Imaging Techniques

成像技术
  • 文章类型: Journal Article
    影像学的发展积极塑造了该领域的临床管理。超声检查(美国),计算机断层扫描血管造影(CTA),磁共振血管造影(MRA)是研究最广泛的ABR成像方式。正在进行的进步包括“实时”血管造影和三维(3D)表面成像,未来的前景包括增强或虚拟现实(AR/VR)和人工智能(AI)。这些技术可以进一步提高围手术期的效率,减少供体部位的发病率,并改善ABR的手术结局。
    The evolution of imaging actively shapes clinical management in the field. Ultrasonography (US), computed tomography angiography (CTA), and magnetic resonance angiography (MRA) stand out as the most extensively researched imaging modalities for ABR. Ongoing advancements include \"real-time\" angiography and three-dimensional (3D) surface imaging, and future prospects incorporate augmented or virtual reality (AR/VR) and artificial intelligence (AI). These technologies may further enhance perioperative efficiency, reduce donor-site morbidity, and improve surgical outcomes in ABR.
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  • 文章类型: Journal Article
    神经退行性疾病的正电子发射断层扫描(PET)成像历来集中在少数已确定的目标上。用于新型生物靶标的选择性PET放射性示踪剂的开发使询问蛋白质病的神经病理学的新方法成为可能,并将增进我们对神经变性的理解。这一观点旨在强调最近为蛋白质病中的五个新兴靶标开发的PET放射性示踪剂(即,mHTT,BACE1,TDP-43,OGA,和CH24H)。
    Positron emission tomography (PET) imaging of neurodegenerative disease has historically focused on a small number of established targets. The development of selective PET radiotracers for novel biological targets enables new ways to interrogate the neuropathology of proteinopathies and will advance our understanding of neurodegeneration. This perspective aims to highlight recent PET radiotracers developed for five emerging targets in proteinopathies (i.e., mHTT, BACE1, TDP-43, OGA, and CH24H).
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  • 文章类型: Journal Article
    自组装肽由于其优异的生物相容性和多样化的功能而成为重要的生物材料之一。在过去的几十年里,在设计具有多方面生物医学应用的自组装肽方面取得了实质性进展和突破。定量分析技术,包括基于成像的定量技术,色谱技术和计算方法(分子动力学模拟),正在成为探索结构的强大工具,属性,生物医学应用,甚至是自组装肽的超分子组装过程。然而,关于这些定量技术的全面审查仍然很少。在这次审查中,生物稳定性定量研究技术的最新进展,细胞摄取,生物分布,自组装肽的自组装行为等。,是总结的。详细介绍了这些技术的具体应用和作用。最后,总结了该领域的挑战和展望。相信本综述将为肽基材料和制药领域的研究人员提供技术指导,并促进该领域新来者的相关研究。
    Self-assembled peptides have been among the important biomaterials due to its excellent biocompatibility and diverse functions. Over the past decades, substantial progress and breakthroughs have been made in designing self-assembled peptides with multifaceted biomedical applications. The techniques for quantitative analysis, including imaging-based quantitative techniques, chromatographic technique and computational approach (molecular dynamics simulation), are becoming powerful tools for exploring the structure, properties, biomedical applications, and even supramolecular assembly processes of self-assembled peptides. However, a comprehensive review concerning these quantitative techniques remains scarce. In this review, recent progress in techniques for quantitative investigation of biostability, cellular uptake, biodistribution, self-assembly behaviors of self-assembled peptide etc., are summarized. Specific applications and roles of these techniques are highlighted in detail. Finally, challenges and outlook in this field are concluded. It is believed that this review will provide technical guidance for researchers in the field of peptide-based materials and pharmaceuticals, and facilitate related research for newcomers in this field.
