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Deep integration of low-cost liquid handling robots in an industrial pharmaceutical development environment 在工业制药开发环境中深度集成低成本液体处理机器人。
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-31 DOI: 10.1016/j.slast.2024.100180

The pharmaceutical industry is increasingly embracing laboratory automation to enhance experimental efficiency and operational resilience, particularly through the integration of automated liquid handlers (ALHs). This paper explores the integration of the low-cost Opentrons OT-2 liquid handling robot with F. Hoffmann-La Roche AG's in-house workflow orchestration software, AutoLab, to overcome barriers to lab automation. By leveraging the OT-2′s development-oriented interfaces and AutoLab's modular architecture, we achieved a user-friendly, cost-efficient, and flexible automation solution that aligns with FAIR (findable, accessible, interoperable, reusable) data principles. We demonstrate an advanced workflow development methodology, utilizing the software architecture, that facilitates the creation of two flexible pipetting protocols and medium complexity assays. This deep integration approach diminishes the learning curve for novice users while simultaneously enhancing the overall efficiency and reliability of the experimental workflow. Our findings suggest that such integrations can significantly mitigate the challenges associated with lab automation, including cost, complexity, and adaptability, paving the way for more accessible and robust automated systems in pharmaceutical research.

制药行业正越来越多地采用实验室自动化来提高实验效率和操作弹性,特别是通过集成自动液体处理机(ALH)。本文探讨了如何将低成本的 Opentrons OT-2 液体处理机器人与 F. Hoffmann-La Roche AG 公司的内部工作流协调软件 AutoLab 集成,以克服实验室自动化的障碍。通过利用 OT-2 面向开发的界面和 AutoLab 的模块化架构,我们实现了一个用户友好、经济高效且灵活的自动化解决方案,该解决方案符合 FAIR(可查找、可访问、可互操作、可重用)数据原则。我们展示了一种先进的工作流程开发方法,利用该软件架构,可以方便地创建两个灵活的移液协议和中等复杂程度的检测。这种深度集成方法降低了新手用户的学习曲线,同时提高了实验工作流程的整体效率和可靠性。我们的研究结果表明,这种集成可以大大减轻实验室自动化所面临的挑战,包括成本、复杂性和适应性,从而为制药研究领域更方便、更强大的自动化系统铺平道路。
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引用次数: 0
Simulation of predicting atrial fibrosis in patients with paroxysmal atrial fibrillation during sinus node recovery time in optical imaging 在光学成像中模拟预测窦房结恢复时间内阵发性心房颤动患者的心房纤维化。
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-29 DOI: 10.1016/j.slast.2024.100186

Paroxysmal atrial fibrillation is a common arrhythmia, and its development process and prediction of the degree of atrial fibrosis are of great significance for treatment and management. Optical imaging technology provides a new means for non-invasive observation of atrial electrical activity. The aim of this study is to investigate the predictive effect of sinus node recovery time on the degree of atrial fibrosis in patients with paroxysmal atrial fibrillation, and to provide a basis for the application of optical imaging technology in the study of atrial fibrosis. The study collected clinical and optical imaging data from a group of patients with paroxysmal atrial fibrillation, and used statistical analysis methods to investigate the relationship between sinus node recovery time and the degree of atrial fibrosis. The research results indicate that there is a significant correlation between the recovery time of the sinus node and the degree of atrial fibrosis, that is, there is a positive correlation between the prolonged recovery time of the sinus node and the aggravation of atrial fibrosis. SNRT can serve as an effective indicator for evaluating atrial matrix and can be applied to predict recurrence after catheter ablation of paroxysmal atrial fibrillation. Shortening SNRT through catheter ablation can become an important predictor of effective catheter ablation.

