By dispersing La1-xSrxMnO3 (LSMO) granule into PbZrxTi1-xO3 (PZT) matrix, the 0-3 type LSMO/PZT composite film is synthesized through chemical solution method. The asymmetry of the top and bottom electrodes introduces...By dispersing La1-xSrxMnO3 (LSMO) granule into PbZrxTi1-xO3 (PZT) matrix, the 0-3 type LSMO/PZT composite film is synthesized through chemical solution method. The asymmetry of the top and bottom electrodes introduces novel electrostatic screening on LSMO/PZT interface. As electric polarization is switched between upward and downward orientations, the evolution of exchange bias, diode transport, and magnetoresistance is observed. The result implies the electrostatic switch of magnetic core-shell in the present film. In detail, as the spontaneous polarization is upward or downward in the PZT matrix, the ferromagnetic/antiferromagnetic or ferromagnetic/ferromagnetic core-shell structure is formed in LSMO granule, respectively. This work would develop a novel device for spintronics and metamaterial.展开更多
The core-shell structured TiO2/SiO2 @Fe3O4 photocatalysts were prepared using Fe3O4 as magnetic core,tetraethoxysilane(TEOS) as silica source and tetrabutyl titanate(TBOT) as titanium sources.The as-obtained struc...The core-shell structured TiO2/SiO2 @Fe3O4 photocatalysts were prepared using Fe3O4 as magnetic core,tetraethoxysilane(TEOS) as silica source and tetrabutyl titanate(TBOT) as titanium sources.The as-obtained structure was composed of a SiO2@Fe3O4 core and a porous TiO2 shell.The diameter of SiO2@Fe3O4 core was about 205 nm with thickness of porous TiO2 of about 5-6 nm.The 9%TiO2/6%SiO2@Fe3O4 microspheres possess the highest BET surface area and the BJH pore volume,which are 373.5 m2.g-1 and 0.28 cm3.g-1,respectively.The 9%TiO2/6%SiO2@Fe3O4 photocatalyst exhibited an excellent performance for the degradation of methyl orange and methylene blue dyes.Two different dyes were completely decolorized in 60 min under UV irradiation.The photocatalytic activity and the amount of catalyst were almost not decrease after recycling for 6 times by using external magnetic field.展开更多
Here, we report the construction of magnetic core-shell microparticles for oil removal with thermal driving regeneration property. Water-in-oil-in water (W/O/W) emulsions from microfluidics are used as templates to pr...Here, we report the construction of magnetic core-shell microparticles for oil removal with thermal driving regeneration property. Water-in-oil-in water (W/O/W) emulsions from microfluidics are used as templates to prepare core-shell microparticles with magnetic holed poly (ethoxylated trimethylolpropane triacrylate) (PETPTA) shells each containing a thermal-sensitive poly (N-Isopropylacrylamide) (PNIPAM) core. The microparticles could adsorb oil from water due to the special structure and be collected with a magnetic field. Then, the oil-filled microparticles would be regenerated by thermal stimulus, in which the inner PNIPAM microgels work as thermal-sensitive pistons to force out the adsorbed oil. At the same time, the adsorbed oil would be recycled by distillation. Furthermore, the adsorption capacity of the microparticles for oil keeps very stable after 1st cycle. The adsorption and regeneration performances of the microparticles are greatly affected by the size of the holes on the outer PETPTA shells, which could be precisely controlled by regulating the interfacial forces in W/O/W emulsion templates. The optimized core-shell microparticles show excellent oil adsorption and thermal driving regeneration performances nearly without secondary pollution, and would be a reliable green adsorption material for kinds of oil.展开更多
A new magnetic mesoporous As(Ⅲ)adsorbent of Fe_(3)O_(4)@SiO_(2)@Ce-ZrO_(2)was prepared by solvothermal and sol^(-)gel method.The core-shell adsorbent presented a high specific surface area(168.2 m^(2)/g)and fast magn...A new magnetic mesoporous As(Ⅲ)adsorbent of Fe_(3)O_(4)@SiO_(2)@Ce-ZrO_(2)was prepared by solvothermal and sol^(-)gel method.The core-shell adsorbent presented a high specific surface area(168.2 m^(2)/g)and fast magnetic separation performance(5.37 A·m^(2)/kg).Compared with Fe_(3)O_(4)@SiO_(2)@ZrO_(2),the Ce-doped sample exhibited 12%-23%increase in As(Ⅲ)uptake over p H 3-11,which was mainly attributed to the formation of bimetal M—O—As complexes.The coexisted SO^_(4)(2-)and PO^_(4)(3-)weakened As(Ⅲ)adsorption,Ca^(2+)worked oppositely,but the impact of Cl^(-)and NO_(3)^(-)was negligible.The As(Ⅲ)maximum adsorption capacity was 24.52 mg/g at 313 K with an initial As(Ⅲ)concentration of 5 mg/L at pH 7,and its kinetics was well fitted by the pseudo-second-order model.Moreover,the adsorbent exhibited remarkable recyclability.It is suggested that Fe_(3)O_(4)@SiO_(2)@Ce-ZrO_(2)is a promising adsorbent for the advanced treatment of As(Ⅲ)contaminated wastewater.展开更多
Synthesis and characterization of hybrid fluorescent superparamagnetic core-shell particles of Fe@C-CNx composition are presented for the first time. The prepared Fe@C-CNx hybrid nanoparticles were found to possess mu...Synthesis and characterization of hybrid fluorescent superparamagnetic core-shell particles of Fe@C-CNx composition are presented for the first time. The prepared Fe@C-CNx hybrid nanoparticles were found to possess multifunctionality by exhibiting strong superparamagnetic properties and bright fluorescence emissions at 500 nm after the excitation with light in the UV-visible range. Fe@C-CNx also exhibits photocatalytic activities for organic dye degradation comparable to pure amorphous CNx with reusability through magnetic separation. The combination of magnetic and fluorescent properties of core-shell Fe@C-CNx nanoparticles opens opportunities for their application as sensors and magnet manipulated reusable photocatalysts. Superparamagnetic Fe@C core-shell nanoparticles were used as the template material in the synthesis, where the carbon shell was functionalized through one-step free-radical addition of alkyl groups terminated with carboxylic acid moieties. The method utilizes the organic acyl peroxide of dicarboxylic acid (succinic acid peroxide) as a non-oxidant functional free radical precursor for functionalization. Further, covalently functionalized succinyl-Fe@C core-shell nanoparticles were coated with the amorphous carbon nitride (CNx) generated by an in-situ solution-based chemical reaction of cyanuric chloride with lithium nitride. A detailed physicochemical characterization of the microstructure, magnetic and fluorescence properties of the synthesized hybrid nanoparticles is provided.展开更多
Due to its high efficiency,Fe(Ⅱ)-based catalytic oxidation has been one of the most popular types of technology for treating growing organic pollutants.A lot of chemical Fe sludge alongwith various refractory polluta...Due to its high efficiency,Fe(Ⅱ)-based catalytic oxidation has been one of the most popular types of technology for treating growing organic pollutants.A lot of chemical Fe sludge alongwith various refractory pollutantswas concomitantly produced,whichmay cause secondary environmental problemswithout proper disposal.We here innovatively proposed an effective method of achieving zero Fe sludge,reusing Fe resources(Fe recovery=100%)and advancing organics removal(final TOC removal>70%)simultaneously,based on the in situ formation of magnetic Ca-Fe layered double hydroxide(Fe_(3)O_(4)@CaFe-LDH)nano-material.Cations(Ca^(2+)and Fe^(3+))concentration(≥30 mmol/L)and their molar ratio(Ca:Fe≥1.75)were crucial to the success of the method.Extrinsic nano Fe_(3)O_(4)was designed to be involved in the Fe(Ⅱ)-catalytic wastewater treatment process,and was modified by oxidation intermediates/products(especially those with COO-structure),which promoted the co-precipitation of Ca^(2+)(originated from Ca(OH)_(2)added after oxidation process)and byproduced Fe^(3+)cations on its surface to in situ generate core-shell Fe_(3)O_(4)@CaFe-LDH.The oxidation products were further removed during Fe_(3)O_(4)@CaFe-LDH material formation via intercalation and adsorption.Thismethodwas applicable to many kinds of organicwastewater,such as bisphenol A,methyl orange,humics,and biogas slurry.The prepared magnetic and hierarchical CaFe-LDH nanocomposite material showed comparable application performance to the recently reported CaFe-LDHs.This work provides a new strategy for efficiently enhancing the efficiency and economy of Fe(Ⅱ)-catalyzed oxidative wastewater treatment by producing high value-added LDHs materials.展开更多