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  • 文章类型: Journal Article
    本文就血管生成在乳腺癌进展和治疗中的关键作用作一综述。它涵盖了生物标志物,成像技术,治疗方法,抵抗机制,和临床意义。关键主题包括血管内皮生长因子,血管生成素,microRNA签名,循环内皮细胞作为生物标志物,随着磁共振成像,CT血管造影,超声波,和正电子发射断层扫描成像。靶向VEGF的治疗策略,酪氨酸激酶抑制剂,并讨论了血管生成与免疫治疗的交叉。解决了诸如抗性机制和个性化医疗方法等挑战。临床意义,预后价值,并强调了血管生成靶向治疗的未来方向。本文最后对理解血管生成的转化潜力进行了思考。
    This review explores the pivotal role of angiogenesis in breast cancer progression and treatment. It covers biomarkers, imaging techniques, therapeutic approaches, resistance mechanisms, and clinical implications. Key topics include Vascular Endothelial Growth Factors, angiopoietins, microRNA signatures, and circulating endothelial cells as biomarkers, along with Magnetic Resonance Imaging, Computed Tomography Angiography, Ultrasound, and Positron Emission Tomography for imaging. Therapeutic strategies targeting VEGF, tyrosine kinase inhibitors, and the intersection of angiogenesis with immunotherapy are discussed. Challenges such as resistance mechanisms and personalized medicine approaches are addressed. Clinical implications, prognostic value, and the future direction of angiogenesis-targeted therapies are highlighted. The article concludes with reflections on the transformative potential of understanding angiogenesis.
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  • 文章类型: Journal Article
    棘球蚴病,由棘球蚴引起的寄生虫感染,根据囊肿的位置和大小,可能会导致各种症状。本文探讨了包虫病的复杂性,包括它的传输周期,临床表现,诊断,和治疗方法。该综述强调了与诊断不同类型的包虫病相关的挑战。包括囊性包虫病,泡状包虫病,和多囊包虫病。每种形式的疾病都需要一种独特的诊断方法,该方法通常结合血清学测试。成像技术,和组织学分析。文章探讨了各型包虫病的治疗方案,包括手术切除,药物,和微创程序,如穿刺-抽吸-注射-再呼吸(PAIR)。文章承认目前治疗方法的局限性,并强调需要进一步研究改进的诊断方法,药物靶标,和预防措施。这篇综述旨在全面概述包虫病,包括它的传输,临床表现,诊断,和治疗方式。通过概述疾病的复杂性并强调未来研究的领域,本文希望有助于改善疾病管理和控制。审查的主要发现包括识别在区分囊性,肺泡,多囊包虫病,手术切除和PAIR等治疗方式的不同疗效,以及迫切需要进一步研究增强的诊断方法,新的药物靶点,有效的预防策略。
    Echinococcosis, a parasitic infection caused by Echinococcus tapeworms, can cause various symptoms depending on the location and size of the cysts. This article explores the complexities of echinococcosis, including its transmission cycle, clinical manifestations, diagnosis, and treatment approaches. The review highlights the challenges associated with diagnosing the different echinococcosis types, including cystic echinococcosis, alveolar echinococcosis, and polycystic echinococcosis. Each form of the disease necessitates a unique diagnostic approach that often combines serological tests, imaging techniques, and histological analysis. The article explores treatment options for each type of echinococcosis, including surgical resection, medication, and minimally invasive procedures such as puncture-aspiration-injection-reaspiration (PAIR). The article acknowledges current treatment methods\' limitations and emphasises the need for further research into improved diagnostics, drug targets, and preventative measures. This review aims to provide a comprehensive overview of echinococcosis, encompassing its transmission, clinical presentation, diagnosis, and treatment modalities. By outlining the complexities of the disease and highlighting areas for future research, the article hopes to contribute to improved disease management and control. Key findings of the review include the identification of significant diagnostic challenges in differentiating between cystic, alveolar, and polycystic echinococcosis, the varying efficacy of treatment modalities such as surgical resection and PAIR, and the urgent need for further research into enhanced diagnostic methods, novel drug targets, and effective preventative strategies.
