微型网状结构支架的力学性能研究

冠状动脉支架为圆柱形微型网状结构，直径1mm，厚度0．1mm，长度10～16mm。在经皮冠状动脉介入PCI治疗中由球囊充气撑开到直径为2．5～3．5mm的支架，在血管内承受血管壁回弹压力。为了保持血液流通支架必须保持其几何圆形。这是一个结构弹塑性稳定性问题。但是目前国际上对于支架的力学性能质量指标主要以强度性能评定而不涉及支架屈曲性能是不妥的。本文对于支架的强度和屈曲性能进行了全面的理论分析和实验研究，自行研制了智能式电子检测仪成功地对微型网状结构支架的强度和屈曲性能实现了实测实验研究。由于微型支架的离散型网状结构的特点，在实验中出现一些特殊的屈曲现象。本文研究结果对于支架的形状与性能设计的改进和力学性能质量标准规范的制订具有重要意义。     

116例冠心病患者血清中钙镁钡铝锶含量的研究

测定１１６例冠心病患者血清中钙，镁，钡，铝和锶的含量并与正常值比较，常量元素钙，镁和微量元素锶降低，而微量元素钡和铝升高，它们之间的差异都有显著或高度显著性。Ｐ〈０．０５或Ｐ〈０．０１。     

内蒙古牧区老年冠心病患者血清Zn,Cu,Ca,Mg的测定及临床意义

用薄样Ｘ射线荧光光谱法测定较区９１老年冠心病患者及６３名老年健康人血清Ｚｎ、Ｃｕ、Ｃａ、Ｍｇ、四种元素的含量。结果表明：牧区老年冠心病患者血清中Ｚｎ、Ｃｕ、含量与健康组比较无显著差异，但两者的比值高于对照组，可能与牧区牧民饮食习惯有关；老年冠心病组血清Ｃａ、Ｍｇ含量显著低于对照组。     

116例冠心病患者血清中钙镁镉铅铍含量的探讨

测定了１１６例冠心病患者血清中钙、镁、镉、铅、铍的含量并与正常对照组比较。结果显示，常量元素钙、镁与微量元素镉、铅含量降低，而铍的含量升高。它们之间的差异有显著性或高度显著性，Ｐ〈０．０５或Ｐ〈０．０１。     

116例冠心病患者血清中铜铬锰钴镍钒含量的探讨

测定了１１６例冠心病患者血清中铜、铬、锰、钴、镍、钒的含量并与正常值比较，显示含量升高才是有铬和镍，降低者有钴和钒、无差异者有铜和锰。     

Reduction of flow- and eddy-currents-induced image artifacts in coronary magnetic resonance angiography using a linear centric-encoding SSFP sequence

Coronary magnetic resonance angiography (MRA) acquired using steady-state free precession (SSFP) sequences tends to suffer from image artifacts caused by local magnetic field inhomogeneities. Flow- and gradient-switching-induced eddy currents are important sources of such phase errors, especially under off-resonant conditions. In this study, we propose to reduce these image artifacts by using a linear centric-encoding (LCE) scheme in the phase-encoding (PE) direction. Abrupt change in gradients, including magnitude and polarity between consecutive radiofrequency cycles, is minimized using the LCE scheme. Results from numeric simulations and phantom studies demonstrated that signal oscillation can be markedly reduced using LCE as compared to conventional alternating centric-encoding (ACE) scheme. The image quality of coronary arteries was improved at both 1.5 and 3.0 T using LCE compared to those acquired using ACE PE scheme (1.5 T: ACE/LCE=2.2+/-0.8/3.0+/-0.6, P=.02; 3.0 T: ACE/LCE=2.1+/-1.1/3.0+/-0.8, P=.01). In conclusion, flow- and eddy-currents-induced imaging artifacts in coronary MRA using SSFP sequence can be markedly reduced with LCE acquisition of PE lines.     

miR-130a和miR-125b在川崎病外周血细胞中的表达及意义

目的 通过检测miR-130a 和miR-125b 在伴或不伴冠脉扩张（CAD）川崎病（KD）患儿与正常健康儿童外周血单核细胞（PBMC）中的表达差异,探讨两者可否作为KD 和CAD诊断及预后评估的全新血清生物标志物。方法 利用基因芯片技术筛选出KD 患儿与正常健康儿童之前具有差异表达的miRNAs,通过生物信息学分析,确定候选基因。进一步选取KD 患儿30 例（伴或不伴CAD 各15 例）、正常健康儿童15 例,采用茎环RT-PCR 的方法,验证候选基因miR-130a 和miR-125b 在PBMC 中的表达情况。结果 （1）通过基因芯片技术,分析KD 患儿与正常健康儿童PBMC 中存在明显差异表达的miRNA 共63 条,经过生物信息学分析,确定候选基因;（2）通过茎环RT-PCR 验证发现miR-130a 和miR-125b 在患儿IVIG 治疗前表达明显下调,而IVIG治疗后表达明显上调（P＜0.05）;（3）伴CAD 的KD 患儿miR-130a 及miR-125b 表达较不伴CAD 明显升高,且呈正相关性（R2 =0.734,mir-130a;R2 =0.709,miR-125b）;（4）ROC 曲线分析表明miR-130a（特异度87.5%和敏感度77.5%）和miR-125b（特异度83.3%和敏感度76.6%）对KD 及CAD 的判断有较高的特异度和敏感度。结论 PBMC 中的miR-130a 和miR-125b 参与了KD的发生与发展,可作为KD 及CAD诊断及预后评估的一项全新血清生物标志物,并为KD冠脉扩张的防治提供新的思路。     

