growth rate

增长率
  • 文章类型: Journal Article
    副角藻是导致猪Glässer病的病原体,其特征是纤维性多浆膜炎,关节炎和脑膜炎.微生物中核糖体蛋白L32的研究主要集中在调控基因转录和翻译,但其对细菌毒力的影响尚不清楚。L32基因在副猪的作用尚不清楚,为了研究L32基因的功能,采用自杀质粒介导的自然转化方法构建L32基因缺失突变体。我们发现,尽管L32被证明对细胞增殖是非必需的,ΔL32的生长曲线与ZJ1208的生长曲线明显不同。ΔL32产生更多具有各种不规则形状的外膜囊泡(OMV),但产生了与亲本菌株相似的生物膜。ΔL32对渗透压更敏感,氧化压力和热冲击应力。同时,ΔL32对抗生素如壮观霉素明显更敏感,阿普霉素,sulfafurazole,而不是本研究中使用的其他抗生素。在老鼠挑战实验中,与感染野生型菌株的小鼠相比,感染突变菌株的小鼠的死亡率降低了40%,表明L32是一种毒力相关因子,有助于宿主环境中的细菌适应性。以上结果表明,L32对生长很重要,副猪的抗逆性和毒力,这项研究还首次证实了L32在抗生素对氨基糖苷类和磺胺类药物的耐药性中起着重要作用。
    Glaesserella parasuis is the pathogen that causes Glässer\'s disease in pigs, which is characterized by fibrinous polyserositis, arthritis and meningitis. Research on ribosomal protein L32 in microorganisms has mainly focused on regulating gene transcription and translation, but its effect on bacterial virulence is unclear. The role of L32 gene in G. parasuis is not clear, and in order to study the function of L32 gene, a suicide plasmid-mediated natural transformation method was used to construct a L32 gene deletion mutant. We found that although L32 was shown to be non-essential for cell proliferation, the growth curve of ΔL32 is clearly different compared with that of ZJ1208. ΔL32 produced more outer membrane vesicles (OMVs) with a variety of irregular shapes, but produced similar biofilm to the parental strain. ΔL32 is more sensitive to osmotic pressure, oxidation pressure and heat shock stress. Meanwhile, ΔL32 is significantly more susceptible to antimicrobials such as spectinomycin, apramycin, sulfafurazole, but not to other antibiotics used in this study. In the mouse challenge experiment, the mortality of mice infected with the mutant strain decreased by 40% compared to those infected with the wild-type strain, indicating that L32 is a virulence-associated factor which contributes to bacterial fitness in host environments. The above results show that L32 is important for the growth, stress resistance and virulence of G. parasuis, and this study also confirms for the first time that L32 plays an important role in antibiotic resistance against aminoglycosides and sulfonamides.
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  • 文章类型: Journal Article
    目的:评估血清骨钙蛋白(OC)作为区分快速和非快速进展性中枢性性早熟(RP-CPP和NRP-CPP)的标志物的适用性,以及用促性腺激素释放激素激动剂(GnRHa)治疗后评估生长速率的潜力。
    方法:使用酶联免疫吸附测定法在诊断为RP-CPP或NRP-CPP的女孩以及正常对照组中测量血清OC水平。进行接收器工作特征(ROC)曲线分析以确定OC的截断值。采用多元线性回归分析与OC相关的主要影响因素。
    结果:与正常对照组相比,CPP女孩的血清OC水平更高(110.76±43.69vs55.97±20.96ng/mL,P<0.001)。RP-CPP组的水平高于NRP-CPP组(153.28±33.89vs88.33±29.26ng/mL,P<0.001)。区分RP-CPP和NRP-CPP的OC水平的临界值为107.05ng/mL,敏感性为94.7%,特异性为77.8%,优于使用基础黄体生成素(B-LH)水平,ROC曲线下面积(AUC)分别为0.933和0.695。在用GnRHa治疗患有CPP的女孩1-2年后,OC水平和生长率均降至青春期前值。B-LH水平,骨龄和体重也是重要因素,这影响了OC水平。
    结论:血清OC水平可能是区分RP-CPP和NRP-CPP的有用标志物。此外,还发现它是GnRHa治疗期间生长速率的有用预测因子。
    OBJECTIVE: To evaluate the suitability of serum osteocalcin (OC) as a marker to distinguish between rapidly and non-rapidly progressive central precocious puberty (RP-CPP and NRP-CPP), as well as its potential to assess growth rates following treatment with gonadotropin-releasing hormone agonist (GnRHa).
