1.Diagnostic value of multi-parameter MRI in ovarian endometriosis
Ye LI ; Ailian LIU ; Meiyu SUN ; Shifeng TIAN ; Qingwei SONG
Chinese Journal of Radiology 2016;50(3):201-204
Objective To evaluate the feasibility of multi-parameter MRI in diagnosing ovarian endometrial cysts. Methods Pelvic MRI of 68 patients with confirmed pathological diagnosis were retrospectively reviewed. The patients were divided into ovarian endometriosis (35 patients with 42 lesions, group A) and other cystic lesions (33 patients with 38 lesions , group B).The signal intensity value of T1WI, T2WI of cyst fluid and iliopsoas, ADC value, phase values and R2*values were obtained, cyst fluid/iliopsoas ratios (T1R and T2R) were calculated. The non-parametric Mann-Whitney U test was employed to compare parameter values between the two groups. The values of diagnostic performance were analyzed by using receiver operating characteristic curve (ROC). Use the Logistics regression parameters of diagnostic efficacy to select the highest Youden index for the best parameter association after combining the parameters step by step. Results The median of T1R, T2R, ADC, phase, T1R and R2*values for group A were 3.39, 5.28, 1.20×10-3 mm2/s,2.19×10-2, 15.08 Hz respectively, and that of group B were 0.91, 10.85, 2.64×10-3mm2/s,2.67×10-2, 3.01 Hz, respectively. There were statistically significant difference between the two groups (P<0.01).The AUC of T1R, T2R, ADC value, phase values and R*2 value were 0.930, 0.874, 0.891, 0.685 and 0.924 respectively, and there was no difference among them (P>0.05). When combining T1R, ADC value, R2*value together, the Youden index (0.849 7) was highest. Conclusion Combining T1R, ADC and R2* values can provide an effective way to discriminate endometrial ovarian cyst from other ovary cystic lesions.
2. Multiple model parameters of intravoxel incoherent motion in differentiation of stage endometrial carcinoma and endometrial polyp
Chinese Journal of Medical Imaging Technology 2019;35(12):1856-1860
Objective: To investigate the value of the multiple model parameters of intravoxel incoherent motion (IVIM) in identification of stage endometrial carcinoma (EC) and endometrial polyp (EP). Methods: The clinical and imaging data of 31 patients with stage EC (group EC) and 14 patients with EP (group EP), confirmed by postoperative pathological examination, were retrospectively analyzed, all patients were performed on 1.5T MR (including IVIM sequence, b=0, 20, 50, 100, 150, 200, 400, 800, 1 200, 2 000, 3 000 s/mm2) before operation. The IVIM multi-model parameter values of the lesions were measured and compared between the two groups, including the standard apparent diffusion coefficient (ADC-stand), slow-apparent diffusion coefficient (ADC-slow), fast-apparent diffusion coefficient (ADC-fast), perfusion fraction (f), distributed diffusion coefficient (DDC) and water molecular diffusion heterogeneity index (α). The ROC curve was used to evaluate the differential diagnostic efficacy of IVIM parameters for stage EC and EP. Results: The ADC-stand value, ADC-slow value, f-value, DDC value and α value of the EC group were all less than the EP group, and the ADC-fast value was greater than the EP group (all P=0.001). ROC curve results showed the standard ADC value, ADC-slow value, ADC-fast value, f value, DDC value and α value had differential diagnostic value for stage EC and EP, the AUC was 0.885, 0.877, 0.919, 0.926, 0.906 and 0.902, respectively (all P<0.05). Conclusion: The multi-model parameters of IVIM sequence can effectively identify stage EC and EP.
