AIM: To evaluate the ability of the time-signal intensity curve (TIC) of the pancreas obtained from dynamic contrast-enhanced magnetic resonance imaging (MRI) for differentiation of focal pancreatic masses, especially...AIM: To evaluate the ability of the time-signal intensity curve (TIC) of the pancreas obtained from dynamic contrast-enhanced magnetic resonance imaging (MRI) for differentiation of focal pancreatic masses, especially pancreatic carcinoma coexisting with chronic pancreatitis and tumor-forming pancreatitis. METHODS: Forty-eight consecutive patients who underwent surgery for a focal pancreatic mass, including pancreatic ductal carcinoma (n = 33), tumor-forming pancreatitis (n = 8), and islet cell tumor (n = 7), were reviewed. Five pancreatic carcinomas coexisted with longstanding chronic pancreatitis. The pancreatic TICs were obtained from the pancreatic mass and the pancreatic parenchyma both proximal and distal to the mass lesion in each patient, prior to surgery, and were classified into 4 types according to the time to a peak: 25 s and 1, 2, and 3 min after the bolus injection of contrast material, namely, type-Ⅰ, Ⅱ, Ⅲ, and Ⅳ, respectively, and were then compared to the corresponding histological pancreatic conditions. RESULTS: Pancreatic carcinomas demonstrated type-Ⅲ (n = 13) or Ⅳ (n = 20) TIC. Tumor-forming pancreatitis showed type-Ⅱ (n = 5) or Ⅲ (n = 3) TIC. All islet cell tumors revealed type-Ⅰ. The type-Ⅳ TIC was only recognized in pancreatic carcinoma, and the TIC of carcinoma always depicted the slowest rise to a peak among the 3 pancreatic TICs measured in each patient, even in patients with chronic pancreatitis.CONCLUSION: Pancreatic TIC from dynamic MRI provides reliable information for distinguishing pancreatic carcinoma from other pancreatic masses, and may enable us to avoid unnecessary pancreatic surgery and delays in making a correct diagnosis of pancreatic carcinoma, especially, in patients with longstanding chronic pancreatitis.展开更多
目的应用平均幅度差函数之和(the sum of average magnitude difference function,SAMDF)处理室颤的心电信号,通过与常用预测除颤时间方法振幅谱面积(amplitude spectrum area,AMSA)进行对比找到预测除颤时间更优的方法。方法应用56头重...目的应用平均幅度差函数之和(the sum of average magnitude difference function,SAMDF)处理室颤的心电信号,通过与常用预测除颤时间方法振幅谱面积(amplitude spectrum area,AMSA)进行对比找到预测除颤时间更优的方法。方法应用56头重(40±5)kg雄性家猪,诱导室颤后进行10 min未处理的室颤、6 min的心肺复苏和除颤。在室颤和心肺复苏过程当中会记录每1 min SAMDF和AMSA的数据并记录下来。进而计算受试者工作特征(receiver operating characteristic,ROC)曲线,应用单向方差分析(one-way analyses of variance,one-way ANOVA)以及正负样本散点图的比较,以此说明两者均能优化最佳除颤时间。比较除颤成功组(Group R)和除颤失败组(Group N)的SAMDF和AMSA的数值以说明两者预测除颤成功的能力。结果散点图显示SAMDF和AMSA均能够区分阳性和负样本(P<0.001)。ROC曲线显示SAMDF(AUC=0.801,P<0.001)和AMSA(AUC=0.777,P<0.001)一样有着相同的能力预测最佳除颤时间。两组SAMDF和AMSA数值比较,Group R的SAMDF和AMSA数值明显高于Group N(P<0.001)。结论SAMDF在优化预测除颤时机方面具有很高的潜力,并且可以作为AMSA等现有有效预测除颤时机特征的补充。展开更多
【目的】对城市交叉口采用的左转非机动车信号灯设施进行交通安全性量化评估。【方法】提出一种基于拓展碰撞时间(extended time to collision,ETTC)指标的左转非机动车信号灯安全效应评估方法。针对现有的碰撞时间(time to collision,T...【目的】对城市交叉口采用的左转非机动车信号灯设施进行交通安全性量化评估。【方法】提出一种基于拓展碰撞时间(extended time to collision,ETTC)指标的左转非机动车信号灯安全效应评估方法。针对现有的碰撞时间(time to collision,TTC)指标不适于评估交叉口左转非机动车冲突的问题,考虑非机动车车辆尺寸与加速度对交通冲突的影响,采用拓展碰撞时间指标,评估交叉口非机动车交通冲突。收集长沙市4个信号交叉口的视频大数据,利用视频软件Tracker提取车辆微观轨迹后,开展案例分析。【结果】左转非机动车信号灯在时间上明确了非机动车的通行权,其设置能显著降低非机动车冲突率,在平峰、高峰时段非机动车冲突率分别降低了40.11%、25.27%。在直行相位末期、左转相位即将启亮时,设置组的左转非机动车在待行区等待,冲突率降为0;而对比组近50%的非机动车违规左转,冲突严重。设置左转非机动车信号灯的改善效果随非机动车流量的增大呈先增加后降低趋势,而随机动车流量的增大呈逐步波动下降趋势。【结论】本研究揭示了非机动车左转信号灯的设置对减少交叉口交通冲突的影响,可为城市交叉口非机动车交通安全管控提供有益参考。展开更多
