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1.
Cancers (Basel) ; 16(15)2024 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-39123372

RESUMEN

The aim was to explore the performance of dynamic contrast-enhanced (DCE) MRI and diffusion kurtosis imaging (DKI) in differentiating the molecular subtypes of adult-type gliomas. A multicenter MRI study with standardized imaging protocols, including DCE-MRI and DKI data of 81 patients with WHO grade 2-4 gliomas, was performed at six centers. The DCE-MRI and DKI parameter values were quantitatively evaluated in ROIs in tumor tissue and contralateral normal-appearing white matter. Binary logistic regression analyses were performed to differentiate between high-grade (HGG) vs. low-grade gliomas (LGG), IDH1/2 wildtype vs. mutated gliomas, and high-grade astrocytic tumors vs. high-grade oligodendrogliomas. Receiver operating characteristic (ROC) curves were generated for each parameter and for the regression models to determine the area under the curve (AUC), sensitivity, and specificity. Significant differences between tumor groups were found in the DCE-MRI and DKI parameters. A combination of DCE-MRI and DKI parameters revealed the best prediction of HGG vs. LGG (AUC = 0.954 (0.900-1.000)), IDH1/2 wildtype vs. mutated gliomas (AUC = 0.802 (0.702-0.903)), and astrocytomas/glioblastomas vs. oligodendrogliomas (AUC = 0.806 (0.700-0.912)) with the lowest Akaike information criterion. The combination of DCE-MRI and DKI seems helpful in predicting glioma types according to the 2021 World Health Organization's (WHO) classification.

2.
Chemistry ; : e202402712, 2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39136591

RESUMEN

Difunctionalizations of alkenes represent one of the most straightforward protocols to build molecular complexity due to the simultaneous construction of two vicinal bonds cross π-bond of alkenes. It is extremely attractive yet challenging to control the stereochemistry outcome of this event. Over the past years, visible-light and Ni-catalyzed asymmetric difunctionalizations of alkenes provide an environmental benign and promising solution for the construction of saturated carbon centers with the control of regio- and enantioselectivity. In this Concept, the initiative and progress of regio- and enantioselective difunctionalizations of alkenes enabled by visible-light and nickel catalysis has been summarized. Moreover, further efforts and directions for the development of visible-light mediated Ni-catalyzed asymmetric difunctionalizations of alkenes has been discussed.

3.
Neurosci Bull ; 40(9): 1274-1286, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38824231

RESUMEN

The current study aimed to evaluate the susceptibility to regional brain atrophy and its biological mechanism in Alzheimer's disease (AD). We conducted data-driven meta-analyses to combine 3,118 structural magnetic resonance images from three datasets to obtain robust atrophy patterns. Then we introduced a set of radiogenomic analyses to investigate the biological basis of the atrophy patterns in AD. Our results showed that the hippocampus and amygdala exhibit the most severe atrophy, followed by the temporal, frontal, and occipital lobes in mild cognitive impairment (MCI) and AD. The extent of atrophy in MCI was less severe than that in AD. A series of biological processes related to the glutamate signaling pathway, cellular stress response, and synapse structure and function were investigated through gene set enrichment analysis. Our study contributes to understanding the manifestations of atrophy and a deeper understanding of the pathophysiological processes that contribute to atrophy, providing new insight for further clinical research on AD.


Asunto(s)
Enfermedad de Alzheimer , Atrofia , Encéfalo , Disfunción Cognitiva , Imagen por Resonancia Magnética , Neuroimagen , Enfermedad de Alzheimer/genética , Enfermedad de Alzheimer/diagnóstico por imagen , Enfermedad de Alzheimer/patología , Humanos , Disfunción Cognitiva/diagnóstico por imagen , Disfunción Cognitiva/genética , Disfunción Cognitiva/patología , Neuroimagen/métodos , Atrofia/patología , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Imagen por Resonancia Magnética/métodos
4.
Nat Commun ; 15(1): 3868, 2024 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-38719793

