Nodules

结节
  • 文章类型: Journal Article
    免疫和衰老在豆科植物共生结节的功能中起着至关重要的作用。这些过程之一的失调会损害共生关系,导致内共生体死亡和结节功能停止。免疫和衰老之间的关系已经在植物器官中被广泛研究,其中可以观察到协同反应。然而,在共生器官中,免疫和衰老之间的相互作用在文献中很少讨论,这些现象经常混淆。最近的研究表明,免疫和衰老之间的合作并不总是在结节中观察到,表明共生器官内这两个过程之间复杂的相互作用。这里,我们讨论了根瘤中免疫与衰老之间相互作用的最新结果,以及豆科植物-根瘤菌共生过程中这种关系的特异性。
    Immunity and senescence play a crucial role in the functioning of the legume symbiotic nodules. The miss-regulation of one of these processes compromises the symbiosis leading to death of the endosymbiont and the arrest of the nodule functioning. The relationship between immunity and senescence has been extensively studied in plant organs where a synergistic response can be observed. However, the interplay between immunity and senescence in the symbiotic organ is poorly discussed in the literature and these phenomena are often mixed up. Recent studies revealed that the cooperation between immunity and senescence is not always observed in the nodule, suggesting complex interactions between these two processes within the symbiotic organ. Here, we discuss recent results on the interplay between immunity and senescence in the nodule and the specificities of this relationship during legume-rhizobium symbiosis.
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  • 文章类型: Journal Article
    从外周血中精确有效地分离活的循环肿瘤细胞(CTC),随后是他们的实时监控,对癌症患者的诊断至关重要。在这项研究中,用环状多DNA(CMD)修饰的细胞印迹双网络(DN)水凝胶,用固定细胞作为模板创造了CMD印迹水凝胶(CMD-CIDH),已开发。水凝胶具有定制的表面,可有效捕获活的CTC并进行原位实时荧光检测,而无需随后释放。定制的表面,以聚丙烯酰胺/壳聚糖DN水凝胶为基质在细胞模板上构建,具有密集的网络结构,从而确保优异的稳定性和低降解率。最佳捕获效率,MCF-7细胞记录为93±3%,Hela细胞记录为90±2%,通过移植CMD并调整定制表面上的结节尺寸来实现。在模拟的乳腺癌患者实验中,甚至在5个细胞mL-1的最小浓度下,捕获效率仍然显著高,为67±11%。此外,接枝到表面的CMD产生了有效的荧光特征,即使在复杂环境中,也能对靶细胞的生长状态进行原位实时荧光检测。定制的表面对于筛选外周血中的CTC是高效的,并且具有建立CTC培养物的有希望的潜力。
    The precise and effective isolation of living circulating tumor cells (CTCs) from peripheral blood, followed by their real-time monitoring, is crucial for diagnosing cancer patients. In this study, a cell-imprinted double-network (DN) hydrogel modified with circular multi-DNA (CMD), coined the CMD-imprinted hydrogel with fixed cells as templates (CMD-CIDH), was developed. The hydrogel featured a customized surface for proficient capture of viable CTCs and in situ real-time fluorescent detection without subsequent release. The customized surface, constructed using polyacrylamide/chitosan DN hydrogel as the matrix on the cell template, had a dense network structure, thereby ensuring excellent stability and a low degradation rate. Optimal capture efficiencies, recorded at 93 ± 3% for MCF-7 cells and 90 ± 2% for Hela cells, were achieved by grafting the CMD and adjusting the nodule size on the customized surface. The capture efficiency remained significantly high at 67 ± 11% in simulated breast cancer patient experiments even at a minimal concentration of 5 cells mL-1. Furthermore, CMD grafted onto the surface produced a potent fluorescence signature, enabling in situ real-time fluorescent detection of the target cell\'s growth state even in complex environments. The customized surface is highly efficient for screening CTCs in peripheral blood and has promising potential for setting up the CTCs culture.
