Quantification

量化
  • 文章类型: Journal Article
    体内监测和定量ATP水平对于理解其作为肿瘤进展和治疗中的信号分子的作用至关重要。然而,由于在深部组织中缺乏准确的工具,溶酶体ATP的实时监测和定量评估仍然具有挑战性.在这项研究中,基于交联增强发射(CEE)效应,我们成功合成了具有双重发射特性的红碳点(R-CD),用于有效定量细胞内ATP。R-CD在近红外范围内发射,并具有快速检测能力的目标溶酶体,使它们非常适合通过活细胞成像技术直接观察和分析溶酶体ATP的动力学。重要的是,R-CD已证明其在实时监测药物刺激诱导的内源性溶酶体ATP浓度波动中的功效,并且还用于定量和区分正常和癌细胞系之间的溶酶体ATP水平。这些值得注意的发现强调了R-CD作为一种有价值的成像工具的多功能性,用于阐明溶酶体ATP在药物筛选和癌症诊断中的功能作用,并有望成为加深我们对药物作用机制的理解的参考工具。
    Monitoring and quantifying ATP levels in vivo is essential to understanding its role as a signaling molecule in tumor progression and therapy. Nevertheless, the real-time monitoring and quantitative assessment of lysosomal ATP remains challenging due to the lack of accurate tools in deep tissues. In this study, based on the crosslinking enhanced emission (CEE) effect, we successfully synthesized red carbon dots (R-CDs) with dual emission properties for efficient quantification of intracellular ATP. The R-CDs emit in the near-infrared range and target lysosomes with rapid detection capabilities, rendering them exceptionally well-suited for directly observing and analyzing the dynamics of lysosomal ATP through live cell imaging techniques. Importantly, R-CDs have proven their efficacy in real-time monitoring of drug stimulus-induced fluctuations in endogenous lysosomal ATP concentration and have also been employed for quantifying and distinguishing lysosomal ATP levels among normal and cancer cell lines. These noteworthy findings emphasize the versatility of the R-CD as a valuable imaging tool for elucidating the functional role of lysosomal ATP in drug screening and cancer diagnostics and hold the promise of becoming a reference tool for deepening our understanding of drug mechanisms of action.
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  • 文章类型: Journal Article
    大气微滴中过氧化氢(H2O2)的自发生成,如雨滴和气溶胶,在各种环境过程中起着至关重要的作用,包括污染物降解和氧化应激。然而,定量羟基自由基(•OH),H2O2形成所必需的,仍然具有挑战性,由于它们的寿命短和浓度低。这项研究通过提供一种高度灵敏和选择性的表面增强拉曼散射(SERS)纳米传感器来解决这一差距,该传感器专门设计用于量化水微滴中的•OH。利用邻苯二甲肼(Phth)探针,SERS技术可以快速,•OH在纳摩尔浓度下的无干扰检测。它实现了2nM至2μM的线性检测范围和低至0.34nM的检测极限。重要的是,SERS传感器展示了水微滴中的鲁棒性和准确性,为大气中H2O2生成的全面机理研究铺平了道路。这种创新方法不仅为环境研究提供了强大的工具,而且还具有提高我们对大气H2O2形成及其对空气质量和污染物降解影响的理解的潜力。
    The spontaneous generation of hydrogen peroxide (H2O2) within atmospheric microdroplets, such as raindrops and aerosols, plays a crucial role in various environmental processes including pollutant degradation and oxidative stress. However, quantifying hydroxyl radicals (•OH), essential for H2O2 formation, remains challenging due to their short lifespan and low concentration. This study addresses this gap by presenting a highly sensitive and selective surface-enhanced Raman scattering (SERS) nanosensor specifically designed for quantifying •OH within water microdroplets. Utilizing a phthalhydrazide (Phth) probe, the SERS technique enables rapid, interference-free detection of •OH at nanomolar concentrations. It achieves a linear detection range from 2 nM to 2 μM and a limit of detection as low as 0.34 nM. Importantly, the SERS sensor demonstrates robustness and accuracy within water microdroplets, paving the way for comprehensive mechanistic studies of H2O2 generation in the atmosphere. This innovative approach not only offers a powerful tool for environmental research but also holds potential for advancing our understanding of atmospheric H2O2 formation and its impact on air quality and pollutant degradation.