RESUMEN

This study introduces a distributed electrified heating approach that is able to innovate chemical engineering involving endothermic reactions. It enables rapid and uniform heating of gaseous reactants, facilitating efficient conversion and high product selectivity at specific equilibrium. Demonstrated in catalyst-free CH4 pyrolysis, this approach achieves stable production of H2 (530 g h-1 L reactor -1) and carbon nanotube/fibers through 100% conversion of high-throughput CH4 at 1150 °C, surpassing the results obtained from many complex metal catalysts and high-temperature technologies. Additionally, in catalytic CH4 dry reforming, the distributed electrified heating using metallic monolith with unmodified Ni/MgO catalyst washcoat showcased excellent CH4 and CO2 conversion rates, and syngas production capacity. This innovative heating approach eliminates the need for elongated reactor tubes and external furnaces, promising an energy-concentrated and ultra-compact reactor design significantly smaller than traditional industrial systems, marking a significant advance towards more sustainable and efficient chemical engineering society.

5.
Nat Genet ; 56(6): 1110-1120, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38811844

RESUMEN

Genome-wide association studies of brain imaging phenotypes are mainly performed in European populations, but other populations are severely under-represented. Here, we conducted Chinese-alone and cross-ancestry genome-wide association studies of 3,414 brain imaging phenotypes in 7,058 Chinese Han and 33,224 white British participants. We identified 38 new associations in Chinese-alone analyses and 486 additional new associations in cross-ancestry meta-analyses at P < 1.46 × 10-11 for discovery and P < 0.05 for replication. We pooled significant autosomal associations identified by single- or cross-ancestry analyses into 6,443 independent associations, which showed uneven distribution in the genome and the phenotype subgroups. We further divided them into 44 associations with different effect sizes and 3,557 associations with similar effect sizes between ancestries. Loci of these associations were shared with 15 brain-related non-imaging traits including cognition and neuropsychiatric disorders. Our results provide a valuable catalog of genetic associations for brain imaging phenotypes in more diverse populations.


Asunto(s)
Encéfalo , Pueblos del Este de Asia , Neuroimagen , Población Blanca , Adulto , Femenino , Humanos , Masculino , Pueblo Asiatico/genética , Encéfalo/diagnóstico por imagen , Estudio de Asociación del Genoma Completo , Imagen por Resonancia Magnética , Fenotipo , Polimorfismo de Nucleótido Simple , Población Blanca/genética , Pueblos del Este de Asia/genética , Reino Unido , China
6.
Fitoterapia ; 177: 106040, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38801892

RESUMEN

Four new lignans named cephaliverins A-D (1-4), along with seven known analogues (5-11), were isolated from Cephalotaxus oliveri Mast. Their structures were elucidated on the basis of HR-ESI-MS and NMR analyses, and their absolute configurations were determined by ECD comparison. Cephaliverin A (1), herpetotriol (5) and hedyotol A (6) exhibited moderate antitumor activity against HepG2 and A549 cell lines.


Asunto(s)
Antineoplásicos Fitogénicos , Cephalotaxus , Lignanos , Lignanos/aislamiento & purificación , Lignanos/farmacología , Lignanos/química , Humanos , Cephalotaxus/química , Estructura Molecular , Antineoplásicos Fitogénicos/farmacología , Antineoplásicos Fitogénicos/aislamiento & purificación , Fitoquímicos/farmacología , Fitoquímicos/aislamiento & purificación , Células Hep G2 , Células A549 , China
7.
Sci Rep ; 14(1): 3966, 2024 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-38368434

