Age and gender are the important factors for brain metabolic declines in both normal aging and neurodegeneration,and the confounding effects may influence early and differential diagnosis of neurodegenerative diseases...Age and gender are the important factors for brain metabolic declines in both normal aging and neurodegeneration,and the confounding effects may influence early and differential diagnosis of neurodegenerative diseases based on the[^(18)F]fluorodeoxyglucose positron emission tomography([^(18)F]FDG PET).We aimed to explore the potential of the adjustment of age-and gender-related confounding factors on[^(18)F]FDG PET images in differentiation of Parkinson’s disease(PD),multiple system atrophy(MSA)and progressive supra-nuclear palsy(PSP).Eight hundred and seventy-seven clinically definitely diagnosed Parkinsonian patients from a benchmark Huashan Parkinsonian PET imaging database were included.An age-and gender-adjusted Z(AGAZ)score was established based on the gender-specific longitudinal metabolic changes on healthy subjects.AGAZ scores and standardized uptake value ratio(SUVR)values were quantified at regional-level and support vector machine-based error-correcting output codes method was applied for classification.Additional references of the classifications based on metabolic pattern scores were included.The feature-based AGAZ score showed the best performance in classification(accuracy for PD,MSA,PSP:93.1%,96.3%,94.8%).In both genders,the AGAZ score con-sistently achieved the best efficiency,and the improvements compared to the conventional SUVR value for PD,MSA,and PSP mainly laid in specificity(Male:5.7%;Female:11.1%),sensitivity(Male:7.2%;Female:7.3%),and sensitivity(Male:7.3%;Female:17.2%).Female patients benefited more from the adjustment on[^(18)F]FDG PET in MSA and PSP groups(absolute net reclassification index,p<0.001).Collectively,the adjustment of age-and gender-related confounding factors may improve the differential diagnosis of Parkinsonism.Particularly,the diagnosis of female Parkinsonian population has the best improvement from this correction.展开更多
Radiopharmaceutical therapy(RPT)has shown great promise in the treatment of various cancers.However,the current approach is a"one size fits all"model,which results in varied patient responses,and there is a ...Radiopharmaceutical therapy(RPT)has shown great promise in the treatment of various cancers.However,the current approach is a"one size fits all"model,which results in varied patient responses,and there is a need for personalized RPT(Fig.S1 online).This personalized approach requires a better understanding of the physics,biology,radiobiology,pharmacology,immunology,chemistry,and imaging involved in RPT[1].Multidisciplinary research using experimental,numerical,and simulation platforms would be key to accelerating progress in this area.展开更多
Ionic selectivity is of significant importance in both fundamental science and practical applications.For instance,an ion-selective material allows the passage of a particular kind of ions while blocking the others,wh...Ionic selectivity is of significant importance in both fundamental science and practical applications.For instance,an ion-selective material allows the passage of a particular kind of ions while blocking the others,which could be used for purification of materials.Herein,the Li-ion-selectivity of a garnet-type solid electrolyte is discussed by comparing the difference of activation energy between different ions migrating in solids.The high ion-selectivity is confirmed by harvesting high-purity metallic lithium(99.98 wt%)from low-lithium-purity sources(80 wt%)at a moderate temperature(190℃).This gives it huge potential in separating lithium with impurities especially alkali and alkali-earth elements.The cost of metallic lithium production is only 25%of the international lithium price.The proposed electrochemical metallic lithium separating method is advantageous compared with the traditional process in terms of efficiency,safety,and cost.展开更多
基金supported by National Natural Science Foundation of China(81671239,81361120393,82171252,81701250,81401135,81971641,91949118,81771372,82021002)the Ministry of Science and Technology of China(2016YFC1306504)+5 种基金Shanghai Municipal Science and Technology Major Project(2017SHZDZX01,2018SHZDZX03)ZJ Lab,Shanghai Aging and Maternal and Child Health Research Special Project(2020YJZX0111)Clinical Research Plan of Shanghai Hospital Development Center(SHDC-2020CR1038B),Science and Technology Innovation 2030 Major Projects(2022ZD0211600)Youth Medical Talents-Medical Imaging Practitioner Program by Shanghai Municipal Health Commission and Shanghai Medical and Health Development Foundation(SHWRS(2020)_087)the Swiss National Science Foundation(188350)Jacques&Gloria Gossweiler Foundation and Siemens Healthineers.
文摘Age and gender are the important factors for brain metabolic declines in both normal aging and neurodegeneration,and the confounding effects may influence early and differential diagnosis of neurodegenerative diseases based on the[^(18)F]fluorodeoxyglucose positron emission tomography([^(18)F]FDG PET).We aimed to explore the potential of the adjustment of age-and gender-related confounding factors on[^(18)F]FDG PET images in differentiation of Parkinson’s disease(PD),multiple system atrophy(MSA)and progressive supra-nuclear palsy(PSP).Eight hundred and seventy-seven clinically definitely diagnosed Parkinsonian patients from a benchmark Huashan Parkinsonian PET imaging database were included.An age-and gender-adjusted Z(AGAZ)score was established based on the gender-specific longitudinal metabolic changes on healthy subjects.AGAZ scores and standardized uptake value ratio(SUVR)values were quantified at regional-level and support vector machine-based error-correcting output codes method was applied for classification.Additional references of the classifications based on metabolic pattern scores were included.The feature-based AGAZ score showed the best performance in classification(accuracy for PD,MSA,PSP:93.1%,96.3%,94.8%).In both genders,the AGAZ score con-sistently achieved the best efficiency,and the improvements compared to the conventional SUVR value for PD,MSA,and PSP mainly laid in specificity(Male:5.7%;Female:11.1%),sensitivity(Male:7.2%;Female:7.3%),and sensitivity(Male:7.3%;Female:17.2%).Female patients benefited more from the adjustment on[^(18)F]FDG PET in MSA and PSP groups(absolute net reclassification index,p<0.001).Collectively,the adjustment of age-and gender-related confounding factors may improve the differential diagnosis of Parkinsonism.Particularly,the diagnosis of female Parkinsonian population has the best improvement from this correction.
基金supported by the Canadian Institutes of Health Research (CIHR) Project Grant PJT-162216Networking Health Ltd
文摘Radiopharmaceutical therapy(RPT)has shown great promise in the treatment of various cancers.However,the current approach is a"one size fits all"model,which results in varied patient responses,and there is a need for personalized RPT(Fig.S1 online).This personalized approach requires a better understanding of the physics,biology,radiobiology,pharmacology,immunology,chemistry,and imaging involved in RPT[1].Multidisciplinary research using experimental,numerical,and simulation platforms would be key to accelerating progress in this area.
基金supported by the Basic Science Center Program of the National Natural Science Foundation of China(NSFC)under Grant No.51788104Beijing Natural Science Foundation under Grant No.JQ19005.
文摘Ionic selectivity is of significant importance in both fundamental science and practical applications.For instance,an ion-selective material allows the passage of a particular kind of ions while blocking the others,which could be used for purification of materials.Herein,the Li-ion-selectivity of a garnet-type solid electrolyte is discussed by comparing the difference of activation energy between different ions migrating in solids.The high ion-selectivity is confirmed by harvesting high-purity metallic lithium(99.98 wt%)from low-lithium-purity sources(80 wt%)at a moderate temperature(190℃).This gives it huge potential in separating lithium with impurities especially alkali and alkali-earth elements.The cost of metallic lithium production is only 25%of the international lithium price.The proposed electrochemical metallic lithium separating method is advantageous compared with the traditional process in terms of efficiency,safety,and cost.
