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Article ; Online: Diagnostic performance of the thyroid imaging reporting and data system improved by color-coded acoustic radiation force pulse imaging.

Lian, Kai-Mei / Lin, Teng

2023 Volume 31, Issue 3, Page(s) 511–523

Abstract: Objective: To explore the value of color-coded virtual touch tissue imaging (CCV) using acoustic radiation force pulse technology (ARFI) in diagnosing malignant thyroid nodules.: Methods: Images including 189 thyroid nodules were collected as ... ...

Abstract	Objective: To explore the value of color-coded virtual touch tissue imaging (CCV) using acoustic radiation force pulse technology (ARFI) in diagnosing malignant thyroid nodules. Methods: Images including 189 thyroid nodules were collected as training samples and a binary logistic regression analysis was used to calculate regression coefficients for Thyroid Imaging Reporting and Data System (TI-RADS) and CCV. An integrated prediction model (TI-RADS+CCV) was then developed based on the regression coefficients. Another testing dataset involving 40 thyroid nodules was used to validate and compare the diagnostic performance of TI-RADS, CCV, and the integrated predictive models using the receiver operating characteristic (ROC) curves. Results: Both TI-RADS and CCV are independent predictors. The diagnostic performance advantage of CCV is insignificant compared to TI-RADS (P = 0.61). However, the diagnostic performance of the integrated prediction model is significantly higher than that of TI-RADS or CCV (all P < 0.05). Applying to the validation image dateset, the integrated predictive model yields an area under the curve (AUC) of 0.880. Conclusions: Developing a new predictive model that integrates the regression coefficients calculated from TI-RADS and CCV enables to achieve the superior performance of thyroid nodule diagnosis to that of using TI-RADS or CCV alone.
MeSH term(s)	Humans ; Thyroid Nodule/diagnostic imaging ; Retrospective Studies ; Ultrasonography/methods ; Elasticity Imaging Techniques ; Acoustics
Language	English
Publishing date	2023-03-02
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2012019-9
ISSN	1095-9114 ; 0895-3996
ISSN (online)	1095-9114
ISSN	0895-3996
DOI	10.3233/XST-221359
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Article ; Online: Virtual touch tissue imaging for differential diagnosis in ACR TI-RADS category 3-4 thyroid nodules: Conservative and aggressive methods.

Lian, Kai-Mei / Lin, Teng

Clinical hemorheology and microcirculation

2023 Volume 85, Issue 2, Page(s) 123–134

Abstract: Purpose: Many Thyroid Imaging Reporting and Data System (TI-RADS) category 3-4 nodules are benign. Our study aimed to add virtual touch tissue imaging (VTI) to TI-RADS using two methods, namely conservative and aggressive, and to explore which method ... ...

Abstract	Purpose: Many Thyroid Imaging Reporting and Data System (TI-RADS) category 3-4 nodules are benign. Our study aimed to add virtual touch tissue imaging (VTI) to TI-RADS using two methods, namely conservative and aggressive, and to explore which method had better diagnostic performance and which method avoided more unnecessary biopsies. Methods: From January 2016 to December 2021, we included 121 thyroid nodules classified as TI-RADS category 3-4 in 115 consecutive patients in this retrospective study. This study used the reference standard for pathological diagnosis by surgical resection or biopsy. The diagnostic performance of the different methods was evaluated and compared by receiver operating characteristic (ROC) and area under the ROC curve (AUC). Results: In this study, the aggressive approach had the best diagnostic performance among TI-RADS alone, the conservative approach, and the aggressive approach (AUC: 0.863 versus 0.598, P = 0.0007; 0.863 versus 0.755, P = 0.0067). When we used an aggressive approach, 75.44% (43/57) of the 57 false-positive nodes diagnosed by TI-RADS were appropriately downgraded from TI-RADS category 4 to category 3, avoiding unnecessary biopsies. Conclusion: VTI improves the diagnostic performance of TI-RADS. The aggressive approach of combining the TI-RADS with VTI would help reduce unnecessary biopsies.
MeSH term(s)	Humans ; Thyroid Nodule/pathology ; Diagnosis, Differential ; Retrospective Studies ; Diagnostic Imaging
Language	English
Publishing date	2023-09-18
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1381750-4
ISSN	1875-8622 ; 1386-0291
ISSN (online)	1875-8622
ISSN	1386-0291
DOI	10.3233/CH-231694
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Article ; Online: Color-map virtual touch tissue imaging (CMV) combined with BI-RADS for the diagnosis of breast lesions.

