Application of artificial intelligence-assisted image diagnosis software based on volume data reconstruction technique in medical imaging practice teaching.

BACKGROUND: In medical imaging courses, due to the complexity of anatomical relationships, limited number of practical course hours and instructors, how to improve the teaching quality of practical skills and self-directed learning ability has always been a challenge for higher medical education. Artificial intelligence-assisted diagnostic (AISD) software based on volume data reconstruction (VDR) technique is gradually entering radiology. It converts two-dimensional images into three-dimensional images, and AI can assist in image diagnosis. However, the application of artificial intelligence in medical education is still in its early stages. The purpose of this study is to explore the application value of AISD software based on VDR technique in medical imaging practical teaching, and to provide a basis for improving medical imaging practical teaching. METHODS: Totally 41 students majoring in clinical medicine in 2017 were enrolled as the experiment group. AISD software based on VDR was used in practical teaching of medical imaging to display 3D images and mark lesions with AISD. Then annotations were provided and diagnostic suggestions were given. Also 43 students majoring in clinical medicine from 2016 were chosen as the control group, who were taught with the conventional film and multimedia teaching methods. The exam results and evaluation scales were compared statistically between groups. RESULTS: The total skill scores of the test group were significantly higher compared with the control group (84.51 ± 3.81 vs. 80.67 ± 5.43). The scores of computed tomography (CT) diagnosis (49.93 ± 3.59 vs. 46.60 ± 4.89) and magnetic resonance (MR) diagnosis (17.41 ± 1.00 vs. 16.93 ± 1.14) of the experiment group were both significantly higher. The scores of academic self-efficacy (82.17 ± 4.67) and self-directed learning ability (235.56 ± 13.50) of the group were significantly higher compared with the control group (78.93 ± 6.29, 226.35 ± 13.90). CONCLUSIONS: Applying AISD software based on VDR to medical imaging practice teaching can enable students to timely obtain AI annotated lesion information and 3D images, which may help improve their image reading skills and enhance their academic self-efficacy and self-directed learning abilities.

Groundwater antibiotics contamination in an alluvial-pluvial fan, North China Plain: Occurrence, sources, and risk assessment.

Antibiotics in groundwater have received widespread concern because high levels of them harm aquatic ecosystems and human health. This study aims to investigate the concentration, distribution, ecological and human health risks as well as potential sources of antibiotics in groundwater in the Hutuo River alluvial-pluvial fan, North China Plain. A total of 84 groundwater samples and nine surface water samples were collected, and 35 antibiotics were analyzed using ultra-performance liquid chromatography-tandem mass spectrometry. The results indicated that 12 antibiotics were detected in surface water with the total concentrations ranging from 5.33 ng/L to 64.73 ng/L. Macrolides were the primary category of antibiotics with a detection frequency of 77.8% (mean concentration: 9.14 ng/L). By contrast, in shallow granular aquifers (<150 m), 23 antibiotics were detected and the total concentrations of them ranged from below the method detection limit to 465.26 ng/L (detection frequency: 39.7%). Quinolones were the largest contributor of antibiotics with detection frequency and mean concentration of 32.1% and 12.66 ng/L, respectively. And ciprofloxacin and ofloxacin were the two preponderant individual antibiotics. The mean concentration of groundwater antibiotics in peri-urban areas was approximately 1.7-4.9 times that in other land use types. Livestock manure was the predominant source of antibiotics in groundwater. Erythromycin, sulfametoxydiazine, ofloxacin, and cinoxacin exhibited medium ecological risks to aquatic organisms. All antibiotics posed no risks to human health. The findings of this study provide valuable insights into the occurrence and management of antibiotic contamination in the groundwater in the Hutuo River alluvial-pluvial fan.

CircABCB10 Promotes the Apoptosis and Inflammatory Response of 16HBE Cells by Cigarette Smoke Extract by Targeting miR-130a/PTEN Axis.

