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2.
Proc Natl Acad Sci U S A ; 121(3): e2310711121, 2024 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-38190531

RESUMO

Brown adipose tissue (BAT) is the main site of nonshivering thermogenesis which plays an important role in thermogenesis and energy metabolism. However, the regulatory factors that inhibit BAT activity remain largely unknown. Here, cardiotrophin-like cytokine factor 1 (CLCF1) is identified as a negative regulator of thermogenesis in BAT. Adenovirus-mediated overexpression of CLCF1 in BAT greatly impairs the thermogenic capacity of BAT and reduces the metabolic rate. Consistently, BAT-specific ablation of CLCF1 enhances the BAT function and energy expenditure under both thermoneutral and cold conditions. Mechanistically, adenylate cyclase 3 (ADCY3) is identified as a downstream target of CLCF1 to mediate its role in regulating thermogenesis. Furthermore, CLCF1 is identified to negatively regulate the PERK-ATF4 signaling axis to modulate the transcriptional activity of ADCY3, which activates the PKA substrate phosphorylation. Moreover, CLCF1 deletion in BAT protects the mice against diet-induced obesity by promoting BAT activation and further attenuating impaired glucose and lipid metabolism. Therefore, our results reveal the essential role of CLCF1 in regulating BAT thermogenesis and suggest that inhibiting CLCF1 signaling might be a potential therapeutic strategy for improving obesity-related metabolic disorders.


Assuntos
Tecido Adiposo Marrom , Metabolismo Energético , Animais , Camundongos , Adenoviridae , Interleucinas , Obesidade/genética , Termogênese/genética
3.
mSystems ; 8(6): e0082823, 2023 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-37905808

RESUMO

IMPORTANCE: Most studies focused much on the change in abundance and often failed to explain the microbiome variation related to disease conditions, Herein, we argue that microbial genetic changes can precede the ecological changes associated with the host physiological changes and, thus, would offer a new information layer from metagenomic data for predictive modeling of diseases. Interestingly, we preliminarily found a few genetic biomarkers on SCFA production can cover most chronic diseases involved in the meta-analysis. In the future, it is of both scientific and clinical significance to further explore the dynamic interactions between adaptive evolution and ecology of gut microbiota associated with host health status.


Assuntos
Microbioma Gastrointestinal , Microbiota , Humanos , Microbioma Gastrointestinal/genética , Metagenoma/genética , Metagenômica , Nucleotídeos
4.
J Environ Manage ; 346: 119054, 2023 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-37742567

RESUMO

The spatiotemporal evolution patterns of carbon emissions and their influence mechanisms are important topics for regional climate change monitoring and research on sustainable development goals. At present, due to the limitation of statistical data collection scale, it is difficult to analyze the spatiotemporal variation of carbon emission and its influence mechanism at a finer scale in China. With the development of new remote sensing platforms and technologies, multisource remote sensing data such as nighttime light remote sensing data and XCO2 concentration data have become important information resources for carbon emission monitoring. Therefore, this study monitors the spatiotemporal evolution of carbon emissions in China based on multisource remote sensing data and conducts impact mechanism research. The main conclusions of this study include: (1) The partial least squares carbon emission estimation model and the downscaled inversion model estimate carbon emissions with high accuracy. The estimated carbon emissions of both have high correlation with statistical carbon emissions, with R2 of 0.86 and 0.87, respectively, and no significant overestimation or underestimation. (2) The overall spatial pattern of energy consumption carbon emissions in China from 2010 to 2018 is high in the east and low in the west and high in the north and low in the south, but this spatial distribution pattern is gradually weakening. China's energy consumption carbon emissions varied considerably from 2010 to 2018, with an overall slow positive growth trend. (3) The mechanisms of population growth, economic development, urbanization and industrialization on carbon emissions are more complex, and most of their influencing factors promote carbon emission generation, while carbon emission impacts have spatial spillover. This study designs and studies a regional energy consumption carbon emission estimation model in China based on multisource remote sensing data, and explores the characteristics of regional multiscale carbon emission spatiotemporal variation and its influence mechanism, so as to provide scientific references for China's carbon emission reduction targets.

