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Analysis of Xgamma distribution using adaptive Type-I progressively censored competing risks data with applications 利用自适应 I 型逐步删减竞争风险数据分析 Xgamma 分布及其应用
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-02 DOI: 10.1016/j.jrras.2024.101051

This paper considers the competing risks model with two causes of death to analyze time-to-event data for a group of male mice exposed to three hundred roentgen radiation for 5–6 weeks. The analysis is based on the assumption that the parent distribution is the Xgamma distribution and the data are gathered using an adaptive Type-I progressively censored sample. Two estimation approaches are considered to complete the analysis: maximum likelihood and Bayesian methods. Besides acquiring the estimations of the model parameters, the estimations of the reliability and failure rate are also discussed. Both point and interval estimates using both estimation approaches are studied. In Bayesian estimations, the squared error loss function is used and the Markov Chain Monte Carlo technique is proposed to get samples from the joint posterior distribution. The various methods are compared using simulation studies to compare their performance. The mentioned radiation data set is investigated and the analysis showed the suitability of the competing risks model with Xgamma distribution to analyze the data and to estimate the reliability metrics.

本文考虑了两种死亡原因的竞争风险模型,分析了一组雄性小鼠暴露于 300 伦琴辐射 5-6 周的时间到事件数据。分析基于母体分布为 Xgamma 分布的假设,并使用自适应 I 型逐步删减样本收集数据。为完成分析,考虑了两种估计方法:最大似然法和贝叶斯法。除了获取模型参数的估计值,还讨论了可靠性和故障率的估计值。对这两种估计方法的点估计和区间估计都进行了研究。在贝叶斯估计法中,使用了平方误差损失函数,并提出了从联合后验分布中获取样本的马尔可夫链蒙特卡罗技术。通过模拟研究比较了各种方法的性能。对上述辐射数据集进行了研究,分析结果表明,具有 Xgamma 分布的竞争风险模型适用于分析数据和估计可靠性指标。
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引用次数: 0
A Multicentric study on a dosimetric comparison of extended SSD technique, VMAT-Based and helical tomotherapy (HT) for total body irradiation (TBI) 关于扩展 SSD 技术、基于 VMAT 的螺旋断层疗法 (HT) 在全身照射 (TBI) 中的剂量学比较的多中心研究
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-01 DOI: 10.1016/j.jrras.2024.101050

Purpose

In study, it was aimed to evaluate the dose volume histograms (DVH) of extended SSD technique, VMAT-based, and helical tomotherapy plans dosimetrically in a multi-institutional context to achieve higher plan quality and to harmonize total body irradiation plans.

Methods

Four different clinical centers participated in the study. The CT images of ten patients were used in this study. During the first phase, ten patients enrolled for TBI were planned by multiple centers according to a common protocol. During the second phase, all centers shared their plans’ DVHs. Treatment plans were evaluated according to the critical organ dose limits. Statistical analysis was performed in the SPSS (version 22.0) program (p < 0.05).

Results

In study, the results indicated that there was a statistically significant and considerable difference in the dose coverage of PTV, beam delivery time and MU, lens doses, and kidney doses between the four techniques (p < 0.001). The mean lung doses of the four centers were below 10 Gy. No significant difference in maximum liver doses between plans was obtained.

Conclusion

In conclusion, although four treatment techniques were suitable for TBI treatment, more homogeneous dose distribution, and lower critical organ doses were obtained with the tomotherapy technique. However, treatment time, MU, and dose rate for lung were disadvantages of the tomotherapy technique. When it comes to deciding on the TBI treatment method, it need to be reviewed some important points. It is needed to sufficient data on long-term results to be able to standardize TBI techniques between centers.

