离子回旋射频(Ion Cyclotron Range of Frequencies,ICRF)波加热是托卡马克装置上至关重要的辅助加热方式之一。托卡马克装置中国环流三号(HL-3,原名HL-2M)拟安装加热功率为6 MW的ICRF加热系统。本工作利用TRANSP程序,模拟并研究了ICRF...离子回旋射频(Ion Cyclotron Range of Frequencies,ICRF)波加热是托卡马克装置上至关重要的辅助加热方式之一。托卡马克装置中国环流三号(HL-3,原名HL-2M)拟安装加热功率为6 MW的ICRF加热系统。本工作利用TRANSP程序,模拟并研究了ICRF加热的频率和功率对聚变中子产额以及快离子分布的影响。研究结果表明:ICRF的频率和功率对中子产额有显著影响,固定ICRF频率时,中子产额与加热功率成正比关系,而在固定ICRF加热功率的情况下,中子产额的增加幅度显著依赖ICRF的频率,在研究参数范围内,30 MHz的ICRF对中子产额的增加具有最显著的增强作用。快离子分布的模拟结果显示,在考虑ICRF加热后,中性束和ICRF的协同加热机制能够将快离子加热至最高1 MeV,有效地提高了中子产额。此外,基于中子相机诊断的概念对中子信号进行了仿真。结果表明,中子相机能够有效地测量到由ICRF加热导致的中子产额高低和分布剖面的变化,这为将来优化中子相机诊断系统设计和测量中子空间分布提供了一定的参考。展开更多
BACKGROUND Biliary stone disease is a highly prevalent condition and a leading cause of hospitalization worldwide.Hepatolithiasis with associated strictures has high residual and recurrence rates after traditional mul...BACKGROUND Biliary stone disease is a highly prevalent condition and a leading cause of hospitalization worldwide.Hepatolithiasis with associated strictures has high residual and recurrence rates after traditional multisession percutaneous transhepatic cholangioscopic lithotripsy(PTCSL).AIM To study one-step PTCSL using the percutaneous transhepatic one-step biliary fistulation(PTOBF)technique guided by three-dimensional(3D)visualization.METHODS This was a retrospective,single-center study analyzing,140 patients who,between October 2016 and October 2023,underwent one-step PTCSL for hepatolithiasis.The patients were divided into two groups:The 3D-PTOBF group and the PTOBF group.Stone clearance on choledochoscopy,complications,and long-term clearance and recurrence rates were assessed.RESULTS Age,total bilirubin,direct bilirubin,Child-Pugh class,and stone location were similar between the 2 groups,but there was a significant difference in bile duct strictures,with biliary strictures more common in the 3D-PTOBF group(P=0.001).The median follow-up time was 55.0(55.0,512.0)days.The immediate stone clearance ratio(88.6%vs 27.1%,P=0.000)and stricture resolution ratio(97.1%vs 78.6%,P=0.001)in the 3D-PTOBF group were significantly greater than those in the PTOBF group.Postoperative complication(8.6%vs 41.4%,P=0.000)and stone recurrence rates(7.1%vs 38.6%,P=0.000)were significantly lower in the 3D-PTOBF group.CONCLUSION Three-dimensional visualization helps make one-step PTCSL a safe,effective,and promising treatment for patients with complicated primary hepatolithiasis.The perioperative and long-term outcomes are satisfactory for patients with complicated primary hepatolithiasis.This minimally invasive method has the potential to be used as a substitute for hepatobiliary surgery.展开更多
文摘离子回旋射频(Ion Cyclotron Range of Frequencies,ICRF)波加热是托卡马克装置上至关重要的辅助加热方式之一。托卡马克装置中国环流三号(HL-3,原名HL-2M)拟安装加热功率为6 MW的ICRF加热系统。本工作利用TRANSP程序,模拟并研究了ICRF加热的频率和功率对聚变中子产额以及快离子分布的影响。研究结果表明:ICRF的频率和功率对中子产额有显著影响,固定ICRF频率时,中子产额与加热功率成正比关系,而在固定ICRF加热功率的情况下,中子产额的增加幅度显著依赖ICRF的频率,在研究参数范围内,30 MHz的ICRF对中子产额的增加具有最显著的增强作用。快离子分布的模拟结果显示,在考虑ICRF加热后,中性束和ICRF的协同加热机制能够将快离子加热至最高1 MeV,有效地提高了中子产额。此外,基于中子相机诊断的概念对中子信号进行了仿真。结果表明,中子相机能够有效地测量到由ICRF加热导致的中子产额高低和分布剖面的变化,这为将来优化中子相机诊断系统设计和测量中子空间分布提供了一定的参考。
基金Supported by The Key Medical Specialty Nurturing Program of Foshan During The 14th Five-Year Plan Period,No.FSPY145205The Medical Research Project of Foshan Health Bureau,No.20230814A010024+1 种基金The Guangzhou Science and Technology Plan Project,No.202102010251the Guangdong Science and Technology Program,No.2017ZC0222.
文摘BACKGROUND Biliary stone disease is a highly prevalent condition and a leading cause of hospitalization worldwide.Hepatolithiasis with associated strictures has high residual and recurrence rates after traditional multisession percutaneous transhepatic cholangioscopic lithotripsy(PTCSL).AIM To study one-step PTCSL using the percutaneous transhepatic one-step biliary fistulation(PTOBF)technique guided by three-dimensional(3D)visualization.METHODS This was a retrospective,single-center study analyzing,140 patients who,between October 2016 and October 2023,underwent one-step PTCSL for hepatolithiasis.The patients were divided into two groups:The 3D-PTOBF group and the PTOBF group.Stone clearance on choledochoscopy,complications,and long-term clearance and recurrence rates were assessed.RESULTS Age,total bilirubin,direct bilirubin,Child-Pugh class,and stone location were similar between the 2 groups,but there was a significant difference in bile duct strictures,with biliary strictures more common in the 3D-PTOBF group(P=0.001).The median follow-up time was 55.0(55.0,512.0)days.The immediate stone clearance ratio(88.6%vs 27.1%,P=0.000)and stricture resolution ratio(97.1%vs 78.6%,P=0.001)in the 3D-PTOBF group were significantly greater than those in the PTOBF group.Postoperative complication(8.6%vs 41.4%,P=0.000)and stone recurrence rates(7.1%vs 38.6%,P=0.000)were significantly lower in the 3D-PTOBF group.CONCLUSION Three-dimensional visualization helps make one-step PTCSL a safe,effective,and promising treatment for patients with complicated primary hepatolithiasis.The perioperative and long-term outcomes are satisfactory for patients with complicated primary hepatolithiasis.This minimally invasive method has the potential to be used as a substitute for hepatobiliary surgery.
