Palm

棕榈
  • 文章类型: Journal Article
    目标:Sago棕榈(MetroxylonsaguRottb。)是在木卡发现的最重要的经济作物之一,沙捞越,马来西亚。棕榈的坚固性触发了砂拉越政府被选为该州的商品作物之一,随着几个西米棕榈种植园的开业。然而,尽管种植后达到了超过十年的成熟期,但在几个西米棕榈种植园中报告了发育不良的(非集群)棕榈。针对这一问题的研究已经在各个领域进行,然而,关于分子机制的信息仍然很少。本研究旨在通过从不同西米棕榈种植园的所有集群西米棕榈样品中获得叶片转录组,确定西米棕榈正常表型(集群)的基因。
    方法:本研究采用常规CTAB方法从叶组织中提取总RNA。在IlluminaNovaSeq6000平台上进行转录组测序。使用DESeq2包进行差异表达分析。共有6119个差异表达基因,包括4,384个下调基因和1,735个上调基因,在所有三个西米棕榈数据集中都有表达。数据集提供了对集群西米棕榈中常见表达基因的见解。
    OBJECTIVE: Sago palm (Metroxylon sagu Rottb.) is one of the most important economic crops abundantly found in Mukah, Sarawak, Malaysia. The robustness of the palm triggered the Sarawak government\'s selection as one of the state\'s commodity crops, with the opening of several sago palm plantations. However, stunted (non-trunking) palms were reported in several sago palm plantations despite attaining a maturity period of more than ten years after cultivation. Research targeting this problem has been conducted in various fields, yet information on molecular mechanisms is still scarce. This study aimed to determine the genes responsible for sago palm\'s normal phenotype (trunking) by attaining leaf transcriptomes from samples of all trunking sago palms from different sago palm plantations.
    METHODS: The conventional CTAB method was employed in the present investigation to extract total RNA from leaf tissues. Transcriptome sequencing was conducted on the Illumina NovaSeq 6000 platform. Differential expression analysis was performed using the DESeq2 package. A total of 6,119 differentially expressed genes, comprising 4,384 downregulated and 1,735 upregulated genes, were expressed in all three sago palm datasets. The datasets provide insights into the commonly expressed genes among trunking sago palms.
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  • 文章类型: Journal Article
    大型语言模型(LLM)具有理解和生成类似人类文本的能力,对各个领域产生了重大影响。本研究探讨了整合LLM的潜在好处和局限性,比如ChatGPT,进入血液学实践。利用系统审查方法,我们分析了2022年12月1日之后发表的研究,来自PubMed等数据库,WebofScience和Scopus,并使用QUADAS-2工具评估每个偏差。我们回顾了10项在各种血液学背景下应用LLM的研究。这些模型展示了对特定任务的熟练程度,例如对血红蛋白病的诊断准确率达到76%。然而,这项研究强调了性能和参考准确性的不一致,指示不同用途的可靠性的可变性。此外,这些研究的有限范围和数据集的限制可能会限制我们研究结果的普遍性.研究结果表明,虽然LLM在增强血液学的诊断过程和教育资源方面提供了显着的优势,他们融入临床实践需要仔细考虑.在血液学实施之前,严格的测试和具体的适应是必不可少的。这涉及在不同场景中验证它们的准确性和可靠性。鉴于字段的复杂性,持续监控这些模型并做出相应调整也至关重要。
    Large language models (LLMs) have significantly impacted various fields with their ability to understand and generate human-like text. This study explores the potential benefits and limitations of integrating LLMs, such as ChatGPT, into haematology practices. Utilizing systematic review methodologies, we analysed studies published after 1 December 2022, from databases like PubMed, Web of Science and Scopus, and assessing each for bias with the QUADAS-2 tool. We reviewed 10 studies that applied LLMs in various haematology contexts. These models demonstrated proficiency in specific tasks, such as achieving 76% diagnostic accuracy for haemoglobinopathies. However, the research highlighted inconsistencies in performance and reference accuracy, indicating variability in reliability across different uses. Additionally, the limited scope of these studies and constraints on datasets could potentially limit the generalizability of our findings. The findings suggest that, while LLMs provide notable advantages in enhancing diagnostic processes and educational resources within haematology, their integration into clinical practice requires careful consideration. Before implementing them in haematology, rigorous testing and specific adaptation are essential. This involves validating their accuracy and reliability across different scenarios. Given the field\'s complexity, it is also critical to continuously monitor these models and adapt them responsively.
