Extramedullary Plasmacytoma Involving the Bilateral Adrenal Glands on MR Imaging

Yuan Li,Ying-kun Guo,Zhi-gang Yang,En-sen Ma,Peng-qiu Min 대한영상의학회 2007 Korean Journal of Radiology Vol.8 No.3

We report here on a 64-year-old woman with extramedullary plasmacytoma involving the bilateral adrenal glands. Primary adrenal extramedullary plasmacytoma is extremely rare and only three cases of extramedullary plasmacytoma in the unilateral adrenal gland have currently been reported on. This case is of interest in that the bilateral adrenals were involved. In this article, we present the MRI findings and we briefly review the relevant literature.

A Damage Constitutive Model of Q345B Steel in Circular Tubes Based on Cyclic Experiments and Its Application on Structure

Gui-bo Nie,Chenxiao Zhang,Xudong Zhi,Kun Liu,Huihuan Ma 한국강구조학회 2019 International Journal of Steel Structures Vol.19 No.2

Q235B and Q345B are two structural steel grades widely used in China. In previous studies, more precisely in 2012, Nie defi ned a normalized constitutive model using material damage accumulation to describe damage behavior of Q235B steel in circular tubes. This paper focuses on the hysteretic damage behavior of Q345B steel in a circular steel tube under cyclic loads and describes the damage mechanism through a damage constitutive model based on experimental results. Three equations are implemented in the constitutive model, which includes a damage index to accurately describe the plastic and damage behavior of the material. Experiments were conducted in which a cyclic loading is applied in three directions on a circular steel tube. The constitutive model was implemented in the ABAQUS FEA software through a user-defi ned subroutine. Some parameters in the constitutive model were calibrated based on the experimental and numerical results. The performance behavior of a single-layer reticulated dome under seismic motion record was investigated through the increment dynamic analysis method. The results indicate that the constitutive model is suitable for analyses and quantifying seismic damage accumulation and progressive failure and it is also benefi cial for investigating the nonlinear dynamic behavior of structures under seismic loads. The eff ect of accumulated material damage can describe large-scale structural deformation and obvious reduction in the failure limit load.

Clinical Profles and Short-Term Outcomes of Acute Disseminated Encephalomyelitis in Adult Chinese Patients

Hong-Qi Yang,Wen-Cong Zhao,Wei-Min Yang,Yong-Li Li,Zhi-Kun Sun,Shuai Chen,Wei Li,Jian-Jun Ma 대한신경과학회 2016 Journal of Clinical Neurology Vol.12 No.3

Background and PurposezzAcute disseminated encephalomyelitis (ADEM) is an infammatory demyelinating disorder that predominantly afects children. Previous studies have mostly involved children in Western developed countries. MethodszzTis study retrospectively reviewed the clinical profles of ADEM in adult Chinese patients. ResultszzADEM occurred during summer and autumn in about two-thirds of the 42 included patients. Prior infection was found in fve patients and no preimmunization was recorded. Te most frequent clinical presentations were alterations in consciousness (79%) and behavior changes (69%), followed by motor defcits (64%) and fever (50%). About one-quarter (26%) of the patients showed positive results for oligoclonal bands, and about half of them exhibited increases in the IgG index and 24-hour IgG synthesis rate. Magnetic resonance imaging showed white- and gray-matter lesions in 83% and 23% of the patients, respectively. Steroids were the main treatment, and full recovery occurred in 62% of the patients, with residual focal neurological defcits recorded in a few patients. Afer a mean follow-up period of 3.4 years, two patients exhibited recurrence and one patient exhibited a multiphasic course. One patient was diagnosed with multiple sclerosis (MS). ConclusionszzWith the exception of the seasonal distribution pattern and prior vaccine rate, the clinical profles of ADEM in adult Chinese patients are similar to those in pediatric populations. No specifc markers are available for distinguishing ADEM from MS at the initial presentation. Careful clinical evaluations, cerebrospinal fuid measurements, and neuroradiological examinations with long-term follow-up will aid the correct diagnosis of ADEM.

Recombinant Human Granulocyte Colony-Stimulating Factor Promotes Preinvasive and Invasive Estrogen Receptor-Positive Tumor Development in MMTV-erbB2 Mice

Chun Ling Zhao,Guang Ping Zhang,Zheng Zheng Xiao,Zhi Kun Ma,Cai Peng Lei,Shi Yuan Song,Ying Ying Feng,Ya Chao Zhao,Xiao Shan Feng 한국유방암학회 2015 Journal of breast cancer Vol.18 No.2

