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In situ compression and X-ray computed tomography of flow battery electrodes 被引量:1
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作者 Rhodri Jervis Matt D.R.Kok +6 位作者 Tobias P.Neville Quentin Meyer Leon D.Brown Francesco Iacoviello Jeff T.Gostick Dan J.L.Brett Paul R.Shearing 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2018年第5期1353-1361,共9页
Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently un- derutilised... Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently un- derutilised due to cost and performance issues, many of which are linked to the microstructure of the porous carbon electrodes used. Here, for the first time, we offer a detailed study of the in situ effects of compression on a commercially available carbon felt electrode. Visualisation of electrode structure us- ing X-ray computed tomography shows the non-linear way that these materials compress and various metrics are used to elucidate the changes in porosity, pore size distribution and tortuosity factor under compressions from 0%-90%. 展开更多
关键词 Redox flow battery x-ray computed tomography Compression Carbon felt RFB
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Simultaneous fluorescence and Compton scattering computed tomography based on linear polarization X-ray
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作者 Zhi-Jun Chi Hong-Ze Zhang +7 位作者 Jin Lin Xuan-Qi Zhang Hao Ding Qi-Li Tian Zhi Zhang Ying-Chao Du Wen-Hui Huang Chuan-Xiang Tang 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第10期41-50,共10页
Purpose To propose a method for simultaneous fluorescence and Compton scattering computed tomography by using linearly polarized X-rays.Methods Monte Carlo simulations were adopted to demonstrate the feasibility of th... Purpose To propose a method for simultaneous fluorescence and Compton scattering computed tomography by using linearly polarized X-rays.Methods Monte Carlo simulations were adopted to demonstrate the feasibility of the proposed method.In the simulations,the phantom is a polytetrafluoroethylene cylinder inside which are cylindrical columns containing aluminum,water,and gold(Au)-loaded water solutions with Au concentrations ranging between 0.5 and 4.0 wt%,and a parallel-hole collimator imaging geometry was adopted.The light source was modeled based on a Thomson scattering X-ray source.The phantom images for both imaging modalities were reconstructed using a maximumlikelihood expectation maximization algorithm.Results Both the X-ray fluorescence computed tomography(XFCT)and Compton scattering computed tomography(CSCT)images of the phantom were accurately reconstructed.A similar attenuation contrast problem for the different cylindrical columns in the phantom can be resolved in the XFCT and CSCT images.The interplay between XFCT and CSCT was analyzed,and the contrast-to-noise ratio(CNR)of the reconstruction was improved by correcting for the mutual influence between the two imaging modalities.Compared with K-edge subtraction imaging,XFCT exhibits a CNR advantage for the phantom.Conclusion Simultaneous XFCT and CSCT can be realized by using linearly polarized X-rays.The synergy between the two imaging modalities would have an important application in cancer radiation therapy. 展开更多
关键词 x-ray fluorescence computed tomography Compton scattering computed tomography Linear polarization Thomson scattering x-ray source Monte Carlo simulation
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Seeing through Materials:X-Ray Imaging Using Computed Tomography 被引量:1
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作者 Yisheng Miao Chengpeng Xue +2 位作者 Xuelong Wu Zhongyao Li Junsheng Wang 《Journal of Beijing Institute of Technology》 EI CAS 2023年第4期494-516,共23页