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  • 文章类型: Journal Article
    我们监测了幼苗的叶片产量,无梁少年,不成熟,雌雄异株棕榈的成熟雄性和雌性植物,LodoiceaMaldiica,并研究了节间长度随树干高度的变化。野外工作是在Praslin岛的封闭森林和Curieuse岛上的退化森林中进行的。有关产生的叶片数和叶片产生率的数据用于估计植物年龄。在Praslin上,连续叶片之间的间隔从雄性/雌性植物的0.47/0.52年增加到幼苗的4.2年,以及从0.41/0.49到2.3年的Curieuse。在成熟的棕榈中,估计的叶片寿命为6.4-6.8年,在幼苗和幼体中的寿命更长。在Praslin上,节间长度从树干的基部增加到叶21处的平均14厘米,然后下降到叶100上方的2.75厘米。Curieuse上较小手掌的平均节间长度为1.9厘米,随高度变化不大。处于同一发育阶段的植物年龄差异很大。在Praslin上,中位成熟时间为77年(范围:32-209年),在库里耶斯83年(31-191年)。Praslin(躯干高度28.4m)和Curieuse(8m)的最高手掌估计为442和232岁,分别。老化方法用于解释不同人群的身高数据。在19世纪或20世纪初,所有这些都显示出再生的显着下降,可能是火灾造成的。我们得出结论,缓慢的生长使这个物种非常容易受到干扰,尤其是火。
    We monitored leaf production in seedlings, trunkless juvenile, immature, and mature male and female plants of the dioecious palm, Lodoicea maldivica, and studied how internode length changed with trunk height. The fieldwork was conducted in closed forest on Praslin Island and degraded forest on Curieuse Island. Data on numbers of leaves produced and rates of leaf production were used to estimate plant age. On Praslin, the interval between successive leaves increased from 0.47/0.52 years in male/female plants to 4.2 years in seedlings, and on Curieuse from 0.41/0.49 to 2.3 years. Estimated leaf lifespan was 6.4-6.8 years in mature palms and much longer in seedlings and juveniles. On Praslin, internode length increased from the base of the trunk to a mean of 14 cm at leaf 21, before declining to 2.75 cm above leaf 100. Mean internode length of the smaller palms on Curieuse was 1.9 cm and varied little with height. Plants at the same development stage varied widely in age. On Praslin, median time to maturity was 77 (range: 32-209) and on Curieuse 83 (31-191) years. The tallest palms on Praslin (28.4 m trunk height) and Curieuse (8 m) were estimated at 442 and 232 years old, respectively. The ageing method was used to interpret height data of different populations. All showed a marked decline in regeneration in the 19th or early 20th centuries, probably caused by fires. We conclude that slow growth makes this species very vulnerable to disturbance, especially from fire.
