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OBJECTIVE: Depression and insomnia frequently co-occur, but the neural mechanisms between patients with varying degrees of these conditions are not fully understood. The specific topological features and connectivity patterns of this co-morbidity have not been extensively studied. This study aimed to investigate the topological characteristics of topological characteristics and functional connectivity of brain networks in depressed patients with insomnia. METHODS: Resting-state functional magnetic resonance imaging data from 32 depressed patients with a high level of insomnia (D-HI), 35 depressed patients with a low level of insomnia (D-LI), and 81 healthy controls (HC) were used to investigate alterations in brain topological organization functional networks. Nodal and global properties were analyzed using graph-theoretic techniques, and network-based statistical analysis was employed to identify changes in brain network functional connectivity. RESULTS: Compared to the HC group, both the D-HI and D-LI groups showed an increase in the global efficiency (Eglob) values, local efficiency (Eloc) was decreased in the D-HI group, and Lambda and shortest path length (Lp) values were decreased in the D-LI group. At the nodal level, the right parietal nodal clustering coefficient (NCp) values were reduced in D-HI and D-LI groups compared to those in HC. The functional connectivity of brain networks in patients with D-HI mainly involves default mode network (DMN)-cingulo-opercular network (CON), DMN-visual network (VN), DMN-sensorimotor network (SMN), and DMN-cerebellar network (CN), while that in patients with D-LI mainly involves SMN-CON, SMN-SMN, SMN-VN, and SMN-CN. The values of the connection between the midinsula and postoccipital gyrus was negatively correlated with scores for early awakening in D-HI. CONCLUSION: These findings may contribute to our understanding of the underlying neuropsychological mechanisms in depressed patients with insomnia.
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Low-dimensional lead halide perovskites demonstrate remarkable nonlinear optical characteristics attributed to their distinctive physical structures and electronic properties. Nevertheless, the investigation into their nonlinear optical properties remains in its incipient stages. This study addresses this gap by precisely controlling solvent volumes to synthesize both 0D Cs4PbBr6 and Cs4PbBr6/CsPbBr3 perovskites. Remarkably, as saturable absorbers, both pure Cs4PbBr6 and Cs4PbBr6/CsPbBr3 composites exhibit favorable nonlinear optical properties within the C-band, showcasing modulation depths of 9.22% and 16.83%, respectively. Moreover, for the first time, Cs4PbBr6 and Cs4PbBr6/CsPbBr3 composites have been successfully integrated into erbium-doped fiber lasers to realize the mode-locking operations. The utilization of the Cs4PbBr6/CsPbBr3 composites as a saturable absorber that enables the generation of conventional soliton mode-locked laser pulses with a pulse duration of 688 fs, and a repetition frequency of 10.947 MHz at a central wavelength of 1557 nm. Cs4PbBr6 is instrumental in generating laser pulses at a frequency of 10.899 MHz, producing pulse widths of 642 fs at the central wavelength of 1531.2 nm and 1.02 ps at the central wavelength of 1565.3 nm, respectively. The findings of this investigation underscore the potential utility of 0D Cs4PbBr6 and Cs4PbBr6/CsPbBr3 composites as promising materials for optical modulation within fiber laser applications.
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This study enhances the ultrafast photonics application of tin selenide (SnSe) nanoflakes via copper (Cu) functionalization to overcome challenges such as low conductivity and weak near-infrared (NIR) absorption. Cu functionalization enhances concentration, induces strain, and reduces the bandgap through Sn substitution and Sn vacancy filling with Cu ions. Demonstrated by density functional theory calculations and experimental analyses, Cu-functionalized SnSe exhibits improved NIR optical absorption and superior third-order nonlinear optical properties. Z-scan measurements and femtosecond transient absorption spectroscopy reveal better performance of Cu-functionalized SnSe in terms of nonlinear optical properties and shorter carrier relaxation times compared to pristine SnSe. Furthermore, saturable absorbers based on both SnSe types, when integrated into an erbium-doped fiber laser, show that Cu functionalization leads to a decrease in pulse duration to 798 fs and an increase in 3 dB spectral bandwidth to 3.44 nm. Additionally, it enables stable harmonic mode-locking of bound-state solitons. This work suggests a new direction for improving wide bandgap 2D materials by highlighting the enhanced nonlinear optical properties and potential of Cu-functionalized SnSe in ultrafast photonics.
