Medicago is an important grass in the legume family,which is suitable to be grown in neutral or alkalescent soils,and hence,can be widely spread in south of China with low pH value.It is one of major objectives to cul...Medicago is an important grass in the legume family,which is suitable to be grown in neutral or alkalescent soils,and hence,can be widely spread in south of China with low pH value.It is one of major objectives to cultivate acid-aluminum tolerant species.In the research,6 high-quality species with high-yielding potential were taken as materials to make evaluation on acid-aluminum tolerance by cell-culture technique,and the results showed that tolerance capacity from high to low was GT13R>Muge 701=Muge 702>Acrora>AC-3>Sheshou No.2=Medicago sativa.展开更多
To further explore the human visual system( HVS),the perceptual grouping( PG), which has been proven to play an important role in the HVS, is adopted to design an effective image quality assessment( IQA) model. ...To further explore the human visual system( HVS),the perceptual grouping( PG), which has been proven to play an important role in the HVS, is adopted to design an effective image quality assessment( IQA) model. Compared with the existing fixed-window-based models, the proposed one is an adaptive window-like model that introduces the perceptual grouping strategy into the IQA model. It works as follows: first,it preprocesses the images by clustering similar pixels into a group to the greatest extent; then the structural similarity is used to compute the similarity of the superpixels between reference and distorted images; finally, it integrates all the similarity of superpixels of an image to yield a quality score. Experimental results on three databases( LIVE, IVC and MICT) showthat the proposed method yields good performance in terms of correlation with human judgments of visual quality.展开更多
A personalized trustworthy service selection method is proposed to fully express the features of trust, emphasize the importance of user preference and improve the trustworthiness of service selection. The trustworthi...A personalized trustworthy service selection method is proposed to fully express the features of trust, emphasize the importance of user preference and improve the trustworthiness of service selection. The trustworthiness of web service is defined as customized multi-dimensional trust metrics and the user preference is embodied in the weight of each trust metric. A service selection method combining AHP (analytic hierarchy process) and PROMETHEE (preference ranking organization method for enrichment evaluations) is proposed. AHP is used to determine the weights of trust metrics according to users' preferences. Hierarchy and pairwise comparison matrices are constructed. The weights of trust metrics are derived from the highest eigenvalue and eigenvector of the matrix. to obtain the final rank of candidate services. The preference functions are defined according to the inherent characteristics of the trust metrics and net outranking flows are calculated. Experimental results show that the proposed method can effectively express users' personalized preferences for trust metrics, and the trustworthiness of service ranking and selection is efficiently improved.展开更多
AIM:To quantitatively investigate the effect of p16 hypermethylation on hepatocellular carcinoma (HCC) and hepatocirrhosis using a meta-analysis of available casecontrol studies.METHODS:Previous studies have primarily...AIM:To quantitatively investigate the effect of p16 hypermethylation on hepatocellular carcinoma (HCC) and hepatocirrhosis using a meta-analysis of available casecontrol studies.METHODS:Previous studies have primarily evaluated the incidence of p16 hypermethylation in HCC and corresponding control groups,and compared the incidence of p16 hypermethylation in tumor tissues,pericancer liver tissues,normal liver tissues and non-tumor liver tissues with that in other diseases.Data regarding publication information,study characteristics,and incidence of p16 hypermethylation in both groups were collected from these studies and summarized.RESULTS:Fifteen studies,including 744 cases of HCC and 645 non-tumor cases,were identified for meta-analysis.Statistically significant odds ratios (ORs) of p16 hypermethylation were obtained from tumor tissues and non-tumorous liver tissues of HCC patients (OR 7.04,95% CI:3.87%-12.78%,P < 0.0001),tumor tissues of HCC patients and healthy liver tissues of patients with other diseases (OR 12.17,95% CI:6.64%-22.31%,P < 0.0001),tumor tissues of HCC patients and liver tissues of patients with non-tumorous liver diseases (OR 6.82,95% CI:4.31%-10.79%,P < 0.0001),and cirrhotic liver tissues and non-cirrhotic liver tissues (OR 4.96,95% CI:1.45%-16.96%,P=0.01).The pooled analysis showed significantly increased ORs of p16 hypermethylation (OR 6.98,95% CI:4.64%-10.49%,P < 0.001) from HCC tissues and cirrhotic tissues.CONCLUSION:P16 hypermethylation induces the inactivation of p16 gene,plays an important role in hepatocarcinogenesis,and is associated with an increased risk of HCC and liver cirrhosis.展开更多
