1.Focusing on the application of functional imaging examination in the field of neuro-ophthalmological
Chinese Journal of Ocular Fundus Diseases 2010;26(4):306-309
Functional imaging is a newly arisen interdisciplinary subject compared with the routine radiology displaying anatomy and morphology of lesions. It can exhibit the function-changed information, such as blood flow and metabolism of organs and tissues as visual images or data to provide organizational functions and metabolic information, which makes early diagnosis, more accurate orientation, qualitative definition, and also the prognosis judgment. The ophthalmologists should pay more attention to the functional imaging applications in the field of neuro-ophthalmology.
2.CT and MRI Diagnosis of Nasopharyngeal Angiofibroma
Xiaoli CHEN ; Zhenchang WANG ; Junfang XIAN
Journal of Practical Radiology 2001;0(01):-
Objective To investigate the value of CT and MRI in diagnosing nasopharyngeal angiofibromas.Methods 18 cases of nasopharyngeal angiofibromas were retrospectively analyzed including the location, density ,signal intensity, extension of tumors and changes of surrounding bones.Results 16 cases located in the area around sphenopalatine foramen. 6 cases exhibited homogeneous density on CT scans(6/11 cases) and 12 cases displayed inhomogeneous signal intensity on MR scans(12/14 cases). All the Fourteen MRI examinations revealed vice signal by vessels, inhomogeneous enhancement and extensive invasion along the foramina or fissures.Conclusion MRI not only determines the location and traces out the extension of nasopharyngeal angiofibroma more exactly, but also displayes its diagnostic signal fashion. Namely MRI has greater value in diagnosing this tumor than CT.
3.Study of adult nasal airway by multi-slice spiral CT
Shuhui ZHANG ; Zhenchang WANG ; Qingyu ZENG ; Jianwei HUO ; Mailin CHEN
Chinese Journal of Radiology 2010;44(8):799-802
Objective To investigate the characteristics and value of nasal area-distance curves.Methods Based on data from CT images, nasal cavity cross-sectional areas in 60 volunteers were reconstructed. The size of each nasal airway and the distance from nostril to the corresponding cross-sectional area were measured. Area-distance curves were then established according to data obtained. t test was used to analysis the data. Results Three types of curves were found and categorized according to their shapes.Type Ⅰ consisted of 56 sides (46.7%) ,type Ⅱ 40 sides(33.3%), and type Ⅲ 24 sides (20. 0% ). Forcurves of nasal valve area, smooth type was seen in 86 sides (71.7%), and concave type in 34 sides(28.3%). Curves in area of inferior turbinate head were seen with shallow notch(48 sides,40.0%) ,deep notch (54 sides,45.0%), and no notch( 18 sides,15.0% ). Curves in area of middle turbinate head wereseen with shallow notch (31 sides, 25.8%), deep notch (38 sides, 31.7%), and no notch ( 51 sides,42. 5% ). Nasal minimal cross-sectional area was located at nasal valve area in76 sides (63.3%), head of inferior turbinate in 26 sides ( 21.7% ), region anterior to nasal valve in 15 sides ( 12. 5% ), head ofmiddle turbinate in 1 side, and region anterior to choana in 2 sides. The cross-sectional area at nasal valve in men and women were (197.9 ±41.2) and (151.2 ±35.5) mm2, respectively. The cross-sectional area at choana in men and women were (361.8±97.9) and (296.3 ± 81.8) mm2, respectively. There wassignificant difference between men and women at both sites (t = 4.707 and 0. 007, P < 0.01). The distance from nostril to nasal valve in men and women were (14. 0 ± 2.4) and ( 11.8 ± 2. 9) mm, which presented significant difference, too (t = 3. 232,P < 0. 01). Conclusions CT nasal area-distance curve varied with individual, CT may provide information for evaluating nasal passage on individual basis
4.The initial study of morphological changes of human eyes before and after accommodation by MRI
Qinghua CHEN ; Xiaobing WANG ; Aizhen LIU ; Zhenchang WANG
Ophthalmology in China 1994;0(02):-
Objective To investigate the characteristics of the morphological changes of the lens and related structures of human eyes before and after accommodation by magnetic resonance imaging(MRI). Design Prospective case series. Participants Healthy volunteers. Methods Eleven eyes of 8 healthy volunteers were measured by MRI before and after accommodation. Main Outcome Measures Thickness and sectional area of lens,anterior chamber depth,axial length. Results The thickness and section area of lens,anterior chamber depth,axial length was 3.51?0.20 mm,22.89?1.82 mm2,3.54?0.27 mm,23.91?0.90 mm before accommodation,and 3.73? 0.34 mm,23.17?1.66 mm2,3.29?0.32 mm,23.82?1.07 mm after accommodation. The thickness of lens and anterior chamber depth were significantly higher difference after accommodation(t=3.563,P=0.007; t=4.804,P=0.001). Conclusion As a useful tool of biometric measurement,MRI showed the morphological characteristics of the lens and related structures of human eyes,in an accomodated enviroment,and thus might play an important role in related researches.
