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OBJECTIVES: To investigate the imaging features of pancreatic ductal adenocarcinoma (PDAC) with histological large duct pattern. METHODS: Our study included 37 patients (mean age, 66.5 years; 22 women) with surgically proven PDAC with histological large duct pattern, whose imaging features were classified into four types: Type I, solid mass; Type II, predominantly cystic mass with intracystic solid components; Type III, predominantly solid mass with intratumoral cysts; and Type IV, solid mass with peritumoral retention cysts or pseudocysts. Two radiologists independently analyzed both CT and MRI images for the morphological type, presence of abrupt main pancreatic duct (MPD) cutoff, adjacent vascular invasion, diffusion restriction, and reached consensus. RESULTS: On CT, 26 patients (70.3%) had Type I tumors, five (13.5%) had Type II, three (8.1%) had Type III, and three (8.1%) had Type IV. Among the 26 patients with Type I tumors on CT, 16 had tumors with multiple intratumoral cysts within the solid mass on MRI and were subsequently classified as Type III. Accordingly, 10 patients (27.0%) were classified as Type I, five (13.5%) as Type II, 19 (51.7%) as Type III, and three (8.1%) as Type IV on MRI. Of the 37 patients, 27 (73.0%) had an abrupt MPD cutoff, 15 (40.5%) had adjacent vascular invasion, and 25 (67.6%) had diffusion restriction on MRI. CONCLUSIONS: Predominantly solid pancreatic masses with small intratumoral cysts visualized on MRI may be a characteristic imaging finding of PDAC with histological large duct pattern, and differentiate it from conventional PDAC or other cystic pancreatic tumors. CLINICAL RELEVANCE STATEMENT: Radiologists should be familiar with the various imaging features of PDAC with histological large duct pattern and should be aware that it may mimic other solid or cystic tumors of the pancreas. KEY POINTS: Imaging features of pancreatic ductal adenocarcinoma with histological large duct pattern can be classified into four types. This pathology more frequently appears as a predominantly solid mass with intratumoral cysts on MRI than on CT. Adding MRI to CT may help identify pancreatic ductal adenocarcinoma with histological large duct pattern.
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PURPOSE: International expert panels proposed new nomenclatures, metabolic dysfunction-associated fatty liver disease (MAFLD) in 2020 and metabolic dysfunction-associated steatotic liver disease (MASLD) in 2023, along with revised diagnostic criteria to replace non-alcoholic fatty liver disease (NAFLD). We aimed to investigate the differences in NAFLD, MAFLD, and MASLD prevalence with changing nomenclature in a health check-up using magnetic resonance imaging-derived proton density fat fraction (MRI-PDFF) to assess hepatic steatosis. We also examined the prevalence of the sub-classifications of steatotic liver disease (SLD) and the differences in characteristics among the sub-categories. METHODS: We included 844 participants who underwent liver MRI-PDFF at our health check-up clinic between January 2020 and November 2022. Hepatic steatosis was defined as MRI-PDFF ≥ 5%. Participants were categorized according to NAFLD, MAFLD, MASLD, and sub-classifications of SLD. RESULTS: The prevalence rates of NAFLD, MAFLD, and MASLD were 25.9%, 29.5%, and 25.2%, respectively. 30.5% of the participants was categorized as SLD. The prevalence rates of the SLD sub-categories were 25.2% for MASLD, 3.7% for MASLD and alcohol-associated liver disease (MetALD), 0.1% for alcohol-associated liver disease, 1.3% for specific etiology SLD, and 0.1% for cryptogenic SLD. Compared with patients in the MASLD group, those in the MetALD group were younger, predominantly male, and exhibited higher levels of serum aspartate aminotransferase, gamma-glutamyl transpeptidase, and triglycerides. CONCLUSION: The prevalences of NAFLD and MASLD assessed using MRI-PDFF were similar, with MASLD accounting for 97.3% of the patients with NAFLD. The separate MetALD sub-category may have clinical characteristics that differ from those of MASLD.
