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1.
Eur J Nucl Med Mol Imaging ; 51(2): 346-357, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37782321

RESUMEN

PURPOSE: Positron emission tomography/magnetic resonance imaging (PET/MRI) is a powerful tool for brain imaging, but the spatial resolution of the PET scanners currently used for brain imaging can be further improved to enhance the quantitative accuracy of brain PET imaging. The purpose of this study is to develop an MR-compatible brain PET scanner that can simultaneously achieve a uniform high spatial resolution and high sensitivity by using dual-ended readout depth encoding detectors. METHODS: The MR-compatible brain PET scanner, named SIAT bPET, consists of 224 dual-ended readout detectors. Each detector contains a 26 × 26 lutetium yttrium oxyorthosilicate (LYSO) crystal array of 1.4 × 1.4 × 20 mm3 crystal size read out by two 10 × 10 silicon photomultiplier (SiPM) arrays from both ends. The scanner has a detector ring diameter of 376.8 mm and an axial field of view (FOV) of 329 mm. The performance of the scanner including spatial resolution, sensitivity, count rate, scatter fraction, and image quality was measured. Imaging studies of phantoms and the brain of a volunteer were performed. The mutual interferences of the PET insert and the uMR790 3 T MRI scanner were measured, and simultaneous PET/MRI imaging of the brain of a volunteer was performed. RESULTS: A spatial resolution of better than 1.5 mm with an average of 1.2 mm within the whole FOV was obtained. A sensitivity of 11.0% was achieved at the center FOV for an energy window of 350-750 keV. Except for the dedicated RF coil, which caused a ~ 30% reduction of the sensitivity of the PET scanner, the MRI sequences running had a negligible effect on the performance of the PET scanner. The reduction of the SNR and homogeneity of the MRI images was less than 2% as the PET scanner was inserted to the MRI scanner and powered-on. High quality PET and MRI images of a human brain were obtained from simultaneous PET/MRI scans. CONCLUSION: The SIAT bPET scanner achieved a spatial resolution and sensitivity better than all MR-compatible brain PET scanners developed up to date. It can be used either as a standalone brain PET scanner or a PET insert placed inside a commercial whole-body MRI scanner to perform simultaneous PET/MRI imaging.


Asunto(s)
Imagen por Resonancia Magnética , Tomografía de Emisión de Positrones , Humanos , Diseño de Equipo , Tomografía de Emisión de Positrones/métodos , Fantasmas de Imagen , Encéfalo/diagnóstico por imagen
2.
Magn Reson Med ; 89(1): 477-486, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36111357

RESUMEN

PURPOSE: We aimed to improve B0 magnetic field homogeneity and minimize the interference between RF coils and local B0 shimming coils with few channel numbers. METHODS: To design and construct the prototype for B0 shimming of the rat brain, we first evaluated the interferences of single shimming loops on RF receiver loops. Then, B0 shimming of the whole rat brain was implemented using an optimization procedure. The positions and currents of the local shimming coils with channel numbers from 3 to 6 were optimized to improve shimming performance. Based on the simulation results, a 5-channel local shimming coil, combined with a 3-channel RF receiver coil, was constructed and evaluated by animal experiments. RESULTS: There was marginal SNR loss within 5% after integrating the local shimming coil into the RF receiver coil. With respect to the Siemens standard shims up to second order, the B0 inhomogeneity in one whole rat brain was reduced from 39.6 Hz to 24.7 Hz by using the local shimming coil. A large portion of the EPI distortions was recovered after using the 5-channel local shimming coil. The temporal SNR using the local shimming coil was higher than that using the Siemens standard shims up to second order, with an improvement of more than 24%. CONCLUSIONS: The local shimming coil can improve B0 magnetic field homogeneity despite minor effects on the RF coil and can benefit a variety of applications that are sensitive to B0 inhomogeneity. Nevertheless, EPI for rat brain is still very challenging.


Asunto(s)
Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Animales , Ratas , Procesamiento de Imagen Asistido por Computador/métodos , Imagen por Resonancia Magnética/métodos , Ondas de Radio , Encéfalo/diagnóstico por imagen , Neuroimagen
3.
Int J Mol Sci ; 23(9)2022 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-35562909

RESUMEN

Drought stress is an important factor that severely affects crop yield and quality. Autophagy has a crucial role in the responses to abiotic stresses. In this study, we explore TaNBR1 in response to drought stress. Expression of the TaNBR1 gene was strongly induced by NaCl, PEG, and abscisic acid treatments. The TaNBR1 protein is localized in the Golgi apparatus and autophagosome. Transgenic Arabidopsis plants overexpressing TaNBR1 exhibited reduced drought tolerance. When subjected to drought stress, compared to the wild-type (WT) lines, the transgenic overexpressing TaNBR1 plants had a lower seed germination rate, relative water content, proline content, and reduced accumulation of antioxidant enzymes, i.e., superoxide dismutase, peroxidase, and catalase, as well as higher chlorophyll losses, malondialdehyde contents, and water loss. The transgenic plants overexpressing TaNBR1 produced much shorter roots in response to mannitol stress, in comparison to the WT plants, and they exhibited greater sensitivity to abscisic acid treatment. The expression levels of the genes related to stress in the transgenic plants were affected in response to drought stress. Our results indicate that TaNBR1 negatively regulates drought stress responses by affecting the expression of stress-related genes in Arabidopsis.


