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Research progress in the application of mesenchymal stem cells in the treatment of knee osteoarthritis 间充质干细胞在膝骨关节炎治疗中的应用研究进展
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.014
Shuwei Gong, Aifeng Liu, Mubin Wei, J. He
Knee osteoarthritis (KOA) is the main cause of knee pain and disability in the elderly. KOA is a complex disease that is controlled by a variety of pathogenic factors, including general physical factors such as age, gender, obesity, family history, and mechanical factors, and unfavorable mechanical factors to the knee joint, such as trauma, sports injuries, and daily routines. The prevalence of KOA is related to genetic factors. Currently, conservative treatment has limited effects to this disease, and knee joint replacement is usually associated with many complications. Mesenchymal stem cells(MSCs) were first discovered in the bone marrow and subsequently found in peripheral blood, cord blood, skeletal muscle, heart and adipose tissue, which have high plasticity and pluripotency. The discovery of MSCs provides a new method for the treatment of KOA. Due to its powerful cartilage repair and regeneration function, researchers have conducted a large number of experimental studies on the efficacy, safety and mechanism of MSCs in the treatment of KOA in recent years. In this paper, the above studies presented were systematically reviewed. Key words: Mesenchymal stem cells; Knee osteoarthritis; Application
膝关节骨性关节炎(KOA)是导致老年人膝关节疼痛和残疾的主要原因。KOA是一种由多种致病因素控制的复杂疾病,包括年龄、性别、肥胖、家族史和机械因素等一般身体因素,以及创伤、运动损伤和日常生活等对膝关节不利的机械因素。KOA的患病率与遗传因素有关。目前,保守治疗对这种疾病的效果有限,膝关节置换术通常会带来许多并发症。间充质干细胞最初在骨髓中发现,随后在外周血、脐带血、骨骼肌、心脏和脂肪组织中发现,它们具有高可塑性和多能性。MSCs的发现为治疗KOA提供了一种新的方法。由于其强大的软骨修复和再生功能,近年来,研究人员对MSCs治疗KOA的疗效、安全性和机制进行了大量的实验研究。本文对上述研究进行了系统的综述。关键词:间充质干细胞;膝骨关节炎;应用程序
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引用次数: 0
Application of thermal tomography imaging in detection of liver injury 热断层成像在肝损伤检测中的应用
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.007
J. Hou, Xi Peng, Peng Wang
Objective To compare and analyze the high risk factors of liver injury, and to explore the application of thermal texture maps (TTM) technology in the diagnosis and screening of liver injury. Methods A total of 3 582 medical examiners were selected as subjects, and their general clinical data, the related physical and chemical test results and TTM results were collected. The relationship between TTM results and general clinical data and related physical and chemical results was statistically analyzed. The general clinical data and physical and chemical results of subjects with TTM negative and TTM positive liver injury were compared from the sample value statistics and the sample group comparison. Results The differences in the degree of liver damage and the main related indicators between the two groups were statistically significant (all P<0.05), except for the body mass and low-density lipoprotein cholesterol level. When using aminotransferase as the standard, the diagnostic sensitivity of TTM for liver injury was 93.18%, the specificity was 68.34%, the positive predictive value was 54.34%, and the negative predictive value was 90.32%. Conclusions TTM examination can not only reflect the state of liver injury, but also reflect the degree of injury. TTM is an important index and necessary supplement for evaluating liver injury. Key words: Thermal texture maps; Liver; Function; Injury; Metabolism