Subject(s)
Carcinoma, Squamous Cell , Maxillary Sinus Neoplasms , Humans , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Maxillary Sinus Neoplasms/pathology , Maxillary Sinus Neoplasms/diagnostic imaging , Maxillary Sinus Neoplasms/surgery , Male , Tomography, X-Ray Computed , Cholesteatoma/surgery , Cholesteatoma/pathology , Cholesteatoma/diagnostic imaging , Middle Aged , FemaleABSTRACT
Limited by flammability, wood and wood-based materials face challenges in distinguishing themselves as structural materials or finishing materials. Once burning, they can produce toxic gases detrimental to humans and the environment. Therefore, it is critical to make clear whether fire-retardant wood construction materials are insusceptible to fire and not the sources of toxic gases. This study aimed to evaluate flame-retardant plywood from the aspects of flammability and the toxic gas and smoke generation during combustion. The flame-retardant plywood was manufactured by impregnating a flame-retardant resin in line with International Maritime Organization (IMO) standards. The research results indicate that seven out of the eight kinds of toxic gases listed by the IMO, other than CO, were not detected during the combustion of the flame-retardant plywood. While CO was detected, its quantities under three test conditions are below the corresponding thresholds. Therefore, unlike synthetic resin products, flame-retardant plywood is a promising finishing material that can reduce the damage from toxic gases in the event of a fire. In the smoke generation tests, the mass reduction rate of flame-retardant plywood increased from 13% to 18% and then to 20% as the test condition became more severe. Under the same circumstances, the average maximum specific optical density also followed an upward trend, whose values (75.70, 81.00, and 191.20), however, still met the IMO standard of below 200. This reflects that the flame-retardant plywood is competent as a finishing material. Further, flammability was evaluated, and the critical flux at extinguishment (CFE), total heat release (Qt), and peak heat release rate (Qp) were determined to be 49.5 kW/m2, 0.21 MJ, and 0.66 kW, respectively, which all did not reach the corresponding thresholds given by the IMO. To sum up, flame-retardant plywood has satisfactory flame-retardant performance and meets fire safety standards, showing the potential to be an attractive finishing material for building and construction.
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BACKGROUND: This study was conducted to determine whether tympanic membrane perforation or chronic otitis media affects the results of an infrared tympanic membrane thermometer in adults. METHODS: A literature search was performed using PubMed, Embase, Cochrane Library, Web of Science, and Google Scholar. RESULTS: Four nonrandomized studies were included in the analysis. The temperatures of the bilateral eardrums (one eardrum with normal condition [control group] and the other eardrum with perforation or chronic otitis media [experimental group]) were measured for the same subject in the studies. The mean and standard deviation of the bilateral tympanic membrane temperatures were used to calculate the mean difference (MD) with a corresponding 95% confidence interval (CI). The fixed-effect model was utilized based on the results of the heterogeneity measurement using the Chi2 test and I2 statistic. The results of a meta-analysis in the normal eardrum (control group) and perforated eardrum, chronic suppurative otitis media with tympanic membrane perforation, or chronic otitis media with cholesteatoma (experimental group) were 343 subjects (MDâ =â 0.05; 95% CIâ =â -0.00 to 0.11; Pâ =â .06). A meta-analysis of the normal eardrum (control group) and perforated eardrum or chronic suppurative otitis media with tympanic membrane perforation except for cholesteatoma (experimental group) found 296 subjects (MDâ =â 0.05; 95% CIâ =â -0.01 to 0.11; Pâ =â .10). CONCLUSION: When the temperatures of the bilateral eardrums were measured using an infrared tympanic membrane thermometer, no difference was observed between the eardrum with perforation or chronic otitis media and the normal eardrum.