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The polarized spectral properties and â¼2.3â µm high-power continuous-wave laser operation of Tm3+-doped yttrium orthovanadate crystal (Tm:YVO4) are reported. For the 3H4 â 3H5 transition, the stimulated-emission cross-section σSE is 1.01 × 10-20 cm2 at 2276â nm corresponding to a large emission bandwidth of 52â nm (for π-polarization). Pumped by a 794â nm laser diode, the 1.5 at.% Tm:YVO4 laser delivered 5.52 W at 2.29â µm with a slope efficiency of 19.9%, a laser threshold of 8.70 W, and a linear laser polarization (π). The Tm laser operated on the cascade scheme (on the 3H4 â 3H5 and 3F4 â 3H6 transitions) which was mainly responsible for the observed high laser slope efficiency. We also report on the first passively Q-switched Tm:YVO4 laser at 2.3â µm by employing porous nano-grained cuprous selenide (PNG-Cu2Se) as a saturable absorber. The shortest pulse duration and the highest single pulse energy amounted to 706â ns and 3.65 µJ, respectively, corresponding to a pulse repetition rate of 62.8 kHz.
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We report on the Czochralski crystal growth, polarized optical spectroscopy, and the first continuous-wave laser operation of 1.5 at.% Tm:LuVO4 crystal on the 3H4 â 3H5 transition. The polarized absorption and stimulated-emission properties of Tm3+ ions in LuVO4 were revised and the crystal-field splitting of the Tm3+ multiplets was determined by low-temperature (12â K) spectroscopy. The maximum stimulated-emission cross-section for the 3H4 â 3H5 transition is 2.48 × 10-20 cm2 at 2363â nm for π-polarization corresponding to an emission bandwidth of 28â nm. Evidence of phonon-assisted emissions of Tm3+ ions above 2â µm is presented. The broadband emission properties of the Tm:LuVO4 crystal make it promising for ultrashort pulse generation. Additionally, pumped by a 796â nm fiber-coupled laser diode, the Tm:LuVO4 laser generated a Watt-level output power at 2279-2295â nm with a slope efficiency of 9.2% and linearly polarized emission (π-polarization).
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As a new member of two-dimensional (2D) phosphorene, 2D layered violet phosphorus (VP) has unique optoelectronic properties and good environmental stability, showing its huge advantages in optoelectronic applications. In this paper, the ultrafast nonlinear optical (NLO) properties of layered VP nanosheets at 1 µm band were explored, which exhibit an obvious saturable absorption response with a modulation depth of â¼1.97%. Meanwhile, the fast and slow carrier lifetimes of VP nanosheets at 1µm band were also determined as 295.9 fs and 2.36 ps, respectively, which are much shorter than that of most reported 2D materials. The excellent saturable absorption response combined with ultrashort carrier lifetimes indicate the prospect of layered VP nanosheets as a fast saturable absorber (SA) for ultrafast laser modulation. Then we demonstrated a Yb-doped fiber laser based on the VP-deposited taper-shaped fiber (TSF) SA, which delivers stable Q-switched mode-locked (QSML) pulses, dual-wavelength mode-locked pulses and 404-fs noise-like pulses. This work fully demonstrates the great potential of 2D VP materials for 1 µm ultrashort laser pulse generation.
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After the first report of a graphene-based passive mode-locking ultrafast fiber laser, two-dimensional materials as efficient saturable absorbers offer a new horizon in ultrafast fiber laser. However, the interactions on atomic scale between these two-dimensional materials and fiber and the fiber effect on the carrier dynamics have not been realized. To figure out the exact role of fiber and the carrier dynamics affected by the fiber substrate related to ultrafast photonics, bismuthene, a newly reported 2D quantum material used in a passive mode-locking fiber laser, deposited on α-quartz has been investigated. We surprisingly found that the α-quartz substrate can strongly accelerate the nonradiative electron-hole recombination of bismuthene in theory, and the transient absorption spectra of bismuthene on normal glass and α-quartz further verify the substrate effect on carrier dynamics of bismuthene. The discovery provides new thinking about substrate effect to regulate the performance of ultrafast mode-locking fiber lasers as well as ultrafast photonics.