Asunto(s)
Proteínas de Arabidopsis , Arabidopsis , Ácido Abscísico/metabolismo , Ácido Abscísico/farmacología , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Proteínas Portadoras/metabolismo , Sequías , Regulación de la Expresión Génica de las Plantas , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Plantas Modificadas Genéticamente/metabolismo , Estrés Fisiológico/genética , Triticum/metabolismo , Agua/metabolismo
4.
Clin Otolaryngol ; 45(3): 394-401, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32058675

RESUMEN

OBJECTIVES: To evaluate the clinical efficacy of a high-efficiency air purifier in patients with allergic rhinitis. DESIGN: We conducted a randomised, double-blind, clinical controlled trial with active and inactive versions of an air purifier. Our study included patients with allergic rhinitis who were sensitive to Artemisia pollen and treatment of the indoor environment using air filtration at night. We evaluated the clinical efficacy of indoor air filtration during the Artemisia pollen scattering season in Yulin City in Shanxi Province, China. SETTING: The First Hospital of Yulin (Yulin City, Shanxi Province, China). PARTICIPANTS: A total of 90 patients with allergic rhinitis who were sensitive to allergens of Artemisia pollen were randomly assigned to one of two groups in equal numbers. MAIN OUTCOME MEASURES: The primary outcome measure was the difference in visual analogue scale scores from baseline. Secondary outcomes were changes from baseline in nasal symptoms, allergy symptom scores, responses to the Rhinoconjunctivitis Quality of Life Questionnaire, Epworth Sleepiness Scale scores and tolerability scores for the air purifier. RESULTS: Based on the allergy symptom score, we found significant differences in rhinitis symptoms between the groups who used the active versus the inactive air purifier. CONCLUSIONS: The results of our investigation demonstrated the health benefits of particle filtration.


Asunto(s)
Filtros de Aire , Artemisia , Polen/efectos adversos , Rinitis Alérgica/etiología , Rinitis Alérgica/terapia , Adulto , Contaminación del Aire Interior , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Rinitis Alérgica/diagnóstico , Resultado del Tratamiento
5.
BMC Public Health ; 18(1): 841, 2018 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-29976165

RESUMEN

BACKGROUND: Allergic rhinitis (AR) is a worldwide health problem. Allergen avoidance is strongly recommended for AR patients. Air purification can reduce concentrations of particles in indoor air, including those of allergens. Air purifiers have been recommended by clinicians for AR patients, but few studies have focused on the removal of airborne allergens from home environments. Such studies have been limited by a lack of blinding, small samples, or a failure to measure allergen levels, disease activity, or a combination of these factors. This study investigates the efficacy of a high-efficiency air purifier in reducing disease activity in the homes of AR patients sensitive to the allergens produced by Artemisia (mugwort) pollen. METHODS: This is a randomized, double-blind, clinical controlled trial that will test active and inactive versions of an air purifier (Atmosphere®; Amway China). Sixty AR patients sensitive to the allergens produced by Artemisia pollen will be assigned randomly to two groups of equal numbers. All patients will undergo a 4-week treatment period and a 4-week observation period. Evaluation will be conducted at baseline (day 0) and on days 7, 14, 21, 28, and 56. The primary outcome measure will be the difference in visual analog scale scores from baseline. Secondary outcomes will be changes from baseline in nasal symptoms, allergy symptom scores, responses to the Rhinoconjunctivitis Quality of Life Questionnaire, Epworth Sleepiness Scale scores, and tolerability scores for the air purifier. Side effects of treatment will be recorded. DISCUSSION: Reducing exposure to allergens can reduce the risk of conditions such as AR. We hypothesise that AR patients sensitive to the allergens produced by Artemisia pollen will not suffer symptoms in a pollen-free environment. AR patients can remove pollen from their homes using air purifiers, decreasing the risk of symptoms. We expect that our study results will provide reliable evidence for determining the effects of air-purification therapy. TRIAL REGISTRATION: ChiCTR-INR-17012481 . (Retrospectively registered 26 August 2017).


