肺栓塞患者行多层螺旋CT诊断的临床应用价值分析

目的:探讨肺栓塞依托多层螺旋CT影像学技术实施诊断所具有的效能。方法:选取疑似肺栓塞的患者共计50例,均为我院2021年1月至2022年12月期间收治,分别应用多层螺旋CT影像学技术和磁共振影像学技术实施检查,观测病理以及不同影像学技术肺栓塞阳性检出率。同时,以病理检查结果为金标准,就不同影像学技术诊断效能指标即灵敏度、特异度、准确度予以计算,并观测不同影像学技术扫描时间及图像质量等级评测分值。结果:本次选取疑似肺栓塞患者50例中,采用病理检查示,按肺栓塞诊断45例,确诊率为90.00%;采用MRI技术实施检查,阳性检出37例,占比为74.00%;采用多层螺旋CT影像学技术实施检查,阳性检出44例,占比为88.00%,不同影像学技术阳性检出率对比差异具有统计学意义(P<0.05)。以病理检查所获取的结果作为金标准,得出相较MRI影像学技术,采用多层螺旋CT影像学技术实施检查,有更高的灵敏度、特异度、准确度,其中,灵敏度、准确度数据差异具有统计学意义(P<0.05)。相较MRI影像学技术,应用多层螺旋CT实施诊断,其扫描时间呈更短显示,图像质量评分呈更高显示,差异具有统计学意义(P<0.05)。结论:临床收治的肺栓塞患者在实施诊断时,应用多层螺旋CT影像学技术,可明显提高疾病检出率,增强诊断效能,切可获取高质量的图像,以及缩短检查时间。

探析小学数学课堂中的“学、讲、练”——以“认识容量和升”为例

“学、讲、练”是小学数学教学常用的方式,也是数学教学的三个基本环节。学是前提,要讲须先学,学了才能讲,讲能反映学,促进学,练是为了巩固,为了提升。“学、讲、练”的课堂旨在让学生学进去,讲出来,练扎实。文章阐述了如何在小学数学课堂中组织学生多层学、多维讲、多元练。

多层螺旋CT增强检查诊断肝血管瘤的价值

目的 分析多层螺旋CT增强检查在诊断肝血管瘤的价值。方法 回顾性地分析我院收治并经过病理检查证实的56例肝血管瘤患者的CT资料。结果 56例肝血管瘤在经过一般扫描时，共65个病灶，均显示为低密度灶。进过多层螺旋CT扫描后，69个病灶在动脉期出现了病灶结节状边缘；门脉期的患者病灶内增强范围扩大，影像密度均匀并下降；延时期病灶扫描时几乎所有的病灶都有强化，密度与肝脏实质近乎相同。仅有5例患者在多层螺旋CT增强检查后没有出现上述情况。结论 多层螺旋CT增强扫描能清楚地显示肝细胞瘤的影像学特征，对该病的临床诊断和鉴别有重大临床意义。

Structure and mechanical properties of thick Cr/Cr_2N/CrN multilayer coating deposited by multi-arc ion plating

A Cr/Cr2N/CrN multilayer coating with a thickness of 24.4 μm was deposited by multi-arc ion plating. The coating was systematically characterized by field emission scanning electron microscopy(FESEM), X-ray photoelectron spectrometry(XPS), energy dispersive spectroscopy(EDS), X-ray diffraction(XRD) and transmission electron microscopy(TEM). Hardness and adhesion were tested by nanoindentation and scratch tester, respectively. The friction properties were investigated by a reciprocating UMT-3MT ball-on-disk tribometer in air and seawater. The results showed that the multilayer coating consisted of three different layers, with Cr,Cr2N and CrN phases, respectively. Compared with CrN single layer coating, the adhesion of the multilayer coating was improved significantly, the hardness of the multilayer coating was(21±2) GPa. The corrosion resistance of the multilayer coating was also improved in artificial seawater. The friction coefficient of multilayer coating was lower than that of CrN single layer coating both in air and seawater.

