The most significant problem of maize grain mechanical harvesting quality in China at present is the high grain breakage rate(BR).BR is often the key characteristic that is measured to select hybrids desirable for mec...The most significant problem of maize grain mechanical harvesting quality in China at present is the high grain breakage rate(BR).BR is often the key characteristic that is measured to select hybrids desirable for mechanical grain harvesting.However,conventional BR evaluation and measurement methods have challenges and limitations.Microstructural crack parameters evaluation of maize kernel is of great importance to BR.In this connection,X-ray computed microtomography(μ-CT)has proven to be a quite useful method for the assessment of microstructure,as it provides important microstructural parameters,such as object volume,surface,surface/volume ratio,number of closed pores,and others.X-ray computed microtomography is a non-destructive technique that enables the reuse of samples already measured and also yields bidimensional(2D)cross-sectional images of the sample as well as volume rendering.In this paper,six different maize hybrid genotypes are used as materials,and the BR of the maize kernels of each variety is tested in the field mechanical grain harvesting,and the BR is used as an index for evaluating the breakage resistance of the variety.The crack characteristic parameters of kernel were detected by X-ray micro-computed tomography,and the relationship between the BR and the kernel crack characteristics was analyzed by stepwise regression analysis.Establishing a relationship between crack characteristic parameters and BR of maize is vital for judging breakage resistance.The results of stepwise multiple linear regression(MLR)showed that the crack characteristics of the object surface,number of closed pores,surface of closed pores,and closed porosity percent were significantly correlated to the BR of field mechanical grain harvesting,with the standard partial regression coefficients of–0.998,–0.988,–0.999,and–0.998,respectively.The R2 of this model was 0.999.Results validation showed that the Stepwise MLR Model could well predict the BR of maize based on these four variables.展开更多
Conspecific seagrass living in differing environments may develop different root system acclimation patterns.We applied X-ray computed tomography(CT)for imaging and quantifying roots systems of Zostera japonica collec...Conspecific seagrass living in differing environments may develop different root system acclimation patterns.We applied X-ray computed tomography(CT)for imaging and quantifying roots systems of Zostera japonica collected from typical oligotrophic and eutrophic sediments in two coastal sites of northern China,and determined sediment physicochemical properties that might influence root system morphology,density,and distribution.The trophic status of sediments had little influence on the Z.japonica root length,and diameters of root and rhizome.However,Z.japonica in oligotrophic sediment developed the root system with longer rhizome node,deeper rhizome distribution,and larger allocation to below-ground tissues in order to acquire more nutrients and relieve the N deficiency.And the lower root and rhizome densities of Z.japonica in eutrophic sediment were mainly caused by fewer shoots and shorter longevity,which was resulted from the more serious sulfide inhibition.Our results systematically revealed the effect of sediment trophic status on the phenotypic plasticity,quantity,and distribution of Z.japonica root system,and demonstrated the feasibly of X-ray CT in seagrass root system research.展开更多
It is always desirable to know the interior deformation pattern when a rock is subjected to mechanical load.Few experimental techniques exist that can represent fullfi eld three-dimensional(3D)strain distribution insi...It is always desirable to know the interior deformation pattern when a rock is subjected to mechanical load.Few experimental techniques exist that can represent fullfi eld three-dimensional(3D)strain distribution inside a rock specimen.And yet it is crucial that this information is available for fully understanding the failure mechanism of rocks or other geomaterials.In this study,by using the newly developed digital volumetric speckle photography(DVSP)technique in conjunction with X-ray computed tomography(CT)and taking advantage of natural 3D speckles formed inside the rock due to material impurities and voids,we can probe the interior of a rock to map its deformation pattern under load and shed light on its failure mechanism.We apply this technique to the analysis of a red sandstone specimen under increasing uniaxial compressive load applied incrementally.The fullfi eld 3D displacement fi elds are obtained in the specimen as a function of the load,from which both the volumetric and the deviatoric strain fi elds are calculated.Strain localization zones which lead to the eventual failure of the rock are identi fi ed.The results indicate that both shear and tension are contributing factors to the failure mechanism.展开更多
Damage assessments in three dimensional (3D) textile composites subjected to mechanical loading can be performed by non-destructive and destructive techniques.This paper applies the two techniques to investigate the f...Damage assessments in three dimensional (3D) textile composites subjected to mechanical loading can be performed by non-destructive and destructive techniques.This paper applies the two techniques to investigate the fracture behavior of 3D tufted textile composites.X-ray computed tomography as a non-destructive evaluation method is appropriate to detect damage locations and identify their progression in 3D textile composites.Destructive methods such as sectioning toward observing damage provide valuable information about damage patterns.The results of this research could be utilized to evaluate the initial cause of rupture in 3D tufted composites used in aerospace structures and analyze fracture modes and damage progression.展开更多
Soil cores from a field growing barley and barley mutants without root hairs under conventional and minimum tillage were sampled. They were X-ray scanned to produce a 3D image and then the roots were washed out and we...Soil cores from a field growing barley and barley mutants without root hairs under conventional and minimum tillage were sampled. They were X-ray scanned to produce a 3D image and then the roots were washed out and weight and length were determined by conventional means. Root volume and surface area were then calculated from the 3D images using state of the art software and methodology, and the measured and calculated measures were correlated. The only strong and significant correlation was between measured weight and calculated volume for mutants without root hairs. It is concluded that the software cannot segment out very small roots, but segmentation accuracy also depends on root structure in some unknown way. Any study using X-ray computed tomography to quantify roots as they grow in situ should start with a calibration for the conditions in question.展开更多
