Progressive Enhancement Research Articles

Cystitis glandularis: MR imaging characteristics in 27 patients.

To explore the diagnostic characteristics of cystitis glandularis (CG) using magnetic resonance imaging (MRI). A retrospective study was conducted on pathologically confirmed patients who underwent bladder MRI examination between January 2019 and November 2023. Image analysis was jointly conducted, with emphasis on lesion location, morphology, size, signal intensity, and pattern of enhancement, by two genitourinary radiologists with 22 and 15 years of experience, respectively. A total of 27 patients with 27 lesions were included (median age 47 years, 24 males). The lesions were mostly located in the bladder trigone area (18/27). The lesions could be categorized as focal thickening (17/27), nodular (8/27), and diffuse thickening of the entire bladder (2/27) in morphological terms. On T2-weighted imaging (T2WI), 15 of 17 focal thickening lesions appeared as a slightly hyperintense thickened inner layer, with a higher signal in the center of the thickened inner layer, resembling a sandwich sign, and 6 of 8 nodular lesions were slightly hyperintense. On T1-weighted imaging (T1WI), 19 patients showed slight hypointensity. The lesions on DWI showed mainly high (5/27) and slightly high signal (21/27), with an average mean apparent diffusion coefficient (mADC) value of 2.171 ± 0.052 × 10-3mm2/s. Among the 23 patients who underwent dynamic contrast-enhanced (DCE) scanning, 18 lesions showed mild enhancement in the arterial phase (average 1.7 times comparing to unenhanced phase), and the degree of enhancement gradually increased in the venous and delayed phases (average 2.2 and 2.3 times compared to the unenhanced phase, respectively), showing a progressive enhancement pattern. On MRI, the majority of CG manifest as focal thickening or nodules in the bladder trigone area, showing slight hyperintensity on T2WI, slight hypointensity on T1WI, and a progressive enhancement pattern, without significant restriction on DWI. Focal thickening lesions may exhibit a special sandwich sign.

Highly efficient bimetallic counter cations-based tungsten bronzes electrocatalysts developed for sustainable oxygen evolution in acidic solution

This study involves the designing of monophosphate tungsten bronzes (MPTBs) with a combination of earth-abundant Al and Ni counter cations synthesized via the solution combustion as robust, highly efficient electrocatalysts for oxygen evolution reaction (OER) in 1.0 M H2SO4 solution. A series of mixed Al and Ni counter cations-based MPTBs was prepared at different temperatures and characterized with various sophisticated techniques concerning their compositions, morphologies, microstates, and electronic states. The catalyst with Al/Ni ratio of 1:3 of tetragonal cube-shaped MPTB calcined at 700 °C ((Al1/3,Ni)-MPTB7) exhibited an extraordinary OER performance with a larger electrochemically active surface area, almost zero onset overpotential (η), and a lower solar cell-equivalent η (i.e., at 10 mA cm−2) of 199 mV that is lower than that obtained with the state-of-the-art RuO2 catalyst. A progressive enhancement of the performance of the catalysts was noticed for a 12 h OER run, ensuring the robustness of the materials developed for a long-term application. The mixed valency states of tungsten (W), i.e., W5+/W6+ states, along with higher oxygen vacancies of (Al1/3,Ni)-MPTB7 are evaluated to tender suitably oriented active sites for effective adsorption of H2O during the OER. A substantial increase in oxygen vacancies and W5+ state, particularly the W5+4f7/2 state in the catalysts, resulted from a spin-exchange phenomenon during a long-term OER is associated with OER catalytic enhancement. The thus-developed acid-stable, robust MPTBs with mixed Al and Ni counter cations would be an alternative to the pricy noble metal counterparts used in clean energy water splitting technology.

