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Effect of configuration and conformation on the spin multiplicity in xylylene type biradicals 被引量:2
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作者 张景萍 张宏 +2 位作者 王立敏 王荣顺 王利祥 《Science China Chemistry》 SCIE EI CAS 2000年第5期524-530,共7页
The singlet-triplet splitting energy gap ΔEs-T= Es - ET is calculated for the ortho-, meta-, and para-xylylenes and their heteroatomic analogous by means of AM1-CI approach. It is shownthat when the radical centers R... The singlet-triplet splitting energy gap ΔEs-T= Es - ET is calculated for the ortho-, meta-, and para-xylylenes and their heteroatomic analogous by means of AM1-CI approach. It is shownthat when the radical centers R(R=H2C- ,H2N+- or HN’- ) are twisted sufficiently far out ofconjugation with the benzene ring, ΔEs-T tends to zero or is negative, i.e. ortho-, meta-, and para-phenylenes turn into weak ferromagnetic or antiferromagnetic coupling unit, while they are strong ferromagnetic (meta-isomers) or antiferromagnetic (ortho-, para-isomers) coupling units under planar conformation. It is suggested that serious twisted conformation is not recommended candidate for the design of novel high-spin molecules with stable high-spin ground states by ortho-or para-phenylene coupling unit. 展开更多
关键词 high-spin molecule biradical xylylene AM1-CI twisted conformation
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Synthesis, structure, magnetic properties and molecular mechanics study on the dinuclear copper (II) with biradical 被引量:1
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作者 孙柏旺 赵琦华 +7 位作者 廖代正 姜宗慧 阎世平 王耕霖 姚心侃 王宏根 王磊光 陈海建 《Science China Chemistry》 SCIE EI CAS 2000年第1期105-112,共8页
Dinuclear copper complex with biradicals [Cu(hfac)2]2PhBNM(PhBNM = 2,5-bimethyl-1,4-bis(4,4,5,5-tetramethyllimidazoline-1-oxyl-3-oxide)phenyl,hfac=hexafluoroacetylacetonate) has been synthesized and characterized. It ... Dinuclear copper complex with biradicals [Cu(hfac)2]2PhBNM(PhBNM = 2,5-bimethyl-1,4-bis(4,4,5,5-tetramethyllimidazoline-1-oxyl-3-oxide)phenyl,hfac=hexafluoroacetylacetonate) has been synthesized and characterized. It crystallized in the monoclinic system, with space group C2/c, a=1.9012(4), b=1.3718(3), c=2.1620(4) nm, β=97.55(3)°, Z=4. The X-ray structure analysis shows that the molecular structure consists of two kinds of conformations. The ratio of them is 7:3. The energy of two conformations, calculated with molecular mechanics, are different, E1=740 kJ/mol, and E2=771 kJ · mol-1. The CNDO/k results on the complex indicate that the orbital energy of low spin state is lower than that of high spin state, which correspond with the results of magnetic measurement. 展开更多
关键词 biradical crystal STRUCTURE MAGNETISM molecular mechanics.
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Achieving T-Type Photochromism through Generating Copper(I)Metallacyclopentadiene Biradical