Asunto(s)
Filtros de Aire , Contaminación del Aire Interior/prevención & control , Alérgenos/efectos adversos , Artemisia/efectos adversos , Polen/efectos adversos , Rinitis Alérgica/prevención & control , Alérgenos/análisis , China , Protocolos Clínicos , Método Doble Ciego , Humanos , Rinitis Alérgica/etiología
6.
BMC Complement Altern Med ; 17(1): 130, 2017 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-28235408

RESUMEN

BACKGROUND: Lianhuaqingwen Capsule (LH-C) is a traditional Chinese medicine (TCM) formula used to treat respiratory tract infectious diseases in Chinese. The aim of this study was to determine the antiviral activity of LH-C and its immunomodulatory effects on viral infection. METHOD: The in vitro cytotoxicity and antiviral activity of LH-C was determined by MTT and Plaque reduction assays. Time course study under single-cycle virus growth conditions were used to determine which stage of viral replication was blocked. The effect of LH-C on the nuclear export of the viral nucleoprotein was examined using an indirect immunofluorescence assay. The regulation to different signaling transduction events and cytokine/chemokine expression of LH-C was evaluated using Western blotting and real-time RT-PCR. After virus inoculation, BALB/c mice were administered with LH-C of different concentrations for 5 days. Body-weight, viral titers and lung pathology of the mice were measured, the level of inflammatory cytokines were also examined using real-time RT-PCR. RESULTS: LH-C inhibited the proliferation of influenza viruses of various strain in vitro, with the 50% inhibitory concentration (IC50) ranging from 0.35 to 2 mg/mL. LH-C blocked the early stages (0-2 h) of virus infection, it also suppressed virus-induced NF-kB activation and alleviated virus-induced gene expression of IL-6, IL-8, TNF-a, IP-10, and MCP-1 in a dose-dependent manner. LH-C treatment efficiently impaired the nuclear export of the viral RNP. A decrease of the viral titers in the lungs of mice were observed in groups administered with LH-C. The level of inflammatory cytokines were also decreased in the early stages of infection. CONCLUSIONS: LH-C, as a TCM prescription, exerts broad-spectrum effects on a series of influenza viruses, including the newly emerged H7N9, and particularly regulates the immune response of virus infection. Thus, LH-C might be a promising option for treating influenza virus infection.


Asunto(s)
Antiinflamatorios/farmacología , Medicamentos Herbarios Chinos/farmacología , Infecciones por Orthomyxoviridae/tratamiento farmacológico , Orthomyxoviridae/efectos de los fármacos , Replicación Viral/efectos de los fármacos , Células A549 , Animales , Antiinflamatorios/uso terapéutico , Citocinas/metabolismo , Medicamentos Herbarios Chinos/uso terapéutico , Femenino , Humanos , Inflamación/tratamiento farmacológico , Pulmón/efectos de los fármacos , Ratones Endogámicos BALB C , Pruebas de Sensibilidad Microbiana , FN-kappa B/metabolismo , Proteínas de la Nucleocápside/metabolismo , Fitoterapia
7.
Molecules ; 22(1)2017 Jan 11.
Artículo en Inglés | MEDLINE | ID: mdl-28085062

RESUMEN

Influenza remains one of the major epidemic diseases worldwide, and rapid virus replication and collateral lung tissue damage caused by excessive pro-inflammatory host immune cell responses lead to high mortality rates. Thus, novel therapeutic agents that control influenza A virus (IAV) propagation and attenuate excessive pro-inflammatory responses are needed. Polysaccharide extract from Radix isatidis, a traditional Chinese herbal medicine, exerted potent anti-IAV activity against human seasonal influenza viruses (H1N1 and H3N2) and avian influenza viruses (H6N2 and H9N2) in vitro. The polysaccharides also significantly reduced the expression of pro-inflammatory cytokines (IL-6) and chemokines (IP-10, MIG, and CCL-5) stimulated by A/PR/8/34 (H1N1) at a range of doses (7.5 mg/mL, 15 mg/mL, and 30 mg/mL); however, they were only effective against progeny virus at a high dose. Similar activity was detected against inflammation induced by avian influenza virus H9N2. The polysaccharides strongly inhibited the protein expression of TLR-3 induced by PR8, suggesting that they impair the upregulation of pro-inflammatory factors induced by IAV by inhibiting activation of the TLR-3 signaling pathway. The polysaccharide extract from Radix isatidis root therefore has the potential to be used as an adjunct to antiviral therapy for the treatment of IAV infection.


Asunto(s)
Antivirales/farmacología , Medicamentos Herbarios Chinos/química , Subtipo H1N1 del Virus de la Influenza A/efectos de los fármacos , Subtipo H3N2 del Virus de la Influenza A/efectos de los fármacos , Subtipo H9N2 del Virus de la Influenza A/efectos de los fármacos , Polisacáridos/farmacología , Receptor Toll-Like 3/antagonistas & inhibidores , Animales , Antiinflamatorios/aislamiento & purificación , Antiinflamatorios/farmacología , Antivirales/aislamiento & purificación , Bronquios/citología , Bronquios/efectos de los fármacos , Bronquios/inmunología , Línea Celular , Supervivencia Celular/efectos de los fármacos , Quimiocina CCL5/genética , Quimiocina CCL5/inmunología , Quimiocina CXCL9/genética , Quimiocina CXCL9/inmunología , Pollos , Perros , Células Epiteliales/citología , Células Epiteliales/efectos de los fármacos , Células Epiteliales/inmunología , Regulación de la Expresión Génica , Humanos , Subtipo H1N1 del Virus de la Influenza A/inmunología , Subtipo H3N2 del Virus de la Influenza A/inmunología , Subtipo H9N2 del Virus de la Influenza A/inmunología , Interleucina-10/genética , Interleucina-10/inmunología , Interleucina-6/genética , Interleucina-6/inmunología , Células de Riñón Canino Madin Darby , Polisacáridos/aislamiento & purificación , Transducción de Señal/efectos de los fármacos , Transducción de Señal/inmunología , Receptor Toll-Like 3/genética , Receptor Toll-Like 3/inmunología , Cigoto/virología
8.
BMC Infect Dis ; 13: 281, 2013 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-23786598

