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Energy analysis of stability of twin shallow tunnels based on nonlinear failure criterion 被引量:2
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作者 张佳华 许敬叔 张标 《Journal of Central South University》 SCIE EI CAS 2014年第12期4669-4676,共8页
Based on nonlinear Mohr-Coulomb failure criterion, the analytical solutions of stability number and supporting force on twin shallow tunnels were derived using upper bound theorem of limit analysis. The optimized solu... Based on nonlinear Mohr-Coulomb failure criterion, the analytical solutions of stability number and supporting force on twin shallow tunnels were derived using upper bound theorem of limit analysis. The optimized solutions were obtained by the technique of sequential quadratic programming. When nonlinear coefficient equals 1 and internal friction angle equals 0, the nonlinear Mohr-Coulomb failure criterion degenerates into linear failure criterion. The calculated results of stability number in this work were compared with previous results, and the agreement verifies the effectiveness of the present method. Under the condition of nonlinear Mohr-Coulomb failure criterion, the results show that the supporting force on twin shallow tunnels obviously increases when the nonlinear coefficient, burial depth, ground load or pore water pressure coefficients increase. When the clear distance is 0.5to 1.0 times the diameter of tunnel, the supporting force of twin shallow tunnels reaches its maximum value, which means that the tunnels are the easiest to collapse. While the clear distance increases to 3.5 times the diameter of tunnel, the calculation for twin shallow tunnels can be carried out by the method for independent single shallow tunnel. Therefore, 3.5 times the diameter of tunnel serves as a critical value to determine whether twin shallow tunnels influence each other. In designing twin shallow tunnels,appropriate clear distance value must be selected according to its change rules and actual topographic conditions, meanwhile, the influences of nonlinear failure criterion of soil materials and pore water must be completely considered. During the excavation process, supporting system should be intensified at the positions of larger burial depth or ground load to avoid collapses. 展开更多
关键词 nonlinear failure criterion twin shallow tunnels upper bound theorem stability number supporting force clear distance
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Medical imaging for the diagnosis,recurrence and metastasis evaluation of clear cell sarcoma
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作者 Wen-Jing Wang Xia Wang +2 位作者 Dong-Ming Hui Jun-Bang Feng Chuan-Ming Li 《World Journal of Clinical Cases》 SCIE 2024年第29期6258-6261,共4页
