AIM: To evaluate the utility of liver reserve function by acoustic radiation force impulse(ARFI) imaging in patients with liver tumors. METHODS: Seventy-six patients with liver tumors were enrolled in this study. Seru...AIM: To evaluate the utility of liver reserve function by acoustic radiation force impulse(ARFI) imaging in patients with liver tumors. METHODS: Seventy-six patients with liver tumors were enrolled in this study. Serum biochemical indexes, such as aminotransferase(ALT), aspartate aminotransferase(AST), serum albumin(ALB), total bilirubin(T-Bil), and other indicators were observed. Liver stiffness(LS) was measured by ARFI imaging, measurements were repeated 10 times, and the average value of the results was taken as the final LS value. Indocyanine green(ICG) retention was performed, and ICG-K and ICG-R15 were recorded. Child-Pugh(CP) scores were carried out based on patient's preoperative biochemical tests and physical condition. Correlations among CP scores,ICG-R15, ICG-K and LS values were observed and analyzed using either the Pearson correlation coefficient or the Spearman rank correlation coefficient. KruskalWallis test was used to compare LS values of CP scores, and the receiver-operator characteristic(ROC) curve was used to analyze liver reserve function assessment accuracy. RESULTS: LS in the ICG-R15 10%-20% group was significantly higher than in the ICG-R15 < 10% group; and the difference was statistically significant(2.19 ± 0.27 vs 1.59 ± 0.32, P < 0.01). LS in the ICG-R15 > 20% group was significantly higher than in the ICG-R15 < 10% group; and the difference was statistically significant(2.92 ± 0.29 vs 1.59 ± 0.32, P < 0.01). The LS value in patients with CP class A was lower than in patients with CP class B(1.57 ± 0.34 vs 1.86 ± 0.27, P < 0.05), while the LS value in patients with CP class B was lower than in patients with CP class C(1.86 ± 0.27 vs 2.47 ± 0.33, P < 0.01). LS was positively correlated with ICG-R15(r = 0.617, P < 0.01) and CP score(r = 0.772, P < 0.01). Meanwhile, LS was negatively correlated with ICG-K(r =-0.673, P < 0.01). AST, ALT and T-Bil were positively correlated with LS, while ALB was negatively correlated with LS(P < 0.05). The ROC curve revealed that the when the LS value was 2.34 m/s, the Youden index was at its highest point, sensitivity was 69.2% and specificity was 92.1%. CONCLUSION: For patients with liver tumors, ARFI imaging is a useful tool for assessing liver reserve function.展开更多
Landscape change and its driving forces are always one of the major issues in landscape ecology. In this paper,we investigated the landscape pattern of Nanling National Nature Reserve using TM data and forest stand ma...Landscape change and its driving forces are always one of the major issues in landscape ecology. In this paper,we investigated the landscape pattern of Nanling National Nature Reserve using TM data and forest stand map. The paper aims at exploring how and why the landscape changed form 1988 to 2009. The results indicated that: the major landscape types are evergreen broad-leaved forest and coniferous forests,the area ratio of both total more than 80%; area ratio of other landscape types is less than 10%,including mainly mixed coniferous and broad-leaved forest,deciduous forest,shrub,other woodland,cultivated land,other land,construction land and water. During the 20 years,evergreen broad-leaved forest landscape has become a large-scale substrate,coniferous forests are interspersed,a small area of mixed coniferous and broad-leaved mixed forest patches expands; forest area in the study area changes slightly,the number of blocks increases,the degree of landscape fragmentation increases; forest landscapes change,and are less affected by human activities,which is closely related to the establishment,management and protection of protected areas.展开更多
Natural reserve can provide ecology system with natural background for human being and has important significance for sustaining ecosystem service.The continuous damage and deterioration of ecosystem in natural reserv...Natural reserve can provide ecology system with natural background for human being and has important significance for sustaining ecosystem service.The continuous damage and deterioration of ecosystem in natural reserve caused by human activities have become one of the most serious environmental problems.The conflict between local展开更多
3S technology was applied to analyze spatio-temporal changes of landscape pattern in Nanling National Nature Reserve and the driving forces. The results showed that the study area was dominated by forest landscape fro...3S technology was applied to analyze spatio-temporal changes of landscape pattern in Nanling National Nature Reserve and the driving forces. The results showed that the study area was dominated by forest landscape from 1988 to 2009, accounting for 95% of the total area, among all forest landscapes, evergreen broadleaved forest accounted for the largest ratio(>50%). In terms of landscape fragmentation, landscape density index of the study area increased, landscape fragmentation was aggravated; patch density of core zone declined slightly, mean patch area of all landscape types increased, landscape fragmentation decreased slightly; buffer zone and experimental zone witnessed the aggravation of fragmentation. In terms of landscape diversity, landscape pattern of the study area became increasingly complex, diversity index increased, landscape heterogenization was enhanced; landscape diversity of the core zone increased slightly, that of the buffer zone increased greatly, but that of the experimental zone declined and landscape heterogenization reduced. Landscapes in the whole area grew more diversified, while landscape pattern of the core zone was simplified, that of the buffer zone witnessed slight changes, and that of the experimental zone kept consistent with that of the study area. In terms of driving forces of landscape pattern change, natural factors have contributed to the landscape changes in the study area, but human factors such as forest management, forest tourism, local residents an economic factors played a dominant role. With the increasing external interventions to the landscape pattern change, the contradiction between landscape eco-environment protection and resource development and utilization in Nanling National Nature Reserve will be increasingly sharpened.展开更多