Subject(s)
Cholesteatoma , Otitis Media, Suppurative , Otitis Media , Tympanic Membrane Perforation , Adult , Humans , Tympanic Membrane Perforation/diagnosis , Thermometers , Otitis Media/diagnosis , Tympanic Membrane , Chronic DiseaseABSTRACT
Background: The influence of computed tomography (CT) slice thickness on the accuracy of deep learning (DL)-based, automatic coronary artery calcium (CAC) scoring software has not been explored yet. Methods: This retrospective study included 844 subjects (477 men, mean age of 58.9±10.7 years) who underwent electrocardiogram (ECG)-gated CAC scoring CT scans with 1.5 and 3 mm slice thickness values between September 2013 and October 2020. Automatic CAC scoring was performed using DL-based software (3D patch-based U-Net architectures). Manual CAC scoring was set as the reference standard. The reliability of automatic CAC scoring was evaluated using intraclass correlation coefficients (ICCs) for both the 1.5 and 3 mm datasets. The agreement of CAC severity categories [Agatston score (AS) 0, 1-100, 101-400, >400] between automatic CAC scoring and the reference standard was analyzed using weighted kappa (κ) statistics for both 1.5 and 3 mm datasets. Results: The CAC scoring agreement between the automatic CAC scoring and reference standard was excellent (ICC 0.982 for 1.5 mm, 0.969 for 3 mm, respectively). The categorical agreement of CAC severity between two methods was excellent for both 1.5 and 3 mm scans, with better agreement for 3 mm scans (weighted κ: 0.851 and 0.961, 95% confidence intervals: 0.823-0.879 and 0.945-0.974, respectively). Conclusions: Automatic CAC scoring shows excellent agreement with the reference standard for both 1.5 and 3 mm scans but results in lower agreement in the CAC severity category for 1.5 mm scans.
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OBJECTIVE: To assess whether computed tomography (CT) conversion across different scan parameters and manufacturers using a routable generative adversarial network (RouteGAN) can improve the accuracy and variability in quantifying interstitial lung disease (ILD) using a deep learning-based automated software. MATERIALS AND METHODS: This study included patients with ILD who underwent thin-section CT. Unmatched CT images obtained using scanners from four manufacturers (vendors A-D), standard- or low-radiation doses, and sharp or medium kernels were classified into groups 1-7 according to acquisition conditions. CT images in groups 2-7 were converted into the target CT style (Group 1: vendor A, standard dose, and sharp kernel) using a RouteGAN. ILD was quantified on original and converted CT images using a deep learning-based software (Aview, Coreline Soft). The accuracy of quantification was analyzed using the dice similarity coefficient (DSC) and pixel-wise overlap accuracy metrics against manual quantification by a radiologist. Five radiologists evaluated quantification accuracy using a 10-point visual scoring system. RESULTS: Three hundred and fifty CT slices from 150 patients (mean age: 67.6 ± 10.7 years; 56 females) were included. The overlap accuracies for quantifying total abnormalities in groups 2-7 improved after CT conversion (original vs. converted: 0.63 vs. 0.68 for DSC, 0.66 vs. 0.70 for pixel-wise recall, and 0.68 vs. 0.73 for pixel-wise precision; P < 0.002 for all). The DSCs of fibrosis score, honeycombing, and reticulation significantly increased after CT conversion (0.32 vs. 0.64, 0.19 vs. 0.47, and 0.23 vs. 0.54, P < 0.002 for all), whereas those of ground-glass opacity, consolidation, and emphysema did not change significantly or decreased slightly. The radiologists' scores were significantly higher (P < 0.001) and less variable on converted CT. CONCLUSION: CT conversion using a RouteGAN can improve the accuracy and variability of CT images obtained using different scan parameters and manufacturers in deep learning-based quantification of ILD.
Subject(s)
Emphysema , Lung Diseases, Interstitial , Pulmonary Emphysema , Female , Humans , Middle Aged , Aged , Lung Diseases, Interstitial/diagnostic imaging , Tomography, X-Ray Computed/methods , Lung/diagnostic imagingABSTRACT
Wood-based materials are multifunctional green and environmentally friendly natural construction materials, and are widely used in decorative building materials. For this reason, a lot of research has been carried out to develop new and innovative wood surface improvements and make wood more appealing through features such as fire-retardancy, hydrophobicity, and antibacterial properties. To improve the performance of wood, more and more attention is being paid to the functioning of the surface. Understanding and mastering technology to improve the surface functionality of wood opens up new possibilities for developing multifunctional and high-performance materials. Examples of these techniques are ion crosslinking modification and coating modification. Researchers have been trying to make wooden surfaces more practical for the past century. This study has gradually gained popularity in the field of wood material science over the last 10 years. This paper provides an experimental reference for research on wood surface functionalization and summarizes the most current advancements in hydrophobic, antibacterial, and flame-retardant research on wood surfaces.
