Probabilistic Radiomics: Ambiguous Diagnosis with Controllable Shape Analysis

Radiomics analysis has achieved great success in recent years. However, conventional Radiomics analysis suffers from insufficiently expressive hand-crafted features. Recently, emerging deep learning techniques, e.g., convolutional neural networks (CNNs), dominate recent research in Computer-Aided Diagnosis (CADx). Unfortunately, as black-box predictors, we argue that CNNs are "diagnosing" voxels (or pixels), rather than lesions; in other words, visual saliency from a trained CNN is not necessarily concentrated on the lesions. On the other hand, classification in clinical applications suffers from inherent ambiguities: radiologists may produce diverse diagnosis on challenging cases. To this end, we propose a controllable and explainable {\em Probabilistic Radiomics} framework, by combining the Radiomics analysis and probabilistic deep learning. In our framework, 3D CNN feature is extracted upon lesion region only, then encoded into lesion representation, by a controllable Non-local Shape Analysis Module (NSAM) based on self-attention. Inspired from variational auto-encoders (VAEs), an Ambiguity PriorNet is used to approximate the ambiguity distribution over human experts. The final diagnosis is obtained by combining the ambiguity prior sample and lesion representation, and the whole network named $DenseSharp^{+}$ is end-to-end trainable. We apply the proposed method on lung nodule diagnosis on LIDC-IDRI database to validate its effectiveness.Comment: MICCAI 2019 (early accept), with supplementary material

Biosynthesis of Zinc Oxide Nanoparticles on l-Carnosine Biofunctionalized Polyacrylonitrile Nanofibers: a Biomimetic Wound Healing Material

Multifunctional biohybrid nanofibers (NFs) that can simultaneously drive various cellular activities and confer antibacterial properties are considered desirable in producing advanced wound healing materials. In this study, a bionanohybrid formulation was processed as a NF wound dressing to stimulate the adhesion and proliferation of fibroblast and endothelial cells that play a major role in wound healing. Polyacrylonitrile (PAN) electrospun NFs were hydrolyzed using NaOH and biofunctionalized with l-carnosine (CAR), a dipeptide which could later biosynthesize zinc oxide (ZnO) nanoparticles (NPs) on the NFs surface. The morphological study verified that ZnO NPs are uniformly distributed on the surface of CAR/PAN NFs. Through EDX and XRD analysis, it was validated that the NPs are composed of ZnO and/or ZnO/Zn(OH)2. The presence of CAR and ZnO NPs brought about a superhydrophilicity effect and notably raised the elastic modulus and tensile strength of Zn-CAR/PAN NFs. While CAR ligands were shown to improve the viability of fibroblast (L929) and endothelial (HUVEC) cells, ZnO NPs lowered the positive impact of CAR, most likely due to their repulsive negative surface charge. A scratch assay verified that CAR/PAN NFs and Zn-CAR/PAN NFs aided HUVEC migration more than PAN NFs. Also, an antibacterial assay implied that CAR/PAN NFs and Zn-CAR/PAN NFs are significantly more effective in inhibiting Staphylococcus aureus (S. aureus) than neat PAN NFs are (1000 and 500%, respectively). Taken together, compared to the neat PAN NFs, CAR/PAN NFs with and without the biosynthesized ZnO NPs can support the cellular activities of relevance for wound healing and inactivate bacteria

Envelopes for connected operation of the deepwater drilling riser

The common critical criterion and nonlinear search method were adopted for the study of connected operation envelopes of deepwater drilling riser and a riser-wellhead-conductor integral finite element model was established. The combination parameters of drilling platform offset, current speed and slip joint stroke were used to determine the riser operability envelopes. The results show that the drilling envelope has an upconing shape and is limited by lower flex joint angle when the surface current speed is low (less than 1.0 m/s). In downstream direction, when the current speed increases, the rotation angle of the lower flex joint increases and the allowable maximum offset of the platform reduces, but in upstream direction, the conditions will be opposite. When surface current speed exceeds 1.0 m/s, the drilling envelope is limited by upper flex joint angle. When it is in upstream direction, the increase of current flow will increase the rotor angle of the upper flexible joint and reduce the drilling envelope rapidly. The non-drilling envelope and emergency disconnect sequence (EDS) actuation envelope are mainly subject to the maximal equivalent stress of the conductor and they will drift towards the upstream direction with the increase of current speed. In addition, through the analysis on influence factors of connection window operation of riser, the tensile force at the top could be increased and drilling fluid density could be reduced properly, so that the drilling envelope could be expanded. Key words: deepwater drilling, riser, drilling envelope, non-drilling envelope, EDS actuation envelop

Modelling and simulation on a novel meat grinder circuit for the dynamic pulsed power load

