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Impact of percutaneous transhepatic biliary drainage via different routes under CT guidance on obstructive jaundice CT引导下不同路径经皮经肝胆道引流对梗阻性黄疸的影响
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-26 DOI: 10.1016/j.jrras.2026.102185
Chao Lu , Zhida Long , Zhixiang Xing, Bo Chen, Peng Zhou, Jiming Hu

Purpose

To compare the postoperative biochemical recovery and complications of computed tomography (CT)-guided Percutaneous Transhepatic Biliary Drainage (PTBD) via left-lobe versus right-lobe approaches for malignant obstructive jaundice.

Methods

In this single-center retrospective study, 254 patients were categorized into two groups based on the hepatic access route: the Left-Lobe Group (puncture via segments S2/S3, n = 136) and the Right-Lobe Group (puncture via segments S5/S6 or conventional right pathways, n = 118). The comparison encompassed technical success, procedure-related parameters (number of puncture attempts, fluoroscopy time, total procedure time, radiation dose), postoperative recovery (hospital stay, duration of pain), serial liver function tests (total bilirubin, direct bilirubin, alanine aminotransferase [ALT], aspartate aminotransferase [AST], alkaline phosphatase [ALP], gamma-glutamyl transpeptidase [GGT]) preoperatively and on days 3 and 7, and the incidence of procedure-related complications. Technical success was defined as successful placement of the drainage catheter into the target bile duct, confirmed by post-procedural cholangiography and established bile drainage.

Results

The Left-Lobe Group demonstrated a significantly higher technical success rate (89.71 % vs. 77.12 %, P = 0.007), corresponding to an absolute risk difference of 12.6 % (95 % CI: 3.5 %–21.7 %). Postoperatively, this group showed superior recovery: lower AST at 3 days (P = 0.019), lower direct bilirubin at 7 days (P < 0.001), greater decline rates in ALP (P = 0.003) and GGT (P = 0.003) at 7 days. Complication rates were also significantly lower for bile leak (5.88 % vs. 15.25 %, P = 0.014), catheter occlusion (2.94 % vs. 11.02 %, P = 0.010), and pleural effusion (0.74 % vs. 7.63 %, P = 0.013). No major complications (severe hemorrhage requiring intervention or procedure-related mortality) occurred in either group.

Conclusion

The left-lobe approach for CT-guided PTBD may be associated with higher technical success, more effective and rapid improvement in liver function, and suggests a lower rate of specific minor complications compared to the right-lobe approach.
目的比较计算机断层扫描(CT)引导下经左肺叶与经右肺叶经皮肝胆道引流术(PTBD)治疗恶性梗阻性黄疸术后生化恢复及并发症。方法采用单中心回顾性研究方法,将254例患者根据肝通路分为左肝叶组(经S2/S3段穿刺,n = 136)和右肝叶组(经S5/S6段或常规右肝路穿刺,n = 118)。比较包括技术成功、手术相关参数(穿刺次数、透视时间、总手术时间、辐射剂量)、术后恢复情况(住院时间、疼痛持续时间)、术前和第3、7天肝功能系列检查(总胆红素、直接胆红素、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、碱性磷酸酶(ALP)、γ -谷氨酰转肽酶(GGT))、以及手术相关并发症的发生率。技术上的成功定义为将引流管成功置入目标胆管,经术后胆道造影确认并建立胆汁引流。结果左叶组技术成功率(89.71% vs. 77.12%, P = 0.007)明显高于左叶组,绝对风险差异为12.6% (95% CI: 3.5% ~ 21.7%)。术后,该组恢复良好:3天AST降低(P = 0.019), 7天直接胆红素降低(P < 0.001), 7天ALP (P = 0.003)和GGT (P = 0.003)下降率更高。胆漏(5.88%比15.25%,P = 0.014)、导管阻塞(2.94%比11.02%,P = 0.010)和胸腔积液(0.74%比7.63%,P = 0.013)的并发症发生率也显著降低。两组均未发生重大并发症(需要干预的严重出血或手术相关死亡)。结论ct引导下左肝入路治疗PTBD技术成功率更高,肝功能改善更有效、更快,特异性轻微并发症发生率较右肝入路低。
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引用次数: 0
Identification and regulatory mechanisms of biomarkers related to endoplasmic reticulum stress in coronary artery disease 冠状动脉疾病内质网应激相关生物标志物的鉴定及调控机制
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-26 DOI: 10.1016/j.jrras.2026.102184
Hao Nie , Tingting Yang , Baishi Wang , Qifan Sun , Demin Huo , Yang Li , Ruiqin Yang

Objective

The occurrence of cardiovascular disease is linked to endoplasmic reticulum stress (ERS). Nevertheless, the molecular basis of ERS-related genes (ERSRGs) in coronary artery disease (CAD) remains poorly investigated. This study aimed to assess human CAD transcriptome data, pinpoint and verify ERS-associated hub genes in CAD, and identify biomarkers linked to ERS in CAD.

Methods

Candidate genes for CAD were identified by analyzing three datasets. The overlap between differentially expressed genes(DEGs), key module genes from WGCNA, and a specific gene set was investigated. PPI network was then used to refine the biomarkers, and machine learning were used for additional analysis. Then, diagnostic genes were examined using single-gene gene set enrichment analysis (GSEA). Furthermore, the interactions between biomarkers and various immune cells were investigated.Networks regulating miRNA-mRNA-TF relationships and identifying potential interacting chemicals were successfully established. Finally, to further explore the possible involvement of the discovered biomarkers in CAD, RT-qPCR and endoplasmic reticulum stress in vitro model experiments was performed.

Results

63 candidate genes were identified through the intersection of DEGs, a specific gene set, and critical module genes. Functional analysis linked them to T cell receptor signaling and Golgi transport.LR, SVM, and XGBoost models based on three biomarkers showed moderate diagnostic capability with AUC >0.6.Experimental validation confirmed that TMED2 and SEC22B were significantly downregulated in a cellular model of ERS in CAD, which was reversed by 4-PBA treatment.Immune infiltration analysis revealed significant correlations with various immune cells. Based on the CTD, some interacting chemicals were predicted such as cyclosporine, which might serve as potential relevance for CAD by targeting the corresponding biomarkers.