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  • 文章类型: Journal Article
    背景:RNA测序(RNA-seq)广泛用于基因表达谱分析和定量。定量RNA测序通常需要细胞计数和掺入,这并不总是适用于许多样品。这里,我们提出了一种新的定量RNA测序方法,不依赖于刺入或细胞计数,命名为siqRNA-seq,它可以通过利用gDNA作为内部对照来定量描述基因表达。单链文库制备用于siqRNA-seq谱gDNA和cDNA,效率相等。
    结果:为了量化mRNA表达水平,用于总核酸的siqRNA-seq构建文库以建立用于表达定量的模型。与相对定量RNA-seq相比,siqRNA-seq在技术上是可靠的,并且对于表达谱分析是可重复的,但也可以对gDNA的读数进行测序,这可以用作精确表达定量的内部参考。应用siqRNA-seq研究放线菌素D对HEK293T细胞基因表达的影响,我们展示了siqRNA-seq在准确识别具有不同全局mRNA水平的样品之间的差异表达基因方面的优势。此外,我们使用siqRNA-seq分析了影响ActD调节的基因表达下降趋势的因素,发现与没有m6A修饰的mRNA相比,具有m6A修饰的mRNA表现出更快的衰减速率。此外,将该技术应用于7种肿瘤细胞系的定量分析,揭示了肿瘤细胞系中总mRNA表达的高度多样性。
    结论:总的来说,siqRNA-seq是一种刺入式独立定量RNA测序方法,它创造性地使用gDNA作为内部参考来绝对量化基因表达。我们认为siqRNA-seq提供了一种方便且通用的方法来定量描述各种样品中的mRNA景观。
    BACKGROUND: RNA sequencing (RNA-seq) is widely used for gene expression profiling and quantification. Quantitative RNA sequencing usually requires cell counting and spike-in, which is not always applicable to many samples. Here, we present a novel quantitative RNA sequencing method independent of spike-ins or cell counting, named siqRNA-seq, which can be used to quantitatively profile gene expression by utilizing gDNA as an internal control. Single-stranded library preparation used in siqRNA-seq profiles gDNA and cDNA with equal efficiency.
    RESULTS: To quantify mRNA expression levels, siqRNA-seq constructs libraries for total nucleic acid to establish a model for expression quantification. Compared to Relative Quantification RNA-seq, siqRNA-seq is technically reliable and reproducible for expression profiling but also can sequence reads from gDNA which can be used as an internal reference for accurate expression quantification. Applying siqRNA-seq to investigate the effects of actinomycin D on gene expression in HEK293T cells, we show the advantages of siqRNA-seq in accurately identifying differentially expressed genes between samples with distinct global mRNA levels. Furthermore, we analyzed factors influencing the downward trend of gene expression regulated by ActD using siqRNA-seq and found that mRNA with m6A modification exhibited a faster decay rate compared to mRNA without m6A modification. Additionally, applying this technique to the quantitative analysis of seven tumor cell lines revealed a high degree of diversity in total mRNA expression among tumor cell lines.
    CONCLUSIONS: Collectively, siqRNA-seq is a spike-in independent quantitative RNA sequencing method, which creatively uses gDNA as an internal reference to absolutely quantify gene expression. We consider that siqRNA-seq provides a convenient and versatile method to quantitatively profile the mRNA landscape in various samples.