Spiral garnet porphyroblasts are known to record lengthy periods of deformation and metamorphism by preserving single or multiple FIAs(Foliation Intersection Axis)formed normal to tectonic shortening directions.Thanks...Spiral garnet porphyroblasts are known to record lengthy periods of deformation and metamorphism by preserving single or multiple FIAs(Foliation Intersection Axis)formed normal to tectonic shortening directions.Thanks to technological advances in X-ray computed micro-tomography(XCMT),FIAs can now be readily determined in relatively large samples in contrast to previous methods that require the preparation of a set of radial vertical and horizontal thin sections of samples.XCMT scanning not only alleviates tedious thin section based procedures but also illuminates the complete internal architecture of a rock sample allowing three-dimensional(3D)quantitative shape analysis of an individual porphyroblast as well as precise measurement of FIAs.We applied the technique to a sample from the Hunza Valley in the Karakoram metamorphic complex(KMC),NW Himalayas,containing numerous garnet porphyroblasts with spiral-shaped inclusion trails.The XCMT imaging reveals an E-W trending FIA within the sample,which is consistent with orthogonal N-S collision of the India-Kohistan Island Arc with Asia.Garnet long axes(X_(GT))have variable plunges that define a broad sub-vertical maximum and a small sub-horizontal maximum.The X_(GT) principle maxima lie at N-090 and N-120.Smaller maxima lie at N-020 and N-340.Geometric relationships between X_(GT) axes and FIA orientation in the sample suggest that porphyroblast shapes are controlled by the geometry of the lens-shaped microlithons in which they tend to nucleate and grow.The orientation of inclusion trails and matrix foliations in the sample are correlated with three discrete tectono-metamorphic events that respectively produced andalusite,sillimanite and kyanite in the KMC.Late staurolite growth in the sample reveals how the rocks extruded to the surface via a significant role of roll-on tectonics,which can be correlated with the Central Himalayas.展开更多
The aim of this study was to investigate the organ doses of patients undergoing computed tomography (CT) examination using the wide bore General Electric (GE) “Light Speed RT” unit. The head, chest and pelvic region...The aim of this study was to investigate the organ doses of patients undergoing computed tomography (CT) examination using the wide bore General Electric (GE) “Light Speed RT” unit. The head, chest and pelvic regions of the Rando-phantom were scanned with 120 kV, 200 mA, and 2.5 mm slice thickness for helical and axial modes. Thermoluminescent Dosimeter (TLD) pairs were used for the dosimetry of 10 organs. TL-counts were converted to dose by using CTDIcenter dose on CT-phantom. For the calculation of the organ doses, the ImPACT software was utilized by entering CTDIair (100 mAs) in small and large field of view (26.43 and 21.17 mGy respectively). The in-field dose ranges in helical and axial modes were 64.3 - 38 mGy and 47.6 - 19.7 mGy in head, 48.3 - 14.1 mGy and 34.1 - 10 mGy in chest, 28.4 - 10.2 mGy and 21 - 8.5 mGy in pelvic, respectively. The organ doses from software and TLD were compared and tailored as the in-field and the out-field radiation. First results showed that the organ dose was relatively higher in the helical mode on both direct and indirect measurement. The in-field organ dose differences between TLD and software were seen. In helical and axial modes, the dose differences ranged from +1 to +13.3 and -8.3 to +9.6 mGy for head exam, +1.1 to +15.3 and +0.3 to +9.1 mGy for chest, and -21.7 to +1.9 and -15.5 to +1.8 mGy for pelvic. The availability of this program for organ dose calculations by measuring CTDIair value for CT device used in the radiotherapy would be considered valuable.展开更多
To obtain two kinds of tomograms at two different X-ray energy ranges simultaneously, we have constructed a dual-energy X-ray photon counter with a lutetium-oxyorthosilicate photomultiplier detector system, three comp...To obtain two kinds of tomograms at two different X-ray energy ranges simultaneously, we have constructed a dual-energy X-ray photon counter with a lutetium-oxyorthosilicate photomultiplier detector system, three comparators, two microcomputers, and two frequency-voltage converters. X-ray photons are detected using the detector system, and the event pulses are input to three comparators simultaneously to determine threshold energies. At a tube voltage of 100 kV, the three threshold energies are 16, 35 and 52 keV, and two energy ranges are 16 - 35 and 52 - 100 keV. X-ray photons in the two ranges are counted using microcomputers, and the logical pulses from the two microcomputers are input to two frequency-voltage converters. In dual-energy computed tomography (CT), the tube voltage and current were 100 kV and 0.29 mA, respectively. Two tomograms were obtained simultaneously at two energy ranges. The energy ranges for gadolinium-L-edge and K-edge CT were 16 - 35 and 52 - 100 keV, respectively. The maximum count rate of dual-energy CT was 105 kilocounts per second with energies ranging from 16 to 100 keV, and the exposure time for tomography was 19.6 min.展开更多
One of the issues in the aluminum-alloy die casting industry is the space occurring inside the casting, and the improvement of the verification technology is expected. The purpose of this research is to seal holes ins...One of the issues in the aluminum-alloy die casting industry is the space occurring inside the casting, and the improvement of the verification technology is expected. The purpose of this research is to seal holes inside the aluminum metal by resin and verify them by photon-counting X-ray computed tomography (CT) using an energy-discrimination 64-channel cadmium-telluride (CdTe) line detector. Moreover, it is important to estimate the image of the effective atomic number and the electronic density by the energy mapping of the attenuation coefficient utilizing photon-counting X-ray CTto distinguish both the aluminum metal and the resin filler in the aluminum hole. As a result, the energy discrimination of the resin filler in the space of aluminum casting has been attained. We could observe the atomic number image utilizing dual-energyX-ray CTmethod with the 64-channel CdTe photon-counting detector.展开更多
The additional sparse prior of images has been the subject of much research in problems of sparse-view computed tomography(CT) reconstruction. A method employing the image gradient sparsity is often used to reduce the...The additional sparse prior of images has been the subject of much research in problems of sparse-view computed tomography(CT) reconstruction. A method employing the image gradient sparsity is often used to reduce the sampling rate and is shown to remove the unwanted artifacts while preserve sharp edges, but may cause blocky or patchy artifacts.To eliminate this drawback, we propose a novel sparsity exploitation-based model for CT image reconstruction. In the presented model, the sparse representation and sparsity exploitation of both gradient and nonlocal gradient are investigated.The new model is shown to offer the potential for better results by introducing a similarity prior information of the image structure. Then, an effective alternating direction minimization algorithm is developed to optimize the objective function with a robust convergence result. Qualitative and quantitative evaluations have been carried out both on the simulation and real data in terms of accuracy and resolution properties. The results indicate that the proposed method can be applied for achieving better image-quality potential with the theoretically expected detailed feature preservation.展开更多
The bio-sandstone, which was cemented by microbe cement, was firstly prepared, and then the microstructure evolution process was studied by X-ray computed tomography(X-CT) technique. The experimental results indicate ...The bio-sandstone, which was cemented by microbe cement, was firstly prepared, and then the microstructure evolution process was studied by X-ray computed tomography(X-CT) technique. The experimental results indicate that the microstructure of bio-sandstone becomes dense with the development of age. The evolution of inner structure at different positions is different due to the different contents of microbial induced precipitation calcite. Besides, the increase rate of microbial induced precipitation calcite gradually decreases because of the reduction of microbe absorption content with the decreasing pore size in bio-sandstone.展开更多
