目的采用非对称采集与迭代最小二乘估算法迭代水脂分离(iteraterative decomposition of water and fat with echo asymmetry and least-squares estimation quantitation,IDEAL-IQ)方法定量评估冈上肌腱损伤的严重程度与肩袖肌群脂肪...目的采用非对称采集与迭代最小二乘估算法迭代水脂分离(iteraterative decomposition of water and fat with echo asymmetry and least-squares estimation quantitation,IDEAL-IQ)方法定量评估冈上肌腱损伤的严重程度与肩袖肌群脂肪浸润程度及受试者特征之间的关系。材料与方法回顾性分析2022年8月至2024年6月本院经肩关节镜证实的33例冈上肌腱部分撕裂患者及89例完全撕裂患者,均进行了常规MRI扫描及IDEAL-IQ序列扫描。由两名放射科医生分别对所有受试者的MRI图像进行独立评估,根据常规MRI图像的冈上肌腱损伤表现,将完全撕裂组的冈上肌腱按照Patte分型分为Patte 1型(Ⅱ级)、Patte 2型(Ⅲ级)、Patte 3型(Ⅳ级),将部分撕裂组定义为Ⅰ级。同时在斜矢状位上进行Goutallier分级及Thomazeau萎缩分级,并通过GE ADW 4.7工作站后处理软件在IDEAL-IQ序列生成的脂肪分数图像上测量冈上肌、冈下肌、肩胛下肌及小圆肌脂肪分数(fat fraction,FF)。用组内相关系数(intra-class correlation coefficient,ICC)及Kappa一致性检验评估观察者间及观察者内的一致性。采用Kruskal-Wallis H检验、单因素ANOVA检验分析FF值在不同分组之间的差异,组间两两比较用Bonferroni检验。采用Pear_(s)on相关性分析肩袖肌肉FF值与年龄、症状持续时间的相关性(相关系数r),Spearman相关性分析冈上肌腱损伤分级与肩袖肌群FF值、Goutallier分级及Thomazeau萎缩分级之间的相关性(相关系数r_(s))。结果(1)冈上肌、冈下肌、肩胛下肌的FF值在冈上肌腱损伤Ⅳ级中显著高于Ⅲ级,高于Ⅱ级和Ⅰ级,差异有统计学意义(P值分别为<0.001、<0.001、0.005);小圆肌的FF值在不同分级之间差异无统计学意义(P=0.073)。组内比较Ⅰ级和Ⅱ级的冈上肌、冈下肌、肩胛下肌、小圆肌FF值差异无统计学意义(P值分别为0.026、0.102);Ⅲ级和Ⅳ级的FF值差异有统计学意义(P<0.001)。(2)冈上肌、冈下肌、小圆肌的FF值与年龄呈中等相关(r值分别为0.381、0.339、0.349,P均<0.001),肩胛下肌的FF值与年龄呈弱相关(r=0.216,P=0.017);冈上肌、冈下肌、肩胛下肌FF值与症状持续时间呈中等程度相关(r分别为0.442、0.412、0.314,P均<0.001),小圆肌的FF值与症状持续时间呈弱相关(r=0.277,P=0.002);冈上肌腱损伤程度与冈上肌FF值呈显著相关(r_(s)=0.740,P<0.001),与冈下肌的FF值呈强相关性(r_(s)=0.596,P<0.001),与肩胛下肌、小圆肌的FF值呈弱相关(r_(s)分别为0.257、0.212,P值分别为0.004、0.019);冈上肌损伤程度分级与Goutallier分级、Thomazeau分级之间呈显著正相关(r_(s)分别为0.757、0.737,P均<0.001),且冈上肌FF值在Goutallier和Thomazeau的分级中差异具有统计学意义(P均<0.001)。结论3.0 T MR IDEAL-IQ序列能量化和客观评估肩袖肌群脂肪浸润程度,肩袖肌群脂肪浸润程度与冈上肌腱损伤分级呈正相关,与年龄、症状持续时间呈正相关。展开更多
目的利用磁共振功能成像非对称回波最小二乘估算法迭代水脂分离(iteraterative decomposition of water and fat with echoasymmetryandleast-squaresestimationquantitation,IDEAL-IQ)技术无创定量评估2型糖尿病(type2diabetesmellitus...目的利用磁共振功能成像非对称回波最小二乘估算法迭代水脂分离(iteraterative decomposition of water and fat with echoasymmetryandleast-squaresestimationquantitation,IDEAL-IQ)技术无创定量评估2型糖尿病(type2diabetesmellitus,T2DM)大鼠肝脏、肾脏及胰腺的脂肪沉积与铁沉积,并研究T2DM大鼠空腹血糖(fasting blood glucose,FBG)、体质量与脂肪沉积、铁沉积之间的关系,同时比较实验组和对照组大鼠肝肾功、血脂以及病理学改变的差异。材料与方法10只无特定病原体(specific pathogen free,SPF)健康雄性SD大鼠随机进行分组为实验组(n=7)和对照组(n=3)。实验组进行T2DM的模型建立。待实验组成模后,将两组大鼠进行IDEAL-IQ扫描,通过测定两组大鼠的肝脏、胰腺及肾脏的质子密度脂肪分数(proton density fat fraction,PDFF)和横向弛豫率(transverse relaxation rate,R2^(*))来评估实验组以及对照组大鼠肝脏、胰腺及肾脏的脂肪沉积及铁过载,扫描结束后心脏取血评估肝功、肾功及血脂改变。处死大鼠后取肝脏、肾脏及胰腺做常规HE染色观察细胞的变化、油红O染色观察脂肪沉积、普鲁士蓝铁染色观察铁沉积。实验数据运用SPSS 27.0软件进行统计学分析,通过Pearson相关系数分析大鼠FBG、体质量与各器官PDFF、R2^(*)值之间的相关性。结果T2DM组SD大鼠的FBG、体质量、PDFF胰腺、PDFF肝脏、PDFF右肾、PDFF左肾、R2^(*)胰腺、R2^(*)肝脏、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)均高于对照组,差异有统计学意义(P<0.05),但两组大鼠在T1 SI胰腺、T1 SI肝脏、T1 SI右肾、T1 SI左肾、T2 SI胰腺、T2 SI肝脏、T2 SI右肾、T2 SI左肾、R2^(*)右肾、R2^(*)左肾、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、尿素氮(BUN)、肌酐(Cr)等方面比较差异没有统计学意义(P>0.05)。Pearson相关性分析,FBG与PDFF肝脏(r=0.773)、PDFF胰腺(r=0.837)、PDFF右肾(r=0.895)、PDFF左肾(r=0.784)、R2^(*)肝脏(r=0.876)、体质量(r=0.980)均呈正相关(P<0.05)。体质量与PDFF胰腺(r=0.840)、PDFF右肾(r=0.854)、PDFF左肾(r=0.796)、R2^(*)肝脏(r=0.834)、R2^(*)胰腺(r=0.778)均呈正相关(P<0.05)。结论本实验通过利用MRI IDEAL-IQ技术无创定量评估T2DM大鼠肝脏及胰腺脂肪沉积与铁沉积的含量,并且同时评估了两组大鼠双肾的脂肪含量差异。这项技术有望动态随访新诊断的糖尿病患者,早期评估其肝脏、肾脏以及胰腺脂肪含量和铁含量改变,为指导临床诊断及治疗提供新的方向。展开更多
