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1.
J Colloid Interface Sci ; 678(Pt B): 1061-1072, 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39276515

RESUMEN

Breathing and urination, are vital physiological activities of the human body, continuous real-time monitoring of these physiological behaviors could offer timely feedback on an individual's health status. However, current monitoring techniques predominantly rely on cumbersome and intricate medical apparatuses, posing challenges in adapting to the diverse requirements of multi-scenario detection. Consequently, there is a growing interest in developing wearable devices capable of monitoring breathing and urination. In this work, we developed a multifunctional sensor integrating humidity and pressure sensing modes using a simple dip-coating process. By introducing sodium carboxymethyl cellulose and conductive polyaniline hybrid intercalation between MXene layers, a stable conductive network is established through hydrogen bonds and electrostatic interactions among materials. The overall electromechanical properties of the composites will be well improved. And, the effects of different conductive filler ratios and the number of dipping times on the construction of conductive networks are investigated. The multifunctional sensor exhibited improved sensing characteristics, including detecting pressures up to 532 kPa and a sensitivity of 19.58 kPa-1. Furthermore, it also demonstrates good humidity-sensing capabilities. Tests on volunteers demonstrated the potential in the detection of breathing and urination. In addition, the sensors are capable of transmitting Morse code. This interesting application will offer the possibility of normal communication for people with speech impairments. Given its utility and sustainability, the sensor has potential for applications in wearable health monitoring, intelligent life and telemedicine.

2.
Sci Rep ; 14(1): 19309, 2024 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-39164327

RESUMEN

With urbanization, municipal solid waste (MSW) generation is increasing. Traditional landfill methods face land shortages and environmental pollution. Waste incineration, which reduces waste and recovers resources, has become a key management method. However, nitrogen oxides (NOx) produced during incineration severely impact the environment, requiring improved control technologies. This study optimized three denitrification technologies-air staging, flue gas recirculation (FGR), and selective non-catalytic reduction (SNCR)-using numerical simulations. The research provides support for improving waste incinerator efficiency and stability while reducing NOx emissions, aiding the sustainable development of waste incineration technology. By optimizing the primary and secondary air distribution ratios, the initial NOx generation was reduced by 8.39%. When 20% of the recirculated flue gas was introduced as secondary air, NOx generation was reduced by 23.54%, and boiler efficiency increased to 83.78%. The study examined the impact of different sludge mixing ratios on the temperature and NOx emissions within the context of municipal solid waste (MSW) incineration. Initially, the study aimed to address the environmental concerns of NOx emissions during the incineration process by exploring how the introduction of sludge at various mixing ratios would affect combustion parameters. The results showed that a sludge mixing ratio between 3 and 13% optimized the combustion process with 7% being the most effective in balancing temperature control and NOx emissions. Specifically, the best value of the sludge mixing ratio refers to achieving an optimal reduction in NOx emissions while maintaining stable incinerator operation. The chemical compositions of the sludge included key elements such as carbon (C), hydrogen (H), nitrogen (N), sulfur (S), and oxygen (O), with approximate proportions of C: 31.2%, H: 4.7%, N: 2.5%, S: 0.6%, and O: 31.8%.

3.
ACS Sens ; 9(8): 3947-3957, 2024 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-39046188

RESUMEN

In recent years, flexible and stretchable strain sensors have emerged as a prominent area of research, primarily due to their remarkable stretchability and extremely low strain detection threshold. Nevertheless, the advancement of sensors is currently constrained by issues such as complexity, high costs, and limited durability. To tackle the aforementioned issues, this study introduces a lepidophyte-inspired flexible, stretchable strain sensor (LIFSSS). The stretchable bioelectronics composites were composed of multiwalled carbon nanotubes, graphene, neodymium iron boron, and polydimethylsiloxane. Unique biolepidophyted microstructures and magnetic conductive nanocomposites interact with each other through synergistic interactions, resulting in the effective detection of tensile strain and magnetic excitation. The LIFSSS exhibits a 170% tensile range, a linearity of 0.99 in 50-170% strain (0.96 for full-scale range), and a fine durability of 7000 cycles at 110% tensile range. The sensor accurately detects variations in linear tensile force, human movement, and microexpressions. Moreover, LIFSSS demonstrates enhanced efficacy in sign language recognition for individuals with hearing impairments and magnetic grasping for robotic manipulators. Hence, the LIFSSS proposed in this study shows potential applications in various fields, including bioelectronics, electronic skin, and physiological activity monitoring.


