1.MR Imaging of Short-term Expansion of Bone Marrow Haemopoiesis In Vivo
Journal of Practical Radiology 2001;0(10):-
Objective To study MR imaging features of bone marrow after priming.Methods 11 cases with lymphoma or myeloma alleviated after treatment were administration of recombinant human granulocyte colony-stimulating factor(rhG-CSF)injection.Two regions of bone marrow in L3 and iliac were followed up with T1WI,and STIR fat saturation before treatment(0 week),and 1 week,2 weeks and 4 weeks after treatment respectively.MRI features were observed by three experienced doctors independently and the average results acted as the final result.In the meantime,CNR of marrow and fat were calculated and paired sample test.Statistical process was performed in SPSS 10.0 for Windows.Results In comparison with 0 week,the signal intensity of bone marrow was no changed in all cases one week after intensive chemotherapy,slight high in 5 cases 2 weeks later and obvious low signal intensity in all cases three weeks after priming with rhG-CSF.In comparison with 0 week,CNR was no any different significance at 1 week,2 weeks and 4 weeks.Bone marrow changes in lumber and iliac were parallel except one case at 2 weeks and one case at 4 weeks.Conclusion Obvious low signal intensity of bone marrow is found three weeks after priming with rhG-CSF.
2.Diffusion weighted imaging study of chronic liver disease and liver function reserve
Zhongkui HUANG ; Lijian LU ; Liling LONG
Chinese Journal of Radiology 2010;44(12):1263-1267
Objective To evaluate clinical application value of DWI and reservation of liver function in patients with chronic liver disease. Methods Thirty cases of healthy control group, and 60 case group with chronic liver disease,including both 30 chronic hepatitis B and 30 cirrhosis. liver function in case group was analysed by venous blood samples. Case groups were divided into three groups according to MELD score: <30 group in 27 cases, 30 to 36 group in 17 cases, >36 group in 16 cases. All cases underwent liver magnetic resonance DWI. Among the case group, 15 cases were followed-up twice of pre- and aftertreatment. DWI images were read, ADC values of liver parenchyma were measured and standardized with the cephalospinal fluid (CSF) at the same slice. Used SPSS 13.0 for windows to treat the data, group comparison of ADC values were treated by one-factor analysis of variance, interclass comparison each other by SNK method, comparison between pretherapy and post-treatment by paired-samples t test. Results Healthy liver parenchyma of the control group is homogeneous signal on DWI. ADC pseudo-color pictures showed green on the homogeneous areas. Slightly restricted area of chronic hepatitis B showed irregular scattered patchy in DWI images, 25 cases in right and left lobes, 5 cases only in right lobe of the liver. ADC pseudo-color pictures reaveled blue region in proliferation-constrained areas. Restricted areas of the liver parenchymal become more evident, also showed an irregular liver edge in 30 cases of cirrhosis. The standarized ADC average values were: the healthy group (0. 47 ±0. 02) × 10-3 mm2/s, chronic hepatitis B group (0. 37 ±0. 03) × 10-3 mm2/s, cirrhosis group (0. 36 ±0. 04) × 10-3 mm2/s( F =97.05,P <0. 05).The difference between healthy group and patients group was statistically significant (P < 0. 05 ). No statistically significant difference between groups of chronic hepatitis B and liver cirrhosis ( P > 0. 05 ).Average ADC values of MELD score among groups of < 30, 30 to 36, > 36 were ( 0. 38 ± 0. 02 ) ×10-3 mm2/s,(0.35 ±0.02) × 10-3 mm2/s, (0.32 ± 0.03) × 10-3 mm2/s respectively. There is a significant difference among the three groups (P <0. 05). After treatment, DWI of 15 patients with chronic liver disease showed reduction in restricted areas, and the average ADC value from pre-treatment (0. 33 ±0. 03) × 10-3 mm2/s increased to(0. 38 ±0. 03) × 10-3 mm2/s, MELD score from pre-treatment 36. 01 ±6. 00 reduced to 27. 83 ± 4. 86. Conclusion DWI of chronic liver disease showed patchy diffuse restricted areas; more severe of the liver cell damage was, more worse the liver function was and lower ADC values was. ADC values increased after effective treatment, liver function recoved and diffuse restricted areas of liver parenchyma reduced.
