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Biomedical subjects

D Wei

Publications and source records attributed to D Wei.

At least 91 records · Page 5Linked to original sources

Classification of mass and normal breast tissue on digital mammograms: multiresolution texture analysis.

We investigated the feasibility of using multiresolution texture analysis for differentiation of masses from normal breast tissue on mammograms. The wavelet transform was used to decompose regions of interest (ROIs) on digitized mammograms into several scales. Multiresolution texture features were calculated from the spatial gray level dependence matrices of (1) the original images at variable distances between the pixel pairs, (2) the wavelet coefficients at different scales, and (3) the wavelet coefficients up to certain scale and then at variable distances between the pixel pairs. In this study, 168 ROIs containing biopsy-proven masses and 504 ROIs containing normal parenchyma were used as the data set. The mass ROIs were randomly and equally divided into training and test groups along with corresponding normal ROIs from the same film. Stepwise linear discriminant analysis was used to select optimal features from the multiresolution texture feature space to maximize the separation of mass and normal tissue for all ROIs. We found that texture features at large pixel distances are important for the classification task. The wavelet transform can effectively condense the image information into its coefficients. With texture features based on the wavelet coefficients and variable distances, the area Az under the receiver operating characteristic curve reached 0.89 and 0.86 for the training and test groups, respectively. The results demonstrate that a linear discriminant classifier using the multiresolution texture features can effectively classify masses from normal tissue on mammograms.

Biopsy↗

Cortical cerebral blood flow cycling: anesthesia and arterial blood pressure.

Cycling of various cerebral metabolic substances, arterial vascular diameter, and flow has been noted by many workers at a frequency near 0.1 Hz. Suspicion that this phenomenon is dependent on the type of anesthesia led us to investigate the occurrence of cerebral blood flow (CBF) cycling with different anesthetics. Fifteen Sprague-Dawley rats were anesthetized with either pentobarbital (n = 5, 40-50 mg/kg), alpha-chloralose (n = 5, 60 mg/kg), or halothane (n = 5, 1-0.5%). Body temperature was maintained at 37 degrees C. Femoral arterial and venous catheters were placed, and a tracheotomy was performed, permitting artificial ventilation with 30% O2-70% N2. A closed cranial window was formed over a 3-mm diameter craniotomy. Mean arterial pressure (MABP), arterial partial pressures of CO2 and O2 (PaCO2 and PaO2), and pH were controlled and stabilized at normal values. CBF was determined using laser Doppler flowmetry. To induce cycling, MABP was transiently and repeatedly lowered by exsanguination. Fast Fourier analysis of selected 64-s flow recordings (n = 38) was performed. CBF cycling was observed, independent of the type of anesthesia, in all animals. In 36 epochs, cycling was induced when MABP was reduced to a mean pressure of 65 +/- 1.5 mmHg. The mean frequency and amplitude were 0.094 +/- 0.003 Hz and 6.6 +/- 0.5%, respectively. Cycling occurred without blood withdrawal in two epochs. With the use of the blood-withdrawal epochs (n = 36), all three anesthetics shared a common linear slope between amplitude and blood pressure (P < 0.02) and blood pressure change (P < 0.01). Pentobarbital differed from alpha-chloralose and halothane in the relation between cycling frequency and blood pressure. Only pentobarbital exhibited correlation between frequency and blood pressure (P < 0.02) and blood pressure change (P < 0.001). The occurrence of these oscillations is not related to the type of anesthesia, and they usually occur at MABP values that are near or just above the lower limit of autoregulation. At this pressure level, CBF oscillations would suggest that vasoconstrictive and dilatory forces are no longer in balance, but alternatively vying for control.

Analysis of Variance↗

[Treatment of severe burn of knee joint with fasciocutaneous flap of the lower leg].

Burn of knee joint often happens on the extended side surface and hurts the articular capsule and cavity. Five patients with severe burn of knee joint were successfully treated with fasciocutaneous flap of the lower leg. After the operation, all the flaps survived. Three patients' articular cavity got initial sealing-up. Except two patients' joints merging, joint movement was normal or near normal, and with satisfactory appearance. The timing, key points, and advantages of this operation were discussed. The fasciocutaneous flap of the lower leg is a good selection for severe burn of knee joint.