Asunto(s)
Dimetilpolisiloxanos , Grafito , Nanocompuestos , Nanotubos de Carbono , Dispositivos Electrónicos Vestibles , Nanocompuestos/química , Nanotubos de Carbono/química , Humanos , Dimetilpolisiloxanos/química , Grafito/química , Neodimio/química , Resistencia a la Tracción , Técnicas Biosensibles/métodos , Fenómenos Biomecánicos
4.
BMC Cancer ; 24(1): 871, 2024 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-39030527

RESUMEN

BACKGROUND: The management of locally recurrent gynecological carcinoma remains a challenge due to the limited availability of data. This study aims to share our institutional experience in using definitive radiotherapy (RT) for the treatment of locally recurrent cervical and endometrial carcinoma. METHODS: The study retrospectively reviewed 20 patients in our hospital completing salvage 3D image-based HDR brachytherapy, with or without EBRT, for locally recurrent cervical and endometrial carcinoma after surgery. The Kaplan-Meier method was applied to estimate the disease-free survival (DFS) and overall survival (OS). The toxicities were assessed by CTCAEv5. RESULTS: During a median observation period of 21 months, the study reported a tumor objective response rate of 95%. The 3-year DFS and OS rates were 89.4% and 90.9%, respectively. The EBRT combined with brachytherapy achieved a median cumulative dose of 88 Gy to CTV D90. 14 patients received concurrent and/or systemic chemotherapy. Two patients suffered locoregional recurrence after salvage treatment, one of whom only received salvage brachytherapy for prior RT history. The analysis identified significant predictors for DFS, including tumor histology and FIGO stage. 5 patients observed acute grade 1-2 rectal (15%) or genitourinary (10%) toxicities. Late toxicities including grade 1-2 rectal bleeding (10%) and grade 2 pelvic fracture (5%) were seen in 3 patients. CONCLUSIONS: 3D image-guided brachytherapy combined with EBRT shows effective tumor control and acceptable toxicity profile for women with locally recurrent gynecologic cancer. The success in managing vaginal recurrence is notably influenced by histologic subtype and FIGO staging.


Asunto(s)
Braquiterapia , Neoplasias Endometriales , Recurrencia Local de Neoplasia , Terapia Recuperativa , Neoplasias del Cuello Uterino , Humanos , Femenino , Neoplasias Endometriales/radioterapia , Neoplasias Endometriales/patología , Terapia Recuperativa/métodos , Persona de Mediana Edad , Recurrencia Local de Neoplasia/radioterapia , Anciano , Neoplasias del Cuello Uterino/radioterapia , Neoplasias del Cuello Uterino/patología , Neoplasias del Cuello Uterino/mortalidad , Estudios Retrospectivos , Braquiterapia/métodos , Braquiterapia/efectos adversos , Adulto , Resultado del Tratamiento
5.
Artículo en Inglés | MEDLINE | ID: mdl-38850307