Cystic cardiac myxoma: a rare variant of cardiac myxoma in a woman with acute stroke

BackgroundCardiac myxomas are the most common primary benign tumors of the heart usually presenting as an oval mass attached to the interatrial septum. Mild heterogenous enhancement is typically seen upon contrast administration. Myxomas are benign, however can present with embolic episodes necessitating prompt diagnosis and treatment.Case presentationA middle-aged woman presenting with acute ischemic stroke was detected to have a complex cystic mass in the left atrium on echocardiography. Further evaluation with cardiac magnetic resonance imaging narrowed a differential diagnosis to hemangioma, hemangioendothelioma, sarcoma, hydatid cysts, bronchogenic cysts, and cystic variant of cardiac myxoma. CTA demonstrated arterial supply from the left circumflex artery supplying the lesion. Following surgical excision, histopathology analysis suggested a cystic cardiac myxoma with secondary degeneration.ConclusionCystic masses in the heart are challenging to diagnose due to similar imaging characteristics, and misdiagnosis may lead to further major downstream complications such as stroke, hemorrhage, and hemodynamic alterations causing syncope. Therefore, surgical excision of a cystic cardiac mass is justified to establish a definitive histopathological diagnosis and prevent further downstream complications. We hereby report a rare case of cystic cardiac myxoma in the left atrium showing intense progressive enhancement in CMR and CTA in a middle-aged woman presenting with acute stroke. This case highlights an exceedingly rare variant of cystic cardiac myxoma.

Progressive Crowd Enhancement De-Background Network for crowd counting

Progressive Crowd Enhancement De-Background Network for crowd counting

Analyzing and predicting the urbanization and ecological resilience coupling and coordination of Guangdong Province

Taking 21 cities in Guangdong Province as the research object, this study quantitatively analyzes the spatiotemporal evolution of urbanization and ecological environment coupling from 2000 to 2020 using a coupling coordination model, and predicts the coordinated development of urbanization and ecological resilience coupling from 2000 to 2020 using an LSTM deep learning model. Analysis of the geographical data conveys the following observations: (1) Remotely sensed night-time luminosity data indicate a precipitous escalation in the urbanization quotient within Guangdong, with the Pearl River Delta, featuring Guangzhou and Shenzhen as hubs, exhibiting high levels of nocturnal radiance, in stark contrast to the lower and more dispersed illumination in the province’s northern latitudes. (2) Indices of ecological resilience suggest a progressive enhancement across Guangdong, with Maoming exhibiting the utmost resilience, succeeded by Jiangmen, Dongguan, Shenzhen, and Zhongshan in terms of ecological robustness. (3) The synergistic relationship between urbanization dynamics and ecological resilience metrics in Guangdong has been incrementally enhanced, with Qingyuan and Shaoguan exemplifying optimal coupling and coordination, while Zhongshan has experienced the most pronounced increment in these interdependencies. (4) The proportional advancement of urbanization and ecological resilience in the province is approaching a theoretical equilibrium state. (5) Projections based on spatiotemporal models forecast a gradual upgrade in the urban-ecological systems’ coupling and coordination coefficients from 2021 to 2025, with a general trend of incremental progression among the majority of the province’s urban centers towards a moderate level of integrated development.

Multi-Prior Driven Network for RGB-D Salient Object Detection

Most existing RGB-D salient object detection (SOD) methods rely on high-quality depth images. However, their performance is limited when processing low-quality depth maps. This paper exploits more complementary image priors to guide the model to learn on variable depth maps, and a novel multi-prior driven network called MPDNet is proposed for RGB-D SOD. MPDNet utilizes four processing pipelines to process RGB images and other priors, which include an RGB image processing pipeline, a depth map processing pipeline, a fine-grained and gradient prior processing pipeline, and an edge learning pipeline. Specifically, fine-grained and gradient priors are input to the same processing pipeline. For the depth maps, fine-grained and gradient priors, a prior channel attention module utilizes the channel attention mechanism to filter noises and highlights the salient cues. The RGB image processing pipeline uses a multi-feature progressive enhancement module to fuse and enhance features from depth maps. And a multi-feature prediction decoder decodes initial salient masks. In the edge learning pipeline, edge prior serves as an edge label and is captured by an edge capture module. Finally, the clear salient masks are obtained by fusing the salient information from the four pipelines. The experimental results on six benchmarks indicate that the proposed method outperforms thirteen state-of-the-art methods in six evaluation metrics.

