis showed statistically significant IMCL(CH_3), EMCL(CH_3), and IMCL(CH_2) at 30°, 60°, and 90°(P = 0.017, 0.018, and 0.018, respectively) and EMCL(CH_2) at 30° and 60°(P =0.017 and 0.042, respectively). EMCL(CH_2) at 90° was unable to be measured in this study. The muscle lipids quantified at 30°, 60°, and 90° tended to be lower when compared to 0°.CONCLUSION Careful positioning is one of the most important factors to consider when studying ~1H MRS metabolites in muscles to ensure reproducibility and uniformity of muscle metabolite spectra. 展开更多
关键词 PROTON MAGNETIC resonance spectroscopy METABOLITE MUSCLE fiber ORIENTATION Intramyocellular LIPIDS Extramyocellular LIPIDS MAGNETIC susceptibility
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Bilayer MSe_(2)(M=Zr,Hf,Mo,W)performance as a hopeful thermoelectric materials
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作者 Mahmood Radhi Jobayr Ebtisam M-T.Salman 《Journal of Semiconductors》 EI CAS CSCD 2023年第3期43-51,共9页
Significant advancements in nanoscale material efficiency optimization have made it feasible to substantially adjust the thermoelectric transport characteristics of materials.Motivated by the prediction and enhanced u... Significant advancements in nanoscale material efficiency optimization have made it feasible to substantially adjust the thermoelectric transport characteristics of materials.Motivated by the prediction and enhanced understanding of the behavi-or of two-dimensional(2D)bilayers(BL)of zirconium diselenide(ZrSe_(2)),hafnium diselenide(HfSe_(2)),molybdenum diselenide(MoSe_(2)),and tungsten diselenide(WSe_(2)),we investigated the thermoelectric transport properties using information generated from experimental measurements to provide inputs to work with the functions of these materials and to determine the critical factor in the trade-off between thermoelectric materials.Based on the Boltzmann transport equation(BTE)and Barden-Shockley deformation potential(DP)theory,we carried out a series of investigative calculations related to the thermoelectric properties and characterization of these materials.The calculated dimensionless figure of merit(ZT)values of 2DBL-MSe_(2)(M=Zr,Hf,Mo,W)at room temperature were 3.007,3.611,1.287,and 1.353,respectively,with convenient electronic densities.In ad-dition,the power factor is not critical in the trade-off between thermoelectric materials but it can indicate a good thermoelec-tric performance.Thus,the overall thermal conductivity and power factor must be considered to determine the preference of thermoelectric materials. 展开更多
关键词 ZT thermoelectric property 2D-bilayer Boltzmann-transport equation TE power factor
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Dose Reduction by the Use of a Wavelet-Based Denoising Method for Digital Radiography
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作者 Haruyuki Watanabe Du-Yih Tsai +1 位作者 Yongbum Lee Eri Matsuyama 《Health》 2015年第2期220-230,共11页
The primary purpose of this paper is to provide a novel wavelet-domain method for digital radiography with low dose examination. Approach of this study is an improved wavelet-transform-based method for potentially red... The primary purpose of this paper is to provide a novel wavelet-domain method for digital radiography with low dose examination. Approach of this study is an improved wavelet-transform-based method for potentially reducing radiation dose while maintaining clinically acceptable image quality. The wavelet algorithm integrates the advantages of wavelet-coefficient-weighted method and the existing Bayes Shrink thresholding method. In order to confirm the usefulness of the proposed method, the resolving and noise characteristics of the processed computed radiography images were measured. In addition, variations of contrast and noise with respect to radiation dose were also examined. Finally, to verify the effect of clinical examination, visual evaluations were also performed in lower abdominal area using phantom. Our quantitative results demonstrated that our wavelet algorithm could improve resolution characteristics while keeping the noise level within acceptable limits. Visual evaluation result demonstrated that the proposed method was superior to other published methods. Our proposed method recognized effect on decreasing in exposure dose in lower abdominal radiographs. As a conclusion, our proposed method’s performance is better when compared with that of the 3 conventional methods. The proposed method has the potential to improve visibility in radiographs when a lower radiation dose is applied. 展开更多
关键词 RADIATION DOSE IMAGE QUALITY IMAGE Processing Noise REDUCTION WAVELET Transforms
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