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1.
Front Chem ; 9: 748044, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34631669

RESUMO

As functional nanomaterials with simulating enzyme-like properties, nanozymes can not only overcome the inherent limitations of natural enzymes in terms of stability and preparation cost but also possess design, versatility, maneuverability, and applicability of nanomaterials. Therefore, they can be combined with other materials to form composite nanomaterials with superior performance, which has garnered considerable attention. Carbon dots (CDs) are an ideal choice for these composite materials due to their unique physical and chemical properties, such as excellent water dispersion, stable chemical inertness, high photobleaching resistance, and superior surface engineering. With the continuous emergence of various CDs-based nanozymes, it is vital to thoroughly understand their working principle, performance evaluation, and application scope. This review comprehensively discusses the recent advantages and disadvantages of CDs-based nanozymes in biomedicine, catalysis, sensing, detection aspects. It is expected to provide valuable insights into developing novel CDs-based nanozymes.

2.
Nanomaterials (Basel) ; 11(9)2021 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-34578639

RESUMO

K+/Cl- and K+/F- co-doped LiNi0.5Mn1.5O4 (LNMO) materials were successfully synthesized via a solid-state method. Structural characterization revealed that both K+/Cl- and K+/F- co-doping reduced the LixNi1-xO impurities and enlarged the lattice parameters compared to those of pure LNMO. Besides this, the K+/F- co-doping decreased the Mn3+ ion content, which could inhibit the Jahn-Teller distortion and was beneficial to the cycling performance. Furthermore, both the K+/Cl- and the K+/F- co-doping reduced the particle size and made the particles more uniform. The K+/Cl- co-doped particles possessed a similar octahedral structure to that of pure LNMO. In contrast, as the K+/F- co-doping amount increased, the crystal structure became a truncated octahedral shape. The Li+ diffusion coefficient calculated from the CV tests showed that both K+/Cl- and K+/F- co-doping facilitated Li+ diffusion in the LNMO. The impedance tests showed that the charge transfer resistances were reduced by the co-doping. These results indicated that both the K+/Cl- and the K+/F- co-doping stabilized the crystal structures, facilitated Li+ diffusion, modified the particle morphologies, and increased the electrochemical kinetics. Benefiting from the unique advantages of the co-doping, the K+/Cl- and K+/F- co-doped samples exhibited improved rate and cycling performances. The K+/Cl- co-doped Li0.97K0.03Ni0.5Mn1.5O3.97Cl0.03 (LNMO-KCl0.03) exhibited the best rate capability with discharge capacities of 116.1, 109.3, and 93.9 mAh g-1 at high C-rates of 5C, 7C, and 10C, respectively. Moreover, the K+/F- co-doped Li0.98K0.02Ni0.5Mn1.5O3.98F0.02 (LNMO-KF0.02) delivered excellent cycling stability, maintaining 85.8% of its initial discharge capacity after circulation for 500 cycles at 5C. Therefore, the K+/Cl- or K+/F- co-doping strategy proposed herein will play a significant role in the further construction of other high-voltage cathodes for high-energy LIBs.

3.
Mol Ther Nucleic Acids ; 25: 567-577, 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34589278

RESUMO

Gastric cancer (GC) is one of the leading causes of cancer-related death worldwide. MicroRNAs (miRNAs) are known to be important regulators of GC. This study aims to investigate the role of miRNA (miR)-497 in GC. We demonstrated that the expression of miR-497 was downregulated in human GC tissues. After N-methyl-N-nitrosourea treatment, the incidence of GC in miR-497 knockout mice was significantly higher than that in wild-type mice. miR-497 overexpression suppressed GC cell proliferation, cell-cycle progression, colony formation, anti-apoptosis ability, and cell migration and invasion capacity. Additionally, miR-497 overexpression decreased the expression levels of cell division cycle 42 (CDC42) and integrin ß1 (ITGB1) and inhibited the phosphorylation of focal adhesion kinase (FAK), paxillin (PXN), and serine-threonine protein kinase (AKT). Furthermore, overexpression of miR-497 inhibited the metastasis of GC cells in vivo, which could be counteracted by CDC42 restoration. Furthermore, the focal adhesion of GC cells was found to be regulated by miR-497/CDC42 axis via ITGB1/FAK/PXN/AKT signaling. Collectively, it is concluded that miR-497 plays an important role in the repression of GC tumorigenesis and progression, partly via the CDC42/ITGB1/FAK/PXN/AKT pathway.