X-ray computed tomography(XCT)has recently emerged as a powerful tool for characterizing the evolution of microstructure during phase transformation in three dimensional(3D)such as dendritic solidification of alloys.T... X-ray computed tomography(XCT)has recently emerged as a powerful tool for characterizing the evolution of microstructure during phase transformation in three dimensional(3D)such as dendritic solidification of alloys.This paper briefly reviews the recent advances in the in-situ observation of aluminium alloys,magnesium alloys and nickel-based superalloys during solidification using laboratory XCT and synchrotron X-ray sources.The focus is on the growth kinetics of dendrites,porosity and secondary phases.In addition,in-situ characterization during the loading and corrosion process is also discussed. 展开更多
关键词 x-ray computed tomography(XCT) SYNCHROTRON DENDRITE POROSITY ALLOYS
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Application of Computed Tomographic Colonography in Diagnosis of Colonic Polyps 被引量:1
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作者 Ming-wei Qin Wei-dong Pan Guan-ning Cong Yun Wang Yun-qing Zhang Ji-xiang Liang 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第1期36-40,共5页
Objective To assess the clinical values of computed tomographic colonography (CTC) in diagnosis of colonic polyps. Methods Forty-two patients who were clinically suspicious of colonic polyps or underwent colonic po... Objective To assess the clinical values of computed tomographic colonography (CTC) in diagnosis of colonic polyps. Methods Forty-two patients who were clinically suspicious of colonic polyps or underwent colonic polyps screening received examinations with both CTC and conventional colonoscopy. Sixteen- or 64-slice spiral computed tomography and professional imaging processing techniques were used for evaluation. Per-polyp and per-patient results were analyzed. Those by per-polyp were subsequently divided into ≥10 mm group, 5-10 mm group, and ≤5 mm group. Sensitivity, positive predictive value (PPV), specificity, negative predictive value (NPV), and accuracy were calculated using statistical method for diagnostic studies, with conventional colonoscopy as a gold standard. Results Ninety and 61 polyps were found by CTC and conventional colonoscopy, respectively. The per-polyp sensitivity/PPV were 80.3%/55.6% in total, and 100%/92.9%, 93.8%/65.2%, and 68.8%/ 41.5% in the ≥10 mm group, 5-10 mm group, and ≤5 turn group, respectively. The per-patient sensitivity, PPV, specificity, NPV, and accuracy were 97.1%, 89.5%, 42.9%, 75.0%, and 88.1%, respectively. Conclusion CTC can clearly reveal the morphology of colonic polyps and be used as a routine monitoring method for the clinical diagnosis of polyps. 展开更多
关键词 colonic polyp x-ray computed tomography COLONOSCOPY
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NON-INVASIVE IMAGING OF CORONARY ARTERY WITH 16-SLICE SPIRAL COMPUTED TOMOGRAPHY 被引量:6
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作者 Zhu-huaZhang Zheng-yuJin +14 位作者 Dong-jingLi Song-baiLin Shu-yangZhang Ling-yanKong YunWang Lin-huiWang Wen-minZhao Wen-binMou Li-RenZhang Wen-lingZhu ChaoNi HuaRen Hong-quanYu QiMiao QiFang 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第3期174-179,共6页
