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Clinical Validation of a Real-Time Machine Learning-based System for the Detection of Acute Myeloid Leukemia by Flow Cytometry 基于实时机器学习的流式细胞术检测急性髓性白血病系统的临床验证
Pub Date : 2024-09-17 DOI: arxiv-2409.11350
Lauren M. Zuromski, Jacob Durtschi, Aimal Aziz, Jeffrey Chumley, Mark Dewey, Paul English, Muir Morrison, Keith Simmon, Blaine Whipple, Brendan O'Fallon, David P. Ng
Machine-learning (ML) models in flow cytometry have the potential to reduceerror rates, increase reproducibility, and boost the efficiency of clinicallabs. While numerous ML models for flow cytometry data have been proposed, fewstudies have described the clinical deployment of such models. Realizing thepotential gains of ML models in clinical labs requires not only an accuratemodel, but infrastructure for automated inference, error detection, analyticsand monitoring, and structured data extraction. Here, we describe an ML modelfor detection of Acute Myeloid Leukemia (AML), along with the infrastructuresupporting clinical implementation. Our infrastructure leverages the resilienceand scalability of the cloud for model inference, a Kubernetes-based workflowsystem that provides model reproducibility and resource management, and asystem for extracting structured diagnoses from full-text reports. We alsodescribe our model monitoring and visualization platform, an essential elementfor ensuring continued model accuracy. Finally, we present a post-deploymentanalysis of impacts on turn-around time and compare production accuracy to theoriginal validation statistics.
流式细胞仪中的机器学习(ML)模型具有降低错误率、提高可重复性和提高临床实验室效率的潜力。虽然针对流式细胞仪数据提出了许多 ML 模型,但很少有研究描述了此类模型的临床应用。要在临床实验室中实现 ML 模型的潜在收益,不仅需要准确的模型,还需要用于自动推理、错误检测、分析和监控以及结构化数据提取的基础设施。在此,我们介绍了一种用于检测急性髓性白血病(AML)的 ML 模型,以及支持临床实施的基础设施。我们的基础设施利用云的弹性和可扩展性进行模型推理,利用基于 Kubernetes 的工作流系统提供模型的可重复性和资源管理,并利用系统从全文报告中提取结构化诊断结果。我们还介绍了我们的模型监控和可视化平台,这是确保模型持续准确性的重要因素。最后,我们介绍了部署后对周转时间影响的分析,并将生产准确性与最初的验证统计数据进行了比较。
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引用次数: 0
Dynamic landscapes and statistical limits on growth during cell fate specification 细胞命运规格化过程中的动态景观和生长统计极限
Pub Date : 2024-09-14 DOI: arxiv-2409.09548
Gautam Reddy
The complexity of gene regulatory networks in multicellular organisms makesinterpretable low-dimensional models highly desirable. An attractive geometricpicture, attributed to Waddington, visualizes the differentiation of a cellinto diverse functional types as gradient flow on a dynamic potentiallandscape, but it is unclear under what biological constraints this metaphor ismathematically precise. Here, we show that growth-maximizing regulatorystrategies that guide a single cell to a target distribution of cell types aredescribed by time-dependent potential landscapes, under certain genericgrowth-control tradeoffs. Our analysis leads to a sharp bound on the time ittakes for a population to grow to a target distribution of a certain size. Weshow how the framework can be used to compute Waddington-like epigeneticlandscapes and growth curves in an illustrative model of growth anddifferentiation. The theory suggests a conceptual link between nonequilibriumthermodynamics and cellular decision-making during development.