RESUMEN

Producing sustainable anode materials for lithium-ion batteries (LIBs) through catalytic graphitization of renewable biomass has gained significant attention. However, the technology is in its early stages due to the bio-graphite's comparatively low electrochemical performance in LIBs. This study aims to develop a process for producing LIB anode materials using a hybrid catalyst to enhance battery performance, along with readily available market biochar as the raw material. Results indicate that a trimetallic hybrid catalyst (Ni, Fe, and Mn in a 1:1:1 ratio) is superior to single or bimetallic catalysts in converting biochar to bio-graphite. The bio-graphite produced under this catalyst exhibits an 89.28% degree of graphitization and a 73.95% conversion rate. High-resolution transmission electron microscopy (HRTEM) reveals the dissolution-precipitation mechanism involved in catalytic graphitization. Electrochemical performance evaluation showed that the trimetallic hybrid catalyst yielded bio-graphite with better electrochemical performances than those obtained through single or bimetallic hybrid catalysts, including a good reversible capacity of about 293 mAh g-1 at a current density of 20 mA/g and a stable cycle performance with a capacity retention of over 98% after 100 cycles. This study proves the synergistic efficacy of different metals in catalytic graphitization, impacting both graphite crystalline structure and electrochemical performance.

8.
Phytochemistry ; 217: 113924, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37956886

RESUMEN

Four undescribed naturally diterpenolignans, and two cephalotane diterpenoids, along with seven known compounds, including two pairs of enantiomers, were isolated from the twigs and leaves of Cephalotaxus oliveri Mast. Their structures were elucidated via spectroscopic data interpretation, chiral-phase HPLC analysis, NMR calculations, and electronic circular dichroism analysis. All the isolated compounds were evaluated for their cytotoxic activities against three kinds of human tumor cell lines. Among them, compound 8 exhibited the most potent activities against MCF-7, HepG2 and A549 cell lines with IC50 values of 2.83, 4.75 and 2.77 µM, respectively.


Asunto(s)
Antineoplásicos Fitogénicos , Cephalotaxus , Diterpenos , Humanos , Cephalotaxus/química , Estructura Molecular , Diterpenos/química , Línea Celular Tumoral , Antineoplásicos Fitogénicos/farmacología , Antineoplásicos Fitogénicos/química , Hojas de la Planta/química , Dicroismo Circular
9.
Front Pediatr ; 11: 1149646, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37920791

RESUMEN

The fifth edition of the World Health Organization Classification of Tumors of the Central Nervous System (WHO CNS5) has identified a new classification system for tumors of the brain and spinal cord, highlighting the pivotal role of molecular diagnosis in accurately categorizing neoplasms. In addition to previous classifications, one of the key distinctions lies in categorizing pediatric-type diffuse low-grade gliomas (pDLGGs) and pediatric-type diffuse high-grade gliomas (pDHGGs) as distinct tumor types. Although similar in histology and morphology, pediatric diffuse gliomas are completely different from the adult type with respect to the molecular genetic characteristics, prognosis, and treatment strategies. pDLGG includes four tumor types, namely, diffuse astrocytoma, MYB- or MYBL1-altered; angiocentric glioma; polymorphous low-grade neuroepithelial tumor of the young (PLNTY); and diffuse low-grade glioma, MAPK pathway-altered, three types of which are newly recognized tumor types. Herein, we review the clinical characteristics, histopathological and molecular genetic characteristics, neuroimaging features, and prognosis of pDLGG and summarize the neuroimaging key points in diagnosing different tumor types. This review aims to evaluate and update the relevant pDLGG features and advances in neuroimaging that may assist in differential diagnosis, surgery planning, and prognostic determination of these tumor types and provide accurate diagnostic information for clinical colleagues.

