Colonoscopy is the gold standard for colorectal cancer prevention; however, it is still an imperfect modality. Precancerous lesions can be lost during screening examinations, thus increasing the risk of interval cance...Colonoscopy is the gold standard for colorectal cancer prevention; however, it is still an imperfect modality. Precancerous lesions can be lost during screening examinations, thus increasing the risk of interval cancer. A variety of factors either patient-, or endoscopist dependent or even the procedure itself may contribute to loss of lesions. Sophisticated modalities including advanced technology endoscopes and add-on devices have been developed in an effort to eliminate colonoscopy's drawbacks and maximize its ability to detect potentially culprit polyps. Novel colonoscopes aim to widen the field of view. They incorporate more than one cameras enabling simultaneous image transmission. In that way the field of view can expand up to 330°. On the other hand a plethora of add-on devices attachable on the standard colonoscope promise to detect lesions in the proximal aspect of colonic folds either by offering a retrograde view of the lumen or by straightening the haustral folds during withdrawal. In this minireview we discuss how these recent advances affect colonoscopy performance by improving its quality indicators(cecal intubation rate, adenoma detection rate) and other metrics(polyp detection rate, adenomas per colonoscopy, polyp/adenoma miss rate) associated with examination's outcomes.展开更多
[Objective] The aim was to analyze the correlation between tree-ring width of Picea crassifolia in the east of Qilian Mountains and the precipitation, temperature and the normalized difference vegetation index (NDVI)....[Objective] The aim was to analyze the correlation between tree-ring width of Picea crassifolia in the east of Qilian Mountains and the precipitation, temperature and the normalized difference vegetation index (NDVI). [Method] The correlation analysis and the regression analysis were used in this study. [Result] The tree-ring width was significantly correlated with the autumn precipitation and the spring average NDVI. The conversion equation between tree-ring width and spring NDVI (R2 = 48.5% , R2adj =46.2% , F =21.627, P <0.001) was developed and NDVI sequence was reconstructed during the period 1915 -2007. The drought in the 1920s was pronounced. Vegetation cover in the Qilian Mountains increased during the period 1922-1934, 1940-1957, 1965-1969, 1984-1988 and 1995-1997, but decreased during 1935 -1939, 1958 -1964, 1970 -1983, 1989 -1994 and 1998 -2005. [Conclusion] The reconstructed NDVI showed the drought evolution in the study area.展开更多
文摘Colonoscopy is the gold standard for colorectal cancer prevention; however, it is still an imperfect modality. Precancerous lesions can be lost during screening examinations, thus increasing the risk of interval cancer. A variety of factors either patient-, or endoscopist dependent or even the procedure itself may contribute to loss of lesions. Sophisticated modalities including advanced technology endoscopes and add-on devices have been developed in an effort to eliminate colonoscopy's drawbacks and maximize its ability to detect potentially culprit polyps. Novel colonoscopes aim to widen the field of view. They incorporate more than one cameras enabling simultaneous image transmission. In that way the field of view can expand up to 330°. On the other hand a plethora of add-on devices attachable on the standard colonoscope promise to detect lesions in the proximal aspect of colonic folds either by offering a retrograde view of the lumen or by straightening the haustral folds during withdrawal. In this minireview we discuss how these recent advances affect colonoscopy performance by improving its quality indicators(cecal intubation rate, adenoma detection rate) and other metrics(polyp detection rate, adenomas per colonoscopy, polyp/adenoma miss rate) associated with examination's outcomes.
基金Supported by the NSFC(41071128 and 40801004)the Key Program of Hebei Education Department(ZH2012035)
文摘[Objective] The aim was to analyze the correlation between tree-ring width of Picea crassifolia in the east of Qilian Mountains and the precipitation, temperature and the normalized difference vegetation index (NDVI). [Method] The correlation analysis and the regression analysis were used in this study. [Result] The tree-ring width was significantly correlated with the autumn precipitation and the spring average NDVI. The conversion equation between tree-ring width and spring NDVI (R2 = 48.5% , R2adj =46.2% , F =21.627, P <0.001) was developed and NDVI sequence was reconstructed during the period 1915 -2007. The drought in the 1920s was pronounced. Vegetation cover in the Qilian Mountains increased during the period 1922-1934, 1940-1957, 1965-1969, 1984-1988 and 1995-1997, but decreased during 1935 -1939, 1958 -1964, 1970 -1983, 1989 -1994 and 1998 -2005. [Conclusion] The reconstructed NDVI showed the drought evolution in the study area.