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The laser diode (LD)-pumped Tm:YAP (a-cut, 3.5 at.%) laser generated a maximum â¼2.3â µm continuous wave (CW) laser output power of â¼3 W. The higher output power benefited from the positive effect of the cascade lasing (simultaneously operating on the 3H4 â 3H5 and 3F4 â 3H6 Tm3+ transition). It was the highest CW laser output power amongst the LD/Ti:Sapphire-CW-pumped â¼2.3 µm Tm3+-doped lasers reported so far. Under the cascade laser operation, the slope efficiency of the â¼2.3â µm laser emission versus the absorbed pump power increased from 13.0% to 21.4%.
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Tuberculosis (TB) remains one of the major infectious diseases in the world with a high incidence rate. Drug-resistant tuberculosis (DR-TB) is a key and difficult challenge in the prevention and treatment of TB. Early, rapid, and accurate diagnosis of DR-TB is essential for selecting appropriate and personalized treatment and is an important means of reducing disease transmission and mortality. In recent years, imaging diagnosis of DR-TB has developed rapidly, but there is a lack of consistent understanding. To this end, the Infectious Disease Imaging Group, Infectious Disease Branch, Chinese Research Hospital Association; Infectious Diseases Group of Chinese Medical Association of Radiology; Digital Health Committee of China Association for the Promotion of Science and Technology Industrialization, and other organizations, formed a group of TB experts across China. The conglomerate then considered the Chinese and international diagnosis and treatment status of DR-TB, China's clinical practice, and evidence-based medicine on the methodological requirements of guidelines and standards. After repeated discussion, the expert consensus of imaging diagnosis of DR-PB was proposed. This consensus includes clinical diagnosis and classification of DR-TB, selection of etiology and imaging examination [mainly X-ray and computed tomography (CT)], imaging manifestations, diagnosis, and differential diagnosis. This expert consensus is expected to improve the understanding of the imaging changes of DR-TB, as a starting point for timely detection of suspected DR-TB patients, and can effectively improve the efficiency of clinical diagnosis and achieve the purpose of early diagnosis and treatment of DR-TB.
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The study aimed to determine the expression of miR451 in colorectal cancer (CRC) subjects with CRC cells, and the role of miR451 in colorectal cancer cells. In October 2020, ATC purchased CRC and normal mucosal cell lines of CRC and implanted them in DMEM with 10% fetal serum. The suitability of the HT29 cell line is verified using the STR profile. In an incubator with 5% CO2, enlarged cells were placed at 37 °C. TCGA data was used to select the top 120 patients with a high voice and the lowest 120 patients with a low voice. Cells were collected and coated with Annexin V and PE according to the manufacturer's instructions after 24.0 h. After that, the cells were separated. Cells were also tested using flow cytometry. HCT-120 cells were transplanted into a concentration of 5×105/ml cells in 6-source plates. HCT120 cells in the experimental group were combined with miR451 mimics, miR451 inhibitors, or miR451 miR + SMAD4B for 12 h at 37 °C, and cells were collected 24 h later at 37 °C. The sample was injected with 5 ml of Annexin VFITC and PE. Compared with normal colorectal mucosal cells, CRC cell lines decreased miR451 expression levels (fetal human cells (FHC) and HCoEpiC). Then, the HCT120 cells were transfected with miR451 inhibitors, and 72 h after transfection, say of miR451 was normal. There was a significant decrease in cell function in the miR451mimic groups, but an increase when the miR451 was blocked. The proliferation of cancer cells was prevented and chemotherapy was effective when miR451 was overexpressed. The SMAD4 gene provides instructions for making a protein involved in transmitting chemical signals from the cell surface to the nucleus. The SMAD4B expression was tested by RT-qPCR and Western blotting after 72.0 h of transmission. The mRNA and protein expression of SMAD4B decreased significantly when miR451 was significantly higher than when inhibited, as revealed in the results of this study. Seventy-two hours after transplantation, mRNA levels and SMAD4B proteins were measured in HCT120 cells. In addition, the researchers in this study investigated whether miR451 was associated with SMAD4B-directed control of CRC growth and migration. It was found that SMAD4B is highly expressed in both CRC and para-cancer tissues while using the TCGA database to detect SMAD4B expression. Patients with CRC with SMAD4B have a severe prognosis. MiR451 is sensitive to depressive disorders by targeting SMAD4B, according to these studies. We found that miR451 inhibited cell growth and migration, made CRC cells more readily available in chemotherapy, and did so by targeting SMAD4B. The findings suggest that miR451 and its genetic predisposition, SMAD4B, may help predict the prognosis and course of cancer patients. Treatments that target the miR451/SMAD4B axis may be helpful to people with CRC.