How do capable village cadres influence the effectiveness of rural living environment improvement? Empirical evidence from China

Rural Living Environment Improvement (RLEI) is crucial for constructing an ecological civilization and revitalizing rural areas. This study conducts an empirical analysis of the influence of capable village cadres on RLEI effectiveness, using microeconomic data from 173 villages across seven Chinese provinces between 2012 and 2019. The findings reveal a progressive enhancement in the RLEI among the surveyed villages over this timeframe. However, disparities persist in meeting farmers’ aspirations for an improved quality of life. Notably, village secretaries with business experience significantly contributed to advancements in domestic waste and sewage treatment (WST) and sanitary toilet coverage (STC). The robustness of these conclusions is upheld after adjusting the regression model and reassessing the sample data. Furthermore, capable village cadres can conveniently access government project support and promote the development of rural collective economy, thereby improving the RLEI. Comprehensive measures and substantial guarantees should be implemented to incentivize individuals with both integrity and competence to assume roles as village cadres. The monitoring system should be modernized, paving the way for a new paradigm of “strong state and strong society” in RLEI.

Tuning ferroelectric domains and polarization properties of flexible BiFeO3 thin films by phase transition engineering

In the present investigation, thin films of flexible (Bi1-xSmx)(Fe0.95Mn0.05)O3 (denoted as BSFM0, BSFM4, BSFM8, and BSFM12 for x=0 %, 4 %, 8 %, and 12 %, respectively) were synthesized on metallic Ni-Cr substrates via the sol-gel technique. A comprehensive examination was conducted to elucidate the influence of varying concentrations of Sm3+ substitution on the phase constitution, oxygen vacancy concentration, and leakage behavior of the (Bi1-xSmx)(Fe0.95Mn0.05)O3 films. Utilizing X-ray diffraction (XRD) and Raman spectrometry, it was ascertained that all films exhibited a composite structure comprising orthorhombic (Pnma) and rhombohedral (R3c) phases. An augmentation in Sm3+ doping led to a non-monotonic variation in the R3c phase content, initially increasing and subsequently decreasing, while the nonpolar Pnma phase demonstrated a progressive enhancement. The distorted R3c phase was found to promote the flipping of the domain architecture, thereby augmenting the polarization attributes. Notably, at a Sm doping level of 4 %, the maximum polarization (Pmax) attained was 95 μC/cm2, with a remnant polarization (Pr) of 78 μC/cm2. The incorporation of a judicious amount of Sm was observed to curtail film leakage and decelerate the aging phenomenon. The compositional stability of this doping level was evaluated across a frequency spectrum of 0.1–12 kHz and a temperature gradient of 25–200 °C, revealing no propensity for degradation under conditions of polarization, a holding duration of 104 s, or fatigue scenarios involving a curvature of 5 mm and 108 switching cycles subjected to 103 instances of bending. These findings provide innovative insights for the development of next-generation lead-free transducer apparatus and flexible information storage mediums.

Adoption of the Robotic Platform across Thoracic Surgeries.