5.
Orthod Craniofac Res ; 26(2): 197-206, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36004578

RESUMO

OBJECTIVE: The objective of the study was to explore and validate the consensus of orthodontic experts on the assessment of orthodontic treatment outcomes based on subjective and objective analysis. MATERIALS AND METHODS: The research consisted of two parts: the exploration and verification of expert consensus. First, a sample of 108 cases randomly selected from six dental schools in China were evaluated by 69 orthodontic experts and measured by researchers based on post-treatment study casts and lateral cephalograms, respectively. Then, through statistical analysis, the objective indicators significantly correlated with experts' subjective evaluations were selected, their weights were determined, and the critical values of satisfactory, acceptable and unacceptable grades were screened. Subsequently, another sample of 72 cases were evaluated by another 36 orthodontic experts, and the subjective evaluation results were compared with the objective measurement results. RESULTS: There were six model indicators and seven cephalometric indicators being significantly correlated with the experts' subjective evaluations, including occlusal contact, overjet, midline, interproximal contact, alignment, occlusal relationship, L1/NB, ANB, SN/OP, U1/SN, LL-EP, Cm-Sn-UL and Ns-Prn-Pos, with a cumulative R2 of 0.704. In the verification part, the correlation coefficient between the 36 experts' subjective scores and objective regression scores was 0.716 (P < .001); the correlation coefficient between the 36 experts' subjective grades and objective grades was 0.757 (P < .001). CONCLUSIONS: Orthodontic experts had good consistency in the subjective evaluation of the combined records of post-treatment study casts and lateral cephalograms. The objective indicators selected from subjective and objective analysis had good reliability and validity and could further improve the existing occlusal indices.


Assuntos
Consenso , Reprodutibilidade dos Testes , Resultado do Tratamento , Radiografia , Cefalometria
6.
Artigo em Inglês | MEDLINE | ID: mdl-35805721

RESUMO

Monitoring the fine spatiotemporal distribution of urban GDP is a critical research topic for assessing the impact of the COVID-19 outbreak on economic and social growth. Based on nighttime light (NTL) images and urban land use data, this study constructs a GDP machine learning and linear estimation model. Based on the linear model with better effect, the monthly GDP of 34 cities in China is estimated and the GDP spatialization is realized, and finally the GDP spatiotemporal correction is processed. This study analyzes the fine spatiotemporal distribution of GDP, reveals the spatiotemporal change trend of GDP in China's major cities during the current COVID-19 pandemic, and explores the differences in the economic impact of the COVID-19 pandemic on China's major cities. The result shows: (1) There is a significant linear association between the total value of NTL and the GDP of subindustries, with R2 models generated by the total value of NTL and the GDP of secondary and tertiary industries being 0.83 and 0.93. (2) The impact of the COVID-19 pandemic on the GDP of cities with varied degrees of development and industrial structures obviously varies across time and space. The GDP of economically developed cities such as Beijing and Shanghai are more affected by COVID-19, while the GDP of less developed cities such as Xining and Lanzhou are less affected by COVID-19. The GDP of China's major cities fell significantly in February. As the COVID-19 outbreak was gradually brought under control in March, different cities achieved different levels of GDP recovery. This study establishes a fine spatial and temporal distribution estimation model of urban GDP by industry; it accurately monitors and assesses the spatial and temporal distribution characteristics of urban GDP during the COVID-19 pandemic, reveals the impact mechanism of the COVID-19 pandemic on the economic development of major Chinese cities. Moreover, economically developed cities should pay more attention to the spread of the COVID-19 pandemic. It should do well in pandemic prevention and control in airports and stations with large traffic flow. At the same time, after the COVID-19 pandemic is brought under control, they should speed up the resumption of work and production to achieve economic recovery. This study provides scientific references for COVID-19 pandemic prevention and control measures, as well as for the formulation of urban economic development policies.