文摘AIM: To evaluate the ability of the time-signal intensity curve (TIC) of the pancreas obtained from dynamic contrast-enhanced magnetic resonance imaging (MRI) for differentiation of focal pancreatic masses, especially pancreatic carcinoma coexisting with chronic pancreatitis and tumor-forming pancreatitis. METHODS: Forty-eight consecutive patients who underwent surgery for a focal pancreatic mass, including pancreatic ductal carcinoma (n = 33), tumor-forming pancreatitis (n = 8), and islet cell tumor (n = 7), were reviewed. Five pancreatic carcinomas coexisted with longstanding chronic pancreatitis. The pancreatic TICs were obtained from the pancreatic mass and the pancreatic parenchyma both proximal and distal to the mass lesion in each patient, prior to surgery, and were classified into 4 types according to the time to a peak: 25 s and 1, 2, and 3 min after the bolus injection of contrast material, namely, type-Ⅰ, Ⅱ, Ⅲ, and Ⅳ, respectively, and were then compared to the corresponding histological pancreatic conditions. RESULTS: Pancreatic carcinomas demonstrated type-Ⅲ (n = 13) or Ⅳ (n = 20) TIC. Tumor-forming pancreatitis showed type-Ⅱ (n = 5) or Ⅲ (n = 3) TIC. All islet cell tumors revealed type-Ⅰ. The type-Ⅳ TIC was only recognized in pancreatic carcinoma, and the TIC of carcinoma always depicted the slowest rise to a peak among the 3 pancreatic TICs measured in each patient, even in patients with chronic pancreatitis.CONCLUSION: Pancreatic TIC from dynamic MRI provides reliable information for distinguishing pancreatic carcinoma from other pancreatic masses, and may enable us to avoid unnecessary pancreatic surgery and delays in making a correct diagnosis of pancreatic carcinoma, especially, in patients with longstanding chronic pancreatitis.
文摘目的应用平均幅度差函数之和(the sum of average magnitude difference function,SAMDF)处理室颤的心电信号,通过与常用预测除颤时间方法振幅谱面积(amplitude spectrum area,AMSA)进行对比找到预测除颤时间更优的方法。方法应用56头重(40±5)kg雄性家猪,诱导室颤后进行10 min未处理的室颤、6 min的心肺复苏和除颤。在室颤和心肺复苏过程当中会记录每1 min SAMDF和AMSA的数据并记录下来。进而计算受试者工作特征(receiver operating characteristic,ROC)曲线,应用单向方差分析(one-way analyses of variance,one-way ANOVA)以及正负样本散点图的比较,以此说明两者均能优化最佳除颤时间。比较除颤成功组(Group R)和除颤失败组(Group N)的SAMDF和AMSA的数值以说明两者预测除颤成功的能力。结果散点图显示SAMDF和AMSA均能够区分阳性和负样本(P<0.001)。ROC曲线显示SAMDF(AUC=0.801,P<0.001)和AMSA(AUC=0.777,P<0.001)一样有着相同的能力预测最佳除颤时间。两组SAMDF和AMSA数值比较,Group R的SAMDF和AMSA数值明显高于Group N(P<0.001)。结论SAMDF在优化预测除颤时机方面具有很高的潜力,并且可以作为AMSA等现有有效预测除颤时机特征的补充。
文摘【目的】对城市交叉口采用的左转非机动车信号灯设施进行交通安全性量化评估。【方法】提出一种基于拓展碰撞时间(extended time to collision,ETTC)指标的左转非机动车信号灯安全效应评估方法。针对现有的碰撞时间(time to collision,TTC)指标不适于评估交叉口左转非机动车冲突的问题,考虑非机动车车辆尺寸与加速度对交通冲突的影响,采用拓展碰撞时间指标,评估交叉口非机动车交通冲突。收集长沙市4个信号交叉口的视频大数据,利用视频软件Tracker提取车辆微观轨迹后,开展案例分析。【结果】左转非机动车信号灯在时间上明确了非机动车的通行权,其设置能显著降低非机动车冲突率,在平峰、高峰时段非机动车冲突率分别降低了40.11%、25.27%。在直行相位末期、左转相位即将启亮时,设置组的左转非机动车在待行区等待,冲突率降为0;而对比组近50%的非机动车违规左转,冲突严重。设置左转非机动车信号灯的改善效果随非机动车流量的增大呈先增加后降低趋势,而随机动车流量的增大呈逐步波动下降趋势。【结论】本研究揭示了非机动车左转信号灯的设置对减少交叉口交通冲突的影响,可为城市交叉口非机动车交通安全管控提供有益参考。
