[Treatment of central nervous system leukemia with CD19-chimeric antigen receptor T-cell immunotherapy: two cases report and literature review]

目的

探讨CAR-T细胞治疗中枢神经系统白血病（CNSL）的有效性和安全性。

方法

报道两例合并CNSL白血病患者抗CD19 CAR-T细胞治疗的过程及结果，并对相关文献进行复习。

结果

两例患者骨髓细胞形态学特征分别为伴B淋系表达的急性髓系白血病（AML）-M₂和急性B淋巴细胞白血病（B-ALL），免疫分型符合AML-M₂和B-ALL的异常表现，临床和实验室检查符合CNSL诊断标准，诊断明确后予以抗CD19 CAR-T细胞治疗，输注总量均为5.0×10⁶/kg。回输后两例患者中枢神经系统症状缓解。例1影像学异常消失，治疗过程中出现细胞因子释放综合征（CRS），药物干预后好转；例2脑脊液微小残留病转阴，未出现明显CRS反应。

结论

CAR-T细胞治疗有望缓解CNSL，改善患者预后。

Instrumentation design for bridge scour monitoring using fiber Bragg grating sensors

Scour is one of the main causes of bridge failures. In order to measure and monitor scour depth variations including deposition (refilling) process, three designs for a scour monitoring system using fiber Bragg grating (FBG) sensors are discussed in the present study. By a comparative study, one of them is recommended in the present study and its instrumentation manufacture process is also introduced in detail. Using this recommended design, the advantages of FBG sensors for monitoring, such as immunity from electromagnetic interference and multiplexing capability, can be fully utilized. Both scour depth variations and entire scour development process including deposition process can be correctly monitored in real-time by continuously identifying the locations of emerging FBG sensors from the riverbed. A reliable sensor protection measure is also designed for FBG sensors in harsh environments, especially in floods. Finally, a verification test using a flume is carried out in the laboratory and three experimental cases are conducted to demonstrate the capability of FBG sensors and applicability of the recommended scour monitoring system. It can be concluded that the recommended scour monitoring system using FBG sensors is capable of measuring the water level, (maximum) scour depth, entire process of scour development, and deposition height due to refilling process. The advantages over other conventional scour monitoring systems are clearly demonstrated.

Seismic damage identification for steel structures using distributed fiber optics

A distributed fiber optic monitoring methodology based on optic time domain reflectometry technology is developed for seismic damage identification of steel structures. Epoxy with a strength closely associated to a specified structure damage state is used for bonding zigzagged configured optic fibers on the surfaces of the structure. Sensing the local deformation of the structure, the epoxy modulates the signal change within the optic fiber in response to the damage state of the structure. A monotonic loading test is conducted on a steel specimen installed with the proposed sensing system using selected epoxy that will crack at the designated strain level, which indicates the damage of the steel structure. Then, using the selected epoxy, a varying degree of cyclic loading amplitudes, which is associated with different damage states, is applied on a second specimen. The test results show that the specimen's damage can be identified by the optic sensors, and its maximum local deformation can be recorded by the sensing system; moreover, the damage evolution can also be identified.