    METHODS: Serum levels of OC were measured using enzyme-linked immunosorbent assays in girls diagnosed with either RP-CPP or NRP-CPP as well as in normal control subjects. Receiver operating characteristic (ROC) curve analysis was performed to determine the cut-off value for OC. Multivariate linear regression analysis was used to analyse the main influencing factors associated with OC.
    RESULTS: Serum OC levels were higher in the CPP girls when compared to normal controls (110.76 ± 43.69 vs 55.97 ± 20.96 ng/mL, P < 0.001). The level in the RP-CPP group was higher than the NRP-CPP group (153.28 ± 33.89 vs 88.33 ± 29.26 ng/mL, P < 0.001). The cut-off value of OC levels for distinguishing between RP-CPP and NRP-CPP was 107.05 ng/mL, the sensitivity was 94.7% and the specificity was 77.8%, which was superior to using the basal luteinising hormone (B-LH) levels, and the area under ROC curve (AUC) were 0.933 versus 0.695, respectively. Following 1-2 years of treatment with GnRHa for girls with CPP, both OC levels and the growth rates decreased to pre-pubertal values. B-LH levels, bone age and body weight were also significant factors, which affected OC levels.
    CONCLUSIONS: Serum OC levels may be a useful marker for distinguishing RP-CPP from NRP-CPP. In addition, it was also found to be a useful predictor for growth rate during GnRHa treatment.
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  • 文章类型: Journal Article
    研究表明,糖尿病与腹主动脉瘤(AAA)的患病率和生长降低有关。确定影响AAA增长的因素将使我们能够对患者进行风险分层并可能优化管理。我们旨在提供最新的系统评价和荟萃分析,以根据患者的人口统计学提供更有针对性的筛查实践。MEDLINE,EMBASE,使用Ovid界面和PubMed搜索引擎搜索DARE。如果他们比较糖尿病和非糖尿病人群之间AAA的增长率,则认为研究合格。平均差(MD)和95%内部置信度(CI)用于数据合成。我们的荟萃分析包括了20篇文章中的24项研究,共有10,121名参与者。AAA生长和糖尿病之间显示出整体的负面影响,年平均效应为-0.25毫米/年(95%CI-0.35,-0.15;I2=73%)。我们的荟萃分析,与以前的分析相比,它更大,科学上更稳健,已经证实,与非糖尿病人群相比,糖尿病每年减少AAA的生长约0.25毫米。这可能对AAA筛查实践产生重大影响。
    Studies have shown that diabetes mellitus is associated with a reduced prevalence and growth of abdominal aortic aneurysms (AAA). Establishing the factors that influence AAA growth will enable us to risk stratify patients and potentially optimise management. We aimed to provide an updated systematic review and meta-analysis that would inform more targeted screening practices based on patient demographics. MEDLINE, EMBASE, and DARE were searched using the Ovid interface and PubMed search engine. Studies were deemed eligible if they compared the growth rate of AAA between diabetic and non-diabetic populations. The mean difference (MD) and 95% confidence internal (CI) was used for data synthesis. Twenty-four studies from 20 articles with a total of 10,121 participants were included in our meta-analysis. An overall negative effect was shown between AAA growth and diabetes, with an annual mean effect of -0.25 mm/year (95% CI -0.35, -0.15; I2 = 73%). Our meta-analysis, which is larger and scientifically more robust compared to previous analyses, has confirmed that diabetes reduces the growth of AAA by approximately 0.25 mm a year compared to non-diabetic populations. This could have significant implications for AAA screening practices.
