Search

Objectives: Ovarian leiomyomas (OLs) are rare and account for only 0.5 to 1% of benign ovarian tumors. This study investigated the ultrasonographic manifestations of OL and the potential reasons for misdiagnosis., Methods: Between July 2018 and July 2023, 7 patients diagnosed with OL by surgical pathology and immunohistochemistry were enrolled in this retrospective analysis. Ultrasound (US) examinations were performed before surgery. Clinical characteristics, pathological findings, ultrasonographic manifestations, and treatment were reviewed., Results: The mean age of the 7 patients was 39.0 ± 11.57 years, with a disease course of 0.1 to 24 months. All ovarian leiomyomas were unilateral. Four cases occurred in the right ovary, and three cases occurred in the left ovary. All lesions presented as hypoechogenic, well-circumscribed, round or oval in shape, and regular in morphology. No significant blood flow signal was detected peripheral to or inside the mass in 3 cases (42.8%), and a minimal flow signal was detected peripheral to or inside the mass in 4 cases (58.2%). A total of 7 ultrasonographic images of OL were misdiagnosed: 1 patient was misdiagnosed with subserosal uterine leiomyoma, and 6 patients were misdiagnosed with a tumor in the ovarian thecoma-fibroma group., Conclusion: The imaging manifestation of OL lacks specificity; thus, preoperatively distinguishing OL from other ovarian tumors and subserosal uterine leiomyomas is difficult. Immunohistochemistry may be helpful for the definitive diagnosis of OL. The possibility of ovarian leiomyoma should be considered in patients with uterine leiomyomas coexisting with an adnexal ovarian solid mass., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Zhang, Hong, Wang, Qin and Jing.)

The anastomotic vessels between the superior mesenteric artery and the inferior mesenteric artery are vital to maintain the blood supply of the anastomosis and residual colon after colectomy. However, current studies of anastomotic vessels are facing four major obstacles: confusing nomenclature, large variability in data, diversification of research methods and incomplete information records. The existence of marginal artery has been widely proved, and its significance for blood supply is well recognized by relevant studies. In contrast, the Riolan's arch, whose connotations constantly changed over history, can not refer to a specific structure accurately. Researchers should abolish the controversial names such as Riolan's arch, select appropriate research methods and record the anastomotic vessels in detail, so as to improve the comparability between different results. The study of anastomotic vessels can help us to identify potential vascular disease, select the appropriate surgical approach, and provide appropriate treatment of the vessels in the operating area, so as to provide a theoretical foundation and practical basis for fine surgical maneuvers.

Objectives: To describe a facilitated procedure of colorectal filling contrast ultrasonography (CFCUS) and explore its value in the diagnosis of pediatric juvenile polyps., Methods: One hundred and eleven children with clinical signs of colorectal polyps admitted to our hospital between May 2018 and May 2021 were retrospectively reviewed. All children underwent conventional transabdominal ultrasonography (CTUS) and CFCUS prior to undergoing colonoscopy. Pathologic findings were used as the gold standard. Chi-squared tests and Mann-Whitney U tests were used for the statistical analysis., Results: Forty-five children with fifty-two colorectal polyps were confirmed via pathological examination. The sensitivity, specificity, positive predictive value, and negative predictive value of CFCUS vs. CTUS were 92.3% versus 80.7%, 100% versus 100%, 100% versus 100%, and 93.3% versus 84.8%, respectively. The missed polyps were significantly smaller than the polyps detected in diameter (7.50 ± 2.12 mm vs. 19.62 ± 7.89 mm, p < 0.0001) by CTUS. A significant difference between CTUS and CFCUS was observed in the detection rate of polyps with a diameter < 1 cm (p = 0.031) and pedicles (p < 0.001). The kappa values for the assessment of Yamada's classification between CTUS and colonoscopy and CFCUS and colonoscopy were 0.51 and 0.84, respectively. Moreover, CFCUS incidentally revealed a punctate hyperechoic area on the surface of colonic polyps in six cases, which may be suggestive of a correlation with erosion and bleeding findings., Conclusion: CFCUS can increase the detection rate of polyps and pedicles, especially polyps with diameters <1 cm, and accurately evaluate Yamada's classification, providing useful preoperative information for colonoscopy., (© 2022 Wiley Periodicals LLC.)