Conclusion

This study identified three biomarkers, confirming TMED2 and SEC22B as valuable for diagnosing CAD which were the components of COPII vesicle transport system regulating the activation and secretion of ERS sensors. 4-PBA can mitigate ERS-related cellular damage.
目的心血管疾病的发生与内质网应激(ERS)有关。然而,ers相关基因(ERSRGs)在冠状动脉疾病(CAD)中的分子基础研究仍然很少。本研究旨在评估人类CAD转录组数据,确定和验证CAD中ERS相关的中心基因,并确定与CAD中ERS相关的生物标志物。方法通过对3个数据集的分析,确定CAD的候选基因。研究了差异表达基因(deg)、WGCNA关键模块基因和特定基因集之间的重叠。然后使用PPI网络来优化生物标志物,并使用机器学习进行附加分析。然后,使用单基因基因集富集分析(GSEA)检测诊断基因。此外,还研究了生物标志物与各种免疫细胞之间的相互作用。成功建立了调节miRNA-mRNA-TF关系和识别潜在相互作用化学物质的网络。最后,为了进一步探讨所发现的生物标志物在CAD、RT-qPCR和内质网应激中的可能参与,我们进行了体外模型实验。结果通过deg、特定基因集和关键模块基因的交叉鉴定出63个候选基因。功能分析将它们与T细胞受体信号传导和高尔基转运联系起来。基于三种生物标志物的LR、SVM和XGBoost模型的诊断能力中等,AUC为0.6。实验验证证实,TMED2和SEC22B在CAD的ERS细胞模型中显著下调,4-PBA处理可逆转这种下调。免疫浸润分析显示与多种免疫细胞有显著相关性。基于CTD,预测了一些相互作用的化学物质,如环孢素,可能通过靶向相应的生物标志物与CAD具有潜在的相关性。结论本研究确定了3个生物标志物,证实TMED2和SEC22B是COPII囊泡运输系统中调节ERS传感器激活和分泌的组分,对CAD的诊断有价值。4-PBA可以减轻ers相关的细胞损伤。
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引用次数: 0
Mechanism of ginsenoside Rg1 on the proliferation and osteogenic differentiation of human periodontal ligament stem cells mediated by Wnt/Ca2+ signaling pathway 人参皂苷Rg1对Wnt/Ca2+信号通路介导的人牙周韧带干细胞增殖和成骨分化的影响机制
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-25 DOI: 10.1016/j.jrras.2026.102197
Tingting Lin , Qin Qiu , Wenting Song

Background and objective

Ginsenoside Rg1 exhibits extensive pharmacological effects on various systems, including the nervous, cardiovascular, digestive, endocrine, and immune systems. This study aimed to investigate the mechanism of ginsenoside Rg1 on the proliferation and osteogenic differentiation of human periodontal ligament stem cells (hPDLSCs) mediated by the Wnt/Ca2+ signaling pathway.

Materials and methods

hPDLSCs were isolated from healthy periodontal tissues of patients undergoing orthodontic treatment and cultured. Immunohistochemical staining utilizing stromal cell antigen-1 (STRO-1) and cluster of differentiation 146 (CD146) employed for cell identification. Cells were rolled into two groups regarding culture conditions: the control group (normal culture) and Rg1 group (cultured with the optimal concentration of 50 μmol/L Rg1 determined by MTT proliferation assay). The 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) assay was utilized to assess cell proliferation activity. The mRNA expression of stemness markers OCT4 and NANOG was evaluated by quantitative real-time polymerase chain reaction (qPCR) in undifferentiated hPDLSCs. Subsequently, osteogenic differentiation was induced utilizing a mineralization induction medium, followed by quantitative real-time polymerase chain reaction for assessment of the expression level of osteogenic-related genes, including Runt-related transcription factor 2 (Runx2), Collagen1 (COL1A1), Osteopontin (OPN), and Osteocalcin (OCN). Alizarin red staining visualized mineralized nodules, and Western blot determined relative expression level of Wnt/Ca2+ signaling pathway proteins, including calcium/calmodulin-dependent protein kinase II (CaMKII) and Nemo-like kinase (NLK).

Results

Immunohistochemical staining revealed positive expression of STRO-1 and CD146 in hPDLSCs. Relative to the control group, the Rg1 group exhibited a drastic increase in cell proliferation activity (P < 0.05). Following osteogenic differentiation induction, the area of Alizarin red-stained mineralized nodules was notably greater in the Rg1 group versus the control group. Additionally, expression levels of Runx2, COL1A1, OPN, and OCN were greatly elevated, along with increased protein expression level of CaMKII and NLK (P < 0.05).

Conclusion

Ginsenoside Rg1 promotes proliferation and enhances in vitro osteogenic differentiation and mineralization of hPDLSCs, potentially associated with modulation of CaMKII and NLK expression within the Wnt/Ca2+ pathway.
背景与目的人参皂苷Rg1对神经系统、心血管系统、消化系统、内分泌系统和免疫系统具有广泛的药理作用。本研究旨在探讨人参皂苷Rg1通过Wnt/Ca2+信号通路介导人牙周韧带干细胞(hPDLSCs)增殖和成骨分化的机制。材料与方法从正畸治疗患者的健康牙周组织中分离培养pdlscs。免疫组化染色采用基质细胞抗原-1 (STRO-1)和CD146 (CD146)进行细胞鉴定。将细胞按培养条件分为两组:对照组(正常培养)和Rg1组(以MTT增殖试验确定的最佳Rg1浓度为50 μmol/L)。采用3-(4,5-二甲基-2-噻唑基)-2,5-二苯基-2- h -溴化四唑(MTT)法测定细胞增殖活性。采用实时定量聚合酶链反应(qPCR)技术检测未分化hPDLSCs中茎性标志物OCT4和NANOG的mRNA表达。随后,利用矿化诱导培养基诱导成骨分化,随后进行定量实时聚合酶链反应,评估成骨相关基因的表达水平,包括矮子相关转录因子2 (Runx2)、胶原蛋白1 (COL1A1)、骨桥蛋白(OPN)和骨钙素(OCN)。茜素红染色可视化矿化结节,Western blot检测Wnt/Ca2+信号通路蛋白的相对表达水平,包括钙/钙调素依赖性蛋白激酶II (CaMKII)和nemo样激酶(NLK)。结果免疫组化染色显示STRO-1和CD146在hPDLSCs中呈阳性表达。与对照组相比,Rg1组细胞增殖活性显著增强(P < 0.05)。成骨分化诱导后,Rg1组茜素红染色矿化结节的面积明显大于对照组。Runx2、COL1A1、OPN、OCN蛋白表达水平显著升高,CaMKII、NLK蛋白表达水平显著升高(P < 0.05)。结论人参皂苷Rg1促进hPDLSCs增殖,增强体外成骨分化和矿化,可能与Wnt/Ca2+通路中CaMKII和NLK表达的调节有关。
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引用次数: 0
Effect of respiratory function training-based rehabilitation nursing on patients’ recovery of mycoplasma pneumoniae infection based on computed tomography imaging features 基于ct影像特征的呼吸功能训练康复护理对肺炎支原体感染患者康复的影响
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-25 DOI: 10.1016/j.jrras.2026.102174
Ruyi Zheng, Hongpeng Chi, Yajing Lin, Xiaowan Zeng

