目的评估新型骨抑制技术—深度卷积网络骨抑制成像(deep bone suppression imaging,deepBSI)对孤立性肺结节(solitary pulmonary nodule,SPN)的诊断效能,并与数字化X线片(digital radiograph,DR)、双能量减影技术(dual energy substract...目的评估新型骨抑制技术—深度卷积网络骨抑制成像(deep bone suppression imaging,deepBSI)对孤立性肺结节(solitary pulmonary nodule,SPN)的诊断效能,并与数字化X线片(digital radiograph,DR)、双能量减影技术(dual energy substraction,DES)进行对比分析。方法收集我院2016年12月~2017年9月拍摄标准胸部正位片247例(114例诊断SPN,133例无结节)。3位低年资及3位高年资医师按DR图像→DR+deepBSI图像→DR+DES图像的阅片顺序,分别在三组图像上标出结节可能位置并评分,进行Z检验,应用ROC曲线分析三种检查方法对SPN的诊断效能。结果6位医师,DR、deepBSI、DES三种检查方法诊断SPN的ROC曲线下面积分别约0.715、0.804、0.800,deepBSI、DES诊断效能均优于DR(P<0.05)。当结节与肋骨重叠面积>50%时,deepBSI、DES二种方法相比于DR诊断SPN的诊断效能越好。结论deepBSI、DES诊断效能均优于DR,有助于肺结节的检出,与肋骨重叠面积大的结节优势更显著,deepBSI、DES诊断敏感性及特异性始终相似。展开更多
TADP, 2-(1H-1,2,4-triazol-1-yl)-1-hydroxyethane-1,1-diphosphonic acid, was synthesized by three step reactions from the raw material 1H-1,2,4-triazole. Tcm-TADP was prepared with 5 mg TADP at pH 7.0 by joining 99 99Tc...TADP, 2-(1H-1,2,4-triazol-1-yl)-1-hydroxyethane-1,1-diphosphonic acid, was synthesized by three step reactions from the raw material 1H-1,2,4-triazole. Tcm-TADP was prepared with 5 mg TADP at pH 7.0 by joining 99 99TcmO4 with SnCl2·2H2O in aqueous solution for 10 min at room temperature. Both labeling yield and radiochemical - purity of Tcm-TADP were more than 95%. The biodistribution in rats and bone scan in rabbits were also studied. The 99 uptake of organ was expressed as %ID/g. The results showed that the bone uptake is up to 17.17%ID/g which is the maximum of bone uptake at 30 min after injection of Tcm-TADP in rats, bone-to-muscle and bone-to-blood uptake 99 ratios were 61.32 and 13.21, respectively. The clear bone image of rabbit was obtained at 120 min after injection of 99Tcm-TADP and clearance in soft tissue was visible. The preparation of 99Tcm-TADP was convenient and 99Tcm-TADP exhibited high uptake in bone, and it would be a potential new bone imaging agent.展开更多
文摘目的评估新型骨抑制技术—深度卷积网络骨抑制成像(deep bone suppression imaging,deepBSI)对孤立性肺结节(solitary pulmonary nodule,SPN)的诊断效能,并与数字化X线片(digital radiograph,DR)、双能量减影技术(dual energy substraction,DES)进行对比分析。方法收集我院2016年12月~2017年9月拍摄标准胸部正位片247例(114例诊断SPN,133例无结节)。3位低年资及3位高年资医师按DR图像→DR+deepBSI图像→DR+DES图像的阅片顺序,分别在三组图像上标出结节可能位置并评分,进行Z检验,应用ROC曲线分析三种检查方法对SPN的诊断效能。结果6位医师,DR、deepBSI、DES三种检查方法诊断SPN的ROC曲线下面积分别约0.715、0.804、0.800,deepBSI、DES诊断效能均优于DR(P<0.05)。当结节与肋骨重叠面积>50%时,deepBSI、DES二种方法相比于DR诊断SPN的诊断效能越好。结论deepBSI、DES诊断效能均优于DR,有助于肺结节的检出,与肋骨重叠面积大的结节优势更显著,deepBSI、DES诊断敏感性及特异性始终相似。
文摘TADP, 2-(1H-1,2,4-triazol-1-yl)-1-hydroxyethane-1,1-diphosphonic acid, was synthesized by three step reactions from the raw material 1H-1,2,4-triazole. Tcm-TADP was prepared with 5 mg TADP at pH 7.0 by joining 99 99TcmO4 with SnCl2·2H2O in aqueous solution for 10 min at room temperature. Both labeling yield and radiochemical - purity of Tcm-TADP were more than 95%. The biodistribution in rats and bone scan in rabbits were also studied. The 99 uptake of organ was expressed as %ID/g. The results showed that the bone uptake is up to 17.17%ID/g which is the maximum of bone uptake at 30 min after injection of Tcm-TADP in rats, bone-to-muscle and bone-to-blood uptake 99 ratios were 61.32 and 13.21, respectively. The clear bone image of rabbit was obtained at 120 min after injection of 99Tcm-TADP and clearance in soft tissue was visible. The preparation of 99Tcm-TADP was convenient and 99Tcm-TADP exhibited high uptake in bone, and it would be a potential new bone imaging agent.
