AIM: To prospectively evaluate the usefulness of a pattern-based classification of contrast-enhanced sonographic findings for differential diagnosis of hepatic tumors. METHODS: We evaluated the enhancement pattern of ...AIM: To prospectively evaluate the usefulness of a pattern-based classification of contrast-enhanced sonographic findings for differential diagnosis of hepatic tumors. METHODS: We evaluated the enhancement pattern of the contrast-enhanced sonography images in 586 patients with 586 hepatic lesions, consisting of 383 hepatocellular carcinomas, 89 metastases, and 114 hemangiomas. After injecting a galactose-palmitic acid contrast agent, lesions were scanned by contrast- enhanced harmonic gray-scale sonography in three phases: arterial, portal, and late. The enhancement patterns of the initial 303 lesions were classified retrospectively, and multiple logistic regression analysis was used to identify enhancement patterns that allowed differentiation between hepatic tumors. We then used the pattern-based classification of enhancement we had retrospectively devised to prospectively diagnose 283 liver tumors. RESULTS: Seven enhancement patterns were found to be significant predictors of different hepatic tumors. The presence of homogeneous or heterogeneous enhancement both in the arterial and portal phase was the typical enhancement pattern for hepatocellular carcinoma, while the presence of peritumoral vessels in the arterial phase and ring enhancement or a perfusion defect in the portal phase was the typical enhancement pattern for metastases, and the presence of peripheral nodular enhancement both in the arterial and portal phase was the typical enhancement pattern forhemangioma. The sensitivity, specificity, and accuracy of prospective diagnosis based on the combinations of enhancement patterns, respectively, were 93.2%, 96.2%, and 94.0% for hepatocellular carcinoma, 87.9%, 99.6%, and 98.2% for metastasis, and 95.6%, 94.1%, and 94.3% for hemangioma. CONCLUSION: The pattern-based classification of the contrast-enhanced sonographic findings is useful for differentiating among hepatic tumors.展开更多
Lymphangiomas are rare, benign tumors of the lymphatic system, usually present in children aged 5 years and younger. Because they are asymptomatic until the mass enlarges to cause symptoms, most lymphangiomas are diag...Lymphangiomas are rare, benign tumors of the lymphatic system, usually present in children aged 5 years and younger. Because they are asymptomatic until the mass enlarges to cause symptoms, most lymphangiomas are diagnosed at adulthood incidentally. We experienced a case of a 60-year-old man diagnosed with a cystic lymphangioma of the gallbladder, which was successfully resected without any complication. Magnetic resonance imaging and magnetic resonance cholangiopancreatography were very helpful for the diagnosis of the cystic lesion around the gallbladder as were ultrasonography and computed tomography scan. These showed a multi-lobulated cystic mass with intact cystic duct and bile duct in the gallbladder fossa. The patient underwent an open cholecystectomy and the histological findings were consistent with a cystic lymphangioma of the gallbladder. We here report the case of cystic lymphangioma of the gallbladder with a review of the literature.展开更多
The marketing share model of price and advertising in a duopoly market was studied in this paper. Market response curves of price and advertising were presented to calculate the reasonable range based on the market fo...The marketing share model of price and advertising in a duopoly market was studied in this paper. Market response curves of price and advertising were presented to calculate the reasonable range based on the market forecast results. The interaction effect of price and advertising was considered,and the game theory was applied to a two-stage price and advertising competition which involved the market share model. A marketing decision support system (MDSS) was developed and simulation data was provided to give the solutions. The operation results show that the leading enterprise makes higher price,spends more on advertising,and earns more profit,while the small-scale enterprise has to lower the price,spend less on advertising,and has slightly higher profit rate. The system is shown to be adaptable to a wide variety of realistic situations.展开更多
Objective:The aim of this study was to evaluate the optimal field arrangement for conformal radiotherapy (CFRT) for prostate cancer patients.Methods:Thirty patients with prostate cancer of different grades and stages ...Objective:The aim of this study was to evaluate the optimal field arrangement for conformal radiotherapy (CFRT) for prostate cancer patients.Methods:Thirty patients with prostate cancer of different grades and stages were treated with 3D conformal radiotherapy to minimize the dose to bladder,rectum and head of both femora using four fields (4F),five fields (5F),six fields (6F) and ARC techniques to minimize the risk of over dose to bladder,rectum and femoral heads.Patients received a total dose between 76 to 78 Gy given in 38 to 39 fractions over 7.5 to 8 weeks.Results:It was observed that V95,D95,D50 and D5 values for planning target volume (PTV) were comparatively higher when planned by 5 fields technique than when planned by fixed field technique (91%,91%,90% and 91.4% for skip-scan technique versus 85%,87%,86% and 88% by fixed field).The organs like rectum and urinary bladder get much higher dose when treated by fixed field techniques than rotation or 5 fields technique,when comparison was made for V95,V50 and DM values for rectum and urinary bladder obtained by 5 fields technique planning and 4/6 field planning,the value for 5 fields technique was found to be lower than 4/6 field technique (1%,70% and 51% versus 13%,91% and 55% for rectum and 4%,25% and 51% versus 16%,38% and 56% for urinary bladder respectively).Conclusion:Similarly for femoral heads,planning by full rotational technique had been observed to be beneficial as compared to when planning was done by fixed field technique (0%,0% and 29% versus 0%,1% and 28%).展开更多