To evaluate the value of 16-slice spiral CT in the demonstration of coronary artery and in the diagnose of coronary artery stenosis. Methods Plain and enhanced CT scans were performed with a 16-slice CT scanner (Sensa... To evaluate the value of 16-slice spiral CT in the demonstration of coronary artery and in the diagnose of coronary artery stenosis. Methods Plain and enhanced CT scans were performed with a 16-slice CT scanner (Sensation 16, Siemens, Germany) in 230 patients with suspected coronary heart disease (CHD). Parameters of the plain scan were: 120 kV, 133 mA, slice col-limation 16 mm×1.5 mm, rotation time 0.42 seconds, increment 1.5 mm, and slice width 3 mm. Parameters of the enhanced scan were: 120 kV, 500 mA, slice collimation 16 mm×0.75 mm, rotation time 0.42 seconds, increment 0.5 mm, and slice width 1 mm. Enhanced CT scan was performed with a rapid intravenous injection of 100 mL iothalamate meglumine (Ultravist) (370 mgI/mL) or Omnipaque (350 mgI/mL) and 30 mL 0.9% NaCl chaser bolus at a flow rate of 3.5 mL/s. Calcium scoring with plain scan images and two and three dimensional reconstruction with enhanced scan images were made in all cases, among which 30 cases underwent conventional coronary angiography. Demonstration of coronary arteries and their stenosis were evaluated and the factors that might influence the image quality were analyzed. Results Coronary calcium scores were calculated and coronary artery was demonstrated in our study. In the evaluationof image quality with volume rendering technique (VRT) images, 78.3% of the images were of the first class, 12.2% the sec-ond class, and 9.6% the third class. Multi-planar reconstruction (MPR) and maximal intensity projection (MIP) were better than VRT in the demonstration of small branches. The image quality was related to the heart rate, with or without arrhythmia, and breath-hold ability of patients. Comparative study of the stenosis of coronary arteries in 30 cases showed that the sensi-tivity and specificity of 16-slice coronary CT angiography (CTA) to diagnose significant stenosis were 95.8% and 94.8% resp-ectively. Conclusion As a non-invasive and quick method, 16-slice coronary CTA is sensitive and specific to diagnose the stenosis of coronary arteries and can be used as a screening method in the diagnosis of CHD. 展开更多
关键词 ANGIOGRAPHY tomography x-ray computed coronary artery
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Three-dimensional visualization of soil pore structure using computed tomography 被引量:1
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作者 Qiaoling Han Xibo Zhou +2 位作者 Lei Liu Yandong Zhao Yue Zhao 《Journal of Forestry Research》 SCIE CAS CSCD 2019年第3期1053-1061,共9页
The geometric and spatial characteristics of pore structures determine the permeability and water retention of soils, which have important effects on soil functional diversity and ecological restoration. Until recentl... The geometric and spatial characteristics of pore structures determine the permeability and water retention of soils, which have important effects on soil functional diversity and ecological restoration. Until recently, there have not been tools and methods to visually and quantitatively describe the characteristics of soil pores. To solve this problem, this research reconstructs the geometry and spatial distribution of soil pores by the marching cubes method, texture mapping method and the ray casting method widely used in literature. The objectives were to explore an optimal method for three-dimensional visualization of soil pore structure by comparing the robustness of the three methods on soil CT images with single pore structure and porosity ranging from low (2–5%) to high (12–18%), and to evaluate the reconstruction performance of the three methods with different geometric features. The results demonstrate that there are aliases (jagged edges) and deficiency at the boundaries of the model reconstructed by the marching cubes method and pore volumes are smaller than the ground truth, whereas the results of the texture mapping method lack the details of pore structures. For all the soil images, the ray casting method is preferable since it better preserves the pore characteristics of the ground truth. Furthermore, the ray casting method produced the best soil pore model with higher rendering speed and lower memory consumption. Therefore, the ray casting method provides a more advanced method for visualization of pore structures and provides an optional technique for the study of the transport of moisture and the exchange of air in soil. 展开更多