目的比较分析肝损伤的高危因素,探讨热纹理图(TTM)技术在肝损伤诊断和筛查中的应用。方法选择3 582名体检者作为受试者,收集他们的一般临床资料、相关理化测试结果和TTM结果。统计分析TTM结果与一般临床数据及相关理化结果的关系。从样本值统计和样本组比较两方面比较TTM阴性和TTM阳性肝损伤受试者的一般临床数据和理化结果。结果除体重和低密度脂蛋白胆固醇水平外,两组肝损伤程度及主要相关指标差异均有统计学意义(均P<0.05)。以转氨酶为标准,TTM对肝损伤的诊断灵敏度为93.18%,特异性为68.34%,阳性预测值为54.34%,阴性预测值为90.32%。TTM是评估肝损伤的重要指标和必要补充。关键词:热纹理贴图;肝脏;功能;伤害;新陈代谢
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引用次数: 0
Clinical efficacy of Nd:YAP laser in the treatment of acute wisdom tooth pericoronitis Nd:YAP激光治疗急性智齿冠周炎的临床疗效观察
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.010
Wanning Xu, Xin Huang, Zhaosong Meng, Dongwang Zhu
Objective To study the clinical efficacy of Nd:YAP laser in the treatment of acute localized pericardial periodontitis. Methods A total of 120 patients with acute localized pericardial periodontitis were randomly divided into 3 groups, including Nd:YAP laser group, minocycline group and control group (iodine glycerol group). All patients were underwent pretreatment of intracrevicular washing with 3.0% hydrogen peroxide and normal saline alternately. After the pretreatment, the patients in the Nd:YAP laser group were given 3 min local Nb:YAP laser irradiation (1 time/d for 3 times), in the minocycline group were injected with minocycline hydrochloride ointment (1 time), and in the control group were treated with 2% iodine glycerol (1 time/d for 4 times) in gingival sulcus. One day after the treatment, the gingival index (GI), pain visual score (VAS), and opening degree of all patients were recorded, and the therapeutic effect was observed 5 days after the treatment. Results Compared with the minocycline group and the control group (iodine glycerol group), the GI value and VAS value of the Nd:YAP laser group decreased and the openmouthed size increased (all P 0.05). Conclusions The Nd:YAP laser treatment inacute wisdom tooth pericoronitis can significantly reduce pain and improve openmouthed size, and has a good clinical efficacy. Key words: Nd:YAG laser; Minocycline hydrochloride ointment; Wisdom tooth pericoronitis
目的探讨Nd:YAP激光治疗急性局限性心包周炎的临床疗效。方法120例急性局限性心包周炎患者随机分为Nd:YAP激光组、米诺环素组和对照组(碘甘油组)。所有患者均采用3.0%双氧水和生理盐水交替进行腔内冲洗预处理。预处理后,Nd:YAP激光组给予3 min局部Nb:YAP激光照射(1次/d,共3次),米诺环素组给予盐酸米诺环素软膏(1次),对照组给予2%碘甘油龈沟治疗(1次/d,共4次)。治疗1 d后,记录所有患者的牙龈指数(GI)、疼痛视觉评分(VAS)、开口度,治疗5 d后观察疗效。结果与米诺环素组和对照组(碘甘油组)比较,Nd:YAP激光组患者GI值和VAS值降低,开口尺寸增大(P均为0.05)。结论Nd:YAP激光治疗非急性智齿冠周炎可明显减轻疼痛,改善开口尺寸,具有良好的临床疗效。关键词:Nd:YAG激光器;盐酸米诺环素软膏;智齿冠周炎
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引用次数: 0
Constructing non-small cell lung cancer survival prediction model based on Borderline-SMOTE and PFS 基于Borderline-SMOTE和PFS构建非小细胞肺癌生存预测模型
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.011
Yang Zhao, Xiaojie Wang, Lei Ma, Dangguo Shao, Y. Xiang, Xin Xiong, L. Zhang
Objective To predict the 5-year survival of patients with non-small cell lung cancer (NSCLC) by machine learning, and to improve the prediction efficiency and prediction accuracy. Methods The experiments were performed using NSCLC data from the SEER database. According to the imbalance of patient data, the Borderline-SMOTE method was used for data sampling. The perturbation-based feature selection (PFS) method and decision tree (DT) algorithm were used to screen the features and construct the postoperative survival prediction