In a secure group communication system, messages must be encrypted before being transmitted to group members to prevent unauthorized access. In many secure group communication schemes, whenever a member leaves or join...In a secure group communication system, messages must be encrypted before being transmitted to group members to prevent unauthorized access. In many secure group communication schemes, whenever a member leaves or joins the group, group center (GC) immediately changes the common encryption key and sends the new key to all valid members for forward and backward secrecy. If valid members are not on-line, they will miss the re-keying messages and will not be able to decrypt any ciphertext. Therefore, group members must be able to store the state of the system. In some applications, like global positioning systems (GPS) or pay-per-view systems, it is not reasonable to ask group members to stay on-line all the time and save the changes to the system. A hierarchical binary tree-based key management scheme are proposed for a secure group communication. This scheme reduces the key storage requirement of GC to a constant size and the group members are not required to be on-line constantly (stateless).展开更多
This paper takes the right branch main channel Bridge of Huai River Bridge in Huainan as the engineering background, uses the finite element software Midas and the ANSYS to simulate and analyze the jacking constructio...This paper takes the right branch main channel Bridge of Huai River Bridge in Huainan as the engineering background, uses the finite element software Midas and the ANSYS to simulate and analyze the jacking construction of the bridge, and according to the theoretical calculation, the construction monitoring plan is developed, and the stress and deformation of the key section and part of the structure are monitored. Construction monitoring combined with 3 g network and data acquisition module, monitoring data for the real time measurement, the centralized acquisition and wireless transmission, accomplish on-line real-time monitoring of the bridge construction process, effective control of jacking construction and monitoring. The comparison between theoretical analysis and measured results shows that the simulation results are reasonable, and the construction monitoring scheme based on 3G network and data collection can be used as reference.展开更多
Both opportunities and challenges are currently faced by government management innovation in the age of "big data". Traditionally, relative studies view the management of governments as the effective means to improv...Both opportunities and challenges are currently faced by government management innovation in the age of "big data". Traditionally, relative studies view the management of governments as the effective means to improve governmental services, without really understanding the structural influence of big data and network technology on governmental mode of thinking. Against such backdrop, this paper tries to conduct critical analysis based upon traditional outcomes in this regard, trying to make full use of the function of big data technology. With these efforts, this paper contributes to the building of an interaction theory that could promote transparency of information and customization and segmentation of the policies. By constructing a mode in which management could be carried out based on the law of big data, by building an information management system in which balance could be achieved between responsibility and freedom, by promoting the rebalancing among public power, online civil society and civil rights, the innovation of governmental management would be achieved.展开更多
In this paper, we conduct research on the development of mechanical and electrical integration of system function principle and related technologies. Along with the rapid and continuous development of modem science an...In this paper, we conduct research on the development of mechanical and electrical integration of system function principle and related technologies. Along with the rapid and continuous development of modem science and technology, it ' s for the penetration and cross of different subjects great push, the more important is caused by technological revolution in the field of engineering and mechanical engineering field under the rapid development of computer technology and microelectronic technology and penetration to the mechanical and electrical integration, which is formed by the mechanical industry lead to trigger a particularly large changes in the mechanical industry management system and mode of production, product and technical structure, composition and function, thus result in industrial production from the previous mechanical electrification progressively electromechanical integration which lead the trend of the current technology.展开更多