4.
ACS Appl Mater Interfaces ; 13(38): 46065-46075, 2021 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-34533938

RESUMO

Biomaterial-associated infections caused by pathogenic bacteria have important implications on human health. This study presents the design and preparation of a smart surface with pH-responsive wettability. The smart surface exhibited synergistic antibacterial function, with high liquid repellency against bacterial adhesion and highly effective bactericidal activity. The wettability of the surface can switch reversibly between superhydrophobicity and hydrophobicity in response to pH; this controls bacterial adhesion and release. Besides, the deposited silver nanoparticles of the surface were also responsible for bacterial inhibition. Benefiting from the excellent liquid repellency, the surface could highly resist bacterial adhesion after immersing in a bacterial suspension for 10 s (85%) and 1 h (71%). Adhered bacteria can be easily eliminated using deposited silver nanoparticles during the subsequent treatment of alkaline bacterial suspension, and the ratio of deactivated bacteria was above 75%. After the pH returned to neutral, the deactivated bacteria can be easily released from the surface. This antibacterial surface showed an improved bacterial removal efficiency of about 99%. The results shed light on future antibacterial applications of the smart surface combining both bactericidal and adhesion-resistant functionalities.

5.
Chemosphere ; 287(Pt 3): 132095, 2021 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-34537456

RESUMO

This study investigated the mechanisms involved in CO2 sequestration under the sequence batch and semi-continuous operation using wollastonite in sludge anaerobic digestion. Wollastonite substantially elevated CH4 content in biogas and played a role in CO2 capture. It increased biogas yield of the glucose due to pH buffering effect but did not increase that of the hydrolysate from thermal alkali pretreated sludge. Under the semi-continuous operation, wollastonite improved the CO2 sequestration, but decreased the biogas yield from 166 to 24 mL/g soluble chemical oxygen demand, since seemingly wollastonite residues inhibited microbes in the sludge. However, the use of dialysis bags to wrap wollastonite offset the negative impact of the wollastonite residues in the sludge, thereby increased biogas yield. The present study is conducive to understanding the mechanisms involved in and proving the feasibility of the CO2 sequestration using wollastonite in sludge anaerobic digestion and its impacts on long-term operation. Consequently, the findings of the study provide key parameters and useful guidelines for scaling up and wollastonite application in anaerobic digestion of sewage sludge.

6.
Lancet Digit Health ; 2021 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-34538736

RESUMO

BACKGROUND: Inadequate bowel preparation is associated with a decrease in adenoma detection rate (ADR). A deep learning-based bowel preparation assessment system based on the Boston bowel preparation scale (BBPS) has been previously established to calculate the automatic BBPS (e-BBPS) score (ranging 0-20). The aims of this study were to investigate whether there was a statistically inverse relationship between the e-BBPS score and the ADR, and to determine the threshold of e-BBPS score for adequate bowel preparation in colonoscopy screening. METHODS: In this prospective, observational study, we trained and internally validated the e-BBPS system using retrospective colonoscopy images and videos from the Endoscopy Center of Wuhan University, annotated by endoscopists. We externally validated the system using colonoscopy images and videos from the First People's Hospital of Yichang and the Third Hospital of Wuhan. To prospectively validate the system, we recruited consecutive patients at Renmin Hospital of Wuhan University aged between 18 and 75 years undergoing colonoscopy. The exclusion criteria included: contraindication to colonoscopy, family polyposis syndrome, inflammatory bowel disease, history of surgery for colorectal or colorectal cancer, known or suspected bowel obstruction or perforation, patients who were pregnant or lactating, inability to receive caecal intubation, and lumen obstruction. We did colonoscopy procedures and collected withdrawal videos, which were reviewed and the e-BBPS system was applied to all colon segments. The primary outcome of this study was ADR, defined as the proportion of patients with one or more conventional adenomas detected during colonoscopy. We calculated the ADR of each e-BBPS score and did a correlation analysis using Spearman analysis. FINDINGS: From May 11 to Aug 10, 2020, 616 patients underwent screening colonoscopies, which evaluated. There was a significant inverse correlation between the e-BBPS score and ADR (Spearman's rank -0·976, p<0·010). The ADR for the e-BBPS scores 1-8 was 28·57%, 28·68%, 26·79%, 19·19%, 17·57%, 17·07%, 14·81%, and 0%, respectively. According to the 25% ADR standard for screening colonoscopy, an e-BBPS score of 3 was set as a threshold to guarantee an ADR of more than 25%, and so high-quality endoscopy. Patients with scores of more than 3 had a significantly lower ADR than those with a score of 3 or less (ADR 15·93% vs 28·03%, p<0·001, 95% CI 0·28-0·66, odds ratio 0·43). INTERPRETATION: The e-BBPS system has potential to provide a more objective and refined threshold for the quantification of adequate bowel preparation. FUNDING: Project of Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision and Hubei Province Major Science and Technology Innovation Project.