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作者 Xu Zhang Jin-Yun Wang +4 位作者 Liang-Jin Xu Xu-Yuan Jin Xin Yang Li-Yi Zhang Zhong-Ning Chen 《CCS Chemistry》 CAS 2022年第12期3832-3841,共10页
Photochromism due to organometallic ring-closure through C−C linkage has never been attained.In this work,we report a preliminary approach to achieve T-type photochromism by creating a metallacyclopentadiene biradical... Photochromism due to organometallic ring-closure through C−C linkage has never been attained.In this work,we report a preliminary approach to achieve T-type photochromism by creating a metallacyclopentadiene biradical under light irradiation.A class of CuPt2 phenylacetylide compounds was prepared with distinguished photochromic recyclability and durability,which involved the formation of thermally sensitive copper(I)-butadienyl,five-membered ring through copper(I)-participated ring-closure.Upon UV light irradiation,the metallacyclopentadiene with copper(I)center chelated by 1,3-butadiene-1,4-diyl biradical was generated through photochemical C-C linkage of two face-to-face oriented ethynyl units in close proximity,giving rise to a drastic change in UV-vis absorption spectrum.When UV light irradiation was ceased,decoloration occurred through thermal cycloreversion,which endowed the photochromic CuPt2 complexes with self-recovery characteristics.Electron paramagnetic resonance(EPR)spectral study confirmed a biradical feature of a ring-closed isomer.The thermal decoloration half-lives at ambient temperature were regulated from seconds to hours by increasing F substituents in phenylethynyl ligands. 展开更多
关键词 heteronuclear complex PHOTOCHROMISM biradical organometallic ring-closure thermal cycloreversion
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Synthesis and properties of the complexes of lanthanides with nitronyl nitroxide biradical
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作者 赵琦华 李立存 +3 位作者 廖代正 姜宗慧 阎世平 方瑞斌 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2000年第4期561-564,共4页
Five novel complexes of formula [Ln(hfac)3] · BNPhOM, where La = Gd, Ho, Dy, Y, Er; Mac = hexfluoracetylacetonate; BNPhOM=1,3-[bis-2,2′,-(4,4,5,5-tetramethyl-4,5-di-hydro-1H-imidazolyl-1-oxyl-3-oxide) phenoxy] p... Five novel complexes of formula [Ln(hfac)3] · BNPhOM, where La = Gd, Ho, Dy, Y, Er; Mac = hexfluoracetylacetonate; BNPhOM=1,3-[bis-2,2′,-(4,4,5,5-tetramethyl-4,5-di-hydro-1H-imidazolyl-1-oxyl-3-oxide) phenoxy] propane, have been prepared and characterized by elemental analysis, molar conductances, IR and electronic spectra. The temperature dependence of the magnetic susceptibility for Gd(III) and radical was measured (2—-300 K). The observed data were successfully simulated giving the exchange integral J = 0.28 cm?1, J' = - 0.33 cm?1. These results indicate a weak ferromagnetic spin exchange interaction between Gd(III) ion and the radical and a weak antiferromagnetic spin exchange interaction between the radical and radical. 展开更多