这项研究的目的是在多机构背景下评估扩展 SSD 技术、基于 VMAT 和螺旋断层治疗计划的剂量体积直方图(DVH),以获得更高的计划质量并协调全身照射计划。四个不同的临床中心参与了这项研究。本研究使用了十名患者的 CT 图像。在第一阶段,十名接受全身照射的患者由多个中心根据共同的方案进行计划。在第二阶段,所有中心共享各自计划的 DVH。根据关键器官剂量限制对治疗方案进行评估。统计分析在 SPSS(22.0 版)程序中进行(P < 0.05)。研究结果表明,四种技术在PTV的剂量覆盖率、射束传输时间和MU、晶状体剂量和肾脏剂量方面存在显著的统计学差异(P < 0.001)。四个中心的平均肺部剂量均低于 10 Gy。不同方案的肝脏最大剂量无明显差异。总之,虽然四种治疗技术都适用于创伤性脑损伤治疗,但断层治疗技术获得的剂量分布更均匀,临界器官剂量更低。然而,治疗时间、MU和肺部剂量率是断层治疗技术的缺点。在决定 TBI 治疗方法时,需要回顾一些要点。需要有足够的长期结果数据,以便在不同中心之间统一 TBI 技术。
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引用次数: 0
Gastric ultrasonic contrast for the diagnosis of infiltration depth in gastric carcinoma: A comprehensive meta-analysis 用于诊断胃癌浸润深度的胃超声造影剂:综合荟萃分析
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-01 DOI: 10.1016/j.jrras.2024.101046
Liang Wang, Xiaoshan Gao, Zuozhen Huang
As one of the more widely recognized forms of complementary and alternative medicine in the world, traditional Chinese medicine (TCM) has proven effective in the prevention and treatment of the transition “from gastritis to gastric cancer” according to its theories. Early identification of gastric carcinoma (GC) and precise evaluation of infiltration depth in GC before the surgery is crucial for determining the appropriate surgical approach and improving patient prognosis. Gastric filling ultrasonography (GFUS) has become a cost-effective, non-intrusive clinical option to evaluate tumor infiltration depth. It provides robust support for the prevention and treatment of the “from gastritis to gastric cancer” transition in TCM, ensuring the efficacy of TCM while effectively reducing the possibility of delayed GC treatment. This study aimed to assess the effect of GFUS for the diagnosis of infiltration depth in gastric carcinoma. From January 2000 to June 2024, a thorough literature search was carried out in 9 common Chinese and English databases. Include the literature that reported on the effect of GFUS on diagnosis T staging in gastric cancer, included at least 40 patients, and used histopathology as the reference standard. Data extracted included sensitivity, specificity, and diagnostic odds ratios (DORs). Meta-analyses were performed applying the bivariate random-effects (RE) method. Nineteen literature were finally included, comprising 2574 patients. The sensitivity (sen) and specificity (spe) of GFUS for T1 were 0.640 (0.574–0.703) and 0.973 (0.963–0.981). For T2, sen was 0.686 (0.634–0.734) and spe was 0.906 (0.888–0.922). T3 staging sen and spe were 0.795 (0.760–0.827) and 0.849 (0.825–0.872), while T4 staging sen and spe were 0.833 (0.791–0.870) and 0.943 (0.928–0.956). The summary receiver operating curve (sROC) demonstrated, the area under the curve (AUC) for T1, T2, T3, T4 were 0.9779, 0.8392, 0.8938, 0.9517, underscoring the diagnostic utility of GFUS. This meta-analysis highlights the high evaluating effect of GFUS for infiltration depth in GC, particularly for advanced T stages (T3 and T4). GFUS offers a reliable, non-invasive diagnostic alternative, especially valuable in resource-limited settings. Future research should focus on standardizing ultrasonographic techniques and integrating GFUS with other diagnostic modalities to enhance its clinical utility.
作为世界上较广泛认可的补充和替代医学形式之一,传统中医理论在预防和治疗 "从胃炎到胃癌 "的转变方面被证明是有效的。胃癌(GC)的早期识别和手术前对胃癌浸润深度的精确评估,对于确定合适的手术方式和改善患者预后至关重要。胃充盈超声造影(GFUS)已成为评估肿瘤浸润深度的一种经济、非侵入性临床选择。它为中医预防和治疗 "从胃炎到胃癌 "的转变提供了强有力的支持,在确保中医疗效的同时有效降低了延误胃癌治疗的可能性。本研究旨在评估GFUS诊断胃癌浸润深度的效果。自 2000 年 1 月至 2024 年 6 月,在 9 个常用中英文数据库中进行了全面的文献检索。包括报道 GFUS 对胃癌诊断 T 分期效果的文献,至少纳入 40 例患者,并以组织病理学作为参考标准。提取的数据包括敏感性、特异性和诊断几率比(DOR)。采用双变量随机效应(RE)法进行了元分析。最终纳入了 19 篇文献,包括 2574 名患者。GFUS对T1的敏感性(sen)和特异性(spe)分别为0.640(0.574-0.703)和0.973(0.963-0.981)。对于 T2,sen 为 0.686(0.634-0.734),spe 为 0.906(0.888-0.922)。T3分期的sen和spe分别为0.795(0.760-0.827)和0.849(0.825-0.872),而T4分期的sen和spe分别为0.833(0.791-0.870)和0.943(0.928-0.956)。接受者操作曲线汇总(sROC)显示,T1、T2、T3、T4 的曲线下面积(AUC)分别为 0.9779、0.8392、0.8938、0.9517,突出了 GFUS 的诊断效用。这项荟萃分析强调了 GFUS 对 GC 浸润深度的高度评估效果,尤其是对晚期 T 期(T3 和 T4)。GFUS 提供了一种可靠、无创的诊断替代方法,在资源有限的情况下尤其有价值。未来的研究应侧重于超声技术的标准化以及 GFUS 与其他诊断方式的整合,以提高其临床实用性。
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引用次数: 0
The prognostic and psychological impact of total knee arthroplasty based on radioactive CT imaging examination on the knee joint 基于膝关节放射性 CT 成像检查的全膝关节置换术的预后和心理影响
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-31 DOI: 10.1016/j.jrras.2024.101049