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  • 文章类型: Journal Article
    由于物种掺假和剂量不准确导致的草药剂量变化会严重影响临床安全性和有效性。准确的物种量化仍然具有挑战性,因为目前的方法往往会产生不一致的结果。这项研究介绍了一种基于焦磷酸测序的新技术,称为草药分子定量(Herb-Q),旨在精确量化草药产品。我们使用半夏及其五种掺假品评估了其有效性。最初,我们用公共数据库中的序列评估了常用的DNA条形码,确定两个候选区域,成熟酶K(matK)和内部转录间隔区2(ITS2),用于筛选特定的单核苷酸多态性(SNP)基因座,允许特定物种的识别。通过对来自收集的样品的基因组材料进行扩增和测序来验证这些基因座。我们的验证研究表明,Herb-Q表现出良好的线性,准确度,重复性,和检测限。我们建立了高R2值(>0.99)的定量标准曲线,以实现精确的物种定量,与外部标准相结合,以提供清晰准确的视觉定量结果。定量假单胞菌块茎的平均偏差为2.38%,确认Herb-Q可以准确地识别和量化草药产品成分。此外,整个量化过程花费不到4小时。这项研究提出了一种新颖的,准确定量中药产品中物种的快速方法,推进了DNA条形码从物种鉴定到定量检测的应用。
    Variations in herb dosage due to species adulteration and dosing inaccuracies can substantially affect clinical safety and efficacy. Accurate species quantification remains challenging, as current methods often yield inconsistent results. This study introduces a novel pyrosequencing-based technique, termed herb molecular quantification (Herb-Q), designed to precisely quantify herbal products. We evaluated its effectiveness using Pinellia ternata and five of its adulterants. Initially, we assessed commonly used DNA barcodes with sequences from a public database, identifying two candidate regions, Maturase K (matK) and internal transcribed spacer 2 (ITS2), for screening specific single nucleotide polymorphism (SNP) loci, allowing for species-specific identification. These loci were validated by amplifying and sequencing genomic material from collected samples. Our validation studies showed that Herb-Q demonstrated excellent linearity, accuracy, repeatability, and detection limits. We established quantitative standard curves with high R2 values (> 0.99) to enable precise species quantification, which were combined with external standards to provide clear and accurate visual quantification results. The average bias in quantifying the tuber of P. ternata was 2.38%, confirming that Herb-Q can accurately identify and quantify herbal product constituents. Moreover, the entire quantification process took less than 4 h. This study presents a novel, rapid method for accurately quantifying species in herbal products and advances the application of DNA barcoding from species identification to quantitative detection.
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  • 文章类型: Journal Article
    近年来,血清乙型肝炎病毒(HBV)RNA已被确定为肝内共价闭合环状DNA(cccDNA)的有希望的非侵入性替代生物标志物,慢性HBV感染患者需要进行侵入性肝活检。在临床管理中检测肝内cccDNA作为慢性乙型肝炎(CHB)患者的常规诊断是不切实际的。这里,我们描述了血清HBVRNA定量的详细协议,可以反映肝内cccDNA的活性。该程序包括三个主要步骤:(1)从患者血清中同时分离HBVDNA和RNA,(2)DNaseⅠ消化去除HBVDNA沾染,和(3)通过一步逆转录qPCR定量HBVRNA。
    In recent years, serum hepatitis B virus (HBV) RNA has been identified as a promising noninvasive surrogate biomarker of intrahepatic covalently closed circular DNA (cccDNA), detection of which requires an invasive liver biopsy in patients with chronic HBV infection. It is impractical to detect intrahepatic cccDNA as a routine diagnosis for chronic hepatitis B (CHB) patients in clinical management. Here, we describe a detailed protocol for serum HBV RNA quantification, which can reflect the activity of intrahepatic cccDNA. The procedure includes three major steps: (1) Simultaneous isolation of HBV DNA and RNA from patients\' serum, (2) DNase I digestion for removing HBV DNA contamination, and (3) HBV RNA quantification by one-step reverse transcription qPCR.
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  • 文章类型: Journal Article
    二萜-copalol是合成穿心莲内酯的重要前体,仅在绿色chiretta(穿心莲)中发现。从头生物合成的恩替-copalol尚未报道,因为在微生物中,ent-copalyl二磷酸合酶(CPS)的催化活性非常低。为了实现恩替卡醇的生物合成,选择酿酒酵母作为底盘菌株,因为其内源性甲羟戊酸途径和去磷酸酶可以为ent-copalol的合成提供自然促进。通过增强甲羟戊酸途径基因和减弱竞争途径,构建了能够合成二萜香叶基香叶基焦磷酸的菌株。通过A.paniculata的转录组测序筛选出五个全长ApCPSs,ApCPS2具有最佳活性并仅产生ent-CPP。ApCPS2饱和突变后,恩替卡醇的峰面积增加,其构型通过NMR和ESI-MS检测确定。通过适当优化乙酰辅酶A供应和融合表达关键酶,产生35.6mg/L的恩替卡洛尔。在这项研究中,从头生物合成和鉴定的恩替-copalol实现了有史以来的最高滴度。为穿心莲内酯及其衍生物的进一步途径分析提供了平台菌株,为其他药物中间体的合成提供了参考。
    The diterpene ent-copalol is an important precursor to the synthesis of andrographolide and is found only in green chiretta (Andrographis paniculata). De novo biosynthesis of ent-copalol has not been reported, because the catalytic activity of ent-copalyl diphosphate synthase (CPS) is very low in microorganisms. In order to achieve the biosynthesis of ent-copalol, Saccharomyces cerevisiae was selected as the chassis strain, because its endogenous mevalonate pathway and dephosphorylases could provide natural promotion for the synthesis of ent-copalol. The strain capable of synthesizing diterpene geranylgeranyl pyrophosphate was constructed by strengthening the mevalonate pathway genes and weakening the competing pathway. Five full-length ApCPSs were screened by transcriptome sequencing of A. paniculata and ApCPS2 had the best activity and produced ent-CPP exclusively. The peak area of ent-copalol was increased after the ApCPS2 saturation mutation and its configuration was determined by NMR and ESI-MS detection. By appropriately optimizing acetyl-CoA supply and fusion-expressing key enzymes, 35.6 mg/L ent-copalol was generated. In this study, de novo biosynthesis and identification of ent-copalol were achieved and the highest titer ever reported. It provides a platform strain for the further pathway analysis of andrographolide and derivatives and provides a reference for the synthesis of other pharmaceutical intermediates.