关键词 Rare earth complexes nitronyl nitroxide biradical MAGNETISM
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BIRADS联合弹性成像对乳腺癌的诊断价值分析
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作者 李萍 盛文伟 《河北医学》 CAS 2023年第10期1664-1668,共5页
目的:探究BIRADS分级联合弹性成像对乳腺癌的诊断价值。方法:选取2020年1月至2021年12月我院收治的105例疑似乳腺癌患者作为研究对象,对所有患者进行BIRADS分级及弹性成像检查,以患者病理检验结果为金标准,探究BIRADS、弹性成像检查分... 目的:探究BIRADS分级联合弹性成像对乳腺癌的诊断价值。方法:选取2020年1月至2021年12月我院收治的105例疑似乳腺癌患者作为研究对象,对所有患者进行BIRADS分级及弹性成像检查,以患者病理检验结果为金标准,探究BIRADS、弹性成像检查分别及联合应用的诊断价值。结果:本研究纳入研究患者共105例,156个病灶,病理检验结果显示:49个病灶为良性,其中增生腺病19个,导管内乳头状瘤14个,纤维腺瘤11个,乳腺炎5个;107个病灶为恶性,其中浸润性癌41个,浸润性导管癌37个,导管原位癌13个,小叶癌8个,粘液癌4个,乳头状癌2个,浆液性癌1个,肉瘤样癌1个。经BIRADS诊断乳腺恶性病灶的准确率为81.41%,敏感度为77.57%,特异度为89.80%,阳性预测值为94.32%,阴性预测值为64.71%;弹性成像诊断乳腺恶性病灶的准确率为85.26%,敏感度为87.85%,特异度为79.59%,阳性预测值为90.38%,阴性预测值为75.00%;BIRADS、弹性成像检查联合诊断乳腺恶性病灶的准确率为91.67%,敏感度为90.65%,特异度为93.88%,阳性预测值为97.00%,阴性预测值为82.14%。联合诊断的准确度(91.67%)高于BIRADS(81.41%)和弹性成像(85.26%),差异有统计学意义(P<0.05)。结论:BIRADS、弹性成像检查联合诊断能提高对乳腺恶性病变的诊断准确率、特异度及敏感度,具有较高的诊断价值。 展开更多
关键词 BIRADS分类 弹性成像 乳腺癌 诊断价值
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乳腺癌影像学检查分类与其生物学指标的相关性研究 被引量:5
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作者 熊文 徐时 +2 位作者 吴东进 吴泽明 唐波 《实用癌症杂志》 2014年第6期633-636,共4页
目的探讨乳腺癌影像学检查BIRADS(乳腺影响报告数据系统)分级与其临床病理生物学指标的关系。方法回顾性分析63例乳腺癌患者的临床病理资料。结果乳腺癌病理组织学分级与钼靶、MRI分类呈正相关性(R=0.328,P=0.009;R=0.281,P=0.026)。乳... 目的探讨乳腺癌影像学检查BIRADS(乳腺影响报告数据系统)分级与其临床病理生物学指标的关系。方法回顾性分析63例乳腺癌患者的临床病理资料。结果乳腺癌病理组织学分级与钼靶、MRI分类呈正相关性(R=0.328,P=0.009;R=0.281,P=0.026)。乳腺癌肿瘤大小、肿瘤组织分级与钼靶分类呈正相关性(R=0.267,P=0.034;R=0.268,P=0.034)。乳腺癌肿瘤组织分级与ER(雌激素受体)、PR(孕激素受体)表达呈负相关性(R=-0.019,P=0.031;R=-0.189,P=0.042)。HER-2阳性表达与肿瘤大小相关,与B超和MRI分类也有一定相关性,ER阳性表达与钼靶分类相关,PR阳性表达与MRI分类相关。结论肿瘤组织学分级与BIRADS分类存在相关性,可根据影像学检查对乳腺癌的生物学行为和预后做出初步判断。 展开更多
关键词 乳腺肿瘤 影像学检查 分子生物学指标 BIRADS分级
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联合超声弹性成像与超声BIRADS在乳腺病变诊断中的价值 被引量:13
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作者 黄嘉静 陈玉英 《实用癌症杂志》 2014年第6期645-647,662,共4页
目的探讨联合超声成像(UE)与超声BIRADS分类,在乳腺恶性病变灶中的诊断价值。方法通过对确诊的352名患者的420个乳腺病灶分别进行超声弹性成像(UE),BIRADS分类,弹性成像与BIRADS联合检查研究,并与病理结果对照,对比分析UE、BIRADS分类... 目的探讨联合超声成像(UE)与超声BIRADS分类,在乳腺恶性病变灶中的诊断价值。方法通过对确诊的352名患者的420个乳腺病灶分别进行超声弹性成像(UE),BIRADS分类,弹性成像与BIRADS联合检查研究,并与病理结果对照,对比分析UE、BIRADS分类及两者联合在乳腺癌超声诊断中的特异度、灵敏度、准确度、阳性预测值、阴性预测值、Youden指数。结果弹性成像(UE)对乳腺病变诊断的特异度83.62%(240/287)、灵敏度87.21%(116/133)、准确率84.76%(356/420)、阳性预测值71.17%(116/163)、阴性预测值93.39%(240/257)、Youden指数为70.83%(特异度+灵敏度-1)。BIRADS分类对乳腺癌诊断的特异度89.55%(257/287)、灵敏度77.44%(103/133)、准确率85.71%(360/420)、阳性预测值77.44%(103/133)、阴性预测值89.55%(257/287)、Youden指数为66.99%(特异度+灵敏度-1)。联合应用弹性成像(UE)和BIRADS分类的特异度94.77%(272/287)、灵敏度90.23%(120/133)、准确率93.33%(392/420)、阳性预测值88.89%(120/135)、阴性预测值95.44%(272/285)、Youden指数为85.00%(特异度+灵敏度-1)。结论弹性成像技术(UE)与BIRADS在乳腺病变的诊断中具有较高的特异度、灵敏度、准确率、阳性预测值、阴性预测值及Youden指数,但是仍具有一定的局限性。将弹性成像技术与BIRADS分级联合应用时特异度、灵敏度、准确率、阳性预测值、阴性预测值及Youden指数均增高,减少了单独使用两方法的漏诊或误诊病例,提高了诊断技术的真实性与可靠性。 展开更多
关键词 超声弹性成像 BIRADS分级 联合应用 乳腺病变
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乳腺微钙化特点对BIRADSⅡ~Ⅴ类病变诊断的价值 被引量:2