Tomographic Principle of Multiconjugate Correction in Adaptive Optics

A wavefront sensing and correction correction is proposed that would allow the field of view (FOV) of an adaptive optics spstem to be increased in size by a factor of several tens. This concept is based on the idea of placing multiple deformable mirrors (DMs) at locations that are conjugate to corresponding. layers of atmospheric turbulence. In order to control properly each DM, a tomographic method for determining the phase distortion contributed by each atmospheric layer has been developed and used in dealing with the circumstance of two layers.

INTERFACIAL BONDING IN AS DEPOSITED AND ANNEALED Co/C SOFT X RAY MULTILAYER MIRRORS

Interfacial bonding in as deposited and annealed Co/C soft X ray multilayer structures is investigated by X ray photo electron spectroscopy (XPS).It is found that there is interdiffusion between cobalt and carbon in the as deposited Co/C multilayers,and this is confirmed by structure characterization using low angle X ray diffraction (LAXD).The calculation of the chemical shifts in Co C system based on Miedemas macroscopic atom model suggests that it is impossible to detect the chemical shift experimentally in the Co C compound,which is consistent with the XPS results.The presence of metallic carbide bonding is evidenced through the nature of the carbon bonding in survey taken at Co C and C Co interfaces of annealed samples.Our results also indicate that XPS is a direct method to probe the chemical bonding at the interfaces.

Microstructure control and mechanical properties of directionally solidified TiAl-Nb alloys

The double directional solidification（DS） technique was developed to control the lamellar microstructures in primary β TiAl-Nb alloys.Polysynthetically twinned（PST） crystals with lamellar boundaries parallel to or inclined 45o to the growth direction were achieved due to the complete peritectic transformation during directional solidification of the alloys with the dendritic solid/liquid interface.The PST crystals with aligned lamellar boundaries only parallel to the growth direction were produced when lamellar grains with lamellar boundaries in the same orientation were seeded by themselves under appropriate growth conditions.Low boron addition is harmful to align the lamellar orientation because of the growth of non-peritectic α phase.Due to the larger yttria particles and boride ribbons in the directionally solidified TiAl-Nb alloys,the tensile plastic elongations of the alloys are only close to 2%.

Mechanical properties and friction-wear characteristics of VN/Ag multilayer coatings with heterogeneous and transition interfaces

The heterogeneous multilayer interface of VN/Ag coatings and transition multilayer interface of VN/Ag coatings were prepared on Inconel 781 and Si(100),and the microstructures,mechanical and tribological properties were investigated from 25 to 700℃.The results showed that the surface roughness and average grain size of VN/Ag coatings with transition multilayer interface are obviously larger than those of VN/Ag coatings with heterogeneous multilayer interface.The coatings with transition multilayer interface have higher adhesion force and hardness than the coatings with heterogeneous multilayer interface,and both coatings can effectively restrict the initiation and propagation of microcracks.Both coatings have excellent self-adaptive lubricating properties with a decrease of friction coefficient as the temperature increases,but their wear rates reveal a drastic increase.The phase composition of the worn area of both coatings was investigated,which indicates that a smooth Ag,Magnéli phase(V2O5)and bimetallic oxides(Ag3VO4 and AgVO3)can be responsible to the excellent lubricity of both coatings.To sum up,the coatings with transition multilayer interface have excellent adaptive lubricating properties and can properly control the diffusion rate and release rate of the lubricating phase,indicating that they have great potential in solving the problem of friction and wear of mechanical parts.

