孤立性肺结节的CT形态学特征结合GSI模式的诊断学研究

本研究探讨CT联合能谱成像(GSI)模式诊断孤立性肺结节的临床价值。选取经肺穿刺活检或手术病理学证实的肺孤立性结节患者110例(110个肺结节),对患者的CT平扫、GSI平扫资料进行分析。根据病理学结果分为良性组(炎性结节、非典型腺瘤样增生)41例、恶性组(肺癌小结节)69例,对比两组患者的肺小结节形态学特征综合评分、动静脉期的能谱曲线斜率、40 keV CT值、标准化碘浓度(NIC)的差异。结果显示,恶性组患者的毛刺征和棘突征、分叶征、血管集束征、胸膜凹陷征、支气管征、病灶内钙化、病灶强化值及孤立性肺结节形态学特征总分均高于良性组(P<0.05);恶性组患者的动脉期、静脉期的能谱曲线斜率、40 keV CT值、NIC均低于良性组(P<0.05)。肺部孤立性恶性结节的形态学特征与肺部良性结节差异显著,恶性结节的能谱曲线斜率、40 keV CT值、NIC值与良性结节差异明显。因此,综合分析结节的形态学特征及GSI参数对其良恶性诊断具有重要意义。     

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。     

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 用基于X射线的CT无损检测技术进行岩石损伤检测是岩石损伤力学的重要 研究方向之一. 首先介绍X射线CT设备的发展状况、检测原理和技术指标，回顾了CT 技术在岩石损伤检测中的应用进展，其次给出了现有的CT分析方法， 提出了统计频率分析法；然后评价了各种基于CT均值的损伤变量；最后指出岩石CT技术目 前存在的问题，并预测了未来的发展方向.     

血清C 反应蛋白在预测非创伤性急腹症的CT表现的价值

目的 探讨C 反应蛋白（CRP）急性期快速上升能否可靠预测非创伤性急腹症的CT 检查阳性表现。方法 收集CRP 检测后24h内行腹盆、腔CT扫描的非创伤性急腹症患者121 例,其中男57例,女64例,平均年龄57岁。近期手术、已知恶性肿瘤、炎症性肠病除外。CT表现由2 位放射科医师阅片并一致后进行分类。结果 CRP 正常CT 检查阳性16 人,阴性15 人,随着CRP 升高,CT 检查阳性率也随着升高,灵敏度下降,特异度增高,似然比也随之增高,当CRP 在130mg/L 水平以上时,其灵敏度与特异度分别为31.4%、90.9%,阳性似然比为3.14。结论 CRP阴性的非创伤性急腹症患者,不能除外CT 检查,随着血清CRP 水平升高,CT检查阳性率及阳性似然比也随之升高。     

Whole-body diffusion-weighted imaging vs. FDG-PET for the detection of non-small-cell lung cancer. How do they measure up?

Objective

To compare the diagnostic efficacy of whole-body diffusion-weighted imaging (WB-DWI) and [18F] fluoro-2-D-glucose PET/CT(FDG-PET/CT)for assessment of non–small cell lung cancer (NSCLC) patients.

Materials and Methods

A group of 56 patients (21 female, 35 male; 35–76 years) with NSCLC proved by pathologic examination or follow-up imaging findings was set as reference standards, and all patients underwent both WB-DWI at 1.5T (MAGNETOM Avanto) and PET/CT (Biograph 16). For WB-DWI, a free breathing diffusion-weighted single-shot spin-echo epi-sequence in five-stations (head-neck, thorax, abdomen, pelvis-thigh) was used. Each station-series contained 30 contiguous axial slices. Imaging parameters: FOV 360×360 mm, matrix size 128×80. B-values: 0 and 1000 s/mm² applied along x, y and z, 5 averages, acquisition time: 2.23 min/series, total: 11.55 min. The efficacy of WB-DWI and PET/CT were determined in a blinded reading by two radiologists and two nuclear medicine physicians using pathology and size change during follow up exams as the reference standard.

