Objective:To observe the effects of Chinese drugs for supplementing qi,nourishing yin and activating blood circulation on the myocardial perfusion in acute myocardial infarction(AMI) patients after revascularization.M...Objective:To observe the effects of Chinese drugs for supplementing qi,nourishing yin and activating blood circulation on the myocardial perfusion in acute myocardial infarction(AMI) patients after revascularization.Methods:Eighty patients with anterior or inferior ventricular wall AMI,who had received revascularization by intravenous thrombolysis or coronary bypass,were randomized into the treated group and the control group equally,both treated with conventional Western medical treatment,but combined,resp...展开更多
Pantograph system of high-speed trains become significant source of aerodynamic noise when travelling speed exceeds 300 km/h. In this paper, a hybrid method of non-linear acoustic solver （NLAS） and Ffowcs Williams-H...Pantograph system of high-speed trains become significant source of aerodynamic noise when travelling speed exceeds 300 km/h. In this paper, a hybrid method of non-linear acoustic solver （NLAS） and Ffowcs Williams-Hawkings （FW-H） acoustic analogy is used to predict the aerodynamic noise of pantograph system in this speed range. When the simulation method is validated by a benchmark problem of flows around a cylinder of finite span, we calculate the near flow field and far acoustic field surrounding the pantograph system. And then, the frequency spectra and acoustic attenuation with distance are analyzed, showing that the pantograph system noise is a typical broadband one with most acoustic power restricted in the medium-high frequency range from 200 Hz to 5 kHz. The aerodynamic noise of pantograph systems radiates outwards in the form of spherical waves in the far field. Analysis of the overall sound pressure level （OASPL） at different speeds exhibits that the acoustic power grows approximately as the 4th power of train speed. The comparison of noise reduction effects for four types of pantograph covers demonstrates that only case 1 can lessen the total noise by about 3 dB as baffles on both sides can shield sound wave in the spanwise direction. The covers produce additional aerodynamic noise themselves in the other three cases and lead to the rise of OASPLs.展开更多
The mechanical properties and acoustic emission characteristics of thick hard roof sandstone were investigated. Samples were taken from the 30.87-m thick sandstone roof in a mine in the Shengdong coal field, China. Fi...The mechanical properties and acoustic emission characteristics of thick hard roof sandstone were investigated. Samples were taken from the 30.87-m thick sandstone roof in a mine in the Shengdong coal field, China. Firstly, the composition and microscopic characteristics were analyzed by XRD and FE-SEM, respectively. Moreover, the indirect tensile test, uniaxial compression test, three axis compression experiment and AE test are carried out by using RMT-150C mechanics experiment system with DSS-8B AE test system. The experiment results indicate that the main framework particles of sandstone are quartz and feldspar, and mainly quartz. Cements are mainly pyrite, kaolinite, chlorite and zeolite cross needle, clinochlore, and clay minerals. The microstructure of sandstone is very dense, with few pores and high cementation degree. The tensile strength, compressive strength and elastic modulus of sandstone are 4.825, 85.313 MPa, 13.814 GPa, respectively, so the sandstone belongs to hard rock. The AE cumulative counts of sandstone can be divided into three phases： relatively flat growth period, rapid growth period and spurt period. The signal strength of AE waveform can be used as a warning signal. In the tensile fracture zone, the warning value is 0.4 mV, and in the compression shear failure zone, it is 4 mV. The numbers of cumulative counts of AE under different stress conditions have obvious difference. Moreover, the growth of cumulative counts of acoustic emission is more obvious when the stress is more than 60% of the peak stress.展开更多
We have calculated the longitudinal acoustic phonon limited electron mobility of 14 twvo-dimensional semiconductors with composition of MX2, where M （= Mo, W, Sn, Hf, Zr and Pt） is the transition metal, and X is S, ...We have calculated the longitudinal acoustic phonon limited electron mobility of 14 twvo-dimensional semiconductors with composition of MX2, where M （= Mo, W, Sn, Hf, Zr and Pt） is the transition metal, and X is S, Se and Te. We treated the scattering matrix by the deformation potential approximation. We found that out of 14 compounds, MoTe2, HfSe2 and ZrSe2 are promising regarding to their possible high mobility and finite band gap. The phonon limited mobility can be above 2,500 cm^2·V^-1·s^-1 at room temperature.展开更多