Objectives : To assess the performance of elastography (ES) and ultrasound (US) in predicting the malignancy of breast lesions and to compare their combined diagnostic value with that of magnetic resonance imaging (MRI). Materials and Methods : The study prospectively enrolled 242 female patients with dense breasts treated in 35 heath care facilities in China between November 2018 and October 2019. Based on conventional US and elastography, radiologists classified the degree of suspicion of breast lesions according to the US Breast Imaging Reporting and Data System (BI-RADS) criteria. The diagnostic value was compared between US BI-RADS and MRI BI-RADS, with pathological results used as the reference standard. Results : The results demonstrated that irregular tumor shape, a nonparallel growth orientation, indistinct margins, angular contours, microcalcifications, color Doppler flow and ES score on US imaging were significantly related to breast cancer in dense breasts (P=0.001; P=0.001; P=0.008; P<0.001; P=0.019; P=0.008; P=0.002, respectively). The sensitivity, specificity, PPV, NPV, accuracy and AUC of US BI-RADS category were 94.7%, 90.7%, 95.8%, 88.0%, 93.4% and 0.93 (95%CI, 0.88-0.97), respectively, while those of MRI BI-RADS category were 98.2%, 57.5%, 84.3%, 83.3%, 86.0% and 0.78 (95%CI, 0.71-0.85), respectively. MRI BI-RADS showed a significantly higher sensitivity than US BI-RADS (98.2% vs 94.7%, P=0.043), whereas US BI-RADS showed significantly higher specificity (90.7% vs 57.5%, P<0.001). US BI-RADS showed better diagnostic efficiency in differentiating nodules in dense breasts than MRI BI-RADS (AUC 0.93 vs 0.78, P<0.001). Conclusion : By combining the use of ES and conventional US, US BI-RADS had better diagnostic efficiency in differentiating nodules in dense breasts than MRI. For the diagnosis of malignant tumors in patients with dense breasts, MRI and US BI-RADS can be used as supplemental diagnostic tools to detect lesions, with US BI-RADS considered the preferred adjunctive resource., Competing Interests: Competing Interests: The authors have declared that no competing interest exists., (© The author(s).)

Objectives: To establish a height prediction model of Chinese Han male based on the reported 547 height-associated single nucleotide polymorphisms （SNPs） loci in Europeans, and assess its accuracy for height estimation., Methods: The DNA typing was analyzed in 59 Han male samples of Shandong province by Affymetrix SNP Array 6.0 chip and HiSeq 4000 sequencing platform. Prediction model was established using 547 height-associated SNPs loci as predictors and weight allele sums （WAS） as computing method. The accuracy of height prediction model was analysed using receiver operating characteristic （ROC） curve and area under curve （AUC）., Results: There was no height-associated SNPs locus was found by genome-wide association studies. In present study, height prediction model was established by WAS and obtained an AUC of 0.67 （95% CI: 0.53-0.90）., Conclusions: It has reference value for predicting the height of Han male in Shandong province by WAS model based on 547 SNPs loci, while it is still necessary to further promote the accuracy of the prediction model by screening more height-associated SNPs loci with population heterogeneity., Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose., (Copyright© by the Editorial Department of Journal of Forensic Medicine.)

Purpose: To investigate choroidal thickness (CT) and its associations in children in a school-based study., Methods: The cross-sectional school-based Gobi Desert Children Eye Study included 1565 out of 1911 (81.9%) eligible children from all schools in the oasis region of Ejina in the Gobi Desert. A detailed ophthalmic examination was performed, including spectral-domain optical coherence tomography with enhanced depth imaging for CT measurement., Results: CT measurements were available for 1463 (93.5%) students (mean age: 11.8±3.5 years; range:7-21 years). Mean subfoveal choroidal thickness (SFCT) was 282±49μm. CT was thickest at 1000μm temporal to the fovea (286±49μm), followed by the subfoveal region (282±49 μm; P<0.001), the region at 2500μm temporal to the fovea (278±49μm), the region at 1000μm nasal to the fovea (254±49μm;P<0.001), and the region at 2500μm nasal to the fovea (197±50μm;P<0.001). In cross-sectional analysis, the mean SFCT increased with age from 288μm at 7 years of age to 304μm at 11 years, and then decreased to 258 μm at 18 years. In multivariate analysis, thicker SFCT was associated (regression coefficient r:0.38) with higher hyperopic refractive error (P<0.001;standardized regression coefficient beta:0.31;non-standardized regression coefficient B:7.61;95% confidence intervals (CI):6.29,8.93), younger age (P<0.001;beta:-0.10;B:-1.39;95%CI:-2.14,-0.64), male gender (P = 0.03;beta:-0.05;B:-5.33;95%CI:-10.1,-0.53), higher corneal refractive power (P<0.001;beta:0.12;B:3.68;95%CI:2.12,5.24), and non-Han Chinese ethnicity (P = 0.03;beta:0.05;B:6.16;95%CI:0.50,11.8). Ratio of CT(1000μm nasal to fovea)/SFCT (0.90±0.06;range:0.66,1.23) and ratio of CT(2500μm nasal to fovea)/SFCT (0.70±0.13;range:0.28,1.23) decreased with older age (P = 0.01;and P = 0.001, respectively), while ratio of CT(1000μm temporal to fovea)/SFCT (1.02±0.06;range:0.56,1.37) and ratio of CT(2500μm temporal to fovea)/SFCT (0.99±0.11;range:0.54,1.84) increased with older age (both P<0.001). Time spent outdoors or indoors was not significantly associated with CT-related parameter in multivariate analysis., Conclusions: In contrast to SFCT in adults and despite elongating axial length, SFCT in children increased in cross-sectional analysis with older age (up to 11 years of age) and then started to decrease with further ageing. It suggests an increase in choroidal volume up to the age of 11 years. In children, the choroid was thickest at 1000μm temporal to the fovea, followed by the subfoveal region, and this difference significantly increased with older age. In contrast, CT nasal to the fovea in relationship to SFCT decreased with older age. CT was independent of lifestyle-associated parameters.