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  • 文章类型: Journal Article
    杂交在整个生命树中具有重大的进化后果。杂交过程在植物进化中起着重要作用,并促进了物种丰富度和性状变异。由于形态特征部分是其环境的产物,杂交和生态学之间可能有联系。注意到植物杂种物种的丰富度在恶劣环境中更高,我们用一个重要的热带植物谱系来探索这个假设,棕榈(槟榔科)。利用最近对自然发生的棕榈杂种的文献综述,我们开发了一种计算混合频率的方法,然后使用所有棕榈树的系统发育来测试杂种的系统发育信号。Further,我们使用系统发育比较方法来检查杂种频率和在干燥环境中的存在之间的相互作用,在岛屿上,和属的物种丰富度。系统发育广义最小二乘模型比随机关联模型有更强的支持,表明在干旱和岛屿环境中存在杂种的系统发育信号。然而,所有p值均>.05,因此杂交与所检查的性状频率之间的相关性较差.特定环境中的存在与混合频率没有很强的相关性,但是系统发育信号表明其在不同栖息地中的分布中起作用。手掌中的杂交在亚家族中分布不均,部落,亚部落在棕榈多样性中起着重要作用,尽管如此。提高我们对这个经济和文化上重要的植物家族的认识是必不可少的,特别是因为预计比率会随着气候变化而增加,重新配置生物多样性的动态和分布。
    Hybridization has significant evolutionary consequences across the Tree of Life. The process of hybridization has played a major role in plant evolution and has contributed to species richness and trait variation. Since morphological traits are partially a product of their environment, there may be a link between hybridization and ecology. Plant hybrid species richness is noted to be higher in harsh environments, and we explore this hypothesis with a keystone tropical plant lineage, palms (Arecaceae). Leveraging a recent literature review of naturally occurring palm hybrids, we developed a method to calculate hybrid frequency, and then tested if there is phylogenetic signal of hybrids using a phylogeny of all palms. Further, we used phylogenetic comparative methods to examine the interaction between hybrid frequency and presence in dry environments, on islands, and the species richness of genera. Phylogenetic generalized least squares models had stronger support than models of random association, indicating phylogenetic signal for the presence of hybrids in dry and island environments. However, all p-values were >.05 and therefore the correlation was poor between hybridization and the trait frequencies examined. Presence in particular environments are not strongly correlated to hybrid frequency, but phylogenetic signal suggests a role in its distribution in different habitats. Hybridization in palms is not evenly distributed across subfamilies, tribes, subtribes yet plays an important role in palm diversity, nonetheless. Increasing our understanding hybridization in this economically and culturally important plant family is essential, particularly since rates are projected to increase with climate change, reconfiguring the dynamics and distribution of biodiversity.
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  • 文章类型: Journal Article
    大型语言模型(LLM)分析和响应自由书写文本的能力在精神病学领域引起了越来越多的兴奋;此类模型的应用为精神病学应用带来了独特的机遇和挑战。这篇综述文章旨在全面概述精神病学中的LLM,他们的模型架构,潜在的用例,和临床考虑。诸如ChatGPT/GPT-4之类的LLM框架是针对大量文本数据进行训练的,这些文本数据有时会针对特定任务进行微调。这开辟了广泛的可能的精神病学应用,例如准确预测特定疾病的个体患者风险因素,从事治疗干预,分析治疗材料,仅举几例。然而,在精神病学环境中收养会带来许多挑战,包括LLM的固有限制和偏见,对可解释性和隐私的担忧,以及产生的错误信息造成的潜在损害。这篇综述涵盖了潜在的机会和局限性,并强调了在现实世界的精神病学背景下应用这些模型时的潜在考虑因素。
    The ability of Large Language Models (LLMs) to analyze and respond to freely written text is causing increasing excitement in the field of psychiatry; the application of such models presents unique opportunities and challenges for psychiatric applications. This review article seeks to offer a comprehensive overview of LLMs in psychiatry, their model architecture, potential use cases, and clinical considerations. LLM frameworks such as ChatGPT/GPT-4 are trained on huge amounts of text data that are sometimes fine-tuned for specific tasks. This opens up a wide range of possible psychiatric applications, such as accurately predicting individual patient risk factors for specific disorders, engaging in therapeutic intervention, and analyzing therapeutic material, to name a few. However, adoption in the psychiatric setting presents many challenges, including inherent limitations and biases in LLMs, concerns about explainability and privacy, and the potential damage resulting from produced misinformation. This review covers potential opportunities and limitations and highlights potential considerations when these models are applied in a real-world psychiatric context.
