The precision radiotherapy adopts the accurate fixation,immobilization,spacial orientation and 3-dimensional calculation & display methods.On three-dimensional direction,stereotactic conformal or intensity modulated radiation therapy with conventional or non-conventional segmentation method is used.So the high dose area is identical with the target on three-dimensional and the dose intensity modulated in the target.It aims to decrease or not increase the radiation dose in the normal organs and tissues around the target when increasing the radiation dose in the tumor target.The technology can improve the partial control rate and the living quality of the patients.

Objective　To evaluate the role of transvaginal sonography in diagnosing the normal cervix and its benign lesions.Methods　The one handred and thirty-eight women without malignant findings by colposcopy examination underwent transvaginal sonography within 2 weeks before hyterectomy. The sonography findings were compared with the pathology report.Results　Cervical cysts(39 cases) were the most common sonography findings. In 17 cases, endocervical polyps were found sonographically,in 14 cases, myomas were found,and in 27 cases cervicitis were found. The cervix showed no sonographic abnormal in 41. Pathologic results showed 42 cervical cysts, 14 cervical polyps, 16 myomas, 17 cervicitis and 49 normal cervices.Conclusions　The sensitivity and specificity of transviginal sonography are high in diagnosing normal cervices and benign cervical lessions. Transviginal sonography provides reliable diagnosing information about the cervix for clinic.

Objective To understand the gray-scale, color and pulsed Doppler sonographic feature of the corpus luteum during the early trimester of pregnancy. Methods The ovaries of 174 patients with intrauterine gestations between 5 to 9 weeks' menstrual age were examined with transvaginal sonography. Size, sonographic appearance, color Doppler feature, resistance index, peak systolic velocity of the corpus letuem were recorded. Results The corpus luteum was identified in 169 of 174 patients(97.1%) . The mean diameter was ( 1.7 ? 0.8 ) cm. The gray-scale appearances were classified into four types:a thin wall cyst(47 patients, 27.8 %), a thick wall simple cyst(45 patients, 26.6 %), a round hypoechoic structure(43 patients, 25.4 %), a thin-walled cyst containing internal debris (34 patients, 20.1 %). Color blood flow was visualized with color Doppler imaging in 92.3 %(156/169). Color Doppler imaging typically revealed a circumferential rim surrounding part or all of the corpus luteum. Low-resistance blood flow was seen with pulsed Doppler, with a mean resistance index of 0.41?0.10 . Conclusions The corpus lutuem in early pregnancy is identified with transvaginal sonography and has different sonographic appearances. It is important to recognize the various appearances of the corpus lutuem to avoidits confusion with true ovarian abnormalities and ectopic pregnancy.

The cuniform gene of arbitrary angle cuniform board is computed through electric standard cuniform board.

AIM To study the preparation and stability of sinomenine liposomes. METHODS Taking entrapment efficiency as index, different preparation methods, including thin film dispersion, reverse-phase evaporation, and aether injection were optimized. The leakage rate, the uptake rate and the storage temperature of the liposomes were studied at the same time. RESULTS The entrapment efficiency of reverse-phase evaporation was the lowest as 48.93 % . The entrapment efficiency of thin film dispersion and aether injection were near, as 68.91 T《B》 % and 66.57 % , respectively. CONCLUSION Thin film dispersion has higher entrapment efficiency and low command to the equipment. So it is suitable for the production of sinomenine liposomes on a large scale.

Objective To introduce the clinical design of the portable and moveable laser light for simulation immobilization.Methods According to the theory of the laser immobilization system,the setting is designed by using current material,such as a ruler of ?-shape and pillar-shape laser light etc.After installation and adjustment,it is used in clinic.Results Patient can be immobilized by CT and this setting.Being simple to operate and convenient to use,this setting can act for the expensive laser position system.Conclusion The material and creation of this setting are rougher,so it needs improvement to insure the accuracy of position.