3.Effect of Low Contrast Dose and Low Tube Voltage Combined with Adaptive Statistical Iterative Reconstruction in the Image Quality of Abdominal CT Angiography
Tingting LV ; Ailian LIU ; Heqing WANG ; Shifeng TIAN ; Jinghong LIU ; Yijun LIU
Chinese Journal of Medical Imaging 2015;(4):260-263
Purpose To investigate the effect of low contrast dose and low tube voltage combined with adaptive statistical iterative reconstruction (ASIR) on image quality of abdominal CT angiography. Materials and Methods 139 patients with body mass index (BMI) <22 kg/m2 who were supposed to undergo abdominal dynamic contrast-enhanced examination were prospectively enrolled and randomly divided into group A with 78 cases (80 kVp tube voltage +50% ASIR, contrast agent concentration 270 mgI/ml) and group B with 61 cases (120 kVp tube voltage, contrast agent concentration 350 mgI/ml). Subjective score of right renal artery image quality of the two groups were evaluated and the coefficient between them was tested; CT dose index of volume (CTDIvol), CT values of abdominal aorta and its branches, and the right side erector spinae, contrast-to-noise ratio (CNR) of the vessel, the right erector spinae image noise (SD), and the total amount of iodine were also compared between the two groups. Results The inter observer agreement for subjective scores were very good (Kappa value>0.80) in both groups, the subjective score of group A and group B were 4.60±0.51 and 3.81±0.76, respectively, and the difference was statistically significant (Z= - 6.86, P<0.05). CTDIvol of group A and group B were (5.56±4.21) mGy and (7.11±1.54) mGy, respectively, the difference was statistically significant (t= - 9.89, P<0.01); CT values of the arteries in both groups were all greater than 400 HU; CT values and the CNR of the abdominal aortic trunk and branches in group A were higher than those of group B (P<0.05); there was no statistically significant difference of image noise between the two groups (P>0.05). The total amount of iodine dose in group A and group B was 270 mg and 350 mg respectively, with a 22.86% reduce of the total iodine for each patient in A group than in B group. Conclusion For patients with BMI<22 kg/m2, it is feasible to use low dose contrast medium with low tube voltage and ASIR, which may not only improve the image quality of abdominal CTA but also reduce the radiation dose and iodine content.
4.A Preliminary Study of Energy Spectrum CT on Showing Feeding Arteries of Gastrointestinal Tract Malignant Tumors with Low Concentration Contrast Medium
Shifeng TIAN ; Ailian LIU ; Jinghong LIU ; Anliang CHEN ; Ye LI ; Yijun LIU
Chinese Journal of Medical Imaging 2015;(7):517-522
PurposeTo investigate the effects of the low concentration contrast medium combined with optimal single source spectral imaging on displaying feeding arteries of gastrointestinal tract malignant tumors.Materials and Methods Seventy-one patients of body mass index (BMI) >25 kg/m2 with gastrointestinal tract malignant tumors were prospectively studied. All the cases were randomly divided into two groups: high concentration group (33 cases with high concentration contrast medium of 350 mgI/ml in routine scan) and low concentration group (38 cases with low concentration contrast medium of 270 mgI/ml in optimal single source spectral imaging). The optimal single source images were generated automatically. The subjective image scores, CT value of the tumor feeding arteries, image noise, contrast-to-noise ratio (CNR) and CT dose index of volume (CTDIvol) of optimal single source spectral images in two groups were compared. Results The optimal single source of low concentration group were 51-60 keV. The subjective image score of low concentration group was higher than high concentration group (Z=-4.280,P<0.01). The consistency between the two investigators was good (Kappa=0.824 and 0.843,P<0.05). The consistency between the two investigators in evaluating CT value of the tumor feeding arteries, CT value at the right erector spinal muscle, image noise and CNR data was good (ICChigh concentration group=0.998, 0.968, 0.959 and 0.990; ICClow concentration group=0.988, 0.981, 0.969 and 0.937). The CT values of the tumor feeding arteries and CNR of the low concentration group were higher than that of the high concentration group, but the image noise was lower than that of high concentration group (t=-14.937, 4.263 and-17.264,P<0.01). There was no statistical difference of CTDIvol between the two groups (t=1.278,P>0.05).Conclusion The low concentration contrast medium with optimal single source spectral imaging in patients with large BMI may improve CTA image quality of feeding arteries of gastrointestinal tract malignant tumors without increasing radiation dose.