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  • 文章类型: Journal Article
    这项研究调查了一种由菜籽油组成的新型可持续成分的潜力,亚麻籽粕和β-葡聚糖(PALM-ALT)模拟蛋糕中的棕榈起酥油功能。亚麻籽粕和β-葡聚糖的结合功能特性导致稳定的半固体乳液凝胶(20-31μm油滴大小,105-115帕。s粘度和60-65Pa屈服应力)。PALM-ALT含有25%和88%的总和饱和脂肪比棕榈缩短,而PALM-ALT蛋糕的总脂肪和饱和脂肪比基于棕榈的对照少26%和75%。PALM-ALT蛋糕与基于手掌的对照的风味特征相匹配,菜籽油饼的酸味和甜味比对照(p<0.05)。PALM-ALT蛋糕被证明比对照更不坚硬和更有凝聚力(p<0.05),100%的消费者小组优选PALM-ALT制剂。这项研究证明了PALM-ALT作为更健康的独特潜力,可持续和有竞争力的替代棕榈缩短。
    This study investigated the potential of a novel sustainable ingredient composed of rapeseed oil, linseed meal and beta-glucan (PALM-ALT) to mimic palm shortening functionality in cake. The combined functional properties of linseed meal and beta-glucan led to stable semi-solid emulsion-gels (20-31 μm oil droplet size, 105-115 Pa.s viscosity and 60-65 Pa yield stress). PALM-ALT contained 25 and 88% less total and saturated fat than palm shortening, whilst PALM-ALT cakes contained 26 and 75% less total and saturated fat than the palm-based control. PALM-ALT cakes matched the flavour profile of the palm-based control, while rapeseed oil cakes tasted more sour and less sweet than the control (p < 0.05). PALM-ALT cakes proved less hard and more cohesive than the control (p < 0.05), with 100% of the consumer panel preferring PALM-ALT formulations. This study demonstrated the unique potential of PALM-ALT as healthier, sustainable and competitive alternative to palm shortening.
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  • 文章类型: Journal Article
    ChamaeropshumilisL.是槟榔科的结块棕榈,具有良好的健康促进作用。该物种的一部分被用作食物,并用于民间医学以治疗几种疾病。本研究研究了胡麻叶的植物化学成分及其在体外和对乙酰氨基酚(APAP)诱导的大鼠肝毒性中的抗氧化和黄嘌呤(XO)抑制活性。从腐殖质乙醇提取物(CHEE)中分离出11种化合物。CHEE和丁醇,正己烷,和二氯甲烷部分表现出体外自由基清除和XO抑制功效。计算结果表明,分离的化合物倾向于XO的活性位点。在体内,CHEE改善肝功能标志物(ALT,AST,ALP,和白蛋白)并预防APAP引起的大鼠组织损伤。CHEE抑制肝XO,降低血清尿酸和肝脏MDA,并增强了GSH,SOD,和过氧化氢酶在APAP处理的大鼠。CHEE改善APAP治疗大鼠的血清TNF-α和IL-1β。因此,humilisC.富含对XO具有结合亲和力的有益植物化学物质。虎杖表现出有效的体外抗氧化和XO抑制活性,并通过减轻组织损伤来预防APAP肝毒性,氧化应激和炎症。
    Chamaerops humilis L. is clumping palm of the family Arecaceae with promising health-promoting effects. Parts of this species are utilized as food and employed in folk medicine to treat several disorders. This study investigated the phytochemical constituents of C. humilis leaves and their antioxidant and xanthine oxidase (XO) inhibitory activities in vitro and in vivo in acetaminophen (APAP)-induced hepatotoxicity in rats. The chemical structure of the isolated phytochemicals was determined using data obtained from UV, MS, IR, and 1H-, 13C-NMR spectroscopic tools as well as comparison with authentic markers. Eleven compounds, including tricin 7-O-β-rutinoside, vicenin, tricin, astragalin, borassoside D, pregnane-3,5,6,16-tetrol, oleanolic acid, β-sitosterol and campesterol were isolated from C. humilis ethanolic extract (CHEE). CHEE and the butanol, n-hexane, and dichloromethane fractions exhibited in vitro radical scavenging and XO inhibitory efficacies. The computational findings revealed the tendency of the isolated compounds towards the active site of XO. In vivo, CHEE ameliorated liver function markers and prevented tissue injury induced by APAP in rats. CHEE suppressed hepatic XO, decreased serum uric acid and liver malondialdehyde (MDA), and enhanced reduced glutathione (GSH), superoxide dismutase (SOD), and catalase in APAP-treated rats. CHEE ameliorated serum tumor necrosis factor alpha (TNF-α) and interleukin (IL)-1β in APAP-treated rats. Thus, C. humilis is rich in beneficial phytochemicals that possess binding affinity towards XO. C. humilis exhibited potent in vitro antioxidant and XO inhibitory activities, and prevented APAP hepatotoxicity by attenuating tissue injury, oxidative stress and inflammation.