Total knee arthroplasty is an effective method for treating severe knee joint diseases, but the changes in patellar height and psychological state of patients after surgery are still of great concern. Select a group of patients who have undergone total knee replacement surgery as the research subjects, use radioactive CT imaging to examine the knee joints of the patients, and input them into the computer system for analysis. Based on the position, shape, and surrounding structure of the patella in the images, process them to obtain the specific value of patellar height. Radioactive CT imaging examination showed that there was a significant change in patellar height in patients after total knee arthroplasty, and the degree of change was related to the preoperative knee joint condition. The results showed that there was a significant change in patellar height in patients after total knee arthroplasty. The results of the radioactive CT imaging examination showed a significant increase in patellar height after surgery, with a significant improvement compared to before. The psychological evaluation results of the patient showed that after surgery, the patient's psychological condition significantly improved, and the levels of anxiety and depression were significantly reduced.

全膝关节置换术是治疗严重膝关节疾病的有效方法,但术后患者髌骨高度和心理状态的变化仍备受关注。选择一组接受过全膝关节置换手术的患者作为研究对象,利用放射性 CT 成像对患者的膝关节进行检查,并输入计算机系统进行分析。根据图像中髌骨的位置、形状和周围结构,对其进行处理,得出髌骨高度的具体数值。放射性 CT 成像检查显示,全膝关节置换术后患者的髌骨高度有明显变化,且变化程度与术前膝关节情况有关。结果显示,全膝关节置换术后患者的髌骨高度有明显变化。放射性 CT 成像检查结果显示,术后髌骨高度明显增加,与术前相比有明显改善。患者的心理评估结果显示,术后患者的心理状况明显改善,焦虑和抑郁程度明显降低。
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引用次数: 0
Exploration for sorting serum exosome as a measure of spinal cord injury severity 探索将血清外泌体分类作为脊髓损伤严重程度的衡量标准
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-31 DOI: 10.1016/j.jrras.2024.101048
Yanwei Li, Chun Guo, Qiong Huang, Nan Zhou, Jiajia Wang, Yingying Huang, Xin Shen, Xiaomin Yu, Hongying Shen
This study aimed to extract exosomes from the serum of rats with spinal cord injury and explore their potential as indicators for assessing the severity of spinal cord injury. Control rats were compared with rats in the mild and severe injury groups. Exosomes were isolated from rat serum using an optimized threshold condition with an ultra-high-speed flow cell sorter. Nanoparticle tracking analysis (NTA) was performed to determine the size distribution of exosomes, transmission electron microscopy (TEM) was used to observe the morphology of exosomes, and Western blot analysis was conducted to assess the expression of CD63(cluster of differentiation antigen 63) and CD9(cluster of differentiation antigen 9) proteins on the surface of exosomes. NanoFlow cytometry was utilized to evaluate the expression of CD63 and CD9. The optimal threshold condition for flow cytometry of exosomes was determined to be 0.002. Exosomes exhibited a cup-shaped morphology with a clean background. The percentages of exosomes in the control, mild injury, and severe injury groups were determined to be 6.4 × 10 particles/mL, 6.2 × 10 particles/mL, and 2.3 × 10 particles/mL, respectively. The mean sizes of exosomes were 129.25 nm ± 18.3, 117.93 nm ± 39.9, and 116.38 nm ± 36.5, respectively. The percentages of CD9 were 15.5% ± 0.037, 10.4% ± 0.082, and 7.4% ± 0.051, while the percentages of CD63 were 1.2% ± 0.025, 2.6% ± 0.067, and 1.5% ± 0.038 for the control, mild injury, and severe injury groups, respectively. Comparison analysis revealed that the diameter of exosomes in rat serum ranged from 80 nm to 150 nm. The percentage of exosomes decreased, and CD9 expression significantly decreased as the severity of spinal cord injury increased. Flow cytometry allows for the isolation of exosomes from serum with high purity and uniform particle size. The percentage of serum exosomes and the expression of CD9 may serve as potential diagnostic indicators for spinal cord injury models.
