期刊文献+
共找到742篇文章
< 1 2 38 >
每页显示 20 50 100
EVALUATION OF NEUROPROTECTIVE EFFECTS OF LONG-TERM LOW DOSE HORMONE REPLACEMENT THERAPY ON POSTMENOPAUSAL WO-MEN BRAIN HIPPOCAMPUS USING MAGNETIC RESONANCE SCANNER 被引量:1
1
作者 Ling Hu Yun Yue +5 位作者 Ping-ping Zuo Zheng-yu Jin Feng Feng Hui You Ming-li Li Qin-sheng Ge 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第4期214-218,共5页
To investigate the effects of long-term low dose hormone replacement therapy (HRT) on postmenopaosal women in homone level, cognition score, hippocampus volume, and magnetic resonance spectroscopy (MRS) parameters... To investigate the effects of long-term low dose hormone replacement therapy (HRT) on postmenopaosal women in homone level, cognition score, hippocampus volume, and magnetic resonance spectroscopy (MRS) parameters. Methods A total of 182 postmenopausal women aged 50-87 years were chosen at Peking Union Medical College Hospital and assigned to HRT group and control group. The volunteers of HRT group had taken low dose hormone [ estradiol (E2 ) 0. 5-1.0 mg and progesterone 0.5-2.0 mg, once a day ] for 4-33 years. The concentrations of E2, progesterone, and testosterone were measured using enzyme-linked immunosorbent assay (ELISA). The gene types of apolipoprotein E (ApoE) were measured by polymerase chain reaction, and the subjects with susceptible genes ( ApoE ε3/ε4) of Alzheimer's disease (AD) were screened. Their hippocampus volumes and MRS parameters were obtained through magnetic resonance imaging (MRI), and results in two groups were analyzed by statistical method. Results Compared with control group, the concentrations of E2 at each age stage in HRT group were significantly higher (P 〈0. 05) except the 80-89 years old subgroup; yet, there were no statistical differences in the concentrations of progesterone and testosterone between the two groups. There was no obvious difference in ApoE subtypes distribution between the two groups The results of hippocampus MRI for the subjects with susceptible genes ApoE ε3/ε4 (HRT group 14 cases, control group 11 cases) showed that the ratio of bilateral hippocampus volume to whole brain volume in HRT group (0. 406 ± 0.028) was signiticantlyhigher than control gronp (0.369±0.031, P〈0.05). Theresults of ^1H MRS for the subjects with susceptible genes ApoE ε3/ε4 ( HRT group 12 cases, control group 11 cases) showed that the N-acetylaspartate/total creatine at the area of hippocampus in HRT group ( 1.54±0. 08 ) were significantly higher than control group ( 1.45±0. 13, P 〈 0. 05). Conclusions For postmenopausal women, long-term low dose HRT can maintain the physiological concentration of E2 in plasma. Furthermore, the hippocampus MRI performed on those with ApoE ε3/ε3 genes shows that long-term low dose HRT can prevent hippocampus atrophy, which is beneficial to maintain the brain function and prevent AD. 展开更多