With the paradigm shift in minimally invasive surgery from the video-assisted thoracoscopic platform to the robotic platform, thoracic surgeons are applying the new technology through various commonly practiced thoracic surgeries, striving to improve patient outcomes and reduce morbidity and mortality. This review will discuss the updates in lung resections, lung transplantation, mediastinal surgeries with a focus on thymic resection, rib resection, tracheal resection, tracheobronchoplasty, diaphragm plication, esophagectomy, and paraesophageal hernia repair. The transition from open surgery to video-assisted thoracoscopic surgery (VATS) to now robotic video-assisted thoracic surgery (RVATS) allows complex surgeries to be completed through smaller and smaller incisions with better visualization through high-definition images and finer mobilization, accomplishing what might be unresectable before, permitting shorter hospital stay, minimizing healing time, and encompassing broader surgical candidacy. Moreover, better patient outcomes are not only achieved through what the lead surgeon could carry out during surgeries but also through the training of the next generation via accessible live video feedback and recordings. Though larger volume randomized controlled studies are pending to compare the outcomes of VATS to RVATS surgeries, published studies show non-inferiority data from RVATS performances. With progressive enhancement, such as overcoming the lack of haptic feedback, and future incorporation of artificial intelligence (AI), the robotic platform will likely be a cost-effective route once surgeons overcome the initial learning curve.

Influences of isothermal annealing post‐treatment on mechanical performances in fused deposition modeling manufactured short carbon fibrous PETG and PA composites

AbstractFused deposition modeling (FDM) based large‐area additive manufacturing has advanced significantly, particularly for producing large parts with high‐performance short fibrous composites. To improve the mechanical performance of these manufactured parts, isothermal annealing is often employed as a post‐treatment for FDM‐produced components. Hence, this study examines the impact of isothermal annealing on the mechanical properties of short carbon fiber‐filled Polyamide 12 (PA12‐CF) and polyethylene terephthalate glycol (PETG‐CF). Samples are prepared using a customized high‐extrusion‐rate FDM (HFDM) system with varying key printing parameters (layer height and extrusion width). Three‐point bending tests are employed to assess the bending strength, modulus, and fracture deflection of the samples. Results show that annealing treatment significantly enhances the bending performance of PA12‐CF, with strength and modulus increasing by 27.8% and 31.2%, respectively. In contrast, PETG‐CF exhibits relatively minor improvements in bending strength (8.1%) and modulus (2.7%). Optical microscopy reveals that different printing parameters notably influence the alignment of short carbon fibers, affecting the mechanical properties, while the annealing treatment does not alter these parameter‐dependent trends. Finite element simulations further demonstrate that the presence of carbon fibers contributes to a progressive enhancement of the polymer matrix, which impacts mechanical improvement during annealing.Highlights High‐extrusion‐rate FDM is used to prepare PA12 and PETG composite samples. Annealing improves properties more in semi‐crystalline PA12‐CF samples. Meso‐structural analysis reveals that printing parameters play a crucial role. Short‐carbon‐fiber boosts strengths of the polymer matrix during annealing.

Sinonasal Outcomes Obtained after 2 Years of Treatment with Benralizumab in Patients with Severe Eosinophilic Asthma and CRSwNP: A "Real-Life" Observational Study.

Benralizumab is a monoclonal antibody that targets the interleukin-5 receptor (IL-5Rα), leading to the rapid depletion of blood eosinophils. RCTs have demonstrated efficacy in patients with severe eosinophilic asthma (SEA). The aim of this study was to assess the efficacy of benralizumab on sinonasal outcomes in a real-life setting in patients with SEA and concomitant chronic rhinosinusitis with nasal polyps (CRSwNP). We included 25 patients (mean age: 57.47 years, range: 35-77, F/M = 12:13) who were prescribed 30 mg benralizumab every month for the first three administrations and then every 2 months. The primary endpoint was to evaluate changes in the SinoNasal Outcome Test-22 (SNOT-22) and nasal polyp score (NPS) over a 24-month treatment period. Secondary endpoints included measuring the effects on nasal obstruction and impaired sense of smell. The mean NPS score decreased significantly from 5.11 ± 1.84 at baseline to 2.37 ± 1.96 at 24 months. The mean SNOT-22 decreased from 57 ± 15.30 at baseline to 26 ± 16.73 at 24 months. The SSIT-16 mean score improved with an increase in olfactory performance from 5.23 ± 2.58 at baseline to 7 ± 3.65 at 24 months. Moreover, 8/25 patients (32%) required rescue treatment with systemic steroids and 2 patients required endoscopic sinus surgery. While the improvement may not seem optimal at 12 months, a progressive enhancement was noted during the second year of treatment. Despite our data showing an improvement in quality of life and a reduction in the size of nasal polyps, no significant improvement in olfactory sensitivity was observed. In addition, in several patients, rescue treatments were required to maintain control of nasal and sinus symptoms. A careful risk-benefit assessment is therefore needed when deciding to continue treatment, weighing the potential for further improvement against the risks of complications. Such decisions should always be made in the context of a multidisciplinary team.

