Children often suffer wrist injuries in daily life, while fracture injuring radiologists usually need to analyze and interpret X-ray images before surgical treatment by surgeons. The development of ...deep learning has enabled neural network models to work as computer-assisted diagnosis (CAD) tools to help doctors and experts in diagnosis. Since the YOLOv8 models have obtained the satisfactory success in object detection tasks, it has been applied to fracture detection. The Global Context (GC) block effectively models the global context in a lightweight way, and incorporating it into YOLOv8 can greatly improve the model performance. This paper proposes the YOLOv8+GC model for fracture detection, which is an improved version of the YOLOv8 model with the GC block. Experimental results demonstrate that compared to the original YOLOv8 model, the proposed YOLOv8-GC model increases the mean average precision calculated at intersection over union threshold of 0.5 (mAP 50) from 63.58% to 66.32% on the GRAZPEDWRI-DX dataset, achieving the state-of-the-art (SOTA) level. The implementation code for this work is available on GitHub at https://github.com/RuiyangJu/YOLOv8_Global_Context_Fracture_Detection.
Abstract only Background: Post-resuscitation myocardial dysfunction is a model of global ischemia-reperfusion (IR) injury that is associated with poor prognosis. Flavonoids baicalein has been shown ...to reduce myocardial IR injury. We therefore investigated the role of baicalein in mitigating post-resuscitation myocardial dysfunction and the potential protective mechanisms. Methods: Using an established rat model of asphyxia cardiac arrest and CPR, we administered baicalein (20 mg/kg) 2 h before cardiac arrest and compared the left ventricular (LV) function with those of standard CPR control. The arterial blood was sampled for measurement of reactive oxygen species (ROS) using chemiluminescence method. The LV systolic and diastolic functions were assessed by dP/dt max and -dP/dt max. Two hours after return of spontaneous circulation (ROSC), the heart was harvested for measurement of malondialdehyde (MDA), phosphorylation of Akt and endothelial nitric oxide synthase (eNOS). In a subgroup with minimal invasive procedures, the survival and neurological outcomes were monitored up to 3 days. Results: In standard CPR group, the systemic ROS generation and myocardial MDA were increased in the post-resuscitation phase. The dP/dt max and -dP/dt max were significantly compromised. Treatment of baicalein reduced systemic ROS and myocardial MDA (both P <0.001), and improved post-CPR dP/dt max and -dP/dt max ( P <0.05 and 0.01, respectively). The survival and neurological outcomes were also ameliorated (Logrank P < 0.001 and P < 0.01, respectively). In terms of the protective mechanism, the phosphorylated Akt (p-Akt) and eNOS (p-eNOS) of the heart 2 h post-CPR were both increased in baicalein group. If NOS inhibitor N ω -nitro-L-arginine methyl ester (10 mg/kg) was cotreated with baicalein, the improved dP/dt max and -dP/dt max were diminished. The survival and neurological outcomes also became worse. If phosphoinositide 3 kinase (PI3K) inhibitor wortmannin (15 μ g/kg) was cotreated, the increased p-Akt and p-eNOS were reversed. The improvements in LV function and survival/neurological outcomes were also abrogated. Conclusion: Baicalein improves post-resuscitation myocardial dysfunction and prognosis through antioxidant protection and PI3K-Akt-eNOS signaling.
Abstract 3799
Mutations of the DNMT3A gene, which encodes the enzyme DNA methyltransferase 3A, were identified in patients with myeloid malignancies and are associated with poor prognosis in primary ...AML patients. However, the clinical and prognostic implications of these mutations in myelodysplastic syndrome (MDS) remain to be determined.
A total of 328 de novo MDS patients diagnosed according to French-American-British (FAB) criteria at the National Taiwan University Hospital who had cryopreserved bone marrow cells for study were recruited into mutational analyses. Mutations in DNMT3A gene at exon 2–23 were analyzed by polymerase chain reaction and direct sequencing. The results were correlated with clinical features, cytogenetics, gene mutations and treatment outcomes.
