Synthetic

合成
  • 文章类型: Journal Article
    目的:一些颅内动脉瘤(IA)患者由于造影剂或放射线的禁忌症而无法进行三维计算机断层扫描血管造影(3D-CTA)或数字减影血管造影(DSA)。飞行时间磁共振血管造影(TOF-MRA)提供了无对比的替代方法,但缺乏对手术计划至关重要的颅骨细节。这项研究评估了使用3DSlicer将TOF-MRA与薄层CT图像融合以生成类似于CTA的合成图像以进行手术剪裁计划的可行性。
    方法:这项前瞻性研究包括22例接受动脉瘤夹闭手术(≥3mm)的未破裂IAs(UIA)和8例破裂IAs(RIA)患者。使用3DSlicer融合TOF-MRA和CT/3D-CTA扫描。神经放射科医生和神经外科医生独立评估3D-CTA和合成TOF-MRA-CT图像的动脉瘤检出率,形态学,和尺寸。评估指标包括骰子相似系数(DSC)和95%Hausdorff距离(HD)。
    结果:动脉瘤检出率的评估,形态学,合成TOF-MRA-CT融合图像与3D-CTA的尺寸差异均无统计学意义(均p>0.05)。神经放射学家的评估显示,合成TOF-MRA-CT融合图像与3D-CTA之间的动脉瘤形态具有很强的一致性(κ=0.867,p<0.001)。DSC(0.937±0.012)和HD(4.54±0.26)表明合成TOF-MRA-CT融合图像与3D-CTA之间存在高度图像重叠。外科医生将合成TOF-MRA-CT融合图像与术中发现之间的动脉瘤形态一致性评价为高度一致(κ=0.873,p<0.001)。
    结论:合成TOF-MRA-CT融合图像与≥3mm动脉瘤的3D-CTA紧密匹配,证明具有可比性的诊断和手术夹闭计划的有效性。它们代表了个性化术前计划的有希望的替代方案,特别是当造影剂是禁忌的。
    OBJECTIVE: Some patients with intracranial aneurysms (IAs) cannot undergo three-dimensional computed tomography angiography (3D-CTA) or digital subtraction angiography due to contraindications to contrast agents or radiation. Time-of-flight magnetic resonance angiography (TOF-MRA) offers a contrast-free alternative but lacks cranial bone detail critical for surgical planning. This study evaluates the feasibility of using 3D Slicer to fuse TOF-MRA with thin-section CT images to generate synthetic images resembling CTA for surgical clipping planning.
    METHODS: This prospective study included 22 patients with unruptured IAs and 8 with ruptured IAs undergoing aneurysm clipping surgery (≥3 mm). TOF-MRA and CT/3D-CTA scans were fused using 3D Slicer. Neuroradiologists and neurosurgeons independently assessed 3D-CTA and synthetic TOF-MRA-CT images for aneurysm detection rates, morphology, and dimensions. Evaluation metrics included dice similarity coefficient and 95% Hausdorff distance.
    RESULTS: Evaluation of aneurysm detection rates, morphology, and dimensions showed no significant differences between synthetic TOF-MRA-CT fusion images and 3D-CTA (all P > 0.05). Neuroradiologist assessments revealed strong concordance in aneurysm morphology between synthetic TOF-MRA-CT fusion images and 3D-CTA (κ = 0.867, P < 0.001). The dice similarity coefficient (0.937 ± 0.012) and Hausdorff distance (4.54 ± 0.26) indicated a high degree of image overlap between synthetic TOF-MRA-CT fusion images and 3D-CTA. Surgeons rated the consistency of aneurysm morphology between synthetic TOF-MRA-CT fusion images and intraoperative findings as strongly concordant (κ = 0.873, P < 0.001).