文摘AIM: To evaluate the utility of liver reserve function by acoustic radiation force impulse(ARFI) imaging in patients with liver tumors. METHODS: Seventy-six patients with liver tumors were enrolled in this study. Serum biochemical indexes, such as aminotransferase(ALT), aspartate aminotransferase(AST), serum albumin(ALB), total bilirubin(T-Bil), and other indicators were observed. Liver stiffness(LS) was measured by ARFI imaging, measurements were repeated 10 times, and the average value of the results was taken as the final LS value. Indocyanine green(ICG) retention was performed, and ICG-K and ICG-R15 were recorded. Child-Pugh(CP) scores were carried out based on patient's preoperative biochemical tests and physical condition. Correlations among CP scores,ICG-R15, ICG-K and LS values were observed and analyzed using either the Pearson correlation coefficient or the Spearman rank correlation coefficient. KruskalWallis test was used to compare LS values of CP scores, and the receiver-operator characteristic(ROC) curve was used to analyze liver reserve function assessment accuracy. RESULTS: LS in the ICG-R15 10%-20% group was significantly higher than in the ICG-R15 < 10% group; and the difference was statistically significant(2.19 ± 0.27 vs 1.59 ± 0.32, P < 0.01). LS in the ICG-R15 > 20% group was significantly higher than in the ICG-R15 < 10% group; and the difference was statistically significant(2.92 ± 0.29 vs 1.59 ± 0.32, P < 0.01). The LS value in patients with CP class A was lower than in patients with CP class B(1.57 ± 0.34 vs 1.86 ± 0.27, P < 0.05), while the LS value in patients with CP class B was lower than in patients with CP class C(1.86 ± 0.27 vs 2.47 ± 0.33, P < 0.01). LS was positively correlated with ICG-R15(r = 0.617, P < 0.01) and CP score(r = 0.772, P < 0.01). Meanwhile, LS was negatively correlated with ICG-K(r =-0.673, P < 0.01). AST, ALT and T-Bil were positively correlated with LS, while ALB was negatively correlated with LS(P < 0.05). The ROC curve revealed that the when the LS value was 2.34 m/s, the Youden index was at its highest point, sensitivity was 69.2% and specificity was 92.1%. CONCLUSION: For patients with liver tumors, ARFI imaging is a useful tool for assessing liver reserve function.
文摘Landscape change and its driving forces are always one of the major issues in landscape ecology. In this paper,we investigated the landscape pattern of Nanling National Nature Reserve using TM data and forest stand map. The paper aims at exploring how and why the landscape changed form 1988 to 2009. The results indicated that: the major landscape types are evergreen broad-leaved forest and coniferous forests,the area ratio of both total more than 80%; area ratio of other landscape types is less than 10%,including mainly mixed coniferous and broad-leaved forest,deciduous forest,shrub,other woodland,cultivated land,other land,construction land and water. During the 20 years,evergreen broad-leaved forest landscape has become a large-scale substrate,coniferous forests are interspersed,a small area of mixed coniferous and broad-leaved mixed forest patches expands; forest area in the study area changes slightly,the number of blocks increases,the degree of landscape fragmentation increases; forest landscapes change,and are less affected by human activities,which is closely related to the establishment,management and protection of protected areas.
文摘Natural reserve can provide ecology system with natural background for human being and has important significance for sustaining ecosystem service.The continuous damage and deterioration of ecosystem in natural reserve caused by human activities have become one of the most serious environmental problems.The conflict between local
基金Sponsored by Digital Monitoring,Management and Protection Program of Nanling National Nature Reserve(GDHS13SGHG05025)
文摘3S technology was applied to analyze spatio-temporal changes of landscape pattern in Nanling National Nature Reserve and the driving forces. The results showed that the study area was dominated by forest landscape from 1988 to 2009, accounting for 95% of the total area, among all forest landscapes, evergreen broadleaved forest accounted for the largest ratio(>50%). In terms of landscape fragmentation, landscape density index of the study area increased, landscape fragmentation was aggravated; patch density of core zone declined slightly, mean patch area of all landscape types increased, landscape fragmentation decreased slightly; buffer zone and experimental zone witnessed the aggravation of fragmentation. In terms of landscape diversity, landscape pattern of the study area became increasingly complex, diversity index increased, landscape heterogenization was enhanced; landscape diversity of the core zone increased slightly, that of the buffer zone increased greatly, but that of the experimental zone declined and landscape heterogenization reduced. Landscapes in the whole area grew more diversified, while landscape pattern of the core zone was simplified, that of the buffer zone witnessed slight changes, and that of the experimental zone kept consistent with that of the study area. In terms of driving forces of landscape pattern change, natural factors have contributed to the landscape changes in the study area, but human factors such as forest management, forest tourism, local residents an economic factors played a dominant role. With the increasing external interventions to the landscape pattern change, the contradiction between landscape eco-environment protection and resource development and utilization in Nanling National Nature Reserve will be increasingly sharpened.