多细胞生物体基因调控网络的复杂性使得可解释的低维模型变得非常必要。瓦丁顿(Waddington)提出了一个极具吸引力的几何图形,将细胞分化成不同功能类型的过程形象地描述为动态电位景观上的梯度流动,但目前还不清楚在何种生物约束条件下,这一隐喻在数学上是精确的。在这里,我们表明,在某些通用的生长控制权衡条件下,引导单个细胞达到目标细胞类型分布的生长最大化调控策略是由随时间变化的电位景观来描述的。我们的分析为种群增长到一定规模的目标分布所需的时间提供了一个清晰的界限。我们还展示了如何利用该框架来计算类似于瓦丁顿的表观遗传景观,以及在生长和分化示例模型中的生长曲线。该理论提出了非平衡热力学与发育过程中细胞决策之间的概念联系。
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引用次数: 0
(Un)buckling mechanics of epithelial monolayers under compression (上皮单层在压缩条件下的(非)屈曲力学
Pub Date : 2024-09-12 DOI: arxiv-2409.07928
Chandraniva Guha Ray, Pierre A. Haas
When cell sheets fold during development, their apical or basal surfacesconstrict and cell shapes approach the geometric singularity in which thesesurfaces vanish. Here, we reveal the mechanical consequences of this geometricsingularity for tissue folding in a minimal vertex model of an epithelialmonolayer. In simulations of the buckling of the epithelium under compressionand numerical solutions of the corresponding continuum model, we discover an"unbuckling" bifurcation: At large compression, the buckling amplitude candecrease with increasing compression. By asymptotic solution of the continuumequations, we reveal that this bifurcation comes with a large stiffening of theepithelium. Our results thus provide the mechanical basis for absorption ofcompressive stresses by tissue folds such as the cephalic furrow duringgermband extension in Drosophila.
当细胞膜在发育过程中折叠时,其顶端或基底表面会收缩,细胞形状接近于表面消失的几何奇点。在这里,我们揭示了这种几何奇异性对上皮单层最小顶点模型中组织折叠的机械后果。在模拟上皮在压缩下的屈曲和相应连续模型的数值解时,我们发现了一个 "非屈曲 "分岔:在大压缩量下,屈曲幅度随着压缩量的增加而减小。通过对连续方程的渐进求解,我们发现这一分岔是随着上皮的大幅变硬而出现的。因此,我们的研究结果为果蝇头沟等组织褶皱在头带伸展过程中吸收压缩应力提供了力学基础。
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引用次数: 0
On the design and stability of cancer adaptive therapy cycles: deterministic and stochastic models 论癌症适应性治疗周期的设计和稳定性:确定性模型和随机模型
Pub Date : 2024-09-10 DOI: arxiv-2409.06867
Yuri G. Vilela, Artur C. Fassoni, Armando G. M. Neves
Adaptive therapy is a promising paradigm for treating cancers, that exploitscompetitive interactions between drug-sensitive and drug-resistant cells,thereby avoiding or delaying treatment failure due to evolution of drugresistance within the tumor. Previous studies have shown the mathematicalpossibility of building cyclic schemes of drug administration which restoretumor composition to its exact initial value in deterministic models. However,algorithms for cycle design, the conditions on which such algorithms arecertain to work, as well as conditions for cycle stability remain elusive.Here, we state biologically motivated hypotheses that guarantee existence ofsuch cycles in two deterministic classes of mathematical models alreadyconsidered in the literature: Lotka-Volterra and adjusted replicator dynamics.We stress that not only existence of cyclic schemes, but also stability of suchcycles is a relevant feature for applications in real clinical scenarios. Wealso analyze stochastic versions of the above deterministic models, a necessarystep if we want to take into account that real tumors are composed by a finitepopulation of cells subject to randomness, a relevant feature in the context oflow tumor burden. We argue that the stability of the deterministic cycles isalso relevant for the stochastic version of the models. In fact, Dua, Ma andNewton [Cancers (2021)] and Park and Newton [Phys. Rev. E (2023)] observedbreakdown of deterministic cycles in a stochastic model (Moran process) for atumor. Our findings indicate that the breakdown phenomenon is not due tostochasticity itself, but to the deterministic instability inherent in thecycles of the referenced papers. We then illustrate how stable deterministiccycles avoid for very large times the breakdown of cyclic treatments instochastic tumor models.
