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Automated Brain Tumor Diagnosis Using Deep Residual U-Net Segmentation Model 被引量:1
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作者 R.Poonguzhali Sultan Ahmad +4 位作者 P.Thiruvannamalai Sivasankar S.Anantha Babu Pranav Joshi Gyanendra Prasad Joshi Sung Won Kim 《Computers, Materials & Continua》 SCIE EI 2023年第1期2179-2194,共16页
Automated segmentation and classification of biomedical images act as a vital part of the diagnosis of brain tumors(BT).A primary tumor brain analysis suggests a quicker response from treatment that utilizes for impro... Automated segmentation and classification of biomedical images act as a vital part of the diagnosis of brain tumors(BT).A primary tumor brain analysis suggests a quicker response from treatment that utilizes for improving patient survival rate.The location and classification of BTs from huge medicinal images database,obtained from routine medical tasks with manual processes are a higher cost together in effort and time.An automatic recognition,place,and classifier process was desired and useful.This study introduces anAutomatedDeepResidualU-Net Segmentation with Classification model(ADRU-SCM)for Brain Tumor Diagnosis.The presentedADRUSCM model majorly focuses on the segmentation and classification of BT.To accomplish this,the presented ADRU-SCM model involves wiener filtering(WF)based preprocessing to eradicate the noise that exists in it.In addition,the ADRU-SCM model follows deep residual U-Net segmentation model to determine the affected brain regions.Moreover,VGG-19 model is exploited as a feature extractor.Finally,tunicate swarm optimization(TSO)with gated recurrent unit(GRU)model is applied as a classification model and the TSO algorithm effectually tunes theGRUhyperparameters.The performance validation of the ADRU-SCM model was tested utilizing FigShare dataset and the outcomes pointed out the better performance of the ADRU-SCM approach on recent approaches. 展开更多
关键词 brain tumor diagnosis image classification biomedical images image segmentation deep learning
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Computer-Aided Diagnosis Model Using Machine Learning for Brain Tumor Detection and Classification 被引量:1
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作者 M.Uvaneshwari M.Baskar 《Computer Systems Science & Engineering》 SCIE EI 2023年第8期1811-1826,共16页
The Brain Tumor(BT)is created by an uncontrollable rise of anomalous cells in brain tissue,and it consists of 2 types of cancers they are malignant and benign tumors.The benevolent BT does not affect the neighbouring ... The Brain Tumor(BT)is created by an uncontrollable rise of anomalous cells in brain tissue,and it consists of 2 types of cancers they are malignant and benign tumors.The benevolent BT does not affect the neighbouring healthy and normal tissue;however,the malignant could affect the adjacent brain tissues,which results in death.Initial recognition of BT is highly significant to protecting the patient’s life.Generally,the BT can be identified through the magnetic resonance imaging(MRI)scanning technique.But the radiotherapists are not offering effective tumor segmentation in MRI images because of the position and unequal shape of the tumor in the brain.Recently,ML has prevailed against standard image processing techniques.Several studies denote the superiority of machine learning(ML)techniques over standard techniques.Therefore,this study develops novel brain tumor detection and classification model using met heuristic optimization with machine learning(BTDC-MOML)model.To accomplish the detection of brain tumor effectively,a Computer-Aided Design(CAD)model using Machine Learning(ML)technique is proposed in this research manuscript.Initially,the input