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经自然腔道取标本手术(NOSES)在结直肠癌日间手术中的应用探索
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作者 李凯 朱志 +11 位作者 周海涛 王俊 杨野 赵鑫 谷金蓉 智冬梅 王世洋 高梓茗 张鑫炜 赵睿涵 王锡山 王振宁 《中华结直肠疾病电子杂志》 2024年第1期63-67,共5页
经自然腔道取标本手术(NOSES)和加速康复外科(ERAS)的核心理念都是为了能够减少手术创伤和应激,让患者达到快速康复的目的。日间结直肠手术是两者结合的进一步发展,在规范开展高质量手术的前提下,结合ERAS理念的实施,内容包含术前准备,... 经自然腔道取标本手术(NOSES)和加速康复外科(ERAS)的核心理念都是为了能够减少手术创伤和应激,让患者达到快速康复的目的。日间结直肠手术是两者结合的进一步发展,在规范开展高质量手术的前提下,结合ERAS理念的实施,内容包含术前准备,麻醉与镇痛,外科与营养干预及术后康复的全程团队管理。近期,中国医科大学附属第一医院在二者的优化结合方面做了一些探索,通过微创手术、麻醉疼痛管理、全程护理,再加上严格的术前准备、完整的术后随访,使得手术患者的身心应激和创伤最小化。本文以一名直肠癌NOSES手术患者为例,探讨日间手术模式开展结直肠癌根治术的可行性与影响因素。 展开更多
关键词 直肠肿瘤 结肠肿瘤 日间手术 经自然腔道取标本手术(NOSES) 加速康复外科 微创手术
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Data-driven multimodal fusion:approaches and applications in psychiatric research
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作者 Jing Sui dongmei zhi Vince D Calhoun 《Psychoradiology》 2023年第1期135-153,共19页
In the era of big data,where vast amounts of information are being generated and collected at an unprecedented rate,there is a pressing demand for innovative data-driven multi-modal fusion methods.These methods aim to... In the era of big data,where vast amounts of information are being generated and collected at an unprecedented rate,there is a pressing demand for innovative data-driven multi-modal fusion methods.These methods aim to integrate diverse neuroimaging per-spectives to extract meaningful insights and attain a more comprehensive understanding of complex psychiatric disorders.However,analyzing each modality separately may only reveal partial insights or miss out on important correlations between different types of data.This is where data-driven multi-modal fusion techniques come into play.By combining information from multiple modalities in a synergistic manner,these methods enable us to uncover hidden patterns and relationships that would otherwise remain unnoticed.In this paper,we present an extensive overview of data-driven multimodal fusion approaches with or without prior information,with specific emphasis on canonical correlation analysis and independent component analysis.The applications of such fusion methods are wide-ranging and allow us to incorporate multiple factors such as genetics,environment,cognition,and treatment outcomes across various brain disorders.After summarizing the diverse neuropsychiatric magnetic resonance imaging fusion applications,we further discuss the emerging neuroimaging analyzing trends in big data,such as N-way multimodal fusion,deep learning approaches,and clinical translation.Overall,multimodal fusion emerges as an imperative approach providing valuable insights into the under-lying neural basis of mental disorders,which can uncover subtle abnormalities or potential biomarkers that may benefit targeted treatments and personalized medical interventions. 展开更多
关键词 multimodal fusion approach data driven functional magnetic resonance imaging(fMRI) structural MRI diffusion mag-netic resonance imaging independent component analysis canonical correlation analysis psychiatric disorder
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