关键词 long-term low dose hormone replacement therapy ESTROGEN apolipoprotein E HIPPOCAMPUS magnetic resonance spectroscopy
在线阅读 下载PDF
Estimation of enhanced low dose rate sensitivity mechanisms using temperature switching irradiation on gate-controlled lateral PNP transistor 被引量:1
2
作者 Xiao-Long Li Wu Lu +7 位作者 Xin Wang Xin Yu Qi Guo Jing Sun Mo-Han Liu Shuai Yao Xin-Yu Wei Cheng-Fa He 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第3期342-350,共9页
The mechanisms occurring when the switched temperature technique is applied,as an accelerated enhanced low dose rate sensitivity(ELDRS)test technique,are investigated in terms of a specially designed gate-controlled l... The mechanisms occurring when the switched temperature technique is applied,as an accelerated enhanced low dose rate sensitivity(ELDRS)test technique,are investigated in terms of a specially designed gate-controlled lateral PNP transistor(GLPNP)that used to extract the interface traps(Nit)and oxide trapped charges(Not).Electrical characteristics in GLPNP transistors induced by ^(60)Co gamma irradiation are measured in situ as a function of total dose,showing that generation of Nit in the oxide is the primary cause of base current variations for the GLPNP.Based on the analysis of the variations of Nit and Not,with switching the temperature,the properties of accelerated protons release and suppressed protons loss play critical roles in determining the increased Nit formation leading to the base current degradation with dose accumulation.Simultaneously the hydrogen cracking mechanisms responsible for additional protons release are related to the neutralization of Not extending enhanced Nit buildup.In this study the switched temperature irradiation has been employed to conservatively estimate the ELDRS of GLPNP,which provides us with a new insight into the test technique for ELDRS. 展开更多
关键词 ionizing radiation damage enhanced low dose rate sensitivity(ELDRS) switched temperature irradiation gate-controlled lateral PNP transistor(GLPNP)
在线阅读 下载PDF
STIMULATING EFFECT OF LOW DOSE ^(147)Pm ON DNA REPAIR IN SPERMIOGENIC STAGES
3
作者 朱寿彭 王六一 《Nuclear Science and Techniques》 SCIE CAS CSCD 1995年第1期18-21,共4页
STIMULATINGEFFECTOFLOWDOSE^(147)PmONDNAREPAIRINSPERMIOGENICSTAGESSTIMULATINGEFFECTOFLOWDOSE^(147)PmONDNAREPAI... STIMULATINGEFFECTOFLOWDOSE^(147)PmONDNAREPAIRINSPERMIOGENICSTAGESSTIMULATINGEFFECTOFLOWDOSE^(147)PmONDNAREPAIRINSPERMIOGENICST... 展开更多
关键词 DNA修复 低剂量147Pm 激励效应
在线阅读 下载PDF
Low dose effects on cultured mammalian cells...
4
作者 WANG Ju-Fang, LI Wen-Jian, ZHOU Guang-Ming, HE Jing, LI Qiang, DANG Bing-Rong, LI Xing-Lin, XIE Hong-Mei, WEI Zeng-Quan (Institute of Modern Physics, the Chinese Academy of Sciences, Lanzhou 730000) 《Nuclear Science and Techniques》 SCIE CAS CSCD 2000年第4期276-279,共4页