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  • 文章类型: Journal Article
    光学荧光显微镜20年的革命,在空间分辨率和及时采集的优化的支持下,允许细胞生物学中纳米级物体的可视化。目前,使用最新一代的超分辨率荧光显微镜加上改进的荧光探针,可以研究病毒在活细胞中的复制周期,在单病毒颗粒或蛋白质水平。这里,我们重点介绍了使用超分辨率光学显微镜在宿主T细胞质膜上可视化HIV-1Gag组装的方案。全内反射荧光显微镜(TIRF-M)与单分子定位显微镜(SMLM)相结合,可以在单蛋白水平上检测和表征感染宿主细胞质膜上病毒蛋白的组装。这里,我们描述了TIRF设备,HIV-1的T细胞培养,单分子定位显微镜如PALM和STORM的样品制备,采集协议,和Gag组装聚类分析。
    The 20-year revolution in optical fluorescence microscopy, supported by the optimization of both spatial resolution and timely acquisition, allows the visualization of nanoscaled objects in cell biology. Currently, the use of a recent generation of super-resolution fluorescence microscope coupled with improved fluorescent probes gives the possibility to study the replicative cycle of viruses in living cells, at the single-virus particle or protein level. Here, we highlight the protocol for visualizing HIV-1 Gag assembly at the host T-cell plasma membrane using super-resolution light microscopy. Total internal reflection fluorescence microscopy (TIRF-M) coupled with single-molecule localization microscopy (SMLM) enables the detection and characterization of the assembly of viral proteins at the plasma membrane of infected host cells at the single protein level. Here, we describe the TIRF equipment, the T-cell culture for HIV-1, the sample preparation for single-molecule localization microscopies such as PALM and STORM, acquisition protocols, and Gag assembling cluster analysis.
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  • 文章类型: Journal Article
    目的:棕榈化石通常被用作温暖和潮湿的古环境的证据,反映了大多数现代手掌的亲和力。然而,几种现存的棕榈谱系耐受凉爽和/或干旱气候,清楚了解古棕榈群落的分类组成对于可靠的古环境推断很重要。然而,分类上可识别的棕榈化石很少见,通常仅限于特定的相。尽管它们提供的分类学信息的分辨率尚不清楚,由于在其他植物化石稀缺的条件下具有很高的保存潜力,因此植物石(微观二氧化硅体)提供了可能的解决方案。因此,我们评估了棕榈植物的分类学和古环境效用。
    方法:我们量化了97种现代棕榈和其他单子叶植物的植岩形态。使用此数据集,我们测试了五种常用判别方法识别九种主要棕榈枝的能力。然后,我们编制了物种气候偏好的数据集,并使用系统发育比较方法测试了它们是否与植岩形态相关。最后,我们在六个化石地点重建了棕榈群落和古环境条件。
    结果:性能最佳的模型仅在59%的时间内正确识别了其起源进化枝的植物。尽管手掌通常与非手掌区分开,很少有棕榈进化枝非常不同,植岩形态与物种环境偏好弱相关。所有化石地点的重建表明,棕榈群落以Trachycarpeae和Areceae为主,温暖的,平等的气候,高,潜在的季节性降雨。然而,化石场地重建具有很高的不确定性,并且经常与其他气候代理冲突。
    结论:虽然植物形态在棕榈枝之间提供了一些区别,谨慎是必要的。与以前的空间限制研究不同,我们在地理和系统发育方面的广泛研究表明,植岩形态可能无法在深层时间内可靠地区分大多数棕榈类群。然而,它揭示了不同的进化枝,包括一些可能是古环境信息的。
    OBJECTIVE: Palm fossils are often used as evidence for warm and wet palaeoenvironments, reflecting the affinities of most modern palms. However, several extant palm lineages tolerate cool and/or arid climates, making a clear understanding of the taxonomic composition of ancient palm communities important for reliable palaeoenvironmental inference. However, taxonomically identifiable palm fossils are rare and often confined to specific facies. Although the resolution of taxonomic information they provide remains unclear, phytoliths (microscopic silica bodies) provide a possible solution because of their high preservation potential under conditions where other plant fossils are scarce. We thus evaluate the taxonomic and palaeoenvironmental utility of palm phytoliths.