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  • 文章类型: Journal Article
    CT技术的最新进展为实践引入了革命性的创新,称为光子计数探测器(PCD)CT成像。PCD-CT扫描仪的关键硬件增强在于其探测器,它由比标准探测器更小的像素组成,并允许将单个X射线直接转换为电信号。因此,以更高的空间分辨率(低至0.2mm)重建CT图像,并降低整体噪声,在不增加辐射剂量的情况下。这些特征对儿科成像至关重要,特别是对于婴儿和幼儿,其中解剖结构明显小于成人,并且在其中保持尽可能低的剂量尤其相关。自2022年1月以来,我们医院有机会使用PCD-CT技术进行儿科成像。这篇图片综述将展示儿童PCD-CT成像的临床实例。本图片综述的目的是概述PCD-CT在不同解剖区域的潜在儿科应用。以及讨论与常规标准能量积分探测器CT相比,利用PCD-CT的好处。
    Recent advancements in CT technology have introduced a revolutionary innovation to practice known as the Photon-Counting detector (PCD) CT imaging. The pivotal hardware enhancement of the PCD-CT scanner lies in its detectors, which consist of smaller pixels than standard detectors and allow direct conversion of individual X-rays to electrical signals. As a result, CT images are reconstructed at higher spatial resolution (as low as 0.2 mm) and reduced overall noise, at no expense of an increased radiation dose. These features are crucial for paediatric imaging, especially for infants and young children, where anatomical structures are notably smaller than in adults and in whom keeping dose as low as possible is especially relevant. Since January 2022, our hospital has had the opportunity to work with PCD-CT technology for paediatric imaging. This pictorial review will showcase clinical examples of PCD-CT imaging in children. The aim of this pictorial review is to outline the potential paediatric applications of PCD-CT across different anatomical regions, as well as to discuss the benefits in utilizing PCD-CT in comparison to conventional standard energy integrating detector CT.
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  • 文章类型: Journal Article
    当前缺乏客观和定量的评估技术来确定心脏移植物的相对生存力,导致了规避风险的决策。这对心脏移植物的利用产生了负面影响。这篇综述的目的是在关注利用传统和新兴成像模式的新型心脏评估技术之前,强调目前心脏同种异体移植评估的不足。包括超声波,磁共振,和光谱学。
    科学界正在开展广泛的工作,以确定用于心脏移植评估的改进的客观指标和工具。目的是安全地增加接受移植的心脏的数量和比例。
    这篇综述简要讨论了目前可用于临床器官评估的原位和离体工具,在关注超声波的个人能力之前,磁共振,和光谱学提供有洞察力的,关于心脏移植物功能和代谢状态的非侵入性信息,可用于预测移植后的结果。
    UNASSIGNED: The current lack of objective and quantitative assessment techniques to determine cardiac graft relative viability results in risk-averse decision-making, which negatively impact the utilization of cardiac grafts. The purpose of this review is to highlight the current deficiencies in cardiac allograft assessment before focusing on novel cardiac assessment techniques that exploit conventional and emerging imaging modalities, including ultrasound, magnetic resonance, and spectroscopy.
    UNASSIGNED: Extensive work is ongoing by the scientific community to identify improved objective metrics and tools for cardiac graft assessment, with the goal to safely increasing the number and proportion of hearts accepted for transplantation.
    UNASSIGNED: This review briefly discusses the in situ and ex vivo tools currently available for clinical organ assessment, before focusing on the individual capabilities of ultrasound, magnetic resonance, and spectroscopy to provide insightful, non-invasive information regarding cardiac graft functional and metabolic status that may be used to predict outcome after transplantation.
