Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extr...Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. 18F-fluorodeoxyglucose(18F-FDG) positron emission tomography/computed tomography(PET/CT) is useful in detecting intraabdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by 18F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient's condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis.展开更多
Damage tolerance of titanium alloy structures is very important for the safety of modern aircraft under complex loading and environmental conditions. However, there is no available systematic knowledge about the effec...Damage tolerance of titanium alloy structures is very important for the safety of modern aircraft under complex loading and environmental conditions. However, there is no available systematic knowledge about the effect of alloy thickness under mixed-mode loading at elevated temperatures. In the present study, a newly developed fracture experimental technique based on high-temperature moiré interferometry was employed to investigate experimentally I-II mixed-mode fracture in titanium alloy TC11 of various thicknesses at room and elevated temperatures. Compact shear specimens with thickness ranging from 1.8 to 7.1 mm were tested. The effects of temperature, thickness, and loading angle on the load capacity and crack initiation angle were investigated systematically. The TC11 alloy was shown to possess varied fracture performance at elevated tem-perature, and an opposite thickness effect at room temperature. Increasing temperature would enhance the fracture load capacity of thick specimens but reduce the fracture load capacity of thin specimens. Crack initiation angles under I-II mixed-mode loading showed the thickness-temperature coupling effects. These complex effects call for new development in three-dimensional mixed-mode fracture theory and technologies for damage tolerance assessment.展开更多
A 15 years old girl was found to have isolated trochlea fracture 10 weeks after an injury caused by a fall on her left elbow. Movement of the elbow was severely restricted. Radiographs showed a half moon-shaped and an...A 15 years old girl was found to have isolated trochlea fracture 10 weeks after an injury caused by a fall on her left elbow. Movement of the elbow was severely restricted. Radiographs showed a half moon-shaped and anterosuperiorly displaced osteochondral fragment. Medial approach capsulotomy of the elbow and excision of the intraarticular adhesions were done to expose the isolated trochlea fracture. Headless screws were used for fixation, combined with bone grafting. The follow-up showed union and excellent functional recovery of the elbow. Isolated trochlea fracture in adults is rare and usually associated with capitellar fractures and/or elbow dislocations. A neglected trochlea fracture is rarely reported in the English language literature to the best of our knowledge. Recognition of isolated trochlea fracture is vital to apprehend the pathomechanics of the injury and to devise a suitable treatment approach.展开更多
基金Supported by National Science Foundation for Yong Scholars of China,No.81101067
文摘Spontaneous rupture of hepatocellular carcinoma(HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. 18F-fluorodeoxyglucose(18F-FDG) positron emission tomography/computed tomography(PET/CT) is useful in detecting intraabdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by 18F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient's condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis.
基金supported by the Natural Science Foundation of Jiangxi Province of China (Grant No. 2009GZW0022)
文摘Damage tolerance of titanium alloy structures is very important for the safety of modern aircraft under complex loading and environmental conditions. However, there is no available systematic knowledge about the effect of alloy thickness under mixed-mode loading at elevated temperatures. In the present study, a newly developed fracture experimental technique based on high-temperature moiré interferometry was employed to investigate experimentally I-II mixed-mode fracture in titanium alloy TC11 of various thicknesses at room and elevated temperatures. Compact shear specimens with thickness ranging from 1.8 to 7.1 mm were tested. The effects of temperature, thickness, and loading angle on the load capacity and crack initiation angle were investigated systematically. The TC11 alloy was shown to possess varied fracture performance at elevated tem-perature, and an opposite thickness effect at room temperature. Increasing temperature would enhance the fracture load capacity of thick specimens but reduce the fracture load capacity of thin specimens. Crack initiation angles under I-II mixed-mode loading showed the thickness-temperature coupling effects. These complex effects call for new development in three-dimensional mixed-mode fracture theory and technologies for damage tolerance assessment.
文摘A 15 years old girl was found to have isolated trochlea fracture 10 weeks after an injury caused by a fall on her left elbow. Movement of the elbow was severely restricted. Radiographs showed a half moon-shaped and anterosuperiorly displaced osteochondral fragment. Medial approach capsulotomy of the elbow and excision of the intraarticular adhesions were done to expose the isolated trochlea fracture. Headless screws were used for fixation, combined with bone grafting. The follow-up showed union and excellent functional recovery of the elbow. Isolated trochlea fracture in adults is rare and usually associated with capitellar fractures and/or elbow dislocations. A neglected trochlea fracture is rarely reported in the English language literature to the best of our knowledge. Recognition of isolated trochlea fracture is vital to apprehend the pathomechanics of the injury and to devise a suitable treatment approach.