7.
Ecotoxicol Environ Saf ; 225: 112766, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34509967

RESUMO

Natural adjuvants are novel options to reduce the doses of chemical herbicides. The aim of the current study was to examine the compositions and adjuvant effects of rosin and coconut oil on herbicides using a combination of indoor experiment and field trial. The GC-MS results showed that the main component of rosin was abietic acid (40.02%), and the main components of coconut oil were 2-pentanone, 4-hydroxy-4-methyl- (21.45%) and dodecanoic acid (14.59%). In greenhouse experiment, rosin showed a significant adjuvant effect on nicosulfuron against Digitaria sanguinalis and Amaranthus retroflexus, with the GR50 ratios of 1.47 and 1.69, respectively. The GR50 values of nicosulfuron in the present of coconut oil were 3.99 and 10.13 g a.i./hm2 against D. sanguinalis and A. retroflexus, lower than that of individual application. The adjuvant effect of rosin and coconut oil on mesotrione was also found. In field trial, the fresh weight control efficiency of nicosulfuron (45 g a.i./hm2) and mesotrione (112.5 g a.i./hm2) was significantly improved after the addition of rosin and coconut oil, similar with that of recommended dose. Rosin and coconut oil could reduce the contact angle of nicosulfuron, with the results of 56.68° and 53.90°, respectively, lower than that of individual application. Furthermore, rosin and coconut oil could decrease the surface tension, wetting and penetration time; and increase the spreading diameter and maximum retention. Both rosin and coconut oil have adjuvant effects on herbicides in the lab & field with multiple mechanisms. Thus, they have the potential to be developed into natural adjuvants for herbicide formulation to control weeds.


Assuntos
Adjuvantes Farmacêuticos , Óleo de Coco , Cicloexanonas , Piridinas , Resinas Vegetais , Compostos de Sulfonilureia
8.
Endocrinol Metab (Seoul) ; 36(4): 778-789, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34372624

RESUMO

BACKGROUND: Subclinical hypothyroidism (SCH) is the most common thyroid dysfunction, and its relationship with blood pressure (BP) has been controversial. The aim of the study was to analyze the association between SCH and newly-diagnosed hypertension. METHODS: Based on data from the Thyroid disease, Iodine nutrition and Diabetes Epidemiology (TIDE) study, 49,433 euthyroid individuals and 7,719 SCH patients aged ≥18 years were enrolled. Patients with a history of hypertension or thyroid disease were excluded. SCH was determined by manufacturer reference range. Overall hypertension and stage 1 and 2 hypertension were diagnosed according to the guidelines issued by the American College of Cardiology/American Heart Association in 2017. RESULTS: The prevalence of overall hypertension (48.7%), including stage 1 (28.9%) and 2 (19.8%) hypertension, increased significantly in SCH patients compared with euthyroid subjects. With elevated serum thyroid stimulating hormone (TSH) level, the hypertension prevalence also increased significantly from the euthyroid to different SCH subgroups, which was more profound in females or subjects aged <65 years. The age- and sex-specific regression analysis further demonstrated the same trends in the general population and in the 1:1 propensity matched population. Similarly, several BP components (i.e., systolic, diastolic, and mean arterial BP) were positively associated with TSH elevation, and regression analysis also confirmed that all BP components were closely related with SCH in female subjects aged <65 years. CONCLUSION: The prevalence of hypertension increases for patients with SCH. SCH tends to be associated with hypertension and BP components in females younger than 65 years.

