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In-silico study on cumulative effects of degeneration and anterior circumferential annular tear on the L5-S1 spinal unit 关于 L5-S1 脊柱单元退变和前环状撕裂累积效应的模拟研究
IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-10 DOI: 10.1088/2057-1976/ad7608
Vinyas, Subraya Krishna Bhat, Hiroshi Yamada and N Shyamasunder Bhat
Low back pain is a serious health concern prevalent in majority of the people around the world, especially in case of the elderly. The root cause for this is mostly observed to be the development of lesions/ tears complemented by degenerative effects in the intervertebral disc of L4-L5 and L5-S1 segments. This study aims to analyse the effects of disc degeneration and tears on the mechanical responses of the L5-S1 spinal unit, which has not been investigated. The annulus is represented by an anisotropic hyperelastic Gasser-Ogden-Holzapfel (GOH) model wherein the effect of degeneration is defined by varying the constants responsible for the behaviour of the material in different strain-ranges. A systematic approach is proposed for modelling the effects of disc degeneration in the annulus. Further, the commonly found anterior circumferential tear is modelled to understand its combined effects with degeneration of the annulus. The damaging effect of the tear was limited only to extension movement, causing critical stress variations in its vicinity. However, degeneration had a significant influence on both stress and range of motion of the spinal unit across all types of movements. This study highlights the complex relationship of the physiological movements with pathogenesis of tear and degeneration leading to discogenic pain thus enabling clinicians to develop conservative treatment strategies for specific age groups.
腰痛是世界上大多数人,尤其是老年人普遍存在的严重健康问题。据观察,其根本原因主要是 L4-L5 和 L5-S1 节段的椎间盘发生病变/撕裂,并伴有退行性影响。本研究旨在分析椎间盘退化和撕裂对 L5-S1 脊柱单元机械反应的影响。椎间盘环由各向异性超弹性的 Gasser-Ogden-Holzapfel (GOH) 模型表示,通过改变不同应变范围内材料行为的常数来定义退化的影响。本文提出了一种系统的方法来模拟椎间盘退变对环面的影响。此外,还对常见的前圆周撕裂进行了建模,以了解其与椎间盘环退化的综合影响。撕裂的破坏作用仅限于伸展运动,导致其附近的临界应力变化。然而,在所有类型的运动中,退化对脊柱单元的应力和运动范围都有显著影响。这项研究强调了生理运动与导致椎间盘源性疼痛的撕裂和退化的发病机制之间的复杂关系,从而使临床医生能够针对特定年龄组制定保守治疗策略。
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引用次数: 0
Distribution of mechanical properties of native human ligamentum flavum depending on histopathological changes. 人体原生黄韧带机械性能的分布取决于组织病理学变化。
IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-10 DOI: 10.1088/2057-1976/ad78e2
Filip Samal,Vojtech Cerny,Petr Kujal,Jakub Jezek,Jiri Skala-Rosenbaum,Josef Sepitka
This study aimed to characterize the mechanical properties of native human ligamentum flavum (LF) and correlate them with histopathological changes. Mechanical property gradients across the cranial, medial, and caudal regions of LF were mapped and compared with histological sections. We also compared lumbar spinal stenosis (LSS) samples with disc herniation (DH) samples as reference material to identify differences in mechanical properties and histopathological features. Our results revealed significant heterogeneity in LF mechanical properties, with local variations correlating with specific histopathological changes such as chondroid metaplasia and loss of elastic fibers. These findings underscore the importance of considering LF heterogeneity in mechanical characterization and provide insights into its behavior under pathological conditions.