Clear cell sarcoma(CCS)of soft tissue is extremely rare,accounting for approximately 1%of all soft tissue tumours.It is very difficult to diagnose CCS based on clinical manifestations.Magnetic resonance imaging(MRI)pr... Clear cell sarcoma(CCS)of soft tissue is extremely rare,accounting for approximately 1%of all soft tissue tumours.It is very difficult to diagnose CCS based on clinical manifestations.Magnetic resonance imaging(MRI)provides highresolution images of soft tissues and pathological features such as mucus,necrosis,bleeding,and fat through high and low signals on T1 weighted image(T1WI)and T2 weighted image(T2WI).On the other hand,the paramagnetism of melanin in CCS shortens the relaxation time of T1 and T2,and high signal intensity on T1WI and low signal intensity on T2WI can be found.This is different from most other soft tissue sarcomas.At present,the treatment method for CCS is surgical resection.MRI can effectively display the tumour edge,extent of surrounding oedema,and extent of fat involvement,which is highly important for guiding surgical resection and predicting postoperative recurrence.As an invasive sarcoma,CCS has a high risk of metastasis.Regardless of the pathological condition of the resected tumour,MRI or computed tomography(CT)should be performed every 1-2 years to assess recurrence at the primary site and to screen for metastasis in the lungs,liver,and bones.If necessary,PET-CT can be performed to evaluate the overall condition of the patient. 展开更多
关键词 clear cell sarcoma RECURRENCE METASTASIS Computed tomography Magnetic resonance imaging EDITORIAL
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Primary clear cell carcinoma in the liver: CT and MRI findings 被引量:30
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作者 Qing-Yu Liu Hai-Gang Li +3 位作者 Ming Gao Xiao-Feng Lin Yong Li Jian-Yu Chen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第7期946-952,共7页
AIM: To retrospectively analyze the computed tomography (CT) and magnetic resonance imaging (MRI) appearances of primary clear cell carcinoma of the liver (PCCCL) and compare the imaging appearances of PCCCL and commo... AIM: To retrospectively analyze the computed tomography (CT) and magnetic resonance imaging (MRI) appearances of primary clear cell carcinoma of the liver (PCCCL) and compare the imaging appearances of PCCCL and common type hepatocellular carcinoma (CHCC) to determine whether any differences exist between the two groups. METHODS: Twenty cases with pathologically proven PCCCL and 127 cases with CHCC in the Second Affiliated Hospital of Sun Yat-sen University were included in this study. CT or MRI images from these patients were retrospectively analyzed. The following imaging findings were reviewed: the presence of liver cirrhosis, tumor size, the enhancement pattern on dynamic contrast scanning, the presence of pseudo capsules, tumor rupture, portal vein thrombosis and lymph node metastasis. RESULTS: Both PCCCL and CHCC were prone to occur in patients with liver cirrhosis, the association rate of liver cirrhosis was 80.0% and 78.7%, respectively (P > 0.05). The mean sizes of PCCCL and CHCC tumors were (7.28 ± 4.25) cm and (6.96 ± 3.98) cm, respectively. Small HCCs were found in 25.0% (5/20) of PCCCL and 19.7% (25/127) of CHCC cases. No