RESUMEN

Circular RNAs (circRNAs) have been confirmed to be an important modulator and therapeutic target of cervical cancer (CC). The aim of this study is to explore the role and mechanism of circ_0081723 in CC progression. Circ_0081723, microRNA-545-3p (miR-545-3p), and CREB3 regulatory factor (CREBRF) levels were detected using quantitative real-time PCR (qRT-PCR) assay. CREBRF, ki-67, Bcl-2 related X protein (Bax), and E-cadherin expression levels were determined using western blot (WB) and immunohistochemistry (IHC) assays. Cell proliferation was assessed using Cell Counting Kit-8 (CCK-8), cell colony formation, and 5-ethynyl-2'-deoxyuridine (EdU) assays. Flow cytometry was used to measure cell apoptosis.  Cell migration and invasion were examined using Transwell assay. Interaction between miR-545-3p and circ_0081723 or CREBRF was verified using dual-luciferase reporter assay and RNA immunoprecipitation (RIP) assays. The biological role of circ_0081723 on CC growth was examined using the xenograft tumor model in vivo. Circ_0081723 and CREBRF were increased, and miR-545-3p was decreased in CC tissues and cells. Circ_0081723 silencing suppressed CC cell growth and motility whereas boosted CC cell apoptosis. Besides, circ_0081723 acted as a molecular sponge for miR-545-3p, and circ_0081723 knockdown-induced effects were largely reversed by miR-545-3p downregulation in CC cells. Moreover, miR-545-3p repressed CC progression by targeting CREBRF.  Circ_0081723 absence blocked xenograft tumor growth in vivo. Circ_0081723 stimulated CC cell malignant behaviors by regulating the miR-545-3p/CREBRF pathway, providing a possible circRNA-targeted therapy for CC.

6.
J Cardiothorac Surg ; 19(1): 189, 2024 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-38589942

RESUMEN

BACKGROUND: This study aimed to elucidate the methodology and assess the efficacy of the aortic arch inclusion technique using an artificial blood vessel in managing acute type A aortic dissection (ATAAD). METHODS: We conducted a retrospective review of 18 patients (11 males and 7 females, average age: 56.2 ± 8.6 years) diagnosed with ATAAD who underwent total aortic arch replacement (TAAR) using an artificial vascular "inclusion" between June 2020 and October 2022. During the operation, deep hypothermic circulatory arrest (DHCA) and selective antegrade cerebral perfusion (ACP) of the right axillary artery were employed for brain protection. The 'inclusion' total aortic arch replacement and stented elephant trunk (SET) surgery were performed. RESULTS: Four patients underwent the Bentall procedure during the study, with one additional patient requiring coronary artery bypass grafting (CABG) due to significant involvement of the right coronary orifice. Three patients died during postoperative hospitalization. Other notable complications included two cases of postoperative renal failure necessitating continuous renal replacement therapy (CRRT), one case of postoperative double lower limb paraplegia, and one case of cerebral infarction resulting in unilateral impairment of the left upper limb. Eleven patients underwent computed tomography angiography (CTA) examinations of the aorta three months to one-year post-operation. The CTA results revealed thrombosis in the false lumen surrounding the aortic arch stent in seven patients and complete thrombosis of the false lumen around the descending aortic stent in eight patients. One patient had partial thrombosis of the false lumen around the descending aortic stent, and another patient's false lumen in the thoracic and abdominal aorta completely resolved after one year of follow-up. CONCLUSIONS: Incorporating vascular graft in aortic arch replacement simplifies the procedure and yields promising short-term outcomes. It achieves the aim of total arch replacement using a four-branch prosthetic graft. However, extensive sampling and thorough, prolonged follow-up observations are essential to fully evaluate the long-term results.


Asunto(s)
Aneurisma de la Aorta Torácica , Disección Aórtica , Sustitutos Sanguíneos , Implantación de Prótesis Vascular , Trombosis , Masculino , Femenino , Humanos , Persona de Mediana Edad , Aorta Torácica/cirugía , Implantación de Prótesis Vascular/métodos , Disección Aórtica/cirugía , Stents , Aorta Abdominal/cirugía , Paraplejía , Trombosis/cirugía , Aneurisma de la Aorta Torácica/cirugía , Resultado del Tratamiento
8.
Sci Rep ; 14(1): 7542, 2024 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-38555367

RESUMEN

This study seeks to assess both environmental and economic effects associated with installing photovoltaic systems within construction waste landfills in Macau by employing an effective carbon emissions calculation methodology and benefit analysis method. Beginning by outlining characteristics and challenges associated with construction waste landfills, as well as photovoltaic systems used for this application in this paper. Here, we present a detailed outline of our methodology design, outlining its principles of life cycle analysis, data collection processes and the creation of carbon emissions calculation models. Subsequently, we examine photovoltaic systems within Macau's construction waste landfills by studying system design, component selection and operational strategies as well as carbon emission data collection during their operational time period. Under life cycle carbon emissions calculations, we assess the carbon emissions generated from photovoltaic systems as well as conduct an environmental and economic benefit analysis for carbon reduction benefit analysis purposes. This research incorporates sensitivity analysis and uncertainty consideration in order to conduct an extensive benefit analysis. The research results offer strong support for sustainable photovoltaic systems within Macau waste landfills as well as insights to inform planning and policy formation for similar future projects.