Lian, Kai-Mei / Lin, Teng

Journal of X-ray science and technology

2022 Volume 30, Issue 3, Page(s) 447–457

Abstract: Objective: To investigate the importance of color-map virtual touch tissue imaging (CMV) in assisting Breast Imaging Reporting and Data Systems (BI-RADS) in diagnosing malignant breast lesions.: Methods: A dataset included 134 patients and 146 breast ...

Abstract	Objective: To investigate the importance of color-map virtual touch tissue imaging (CMV) in assisting Breast Imaging Reporting and Data Systems (BI-RADS) in diagnosing malignant breast lesions. Methods: A dataset included 134 patients and 146 breast lesions was assembled. All patients underwent biopsy or surgical excision of breast lesions, and pathological results were obtained. All patients with breast lesions also underwent conventional ultrasound (US) and CMV. Each lesion was assigned a CMV score based on the color pattern of the lesion and surrounding breast tissue and a BI-RADS classification rating based on US characteristics. We compared the diagnostic performance of using BI-RADS and CMV separately and their combination. Results: BI-RADS (odds ratio [OR]: 3.665; 95% confidence interval [CI]: 2.147, 6.258) and CMV (OR: 6.616; 95% CI: 2.272, 19.270) were independent predictors of breast malignancy (all P < 0.05). The area under the receiver operating characteristic curves (AUC) for either CMV or BI-RADS alone was inferior to that of the combination (0.877 vs. 0.962; 0.938 vs. 0.962; all P < 0.05). Conclusions: The performance of BI-RADS in diagnosing breast lesions is significantly improved by combining CMV. Therefore, we recommend CMV as an adjunct to BI-RADS.
MeSH term(s)	Breast/diagnostic imaging ; Breast/pathology ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Cytomegalovirus Infections/pathology ; Female ; Humans ; ROC Curve ; Ultrasonography ; Ultrasonography, Mammary/methods
Language	English
Publishing date	2022-02-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2012019-9
ISSN	1095-9114 ; 0895-3996
ISSN (online)	1095-9114
ISSN	0895-3996
DOI	10.3233/XST-211110
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Article ; Online: Exponential Bipartite Synchronization of Fractional-Order Multilayer Signed Networks via Hybrid Impulsive Control.

Xu, Yao / Lin, Teng / Liu, Xinzhi / Li, Wenxue

IEEE transactions on cybernetics

2023 Volume 53, Issue 6, Page(s) 3926–3938

Abstract: This article investigates the problem of exponential bipartite synchronization of fractional-order multilayer signed networks via hybrid impulsive control. First, the mathematical model of the networks is established by integrating the fractional ... ...

Abstract	This article investigates the problem of exponential bipartite synchronization of fractional-order multilayer signed networks via hybrid impulsive control. First, the mathematical model of the networks is established by integrating the fractional dynamics of nodes, the multilayer network edges, and the positive and negative weights (antagonistic relationship), which is more pluralistic and practical. Second, a hybrid impulsive controller is designed, which is composed of the feedback control part and the impulsive control part to realize the exponential bipartite synchronization objective. Both positive and negative impulsive effects are considered and the ranges of the impulsive control gain related to the order of Caputo fractional derivative are discussed. In addition, some sufficient conditions for exponential bipartite synchronization of fractional-order multilayer signed networks are obtained by using the signed graph theory, Lyapunov method, and average impulsive interval method. Furthermore, in order to illustrate the practicability of the theoretical results, fractional-order coupled Chua's circuits model and fractional-order power systems built on multilayer signed networks are established and the exponential bipartite synchronization issues are analyzed. Numerical examples and simulations are provided to show the effectiveness of the obtained results.
Language	English
Publishing date	2023-05-17
Publishing country	United States
Document type	Journal Article
ISSN	2168-2275
ISSN (online)	2168-2275
DOI	10.1109/TCYB.2022.3190413
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Article ; Online: A rare case of gastric adenocarcinoma of fundic gland type.