Objective: To evaluate autogenous vein grafts and inside-out vein grafts as conduits for the defects repair in the rabbit facial nerves. Methods: The 10 nun segments of buccal division of facial nerve were transect...Objective: To evaluate autogenous vein grafts and inside-out vein grafts as conduits for the defects repair in the rabbit facial nerves. Methods: The 10 nun segments of buccal division of facial nerve were transected for 48 rabbits in this study. Then the gaps were immediately repaired by autogenous vein grafts or inside-out vein grafts in different groups. All the animals underwent the whisker movement test and electrophysiologic test during the following 16 weeks at different time points postoperatively. Subsequently, the histological examination was performed to observe the facial nerve regeneration morphologically. Results: At 8 weeks after operation, the facial nerve regeneration has significant difference between the experimental group and the control group in electrophysiologic test and histological observation. However, at the end of this study, 16 weeks after operation, there was no signifi- cant difference between inside-out vein grafts and standard vein grafts in enhancing peripheral nerve regeneration. Conclusion: This study suggest that both kinds of vein grafts play positive roles in facial nerve regeneration after being repaired immediately, but the autogenous inside-out vein grafts might accelerate and facilitate axonal regeneration as compared with control.展开更多
文摘AIM: To prospectively evaluate the usefulness of a pattern-based classification of contrast-enhanced sonographic findings for differential diagnosis of hepatic tumors. METHODS: We evaluated the enhancement pattern of the contrast-enhanced sonography images in 586 patients with 586 hepatic lesions, consisting of 383 hepatocellular carcinomas, 89 metastases, and 114 hemangiomas. After injecting a galactose-palmitic acid contrast agent, lesions were scanned by contrast- enhanced harmonic gray-scale sonography in three phases: arterial, portal, and late. The enhancement patterns of the initial 303 lesions were classified retrospectively, and multiple logistic regression analysis was used to identify enhancement patterns that allowed differentiation between hepatic tumors. We then used the pattern-based classification of enhancement we had retrospectively devised to prospectively diagnose 283 liver tumors. RESULTS: Seven enhancement patterns were found to be significant predictors of different hepatic tumors. The presence of homogeneous or heterogeneous enhancement both in the arterial and portal phase was the typical enhancement pattern for hepatocellular carcinoma, while the presence of peritumoral vessels in the arterial phase and ring enhancement or a perfusion defect in the portal phase was the typical enhancement pattern for metastases, and the presence of peripheral nodular enhancement both in the arterial and portal phase was the typical enhancement pattern forhemangioma. The sensitivity, specificity, and accuracy of prospective diagnosis based on the combinations of enhancement patterns, respectively, were 93.2%, 96.2%, and 94.0% for hepatocellular carcinoma, 87.9%, 99.6%, and 98.2% for metastasis, and 95.6%, 94.1%, and 94.3% for hemangioma. CONCLUSION: The pattern-based classification of the contrast-enhanced sonographic findings is useful for differentiating among hepatic tumors.
文摘Lymphangiomas are rare, benign tumors of the lymphatic system, usually present in children aged 5 years and younger. Because they are asymptomatic until the mass enlarges to cause symptoms, most lymphangiomas are diagnosed at adulthood incidentally. We experienced a case of a 60-year-old man diagnosed with a cystic lymphangioma of the gallbladder, which was successfully resected without any complication. Magnetic resonance imaging and magnetic resonance cholangiopancreatography were very helpful for the diagnosis of the cystic lesion around the gallbladder as were ultrasonography and computed tomography scan. These showed a multi-lobulated cystic mass with intact cystic duct and bile duct in the gallbladder fossa. The patient underwent an open cholecystectomy and the histological findings were consistent with a cystic lymphangioma of the gallbladder. We here report the case of cystic lymphangioma of the gallbladder with a review of the literature.
文摘The marketing share model of price and advertising in a duopoly market was studied in this paper. Market response curves of price and advertising were presented to calculate the reasonable range based on the market forecast results. The interaction effect of price and advertising was considered,and the game theory was applied to a two-stage price and advertising competition which involved the market share model. A marketing decision support system (MDSS) was developed and simulation data was provided to give the solutions. The operation results show that the leading enterprise makes higher price,spends more on advertising,and earns more profit,while the small-scale enterprise has to lower the price,spend less on advertising,and has slightly higher profit rate. The system is shown to be adaptable to a wide variety of realistic situations.