3.MRI Diagnosis of Craniopharyngiomas
Xiaoyang LI ; Liling LONG ; Zhongkui HUANG
Journal of Practical Radiology 2001;0(07):-
Objective To evaluate the value of MRI in diagnosis of craniopharyngiomas. Methods MRI findings of 52 craniopharyngiomas were analyzed retrospectively and correlated with pathology.Results 37 cases of all 52 cases craniopharyngiomas were located on suprasellar. Craniopharyngioma fluid collections were found to be uniformly hyperintense on T 2-weighted images. However, on T 1-weighted images, the signal intensity of the fluid ranged from hypointense to hyperintense, reflecting the presence of pathological contents in these tumors. Conclusion MRI is an effective method in diagnosis craniopharyngioma due to its direct multiplanar capabilities and sensitive signal changes.
4.Diagnosis of X-ray in Gastric Perforation in Neonate(A Report of 6 Cases)
Yingru SONG ; Zhongkui HUANG ; Liling LONG
Journal of Practical Radiology 2001;0(09):-
Objective To find the X-ray characteristic and diadynamic method in congenital defect of muscular layer in stomach wall. Methods Six cases confirmed by operation and pathology were collected,underwent eight standing abdomen plain films,underwent 5 decubitus abdomen plain films in 6 cases. Results The appearances in standing plain film of freeing gas under diaphragm, eventration of diaphragm, passing through the whole abdomen of gas and liquid plane, vanished gastriole were found in 6 cases. Superior border of liver was found in 4 cases.The appearances in decubitus abdomen plain films of abdominal distension, increasing gas gathered in umbilical region, vanshed fat line in abdominal wall were found in 4 cases. Conclusion Large part of typical cases could be diagnosis by x-ray and clinical appearance.
5.The Study on the Measurement of Fat Composition and Distribution with DEXA in Human Body
Yumin LU ; Zhongkui HUANG ; Liling LONG
Journal of Practical Radiology 2001;0(01):-
Objective To explore the diagnostic index of the obesity with dual energy X-ray absorptiometry(DEXA).Methods The total and local parameters(the fat composition of the arm,leg,trunk and total body) in obesity group (135 cases) and the control group(75 cases) were measured with DEXA scan.The fat composition and distribution of body in the obesity and the healthy subject in different age and sex were analysed.The diagnostic index of obesity and healthy persons determined by DEXA.Results There was no significant difference between DEXA and the platform scale to weigh all the subjects.The fat content of the arm,leg,trunk and total body in the control group and the obesity group were respectively got.The P_5(the lowest limit of 95% confidence interval of obesity fat percentage)value of the obesity male was 23(P_5=23),while the female was 29(P_5=29)).There was no significant difference between DEXA and the BMI method in the positive result of the obesity.The total body fat content in the obesity group was higher than that of the control group in each age and sex group.The fat content of the female was higher than that of the male regardless of obesity group or control group.Conclusion The obese cut off point is 23% in male and 29% in female in the total body fat content.
6.The Prediction of Pulmonary Function after Operation with MSCT in the Patients with Pulmonary Carcinoma
Chunyan LI ; Liling LONG ; Zhongkui HUANG
Journal of Practical Radiology 2001;0(05):-
Objective To study the value in predicting the postoperative pulmonary function of the patient with quantitative MSCT.Methods 16-slice spiral CT scanning of lung was performed in 24 patients with pulmonary carcinoma before and after the operation during eupnea.Then the postoperative forced expiratory volume in one second(FEV1) and forced vital capacity(FVC)were calculated according to the preoperative lung capacity which was measured by quantitative MSCT,FEV1 and FVC which were measured by pulmonary functional test(PFT),then the results of FEV1 and FVC predicted by MSCT were compared with that two months later after operation.Results There was significant relativity in FEV1 and FVC between predicted by MSCT before operation and measured by PFT after operation ( P was 0.190 and 0.563 respectively).Conclusion Quantitative MSCT can predict the postoperative pulmonary function exactly,which provides dependable reference data for lung resection in the patients.with pulmonary carcinoma.
