Objective Binding of 18F-DCFPyL at prostate cancer (PC) cells increases over time. The dual-phase protocol may be helpful in separating benign lesions from malignant ones associated with prostate cancer. The purpose of this study was to retrospectively analyze the incremental diagnostic value of 18F-DCFPyL dual-time imaging in patients with prostate cancer. Method 114 prostate-related malignant lesions and 43 benign lesions in 38 patients with prostate cancer were retrospectively analyzed. Maximum standardized uptake value (SUVmax) for benign and prostate-related malignant lesions were calculated at min 60 and min 120 of PET/CT imaging. In order to calculate SUV ratio, the SUVmax of left gluteus maximus was measured at the same time. The difference of SUVmax metrics and SUV ratio between malignant and benign lesions was statistically analyzed, the cut-off value of ROC curve was calculated, and the diagnostic efficacy of SUVmax index and SUV ratio at two time points was compared. Results SUVmax metrics and SUV ratio of early and delayed imaging of PC-related malignant lesions were significantly higher than those of benign lesions (p < 0.05). In terms of individual indicators, the highest accuracy and sensitivity was in the delayed SUV ratio (89.2% and 94.7%), the best specificity was in the early SUVmax (93.0%). When the individual and combined indicators were compared together, the SUV ratio in the delay period still showed the best diagnostic sensitivity and accuracy, and the best specificity were SUVmax early and ▵SUVmax, SUVmax early and RI. Conclusions Uptake of 18F-DCFPyL increased over time in prostate-associated malignant lesions compared with benign tissue. For single-phase imaging, 2-hour (delayed) imaging has better diagnostic performance. However, the dual-phase imaging (1 and 2 h) are helpful in the differential diagnosis of prostate-associated malignant lesions and benign lesions.
Nonlinear formulations of the meshless local Petrov-Galerkin method (MLPG) are presented for the large deformation analysis of hyperelastic materials which are considered to be incompressible or nearly incompressible. The MLPG method requires no explicit mesh in computation and therefore avoids mesh distortion difficulties. In this paper, a simple Heaviside test function is chosen for reducing the computational effort by simplifying domain integrals for hyperelasticity problems. Trial functions are constructed using the radial basis function (RBF) coupled with a polynomial basis function. The plane stress hypothesis and a pressure projection method are employed to overcome the incompressibility or nearly incompressibility in the plane stress and plane strain problems, respectively. Effects of the sizes of local subdomain and interpolation domain on the performance of the present MLPG method are investigated. The behaviour of shape parameters of multiquadrics (MQ) function has been studied. Numerical results for several examples show that the present method is effective in dealing with large deformation hyperelastic materials problems.
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