Hepatocellular carcinoma (HCC) is one of the commonest cancers worldwide, particularly in parts of the developing world, and is increasing in incidence. This article reviews the current modalities employed for the dia...Hepatocellular carcinoma (HCC) is one of the commonest cancers worldwide, particularly in parts of the developing world, and is increasing in incidence. This article reviews the current modalities employed for the diagnosis of HCC, including serum markers, radiological techniques and histological evaluation, and summarises international guidelines for the diagnostic approach to HCC.展开更多
AIM:To ascertain the usefulness of a histological scoring system devised to assist in the interpretation of liver histology in neonatal cholestasis(NC) .METHODS:Liver biopsy specimens obtained from infants with NC ref...AIM:To ascertain the usefulness of a histological scoring system devised to assist in the interpretation of liver histology in neonatal cholestasis(NC) .METHODS:Liver biopsy specimens obtained from infants with NC referred to a tertiary pediatric unit in Malaysia were prospectively studied.The first author,blinded to the final diagnosis,devised the histological diagnosis based on a 7-feature(portal ductal proliferation,bile plugs in portal ductules,portoportal bridging,lymphocytic infiltration in portal region,multinucleated hepatocytes,neutrophilic infiltration,hepatocellular swelling) ,15-point(0 to 15) scoring system.The author classified the histological diagnosis as either biliary atresia(BA) or neonatal hepatitis(NH,all other diagnoses) ,and subsequently compared the author's diagnosis with the final diagnosis.RESULTS:Eighty-four biopsy specimens obtained from 78 patients were reviewed.Without the scoring system,BA was correctly diagnosed by the author histologically in 30 cases,labelled as NH in 3.For other diagnoses,BA was excluded correctly in 33 cases and mislabeled as BA in 2 cases.The overall sensitivity for BA was 91%,specificity 86% and accuracy 88%.With the scoring system,a score of ≥ 7 had the best diagnostic utility to differentiate BA from other intrahepatic cholestasis histologically(sensitivity 88%,specificity 94%,accuracy 92%) .Four patients with a score < 7 had BA,and 3 patients with a score ≥ 7 had NH.CONCLUSION:A 7-feature,15-point histological scoring system had good diagnostic accuracy in the interpretation of liver histology in neonatal cholestasis.展开更多
AIM:To assess the hepatic changes after induction of different periods of renal ischemia. METHODS:Rats were subjected to either sham operation or ischemia (30,45 and 60 min) followed by 60 min reperfusion. Liver and r...AIM:To assess the hepatic changes after induction of different periods of renal ischemia. METHODS:Rats were subjected to either sham operation or ischemia (30,45 and 60 min) followed by 60 min reperfusion. Liver and renal functional indices were measured. Hepatic glutathione (GSH) and ferric reducing antioxidant power levels and the concentration of interleukin (IL)-10 and tumor necrosis factor (TNF-α) were evaluated. Portions of liver and kidney tissues were fixed for histological evaluation. RESULTS:Forty-five minutes renal ischemia followed by 60 min reperfusion caused significant changes in liver structure and a significant reduction in renalfunction. These rats showed a significant decrease in liver GSH,as well as a significant increase in TNF-α and IL-10 concentrations. These results demonstrated that renal ischemia caused changes in liver histology,function,oxidative stress and inflammatory status,which led to a reduction in hepatic antioxidant capacity. With 30 min ischemia,the magnitude of these changes was less than those with 45 or 60 min ischemia.CONCLUSION:A minimum of 45 min ischemia is needed to study the effects of renal injury on the liver as a remote organ.展开更多
AIM: To design a classification tool for the histological assessment of hepatocellular carcinoma (HCC), dysplastic nodules (DN), and macroregenerative nodules (MRN) in cirrhotic liver. METHODS: Two hundred and...AIM: To design a classification tool for the histological assessment of hepatocellular carcinoma (HCC), dysplastic nodules (DN), and macroregenerative nodules (MRN) in cirrhotic liver. METHODS: Two hundred and twelve hepatocellular nodules (106 HCC; 74 IRN, 32 DN) were assessed systematically, quantitatively, and semiquantitatively as appropriate for 10 histological features that have been described as helpful in distinguishing small HCC, DN, and MRN in cirrhotic livers. The data were analyzed by multiple correspondence analysis (MCA). RESULTS: HCA distributed HCC, DN, and HRN as defined by traditional histological evaluation as well as the individual histological variables, in a "malignancy scale". Based on the MCA data representation, we created a classification tool, which categorizes an individual nodular lesion as MRN, DN, or HCC based on the balance of all histological features (i.e., vascular invasion, capsular invasion, tumor necrosis, tumor heterogeneity, reticulin loss, capillarization of sinusoids, trabecular thickness, nuclear atypia, and mitotic activity). The classification tool classified most (83%) of a validation set of 47 nodules in the same way as the routine histological assessment. No discrepandes were present for DN and MRN between the routine histological assignment and the dassification tool. Of 25 HCC assigned by routine assessment in the validation set, 8 were assigned to the DN category by the classification tool. CONCLUSION: We have designed a classification tool for the histological assessment of HCC and its putative precursors in cirrhotic liver. Application of this toolsystematically records histological features of diagnostic importance in the evaluation of small HCC.展开更多