    METHODS: We quantified phytolith morphology of 97 modern palm and other monocot species. Using this dataset, we tested the ability of five common discriminant methods to identify nine major palm clades. We then compiled a dataset of species\' climate preferences and tested if they were correlated with phytolith morphology using a phylogenetic comparative approach. Finally, we reconstructed palm communities and palaeoenvironmental conditions at six fossil sites.
    RESULTS: Best-performing models correctly identified phytoliths to their clade of origin only 59 % of the time. Although palms were generally distinguished from non-palms, few palm clades were highly distinct, and phytolith morphology was weakly correlated with species\' environmental preferences. Reconstructions at all fossil sites suggested that palm communities were dominated by Trachycarpeae and Areceae, with warm, equable climates and high, potentially seasonal rainfall. However, fossil site reconstructions had high uncertainty and often conflicted with other climate proxies.
    CONCLUSIONS: While phytolith morphology provides some distinction among palm clades, caution is warranted. Unlike prior spatially restricted studies, our geographically and phylogenetically broad study indicates phytolith morphology may not reliably differentiate most palm taxa in deep time. Nevertheless, it reveals distinct clades, including some likely to be palaeoenvironmentally informative.
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  • 文章类型: Journal Article
    手腕和手掌的周围神经的磁共振成像由于体积小而具有挑战性,曲折的过程,复杂的周围组织,和伴随的血管。腕掌病变的发生导致水肿,肿胀,和质量效应,这可能进一步干扰神经的显示和识别。
    为了评估对比增强磁共振神经造影(ceMRN)是否可以改善中位数的形态和病理的可视化,尺神经,和他们的小树枝在手腕和手掌。
    一项观察性研究。
    总共57个科目,包括36名志愿者和21名腕掌病变患者,在3.0Tesla时进行了ceMRN和非对比MRN(ncMRN)检查。血管抑制的程度,神经可视化,诊断信心,两名放射科医生对病变显著性进行了定性评估。获得了读者间协议的Kappa统计数据。信噪比,对比度(CR),测量正中神经的对比噪声比(CNR)。比较了ncMRN和ceMRN的主观评分和定量测量。
    对于每个神经段的所有定性评估和可视化评估,读者之间的一致性非常好(k>0.8)。与ncMRN相比,ceMRN显著改善志愿者和患者的血管抑制(均p<0.001)。ceMRN显着增强了各节段的神经可视化(均p<0.05)以及志愿者和患者的诊断信心(均p<0.05)。ceMRN改善了患者的病变显著性(p=0.003)。定量地,ceMRN的神经CRs明显高于皮下脂肪,骨髓,与ncMRN相比,神经血管和血管的CNR(均p<0.05)。
    ceMRN通过强烈抑制脂肪信号,显着改善手腕和手掌中周围神经和病理的可视化,骨髓,尤其是志愿者和患者的血管。
    使用造影剂改善手腕和手掌中小神经的磁共振成像和病变显示的研究为什么进行了这项研究?因为手腕和手掌中的神经和分支众多,小,曲折,被肌肉包围,脂肪,骨头,血管和其他组织,用常规磁共振成像很难显示它们的完整形状。手部病变常导致肿胀,水肿和肿块,干扰神经的显示。因此,临床很难直接诊断病变与神经的关系。研究人员做了什么?研究小组使用造影剂加三维高分辨率磁共振序列显示志愿者和手部病变患者的神经,并采用主观和客观评价方法,比较使用对比剂前后序列对神经的显示效果。研究人员发现了什么?造影剂加三维高分辨率磁共振序列的成像方法可以减少脂肪的干扰,血管,等。在神经显示上,改善手腕和手掌的每个神经段的显示效果,增加读者识别神经的信心,并提高病变的检测。这项研究验证了使用造影剂对手腕和手掌神经进行磁共振成像的可行性和优势。为手部病变的临床和影像学诊断提供了新的方法,可以同时显示神经和病变的形态特征,降低临床诊断难度,提高影像诊断效率。
    UNASSIGNED: Magnetic resonance imaging of peripheral nerves in the wrist and palm is challenging due to the small size, tortuous course, complex surrounding tissues, and accompanying blood vessels. The occurrence of carpal palmar lesions leads to edema, swelling, and mass effect, which may further interfere with the display and identification of nerves.
