ImageJ

ImageJ
  • 文章类型: Journal Article
    胞吐作用是一种动态的生理过程,其能够通过膜隔室与质膜的融合将生物分子释放到周围环境中。了解其机制至关重要,因为缺陷会损害基本的生物学功能。pH敏感的光学报道分子与荧光显微镜的发展使得能够在细胞水平上评估个体囊泡胞吐事件。手动注释表示,然而,一项耗时的任务,容易出现选择偏差和人为操作错误。这里,我们介绍ExoJ,基于ImageJ2/斐济的自动插件。ExoJ确定了用户定义的真正的胞吐事件人群,记录定量特征,包括强度,表观大小和持续时间。我们将ExoJ设计为完全用户可配置的,无论成像质量如何,都适合研究不同形式的囊泡胞吐作用。我们的插件通过展示四跨膜蛋白和囊泡SNAREs蛋白报告基因之间的独特胞吐动力学来展示其功能。对合成数据的性能评估表明,ExoJ是一个强大的工具,能够独立于信噪比条件正确识别胞吐事件。我们建议ExoJ作为未来胞吐的比较和定量研究的标准解决方案。
    Exocytosis is a dynamic physiological process that enables the release of biomolecules to the surrounding environment via the fusion of membrane compartments to the plasma membrane. Understanding its mechanisms is crucial, as defects can compromise essential biological functions. The development of pH-sensitive optical reporters alongside fluorescence microscopy enables the assessment of individual vesicle exocytosis events at the cellular level. Manual annotation represents, however, a time-consuming task, prone to selection biases and human operational errors. Here, we introduce ExoJ, an automated plugin based on ImageJ2/Fiji. ExoJ identifies user-defined genuine populations of exocytosis events, recording quantitative features including intensity, apparent size and duration. We designed ExoJ to be fully user-configurable, making it suitable to study distinct forms of vesicle exocytosis regardless of the imaging quality. Our plugin demonstrates its capabilities by showcasing distinct exocytic dynamics among tetraspanins and vesicular SNAREs protein reporters. Assessment of performance on synthetic data showed ExoJ is a robust tool, capable to correctly identify exocytosis events independently of signal-to-noise ratio conditions. We propose ExoJ as a standard solution for future comparative and quantitative studies of exocytosis.
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  • 文章类型: Journal Article
    目的:血清咖啡因浓度是咖啡因中毒的指标;然而,在大多数急诊科很难测量。我们使用尿液咖啡因的即时检测试剂盒开发了一种简单的估计方法。
    方法:将掺咖啡因的人血清(100、50、25和10µg/mL)稀释10-,20-,50-,和100倍的磷酸盐缓冲盐水,并应用于试剂盒。孵育5分钟后,试剂盒用平板扫描仪扫描,膜图像用ImageJ处理.
    结果:当使用20倍稀释的血清时,初始咖啡因浓度≤25和≥50µg/mL的血清样本为咖啡因阴性和阳性,分别。当使用100倍稀释的血清时,所有掺加咖啡因的血清样本均未得到阳性结果.因此,我们提出了以下测试程序:(i)最初测试了20倍稀释的血清,(ii)当最初结果为咖啡因阳性时,还测试了100倍稀释的血清.使用此过程,咖啡因浓度预计分为三个级别:≤25、>25-≤100和>100µg/mL,几乎对应于无或轻度,严重,和潜在的致命中毒,分别。使用来自两例致命的咖啡因中毒(咖啡因浓度:276和175µg/mL)和两例其他中毒的死后心脏血液验证了测试程序。
    结论:我们开发的方法使用即时尿咖啡因检测试剂盒可以简单估计血清咖啡因浓度。
    OBJECTIVE: Serum caffeine concentration is an indicator of caffeine intoxication; however, it is difficult to measure it in most emergency departments. We developed a simple estimation method using a point-of-care test kit for urinary caffeine.
    METHODS: Caffeine-spiked human serum (100, 50, 25, and 10 µg/mL) was diluted 10-, 20-, 50-, and 100-fold with phosphate-buffered saline and applied to the kit. After 5 min incubation, the kit was scanned by a flatbed scanner and the membrane image was processed with ImageJ.
