A nomogram model integrating LI-RADS features and radiomics based on contrast-enhanced magnetic resonance imaging for predicting microvascular invasion in hepatocellular carcinoma falling the Milan criteria

PurposeTo establish and validate a nomogram model incorporating both liver imaging reporting and data system (LI-RADS) features and contrast enhanced magnetic resonance imaging (CEMRI)-based radiomics for predicting microvascular invasion (MVI) in hepatocellular carcinoma (HCC) falling the Milan criteria.MethodsIn total, 161 patients with 165 HCCs diagnosed with MVI (n = 99) or without MVI (n = 66) were assigned to a training and a test group. MRI LI-RADS characteristics and radiomics features selected by the LASSO algorithm were used to establish the MRI and Rad-score models, respectively, and the independent features were integrated to develop the nomogram model. The predictive ability of the nomogram was evaluated with receiver operating characteristic (ROC) curves.ResultsThe risk factors associated with MVI (P<0.05) were related to larger tumor size, nonsmooth margin, mosaic architecture, corona enhancement and higher Rad-score. The areas under the ROC curve (AUCs) of the MRI feature model for predicting MVI were 0.85 (95% CI: 0.78–0.92) and 0.85 (95% CI: 0.74–0.95), and those for the Rad-score were 0.82 (95% CI: 0.73–0.90) and 0.80 (95% CI: 0.67–0.93) in the training and test groups, respectively. The nomogram presented improved AUC values of 0.87 (95% CI: 0.81–0.94) in the training group and 0.89 (95% CI: 0.81–0.98) in the test group (P<0.05) for predicting MVI. The calibration curve and decision curve analysis demonstrated that the nomogram model had high goodness-of-fit and clinical benefits.ConclusionsThe nomogram model can effectively predict MVI in patients with HCC falling within the Milan criteria and serves as a valuable imaging biomarker for facilitating individualized decision-making.     

Anesthetic, preoperative and postoperative considerations for liver transplantation in swine

Perioperative care and anesthetic management of donor and recipient animals are crucial factors in studies involving experimental liver transplantation in the pig. Prevention of unacceptably high morbidity and mortality in the transplant recipients requires meticulous attention to anesthesia, preoperative and postoperative care. Liver transplant surgeries were performed using 15 pairs of pigs. Six of the transplant recipients were anesthetized with halothane plus 50% nitrous oxide (N2O) and oxygen (O2), and nine with isoflurane plus 50% N2O in O2. Arterial blood pressure, total anesthetic time, time of interruption of vena cava blood flow, and fluids administered, as well as length of survival were among the parameters measured and compared for the two groups. No deaths were attributed to either anesthetic technique. However, the isoflurane group had slightly higher blood pressure intraoperatively, better long range survival, and relatively rapid recoveries when compared to the halothane group. Because of these findings and the reported low rate of isoflurane metabolism and low resultant potential for formation of toxic metabolites when compared to halothane metabolism, we have elected to use the isoflurane-50% N2O regimen for this procedure.     

Temporary assisting suspension suture technique for successful microvascular anastomosis of extremely small and thin walled vessels for mice transplantation surgery

Dissection and microsurgical anastomosis in small and thin-walled vessels is challenging. Temporary assisting suspension suture technique was developed to overcome those difficulties in establishing successful composite tissue allotransplantation in mice. The operations were performed in 12- to 16-week-old Balb/c mice weighing 25 to 30 grams as both donor and recipient animals. Extended vascularized groin cutaneous flaps based on the superficial epigastric vessels were used. A total of 10 groin cutaneous flaps were transplanted. Three temporary assisting suspension sutures of 11-0 nylon were placed at the 12-, 4-, and 8-o'clock positions to donor and recipient artery and vein before the anastomosis. This technique allowed atraumatic dissection of delicate and thin vessels, prevented vessel wall collapse, and facilitated adequate exposure of the lumen during placement of the permanent microvascular sutures. Thus, the microvascular anastomosis was performed in an unusual manner. The temporary assisting suspension sutures were removed just before the permanent suture was tied down. The mean operation time was 1 hour and 45 minutes with an ischemia time of 1 hour. Ninety-percent success in immediate and late-term patency rates was achieved, which was confirmed by transplant survival. This technique was proven to be useful for microvascular anastomosis in thin-walled vessels and is recommended.     

