Remnant Paleoproterozoic Subduction or Lithospheric Drip Initiation at the Yilgarn Craton Margin:Constraints from P-wave Tomography

The Paleoproterozoic was a critical time in whether modern-style plate tectonics had become globally dominant(e.g.,Wan et al.,2020).The Capricorn Orogen witnessed the assembly of the Pilbara and Yilgarn Cratons and an exotic microcontinent,the Glenburgh Terrane,to form the West Australia Craton(WAC)through two collisional orogenic events,the 2215–2145 Ma Ophthalmian and 2005–1950 Ma Glenburgh Orogenies(Johnson et al.,2013;Fig.1).Compared to other Proterozoic orogenic belts in Australia,the Capricorn Orogen preserves‘complete'opposing continental margin successions,together with intervening arc fragments associated with oceanic closure and foreland basins associated with collisional loading(Cawood et al.,2009).

P-wave tomography of crust and upper mantle under Southern California: Influence of topography of Moho discontinuity

We use 146 422 P-wave arrival times from 6 347 local earthquakes recorded by the Southern California SeismicNetwork to determine a detailed three-dimensional P-wave velocity structure at 0～35 km depth. We have takeninto account the Moho depth variations, which were obtained by seismological methods. Checkerboard tests sug-gest that our inversion results are reliable. Our models provide new information on regional geological structuresof Southern California. At shallow depths P-wave velocity structure correlates with surface geological features andexpresses well variations of surface topography of the mountains and basins. The velocity structure at each layer ischaracterized by block structures bounded by large faults. Ventura Basin, Los Angeles Basin, Mojave Desert, Pen-insular Ranges, San Joaquin Valley, Sierra Nevada, and Salton Trough show respectively all-round block. SanAndreas Fault becomes an obvious boundary of the region. To its southwest, the velocity is higher, and there arestrong heterogeneity and deeper seismicity; but to its northeast, the velocity is lower and shows less variation thanto the southwest, the seismicity is shallower. To investigate the effect of the Moho geometry we conducted inver-sions for two cases: one for flat Moho geometry, another for a Moho with lateral depth variations. We found thatthe topography of the Moho greatly affects the velocity structure of the middle and lower crust. When the Mohotopography is considered, a more reasonable tomographic result can be obtained and the resulting 3-D velocitymodel fits the data better.

P-wave tomography and relation between shallow and deep structures beneath the Songliao basin

We selected relative travel-time residuals from teleseismic waveform data using the waveform correction method and imaged the P wave velocity structure beneath Northeast China. In combination with other geophysical data, we discussed the relation between the shallow and deep structures of the area. The results show that there is a primary high-velocity zone with some high- and low-ve- locity distribution characters beneath the Songliao basin. The low-velocity anomalies may extend down to the upper mantle, and may be the result of material upwelling. The low-velocity anomaly beneath the southern part of the Songliao basin is connected to those beneath the Chang- baishan and A＇ershan volcanic areas. It may be an upwelling channel from the mantle beneath the Songliao basin and adjacent area. This finding indicates the Songliao basin was a result of asthenospheric upwelling caused by subduction of the Pacific plate under the Eurasian plate.

