Imaging Techniques

成像技术
  • 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
    胰腺癌(PaC)发病率正在增加,但我们目前的筛查和诊断策略并不十分有效.然而,筛查在PaC的情况下可能会有帮助,正如最近的证据表明这种疾病逐渐发展。不幸的是,没有理想的筛查方法或程序来检测PaC的早期阶段。常规成像技术,如腹部超声,CT,MRI,和EUS,没有成功检测早期PaC。另一方面,与成像相比,生物标志物可能是更有效的PaC筛查工具,并且具有更大的进一步评估潜力.最近对生物标志物和人工智能(AI)增强成像的研究在PaC的早期诊断中显示出了有希望的结果。除了蛋白质,非编码RNA也被研究为PaC的潜在生物标志物。这篇综述巩固了目前关于PaC筛查模式的文献,为未来的研究提供了一个有组织的框架。虽然传统的成像技术在检测早期PaC方面并不有效,生物标志物和AI增强成像是有希望的研究途径。进一步研究生物标志物的使用,特别是非编码RNA,结合影像学检查可能会提高PaC筛查的准确性,并导致这种致命疾病的早期发现.
    Pancreatic cancer (PaC) incidence is increasing, but our current screening and diagnostic strategies are not very effective. However, screening could be helpful in the case of PaC, as recent evidence shows that the disease progresses gradually. Unfortunately, there is no ideal screening method or program for detecting PaC in its early stages. Conventional imaging techniques, such as abdominal ultrasound, CT, MRI, and EUS, have not been successful in detecting early-stage PaC. On the other hand, biomarkers may be a more effective screening tool for PaC and have greater potential for further evaluation compared to imaging. Recent studies on biomarkers and artificial intelligence (AI)-enhanced imaging have shown promising results in the early diagnosis of PaC. In addition to proteins, non-coding RNAs are also being studied as potential biomarkers for PaC. This review consolidates the current literature on PaC screening modalities to provide an organized framework for future studies. While conventional imaging techniques have not been effective in detecting early-stage PaC, biomarkers and AI-enhanced imaging are promising avenues of research. Further studies on the use of biomarkers, particularly non-coding RNAs, in combination with imaging modalities may improve the accuracy of PaC screening and lead to earlier detection of this deadly disease.
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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
    心脏淀粉样变性,以淀粉样蛋白原纤维在心肌中沉积为特征,导致限制性心肌病和心力衰竭。这篇综述探讨了诊断和治疗心脏淀粉样变性的影像学技术的最新进展。突出它们的临床应用,优势,和限制。超声心动图仍然是主要的,非侵入性成像模式,但缺乏特异性。心脏MRI(CMR),使用晚钆增强(LGE)和T1映射,提供优越的组织表征,虽然成本较高,可用性有限。Tc-99m-PYP闪烁显像可靠地诊断甲状腺素运载蛋白(TTR)淀粉样变性,但对轻链(AL)淀粉样变性效果较差,需要补充诊断。淀粉样蛋白特异性PET示踪剂,如florbetapir和flutemetamol,为TTR和AL淀粉样变提供精确的成像和定量评估。挑战包括区分TTR和AL淀粉样变性,早期疾病检测,和标准化成像协议。未来的研究应该集中在开发新的示踪剂上,集成多模态成像,并利用人工智能来提高诊断准确性和个性化治疗。影像学的进步改善了心脏淀粉样变性的管理。多模式方法,结合超声心动图,CMR,闪烁显像,和PET示踪剂,提供全面的评估。示踪剂和人工智能应用的持续创新有望进一步增强诊断能力,早期发现,和患者结果。
    Cardiac amyloidosis, characterized by amyloid fibril deposition in the myocardium, leads to restrictive cardiomyopathy and heart failure. This review explores recent advancements in imaging techniques for diagnosing and managing cardiac amyloidosis, highlighting their clinical applications, strengths, and limitations. Echocardiography remains a primary, non-invasive imaging modality but lacks specificity. Cardiac MRI (CMR), with Late Gadolinium Enhancement (LGE) and T1 mapping, offers superior tissue characterization, though at higher costs and limited availability. Scintigraphy with Tc-99m-PYP reliably diagnoses transthyretin (TTR) amyloidosis but is less effective for light chain (AL) amyloidosis, necessitating complementary diagnostics. Amyloid-specific PET tracers, such as florbetapir and flutemetamol, provide precise imaging and quantitative assessment for both TTR and AL amyloidosis. Challenges include differentiating between TTR and AL amyloidosis, early disease detection, and standardizing imaging protocols. Future research should focus on developing novel tracers, integrating multimodality imaging, and leveraging AI to enhance diagnostic accuracy and personalized treatment. Advancements in imaging have improved cardiac amyloidosis management. A multimodal approach, incorporating echocardiography, CMR, scintigraphy, and PET tracers, offers comprehensive assessment. Continued innovation in tracers and AI applications promises further enhancements in diagnosis, early detection, and patient outcomes.
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  • 文章类型: Journal Article
    有各种各样的小儿脑肿瘤,具有相当大的相关发病率。像成人脑肿瘤一样,MRI是小儿脑肿瘤的主要成像方式。除了标准序列,更先进的MRI技术可以提高诊断的准确性和辅助预后,和治疗计划。本文讨论了这些各种先进的技术,将它们分类为那些有助于识别组织特征的技术,和那些评估肿瘤的功能影响,以帮助治疗计划。
    There is a diverse array of pediatric brain tumors with considerable associated morbidity. Like adult brain tumors, MRI serves as the primary imaging modality for pediatric brain tumors. In addition to standard sequences, more advanced MRI techniques can enhance the precision of diagnosis and assist in prognostication, and treatment planning. This paper discusses these various advanced techniques categorizing them into those that assist in identifying tissue characteristics, and those that evaluate the functional impact of tumors to aid in treatment planning.
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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
    淀粉样原纤维是不溶性蛋白质,具有与各种人类疾病相关的复杂β-折叠结构,包括帕金森氏症,老年痴呆症,和朊病毒病。当蛋白质的结构被错误折叠时,它们可以形成聚集体,导致高度组织化的淀粉样原纤维或无定形聚集体。蛋白质聚集体的形成是减轻疾病以及制药和食品工业的有希望的研究领域。重要的是监测和最小化这些蛋白质产品中聚集体的出现。有几种方法来评估蛋白质聚集,包括从基础调查到先进的生物物理技术。物理化学参数,如分子量,构象,结构,和维度进行了研究聚集。迫切需要开发在体外和体内检测蛋白质聚集和淀粉样原纤维形成的方法。本章重点讨论了用于表征和评估聚集体和淀粉样纤维的方法。
    Amyloid fibrils are insoluble proteins with intricate β-sheet structures associated with various human diseases, including Parkinson\'s, Alzheimer\'s, and prion diseases. Proteins can form aggregates when their structure is misfolded, resulting in highly organized amyloid fibrils or amorphous aggregates. The formation of protein aggregates is a promising research field for mitigating diseases and the pharmaceutical and food industries. It is important to monitor and minimize the appearance of aggregates in these protein products. Several methods exist to assess protein aggregation, that includes from basic investigations to advanced biophysical techniques. Physicochemical parameters such as molecular weight, conformation, structure, and dimension are examined to study aggregation. There is an urgent need to develop methods for the detection of protein aggregation and amyloid fibril formation both in vitro and in vivo. This chapter focuses on a comprehensive discussion of the methods used to characterize and evaluate aggregates and amyloid fibrils.
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