Among the 328 patients, 115 patients (35.0%) had refractory anemia (RA), 19 (5.8%) had RA with ring sideroblasts (RARS), 122 (37.2%) had RA with excess blasts (RAEB), 35 (10.7%) had RAEB in transformation (RAEBT), and 37 (11.3 %) had chronic myelomonocytic leukemia (CMMoL). DNMT3A mutations at 20 different positions were identified in 33 patients, including thirteen missense mutations, two nonsense mutations and five frame-shift mutations. Among these 33 patients, 31 had single mutation of DNMT3A, and the other 2 patients had double mutations. The most common mutation was R882H (n = 8), followed by R882C (n = 7), Y735C (n=2), and R720H (n=2). All other mutations were detected in only one patient each. Totally, DNMT3A mutations were identified in 33 (10.1%) of 328 patients diagnosed according to the FAB classification and in 25 (9.8%) of 256 diagnosed according to 2008 WHO classification.
DNMT3A-mutated patients were older (median age, 74 years vs. 66 years, P=0.048) and had higher platelet counts at diagnosis than DNMT3A-wild patients (median, 123.5×103/μL vs. 73 ×103/μL, P=0.016). According to FAB classification, patients with RARS had the highest incidence (26.3%) of DNMT3A mutations, followed by RAEBT (14.3%), RAEB (11.5%), and CMMoL (8.1%), whereas those with RA had the lowest incidence (5.2%, P=0.035). Chromosome data were available in 308 patients (93.9%) at diagnosis and clonal chromosomal abnormalities were detected in 155 patients (50.3%). There was no difference in the distribution of 2008 WHO classification, karyotype and international prognostic scoring system (IPSS) between patients with and without DNMT3A mutations.
To investigate the association of gene mutations in the pathogenesis of MDS, a mutational screening of 10 other genes was also performed. Among the 33 patients with DNMT3A mutations, 16 patients (48.5%) showed additional molecular abnormalities at diagnosis, including seven with concurrent IDH1/IDH2 mutations, seven ASXL1 mutations, five AML1/RUNX1 mutations, two MLL-PTD, two RAS mutations and one JAK2 mutation. Eight of these 16 patients (50%) had two other concurrent mutations, and the others had one additional mutation. It's clear that DNMT3A mutation was closely interacted with IDH mutation in MDS (IDH mutation occurring in 21.2% of DNMT3A-mutated patients vs. 3.4% in DNMT3A-wild ones, P=0.001).
With a median follow-up of 57.6 months (range, 0.1–250.7 months), there was no significant difference in overall survival (OS) between patients with and without DNMT3A mutation by either FAB or 2008 WHO classifications (median, 22.5 months vs. 30.9 months, P=0.669 and 25.2 months vs. 34.9 months, P=0.538, respectively) as well as in the rate of acute transformation. However, among the subgroup of patients with RA by FAB classification or refractory cytopenia with unilineage dysplasia by 2008 WHO classification, DNMT3A-mutated patients had significantly shorter OS than DNMT3A-wild patients (median, 28.3 months vs. 39.8 months, P<0.001 and 23.8 months vs. 40.3 months, P=0.026, respectively). Further, DNMT3A mutation is an independent poor prognostic factor in these two subgroups.
Our findings provided evidence that DNMT3A mutations could be detected in a substantial portion of de novo MDS patients. DNMT3A mutations are associated with distinct clinical and biological features and poor prognosis in selected groups of patients.
No relevant conflicts of interest to declare.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Wrist trauma and even fractures occur frequently in daily life, particularly among children who account for a significant proportion of fracture cases. Before performing surgery, surgeons often ...request patients to undergo X-ray imaging first and prepare for it based on the analysis of the radiologist. With the development of neural networks, You Only Look Once (YOLO) series models have been widely used in fracture detection as computer-assisted diagnosis (CAD). In 2023, Ultralytics presented the latest version of the YOLO models, which has been employed for detecting fractures across various parts of the body. Attention mechanism is one of the hottest methods to improve the model performance. This research work proposes YOLOv8-AM, which incorporates the attention mechanism into the original YOLOv8 architecture. Specifically, we respectively employ four attention modules, Convolutional Block Attention Module (CBAM), Global Attention Mechanism (GAM), Efficient Channel Attention (ECA), and Shuffle Attention (SA), to design the improved models and train them on GRAZPEDWRI-DX dataset. Experimental results demonstrate that the mean Average Precision at IoU 50 (mAP 50) of the YOLOv8-AM model based on ResBlock + CBAM (ResCBAM) increased from 63.6% to 65.8%, which achieves the state-of-the-art (SOTA) performance. Conversely, YOLOv8-AM model incorporating GAM obtains the mAP 50 value of 64.2%, which is not a satisfactory enhancement. Therefore, we combine ResBlock and GAM, introducing ResGAM to design another new YOLOv8-AM model, whose mAP 50 value is increased to 65.0%. The implementation code for this study is available on GitHub at https://github.com/RuiyangJu/Fracture_Detection_Improved_YOLOv8.