Serial structure multi-task learning method for predicting reservoir parameters

Buiding data-driven models using machine learning methods has gradually become a common approach for studying reservoir parameters.Among these methods,deep learning methods are highly effective.From the perspective of multi-task learning,this paper uses six types of logging data—acoustic logging(AC),gamma ray(GR),compensated neutron porosity(CNL),density(DEN),deep and shallow lateral resistivity(LLD)and shallow lateral resistivity(LLS)—that are inputs and three reservoir parameters that are outputs to build a porosity saturation permeability network(PSP-Net)that can predict porosity,saturation,and permeability values simultaneously.These logging data are obtained from 108 training wells in a medium₋low permeability oilfield block in the western district of China.PSP-Net method adopts a serial structure to realize transfer learning of reservoir-parameter characteristics.Compared with other existing methods at the stage of academic exploration to simulating industrial applications,the proposed method overcomes the disadvantages inherent in single-task learning reservoir-parameter prediction models,including easily overfitting and heavy model-training workload.Additionally,the proposed method demonstrates good anti-overfitting and generalization capabilities,integrating professional knowledge and experience.In 37 test wells,compared with the existing method,the proposed method exhibited an average error reduction of 10.44%,27.79%,and 28.83%from porosity,saturation,permeability calculation.The prediction and actual permeabilities are within one order of magnitude.The training on PSP-Net are simpler and more convenient than other single-task learning methods discussed in this paper.Furthermore,the findings of this paper can help in the re-examination of old oilfield wells and the completion of logging data.

Base-Level Cycles and Episodic Coal Accumulation——Case Study of Dongsheng Coalfield in Ordos Basin

The advantage of high-resolution sequence stratigraphy, which takes base-levels as reference, is that it can be applied to continental depositional basins controlled by multiple factors and can effectively improve the accuracy and resolution of sequential stratigraphic analysis. Moreover, the principles of base-level cycles are also suitable for analyzing sequential stratigraphy in continental coal-bearing basins because of their accuracy in forecasting distribution of coal measures. By taking the Dongsheng coalfield in the Ordos basin as an example, the extensive application of base-level cycles in exploration and exploitation of coal is analyzed. The result shows that the Yan’an formation in the Dongsheng area is a long-term base-level cycle which is bordered by nonconformities and made up of five mid-term cycles and 13 short-term cycles. The long-term cycle and the mid-term cycles are obvious in comparison with a transverse profile. The episodic coal accumulation in the Mesozoic Ordos basin means that the deposition of primary matter (peat bogs) of coalification is discontinuous, periodical and cyclical in the evolution of the basin. The episodic accumulation of coal measures in the Yan’an stage is controlled by ascending-descending changes of a long-term cycle and middle-term cycles. Coal measures formed during the early and late periods of the long-term cycle are characterized by multiple layers, big cumulative thickness and poor continuity. Coal measures formed in the mid-term of the long cycle are dominated by good continuity, fewer layers and a small additive thickness, which is favorable for the accumulation of thick and continuous coal measures in the transition stage of mid term base-level cycles.

Hepatic focal nodular hyperplasia in children:Imaging features on multi-slice computed tomography