AIM:To investigate whether a noninvasive measurement of tissue strain has a potential usefulness for management of nonalcoholic steatohepatitis(NASH).METHODS:In total 26 patients,23 NASHs and 3 normal controls were en...AIM:To investigate whether a noninvasive measurement of tissue strain has a potential usefulness for management of nonalcoholic steatohepatitis(NASH).METHODS:In total 26 patients,23 NASHs and 3 normal controls were enrolled in this study.NASH was staged based on Brunt criterion.At a region of interest(ROI),a shear wave was evoked by implementing an acoustic radiation force impulse(ARFI),and the propagation velocity was quantif ied.RESULTS:Shear wave velocity(SWV) could be reproducibly quantified at all ROIs in all subjects except for 4 NASH cases,in which a reliable SWV value was not calculated at several ROIs.An average SWV of 1.34 ± 0.26 m/s in fibrous stage 0-1 was significantly slower than 2.20 ± 0.74 m/s and 2.90 ± 1.01 m/s in stages 3 and 4,respectively,but was not significantly different from 1.79 ± 0.78 m/s in stage 2.When a cutoff value was set at 1.47 m/s,receiver operating characteristic analysis showed significance to dissociate stages 3 and 4 from stage 0-1(P=0.0092) with sensitivity,specificity and area under curve of 100%,75% and 94.2%,respectively.In addition,the correlation between SWV and hyaluronic acid was significant(P<0.0001),while a tendency toward negative correlation was observed with serum albumin(P=0.053).CONCLUSION:The clinical implementation of ARFI provides noninvasive repeated evaluations of liver stiffness at an arbitrary position,which has the potential to shed new light on NASH management.展开更多
AIM: To evaluate cut-off values and performance of acoustic radiation force impulse imaging (ARFI) using transient elastography [FibroScan■ (FS)] as a reference. METHODS: Six hundred and six patients were enrolled in...AIM: To evaluate cut-off values and performance of acoustic radiation force impulse imaging (ARFI) using transient elastography [FibroScan■ (FS)] as a reference. METHODS: Six hundred and six patients were enrolled in this study.All patients underwent liver stiffness measurement with FS (FS-LS) and ARFI (with shear wave velocity quantification; ARFI-SWV) and the performance of ARFI in comparison to FS was determined. Sixtyeight patients underwent liver biopsy. RESULTS: Significantly higher success rates for the determination of liver stiffness were found using ARFI as compared to FS [604/606 (99.7%) vs 482/606 (79.5%); P < 0.001]. ARFI-SWV correlated significantly with FS-LS (r = 0.920, P < 0.001). ARFI-SWV increased significantly with the stage of fibrosis (1.09 ± 0.13 m/s for patients with no significant fibrosis (FS-LS < 7.6 kPa); 1.46 ± 0.27 m/s for patients with significant liver fibrosis (7.6 < FS-LS ≤ 13.0 kPa); and 2.55 ± 0.77 m/s for patients with liver cirrhosis (FS-LS > 13.0 kPa)). ARFI-SWV cut-off values were identified for no significant fibrosis (1.29 m/s; sensitivity 91.4% and specificity 92.6%) and for liver cirrhosis (1.60 m/s; sensitivity 92.3% and specificity 96.5%). The optimal cut-off value for predicting liver fibrosis (F ≥ 2) was 1.32 m/s (sensitivity 87.0% and specificity 80.0%) and for liver cirrhosis (F4) 1.62 m/s (sensitivity 100% and specificity 85.7%), for patients who underwent liver biopsy. An excellent inter-and intraobserver reproducibility was observed for ARFI-SWV determinations. CONCLUSION: An ARFI-SWV cut-off value of 1.29 m/s seems to be optimal for patients with no significant liver fibrosis and 1.60 m/s for patients with liver cirrhosis.展开更多
Microseismic/acoustic emission(MS/AE)source localization method is crucial for predicting and controlling of potentially dangerous sources of complex structures.However,the locating errors induced by both the irregula...Microseismic/acoustic emission(MS/AE)source localization method is crucial for predicting and controlling of potentially dangerous sources of complex structures.However,the locating errors induced by both the irregular structure and pre-measured velocity are poorly understood in existing methods.To meet the high-accuracy locating requirements in complex three-dimensional hole-containing structures,a velocity-free MS/AE source location method is developed in this paper.It avoids manual repetitive training by using equidistant grid points to search the path,which introduces A*search algorithm and uses grid