RESUMEN

BACKGROUND: Acute pharyngitis is frequently seen in primary care. Acute viral pharyngitis may be easily misdiagnosed as acute bacterial pharyngitis. Laboratory-confirmed diagnosis of respiratory viruses is recommended. The purpose of this study was to compare the sensitivities among oropharyngeal swab (OPS), nasopharyngeal swab (NPS), and nasal wash (NW) in adults with acute pharyngitis. METHODS: OPS, NPS, and NW were obtained from each participant with acute pharyngitis. The specimens were tested for 15 respiratory viruses by TaqMan real-time polymerase chain reaction. A sample was considered to be a true positive if any of the specimens was positive. The sensitivities among samples were compared by chi-square test or Fisher's exact test, as appropriate. RESULTS: One hundred three triple samples collected consecutively by OPS, NPS, and NW were obtained. In 73 patients, one or more viruses were detected by any of the three methods. Among all viruses, the sensitivity of NPS was significantly higher than that of NW (74% vs. 49%, respectively; p < 0.01) and OPS (74% vs. 49%, respectively; p < 0.01). CONCLUSIONS: Flocked NPS collection may be the most effective alternative to NW and OPS for detection of respiratory viruses in adults with acute pharyngitis using TaqMan real-time polymerase chain reaction.


Asunto(s)
Nasofaringe/virología , Orofaringe/virología , Faringitis/virología , Manejo de Especímenes/métodos , Virología/métodos , Virosis/virología , Enfermedad Aguda , Adulto , Distribución de Chi-Cuadrado , Estudios de Cohortes , Humanos , Faringitis/diagnóstico , Reacción en Cadena en Tiempo Real de la Polimerasa , Sensibilidad y Especificidad , Virosis/diagnóstico
9.
IEEE Trans Biomed Eng ; 70(12): 3381-3388, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37318962

RESUMEN

OBJECTIVE: The purpose of this work is to develop a 3-channel endorectal coil (ERC-3C) structure to obtain higher signal-to-noise (SNR) and better parallel imaging performance for prostate magnetic resonance imaging (MRI) at 3T. METHODS: The coil performance was validated by in vivo studies and the SNR, g-factor, and diffusion-weighted imaging (DWI) were compared. A 2-channel endorectal coil (ERC-2C) with two orthogonal loops and a 12-channel external surface coil were employed for comparison. RESULTS: Compared with the ERC-2C with a quadrature configuration and the external 12-channel coil array, the proposed ERC-3C improved SNR performance by 23.9% and 428.9%, respectively. The improved SNR enables the ERC-3C to produce spatial high-resolution images of 0.24 mm × 0.24 mm × 2 mm (0.1152 µL) in the prostate area within 9 minutes. CONCLUSION: We developed an ERC-3C and validated its performance through in vivo MR imaging experiments. SIGNIFICANCE: The results demonstrated the feasibility of an ERC with more than two channels and that a higher SNR can be achieved using the ERC-3C compared with an orthogonal ERC-2C of the same coverage.


Asunto(s)
Próstata , Neoplasias de la Próstata , Humanos , Masculino , Próstata/diagnóstico por imagen , Próstata/patología , Neoplasias de la Próstata/diagnóstico por imagen , Neoplasias de la Próstata/patología , Imagen por Resonancia Magnética/métodos , Imagen de Difusión por Resonancia Magnética/métodos , Pelvis , Relación Señal-Ruido
10.
Quant Imaging Med Surg ; 13(5): 3222-3240, 2023 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-37179946