A minimal model of liver glycogen metabolism; feasibility for predicting flux rates

A minimal model of glycogen metabolism can allow the estimation of the flux rates in the glycogen pathway from the time course of the intermediates in the pathway, measured during substrate administration and hormonal stimulation. The comprehensive model of El-Refai & Bergman (Am. J. Physiol. 231, 1608, 1976) consisting of six compartments and 26 non-estimable parameters has successfully accounted for the responses of hepatic glycogenic intermediates in response to a glucose load in hepatocytes (Katz et al., J. biol. Chem. 253, 4530, 1978), in perfused liver (Nordlie et al., J. biol. Chem. 255, 1834, 1980) and during refeeding in vivo (Van DeWerve & Jeanrenaud, Am. J. Physiol. 247, E271, 1984). The comprehensive model is here reduced to a minimal model, consisting of five compartments representing extracellular and intracellular glucose, glucose-phosphate, uridine diphosphate glucose (UDPG), glycogen, and five parameters estimated from the hepatic response to a given stimulus. Estimation of these parameters requires the measurement of the net hepatic glucose balance, the net gluconeogenic flux, and the time course of glycogenic intermediates responding to a hormone or substrate stimulus. The hepatic glycogenolytic response predicted by the comprehensive model in response to an increase in glucagon is closely fitted by the minimal model. When Gaussian distributed random error was added, 0-5% SD in the glucose and glycogen compartments and 0-10% SD in the glucose-phosphate and UDPG compartments, the hepatic response predicted by the minimal model was virtually free of the added error, and the model parameters were found to be within 30% of their true values. When the minimal model was used to interpret the experimental response to an increase in glucose concentration it predicted that: (1) glucokinase can phosphorylate glucose at rates similar to maximal rates of net glycogen synthesis; (2) futile cycling at the glycogen/glucose-1-phosphate level can limit glycogen synthesis; and (3) glucose-6-phosphatase inhibition by glucose has a significant role in net glycogen synthesis.     

An empirical model for predicting microhabitat of 0+ juvenile fishes in a lowland river catchment

Summary Species-habitat relationships are an important aspect of fish life history, particularly in early ontogeny. To address the lack of information on the microhabitat use/requirements of European coarse fishes, particularly 0-group fishes in riverine systems, an empirical model was generated from data collected in the River Great Ouse catchment (UK). During 7 weeks in autumn 1990, data on young-of-the-year (0+) juvenile fishes and 15 environmental variables were collected at 2800 stratified, random point samples within 130 study sites (streams, rivers, side-channels, backwaters). Of 24 species of 0+ fish, only 10 were captured in 3% of non-null samples. Association analysis and canonical correspondence analysis of the samples-by-species (967×10) and samples-by-variables (967×15) data matrices revealed that the shallow, narrow, lotic, stony-pebbly channel microhabitat of riffles and runs was preferred by the progeny of substrate-spawning, substrate/plant-spawning and nest-guarding fishes. Moderately deeper and wider, sinuous channels, with slowto-moderate water velocities and medium-sized substrata were also favourable to progeny of substrate spawners. Assemblages of 0+ fish in deeper, wider, silted, trapezoidal-shaped channels with slow-to-lentic flowing water, i.e. channelised and regulated, were dominated by ubiquitous (plant/substrate) spawners.     

Dosimetric criteria for the intestinal form of acute radiation injury in man. An empirical model

On the basis of the results of radiobiological studies on acute nonuniform irradiation of the animal's abdomen a dose dependence has been found for the duration of the injury to barrier properties of the small intestine epithelium, T(D). With relative coordinates x = D/LD50 and y = T (D)/T(LD50), this dependence may be represented by a single function for various animal species.     