points to accommodate complex structures with irregular holes.It also takes advantage of the velocity-free source location method.To verify the validity of the proposed method,lead-breaking tests were performed on a cubic concrete test specimen with a size of 10 cm10 cm10 cm.It was cut out into a cylindrical empty space with a size of/6cm10 cm.Based on the arrivals,the classical Geiger method and the proposed method are used to locate lead-breaking sources.Results show that the locating error of the proposed method is 1.20 cm,which is less than 2.02 cm of the Geiger method.Hence,the proposed method can effectively locate sources in the complex three-dimensional structure with holes and achieve higher precision requirements.展开更多
Chronic hepatitis B(CHB)infection is a major public health problem associated with significant morbidity and mortality worldwide.Twenty-three percent of patients with CHB progress naturally to liver cirrhosis,which wa...Chronic hepatitis B(CHB)infection is a major public health problem associated with significant morbidity and mortality worldwide.Twenty-three percent of patients with CHB progress naturally to liver cirrhosis,which was earlier thought to be irreversible.However,it is now known that cirrhosis can in fact be reversed by treatment with oral anti-nucleotide drugs.Thus,early and accurate diagnosis of cirrhosis is important to allow an appropriate treatment strategy to be chosen and to predict the prognosis of patients with CHB.Liver biopsy is the reference standard for assessment of liver fibrosis.However,the method is invasive,and is associated with pain and complications that can be fatal.In addition,intra-and inter-observer variability compromises the accuracy of liver biopsy data.Only small tissue samples are obtained and fibrosis is heterogeneous in such samples.This confounds the two types of observer variability mentioned above.Such limitations have encouraged development of non-invasive methods for assessment of fibrosis.These include measurements of serum biomarkers of fibrosis;and assessment of liver stiffness via transient elastography,acoustic radiation force impulse imaging,real-time elastography,or magnetic resonance elastography.Although significant advances have been made,most work to date has addressed the diagnostic utility of these techniques in the context of cirrhosis caused by chronic hepatitis C infection.In the present review,we examine the advantages afforded by use of non-invasive methods to diagnose cirrhosis in patients with CHB infections and the utility of such methods in clinical practice.展开更多
Composite materials are increasingly used in the aerospace industry.To fully realise the weight saving potential along with superior mechanical properties that composites offer in safety critical applications,reliable...Composite materials are increasingly used in the aerospace industry.To fully realise the weight saving potential along with superior mechanical properties that composites offer in safety critical applications,reliable Non-Destructive Testing(NDT)methods are required to prevent catastrophic failures.This paper will review the state of the art in the field and point to highlight the success and challenges that different NDT methods are faced to evaluate the integrity of critical aerospace composites.The focus will be on advanced certificated NDT methods for damage detection and characterization in composite laminates for use in the aircraft primary and secondary structures.展开更多
As one of the main aerodynamic noise sources of high-speed trains, the pantograph is a complex structure containing many components, and the flow around it is extremely dynamic, with high-level turbulence. This study ...As one of the main aerodynamic noise sources of high-speed trains, the pantograph is a complex structure containing many components, and the flow around it is extremely dynamic, with high-level turbulence. This study analyzed the near-field unsteady flow around a pantograph using a large-eddy simulation(LES) with high-order finite difference schemes. The far-field aerodynamic noise from a pantograph was predicted using a computational fluid dynamics(CFD)/Ffowcs Williams-Hawkings(FW-H) acoustic analogy. The surface oscillating pressure data were also used in a boundary element method(BEM) acoustic analysis to predict the aerodynamic noise sources of a pantograph and the far-field sound radiation. The results indicated that the main aerodynamic noise sources of the pantograph were the panhead, base frame and knuckle. The panhead had the largest contribution to the far-field aerodynamic noise of the