Purpose: We investigated whether recombinant human granulocyte colony-stimulating factor (rhG-CSF) could promote the development of preinvasive and invasive breast cancer in mouse mammary tumor virus (MMTV-erbB2) mice with estrogen receptor- positive tumors. Methods: MMTV-erbB2 mice were randomly divided into three experimental groups with 20 mice in each group. MMTV-erbB2 mice were treated with daily subcutaneous injections of vehicle or rhG-CSF (low-rhG-CSF group, rhG-CSF 0.125 μg; vehicle-rhG-CSF group, normal saline 0.25 μg; and high-rhG-CSF group, rhG-CSF 0.25 μg) at 3 months of age. Cellular and molecular mechanisms of G-CSF action in mammary glands were investigated via immunohistochemistry and reverse transcription polymerase chain reaction. Results: Low, but not high, rhG-CSF doses significantly accelerated mammary tumorigenesis in MMTV-erbB2 mice. Short-term treatment with rhG-CSF could significantly promote the development of preinvasive mammary lesions. The cancer prevention effect was associated with reduced expression of proliferating cell nuclear antigen, cluster of differentiation 34, and signal transducers and activators of transcription 3 in mammary glands by >80%. Conclusion: We found that G-CSF was regulated by rhG-CSF both in vitro and in vivo. Identification of G-CSF genes helped us further understand the mechanism by which G-CSF promotes cancer. Low doses of rhG-CSF could significantly increase tumor latency and increase tumor multiplicity and burden. Moreover, rhG-CSF effectively promotes development of both malignant and premalignant mammary lesions in MMTV-erbB2 mice.

Seismic Isolation Research on a Double-Layer lattice Structure Using Shaking Table Tests

Chenxiao Zhang,Gui-bo Nie,Jun-Wu Dai,Kun Liu,Xudong Zhi,Huihuan Ma 한국강구조학회 2019 International Journal of Steel Structures Vol.19 No.4

Typical failure patterns of members, supports, and joints were observed in double-layer lattice space structures during the 2013 M7.0 Lushan earthquake in the Sichuan province of China. Various isolation supports have been implemented in recent years to enhance the structural performance by reducing the dynamic responses. However, these isolation supports mostly focus on either horizontal isolation or vertical isolation, which is not applicable for synchronous isolation in both horizontal and vertical directions. Therefore, an innovative isolated support used for three-dimensional isolation was invented. In order to verify the feasibility of using the isolated support to reduce the earthquake response of double-layer lattice structures under small to strong earthquakes, a scale model was subjected to a shaking-table test before and after application of the isolated support. The dynamic characteristics, earthquake performance and failure pattern of the model with and without the isolated supports are discussed based on the earthquake responses, including acceleration, displacement, and strain. Results of the test indicate that the earthquake eff ect is underestimated without regard to the dynamic amplifi cation eff ect of the lower supporting reinforced concrete structures, which led to the failure of the structure. The compared experimental results indicate that the isolated supports had remarkable earthquake isolation and reduction in both the horizontal and vertical directions.

Biomechanical Evaluation of 2 Endoscopic Spine Surgery Methods for Treating Lumbar Disc Herniation: A Finite Element Study

Yang Zou,Shuo Ji,Hui Wen Yang,Tao Ma,Yue Kun Fang,Zhi Cheng Wang,Miao Miao Liu,Ping Hui Zhou,Zheng Qi Bao,Chang Chun Zhang,Yu Chen Ye 대한척추신경외과학회 2024 Neurospine Vol.21 No.1

Objective: This study aimed to evaluate the effects of 2 endoscopic spine surgeries on the biomechanical properties of normal and osteoporotic spines. Methods: Based on computed tomography images of a healthy adult volunteer, 6 finite element models were created. After validating the normal intact model, a concentrated force of 400 N and a moment of 7.5 Nm were exerted on the upper surface of L3 to simulate 6 physiological activities of the spine. Five types of indices were used to assess the biomechanical properties of the 6 models, range of motion (ROM), maximum displacement value, intervertebral disc stress, maximum stress value, and articular protrusion stress, and by combining them with finite element stress cloud. Results: In normal and osteoporotic spines, there was no meaningful change in ROM or disc stress in the 2 surgical models for the 6 motion states. Model N1 (osteoporotic percutaneous transforaminal endoscopic discectomy model) showed a decrease in maximum displacement value of 20.28% in right lateral bending. Model M2 (unilateral biportal endoscopic model) increased maximum displacement values of 16.88% and 17.82% during left and right lateral bending, respectively. The maximum stress value of L4–5 increased by 11.72% for model M2 during left rotation. In addition, using the same surgical approach, ROM, maximum displacement values, disc stress, and maximum stress values were more significant in the osteoporotic model than in the normal model. Conclusion: In both normal and osteoporotic spines, both surgical approaches were less disruptive to the physiologic structure of the spine. Furthermore, using the same endoscopic spine surgery, normal spine biomechanical properties are superior to osteoporotic spines.