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Neoplasias Colorretais , MicroRNAs , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Neoplasias Colorretais/genética , Neoplasias Colorretais/patologia , Movimento Celular/genética , Células HT29 , Proliferação de Células/genética , RNA Mensageiro , Regulação Neoplásica da Expressão Gênica , Linhagem Celular TumoralRESUMO
OBJECTIVES: We aimed to develop a combined model based on clinical and radiomic features to classify fracture age. METHODS: We included 1219 rib fractures from 239 patients from our center between March 2016 and September 2022. We created an external dataset using 120 rib fractures from 32 patients from another center between October 2019 and August 2023. According to tasks (fracture age between < 3 and ≥ 3 weeks, 3-12, and > 12 weeks), the internal dataset was randomly divided into training and internal test sets. A radiomic model was built using radiomic features. A combined model was constructed using clinical features and radiomic signatures by multivariate logistic regression, visualized as a nomogram. Internal and external test sets were used to validate model performance. RESULTS: For classifying fracture age between < 3 and ≥ 3 weeks, the combined model had higher areas under the curve (AUCs) than the radiomic model in the training set (0.915 vs 0.900, p = 0.009), internal test (0.897 vs 0.854, p < 0.001), and external test sets (0.881 vs 0.811, p = 0.003). For classifying fracture age between 3-12 and > 12 weeks, the combined model had higher AUCs than the radiomic model in the training model (0.848 vs 0.837, p = 0.12) and internal test sets (0.818 vs 0.793, p < 0.003). In the external test set, the AUC of the nomogram-assisted radiologist was 0.966. CONCLUSION: The combined radiomic and clinical model showed good performance and has the potential to assist in the classification of rib fracture age. This will be beneficial for clinical practice and forensic decision-making. CRITICAL RELEVANCE STATEMENT: This study describes the development of a combined radiomic and clinical model with good performance in the classification of the age of rib fractures, with potential clinical and forensic applications. KEY POINTS: ⢠Complex factors make it difficult to determine the age of a fracture. ⢠Our model based on radiomic features performed well in classifying fracture age. ⢠Associating the radiomic features with clinical features improved the model's performance.
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A compact Tm:GdVO4 laser pumped by a 794â nm laser diode generated 6.09â W at 2.29â µm (3H4 â 3H5 Tm3+ transition) with a high slope efficiency of 30.8% and linear laser polarization (π). The polarized spectroscopic properties of Tm3+ in GdVO4 were also revised. The peak stimulated-emission cross section of Tm3+ is 2.97 × 10-20 cm2 at 2280â nm, corresponding to an emission bandwidth of 42â nm for π-polarized light.