AIM:To investigate the mechanism of liver regeneration induced by fusing the omentum to a small traumatic injury created in the liver. We studied three groups of rats. In one group the rats were omentectomized; in ano...AIM:To investigate the mechanism of liver regeneration induced by fusing the omentum to a small traumatic injury created in the liver. We studied three groups of rats. In one group the rats were omentectomized; in another group the omentum was left in situ and was not activated,and in the third group the omentum was activated by polydextran particles. METHODS:We pre-activated the omentum by injecting polydextran particles and then made a small wedge wound in the rat liver to allow the omentum to fuse to the wound. We monitored the regeneration of the liver by determining the ratio of liver weight/body weight,by histological evaluation (including immune staining for cytokeratin-19,an oval cell marker),and by testing for developmental gene activation using reverse transcription polymerase chain reaction (RT-PCR). RESULTS:There was no liver regeneration in the omentectomized rats,nor was there significant regeneration when the omentum was not activated,even though in this instance the omentum had fusedwith the liver. In contrast,the liver in the rats with the activated omentum expanded to a size 50% greater than the original,and there was histologically an interlying tissue between the wounded liver and the activated omentum in which bile ducts,containing cytokeratin-19 positive oval cells,extended from the wound edge. In this interlying tissue,oval cells were abundant and appeared to proliferate to form new liver tissue. In rats pre-treated with drugs that inhibited hepatocyte growth,liver proliferation was ongoing,indicating that regeneration of the liver was the result of oval cell expansion. CONCLUSION:Activated omentum facilitates liver regeneration following injury by a mechanism that depends largely on oval cell proliferation.展开更多
Non-classical manifestations of autoimmune hepatitis can delay diagnosis and treatment. Our aims were to describe the clinical phenotypes that can confound the diagnosis, detail scoring systems that can ensure their r...Non-classical manifestations of autoimmune hepatitis can delay diagnosis and treatment. Our aims were to describe the clinical phenotypes that can confound the diagnosis, detail scoring systems that can ensure their recognition, and outline advances in treatment that can improve their outcome. Prime source and review articles in English were selected throuqh Medline from 1970-2008 and assimilated into personal libraries spanning 32 years. Acute severe or asymptomatic presentations and atypical histological findings,including centrilobular zone 3 necrosis and concurrent bile duct changes, are compatible with the diagnosis. Cholangiographic abnormalities may be present in children and adults with the disease, and autoimmune hepatitis must be considered in patients without autoantibodies or with antimitochondrial antibodies and no other cholestatic features. Asymptomatic patients frequently become symptomatic; mild disease can progress; and there are no confident indices that justify withholding treatment. Two diagnostic scoring systems with complementary virtues have been developed to evaluate patients with confusing features. Normal liver tests and tissue constitute the optimal end point of treatment, and the first relapse is an indication for long- term azathioprine therapy. Cyclosporine, tacrolimus and mycophenolate mofetil are promising salvage therapies,and budesonide with azathioprine may be a superior frontline treatment. We conclude that the non-classical phenotypes of autoimmune hepatitis can be recognized promptly, diagnosed accurately, and treated effectively.展开更多
Constitutive model plays an important role in the numerical simulations of metal forming. However, th~ influence of the models on the calculation is vague. Based on the stress-strain data of A1 7050 and Ti-6A1-4V allo...Constitutive model plays an important role in the numerical simulations of metal forming. However, th~ influence of the models on the calculation is vague. Based on the stress-strain data of A1 7050 and Ti-6A1-4V alloy generated by isothermal compressive tests, the Johnson-Cook (JC) and Arrhenius-type (A-type) hyperbolic sine model were fitted to obtain the constants. Flow stresses directly calculated by the equations were compared with th~ experiment results, and rigid-plastic finite element analyses (FEA) utilizing these models were employed to simulate th~ same compression processes. The results show that A-type model has higher accuracy in the direct prediction of roy stress, even outside of the fit domain. The simulation results using A-type model also have higher agreement with th~ experiment; however, the suitability is affected by the referential parameters employed in the regression process, h terms of the overall deformation and strain distributions, there are slight differences among the simulation results usint these two models.展开更多
