This study aims to compare the therapeutic effectiveness of continuous catheter drainage versus intermittent needle aspiration in the percutaneous treatment of pyogenic liver abscesses. Over a 5-year period, 64 consecutive patients with pyogenic liver abscess were treated with intravenous antibiotics (ampicillin, cefuroxime, and metronidazole) and randomized into two percutaneous treatment groups: continuous catheter drainage (with an 8F multisidehole pigtail catheter); and intermittent needle aspiration (18G disposable trocar needle). There was no statistically significant difference between the two groups regarding patient demographics, underlying coexisting disease, abscess size, abscess number, number of loculation of abscess, the presenting clinical symptoms such as fever, abdominal pain, and pretreatment liver function test. Although not statistically significant, the duration of intravenous antibiotics treatment before percutaneous treatment was longer with the catheter group, and the change of antibiotics after the sensitivity test was more frequent with the needle group. The needle group was associated with a higher treatment success rate, a shorter duration of hospital stay, and a lower mortality rate, although this did not reach statistical significance. In conclusion, this study suggests that intermittent needle aspiration is probably as effective as continuous catheter drainage for the treatment of pyogenic liver abscess, although further proof with a large-scale study is necessary. Due to the additional advantages of procedure simplicity, patient comfort, and reduced price, needle aspiration deserves to be considered as a first-line drainage approach. (HEPATOLOGY 2004;39:932-938.)

http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.12120422/-/DC1.

Data privacy mechanisms are essential for rapidly scaling medical training databases to capture the heterogeneity of patient data distributions toward robust and generalizable machine learning systems. In the current COVID-19 pandemic, a major focus of artificial intelligence (AI) is interpreting chest CT, which can be readily used in the assessment and management of the disease. This paper demonstrates the feasibility of a federated learning method for detecting COVID-19 related CT abnormalities with external validation on patients from a multinational study. We recruited 132 patients from seven multinational different centers, with three internal hospitals from Hong Kong for training and testing, and four external, independent datasets from Mainland China and Germany, for validating model generalizability. We also conducted case studies on longitudinal scans for automated estimation of lesion burden for hospitalized COVID-19 patients. We explore the federated learning algorithms to develop a privacy-preserving AI model for COVID-19 medical image diagnosis with good generalization capability on unseen multinational datasets. Federated learning could provide an effective mechanism during pandemics to rapidly develop clinically useful AI across institutions and countries overcoming the burden of central aggregation of large amounts of sensitive data.

Equimolar quinary diboride powders, with nominal composition of (Ti 0.2 Hf 0.2 Zr 0.2 Nb 0.2 Ta 0.2)B 2 , were synthesized by boro/carbothermal reduction (BCTR) of oxide mixtures (MO x , M = Ti, Hf, Zr, Nb and Ta) using B 4 C as source of B and C in vacuum. By adjusting the B 4 C/MO x ratios, diboride mixtures without detectable MO x were obtained at 1600°C, while high-entropy diboride (HEB) powders with particle size of < 1 μm was obtained at 1800°C. The phase, morphology and solid solution evolution process of the HEB powders during the BCTR process were comprehensively investigated. Although X-ray diffraction pattern indicated the powders synthesized at 1800°C were in a single-phase AlB 2 structure, elemental mappings showed that (Ta, Ti)-rich and (Zr, Nb)-rich solid solution coexisted in the HEB powders. The distribution of niobium and zirconium atoms in HEB was unable to reach uniform until the HEB powders were spark plasma sintered at 2000°C. (Ti 0.2 Hf 0.2 Zr 0.2 Nb 0.2 Ta 0.2)B 2 ceramics with a relative density of 97.9% were obtained after spark plasma sintering the HEB powders at 2050°C under 50 MPa. Rapid grain growth was found in this composition when the sintering temperature was increased from 2000 to 2050°C, and the averaged grain size increased from 6.67 to 41.2 μm. HEB ceramics sintered at 2000°C had a Vickers hardness of 22.44 ± 0.56 GPa (under a load of 1 kg), a Young's modulus of 500 GPa and a fracture toughness of 2.83 ± 0.15 MPa m 1/2. This is the first report for obtaining high density HEB ceramics without residual oxide phase, benefiting from the high quality HEB powders obtained.