Teleseismic P-Wave Tomography of the New Guinea-Solomon Arc System

A P-wave tomographic traveltime inversion was applied to obtain a new model of seismic velocity anomalies beneath the New Guinea-Solomon arc system(PN-SL).The P-wave traveltime data,obtained from the revised International Seismological Center catalog,were recorded by 82 seismic stations in the PN-SL.Under the constraints of the epicenter distance,magnitude,and the number of stations recorded,15009 effective P-wave traveltime data were selected from 2011 teleseismic events.The obtained model showed that the Solomon Sea Plate subducted beneath the New Britain Island along the New Britain Trench at an angle of>70°and that the slab can be traced down to a depth of approximately 800 km.Conversely,we cannot observe a high-velocity anomaly exhibited by the subducted Solomon Sea Plate in the deep mantle at the Trobriand Trench,and the slab stopped at a depth of<200 km.The double subduction of the Solomon Sea Plate strongly modified the subduction patterns of the early subducted Pacific and Australian plates in the mantle along the West Melanesian Trench and the Pocklington Trough,respectively.In addition,the subducted Solomon Sea Plate induced the melting of the upper mantle to form a low-velocity anomaly,which provided the deep dynamic source for the expansion of the Bismarck Sea.Based on the joint consideration of the tomography results and a petrological analysis,the low-velocity anomalies beneath the Solomon Sea and Woodlark Basin are closely related to the early subduction of the Pacific and Australian Plates,respectively.

Eastward subduction of the Indian plate beneath the Indo-Myanmese arc revealed by teleseismic P-wave tomography

The deep structure of the eastward-subducting Indian plate can provide new information on the dynamics of the India-Eurasia collision.We collected and processed waveform data from temporary seismic arrays(networks)on the eastern Tibetan Plateau,seismic arrays in Northeast India and Myanmar,and permanent stations of the China Digital Seismic Network in Tibet,Gansu,Qinghai,Yunnan,and Sichuan.We combined these data with phase reports from observation stations of the International Seismological Center on the Indian plate and selected 124,808 high-quality P-wave relative travel-time residuals.Next,we used these data to invert the 3-D P-wave velocity structure of the upper mantle to a depth of 800 km beneath the eastern segment of the arcuate Himalayan orogen,at the southeastern margin of the Tibetan Plateau.The results reveal a high-angle,easterly dipping subducting plate extending more than 200 km beneath the Indo-Myanmese arc.The plate breaks off at roughly 96°E;its fragments have passed through the 410-km discontinuity(D410)into the mantle transition zone(MTZ).The MTZ beneath the Tengchong volcanic area contains a high-velocity anomaly,which does not exceed the Red River fault to the east.No other large-scale continuous subducted plates were observed in the MTZ.However,a horizontally spreading high-velocity anomaly was identified on the D410 in some regions.The anomaly may represent the negatively buoyant 90°E Ridge plate or a thickened and delaminated lithospheric block experiencing collision and compression at the southeastern margin of the Tibetan Plateau.The Tengchong volcano may originate from the mantle upwelling through the slab window formed by the break-off of the subducting Indian continental plate and oceanic plate in the upper mantle.Low-velocity upper mantle materials on the west side of the Indo-Myanmese arc may have supplemented materials to the Tengchong volcano.

Recent progress in the applications of presynaptic dopaminergic positron emission tomography imaging in parkinsonism

Nowadays,presynaptic dopaminergic positron emission tomography,which assesses deficiencies in dopamine synthesis,storage,and transport,is widely utilized for early diagnosis and differential diagnosis of parkinsonism.This review provides a comprehensive summary of the latest developments in the application of presynaptic dopaminergic positron emission tomography imaging in disorders that manifest parkinsonism.We conducted a thorough literature search using reputable databases such as PubMed and Web of Science.Selection criteria involved identifying peer-reviewed articles published within the last 5 years,with emphasis on their relevance to clinical applications.The findings from these studies highlight that presynaptic dopaminergic positron emission tomography has demonstrated potential not only in diagnosing and differentiating various Parkinsonian conditions but also in assessing disease severity and predicting prognosis.Moreover,when employed in conjunction with other imaging modalities and advanced analytical methods,presynaptic dopaminergic positron emission tomography has been validated as a reliable in vivo biomarker.This validation extends to screening and exploring potential neuropathological mechanisms associated with dopaminergic depletion.In summary,the insights gained from interpreting these studies are crucial for enhancing the effectiveness of preclinical investigations and clinical trials,ultimately advancing toward the goals of neuroregeneration in parkinsonian disorders.