ZnO nanoparticles (NPs) are widely used in many applications, such as plastics, ceramics, glass, cement, rubber, lubricants, paints, pigments, batteries, fire retardants, catalysts, and anti-microbial agents. They directly or indirectly enter aquatic and terrestrial environments through application, accidental release, contaminated soil/sediments, or atmospheric fallouts. When present in excess, ZnO NPs can induce phytotoxicity and reduce plant growth and yields. ZnO NPs can also cause Zn accumulation in edible parts of food crops, and then subsequently enter human bodies and pose a significant health risk. Arbuscular mycorrhizae are ubiquitous symbiotic associations in nature formed between arbuscular mycorrhizal (AM) fungi and most higher plants in terrestrial ecosystems. In addition to their well-known contribution to plant nutrient acquisition and growth, AM fungi can improve plant tolerance to various environmental stresses, but mycorrhizal effects vary with environmental conditions such as phosphorus status in both soil and plants. AM fungi have been shown to alleviate the negative effects of ZnO NPs and zinc accumulation in plants, however, the role of phosphorus fertilization has been neglected. A greenhouse pot culture experiment was conducted using maize as the test plant inoculated with or without AM fungus Funneliformis mosseae . Four levels of phosphorus (0, 20, 50 or 100 mg·kg -1 ) and two levels of ZnO NPs (0 or 500 mg·kg -1 ) were applied to pots. Shoots and roots were harvested separately after two months of growth. Mycorrhizal infection, plant biomass, P and Zn concentrations and uptake in plants, and soil DTPA-extractable zinc and pH were determined. The results showed that ZnO NPs did not significantly affect the growth of maize, but inhibited root mycorrhizal infection and plant phosphorus uptake, and led to the accumulation of zinc in plants. ZnO NPs and high phosphorus supply decreased root mycorrhizal infection, but AM inoculation significantly promoted plant growth under all phosphorus supply levels. Phosphorus application and AM inoculation increased soil pH, but reduced the bioavailability of Zn derived from ZnO NPs, decreased the translocation and accumulation of zinc in maize shoots, and thus produced beneficial effects on plants. In general, AM inoculation showed positive mycorrhizal effect, especially under low phosphorus conditions and addition of ZnO NPs. Our results showed for the first time that both AM fungi and phosphate fertilizer could help to mitigate soil pollution and the ecological and health risks posed by ZnO NPs.

A sand-culture experiment was carried out to research the differences in lead (Pb) chemical-form among different maize varieties for roots and shoots under Pb stress, and further investigate into the mechanism of maize endurance to resist Pb. The results showed that the wheat varieties of Zhengdan 958 and Longping 206 have the maximum Pb tolerance, whereas Lianchuang 5's tolerance of Pb was the minimum. Pb form in roots and shoots were mainly harmfulness HAc-extractable and HCl-extractable, accounting for a high proportion of 60% - 87%. Moreover, these values in roots were slightly higher than those in shoots. And concentrations of alcohol-extractable and water-extractable Pb accounted for the proportion of 6% - 20%. Under 100 mg x L(-1) Pb stress, the alcohol-extractable together with water-extractable Pb content in shoots of Longping 206 was the lowest (0.52 mg x kg(-1)), and that of in Zhengdan 958 shoots was 0.93 mg x kg(-1) which was also very low. However, for Lianchuang 5, the content could reach 2.78 mg x kg(-1). Under the stress of 800 mg x L(-1) Pb, content of alcohol-extractable together with water-extractable Pb in Zhengdan 958 shoots was 2.41 mg x kg(-1), which was still the lowest. These were probable reasons why Zhengdan 958 was more resistant to Pb stress than other varieties. Tolerance of Zhengdan 958 to Pb stress was related to it's strong ability to convert toxic Pb into non-toxic Pb.