significant differences in mean size and ratio of small HCCs were found between the two groups (P = 0.658 and 0.803, respectively). Compared with CHCC patients, PCCCL patients were more prone to form pseudo capsules (49.6% vs 75.0%, P = 0.034). Tumor rupture, typical HCC enhancement patterns and portal vein tumor thrombosis were detected in 15.0% (3/20), 72.2% (13/18) and 20.0% (4/20) of patients with PCCCL and 3.1% (4/127), 83.6% (97/116) and 17.3% (22/127) of patients with CHCC, respectively. There were no significant differences between the two groups (all P > 0.05). No patients with PCCCL and 2.4% (3/127) of patients with CHCC showed signs of lymph node metastasis (P > 0.05). CONCLUSION: The imaging characteristics of PCCCL are similar to those of CHCC and could be useful for differentiating these from other liver tumors (such as hemangioma and hepatic metastases). PCCCLs are more prone than CHCCs to form pseudo capsules. 展开更多
关键词 clear cell carcinoma Hepatocellular carcinoma PATHOLOGY Magnetic resonance imaging Computed Tomography X-ray
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Safe range analysis of clear distance of twin shallow tunnels based on limit analysis and reliability theory 被引量:8
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作者 ZHANG Biao WANG Xuan +2 位作者 ZHANG Jia-sheng ZHANG Jia-hua CHENG Hao 《Journal of Central South University》 SCIE EI CAS CSCD 2018年第1期196-207,共12页
A method of analyzing the stability of twin shallow tunnels was presented using both limit analysis with nonlinear failure criterion and reliability theory.In the condition of nonlinear failure criterion,the critical ... A method of analyzing the stability of twin shallow tunnels was presented using both limit analysis with nonlinear failure criterion and reliability theory.In the condition of nonlinear failure criterion,the critical clear distancesof twin shallow tunnels were obtained by analyzing the change of surrounding pressure.A reliability model was established based on limit state equation,and the failure probability was solved by virtue of Monte Carlo method.Safety factor and corresponding clear distance of different safety levels were obtained by introducing a target reliability index.The scope of clear distance for different safety levels is described,which can be used as a supplement and improvement to the design codes of tunnels. 展开更多
关键词 twin shallow tunnels limit analysis nonlinear failure criterion reliability theory clear distance
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Primary clear cell sarcoma of soft tissue in the posterior cervical spine invading the medulla oblongata:A case report 被引量:1
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作者 Chen-Chen Liu Wen-Peng Huang Jian-Bo Gao 《World Journal of Clinical Cases》 SCIE 2022年第21期7571-7576,共6页