本研究旨在从脊髓损伤大鼠的血清中提取外泌体,并探索其作为评估脊髓损伤严重程度指标的潜力。对照组大鼠与轻度和重度损伤组大鼠进行了比较。使用超高速流式细胞分拣仪,在优化的阈值条件下从大鼠血清中分离出外泌体。纳米颗粒追踪分析(NTA)用于确定外泌体的大小分布,透射电子显微镜(TEM)用于观察外泌体的形态,Western 印迹分析用于评估外泌体表面 CD63(分化抗原集群 63)和 CD9(分化抗原集群 9)蛋白的表达。纳米流式细胞术用于评估 CD63 和 CD9 的表达。外泌体流式细胞仪的最佳阈值条件被确定为 0.002。外泌体呈现杯状形态,背景干净。对照组、轻度损伤组和重度损伤组的外泌体百分比分别为 6.4 × 10 颗粒/毫升、6.2 × 10 颗粒/毫升和 2.3 × 10 颗粒/毫升。外泌体的平均大小分别为 129.25 nm ± 18.3、117.93 nm ± 39.9 和 116.38 nm ± 36.5。对照组、轻度损伤组和重度损伤组的 CD9 百分比分别为 15.5% ± 0.037、10.4% ± 0.082 和 7.4% ± 0.051,CD63 百分比分别为 1.2% ± 0.025、2.6% ± 0.067 和 1.5% ± 0.038。对比分析表明,大鼠血清中外泌体的直径在 80 纳米到 150 纳米之间。随着脊髓损伤严重程度的增加,外泌体的比例下降,CD9的表达也明显减少。流式细胞术可从血清中分离出纯度高、粒径均匀的外泌体。血清外泌体的百分比和 CD9 的表达可作为脊髓损伤模型的潜在诊断指标。
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引用次数: 0
Evaluation and analysis of dynamic contrast-enhanced magnetic resonance imaging quantitative parameters in assessing therapeutic efficacy and pathological typing of patients with cervical cancer undergoing neoadjuvant chemotherapy 动态对比增强磁共振成像定量参数在评估接受新辅助化疗的宫颈癌患者疗效和病理分型中的应用评估与分析
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-31 DOI: 10.1016/j.jrras.2024.101047
Jie Cao, Zhihong Yang, Chunjing Yang, Yun Wu
It was to demonstrate the therapeutic effects of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) quantitative parameters (QPs) in cervical cancer (CC) patients undergoing neoadjuvant chemotherapy (NACT) and their role in evaluating pathological characteristics. Fifty CC patients were selected as CC group, received NACT, and underwent DCE-MRI scans pre- and post-treatment. Fifty normal cervical subjects were collected as Ctrl group. DCE-MRI QPs (K, K, V) of both groups were analyzed, along with changes in CC group before and after NACT, pathological subtypes, tumor differentiation degree, clinical staging, lymph node metastasis, and vascular invasion. The relationship between QPs and the pathological features was analyzed. The K, K, and V of CC group notably exceeded those of Ctrl group. The tumor shrinkage rate was positively correlated with the values of K, K, and V. The K value of squamous cell carcinoma (SCC) patients markedly exceeded that of adenocarcinoma patients. The K and K values of poorly differentiated tumors notably exceeded those of moderately/highly differentiated tumors. The K, K, and V values of stage IIb/III tumors notably exceeded those of stage I/Ia tumors, with all differences being considerable ( < 0.05). QPs differed inconsiderably between the two groups regarding lymph node metastasis and vascular invasion ( > 0.05). DCE-MRI QPs effectively reflect the vascular characteristics and hemodynamic changes of CC, and have evaluation value for the pathological subtypes, differentiation degree, and clinical staging of CC.
该研究旨在证明动态对比增强磁共振成像(DCE-MRI)定量参数(QPs)对接受新辅助化疗(NACT)的宫颈癌(CC)患者的治疗效果及其在评估病理特征方面的作用。选取 50 名接受新辅助化疗的宫颈癌患者作为 CC 组,在治疗前后进行 DCE-MRI 扫描。收集 50 名正常宫颈受试者作为对照组。分析两组患者的DCE-MRI QPs(K、K、V),以及NACT前后CC组的变化、病理亚型、肿瘤分化程度、临床分期、淋巴结转移和血管侵犯情况。分析了 QPs 与病理特征之间的关系。CC组的K、K和V明显高于Ctrl组。鳞状细胞癌(SCC)患者的 K 值明显高于腺癌患者。分化较差的肿瘤的 K 值和 K 值明显高于中度/高度分化的肿瘤。IIb/III 期肿瘤的 K 值、K 值和 V 值明显超过 I/Ia 期肿瘤,所有差异都相当大(0.05)。DCE-MRI QPs能有效反映CC的血管特征和血流动力学变化,对CC的病理亚型、分化程度和临床分期具有评估价值。
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引用次数: 0
Amide proton transfer MR imaging in the characterization of brain tumors: A review paper 酰胺质子转移磁共振成像在脑肿瘤特征描述中的应用:综述论文
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-29 DOI: 10.1016/j.jrras.2024.101043