    CONCLUSIONS: Synthetic TOF-MRA-CT fusion images closely match 3D-CTA for ≥3 mm aneurysms, demonstrating comparable diagnostic and surgical clipping planning effectiveness. They represent a promising alternative for personalized preoperative planning, particularly when contrast agents are contraindicated.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    中间麦草(IWG)是一种多年生草,可生产营养谷物,同时提供大量的生态系统服务。这种作物的商业品种大多是通过将一些选定的个体相互配合而发展起来的合成广生种群。由于这些合成种群的发展和世代进步是一个多年的过程,较早的合成世代由育种者测试,随后的世代被释放给种植者。目前缺乏IWG合成品种中的世代比较。在这项研究中,我们使用模拟模型和基因组预测来分析MN-Clearwater的四个合成世代的种群差异和遗传变异趋势,明尼苏达大学发布的商业品种。在四代人口遗传方面几乎没有观察到差异,遗传亲缘关系,和通过连锁不平衡测量的全基因组标记关系。当使用7个亲本来生成合成种群时,观察到遗传变异的减少,而使用20个则导致确定种群变异的最佳结果。植物高度的基因组预测,自由脱粒能力,种子质量,四个合成世代之间的谷物产量在世代之间显示出一些显着差异,但数值差异可忽略不计。基于这些观察,我们得出两个主要结论:1)IWG的早期和后期合成世代大多相似,差异最小;2)建议使用20种基因型来创建合成种群,以在所有合成世代中维持充足的遗传变异和性状表达。
    Intermediate wheatgrass (IWG) is a perennial grass that produces nutritious grain while offering substantial ecosystem services. Commercial varieties of this crop are mostly synthetic panmictic populations that are developed by intermating a few selected individuals. As development and generation advancement of these synthetic populations is a multi-year process, earlier synthetic generations are tested by the breeders and subsequent generations are released to the growers. A comparison of generations within IWG synthetic cultivars is currently lacking. In this study, we used simulation models and genomic prediction to analyze population differences and trends of genetic variance in four synthetic generations of MN-Clearwater, a commercial cultivar released by the University of Minnesota. Little to no differences were observed among the four generations for population genetic, genetic kinship, and genome-wide marker relationships measured via linkage disequilibrium. A reduction in genetic variance was observed when 7 parents were used to generate synthetic populations while using 20 led to the best possible outcome in determining population variance. Genomic prediction of plant height, free threshing ability, seed mass, and grain yield among the four synthetic generations showed a few significant differences among the generations yet the difference in values were negligible. Based on these observations, we make two major conclusions: 1) The earlier and latter synthetic generations of IWG are mostly similar to each other with minimal differences; and 2) Using 20 genotypes to create synthetic populations is recommended to sustain ample genetic variance and trait expression among all synthetic generations.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    新型化合物的体内评估是开发新药的关键步骤。在这项研究中,我们选择了1-(2-溴苯基)-1,11-二氢-3H-苯并[h]吡喃并[3,2-c]喹啉-3,12(2H)-二酮(2-BDBPQD),在初步的体外试验中被确定为示例性的α-葡萄糖苷酶抑制剂,用于体内抗糖尿病背景下的进一步评估。
    使用链脲佐菌素(STZ)诱导的糖尿病Wistar大鼠模型评估2-BDBPQD的体内抗糖尿病作用。认识到脂质因素在糖尿病中的相关性,我们还研究了该化合物对糖尿病Wistar大鼠血脂谱的影响。在硅研究中,包括2-BDBPQD的对接研究和药代动力学预测,进行了。
    获得的结果表明,与阿卡波糖相比,2-BDBPQD治疗的血糖水平显着降低。然而,对血脂没有显著影响。计算机研究表明,2-BDBPQD与α-葡萄糖苷酶活性位点的关键残基相互作用,并表现出良好的药代动力学特性。
    总之,该研究证明了2-BDBPQD的体内抗高血糖活性。然而,我们建议进一步进行体内评估,以全面评估其作为糖尿病治疗新药的潜力.
    UNASSIGNED: The in vivo assessment of a novel compound is a pivotal step in the development of a new drug. In this study, we selected 1-(2-bromophenyl)-1,11-dihydro-3H-benzo[h]pyrano[3,2-c]quinoline-3,12(2H)-dione (2-BDBPQD), identified as an exemplary α-glucosidase inhibitor in preliminary in vitro assays, for further evaluation in an in vivo anti-diabetic context.
    UNASSIGNED: The in vivo anti-diabetic effect of 2-BDBPQD was assessed using a streptozotocin (STZ)-induced diabetic Wistar rat model. Recognizing the relevance of lipid factors in diabetes, we also investigated the impact of this compound on the lipid profile of diabetic Wistar rats. In silico studies, encompassing docking studies and pharmacokinetic predictions of 2-BDBPQD, were conducted.