适应性疗法是治疗癌症的一种有前途的模式,它利用药物敏感细胞和耐药细胞之间的竞争性相互作用,从而避免或延缓因肿瘤内耐药性演变而导致的治疗失败。以往的研究表明,在数学上可以建立循环给药方案,在确定性模型中将肿瘤成分恢复到精确的初始值。然而,循环设计的算法、这种算法确定有效的条件以及循环稳定性的条件仍然难以捉摸。在这里,我们提出了以生物学为动机的假设,以保证在文献中已经考虑过的两类确定性数学模型中存在这种循环:我们强调,不仅循环方案存在,而且这种循环的稳定性也是实际临床应用的一个相关特征。我们还分析了上述确定性模型的随机版本,如果我们想考虑到真实肿瘤是由受随机性影响的有限细胞群组成,这是一个必要的步骤。我们认为,确定性循环的稳定性也与随机模型有关。事实上,Dua、Ma 和 Newton [Cancers (2021)]以及 Park 和 Newton [Phys. Rev. E (2023)]在肿瘤的随机模型(莫伦过程)中观察到了确定性循环的崩溃。我们的研究结果表明,这种崩溃现象不是由于随机性本身,而是由于参考文献中的循环所固有的确定性不稳定性。然后,我们说明了稳定的确定性循环如何在很大程度上避免随机肿瘤模型循环处理的崩溃。
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引用次数: 0
Celcomen: spatial causal disentanglement for single-cell and tissue perturbation modeling Celcomen:用于单细胞和组织扰动建模的空间因果解缠技术
Pub Date : 2024-09-09 DOI: arxiv-2409.05804
Stathis Megas, Daniel G. Chen, Krzysztof Polanski, Moshe Eliasof, Carola-Bibiane Schonlieb, Sarah A. Teichmann
Celcomen leverages a mathematical causality framework to disentangle intra-and inter- cellular gene regulation programs in spatial transcriptomics andsingle-cell data through a generative graph neural network. It can learngene-gene interactions, as well as generate post-perturbation counterfactualspatial transcriptomics, thereby offering access to experimentally inaccessiblesamples. We validated its disentanglement, identifiability, and counterfactualprediction capabilities through simulations and in clinically relevant humanglioblastoma, human fetal spleen, and mouse lung cancer samples. Celcomenprovides the means to model disease and therapy induced changes allowing fornew insights into single-cell spatially resolved tissue responses relevant tohuman health.
Celcomen 利用数学因果关系框架,通过生成图神经网络,将空间转录组学和单细胞数据中的细胞内和细胞间基因调控程序分开。它可以学习基因与基因之间的相互作用,并生成扰动后的反事实空间转录组学,从而提供实验无法获取的样本。我们通过模拟和临床相关的颅胶质母细胞瘤、人类胎儿脾脏和小鼠肺癌样本验证了它的解缠、可识别性和反事实预测能力。Celcomen 提供了对疾病和治疗诱导的变化进行建模的方法,使我们能够对与人类健康相关的单细胞空间分辨组织反应有新的认识。
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引用次数: 0
Histopathological study on goldfish (Carassius auratus) gonads exposed to tobacco smoke 暴露于烟草烟雾的金鱼性腺组织病理学研究
Pub Date : 2024-09-08 DOI: arxiv-2409.05175
Ali Parsakhanghah
Ornamental fish have various positive effects in human life. Due to theeffect and importance of aesthetics and artificial reproduction of these fish,which may be enclosed in aquarium environments and come in contact withcigarette smoke, the effects of tobacco smoke on the gonad tissue of goldfishwere investigated. For this purpose, 60 goldfish randomly (weight 100gr)divided in 3 groups and were released in tanks containing 10 liters of water(temperature: 20, hardness: 14 ppt, pH: 7/8). After adaptation, in treatment 1,1gr of tobacco was heated daily with a direct flame, and the resulting smokewas collected and injected into water with an air pump, in treatment 2, thisprocess was done twice a day. After 3 months, fish gonads tissue were sampledand histopathological slides were investigated. The results showed that in thetreatment 2, there were early and immature oocytes in the ovarian tissue incomparison to other groups. Also, in the testes of fish of treatment 2, thereduction of spermatozoids and the higher number of spermatogonia wereobserved. In the treatment 3, these changes were more. A significant differencebetween the groups in both female and male was observed at the sexualmaturation stages (P<0.001). Based on this study, the dissolution of tobaccosmoke can have a negative effect on the process of sexual reproduction and fishexposed to more smoke are more likely to be sterile, and these changes wereobserved in both males and female.