The low dose effects induced by carbon ions on Chinese hamster V79 cells and murine melanoma B16 cells were investigated in this paper. Both cell lines were divided into four groups for irradiation: (1) control, (2) 0... The low dose effects induced by carbon ions on Chinese hamster V79 cells and murine melanoma B16 cells were investigated in this paper. Both cell lines were divided into four groups for irradiation: (1) control, (2) 0.02 Gy or 0.05 Gy(D1), (3) 1 Gy(D2), (4) D1+D2. The survivors and micronuclei were studied as biological endpoints. The results of group (1) and group (2) showed that there were no obvious differences on micronucleus frequency but there were significant increases when irradiation dose was 0.02Gy on colony formation efficiency. Although low dose ion irradiation could not contribute to DNA damages, it could enhance the colony formation efficiency. In the study of group (3) and (4), when the ion dose was 0.02 Gy, there were evident increases on surviving fraction and decreases on micronucleus frequency, but there were no statistical changes on these endpoints when the ion dose was 0.05Gy. This meant that high LET radiation could induce the adaptive response of cultured cells, furthermore, in the range of inducing ion dose , low dose irradiation was more profitable than high dose one. 展开更多
关键词 哺乳动物 细胞 DNA 离子辐射 低剂量效应 辐射效应 碳离子
全文增补中
INVOLVEMENT OF THE Ca^(2+) PROTEIN KINASE C AND ADENYLATE CYCLACE SIGNAL PATHWAYS IN THE ACTIVATION OF THYMOCYTES IN RESPONSE TO WHOLE BODY IRRADIATION WITH LOW DOSE X RAYS 被引量:8
5
作者 刘树铮 谢风 《Chinese Medical Sciences Journal》 CAS CSCD 2000年第1期1-7,共7页
WT5”BZ] To study the molecular mechanism of the stimulatory effect of low dose radiation(LDR) on T cell activation. [WT5”BX]Methods.[WT5”BZ] Thymocytes from Kunming mice exposed to whole body irradiation(WBI) with ... WT5”BZ] To study the molecular mechanism of the stimulatory effect of low dose radiation(LDR) on T cell activation. [WT5”BX]Methods.[WT5”BZ] Thymocytes from Kunming mice exposed to whole body irradiation(WBI) with different doses of X rays were analyzed for the changes in signal molecules of the phospholipase C phosphatidylinositol biphosphate(PLC IP2) and G protein adenylate cyclase(AC) pathways. [WT5”BX]Results.[WT5”BZ]It was found that[Ca 2+ ] i increased in response to doses within 0 2 Gy which was most marked after 0 075 Gy and the increase was accentuated in the presence of Con A. The changes in CD3 and calcineurin(CN) expression of the thymocytes followed the same pattern as the alterations in [Ca 2+ ] i after LDR. The expression of α,β1 and β2 isoforms of protein kinase C(PKC) was all up regulated after 0 075 Gy with the increase in PKC β1 expression being most marked. The cAMP/cGMP ratio and PKA activity of the thymocytes was lowered after low dose radiation and increased after doses above 0 5 Gy in a dose dependent manner, thus giving rise to J shaped dose response curves. The Ca antagonist TMB 8 and cAMP stimulant cholera toxin suppressed the augmented thymocyte proliferation induced by LDR. [WT5”BX]Conclusion.