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[Research progress on the effects of mitochondrial-associated endoplasmic reticulum membranes tethering proteins interaction on cerebral ischemia/reperfusion]. [线粒体相关内质网膜系链蛋白相互作用对脑缺血再灌注影响的研究进展]。
Q3 Medicine Pub Date : 2024-10-25
Meng-Ling Huang, Li-Hong Zhang, Chang-Yu Gu, Jing-Jing Li, Rui-Qing Li, Xiao-Dong Feng, Jing Gao, Jian Guo

Cerebral ischemia/reperfusion injury (CIRI) refers to secondary damage caused by reperfusion of blood flow following ischemic stroke. Its mechanism is complex, involving mitochondrial energy metabolism disorders, Ca2+ overload, oxidative stress, apoptosis, inflammatory responses, excitatory amino acid toxicity, blood-brain barrier disruption, excessive NO synthesis, and cell necrosis etc. Mitochondrial-associated endoplasmic reticulum membranes (MAMs) are specialized regions of the endoplasmic reticulum that play crucial roles in various cellular processes, including regulation of mitochondrial morphology and activity, lipid metabolism, Ca2+ homeostasis, and cell viability. Existing research has confirmed that mitochondrial homeostasis, cell apoptosis, and endoplasmic reticulum stress are closely related to MAMs. This article summarizes the research progress on MAMs in recent years, reviews the biological functions of MAMs and the localization of tethering proteins, analyzes the signaling between mitochondria and the endoplasmic reticulum, explores the impact of MAMs tethering proteins interaction on Ca2+ signaling and cell viability during the pathophysiological process of CIRI, aiming to provide a theoretical basis for the treatment of CIRI.

脑缺血再灌注损伤(CIRI)是指缺血性脑卒中后血流再灌注引起的继发性损伤。其机制复杂,涉及线粒体能量代谢紊乱、Ca2+ 超载、氧化应激、细胞凋亡、炎症反应、兴奋性氨基酸毒性、血脑屏障破坏、NO 过度合成和细胞坏死等。线粒体相关内质网膜(MAMs)是内质网的特殊区域,在各种细胞过程中发挥着至关重要的作用,包括线粒体形态和活性、脂质代谢、钙离子平衡和细胞活力的调节。现有研究证实,线粒体稳态、细胞凋亡和内质网应激与 MAMs 密切相关。本文总结了近年来MAMs的研究进展,综述了MAMs的生物学功能和系链蛋白的定位,分析了线粒体与内质网之间的信号传导,探讨了CIRI病理生理过程中MAMs系链蛋白相互作用对Ca2+信号传导和细胞活力的影响,旨在为CIRI的治疗提供理论依据。
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引用次数: 0
[Functional study of amine oxidase copper-containing 1 (AOC1) in lipid metabolism]. [含铜胺氧化酶 1 (AOC1) 在脂质代谢中的功能研究]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202407066
Siting Xiang, Shenying Liu, Kuangzheng Li, Tongjin Zhao, Xu Wang

Amine oxidase copper-containing 1 (AOC1) is a key member of copper amine oxidase family, which is responsible for deamination oxidation of histamine and putrescine. In recent years, AOC1 has been reported to be associated with various cancers, with its expression levels significantly elevated in certain cancer cells, suggesting its potential role in cancer progression. However, its function in lipid metabolism still remains unclear. Through genetic analysis, we have discovered a potential relationship between AOC1 and lipid metabolism. To further investigate, we generated Aoc1 -/- mice and characterized their metabolic phenotypes on both chow diet and high-fat diet (HFD) feeding conditions. On HFD feeding conditions, Aoc1 -/- mice exhibited significantly higher fat mass and impaired glucose sensitivity, and lipid accumulation in white adipose tissue and liver was also increased. This study uncovers the potential role of AOC1 in lipid metabolism and its implications in metabolic disorders such as obesity and type 2 diabetes, providing new targets and research directions for treating metabolic diseases.