RESUMEN

Background: We aimed to demonstrate the feasibility of generating high-resolution human brain magnetic resonance imaging (MRI) at 5 Tesla (T) using a quadrature birdcage transmit/48-channel receiver coil assembly. Methods: A quadrature birdcage transmit/48-channel receiver coil assembly was designed for human brain imaging at 5T. The radio frequency (RF) coil assembly was validated by electromagnetic (EM) simulations and phantom imaging experimental studies. The simulated B1+ field inside a human head phantom and inside a human head model generated by the birdcage coils driven in circularly polarized (CP) mode at 3T, 5T and 7T was compared. Signal-to-noise ratio (SNR) maps, the inverse g-factor maps for evaluation of parallel imaging performance, anatomic images, angiography images, vessel wall images and susceptibility weighted images (SWI) were acquired using the RF coil assembly at 5T and compared to those acquired using a 32-channel head coil on a 3T MRI scanner. Results: For the EM simulations, 5T MRI provided less RF inhomogeneity compared to that of 7T. In the phantom imaging study, the distributions of the measured B1+ field were consistent with the distributions of the simulated B1+ field. In the human brain imaging study, the average SNR value of the brain in the transversal plane at 5T was 1.6 times of that at 3T. The 48-channel head coil at 5T had higher parallel acceleration capability than the 32-channel head coil at 3T. The anatomic images at 5T also showed higher SNR than those at 3T. Improved delineation of the hippocampus, lenticulostriate arteries, and basilar arteries was observed at 5T compared to 3T. SWI with a higher resolution of 0.3 mm ×0.3 mm ×1.2 mm could be acquired at 5T, which enabled better visualization of small blood vessels compared to that at 3T. Conclusions: 5T MRI can provide significant SNR improvement compared to that of 3T with less RF inhomogeneity than that of 7T. The ability to obtain high quality in vivo human brain images at 5T using the quadrature birdcage transmit/48-channel receiver coil assembly has significant in clinical and scientific research applications.

11.
J Pain Symptom Manage ; 64(6): 521-531, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36002122

RESUMEN

OBJECTIVE: The discrete choice experiment (DCE) is conducted in this study to discuss Chinese cancer patients' risk-benefit preferences for rescue medications (RD) and their willingness to pay (WTP) in the treatment of breakthrough cancer pain (BTcP). METHOD: Through literature reviews, specialist consultation, and patient surveys, this work finally included five attributes in the DCE questionnaire, i.e., the remission time of breakthrough pain, adverse reactions of the digestive system, adverse reactions of the neuropsychiatric system, administration routes, and drug costs (estimating patients' WTP). The alternative-specific conditional logit model is used to analyze patients' preferences and WTP for each attribute and its level and to assess the sociodemographic impact and clinical characteristics. RESULTS: A total of 134 effective questionnaires were collected from January, 1 to April, 5 in 2022. Results show that the five attributes all have a significant impact on cancer patients' choice of "rescue medications" (P<0.05). Among these attributes, the remission time after drug administration (10.0; 95%CI 8.5-11.5) is the most important concern for patients, followed by adverse reactions of the digestive system (8.5; 95%CI 7.0-10.0), adverse reactions of the neuropsychiatric system (2.9; 95%CI 1.4-4.3), and administration routes (0.9; 95%CI 0-1.8). The respondents are willing to spend 1182 yuan (95%CI 605-1720 yuan) per month for "rescue medications" to take effect within 15 minutes and spend 1002 yuan (95%CI 605-1760 yuan) per month on reducing the incidence of drug-induced adverse reactions in the digestive system to 5%. CONCLUSION: For Chinese cancer patients, especially those with moderate/severe cancer pain, the priority is to relieve the BTcP more rapidly and reduce adverse drug reactions more effectively. This study indicates these patients' expectations for the quick control of breakthrough pain and their emphasis on the reduction of adverse reactions. These findings are useful for doctors, who are encouraged to communicate with cancer patients about how to better alleviate the BTcP.


Asunto(s)
Dolor Irruptivo , Dolor en Cáncer , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Neoplasias , Humanos , Prioridad del Paciente/psicología , Conducta de Elección , Dolor en Cáncer/tratamiento farmacológico , Encuestas y Cuestionarios , Neoplasias/complicaciones , Neoplasias/tratamiento farmacológico
12.
Chin Med ; 17(1): 40, 2022 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-35365215

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) causes a global pandemic and has devastating effects around the world, however, there are no specific antiviral drugs and vaccines for the constant mutation of SARS-CoV-2. PURPOSE: In this study, we evaluted the antiviral and anti-inflammatory activities of Liushen Capsules (LS) on different novel coronavirus in vitro, studied its therapeutic effects on novel SARS-CoV-2 infected mice and observed the LS's clinical efficacy and safety in COVID-19. METHODS: The antiviral and aiti-inflammatory effects of LS on the 501Y.V2/B.1.35 and G/478K.V1/ B.1.617.2 strains were determined in vitro. A hACE2 mouse model of novel SARS-CoV-2 pneumonia was established. Survival rates, histological changes, inflammatory markers, lung virus titers and the expression of the key proteins in the NF-κB/MAPK signaling pathway was detected by western blotting and immumohistochemical staining in the lungs were measured. Subsequently, the disease duration, prognosis of disease, time of negative nucleic acid and the cytokines levels in serum were used to assess the efficacy of treatment with LS in patients. RESULTS: The results showed that LS (2, 1, 0.5 µg/mL) could significantly inhibit the replication of the two SARS-CoV-2 variants and the expression of pro-inflammatory cytokines (IL-6, IL-8, IP-10, CCL-5, MIP-1α, IL-1α) induced by the virus in vitro. As for the survival experiment in mice, the survival rate of virus group was 20%, while LS-treatment groups (40, 80, 160 mg/kg) could increase the survival rate to 60, 100 and 100%, respectively. LS (40, 80, 160 mg/kg) could significantly decrease the lung titers in mice and it could improve the pathological changes, inhibit the excessive inflammatory mediators (IFN-α, IFN-γ, IP-10, MCP-1) and the protein expression of p-NF-κB p65 in mice. Moreover, LS could significantly decrease SARS-CoV-2-induced activation of p-NF-κB p65, p-IκBα, and p-p38 MAPK and increase the protein expression of the IκBα. In addition, the patient got complete relief of symptoms after being treated with LS for 6 days and was proven with negative PCR test after being treated for 23 days. Finally, treatment with LS could reduce the release of inflammatory cytokines (IL-6, PDGF-AA/BB, Eotaxin, MCP-1, MIP-1α, MIP-1ß, GRO, CCL-5, MCP-3, IP-10, IL-1α). CONCLUSION: LS effectively alleviated novel SARS-CoV-2 or variants induced pneumonia in vitro and in vivo, and improved the prognosis of COVID-19. In light of the efficacy and safety profiles, LS could be considered for the treatment of COVID-19 with a broad-spectrum antiviral and anti-inflammatory agent.