本研究旨在描述原生人体黄韧带(LF)的机械特性,并将其与组织病理学变化联系起来。我们绘制了黄韧带头端、内侧和尾端区域的机械特性梯度图,并将其与组织病理学切片进行了比较。我们还将腰椎管狭窄症(LSS)样本与作为参考材料的椎间盘突出症(DH)样本进行了比较,以确定机械性能和组织病理学特征的差异。我们的研究结果表明,腰椎间盘突出症样本的机械性能存在明显的异质性,局部变化与软骨化生和弹性纤维缺失等特定的组织病理学变化相关。这些发现强调了在机械特性分析中考虑 LF 异质性的重要性,并为了解其在病理条件下的行为提供了见解。
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引用次数: 0
Thickness-extensible higher order plate theory with enforced C1 continuity for the analysis of PEEK medical implants. 用于分析聚醚醚酮(PEEK)医疗植入物的具有强制 C1 连续性的增厚高阶板理论。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-10 DOI: 10.1088/2057-1976/ad7591
Mohamad Hasan Bin Tasneem, Farooq Al-Jahwari, Mahmood Al-Kindi, Imad Al-Lawati, Abdulmonem Al Lawati

Plate-like structures had been thoroughly studied in literature over years to reduce the computational space from 3D to 2D. Many of these theories suffer either from satisfying the free traction condition or thickness extensibility in addition to the consistency of transverse shear strain energy. This work presents a higher order shear deformation thickness-extensible plate theory (eHSDT) for the analysis of plates. The proposed eHSDT satisfies the condition of free traction as other theories do but it also satisfies the condition of consistency of transverse shear strain energy which is neglected by many theories in the area of plates and shells. The implementation of the proposed theory in displacement-based finite element procedure requires continuity of derivatives across elements. This necessary condition was achieved using the penalty enforcement method for derivative-based nodal degrees of freedom across the standard 9-nodes Lagrange element. The theory was tested for elastic bending deformation of Polyether-ether-ketone (PEEK) which is one of the basic materials for medical implants. The theory showed good accuracy compared to experimental data of the three-points bending test. The present eHSDT was also tested for different conditions with a wide range of aspects ratios (thin to thick plates) and different boundary conditions. The accuracy of the proposed eHSDT was verified against exact solutions for these conditions which showed the advantage over other approaches and commercial finite element packages.

多年来,为了将计算空间从三维缩小到二维,文献中对板状结构进行了深入研究。其中许多理论除了横向剪切应变能的一致性外,还存在满足自由牵引条件或厚度可延伸性的问题。本研究提出了一种用于板分析的高阶剪切变形厚度可扩展板理论(eHSDT)。所提出的 eHSDT 与其他理论一样满足自由牵引的条件,但它也满足横向剪切应变能一致性的条件,而在板和壳领域,许多理论都忽略了这一点。在基于位移的有限元程序中实施所提出的理论需要跨元素导数的连续性。这一必要条件是通过对标准 9 节点拉格朗日元素中基于导数的节点自由度采用惩罚执行法来实现的。该理论针对聚醚醚酮(PEEK)的弹性弯曲变形进行了测试,聚醚醚酮是医疗植入物的基本材料之一。与三点弯曲试验的实验数据相比,该理论显示出良好的准确性。本 eHSDT 还在不同条件下进行了测试,包括宽范围的纵横比(薄板与厚板)和不同的边界条件。针对这些条件的精确解验证了所提出的 eHSDT 的准确性,这表明它比其他方法和商用有限元软件包更具优势。
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引用次数: 0
Radiomics analysis of cerebral blood flow suggests a possible link between perfusion homogeneity and poor glioblastoma multiforme prognosis. 脑血流放射组学分析表明,灌注均匀性与多形性胶质母细胞瘤不良预后之间可能存在联系。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-09 DOI: 10.1088/2057-1976/ad7593
Behzad Ebrahimi

Objectives. This study investigates the association between cerebral blood flow (CBF) and overall survival (OS) in glioblastoma multiforme (GBM) patients receiving chemoradiation. Identifying CBF biomarkers could help predict patient response to this treatment, facilitating the development of personalized therapeutic strategies.Materials and Methods. This retrospective study analyzed CBF data from dynamic susceptibility contrast (DSC) MRI in 30 newly diagnosed GBM patients (WHO grade IV). Radiomics features were extracted from CBF maps, tested for robustness, and correlated with OS. Kaplan-Meier analysis was used to assess the predictive value of radiomic features significantly associated with OS, aiming to stratify patients into groups with distinct post-treatment survival outcomes.Results. While mean relative CBF and CBV failed to serve as independent prognostic markers for OS, the prognostic potential of radiomic features extracted from CBF maps was explored. Ten out of forty-three radiomic features with highest intraclass correlation coefficients (ICC > 0.9), were selected for characterization. While Correlation and Zone Size Variance (ZSV) features showed significant OS correlations, indicating prognostic potential, Kaplan-Meier analysis did not significantly stratify patients based on these features. Visual analysis of the graphs revealed a predominant association between the identified radiomic features and OS under two years. Focusing on this subgroup, Correlation, ZSV, and Gray-Level Nonuniformity (GLN) emerged as significant, suggesting that a lack of heterogeneity in perfusion patterns may be indicative of a poorer outcome. Kaplan-Meier analysis effectively stratified this cohort based on the features mentioned above. Receiver operating characteristic (ROC) analysis further validated their prognostic value, with ZSV demonstrating the highest sensitivity and specificity (0.75 and 0.85, respectively).Conclusion. Our findings underscored radiomics features sensitive to CBF heterogeneity as pivotal predictors for patient stratification. Our results suggest that these markers may have the potential to identify patients who are unlikely to benefit from standard chemoradiation therapy.