AIM:To retrospectively analyze the imaging features of hepatic focal nodular hyperplasia(FNH) in children on dynamic contrast-enhanced multi-slice computed tomography(MSCT) and computed tomography angiography(CTA) images.METHODS:From September 1999 to April 2012,a total of 218 cases of hepatic FNH were confirmed by either surgical resection or biopsy in the Sun Yat-sen Memorial Hospital of Sun Yat-sen University and the Cancer center of Sun Yat-sen University,including 12 cases(5.5%) of FNH in children(age ≤ 18 years old).All the 12 pediatric patients underwent MSCT.We retrospectively analyzed the imaging features of FNH lesions,including the number,location,size,margin,density of FNH demonstrated on pre-contrast and contrastenhanced computed tomography(CT) scanning,central scar,fibrous septa,pseudocapsule,the morphology of the feeding arteries and the presence of draining vessels(portal vein or hepatic vein).RESULTS:All the 12 pediatric cases of FNH had solitary lesion.The maximum diameter of the lesions was 4.0-12.9 cm,with an average diameter of 5.5 ± 2.5 cm.The majority of the FNH lesions(10/12,83.3%) had well-defined margins.Central scar(10/12,83.3%) and fibrous septa(11/12,91.7%) were commonly found in children with FNH.Central scar was either isodense(n = 7) or hypodense(n = 3) on pre-contrast CT images and showed progressive enhancement in 8 cases in the equilibrium phase.Fibrous septa were linear hypodense areas in the arterial phase and isodense in the portal and equilibrium phases.Pseudocapsule was very rare(1/12,8.3%) in pediatric FNH.With the exception of central scars and fibrous septa within the lesions,all 12 cases of pediatric FNH were homogenously enhanced on the contrast-enhanced CT images,significantly hyperdense in the arterial phase(12/12,100.0%),and isodense in the portal venous phase(7/12,58.3%) and equilibrium phase(11/12,91.7%).Central feeding arteries inside the tumors were observed on CTA images for all 12 cases of FNH,whereas no neovascularization of malignant tumors was noted.In 9 cases(75.0%),there was a spoke-wheel shaped centrifugal blood supply inside the tumors.The draining hepatic vein was detected in 8 cases of pediatric FNH.However,the draining vessels in the other 4 cases could not be detected.No associated hepatic adenoma or hemangioma was observed in the livers of the 12 pediatric cases.CONCLUSION:The characteristic imaging appearances of MSCT and CTA may reflect the pathological and hemodynamic features of pediatric FNH.Dynamic multi-phase MSCT and CTA imaging is an effective method for diagnosing FNH in children.

Stratigraphic Division Based on Minor Elements in the Sediment Core Q43 from the Outer Shelf of the East China Sea:Approached Through Correspondence Analysis and Fuzzy Cluster Analysis

The multivariate statistical techniques, principal component analysis, Q-modefactor analysis, correspondence analysis and fuzzy C-means clustering were applied to analyzing thedatasets of minor element concentrations in sediment samples of a core collected from the outershelf of the East China Sea. According to the analysis results, the sediment core Q43 can be dividedinto three strata with different features in minor elements. The first stratum (unit Ⅰ) ischaracterized by higher concentrations of Ⅴ, Cr, Cd and Sc, which are active and inactive elements.The second stratum (unit Ⅱ) is controlled by ultrastable elements Ⅴ, Ti, Cr, Th, Sc, Pb, etc. Thethird stratum (unit Ⅲ) is dominated by Ni, Co, Ba, Rb and Mn, which are authigenic andvolcanogenic elements. The geochemical features of the core Q43 show environmental changes in thedepositional process from the Late Pleistocene to Holocene.

Watershed segmentation based on hierarchical multi-scale modification of morphological gradient

Watershed segmentation is sensitive to noises and irregular details within the image,which frequently leads to a serious over-segmentation Linear filtering before watershed segmentation can reduce over-segmentation to some extent,however,it often causes the position offset of object contours.For the purpose of reducing over-segmentation to preserve the location of object contours,the watershed segmentation based on the hierarchical multi-scale modification of morphological gradient is proposed.Firstly,multi-scale morphological filtering was employed to smooth the original image.Then,the gradient image was divided into multi-levels by the volume of three-dimension topographic relief,where the lower gradient layers were further modifiedby morphological closing with larger-sized structuring-elements,and the higher layers with the smaller one.In this way,most local minimums caused by irregular details and noises can be removed,while region contour positions corresponding to the target area were largely preserved.Finally,morphological watershed algorithm was employed to implement segmentation on the modified gradient image.The experimental results show that the proposed method can greatly reduce the over-segmentation of the watershed and avoid the position offset of the object contours.