This paper studied the thermal physical properties of foundation materials in the molten salt tank of thermal energy storage system after molten salt leakage by Transient plane source experiment and X-ray computed mic...This paper studied the thermal physical properties of foundation materials in the molten salt tank of thermal energy storage system after molten salt leakage by Transient plane source experiment and X-ray computed microtomography simulation methods.The microstructure,thermal properties and pressure resistance with different particle diameters were addressed.The measured heat conductivities from Transient plane source experiment for three cases are 0.49 W/(m·K),0.48 W/(m·K),and 0.51 W/(m·K),and the porosity is 30.1%,30.7%,and 31.2% respectively.The heat conductivity simulating results of three cases are 0.471 W/(m·K),0.482W/(m·K),and 0.513 W/(m·K).The ratio of difference between the results of simulation and Transient plane source measurement is as low as 1.2%,verifying the reliability of experimental and simulation results to a certain degree.Compared with the heat conductivity of 0.097-0.129 W/(m·K) and porosity of 71.6%-78.9% without leaking salt,the porosity is reduced by more than 50% while the heat conductivity increased by 4 to 5 times after molten salt leakage.This significant increase in heat conductivity has a great impact on security operation,structure design,and modeling of the tank foundation for solar power plants.展开更多
Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently underutilised d...Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently underutilised due to cost and performance issues, many of which are linked to the microstructure of the porous carbon electrodes used. Here, for the first time, we offer a detailed study of the in situ effects of compression on a commercially available carbon felt electrode. Visualisation of electrode structure using X-ray computed tomography shows the non-linear way that these materials compress and various metrics are used to elucidate the changes in porosity, pore size distribution and tortuosity factor under compressions from 0%-90%.展开更多
Mineral dissemination and pore space distribution in ore particles are important features that influence heap leaching performance. To quantify the mineral dissemination and pore space distribution of an ore particle,...Mineral dissemination and pore space distribution in ore particles are important features that influence heap leaching performance. To quantify the mineral dissemination and pore space distribution of an ore particle, a cylindrical copper oxide ore sample(Φ4.6 mm × 5.6 mm) was scanned using high-resolution X-ray computed tomography(HRXCT), a nondestructive imaging technology, at a spatial resolution of 4.85 μm. Combined with three-dimensional(3D) image analysis techniques, the main mineral phases and pore space were segmented and the volume fraction of each phase was calculated. In addition, the mass fraction of each mineral phase was estimated and the result was validated with that obtained using traditional techniques. Furthermore, the pore phase features, including the pore size distribution, pore surface area, pore fractal dimension, pore centerline, and the pore connectivity, were investigated quantitatively. The pore space analysis results indicate that the pore size distribution closely fits a log-normal distribution and that the pore space morphology is complicated, with a large surface area and low connectivity. This study demonstrates that the combination of HRXCT and 3D image analysis is an effective tool for acquiring 3D mineralogical and pore structural data.展开更多
The three dimensional(3D) geometry of soil macropores largely controls preferential flow, which is a significant infiltrating mechanism for rainfall in forest soils and affects slope stability. However, detailed studi...The three dimensional(3D) geometry of soil macropores largely controls preferential flow, which is a significant infiltrating mechanism for rainfall in forest soils and affects slope stability. However, detailed studies on the 3D geometry of macropore networks in forest soils are rare. The intense rainfall-triggered potentially unstable slopes were threatening the villages at the downstream of Touzhai valley(Yunnan, China). We visualized and quantified the 3D macropore networks in undisturbed soil columns(Histosols) taken from a forest hillslope in Touzhai valley, and compared them with those in agricultural soils(corn and soybean in USA; barley, fodder beet and red fescue in Denmark) and grassland soils in USA. We took two large undisturbed soil columns(250 mm×250 mm×500 mm), and scanned the soil columns at in-situ soil water content conditions using X-ray computed tomography at a voxel resolution of 0.945 × 0.945 × 1.500 mm^3. After reconstruction and visualization, we quantified the characteristics of macropore networks. In the studiedforest soils, the main types of macropores were root channels, inter-aggregate voids, macropores without knowing origin, root-soil interface and stone-soil interface. While macropore networks tend to be more complex, larger, deeper and longer. The forest soils have high macroporosity, total macropore wall area density, node density, and large macropore volume, hydraulic radius, mean macropore length, angle, and low tortuosity. The findings suggest that macropore networks in the forest soils have high interconnectivity, vertical continuity, linearity and less vertically oriented.展开更多
BACKGROUND Neoadjuvant chemotherapy(NAC)has become the standard care for advanced adenocarcinoma of esophagogastric junction(AEG),although a part of the patients cannot benefit from NAC.There are no models based on ba...BACKGROUND Neoadjuvant chemotherapy(NAC)has become the standard care for advanced adenocarcinoma of esophagogastric junction(AEG),although a part of the patients cannot benefit from NAC.There are no models based on baseline computed tomography(CT)to predict response of Siewert type II or III AEG to NAC with docetaxel,oxaliplatin and S-1(DOS).AIM To develop a CT-based nomogram to predict response of Siewert type II/III AEG to NAC with DOS.METHODS One hundred and twenty-eight consecutive patients with confirmed Siewert type II/III AEG underwent CT before and after three cycles of NAC with DOS,and were randomly and consecutively assigned to the training cohort(TC)(n=94)and the validation cohort(VC)(n=34).Therapeutic effect was assessed by disease-control rate and progressive disease according to the Response Evaluation Criteria in Solid Tumors(version 1.1)criteria.Possible prognostic factors associated with responses after DOS treatment including Siewert classification,gross tumor volume(GTV),and cT and cN stages were evaluated using pretherapeutic CT data in addition to sex and age.Univariate and multivariate analyses of CT and clinical features in the TC were performed to determine independent factors associated with response to DOS.A nomogram was established based on independent factors to predict the response.The predictive performance of the nomogram was evaluated by Concordance index(C-index),calibration and receiver operating characteristics curve in the TC and VC.RESULTS Univariate analysis showed that Siewert type(52/55 vs 29/39,P=0.005),pretherapeutic cT stage(57/62 vs 24/32,P=0.028),GTV(47.3±27.4 vs 73.2±54.3,P=0.040)were significantly associated with response to DOS in the TC.Multivariate analysis of the TC also showed that the pretherapeutic cT stage,GTV and Siewert type were independent predictive factors related to response to DOS(odds ratio=4.631,1.027 and 7.639,respectively;all P<0.05).The nomogram developed with these independent factors showed an excellent performance to predict response to DOS in the TC and VC(C-index:0.838 and 0.824),with area under the receiver operating characteristic curve of 0.838 and 0.824,respectively.The calibration curves showed that the practical and predicted response to DOS effectively coincided.CONCLUSION A novel nomogram developed with pretherapeutic cT stage,GTV and Siewert type predicted the response of Siewert type II/III AEG to NAC with DOS.展开更多