pantograph. The vortex shedding from the panhead generated tonal noise with the dominant peak corresponding to the vortex shedding frequency and the oscillating lift force exerted back on the fluid around the panhead.Additionally, the peak at the second harmonic frequency was associated with the oscillating drag force. The contribution of the knuckle-downstream direction to the pantograph aerodynamic noise was less than that of the knuckle-upstream direction of the pantograph, and the average sound pressure level(SPL) was 3.4 dBA. The directivity of the noise radiated exhibited a typical dipole pattern in which the noise directivity was obvious at the horizontal plane of θ=0°,the longitudinal plane of θ=120°,and the vertical plane of θ=90°.展开更多
AIM:To determine whether acoustic radiation force impulse(ARFI) elastography is a reliable method for predicting fibrosis severity in patients with chronic hepatitis C virus(HCV) hepatitis.METHODS:We performed a multi...AIM:To determine whether acoustic radiation force impulse(ARFI) elastography is a reliable method for predicting fibrosis severity in patients with chronic hepatitis C virus(HCV) hepatitis.METHODS:We performed a multicenter study including 274 subjects with HCV chronic hepatitis in which we compared ARFI with liver biopsy(LB).In each patient we performed LB(evaluated according to the Metavir score) and ARFI measurements(using a Siemens Acuson S2000TM ultrasound system:10 valid measurements were performed and median values were calculated and expressed in meters/second(m/s).RESULTS:A direct,strong,correlation(Spearman r = 0.707) was found between ARFI measurements and fibrosis(P < 0.0001).For predicting the presence of fibrosis(F ≥ 1 Metavir),significant fibrosis(F ≥ 2),severe fibrosis(F ≥ 3) and cirrhosis(F = 4),the cutoff values of 1.19,1.21,1.58 and 1.82 m/s were determined,respectively,liver stiffness measurements had 73%,84%,84% and 91% Se respectively;93%,91%,94%,90% Sp,respectively;with AUROCs of 0.880,0.893,0.908 and 0.937,respectively.CONCLUSION:ARFI measurement is a reliable method for predicting the severity of fibrosis in HCV展开更多
AIM: To assess whether acoustic radiation force impulse (ARFI) elastography can differentiate normal from pathological thyroid parenchyma. METHODS: We evaluated 136 subjects (mean age 45.8 ± 15.6 years, 106 women...AIM: To assess whether acoustic radiation force impulse (ARFI) elastography can differentiate normal from pathological thyroid parenchyma. METHODS: We evaluated 136 subjects (mean age 45.8 ± 15.6 years, 106 women and 30 men): 44 (32.3%) without thyroid pathology, 48 (35.3%) with Basedow-Graves’ disease (GD), 37 (27.2%) with chronic autoimmune thyroiditis (CAT; diagnosed by specific tests), 4 (2.9%) with diffuse thyroid goiter and 3 (2.2%) cases with thyroid pathology induced by amiodarone. In all patients, 10 elastographic measurements were made in the right thyroid lobe and 10 in the left thyroid lobe, using a 1-4.5 MHZ convex probe and a 4-9 MHz linear probe, respectively. Median values were calculated for thyroid stiffness and expressed in meters/second (m/s). RESULTS: Thyroid stiffness (TS) assessed by means of ARFI in healthy subjects (2 ± 0.40 m/s) was significantly lower than in GD (2.67 ± 0.53 m/s) (P < 0.0001) and CAT patients (2.43 ± 0.58 m/s) (P = 0.0002), but the differences were not significant between GD vs CAT patients (P = 0.053). The optimal cut-off value for the prediction of diffuse thyroid pathology was 2.36 m/s. For this cut-off value, TS had 62.5% sensitivity, 79.5% specificity, 87.6% predictive positive value, 55.5% negative predictive value and 72.7% accuracy for the presence of diffuse thyroid gland pathology (AUROC = 0.804). There were no significant differences between the TS values obtained with linear vs convex probes and when 5 vs 10 measurements were taken in each lobe (median values). CONCLUSION: ARFI seems to be a useful method for the assessment of diffuse thyroid gland pathology.展开更多
基金Supported by the National Key Technologies Research and Development Program of China during the 10th Five-Year Plan Period(No.2003BA712A11)
文摘Objective:To observe the effects of Chinese drugs for supplementing qi,nourishing yin and activating blood circulation on the myocardial perfusion in acute myocardial infarction(AMI) patients after revascularization.Methods:Eighty patients with anterior or inferior ventricular wall AMI,who had received revascularization by intravenous thrombolysis or coronary bypass,were randomized into the treated group and the control group equally,both treated with conventional Western medical treatment,but combined,resp...