观赏鱼对人类生活有各种积极影响。由于这些鱼类可能会被封闭在水族箱环境中,并接触到香烟烟雾,因此其美观性和人工繁殖的影响和重要性不言而喻,因此我们研究了烟草烟雾对金鱼性腺组织的影响。为此,将 60 尾金鱼(体重 100 克)随机分成 3 组,分别放入装有 10 升水(温度:20 度,硬度:14 ppt,pH 值:7/8)的鱼缸中。适应后,在处理 1 中,每天用直火加热 1 克烟草,收集产生的烟雾并用气泵注入水中;在处理 2 中,这一过程每天进行两次。3 个月后,对鱼类性腺组织取样并进行组织病理学切片研究。结果显示,与其他组相比,处理 2 的卵巢组织中有早期和不成熟的卵母细胞。此外,在处理 2 的鱼类睾丸中,精子减少,精原细胞数量增加。在处理 3 中,这些变化更大。在性成熟阶段,观察到雌性和雄性组间存在明显差异(P<0.001)。根据这项研究,烟草烟雾的溶解会对有性生殖过程产生负面影响,接触更多烟雾的鱼更容易不育,这些变化在雌雄鱼中都有观察到。
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引用次数: 0
Explainable AI for computational pathology identifies model limitations and tissue biomarkers 用于计算病理学的可解释人工智能可识别模型局限性和组织生物标志物
Pub Date : 2024-09-04 DOI: arxiv-2409.03080
Jakub R. Kaczmarzyk, Joel H. Saltz, Peter K. Koo
Deep learning models have shown promise in histopathology image analysis, buttheir opaque decision-making process poses challenges in high-risk medicalscenarios. Here we introduce HIPPO, an explainable AI method that interrogatesattention-based multiple instance learning (ABMIL) models in computationalpathology by generating counterfactual examples through tissue patchmodifications in whole slide images. Applying HIPPO to ABMIL models trained todetect breast cancer metastasis reveals that they may overlook small tumors andcan be misled by non-tumor tissue, while attention maps$unicode{x2014}$widelyused for interpretation$unicode{x2014}$often highlight regions that do notdirectly influence predictions. By interpreting ABMIL models trained on aprognostic prediction task, HIPPO identified tissue areas with strongerprognostic effects than high-attention regions, which sometimes showedcounterintuitive influences on risk scores. These findings demonstrate HIPPO'scapacity for comprehensive model evaluation, bias detection, and quantitativehypothesis testing. HIPPO greatly expands the capabilities of explainable AItools to assess the trustworthy and reliable development, deployment, andregulation of weakly-supervised models in computational pathology.
深度学习模型在组织病理学图像分析中大有可为,但其不透明的决策过程给高风险医疗场景带来了挑战。在这里,我们介绍一种可解释的人工智能方法--HIPPO,该方法通过在整张切片图像中对组织斑块进行修改,生成反事实示例,从而对计算病理学中基于注意力的多实例学习(ABMIL)模型进行检验。将 HIPPO 应用于训练用于检测乳腺癌转移的 ABMIL 模型,发现这些模型可能会忽略小肿瘤,并可能被非肿瘤组织误导,而广泛用于解释的注意力图谱(unicode{x2014})往往会突出那些不会直接影响预测的区域。通过解释在诊断预测任务中训练的ABMIL模型,HIPPO识别出了比高注意力区域具有更强诊断效果的组织区域,而高注意力区域有时会对风险评分产生反直觉的影响。这些发现证明了 HIPPO 在综合模型评估、偏差检测和定量假设检验方面的能力。HIPPO 极大地扩展了可解释人工智能工具的功能,以评估计算病理学中弱监督模型的开发、部署和监管是否值得信赖和可靠。
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引用次数: 0
Phase changes of the flow rate in the vertebral artery caused by debranching thoracic endovascular aortic repair: effects of flow path and local vessel stiffness on vertebral arterial pulsation 胸腔内血管主动脉修复术去支路造成的椎动脉流速相位变化:流道和局部血管硬度对椎动脉搏动的影响
Pub Date : 2024-09-04 DOI: arxiv-2409.02476
Naoki Takeishia, Li Jialongb, Naoto Yokoyamac, Hisashi Tanakad, Takasumi Gotoe, Shigeo Wada
Despite numerous studies on cerebral arterial blood flow, there has not yetbeen a comprehensive description of hemodynamics in patients undergoingdebranching thoracic endovascular aortic repair (dTEVAR), a promising surgicaloption for aortic arch aneurysms. A phase delay of the flow rate in the leftvertebral artery (LVA) in patients after dTEVAR compared to those before wasexperimentally observed, while the phase in the right vertebral artery (RVA)remained almost the same before and after surgery. Since this surgicalintervention included stent graft implantation and extra-anatomical bypass, itwas expected that the intracranial hemodynamic changes due to dTEVAR werecoupled with fluid flow and pulse waves in cerebral arteries. To clarify thisissue, A one-dimensional model (1D) was used to numerically investigate therelative contribution (i.e., local vessel stiffness and flow path changes) ofthe VA flow rate to the phase difference. The numerical results demonstrated aphase delay of flow rate in the LVA but not the RVA in postoperative patientsundergoing dTEVAR relative to preoperative patients. The results further showedthat the primary factor affecting the phase delay of the flow rate in the LVAafter surgery compared to that before was the bypass, i.e., alteration of flowpath, rather than stent grafting, i.e., the change in local vessel stiffness.The numerical results provide insights into hemodynamics in postoperativepatients undergoing dTEVAR, as well as knowledge about therapeutic decisions.