Macular microvascular and structural changes on optical coherence tomography angiography in atypical optic neuritis

BACKGROUND Atypical optic neuritis,consisting of neuromyelitis optica spectrum disorders(NMOSD)or myelin oligodendrocyte glycoprotein antibody disease(MOGAD),has a very similar presentation but different prognostic implications and longterm management strategies.Vascular and metabolic factors are being thought to play a role in such autoimmune neuro-inflammatory disorders,apart from the obvious immune mediated damage.With the advent of optical coherence tomography angiography(OCTA),it is easy to pick up on these subclinical macular microvascular and structural changes.AIM To study the macular microvascular and structural changes on OCTA in atypical optic neuritis.METHODS This observational cross-sectional study involved 8 NMOSD and 17 MOGAD patients,diagnosed serologically,as well as 10 healthy controls.Macular vascular density(MVD)and ganglion cell+inner plexiform layer thickness(GCIPL)were studied using OCTA.RESULTS There was a significant reduction in MVD in NMOSD and MOGAD affected as well as unaffected eyes when compared with healthy controls.NMOSD and MOGAD affected eyes had significant GCIPL thinning compared with healthy controls.NMOSD unaffected eyes did not show significant GCIPL thinning compared to healthy controls in contrast to MOGAD unaffected eyes.On comparing NMOSD with MOGAD,there was no significant difference in terms of MVD or GCIPL in the affected or unaffected eyes.CONCLUSION Although significant microvascular and structural changes are present on OCTA between atypical optic neuritis and normal patients,they could not help in differentiating between NMOSD and MOGAD cases.

P-wave velocity structure in the crust and the uppermost mantle of Chao Lake region of the Tan-Lu Fault inferred from teleseismic arrival time tomography

Chao Lake is a Geoheritage site on the active Tan-Lu Fault between the Yangtze craton,the North China craton,and the Dabie orogenic belt in the southeast.This segment of the fault is not well constrained at depth partly due to the overprinting of the fault zone by intrusive materials and its relatively low seismic activity and sparse seismic station coverage.This study took advantage of a dense seismic array deployed around Chao Lake to delineate the P-wave velocity variations in the crust and uppermost mantle using teleseismic earthquake arrival time tomography.The station-pair double-difference with waveform crosscorrelation technique was employed.We used a multiscale resolution 3-D initial model derived from the combination of highresolution 3-D v S models within the region of interest to account for the lateral heterogeneity in the upper crust.The results revealed that the velocity of the upper crust is segmented with structures trending in the direction of the strike of the fault.Sedimentary basins are delineated on both sides of the fault with slow velocities,while the fault zone is characterized by high velocity in the crust and uppermost mantle.The high-velocity structure in the fault zone shows characteristics of magma intrusion that may be connected to the Mesozoic magmatism in and around the Middle and Lower Yangtze River Metallogenic Belt(MLYMB),implying that the Tan-Lu fault might have formed a channel for magma intrusion.Magmatic material in Chao Lake is likely connected to the partial melting,assimilation,storage,and homogenization of the uppermost mantle and the lower crustal rocks.The intrusions,however,seem to have suffered severe regional extension along the Tan-Lu fault driven by the eastward Paleo-Pacific plate subduction,thereby losing its deep trail due to extensional erosion.

Tomographic reconstruction of the Earth’s magnetosheath from multiple spacecraft:a theoretical study

Following our earlier work on tomographic reconstruction of the magnetosheath soft X-ray emissions with superposed epoch analysis of many images recorded from a single spacecraft we now explore the instantaneous reconstruction of the magnetosheath and magnetopause using a few images recorded simultaneously from a few spacecraft.This work is motivated by the prospect of possibly having two or three soft X-ray imagers in space in the coming years,and that many phenomena which occur at the magnetopause boundary,such as reconnection events and pressure pulse responses,do not lend themselves as well to superposed epoch analysis.If the reconstruction is successful-which we demonstrate in this paper that it can be-this collection of imagers can be used to reconstruct the magnetosheath and magnetopause from a single image from each spacecraft,allowing for high time resolution reconstructions.In this paper we explore the reconstruction using,two,three,and four spacecraft.We show that the location of the subsolar point of the magnetopause can be determined with just two satellites,and that volume emissions of soft X-rays,and the shape of the boundary,can be reconstructed using three or more satellites.