AIM: To investigate the role of tumor inf iltrating lym-phocytes (TIL) in primary hepatocellular and cholangio-lar carcinomas of the liver.METHODS: Immunohistochemical analysis was per-formed including antibodies to C...AIM: To investigate the role of tumor inf iltrating lym-phocytes (TIL) in primary hepatocellular and cholangio-lar carcinomas of the liver.METHODS: Immunohistochemical analysis was per-formed including antibodies to CD3, CD4, CD8, CD20, CD56 and TIA-1 in formalin-f ixed and paraff in-embed-ded tissue of 35 liver resection specimens of hepatocel-lular or cholangiocellular carcinomas. Semiquantitative evaluation was performed with emphasis on the area of the tumor itself and of the tumor/liver interface.RESULTS: All hepatocellular carcinomas showed in-filtration of lymphocytes predominantly around the tumor in the tumor/liver interface consisting mainly of CD3+ CD4+ T lymphocytes [164.3/10 high power f ields (HPF)] and in the tumor itself of CD8+ cells (54.9/10 HPF). Cholangiocarcinomas contained a heterogeneous amount of TIL, composed mainly of CD3+ T cells with a predominance of CD8+ cells in the tumor tissue (52.6/10 HPF) and of CD4+ cells in the interface region (223.1/10 HPF). CD56+ cells of the innate immune system were scarce. There was no significant difference between hepatocellular or cholangiolar carcinoma. No correlation with the clinicopathological data was seen. CONCLUSION: Liver TIL consists of intratumoral CD8+ T cells and peritumoral CD4+ T cells indepen-dent of histogenetic origin. Different functions of lym-phocytes in these regions seem possible.展开更多
A novel fast sub-pixel search algorithm is proposed to accelerate sub-pixel search. Based on the features of predicted motion vector (PMV) and texture direction observed, the proposed method effectively filters out im...A novel fast sub-pixel search algorithm is proposed to accelerate sub-pixel search. Based on the features of predicted motion vector (PMV) and texture direction observed, the proposed method effectively filters out impossible points and thus decreases 11 searched points in average during the sub-pixel search stage. A threshold is also adopted to early terminate the sub-pixel search. Simulation results show that the proposed method can achieve up to 4.8 times faster than full sub-pixel motion search scheme (FSPS) with less than 0.025 dB PSNR losses and 2.2% bit-length increases.展开更多
Analytic hierarchy process(Group AHP) is combined with two different methods of assigning experts' priority to weight indicators in building energy efficiency assessment.One is to assign the experts' priority ...Analytic hierarchy process(Group AHP) is combined with two different methods of assigning experts' priority to weight indicators in building energy efficiency assessment.One is to assign the experts' priority averagely,and the other is to use cluster analysis to assign experts' priority.The results show that,1) Different expert's priority assigns result in great different weights of indicators in building energy efficiency assessment,therefore,the method of assigning experts' priority should be taken into account carefully while weighting indicators of building energy efficiency assessment using Group AHP;2) Three indicators are found to be overwhelmingly important in residential building energy efficiency assessment in the hot summer and cold winter zone in China.They are 'Outdoor & indoor shadow','Heating & air-conditioning facilities' and 'Insulation of envelope';3) The method combining cluster analysis with Group AHP to weight indicator of building energy efficiency assessment has the advantage of finding overwhelming important indicator,whereas,some less important indicators have a tendency to be ignored.A useful reference is provided for building energy conservation including policy revision and energy efficient residential building design.展开更多
基金Supported by Project of Department of Education of Yunnan ProvinceQujing Normal University Teaching and Researching Project (Syjx2013004)~~
文摘Medicago is an important grass in the legume family,which is suitable to be grown in neutral or alkalescent soils,and hence,can be widely spread in south of China with low pH value.It is one of major objectives to cultivate acid-aluminum tolerant species.In the research,6 high-quality species with high-yielding potential were taken as materials to make evaluation on acid-aluminum tolerance by cell-culture technique,and the results showed that tolerance capacity from high to low was GT13R>Muge 701=Muge 702>Acrora>AC-3>Sheshou No.2=Medicago sativa.