Adolescent↗

[Early diagnosis of tuberculosis after kidney transplantation by determining serum anti-PPD-IgG].

Tuberculosis is a common complication after kidney transplantation and is not easy to diagnose in the early stage. Determination of serum anti-PPD-IgG level in our laboratory indicated that it was positive in patients with active tuberculosis. The mean time (20.5 days) required to diagnose with this method was obviously shorter than that (66.8 days) required with bacteriology, pathology or imaging. There was no obvious rise in the serum level of anti-PPD-IgG in fever caused by other infections and rejection and the serum anti-PPD-IgG level in patients with tuberculosis controlled returned to normal. It is shown that determination of serum specific antibody is a better index for early diagnosis of tuberculosis complicating kidney transplantation.

Adult↗

[Tuberculosis in chronic renal failure patients with or without renal replacement therapy].

Tuberculosis developed in 40 out of 978 chronic renal failure (CRF) patients with or without renal replacement therapy during a five-year period. The incidence was 4.1% and was 10 times higher than that in the general population. The onset of symptoms was within 1 year after dialysis or kidney transplantation in 68% of the patients. 82.5% of them had predominantly extrapulmonary tuberculosis and most of these were lymph node infection. The diagnosis of tuberculosis in these patients was difficult; tuberculin sensitivity was present only in 6.4% of the patients and examination of sputum and other fluid for mycobacteria was usually unrewarding. Detecting serum anti-PPD-IgG level might be a valuable supplementary diagnostic method, because 85% of patients with active tuberculosis showed positive results. Measuring serous exudate and urine anti-PPD-IgG level by ELISA or M. Tuberculosis DNA by PCR might be helpful in the diagnosis of tuberculous serositis and urinary tract mycobacterial infection.

Adult↗

[Effects of electroacupuncture on gastrin, mast cell and gastric mucosal barrier in the course of protecting rat stress peptic ulcer].

The experimental Wistar rats were divided into two groups, the acupuncture group and the control group. Stress-induced gastric ulcer models were established by immersion of restrained rats in water. The electroacupuncture was able to protect stress rat from stress induced peptic ulcer. The results indicated that electroacupuncture protecting rat from stress ulceration was relevant to enhancing gastric mucosal barrier, stabilizing gastric mast cell and inhibiting the gastrin levels in gastric mucous.

Animals↗

The spectrum of chronic lymphoproliferative disorders in Chinese people. An analysis of 64 cases.

BACKGROUND: Chronic lymphoproliferative disorders are considered rare in Oriental patients and are thought to constitute only 2% of all leukemias in these patients, compared to 20-30% in Western patients. We conducted a retrospective analysis of Chinese patients with chronic lymphoproliferative disorders to define the frequency and spectrum of these disorders. METHODS: A consecutive series of Chinese patients with leukemia and lymphoproliferative disorders seen at two regional hospitals in Hong Kong were analyzed retrospectively. The diagnosis of chronic lymphoproliferative disorders was based on morphologic and immunologic criteria proposed by the French-American-British Cooperative Study Group. RESULTS: Sixty-four Chinese patients with chronic lymphoproliferative disorders were identified, and these patients constituted 19% of a total of 342 cases of leukemia diagnosed in 3 years. Chronic lymphocytic leukemia was the most common form, occurring at a frequency of 12.5% of all leukemias. The clinicopathologic features of these patients were similar to those of Western patients, except that Chinese patients tended to present with more advanced (Rai's Stages III and IV; Binet's Stage C) and bulky (splenomegaly > 9 cm) disease, and expressed lambda light chain about six times more frequently. Other chronic lymphoproliferative disorders identified in this study included prolymphocytic leukemia, mantle zone lymphoma, hairy cell leukemia, splenic lymphoma with villous lymphocytes, large granular lymphocyte leukemia, and Sezary syndrome. The authors did not identify any case of human T-cell lymphotropic virus-I-related lymphoproliferative disorders within the study period. CONCLUSION: In addition to providing the frequencies of various chronic lymphoproliferative disorders in southern Chinese people, this study also showed that these disorders no longer should be considered rare in this population. Inherent biologic differences between lymphoproliferative disorders in Chinese and Western patients also may exist.