Multilocular thymic cysts can be easily misdiagnosed as malignant tumor on computer tomography:A case report

BACKGROUND Multilocular thymic cyst(MTC)is a rare mediastinal lesion which is considered to occur in the process of acquired inflammation.It is usually characterized by well-defined cystic density and is filled with transparent liquid.CASE SUMMARY We report on a 39-year-old male with a cystic-solid mass in the anterior mediastinum.Computer tomography(CT)imaging showed that the mass was irregular with unclear boundaries.After injection of contrast agent,there was a slight enhancement of stripes and nodules.According to CT findings,it was diagnosed as thymic cancer.CONCLUSION After surgery,MTC accompanied by bleeding and infection was confirmed by pathological examination.The main lesson of this case was that malignant thymic tumor and MTC of the anterior mediastinum sometimes exhibit similar CT findings.Caution is necessary in clinical work to avoid misdiagnosis.

Deep learning-based inpainting of saturation artifacts in optical coherence tomography images

Limited by the dynamic range of the detector,saturation artifacts usually occur in optical coherence tomography(OCT)imaging for high scattering media.The available methods are difficult to remove saturation artifacts and restore texture completely in OCT images.We proposed a deep learning-based inpainting method of saturation artifacts in this paper.The generation mechanism of saturation artifacts was analyzed,and experimental and simulated datasets were built based on the mechanism.Enhanced super-resolution generative adversarial networks were trained by the clear–saturated phantom image pairs.The perfect reconstructed results of experimental zebrafish and thyroid OCT images proved its feasibility,strong generalization,and robustness.

IN VIVO VALIDATION OF DUAL-MODALITY SYSTEM FOR SIMULTANEOUS POSITRON EMISSION TOMOGRAPHY AND OPTICAL TOMOGRAPHIC IMAGING

We report on tests of combined positron emission tomography(PET)andfluorescence molecular tomography(FMT)imaging system for in vivo investigation on small animals.A nude mouse was inoculated with MD-MB-231 breast cancer cells which expressed redfluorescent protein(RFP).For FMT system,reflective illumination mode was adopted with full-angle data acquisition.[18F]-Fluorodeoxyglucose([18F]-FDG)was used as radioactive tracer for PET.Both data were acquired simultaneously and then reconstructed separately before fusion.Fluorescent tomography results showed exactly where the tumor was located while PET results offered more metabolic information.Results confirmed feasibility for tumor detection and showed superiority to single modality imaging.

Glaucoma surgery experiments using digital microscope-integrated optical coherence tomography and OCT-compatible instruments

There is a certain failure rate in traditional glaucoma surgery because of the lack of depth information in microscope images.In this work,we present a digital microscope-integrated optical coherence tomography(MIOCT)system and several custom-made OCT-compatible instruments for glaucoma surgery.Sixteen ophthalmologists were asked to perform trabeculectomy and canaloplasty on live porcine eyes using the system and instruments.After surgery,a subjective feedback survey about the user experience was taken.The experiment results showed that our system can help surgeons easily locate important tissue structures during surgery.The custom-made instruments also solved the shadowing problem in OCT imaging.Surgeons preferred to use the system in their future practice.

