Evaluation of right heart function changes in patients with pulmonary hypertension via two-dimensional speckle tracking imaging: a retrospective study.

Objective: To realize the changes in pulmonary hypertension (PH) patients' right ventricular function.Methods: A total number of 74 patients with PH were included, and the parameters of standard echocardiographic were measured as well as the strain of peak longitudinal of each segment during the systole of the right ventricle to calculate the global longitudinal strain (LS) during systole of the right ventricular free wall.Results: ① As pulmonary arterial pressure increased, the right ventricular area gradually increased, and the case group showed the decreased right ventricular fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE), and tricuspid annular peak systolic velocity (S') (p < 0.05). They, RVFAC, and TAPSE depicted significant differences that were statistical (p < 0.05) from the other groups. ② With increasing pulmonary arterial pressure, the right ventricular free wall's LS gradually reduced (p < 0.05).Conclusion: ① LS right ventricular free wall is useful in detecting changes in right ventricular systolic function early on with greater sensitivity than RVFAC, TAPSE, and S'. In addition, increased right ventricular pressure loading can result in a subsequent impairment of right ventricular myocardial mechanics. ② As right ventricular pressure loading increases, right ventricular strain decreases. ③ In mild PH, the right ventricular free wall's. LS is more sensitive than standard measures in spotting early alterations in myocardial mechanics.

Lymphocyte Transformation Test Based on Lymphocyte Changes Observed by a Hematology Analyzer before and after Phytohemagglutinin Stimulation.

Objective: The lymphocyte transformation test is a classical test for the detection of cellular immune function and is based on subjective judgment. In this study, we have established an objective novel lymphocyte transformation test using the hematology analyzer to observe lymphocyte transformation. Methods: Whole blood cells were cultured using a whole blood method with a lymphocyte culture medium; phytohemagglutinin was used to stimulate the experimental samples, and control was set up at the same time. After the whole blood cells were cultured, the number of lymphocytes in the two groups was observed using a hematology analyzer, and the conversion rate was calculated. The new method was used to observe differences in lymphocyte conversion in the peripheral blood of patients with hematopathy and healthy persons. Results: There were significant differences between the stimulated peripheral blood group and the blank group. The transformation rate of peripheral blood lymphocytes in patients with hematopathy was significantly lower than that in healthy persons; the difference was statistically significant (P < 0.05). Conclusion: Lymphocyte transformation can be observed using a hematology analyzer. The lymphocyte transformation test that is based on the determination of lymphocyte count by a hematology analyzer has important clinical value.

Effects of instrument settings on radiofrequency ultrasound local estimator images: a preliminary study in a gallbladder model.

The aim of the present study was to evaluate the changes in radiofrequency ultrasound local estimator (RULES) images with different instrument settings. An Esaote Technos MPX Color Doppler Ultrasound Machine and RULES were used to capture images of a gallbladder model. The percentages of various colored areas (color filling rates) within the area of interest were calculated using different instrument gains, transducer frequencies and scan depths. Blue was predominant in the lumen of the model gallbladder, while red and green were primarily located near the inner edge of the lumen. When the depth was set at 62 mm and the gain at 105, the total color filling rates did not vary with different transducer frequencies. The blue color filling rate was greatest with a transducer frequency of 8.0 MHz, and the red and green color filling rates were greatest with a frequency of 12.5 MHz. Color variety was greatest when the transducer frequency was 12.5 MHz. When the transducer frequency was 12.5 MHz and the depth was 62 mm, the blue color filling rate was greatest with gains of 105 and 110, the red color filling rate was greatest with gains of 95 and 100 and the green color filling rate was greatest when the gain was 100. The total color filling rate was greatest at gains of 100 and 105. In conclusion, images obtained using RULES may be affected by the instrument gain and, to a certain extent, by transducer frequency.

Effect of instrument settings on liquid-containing lesion images characterized by radiofrequency ultrasound local estimators.

The purpose of this study was to investigate the effects of ultrasonic instrument gain, transducer frequency, and depth on the color variety and color filling of radiofrequency ultrasonic local estimators (RULES) images which indicated specific physical representation of liquid-containing lesions in order to find the optimal settings for the clinical application of RULES in liquid-containing lesions. Changing the ultrasonic instrument gain, transducer frequency, and depth affected the color filling and color variety of 21 pathologically-confirmed liquid-containing lesion images analyzed by RULES. Blue colored fill dominated the RULES images to represent the liquid-containing lesions. A frequency of 12.5MHz led to red and green colors along the inner edges of the liquid-containing lesions. Changing the gain resulted in significantly different blue colored filling that was highest when the gain was 90 to 100. Changing the frequency also significantly changed the blue color filling, with the highest filling occurring at 12.5MHz. Changing the depth did not affect the blue color filling. The liquid components of the lesions may be identified by their characteristic manifestations in RULES, where color variety is affected by transducer frequency and blue color filling which represent liquid-containing lesions in RULES images is affected by frequency and gain.

Clinical value of radiofrequency ultrasonic local estimators in classifying breast lesions.

OBJECTIVES: We sought to summarize the features of radiofrequency ultrasonic local estimator (RULES) images of benign and malignant masses and to explore the diagnostic value of RULES scores to identify breast lumps. METHODS: A total of 81 women with a mean age ± SD of 41.33 ± 12.03 years (range, 19-68 years) with 82 lesions seen at our hospital were included in this study. Inclusion criteria were Breast Imaging Reporting and Data System grade 2 to 5 breast lesions, preoperative 2-dimensional (2D) ultrasound (US) examinations and RULES image acquisition, no treatment before the US examinations, surgical resection in our hospital, and histopathologic results. Each RULES characteristic was scored on the basis of expected values for malignant characteristics, and this RULES scoring system was assessed by a receiver operating characteristic curve. RESULTS: Of the 82 lesions, 45 were benign, and 37 were malignant. Malignancy was associated with multiple colors, red as the main color, colors distributed in 3 or more locations, aggregated colors, and more than half of the area filled with colors. A RULES score of 7 had the highest sum of sensitivity (67.6%) and specificity (95.6%) and the highest accuracy (82.9%) for diagnosis of malignancy. When 2D US imaging a Breast Imaging Reporting and Data System category of 4 was combined with a RULES score of 4 to detect breast cancer, the sensitivity was 83.8%; the specificity was 93.3%; and the accuracy increased to 89.0%. CONCLUSIONS: The use of RULES images and characteristics is helpful in differentiating benign and malignant breast lesions. Diagnostic accuracy can be improved by combining 2D US imaging and RULES.