13.
IEEE Trans Biomed Eng ; 68(12): 3659-3670, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34014817

RESUMEN

OBJECTIVE: The purpose of this work was to enable simultaneous head and spine Magnetic Resonance imaging (MRI) in children at 3T by using a dedicated multichannel radiofrequency coil array system. METHODS: A 24-channel head and spine pediatric coil system was developed and constructed. The coil's performance was compared with a commercially available 24-channel adult head-neck coil and a spine coil (1-4 spine of 16-channel were selected). Signal-to-noise ratio (SNR) and parallel imaging capability were quantitatively evaluated by phantom studies and in vivo imaging experiments. With Institutional Review Board and Ethics Committee approval, the designed coil was used to acquire head and spine images on 27 children in clinical settings. RESULTS: The pediatric coil provided substantial SNR improvements with an increase of 32% to 40% in the brain region and up to a two-fold increase in the surface. SNR increased by at least 18% in the spine region. The coil enabled higher resolution and a faster imaging speed, owing to significantly improved SNR. Extensive coverage of the coil enabled high-quality fast imaging from head-neck to the whole spine. Good image quality with an average score 4.63 out of 5 was achieved using the developed pediatric coil in clinical studies. CONCLUSION: Simultaneous head and spine MRI with superior performance have been successfully acquired in children subjects at 3T using the dedicated 24-channel head and spine pediatric coil system. SIGNIFICANCE: The 24-channel pediatric coil system potentially can enhance pediatric head and spine MRI in clinical research and diagnosis.


Asunto(s)
Imagen por Resonancia Magnética , Columna Vertebral , Adulto , Niño , Diseño de Equipo , Humanos , Fantasmas de Imagen , Ondas de Radio , Relación Señal-Ruido , Columna Vertebral/diagnóstico por imagen
14.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 30(7): 694-8, 2010 Jul.
Artículo en Zh | MEDLINE | ID: mdl-20929123

RESUMEN

OBJECTIVE: To observe the clinical effect of Chinese medicine for nourishing yin and clearing heat therapy (CM therapy) in treating nasopharyngeal carcinoma (NPC) patients with yin deficiency-induced inner heat syndrome, and suffered from acute radiation oral mucositis. METHODS: Sixty patients with NPC fitting to the inclusion criteria and undergoing initial dose radiotherapy were assigned to two groups. The 31 patients in the treatment group received CM therapy, and the 29 in the control group were treated with standard Western medical therapy. The condition of oral mucosa and epidermal growth factor (EGF) content in saliva of patients during the therapeutic period were observed, meanwhile the quality of life (QOL) of patients was estimated with the quality of life questionnaire-core 30 (QLQ-C30) issued by European Organization for Research and Treatment of Cancer (EORTC). RESULTS: Acute radiation oral mucositis occurred in all patients, but the severity in the treatment group was milder than that in the control group (P < 0.01). Salivary EGF content decreased along with the increasing radiation dosage, it decreased significantly when 40 Gy radiated and down to the minimum when 70 Gy radiated, but the decrement in the treatment group was less than that in the control group (P < 0.01). Comparison of QOL by QLQ-C30 scale showed that after radiotherapy the global health status in the treatment group was superior to the control group (P < 0.01). CONCLUSION: Chinese medicine for nourishing yin and clearing heat therapy could actually postpone the occurrence of acute radiation oral mucositis, lessen the adverse reaction of radiotherapy and improve patient's QOL, show a favorable effect in prevention and treatment, and has definite application value for clinical spreading.