image pre-processing is performed using Gaborfiltering(GF)based noise removal,contrast enhancement,and skull stripping.Next,mayfly optimization with the Kapur’s thresholding based segmentation process takes place.For feature extraction proposes,local diagonal extreme patterns(LDEP)are exploited.At last,the Extreme Gradient Boosting(XGBoost)model can be used for the BT classification process.The accuracy analysis is performed in terms of Learning accuracy,and the validation accuracy is performed to determine the efficiency of the proposed research work.The experimental validation of the proposed model demonstrates its promising performance over other existing methods. 展开更多
关键词 brain tumor machine learning SEGMENTATION computer-aided diagnosis skull stripping
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Privacy Preserved Brain Disorder Diagnosis Using Federated Learning
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作者 Ali Altalbe Abdul Rehman Javed 《Computer Systems Science & Engineering》 SCIE EI 2023年第11期2187-2200,共14页
Federated learning has recently attracted significant attention as a cutting-edge technology that enables Artificial Intelligence(AI)algorithms to utilize global learning across the data of numerous individuals while ... Federated learning has recently attracted significant attention as a cutting-edge technology that enables Artificial Intelligence(AI)algorithms to utilize global learning across the data of numerous individuals while safeguarding user data privacy.Recent advanced healthcare technologies have enabled the early diagnosis of various cognitive ailments like Parkinson’s.Adequate user data is frequently used to train machine learning models for healthcare systems to track the health status of patients.The healthcare industry faces two significant challenges:security and privacy issues and the personalization of cloud-trained AI models.This paper proposes a Deep Neural Network(DNN)based approach embedded in a federated learning framework to detect and diagnose brain disorders.We extracted the data from the database of Kay Elemetrics voice disordered and divided the data into two windows to create training models for two clients,each with different data.To lessen the over-fitting aspect,every client reviewed the outcomes in three rounds.The proposed model identifies brain disorders without jeopardizing privacy and security.The results reveal that the global model achieves an accuracy of 82.82%for detecting brain disorders while preserving privacy. 展开更多
关键词 Privacy preservation brain disorder detection Parkinson’s disease diagnosis federated learning healthcare machine learning
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Differential diagnosis of a vanishing brain space occupying lesion in a child
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作者 Sherifa A Hamed Mohamad A Mekkawy Hosam Abozaid 《World Journal of Clinical Cases》 SCIE 2015年第11期956-964,共9页
We describe clinical, diagnostic features and follow up of a patient with a vanishing brain lesion. A 14-yearold child admitted to the department of Neurology at September 2009 with a history of subacute onset of feve... We describe clinical, diagnostic features and follow up of a patient with a vanishing brain lesion. A 14-yearold child admitted to the department of Neurology at September 2009 with a history of subacute onset of fever, anorexia, vomiting, blurring of vision and right hemiparesis since one month. Magnetic resonance imaging(MRI) of the brain revealed presence of intraaxial large mass(25 mm × 19 mm) in the left temporal lobe and the brainstem which showed hypointense signal in T1 W and hyperintense signals in T2 W and fluid attenuated inversion recovery(FLAIR) images and homogenously enhanced with gadolinium(Gd). It