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Consistency and repeatability of CT and MRI in measurement of spinal canal area in patients with lumbar spinal stenosis 腰椎管狭窄症CT与MRI测量椎管面积的一致性与重复性
Q4 Medicine Pub Date : 2021-08-28 DOI: 10.12307/2021.097
Tianhu Yang, Tang Chao, Liao Yehui, Tang Qiang, M. Fei, Zhong Dejun
BACKGROUND: The domestic and overseas scholars have conducted a large number of studies on the measurement of spinal canal area in patients with lumbar spinal stenosis by CT and MRI. However, due to differences of individuals, spinal canal morphologys, measurement methods and measurement planes, there is no recognized measurement standard and value for the measurement of lumbar spinal canal area at present. There are few reports to evaluate the consistency and repeatability of CT and MRI in measuring lumbar spinal canal area. OBJECTIVE: To analyze the consistency and repeatability of three-dimensional reconstruction CT and MRI in measuring the cross-sectional area of lumbar spinal stenosis, and to explore the best imaging measurement method for the cross-sectional area of lumbar spinal stenosis. METHODS: The preoperative imaging data of 102 patients with lumbar spinal stenosis who underwent surgical treatment in Department of Spinal surgery, the Affiliated Hospital of Southwest Medical University from January 2013 to January 2018 with three-dimensional reconstruction CT and lumbar MRI were collected. The corresponding spinal canal area of each narrow intervertebral disc on three-dimensional reconstruction CT and lumbar MRI images was measured by two spinal surgeons at three different time points. The spinal canal area corresponding to the midline plane of the narrow intervertebral disc parallel to the lower endplate of the upper vertebral body was selected for measurement. Paired t-test was used to analyze the difference in spinal canal area between the results of the two methods. Pearson correlation analysis was used to evaluate the correlation between the results of spinal canal area between the two methods. Intraclass correlation coefficient and Bland-Altman plot were used to analyze the consistency and repeatability of the two methods in measuring the area of narrow lumbar spinal canal. Z-test was used to compare the ICC values of interobserver and intraobserver in measurement of narrow lumbar spinal canal area by the two methods. The protocols were approved by the Affiliated Hospital of Southwest Medical University Ethics Committee (approval No. KY2020176). RESULTS AND CONCLUSION: (1) The values of narrow lumbar spinal canal measured by three-dimensional reconstruction CT and MRI were (136.28±2.38) mm and (139.98±2.30) mm; there were significant differences between them (t=-3.96, P < 0.001). Pearson correlation analysis showed that there was a positive correlation between three-dimensional reconstruction CT and MRI measurement of narrow lumbar spinal canal area (r=0.950, P < 0.001). (2) The values of interobserver ICC and intraobserver ICC were 0.908-0.937 and 0.942-0.971. The values of interobserver ICC and intraobserver ICC measured by lumbar MRI were higher than those measured by three-dimensional reconstruction CT (P < 0.05). (3) Bland-Altman plot showed that the 95% distribution range of the difference of spinal canal area between the t
背景:国内外学者对腰椎管狭窄症患者椎管面积的CT和MRI测量进行了大量研究。然而,由于个体、椎管形态、测量方法和测量平面的差异,目前对腰椎管面积的测量还没有公认的测量标准和价值。很少有报道评估CT和MRI测量腰椎管面积的一致性和可重复性。目的:分析三维重建CT和MRI测量腰椎管狭窄症截面积的一致性和重复性,探讨最佳的腰椎管狭狭窄截面积成像测量方法。方法:收集2013年1月至2018年1月在西南医科大学附属医院脊柱外科接受手术治疗的102例腰椎管狭窄症患者的三维重建CT和腰椎MRI的术前影像学资料。两名脊柱外科医生在三个不同的时间点测量了三维重建CT和腰椎MRI图像上每个狭窄椎间盘的相应椎管面积。选择与平行于上椎体下端板的狭窄椎间盘中线平面相对应的椎管面积进行测量。采用配对t检验分析两种方法的椎管面积差异。采用Pearson相关分析法评价两种方法椎管面积测量结果之间的相关性。采用组内相关系数和Bland-Altman图分析两种方法测量狭窄腰椎管面积的一致性和重复性。Z检验用于比较两种方法测量狭窄腰椎管面积时观察者间和观察者内的ICC值。该方案经西南医科大学附属医院伦理委员会批准(批准号:KY2020176)。结果与结论:(1)三维重建CT和MRI测量的狭窄腰椎管的值分别为(136.28±2.38)mm和(139.98±2.30)mm;Pearson相关分析表明,三维重建CT与MRI测量腰椎管狭窄面积呈正相关(r=0.950,P<0.001)。(2)观察者间ICC值和观察者内ICC值分别为0.908-0.937和0.942-0.971。腰椎MRI测量的观察者间ICC和观察者内ICC值均高于三维重建CT测量的值(P<0.05)。(3)Bland-Altman图显示,两种方法椎管面积差异的95%分布范围为-8.0-5.5mm,占3.66%。(4)结果显示,三维重建CT与MRI在椎管面积上有显著差异,但有很强的正相关性。两种影像学检查测量椎管狭窄面积的一致性和重复性较好,但腰椎MRI测量椎管狭窄区域的一致性及重复性优于三维重建CT。
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引用次数: 0
