Transcatheter arterial chemoembolization (TACE) is the first choice of patients with hepatocellular carcinoma (HCC) missed opportunity of exairesis.Angiogenesis is one of the key factors that affect prospective efficacy.Counter-measures against angiogenesis mainly contain complete embolization of tumor blood supply and integration with angiogenesis inhibitors.The angiogenesis after TACE and the corresponding countermeasures were reviewed in this article.

Objective:To explore the incidenee of early hematoma growth in patients with intracerebral hemorrhage,and the correlation between early hematoma growth and early neurological deterioration.Methods:The evaluation of nervous system and CT scan in patients with intracerebral hemorrhage within 3 hours after the omet of symptoms were performed respectively at baseline,and 1,2,3,and 20 hours after the baseline.Results:In 106 patients,CT scan shelwed that the volume of intraparenehymal hemorrhage inereased significantly in 26% of patients at baseline and within 1 hour.CT scan showed that the bleeding volume increased in 12% of patients at 1,2,3,and 20 hours.By measuring baseline,1-hour Glasgow Coma Scale (GCS)score,and the changes of the National Institutes of Health Stroke Scale(NIHSS),it had found that the baseline status and the increased bleeding volume within 1 hour vdgre closely correlated with the clinical neurological deterioration.Conclusions:The early bleeding volume often inereases significantly in patiems with intracerebral hemorrhage,which is complicated with neurological deterioration.In order to determine whether these therapeutic measures improve the natural course of this early hematoma growth and decrease its occurrence,it is necessary to make a randomized clinical trial.

Objective To analyze and evaluate the effects of the tissue engineering bladder reconstruction on the upper urinary tract structure and function.Methods The 8 male beagles were randomly divided into the two groups:sham-operation group (group A,n=4)and the collagen scaffold repair group (group B,n=4).The bladder defect animal model was established in the group B by using the collagen scaffold materials to repair the bladder.The renal function related biochemical indicators were detec-ted and the renal Doppler ultrasonic examination was performed in each group before repair and in 23 weeks after repair.The speci-mens from the two groups were performed the gross morphology observation and the histology examination on postoperative 24 weeks.Results The renal Doppler ultrasound examination showed the normal kidney morphology and normal blood flow signal.In the general observation,no calculi and neoplasm were found in the kidney and ureter of the experimental dogs.The renal function related biochemical indicators had no statistically significant differences between the two groups(P>0.05).The histological exami-nation indicated that the organization structure was integrity,the nephrons in each group had no obvious pathological changes.Con-clusion Using the collagen scaffold materials to reconstruct the canine bladder has no adverse influence on the upper urinary tract structure and function,this tissue engineering approach has good feasibility.

Objective To evaluate preoperative multislice CT angiography (MSCTA) in guidance for laparoscopic right colon cancer the complete mesocolon resection (CME).Methods From September 2014 to May 2016 data of 24 patients undergoing laparoscopic CME right colon cancer surgery,were reviewed for the guidance of MSCTA over operative surgery.Results Preoperative MSCTA clearly showed superior mesenteric vascular anatomical variation and its branch,which was in closely consistent with that seen during the operation.The superior mesenteric arteries and veins (SMA/SMV) and the ileum colon arteries and veins (ICA/ICV) were seen in all the 24 cases.There are four main types anatomic variation of gastrocolic trunk (Henle trunk),of which most often consisting of three branchs (type B),accounting for about 46％.The time of completely dissecting anatomical Henle trunk was significantly longer than that for the ileum colon vessels and the middle vessels dissection (P ＜ 0.05).Conclusion Preoperative MSCTA can clearly present anatomic variation of SMV/SMA and its branch,precisely navigate the laparoscopic right colon cancer CME surgery,reducing the incidence of intraoperative vascular complications and improving the quality of surgery.

This article was aimed to study the immunomodulatory effect of ethanol sediments of the seeds of Descurainia sophia(L.) Webb. ex Prantl. both in vitro and in vivo. The lymphocyte proliferation test in vitro was carried out to explore the effect of the ethanol sediments on the proliferation of T cell and B cell in the spleen of normal mice. And, the carbon clearance test, serum hemolysin test, and delayed-type hypersensitivity test were used to investigate the influence of fraction on non-specific immunity, humoral immunity and cellular immunity in the immunosuppressive mice induced by cyclophosphamide. Besides, the immunosuppressive model was used to evaluate the effect of fraction on immune organs and content of cellular factors in blood serum. The results showed that the ethanol sediments promoted Concanavalin A (Con A) induced T cell and Lipopolysaccharides (LPS) induced B cell (P < 0.01). It increased the carbon clearance index K, phagocytic index α, half value hemolysis (HC50), and swelling degree of auricula (P < 0.05 or P < 0.01). It reduced the body weight and atrophy of thymus and spleen index (P < 0.05 or P < 0.01). It increased the contents of IL-2, IFN-γ and IL-4 in serum in immunosuppressive mice (P < 0.05 or P < 0.01). It was concluded that ethanol sediments of the seeds of D. sophia(L.) Webb. ex Prantl. can boost the lymphocyte proliferation, protect the immune organs, and enhance the non-specific and specific immunity in immunosuppressive mice, which indicated that it had immune-promotion effect.

