基于影像组学建立多分类联合模型预测肺GGN病理分型

目的:探究计算机断层扫描(computed tomography,CT)影像组学多分类联合模型在磨玻璃结节病理分析的预测价值。方法:回顾性收集2019年2月至2023年3月新乡医学院第一附属医院收治的影像表现为磨玻璃结节并经病理证实的早期肺腺癌患者资料,共285例患者的324个结节按照浸润性腺癌(invasive adenocarcinoma,IAC)、微浸润性腺癌(minimally invasive adenocarcinoma,MIA)及侵袭前病变(preinvasive lesions,PILs)分为三组,行递归消除及单变量逻辑回归对组学及临床-影像特征选择后,使用逻辑回归(Logistic regression,LR)、支持向量机(support vector machine,SVM)、随机森林(random forest,RF)和集成学习(stacking)构建七个模型,评估模型预测效能。结果:基于结合临床-影像-组学特征和集成机器学习策略的混合联合模型相比其他六个模型具有更准确的预测性能,准确度、精确度、特异性、召回率、F1评分分别为0.791、0.788、0.857、0.790、0.789。结论:基于CT影像组学建立的多分类联合模型能够较好地预测肺磨玻璃结节病理分型,有利于影像准确诊断及为临床制定治疗方案提供依据。

磁共振成像对高原地区颅内非肿瘤性环形强化病变的鉴别诊断价值

目的分析高原地区颅内非肿瘤性环形强化病灶的核磁共振成像(MRI)影像特点。方法回顾性分析2014年6月~2016年3月西藏某三甲医院颅脑MRI检查为环状强化患者43例,其中15例为脑结核瘤、28例为脑囊虫脑实质型。比较其MRI特点,并进行统计学分析。结果 MRI平扫显示:脑结核瘤累及范围较局限(73%),形态多不规则(60%),所有病例均存在周围组织水肿,脑室挤压发生率为53%;脑囊虫累及范围较弥漫(89%),形态多为类圆形(93%),周围组织水肿较少(25%),所有病例无脑室受压;两种疾病比较,差异有统计学意义(P<0.05)。MRI增强扫描显示:脑结核瘤与脑囊虫均表现为环形强化;脑结核瘤环壁较厚,环壁多毛糙,47%病例有脑膜强化;脑囊虫环壁较薄,环壁光滑,无脑膜强化;两种疾病比较,差异有统计学意义(P<0.05)。结论 MRI平扫的形态学特点及增强扫描的强化环特点相结合对高原地区颅内非肿瘤性环形强化病灶的鉴别诊断具有较好的临床应用价值。

Engineering organoid microfluidic system for biomedical and health engineering:A review

In recent years,organoid technology,i.e.,in vitro three-dimensional(3D)tissue culture,has attracted increasing attention in biomedical engineering.Organoids are cell complexes induced by differentiation of stem cells or organ-progenitor cells in vitro using 3D culture technology.They can replicate the key structural and functional characteristics of the target organs in vivo.With the opening up of this new field of health engineering,there is a need for engineering-system approaches to the production,control,and quantitative analysis of organoids and their microenvironment.Traditional organoid technology has limitations,including lack of physical and chemical microenvironment control,high heterogeneity,complex manual operation,imperfect nutritional supply system,and lack of feasible online analytical technology for the organoids.The introduction of microfluidic chip technology into organoids has overcome many of these limitations and greatly expanded the scope of applications.Engineering organoid microfluidic system has become an interdisciplinary field in biomedical and health engineering.In this review,we summarize the development and culture system of organoids,discuss how microfluidic technology has been used to solve the main technical challenges in organoid research and development,and point out new opportunities and prospects for applications of organoid microfluidic system in drug development and screening,food safety,precision medicine,and other biomedical and health engineering fields.