Objective

This study aims to investigate the chest computed tomography (CT) findings of patients with mycoplasma pneumoniae (MP) infection and evaluate the effect of rehabilitation nursing based on respiratory function training (RFT) on patients’ pulmonary function and quality of life (QoL).

Materials and methods

One hundred and twenty patients with MP infection were included to analyze the distribution of chest CT signs and their correlation with serum MP antibody titers. According to the rehabilitation nursing methods, the patients were divided into control group (routine nursing, n = 60) and RFT group (respiratory function training, n = 60). The differences of pulmonary function, pulmonary imaging characteristics, and QoL St. George's Respiratory Questionnaire (SGRQ) between admission and discharge were analyzed.

Results

The CT signs of MP patients were ground-glass opacity, nodular opacity, and consolidation in 92.5 %, 65.0 %, and 50.8 %, respectively. MP antibody titer was negatively correlated with ground-glass opacity (r = −0.531, P = 0.048) and positively correlated with consolidation (r = 0.729, P = 0.032). These correlations suggest that higher antibody titers may be associated with more advanced parenchymal changes (consolidation) rather than early interstitial changes (ground-glass opacity). Compared with the control group, the RFT group showed a greater improvement in FEV1 % (between-group difference in change: 14.2 %, 95 % CI 10.1–18.3 %, P < 0.001). SGRQ score was significantly decreased (between-group difference: −14.3 points, 95 % CI -18.1 to −10.5, P < 0.001) at discharge.

Conclusion

In summary, specific chest CT signs correlate with MP antibody titers, offering adjunct diagnostic insights. Separately, RFT-based rehabilitation nursing significantly enhances pulmonary function, promotes imaging resolution, and contributes to the alleviation of clinical symptoms and promotion of disease recovery in MP pneumonia patients.
目的探讨肺炎支原体(MP)感染患者的胸部CT表现,评价基于呼吸功能训练(RFT)的康复护理对患者肺功能及生活质量(QoL)的影响。材料与方法分析120例MP感染患者的胸部CT征象分布及其与血清MP抗体滴度的相关性。根据康复护理方法将患者分为对照组(常规护理,n = 60)和RFT组(呼吸功能训练,n = 60)。分析两组患者入院与出院时肺功能、肺影像学特征及生活质量圣乔治呼吸问卷(SGRQ)的差异。结果MP患者CT表现为磨玻璃影、结节影、实变,分别占92.5%、65.0%和50.8%。MP抗体滴度与毛玻璃混浊呈负相关(r = - 0.531, P = 0.048),与实变呈正相关(r = 0.729, P = 0.032)。这些相关性表明,较高的抗体滴度可能与更晚期的实质改变(实变)有关,而不是与早期间质改变(毛玻璃样混浊)有关。与对照组相比,RFT组FEV1 %的改善更大(组间差异:14.2%,95% CI 10.1 - 18.3%, P < 0.001)。出院时SGRQ评分显著降低(组间差异:- 14.3分,95% CI -18.1至- 10.5,P < 0.001)。总之,特异性胸部CT征象与MP抗体滴度相关,为诊断提供辅助依据。另外,基于rft的康复护理可显著增强MP肺炎患者的肺功能,提高影像学分辨率,有助于缓解临床症状,促进疾病康复。
{"title":"Effect of respiratory function training-based rehabilitation nursing on patients’ recovery of mycoplasma pneumoniae infection based on computed tomography imaging features","authors":"Ruyi Zheng,&nbsp;Hongpeng Chi,&nbsp;Yajing Lin,&nbsp;Xiaowan Zeng","doi":"10.1016/j.jrras.2026.102174","DOIUrl":"10.1016/j.jrras.2026.102174","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to investigate the chest computed tomography (CT) findings of patients with mycoplasma pneumoniae (MP) infection and evaluate the effect of rehabilitation nursing based on respiratory function training (RFT) on patients’ pulmonary function and quality of life (QoL).</div></div><div><h3>Materials and methods</h3><div>One hundred and twenty patients with MP infection were included to analyze the distribution of chest CT signs and their correlation with serum MP antibody titers. According to the rehabilitation nursing methods, the patients were divided into control group (routine nursing, n = 60) and RFT group (respiratory function training, n = 60). The differences of pulmonary function, pulmonary imaging characteristics, and QoL St. George's Respiratory Questionnaire (SGRQ) between admission and discharge were analyzed.</div></div><div><h3>Results</h3><div>The CT signs of MP patients were ground-glass opacity, nodular opacity, and consolidation in 92.5 %, 65.0 %, and 50.8 %, respectively. MP antibody titer was negatively correlated with ground-glass opacity (r = −0.531, <em>P</em> = 0.048) and positively correlated with consolidation (r = 0.729, <em>P</em> = 0.032). These correlations suggest that higher antibody titers may be associated with more advanced parenchymal changes (consolidation) rather than early interstitial changes (ground-glass opacity). Compared with the control group, the RFT group showed a greater improvement in FEV1 % (between-group difference in change: 14.2 %, 95 % CI 10.1–18.3 %, <em>P</em> &lt; 0.001). SGRQ score was significantly decreased (between-group difference: −14.3 points, 95 % CI -18.1 to −10.5, <em>P</em> &lt; 0.001) at discharge.</div></div><div><h3>Conclusion</h3><div>In summary, specific chest CT signs correlate with MP antibody titers, offering adjunct diagnostic insights. Separately, RFT-based rehabilitation nursing significantly enhances pulmonary function, promotes imaging resolution, and contributes to the alleviation of clinical symptoms and promotion of disease recovery in MP pneumonia patients.</div></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":"19 1","pages":"Article 102174"},"PeriodicalIF":2.5,"publicationDate":"2026-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The function and underlying mechanism of matrine in modulating FDX1-mediated copper-induced cell death to facilitate apoptosis in cholangiocarcinoma QBC939 cells 苦参碱在fdx1介导的铜诱导胆管癌QBC939细胞凋亡中的作用及机制
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-24 DOI: 10.1016/j.jrras.2026.102169
Linfang Xu, Min Gong, Jialing Li, Xing Li, Wen Liao