10.
Int J Mol Sci ; 24(20)2023 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-37895036

RESUMEN

Red coloration is considered an economically important trait in some fish species, including spotted scat, a marine aquaculture fish. Erythrophores are gradually covered by melanophores from the embryonic stage. Despite studies of black spot formation and melanophore coloration in the species, little is known about erythrophore development, which is responsible for red coloration. 1-phenyl 2-thiourea (PTU) is a tyrosinase inhibitor commonly used to inhibit melanogenesis and contribute to the visualization of embryonic development. In this study, spotted scat embryos were treated with 0.003% PTU from 0 to 72 h post fertilization (hpf) to inhibit melanin. Erythrophores were clearly observed during the embryonic stage from 14 to 72 hpf, showing an initial increase (14 to 36 hpf), followed by a gradual decrease (36 to 72 hpf). The number and size of erythrophores at 36 hpf were larger than those at 24 and 72 hpf. At 36 hpf, LC-MS and absorbance spectrophotometry revealed that the carotenoid content was eight times higher than the pteridine content, and ß-carotene and lutein were the main pigments related to red coloration in spotted scat larvae. Compared with their expression in the normal hatching group, rlbp1b, rbp1.1, and rpe65a related to retinol metabolism and soat2 and apoa1 related to steroid hormone biosynthesis and steroid biosynthesis were significantly up-regulated in the PTU group, and rh2 associated with phototransduction was significantly down-regulated. By qRT-PCR, the expression levels of genes involved in carotenoid metabolism (scarb1, plin6, plin2, apoda, bco1, and rep65a), pteridine synthesis (gch2), and chromatophore differentiation (slc2a15b and csf1ra) were significantly higher at 36 hpf than at 24 hpf and 72 hpf, except for bco1. These gene expression profiles were consistent with the developmental changes of erythrophores. These findings provide insights into pigment cell differentiation and gene function in the regulation of red coloration and contribute to selective breeding programs for ornamental aquatic animals.


Asunto(s)
Peces , Perfilación de la Expresión Génica , Animales , Larva/genética , Peces/genética , Carotenoides , Pteridinas , Esteroides
11.
Angew Chem Int Ed Engl ; 62(49): e202313325, 2023 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-37818672

RESUMEN

Photocatalytic organic functionalization reactions represent a green, cost-effective, and sustainable synthesis route for value-added chemicals. However, heterogeneous photocatalysis is inefficient in directly activating ammonia molecules for the production of high-value-added nitrogenous organic products when compared with oxygen activation in the formation of related oxygenated compounds. In this study, we report the heterogeneous photosynthesis of benzonitriles by the ammoxidation of benzyl alcohols (99 % conversion, 93 % selectivity) promoted using BiOBr nanosheets with surface vacancy associates. In contrast, the main reaction of catalysts with other types of vacancy sites is the oxidation of benzyl alcohol to benzaldehyde or benzoic acid. Experimental measurements and theoretical calculations have demonstrated a specificity of vacancy type with respect to product selectivity, which arises from the adsorption and activation of NH3 and O2 that is required to promote subsequent C-N coupling and oxidation to nitrile. This study provides a better understanding of the role of vacancies as catalytic sites in heterogeneous photocatalysis.

12.
Materials (Basel) ; 16(19)2023 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-37834531

RESUMEN

Aeolian sand (AS) and recycled coarse aggregate (RCA) can be reasonably utilized as green materials for concrete modification. The paucity of natural sand and gravel in the construction industry is anticipated to be remedied by the use of these two eco-friendly concrete ingredients. This is incredibly important for environmental protection. Study on the damage law of self-compacting concrete with the addition of AS and RCA (ARSCC) under severely cold conditions is of great significance for the promotion and implementation of this material. In this study, 12 groups of ARSCC specimens were prepared for freeze-thaw cycle experiments, with AS substitution rates of 0, 20%, 40%, and 60% as well as RCA replacement rates of 0, 25%, and 50%. Then, the degradation mechanism of ARSCC freeze-thaw damage was discussed from both macroscopic and microscopic perspectives via mass loss rate (Wn), relative dynamic modulus of elasticity (Pn), bubble spacing factor, and SEM analysis. Finally, the response surface method was utilized to determine the damage variable. A freeze-thaw damage model for ARSCC was developed based on the Weibull distribution and Grey theories. The results showed that the Pn could reflect the evolution law of the internal structure of ARSCC. Appropriate addition of AS to fill the large, harmful pores in RCA would inhibit freeze-thaw damage of ARSCC. The optimum substitution rates of AS and RCA were determined to be 20-40% and 25-50%, respectively. In addition, the values obtained from theoretical damage modeling and experiments were in good agreement. The acquired damage model had the potential to predict ARSCC damage under freeze-thaw cycles.