    RESULTS: When the 20-fold diluted serum was applied, serum samples with initial caffeine concentration ≤ 25 and ≥ 50 µg/mL were caffeine-negative and -positive, respectively. When the 100-fold diluted serum was applied, none of the caffeine-spiked serum samples gave positive results. Therefore, we proposed the following test procedure: (i) 20-fold diluted serum was initially tested and (ii) 100-fold diluted serum was additionally tested when the initial result was caffeine positive. Using this procedure, caffeine concentration is expected to be classified into three levels: ≤ 25, > 25- ≤ 100, and > 100 µg/mL, which almost correspond to no or mild, severe, and potentially fatal intoxication, respectively. The test procedure was validated using postmortem heart blood from two cases of fatal caffeine intoxication (caffeine concentration: 276 and 175 µg/mL) and two cases of other intoxication.
    CONCLUSIONS: Our developed method using point-of-care urinary caffeine test kits enabled simple estimation of serum caffeine concentration.
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  • 文章类型: Journal Article
    目的:目的是比较ImageJ程序中不同工具的使用(多边形与分段线)及其对股外侧肌超声成像中肌肉面积和回声强度(EI)值计算的影响。
    方法:13名志愿者参与了这项研究。使用2DB型超声检查获取股外侧肌的超声图像,并由同一评估者使用多边形和分段线工具进行分析。组内相关系数(ICC)和变异系数(CV)评估了工具的可靠性。Bland-Altman地块被用来验证测量之间的一致性,线性回归分析确定比例偏差。进行配对t检验以分析工具之间的差异。
    结果:用于计算肌肉面积的工具之间的可靠性较弱(r=0.000;CV=138.03±0.34%),而EI表现优异(r=0.871;CV=15.19±2.96%)。Bland-Altman图表明,肌肉面积存在较大偏差(d=195.2%),呈比例偏差(p<0.001)。对于EI来说,偏倚为(d=15.2)和比例偏倚(p=0.028).配对t检验揭示了面积(p<0.001)而非EI(p=0.060)的工具之间的显著差异。
    结论:研究发现,在ImageJ中使用多边形和分段线工具获得的测量结果存在显着差异,多边形工具显示较高的肌肉面积值和较低的EI值。
    OBJECTIVE: The aim was to compare the use of different tools within the ImageJ program (polygon vs. segmented line) and their impact on the calculation of muscle area and echo intensity (EI) values in ultrasound imaging of the vastus lateralis muscle.
    METHODS: Thirteen volunteers participated in this study. Ultrasound images of the vastus lateralis muscle were acquired using 2D B-mode ultrasonography and analyzed using both the polygon and segmented line tools by the same evaluator. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) assessed the tools\' reliability. Bland-Altman plots were employed to verify the agreement between measurements, and linear regression analysis determined proportional bias. A paired t-test was conducted to analyze differences between the tools.
    RESULTS: The reliability between tools for muscle area calculation was weak (r = 0.000; CV = 138.03 ± 0.34%), while it was excellent for EI (r = 0.871; CV = 15.19 ± 2.96%). The Bland-Altman plots indicated a large bias for muscle area (d = 195.2%) with a proportional bias (p < 0.001). For EI, the bias was (d = 15.2) with proportional bias (p = 0.028). The paired t-test revealed significant differences between the tools for area (p < 0.001) but not for EI (p = 0.060).
    CONCLUSIONS: The study found significant differences in measurements obtained with the polygon and segmented line tools in ImageJ, with the polygon tool showing higher values for muscle area and lower values for EI.
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  • 文章类型: Journal Article
    背景:考古植物学家和古生态学家广泛使用几何形态计量学来识别植物蛋白石植物。特别是当应用于从封闭环境中检索到的浓度的植物石组合时,与来自参考材料的类似数据相比,来自考古植物的形态测量数据可能允许分类学归属。观察者变异是植岩形态计量学的一个方面,很少受到关注,但可能是一个重要的误差来源。因此导致植物残留的潜在错误识别。
    方法:为了研究植物石形态计量学中观察者之间和观察者之间的变化,来自不同实验室的八名研究人员(观察员)测量了三种植物形态型的50个样本,双叶,大泡状扇形和细长树突状,三次,在国际植物形态计量学委员会(ICPM)的主持下。
    方法:通过手动数字化照片中的植物石轮廓(面具),为每个植物石收集了17个大小和形状变量的数据,然后用开源形态测量软件测量面罩。
    结果:观察者间的变化与所有观察者的平均值相差0%至23%。观察者内的变化与每周单个观察者的平均值相差0%至9%。在没有经验的研究人员中,观察者之间和观察者之间的差异通常较高。
    结论:缩放错误是变异的主要原因,更多发生在经验不足的研究人员身上,这可能与熟悉数据收集有关。结果表明,通过为设备提供清晰的指示和培训,可以大大减少观察者之间和观察者内部的变化,照片捕获,软件,数据收集和数据清理。在本文中,ICPM提供了将变化降至最低的建议。自动数据收集的进步最终可能会减少观察者之间和观察者内部的变化,但是在这成为惯例之前,ICPM建议植岩形态计量分析遵循标准化准则,以确保测量的植岩变量是准确的,不同研究人员和实验室之间的一致性和可比性。
    BACKGROUND: Archaeobotanists and palaeoecologists extensively use geometric morphometrics to identify plant opal phytoliths. Particularly when applied to assemblages of phytoliths from concentrations retrieved from closed contexts, morphometric data from archaeological phytoliths compared with similar data from reference material may allow taxonomic attribution. Observer variation is one aspect of phytolith morphometry that has received little attention but may be an important source of error, and hence cause of potential misidentification of plant remains.
