简介:摘要目的比较超声造影(CEUS)肝脏影像报告与数据系统(LI-RADS)2017版(v2017)和磁共振成像(MRI) LI-RADS 2018版(v2018)单独以及联合应用对肝细胞癌(HCC)高危患者肝内局灶性病变(FLL)恶性风险的预测价值。方法对2018年1月至2021年10月于上海交通大学医学院附属瑞金医院及瑞金医院无锡分院同时行CEUS和增强MRI检查的212例患者300个FLL的临床和影像学资料进行回顾性分析,入组结节均根据CEUS LI-RADS v2017和CT/MRI LI-RADS v2018分类标准进行分类,对2种影像学LI-RADS分类结果行Cohen′s Kappa检验。以组织病理学诊断或随访结果为金标准,比较2种影像学LI-RADS分类标准单独以及联合应用对FLL的恶性风险预测价值。结果CEUS LI-RADS v2017和MRI LI-RADS v2018两种影像学分类标准间总体一致性中等(Kappa=0.441)。CEUS LR-5和MRI LR-5单独应用以及联合应用诊断HCC的特异性分别为93.66%、95.07%、88.73%(P>0.05),阳性预测值分别为93.13%、93.81%、89.81%(P>0.05)。CEUS LR-M和MRI LR-M单独应用以及联合应用诊断非HCC恶性肿瘤的敏感性分别为85.71%、82.86%、100%,联合应用高于MRI LR-M(P=0.033),但与CEUS LR-M相当(P=0.063)。结论CEUS LI-RADS v2017与MRI LI-RADS v2018分类总体一致性中等,CEUS LR-5诊断HCC特异性和阳性预测值与MRI LR-5相似,CEUS LR-M诊断非HCC恶性肿瘤敏感性与MRI LR-M相似,联合应用CEUS和MRI LR-M可提高非HCC恶性肿瘤的诊断敏感性。
简介:ThedosimetricphosphorsLi_3PO_4:M(M=Tb,Cu)wereproducedbymodifiedsolid-statemethod.ThestructuralandmorphologicalcharacterizationwascarriedoutthroughX-raydiffraction(XRD)andscanningelectronmicroscope(SEM).Additionally,thephotoluminescence(PL),thermoluminescence(TL)andopticallystimulatedluminescence(OSL)propertiesofpowderLi_3PO_4dopedwithTbandCuwerestudied.ItisadvocatedthatLi_3PO_4:CuphosphornotonlyshowshigherOSLsensitivity(25timesormore)butalsogivesfasterdecayinOSLsignalsthanthatofLi_3PO_4:Tb~(3+)phosphor.Theminimumdetectabledose(MDD)ofLi_3PO_4:M(M=Tb,Cu)phosphorsisfoundtobe21.69×10~(-3)and3.33×10~(-6)J·kg~(-1),respectively.InOSLmode,phosphorshowslineardoseresponseintherangeof0.02-20.00J·kg~(-1).InTLmode,sensitivityofLi_3PO_4:CuphosphorismorethanthatofLi_3PO_4:Tbphosphor.Thekineticsparameterssuchasactivationenergyandfrequencyfactorsweredeterminedbypeakshapemethod,andphotoionizationcrosssectionsofpreparedphosphorwerecalculated.
简介:Inordertodeepentheunderstandingoftherelationshipbetweenfundamentalproperties(including:microstructureandcomposition)andphotocatalyticperformance,fourbismuthatecompounds,including:LiBiO3,NaBiO3,KBiO3,andAgBiO3,areregardedasresearchexamplesinthepresentwork,becausetheyhaveparticularcrystalstructuresandsimilarcompositions.Usingdensityfunctionaltheorycalculations,theirstructural,electronic,andopticalpropertiesareinvestigatedandcomparedsystematically.Firstofall,thecalculatedresultsofcrystalstructuresandopticalpropertiesareinagreementwithavailablepublishedexperimentaldata.Basedonthecalculatedresults,itisfoundthatthetunneledorlayeredmicro-structuralpropertiesleadtothestrongerinteractionbetweenbismuthandoxygen,andtheweakerinteractionbetweenalkaline-earthmetaland[BiO6]octahedron,resultinginthefeatureofmulti-bandgapsinthecasesofLiBiO3,NaBiO3,andKBiO3.ThisconclusionissupportedbythecaseofAgBiO3,inwhichthefeatureofmulti-bandgapsdisappears,duetothestrongerinteractionbetweenthenoblemetaland[BiO6]octahedron.Thesepropertieshavesignificantadvantagesinthephotocatalyticperformance:absorbinglowenergyphotons,rapidlytransferringenergycarriers.Furthermore,thefeaturesofelectronicstructuresofbismuthatecompoundsarewellreflectedbytheabsorptionspectra,whichcouldbeconfirmedbyexperimentalmeasurementsinpractice.Combinedwiththecalculatedresults,itcouldbeconsideredthatthecrystalstructuresandcompositionsofthephotocatalystdeterminetheelectronicstructuresandopticalproperties,andsubsequentlydeterminethecorrespondingphotocatalyticperformance.Thus,anovelBi-basedphotocatalystdrivenbyvisible-lightcouldbedesignedbyutilizingspecificcompositionstoformfavorableelectronicstructuresorspecificmicro-structurestoformabeneficialchannelforenergycarriers.
