Rectal hemangiopericytoma in a 37-year-old woman: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Hemangiopericytoma is an uncommon perivascular tumor. Rectal Hemangiopericytomas are extremely rare. To the best of our knowledge, only two cases have been reported in the literature.</p> <p>Case presentation</p> <p>We report the case of a 37-year-old Asian woman with an Hemangiopericytoma rising from the anterior wall of her rectum. Abdominopelvic computed tomography showed a 7.4 cm solid mass between her uterus and her rectum. Heterogeneous gradual enhancement after intravenous injection of contrast material was noted with several tortuous vessels around her tumor. Intra-operative findings indicated a capsule and well-circumscribed solid tumor connecting with the anterior wall of her rectum by a small pedicle. With immunohistochemical stains, her tumor cells reacted positive for Bcl-2, CD34, and ki67 and negative for CD10, CD117, S100, and Desmin. Follow-up computed tomography scans have shown no tumor recurrence or metastasis signs.</p> <p>Conclusions</p> <p>Rectal Hemangiopericytoma is a rare tumor with non-specific imaging findings. Hemangiopericytomas should be included in the differential list when a massive tumor with heterogeneously gradual enhancement in the regions of the rectum is encountered.</p

Radiation inactivation analysis of H+-pyrophosphatase from submitochondrial particles of etiolated mung bean seedlings

AbstractRadiation inactivation analysis was employed to determine the functional masses of enzymatic activity and proton translocation of H+-pyrophosphatase from submitochondrial particles of etiolated mung bean seedlings. The activities of H+-pyrophosphatase decayed as a simple exponential function with respect to radiation dosage. D37 values of 6.9±0.3 and 7.5±0.5 Mrad were obtained for pyrophosphate hydrolysis and its associated proton translocation, yielding molecular masses of 170±7 and 156±11 kDa, respectively. In the presence of valinomycin and 50 mM KCl, the functional size of H+-pyrophosphatase of tonoplast was decreased, while that of submitochondrial particles remained the same, indicating that they are two distinct types of proton pump using PPi as their energy source

Investigating the Trade-Off between Design and Operational Flexibility in Continuous Manufacturing of Pharmaceutical Tablets: A Case Study of the Fluid Bed Dryer

Market globalisation, shortened patent lifetimes and the ongoing shift towards personalised medicines exert unprecedented pressure on the pharmaceutical industry. In the push for continuous pharmaceutical manufacturing, processes need to be shown to be agile and robust enough to handle variations with respect to product demands and operating conditions. In this paper we examine the use of operational envelopes to study the trade-off between the design and operational flexibility of the fluid bed dryer at the heart of a tablet manufacturing process. The operating flexibility of this unit is key to the flexibility of the full process and its supply chain. The methodology shows that for the fluid bed dryer case study there is significant effect on flexibility of the process at different drying times with the optimal obtained at 700 s. The flexibility is not affected by the change in volumetric flowrate, but only by the change in temperature. Here the method used a black box model to show how it could be done without access to the full model equation set, as this often needs to be the case in commercial settings

Diagnostic value of two dimensional shear wave elastography combined with texture analysis in early liver fibrosis.

BACKGROUND: Staging diagnosis of liver fibrosis is a prerequisite for timely diagnosis and therapy in patients with chronic hepatitis B. In recent years, ultrasound elastography has become an important method for clinical noninvasive assessment of liver fibrosis stage, but its diagnostic value for early liver fibrosis still needs to be further improved. In this study, the texture analysis was carried out on the basis of two dimensional shear wave elastography (2D-SWE), and the feasibility of 2D-SWE plus texture analysis in the diagnosis of early liver fibrosis was discussed. AIM: To assess the diagnostic value of 2D-SWE combined with textural analysis in liver fibrosis staging. METHODS: This study recruited 46 patients with chronic hepatitis B. Patients underwent 2D-SWE and texture analysis; Young\u27s modulus values and textural patterns were obtained, respectively. Textural pattern was analyzed with regard to contrast, correlation, angular second moment (ASM), and homogeneity. Pathological results of biopsy specimens were the gold standard; comparison and assessment of the diagnosis efficiency were conducted for 2D-SWE, texture analysis and their combination. RESULTS: 2D-SWE displayed diagnosis efficiency in early fibrosis, significant fibrosis, severe fibrosis, and early cirrhosis (AUC \u3e 0.7, P \u3c 0.05) with respective AUC values of 0.823 (0.678-0.921), 0.808 (0.662-0.911), 0.920 (0.798-0.980), and 0.855 (0.716-0.943). Contrast and homogeneity displayed independent diagnosis efficiency in liver fibrosis stage (AUC \u3e 0.7, P \u3c 0.05), whereas correlation and ASM showed limited values. AUC of contrast and homogeneity were respectively 0.906 (0.779-0.973), 0.835 (0.693-0.930), 0.807 (0.660-0.910) and 0.925 (0.805-0.983), 0.789 (0.639-0.897), 0.736 (0.582-0.858), 0.705 (0.549-0.883) and 0.798 (0.650-0.904) in four liver fibrosis stages, which exhibited equivalence to 2D-SWE in diagnostic efficiency (P \u3e 0.05). Combined diagnosis (PRE) displayed diagnostic efficiency (AUC \u3e 0.7, P \u3c 0.01) for all fibrosis stages with respective AUC of 0.952 (0.841-0.994), 0.896 (0.766-0.967), 0.978 (0.881-0.999), 0.947 (0.835-0.992). The combined diagnosis showed higher diagnosis efficiency over 2D-SWE in early liver fibrosis (P \u3c 0.05), whereas no significant differences were observed in other comparisons (P \u3e 0.05). CONCLUSION: Texture analysis was capable of diagnosing liver fibrosis stage, combined diagnosis had obvious advantages in early liver fibrosis, liver fibrosis stage might be related to the hepatic tissue hardness distribution