The introduction of YOLOv9, the latest version of the You Only Look Once (YOLO) series, has led to its widespread adoption across various scenarios. This paper is the first to apply the YOLOv9 ...algorithm model to the fracture detection task as computer-assisted diagnosis (CAD) to help radiologists and surgeons to interpret X-ray images. Specifically, this paper trained the model on the GRAZPEDWRI-DX dataset and extended the training set using data augmentation techniques to improve the model performance. Experimental results demonstrate that compared to the mAP 50-95 of the current state-of-the-art (SOTA) model, the YOLOv9 model increased the value from 42.16% to 43.73%, with an improvement of 3.7%. The implementation code is publicly available at https://github.com/RuiyangJu/YOLOv9-Fracture-Detection.
Migraine is a high-prevalence and disabling neurological disorder. However, information migraine management in real-world settings could be limited to traditional health information sources. In this ...paper, we (i) verify that there is substantial migraine-related chatter available on social media (Twitter and Reddit), self-reported by migraine sufferers; (ii) develop a platform-independent text classification system for automatically detecting self-reported migraine-related posts, and (iii) conduct analyses of the self-reported posts to assess the utility of social media for studying this problem. We manually annotated 5750 Twitter posts and 302 Reddit posts. Our system achieved an F1 score of 0.90 on Twitter and 0.93 on Reddit. Analysis of information posted by our 'migraine cohort' revealed the presence of a plethora of relevant information about migraine therapies and patient sentiments associated with them. Our study forms the foundation for conducting an in-depth analysis of migraine-related information using social media data.
Previous brain imaging studies have demonstrated a seasonal difference of serotonin transporter (SERT) binding in the human brain. However, the results were somewhat contradictory. We conducted ...test-retest study with single photon emission computed tomography (SPECT) with super(123I-ADAM as ligand in 28 healthy subjects. ten of the subjects were studied within 1 month, whereas 18 were randomly assigned to be studied over a period of up to 1 year. The primary measure was the specific uptake ratio (SUR). Regions of interest included the midbrain, thalamus, putamen and caudate. The intra-class correlation coefficient (ICC) was 0.52-0.94 across different brain regions over 1 month, whereas the ICC was - 0.24 - 0.63 over a 1 -year period. The 1 -month variability ranged from 6.5 +/- 5.1% to 12.5 +/- 10.6% across different brain regions, and the 1 -year variability ranged from 16.5 +/- 9.6% to 41.9 +/- 35.5%. The Kruskal-Wallis test revealed a significant difference of variability across months. The Wilcoxon Signed Ranks Test showed the SUR between test-retest scans was of borderline significance. Curve fitting, using a 4th degree polynomial model, revealed a significant circadian correlation between the variability and interval of test-retest measurements. Our findings demonstrate the test-retest reproducibility of ) super(1)23I-ADAM in different time periods and suggest that circadian variation of SERT levels in the human brain might exist.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
Previous brain imaging studies have demonstrated a seasonal difference of serotonin transporter (SERT) binding in the human brain. However, the results were somewhat contradictory. We conducted ...test–retest study with single photon emission computed tomography (SPECT) with 123I-ADAM as ligand in 28 healthy subjects. Ten of the subjects were studied within 1month, whereas 18 were randomly assigned to be studied over a period of up to 1year. The primary measure was the specific uptake ratio (SUR). Regions of interest included the midbrain, thalamus, putamen and caudate. The intra-class correlation coefficient (ICC) was 0.52–0.94 across different brain regions over 1month, whereas the ICC was -0.24–0.63 over a 1-year period. The 1-month variability ranged from 6.5±5.1% to 12.5±10.6% across different brain regions, and the 1-year variability ranged from 16.5±9.6% to 41.9±35.5%. The Kruskal–Wallis test revealed a significant difference of variability across months. The Wilcoxon Signed Ranks Test showed the SUR between test-retest scans was of borderline significance. Curve fitting, using a 4th degree polynomial model, revealed a significant circadian correlation between the variability and interval of test-retest measurements. Our findings demonstrate the test–retest reproducibility of 123I-ADAM in different time periods and suggest that circadian variation of SERT levels in the human brain might exist.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
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