Three-dimensional graphitic carbon sphere foams as sorbents for cleaning oil spills

Frequent offshore oil spill accidents, industrial oily sewage, and the indiscriminate disposal of urban oily sewage have caused seri- ous impacts on the human living environment and health. The traditional oil-water separation methods not only cause easily environmental secondary pollution but also a waste of limited resources. Therefore, in this work, three-dimensional (3D) graphitic carbon sphere (GCS) foams (collectively referred hereafter as 3D foams) with a 3D porous structure, pore size distribution of 25-200 μm, and high porosity of 62vol% were prepared for oil adsorption via gel casting using GCS as the starting materials. The results indicate that the water contact angle (WCA) of the as-prepared 3D foams is 130°. The contents of GCS greatly influenced the hydrophobicity, WCA, and microstructure of the as-prepared samples. The adsorption capacities of the as-prepared 3D foams for paraffin oil, vegetable oil, and vacuum pump oil were approximately 12-15 g/g, which were 10 times that of GCS powder. The as-prepared foams are desirable characteristics of a good sorbent and could be widely used in oil spill accidents.

Optimization of Out-of-Plane Vibration Energy Harvesters Employing Electret

This paper investigated the dependence of out-of-plane electret-based vibration energy harvesters’output power,frequency bandwidth,and resonance frequency on surface charge density and load resistance.As the external acceleration amplitude and electret size were held constant,the following results are predicted by the numerical investigation：（1）An optimum value exists in the surface charge density to maximize the output power.As the surface charge density is increasing,electrostatic forces are enhanced,which emphasizes that the soft spring effect widens the frequency bandwidth and lowers the resonance frequency.（2）Different surface charge densities correspond to different optimum initial air gaps,resonance frequency,and optimum load resistance.（3）With the attenuation of the surface potential,the output power,frequency drift,and frequency bandwidth decreased.（4）An optimum value exists in the load resistance to maximize the output power.As the load resistance is decreasing,electrostatic force is enhanced,which lowers the resonance frequency.（5）A maximum frequency bandwidth exists with further load resistance increasing,and the initial air gap is smaller,the greater the frequency bandwidth.

The Liquid-Bridge with Large Gap in Micro Structural Systems

Based on the analysis of the total free energy of the liquid-bridge, several methods are presented to analyze the pull-off force of liquid-bridge. For the liquid bridge system with a large gap width, accurate solutions of a two-plates liquid bridge and a sphere-plane liquid bridge are given. In addition, the edge-effect resulting from the profile of the top solid in the liquid-bridge system is analyzed and calculated. It is proved by the subsequent tests.

cGAS regulates the DNA damage response to maintain proliferative signaling in gastric cancer cells

The activation of some oncogenes promote cancer cell proliferation and growth,facilitate cancer progression and metastasis by induce DNA replication stress,even genome instability.Activation of the cyclic GMP-AMP synthase(cGAS)mediates classical DNA sensing,is involved in genome instability,and is linked to various tumor development or therapy.However,the function of cGAS in gastric cancer remains elusive.In this study,the TCGA database and retrospective immunohistochemical analyses revealed substantially high cGAS expression in gastric cancer tissues and cell lines.By employing cGAS high-expression gastric cancer cell lines,including AGS and MKN45,ectopic silencing of cGAS caused a significant reduction in the proliferation of the cells,tumor growth,and mass in xenograft mice.Mechanistically,database analysis predicted a possible involvement of cGAS in the DNA damage response(DDR),further data through cells revealed protein interactions of the cGAS and MRE11-RAD50-NBN(MRN)complex,which activated cell cycle checkpoints,even increased genome instability in gastric cancer cells,thereby contributing to gastric cancer progression and sensitivity to treatment with DNA damaging agents.Furthermore,the upregulation of cGAS significantly exacerbated the prognosis of gastric cancer patients while improving radiotherapeutic outcomes.Therefore,we concluded that cGAS is involved in gastric cancer progression by fueling genome instability,implying that intervening in the cGAS pathway could be a practicable therapeutic approach for gastric cancer.

