CT门静脉成像在食管胃静脉曲张栓塞术后的应用价值

探讨CT门静脉成像(CTP)在食管胃底静脉曲张栓塞术后疗效评价中的价值。23例门静脉高压上消化道出血患者采用经皮经肝食管胃底曲张静脉栓塞术(PTVE),用TH胶栓塞食管胃底曲张静脉及其相关侧支循环血管。栓塞前、后各进行了CT门静脉成像检查,观察TH胶的位置、范围和曲张静脉的残存情况。CT门静脉成像显示23例食管胃底曲张静脉及相关侧支血管内可见TH胶充填,TH胶位置准确、固定,无移位、游走现象,5例可见曲张静脉残留。CT门静脉成像可以直观显示和评价食管胃底静脉曲张栓塞的治疗效果。     

孤立性心肌桥-壁冠状动脉患者的多层螺旋CT及临床分析

试图分析孤立性心肌桥-壁冠状动脉（MB—MCA）病变患者的多层螺旋CT（MSCT）的影像学特点与临床表现之间的内在联系。回顾性收集自2003年1月至2007年3月,在我院住院并行MSCT,保存有清楚影像学资料,临床排除有其他心脏病合并症的MB—MCA患者,共53例,发现MB—MCA病变65处。平均年龄（57．3±12．6）岁,其中男性27例,LAD病变59例。MCA长度（20．8±11．2）mm,MB厚度（2．0±1．6）mm。58．5％的患者有心电图改变,大部分为女性,有胸部不适症状者占90．6％。单纯应用非二氢吡啶类钙离子拮抗剂者15例,治疗有效率达到73．3％（11例）,单纯应用β受体阻滞剂者12例,症状缓解率达到66．7％（9例）。单纯应用硝酸酯类药物者16例,仅有2倒（12．5％）缓解。MB—MCA可能导致心肌缺血和临床症状,可进行干预性治疗;对硝酸酯类药物不能缓解的胸痛患者要想到MB—MCA可能,有条件者应该进行MSCT等影像学检查,诊断明确的可以试用β受体阻滞剂及非二氧吡啶娄拮抗剂．     

螺旋CT小肠造影及传统气钡双重对比造影检查在诊断小肠肿瘤性疾病中的价值比较

为了探讨螺旋CT小肠造影（CT enterograph,CTEG）及传统气钡双重对比造影检查在诊断小肠肿瘤性疾病中的价值。回顾性分析小肠肿瘤50例,患者先后行CTEG及传统气钡双重对比造影检查,所得图像由3位放射科医师进行评价。结果显示,50例小肠肿瘤性病变CTEG检查敏感性94％,准确性90％。传统气钡双重对比造影检查敏感性100％,准确性86％。两种方法相结合准确性98％。CTEG及传统气钡双重对比造影检查结合应用可作为小肠肿瘤诊断和评估治疗的必要的检查方法。     

Deep learning based liver cancer detection using watershed transform and Gaussian mixture model techniques

ObjectivesLiver cancer is one of the leading cause of death in all over the world. Detecting the cancer tissue manually is a difficult task and time consuming. Hence, a computer-aided diagnosis (CAD) is used in decision making process for accurate detection for appropriate therapy. Therefore the main objective of this work is to detect the liver cancer accurately using automated method.MethodsIn this work, we have proposed a new system called as watershed Gaussian based deep learning (WGDL) technique for effective delineate the cancer lesion in computed tomography (CT) images of the liver. A total of 225 images were used in this work to develop the proposed model. Initially, the liver was separated using marker controlled watershed segmentation process and finally the cancer affected lesion was segmented using the Gaussian mixture model (GMM) algorithm. After tumor segmentation, various texture features were extracted from the segmented region. These segmented features were fed to deep neural network (DNN) classifier for automated classification of three types of liver cancer i.e. hemangioma (HEM), hepatocellular carcinoma (HCC) and metastatic carcinoma (MET).ResultsWe have achieved a classification accuracy of 99.38%, Jaccard index of 98.18%, at 200 epochs using DNN classifier with a negligible validation loss of 0.062 during the classification process.ConclusionsOur developed system is ready to be tested with huge database and can aid the radiologist in detecting the liver cancer using CT images.     