Magnetic resonance imaging and clinicopathological findings of primary hepatic angiosarcoma.

To investigate the magnetic resonance imaging (MRI) and clinicopathological features of primary hepatic angiosarcoma (PHA) and enhance preoperative diagnosis. MRI and clinicopathological information of 12 cases proved PHA were reviewed. Summarize the MRI characteristics of PHA combined with literature reviews. Among 12 cases (6 males and 6 females; age range, 23-70 years; mean, 53.3 years), one presented as a large mass, two as a diffuse infiltrating tumor, and nine as a mixed pattern of large masses with multiple nodules, all involving both lobes of the liver and ranging from 0.1cm to 11cm in diameter. A total of 63 lesions were analyzed, including 21 masses and 42 nodules. 13 masses (61.9%) demonstrated intratumoral hemorrhage. 18 masses (85.7%) demonstrated heterogeneous patchy, ring-shaped, septate, or irregular shaped enhancing foci on late arterial phase (LAP). On dynamic contrast-enhanced MRI (DCE-MRI), 14 masses (66.7%) showed a centripetal or centrifugal pattern of incomplete progressive enhancement. 6 nodules (14.3%) appeared intratumoral hemorrhage. 31 nodules (73.8%) showed no enhancing foci on LAP images and 27 nodules (64.3%) showed enhancement pattern of complete filling, either centripetal or centrifugal pattern. Moreover, 12 cases (100%) exhibited prominent vessels within or adjacent to at least one lesion. PHA exhibits diverse appearances on MRI. Typical MRI signs include multifoci with intratumoral hemorrhage, prominent vessels within or adjacent to the foci, as well as varied degrees of progressive enhancement with incomplete filling in dominant masses of PHA.

Hemangioendothelioma of the spleen and liver in a 1-year-old child.

Concurrent occurrence of hemangioendothelioma in the spleen and liver of a 1-year-old child is a rare clinical case.She had a history of good health. Laboratory tests showed elevated inflammatory markers, but all other parameters were within normal range.In this article, we exhibit the typical clinical presentation and Pathology imaging features of this disease.CT imaging revealed a 9.8 cm×8.6 cm mass in the spleen, with areas of non-enhancing liquefactive necrosis. The mass exhibited heterogeneous enhancement during the arterial phase and progressive enhancement during the venous phase. Multiple nodules were observed in liver segments S2 and S4, the largest being approximately 3.7 cm×3.5 mm, with enhancement patterns similar to the splenic lesion. The patient underwent splenectomy, left hemihepatectomy, and cholecystectomy. Intraoperatively, the splenic mass exhibited some areas appearing spongy. Multiple nodules were observed in the left liver, presenting as gray-brown solid masses with a spongy texture. Pathology confirmed a diagnosis of hemangioendothelioma, supported by positive immunohistochemical staining for CD31, CD34, ERG, and FLI-1.

Imaging features of pediatric angiosarcomas: clinical, pathologic, and radiological review.

