Prognostic prediction of the femoral head using osteonecrosis and contralateral regions based on CT images / 西安交通大学学报(医学版)

【Objective】 To develop a prognosis model based on CT images using radiomics method for patients with osteonecrosis of the femoral head (ONFH) and to investigate the additional prediction value of the imaging features of the contralateral normal femoral head regions for the prognosis prediction. 【Methods】 A total of 51 patients were included in this retrospective study. All the patients had preoperative CT images. For each patient, two regions of interest (ROIs) were involved, including the osteonecrosis region and the contralateral normal femoral head region. A total of 968 radiomics features were extracted for each patient. We made both the univariate and multivariable analyses. Three models were developed based on the features of osteonecrosis region, contralateral normal femoral head region, and both regions. The 10 times of repeated random experiments were used for model construction and validation. The average performance of the 10 times of experiments was reported as the results. 【Results】 For the features of osteonecrosis region, 37 features showed significant predictive value, with the mean AUC value of 0.708 2±0.029 9. The AUC of the constructed prediction model was 0.911 0±0.029 4 and 0.688 6±0.089 3 for the training set and validation set, respectively. For the features of contralateral normal femoral head region, 14 features showed significant predictive value, with the mean AUC value of 0.703 6±0.006 9. The AUC value of the constructed model for the training set and validation set was 0.867 2±0.039 5 and 0.669 0±0.072 6, respectively. For the models developed based on combined features, the AUC value was higher than that of the models developed based on osteonecrosis region features (training set: 0.935 8±0.016 6 vs. validation set: 0.737 9±0.090 8). 【Conclusion】 We developed a novel CT images-based radiomics method to predict postoperative prognosis in patients with ONFH. Furthermore, the features of contralateral normal femoral head region has additional prediction value. Combining the imaging features of osteonecrosis region and contralateral normal femoral head region can obtain more accurate prediction of prognosis in patients with ONFH.

Application of adjusting transmit gain in improving the uniformityof cardiac MR images / 西安交通大学学报(医学版)

【Objective】 To investigate the improvement of signal uniformity in cardiac magnetic resonance image by adjusting the transmit gain (TG). 【Methods】 For this study we recruited 11 volunteers for cardiac MR scans between July and September 2018. The scanner of US GE Discovery 750 3.0T superconducting MRI was used. We divided the volunteers into normal group and overweight group according to their individual BMI index. The imaging sequences consisted of the black blood double inversion recovery sequence (T1 weighted image and T2 weighted image) and breath-holding black blood three-inversion recovery sequence (FST1 weighted image and FST2 weighted image). All sequences were performed across different TG values, including 150, 160, 170, 180, and 190. The images’ quality was scored by two experienced radiologists using a four-point system based on the blinding principle. The paired variance analysis was made to compare the image quality of different TG groups. 【Results】 We observed consistent results in both normal and overweight groups. The optimal TG value was 160 for black blood triple inversion recovery sequence and 170 for black blood double inversion recovery sequence. 【Conclusion】 Adjusting the TG value can improve the signal uniformity of the myocardium, thereby improving the quality of images.

Investigation and Analysis of the Channels for Doctors to Obtain Diagnosis and Treatment Information about Diseases in Tangshan / 中国药房

OBJECTIVE： To investigate and analyze the channels by which doctors obtain related information of diagnosis and treatment about diseases， and to provide reference for management institutions to understand related information and execute continue education. METHODS： 14 public general hospitals （12 were second grade class A， 2 were third grade class A） with grade Ⅱ and above in Tangshan were selected， and a self-designed questionnaire was used to conduct a one-to-one paper questionnaire survey on the doctors on duty. The content of the survey focused on the channels to obtain related information of diagnosis and treatment （including internal communication platform for medical experts， professional Chinese medical journals， professional medical network media， professional medical training classes/courses and professional medical academic conferences）. The channels to access relevant information on diagnosis and treatment were analyzed from the hospital level， department， professional title， education backgrounds and medical years. RESULTS： A total of 2 536 questionnaires were sent out， and 2 105 questionnaires were recovered （recovery rate of 83.0％）， among which there were 2 047 valid questionnaires （effective rate of 97.2％）. Doctors in third grade hospitals obtain more relevant information through “professional Chinese medical journals” “professional medical network media” “professional medical training classes/courses” “professional medical academic conferences” and than doctors in second grade hospitals （P＜0.05 or P＜0.01）； there was no statistical significance among different departments （P＞0.05）. Doctors with deputy chief physician or above title chose “internal communication platform for medical experts” “professional Chinese medical journals” and “professional medical academic conference” more than doctors with attending physician or below title （P＜0.05 or P＜0.01）. The proportion of doctors with master’s degree or above choosing “professional Chinese medical journals” “professional medical network media” and “professional medical academic conferences” were significantly higher than that of doctors with bachelor’s degree or below （P＜0.05 or P＜0.01）. The proportion of doctors who had been in medicine experience for 11 years or more choosing “professional Chinese medical journals” and “professional medical training classes/courses” were higher than that of doctors who had been in medicine experience for 10 years or less （P＜0.05 or P＜0.01）. Overall， the doctors who choosing “internal communication platform for medical experts” and “professional medical network media” was significantly higher than that of doctors choosing “professional Chinese medical journals” “professional medical training classes/courses” and “professional medical academic conferences” （P＜0.001）. CONCLUSIONS： Doctors are more likely to choose “internal communication platform for medical experts” and “professional medical network media” channels to obtain disease diagnosis and treatment information. Medical experts’ inner exchange platforms and professional medical network media can be effectively used as an important way for medical staff to conduct continue education and improve the level of disease diagnosis and treatment.