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作者 王佳 李白艳 《河南科技大学学报(医学版)》 2015年第3期183-185,共3页
目的 通过分析乳腺钼靶检查中乳腺组织钙化的形态、分布、伴随征像及数目在不同BIRADS分类中的表现以及所占良恶性比例,探讨乳腺钼靶检查中乳腺微钙化对BIRADS分类诊断的价值。方法 收集93例行GE全数字化乳腺钼靶机检查发现乳腺组织钙化... 目的 通过分析乳腺钼靶检查中乳腺组织钙化的形态、分布、伴随征像及数目在不同BIRADS分类中的表现以及所占良恶性比例,探讨乳腺钼靶检查中乳腺微钙化对BIRADS分类诊断的价值。方法 收集93例行GE全数字化乳腺钼靶机检查发现乳腺组织钙化,产生BIRADS分类报告系统,并通过手术、穿刺等方法均获得病理诊断的女性患者。结果 93例中良性病变70例,恶性病变22例,1例为交界性叶状肿瘤。92例患者BIRADSⅡ~Ⅴ类良恶性例数存在差异,外上象限、其他象限及≥2个象限在BIRADS分类中存在统计学差异(P〈0.05),而在良恶性组中无明显差异。钙化形态、分布、伴随征像在不同分级中及分组间存在统计学差异。单位面积内钙化数目在不同分级中及分类间亦存在统计学差异。结论 不同BIRADS分类中钙化的形态、分布及单位面积数目不同,这对于乳腺癌的早期筛查、治疗依据及日后随访有着重要意义。 展开更多
关键词 乳腺钙化 BIRADS分级 全数字化乳腺机
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Theoretical Design of High-spin Organic Molecules with —~*N—S— as a Spin-containing Fragment and Heterocycle as End Groups
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作者 WANG Li-min CHU De-qing +1 位作者 ZHANG Jing-ping WANG Rong-shun 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2006年第5期631-634,共4页
Novel stable high-spin molecules possessing three different arranging fashions were designed with —^*N—S— as a spin-containing (SC) fragment, an aromatic group, such as benzene ( 1 ), pyridine (2), pyridazi... Novel stable high-spin molecules possessing three different arranging fashions were designed with —^*N—S— as a spin-containing (SC) fragment, an aromatic group, such as benzene ( 1 ), pyridine (2), pyridazine (3) , pyrimidine (4), pyrazine (5) or triazine (6) as end groups (EG), and phenyl as a ferromagnetic coupling (FC) unit. The effects of different EG on the spin multiplicities of the ground states and their stabilities were investigated by means of the AM1-CI approach. All the investigated molecules corresponded to the FC and possessed high-spin ground states. The spin on the two atoms of the SC fragment was not in agreement with the delocalization results in the specific stability of —^*N—S—. In those molecules, the stabilities of the triplet states decreased when the distance between the atoms of central SC fragments (—N—) increased. The stabilities of the triplet states of compounds 1a-n, 1b-n and 1c-n, with heterocycles as EG were higher than those of the triplet states of those compounds with phenyl as EG. Furthermore, the stahilities of the triplet states of the compounds with pyrimidine and triazine as EG were higher than those with pyridine, pyridazine or pyrasine as EG. 展开更多
关键词 HETEROCYCLE End group biradical HIGH-SPIN AM1-CI
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Theoretical Design of High-spin Organic Molecules with Heterocycles as Ferromagnetic Coupling Units
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作者 WANG Li-min ZHANG Jing-ping WANG Rong-shun 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2003年第4期508-511,共4页