基金supported by the National Key Technology R&D Program (2009BAG12A03)Innovation Project of Chinese Academy of Sciences of China (KJCX2-EW-L02-1)
文摘Pantograph system of high-speed trains become significant source of aerodynamic noise when travelling speed exceeds 300 km/h. In this paper, a hybrid method of non-linear acoustic solver （NLAS） and Ffowcs Williams-Hawkings （FW-H） acoustic analogy is used to predict the aerodynamic noise of pantograph system in this speed range. When the simulation method is validated by a benchmark problem of flows around a cylinder of finite span, we calculate the near flow field and far acoustic field surrounding the pantograph system. And then, the frequency spectra and acoustic attenuation with distance are analyzed, showing that the pantograph system noise is a typical broadband one with most acoustic power restricted in the medium-high frequency range from 200 Hz to 5 kHz. The aerodynamic noise of pantograph systems radiates outwards in the form of spherical waves in the far field. Analysis of the overall sound pressure level （OASPL） at different speeds exhibits that the acoustic power grows approximately as the 4th power of train speed. The comparison of noise reduction effects for four types of pantograph covers demonstrates that only case 1 can lessen the total noise by about 3 dB as baffles on both sides can shield sound wave in the spanwise direction. The covers produce additional aerodynamic noise themselves in the other three cases and lead to the rise of OASPLs.
文摘The mechanical properties and acoustic emission characteristics of thick hard roof sandstone were investigated. Samples were taken from the 30.87-m thick sandstone roof in a mine in the Shengdong coal field, China. Firstly, the composition and microscopic characteristics were analyzed by XRD and FE-SEM, respectively. Moreover, the indirect tensile test, uniaxial compression test, three axis compression experiment and AE test are carried out by using RMT-150C mechanics experiment system with DSS-8B AE test system. The experiment results indicate that the main framework particles of sandstone are quartz and feldspar, and mainly quartz. Cements are mainly pyrite, kaolinite, chlorite and zeolite cross needle, clinochlore, and clay minerals. The microstructure of sandstone is very dense, with few pores and high cementation degree. The tensile strength, compressive strength and elastic modulus of sandstone are 4.825, 85.313 MPa, 13.814 GPa, respectively, so the sandstone belongs to hard rock. The AE cumulative counts of sandstone can be divided into three phases： relatively flat growth period, rapid growth period and spurt period. The signal strength of AE waveform can be used as a warning signal. In the tensile fracture zone, the warning value is 0.4 mV, and in the compression shear failure zone, it is 4 mV. The numbers of cumulative counts of AE under different stress conditions have obvious difference. Moreover, the growth of cumulative counts of acoustic emission is more obvious when the stress is more than 60% of the peak stress.
