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find Keyword "核磁共振" 33 results
  • 良性内侧颞叶癫痫的研究进展

    颞叶癫痫(TLE)是指异常过度放电起源于一侧或双侧颞叶结构的癫痫,是最常见的成人局灶性癫痫,也是最常见的药物难治性癫痫。内侧(Mesial)TLE 是 TLE 的主要类型,手术切除致痫灶是有效治疗方法。然而,部分患者的症状则较轻,并且能够在服用或未服用抗癫痫药物治疗的情况下达到无限期的缓解期,被认为是良性(benign)MTLE,此类患者经常有发热发作和癫痫的家族史。目前研究者认为 MTLE 可能与海马硬化和遗传因素有关,文章就 bMTLE 的研究进展进行总结,以提高临床对其认识。

    Release date:2019-01-19 08:54 Export PDF Favorites Scan
  • A meta-learning based method for segmentation of few-shot magnetic resonance images

    When applying deep learning algorithms to magnetic resonance (MR) image segmentation, a large number of annotated images are required as data support. However, the specificity of MR images makes it difficult and costly to acquire large amounts of annotated image data. To reduce the dependence of MR image segmentation on a large amount of annotated data, this paper proposes a meta-learning U-shaped network (Meta-UNet) for few-shot MR image segmentation. Meta-UNet can use a small amount of annotated image data to complete the task of MR image segmentation and obtain good segmentation results. Meta-UNet improves U-Net by introducing dilated convolution, which can increase the receptive field of the model to improve the sensitivity to targets of different scales. We introduce the attention mechanism to improve the adaptability of the model to different scales. We introduce the meta-learning mechanism, and employ a composite loss function for well-supervised and effective bootstrapping of model training. We use the proposed Meta-UNet model to train on different segmentation tasks, and then use the trained model to evaluate on a new segmentation task, where the Meta-UNet model achieves high-precision segmentation of target images. Meta-UNet has a certain improvement in mean Dice similarity coefficient (DSC) compared with voxel morph network (VoxelMorph), data augmentation using learned transformations (DataAug) and label transfer network (LT-Net). Experiments show that the proposed method can effectively perform MR image segmentation using a small number of samples. It provides a reliable aid for clinical diagnosis and treatment.

    Release date:2023-06-25 02:49 Export PDF Favorites Scan
  • 国际抗癫痫联盟诊断方法委员会儿科手术治疗协作组报告——诊断性检查在可外科治疗的儿童癫痫中的应用

    对于经过严格筛选的儿童耐药性局灶性癫痫病例, 外科手术是取得无痫性发作的成功手段。医学技术的发展使癫痫患者可以获得更精准的术前评估, 同时患者获得癫痫外科手术治疗的机会也有所增加。如今已在临床应用的癫痫灶评估方法不仅耗费资源而且在特定病例中不起作用, 抑或是副作用大。因此有必要及时制定标准化的术前评估流程。各项检查在特定临床病理类型的病例中的作用尚缺乏1级或2级证据支持。基于这一现状, 国际抗癫痫联盟(ILAE)的诊断与儿科学组的儿童癫痫外科协作组将各成员间的共识总结为专家建议发表。旨在减少将各项检查的利用不足, 同时促进临床更灵活地运用各项检查, 使现有的儿童癫痫中心尽可能标准化地进行癫痫的术前评估。

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  • DIAGNOSTIC APPLICATION OF MRI IN INTRAOCULAR TUMORS

    OBJECTIVE:To investigate the diagnostic meaning of MRI in intraocular tumors. METHODS:Forty-six cases of confirmed intraocular tumors,including choroidal melanoma(20 cases),retinoblastoma(18 cases),Coats disease(6 cases)and choroidal hemangioma(2 cases),were studied with MRI and compared with ultrasonography and CT. RESULTS:In making discoveries about intraocular tumors,there were no sighificant difference between MRI and B-ultrasonography or CT (P>0.03,chi;2=1.0716)while there were highly statistic sighificance in dediding characters and position (P<0.01,deceding character chi;2=29.8314,positionchi;2=13.659)of them. CONCLUSION:Among the examinations to find out about the position,character and secondary pathological insults of in traocular tumors MRI might be more available than CT and ultrasonography. (Chin J Ocul Fundus Dis,1997,13:93-95 )