Novel stable high spin molecules possessing three different arranged fashions are designed with - · N-N< as a spin-containing(SC) fragment, phenylene as an end group and various aromatic molecules, such as ben... Novel stable high spin molecules possessing three different arranged fashions are designed with - · N-N< as a spin-containing(SC) fragment, phenylene as an end group and various aromatic molecules, such as benzene(1), 2,6-pyridine(2), 3,5-pyridine(3), pyridazine(4), 4,6-pyrimidine(5), 2,6-pyrimidine(6), pyrazine(7) and triazine(8), as a ferromagnetic coupling(FC) unit. The effects of the different coupling units on the spin multiplicities of the ground states and their stabilities were investigated by means of AM1-CI approach. It has been found that the spin densities on the two atoms of the SC fragment are different from delocalization results in the specific stability of - · N-N<. In these molecules, the stabilities of the triplet states decrease when the distance between the atoms of central SC(-N-) increases. It is shown that the heterocycles as the coupling units have influence on the stabilities of the high-spin ground states. That the heteroatom lying in m -phenyl can improve ferromagnetic coupling, while the heteroatom lying in o -phenyl or p -phenyl is not in favor of the ferromagnetic coupling. 展开更多
关键词 HETEROCYCLE Coupling unit biradical HIGH-SPIN AM1-CI B3LYP
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A Rule to Design High Spin Molecules with Hetero spin Centers
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作者 ZHANG Jing-ping YANG Guang-hui +1 位作者 WANG Rong-shun WANG Li xiang 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 1999年第4期337-342,共6页
The series of biradicals with m phenylene coupling unit and hetero spin centers were calculated compared with those possessing homo spin centers using AM1 CI method. A simple rule was proposed to design high s... The series of biradicals with m phenylene coupling unit and hetero spin centers were calculated compared with those possessing homo spin centers using AM1 CI method. A simple rule was proposed to design high spin molecules with ferromagnetic coupling unit and hetero spin centers. Two neutral (or charged) hetero spin centers resulted in high spin ground state, one neutral and another charged hetero spin centers correspond to low spin ground state. The latter was ascribed to the huge splitting of two partially occupied molecular orbitals. 展开更多
关键词 AM1 CI Hetero spin center biradical High spin molecule
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超声弹性成像联合超声BIRADS分级在乳腺癌诊断中的应用价值 被引量:8
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作者 赵利萍 陈双和 +1 位作者 李丽琴 武向梅 《中国现代医生》 2015年第10期109-112,116,F0003,共6页