9.
Acta Biochim Biophys Sin (Shanghai) ; 53(9): 1189-1197, 2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34357376

RESUMO

Glucagon-like peptide-1 (GLP-1), a novel type of glucose-lowering agent, has been reported to exert cardioprotective effects. However, the cardioprotective mechanism of GLP-1 on spontaneous hypertension-induced cardiac hypertrophy has not been fully elucidated. In this study, we revealed that liraglutide or alogliptin treatment ameliorated spontaneous hypertension-induced cardiac hypertrophy, as evidenced by decreased levels of cardiac hypertrophic markers (atrial natriuretic peptide, brain natriuretic peptide, and ß-myosin heavy chain), as well as systolic blood pressure, diastolic blood pressure, mean arterial pressure, and histological changes. Both drugs significantly reduced the levels of angiotensin II (AngII) and AngII type 1 receptor (AT1R) and upregulated the levels of AngII type 2 receptor (AT2R) and angiotensin-converting enzyme 2 (ACE2), as indicated by a reduced AT1R/AT2R ratio. Simultaneously, treatment with liraglutide or alogliptin significantly increased GLP-1 receptor expression and adenosine monophosphate-activated protein kinase (AMPK) phosphorylation and downregulated the phosphorylation of mammalian target of rapamycin (mTOR), p70 ribosomal S6 protein kinase, and eukaryotic translation initiation factor 4E binding protein 1 in spontaneous hypertension rats. Furthermore, our data demonstrated that the AMPK inhibitor compound C or mTOR activator MHY1485 inhibited the anti-hypertrophic effect of GLP-1. In summary, our study suggests that liraglutide or alogliptin protects the heart against cardiac hypertrophy by regulating the expression of AngII/AT1R/ACE2 and activating the AMPK/mTOR pathway, and GLP-1 agonist can be used in the treatment of patients with cardiac hypertrophy.

11.
Front Med (Lausanne) ; 8: 709347, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34368199

RESUMO

With the rapid development of science and technology, artificial intelligence (AI) systems are becoming ubiquitous, and their utility in gastroenteroscopy is beginning to be recognized. Digestive endoscopy is a conventional and reliable method of examining and diagnosing digestive tract diseases. However, with the increase in the number and types of endoscopy, problems such as a lack of skilled endoscopists and difference in the professional skill of doctors with different degrees of experience have become increasingly apparent. Most studies thus far have focused on using computers to detect and diagnose lesions, but improving the quality of endoscopic examination process itself is the basis for improving the detection rate and correctly diagnosing diseases. In the present study, we mainly reviewed the role of AI in monitoring systems, mainly through the endoscopic examination time, reducing the blind spot rate, improving the success rate for detecting high-risk lesions, evaluating intestinal preparation, increasing the detection rate of polyps, automatically collecting maps and writing reports. AI can even perform quality control evaluations for endoscopists, improve the detection rate of endoscopic lesions and reduce the burden on endoscopists.

12.
Crit Rev Food Sci Nutr ; : 1-17, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34382891

RESUMO

Frozen storage is one of the main storage methods for meat products. Freezing and thawing processes are important factors affecting the quality of stored foods. Deterioration of texture, denaturation of protein, decline of water holding capacity etc. are among the major quality issues during freezing that must be addressed. A number of advanced technologies are now available to detect the quality changes that can occur during freezing and/or thawing. This paper presents an overview of the techniques commonly used for the detection of meat product quality; these include: advanced microscopy, molecular sensory science and technology, nuclear magnetic resonance, hyperspectral technology, near infrared spectroscopy, Raman spectroscopy etc. These direct and indirect measurement techniques can characterize the quality of meat product from many different angles. The objective of this review is to provide an in-depth understanding of possible quality changes in meat products during freezing and thawing cycle so as to improve the quality of frozen and thawed meat products in industrial practice.

14.
Clin Transl Gastroenterol ; 12(6): e00366, 2021 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-34128480

RESUMO

INTRODUCTION: Gastrointestinal endoscopic quality is operator-dependent. To ensure the endoscopy quality, we constructed an endoscopic audit and feedback system named Endo.Adm and evaluated its effect in a form of pretest and posttest trial. METHODS: Endo.Adm system was developed using Python and Deep Convolutional Neural Ne2rk models. Sixteen endoscopists were recruited from Renmin Hospital of Wuhan University and were randomly assigned to undergo feedback of Endo.Adm or not (8 for the feedback group and 8 for the control group). The feedback group received weekly quality report cards which were automatically generated by Endo.Adm. We then compared the adenoma detection rate (ADR) and gastric precancerous conditions detection rate between baseline and postintervention phase for endoscopists in each group to evaluate the impact of Endo.Adm feedback. In total, 1,191 colonoscopies and 3,515 gastroscopies were included for analysis. RESULTS: ADR was increased after Endo.Adm feedback (10.8%-20.3%, P < 0.01,