A combined macro and microvascular model for whole limb heat transfer

A new prototype model for whole limb heat transfer is proposed wherein the countercurrent heat exchange from the large central arteries and veins in the core of the limb is coupled to microvascular models for the surrounding muscle and the cutaneous tissue layers. The local microvascular temperature field in the muscle tissue is described by the bioheat equation of Weinbaum and Jiji. The new model allows for an arbitrary axial variation of cross-sectional area and blood distribution between the muscle and cutaneous tissue, accounts for the blood flow to and heat loss from the hand and treats the venous return temperature and surface temperature distribution as unknowns that are determined as part of the solution to the overall boundary value problem. Representative solutions are presented for a wide range of environmental conditions for a limb in both the resting state and during exercise.     

A model for predicting ionic equilibrium concentrations in cell walls

Purified cell walls were prepared from roots of Horse bean (Vicia faba L., var. minor) and Yellow Lupine (Lupinus luteus L.). Two methods were used: (a) grinding and (b) lysis of the endocellular contents by Triton X-100. The Ca²⁺, Mg²⁺, and K⁺ contents were determined after incubation in various solutions in such a manner that the measurements gave access to the undisturbed equilibrium contents. The results were used to test a model which describes the ionic atmosphere in the cell walls as a result of simultaneous electrostatic interactions between free ions (Donnan effect) and specific association equilibria, including acido-basic ones. This model correctly accounted for the whole set of experimental results and predicted the values of the unmeasurable local concentrations and pH.     

A viscoelastic model for use in predicting arterial pulse waves

In nonlinear mathematical models of the arterial circulation, the viscoelasticity of the vessel walls has generally been neglected or only taken into account in a highly approximate manner. A new method is proposed to simulate the nonlinear viscoelastic properties of the wall material with the aid of a convolution integral of the creep function and the pressure history. With this simulation it is possible to properly describe the measured characteristics of arterial viscoelasticity. Moreover, it is utilized in a mathematical model of arterial pulse propagation to study the influence of the internal wall friction on the shape, amplitude and mean value of pressure and flow pulses. The corresponding predictions are in much better agreement with in-vivo measurements, especially for the distal part of the circulation, than those obtained without viscoelasticity.     

A statistical mechanical model for predicting B-DNA curvature and flexibility

A statistical mechanical model taking into account the symmetric twisting, tilting, sliding fluctuations and asymmetric rolling fluctuations has been proposed to predict the macroscopic curvature and flexibility of B-DNA. Based on the statistical data of structural parameters of double helix in nucleic acid database and the related theoretical analysis, the equilibrium angular parameters (Omega, rho and tau) describing the orientation of successive base-pair planes, the translation parameters (D(y)) along the long axis of neighboring base-pair step and the corresponding force constants are arranged for ten dimers appropriately. Under the assumption of independent angular parameters, independent base-pair steps and a simple energy function, we can calculate the macroscopic curvature and the flexibility of DNA sequences through the transformation matrix and the Boltzmann ensemble average. The predictions on curvature and flexibility of DNA have been compared with the corresponding experimental data. The agreement is remarkably good. It is demonstrated that the lowering of the temperature does increase the DNA curvature.     

近交系小鼠移植性肝癌模型建立及对比分析

目的：通过对比分析选择建立原位移植性肝癌模型的最佳小鼠品系。方法选取C57、C3H和BALB／c各10只小鼠分别作为模型组Ⅰ、模型组Ⅱ和模型组Ⅲ,沿腹中线开腹后将H22细胞接种到各模型组小鼠肝脏实质内。于注射后第15天剖腹探查,观察各组成瘤率,测量腹水量和肿瘤体积,并进行肿瘤病理学分析。结果三组小鼠存活率均为100％,15天后三组小鼠均产生腹水,但三组腹水量之间不具有统计学差异。模型组Ⅰ小鼠肝癌移植成功率为100％,高于模型组Ⅱ的60％和模型组Ⅲ的30％。模型组Ⅰ小鼠肝脏肿瘤全部为大块紧实灰白色病灶,其肿瘤平均体积显著大于模型组Ⅱ和模型组Ⅲ（ P＜0.05）。病理结果证实三组小鼠肝脏的灰白色病灶均为原位肝细胞癌。结论 C57小鼠是复制原位移植性肝癌模型较为理想的实验动物,为今后研究原位肝癌的发病机制提供良好的实验平台。     