Preoperative prediction of lymphovascular and perineural invasion in gastric cancer using spectral computed tomography imaging and machine learning

BACKGROUND Lymphovascular invasion(LVI)and perineural invasion(PNI)are important prognostic factors for gastric cancer(GC)that indicate an increased risk of metastasis and poor outcomes.Accurate preoperative prediction of LVI/PNI status could help clinicians identify high-risk patients and guide treatment deci-sions.However,prior models using conventional computed tomography(CT)images to predict LVI or PNI separately have had limited accuracy.Spectral CT provides quantitative enhancement parameters that may better capture tumor invasion.We hypothesized that a predictive model combining clinical and spectral CT parameters would accurately preoperatively predict LVI/PNI status in GC patients.AIM To develop and test a machine learning model that fuses spectral CT parameters and clinical indicators to predict LVI/PNI status accurately.METHODS This study used a retrospective dataset involving 257 GC patients(training cohort,n=172;validation cohort,n=85).First,several clinical indicators,including serum tumor markers,CT-TN stages and CT-detected extramural vein invasion(CT-EMVI),were extracted,as were quantitative spectral CT parameters from the delineated tumor regions.Next,a two-step feature selection approach using correlation-based methods and information gain ranking inside a 10-fold cross-validation loop was utilized to select informative clinical and spectral CT parameters.A logistic regression(LR)-based nomogram model was subsequently constructed to predict LVI/PNI status,and its performance was evaluated using the area under the receiver operating characteristic curve(AUC).RESULTS In both the training and validation cohorts,CT T3-4 stage,CT-N positive status,and CT-EMVI positive status are more prevalent in the LVI/PNI-positive group and these differences are statistically significant(P<0.05).LR analysis of the training group showed preoperative CT-T stage,CT-EMVI,single-energy CT values of 70 keV of venous phase(VP-70 keV),and the ratio of standardized iodine concentration of equilibrium phase(EP-NIC)were independent influencing factors.The AUCs of VP-70 keV and EP-NIC were 0.888 and 0.824,respectively,which were slightly greater than those of CT-T and CT-EMVI(AUC=0.793,0.762).The nomogram combining CT-T stage,CT-EMVI,VP-70 keV and EP-NIC yielded AUCs of 0.918(0.866-0.954)and 0.874(0.784-0.936)in the training and validation cohorts,which are significantly higher than using each of single independent factors(P<0.05).CONCLUSION The study found that using portal venous and EP spectral CT parameters allows effective preoperative detection of LVI/PNI in GC,with accuracy boosted by integrating clinical markers.

Computed tomography for prediction of esophageal variceal bleeding

This letter to the editor relates to the study entitled“The role of computed tomography for the prediction of esophageal variceal bleeding:Current status and future perspectives”.Esophageal variceal bleeding(EVB)is one of the most common and severe complications related to portal hypertension(PH).Despite marked advances in its management during the last three decades,EVB is still associated with significant morbidity and mortality.The risk of first EVB is related to the severity of both PH and liver disease,and to the size and endoscopic appearance of esophageal varices.Indeed,hepatic venous pressure gradient(HVPG)and esophagogastroduodenoscopy(EGD)are currently recognized as the“gold standard”and the diagnostic reference standard for the prediction of EVB,respectively.However,HVPG is an invasive,expensive,and technically complex procedure,not widely available in clinical practice,whereas EGD is mainly limited by its invasive nature.In this scenario,computed tomography(CT)has been recently proposed as a promising modality for the non-invasive prediction of EVB.While CT serves solely as a diagnostic tool and cannot replace EGD or HVPG for delivering therapeutic and physiological information,it has the potential to enhance the prediction of EVB more effectively when combined with liver disease scores,HVPG,and EGD.However,to date,evidence concerning the role of CT in this setting is still lacking,therefore we aim to summarize and discuss the current evidence concerning the role of CT in predicting the risk of EVB.