5.Application value of optimal energy imaging technique of monoenergetic dual-energy computed tomography in feeding arteries examination of rectal cancer
Shifeng TIAN ; Ailian LIU ; Anliang CHEN ; Ye JU ; Jinghong LIU ; Yijun LIU
Chinese Journal of Digestive Surgery 2015;14(9):741-745
Objective To explore the application value of optimal energy imaging technique of monoenergetic dual-energy computed tomography (DECT) in feeding arteries examination of rectal cancer.Methods The clinical data of 33 patients with rectal cancer who were admitted to the First Affiliated Hospital of Dalian Medical University from July 2012 to July 2014 were analyzed retrospectively.The polychromatic and monochromatic images of feeding arteries of tumors were reconstructed and evaluated using a subjective image quality score of 5-point scale by 2 observers.The consistency and scores of evaluation were analyzed by the κ test and MannWhitney U test.The CT value of feeding arteries of tumors and hip muscle,image noise and contrast to noise ratio (CNR) were measured and calculated by 2 observers,and were compared by the independent sample t test.The consistency of data between the 2 observers were measured by the intra-class correlation coefficients (ICC).Results Inferior mesenteric arteries were contributor of blood supply of tumors in all the 33 patients,including 4 cases with right inferior rectal artery as contributor of blood supply of tumors,2 cases with bilateral inferior rectal artery.Among patients with abnormal blood vessels,there were 8 patients with left colic artery and sigmoid artery having common trunk,4 patients with left colic artery originated from Inferior mesenteric artery,1 patient with absence of left colic artery.The 0-,1-,2-,3-,4-score polychromatic image quality of feeding arteries of tumors were detected in 0,13,13,5,2 patients and 0,11,14,6,2 patients by 2 observers,respectively.The 0-,1-,2-,3-,4-score monochromatic image quality of feeding arteries of tumors were detected in 0,0,7,7,19 patients and 0,0,6,9,18 patients by 2 observers,respectively.Good interobserver agreement was found for the evaluation of subjective scores (κ =0.864,0.897).The subjective scores of image quality of feeding arteries in the polychromatic images and in the monochromatic images were 1.9 ± 0.9 and 3.4 ± 0.8,with significant difference (Z =-5.21,P < 0.05).The latter was superior to the former.The ICC values of the CT values of feeding arteries of tumor,hip muscle,image noise and CNR were 0.953,0.907,0.839,0.964 and 0.966,0.933,0.952,0.962 from the 2 observers,with a good consistency.The CT values of feeding arteries of tumor,gluteal muscles,image noise and CNR in the polychromatic images and in the monochromatic images were (234 ± 52)HU and (412±83)HU,(57±9)HU and (71 ±15)HU,(21 ±3)HU and (31 ±6)HU,9 ±3 and 11 ±4,respectively,with significant differences (t =-18.65,-4.44,-14.14,-6.55,P < 0.05).The levels of monochromatic images of 33 patients were 51-61 keV,with a median of 55 keV.Conclusion The optimal energy imaging technique of monoenergetic DECT can improve the angiographic quality of feeding arteries in patients with rectal cancer.