A phenomenological model for predicting fatigue life in bovine trabecular bone

Cyclic loading of bone during daily activities can lead to fatigue degradation and increased risk of fracture in both the young and elderly population. Damage processes under cyclic loading in trabecular bone result in the reduction of the elastic modulus and accumulation of residual strain. These effects increase with increasing stress levels, leading to a progressive reduction in fatigue life. The present work analyzes the effect of stress and strain variation on the above damage processes in bovine trabecular bone, and develops a phenomenological model relating fatigue life to the imposed stress level. The elastic modulus reduction of the bone specimens was observed to depend on the maximum compressive strain, while the rate of residual strain accumulation was a function of the stress level. A model was developed for the upper and lower bounds of bone elastic modulus reduction with increasing number of cycles, at each stress range. The experimental observations were described well by the model. The model predicted the bounds of the fatigue life with change in fatigue stress. The decrease in the fatigue life with increasing stress was related to corresponding increases in the residual strain accumulation rates at the elevated stress levels. The model shows the validity of fatigue predictions from relatively few cyclic experiments, by combining trends observed in the monotonic and the cyclic tests. The model also presents a relatively simple procedure for predicting the endurance limit for bovine trabecular bone specimens.     

A model for predicting waves and suspended silt concentration in a shallow lake

A wave model and a vertical silt model are developed for shallow lakes and both were applied to Lake Marken in the Netherlands. The results of the wave model serve as input for the silt model. The silt model calculates the suspended silt concentration at several depths at a certain location. The water column is divided in compartments and the suspended silt concentration can be divided into a maximum of seven fractions. It is also possible to divide the top layer of the lake bottom into 25 slices with different time-dependent soil-physical properties.The optimization procedure of the silt model showed the importance of knowledge of the soil-physical properties of the top layer of the bottom. In general, not much is known about this layer and Lake Marken is no exception. The calibrated silt model gave good results for 3 sites in Lake Marken.     

A model for predicting the emergence of dragonflies in a changing climate

1. Precise models for the phenology of different species are essential for predicting the potential effects of any temporal mismatch of life cycles with environmental parameters under different climate change scenarios. Here we investigated the effects of ambient water temperature on the onset and synchrony of emergence for a widespread European riverine dragonfly, Gomphus vulgatissimus .
2. Long-term field data on the annual emergence from two rivers in northern Germany, and additional data from a laboratory experiment with different temperature regimes, were used to develop a model that predicted the onset of emergence by using mainly the temperature sum (degree days) as a parameter.
3. Model predictions of the onset of emergence fitted the observations well and could be transferred between localities. This was particularly so when weighting early winter temperature data by using a day length and a temperature-response function, implying potential additional control mechanisms for the onset of emergence.
4. We simulated effects of different winter temperature regimes on the emergence curves in order to predict the effects of climate change. These indicated an acceleration of emergence by 6–7 days per 1 °C temperature increase, which is corroborated by the laboratory data and is in the upper range of data published for other dragonflies.     

A structurally optimal control model for predicting and analyzing human postural coordination

This paper proposes a closed-loop optimal control model predicting changes between in-phase and anti-phase postural coordination during standing and related supra-postural activities. The model allows the evaluation of the influence of body dynamics and balance constraints onto the adoption of postural coordination. This model minimizes the instantaneous norm of the joint torques with a controller in the head space, in contrast with classical linear optimal models used in the postural literature and defined in joint space. The balance constraint is addressed with an adaptive ankle torque saturation. Numerical simulations showed that the model was able to predict changes between in-phase and anti-phase postural coordination modes and other non-linear transient dynamics phenomena.