Gradient magnetic heterointerfaces have injected infinite vitality in optimizing impedance matching,adjusting dielectric/magnetic resonance and promoting electromagnetic(EM)wave absorption,but still exist a significan...Gradient magnetic heterointerfaces have injected infinite vitality in optimizing impedance matching,adjusting dielectric/magnetic resonance and promoting electromagnetic(EM)wave absorption,but still exist a significant challenging in regulating local phase evolution.Herein,accordion-shaped Co/Co_(3)O_(4)@N-doped carbon nanosheets(Co/Co_(3)O_(4)@NC)with gradient magnetic heterointerfaces have been fabricated via the cooperative high-temperature carbonization and lowtemperature oxidation process.The results indicate that the surface epitaxial growth of crystal Co_(3)O_(4) domains on local Co nanoparticles realizes the adjustment of magnetic-heteroatomic components,which are beneficial for optimizing impedance matching and interfacial polarization.Moreover,gradient magnetic heterointerfaces simultaneously realize magnetic coupling,and long-range magnetic diffraction.Specifically,the synthesized Co/Co_(3)O_(4)@NC absorbents display the strong electromagnetic wave attenuation capability of−53.5 dB at a thickness of 3.0 mm with an effective absorption bandwidth of 5.36 GHz,both are superior to those of single magnetic domains embedded in carbon matrix.This design concept provides us an inspiration in optimizing interfacial polarization,regulating magnetic coupling and promoting electromagnetic wave absorption.展开更多
Historically,psychiatric diagnoses have been made based on patient’s reported symptoms applying the criteria from diagnostic and statistical manual of mental disorders.The utilization of neuroimaging or biomarkers to...Historically,psychiatric diagnoses have been made based on patient’s reported symptoms applying the criteria from diagnostic and statistical manual of mental disorders.The utilization of neuroimaging or biomarkers to make the diagnosis and manage psychiatric disorders remains a distant goal.There have been several studies that examine brain imaging in psychiatric disorders,but more work is needed to elucidate the complexities of the human brain.In this editorial,we examine two articles by Xu et al and Stoyanov et al,that show developments in the direction of using neuroimaging to examine the brains of people with schizo-phrenia and depression.Xu et al used magnetic resonance imaging to examine the brain structure of patients with schizophrenia,in addition to examining neurotransmitter levels as biomarkers.Stoyanov et al used functional magnetic resonance imaging to look at modulation of different neural circuits by diagnostic-specific scales in patients with schizophrenia and depression.These two studies provide crucial evidence in advancing our understanding of the brain in prevalent psychiatric disorders.展开更多
BACKGROUND The liver,as the main target organ for hematogenous metastasis of colorectal cancer,early and accurate prediction of liver metastasis is crucial for the diagnosis and treatment of patients.Herein,this study...BACKGROUND The liver,as the main target organ for hematogenous metastasis of colorectal cancer,early and accurate prediction of liver metastasis is crucial for the diagnosis and treatment of patients.Herein,this study aims to investigate the application value of a combined machine learning(ML)based model based on the multiparameter magnetic resonance imaging for prediction of rectal metachronous liver metastasis(MLM).AIM To investigate the efficacy of radiomics based on multiparametric magnetic resonance imaging images of preoperative first diagnosed rectal cancer in predicting MLM from rectal cancer.METHODS We retrospectively analyzed 301 patients with rectal cancer confirmed by surgical pathology at Jingzhou Central Hospital from January 2017 to December 2023.All participants were randomly assigned to the training or validation queue in a 7:3 ratio.We first apply generalized linear regression model(GLRM)and random forest model(RFM)algorithm to construct an MLM prediction model in the training queue,and evaluate the discriminative power of the MLM prediction model using area under curve(AUC)and decision curve analysis(DCA).Then,the robustness and generalizability of the MLM prediction model were evaluated based on the internal validation set between the validation queue groups.RESULTS Among the 301 patients included in the study,16.28%were ultimately diagnosed with MLM through pathological examination.Multivariate analysis showed that carcinoembryonic antigen,and magnetic resonance imaging radiomics were independent predictors of MLM.Then,the GLRM prediction model was developed with a comprehensive nomogram to achieve satisfactory differentiation.The prediction performance of GLRM in the training and validation queue was 0.765[95%confidence interval(CI):0.710-0.820]and 0.767(95%CI:0.712-0.822),respectively.Compared with GLRM,RFM achieved superior performance with AUC of 0.919(95%CI:0.868-0.970)and 0.901(95%CI:0.850-0.952)in the training and validation queue,respectively.The DCA indicated that the predictive ability and net profit of clinical RFM were improved.CONCLUSION By combining multiparameter magnetic resonance imaging with the effectiveness and robustness of ML-based predictive models,the proposed clinical RFM can serve as an insight tool for preoperative assessment of MLM risk stratification and provide important information for individual diagnosis and treatment of rectal cancer patients.展开更多
Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed asse...Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed assessment is important to help identify highrisk infants,to help families,and to support appropriate interventions.A wide range of monitoring tools is available to assess changes over time,including urine and blood biomarkers,neurological examination,and electroencephalography.At present,magnetic resonance imaging is unique as although it is expensive and not suited to monitoring the early evolution of hypoxic-ischemic encephalopathy by a week of life it can provide direct insight into the anatomical changes in the brain after hypoxic-ischemic encephalopathy and so offers strong prognostic information on the long-term outcome after hypoxic-ischemic encephalopathy.This review investigated the temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries,with a particular emphasis on exploring the correlation between the prognostic implications of magnetic resonance imaging scans in the first week of life and their relationship to long-term outcome prediction,particularly for infants treated with therapeutic hypothermia.A comprehensive literature search,from 2016 to 2024,identified 20 pertinent articles.This review highlights that while the optimal timing of magnetic resonance imaging scans is not clear,overall,it suggests that magnetic resonance imaging within the first week of life provides strong prognostic accuracy.Many challenges limit the timing consistency,particularly the need for intensive care and clinical monitoring.Conversely,although most reports examined the prognostic value of scans taken between 4 and 10 days after birth,there is evidence from small numbers of cases that,at times,brain injury may continue to evolve for weeks after birth.This suggests that in the future it will be important to explore a wider range of times after hypoxic-ischemic encephalopathy to fully understand the optimal timing for predicting long-term outcomes.展开更多