Adult↗

Human endothelial cells are defective in diabetic vascular disease.

Diabetic vascular disease is characterized pathologically by endothelial cell (EC) hyperplasia and basement membrane (BM) thickening. One key question regarding the pathogenesis of diabetic vascular disease is whether the EC or BM or both are primarily defective and responsible for these pathological changes. Previous studies, which took the approach of creating artificial diabetic conditions, have been inconclusive. It is known, however, that the extracellular matrix may be altered by glycosylation as a result of hyperglycemia, thereby altering EC function. To begin to address this question and more closely mimic the situation in vivo, we characterized human diabetic EC harvested from insulin-dependent diabetic mothers (IDDM) at the cellular and molecular levels. Human EC were isolated from both normal and IDDM umbilical cords and cellular functions evaluated using standard assays of attachment (% attached cells), proliferation (cpm/cell), resistance to detachment under shear stress (number of cells remaining attached), and glucose uptake (cpm/2 X 10(4) cells). Gene expression of major BM components (collagen type IV, laminin beta 1, and laminin beta 2) was quantified by Northern analysis. Diabetic EC demonstrated increased proliferation (two- to eightfold compared to normals), were 20-40% less resistant to shear stress and took up glucose 10-15% more slowly than normal EC. Furthermore, Northern analysis showed that the expression of major BM components was increased by an average of 10-18% in diabetic cells compared to normal cells. These results were consistent with in vivo observations and previously published data.(ABSTRACT TRUNCATED AT 250 WORDS)

Basement Membrane↗

Thermal method for continuous measurement of cerebral perfusion.

A new thermal system using constant heating power for continuous measurement of cerebral perfusion is presented. It is designed and implemented for optimal perfusion sensitivity and dynamic response based on heat-transfer analysis of perfused brain tissue with thermistors on the cortical surface. Two matched thermistors are used, one to serve as a perfusion sensor and the other to compensate for the base-line temperature changes. To improve the signal-to-noise ratio of the measurement system, lock-in amplifiers are used to minimise long-term drift and low-frequency noise. Errors in the measurement caused by electrical and thermal fluctuations are tested and analysed. In vitro tests show that the measurement accuracy of temperature change is better than 10(-3) degrees C, and the temperature resolution is even greater. In vivo evaluation confirms that the system is responsive to cerebral perfusion changes associated with sudden changes in mean arterial blood pressure caused by bolus injection of norepinephrine, blood withdrawal and blood infusion. The dynamic response of the system is sufficient to detect the autoregulatory perfusion changes in response to arterial blood pressure alteration and the oscillations of cerebral blood flow.

Animals↗

Philadelphia chromosome positive acute lymphoblastic leukemia masquerading as persistent asymptomatic bone marrow necrosis.

Bone marrow necrosis is an uncommon histologic finding of malignant diseases at presentation. Clinically it is characterized by pyrexia and severe bone pain, and heralds a poor prognosis if untreated. We report an unusual patient with asymptomatic bone marrow necrosis persisting for 10 mths, a hitherto undescribed length of time for this condition. The diagnosis of Philadelphia chromosome positive acute lymphoblastic leukemia was finally made after multiple bone marrow biopsies.

Aged↗

[Development of a monoclonal antibody (AF9) to human breast carcinoma].

A monoclonal antibody AF9 (IgG1) was raised against human breast carcinoma by fusing murine myeloma SP2/0 cells with spleen cells from BALB/c mice immunized with cell membrane extracts from primary breast carcinoma. Immunohistochemical staining using the antibody showed reactivity in 19 out of 20 breast carcinoma tissues and in some nonbreast carcinomas such as hepatic, ovarian, lung, colon, and gastric carcinoma tissues. But no staining was observed in either normal tissues or other carcinomas. By immunological treatment, the antigen recognized by AF9 was referred to be glycoprotein with lipid component, and Western blotting revealed that its molecular weight is 51, 56, 67 and 73kd.

Animals↗

Determination of oxygen permeability and volumetric oxygen transfer rate of shaken flasks.