关键词 Soil PORE STRUCTURE x-ray computed tomography Three-dimensional reconstruction PORE VISUALIZATION
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Cosine fitting radiography and computed tomography
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作者 李盼云 张凯 +5 位作者 黄万霞 袁清习 王研 鞠在强 吴自玉 朱佩平 《Chinese Physics B》 SCIE EI CAS CSCD 2015年第6期679-686,共8页
A new method in diffraction-enhanced imaging computed tomography (DEI-CT) that follows the idea developed by Chapman et al. [Chapman D, Thomlinson W, Johnston R E, Washburn D, Pisano E, Gmur N, Zhong Z, Menk R, Arfe... A new method in diffraction-enhanced imaging computed tomography (DEI-CT) that follows the idea developed by Chapman et al. [Chapman D, Thomlinson W, Johnston R E, Washburn D, Pisano E, Gmur N, Zhong Z, Menk R, Arfelli F and Sayers D 1997 Phys. Med. BioL 42 2015] in 1997 is proposed in this paper. Merged with a "reverse projections" algorithm, only two sets of projection datasets at two defined orientations of the analyzer crystal are needed to reconstruct the linear absorption coefficient, the decrement of the real part of the refractive index and the linear scattering coefficient of the sample. Not only does this method reduce the delivered dose to the sample without degrading the image quality, but, compared with the existing DEI-CT approaches, it simplifies data-acquisition procedures. Experimental results confirm the reliability of this new method for DEI-CT applications. 展开更多
关键词 x-ray imaging diffraction-enhanced imaging phase contrast computed tomography
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Investigation of noise properties in grating-based x-ray phase tomography with reverse projection method
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作者 鲍园 王研 +3 位作者 高昆 王志立 朱佩平 吴自玉 《Chinese Physics B》 SCIE EI CAS CSCD 2015年第10期622-628,共7页
The relationship between noise variance and spatial resolution in grating-based x-ray phase computed tomography(PCT) imaging is investigated with reverse projection extraction method, and the noise variances of the ... The relationship between noise variance and spatial resolution in grating-based x-ray phase computed tomography(PCT) imaging is investigated with reverse projection extraction method, and the noise variances of the reconstructed absorption coefficient and refractive index decrement are compared. For the differential phase contrast method, the noise variance in the differential projection images follows the same inverse-square law with spatial resolution as in conventional absorption-based x-ray imaging projections. However, both theoretical analysis and simulations demonstrate that in PCT the noise variance of the reconstructed refractive index decrement scales with spatial resolution follows an inverse linear relationship at fixed slice thickness, while the noise variance of the reconstructed absorption coefficient conforms with the inverse cubic law. The results indicate that, for the same noise variance level, PCT imaging may enable higher spatial resolution than conventional absorption computed tomography(ACT), while ACT benefits more from degraded spatial resolution. This could be a useful guidance in imaging the inner structure of the sample in higher spatial resolution. 展开更多