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  • 文章类型: Journal Article
    三种细菌菌株,1AS11T,1AS12和1AS13,新的共生体salignae的成员,并从突尼斯生长的相思树的根瘤中分离出来,使用多相方法进行表征。根据rrs基因分析,将所有三个菌株都分配给豆科根瘤菌复合体。基于四个串联管家基因的1734个核苷酸的系统发育分析(recA,atpD,glnII和gyrB)表明,这三个菌株与豆科的已知根瘤菌不同。对92个最新细菌核心基因的系统基因组分析证实了独特的进化枝。三个菌株和系统发育相关的根瘤菌的数字DNA-DNA杂交和基于blast的平均核苷酸同一性值范围为35.9至60.0%和87.16至94.58%,低于70%和96%的物种划分阈值,分别。菌株的GC含量为60.82-60.92mol%,主要脂肪酸(>4%)的总和为特征8(57.81%;C18:1ω7c)和C18:1ω7c11-甲基(13.24%)。菌株1AS11T,1AS12和1AS13也可以与它们最接近的描述物种(印度根瘤菌,根瘤菌和根瘤菌)的表型和生理特性以及脂肪酸含量。基于系统发育,基因组,生理,这项研究中提供的基因型和化学分类学数据,菌株1AS11T,1AS12和1AS13代表根瘤菌属中的一个新物种,我们提出名称为根瘤菌。11月。菌株类型为1AS11T(=DSM113913T=ACCC62388T)。
    Three bacterial strains, 1AS11T, 1AS12 and 1AS13, members of the new symbiovar salignae and isolated from root nodules of Acacia saligna grown in Tunisia, were characterized using a polyphasic approach. All three strains were assigned to the Rhizobium leguminosarum complex on the basis of rrs gene analysis. Phylogenetic analysis based on 1734 nucleotides of four concatenated housekeeping genes (recA, atpD, glnII and gyrB) showed that the three strains were distinct from known rhizobia species of the R. leguminosarum complex and clustered as a separate clade within this complex. Phylogenomic analysis of 92 up-to-date bacterial core genes confirmed the unique clade. The digital DNA-DNA hybridization and blast-based average nucleotide identity values for the three strains and phylogenetically related Rhizobium species ranged from 35.9 to 60.0% and 87.16 to 94.58 %, which were lower than the 70 and 96% species delineation thresholds, respectively. The G+C contents of the strains were 60.82-60.92 mol% and the major fatty acids (>4 %) were summed feature 8 (57.81 %; C18 : 1 ω7c) and C18 : 1 ω7c 11-methyl (13.24%). Strains 1AS11T, 1AS12 and 1AS13 could also be differentiated from their closest described species (Rhizobium indicum, Rhizobium laguerreae and Rhizobium changzhiense) by phenotypic and physiological properties as well as fatty acid content. Based on the phylogenetic, genomic, physiological, genotypic and chemotaxonomic data presented in this study, strains 1AS11T, 1AS12 and 1AS13 represent a new species within the genus Rhizobium and we propose the name Rhizobium acaciae sp. nov. The type strain is 1AS11T (=DSM 113913T=ACCC 62388T).
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  • 文章类型: Journal Article
    干旱,带来农业生产损失的风险,正在成为全球环境压力。先前的结果表明,与无结节组相比,有结节的豆科植物表现出更好的耐旱性。探讨根瘤菌共生影响耐旱性的分子机制,进行转录组和sRNAome测序以鉴定潜在的mRNA-miRNA-ncRNA动态网络。我们的结果表明,具有活性根瘤的幼苗通过储存能量表现出增强的耐旱性,合成N-聚糖,和由于共生固氮(SNF)的早期作用而引起的系统性获得性抗性,这与干旱易感的不活跃结节相反。耐旱性的提高可能与mtr_miR169l-5p等miRNA表达水平的降低有关。mtr_miR398b,和具有活性根瘤的幼苗中的mtr_miR398c及其靶基因。基于miRNA与其靶基因之间的阴性表达模式,我们构建了一个mRNA-miR169l-ncRNAceRNA网络。在严重干旱胁迫期间,lncRNA选择性剪接TCONS_00049507和TCONS_00049510与mtr_miR169l-5p竞争性相互作用,上调NF-Y(NF-Y)转录因子亚家族NF-YA基因MtNF-YA2和MtNF-YA3的表达,以调节其下游干旱反应基因。我们的结果强调了SNF植物影响耐旱性的重要性。总之,我们的工作提供了对CERNA参与根瘤菌共生有助于耐旱性的见解,并为未来的研究提供了分子证据。
    Drought, bringing the risks of agricultural production losses, is becoming a globally environmental stress. Previous results suggested that legumes with nodules exhibited superior drought tolerance compared with the non-nodule group. To investigate the molecular mechanism of rhizobium symbiosis impacting drought tolerance, transcriptome and sRNAome sequencing were performed to identify the potential mRNA-miRNA-ncRNA dynamic network. Our results revealed that seedlings with active nodules exhibited enhanced drought tolerance by reserving energy, synthesizing N-glycans, and medicating systemic acquired resistance due to the early effects of symbiotic nitrogen fixation (SNF) triggered in contrast to the drought susceptible with inactive nodules. The improved drought tolerance might be involved in the decreased expression levels of miRNA such as mtr_miR169l-5p, mtr_miR398b, and mtr_miR398c and its target genes in seedlings with active nodules. Based on the negative expression pattern between miRNA and its target genes, we constructed an mRNA-miR169l-ncRNA ceRNA network. During severe drought stress, the lncRNA alternative splicings TCONS_00049507 and TCONS_00049510 competitively interacted with mtr_miR169l-5p, which upregulated the expression of NUCLEAR FACTOR-Y (NF-Y) transcription factor subfamily NF-YA genes MtNF-YA2 and MtNF-YA3 to regulate their downstream drought-response genes. Our results emphasized the importance of SNF plants affecting drought tolerance. In conclusion, our work provides insight into ceRNA involvement in rhizobium symbiosis contributing to drought tolerance and provides molecular evidence for future study.