[WT5”BZ]Data presented in the present paper suggest that activation of the PLC PIP2 signal pathway and suppression of the AC cAMP signal pathway are involved in the stimulation of the thymocytes following WBI with low dose X rays. 展开更多
关键词 WT5BZ]low dose radiation intracellular Ca^(2+) PKC isoforms cAMP/cGMP ratio
在线阅读 下载PDF
Slice-wise reconstruction for low-dose cone-beam CT using a deep residual convolutional neural network 被引量:4
6
作者 Hong-Kai Yang Kai-Chao Liang +1 位作者 Ke-Jun Kang Yu-Xiang Xing 《Nuclear Science and Techniques》 SCIE CAS CSCD 2019年第4期53-61,共9页
Because of the growing concern over the radiation dose delivered to patients, X-ray cone-beam CT(CBCT) imaging of low dose is of great interest. It is difficult for traditional reconstruction methods such as Feldkamp ... Because of the growing concern over the radiation dose delivered to patients, X-ray cone-beam CT(CBCT) imaging of low dose is of great interest. It is difficult for traditional reconstruction methods such as Feldkamp to reduce noise and keep resolution at low doses. A typical method to solve this problem is using optimizationbased methods with careful modeling of physics and additional constraints. However, it is computationally expensive and very time-consuming to reach an optimal solution. Recently, some pioneering work applying deep neural networks had some success in characterizing and removing artifacts from a low-dose data set. In this study,we incorporate imaging physics for a cone-beam CT into a residual convolutional neural network and propose a new end-to-end deep learning-based method for slice-wise reconstruction. By transferring 3D projection to a 2D problem with a noise reduction property, we can not only obtain reconstructions of high image quality, but also lower the computational complexity. The proposed network is composed of three serially connected sub-networks: a cone-to-fan transformation sub-network, a 2D analytical inversion sub-network, and an image refinement sub-network. This provides a comprehensive solution for end-to-end reconstruction for CBCT. The advantages of our method are that the network can simplify a 3D reconstruction problem to a 2D slice-wise reconstruction problem and can complete reconstruction in an end-to-end manner with the system matrix integrated into the network design. Furthermore, reconstruction can be less computationally expensive and easily parallelizable compared with iterative reconstruction methods. 展开更多
关键词 CONE-BEAM CT Slice-wise RESIDUAL U-net low dose Image DENOISING
在线阅读 下载PDF
Effects of low-dose heavy ion irradiation on male germ cell adaptation and genetics 被引量:2