Assuntos
COVID-19 , COVID-19/epidemiologia , China/epidemiologia , Cidades/epidemiologia , Humanos , Pandemias , Urbanização
7.
Viruses ; 14(3)2022 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-35337027

RESUMO

The primary aim of this study was to evaluate the efficacy of phage against mastitis induced by drug-resistant S. aureus in a mouse model. In this study, five S. aureus phages-4086-1, 4086-2, 4086-3, 4086-4, and 4086-6-were isolated from milk samples secreted by mastitis cows. Transmission electron microscopy showed that all the five phages had icosahedral heads and short non-contractile tails, which are typical characteristics of the family Podoviridae. All these phages were species-specific against S. aureus. The one-step growth curve showed a short latency period (10-20 min) and high burst size (up to 400 PFU/infected cell). To evaluate the effectiveness of the phage 4086-1 in the treatment against mastitis, a mouse model of mastitis was challenged with drug-resistant S. aureus. The results showed the proliferation of S. aureus in the mammary glands was significantly inhibited after treating by phage 4086-1. The concentrations of TNF-α and IL-6 decreased significantly, which demonstrated the phages could effectively alleviate the inflammatory responses. Furthermore, the histopathological analysis showed that inflammatory infiltration in the mammary glands was significantly reduced. These results demonstrate that phage may be a promising alternative therapy against mastitis caused by drug-resistant S. aureus.


Assuntos
Bacteriófagos , Mastite Bovina , Staphylococcus aureus Resistente à Meticilina , Terapia por Fagos , Infecções Estafilocócicas , Animais , Bovinos , Feminino , Humanos , Mastite Bovina/terapia , Camundongos , Myoviridae , Terapia por Fagos/métodos , Infecções Estafilocócicas/terapia , Staphylococcus aureus
8.
J Soc Psychol ; 162(5): 580-594, 2022 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34346839

RESUMO

The present research examined whether and how benevolent sexism, a subjectively positive but sexist ideology, would influence women's financial risk-taking and we proposed that benevolent sexism would increase women's financial risk-taking through economic dependency. Three studies converged to support our proposition. Specifically, Studies 1 and 2 (n = 387) showed that benevolent sexism was positively associated with women's financial risk-taking; such that the more benevolent sexism women endorsed, the more financial risks they tended to take. Using an experimental design, Study 3 (n = 126) established the causal link between benevolent sexism and financial risk-taking for women, and also demonstrated the mediating effect of economic dependency. These findings highlight the role of social ideology in influencing women's financial risk-taking. Implications were discussed.


Assuntos
Relações Interpessoais , Sexismo , Feminino , Humanos , Assunção de Riscos
10.
Huan Jing Ke Xue ; 42(10): 4834-4843, 2021 Oct 08.
Artigo em Chinês | MEDLINE | ID: mdl-34581126

RESUMO

To reveal the speciation and pollution status of heavy metal(loid) s (HMs) in the dewatered sewage sludge(SS) of municipal wastewater treatment plants(MWTPs) in China, SS samples were collected from 40 MWTPs located in different regions of China. The total concentrations and geochemical fractions of As, Cd, Cr, Cu, Ni, Pb, and Zn in the SS samples were analyzed. The ecological risks induced by HMs in the SS were assessed based on the toxicity characteristic leaching procedure(TCLP), risk assessment code(RAC), and potential ecological risk index(RI). The median values of HMs in SS followed the order Zn > Cu > Cr > Pb > Ni > As > Cd. The general attainment rates of HMs in SS were satisfactory(>90%). As showed a generally even distribution among all the fractions; Cd and Zn mainly existed in the reducible fraction; Cr mainly occurred in the residual fraction, followed by oxidizable and reducible fractions; Cu mainly occurred in the oxidizable fraction; Ni occurred mainly as exchangeable forms; and Pb mainly occurred in the reducible and residual fractions, with its exchangeable form being the lowest fraction. According to the RAC method, the environmental risks induced by HMs in the SS followed the order Ni > As > Zn > Cd > Cu > Cr > Pb. The ecological risk of Ni was high; Zn, As, and Cd had a medium level of risk; Cr and Cu had a low level of risk; and the risk of Pb was negligible. According to the RI method, Cd and Cu showed the highest potential ecological risk, indicating that these are the primary HM pollutants in the SS. However, if the agricultural application of SS is carried out in accordance with the national standards, the overall level of risk from soil HM pollution is considered relatively low.