目的探讨超声弹性成像联合超声BIRADS分级在乳腺癌诊断中的应用价值。方法选择146例乳腺肿块患者,采用超声弹性成像进行乳腺检查,以病理结果为金标准,分别采用弹性应变量率比值、弹性成像评分、BIRADS分级及联合进行对乳腺肿块良恶性进... 目的探讨超声弹性成像联合超声BIRADS分级在乳腺癌诊断中的应用价值。方法选择146例乳腺肿块患者,采用超声弹性成像进行乳腺检查,以病理结果为金标准,分别采用弹性应变量率比值、弹性成像评分、BIRADS分级及联合进行对乳腺肿块良恶性进行评价,比较不同诊断方法的诊断价值。结果弹性应变量率比值诊断乳腺癌灵敏度为83.54%,特异度为89.89%,准确度为86.90%;弹性成像评分诊断乳腺癌灵敏度为87.34%,特异度为92.26%,准确度为92.86%;BIRADS分级诊断乳腺癌灵敏度为88.61%,特异度为92.13%,准确度为90.48%;二联1法诊断乳腺癌灵敏度为92.41%,特异度为93.26%,准确度为92.86%;二联2法诊断乳腺癌灵敏度为89.87%,特异度为92.13%,准确度为91.07%;二联3法诊断乳腺癌灵敏度为93.67%,特异度为93.26%,准确度为93.45%;三联法诊断乳腺癌灵敏度为96.63%,特异度为95.51%,准确度为95.83%。二联1法、二联3法及三联灵敏度提高,三联法特异度和准确率明显提高(P<0.05)。三联Youden指数和Kappa值均最高,其次为二联3法。结论超声弹性成像的评价方法和超声BIRADS分级在乳腺癌的诊断中都有一定局限性,其中二联法评价可以一定程度提高灵敏度,但只有将弹性应变量率比值、弹性成像评分、BIRADS分级及三联进行评价时可明显提供灵敏度、特异度、准确度、Youden指数和Kappa值,具有较高的应用价值。 展开更多
关键词 乳腺癌 超声检查 弹性成像技术 超声 BIRADS分级
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声脉冲辐射力技术结合BIRADS分类在乳腺实性肿块鉴别诊断中的应用价值 被引量:3
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作者 李欢 叶新华 《现代肿瘤医学》 CAS 2019年第2期294-297,共4页
目的:探讨声脉冲辐射力技术(ARFI)结合超声BIRADS分类在乳腺实性肿块良恶性鉴别中的应用价值。方法:对来我院检查诊断为乳腺实性肿块的82位患者,进行ARFI弹性成像和BIRADS分级,以病理结果为金标准,分别对ARFI结合BIRADS诊断肿块良恶性... 目的:探讨声脉冲辐射力技术(ARFI)结合超声BIRADS分类在乳腺实性肿块良恶性鉴别中的应用价值。方法:对来我院检查诊断为乳腺实性肿块的82位患者,进行ARFI弹性成像和BIRADS分级,以病理结果为金标准,分别对ARFI结合BIRADS诊断肿块良恶性和单一运用ARFI及BIRADS诊断乳腺肿块良恶性的准确性进行统计学分析。结果:ARFI联合BIRADS分类诊断乳腺实性肿块良恶性的特异性、灵敏度、阳性预测值、阴性预测值、准确性各为96%、98. 8%、96%、98. 8%、98. 1%,Kappa值为0. 948,单用ARFI诊断乳腺实性肿块良恶性的特异性、灵敏度、阳性预测值、阴性预测值、准确性各为88%、96. 3%、88%、96. 3%、94. 3%,Kappa值为0. 843。单用BIRADS分类法诊断乳腺实性肿块良恶性的特异性、灵敏度、阳性预测值、阴性预测值、准确性各为84%、95. 1%、84%、95. 1%、92. 5%,Kappa值为0. 791。ARFI联合BIRADS分类诊断效能与较单独运用ARFI及BIRADS相比,差异有统计学意义(P <0. 05)。结论:AFRI联合BIRADS分类诊断肿块良恶性能提高诊断的准确性,值得推广。 展开更多
关键词 乳腺肿块 超声诊断 ARFI BIRADS
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乳腺弹性成像及穿刺活检在BIRADS4级肿块中的应用价值 被引量:3
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作者 刘露 缪青 +2 位作者 叶新华 王奕萍 谭旭艳 《影像研究与医学应用》 2017年第10期46-47,共2页
目的:对超声诊断的BIRADS4级乳腺进行弹性成像分析及经皮超声引导下穿刺活检,对比二者诊断价值。方法:对2013年6月—2016年3月我院130例超声诊断为BIRADS4级的乳腺肿块进行回顾性分析,以手术病理为金标准,对比弹性超声成像及经皮超声引... 目的:对超声诊断的BIRADS4级乳腺进行弹性成像分析及经皮超声引导下穿刺活检,对比二者诊断价值。方法:对2013年6月—2016年3月我院130例超声诊断为BIRADS4级的乳腺肿块进行回顾性分析,以手术病理为金标准,对比弹性超声成像及经皮超声引导穿刺的诊断价值。结果:经弹性应变率比值分析,130例BIRADS4级肿块中有68例仍为BIRADS4级,19例升级为BIRADS5级,43例降级为BIRADS3级。对照术后大病理,经超声弹性应变率比值分析与经超声引导穿刺活检的灵敏度,特异度及准确率分别为87.03%、77.63%、81.53%及83.33%、96.05%、90.76%,在良性肿块的诊断上二者差异无统计学意义(P>0.05),在恶性肿块的诊断上二者差异具有统计学意义(P<0.05)。结论:经皮超声引导下乳腺肿块穿刺对BIRADS4级肿块的诊断价值大于弹性应变率比值分析,是仅次于术后大病理的一种诊断方式。 展开更多
关键词 弹性成像 穿刺活检 乳腺 BIRADS4级
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乳腺良恶性肿块超声诊断特点分析 被引量:6
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作者 程珍 诸玮 《中外医学研究》 2016年第24期59-60,共2页
目的:对乳腺良恶性肿块超声诊断中BIRADS分级法的临床有效性进行评定。方法:选择笔者所在医院乳腺外科2015年3月-2016年3月接收的68例乳腺疾病患者为研究对象,对其进行彩色多普勒超声检查,选择BIRADS分级法对其患者肿块进行分级,并结合... 目的:对乳腺良恶性肿块超声诊断中BIRADS分级法的临床有效性进行评定。方法:选择笔者所在医院乳腺外科2015年3月-2016年3月接收的68例乳腺疾病患者为研究对象,对其进行彩色多普勒超声检查,选择BIRADS分级法对其患者肿块进行分级,并结合其超声图像判断肿块性质,与病理学诊断结果进行对比,同时对良、恶性肿块之间的图像差异进行深入分析及比较。结果:4B级肿块患者阳性预估值相对偏低,为33.33%(1/3),0级、1级、2级、3级、4C级、5级肿块的判断结果均与病理诊断结果相符合,恶性肿块组织的形态缺乏规则性,不仅边界模糊、内部出现低回声,而且肿块附近血供条件十分丰富,腋下组织中的淋巴结呈肿大状,较之良性肿块,差异均有统计学意义(P<0.05)。结论:在乳腺良恶性肿块超声诊断工作中,推行BIRADS分级法具有可行性,除了可对患者肿块性质进行准确判断外,还能清晰显示出患者图像信息,提升诊断工作精准性,便于后期诊疗工作的顺利展开,值得推广。 展开更多
关键词 BIRADS分级法 乳腺 良性肿块 超声诊断 恶性肿块
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联合彩色多普勒超声、声触诊组织定量与MRI技术对不同级乳腺病灶的鉴别诊断研究 被引量:5