BACKGROUND Clear cell sarcoma(CCS)is a rare and highly malignant soft tissue tumor,usually occurring in the deep soft tissues of the distal tendons and aponeurosis of the extremities,especially the feet and knees.CCS ... BACKGROUND Clear cell sarcoma(CCS)is a rare and highly malignant soft tissue tumor,usually occurring in the deep soft tissues of the distal tendons and aponeurosis of the extremities,especially the feet and knees.CCS originating in the head and neck is extremely rare.The clinical manifestations of CCS in the head and neck are not typical,and the imaging manifestations have certain characteristics,but the diagnosis still depends on pathological examination and genetic testing.CASE SUMMARY A 33-year-old male patient had paroxysmal headache for more than 4 years,accompanied by nausea and vomiting,which could be relieved after rest.Computed tomography angiography showed a left paraspinal soft tissue mass.Contrast-enhanced imaging showed obvious uneven enhancement with adjacent bone lytic destruction.Magnetic resonance imaging examination showed isosignal on T_(1)-weighted images,slightly high signal on T_(2)-weighted images(T_(2)WI),high signal on Tirm fat suppression sequence,significantly high signal on diffusion weighted imaging,and obvious and uneven enhancement.The lesion invaded the anterior medulla oblongata through the left atlantoaxial foramen and compressed the cervical spinal cord on T_(2)WI.Primary CCS of soft tissue was diagnosed by pathology and genetic examination.CONCLUSION CCS should be considered in the differential diagnosis of soft tissue tumors of the head and neck,and their diagnosis depends on pathological examination and genetic testing. 展开更多
关键词 clear cell sarcoma Soft tissue Medulla oblongata Tomography X-ray computed Magnetic resonance imaging Case report
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卵巢透明细胞癌的影像表现
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作者 张东坡 杨家斐 +1 位作者 郑作锋 刘晓刚 《罕少疾病杂志》 2024年第7期89-91,共3页
目的探讨卵巢透明细胞癌(OCCC)的影像表现。方法回顾性分析9例进行手术治疗且确诊为OCCC的CT、MRI影像学、临床及病理相关资料,并分析病变的影像学特征。结果9例患者共发现9个肿瘤,均发生于单侧,7例边界清晰,2例边界欠清晰。7例呈椭圆... 目的探讨卵巢透明细胞癌(OCCC)的影像表现。方法回顾性分析9例进行手术治疗且确诊为OCCC的CT、MRI影像学、临床及病理相关资料,并分析病变的影像学特征。结果9例患者共发现9个肿瘤,均发生于单侧,7例边界清晰,2例边界欠清晰。7例呈椭圆形,2例呈不规则形。影像表现肿瘤分为两类:2例为多房囊性为主囊实性肿块,病变实性部分MRI T_(2)WI呈低、等、稍高混杂信号,呈“黑色海绵状”表现,T_(1)WI以等信号为主,增强扫描部分区域呈不均匀轻度强化,部分区域未见明显强化,囊性部分T_(1)WI囊腔呈低信号或稍高信号,T_(2)WI呈高信号;7例为单房/双房/多房囊性肿块伴壁结节,MRI壁结节T_(1)WI呈等、稍高信号,T_(2)WI呈等、稍高混杂信号,增强扫描呈轻度不均匀延迟强化,囊性部分T_(1)WI呈稍高、高信号或呈低信号,T_(2)WI呈高信号。结论OCCC通常表现为较大的单侧囊性肿块,伴少量不规则壁结节,或呈多房囊性为主囊实性肿块,T_(2)WI呈“黑色海绵”征。 展开更多
关键词 卵巢透明细胞癌 卵巢肿瘤 磁共振成像
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腹壁透明细胞癌1例的影像表现及文献复习
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作者 夏海泓 王剑 汤华晓 《中国实用医药》 2024年第3期147-149,共3页
腹壁透明细胞癌非常少见,CT及磁共振成像(MRI)的特点是病灶位于下腹壁腹直肌内或腹直肌附近,生长多平行于腹直肌,边界清楚,呈实性或囊性,密度较均匀,增强扫描不均匀强化或无强化。为提高腹壁透明细胞癌的诊断准确性,本文对青岛大学附属... 腹壁透明细胞癌非常少见,CT及磁共振成像(MRI)的特点是病灶位于下腹壁腹直肌内或腹直肌附近,生长多平行于腹直肌,边界清楚,呈实性或囊性,密度较均匀,增强扫描不均匀强化或无强化。为提高腹壁透明细胞癌的诊断准确性,本文对青岛大学附属威海医院2021年8月经过手术及病理确诊的1例腹壁透明细胞癌患者的临床资料、影像学表现及病理特征进行分析,并复习相关文献,以期为诊断提供参考。腹壁透明细胞癌患者的影像学表现为左侧腹直肌内病灶CT呈卵圆形软组织密度影,MRI T1WI呈等信号、T2WI呈混杂稍高信号,弥散明显受限,病灶边缘较清晰,增强扫描呈不均匀强化,内见斑片状无强化区。通过结合临床表现及影像学表现可作出定性诊断,确诊主要依靠病史和病理特征。 展开更多
关键词 透明细胞癌 腹壁 体层摄影术 X线计算机 磁共振成像