    METHODS: To investigate inter- and intra-observer variation in phytolith morphometry, eight researchers (observers) from different laboratories measured 50 samples each from three phytolith morphotypes, Bilobate, Bulliform flabellate and Elongate dendritic, three times, under the auspices of the International Committee for Phytolith Morphometrics (ICPM).
    METHODS: Data for 17 size and shape variables were collected for each phytolith by manually digitising a phytolith outline (mask) from a photograph, followed by measurement of the mask with open-source morphometric software.
    RESULTS: Inter-observer variation ranged from 0 to 23% difference from the mean of all observers. Intra-observer variation ranged from 0 to 9% difference from the mean of individual observers per week. Inter- and intra-observer variation was generally higher among inexperienced researchers.
    CONCLUSIONS: Scaling errors were a major cause of variation and occurred more with less experienced researchers, which is likely related to familiarity with data collection. The results indicate that inter- and intra-observer variation can be substantially reduced by providing clear instructions for and training with the equipment, photo capturing, software, data collection and data cleaning. In this paper, the ICPM provides recommendations to minimise variation.Advances in automatic data collection may eventually reduce inter- and intra-observer variation, but until this is common practice, the ICPM recommends that phytolith morphometric analyses adhere to standardised guidelines to assure that measured phytolith variables are accurate, consistent and comparable between different researchers and laboratories.
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  • 文章类型: Journal Article
    作为对环境的快速反应者,小胶质细胞参与其细胞形态反映的功能。传统上认为小胶质细胞在稳态条件下表现出分枝的形态,在炎症条件下转变为变形虫形式。然而,小胶质细胞在这种二分法之外表现出广泛的形态,包括杆状,分枝,ameboid,和肥厚状态,在大脑区域观察到的,神经发育时间点,和各种病理背景。我们应用降维和聚类来一起考虑多种形态测量的贡献,以在我们用来证明我们的工具集的小鼠数据集中定义小胶质细胞形态状态的谱。使用ImageJ,我们首先开发了一种半自动方法,以特定于脑区域的方式表征数百至数千个单个小胶质细胞的27种形态特征。在这个功能池中,我们定义了描述形态不同方面的高度相关特征的不同集合,包括分支长度,分支复杂性,地域跨度,和循环性。当一起考虑时,这些特征集驱动了不同的形态簇。当应用于独立的数据集并使用不同的免疫荧光标记用于小胶质细胞时,我们的工具类似且稳健地捕获了形态状态。我们已经将我们的形态分析管道编译为一个可访问的,易于使用,和完全开源的ImageJ宏和R包,神经科学界可以扩展并直接应用于自己的分析。这项工作的结果将为该领域提供新的工具,以系统地评估各种实验模型和研究问题中小胶质细胞形态状态的异质性。重要性声明我们开发了一个可访问的,用户友好,以及用于小胶质细胞形态分割和分析的开源计算工具集。虽然在开发自动小胶质细胞形态学分割工具方面取得了相当大的进展,大多数已发布的工具都不是公开可用的,也没有充分的文献记录,并且用于分析由此产生的形态学测量的方法的透明度较低.使用我们的工具集,我们采用了数据知情的方法来表征不同类别的小胶质细胞形态,并在实验小鼠模型中对这些形态的成员如何在脑区动态变化进行统计学建模.我们的工具集的应用将在许多不同的研究问题中以单细胞分辨率和空间分辨方式对小胶质细胞形态差异产生新的见解。
    As rapid responders to their environments, microglia engage in functions that are mirrored by their cellular morphology. Microglia are classically thought to exhibit a ramified morphology under homeostatic conditions which switches to an ameboid form during inflammatory conditions. However, microglia display a wide spectrum of morphologies outside of this dichotomy, including rod-like, ramified, ameboid, and hypertrophic states, which have been observed across brain regions, neurodevelopmental timepoints, and various pathological contexts. We applied dimensionality reduction and clustering to consider contributions