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  • 文章类型: Journal Article
    神经胶质瘤是最具有药物和辐射抗性的肿瘤之一。胶质瘤患有肿瘤间和肿瘤内异质性,这使得相似治疗方案的结果因患者而异。本文旨在概述用于个体诊断的潜在成像标志物,预后,恶性胶质瘤的治疗反应预测。此外,对胶质瘤患者的影像学表现与生物学和临床信息的相关性进行综述。
    本研究的搜索策略是从PubMed等科学网站选择相关研究,Scopus,谷歌学者,和WebofScience直到2022年出版。它由诸如生物标记等关键词的组合组成,诊断,预后,成像技术,恶性神经胶质瘤,根据医学主题词。
    在神经胶质瘤管理中有效的一些成像参数包括:ADC,FA,Ktrans,局部脑血容量(rCBV),脑血流量(CBF),ve,Cho/NAA和乳酸/脂质比率,肿瘤内摄取18F-FET(用于诊断应用),RD,ADC,ve,vp,Ktrans,CBFT1,rCBV,肿瘤血流,Cho/NAA,乳酸/脂质,MI/Cho,18F-FET的吸收,11C-MET,和18F-FLT(用于预后和预测应用)。脑血容量和Ktrans与血管内皮生长因子(VEGF)等分子标志物有关。GBM肿瘤的术前ADCmin值与O6-甲基鸟嘌呤-DNA甲基转移酶(MGMT)启动子甲基化状态相关。2-羟基戊二酸代谢物和动态18F-FDOPA正电子发射断层扫描摄取与异柠檬酸脱氢酶(IDH)突变有关。
    包括ADC在内的参数,RD,FA,rCBV,Ktrans,vp,摄取18F-FET有助于诊断,预后,脑胶质瘤的治疗反应预测。分子标志物如VEGF,MGMT,和具有一些扩散和灌注成像参数的IDH突变已被鉴定。
    UNASSIGNED: Glioma is one of the most drug and radiation-resistant tumors. Gliomas suffer from inter- and intratumor heterogeneity which makes the outcome of similar treatment protocols vary from patient to patient. This article is aimed to overview the potential imaging markers for individual diagnosis, prognosis, and treatment response prediction in malignant glioma. Furthermore, the correlation between imaging findings and biological and clinical information of glioma patients is reviewed.
    UNASSIGNED: The search strategy in this study is to select related studies from scientific websites such as PubMed, Scopus, Google Scholar, and Web of Science published until 2022. It comprised a combination of keywords such as Biomarkers, Diagnosis, Prognosis, Imaging techniques, and malignant glioma, according to Medical Subject Headings.
    UNASSIGNED: Some imaging parameters that are effective in glioma management include: ADC, FA, Ktrans, regional cerebral blood volume (rCBV), cerebral blood flow (CBF), ve, Cho/NAA and lactate/lipid ratios, intratumoral uptake of 18F-FET (for diagnostic application), RD, ADC, ve, vp, Ktrans, CBFT1, rCBV, tumor blood flow, Cho/NAA, lactate/lipid, MI/Cho, uptakes of 18F-FET, 11C-MET, and 18F-FLT (for prognostic and predictive application). Cerebral blood volume and Ktrans are related to molecular markers such as vascular endothelial growth factor (VEGF). Preoperative ADCmin value of GBM tumors is associated with O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation status. 2-hydroxyglutarate metabolite and dynamic 18F-FDOPA positron emission tomography uptake are related to isocitrate dehydrogenase (IDH) mutations.
    UNASSIGNED: Parameters including ADC, RD, FA, rCBV, Ktrans, vp, and uptake of 18F-FET are useful for diagnosis, prognosis, and treatment response prediction in glioma. A significant correlation between molecular markers such as VEGF, MGMT, and IDH mutations with some diffusion and perfusion imaging parameters has been identified.
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  • 文章类型: Journal Article
    癌症和纤维化都是涉及细胞信号传导途径失调的疾病,导致改变的细胞微环境,这最终导致病症的进展。这两种疾病实体具有共同的分子病理生理学,最近的研究阐明了彼此的促进作用。已经开发了多种成像技术来帮助对每种疾病的早期和准确诊断。考虑到这些疾病的病理生理学之间的共性,一种疾病成像的进展为研究另一种疾病开辟了新的途径。这里,我们详细介绍了每种疾病的成像技术的最新进展,以及它们如何交叉以改善对另一种疾病的检测和监测。我们探索正电子发射断层扫描(PET)技术,磁共振成像(MRI),第二代谐波成像(SGHI),超声(美国),影像组学,人工智能(AI)。PET/计算机断层扫描(CT)中一种新的诊断成像工具是使用放射性标记的成纤维细胞活化蛋白抑制剂(FAPI)。SGHI使用高频声波深入组织,提供更详细的肿瘤微环境视图。借助先进的深度学习(DL)算法的人工智能在训练计算机系统以诊断和分类多个器官的肿瘤病变方面非常有效。最终,在癌症和纤维化方面,先进的成像技术可以显著更及时和准确地诊断这两种疾病,从而获得更好的患者预后.