含铜胺氧化酶 1(AOC1)是铜胺氧化酶家族的重要成员,负责组胺和腐胺的脱氨氧化。近年来,有报道称 AOC1 与多种癌症有关,其在某些癌细胞中的表达水平明显升高,表明其在癌症进展中可能发挥作用。然而,它在脂质代谢中的功能仍不清楚。通过基因分析,我们发现了 AOC1 与脂质代谢之间的潜在关系。为了进一步研究,我们产生了 Aoc1 -/- 小鼠,并描述了它们在低脂饮食和高脂饮食(HFD)喂养条件下的代谢表型。在高脂饮食喂养条件下,Aoc1 -/-小鼠的脂肪量显著增加,葡萄糖敏感性受损,白色脂肪组织和肝脏中的脂质积累也增加了。这项研究揭示了AOC1在脂质代谢中的潜在作用及其对肥胖和2型糖尿病等代谢性疾病的影响,为治疗代谢性疾病提供了新的靶点和研究方向。
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引用次数: 0
[Research progress on electronic health records multimodal data fusion based on deep learning]. [基于深度学习的电子健康记录多模态数据融合研究进展]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202310011
Yong Fan, Zhengbo Zhang, Jing Wang

Currently, the development of deep learning-based multimodal learning is advancing rapidly, and is widely used in the field of artificial intelligence-generated content, such as image-text conversion and image-text generation. Electronic health records are digital information such as numbers, charts, and texts generated by medical staff using information systems in the process of medical activities. The multimodal fusion method of electronic health records based on deep learning can assist medical staff in the medical field to comprehensively analyze a large number of medical multimodal data generated in the process of diagnosis and treatment, thereby achieving accurate diagnosis and timely intervention for patients. In this article, we firstly introduce the methods and development trends of deep learning-based multimodal data fusion. Secondly, we summarize and compare the fusion of structured electronic medical records with other medical data such as images and texts, focusing on the clinical application types, sample sizes, and the fusion methods involved in the research. Through the analysis and summary of the literature, the deep learning methods for fusion of different medical modal data are as follows: first, selecting the appropriate pre-trained model according to the data modality for feature representation and post-fusion, and secondly, fusing based on the attention mechanism. Lastly, the difficulties encountered in multimodal medical data fusion and its developmental directions, including modeling methods, evaluation and application of models, are discussed. Through this review article, we expect to provide reference information for the establishment of models that can comprehensively utilize various modal medical data.

目前,基于深度学习的多模态学习发展迅速,并广泛应用于人工智能生成内容领域,如图像-文本转换、图像-文本生成等。电子病历是医务人员在医疗活动过程中利用信息系统生成的数字、图表、文本等数字化信息。基于深度学习的电子健康档案多模态融合方法可以帮助医疗领域的医务人员对诊疗过程中产生的大量医疗多模态数据进行综合分析,从而实现对患者的准确诊断和及时干预。本文首先介绍了基于深度学习的多模态数据融合的方法和发展趋势。其次,我们对结构化电子病历与图像、文本等其他医疗数据的融合进行了总结和比较,重点介绍了研究中涉及的临床应用类型、样本量以及融合方法。通过对文献的分析和总结,不同医疗模态数据融合的深度学习方法主要有以下几种:首先,根据数据模态选择合适的预训练模型进行特征表示和后融合;其次,基于注意力机制进行融合。最后,讨论了多模态医学数据融合中遇到的困难及其发展方向,包括建模方法、模型的评估和应用。我们希望通过这篇综述文章,为建立能综合利用各种模态医疗数据的模型提供参考信息。
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引用次数: 0
[Visual field prediction based on temporal-spatial feature learning]. [基于时空特征学习的视野预测]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202310072
Wo Wang, Xiujuan Zheng, Zhiqing Lyu, Ni Li, Jun Chen