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  • 文章类型: Journal Article
    地方性克汀病是碘缺乏相关疾病中最严重的表现。可随后通过疾病的持续时间和严重程度来改变cretin的临床状态。我们的目的是在中国历史上严重的碘缺乏地区补充碘42年后,重新评估31名幸存的“神经性cretins”的临床状况和甲状腺功能。
    这是一项设计中的横断面研究,我们调查了所有31例存活的神经学克理菌素和85例对照。对每位患者进行了详细的神经系统检查。对所有参与者进行了问卷调查,并进行了甲状腺B超检查。血清甲状腺激素水平,甲状腺抗体,测定血清碘浓度(SIC)和尿碘浓度(UIC)。
    与对照相比,神经学上的cretin具有较短的身材。克汀病患者仍然存在神经系统损害。与对照组相比,cretins中的亚临床甲状腺功能减退症和甲状腺结节的患病率显着升高(分别为χ2=4.766,P=0.029和χ2=17.077,P<0.0001)。在调整混杂因素后,发现地方性神经克汀病是亚临床甲状腺功能减退症(OR=4.412;95%CI:1.358-14.334;P=0.014)和甲状腺结节(OR=6.433;95%CI:2.323-17.816;P<0.0001)的独立危险因素。
    出生后补充碘不能逆转子宫内母体/胎儿甲状腺功能减退症导致的神经损伤,随后表现为神经克汀病。地方性神经克汀病与亚临床甲状腺功能减退症和甲状腺结节之间存在横断面关联。
    Endemic cretinism is the most severe manifestation among the iodine deficiency-related disorders. The clinical status of the cretins may be modified subsequently by the duration and severity of the disease. We aimed to reassess the clinical status and thyroid function of 31 surviving \"neurological cretins\" after 42 years of iodine supplementation in a historically severely iodine deficiency area of China.
    It was a cross-sectional study in design and we investigated all 31 surviving neurological cretins and 85 controls. A detailed neurological examination was conducted on each patients. All the participants were given a questionnaire and underwent B-mode ultrasonography of the thyroid. The serum levels of thyroid hormones, thyroid antibodies, serum iodine concentration (SIC) and urine iodine concentration (UIC) were measured.
    The neurological cretins had shorter stature than that of the control. Neurological damage is still present in patients with cretinism. The prevalence of subclinical hypothyroidism and thyroid nodule in the cretins was significantly higher (χ2 =4.766, P=0.029 and χ2 =17.077, P<0.0001, respectively) compared with the control. After adjusting for confounding factors, endemic neurocretinism was found to be an independent risk factor for subclinical hypothyroidism (OR=4.412; 95% CI: 1.358-14.334; P=0.014) and thyroid nodule (OR=6.433; 95% CI: 2.323-17.816; P<0.0001).
    Iodine supplementation after birth does not reverse the neurological damage that results from maternal/foetal hypothyroidism in utero and is subsequently manifested as neurological cretinism. There is a cross-sectional association between endemic neurocretinism and subclinical hypothyroidism and thyroid nodule.