简介:将Hartree近似方法应用于类氯离子的试探波函数,对Li^+的非相对论基态能量进行计算并于实验值相比,误差仅为0.8%,得到较为满意的结果.此方法为原子物理中相关能的计算提供了可靠的理论模型。
简介:Epigastricpain,alsoknownasstomachpain,ispresentedwithfrequentlyrecurrentpainintheupperabdomenorstomacharea,whichismainlycausedbyexogenouspathogen,improperdietorinternalinjuriesduetosevenemotions.All45caseswithepigastricpaincausedbyvariousfactorsweretreatedwithmainlyneedlingHegu(LI4)betweenNovember2010andNovember2012,andthereportisgivenasfollows.
简介:Thenucleationoforderedphasewassimulatedbasedonmicroscopicdiffusionequationandtheassumptionsoftheclassicalnucleationtheorywereexamined.Thequantitativecalculationsofinterfacethicknessevolutionwereaccomplishedforthefirsttime.Itwasfoundthattheinterfacesbetweenorderedphaseanddisorderedmatrixwerediffuse.Theinterfacethicknessdecreasedwithtime,fromtheinitial1.2nmtoanequilibriumvalue0.6nm.Theratiosoftheradiusoforderedparticlesandtheinterfacethicknessmonotonouslyincreased,buttheywereofthesameorderofmagnitudeallthetime.Thesharpinterfaceassumptionshouldnotbeadoptedinthisstage.FortheAl-10%Li(atomfraction)alloyagedat192℃,theassumptionsoftheclassicalnucleationtheorydisagreedwiththefacts.Thephasetransformationfollowedthenon-classicalnucleationmechanismandtheapplicablescopeoftheclassicalnucleationshouldbeconfined.
简介:(January1998-December2013)Currentdevelopmentsinsedimentresearchcontinueataheadypace,andarereportedintheInternationalJournalofSedimentResearch(IJSR)atabout500pagesperyear.However,asofJanuary2014,amajorchangehasoccurred:after16years(January1998toDecember2013)asEditor-in-Chief,ProfessorZhao-YinWanghassteppeddownfromthehandlingofmanuscripts.
简介:摘要目的分析超声造影(CEUS)肝脏影像报告和数据系统(LI-RADS)2017版和增强CT(CECT)/MRI LI-RADS 2018版对长径≤2 cm肝微小病灶分类的一致性及差异性。方法回顾性收集2018年1月至2019年6月在天津市第三中心医院同时接受CEUS和CECT或钆塞酸二钠增强磁共振成像(EOB-MRI)检查且具有肝细胞癌(hepatocellular carcinoma,HCC)高危风险的145例患者共145个病灶,按照CEUS LI-RADS 2017版和CECT/MRI LI-RADS 2018版分类标准对病灶进行LI-RADS分类。通过Kappa检验评估两种影像学LI-RADS分类的一致性。并对CEUS和CECT/MRI LI-RADS分类不一致的病灶行进一步分析。结果145个病灶长径为(1.65±0.33)cm。CEUS及CECT/MRI分类为LR-3、4、5、M病灶数分别为16、23、90、16个和25、31、87、2个。CEUS分类为LR-5、M共106个(73.1%),CECT/MRI分类为LR-5、M共89个(61.4%),差异有统计学意义(P=0.033)。CEUS及CECT/MRI分类为LR-3、4、5类中HCC的阳性预测值分别为37.5%、52.2%、97.8%和56.0%、64.5%、96.6%。56个病灶CEUS与CECT/MRI LI-RADS分类不一致。CECT/MRI分类LR-3、4类中28个被CEUS上调为LR-4、5类,HCC所占比例为82.1%。CEUS分类LR-3、4类中14个被CECT/MRI分类上调,HCC所占比例为85.7%。结论CECT/MRI及CEUS中LR-5类对HCC均具有较高的阳性预测值,但二者对LI-RADS分类的一致性较差。CEUS分类为LR-5、M病灶数较CECT/MRI显著增多。CECT/MRI分类LR-3、4类中HCC比例高于CEUS。
简介:Carbon-coatedlithiummanganesesilicate(Li2MnSiO4/C)nanoparticlesweresynthesizedbypolyolprocess.X-raydiffraction(XRD)patternsoftheobtainedmaterialsexhibitagoodfitwiththatoftheLi2MnSiO4phase.Fieldemissionscanningelectronmicroscopy(FESEM)imagesoftheobtainedsamplesshowthattheparticlesizeisonlytensofnanometers.Thehighresolutiontransmissionelectronmicroscopy(HRTEM)analysisshowsthattheLi2MnSiO4nanoparticlesaresurroundedbyaverythinfilmofamorphouscarbon.Thecompositepreparedthroughpolyolprocessshowsgoodperformanceascathodematerialsinlithiumcellsatroomtemperature.ThechargecapacityoftheLi2MnSiO4/Csamplesis219mAh/g(about1.3Li+perunitformulaextracted),andthedischargecapacityis132mAh/g(about0.8Li+perunitformulainserted)inthefirstcycleinthevoltagerangeof1.5-4.8V.Agoodcapacitycyclingmaintenanceof81.8%after10cycleswasobtained.