Objective To explore the methods and effects of body fractionated stereotactic radiotherapy(X-knife) in the treatment of lung metastases.Methods There were 50 cases with lung metastases were treated by fractionated stereotactic radiotherapy using CT orientation and WiMRT model body X-knife.The diameter of the metastases was 1.0cm-5.0cm.The linear accelerator was 6Mv X-ray.The dose per fraction was 5-12Gy,and the total prescribed dose was 30-52Gy at the margin of the PTV enveloped by 90% insodose curve.Results The metastases complete regression was found 21 fo-cus(18.3%)in CT image,partial regression in 70 focus(60.9%),and the overall effective rate was 79.1%.The effective rate for the focus with diameter less than 3cm was 88.5%,and 59.4% equal or more than 3cm,there was significan differ-ence(P

The quality assurance method for the medical linear accelerator of large-scale radiotherapy equipment is introduced,whose periodic detection and adjustment are discussed.

Twenty seven patients with obstruction of three branches below popliteal artery were divided into three groups and treated with three different kinds of arterioveinous reversal randomly. The results show that it is better to rebuild ischemic limb circulation with original vein rearterization on the femoral and popliteal planes than to do on the lower deep groups and original great saphenous rearterization for improving symptoms immediately and blood flow at future. It provides a new operation for obstruction of three branches below popliteal artery caused by thromboangiitis obliterans,arteriosclerosis obliterans and other diseases.

Objective The antimicrobial peptide LL-37 ( LL-37) is the mature form of Human Cationic Antimicrobial Pep-tide of 18kD (hCAP18) and play a certain regulation role in the pathogenesis of asthma .However, the mechanism is unclear.The aim of this study was to investigate the role of inflammatory release from human eosinophils induced by the antimicrobial peptide LL -37 in the pathogenesis of asthma and the underlying mechanisms . Methods Sixteen mild or medium allergic asthma patients from January 2015 to January 2016 in Panzhihua college affiliated hospital were enrolled .Another 16 healthy volunteers were enrolled as control .Pri-mary eosinophils were isolated from peripheral blood .The cells were divided into two groups:asthma group and healthy control group . Cells were divided into blank , PAF, LL37, single cytokine ( IL-5, GM-CSF) and cytokines combined with LL-37 group based on in-tervention (cell treating factors) difference;Cells were divided into PTx, WRW4, suramin, and LL-37 combined with inhibitors group based on inhibitors difference;Cells were grouped into LTD 4 and LTB4 treatment based on leukotrienen difference;ELISA was applied to analyze cysteinyl leukotrienes ( cys-LTs) level in various treatment groups;Western blot was used to detect change of cPLA 2, p-cP-LA2, ERK1/2, p-ERK1/2 in the cells from the control group after PTx and WRW 4 treatment and the level of hCAP 18 after leukot-riene treatment. Results Compared with the control 15 μg/mL LL-37 sub group, the expression of Cys-LTs was increased in the control 30μg/mL LL-37 sub group 15 and 30 minutes after the LL-37 treatment [(54.02±7.15) pg/105 vs (37.86±6.33) pg/105, (53.30±6.99) pg/105 vs (36.27±6.46) pg/105, P<0.05].Compared with the control IL-5 sub group (26.18±4.86) pg/105, the ex-pression of Cys-LTs was increased in the control IL-5+15 μg/mL LL-37 sub group (59.97±6.83) pg/105 and the control IL-5+30μg/mL LL-37 sub group (81.44±13.70) pg/105(P<0.05).Compared with the control sub group , the expression of Cys-LTs was in-creased in the asthma 15 μg/mL LL-37 sub group and the asthma 30μg/mL LL-37 sub group ( P<0.05) .Compared with the control LL-37 sub group, the expression of Cys-LTs was decreased in the control PTx sub group , control WRW4 sub group, control suramin sub group, control PTx +LL-37 sub group, and control WRW4+LL-37 sub group (P<0.05).Western blot results indicated that LL-37 treatment induced the activation and phosphorylation of ERK 1/2 in eosinophil, and PTx and WRW4 blocked the upregulation of pERK1/2 induced by LL-37.Treatment with PD inhibited the phosphorylation of cPLA 2 and the release of Cys-LTs induced by LL-37. hCAP18 was higher in the asthma groups than the healthy control . Conclusion LL-37 was identified as an eosinophil-activating pep-tide that could trigger the release of inflammatory mediators , which might be involved in occurrence and development of asthma through regulating ERK1/2 phosphorylation, inducing cPLA2 phosphorylation and finally initiate synthesis of cys-LTs.This suggests that LL-37/hCAP18 and its signaling pathway might be potential therapeutic targets for asthma .