医学图像融合技术的研究

利用图像融合技术,将不同模态的医学图像有机地结合在一起,可以充分利用各种医学图像的优点,为临床诊断和治疗提供帮助。本文主要介绍了医学图像融合技术的基本概念、发展情况、常用方法及面临的困难等,并对医学图像的研究前景作了预测。     

非小细胞肺癌三维适形放射治疗靶区和食管剂量学研究

目的:通过剂量学研究明确非小细胞肺癌各照射方法中食管放射损伤.方法:分为常规放疗和三维适形放射治疗(3D-CRT)计划组.3D-CRT分为全纵隔预防照射(TNI)、选择性淋巴引流区预防照射(SNI)、不做选择性淋巴引流区预防照射(N-SNI)三组.通过剂量体积直方图(DVH)、正常组织并发症概率(NTCP)、肿瘤控制率(TCP)评价各治疗计划.结果:常规放疗、TNI、SNI和N.SNI组PTV-2的TCP分别为:0.92、0.95、0.95、0.96;食管修稿≥45Gy照射的百分比(V45)分别为37.45%、48.04%、38.4%、29.67%;NTCP分别为0.0762、0.1142、0.0612、0.0551.结论:3D-CRT在靶区剂量分布上明显优于常规放疗,选择性和不做选择性淋巴引流区预防照射可以更好的减少食管放射性损伤.     

副粘病毒F1蛋白胞外非保守区对其特异性膜融合的影响

为了解融合蛋白F1分子的胞外非保守区在融合蛋白(F)与血凝素．神经氨酸酶(HN)的特异性膜融合中的作用,采用基因定点突变方法,在新城疫病毒(NDV)F1与人副流感病毒(hPIV)F1基因的胞外非保守区进行定点突变,创造酶切位点,得到分别含3个相同酶切位点的突变株NDV-M和hPIV-M。经检测,突变体的细胞融合功能与野毒株相同。然后用3个限制性内切酶分别从NDV-M与hPIV-M中切出两个片段NDVF-1、F-2及hPIVF-1、F-2。NDV-M和hPIV-M相互交换对应的F-1片段后进行基因重组,得到2个嵌合体(Chimera),即NDV-C1和hPIV-C1;同样方法交换F-2片段后又得到2个嵌合体NDV-C2和hPIV-C2。将各种嵌合体DNA与同源及异源HN基因共转染BHK21细胞后,在真核细胞中表达。Giemsa染色和指示基因法检测细胞融合功能,荧光强度分析(FACS)检测F蛋白的表达效率。结果表明,突变体：NDV-M和hPIV-M的细胞融合功能与野毒株相同,可用于构建嵌合体。NDV-1C和NDV—C2分别与NDV HN共表达后,融合功能达到野毒株的76．34％和96．2％,与hPIV HN共表达后均无细胞融合发生;hPIV-C1和hPIV—C2分别与hPIV HN共表达后,融合功能达到野毒株的65．82％和93．78％,与NDV HN共表达后无细胞融合发生。FACS分析表明,突变体及所有嵌合体蛋白F的表达效率与野毒株相比均没有明显变化。实验结果说明在F1蛋白的胞外非保守区中,NDV F-1和hPIV F-1这两个片段对于NDV和hPIV的特异性膜融合具有重要作用;而NDV F-2和hPIV F-2这两个片段对于NDV和hPIV的膜融合来讲,则特异性较低。     

实验探索非靶组织光学参数对超声调制光的影响

生物组织是一种复杂的多层高散射介质,探索光在超声作用下的生物组织中的传播规律是超声调制光学成像术必须解决的一个基本问题,关系到最终进行图像处理与重建。通过实验探索超声调制光信号在双层和三层组织中的传播规律。实验结果表明非靶组织的光学属性（吸收系数和散射系数）和组织结构（单层或多层）都不影响超声调制光信号的调制深度。调制深度只与超声焦区介质（即靶组织）的声光属性有关,具有较佳的抗干扰性,适合用于图像重构。     

