Polycystic ovary syndrome(PCOS) is a common reproductive disease with high heterogeneity. The role of excess androgen in PCOS etiology remains disputed, since around 20%-50% of PCOS women do not display hyperandroge...Polycystic ovary syndrome(PCOS) is a common reproductive disease with high heterogeneity. The role of excess androgen in PCOS etiology remains disputed, since around 20%-50% of PCOS women do not display hyperandrogenemia. The microenvironment of the ovary critically influences follicular development. In the present study, we assessed the role of androgen in PCOS by investigating whether excessive follicular fluid androgen was present in PCOS patients with normal serum androgen levels and influenced by follicular fluid insulin resistance(IR).Follicular fluid samples of 105 women with PCOS and 105 controls were collected. Levels of steroid hormones,glucose and insulin in the follicular fluid were examined and compared with data from serum biochemistry tests. We found that 64.9%(63/97) of PCOS patients with normal serum androgen levels displayed abnormally high follicular fluid androgen level. The follicular fluid androgen level was positively correlated with follicular fluid IR within a certain range and follicular fluid estrogen-to-testosterone(E2/T) ratio was significantly reduced in these patients.These results indicated that there existed a subgroup of PCOS patients who displayed excessive follicular fluid androgen and IR despite their normal circulating testosterone(T) levels. Our study highlights the importance of ovary hyperandrogenism and IR in the etiology of PCOS.展开更多
Medical images are usually degraded by numerous noises during acquisition or transmission,which often causes low contrast leading to deterioration of image quality.As such,medical image denoising and enhancement has b...Medical images are usually degraded by numerous noises during acquisition or transmission,which often causes low contrast leading to deterioration of image quality.As such,medical image denoising and enhancement has become a paramount routine task.To overcome this problem,we propose a cutting-edge joint statistical and morphological model for the denoising and enhancement operation.Firstly,we propose a statistical model in formulating the marginal distribution of the wavelet coefficients.This model is integrated into a Bayesian inference framework to develop a maximum a posterior(MAP)estimator of the noise-free coefficient.Based on the statistical model,we eliminate the need for noise level estimation,and allows the model to automatically adapts to the observed image data.Secondly,we propose an adjustable morphological reconstruction model to eliminate known and unknown noises associated with medical images,while preserving the image details.After these operations,the image is decomposed into several wavelet subbands to extract the illumination and detail components.The image is then reconstructed based on the inverse wavelet to generate the enhanced noise-free image.Experimental results show that the proposed framework obtained high EME values of 41.04,48.81,47.81,and 45.75 for OCTA,FFA,CT,and X-ray imaging modalities,and performs better than the state-of-the-art methods.The proposed algorithm can effectively and efficiently enhance medical images,which will assist the clinicians in disease diagnosis,monitoring,and treatment.展开更多
基金supported by the Key Project of Chinese National Programs for Fundamental Research and Development (973 Program, 2012CBA01306)the National Natural Science Foundation of China (81471429)
文摘Polycystic ovary syndrome(PCOS) is a common reproductive disease with high heterogeneity. The role of excess androgen in PCOS etiology remains disputed, since around 20%-50% of PCOS women do not display hyperandrogenemia. The microenvironment of the ovary critically influences follicular development. In the present study, we assessed the role of androgen in PCOS by investigating whether excessive follicular fluid androgen was present in PCOS patients with normal serum androgen levels and influenced by follicular fluid insulin resistance(IR).Follicular fluid samples of 105 women with PCOS and 105 controls were collected. Levels of steroid hormones,glucose and insulin in the follicular fluid were examined and compared with data from serum biochemistry tests. We found that 64.9%(63/97) of PCOS patients with normal serum androgen levels displayed abnormally high follicular fluid androgen level. The follicular fluid androgen level was positively correlated with follicular fluid IR within a certain range and follicular fluid estrogen-to-testosterone(E2/T) ratio was significantly reduced in these patients.These results indicated that there existed a subgroup of PCOS patients who displayed excessive follicular fluid androgen and IR despite their normal circulating testosterone(T) levels. Our study highlights the importance of ovary hyperandrogenism and IR in the etiology of PCOS.
基金This work was supported by the National Natural Science Foundation of China(62250410370)National Science and Technology Funding for Foreign Youth Talent Program(QN2022033002 L)+2 种基金Guangxi Natural Science Foundation for Youth Science and Technology(2021GXNSFBA220075)a grant from the Guangxi Postdoctoral Special Support Fund(C21RSC90ZN02 and C22RSC90ZN01)Scientific Research Fund(YXRSZN03 and UF20035Y).
文摘Medical images are usually degraded by numerous noises during acquisition or transmission,which often causes low contrast leading to deterioration of image quality.As such,medical image denoising and enhancement has become a paramount routine task.To overcome this problem,we propose a cutting-edge joint statistical and morphological model for the denoising and enhancement operation.Firstly,we propose a statistical model in formulating the marginal distribution of the wavelet coefficients.This model is integrated into a Bayesian inference framework to develop a maximum a posterior(MAP)estimator of the noise-free coefficient.Based on the statistical model,we eliminate the need for noise level estimation,and allows the model to automatically adapts to the observed image data.Secondly,we propose an adjustable morphological reconstruction model to eliminate known and unknown noises associated with medical images,while preserving the image details.After these operations,the image is decomposed into several wavelet subbands to extract the illumination and detail components.The image is then reconstructed based on the inverse wavelet to generate the enhanced noise-free image.Experimental results show that the proposed framework obtained high EME values of 41.04,48.81,47.81,and 45.75 for OCTA,FFA,CT,and X-ray imaging modalities,and performs better than the state-of-the-art methods.The proposed algorithm can effectively and efficiently enhance medical images,which will assist the clinicians in disease diagnosis,monitoring,and treatment.