Amide proton transfer (APT) magnetic resonance imaging (MR) is a new imaging technology that has shown promise in the non-invasive characterization of brain malignancies, particularly meningiomas and glioblastomas. Th works aims to evaluate the existing literature in Amide proton transfer (APT) magnetic resonance imaging (MR) to explore the efficacy of APT MR imaging in the characterization of meningiomas and glioblastomas tumors. The review gives an overview of APT MR imaging principles, examines its potential benefits and limits, and highlights the important findings from the selected research. To discover relevant research published up to the current day, a literature search was undertaken in electronic databases such as PubMed and Google Scholar. The search is based on keywords and medical terms related to APT MR imaging, meningiomas, and glioblastomas. The review gives an overview of APT MR imaging principles, examines its potential benefits and limits, and highlights the important findings from the selected research. It showed that the majority of studies found encouraging results in distinguishing meningiomas and glioblastomas from surrounding normal brain tissue using APT MR imaging. For tumor characterization, APT signal intensity assessments such as APT asymmetry analysis and APT ratio analysis were used. The work concluded that the Amide proton transfer MR imaging has the potential to be a non-invasive imaging method for the diagnosis of meningiomas and glioblastomas. It provides useful information about tumor metabolism and cellular composition, which can help with diagnosis, therapy planning, and prognosis.