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  • 文章类型: Journal Article
    气候变化可能包括通过改变海洋动力学而引起的海上盐度浓度的变化。这些变化可能对海洋光合生物尤其具有挑战性。影响其生长和分布。衣藻属。无处不在,经常在极端盐度条件下发现。出于这个原因,它们被认为是研究盐度适应策略的良好模式物种。在目前的研究中,我们使用综合方法研究了衣藻。CCMP225对20和70盐度的反应,通过结合生理,形态学,和转录组学分析,并比较两种盐度条件下指数生长期和静止生长期的差异表达基因。结果表明,该菌株能够在所有测试的盐度条件下生长,并且即使在高盐度下也能保持惊人的高光合效率。然而,在最高盐度条件下,细胞失去了鞭毛.转录组学分析强调了特定基因类别的上调或下调,帮助识别响应盐度胁迫的关键基因。总的来说,这些发现可能对海洋生物学感兴趣,生态学,和生物技术社区,更好地了解在可能的全球变化情景下的物种适应机制以及参与生物活性分子合成的酶的潜在激活。
    Climate changes may include variations in salinity concentrations at sea by changing ocean dynamics. These variations may be especially challenging for marine photosynthetic organisms, affecting their growth and distribution. Chlamydomonas spp. are ubiquitous and are often found in extreme salinity conditions. For this reason, they are considered good model species to study salinity adaptation strategies. In the current study, we used an integrated approach to study the Chlamydomonas sp. CCMP225 response to salinities of 20‱ and 70‱, by combining physiological, morphological, and transcriptomic analyses, and comparing differentially expressed genes in the exponential and stationary growth phases under the two salinity conditions. The results showed that the strain is able to grow under all tested salinity conditions and maintains a surprisingly high photosynthetic efficiency even under high salinities. However, at the highest salinity condition, the cells lose their flagella. The transcriptomic analysis highlighted the up- or down-regulation of specific gene categories, helping to identify key genes responding to salinity stress. Overall, the findings may be of interest to the marine biology, ecology, and biotechnology communities, to better understand species adaptation mechanisms under possible global change scenarios and the potential activation of enzymes involved in the synthesis of bioactive molecules.
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  • 文章类型: Journal Article
    肉鸡群中体重(BW)的变化是家禽生产中的重大挑战。调查低BW(LBW)和高BW(HBW)雏鸡之间肠道相关参数的差异可能会提供对BW异质性的根本原因的见解。将908日龄雄性肉鸡饲养至第7天,然后分为LBW和HBW组。此后,定期比较BW组之间的性能参数。在第7、14和38天,内脏器官特征,肠通透性,十二指肠和回肠组织形态学检查。分析了79个与肠屏障功能相关的回肠基因的表达谱,免疫功能,养分运输,肠道激素,营养受体,新陈代谢,和使用高通量qPCR的氧化。进行学生t检验以比较测量。多元统计,包括偏最小二乘回归(PLSR)分析,用于识别区分BW组的关键基因的组合,提供表型变异的预测能力。HBW组在每个时间点都保持较重,这可以解释为更高的饲料摄入量。HBW组的相对小肠长度较短,但绒毛高度和绒毛高度/隐窝深度比较高。LBW组在第38天显示肠通透性增加。LBW组在第7天显示包括TNF-α和第38天CYP450在内的免疫应答基因上调,而HBW组在第7天显示较高的AHSA1和HSPA4表达。LBW组在第7天的代谢基因mTOR和EIF4EBP1上调,在第14天的饱腹感诱导激素胆囊收缩素上调,而HBW组在第38天的饥饿激素ghrelin表达趋于增加。与肠屏障功能相关的基因,养分运输,在HBW组中,氧化类别一直上调。PLSR模型分别在第7、14和38天揭示了4、12和11组高度预测BW表型的关键基因。这些发现表明,生长率与肠道大小有关,结构,和肉鸡的功能,提供对调节BW的潜在机制的见解。