6.Research on the source of endothelial cells in tumor vessels by A 549 tumor model with GFP nude mouse
Tian FANG ; Ruoyu HU ; Wenjuan HU ; Biao LIU ; Jinwei YOU ; Shifeng YUN
Chinese Journal of Comparative Medicine 2016;26(3):46-51
Objective To explore the source of endothelial cells in tumor vessels by A 549 tumor model with GFP nude mouse.Methods To establish the A 549 lung cancer models with GFP nude mice, expression of CD 31 was determined by immunofluorescence to label tumor vessels; to observe and take a picture of the tumor frozen section by confocal microscopy and invert microscope;expression of GFP in tumor vessels was determined by immunohistochemistry. Result The results of immunofluorescence showed:Tumor interstitial vascular endothelial cells or endothelial cells clusters and micro-vascular lumen size and shape are clearly visible by immunofluorescence, and part of vessels with no obvious lumen or irregular lumen.We can see green fluorescent in tumor cells of tumor tissue and endothelial cells which form of tumor vessels.The results of immunohistochemistry showed: expression of GFP was determined in cytoplasm of tumor stromal cells and endothelial cells in tumor vessels.Conclusion The endothelial cells which formed tumor neovessels that derived from GFP nude mice partly and the other part derived from tumor cells.
7.The Researching Progress of Anti-cancer Mechanism of Polysaccharides from fungi
Shifeng NI ; Qichao WO ; Ting TONG ; Entai HOU ; Miao TIAN ; Ting ZHAO
International Journal of Traditional Chinese Medicine 2009;31(6):560-561
The retrieval of the existing literature on the types of fungi polysaccharides, chemical structure and anti-canceractivity, anti-cancer mechanism was outlined, providing scientific information for further study on anti-cancer action of polysaccharides of fungi.
8.Supervision,forwarn and communication system in barrier enviroment of laboratory animal
Baoling YANG ; Bing XIAO ; Hangbing WANG ; Shifeng YUN ; Yuhong HU ; Xiaoyu TIAN
Journal of Medical Postgraduates 2003;0(08):-
Objective:To design the mode of supervision, forwarn and communication system in barrier enviroment of laboratory animal. Methods and Results:Distribution inspect system of industrial computer center was used for live monitoring,displaying,reserving, printing temperature humidity,pressure,difference and ammonia density,according to necessity.The upper and low limit of parameter was set up according to national standard of laboratory animal,if parameter surpass the limit,it will warn the people on duty in multiple spots.Working and animal illumination were established respectively on the basis of illuminace light period of standard,the switch of working illumination was controlled by the people,but the later was controlled, automatically and slowly in order to disinterfere with physiology activity of animal.The mode of moniter add video together with multiple pickup camera in cable television were used,which binded wirh the intellectual industral control group.The communication system was designed using miniature program control changer and terminal telephone, which joined the unit inner telephone to communicate with outside. The double and stereophonic was used to install background music in this enviroment,which was timely played with suitable volume. Conclusion:This system provided the method for the administration of laboratory animal standardization?mathematics and informatics.
9.Innovation and development in medical laboratory animal science
Shifeng YUN ; Yuhong HU ; Xiaoyun TIAN ; Senmei ZHOU ; Baolin YANG ; Zhigang ZHAO ; Xinzhu WANG
Journal of Medical Postgraduates 2003;0(12):-
Laboratory animal science has provided a firm basis and an important support to medical development in our hospital.Through innovations in establishment,ideology,technology,personnel management,scientific research,service,culture,and popular science education,a standard supporting platform of animal experiments has been constructed for medical researches and new trails blazed for the development of medical laboratory animal science.
10.Stressing the welfare of laboratory animals to advance life science
Shifeng YUN ; Xiaoyun TIAN ; Lianqing GUO ; Min DONG ; Senmei ZHOU ; Zhigang ZHAO ; Baolin YANG
Journal of Medical Postgraduates 2003;0(08):-
Laboratory animals provide an important basis and supporting conditions for the studies and development of life science,and contribute enormously to people's health,science progress and social development.The welfare of laboratory animals influences their physical and mental health,and consequently the accuracy of research results.Thus,to take good care of laboratory animals and their welfare is an essential prerequisite to the breeding of standard laboratory animals and the accuracy and reliability of research results,and it also marks people's moral accomplishment,the harmony between human and nature,and the progress of social civilization.