APST-Flow: A Reversible Network-Based Artistic Painting Style Transfer Method

In recent years,deep generative models have been successfully applied to perform artistic painting style transfer(APST).The difficulties might lie in the loss of reconstructing spatial details and the inefficiency of model convergence caused by the irreversible en-decoder methodology of the existing models.Aiming to this,this paper proposes a Flow-based architecture with both the en-decoder sharing a reversible network configuration.The proposed APST-Flow can efficiently reduce model uncertainty via a compact analysis-synthesis methodology,thereby the generalization performance and the convergence stability are improved.For the generator,a Flow-based network using Wavelet additive coupling(WAC)layers is implemented to extract multi-scale content features.Also,a style checker is used to enhance the global style consistency by minimizing the error between the reconstructed and the input images.To enhance the generated salient details,a loss of adaptive stroke edge is applied in both the global and local model training.The experimental results show that the proposed method improves PSNR by 5%,SSIM by 6.2%,and decreases Style Error by 29.4%over the existing models on the ChipPhi set.The competitive results verify that APST-Flow achieves high-quality generation with less content deviation and enhanced generalization,thereby can be further applied to more APST scenes.

Modeling and Analysis of a Random Excited Double-Clamped Piezoelectric Energy Harvester

A double-clamped piezoelectric energy harvester subjected to random excitation is presented,for which corresponding analytical model is established to predict its output characteristics.With the presented theoretical natural frequency and equivalent stiffness of vibrator,the closed-form expressions of mean power and voltage acquired from the double-clamped piezoelectric energy harvester under random excitation are derived.Finally theoretical analysis is conducted for the output performance of the doubleclamped energy harvester with the change of spectrum density（SD）of acceleration,load resistance,piezoelectric coefficient and natural frequency value,which is found to closely agree with Monte Carlo simulation and experimental results.

MXenes的制备、结构调控及电化学储能应用

MXenes因其独特的二维层状结构、较高的比表面积、优异的导电性、良好的表面亲水性和化学稳定性,受到国内外研究者的广泛关注。近年来,研究者普遍采用含氟刻蚀剂(HF与LiF-HCl等)选择性刻蚀MAX相中的A位元素,制备带有丰富表面基团的多层MXenes材料。由于含氟刻蚀剂的污染问题,当前采用更为绿色环保的无氟刻蚀剂(NaOH与ZnCl_(2)等)刻蚀MAX相的研究报道越来越多。MXenes的性能与其结构密切相关,不同制备方法对MXenes的层间距和表面基团的影响很大,进而也影响其性能。基于此,本文总结对比了文献中MXenes的制备方法,概述了MXenes层间距和表面基团的调控方法,同时介绍了MXenes在电化学储能方面的应用,最后对今后MXenes研究所面临的挑战和发展方向进行了展望。

Up-conversion fluorescence biosensor for sensitive detection of CA-125 tumor markers

Sensitive and specific bioassays of tumor markers are critical for early cancer detection and treatment.In recent years,lanthanide(Ln3+)doped upconversion nanoparticles(UCNPs)have attracted wide attentions in tumor markers detectio n.Herein,we co mbined NaYF4:Yb,Tm and silver nanoparticles,serving as energy donor and receptor,respectively,to form an up-conversion fluorescence based inhibitory tumor marker biosensor system.The tumor marker CA-125 molecules are labeled with silver NPs,and the energy transfer fluorescent signal can be detected between the UCNPs and the silver NP receptors.The biosensor shows good stability,high sensitivity and selectivity in the tumor marker concentration range from 5 to 100 ng/mL,as well as a detection limit of 120 pg/mL.Due to the advantage of ease of fabrication and operation,low cost and high information capacity,this technology holds great potential for the clinical applications.

