Publications by authors named "Yunfei Zha"

Objective: To assess the accuracy of deep learning reconstruction (DLR) technique on synthetic MRI (SyMRI) including T2 measurements and diagnostic performance of DLR synthetic MRI (SyMRI) in patients with knee osteoarthritis (KOA) using conventional MRI as standard reference.

Materials And Methods: This prospective study recruited 36 volunteers and 70 patients with suspected KOA from May to October 2023. DLR and non-DLR synthetic T2 measurements (T2-SyMRI, T2-SyMRI) for phantom and in vivo knee cartilage were compared with multi-echo fast-spin-echo (MESE) sequence acquired standard T2 values (T2).

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Background: Type 1 diabetes mellitus is associated with accelerated skeletal muscle aging and sarcopenia, a condition characterized by muscle mass and function loss. Early and noninvasive evaluation of muscle microstructural damage is critical for managing sarcopenia in diabetes. This study evaluated the potential of MRI texture analysis as a noninvasive imaging tool to assess myofiber size and grip strength alterations in a rat model of diabetic sarcopenia.

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Peritoneal metastasis following gastric cancer surgery is often associated with a poor prognosis. This study aimed to investigate the mechanisms underlying peritoneal metastasis and to develop a predictive model for the risk of postoperative peritoneal metastases in gastric cancer. We performed a comprehensive analysis of the protein mass spectra and tumor microenvironment in paraffin-embedded primary tumor sections from gastric cancer patients, both with and without postoperative peritoneal metastases.

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Follicle count, a pivotal metric in the adjunct diagnosis of polycystic ovary syndrome (PCOS), is often underestimated when assessed via transvaginal ultrasonography compared to MRI. Nevertheless, the repeatability of follicle counting using traditional MR images is still compromised by motion artifacts or inadequate spatial resolution. In this prospective study involving 22 PCOS patients, we employed periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) and single-shot fast spin-echo (SSFSE) T2-weighted sequences to suppress motion artifacts in high-resolution ovarian MRI.

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  • A multicenter randomized controlled trial in China investigated the impact of adding coronary CT-derived fractional flow reserve (CT-FFR) to routine coronary CT angiography (CCTA) on the need for invasive coronary angiography (ICA) and major adverse cardiovascular events (MACE) in patients with suspected coronary artery disease (CAD).
  • The study involved 5,297 participants, showing that the CCTA plus CT-FFR group had a lower ICA rate (10.0%) compared to the CCTA alone group (12.4%) over a 90-day follow-up.
  • While MACE rates were similar between groups, the CCTA plus CT-FFR approach resulted in fewer cardiac events after one year (0.5%
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Objective: To evaluate early bone marrow microvascular changes in alloxan-induced diabetic rabbits using IDEAL-IQ fat quantification, texture analysis based on DCE-MRI K map, and metabolomics.

Materials And Methods: 24 male Japanese rabbits were randomly divided into diabetic (n = 12) and control (n = 12) groups. All rabbits underwent sagittal MRI of the lumbar vertebrae at the 0th,4th, 8th, 12th, and 16th week, respectively.

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This study aimed to apply pathomics to predict Matrix metalloproteinase 9 (MMP9) expression in glioblastoma (GBM) and investigate the underlying molecular mechanisms associated with pathomics. Here, we included 127 GBM patients, 78 of whom were randomly allocated to the training and test cohorts for pathomics modeling. The prognostic significance of MMP9 was assessed using Kaplan-Meier and Cox regression analyses.

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Background: The presence of infarction in patients with unrecognized myocardial infarction (UMI) is a critical feature in predicting adverse cardiac events. This study aimed to compare the detection rate of UMI using conventional and deep learning reconstruction (DLR)-based late gadolinium enhancement (LGE and LGE, respectively) and evaluate optimal quantification parameters to enhance diagnosis and management of suspected patients with UMI.

Methods: This prospective study included 98 patients (68 men; mean age: 55.

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Purpose: This study aimed to construct a predictive model integrating deep learning-derived radiomic features from computed tomography angiography (CTA) and clinical biomarkers to forecast postoperative adverse events (AEs) in patients with acute uncomplicated Stanford type B aortic dissection (uTBAD) undergoing initial thoracic endovascular aortic repair (TEVAR).

Methods: We retrospectively evaluated 369 patients treated with TEVAR for acute uTBAD from January 2015 to December 2022. A three-dimensional (3D) deep convolutional neural network (CNN) automated radiomic feature extraction from CTA images.

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Study Design: Case-control study.

Objectives: Investigating the association between neurodegeneration within rostral spinal cord and brain gray matter volume (GMV) and assessing the relationship between remote neurodegenerative changes and clinical outcomes at the early phase of Cervical Spondylotic Myelopathy (CSM).

Setting: University/hospital.

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Purpose To develop an MRI-based model for clinically significant prostate cancer (csPCa) diagnosis that can resist rectal artifact interference. Materials and Methods This retrospective study included 2203 male patients with prostate lesions who underwent biparametric MRI and biopsy between January 2019 and June 2023. Targeted adversarial training with proprietary adversarial samples (TPAS) strategy was proposed to enhance model resistance against rectal artifacts.

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(1) : Myocarditis can be associated with ventricular arrhythmia (VA), individual non-invasive risk stratification through cardiovascular magnetic resonance (CMR) is of great clinical significance. Our study aimed to explore whether left atrial (LA) and left ventricle (LV) myocardial strain serve as independent predictors of VA in patients with myocarditis. (2) This retrospective study evaluated CMR scans in 141 consecutive patients diagnosed with myocarditis based on the updated Lake Louise criteria (29 females, mean age 41 ± 20).

