1.An investigation of current status of radiotherapy and nuclear medicine in Qingdao, China
Zhenyou LIU ; Fazhu CHONG ; Xiuyun ZHANG ; Jie LIU ; Zijing CHE ; Qiang FU
Chinese Journal of Radiological Health 2022;31(4):456-459
Objective To investigate the application status of radiotherapy and nuclear medicine resources in Qingdao, China, and to provide a data foundation for the development of radiotherapy and nuclear medicine in this city. Methods A questionnaire survey was performed on all medical institutions with radiotherapy and nuclear medicine services across Qingdao. The cut off date for questionnaire data pooling was March 31, 2021. Results A total of 18 hospitals have radiotherapy services in Qingdao, including 12 (66.67%) tertiary hospitals and 6 (33.33%) secondary hospitals. There were 29 pieces of radiotherapy equipment in total, including 24 (82.76%) linear accelerators, 4(13.79%) brachytherapy units, and 1(3.45%) helical tomotherapy unit. Among all patients with radiotherapy in Qingdao, 79.68% were treated in tertiary hospitals. Nuclear medicine departments have been set up in five medical institutions in Qingdao, all in tertiary hospitals. There were five PET-CT scanners, seven SPECT scanners, and two cyclotrons in these nuclear medicine departments. Conclusion Qingdao had a higher radiotherapy equipping rate than the national average level, but with an uneven personnel distribution. Some secondary hospitals were short of medical physicists. The penetration rates of nuclear medicine equipment and personnel should be improved.
2.Toxic effects of Mn2+ compound in combination with chloroquine on PC12 cells
Xiaolong FU ; Zijing YU ; Yonggang YANG
Journal of Public Health and Preventive Medicine 2024;35(4):16-19
Objective To observe the toxicity of low concentration Mn2+ compound combined with autophagy inhibitor chloroquine on nerve cell line PC12 cells for long-term and its mechanism. Methods PC12 cells at logarithmic growth stage were treated with 0 (control), 5, 10, 25, 50, 100, and 200 μM manganous chloride, and 5, 10, 25, 50, and 100 μM chloroquine for 24 h, respectively. The effect of manganous chloride and chloroquine on cell viability was detected by MTT assay. The combined effect of the two compounds on cell viability was determined at 24, 48 and 72 h, respectively. The mitochondrial respiratory function was further examined to explore the possible toxicity mechanism of manganous chloride and chloroquine. Results Compared with the control group, manganous chloride and chloroquine alone had inhibitory effect on cells survival in a concentration-dependent manner. Manganous chloride and chloroquine at concentrations of 40 μM and 2.5 μM, respectively, had no significant effect on cell survival. Compared with the control group, administration of 2.5 μM chloroquine alone for 24, 48 and 72 h did not significantly change cell survival and mitochondrial respiratory function. Treatment of cells with manganous chloride alone at the concentration of 40 μM for 72 h did affect mitochondrial respiratory function. However, the cell survival and mitochondrial respiratory function in the combined administration of manganous chloride and chloroquine for 72 h were significant decreased (P< 0.05). Conclusion The long-term combination of low-concentration manganous chloride and chloroquine produced an additive cytotoxicity on PC12 cells, and the toxicity mechanism may be related to the damage of mitochondrial function.
3.Ultrasound Diagnosis and Misdiagnosis Analysis of Accessory Cavitated Uterine Malformation
Fei JI ; Na SU ; Huazhen LIU ; Zijing FU ; Zhenhong QI ; Meng YANG
Medical Journal of Peking Union Medical College Hospital 2024;15(5):1100-1106
To explore the ultrasound characteristics of accessory cavitated uterine malformation (ACUM) and the causes of misdiagnosis, in order to better understand the disease and improve the diagnostic ability of radiologists. We retrospectively collected clinical, pathological and imaging data of ACUM patients who were diagnosed after surgery at Peking Union Medical College Hospital from December2013 to December 2023. Besides, we analyzed ultrasound features of ACUM and the cause of misdiagnosis. A total of 11 patients were included, with a mean age of diagnosis of (27.1±7.4)years. There was a mean interval of (6.1±5.5)years between menarche and onset of dysmenorrhea. Preoperative ultrasound showed that ACUM appeared as solitary lesions located under the insertion of the round ligament, with a mean maximum diameter of (3.0±1.0)cm. Lesions were round or oval (90.9%, 10/11) and not connected to the uterine cavity (100%, 11/11) with clear boundaries (72.7%, 8/11), presenting as regular thick-walled cystic-solid structures. Cystic areas were observed within the mass (100%, 11/11) with a ground-glass-like appearance (90.9%, 10/11) and hyperechoic endometrial lining (90.9%, 10/11). The surrounding of the mass showed hypoechoic or isoechoic areas resembling the muscular layer and circular or semi-circular vascularity was detected around the mass. No adenomyosis or other uterine lesions were found. Analysis of misdiagnosis: Among the 11 ACUM cases, 6 were correctly diagnosed by the initial ultrasound examination, and 5 cases by MRI. Two patients were misdiagnosed as residual horn uterus by MRI, despite ultrasound suggesting ACUM with visible bilateral uterine horns. ACUM exhibits distinct ultrasound characteristics. When young women present with progressive dysmenorrhea and ultrasound reveals a regular cystic-solid mass with thick wall located under the round ligament insertion, ACUM should be considered.