Asunto(s)
Medicamentos Herbarios Chinos/uso terapéutico , Neoplasias Nasofaríngeas/radioterapia , Fitoterapia , Estomatitis/tratamiento farmacológico , Deficiencia Yin/tratamiento farmacológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Calidad de Vida , Radioterapia/efectos adversos , Estomatitis/etiología , Estomatitis/prevención & control , Adulto Joven
15.
Magn Reson Imaging ; 70: 22-28, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32259587

RESUMEN

PURPOSE: The aim of this work is to implement real-time 3D MR thermometry for high intensity focused ultrasound (HIFU) monitoring. METHODS: Volumetric MR thermometry was implemented based on a 3D echo-shifted sequence with short TR to improve temperature sensitivity. The 3D acquisition was accelerated in two phase encoding directions with controlled aliasing in volumetric parallel imaging (CAIPIRINHA). Image reconstruction was run in an open source reconstruction platform (Gadgetron). RESULTS: Phantom experiments showed the proposed volumetric thermometry was comparable to the fiber optical thermometer. In-vivo animal experiments in rabbit thigh showed that the temperature error before and after 4× acceleration was less than 0.65 °C. Finally, real-time 3D thermometry with temporal resolution ~3 s and spatial resolution 2 × 2 × 5 mm3 (spatial coverage 192 × 192 × 80 mm3) was achieved with Gadgetron reconstruction. CONCLUSION: Real-time temperature monitoring was achieved in-vivo by using parallel imaging accelerated 3D echo-shifted sequence with Gadgetron reconstruction.


Asunto(s)
Ultrasonido Enfocado de Alta Intensidad de Ablación , Fantasmas de Imagen , Termometría/métodos , Animales , Estudios de Factibilidad , Procesamiento de Imagen Asistido por Computador , Imagenología Tridimensional , Imagen por Resonancia Magnética , Conejos , Temperatura , Ultrasonografía
16.
Magn Reson Imaging ; 65: 37-44, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31655140

RESUMEN

Signal-to-noise ratio (SNR) is a critical factor in MR-guided high-intensity focused ultrasound (HIFU) for local heating, which can affect the accuracy of temperature measurement. In order to achieve high SNR and higher temporal resolution, dedicated coil arrays for MR-guided HIFU applications need to be developed. In this work, a flexible 9-channel coil array was designed, and constructed at 3 T to achieve fast temperature mapping for MR-guided HIFU applications on rabbit leg muscle. Coil performance was evaluated for SNR, and parallel imaging capability by in-vivo studies. Compared to a commercially available 4-channel flexible coil array, the dedicated 9-channel coil array has a much higher SNR, with at least a 2.6-fold increment in the region of interest (ROI). The inverse g-factors maps demonstrated that the dedicated 9-channel coil array has a better parallel imaging capability than the Flex Small 4. With accelerations normal to the array direction, both coil arrays showed much higher g-factors than those of accelerations along the array direction. Room temperature mapping was implemented to evaluate the temperature measurement accuracy by in-vivo experiments. The precisions of the 9-channel coil, ±0.18 °C for un-acceleration and ±â€¯0.56 °C for acceleration at R = 2 × 2, both improved by an order of magnitude than these of the 4-channel coil, which were ±â€¯1.45 °C for un-acceleration and ±â€¯3.52 °C for acceleration at R = 2 × 2. In the fast temperature imaging on the rabbit leg muscle with heating, a high temporal resolution of 3.3 s with a temperature measurement precision of ±0.56 °C has been achieved using the dedicated 9-channel coil. This study demonstrates that the dedicated 9-channel coil array for rabbit leg imaging provides improved performance in SNR, parallel imaging capability, and the accuracy of temperature measurement compared to a commercial 4-channel coil, and it also achieves fast temperature mapping in practical MR-guided HIFU applications.


Asunto(s)
Ultrasonido Enfocado de Alta Intensidad de Ablación/métodos , Imagenología Tridimensional/instrumentación , Imagenología Tridimensional/métodos , Imagen por Resonancia Magnética Intervencional/instrumentación , Imagen por Resonancia Magnética Intervencional/métodos , Termometría/instrumentación , Termometría/métodos , Animales , Modelos Animales , Conejos , Relación Señal-Ruido
17.
IEEE Trans Biomed Eng ; 67(8): 2317-2327, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-31831406

RESUMEN

OBJECTIVE: The purpose of this article was to build a radio frequency (RF) coil system to achieve high vessel wall image quality with coverage extending from the aortic arch to the intracranial vessels. METHODS: A 48-channel coil system was built and characterized at a 3 tesla (T) Magnetic Resonance Imaging (MRI) scanner (uMR 790, Shanghai United Imaging Healthcare, Shanghai, China). The coil's performance was compared with a commercially available 36-channel coil system. By human studies, signal-to-noise ratio (SNR) units were evaluated and g-factors were calculated in the transverse planes of the brain and neck regions. RESULTS: The SNR was increased by at least 28% in the brain region and up to fourfold in the neck region. The average g-factor with the acceleration factor, R = 3, was lowered by 21% in the transverse plane of the neck region. Intracranial and carotid arterial wall images with an isotropic spatial resolution of 0.63 mm were acquired within 7.7 minutes and thoracic aorta wall images with an isotropic spatial resolution of 1.1 mm were acquired within 2.7 minutes with the 48-channel coil system. The vessel wall can be more clearly visualized with the 48-channel coil system compared with the 36-channel coil system. CONCLUSION: A 48-channel coil system was developed and demonstrated superior performance for vessel wall imaging at the intracranial and cervical carotid arteries compared with a commercial 36-channel coil. SIGNIFICANCE: The 48-channel coil system is potentially useful for clinical diagnostics, especially when attempting to diagnose ischemic stroke.