    UNASSIGNED: The results obtained indicated a significant reduction in blood glucose levels with 2-BDBPQD treatment compared to acarbose. However, no significant effects on the lipid profile were observed. In silico studies revealed that 2-BDBPQD interacted with key residues in the α-glucosidase active site and exhibited favorable pharmacokinetic properties.
    UNASSIGNED: In summary, the study demonstrated the in vivo anti-hyperglycemic activity of 2-BDBPQD. Nevertheless, further in vivo evaluations are recommended to comprehensively assess its potential as a new drug for the treatment of diabetes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    多形性胶质母细胞瘤(GBM)的特点是死亡率高,对细胞毒性化疗的高抗性,和放射治疗由于其高度侵略性的性质。GBM的病理生理学特征是多种遗传磨损,使肿瘤抑制基因失活,诱导转化基因,以及促生存基因的过度分泌,导致癌基因的可持续性。合成致死性是一个破坏性过程,其中单个遗传后果的发作对于细胞存活是可以容忍的,而多重遗传后果的共同发作导致细胞死亡。这种靶向药物的方法,以合成杀伤力的遗传概念为中心,通常对DNA修复缺陷的GBM细胞具有选择性,对正常组织具有有限的毒性。DNA修复途径是生成过程中的关键模式,治疗,和癌症的耐药性,DNA损伤作为致癌突变的创造者和细胞毒性基因组不稳定性的促进者发挥着双重作用。尽管在GBM治疗的合成致死方式方面已经取得了一些研究进展,没有一篇综述文章对这些治疗方式进行了总结.因此,这篇综述集中在GBM治疗的合成致死方式方面的创新性进展.
    Glioblastoma multiforme (GBM) is characterized by a high mortality rate, high resistance to cytotoxic chemotherapy, and radiotherapy due to its highly aggressive nature. The pathophysiology of GBM is characterized by multifarious genetic abrasions that deactivate tumor suppressor genes, induce transforming genes, and over-secretion of pro-survival genes, resulting in oncogene sustainability. Synthetic lethality is a destructive process in which the episode of a single genetic consequence is tolerable for cell survival, while co-episodes of multiple genetic consequences lead to cell death. This targeted drug approach, centered on the genetic concept of synthetic lethality, is often selective for DNA repair-deficient GBM cells with restricted toxicity to normal tissues. DNA repair pathways are key modalities in the generation, treatment, and drug resistance of cancers, as DNA damage plays a dual role as a creator of oncogenic mutations and a facilitator of cytotoxic genomic instability. Although several research advances have been made in synthetic lethality modalities for GBM therapy, no review article has summarized these therapeutic modalities. Thus, this review focuses on the innovative advances in synthetic lethality modalities for GBM therapy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    具有辐射清除特性的各种物质,被称为辐射防护器,通过防止自由基引起的细胞损伤,在保护生物体免受电离辐射(IR)的有害影响中起着至关重要的作用。最初,合成辐射防护剂是使用硫醇合成化合物开发的。然而,其中,只有氨磷汀(WR-2721)作为防辐射剂接受了临床试验.还研究了除硫醇化合物以外的具有不同化学结构的各种复合材料。然而,已知合成的辐射防护剂与严重的副作用有关,这导致了对天然物质的倾向。植物和天然产物已成为有希望的辐射防护剂来源,以其在广泛剂量范围内的无毒性质和成本效益而闻名。放射防护剂用于多种药物方法中以减轻由辐射引起的毒性。本综述详细介绍了具有辐射防护特性的各种合成和天然存在的化合物,以及与它们的辐射防护作用有关的不同调查,从自由基清除到基因治疗,也被精确覆盖。许多辐射防护剂具有不同的作用机制,并且已经证明天然存在的化合物优于化学合成的化合物。
    Various substances possessing radiation scavenging properties, known as radioprotectors, play a crucial role in shielding organisms from the harmful effects of ionizing radiation (IR) by preventing cellular damage caused by free radicals. Initially, synthetic radioprotectors were developed using thiol synthetic compounds. However, among these, only amifostine (WR-2721) underwent clinical testing as a radioprotector. Various composites with different chemical structures other than thiol compounds were also investigated. However, synthetic radioprotectors are known to be associated with severe side effects, which lead to an inclination towards natural substances. Plants and natural products have emerged as promising sources of radioprotectors, renowned for their non-toxic nature across a broad range of doses and their cost-effectiveness. Radioprotectors are