7
作者 ZHANG Hong LI Wen-Jian ZHENG Rong-Liang 《Nuclear Science and Techniques》 SCIE CAS CSCD 2005年第4期209-213,共5页
The heavy ions with high linear energy transfer and high relative biological effectiveness are much more deleterious on the male germ cells, ones of the most radiosensitive cells of the body,than low-LET ionizing radi... The heavy ions with high linear energy transfer and high relative biological effectiveness are much more deleterious on the male germ cells, ones of the most radiosensitive cells of the body,than low-LET ionizing radiation such as X-ray or gamma-ray. The effects of low-dose heavy ion irradiation on male germ cell adaptation and genetics and the possible mechanism of this adaptation are summarized in our laboratory. Our results showed that the heavy ion irradiation significantly increased the frequencies of chromosomal aberrations in spermatogonia and spermato-cytes of mice, the low dose heavy ion irradiation could induce significant adaptative response on mouse testes and human sperm, and pre-exposure of mouse testes with low-dose heavy ion can markedly alleviate damage effects in-duced by subsequent high-dose irradiation. The increase of SOD activity and decrease of lipid peroxidation levels induced by low-dose ionizing radiation may be involved in this adaptative response mechanism. These studies may provide useful theoretical and clinical bases for radioprotection of reproductive potential and assessment of genetic risks for human exposed to heavy ions in radiotherapy and in outer space environment. 展开更多
关键词 重离子放射物 精液 男性 辐射防护 放射性疗法 组织结构
在线阅读 下载PDF
Inhibitory effect of low dose irradiation on tumor metastases in tumor bearing in mice
8
作者 魏道严 金敖兴 +2 位作者 黄帼 汪思应 左祥生 《Nuclear Science and Techniques》 SCIE CAS CSCD 1996年第3期180-182,共3页
Inhibitoryeffectoflowdoseirradiationontumormetastasesin tumorbearinginmiceWeiDao-Yan(魏道严);JinAo-Xing(金敖兴);Hu... Inhibitoryeffectoflowdoseirradiationontumormetastasesin tumorbearinginmiceWeiDao-Yan(魏道严);JinAo-Xing(金敖兴);HuangGuo(黄帼);WangSi... 展开更多
关键词 肿瘤 低剂量辐照 肿瘤分解 变异
在线阅读 下载PDF
Pre-exposure effect of low-dose ^(16)O^(8+) or γ-rays on testicular endocrine of mice
9
作者 ZhangHong ZhengRong-Liang 《Nuclear Science and Techniques》 SCIE CAS CSCD 1998年第1期47-48,共2页
Preexposureefectoflowdose16O8+orγraysontesticularendocrineofmiceZhangHong,WeiZengQuan,LiWenJian,ChenWeiQiang... Preexposureefectoflowdose16O8+orγraysontesticularendocrineofmiceZhangHong,WeiZengQuan,LiWenJian,ChenWeiQiang,LiangJi... 展开更多
关键词 低剂量γ-射线 老鼠内分泌 预照射效应
在线阅读 下载PDF
低剂量CT扫描结合iDose 4技术在肾盂及输尿管病变中的临床应用研究 被引量:3
10
作者 樊婷婷 刘白鹭 +2 位作者 赵雁鸣 王海波 刘丽丽 《医学影像学杂志》 2016年第9期1666-1671,共6页