Glaucoma stands as the leading irreversible cause of blindness worldwide. Regular visual field examinations play a crucial role in both diagnosing and treating glaucoma. Predicting future visual field changes can assist clinicians in making timely interventions to manage the progression of this disease. To integrate temporal and spatial features from past visual field examination results and enhance visual field prediction, a convolutional long short-term memory (ConvLSTM) network was employed to construct a predictive model. The predictive performance of the ConvLSTM model was validated and compared with other methods using a dataset of perimetry tests from the Humphrey field analyzer at the University of Washington (UWHVF). Compared to traditional methods, the ConvLSTM model demonstrated higher prediction accuracy. Additionally, the relationship between visual field series length and prediction performance was investigated. In predicting the visual field using the previous three visual field results of past 1.5~6.0 years, it was found that the ConvLSTM model performed better, achieving a mean absolute error of 2.255 dB, a root mean squared error of 3.457 dB, and a coefficient of determination of 0.960. The experimental results show that the proposed method effectively utilizes existing visual field examination results to achieve more accurate visual field prediction for the next 0.5~2.0 years. This approach holds promise in assisting clinicians in diagnosing and treating visual field progression in glaucoma patients.

青光眼是导致全球失明的主要不可逆原因。定期进行视野检查在诊断和治疗青光眼方面起着至关重要的作用。预测未来的视野变化可以帮助临床医生及时采取干预措施,控制疾病的发展。为了整合过去视野检查结果的时间和空间特征并增强视野预测能力,我们采用了卷积长短期记忆(ConvLSTM)网络来构建预测模型。利用华盛顿大学(UWHVF)汉弗莱视野分析仪的视野测试数据集,对 ConvLSTM 模型的预测性能进行了验证,并与其他方法进行了比较。与传统方法相比,ConvLSTM 模型的预测准确率更高。此外,还研究了视野序列长度与预测性能之间的关系。在使用过去 1.5~6.0 年的前三次视野结果预测视野时,发现 ConvLSTM 模型的性能更好,其平均绝对误差为 2.255 dB,均方根误差为 3.457 dB,决定系数为 0.960。实验结果表明,所提出的方法能有效利用现有的视野检查结果,对未来 0.5~2.0 年的视野进行更准确的预测。这种方法有望帮助临床医生诊断和治疗青光眼患者的视野恶化。
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引用次数: 0
[Hemodynamics simulation and analysis of left coronary artery aneurysms with concomitant stenosis]. [伴有狭窄的左冠状动脉动脉瘤的血液动力学模拟和分析]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202310038
Zhengjia Shi, Jianbing Sang, Lifang Sun, Fengtao Li, Yaping Tao, Peng Yang

The hemodynamic parameters in arteries are difficult to measure non-invasively, and the analysis and prediction of hemodynamic parameters based on computational fluid dynamics (CFD) has become one of the important research hotspots in biomechanics. This article establishes 15 idealized left coronary artery bifurcation models with concomitant stenosis and aneurysm lesions, and uses CFD method to numerically simulate them, exploring the effects of left anterior descending branch (LAD) stenosis rate and curvature radius on the hemodynamics inside the aneurysm. This study compared models with different stenosis rates and curvature radii and found that as the stenosis rate increased, the oscillatory shear index (OSI) and relative residence time (RRT) showed a trend of increase; In addition, the decrease in curvature radius led to an increase in the degree of vascular curvature and an increased risk of vascular aneurysm rupture. Among them, when the stenosis rate was less than 60%, the impact of stenosis rate on aneurysm rupture was greater, and when the stenosis rate was greater than 60%, the impact of curvature radius was more significant. Based on the research results of this article, it can be concluded that by comprehensively considering the effects of stenosis rate and curvature radius on hemodynamic parameters, the risk of aneurysm rupture can be analyzed and predicted. This article uses CFD methods to deeply explore the effects of stenosis rate and curvature radius on the hemodynamics of aneurysms, providing new theoretical basis and prediction methods for the assessment of aneurysm rupture risk, which has important academic value and practical guidance significance.

