Publications by authors named "Weizeng Zheng"

Purpose: Preeclampsia (PE) is associated with placental insufficiency and could lead to adverse pregnancy outcomes. The study aimed to develop a placental T2-weighted image-based automatic quantitative model for the identification of PE pregnancies and disease severity.

Methods: Between July 2013 and September 2022, the retrospective multicenter study featured 420 pregnant women, including 140 cases of PE and 280 cases of normotensive pregnancies.

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The purpose of this paper is to provide an overview of the developments that have occurred in the Segment Anything Model (SAM) within the medical image segmentation category over the course of the past year. However, SAM has demonstrated notable achievements in adapting to medical image segmentation tasks through fine-tuning on medical datasets, transitioning from 2D to 3D datasets, and optimizing prompting engineering. This is despite the fact that direct application on medical datasets has shown mixed results.

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Article Synopsis
  • Motor proteins from the Kinesin superfamily are vital for brain development and have been linked to neurodevelopmental disorders.
  • A case involving a 6-year-old boy with severe epilepsy and intellectual disabilities revealed a novel genetic deletion in the KIF5C gene that affects crucial protein function.
  • The study highlights how this genetic variant disrupts normal cellular processes and reinforces the need for further understanding of KIF5C's role in neurodevelopment to improve diagnosis and treatment options.
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Background: The fetal neurodevelopmental microstructural alterations of intrauterine exposure to preeclampsia (PE) or gestational hypertension (GH) remain unknown.

Purpose: To evaluate the differences in diffusion-weighted imaging (DWI) of the fetal brain between normotensive pregnancies and PE/GH pregnancies, with a focus on PE/GH pregnancies with fetal growth restriction (FGR).

Study Type: Retrospective matched case-control study.

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Objective: To investigate the role of MRI in the diagnosis and classification of fetal microtia.

Methods: Ninety-five fetuses with suspected microtia based on ultrasound and MRI performed within 1 week were enrolled in this study. The diagnosis based on MRI was compared with postnatal diagnosis.

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Objective: The prenatal diagnosis of fetal intra-abdominal cysts is challenging. This study aimed to evaluate the diagnostic ability of prenatal ultrasound for fetal intra-abdominal cysts and to develop a predictive method for pre- and postnatal outcomes.

Methods: We retrospectively reviewed fetuses with ultrasound-detected intra-abdominal cysts between January 2013 and January 2020.

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Background: Pelvic dimensions are crucial variables in the labour process. We used magnetic resonance imaging (MRI) pelvimetry to predict the probability of vaginal delivery and distinguish the cephalopelvic disproportion risk in women with prolonged active labour.

Methods: This prospective cohort study enrolled term nulliparous women willing to undergo MRI pelvimetry and a trial of labour.

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  • - The study investigated how well prenatal ultrasonography (US) and magnetic resonance imaging (MRI) can diagnose orofacial clefts (OFCs) in newborns by comparing their results with postpartum diagnoses from 334 infants studied from 2013 to 2018.
  • - Ultrasound showed high accuracy (99.9%) for detecting OFCs but had lower rates of positive and true positive predictions compared to MRI, which had slightly lower overall accuracy (99.8%) but better positive predictive values and true positive rates for certain types of clefts.
  • - The findings indicate that while prenatal US is effective for diagnosing OFCs, combining it with MRI significantly increases diagnostic confidence, suggesting MRI should be used as an additional tool when
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Importance: It remains unknown whether neurodevelopmental impairments are directly associated with the structural development of the brain in offspring with fetal growth restriction (FGR) and mothers with preeclampsia (PE) or gestational hypertension (GH).

Objectives: To assess whether fetal corpus callosum (CC) development differed among pregnancies with PE or GH with FGR, pregnancies with PE or GH without FGR, and normotensive pregnancies, particularly the severity of maternal disease and FGR, and to identify the association between adverse perinatal outcomes and structural development of the CC in fetuses with FGR in pregnancies with PE or GH.