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The Big Bang as the Creative Force of the Creation of the Universe
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作者 Avas Khugaev Eugeniya Bibaeva 《Journal of Applied Mathematics and Physics》 2024年第10期3281-3306,共26页
The paper considers the mechanism of the Big Bang energy influence on the creation of space-time fields of four structures of the Universe from the 1st type Ether (the Main Field and three spheres of the Relic). It ex... The paper considers the mechanism of the Big Bang energy influence on the creation of space-time fields of four structures of the Universe from the 1st type Ether (the Main Field and three spheres of the Relic). It explains how the Big Bang energy leads to the processes of “melting” in these structures, generating emergent properties that are different from their properties before the Big Bang. The key role of the Big Bang in completing the process of formation of 70% of DE is emphasized. It is shown that the Big Bang preceded the emergence of the furcation point, which chose several directions for the creation of cosmic matter—it was the combined efforts of these directions that created the visible worlds. The principle of dynamic equilibrium is considered the main criterion of the space-time field, in contrast to other physical fields, which is a necessary prerequisite for the quantization of the gravitational field. A spin particle is introduced, capable of emitting special particles—spitons, the characteristics of which are associated with the topology of the Mobius strip and determine the spinor properties of gravitational fields. The mechanism of interaction of particles of the 2nd type of Ether with the fields of space-time is described, allowing the creation of matter first and then the materiality of visible worlds. At the same time, the role of the “matter-negotiator” in the creation process of visible worlds of the Universe is especially highlighted. Since the new properties of gravitational fields go beyond Einstein’s standard theory of gravity, it is proposed to build a new theory of space-time that generalizes it and has a clear geometric interpretation. The proposed theory is based on the action built on a full set of invariants of the Ricci tensor. Within the framework of the Poincaré theory, the classification of furcation points is considered. The processes at the furcation point are described by the Gauss-Laplace curve, for which the principle of conservation of probability density is introduced when considering the transition at the furcation point to four different directions of development. 展开更多
关键词 Big Bang Furcation Point Space-Time criterion Mobius Strip Spin-Particle resonance of Place Matter-Negotiator
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双端腔Ⅱ类倍频产生四组份纠缠光场
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作者 郝景晨 杜培林 +4 位作者 孙恒信 刘奎 张静 杨荣国 郜江瑞 《物理学报》 SCIE EI CAS CSCD 北大核心 2024年第7期178-185,共8页