Sotos syndrome is characterized by overgrowth features and is caused by alterations in the nuclear receptor binding SET domain protein 1 gene.Attentiondeficit/hyperactivity disorder(ADHD)is considered a neurodevelopme...Sotos syndrome is characterized by overgrowth features and is caused by alterations in the nuclear receptor binding SET domain protein 1 gene.Attentiondeficit/hyperactivity disorder(ADHD)is considered a neurodevelopment and psychiatric disorder in childhood.Genetic characteristics and clinical presentation could play an important role in the diagnosis of Sotos syndrome and ADHD.Magnetic resonance imaging(MRI)has been used to assess medical images in Sotos syndrome and ADHD.The images process is considered to display in MRI while wavelet fusion has been used to integrate distinct images for achieving more complete information in single image in this editorial.In the future,genetic mechanisms and artificial intelligence related to medical images could be used in the clinical diagnosis of Sotos syndrome and ADHD.展开更多
Alzheimer’s disease is a neurodegenerative disease resulting from deficits in synaptic transmission and homeostasis.The Alzheimer’s disease brain tends to be hyperexcitable and hypersynchronized,thereby causing neur...Alzheimer’s disease is a neurodegenerative disease resulting from deficits in synaptic transmission and homeostasis.The Alzheimer’s disease brain tends to be hyperexcitable and hypersynchronized,thereby causing neurodegeneration and ultimately disrupting the operational abilities in daily life,leaving patients incapacitated.Repetitive transcranial magnetic stimulation is a cost-effective,neuro-modulatory technique used for multiple neurological conditions.Over the past two decades,it has been widely used to predict cognitive decline;identify pathophysiological markers;promote neuroplasticity;and assess brain excitability,plasticity,and connectivity.It has also been applied to patients with dementia,because it can yield facilitatory effects on cognition and promote brain recovery after a neurological insult.However,its therapeutic effectiveness at the molecular and synaptic levels has not been elucidated because of a limited number of studies.This study aimed to characterize the neurobiological changes following repetitive transcranial magnetic stimulation treatment,evaluate its effects on synaptic plasticity,and identify the associated mechanisms.This review essentially focuses on changes in the pathology,amyloidogenesis,and clearance pathways,given that amyloid deposition is a major hypothesis in the pathogenesis of Alzheimer’s disease.Apoptotic mechanisms associated with repetitive transcranial magnetic stimulation procedures and different pathways mediating gene transcription,which are closely related to the neural regeneration process,are also highlighted.Finally,we discuss the outcomes of animal studies in which neuroplasticity is modulated and assessed at the structural and functional levels by using repetitive transcranial magnetic stimulation,with the aim to highlight future directions for better clinical translations.展开更多
Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people everywhere.Due to its ability to produce a detailed view of the soft tissues,including the s...Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people everywhere.Due to its ability to produce a detailed view of the soft tissues,including the spinal cord,nerves,intervertebral discs,and vertebrae,Magnetic Resonance Imaging is thought to be the most effective method for imaging the spine.The semantic segmentation of vertebrae plays a major role in the diagnostic process of lumbar diseases.It is difficult to semantically partition the vertebrae in Magnetic Resonance Images from the surrounding variety of tissues,including muscles,ligaments,and intervertebral discs.U-Net is a powerful deep-learning architecture to handle the challenges of medical image analysis tasks and achieves high segmentation accuracy.This work proposes a modified U-Net architecture namely MU-Net,consisting of the Meijering convolutional layer that incorporates the Meijering filter to perform the semantic segmentation of lumbar vertebrae L1 to L5 and sacral vertebra S1.Pseudo-colour mask images were generated and used as ground truth for training the model.The work has been carried out on 1312 images expanded from T1-weighted mid-sagittal MRI images of 515 patients in the Lumbar Spine MRI Dataset publicly available from Mendeley Data.The proposed MU-Net model for the semantic segmentation of the lumbar vertebrae gives better performance with 98.79%of pixel accuracy(PA),98.66%of dice similarity coefficient(DSC),97.36%of Jaccard coefficient,and 92.55%mean Intersection over Union(mean IoU)metrics using the mentioned dataset.展开更多
A new cobalt(Ⅱ)-radical complex:[Co(im4-py)_(2)(PNB)_(2)](im4-py=2-(4'-pyridyl)-4,4,5,5-tetramethylimidazole-1-oxyl,HPNB=p-nitrobenzoic acid)has been synthesized and characterized by X-ray diffraction analysis,el...A new cobalt(Ⅱ)-radical complex:[Co(im4-py)_(2)(PNB)_(2)](im4-py=2-(4'-pyridyl)-4,4,5,5-tetramethylimidazole-1-oxyl,HPNB=p-nitrobenzoic acid)has been synthesized and characterized by X-ray diffraction analysis,elemental analysis,IR,and magnetic properties.X-ray diffraction analysis shows that the complex exists as mononuclear molecules and Co(Ⅱ)ion is four-coordinated with two radicals and two PNB-ligands.The magnetic susceptibility study indicates the complex exhibits weak ferromagnetic interactions between cobalt(Ⅱ)and im4-py radical.The magnetic property is explained by the magnetic and structure exchange mechanism.CCDC:976028.展开更多
Strong multi-kilotesla magnetic fields have various applications in high-energy density science and laboratory astrophysics,but they are not readily available.In our previous work[Y.Shi et al.,Phys.Rev.Lett.130,155101...Strong multi-kilotesla magnetic fields have various applications in high-energy density science and laboratory astrophysics,but they are not readily available.In our previous work[Y.Shi et al.,Phys.Rev.Lett.130,155101(2023)],we developed a novel approach for generating such fields using multiple conventional laser beams with a twist in the pointing direction.This method is particularly well-suited for multi-kilojoule petawatt-class laser systems like SG-II UP,which are designed with multiple linearly polarized beamlets.Utilizing three-dimensional kinetic particle-in-cell simulations,we examine critical factors for a proof-of-principle experiment,such as laser polarization,relative pulse delay,phase offset,pointing stability,and target configuration,and their impact on magnetic field generation.Our general conclusion is that the approach is very robust and can be realized under a wide range of laser parameters and plasma conditions.We also provide an in-depth analysis of the axial magnetic field configuration,azimuthal electron current,and electron and ion orbital angular momentum densities.Supported by a simple model,our analysis shows that the axial magnetic field decays owing to the expansion of hot electrons.展开更多