Chen, Lin-Teng / Wu, Jian-Hai / Huang, Wei-Feng

The American journal of the medical sciences

2023 Volume 366, Issue 3, Page(s) e40–e41

MeSH term(s)	Humans ; Stomach Neoplasms/diagnostic imaging ; Stomach Neoplasms/surgery ; Gastric Mucosa/pathology ; Adenocarcinoma/diagnostic imaging ; Adenocarcinoma/surgery ; Adenocarcinoma/pathology
Language	English
Publishing date	2023-04-07
Publishing country	United States
Document type	Case Reports ; Letter ; Research Support, Non-U.S. Gov't
ZDB-ID	82078-7
ISSN	1538-2990 ; 0002-9629
ISSN (online)	1538-2990
ISSN	0002-9629
DOI	10.1016/j.amjms.2023.03.026
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Article ; Online: The Relationship between Muscle Ultrasound Parameters and Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study.

Zhong, Yanling / Liu, Xiaojia / Lin, Teng

Journal of diabetes research

2023 Volume 2023, Page(s) 8897065

Abstract: Background: Muscle dysfunction is an early complication of diabetic peripheral neuropathy (DPN). As a convenient and low-cost tool, muscle ultrasound has been used to assess muscle quality and muscle mass. However, the relationship between different ... ...

Abstract	Background: Muscle dysfunction is an early complication of diabetic peripheral neuropathy (DPN). As a convenient and low-cost tool, muscle ultrasound has been used to assess muscle quality and muscle mass. However, the relationship between different muscle ultrasound parameters and DPN is unclear. Objectives: This study was designed to investigate the relationship between ultrasound parameters of different muscles and DPN among patients with type 2 diabetes mellitus, including the rectus femoris (RF), tibialis anterior (TA), and medial head of gastrocnemius (MG). Materials and methods: The research enrolled 90 patients with type 2 diabetes mellitus (T2DM). All images were attained from both sides. Muscle measurements contained muscle thickness (MT), cross-sectional area (CSA), echo intensity (EI), and corrected EI. The binary logistic regression and multiple linear regression were used to investigate the association between muscle ultrasound parameters and DPN or vibration perception threshold (VPT). Results: EI, corrected EI, MT of MG, and EI of TA were associated with DPN separately after adjusting other clinical variates. Among these muscle parameters, the EI of MG had a better predictive value (OR: 1.114, 95% CI: 1.039, 1.196) of DPN. Combined with CSA of RF, peripheral artery disease (PAD), and sex, the corrected EI of MG was associated with the vibration perception threshold (VPT) (standard Conclusions: MG (MT, EI, and corrected EI) and TA (EI) were associated with DPN, respectively. CSA of RF and corrected EI or EI of MG combined with PAD and sex were associated with VPT significantly, which supported that muscle ultrasound might be a substantial quantitative tool for detecting the exercise benefits for DPN.
MeSH term(s)	Humans ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/diagnostic imaging ; Diabetic Neuropathies/diagnosis ; Cross-Sectional Studies ; Perception/physiology ; Muscle, Skeletal/diagnostic imaging ; Peripheral Arterial Disease/complications
Language	English
Publishing date	2023-12-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2711897-6
ISSN	2314-6753 ; 2314-6753
ISSN (online)	2314-6753
ISSN	2314-6753
DOI	10.1155/2023/8897065
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Article ; Online: Breast Imaging Reporting and Data System evaluation of breast lesions improved with virtual touch tissue imaging average grayscale values.

Lian, Weizhen / Lian, Kaimei / Lin, Teng

Technology and health care : official journal of the European Society for Engineering and Medicine

2023 Volume 32, Issue 2, Page(s) 925–936

Abstract: Background: Early breast cancer diagnosis is of great clinical importance for selecting treatment options, improving prognosis, and enhancing the quality of patients' survival.: Objective: We investigated the value of virtual touch tissue imaging ... ...