Design, Setting, And Participants: This retrospective matched case-control study was conducted between January 1, 2014, and January 31, 2021, at Women's Hospital, Zhejiang University School of Medicine in Hangzhou, China.

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Background: Cephalopelvic disproportion (CPD)-related obstructed labor is associated with maternal and neonatal morbidity and mortality. Accurate prediction of whether a primiparous woman is at high risk of an unplanned cesarean delivery would be a major advance in obstetrics.

Purpose: To develop and validate a predictive model assessing the risk of cesarean delivery in primiparous women based on MRI findings.

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Current lung cancer diagnosis methods encounter delayed visual confirmation of tumor foci and low-resolution metrics in imaging findings, which delays the early treatment of tumors. Here, we developed a potent lung cancer imaging and treatment strategy centered around a nanotransformational concept of tumor iron mineralization , which employs Prussian blue/calcium peroxide nanocomposites as a precursor. The resultant iron mineralization in tumor cells greatly facilitates the early and differential diagnosis of lung carcinoma from benign nodules via medical imaging, meanwhile introducing oxidative stress to activate the cellular apoptosis and ferroptosis pathways, resulting in inhibition of the malignant behavior of tumor cells.

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  • Fetal growth restriction (FGR) is linked to a high fetal brain volume/liver volume (FBV/FLV) ratio, prompting the use of MRI for more reliable measurement than ultrasound.
  • The study examined 147 singleton pregnancies, comparing FBV/FLV ratios in normal fetuses and those with FGR, highlighting that FBV/FLV ratios decreased in normal fetuses as gestational age (GA) increased.
  • Results showed strong agreement among observers measuring FBV/FLV, with the ratio being significantly higher in FGR fetuses, achieving a high diagnostic value (ROC curve of 0.978) for identifying high-risk cases.
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Background: Prenatal diagnosis of placenta accreta spectrum (PAS) disorders is difficult. Magnetic resonance imaging (MRI) has been shown to be a useful supplementary method to ultrasound.

Purpose: To investigate diffusion MRI (dMRI) based tractography as a tool for detecting PAS disorders, and to evaluate its performance compared with anatomical MRI.

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Background: Prenatal diagnosis and classification of hypospadias are difficult and of value for management during perinatal and neonatal periods. The conventional approach for prenatal diagnosis of hypospadias is ultrasound; however, this technique may be inconclusive in certain cases, which prompts for further exploration with magnetic resonance imaging (MRI).

Purpose: To investigate the role of MRI in the prenatal diagnosis and classification of fetuses with hypospadias.

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  • Congenital facio-cervical masses, which can be cystic, solid, or vascular, are linked to poor health outcomes, and this study looks at their prenatal diagnosis, management, and results.
  • Out of 130 cases examined, the majority were lymphatic malformations, with a prenatal ultrasound accuracy of 93.85%, indicating that larger masses change more significantly during pregnancy.
  • Additionally, MRI scans offered detailed insights into the anatomy of these masses and identified potential airway compression in some cases, the findings underscore the importance of ultrasound and MRI in managing fetal anomalies.
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Ferroptosis, a cell death path induced by the generation of reactive oxygen species (ROS), will cause the accumulation of lipid peroxides (PL-PUFA-OOH) and achieve potent tumor-regression. However, glutathione (GSH)-dependent glutathione peroxidase 4 (GPx4) can reduce PL-PUFA-OOH and antagonize the ferroptosis inducing effect of ROS. Herein, folate-PEG modified dihydroartemisinin (DHA) loaded manganese doped mesoporous silica nanoparticles (described as nanomissiles) were constructed for integrating the effect of GSH exhaustion and ROS generation.

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Objective: The aim of this study was to evaluate the value of MRI in the prenatal diagnosis and classification of cleft palate (CP).

Methods: We collected 94 fetal cases that were suspected of cleft palate with or without cleft lip by prenatal ultrasound (US) and then carried out further MRI to examine the entire body of each fetus within 1 week. The diagnoses resulting from MRI and US examination were compared separately with the final diagnoses obtained from postnatal physical examination or fetal autopsy.

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