尽管对脑动脉血流进行了大量研究,但对主动脉弓动脉瘤有望采用的手术选择--主动脉弓动脉瘤去分支胸腔内血管主动脉修复术(dTEVAR)--患者的血流动力学尚未有全面的描述。实验观察到,与术前相比,接受 dTEVAR 术后患者左侧椎动脉(LVA)的流速相位延迟,而右侧椎动脉(RVA)的流速相位在手术前后几乎保持不变。由于该手术干预包括支架移植植入和体外搭桥,预计 dTEVAR 引起的颅内血流动力学变化与脑动脉中的流体流动和脉搏波有关。为了澄清这一问题,我们使用一维模型(1D)对 VA 流速对相位差的影响(即局部血管硬度和流道变化)进行了数值研究。数值结果表明,相对于术前患者,术后接受 dTEVAR 的患者 LVA 流速相位延迟,而 RVA 流速相位不延迟。结果进一步表明,与术前相比,影响术后 LVA 流速相位延迟的主要因素是分流,即流径的改变,而不是支架移植,即局部血管僵硬度的改变。
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引用次数: 0
Role of Data-driven Regional Growth Model in Shaping Brain Folding Patterns 数据驱动的区域生长模型在塑造大脑折叠模式中的作用
Pub Date : 2024-08-30 DOI: arxiv-2408.17334
Jixin Hou, Zhengwang Wu, Xianyan Chen, Dajiang Zhu, Tianming Liu, Gang Li, Xianqiao Wang
The surface morphology of the developing mammalian brain is crucial forunderstanding brain function and dysfunction. Computational modeling offersvaluable insights into the underlying mechanisms for early brain folding. Whileprevious studies generally assume uniform growth, recent findings indicatesignificant regional variations in brain tissue growth. However, the role ofthese variations in cortical development remains unclear. In this study, weexplored how regional cortical growth affects brain folding patterns. We firstdeveloped growth models for typical cortical regions using ML-assisted symbolicregression, based on longitudinal data from over 1,000 infant MRI scans thatcaptured cortical surface area and thickness during perinatal and postnatalbrains development. These models were subsequently integrated intocomputational software to simulate cortical development with anatomicallyrealistic geometric models. We quantified the resulting folding patterns usingmetrics such as mean curvature, sulcal depth, and gyrification index. Ourresults demonstrate that regional growth models generate complex brain foldingpatterns that more closely match actual brains structures, both quantitativelyand qualitatively, compared to uniform growth models. Growth magnitude plays adominant role in shaping folding patterns, while growth trajectory has a minorinfluence. Moreover, multi-region models better capture the intricacies ofbrain folding than single-region models. Our results underscore the necessityand importance of incorporating regional growth heterogeneity into brainfolding simulations, which could enhance early diagnosis and treatment ofcortical malformations and neurodevelopmental disorders such as epilepsy andautism.
