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人工智能三维重建辅助规划胸腔镜肺段切除术的应用价值
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作者 郑智中 任美玉 +6 位作者 李斌 杨建宝 魏小平 宋铁牛 孟于琪 陈玉珍 刘晴 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第7期515-522,共8页
背景与目的三维重建可辅助规划肺段切除手术,基于人工智能算法的三维重建软件正逐步应用于临床中。本研究旨在评估人工智能三维重建辅助规划胸腔镜肺段切除术的准确性及安全性。方法共纳入兰州大学第二医院胸外科收治的90例经评估拟行... 背景与目的三维重建可辅助规划肺段切除手术,基于人工智能算法的三维重建软件正逐步应用于临床中。本研究旨在评估人工智能三维重建辅助规划胸腔镜肺段切除术的准确性及安全性。方法共纳入兰州大学第二医院胸外科收治的90例经评估拟行胸腔镜肺段切除术的患者,术前使用人工智能三维重建软件制作肺三维图像并进行术前规划,术中保存手术录像,记录围手术期数据。选取38例患者的视频录像,探究人工智能三维重建对于手术规划的效能。将人工智能三维重建图像及Mimics 21软件重建结果与术中实际所见进行对比,比较两种重建方法对支气管、血管的检测及分型能力。结果90例患者均在人工智能三维重建规划下完成手术,其中单一肺段切除57例(63.3%),联合亚段切除33例(36.7%)。人工智能三维重建对病变定位的准确率为100.0%,计算机断层扫描(computed tomography,CT)报告准确率为94.4%(85/90)。人工智能三维重建和Mimics 21软件的检测准确率分别为92.1%(35/38)和89.5%(34/38),解剖分型准确率分别为89.5%(34/38)和84.2%(32/38),总准确率分别为76.3%(29/38)和71.1%(27/38)。在对38例手术视频与重建图像的对比观察中发现,使用人工智能三维重建进行术前规划的靶段规划、手术入路、动脉离断、静脉离断、支气管离断的一致率分别为92.1%(35/38)、92.1%(35/38)、89.5%(34/38)、86.8%(33/38)、94.7%(36/38),总规划操作一致率为68.4%(26/38)。结论使用人工智能三维重建辅助规划胸腔镜肺段切除术是准确且安全的。 展开更多
关键词 人工智能 三维重建 磨玻璃结节 肺段切除术
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术后辅助治疗对局部进展期(pT3N0M0)食管鳞癌远期生存影响的回顾性分析 被引量:6
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作者 朱多杰 李斌 +5 位作者 王成 蒋鹏 杨建宝 宋铁牛 魏小平 孟于琪 《中国肿瘤临床》 CAS CSCD 北大核心 2018年第5期228-231,共4页
目的:探讨术后辅助治疗对于pT3N0M0食管鳞癌患者远期生存的影响。方法:回顾性分析兰州大学第二医院2010年1月至2014年4月收治的食管鳞癌患者资料,并分为4组:单纯手术组,手术+放疗组,手术+化疗组,手术+放化疗组。收集患者的临床病理资料... 目的:探讨术后辅助治疗对于pT3N0M0食管鳞癌患者远期生存的影响。方法:回顾性分析兰州大学第二医院2010年1月至2014年4月收治的食管鳞癌患者资料,并分为4组:单纯手术组,手术+放疗组,手术+化疗组,手术+放化疗组。收集患者的临床病理资料及远期随访结果。结果:2010年1月至2014年4月共纳入177例患者,中位年龄61(43~78)岁。其中单纯手术组79例,术后辅助治疗组98例,其中手术+放疗组28例,手术+化疗组38例,手术+放化疗组32例。术后辅助治疗的总生存率和无瘤生存率均高于单纯手术组(P=0.012,P=0.007)。组间比较结果显示:手术+放疗组总生存率和无瘤生存率高于单纯手术组(P=0.038,P=0.011),手术+放化疗组仅总生存率高于单纯手术组(P=0.031)。结论:p T3N0M0食管鳞癌患者可以从术后辅助放疗和放化疗中获益,尤其放疗可以达到局部区域控制的显著效果。 展开更多
关键词 食管癌 鳞癌 术后辅助治疗 远期生存 无病生存
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Application of Prochloraz-nano-titanium Dioxide Complex Fresh-keeping Agent in Refrigeration of Dioscorea alata Lirm. sp. 被引量:1
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作者 Dongdi XIE Yanpei wei +1 位作者 xiaoping wei Wanwei WU 《Asian Agricultural Research》 2018年第10期77-81,共5页
Prochloraz diluents( 450 ×,475 ×,500 ×) were added with different concentrations of nano-titanium dioxide( Ti O2)( 0. 8%,1. 0%) respectively to prepare complex fresh-keeping agents,which were applied in... Prochloraz diluents( 450 ×,475 ×,500 ×) were added with different concentrations of nano-titanium dioxide( Ti O2)( 0. 8%,1. 0%) respectively to prepare complex fresh-keeping agents,which were applied in the refrigeration of Dioscorea alata Lirm. sp. With rot index,weight loss rate,browning degree( BD),total soluble solids( TSS) content,malondialdehyde( MDA) content,polyphenol oxidase( PPO) activity and peroxidase( POD) activity,DPPH· scavenging rate as evaluation indexes,the preservation effect of the prepared freshkeeping agents on D. alata during the cold storage period was analyzed. The results showed that prochloraz added with nano-titanium dioxide significantly prolonged the storage life,reduced the rot rate and weight loss rate,and slowed the loss of pulp of D. alata. The preservation effect of complex fresh-keeping agent of prochloraz diluent( 475 ×) and nano-titanium dioxide( 1. 0%) was better than that of other treatments. 展开更多
关键词 纳米钛 农业 科技创新 发展现状
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Experimental and modeling study of CO_(2)-Improved gas recovery in gas condensate reservoir 被引量:1
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作者 Zhengyuan Su Yong Tang +2 位作者 Hongjiang Ruan Yang Wang xiaoping wei 《Petroleum》 2017年第1期87-95,共9页
This paper presents the effectiveness of the CO_(2) injection process at different periods during gascondensate reservoir development.Taking a real gas-condensate reservoir located in China's east region as an exa... This paper presents the effectiveness of the CO_(2) injection process at different periods during gascondensate reservoir development.Taking a real gas-condensate reservoir located in China's east region as an example,first,we conducted experiments of constant composition expansion(CCE),constant volume depletion(CVD),saturation pressure determination,and single flash.Next,a series of water/CO2 flooding experiments were been investigated,including water flooding at present pressure 15 MPa,CO_(2) flooding at 25.53 MPa,15 MPa,which repents initial pressure and present pressure respectively.Finally,the core flooding numerical model was constructed using a generalized equation-of-state model reservoir simulator(GEM)to reveal miscible flooding mechanism and the seepage flow characteristics in the condensate gas reservoir with CO2 injection.A desirable agreement achieved in experimental results and predicted pressure volume temperature(PVT)properties by the modified equation of state(EOS)in the CVD and CCE tests indicated that the proposed recombination method can successfully produce a fluid with the same phase behavior of initial reservoir fluid with an acceptable accuracy.The modeling results confirm the experimental results,and both methods indicate that significant productivity loss can occur in retrograde gas condensate reservoirs when the flowing bottom-hole pressure falls below dew point pressure.Moreover,the results show that CO_(2) treatment can improve gas productivity by a factor of about 1.39 compared with the water flooding mode.These results may help reservoir engineers and specialists to restore the lost productivity of gas condensate. 展开更多
关键词 Gas condensate reservoir CO_(2)injection Numerical simulations Improved gas recovery
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