was surrounded by vasogenic edema with mass effect. Intravenous antibiotics, mannitol(2 g/12 h per 2 d) and dexamethasone(8 mg/12 h) were given to relief manifestations of increased intracranial pressure. Whole craniospinal radiotherapy(brain = 4000 CGy/20 settings per 4 wk; Spinal = 2600/13 settings per 3 wk) was given based on the high suspicion of neoplastic lesion(lymphoma or glioma). Marked clinical improvement(up to complete recovery) occurred within 15 d. Tapering of the steroid dose was done over the next 4 mo. Follow up with MRI after 3 mo showed small lesion in the left antero-medial temporal region with hypointense signal in T1 W and hyperintense signals in T2 W and FLAIR images but did not enhance with Gd. At August 2012, the patient developed recurrent generalized epilepsy. His electroencephalography showed the presence of left temporal focus of epileptic activity. MRI showed the same lesion as described in the follow up. The diffusion weighted images were normal. The seizures frequency was decreased with carbamazepine therapy(300 mg/12 h). At October 2014, single voxel proton(1H) MR spectroscopy(MRS) showedreduced N-acetyl-aspartate(NAA)/creatine(Cr), choline(Cho)/Cr, NAA/Cho ratios consistent with absence of a neoplasm and highly suggested presence of gliosis. A solitary brain mass in a child poses a considerable diagnostic difficulty. MRS provided valuable diagnostic differentiation between tumor and pseudotumor lesions. 展开更多
关键词 VANISHING brain mass GLIOSIS Unconfirmed diagnosis LYMPHOMA GRANULOMA
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Brain abscess caused by Streptococcus anginosus group:Three case reports
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作者 Si-Di Tan Ming-Hui Li 《World Journal of Clinical Cases》 SCIE 2024年第17期3243-3252,共10页
BACKGROUND This case series investigated the clinical manifestations,diagnoses,and treatment of cerebral abscesses caused by Streptococcus anginosus.We retrospectively analyzed the clinical characteristics and outcome... BACKGROUND This case series investigated the clinical manifestations,diagnoses,and treatment of cerebral abscesses caused by Streptococcus anginosus.We retrospectively analyzed the clinical characteristics and outcomes of three cases of cerebral abscesses caused by Streptococcus anginosus and conducted a comprehensive review of relevant literature.CASE SUMMARY Case 1 presented with a history of left otitis media and exhibited high fever,confusion,and vomiting as primary symptoms.Postoperative pus culture indicated a brain abscess caused by Streptococcus constellatus infection.Case 2 experienced dizziness for two days as the primary symptom.Postoperative pus culture suggested an intermediate streptococcal brain abscess.Case 3:Enhanced head magnetic resonance imaging(MRI)and diffusion-weighted imaging revealed occupancy of the left temporal lobe,initially suspected to be a metastatic tumor.However,a postoperative pus culture confirmed the presence of a brain abscess caused by Streptococcus anginosus infection.The three cases presented in this case series were all patients with community-acquired brain abscesses resulting from angina caused by Streptococcus group infection.All three patients demonstrated sensitivity to penicillin,ceftriaxone,vancomycin,linezolid,chloramphenicol,and levofloxacin.Successful treatment was achieved through stereotaxic puncture,drainage,and ceftriaxone administration with a six-week course of antibiotics.CONCLUSION Preoperative enhanced head MRI plays a critical role in distinguishing brain tumors from abscesses.Selecting the correct early diagnostic methods for brain abscesses and providing timely intervention are very important.This case series was in accordance with the CARE guidelines. 展开更多