Preparation of body-temperature-triggered shape-memory polyurethane with biocompatibility using isosorbide and castor oil

Shape memory polyurethanes (SMPUs) have attracted much attention in the biomedical field because they can easily control the transition temperature (T_trans) to shape memory and are biocompatible. In this study, a shape memory polyurethane with both biocompatibility and a T_trans close to the body temperature was synthesized by using natural derivatives of isosorbide and castor oil in place of petroleum-based materials. Isosorbide and castor oil were used to form net points, and polycaprolactone diol (PCL diol) acted as the switching segment. The synthesized four polyurethane (PCL diol/isosorbide/castor oil, PICU-1, 2, 3, 4) with different isosorbide contents exhibited desired thermal and mechanical properties. In the thermo-cyclic shape memory testing experiment, the PICU series demonstrated good shape memory property, with more than 95% shape recovery ratio (R_r) and more than 90% shape fixity ratio (R_f), and PICU-3 recovered its shape within 20 s in a 37 °C water bath. In addition, the PICU series proved to be safe materials with excellent biocompatibility, as indicated by the observed C2C12 cells viability and proliferation. The stent made with the PICU-3 film showed near complete magnetization at 37 °C within 18 s and proved to be a suitable self-expanding stent.     

Fabrication and electrochemistry study of multi-thiol coronary molecule monolayers

Single-component monolayer of novel multi-thiol coronary molecule and two-component mixed monolayer composed of coronary molecule and n-alkanethiol on gold substrates are described. The assembly of monolayers is characterized by ellipsometry, infrared spectroscopy and X-ray photoelectron spectroscope. The electrochemical properties of the single- and two-component monolayers are evaluated by cyclic voltammetry and electrochemical impedance spectroscopy experiments. Coronary molecule with multi-thiol groups has the ability to form stable monolayer via the interaction of mercapto groups and Au surface. Electrochemical impedance measurements indicate that 89.9% of the gold surface is blocked by the coronary molecule, which is attributed to the special spatial structure of the coronary molecule. The uncovered site on gold surface in coronary molecule monolayer could be occupied by the second suitable molecule. The mixed monolayer prepared by stepwise assembly of coronary molecule and n-alkanethiol has complete compact packing and few defects.     

Beat-to-beat respiratory motion correction with near 100% efficiency: a quantitative assessment using high-resolution coronary artery imaging

This study quantitatively assesses the effectiveness of retrospective beat-to-beat respiratory motion correction (B2B-RMC) at near 100% efficiency using high-resolution coronary artery imaging. Three-dimensional (3D) spiral images were obtained in a coronary respiratory motion phantom with B2B-RMC and navigator gating. In vivo, targeted 3D coronary imaging was performed in 10 healthy subjects using B2B-RMC spiral and navigator gated balanced steady-state free-precession (nav-bSSFP) techniques. Vessel diameter and sharpness in proximal and mid arteries were used as a measure of respiratory motion compensation effectiveness and compared between techniques. Phantom acquisitions with B2B-RMC were sharper than those acquired with navigator gating (B2B-RMC vs. navigator gating: 1.01±0.02 mm⁻¹ vs. 0.86±0.08 mm⁻¹, P<.05). In vivo B2B-RMC respiratory efficiency was significantly and substantially higher (99.7%±0.5%) than nav-bSSFP (44.0%±8.9%, P<.0001). Proximal and mid vessel sharpnesses were similar (B2B-RMC vs. nav-bSSFP, proximal: 1.00±0.14 mm⁻¹ vs. 1.08±0.11 mm⁻¹, mid: 1.01±0.11 mm⁻¹ vs. 1.05±0.12 mm⁻¹; both P=not significant [ns]). Mid vessel diameters were not significantly different (2.85±0.39 mm vs. 2.80±0.35 mm, P=ns), but proximal B2B-RMC diameters were slightly higher (2.85±0.38 mm vs. 2.70±0.34 mm, P<.05), possibly due to contrast differences. The respiratory efficiency of B2B-RMC is less variable and significantly higher than navigator gating. Phantom and in vivo vessel sharpness and diameter values suggest that respiratory motion compensation is equally effective.