Wireless communications in extreme environments,such as underwater and underground,is an essential technology for interconnecting various devices and enables data transmission and networking.Existing wireless technolo...Wireless communications in extreme environments,such as underwater and underground,is an essential technology for interconnecting various devices and enables data transmission and networking.Existing wireless technologies using electromagnetic(EM)waves face many known problems,such as high path loss,unpredictable multi-path fading,and large antenna size in the lossy medium.In this article,the magnetic induction(MI)based physical layer communication is introduced as a promising solution for wireless transmissions in extreme environments.Specifically,the fundamentals of the MI-based communications are reviewed.Then,with the goal of establishing reliable and low-power links between small-size devices,we review several key physical layer technologies for MI-based communications,including the MIbased signal modulations,magnetic beamforming,and relay transmissions,and summarize their state-of-theart research advances.Finally,the related open issues and challenges in each area are analyzed and presented for future investigations.展开更多
BACKGROUND Fistula-in-ano is an abnormal tunnel formation linking the anal canal with the perineum and perianal skin.Multiple imagining methods are available to evaluate it,among which magnetic resonance imaging(MRI)i...BACKGROUND Fistula-in-ano is an abnormal tunnel formation linking the anal canal with the perineum and perianal skin.Multiple imagining methods are available to evaluate it,among which magnetic resonance imaging(MRI)is the most advanced nonin-vasive preoperative method.However,it is limited in its visualization function.AIM To investigate the use of intraluminal MRI for perianal fistulas via a novel direct MRI fistulography method.METHODS We mixed 3%hydrogen peroxide(HP)with gadolinium for HPMRI fistulogra-phy,retrospectively analyzing 60 cases of complex/recurrent fistula-in-ano using physical examination,trans-perineal ultrasonography(TPUS),low-spatial-reso-lution MRI,and high-resolution direct HPMRI fistulography.We assessed detec-tion rates of fistula tracks,internal openings,their relationship with anal sphinc-ters,and perianal abscesses using statistical analyses,including interobserver agreement(Kappa statistic),and compared results with intraoperative findings.RESULTS Surgical confirmation in 60 cases showed that high-resolution direct HPMRI fis-tulography provided superior detection rates for internal openings(153)and fistula tracks(162)compared to physical exams,TPUS,and low-spatial-resolution MRI(Z>5.7,P<0.05).The effectiveness of physical examination and TPUS was also inferior to that of our method for detecting perianal abscesses(54)(Z=6.773,3.694,P<0.05),whereas that of low-spatial-resolution MRI was not significantly different(Z=1.851,P=0.06).High-resolution direct HPMRI fistulography also achieved the highest interobserver agreement(Kappa:0.89,0.85,and 0.80),while low-spatial-resolution MRI showed moderate agreement(Kappa:0.78,0.74,and 0.69).TPUS and physical examination had lower agreement(Kappa range:0.33-0.63).CONCLUSION High-resolution direct HPMRI fistulography enhances the visualization of recurrent and complex fistula-in-ano,including branched fistulas,allowing for precise planning and improved surgical outcomes.展开更多
BACKGROUND An increasing number of studies to date have found preoperative magnetic resonance imaging(MRI)features valuable in predicting the prognosis of rectal cancer(RC).However,research is still lacking on the cor...BACKGROUND An increasing number of studies to date have found preoperative magnetic resonance imaging(MRI)features valuable in predicting the prognosis of rectal cancer(RC).However,research is still lacking on the correlation between preoperative MRI features and the risk of recurrence after radical resection of RC,urgently necessitating further in-depth exploration.AIM To investigate the correlation between preoperative MRI parameters and the risk of recurrence after radical resection of RC to provide an effective tool for predicting postoperative recurrence.METHODS The data of 90 patients who were diagnosed with RC by surgical pathology and underwent radical surgical resection at the Second Affiliated Hospital of Bengbu Medical University between May 2020 and December 2023 were collected through retrospective analysis.General demographic data,MRI data,and tumor markers levels were collected.According to the reviewed data of patients six months after surgery,the clinicians comprehensively assessed the recurrence risk and divided the patients into high recurrence risk(37 cases)and low recurrence risk(53 cases)groups.Independent sample t-test andχ2 test were used to analyze differences between the two groups.A logistic regression model was used to explore the risk factors of the high recurrence risk group,and a clinical prediction model was constructed.The clinical prediction model is presented in the form of a nomogram.The receiver operating characteristic curve,Hosmer-Lemeshow goodness of fit test,calibration curve,and decision curve analysis were used to evaluate the efficacy of the clinical prediction model.RESULTS The detection of positive extramural vascular invasion through preoperative MRI[odds ratio(OR)=4.29,P=0.045],along with elevated carcinoembryonic antigen(OR=1.08,P=0.041),carbohydrate antigen 125(OR=1.19,P=0.034),and carbohydrate antigen 199(OR=1.27,P<0.001)levels,are independent risk factors for increased postoperative recurrence risk in patients with RC.Furthermore,there was a correlation between magnetic resonance based T staging,magnetic resonance based N staging,and circumferential resection margin results determined by MRI and the postoperative recurrence risk.Additionally,when extramural vascular invasion was integrated with tumor markers,the resulting clinical prediction model more effectively identified patients at high risk for postoperative recurrence,thereby providing robust support for clinical decision-making.CONCLUSION The results of this study indicate that preoperative MRI detection is of great importance for predicting the risk of postoperative recurrence in patients with RC.Monitoring these markers helps clinicians identify patients at high risk,allowing for more aggressive treatment and monitoring strategies to improve patient outcomes.展开更多
Toroidal torques,generated by the resonant magnetic perturbation(RMP)and acting on the plasma column,are numerically systematically investigated for an ITER baseline scenario.The neoclassical toroidal viscosity(NTV),i...Toroidal torques,generated by the resonant magnetic perturbation(RMP)and acting on the plasma column,are numerically systematically investigated for an ITER baseline scenario.The neoclassical toroidal viscosity(NTV),in particular the resonant portion,is found to provide the dominant contribution to the total toroidal torque under the slow plasma flow regime in ITER.While the electromagnetic torque always opposes the plasma flow,the toroidal torque associated with the Reynolds stress enhances the plasma flow independent of the flow direction.A peculiar double-peak structure for the net NTV torque is robustly computed for ITER,as the toroidal rotation frequency is scanned near the zero value.This structure is found to be ultimately due to a non-monotonic behavior of the wave-particle resonance integral(over the particle pitch angle)in the superbanana plateau NTV regime in ITER.These findings are qualitatively insensitive to variations of a range of factors including the wall resistivity,the plasma pedestal flow and the assumed frequency of the rotating RMP field.展开更多
基金Project supported by the Science Foundation of North University of China(Grant No.2017026)the Applied Basic Research Foundation of Shanxi Province,China(Grant No.201801D221143)+1 种基金the Scientific and Technological Innovation Programs of Higher Education Institutions in Shanxi,China(Grant No.2019L0535)the National Natural Science Foundation of China(Grant No.11847012).