Risk stratification in symptomatic intracranial atherosclerotic disease with conventional vascular risk factors and cerebral haemodynamics

Background and purpose Symptomatic intracranial atherosclerotic stenosis(sICAS)is associated with a considerable risk of recurrent stroke despite contemporarily optimal medical treatment.Severity of luminal stenosis in sICAS and its haemodynamic significance quantified with computational fluid dynamics(CFD)models were associated with the risk of stroke recurrence.We aimed to develop and compare stroke risk prediction nomograms in sICAS,based on vascular risk factors and these metrics.Methods Patients with 50%-99%sICAS confirmed in CT angiography(CTA)were enrolled.Conventional vascular risk factors were collected.Severity of luminal stenosis in sICAS was dichotomised as moderate(50%-69%)and severe(70%-99%).Translesional pressure ratio(PR)and wall shear stress ratio(WSSR)were quantified via CTA-based CFD modelling;the haemodynamic status of sICAS was classified as normal(normal PR&WSSR),intermediate(otherwise)and abnormal(abnormal PR&WSSR).All patients received guideline-recommended medical treatment.We developed and compared performance of nomograms composed of these variables and independent predictors identified in multivariate logistic regression,in predicting the primary outcome,recurrent ischaemic stroke in the same territory(SIT)within 1 year.Results Among 245 sICAS patients,20(8.2%)had SIT.The D2H2A nomogram,incorporating diabetes,dyslipidaemia,haemodynamic status of sICAS,hypertension and age≥50 years,showed good calibration(P for Hosmer-Lemeshow test=0.560)and discrimination(C-statistic 0.73,95%CI 0.60 to 0.85).It also had better performance in risk reclassification and provided larger net benefits in decision curve analysis,compared with nomograms composed of conventional vascular risk factors only,and plus the severity of luminal stenosis in sICAS.Sensitivity analysis in patients with anterior-circulation sICAS showed similar results.Conclusions The D2H2A nomogram,incorporating conventional vascular risk factors and the haemodynamic significance of sICAS as assessed in CFD models,could be a useful tool to stratify sICAS patients for the risk of recurrent stroke under contemporarily optimal medical treatment.

Fangjihuangqi Tang improved lower urinary tract dysfunction in benign prostatic hyperplasia rats model

OBJECTIVE: To investigated the effect and mechanism of Fangjihuangqi Tang (FHT) on lower urinary tract dysfunction induced by benign prostatic hyperplasia (BPH) in rats. METHODS: Male rats were randomly divided into seven groups: normal, model, finasteride (0.5 mg/ kg), terazosin (0.5 mg/kg), and FHT (10, 5, 2.5 g/kg). Rats were administered testosterone (0.5 mg sc) for 6 weeks after orchiectomy, excluding the normal group. All rats were intragastrically administered assigned drugs for 4 weeks from the third week. Urodynamics were assessed in rats under anesthesia. Serum dihydrotestosterone (DHT) and prostatic acid phosphatase (PAP) were measured. The prostate index (PI), bladder index (BI), and pathological detection were evaluated. RESULTS: In the model group, the PI, BI, serum DHT, serum PAP, threshold pressure (TP), micturition pressure (MP), and residual urine volume (RV)were significantly higher. Moreover, inter-micturition duration (IMD) was significantly lower and the prostatic and bladder showed obvious pathological changes. The IMD was significantly higher, while BI, TP, MP, and RV were significantly lower and bladder pathological changes were alleviated in the FHT (10, 5 g/kg), finasteride, and terazosin groups. The PI, DHT, and PAP were significantly lower in the finasteride group, but they did not change significantly in the FHT (10, 5, 2.5 g/kg) and terazosin groups. CONCLUSION: FHT could relieve symptoms of lower urinary tract dysfunction in BPH rats but with no apparent effect on reducing the volume of the enlarged prostate itself.

The multifaceted functions of cGAS

Pattern recognition receptors arecritical forthe sensing of pathogen-associated molecular patterns or danger-associated molecular patterns and subsequent mounting of innate immunityandshaping ofadaptive immunity.The identification of 2'3'-cyclic guanosine monophosphate-adenosine monophosphate(cGAMP)synthase(cGAS)as a major cytosolic DNA receptor is a milestone in the field of DNA sensing.The engagement of cGAS by double-stranded DNA from different origins,including invading pathogens,damaged mitochondria,ruptured micronuclei,and genomic DNA results in the generation of cGAMP and activation of stimulator of interferon genes,which thereby activates innate immunity mainly characterized by the activation of type I interferon response.In recent years,great progress has been made in understanding the subcellular localization and novel functions of cGAS.In this review,we particularlyfocus on summarizingthe multifaceted roles ofcGAS in regulating senescence,autophagy,cell stemness,apoptosis,angiogenesis,cell proliferation,antitumor effect,DNA replication,DNA damage repair,micronucleophagy,as well as cell metabolism.