9.
Mil Med Res ; 11(1): 14, 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38374260

RESUMEN

BACKGROUND: Computed tomography (CT) plays a great role in characterizing and quantifying changes in lung structure and function of chronic obstructive pulmonary disease (COPD). This study aimed to explore the performance of CT-based whole lung radiomic in discriminating COPD patients and non-COPD patients. METHODS: This retrospective study was performed on 2785 patients who underwent pulmonary function examination in 5 hospitals and were divided into non-COPD group and COPD group. The radiomic features of the whole lung volume were extracted. Least absolute shrinkage and selection operator (LASSO) logistic regression was applied for feature selection and radiomic signature construction. A radiomic nomogram was established by combining the radiomic score and clinical factors. Receiver operating characteristic (ROC) curve analysis and decision curve analysis (DCA) were used to evaluate the predictive performance of the radiomic nomogram in the training, internal validation, and independent external validation cohorts. RESULTS: Eighteen radiomic features were collected from the whole lung volume to construct a radiomic model. The area under the curve (AUC) of the radiomic model in the training, internal, and independent external validation cohorts were 0.888 [95% confidence interval (CI) 0.869-0.906], 0.874 (95%CI 0.844-0.904) and 0.846 (95%CI 0.822-0.870), respectively. All were higher than the clinical model (AUC were 0.732, 0.714, and 0.777, respectively, P < 0.001). DCA demonstrated that the nomogram constructed by combining radiomic score, age, sex, height, and smoking status was superior to the clinical factor model. CONCLUSIONS: The intuitive nomogram constructed by CT-based whole-lung radiomic has shown good performance and high accuracy in identifying COPD in this multicenter study.


Asunto(s)
Nomogramas , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Radiómica , Estudios Retrospectivos , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico por imagen , Biomarcadores , Tomografía Computarizada por Rayos X , Pulmón/diagnóstico por imagen
10.
Front Oncol ; 13: 1255007, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37664069

RESUMEN

Objective: To develop and validate the model for predicting benign and malignant ground-glass nodules (GGNs) based on the whole-lung baseline CT features deriving from deep learning and radiomics. Methods: This retrospective study included 385 GGNs from 3 hospitals, confirmed by pathology. We used 239 GGNs from Hospital 1 as the training and internal validation set; 115 and 31 GGNs from Hospital 2 and Hospital 3 as the external test sets 1 and 2, respectively. An additional 32 stable GGNs from Hospital 3 with more than five years of follow-up were used as the external test set 3. We evaluated clinical and morphological features of GGNs at baseline chest CT and extracted the whole-lung radiomics features simultaneously. Besides, baseline whole-lung CT image features are further assisted and extracted using the convolutional neural network. We used the back-propagation neural network to construct five prediction models based on different collocations of the features used for training. The area under the receiver operator characteristic curve (AUC) was used to compare the prediction performance among the five models. The Delong test was used to compare the differences in AUC between models pairwise. Results: The model integrated clinical-morphological features, whole-lung radiomic features, and whole-lung image features (CMRI) performed best among the five models, and achieved the highest AUC in the internal validation set, external test set 1, and external test set 2, which were 0.886 (95% CI: 0.841-0.921), 0.830 (95%CI: 0.749-0.893) and 0.879 (95%CI: 0.712-0.968), respectively. In the above three sets, the differences in AUC between the CMRI model and other models were significant (all P < 0.05). Moreover, the accuracy of the CMRI model in the external test set 3 was 96.88%. Conclusion: The baseline whole-lung CT features were feasible to predict the benign and malignant of GGNs, which is helpful for more refined management of GGNs.

