目的探讨急性缺血性脑卒中患者头颅磁共振DWI-FLAIR序列不匹配性的临床检测意义。方法筛选2015年5月至2015年12月收治的急性缺血性脑卒中患者32例,作为研究对象。所有患者均经影像学及临床症状检查确诊为急性缺血性脑卒中,根据患者卒中...目的探讨急性缺血性脑卒中患者头颅磁共振DWI-FLAIR序列不匹配性的临床检测意义。方法筛选2015年5月至2015年12月收治的急性缺血性脑卒中患者32例,作为研究对象。所有患者均经影像学及临床症状检查确诊为急性缺血性脑卒中,根据患者卒中发病时间以及DWI-FLAIR序列信号的改变将其分为0-4.5 h组、4.5-6.0 h FLAIR阳性组与4.5-6.0 h FLAIR阴性组,观察各时相DWI-FLAIR不匹配的敏感度与特异度,并比较不同时相患者溶栓治疗效果及DWI-FLAIR序列不匹配性在溶栓指导治疗中的应用价值。结果急性缺血性脑卒中患者发病后0-3 h、0-4.5 h组患者DWI-FLAIR不匹配敏感度为67.1%、87.5%,特异度为40.6%、74.5%,阳性预测值77.9%、87.0%,阴性预测值为76.9%、43.5%;溶栓治疗效果比较中DWI-FLAIR阴性组患者溶栓后再通率明显高于DWI-FLAIR阳性组,差异具有统计学意义(P〈0.05);DWI-FLAIR阴性组溶栓后NIHSS评分、mRs评分明显低于DWIFLAIR阳性组,差异具有统计学意义(P〈0.05)。结论急性缺血性脑卒中患者行头颅磁共振检查,DWI-FLAIR不匹配性在指导不同发病时间患者溶栓治疗中的具有重要意义,对于发病后4.5-6.0 h FLAIR阴性患者仍可进行静脉溶栓治疗,DWI-FLAIR可作为一种客观的影像学指标判断患者发病时间范围。展开更多
The red alga Gracilariopsis lemaneiformis(Bory) is an economically valuable macroalgae. As a means to identify the sex of immature Gracilariopsis lemaneiformis, the amplifi ed fragment length polymorphism(AFLP) techni...The red alga Gracilariopsis lemaneiformis(Bory) is an economically valuable macroalgae. As a means to identify the sex of immature Gracilariopsis lemaneiformis, the amplifi ed fragment length polymorphism(AFLP) technique was used to search for possible sex- or phase-related markers in male gametophytes, female gametophytes, and tetrasporophytes, respectively. Seven AFLP selective amplifi cation primers were used in this study. The primer combination E-TG/M-CCA detected a specifi c band linked to male gametophytes. The DNA fragment was recovered and a 402-bp fragment was sequenced. However, no DNA sequence match was found in public databases. Sequence characterized amplifi ed region(SCAR) primers were designed from the sequence to test the repeatability of the relationship to the sex, using 69 male gametophytes, 139 female gametophytes, and 47 tetrasporophytes. The test results demonstrate a good linkage and repeatability of the SCAR marker to sex. The SCAR primers developed in this study could reduce the time required for sex identifi cation of Gracilariopsis lemaneiformis by four to six months. This can reduce both the time investment and number of specimens required in breeding experiments.展开更多
文摘目的探讨急性缺血性脑卒中患者头颅磁共振DWI-FLAIR序列不匹配性的临床检测意义。方法筛选2015年5月至2015年12月收治的急性缺血性脑卒中患者32例,作为研究对象。所有患者均经影像学及临床症状检查确诊为急性缺血性脑卒中,根据患者卒中发病时间以及DWI-FLAIR序列信号的改变将其分为0-4.5 h组、4.5-6.0 h FLAIR阳性组与4.5-6.0 h FLAIR阴性组,观察各时相DWI-FLAIR不匹配的敏感度与特异度,并比较不同时相患者溶栓治疗效果及DWI-FLAIR序列不匹配性在溶栓指导治疗中的应用价值。结果急性缺血性脑卒中患者发病后0-3 h、0-4.5 h组患者DWI-FLAIR不匹配敏感度为67.1%、87.5%,特异度为40.6%、74.5%,阳性预测值77.9%、87.0%,阴性预测值为76.9%、43.5%;溶栓治疗效果比较中DWI-FLAIR阴性组患者溶栓后再通率明显高于DWI-FLAIR阳性组,差异具有统计学意义(P〈0.05);DWI-FLAIR阴性组溶栓后NIHSS评分、mRs评分明显低于DWIFLAIR阳性组,差异具有统计学意义(P〈0.05)。结论急性缺血性脑卒中患者行头颅磁共振检查,DWI-FLAIR不匹配性在指导不同发病时间患者溶栓治疗中的具有重要意义,对于发病后4.5-6.0 h FLAIR阴性患者仍可进行静脉溶栓治疗,DWI-FLAIR可作为一种客观的影像学指标判断患者发病时间范围。
基金Supported by the"Twelfth Five-Year-Plan"of National Science and Technology for the Rural Development in China(No.2012AA10A411)the Public Welfare Project of the Ministry of Agriculture of China(No.200903030)
文摘The red alga Gracilariopsis lemaneiformis(Bory) is an economically valuable macroalgae. As a means to identify the sex of immature Gracilariopsis lemaneiformis, the amplifi ed fragment length polymorphism(AFLP) technique was used to search for possible sex- or phase-related markers in male gametophytes, female gametophytes, and tetrasporophytes, respectively. Seven AFLP selective amplifi cation primers were used in this study. The primer combination E-TG/M-CCA detected a specifi c band linked to male gametophytes. The DNA fragment was recovered and a 402-bp fragment was sequenced. However, no DNA sequence match was found in public databases. Sequence characterized amplifi ed region(SCAR) primers were designed from the sequence to test the repeatability of the relationship to the sex, using 69 male gametophytes, 139 female gametophytes, and 47 tetrasporophytes. The test results demonstrate a good linkage and repeatability of the SCAR marker to sex. The SCAR primers developed in this study could reduce the time required for sex identifi cation of Gracilariopsis lemaneiformis by four to six months. This can reduce both the time investment and number of specimens required in breeding experiments.