Objective To observe the relationship between visual-spatial perception impairment and the characteristics of asymptomatic cerebral infarction (ACI). Methods After evaluating the cognitive impairment of 112 patients with ACI using the Revised Visual Retention Test (VRT), we compared the result of VRT test among different groups grouped by number, size and location of the cerebral infarction. Results The total score of the patients with ACI with correct answers in VRT was significantly lower than that of the controls (14.5?3.2 vs 22.8?3.3, P

Objective To develop a rapid method for construction of RNAi vector.Methods After inversely inserting the U6 and H1 polymerase Ⅲ promoters into the pBluescriptⅡ backbone vector,only with two short reverse complementary oligo nucleotides,the RNAi vector with one interference cassette could be constructed.Using two isoaudamers MunⅠ and EcoRⅠ with sticky ends,several cassettes could be fused together to form the ultimate multiple-site targeting RNAi vector.Using this method,we constructed RNAi vectors targeting green fluorescent protein(GFP) and firefly luciferase(LUC) gene separately or both for the test of knock down property of these vectors.Results Constructed single and two site targeting RNAi vectors got desirable knockdown effects,in which single site targeting vector could get about 90 percent knock down efficiency whereas two site targeting vector reached about 87.5 percent knock down efficiency either.Conclusion Our RNAi vector construction strategy is efficient and time-saving so that it can be used for knocking down several genes simultaneously in the same cell.

Objective To study the MR imaging features of intracranial subependymomas and to improve the knowledge more about it. Methods The imaging features of intracranial subependymomas in 17 cases proved pathologically were retrospectively analyzed, among which 11 cases were male and 6 cases were female, 16 cases had MR images and 1 case only had CT images.Results MR appearances of intracranial subependymomas were as follows :16 cases were all hyperintense relative to the normal grey matter on T2-weighted images and hypointense or isointense on T1-weighted images. 12 cases showed no enhancement or minimal enhancement after Gd-DTPA administration . 9 of 16 cases were located in lateral ventricle, 2 were in septum pellucidum, and the rest 5 were in fourth ventricle ,third ventricle ,prepontine cistern, right CPA and chiasmatic cistern respectively. In one case , CT showed isodensity and was enhanced in CE-CT,the lesion was situated in fourth ventricle. In all 17 cases, 11 were accompanied with microcystic structures. Conclusion Intracranial subependymomas are best delineated by MR imaging. The diagnosis of intracranial subependymomas should be considered when above findings are confronted.

Objective To evaluate and compare the diagnostic value of digital mammography-guided biopsy with mammography for early-stage breast cancer. Methods 68 of 156 foci(from 148 cases) with diameter≤2.0 cm from 2850 mammographic cases during Nov.2001 and Sep.2002,were urdestaken mammography-guided biopsy and then compared the coherence of the biopsy and mammographic results with the pathology. Results The obviously accuracy of mammography-guided biopsy is obviously superior to the mammography(P

Objective To evaluate changes of venous hemodynamics during laparoscopic cholecystectomy(LC).Methods A total of 25 cases of LC was included in the study.A Doppler ultrasonography of the lower limb veins was performed in all the patients to exclude those with abnormal veins or thrombosis.During the LC,the diameter and venous flow volume of the femoral vein were measured under Doppler ultrasonography.Measurements were obtained at three different times:after the induction of anesthesia but prior to the creation of the pneumoperitoneum,during the pneumoperitoneum,and after abdominal deflation but prior to the reversal of anesthesia.Results All the operations were successfully completed.The mean operation time was 45 min(range,30～70 min).No intraoperative hemorrhage or bile duct complications occurred.No conversion to open surgery was required.All the patients were dismissed from hospital on the first postoperative day.After the establishment of the pneumoperitoneum,the cross-sectional area of the femoral vein was increased from 0.94?0.18 cm2 to 1.12?0.23 cm2(q=3.919,P0.05).The venous flow was significantly increased from 7.62?0.72 cm3/s to 9.65?0.63 cm3/s(q=12.971,P