文摘We have calculated the longitudinal acoustic phonon limited electron mobility of 14 twvo-dimensional semiconductors with composition of MX2, where M （= Mo, W, Sn, Hf, Zr and Pt） is the transition metal, and X is S, Se and Te. We treated the scattering matrix by the deformation potential approximation. We found that out of 14 compounds, MoTe2, HfSe2 and ZrSe2 are promising regarding to their possible high mobility and finite band gap. The phonon limited mobility can be above 2,500 cm^2·V^-1·s^-1 at room temperature.
文摘AIM:To investigate whether a noninvasive measurement of tissue strain has a potential usefulness for management of nonalcoholic steatohepatitis(NASH).METHODS:In total 26 patients,23 NASHs and 3 normal controls were enrolled in this study.NASH was staged based on Brunt criterion.At a region of interest(ROI),a shear wave was evoked by implementing an acoustic radiation force impulse(ARFI),and the propagation velocity was quantif ied.RESULTS:Shear wave velocity(SWV) could be reproducibly quantified at all ROIs in all subjects except for 4 NASH cases,in which a reliable SWV value was not calculated at several ROIs.An average SWV of 1.34 ± 0.26 m/s in fibrous stage 0-1 was significantly slower than 2.20 ± 0.74 m/s and 2.90 ± 1.01 m/s in stages 3 and 4,respectively,but was not significantly different from 1.79 ± 0.78 m/s in stage 2.When a cutoff value was set at 1.47 m/s,receiver operating characteristic analysis showed significance to dissociate stages 3 and 4 from stage 0-1(P=0.0092) with sensitivity,specificity and area under curve of 100%,75% and 94.2%,respectively.In addition,the correlation between SWV and hyaluronic acid was significant(P<0.0001),while a tendency toward negative correlation was observed with serum albumin(P=0.053).CONCLUSION:The clinical implementation of ARFI provides noninvasive repeated evaluations of liver stiffness at an arbitrary position,which has the potential to shed new light on NASH management.
文摘AIM: To evaluate cut-off values and performance of acoustic radiation force impulse imaging (ARFI) using transient elastography [FibroScan■ (FS)] as a reference. METHODS: Six hundred and six patients were enrolled in this study.All patients underwent liver stiffness measurement with FS (FS-LS) and ARFI (with shear wave velocity quantification; ARFI-SWV) and the performance of ARFI in comparison to FS was determined. Sixtyeight patients underwent liver biopsy. RESULTS: Significantly higher success rates for the determination of liver stiffness were found using ARFI as compared to FS [604/606 (99.7%) vs 482/606 (79.5%); P < 0.001]. ARFI-SWV correlated significantly with FS-LS (r = 0.920, P < 0.001). ARFI-SWV increased significantly with the stage of fibrosis (1.09 ± 0.13 m/s for patients with no significant fibrosis (FS-LS < 7.6 kPa); 1.46 ± 0.27 m/s for patients with significant liver fibrosis (7.6 < FS-LS ≤ 13.0 kPa); and 2.55 ± 0.77 m/s for patients with liver cirrhosis (FS-LS > 13.0 kPa)). ARFI-SWV cut-off values were identified for no significant fibrosis (1.29 m/s; sensitivity 91.4% and specificity 92.6%) and for liver cirrhosis (1.60 m/s; sensitivity 92.3% and specificity 96.5%). The optimal cut-off value for predicting liver fibrosis (F ≥ 2) was 1.32 m/s (sensitivity 87.0% and specificity 80.0%) and for liver cirrhosis (F4) 1.62 m/s (sensitivity 100% and specificity 85.7%), for patients who underwent liver biopsy. An excellent inter-and intraobserver reproducibility was observed for ARFI-SWV determinations. CONCLUSION: An ARFI-SWV cut-off value of 1.29 m/s seems to be optimal for patients with no significant liver fibrosis and 1.60 m/s for patients with liver cirrhosis.
基金The authors wish to acknowledge financial support from the National Natural Science Foundation of China(51822407 and 51774327)Natural Science Foundation of Hunan Province in China(2018JJ1037)Innovation Driven project of Central South University(2020CX014).