Assuntos
Metais Pesados , Poluentes do Solo , Agricultura , China , Monitoramento Ambiental , Metais Pesados/análise , Medição de Risco , Esgotos , Poluentes do Solo/análise
11.
Nat Biotechnol ; 39(9): 1129-1140, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34504351

RESUMO

Assessing the reproducibility, accuracy and utility of massively parallel DNA sequencing platforms remains an ongoing challenge. Here the Association of Biomolecular Resource Facilities (ABRF) Next-Generation Sequencing Study benchmarks the performance of a set of sequencing instruments (HiSeq/NovaSeq/paired-end 2 × 250-bp chemistry, Ion S5/Proton, PacBio circular consensus sequencing (CCS), Oxford Nanopore Technologies PromethION/MinION, BGISEQ-500/MGISEQ-2000 and GS111) on human and bacterial reference DNA samples. Among short-read instruments, HiSeq 4000 and X10 provided the most consistent, highest genome coverage, while BGI/MGISEQ provided the lowest sequencing error rates. The long-read instrument PacBio CCS had the highest reference-based mapping rate and lowest non-mapping rate. The two long-read platforms PacBio CCS and PromethION/MinION showed the best sequence mapping in repeat-rich areas and across homopolymers. NovaSeq 6000 using 2 × 250-bp read chemistry was the most robust instrument for capturing known insertion/deletion events. This study serves as a benchmark for current genomics technologies, as well as a resource to inform experimental design and next-generation sequencing variant calling.


Assuntos
Sequenciamento de Nucleotídeos em Larga Escala/métodos , Sequenciamento de Nucleotídeos em Larga Escala/normas , Análise de Sequência de DNA/métodos , Análise de Sequência de DNA/normas , Pareamento Incorreto de Bases , Benchmarking , DNA/genética , DNA Bacteriano/genética , Genoma Bacteriano , Genoma Humano , Humanos
12.
Transl Vis Sci Technol ; 10(9): 23, 2021 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-34406340

RESUMO

Purpose: This study aimed to quantitative assess the fundus tessellated density (FTD) and associated factors on the basis of fundus photographs using artificial intelligence. Methods: A detailed examination of 3468 individuals was performed. The proposed method for FTD measurements consists of image preprocessing, sample labeling, deep learning segmentation model, and FTD calculation. Fundus tessellation was extracted as region of interest and then the FTD could be obtained by calculating the average exposed choroid area of per unit area of fundus. Besides, univariate and multivariate linear regression analysis have been conducted for the statistical analysis. Results: The mean FTD was 0.14 ± 0.08 (median, 0.13; range, 0-0.39). In multivariate analysis, FTD was significantly (P < 0.001) associated with thinner subfoveal choroidal thickness, longer axial length, larger parapapillary atrophy, older age, male sex and lower body mass index. Correlation analysis suggested that the FTD increased by 33.1% (r = 0.33, P < .001) for each decade of life. Besides, correlation analysis indicated the negative correlation between FTD and spherical equivalent (SE) in the myopia participants (r = -0.25, P < 0.001), and no correlations between FTD and SE in the hypermetropia and emmetropic participants. Conclusions: It is feasible and efficient to extract FTD information from fundus images by artificial intelligence-based imaging processing. FTD can be widely used in population screening as a new quantitative biomarker for the thickness of the subfoveal choroid. The association between FTD with pathological myopia and lower visual acuity warrants further investigation. Translational Relevance: Artificial intelligence can extract valuable clinical biomarkers from fundus images and assist in population screening.