Index of microcirculatory resistance: state-of-the-art and potential applications in computational simulation of coronary artery disease

The dysfunction of coronary microcirculation is an important cause of coronary artery disease(CAD).The index of microcirculatory resistance(IMR)is a quantitative evaluation of coronary microcirculatory function,which provides a significant reference for the prediction,diagnosis,treatment,and prognosis of CAD.IMR also plays a key role in investigating the interaction between epicardial and microcirculatory dysfunctions,and is closely associated with coronary hemodynamic parameters such as flow rate,distal coronary pressure,and aortic pressure,which have been widely applied in computational studies of CAD.However,there is currently a lack of consensus across studies on the normal and pathological ranges of IMR.The relationships between IMR and coronary hemodynamic parameters have not been accurately quantified,which limits the application of IMR in computational CAD studies.In this paper,we discuss the research gaps between IMR and its potential applications in the computational simulation of CAD.Computational simulation based on the combination of IMR and other hemodynamic parameters is a promising technology to improve the diagnosis and guide clinical trials of CAD.

Promotion of liquid-to-solid phase transition of cGAS by Baicalein suppresses lung tumorigenesis

Dear Editor,Kras and p53 mutation are among the most common gene mutations in lung cancer,which has both the highest incidence and mortality rate among cancers.1 Kras/p53 mutation also causes mitochondrial dysfunction,which has been implicated to promote the inflammation-to-cancer transition.2 We established a lung adenocarcinoma model by using conditional alleles of KrasLSLG12D/p53flox/flox in mice3 to evaluate the effect of Baicalein(5,6,7-trihydroxyflavone),a principal component of Scutellaria baicalensis in traditional Chinese medicine,4 on the initiation and progression of lung cancer.Cre-mediated expression of KrasG12D and deletion of p53 caused obvious tumor lesions in the lung,which were strongly inhibited by the administration of Baicalein(Fig.1a,b and Supplementary Fig.1a,b),indicating that Baicalein is highly potent in inhibiting the progression of primary lung cancer.

Free-space beam shaping and steering based on a silicon optical phased array

In this study,we present a method for free-space beam shaping and steering based on a silicon optical phased array,which addresses the theoretical limitation of traditional bulk optics.We theoretically analyze the beam propagation properties with changes in the applied phase.Different beam profiles can be shaped by varying the phase combination,while a high-order quasi-Bessel beam can be generated with a cubic change to the phase modulation.The simulated results are validated further experimentally,and they match one another well.Beam steering can be achieved with a field of view as large as 140°,which has potential benefits for practical applications.The presented method is expected to have broad application prospects for optical communications,free-space optical interconnects,and light detection and ranging.

A microextraction approach for rapid extraction and separation of Mn(Ⅱ) and Co(Ⅱ) using saponified D2EHPA system

In this paper,we proposed a microextraction approach for the extraction and separation of Mn(Ⅱ)and Co(Ⅱ)from sulfate solution simulating leachate of spent lithium-ion battery cathode materials using saponified di-(2-ethylhexyl)phosphoric acid system.The effects of the following operational variables were investigated:equilibrium pH,tri-«-butyl phosphate concentration,saponification rate,two-phase ratio and residence time.The results showcased that the microextractor can reach the extraction equilibrium within 20 s,thereby greatly reducing necessary extraction time comparing to that of conventional processes.The volumetric mass transfer coefficient showed 8-21 times larger than that of batch device.With the help of microextractor,95%of Mn(Ⅱ)was extracted with a single theoretical stage at a chosen two-phase ratio of 3:1,and the separation factor β_(Mn/Co) was as large as 65.5.In the subsequent stripping step,more than 99%of manganese from loaded phase was easily stripped under optimal conditions.The microextraction approach greatly enhances the mass transfer while enabling a continuous and controllable extraction process within a simple structure design.When extracting spent electrode material with microextractors,the comprehensive recovery of mangenese can reach 96%.The microextraction approach has a good applicability in the spent lithium-ion battery cathode materials recycling at both bench and industrial scales.