13.
Mol Psychiatry ; 28(11): 4853-4866, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37737484

RESUMEN

Exposure to preadult environmental exposures may have long-lasting effects on mental health by affecting the maturation of the brain and personality, two traits that interact throughout the developmental process. However, environment-brain-personality covariation patterns and their mediation relationships remain unclear. In 4297 healthy participants (aged 18-30 years), we combined sparse multiple canonical correlation analysis with independent component analysis to identify the three-way covariation patterns of 59 preadult environmental exposures, 760 adult brain imaging phenotypes, and five personality traits, and found two robust environment-brain-personality covariation models with sex specificity. One model linked greater stress and less support to weaker functional connectivity and activity in the default mode network, stronger activity in subcortical nuclei, greater thickness and volume in the occipital, parietal and temporal cortices, and lower agreeableness, consciousness and extraversion as well as higher neuroticism. The other model linked higher urbanicity and better socioeconomic status to stronger functional connectivity and activity in the sensorimotor network, smaller volume and surface area and weaker functional connectivity and activity in the medial prefrontal cortex, lower white matter integrity, and higher openness to experience. We also conducted mediation analyses to explore the potential bidirectional mediation relationships between adult brain imaging phenotypes and personality traits with the influence of preadult environmental exposures and found both environment-brain-personality and environment-personality-brain pathways. We finally performed moderated mediation analyses to test the potential interactions between macro- and microenvironmental exposures and found that one category of exposure moderated the mediation pathways of another category of exposure. These results improve our understanding of the effects of preadult environmental exposures on the adult brain and personality traits and may facilitate the design of targeted interventions to improve mental health by reducing the impact of adverse environmental exposures.


Asunto(s)
Encéfalo , Personalidad , Adulto , Humanos , Neuroticismo , Mapeo Encefálico , Exposición a Riesgos Ambientales
15.
Chemosphere ; 339: 139658, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37506892

RESUMEN

With the increasingly worldwide concentration of environmental pollution, exploiting cost-effective adsorbents has been a research hotspot. Here we introduce novel "functional connector" amide-containing gemini surfactants (LDAB, LDAPP, LDAMP and LDABP) and apply to modify Na-vermiculite (Na-Vt) for Congo red (CR) removal. Chain amide as the functional connector in the modifier, increases 6.9 times of CR uptake than traditional organo-Vts, which is further enhanced by tunning the functional group of modifier spacers. Superb uptake of CR on organo-Vts reaches 1214.05, 1375.47 and 1449.80 mg/g, and the removal efficiencies achieve 80.94%, 91.70% and 96.65% on LDAB-Vt, LDAPP-Vt and LDAMP-Vt, respectively. Notably, the maximum experimental adsorption capacity of LDAPP-Vt is 1759.64 mg/g. These experimental values are among the highest reported CR adsorbents. A combination experimental and theoretical analysis is conducted to unveil the structure-adsorptivity relationship: (i) Adsorptivity enhancement of organo-Vts is more effectively by regulating functional chains than the functional spacer. (ii) para-substituted aromatic spacers own the best adsorptive configuration and strongest stability for π-π interaction. (iii) π-π interaction provided by isolated aromatic ring is stronger than biphenyl, whose steric hindrance depresses the adsorptivity. Results in this study not only explain a new "functional connector" strategy to Vt-based adsorbents, but also provide a practical designing strategy for organic adsorbents characterized with high uptake capacity.


Asunto(s)
Rojo Congo , Contaminantes Químicos del Agua , Adsorción , Contaminantes Químicos del Agua/análisis , Silicatos de Aluminio , Cinética
16.
J Environ Manage ; 345: 118590, 2023 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-37499415

