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磁共振成像T_1值、T_2值和ADC值与肝脏纤维化模型病理评分分级纤维化分期诊断结果相关性研究 被引量:8
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作者 李绍林 张雪林 +3 位作者 朱幼芙 陈平雁 陈斌 曲华丽 《医学影像学杂志》 2009年第1期56-60,共5页
目的:探讨磁共振成像T1值、T2值、ADC值对肝脏纤维化病理评分分级纤维化分期诊断的价值和意义。方法:将大白兔分为正常对照组(4只)和肝脏纤维化模型组(13只),分别对其进行常规MR扫描,测量肝脏组织T1值和T2值;磁共振弥散加权成像扫描(MR-... 目的:探讨磁共振成像T1值、T2值、ADC值对肝脏纤维化病理评分分级纤维化分期诊断的价值和意义。方法:将大白兔分为正常对照组(4只)和肝脏纤维化模型组(13只),分别对其进行常规MR扫描,测量肝脏组织T1值和T2值;磁共振弥散加权成像扫描(MR-DWI),测量肝脏组织表观扩散系数(ADC值)。取肝脏组织标本做常规HE染色和网状纤维染色(Gomoris法),以病理组织学评分分级和纤维化分期诊断结果为标准,研究分析T1值、T2值和ADC值在肝脏纤维化不同评分分级和纤维化分期间的变化情况;采用统计学相关分析法研究T1值、T2值和ADC值在与病理积分、评分分级和纤维化分期诊断结果之间的相关性。统计学分析采用SPSS13.0,单相分析法,P<0.05为差异有统计学意义。结果:磁共振成像T1值、T2值、ADC值测量结果在对照组和不同评分分级和纤维化分期间的差异性具有显著的统计学意义(P<0.05);在肝脏纤维化模型组中T1值和T2值明显高于对照组,且随着评分分级和纤维化分期的增加而逐渐增加;肝脏纤维化模型组中ADC值明显低于对照组,随着评分分级和纤维化分期的增加降低越显著。相关分析结果表明T2值与病理积分、评分分级和纤维化分期诊断结果之间呈显著正相关性(P<0.01);ADC值与病理积分、评分分级和纤维化分期诊断结果之间表现显著负相关性(P<0.01)。结论:在肝脏发生纤维化时,定量检测磁共振成像中的T1值、T2值和ADC值,能够评估肝脏纤维化病理评分分级和纤维化分期,作为非损伤性检查方法的磁共振成像可以用于临床肝脏纤维化定量诊断。 展开更多
关键词 肝脏纤维化 模型 磁共振成像 弥散加权成像 诊断 相关性
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应用六西格玛法改造妇产科B超室流程 被引量:3
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作者 裘毓雯 陈翠华 +2 位作者 陈平雁 夏晓燕 曹长清 《现代医院》 2010年第11期120-121,共2页
在对妇产科门诊B超室患者调查分析的基础上,就患者就医流程通过分步实施六西格玛的定义-评估-分析-改进-控制(DMAIC)五个步骤解决患者就医过程的瓶颈,缩短病人就医时间,提高病人满意度,对其经验进行总结。
关键词 六西格玛 就医流程 妇产科 B超室
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医学生满意度量表一级指标权重的确定 被引量:4
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作者 马林 陈平雁 丰硕 《西北医学教育》 2009年第3期439-440,共2页
介绍了高等医学院校学生满意度测量的重要性和战略意义,通过专家评分法和层次分析法确定医学生满意度量表一级指标的权重,并对结果进行了分析以提高测量的有效性和可操作性。
关键词 学生满意度 专家评分法 层次分析法 权重
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Information content method for evaluating diagnostic tests and its comparison of power with other methods 被引量:1
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作者 陈平雁 王斌会 莫一心 《Journal of Medical Colleges of PLA(China)》 CAS 1996年第2期106-113,共8页
This paper derives the variance of the information content and develops its statistical inference method. We describe the relations between information content and sensitivity, specificity, efficiency, prevalence rate... This paper derives the variance of the information content and develops its statistical inference method. We describe the relations between information content and sensitivity, specificity, efficiency, prevalence rate. If sensitivity, specificity and efficiency are fixed, the closer to 0. 5 the prevalence rate is, the more the information content. If prevalence rate and efficiency are fixed, the closer to each other the sensitivity and specificity are, the more the information content. We compare the power of information content method, efficiecy test, Youden's index test and kappa coefficient method. The information content method has higher power than the other methods in most conditions. It is especially sensitive to the difference between two sensitivities. It comes to conclusion that the information content method has more virtues than the other methods mentioned in this paper. 展开更多
关键词 DIAGNOSTIC test INFORMATION CONTENT POWER KAPPA COEFFICIENT Youden’s index
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Relation of predictive value to sensitivity and specificity of a diagnostic test
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作者 陈平雁 赵小里 +1 位作者 俞守义 陈清 《Journal of Medical Colleges of PLA(China)》 CAS 1993年第2期197-200,共4页
This paper discusses how the positive and negative predictive values vary withcontrary variations of sensitivity and specificity at a certain disease prevalence.Let thesensitiviy be Se and the specificity be Sp at the... This paper discusses how the positive and negative predictive values vary withcontrary variations of sensitivity and specificity at a certain disease prevalence.Let thesensitiviy be Se and the specificity be Sp at the initial cutoff point,correspondingly Se’and Sp’ at a new cutoff point:A=Se’/Se:B-(1-Sp’)/(1-Sp):C=Sp’/Sp;D=(I-Se’)/(I-Se).Moving the cutoff point from the initial point to the new point,if the contrary variationsof the sensitivity and specificity satisfy the inequality A】B,then the positive predictivevalue increases,otherwise it decreases or remains unchanged.If the variations satisfy theinequality C】D,then the negative prcdictive value increases,otherwise it decreasses or re-mains unchanged. 展开更多