5.Dynamic spore outputs and antibiotic activities of asexual fungi (strain CY-8202) isolated from Cordyceps sinensis
Wei WANG ; Bo YANG ; Shiliang CAI ; Zhenchang CHEN ; Yingchang ZHONG
Chinese Traditional and Herbal Drugs 1994;0(01):-
Object To study the growth speed and dynamic spore production of CY-8202, which is an asexual strain of entomopathogenic fungi isloated from Cordyceps sinensis (Berk.) Sacc., to explore the method of artificial culture of CY-8208 strain, to assay its antibiotic activity and spectrem and to provide the experimental basis for studies of its active components. Methods Variations in colony diameter of the cordyceps hypha cultured on the fungi media were measured. The spore-count was used to determine the dynamic colony spore outputs of the hypha on several fungi media and water agar. The agar-piece method was used to test its antibiotic activity.Results There were linear relationships between the colony extensions and the culture times on common fungi media such as PDA medium, etc.. The amounts of spore produced by the single colony of the fungi were more than 10 7 and gradually increased, but the rates of increase tended to be gentle after 200 h. Antimicrobial tests against 22 microbial strains showed strong inhibition of gram positve bacteria including Bacillus subtilis, Micrococcus tetragenus and Staphylococcus albus, and to gram negative bacteria, including Proteus vulgaris, Salmonella typhi, Aerobacter aerogenes and Salmonella sp., as well as weak inhibition of three mold strains and one actinomycetes strain, but no inhibition was observed in four yeast tested.Conclusion The growth activity and the spore-production ability of Cordyceps hypha are two important factors to infect validly its insect-host. For the growth activity, its strong penetration seems more important than its fast growth. The ability to product numerous spores of Cordyceps hypha may be an important mark of its strong infectivity to insect-host. The antimicrobial tests show that CY-8202 may secrete some metabolites which have a more broad-spectrum antibacterial activity than cordycepin isolated initially from Cordyceps militaris.
6.Meta-analysis of traditional Chinese medicine in the treatment of skin rash caused by epidermal growth factor receptor tyrosine kinase inhibitor
Chuang CHEN ; Xiugai WANG ; Zhenchang LIU ; Yu ZHANG
Cancer Research and Clinic 2015;27(12):835-837
Objective To evaluate the efficacy and safety of traditional Chinese medicine in the treatment of skin rash caused by epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI).Methods The clinical randomized controlled trials of traditional Chinese medicine in the treatment of EGFR-TKI-induced skin rash which published in domestic journals were selected.The quality assessment of included literature was made by Jadad score,RevMan 5.2 software was used to make Meta-analysis.Results A total of 6 studies met the inclusion criteria,the 6 studies included 248 patients,133 cases in the treatment group,115 cases in the control group.All patients were 30 to 75 years old.Compared with the control group,the combined OR value of the clinical efficacy of traditional Chinese medicine in the treatment of EGFR-TKIinduced rash was 7.51,with 95 % confidence interval 4.46-12.65.Conclusions Meta-analysis shows that the clinical efficacy of traditional Chinese medicine in the treatment of EGFR-TKI-induced skin rash is better than Western medicine,and no adverse reactions.It can be widely used in clinical practice.
7.ANTI-YEAST PHENOMENON OF A FUNGUS ISOLATED FROM CORDYCEPS SP.FROM THE NORTH OF GUANGDONG
Wei WANG ; Zhenchang CHEN ; Yingchang ZHONG ; Bo YANG ; Shiliang CAI ;
Microbiology 1992;0(02):-
A non spore fungal strain designated as CR 9512 was isolated from a species of Cordyceps , found in Northern Guangdong of China The growth characteristics and the morphology of the organism were studied It was initially identified as Rhizoctonia sp ,Agonomycetales Its antimicrobial tests, against 26 strains of Gram positive and Gram negative bacteria, actinomycetes, filamentous fungi and yeast, showed strong inhibition to some yeast of Rhodotorula, Saccharomyces, Pichia and Cryptococcus , and weak inhibition to yeast of Candida The speciality on a limited spectrum anti yeast of the organism will show an enormous value for researches and applications
8.CT differential diagnosis of fnngal ball in paranasal sinus caused by different mycotic pathogenic agents
Xiaoli CHEN ; Zhenchang WANG ; Xinxin LU ; Junfang XIAN ; Jing LI ; Jiajing GENG
Chinese Journal of Radiology 2012;46(7):611-614