关键词 x-ray imaging noise variance spatial resolution computed tomography (CT)
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New flexible CsPbBr_(3)-based scintillator for X-ray tomography
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作者 Zhi-Wei Lü Gong-Xiang Wei +6 位作者 Han-Qiu Wang Yu Guan Ning Jiang Yun-Yan Liu Zhao Li Hua Qin Hui-Qiang Liu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2022年第8期34-44,共11页
The evolution of lead halide perovskites used for X-ray imaging scintillators has been facilitated by the development of solution-processable semiconductors characterized by large-area,flexible,fast photoresponse.The ... The evolution of lead halide perovskites used for X-ray imaging scintillators has been facilitated by the development of solution-processable semiconductors characterized by large-area,flexible,fast photoresponse.The stability and durability of these new perovskites are insufficient to achieve extended computed tomography scanning times with hard X-rays.In this study,we fabricated a self-assembled CsPbBr_(3)-based scintillator film with a flexible large-area uniform thickness using a new roomtemperature solution-processable method.The sensitivity and responsivity of X-ray photon conversion were quantitatively measured and showed a good linear response relationship suitable for X-ray imaging.We also demonstrated,for the first time,that the self-assembled CsPbBr_(3)-based scintillator has good stability for hard X-ray microtomography.Therefore,such an inexpensive solution-processed semiconductor easily prepared at room temperature can be used as a hard X-ray scintillator and equipped with flexible CsPbBr3-based X-ray detectors.It has great potential in three-dimensional high-resolution phase-contrast X-ray-imaging applications in biomedicine and material science because of its heavy Pb and Br atoms. 展开更多
关键词 x-ray scintillator x-ray illumination computed tomography CsPbBr_(3)-based film perovskite Solution-processable semiconductor
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Transition to computed radiography: can emergency medicine doctors accurately predict the need of film printing to facilitate optimal patient care? 被引量:1
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作者 Siu Ming Yang Chor Man Lo 《World Journal of Emergency Medicine》 CAS 2011年第1期33-37,共5页
BACKGROUND: This study aimed to evaluate emergency medicine doctors' accuracy in predicting the need of film printing in a simulated setting of computed radiography and assess whether this can facilitate optimal pat... BACKGROUND: This study aimed to evaluate emergency medicine doctors' accuracy in predicting the need of film printing in a simulated setting of computed radiography and assess whether this can facilitate optimal patient care.METHODS: Cross sectional study was conducted from 20 March 2009 to 3 April 2009 in 1334 patients. After clinical assessment of those patients who needed X-ray examination, doctors in the emergency department would indicate whether film printing was necessary for subsequent patient care in a simulated computed radiography setting. The fi nal discharge plan was then retrieved from each patient record. Accuracy of doctors' prediction was calculated by comparing the initial request for radiographic film printing and the final need of film. Doctors with different level of emergency medicine experience would also be analyzed and compared.RESULTS: The sensitivity of predicting fi lm printing was 84.5% and the specifi city of predicting no fi lm printing was 91.2%. Positive predictive value was 88.4% while negative predictive value was 88.2%. The overall accuracy was 88.2%. The accuracy of doctors stratified into groups of fellows, higher trainees and basic trainees were 85.4%, 90.5% and 88.5% respectively (P=0.073).CONCLUSIONS: Our study showed that doctors can reliably predict whether film printing is needed after clinical assessment of patients, before actual image viewing. Advanced indication for film printing at the time of imaging request for selected patients can save time for all parties with minimal wastage. 展开更多