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  • 文章类型: Journal Article
    背景:大葱在中国也被命名为谢白。它是一种可食用的蔬菜,也是治疗冠心病的著名草药。AlliumchinenseG.Don(ACGD)和AlliummacrostemonBunge(AMB)是植物来源。这项研究的目的是探索心脏保护作用,和破译视觉空间分布和绝对含量的初级代谢产物从这两种草药。
    方法:用H9c2细胞建立缺氧-复氧(H/R)诱导的心肌损伤模型。通过凋亡水平评估其保护作用。此外,进行了基质辅助激光解吸/电离飞行时间串联质谱成像方法(MALDI-TOFMSI),以显示包括脂肪酸在内的主要代谢物的空间位置,氨基酸,类胡萝卜素,这两种葱属草药中的维生素。应用多种分析方法通过液相色谱串联质谱法(LC-MS)对AMB和ACGD灯泡中的这些主要代谢物进行定量分析。
    结果:首先,AMB和ACGD提取物均可增加H9c2细胞的细胞活力,并减轻H/R诱导的损伤。它们显著减少了细胞凋亡,伴随着BCL-2/BAX途径的激活。Further,基于MALDI-TOFMSI的相对定量结果显示几种氨基酸,脂肪酸,类胡萝卜素,新鲜鳞茎的外衣和鳞片中富含维生素,而一些初级代谢产物在其发育中的花蕾中含量丰富。绝对定量结果表明,ACGD球茎中氨基酸的总含量高于AMB,而脂肪酸和维生素的总含量在这两种葱属草药中提供了相反的趋势。类胡萝卜素和微量元素的总含量在AMB和ACGD样品之间没有显着差异。
    结论:本研究将有助于了解这两种中药对心肌损伤的保护作用。及其主要养分的空间积累和定量含量水平。
    BACKGROUND: Allii Macrostemonis Bulbus is also named Xiebai in China. It is an edible vegetable, and also a famous herb for treating coronary heart disease. Allium chinense G. Don (ACGD) and Allium macrostemon Bunge (AMB) are it botanical sources. The aim of this study was to explore the cardioprotective effects, and decipher the visual spatial distribution and absolute content of primary metabolites derived from these two herbs.
    METHODS: H9c2 cells were used to perform the hypoxia-reoxygenation (H/R)-induced myocardial injury model. Their protective effects were evaluated by apoptosis levels. Furthermore, matrix-assisted laser desorption/ionization time-of-flight tandem mass spectrometry imaging approach (MALDI-TOF MSI) was carried out to present the spatial location of primary metabolites including fatty acids, amino acids, carotenoids, and vitamins in these two Allium herbs. Multiple analytical methods were applied to perform quantitative analysis of these primary metabolites in AMB and ACGD bulbs by liquid chromatography tandem mass spectrometry (LC-MS).