研究目的本研究探讨了接受化疗的多形性胶质母细胞瘤(GBM)患者脑血流(CBF)与总生存期(OS)之间的关系。确定CBF生物标志物有助于预测患者对这种治疗的反应,从而促进个性化治疗策略的开发:这项回顾性研究分析了 30 名新确诊的 GBM 患者(WHO IV 级)的动态易感对比(DSC)磁共振成像的 CBF 数据。从CBF图中提取放射组学特征,测试其稳健性,并将其与OS相关联。采用卡普兰-梅耶尔分析评估与OS显著相关的放射组学特征的预测价值,旨在将患者分为具有不同治疗后生存结果的组别:结果:虽然平均相对 CBF 和 CBV 未能作为 OS 的独立预后指标,但研究人员探索了从 CBF 图中提取的放射学特征的预后潜力。在 43 个具有最高类内相关系数(ICC > 0.9)的放射学特征中,有 10 个被选中进行特征描述。虽然相关性和区域大小方差(ZSV)特征显示出显著的 OS 相关性,表明了预后潜力,但 Kaplan-Meier 分析并未根据这些特征对患者进行显著分层。对图表的直观分析显示,已确定的放射学特征与两年以下的OS之间存在主要关联。针对这一亚组,相关性、ZSV 和灰阶不均匀性(GLN)具有重要意义,表明灌注模式缺乏异质性可能预示着较差的预后。卡普兰-梅耶尔分析根据上述特征对该队列进行了有效的分层。接收者操作特征(ROC)分析进一步验证了这些特征的预后价值,其中ZSV的敏感性和特异性最高(分别为0.75和0.85):我们的研究结果表明,对CBF异质性敏感的放射组学特征是对患者进行分层的关键预测指标。我们的研究结果表明,这些标记物有可能鉴别出那些不太可能从标准化学放疗中获益的患者。
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引用次数: 0
Multi-layered silicone-based breast tissue phantom for multi-modal optical spectroscopy. 用于多模态光学光谱分析的多层硅基乳腺组织模型。
IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-09 DOI: 10.1088/2057-1976/ad785e
Subitcha Jayasankar,N Sujatha
The heterogeneity, non-uniform nature, and ethical concerns in sourcing biological tissues pose several challenges to designing, calibrating, standardizing, and evaluating the performance of spectroscopy-based diagnostic methods. A synthetic phantom module that can resemble a multi-layered tissue structure while including multiple tissue biomarkers with long-shelf life and stability is vital to overcome these challenges. This work uses a multi-layered silicone phantom to incorporate multiple biomarkers suitable for multi-modal spectroscopy testing and calibration. The phantom mimics the microcalcification distribution in the breast tissues using hydroxyapatite and the endogenous fluorescence seen in the tissues using Flavin Adenine Dinucleotide (FAD) and Nicotinamide Adenine Dinucleotide (NADH). The utility of this phantom for tumor margin analysis is analyzed using Diffuse reflectance, fluorescence, and Raman spectroscopy. The observed relative differences in intensity with changes in the silicone tumor layer depth and thickness are suitable for instrument calibration and fiber-optic probe design for tumor margin analysis. .