Background: Chronic obstructive pulmonary disease (COPD) has become a global public health problem due to its high mortality. So there is an urgent need to find an effective treatment. Methods: The targeting relationship among circABCB10, miR-130a and PTEN was predicted by the targetscan database (TargetScanHuman 8.0, https://www.targetscan.org/vert_80/). A total of 60 patients which were from the second affiliated hospital of Qiqihar Medical University from 2022 to 2023 were enrolled. The lung condition was detected by CT (Computed Tomography). The expression levels of circABCB10, miR-130a and PTEN in lung tissues were determined by qRT-PCR. The COPD model was established by stimulating normal and silenced 16HBE cells in circABCB10 genes with cigarette smoke extract (CSE) at different concentrations. qRT-PCR was conducted for the expression levels of circABCB10, miR-130a and PTEN, WB for the expression levels of apoptotic proteins, ELISA for the content of inflammatory factors, and CCK8 for the effect of CSE on the proliferation of cells. Results: CircABCB10 expression increased in lung tissues from patients with COPD and in 16HBE cells treated with CSE. The stimulation on cells with CSE increased the expression of inflammatory factors, while knocking down circABCB10 could reverse this response. The inflammatory response to the knockdown of circABCB10 was reversed by miR-130a inhibitor, which increased the expression of c-caspase 3. The targetscan database predicted the target factor downstream miR-130a was PTEN. Transfecting OE-PTEN reversed the inflammation of knocking down circABCB10, and increased the apoptosis and inflammation. Conclusion: CircABCB10 can cause the inflammatory response by targeting miR-130a/PTEN axis, which is a mechanism that may lead to the occurrence and development of COPD.

Evaluating natural background levels of heavy metals in shallow groundwater of the Pearl River Delta via removal of contaminated groundwaters: Comparison of three preselection related methods.

Assessing natural background levels (NBLs) in groundwater is a global concern. Knowledge on groundwater NBLs in urbanized areas is challenging due to the impact of complex human activities. Preselection related methods are common ones for assessing groundwater NBLs. The present study used three preselection related methods to assess groundwater heavy metals (lead, zinc, barium) NBLs in four groundwater units of the Pearl River Delta (PRD) where urbanization continues, and to identify the best one for assessing groundwater NBLs in urbanized areas. Here, methods include a preselection method (method-P), a preselection dominated method (method-PD), and a statistic dominated method (method-SD). Results showed that the method-PD was better than other two methods for assessing groundwater NBLs of heavy metals in the PRD. This is supported by the evidence that differences among heavy metals concentrations in various land-use types in residual datasets formed by the method-PD were insignificant. NBLs of lead in groundwater units I to IV assessed by the method-PD were 2.8 µg/L, 5.9 µg/L, 5.8 µg/L, and 2.6 µg/L, respectively. NBLs of zinc in groundwater units I to IV assessed by the method-PD were 30 µg/L, 180 µg/L, 160 µg/L, and 100 µg/L, respectively. NBLs of barium in groundwater units I to IV assessed by the method-PD were 120 µg/L, 120 µg/L, 90 µg/L, and 50 µg/L, respectively. Compared to the method-PD, the method-SD often underestimates groundwater NBLs of heavy metals because of using the experiential evaluation for residual datasets. The method-P also has an inaccurate evaluation of groundwater NBLs of heavy metals in comparison with the method-PD, owing to both of using the experiential evaluation and the absence of a function for outliers test. The method-P combining with an outliers test would be better than itself for assessing groundwater NBLs. Therefore, the method-PD is the first choice to be recommended for assessing groundwater NBLs in urbanized areas such the PRD. However, this method should not be taken into account for assessing groundwater NBLs in areas where groundwater Cl/Br mass ratios are invalid. Instead, the method-SD and the method-P combining with one outliers test may be choices, because no constraint for these two methods.

Large scale occurrence of aluminium-rich shallow groundwater in the Pearl River Delta after the rapid urbanization: Co-effects of anthropogenic and geogenic factors.

Aluminium(Al)-rich (> 0.2 mg/L) groundwater has received more concerns because of its harmful to human beings. Origins of large-scale occurrence on Al-rich groundwater in urbanized areas such as the Pearl River Delta (PRD) are still little known. The current work was conducted to investigate spatial distribution of Al-rich groundwater in the PRD, and to discuss its origins in various aquifers. For that, 265 groundwater samples and 15 river water samples were collected, and 21 hydrochemical parameters including Al were analyzed by using conventional analytical procedures. The results showed that groundwater Al concentrations were up to 22.64 mg/L, and Al-rich groundwater occurred in 15% of the area occupied by the PRD. Al-rich groundwater in the coastal-alluvial aquifer was about 2 times those in alluvial-proluvial and fissured aquifers, whereas the karst aquifer was absent. In the coastal-alluvial aquifer, Al-rich groundwater in the peri-urban area was 2 or more times those in urbanized and agricultural areas, whereas the remaining area was absent. By contrast, in the alluvial-proluvial aquifer, Al-rich groundwater in the remaining area was 1.5-3.5 times that in other areas; in the fissured aquifer, the distribution of Al-rich groundwater was independent of land-use types. The infiltration of wastewater from township enterprises was main anthropogenic source for Al-rich groundwater in urbanized and peri-urban areas, whereas irrigation of Al-rich river water was the main one in the agricultural area. Naturally dissolution of Al-rich minerals in soils/rocks, triggered by both of pH decrease resulted from nitrification of contaminated ammonium (e.g., sewage leakage, the use of nitrogen fertilizer) and acid deposition, was the main geogenic source for Al-rich groundwater in the PRD. The contribution of anthropogenic sources to Al-rich groundwater in the coastal-alluvial aquifer was more than that in alluvial-proluvial and fissured aquifers, whereas the contribution of geogenic sources was opposite. In conclusion, the discharge of township enterprises wastewater and ammonium-rich sewage, the emission of nitrogen-containing gas, and the use of nitrogen fertilizer should be preferentially limited to decrease the occurrence of Al-rich groundwater in urbanized areas such as the PRD.