of multiple morphology measures together to define a spectrum of microglial morphological states in a mouse dataset that we used to demonstrate the utility of our toolset. Using ImageJ, we first developed a semiautomated approach to characterize 27 morphology features from hundreds to thousands of individual microglial cells in a brain region-specific manner. Within this pool of features, we defined distinct sets of highly correlated features that describe different aspects of morphology, including branch length, branching complexity, territory span, and circularity. When considered together, these sets of features drove different morphological clusters. Our tools captured morphological states similarly and robustly when applied to independent datasets and using different immunofluorescent markers for microglia. We have compiled our morphology analysis pipeline into an accessible, easy-to-use, and fully open-source ImageJ macro and R package that the neuroscience community can expand upon and directly apply to their own analyses. Outcomes from this work will supply the field with new tools to systematically evaluate the heterogeneity of microglia morphological states across various experimental models and research questions.
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  • 文章类型: Journal Article
    动物和植物的着色表现出明显的表型变异,这项研究推动了生态学的普遍进步,进化,和动物行为。定量颜色模式分析(QCPA)是通过非人类观察者的眼睛分析颜色模式的动态框架。然而,其大量的用户定义的图像处理和分析工具意味着图像分析通常是耗时的。这阻碍了QCPA提供的分析能力的充分利用及其对大型数据集的应用。这里,我们提供了一个强大而全面的批处理脚本,允许用户自动执行许多QCPA工作流程。我们还提供了一组有用的R脚本,用于下游数据提取和分析。提出的批处理扩展将使用户能够进一步利用QCPA的分析能力,并促进定制的半自动工作流程的开发。这种定量缩放的工作流程对于探索颜色模式空间和开发更丰富的框架来分析生物颜色,从而解释人类以外的动物的视觉感知至关重要。这些进步将,反过来,促进在定量和定性尺度上测试关于视觉和信号的功能和演变的假设,否则在计算上是不可行的。
    在线版本包含补充材料,可在10.1007/s10682-024-10291-7获得。
    Animal and plant colouration presents a striking dimension of phenotypic variation, the study of which has driven general advances in ecology, evolution, and animal behaviour. Quantitative Colour Pattern Analysis (QCPA) is a dynamic framework for analysing colour patterns through the eyes of non-human observers. However, its extensive array of user-defined image processing and analysis tools means image analysis is often time-consuming. This hinders the full use of analytical power provided by QCPA and its application to large datasets. Here, we offer a robust and comprehensive batch script, allowing users to automate many QCPA workflows. We also provide a complimentary set of useful R scripts for downstream data extraction and analysis. The presented batch processing extension will empower users to further utilise the analytical power of QCPA and facilitate the development of customised semi-automated workflows. Such quantitatively scaled workflows are crucial for exploring colour pattern spaces and developing ever-richer frameworks for analysing organismal colouration accounting for visual perception in animals other than humans. These advances will, in turn, facilitate testing hypotheses on the function and evolution of vision and signals at quantitative and qualitative scales, which are otherwise computationally unfeasible.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s10682-024-10291-7.