Three-dimensional finite element analysis of a new three-dimensional printed porous fusion cage for cervical vertebra 新型三维印制多孔颈椎融合器的三维有限元分析
Q4 Medicine Pub Date : 2021-08-28 DOI: 10.12307/2021.084
Shu Qihang, Liao Yijia, Xu Jingbo, Yan Yiguo, Wang Cheng
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引用次数: 0
Etiology and treatment of femoral trochlear dysplasia: congenital genetic determination or stress stimulation of patella 股骨滑车发育不良的病因和治疗:先天性遗传决定或髌骨应激刺激
Q4 Medicine Pub Date : 2021-08-28 DOI: 10.12307/2021.101
Zhou Yuanbo, Wang Jindong
{"title":"Etiology and treatment of femoral trochlear dysplasia: congenital genetic determination or stress stimulation of patella","authors":"Zhou Yuanbo, Wang Jindong","doi":"10.12307/2021.101","DOIUrl":"https://doi.org/10.12307/2021.101","url":null,"abstract":"","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3908"},"PeriodicalIF":0.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46476434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MRI findings of anatomical variations of the talus 距骨解剖变异的MRI表现
Q4 Medicine Pub Date : 2021-08-28 DOI: 10.12307/2021.098
Yi Meizhi, Lu Guanghua, Xiao Yawen, Hu Rong, C. Xiaolong, Zhao Heng
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引用次数: 0
Molecular mechanism of anhydroicaritin in the treatment of osteoarthritis: an analysis based on network pharmacology and bioinformatics 基于网络药理学和生物信息学的骨性关节炎的分子机制分析
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.043
Chen Feng, Zhang Xiaoyun, Chen Yueping, Liao Jianzhao, Li Jiajun, Song Shilei, Lai Yu
BACKGROUND: Modern pharmacological studies have shown that anhydroicaritin has an estrogen-like effect and plays a very positive role in the treatment of osteoarthritis. Because of anhydroicaritin's unclear mechanism underlying the treatment of osteoarthritis at the molecular level, network pharmacology and bioinformatics are introduced to explain the potential molecular mechanism of anhydroicaritin in the treatment of osteoarthritis. This can provide a theoretical basis for future drug development and disease treatment. OBJECTIVE: To preliminarily analyze the key molecular mechanism of anhydroicaritin in the treatment of osteoarthritis based on network pharmacology and bioinformatics, thereby providing new potential targets in treating osteoarthritis. METHODS: The pharmacokinetic properties of anhydroicaritin were assessed using TCMSP database. The GEO databases were searched for chips related to anhydroicaritin and osteoarthritis. The differentially expressed genes were analyzed by R language. Then protein-protein interaction networks of anhydroicaritin and osteoarthritis-related differential genes were respectively constructed to screen the hub genes of anhydroicaritin in the treatment of osteoarthritis, and molecular docking verification between anhydroicaritin and hub genes was performed. Finally, the DAVID database was used to enrich the hub genes for GO and KEGG pathway analysis. RESULTS AND CONCLUSION: The oral bioavailability and drug-likeness of anhydroicaritin were 45.41% and 0.44, respectively. The anhydroicaritin and osteoarthritis chips numbered GSE85871 and GSE1919 respectively were obtained in the GEO database, and the R language analysis screened out 152 and 1 142 differential genes, respectively. The GeneMANIA database was used to construct the protein-protein interaction networks of the targets of anhydroicaritin and osteoarthritis, and 44 hub genes were merged by R language. We used molecular docking to find that anhydroicaritin and hub genes have good binding activity. The enrichment analysis of the DAVID database showed that the biological process of anhydroicaritin in the treatment of osteoarthritis included responses to calcium and metal ions, steroid hormone, and organophosphorus. The signaling pathway mainly involved included MAPK signaling pathway, osteoclast differentiation signaling pathway, PI3K-AKT signaling pathway, and interleukin-17 signaling pathway. Network pharmacology and bioinformatics could be used to effectively analyze the original gene chip data of GEO database, which could not only identify the known signal pathways related to the treatment of osteoarthritis with anhydroicaritin, but also find out some new pathways or biological processes. Anhydroicaritin is expected to be a new molecule in the treatment of osteoarthritis.