Seasonal comparison of bacterial communities in rhizosphere of alpine cushion plants in the Himalayan Hengduan Mountains

Positive associations between alpine cushion plants and other species have been extensively studied.However,almost all studies have focused on the associations between macrofauna.Studies that have investigated positive associations between alpine cushion plants and rhizospheric microbes have been limited to the vegetation growing season.Here,we asked whether the positive effects that alpine cushion plants confer on rhizospheric microbe communities vary with seasons.We assessed seasonal variations in the bacterial diversity and composition in rhizosphere of two alpine cushion plants and surrounding bare ground by employing a high throughput sequencing method targeting the V3 region of bacterial 16 S rRNA genes.Soil properties of the rhizosphere and the bare ground were also examined.We found that cushion rhizospheres harbored significantly more C,N,S,ammonia nitrogen,and soil moisture than the bare ground.Soil properties in cushion rhizospheres were not notably different,except for soil pH.Bacterial diversities within the same microhabitats did not vary significantly with seasons.We concluded that alpine cushion plants had positive effects on the rhizospheric bacterial communities,even though the strength of the effect varied in different cushion species.Cushion species and the soil sulfur content were probably the major factors driving the spatial distribution and structure of soil bacterial communities in the alpine communities dominated by cushion plants.

Multilayer distribution of carbon dioxide system in surface water of the Yellow Sea in spring

Surface water can be divided into three layers from top downward： surface microlayer （SML, thickness≤50 μm）, subsurface layer （SSL, ≈25 cm） and surface layer （SL, l-5m）, among which the SML plays an important role on sea-air interaction because of its unique physical-chemical property. Carbon dioxide system including DIC （dissolved inorganic carbon）, Alk （alkalinity）, pH and pCO： （partial pressure of CO2） in multilayered waters of the Yellow Sea was studied for the first time in March and May 2005. The results show that： DIC and Alk are obviously enriched in SML. The contents ofDIC, Alk and pCO2 become lower in turn from SML, SSL to SL, higher in March and lower in May, whereas for pH it was opposite. The relationship between DIC and Alk is clearly positive, but negative between pH and pCO2. Meanwhile, pCO2 and temperature/salinity is also in positive relation, pCO2 decreases with latitude increase. DIC and Alk show a similar variation trend with the maximum at 02：00-03：00, but pH and pCO2 show an opposite pattern. In addition, the distribution patterns are similar to each other in the three layers. The Yellow Sea is shown to be a sink of atmospheric CO2 in spring by two methods： （1） comparing pCO2 in seawater and atmosphere; （2） turning direction of ＂pH-depth＂ curve. Calculation on the base of pCO2 data in SML in four models shows that carbon flux in spring in the area was about -6.96×10^6 t C.

Microstructure and mechanical properties of VAlN/Si_(3)N_(4) nano-multilayer coatings

VAlN coating is of particular interest for dry cutting applications owing to its low-friction and excellent abrasiveness.Nano-multilayer structure is designed to tailor the properties of VAlN coating.In this work,a series of VAlN/Si_(3)N_(4) nano-multilayer coatings with varied Si_(3)N_(4) layer thicknesses were prepared by reactive sputtering method.The microstructure and mechanical properties of the coatings were both investigated.It is revealed that Si_(3)N_(4) with a shallow thickness(~0.4 nm)was crystallized and grown coherently with VAlN,showing a remarkable increase in hardness compared to VAlN monolayer coating.The hardness of coherently VAlN/Si_(3)N_(4) nano-multilayer coatings reached to 48.7 GPa.With further increase of Si_(3)N_(4) layer thickness,the coherent growth of nano-multilayers was terminated,showing amorphous structure formed in nano-multilayers and the hardness was declined.On the other hand,when Si_(3)N_(4) layer thickness was 0.4 nm,the friction coefficient of VAlN/Si_(3)N_(4) nano-multilayer coating was almost equal to that of VAlN monolayer coating,which was attributed to the crystallization of Si_(3)N_(4) and the produced coherent interfaces between VAlN and Si_(3)N_(4) for the hardening effect of nano-multilayer coatings.Upon further increase of Si_(3)N_(4) layer thickness,pronounced improvement of friction coefficient in VAlN/Si_(3)N_(4) nano-multilayer coating was observed.