动脉血流动力学参数难以无创测量,基于计算流体力学(CFD)的血流动力学参数分析与预测已成为生物力学的重要研究热点之一。本文建立了15个同时存在狭窄和动脉瘤病变的理想化左冠状动脉分叉模型,并采用CFD方法对其进行数值模拟,探讨左前降支(LAD)狭窄率和曲率半径对动脉瘤内血流动力学的影响。该研究比较了不同狭窄率和曲率半径的模型,发现随着狭窄率的增加,振荡剪切指数(OSI)和相对停留时间(RRT)呈上升趋势;此外,曲率半径的减小导致血管弯曲程度增加,血管瘤破裂风险增加。其中,当血管狭窄率小于60%时,血管狭窄率对动脉瘤破裂的影响较大,当血管狭窄率大于60%时,曲率半径的影响更为显著。根据本文的研究结果,可以得出结论:综合考虑狭窄率和曲率半径对血流动力学参数的影响,可以分析和预测动脉瘤破裂的风险。本文利用CFD方法深入探讨了狭窄率和曲率半径对动脉瘤血流动力学的影响,为动脉瘤破裂风险评估提供了新的理论依据和预测方法,具有重要的学术价值和现实指导意义。
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引用次数: 0
[The prognostic significance and therapeutic prospects of bilirubin in tumors]. [肿瘤中胆红素的预后意义和治疗前景]。
Q3 Medicine Pub Date : 2024-10-25
Wen Fu, Xin Chen, Wen-Wen Xu, Jin-Bao Liu

Tumors pose a significant global health concern and have long been a challenging issue in the medical field. Given its treatment dilemma, it is urgent to explore novel prevention and treatment strategies. Bilirubin, as a natural endogenous antioxidant, has the ability to inhibit the production of free radicals in the body, thereby alleviating the damage caused by oxidative stress to the organism. In recent years, the therapeutic effects of bilirubin in diseases mediated by oxidative stress and metabolic disorders have gradually gained widespread attention, demonstrating its potential therapeutic value for a variety of diseases. With further research, significant progress has also been made in the study of bilirubin in the field of oncology, suggesting its potential important role in the occurrence, development, and treatment of tumors. This article aims to review and summarize the recent advances in the study of bilirubin in the field of oncology, in order to provide new insights and guidance for the future directions of tumor diagnosis, prevention, and treatment.

肿瘤是全球关注的重大健康问题,长期以来一直是医学领域的难题。鉴于其治疗困境,探索新型预防和治疗策略迫在眉睫。胆红素作为一种天然的内源性抗氧化剂,能够抑制体内自由基的产生,从而减轻氧化应激对机体造成的损害。近年来,胆红素对氧化应激介导的疾病和代谢紊乱的治疗作用逐渐受到广泛关注,显示出其对多种疾病的潜在治疗价值。随着研究的深入,胆红素在肿瘤学领域的研究也取得了重大进展,表明胆红素在肿瘤的发生、发展和治疗中可能发挥重要作用。本文旨在回顾和总结近年来胆红素在肿瘤学领域的研究进展,以期为肿瘤诊断、预防和治疗的未来方向提供新的见解和指导。
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引用次数: 0
[Resistance exercise regulates hippocampal microglia polarization through TREM2/NF-κB/STAT3 signal pathway to improve cognitive dysfunction in T2DM mice]. [阻力运动通过TREM2/NF-κB/STAT3信号通路调节海马小胶质细胞极化,改善T2DM小鼠的认知功能障碍】。]
Q3 Medicine Pub Date : 2024-10-25
Bao-Wen Zhang, Ying Li, Xian-Juan Kou