酰胺质子转移(APT)磁共振成像(MR)是一种新的成像技术,在无创描述脑部恶性肿瘤,尤其是脑膜瘤和胶质母细胞瘤的特征方面显示出良好的前景。本论文旨在评估酰胺质子转移(APT)磁共振成像(MR)的现有文献,探讨 APT 磁共振成像在脑膜瘤和胶质母细胞瘤肿瘤特征描述中的功效。这篇综述概述了 APT MR 成像原理,探讨了其潜在优势和局限性,并重点介绍了所选研究的重要发现。为了发现迄今为止发表的相关研究,我们在 PubMed 和 Google Scholar 等电子数据库中进行了文献检索。搜索基于与 APT MR 成像、脑膜瘤和胶质母细胞瘤相关的关键词和医学术语。综述概述了 APT MR 成像原理,探讨了其潜在的益处和局限性,并重点介绍了所选研究的重要发现。综述显示,大多数研究发现,利用 APT MR 成像将脑膜瘤和胶质母细胞瘤与周围正常脑组织区分开来的结果令人鼓舞。在肿瘤特征描述方面,采用了 APT 信号强度评估,如 APT 不对称分析和 APT 比率分析。研究得出结论,酰胺质子传递磁共振成像有望成为诊断脑膜瘤和胶质母细胞瘤的一种无创成像方法。它提供了有关肿瘤代谢和细胞组成的有用信息,有助于诊断、治疗计划和预后。
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引用次数: 0
Uncovering the connection between Ly6ChiCD103+ myeloid cells and radiation-induced cardiac fibrosis by CyTOF 通过 CyTOF 发现 Ly6ChiCD103+ 髓系细胞与辐射诱导的心脏纤维化之间的联系
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-29 DOI: 10.1016/j.jrras.2024.101042

Several immune cell populations participate in the development of radiation-induced cardiac fibrosis. However, the underlying mechanism remains to be elucidated. Male C57BL/6 mice (8–12 weeks old) were anesthetized and exposed to a single cardiac radiation dose of 20 Gy using the small-animal radiation research platform. We conducted echocardiography and histological analysis to identify cardiac fibrosis from a functional and pathological perspective. Time-of-flight mass cytometry (CyTOF) was used to describe the compositional changes of immune cells 1, 4, and 8 weeks after cardiac irradiation in mouse peripheral blood and cardiac tissue samples. Real-time quantitative polymerase chain reaction (RT-qPCR) was used to measure CD14 and CD105 mRNA levels from peripheral blood cells in eight patients who received thoracic radiotherapy 6 months ago. We observed reduced cardiac systolic function and increased collagen deposition in cardiac tissue after irradiation. Transforming growth factor-β, tumor necrosis factor-α, and interleukin-6 expression significantly elevated in the plasma. We identified a significant increase in CD45+ immune cell levels four weeks after cardiac irradiation using CyTOF, and neutrophil, monocyte, and macrophage levels elevated in blood samples after cardiac irradiation (four weeks). In cardiac tissue samples, monocyte and macrophage levels increased after cardiac irradiation (four weeks) compared with control group. Macrophages and monocytes were further analyzed, and the proportion of Ly6ChiCD103+ myeloid cells increased after cardiac irradiation in tissue samples (four weeks). RT-qPCR revealed that CD14 expression was higher in patients with cardiac injured group than in the control group (Previous studies reported that Ly6Chi monocytes in mice are similar to CD14 + CD16 monocytes in humans). We found that Ly6ChiCD103+ myeloid cells are critical subsets in radiation-induced cardiac fibrosis and might play protective roles in the process. Ly6ChiCD103+ myeloid cells may be considered an early biomarker for detecting radiation-induced cardiac fibrosis.