关键词 Streptococcus anginosus group Cerebral abscess Early diagnosis of a brain abscess Plasma microbial cell-free DNA Next-generation sequencing Case report
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Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury 被引量:2
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作者 David S.Kushner 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第6期859-861,共3页
Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60-74% with certain risk factors, pote... Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60-74% with certain risk factors, potentially causing clinical consequences for patients, and confounding the results of clinical research studies. Factors leading to a missed diagnosis may include acute trauma-related life-threatening issues, sedation/intubation, subtle neuropathology on neuroimaging, failure to collect Glasgow Coma Scale scores or duration of posttraumatic amnesia, or lack of validity of this information, and overlap in neuro-cognitive symptoms with emotional responses to spinal cord injuries. Strategies for avoiding a missed diagnosis of mild-moderate traumatic brain injuries in patients having a spinal cord injuries are highlighted in this perspective. 展开更多
关键词 traumatic brain injury spinal cord injuries dual diagnosis diagnosis COMPLICATIONS rehabilitation post-concussion syndrome brain concussion
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DIFFERENTIAL DIAGNOSIS IN THE INTRACRANIAL DISEASES: PROTON MAGNETIC RESONANCE S PECTROSCOPY STUDY
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作者 鱼博浪 郭世萍 +1 位作者 张明 孙亲利 《Journal of Pharmaceutical Analysis》 SCIE CAS 2004年第2期136-139,共4页
Objective To investigate th e value of proton magnetic resonance spectroscopy ( 1H-MRS) on diagnosis a nd differential diagnosis of the intracranial diseases by the MRS results of 52 patients. Methods 12 patients ... Objective To investigate th e value of proton magnetic resonance spectroscopy ( 1H-MRS) on diagnosis a nd differential diagnosis of the intracranial diseases by the MRS results of 52 patients. Methods 12 patients with benign glioma, 16 patients with malignant glioma, 10 patients with meningioma, 8 patients with virus encephalitis, and 6 patients with cerebral infarction underwent MRS in th e lesion region. We measured the area within the spectra of N-acetyl-aspartate (NAA), creatine/phosphocreatine (Cr), choline compounds (Cho), and lactate (Lac ). Results The spectra of meningiomas were characterized by abs ence of NAA. The spectra of gliomas were characterized by the decrease of NAA an d Cr, but the increase of Cho. The ratio of Cho to Cr was 2.25±1.21 in benign g liomas, while the ratio of Cho to Cr was 4.65±2.21 in malignant gliomas. The sp ectra of virus encephalitis appeared the decrease of NAA and the normality of Cr , with the 1.25±0.21 ratio of Cho/Cr. The apparent Lac wave could be seen in al l cerebral infarctions. Conclusion The value of 1H-MRS plays a significant role in the diagnosis and differential diagnosis of gliomas, mening iomas, virus encephalitis, and cerebral infarctions. 展开更多
关键词 H-MRS brain tumor differential diagnosi s
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Isolated cerebral mucormycosis that looks like stroke and brain abscess:A case report and review of the literature 被引量:1
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作者 Cai-Hong Chen Jing-Nan Chen +1 位作者 Hang-Gen Du Dong-Liang Guo 《World Journal of Clinical Cases》 SCIE 2023年第7期1560-1568,共9页