生物组织来源的异质性、不均匀性和伦理问题给基于光谱的诊断方法的设计、校准、标准化和性能评估带来了诸多挑战。要克服这些挑战,必须要有一个能与多层组织结构相似的合成模型模块,同时包含多种组织生物标记物,并具有较长的保质期和稳定性。这项研究利用多层硅胶模型纳入了适合多模态光谱测试和校准的多种生物标记物。该模型利用羟基磷灰石模拟乳腺组织中的微钙化分布,并利用黄素腺嘌呤二核苷酸(FAD)和烟酰胺腺嘌呤二核苷酸(NADH)模拟组织中的内源性荧光。利用漫反射、荧光和拉曼光谱分析了该模型在肿瘤边缘分析中的实用性。观察到的强度随硅肿瘤层深度和厚度变化而产生的相对差异适用于肿瘤边缘分析的仪器校准和光纤探针设计。
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引用次数: 0
Monte Carlo investigation of the nucleus size effect and cell’s oxygen content on the damage efficiency of protons 细胞核大小效应和细胞含氧量对质子破坏效率的蒙特卡洛研究
IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-09 DOI: 10.1088/2057-1976/ad7598
Mojtaba Mokari, Hossein Moeini and Mina Eslamifar
Living tissues could suffer different types of DNA damage as a result of being exposed to ionizing radiations. Monte Carlo simulations of the underlying interactions have been instrumental in predicting the damage types and the processes involved. In this work, we employed Geant4-DNA and MCDS for extracting the initial DNA damage and investigating the dependence of damage efficiency on the cell’s oxygen content. The frequency-mean lineal ( ) and specific ( ) energies were derived for a spherical volume of water of various diameters between 2 and 11.1 μm. This sphere would serve as the nucleus of a cell of 100 μm diameter, engulfed by a homogeneous beam of protons. These microdosimetric quantities were calculated assuming spherical samples of 1 μm diameter in MCDS. The simulation results showed that for 230 MeV protons, an increase in the oxygen content from 0 by 10% raised the frequency of single- and double-strand breaks and lowered the base damage frequency. The resulting damage frequencies appeared to be independent of nucleus diameter. For proton energies between 2 and 230 MeV, showed no dependence on the cell diameter and an increase of the cell size resulted in a decrease in An increase in the proton energy slowed down the decreasing rate of as a function of nucleus diameter. However, the ratio of values corresponding to two proton energies of choice showed no dependence on the nucleus size and were equal to the ratio of the corresponding values. Furthermore, the oxygen content of the cell did not affect these microdosimetric quantities. Contrary to damage frequencies, these quantities appeared to depend only on direct interactions due to deposited energies. Our calculations showed the near independence of DNA damages on the nucleus size of the human cells. The probabilities of different types of single and double-strand breaks increase with the oxygen content.