Assuntos
Inteligência Artificial , Miopia Degenerativa , Idoso , Estudos Transversais , Fundo de Olho , Humanos , Masculino , Tomografia de Coerência Óptica
13.
World J Clin Cases ; 8(23): 5999-6008, 2020 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-33344598

RESUMO

BACKGROUND: A modified Valsalva maneuver (VM) has been suggested to be superior to the standard VM for conversion of paroxysmal supraventricular tachycardia (PSVT). AIM: To evaluate the efficacy and economic benefits of a modified VM in Chinese patients. METHODS: Patients with PSVT admitted to our center between October 2017 and September 2019 were randomly assigned to the modified and standard VM groups. Conversion via VM was performed up to three times. The primary outcome of the study was the success rate of PSVT conversion to sinus rhythm. The secondary outcomes included the incidence of adverse events, economic cost during the visit, and the degree of patient acceptance of the treatment. RESULTS: Overall, 361 patients were enrolled, with 180 allocated to the modified VM group and 181 to the standard VM group. Baseline characteristics were well matched in the groups. Overall, the modified VM group had higher success rates of PSVT conversion after single (47.78% vs 15.38%, P < 0.001) and multiple (62.22% vs 19.78%, P < 0.001) VM sessions. No significant differences in the incidences of adverse events and rates of patient acceptance were detected between the two groups (both P > 0.05). Moreover, the economic cost of the clinic visit was significantly lower for the modified VM group than for the standard VM group (P < 0.05). CONCLUSION: The modified VM may confer both therapeutic and economic benefits as compared with the standard VM for conversion of PSVT.

14.
Sci Rep ; 10(1): 6365, 2020 04 14.
Artigo em Inglês | MEDLINE | ID: mdl-32286402

RESUMO

To construct a saliva-based caries risk assessment model, saliva samples from 176 severe early childhood caries (S-ECC) children and 178 healthy (H) children were screened by real-time PCR-based quantification of the selected species, including Streptococcus mutans, Prevotella pallens, Prevotella denticola and Lactobacillus fermentum. Host factors including caries status, dmft indices, age, gender, and geographic origin were assessed in their influence on abundance of the targeted species, which revealed host caries status as the dominant factor, followed by dmft indices (both P < 0.01). Moreover, levels of S. mutans and P. denticola in the S-ECC group were significantly higher than those in the healthy group (P < 0.001 for S. mutans and P < 0.01 for P. denticola). Interestingly, the co-occurrence network of these targeted species in the S-ECC group differed from that from the healthy group. Finally, based on the combined change pattern of S. mutans and P. pallens, we constructed an S-ECC diagnosis model with an accuracy of 72%. This saliva-based caries diagnosis model is of potential value for circumstances where sampling dental plague is difficult.


Assuntos
Cárie Dentária/genética , Cárie Dentária/microbiologia , Microbiota/genética , Saliva/microbiologia , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/patologia , Feminino , Humanos , Limosilactobacillus fermentum/genética , Limosilactobacillus fermentum/patogenicidade , Masculino , Prevotella/genética , Prevotella/patogenicidade , Streptococcus mutans/genética , Streptococcus mutans/patogenicidade
15.
Sci Total Environ ; 706: 135752, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31791774

RESUMO

In light of environmental deterioration in coastal areas, deep sea cage aquaculture is becoming an increasingly attractive mode of mariculture. A key factor in determining the potential of deep sea cage aquaculture is to evaluate the environmental impacts of these practices. Here, a numerical model consisting of coupled hydrodynamic-, tracer-tracking- and 3-D Lagrangian particle-tracking models was set up and applied to evaluate the environmental impacts of deep sea cage cultivation of sea bass (Lateolabrax japonicus) in the Yellow Sea, China. The model was verified using water level data on August 1-31, 2018 and nutrient concentration in water and surface sediments in May, August, and November 2018, and January 2019. Results show that the model successfully captures the characteristics of local tidal currents and the total particulate nitrogen and phosphorus concentrations of the underlying sediments. Water quality simulations indicate that deep sea cages account for 26% of the total dissolved inorganic nitrogen and 19% of the active phosphorus content. Residual feed particles are predicted to fall in an ellipse centered on the cage location, with a long axis of 200 m and a short axis of 50 m. Feces are predicted to fall in an ellipse with a long axis of 1400 m and a short axis of 600 m. The Superposition particles are predicted to settle in an ellipse with a long axis of 320 m and a short axis of 150 m. The model results indicate that installation of all deep sea cages will lead to acceptable levels of water quality, but that sediments may become polluted. The coupled model can be used to predict the environmental impacts of deep sea cage farming and provide a useful tool for designing the layout of integrated multi-trophic aquaculture of organic extractive or inorganic extractive species.


