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动态增强磁共振成像在乳腺癌诊断及疗效监测中的应用进展(英文) 被引量:7
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作者 jeon-hor chen 《磁共振成像》 CAS 2012年第2期84-97,共14页
经过20余年的相关研究,MRI现已成为临床公认的用于检出和诊断乳腺疾病的影像检查手段之一。笔者简要阐述了乳腺动态增强(DCE)磁共振成像技术及其临床应用。详细介绍了动态增强中有关药代动力学的测量方法、各种相关参数的定性分析、以及... 经过20余年的相关研究,MRI现已成为临床公认的用于检出和诊断乳腺疾病的影像检查手段之一。笔者简要阐述了乳腺动态增强(DCE)磁共振成像技术及其临床应用。详细介绍了动态增强中有关药代动力学的测量方法、各种相关参数的定性分析、以及Ktrans和kep等反应药代动力学特征参数的定量分析。笔者不但就当前"是否有必要对每位患者进行动脉输入函数进行测量"等有争议的话题进行了讨论,还在对当前广泛应用的各种动态增强MRI后处理软件进行了较详尽的描述之后,进一步对动态增强MRI在乳腺癌的诊断及疗效监测等方面的临床应用情况进行了详尽的回顾。作者认为:总体来讲,对于乳腺癌的诊断,关键在于关注病灶中最具侵袭性部分的MRI特征。而对于乳腺癌疗效的监测,则应该对整个病灶进行分析。最后,笔者就乳腺MRI对乳腺癌高危人群的筛查以及风险的处理等问题进行了讨论。笔者预测乳腺MRI在女性乳腺疾病尤其是乳腺癌的筛查、诊断、治疗及疗效监测等一系列问题上将继续发挥不可替代的重要作用。 展开更多
关键词 动态增强磁共振成像 乳腺癌 诊断 化疗 监测 进展
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An image segmentation framework for extracting tumors from breast magnetic resonance images
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作者 Le Sun Jinyuan He +4 位作者 Xiaoxia Yin Yanchun Zhang jeon-hor chen Tomas Kron Min-Ying Su 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2018年第4期1-15,共15页
Magnetic resonance imaging(MRI)has been a prevalence technique for breast cancer diagnosis.Computer-aided detection and segmentation of lesions from MRIs plays a vital role for the MRI-based disease analysis.There are... Magnetic resonance imaging(MRI)has been a prevalence technique for breast cancer diagnosis.Computer-aided detection and segmentation of lesions from MRIs plays a vital role for the MRI-based disease analysis.There are two main issues of the existing breast lesion segmentation techniques:requir ing manual delineation of Regions of Interests(ROIs)as a step of initialization;and requiring a large amount of labeled images for model construction or parameter lear ning,while in real clinical or experimental settings,it is highly challenging to get suficient labeled MRIs.To resolve these issues,this work proposes a semi-supervised method for breast tumor segmentation based on super voxel strategies.After image segmentation with advanced cluster techniques,we take a supervised learning step to classify the tumor and nontumor patches in order to automatically locate the tumor regions in an MRI To obtain the opt imal performance of tumor extraction,we take extensive experiments to learn par ameters for tumor segmentation and dassification,and design 225 classifiers corresponding to diferent parameter settings.We call the proposed method as Semi supervised Tumor Segmentation(SSTS),and apply it to both mass and nonmass lesions.Experimental results show better performance of SsTS compared with five state of-the art methods. 展开更多
关键词 Breast lesion image segmentation MRI
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Temporally shifted hemodynamic response model helps to extract acupuncture-induced functional magnetic resonance imaging blood oxygenation-level dependent activities 被引量:1
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作者 Tsung-Jung Ho Jeng-Ren Duann +7 位作者 Chun-Ming chen jeon-hor chen Wu-Chung Shen Tung-Wu Lu Jan-Ray Liao Zen-Pin Lin Kuo-Ning Shaw Jaung-Geng Lin 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期823-829,共7页
Background The onsets of needling sensation introduced by acupuncture stimulus can vary widely from subject to subject. This should be explicitly accounted for by the model blood oxygenation-level dependent (BOLD) t... Background The onsets of needling sensation introduced by acupuncture stimulus can vary widely from subject to subject. This should be explicitly accounted for by the model blood oxygenation-level dependent (BOLD) time course used in general linear model (GLM) analysis to obtain more consistent across-subject group results. However, in standard GLM analysis, the model BOLD time course obtained by convolving a canonical hemodynamic response function with an experimental paradigm time course is assumed identical across subjects. Although some added-on properties to the model BOLD time course, such as temporal and dispersion derivatives, may be used to account for different BOLD response onsets, they can only account for the BOLD onset deviations to the extent of less than one repetition time (TR). Methods In this study, we explicitly manipulated the onsets of model BOLD time course by shifting it with -2, -1, or 1 TR and used these temporally shifted BOLD model to analyze the functional magnetic resonance imaging (fMRI) data obtained from three acupuncture fMRI experiments with GLM analysis. One involved acupuncture stimulus on left ST42 acupoint and the other two on left GB40 and left BL64 acupoints. Results The model BOLD time course with temporal shifts, in addition to temporal and dispersion derivatives, could result in better statistical power of the data analysis in terms of the average correlation coefficients between the used BOLD models and extracted BOLD responses from individual subject data and the T-values of the activation clusters in the grouped random effects. Conclusions The GLM analysis with ordinary BOLD model failed to catch the large variability of the onsets of the BOLD responses associated with the acupuncture needling sensation. Shifts in time with more than a TR on model BOLD time course might be required to better extract the acupuncture stimulus-induced BOLD activities from individual fMRI data. 展开更多
关键词 ACUPUNCTURE magnetic resonance imaging functional blood oxygenation-level dependent responses
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