Objective To study the value of CT virtual endoscopy(CTVE) and multiplanar reconstruction(MPR) in the diagnosis of small intestinal diseases.Methods The small intestines in 13 cases with small intestinal lesions were filled with enough air by means of gastro-duodenal tube,after CT volume scans of the small intestine with multi-detector row CT scanner,VE and MPR were reconstructed and analyzed retrospectively.Results 91%(10/11) of the space-occupying lesions of small intestine were found by VE,among them,100%(8/8) of tumors inside the lumen and 66.7%(2/3) of tumors outside the lumen were diagnosed.82%(9/11) of the space-occupying lesions of small intestine were found by MPR.100%(11/11) of the space-occupying lesions of small intestine were found by VE combined with MPR.2 cases with small intestinal inflammatory lesions were also well showed by CTVE and MPR.Conclusion CTVE and MPR are of significant clinical applied value in diagnosing the small intestinal diseases.

To explore rapid 3D reconstruction based on wiggle stereoscopy for cerebrovascular CT images to e-liminate the complicacy and inconvenience of the traditional methods. Focal parts of cerebrovascular CT images were segmented based on intelligent neural network fusion model. A 3D human body model base was established, and the focal parts were replaced with the corresponding ones in the base to realize cerebrovascular CT images 3D reconstruction. The 3D human body model base enhanced the efficiency of the cerebrovascular CT images 3D reconstruction greatly. The rapid reconstruction based on wiggle stereoscopy facilitates the display of cerebrovascular CT im-ages.

OBJECTIVETo investigate the effects of atorvastatin on expressions of scavenger receptor A and secretion of monocyte chemoattractant protein-1 (MCP-1) in foam cells.

METHODSTHP-1 cells were induced to differentiate into macrophages by PMA and treated with 0.1% BSA (control), ox-LDL (100 mg/L) or ox-LDL plus atorvastatin (5, 10, 20 micromol/L) for 24 hours. MCP-1 concentration in cell substratum was measured by ELISA. Scavenger receptor A expression was observed under fluorescent microscope after incubated with DiI-Ac-LDL. The relationship between concentration of MCP-1 and the activity of scavenger receptor A was also analyzed.

RESULTSCompared to the control cells, MCP-1 concentration in ox-LDL treated cells was significantly increased after 6 hours, peaked at 12 hours and was still significantly increased after 24 hours (all P < 0.05 vs. baseline). The activity of scavenger receptor A was also significantly increased in ox-LDL treated cells (P < 0.01 vs. control). The activity of scavenger receptor A proteins correlated positively to the concentration of MCP-1 in ox-LDL treated cells (r = 0.683, P < 0.01). Atorvastatin significantly attenuated these changes in a dose-dependent manner.

CONCLUSIONSScavenger receptor A and MCP-1 expressions were significantly increased in the course of monocyte lines THP-1 differentiating into macrophages and foam cells. The anti-atherosclerosis effect of atorvastatin might be partly achieved by inhibiting the secretion of MCP-1 and expression of scavenger receptor A in foam cells.

Atorvastatin Calcium ; Cell Differentiation ; Cell Line ; Chemokine CCL2 ; metabolism ; Foam Cells ; cytology ; drug effects ; metabolism ; Heptanoic Acids ; pharmacology ; Humans ; Monocytes ; cytology ; drug effects ; metabolism ; Pyrroles ; pharmacology ; Scavenger Receptors, Class A ; metabolism

Objective:To compare the dose and image quality of selected photon shield (SPS) technique, organ-based tube current modulation (OBTCM) technique and the combination of these two techniques for reducing the organ dose in head CT examination for infants.Methods:Two anthropomorphic head phantoms (CIRS 1-yr-old and 5-yr-old) were scanned by using Reference mode, Reference + OBTCM mode, SPS mode and SPS + OBTCM mode, respectively. Radiation doses to the lens of the eye, the anterior of the brain, the posterior of the brain, noise level and CNR of orbit and brain in different phantoms were measured and compared by using different scanning modes.Results:Compared with Reference mode, the doses to the lens of the eye in 1-yr-old and 5-yr-old phantom decreased by (21.89 ± 0.01)% and (28.33 ± 0.34)%, respectively. In SPS mode, the reduction in doses to the lens of the eye in 1-yr-old and 5-yr-old phantom were (71.38 ± 1.30)% and (53.72 ± 2.42)%, respectively. In SPS + OBTCM mode, the reduction was (71.12 ± 2.54)% and (55.73 ± 1.90)%, respectively. There was significant difference in the noise level of orbit and brain in different phantoms under various scanning modes ( F=5.67-85.47, P< 0.05). The noise level in OBTCM mode compared with reference mode increased slightly (<1.45 HU) in various phantoms. SPS and SPS + OBTCM mode resulted in a small noise increase (<2.58 HU). There was no significant difference in CNR of different phantoms under various scanning modes ( P>0.05). Conclusions:SPS and SPS + OBTCM mode can significantly reduce the radiation dose of lens and the whole image plane in the head CT scan for infants, with maintaining the image quality.