The study aimed to explore the effect and mechanism of resistance exercise (RE) on cognitive dysfunction in type 2 diabetes mellitus (T2DM) mice. Six 8-week-old male m/m mice were used as control (Con) group, and db/db mice of the matched age were randomly divided into model control (db/db) group and db+RE group, with 6 mice in each group. The db+RE group was given 8 weeks of resistance climbing ladder exercise intervention. The fasting blood glucose and body weight of the mice were measured weekly. After the intervention, the spatial learning and memory of the mice were detected by Morris water maze, and the neuronal damage in the hippocampus of the mice was detected by Nissl staining. The protein expression levels of PSD93, PSD95, BDNF, CREB, p-CREB, IL-6, IL-1β, TNF-α, Iba-1, iNOS, CD206, Arg1, triggering receptor expressed on myeloid cells 2 (TREM2), NF-κB, p-STAT3, and STAT3 were detected by Western blot. The mRNA expression levels of inflammatory factors and TREM2 in hippocampus were evaluated by qRT-PCR, and the expression and localization of Iba-1, CD206, CD86, and TREM2 were determined by immunofluorescence staining. The results showed that the spatial learning and memory of the db/db group were significantly declined, the neurons in the hippocampus were damaged, the protein levels of PSD93, PSD95, BDNF, CD206, Arg1, TREM2 and the ratio of p-CREB/CREB were significantly down-regulated, the mRNA and protein expression levels of IL-6, IL-1β and TNF-α were significantly up-regulated, and the protein levels of iNOS, Iba-1, NF-κB and the ratio of p-STAT3/STAT3 were significantly increased compared with the Con group. However, the 8-week RE improved the spatial learning and memory of db/db mice, alleviated the damage of hippocampal neurons, promoted the polarization of M2 microglia, and inhibited the neuroinflammation. The above results suggest that RE can improve cognitive dysfunction in T2DM mice, and its mechanism may be related to regulating microglia polarization via TREM2/NF-κB/STAT3 signaling pathway.

该研究旨在探讨阻力运动(RE)对2型糖尿病(T2DM)小鼠认知功能障碍的影响和机制。以6只8周龄雄性m/m小鼠为对照组,将年龄匹配的db/db小鼠随机分为模型对照(db/db)组和db+RE组,每组6只。db+RE 组进行为期 8 周的阻力爬梯运动干预。每周测量小鼠的空腹血糖和体重。干预后,通过 Morris 水迷宫检测小鼠的空间学习和记忆能力,并通过 Nissl 染色检测小鼠海马神经元的损伤情况。通过Western印迹检测了PSD93、PSD95、BDNF、CREB、p-CREB、IL-6、IL-1β、TNF-α、Iba-1、iNOS、CD206、Arg1、髓样细胞上表达的触发受体2(TREM2)、NF-κB、p-STAT3和STAT3的蛋白表达水平。qRT-PCR 评估了海马中炎性因子和 TREM2 的 mRNA 表达水平,免疫荧光染色测定了 Iba-1、CD206、CD86 和 TREM2 的表达和定位。结果显示,db/db组的空间学习和记忆能力明显下降,海马神经元受损,PSD93、PSD95、BDNF、CD206、Arg1、TREM2的蛋白水平和p-CREB/CREB的比值明显下调、与 Con 组相比,IL-6、IL-1β 和 TNF-α 的 mRNA 和蛋白表达水平明显上调,iNOS、Iba-1、NF-κB 蛋白水平和 p-STAT3/STAT3 比值明显升高。然而,8 周 RE 可改善 db/db 小鼠的空间学习和记忆能力,减轻海马神经元的损伤,促进 M2 小胶质细胞的极化,抑制神经炎症。上述结果表明,RE能改善T2DM小鼠的认知功能障碍,其机制可能与通过TREM2/NF-κB/STAT3信号通路调节小胶质细胞极化有关。
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引用次数: 0
[Neural mechanisms of fear responses to emotional stimuli: a preliminary study combining early posterior negativity and electroencephalogram source network analysis]. [对情绪刺激的恐惧反应的神经机制:结合早期后负性和脑电图源网络分析的初步研究]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202403052
Qian Zang, Xiaoming Zhao, Tie Liang, Xiuling Liu, Cunguang Lou