employed in diverse pharmaceutical approaches to mitigate the toxicities induced by radiation. The present review encompasses a detailed account of various synthetic and naturally occurring compounds possessing radioprotective properties, and different investigations related to their radioprotective action, ranging from free radicals scavenging to gene therapy, have also been precisely covered. Numerous radioprotectors have different mechanisms of action, and have proven benefits of naturally occurring compounds over chemically synthesized ones.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    衰老是一个复杂和多方面的过程,涉及各种相互关联的分子机制和细胞系统。表型,生物衰老过程伴随着细胞功能的逐渐丧失和多个组织的全身性恶化,导致对衰老相关疾病的易感性。新的证据表明,衰老与端粒消耗密切相关,DNA损伤,线粒体功能障碍,烟酰胺腺嘌呤二核苷酸水平的损失,宏观自噬受损,干细胞衰竭,炎症,蛋白质平衡的丧失,放松营养感知,细胞间通讯改变,和生态失调。这些与年龄相关的变化可以通过干预策略来缓解,比如卡路里限制,改善睡眠质量,加强体力活动,和有针对性的长寿基因。在这次审查中,我们总结了近几十年来在探索衰老的重要原因和抗衰老策略方面的关键历史进展,这为进一步理解衰老表型的可逆性提供了基础,并对合成生物技术在抗衰老治疗中的应用前景进行了展望。
    Aging is a complex and multifaceted process involving a variety of interrelated molecular mechanisms and cellular systems. Phenotypically, the biological aging process is accompanied by a gradual loss of cellular function and the systemic deterioration of multiple tissues, resulting in susceptibility to aging-related diseases. Emerging evidence suggests that aging is closely associated with telomere attrition, DNA damage, mitochondrial dysfunction, loss of nicotinamide adenine dinucleotide levels, impaired macro-autophagy, stem cell exhaustion, inflammation, loss of protein balance, deregulated nutrient sensing, altered intercellular communication, and dysbiosis. These age-related changes may be alleviated by intervention strategies, such as calorie restriction, improved sleep quality, enhanced physical activity, and targeted longevity genes. In this review, we summarise the key historical progress in the exploration of important causes of aging and anti-aging strategies in recent decades, which provides a basis for further understanding of the reversibility of aging phenotypes, the application prospect of synthetic biotechnology in anti-aging therapy is also prospected.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    动脉和静脉发展不同类型的闭塞性疾病,对损伤的反应也不同。这种差异的生物学原因还没有得到很好的理解,这是静脉靶向治疗发展的限制因素。这项研究在单细胞水平上对比了人类外周动脉和静脉,重点研究具有重塑潜力的细胞群。使用批量和单细胞RNA测序的组合比较了来自30个器官供体的上臂动脉(肱动脉)和静脉(基本/头部),蛋白质组学,流式细胞术,和组织学。六个动脉和静脉的细胞图谱显示出动脉中收缩平滑肌细胞(SMC)的7.8倍更高的比例,并且倾向于更多调节的SMC。相比之下,静脉显示更丰富的内皮细胞,周细胞,和巨噬细胞,以及成纤维细胞的增加趋势。活化的成纤维细胞在两种类型的血管中具有相似的比例,但在基因表达方面具有显著差异。调节的SMC和活化的成纤维细胞的特征在于MYH10、FN1、COL8A1和ITGA10的上调。活化的成纤维细胞也表达F2R,POSTN,和COMP,并通过F2R/CD90流式细胞仪证实。在来自两种类型血管的所有成纤维细胞群体中,来自静脉的活化成纤维细胞是胶原蛋白的主要生产者。静脉成纤维细胞也是高度血管生成的,促炎,和对活性氧的高反应者。壁结构的差异进一步解释了成纤维细胞群体对静脉重塑的重要贡献。成纤维细胞几乎完全位于动脉的外弹性层之外,同时广泛分布在整个静脉壁。根据上述情况,ECM靶向蛋白质组学证实静脉中纤维状胶原蛋白的丰度更高动脉中更多的基底ECM成分。动脉和静脉中修复性群体的不同细胞组成和转录程序可以解释血管之间急性和慢性壁重塑的差异。这些信息可能与抗狭窄疗法的发展有关。
    Arteries and veins develop different types of occlusive diseases and respond differently to injury. The biological reasons for this discrepancy are not well understood, which is a limiting factor for the development of vein-targeted therapies. This study contrasts human peripheral arteries and veins at the single-cell level, with a focus on cell populations with remodeling potential. Upper arm arteries (brachial) and veins (basilic/cephalic) from 30 organ donors were compared using a combination of bulk and single-cell RNA sequencing, proteomics, flow cytometry, and histology. The cellular atlases of six arteries and veins demonstrated a 7.8× higher proportion of contractile smooth muscle cells (SMCs) in arteries and a trend toward more modulated SMCs. In contrast, veins showed