    UNASSIGNED: To evaluate whether contrast-enhanced magnetic resonance neurography (ceMRN) improves the visualization of the morphology and pathology of the median, ulnar nerves, and their small branches in the wrist and palm.
    UNASSIGNED: An observational study.
    UNASSIGNED: In total 57 subjects, including 36 volunteers and 21 patients with carpal palmar lesions, were enrolled and underwent ceMRN and non-contrast MRN (ncMRN) examination at 3.0 Tesla. The degree of vascular suppression, nerve visualization, diagnostic confidence, and lesion conspicuity was qualitatively assessed by two radiologists. Kappa statistics were obtained for inter-reader agreement. The signal-to-noise ratio, contrast ratio (CR), and contrast-to-noise ratio (CNR) of the median nerve were measured. The subjective ratings and quantitative measurements were compared between ncMRN and ceMRN.
    UNASSIGNED: The inter-reader agreement was excellent (k > 0.8) for all qualitative assessments and visualization assessment of each nerve segment. Compared with ncMRN, ceMRN significantly improved vascular suppression in volunteers and patients (both p < 0.001). The ceMRN significantly enhanced nerve visualization of each segment (all p < 0.05) and diagnostic confidence in volunteers and patients (both p < 0.05). The ceMRN improved lesion conspicuity (p = 0.003) in patients. Quantitatively, ceMRN had significantly higher CRs of nerve versus subcutaneous fat, bone marrow, and vessels and CNR of nerve versus vessel than ncMRN (all p < 0.05).
    UNASSIGNED: The ceMRN significantly improves the visualization of peripheral nerves and pathology in the wrist and palm by robustly suppressing the signals of fat, bone marrow, and especially vessels in volunteers and patients.
    Study on the improvement of magnetic resonance imaging and lesion display of small nerves in the wrist and palm using contrast agents Why was the study done? Because the nerves and branches in the wrist and palm are numerous, small, tortuous, and surrounded by muscles, fat, bones, blood vessels and other tissues, it is difficult to show their complete shape with conventional magnetic resonance imaging. Hand lesions often lead to swelling, edema and masses, which interfere with the display of nerves. Therefore, it is difficult to directly diagnose the relationship between the lesions and nerves in clinical practice. What did the researchers do? The research team used contrast agent plus three-dimensional high-resolution magnetic resonance sequence to display the nerves of volunteers and patients with hand lesions, and used subjective and objective evaluation methods to compare the display effect of the sequence on the nerves before and after the use of contrast agent. What did the researchers find? The imaging method of contrast agent plus three-dimensional high-resolution magnetic resonance sequence can reduce the interference of fat, blood vessels, etc. on nerve display, improve the display effect of each nerve segment of the wrist and palm, increase readers’ confidence in identifying nerves, and improve the detection of lesions. What do the findings mean? This study verified the feasibility and advantages of using contrast agents for magnetic resonance imaging of nerves in the wrist and palm. It provides a new method for clinical and imaging diagnosis of hand lesions, which can simultaneously display the morphological characteristics of nerves and lesions, reducing the difficulty of clinical diagnosis and improving the efficiency of imaging diagnosis.
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