Objective To study the MRI findings of spinal hemangioblastomas.Methods The MRI findings of spinal hemangioblastomas proved pathologically in 29 cases (20 males,9 females) were retrospectively reviewed.Results The lesions were single in 12 cases (41.4%) and multiple in 17 cases(58.6%).Seven patients combined with intracranial hemangioblastomas.On unenhanced MRI,36 tumors were isointense on T 1WI and T 2WI,16 were mixed iso-hypointense on T 1WI and mixed iso-hyperintense on T 2WI,one was hypointense on T 1WI and hyperintense on T 2WI.Small hemangioblastomas tended to be isointense on T 1WI and T 2WI.After contrast injection,all tumors enhanced markedly and homogenously with clear borders.21 tumors in 17 patients had associated vascular flow voids on T 2WI.40 tumors in 27 patients were associated with syringes or cysts.Conclusion Hemangioblastomas of the spinal cord are often multiple and in company with intracranial hemangioblastomas.The marked contrast enhancements with clear borders and associated vascular flow voids are the most important signs on MRI.

Objective To study the imaging findings of cerebral venous sinus occlusion and to improve the knowledge of this disease.Methods CT,MRI and DSA data in thirty six cases with cerebral venous sinous occlusion were retrospectively reviewed.There were 15 male and 21 female,ranged in age from 23 to 59 years old.Results On T_1WI and T_2WI,abnormal signals in cerebral parenchyma were found in 26 cases,of that there were brain hemorrhage with abnromal long T_1 and long T_2 signal in 16 cases,only abnromal long T_1 and long T_2 signal in 6 cases,cerebral ventrical enlargment in 4 cases and brain swelling in 4 cases.The abnormal venous enhancement was found in 25 cases on contrast-enhanced MRI.On CT scan,low density in cerebral parenchyma was found in 10 cases,it might be edema or ischemia,astime goes by,the density of cerebral venous sinus became slightly high density to isodensity.DSA showed dural sinus occlusion includingsuperior sagittal sinus in 15 cases,transverse sinus in 8 cases,sigmoid sinus in 7 cases,straight sinus in 4 cases and inferior sagittal sinus in 2 cases.Conclusion The venous sinus occlusive disease is distinctively different from arterial occlusive disease.CT and MR imaging is very important in diagnosing the cerebral venous sinus occlusive disease,but DSA is still the gold standard.

Objective To examine the intracranial lesions before and after operation by functional MRI with BOLD technique, and to map the brain activation images of the patients on general MR images. Methods Thirty one patients had lesions involving the frontal and/or parietal lobes in one side of the cerebral hemispheres, and the lesions included 29 tumors (11 gliomas; 13 metastases; 5 meningiomas) and 2 infections. MSEPI technique was performed with four scan planar parallel AC PC. During each scan series, the patients were asked to perform repetitive finger thumb opposition movement in the same period of active and rest duration. All the scanning data were transferred to a workstation and dealt with statistical method. The patients had been examined again by the same sequence protocol postoperatively, and the fMRI images were analyzed and compared with that of the preoperation fMRI. Results The motor cortex of both cerebral hemisphere was asymmetrical, and the border between the motor cortex and lesions could be clearly identified in all of the patients preoperatively. After operation, both sites of the motor cortex were nearly replaced. Conclusion fMRI was very useful in evaluating the surgical planning and the prognosis of the patients.

Objective To analyse the imaging characters of intracranial malignant teratomas (IMT). Methods The imaging appearances of IMT were analyzed in 15 pathologically proved IMT. MRI were performed on all the 15 cases, CT on 8 of them. Results Thirteen IMT showed as a lobular cyst solid mass with clear borders. The solid portion of IMT displayed iso (6/13) to hypointense(7/13) on T 1WI and iso (2/13) to hyperintense(11/13) on T 2WI. The heterogeneous enhancement was found in 11 cases, homogeneous in 2. Two IMT exhibited as the intrasellar solid lesions involving thalamencephalon. Calcification was found in 8 IMT on CT scan. No fat was demonstrated in the tumor on both CT and MR. Conclusion IMT displays relatively typical appearances on imaging studies. Together with the CT scan, The MR study may make the diagnosis before the operation.