文摘By dispersing La1-xSrxMnO3 (LSMO) granule into PbZrxTi1-xO3 (PZT) matrix, the 0-3 type LSMO/PZT composite film is synthesized through chemical solution method. The asymmetry of the top and bottom electrodes introduces novel electrostatic screening on LSMO/PZT interface. As electric polarization is switched between upward and downward orientations, the evolution of exchange bias, diode transport, and magnetoresistance is observed. The result implies the electrostatic switch of magnetic core-shell in the present film. In detail, as the spontaneous polarization is upward or downward in the PZT matrix, the ferromagnetic/antiferromagnetic or ferromagnetic/ferromagnetic core-shell structure is formed in LSMO granule, respectively. This work would develop a novel device for spintronics and metamaterial.
基金Supported by the National Natural Science Foundation of China(21173018,20473009)
文摘The core-shell structured TiO2/SiO2 @Fe3O4 photocatalysts were prepared using Fe3O4 as magnetic core,tetraethoxysilane(TEOS) as silica source and tetrabutyl titanate(TBOT) as titanium sources.The as-obtained structure was composed of a SiO2@Fe3O4 core and a porous TiO2 shell.The diameter of SiO2@Fe3O4 core was about 205 nm with thickness of porous TiO2 of about 5-6 nm.The 9%TiO2/6%SiO2@Fe3O4 microspheres possess the highest BET surface area and the BJH pore volume,which are 373.5 m2.g-1 and 0.28 cm3.g-1,respectively.The 9%TiO2/6%SiO2@Fe3O4 photocatalyst exhibited an excellent performance for the degradation of methyl orange and methylene blue dyes.Two different dyes were completely decolorized in 60 min under UV irradiation.The photocatalytic activity and the amount of catalyst were almost not decrease after recycling for 6 times by using external magnetic field.
基金This work was supported by the National Natural Science Foundation of China[grant numbers 21706219]。
文摘Here, we report the construction of magnetic core-shell microparticles for oil removal with thermal driving regeneration property. Water-in-oil-in water (W/O/W) emulsions from microfluidics are used as templates to prepare core-shell microparticles with magnetic holed poly (ethoxylated trimethylolpropane triacrylate) (PETPTA) shells each containing a thermal-sensitive poly (N-Isopropylacrylamide) (PNIPAM) core. The microparticles could adsorb oil from water due to the special structure and be collected with a magnetic field. Then, the oil-filled microparticles would be regenerated by thermal stimulus, in which the inner PNIPAM microgels work as thermal-sensitive pistons to force out the adsorbed oil. At the same time, the adsorbed oil would be recycled by distillation. Furthermore, the adsorption capacity of the microparticles for oil keeps very stable after 1st cycle. The adsorption and regeneration performances of the microparticles are greatly affected by the size of the holes on the outer PETPTA shells, which could be precisely controlled by regulating the interfacial forces in W/O/W emulsion templates. The optimized core-shell microparticles show excellent oil adsorption and thermal driving regeneration performances nearly without secondary pollution, and would be a reliable green adsorption material for kinds of oil.
基金the financial support from the Open Research Fund of Jiangsu Key Laboratory of Resources and Environmental Information Engineering,China(No.JS201810)。
文摘A new magnetic mesoporous As(Ⅲ)adsorbent of Fe_(3)O_(4)@SiO_(2)@Ce-ZrO_(2)was prepared by solvothermal and sol^(-)gel method.The core-shell adsorbent presented a high specific surface area(168.2 m^(2)/g)and fast magnetic separation performance(5.37 A·m^(2)/kg).Compared with Fe_(3)O_(4)@SiO_(2)@ZrO_(2),the Ce-doped sample exhibited 12%-23%increase in As(Ⅲ)uptake over p H 3-11,which was mainly attributed to the formation of bimetal M—O—As complexes.The coexisted SO^_(4)(2-)and PO^_(4)(3-)weakened As(Ⅲ)adsorption,Ca^(2+)worked oppositely,but the impact of Cl^(-)and NO_(3)^(-)was negligible.The As(Ⅲ)maximum adsorption capacity was 24.52 mg/g at 313 K with an initial As(Ⅲ)concentration of 5 mg/L at pH 7,and its kinetics was well fitted by the pseudo-second-order model.Moreover,the adsorbent exhibited remarkable recyclability.It is suggested that Fe_(3)O_(4)@SiO_(2)@Ce-ZrO_(2)is a promising adsorbent for the advanced treatment of As(Ⅲ)contaminated wastewater.
文摘Synthesis and characterization of hybrid fluorescent superparamagnetic core-shell particles of Fe@C-CNx composition are presented for the first time. The prepared Fe@C-CNx hybrid nanoparticles were found to possess multifunctionality by exhibiting strong superparamagnetic properties and bright fluorescence emissions at 500 nm after the excitation with light in the UV-visible range. Fe@C-CNx also exhibits photocatalytic activities for organic dye degradation comparable to pure amorphous CNx with reusability through magnetic separation. The combination of magnetic and fluorescent properties of core-shell Fe@C-CNx nanoparticles opens opportunities for their application as sensors and magnet manipulated reusable photocatalysts. Superparamagnetic Fe@C core-shell nanoparticles were used as the template material in the synthesis, where the carbon shell was functionalized through one-step free-radical addition of alkyl groups terminated with carboxylic acid moieties. The method utilizes the organic acyl peroxide of dicarboxylic acid (succinic acid peroxide) as a non-oxidant functional free radical precursor for functionalization. Further, covalently functionalized succinyl-Fe@C core-shell nanoparticles were coated with the amorphous carbon nitride (CNx) generated by an in-situ solution-based chemical reaction of cyanuric chloride with lithium nitride. A detailed physicochemical characterization of the microstructure, magnetic and fluorescence properties of the synthesized hybrid nanoparticles is provided.