X-ray computed tomography(XCT)has recently emerged as a powerful tool for characterizing the evolution of microstructure during phase transformation in three dimensional(3D)such as dendritic solidification of alloys.T...X-ray computed tomography(XCT)has recently emerged as a powerful tool for characterizing the evolution of microstructure during phase transformation in three dimensional(3D)such as dendritic solidification of alloys.This paper briefly reviews the recent advances in the in-situ observation of aluminium alloys,magnesium alloys and nickel-based superalloys during solidification using laboratory XCT and synchrotron X-ray sources.The focus is on the growth kinetics of dendrites,porosity and secondary phases.In addition,in-situ characterization during the loading and corrosion process is also discussed.展开更多
BACKGROUND Lymphovascular invasion(LVI)and perineural invasion(PNI)are important prognostic factors for gastric cancer(GC)that indicate an increased risk of metastasis and poor outcomes.Accurate preoperative predictio...BACKGROUND Lymphovascular invasion(LVI)and perineural invasion(PNI)are important prognostic factors for gastric cancer(GC)that indicate an increased risk of metastasis and poor outcomes.Accurate preoperative prediction of LVI/PNI status could help clinicians identify high-risk patients and guide treatment deci-sions.However,prior models using conventional computed tomography(CT)images to predict LVI or PNI separately have had limited accuracy.Spectral CT provides quantitative enhancement parameters that may better capture tumor invasion.We hypothesized that a predictive model combining clinical and spectral CT parameters would accurately preoperatively predict LVI/PNI status in GC patients.AIM To develop and test a machine learning model that fuses spectral CT parameters and clinical indicators to predict LVI/PNI status accurately.METHODS This study used a retrospective dataset involving 257 GC patients(training cohort,n=172;validation cohort,n=85).First,several clinical indicators,including serum tumor markers,CT-TN stages and CT-detected extramural vein invasion(CT-EMVI),were extracted,as were quantitative spectral CT parameters from the delineated tumor regions.Next,a two-step feature selection approach using correlation-based methods and information gain ranking inside a 10-fold cross-validation loop was utilized to select informative clinical and spectral CT parameters.A logistic regression(LR)-based nomogram model was subsequently constructed to predict LVI/PNI status,and its performance was evaluated using the area under the receiver operating characteristic curve(AUC).RESULTS In both the training and validation cohorts,CT T3-4 stage,CT-N positive status,and CT-EMVI positive status are more prevalent in the LVI/PNI-positive group and these differences are statistically significant(P<0.05).LR analysis of the training group showed preoperative CT-T stage,CT-EMVI,single-energy CT values of 70 keV of venous phase(VP-70 keV),and the ratio of standardized iodine concentration of equilibrium phase(EP-NIC)were independent influencing factors.The AUCs of VP-70 keV and EP-NIC were 0.888 and 0.824,respectively,which were slightly greater than those of CT-T and CT-EMVI(AUC=0.793,0.762).The nomogram combining CT-T stage,CT-EMVI,VP-70 keV and EP-NIC yielded AUCs of 0.918(0.866-0.954)and 0.874(0.784-0.936)in the training and validation cohorts,which are significantly higher than using each of single independent factors(P<0.05).CONCLUSION The study found that using portal venous and EP spectral CT parameters allows effective preoperative detection of LVI/PNI in GC,with accuracy boosted by integrating clinical markers.展开更多
BACKGROUND Preoperative knowledge of mutational status of gastrointestinal stromal tumors(GISTs)is essential to guide the individualized precision therapy.AIM To develop a combined model that integrates clinical and c...BACKGROUND Preoperative knowledge of mutational status of gastrointestinal stromal tumors(GISTs)is essential to guide the individualized precision therapy.AIM To develop a combined model that integrates clinical and contrast-enhanced computed tomography(CE-CT)features to predict gastric GISTs with specific genetic mutations,namely KIT exon 11 mutations or KIT exon 11 codons 557-558 deletions.METHODS A total of 231 GIST patients with definitive genetic phenotypes were divided into a training dataset and a validation dataset in a 7:3 ratio.The models were constructed using selected clinical features,conventional CT features,and radiomics features extracted from abdominal CE-CT images.Three models were developed:ModelCT sign,modelCT sign+rad,and model CTsign+rad+clinic.The diagnostic performance of these models was evaluated using receiver operating characteristic(ROC)curve analysis and the Delong test.RESULTS The ROC analyses revealed that in the training cohort,the area under the curve(AUC)values for model_(CT sign),model_(CT sign+rad),and modelCT_(sign+rad+clinic)for predicting KIT exon 11 mutation were 0.743,0.818,and 0.915,respectively.In the validation cohort,the AUC values for the same models were 0.670,0.781,and 0.811,respectively.For predicting KIT exon 11 codons 557-558 deletions,the AUC values in the training cohort were 0.667,0.842,and 0.720 for model_(CT sign),model_(CT sign+rad),and modelCT_(sign+rad+clinic),respectively.In the validation cohort,the AUC values for the same models were 0.610,0.782,and 0.795,respectively.Based on the decision curve analysis,it was determined that the model_(CT sign+rad+clinic)had clinical significance and utility.CONCLUSION Our findings demonstrate that the combined modelCT_(sign+rad+clinic)effectively distinguishes GISTs with KIT exon 11 mutation and KIT exon 11 codons 557-558 deletions.This combined model has the potential to be valuable in assessing the genotype of GISTs.展开更多
This letter to the editor relates to the study entitled“The role of computed tomography for the prediction of esophageal variceal bleeding:Current status and future perspectives”.Esophageal variceal bleeding(EVB)is ...This letter to the editor relates to the study entitled“The role of computed tomography for the prediction of esophageal variceal bleeding:Current status and future perspectives”.Esophageal variceal bleeding(EVB)is one of the most common and severe complications related to portal hypertension(PH).Despite marked advances in its management during the last three decades,EVB is still associated with significant morbidity and mortality.The risk of first EVB is related to the severity of both PH and liver disease,and to the size and endoscopic appearance of esophageal varices.Indeed,hepatic venous pressure gradient(HVPG)and esophagogastroduodenoscopy(EGD)are currently recognized as the“gold standard”and the diagnostic reference standard for the prediction of EVB,respectively.However,HVPG is an invasive,expensive,and technically complex procedure,not widely available in clinical practice,whereas EGD is mainly limited by its invasive nature.In this scenario,computed tomography(CT)has been recently proposed as a promising modality for the non-invasive prediction of EVB.While CT serves solely as a diagnostic tool and cannot replace EGD or HVPG for delivering therapeutic and physiological information,it has the potential to enhance the prediction of EVB more effectively when combined with liver disease scores,HVPG,and EGD.However,to date,evidence concerning the role of CT in this setting is still lacking,therefore we aim to summarize and discuss the current evidence concerning the role of CT in predicting the risk of EVB.展开更多