Quantum Fisher information is a central quantity in quantum metrology. We discuss an alternative representation of quantum Fisher information for unitary parametrization processes. In this representation, all information of parametrization transformation, i.e., the entire dynamical information, is totally involved in a Hermitian operator H. Utilizing this representation, quantum Fisher information is only determined by H and the initial state. Furthermore, H can be expressed in an expanded form. The highlights of this form is that it can bring great convenience during the calculation for the Hamiltonians owning recursive commutations with their partial derivative. We apply this representation in a collective spin system and show the specific expression of H. For a simple case, a spin-half system, the quantum Fisher information is given and the optimal states to access maximum quantum Fisher information are found. Moreover, for an exponential form initial state, an analytical expression of quantum Fisher information by H operator is provided. The multiparameter quantum metrology is also considered and discussed utilizing this representation.

Purpose: To determine the prevalence and associations of myopia in schoolchildren in provincial Western China., Methods: In the school-based observational cross-sectional Gobi Desert Children Eye Study, cylcoplegic refractometry as part of a comprehensive ophthalmic examination was performed in all schools in the oasis region of Ejina. Out of 1911 eligible children, 1565 (81.9%) children with a mean age of 11.9 ± 3.5 years (range, 6-21 years) participated., Results: The mean refractive error in the worse eye was -1.38 ± 2.04 diopters (D) (median, -0.88 D; range, -13.00 to +6.50 D). In multivariate analysis, more myopic refractive errors were associated with older age (P < 0.001; regression coefficient B: -0.26; 95% confidence interval [CI]: -0.28, -0.23), female sex (P = 0.005; B: -0.26; 95%CI: -0.43, -0.08), more myopic paternal refractive errors (P < 0.001; B: 0.20; 95%CI: 0.14, 0.27), more myopic maternal refractive errors (P < 0.001; B: 0.18; 95%CI: 0.12, 0.24), and fewer hours spent outdoors (P = 0.038; B: 0.18; 95%CI: 0.01, 0.35). The prevalence of myopia, defined as refractive errors (spherical equivalent) of ≤-0.50, ≤-1.00, and ≤-6.00 D in the worse eye, was 60.0 ± 1.2%, 48.0 ± 1.3%, and 2.9 ± 0.4%, respectively. The prevalence of high myopia (≤-6.00 D) was 2.9 ± 0.4% in the whole study population, and it was 9.9 ± 3.0% in 17-year-olds. It was not associated with time spent outdoors (P = 0.66)., Conclusions: Even in Western China, prevalence of myopia in schoolchildren is high. As in East China, low and medium myopia was associated with less time spent outdoors. High myopia was not significantly associated with outdoors time. Compared with the myopia prevalence in elderly Chinese populations, the relatively high myopia prevalence in schoolchildren in China predicts a marked increase in vision-threatening high myopia in future elderly populations in China., (Copyright 2015 The Association for Research in Vision and Ophthalmology, Inc.)

Purpose: To assess the intraocular pressure (IOP) and its association in children in a population living in an oasis in the Gobi Desert., Methods: The cross-sectional school-based study included all schools in the Ejina region. The children underwent an ophthalmic examination, non-contact tonometry and measurement of blood pressure and body height and weight., Results: Out of eligible 1911 children, 1565 (81.9%) children with a mean age of 11.9±3.5 years (range: 6-21 years) participated. Mean spherical refractive error was -1.58±2.00 diopters. In multivariate analysis, higher IOP (right eye) was associated with younger age (P<0.001; standardized coefficient beta: -0.13; regression coefficient B: -0.13; 95% Confidence interval (CI):-0.18, -0.07), higher diastolic blood pressure (P<0.001;beta:0.13;B:0.05;95%CI:0.03,0.07), higher corneal refractive power (P<0.001;beta:0.11;B:0.23;95%CI:0.12,0.34), more myopic refractive error (P = 0.035;beta: -0.06;B: -0.10;95%CI: -0.19, -0.001), and Han Chinese ethnicity of the father (P = 0.03;beta:0.06;B:0.42;95%CI:0.04,0.89). If age and diastolic blood pressure were dropped, higher IOP was associated with higher estimated cerebrospinal fluid pressure (CSFP) (P<0.001;beta:0.09; B:0.13;95%CI:0.06,0.21) after adjusting for higher corneal refractive power (P<0.001) and Han Chinese ethnicity of the father (P = 0.04). Correspondingly, higher IOP of the left eye was associated with younger age (P<0.001;beta: -0.15;B: -0.16;95%CI: -0.21, -0.10), female gender (P<0.001;beta:0.09;B:0.65;95%CI:0.30,1.01), higher corneal refractive power (P<0.001;beta:0.08;B:0.19;95%CI:0.06,0.32), more myopic refractive error (P = 0.03;beta: -0.06;B: -0.12;95%CI: -0.22, -0.01), and higher estimated CSFP (P<0.001;beta:0.11;B:0.17;95%CI:0.09,0.24)., Conclusions: In school children, higher IOP was associated with steeper corneal curvature and with younger age and higher blood pressure, or alternatively, with higher estimated CSFP. Corneal curvature radius should be included in the correction of IOP measurements. The potential association between IOP and CSFP as also assumed in adults may warrant further research.