Background

Cholangiocarcinoma (CCA), a highly lethal malignant tumor, currently lacks effective therapeutic options. Matrine, a compound extracted from the traditional Chinese medicinal plant Sophora flavescentis Radix, demonstrates significant anti-tumor properties and the ability to induce programmed cell death. Ferredoxin 1 (FDX1) is a crucial biomolecule involved in mediating copper-induced cell death.

Methods

To evaluate the anti-tumor efficacy of matrine in vivo, we developed a BALB/c mouse xenograft model using QBC939 cholangiocarcinoma cells (n = 6 per group). We assessed tumor progression, apoptotic markers, and FDX1 protein levels through a comprehensive panel of analytical methods, including immunohistochemistry, western blotting, TUNEL staining, flow cytometry, and ELISA.

Results

This study demonstrates that matrine effectively suppresses the growth of CCA QBC939 cells and promotes cell death in an in vivo setting in a dose-dependent manner. Matrine treatment significantly increased FDX1 expression and markers associated with cuproptosis (Lip-DLST, Lip-DLAT), decreased antioxidant enzyme activities, and enhanced apoptosis-related protein expression. The anti-tumor mechanism of matrine on CCA cells involves the induction of apoptosis, which is associated with the up-regulation of FDX1 expression.

Conclusion

These findings suggest that matrine shows therapeutic potential for CCA treatment through its modulation of FDX1-mediated cuproptosis (copper-induced cell death) and subsequent apoptosis induction, providing a rationale for further investigation.
背景胆管癌(CCA)是一种高致死率的恶性肿瘤,目前缺乏有效的治疗方案。苦参碱是一种从中药植物苦参中提取的化合物,具有显著的抗肿瘤特性和诱导程序性细胞死亡的能力。铁氧化还原蛋白1 (FDX1)是一个重要的生物分子,参与介导铜诱导的细胞死亡。方法采用QBC939胆管癌细胞(每组6个)建立BALB/c小鼠异种移植模型,观察苦参碱在体内的抗肿瘤作用。我们通过免疫组织化学、western blotting、TUNEL染色、流式细胞术和ELISA等综合分析方法评估肿瘤进展、凋亡标志物和FDX1蛋白水平。结果在体外实验中,苦参碱能有效抑制CCA QBC939细胞的生长,促进细胞死亡,且呈剂量依赖性。苦参碱处理显著增加FDX1表达和与铜细胞凋亡相关的标志物(Lip-DLST, Lip-DLAT),降低抗氧化酶活性,增强凋亡相关蛋白表达。苦参碱对CCA细胞的抗肿瘤机制涉及诱导凋亡,其机制与上调FDX1表达有关。结论苦参碱通过调节fdx1介导的铜细胞凋亡和随后的细胞凋亡诱导,具有治疗CCA的潜力,为进一步的研究提供了依据。
{"title":"The function and underlying mechanism of matrine in modulating FDX1-mediated copper-induced cell death to facilitate apoptosis in cholangiocarcinoma QBC939 cells","authors":"Linfang Xu,&nbsp;Min Gong,&nbsp;Jialing Li,&nbsp;Xing Li,&nbsp;Wen Liao","doi":"10.1016/j.jrras.2026.102169","DOIUrl":"10.1016/j.jrras.2026.102169","url":null,"abstract":"<div><h3>Background</h3><div>Cholangiocarcinoma (CCA), a highly lethal malignant tumor, currently lacks effective therapeutic options. Matrine, a compound extracted from the traditional Chinese medicinal plant Sophora flavescentis Radix, demonstrates significant anti-tumor properties and the ability to induce programmed cell death. Ferredoxin 1 (FDX1) is a crucial biomolecule involved in mediating copper-induced cell death.</div></div><div><h3>Methods</h3><div>To evaluate the anti-tumor efficacy of matrine in vivo, we developed a BALB/c mouse xenograft model using QBC939 cholangiocarcinoma cells (n = 6 per group). We assessed tumor progression, apoptotic markers, and FDX1 protein levels through a comprehensive panel of analytical methods, including immunohistochemistry, western blotting, TUNEL staining, flow cytometry, and ELISA.</div></div><div><h3>Results</h3><div>This study demonstrates that matrine effectively suppresses the growth of CCA QBC939 cells and promotes cell death in an in vivo setting in a dose-dependent manner. Matrine treatment significantly increased FDX1 expression and markers associated with cuproptosis (Lip-DLST, Lip-DLAT), decreased antioxidant enzyme activities, and enhanced apoptosis-related protein expression. The anti-tumor mechanism of matrine on CCA cells involves the induction of apoptosis, which is associated with the up-regulation of FDX1 expression.</div></div><div><h3>Conclusion</h3><div>These findings suggest that matrine shows therapeutic potential for CCA treatment through its modulation of FDX1-mediated cuproptosis (copper-induced cell death) and subsequent apoptosis induction, providing a rationale for further investigation.</div></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":"19 1","pages":"Article 102169"},"PeriodicalIF":2.5,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced indirect sealing of cerebrospinal fluid leaks in anterior cervical surgery using plate mechanical pressure 颈椎前路手术中应用钢板机械压力加强脑脊液泄漏的间接封闭
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-24 DOI: 10.1016/j.jrras.2026.102196
Dong Liu, Leisheng Wang, Xiaoguang Fan

Purpose

To assess the effectiveness and safety of the “indirect sealing method” for managing cerebrospinal fluid leakage (CSFL) during anterior cervical spine surgery (ACSS), using magnetic resonance imaging (MRI) imaging.