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  • 文章类型: Journal Article
    Aeschynomeneindica与缓生根瘤菌具有独特的共生关系,其中结瘤与Nod因子无关。在这项研究中,我们表征了三种革兰氏阴性和杆状菌株(83002T,81013和83012)从山东半岛的伊沙诺明印度根瘤中分离。分离物的主要细胞脂肪酸是C16:0,C18:0,C18:1ω7c11-甲基,求和特征3和求和特征8。主要的极性脂质是磷脂酰乙醇胺(PE),氨基脂类(AL)和磷脂酰胆碱(PC)。基于16SrRNA基因座的系统发育分析表明,它们属于缓生根瘤菌属,与寡养根瘤菌S58T和反硝化根瘤菌LMG8443T型菌株的相似性最高。不出所料,六个管家基因的串联序列分析(atpD,recA,glnII,dnaK,gyrB,和rpoB)和nifH基因提出,这三个菌株在缓生根瘤菌属内形成了不同的进化枝。与最接近的根瘤菌相比,这三个菌株的平均核苷酸同一性和DNA-DNA杂交值最高,分别为87.5%和65.3%,分别,远低于物种划分的门槛,从而证实了这三个菌株是一个新的物种。菌株83002T的基因组大小为7.52Mbp,DNAG+C含量为65.42mol%。选择菌株83002T(=KCTC82266T=MCCC1K04775T)作为新物种的类型菌株,为此命名为缓生根瘤菌。11月。被提议了。
    Aeschynomene indica has a distinctive symbiosis with Bradyrhizobium in which nodulation is Nod factor-independent. In this study, we characterised three Gram-negative and rod-shaped strains (83002T, 81013 and 83012) isolated from root nodules of Aeschynomene indica in Shandong Peninsula. The major cellular fatty acids of isolates were C16:0, C18:0, C18:1 ω7c 11-methyl, summed feature 3 and summed feature 8. The major polar lipids were phosphatidylethanolamine (PE), aminolipids (AL) and phosphatidylcholine (PC). Phylogenetic analysis based on the 16S rRNA locus showed that they belonged to the Bradyrhizobium genus, and shared the highest similarity to the type strains Bradyrhizobium oligotrophicum S58T and Bradyrhizobium denitrificans LMG 8443T. As expected, analysis of concatenated sequences of six housekeeping genes (atpD, recA, glnII, dnaK, gyrB, and rpoB) and nifH gene proposed that these three strains formed a distinct clade within the genus Bradyrhizobium. The highest average nucleotide identity and DNA-DNA hybridization values of the three strains in comparison to the closest Bradyrhizobium species were 87.5% and 65.3%, respectively, which are far below the threshold of species delineation, and thus confirmed the three strains as a new species. The genome size of strain 83002T is 7.52 Mbp, and the DNA G+C content is 65.42 mol%. Strain 83002T (=KCTC 82266T=MCCC 1K04775T) was chosen as the type strain of the new species, for which the name Bradyrhizobium aeschynomenes sp. nov. was proposed.
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  • 文章类型: Journal Article
    背景:生物固氮(BNF)是豆科植物的重要氮源,高效固氮需要足够的磷(P)。然而,在低磷浓度下保持豆类结节固氮的机制仍然未知。
    结果:结节定位的SPX蛋白,通过转录组发现了GmSPX8,并在大豆结节中表征了其在N2固定中的作用。GmSPX8在结节中优先表达,其表达在结节发育过程中逐渐增加。并且还使用由GmSPX8的启动子驱动的报告基因β-葡糖醛酸糖苷酶(GUS)研究了表达模式。在缺乏磷的情况下,GmSPX8被显著诱导,GUS活性增加12.2%。转基因植物中GmSPX8的过表达导致结节数量增加,结节鲜重和固氮酶活性降低15.0%,16.0%,42.5%,随后导致N和P含量增加17.0%和19.0%,而抑制GmSPX8在低磷胁迫下显示出显着损害的结节发育和固氮效率。这些数据表明GmSPX8在低磷条件下赋予结节发育和固氮。通过酵母双杂交筛选,GmPTF1被鉴定为GmSPX8的潜在相互作用蛋白,并被BiFC进一步证实。Y2H和下拉测定。在GmSPX8过表达的转基因结节中,GmPTF1及其下游基因如GmEXLB1和EXPB2的转录积累增加,而在GmSPX8的存在下,GmPTF1在酵母细胞和烟草叶片中的转录活性获得了极年夜的加强。
    结论:总之,这些发现为GmSPX8在低磷条件下大豆根瘤发育和固氮中的作用提供了新的见解,部分是通过与GmPTF1相互作用。
    BACKGROUND: Biological nitrogen fixation (BNF) is an important nitrogen source for legume plants, and highly efficient nitrogen fixation requires sufficient phosphorus (P). However, the mechanism of maintaining nitrogen fixation of the legume nodules under low P concentration remains largely unknown.
