Publications by authors named "Zehang Li"

Background The prognostic value of coronary CT angiography (CTA)-derived quantitative flow ratio (CT-QFR) remains unknown. Purpose To determine the prognostic value of CT-QFR in predicting the long-term outcomes of patients with suspected coronary artery disease (CAD) in comparison with invasive coronary angiography (ICA)/SPECT and to determine the influence of prior percutaneous coronary intervention (PCI) on the prognostic value of CT-QFR. Materials and Methods In this secondary analysis of the prospective international CORE320 study, 379 participants who underwent coronary CTA and SPECT within 60 days before ICA between November 2009 and July 2011 were included for follow-up.

View Article and Find Full Text PDF
Article Synopsis
  • The study explored how oxalate-based Ni-Fe metal-organic frameworks (MOFs) perform in the oxygen evolution reaction (OER) using the ligand 2,2'-bpy to enhance catalytic efficiency.
  • The transformation of the MOF structure involving [M(2,2'-bpy)] led to significantly improved OER performance, achieving a low overpotential of 220 mV in a KOH solution, outpacing standard oxalate-based Ni-Fe MOFs.
  • However, too much 2,2'-bpy decreased catalytic activity, illustrating its dual role in either promoting or inhibiting reactions, and pointing to the importance of secondary ligands in optimizing catalytic performance.
View Article and Find Full Text PDF
Article Synopsis
  • A new method called CT-μFR, based on automatic CCTA reconstruction, was developed to identify significant coronary artery blockages using artificial intelligence, showing favorable accuracy when compared to traditional tests in the cath lab.
  • This study analyzed data from the CAREER trial, where 657 vessels from 242 patients were evaluated for diagnostic accuracy and correlation with established physiological standards for determining significant stenosis.
  • Results showed that CT-μFR effectively identified patients with serious blockages, achieving an accuracy rate of 83.0%, with a short average analysis time of around 1.6 minutes per patient, indicating its potential for clinical use.
View Article and Find Full Text PDF

Understanding cause-specific mortality rates is crucial for monitoring population health and designing public health interventions. Worldwide, two-thirds of deaths do not have a cause assigned. Verbal autopsy (VA) is a well-established tool to collect information describing deaths outside of hospitals by conducting surveys to caregivers of a deceased person.

View Article and Find Full Text PDF

Head and neck CTA requires fine detail evaluation, including characterization of potentially very small vessels and intrastent lumens. Blooming artifacts also hinder evaluation. To evaluate image quality of ultra-high-resolution (UHR) photon-counting detector (PCD) CTA of the head and neck and to explore variation of such quality across reconstruction kernels.

View Article and Find Full Text PDF

Background And Study Aims: The clinicopathological risk factors in the prognosis of stage IV gastric cancer have been comprehensively studied. However, the influencing factors of stage IV gastric cancer prognosis at genomic and transcriptional levels have not been well defined.

Patients And Methods: The mutational and transcriptional data, along with demographic, clinicopathological and prognostic information of 44 stage IV gastric cancer patients were downloaded from the TCGA database.

View Article and Find Full Text PDF

Determining causes of deaths (CODs) occurred outside of civil registration and vital statistics systems is challenging. A technique called verbal autopsy (VA) is widely adopted to gather information on deaths in practice. A VA consists of interviewing relatives of a deceased person about symptoms of the deceased in the period leading to the death, often resulting in multivariate binary responses.

View Article and Find Full Text PDF

Background: The South African national cause of death validation (NCODV 2017/18) project collected a national sample of verbal autopsies (VA) with cause of death (COD) assignment by physician-coded VA (PCVA) and computer-coded VA (CCVA).

Objective: The performance of three CCVA algorithms (InterVA-5, InSilicoVA and Tariff 2.0) in assigning a COD was compared with PCVA (reference standard).

View Article and Find Full Text PDF

Verbal autopsy (VA) is a survey-based tool widely used to infer cause of death (COD) in regions without complete-coverage civil registration and vital statistics systems. In such settings, many deaths happen outside of medical facilities and are not officially documented by a medical professional. VA surveys, consisting of signs and symptoms reported by a person close to the decedent, are used to infer the COD for an individual, and to estimate and monitor the COD distribution in the population.

View Article and Find Full Text PDF

Glutamate receptor, ionotropic, kainate 5 (GRIK5) is a member of glutamate receptors participating, and the kainate receptor family has been proved to regulate cell proliferation and transformation. Our study aimed at exploring the role of GRIK5 in colon tumor progression. Three hundred and ninety eight colon cancer patients in The Cancer Genome Atlas Program (TCGA) data set and 26 clinical colon cancer patients were included for GRIK5 expression and prognosis analysis.

View Article and Find Full Text PDF

Liquid metal batteries (LMBs), with the merits of long lifespan and low cost, are deemed as one of the most promising energy storage technologies for large-scale energy storage applications due to the use of liquid metal electrodes and molten salt electrolytes. However, the consequent problem is that the poor wettability between graphite-based collectors and the liquid metal/alloy electrodes leads to large contact resistance, which limits the efficiency and stability of the battery. In this work, a transition layer in situ formed on a graphite-based positive electrode current collector by Ti additive is designed for the first time, which increases the wettability between the positive alloy and the current collector and improves the voltage efficiency of the Li||Sb-Sn cell from 85.