Methods

A retrospective analysis included 30 patients with CSFL during ACSS for ossification of the posterior longitudinal ligament. Patients were divided into the Patch group (application of an artificial dura mater patch + hemostatic gelatin on the dura surface, n = 15) and the Patch + Plate group (artificial dura patch positioned between the vertebral body and the titanium plate, n = 15). Effectiveness was assessed via total CSFL drainage volume, drainage tube duration, and CSFL incidence on MRI at 3 days, 1 month, and 3 months postoperatively. Safety was evaluated based on sealing-related and surgery-related complications. Surgical efficacy was measured using modified Japanese orthopedic association score (mJOA), visual analog scale (VAS), and neck disability index (NDI) scores preoperatively and at 3 months, along with time to ambulation and total hospital stay.

Results

The Patch + Plate group had significantly lower total CSFL drainage volume (P = 0.004) and shorter drainage tube duration (P = 0.005). CSFL incidence was lower in the Patch + Plate group at 3 days (P = 0.003), 1 month (P = 0.015), and 3 months (P = 0.015). Low intracranial pressure headache (P = 0.002) was lower in the Patch + Plate group. At 3 months, the Patch + Plate group showed better mJOA (P = 0.038), VAS (P = 0.025), and NDI (P = 0.044) scores, as well as shorter time to ambulation (P = 0.041) and total hospital stay (P = 0.031).

Conclusion

Placing the patch between the titanium plate and the vertebral body to achieve a tight seal using the mechanical pressure of the titanium plate can improve sealing effectiveness, reduces CSFL-related complications, and enhances postoperative recovery in ACSS.
目的应用磁共振成像(MRI)技术评价“间接封闭法”治疗颈椎前路手术(ACSS)中脑脊液漏(CSFL)的有效性和安全性。方法回顾性分析30例后纵韧带骨化术中CSFL患者的临床资料。将患者分为Patch组(在硬脑膜表面应用人工硬脑膜贴片+止血明胶,n = 15)和Patch + Plate组(将人工硬脑膜贴片置于椎体与钛板之间,n = 15)。通过术后3天、1个月和3个月的CSFL总引流量、引流管持续时间和MRI上的CSFL发生率来评估有效性。安全性评估基于密封相关和手术相关的并发症。采用改良的日本骨科协会评分(mJOA)、视觉模拟量表(VAS)和颈部残疾指数(NDI)评分,以及术前和3个月时的行走时间和总住院时间来衡量手术疗效。结果贴片+钢板组CSFL总引流量显著降低(P = 0.004),引流管时间显著缩短(P = 0.005)。贴片+钢板组在第3天(P = 0.003)、第1个月(P = 0.015)和第3个月(P = 0.015)时CSFL发生率较低。贴片+钢板组低颅内压头痛发生率较低(P = 0.002)。3个月时,贴片+钢板组患者的mJOA (P = 0.038)、VAS (P = 0.025)和NDI (P = 0.044)评分较低,活动时间(P = 0.041)和总住院时间(P = 0.031)较短。结论将补片置于钛板与椎体之间,利用钛板的机械压力实现紧密密封,可提高ACSS的密封效果,减少csfl相关并发症,提高术后恢复。
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引用次数: 0
HPV16 E6 gene polymorphisms and the mechanisms by which L83V promotes the progression of cervical lesions in Xinjiang hpv16e6基因多态性及L83V促进新疆宫颈病变进展的机制
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-23 DOI: 10.1016/j.jrras.2026.102183
Yang Li , Yuhua Liu , Reyilanmu Maisaidi , Siqi Li , Zhixiang Fan , Lili Han

Objective

Cervical cancer (CC) is a prevalent malignant neoplasm in the female population. The oncogenicity of HPV is closely associated with HPV variations.

Methods

The E6 sequences of HPV16-positive samples were subjected to PCR amplification. The PCR products were sequenced and used for variation analysis, phylogenetic analysis, and analysis of selective pressure. Previously experimentally validated T-cell epitopes encompassing the 83L site were retrieved from the IEDB database. The changes in the affinity of T-cell epitopes and MHC-I/II were predicted after L83V. Wild and mutant antigen peptides were synthesized as EYRHYCYSL and EYRHYCYSV, respectively. Mature dendritic cells (DCs) from peripheral blood samples were stimulated with synthesized antigen peptides, and cluster of differentiation (CD) markers and cytokines were detected.

Results

Six distinct non-synonymous nucleotide mutations were identified, which manifested as eight different variation patterns (including single and co-mutation profiles), all of which belonged to Lineage A. 25D and 83L sites were positively selected sites. L83V affected 4 T-cell epitopes, leading to reduced affinity with MHC-I/II. Compared with the wild antigen peptide, the ratios of CD80, CD83, and CD86 decreased significantly (p < 0.05), and the concentrations of IFN-γ, IL-6, IL-10, TGF-β, and TNF-α decreased significantly (p < 0.05).