Assuntos
Monitoramento Ambiental , Animais , Aquicultura , China , Meio Ambiente , Nitrogênio , Fósforo
16.
Sci Bull (Beijing) ; 64(6): 367-369, 2019 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-36659724
17.
Chin Med J (Engl) ; 131(20): 2395-2401, 2018 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-30334523

RESUMO

BACKGROUND: The quick Sequential Organ Failure Assessment (qSOFA) score emerged recently. We investigated its contribution to risk stratification in acute pulmonary embolism (PE) by combining with electrocardiography (ECG). METHODS: Acute PE patients diagnosed in Beijing Chao-Yang Hospital, Capital Medical University, from 2008 to 2018 were retrospectively studied and divided into high- and low - risk groups by imaging and biomarkers. The ECG scores consisted of tachycardia, McGinn-White sign (S1Q3T3), right bundle branch block, and T-wave inversion of leads V1-V3. A new combination of qSOFA scores and ECG scores by logistic regression for predicting high-risk stratification patients with acute PE was evaluated by a receiver operating characteristic curve. RESULTS: Totally 1318 patients were enrolled, including 271 in the high-risk group and 1047 in the low-risk group. A combination predictive scoring system named qSOFA-ECG = qSOFA score + ECG score was created. The optimal cutoff value for qSOFA-ECG was 2, and the sensitivity, specificity, positive predictive value, and negative predictive value were 81.5%, 72.3%, 43.2%, and 93.8%, respectively. For predicting high-risk stratification and reperfusion therapy, the qSOFA-ECG is superior to PE Severity Index (PESI) and simplified PESI. CONCLUSIONS: The qSOFA score contributes to identify acute PE patients with potentially hemodynamic decompensation that need monitoring and possible reperfusion therapy at the emergency department arrival when used in combination with ECG score.


Assuntos
Eletrocardiografia/métodos , Escores de Disfunção Orgânica , Embolia Pulmonar/diagnóstico , Idoso , Ecocardiografia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/diagnóstico , Estudos Retrospectivos
18.
Exp Ther Med ; 14(3): 1899-1904, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28962101

RESUMO

The most effective strategy to assess changes in the brain haemodynamics of stent angioplasty in patients with symptomatic ischemia of the M1 segment of the middle cerebral artery (MCA) remains unknown. The purpose of the present study was to use perfusion-weighted magnetic resonance imaging (PWI) to evaluate the effect of stent angioplasty in treating patients with symptomatic MCA plaque stenosis. Stent angioplasty was performed on 23 patients with reduplicative transient ischaemic attack who were refractory to medical therapy. All patients had MCA plaque stenosis at the M1 segment. Brain PWI was obtained from four major regions of interest (ROIs) at the frontal parietal, temporal, lateral ventricle and basal ganglia lobes prior to and following stent implantation. In addition, cerebral blood flow (CBF), cerebral blood volume, mean transit time (MTT) and time to peak (TTP) parameters derived from PWI were calculated. All patients underwent digital subtraction angiography following surgery to confirm the patency. Computed tomography angiography or PWI was performed 1 week and 3 months post-surgery. According to pre-operative PWI, there was significant hypoperfusion in the symptomatic frontal parietal, temporal, lateral ventricle and basal ganglia lobes. By contrast, the regional CBF and CBF increased in the ROIs of the affected cerebral hemisphere 3 months after stent implantation (P<0.05 vs. pre-operative data). Additionally, post-operative MTT and TTP in the ROIs on the operative side were significantly shorter than pre-operative MTT and TTP (P<0.05). During the follow-up period, the frequency of transient ischaemic attack was reduced or disappeared in all patients during the follow-up. In conclusion, PWI enables an effective and objective assessment of haemodynamics prior to and following stent angioplasty in patients with plaque stenosis of MCA at the M1 segment.