model. Results The patient data was balanced, and seven prognostic variables were screened, including primary site, stage group, surgical primary site, international classification of diseases, race and grade. Compared with LASSO, Tree-based, PFS-SVM and PFS-kNN models, the model constructed using PFS-DT has the best predictive effect. Conclusions The patient survival prediction model based on PFS-DT can effectively improve the accuracy of postoperative survival prediction in patients with NSCLC, and can provide a reference for doctors to provide treatment and improve prognosis. Key words: Non-small cell lung cancer; Imbalance; Feature selection; Survival prediction
目的应用机器学习技术预测非小细胞肺癌(NSCLC)患者的5年生存期,提高预测效率和预测准确率。方法采用SEER数据库中的NSCLC数据进行实验。针对患者数据的不平衡性,采用Borderline-SMOTE方法进行数据采样。采用基于微扰的特征选择(PFS)方法和决策树(DT)算法筛选特征,构建术后生存预测模型。结果患者资料平衡,筛选出7个预后变量,包括原发部位、分期组、手术原发部位、国际疾病分类、种族和分级。与LASSO、Tree-based、PFS-SVM和PFS-kNN模型相比,PFS-DT模型的预测效果最好。结论基于PFS-DT的患者生存预测模型可有效提高NSCLC患者术后生存预测的准确性,可为医生提供治疗和改善预后提供参考。关键词:非小细胞肺癌;不平衡;特征选择;生存的预测
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引用次数: 0
Effect of Thbs4 gene editing BMSCs transplantation on VEGF and Ang-1 in diabetic hind limb ischemia rats and related mechanism Thbs4基因编辑BMSCs移植对糖尿病后肢缺血大鼠VEGF和Ang-1的影响及其机制
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.003
Xiangfeng Wu, Tao Wang, Tao Liu, Fu-yu Xu, Qian Zhang
Objective To investigate the effects and the mechanism of thrombospondin 4 (Thbs4) gene-edited bone marrow mesenchymal stem cells (BMSCs) transplantation on vascular endothelial growth factor (VEGF) and angiopoietin-1 (Ang-1) in diabetic rats with hind limb ischemia. Methods Thirty Sprague-Dawley rats were randomly divided into the model group, BMSCs treatment group and Thbs4-BMSCs treatment group on average. After constructing the type Ⅱ diabetic rat model with hind limb ischemia, 100 μl normal saline, BMSCs suspension and Thbs4-BMSCs suspension (cell number: 2×106) were locally injected into the ischemic injury area of rats for the model group, BMSCs group and Thbs4-BMSCs group, respectively. The rats were sacrificed on the 14th day after stem cell transplantation, and the muscle tissues near the ischemic area were collected. The relative expression of VEGF and p-Smad2/3 protein was detected by Western Blot. The Ang-1 protein expression was detected by immunofluorescence staining. The levels of related genes were detected by qRT-PCR, and the von Willebrand Factor (vWF) protein expression was detected by immunohistochemistry staining. Results The relative expression levels of VEGF, Ang-1 and vWF protein in the Thbs4-BMSCs group were significantly higher than those in the model group and BMSCs group (VEGF protein: P<0.01 and P<0.05). The mRNA expression of VEGF and Ang-1 were significantly up-regulated, the differences were statistically significant(VEGF mRNA: all P<0.01; Ang-1: P<0.01 and P<0.05). The expression of p-Smad2/3 protein in the Thbs4-BMSCs group was significantly higher than that in the model group and the BMSCs treatment group (all P<0.01). The expression of p-Smad2/3 protein was significantly decreased after the addition of p-Smad2/3 pathway inhibitor, the differences were statistically significant (P<0.05). Conclusions Thbs4-BMSCs transplantation can effectively promote angiogenesis in diabetic rats with hind limb ischemia, and the effect of angiogenesis may be related to the activation of Smad2/3 signaling pathway. Key words: Diabetes mellitus; Hind limb ischemia; Mesenchymal stem cell transplantation; Thrombospondin 4; Angiogenesis