11.
Phys Med Biol ; 68(17)2023 08 17.
Artículo en Inglés | MEDLINE | ID: mdl-37589292

RESUMEN

Background. Creating a clinically acceptable plan in the time-sensitive clinic workflow of brachytherapy is challenging. Deep learning-based dose prediction techniques have been reported as promising solutions with high efficiency and accuracy. However, current dose prediction studies mainly target EBRT which are inappropriate for brachytherapy, the model designed specifically for brachytherapy has not yet well-established.Purpose. To predict dose distribution in brachytherapy using a novel Squeeze and Excitation Attention Net (SE_AN) model.Method. We hypothesized the tracks of192Ir inside applicators are essential for brachytherapy dose prediction. To emphasize the applicator contribution, a novel SE module was integrated into a Cascaded UNet to recalibrate informative features and suppress less useful ones. The Cascaded UNet consists of two stacked UNets, with the first designed to predict coarse dose distribution and the second added for fine-tuning 250 cases including all typical clinical applicators were studied, including vaginal, tandem and ovoid, multi-channel, and free needle applicators. The developed SE_AN was subsequently compared to the classic UNet and classic Cascaded UNet (without SE module) models. The model performance was evaluated by comparing the predicted dose against the clinically approved plans using mean absolute error (MAE) of DVH metrics, includingD2ccandD90%.Results. The MAEs of DVH metrics demonstrated that SE_AN accurately predicted the dose with 0.37 ± 0.25 difference for HRCTVD90%, 0.23 ± 0.14 difference for bladderD2cc, and 0.28 ± 0.20 difference for rectumD2cc. In comparison studies, UNet achieved 0.34 ± 0.24 for HRCTV, 0.25 ± 0.20 for bladder, 0.25 ± 0.21 for rectum, and Cascaded UNet achieved 0.42 ± 0.31 for HRCTV, 0.24 ± 0.19 for bladder, 0.23 ± 0.19 for rectum.Conclusion. We successfully developed a method specifically for 3D brachytherapy dose prediction. Our model demonstrated comparable performance to clinical plans generated by experienced dosimetrists. The developed technique is expected to improve the standardization and quality control of brachytherapy treatment planning.


Asunto(s)
Braquiterapia , Aprendizaje Profundo , Hipobetalipoproteinemias , Femenino , Humanos , Pelvis , Benchmarking
12.
Acad Radiol ; 30(12): 2894-2903, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37062629

RESUMEN

RATIONALE AND OBJECTIVES: To develop and validate a model for predicting chronic obstructive pulmonary disease (COPD) in patients with lung cancer based on computed tomography (CT) radiomic signatures and clinical and imaging features. MATERIALS AND METHODS: We retrospectively enrolled 443 patients with lung cancer who underwent pulmonary function test as the primary cohort. They were randomly assigned to the training (n = 311) or validation (n = 132) set in a 7:3 ratio. Additionally, an independent external cohort of 54 patients was evaluated. The radiomic lung nodule signature was constructed using the least absolute shrinkage and selection operator algorithm, while key variables were selected using logistic regression to develop the clinical and combined models presented as a nomogram. RESULTS: COPD was significantly related to the radiomics signature in both cohorts. Moreover, the signature served as an independent predictor of COPD in the multivariate regression analysis. For the training, internal, and external cohorts, the area under the receiver operating characteristic curve (ROC, AUC) values of our radiomics signature for COPD prediction were 0.85, 0.85, and 0.76, respectively. Additionally, the AUC values of the radiomic nomogram for COPD prediction were 0.927, 0.879, and 0.762 for the three cohorts, respectively, which outperformed the other two models. CONCLUSION: The present study presents a nomogram that incorporates radiomics signatures and clinical and radiological features, which could be used to predict the risk of COPD in patients with lung cancer with one-stop chest CT scanning.


