AIM： To evaluate prognostic indicators for the outcome of patients with perihilar extrahepatic cholangiocarcinoma in an unselected cohort. METHODS： We retrospectively analyzed 98 patients with perihilar cholangiocar...AIM： To evaluate prognostic indicators for the outcome of patients with perihilar extrahepatic cholangiocarcinoma in an unselected cohort. METHODS： We retrospectively analyzed 98 patients with perihilar cholangiocarcinoma. Twenty-three patients （23.5%） underwent tumor resection. Patients with non-resectable tumors underwent either transpapillary or percutaneous transhepatic biliary drainage. Additionally, 32 patients （32.7%） received photodynamic therapy （PDT） and 18 patients （18.4%） systemic chemotherapy. Predefined variables at the time of diagnosis and characteristics considering the mode of treatment were entered into a Cox＇s proportional hazards model. Included in the analysis were age, tumor stage following the modified Bismuth-Corlette classification, bilirubin, prothrombin time （PT）, C-reactive protein （CRP）, carbohydrate antigen 19-9 （CA19-9）, history of weight loss, surgical resection, chemotherapy and PDT. RESULTS： The Kaplan-Meier estimate of overall median survival was 10.5 （95%CI： 8.4-12.6） mo. In the univariate analysis, low Bismuth stage, low CRP and surgical resection correlated significantly with better survival. In the multivariate analysis, only CRP （P = 0.005） and surgical resection （P = 0.029） were found to be independently predictive of survival in the cohort. Receiver operating characteristic （ROC） analysis identified a CRP level of 11.75 mg/L as the value associated with the highest sensitivity and specificity predicting a survival 〉 5 too. Applying Kaplan-Meier analysis, patients with a CRP 〈 12 mg/L at the time of diagnosis had a significantly longer median survival than patients with higher values （16.2 vs 7.6 mo; P = 0.009）.CONCLUSION： This retrospective analysis identified CRP level at the time of diagnosis as a novel indicator for the prognosis of patients with perihilar cholangiocarcinoma. It should be evaluated in future prospective trials on this entity.展开更多
In this study,a binder based 3D-printing technology viz.Fused Granular Fabrication(FGF)technique was used to produce interconnected and open porous Mg-6.3Gd bone scaffolds for compression test analyses.The consolidati...In this study,a binder based 3D-printing technology viz.Fused Granular Fabrication(FGF)technique was used to produce interconnected and open porous Mg-6.3Gd bone scaffolds for compression test analyses.The consolidation of the green parts(as printed scaffolds)was performed using solvent debinding in cyclohexane and subsequent conventional sintering in argon atmosphere.Compression tests were performed on as sintered parts.Additionally,a simulation strategy was developed for modeling the compression behavior of the sintered parts,utilizing the data from the experimental results.The experimental compression test results and the simulation strategy for the compression behavior of the 3D-printed scaffolds demonstrated good agreement.展开更多
文摘AIM： To evaluate prognostic indicators for the outcome of patients with perihilar extrahepatic cholangiocarcinoma in an unselected cohort. METHODS： We retrospectively analyzed 98 patients with perihilar cholangiocarcinoma. Twenty-three patients （23.5%） underwent tumor resection. Patients with non-resectable tumors underwent either transpapillary or percutaneous transhepatic biliary drainage. Additionally, 32 patients （32.7%） received photodynamic therapy （PDT） and 18 patients （18.4%） systemic chemotherapy. Predefined variables at the time of diagnosis and characteristics considering the mode of treatment were entered into a Cox＇s proportional hazards model. Included in the analysis were age, tumor stage following the modified Bismuth-Corlette classification, bilirubin, prothrombin time （PT）, C-reactive protein （CRP）, carbohydrate antigen 19-9 （CA19-9）, history of weight loss, surgical resection, chemotherapy and PDT. RESULTS： The Kaplan-Meier estimate of overall median survival was 10.5 （95%CI： 8.4-12.6） mo. In the univariate analysis, low Bismuth stage, low CRP and surgical resection correlated significantly with better survival. In the multivariate analysis, only CRP （P = 0.005） and surgical resection （P = 0.029） were found to be independently predictive of survival in the cohort. Receiver operating characteristic （ROC） analysis identified a CRP level of 11.75 mg/L as the value associated with the highest sensitivity and specificity predicting a survival 〉 5 too. Applying Kaplan-Meier analysis, patients with a CRP 〈 12 mg/L at the time of diagnosis had a significantly longer median survival than patients with higher values （16.2 vs 7.6 mo; P = 0.009）.CONCLUSION： This retrospective analysis identified CRP level at the time of diagnosis as a novel indicator for the prognosis of patients with perihilar cholangiocarcinoma. It should be evaluated in future prospective trials on this entity.
基金Alexander von Humboldt Foundation for the award of the Post-Doctoral Fellowship to M.Marvi-Mashhadi to undertake this research workthe support from the Bundesministerium für Bildung und Forschung(BMBF)through Bio Mag3D project code Nr.03VP09852 to undertake this research。
文摘In this study,a binder based 3D-printing technology viz.Fused Granular Fabrication(FGF)technique was used to produce interconnected and open porous Mg-6.3Gd bone scaffolds for compression test analyses.The consolidation of the green parts(as printed scaffolds)was performed using solvent debinding in cyclohexane and subsequent conventional sintering in argon atmosphere.Compression tests were performed on as sintered parts.Additionally,a simulation strategy was developed for modeling the compression behavior of the sintered parts,utilizing the data from the experimental results.The experimental compression test results and the simulation strategy for the compression behavior of the 3D-printed scaffolds demonstrated good agreement.