基金This work was supported by the National Key R&D Program of China(2016YFD0300110,2016YFD0300101)the earmarked fund for China Agriculture Research System(CARS-02-25)the Agricultural Science and Technology Innovation Project of Chinese Academy of Agricultural Sciences。
文摘The most significant problem of maize grain mechanical harvesting quality in China at present is the high grain breakage rate(BR).BR is often the key characteristic that is measured to select hybrids desirable for mechanical grain harvesting.However,conventional BR evaluation and measurement methods have challenges and limitations.Microstructural crack parameters evaluation of maize kernel is of great importance to BR.In this connection,X-ray computed microtomography(μ-CT)has proven to be a quite useful method for the assessment of microstructure,as it provides important microstructural parameters,such as object volume,surface,surface/volume ratio,number of closed pores,and others.X-ray computed microtomography is a non-destructive technique that enables the reuse of samples already measured and also yields bidimensional(2D)cross-sectional images of the sample as well as volume rendering.In this paper,six different maize hybrid genotypes are used as materials,and the BR of the maize kernels of each variety is tested in the field mechanical grain harvesting,and the BR is used as an index for evaluating the breakage resistance of the variety.The crack characteristic parameters of kernel were detected by X-ray micro-computed tomography,and the relationship between the BR and the kernel crack characteristics was analyzed by stepwise regression analysis.Establishing a relationship between crack characteristic parameters and BR of maize is vital for judging breakage resistance.The results of stepwise multiple linear regression(MLR)showed that the crack characteristics of the object surface,number of closed pores,surface of closed pores,and closed porosity percent were significantly correlated to the BR of field mechanical grain harvesting,with the standard partial regression coefficients of–0.998,–0.988,–0.999,and–0.998,respectively.The R2 of this model was 0.999.Results validation showed that the Stepwise MLR Model could well predict the BR of maize based on these four variables.
基金Supported by the National Key Research and Development Program of China(Nos.2018YFD0900901,2019YFD0901300)the Scientific Research Fund of the Second Institute of Oceanography,MNR(Nos.JG1906,JG1616,JG1910)+4 种基金the National Natural Science Foundation of China(Nos.41606192/41176140,41706125,41806136)the National Science&Technology Basic Work Program of China(No.2015FY110600)the Key Projects of Philosophy and Social Sciences Research,Ministry of Education,China(No.18JZD059)the Zhejiang Qingshan Lake Innovation Platform for Marine Science and Technology(No.2017E80001)the Project of Long-term Observation and Research Plan in the Changjiang Estuary and Adjacent East China Sea(No.LORCE,14282)。
文摘Conspecific seagrass living in differing environments may develop different root system acclimation patterns.We applied X-ray computed tomography(CT)for imaging and quantifying roots systems of Zostera japonica collected from typical oligotrophic and eutrophic sediments in two coastal sites of northern China,and determined sediment physicochemical properties that might influence root system morphology,density,and distribution.The trophic status of sediments had little influence on the Z.japonica root length,and diameters of root and rhizome.However,Z.japonica in oligotrophic sediment developed the root system with longer rhizome node,deeper rhizome distribution,and larger allocation to below-ground tissues in order to acquire more nutrients and relieve the N deficiency.And the lower root and rhizome densities of Z.japonica in eutrophic sediment were mainly caused by fewer shoots and shorter longevity,which was resulted from the more serious sulfide inhibition.Our results systematically revealed the effect of sediment trophic status on the phenotypic plasticity,quantity,and distribution of Z.japonica root system,and demonstrated the feasibly of X-ray CT in seagrass root system research.
基金financially supported by National Basic Research Program of China (973 Program) (No. 2010CB732002)National Natural Science Foundation of China (Nos. 51374211, 51374215)+1 种基金National Key Foundation for Exploring Scientific Instrument of China (No. 2013YQ240803)Fundamental Research Funds for the Central Universities (No. 2009QM02)
文摘It is always desirable to know the interior deformation pattern when a rock is subjected to mechanical load.Few experimental techniques exist that can represent fullfi eld three-dimensional(3D)strain distribution inside a rock specimen.And yet it is crucial that this information is available for fully understanding the failure mechanism of rocks or other geomaterials.In this study,by using the newly developed digital volumetric speckle photography(DVSP)technique in conjunction with X-ray computed tomography(CT)and taking advantage of natural 3D speckles formed inside the rock due to material impurities and voids,we can probe the interior of a rock to map its deformation pattern under load and shed light on its failure mechanism.We apply this technique to the analysis of a red sandstone specimen under increasing uniaxial compressive load applied incrementally.The fullfi eld 3D displacement fi elds are obtained in the specimen as a function of the load,from which both the volumetric and the deviatoric strain fi elds are calculated.Strain localization zones which lead to the eventual failure of the rock are identi fi ed.The results indicate that both shear and tension are contributing factors to the failure mechanism.
文摘Damage assessments in three dimensional (3D) textile composites subjected to mechanical loading can be performed by non-destructive and destructive techniques.This paper applies the two techniques to investigate the fracture behavior of 3D tufted textile composites.X-ray computed tomography as a non-destructive evaluation method is appropriate to detect damage locations and identify their progression in 3D textile composites.Destructive methods such as sectioning toward observing damage provide valuable information about damage patterns.The results of this research could be utilized to evaluate the initial cause of rupture in 3D tufted composites used in aerospace structures and analyze fracture modes and damage progression.
文摘Soil cores from a field growing barley and barley mutants without root hairs under conventional and minimum tillage were sampled. They were X-ray scanned to produce a 3D image and then the roots were washed out and weight and length were determined by conventional means. Root volume and surface area were then calculated from the 3D images using state of the art software and methodology, and the measured and calculated measures were correlated. The only strong and significant correlation was between measured weight and calculated volume for mutants without root hairs. It is concluded that the software cannot segment out very small roots, but segmentation accuracy also depends on root structure in some unknown way. Any study using X-ray computed tomography to quantify roots as they grow in situ should start with a calibration for the conditions in question.