基金supported by the Chinese Agriculture Research System(No.CARS-35-06B)111 Project(No.B17030)the Sichuan Science and Technology Program(No.2021ZDZX0012).
文摘Due to its high efficiency,Fe(Ⅱ)-based catalytic oxidation has been one of the most popular types of technology for treating growing organic pollutants.A lot of chemical Fe sludge alongwith various refractory pollutantswas concomitantly produced,whichmay cause secondary environmental problemswithout proper disposal.We here innovatively proposed an effective method of achieving zero Fe sludge,reusing Fe resources(Fe recovery=100%)and advancing organics removal(final TOC removal>70%)simultaneously,based on the in situ formation of magnetic Ca-Fe layered double hydroxide(Fe_(3)O_(4)@CaFe-LDH)nano-material.Cations(Ca^(2+)and Fe^(3+))concentration(≥30 mmol/L)and their molar ratio(Ca:Fe≥1.75)were crucial to the success of the method.Extrinsic nano Fe_(3)O_(4)was designed to be involved in the Fe(Ⅱ)-catalytic wastewater treatment process,and was modified by oxidation intermediates/products(especially those with COO-structure),which promoted the co-precipitation of Ca^(2+)(originated from Ca(OH)_(2)added after oxidation process)and byproduced Fe^(3+)cations on its surface to in situ generate core-shell Fe_(3)O_(4)@CaFe-LDH.The oxidation products were further removed during Fe_(3)O_(4)@CaFe-LDH material formation via intercalation and adsorption.Thismethodwas applicable to many kinds of organicwastewater,such as bisphenol A,methyl orange,humics,and biogas slurry.The prepared magnetic and hierarchical CaFe-LDH nanocomposite material showed comparable application performance to the recently reported CaFe-LDHs.This work provides a new strategy for efficiently enhancing the efficiency and economy of Fe(Ⅱ)-catalyzed oxidative wastewater treatment by producing high value-added LDHs materials.
基金financially supported by the National Natural Science Foundation of China(52373271)Science,Technology and Innovation Commission of Shenzhen Municipality under Grant(KCXFZ20201221173004012)+1 种基金National Key Research and Development Program of Shaanxi Province(No.2023-YBNY-271)Open Testing Foundation of the Analytical&Testing Center of Northwestern Polytechnical University(2023T019).
文摘Gradient magnetic heterointerfaces have injected infinite vitality in optimizing impedance matching,adjusting dielectric/magnetic resonance and promoting electromagnetic(EM)wave absorption,but still exist a significant challenging in regulating local phase evolution.Herein,accordion-shaped Co/Co_(3)O_(4)@N-doped carbon nanosheets(Co/Co_(3)O_(4)@NC)with gradient magnetic heterointerfaces have been fabricated via the cooperative high-temperature carbonization and lowtemperature oxidation process.The results indicate that the surface epitaxial growth of crystal Co_(3)O_(4) domains on local Co nanoparticles realizes the adjustment of magnetic-heteroatomic components,which are beneficial for optimizing impedance matching and interfacial polarization.Moreover,gradient magnetic heterointerfaces simultaneously realize magnetic coupling,and long-range magnetic diffraction.Specifically,the synthesized Co/Co_(3)O_(4)@NC absorbents display the strong electromagnetic wave attenuation capability of−53.5 dB at a thickness of 3.0 mm with an effective absorption bandwidth of 5.36 GHz,both are superior to those of single magnetic domains embedded in carbon matrix.This design concept provides us an inspiration in optimizing interfacial polarization,regulating magnetic coupling and promoting electromagnetic wave absorption.
文摘Historically,psychiatric diagnoses have been made based on patient’s reported symptoms applying the criteria from diagnostic and statistical manual of mental disorders.The utilization of neuroimaging or biomarkers to make the diagnosis and manage psychiatric disorders remains a distant goal.There have been several studies that examine brain imaging in psychiatric disorders,but more work is needed to elucidate the complexities of the human brain.In this editorial,we examine two articles by Xu et al and Stoyanov et al,that show developments in the direction of using neuroimaging to examine the brains of people with schizo-phrenia and depression.Xu et al used magnetic resonance imaging to examine the brain structure of patients with schizophrenia,in addition to examining neurotransmitter levels as biomarkers.Stoyanov et al used functional magnetic resonance imaging to look at modulation of different neural circuits by diagnostic-specific scales in patients with schizophrenia and depression.These two studies provide crucial evidence in advancing our understanding of the brain in prevalent psychiatric disorders.
文摘BACKGROUND The liver,as the main target organ for hematogenous metastasis of colorectal cancer,early and accurate prediction of liver metastasis is crucial for the diagnosis and treatment of patients.Herein,this study aims to investigate the application value of a combined machine learning(ML)based model based on the multiparameter magnetic resonance imaging for prediction of rectal metachronous liver metastasis(MLM).AIM To investigate the efficacy of radiomics based on multiparametric magnetic resonance imaging images of preoperative first diagnosed rectal cancer in predicting MLM from rectal cancer.METHODS We retrospectively analyzed 301 patients with rectal cancer confirmed by surgical pathology at Jingzhou Central Hospital from January 2017 to December 2023.All participants were randomly assigned to the training or validation queue in a 7:3 ratio.We first apply generalized linear regression model(GLRM)and random forest model(RFM)algorithm to construct an MLM prediction model in the training queue,and evaluate the discriminative power of the MLM prediction model using area under curve(AUC)and decision curve analysis(DCA).Then,the robustness and generalizability of the MLM prediction model were evaluated based on the internal validation set between the validation queue groups.RESULTS Among the 301 patients included in the study,16.28%were ultimately diagnosed with MLM through pathological examination.Multivariate analysis showed that carcinoembryonic antigen,and magnetic resonance imaging radiomics were independent predictors of MLM.Then,the GLRM prediction model was developed with a comprehensive nomogram to achieve satisfactory differentiation.The prediction performance of GLRM in the training and validation queue was 0.765[95%confidence interval(CI):0.710-0.820]and 0.767(95%CI:0.712-0.822),respectively.Compared with GLRM,RFM achieved superior performance with AUC of 0.919(95%CI:0.868-0.970)and 0.901(95%CI:0.850-0.952)in the training and validation queue,respectively.The DCA indicated that the predictive ability and net profit of clinical RFM were improved.CONCLUSION By combining multiparameter magnetic resonance imaging with the effectiveness and robustness of ML-based predictive models,the proposed clinical RFM can serve as an insight tool for preoperative assessment of MLM risk stratification and provide important information for individual diagnosis and treatment of rectal cancer patients.
