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[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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引用次数: 0
[High stability enhanced ultrasonic microfluidic structure with flexible tip coupled bubbles]. [具有柔性尖端耦合气泡的高稳定性增强型超声微流体结构]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202401076
Yue Liu, Yuying Zhou, Wenchang Zhang, Shaohua Chen, Shengfa Liang

Ultrasonic microfluidic technology is a technique that couples high-frequency ultrasonic excitation to microfluidic chips. To improve the issues of poor disturbance effects with flexible tip structures and the susceptibility of bubbles to thermal deformation, we propose an enhanced ultrasonic microchannel structure that couples flexible tips with bubbles aiming to improve the disturbance effects and the stability duration. Firstly, we used finite element analysis to simulate the flow field distribution characteristics of the flexible tip, the bubble, and the coupling structure and obtained the steady-state distribution characteristics of the velocity field. Next, we fabricated ultrasonic microfluidic chips based on these three structures, employing 2.8 μm polystyrene microspheres as tracers to analyze the disturbance characteristics of the flow field. Additionally, we analyzed the bubble size and growth rate within the adhering bubbles and coupling structures. Finally, we verified the applicability of the coupling structure for biological samples using human red blood cells (RBCs). Experimental results indicated that, compared to the flexible tip and adhering bubble structures, the flow field disturbance range of the coupling structure increased by 439.53% and 133.48%, respectively; the bubble growth rate reduced from 14.4% to 3.3%. The enhanced ultrasonic microfluidic structure proposed in this study shows great potential for widespread applications in micro-scale flow field disturbance and particle manipulation.

超声波微流控技术是一种将高频超声波激励耦合到微流控芯片的技术。为了改善柔性尖端结构干扰效果差和气泡易受热变形影响的问题,我们提出了一种柔性尖端与气泡耦合的增强型超声微通道结构,旨在改善干扰效果和稳定持续时间。首先,我们利用有限元分析模拟了柔性尖端、气泡和耦合结构的流场分布特征,并获得了速度场的稳态分布特征。接着,我们在这三种结构的基础上制作了超声微流控芯片,采用 2.8 μm 聚苯乙烯微球作为示踪剂,分析了流场的扰动特性。此外,我们还分析了附着气泡和耦合结构内的气泡大小和生长速度。最后,我们利用人体红细胞(RBC)验证了耦合结构对生物样本的适用性。实验结果表明,与柔性尖端和粘附气泡结构相比,耦合结构的流场扰动范围分别增加了 439.53% 和 133.48%;气泡增长率从 14.4% 降至 3.3%。本研究提出的增强型超声微流体结构在微尺度流场扰动和粒子操纵方面具有巨大的广泛应用潜力。
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引用次数: 0
[Sensory neural innervation of adipose tissue in metabolic disorders]. [代谢紊乱中脂肪组织的感觉神经支配]。
Q3 Medicine Pub Date : 2024-10-25
Yi-Fan Guo, Pei-Ji Chen, Wei-Hua Xiao

The regulation of adipose tissue homeostasis is essential for maintaining energy and metabolism balance in the body. The peripheral nervous system plays a crucial role in this process. Previous related research primarily focused on the sympathetic nervous system and its release of norepinephrine, while recent attention has shifted to the field of adipose sensory nerves. Studies demonstrate that external stimuli can activate adipose sensory nerves through pathways involving transient receptor potential vanilloid-1 (TRPV1), adipokines, and fatty acids, thereby transmitting signals to the brain. Emerging techniques, such as adipose nerve imaging and denervation of tissues, have revealed the critical role of sensory nerves in the glucose and lipid metabolism, thermogenic function, and vascular regulation of adipose tissue. This article comprehensively reviews the latest research on the regulation and function of sensory nerves in adipose tissue, with a focus on the impact of metabolic diseases on adipose sensory nerves. This review discusses current issues and prospects on the mechanisms behind neural regulation in adipose tissue, hoping to contribute to a comprehensive understanding and providing directions for future research.