    Release date:2016-09-02 06:12 Export PDF Favorites Scan
  • Diagnostic Value of Cardiac MRI for Viral Myocarditis: A Systematic Review

    Objective  To evaluate the clinical value of cardiac MRI for the diagnosis of viral myocarditis (VMC). Methods Such databases as PubMed (1950 to 2009), EMbase (1974 to 2009), and The Cochrane Library (December 2009) were searched to include clinical research reports of diagnosing viral myocarditis with MRI. QUADAS items were used to evaluate the quality of the included studies. The Meta-disc software was used to conduct merger analyses on sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio. The Heterogeneity test was performed and summary receiver operating characteristic curve (SROC) was completed. Results Five trials were included. The value of merger sensitivity, specificity, and diagnostic odds ratio (DOR) were 0.94, 0.69, 2.76, and 28.11, respectively. The area under of SROC curve (AUC) was 0.871 9. Conclusion The current evidence shows that cardiac MRI has high sensitivity (94%) and moderate specificity (69%) in the diagnosis of viral myocarditis. The positive rate in the viral myocarditis group is 28.11 times as high as that in the non-viral myocarditis group, so Cardiac MRI has good diagnostic values for viral myocarditis.

    Release date:2016-09-07 11:03 Export PDF Favorites Scan
  • 单光子计算机断层减影与核磁共振融合成像术在癫痫致痫灶定位中的应用进展

    癫痫是最常见的慢性脑部疾病之一,其中药物难治性癫痫比例为 20%~30%,目前癫痫手术治疗是难治性癫痫的唯一手段,而术前准确定位致痫病灶则是手术成败的关键。发作期单光子计算机断层减影与核磁共振融合成像术(Subtraction ictal single-photon emission computed tomography coregistered to MRI,SISCOM)作为一种全新的技术为癫痫致痫灶的准确定位翻开了新篇章,它克服了传统单光子发射计算机断层成像术(SPECT)空间分辨率不足的缺点,其成像的敏感性与特异性已被证实较单纯的发作期与发作间期 SPECT 成像增加,特别是对于核磁共振(MRI)阴性和颞叶外的癫痫患者,另外 SISCOM 在预测癫痫术后效果方面也具有独特价值。文章就 SISCOM 技术应用介绍、致痫灶定位的准确性、预测术后效果、基于 SISCOM 的新理念以及未来的发展等方面做一综述。

    Release date:2018-03-20 04:09 Export PDF Favorites Scan
  • The study of electroencephalogram and magnetic resonance imaging about Wistar suckling rats Focal cortical dysplasia model

    ObjectiveTo make the model of Wistar suckling rats Focal cortical dysplasia (FCD) by liquid nitrogen freezing brain cortex and verify it. Analysed the electroencephalogram (EEG) and magnetic resonance imaging (MRI) features of the FCD model, in order to provide theoretical and experimental basis for human FCD diagnosis and treatment. MethodsTake the first day of Wistar suckling rats as experimental object, liquid nitrogen freezing Wistar suckling rats brain cortex.Make examination of EEG and MRI for Wistar suckling rats. The Brain tissue slice of Wistar suckling rats model dyed by HE and check with light microscope examination. ResultsIn experiment group, the sample epileptic discharge rate of EEG was about 41.6% on average, and showed visible spike wave, spine slow wave frequency distribution. Experimental Wistar suckling rats MRI showed positive performance for long T1 and long T2 signal, brain tissue slices HE staining showed brain cortex layer structure and columnar structure disorder, exist abnormal neurons and the balloon sample cells. ConclusionThe method of liquid nitrogen freezing Wistar suckling rats cortex can established FCDⅢd animal models successfully, and showed specific EEG and MRI, which has important value for diagnosis and treatment of human FCD.