目的 探讨低剂量CT扫描结合i Dose4技术在肾盂及输尿管病变诊断中的临床应用价值。方法 对150例经超声检查为肾盂及输尿管积水患者,随机分为5组(每组30例),分别行标准剂量组、低剂量1~4组CT检查。标准剂量组扫描采用管电压120k V,平均... 目的 探讨低剂量CT扫描结合i Dose4技术在肾盂及输尿管病变诊断中的临床应用价值。方法 对150例经超声检查为肾盂及输尿管积水患者,随机分为5组(每组30例),分别行标准剂量组、低剂量1~4组CT检查。标准剂量组扫描采用管电压120k V,平均m As为100m As,低剂量1~4组管电压仍为120k V,平均m As分别为40m As、35m As、30m As、25m As,其他扫描条件均与标准剂量组相同。记录每位患者的身高、体重和每次扫描的CTDIvol、DLP和有效剂量ED。所有图像均通过i Dose4进行Level1-Level 6及FBP法重建并测量所有图像的噪声,由两名医师对图像质量进行主观评分,两名医师对图像的主观评分的一致性评价使用Kappa检验。结果 低剂量1~4组与标准剂量组在身体质量指数(BMI)基本一致,相比均为P〉0.05,无统计学意义。低剂量1~4组分别与标准剂量组在发现结石(包括例数、数量、大小范围)相比差异均无统计学意义(P〉0.05)。低剂量1~4组的辐射剂量分别减少了60%、68%、72%、76%,与标准剂量组相比差异有统计学意义(P〈0.0001)。i Dose4软件的Level 6重建后的图像噪声最小,主观评分最高,差异有统计学意义(P〈0.0001)。结论 20kg/m220kg/m。〈BMI〈30kg/m。的患者:采用低剂量cT扫描结合iDose4技术,当平均mAs≥25时能满足结石的诊断要求;当平均mAs≥35~40时能满足所有病变的诊断要求。iDose4软件的Level6重建后的图像对肾盂及输尿管的显示效果最好,可满足诊断要求。 展开更多
关键词 泌尿系统疾病 辐射剂量 低剂量 体层摄影术 X线计算机
在线阅读 下载PDF
Effect of ionizing radiation on dual 8-bit analog-to-digital converters (AD9058) with various dose rates and bias conditions 被引量:1
11
作者 李兴冀 刘超铭 +2 位作者 孙中亮 肖立伊 何世禹 《Chinese Physics B》 SCIE EI CAS CSCD 2013年第9期629-633,共5页
The radiation effects on several properties (reference voltage, digital output logic voltage, and supply current) of dual 8-bit analog-to-digital (A/D) converters (AD9058) under various biased conditions are inv... The radiation effects on several properties (reference voltage, digital output logic voltage, and supply current) of dual 8-bit analog-to-digital (A/D) converters (AD9058) under various biased conditions are investigated in this paper. Gamma ray and 10-MeV proton irradiation are selected for a detailed evaluation and comparison. Based on the measurement results induced by the gamma ray with various dose rates, the devices exhibit enhanced low dose rate sensitivity (ELDRS) under zero and working bias conditions. Meanwhile, it is obvious that the ELDRS is more severe under the working bias condition than under the zero bias condition. The degradation of AD9058 does not display obvious ELDRS during 10-MeV proton irradiation with the selected flux. 展开更多
关键词 analog-to-digital converters enhanced low dose rate sensitivities (ELDRS) gamma ray and protonirradiation lower/high-dose rate
在线阅读 下载PDF
量热法和阶梯叠层法测量低能电子束辐照参数
12
作者 罗瑞 张雨禾 毛娜请 《辐射研究与辐射工艺学报》 2025年第1期116-123,共8页
电子束辐照加工在核技术应用产业中成为重要的一部分,低能电子束辐照在涂层固化、废水处理、食品保鲜等方面应用越来越广,辐照的计量参数对于辐照质量至关重要。低于300 keV的电子束剂量学相关标准尚未建立,参数测量都溯源至10 MeV电子... 电子束辐照加工在核技术应用产业中成为重要的一部分,低能电子束辐照在涂层固化、废水处理、食品保鲜等方面应用越来越广,辐照的计量参数对于辐照质量至关重要。低于300 keV的电子束剂量学相关标准尚未建立,参数测量都溯源至10 MeV电子直线加速器,测量对象的不一致带来了系统性偏差。本论文针对低于300 keV的低能电子束,开展了测试与模拟计算相结合的电子束能量测量方法研究,研制了基于量热法的吸收剂量测量装置,实现了低能电子束吸收剂量的绝对测量。结果表明:通过阶梯叠层法剂量实验结合能量深度分布曲线模拟的方式测得电子束能量为140 keV,通过量热法实现了(1~120) kGy范围内吸收剂量的测量,测量不确定度为11%(k=2)。本研究为低能电子束辐照加工提供了可靠的计量保障。 展开更多
关键词 低能电子束 计量参数 能量测量 吸收剂量
在线阅读 下载PDF
双重血浆分子吸附术联合低置换量血浆置换术治疗肝衰竭的临床效果分析
13
作者 刘绘青 徐耀 曲艳晓 《中国社区医师》 2025年第2期18-20,共3页