脂肪组织平衡的调节对于维持体内能量和新陈代谢平衡至关重要。周围神经系统在这一过程中发挥着至关重要的作用。以往的相关研究主要集中于交感神经系统及其释放的去甲肾上腺素,而最近的注意力则转移到了脂肪感觉神经领域。研究表明,外部刺激可通过涉及瞬时受体电位香草素-1(TRPV1)、脂肪因子和脂肪酸的途径激活脂肪感觉神经,从而将信号传递到大脑。脂肪神经成像和组织去神经化等新兴技术揭示了感觉神经在脂肪组织的糖脂代谢、生热功能和血管调节中的关键作用。本文全面回顾了有关脂肪组织感觉神经调控和功能的最新研究,重点关注代谢性疾病对脂肪组织感觉神经的影响。这篇综述讨论了脂肪组织神经调控背后机制的当前问题和前景,希望有助于全面了解脂肪组织神经调控背后的机制,并为今后的研究提供方向。
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引用次数: 0
[Research progress of human induced pluripotent stem cells in the establishment and application of dilated cardiomyopathy disease model]. [人类诱导多能干细胞在扩张型心肌病疾病模型建立和应用中的研究进展]。
Q3 Medicine Pub Date : 2024-10-25
Man-Ting Xie, Bing-Bing Xie, Qiu-Ling Xiang

Dilated cardiomyopathy (DCM) is a non-ischemic cardiomyopathy with abnormal myocardial structure and function. It is challenging to construct human primary cardiac myocytes from DCM patients due to ethical constraints. In addition, animal models failed to adequately replicate the complexity of the human disease. The mechanism of DCM remains unclear. The emergence of human induced pluripotent stem cells (hiPSCs) provides a new tool for basic research in DCM. Researchers have produced hiPSCs-derived cardiomyocytes (hiPSC-CMs) and applied them to drug screening, leading to new insight into the pathomechanism and treatment in DCM. This review summarizes the research progress in the establishment, drug screening and mechanism research of DCM patient-specific hiPSC-CMs (DCM-hiPSC-CMs) model.

扩张型心肌病(DCM)是一种心肌结构和功能异常的非缺血性心肌病。由于伦理方面的限制,从 DCM 患者身上构建人类原代心肌细胞具有挑战性。此外,动物模型也无法充分复制人类疾病的复杂性。DCM 的发病机制仍不清楚。人类诱导多能干细胞(hiPSCs)的出现为 DCM 的基础研究提供了新的工具。研究人员制备了源于 hiPSCs 的心肌细胞(hiPSC-CMs),并将其应用于药物筛选,从而对 DCM 的病理机制和治疗方法有了新的认识。本综述总结了 DCM 患者特异性 hiPSC-CMs (DCM-hiPSC-CMs)模型的建立、药物筛选和机制研究进展。
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引用次数: 0
A novel positive modulator of GABAA receptor exhibiting antidepressive properties. 一种新型 GABAA 受体正向调节剂,具有抗抑郁特性。
Q3 Medicine Pub Date : 2024-10-25
Yin-Li Zheng, Fu-Yi Shen, Yang Wang, Jing-Pei Pan, Xian Wang, Tian-Yu Li, Wei-Jia Du, Zhi-Qiang Liu, Yang Li, Fei Guo

γ-Aminobutyric acid (GABA) neurotransmission alterations have been implicated to play a role in depression pathogenesis. While GABAA receptor positive allosteric modulators are emerging as promising in clinical practice, their precise antidepressant mechanism remains to be further elucidated. The aim of the present study was to investigate the effects of LY-02, a novel compound derived from the metabolite of timosaponin, on depression in animals and its mechanism. The results of behavioral tests showed that LY-02 exhibited better antidepressant effects in both male C57BL/6 mice and Sprague Dawley (SD) rats. The results of cellular voltage clamp experiments showed that LY-02 enhanced GABA-mediated currents in HEK293T cells expressing recombinant α6β3δ subunit-containing GABAA receptors. Electrophysiological recording from brain slices showed that LY-02 decreased the amplitude of spontaneous inhibitory postsynaptic current (sIPSC) and increased action potentials of pyramidal neurons in the medial prefrontal cortex (mPFC) of C57BL/6 mice. Western blot results showed that LY-02 dose-dependently up-regulated the protein expression levels of brain-derived neurotrophic factor (BDNF), tropomyosin related kinase B (TrkB) and postsynaptic density protein 95 (PSD-95) in mPFC of mice. The above results suggest that LY-02, as a positive modulator of GABAA receptors, reduces inhibitory neurotransmission in pyramidal neurons. It further activates the BDNF/TrkB signaling pathway, thus exerting antidepressant effects. It suggests that LY-02 is a potential novel therapeutic agent for depression treatment.