文摘Microseismic/acoustic emission(MS/AE)source localization method is crucial for predicting and controlling of potentially dangerous sources of complex structures.However,the locating errors induced by both the irregular structure and pre-measured velocity are poorly understood in existing methods.To meet the high-accuracy locating requirements in complex three-dimensional hole-containing structures,a velocity-free MS/AE source location method is developed in this paper.It avoids manual repetitive training by using equidistant grid points to search the path,which introduces A*search algorithm and uses grid points to accommodate complex structures with irregular holes.It also takes advantage of the velocity-free source location method.To verify the validity of the proposed method,lead-breaking tests were performed on a cubic concrete test specimen with a size of 10 cm10 cm10 cm.It was cut out into a cylindrical empty space with a size of/6cm10 cm.Based on the arrivals,the classical Geiger method and the proposed method are used to locate lead-breaking sources.Results show that the locating error of the proposed method is 1.20 cm,which is less than 2.02 cm of the Geiger method.Hence,the proposed method can effectively locate sources in the complex three-dimensional structure with holes and achieve higher precision requirements.
基金Supported by A grant of the South Korea Healthcare technology R and D projectMinistry of Health and Welfare+1 种基金South KoreaNo.HI10C2020
文摘Chronic hepatitis B(CHB)infection is a major public health problem associated with significant morbidity and mortality worldwide.Twenty-three percent of patients with CHB progress naturally to liver cirrhosis,which was earlier thought to be irreversible.However,it is now known that cirrhosis can in fact be reversed by treatment with oral anti-nucleotide drugs.Thus,early and accurate diagnosis of cirrhosis is important to allow an appropriate treatment strategy to be chosen and to predict the prognosis of patients with CHB.Liver biopsy is the reference standard for assessment of liver fibrosis.However,the method is invasive,and is associated with pain and complications that can be fatal.In addition,intra-and inter-observer variability compromises the accuracy of liver biopsy data.Only small tissue samples are obtained and fibrosis is heterogeneous in such samples.This confounds the two types of observer variability mentioned above.Such limitations have encouraged development of non-invasive methods for assessment of fibrosis.These include measurements of serum biomarkers of fibrosis;and assessment of liver stiffness via transient elastography,acoustic radiation force impulse imaging,real-time elastography,or magnetic resonance elastography.Although significant advances have been made,most work to date has addressed the diagnostic utility of these techniques in the context of cirrhosis caused by chronic hepatitis C infection.In the present review,we examine the advantages afforded by use of non-invasive methods to diagnose cirrhosis in patients with CHB infections and the utility of such methods in clinical practice.
基金the support of NVIDIA Corporation with the donation of the Titan Xp GPU used for this researchsupported by EPSRC grant EP/R002495/1the European Metrology Research Programme through grant 17IND08。
文摘Composite materials are increasingly used in the aerospace industry.To fully realise the weight saving potential along with superior mechanical properties that composites offer in safety critical applications,reliable Non-Destructive Testing(NDT)methods are required to prevent catastrophic failures.This paper will review the state of the art in the field and point to highlight the success and challenges that different NDT methods are faced to evaluate the integrity of critical aerospace composites.The focus will be on advanced certificated NDT methods for damage detection and characterization in composite laminates for use in the aircraft primary and secondary structures.