    RESULTS: First, AMB and ACGD extracts both could increase the cell viability in H9c2 cells, and attenuate H/R-induced injury. They markedly decreased apoptosis, accompanied by activating the BCL-2/BAX pathway. Further, MALDI-TOF MSI-based relative quantification results showed several amino acids, fatty acids, carotenoids, and vitamins were largely rich in the tunics and outside scales of fresh bulbs, while some primary metabolites were abundant in their developing flower buds. Absolute quantification results displayed total contents of amino acids in ACGD bulbs were higher than those in AMB, while total contents of fatty acids and vitamins provides opposite trends in these two Allium herbs. The total contents of carotenoids and trace elements showed no significant differences between AMB and ACGD samples.
    CONCLUSIONS: This study would be helpful to understand the myocardial injury protection effects of these two Allium herbs, and the spatial accumulation and quantitative content levels of their main nutrients.
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  • 文章类型: Journal Article
    该研究旨在开发老年男性盆底和大腿的有限元模型,以定量评估不同盆底肌肉训练的影响以及泌尿和排便控制能力。
    基于MRI和CT构建了老年男性盆底和大腿的有限元模型。盆底组织的材料特性通过文献综述,以及腰围的相对变化,后膀胱角度(RVA)和非直肠角度(ARA)定量验证了模型的有效性。通过改变肌肉的物质特性,该研究分析了五种康复训练对四种排尿排便功能障碍的肌肉增强或损伤效果。四个结果指标的变化,包括后膀胱角度,非矩形角度,压力,和应变,进行了比较。
    这项研究表明,随着材料性能的变化,ARA和RVA接近其正常范围,表明泌尿和排便控制能力增强,特别是通过有针对性的肛提肌锻炼,肛门外括约肌,和盆底肌肉.这项研究还强调了个性化康复计划的有效性,包括生物反馈,运动训练,电刺激,磁刺激,和振动训练,并倡导为老年患者提供优化的康复训练方法。
    基于计算生物力学的结果,本研究为老年人排尿和排便控制能力的康复训练提供了基础性的科学见解和实践建议,从而提高他们的生活质量。此外,本研究还提供了有限元分析在老年男性中的新观点和潜在应用,特别是在评估和设计有针对性的康复训练。
    UNASSIGNED: The study aims to develop a finite element model of the pelvic floor and thighs of elderly men to quantitatively assess the impact of different pelvic floor muscle trainings and the urinary and defecation control ability.
    UNASSIGNED: A finite element model of the pelvic floor and thighs of elderly men was constructed based on MRI and CT. Material properties of pelvic floor tissues were assigned through literature review, and the relative changes in waistline, retrovesical angle (RVA) and anorectad angulation (ARA) to quantitatively verify the effectiveness of the model. By changing the material properties of muscles, the study analyzed the muscle strengthening or impairment effects of the five types of rehabilitation training for four types of urination and defecation dysfunction. The changes in four outcome indicators, including the retrovesical angle, anorectad angulation, stress, and strain, were compared.
    UNASSIGNED: This study indicates that ARA and RVA approached their normal ranges as material properties changed, indicating an enhancement in the urinary and defecation control ability, particularly through targeted exercises for the levator ani muscle, external anal sphincter, and pelvic floor muscles. This study also emphasizes the effectiveness of personalized rehabilitation programs including biofeedback, exercise training, electrical stimulation, magnetic stimulation, and vibration training and advocates for providing optimized rehabilitation training methods for elderly patients.
    UNASSIGNED: Based on the results of computational biomechanics, this study provides foundational scientific insights and practical recommendations for rehabilitation training of the elderly\'s urinary and defecation control ability, thereby improving their quality of life. In addition, this study also provides new perspectives and potential applications of finite element analysis in elderly men, particularly in evaluating and designing targeted rehabilitation training.