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We aimed to compare the performance and interobserver agreement of radiologists manually segmenting images or those assisted by automatic segmentation. We further aimed to reduce interobserver variability and improve the consistency of radiomics features. This retrospective study included 327 patients diagnosed with prostate cancer from September 2016 to June 2018; images from 228 patients were used for automatic segmentation construction, and images from the remaining 99 were used for testing. First, four radiologists with varying experience levels retrospectively segmented 99 axial prostate images manually using T2-weighted fat-suppressed magnetic resonance imaging. Automatic segmentation was performed after 2 weeks. The Pyradiomics software package v3.1.0 was used to extract the texture features. The Dice coefficient and intraclass correlation coefficient (ICC) were used to evaluate segmentation performance and the interobserver consistency of prostate radiomics. The Wilcoxon rank sum test was used to compare the paired samples, with the significance level set at p < 0.05. The Dice coefficient was used to accurately measure the spatial overlap of manually delineated images. In all the 99 prostate segmentation result columns, the manual and automatic segmentation results of the senior group were significantly better than those of the junior group (p < 0.05). Automatic segmentation was more consistent than manual segmentation (p < 0.05), and the average ICC reached >0.85. The automatic segmentation annotation performance of junior radiologists was similar to that of senior radiologists performing manual segmentation. The ICC of radiomics features increased to excellent consistency (0.925 [0.888~0.950]). Automatic segmentation annotation provided better results than manual segmentation by radiologists. Our findings indicate that automatic segmentation annotation helps reduce variability in the perception and interpretation between radiologists with different experience levels and ensures the stability of radiomics features.
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The laser diode (LD)-pumped efficient high-power cascade Tm:GdVO4 laser simultaneously operating on the 3F4 â 3H6 (at â¼2â µm) and 3H4 â 3H5 (at â¼2.3â µm) Tm3+ transition was first reported in this paper. The cascade Tm:GdVO4 laser generated a maximum total continuous-wave (CW) laser output power of 8.42 W with a slope efficiency of 40%, out of which the maximum â¼2.3â µm CW laser output power was 2.88 W with a slope efficiency of 14%. To our knowledge, 2.88 W is the highest CW laser output power amongst the LD-CW-pumped â¼2.3â µm Tm3+-doped lasers reported so far.
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We report on the first laser operation of a disordered Tm:CaGdAlO4 crystal on the 3H4 â 3H5 transition. Under direct pumping at 0.79 µm, it generates 264â mW at 2.32â µm with a slope efficiency of 13.9% and 22.5% vs. incident and absorbed pump power, respectively, and a linear polarization (σ). Two strategies to overcome the bottleneck effect of the metastable 3F4 Tm3+ state leading to the ground-state bleaching are exploited: cascade lasing on the 3H4 â 3H5 and 3F4 â 3H6 transitions and dual-wavelength pumping at 0.79 and 1.05 µm combining the direct and upconversion pumping schemes. The cascade Tm-laser generates a maximum output power of 585â mW at 1.77â µm (3F4 â 3H6) and 2.32â µm (3H4 â 3H5) with a higher slope efficiency of 28.3% and a lower laser threshold of 1.43 W, out of which 332â mW are achieved at 2.32â µm. Under dual-wavelength pumping, further power scaling to 357â mW at at 2.32â µm is observed at the expense of increased laser threshold. To support the upconversion pumping experiment, excited-state absorption spectra of Tm3+ ions for the 3F4 â 3F2,3 and 3F4 â 3H4 transitions are measured for polarized light. Tm3+ ions in CaGdAlO4 exhibit broadband emission at 2.3 - 2.5 µm making this crystal promising for ultrashort pulse generation.
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The exceptional mechanical, electronic, topological, and optical properties, make bismuthene an ideal candidate for various applications in ultrafast saturation absorption and spintronics. Despite the extensive research efforts devoted to synthesizing this material, the introduction of defects, which can significantly affect its properties, remains a substantial obstacle. In this study, we investigate the transition dipole moment and joint density of states of bismuthene with/without single vacancy defect via energy band theory and interband transition theory. It is demonstrated that the existence of the single defect enhances the dipole transition and joint density of states at lower photon energies, ultimately resulting in an additional absorption peak in the absorption spectrum. Our results suggest that the manipulation of defects in bismuthene has enormous potential for improving the optoelectronic properties of this material.
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We report on the cascade continuous-wave operation of a diode-pumped Tm:YVO4 laser on the 3F4 â 3H6 (at â¼2â µm) and 3H4 â 3H5 (at â¼2.3â µm) Tm3+ transitions. Pumped with a fiber-coupled spatially multimode 794â nm AlGaAs laser diode, the 1.5 at.% Tm:YVO4 laser yielded a maximum total output power of 6.09 W with a slope efficiency of 35.7% out of which the 3H4 â 3H5 laser emission corresponded to 1.15 W at 2291-2295 and 2362-2371â nm with a slope efficiency of 7.9% and a laser threshold of 6.25 W.