BACKGROUND Cerebral mucormycosis is an infectious disease of the brain caused by fungi of the order Mucorales.These infections are rarely encountered in clinical practice and are often misdiagnosed as cerebral infarct... BACKGROUND Cerebral mucormycosis is an infectious disease of the brain caused by fungi of the order Mucorales.These infections are rarely encountered in clinical practice and are often misdiagnosed as cerebral infarction or brain abscess.Increased mortality due to cerebral mucormycosis is closely related to delayed diagnosis and treatment,both of which present unique challenges for clinicians.CASE SUMMARY Cerebral mucormycosis is generally secondary to sinus disease or other disseminated disease.However,in this retrospective study,we report and analyze a case of isolated cerebral mucormycosis.CONCLUSION The constellation of symptoms including headaches,fever,hemiplegia,and changes in mental status taken together with clinical findings of cerebral infarction and brain abscess should raise the possibility of a brain fungal infection.Early diagnosis and prompt initiation of antifungal therapy along with surgery can improve patient survival. 展开更多
关键词 Cerebral mucormycosis STROKE brain abscess diagnosis Treatment Case report
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Diagnosis and treatment of mixed glioma
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作者 章翔 易声禹 +4 位作者 李安民 张志文 张剑宁 付相平 黄高升 《Journal of Medical Colleges of PLA(China)》 CAS 1995年第2期152-156,共5页
The authors present 83 patients with mixed glioma with experiences in clinical diagnosis and treatment.In all these cases.there were 44 tumors as grade 1 or 2,and 39 as grade 3 or 4.In 39 tumors.two glial components(o... The authors present 83 patients with mixed glioma with experiences in clinical diagnosis and treatment.In all these cases.there were 44 tumors as grade 1 or 2,and 39 as grade 3 or 4.In 39 tumors.two glial components(oligodendrocytes and astrocytes) occurr 展开更多
关键词 brain TUMOR MIXED GLIOMA diagnosis:surgical treatment
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Radiation and Differential Diagnosis of Computed Tomography (CT) Data for Coronavirus Infection “COVID-19” with Clinical Examples
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作者 Uulzhan Shermatova Elnura Boronbaeva +5 位作者 Meerim Murzaibragimova Kaldykul Dushimbekova Fazliddin Muidinov Kyialbek Sakibaev Bektursun Avazbekov Zhypargul Abdullaeva 《Advances in Infectious Diseases》 2021年第4期366-374,共9页
This article is presenting data from a retrospective analysis of medical records and computed tomography (CT) scans of patients’ chests with coronavirus infection “COVID-19” who applied to the diagnostic center of ... This article is presenting data from a retrospective analysis of medical records and computed tomography (CT) scans of patients’ chests with coronavirus infection “COVID-19” who applied to the diagnostic center of URFA in Osh during the first wave of the pandemic in the Kyrgyz Republic, with a description of individual clinical cases and their differential diagnosis. Chest computed tomography is one of the main methods in visual diagnosis of pneumonia in COVID-19 in hospitalized patients, which allows determining signs, symptoms for effective treatment. 展开更多
关键词 COVID-19 Coronavirus PNEUMONIA Computed Tomography Radiation and Differential diagnosis of Pneumonia in COVID-19 Ground Glass Opacity Clinical Cases brain Damage
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Classification of Brain Tumors Using Hybrid Feature Extraction Based on Modified Deep Learning Techniques
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作者 Tawfeeq Shawly Ahmed Alsheikhy 《Computers, Materials & Continua》 SCIE EI 2023年第10期425-443,共19页