基金The National Natural Science Foundation of China(No.81272501)the National Basic Research Program of China(973Program)(No.2011CB707904)Taishan Scholars Program of Shandong Province,China(No.ts20120505)
文摘To further explore the human visual system( HVS),the perceptual grouping( PG), which has been proven to play an important role in the HVS, is adopted to design an effective image quality assessment( IQA) model. Compared with the existing fixed-window-based models, the proposed one is an adaptive window-like model that introduces the perceptual grouping strategy into the IQA model. It works as follows: first,it preprocesses the images by clustering similar pixels into a group to the greatest extent; then the structural similarity is used to compute the similarity of the superpixels between reference and distorted images; finally, it integrates all the similarity of superpixels of an image to yield a quality score. Experimental results on three databases( LIVE, IVC and MICT) showthat the proposed method yields good performance in terms of correlation with human judgments of visual quality.
基金The National Natural Science Foundation of China(No.60973149)the Open Funds of State Key Laboratory of Computer Science of the Chinese Academy of Sciences(No.SYSKF1110)+1 种基金the Doctoral Fund of Ministry of Education of China(No.20100092110022)the College Industrialization Project of Jiangsu Province(No.JHB2011-3)
文摘A personalized trustworthy service selection method is proposed to fully express the features of trust, emphasize the importance of user preference and improve the trustworthiness of service selection. The trustworthiness of web service is defined as customized multi-dimensional trust metrics and the user preference is embodied in the weight of each trust metric. A service selection method combining AHP (analytic hierarchy process) and PROMETHEE (preference ranking organization method for enrichment evaluations) is proposed. AHP is used to determine the weights of trust metrics according to users' preferences. Hierarchy and pairwise comparison matrices are constructed. The weights of trust metrics are derived from the highest eigenvalue and eigenvector of the matrix. to obtain the final rank of candidate services. The preference functions are defined according to the inherent characteristics of the trust metrics and net outranking flows are calculated. Experimental results show that the proposed method can effectively express users' personalized preferences for trust metrics, and the trustworthiness of service ranking and selection is efficiently improved.
基金Supported by The Ministry of Science and Technology of China,No. 2009ZX09312-025 and No. 2008ZX10002-018
文摘AIM:To quantitatively investigate the effect of p16 hypermethylation on hepatocellular carcinoma (HCC) and hepatocirrhosis using a meta-analysis of available casecontrol studies.METHODS:Previous studies have primarily evaluated the incidence of p16 hypermethylation in HCC and corresponding control groups,and compared the incidence of p16 hypermethylation in tumor tissues,pericancer liver tissues,normal liver tissues and non-tumor liver tissues with that in other diseases.Data regarding publication information,study characteristics,and incidence of p16 hypermethylation in both groups were collected from these studies and summarized.RESULTS:Fifteen studies,including 744 cases of HCC and 645 non-tumor cases,were identified for meta-analysis.Statistically significant odds ratios (ORs) of p16 hypermethylation were obtained from tumor tissues and non-tumorous liver tissues of HCC patients (OR 7.04,95% CI:3.87%-12.78%,P < 0.0001),tumor tissues of HCC patients and healthy liver tissues of patients with other diseases (OR 12.17,95% CI:6.64%-22.31%,P < 0.0001),tumor tissues of HCC patients and liver tissues of patients with non-tumorous liver diseases (OR 6.82,95% CI:4.31%-10.79%,P < 0.0001),and cirrhotic liver tissues and non-cirrhotic liver tissues (OR 4.96,95% CI:1.45%-16.96%,P=0.01).The pooled analysis showed significantly increased ORs of p16 hypermethylation (OR 6.98,95% CI:4.64%-10.49%,P < 0.001) from HCC tissues and cirrhotic tissues.CONCLUSION:P16 hypermethylation induces the inactivation of p16 gene,plays an important role in hepatocarcinogenesis,and is associated with an increased risk of HCC and liver cirrhosis.