关键词 computed tomography x-ray EMERGENCIES Radiographic image enhancement Forecasting
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Penetrating view of nano-structures in Aleochara verna spermatheca and flagellum by hard X-ray microscopy 被引量:2
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作者 张凯 李德娥 +6 位作者 洪友丽 朱佩平 袁清习 黄万霞 高昆 周红章 吴自玉 《Chinese Physics B》 SCIE EI CAS CSCD 2013年第7期410-414,共5页
A penetrating view of the three-dimensional nanostructure of female spermatheca and male flagellum in the species Aleochara verna is obtained with 100-nm resolution using a hard X-ray microscope, which provides a fast... A penetrating view of the three-dimensional nanostructure of female spermatheca and male flagellum in the species Aleochara verna is obtained with 100-nm resolution using a hard X-ray microscope, which provides a fast noninvasive imaging technology for insect morphology. Through introducing Zernike phase contrast and heavy metal staining, images taken at 8 keV displayed sufficient contrast for observing nanoscale fine structures, such as the spermatheca cochleate duct and the subapex of the flagellum, which have some implications for the study of the sperm transfer process and genital evolution in insects. This work shows that both the spatial resolution and the contrast characteristic of hard X-ray microscopy are quite promising for insect morphology studies and, particularly, provide an attractive alternative to the destructive techniques used for investigating internal soft tissues. 展开更多
关键词 x-ray microscopy computed tomography synchrotron radiation source morphology
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Single-shot grating-based x-ray differential phase contrast imaging with a modified analyzer grating
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作者 卫晨希 吴朝 +6 位作者 Faiz Wali 魏文彬 鲍园 骆荣辉 王磊 刘刚 田扬超 《Chinese Physics B》 SCIE EI CAS CSCD 2017年第10期501-507,共7页
X-ray grating interferometer has attracted widely attention in the past years due to its capability in achieving x-ray phase contrast imaging with low brilliance source. However, the widely used phase stepping informa... X-ray grating interferometer has attracted widely attention in the past years due to its capability in achieving x-ray phase contrast imaging with low brilliance source. However, the widely used phase stepping information extraction method reduces system stability and prolongs data acquisition time by several times compared with conventional x-ray absorption- based imaging. The mechanical stepping can be avoided by using a staggered grating, but at the cost of low vertical spatial resolution. In this paper, employing a modified staggered grating and the angular signal radiography, we proposed a single-shot grating-based x-ray differential phase contrast imaging with decent vertical spatial resolution. The theoretical framework was deduced and proved by numerical experiments. Absorption, phase, and scattering computed tomography can be performed without phase stepping. Therefore, we believe this fast and highly stable imaging method with decent resolution would be widely applied in x-ray grating-based phase contrast imaging. 展开更多
关键词 x-ray phase contrast imaging single-shot decent resolution staggered grating computed tomography
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Chest X-rays in detecting injuries caused by blunt trauma