RESUMEN

The efficiency of sludge dewatering is limited by extracellular polymeric substances (EPS) during biodrying. This study investigated the effect of photocatalysis-mediated EPS degradation on sludge dewatering performance during the sludge biodrying process. The photocatalysis of municipal sludge was first carried out to choose a cost-efficient catalyst. Then sludge biodrying tests were performed using TiO2-coated amendment (TCA) and uncoated amendment (TUCA) as the control. Municipal sludge photocatalysis results showed that using TiO2 could efficiently degrade carbohydrates and proteins in the EPS within 60 min. After 20-day biodrying, photocatalysis significantly promoted a reduction in the moisture content and EPS by 17.64% and 6.88%, respectively. The surface-enhanced Raman scattering (SERS) intensities of the C-C-O symmetric stretching vibration peak of D-lactose and the C-S stretching vibration peak of cysteine were significantly decreased by approximately 33.19% and 44.76%, respectively, indicating that photocatalysis indeed promoted the reduction of polysaccharides and cysteine in the EPS, especially after the thermophilic phase. The hydrophilic amino acid content decreased by 23.02%, verifying that photocatalysis could improve EPS hydrophobicity. Consequently, municipal sludge biodrying coupled with photocatalysis promotes sludge EPS degradation and enhances sludge dewaterability, improving the efficiency of sludge biodrying.


Asunto(s)
Matriz Extracelular de Sustancias Poliméricas , Aguas del Alcantarillado , Aguas del Alcantarillado/química , Eliminación de Residuos Líquidos/métodos , Cisteína , Agua/química
17.
Front Neurol ; 14: 1179730, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37360343

RESUMEN

Objective: We aimed to explore imaging indicators for diagnosing the etiology of single small subcortical infarctions (SSI) using high-resolution vessel wall imaging (HR-VWI). Methods: Patients with acute isolated subcortical cerebral infarction were prospectively enrolled and classified as having large artery atherosclerosis (LAA), stroke of undetermined etiology (SUD), or small artery disease (SAD). The infarct information, the cerebral small vessel disease (CSVD) score, morphological characteristics of the lenticulostriate arteries (LSAs), and plaque characteristics were compared between the three groups. Results: Seventy seven patients were enrolled (30 LAA, 28 SUD, and 19 SAD). The total CSVD score of the LAA (P = 0.001) and SUD groups (P = 0.017) was significantly lower than that of the SAD group. The number and total length of LSA branches in the LAA and SUD groups were shorter than in the SAD group. Moreover, the total length laterality index (LI) of the LSAs in the LAA and SUD groups was greater than in the SAD group. The total CSVD score and LI of total length were independent predictors for the SUD and LAA groups. The remodeling index of the SUD group was significantly higher than that of the LAA group (P = 0.002); positive remodeling was dominant in the SUD group (60.7%), whereas remodeling in the LAA group was primarily non-positive (83.3%). Conclusions: SSI with and without plaques on the carrier artery may have different modes of pathogenesis. Patients with plaques may also have a coexisting mechanism of atherosclerosis.

18.
Nat Genet ; 55(7): 1126-1137, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37337106

RESUMEN

The hippocampus is critical for memory and cognition and neuropsychiatric disorders, and its subfields differ in architecture and function. Genome-wide association studies on hippocampal and subfield volumes are mainly conducted in European populations; however, other ancestral populations are under-represented. Here we conduct cross-ancestry genome-wide association meta-analyses in 65,791 individuals for hippocampal volume and 38,977 for subfield volumes, including 7,009 individuals of East Asian ancestry. We identify 339 variant-trait associations at P < 1.13 × 10-9 for 44 hippocampal traits, including 23 new associations. Common genetic variants have similar effects on hippocampal traits across ancestries, although ancestry-specific associations exist. Cross-ancestry analysis improves the fine-mapping precision and the prediction performance of polygenic scores in under-represented populations. These genetic variants are enriched for Wnt signaling and neuron differentiation and affect cognition, emotion and neuropsychiatric disorders. These findings may provide insight into the genetic architectures of hippocampal and subfield volumes.


