Résumé
Osteoporosis is a metabolic bone disease characterized by decreased bone mass and degenerative changes in the microstructure of bone tissue, leading to increased bone brittleness and fracture risk. Bone fracture after osteoporosis is the most common and serious complication, which often leads to serious consequences in cases of inadequate prevention and late diagnosis. Therefore, more attention should be paid to prevention of osteoporosis and risk assessment of fracture and refracture after osteoporosis. This paper reviews the research progress in risk assessment of fracture and refracture after osteoporosis from the aspects of imaging, clinical manifestations and laboratory examination indexes. In recent years, the imaging methods have developed from dual-energy X-ray absorption, trabecular bone scoring and CT to high resolution peripheral quantitative CT; concern for their clinical manifestations has developed from independent risk factors to fracture risk assessment tools; the laboratory tests have developed from bone turnover markers and serotonin to microRNA. Although these developments have consistently increased the sensitivity of risk assessment for fracture and refracture after osteoporosis, problems still exist and need to be resolved.
Résumé
Osteoporosis is a metabolic bone disease characterized by decreased bone mass and degenerative changes in the microstructure of bone tissue,leading to increased bone brittleness and fracture risk.Bone fracture after osteoporosis is the most common and serious complication,which often leads to serious consequences in cases of inadequate prevention and late diagnosis.Therefore,more attention should be paid to prevention of osteoporosis and risk assessment of fracture and refracture after osteoporosis.This paper reviews the research progress in risk assessment of fracture and refracture after osteoporosis from the aspects of imaging,clinical manifestations and laboratory examination indexes.In recent years,the imaging methods have developed from dual-energy X-ray absorption,trabecular bone scoring and CT to high resolution peripheral quantitative CT;concern for their clinical manifestations has developed from independent risk factors to fracture risk assessment tools;the laboratory tests have developed from bone turnover markers and serotonin to microRNA.Although these developments have consistently increased the sensitivity of risk assessment for fracture and refracture after osteoporosis,problems still exist and need to be resolved.
Résumé
Objective To observe the clinical value of application of low-dose scanning technology in dual source CT coronary angiography.Methods 200 cases who received coronary artery imaging were randomly selected as the study subjects.Patients were divided into the observation group and the control group using the random number method,100 cases in each group.All patients underwent dual source CT angiography.The observation group was treated by adaptive prospective ECG gated sequence,the control group was treated with retrospective ECG gated sequences.The image quality and radiation dose to bear were compared between the two groups.Results The various stages of image score proportion between the two groups had no significant difference(P＞0.05).The average score of reading image of the observation group was (1.52±0.33)points,which of the control group was (1.48±0.46)points,there was no difference between the two groups(t=0.857,P＞0.05).The CTDL,DLP and ED in the observation group were significantly lower than the control group[the observation group:CTDL(23.41±5.82),DLP(224.61±85.44),ED(3.01±1.12)mSv;the control group:CTDL(34.09±6.77),DLP(82.93±94.28),ED(5.33±2.01)mSv],and the differences were statistically significant(t=11.963,12.443,10.083,all P＜0.05)].Conclusion Prospective ECG gated sequence technology can effectively reduce the radiation dose of the patients under dual source CT coronary angiography,reduce probability of radiation damage,and the image quality is not changed obviously,which meets the needs of clinical diagnosis.
Résumé
Although there are plenty of principles and standards on translation of traditional Chinese medicine into English, still mistranslation can not be completely avoided. This paper analyzed the phenomenon of mistranslation from perspective of its causes, cases and suggestion in order to provide enlightenment on improving translation levels.