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ObjectiveTo evaluate the accuracy of contrast-enhanced ultrasound diagnostic reports for pancreatic lesions.MethodsIn this retrospective study, we included patients who underwent contrast-enhanced ultrasound examination of pancreatic lesions at Peking Union Medical College Hospital from January 2017 to December 2022 and received a confirmed pathological diagnosis. Using pathological diagnosis as the gold standard, the study evaluated the accuracy of contrast-enhanced diagnostic ultrasound. It also analyzed the misdiagnosis of contrast-enhanced ultrasound in diagnosing various pathological types of pancreatic lesions.ResultsOf the 859 patients who met inclusion and exclusion criteria, 489 were male(56.9%) and 370 were female(43.1%).Their age ranged from 16 to 85 years, with a median age of 60(53, 66) years. Except for 47 pancreatic space-occupying lesions that were difficult to categorize as either benign or malignant, a total of 812 cases were included in the diagnostic efficacy analysis of benign and malignant lesions. The results suggested that the diagnostic sensitivity and specificity of contrast-enhanced ultrasound for pancreatic malignant lesions were 98.3%(95% CI: 97.1%-99.1%) and 79.0%(95% CI: 70.1%-86.4%), AUC was 0.887(95% CI: 0.863-0.908), positive and negative predictive value were 96.9%(95% CI: 95.6%-97.9%) and 87.4%(95% CI: 79.6%-92.4%), positive and negative likelihood ratio were 4.69(95% CI: 3.24-6.80) and 0.02(95% CI: 0.01-0.04). The diagnostic accuracy rate of contrast-enhanced ultrasound for diagnosing benign and malignant pancreatic lesions was 95.8%. Of the 859 lesions examined, 48 cases were misdiagnosed by contrast-enhanced ultrasound, with a misdiagnosis rate of 5.6%(48/859), including 7 cases(0.8%) of undetermined diagnosis, while the diagnostic accuracy of pancreatic ductal adenocarcinoma was as high as 98.8%. No complications occurred in any of the patients.ConclusionsContrast-enhanced ultrasound is a safe and effective imaging method for evaluating microvascular perfusion in various pancreatic lesions. It has significant clinical value in diagnosing both benign and malignant pancreatic lesions, particularly in diagnosing pancreatic ductal adenocarcinoma.

Plywood is lightweight, strong, and durable, making it a widely used material in building decoration and furniture areas. In this study, formaldehyde-free, high-strength plywood was prepared through the incorporation of carbon fiber fabrics (CFFs) as reinforcement layers and their bonding with maleic anhydride polyethylene (MAPE) films. Various tests were performed to assess the impact of the carbon fiber fabric positioning on the physical and mechanical properties of plywood, including tensile shear strength, flexural strength, water absorption, thickness swelling, and electro-thermal properties. The results revealed that the plywood with CFFs exhibited significantly higher mechanical properties than plywood without CFFs. Particularly, the addition of CFFs increased the tensile strength of the plywood by nearly 54.43%, regardless of the CFFs' position. The symmetric placement of CFFs near the bottom and upper layers of the plywood resulted in a maximum modulus of rupture of 85.6 MPa. These findings were validated by numerical simulations. Scanning electron microscopy analysis of the plywood microstructures revealed that MAPE penetrated both the vessels and xylem of the wood veneers and the pores of the CFFs, thereby improving the mechanical properties of the plywood. Plywood reinforced with CFFs exhibited increased water absorption and thickness swelling after immersion. Additionally, the placement of CFFs influenced the electro-thermal properties of the plywood. Plywood with CFFs positioned near the bottom and upper surfaces exhibited superior thermal conductivity. Overall, this study presents a feasible method for developing high-performance, formaldehyde-free plywood and sustainable wood-based structural materials with potential applications in geothermal flooring. [ABSTRACT FROM AUTHOR]