金黄色葡萄球菌分子检测技术的常用靶基因

金黄色葡萄球菌是一种常见的致病菌,可以产生多种毒素并具有广泛的耐药性。从特异性基因位点、抗药性基因和毒素基因3个方面列举了检测金黄色葡萄球菌的靶基因以及利用这些靶基因的PCR检测方法。详细说明了这些基因的发现、功能和实际应用情况。将金黄色葡萄球菌分子检测的思路和方法进行汇总、比较,并对未来的相关研究趋势和研究领域进行了展望。     

脊柱融合的实验研究进展

脊柱融合是脊柱外科研究重点之一,脊柱融合的动物实验研究也是方兴未艾,有关脊柱融合的实验动物选择、实验方法、实验材料、评价方法是研究的重点。本文通过大量文献进行系统回顾,对脊柱融合动物实验的上述方面进行了总结。     

原生质体融合技术选育分解草酸乳酸菌菌株的研究

将具有草酸分解能力的乳双歧杆菌和具有耐氧特性的嗜酸乳杆菌进行原生质体融合,其最佳条件为:50%的PEG6000,融合温度30℃,融合时间为7 min,CaCl2浓度为0.02 mol/L,MgCl2浓度为0.5 mol/L,在此条件下融合率可达7.6%。从中筛选出同时具有耐氧特性和草酸分解能力的融合子,草酸分解率为13.4%。     

真核生物基因组转录诱导融合基因的研究进展

真核生物的基因组由基因和基因间区组成.基因转录时,从转录起始点开始到该基因的转录终止点结束,形成独立的转录单元.然而有少量的文献表明,转录有时会通读基因间区,产生包含上游基因、基因间区和下游基因的融合基因转录本.融合转录本经基因间剪接而成为有功能的成熟转录本.对真核生物转录诱导融合基因的基因间剪接方式、产生机制和意义进行了综述.     

编码区和非编码区SSR标记对水稻类群的比较研究

设计14对水稻编码区SSR引物和选取已公布的非编码区SSR引物12对、编码区SSR引物3对,采用SSR技术,对29个标记在60个水稻材料中的多态性进行分析。结果表明,编码区SSR标记平均检测到3.59个多态性位点,多态信息量PIC(polymorphism information conten)在0.032～P0.853之间,平均值为0.447;非编码区SSR标记平均检测到3.92个多态性位点,PIC在0.063～P0.795之间,平均值为0.521。聚类分析显示,非编码区SSR标记能更加精确地区分来自不同地区的水稻类群,编码区SSR标记也具有良好的多态性,同样可以用于分析水稻的亲缘关系。     

The impact of PET/CT scanning on the size of target volumes,radiation exposure of organs at risk,TCP and NTCP,in the radiotherapy planning of non-small cell lung cancer

Aim

To compare radiotherapy plans made according to CT and PET/CT and to investigate the impact of changes in target volumes on tumour control probability (TCP), normal tissue complication probability (NTCP) and the impact of PET/CT on the staging and treatment strategy.

Background

Contemporary studies have proven that PET/CT attains higher sensitivity and specificity in the diagnosis of lung cancer and also leads to higher accuracy than CT alone in the process of target volume delineation in NSCLC.

Materials and methods

Between October 2009 and March 2012, 31 patients with locally advanced NSCLC, who had been referred to radical radiotherapy were involved in our study. They all underwent planning PET/CT examination. Then we carried out two separate delineations of target volumes and two radiotherapy plans and we compared the following parameters of those plans: staging, treatment purpose, the size of GTV and PTV and the exposure of organs at risk (OAR). TCP and NTCP were also compared.

Results

PET/CT information led to a significant decrease in the sizes of target volumes, which had the impact on the radiation exposure of OARs. The reduction of target volume sizes was not reflected in the significant increase of the TCP value. We found that there is a very strong direct linear relationship between all evaluated dosimetric parameters and NTCP values of all evaluated OARs.

Conclusions

Our study found that the use of planning PET/CT in the radiotherapy planning of NSCLC has a crucial impact on the precise determination of target volumes, more precise staging of the disease and thus also on possible changes of treatment strategy.     

Effectiveness of PET/CT with 18F-fluorothymidine in the staging of patients with squamous cell head and neck carcinomas before radiotherapy

Aim

The aim of our study was to compare the staging of the disease declared before anticancer treatment was begun with the staging that was found after the planning PET/CT scanning with ¹⁸F-FLT was performed.