Asunto(s)
Neoplasias Pulmonares , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Nomogramas , Estudios Retrospectivos , Tomografía Computarizada por Rayos X , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico por imagen
13.
ACS Appl Mater Interfaces ; 15(9): 11853-11865, 2023 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-36847791

RESUMEN

Developing robust and effectual nonprecious electrocatalysts for the bifunctional hydrogen oxidation and evolution reactions (HOR and HER) in alkaline electrolyte is of critical significance for the realization of future hydrogen economy but challenging. Herein, this work demonstrates a new routine for the preparation of bio-inspired FeMo2S4 microspheres via the one-step sulfuration of Keplerate-type polyoxometalate {Mo72Fe30}. The bio-inspired FeMo2S4 microspheres feature potential-abundant structural defects and atomically precise iron doping and act as an effective bifunctional electrocatalyst for hydrogen oxidation/reduction reactions. The FeMo2S4 catalyst presents an impressive alkaline HOR activity compared to FeS2 and MoS2 with the high mass activity of 1.85 mA·mg-1 and high specific activity as well as excellent tolerance to carbon monoxide poisoning. Meanwhile, FeMo2S4 electrocatalyst also displayed prominent alkaline HER activity with a low overpotential of 78 mV at a current density of 10 mA·cm-2 and robust long-term durableness. Density functional theory (DFT) calculations indicate that the bio-inspired FeMo2S4 with a unique electron structure possesses the optimal hydrogen adsorption energy and enhanced adsorption of hydroxyl intermediates, which accelerates the potential-determining Volmer step, thus promoting the HOR and HER performance. This work provides a new pathway for designing efficient noble-metal-free electrocatalysts for the hydrogen economy.

14.
Inorg Chem ; 61(50): 20596-20607, 2022 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-36459635

RESUMEN

Photocatalytic organic transformation derived by functionalized polyoxometalate (POM)-based metal-organic frameworks provides a feasible route for fine chemical synthesis. Herein, three kinds of photoactive three-dimensional silver-containing polyoxotungstate frameworks are synthesized with the formulas [Ag3L2(OH)][Na(H2O)0.5][PW12O40]·H2O (1), [Ag4L3][SiW12O40] (2), and [Ag(H2O)][Ag4L3][BW12O40]·9H2O (3) (L = 1,4-di(4H-1,2,4-triazol-4-yl)benzene). In compounds 1-3, the cationic Ag-triazole clusters with diverse nuclei serve as nodes to assemble with rigid bridging ligands (L) and polyoxoanions to extend into stable three-dimensional frameworks, in which Keggin-type anions act as guests or pendants. When using them as heterogeneous photocatalysts, compounds 1-3 show high catalytic activity and selectivity for the photocatalytic aerobic oxidation of benzyl alcohol to benzoic acid under 10 W 365 nm light irradiation. Among them, compound 1 exhibits the highest performance with ca. 99% benzyl alcohol conversion and 99% selectivity of benzoic acid in 9 h. Compounds 2 and 3 show ca. 79 and 88% conversions of benzyl alcohol, respectively, which are higher than those of the individual Keggin-type precursors. Moreover, mechanism investigation suggests that the synergistic cooperation occurring between cationic Ag-triazole clusters and Keggin-type polyoxoanions modulates the energy band structures of compounds 1-3, resulting in the efficient separation of photogenerated carriers and accelerating the aerobic oxidation of benzyl alcohol. This work provides some important guidance for the design and development of efficient POM-based photocatalysts for practical organic transformation.

15.
Front Immunol ; 13: 985863, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36211379

RESUMEN

Evaluation of tumor-host interaction and intratumoral heterogeneity in the tumor microenvironment (TME) is gaining increasing attention in modern cancer therapies because it can reveal unique information about the tumor status. As tumor-associated macrophages (TAMs) are the major immune cells infiltrating in TME, a better understanding of TAMs could help us further elucidate the cellular and molecular mechanisms responsible for cancer development. However, the high-dimensional and heterogeneous data in biology limit the extensive integrative analysis of cancer research. Machine learning algorithms are particularly suitable for oncology data analysis due to their flexibility and scalability to analyze diverse data types and strong computation power to learn underlying patterns from massive data sets. With the application of machine learning in analyzing TME, especially TAM's traceable status, we could better understand the role of TAMs in tumor biology. Furthermore, we envision that the promotion of machine learning in this field could revolutionize tumor diagnosis, treatment stratification, and survival predictions in cancer research. In this article, we described key terms and concepts of machine learning, reviewed the applications of common methods in TAMs, and highlighted the challenges and future direction for TAMs in machine learning.