阵发性心房颤动是一种常见的心律失常,其发展过程和心房纤维化程度的预测对治疗和管理具有重要意义。光学成像技术为无创观察心房电活动提供了一种新手段。本研究旨在探讨窦房结恢复时间对阵发性心房颤动患者心房纤维化程度的预测作用,为光学成像技术在心房纤维化研究中的应用提供依据。该研究收集了一组阵发性心房颤动患者的临床和光学成像数据,并采用统计分析方法研究了窦房结恢复时间与心房纤维化程度之间的关系。研究结果表明,窦房结恢复时间与心房纤维化程度之间存在显著相关性,即窦房结恢复时间延长与心房纤维化加重之间存在正相关。SNRT 可作为评估心房基质的有效指标,并可用于预测阵发性心房颤动导管消融术后的复发情况。通过导管消融缩短 SNRT 可以成为有效导管消融的重要预测指标。
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引用次数: 0
Research on the mechanism of motor muscle control based on optical EEG images 基于光学脑电图图像的运动肌肉控制机制研究
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-28 DOI: 10.1016/j.slast.2024.100185

The study of motor muscle control mechanisms can improve rehabilitation therapy and human-computer interaction technology. The limitations of traditional electroencephalography (EEG) limit the comprehensive understanding of motor muscle control mechanisms. Therefore, this study aims to explore the mechanism of motor muscle control based on optical EEG images, in order to expand the understanding of the process of motor control. The study selected optical EEG imaging technology as the main data acquisition tool. Optical EEG images have higher spatiotemporal resolution and can provide more detailed neural activity information. This technology combines optical imaging with EEG images to obtain spatiotemporal information of brain activity in a short period of time. The device is composed of multiple optical sensors and can measure blood oxygen concentration and neuronal activity in the cerebral cortex. Preprocess EEG image data using image processing and signal processing techniques, then use computational methods and algorithms to detect activated regions, and evaluate their relationships using correlation analysis and statistical methods. By comparing EEG image data and motor muscle activity data under different motor tasks. The research results show that optical EEG imaging technology can provide more detailed information on brain neural activity and accurately capture the activity patterns of different motor muscles. These results provide new perspectives and methods for further studying the control mechanisms of motor muscles.

对运动肌肉控制机制的研究可以改善康复治疗和人机交互技术。传统脑电图(EEG)的局限性限制了对运动肌肉控制机制的全面了解。因此,本研究旨在探索基于光学脑电图图像的运动肌肉控制机制,以拓展对运动控制过程的理解。本研究选择光学脑电图成像技术作为主要的数据采集工具。光学脑电图图像具有更高的时空分辨率,能提供更详细的神经活动信息。该技术将光学成像与脑电图图像相结合,可在短时间内获取大脑活动的时空信息。该设备由多个光学传感器组成,可测量大脑皮层的血氧浓度和神经元活动。利用图像处理和信号处理技术对脑电图图像数据进行预处理,然后使用计算方法和算法检测激活区域,并利用相关分析和统计方法评估它们之间的关系。通过比较不同运动任务下的脑电图图像数据和运动肌肉活动数据。研究结果表明,光学脑电图成像技术能提供更详细的脑神经活动信息,并能准确捕捉不同运动肌肉的活动模式。这些成果为进一步研究运动肌肉的控制机制提供了新的视角和方法。
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引用次数: 0
Bio-inspired EEG signal computing using machine learning and fuzzy theory for decision making in future-oriented brain-controlled vehicles 利用机器学习和模糊理论对脑电图信号进行生物启发计算,用于面向未来的脑控车辆决策。
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-28 DOI: 10.1016/j.slast.2024.100187

One kind of autonomous vehicle that can take instructions from the driver by reading their electroencephalogram (EEG) signals using a Brain-Computer Interface (BCI) is called a Brain-Controlled Vehicle (BCV). The operation of such a vehicle is greatly affected by how well the BCI works. At present, there are limitations on the accuracy of BCI recognition, the number of distinguishable command categories, and the execution duration of command recognition. Consequently, vehicles that are exclusively controlled by EEG signals demonstrate suboptimal control performance. To address the difficulty of improving the control capabilities of brain-controlled cars while maintaining BCI performance, a fuzzy logic-based technique called as Fuzzy Brain-Control Fusion Control is introduced. This approach uses Fuzzy Discrete Event System (FDES) supervisory theory to verify the accuracy of the driver's brain-controlled directives. Concurrently, a fuzzy logic-based automatic controller is developed to generate decisions automatically in accordance with the present state of the vehicle via fuzzy reasoning. The final decision is then reached through the application of secondary fuzzy reasoning to the accuracy of the driver's instructions and the automated decisions to make adjustments that are more consistent with human intent. A clever BCI gadget known as the Consistent State Visual Evoked Potential (SSVEP) is utilized to show the viability of the proposed technique. We recommend that additional research should be conducted at this time to confirm that our recommended system may further improve the control execution of BCI-fueled cars, regardless of whether BCIs have special limitations.