背景:现代药理学研究表明,硬石膏具有雌激素样作用,在骨关节炎的治疗中起着非常积极的作用。由于硬石膏在分子水平上治疗骨关节炎的机制尚不清楚,因此引入网络药理学和生物信息学来解释硬石膏治疗骨关节病的潜在分子机制。这可以为未来的药物开发和疾病治疗提供理论依据。目的:基于网络药理学和生物信息学,初步分析硬石膏治疗骨关节炎的关键分子机制,为骨关节炎治疗提供新的潜在靶点。方法:采用TCMSP数据库评价硬石膏的药代动力学特性。在GEO数据库中搜索与硬石膏和骨关节炎相关的芯片。差异表达基因采用R语言进行分析。然后分别构建硬石膏和骨关节炎相关差异基因的蛋白质-蛋白质相互作用网络,筛选硬石膏治疗骨关节炎的hub基因,并对硬石膏和hub基因进行分子对接验证。最后,使用DAVID数据库来丰富GO和KEGG通路分析的枢纽基因。结果与结论:硬石膏的口服生物利用度和药物相似性分别为45.41%和0.44。在GEO数据库中获得编号分别为GSE85871和GSE1919的硬石膏和骨关节炎芯片,R语言分析分别筛选出152个和1142个差异基因。利用GeneMANIA数据库构建硬石膏和骨关节炎靶点的蛋白质-蛋白质相互作用网络,用R语言融合44个hub基因。我们利用分子对接发现,硬石膏和hub基因具有良好的结合活性。DAVID数据库的富集分析表明,硬石膏治疗骨关节炎的生物学过程包括对钙和金属离子、类固醇激素和有机磷的反应。主要涉及的信号通路包括MAPK信号通路、破骨细胞分化信号通路、PI3K-AKT信号通路和白细胞介素17信号通路。利用网络药理学和生物信息学可以有效地分析GEO数据库的原始基因芯片数据,不仅可以识别与硬石膏治疗骨关节炎相关的已知信号通路,还可以发现一些新的通路或生物学过程。硬脊胶有望成为治疗骨关节炎的一种新分子。
{"title":"Molecular mechanism of anhydroicaritin in the treatment of osteoarthritis: an analysis based on network pharmacology and bioinformatics","authors":"Chen Feng, Zhang Xiaoyun, Chen Yueping, Liao Jianzhao, Li Jiajun, Song Shilei, Lai Yu","doi":"10.12307/2021.043","DOIUrl":"https://doi.org/10.12307/2021.043","url":null,"abstract":"BACKGROUND: Modern pharmacological studies have shown that anhydroicaritin has an estrogen-like effect and plays a very positive role in the treatment of osteoarthritis. Because of anhydroicaritin's unclear mechanism underlying the treatment of osteoarthritis at the molecular level, network pharmacology and bioinformatics are introduced to explain the potential molecular mechanism of anhydroicaritin in the treatment of osteoarthritis. This can provide a theoretical basis for future drug development and disease treatment. OBJECTIVE: To preliminarily analyze the key molecular mechanism of anhydroicaritin in the treatment of osteoarthritis based on network pharmacology and bioinformatics, thereby providing new potential targets in treating osteoarthritis. METHODS: The pharmacokinetic properties of anhydroicaritin were assessed using TCMSP database. The GEO databases were searched for chips related to anhydroicaritin and osteoarthritis. The differentially expressed genes were analyzed by R language. Then protein-protein interaction networks of anhydroicaritin and osteoarthritis-related differential genes were respectively constructed to screen the hub genes of anhydroicaritin in the treatment of osteoarthritis, and molecular docking verification between anhydroicaritin and hub genes was performed. Finally, the DAVID database was used to enrich the hub genes for GO and KEGG pathway analysis. RESULTS AND CONCLUSION: The oral bioavailability and drug-likeness of anhydroicaritin were 45.41% and 0.44, respectively. The anhydroicaritin and osteoarthritis chips numbered GSE85871 and GSE1919 respectively were obtained in the GEO database, and the R language analysis screened out 152 and 1 142 differential genes, respectively. The GeneMANIA database was used to construct the protein-protein interaction networks of the targets of anhydroicaritin and osteoarthritis, and 44 hub genes were merged by R language. We used molecular docking to find that anhydroicaritin and hub genes have good binding activity. The enrichment analysis of the DAVID database showed that the biological process of anhydroicaritin in the treatment of osteoarthritis included responses to calcium and metal ions, steroid hormone, and organophosphorus. The signaling pathway mainly involved included MAPK signaling pathway, osteoclast differentiation signaling pathway, PI3K-AKT signaling pathway, and interleukin-17 signaling pathway. Network pharmacology and bioinformatics could be used to effectively analyze the original gene chip data of GEO database, which could not only identify the known signal pathways related to the treatment of osteoarthritis with anhydroicaritin, but also find out some new pathways or biological processes. Anhydroicaritin is expected to be a new molecule in the treatment of osteoarthritis.","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3704"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41974190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpretation of diagnostic criteria for cervicogenic headache: challenges and understandings in diagnosis and differential diagnosis 颈源性头痛诊断标准的解读:诊断和鉴别诊断中的挑战和理解