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In this contribution, we measured the third-order nonlinear optical response of bismuth oxychloride (BiOCl) nanosheets with the open-aperture (OA) and the closed-aperture (CA) Z-scan techniques with a variable excitation intensity at 1.34â µm. The effective nonlinear absorption coefficient ßeff and the nonlinear refractive index n2 of the prepared BiOCl nanosheets with abundant oxygen vacancies were obtained under the excitation intensity. The third-order nonlinear optical susceptibility |χ(3)| was 1.64 × 10-9 esu. The nonlinear optical features of BiOCl enabled it as a superb saturable absorber for pulse laser generation. As a consequence, we demonstrated the first passively Q-switched Nd:GdVO4 laser with the BiOCl saturable absorber, producing a shortest pulse duration of 543â ns and a highest repetition rate of 227 kHz, leading to a maximum pulse energy of 74 nJ. Our findings show that BiOCl nanosheets with oxygen vacancies have large nonlinear optical sensitivities and can be exploited to generate optical pulses.
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Objective: For people in high altitude areas, the shape of the femoral neck is different due to the different living environment. To deduce the optimal insertion angle and position of the cannulated screw using three-dimensional finite element technology in patients at high altitude. Methods: The data of 100 volunteers were used to establish a finite element model. The stress and displacement of cannulated screws of equilateral and oblique triangle screw placement in femoral neck fracture model and complete femoral neck model were evaluated. Results: On the narrowest plane, the average values of â A, B, and C were 47.63o, 75.49o, and 56.88o, respectively, and the shape was an oblique triangle. In complete femoral neck model, the maximum Von Mises stress of the three cannulated screws of equilateral triangle screw placement was slightly larger than oblique triangle screw placement, and this difference was more obvious in femoral neck fracture model. Under same loads, the overall maximum displacement of femur in oblique triangle screw placement was less than equilateral triangle screw placement in two models. Conclusions: For people in high-altitude areas, the three screws should be implanted in an oblique triangle configuration in cannulated screw treatment of femoral neck fractures.
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Fraturas do Colo Femoral , Humanos , Fraturas do Colo Femoral/diagnóstico por imagem , Fraturas do Colo Femoral/cirurgia , Colo do Fêmur/diagnóstico por imagem , Colo do Fêmur/cirurgia , Análise de Elementos Finitos , Fixação Interna de Fraturas/métodos , Altitude , Parafusos Ósseos , Fenômenos BiomecânicosRESUMO
Ordinal multi-instance learning (OMIL) deals with the weak supervision scenario wherein instances in each training bag are not only multi-class but also have rank order relationships between classes, such as breast cancer, which has become one of the most frequent diseases in women. Most of the existing work has generally been to classify the region of interest (mass or microcalcification) on the mammogram as either benign or malignant, while ignoring the normal mammogram classification. Early screening for breast disease is particularly important for further diagnosis. Since early benign lesion areas on a mammogram are very similar to normal tissue, three classifications of mammograms for the improved screening of early benign lesions are necessary. In OMIL, an expert will only label the set of instances (bag), instead of labeling every instance. When labeling efforts are focused on the class of bags, ordinal classes of the instance inside the bag are not labeled. However, recent work on ordinal multi-instance has used the traditional support vector machine to solve the multi-classification problem without utilizing the ordinal information regarding the instances in the bag. In this paper, we propose a method that explicitly models the ordinal class information for bags and instances in bags. Specifically, we specify a key instance from the bag as a positive instance of bags, and design ordinal minimum uncertainty loss to iteratively optimize the selected key instances from the bags. The extensive experimental results clearly prove the effectiveness of the proposed ordinal instance-learning approach, which achieves 52.021% accuracy, 61.471% sensitivity, 47.206% specificity, 57.895% precision, and an 59.629% F1 score on a DDSM dataset.