文摘Objective:The aim of this study was to evaluate the optimal field arrangement for conformal radiotherapy (CFRT) for prostate cancer patients.Methods:Thirty patients with prostate cancer of different grades and stages were treated with 3D conformal radiotherapy to minimize the dose to bladder,rectum and head of both femora using four fields (4F),five fields (5F),six fields (6F) and ARC techniques to minimize the risk of over dose to bladder,rectum and femoral heads.Patients received a total dose between 76 to 78 Gy given in 38 to 39 fractions over 7.5 to 8 weeks.Results:It was observed that V95,D95,D50 and D5 values for planning target volume (PTV) were comparatively higher when planned by 5 fields technique than when planned by fixed field technique (91%,91%,90% and 91.4% for skip-scan technique versus 85%,87%,86% and 88% by fixed field).The organs like rectum and urinary bladder get much higher dose when treated by fixed field techniques than rotation or 5 fields technique,when comparison was made for V95,V50 and DM values for rectum and urinary bladder obtained by 5 fields technique planning and 4/6 field planning,the value for 5 fields technique was found to be lower than 4/6 field technique (1%,70% and 51% versus 13%,91% and 55% for rectum and 4%,25% and 51% versus 16%,38% and 56% for urinary bladder respectively).Conclusion:Similarly for femoral heads,planning by full rotational technique had been observed to be beneficial as compared to when planning was done by fixed field technique (0%,0% and 29% versus 0%,1% and 28%).
文摘In a secure group communication system, messages must be encrypted before being transmitted to group members to prevent unauthorized access. In many secure group communication schemes, whenever a member leaves or joins the group, group center (GC) immediately changes the common encryption key and sends the new key to all valid members for forward and backward secrecy. If valid members are not on-line, they will miss the re-keying messages and will not be able to decrypt any ciphertext. Therefore, group members must be able to store the state of the system. In some applications, like global positioning systems (GPS) or pay-per-view systems, it is not reasonable to ask group members to stay on-line all the time and save the changes to the system. A hierarchical binary tree-based key management scheme are proposed for a secure group communication. This scheme reduces the key storage requirement of GC to a constant size and the group members are not required to be on-line constantly (stateless).
文摘This paper takes the right branch main channel Bridge of Huai River Bridge in Huainan as the engineering background, uses the finite element software Midas and the ANSYS to simulate and analyze the jacking construction of the bridge, and according to the theoretical calculation, the construction monitoring plan is developed, and the stress and deformation of the key section and part of the structure are monitored. Construction monitoring combined with 3 g network and data acquisition module, monitoring data for the real time measurement, the centralized acquisition and wireless transmission, accomplish on-line real-time monitoring of the bridge construction process, effective control of jacking construction and monitoring. The comparison between theoretical analysis and measured results shows that the simulation results are reasonable, and the construction monitoring scheme based on 3G network and data collection can be used as reference.
文摘Both opportunities and challenges are currently faced by government management innovation in the age of "big data". Traditionally, relative studies view the management of governments as the effective means to improve governmental services, without really understanding the structural influence of big data and network technology on governmental mode of thinking. Against such backdrop, this paper tries to conduct critical analysis based upon traditional outcomes in this regard, trying to make full use of the function of big data technology. With these efforts, this paper contributes to the building of an interaction theory that could promote transparency of information and customization and segmentation of the policies. By constructing a mode in which management could be carried out based on the law of big data, by building an information management system in which balance could be achieved between responsibility and freedom, by promoting the rebalancing among public power, online civil society and civil rights, the innovation of governmental management would be achieved.
文摘In this paper, we conduct research on the development of mechanical and electrical integration of system function principle and related technologies. Along with the rapid and continuous development of modem science and technology, it ' s for the penetration and cross of different subjects great push, the more important is caused by technological revolution in the field of engineering and mechanical engineering field under the rapid development of computer technology and microelectronic technology and penetration to the mechanical and electrical integration, which is formed by the mechanical industry lead to trigger a particularly large changes in the mechanical industry management system and mode of production, product and technical structure, composition and function, thus result in industrial production from the previous mechanical electrification progressively electromechanical integration which lead the trend of the current technology.
文摘Objective: To evaluate autogenous vein grafts and inside-out vein grafts as conduits for the defects repair in the rabbit facial nerves. Methods: The 10 nun segments of buccal division of facial nerve were transected for 48 rabbits in this study. Then the gaps were immediately repaired by autogenous vein grafts or inside-out vein grafts in different groups. All the animals underwent the whisker movement test and electrophysiologic test during the following 16 weeks at different time points postoperatively. Subsequently, the histological examination was performed to observe the facial nerve regeneration morphologically. Results: At 8 weeks after operation, the facial nerve regeneration has significant difference between the experimental group and the control group in electrophysiologic test and histological observation. However, at the end of this study, 16 weeks after operation, there was no signifi- cant difference between inside-out vein grafts and standard vein grafts in enhancing peripheral nerve regeneration. Conclusion: This study suggest that both kinds of vein grafts play positive roles in facial nerve regeneration after being repaired immediately, but the autogenous inside-out vein grafts might accelerate and facilitate axonal regeneration as compared with control.