目的:分析双重血浆分子吸附术(DPMAS)联合低置换量血浆置换术(LPE)治疗肝衰竭的临床效果。方法:选取2023年5月—2024年5月临沂市人民医院收治的肝衰竭患者62例作为研究对象,随机分成对照组和观察组,各31例。对照组采用全量血浆置换术治... 目的:分析双重血浆分子吸附术(DPMAS)联合低置换量血浆置换术(LPE)治疗肝衰竭的临床效果。方法:选取2023年5月—2024年5月临沂市人民医院收治的肝衰竭患者62例作为研究对象,随机分成对照组和观察组,各31例。对照组采用全量血浆置换术治疗,观察组采用DPMAS联合LPE治疗。比较两组治疗效果、肝功能指标、凝血功能指标、炎性因子水平及不良反应发生情况。结果:观察组治疗总有效率高于对照组(P=0.034)。治疗后,两组肝功能指标、凝血功能指标均优于治疗前,且观察组优于对照组(P<0.05);两组炎性因子水平均低于治疗前,且观察组低于对照组(P<0.05)。观察组不良反应总发生率低于对照组(P=0.049)。结论:DPMAS联合LPE治疗肝衰竭的临床效果显著,能够改善患者的肝功能和凝血功能,降低炎性因子水平和不良反应发生率。 展开更多
关键词 肝衰竭 全量血浆置换术 双重血浆分子吸附术 低置换量血浆置换术
在线阅读 下载PDF
小剂量多巴胺辅助治疗新生儿坏死性小肠结肠炎的临床疗效及对炎症因子水平的影响
14
作者 张婕 苗耐英 +1 位作者 李欢 刘新建 《儿科药学杂志》 2025年第1期41-44,共4页
目的:探讨小剂量多巴胺对新生儿坏死性小肠结肠炎(NEC)的治疗效果。方法:选择我院收治的NEC新生儿70例,按随机数表法分为对照组和观察组各35例。对照组采用奥曲肽,观察组加用小剂量多巴胺[2.5μg/(kg·min)]。比较两组患儿总有效率... 目的:探讨小剂量多巴胺对新生儿坏死性小肠结肠炎(NEC)的治疗效果。方法:选择我院收治的NEC新生儿70例,按随机数表法分为对照组和观察组各35例。对照组采用奥曲肽,观察组加用小剂量多巴胺[2.5μg/(kg·min)]。比较两组患儿总有效率、临床症状改善情况、炎症因子水平、不良反应发生情况。结果:观察组总有效率(94.29%)较对照组(77.14%)明显提高(P<0.01);观察组腹胀消退、腹泻缓解、大便改善时间显著短于对照组(P<0.01);观察组肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-8(IL-8)、IL-6水平显著低于对照组(P<0.01);两组患儿出现嗜睡、出汗等不良反应发生率比较差异无统计学意义(P>0.05)。结论:对NEC新生儿采用小剂量多巴胺治疗,可有效减轻机体炎症反应,促进患儿康复,具有较高的临床应用价值。 展开更多
关键词 坏死性小肠结肠炎 新生儿 小剂量 多巴胺 炎症因子
在线阅读 下载PDF
CT引导下低辐射剂量扫描联合深度学习重建算法在肺穿刺活检术中的应用
15
作者 徐龙 李鑫 +2 位作者 张丽 于楠 段海峰 《分子影像学杂志》 2025年第1期44-50,共7页
目的探讨低辐射剂量扫描联合深度学习重建(DLIR)算法在CT引导下肺穿刺活检中应用的可行性及临床价值。方法选取2023年9月~2024年3月在陕西中医药大学附属医院行CT引导下肺穿刺患者,根据扫描方案不同,将60例肺穿刺活检患者分为常规剂量... 目的探讨低辐射剂量扫描联合深度学习重建(DLIR)算法在CT引导下肺穿刺活检中应用的可行性及临床价值。方法选取2023年9月~2024年3月在陕西中医药大学附属医院行CT引导下肺穿刺患者,根据扫描方案不同,将60例肺穿刺活检患者分为常规剂量组(A组)和低剂量组(B组)。A组为100 kV,噪声指数(NI)=15;B组NI=45,其余扫描参数均相同。在常规剂量组中首次和末次全肺扫描分别采用A、B组参数扫描,用于评价深度学习重建算法(DLIR)改善图像质量潜能。A组中首次全肺扫描采用滤波反投影(FBP)和权重为50%自适应统计迭代重建-V(50%ASIR-V)重建,末次全肺扫描采用深度学习重建算法的3种强度(DLIR-L、DLIR-M、DLIR-H)重建图像。分别测量脊柱旁肌肉、皮下脂肪及主动脉血管CT值和SD值,计算信号噪声比(SNR)和对比噪声比(CNR)。对比A、B两组的患者基线特征、穿刺过程中总的辐射剂量、病理阳性率及并发症发生率。结果5种不同条件下重建图像在肌肉、皮下脂肪及主动脉血管处CT值差异无统计学意义(P>0.05),SD值、SNR和CNR值差异有统计学意义(P<0.05),组间两两比较分析显示,DLIR-H图像与50%ASIR-V图像在肌肉、脂肪、血管SD和SNR的差异无统计学意义(P>0.05);FBP vs DLIR-H和DLIR-L vs DLIR-H组的CNR值差异有统计学意义(P<0.05)。与A组总辐射剂量相比,B组总辐射剂量减少约93.6%(P<0.001)。两组图像质量均能满足临床穿刺需要,两组患者的基线特征、病理阳性率及并发症发生率的差异均无统计学意义(P>0.05)。结论低剂量CT扫描结合DLIR重建,可以显著降低图像噪声,提高图像质量,且不影响穿刺安全性和病理阳性率。 展开更多
关键词 深度学习 穿刺活检 低剂量 辐射剂量
在线阅读 下载PDF
急性脑梗死采用低剂量阿替普酶静脉溶栓治疗的临床效果及对患者神经功能和并发症的影响研究
16
作者 陈明发 吴敏 卢军中 《中国实用医药》 2025年第1期88-91,共4页
目的对比急性脑梗死(ACI)采用标准剂量和低剂量阿替普酶静脉溶栓治疗的临床效果及对患者神经功能和并发症的影响。方法选择76例急性脑梗死患者,随机分成对照组(n=38)和研究组(n=38)。对照组给予标准剂量阿替普酶静脉溶栓治疗,研究组给... 目的对比急性脑梗死(ACI)采用标准剂量和低剂量阿替普酶静脉溶栓治疗的临床效果及对患者神经功能和并发症的影响。方法选择76例急性脑梗死患者,随机分成对照组(n=38)和研究组(n=38)。对照组给予标准剂量阿替普酶静脉溶栓治疗,研究组给予低剂量阿替普酶静脉溶栓治疗。比较两组治疗效果,治疗前后的格拉斯哥昏迷评分法(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)评分及健康调查简表(SF-36)评分,并发症发生情况。结果研究组总有效率为94.74%,高于对照组的92.11%,但差异不明显(P>0.05)。治疗后,研究组GCS评分为(13.82±0.74)分、NIHSS评分为(4.93±1.40)分,对照组GCS评分为(13.56±0.52)分、NIHSS评分为(5.02±1.36)分。两组GCS评分均高于治疗前,NIHSS评分均低于治疗前(P<0.05),但两组治疗后GCS与NIHSS评分比较差异不明显(P>0.05)。治疗后,两组生理功能(PF)、精神健康(MH)、躯体疼痛(BP)、情感职能(RE)、生理职能(RP)、社会功能(SF)、总体健康(GH)、活力(VT)评分高于治疗前,且研究组PF、MH、BP、RE、RP、SF、GH、VT评分分别为(78.84±4.23)、(77.34±4.39)、(80.46±4.78)、(78.26±4.49)、(80.75±4.63)、(81.90±4.24)、(82.49±4.33)、(75.52±4.76)分,高于对照组的(58.96±4.14)、(57.15±4.23)、(58.96±4.57)、(58.13±4.50)、(59.22±4.71)、(59.86±4.33)、(59.67±4.14)、(58.77±4.85)分(P<0.05)。对照组并发症发生率为15.79%,研究组并发症发生率为2.63%,研究组并发症发生率低于对照组(P<0.05)。结论急性脑梗死患者采用低剂量阿替普酶静脉溶栓治疗的临床效果与标准剂量相当,且更加安全高效,能降低并发症发生率,提高生活质量,值得推荐。 展开更多
