PurposeTo perform one-shot retinal artery and vein segmentation with cross-modality artery-vein (AV) soft-label pretraining.DesignCross-sectional study.SubjectsThe study included 6479 color fundus photography (CFP) and arterial-venous fundus fluorescein angiography (FFA) pairs from 1964 participants for pretraining and 6 AV segmentation data sets with various image sources, including RITE, HRF, LES-AV, AV-WIDE, PortableAV, and DRSplusAV for one-shot finetuning and testing.MethodsWe structurally matched the arterial and venous phase of FFA with CFP, the AV soft labels were automatically generated by utilizing the fluorescein intensity difference of the arterial and venous-phase FFA images, and the soft labels were then used to train a generative adversarial network to learn to generate AV soft segmentations using CFP images as input. We then finetuned the pretrained model to perform AV segmentation using only one image from each of the AV segmentation data sets and test on the remainder. To investigate the effect and reliability of one-shot finetuning, we conducted experiments without finetuning and by finetuning the pretrained model on an iteratively different single image for each data set under the same experimental setting and tested the models on the remaining images.Main Outcome MeasuresThe AV segmentation was assessed by area under the receiver operating characteristic curve (AUC), accuracy, Dice score, sensitivity, and specificity.ResultsAfter the FFA-AV soft label pretraining, our method required only one exemplar image from each camera or modality and achieved similar performance with full-data training, with AUC ranging from 0.901 to 0.971, accuracy from 0.959 to 0.980, Dice score from 0.585 to 0.773, sensitivity from 0.574 to 0.763, and specificity from 0.981 to 0.991. Compared with no finetuning, the segmentation performance improved after one-shot finetuning. When finetuned on different images in each data set, the standard deviation of the segmentation results across models ranged from 0.001 to 0.10.ConclusionsThis study presents the first one-shot approach to retinal artery and vein segmentation. The proposed labeling method is time-saving and efficient, demonstrating a promising direction for retinal-vessel segmentation and enabling the potential for widespread application.Financial DisclosuresProprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

2023-09-01·Cureus

Transthyretin Cardiac Amyloidosis Presenting as Bradycardia, Renal Failure, Atrioventricular-Nodal Blockade, Shock, and Hyperkalemia (BRASH) Syndrome: A Case Report

作者: Francois, Jonathan ; Khatun, Nazima ; Brown, Bernard ; John, Sabu ; Budzikowski, Adam S ; Salciccioli, Louis

BRASH syndrome involves the chain of events resulting from the collective effects of Bradycardia, Renal failure, Atrioventricular (AV)-nodal blockade, Shock, and Hyperkalemia. BRASH syndrome can rapidly progress to cardiac arrest. Early recognition is crucial. We present a case of transthyretin cardiac amyloidosis (ATTR-CA) in an elderly woman who presented with BRASH syndrome shortly after an AV-nodal blocker was prescribed for atrial fibrillation.

2022-08-01·Journal of Food Science and Technology

Aloe vera gel coating delays softening and maintains quality of stored persimmon (Diospyros kaki Thunb.) Fruits

Article

作者: Nawaz, Aamir ; Ejaz, Shaghef ; Abbas, Abdul Manan ; Naz, Safina ; Anjum, Muhammad Akbar ; Saleem, Muhammad Shahzad ; Ali, Sajid ; Hussain, Sajjad ; Maqbool, Mehdi

The effect of Aloe vera (AV) gel coating was studied on antioxidant enzymes activities, oxidative stress, softening and associated quality attributes of persimmon fruits. The fruits were coated with 0 and 50% AV-gel coating and stored for 20 days at 20 ± 1 ºC. AV-gel coated fruits exhibited considerably less weight loss, hydrogen peroxide level, electrolyte leakage and malondialdehyde content. AV-gel coated fruits had significantly higher ascorbate peroxidase, peroxidase, superoxide dismutase and catalase activities. In addition, AV-gel coating suppressed pectin methylesterase, polygalacturonase and cellulase activities and showed higher ascorbic acid, DPPH scavenging antioxidants and phenolics, and lower sugars and carotenoids. To the best of our knowledge, these results are the first evidence that AV-gel coating modulates the activities of cell wall degrading enzymes to delay ripening in climacteric fruits. So, AV-gel coating prohibited the onset of senescence by activating enzymatic antioxidant system, accumulating bioactive compounds and suppressing cell wall degradation.Supplementary InformationThe online version contains supplementary material available at 10.1007/s13197-022-05412-5.

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