    Both cancer and fibrosis are diseases involving dysregulation of cell signaling pathways resulting in an altered cellular microenvironment which ultimately leads to progression of the condition. The two disease entities share common molecular pathophysiology and recent research has illuminated the how each promotes the other. Multiple imaging techniques have been developed to aid in the early and accurate diagnosis of each disease, and given the commonalities between the pathophysiology of the conditions, advances in imaging one disease have opened new avenues to study the other. Here, we detail the most up-to-date advances in imaging techniques for each disease and how they have crossed over to improve detection and monitoring of the other. We explore techniques in positron emission tomography (PET), magnetic resonance imaging (MRI), second generation harmonic Imaging (SGHI), ultrasound (US), radiomics, and artificial intelligence (AI). A new diagnostic imaging tool in PET/computed tomography (CT) is the use of radiolabeled fibroblast activation protein inhibitor (FAPI). SGHI uses high-frequency sound waves to penetrate deeper into the tissue, providing a more detailed view of the tumor microenvironment. Artificial intelligence with the aid of advanced deep learning (DL) algorithms has been highly effective in training computer systems to diagnose and classify neoplastic lesions in multiple organs. Ultimately, advancing imaging techniques in cancer and fibrosis can lead to significantly more timely and accurate diagnoses of both diseases resulting in better patient outcomes.
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  • 文章类型: Journal Article
    本病例集中于持续性左上腔静脉(PLSVC),导致中心静脉导管(CVC)错位的罕见血管异常。一名72岁的肾功能不全妇女被送往医院,其永久性CVC装置放置在右颈总静脉中,反复出血。最初尝试更换设备失败,需要在左颈静脉中放置辅助导管。手术后不久,患者出现面部和颈部肿胀。进一步的诊断成像,包括胸部X光片和计算机断层扫描(CT),显示PLSVC和冠状窦中的CVC错位,颈总静脉血栓形成,和后纵隔血肿.在这种情况下,纵隔血肿的保守治疗被实施并证明是有效的。将临时CVC插入左股静脉。两个月后,导管进一步出现功能障碍,我们决定通过右股静脉放置长期永久性CVC.患者目前正在等待动静脉瘘进行透析。这个案例强调了放射学技术对于CVC程序放置的重要性,以及先天性异常的检测。定期放置CVC的提供者应深入了解可能的并发症和潜在的解剖变异,尤其是在高危患者身上。
    This case concentrates on the persistent left superior vena cava (PLSVC), a rare vascular anomaly which contributes to central venous catheter (CVC) misplacement. A 72-year-old woman with renal insufficiency presented to the hospital with recurrent bleeding from her permanent CVC device placed in the right common jugular vein. An initial attempt to replace the device was unsuccessful, necessitating the placement of a secondary catheter in the left jugular vein. Shortly after the procedure, the patient developed swelling of the face and neck. Further diagnostic imaging, including a chest radiograph and computed tomography (CT), revealed CVC misplacement in the PLSVC and coronary sinus, thrombosis of the common jugular vein, and a posterior mediastinal hematoma. Conservative therapy of the mediastinal hematoma was implemented and proved effective in this case. A temporary CVC was inserted into the left femoral vein. Two months later, the catheter underwent further dysfunction and a decision was made to place a long-term permanent CVC via the right femoral vein. The patient is currently awaiting an arteriovenous fistula for dialysis use. This case emphasizes the importance of radiological techniques for CVC procedural placement, as well as the detection of congenital abnormalities. Providers regularly placing CVCs should have an in-depth knowledge of the possible complications and potential anatomical variations, especially as seen in high-risk patients.
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