View Article and Find Full Text PDF

Background Coronary physiology measurement in serial coronary lesions with multiple stenoses is challenging. Therefore, we evaluated the feasibility of Murray fractal law-based quantitative flow ratio (μQFR) virtual stenting for guidance of serial coronary lesions intervention. Methods and Results Patients who underwent elective coronary angiography and had 2 serial de novo coronary lesions of 30% to 90% diameter stenosis by visual estimation were prospectively enrolled.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess and compare the diagnostic accuracy of coronary CT angiography-based quantitative flow ratio (CT-QFR) against invasive coronary angiography-based Murray law QFR (μQFR), using fractional flow reserve (FFR) as the gold standard for identifying significant arterial blockages.
  • - A total of 191 vessels from 167 patients were analyzed, revealing that while CT-QFR had a slightly lower correlation with FFR compared to μQFR, the differences were not statistically significant; both methods significantly outperformed traditional diameter stenosis measurements from CTA.
  • - The diagnostic performance of CT-QFR was 88% overall, with high sensitivity and specificity, particularly effective in non-calcified lesions, while also
View Article and Find Full Text PDF

Introduction: Coronary CT angiography (CCTA)-derived quantitative flow ratio (CT-QFR) is a novel non-invasive technology to assess the physiological significance of coronary stenoses, which enables fast and on-site computation of fractional flow reserve (FFR) from CCTA images. The objective of this investigator-initiated, prospective, single-centre clinical trial is to evaluate the diagnostic performance of CT-QFR with respect to angiography-derived QFR, using FFR as the reference standard.

Methods And Analysis: A total of 216 patients who have at least one lesion with a diameter stenosis of 30%-90% in an artery with ≥2.

View Article and Find Full Text PDF

Over the past 70 years, significant advances have been made in determining the causes of death in populations not served by official medical certification of cause at the time of death using a technique known as Verbal Autopsy (VA). VA involves an interview of the family or caregivers of the deceased after a suitable bereavement interval about the circumstances, signs and symptoms of the deceased in the period leading to death. The VA interview data are then interpreted by physicians or, more recently, computer algorithms, to assign a probable cause of death.

View Article and Find Full Text PDF

Bowel cancer is the third-most common cancer and the second leading cause of cancer-related death worldwide. Bowel cancer has a substantial hereditary component; however, additional hereditary risk factors involved in bowel cancer pathogenesis have not been systematically defined. A total of 573 patients with bowel cancer were enrolled in the present study, of whom 93.

View Article and Find Full Text PDF

Close contact between people is the primary route for transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). We quantified interpersonal contact at the population level using mobile device geolocation data. We computed the frequency of contact (within 6 feet) between people in Connecticut during February 2020 to January 2021 and aggregated counts of contact events by area of residence.

View Article and Find Full Text PDF

Purpose To estimate the prevalence of current and past COVID-19 in Ohio adults. Methods We used stratified, probability-proportionate-to-size cluster sampling. During July 2020, we enrolled 727 randomly-sampled adult English- and Spanish-speaking participants through a household survey.

View Article and Find Full Text PDF

Accurate coronary lumen segmentation on coronary-computed tomography angiography (CCTA) images is crucial for quantification of coronary stenosis and the subsequent computation of fractional flow reserve. Many factors including difficulty in labeling coronary lumens, various morphologies in stenotic lesions, thin structures and small volume ratio with respect to the imaging field complicate the task. In this work, we fused the continuity topological information of centerlines which are easily accessible, and proposed a novel weakly supervised model, Examinee-Examiner Network (EE-Net), to overcome the challenges in automatic coronary lumen segmentation.

View Article and Find Full Text PDF

To support public health policymakers in Connecticut, we developed a flexible county-structured compartmental SEIR-type model of SARS-CoV-2 transmission and COVID-19 disease progression. Our goals were to provide projections of infections, hospitalizations, and deaths, and estimates of important features of disease transmission and clinical progression. In this paper, we outline the model design, implementation and calibration, and describe how projections and estimates were used to meet the changing requirements of policymakers and officials in Connecticut from March 2020 to February 2021.

View Article and Find Full Text PDF

Globally, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected more than 59 million people and killed more than 1.39 million. Designing and monitoring interventions to slow and stop the spread of the virus require knowledge of how many people have been and are currently infected, where they live, and how they interact.

View Article and Find Full Text PDF

Unlabelled: Close contact between people is the primary route for transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19). We sought to quantify interpersonal contact at the population-level by using anonymized mobile device geolocation data. We computed the frequency of contact (within six feet) between people in Connecticut during February 2020 - January 2021.

View Article and Find Full Text PDF

The distribution of deaths by cause provides crucial information for public health planning, response and evaluation. About 60% of deaths globally are not registered or given a cause, limiting our ability to understand disease epidemiology. Verbal autopsy (VA) surveys are increasingly used in such settings to collect information on the signs, symptoms and medical history of people who have recently died.

View Article and Find Full Text PDF

Learning dependence relationships among variables of mixed types provides insights in a variety of scientific settings and is a well-studied problem in statistics. Existing methods, however, typically rely on copious, high quality data to accurately learn associations. In this paper, we develop a method for scientific settings where learning dependence structure is essential, but data are sparse and have a high fraction of missing values.

View Article and Find Full Text PDF

Background: CT-QFR is a novel coronary computed tomography angiography (CTA)-based method for on-site evaluation of patients with suspected obstructive coronary artery disease (CAD).

Aims: We aimed to compare the diagnostic performance of CT-QFR with myocardial perfusion scintigraphy (MPS) and cardiovascular magnetic resonance (CMR) as second-line tests in patients with suspected obstructive CAD after coronary CTA.

Methods: A paired analysis of CT-QFR and MPS or CMR, with an invasive FFR-based classification as reference standard was carried out.

View Article and Find Full Text PDF