Abstract	Background: Early breast cancer diagnosis is of great clinical importance for selecting treatment options, improving prognosis, and enhancing the quality of patients' survival. Objective: We investigated the value of virtual touch tissue imaging average grayscale values (VAGV) helper Breast Imaging Reporting and Data System (BI-RADS) in diagnosing breast malignancy. Methods: We retrospectively analyzed 141 breast tumors in 134 patients. All breast lesions were diagnosed pathologically by biopsy or surgical excision. All patients first underwent conventional ultrasound (US) followed by virtual touch tissue imaging (VTI). The measurement of the VAGV of the lesion was performed by Image J software. BI-RADS classification was performed for each lesion according to the US. We performed a two-by-two comparison of the diagnostic values of VAGV, BI-RADS, and BI-RADS+VAGV. Results: VAGV was lower in malignant tumors than in benign ones (35.82 ± 13.39 versus 73.58 ± 42.69, P< 0.001). The area under the receiver operating characteristic curve (AUC) value, sensitivity, and specificity of VAGV was 0.834, 84.09%, and 69.07%, respectively. Among BI-RADS, VAGV, and BI-RADS+VAGV, BI-RADS+VAGV had the highest AUC (0.926 versus 0.882, P= 0.0066; 0.926 versus 0.834, P= 0.0012). There was perfect agreement between the two radiologists using VAGV (ICC= 0.9796) and substantial agreement using BI-RADS (Kappa= 0.725). Conclusion: Our study shows that VAGV can accurately diagnose breast cancer. VAGV effectively improves the diagnostic performance of BI-RADS.
MeSH term(s)	Female ; Humans ; Ultrasonography, Mammary/methods ; Sensitivity and Specificity ; Retrospective Studies ; Ultrasonography ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology
Language	English
Publishing date	2023-08-06
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1159961-3
ISSN	1878-7401 ; 0928-7329
ISSN (online)	1878-7401
ISSN	0928-7329
DOI	10.3233/THC-230306
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3846: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Role of color-coded virtual touch tissue imaging in suspected thyroid nodules.

Lian, Kai-Mei / Lin, Teng

Technology and health care : official journal of the European Society for Engineering and Medicine

2021 Volume 30, Issue 3, Page(s) 673–682

Abstract: Background: Conventional ultrasound (US) is the most widely used imaging test for thyroid nodule surveillance.: Objective: We used the color-coded virtual touch tissue imaging (VTI) in the Acoustic Radiation Force Impulse (ARFI) technique to assess ... ...

Abstract	Background: Conventional ultrasound (US) is the most widely used imaging test for thyroid nodule surveillance. Objective: We used the color-coded virtual touch tissue imaging (VTI) in the Acoustic Radiation Force Impulse (ARFI) technique to assess the hardness of the American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) TR3-5 nodules. The ability of color-coded VTI (CV) to discriminate between benign and malignant nodules was investigated. Methods: In this retrospective study, US and CV were performed on 211 TR3-5 thyroid lesions in 181 consecutive patients. All nodules were operated on to obtain pathological results. A multivariate logistic regression model was chosen to integrate the data obtained from the US and CV. Results: The area under the receiver operating characteristic (ROC) curve for the model was 0.945 (95% CI, 0.914 to 0.976). The cutoff value of predictive probability for diagnosing malignant thyroid nodules was 10.64%, the sensitivity was 94.43%, and the specificity was 83.12%. Through comparing with US and CV, respectively, it had been observed that the regression model had the best performance (all P< 0.001). However, when the US was compared with CV, the difference was not significant (P= 0.3304). Conclusions: A combination of US and CV should be recommended for suspected malignant thyroid nodules in clinical practice.
MeSH term(s)	Diagnosis, Differential ; Elasticity Imaging Techniques/methods ; Humans ; Retrospective Studies ; Sensitivity and Specificity ; Thyroid Nodule/diagnostic imaging ; Thyroid Nodule/pathology ; Ultrasonography/methods
Language	English
Publishing date	2021-09-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1159961-3
ISSN	1878-7401 ; 0928-7329
ISSN (online)	1878-7401
ISSN	0928-7329
DOI	10.3233/THC-213156
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3846: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: The value of color-map virtual touch tissue imaging (CMV) in the differential diagnosis of benign and malignant breast lesions.

Lian, Kai-Mei / Lin, Teng

Clinical hemorheology and microcirculation

2021 Volume 78, Issue 1, Page(s) 49–56

Abstract: Background: Researchers have evaluated the virtual touch tissue imaging (VTI) value in the diagnosis of breast lesions, mostly based on gray-scale.: Purpose: This study aimed to evaluate the value of color-map virtual touch tissue imaging (CMV) in ... ...