有几种免疫细胞群参与了辐射诱导的心脏纤维化的发展。然而,其根本机制仍有待阐明。雄性 C57BL/6 小鼠(8-12 周大)被麻醉后,利用小动物辐射研究平台接受了单次 20 Gy 的心脏辐射剂量。我们进行了超声心动图和组织学分析,从功能和病理角度鉴定心脏纤维化。飞行时间质谱细胞计数法(CyTOF)用于描述小鼠外周血和心脏组织样本在心脏辐照 1、4 和 8 周后免疫细胞组成的变化。我们使用实时定量聚合酶链反应(RT-qPCR)测量了 6 个月前接受胸部放疗的 8 名患者外周血细胞中 CD14 和 CD105 mRNA 的水平。我们观察到照射后心脏收缩功能降低,心脏组织中胶原沉积增加。血浆中转化生长因子-β、肿瘤坏死因子-α和白细胞介素-6的表达明显升高。使用 CyTOF,我们发现心脏照射四周后,CD45 免疫细胞水平明显升高,心脏照射四周后,血液样本中的中性粒细胞、单核细胞和巨噬细胞水平升高。与对照组相比,心脏照射(四周)后心脏组织样本中的单核细胞和巨噬细胞水平升高。对巨噬细胞和单核细胞进行了进一步分析,发现心脏照射(四周)后组织样本中 Ly6CCD103 髓系细胞的比例增加。RT-qPCR 显示,心脏损伤组患者的 CD14 表达高于对照组(先前的研究报告显示,小鼠的 Ly6C 单核细胞与人类的 CD14 + CD16 单核细胞相似)。我们发现,Ly6CCD103 髓系细胞是辐射诱导的心脏纤维化的关键亚群,并可能在这一过程中发挥保护作用。Ly6CCD103髓系细胞可被视为检测辐射诱导的心脏纤维化的早期生物标志物。
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引用次数: 0
Radiological segmentation of knee meniscus ultrasound images based on boundary constraints and multi-scale fusion network 基于边界约束和多尺度融合网络的膝关节半月板超声图像放射学分割
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-29 DOI: 10.1016/j.jrras.2024.101037

Knee osteoarthritis (KOA) is one of the most popular joint diseases endangering human health because of its high incidence, disability, and younger onset. However, there is no suitable method for early diagnosis, evaluation, and treatment of KOA. In recent years, some clinical studies have found that ultrasound can detect early changes in KOA in advance, and the automatic segmentation of ultrasound images can achieve rapid and effective quantitative research on KOA. However, in ultrasound images, the soft tissue boundaries of the lesion are blurred, making lesion segmentation difficult. Although the U-Net family is one of the best networks for image segmentation, they still have defects such as blurred segmentation boundaries, distorted morphology, and insufficient accuracy when segmenting ultrasound images. To address this issue, we added attention, atrous spatial pyramid pooling (ASSP), and edge loss function terms into the Unet3+ network, which improved the contour clarity and accuracy of output images (the improved Unet3+ Dice acc = 78.74%. Then, we extract the key features of the improved Unet3+ for outputting meniscus images: calculating meniscus area and distance, where the average accuracy of the area is: area_ avg_ acc = 91.12%, with an average distance accuracy of distance_ avg_ acc = 91.14%. This thesis creates a new dataset collection from West China Hospital, Sichuan University, and automated measurement of knee meniscus protrusion area has been achieved for the first time. This article is the first to apply deep learning to ultrasound image segmentation of the knee meniscus, helping doctors conduct qualitative and quantitative analysis of the diagnosis and treatment of early KOA. The results indicate that the improved Unet3+ can assist doctors in automatically diagnosing and evaluating KOA based on meniscus ultrasound images, which is beneficial for guiding early clinical intervention.

膝关节骨关节炎(KOA)因其发病率高、致残率高、发病年龄小等特点,成为危害人类健康的最常见关节疾病之一。然而,目前还没有合适的方法对 KOA 进行早期诊断、评估和治疗。近年来,一些临床研究发现,超声波可以提前发现 KOA 的早期变化,对超声图像进行自动分割可以实现对 KOA 快速有效的定量研究。然而,在超声图像中,病变的软组织边界比较模糊,因此病变分割比较困难。虽然 U-Net 系列是图像分割的最佳网络之一,但它们在分割超声图像时仍存在分割边界模糊、形态扭曲和准确性不足等缺陷。针对这一问题,我们在 Unet3+ 网络中加入了注意力、无性空间金字塔池化(ASSP)和边缘损失函数项,从而提高了输出图像的轮廓清晰度和准确性(改进后的 Unet3+ Dice acc = 78.74%)。然后,我们提取了改进后的 Unet3+ 输出半月板图像的关键特征:计算半月板面积和距离,其中面积的平均准确率为:area_ avg_ acc = 91.12%,距离的平均准确率为:distance_ avg_ acc = 91.14%。本论文从四川大学华西医院采集了新的数据集,首次实现了膝关节半月板突出面积的自动测量。本文首次将深度学习应用于膝关节半月板超声图像分割,帮助医生对早期KOA的诊断和治疗进行定性和定量分析。结果表明,改进后的Unet3+可以帮助医生根据半月板超声图像自动诊断和评估KOA,有利于指导早期临床干预。
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引用次数: 0
Mechanical and, photon transmission properties of rare earth element (REE) doped BaO–B2O3–Li2O–Al2O3–P2O5 glasses for protection applications 用于保护应用的掺稀土元素 (REE) BaO-B2O3-Li2O-Al2O3-P2O5 玻璃的机械和光子传输特性
IF 1.7 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-24 DOI: 10.1016/j.jrras.2024.101041