有一种自动驾驶汽车可以通过脑机接口(BCI)读取驾驶员的脑电图(EEG)信号,从而接收驾驶员的指令,这种汽车被称为脑控汽车(BCV)。这种车辆的运行在很大程度上受到 BCI 工作性能的影响。目前,BCI 识别的准确性、可区分命令类别的数量以及命令识别的执行时间都受到限制。因此,完全由脑电图信号控制的车辆无法达到最佳控制性能。为了解决在保持 BCI 性能的同时提高脑控汽车控制能力的难题,我们引入了一种基于模糊逻辑的技术,即模糊脑控融合控制。这种方法使用模糊离散事件系统(FDES)监督理论来验证驾驶员脑控指令的准确性。同时,还开发了基于模糊逻辑的自动控制器,通过模糊推理根据车辆的当前状态自动生成决策。然后,通过对驾驶员指令的准确性进行二次模糊推理,得出最终决策,并通过自动决策做出更符合人类意图的调整。我们使用了一种名为 "一致状态视觉诱发电位"(SSVEP)的智能生物识别(BCI)小工具来展示所建议技术的可行性。我们建议目前应开展更多的研究,以确认我们推荐的系统可以进一步改善以生物识别(BCI)为燃料的汽车的控制执行,无论BCI是否有特殊的局限性。
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引用次数: 0
Feasibility and safety study of advanced prostate biopsy robot system based on MR-TRUS Image flexible fusion technology in animal experiments 基于 MR-TRUS 图像灵活融合技术的先进前列腺活检机器人系统在动物实验中的可行性和安全性研究
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-28 DOI: 10.1016/j.slast.2024.100184

The advanced prostate biopsy robot system has broad application prospects in clinical practice, but due to the deformation and distortion between MR-TRUS (magnetic resonance transrectal ultrasound) images, it poses challenges in biopsy accuracy and safety. The study utilized an advanced prostate biopsy robot system based on MR-TRUS image flexible registration technology and conducted experiments on animal models. Retrospective analysis of the puncture accuracy of 12 animal experiments undergoing prostate puncture using MR-TRUS flexible registration technology from May 2022 to October 2023, and observation of intraoperative and 7-day postoperative complications. The study obtained MR-TRUS images and utilized image processing algorithms for registration to reduce image deformation and distortion. Then, precise positioning and operation are carried out through the robot system to execute the prostate biopsy program. The experimental results indicate that the advanced prostate biopsy robot system based on MR-TRUS image flexible registration technology has demonstrated good feasibility and safety in animal experiments. Image registration technology has successfully reduced image distortion and deformation, improving biopsy accuracy. The precise positioning and operation of robot systems play a crucial role in the biopsy process, reducing the occurrence of complications.

先进的前列腺活检机器人系统在临床上有着广阔的应用前景,但由于磁共振经直肠超声(MR-TRUS)图像之间的变形和扭曲,给活检的准确性和安全性带来了挑战。该研究利用基于 MR-TRUS 图像柔性配准技术的先进前列腺活检机器人系统,并在动物模型上进行了实验。回顾性分析2022年5月至2023年10月使用MR-TRUS柔性配准技术进行前列腺穿刺的12个动物实验的穿刺准确性,并观察术中和术后7天的并发症。该研究获取MR-TRUS图像,并利用图像处理算法进行配准,以减少图像变形和扭曲。然后,通过机器人系统进行精确定位和操作,执行前列腺活检程序。实验结果表明,基于 MR-TRUS 图像柔性配准技术的先进前列腺活检机器人系统在动物实验中表现出良好的可行性和安全性。图像配准技术成功减少了图像失真和变形,提高了活检的准确性。机器人系统的精确定位和操作在活检过程中起着至关重要的作用,可减少并发症的发生。
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引用次数: 0
Quantitative assessment of human motion for health and rehabilitation: A novel fuzzy comprehensive evaluation approach 定量评估人体运动以促进健康和康复:一种新颖的模糊综合评估方法
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-28 DOI: 10.1016/j.slast.2024.100181