Double contrast-enhanced ultrasonography improves diagnostic accuracy of T staging compared with multi-detector computed tomography in gastric cancer patients

BACKGROUND Gastric cancer(GC)is the most common malignant tumor and ranks third for cancer-related deaths among the worldwide.The disease poses a serious public health problem in China,ranking fifth for incidence and third for mortality.Knowledge of the invasive depth of the tumor is vital to treatment decisions.AIM To evaluate the diagnostic performance of double contrast-enhanced ultrasonography(DCEUS)for preoperative T staging in patients with GC by comparing with multi-detector computed tomography(MDCT).METHODS This single prospective study enrolled patients with GC confirmed by preoperative gastroscopy from July 2021 to March 2023.Patients underwent DCEUS,including ultrasonography(US)and intravenous contrast-enhanced ultrasonography(CEUS),and MDCT examinations for the assessment of preoperative T staging.Features of GC were identified on DCEUS and criteria developed to evaluate T staging according to the 8th edition of AJCC cancer staging manual.The diagnostic performance of DCEUS was evaluated by comparing it with that of MDCT and surgical-pathological findings were considered as the gold standard.RESULTS A total of 229 patients with GC(80 T1,33 T2,59 T3 and 57 T4)were included.Overall accuracies were 86.9%for DCEUS and 61.1%for MDCT(P<0.001).DCEUS was superior to MDCT for T1(92.5%vs 70.0%,P<0.001),T2(72.7%vs 51.5%,P=0.041),T3(86.4%vs 45.8%,P<0.001)and T4(87.7%vs 70.2%,P=0.022)staging of GC.CONCLUSION DCEUS improved the diagnostic accuracy of preoperative T staging in patients with GC compared with MDCT,and constitutes a promising imaging modality for preoperative evaluation of GC to aid individualized treatment decision-making.

Upper-Mantle Velocity Heterogeneity of Eastern Tibetan Plateau from Teleseismic P-Wave Tomography and Its Tectonic Implications

An attempt has been made to reveal the upper mantle velocity structure of the eastern Tibetan Plateau using 628 teleseismic events recorded from 2003 to 2009 at 95 stations.A total of 8 532 Pwave arrival time residuals were inverted by using the FMTOMO(fast marching tomography) software package.Tomographic results show upper mantle velocity heterogeneity in many aspects.In the southern part visible high velocity anomaly is denoted as the Indian lithosphere.This part seems to be affected by slab tearing at 940E longitude as it is located on the eastern Himalayan syntaxis(EHS).The high velocity zone down to 500 km depth in the northern part could be the Asian lithosphere.At the central part some high velocity anomalies can be identified as detached patches of the lithosphere,surrounded by low velocity anomalies.These anomalies are the potential to create thermal convection and trigger plateau uplift or plateau growth.Sudden velocity change occurs on both sides of patches where low velocity anomaly is visible in between patches and Bangong-Nujiang suture even in between Songpan-Ganzi terrain and Asian Plate.In both cases intense low velocity zone spread down to 500 km.The depth range of low velocity anomalies in between two plates observed from 200 to-500 km.Hence the low velocity anomalies detected in our results may reflect either the hot asthenosphere upwelling or the mantle wedge due to the presence of the cold lithosphere.

Lymphatic plastic bronchitis and primary chylothorax: A study based on computed tomography lymphangiography