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作者 Kadir Agladioglu Mustafa Serinken +3 位作者 Onur Dal Halil Beydilli Cenker Eken Ozgur Karcioglu 《World Journal of Emergency Medicine》 CAS 2016年第1期55-58,共4页
BACKGROUND:The appropriate sequence of different imagings and indications of thoracic computed tomography(TCT)in evaluating chest trauma have not yet been clarified at present.The current study was undertaken to deter... BACKGROUND:The appropriate sequence of different imagings and indications of thoracic computed tomography(TCT)in evaluating chest trauma have not yet been clarified at present.The current study was undertaken to determine the value of chest X-ray(CXR)in detecting chest injuries in patients with blunt trauma.METHODS:A total of 447 patients with blunt thoracic trauma who had been admitted to the emergency department(ED)in the period of 2009–2013 were retrospectively reviewed.The patients met inclusion criteria(age>8 years,blunt injury to the chest,hemodynamically stable,and neurologically intact)and underwent both TCT and upright CXR in the ED.Radiological imagings were re-interpreted after they were collected from the hospital database by two skilled radiologists.RESULTS:Of the 447 patients,309(69.1%)were male.The mean age of the 447 patients was 39.5±19.2(range 9 and 87 years).158(35.3%)patients were injured in motor vehicle accidents(MVA).CXR showed the highest sensitivity in detecting clavicle fractures[95%CI 78.3(63.6–89)]but the lowest in pneuomediastinum[95%CI 11.8(1.5–36.4)].The specificity of CXR was close to 100%in detecting a wide array of entities.CONCLUSION:CXR remains to be the first choice in hemodynamically unstable patients with blunt chest trauma.Moreover,stable patients with normal CXR are candidates who should undergo TCT if significant injury has not been ruled out. 展开更多
关键词 CHEST Blunt trauma x-rays computed tomography Emergency department
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17例耳硬化症患者的临床与影像学分析 被引量:1
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作者 魏建初 张敏 +1 位作者 何云生 胡先芳 《中国耳鼻咽喉头颈外科》 CSCD 2024年第4期266-268,共3页
目的分析17例耳硬化症患者的临床特征、影像学表现及手术治疗效果。方法收集2020年5月~2023年5月在湖州市中心医院接受手术治疗的17例(17耳)耳硬化症患者临床、影像学资料,分析其临床表现、颞骨CT影像学表现及手术前后纯音测听结果变化... 目的分析17例耳硬化症患者的临床特征、影像学表现及手术治疗效果。方法收集2020年5月~2023年5月在湖州市中心医院接受手术治疗的17例(17耳)耳硬化症患者临床、影像学资料,分析其临床表现、颞骨CT影像学表现及手术前后纯音测听结果变化。结果17例(17耳)患者中,11耳(64.71%)为前庭窗型,表现为进行性传导性听力损失,其中9耳有耳鸣,3耳有轻微平衡问题;混合型6耳(35.29%)显示混合性听力损失,5耳有耳鸣,3耳有偶发性平衡障碍。影像学上,前庭窗型显示镫骨底板区域骨质增厚、前庭窗密度增加;混合型则显示镫骨底板增厚及耳蜗周围密度减低,1耳可见“双环征”,两种类型耳硬化症患者骨密度差异无统计学意义(P>0.05)。术后均未见耳鸣加重或其他严重并发症,仅2例(11.76%)出现暂时性头晕,术后随访显示术区恢复良好,无感染或其他迟发性并发症;术后听力测试显示气导阈值、气骨导差较术前显著改善(P均<0.05)。结论前庭窗型和混合型耳硬化症的影像学和临床表现各有特点,镫骨成形术可显著改善听力,降低气导阈值和气骨导差,且手术安全、并发症少。 展开更多
关键词 耳硬化(Otosclerosis) 体征和症状(Signs and Symptoms) 颞骨(Temporal Bone) 体层摄影术 X线计算机(tomography x-ray computed) 测听法 纯音(Audiometry Pure-Tone) 听阈(Auditory Threshold)
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自发性全段食管黏膜下血肿2例并文献复习
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作者 张发平 束玲玲 鲁大林 《中国医药科学》 2024年第6期190-193,共4页
食管黏膜下血肿(ESH)是临床少见的疾病,首发症状多为胸痛,与其他胸痛疾病易混淆。本文回顾性分析安徽省皖南康复医院收治的2例自发性全段ESH患者的临床资料、胃镜及胸部CT资料。2例患者均为老年女性,均在无明显诱因下突发胸痛、吞咽困难... 食管黏膜下血肿(ESH)是临床少见的疾病,首发症状多为胸痛,与其他胸痛疾病易混淆。本文回顾性分析安徽省皖南康复医院收治的2例自发性全段ESH患者的临床资料、胃镜及胸部CT资料。2例患者均为老年女性,均在无明显诱因下突发胸痛、吞咽困难,经过胃镜及胸部CT确诊。入院行禁食、抑酸、护胃、解痉、抗炎及补液等保守治疗,1例患者在入院第3天出现呕血,另1例患者在入院第2天便血,同时患者症状明显改善,分别于第11天和第15天顺利出院,1个月后复查ESH消失,均无复发。2例ESH保守治疗均取得良好的临床疗效,尤其在血肿减压(呕血和便血)的情况下,有助于患者的症状改善。本文对ESH发病机制、临床表现、诊断、治疗和转归进行文献复习,以期提高临床医生对本病的诊治水平。 展开更多
关键词 食管黏膜下血肿 胃镜 体层摄影术 X线计算机 胸痛
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准确影像定位在颈部食管腔外异物取出术的应用
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作者 朱财明 陈伟章 +2 位作者 黎雄文 王晓锋 李嘉 《中国耳鼻咽喉头颈外科》 CSCD 2024年第9期604-606,共3页