文摘Spiral garnet porphyroblasts are known to record lengthy periods of deformation and metamorphism by preserving single or multiple FIAs(Foliation Intersection Axis)formed normal to tectonic shortening directions.Thanks to technological advances in X-ray computed micro-tomography(XCMT),FIAs can now be readily determined in relatively large samples in contrast to previous methods that require the preparation of a set of radial vertical and horizontal thin sections of samples.XCMT scanning not only alleviates tedious thin section based procedures but also illuminates the complete internal architecture of a rock sample allowing three-dimensional(3D)quantitative shape analysis of an individual porphyroblast as well as precise measurement of FIAs.We applied the technique to a sample from the Hunza Valley in the Karakoram metamorphic complex(KMC),NW Himalayas,containing numerous garnet porphyroblasts with spiral-shaped inclusion trails.The XCMT imaging reveals an E-W trending FIA within the sample,which is consistent with orthogonal N-S collision of the India-Kohistan Island Arc with Asia.Garnet long axes(X_(GT))have variable plunges that define a broad sub-vertical maximum and a small sub-horizontal maximum.The X_(GT) principle maxima lie at N-090 and N-120.Smaller maxima lie at N-020 and N-340.Geometric relationships between X_(GT) axes and FIA orientation in the sample suggest that porphyroblast shapes are controlled by the geometry of the lens-shaped microlithons in which they tend to nucleate and grow.The orientation of inclusion trails and matrix foliations in the sample are correlated with three discrete tectono-metamorphic events that respectively produced andalusite,sillimanite and kyanite in the KMC.Late staurolite growth in the sample reveals how the rocks extruded to the surface via a significant role of roll-on tectonics,which can be correlated with the Central Himalayas.
文摘The aim of this study was to investigate the organ doses of patients undergoing computed tomography (CT) examination using the wide bore General Electric (GE) “Light Speed RT” unit. The head, chest and pelvic regions of the Rando-phantom were scanned with 120 kV, 200 mA, and 2.5 mm slice thickness for helical and axial modes. Thermoluminescent Dosimeter (TLD) pairs were used for the dosimetry of 10 organs. TL-counts were converted to dose by using CTDIcenter dose on CT-phantom. For the calculation of the organ doses, the ImPACT software was utilized by entering CTDIair (100 mAs) in small and large field of view (26.43 and 21.17 mGy respectively). The in-field dose ranges in helical and axial modes were 64.3 - 38 mGy and 47.6 - 19.7 mGy in head, 48.3 - 14.1 mGy and 34.1 - 10 mGy in chest, 28.4 - 10.2 mGy and 21 - 8.5 mGy in pelvic, respectively. The organ doses from software and TLD were compared and tailored as the in-field and the out-field radiation. First results showed that the organ dose was relatively higher in the helical mode on both direct and indirect measurement. The in-field organ dose differences between TLD and software were seen. In helical and axial modes, the dose differences ranged from +1 to +13.3 and -8.3 to +9.6 mGy for head exam, +1.1 to +15.3 and +0.3 to +9.1 mGy for chest, and -21.7 to +1.9 and -15.5 to +1.8 mGy for pelvic. The availability of this program for organ dose calculations by measuring CTDIair value for CT device used in the radiotherapy would be considered valuable.
文摘To obtain two kinds of tomograms at two different X-ray energy ranges simultaneously, we have constructed a dual-energy X-ray photon counter with a lutetium-oxyorthosilicate photomultiplier detector system, three comparators, two microcomputers, and two frequency-voltage converters. X-ray photons are detected using the detector system, and the event pulses are input to three comparators simultaneously to determine threshold energies. At a tube voltage of 100 kV, the three threshold energies are 16, 35 and 52 keV, and two energy ranges are 16 - 35 and 52 - 100 keV. X-ray photons in the two ranges are counted using microcomputers, and the logical pulses from the two microcomputers are input to two frequency-voltage converters. In dual-energy computed tomography (CT), the tube voltage and current were 100 kV and 0.29 mA, respectively. Two tomograms were obtained simultaneously at two energy ranges. The energy ranges for gadolinium-L-edge and K-edge CT were 16 - 35 and 52 - 100 keV, respectively. The maximum count rate of dual-energy CT was 105 kilocounts per second with energies ranging from 16 to 100 keV, and the exposure time for tomography was 19.6 min.
文摘One of the issues in the aluminum-alloy die casting industry is the space occurring inside the casting, and the improvement of the verification technology is expected. The purpose of this research is to seal holes inside the aluminum metal by resin and verify them by photon-counting X-ray computed tomography (CT) using an energy-discrimination 64-channel cadmium-telluride (CdTe) line detector. Moreover, it is important to estimate the image of the effective atomic number and the electronic density by the energy mapping of the attenuation coefficient utilizing photon-counting X-ray CTto distinguish both the aluminum metal and the resin filler in the aluminum hole. As a result, the energy discrimination of the resin filler in the space of aluminum casting has been attained. We could observe the atomic number image utilizing dual-energyX-ray CTmethod with the 64-channel CdTe photon-counting detector.
基金Project supported by the National Natural Science Foundation of China(Grant No.61372172)
文摘The additional sparse prior of images has been the subject of much research in problems of sparse-view computed tomography(CT) reconstruction. A method employing the image gradient sparsity is often used to reduce the sampling rate and is shown to remove the unwanted artifacts while preserve sharp edges, but may cause blocky or patchy artifacts.To eliminate this drawback, we propose a novel sparsity exploitation-based model for CT image reconstruction. In the presented model, the sparse representation and sparsity exploitation of both gradient and nonlocal gradient are investigated.The new model is shown to offer the potential for better results by introducing a similarity prior information of the image structure. Then, an effective alternating direction minimization algorithm is developed to optimize the objective function with a robust convergence result. Qualitative and quantitative evaluations have been carried out both on the simulation and real data in terms of accuracy and resolution properties. The results indicate that the proposed method can be applied for achieving better image-quality potential with the theoretically expected detailed feature preservation.
基金Funded by the National Natural Science Foundation of China(No.51072035),the Ph D Program’s Foundation of Ministry of Education of China(No.20090092110029)the Research Innovation Program for College Graduates of Jiangsu Province(No.CXZZ_0145)the Scientific Research Foundation of Graduate School of Southeast University(Nos.YBJJ1127 and YBPY1208)
文摘The bio-sandstone, which was cemented by microbe cement, was firstly prepared, and then the microstructure evolution process was studied by X-ray computed tomography(X-CT) technique. The experimental results indicate that the microstructure of bio-sandstone becomes dense with the development of age. The evolution of inner structure at different positions is different due to the different contents of microbial induced precipitation calcite. Besides, the increase rate of microbial induced precipitation calcite gradually decreases because of the reduction of microbe absorption content with the decreasing pore size in bio-sandstone.