    Variation in body weight (BW) within broiler flocks is a significant challenge in poultry production. Investigating differences in gut-related parameters between low (LBW) and high BW (HBW) chicks may provide insights into the underlying causes of BW heterogeneity. 908 day-old male broiler chicks were reared until d 7 and then ranked into LBW and HBW groups. Thereafter, performance parameters were compared between BW groups periodically. On d 7, 14, and 38, visceral organ characteristics, intestinal permeability, and duodenal and ileal histomorphology were examined. Expression profiles were analyzed for 79 ileal genes related to gut barrier function, immune function, nutrient transport, gut hormones, nutrient receptors, metabolism, and oxidation using high-throughput qPCR. Student\'s t-tests were performed to compare measurements. Multivariate statistics, including partial least square regression (PLSR) analysis, were applied to identify combinations of key genes discriminating BW groups, offering predictive capability for phenotypic variations. The HBW group remained heavier at each timepoint, which could be explained by higher feed intake. The HBW group had shorter relative small intestine length but higher villus height and villi height/crypt depth ratios. The LBW group demonstrated increased intestinal permeability on d 38. The LBW group showed upregulation of immune response genes including TNF-α on d 7 and CYP450 on d 38, while the HBW group showed higher AHSA1 and HSPA4 expressions on d 7. The LBW group had upregulation of the metabolism genes mTOR and EIF4EBP1 on d 7 and the satiety-induced hormone cholecystokinin on d 14, while the HBW group tended to increase expression of the hunger hormone ghrelin on d 38. Genes related to gut barrier function, nutrient transport, and oxidation categories were consistently upregulated in the HBW group. PLSR models revealed 4, 12, and 11 sets of key genes highly predictive of BW phenotypes on d 7, 14, and 38, respectively. These findings suggest that growth rates are linked to the intestinal size, structure, and function of broiler chickens, offering insights into the underlying mechanisms regulating BW.
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  • 文章类型: Journal Article
    背景:动物的季节性运动通常会导致大量能量和养分跨越生态系统边界的转移,这可能会通过各种途径对当地的食物网产生重大影响。虽然这在陆地和水生生物中都是众所周知的,对其对食物网结构的影响和关键途径的识别的定量估计很少,由于在负控制的情况下难以获得生态系统水平的复制,即没有迁移的可比系统。
    方法:在本研究中,我们估计了北极炭(Salvelinusalpinus)迁移对河流生态系统结构的影响,通过比较具有高于自然迁徙障碍的严格常住人口的多个溪流与低于这些障碍的部分迁徙人口的溪流。我们比较了上方和下方种群之间的密度估计和大小结构。通过分析胃内容物检查饮食差异,通过使用稳定同位素检查营养位置的变化。为了推断居民个人的增长率,使用耳石进行反向生长计算。
    结果:我们在部分迁徙人群中发现较高密度的小少年,幼年的北极Charr最初表现出较低的生长,可能是由于种内竞争较高。达到一个尺寸后,在那里他们可以开始以蛋和较小的幼鱼为食,这两种情况在部分迁徙人群中都更常见,增长超过常住人口。由高幼年密度引起的同类相食几乎仅发生在具有迁移的人群中,并且代表了食物网的能量途径的改变。大食人族炭素的存在以较小的炭素为食,这些炭素的营养水平与严格居住人群的炭素相似(基于胃含量),再加上较陡的δ15N大小的回归斜率,说明了系统中食物链长度的普遍增加。迁移。
    结论:因此,我们的研究结果表明,迁移资源的消耗可能会通过中上而不是自下而上的效应导致更长的食物链。此外,通过占据食物链的顶端并以幼年物种为食,居民个人与年轻同行的竞争减少,这可能会平衡他们与迁徙个体的健康。
    BACKGROUND: Seasonal movements of animals often result in the transfer of large amounts of energy and nutrients across ecosystem boundaries, which may have large consequences on local food webs through various pathways. While this is known for both terrestrial- and aquatic organisms, quantitative estimates on its effects on food web structure and identification of key pathways are scarce, due to the difficulty in obtaining replication on ecosystem level with negative control, i.e. comparable systems without migration.