Asunto(s)
Imagen por Resonancia Magnética , Ondas de Radio , Arterias Carótidas/diagnóstico por imagen , China , Humanos , Fantasmas de Imagen , Relación Señal-Ruido
18.
Magn Reson Imaging ; 58: 162-173, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30684547

RESUMEN

PURPOSE: To offer the new head coil option (with a lower channel count) of an RF coil array that provides comparable performance to the commercial 32-channel head coil. METHODS: The coil system comprised an upper shield (ten channels) and bottom section (fourteen channels). Signal-to-noise ratio (SNR) values for 2D unaccelerated imaging and the g-factor with an acceleration factor of 2-4 were evaluated in a phantom study. SNR performance and human brain and intracranial vessel wall imaging were conducted as part of the in vivo study. Both studies were conducted using the commercial head coil on the Siemens Tim Trio 3 T system for comparison. RESULTS: In the phantom study, the new head coil had an 8% higher SNR than the commercial head coil and demonstrated less than a 1% difference in the g-factor with the acceleration factor 2-4 in the right-to-left and anterior-to-posterior directions. In the in vivo study, the performance matched the results seen in the phantom study and showed high reproducibility in several human experiments. Structural images of the brain and intracranial vessel wall with an isotropic spatial resolution of 0.5 mm can be acquired with the new head coil. CONCLUSION: This study demonstrates that the new head coil is capable of providing good SNR performance in both phantom and human experiments, can achieve similar acceleration ability compared to the commercial head coil, and is capable of obtaining brain and intracranial vessel wall images.


Asunto(s)
Encéfalo/diagnóstico por imagen , Circulación Cerebrovascular , Imagen por Resonancia Magnética/instrumentación , Imagen por Resonancia Magnética/métodos , Relación Señal-Ruido , Aceleración , Adulto , Aterosclerosis/diagnóstico por imagen , Mapeo Encefálico , Diseño de Equipo , Cabeza , Humanos , Procesamiento de Imagen Asistido por Computador , Imagenología Tridimensional , Fantasmas de Imagen , Ondas de Radio , Reproducibilidad de los Resultados
19.
J Magn Reson ; 294: 162-168, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30055440

RESUMEN

The objective of this work is to develop a low-cost compact desktop NMR system based on Halbach magnets with the advantages of small size and ability to generate relatively high field strength. Considering the cost of manufacturing and assembling the magnetic blocks, the system utilized a 3-layer Halbach magnet and a wedge-shaped mechanical structure, which was designed for magnet rapid assembling. The comparison between simulation and calculation results of the initial magnetic field strength distribution showed that design theory and practice were in accordance. The initial homogeneity was 576 ppm in a square with a length of 5 mm. After passive shimming with two magnetic blocks and steel pieces, the uniformity reached 120 ppm in the same area. We developed and tested a compact single board spectrometer with digital modulation and demodulation in order to enhance the system mobility and improve the SNR. A self-made probe was used to carry out experiments with the spectrometer, and the spectral width at half-height reached 20 ppm in a cylinder with a diameter of 1.5 mm and a length of 1 mm. Compact structure and low cost of the system will facilitate and extend the application of desktop NMR system.

20.
IEEE Trans Med Imaging ; 37(10): 2290-2297, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-29994303

RESUMEN

Due to a lack of fetal imaging coils, the standard commercial abdominal coil is often used for fetal imaging, the performance of which is limited by its insufficient coverage, element number, and Signal-to-noise ratio (SNR). In this paper, a dedicated 36-channel coil array, of which size can best fit the body sizes of pregnancy gestation from 20 to 37+ weeks, was designed for fetal imaging at 3T. SNR with full phase encoding and G-factor denoted as noise amplification for parallel imaging were quantitatively evaluated by phantom studies. Compared with a commercial abdominal coil array, the proposed 36-channel fetal array provides not only SNR improvements in full phase encoding (with 10% in the region where the whole fetal body was located, and up to 40% in the edge region where the fetal brain and heart may appear) but also an augmented parallel imaging capability and remarkable SNR improvements at high acceleration factors.


Asunto(s)
Feto/diagnóstico por imagen , Imagen por Resonancia Magnética/instrumentación , Imagen por Resonancia Magnética/métodos , Diagnóstico Prenatal/métodos , Encéfalo/diagnóstico por imagen , Diseño de Equipo , Femenino , Corazón/diagnóstico por imagen , Humanos , Fantasmas de Imagen , Embarazo
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