In the pursuit of advancing health and rehabilitation, the quintessence of human motion recognition technology has been underscored through its quantitative contributions to physical performance assessment. This research delineates the inception of a novel fuzzy comprehensive evaluation-based recognition method that stands at the forefront of such innovative endeavours. By synergistically fusing multi-sensor data and advanced classification algorithms, the proposed system offers a granular quantitative analysis with implications for health and fitness monitoring, particularly rehabilitation processes. Our methodological approach, grounded in the modal separation technique and Empirical Mode Decomposition (EMD), effectively distills the motion acceleration component from raw accelerometer data, facilitating the extraction of intricate motion patterns. Quantitative analysis revealed that our integrated framework significantly amplifies the accuracy of motion recognition, achieving an overall recognition rate of 90.03 %, markedly surpassing conventional methods, such as Support Vector Machines (SVM), Decision Trees (DT), and K-Nearest Neighbors (KNN), which hovered around 80 %. Moreover, the system demonstrated an unprecedented accuracy of 97 % in discerning minor left-right swaying motions, showcasing its robustness in evaluating subtle movement nuances—a paramount feature for rehabilitation and patient monitoring. This marked precision in motion recognition heralds a new paradigm in health assessment, enabling objective and scalable analysis pertinent to individualized therapeutic interventions. The experimental evaluation accentuates the system's adeptness at navigating the dichotomy between complex, intense motions and finer, subtler movements with a high fidelity rate. It substantiates the method's utility in delivering sophisticated, data-driven insights for rehabilitation trajectory monitoring.

在追求健康和康复进步的过程中,人类运动识别技术的精髓通过其对体能评估的定量贡献得到了凸显。本研究描述了一种基于模糊综合评估的新型识别方法的雏形,该方法处于此类创新努力的前沿。通过协同融合多传感器数据和先进的分类算法,所提出的系统可提供精细的定量分析,对健康和体能监测,尤其是康复过程具有重要意义。我们的方法以模态分离技术和经验模式分解(EMD)为基础,能有效地从原始加速度计数据中提炼出运动加速度成分,便于提取复杂的运动模式。定量分析显示,我们的集成框架大大提高了运动识别的准确性,总体识别率达到 90.03%,明显超过了支持向量机(SVM)、决策树(DT)和 K-近邻(KNN)等传统方法,后者的识别率徘徊在 80% 左右。此外,该系统在辨别轻微的左右摇摆运动方面的准确率达到了前所未有的 97%,显示了其在评估细微运动差别方面的稳健性--这是康复和病人监测的重要特征。这种显著的运动识别精确度预示着健康评估的新范例,可实现与个性化治疗干预相关的客观、可扩展的分析。实验评估强调了该系统在复杂、激烈的运动与更精细、更微妙的运动之间驾驭二分法的能力,其保真度很高。它证实了该方法在为康复轨迹监测提供复杂、数据驱动的洞察力方面的实用性。
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引用次数: 0
Diagnosis of acute hyperglycemia based on data-driven prediction models 基于数据驱动预测模型的急性高血糖诊断
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-28 DOI: 10.1016/j.slast.2024.100182

Acute hyperglycemia is a common endocrine and metabolic disorder that seriously threatens the health and life of patients. Exploring effective diagnostic methods and treatment strategies for acute hyperglycemia to improve treatment quality and patient satisfaction is currently one of the hotspots and difficulties in medical research. This article introduced a method for diagnosing acute hyperglycemia based on data-driven prediction models. In the experiment, clinical data from 1000 patients with acute hyperglycemia were collected. Through data cleaning and feature engineering, 10 features related to acute hyperglycemia were selected, including BMI (Body Mass Index), TG (triacylglycerol), HDL-C (High-density lipoprotein cholesterol), etc. The support vector machine (SVM) model was used for training and testing. The experimental results showed that the SVM model can effectively predict the occurrence of acute hyperglycemia, with an average accuracy of 96 %, a recall rate of 84 %, and an F1 value of 89 %. The diagnostic method for acute hyperglycemia based on data-driven prediction models has a certain reference value, which can be used as a clinical auxiliary diagnostic tool to improve the early diagnosis and treatment success rate of acute hyperglycemia patients.