多层螺旋CT在不同肝硬化分级评估中的应用

利用多层螺旋CT对不同肝功能分级的52例乙型肝炎后肝硬化患者、50例酒精性肝硬化患者及25例正常对照组受试者进行肝脏体积在体测量,并进行kappa检验和方差分析,结果显示多层螺旋CT在体肝脏体积测量具有很好的一致性及可重复性（P〈0．01）;乙型肝炎后肝硬化与酒精性肝硬化患者肝脏体积的总体变化趋势相同,都随着病情的进展逐渐缩小,Child-Pugh分级B级之间的乙肝后肝硬化与酒精性肝硬化组患者的肝脏体积差异达到统计学上显著性水平。     

合理应用运动平板试验与冠脉CT诊断冠心病临床策略分析

本文针对临床诊断冠心病的两种常用手段即运动平板试验和冠脉CT进行分析,鉴于目前临床普遍存在重视采用冠脉CT,甚至达到滥用的地步,而逐渐忽视平板运动试验的现象,紧密结合临床,客观分析两者的特点,阐述各自优缺点。希冀通过本文以帮助临床医师正确选择应用,避免偏颇,最终达到将两者有机的结合,真正适合临床需要,提高冠心病患者的检出率,有利于更好地对冠心病进行二级预防。     

Intertemporal Distributive Judgement

This paper considers the simple two-person two-period case of distributive judgement, and argues (a) that sensible intertemporal distributive principle should consider both the distribution of people's life time well-being and the distribution of people's well-being at each period and (b) that, if (a) is correct, Egalitarianism is more acceptable than Prioritarianism since the latter must choose either one.     

The miscommunication of deception: An adaptive perspective

Undergraduates were videotaped as they told lies and truths about their last job. Later, these undergraduates viewed the videotape and tried to guess which of their fellow subject were lying. Monetary incentives had been offered for successful lying and lie detection. Our subjects showed a “demeanor bias”—some looked honest even when they were lying; others looked dishonest even when they were telling the truth. These differences in apparent honesty were the primary determinant of deception judgments; perceivers' detection skills played a lesser role. Honest-looking subjects were predisposed to perceive others as dishonest. In general, our liars used hand gestures, maintained eye contact, and refrained from smiling. Perceivers misconstrued these behaviors as signs of honesty and could not often detect deceit—unless the lie was being told by a subject who had earlier told the truth. We draw on sociobiological concepts and offer an adaptive perspective on human deceit.     

Cognitive and motivational determinants of children's humor responses

Cognitive and motivational influences on children's humor responses were examined. Forty-eight Caucasian children from three economically heterogeneous schools were tested. Equal numbers of middle SES and lower SES boys and girls from kindergarten and third grade were shown 12 aggression and dependency cartoons of different difficulty levels. Three responses to each cartoon were recorded: mirth, funniness rating, and comprehension score. Results support aspects of both psychodynamic and cognitive theories of humor response. All children preferred aggressive themes to dependency themes, and third graders especially showed attenuated response to dependency cartoons. Funniness ratings decreased as difficulty levels increased. IQ, as assessed by the Peabody Picture Vocabulary Test-R, was positively related to humor. Mirth responses and funniness ratings increased as comprehension increased.     

A triarchic theory of intellectual development during adulthood

A triarchic theory of intellectual development during adulthood is proposed. The theory comprises three parts: a contextual part that emphasizes the role of intelligence in successful adaptation to the environment; a componential part that specifies the mental mechanisms and processes underlying intelligent behavior; and an experiential part that indicates that intelligence is best manifested in instances in which the task or situation requiring the application of these processes is relatively novel or is becoming automatized. A selective and brief review of the literature on adult intellectual development is provided as evidence for the triarchic theory. The triarchic theory is then compared with four other theoretical approaches to adult intellectual development. It is argued that the triarchic theory provides new insights regarding the ways in which intelligence changes from early to middle to late adulthood and suggests certain properties of tasks and situations that make them more or less useful as measures of intelligence at various points in adult intellectual development.