Study on hemostatic effect of different methods of oxytocin in laparoscopic myomectomy / 中国综合临床

Objective To examine the hemostatic effect of oxytocin in laparoscopic myomectomy,and to clarify the optimal dosage of oxytocin in laparoscopic myomectomy. Methods From January 2016 to July 2017, ninety patients with myoma of uterus who underwent laparoscopic myomectomy in Tangshan Union Medical College Hospital were divided into two groups: group A and group B,45 cases in each group. In group A,the patients were given 20U oxytocin and 5％ glucose injection 250 ml via intravenous drip, and in group B, the patients were injected with 20U oxytocin on the muscular wall of uterus myoma during operation. The preoperative, postoperative basic situation, intraoperative blood loss, operation time, intraoperative and postoperative adverse reactions and the time of hospitalization were compared between the two groups. Results The average amount of blood loss during operation in group B was (76. 5±15. 8) ml,significantly lower than that in group A((99. 8±20. 7) ml),and the operation time in group B was (71. 2±10. 7) min,shorter than that in group A ((90. 1±18. 4) min) The difference was statistically significant (t=1. 788、2. 878,P<0. 05). At 5 minutes,30 minutes and 180 minutes after medication, the systolic blood pressure of patients in group A was (132. 2±1. 4) mmHg,(120. 7±5. 3) mmHg,(110. 9±1. 8) mmHg and the diastolic blood pressure was (80. 9 ±12. 5) mmHg,(71. 4±12. 6)mmHg,(70. 1±2. 8) mmHg,while the systolic blood pressure in the group B was (140. 4±11. 1) mmHg,(131. 2±4. 5) mmHg,(121. 4±11. 2) mmHg and the diastolic blood pressure was (93. 4±8. 1) mmHg,(86. 4±7. 1) mmHg,(81. 1±1. 5) mmHg,the differences were statistically significant (systolic blood pressure:Ftime=68. 57,P<0. 001;FgrouP=16. 54,P<0. 001;Finteraction=4. 34,P=0. 011;diastolic blood pressure:Ftime=45. 16,P<0. 001;FgrouP=10. 79,P=0. 024;F interaction=4. 16,P=0. 037);at the same treatment time,the systolic blood pressure and diastolic blood pressure in group B were higher than those in group A,the differences were statistically significant (P<0.05).Conclusion Laparoscopic uterine myomectomy with oxytocin hemostasis, intrauterine myoma wall injection method can significantly reduce intraoperative blood loss and shorten the operation time,the effect is obviously better than intravenous drip,and it is conducive to the operation.

Study on hemostatic effect of different administration methods of hemabate in laparoscopic myomectomy / 中国综合临床