7.Multi-slice Spiral CT Lung Volumes Measurement in Predicting Diagnosis of Chronic Obstructive Pulmonary Disease
Kai LI ; Liling LONG ; Zhongkui HUANG
Journal of Practical Radiology 2001;0(09):-
Objective To evaluate the applied value of MSCT lung volumes measurement in diagnosing chronic obstructive pulmonary disease(COPD).Methods 40 patients clinically diagnosed with COPD and 26 healthy volunteers as control group underwent MSCT chest CT scanning . The relevant indicators of lung volumes were measured and calculated in comparison with the indicators of clinical lung function . The accuracy and sensitivity of every indicator of lung volumes in forecasting and screening COPD by using ROC curve method were evaluated.Results There were significant differences between the control group and the COPD group in the full expiration volume(Vex),the full inspiration volume(Vin),Vex/Vin and the ratio of the change of lung volume(P
8.Determination of Puerarin in Jiangzhijianfei Granules by HPLC
Zhongkui GUO ; Fenghui HUANG ; Xin LI
Chinese Journal of Information on Traditional Chinese Medicine 2006;0(12):-
Objective To determine the content of Puerarin in Jiangzhijianfei Granules by high performance liquid chromatography.Methods The determination was conducted by HPLC using a Shim-pack-C18 column(5?m,150 mm?4.6 mm)and a mobile phase of methanol-0.1%Phosphoric acid water(25.3∶74.7).The flow rate was 0.9 mL/min and the detection wavelength was 250 nm.Results Good linear relationship between area and amount was noted for 0.114~0.570?g of Puerarin,with a correlation coefficient of 0.999 6.The average recovery of was 98.74%,RSD was 0.67%.Conclusion The established method is simple,accurate,sensitive and can be applied to the quality control of the preparation.
9.Small Hepatocellular Carcinoma: The Correlation of Blood Supply Type on Multiphase Spiral CT with Immunohistochemical Findings
Liling LONG ; Bingfeng LU ; Zhongkui HUANG
Journal of Practical Radiology 1991;0(03):-
0.05).Singnificant difference of p21 positive rates was showed between tumor lack of blood supplies and arterial blood (?
10.Small Hepatocellular Carcinoma:Multivariate Regression Analysis of Correlation of Pseudocapsula Completion on Multiphase Spiral CT with Histopathological and Immunohistochemical Findings
Bingfeng LU ; Zhongkui HUANG ; Liling LONG
Journal of Practical Radiology 1996;0(04):-
Objective To study the relationship among SCT features of tumor margin and tumor size, immunohistochemical findings, grade of cell differentiation, and to explore the potency of tumor marginal features on multiphase spiral CT for evaluating biological behavior of small hepatocellular carcinoma (SHCC).Methods Multiphase spiral CT scans were performed in 30 patients with 33 lesions of SHCC (≤3.0 cm in diameter) confirmed histopathologically. Of these patients,26 were male and 4 were female. Immunohistochemical and HE staining were performed in surgical samples of all patients with SHCC. All samples' size was measured and the number of masses in each patient was counted.Results Of all masses, 6 were complete capsule, 15 incomplete capsule and 12 non-capsule. In multiple linear regression analysis, the pseudocapsula presentation and completion of SHCC on SCT were positively related with tumor size and VEGF expression, negatively with CD34 and p21, and were not in association with p53 and histological grade. Tumor size was the strongest contributor to pseudocapsula completion(R=0.5115), and then VEGF(R=0.2917), CD34(R=-0.2981) and p21(R=-0.2726), which had the similar standardized regression coefficients.Conclusion Tumor size is the strongest relative factor that influenced pseudocapsula presentation and completion of SHCC. VEGF always expressed positively in SHCC with complete pseudocapsula, and negatively in the group of SHCC with incomplete pseudocapsula or without pseudocapsula. In the group of SHCC with incomplete pseudocapsula or without pseudocapsula, p21 always express positively. Neither p53 expression nor histological grade is in association with the pseudocapsula presentation and completion of SHCC on SCT.