Angiosarcomas are rare malignant vascular tumors and there is scarcity of data on their imaging features. To review and illustrate the imaging, clinical, and pathologic features of angiosarcoma in children. A list of pathologically proven angiosarcoma seen between Nov 1992 and Jan 2023 was obtained from a pathology database and picture archiving and communication system. Those with pre-treatment imaging available on our PACS were included in the study. Imaging studies were reviewed by two readers in consensus. A total of six children (two males and four females; median age of 8.8 years; range 2.9 years to 15.5 years) had angiosarcoma during the study period. Organ of origin included breast (n = 2), liver (n = 2), spleen (n = 1), and paranasal sinuses (n = 1). The patient with splenic angiosarcoma had Li-Fraumeni syndrome. Five patients had a single lesion while one had multifocal lesions. The tumors were large with a median diameter of 12.9 cm (range 2.7cm to 24cm). Most tumors were heterogeneous on T2-weighted imaging with hemorrhage and necrosis and showed heterogeneous enhancement. Three had well-defined borders and three had infiltrative borders. None of the tumors showed calcifications. Two tumors in the liver showed gradual non-centripetal progressive diffuse enhancement on dynamic imaging. One patient had metastases at presentation and four patients subsequently developed metastases on follow-up. Five patients underwent surgical resection and chemotherapy; one patient with a liver lesion underwent arterial embolization followed by liver transplant. Three patients died at the last follow-up. The imaging features of angiosarcomas are nonspecific, but the tumors are large heterogeneously enhancing masses with hemorrhage and necrosis. Hepatic angiosarcomas may show non-centripetal progressive and heterogeneous enhancement on dynamic imaging.

Diagnostic Value of Pericholedochal Hypointense Ring Sign in MRI T2W Images in Cases of Pancreatic Ductal Adenocarcinoma.

To determine the value of hypointense pericholedocal ring sign in magnetic resonance imaging (MRI) T2W sequence images in the diagnosis of pancreatic ductal adenocarcinoma (PDA). Retrospective observational study. Place and Duration of the Study: Department of Radiology, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkiye, from January 2016 and March 2022. Retrospective analysis of MRI scans was performed on 70 patients with postoperative histopathological confirmation of a diagnosis of periampullary cancer. The patients' demographic information, the results of their histopathological examinations, and the findings of their MRIs were recorded. The results of the MRI were statistically analysed and compared between the PDA and the non-PDA groups. The study included 43 (61.4%) male and 27 (38.5%) female patients, with a mean age of 62.2 ± 8.4 years. The means of Wirsung diameter and tumour diameter were significantly higher in PDA group (p = 0.034, p = 0.010, respectively). A progressive contrast enhancement pattern of 95.3% was observed in PDA group, while 40.7% rapid contrast enhancement pattern was observed in the non-PDA group. Hypointense pericholedochal ring sign, observed in T2W sequences, was detected in 74.2% (n = 32) of the PDA group and 11.1% (n = 3) of the non-PDA group, and the findings were statistically significant (p <0.001). Hypointense pericholedochal ring sign in axial T2W sequences in periampullary tumours is a complementary MRI finding in the distinction between the PDA and the non-PDA groups. Magnetic resonance imaging, Pancreatic ductal adenocarcinoma, Periampullary tumours, Pericholedochal ring sign.

Predicting protein conformational motions using energetic frustration analysis and AlphaFold2

Proteins perform their biological functions through motion. Although high throughput prediction of the three-dimensional static structures of proteins has proved feasible using deep-learning-based methods, predicting the conformational motions remains a challenge. Purely data-driven machine learning methods encounter difficulty for addressing such motions because available laboratory data on conformational motions are still limited. In this work, we develop a method for generating protein allosteric motions by integrating physical energy landscape information into deep-learning-based methods. We show that local energetic frustration, which represents a quantification of the local features of the energy landscape governing protein allosteric dynamics, can be utilized to empower AlphaFold2 (AF2) to predict protein conformational motions. Starting from ground state static structures, this integrative method generates alternative structures as well as pathways of protein conformational motions, using a progressive enhancement of the energetic frustration features in the input multiple sequence alignment sequences. For a model protein adenylate kinase, we show that the generated conformational motions are consistent with available experimental and molecular dynamics simulation data. Applying the method to another two proteins KaiB and ribose-binding protein, which involve large-amplitude conformational changes, can also successfully generate the alternative conformations. We also show how to extract overall features of the AF2 energy landscape topography, which has been considered by many to be black box. Incorporating physical knowledge into deep-learning-based structure prediction algorithms provides a useful strategy to address the challenges of dynamic structure prediction of allosteric proteins.