Investigation of ultra-thin Al₂O₃ film as Cu diffusion barrier on low-k (k=2.5) dielectrics

Ultrathin Al(2)O(3) films were deposited by PEALD as Cu diffusion barrier on low-k (k=2.5) material. The thermal stability and electrical properties of the Cu/low k system with Al(2)O(3) layers with different thickness were studied after annealing. The AES, TEM and EDX results revealed that the ultrathin Al(2)O(3) films are thermally stable and have excellent Cu diffusion barrier performance. The electrical measurements of dielectric breakdown and TDDB tests further confirmed that the ultrathin Al(2)O(3) film is a potential Cu diffusion barrier in the Cu/low-k interconnects system

Testing and Data Reduction of the Chinese Small Telescope Array (CSTAR) for Dome A, Antarctica

The Chinese Small Telescope ARray (hereinafter CSTAR) is the first Chinese astronomical instrument on the Antarctic ice cap. The low temperature and low pressure testing of the data acquisition system was carried out in a laboratory refrigerator and on the 4500m Pamirs high plateau, respectively. The results from the final four nights of test observations demonstrated that CSTAR was ready for operation at Dome A, Antarctica. In this paper we present a description of CSTAR and the performance derived from the test observations.Comment: Accepted Research in Astronomy and Astrophysics (RAA) 1 Latex file and 20 figure

The diagnostic value of elastography and ultrasound contrast in papillary thyroid microcarcinoma

目的 评估弹性成像与超声造影（CEUS）两种检查技术对鉴别诊断甲状腺微小乳头状癌（TMC）的价值。方法  对常规超声检测出且定性困难的73例80个甲状腺微小结节进行弹性成像及CEUS检查，所有结节均经手术病理证实。比较两种检查方法的准确性。结果 80个结节中CEUS诊断正确率为85.0%（68/80）,其中6例TMC误诊为良性病变，6例良性结节误诊为TMC；弹性成像5分法诊断正确率为92.5%（74/80）,其中3例TMC误诊为良性结节，3例良性结节误诊为TMC。性成像诊断甲状腺微小癌的敏感性94.0%，特异性90.0%，准确性92.5%；CEUS诊断甲状腺微小癌的敏感性88.0%，特异性80.0%，准确性85.0%。结论 CEUS和弹性成像对于诊断TMC方面均有价值，但弹性评分≥3作为诊断TMC的敏感性、特异性及准确性均高于CEUS。Objective: To assess the value of elastic imaging and CEUS two inspection techniques for differential diagnosis of thyroid papillary carcinoma (TMC). Method: To do elastic imaging and CEUS checks to 73 cases of 80 thyroid nodules which was tested by conventional ultrasonic and difficult to quantify. All nodules were confirmed by surgery and pathologic examination. Comparing the accuracy of both detection methods. Result: Of the 80 nodules, the accuracy of CEUS diagnosis was 85.0%（68/80）,  of which 6 cases were misdiagnosed as benign lesions, and 6cases of benign nodules were misdiagnosed as TMC: the accuracy of 5-point scale criteria of elastography was 92.5%（74/80）, of which 3 TMC were misdiagnosed as benign nodules: and 3 benign nodules were misdiagnosed as TMC. The application of elastography in the diagnosis of thyroid microcarcinoma displayed a sensitivity of 94.0%, a specificity of 90.0% and an accuracy of 92.5%. Elastography detection was more advantagerous than CEUS in the diagnosis of thyroid microcarcinoma, and compared to CEUS , the differences were statistically significant（P &lt;0.05）.Conclusion: Elastography and Ultrasound Contrast have highly practical value to diagnosis of TMC.  The sensitivity specificity and accuracy of using elastic score ≥3 as criteria of diagnosis of TMC was higher than that of CEUS

Analysis and realization of pathology diagnosis on intraoperative frozen sections of papillary thyroid carcinoma

目的  探讨术中冷冻切片在甲状腺肿瘤手术中的应用，提高甲状腺乳头状癌术中冷冻病理诊断的准确率。方法  回顾性观察我科43例甲状腺乳头状癌患者的术中冷冻切片。结果  术中冷冻切片诊断甲状腺乳头状癌43例，确诊率为100%。结论  为提高术中冷冻切片病理诊断的准确性，必须加强与临床医师沟通，详细了解患者的临床资料，正确全面的取材，掌握甲状腺乳头状癌的病理诊断及鉴别要点，提高冷冻切片质量。Objective:To explore the application of intraoperative frozen sections in thyroid tumor surgery and to improve its diagnostic accuracy in thyroid tumor surgery. Methods:To respectively analyze the intraoperative frozen sections of 43 cases of papillary thyroid carcinoma in our department. Results:By intraoperative frozen sections, 43 cases of papillary thyroid carcinoma were diagnosed, the diagnostic accuracy amounting to 100%.Conclusion:Increasing the diagnosis accuracy of intraoperative frozen sections counts in understanding clinical data in detail，drawing materials correctly and comprehensively，commanding common papillary thyroid carcinoma pathologic diagnosis and differentiated points，enhancing the communication with clinicians and improving the quality of frozen sections