关键词 静脉溶栓 低剂量 阿替普酶 急性脑梗死 神经功能 颅内出血
在线阅读 下载PDF
低剂量多层CT在肋骨骨折诊断中的应用价值
17
作者 文开兴 《中国社区医师》 2025年第3期84-86,共3页
目的:探究低剂量多层CT在肋骨骨折诊断中的应用价值。方法:选取2023年2月—2024年2月绵阳市中医医院收治的肋骨骨折患者200例作为研究对象,以随机数字表法分为对照组与观察组,每组100例。对照组接受常规剂量多层CT检查,观察组接受低剂... 目的:探究低剂量多层CT在肋骨骨折诊断中的应用价值。方法:选取2023年2月—2024年2月绵阳市中医医院收治的肋骨骨折患者200例作为研究对象,以随机数字表法分为对照组与观察组,每组100例。对照组接受常规剂量多层CT检查,观察组接受低剂量多层CT检查。比较两组诊断情况。结果:两组图像总优良率比较,无统计学差异(P>0.05)。观察组容积CT剂量指数低于对照组(P<0.05)。两组不完全骨折、完全骨折诊断准确率比较,差异无统计学意义(P>0.05)。结论:肋骨骨折患者实施低剂量多层CT检查与常规剂量多层CT检查均能获得高质量图像,且诊断准确率均较高,而与常规剂量多层CT比较,低剂量多层CT能够有效降低辐射剂量,减少对患者造成的辐射伤害。 展开更多
关键词 低剂量 多层CT 肋骨骨折
在线阅读 下载PDF
低剂量螺旋CT联合肿瘤标志物在肺癌高危人群筛查中的价值
18
作者 王彪 董亚锋 +1 位作者 马雯 边淼 《河南医学研究》 2025年第4期636-640,共5页
目的探讨低剂量螺旋CT(LDCT)联合血清肿瘤标志物胃泌素释放肽前体(Pro-GRP)、神经元特异性烯醇化酶(NSE)、细胞角质蛋白19片段抗原21-1(CYFRA21-1)、血清癌胚抗原(CEA)在早期肺癌筛查中的价值。方法选取2021年3月至2023年3月在河南省肿... 目的探讨低剂量螺旋CT(LDCT)联合血清肿瘤标志物胃泌素释放肽前体(Pro-GRP)、神经元特异性烯醇化酶(NSE)、细胞角质蛋白19片段抗原21-1(CYFRA21-1)、血清癌胚抗原(CEA)在早期肺癌筛查中的价值。方法选取2021年3月至2023年3月在河南省肿瘤医院接受LDCT检查的146例疑似肺癌病例,根据病理诊断结果分为肺癌组(114例)、良性病变组(32例),分析两组对象的血清肿瘤标志物水平、CT表现征象以及二者联合在早期肺癌诊断中的准确性。结果LDCT诊断肺癌的准确率为70.55%,灵敏度为69.35%,特异度为81.82%。肺癌和良性病变的影像学征象如结节分类、分叶征、毛刺征、胸膜凹陷征在两组之间的差异有统计学意义(P<0.05)。肺癌组的血清肿瘤标志物水平高于良性病变组(P<0.05)。受试者工作特征(ROC)曲线分析显示LDCT联合血清肿瘤标志物诊断早期肺癌的AUC为0.850,敏感度、特异度及准确率分别为85.9%、81.25%和84.25%,均高于各指标单独诊断。结论低剂量螺旋CT联合血清肿瘤标志物对早期肺癌的诊断价值较高。 展开更多
关键词 早期肺癌 低剂量螺旋CT 肿瘤标志物 诊断价值
在线阅读 下载PDF
超低剂量胸部CT在肺小结节随诊中的临床应用
19
作者 孙赟 纪淙山 王锡明 《医学影像学杂志》 2025年第1期58-61,共4页
目的探讨管电压80 kV结合深度学习迭代重建技术(AIIR)对体检患者的肺结节随诊的临床诊断价值。方法选取174例体检患者(共508个结节)在管电压80 kV结合AIIR及管电压120 kV的胸部CT图像,分别比较两种方法的容积CT剂量指数(CTDIvol)、剂量... 目的探讨管电压80 kV结合深度学习迭代重建技术(AIIR)对体检患者的肺结节随诊的临床诊断价值。方法选取174例体检患者(共508个结节)在管电压80 kV结合AIIR及管电压120 kV的胸部CT图像,分别比较两种方法的容积CT剂量指数(CTDIvol)、剂量长度乘积(DLP),计算有效辐射剂量(ED),并采用4分法对两种图像质量结果进行主观评价。同时按照密度将508个结节分为实性、亚实性及钙化三组,分别比较其在不同管电压下结节直径及体积的差异。结果与管电压120 kV组比较,80 kV组DLP、CTDIvol、ED均显著减少,差异有统计学意义(P<0.01)。但两组图像的主观评价比较差异无统计学意义(P>0.05)。三组肺结节在两种管电压下的直径与体积比较,差异无统计学意义(P>0.05)。结论采用管电压80 kV结合AIIR可以有效降低辐射剂量,并在保证图像质量的前提下,准确地评估肺结节的直径和体积。 展开更多
关键词 超低剂量 肺结节 体层摄影术 X线计算机
在线阅读 下载PDF
万古霉素骨粉低剂量局部应用致红人综合征1例分析
20
作者 李小波 周国坚 +2 位作者 黄玉玲 李海俏 陈婷婷 《中国药物警戒》 2025年第2期217-220,226,共5页
目的分析万古霉素低剂量局部应用致红人综合征(RMS)的临床特征及致敏机制,警示其用药风险,为临床合理用药提供参考。方法分析1例低剂量万古霉素骨粉局部应用预防手术部位感染(SSI)诱发RMS的案例,经药品不良反应(ADR)监测和文献回顾讨论... 目的分析万古霉素低剂量局部应用致红人综合征(RMS)的临床特征及致敏机制,警示其用药风险,为临床合理用药提供参考。方法分析1例低剂量万古霉素骨粉局部应用预防手术部位感染(SSI)诱发RMS的案例,经药品不良反应(ADR)监测和文献回顾讨论其机制,并探索其药学监护。结果根据ADR关联性评价、诺氏量表评分和致敏机制分析,考虑万古霉素致RMS,同时开展ADR监测和药学监护,患者RMS症状好转治愈。结论低剂量万古霉素局部应用同样存在发生RMS的风险,临床需警惕和重视。 展开更多
关键词 万古霉素 红人综合征 手术部位感染 低剂量 局部应用 药品不良反应
在线阅读 下载PDF
上一页 1 2 38 下一页 到第
使用帮助 返回顶部