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  • 文章类型: Journal Article
    微塑料(MPs),特别是聚苯乙烯微塑料(PS-MPs),出现了一种新的全球污染物,引起公众对他们在环境媒体中的检测的重大关注。由于矩阵非常复杂,土壤中PS-MPs的分析仍然是一项艰巨的任务。这项工作提出了一种检测土壤中PS-MPs的实用方法,其中涉及稀HCl辅助萃取和凝胶渗透色谱-紫外检测(GPC-UV)分析。通过使用扫描电子显微镜并结合能量色散光谱研究,证实了土壤中MP的存在。PS-MPs是从土壤中分离出来的,用稀释的HCl溶液搅拌,过滤产生的液体,用THF溶解过滤器上的残余物。随后通过GPC-UV测定萃取剂。发现在提取系统中引入少量HCl可以大大加快土壤在水中的沉降,并在约30分钟内提高提取PS-MPs的功效。PS-MPs的线性范围为1.0~100μg/mL,R2>0.999。用日内相对标准偏差(RSD,n=3)为1.36%,日间RSD(n=3)为4.78%。土壤样品中PS-MPs的浓度为N.D.-2.33μg/g,良好的回收率为76.7-100.3%。相应的AFGEEprer评分计算为0.59,表明预处理方法的绿色分析化学概念。这些结果表明,该方法具有准确,快速测定土壤中PS-MPs的强大潜力。
    Microplastics (MPs), especially polystyrene microplastics (PS-MPs), have emerged a new worldwide pollutant, prompting significant public concern regarding their detection in environmental media. Analysis of PS-MPs in soil remains as a challenging task for analysts due to the highly intricate matrices. This work presents a practical approach for detecting PS-MPs in soil, which involves dilute HCl-assisted extraction and gel permeation chromatography- ultraviolet detection (GPC-UV) analysis. The presence of MPs in soil was confirmed through the use of a scanning electron microscope in conjunction with energy dispersive spectroscopy investigation. PS-MPs was isolated from soil, by agitating it with a diluted HCl solution, filtering the resulting liquid, and dissolving the residue on the filter with THF. The extractant was subsequently determined by GPC-UV. The introduction of a small amount of HCl into the extraction system was found to greatly expedite the settling of soil in water and enhance the efficacy of extracting PS-MPs in about 30 min. The linear range of PS-MPs was from 1.0 to 100 μg/mL with R2 > 0.999. Good reproducibility was obtained with the intra-day relative standard deviation (RSD, n = 3) of 1.36 % and the inter-day RSD (n = 3) of 4.78 %. The concentration of PS-MPs in soil samples were N.D. - 2.33 μg/g, and the good recoveries were 76.7-100.3 %. The corresponding AFGEEprer score was calculated to be 0.59, indicating the concept of green analytical chemistry for the pretreatment method. These results indicated that this method has a powerful potential for the accurate and rapid determination of PS-MPs in soil.
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  • 文章类型: Journal Article
    背景:研究仰卧位患者胸腔积液(PE)体积超声定量的三个模型公式的准确性。
    方法:进行了一项前瞻性研究,包括100例肺静脉穿刺引流患者。三个模型公式(单段模型,两段模型和多段模型)用于计算PE体积。进行了从三个模型得出的计算体积与实际PE体积之间的相关性和一致性分析。
    结果:通过三个模型计算的PE体积均显示出与仰卧位实际PE体积的显着线性相关性(均p<0.001)。多截面模型预测PE体积的可靠性明显高于单截面模型,略高于二截面模型。与实际排水量相比,单截面模型的类内相关系数(ICC),两段模型和多段模型分别为0.72、0.97和0.99。对于全PE体积范围(ICC0.98),通过使用两段模型和多段模型计算的PE体积之间存在显著一致性。
    结论:基于超声定量PE体积的便利性和准确性,在常规临床中,两段模型被推荐用于胸腔积液的评估,但可以根据临床需要选择不同的模型配方。
    BACKGROUND: To investigate the accuracy of three model formulae for ultrasound quantification of pleural effusion (PE) volume in patients in supine position.
    METHODS: A prospective study including 100 patients with thoracentesis and drainage of PE was conducted. Three model formulae (single section model, two section model and multi-section model) were used to calculate the PE volume. The correlation and consistency analyses between calculated volumes derived from three models and actual PE volume were performed.
    RESULTS: PE volumes calculated by three models all showed significant linear correlations with actual PE volume in supine position (all p < 0.001). The reliability of multi-section model in predicting PE volume was significantly higher than that of single section model and slightly higher than that of two section model. When compared with actual drainage volume, the intra-class correlation coefficients (ICCs) of single section model, two section model and multi-section model were 0.72, 0.97 and 0.99, respectively. Significant consistency between calculated PE volumes by using two section model and multi-section model existed for full PE volume range (ICC 0.98).
    CONCLUSIONS: Based on the convenience and accuracy of ultrasound quantification of PE volume, two section model is recommended for pleural effusion assessment in routine clinic, though different model formulae can be selected according to clinical needs.
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