1.Clinical application of low dose chest CT examination with PACS/RIS-HIS-Health screening system
Journal of Practical Radiology 2015;(3):477-479,497
Objective To investigate the clinical application of low dose chest CT examination with PACS/RIS-HIS-Health screening system.Methods 6038 subjects underwent chest low-dose CT examination were retrospectively analyzed in this study. With or without PACS/RIS-HIS-Health screening system,the physical examination workload per day,average examination duration and waiting duration were retrospectively calculated and compared,respectively.Results At the same working hours,the low dose chest CT screening workload was sharply increased from 73.87 to 127.4 per day (t=11.526,P<0.001).The mean CT examina-tion duration was decreased from 2.58 to 1.8 minutes per subject (t=8.443,P<0.001).30 percent of waiting duration were saved approximately (t=6.951,P<0.001).All the related management departments could do statistics and analyze the data online with high efficiency via the screening system.Conclusion PACS/RIS-HIS-Health screening system can optimize the workflow and im-prove the work efficiency of chest low-dose CT screening.
2.An experimental study of T cell vaccination in inducing heterologous antigen-specific immune tolerance
Zhenlin ZHAO ; Yongzhang GUO ; Li LI ;
Chinese Journal of Immunology 1985;0(06):-
Objective:To investigate the effect and the mechanism of T cell vaccination in inducing heterologous antigen specific immune tolerance Methods:T cell vaccination were made from the spleen cells of SD rats, which were induced by ConA and were challenged with the spleen cells of guinea pig (the heterologous specific antigen) Normal SD rats were vaccinated intraperitoneally with TCV or 1640 culture buffer(blank control) respectively One way mixed lymphocyte reaction(MLR)?the apoptosis of peripheral T cells and the rate of CD4/CD8 in peripheral blood were assayed before and after vaccination.Results:MLR showed that the response captivity of SD rat spleen cells in TCV group were suppressed significantly after vaccination(P
3.Molecular imaging in myocardial fibrosis
Yingkun GUO ; Zhenlin LI ; Fabao GAO
Chinese Journal of Nuclear Medicine and Molecular Imaging 2013;33(5):398-400
With the development of life science and medical technology,myocardial fibrosis is being increasingly recognized as a new therapeutic target for heart diseases.However,traditional methods for detection of myocardial fibrosis,such as myocardial biopsy and laboratory assay of serum metabolites or enzymes,are not satisfactory in meeting the clinical demands because of their intrinsic limitations.Molecular imaging may non-invasively and quantitatively evaluate the presence/absence,degree and turnover of myocardial fibrosis in vivo with good specificity,thus being useful for clinical assessment and intervention.Currently,the commonly used molecular imaging modalities for evaluation of myocardial fibrosis include SPECT,PET and MRI.It is hopeful that the molecular probe for targeted ultrasound technology may also be developed in the near future.This review highlights the current status and future trends of molecular imaging in myocardial fibrosis.