    Release date:2016-11-28 01:27 Export PDF Favorites Scan
  • Research on glioma magnetic resonance imaging segmentation based on dual-channel three-dimensional densely connected network

    Focus on the inconsistency of the shape, location and size of brain glioma, a dual-channel 3-dimensional (3D) densely connected network is proposed to automatically segment brain glioma tumor on magnetic resonance images. Our method is based on a 3D convolutional neural network frame, and two convolution kernel sizes are adopted in each channel to extract multi-scale features in different scales of receptive fields. Then we construct two densely connected blocks in each pathway for feature learning and transmission. Finally, the concatenation of two pathway features was sent to classification layer to classify central region voxels to segment brain tumor automatically. We train and test our model on open brain tumor segmentation challenge dataset, and we also compared our results with other models. Experimental results show that our algorithm can segment different tumor lesions more accurately. It has important application value in the clinical diagnosis and treatment of brain tumor diseases.

    Release date:2019-12-17 10:44 Export PDF Favorites Scan
  • 颞叶癫痫术后癫痫无发作不能使已改变的功能连接正常化

    癫痫患者大脑网络的功能连接存在特异性改变。然而这种改变是疾病本身或是癫痫发作产生的结果尚不明确。研究为纵向研究,找对难治性颞叶癫痫患者(Temporal lobe epilepsy,TLE)手术前及术后发作得到控制后的标准认知功能网络连接。该研究纳入 17 例手术预后达到 Engel I 级的难治性 TLE 患者作为试验组,同时纳入 17 例匹配的正常受试者作为对照组。在手术前后使用经典认知任务以评估认知网络的功能连接(含对照组),并使用严格的方法消除伪影。TLE 患者在术前与健康对照组相比,功能连接存在显著差异,这种差异是广泛而非唯一的,包括默认网络以及颞叶/听觉子网络。然而,接受癫痫手术并且发作得到控制后患者的网络连接并未得到明显改善,术后功能网络的异常与术前几乎一致。研究结果提示,癫痫对大脑功能连接存在长期而持续的影响,当难治性 TLE 患者进行手术时(一般发生在首次诊断的数年后)此种改变已经不可逆转。此结果对于顽固性癫痫的治疗具有潜在的意义,提示延迟的手术治疗可能控制癫痫发作,但不能逆转疾病所导致的功能性大脑网络改变。

    Release date:2018-05-22 02:14 Export PDF Favorites Scan
  • CT and MRI Appearances of Soild-Pseudopapillary Neoplasm of Pancreas

    ObjectiveTo investigate the CT and MR imaging manifestation of solid-pseudopapillary neoplasm of pancreas (SPNP), deepen the understanding of imaging and clinical pathological characteristics of SPNP and improve the level of diagnosis. MethodsBetween Jan 2010 and Dec 2015, the CT and MR imaging data of seven patients with SPTP proved by surgery and histopathologically were analyzed retrospectively. The following imaging features were reviewed: tumor size, location, shape, margin, encapsulation, calcification, hemorrhage, solid-cystic ratio, pancreatic and bile duct dilatation, the manifestation of plain scan and dynamic pattern of enhancement. ResultsThe population comprised 7 women, the average age was 28.3 years oldwith a median tumor size of 5.7 cm. Tumors were located at body tail of pancreas in 5 cases, at the head in 1 case, and at the tail in 1 case. The tumor were exogenous in 5 cases, endogenous in 2 cases. Five tumors showed the regular margin, inregular in 2 cases. Four cases of plain and enhanced CT scan showed cystic-solid tumors, the solid and encapsulation part ofSPNP presented as hipo-, iso-density, and gradually enhancement after injecting contrast medium. Three cases were examined by MRI, 2 cases appeared hemorrhage, tumor located in the head of pancreas leaded to the secondary ducts dilatations in 1 case. Conciusions There are some characteristics in CT and MRI manifestation of SPNP. Accurate diagnosis meybe created by the imaging study combined with the clinical feature.

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