Objective To explore the correlation between Toll-like receptor(TLR)and nuclear factor-KB(NF-κB)levels in monocytes and type 2 diabetic autonomic neuropathy(T2DAN).Methods A total of 112 patients with type 2 diabetes mellitus(T2DM)admitted to the Puyang People's Hospital from April 2021 to December 2022 were selected as the observation group,and 50 healthy volunteers who underwent physical examination in the hospital during the same period were selected as the control group.Reverse transcription polymerase chain reaction(RT-PCR)was used to detect plasma TLR2,TLR4 and NF-κB levels in monocytes of patients in the two groups.According to the presence or absence of autonomic neuropathy,patients in the observation group were divided into the autonomic neuropathy group(n=46)and the non-autonomic neuropa-thy group(n=66),and clinical data of patients in these two groups were compared.Multivariate logistic regression analysis was used on indicators with statistically significant differences to determine the risk factors for T2DAN,and Spearman correlation analysis was used to evaluate the correlation between TLR2,TLR4 and NF-κB levels and T2DAN.Results The TLR2,TLR4 and NF-κB levels in monocytes of patients in the observation group were higher than those in the control group(P＜0.05).Univariate analysis showed that there were significant differences in age,monocyte/high-density lipoprotein ratio(MHR),and levels of cystatin C,TLR2,TLR4 and NF-κB between the autonomic neuropathy group and the non-autonomic neuropathy group(P＜0.05).Multivariate logistic regression analysis showed that MHR,TLR2,TLR4 and NF-κB levels were risk factors for autonomic neuropathy in T2DM patients(P＜0.05).Spearman correlation analysis showed that TLR2,TLR4 and NF-κB levels were positively correlated with T2 DAN(r=0.825,0.822,0.819;P＜0.05).Conclusion The expressions of TLR2,TLR4 and NF-κB are up-regulated in T2DM patients,and the expression levels of TLR2,TLR4 and NF-κB are correlated with autonomic neuropathy in T2DM patients.

Objective To observe the effect of injecting botulinum toxin type A on muscle tension,disability level and ability in the activities of daily living in patients with post-stroke dystonia.Methods Thirty-two patients with post-stroke dystonia were divided into an observation group (n =16) and a control group (n =15).The patients in the observation group were injected with 200-600 U of botulinum toxin type A in the relevant muscles,while the patients in the control group were given 12 mg diphenhydrazole hydrochloride tablets orally.Before and 2,6 and 12 weeks after the treatment,spasticity,disability and daily living ability were evaluated in both groups using the modified Ashworth scale (MAS),a disability assessment scale (DAS) and the modified Barthel index (MBI).Results After the treatment,the average MAS,DAS and MBI scores of both groups were significantly better than before the treatment.And the average MAS,DAS and MBI scores of the observation group were significantly better than those of the control group.Conclusion Botulinum toxin A injection can significantly improve dystonia and relieve disability among stroke survivors.

Objective:To analyze the application and funding status of various projects of nuclear medicine and molecular imaging supported by the National Natural Science Foundation of China (NSFC) from 2013 to 2022, and explore the challenges faced by basic research and clinical transformation in this field.Methods:From 2013 to 2022, application and funding information of nuclear medicine and molecular imaging projects (secondary code H2704, H2706) from five departments of Medical Science Department of NSFC were retrospectively collected. The number of applications, number of funding, funding direction, funding intensity, distribution of supporting units and research hotspots of various projects in this field were analyzed.Results:From 2013 to 2022, the total number of applications of various projects in the field of nuclear medicine and molecular imaging reached 5 387, and the total number of grants reached 899. The number of applications and grants showed a steady growth trend. The overall funding intensity increased from 48.935 0 million yuan in 2013 to 59.495 4 million yuan in 2022, with the increase of 21.58%. Among all supporting units, Shanghai Jiao Tong University topped the list for both the number of applications (440) and the number of grants (82), Xiamen University ranked the first in terms of overall funding rate (25.42%, 30/118), and Peking University ranked the first in terms of total funding intensity (41.897 1 million yuan). Research hotspots focused on the construction of tumor targeted molecular probes and precise imaging of tumor internal molecular components.Conclusion:In the past decade, the number of related projects and total funding of nuclear medicine and molecular imaging supported by NSFC have steadily increased, and the types of funded projects are diverse and interdisciplinary, promoting the innovative development of nuclear medicine and molecular imaging disciplines in China.

Portal hypertension (PHT) is a common clinical syndrome, the measurement methods of portal vein pressure mainly include two types: direct and indirect measurement methods. Direct methods including classic portal vein catheter technique, direct puncturing portal venous in the abdominal operation, ultrasound guided percutaneous tran-shepatic portal catheterization, etc. Indirect methods including color ultrasonic doppler observations in the portal hemo-dynamic changes, rectal vein-portal vein radionuclide imaging method, magnetic resonance angiography, spiral CT por-tal vein imaging (SCTP), etc. All kinds of invasive operations are not clinical routine, and ultrasound has been widely used in clinical, this article focuses on present situation and progress of ultrasonic noninvasive assessment of PHT.

Objective. To investigate the effects of coxsackievims B3 (CVB3) on ion channel currents in rat ventricular my-Methods. Rat hearts were isolated with collagenase to acquire single ventricular myocytes, L-type voltnge-depen-dent calcium channel( VDCC)current (Ica), Na + current (INa), outward potassium current (Iout), inwardly rectifying potassium current(IKI) were recorded using whole cell patch clamp techniques. Results. CVB3 infection increased Ica and Iout, while decreased IKI; but it had no obvious effect on INa. Conclusion. Tne effects of CVB3 on Ica、 Iout、 IKI may be one of the mechanisms of myocytes damage and the oc-currence of abnormal electroactivities induced by CVB3 infection.