Abstract	Background: Researchers have evaluated the virtual touch tissue imaging (VTI) value in the diagnosis of breast lesions, mostly based on gray-scale. Purpose: This study aimed to evaluate the value of color-map virtual touch tissue imaging (CMV) in the diagnosis of breast lesions. Methods: We retrospectively analyzed the VTI images of 55 breast lesions in 49 female patients who underwent an examination of breast lesions in our hospital from January 2019 to December 2019. The pathological results were taken as the gold standard. The receiver operating characteristic (ROC) curve of CMV was analyzed, and its diagnostic performance was evaluated. Weighted Kappa (k) statistics were used to assess the inter-observer agreement for CMV. Results: A total of 55 breast lesions were included, including 19 malignant lesions and 36 benign lesions. Multivariate analysis showed that patients with higher CMV scores (P = 0.014, odds ratio [OR] = 13.667, 95% confidence interval = 1.702-109.773) were independent predictors of breast cancer. The sensitivity, specificity, and the area under curve (AUC) of CMV were 94.47%, 72.22%, and 0.912. The CMV's inter-observer agreement was almost perfect among radiologists with different work experience (k = 0.854, standard error = 0.049, 95% CI = 0.758-0.950). Conclusios: CMV has high accuracy and repeatability in the diagnosis of malignant breast lesions.
MeSH term(s)	Adult ; Breast/pathology ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Diagnosis, Differential ; Elasticity Imaging Techniques/methods ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Ultrasonography, Mammary/methods
Language	English
Publishing date	2021-02-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1381750-4
ISSN	1875-8622 ; 1386-0291
ISSN (online)	1875-8622
ISSN	1386-0291
DOI	10.3233/CH-201088
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Article ; Online: Nesprin proteins: bridging nuclear envelope dynamics to muscular dysfunction.

Zi-Yi, Zhou / Qin, Qin / Fei, Zhou / Cun-Yu, Cao / Lin, Teng

Cell communication and signaling : CCS

2024 Volume 22, Issue 1, Page(s) 208

Abstract: This review presents a comprehensive exploration of the pivotal role played by the Linker of Nucleoskeleton and Cytoskeleton (LINC) complex, with a particular focus on Nesprin proteins, in cellular mechanics and the pathogenesis of muscular diseases. ... ...

Abstract	This review presents a comprehensive exploration of the pivotal role played by the Linker of Nucleoskeleton and Cytoskeleton (LINC) complex, with a particular focus on Nesprin proteins, in cellular mechanics and the pathogenesis of muscular diseases. Distinguishing itself from prior works, the analysis delves deeply into the intricate interplay of the LINC complex, emphasizing its indispensable contribution to maintaining cellular structural integrity, especially in mechanically sensitive tissues such as cardiac and striated muscles. Additionally, the significant association between mutations in Nesprin proteins and the onset of Dilated Cardiomyopathy (DCM) and Emery-Dreifuss Muscular Dystrophy (EDMD) is highlighted, underscoring their pivotal role in disease pathogenesis. Through a comprehensive examination of DCM and EDMD cases, the review elucidates the disruptions in the LINC complex, nuclear morphology alterations, and muscular developmental disorders, thus emphasizing the essential function of an intact LINC complex in preserving muscle physiological functions. Moreover, the review provides novel insights into the implications of Nesprin mutations for cellular dynamics in the pathogenesis of muscular diseases, particularly in maintaining cardiac structural and functional integrity. Furthermore, advanced therapeutic strategies, including rectifying Nesprin gene mutations, controlling Nesprin protein expression, enhancing LINC complex functionality, and augmenting cardiac muscle cell function are proposed. By shedding light on the intricate molecular mechanisms underlying nuclear-cytoskeletal interactions, the review lays the groundwork for future research and therapeutic interventions aimed at addressing genetic muscle disorders.
MeSH term(s)	Humans ; Nuclear Envelope/metabolism ; Nuclear Envelope/pathology ; Nuclear Proteins/genetics ; Nuclear Proteins/metabolism ; Nerve Tissue Proteins/metabolism ; Muscular Diseases/metabolism ; Cytoskeleton/metabolism ; Muscular Dystrophy, Emery-Dreifuss/genetics ; Muscular Dystrophy, Emery-Dreifuss/metabolism ; Muscular Dystrophy, Emery-Dreifuss/pathology
Chemical Substances	Nuclear Proteins ; Nerve Tissue Proteins
Language	English
Publishing date	2024-04-02
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2126315-2
ISSN	1478-811X ; 1478-811X
ISSN (online)	1478-811X
ISSN	1478-811X
DOI	10.1186/s12964-024-01593-y
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