关键词 STATISTICS DIAGNOSTIC test sensitivity SPECIFICITY PREDICTIVE VALUE CUTOFF point
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The reliability and validity of the inpatient satisfaction questionnaire as an instrument for measuring inpatient satisfaction
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作者 陈平雁 胡静 +1 位作者 张超 欧春泉 《Journal of Medical Colleges of PLA(China)》 CAS 2000年第1期22-28,共7页
Objective: To assess the reliability and validity of the Inpotient Satisfaction Questionnaire (IPSQ) on the basis of a pilot survey. Methods: The subjects were 900 patients discharged from 3 general hospitals in Guang... Objective: To assess the reliability and validity of the Inpotient Satisfaction Questionnaire (IPSQ) on the basis of a pilot survey. Methods: The subjects were 900 patients discharged from 3 general hospitals in Guangzhou. Mail survey was employed. The reliability was evaluated by internal consistency and test-retest reliability. The validity was assessed by content validity and construct validity. Results: The response rates were 30% for the test, 47% for the retest and 93.2% for the total items. High haiability of IPSQ was proved by Cronbach’s a of 0. 92, and no sighficant difference (P = 0. 183) and whereas conspicuous correlation (r = 0. 812, P < 0. 000 1 ) between test and retest were shown. Content validity was supported by factor loading. Convergent and discriminant validity was strongly supported by the fact that the maximum interscale correlation was less than the internal consistency of individual dimension. Conclusion:The IPSQ was reliable and valid. 展开更多
关键词 PATIENT SATISFACTION QUESTIONNAIRE reliability validity response RATE
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Effect of hyperthermia in combination with cryotherapy on sarcoma 180 in mice
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作者 范建中 黄卓垣 +3 位作者 陈平雁 宋雪怡 徐云华 胡桂琴 《Journal of Medical Colleges of PLA(China)》 CAS 1994年第2期146-148,共3页
The significant decrease in tumor recurrence caused by combined hyperthermia (local water bath) with cryotherapy has previously been shown. This study demonstrated an in vivo additive interaction of local microwave di... The significant decrease in tumor recurrence caused by combined hyperthermia (local water bath) with cryotherapy has previously been shown. This study demonstrated an in vivo additive interaction of local microwave diathermy (hyperthermia, 42±0.5℃, 20 min. ) and liquid nitrogen treatment (cryotherapy,-180℃, 3 min. ) against intraperitoneally implanted sarcoma 180 in ICR mice. Local hyperthermia was produced by applicating 2450 MHz microwave to the region of the tumor without induction of significant whole body hyperthermia.Both hyperthermia and cryotherapy were delivered as a single dose individually on day 1 and day 2. The analysis of the tumor size curves showed that all of the treatments had more significant effect on sarcoma 180 than on the control group (P < 0. 0001 ). The optimal sequence of the combined therapies found in the experiment was cryotherapy→hyperthermia (CH) (P<0. 0001). Weights of the tumors excised from the mice on day 11 showed that the combined therapies (cryotherapy→hyperthermia or hyperthermia→cryotherapy) were more effective on sarcoma 180 than hyperthermia or cryotherapy used alone(P<0.01). 展开更多
关键词 hyperthermia induced microwave DIATHERMY CRYOSURGERY SARCOMA 180
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