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Fibrous dysplasia (FD) is a rare benign disease that replaces a normal bone with abnormal fibrous and weak osseous tissue. It is usually detected in childhood and rarely occurs in old age. Although the disease is known to be caused by a genetic mutation, only a single case of FD secondary to surgery is reported in the literature. We report a case of monostotic FD of the maxillary sinus in a 70-year-old Asian woman who presented with incidental calcific lesion in the maxillary sinus on a brain computed tomography scan. At 32 months prior to presentation, the patient had undergone an endoscopic sinus surgery for a fungal ball of the same sinus. The lesion was removed by endoscopic surgery, and the histopathological evidence was consistent with FD. To the best of our knowledge, this is the second case of a postsurgical craniofacial FD, and a rare case that occurred in old age.
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Lung lobe segmentation in chest CT has been used for the analysis of lung functions and surgical planning. However, accurate lobe segmentation is difficult as 80% of patients have incomplete and/or fake fissures. Furthermore, lung diseases such as chronic obstructive pulmonary disease (COPD) can increase the difficulty of differentiating the lobar fissures. Lobar fissures have similar intensities to those of the vessels and airway wall, which could lead to segmentation error in automated segmentation. In this study, a fully automated lung lobe segmentation method with 3D U-Net was developed and validated with internal and external datasets. The volumetric chest CT scans of 196 normal and mild-to-moderate COPD patients from three centers were obtained. Each scan was segmented using a conventional image processing method and manually corrected by an expert thoracic radiologist to create gold standards. The lobe regions in the CT images were then segmented using a 3D U-Net architecture with a deep convolutional neural network (CNN) using separate training, validation, and test datasets. In addition, 40 independent external CT images were used to evaluate the model. The segmentation results for both the conventional and deep learning methods were compared quantitatively to the gold standards using four accuracy metrics including the Dice similarity coefficient (DSC), Jaccard similarity coefficient (JSC), mean surface distance (MSD), and Hausdorff surface distance (HSD). In internal validation, the segmentation method achieved high accuracy for the DSC, JSC, MSD, and HSD (0.97 ± 0.02, 0.94 ± 0.03, 0.69 ± 0.36, and 17.12 ± 11.07, respectively). In external validation, high accuracy was also obtained for the DSC, JSC, MSD, and HSD (0.96 ± 0.02, 0.92 ± 0.04, 1.31 ± 0.56, and 27.89 ± 7.50, respectively). This method took 6.49 ± 1.19 s and 8.61 ± 1.08 s for lobe segmentation of the left and right lungs, respectively. Although various automatic lung lobe segmentation methods have been developed, it is difficult to develop a robust segmentation method. However, the deep learning-based 3D U-Net method showed reasonable segmentation accuracy and computational time. In addition, this method could be adapted and applied to severe lung diseases in a clinical workflow.
Subject(s)
Lung , Tomography, X-Ray Computed , Humans , Lung/diagnostic imaging , Neural Networks, ComputerABSTRACT
Here, we aimed to prepare and optimize liposomal amphotericin B (AmB) while using the supercritical fluid of carbon dioxide (SCF-CO2) method and investigate the characteristics and pharmacokinetics of the SCF-CO2-processed liposomal AmB. Liposomes containing phospholipids, ascorbic acid (vit C), and cholesterol were prepared by the SCF-CO2 method at an optimized pressure and temperature; conventional liposomes were also prepared using the thin film hydration method and then compared with the SCF-CO2-processed-liposomes. The optimized formulation was evaluated by in vitro hemolysis tests on rat erythrocytes and in vivo pharmacokinetics after intravenous administration to Sprague-Dawley rats and compared with a marketed AmB micellar formulation, Fungizone®, and a liposomal formulation, AmBisome®. The results of the characterization studies demonstrated that the SCF-CO2-processed-liposomes were spherical particles with an average particle size of 137 nm (after homogenization) and drug encapsulation efficiency (EE) was about 90%. After freeze-drying, mean particle size, EE, and zeta potential were not significantly changed. The stability study of the liposomes showed that liposomal AmB that was prepared by the SCF method was stable over time. In vivo pharmacokinetics revealed that the SCF-CO2-processed-liposomes were bioequivalent to AmBisome®; the hemolytic test depicted less hematotoxicity than Fungizone®. Therefore, this method could serve as a potential alternative for preparing liposomal AmB for industrial applications.