量子纠缠是执行量子计算和构建量子通信网络的关键资源,制备与操控纠缠态光场是实现量子信息处理的基础要素.本文提出了利用双端光学腔倍频产生四组份纠缠态的理论模型,从耦合波方程出发得到Ⅱ类倍频过程的传输矩阵,通过腔内自再现方程... 量子纠缠是执行量子计算和构建量子通信网络的关键资源,制备与操控纠缠态光场是实现量子信息处理的基础要素.本文提出了利用双端光学腔倍频产生四组份纠缠态的理论模型,从耦合波方程出发得到Ⅱ类倍频过程的传输矩阵,通过腔内自再现方程和输入输出传输矩阵理论研究了输出的两束倍频光的噪声特性;对于两束倍频光和两束基频泵浦场,利用多组份纠缠光场的充分必要判据PPT方法(positivity under partial transposition criterion)分析了最小辛本征值与泵浦功率及分析频率之间的关系,研究结果表明基频泵浦光与倍频光之间存在四组份纠缠. 展开更多
关键词 量子纠缠 双端光学腔 光学倍频
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考虑虚拟电阻局限的电网电压跌落VSG暂态稳定性提升
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作者 李劲松 沈琦丰 +3 位作者 李国锋 吕敬 杨庆新 李永建 《高电压技术》 EI CAS CSCD 北大核心 2024年第8期3665-3679,共15页
虚拟电阻(virtual resistance,VR)方案能有效抑制虚拟同步发电机(virtual synchronous generator,VSG)并网过程中的同步振荡(synchronous resonance,SR),但会恶化系统暂态稳定性能,尤其是在高压线路中较大的线路电感将使其恶化程度进一... 虚拟电阻(virtual resistance,VR)方案能有效抑制虚拟同步发电机(virtual synchronous generator,VSG)并网过程中的同步振荡(synchronous resonance,SR),但会恶化系统暂态稳定性能,尤其是在高压线路中较大的线路电感将使其恶化程度进一步加剧。针对上述矛盾,首先基于功率流模型绘制功率-虚拟功角曲线,进而以最大功角过冲、总减速面积和最小初始功角定量描述VSG暂态稳定性。然后以增大最大功角过冲和总减速面积为目标,提出在电压跌落故障发生时通过减小等效有功指令和增大等效无功指令来提升系统暂态稳定性,并给出调节系数组合稳定域。最终在Matlab/Simulink平台中搭建仿真模型,结果表明,考虑VR和高压线路固有较大线路电感时,改进VSG控制策略可显著提升系统暂态稳定性能,应用良好。 展开更多
关键词 虚拟同步发电机(VSG) 虚拟电阻(VR) 功角暂态稳定判据 同步振荡(SR) 视在功率
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基于MRI-DWI不同指数模型构建的列线图模型对肾透明细胞癌与肾错构瘤的鉴别诊断价值
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作者 周青 赵祖来 +3 位作者 左鹏 张莉 周刚 童欣 《影像科学与光化学》 CAS 2024年第3期257-263,共7页
目的:基于磁共振-弥散加权成像(MRI-DWI)不同指数构建列线图模型,探讨其对肾透明细胞癌(ccRCC)与肾错构瘤的鉴别诊断价值。方法:回顾性选择医院经病理确诊的85例ccRCC或肾错构瘤患者作为建模组,其中肾错构瘤54例,ccRCC 31例;选择经病理... 目的:基于磁共振-弥散加权成像(MRI-DWI)不同指数构建列线图模型,探讨其对肾透明细胞癌(ccRCC)与肾错构瘤的鉴别诊断价值。方法:回顾性选择医院经病理确诊的85例ccRCC或肾错构瘤患者作为建模组,其中肾错构瘤54例,ccRCC 31例;选择经病理确诊的105例ccRCC或肾错构瘤患者作为验证组,其中肾错构瘤59例,ccRCC 46例。基于建模组数据比较肾错构瘤与ccRCC组MRI-DWI不同指数模型参数,采用多因素Logistic回归分析筛选鉴别诊断ccRCC与肾错构瘤的影响因子,并建立列线图模型进行内部验证及外部验证。结果:ccRCC组MRI-DWI参数微循环灌注相关快速表观弥散系数(ADC)(Dt)、扩散异质性指数(α)值高于肾错构瘤组,表观弥散系数(ADC)值、单纯扩散相关慢速表观弥散系数值(Dp)、灌注分数(fp)、扩散分布指数(DDC)值低于肾错构瘤组(P<0.05)。经Logistic回归分析显示,Dt、α值是鉴别诊断ccRCC与肾错构瘤的危险因子(OR>1,P<0.05),ADC值、Dp、fp、DDC值是保护因子(OR<1,P<0.05)。根据以上参数建立的列线图模型在建模组与验证组C指数分别为0.941、0.903,校准曲线与理想曲线接近;ROC曲线显示,建模组与验证组的ROC曲线下面积(AUC)分别为0.962(95%CI为0.921~1.000)、0.903(95%CI为0.846~0.961),敏感度分别为0.907、0.898,特异度分别为0.935、0.804,约登指数分别为0.842、0.702。结论:基于MRI-DWI不同模型参数构建的列线图模型具有良好的区分度、准确性,对ccRCC与肾错构瘤具有较高的鉴别诊断价值。 展开更多
关键词 肾透明细胞癌 肾错构瘤 磁共振成像 弥散加权成像 不同指数模型 列线图
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4例软组织透明细胞肉瘤MRI表现
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作者 魏来 罗飞 《中国医学影像技术》 CSCD 北大核心 2024年第8期1270-1272,共3页
透明细胞肉瘤(clear cell sarcoma,CCS)罕见且侵袭性极强,在软组织肿瘤(soft tissue tumor,STT)中的占比不足1%。软组织CCS(soft tissue CCS,SCCS)主要发生于下肢的腱鞘、肌腱和筋膜,其影像学表现无特异性,MRI多边界清楚,少见瘤内坏死,... 透明细胞肉瘤(clear cell sarcoma,CCS)罕见且侵袭性极强,在软组织肿瘤(soft tissue tumor,STT)中的占比不足1%。软组织CCS(soft tissue CCS,SCCS)主要发生于下肢的腱鞘、肌腱和筋膜,其影像学表现无特异性,MRI多边界清楚,少见瘤内坏死,病变周围缺乏瘤周水肿。 展开更多
关键词 软组织肿瘤 肉瘤 透明细胞 磁共振成像
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高血压与肾透明细胞癌的相关性研究
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作者 王长军 刘玉红 +2 位作者 周文文 王玉 郭凌飞 《中国中西医结合影像学杂志》 2024年第2期193-197,共5页