BACKGROUND This study presents an evaluation of the computed tomography lymphangio-graphy(CTL)features of lymphatic plastic bronchitis(PB)and primary chylotho-rax to improve the diagnostic accuracy for these two diseases.AIM To improve the diagnosis of lymphatic PB or primary chylothorax,a retrospective analysis of the clinical features and CTL characteristics of 71 patients diagnosed with lymphatic PB or primary chylothorax was performed.METHODS The clinical and CTL data of 71 patients(20 with lymphatic PB,41 with primary chylothorax,and 10 with lymphatic PB with primary chylothorax)were collected retrospectively.CTL was performed in all patients.The clinical manifestations,CTL findings,and conventional chest CT findings of the three groups of patients were compared.The chi-square test or Fisher's exact test was used to compare the differences among the three groups.A difference was considered to be statistically significant when P<0.05.RESULTS(1)The percentages of abnormal contrast medium deposits on CTL in the three groups were as follows:Thoracic duct outlet in 14(70.0%),33(80.5%)and 8(80.0%)patients;peritracheal region in 18(90.0%),15(36.6%)and 8(80.0%)patients;pleura in 6(30.0%),33(80.5%)and 9(90.0%)patients;pericardium in 6(30.0%),6(14.6%)and 4(40.0%)patients;and hilum in 16(80.0%),11(26.8%)and 7(70.0%)patients;and(2)the abnormalities on conven-tional chest CT in the three groups were as follows:Ground-glass opacity in 19(95.0%),18(43.9%)and 8(80.0%)patients;atelectasis in 4(20.0%),26(63.4%)and 7(70.0%)patients;interlobular septal thickening in 12(60.0%),11(26.8%)and 3(30.0%)patients;bronchovascular bundle thickening in 14(70.0%),6(14.6%)and 4(40.0%)patients;localized mediastinal changes in 14(70.0%),14(34.1%),and 7(70.0%)patients;diffuse mediastinal changes in 6(30.0%),5(12.2%),and 3(30.0%)patients;cystic lesions in the axilla in 2(10.0%),6(14.6%),and 2(20.0%)patients;and cystic lesions in the chest wall in 0(0%),2(4.9%),and 2(4.9%)patients.CONCLUSION CTL is well suited to clarify the characteristics of lymphatic PB and primary chylothorax.This method is an excellent tool for diagnosing these two diseases.

Evaluation of retinal and choroidal thickness changes in overweight and obese adults without ocular symptoms by swept-source optical coherence tomography

AIM:To evaluate the relationship of overweight and obesity with retinal and choroidal thickness in adults without ocular symptoms by swept-source optical coherence tomography(SS-OCT).METHODS:According to the body mass index(BMI)results,the adults enrolled in the cross-sectional study were divided into the normal group(18.50≤BMI<25.00 kg/m^(2)),the overweight group(25.00≤BMI<30.00 kg/m^(2)),and the obesity group(BMI≥30.00 kg/m^(2)).The one-way ANOVA and the Chi-square test were used for comparisons.Pearson’s correlation analysis was used to evaluate the relationships between the measured variables.RESULTS:This research covered the left eyes of 3 groups of 434 age-and sex-matched subjects each:normal,overweight,and obesity.The mean BMI was 22.20±1.67,26.82±1.38,and 32.21±2.35 kg/m^(2) in normal,overweight and obesity groups,respectively.The choroid was significantly thinner in both the overweight and obesity groups compared to the normal group(P<0.05 for all),while the retinal thickness of the three groups did not differ significantly.Pearson’s correlation analysis showed that BMI was significantly negatively correlated with choroidal thickness,but no significant correlation was observed between BMI and retinal thickness.CONCLUSION:Choroidal thickness is decreased in people with overweight or obesity.Research on changes in choroidal thickness contributes to the understanding of the mechanisms of certain ocular disorders in overweight and obese adults.

Computed tomography for the prediction of oesophageal variceal bleeding:A surrogate or complementary to the gold standard?

In this editorial we comment on the in-press article in the World Journal of Gastrointestinal endoscopy about the role of computed tomography(CT)for the prediction of esophageal variceal bleeding.The mortality and morbidity are much increased in patients with chronic liver diseases when complicated with variceal bleeding.Predicting the patient at a risk of bleeding is extremely important and receives a great deal of attention,paving the way for primary prophylaxis either using medical treatment including carvedilol or propranolol,or endoscopic band ligation.Endoscopic examination and the hepatic venous pressure gradient are the gold standards in the diagnosis and prediction of variceal bleeding.Several non-invasive laboratory and radiological examinations are used for the prediction of variceal bleeding.The contrast-enhanced multislice CT is a widely used non-invasive,radiological examination that has many advantages.In this editorial we briefly comment on the current research regarding the use of CT as a non-invasive tool in predicting the variceal bleeding.