Asunto(s)
Neoplasias , Macrófagos Asociados a Tumores , Humanos , Aprendizaje Automático , Macrófagos , Microambiente Tumoral
16.
Radiat Oncol ; 17(1): 152, 2022 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-36064571

RESUMEN

PURPOSE: Fast and accurate outlining of the organs at risk (OARs) and high-risk clinical tumor volume (HRCTV) is especially important in high-dose-rate brachytherapy due to the highly time-intensive online treatment planning process and the high dose gradient around the HRCTV. This study aims to apply a self-configured ensemble method for fast and reproducible auto-segmentation of OARs and HRCTVs in gynecological cancer. MATERIALS AND METHODS: We applied nnU-Net (no new U-Net), an automatically adapted deep convolutional neural network based on U-Net, to segment the bladder, rectum and HRCTV on CT images in gynecological cancer. In nnU-Net, three architectures, including 2D U-Net, 3D U-Net and 3D-Cascade U-Net, were trained and finally ensembled. 207 cases were randomly chosen for training, and 30 for testing. Quantitative evaluation used well-established image segmentation metrics, including dice similarity coefficient (DSC), 95% Hausdorff distance (HD95%), and average surface distance (ASD). Qualitative analysis of automated segmentation results was performed visually by two radiation oncologists. The dosimetric evaluation was performed by comparing the dose-volume parameters of both predicted segmentation and human contouring. RESULTS: nnU-Net obtained high qualitative and quantitative segmentation accuracy on the test dataset and performed better than previously reported methods in bladder and rectum segmentation. In quantitative evaluation, 3D-Cascade achieved the best performance in the bladder (DSC: 0.936 ± 0.051, HD95%: 3.503 ± 1.956, ASD: 0.944 ± 0.503), rectum (DSC: 0.831 ± 0.074, HD95%: 7.579 ± 5.857, ASD: 3.6 ± 3.485), and HRCTV (DSC: 0.836 ± 0.07, HD95%: 7.42 ± 5.023, ASD: 2.094 ± 1.311). According to the qualitative evaluation, over 76% of the test data set had no or minor visually detectable errors in segmentation. CONCLUSION: This work showed nnU-Net's superiority in segmenting OARs and HRCTV in gynecological brachytherapy cases in our center, among which 3D-Cascade shows the highest accuracy in segmentation across different applicators and patient anatomy.


Asunto(s)
Braquiterapia , Aprendizaje Profundo , Neoplasias , Humanos , Órganos en Riesgo , Tomografía Computarizada por Rayos X/métodos
17.
Front Oncol ; 12: 967436, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36110960

RESUMEN

Purpose: Although the knowledge-based dose-volume histogram (DVH) prediction has been largely researched and applied in External Beam Radiation Therapy, it is still less investigated in the domain of brachytherapy. The purpose of this study is to develop a reliable DVH prediction method for high-dose-rate brachytherapy plans. Method: A DVH prediction workflow combining kernel density estimation (KDE), k-nearest neighbor (kNN), and principal component analysis (PCA) was proposed. PCA and kNN were first employed together to select similar patients based on principal component directions. 79 cervical cancer patients with different applicators inserted was included in this study. The KDE model was built based on the relationship between distance-to-target (DTH) and the dose in selected cases, which can be subsequently used to estimate the dose probability distribution in the validation set. Model performance of bladder and rectum was quantified by |ΔD2cc|, |ΔD1cc|, |ΔD0.1cc|, |ΔDmax|, and |ΔDmean| in the form of mean and standard deviation. The model performance between KDE only and the combination of kNN, PCA, and KDE was compared. Result: 20, 30 patients were selected for rectum and bladder based on KNN and PCA, respectively. The absolute residual between the actual plans and the predicted plans were 0.38 ± 0.29, 0.4 ± 0.32, 0.43 ± 0.36, 0.97 ± 0.66, and 0.13 ± 0.99 for |ΔD2cc|, |ΔD1cc|, |ΔD0.1cc|, |ΔDmax|, and |ΔDmean| in the bladder, respectively. For rectum, the corresponding results were 0.34 ± 0.27, 0.38 ± 0.33, 0.63 ± 0.57, 1.41 ± 0.99 and 0.23 ± 0.17, respectively. The combination of kNN, PCA, and KDE showed a significantly better prediction performance than KDE only, with an improvement of 30.3% for the bladder and 33.3% for the rectum. Conclusion: In this study, a knowledge-based machine learning model was proposed and verified to accurately predict the DVH for new patients. This model is proved to be effective in our testing group in the workflow of HDR brachytherapy.

