Publications by authors named "Xue-hua Li"

Article Synopsis
  • The study investigates the gut-brain axis dysfunction as a factor in Crohn's disease (CD) and aims to create a brain MRI-based radiomics model to analyze neural changes in CD patients.
  • Using data from 230 CD patients and 46 healthy controls, researchers developed and validated a model that shows high accuracy in distinguishing CD patients from healthy individuals based on MRI features.
  • The findings suggest significant correlations between specific blood metabolites and microbiota in CD patients, indicating that dysbiosis may influence brain blood flow and contribute to the disease's pathology.
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Purpose: Lifelong re-examination of CT enterography (CTE) in patients with inflammatory bowel disease (IBD) may be necessary, and reducing radiation exposure during CT examinations is crucial. We investigated the potential application of deep learning reconstruction (DLR) in CTE to reduce radiation dose and improve image quality in IBD.

Methods: Thirty-six patients with known or suspected IBD were prospectively recruited to the low-dose CTE (LDCTE) group, while forty patients were retrospectively selected from previous clinical standard-dose CTE (STDCTE) scans as controls.

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Chemical investigation on the 80% EtOH extract of the air dried aerial parts of resulted in the isolation of two new polycyclic polyprenylated derivatives, hypersampines A and B ( and ). The structures of the new compounds were elucidated by spectroscopic data (NMR, IR, and UV) and high resolution mass analysis. The two isolated polyprenylated acylphloroglucinols were tested for cytotoxic activities against 6 pancreatic cell lines.

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Objectives: We aimed to develop MRI-based radiomic models (RMs) to improve the diagnostic accuracy of radiologists in characterizing intestinal fibrosis in patients with Crohn's disease (CD).

Methods: This retrospective study included patients with refractory CD who underwent MR before surgery from November 2013 to September 2021. Resected bowel segments were histologically classified as none-mild or moderate-severe fibrosis.

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Crown removal revitalises sand-fixing shrubs that show declining vigour with age in drought-prone environments; however, the underlying mechanisms are poorly understood. Here, we addressed this knowledge gap by comparing the growth performance, xylem hydraulics and plant carbon economy across different plant ages (10, 21 and 33 years) and treatments (control and crown removal) using a representative sand-fixing shrub (Caragana microphylla Lam.) in northern China.

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Celiac disease (CD), triggered by exposure to gluten in genetically susceptible individuals, is an immune-mediated small bowel disease affecting about 1% of the population worldwide. But the prevalence of CD varies with age, sex, and location. A strict gluten-free diet remains the primary treatment for CD, currently.

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Objectives: Differences in clinical adverse outcomes (CAO) based on different intestinal stricturing definitions in Crohn's disease (CD) are poorly documented. This study aims to compare CAO between radiological strictures (RS) and endoscopic strictures (ES) in ileal CD and explore the significance of upstream dilatation in RS.

Methods: This retrospective double-center study included 199 patients (derivation cohort, n = 157; validation cohort, n = 42) with bowel strictures who simultaneously underwent endoscopic and radiologic examinations.

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Article Synopsis
  • More than half of patients with Crohn's disease need surgery, but many face a risk of surgical recurrence called postoperative anastomotic recurrence (PAR).
  • This study aimed to create and validate a radiomics signature based on preoperative computed tomography enterography (CTE) to predict early PAR in patients with Crohn's disease.
  • The findings showed that both intestinal and mesenteric radiomic signatures were significant independent risk factors for PAR, and a new radiomics-based nomogram was more effective in predicting outcomes compared to traditional clinical models.
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Background: Flavonoid glycosides are known to possess diverse bioactivities including antitumor and anti-inflammatory properties. Hesperetin is abundant in nature and can be used to synthesize bioactive flavonoids. This has the advantages of low cost, short synthetic steps, simple operation, and good yields.

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Cross-sectional imaging-ultrasonography, computed tomography enterography, and magnetic resonance enterography-is a routine and indispensable tool for patients with Crohn's disease (CD) that helps to detect or monitor disease characteristics before, during, and after CD treatment. New emerging radiological technologies may have further clinical applications in the management of CD. In this review article, we focus on the latest developments in cross-sectional imaging in CD research, including its role in intra- and extra-luminal lesion detection, intestinal inflammation and fibrosis grading, therapeutic response assessment and outcome prediction, postoperative recurrence detection and prediction, and the gut-brain axis.

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Understanding the responses of functional trait variation for grassland plants to grazing disturbance is highly helpful to clarify the community assembly mechanism, functional diversity maintenance, plant adaptation and their strategies. We investigated plant functional traits (plant height, root length, leaf area, root area, leaf dry matter content, shoot dry matter content, root dry matter content, specific leaf area, specific root length and root/ shoot ratio) and the responses of their variation characteristics to grazing disturbance in enclosure and grazing grasslands in Horqin Sandy Land. The results showed that the interspecific variation of functional trait was obviously higher than the intraspecific variation in degraded grassland.