目的探讨血小板反应蛋白4 (Thbs4)基因编辑骨髓间充质干细胞(BMSCs)移植对糖尿病后肢缺血大鼠血管内皮生长因子(VEGF)和血管生成素-1 (Ang-1)的影响及其机制。方法30只sd大鼠随机分为模型组、骨髓间充质干细胞治疗组和thbs4 -骨髓间充质干细胞治疗组。建立Ⅱ型糖尿病后肢缺血大鼠模型后,模型组、BMSCs组和Thbs4-BMSCs悬液(细胞数2×106)分别局部注射100 μl生理盐水、BMSCs悬液和Thbs4-BMSCs悬液于大鼠缺血损伤区。干细胞移植后第14天处死大鼠,收集缺血区附近肌肉组织。Western Blot检测VEGF和p-Smad2/3蛋白的相对表达量。免疫荧光染色检测Ang-1蛋白表达。采用qRT-PCR检测相关基因表达水平,免疫组化染色检测血管性血友病因子(vWF)蛋白表达。结果Thbs4-BMSCs组VEGF、Ang-1、vWF蛋白相对表达量均显著高于模型组和BMSCs组(VEGF蛋白:P<0.01和P<0.05)。VEGF、Ang-1 mRNA表达均显著上调,差异均有统计学意义(VEGF mRNA:均P<0.01;Ang-1: P<0.01和P<0.05)。Thbs4-BMSCs组P - smad2 /3蛋白表达量显著高于模型组和BMSCs治疗组(均P<0.01)。添加P - smad2 /3通路抑制剂后,P - smad2 /3蛋白表达显著降低,差异均有统计学意义(P<0.05)。结论Thbs4-BMSCs移植可有效促进糖尿病后肢缺血大鼠血管生成,其作用可能与激活Smad2/3信号通路有关。关键词:糖尿病;后肢缺血;间充质干细胞移植;血小板反应蛋白4;血管生成
{"title":"Effect of Thbs4 gene editing BMSCs transplantation on VEGF and Ang-1 in diabetic hind limb ischemia rats and related mechanism","authors":"Xiangfeng Wu, Tao Wang, Tao Liu, Fu-yu Xu, Qian Zhang","doi":"10.3760/CMA.J.ISSN.1673-4181.2019.04.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4181.2019.04.003","url":null,"abstract":"Objective \u0000To investigate the effects and the mechanism of thrombospondin 4 (Thbs4) gene-edited bone marrow mesenchymal stem cells (BMSCs) transplantation on vascular endothelial growth factor (VEGF) and angiopoietin-1 (Ang-1) in diabetic rats with hind limb ischemia. \u0000 \u0000 \u0000Methods \u0000Thirty Sprague-Dawley rats were randomly divided into the model group, BMSCs treatment group and Thbs4-BMSCs treatment group on average. After constructing the type Ⅱ diabetic rat model with hind limb ischemia, 100 μl normal saline, BMSCs suspension and Thbs4-BMSCs suspension (cell number: 2×106) were locally injected into the ischemic injury area of rats for the model group, BMSCs group and Thbs4-BMSCs group, respectively. The rats were sacrificed on the 14th day after stem cell transplantation, and the muscle tissues near the ischemic area were collected. The relative expression of VEGF and p-Smad2/3 protein was detected by Western Blot. The Ang-1 protein expression was detected by immunofluorescence staining. The levels of related genes were detected by qRT-PCR, and the von Willebrand Factor (vWF) protein expression was detected by immunohistochemistry staining. \u0000 \u0000 \u0000Results \u0000The relative expression levels of VEGF, Ang-1 and vWF protein in the Thbs4-BMSCs group were significantly higher than those in the model group and BMSCs group (VEGF protein: P<0.01 and P<0.05). The mRNA expression of VEGF and Ang-1 were significantly up-regulated, the differences were statistically significant(VEGF mRNA: all P<0.01; Ang-1: P<0.01 and P<0.05). The expression of p-Smad2/3 protein in the Thbs4-BMSCs group was significantly higher than that in the model group and the BMSCs treatment group (all P<0.01). The expression of p-Smad2/3 protein was significantly decreased after the addition of p-Smad2/3 pathway inhibitor, the differences were statistically significant (P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Thbs4-BMSCs transplantation can effectively promote angiogenesis in diabetic rats with hind limb ischemia, and the effect of angiogenesis may be related to the activation of Smad2/3 signaling pathway. \u0000 \u0000 \u0000Key words: \u0000Diabetes mellitus; Hind limb ischemia; Mesenchymal stem cell transplantation; Thrombospondin 4; Angiogenesis","PeriodicalId":61751,"journal":{"name":"国际生物医学工程杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45968460","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
