介入、腹腔热灌洗、微泵三途径治疗胃肠道癌

对157例胃肠道癌切除术后病人， 随机分成术中腹腔温热灌洗化疗联合术后置泵持续动脉灌注及静脉微泵化疗组72例(简称治疗组)、单纯静脉化疗组85例(简称对照组)， 并对其腹腔转移率、 肝转移率及3 a生存率进行对照研究， 取得了较满意的临床疗效。 术中腹腔温热灌洗化疗联合术后置泵持续动脉灌注及静脉微泵化疗三途径综合治疗对胃肠道癌病人术后腹腔转移及肝转移有良好的防治作用。 157 cases of gastrointestinal cancer patients after resection were randomly divided into treated group and control group. The treated group (intraperitoneal hyperthermic perfusion chemotherapy combined with postoperative continuous intraarterial infusion and intravenous micro pump chemotherapy) consisted of 72 cases， the control group (Intravenous chemotherapy)， 85 cases. The peritoneal and hepatic metastasis rates and 3 a survival rate were studied. The intraperitoneal hyperthermic perfusion chemotherapy combined with the postoperative continuous intraarterial infusion and intravenous micro pump chemotherapy is an effective way to control the recurrence on the peritoneal and hepatic metastasis of advanced gastrointestinal neoplasms after operation.     

超声造影剂研究进展

本文综述超声造影剂的现状及新进展，在简要介绍造影剂物理原理的基础上，对超声造影剂在医学超声领域尤其是低速血流测量与组织灌注成像中的应用进行了总结与讨论，并介绍了用于实验研究和第二期临床试验的国际上最新的超声造影剂的特点，制备技术与评价方法。     

高脂血症模型小鼠生化指标的变化

采用脂肪乳剂灌胃三个月的方法探讨高脂血症模型小鼠生化指标的变化 ,实验结束时测定了血脂、血糖、尿酸和各种脏器系数等指标 ,观察了高脂血症对小鼠机体的综合影响。结果表明 ,脂肪乳剂组肝系数、脾系数、血脂含量均高于对照组 (P <0 0 1 )。提示长期脂肪乳剂饮食可引起小鼠高脂血症及其机体的脏器改变     

脂质体荧光衰减技术预测10种中药单体的被动吸收

制备了DPH荧光脂质体,选用10种药理活性较好的中药单体,测定了这些中药单体进入荧光脂质体后引起的荧光衰减百分率,评估中药单体的细胞膜通透性。采用大鼠在体肠单向灌流实验测定了中药单体的小肠有效透皮系数(Peff),与中药单体引起的脂质体荧光衰减数据对比,两者相关性良好,从而证明荧光脂质体模型可以应用来预测中药单体的被动吸收。用DPH标记红细胞膜,测定了以上10种中药单体对荧光标记的红细胞膜的荧光衰减百分率,发现荧光脂质体与红细胞膜相关性良好,荧光脂质体模型的确可以一定程度上替代制备繁琐的红细胞膜,用来研究中药单体在真实细胞膜中的通透性。综合而言,荧光脂质体模型简单易行、重现性好、所需样品量少,适合于中药早期研究的高通量筛选。     

Preparation of new technetium-99m NNS/X complexes and selection for brain imaging agent

Quantification of regional cerebral blood flow(rCBF) plays an important role in the diagnosis ofvarious cerebrovascular and neurological diseases. Innuclear medicine, brain perfusion imaging can providesituation of whole or regional cerebral blood flowperfusion (CBF or rCBF) to neurologists, help to findabnormality of cerebral blood flow before cere-brovascular and neurological diseases induce patho-logical changes in configuration or structure of brain.They offer important information for …     