ObjectiveTo evaluate CT characteristics of fungal ball in paranasal sinus caused by different fungi and to enhance differential diagnosis.MethodsCT results and clinical data of 74 patients with fungal ball arising from the paranasal sinuses proved by histopathology from 2007 to 2009 were analyzed retrospectively.The CT characteristics of fungal ball in paranasal sinus caused by different fungi were compared using x2 test with P < 0.05 considered statistically significant.Results Among 74 mycotic pathogenic agents,aspergillus was found in 58 cases (including 36 cases with aspergilhs flavus,15 cases with aspergillus fumigatus and 7 with aspergillus versicolor),the others including 5 cases with penicillium,6 cases with schizophyllum commune,and 5 cases with scedosporium apiospermum.There were significant differences in the number of sinus involved ( single sinus involvement was seen in 29 cases caused by aspergillus group and 2 cases caused by non-aspergillus-group,respectively,with x2 =7.245,P =0.007 ),the incidence of fungus ball in ethmoid sinus [ 39.7% ( 23/58 ) of cases caused by aspergillus group and 81.3 % ( 13/16 ) of cases caused by non-aspergillus-group,respectively,with x2 =8.685,P =0.003 ] and calcification (40 of 58 cases caused by aspergillus group and 5 of 16 cases caused by non-aspergillus-group,respectively,with x2 =7.485,P =0.006 ),the location of calcification ( 26 of 40 cases with central calcification and 14 of 40 cases with peripheral calcification in cases caused by aspergillus group,while all of 5 cases caused by non-aspergillus-group with peripheral calcification,x2 =7.697,P =0.006).However,there was no significant difference in the incidence of bilateral lesions ( x2 =1.002,P =0.317 ),maxillary sinus involvement ( x2 =0.020,P =0.888 ),sphenoidal sinus involvement ( x2 =0.704,P =0.401 ),frontal sinus involvement ( x2 =0.126,P =0.723 ),bony sclerosis ( x2 =2.024,P =0.155 ),lamellar calcification (x2 =2.045,P =0.153 ),complication of nasal polyps( x2 =0.018,P =0.893) and submucosal cyst( x2 =0.779,P =0.378 ).ConclusionsThe common CT characteristics of fungal ball in paranasal sinus are unilateral sinus involvement with inhomogeneous high-density soft tissue and lamellar calcification.The CT findings of fungal ball caused by non-aspergillus-group are ethmoid sinus involvement and calcification located on the periphery instead of the center of fungal ball.
9.Serological response infected with on cynomolgus monkeys
Zhenchang WANG ; Zengwen LIANG ; Jing LENG ; Yi WEI ; Jingjing HUANG ; Songlin CHEN
Chinese Journal of Immunology 2014;(6):814-816
Objective:To study the serological reactions in cynomolgus monkeys infected with hepatitis B virus ( HBV). Methods:To select 1 to 3 days old or adult healthy cynomolgus monkeys by artificial breeding to observe the virology screening in laboratory a month to confirmed healthy animals ,randomly divided into control group and infection group .Infection group vaccination serum HBV carriers 0.5 ml (HBV-DNA≥108 copies) single cages,observe each group behavioral changes daily after inoculation 1 to 12 weeks, each week to confirmed the degree of liver inflammation through the HBV-M, HBV-DNA, liver function and on the B-guided, liver tissue inflammation by routine HE staining .Results: Adult monkeys did not induce positive reaction after vaccination , there were three young monkeys appear HBsAg , HBcAb and 2 appear HBV-DNA reaction, ALT poison attack occurred in HBsAg-positive began to increase after one week , one month after the peak , which was 180 U/L, after gradually decreased , continuing a month later near normal .AST higher than a week after the normal reference values were flat curve , representing the peak ALT after a month later, HBsAg positive cynomolgus monkeys HE staining showed mild hepatitis partial liver tissue lesions .Conclusion:HBV-M, HBV-DNA, ALT, AST and liver histopathology after HBV infection have changed , this result showing that it's produce inflammation and induction the response of immune .
10.Endovascular interventional therapy of portal vein stenosis after pediatric liver transplantation
Zhiyuan ZHANG ; Long JIN ; Guang CHEN ; Tianhao SU ; Zhenchang WANG ; Zhijun ZHU ; Lin WEI ; Guowen XIAO
Chinese Journal of Interventional Imaging and Therapy 2017;14(4):210-213
Objective To evaluate the value of percutaneous transhepatic angioplasty in treatment of portal vein stenosis (PVS) after pediatric liver transplantation.Methods The data of 8 pediatric patients with PVS after liver transplantation were retrospectively evaluated.All cases were confirmed by portal vein angiography,and were treated with percutaneous transluminal angioplasty and/or percutaneous transluminal stent angioplasty.The effect of endovascular interventional therapy in 8 cases was analyzed.Results A total of 12 times of 8 patients received endovascular interventional therapy.The success rate was 66.67% (8/12).The clinical success rate of the first treatment was 62.50% (5/8).Three cases were treated with balloon dilation after the first balloon dilation,and there was no recurrence of PVS after operation in 2 cases.After the treatment of balloon dilation,stent angioplasty was performed in 1 case.There were no complications related to treatment in 8 cases.Conclusion Endovascular interventional treatment is a safe and effective way for PVS after pediatric liver transplantation.