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We propose a novel airway segmentation method in volumetric chest computed tomography (CT) and evaluate its performance on multiple datasets. The segmentation is performed voxel-by-voxel by a 2.5D convolutional neural net (2.5D CNN) trained in a supervised manner. To enhance the accuracy of the segmented airway tree, we simultaneously took three adjacent slices in each of the orthogonal directions including axial, sagittal, and coronal and fine-tuned the parameters that influence the tree length and the number of leakage. The gold standard of airway segmentation was generated by a semi-automated method using AVIEW™. The 2.5D CNN was trained and evaluated on a subset of inspiratory thoracic CT scans taken from the Korean obstructive lung disease study, which includes normal subjects and chronic obstructive pulmonary disease patients. The reliability and further practicality of our proposed method was demonstrated in multiple datasets. In eight test datasets collected by the same imaging protocol, the percentage detected tree length, false positive rate, and Dice similarity coefficient of our method were 92.16%, 7.74%, and 0.8997⯱â¯0.0892, respectively. In 20 test datasets of the EXACT'09 challenge, the percentage detected tree length was 60.1% and the false positive rate was 4.56%. Our fully automated (end-to-end) segmentation method could be applied in radiologic practice.
Subject(s)
Neural Networks, Computer , Pulmonary Disease, Chronic Obstructive/diagnostic imaging , Radiographic Image Interpretation, Computer-Assisted/methods , Tomography, X-Ray Computed , Algorithms , Humans , Reproducibility of Results , Respiratory Function TestsABSTRACT
This study shows a molecular design strategy for controlling the dihedral angle of two carbazole donors linked to a 2,4-diphenyl-1,3,5-triazine acceptor by a phenyl unit. Using this approach, six thermally activated delayed fluorescence emitters were synthesized with donors placed in various positions around a central phenyl core, and the photophysical relationship between the donor position and its dihedral angle was investigated. We demonstrate that this angle can affect both the strength of the charge transfer state and the conjugation across the entire molecule, effectively changing the singlet-triplet energy gap of the system. We conclude that materials containing two substituted -ortho donors or one -ortho and an adjacent -meta have the smallest energy gaps and the shortest delayed fluorescence lifetimes. On the other hand, emitters with no -ortho substituted donors have larger energy gaps and slow-to-negligible delayed fluorescence. When applying these materials to organic light-emitting diodes, these blue-emitting devices have a range of electrical properties, the best producing efficiencies as high as 21.8% together with high resistance to roll-off that correlate with the reverse intersystem crossing rates obtained.
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Solution-processed high-efficiency fluorescent organic light-emitting diodes with an external quantum efficiency over 18% were developed by engineering a host material and device structure designed for solution process. A high triplet energy host material designed for the solution process, (oxybis(3-(tert-butyl)-6,1-phenylene))bis(diphenylphosphine oxide) (DPOBBPE), worked efficiently as the host of blue fluorescent devices because of good solubility, high photoluminescence quantum yield, and good film properties. The DPOBBPE host enabled a high external quantum efficiency of 18.8% in the fluorescent organic light-emitting diodes by the solution process. Moreover, 25.8% external quantum efficiency in the soluble blue thermally activated delayed fluorescent devices was also realized. The 25.8% external quantum efficiency of the DPOBBPE delayed fluorescent device and 18.8% external quantum efficiency of the fluorescent device are the highest efficiency values achieved in the solution-processed blue fluorescent organic light-emitting diodes. Moreover, the solution-processed fluorescent device showed an improved blue color coordinate of (0.14, 0.20) compared to (0.17, 0.31) of the delayed fluorescent device.