    METHODS: In this study, we estimate the impact of Arctic charr (Salvelinus alpinus) migration on riverine ecosystem structure, by comparing multiple streams with strictly resident populations above natural migration barriers with streams below those barriers harboring partially migratory populations. We compared density estimates and size structure between above and below populations. Diet differences were examined through the analysis of stomach contents, changes in trophic position were examined by using stable isotopes. To infer growth rate of resident individuals, back-growth calculation was performed using otoliths.
    RESULTS: We find higher densities of small juveniles in partially migratory populations, where juvenile Arctic charr show initially lower growth, likely due to higher intraspecific competition. After reaching a size, where they can start feeding on eggs and smaller juveniles, which are both more frequent in partially migratory populations, growth surpasses that of resident populations. Cannibalism induced by high juvenile densities occurred almost exclusively in populations with migration and represents an altered energy pathway to the food web. The presence of large cannibalistic charr feeding on smaller ones that have a similar trophic level as charr from strictly resident populations (based on stomach content) coupled with steeper δ15N-size regression slopes illustrate the general increase of food chain length in systems with migration.
    CONCLUSIONS: Our results thus suggest that the consumption of migration-derived resources may result in longer food chains through middle-up rather than bottom-up effects. Furthermore, by occupying the apex of the food chain and feeding on juvenile conspecifics, resident individuals experience reduced competition with their young counterparts, which potentially balances their fitness with migratory individuals.
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  • 文章类型: Journal Article
    在最近对Takacs和Bourrat文章的回复中(BiolPhilos37:12,2022),Autzen和Okasha(BiolPhilos37:37,2022)质疑我们对适应度的几何平均值和算术平均值之间关系的表征。我们在这里对这样的说法提出异议,即我们的特征成为他们强调的错误的牺牲品。简要回顾Takacs和Bourrat(BiolPhilos37:12,2022)所取得的成就表明,差异的关键问题涉及确定性但非恒定增长的情况。将重点限制在此类案件上表明,实际上没有理由不同意。
    In a recent reply to Takacs and Bourrat\'s article (Biol Philos 37:12, 2022), Autzen and Okasha (Biol Philos 37:37, 2022) question our characterization of the relationship between the geometric mean and arithmetic mean measures of fitness. We here take issue with the claim that our characterization falls prey to the mistakes they highlight. Briefly revisiting what Takacs and Bourrat (Biol Philos 37:12, 2022) accomplished reveals that the key issue of difference concerns cases of deterministic but nonconstant growth. Restricting focus to such cases shows that there is in fact no reason for disagreement.
