Shaoqing Wang1, Xiancun Yang2, Meixia Su1, Qiang Liu1 1Department of MRI, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan, Shandong, 250021, People's Republic of C...
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Shaoqing Wang1, Xiancun Yang2, Meixia Su1, Qiang Liu1 1Department of MRI, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan, Shandong, 250021, People's Republic of China; 2Department of Interventional Radiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, 250021, People's Republic of China Correspondence: Qiang Liu (2002md@***) Aims To evaluate the diagnostic value of three- dimensional rotational angiography (3D-RA) of intracranial micro-aneurysms (diameter ≤ 3 mm) and provide guidance on the value of endovascular treatment. Materials and methods 43 patients with intracranial micro-aneurysms were analyzed retrospectively, all patients had undergone angiography with both conventional 2D-DSA(Two-Dimensional Digital Subtraction Angiography) and rotational angiography with three-dimensional reconstruction; the frequency of detection of aneurysms, depiction of aneurysm neck, radiation dose, and the dosage of contrast agent were recorded respectively. Results 55 pieces of aneurysms were detected out from the 43 cases with intracranial micro-aneurysms by 3D-RA. But only 39 cases were detected out using 2D-DSA from the 55 samples, there were significant differences with regards to detection rate (P < 0.05). There were significant differences in radiation dose and dosage of contrast agent (P < 0.05) between the two methods of using 3D-RA can improve the detection rate of micro-aneurysms, which bestows obvious advantages on displaying the shape of aneurysms, the aneurysm neck at the best angle, and the relationship with the parent artery, at the same time, the amount of contrast agent and radiation dose are reduced in 3D-RA compared to 2D-DSA.
Type 2 diabetes (T2D) is a heterogeneous disease that develops through diverse pathophysiological processes and molecular mechanisms that are often specific to cell type. Here, to characterize the genetic contribution...
Type 2 diabetes (T2D) is a heterogeneous disease that develops through diverse pathophysiological processes and molecular mechanisms that are often specific to cell type. Here, to characterize the genetic contribution to these processes across ancestry groups, we aggregate genome-wide association study data from 2,535,601 individuals (39.7% not of European ancestry), including 428,452 cases of T2D. We identify 1,289 independent association signals at genome-wide significance (P < 5 × 10) that map to 611 loci, of which 145 loci are, to our knowledge, previously unreported. We define eight non-overlapping clusters of T2D signals that are characterized by distinct profiles of cardiometabolic trait associations. These clusters are differentially enriched for cell-type-specific regions of open chromatin, including pancreatic islets, adipocytes, endothelial cells and enteroendocrine cells. We build cluster-specific partitioned polygenic scores in a further 279,552 individuals of diverse ancestry, including 30,288 cases of T2D, and test their association with T2D-related vascular outcomes. Cluster-specific partitioned polygenic scores are associated with coronary artery disease, peripheral artery disease and end-stage diabetic nephropathy across ancestry groups, highlighting the importance of obesity-related processes in the development of vascular outcomes. Our findings show the value of integrating multi-ancestry genome-wide association study data with single-cell epigenomics to disentangle the aetiological heterogeneity that drives the development and progression of T2D. This might offer a route to optimize global access to genetically informed diabetes care.
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