目的:探讨高血压与肾透明细胞癌(ccRCC)的相关性。方法:选择经病理证实的ccRCC患者164例,其中高血压病程≥3年者定为高血压组(57例),从未诊断高血压者定为非高血压组(107例),另收集58例健康志愿者作为对照组。测量并计算肿瘤、对侧健康... 目的:探讨高血压与肾透明细胞癌(ccRCC)的相关性。方法:选择经病理证实的ccRCC患者164例,其中高血压病程≥3年者定为高血压组(57例),从未诊断高血压者定为非高血压组(107例),另收集58例健康志愿者作为对照组。测量并计算肿瘤、对侧健康肾脏和对照组肾脏的ADC值及相对ADC(rADC),利用SPSS24.0软件分析相关数据。结果:高血压组肿瘤ADC值为(1.683±0.435)×10^(-3) mm^(2)/s,对侧健康肾脏ADC值为2.047(0.373)×10^(-3) mm^(2)/s,rADC值为0.83±0.20;非高血压组肿瘤ADC值为(1.863±0.401)×10^(-3) mm^(2)/s,对侧健康肾脏ADC值为2.011(0.290)×10^(-3) mm^(2)/s,rADC值为0.95±0.20。高血压组与非高血压组肿瘤ADC值差异有统计学意义(P=0.009),2组对侧健康肾脏ADC值差异无统计学意义(P=0.136),2组rADC值差异有统计学意义(P=0.001)。结论:高血压与ccRCC的ADC值降低有相关性,其可能使得肿瘤的恶性程度增加。 展开更多
关键词 高血压 肾透明细胞癌 表观扩散系数 相对表观扩散系数 磁共振成像
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透明细胞肾细胞癌的影像组学研究进展
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作者 杨韫泽 张子巍 张建军 《影像研究与医学应用》 2024年第21期7-10,共4页
透明细胞肾细胞癌作为肾细胞癌中最常见的亚型,其预后较差,死亡率较高。影像组学能够从影像学检查图像中高通量地提取人眼无法观测到的特征,对肿瘤的异质性进行更全面的定量分析,在透明细胞肾细胞癌的鉴别诊断、病理分级、基因组学及预... 透明细胞肾细胞癌作为肾细胞癌中最常见的亚型,其预后较差,死亡率较高。影像组学能够从影像学检查图像中高通量地提取人眼无法观测到的特征,对肿瘤的异质性进行更全面的定量分析,在透明细胞肾细胞癌的鉴别诊断、病理分级、基因组学及预后评估中展现出较大的潜力。本文旨在对透明细胞肾细胞癌影像组学研究现况及前景进行综述分析。 展开更多
关键词 透明细胞肾细胞癌 影像组学 体层摄影术 机器学习 磁共振成像
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基于MRI平扫及增强扫描分析高血压对肾透明细胞癌的影响
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作者 王长军 刘玉红 +1 位作者 周文文 郭凌飞 《医学影像学杂志》 2024年第6期80-84,共5页
目的分析合并高血压与不合并高血压的肾透明细胞癌的MRI表现,探讨高血压对肾透明细胞癌进展的影响。方法选取经手术病理证实的213例肾透明细胞癌的术前MR图像,对其临床资料及MR图像进行分析。利用ITK SNAP 3.8软件在皮质期、髓质期、延... 目的分析合并高血压与不合并高血压的肾透明细胞癌的MRI表现,探讨高血压对肾透明细胞癌进展的影响。方法选取经手术病理证实的213例肾透明细胞癌的术前MR图像,对其临床资料及MR图像进行分析。利用ITK SNAP 3.8软件在皮质期、髓质期、延迟期三期相分别对病变逐层勾画,选择信号值最高的一个期相定为病变增强扫描最明显期相。将合并3年以上高血压病史的病例纳入高血压组、从未诊断过高血压纳入非高血压组,对两组病例临床资料及MRI特征进行比较分析。结果高血压组强化最明显期相更倾向出现在皮质期,非高血压组倾向出现在髓质期,两组差异有统计学意义(P<0.05);高血压组年龄较大,男性较多,差异有统计学意义(P<0.05)。肿瘤的Fuhrman分级中,非高血压组的Ⅰ级肿瘤更多,差异有统计学意义(P=0.044)。两组就诊原因、肿瘤大小等其他临床、影像特征差异无统计学意义(P>0.05)。结论在肾透明细胞癌患者中,合并高血压的肾透明细胞癌强化最明显的期相出现更早,提示其可能含有更丰富的微血管。 展开更多
关键词 肾透明细胞癌 磁共振成像 高血压
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DWI技术在肾透明细胞癌病理分级中的研究进展
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作者 郑文静 刘杨颖秋 曹金凤 《医学影像学杂志》 2024年第5期143-146,共4页
肾透明细胞癌(ccRCC)发病率高、侵袭性强、致死率高。术前精准预测其病理分级对手术方案选择和预后评估至关重要。DWI是一种对水分子的扩散特点进行无创成像的技术,扩散张量成像(DTI)可以分析水分子在不同方向的扩散特点,扩散峰度成像(D... 肾透明细胞癌(ccRCC)发病率高、侵袭性强、致死率高。术前精准预测其病理分级对手术方案选择和预后评估至关重要。DWI是一种对水分子的扩散特点进行无创成像的技术,扩散张量成像(DTI)可以分析水分子在不同方向的扩散特点,扩散峰度成像(DKI)既可以体现水分子扩散受限程度,又可反映出组织结构复杂性,体素内不相干运动(IVIM)可以同时提供水分子的扩散受限程度及组织灌注视图。影像组学是一种新兴的、发展前景广阔的技术,在肿瘤的病理分级中显示出了其独特的价值。本文主要对DWI及基于DWI技术的影像组学对ccRCC病理分级的研究进展进行综述。 展开更多
关键词 肾透明细胞癌 病理分级 磁共振成像
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磁共振T2WI信号强度联合DWI-ADC值在肾透明细胞癌与乏脂型肾血管平滑肌脂肪瘤鉴别诊断中的应用
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作者 陈琳 庞文文 +2 位作者 张楠 吕津津 王欣悦 《中国CT和MRI杂志》 2024年第9期114-116,共3页