Background

PET/CT in radiotherapy planning of head and neck cancers can facilitate the contouring of the primary tumour and the definition of metastatic lymph nodes.

Materials and methods

Between November 2010 and November 2013, 26 patients suffering from head and neck carcinomas underwent planning PET/CT examination with ¹⁸F-FLT. We compared the staging of the disease and the treatment strategy declared before and after ¹⁸F-FLT-PET/CT was performed.

Results

The findings from ¹⁸FLT-PET/CT led in 22 patients to a change of staging: in 19 patients it led to upstaging of the disease and in 3 patients it led to downstaging of the disease. In one patient, a secondary malignancy was found.

Conclusions

We have confirmed in this study that the use of ¹⁸F-FLT-PET/CT scanning in radiotherapy planning of squamous cell head and neck carcinomas has a great potential in the precise evaluation of disease staging and consequently in the precise determination of target volumes.     

基于18F-FDG PET/CT参数评价不同EGFR基因状态晚期肺腺癌患者放化疗疗效预测价值

为评价18F-FDG PET/CT参数对不同表皮生长因子受体(epithelial growth factor receptor, EGFR)基因状态晚期肺腺癌患者同步放化疗的疗效预测价值,本研究选择2016年1月至2018年2月我院初诊的100例晚期肺腺癌患者,比较不同EGFR基因状态下晚期肺腺癌患者同步放化疗治疗的临床疗效,并对18F-FDG PET/CT显像中原发病灶的各项代谢参数,代谢肿瘤体积(MTV)、最大标准摄取值(SUVmax)、平均标准摄取值(SUVmean)和总肿瘤糖酵解(TLG)值,以预测不同EGFR基因状态晚期肺腺癌患者同步放化疗效果的受试者工作特征曲线(receiveroperatingcharacteristiccurve,ROC曲线),并进行分析。结果显示,SUVmax预测不考虑EGFR基因状态的晚期肺腺癌患者放化疗疗效的截断值为9.50 (AUC=0.715,敏感度=79.7%,特异性=61%,p=0.031),SUVmax预测EGFR野生型的晚期肺腺癌患者放化疗疗效的截断值为9.50 (敏感度=82.4%,特异性=64.3%, p=0.014)。MTV预测EGFR 19号及21号外显子突变的晚期肺腺癌患者放化疗疗效的截断值分别为93.50(敏感度=63.6%,特异性=92.3%, p=0.021),77.00 (敏感度=83.3%,特异性=69.2%, p=0.041)。综上所述,对于EGFR基因状态不明的肺腺癌患者,SUVmax值可较好的预测放化疗效果,尤其是对于EGFR野生型患者;当EGFR19号及21号外显子突变时,MTV值预测结果优于SUVmax值。     

In vivo monitoring of the therapeutic efficacy of a CXCR1/2 inhibitor with 18F-FDG PET/CT imaging in experimental head and neck carcinoma: A feasibility study

The chemokine receptors CXCR1/2 play a key role in the aggressiveness of several types of cancers including head and neck squamous cell carcinomas (HNSCCs). In HNSCCs, CXCR1/2 signaling promotes cell proliferation and angiogenesis leading to tumor growth and metastasis. The competitive inhibitor of CXCR1/2, C29, inhibits the growth of experimental HNSCCs in mice. However, a non-invasive tool to monitor treatment response is essential to implement the use of C29 in clinical practices. ¹⁸F-FDG PET/CT is a gold-standard tool for the staging and the post-therapy follow-up of HNSCCs patients. Our study aimed to perform the first in vivo monitoring of C29 efficacy by non-invasive ¹⁸F-FDG PET/CT imaging. Mice bearing experimental HNSCCs (CAL33) were injected with ¹⁸F-FDG (T0) and thereafter treated (n = 7 mice, 9 tumors, 50 mg/kg by gavage) or not (n = 7 mice, 10 tumors) with C29 for 4 consecutive days. Final ¹⁸F-FDG-tumor uptake was determined at day 4 (TF). The average relative change (TF-T0) in ¹⁸F-FDG tumor uptake was +25.85 ± 10.93 % in the control group vs ?5.72 ± 10.07 % in the C29-treated group (p < 0.01). These results were consistent with the decrease of the tumor burden and with the decrease of tumor proliferating Ki67+ cells. These results paved the way for the use of ¹⁸F-FDG to monitor tumor response following C29 treatment.     