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  • 文章类型: Journal Article
    微生物生长速率是理解环境地球化学和生态学的基础。然而,在单细胞水平测量微生物活性的异质性,特别是在复杂的人口和环境矩阵中,仍然是最重要的挑战。稳定同位素探测(SIP)是用于评估微生物生长的方法,并且涉及测量将同位素标记掺入微生物生物质中。这里,我们将拉曼显微光谱评估为SIP技术,特别关注氘(2H)的测量,微生物生物量生产的示踪剂。我们使用拉曼光谱和纳米级二次离子质谱(nanoSIMS)相关测量了在不同浓度的氘代水中生长的细胞,产生微生物2H的同位素校准。相对于拉曼,我们发现,由于样品洗涤过程中H的快速交换,2H的nanoSIMS测量值受到大量稀释。我们将拉曼衍生的校准应用于微生物生长的数值模型,明确参数化控制生长速率定量的因素,并证明Raman-SIP可以灵敏地测量微生物的生长,倍增时间从数小时到数年不等。用拉曼光谱测量单细胞生长,一个快速的,无损技术,代表了将单细胞分析应用于复杂样品基质或细胞组合的重要一步。
    Rates of microbial growth are fundamental to understanding environmental geochemistry and ecology. However, measuring the heterogeneity of microbial activity at the single-cell level, especially within complex populations and environmental matrices, remains a forefront challenge. Stable isotope probing (SIP) is a method for assessing microbial growth and involves measuring the incorporation of an isotopic label into microbial biomass. Here, we assess Raman microspectroscopy as a SIP technique, specifically focusing on the measurement of deuterium (2H), a tracer of microbial biomass production. We correlatively measured cells grown in varying concentrations of deuterated water with both Raman spectroscopy and nanoscale secondary ion mass spectrometry (nanoSIMS), generating isotopic calibrations of microbial 2H. Relative to Raman, we find that nanoSIMS measurements of 2H are subject to substantial dilution due to rapid exchange of H during sample washing. We apply our Raman-derived calibration to a numerical model of microbial growth, explicitly parameterizing the factors controlling growth rate quantification and demonstrating that Raman-SIP can sensitively measure the growth of microorganisms with doubling times ranging from hours to years. The measurement of single-cell growth with Raman spectroscopy, a rapid, nondestructive technique, represents an important step toward application of single-cell analysis into complex sample matrices or cellular assemblages.
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  • 文章类型: Journal Article
    本实验旨在研究饲喂小麦秸秆基致密完整饲料块(DCFB)对日增重的影响,饲料摄入量,生长中的小母牛的消化率和饲料转化率。将8只5月龄断奶的F1Frisian*Borena(Bostaurus×Bosindicus)杂交小牛(体重92.5±27.5kg)随机分为4组,每个有两只动物在4×4双拉丁广场设计下评估240天。对照处理是天然牧草干草(NPH)和浓缩混合物(CM),以满足对干物质(DM)基础和DCFB的50:50%的要求,通过将麦草(WS)与浓缩物混合物以50:50(T2)的比例混合制备,40:60(T3)和30:70(T4),分别。每个小母牛组在每种饮食中喂养60天。在每个周期结束时,最后7天用于收集饲料和羽毛样品。然而,每15天称重一次,以估计每日生长表现。发现各组间平均日增重有显著差异(P<0.05),饲料转化率,采食量和消化率。WS的致密化和以饲料块的形式饲喂通常改善了饲料DM和营养素摄入量和消化率。DCFBs中CM比例的增加也增加了DM和营养素的摄入量和消化率。T1、T3和T4日粮母牛生长速率高于T2组(P<0.05)。与T1和T2相比,T3和T4的饲料转化率更高(P<0.05)。与T1、T3和T4的小牛相比,T2组的小牛每克体重增加的总生产成本更高(P<0.05)。总之,将断奶后的F1母牛小牛维持在由小麦秸秆和商业小牛浓缩物组成的DCFB上,比例为40至60,在生物学和经济上都是可行的。
    This experiment was designed to investigate the effect of feeding wheat-straw based densified complete feed block (DCFB) on daily weight gain, feed intake, digestibility and feed conversion rate in growing heifer calves. Eight weaned F1 Frisian*Borena (Bos taurus × Bos indicus) crossbred calves (92.5 ± 27.5 kg body weight) and 5 months of age were randomly distributed into four groups, each with two animals evaluated under 4 × 4 double Latin Square Design for 240 days. The control treatment was natural pasture hay (NPH) and concentrate mix (CM) fed conventionally in a way that covers 50:50% requirements on dry matter (DM) bases and DCFB prepared by mixing wheat straw (WS) to concentrates mixture in the ratio of 50:50 (T2), 40:60 (T3) and 30:70 (T4), respectively. Each heifer group was fed on each diet for 60 days. At the end of each period the last 7 days were used to collect feed and feacal samples. However, the heifers were weighed each 15 days to estimate daily growth performances. It was found that significant (P < 0.05) differences among groups in average daily gain, feed conversion rate, feed intake and digestibility. The densification of WS and feeding in the form of feed block generally improved feed DM and nutrient intake and digestibility. The increase in the proportion of CM in the DCFBs also increased the DM and nutrient intake and digestibility. Heifer growth rate was higher (P < 0.05) in T1, T3 and T4 diets than T2 groups. Feed conversion ratio was higher (P < 0.05) both in T3 and T4 compared to T1 and T2. The total cost of production per each gram body weight gained was recorded higher (P < 0.05) for calves in the T2 group compared to calves in T1, T3 and T4. In conclusion, maintaining post weaned F1 heifer calves on DCFB composed of wheat straw and a commercial calf\'s concentrate based diet in the ratio of 40 to 60 would both biologically and economically feasible.