Compared with the capacitive pulsed power supply (CPPS), the inductive pulsed power supply (IPPS) is considered to have broader prospects because of its theoretically higher energy densities. Most recent researches focus on characteristics of the IPPS with a fixed load, which is rather different from practical applications from the engineering point of view. In this paper, with the purpose of preliminarily verifying the IPPS’s feasibility, the performance of the novel meat grinder circuit with a dynamic load model is presented and analysed under PSpice environment. The analysis model is based on the parameters of the four-module IPPS and the pulsed power load built in Institute of Electrical Engineering. Finally, the comparison between the IPPS and the CPPS with same initial energy is carried out

Effect of weighting materials on carbonation of oil well cement-based composites under high temperature and CO2-rich environment

As an indispensable part of cement slurry for high temperature and high pressure oil and gas wells, weighting materials have a significant impact on the carbon dioxide corrosion of oil well cement-based composites.This paper studied the carbonation process of cement with three weighting agents, and evaluated the compressive strength and carbonation depth of cement at 150 ℃. XRD, SEM and MIP were used to study the carbonation mechanism of cement. When 21 days of carbonation, the carbonation depth growth rate of hausmannite cement was 0.21 mm/d, hematite cement was 0.24 mm/d, and barite cement was 0.31 mm/d. The compressive strength of cement decreased after carbonation,and the carbonation had a minor influence on the compressive strength of hausmannite cement and the most significant impact on barite cement. The carbonation product of oil well cement was mainly calcite. Unstable vaterite mainly existed in the barite cement sample, indicating that the barite cement sample was the most serious corrosion. In the carbonation zone, the number of pores smaller than 10 nm increased the most in the hausmannite cement sample. Pores with a diameter greater than 100 nm accounted for 1.9 % in the hausmannite cement, 3.0 % in hematite cement, and 4.8 % in barite cement. The result shows that hausmannite is the most conducive to the corrosion resistance of oil well cement

Health service utilization following systematic upper respiratory tract infections and influencing factors among urban and rural residents in Anhui, China

Paul I. Kadetz - ORCID: 0000-0002-2824-1856 https://orcid.org/0000-0002-2824-1856Item not available in this repository.Aim: This study seeks to identify healthcare utilization patterns following symptomatic respiratory tract infections (RTIs) and the variables that may influence these patterns. Background: RTIs are responsible for the bulk of the primary healthcare burden worldwide. Yet, the use of health services for RTIs displays great discrepancies between populations. This research examines the influence of social demographics, economic factors, and accessibility on healthcare utilization following RTIs. Methods: Structured interviews were administered by trained physicians at the households of informants selected by cluster randomization. Descriptive and multivariate binary logistic regression analysis was performed to assess healthcare utilization and associated independent variables. Findings: A total of 60 678 informants completed the interviews. Of the 2.9% informants exhibiting upper RTIs, 69.5–73.9% sought clinical care. Healthcare utilization rates for common cold, influenza, nine acute upper RTIs, and overall RTIs demonstrate statistically significant associations with the variables of age, type of residence, employment, medical insurance, annual food expenditure, distance to medical facilities, and others. The odds ratios for healthcare utilization rates varied substantially, ranging from 0.026 to 9.364. More than 69% of informants with RTIs sought clinical interventions. These findings signify a marked issue with the large amount of healthcare for self-limited RTIs.This work was supported by the National Natural Science Foundation of China (grant numbers 81661138001 and 81172201). Development of the project protocol and implementation were supported by funders.https://doi.org/10.1017/S146342361900089620pubpu

Cerium-Containing Bioactive Glasses Promote In Vitro Lymphangiogenesis

The lymphatic system is crucial for the regeneration of many tissues due to its fundamental role in immune cell trafficking, protein transport, and tissue homeostasis maintenance. Strategies stimulating lymphangiogenesis can provide new therapeutic approaches for tissue repair and regeneration (e.g., chronic wound healing). Here, we explored the effects of cerium-containing mesoporous bioactive glass nanoparticles (Ce-MBGNs) on lymphangiogenesis. The results showed that the extracts of Ce-MBGNs (1, 5, or 10 wt/v%) were non-cytotoxic toward lymphatic endothelial cells (LECs), while they enhanced the proliferation of LECs. Moreover, as evidenced by the scratch wound healing and Transwell migration assays, conditioned media containing the extract of Ce-MBGNs (1 wt/v%) could enhance the migration of LECs in comparison to the blank control and the media containing vascular endothelial growth factor-C (VEGF-C, 50 ng/mL). Additionally, a tube-formation assay using LECs showed that the extract of Ce-MBGNs (1 wt/v%) promoted lymphatic vascular network formation. Western blot results suggested that Ce-MBGNs could induce lymphangiogenesis probably through the HIF-1α/VEGFR-3 pathway. Our study for the first time showed the effects of Ce-MBGNs on stimulating lymphangiogenesis in vitro, highlighting the potential of Ce-MBGNs for wound healing