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A chemical study of 90% ethanol extract of the barks of resulted in the isolation of three new nortriterpenoids, jugcathenoids A-C (-). The structures of the new compounds were elucidated by spectroscopic analysis (NMR, IR, UV, and MS). The isolated nortriterpenoids were tested for cytotoxic activities against 6 pancreatic cell lines.

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Background: Early changes in bowel behavior during anti-tumor necrosis factor (anti-TNF) induction therapy in Crohn's disease (CD) are relatively unknown. We determined (1) the onset of changes in bowel behavior in CD patients receiving anti-TNF therapy by ultrasound and (2) the feasibility of shear wave elastography (SWE) in predicting early response to anti-TNF therapy.

Methods: Consecutive ileal or ileocolonic CD patients programmed to initiate anti-TNF therapy were enrolled.

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Fibrostenosis is a serious complication of Crohn's disease (CD), affecting approximately one-half of all patients. Surgical resection is the typical clinical end due to ineffective antifibrotic therapy mainly through anti-inflammatory treatment and fibrosis can be reverted only at early stages. Mover, human fibrotic disorders is known to be associated with aging process.

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Article Synopsis
  • The study aimed to evaluate the impact of simvastatin on pulmonary fibrosis in rats, specifically looking at markers of fibrosis and vascular integrity (VE-cadherin, vimentin, and alpha-SMA).
  • A total of 60 male rats were divided into four groups: one control group, one fibrosis group (bleomycin treated), and two simvastatin treatment groups (5 mg and 10 mg).
  • Results showed that simvastatin significantly reduced fibrosis markers and increased VE-cadherin levels compared to the fibrosis group, particularly at the highest dose (10 mg) after 28 days of treatment.
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Ochratoxin A (OTA) is a very important mycotoxin. However, there are few studies on the removal of OTA in wine because of the great influence on product quality and difficulty in practical application. A nano-MgO-modified diatomite ceramic membrane (MCM) with a high positive charge was prepared and applied to remove OTA in wine.

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Purpose: This study aimed to evaluate the role of hepatic mosaic enhancement pattern (HMEP) on computed tomography images in the disease activity and therapeutic outcome of Crohn's Disease (CD).

Methods: Twenty-five CD patients with HMEP comprised the HMEP group, and 25 CD patients without HMEP, who had a similar onset age, sex, and disease course with those in the HMEP group, comprised the non-HMEP group. No underlying liver/biliary disease was observed in any of the patients.

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Background And Aims: Emerging evidence points to a link between creeping fat and the pathogenesis of Crohn's disease [CD]. Non-invasive assessment of the severity of creeping fat on cross-sectional imaging modality has seldom been investigated. This study aimed to develop and characterize a novel mesenteric creeping fat index [MCFI] based on computed tomography [CT] in CD patients.

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Purpose: To determine the utility of diffusion kurtosis imaging (DKI) for assessing bowel fibrosis and to establish a new magnetic resonance imaging (MRI)-based classification based on DKI and conventional MRI parameters for characterizing intestinal strictures in Crohn's disease (CD) using the histological evaluation of resected intestine samples as the reference standard.

Methods: Thirty-one patients with CD undergoing preoperative conventional MRI and diffusion-weighted imaging (DWI) (b values = 0-2000 s/mm) were consecutively enrolled. We classified the mural T2-weighted signal intensity and arterial-phase enhancement patterns on conventional MRI.

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Amino and thiolated aptamers are the main aptamers used to construct label-free electrochemical impedimetric aptasensors. In this study, the modification performance and electrochemical properties of amino aptamers and thiolated aptamers were studied in the construction of label-free impedimetric sensors. The results showed that the initial modification density of amino aptamers was higher than that of thiol aptamers.

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More than 30% of patients with Crohn's disease (CD) develop fibrotic strictures in the bowel as the disease progresses. Excessive deposition of extracellular matrix components in the submucosa and smooth muscle hypertrophy or hyperplasia are the main features of fibrosis in CD. Cross-sectional imaging technology provides a wealth of information on the anatomy, histological composition, and physiological function of the bowel, allowing for a non-invasive and complete evaluation of associated abnormalities.

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Background: The prevalence and prognosis of digestive system involvement, including gastrointestinal symptoms and liver injury, in patients with COVID-19 remains largely unknown. We aimed to quantify the effects of COVID-19 on the digestive system.

Methods: In this systematic review and meta-analysis, we systematically searched PubMed, Embase, and Web of Science for studies published between Jan 1, 2020, and April 4, 2020.

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Objective: To establish a novel standardized magnetization transfer ratio (MTR) parameter which considers the element of the normal bowel wall and to compare the efficacy of the MTR, normalized MTR, and standardized MTR in evaluating intestinal fibrosis in Crohn's disease (CD).

Materials And Methods: Abdominal magnetization transfer imaging from 20 consecutive CD patients were analyzed before performing elective operations. MTR parameters were calculated by delineating regions of interest in specified segments on MTR maps.

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