Asunto(s)
Estudio de Asociación del Genoma Completo , Imagen por Resonancia Magnética , Humanos , Hipocampo/diagnóstico por imagen , Cognición
19.
IEEE J Biomed Health Inform ; 27(9): 4362-4372, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37155398

RESUMEN

Existing segmentation methods for brain MRI data usually leverage 3D CNNs on 3D volumes or employ 2D CNNs on 2D image slices. We discovered that while volume-based approaches well respect spatial relationships across slices, slice-based methods typically excel at capturing fine local features. Furthermore, there is a wealth of complementary information between their segmentation predictions. Inspired by this observation, we develop an Uncertainty-aware Multi-dimensional Mutual learning framework to learn different dimensional networks simultaneously, each of which provides useful soft labels as supervision to the others, thus effectively improving the generalization ability. Specifically, our framework builds upon a 2D-CNN, a 2.5D-CNN, and a 3D-CNN, while an uncertainty gating mechanism is leveraged to facilitate the selection of qualified soft labels, so as to ensure the reliability of shared information. The proposed method is a general framework and can be applied to varying backbones. The experimental results on three datasets demonstrate that our method can significantly enhance the performance of the backbone network by notable margins, achieving a Dice metric improvement of 2.8% on MeniSeg, 1.4% on IBSR, and 1.3% on BraTS2020.


Asunto(s)
Neoplasias Encefálicas , Redes Neurales de la Computación , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Reproducibilidad de los Resultados , Incertidumbre , Encéfalo
20.
Eur Radiol ; 33(10): 7238-7249, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37145148

RESUMEN

OBJECTIVES: We applied a fully automated pixel-wise post-processing framework to evaluate fully quantitative cardiovascular magnetic resonance myocardial perfusion imaging (CMR-MPI). In addition, we aimed to evaluate the additive value of coronary magnetic resonance angiography (CMRA) to the diagnostic performance of fully automated pixel-wise quantitative CMR-MPI for detecting hemodynamically significant coronary artery disease (CAD). METHODS: A total of 109 patients with suspected CAD were prospectively enrolled and underwent stress and rest CMR-MPI, CMRA, invasive coronary angiography (ICA), and fractional flow reserve (FFR). CMRA was acquired between stress and rest CMR-MPI acquisition, without any additional contrast agent. Finally, CMR-MPI quantification was analyzed by a fully automated pixel-wise post-processing framework. RESULTS: Of the 109 patients, 42 patients had hemodynamically significant CAD (FFR ≤ 0.80 or luminal stenosis ≥ 90% on ICA) and 67 patients had hemodynamically non-significant CAD (FFR ˃ 0.80 or luminal stenosis < 30% on ICA) were enrolled. On the per-territory analysis, patients with hemodynamically significant CAD had higher myocardial blood flow (MBF) at rest, lower MBF under stress, and lower myocardial perfusion reserve (MPR) than patients with hemodynamically non-significant CAD (p < 0.001). The area under the receiver operating characteristic curve of MPR (0.93) was significantly larger than those of stress and rest MBF, visual assessment of CMR-MPI, and CMRA (p < 0.05), but similar to that of the integration of CMR-MPI with CMRA (0.90). CONCLUSIONS: Fully automated pixel-wise quantitative CMR-MPI can accurately detect hemodynamically significant CAD, but the integration of CMRA obtained between stress and rest CMR-MPI acquisition did not provide significantly additive value. KEY POINTS: • Full quantification of stress and rest cardiovascular magnetic resonance myocardial perfusion imaging can be postprocessed fully automatically, generating pixel-wise myocardial blood flow (MBF) and myocardial perfusion reserve (MPR) maps. • Fully quantitative MPR provided higher diagnostic performance for detecting hemodynamically significant coronary artery disease, compared with stress and rest MBF, qualitative assessment, and coronary magnetic resonance angiography (CMRA). • The integration of CMRA and MPR did not significantly improve the diagnostic performance of MPR alone.


Asunto(s)
Enfermedad de la Arteria Coronaria , Estenosis Coronaria , Reserva del Flujo Fraccional Miocárdico , Imagen de Perfusión Miocárdica , Humanos , Enfermedad de la Arteria Coronaria/diagnóstico , Angiografía Coronaria/métodos , Reserva del Flujo Fraccional Miocárdico/fisiología , Constricción Patológica , Valor Predictivo de las Pruebas , Perfusión , Imagen de Perfusión Miocárdica/métodos
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