γ-氨基丁酸(GABA)神经递质的改变被认为是抑郁症发病机制中的一个环节。虽然 GABAA 受体正异位调节剂在临床实践中大有可为,但其确切的抗抑郁机制仍有待进一步阐明。本研究的目的是探讨LY-02(一种从替莫皂甙代谢产物中提取的新型化合物)对动物抑郁症的影响及其机制。行为测试结果表明,LY-02对雄性C57BL/6小鼠和Sprague Dawley(SD)大鼠均有较好的抗抑郁作用。细胞电压钳实验结果表明,LY-02能增强表达重组α6β3δ亚基GABAA受体的HEK293T细胞中GABA介导的电流。脑片的电生理记录显示,LY-02能降低C57BL/6小鼠内侧前额叶皮层(mPFC)锥体神经元的自发抑制性突触后电流(sIPSC)的振幅并增加其动作电位。Western印迹结果显示,LY-02剂量依赖性地上调了小鼠mPFC中脑源性神经营养因子(BDNF)、肌球蛋白相关激酶B(TrkB)和突触后密度蛋白95(PSD-95)的蛋白表达水平。上述结果表明,LY-02 作为 GABAA 受体的正向调节剂,可减少锥体神经元的抑制性神经传递。它还能进一步激活 BDNF/TrkB 信号通路,从而发挥抗抑郁作用。这表明 LY-02 是一种潜在的新型抑郁症治疗药物。
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引用次数: 0
[Advances in nanostructured surfaces for enhanced mechano-bactericidal applications]. [纳米结构表面在增强机械杀菌应用方面的进展]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202407099
Shixiong Chen, Ying Liang, Xiaobao Tian, Kai Wang

The issue of bacterial drug resistance has remained unresolved, and in recent years, biomimetic nanostructured surfaces inspired by nature have garnered significant attention due to their bactericidal properties demonstrated through mechanical mechanisms. This article reviewed the main research progress in the field of nanostructured mechanical bactericidal surfaces, including various preparation methods for nanostructured surfaces with mechanical bactericidal properties, as well as the basic mechanisms and related physical models of the interaction between bacteria and nanostructured surfaces. In addition, the application of nanostructured surfaces in biomedicine was introduced. Finally, the article proposed the major challenges faced by mechanical bactericidal research and the future development direction.

细菌耐药性问题一直悬而未决,近年来,受大自然启发的仿生物纳米结构表面因其通过机械机制表现出的杀菌特性而备受关注。本文综述了纳米结构机械杀菌表面领域的主要研究进展,包括具有机械杀菌性能的纳米结构表面的各种制备方法,以及细菌与纳米结构表面相互作用的基本机理和相关物理模型。此外,还介绍了纳米结构表面在生物医学中的应用。最后,文章提出了机械杀菌研究面临的主要挑战和未来的发展方向。
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引用次数: 0
[Advances in the diagnosis of prostate cancer based on image fusion]. [基于图像融合的前列腺癌诊断进展]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202403054
Wenbin Luo, Pei Wang, Yiwei Zhang, Gengqiang Shi

Image fusion currently plays an important role in the diagnosis of prostate cancer (PCa). Selecting and developing a good image fusion algorithm is the core task of achieving image fusion, which determines whether the fusion image obtained is of good quality and can meet the actual needs of clinical application. In recent years, it has become one of the research hotspots of medical image fusion. In order to make a comprehensive study on the methods of medical image fusion, this paper reviewed the relevant literature published at home and abroad in recent years. Image fusion technologies were classified, and image fusion algorithms were divided into traditional fusion algorithms and deep learning (DL) fusion algorithms. The principles and workflow of some algorithms were analyzed and compared, their advantages and disadvantages were summarized, and relevant medical image data sets were introduced. Finally, the future development trend of medical image fusion algorithm was prospected, and the development direction of medical image fusion technology for the diagnosis of prostate cancer and other major diseases was pointed out.