Case series multilocular cystic hemangioma of the liver: Three cases and literature review.

Multilocular cystic hemangioma is a rare benign tumor classified as an atypical hemangioma. Currently, there are limited imaging reports available, and the imaging characteristics can be challenging to distinguish from other malignant multilocular cystic liver diseases such as cystadenocarcinoma, necessitating confirmation through pathological diagnosis. Here, we discuss the imaging features of 3 cases of multilocular cystic hemangiomas. Case 1 was a 24-year-old young female, and Case 2 involved a 60-year-old elderly male. Both patients were asymptomatic and physical examination revealed hepatic space-occupying lesions. Imaging findings revealed multilocular cystic lesions in the left liver with septa, calcification, a high diffusion-weighted magnetic resonance imaging (DWI) signal at the edge of the lesion, and progressive enhancement of the cyst wall and septa. Case 3 involved a 50-year-old male patient with epigastric distending pain for 1 month and sudden severe abdominal pain for 14 hours. Imaging results revealed a multilocular cystic lesion in the left liver with septa and tumor bleeding, a high DWI signal, and an enhanced cyst wall and septa. The pathological diagnosis confirmed a hepatic hemangioma. All 3 patients underwent liver tumor resection. All 3 patients recovered successfully without any intraoperative or postoperative complications during the follow-up periods of 5 years, 6 months, and 5 months. There were no signs of recurrence. Liver imaging revealed multilocular cystic lesions with features, such as compartmentalization, calcification, or bleeding. Multilocular cystic hemangiomas should be considered in imaging diagnosis. Enhancing our understanding of multilocular cystic hemangiomas can aid in improving the differential diagnosis of other malignant multilocular cystic liver diseases, ultimately reducing unnecessary liver resection.

Characteristics of imaging in hepatic inflammatory pseudotumors: a comparison between IgG4-related and IgG4-unrelated cases

ObjectivesThe objective of this study was to examine the imaging features of hepatic inflammatory pseudotumors (IPTs) associated with IgG4-related and IgG4-unrelated conditions and to enhance the approach toward distinguishing between these two types of IPTs.MethodsA retrospective study was conducted, involving 20 patients diagnosed with hepatic IPTs. Imaging procedures were conducted within a timeframe of 4 weeks prior to hepatectomy or biopsy. The imaging features were then analyzed and compared using chi-squared analysis.ResultsSeventeen (81.0%) IPTs were located in the hepatic subcapsular area; six (66.7%) IgG4-related IPTs were distributed around the hepatic hilum; and eleven (91.7%) IgG4-unrelated and three (33.3%) IgG4-related IPTs had unclear boundaries. All lesions exhibited similar characteristics in CT scans, T1-weighted imaging (T1WI), T2-weighted imaging (T2WI), and diffusion-weighted imaging (DWI), with the apparent diffusion coefficient (ADC) values slightly higher than the surrounding liver tissue. Delayed hypoenhancement, observed in five cases (55.6%), was exclusively present in IgG4-related IPTs. The remaining IPT lesions displayed progressive enhancement, septal and marginal enhancement, and persistent enhancement. Central enhancement was absent in three IgG4-related IPTs (33.3%) and ten IgG4-unrelated IPTs (83.3%). The duct-penetrating sign was identified in two IgG4-unrelated IPTs (16.7%) and seven IgG4-related IPTs (77.8%). Furthermore, seven patients with IgG4-related IPTs had additional lesions outside the liver.ConclusionsIgG4-related lesions are frequently found in the vicinity of the hepatic hilum; they display the duct-penetrating sign and affect other organs as well. Both groups exhibited progressive or persistent contrast enhancement in typical IPT lesions, but delayed hypoenhancement was only observed in the IgG4-related IPT group. IgG4-unrelated IPT lesions often exhibited indistinct boundaries lacking central enhancement.Critical relevance statementDifferences in imaging features differentiate IgG4-related and -unrelated inflammatory pseudotumors (IPT). IgG4-related lesions are frequently near the hepatic hilum, display duct-penetrating sign, and affect other organs. Only the IgG4-related group demonstrated delayed hypoenhancement. IgG4-unrelated IPT lesions often exhibited indistinct boundaries lacking central enhancement.Key PointsCompared with IgG 4-unrelated IPTs, IgG4-related IPTs show delayed hypoenhancement and affect other organs.IgG4-unrelated IPTs have unclear boundaries and lack central enhancement.Improved IPT diagnostic capabilities can help minimize additional, potentially unnecessary, interventions.Graphical

