1.DEVELOPMENT OF PEYER'S PATCHES IN RABBITS
Shunde GAO ; Hongwei ZHANG ; Cunren LIU ; Shiguang YU
Acta Anatomica Sinica 1953;0(01):-
In our experiment the typical structure of Peyer's patches (PP) of rabbits was absent in neonatal animals, but after birth, it developed gradually and rapidly. On the 6 th day, the lymphoid structure of PP appeared and two types of lymphocytes, T and B, were observed in PP. At the same time, there were some microfold cells in the epithelium of the dome. By half a month, the lymphoid structure of PP matured histologically and later on it was more developed and PP gradually increased in size during the growth of the rabbit. The PP of a 3 month old rabbit were similar to those of the mature animals, but no involution of PP appeared at the stage of sexual maturity.The development of PP in rabbits is closely related to the first antigenic stimulation from the intestinal contents, and T, B lymphocytes and macrophages are present at the start of PP formation. In addition, there is no involution of PP in the adult rabbit. These features of PP in rabbits are different from those of the bursa of Fabricius, so it is inappropriate to regard the PP of rabbits as the homologue of the avian bursa of Fabricius.
2.Study of simultaneous audition reconstruction to chronic suppurative otitis media in the period of infection
Xionghui GAO ; Jinghua XIE ; Xiaozhong WU ; Shunde HUANG ; Jiangshun SONG ; Qingxiang MENG ; Peng LI
Chinese Journal of Postgraduates of Medicine 2008;31(21):34-36
Objective To investigate the possibility and surgical effect of simultaneous tympanoplasty to chronic suppurative otitis media in the period of infection. Methods Forty-eight cases (48 ears) with chronic suppurative otitis media in the period of infection (31 with cholesteatoma, 17 with caries) were underwent simultaneous Wullstein Ⅱ and Ⅲ tympanoplasty on the complete elimination of the lesions (typical or modified mastoidectomy). Results All eases had dry ears within 4-10 weeks with average of 7 weeks. The air-bone gap within 10 dB was in 11 eases, 15 to 20 dB in 25 cases, 25 to 30 dB in 9 eases, no change or worse in 3 eases. Conclusions Infection is not the absolute eontraindication to the tympanoplasty in treating chronic suppurative otitis media, Wullstein Ⅲ tympanoplasty plus mastoid cavity obliteration and eonchaplasty is a suitable choice to treating chronic suppurative otitis media on the complete elimination of lesions and reconstruction of the ventilation system among mastoid cavity, tympanum and eustachian. The malfunction of eustachian is the main eanse to failure of surgery.
3.Prediction of microvascular invasion in hepatocellular carcinoma with magnetic resonance imaging using models combining deep attention mechanism with clinical features.
Gao GONG ; Shi CAO ; Hui XIAO ; Weiyang FANG ; Yuqing QUE ; Ziwei LIU ; Chaomin CHEN
Journal of Southern Medical University 2023;43(5):839-851
OBJECTIVE:
To investigate the consistency and diagnostic performance of magnetic resonance imaging (MRI) for detecting microvascular invasion (MVI) of hepatocellular carcinoma (HCC) and the validity of deep learning attention mechanisms and clinical features for MVI grade prediction.
METHODS:
This retrospective study was conducted among 158 patients with HCC treated in Shunde Hospital Affiliated to Southern Medical University between January, 2017 and February, 2020. The imaging data and clinical data of the patients were collected to establish single sequence deep learning models and fusion models based on the EfficientNetB0 and attention modules. The imaging data included conventional MRI sequences (T1WI, T2WI, and DWI), enhanced MRI sequences (AP, PP, EP, and HBP) and synthesized MRI sequences (T1mapping-pre and T1mapping-20 min), and the high-risk areas of MVI were visualized using deep learning visualization techniques.
RESULTS:
The fusion model based on T1mapping-20min sequence and clinical features outperformed other fusion models with an accuracy of 0.8376, a sensitivity of 0.8378, a specificity of 0.8702, and an AUC of 0.8501 for detecting MVI. The deep fusion models were also capable of displaying the high-risk areas of MVI.
CONCLUSION
The fusion models based on multiple MRI sequences can effectively detect MVI in patients with HCC, demonstrating the validity of deep learning algorithm that combines attention mechanism and clinical features for MVI grade prediction.
Humans
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Carcinoma, Hepatocellular
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Retrospective Studies
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Liver Neoplasms
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Magnetic Resonance Imaging
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Algorithms