15.
Int J Psychophysiol ; 167: 38-46, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34174361

RESUMO

This study aimed to investigate the moderating effect of the desire for forgiveness on the association between relationship closeness and interpersonal forgiveness using event-related potentials (ERPs). We recruited forty student participants (20 males and 20 females) to complete the modified Taylor Aggression Paradigm (TAP), which was used to induce the offensive experience and record the victim's level of reactive aggression toward the offenders. Results indicated that for the internal intention of forgiveness behavior, when the desire for forgiveness was not expressed, participants were more forgiving of close offenders than strangers; when the desire for forgiveness was expressed, the internal intention of forgiveness behavior for strangers was similar to that for close offenders. Regarding the external performance of forgiveness behavior, whether the offender expressed the desire for forgiveness or not, participants exhibited more external performance of forgiveness behaviors toward the close offenders than the strangers. Furthermore, the decision-related negativity (DRN)-a negative component associated with aggressiveness-was larger when participants were considering the punishment of strangers when no desire for forgiveness was expressed. There was no significant difference when the desire for forgiveness was expressed. Moreover, the feedback-related negativity (FRN)-a negative component reflecting the evaluation of the valence of an outcome-was larger when participants lost a trial against strangers when no desire for forgiveness was expressed. No such difference was observed in both opponents when the desire for forgiveness was expressed. These findings confirmed that the desire for forgiveness moderated the association between relationship closeness and interpersonal forgiveness.

16.
Front Endocrinol (Lausanne) ; 12: 651534, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34122333

RESUMO

Background: Universal salt iodization (USI) was implemented in mainland China in 1996. The prevalence of hyperthyroidism and its risk factors now require examination. Methods: Data were acquired from a nationwide Thyroid, Iodine, and Diabetes Epidemiological survey (TIDE 2015-2017) of 78,470 subjects from 31 provinces. Iodine status, and thyroid hormones and antibodies were measured. Results: After two decades of USI, the prevalence of overt hyperthyroidism (OH), Graves' disease (GD), severe subclinical hyperthyroidism (severe SCH), and mild subclinical hyperthyroidism (mild SCH) in mainland China was 0.78%, 0.53%, 0.22%, and 0.22%, respectively. OH and GD prevalence were higher in women than in men (OH: 1.16% vs. 0.64%, P<0.001; GD: 0.65% vs. 0.37%, P<0.001).Prevalence was significantly decreased after 60 years-of-age compared with 30-39 years-of-age (OH:0.61% vs. 0.81%, P<0.001; GD: 0.38% vs. 0.57%, P<0.001).Excessive iodine(EI) and deficient iodine(DI) were both related to increased prevalence of OH (odds ratio [OR] 2.09, 95% confidence interval [CI] 1.68-2.59; OR1.35, 95%CI 1.07-1.72, respectively); however, only deficient iodine was associated with increased prevalence of GD (OR1.67, 95%CI 1.30-2.15). Increased thyroid peroxidase antibody and thyroglobulin antibody levels were significantly associated with prevalence of OH and GD, but not severe SCH and mild SCH. Although hyperthyroidism was more prevalent in women, the association disappeared after adjusting for other factors such as antibody levels. Conclusion: OH and GD prevalences in mainland China are stable after two decades of USI. Iodine deficiency, elevated thyroid antibody levels, and middle age are the main risk factors for OH and GD. The severe SCH population, rather than the mild SCH population, shows similar characteristics to the OH population.

17.
Chemosphere ; 279: 130559, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34134405

RESUMO

The prepared g-C3N4 under morphology controlling shows better physic and chemical performance. The synergistic effect of POM and g-C3N4 in the hybrid improves its high photocatalytic capability. The research indicates that g-C3N4-based material is a potential photoelectrode for PEC degradation. Besides, the PMoV nanocomposite shows better activities in the PEC and removal efficiency of RhB. Compared with the same PEC system, the degradation time of RhB is shorter and the degradation efficiency is higher for the MCN/PMoV catalysts.