This study explores the dual functional capabilities of rare earth (REE) doped BaO–B2O3–Li2O–Al2O3–P2O5 glasses, with an emphasis on the 1.50Dy-Tb-Eu composition, previously recognized for its superior luminescent properties. By employing Monte Carlo simulations and Phy-X/PSD software, we have methodically evaluated the gamma-ray and neutron shielding efficacies of these materials. Our key findings indicate that the 1.50Dy-Tb-Eu sample not only excels in luminescence but also demonstrates superior gamma-ray shielding, characterized by low exposure buildup factors, and other related properties across varying energy spectra. Furthermore, the Tb-Eu3.0 variant, enriched with the highest Europium (Eu) content among the bi-REE doped glasses, exhibited the most effective neutron attenuation. Additionally, our investigation into the mechanical properties of these glasses, through the estimation of their Elastic Moduli using a mixture rule approach, revealed a significant enhancement in stiffness with the incorporation of Dy, Eu, and Tb. The mechanical properties were evaluated using a mixture rule approach to estimate the Elastic Moduli. This highlights the crucial role of these dopants in not only improving the luminescent and radiation shielding capabilities but also in strengthening the mechanical integrity of the glasses. The study substantiates the premise that the integration of specific REE elements significantly enhances the glass materials' shielding properties without compromising their luminescent functionality. The obtained findings would be significant for implications on the development of advanced materials tailored for industries where high optical quality, effective radiation protection, and robust mechanical properties are paramount. It can be concluded that Dy-Tb-Eu incorporation into BaO–B2O3–Li2O–Al2O3–P2O5 glasses can be considered as a monotonic strategy to achieve a harmonious balance between luminescence, radiation shielding, and mechanical performance.

本研究探讨了掺杂稀土 (REE) 的 BaO-B2O3-Li2O-Al2O3-P2O5 玻璃的双重功能,重点是 1.50Dy-Tb-Eu 成分,这种成分曾因其卓越的发光特性而得到认可。通过使用蒙特卡罗模拟和 Phy-X/PSD 软件,我们有条不紊地评估了这些材料的伽马射线和中子屏蔽效能。我们的主要研究结果表明,1.50Dy-Tb-Eu 样品不仅在发光方面表现出色,而且在伽马射线屏蔽方面也很出色,其特点是辐照堆积因子低,而且在不同能谱范围内还具有其他相关特性。此外,在掺杂双REE 的玻璃中,Tb-Eu3.0 变体的铕(Eu)含量最高,表现出最有效的中子衰减。此外,通过使用混合规则估算这些玻璃的弹性模量,我们对其机械性能进行了研究,结果表明,掺入 Dy、Eu 和 Tb 后,刚度显著提高。使用混合规则法估算弹性模量时,对机械性能进行了评估。这凸显了这些掺杂剂不仅在提高发光和辐射屏蔽能力方面,而且在加强玻璃的机械完整性方面的关键作用。这项研究证实了一个前提,即在不影响发光功能的前提下,整合特定的 REE 元素可显著增强玻璃材料的屏蔽性能。研究结果将对开发适用于光学质量高、辐射防护效果好、机械性能强的行业的先进材料产生重要影响。结论是,在 BaO-B2O3-Li2O-Al2O3-P2O5 玻璃中掺入镝-铽-铕可被视为实现发光、辐射屏蔽和机械性能之间和谐平衡的一种单调策略。
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引用次数: 0
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Journal of Radiation Research and Applied Sciences
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