4.Dynamic change of microRNA-146a and 222 in blood circulation before and after aerobic exercise and its regulation role to cardiovascular function
Zhenlin QU ; Meng LI ; Kai LIU
Chongqing Medicine 2016;45(36):5081-5084,5087
Objective To explore the effects of aerobic exercise training on the circulating miRNAs and their roles in cardio‐vascular adaption induced by aerobic exercise training .Methods Ten freshmen were enrolled .All subjects performed an 8 weeks swimming training .VO2 max and cardiovascular function were measured in acute exhaustive before and after the aerobic endurance training .The key circulating miRNs (miR‐133a ,miR‐21 ,miR‐146a ,miR‐199a ,miR‐15a and miR‐222) were measured at rest and im‐mediately following acute exhaustive exercise in competitive male freshmen before and after the aerobic training .Results Distinct patterns of c‐miRNA response to exercise were observed and adhere to 4 major profiles :after aerobic exercise training ,the levels of miR‐146a ,miR‐222 ,miR‐21 ,miR‐15a and miR‐199a at rest were significant higer than before training (P<0 .05) .The levels of miR‐146a and miR‐222 were up‐regulated by acute exercise before and after aerobic exercise training (P<0 .05) .Before the aerobic train‐ing ,acute exhaustive exercise increased miR‐21 and miR‐15a significantly(P<0 .05) ,however ,there was no difference between the miR‐21 and miR‐15a levels in acute exhaustive exercise and resting state after aerobic exercise training (P>0 .05) .There was no difference in the level of miR‐133a between resting state and acute exhaustive exercise before and after training (P>0 .05) .Further linear correlation analysis showed that the miR‐146a expression in plasma was significantly positively correlated with VO 2 max level (r=0 .842 ,P<0 .01) ,the change of miR‐222 expression in plasma before and after training was significantly positively correlated with EF (r=0 .920 ,P<0 .01) .Conclusion MiRNAs can be used as a marker to reflect the effect of training ,miR‐146a and miR‐222 play a role in physiological regulation of the cardiovascular function of aerobic exercise training in the body .
5.The treatment experience of primary eruption failure of a case
Peirong LI ; Li TIAN ; Yuanqian CHE ; Zhenlin GE
Journal of Practical Stomatology 2017;33(2):275-276
Primary failure of eruption(PFE) is an unusual dental disease.Clinically,it is difficult to distinguish PFE from Mechanical failure of eruption (MFE),and the diagnosis is especially challenging since misdiagnosis and mistreatment always take place.The present paper reports the treatment experience of a case of PFE.
6.The situation of brick tea type fluorosis in Inner Mongolia in 2009 and 2012
Zhenlin LI ; Huimin ZHANG ; Chengxiang ZHAO ; Yanhong LI ; Bo CHEN
Chinese Journal of Endemiology 2014;33(5):530-533
Objective To understand the trend of drinking-tea type fluorosis in the diseased areas in Inner Mongolia Autonomous Region,and to evaluate the effect of prevention and control measures.Methods In 2009 and 2012,6 monitored counties were selected in Inner Mongolia Autonomous Region; 5 diseased villages were selected in each monitored county,and 10 families were selected in each monitored village; fluorine content of brick tea was tested,and dental fluorosis conditions of all 8 to 12-year-old students and skeletal fluorosis conditions of all 36 to 45-year-old adults were examined.In 2012,in each monitored village,1 water sample of the drinking water source was collected respectively from five positions(east,south,west,north and the central of the village),and fluoride content of drinking water wastested.Results In 2009,the mean of brick tea fluorine content was 541.48 mg/kg in the monitored villages,and the fluoride content ≤ 300 mg/kg accounted for 17.62%.(49/278).In 2012,the mean of brick tea fluorine content was 536.06 mg/kg,and the fluoride content ≤300 mg/kg accounted for 11.00%(33/300).Total exceeding standard rate of the water fluoride content was 40.00%(12/30).In 2009,the detection rate of the children's dental fluorosis was 52.39% (274/523),very mild,mild,moderate and severe cases accounted for 9.56%(50/523),19.86%(104/523),21.03%(110/523) and 1.91%(10/523),respectively.In 2012,the detection rate of the children's dental fluorosis was 35.71%(200/560),very mild,mild,moderate and severe cases accounted for 14.11% (79/560),11.43% (64/560),9.64% (54/560),and 0.54% (3/560),respectively.Compared with 2009,the proportion of moderate and severe cases reduced in 2012(W =40 696.0,P < 0.01).In 2009,the detection rate of adult skeletal fluorosis was 23.52% (167/710),mild,moderate and severe cases accounted for 17.32%(123/710),4.51%(32/710) and 1.69%(12/710),respectively.In 2012,the detection rate of adult skeletal fluorosis was 20.12% (103/512),mild,moderate and severe cases accounted for 17.38% (89/512),2.54% (13/512) and 0.20% (1/512),respectively.Compared with 2009,the proportion of moderate and severe cases reduced in 2012(W =12 797.5,P < 0.01).Conclusion The drinking-tea type fluorosis in Inner Mongolia Autonomous Region has been controlled to some degree,but still serious in some areas;prevention and control measures need to be further strengthened.