The oxygen permeability passing through the gauze layer and the actual and apparent volumetric oxygen transfer rate, KLa and (KLa)app, respectively, were determined in specially designed Erlenmeyer flasks, which have an oxygen electrode inserted in the middle part of flasks. The oxygen transfer rate was determined by sulfite oxidation. As a result, the oxygen permeability passing through 8 layers of gauze at 37 degrees C, 220 rpm, with 50 ml sulfite solution in a 500-ml flask was 43.7 mol/m.h atm; as the oxygen partial pressure decreased by 6.1%, the value of KLa increased by 100%; the relationship between rotational speed of shaker, n(rpm); volume of flask, V(ml); liquid content in flask, VL(ml); temperature of shaker, t(degrees C) and KLa, as well as (KLa)app (1/h) were: [formula: see text]

Chemical Engineering↗

High incidence of thrombophilia detected in Chinese patients with venous thrombosis.

Venous thromboembolism is rare in Chinese. To determine the incidence and disease profile of thrombophilia in Chinese patients with thrombosis, 52 unselected Chinese patients with documented venous thrombosis were studied for the presence of thrombophilia. Levels of antithrombin III (AT III), protein C (PC) and protein S (PS) as well as the presence of acquired lupus anticoagulant (LA) and anticardiolipin antibody (ACA) were investigated. Thirty patients were found to be abnormal. These consisted of 5 AT III deficiencies, 9 PC deficiencies, 10 PS deficiencies, 1 combined PC & PS deficiency (all in the heterozygous range), and 5 patients with LA and/or ACA. When the patients with LA and/or ACA are excluded, the incidence of hereditary thrombophilia is 25/47 i.e. 53.2% which is much higher than those reported in studies of Caucasian patients selected under strict criteria. Family studies performed in 16 cases of hereditary thrombophilia revealed involvement in 11 cases (68.7%); a total of 36 heterozygous family members were affected, most of which remain asymptomatic. Although 35 events predisposing to thrombosis (27 pregnancies, 1 oral contraceptive consumption and 7 surgical operations) were identified among these index patients, and the heterozygous family members, thrombosis was observed on only 6 occasions (17.1%). The data suggest that pregnancy and surgery do not carry the same degree of thrombotic risk in Chinese as in the Caucasian population with heterozygous AT III, PC and PS deficiency.

Adolescent↗

Isolation and characterization of early pregnancy factor.

Early pregnancy factor (EPF) was purified from the pooled sera of 210 pregnant women at 3-8 weeks of gestation. Sera from healthy nonpregnant women were used as control. The samples (G-II, G-III and G-IV) obtained from pregnant women had EPF activity but no HCG activity. Polyacrylamide gel electrophoresis showed that the major bands in pregnant G-III and G-IV were at similar positions in tube gels. The results of SDS-PAGE showed 3 bands in pregnant G-IV: 57.0 kD, 38.0 kD and 19.0 kD. The basic active form of EPF may be a small peptide of 19.0 kD. The isoelectric points of pregnant G-IV were 6.45 and 8.20.

Chaperonin 10↗

Quantitative analysis of the cardiac reserve.

OBJECTIVES: Analysis of the left ventricular (LV) pressure-volume loop (P-V loop) to assess LV function. DESIGN: Retrospective study of clinical, hemodynamic and angiographic data of 29 normal individuals and 115 patients with myocardial dysfunction, but no valvular or congenital heart disease. P-V loops were constructed, critically analyzed and compared with the clinical functional status of the patients. MAIN RESULTS: A number of theoretical new concepts was introduced and measured: end-systolic energy (ESE), total LV energy (TE) and potential maximal LV energy (PEmax). These variables were compared with the stroke work, which is neither sensitive nor specific, to separate different stages of cardiac function. ESE, TE and PEmax are sensitive variables, and inversely related to the cardiac reserve. CONCLUSIONS: P-V loops are easy to construct using well recorded hemodynamic and angiographic data. Analysis of P-V loops provides the cardiologist with an overall picture of the myocardial function and reserve.

Aged↗

Near-octaploidy in essential thrombocythemia.

We report a case of essential thrombocythemia which on cytogenetic analysis showed an abnormal clone with near-octaploidy. Such hyperploidy is extremely unusual in clonal hematologic abnormalities. The possible significance of this finding is discussed.

Aged↗