生物组织在电离辐射的照射下会受到不同类型的 DNA 损伤。对基本相互作用的蒙特卡洛模拟有助于预测损伤类型和相关过程。在这项工作中,我们利用 Geant4-DNA 和 MCDS 提取了初始 DNA 损伤,并研究了损伤效率与细胞含氧量的关系。对于直径在 2 到 11.1 μm 之间的不同球形水体,我们得出了频率-平均线( )和比( )能量。这个球体将作为直径为 100 μm 的细胞核,被均匀的质子束吞噬。这些微观模拟量是在 MCDS 中假设直径为 1 μm 的球形样品计算得出的。模拟结果表明,对于 230 MeV 质子,氧含量从 0 增加到 10%会提高单链和双链断裂的频率,降低碱基损伤频率。由此产生的破坏频率似乎与原子核直径无关。质子能量在 2 至 230 MeV 之间时,损伤频率与细胞直径无关,细胞尺寸增大导致损伤频率降低。然而,所选择的两种质子能量对应值的比值与细胞核大小无关,而是等于对应值的比值。此外,细胞中的氧含量也不会影响这些微观模拟量。与损伤频率相反,这些量似乎只取决于沉积能量引起的直接相互作用。我们的计算表明,DNA损伤与人类细胞核的大小几乎无关。不同类型的单链和双链断裂的概率随着氧含量的增加而增加。
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引用次数: 0
Characterisation of 3D-printable thermoplastics to be used as tissue-equivalent materials in photon and proton beam radiotherapy end-to-end quality assurance devices. 表征三维可打印热塑性塑料,将其用作光子和质子束放射治疗端到端质量保证设备中的组织等效材料。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-05 DOI: 10.1088/2057-1976/ad6f95
Mariana Bento, Hannah Cook, Virginia Marin Anaya, Esther Bär, Andrew Nisbet, Ana Lourenço, Mohammad Hussein, Catarina Veiga

Objective.To investigate the potential of 3D-printable thermoplastics as tissue-equivalent materials to be used in multimodal radiotherapy end-to-end quality assurance (QA) devices.Approach.Six thermoplastics were investigated: Polylactic Acid (PLA), Acrylonitrile Butadiene Styrene (ABS), Polyethylene Terephthalate Glycol (PETG), Polymethyl Methacrylate (PMMA), High Impact Polystyrene (HIPS) and StoneFil. Measurements of mass density (ρ), Relative Electron Density (RED), in a nominal 6 MV photon beam, and Relative Stopping Power (RSP), in a 210 MeV proton pencil-beam, were performed. Average Hounsfield Units (HU) were derived from CTs acquired with two independent scanners. The calibration curves of both scanners were used to predict averageρ,RED and RSP values and compared against the experimental data. Finally, measured data ofρ,RED and RSP was compared against theoretical values estimated for the thermoplastic materials and biological tissues.Main results.Overall, goodρand RSP CT predictions were made; only PMMA and PETG showed differences >5%. The differences between experimental and CT predicted RED values were also <5% for PLA, ABS, PETG and PMMA; for HIPS and StoneFil higher differences were found (6.94% and 9.42/15.34%, respectively). Small HU variations were obtained in the CTs for all materials indicating good uniform density distribution in the samples production. ABS, PLA, PETG and PMMA showed potential equivalency for a variety of soft tissues (adipose tissue, skeletal muscle, brain and lung tissues, differences within 0.19%-8.35% for all properties). StoneFil was the closest substitute to bone, but differences were >10%. Theoretical calculations of all properties agreed with experimental values within 5% difference for most thermoplastics.Significance.Several 3D-printed thermoplastics were promising tissue-equivalent materials to be used in devices for end-to-end multimodal radiotherapy QA and may not require corrections in treatment planning systems' dose calculations. Theoretical calculations showed promise in identifying thermoplastics matching target biological tissues before experiments are performed.

目的:研究三维打印热塑性塑料作为组织等效材料用于多模式放射治疗端到端质量保证(QA)设备的潜力:研究三维可打印热塑性塑料作为组织等效材料用于多模式放射治疗端到端质量保证(QA)设备的潜力:方法:研究了六种热塑性塑料:方法:研究了六种热塑性塑料:聚乳酸(PLA)、丙烯腈-丁二烯-苯乙烯(ABS)、聚对苯二甲酸乙二醇酯(PETG)、聚甲基丙烯酸甲酯(PMMA)、高抗冲聚苯乙烯(HIPS)和 StoneFil。在标称 6MV 的光子束中测量了质量密度 (ρ)、相对电子密度 (RED),在 210MeV 的质子铅笔束中测量了相对停止功率 (RSP)。平均 Hounsfield 单位(HU)来自两台独立扫描仪采集的 CT。两台扫描仪的校准曲线用于预测平均 ρ、RED 和 RSP 值,并与实验数据进行比较。最后,将 ρ、RED 和 RSP 的测量数据与热塑性材料和生物组织的理论估计值进行比较:总体而言,CT 对 ρ 和 RSP 的预测结果良好;只有 PMMA 和 PETG 的差异大于 5%。实验值与 CT 预测的 RED 值之间的差异也为 10%。对于大多数热塑性塑料而言,所有特性的理论计算值与实验值的差异均在 5%以内:几种三维打印热塑性塑料是很有前途的组织等效材料,可用于端到端多模态放疗质量保证设备中,而且可能不需要在治疗计划系统的剂量计算中进行修正。理论计算表明,在进行实验之前,有望确定与目标生物组织相匹配的热塑性塑料。
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引用次数: 0
Automatic motion estimation with applications to hiPSC-CMs. 自动运动估计并应用于 hiPSC-CM。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-05 DOI: 10.1088/2057-1976/ad7268