Results

Primary tumors (n=56 patients) were correctly detected in 56 (100%) patients by both PET/CT and WB-DWI. Ninety-six lymph nodes metastases were determined with pathologic and follow-up examinations. Sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV) being for lymph node metastases: 91%, 90%, 90%, 96%, 80% with WB-DWI and 98%, 97%, 97%, 99%, 93% with PET-CT, other metastases: 90%, 95%, 92%, 97%, 83% with WB-DWI and 98%, 100%, 98%, 100%, 95% with PET-CT). Differences in the accuracy of lymph node metastasis detection between PET/CT and WB-DWI (P=.031) were significant. The differences were not statistically significant for detection of other metastases.

Conclusions

WB-DWI is a feasible clinical technique for the assessment of NSCLC, lymph nodes and metastastic spread with high sensitivity and accuracy, but it was limited in the evaluation of neck lymph node metastases and small metastastic lung nodules.     

含萘磺酰基N_3O_2大环化合物与DNA相互作用的光谱法研究

以8,1 1,14-三氮杂-5,6:16,17-二苯并-1,4-二氧杂环十七烷为原料,合成了含萘磺酰基的N_3O_2大环化合物,其结构经~1H NMR,MS,元素分析等表征.通过紫外光谱法和荧光光谱法研究了N_3O_2大环化合物与小牛胸腺DNA的作用机制.结果表明:N_3O_2大环化合物通过嵌插方式与DNA结合,结合常数为K_(298.2 K)~■=20706.9 dm~3·mol~(-1),K_(308.2 K)~■=12416.9 dm~3·mol~(-1),二者结合为焓驱动反应.     

Polymorphism of Supramolecular Charge-Transfer Complex Composed of 10,10′-dihydroxy-9,9′-biphenanthryl and p-benzoquinone

Charge-transfer (CT) complexes were prepared using racemic (rac)-10,10′-dihydroxy-9,9′-biphenanthryl, which has a large and highly π-conjugated phenanthrene ring, as the electron donor and p-benzoquinone as the electron acceptor. This CT system showed a polymorphism.     

低能X射线工业CT小间隔信号采集系统

为克服探测器阵列获取速度慢、重建图像精度低的缺点,并能在低能X射线的小焦点/微焦点CT系统中完成对小型精密复杂器件的检测,研究了低能X射线工业CT的小间隔信号采集系统。系统选取DT公司0.2 mm像素尺寸、高集成度、扫描速度快的X-CARD 0.2-256G为探测器,Altera公司的Cyclone EP1C3T为主控芯片,Intel公司的LXT972A为以太网控制芯片。从数据传输的可靠、稳定、高效率角度出发,用模块化的方法给出了系统的硬件设计,用有限状态机技术完成了系统的逻辑单元设计,并对系统的动态范围进行了测试。测试实验结果表明,系统的动态范围大于4000,能够检测精密器件、准确迅速地完成信号的采集传输,满足实际工业CT对信号采集的要求。     

Coupling of Foam Drainage and Viscous Fingering in Porous Media Revealed by X-ray Computed Tomography

We investigate the development foam in granular porous media and the subsequent flow of the surfactant solution, where the fluid fraction variations are visualized and quantified using X-ray computed tomography. It is found that foam flows in a front like manner leading to a residual liquid fraction of 0.18±0.01, far from the inlet surface of the porous sample. A desaturation backward wave is also observed during foam development. We provided direct evidence that the flow of surfactant solution in porous media containing foam gives rise to superposition of a drainage wave and a characteristic viscous fingering pattern. In the wave the liquid fraction ranges from the above residual value to nearly 0.25±0.01. The liquid fraction associated with the viscous fingering decays as a function of distance but the inlet value increases up to 0.06±0.01. Certain ideas about the physics of foam flow in porous media are revised in the light of our findings.     

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。