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Poor water solubility and poor bioavailability are problems with many pharmaceuticals. Increasing surface area by micronization is an effective strategy to overcome these problems, but conventional techniques often utilize solvents and harsh processing, which restricts their use. Newer, green technologies, such as supercritical fluid (SCF)-assisted particle formation, can produce solvent-free products under relatively mild conditions, offering many advantages over conventional methods. The antisolvent properties of the SCFs used for microparticle and nanoparticle formation have generated great interest in recent years, because the kinetics of the precipitation process and morphologies of the particles can be accurately controlled. The characteristics of the supercritical antisolvent (SAS) technique make it an ideal tool for enhancing the solubility and bioavailability of poorly water-soluble drugs. This review article focuses on SCFs and their properties, as well as the fundamentals of overcoming poorly water-soluble drug properties by micronization, crystal morphology control, and formation of composite solid dispersion nanoparticles with polymers and/or surfactants. This article also presents an overview of the main aspects of the SAS-assisted particle precipitation process, its mechanism, and parameters, as well as our own experiences, recent advances, and trends in development.
Subject(s)
Chemistry, Pharmaceutical/methods , Pharmaceutical Preparations/administration & dosage , Technology, Pharmaceutical/methods , Biological Availability , Drug Compounding/methods , Nanoparticles , Particle Size , Pharmaceutical Preparations/chemistry , Pharmaceutical Preparations/metabolism , Solubility , Solvents/chemistry , Water/chemistryABSTRACT
Donor-acceptor-donor (D-A-D)-type thermally activated delayed fluorescence (TADF) emitters 5,5'-bis{4-[9,9-dimethylacridin-10(9H)-yl]phenyl}-2,2'-bipyrimidine (Ac-bpm) and 5,5'-bis[4-(10H-phenoxazin-10-yl)phenyl]-2,2'-bipyrimidine (Px-bpm), based on the 2,2'-bipyrimidine accepting unit, were developed and their TADF devices were fabricated. The orthogonal geometry between the donor unit and the 2,2'-bipyrimidine accepting core facilitated a HOMO/LUMO spatial separation, thus realizing thermally activated delayed fluorescence. The exhibited electroluminescence ranged from green to yellow, depending on the donor unit, with maximum external quantum efficiencies of up to 17.1 %.
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BACKGROUND: The objectives of this study were to develop stable cyclosporine A (CsA) ophthalmic micelle solutions for dry-eye syndrome and evaluate their physicochemical properties and therapeutic efficacy. MATERIALS AND METHODS: CsA-micelle solutions (MS-CsA) were created by a simple method with Cremophor EL, ethanol, and phosphate buffer. We investigated the particle size, pH, and osmolarity. In addition, long-term physical and chemical stability for MS-CsA was observed. To confirm the therapeutic efficacy, tear production in dry eye-induced rabbits was evaluated using the Schirmer tear test (STT). When compared to a commercial product, Restasis, MS-CsA demonstrated improvement in goblet-cell density and conjunctival epithelial morphology, as demonstrated in histological hematoxylin and eosin staining. RESULTS: MS-CsA had a smaller particle size (average diameter 14-18 nm) and a narrow size distribution. Physicochemical parameters, such as particle size, pH, osmolarity, and remaining CsA concentration were all within the expected range of 60 days. STT scores significantly improved in MS-CsA treated groups (P<0.05) in comparison to those of the Restasis-treated group. The number of goblet cells for rabbit conjunctivas after the administration of MS-CsA was 94.83±8.38, a significantly higher result than the 65.17±11.51 seen with Restasis. The conjunctival epithelial morphology of dry eye-induced rabbits thinned with loss of goblet cells. However, after 5 days of treatment with drug formulations, rabbit conjunctivas recovered epithelia and showed a relative increase in the number of goblet cells. CONCLUSION: The results of this study indicate the potential use of a novel MS for the ophthalmic delivery of CsA in treating dry eyes.