基金supported by a grant from the Health Research New Zealand(HRC)22/559(to AJG and LB)。
文摘Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed assessment is important to help identify highrisk infants,to help families,and to support appropriate interventions.A wide range of monitoring tools is available to assess changes over time,including urine and blood biomarkers,neurological examination,and electroencephalography.At present,magnetic resonance imaging is unique as although it is expensive and not suited to monitoring the early evolution of hypoxic-ischemic encephalopathy by a week of life it can provide direct insight into the anatomical changes in the brain after hypoxic-ischemic encephalopathy and so offers strong prognostic information on the long-term outcome after hypoxic-ischemic encephalopathy.This review investigated the temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries,with a particular emphasis on exploring the correlation between the prognostic implications of magnetic resonance imaging scans in the first week of life and their relationship to long-term outcome prediction,particularly for infants treated with therapeutic hypothermia.A comprehensive literature search,from 2016 to 2024,identified 20 pertinent articles.This review highlights that while the optimal timing of magnetic resonance imaging scans is not clear,overall,it suggests that magnetic resonance imaging within the first week of life provides strong prognostic accuracy.Many challenges limit the timing consistency,particularly the need for intensive care and clinical monitoring.Conversely,although most reports examined the prognostic value of scans taken between 4 and 10 days after birth,there is evidence from small numbers of cases that,at times,brain injury may continue to evolve for weeks after birth.This suggests that in the future it will be important to explore a wider range of times after hypoxic-ischemic encephalopathy to fully understand the optimal timing for predicting long-term outcomes.
基金Supported by Natural Science Foundation of Shanghai,No.17ZR1431400National Key R and D Program of China,No.2017YFA0103902.
文摘Sotos syndrome is characterized by overgrowth features and is caused by alterations in the nuclear receptor binding SET domain protein 1 gene.Attentiondeficit/hyperactivity disorder(ADHD)is considered a neurodevelopment and psychiatric disorder in childhood.Genetic characteristics and clinical presentation could play an important role in the diagnosis of Sotos syndrome and ADHD.Magnetic resonance imaging(MRI)has been used to assess medical images in Sotos syndrome and ADHD.The images process is considered to display in MRI while wavelet fusion has been used to integrate distinct images for achieving more complete information in single image in this editorial.In the future,genetic mechanisms and artificial intelligence related to medical images could be used in the clinical diagnosis of Sotos syndrome and ADHD.
基金supported by the Hefei Comprehensive National Science Center Hefei Brain Project(to KW)the National Natural Science Foundation of China,Nos.31970979(to KW),82101498(to XW)the STI2030-Major Projects,No.2021ZD0201800(to PH).
文摘Alzheimer’s disease is a neurodegenerative disease resulting from deficits in synaptic transmission and homeostasis.The Alzheimer’s disease brain tends to be hyperexcitable and hypersynchronized,thereby causing neurodegeneration and ultimately disrupting the operational abilities in daily life,leaving patients incapacitated.Repetitive transcranial magnetic stimulation is a cost-effective,neuro-modulatory technique used for multiple neurological conditions.Over the past two decades,it has been widely used to predict cognitive decline;identify pathophysiological markers;promote neuroplasticity;and assess brain excitability,plasticity,and connectivity.It has also been applied to patients with dementia,because it can yield facilitatory effects on cognition and promote brain recovery after a neurological insult.However,its therapeutic effectiveness at the molecular and synaptic levels has not been elucidated because of a limited number of studies.This study aimed to characterize the neurobiological changes following repetitive transcranial magnetic stimulation treatment,evaluate its effects on synaptic plasticity,and identify the associated mechanisms.This review essentially focuses on changes in the pathology,amyloidogenesis,and clearance pathways,given that amyloid deposition is a major hypothesis in the pathogenesis of Alzheimer’s disease.Apoptotic mechanisms associated with repetitive transcranial magnetic stimulation procedures and different pathways mediating gene transcription,which are closely related to the neural regeneration process,are also highlighted.Finally,we discuss the outcomes of animal studies in which neuroplasticity is modulated and assessed at the structural and functional levels by using repetitive transcranial magnetic stimulation,with the aim to highlight future directions for better clinical translations.
文摘Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people everywhere.Due to its ability to produce a detailed view of the soft tissues,including the spinal cord,nerves,intervertebral discs,and vertebrae,Magnetic Resonance Imaging is thought to be the most effective method for imaging the spine.The semantic segmentation of vertebrae plays a major role in the diagnostic process of lumbar diseases.It is difficult to semantically partition the vertebrae in Magnetic Resonance Images from the surrounding variety of tissues,including muscles,ligaments,and intervertebral discs.U-Net is a powerful deep-learning architecture to handle the challenges of medical image analysis tasks and achieves high segmentation accuracy.This work proposes a modified U-Net architecture namely MU-Net,consisting of the Meijering convolutional layer that incorporates the Meijering filter to perform the semantic segmentation of lumbar vertebrae L1 to L5 and sacral vertebra S1.Pseudo-colour mask images were generated and used as ground truth for training the model.The work has been carried out on 1312 images expanded from T1-weighted mid-sagittal MRI images of 515 patients in the Lumbar Spine MRI Dataset publicly available from Mendeley Data.The proposed MU-Net model for the semantic segmentation of the lumbar vertebrae gives better performance with 98.79%of pixel accuracy(PA),98.66%of dice similarity coefficient(DSC),97.36%of Jaccard coefficient,and 92.55%mean Intersection over Union(mean IoU)metrics using the mentioned dataset.
文摘A new cobalt(Ⅱ)-radical complex:[Co(im4-py)_(2)(PNB)_(2)](im4-py=2-(4'-pyridyl)-4,4,5,5-tetramethylimidazole-1-oxyl,HPNB=p-nitrobenzoic acid)has been synthesized and characterized by X-ray diffraction analysis,elemental analysis,IR,and magnetic properties.X-ray diffraction analysis shows that the complex exists as mononuclear molecules and Co(Ⅱ)ion is four-coordinated with two radicals and two PNB-ligands.The magnetic susceptibility study indicates the complex exhibits weak ferromagnetic interactions between cobalt(Ⅱ)and im4-py radical.The magnetic property is explained by the magnetic and structure exchange mechanism.CCDC:976028.
基金support by the National Natural Science Foundation of China(Grant No.12322513)USTC Research Funds of the Double First-Class Initiative,CAS Project for Young Scientists in Basic Research(Grant No.YSBR060)+1 种基金A.A.was supported by the Office of Fusion Energy Sciences under Award No.DE-SC0023423Simulations were performed with EPOCH(developed under UK EPSRC Grant Nos.EP/G054950/1,EP/G056803/1,EP/G055165/1,and EP/M022463/1).