According to the World Health Organization(WHO),Brain Tumors(BrT)have a high rate of mortality across the world.The mortality rate,however,decreases with early diagnosis.Brain images,Computed Tomography(CT)scans,Magne... According to the World Health Organization(WHO),Brain Tumors(BrT)have a high rate of mortality across the world.The mortality rate,however,decreases with early diagnosis.Brain images,Computed Tomography(CT)scans,Magnetic Resonance Imaging scans(MRIs),segmentation,analysis,and evaluation make up the critical tools and steps used to diagnose brain cancer in its early stages.For physicians,diagnosis can be challenging and time-consuming,especially for those with little expertise.As technology advances,Artificial Intelligence(AI)has been used in various domains as a diagnostic tool and offers promising outcomes.Deep-learning techniques are especially useful and have achieved exquisite results.This study proposes a new Computer-Aided Diagnosis(CAD)system to recognize and distinguish between tumors and non-tumor tissues using a newly developed middleware to integrate two deep-learning technologies to segment brain MRI scans and classify any discovered tumors.The segmentation mechanism is used to determine the shape,area,diameter,and outline of any tumors,while the classification mechanism categorizes the type of cancer as slow-growing or aggressive.The main goal is to diagnose tumors early and to support the work of physicians.The proposed system integrates a Convolutional Neural Network(CNN),VGG-19,and Long Short-Term Memory Networks(LSTMs).A middleware framework is developed to perform the integration process and allow the system to collect the required data for the classification of tumors.Numerous experiments have been conducted on different five datasets to evaluate the presented system.These experiments reveal that the system achieves 97.98%average accuracy when the segmentation and classification functions were utilized,demonstrating that the proposed system is a powerful and valuable method to diagnose BrT early using MRI images.In addition,the system can be deployed in medical facilities to support and assist physicians to provide an early diagnosis to save patients’lives and avoid the high cost of treatments. 展开更多
关键词 brain cancer TUMORS early diagnosis CNN VGG-19 LSTMs CT scans MRI MIDDLEWARE
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Analysis of BrainMRI: AI-Assisted Healthcare Framework for the Smart Cities
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作者 Walid El-Shafai Randa Ali +3 位作者 Ahmed Sedik Taha El-Sayed Taha Mohammed Abd-Elnaby Fathi E.Abd El-Samie 《Intelligent Automation & Soft Computing》 SCIE 2023年第2期1843-1856,共14页
The use of intelligent machines to work and react like humans is vital in emerging smart cities.Computer-aided analysis of complex and huge MRI(Mag-netic Resonance Imaging)scans is very important in healthcare applica... The use of intelligent machines to work and react like humans is vital in emerging smart cities.Computer-aided analysis of complex and huge MRI(Mag-netic Resonance Imaging)scans is very important in healthcare applications.Among AI(Artificial Intelligence)driven healthcare applications,tumor detection is one of the contemporary researchfields that have become attractive to research-ers.There are several modalities of imaging performed on the brain for the pur-pose of tumor detection.This paper offers a deep learning approach for detecting brain tumors from MR(Magnetic Resonance)images based on changes in the division of the training and testing data and the structure of the CNN(Convolu-tional Neural Network)layers.The proposed approach is carried out on a brain tumor dataset from the National Centre of Image-Guided Therapy,including about 4700 MRI images of ten brain tumor cases with both normal and abnormal states.The dataset is divided into test,and train subsets with a ratio of the training set to the validation set of 70:30.The main contribution of this paper is introdu-cing an optimum deep learning structure of CNN layers.The simulation results are obtained for 50 epochs in the training phase.The simulation results reveal that the optimum CNN architecture consists of four layers. 展开更多