Multidisciplinary imaging of liver hydatidosis

Liver hydatidosis is a parasitic endemic disease affecting extensive areas in our planet, a significant stigma within medicine to manage because of its incidence, possible complications, and diagnostic involvements. The diagnosis of liver hydatidosis should be as fast as possible because of the relevant complications that may arise with disease progression, involving multiple organs and neighboring structures causing disruption, migration, contamination. The aim of this essay is to illustrate the role of imaging as ultrasonography （US）, multi detector row computed tomography, and magnetic resonance imaging （MRI） in the evaluation of liver hydatidosis： the diagnosis, the assessment of extension, the identification of possible complications and the monitoring the response to therapy. US is the screening method of choice. Computed tomography （CT） is indi-cated in cases in which US is inadequate and has high sensitivity and specificity for calcified hydatid cysts. Magnetic resonance is the best imaging procedure to demonstrate a cystic component and to show a biliary tree involvement. Diagnostic tests such as CT and MRI are mandatory in liver hydatidosis because they allow thorough knowledge regarding lesion size, location, and relations to intrahepatic vascular and biliary structures, providing useful information for effective treatment and decrease in post-operative morbidity. Hydatid disease is classified into four types on the basis of their radiologic appearance.

Microstructure and impact mechanical properties of multi-layer and multi-pass TIG welded joints of Al-Zn-Mg alloy plates

The microstructure and mechanical properties of multi-layer multi-pass TIG welded joints of Al-Zn-Mg alloy plates were studied.The phase constituent and microstructure of different regions of the welded joints were characterized by scanning electron microscopy(SEM),X-ray diffraction(XRD),transmission electron microscopy(TEM)and energy disperse spectrum(EDS),while the mechanical properties were evaluated according to the impact test.A dispersively distributed spherical and needle-likeη(MgZn2)phase was obtained in the welding seam.The phase composition of the heat-affected zone(HAZ)wasα(Al)+η(MgZn2)+Al6Mn,and there were a large number of dispersively precipitated nanoscale particles.The welded joint zone had the highest impact toughness as compared with the other parts of the joint.The MgZn2 phase in the weld zone contributed to the improved toughness of the joint.Al2 MgCu phase in HAZ was proven to act as a crack source during fracture.

Effect of inter-layer strain interaction on the optical properties of Ge/Si(001) island multi-layers

In this paper we present a study on the influence of the number and the thickness of silicon spacer layer on the optical properties of single-and multi-layers of self assembled Ge/Si(001) islands performed by means of cathodoluminescence spectroscopy,high resolution X-ray diffraction and transmission electron microscopy. In single-layer sample,we do not evidence dependence of the island no-phonon emission peak position on the silicon cap-layer thickness. In multi-layer samples having a thin(33 nm) silicon spacer layer the no-phonon emission energy value progressively blue-shifts for an increasing number of island layers. This is interpreted as an enhanced intermixing driven by the strain interaction existing between island layers. On the contrary,island emission energy position is independent on the number of layers in the sample series having a thicker spacer layer(60 nm) . These findings are consistent with the X-ray diffraction observation that islands belonging to different layers have the same composition. As a consequence we can conclude that multilayers with 60-nm spaced islands layer are more homogeneous and ordered.

Optical coherence tomography and Doppler optical coherence tomography in the gastrointestinal tract

Optical coherence tomography(OCT) is a noninvasive,high-resolution,high-potential imaging method that has recently been introduced into medical investigations.A growing number of studies have used this technique in the field of gastroenterology in order to assist classical analyses.Lately,3D-imaging and Doppler capabilities have been developed in different configurations,which make this type of investigation more attractive.This paper reviews the principles and characteristics of OCT and Doppler-OCT in connection with analyses of the detection of normal and pathological structures,and with the possibility to investigate angiogenesis in the gastrointestinal tract.