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CT减影影像组学在鉴别肾透明细胞癌与非透明细胞癌中的临床价值
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作者 刘奇峰 丁治民 +3 位作者 姚琪 张成孟 黄国权 司梦琪 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第3期124-132,共9页
目的:探讨增强计算机断层扫描(computed tomography,CT)及减影影像组学模型在鉴别肾透明细胞癌(clear cell renal cell carcinoma,ccRCC)与非透明细胞癌(non-clear cell renal cell carcinoma,non-ccRCC)的临床价值。方法:回顾性分析经... 目的:探讨增强计算机断层扫描(computed tomography,CT)及减影影像组学模型在鉴别肾透明细胞癌(clear cell renal cell carcinoma,ccRCC)与非透明细胞癌(non-clear cell renal cell carcinoma,non-ccRCC)的临床价值。方法:回顾性分析经病理证实为ccRCC和non-ccRCC共458例患者的临床与影像资料,排除图像质量不佳等影响因素后最终筛选出皖南医学院弋矶山医院患者219例(训练集154例、测试集65例)及芜湖市第二人民医院41例(外部验证集)。将图像导出并对其配准及减影处理,使用ITK-SNAP勾画肿瘤的感兴趣区域(region of interest,ROI)。利用FAE软件提取影像组学特征,Pearson相关系数及Relief算法对特征降维并筛选,Logistic回归建立组学模型,采用受试者工作特征曲线下面积评估模型诊断性能,联合临床影像特征构建组合模型并绘制诺谟图。结果:回归分析显示囊变坏死(OR=3.282,95%CI:1.111~9.693;P=0.032)、皮髓质期肿瘤增强值(OR=1.058,95%CI:1.024~1.094;P=0.001)为临床独立预测因素,训练集中皮髓质期影像组学模型的诊断效能在平扫及三期增强影像组学模型中最高(AUC=0.880),其减影后的影像组学模型效能有所提高(AUC=0.949),分别联合临床独立预测因素构建的常规组学模型和减影组学模型效能进一步提升(AUC分别为0.903和0.973),并在内部和外部验证集中得到验证(常规组学模型AUC分别为0.872和0.898;减影组学模型AUC分别为0.908和0.920)。结论:增强CT皮髓质期减影组学特征联合临床影像特征构建的减影组学模型能有效地鉴别ccRCC和non-ccRCC。 展开更多
关键词 肾细胞癌 影像组学 减影 计算机断层扫描
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Analysis of infection and prognosis of extensively drug resistant Acinetobacter baumannii in ICU
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作者 Huiling Wang Chunyuan Wang +1 位作者 Liping Cai guoquan huang 《Infectious Diseases Research》 2021年第2期1-5,共5页
Objective:To investigate the infection of patients in the ICU with extensively drug-resistant Acinetobacter baumannii(XDRAB)and analyse the effect of tigecycline therapy for XDRAB.Methods:Seventy-one patients admitted... Objective:To investigate the infection of patients in the ICU with extensively drug-resistant Acinetobacter baumannii(XDRAB)and analyse the effect of tigecycline therapy for XDRAB.Methods:Seventy-one patients admitted to the ICU with XDRAB infection from January 2013 to July 2017 were divided into the tigecycline group(combination therapy with 50 mg tigecycline and 0.1 g minocycline every 12 hours)or the control group(no tigecycline treatment).Patient data,including age,sex,history of malignant tumour,body temperature,APACHE Ⅱ score,ALT,AST,GGT,TB,ALB,TBIL,DBIL,IBIL,BUN,Cr,absolute neutrophil count,procalcitonin(PCT),site positive for XDRAB infection,length of stay,and prognosis,were collected and compared between the two groups.Binary logistic regression was used to analyse the prognostic risk factors for XDRAB.Results:A total of 61.6% of the patients infected with XDRAB had multiple sites of XDRAB colonization.The cure rate achieved in the tigecycline group was higher than that of the control group(70.7%vs 41.9%).Multivariate analysis showed that older age,a high level of PCT after treatment and the absence of tigecycline treatment were poor prognostic factors for XDRAB infection.Conclusion:Combination therapy with tigecycline and minocycline is effective for XDRAB infection and reduces the cost of treatment.Combined therapy with tigecycline is a predictor of good prognosis for patients infected with XDRAB,whereas older age and increased PCT levels after treatment are predictors of poor prognosis. 展开更多
关键词 XDRAB TIGECYCLINE PCT Background
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Resilient Ground Vehicle Autonomous Navigation in GPS-Denied Environments 被引量:1
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作者 Kleio Baxevani Indrajeet Yadav +3 位作者 Yulin Yang Michael Sebok Herbert G.Tanner guoquan huang 《Guidance, Navigation and Control》 2022年第4期1-17,共17页
Co-design and integration of vehicle navigation and control and state estimation is key for enabling field deployment of mobile robots in GPS-denied cluttered environments,and sensor calibration is critical for succes... Co-design and integration of vehicle navigation and control and state estimation is key for enabling field deployment of mobile robots in GPS-denied cluttered environments,and sensor calibration is critical for successful operation of both subsystems.This paper demonstrates the potential of this co-design approach with field tests of the integration of a reactive receding horizon-based motion planner and controller with an inertial aided multi-sensor calibration scheme.The reported method provides accurate calibration parameters that improve the performance of the state estimator,and enable the motion controller to generate smooth and continuous minimal-jerk trajectories based on local LiDAR data.Numerical simulations in Unity,and real-world experimental results from the field corroborate the claims of e±cacy for the reported autonomous navigation computational pipeline. 展开更多
关键词 Field robots calibration and identification motion and path planning
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