William Shakespeare was a patriotic song and heroic epic in praise of the great contributions Henry V (1387-1422) made to England, who represents Shakespeare’s ideal of a good king and aspiration for the national uni...William Shakespeare was a patriotic song and heroic epic in praise of the great contributions Henry V (1387-1422) made to England, who represents Shakespeare’s ideal of a good king and aspiration for the national unity of England under a powerful and efficient monarch.展开更多
Low-permeability dense reservoirs,including micro-fractured reservoirs,are commonly characterized by high content of clay substances,high original water saturation,high sensitivity to invasive fluids,high capillary pr...Low-permeability dense reservoirs,including micro-fractured reservoirs,are commonly characterized by high content of clay substances,high original water saturation,high sensitivity to invasive fluids,high capillary pressure,complicated structure and anisotropic,high flow-resistance and micro pore throats etc,.Generally they also have lots of natural micro fractures,probably leading to stress sensibility.Main damaging factors in such reservoirs are water-sensibility and water-blocking caused by invasive fluids during drilling and production operations.Once damaged,formation permeability can rarely recovered.Numerous studies have shown that damaging extent of water-blocking ranges from 70% to 90%.Main damaging mechanisms and influencing factors of water-blocking were systematically analyzed.Also some feasible precaution or treating approaches of water-blocking were put forward.In a laboratory setting,a new multi-functional drilling fluid composed mainly of amphion polymer,sulfonation polymer,high effectively preventive water-blocking surfactants,ideal packing temporary bridging agents(TBA) and film-forming agents,etc.,were developed.New low-damage drilling fluids has many advantages,such as good rheological properties,excellent effectiveness of water-blocking prevention,good temporary plugging effect,low filtration and ultra-low permeability(API filtration≤5 mL,HTHP filtration≤10 mL,mud cake frictional coefficient≤0.14,permeability recovery>81%),can efficiently prevent or minimize damage,preserve natural formation and enhance comprehensive development-investment effect in TUHA Jurassic dense sandstone reservoir formation with low-permeability,the only one developing integrated condense gas field.Some references can be provided to similar reservoir formations.展开更多
文摘目的采用非对称采集与迭代最小二乘估算法迭代水脂分离(iteraterative decomposition of water and fat with echo asymmetry and least-squares estimation quantitation,IDEAL-IQ)方法定量评估冈上肌腱损伤的严重程度与肩袖肌群脂肪浸润程度及受试者特征之间的关系。材料与方法回顾性分析2022年8月至2024年6月本院经肩关节镜证实的33例冈上肌腱部分撕裂患者及89例完全撕裂患者,均进行了常规MRI扫描及IDEAL-IQ序列扫描。由两名放射科医生分别对所有受试者的MRI图像进行独立评估,根据常规MRI图像的冈上肌腱损伤表现,将完全撕裂组的冈上肌腱按照Patte分型分为Patte 1型(Ⅱ级)、Patte 2型(Ⅲ级)、Patte 3型(Ⅳ级),将部分撕裂组定义为Ⅰ级。同时在斜矢状位上进行Goutallier分级及Thomazeau萎缩分级,并通过GE ADW 4.7工作站后处理软件在IDEAL-IQ序列生成的脂肪分数图像上测量冈上肌、冈下肌、肩胛下肌及小圆肌脂肪分数(fat fraction,FF)。