Visionary vigilance: Optimized YOLOV8 for fallen person detection with large-scale benchmark dataset

Falls pose a significant risk to elderly people, patients with diseases such as neurological disorders, cardiovascular diseases, and disabled children. This highlights the need for real-time intelligent fall detection (FD) systems for quick relief leading to assisted living. The existing attempts are often based on multimodal approaches which are computationally expensive due to multi-sensor integration. The computer vision (CV) based era for FD needs the deployment of state-of-the-art (SOTA) networks with progressive enhancements to grasp falls effectively. However, CV-based systems often lack the ability to operate efficiently in real-time and the attempts for visual intelligence are usually not integrated at feasible stages of the networks. More importantly, the lack of large-scale well-annotated benchmark datasets limits the ability of FD in challenging and complex environments. To bridge the research gaps, we proposed an enhanced version of YOLOV8 for FD. Our research presents significant contributions by addressing these limitations through three key contributions. Initially, a comprehensive large-scale dataset is introduced which comprises approximately 10,500 image samples with corresponding annotations. The dataset encompasses diverse environmental conditions and scenarios, facilitating the generalization ability for the models. Then, progressive enhancements to the YOLOV8S model are proposed, integrating a focus module in the backbone to optimize feature extraction. Moreover, the convolutional block attention modules (CBAMs) are integrated at the feasible stages of the network to improve spatial and channel contexts for more accurate detection, especially in complex scenes. Finally, an extensive empirical evaluation showcases the superiority of the proposed network over 13 SOTA techniques, substantiated by meticulous benchmarking and qualitative validation across varied environments. The empirical findings and analysis of multiple factors such as model performance, size, and processing time prove that the suggested network displays impressive results. Datasets with annotations, results, and the ways of progressive modifications in the code will be available to the research community at the link https://github.com/habib1402/Fall-Detection-DiverseFall10500

MRI features of combined hepatocellular-cholangiocarcinoma.

Combined hepatocellular cholangiocarcinoma (cHCC-CCA) is a rare liver tumor which has a more aggressive behavior and worse survival outcome than hepatocellular carcinoma (HCC), with a prognosis similar to that of intrahepatic cholangiocarcinoma (iCCA). With limited literature on the appearance of this tumor on MRI, it remains a diagnostic challenge. In this review, we looked at the currently described MRI findings in this uncommon entity. Based on studies conducted to date, a mixed pattern at imaging has demonstrated the highest specificity, seen as a combination of areas showing progressive enhancement of the lesion, arterial enhancement with washout, and areas of arterial enhancement without washout and/or hypovascularity. Tumor markers may aid in identification, particularly in cases where the imaging appearance mimics that of isolated HCC or iCCA. Intratumoral heterogeneity leads to difficulties with pathologic diagnosis from sampling due to the possibility of an incorrect diagnosis if the biopsy specimen does not contain adequate tissue comprising both histologic components.