急性高血糖是一种常见的内分泌和代谢疾病,严重威胁着患者的健康和生命。探索急性高血糖的有效诊断方法和治疗策略,提高治疗质量和患者满意度,是当前医学研究的热点和难点之一。本文介绍了一种基于数据驱动预测模型的急性高血糖诊断方法。在实验中,收集了 1000 名急性高血糖患者的临床数据。通过数据清洗和特征工程,筛选出与急性高血糖相关的 10 个特征,包括 BMI(体重指数)、TG(三酰甘油)、HDL-C(高密度脂蛋白胆固醇)等。采用支持向量机(SVM)模型进行训练和测试。实验结果表明,SVM 模型能有效预测急性高血糖的发生,平均准确率为 96%,召回率为 84%,F1 值为 89%。基于数据驱动预测模型的急性高血糖诊断方法具有一定的参考价值,可作为临床辅助诊断工具,提高急性高血糖患者的早期诊断率和治疗成功率。
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引用次数: 0
Establishment and validation of a risk stratification model for stroke risk within three years in patients with cerebral small vessel disease using a combined MRI and machine learning algorithm 利用磁共振成像和机器学习算法建立并验证脑小血管疾病患者三年内中风风险分层模型
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-21 DOI: 10.1016/j.slast.2024.100177

Background

Cerebral small vessel disease (CSVD) is a major cause of stroke, particularly in the elderly population, leading to significant morbidity and mortality. Accurate identification of high-risk patients and timing of stroke occurrence plays a crucial role in patient prevention and treatment. The study aimed to establish and validate a risk stratification model for stroke within three years in patients with CSVD using a combined MRI and machine learning algorithm approach.

Methods

The assessment encompassed demographic, clinical, biochemical, and MRI-derived parameters. Correlation analysis, logistic regression, receiver operating characteristic (ROC) curve analysis, and nnet neural network algorithm were employed to evaluate the predictive value of machine learning algorithms and MRI parameters for stroke occurrence within 3 years in patients with CSVD.

Results

MRI-derived parameters, including average WMH volume, perfusion deficit volume, ischemic core volume, microbleed count, and perivascular spaces, exhibited strong correlations with stroke occurrence (P < 0.001). MRI-derived parameters demonstrated high sensitivities (0.719 to 0.906), specificities (0.704 to 0.877), and AUC values (0.815 to 0.871). The combined model of machine learning algorithms and MRI parameters yielded an AUC value of 0.925, indicating significantly high predictive accuracy for identifying the risk of stroke within three years in CSVD patients.

Conclusion

The integrated risk stratification model, incorporating machine learning algorithms and MRI parameters, demonstrated strong predictive potential for stroke within three years in patients with CSVD. This model offered valuable insights for personalized interventions and clinical decision-making in the management of CSVD.

背景:脑小血管疾病(CSVD)是中风的主要病因,尤其是在老年人群中,可导致严重的发病率和死亡率。准确识别高危患者和中风发生时间对患者的预防和治疗起着至关重要的作用。该研究旨在采用磁共振成像和机器学习算法相结合的方法,建立并验证 CSVD 患者三年内中风的风险分层模型:评估包括人口统计学、临床、生化和 MRI 衍生参数。采用相关性分析、逻辑回归、接收器操作特征曲线(ROC)分析和 nnet 神经网络算法评估机器学习算法和 MRI 参数对 CSVD 患者 3 年内发生卒中的预测价值:结果:MRI衍生参数,包括平均WMH体积、灌注缺损体积、缺血核心体积、微小出血点计数和血管周围间隙,与脑卒中发生率有很强的相关性(P < 0.001)。MRI 衍生参数表现出较高的敏感性(0.719 至 0.906)、特异性(0.704 至 0.877)和 AUC 值(0.815 至 0.871)。机器学习算法和磁共振成像参数的组合模型的AUC值为0.925,这表明该模型对识别CSVD患者三年内中风风险的预测准确性非常高:整合了机器学习算法和磁共振成像参数的综合风险分层模型对 CSVD 患者三年内的中风具有很强的预测潜力。该模型为 CSVD 管理中的个性化干预和临床决策提供了宝贵的见解。
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引用次数: 0
A microfluidic model for infantile in vitro digestions: Characterization of lactoferrin digestion 婴儿体外消化的微流体模型:乳铁蛋白消化的特征。
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-14 DOI: 10.1016/j.slast.2024.100175