基金Supported by The NIHR Biomedical Research Centre funding scheme and the following for authors’ funding and supportAIG is funded by a scholarship from the Egyptian Government+5 种基金SAK is supported by a grant from the Higher Education Funding Council for England (HEFCE)SDTR is funded by grants from the British Medical Research Council (MRC), London, United KingdomThe British Engineering, Physics and Science Research Council (EPSRC), Swindon, United KingdomThe Alan Morement Memorial Fund AMMF, Essex, United KingdomBroad Foundation, Los Angeles, United StatesPfizer Global Research and Development Inc, Sandwich, United Kingdom and GlaxoSmithKline, Ware, United Kingdom
文摘Hepatocellular carcinoma (HCC) is one of the commonest cancers worldwide, particularly in parts of the developing world, and is increasing in incidence. This article reviews the current modalities employed for the diagnosis of HCC, including serum markers, radiological techniques and histological evaluation, and summarises international guidelines for the diagnostic approach to HCC.
基金Supported by A research grant from Vote F,University of Malaya,Kuala Lumpur,Malaysia
文摘AIM:To ascertain the usefulness of a histological scoring system devised to assist in the interpretation of liver histology in neonatal cholestasis(NC) .METHODS:Liver biopsy specimens obtained from infants with NC referred to a tertiary pediatric unit in Malaysia were prospectively studied.The first author,blinded to the final diagnosis,devised the histological diagnosis based on a 7-feature(portal ductal proliferation,bile plugs in portal ductules,portoportal bridging,lymphocytic infiltration in portal region,multinucleated hepatocytes,neutrophilic infiltration,hepatocellular swelling) ,15-point(0 to 15) scoring system.The author classified the histological diagnosis as either biliary atresia(BA) or neonatal hepatitis(NH,all other diagnoses) ,and subsequently compared the author's diagnosis with the final diagnosis.RESULTS:Eighty-four biopsy specimens obtained from 78 patients were reviewed.Without the scoring system,BA was correctly diagnosed by the author histologically in 30 cases,labelled as NH in 3.For other diagnoses,BA was excluded correctly in 33 cases and mislabeled as BA in 2 cases.The overall sensitivity for BA was 91%,specificity 86% and accuracy 88%.With the scoring system,a score of ≥ 7 had the best diagnostic utility to differentiate BA from other intrahepatic cholestasis histologically(sensitivity 88%,specificity 94%,accuracy 92%) .Four patients with a score < 7 had BA,and 3 patients with a score ≥ 7 had NH.CONCLUSION:A 7-feature,15-point histological scoring system had good diagnostic accuracy in the interpretation of liver histology in neonatal cholestasis.
基金Supported by A grant from Tehran Medical Sciences University
文摘AIM:To assess the hepatic changes after induction of different periods of renal ischemia. METHODS:Rats were subjected to either sham operation or ischemia (30,45 and 60 min) followed by 60 min reperfusion. Liver and renal functional indices were measured. Hepatic glutathione (GSH) and ferric reducing antioxidant power levels and the concentration of interleukin (IL)-10 and tumor necrosis factor (TNF-α) were evaluated. Portions of liver and kidney tissues were fixed for histological evaluation. RESULTS:Forty-five minutes renal ischemia followed by 60 min reperfusion caused significant changes in liver structure and a significant reduction in renalfunction. These rats showed a significant decrease in liver GSH,as well as a significant increase in TNF-α and IL-10 concentrations. These results demonstrated that renal ischemia caused changes in liver histology,function,oxidative stress and inflammatory status,which led to a reduction in hepatic antioxidant capacity. With 30 min ischemia,the magnitude of these changes was less than those with 45 or 60 min ischemia.CONCLUSION:A minimum of 45 min ischemia is needed to study the effects of renal injury on the liver as a remote organ.