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作者 韩春苗 孟小慧 +2 位作者 李雪娇 朱道谋 董华 《中国医学装备》 2021年第12期61-64,共4页
目的:分析联合彩色多普勒超声(CDUS)、声触诊组织定量(VTQ)与磁共振成像(MRI)技术对乳腺影像报告和数据系统(BI-RADS)Ⅲ~Ⅳ级乳腺病灶鉴别诊断的价值。方法:选取医院收治并经手术或活检后病理证实的161例女性患者共161个超声BI-RADSⅢ~... 目的:分析联合彩色多普勒超声(CDUS)、声触诊组织定量(VTQ)与磁共振成像(MRI)技术对乳腺影像报告和数据系统(BI-RADS)Ⅲ~Ⅳ级乳腺病灶鉴别诊断的价值。方法:选取医院收治并经手术或活检后病理证实的161例女性患者共161个超声BI-RADSⅢ~Ⅳ级乳腺病灶,依据病理结果将其分为恶性组(73例)和良性组(88例)。所有患者术前或活检前行CDUS、VTQ与MRI技术检查,测量并比较两组容量转运常数(Ktrans)、速率常数(Kep)、血浆容积分数(Vp)等MRI定量参数。采用受试者工作特征(ROC)曲线分析CDUS、VTQ与MRI对乳腺病灶的诊断效能。结果:恶性组73例患者中浸润性导管癌61例(占83.56%),比例最高;良性组88例患者中纤维腺瘤56例(占63.64%),比例最高。CDUS诊断良性病灶55例,占62.5%(55/88),诊断恶性病灶70例,占95.8%(70/73)。恶性组患者Ktrans的最大值(max)及平均值(mean)水平明显高于良性组,差异有统计学意义(Z=-3.258,Z=-5.719;P<0.05)。MRI诊断良性病灶67例,占76.1%(67/88),诊断恶性病灶57例,占78.0%(57/73)。恶性组患者VTQ水平明显高于良性组,差异有统计学意义(t=13.979,P<0.01)。VTQ诊断良性病灶80例,占90.9%(80/88),诊断恶性病灶68例,占93.1%(68/73)。三者联合诊断良性病灶83例,占94.3%(83/88),诊断恶性病灶70例,占95.8%(70/73)。CDUS、VTQ和MRI诊断乳腺恶性病变的ROC曲线下面积(AUC)分别为0.768、0.869和0.781;三者联合诊断乳腺恶性病变的AUC为0.915。结论:VTQ技术对BI-RADSⅢ~Ⅳ级乳腺病灶的良恶性鉴别具有重要的临床应用价值,联合CDUS、MRI检查可显著提高诊断的特异度、准确率,具有临床应用价值。 展开更多
关键词 彩色多普勒超声(CDUS) 声触诊组织定量(VTQ) 磁共振成像(MRI) 乳腺病灶 乳腺影像报告和数据系统(BIRADS) 鉴别诊断价值
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超声与钼靶BI-RADS分类对不同直径乳腺肿块的诊断价值的对比研究 被引量:4
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作者 赵青 纪甜甜 +3 位作者 赵献萍 翟虹 牟洋 苏娜 《影像研究与医学应用》 2018年第6期160-161,共2页
目的:对比超声与钼靶的乳腺影像报告和数据系统(BI-RADS分类)在不同直径乳腺肿块诊断价值的中的准确性。方法:选取2016年6月—2017年12月本院收治的通过病理确诊151例乳腺肿瘤(159个病灶),所有病例均进行了超声和钼靶BIRADS分类,以病理... 目的:对比超声与钼靶的乳腺影像报告和数据系统(BI-RADS分类)在不同直径乳腺肿块诊断价值的中的准确性。方法:选取2016年6月—2017年12月本院收治的通过病理确诊151例乳腺肿瘤(159个病灶),所有病例均进行了超声和钼靶BIRADS分类,以病理结果为金标准,比较二者在不同直径乳腺肿块的诊断价值。结果:超声和钼靶BI-RADS分类检查对于小于1cm及非肿块型的病变钼靶BI-RADS分类较超声的准确性高,对于直径1cm^2cm的肿块诊断准确性较一致,大于2cm的肿块超声BI-RADS分类较钼靶准确性高。结论:超声与钼靶BI-RADS分类系统对不同直径的乳腺肿块各有优势。 展开更多
关键词 乳腺肿瘤 BIRADS分类 超声 钼靶
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三维超声能量成像技术联合超声BI-RADS分类诊断乳腺肿块良恶性的准确性研究 被引量:1
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作者 赵青 牟洋 +2 位作者 赵献萍 许雅婷 苏娜 《影像研究与医学应用》 2017年第11期26-28,共3页
目的:探讨三维超声能量成像技术联合超声乳腺影像报告和数据系统(BI-RADS)鉴别诊断乳腺肿块的良恶性的准确性。方法:收集在我科经手术病理证实的乳腺肿块110例(119个病灶)。所有病例先进行二维超声检查,BI-RADS分类诊断,再进行三维超声... 目的:探讨三维超声能量成像技术联合超声乳腺影像报告和数据系统(BI-RADS)鉴别诊断乳腺肿块的良恶性的准确性。方法:收集在我科经手术病理证实的乳腺肿块110例(119个病灶)。所有病例先进行二维超声检查,BI-RADS分类诊断,再进行三维超声能量成像检查,得到VI指数,绘制ROC曲线,得到诊断界点,最后对原BI-RADS分类进行调整。比较原BI-RADS分类与新BI-RADS分类对乳腺肿块良恶性的诊断价值。结果:原RI-RADS分类的曲线下面积(ACU)为0.823,三维能量成像VI指数诊断阈值为2.61,AUC为0.894,联合BI-RADS分类后的ACU为0.924,差异有统计学意义(P<0.05)。结论:三维超声能量成像技术联合超声BI-RADS可提高超声对乳腺肿块良恶性的诊断价值。 展开更多
关键词 乳腺肿瘤 三维超声能量成像 BIRADS分类
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Breast Cancer Detection in Saudi Arabian Women Using Hybrid Machine Learning on Mammographic Images
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作者 Yassir Edrees Almalki Ahmad Shaf +10 位作者 Tariq Ali Muhammad Aamir Sharifa Khalid Alduraibi Shoayea Mohessen Almutiri Muhammad Irfan Mohammad Abd Alkhalik Basha Alaa Khalid Alduraibi Abdulrahman Manaa Alamri Muhammad Zeeshan Azam Khalaf Alshamrani Hassan A.Alshamrani 《Computers, Materials & Continua》 SCIE EI 2022年第9期4833-4851,共19页