We present a miniaturized, flow-through model for infantile in vitro digestions, following up on our previously published in vitro digestive system for adults. Microfluidic ‘chaotic’ mixers were employed as microreactors to help emulate the biochemical processing going on in the infantile stomach and intestine. Simulated digestive fluids were introduced into these micromixers, and the mixtures were incubated for 60 min after both the gastric phase and the intestinal phase. The pH of the infantile stomach was set at 5.3, which is higher than that of adults. This leads to entirely different patterns of digestion for the milk protein, lactoferrin, used in our study as a model compound. It was found that lactoferrin remained undigested as it passed through the gastric phase and reached the intestinal phase intact, unlike in adult digestions. In the intestinal phase, lactoferrin was rapidly digested. Our miniaturized, infantile, in vitro digestive system requires much less labor and chemicals than standard approaches, and shows great potential for future automation.

继之前发表的成人体外消化系统之后,我们介绍了一种微型化的婴儿体外消化流动模型。我们采用微流体 "混沌 "混合器作为微反应器,以帮助模拟婴儿胃肠中的生化处理过程。将模拟消化液引入这些微混合器,在胃和肠阶段之后将混合物培养 60 分钟。婴儿胃的 pH 值设定为 5.3,高于成人胃的 pH 值。这导致我们的研究中用作模型化合物的牛奶蛋白--乳铁蛋白的消化模式完全不同。研究发现,乳铁蛋白在通过胃阶段时仍未被消化,而是完整地进入了肠阶段,这与成人的消化过程不同。在肠道阶段,乳铁蛋白被迅速消化。与标准方法相比,我们的微型婴儿体外消化系统所需的人力和化学药品要少得多,并显示出未来自动化的巨大潜力。
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引用次数: 0
Application effect of 18F-FDG PET/CT technique in diagnosis and prognosis evaluation of lymphoma 18F-FDG PET/CT 技术在淋巴瘤诊断和预后评估中的应用效果
IF 2.5 4区 医学 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-08-14 DOI: 10.1016/j.slast.2024.100176

The objective of the study was to research diagnostic and prognostic values of 18F fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) in patients with diffuse large B-cell lymphoma (DLBCL). The diagnostic sensitivity (Sen) of PET/CT (94.75 %) was remarkably higher than 83.56 % of B-US. Age ≥ 65 years old, maximum focal diameter ≥5 cm, clinical stages III-IV, systemic symptoms, increased lactate dehydrogenase level, high modified international prognostic index score, Ecog score ≥1, B-cell lymphoma 2 (Bcl-2) gene, MYC protein expression rate, metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were all factors that influenced the recurrence or progression of DLBCL. With higher MTV and TLG, patients would have a greater probability of recurrence or progression. 18F-FDG PET/CT showed a high diagnostic Sen in lymphoma lesions, and could accurately guide clinical staging. Combined with clinical parameters, laboratory indicators, and metabolic parameters, prognostic indicators of patients could be evaluated more accurately.

该研究旨在研究18F氟脱氧葡萄糖(FDG)正电子发射断层扫描(PET)/计算机断层扫描(CT)对弥漫大B细胞淋巴瘤(DLBCL)患者的诊断和预后价值。PET/CT 的诊断灵敏度(Sen)(94.75%)明显高于 B-US 的 83.56%。年龄≥65岁、病灶最大直径≥5厘米、临床分期Ⅲ-Ⅳ期、全身症状、乳酸脱氢酶水平升高、改良国际预后指数评分高、Ecog评分≥1、B细胞淋巴瘤2(Bcl-2)基因、MYC蛋白表达率、代谢性肿瘤体积(MTV)和病灶总糖酵解(TLG)都是影响DLBCL复发或进展的因素。MTV和TLG越高,患者复发或进展的可能性就越大。18F-FDG PET/CT 对淋巴瘤病变有很高的诊断价值,能准确指导临床分期。结合临床指标、实验室指标和代谢指标,可以更准确地评估患者的预后指标。
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