基金supported by the National Natural Science Foundation of China (52036008)。
文摘This paper studied the thermal physical properties of foundation materials in the molten salt tank of thermal energy storage system after molten salt leakage by Transient plane source experiment and X-ray computed microtomography simulation methods.The microstructure,thermal properties and pressure resistance with different particle diameters were addressed.The measured heat conductivities from Transient plane source experiment for three cases are 0.49 W/(m·K),0.48 W/(m·K),and 0.51 W/(m·K),and the porosity is 30.1%,30.7%,and 31.2% respectively.The heat conductivity simulating results of three cases are 0.471 W/(m·K),0.482W/(m·K),and 0.513 W/(m·K).The ratio of difference between the results of simulation and Transient plane source measurement is as low as 1.2%,verifying the reliability of experimental and simulation results to a certain degree.Compared with the heat conductivity of 0.097-0.129 W/(m·K) and porosity of 71.6%-78.9% without leaking salt,the porosity is reduced by more than 50% while the heat conductivity increased by 4 to 5 times after molten salt leakage.This significant increase in heat conductivity has a great impact on security operation,structure design,and modeling of the tank foundation for solar power plants.
基金support from the EPSRC under grants EP/L014289/1 EP/N032888/1 and EP/M014045/1the STFC Global Challenges Network in Batteries and Electrochemical Energy Devices under the grant ST/N002385/1 for facilitation of travelfunding from the Royal Academy of Engineering
文摘Redox flow batteries offer a potential solution to an increase in renewable energy generation on the grid by offering long-term, large-scale storage and regulation of power. However, they are currently underutilised due to cost and performance issues, many of which are linked to the microstructure of the porous carbon electrodes used. Here, for the first time, we offer a detailed study of the in situ effects of compression on a commercially available carbon felt electrode. Visualisation of electrode structure using X-ray computed tomography shows the non-linear way that these materials compress and various metrics are used to elucidate the changes in porosity, pore size distribution and tortuosity factor under compressions from 0%-90%.
基金financially supported by the National Natural Science Foundation of China(No.51304076)the Natural Science Foundation of Hunan Province,China(No.14JJ4064)
文摘Mineral dissemination and pore space distribution in ore particles are important features that influence heap leaching performance. To quantify the mineral dissemination and pore space distribution of an ore particle, a cylindrical copper oxide ore sample(Φ4.6 mm × 5.6 mm) was scanned using high-resolution X-ray computed tomography(HRXCT), a nondestructive imaging technology, at a spatial resolution of 4.85 μm. Combined with three-dimensional(3D) image analysis techniques, the main mineral phases and pore space were segmented and the volume fraction of each phase was calculated. In addition, the mass fraction of each mineral phase was estimated and the result was validated with that obtained using traditional techniques. Furthermore, the pore phase features, including the pore size distribution, pore surface area, pore fractal dimension, pore centerline, and the pore connectivity, were investigated quantitatively. The pore space analysis results indicate that the pore size distribution closely fits a log-normal distribution and that the pore space morphology is complicated, with a large surface area and low connectivity. This study demonstrates that the combination of HRXCT and 3D image analysis is an effective tool for acquiring 3D mineralogical and pore structural data.
基金financially supported by the National Science Foundation of China-Yunnan Joint Fund(U1502232)the Natural Science Foundation of Yunnan Province(2014FD007)the Natural Science Foundation of Kunming University of Science and Technology(KKSY201406009)
文摘The three dimensional(3D) geometry of soil macropores largely controls preferential flow, which is a significant infiltrating mechanism for rainfall in forest soils and affects slope stability. However, detailed studies on the 3D geometry of macropore networks in forest soils are rare. The intense rainfall-triggered potentially unstable slopes were threatening the villages at the downstream of Touzhai valley(Yunnan, China). We visualized and quantified the 3D macropore networks in undisturbed soil columns(Histosols) taken from a forest hillslope in Touzhai valley, and compared them with those in agricultural soils(corn and soybean in USA; barley, fodder beet and red fescue in Denmark) and grassland soils in USA. We took two large undisturbed soil columns(250 mm×250 mm×500 mm), and scanned the soil columns at in-situ soil water content conditions using X-ray computed tomography at a voxel resolution of 0.945 × 0.945 × 1.500 mm^3. After reconstruction and visualization, we quantified the characteristics of macropore networks. In the studiedforest soils, the main types of macropores were root channels, inter-aggregate voids, macropores without knowing origin, root-soil interface and stone-soil interface. While macropore networks tend to be more complex, larger, deeper and longer. The forest soils have high macroporosity, total macropore wall area density, node density, and large macropore volume, hydraulic radius, mean macropore length, angle, and low tortuosity. The findings suggest that macropore networks in the forest soils have high interconnectivity, vertical continuity, linearity and less vertically oriented.
文摘BACKGROUND Neoadjuvant chemotherapy(NAC)has become the standard care for advanced adenocarcinoma of esophagogastric junction(AEG),although a part of the patients cannot benefit from NAC.There are no models based on baseline computed tomography(CT)to predict response of Siewert type II or III AEG to NAC with docetaxel,oxaliplatin and S-1(DOS).AIM To develop a CT-based nomogram to predict response of Siewert type II/III AEG to NAC with DOS.METHODS One hundred and twenty-eight consecutive patients with confirmed Siewert type II/III AEG underwent CT before and after three cycles of NAC with DOS,and were randomly and consecutively assigned to the training cohort(TC)(n=94)and the validation cohort(VC)(n=34).Therapeutic effect was assessed by disease-control rate and progressive disease according to the Response Evaluation Criteria in Solid Tumors(version 1.1)criteria.Possible prognostic factors associated with responses after DOS treatment including Siewert classification,gross tumor volume(GTV),and cT and cN stages were evaluated using pretherapeutic CT data in addition to sex and age.Univariate and multivariate analyses of CT and clinical features in the TC were performed to determine independent factors associated with response to DOS.A nomogram was established based on independent factors to predict the response.The predictive performance of the nomogram was evaluated by Concordance index(C-index),calibration and receiver operating characteristics curve in the TC and VC.RESULTS Univariate analysis showed that Siewert type(52/55 vs 29/39,P=0.005),pretherapeutic cT stage(57/62 vs 24/32,P=0.028),GTV(47.3±27.4 vs 73.2±54.3,P=0.040)were significantly associated with response to DOS in the TC.Multivariate analysis of the TC also showed that the pretherapeutic cT stage,GTV and Siewert type were independent predictive factors related to response to DOS(odds ratio=4.631,1.027 and 7.639,respectively;all P<0.05).The nomogram developed with these independent factors showed an excellent performance to predict response to DOS in the TC and VC(C-index:0.838 and 0.824),with area under the receiver operating characteristic curve of 0.838 and 0.824,respectively.The calibration curves showed that the practical and predicted response to DOS effectively coincided.CONCLUSION A novel nomogram developed with pretherapeutic cT stage,GTV and Siewert type predicted the response of Siewert type II/III AEG to NAC with DOS.