a higher abundance of endothelial cells, pericytes, and macrophages, as well as an increasing trend in fibroblasts. Activated fibroblasts had similar proportions in both types of vessels but with significant differences in gene expression. Modulated SMCs and activated fibroblasts were characterized by the upregulation of MYH10, FN1, COL8A1, and ITGA10. Activated fibroblasts also expressed F2R, POSTN, and COMP and were confirmed by F2R/CD90 flow cytometry. Activated fibroblasts from veins were the top producers of collagens among all fibroblast populations from both types of vessels. Venous fibroblasts were also highly angiogenic, proinflammatory, and hyper-responders to reactive oxygen species. Differences in wall structure further explain the significant contribution of fibroblast populations to remodeling in veins. Fibroblasts are almost exclusively located outside the external elastic lamina in arteries, while widely distributed throughout the venous wall. In line with the above, ECM-targeted proteomics confirmed a higher abundance of fibrillar collagens in veins vs. more basement ECM components in arteries. The distinct cellular compositions and transcriptional programs of reparative populations in arteries and veins may explain differences in acute and chronic wall remodeling between vessels. This information may be relevant for the development of antistenotic therapies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    生物指纹识别取决于其传感器的可靠性;然而,校准和标准化这些传感器带来了重大挑战,特别是在可重复性和数据多样性方面。为了解决这些问题,我们提出了制造合成3D指纹目标的方法,或者幻影,模仿真实的人类指纹.这些体模可以在受控和可重复的条件下对指纹传感器进行精确评估和验证。我们的研究采用激光雕刻,3D打印,和数控加工技术,利用不同的材料。我们评估幻影对合成指纹图案的保真度,班级内变异性,以及跨不同制造方法的互操作性。研究结果表明,激光雕刻或CNC加工与硅胶铸造相结合,可产生具有高精度和一致性的手指状体模,用于滚动指纹记录。对于巴掌录音,直接激光雕刻的扁平硅胶靶,在非接触式指纹传感器设置中,3D打印和硅胶填充提供了最有利的属性。我们的工作使全面,与方法无关的各种制造方法的比较,对每种方法的优缺点提供独特的视角。这有助于更广泛地理解指纹识别系统验证和性能评估。
    Biometric fingerprint identification hinges on the reliability of its sensors; however, calibrating and standardizing these sensors poses significant challenges, particularly in regards to repeatability and data diversity. To tackle these issues, we propose methodologies for fabricating synthetic 3D fingerprint targets, or phantoms, that closely emulate real human fingerprints. These phantoms enable the precise evaluation and validation of fingerprint sensors under controlled and repeatable conditions. Our research employs laser engraving, 3D printing, and CNC machining techniques, utilizing different materials. We assess the phantoms\' fidelity to synthetic fingerprint patterns, intra-class variability, and interoperability across different manufacturing methods. The findings demonstrate that a combination of laser engraving or CNC machining with silicone casting produces finger-like phantoms with high accuracy and consistency for rolled fingerprint recordings. For slap recordings, direct laser engraving of flat silicone targets excels, and in the contactless fingerprint sensor setting, 3D printing and silicone filling provide the most favorable attributes. Our work enables a comprehensive, method-independent comparison of various fabrication methodologies, offering a unique perspective on the strengths and weaknesses of each approach. This facilitates a broader understanding of fingerprint recognition system validation and performance assessment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    抗菌肽(AMP)由于其理想的品质,包括广谱活性,被认为是抗生素开发的潜在支架。快速行动,和普遍缺乏对当前抗性机制的敏感性。然而,它们通常在生理条件下失去抗菌活性和/或显示哺乳动物细胞毒性,这限制了它们的潜在用途。识别克服这些障碍的AMP将有助于制定如何开发这种抗菌类以治疗感染的规则。在这里,我们描述了我们的新型合成AMP的开发,从发现到体内应用。我们进化的AMP,DTr18-dab,具有广谱抗菌活性和非溶血性。它对浮游细菌和生物膜有活性,不受粘菌素抗性的影响,并且重要的是在人类血清和GalleriaMellonella感染模型中均具有活性。几个修改,包括非规范氨基酸的掺入,被用来得出这个稳健的序列。我们观察到,用非规范氨基酸对抗菌活性的影响取决于测定条件,因此不能完全预测。总的来说,我们的结果证明了如何将相对较弱的铅发展成为具有对潜在治疗翻译重要质量的稳健AMP。