Henrik Finsberg, Verena Charwat, Kevin E Healy, Samuel T Wall

Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are an effective tool for studying cardiac function and disease, and hold promise for screening drug effects on human tissue. Understanding alterations in motion patterns within these cells is crucial for comprehending how the administration of a drug or the onset of a disease can impact the rhythm of the human heart. However, quantifying motion accurately and efficiently from optical measurements using microscopy is currently time consuming. In this work, we present a unified framework for performing motion analysis on a sequence of microscopically obtained images of tissues consisting of hiPSC-CMs. We provide validation of our developed software using a synthetic test case and show how it can be used to extract displacements and velocities in hiPSC-CM microtissues. Finally, we show how to apply the framework to quantify the effect of an inotropic compound. The described software system is distributed as a python package that is easy to install, well tested and can be integrated into any python workflow.

人类诱导多能干细胞衍生的心肌细胞(hiPSC-CMs)是研究心脏功能和疾病的有效工具,并有望用于筛选药物对人体组织的影响。了解这些细胞内运动模式的变化,对于理解用药或疾病发作如何影响人体心脏节律至关重要。然而,目前使用显微镜从光学测量中准确有效地量化运动非常耗时。在这项工作中,我们提出了一个统一的框架,用于对显微镜下获得的由 hiPSC-CMs 组成的组织图像序列进行运动分析。我们使用一个合成测试案例对所开发的软件进行了验证,并展示了如何使用该软件提取 hiPSC-CM 显微组织中的位移和速度。最后,我们展示了如何应用该框架来量化各向同性化合物的影响。所述软件系统以 python 软件包的形式发布,易于安装、测试良好,可集成到任何 python 工作流程中。
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引用次数: 0
Comparison review of image classification techniques for early diagnosis of diabetic retinopathy. 用于早期诊断糖尿病视网膜病变的图像分类技术比较综述。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-05 DOI: 10.1088/2057-1976/ad7267
Chayarat Wangweera, Plinio Zanini

Diabetic retinopathy (DR) is one of the leading causes of vision loss in adults and is one of the detrimental side effects of the mass prevalence of Diabetes Mellitus (DM). It is crucial to have an efficient screening method for early diagnosis of DR to prevent vision loss. This paper compares and analyzes the various Machine Learning (ML) techniques, from traditional ML to advanced Deep Learning models. We compared and analyzed the efficacy of Convolutional Neural Networks (CNNs), Capsule Networks (CapsNet), K-Nearest Neighbor (KNN), Support Vector Machine (SVM), decision trees, and Random Forests. This paper also considers determining factors in the evaluation, including contrast enhancements, noise reduction, grayscaling, etc We analyze recent research studies and compare methodologies and metrics, including accuracy, precision, sensitivity, and specificity. The findings highlight the advanced performance of Deep Learning (DL) models, with CapsNet achieving a remarkable accuracy of up to 97.98% and a high precision rate, outperforming other traditional ML methods. The Contrast Limited Adaptive Histogram Equalization (CLAHE) preprocessing technique substantially enhanced the model's efficiency. Each ML method's computational requirements are also considered. While most advanced deep learning methods performed better according to the metrics, they are more computationally complex, requiring more resources and data input. We also discussed how datasets like MESSIDOR could be more straightforward and contribute to highly evaluated performance and that there is a lack of consistency regarding benchmark datasets across papers in the field. Using the DL models facilitates accurate early detection for DR screening, can potentially reduce vision loss risks, and improves accessibility and cost-efficiency of eye screening. Further research is recommended to extend our findings by building models with public datasets, experimenting with ensembles of DL and traditional ML models, and considering testing high-performing models like CapsNet.