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  • 文章类型: Journal Article
    规则的空间模式是自然界中普遍存在的组织形式。在动物中,从细胞尺度到组织尺度都可以找到规则的模式,从发育的早期阶段到成年。为了理解这些模式的形成,它们是如何组装和成熟的,以及它们如何受到扰动的影响,模式的精确定量描述是必不可少的。然而,生物学家缺乏提供深入分析而不需要计算技能的可访问工具。这里,我们介绍PatternJ,一种新颖的工具集,可以精确自动地分析规则的一维模式。这个工具集,与流行的图像处理程序ImageJ/斐济一起使用,有助于在静态图像和延时系列中的图案重复内和之间提取关键几何特征。我们用模拟数据验证PatternJ,并在昆虫肌肉和收缩心肌细胞的肉瘤图像上进行测试,神经元中的肌动蛋白环,和使用共聚焦荧光显微镜从斑马鱼胚胎中获得的体节,暴风雨,电子显微镜,和明场成像。我们表明,即使使用低信噪比的图像,该工具集也能可靠地实现亚像素特征提取。PatternJ的直接使用和功能使其对于需要定量一维模式分析的各种科学领域具有价值,包括肌肉的肌节生物学或哺乳动物轴突的模式,加快发现与高重现性的奖金。
    Regular spatial patterns are ubiquitous forms of organization in nature. In animals, regular patterns can be found from the cellular scale to the tissue scale, and from early stages of development to adulthood. To understand the formation of these patterns, how they assemble and mature, and how they are affected by perturbations, a precise quantitative description of the patterns is essential. However, accessible tools that offer in-depth analysis without the need for computational skills are lacking for biologists. Here, we present PatternJ, a novel toolset to analyze regular one-dimensional patterns precisely and automatically. This toolset, to be used with the popular imaging processing program ImageJ/Fiji, facilitates the extraction of key geometric features within and between pattern repeats in static images and time-lapse series. We validate PatternJ with simulated data and test it on images of sarcomeres from insect muscles and contracting cardiomyocytes, actin rings in neurons, and somites from zebrafish embryos obtained using confocal fluorescence microscopy, STORM, electron microscopy, and brightfield imaging. We show that the toolset delivers subpixel feature extraction reliably even with images of low signal-to-noise ratio. PatternJ\'s straightforward use and functionalities make it valuable for various scientific fields requiring quantitative one-dimensional pattern analysis, including the sarcomere biology of muscles or the patterning of mammalian axons, speeding up discoveries with the bonus of high reproducibility.
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  • 文章类型: Journal Article
    随着环境条件的变化,蛋白质的亚细胞定位通常会发生变化;转录因子进入细胞核或从细胞核中主动去除;有些甚至通过条件性膜锚与内膜结合;其他蛋白质和mRNA排列在RNA颗粒中。这些是亚细胞定位复杂调节的一些例子,这通常取决于翻译后修饰,并由环境压力源触发。挑战是精确识别隔间,蛋白质的定量分析,它们位于多个隔间中,和他们的运输动态。因此,需要用于可重复定量工作流程的适当隔室标记和例程。
    Proteins often show alterations in their subcellular localization with changing environmental conditions; transcription factors enter the nucleus or are actively removed from the nucleus; some even bind to endo-membranes by conditional membrane anchors; and other proteins and mRNA arrange in RNA granules. These are some examples of the complex regulation of subcellular localization, which often depends on posttranslational modifications and is triggered by environmental stressors. The challenge is the precise identification of the compartments, the quantitative analysis of proteins, which reside in multiple compartments, and their transport dynamics. Therefore, appropriate compartment markers and routines for a reproducible quantitative workflow are required.
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  • 文章类型: Journal Article
    在本文中,我们介绍了OLEAtool,一种用于孢粉学研究的新软件工具,可促进Olea花粉的形态分析和测量。OLEAtool是与ImageJ一起使用的宏扩展,一个开放获取和免费提供的图像分析软件,并作为OLEA项目的组成部分开发。这个更大的项目研究了巴利阿里群岛上的橄榄树扩展和马赛克景观形成。化石和现代谷物的花粉分析已被证明可用于表征品种,因此是研究地中海橄榄树种植的重要方法。然而,这些方法仍然难以区分野生和栽培品种。传统的花粉粒形态分析可能是一项困难且耗时的任务。然而,OLEAtool大大提高了花粉粒数据的收集速度,扩展了分析师可以测量的变量数量,大大提高了形态学分析的可重复性。
    花粉在种子植物的繁殖中起着关键作用。孢粉学是花粉和孢子的研究,具有广泛的应用,例如对过去景观的研究或农艺品种的表征。橄榄树管理的开始及其在地中海驯化的起源仍不清楚,尽管在过去的几十年里在方法和解释方面取得了巨大的进步。花粉分析可能有助于确定该物种的分布和历史趋势,但是通过花粉分析仍然很难区分栽培和野生品种。为了揭示这个问题,我们开发了OLEAtool,开源图像分析软件的新扩展,ImageJ.OLEAtool使用图像分析和可复制的测量来标准化和改进花粉形态研究。
    In this paper we present OLEAtool, a new software tool for palynological research to facilitate morphological analysis and measurements of Olea pollen. OLEAtool is a macro extension for use with ImageJ, an open-access and freely available image analysis software, and was developed as a component of the OLEA-project. This larger project examines olive tree expansion and mosaic landscape formation on the Balearic Islands. Pollen analysis of both fossil and modern grains has been proven useful for characterizing cultivars and therefore an important method for studying olive tree cultivation in the Mediterranean. However, these methods still struggle with distinguishing between wild and cultivated varieties. Traditional morphological analysis of pollen grains can be a difficult and time-consuming task. However, OLEAtool dramatically increases the speed of collecting data on pollen grains, expands the number of variables an analyst can measure, and greatly enhances the replicability of morphological analysis.