关键词 Healthcare smart cities clinical automation CNN machine learning brain tumor medical diagnosis
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脑肿瘤与癫痫的临床及影像相关性探究 被引量:2
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作者 李胜开 袁晓丹 +3 位作者 张志艳 李卉 李林蔚 代海洋 《中国CT和MRI杂志》 2024年第4期10-12,共3页
目的分析脑肿瘤的临床及影像特征,探讨脑肿瘤与其继发癫痫的相关性。方法选取笔者所在医院34例脑肿瘤且合并癫痫患者作为观察组,随机选取同时期脑肿瘤不伴癫痫症状患者34例作为对照组,统计两组间年龄、性别、肿瘤组织类型、肿瘤部位及... 目的分析脑肿瘤的临床及影像特征,探讨脑肿瘤与其继发癫痫的相关性。方法选取笔者所在医院34例脑肿瘤且合并癫痫患者作为观察组,随机选取同时期脑肿瘤不伴癫痫症状患者34例作为对照组,统计两组间年龄、性别、肿瘤组织类型、肿瘤部位及影像特征差异,分析两者之间的相关性。结果两组间年龄、性别以及肿瘤组织类型差异没有明显统计学意义,两组间肿瘤分布情况在额叶组中存在统计学差异(P=0.078),两组肿瘤影像学特征在伴局部脑萎缩组中存在统计学差异(P=0.032)。结论脑肿瘤与癫痫发生存在一定相关性,充分运用影像学检查指导这类患者的诊疗能有效地减少癫痫带来的继发损害和潜在危害。 展开更多
关键词 癫痫 脑肿瘤 相关性分析 影像诊断
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THE CONTRAST STUDY ON LEVEL DIAGNOSIS OF CT AND BA IN CEREBROVASCULAR DISEASES
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作者 Mingshun Liu Dan He +1 位作者 Fengluan Li Shucai Wu 《现代电生理学杂志》 2010年第1期20-21,共2页
Objective:To explore level diagnosis on CT and BA in cerebrovascular diseases.Method:CT and BA were examined in 53 patients with cerebrovascular diseases and compared in level diagnosis.Result:The sides on level diago... Objective:To explore level diagnosis on CT and BA in cerebrovascular diseases.Method:CT and BA were examined in 53 patients with cerebrovascular diseases and compared in level diagnosis.Result:The sides on level diagonsis of CT and BA were identical.The rang of diseases was larger in BA than that in CT.Conclusion:BA can help level diagnosis in cerebrovascular diseases.The level diagnosis of BA and CT were basically identical. 展开更多
关键词 《现代电生理学杂志》 期刊 编辑工作 发行工作
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6min步行距离联合NT-proBNP对射血分数保留型心力衰竭的诊断价值 被引量:1
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作者 董毓辉 王冰 《心血管康复医学杂志》 CAS 2024年第2期206-210,共5页
目的:探讨6min步行距离(6MWD)和N末端脑钠肽前体(NT-proBNP)对射血分数保留型心力衰竭(HFpEF)的诊断价值。方法:回顾性分析2019年1月至2021年4月哈尔滨医科大学附属第一医院心内科收治的80例HFpEF患者(HFpEF组)和同期体检的85例健康对照... 目的:探讨6min步行距离(6MWD)和N末端脑钠肽前体(NT-proBNP)对射血分数保留型心力衰竭(HFpEF)的诊断价值。方法:回顾性分析2019年1月至2021年4月哈尔滨医科大学附属第一医院心内科收治的80例HFpEF患者(HFpEF组)和同期体检的85例健康对照者(健康对照组)的临床资料。比较两组一般资料、6MWD和血浆NT-proBNP的水平,利用受试者工作特征曲线(ROC)评估6MWD和血浆NT-proBNP及二者联合检测对HFpEF的诊断价值。结果:与健康对照组比较,HFpEF组血浆NT-proBNP水平[436.31(410.93,476.40)pg/ml比960.25(750.40,1460.50)pg/ml]显著升高,6MWD[440.00(412.00,460.00)m比359.00(300.00,403.75)m]显著降低,P均=0.001。ROC曲线分析显示,血浆NT-proBNP和6MWD都对HFpEF具有较高诊断价值(曲线下面积(AUC)=0.935、0.821),其截断值分别为511.9pg/ml和385.0m,且联合检测的AUC(0.943)高于单一检测,提示联合检测具有更高的诊断价值。结论:6min步行距离联合血浆N末端脑钠肽前体检测对HFpEF具有较高的诊断价值。 展开更多
关键词 心力衰竭 利钠肽 诊断
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河北医科大学人脑组织库样本分析
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作者 杜鹃 米世雄 +8 位作者 靳玉川 杨倩 马敏 赵雪汝 刘风藏 赵长义 张展翅 樊平 崔慧先 《解剖学报》 CAS CSCD 2024年第4期437-444,共8页
目的通过分析河北医科大学人脑组织库样本基本情况,了解河北省人脑组织捐献现状,为后续科学研究提供基本数据支撑。方法对河北医科大学人脑组织库收集样本进行统计(2019年12月~2024年2月),分析性别、年龄、死亡原因等基本资料,以及死亡... 目的通过分析河北医科大学人脑组织库样本基本情况,了解河北省人脑组织捐献现状,为后续科学研究提供基本数据支撑。方法对河北医科大学人脑组织库收集样本进行统计(2019年12月~2024年2月),分析性别、年龄、死亡原因等基本资料,以及死亡后取材时间、脑脊液pH值、RNA完整性等质量控制信息和神经病理学诊断结果等内容。结果截止到2024年2月,河北医科大学人脑组织库共收集保存人脑样本30例,男女比例9∶1,其中80岁以上者占53%,死亡原因为心脑血管疾病36.67%与神经系统疾病23.33%占比较高。脑组织捐献者归属地在石家庄市内的占90%,市外的占10%。死亡后取材延误时间较短,12 h以内的占90%,大于12 h占10%。RNA完整性(RIN)值>6的脑样本占69.23%。脑脊液pH 5.8~7.5,平均值6.60±0.45。成年人脑重906~1496 g,平均值(1210.78±197.84)g。检出3种载脂蛋白E(APOE)亚型、5种APOE基因型(ε2/ε3、ε2/ε4、ε3/ε3、ε3/ε4、ε4/ε4)。涉及神经病理学诊断相关染色11种,均已建立起系统化染色流程并使用。神经病理学诊断为神经退行性疾病样本共计12例(包括阿尔茨海默病、帕金森病、多系统萎缩、皮质基底节变性和进行性核上性麻痹等),占比40%,80岁以上脑样本共病率达100%。结论河北医科大学脑库脑组织捐献者的资料总结与统计学分析,可以反映河北省人脑组织库建设与运行的现状,也可以更有针对性地了解并识别可能捐献的群体,为脑库的建设提供参考,为科学研究使用提供更为可靠的材料和数据支持。 展开更多
关键词 人脑组织库 人脑样本 基本资料 质量控制信息 神经病理学诊断 神经退行性疾病 共病
