AIM:To assess the safety,yield and clinical utility of percutaneous transgastric computed tomography(CT)-guided biopsy of pancreatic tumor using large needles, in selected patients. METHODS:We reviewed 34 CT-guided bi...AIM:To assess the safety,yield and clinical utility of percutaneous transgastric computed tomography(CT)-guided biopsy of pancreatic tumor using large needles, in selected patients. METHODS:We reviewed 34 CT-guided biopsies in patients with pancreas mass,of whom 24(71%)had a direct path to the mass without passing through a major organ.The needle passed through the liver in one case(3%).Nine passes(26%)were made through the stomach.These nine transgastric biopsies which used a coaxial technique(i.e.a 17-gauge coaxial introducer needle and an 18-gauge biopsy needle)were the basis of this study.Immediate and late follow-up CT images to detect complications were obtained. RESULTS:Tumor tissues were obtained in nine pancreatic biopsies,and histologic specimens for diagnosis were obtained in all cases.One patient,who had a rare sarco-matoid carcinoma,received a second biopsy.One patient had a complication of transient pneumoperitoneum but no subjective complaints.An immediate imaging study and clinical follow-up detected neither hemorrhage nor peritonitis.No delayed procedure-related complication was seen during the survival period of our patients.CONCLUSION:Pancreatic biopsy can be obtained by a transgastric route using a large needle as an alternative method,without complications of peritonitis or bleeding.展开更多
In the system of Computer Network Collaborative Defense(CNCD),it is difficult to evaluate the trustworthiness of defense agents which are newly added to the system,since they lack historical interaction for trust eval...In the system of Computer Network Collaborative Defense(CNCD),it is difficult to evaluate the trustworthiness of defense agents which are newly added to the system,since they lack historical interaction for trust evaluation.This will lead that the newly added agents could not get reasonable initial trustworthiness,and affect the whole process of trust evaluation.To solve this problem in CNCD,a trust type based trust bootstrapping model was introduced in this research.First,the division of trust type,trust utility and defense cost were discussed.Then the constraints of defense tasks were analyzed based on game theory.According to the constraints obtained,the trust type of defense agents was identified and the initial trustworthiness was assigned to defense agents.The simulated experiment shows that the methods proposed have lower failure rate of defense tasks and better adaptability in the respect of defense task execution.展开更多
文摘AIM:To assess the safety,yield and clinical utility of percutaneous transgastric computed tomography(CT)-guided biopsy of pancreatic tumor using large needles, in selected patients. METHODS:We reviewed 34 CT-guided biopsies in patients with pancreas mass,of whom 24(71%)had a direct path to the mass without passing through a major organ.The needle passed through the liver in one case(3%).Nine passes(26%)were made through the stomach.These nine transgastric biopsies which used a coaxial technique(i.e.a 17-gauge coaxial introducer needle and an 18-gauge biopsy needle)were the basis of this study.Immediate and late follow-up CT images to detect complications were obtained. RESULTS:Tumor tissues were obtained in nine pancreatic biopsies,and histologic specimens for diagnosis were obtained in all cases.One patient,who had a rare sarco-matoid carcinoma,received a second biopsy.One patient had a complication of transient pneumoperitoneum but no subjective complaints.An immediate imaging study and clinical follow-up detected neither hemorrhage nor peritonitis.No delayed procedure-related complication was seen during the survival period of our patients.CONCLUSION:Pancreatic biopsy can be obtained by a transgastric route using a large needle as an alternative method,without complications of peritonitis or bleeding.
基金supported by the National Natural Science Foundation of China under Grant No.61170295
文摘In the system of Computer Network Collaborative Defense(CNCD),it is difficult to evaluate the trustworthiness of defense agents which are newly added to the system,since they lack historical interaction for trust evaluation.This will lead that the newly added agents could not get reasonable initial trustworthiness,and affect the whole process of trust evaluation.To solve this problem in CNCD,a trust type based trust bootstrapping model was introduced in this research.First,the division of trust type,trust utility and defense cost were discussed.Then the constraints of defense tasks were analyzed based on game theory.According to the constraints obtained,the trust type of defense agents was identified and the initial trustworthiness was assigned to defense agents.The simulated experiment shows that the methods proposed have lower failure rate of defense tasks and better adaptability in the respect of defense task execution.