    RESULTS: A nodule-localized SPX protein, GmSPX8, was discovered by transcriptome and functional analysis of its role in N2 fixation was characterized in soybean nodules. GmSPX8 was preferentially expressed in nodules and its expression was gradually increased during nodule development. And also the expression pattern was investigated using reporter gene β-glucuronidase (GUS) driven by the promoter of GmSPX8. GmSPX8 was greatly induced and the GUS activity was increased by 12.2% under P deficiency. Overexpression of GmSPX8 in transgenic plants resulted in increased nodule number, nodule fresh weight and nitrogenase activity by 15.0%, 16.0%, 42.5%, subsequently leading to increased N and P content by 17.0% and 19.0%, while suppression of GmSPX8 showed significantly impaired nodule development and nitrogen fixation efficiency under low P stress. These data indicated that GmSPX8 conferred nodule development and nitrogen fixation under low P condition. By yeast two-hybrid screening, GmPTF1 was identified as a potential interacting protein of GmSPX8, which was further confirmed by BiFC, Y2H and pull down assay. Transcript accumulation of GmPTF1 and its downstream genes such as GmEXLB1 and EXPB2 were increased in GmSPX8 overexpressed transgenic nodules, and in the presence of GmSPX8, the transcriptional activity of GmPTF1 in yeast cells and tobacco leaves was greatly enhanced.
    CONCLUSIONS: In summary, these findings contribute novel insights towards the role of GmSPX8 in nodule development and nitrogen fixation partly through interacting with GmPTF1 in soybean under low P condition.
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  • 文章类型: Journal Article
    磷(P)缺乏会对根瘤发育产生不利影响,这反映在豆科植物根瘤鲜重的减少上。尽管根瘤对P缺乏的适应机制已经得到了广泛的研究,目前尚不清楚哪个调节因子介导结节对P缺乏的适应。在这项研究中,GUS染色和定量逆转录PCR分析揭示SPX成员GmSPX5优先在大豆(Glycinemax)结节中表达。特别是在磷酸盐(Pi)充足的条件下,GmSPX5的过表达增强了大豆根瘤的发育。然而,大豆组织中的Pi浓度不受影响(即,叶子,根,和结节)的GmSPX5过表达或抑制系,将其与在植物中控制Pi稳态中起作用的其他众所周知的SPX成员区分开。此外,观察到GmSPX5在体内和体外与转录因子GmNF-YC4相互作用。GmSPX5或GmNF-YC4的过表达显着上调了五个天冬酰胺合成酶相关基因的表达水平(即,大豆结节中的GmASL2-6)。同时,酵母单杂交和荧光素酶活性测定强烈表明,GmSPX5和GmNF-YC4的相互作用通过增强GmNF-YC4与GmASL6启动子的结合来激活GmASL6的表达。这些结果不仅证明了GmSPX5-GmNF-YC4-GmASL6调节途径介导大豆根瘤发育,而且大大提高了我们对豆科作物中SPX功能的理解。
    Phosphorus (P) deficiency adversely affects nodule development as reflected by reduced nodule fresh weight in legume plants. Though mechanisms underlying nodule adaptation to P deficiency have been studied extensively, it remains largely unknown which regulator mediates nodule adaptation to P deficiency. In this study, GUS staining and quantitative reverse transcription-PCR analysis reveal that the SPX member GmSPX5 is preferentially expressed in soybean (Glycine max) nodules. Overexpression of GmSPX5 enhanced soybean nodule development particularly under phosphate (Pi) sufficient conditions. However, the Pi concentration was not affected in soybean tissues (i.e., leaves, roots, and nodules) of GmSPX5 overexpression or suppression lines, which distinguished it from other well-known SPX members functioning in control of Pi homeostasis in plants. Furthermore, GmSPX5 was observed to interact with the transcription factor GmNF-YC4 in vivo and in vitro. Overexpression of either GmSPX5 or GmNF-YC4 significantly upregulated the expression levels of five asparagine synthetase-related genes (i.e., GmASL2-6) in soybean nodules. Meanwhile, yeast one-hybrid and luciferase activity assays strongly suggested that interactions of GmSPX5 and GmNF-YC4 activate GmASL6 expression through enhancing GmNF-YC4 binding of the GmASL6 promoter. These results not only demonstrate the GmSPX5-GmNF-YC4-GmASL6 regulatory pathway mediating soybean nodule development, but also considerably improve our understanding of SPX functions in legume crops.