用组内相关系数(intra-class correlation coefficient,ICC)及Kappa一致性检验评估观察者间及观察者内的一致性。采用Kruskal-Wallis H检验、单因素ANOVA检验分析FF值在不同分组之间的差异,组间两两比较用Bonferroni检验。采用Pear_(s)on相关性分析肩袖肌肉FF值与年龄、症状持续时间的相关性(相关系数r),Spearman相关性分析冈上肌腱损伤分级与肩袖肌群FF值、Goutallier分级及Thomazeau萎缩分级之间的相关性(相关系数r_(s))。结果(1)冈上肌、冈下肌、肩胛下肌的FF值在冈上肌腱损伤Ⅳ级中显著高于Ⅲ级,高于Ⅱ级和Ⅰ级,差异有统计学意义(P值分别为<0.001、<0.001、0.005);小圆肌的FF值在不同分级之间差异无统计学意义(P=0.073)。组内比较Ⅰ级和Ⅱ级的冈上肌、冈下肌、肩胛下肌、小圆肌FF值差异无统计学意义(P值分别为0.026、0.102);Ⅲ级和Ⅳ级的FF值差异有统计学意义(P<0.001)。(2)冈上肌、冈下肌、小圆肌的FF值与年龄呈中等相关(r值分别为0.381、0.339、0.349,P均<0.001),肩胛下肌的FF值与年龄呈弱相关(r=0.216,P=0.017);冈上肌、冈下肌、肩胛下肌FF值与症状持续时间呈中等程度相关(r分别为0.442、0.412、0.314,P均<0.001),小圆肌的FF值与症状持续时间呈弱相关(r=0.277,P=0.002);冈上肌腱损伤程度与冈上肌FF值呈显著相关(r_(s)=0.740,P<0.001),与冈下肌的FF值呈强相关性(r_(s)=0.596,P<0.001),与肩胛下肌、小圆肌的FF值呈弱相关(r_(s)分别为0.257、0.212,P值分别为0.004、0.019);冈上肌损伤程度分级与Goutallier分级、Thomazeau分级之间呈显著正相关(r_(s)分别为0.757、0.737,P均<0.001),且冈上肌FF值在Goutallier和Thomazeau的分级中差异具有统计学意义(P均<0.001)。结论3.0 T MR IDEAL-IQ序列能量化和客观评估肩袖肌群脂肪浸润程度,肩袖肌群脂肪浸润程度与冈上肌腱损伤分级呈正相关,与年龄、症状持续时间呈正相关。
文摘William Shakespeare was a patriotic song and heroic epic in praise of the great contributions Henry V (1387-1422) made to England, who represents Shakespeare’s ideal of a good king and aspiration for the national unity of England under a powerful and efficient monarch.
基金Project(50574061) supported by the National Natural Science Foundation of China
文摘Low-permeability dense reservoirs,including micro-fractured reservoirs,are commonly characterized by high content of clay substances,high original water saturation,high sensitivity to invasive fluids,high capillary pressure,complicated structure and anisotropic,high flow-resistance and micro pore throats etc,.Generally they also have lots of natural micro fractures,probably leading to stress sensibility.Main damaging factors in such reservoirs are water-sensibility and water-blocking caused by invasive fluids during drilling and production operations.Once damaged,formation permeability can rarely recovered.Numerous studies have shown that damaging extent of water-blocking ranges from 70% to 90%.Main damaging mechanisms and influencing factors of water-blocking were systematically analyzed.Also some feasible precaution or treating approaches of water-blocking were put forward.In a laboratory setting,a new multi-functional drilling fluid composed mainly of amphion polymer,sulfonation polymer,high effectively preventive water-blocking surfactants,ideal packing temporary bridging agents(TBA) and film-forming agents,etc.,were developed.New low-damage drilling fluids has many advantages,such as good rheological properties,excellent effectiveness of water-blocking prevention,good temporary plugging effect,low filtration and ultra-low permeability(API filtration≤5 mL,HTHP filtration≤10 mL,mud cake frictional coefficient≤0.14,permeability recovery>81%),can efficiently prevent or minimize damage,preserve natural formation and enhance comprehensive development-investment effect in TUHA Jurassic dense sandstone reservoir formation with low-permeability,the only one developing integrated condense gas field.Some references can be provided to similar reservoir formations.