    Pollen plays a key role in reproduction for seed plants. Palynology is the study of pollen and spores with a wide variety of applications, such as the study of past landscapes or the characterization of agronomic cultivars. The onset of the olive tree management and the origin of its domestication in the Mediterranean still remains unclear, despite great advances in methods and interpretation over the last decades. Pollen analysis may help in identifying the distribution and historical trends of this species, but it is still difficult to distinguish between cultivated and wild varieties through pollen analysis. To shed some light into this issue, we have developed OLEAtool, a new extension for the open-source image analysis software, ImageJ. OLEAtool uses image analysis and replicable measurements to standardize and improve pollen morphology studies.
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  • 文章类型: Journal Article
    通过定量参数研究阿达木单抗(ADA)在治疗对常规治疗无效的血清色素脉络膜炎(SC)患者中的长期疗效和安全性。
    对临床和通过眼底自发荧光(FAF)诊断为SC的患者进行了回顾性分析。包括接受ADA治疗的患者。患者的人口统计学和临床特征,与结核病(TB)感染有关,免疫抑制疗法的数量,复发,最佳矫正视力(BCVA)变化,并记录ADA相关副作用。根据FAF涉及的面积计算ADA前后的进展率。
    8名患者(3名女性/5名男性)的16只眼被纳入研究。中位年龄(IQR)为53.5(16.5)岁。诊断为4例患者为SC,3例患者为氨状脉络膜炎,1例患者为TB相关的色素性脉络膜炎。16只眼中有10只存在乳头周围受累。FAF所涉及的领域在ADA治疗下继续取得进展,然而进展率下降(p=0.143).保留了BCVA(p=0.772)。ADA的全身和局部治疗的数量减少(分别为p=0.025和0.019)。此外,ADA组复发次数减少(p=0.002).中位随访时间(IQR)为45(28.75)个月。两名患者经历了ADA相关的副作用(肺TBand皮疹)。
    我们的研究结果表明,ADA在阻止SC进展方面具有很好的作用,并对改善预后具有意义。尽管文献中有病例报告层面的证据,ADA可以有效使用,并密切监测潜在风险。
    UNASSIGNED: To investigate the long-term efficacy and safety of adalimumab(ADA) in the treatment of patients with serpiginous choroiditis (SC) refractory to conventional therapy through quantitative parameters.
    UNASSIGNED: A retrospective analysis was conducted on patients diagnosed with SC clinically and through fundus autofluorescence(FAF). Patients receiving ADA treatment were included. Demographic and clinical characteristics of the patients, association with tuberculosis (TB) infection, number of immunosuppressive therapies, recurrences, best corrected visual acuity (BCVA) change, and ADA-related side effects were recorded. The progression rate before and after ADA was calculated based on the area involved by FAF.
    UNASSIGNED: Sixteen eyes of 8 patients (3 female/5 male) were enrolled to the study. The median (IQR) age was 53.5 (16.5) years. Diagnosis was SC in 4, ampiginous choroiditis in 3, and TB-related serpiginous-like choroiditis in 1 patient. Peripapillary involvement was present in 10 of 16 eyes. The area involved by FAF continued to progress under ADA treatment, however the progression rate was decreased (p = 0.143).The BCVA was preserved (p = 0.772). The number of systemic and local treatments decreased with ADA (p = 0.025 and 0.019, respectively). Additionally, the number of recurrences was reduced with ADA (p = 0.002). Median (IQR) follow-up was 45(28.75) months. Two patients experienced ADA-related side effects (pulmonary TBand rash).
    UNASSIGNED: Our findings suggest a promising role for ADA in halting the progression of SC and have implications for improving outcomes. Despite the evidence in the literature at the level of case reports, ADA can be used effectively with close monitoring for potential risks.
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