发育中哺乳动物大脑的表面形态对于了解大脑功能和功能障碍至关重要。计算建模为早期大脑折叠的内在机制提供了宝贵的见解。以往的研究通常假定大脑是均匀生长的,但最近的研究结果表明,大脑组织的生长存在明显的区域性差异。然而,这些变化在大脑皮层发育中的作用仍不清楚。在这项研究中,我们探讨了区域性皮质生长如何影响大脑褶皱模式。我们首先利用 ML 辅助符号回归,基于 1000 多例婴儿核磁共振扫描的纵向数据,建立了典型皮质区域的生长模型,这些数据捕捉了围产期和出生后大脑发育过程中皮质的表面积和厚度。这些模型随后被整合到计算软件中,以解剖学上真实的几何模型模拟大脑皮层的发育过程。我们使用平均曲率、沟深度和回旋指数等指标对由此产生的褶皱模式进行了量化。我们的研究结果表明,与均匀生长模型相比,区域生长模型产生的复杂大脑褶皱模式在数量和质量上都更接近实际大脑结构。生长幅度在塑造褶皱模式中起主要作用,而生长轨迹的影响较小。此外,与单区域模型相比,多区域模型能更好地捕捉大脑折叠的复杂性。我们的研究结果凸显了将区域生长异质性纳入大脑折叠模拟的必要性和重要性,这可以提高对皮层畸形和神经发育疾病(如癫痫和自闭症)的早期诊断和治疗。
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引用次数: 0
Programmable scanning diffuse speckle contrast imaging of cerebral blood flow 脑血流的可编程扫描弥散斑点对比成像
Pub Date : 2024-08-22 DOI: arxiv-2408.12715
Faezeh Akbari, Xuhui Liu, Fatemeh Hamedi, Mehrana Mohtasebi, Lei Chen, Guoqiang Yu
Significance: Cerebral blood flow (CBF) imaging is crucial for diagnosingcerebrovascular diseases. However, existing large neuroimaging techniques withhigh cost, low sampling rate, and poor mobility make them unsuitable forcontinuous and longitudinal CBF monitoring at the bedside. Aim: This studyaimed to develop a low-cost, portable, programmable scanning diffuse specklecontrast imaging (PS-DSCI) technology for fast, high-density, anddepth-sensitive imaging of CBF in rodents. Approach: The PS-DSCI employed aprogrammable digital micromirror device (DMD) for remote line-shape laser (785nm) scanning on tissue surface and synchronized a 2D camera for capturingboundary diffuse laser speckle contrasts. New algorithms were developed toaddress deformations of line-shape scanning, thus minimizing CBF reconstructionartifacts. The PS-DSCI was examined in head-simulating phantoms and adult mice.Results: The PS-DSCI enables resolving Intralipid particle flow contrasts atdifferent tissue depths. In vivo experiments in adult mice demonstrated thecapability of PS-DSCI to image global/regional CBF variations induced by 8% CO2inhalation and transient carotid artery ligations. Conclusions: Compared toconventional point scanning, the line scanning in PS-DSCI significantlyincreases spatiotemporal resolution. The high sampling rate of PS-DSCI iscrucial for capturing rapid CBF changes while high spatial resolution isimportant for visualizing brain vasculature.
意义重大:脑血流(CBF)成像对于诊断脑血管疾病至关重要。然而,现有的大型神经成像技术成本高、采样率低、移动性差,不适合在床边进行连续和纵向的 CBF 监测。目的:本研究旨在开发一种低成本、便携式、可编程扫描弥散斑点对比成像(PS-DSCI)技术,用于对啮齿类动物的 CBF 进行快速、高密度和深度敏感成像。方法:PS-DSCI 采用可编程数字微镜装置 (DMD) 对组织表面进行远程线形激光(785nm)扫描,并同步使用二维相机捕捉边界漫反射激光斑点对比。开发的新算法可解决线形扫描的变形问题,从而最大限度地减少 CBF 重建的伪影。在头部模拟模型和成年小鼠中对 PS-DSCI 进行了检验:结果:PS-DSCI 能够分辨不同组织深度的脂质内颗粒流动对比。在成年小鼠体内进行的实验表明,PS-DSCI 能够对 8% 二氧化碳吸入和瞬时颈动脉结扎引起的整体/区域 CBF 变化进行成像。结论:与传统的点扫描相比,PS-DSCI 的线扫描大大提高了时空分辨率。PS-DSCI 的高采样率对于捕捉快速的 CBF 变化至关重要,而高空间分辨率对于观察脑血管非常重要。
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引用次数: 0
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arXiv - QuanBio - Tissues and Organs
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