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血清NLRX1水平在创伤性脑损伤患者早期诊断及预后评估中的临床价值
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作者 黄晓成 承军 +5 位作者 查海锋 路楷 徐彬彬 王海华 查洲舟 程晓午 《中国急救复苏与灾害医学杂志》 2024年第7期935-938,共4页
目的 分析血清中核苷酸结合寡聚化结构域样受体家族X1(NLRX1)水平对创伤性脑损伤患者早期诊断及预后评估的价值。方法 选取2021年1月—2022年4月在我院接受治疗的160例创伤性脑损伤患者作为观察组,同期160例健康体检志愿者作为对照组。... 目的 分析血清中核苷酸结合寡聚化结构域样受体家族X1(NLRX1)水平对创伤性脑损伤患者早期诊断及预后评估的价值。方法 选取2021年1月—2022年4月在我院接受治疗的160例创伤性脑损伤患者作为观察组,同期160例健康体检志愿者作为对照组。根据格拉斯哥昏迷评分(GCS)将患者分为重度组30例、中度组45例、轻度组85例。采用酶联免疫吸附(ELISA)法对血清中NLRX1的水平进行检测;对患者血清NLRX1水平与GCS评分的相关性进行Spearman分析。采用Logistic回归分析影响创伤性脑损伤及患者预后的因素;采用受试者工作特征(ROC)曲线分析血清中NLRX1水平对创伤性脑损伤诊断及预后的预测价值。结果 与对照组相比,轻度、中度、重度组患者血清NLRX1水平均明显降低(F=172.695,P<0.05);与轻度组相比,随着病情的加重,中度、重度组患者血清NLRX1水平均依次显著降低(P<0.05);创伤性脑损伤患者血清NLRX1水平与GCS评分呈正相关(r=0.602,P<0.05);Logistic回归分析发现,NLRX1是影响创伤性脑损伤的保护因素(OR=0.545,95%CI 0.362~0.821,P<0.05);血清NLRX1水平诊断创伤性脑损伤的ROC曲线下面积(AUC)为0.937,截断值为8.61μg/L。与预后良好组相比,预后不良组创伤性脑损伤患者血清NLRX1水平明显降低(P<0.05);Logistic回归分析发现,NLRX1是影响创伤性脑损伤患者预后的保护因素(OR=0.645,95%CI 0.488~0.852,P<0.05);血清NLRX1水平预测创伤性脑损伤患者预后的AUC为0.947,截断值为4.35μg/L。结论 创伤性脑损伤患者血清NLRX1水平降低,与患者病情严重程度有关,在创伤性脑损伤早期诊断及预后预测中具有较高的价值。 展开更多
关键词 创伤性脑损伤 NLRX1 诊断 预后
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卒中及共患疾病诊疗模式探索与实践
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作者 单凯 赵梦 +2 位作者 王春娟 李子孝 王晓岩 《中国卒中杂志》 北大核心 2024年第8期863-865,共3页
近年来,虽然国内外学者对卒中及共患疾病的关注逐步提高,但由于多病共存的特殊性和异质性,针对此类患者的诊治仍存在诸多不足和挑战。卒中及共患疾病的诊疗能力很大程度上反映了医疗机构的神经系统专科技术水平和多学科协同救治能力。... 近年来,虽然国内外学者对卒中及共患疾病的关注逐步提高,但由于多病共存的特殊性和异质性,针对此类患者的诊治仍存在诸多不足和挑战。卒中及共患疾病的诊疗能力很大程度上反映了医疗机构的神经系统专科技术水平和多学科协同救治能力。构建多学科协同诊疗模式是卒中救治和质量管理体系建设的重要内容之一。医疗机构应运用先进的质量管理工具,优化要素配置和运行机制,建立高效的多学科协同诊疗模式,从而实现卒中及共患疾病整体诊治水平的提升。 展开更多
关键词 卒中 脑心共患疾病 妊娠相关卒中 诊疗模式
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LDH、NT-proBNP、ALB水平对不完全性川崎病的早期诊断价值
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作者 李喆 彭博 +1 位作者 王艳梅 王文君 《中国医学创新》 CAS 2024年第23期135-139,共5页
目的:探讨乳酸脱氢酶(LDH)、N末端脑钠肽前体(NT-proBNP)、白蛋白(ALB)水平对不完全性川崎病(IKD)的早期诊断价值。方法:选取巴彦淖尔市医院2020年1月—2023年1月收治的80例IKD患儿作为IKD组,选取本院同期收治的80例典型川崎病(KD)患儿... 目的:探讨乳酸脱氢酶(LDH)、N末端脑钠肽前体(NT-proBNP)、白蛋白(ALB)水平对不完全性川崎病(IKD)的早期诊断价值。方法:选取巴彦淖尔市医院2020年1月—2023年1月收治的80例IKD患儿作为IKD组,选取本院同期收治的80例典型川崎病(KD)患儿作为KD组。所有患儿入院后检测LDH、NT-proBNP、ALB水平,对比IKD组与KD组一般情况和LDH、NT-proBNP、ALB水平。通过受试者操作特征(ROC)曲线分析LDH、NT-proBNP、ALB水平对IKD的早期诊断价值。同时将80例IKD患儿依照冠脉损伤情况分为两个亚组,即无损伤组(n=30)和损伤组(n=50),对比两组LDH、NT-proBNP、ALB水平。结果:IKD组和KD组性别、年龄及高热、多形性皮疹、口腔黏膜变化占比对比,差异均无统计学意义(P>0.05);IKD组发热时间长于KD组,指端改变、结膜充血、颈部淋巴结肿大占比低于KD组,差异均有统计学意义(P<0.05);IKD组LDH、NT-proBNP、ALB水平均明显高于KD组,差异均有统计学意义(P<0.05);LDH、NT-proBNP、ALB三者联合对IKD的诊断效能优于单一检测;损伤组LDH、NT-proBNP、ALB水平均明显高于无损伤组,差异均有统计学意义(P<0.05)。结论:LDH、NT-proBNP、ALB水平对IKD的早期诊断价值较高,且临床可考虑通过LDH、NT-proBNP、ALB三者联合来诊断IKD。 展开更多
关键词 乳酸脱氢酶 N末端脑利钠肽前体 白蛋白 不完全性川崎病 早期诊断 冠脉损伤
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hs-CRP、NT-proBNP及NAR对急性冠状动脉综合征患者诊断价值分析
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作者 贾蓉 薛建华 +1 位作者 吴文 上官晓雯 《转化医学杂志》 2024年第2期208-211,217,共5页
目的 探讨超敏C反应蛋白(hs-CRP)、氨基末端脑钠肽前体(NT-proBNP)及中性粒细胞与白蛋白比值(NAR)对急性冠状动脉综合征(ACS)患者的诊断价值。方法 选取2020年6月—2022年9月收治的ACS 71例作为研究组,同期健康体检者56例作为对照组,并... 目的 探讨超敏C反应蛋白(hs-CRP)、氨基末端脑钠肽前体(NT-proBNP)及中性粒细胞与白蛋白比值(NAR)对急性冠状动脉综合征(ACS)患者的诊断价值。方法 选取2020年6月—2022年9月收治的ACS 71例作为研究组,同期健康体检者56例作为对照组,并依照不同疾病类型和血管病变支数将研究组分为ST段抬高型心肌梗死(STEMI)组、非ST段抬高型心肌梗死(NSTEMI)组、不稳定型心绞痛(UAP)组及单支、双支、多支病变组各3个亚组。比较研究组与对照组、不同疾病类型和血管病变支数各3个亚组hs-CRP、NT-proBNP及NAR,探讨hs-CRP、NT-proBNP及NAR单独或联合对ACS的诊断价值。结果 研究组hs-CRP、NT-proBNP及NAR均高于对照组;STEMI组、NSTEMI组和UAP组hs-CRP、NT-proBNP及NAR逐渐降低,单支、双支和多支病变组hs-CRP、NT-proBNP及NAR逐渐升高(P<0.05)。受试者工作特征曲线分析显示,hs-CRP、NT-proBNP和NAR单独或联合诊断ACS的曲线下面积分别为0.820、0.815、0.883及0.914,三者联合诊断ACS的曲线下面积高于单独诊断(P<0.05,P<0.01)。结论 hs-CRP、NT-proBNP及NAR三者联合对ACS的诊断价值较高。 展开更多
关键词 急性冠状动脉综合征 疾病类型 血管病变支数 超敏C反应蛋白 氨基末端脑钠肽前体 中性粒细胞与白蛋白比值 诊断
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