Effect of supernatant of mesenchymal stem cells on tumor necrosis factor-α and apoptosis protein caspase-3 in diabetic skin ulcer rat model 间充质干细胞上清液对糖尿病皮肤溃疡模型大鼠肿瘤坏死因子-α和凋亡蛋白caspase-3的影响
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.009
Liming Chen, Bo-Ya Zhang, Yuetong Hui, Tao Yang, H. Sha, Huipeng Meng, Yanlong Zhang, Keqiang Wang, Lei Wang, Jian Xu
Objective To investigate the supernatant of umbilical cord-derived mesenchymal stem cells (UCMSCs) on tumor necrosis factor-α (TNF-α) and apoptosis protein caspase-3 in diabetic rats model with skin ulcer. Methods 45 Sprague-Dawley rats were randomly divided into control group (acute wounds group), phosphate buffered saline (PBS) group and UCMSCs supernatant group. The diabetic rat model was constructed by injecting with alloxan by tail vein and feeding with high-fat diet. Diabetic skin ulcer (DSU) rat model was constructed by scratching a wound and infusing suspension of Staphylococcus aureus. In the control group, the diabetic rats (n=15) were scratched to form a wound and treated by tail vein injection of 100 μl PBS. In the PBS group, DSU rats (n=15) were treated by tail vein injection of 100 μl PBS, and then 100 μl PBS was dropped at the ulcer site. In the UCMSCs supernatant group, freeze-dried powder of UCMSCs supernatant was dissolved in 200 μl PBS, 100 μl of which was injected into the tail vein of DSU rats (n=15), and other 100 μl was dropped at the ulcer site. After 5 days of the treatments, the levels of serum TNF-α were detected by radioimmunoassay method, and the expression of TNF-α and caspase-3 in the ulcer tissues of rats was detected by polymerase chain reaction and Western Blot. Results The levels of TNF-α in the PBS group [(35.9±3.7) μg/L] were significantly higher than that of the control group [(11.4±4.9) μg/L] and the UCMSCs group [(14.7±6.6) μg/L] (all P 0.05). Conclusions UCMSCs supernatant treatments can effectively down-regulate the expression of TNF-α and caspase-3 in ulcer tissue of DSU rats, and play an anti-inflammatory and anti-apoptotic effect. Key words: Diabetes mellitus; Skin ulcer; Umbilical cord derived-mesenchymal stem cells; Tumor necrosis factor-α; Caspase-3
目的研究脐血间充质干细胞(UCMSC)上清液对糖尿病大鼠皮肤溃疡模型中肿瘤坏死因子-α(TNF-α)和凋亡蛋白胱天蛋白酶-3的影响。方法将45只Sprague-Dawley大鼠随机分为对照组(急性创伤组)、磷酸盐缓冲盐水(PBS)组和UCMSCs上清液组。采用尾静脉注射四氧嘧啶和高脂饮食建立糖尿病大鼠模型。通过抓挠伤口并注入金黄色葡萄球菌悬浮液建立糖尿病皮肤溃疡(DSU)大鼠模型。对照组将糖尿病大鼠(n=15)抓伤形成伤口,尾静脉注射100μl PBS治疗。PBS组采用尾静脉注射100μl PBS治疗DSU大鼠(n=15),然后在溃疡处滴加100μl的PBS。在UCMSCs上清液组中,将UCMSCs上清的冻干粉溶于200μl PBS中,其中100μl注射到DSU大鼠(n=15)的尾静脉中,另外100μl滴在溃疡部位。治疗5天后,用放射免疫分析法检测血清TNF-α水平,用聚合酶链式反应和Western Blot法检测大鼠溃疡组织中TNF-α和胱天蛋白酶-3的表达。结果PBS组TNF-α水平[(35.9±3.7)μg/L]明显高于对照组[(11.4±4.9)μg/L]和UCMSCs组[(14.7±6.6)μg/L(P均0.05)。关键词:糖尿病;皮肤溃疡;脐带间充质干细胞;肿瘤坏死因子-α;半胱氨酸蛋白酶-3
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引用次数: 0
Effect of high dose irradiation on thermoluminescence detector 高剂量辐照对热释光探测器的影响
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.012
S. Ruan, Zhixin Zhao, Wen-yi Zhang, Kaijun Su, Xinxin Pang, F. Wang, Yulian Liu, Menghui Huo, Changxin Yan, L. Jiao