文摘X-ray computed tomography(XCT)has recently emerged as a powerful tool for characterizing the evolution of microstructure during phase transformation in three dimensional(3D)such as dendritic solidification of alloys.This paper briefly reviews the recent advances in the in-situ observation of aluminium alloys,magnesium alloys and nickel-based superalloys during solidification using laboratory XCT and synchrotron X-ray sources.The focus is on the growth kinetics of dendrites,porosity and secondary phases.In addition,in-situ characterization during the loading and corrosion process is also discussed.
基金Supported by Science and Technology Project of Fujian Province,No.2022Y0025.
文摘BACKGROUND Lymphovascular invasion(LVI)and perineural invasion(PNI)are important prognostic factors for gastric cancer(GC)that indicate an increased risk of metastasis and poor outcomes.Accurate preoperative prediction of LVI/PNI status could help clinicians identify high-risk patients and guide treatment deci-sions.However,prior models using conventional computed tomography(CT)images to predict LVI or PNI separately have had limited accuracy.Spectral CT provides quantitative enhancement parameters that may better capture tumor invasion.We hypothesized that a predictive model combining clinical and spectral CT parameters would accurately preoperatively predict LVI/PNI status in GC patients.AIM To develop and test a machine learning model that fuses spectral CT parameters and clinical indicators to predict LVI/PNI status accurately.METHODS This study used a retrospective dataset involving 257 GC patients(training cohort,n=172;validation cohort,n=85).First,several clinical indicators,including serum tumor markers,CT-TN stages and CT-detected extramural vein invasion(CT-EMVI),were extracted,as were quantitative spectral CT parameters from the delineated tumor regions.Next,a two-step feature selection approach using correlation-based methods and information gain ranking inside a 10-fold cross-validation loop was utilized to select informative clinical and spectral CT parameters.A logistic regression(LR)-based nomogram model was subsequently constructed to predict LVI/PNI status,and its performance was evaluated using the area under the receiver operating characteristic curve(AUC).RESULTS In both the training and validation cohorts,CT T3-4 stage,CT-N positive status,and CT-EMVI positive status are more prevalent in the LVI/PNI-positive group and these differences are statistically significant(P<0.05).LR analysis of the training group showed preoperative CT-T stage,CT-EMVI,single-energy CT values of 70 keV of venous phase(VP-70 keV),and the ratio of standardized iodine concentration of equilibrium phase(EP-NIC)were independent influencing factors.The AUCs of VP-70 keV and EP-NIC were 0.888 and 0.824,respectively,which were slightly greater than those of CT-T and CT-EMVI(AUC=0.793,0.762).The nomogram combining CT-T stage,CT-EMVI,VP-70 keV and EP-NIC yielded AUCs of 0.918(0.866-0.954)and 0.874(0.784-0.936)in the training and validation cohorts,which are significantly higher than using each of single independent factors(P<0.05).CONCLUSION The study found that using portal venous and EP spectral CT parameters allows effective preoperative detection of LVI/PNI in GC,with accuracy boosted by integrating clinical markers.
基金Supported by the National Natural Science Foundation of China Program Grant,No.82203108China Postdoctoral Science Foundation,No.2022M722275+1 种基金Beijing Bethune Charitable Foundation,No.WCJZL202105Beijing Xisike Clinical Oncology Research Foundation,No.Y-zai2021/zd-0185。
文摘BACKGROUND Preoperative knowledge of mutational status of gastrointestinal stromal tumors(GISTs)is essential to guide the individualized precision therapy.AIM To develop a combined model that integrates clinical and contrast-enhanced computed tomography(CE-CT)features to predict gastric GISTs with specific genetic mutations,namely KIT exon 11 mutations or KIT exon 11 codons 557-558 deletions.METHODS A total of 231 GIST patients with definitive genetic phenotypes were divided into a training dataset and a validation dataset in a 7:3 ratio.The models were constructed using selected clinical features,conventional CT features,and radiomics features extracted from abdominal CE-CT images.Three models were developed:ModelCT sign,modelCT sign+rad,and model CTsign+rad+clinic.The diagnostic performance of these models was evaluated using receiver operating characteristic(ROC)curve analysis and the Delong test.RESULTS The ROC analyses revealed that in the training cohort,the area under the curve(AUC)values for model_(CT sign),model_(CT sign+rad),and modelCT_(sign+rad+clinic)for predicting KIT exon 11 mutation were 0.743,0.818,and 0.915,respectively.In the validation cohort,the AUC values for the same models were 0.670,0.781,and 0.811,respectively.For predicting KIT exon 11 codons 557-558 deletions,the AUC values in the training cohort were 0.667,0.842,and 0.720 for model_(CT sign),model_(CT sign+rad),and modelCT_(sign+rad+clinic),respectively.In the validation cohort,the AUC values for the same models were 0.610,0.782,and 0.795,respectively.Based on the decision curve analysis,it was determined that the model_(CT sign+rad+clinic)had clinical significance and utility.CONCLUSION Our findings demonstrate that the combined modelCT_(sign+rad+clinic)effectively distinguishes GISTs with KIT exon 11 mutation and KIT exon 11 codons 557-558 deletions.This combined model has the potential to be valuable in assessing the genotype of GISTs.
文摘This letter to the editor relates to the study entitled“The role of computed tomography for the prediction of esophageal variceal bleeding:Current status and future perspectives”.Esophageal variceal bleeding(EVB)is one of the most common and severe complications related to portal hypertension(PH).Despite marked advances in its management during the last three decades,EVB is still associated with significant morbidity and mortality.The risk of first EVB is related to the severity of both PH and liver disease,and to the size and endoscopic appearance of esophageal varices.Indeed,hepatic venous pressure gradient(HVPG)and esophagogastroduodenoscopy(EGD)are currently recognized as the“gold standard”and the diagnostic reference standard for the prediction of EVB,respectively.However,HVPG is an invasive,expensive,and technically complex procedure,not widely available in clinical practice,whereas EGD is mainly limited by its invasive nature.In this scenario,computed tomography(CT)has been recently proposed as a promising modality for the non-invasive prediction of EVB.While CT serves solely as a diagnostic tool and cannot replace EGD or HVPG for delivering therapeutic and physiological information,it has the potential to enhance the prediction of EVB more effectively when combined with liver disease scores,HVPG,and EGD.However,to date,evidence concerning the role of CT in this setting is still lacking,therefore we aim to summarize and discuss the current evidence concerning the role of CT in predicting the risk of EVB.