Conclusion

This study provides novel mechanistic evidence that the prevalent L83V polymorphism may promote the progression of cervical lesions in Xinjiang by disrupting T-cell epitopes and facilitating immune evasion.
目的宫颈癌是女性人群中常见的恶性肿瘤。HPV的致癌性与HPV变异密切相关。方法对hpv16阳性标本的E6序列进行PCR扩增。PCR产物测序后用于变异分析、系统发育分析和选择压力分析。先前经过实验验证的t细胞表位包含83L位点,从IEDB数据库中检索。预测L83V后t细胞表位和MHC-I/II亲和力的变化。野生型和突变型抗原肽分别合成为EYRHYCYSL和EYRHYCYSV。用合成的抗原肽刺激外周血成熟树突状细胞(DCs),检测分化簇(CD)标记物和细胞因子。结果鉴定出6个不同的非同义核苷酸突变,表现为8种不同的变异模式(包括单突变和共突变),均属于a谱系。25D和83L位点为阳性选择位点。L83V影响4个t细胞表位,导致与MHC-I/II的亲和力降低。与野生抗原肽相比,CD80、CD83、CD86的比值显著降低(p < 0.05), IFN-γ、IL-6、IL-10、TGF-β、TNF-α的浓度显著降低(p < 0.05)。结论新疆地区普遍存在的L83V多态性可能通过破坏t细胞表位和促进免疫逃避来促进宫颈病变的进展,这一研究提供了新的机制证据。
{"title":"HPV16 E6 gene polymorphisms and the mechanisms by which L83V promotes the progression of cervical lesions in Xinjiang","authors":"Yang Li ,&nbsp;Yuhua Liu ,&nbsp;Reyilanmu Maisaidi ,&nbsp;Siqi Li ,&nbsp;Zhixiang Fan ,&nbsp;Lili Han","doi":"10.1016/j.jrras.2026.102183","DOIUrl":"10.1016/j.jrras.2026.102183","url":null,"abstract":"<div><h3>Objective</h3><div>Cervical cancer (CC) is a prevalent malignant neoplasm in the female population. The oncogenicity of HPV is closely associated with HPV variations.</div></div><div><h3>Methods</h3><div>The E6 sequences of HPV16-positive samples were subjected to PCR amplification. The PCR products were sequenced and used for variation analysis, phylogenetic analysis, and analysis of selective pressure. Previously experimentally validated T-cell epitopes encompassing the 83L site were retrieved from the IEDB database. The changes in the affinity of T-cell epitopes and MHC-I/II were predicted after L83V. Wild and mutant antigen peptides were synthesized as EYRHYCYSL and EYRHYCYSV, respectively. Mature dendritic cells (DCs) from peripheral blood samples were stimulated with synthesized antigen peptides, and cluster of differentiation (CD) markers and cytokines were detected.</div></div><div><h3>Results</h3><div>Six distinct non-synonymous nucleotide mutations were identified, which manifested as eight different variation patterns (including single and co-mutation profiles), all of which belonged to Lineage A. 25D and 83L sites were positively selected sites. L83V affected 4 T-cell epitopes, leading to reduced affinity with MHC-I/II. Compared with the wild antigen peptide, the ratios of CD80, CD83, and CD86 decreased significantly (<em>p</em> &lt; 0.05), and the concentrations of IFN-γ, IL-6, IL-10, TGF-β, and TNF-α decreased significantly (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>This study provides novel mechanistic evidence that the prevalent L83V polymorphism may promote the progression of cervical lesions in Xinjiang by disrupting T-cell epitopes and facilitating immune evasion.</div></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":"19 1","pages":"Article 102183"},"PeriodicalIF":2.5,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146034716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of NORM and heavy metal risks from breakfast cereals consumed in the Kurdistan Region, Iraq 伊拉克库尔德斯坦地区食用早餐谷物的NORM和重金属风险评估
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-22 DOI: 10.1016/j.jrras.2026.102186
Halmat J. Hassan , Farhad A. Hama Hassan
This study analyses 22 commercially available cereal samples containing naturally occurring radioactive materials, imported and sold in major retailers within the Kurdistan Region, Iraq. Gamma-ray spectrometry and X-ray fluorescence were employed to assess radiological risk associated with cereal consumption. The activity concentrations of radionuclides ranged from 1.6 ± 0.35 to 68.5 ± 11.5 Bqkg1 for 238U, 2.3 ± 0.24 to 96.4 ± 7.5 Bqkg1 for 232Th, and 67.8 ± 5.2 to 1448 ± 92 Bqkg1 for 40K. Estimated annual effective doses were 59.07, 365.9, and 30.055 μSvy1 for 238U, 232Th, and 40K, respectively, based on an assumed annual cereal intake of 5 kg for adults and 3.7 kg for children. Samples S4 and S5 exhibited the highest total AED, at 388.3 and 331.8 μSvy1, respectively. The total effective dose of these samples surpasses the general public reference level of 290 μSvy1, indicating unsuitability for consumption. The Pb concentrations in samples S8 and S17 markedly exceed the Codex international limit of 6 mg kg1, reaching 25.6 and 31.7 mg kg1, respectively. These findings suggest that food regulations should address potential radiation exposure from cereals to mitigate public health risks.
本研究分析了伊拉克库尔德斯坦地区进口并在主要零售商处销售的22种含有天然放射性物质的市售谷物样品。采用伽马射线光谱法和x射线荧光法评估与谷物消费相关的辐射风险。238U的放射性核素活度浓度为1.6±0.35 ~ 68.5±11.5 Bqkg - 1, 232Th的放射性核素活度浓度为2.3±0.24 ~ 96.4±7.5 Bqkg - 1, 40K的放射性核素活度浓度为67.8±5.2 ~ 1448±92 Bqkg - 1。在假定成人每年摄入5公斤谷物、儿童每年摄入3.7公斤谷物的基础上,238U、232Th和40K的年有效剂量分别为59.07、365.9和30.055 μSvy−1。样品S4和S5的总AED最高,分别为388.3和331.8 μSvy−1。这些样品的总有效剂量超过了一般公众参考水平290 μSvy−1,表明不适合食用。样品S8和S17的铅浓度分别达到25.6和31.7 mg kg - 1,明显超过国际食品法典标准6 mg kg - 1。这些发现表明,食品法规应解决谷物潜在的辐射暴露问题,以减轻公共健康风险。
{"title":"Assessment of NORM and heavy metal risks from breakfast cereals consumed in the Kurdistan Region, Iraq","authors":"Halmat J. Hassan ,&nbsp;Farhad A. Hama Hassan","doi":"10.1016/j.jrras.2026.102186","DOIUrl":"10.1016/j.jrras.2026.102186","url":null,"abstract":"<div><div>This study analyses 22 commercially available cereal samples containing naturally occurring radioactive materials, imported and sold in major retailers within the Kurdistan Region, Iraq. Gamma-ray spectrometry and X-ray fluorescence were employed to assess radiological risk associated with cereal consumption. The activity concentrations of radionuclides ranged from 1.6 ± 0.35 to 68.5 ± 11.5 <span><math><mrow><msup><mrow><mspace></mspace><mtext>Bq</mtext><mspace></mspace><mtext>kg</mtext></mrow><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span> for <sup>238</sup>U, 2.3 ± 0.24 to 96.4 ± 7.5 <span><math><mrow><msup><mrow><mspace></mspace><mtext>Bq</mtext><mspace></mspace><mtext>kg</mtext></mrow><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span> for <sup>232</sup>Th, and 67.8 ± 5.2 to 1448 ± 92 <span><math><mrow><msup><mrow><mspace></mspace><mtext>Bq</mtext><mspace></mspace><mtext>kg</mtext></mrow><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span> for <sup>40</sup>K. Estimated annual effective doses were 59.07, 365.9, and 30.055 <span><math><mrow><mi>μ</mi><mtext>Sv</mtext><mspace></mspace><msup><mi>y</mi><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span> for <sup>238</sup>U, <sup>232</sup>Th, and <sup>40</sup>K, respectively, based on an assumed annual cereal intake of 5 kg for adults and 3.7 kg for children. Samples S4 and S5 exhibited the highest total AED, at 388.3 and 331.8 <span><math><mrow><mi>μ</mi><mtext>Sv</mtext><mspace></mspace><msup><mi>y</mi><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span>, respectively. The total effective dose of these samples surpasses the general public reference level of 290 <span><math><mrow><mi>μ</mi><mtext>Sv</mtext><mspace></mspace><msup><mi>y</mi><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span>, indicating unsuitability for consumption. The Pb concentrations in samples S8 and S17 markedly exceed the Codex international limit of 6 mg <span><math><mrow><msup><mtext>kg</mtext><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span>, reaching 25.6 and 31.7 mg <span><math><mrow><msup><mtext>kg</mtext><mrow><mo>−</mo><mn>1</mn></mrow></msup></mrow></math></span>, respectively. These findings suggest that food regulations should address potential radiation exposure from cereals to mitigate public health risks.</div></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":"19 1","pages":"Article 102186"},"PeriodicalIF":2.5,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146034488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dosimetric impact of vacuum bag vs. abdominal compression fixation on PTV margins in IMRT for hepatocellular carcinoma with lymph node metastasis 在肝细胞癌伴淋巴结转移的IMRT中,真空袋与腹部压迫固定对PTV边缘的剂量学影响
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-21 DOI: 10.1016/j.jrras.2026.102166
Zhenghuan Li , Fantu Kong , Manya Wu , Eryan Sun , Zhi Zhong , Chao Wang , Ru Wang , Yadi He , Pan Liu , Jie Dong , Huamei Yan , Gaokui He