文摘AIM: To design a classification tool for the histological assessment of hepatocellular carcinoma (HCC), dysplastic nodules (DN), and macroregenerative nodules (MRN) in cirrhotic liver. METHODS: Two hundred and twelve hepatocellular nodules (106 HCC; 74 IRN, 32 DN) were assessed systematically, quantitatively, and semiquantitatively as appropriate for 10 histological features that have been described as helpful in distinguishing small HCC, DN, and MRN in cirrhotic livers. The data were analyzed by multiple correspondence analysis (MCA). RESULTS: HCA distributed HCC, DN, and HRN as defined by traditional histological evaluation as well as the individual histological variables, in a "malignancy scale". Based on the MCA data representation, we created a classification tool, which categorizes an individual nodular lesion as MRN, DN, or HCC based on the balance of all histological features (i.e., vascular invasion, capsular invasion, tumor necrosis, tumor heterogeneity, reticulin loss, capillarization of sinusoids, trabecular thickness, nuclear atypia, and mitotic activity). The classification tool classified most (83%) of a validation set of 47 nodules in the same way as the routine histological assessment. No discrepandes were present for DN and MRN between the routine histological assignment and the dassification tool. Of 25 HCC assigned by routine assessment in the validation set, 8 were assigned to the DN category by the classification tool. CONCLUSION: We have designed a classification tool for the histological assessment of HCC and its putative precursors in cirrhotic liver. Application of this toolsystematically records histological features of diagnostic importance in the evaluation of small HCC.
基金Supported by An Unrestricted Grant from the Hektoen Institute of Medicine, Chicago, IL USA
文摘AIM:To investigate the mechanism of liver regeneration induced by fusing the omentum to a small traumatic injury created in the liver. We studied three groups of rats. In one group the rats were omentectomized; in another group the omentum was left in situ and was not activated,and in the third group the omentum was activated by polydextran particles. METHODS:We pre-activated the omentum by injecting polydextran particles and then made a small wedge wound in the rat liver to allow the omentum to fuse to the wound. We monitored the regeneration of the liver by determining the ratio of liver weight/body weight,by histological evaluation (including immune staining for cytokeratin-19,an oval cell marker),and by testing for developmental gene activation using reverse transcription polymerase chain reaction (RT-PCR). RESULTS:There was no liver regeneration in the omentectomized rats,nor was there significant regeneration when the omentum was not activated,even though in this instance the omentum had fusedwith the liver. In contrast,the liver in the rats with the activated omentum expanded to a size 50% greater than the original,and there was histologically an interlying tissue between the wounded liver and the activated omentum in which bile ducts,containing cytokeratin-19 positive oval cells,extended from the wound edge. In this interlying tissue,oval cells were abundant and appeared to proliferate to form new liver tissue. In rats pre-treated with drugs that inhibited hepatocyte growth,liver proliferation was ongoing,indicating that regeneration of the liver was the result of oval cell expansion. CONCLUSION:Activated omentum facilitates liver regeneration following injury by a mechanism that depends largely on oval cell proliferation.
文摘Non-classical manifestations of autoimmune hepatitis can delay diagnosis and treatment. Our aims were to describe the clinical phenotypes that can confound the diagnosis, detail scoring systems that can ensure their recognition, and outline advances in treatment that can improve their outcome. Prime source and review articles in English were selected throuqh Medline from 1970-2008 and assimilated into personal libraries spanning 32 years. Acute severe or asymptomatic presentations and atypical histological findings,including centrilobular zone 3 necrosis and concurrent bile duct changes, are compatible with the diagnosis. Cholangiographic abnormalities may be present in children and adults with the disease, and autoimmune hepatitis must be considered in patients without autoantibodies or with antimitochondrial antibodies and no other cholestatic features. Asymptomatic patients frequently become symptomatic; mild disease can progress; and there are no confident indices that justify withholding treatment. Two diagnostic scoring systems with complementary virtues have been developed to evaluate patients with confusing features. Normal liver tests and tissue constitute the optimal end point of treatment, and the first relapse is an indication for long- term azathioprine therapy. Cyclosporine, tacrolimus and mycophenolate mofetil are promising salvage therapies,and budesonide with azathioprine may be a superior frontline treatment. We conclude that the non-classical phenotypes of autoimmune hepatitis can be recognized promptly, diagnosed accurately, and treated effectively.
