手指静脉图像感兴趣区域快速提取方法研究

手指静脉识别技术由于其非接触、高防伪性以及活体检测等优点,成为研究与应用的热点。针对传统手指静脉图像感兴趣区域提取方法过程复杂、运算量大的问题,提出一种感兴趣区域快速提取的方法。该方法采用三点对比法定位手指上下边界以及基于相似三角形定理的图像校正方法。与传统的方法相比,省去了边缘优化的复杂过程以及减少了旋转校正的乘法运算量,能将指静脉图像感兴趣区域提取的速度提高2～3倍。利用指静脉图像库进行仿真实验,结果表明,本算法提取ROI的正确率为100%,识别的等错误率仅为2.45%,说明该方法具有较高的普适性和稳定性,能广泛应用在指静脉识别系统中。     

智能型手指静脉图像采集与控制系统的研究

提出了一套智能型图像采集控制系统来解决如何获取高质量手指静脉图像问题。采用智能图像分析方法,对采集过程的手指静脉图像进行及时分析,获取手指运动位置和图像质量信息,并将这些信息反馈到控制系统,对光源、成像器件和显示器件等部件进行实时控制,并同时指导手指合理放置,从而可以获得符合要求的图像。实验结果表明,通过本系统获得的手指静脉图像位置准确、亮度合适、无漏光,可以满足实际需要。     

Expression of Connexin43 Stimulates Endothelial Angiogenesis Independently of Gap Junctional Communication In Vitro

Connexins (Cx) form gap junctions (GJ) and allow for intercellular communication. However, these proteins also modulate gene expression, growth, and cell migration. The downregulation of Cx43 impairs endothelial cell migration and angiogenetic potential. Conversely, endothelial Cx43 expression is upregulated in an in vivo angiogenesis model relying on hemodynamic forces. We studied the effects of Cx43 expression on tube formation and proliferation in HUVECs and examined its dependency on GJ communication. Expectedly, intercellular communication assessed by dye transfer was linked to Cx43 expression levels in HUVECs and was sensitive to a GJ blockade by the Cx43 mimetic peptide Gap27. The proliferation of HUVECs was not affected by Cx43 overexpression using Cx43 cDNA transfection, siRNA-mediated knockdown of Cx43, or the inhibition of GJ compared to the controls (transfection of an empty vector, scrambled siRNA, and the solvent). In contrast, endothelial tube and sprout formation in HUVECs was minimized after Cx43 knockdown and significantly enhanced after Cx43 overexpression. This was not affected by a GJ blockade (Gap27). We conclude that Cx43 expression positively modulates the angiogenic potential of endothelial cells independent of GJ communication. Since proliferation remained unaffected, we suggest that Cx43 protein may modulate endothelial cell migration, thereby supporting angiogenesis. The modulation of Cx43 expression may represent an exploitable principle for angiogenesis induction in clinical therapy.     

Surgical Revision and Early Cannulation of the Arteriovenous Fistula in Hemodialysis Patients: An Effective Technique

Arteriovenous fistula (AVF) dysfunction is a common problem in hemodialysis patients. After surgical revision for malfunction, we used AVFs early to avoid complications associated with central venous catheters. In this study, we report experience with surgical revisions of native AVFs with suspected arterial dysfunction as the cause of inadequate arterial inflow for dialysis. Exclusion criteria were presence of a central venous catheter as a hemodialysis access, and clinical or radiologic evidence of stenosis or thrombosis of the distal venous segment of the AVF. We prospectively studied 50 patients (mean age 60.2 ± 10.5 years, 25 men and 25 women) with 59 revisions. The patients were followed until change in the modality of dialysis, transplant, or death. The types of AVFs revised were left wrist radiocephalic in 27 patients (54%), left forearm radiocephalic in 10 (20%), right wrist radiocephalic in 6 (12%), left antecubital brachiocephalic in 3 (6%), right antecubital brachiocephalic in 2 (4%), and right forearm radiocephalic in 2 (4%). The causes of inadequate arterial flow were juxta‐anastomotic thrombosis in 20 patients (40%), inadequate arterial anastomotic flow in 16 (32%), inadequate anastomosis in 7 (14%), and juxta‐anastomotic venous stenosis in 7 (14%). The primary surgical revision techniques were proximal neo‐anastomosis using the semiarterialized vein in 43 patients (86%), thrombectomy and re‐anastomosis in 5 (10%), and resection and repair in 2 (4%). Technical success, defined as successful cannulation of the revised AVF for hemodialysis and avoidance of central venous catheter, was achieved in 44 of 50 patients (88%). Technical failure occurred 6 cases, the causes being inadequate arterial flow in 3 patients, failure to cannulate the veins in 2 patients, and steal syndrome in 1 patient. After primary revisions failed, 9 re‐revisions were done in 6 patients. The 1‐year, 2‐year, and 3‐year primary and overall patency rates were 76.2%, 67.6%, 65.0%, and 85.7%, 75.7%, 65.0%, respectively. In conclusion, surgical salvage of the AVF with inadequate arterial flow is an effective approach that can be performed as an outpatient procedure and allows early cannulation of the semi‐arterialized veins, thus avoiding the use of central venous catheters.     

吻合器在门静脉断流术中的应用价值

目的探讨吻合器在门奇静脉断流术中的应用效果。方法采用脾切除+贲门周围血管离断术+食管吻合器一次性离断吻合术。结果4例愈合良好,有效地控制了腹水,改善了肝功,防止了食道和胃底静脉再次曲张、出血。结论该手术方式断流彻底,远近期效果好,适宜在基层医院推广运用。     

脉状矿床开采维护矿山整体稳定性的一般原则和方法

含金石英脉群类型的矿床，当采深达到一定程度而采空区又未进行适当处理时，矿山的整体稳定性应予以充分注意。可采取的措施和方法有：在采矿设计中，尽量改善采场围岩的应力环境；为防止岩移“突破口”的形成，处于某些关键部位的采场，应适当进行支护、充填或加固。     

手指静脉图像感兴趣区域提取研究综述

近年全球的疫情促使生物识别技术进一步发展,指静脉识别作为第二代生物识别技术因其具有极高的安全性等优点而被应用于各个领域.指静脉图像感兴趣区域提取作为指静脉识别系统至关重要的一部分,是识别系统性能与适应不同应用场景的保证.分别介绍了商用指静脉识别产品与科研用指静脉采集设备,对其公开数据集进行了整理与分析;重点论述了指静脉...     

One patient,two malpositioned hemodialysis catheters, (hepatic vein and ascending lumbar vein), no fluoroscopy

Cuffed-tunneled hemodialysis catheter (CTHC) application via the femoral vein is a safe and effective alternative when peripheral vascular routes are exhausted for hemodialysis in patients with end-stage renal disease. Also, imaging methods have become more important for the diagnosis or prevention of the possible complications that may develop during or after catheter placements. Here, we present a case of hemodialysis catheter dysfunction due to the insertion of a CTHC tip into the hepatic vein, and into the left ascending lumbar vein at the next attempt. We think that the use of fluoroscopy, whether in the first catheter intervention or catheter change, is extremely important in preventing possible complications that may develop, or detecting them as soon as possible.     

基于LabVIEW的医学影像学教学系统的设计

医学影像学一直是各医学院校教学的重点课程之一。本文通过基于LabVIEW软件制作成医学影像学肝门静脉图像教学系统供教学使用,并为临床诊断提供参考,实践证明取得了良好的效果。