The aim of the present study was to explore the feasibility of enhancing green fluorescent protein (EGFP) gene transfection into the synovial joint tissues of rats with rheumatoid arthritis (RA) by ultrasound-mediated microbubble destruction. An optimal SonoVue dose was determined using 40 normal rats categorized into five groups according to the various doses of microbubbles used. At 1 week after ultrasound irradiation, the rats were sacrificed. Damage to the joint synovial tissues was observed with hematoxylin and eosin histopathological staining under a microscope. A further 44 normal rats were used to establish a rat model of RA, and were then categorized into four groups: EGFP, ultrasound + EGFP, microbubbles + EGFP and ultrasound + microbubbles + EGFP. The last group was irradiated with ultrasound for 10 min following the injection of 300 μl SonoVue and 10 μg EGFP into the joint cavity. Rats were sacrificed after 3 days and synovial tissue was collected from the knee joints for observation of EGFP with fluorescence microscopy and analysis by quantitative polymerase chain reaction. EGFP expression was observed in the synovial tissues of all groups. However, high EGFP expression levels were observed in the ultrasound + microbubbles + EGFP group. No statistically significant differences (P>0.05) were observed in the EGFP expression levels between the EGFP, ultrasound + EGFP and microbubbles + EGFP groups. However, EGFP expression levels in the EGFP, ultrasound + EGFP and microbubbles + EGFP groups significantly differed (P<0.05) from that in the ultrasound + microbubbles + EGFP group. Therefore, ultrasound-mediated microbubble destruction improved EGFP transfection efficiency into the joint synovial tissues of rats with RA.

Objective: The objective of this study was to noninvasively evaluate the severity of renal ischemia-reperfusion (I-R) injury in rabbits with microbubbles targeted to activated neutrophils [phosphatidylserine-conjugated surfactant perfluoropropane-filled microbubbles (SPMB-PS)]., Methods: Microbubbles targeted to activated neutrophils (SPMB-PS) were prepared by conjugating phosphatidylserine (PS) to self-assembling surfactant perfluoropropane-filled microbubbles (SPMB). Flow cytometry was performed to assess the presence of PS in SPMB. A renal I-R injury model was established in 18 rabbits for contrast-enhanced ultrasonography. Examination of ultrasonography with SPMB-PS and SPMB was performed on 12 rabbits before and after I-R injury. The time-intensity curve (TIC) was generated from a selected region of interest. Another six rabbits with renal I-R injury underwent contrast-enhanced ultrasonography for 15 min after intravenous injection of SPMB-PS. The renal tissues were immediately excised for immunohistochemical staining and myeloperoxidase (MPO) activity analysis. The correlation between MPO activity and echo intensity (VI) was analyzed., Results: Flow cytometry demonstrated that PS was located on the surface of SPMB. TIC showed that the time at which the maximum VI was reached and the time needed for the microbubbles to wash out were the same in the normal kidneys injected with SPMB-PS or SPMB, while there was an obvious delay in emptying time with SPMB-PS compared with SPMB after I-R injury. Fifteen minutes after the injection of SPMB-PS and SPMB, VI was not remarkably different (P>.05) in the normal kidneys, while it was significantly higher (P<.01) in the I-R-injured kidneys. There was a strong correlation between MPO activity and VI 15 min after the injection of SPMB-PS (r=.933, P<.01). Immunohistochemistry showed that most of the inflammatory cells in the I-R-injured kidneys were neutrophils., Conclusion: A delayed emptying phenomenon was observed during contrast-enhanced ultrasonography in the I-R-injured kidneys, with SPMB-PS targeted to activated neutrophils. Therefore, contrast-enhanced ultrasonography with SPMB-PS may noninvasively evaluate the severity of ischemia-reperfusion injury to the kidneys.