Purpose

To compare setup errors between vacuum-bag with thermoplastic shell (VB) and abdominal compression with foam (AC) immobilization techniques in radiotherapy for hepatocellular carcinoma (HCC) with lymph node metastases (LNM), and evaluate their impacts on planning target volume (PTV) margins and dosimetry.

Methods

This retrospective cohort study of 34 HCC patients with LNM (VB group: n = 17; AC group: n = 17) was performed. Setup errors were verified by cone-beam CT (CBCT), and PTV margins were calculated using the van Herk formula (MPTV = 2.5Σ+0.7σ). Dosimetric parameters (conformity index, CI; homogeneity index, HI) and organ-at-risk (OAR) doses were compared.

Results

The VB group demonstrated significantly smaller calculated PTV margins in the superior-inferior (Y-axis) direction (0.32 cm vs. 0.57 cm, p = 0.001). Systematic errors (Σ) were lower for VB in the X and Y axes, while random errors (σ) were lower in the Z-axis. Dosimetrically, the VB group achieved significantly better dose conformity (CI: 0.24 ± 1.09 % vs. −0.76 ± 1.50 %, p = 0.04). No statistically significant differences were observed in other PTV parameters (Dmax, Dmean, TC, HI) or in the majority of OAR dose parameters, although a trend favoring VB was noted in several instances (e.g., Liver V30, p = 0.04).