19.
Abdom Radiol (NY) ; 42(9): 2272-2278, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28396918

RESUMO

PURPOSE: To compare hepatobiliary phase (HBP) images obtained 10 and 20 min after Gd-EOB-DTPA-enhanced MRI for liver function assessment in clinic on 3.0 T MR imaging. METHODS: 103 patients were separated into four groups: 38 patients for the normal liver function (NLF) group, 33 patients for the liver cirrhosis with Child-Pugh A (LCA) group, 21 patients for the liver cirrhosis with Child-Pugh B group, and 11 patients for a liver cirrhosis with Child-Pugh C group. T1 relaxation times (T1rt) were measured on T1 mapping and reduction rates of T1rt (rrT1rt) were calculated. HBP images were obtained at the 10- and 20-min mark after Gd-EOB-DTPA enhancement. RESULTS: T1rt on pre-enhancement imaging showed no significant difference (p > 0.05) among all four groups. T1rt for both the 10-min HBP and the 20-min HBP showed a significant difference (p < 0.05) among all groups, but showed no significant difference (p > 0.05) between the NLF group and the LCA group. T1rt and rrT1rt showed no significant difference (p > 0.05) between 10-min HBP and 20-min HBP among all groups. The ROC analysis on 10-min HBP and 20-min HBP showed a lower diagnostic performance between NLF group and LCA group (AUC from 0.532 to 0.582), but high diagnostic performance (AUC from 0.788 to 1.000) among others group. CONCLUSIONS: In comparing 10-min HBP and 20-min HBP T1 mapping after Gd-EOB-DTPA enhancement, our results suggest that 10-min HBP T1 mapping is a feasible option for quantitatively assessing liver function.


Assuntos
Meios de Contraste/administração & dosagem , Gadolínio DTPA/administração & dosagem , Hepatopatias/diagnóstico por imagem , Hepatopatias/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Feminino , Humanos , Testes de Função Hepática , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Prospectivos , Sensibilidade e Especificidade
20.
Radiol Med ; 122(4): 239-247, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28070844

RESUMO

OBJECTIVES: To compare hepatobiliary phase (HBP) images obtained at 10 and 20 min after Gd-EOB-DTPA-enhanced MRI for assessment of liver function in rabbit fibrosis model on 3.0 T MR imaging. METHODS: 34 animals were separated into three groups: 5 for a control group, 14 for a mild fibrosis group, and 15 for a severe fibrosis group based on pathological proof. T1 relaxation times (T1rt) were measured on T1 mapping and reduction rates of T1rt (rrT1rt) were calculated. HBP images were obtained at 10 and 20 min after Gd-EOB-DTPA enhancement. Indocyanine green retention rates at 15 min (ICG R15) were performed for all animals. RESULTS: T1rt on pre-enhancement imaging showed no significant difference (p > 0.05) among all groups. T1rt on 10 min HBP and 20 min HBP showed significant difference (p < 0.05) among all groups. T1rt and rrT1rt in three groups showed no-significant difference (p > 0.05) between 10 min HBP and 20 min HBP. T1rt on both 10 and 20 min HBP showed significant correlation with ICG R15 (p < 0.05); rrT1rt on both 10 min HBP and 20 min HBP showed significant inverse correlation with ICG R15 (p < 0.05). CONCLUSIONS: Comparing 10 min HBP and 20 min HBP T1 mapping after Gd-EOB-DTPA enhancement, our results suggest that 10 min HBP T1 mapping is feasible for quantitatively assessing liver function.


Assuntos
Gadolínio DTPA , Aumento da Imagem/métodos , Cirrose Hepática/diagnóstico por imagem , Cirrose Hepática/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Animais , Meios de Contraste , Modelos Animais de Doenças , Processamento de Imagem Assistida por Computador , Testes de Função Hepática , Estudos Prospectivos , Coelhos , Distribuição Aleatória , Fatores de Tempo
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