The Guandimao and Wawutang plutons are located at the center of Hunan, South China. The former is mainly composed of biotite monzonitic granites/granodiorites and two-mica monzonltic granites, but the latter only cons...The Guandimao and Wawutang plutons are located at the center of Hunan, South China. The former is mainly composed of biotite monzonitic granites/granodiorites and two-mica monzonltic granites, but the latter only consists of biotite monzonitic granites. The zircon ages of 203.0±1.6 Ma (biotite monzonitic granites) and 208.0-23.2 Ma (two-mica monzonltic granites) for the Guandimao pluton and 204±3 Ma for the Wawutang pluton obtained with the LA-ICP-MS U-Pb dating indicate that they were formed during the late Indosinian. In consideration of other geochronological data from Indosinian rocks of South China and adjacent regions, it is inferred that the two plutons were derived from crustal materials by decompressional melting in a post-collisional tectonic setting during spontaneous thinning of the thickened curst. Moreover, the inherited zircon age of 1273±57 Ma from the Wawutang pluton indicates that the source of the two plutons is related to the early Proterozoic crustal basement.展开更多
目的探讨血清学指标联合常规超声及超声造影评分在原发性干燥综合征(pSS)诊断中的临床价值。方法前瞻性选取2017年6月至2018年12月在温州医科大学附属第一医院就诊的161例可疑pSS患者为研究对象,记录患者基线资料,完善实验室检查、相关...目的探讨血清学指标联合常规超声及超声造影评分在原发性干燥综合征(pSS)诊断中的临床价值。方法前瞻性选取2017年6月至2018年12月在温州医科大学附属第一医院就诊的161例可疑pSS患者为研究对象,记录患者基线资料,完善实验室检查、相关的诊断实验及唇腺病理检查。将入组的161例患者分为pSS组83例与非pSS组78例。对所有患者腮腺及颌下腺行涎腺超声检查(SGU)后按0~4分评分系统评分,并进行超声造影(CEUS)检查,获得造影参数。应用Logistic回归分析,对参数进行筛选,构建超声造影评分方程。将血清学指标联合超声总评分、超声造影评分、超声总评分及超声造影评分、唇腺病理分级分别构建4种pSS诊断模型,应用ROC曲线评估4种模型对pSS的诊断效能,应用DeLong统计方法比较ROC曲线下面积(AUC),并计算敏感度、特异度、阳性预测值、阴性预测值及似然比。结果与非pSS组相比,pSS组超声总评分的中位数较高(8 vs 4,P<0.001),pSS组的颌下腺造影参数曲线梯度(Grad)的中位数(1.36 vs 1.94,P<0.001),时间-强度曲线下面积(Area)的中位数(876.49 vs 954.27,P=0.003),腺体峰值强度(PI)的中位数(-51.20 dB vs-49.20 dB,P=0.001),腺体强度差值(ID)的中位数(15.90 dB vs17.80 dB,P=0.003)均较小,pSS组颌下腺造影剂达峰时间(TTP)的中位数大于非pSS组(10.01 s vs 9.10 s,P=0.046)。构建超声造影评分方程为:y=7.760-1.534×颌下腺Grad。4种pSS诊断模型的ROC比较结果显示:血清联合超声总评分诊断pSS的AUC为0.860;血清联合超声造影评分的AUC为0.854;血清联合病理分级的AUC为0.941;血清联合超声造影评分及超声总评分的AUC为0.892。血清联合超声造影评分及超声总评分模型的诊断效能优于血清联合超声总评分模型及血清联合超声造影评分模型,差异存在统计学意义(P=0.024、0.015),而与血清联合病理分级模型相比,两者差异无统计学意义(P=0.066)。结论血清学指标联合常规超声及超声造影评分可以提高对pSS的诊断效能,且与血清学指标联合唇腺病理的诊断效能相当,其在一定程度上可避免过度的有创检查。展开更多
基金This research was supported by the National Natural Science Foundation of China (No. 40372036)the Key Project of the Ministry of Education, China (No. 306007).
文摘The Guandimao and Wawutang plutons are located at the center of Hunan, South China. The former is mainly composed of biotite monzonitic granites/granodiorites and two-mica monzonltic granites, but the latter only consists of biotite monzonitic granites. The zircon ages of 203.0±1.6 Ma (biotite monzonitic granites) and 208.0-23.2 Ma (two-mica monzonltic granites) for the Guandimao pluton and 204±3 Ma for the Wawutang pluton obtained with the LA-ICP-MS U-Pb dating indicate that they were formed during the late Indosinian. In consideration of other geochronological data from Indosinian rocks of South China and adjacent regions, it is inferred that the two plutons were derived from crustal materials by decompressional melting in a post-collisional tectonic setting during spontaneous thinning of the thickened curst. Moreover, the inherited zircon age of 1273±57 Ma from the Wawutang pluton indicates that the source of the two plutons is related to the early Proterozoic crustal basement.
基金The Natural Science Foundation of Hunan Province (2023JJ40104)The Research Foundation of Hunan Provincial Social Science Achievement Review Committee (XSP22YBZ091)+1 种基金The Research Foundation of Education Bureau of Hunan Province (23B0887)The National Social Science Foundation of China (17BJL119)。
文摘目的探讨血清学指标联合常规超声及超声造影评分在原发性干燥综合征(pSS)诊断中的临床价值。方法前瞻性选取2017年6月至2018年12月在温州医科大学附属第一医院就诊的161例可疑pSS患者为研究对象,记录患者基线资料,完善实验室检查、相关的诊断实验及唇腺病理检查。将入组的161例患者分为pSS组83例与非pSS组78例。对所有患者腮腺及颌下腺行涎腺超声检查(SGU)后按0~4分评分系统评分,并进行超声造影(CEUS)检查,获得造影参数。应用Logistic回归分析,对参数进行筛选,构建超声造影评分方程。将血清学指标联合超声总评分、超声造影评分、超声总评分及超声造影评分、唇腺病理分级分别构建4种pSS诊断模型,应用ROC曲线评估4种模型对pSS的诊断效能,应用DeLong统计方法比较ROC曲线下面积(AUC),并计算敏感度、特异度、阳性预测值、阴性预测值及似然比。结果与非pSS组相比,pSS组超声总评分的中位数较高(8 vs 4,P<0.001),pSS组的颌下腺造影参数曲线梯度(Grad)的中位数(1.36 vs 1.94,P<0.001),时间-强度曲线下面积(Area)的中位数(876.49 vs 954.27,P=0.003),腺体峰值强度(PI)的中位数(-51.20 dB vs-49.20 dB,P=0.001),腺体强度差值(ID)的中位数(15.90 dB vs17.80 dB,P=0.003)均较小,pSS组颌下腺造影剂达峰时间(TTP)的中位数大于非pSS组(10.01 s vs 9.10 s,P=0.046)。构建超声造影评分方程为:y=7.760-1.534×颌下腺Grad。4种pSS诊断模型的ROC比较结果显示:血清联合超声总评分诊断pSS的AUC为0.860;血清联合超声造影评分的AUC为0.854;血清联合病理分级的AUC为0.941;血清联合超声造影评分及超声总评分的AUC为0.892。血清联合超声造影评分及超声总评分模型的诊断效能优于血清联合超声总评分模型及血清联合超声造影评分模型,差异存在统计学意义(P=0.024、0.015),而与血清联合病理分级模型相比,两者差异无统计学意义(P=0.066)。结论血清学指标联合常规超声及超声造影评分可以提高对pSS的诊断效能,且与血清学指标联合唇腺病理的诊断效能相当,其在一定程度上可避免过度的有创检查。