7.Imaging of Cisterna Chyli and Thoracic Duct by Nonenhanced MR Lymphography
Bi WU ; Bin SONG ; Yang YANG ; Changxian LI ; Zhenlin LI
Chinese Journal of Bases and Clinics in General Surgery 2003;0(05):-
Objective To investigate the depiction rate of normal cisterna chyli and thoracic duct by nonenhanced MR lymphography and to describe their appearances on MR imaging.Methods Special MR hydrography sequence was added to the MR imaging protocols of 112 patients undergoing MR examination of the thorax and upper abdomen.MR imaging sequences included:①Respiratory-gated HASTE T2W sequence;②Breath-hold FLASH T1W sequence;③Respiratory-gated TSE 3D T2W sequence(3D MR hydrography sequence)in coronal plane.One hundred cases who met the inclusion criteria were included into the study for observation of the depiction rate,location and morphology of cisterna chyli and thoracic duct.Results On TSE 3D T2W imaging:①Cisterna chyli was visualized in 71/100(depiction rate 71.0%),morphologically including single-tube type 43.7%(31/71),bifurcation type(2-3 tubes)23.9%(17/71),plexus type 32.4%(23/71).Average length of the cisterna chyli was 4.5 cm.②The depiction rate of the lower segment of thoracic duct was 57.0%(57/100),average ductal diameter was 0.23 cm.③The depiction rate of upper segment of the thoracic duct was 31.0%(31/100).Conclusion As a noninvasive method for depicting the lymphatic system,nonenhaced MR lymphography(TSE 3D T2W sequence)demonstrated a high depiction rate for cisterna chyli and lower thoracic duct.Combined with axial images of HASTE and FLASH sequences,the location and morphology of these larger lymphatic ducts can be defined.
9.Investigation on strategies to improve the quality of practice teaching for undergraduates in medical imaging technology
Hehan TANG ; Yuan YUAN ; Liping DENG ; Yuming LI ; Zhenlin LI
Chinese Journal of Medical Education Research 2021;20(2):199-201
Clinical practice of medical imaging technology undergraduates is a key link in the transformation from imaging technology students to imaging technologists. However, there are a series of problems leading to poor practice effect, e.g., imaging technology involves a lot of learning contents, and the teachers' level is uneven. Based on the above problems, some improvements have been implemented, including the establishment of the admission lecture system and tutor responsibility system, application of pluralistic teaching methods, standardizing the examination system of interns, flexible adjustment of practice time arrangements, training of practice teaching team, and so on. Finally, the quality and effect of undergraduate practice teaching in medical imaging technology has been improved significantly.
10.The HRCT Scan of Normal Middle-inner Ear
Zhenlin LI ; Jiahe XIAO ; Min LUO ; Xiangping ZHOU ; Hongli BAI
Journal of Practical Radiology 2001;17(5):339-342
Objective To study the scan technique that can completely demonstrate the structures of middle-inner ear.Methods Ninety volunteers underwent 30° axial and 105° coronal HRCT scan.The manifestations of the ministructures of middle-inner ear were observed and their demonstration rate was calculated.The demonstration of different structures of middle-inner ear was evaluated and compared on HRCT.Results (1)The scan planes of 30° axial and 105° coronal were correspondent to some structures of middle-inner ear and could completely demonstrate them.(2)30° axial and 105° coronal HRCT scan had their own advantages respectively in demonstrating the structures of middle-inner ear.Conclusion The technique of 30° axial and 105° coronal HRCT scan of middle-inner ear is useful in demonstrating the structures,including the nerve,joint,ligament etc and the relationship among them.