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  • 文章类型: Journal Article
    目标:在现有文献的基础上,关于无症状的增长率,偶然发现鼻旁窦(PNS)骨瘤,评估与增长率相关的潜在因素,并提出如何跟进的论点。
    方法:在我们的机构,EPICSlicerDicer用于使用关键字\'骨瘤\'筛选影像学研究,并包括间隔6个月进行至少2项影像学研究的患者,均显示PNS骨瘤。选择具有最大时间间隔的成像研究。非PNS骨瘤被排除。
    结果:47例符合该标准的患者,中位间隔成像时间为35.9个月。经测,头尾方向生长率为0.39mm/年,中外侧方向生长率为0.45mm/年,一起平均0.42毫米/年。此外,增长率的增加似乎不会影响发展为包括鼻息肉病或慢性鼻窦炎和症状如窦压的可能性,头痛,鼻后滴漏,或拥堵。发现间隔扫描>36个月的那些比间隔扫描更紧密的那些具有较慢的生长速率。此外,以前吸烟者和现在吸烟者的生长速度明显高于不吸烟者.
    结论:鉴于其缓慢的增长率,我们得出结论,选择的病变可能不需要随访.如果担心生长会导致阻塞性并发症,例如阻塞额叶流出道,我们认为一年一次扫描是合适的。如果此扫描有额外的增长,可进行长达3年的监测扫描以评估稳定性.最后,虽然吸烟者与非吸烟者相比有显著的增长率,缓慢的增长率不太可能影响管理。
    OBJECTIVE: To build upon existing literature regarding growth rate of asymptomatic, incidentally found paranasal sinus (PNS) osteomas, evaluate potential factors associated with growth rate and present an argument for how to follow up.
    METHODS: At our institution, EPIC SlicerDicer was used to screen imaging studies using keyword \'osteoma\' and included patients with at least 2 imaging studies 6 months apart that both demonstrated a PNS osteoma(s). Imaging studies with the largest time interval were selected. Non-PNS osteomas were excluded.
    RESULTS: 47 patients that fit this criterion with a median duration of interval imaging of 35.9 months. Growth rate was measured to be 0.39 mm/year in the cephalocaudal direction and 0.45 mm/year in the mediolateral direction, together averaging 0.42 mm/year. Increases in growth rate additionally did not appear to impact the likelihood of developing conditions including nasal polyposis or chronic sinusitis and symptoms such as sinus pressure, headache, postnasal drip, or congestion. Those with interval scans >36 months were found to have a slower growth rate than those with closer interval scans. Furthermore, former smokers and current smokers had significantly greater growth rates than nonsmokers.
    CONCLUSIONS: Given their slow growth rate, we conclude that select lesions likely do not require follow-up. If there is concern that growth could cause an obstructive complication, such as blocking the frontal outflow tract, we argue a single scan at one year is appropriate. If there is additional growth on this scan, surveillance scans up to 3 years could be performed to assess stability. Lastly, while there was a significant growth rate for smokers compared to non-smokers, the slow growth rate is unlikely to influence management.
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