Fear emotion is a typical negative emotion that is commonly present in daily life and significantly influences human behavior. A deeper understanding of the mechanisms underlying negative emotions contributes to the improvement of diagnosing and treating disorders related to negative emotions. However, the neural mechanisms of the brain when faced with fearful emotional stimuli remain unclear. To this end, this study further combined electroencephalogram (EEG) source analysis and cortical brain network construction based on early posterior negativity (EPN) analysis to explore the differences in brain information processing mechanisms under fearful and neutral emotional picture stimuli from a spatiotemporal perspective. The results revealed that neutral emotional stimuli could elicit higher EPN amplitudes compared to fearful stimuli. Further source analysis of EEG data containing EPN components revealed significant differences in brain cortical activation areas between fearful and neutral emotional stimuli. Subsequently, more functional connections were observed in the brain network in the alpha frequency band for fearful emotions compared to neutral emotions. By quantifying brain network properties, we found that the average node degree and average clustering coefficient under fearful emotional stimuli were significantly larger compared to neutral emotions. These results indicate that combining EPN analysis with EEG source component and brain network analysis helps to explore brain functional modulation in the processing of fearful emotions with higher spatiotemporal resolution, providing a new perspective on the neural mechanisms of negative emotions.

恐惧情绪是一种典型的负面情绪,它普遍存在于日常生活中,并对人类行为产生重大影响。深入了解负面情绪的内在机制有助于改善与负面情绪相关疾病的诊断和治疗。然而,面对恐惧情绪刺激时大脑的神经机制仍不清楚。为此,本研究进一步结合脑电图(EEG)信号源分析和基于早期后负性(EPN)分析的皮层脑网络构建,从时空角度探讨了恐惧情绪和中性情绪图片刺激下大脑信息处理机制的差异。结果发现,与恐惧刺激相比,中性情绪刺激能引起更高的 EPN 振幅。对包含 EPN 成分的脑电图数据进行进一步源分析后发现,恐惧和中性情绪刺激在大脑皮层激活区域上存在显著差异。随后,与中性情绪相比,在恐惧情绪的α频段大脑网络中观察到了更多的功能连接。通过量化脑网络特性,我们发现恐惧情绪刺激下的平均节点度和平均聚类系数明显大于中性情绪。这些结果表明,将 EPN 分析与脑电图源成分和脑网络分析相结合,有助于以更高的时空分辨率探索恐惧情绪处理过程中的脑功能调制,为研究负性情绪的神经机制提供了新的视角。
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引用次数: 0
[Numerical study on structural design and mechanical analysis of anti-migration tracheal stent with non-uniform Poisson's ratio]. [非均匀泊松比防移位气管支架的结构设计和力学分析数值研究]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202402014
Keyi Tao, Hao Sun, Zhao Liu, Tianming Du, Yanping Zhang, Yuan Cheng, Junfang Huang, Aike Qiao

Stent migration is one of the common complications after tracheal stent implantation. The causes of stent migration include size mismatch between the stent and the trachea, physiological movement of the trachea, and so on. In order to solve the above problems, this study designed a non-uniform Poisson ratio tracheal stent by combining the size and structure of the trachea and the physiological movement of the trachea to improve the migration of the stent, meanwhile ensuring the support of the stent. In this study, the stent corresponding to cartilage was constructed with negative Poisson's ratio, and the stent corresponding to the circular connective tissue and muscular membrane was constructed with positive Poisson's ratio. And four kinds of non-uniform Poisson's ratio tracheal stents with different link lengths and negative Poisson's ratio were designed. Then, this paper numerically simulated the expansion and rebound process of the stent after implantation to observe the support of the stent, and further simulated the stretch movement of the trachea to calculate the diameter changes of the stent corresponding to different negative Poisson's ratio structures. The axial migration of the stent was recorded by applying different respiratory pressure to the wall of the tracheal wall to evaluate whether the stent has anti-migration effect. The research results show that the non-uniform Poisson ratio stent with connecting rod length of 3 mm has the largest diameter expansion in the negative Poisson ratio section when the trachea was stretched. Compared with the positive Poisson's ratio structure, the axial migration during vigorous breathing was reduced from 0.024 mm to 0.012 mm. The negative Poisson's ratio structure of the non-uniform Poisson's ratio stent designed in this study did not fail in the tracheal expansion effect. Compared with the traditional stent, the non-uniform Poisson's ratio tracheal stent has an anti-migration effect under the normal movement of the trachea while ensuring the support force of the stent.