目的分析颈部食管腔外异物的临床特点及准确影像定位在其诊断和治疗中的应用。方法回顾性分析2017年10月~2024年3月梅州市人民医院耳鼻咽喉科收治的10例颈部食管腔外异物患者,对颈胸部CT行多平面重建(multiplanar reconstruction,MPR),... 目的分析颈部食管腔外异物的临床特点及准确影像定位在其诊断和治疗中的应用。方法回顾性分析2017年10月~2024年3月梅州市人民医院耳鼻咽喉科收治的10例颈部食管腔外异物患者,对颈胸部CT行多平面重建(multiplanar reconstruction,MPR),从横断位、冠状位、矢状位判断异物位置,选择合适的手术入路。结果10例颈部食管腔外异物,2例金属和1例木质异物为外伤进入颈部,7例鱼骨为误吞鱼骨迁移颈部。术前影像定位提示异物在环状软骨和甲状软骨周3例,甲状腺内1例,相对应颈椎周2例,胸锁乳突肌周2例,舌骨周2例。支撑喉镜下取出2例,经颈部切开入路取出7例,1例未取出转上级医院治疗。术中彩超协助定位3例。所有患者随访至今均痊愈。结论准确影像定位可为颈部食管腔外异物选择合适手术入路提供依据,术中若异物寻找困难,可借助术中彩超精确定位异物,为成功取出异物提供有力保障。 展开更多
关键词 颈(Neck) 异物(Foreign Bodies) 体层摄影术 X线计算机(tomography x-ray computed) 成像 三维(Imaging Three-Dimensional) 异物迁移(foreign bodies migration)
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Pilon骨折的CT分型及其临床指导意义 被引量:30
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作者 贾斌 张勇 +2 位作者 李郑林 曹国庆 刘彦勋 《中国骨伤》 CAS 2011年第6期470-473,共4页
目的:介绍一种Pilon骨折的三柱分型方法及其分柱固定治疗,评价其临床疗效。方法:2007年6月至2010年3月采用"三柱分型"及分柱固定治疗Pilon骨折27例29踝,男26例,女1例;年龄23~59岁,平均33.1岁。根据三柱分型选择手术入路及内... 目的:介绍一种Pilon骨折的三柱分型方法及其分柱固定治疗,评价其临床疗效。方法:2007年6月至2010年3月采用"三柱分型"及分柱固定治疗Pilon骨折27例29踝,男26例,女1例;年龄23~59岁,平均33.1岁。根据三柱分型选择手术入路及内固定方法,采用前内侧、前侧、后外侧、后内侧等入路进行显露,以1/3半管形钢板或螺钉分柱固定,术后随访评价临床效果。结果:随访时间5~33个月,平均17.5个月。按Mazur标准:优20踝,良4踝,可5踝。2踝部分皮缘坏死切口延迟愈合,经清洁换药后愈合,无创口裂开、深部感染、骨髓炎、骨不连、关节僵硬及关节不稳等并发症,无因创伤性关节炎而行关节融合术。结论:基于三柱理论进行Pilon骨折的分型及分柱固定,使Pilon骨折的治疗更具条理性,治疗方法的选择更为可靠。 展开更多
关键词 PILON骨折 骨折固定术 骨科手术方法 体层摄影术 X线计算机
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人工耳蜗植入术影像学评估体系初探 被引量:11
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作者 鲜军舫 李永新 +4 位作者 满凤媛 王冰 刘中林 王振常 韩德民 《中国耳鼻咽喉头颈外科》 北大核心 2007年第6期389-392,共4页
本文描述了用于人工耳蜗植入术前、后评估的影像学检查方法和影像学检查的作用。
关键词 耳蜗植入术(Cochlear Implantation) 体层摄影术 X线计算机(tomography x-ray computed) 磁共振成像(Magnetic Resonance Imaging)
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多层螺旋CT在喉癌及喉咽癌术前T分级中的作用 被引量:5
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作者 杨登法 姜亿一 +4 位作者 傅钢泽 沈剑敏 吴恩福 林刃舆 陈建福 《中国耳鼻咽喉头颈外科》 CSCD 2013年第11期611-612,共2页
喉癌及喉咽癌是头颈部常见恶性肿瘤,手术方式多种多样,其宗旨是彻底切除肿瘤的前提下,尽量保留或重建喉功能,有效改善患者的生活质量,因此术前明确肿瘤侵犯的范围和分期对临床治疗方案的选择有重要价值。笔者应用16层螺旋CT对喉癌... 喉癌及喉咽癌是头颈部常见恶性肿瘤,手术方式多种多样,其宗旨是彻底切除肿瘤的前提下,尽量保留或重建喉功能,有效改善患者的生活质量,因此术前明确肿瘤侵犯的范围和分期对临床治疗方案的选择有重要价值。笔者应用16层螺旋CT对喉癌及喉咽癌进行术前分析,评价其在术前T分级中的临床应用价值。 展开更多
关键词 喉肿瘤(Laryngeal Neoplasms) 体层摄影术 X线计算机(tomography x-ray computed) 肿瘤分期(Neoplasms Staging)
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鼻窦CT评分联合特异性免疫球蛋白E和白细胞介素6预测嗜酸粒细胞型慢性鼻窦炎伴鼻息肉患者术后复发风险的价值 被引量:3
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作者 胡焱 陈剑波 《中国耳鼻咽喉头颈外科》 CSCD 2023年第8期529-532,共4页
目的探讨鼻窦CT评分联合特异性免疫球蛋白E(sIgE)和白细胞介素6(IL-6)对嗜酸粒细胞型慢性鼻窦炎伴鼻息肉(ECRSwNP)患者术后复发风险的预测价值。方法选取2019年1月~2022年1月浙江大学医学院附属杭州西溪医院收治的ECRSwNP患者92例,均行... 目的探讨鼻窦CT评分联合特异性免疫球蛋白E(sIgE)和白细胞介素6(IL-6)对嗜酸粒细胞型慢性鼻窦炎伴鼻息肉(ECRSwNP)患者术后复发风险的预测价值。方法选取2019年1月~2022年1月浙江大学医学院附属杭州西溪医院收治的ECRSwNP患者92例,均行功能性鼻内镜手术,根据术后1年复发情况分为复发组(n=29)和未复发组(n=63)。比较两组鼻窦CT评分,并采用Pearson相关性分析法分析外周血嗜酸粒细胞(Eos)及组织Eos百分比(Eos%)与鼻窦CT评分的相关性;利用Logistic回归分析模型分析术后复发的危险因素,用受试者工作特征曲线(ROC)及曲线下面积(AUC)探究鼻窦CT评分、特异性免疫球蛋白E(sIgE)、IL-6对患者术后复发的预测价值。结果复发组前组筛窦评分、后组筛窦评分、鼻窦CT评分及筛窦与上颌窦评分比值(E/M比)均大于未复发组(P<0.05);组织Eos%与前组筛窦评分、后组筛窦评分及E/M比均呈正相关(r=0.305、0.381、0.642,P均<0.05),外周血Eos%与前组筛窦评分、后组筛窦评分及E/M比亦呈正相关(r=0.272、0.346、0.525,P均<0.05)。复发组哮喘患者占比、鼻塞视觉模拟量表(VAS)评分、组织Eos%、外周血Eos%及sIgE、IL-6水平均高于未复发组(P<0.05),组织中性粒细胞百分比(Neu%)、外周血Neu%则低于未复发组(P<0.05);Logistic分析显示,高水平血清sIgE、IL-6及高E/M比均是影响患者术后复发的危险因素(P<0.05)。ROC曲线分析显示,血清sIgE、IL-6、E/M比及三者联合预测ECRSwNP患者术后复发风险的AUC分别为0.818、0.758、0.696、0.915,三项指标联合预测效能高于单项检测(P<0.05)。结论高水平血清sIgE、IL-6及高E/M比是ECRSwNP患者术后复发的危险因素,三者联合预测患者鼻内镜术后复发风险具有较高临床价值。 展开更多
关键词 鼻窦炎(Sinusitis) 鼻息肉(Nasal Polyps) 嗜酸细胞(Eosinophils) 白细胞介素6(Interleukin-6) 复发(Recidivism) CT Lund-Mackay score(Lund-Mackay CT评分) 特异性免疫球蛋白(specific immunoglobulin E) 体层摄影扫描仪 X线计算机(tomography scanners x-ray computed)
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