18.
Atten Percept Psychophys ; 84(5): 1772-1787, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35474415

RESUMEN

The linguistic similarity hypothesis states that it is more difficult to segregate target and masker speech when they are linguistically similar. For example, recognition of English target speech should be more impaired by the presence of Dutch masking speech than Mandarin masking speech because Dutch and English are more linguistically similar than Mandarin and English. Across four experiments, English target speech was consistently recognized more poorly when presented in English masking speech than in silence, speech-shaped noise, or an unintelligible masker (i.e., Dutch or Mandarin). However, we found no evidence for graded masking effects-Dutch did not impair performance more than Mandarin in any experiment, despite 650 participants being tested. This general pattern was consistent when using both a cross-modal paradigm (in which target speech was lipread and maskers were presented aurally; Experiments 1a and 1b) and an auditory-only paradigm (in which both the targets and maskers were presented aurally; Experiments 2a and 2b). These findings suggest that the linguistic similarity hypothesis should be refined to reflect the existing evidence: There is greater release from masking when the masker language differs from the target speech than when it is the same as the target speech. However, evidence that unintelligible maskers impair speech identification to a greater extent when they are more linguistically similar to the target language remains elusive.


Asunto(s)
Enmascaramiento Perceptual , Percepción del Habla , Humanos , Lenguaje , Lingüística , Habla
19.
AIP Adv ; 12(1): 015002, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35003882

RESUMEN

The dispersion of cough-generated droplets from a person going up- or downstairs was investigated through a laboratory experiment in a water tunnel. This experiment was carried out with a manikin mounted at inclination angles facing the incoming flow to mimic a person going up or down. Detailed velocity measurements and flow visualization were conducted in the water tunnel experiments. To investigate the influence of the initial position on the motion of particles, a virtual particle approach was adopted to simulate the dispersion of particles using the measured velocity field. Particle clustering, which is caused by the unsteadiness of the flow, was observed in both flow visualization and virtual particle simulation. For the case of going upstairs, particles are concentrated below the person's shoulder and move downward with a short travel distance. For the case of going downstairs, particles dispersing over the person's head advect over for a long distance. We also found that the motion of the particles is closely related to the initial position. According to the results in this study, suggestions for the prevention of respiratory infectious disease are made.

20.
Behav Res Methods ; 54(3): 1388-1402, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-34595672

RESUMEN

Language scientists often need to generate lists of related words, such as potential competitors. They may do this for purposes of experimental control (e.g., selecting items matched on lexical neighborhood but varying in word frequency), or to test theoretical predictions (e.g., hypothesizing that a novel type of competitor may impact word recognition). Several online tools are available, but most are constrained to a fixed lexicon and fixed sets of competitor definitions, and may not give the user full access to or control of source data. We present LexFindR, an open-source R package that can be easily modified to include additional, novel competitor types. LexFindR is easy to use. Because it can leverage multiple CPU cores and uses vectorized code when possible, it is also extremely fast. In this article, we present an overview of LexFindR usage, illustrated with examples. We also explain the details of how we implemented several standard lexical competitor types used in spoken word recognition research (e.g., cohorts, neighbors, embeddings, rhymes), and show how "lexical dimensions" (e.g., word frequency, word length, uniqueness point) can be integrated into LexFindR workflows (for example, to calculate "frequency-weighted competitor probabilities"), for both spoken and visual word recognition research.


Asunto(s)
Percepción del Habla , Humanos , Lenguaje
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