目前,图像融合在前列腺癌(PCa)诊断中发挥着重要作用。选择和开发一种好的图像融合算法是实现图像融合的核心任务,它决定了融合得到的图像质量是否良好,能否满足临床应用的实际需要。近年来,它已成为医学图像融合的研究热点之一。为了全面研究医学图像融合的方法,本文综述了近年来国内外发表的相关文献。对图像融合技术进行了分类,将图像融合算法分为传统融合算法和深度学习(DL)融合算法。分析比较了部分算法的原理和工作流程,总结了其优缺点,并介绍了相关的医学图像数据集。最后,展望了医学图像融合算法的未来发展趋势,指出了医学图像融合技术在前列腺癌等重大疾病诊断中的发展方向。
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引用次数: 0
[Analysis of nerve excitability in the dentate gyrus of the hippocampus in cerebral ischaemia-reperfusion mice]. [脑缺血再灌注小鼠海马齿状回神经兴奋性分析]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202311055
Yucan Zhu, Hongli Yu, Xiuzhi Zhao, Chunfang Wang

Ischemic stroke often leads to cognitive dysfunction, which delays the recovery process of patients. However, its pathogenesis is not yet clear. In this study, the cerebral ischemia-reperfusion model was built as the experimental object, and the hippocampal dentate gyrus (DG) was the target brain area. TTC staining was used to evaluate the degree of cerebral infarction, and nerve cell membrane potentials and local field potentials (LFPs) signals were collected to explore the mechanism of cognitive impairment in ischemia-reperfusion mice. The results showed that the infarcted area on the right side of the brain of the mice in the model group was white. The resting membrane potential, the number of action potential discharges, the post-hyperpolarization potential and the maximum ascending slope of the hippocampal DG nerve cells in the model mice were significantly lower than those in the control group ( P < 0.01); the peak time, half-wave width, threshold and maximum descending slope of the action potential were significantly higher than those in the control group ( P < 0.01). The time-frequency energy values of LFPs signals in the θ and γ bands of mice in the ischemia and reperfusion groups were significantly reduced ( P < 0.01), and the time-frequency energy values in the reperfusion group were increased compared with the ischemia group ( P < 0.01). The signal complexity of LFPs in the ischemia and reperfusion group was significantly reduced ( P < 0.05), and the signal complexity in the reperfusion group was increased compared with the ischemia group ( P < 0.05). In summary, cerebral ischemia-reperfusion reduced the excitability of nerve cells in the DG area of the mouse hippocampus; cerebral ischemia reduced the discharge activity and signal complexity of nerve cells, and the electrophysiological indicators recovered after reperfusion, but it failed to reach the healthy state during the experiment period.

缺血性脑卒中通常会导致认知功能障碍,从而延缓患者的康复进程。然而,其发病机制尚不明确。本研究以脑缺血再灌注模型为实验对象,以海马齿状回(DG)为目标脑区。通过TTC染色评估脑梗死程度,收集神经细胞膜电位和局部场电位(LFPs)信号,探讨缺血再灌注小鼠认知功能障碍的机制。结果显示,模型组小鼠右侧脑梗死区呈白色。模型组小鼠海马DG神经细胞的静息膜电位、动作电位放电次数、超极化后电位和最大上升斜率显著低于对照组(P<0.01);动作电位的峰值时间、半波宽度、阈值和最大下降斜率显著高于对照组(P<0.01)。缺血组和再灌注组小鼠LFPs信号θ和γ波段的时频能量值明显降低(P<0.01),再灌注组的时频能量值较缺血组升高(P<0.01)。缺血组和再灌注组的LFP信号复杂度明显降低(P<0.05),再灌注组的信号复杂度比缺血组增加(P<0.05)。综上所述,脑缺血再灌注降低了小鼠海马DG区神经细胞的兴奋性;脑缺血降低了神经细胞的放电活性和信号复杂性,再灌注后电生理指标有所恢复,但在实验期间未能达到健康状态。
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引用次数: 0
[Construction of a prediction model for induction of labor based on a small sample of clinical indicator data]. [基于小样本临床指标数据构建引产预测模型]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202403033
Yali Qin, Liping Yao, Ling Yuan, Sheng Chen