支架移位是气管支架植入术后常见的并发症之一。支架移位的原因包括支架与气管的尺寸不匹配、气管的生理运动等。为了解决上述问题,本研究结合气管的大小、结构以及气管的生理运动,设计了一种非均匀泊松比气管支架,以改善支架的移位情况,同时保证支架的支撑力。本研究中,与软骨相对应的支架采用负泊松比构造,与环状结缔组织和肌肉膜相对应的支架采用正泊松比构造。此外,还设计了四种不同链接长度和负泊松比的非均匀泊松比气管支架。然后,本文通过数值模拟支架植入后的膨胀和回弹过程,观察支架的支撑情况,并进一步模拟气管的伸展运动,计算不同负泊松比结构对应的支架直径变化。通过对气管壁施加不同的呼吸压力,记录支架的轴向移位情况,以评估支架是否具有抗移位作用。研究结果表明,当气管被拉伸时,连杆长度为 3 毫米的非均匀泊松比支架在负泊松比部分的直径膨胀最大。与正泊松比结构相比,剧烈呼吸时的轴向位移从 0.024 毫米减少到 0.012 毫米。本研究设计的非均匀泊松比支架的负泊松比结构在气管扩张效应中没有失效。与传统支架相比,非均匀泊松比气管支架在保证支架支撑力的同时,在气管正常运动时具有抗移位作用。
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引用次数: 0
[Research and implementation of intelligent diagnostic system for temporomandibular joint disorder]. [颞下颌关节紊乱智能诊断系统的研究与实施]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202402002
Minghao Zhang, Dong Yang, Xiaonan Li, Qian Zhang, Zhiyang Liu

Temporomandibular joint disorder (TMD) is a common oral and maxillofacial disease, which is difficult to detect due to its subtle early symptoms. In this study, a TMD intelligent diagnostic system implemented on edge computing devices was proposed, which can achieve rapid detection of TMD in clinical diagnosis and facilitate its early-stage clinical intervention. The proposed system first automatically segments the important components of the temporomandibular joint, followed by quantitative measurement of the joint gap area, and finally predicts the existence of TMD according to the measurements. In terms of segmentation, this study employs semi-supervised learning to achieve the accurate segmentation of temporomandibular joint, with an average Dice coefficient (DC) of 0.846. A 3D region extraction algorithm for the temporomandibular joint gap area is also developed, based on which an automatic TMD diagnosis model is proposed, with an accuracy of 83.87%. In summary, the intelligent TMD diagnosis system developed in this paper can be deployed at edge computing devices within a local area network, which is able to achieve rapid detecting and intelligent diagnosis of TMD with privacy guarantee.

颞下颌关节紊乱(TMD)是一种常见的口腔颌面部疾病,由于其早期症状不明显,很难被发现。本研究提出了一种在边缘计算设备上实现的 TMD 智能诊断系统,可在临床诊断中实现对 TMD 的快速检测,并促进其早期临床干预。该系统首先自动分割颞下颌关节的重要组成部分,然后定量测量关节间隙面积,最后根据测量结果预测是否存在 TMD。在分割方面,本研究采用半监督学习法实现了对颞下颌关节的精确分割,平均骰子系数(Dice coefficient,DC)为 0.846。同时还开发了颞下颌关节间隙区域的三维区域提取算法,并在此基础上提出了 TMD 自动诊断模型,准确率达到 83.87%。综上所述,本文开发的 TMD 智能诊断系统可部署在局域网内的边缘计算设备上,在保证隐私的前提下实现 TMD 的快速检测和智能诊断。
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