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  • 文章类型: Journal Article
    原发性心脏血管肉瘤是一种罕见的恶性肿瘤,易累及周围结构,例如肺转移。在这项研究中,我们分析了诊断为原发性心脏血管肉瘤伴肺转移的患者的胸部计算机断层扫描(CT)影像学特征。
    本研究回顾性分析了12例确诊为原发性心脏血管肉瘤的患者,其中8例(均为男性)肺转移纳入分析。患者年龄17~74岁(平均48岁)。所有未增强的患者均进行了CT检查,对比度增强,对1、3和4名患者进行了两次扫描,分别。
    在7例患者中观察到结节病变,在7例患者中有6例观察到多个实性结节。其余患者在右肺的上叶和心尖段发现了一个孤立的实性结节,直径为11.7mm。所有实性结节与支气管血管束一起分布在肺中,它们的最大直径范围为2.3至19.9毫米。直径大于10mm的结节在对比增强CT图像上不均匀增强(5/8例),而小于10mm的患者则均匀增强(3/8例)。其他成像功能,即树芽模式,肺气肿,胸腔积液,纵隔淋巴结肿大,在4、3、3和2名患者中观察到,分别。
    原发性心脏血管肉瘤患者肺转移的CT增强特征取决于肺结节的大小,较大的是异质的,较小的是同质的。其他迹象很少被注意到。
    Primary cardiac angiosarcoma is a rare malignancy with high predilection to involve surrounding structures such as pulmonary metastases. We analysed the chest computed tomography (CT) imaging features of patients diagnosed with primary cardiac angiosarcoma with pulmonary metastases in this study.
    This study retrospectively reviewed 12 patients with confirmed primary cardiac angiosarcoma, out of which eight (all men) with pulmonary metastasis were included in the analysis. The patients\' age ranged from 17 to 74 (mean: 48) years. CT was performed in all patients with unenhanced, contrast-enhanced, and both scans were done in 1, 3 and 4 patients, respectively.
    Nodular lesions were observed in 7 patients with multiple solid nodules observed in 6 out of 7 patients. A solitary solid nodule was found in the remaining patient in the upper lobe and apical segment of the right lung with a diameter of 11.7 mm. All solid nodules were distributed along with bronchovascular bundles in the lungs, and their maximum diameter ranged from 2.3 to 19.9 mm. Nodules larger than 10 mm in diameter were heterogeneously enhanced on contrast-enhanced CT images (5/8 patients), whereas those smaller than 10 mm were homogeneously enhanced (3/8 patients). Other imaging features, namely the tree-in-bud pattern, emphysema, pleural effusion, and mediastinal lymph node enlargement, were observed in 4, 3, 3, and 2 patients, respectively.
    CT enhancement features of pulmonary metastasis in patients with primary cardiac angiosarcoma depend on the size of pulmonary nodules, with larger ones being heterogeneous and smaller ones homogeneous. Other signs are less noticed.
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  • 文章类型: Journal Article
    OBJECTIVE: Few studies have systematically developed predictive models for clinical evaluation of the malignancy risk of solid breast nodules. We performed a retrospective review of female patients who underwent breast surgery or puncture, aiming to establish a predictive model for evaluating the clinical malignancy risk of solid breast nodules.
    METHODS: Multivariable logistic regression was used to identify independent variables and establish a predictive model based on a model group (207 nodules). The regression model was further validated using a validation group (112 nodules).
    RESULTS: We identified six independent risk factors (X3, boundary; X4, margin; X6, resistive index; X7, S/L ratio; X9, increase of maximum sectional area; and X14, microcalcification) using multivariate analysis. The combined predictive formula for our model was: Z=-5.937 + 1.435X3 + 1.820X4 + 1.760X6 + 2.312X7 + 3.018X9 + 2.494X14. The accuracy, sensitivity, specificity, missed diagnosis rate, misdiagnosis rate, negative likelihood ratio, and positive likelihood ratio of the model were 88.39%, 90.00%, 87.80%, 10.00%, 12.20%, 7.38, and 0.11, respectively.
    CONCLUSIONS: This predictive model is simple, practical, and effective for evaluation of the malignancy risk of solid breast nodules in clinical settings.
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