Objective To investigate effect of high dose irradiation on the performances of thermolumines- cence detectors (LiF:Mg, Cu, P). Methods The high-dose irradiated thermoluminescence detector was annealed by a thermoluminescence annealing furnace until the annealing was completed, and then the annealed thermoluminescent detector was irradiated 0.5Gy by 137Cs irradiator to verify the accuracy of the thermoluminescentdetector. Results The thermoluminescence detector after high-dose irradiation could not be completely annealed under the temperature condition of 240 °C, and it could be completely annealed at a high temperature as 400 ℃. After 0.5 Gy irradiation by 137Cs irradiator, the measurement results of the annealed thermoluminescence detector were significantly smaller, and the dose response and dispersion of the detector were also changed significantly. Conclusions After a more than 5 Gy irradiation, the crystal structure of the thermoluminescence detector has changed, and a high temperature peak above 240 ℃ has appeared, which leads to the failure to completely anneal at normal temperature. Therefore, the thermoluminescence detector can no longer be used for dosimetry after high-dose irradiation. Key words: Thermoluminescent detector; High dose; Annealing; Dose response
目的研究高剂量辐照对LiF:Mg,Cu,P热发光探测器性能的影响。方法用热释光退火炉对大剂量辐照的热释光探测器进行退火,直至退火完成,然后用137Cs辐照器对退火后的热释发光探测器进行0.5Gy辐照,以验证热释光检测器的准确性。结果高剂量辐照后的热释光探测器在240°C的温度条件下不能完全退火,在400℃的高温条件下可以完全退火。经137Cs辐照器0.5Gy辐照后,退火后的热释光探测器的测量结果明显较小,探测器的剂量响应和色散也发生了显著变化。结论在5Gy以上辐照后,热释光探测器的晶体结构发生了变化,出现了240℃以上的高温峰,导致在常温下不能完全退火。因此,热释光探测器在大剂量辐照后不能再用于剂量测定。关键词:热发光探测器;高剂量;退火;剂量反应
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引用次数: 0
A review of multimodal neuroimaging fusion methods and their clinical applications to brain diseases 多模态神经影像融合方法及其在脑部疾病中的临床应用综述
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.013
Fei Tang, Linling Li, Mengying Wei
With the rapid development of neuroimaging technology and related data processing methods, multimodal neuroimaging has been widely used in research fields such as neuroscience and clinical diseases. In this paper, the current development of multimodal neuroimaging fusion algorithm and its application in the diagnosis and treatment of brain diseases were reviewed. The definitions, applications, and advantages of the three levels of multimodal neuroimaging fusion, i.e. early fusion, late fusion, and intermediate fusion, were introduced and analyzed. The commonly used multi-modal neuroimaging algorithm basing on signal source separation method and deep multi-modal learning was introduced. The application of multimodal neuroimaging technology in the diagnosis and treatment of severe brain diseases such as schizophrenia and Alzheimer's disease was further discussed. Finally, the existing challenges and future research directions of multimodal neuroimaging methods and applications were summarized. Key words: Multimodal fusion; Neuroimaging; Magnetic resonance imaging; Deep multimodal learning; Neurological diseases
随着神经影像学技术及相关数据处理方法的快速发展,多模态神经影像学已广泛应用于神经科学、临床疾病等研究领域。本文综述了多模态神经影像融合算法的发展现状及其在脑部疾病诊断和治疗中的应用。介绍和分析了早期融合、晚期融合和中期融合这三个阶段的多模态神经影像学融合的定义、应用和优势。介绍了基于信号源分离法和深度多模态学习的常用多模态神经成像算法。进一步探讨了多模态神经成像技术在精神分裂症、阿尔茨海默病等严重脑疾病诊断和治疗中的应用。最后,总结了多模态神经成像方法和应用存在的挑战和未来的研究方向。关键词:多模态融合;神经影像;磁共振成像;深度多模态学习;神经系统疾病