    Antimicrobial peptides (AMPs) are presented as potential scaffolds for antibiotic development due to their desirable qualities including broad-spectrum activity, rapid action, and general lack of susceptibility to current resistance mechanisms. However, they often lose antibacterial activity under physiological conditions and/or display mammalian cell toxicity, which limits their potential use. Identification of AMPs that overcome these barriers will help develop rules for how this antibacterial class can be developed to treat infection. Here we describe the development of our novel synthetic AMP, from discovery through in vivo application. Our evolved AMP, DTr18-dab, has broad-spectrum antibacterial activity and is nonhemolytic. It is active against planktonic bacteria and biofilm, is unaffected by colistin resistance, and importantly is active in both human serum and a Galleria mellonella infection model. Several modifications, including the incorporation of noncanonical amino acids, were used to arrive at this robust sequence. We observed that the impact on antibacterial activity with noncanonical amino acids was dependent on assay conditions and therefore not entirely predictable. Overall, our results demonstrate how a relatively weak lead can be developed into a robust AMP with qualities important for potential therapeutic translation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Case Reports
    对于早期乳腺癌患者,保乳手术(BCS)是一种公认的标准治疗选择,可替代乳房切除术,包括乳房切除术,然后进行辅助放疗。然而,当需要进行治疗后手术管理时,受照射的组织伤口愈合并发症的风险增加.辐照伤口裂开的处理可能具有挑战性,因为与传统的手术伤口裂开相比,它通常需要多模式治疗方法,包括更多的侵入性干预措施。我们介绍了一位64岁的女性患者,在12年前接受了早期乳腺癌的放射治疗,由于同侧乳腺癌复发,他最近需要进行简单的乳房切除术。术后过程因乳房切除术伤口的开裂而变得复杂。标准伤口护理治疗失败后,用合成电纺纤维基质治疗后,她的手术伤口成功愈合。患有其他合并症的患者通常不符合侵入性重建选择的资格;因此,有效的本地管理选择是必要的。这是第一个报道的病例,记录了合成电纺纤维基质在先前照射过的纤维化区域内愈合裂开的手术伤口的功效和安全性。无需进一步的侵入性手术干预。更大规模的研究,如前瞻性队列研究或随机对照试验,需要研究其在辐照伤口中的新用途。
    Breast-conserving surgery (BCS) is a well-established standard treatment option alternative to mastectomy for patients with early breast cancer that consists of a lumpectomy followed by adjuvant radiotherapy. However, irradiated tissues are at an increased risk of wound healing complications when post-treatment surgical management is required. The management of an irradiated wound dehiscence can be challenging, as it often requires a multimodal treatment approach that includes more invasive interventions when compared to a traditional surgical wound dehiscence. We present a 64 year old female patient with a remote history of right BCS with radiation therapy for early breast cancer 12 years ago, who recently required a simple mastectomy due to ipsilateral breast cancer recurrence. The post-operative course was complicated by dehiscence of the mastectomy wound. After standard wound care therapies failed, her surgical wound successfully healed after treatment with a synthetic electrospun fiber matrix application. Patients with additional comorbidities often do not qualify for invasive reconstructive options; therefore, effective local management options are warranted. This is the first reported case documenting synthetic electrospun fiber matrix efficacy and safety in healing a dehisced surgical wound within a previously irradiated fibrotic area, without the need for further invasive surgical intervention. Larger scale research, such as a prospective cohort study or randomized control trial, is needed to investigate its novel use in irradiated wounds.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号