基金Project(2012ZX04010-81) supported by the National Key Technology R&D Program of China Project (51575066) supported by the National Natural Science Foundation of China
文摘Constitutive model plays an important role in the numerical simulations of metal forming. However, th~ influence of the models on the calculation is vague. Based on the stress-strain data of A1 7050 and Ti-6A1-4V alloy generated by isothermal compressive tests, the Johnson-Cook (JC) and Arrhenius-type (A-type) hyperbolic sine model were fitted to obtain the constants. Flow stresses directly calculated by the equations were compared with th~ experiment results, and rigid-plastic finite element analyses (FEA) utilizing these models were employed to simulate th~ same compression processes. The results show that A-type model has higher accuracy in the direct prediction of roy stress, even outside of the fit domain. The simulation results using A-type model also have higher agreement with th~ experiment; however, the suitability is affected by the referential parameters employed in the regression process, h terms of the overall deformation and strain distributions, there are slight differences among the simulation results usint these two models.
基金Supported by Centre of Molecular Medicine Cologne (CMMC), Kln, Germany
文摘AIM: To investigate the role of tumor inf iltrating lym-phocytes (TIL) in primary hepatocellular and cholangio-lar carcinomas of the liver.METHODS: Immunohistochemical analysis was per-formed including antibodies to CD3, CD4, CD8, CD20, CD56 and TIA-1 in formalin-f ixed and paraff in-embed-ded tissue of 35 liver resection specimens of hepatocel-lular or cholangiocellular carcinomas. Semiquantitative evaluation was performed with emphasis on the area of the tumor itself and of the tumor/liver interface.RESULTS: All hepatocellular carcinomas showed in-filtration of lymphocytes predominantly around the tumor in the tumor/liver interface consisting mainly of CD3+ CD4+ T lymphocytes [164.3/10 high power f ields (HPF)] and in the tumor itself of CD8+ cells (54.9/10 HPF). Cholangiocarcinomas contained a heterogeneous amount of TIL, composed mainly of CD3+ T cells with a predominance of CD8+ cells in the tumor tissue (52.6/10 HPF) and of CD4+ cells in the interface region (223.1/10 HPF). CD56+ cells of the innate immune system were scarce. There was no significant difference between hepatocellular or cholangiolar carcinoma. No correlation with the clinicopathological data was seen. CONCLUSION: Liver TIL consists of intratumoral CD8+ T cells and peritumoral CD4+ T cells indepen-dent of histogenetic origin. Different functions of lym-phocytes in these regions seem possible.
基金Supported by Electronic Information Industry Foundation of China (No.[2005]635) .
文摘A novel fast sub-pixel search algorithm is proposed to accelerate sub-pixel search. Based on the features of predicted motion vector (PMV) and texture direction observed, the proposed method effectively filters out impossible points and thus decreases 11 searched points in average during the sub-pixel search stage. A threshold is also adopted to early terminate the sub-pixel search. Simulation results show that the proposed method can achieve up to 4.8 times faster than full sub-pixel motion search scheme (FSPS) with less than 0.025 dB PSNR losses and 2.2% bit-length increases.
基金Project(2010R10036) supported by the Science and Technology Department of Zhejiang Province, China
文摘Analytic hierarchy process(Group AHP) is combined with two different methods of assigning experts' priority to weight indicators in building energy efficiency assessment.One is to assign the experts' priority averagely,and the other is to use cluster analysis to assign experts' priority.The results show that,1) Different expert's priority assigns result in great different weights of indicators in building energy efficiency assessment,therefore,the method of assigning experts' priority should be taken into account carefully while weighting indicators of building energy efficiency assessment using Group AHP;2) Three indicators are found to be overwhelmingly important in residential building energy efficiency assessment in the hot summer and cold winter zone in China.They are 'Outdoor & indoor shadow','Heating & air-conditioning facilities' and 'Insulation of envelope';3) The method combining cluster analysis with Group AHP to weight indicator of building energy efficiency assessment has the advantage of finding overwhelming important indicator,whereas,some less important indicators have a tendency to be ignored.A useful reference is provided for building energy conservation including policy revision and energy efficient residential building design.