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.049
Liu Zhiwei, X. Rui, S. Kai, Liang Kaiming, Wang Xiongwei, Z. Jiawen, Zhu Liguo
{"title":"Interpretation of diagnostic criteria for cervicogenic headache: challenges and understandings in diagnosis and differential diagnosis","authors":"Liu Zhiwei, X. Rui, S. Kai, Liang Kaiming, Wang Xiongwei, Z. Jiawen, Zhu Liguo","doi":"10.12307/2021.049","DOIUrl":"https://doi.org/10.12307/2021.049","url":null,"abstract":"","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3746"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49479204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamic changes of mitochondrial function of the skeletal muscle after acupuncture intervention in rats with heavy load exercise-induced injury 针刺干预大鼠大负荷运动性损伤后骨骼肌线粒体功能的动态变化
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.034
Bai Shengchao, Gao Yang, Wang Bo, Li Junping, Wang Ruiyuan
{"title":"Dynamic changes of mitochondrial function of the skeletal muscle after acupuncture intervention in rats with heavy load exercise-induced injury","authors":"Bai Shengchao, Gao Yang, Wang Bo, Li Junping, Wang Ruiyuan","doi":"10.12307/2021.034","DOIUrl":"https://doi.org/10.12307/2021.034","url":null,"abstract":"","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3648"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42057508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of functional near-infrared spectroscopy in recent 10 years: a visual analysis using CiteSpace 近10年来功能性近红外光谱的发展:CiteSpace的视觉分析
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.044
Fan Jin, Zeng Luyao, Dongling Zhong, Lian Yuxi, Yanping Tian, Huang Yijie, Rongjiang Jin
{"title":"Development of functional near-infrared spectroscopy in recent 10 years: a visual analysis using CiteSpace","authors":"Fan Jin, Zeng Luyao, Dongling Zhong, Lian Yuxi, Yanping Tian, Huang Yijie, Rongjiang Jin","doi":"10.12307/2021.044","DOIUrl":"https://doi.org/10.12307/2021.044","url":null,"abstract":"","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3711"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44539331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Selection of modeling methods for acute compressive spinal cord injury: a network Meta-analysis 急性压缩性脊髓损伤建模方法的选择:网络Meta分析
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.052
Xu Weilong, Zuo Yuan, Xin Daqi, He Chenyang, Zhao Peng, Shi Ming, Zhou Boyuan, Liu Yating, Zhao Yan
{"title":"Selection of modeling methods for acute compressive spinal cord injury: a network Meta-analysis","authors":"Xu Weilong, Zuo Yuan, Xin Daqi, He Chenyang, Zhao Peng, Shi Ming, Zhou Boyuan, Liu Yating, Zhao Yan","doi":"10.12307/2021.052","DOIUrl":"https://doi.org/10.12307/2021.052","url":null,"abstract":"","PeriodicalId":35055,"journal":{"name":"中国组织工程研究","volume":"25 1","pages":"3767"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44637847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cold therapy promotes self-limited recovery of delayed-onset muscle soreness 冷疗法促进延迟性肌肉酸痛的自我限制性恢复
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.12307/2021.027
Jiang Xiaoyan, Zhu Haifei, Lin Haiqi, Lin Wentao
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中国组织工程研究
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