Because of the diversity and complexity of clinical indicators, it is difficult to establish a comprehensive and reliable prediction model for induction of labor (IOL) outcomes with existing methods. This study aims to analyze the clinical indicators related to IOL and to develop and evaluate a prediction model based on a small-sample of data. The study population consisted of a total of 90 pregnant women who underwent IOL between February 2023 and January 2024 at the Shanghai First Maternity and Infant Healthcare Hospital, and a total of 52 clinical indicators were recorded. Maximal information coefficient (MIC) was used to select features for clinical indicators to reduce the risk of overfitting caused by high-dimensional features. Then, based on the features selected by MIC, the support vector machine (SVM) model based on small samples was compared and analyzed with the fully connected neural network (FCNN) model based on large samples in deep learning, and the receiver operating characteristic (ROC) curve was given. By calculating the MIC score, the final feature dimension was reduced from 55 to 15, and the area under curve (AUC) of the SVM model was improved from 0.872 before feature selection to 0.923. Model comparison results showed that SVM had better prediction performance than FCNN. This study demonstrates that SVM successfully predicted IOL outcomes, and the MIC feature selection effectively improves the model's generalization ability, making the prediction results more stable. This study provides a reliable method for predicting the outcome of induced labor with potential clinical applications.

由于临床指标的多样性和复杂性,现有方法很难建立一个全面可靠的引产(IOL)结果预测模型。本研究旨在分析与引产相关的临床指标,并基于小样本数据建立和评估预测模型。研究对象包括2023年2月至2024年1月期间在上海市第一妇婴保健院接受IOL的90名孕妇,共记录了52项临床指标。在选择临床指标特征时,采用了最大信息系数(MIC),以降低高维特征带来的过拟合风险。然后,根据 MIC 选择的特征,将基于小样本的支持向量机(SVM)模型与深度学习中基于大样本的全连接神经网络(FCNN)模型进行对比分析,并给出接收者操作特征曲线(ROC)。通过计算 MIC 分数,最终特征维度从 55 个减少到 15 个,SVM 模型的曲线下面积(AUC)从特征选择前的 0.872 提高到 0.923。模型比较结果表明,SVM 的预测性能优于 FCNN。本研究表明,SVM 能成功预测人工晶体植入术的结果,而 MIC 特征选择能有效提高模型的泛化能力,使预测结果更加稳定。本研究为预测引产结果提供了一种可靠的方法,具有潜在的临床应用价值。
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引用次数: 0
[Heart sound classification algorithm based on bispectral feature extraction and convolutional neural networks]. [基于双谱特征提取和卷积神经网络的心音分类算法]。
Q4 Medicine Pub Date : 2024-10-25 DOI: 10.7507/1001-5515.202310016
Liyong Peng, Haiyan Quan

Cardiovascular disease (CVD) is one of the leading causes of death worldwide. Heart sound classification plays a key role in the early detection of CVD. The difference between normal and abnormal heart sounds is not obvious. In this paper, in order to improve the accuracy of the heart sound classification model, we propose a heart sound feature extraction method based on bispectral analysis and combine it with convolutional neural network (CNN) to classify heart sounds. The model can effectively suppress Gaussian noise by using bispectral analysis and can effectively extract the features of heart sound signals without relying on the accurate segmentation of heart sound signals. At the same time, the model combines with the strong classification performance of convolutional neural network and finally achieves the accurate classification of heart sound. According to the experimental results, the proposed algorithm achieves 0.910, 0.884 and 0.940 in terms of accuracy, sensitivity and specificity under the same data and experimental conditions, respectively. Compared with other heart sound classification algorithms, the proposed algorithm shows a significant improvement and strong robustness and generalization ability, so it is expected to be applied to the auxiliary detection of congenital heart disease.

心血管疾病(CVD)是导致全球死亡的主要原因之一。心音分类在早期发现心血管疾病中起着关键作用。正常心音和异常心音之间的区别并不明显。在本文中,为了提高心音分类模型的准确性,我们提出了一种基于双谱分析的心音特征提取方法,并将其与卷积神经网络(CNN)相结合对心音进行分类。该模型利用双谱分析法能有效抑制高斯噪声,并能有效提取心音信号的特征,而无需依赖对心音信号的精确分割。同时,该模型与卷积神经网络强大的分类性能相结合,最终实现了对心音的准确分类。实验结果表明,在相同的数据和实验条件下,所提算法的准确度、灵敏度和特异度分别达到了 0.910、0.884 和 0.940。与其他心音分类算法相比,本文提出的算法具有显著的改进性、较强的鲁棒性和泛化能力,有望应用于先天性心脏病的辅助检测。
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引用次数: 0
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