糖尿病视网膜病变(DR)是导致成人视力丧失的主要原因之一,也是糖尿病(DM)大规模流行的有害副作用之一。有效的筛查方法对早期诊断 DR 以防止视力丧失至关重要。本文比较并分析了从传统机器学习(ML)到高级深度学习模型的各种机器学习(ML)技术。我们比较并分析了卷积神经网络(CNN)、胶囊网络(CapsNet)、K-近邻(KNN)、支持向量机(SVM)、决策树和随机森林的功效。本文还考虑了评估中的决定性因素,包括对比度增强、降噪、灰度缩放等。我们分析了近期的研究,并比较了各种方法和指标,包括准确度、精确度、灵敏度和特异性。研究结果凸显了深度学习(DL)模型的先进性能,CapsNet 实现了高达 97.98% 的显著准确率和高精确率,优于其他传统 ML 方法。对比度受限自适应直方图均衡化(CLAHE)预处理技术大大提高了模型的效率。此外,还考虑了每种 ML 方法的计算要求。虽然大多数先进的深度学习方法在指标上表现更好,但它们在计算上更加复杂,需要更多的资源和数据输入。我们还讨论了像 MESSIDOR 这样的数据集如何能更简单明了地提高性能评估,以及该领域的论文在基准数据集方面缺乏一致性的问题。使用 DL 模型有助于对 DR 筛查进行准确的早期检测,有可能降低视力损失风险,并提高眼科筛查的可及性和成本效益。我们建议开展进一步的研究,通过使用公共数据集建立模型、尝试使用 DL 模型和传统 ML 模型的组合以及考虑测试 CapsNet 等高性能模型来扩展我们的研究结果。
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引用次数: 0
Pig-derived ECM-SIS provides a novel matrix gel for tumor modeling. 猪源性 ECM-SIS 为肿瘤建模提供了一种新型基质凝胶。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-09-04 DOI: 10.1088/2057-1976/ad72fa
Yanhua Wu, Hao Wang, Changbo Qu, Xuesong Deng, Na Li, Sile Yue, Wenjing Xu, Yinghua Chen, Ming Zhou

The absence of effective extracellular matrix to mimic the natural tumor microenvironment remains a significant obstacle in cancer research. Matrigel, abundant in various biological matrix components, is limited in its application due to its high cost. This has prompted researchers to explore alternative matrix substitutes. Here, we have investigated the effects of the extracellular matrix derived from pig small intestinal submucosa (ECM-SIS) in xenograft tumor modeling. Our results showed that the pig-derived ECM-SIS effectively promotes the establishment of xenograft tumor models, with a tumor formation rate comparable to that of Matrigel. Furthermore, we showed that the pig-derived ECM-SIS exhibited lower immune rejection and fewer infiltrating macrophages than Matrigel. Gene sequencing analysis demonstrated only a 0.5% difference in genes between pig-derived ECM-SIS and Matrigel during the process of tumor tissue formation. These differentially expressed genes primarily participate in cellular processes, biological regulation, and metabolic processes. These findings emphasize the potential of pig-derived ECM-SIS as a cost-effective option for tumor modeling in cancer research.

缺乏有效的细胞外基质来模拟天然肿瘤微环境仍然是癌症研究的一大障碍。含有丰富各种生物基质成分的 Matrigel 因其成本高昂而限制了其应用。这促使研究人员探索其他基质替代品。在此,我们研究了猪小肠粘膜下细胞外基质(ECM-SIS)在异种移植肿瘤模型中的作用。结果表明,猪源性 ECM-SIS 能有效促进异种移植肿瘤模型的建立,其肿瘤形成率与 Matrigel 相当。此外,我们还发现,与 Matrigel 相比,猪源性 ECM-SIS 的免疫排斥反应更低,浸润巨噬细胞更少。基因测序分析表明,在肿瘤组织形成过程中,猪源性 ECM-SIS 与 Matrigel 的基因差异仅为 0.5%。这些差异表达的基因主要参与细胞过程、生物调节和代谢过程。这些发现强调了猪源性 ECM-SIS 作为癌症研究中一种经济有效的肿瘤建模选择的潜力。
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Biomedical Physics & Engineering Express
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