{"title":"A review of multimodal neuroimaging fusion methods and their clinical applications to brain diseases","authors":"Fei Tang, Linling Li, Mengying Wei","doi":"10.3760/CMA.J.ISSN.1673-4181.2019.04.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4181.2019.04.013","url":null,"abstract":"With the rapid development of neuroimaging technology and related data processing methods, multimodal neuroimaging has been widely used in research fields such as neuroscience and clinical diseases. In this paper, the current development of multimodal neuroimaging fusion algorithm and its application in the diagnosis and treatment of brain diseases were reviewed. The definitions, applications, and advantages of the three levels of multimodal neuroimaging fusion, i.e. early fusion, late fusion, and intermediate fusion, were introduced and analyzed. The commonly used multi-modal neuroimaging algorithm basing on signal source separation method and deep multi-modal learning was introduced. The application of multimodal neuroimaging technology in the diagnosis and treatment of severe brain diseases such as schizophrenia and Alzheimer's disease was further discussed. Finally, the existing challenges and future research directions of multimodal neuroimaging methods and applications were summarized. \u0000 \u0000 \u0000Key words: \u0000Multimodal fusion; Neuroimaging; Magnetic resonance imaging; Deep multimodal learning; Neurological diseases","PeriodicalId":61751,"journal":{"name":"国际生物医学工程杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47085561","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: 1
Medical insurance model based on the national big data platform for medical and healthcare management 基于国家医疗卫生管理大数据平台的医疗保险模式
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.001
Yingxin Li
The fundamental goal of China's medical insurance is to build a multi-level social security system covering the whole people, urban and rural planning, clear rights and responsibilities, moderate protection, and sustainable development. It is required to unify the medical insurance system, achieve fairness in medical insurance, improve the degree of protection, and increase the protection project, so as to effectively meet the needs of the basic health care services of the national diversification and to comprehensively improve the national health level. It is help to reduce the incidence of diseases, improve the quality of life, reduce the expenditure on medical expenses, and regulate the health habits of the people by emphasizing the importance of active prevention in the medical insurance sector. That is consistent with the ultimate goal of the health system reform. Active health insurance based on the national big data platform for medical and healthcare management can implement effective health interventions through various medical and economic means, helping to block risk factors before disease formation, thereby extending the individual health cycle and achieving the purpose of maintaining health. It can be foreseen that with the implementation of active medical insurance, the awareness rate of major chronic diseases will increase, and the incidence of major chronic diseases and the number of patients will gradually decrease. Therefore, the economic burden of the national medical and health system will gradually be reduced, so as to meet the growing needs of people for health care. Key words: Health care big data; Health system reform; Medical insurance