Objective To investigate the hemostatic effect of different administration Methods of hemabate in laparoscopic myomectomy, and to clarify the best mode of hemabate in laparoscopic myomectomy.Methods Ninety patients were randomly divided into two groups,group A and group B,45 patients in each group,group A was given intramuscular injection of hemabate 0.25 mg 30 minutes before operation,and in group B,the patients were injected with hemabate 0.25 mg at the muscular wall of uterine leiomyoma during operation.The preoperative,postoperative basic situation,intraoperative blood loss,operation time,intraoperative and postoperative adverse reactions and length of hospital stay were compared between the two groups.Results The average amount of blood loss during operation in the group B was(67.6±17.6)ml, significantly less than that in the group A((88.7±21.6)ml),the operation time in the group B was(68.1 ±18.1)min,shorter than that in the group A(83.1 ± 17.5)min(t=1.877,2.787,P<0.05).The systolic blood pressure of patients in the group A after 15,30,45 and 180 minutes of medication were(155.6±10.31) mmHg,(141.2±5.7)mmHg,(138.6±10.3)mmHg,(127.5±7.4)mmHg,respectively and the diastolic blood pressure were(90.5±8.8)mmHg,(85.5±8.0)mmHg,(80.6±6.3)mmHg,(72.2±7.1)mmHg,while the systolic blood pressure were(141.1±8.3)mmHg,(120.5±6.1)mmHg,(125.7±4.6)mmHg,(118.8±5.5) mmHg and diastolic blood pressure were(81.2 ± 11.4)mmHg,(70.4 ± 10.1)mmHg,(71.5 ± 5.8)mmHg, (66.5±1.2)mmHg in the group B,the differences were statistically significant(systolic blood pressure,Ftime=79.75,P<0.001;FgrouP=25.45,P<0.001; Finteraction=5.48,P=0.041; diastolic blood pressure,Ftime=46.61,P<0.001;FgrouP=11.97,P=0.021,Finteraction=4.05,P=0.034).Conclusion The application of hemabate for hemostasis in laparoscopic myomectomy surgery and uterine fibroids at the muscle wall injection medication can significantly reduce the amount of blood loss during operation,shorten the operation time,and at the same time,the effect on blood pressure was lower than that by preoperative hemabate,is beneficial to the development of operation,with obvious advantages.

Study on hemostatic effect of different administration methods of hemabate in laparoscopic myomectomy / 中国综合临床

Objective To investigate the hemostatic effect of different administration Methods of hemabate in laparoscopic myomectomy, and to clarify the best mode of hemabate in laparoscopic myomectomy.Methods Ninety patients were randomly divided into two groups,group A and group B,45 patients in each group,group A was given intramuscular injection of hemabate 0.25 mg 30 minutes before operation,and in group B,the patients were injected with hemabate 0.25 mg at the muscular wall of uterine leiomyoma during operation.The preoperative,postoperative basic situation,intraoperative blood loss,operation time,intraoperative and postoperative adverse reactions and length of hospital stay were compared between the two groups.Results The average amount of blood loss during operation in the group B was(67.6±17.6)ml, significantly less than that in the group A((88.7±21.6)ml),the operation time in the group B was(68.1 ±18.1)min,shorter than that in the group A(83.1 ± 17.5)min(t=1.877,2.787,P<0.05).The systolic blood pressure of patients in the group A after 15,30,45 and 180 minutes of medication were(155.6±10.31) mmHg,(141.2±5.7)mmHg,(138.6±10.3)mmHg,(127.5±7.4)mmHg,respectively and the diastolic blood pressure were(90.5±8.8)mmHg,(85.5±8.0)mmHg,(80.6±6.3)mmHg,(72.2±7.1)mmHg,while the systolic blood pressure were(141.1±8.3)mmHg,(120.5±6.1)mmHg,(125.7±4.6)mmHg,(118.8±5.5) mmHg and diastolic blood pressure were(81.2 ± 11.4)mmHg,(70.4 ± 10.1)mmHg,(71.5 ± 5.8)mmHg, (66.5±1.2)mmHg in the group B,the differences were statistically significant(systolic blood pressure,Ftime=79.75,P<0.001;FgrouP=25.45,P<0.001; Finteraction=5.48,P=0.041; diastolic blood pressure,Ftime=46.61,P<0.001;FgrouP=11.97,P=0.021,Finteraction=4.05,P=0.034).Conclusion The application of hemabate for hemostasis in laparoscopic myomectomy surgery and uterine fibroids at the muscle wall injection medication can significantly reduce the amount of blood loss during operation,shorten the operation time,and at the same time,the effect on blood pressure was lower than that by preoperative hemabate,is beneficial to the development of operation,with obvious advantages.

Comparison of the methods for detecting R wave in electrocardiogram / 生物医学工程学杂志

In an ECG auto-analysis system, correct QRS detection is most important. For this detection there are several methods, such as derivative-based algorithms, filter-bank methods and wavelet based methods and neural network approaches, but there is no single method that is extensively used. These methods are compared and analyzed in this paper.