Breast cancer(BC)is the most common cause of women’s deaths worldwide.The mammography technique is the most important modality for the detection of BC.To detect abnormalities in mammographic images,the Breast Imaging... Breast cancer(BC)is the most common cause of women’s deaths worldwide.The mammography technique is the most important modality for the detection of BC.To detect abnormalities in mammographic images,the Breast Imaging Reporting and Data System(BI-RADs)is used as a baseline.The correct allocation of BI-RADs categories for mammographic images is always an interesting task,even for specialists.In this work,to detect and classify the mammogram images in BI-RADs,a novel hybrid model is presented using a convolutional neural network(CNN)with the integration of a support vector machine(SVM).The dataset used in this research was collected from different hospitals in the Qassim health cluster of Saudi Arabia.The collection of all categories of BI-RADs is one of the major contributions of this paper.Another significant contribution is the development of a hybrid approach through the integration of CNN and SVM.The proposed hybrid approach uses three CNN models to obtain ensemble CNN model results.This ensemble model saves the values to integrate them with SVM.The proposed system achieved a classification accuracy,sensitivity,specificity,precision,and F1-score of 93.6%,94.8%,96.9%,96.6%,and 95.7%,respectively.The proposed model achieved better performance compared to previously available methods. 展开更多
关键词 Breast cancer CNN SVM BIRADS classification
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Granulomatous Mastitis, Radio-Histological Correlation
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作者 Priscila Falla Berganza Mariela Sosa Ramos 《Open Journal of Radiology》 2020年第4期223-229,共7页
Granulomatous mastitis, also called granulomatous lobular mastitis, is a benign pathology of the mammary gland characterized by chronic inflammation of the gland tissue, which becomes erythematous, manifesting itself ... Granulomatous mastitis, also called granulomatous lobular mastitis, is a benign pathology of the mammary gland characterized by chronic inflammation of the gland tissue, which becomes erythematous, manifesting itself as a palpable and painful mass on physical examination, sometimes it can be accompanied by abscesses. The following case is a 45-year-old Guatemalan female, with a history of increased volume in the left breast, compromising the upper quadrants. A mammogram was performed, followed by breast ultrasound;the diagnosis was confirmed by histology. The treatment offered was surgery with image controls every six months. 展开更多
关键词 Breast Density BIRADS MASTITIS Granulomatous Mastitis BIOPSY HISTOLOGICAL MAMMOGRAPHY ECHOGRAPHY
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