CT血流灌注结合血脑屏障标志蛋白对中毒性休克患者神经元损伤的评价价值

选择2017年12月~2018年11月我院收治的100例经临床确认的中毒性休克患者的临床资料,所有患者均进行CT血流灌注成像检查,原始图像经工作站自带的脑灌注软件处理后产生灌注参数伪彩图像,测量病变侧及对侧大脑半球多个解剖部位的脑血流量(CBF)、脑血容量(CBV)、平均通过时间(MTT)、达峰时间(TTP)等灌注参数,计算病变侧/对侧的对比值(rCBF、rCBV、rMTT、rTTP)。并使用免疫组学方法检测不同患者外周血及脑脊液中血脑屏障通透性与紧密连接蛋白claudin-5、occludin、ZO-1、JAM-1、NOS和NSE的表达水平变化,并比较灌注参数与血脑屏障标志蛋白水平的相关性。结果显示,观察组患者外周血及脑脊液rCBF显著下降,rTTP降低,rPS升高(P<0.05),但两组rMTT、rCBV比较,差异无统计学意义(P>0.05)。观察组患者外周血及脑脊液claudin-5、occludin、ZO-1、NOS显著下降,JAM-1、NSE明显升高(P<0.05)。观察组claudin-5、occludin、ZO-1和NOS与rCBF、rTTP呈正相关,与rPS呈负相关;JAM-1和NSE与rCBF、rTTP呈负相关,与rPS呈正相关。rCBF、rTTP、JAM-1、NSE与神经元损伤程度呈正相关,claudin-5、occludin、ZO-1和NOS与神经元损伤程度呈负相关。上述结果表明CT血流灌注参数结合血脑屏障标志蛋白可有效评估中毒性休克患者神经元损伤程度,值得推广和应用。     

CTA联合CTP在预测急性脑梗死预后中的价值

本研究探讨CT血管成像(CTA)联合CT灌注成像(CTP)在预测急性脑梗死预后的价值。选取急性脑梗死患者102例,分为预后良好组和不良组,分析预后良好和不良患者ASPECTS、CTP参数差异。预后不良患者CTA图像ASPECTS评分<3分明显高于预后良好患者(P<0.05);预后不良患者病灶处脑血容量(CBV)和脑血流量(CBF)明显低于预后良好患者(P<0.05),达峰时间(TTP)和平均通过时间(MTT)明显高于预后良好患者(P<0.05);ASPECTS评分联合CBV、CBF及MTT预测预后不良的ROC曲线下面积为0.895(P<0.05),灵敏性和特异性分别为90.00%和84.10%。CTA联合CTP预测急性脑梗死患者预后有一定应用价值。     

生物组织血液灌注率的无损测量研究

本文提出了无损测量生物组织血液灌注率的体表绝热法。推导出了体表绝热时生物组织内温度响应的一维解析解。采用二维生物传热模型,分析了生物组织有限厚度、体表有限绝热面积和血液灌注率分布不均匀的影响。对人体组织的血液灌注率进行了测量,实测温度响应与理论预测值吻合。由于利用的只是体表的瞬态温度信息,对生物组织不会造成损伤,也不会干扰生物组织正常的生理状态,整个测量系统也比较简单。     

Measurement of local tissue perfusion through a minimally invasive heating bead

A minimally invasive approach was proposed to measure local blood perfusion rate in living tissues, based on the well-known Pennes bioheat equation. The measuring probe consists of a heater covered with conductive epoxy and temperature sensor deposited on the probe–tissue interface. By monitoring the probe–tissue interface’s temperature response before and after employing the constant heat flux, the tissue blood perfusion rate can be obtained. A theoretical model was developed to describe the measurement system. In vivo experiments were performed on the rabbit’s thighs to validate this method. At last, uncertainties implied in the temperature measurement and voltage across the heater was evaluated. The results point out the way to improve the accuracy of the present method and its appropriate application occasion.     

Image registration guided,sparsity constrained reconstructions for dynamic MRI

It is generally a challenging task to reconstruct dynamic magnetic resonance (MR) images with high spatial and high temporal resolutions, especially with highly incomplete k-space sampling. In this work, a novel method that combines a non-rigid image registration technique with sparsity-constrained image reconstruction is introduced. Employing a multi-resolution free-form deformation technique with B-spline interpolations, the non-rigid image registration accurately models the complex deformations of the physiological dynamics, and provides artifact-suppressed high spatial-resolution predictions. Based on these prediction images, the sparsity-constrained data fidelity-enforced image reconstruction further improves the reconstruction accuracy. When compared with the k-t FOCUSS with motion estimation/motion compensation (MEMC) technique on volunteer scans, the proposed method consistently outperforms in both the spatial and the temporal accuracy with variously accelerated k-space sampling. High fidelity reconstructions for dynamic systolic phases with reduction factor of 10 and cardiac perfusion series with reduction factor of 3 are presented.