基金supported by the High-Speed Railway Basic Research Fund Key Project of China(Grant No.U1234208)the National Key Research and Development Program of China(Grant No.2016YFB1200403)+1 种基金the National Natural Science Foundation of China(Grant Nos.51475394&51605397)the Research Project of State Key Laboratory of Traction Power(Grant No.2016TPL_T02)
文摘As one of the main aerodynamic noise sources of high-speed trains, the pantograph is a complex structure containing many components, and the flow around it is extremely dynamic, with high-level turbulence. This study analyzed the near-field unsteady flow around a pantograph using a large-eddy simulation(LES) with high-order finite difference schemes. The far-field aerodynamic noise from a pantograph was predicted using a computational fluid dynamics(CFD)/Ffowcs Williams-Hawkings(FW-H) acoustic analogy. The surface oscillating pressure data were also used in a boundary element method(BEM) acoustic analysis to predict the aerodynamic noise sources of a pantograph and the far-field sound radiation. The results indicated that the main aerodynamic noise sources of the pantograph were the panhead, base frame and knuckle. The panhead had the largest contribution to the far-field aerodynamic noise of the pantograph. The vortex shedding from the panhead generated tonal noise with the dominant peak corresponding to the vortex shedding frequency and the oscillating lift force exerted back on the fluid around the panhead.Additionally, the peak at the second harmonic frequency was associated with the oscillating drag force. The contribution of the knuckle-downstream direction to the pantograph aerodynamic noise was less than that of the knuckle-upstream direction of the pantograph, and the average sound pressure level(SPL) was 3.4 dBA. The directivity of the noise radiated exhibited a typical dipole pattern in which the noise directivity was obvious at the horizontal plane of θ=0°,the longitudinal plane of θ=120°,and the vertical plane of θ=90°.
文摘AIM:To determine whether acoustic radiation force impulse(ARFI) elastography is a reliable method for predicting fibrosis severity in patients with chronic hepatitis C virus(HCV) hepatitis.METHODS:We performed a multicenter study including 274 subjects with HCV chronic hepatitis in which we compared ARFI with liver biopsy(LB).In each patient we performed LB(evaluated according to the Metavir score) and ARFI measurements(using a Siemens Acuson S2000TM ultrasound system:10 valid measurements were performed and median values were calculated and expressed in meters/second(m/s).RESULTS:A direct,strong,correlation(Spearman r = 0.707) was found between ARFI measurements and fibrosis(P < 0.0001).For predicting the presence of fibrosis(F ≥ 1 Metavir),significant fibrosis(F ≥ 2),severe fibrosis(F ≥ 3) and cirrhosis(F = 4),the cutoff values of 1.19,1.21,1.58 and 1.82 m/s were determined,respectively,liver stiffness measurements had 73%,84%,84% and 91% Se respectively;93%,91%,94%,90% Sp,respectively;with AUROCs of 0.880,0.893,0.908 and 0.937,respectively.CONCLUSION:ARFI measurement is a reliable method for predicting the severity of fibrosis in HCV
文摘AIM: To assess whether acoustic radiation force impulse (ARFI) elastography can differentiate normal from pathological thyroid parenchyma. METHODS: We evaluated 136 subjects (mean age 45.8 ± 15.6 years, 106 women and 30 men): 44 (32.3%) without thyroid pathology, 48 (35.3%) with Basedow-Graves’ disease (GD), 37 (27.2%) with chronic autoimmune thyroiditis (CAT; diagnosed by specific tests), 4 (2.9%) with diffuse thyroid goiter and 3 (2.2%) cases with thyroid pathology induced by amiodarone. In all patients, 10 elastographic measurements were made in the right thyroid lobe and 10 in the left thyroid lobe, using a 1-4.5 MHZ convex probe and a 4-9 MHz linear probe, respectively. Median values were calculated for thyroid stiffness and expressed in meters/second (m/s). RESULTS: Thyroid stiffness (TS) assessed by means of ARFI in healthy subjects (2 ± 0.40 m/s) was significantly lower than in GD (2.67 ± 0.53 m/s) (P < 0.0001) and CAT patients (2.43 ± 0.58 m/s) (P = 0.0002), but the differences were not significant between GD vs CAT patients (P = 0.053). The optimal cut-off value for the prediction of diffuse thyroid pathology was 2.36 m/s. For this cut-off value, TS had 62.5% sensitivity, 79.5% specificity, 87.6% predictive positive value, 55.5% negative predictive value and 72.7% accuracy for the presence of diffuse thyroid gland pathology (AUROC = 0.804). There were no significant differences between the TS values obtained with linear vs convex probes and when 5 vs 10 measurements were taken in each lobe (median values). CONCLUSION: ARFI seems to be a useful method for the assessment of diffuse thyroid gland pathology.