中国医疗保险的根本目标是建立覆盖全民、统筹城乡、权责明确、保障适度、可持续发展的多层次社会保障体系。要求统一医保制度,实现医保公平,提高保障程度,增加保障项目,从而有效满足国民基本医疗服务多元化的需求,全面提高国民健康水平。通过强调医疗保险部门积极预防的重要性,有助于减少疾病的发病率,提高生活质量,减少医疗费用支出,规范人们的健康习惯。这与卫生体制改革的最终目标是一致的。基于国家医疗健康管理大数据平台的主动健康保险,可以通过多种医疗和经济手段实施有效的健康干预,有助于在疾病形成之前阻断危险因素,从而延长个体健康周期,达到保持健康的目的。可以预见,随着积极医保的实施,重大慢性病的知晓率将会提高,重大慢性病的发病率和患者人数将会逐渐减少。因此,国家医疗卫生系统的经济负担将逐步减轻,从而满足人们日益增长的医疗保健需求。关键词:医疗大数据;卫生体制改革;医疗保险
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引用次数: 0
Role of the alkylglycerone phosphate synthase in isoproterenol-induced cardiac hypertrophy 烷基甘油磷酸合成酶在异丙肾上腺素诱导的心肌肥大中的作用
Pub Date : 2019-08-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.04.004
Yijie Liu, Qiaoman Fei, Bingyan Cao, Manman Qiu, Huan Huang, Jiaxin Song, Bing Yang, Ling Zhang
Objective To research the effect of alkylation of glycerol phosphate synthase(AGPS) in isoproterenol (ISO) induced rat cardiac hypertrophy. Methods The pathological cardiac hypertrophy rat model was constructed by ISO intraperitoneal injection. Twelve healthy Sprague-Dawley rats (120~150 g) were divided into ISO group and control group randomly. In the ISO group, rats were injected with ISO (3 mg/kg) per day for two consecutive weeks. In the control group, rats were injected with normal saline (3 mg/kg) per day for two consecutive weeks. Changes of left ventricular diastolic diameter, left ventricular posterior wall thickness, left ventricular ejection fraction, left ventricular short-axis shortening rate and left ventricular mass were detected by echocardiography. The cross-sectional area of myocardial cells in rats was measured by hematoxylin-eosin staining. The expression of hypertrophic factors [atrial natriuretic peptide (ANP), myosin light chain-2V (MLC-2V), α-myosin heavy chain (α-MHC)] and AGPS were detected by Western Blot and real-time quantitative PCR (qPCR). Results The results of echocardiography showed that the cardiac hypertrophy rat model was successfully constructed. The results of hematoxylin-eosin staining showed that the myocardial cross-sectional area in the ISO group was significantly larger than that of the control group. The Western Blot and qPCR results indicated that the relative expression of protein and mRNA of hypertrophic factor and AGPS in the ISO group were both up-regulated comparing with that of the control group, and the differences were statistical significance (all P<0.05). Conclusions The rat model of pathological cardiac hypertrophy with up-regulated AGPS expression was successfully constructed providing a theoretical basis for further study on the role of AGPS in pathogenesis of pathological cardiac hypertrophy. Key words: Cardiomyopathy, hypertrophic; Isoproterenol; Alkylglycerone phosphate synthase
目的研究甘油磷酸合成酶(AGPS)烷基化在异丙肾上腺素(ISO)诱导的大鼠心肌肥大中的作用。方法采用ISO腹腔注射法建立病理性心肌肥大大鼠模型。12只健康Sprague-Dawley大鼠(120~150g)随机分为ISO组和对照组。在ISO组中,大鼠每天注射ISO(3 mg/kg),连续两周。在对照组中,大鼠每天注射生理盐水(3mg/kg),连续两周。超声心动图检测左心室舒张直径、左心室后壁厚度、左心室射血分数、左心室短轴缩短率和左心室质量的变化。苏木精-伊红染色法测定大鼠心肌细胞的横截面积。用Western Blot和实时定量PCR(qPCR)检测肥大因子[心钠素(ANP)、肌球蛋白轻链-2V(MLC-2V)、α-肌球蛋白重链(α-MHC)]和AGPS的表达。结果超声心动图结果表明,成功构建了大鼠心肌肥厚模型。苏木精-伊红染色结果显示,ISO组的心肌截面积明显大于对照组。Western Blot和qPCR结果表明,ISO组肥大因子和AGPS蛋白和mRNA的相对表达均较对照组上调,结论成功构建了AGPS表达上调的病理性心肌肥厚大鼠模型,为进一步研究AGPS在病理性心肌肥大发病机制中的作用提供了理论依据。关键词:心肌病、肥厚型;异丙烯醇;烷基甘油酮磷酸合成酶
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国际生物医学工程杂志
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