文摘Strong multi-kilotesla magnetic fields have various applications in high-energy density science and laboratory astrophysics,but they are not readily available.In our previous work[Y.Shi et al.,Phys.Rev.Lett.130,155101(2023)],we developed a novel approach for generating such fields using multiple conventional laser beams with a twist in the pointing direction.This method is particularly well-suited for multi-kilojoule petawatt-class laser systems like SG-II UP,which are designed with multiple linearly polarized beamlets.Utilizing three-dimensional kinetic particle-in-cell simulations,we examine critical factors for a proof-of-principle experiment,such as laser polarization,relative pulse delay,phase offset,pointing stability,and target configuration,and their impact on magnetic field generation.Our general conclusion is that the approach is very robust and can be realized under a wide range of laser parameters and plasma conditions.We also provide an in-depth analysis of the axial magnetic field configuration,azimuthal electron current,and electron and ion orbital angular momentum densities.Supported by a simple model,our analysis shows that the axial magnetic field decays owing to the expansion of hot electrons.
文摘Wireless communications in extreme environments,such as underwater and underground,is an essential technology for interconnecting various devices and enables data transmission and networking.Existing wireless technologies using electromagnetic(EM)waves face many known problems,such as high path loss,unpredictable multi-path fading,and large antenna size in the lossy medium.In this article,the magnetic induction(MI)based physical layer communication is introduced as a promising solution for wireless transmissions in extreme environments.Specifically,the fundamentals of the MI-based communications are reviewed.Then,with the goal of establishing reliable and low-power links between small-size devices,we review several key physical layer technologies for MI-based communications,including the MIbased signal modulations,magnetic beamforming,and relay transmissions,and summarize their state-of-theart research advances.Finally,the related open issues and challenges in each area are analyzed and presented for future investigations.
基金Supported by Bozhou Key Research and Development Project,No.bzzc2020031.
文摘BACKGROUND Fistula-in-ano is an abnormal tunnel formation linking the anal canal with the perineum and perianal skin.Multiple imagining methods are available to evaluate it,among which magnetic resonance imaging(MRI)is the most advanced nonin-vasive preoperative method.However,it is limited in its visualization function.AIM To investigate the use of intraluminal MRI for perianal fistulas via a novel direct MRI fistulography method.METHODS We mixed 3%hydrogen peroxide(HP)with gadolinium for HPMRI fistulogra-phy,retrospectively analyzing 60 cases of complex/recurrent fistula-in-ano using physical examination,trans-perineal ultrasonography(TPUS),low-spatial-reso-lution MRI,and high-resolution direct HPMRI fistulography.We assessed detec-tion rates of fistula tracks,internal openings,their relationship with anal sphinc-ters,and perianal abscesses using statistical analyses,including interobserver agreement(Kappa statistic),and compared results with intraoperative findings.RESULTS Surgical confirmation in 60 cases showed that high-resolution direct HPMRI fis-tulography provided superior detection rates for internal openings(153)and fistula tracks(162)compared to physical exams,TPUS,and low-spatial-resolution MRI(Z>5.7,P<0.05).The effectiveness of physical examination and TPUS was also inferior to that of our method for detecting perianal abscesses(54)(Z=6.773,3.694,P<0.05),whereas that of low-spatial-resolution MRI was not significantly different(Z=1.851,P=0.06).High-resolution direct HPMRI fistulography also achieved the highest interobserver agreement(Kappa:0.89,0.85,and 0.80),while low-spatial-resolution MRI showed moderate agreement(Kappa:0.78,0.74,and 0.69).TPUS and physical examination had lower agreement(Kappa range:0.33-0.63).CONCLUSION High-resolution direct HPMRI fistulography enhances the visualization of recurrent and complex fistula-in-ano,including branched fistulas,allowing for precise planning and improved surgical outcomes.
文摘BACKGROUND An increasing number of studies to date have found preoperative magnetic resonance imaging(MRI)features valuable in predicting the prognosis of rectal cancer(RC).However,research is still lacking on the correlation between preoperative MRI features and the risk of recurrence after radical resection of RC,urgently necessitating further in-depth exploration.AIM To investigate the correlation between preoperative MRI parameters and the risk of recurrence after radical resection of RC to provide an effective tool for predicting postoperative recurrence.METHODS The data of 90 patients who were diagnosed with RC by surgical pathology and underwent radical surgical resection at the Second Affiliated Hospital of Bengbu Medical University between May 2020 and December 2023 were collected through retrospective analysis.General demographic data,MRI data,and tumor markers levels were collected.According to the reviewed data of patients six months after surgery,the clinicians comprehensively assessed the recurrence risk and divided the patients into high recurrence risk(37 cases)and low recurrence risk(53 cases)groups.Independent sample t-test andχ2 test were used to analyze differences between the two groups.A logistic regression model was used to explore the risk factors of the high recurrence risk group,and a clinical prediction model was constructed.The clinical prediction model is presented in the form of a nomogram.The receiver operating characteristic curve,Hosmer-Lemeshow goodness of fit test,calibration curve,and decision curve analysis were used to evaluate the efficacy of the clinical prediction model.RESULTS The detection of positive extramural vascular invasion through preoperative MRI[odds ratio(OR)=4.29,P=0.045],along with elevated carcinoembryonic antigen(OR=1.08,P=0.041),carbohydrate antigen 125(OR=1.19,P=0.034),and carbohydrate antigen 199(OR=1.27,P<0.001)levels,are independent risk factors for increased postoperative recurrence risk in patients with RC.Furthermore,there was a correlation between magnetic resonance based T staging,magnetic resonance based N staging,and circumferential resection margin results determined by MRI and the postoperative recurrence risk.Additionally,when extramural vascular invasion was integrated with tumor markers,the resulting clinical prediction model more effectively identified patients at high risk for postoperative recurrence,thereby providing robust support for clinical decision-making.CONCLUSION The results of this study indicate that preoperative MRI detection is of great importance for predicting the risk of postoperative recurrence in patients with RC.Monitoring these markers helps clinicians identify patients at high risk,allowing for more aggressive treatment and monitoring strategies to improve patient outcomes.
基金funded by National Natural Science Foundation of China(NSFC)(Nos.12075053,11505021 and 11975068)by National Key R&D Program of China(No.2022YFE 03060002)+1 种基金by Fundamental Research Funds for the Central Universities(No.2232024G-10)supported by the U.S.DoE Office of Science(No.DE-FG02–95ER54309)。
文摘Toroidal torques,generated by the resonant magnetic perturbation(RMP)and acting on the plasma column,are numerically systematically investigated for an ITER baseline scenario.The neoclassical toroidal viscosity(NTV),in particular the resonant portion,is found to provide the dominant contribution to the total toroidal torque under the slow plasma flow regime in ITER.While the electromagnetic torque always opposes the plasma flow,the toroidal torque associated with the Reynolds stress enhances the plasma flow independent of the flow direction.A peculiar double-peak structure for the net NTV torque is robustly computed for ITER,as the toroidal rotation frequency is scanned near the zero value.This structure is found to be ultimately due to a non-monotonic behavior of the wave-particle resonance integral(over the particle pitch angle)in the superbanana plateau NTV regime in ITER.These findings are qualitatively insensitive to variations of a range of factors including the wall resistivity,the plasma pedestal flow and the assumed frequency of the rotating RMP field.