目的分析磁共振成像(MRI)T2加权图像(T2WI)信号强度(SI-T2)比值联合扩散加权成像(DWI)-表观扩散系数(ADC)比值在肾透明细胞癌(ccRCC)与乏脂型肾血管平滑肌脂肪瘤(fpAML)鉴别诊断中的应用意义。方法回顾性分析2021年3月至2024年3月我院... 目的分析磁共振成像(MRI)T2加权图像(T2WI)信号强度(SI-T2)比值联合扩散加权成像(DWI)-表观扩散系数(ADC)比值在肾透明细胞癌(ccRCC)与乏脂型肾血管平滑肌脂肪瘤(fpAML)鉴别诊断中的应用意义。方法回顾性分析2021年3月至2024年3月我院收治的接受术前常规MRI检查并经手术标本病理学证实的ccRCC患者62例(设为ccRCC组)和fpAML患者45例(设为fpAML组)的临床资料。全部患者均于术前行MRI平扫和DWI序列扫描,记录MRI征象,同时测量并计算SI-T2比值(肿瘤SI-T2/同侧正常肾皮质SI-T2)和DWI-ADC比值(肿瘤DWI-ADC值/同侧正常肾皮质DWI-ADC值)。采用受试者工作特性曲线(ROC)评价MRI SI-T2比值、DWI-ADC比值单独及联合鉴别诊断ccRCC与fpAML的效能。结果62例ccRCC患者病灶最大径为1.20~6.20(2.90±0.58)cm;36例(58.06%)病灶最大径<4.00cm,均属实性肿块,26例(41.94%)病灶最大径≥4.00cm,主要表现为以实性为主的囊实性肿块,ccRCC实性部分T1WI呈等低信号,T2WI呈略高或混杂等高信号,DWI呈稍高信号。45例fpAML患者病灶最大径0.85~4.30(1.80±0.36)cm;病灶均为实性肿块,信号略欠均匀,T1WI呈等低信号,T2WI以等或略低信号为主,DWI呈稍高信号。ccRCC组病灶最大径显著高于fpAML组(P<0.001)。ccRCC组MRI SI-T2比值显著高于fpAML组(P<0.001),DWI-ADC比值显著低于fpAML组(P<0.05)。ROC曲线分析显示,MRI SI-T2比值、DWI-ADC比值对ccRCC与fpAML均有一定鉴别诊断效能,曲线下面积分别为0.747、0.809;两项联合鉴别诊断ccRCC与fpAML的曲线下面积为0.890。结论MRI SI-T2比值、DWI-ADC比值均能有效鉴别诊断ccRCC与fpAML,而两项联合可进一步提高鉴别诊断效能,值得临床验证。 展开更多
关键词 磁共振成像 T2加权图像 扩散加权成像 表观扩散系数 肾透明细胞癌 乏脂型肾血管平滑肌脂肪瘤
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反共振振动机械的同步性与同步传动性 被引量:4
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作者 刘劲涛 刘杰 +1 位作者 孙长青 张陈 《机械工程学报》 EI CAS CSCD 北大核心 2015年第21期95-103,共9页
对惯性式反共振振动机进行动力学建模与求解,建立反共振振动机的动力学方程和两激振电动机轴的力矩方程,推导反共振状态下的同步性判据、同步传动性判据、同步稳定性判据和同步传动稳定性判据,从理论上证明了在反共振状态下,不但能够实... 对惯性式反共振振动机进行动力学建模与求解,建立反共振振动机的动力学方程和两激振电动机轴的力矩方程,推导反共振状态下的同步性判据、同步传动性判据、同步稳定性判据和同步传动稳定性判据,从理论上证明了在反共振状态下,不但能够实现振动同步,而且能够实现同步传动;同步性指数总是远大于同步传动性指数。因此只要能够实现振动同步传动就肯定能够实现振动同步。在两轴能够实现自同步的情况下,却不一定能够实现同步传动。通过试验验证了理论结果的正确性。 展开更多
关键词 反共振 振动同步 同步性判据 同步稳定性判据 同步传动性判据 同步传动稳定性判据
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肾透明细胞癌多b值DWI的单指数函数与双指数函数分析比较 被引量:8
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作者 丁玖乐 邢伟 +3 位作者 陈杰 俞胜男 孙军 邢士军 《磁共振成像》 CAS CSCD 2013年第4期266-270,共5页
目的比较肾透明细胞癌(CCRCC)多b值DWI的单、双指数函数分析在术前分级的价值。材料与方法回顾性分析32例透明细胞癌患者的影像学资料及病理资料。根据Fuhrman核分级法分成低、高级别两组。参考常规序列,在肿瘤实质区手动勾画大小约0.30... 目的比较肾透明细胞癌(CCRCC)多b值DWI的单、双指数函数分析在术前分级的价值。材料与方法回顾性分析32例透明细胞癌患者的影像学资料及病理资料。根据Fuhrman核分级法分成低、高级别两组。参考常规序列,在肿瘤实质区手动勾画大小约0.30 cm×0.30 cm^0.45 cm×0.45 cm的ROI,记录各b值对应的信号强度值。采用单指数函数计算两组的参数ADC值;应用双指数函数计算两组的F、Dfast和Dslow。比较各参数在两组之间的差异,组间比较采用非参数检验;采用受试者工作特征曲线分析预测高、低级别肾透明细胞癌的效能。当P<0.05,认为有统计学意义。结果低级别组20例,高级别组12例。与低级别的CCRCC相比较,高级别组的ADC值无明显差异(U=50.0,P=0.71),F减低(U=18.0,P=0.01),但是Dfast、Dslow都增大,组间均存在统计学差异(U=15.0,P=0.01;U=20.0,P=0.02)。而且,F,Dfast和Dslow预测高、低级别CCRCC的效能相似(P值分别为0.61、0.77和0.44)。结论与多b值DWI的单指数函数分析相比,双指数函数更适合透明细胞癌术前分级的分析。 展开更多
关键词 腺癌 透明细胞 肾肿瘤 磁共振成像 弥散
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BOLD MRI分析肾癌及癌旁肾组织氧合状况 被引量:9
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作者 张莹莹 徐荣天 +1 位作者 刘屹 王欣 《中国医学影像技术》 CSCD 北大核心 2012年第4期756-759,共4页
目的通过BOLD MRI分析肾透明细胞癌病灶及癌旁肾组织的氧合水平。方法使用3.0T MR对22例肾透明细胞癌患者进行术前BOLD MR检查。将BOLD原始图像输入GE ADW 4.4工作站,应用Functool软件进行后处理,并测量病灶、癌旁肾组织、远端肾组织及... 目的通过BOLD MRI分析肾透明细胞癌病灶及癌旁肾组织的氧合水平。方法使用3.0T MR对22例肾透明细胞癌患者进行术前BOLD MR检查。将BOLD原始图像输入GE ADW 4.4工作站,应用Functool软件进行后处理,并测量病灶、癌旁肾组织、远端肾组织及对侧肾组织的皮质、髓质的表观自旋-自旋弛豫率(R2*)值。对不同部位的R2*值进行统计学分析。结果癌旁肾皮质、远端肾皮质及对侧肾皮质R2*值显著低于髓质(P<0.01)。癌旁肾髓质与远端肾髓质及对侧肾髓质R2*值差异有统计学意义(P<0.01),但远端肾髓质与对侧肾髓质R2*值间差异无统计学意义(P>0.05)。癌旁肾皮质、远端肾皮质及对侧肾皮质R2*值差异无统计学意义(P>0.05)。肾透明细胞癌病灶与癌旁肾髓质及对侧肾髓质差异有统计学意义(P<0.05),与癌旁肾皮质、远端肾皮质及对侧肾皮质差异无统计学意义(P>0.05)。结论 BOLD MRI对于评价肾透明细胞癌病灶及癌旁肾组织的氧合水平有重要价值。 展开更多
关键词 磁共振成像 肾肿瘤 腺癌 透明细胞
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