1. The correlation between blood flow velocity in intracranial aneurysm cavity and the size of aneurysm
Chinese Journal of Cerebrovascular Diseases 2006;3(3):114-117
Objective: To explore the correlation of the size of intracranial aneurysms with the blood flow velocity in the aneurysmal cavity and the parent artery. Methods: The video data of serial digital subtraction angiography (DSA) images of 15 intracranial aneurysms in 15 patients were copied to a personal computer, then the pixel density values in the selected areas of images were measured with the changes of time by an image processing software, and the time-density curves were generated. The inflow coefficient Ka values of the curve were calculated by curve equation and the statistical analysis was performed so as to find out the blood flow velocity in various aneurismal cavities. Results: The Ka value that marked the blood flow velocity in aneurismal cavity (ACKa) in the central area of an aneurism had a negative correlation with the size of the aneurysm, r = -0.521, P = 0.046 (both sides). The size of the aneurysm had no correlation with the Ka value of the marked blood flow velocity in a parent artery (PKa), r = 0.107, P = 0.704 (both sides). Conclusion: The larger the aneurismal cavity, the slower the blood flow velocity in the central area of the aneurysm. The smaller the aneurysmal cavity, the fewer attenuation of blood flow velocity in the aneurysms, and the faster the blood flow velocity in the central area of the aneurysm. However, the flow velocity in parent artery is not associated with the size of aneurysm. The results of the study can be used to evaluate the natural outcome of aneurysm, the efficacy of embolization, and may partly explain the causes of aneurismal recurrence.
7.A comparison between traditional and modified composite remission scores and ultrasound imaging assessments in remission patients with rheumatoid arthritis
Qiang LI ; Ping ZHU ; Wen ZHAO ; Qing HAN
Chinese Journal of Rheumatology 2013;(5):293-297
Objective This study is aimed to assess the accuracy of clinical measurement of remission and investigate the association between clinical remission and the ultrasound imaging assessment of synovitis and infla'mation and to explore the value of ultrasound imaging in the evaluation of disease activity in the tight control of rheumatoid arthritis (RA).Methods RA patients with a disease activity score in 28 joints (DAS28-ESR) ≤2.6 for at least 3 months were stratified-using a standard and more stringent DAS28 and simplified disease activity index (SDAI) remission thresholds and the corresponding clinical and ultrasound imaging measures of synovitis were recorded.In addition,a retrospective analysis of disease activity in patients was carried out.Mann-Whitney U test,x2 test and multi-factor analysis of variance of repeated measurements were used for statistical analysis.Results A total of 48 cases were recruited.Thirty-seven cases (77%) met the ACR remission criteria,29 cases (60%) fulfilled the SDAI remission criteria,and 32 (67%) cases reached 2010 ACR/EULAR Boolean-based definition of remission criteria.There was no significant differences on imaging disease activity between SDAI remission patients and those who were not in remission (GS score,P=0.38; PD score,P=0.32).Seventy-nine percent patients in SDAI remission had GS and/or PD activity,but the difference was not statistically different when compared with patients who did not reach SDAI remission (P=0.29).Sustainable remission obtained in patients who also had achieved image remission could have longer remission time (P<0.01) Conclusion Using more stringent clinical remission criteria could help in reducing residual inflammatory activity of,but ultrasound PD activities may not be significantly reduced.Integrated clinical indicators such as physical examination and imaging tools such as ultrasound can provide more accurate assessment of disease activity and could be used to guide treatment to achieve trueremission.
9.The nursing of the surgery for the dysembryoplastic neuroepithelial tumors
Xin ZHAO ; Ping YUAN ; Qing WANG ; Yan WU
Chinese Journal of Practical Nursing 2013;29(30):23-24
Objective To explore the observation and nursing of the surgery of dysembryoplastic neuroepithelial tumors (DNT) in the function zone of brain.Methods A retrospective analysis of the clinic data of 5 patients receiving the surgery for the dysembryoplastic neuroepithelial tumors (DNT) in the function zone of brain was carried out,the clinical nursing experience was summarized.Results The EEG was re-examined 1 week after surgery.4 cases showed roughly normal EEG,one case with rare slow wave.The re-examined EEG 3 months after surgery suggested 3 cases were normal and 2 cases were almost normal.No epilepsia occurred after 6-month follow-up.Conclusions For DNT patients,microsurgical resection of the tumor is effective and enhancing the patients' perioperative observation and nursing has a significant meaning to increase the success of surgery,reduce complications,promote the rehabilitation of patients and improve the quality of life of patients.
10.Periosteal osteosarcoma:a case report and review of literature
Xiaoming QIU ; Ping ZHEN ; Jian LIU ; Yongjie QIAO ; Qing ZHAO
Chinese Journal of Postgraduates of Medicine 2017;40(1):46-49
Objective To investigate the clinical characteristics, location, treatment and prognosis of periosteal osteosarcoma. Methods The data of 1 patient with periosteal osteosarcoma was retrospectively analyzed, and the 35 cases reported in CNKI database in recent years were analyzed. Results The patient of periosteal osteosarcoma was female and 16 years old. Periosteal osteosarcoma occurred in the tibia. The patient was treated with extensional resection, and had no recurrence and metastasis 3 months after operation. Among the 35 patients reported in the literature, the age of onset ranged from 14 to 35, the female was slightly more than the male (19 cases vs. 16 cases), and the lesion site was mainly in the tibia and femur. The 35 patients underwent surgical treatment, and 4 cases had metastasis;6 cases were treated by surgery combined with chemotherapy. Conclusions Female patients with periosteal osteosarcoma were slightly more than male, and the lesion site is mainly in the tibia and femur. The chemotherapy effect is not exact, and extensional resection is the most effective treatment method. The transfer site and the characteristics are not exact.