Assuntos
Nanocompostos , Catálise , Luz , Compostos de Tungstênio
18.
Ageing Res Rev ; 69: 101359, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33984528

RESUMO

Neuroinflammation is a common feature of age-related brain disorders including Alzheimer's disease (AD), Parkinson's disease (PD) and cerebral ischemia. 5-lipoxygenase (5-LOX), a proinflammatory enzyme, modulates inflammation by generating leukotrienes. Abnormal activation of 5-LOX and excessive production of leukotrienes have been detected in the development of age-related brain pathology. In this review, we provide an update on the current understanding of 5-LOX activation and several groups of functionally related inhibitors. In addition, the modulatory roles of 5-LOX in the pathogenesis and progression of the age-related brain disorders have been comprehensively highlighted and discussed. Inhibition of 5-LOX activation may represent a promising therapeutic strategy for AD, PD and cerebral ischemia.


Assuntos
Doença de Alzheimer , Isquemia Encefálica , Araquidonato 5-Lipoxigenase , Humanos , Inflamação , Leucotrienos
19.
Front Oncol ; 11: 622827, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33959495

RESUMO

Background and Aims: Prediction of intramucosal gastric cancer (GC) is a big challenge. It is not clear whether artificial intelligence could assist endoscopists in the diagnosis. Methods: A deep convolutional neural networks (DCNN) model was developed via retrospectively collected 3407 endoscopic images from 666 gastric cancer patients from two Endoscopy Centers (training dataset). The DCNN model's performance was tested with 228 images from 62 independent patients (testing dataset). The endoscopists evaluated the image and video testing dataset with or without the DCNN model's assistance, respectively. Endoscopists' diagnostic performance was compared with or without the DCNN model's assistance and investigated the effects of assistance using correlations and linear regression analyses. Results: The DCNN model discriminated intramucosal GC from advanced GC with an AUC of 0.942 (95% CI, 0.915-0.970), a sensitivity of 90.5% (95% CI, 84.1%-95.4%), and a specificity of 85.3% (95% CI, 77.1%-90.9%) in the testing dataset. The diagnostic performance of novice endoscopists was comparable to those of expert endoscopists with the DCNN model's assistance (accuracy: 84.6% vs. 85.5%, sensitivity: 85.7% vs. 87.4%, specificity: 83.3% vs. 83.0%). The mean pairwise kappa value of endoscopists was increased significantly with the DCNN model's assistance (0.430-0.629 vs. 0.660-0.861). The diagnostic duration reduced considerably with the assistance of the DCNN model from 4.35s to 3.01s. The correlation between the perseverance of effort and diagnostic accuracy of endoscopists was diminished using the DCNN model (r: 0.470 vs. 0.076). Conclusions: An AI-assisted system was established and found useful for novice endoscopists to achieve comparable diagnostic performance with experts.

20.
EBioMedicine ; 65: 103238, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33639404

RESUMO

BACKGROUND: Detailed evaluation of bile duct (BD) is main focus during endoscopic ultrasound (EUS). The aim of this study was to develop a system for EUS BD scanning augmentation. METHODS: The scanning was divided into 4 stations. We developed a station classification model and a BD segmentation model with 10681 images and 2529 images, respectively. 1704 images and 667 images were applied to classification and segmentation internal validation. For classification and segmentation video validation, 264 and 517 videos clips were used. For man-machine contest, an independent data set contained 120 images was applied. 799 images from other two hospitals were used for external validation. A crossover study was conducted to evaluate the system effect on reducing difficulty in ultrasound images interpretation. FINDINGS: For classification, the model achieved an accuracy of 93.3% in image set and 90.1% in video set. For segmentation, the model had a dice of 0.77 in image set, sensitivity of 89.48% and specificity of 82.3% in video set. For external validation, the model achieved 82.6% accuracy in classification. In man-machine contest, the models achieved 88.3% accuracy in classification and 0.72 dice in BD segmentation, which is comparable to that of expert. In the crossover study, trainees' accuracy improved from 60.8% to 76.3% (P < 0.01, 95% C.I. 20.9-27.2). INTERPRETATION: We developed a deep learning-based augmentation system for EUS BD scanning augmentation. FUNDING: Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Hubei Province Major Science and Technology Innovation Project, National Natural Science Foundation of China.

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