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超声引导下穿刺活检对不同病理类型乳腺炎性病灶的鉴别诊断价值 被引量:9
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作者 李晓娜 何秀丽 王克 《中国现代医学杂志》 CAS 2020年第11期61-64,共4页
目的探讨超声引导下穿刺活检(US-CNB)对不同病理类型乳腺炎性病灶的鉴别诊断价值。方法选取2017年9月-2019年2月锦州医科大学附属第一医院就诊的疑似乳腺炎患者64例作为研究对象。所有患者于彩色多普勒超声(以下简称彩超)检查后行US-CNB... 目的探讨超声引导下穿刺活检(US-CNB)对不同病理类型乳腺炎性病灶的鉴别诊断价值。方法选取2017年9月-2019年2月锦州医科大学附属第一医院就诊的疑似乳腺炎患者64例作为研究对象。所有患者于彩色多普勒超声(以下简称彩超)检查后行US-CNB,且经择期手术后切除病灶。以手术后组织病理学结果作为确诊的金标准,分析对比US-CNB与彩超检查结果的准确性。结果64例临床疑似乳腺炎的患者中,与手术后病理学结果比较,US-CNB诊断的准确率为96.9%(62/64),彩超检查诊断的准确率为75.0%(48/64),2种方法比较,差异有统计学意义(P<0.05),US-CNB诊断的准确率高于彩超检查的准确率。结论US-CNB对乳腺炎病理分型的鉴别诊断较准确,该技术对临床医生有较重要的参考价值。 展开更多
关键词 乳腺炎 超声引导下穿刺活检 彩色超声
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超声造影LI-RADS分类在肝细胞癌诊断及鉴别诊断中的应用价值 被引量:2
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作者 尚婧莹 何秀丽 郭玲玲 《中国现代医学杂志》 CAS 北大核心 2022年第1期6-12,共7页
目的评估美国放射协会的超声造影肝脏影像报告与数据系统(LI-RADS)分类标准在肝细胞癌(HCC)诊断及鉴别诊断中的临床价值。方法选取2018年1月—2019年12月于锦州医科大学附属第一医院就诊的具有HCC高危风险的肝脏局灶性病变患者163例,回... 目的评估美国放射协会的超声造影肝脏影像报告与数据系统(LI-RADS)分类标准在肝细胞癌(HCC)诊断及鉴别诊断中的临床价值。方法选取2018年1月—2019年12月于锦州医科大学附属第一医院就诊的具有HCC高危风险的肝脏局灶性病变患者163例,回顾性分析所有患者的超声造影图像,并依据超声造影LI-RADS标准进行分类。以病理组织学诊断为金标准,计算该分类标准诊断HCC的敏感性、特异性、准确性、阳性预测值(PPV)及阴性预测值(NPV),以此绘制受试者工作特征(ROC)曲线并计算曲线下面积(AUC)。结果 163例患者共192个结节,经病理证实HCC145个(75.5%),肝内胆管细胞癌(ICC)10个(5.2%),混合型肝癌4个(2.1%),转移瘤2个(1.0%),良性病灶31个(16.1%)。超声造影LI-RADS分类结果为:LR-3类17个(8.9%),LR-4类33个(17.2%),LR-5类120个(62.5%),LR-M类22个(11.5%);各分类中HCC的PPV分别为17.6%(3/17)、51.5%(17/33)、98.3%(118/120)和31.8%(7/22)。LR-5类诊断HCC的敏感性、特异性和PPV分别为81.4%、95.7%和98.3%;LR-4类联合LR-5类的敏感性、特异性和PPV为93.1%、61.7%和88.2%,AUC分别为0.886(95%CI:0.836,0.937)和0.782(95%CI:0.696,0.868),差异有统计学意义(P <0.05)。LRM中95.5%(21/22)的病灶为恶性病灶,其中HCC占31.8%(7/22),非HCC恶性病灶为63.6%(14/22);全部ICC均被正确划分至LR-M类。LR-3类中大部分(75.0%)为良性病灶。结论美国放射协会的超声造影LIRADS分类标准对HCC的诊断及鉴别诊断具有较高的应用价值,对HCC高危患者具有较好的风险预测价值,推荐在临床实践中应用。 展开更多
关键词 肝细胞癌 超声造影 肝脏影像报告和数据系统
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Exit morphology and mechanical property of FDM printed PLA: influence of hot melt extrusion process
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作者 Yan-Hua Bian Gang Yu +4 位作者 Xin Zhao Shao-Xia Li xiu-li he Chong-Xin Tian Zhi-Yong Li 《Advances in Manufacturing》 SCIE EI CAS CSCD 2023年第1期56-74,共19页
In order to study the hot melt extrusion process in fused deposition modeling(FDM),this study mainly explores the effects of printing temperature,heated block length,feeding speed on the exit morphology and mechanical... In order to study the hot melt extrusion process in fused deposition modeling(FDM),this study mainly explores the effects of printing temperature,heated block length,feeding speed on the exit morphology and mechanical properties of FDM printed Polylactic acid(PLA)samples.High-speed camera is used to capture the exit morphology of molten PLA just extruded to the nozzle.According to exit morphology,the outlet states of extruded molten material can be divided into four categories,namely,bubbled state,coherent state,expanding state,and unstable state.Tensile test results show that printing temperature,heated block length and printing speed have significant influence on tensile properties and fracture mode of FDM printed samples.When the heated block length is 15 mm and 30 mm,there is a ductile-brittle transition in fracture mode with the increase of printing speed.The printing process window under different heated block lengths and printing temperatures has been figured out and the distribution of printing process window under different printing speeds has been discussed.There is a maximum printing process window under the heated block length of 30 mm.This finding provides a frame work for performance prediction of FDM printed parts and theoretical guidance for expanding the scope of printing process window. 展开更多
关键词 Fused deposition modeling(FDM) Polylactic acid(PLA) Exit morphology Tensile property Printing process window
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Corrosion fatigue behavior of epoxy-coated Mg–3Al–1Zn alloy in NaCl solution 被引量:1
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作者 xiu-li he Ying-Hui Wei +3 位作者 Li-Feng Hou Zhi-Feng Yan Chun-Li Guo Peng-Ju Han 《Rare Metals》 SCIE EI CAS CSCD 2014年第3期276-286,共11页
The corrosion fatigue behavior of epoxy-coated Mg-3Al-1Zn alloy was investigated in air and 3.5 wt%NaCl solution. Epoxy coating as a new method was used to improve the corrosion fatigue property of the material.Result... The corrosion fatigue behavior of epoxy-coated Mg-3Al-1Zn alloy was investigated in air and 3.5 wt%NaCl solution. Epoxy coating as a new method was used to improve the corrosion fatigue property of the material.Results show that the fatigue limit(FL) of the coated specimens is higher than that of the uncoated specimens in3.5 wt% NaCl solution because of the strengthening and blocking functions of the epoxy coating. The FL of the coated specimens in 3.5 wt% NaCl solution is as high as that in air. It implies that the coated specimens are not as sensitive to the environment as the magnesium alloy. The low tensile strength and the short elongation of the pure epoxy coating lead to that the fatigue crack of the coated specimen is always initiated from the epoxy-coating film Pores and pinholes accelerate the fatigue crack initiation process. Pinholes are caused by the corrosion reactions between the epoxy coating and the NaCl solution. 展开更多
关键词 Epoxy coating Corrosion fatigue Magnesium alloy 3.5 wt% NaCl solution FatigueCrack initiation
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