Conclusion

For HCC patients with LNM undergoing IMRT, vacuum bag fixation significantly reduces PTV margins along the superior-inferior direction and improves dose conformity compared to abdominal compression, offering a potential for optimized treatment planning.
目的比较热塑性壳体真空袋(VB)和腹腔压缩泡沫(AC)固定技术在肝癌伴淋巴结转移(LNM)放疗中的设置误差,并评价其对规划靶体积(PTV)边界和剂量学的影响。方法对34例肝癌合并LNM患者(VB组17例,AC组17例)进行回顾性队列研究。采用锥束CT (CBCT)验证安装误差,采用van Herk公式计算PTV边界(MPTV = 2.5Σ+0.7σ)。比较剂量学参数(符合性指数CI;均匀性指数HI)和器官危险(OAR)剂量。结果VB组在上下(y轴)方向的PTV计算边界明显减小(0.32 cm vs. 0.57 cm, p = 0.001)。VB在X轴和Y轴上的系统误差(Σ)较低,而在z轴上的随机误差(Σ)较低。剂量学上,VB组获得了更好的剂量一致性(CI: 0.24±1.09%比- 0.76±1.50%,p = 0.04)。在其他PTV参数(Dmax, Dmean, TC, HI)或大多数OAR剂量参数中没有观察到统计学上的显著差异,尽管在一些情况下(例如,肝脏V30, p = 0.04)注意到偏向VB的趋势。结论对于肝细胞癌合并LNM行IMRT的患者,真空袋内固定与腹部压迫相比,可显著减少上下方向PTV边界,提高剂量一致性,为优化治疗方案提供了可能。
{"title":"Dosimetric impact of vacuum bag vs. abdominal compression fixation on PTV margins in IMRT for hepatocellular carcinoma with lymph node metastasis","authors":"Zhenghuan Li ,&nbsp;Fantu Kong ,&nbsp;Manya Wu ,&nbsp;Eryan Sun ,&nbsp;Zhi Zhong ,&nbsp;Chao Wang ,&nbsp;Ru Wang ,&nbsp;Yadi He ,&nbsp;Pan Liu ,&nbsp;Jie Dong ,&nbsp;Huamei Yan ,&nbsp;Gaokui He","doi":"10.1016/j.jrras.2026.102166","DOIUrl":"10.1016/j.jrras.2026.102166","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare setup errors between vacuum-bag with thermoplastic shell (VB) and abdominal compression with foam (AC) immobilization techniques in radiotherapy for hepatocellular carcinoma (HCC) with lymph node metastases (LNM), and evaluate their impacts on planning target volume (PTV) margins and dosimetry.</div></div><div><h3>Methods</h3><div>This retrospective cohort study of 34 HCC patients with LNM (VB group: n = 17; AC group: n = 17) was performed. Setup errors were verified by cone-beam CT (CBCT), and PTV margins were calculated using the van Herk formula (MPTV = 2.5Σ+0.7σ). Dosimetric parameters (conformity index, CI; homogeneity index, HI) and organ-at-risk (OAR) doses were compared.</div></div><div><h3>Results</h3><div>The VB group demonstrated significantly smaller calculated PTV margins in the superior-inferior (Y-axis) direction (0.32 cm vs. 0.57 cm, p = 0.001). Systematic errors (Σ) were lower for VB in the X and Y axes, while random errors (σ) were lower in the Z-axis. Dosimetrically, the VB group achieved significantly better dose conformity (CI: 0.24 ± 1.09 % vs. −0.76 ± 1.50 %, p = 0.04). No statistically significant differences were observed in other PTV parameters (Dmax, Dmean, TC, HI) or in the majority of OAR dose parameters, although a trend favoring VB was noted in several instances (e.g., Liver V30, p = 0.04).</div></div><div><h3>Conclusion</h3><div>For HCC patients with LNM undergoing IMRT, vacuum bag fixation significantly reduces PTV margins along the superior-inferior direction and improves dose conformity compared to abdominal compression, offering a potential for optimized treatment planning.</div></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":"19 1","pages":"Article 102166"},"PeriodicalIF":2.5,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146034487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Magnetic resonance imaging semi-quantitative evaluation of cartilage damage in patients with knee osteoarthritis 膝骨关节炎患者软骨损伤的磁共振成像半定量评价
IF 2.5 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-20 DOI: 10.1016/j.jrras.2026.102173
Songbin Yang , Xu Cui , Maohua Pang , Dandan Lv , Jichun Wu , Ying Li , Juhua Zhang

Objective

This study aimed to develop and validate an improved U-Net model for optimizing knee MRI reconstruction and used these optimized images to perform semi-quantitative assessments of cartilage damage severity in patients with knee osteoarthritis (KOA), as well as to explore the association between cartilage damage and subchondral bone marrow edema.

Methods

The improved U-shaped network (U-net) was utilized for optimizing the MRI images, and the network reconstruction time, structural similarity index measure (SSIM), and peak signal-to-noise ratio (PSNR) were analyzed. 108 patients with KOA who underwent magnetic resonance examination were included as the research objects. After the patients were divided into normal, mild, and severe groups, their grades of semi-quantitative evaluation of cartilage damage were analyzed.

Results

The SSIM of the improved U-net was significantly higher than that of the original U-net, and the difference between the reconstructed images and the original images was highly reduced. MRI could show the types of cartilage damage in the knee joint. An MRI system with the improved U-net model improved the quality of MRI images of KOA patients. The improved U-net achieved a mean PSNR of 42.7 dB and SSIM of 0.94 at a 20 % sampling rate, representing a 15 % and 10 % improvement over the standard U-net, respectively. After the improvement, the reconstruction time of the U-net became shorter. There was a statistically significant difference in the probability of cartilage injury grades I–IV occurring among subchondral bone marrow edema grades 1–3 (Z = 5.098, P < 0.05).

Conclusion

The semi-quantitative MRI assessment facilitated by the improved U-net shows promise for accurately displaying and grading articular cartilage damage in KOA. Further validation against arthroscopic findings and in multi-center cohorts is warranted before clinical adoption can be considered. In conclusion, the improved U-net provided knee MRI reconstructions with superior quantitative quality and speed. Using these images, semi-quantitative assessment revealed a significant association between the severity of subchondral bone marrow edema and cartilage injury grade, demonstrating the method's potential for structured image evaluation in KOA.
本研究旨在开发和验证一种改进的U-Net模型,用于优化膝关节MRI重建,并使用这些优化后的图像对膝关节骨关节炎(KOA)患者软骨损伤严重程度进行半定量评估,并探讨软骨损伤与软骨下骨髓水肿之间的关系。方法采用改进的u型网络(U-net)对MRI图像进行优化,并对网络重构时间、结构相似指数(SSIM)和峰值信噪比(PSNR)进行分析。选取108例行磁共振检查的KOA患者作为研究对象。将患者分为正常组、轻度组和重度组,分析其软骨损伤半定量评价等级。结果改进U-net的SSIM显著高于原始U-net,重构图像与原始图像之间的差异大大减小。MRI可以显示膝关节软骨损伤的类型。改进U-net模型的MRI系统提高了KOA患者的MRI图像质量。改进后的U-net在20%的采样率下实现了42.7 dB的平均PSNR和0.94的SSIM,分别比标准U-net提高了15%和10%。改进后的U-net重构时间大大缩短。软骨下骨髓水肿1 ~ 3级患者发生i ~ iv级软骨损伤的概率差异有统计学意义(Z = 5.098, P < 0.05)。结论改进的U-net辅助的半定量MRI评估有望准确显示和分级KOA的关节软骨损伤。在考虑临床应用之前,需要对关节镜检查结果和多中心队列进行进一步验证。总之,改进的U-net提供了更好的定量质量和速度的膝关节MRI重建。利用这些图像,半定量评估揭示了软骨下骨髓水肿的严重程度与软骨损伤等级之间的显著关联,证明了该方法在KOA中结构化图像评估的潜力。
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引用次数: 0
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Journal of Radiation Research and Applied Sciences
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