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Background: Early on in the development of diabetes, skeletal muscles can exhibit microarchitectural changes that can be detected using texture analysis (TA) based on volume transfer constant (K) maps. Nevertheless, there have been few studies and thus we evaluated microvascular permeability and the TA of the bone marrow in diabetics with critical limb ischemia (CLI).

Methods: Eighteen male rabbits were randomly assigned equally into an operation group with hindlimb ischemia and diabetes, a sham-operated group with diabetes only, and a control group.

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Objective: This study aims to evaluate the feasibility of visualizing nasal cartilage using deep-learning-based reconstruction (DLR) fast spin-echo (FSE) imaging in comparison to three-dimensional fast spoiled gradient-echo (3D FSPGR) images.

Materials And Methods: This retrospective study included 190 set images of 38 participants, including axial T1- and T2-weighted FSE images using DLR (T1WI and T2WI, belong to FSE) and without using DLR (T1WI and T2WI, belong to FSE) and 3D FSPGR images. Subjective evaluation (overall image quality, noise, contrast, artifacts, and identification of anatomical structures) was independently conducted by two radiologists.

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Background: The complement component C5a receptor 1 (C5aR1) regulates cancer immunity. This retrospective study aimed to assess its prognostic value in high-grade glioma (HGG) and predict C5aR1 expression using a radiomics approach.

Methods: Among 298 patients with HGG, 182 with MRI data were randomly divided into training and test groups for radiomics analysis.

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Article Synopsis
  • The study aimed to assess how running multiple marathons impacts heart structure and function in amateur male runners compared to healthy controls.
  • Results indicated that amateur marathon runners had larger heart sizes and thicker heart walls, but exhibited lower regional heart muscle strain in certain areas compared to the control group.
  • The findings suggest that long-term intense exercise might lead to changes in heart structure, prompting further research to determine if these changes are beneficial or harmful.
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  • This study looked at the brain's frontoparietal network (FPN) to see how it works differently in people with bipolar disorder when they're feeling manic or when they're not.
  • Researchers compared 38 people in a manic state and 28 who were in a calmer state, along with 60 healthy people, using brain scans.
  • They found that the differences in brain activity could help tell apart those who are manic from those who aren’t, and might even help predict how well treatment could work for the manic patients.
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Achieving accurate classification of benign and malignant pulmonary nodules is essential for treating some diseases. However, traditional typing methods have difficulty obtaining satisfactory results on small pulmonary solid nodules, mainly caused by two aspects: (1) noise interference from other tissue information; (2) missing features of small nodules caused by downsampling in traditional convolutional neural networks. To solve these problems, this paper proposes a new typing method to improve the diagnosis rate of small pulmonary solid nodules in CT images.

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  • The study aimed to evaluate the effectiveness of high-resolution single-shot fast spin-echo (SSFSE) imaging enhanced with a deep learning reconstruction algorithm for counting follicles in ovaries of patients with polycystic ovary syndrome (PCOS).
  • Results showed that SSFSE images with deep learning (SSFSE-DL) had fewer blurring artifacts and better clarity compared to original SSFSE and conventional fast spin-echo (FSE) images.
  • The SSFSE-DL images also demonstrated superior repeatability and agreement among observers when counting follicles, indicating better diagnostic performance than the other methods.
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Purpose: Numerous studies have implicated the involvement of structure and function of the hippocampus in physical exercise, and the larger hippocampal volume is one of the relevant benefits reported in exercise. It remains to be determined how the different subfields of hippocampus respond to physical exercise.

Methods: A 3D T1-weighted magnetic resonance imaging was acquired in 73 amateur marathon runners (AMR) and 52 healthy controls (HC) matched with age, sex, and education.

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Background: The purpose of this study was to explore whether incorporating the peritumoral region to train deep neural networks could improve the performance of the models for predicting the prognosis of NPC.

Methods: A total of 381 NPC patients who were divided into high- and low-risk groups according to progression-free survival were retrospectively included. Deeplab v3 and U-Net were trained to build segmentation models for the automatic segmentation of the tumor and suspicious lymph nodes.

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Centromeric protein A (), an essential protein involved in chromosomal segregation during cell division, is associated with several cancer types. However, its role in gliomas remains unclear. This study examined the clinical and prognostic significance of in gliomas.

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Article Synopsis
  • - The study compared the effectiveness of contrast-enhanced 3D Cube T1-weighted imaging versus conventional 2D T1-weighted imaging for diagnosing acute optic neuritis in 32 patients with confirmed cases.
  • - Analysis by two neuroradiologists showed that 3D Cube T1WI provided better image quality, clarity of the optic nerve, and visual contrast enhancement, with significantly higher sensitivity (89%) and specificity (86%) compared to the 2D method (75% sensitivity, 79% specificity).
  • - The findings suggest that 3D Cube T1WI is a promising alternative for detecting acute optic neuritis without compromising scanning efficiency, as it successfully detected all lesions found by the 2D method.*
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COVID-19 has been spreading continuously since its outbreak, and the detection of its manifestations in the lung via chest computed tomography (CT) imaging is essential to investigate the diagnosis and prognosis of COVID-19 as an indispensable step. Automatic and accurate segmentation of infected lesions is highly required for fast and accurate diagnosis and further assessment of COVID-19 pneumonia. However, the two-dimensional methods generally neglect the intraslice context, while the three-dimensional methods usually have high GPU memory consumption and calculation cost.

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