Assessing natural background levels of geogenic contaminants in groundwater of an urbanized delta through removal of groundwaters impacted by anthropogenic inputs: New insights into driving factors.

Knowledge on driving forces controlling natural background levels (NBLs) of geogenic contaminants (GCs) in groundwater of coastal urbanized areas are still limited because of complex hydrogeological conditions and anthropogenic activities. This study assesses NBLs of two GCs including arsenic (As) and manganese (Mn) in four groundwater units of the Pearl River Delta (PRD) with large scale urbanization by using a preselection method composed of the chloride/bromide mass ratio versus chloride concentration and the oxidation capacity with the combination of Grubbs' test. More importantly, driving factors controlling NBLs of As/Mn in groundwater of the PRD are discussed. Results showed that groundwater As/Mn concentrations in residual datasets were independent of land-use types, while those in original datasets in different land-use types were distinct because of various human activities, indicating that the used preselection method in this study is valid for NBLs-As/Mn assessment in groundwater of the PRD. NBL-As in coastal-alluvial aquifers was >6 times that in other groundwater units. NBL-Mn in coastal-alluvial aquifers was 1.4 times that in alluvial-proluvial aquifers, and both were >4 times that in other two groundwater units. High NBLs-As/Mn in coastal-alluvial aquifers is mainly attributed to reduction of FeMn oxyhydr(oxides) induced by mineralization of organic matter in Quaternary sediments. Elevated pH also contributes higher NBL-As in coastal-alluvial aquifers. By contrast, higher NBL-Mn in alluvial-proluvial aquifers than in other two groundwater units mainly ascribes to reduction of FeMn oxyhydr(oxides) in Quaternary sediments triggered by irrigation of reducing river waters. In addition, more occurrence of As/Mn-rich sediments and the infiltration of As/Mn-rich river water are also important factors for high NBLs-As/Mn in coastal-alluvial aquifers. This study shows that revealing natural driving factors of GCs-rich groundwater in coastal urbanized areas on the basis of identification of contaminated groundwaters via the used preselection methods is acceptable.

The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy.

The effect of plugging the puncture channel with a mixture of hemocoagulase injection on the complications of CT-guided percutaneous transthoracic need biopsy (PTNB) was discussed. The medical records of PTNB were retrospectively studied from June 2017 to May 2022. In the study, the puncture channel of 626 patients were blocked, while remain 681 patients' were not. The Mantel Haenszel method performed layered analysis and evaluated the correlation of adjusted confounding factors. The Odds Ratio and its 95% confidence interval were calculated using the Woof method. The incidence of high-level pulmonary hemorrhage was significantly reduced in patients with lesions ≤ 2 cm and different needle lengths. Patients with different pleural-needle tip angle and perineedle emphysema were blocked, and the incidence of pneumothorax and thoracic implants was significantly reduced. Through puncture channel plugging, the incidence of pulmonary hemorrhage, pneumothorax and thoracic catheterization of PTNB under CT guidance was reduced.

Influence of the carbon source concentration on the nitrate removal rate in groundwater.

At present, groundwater nitrate pollution in China is serious. The use of microorganisms for biological denitrification has been widely applied, and it is a universal and efficient in situ groundwater remediation technique, but this approach is influenced by many factors. In this study, glucose was adopted as the carbon source, four different concentrations of 0, 2, 5 and 10 g/L were considered, and natural groundwater with a nitrate concentration of 300.8 mg/L was employed as the experimental solution. The effect of the carbon source concentration on the nitrate removal rate in groundwater was examined through heterotrophic anaerobic denitrification experiments. The results showed that the nitrate removal rate could be improved by the addition of an external carbon source in the process of biological denitrification, and an optimal concentration was observed. At a glucose concentration of 2 g/L, the denitrification effect was the best.