3,087 research outputs found
Diagnostic Accuracy of CEUS LI-RADS for the Characterization of Liver Nodules 20 mm or Smaller in Patients at Risk for Hepatocellular Carcinoma.
Background: American College of Radiology contrast agent–enhanced US Liver Imaging Reporting and Data System (CEUS LI-RADS) was developed to improve the accuracy of hepatocellular carcinoma (HCC) diagnosis at contrast agent2enhanced US. However, to the knowledge of the authors, the diagnostic accuracy of the system in characterization of liver nodules 20 mm or smaller has not been fully evaluated.
Purpose: To evaluate the diagnostic accuracy of CEUS LI-RADS in diagnosing HCC in liver nodules 20 mm or smaller in patients at risk for HCC.
Materials and Methods: Between January 2015 and February 2018, consecutive patients at risk for HCC presenting with untreated liver nodules 20 mm or less were enrolled in this retrospective double-reader study. Each nodule was categorized according to the CEUS LI-RADS and World Federation for Ultrasound in Medicine and Biology (WFUMB)–European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) criteria. Diagnostic performance of CEUS LI-RADS and WFUMB-EFSUMB characterization was evaluated by using tissue histologic analysis, multiphase contrast-enhanced CT and MRI, and imaging follow-up as reference standard and compared by using McNemar test.
Results: The study included 175 nodules (mean diameter, 16.1 mm 6 3.4) in 172 patients (mean age, 51.8 years 6 10.6; 136 men). The sensitivity of CEUS LR-5 versus WFUMB-EFSUMB criteria in diagnosing HCC was 73.3% (95% confidence inter-val [CI]: 63.8%, 81.5%) versus 88.6% (95% CI: 80.9%, 94%), respectively (P, .001). The specificity of CEUS LR-5 versus WFUMB-EFSUMB criteria was 97.1% (95% CI: 90.1%, 99.7%) versus 87.1% (95% CI: 77%, 94%), respectively (P = .02). No malignant lesions were found in CEUS LR-1 and LR-2 categories. Only two nodules (of 41; 5%, both HCC) were malignant in CEUS LR-3 category. The incidences of HCC in CEUS LR-4, LR-5, and LR-M were 48% (11 of 23), 98% (77 of 79), and 75% (15 of 20), respectively. Two of 175 (1.1%) histologic analysis2confirmed intrahepatic cholangiocarcinomas were categorized as CEUS LR-M by CEUS LI-RADS and misdiagnosed as HCC by WFUMB-EFSUMB criteria.
Conclusion: The contrast-enhanced US Liver Imaging Reporting and Data System (CEUS LI-RADS) algorithm was an effective tool for characterization of small (≤20 mm) liver nodules in patients at risk for hepatocellular carcinoma (HCC). Compared with World Federation for Ultrasound in Medicine and Biology2European Federation of Societies for Ultrasound in Medicine and Biology criteria, CEUS LR-5 demonstrated higher specificity for diagnosing small HCCs with lower sensitivity
Five-dimensional generalized gravity with curvature-matter coupling
The generalized gravity with curvature-matter coupling in
five-dimensional (5D) spacetime can be established by assuming a
hypersurface-orthogonal spacelike Killing vector field of 5D spacetime, and it
can be reduced to the 4D formulism of FRW universe. This theory is quite
general and can give the corresponding results to the Einstein gravity,
gravity with both no-coupling and non-minimal coupling in 5D spacetime as
special cases, that is, we would give the some new results besides previous
ones given by Ref.\cite{60}. Furthermore, in order to get some insight into the
effects of this theory on the 4D spacetime, by considering a specific type of
models with and , we not
only discuss the constraints on the model parameters , , but also
illustrate the evolutionary trajectories of the scale factor , the
deceleration parameter and the scalar field , in
the reduced 4D spacetime. The research results show that this type of
gravity models given by us could explain the current accelerated expansion of
our universe without introducing dark energy.Comment: arXiv admin note: text overlap with arXiv:0912.4581,
arXiv:gr-qc/0411066 by other author
Observation of forbidden phonons and dark excitons by resonance Raman scattering in few-layer WS
The optical properties of the two-dimensional (2D) crystals are dominated by
tightly bound electron-hole pairs (excitons) and lattice vibration modes
(phonons). The exciton-phonon interaction is fundamentally important to
understand the optical properties of 2D materials and thus help develop
emerging 2D crystal based optoelectronic devices. Here, we presented the
excitonic resonant Raman scattering (RRS) spectra of few-layer WS excited
by 11 lasers lines covered all of A, B and C exciton transition energies at
different sample temperatures from 4 to 300 K. As a result, we are not only
able to probe the forbidden phonon modes unobserved in ordinary Raman
scattering, but also can determine the bright and dark state fine structures of
1s A exciton. In particular, we also observed the quantum interference between
low-energy discrete phonon and exciton continuum under resonant excitation. Our
works pave a way to understand the exciton-phonon coupling and many-body
effects in 2D materials.Comment: 14 pages, 11 figure
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