Detection of apoptosis by PET/CT with the diethyl ester of [18F]ML-10 and fluorescence imaging with a dansyl analogue

The diethyl ester of [¹⁸F]ML-10 is a small molecule apoptotic PET probe for cancer studies. Here we report a novel multi-step synthesis of the diethyl ester of ML-10 in excellent yields via fluorination using Xtal-Fluor-E. In addition, a one-pot radiosynthesis of the diethyl ester of [¹⁸F]ML-10 from nucleophilic [¹⁸F]fluoride was completed in 23% radiochemical yield (decay corrected). The radiochemical purity of the product was ⩾99%. The diethyl ester of [¹⁸F]ML-10 was used in vivo to detect apoptosis in the testes of mice. In parallel studies, the dansyl-ML-10 diethyl ester was prepared and used to detect apoptotic cells in an in vitro cell based assay.     

Optimization of 18F-Choline PET/CT acquisition in prostate cancer: Preliminary results concerning the length of the acquisition

ObjectiveFCH-PET/CT protocol for prostate cancer assessment consists of an early and late acquisition. Concerning the early acquisition, this study compares contrast-to-noise ratio of tumoral lesions between 5 and 10 minutes post-injection in order to shorten the time of this early acquisition.Materials and methodsPatients with proven prostate cancer referred for initial staging or recurrence were prospectively included. Patients underwent 10 minutes of pelvic dynamic acquisition for the early phase and late phase was performed at 60 minutes post-injection. Contrast-to-noise of lesions at 5 and 10 min post-injection were compared.ResultsForty-nine patients with 77 lesions were analyzed. No significant difference of prostatic lesions contrast-to-noise ratio was found between 5 min and 10 min post-injection (median contrast-to-noise ratio was respectively 38 and 42, P = 0.128).ConclusionThese results could have an impact on clinical practice with FCH-PET/CT early acquisition shortened to 5 min post-injection for patients with prostate cancer.     

No diagnostic impact of routinely use of respiratory gating to characterize lung nodules with 18F-FDG PET/CT

Purpose

To evaluate diagnostic impact of routinely use of respiratory gated (RG) ¹⁸FDG PET/CT to distinguish benign and malignant lung nodules.

影像引导对乳腺癌调强放射治疗精度的影响

目的：分析在乳腺癌图像引导放射治疗（IGRT）过程中,图像引导对于放射治疗的精确度的影响;同时观察图像引导放射治疗的毒性反应及放射治疗近期的治疗效果。方法：搜集2012年1月-2013年2月间,于哈尔滨医科大学附属第三医院放疗科收治的乳腺癌患者25例。使用医科达SynergyTM锥形束CT（CBCT）进行治疗前扫描,通过图像引导放射治疗技术对25例患者进行误差纠正,调整后行调强放疗。患者在进行放疗前,用锥形柬CT对射野的偏差进行校正,其偏差利用锥形束CT图像与计划螺旋CT图像进行手动匹配,在X、Y、Z三个方向上进行调整。根据误差调整治疗床位置后治疗。对急性放射性反应采用RTOG5级评价标准进行评价：急性放射性皮肤反应、急性放射性肺损伤及急性放射性心脏损伤。结果：25例乳腺癌患者治疗前经锥形束CT扫描采集的图像与计划参考图像比较在X、Y、Z方向上平均误差分别为0．429±1．683mm、0．431±1．728mm、0．583±2．041mm：摆位误差纠正后,误差值分别为：0．068±0．429、0．019±0．438、0．158±0．697,调整后摆位误差控制在1mm之内进行治疗。放疗后2周急性皮肤反应为0级23例、1级2例;4周为0级21例、1级4例。无急性放射性肺损伤及心脏损伤的病例出现。结论：目前调强放疗是乳腺癌临床放射治疗的重要手段,图像引导放射治疗的应用能够使放疗精度显著提高。