Assessing non-point source pollution in an apple-dominant basin and associated best fertilizer management based on SWAT modeling

Investigating the impact of apple-dominated areas on nitrogen(N)and phosphorus(P)losses at a basin scale was essential for the sustainable development of apple industry in China.This study conducted a survey on fertilizer application and built a Soil and Water Assessment Tool(SWAT)model to quantita-tively analyze the N and P losses in the Qixia apple-dominated area.Additionally,the decreases in N and P losses through adjusting the fertilizer application modes were evaluated.Results showed that average N and P losses in the Wulong River Basin(WRB)were 44.4 and 0.365 kg ha^(-1)in 2011-2017,respectively,and apple orchards accounted for 733%and 51.4%of the total N and P losses in the basin.Under nine fertilizer scheduling scenarios,three fertilizer schedule scenarios,automatic fertilizer application(S-AUTO),"one shot"mode(S1),and regulated fertilizer application(S-BSD),had the lowest N and P losses in apple orchards.The decreases in N loss ranged from 20.6%to 26.1%at the subbasin scale and 14.8%-30.7%at the basin outlet when applying the S-AUTO,S1,and S-BSD fertilizer application modes in Qixia apple orchards and all apple orchards in the WRB.The reductions in P loss varied from 22.0%to 46.1%at the subbasin scale and 14.6%-25.6%at the basin outlet.In orchard-dominated basin,N and P losses can be effectively reduced by optimizing the orchard fertilizer scheduling strategies.

Ultrastable and highly efficient CsPbBr_(3) composites achieved by dual-matrix encapsulation for display devices

Perovskite nanocrystals(NCs)with high stabilities and excellent optical perfor-mances are crucial for display applications.However,to date,perovskite emitters with both high photoluminescence(PL)quantum yield(PLQY)and high stabili-ties under harsh synergistic humidity–heat–light aging conditions have not been reported.The promising high-temperature solid-state sintering with single oxide matrices cannot ensure high PLQY and synergistic aging stabilities of perovskites.Herein,both the PLQY and overall(thermal,moisture,and photo)stabilities of all-inorganic perovskite(CsPbBr_(3))NCs are improved by dual-matrix encapsula-tion,which is accomplished by in situ crystallization of CsPbBr_(3)@Cs_(4)PbBr_(6)nanocomposites in silica molecular sieve(MS)templates via advanced solid-state synthesis a using precisely controlled molar ratio of precursor components and cooling rates.The Cs_(4)PbBr_(6)matrix effectively passivates the surfaces of CsPbBr_(3)NCs,and the MS matrix insulates CsPbBr_(3)@Cs_(4)PbBr_(6)from the external environ-ment.The resulting CsPbBr_(3)@Cs_(4)PbBr_(6)/MS composites exhibit the highest PLQY(>90%)among those of the solid-state perovskite NCs and significant stabilities against water,heat,and blue light irradiation,maintaining more than 80%of their initial PL intensities after being aged for 1000 h under synergistic high-humidity(85%),high-temperature(85C),and strong blue light irradiation(350 mW cm2)conditions.To the best of our knowledge,these CsPbBr_(3)@Cs_(4)PbBr_(6)/MS composites represent the most stable perovskite emitters under synergistic humidity–heat–light aging conditions.The liquid crystal display backlight module fabricated using these stable composites demonstrates a wide color gamut of 131%of the National Television Standards Committee standard.We speculate that this dual-matrix encapsulation can be used for industrial mass production.