The completely dominant earliness was identified in a genie male-sterile and early maturing indica line 6442S-7. F1 progenies from 6442S-7 crossed with thirteen various types of medium- or late-maturing varieties, sha...The completely dominant earliness was identified in a genie male-sterile and early maturing indica line 6442S-7. F1 progenies from 6442S-7 crossed with thirteen various types of medium- or late-maturing varieties, shared the same heading date as 6442S-7. The segregation of heading date in the F2 and B1F1 populations showed that the earliness of 6442S-7 is mainly controlled by two dominant major genes. The local linkage map of one dominant earliness gene harbored in 6442S-7 was constructed with F2 population and four kinds of molecular marker techniques. The results showed that the gene was located between a RFLP marker C515 and a RAPD marker OPI 11.557 on the terminal region of short arm of rice chromosome 3, 10.9cM and 1.5cM from C515 and OPI11.557, respectively. The genetic distances from the target gene to two SSR markers, RM22 and RM231, and one AFLP marker, PT671, were 3.0, 6.7 and 12.4 cM, respectively. This gene, being identified and mapped first, is designated tentatively as Ef-cd(t). As a new genetic resource of completely dominant earliness, 6442S-7 has splendid future in rice improvement.展开更多
Ef-cd gene is a dominant earliness gene located on the short arm of rice chromosome 3. In this paper, through continuous backcross, self-pollination and molecular marker assisted selection, individual Ef-cd gene was i...Ef-cd gene is a dominant earliness gene located on the short arm of rice chromosome 3. In this paper, through continuous backcross, self-pollination and molecular marker assisted selection, individual Ef-cd gene was isolated and its nearly isogenic lines were constructed by using early-maturing indica line 6442S-7 as the donor parent, and by using latematuring indica line Minghui 63 （MH63）, Shuhui 881 （SH881） and Shuhui 527 （SH527） as the recurrent parents （genetic background）, respectively. Further, it was found out that Ef-cd gene could generally advance rice to head 11-14 d earlier. So, it was considered that Ef-cd gene played an important role in rapid developing early-maturing and super high-yielding rice varieties.展开更多
Inheritance and interrelationship of phenotype and genotype of earliness traits were evaluated in a diallel analysis involving six early-maturing parents. Date of first square （DFS）, date of first flower （DFF）, da...Inheritance and interrelationship of phenotype and genotype of earliness traits were evaluated in a diallel analysis involving six early-maturing parents. Date of first square （DFS）, date of first flower （DFF）, date of first open boll （DFOB）, number of node first sympodial branch （NNFSB）, and harvested rate before frost （HRBF） as earliness traits of six parents, 15 F1 hybrids and 15 F2 progenies were investigated from 2005 to 2008. The experiment design was a randomized complete block design with three replications. Additive, dominance and epistasis effects were analyzed with ADAA （additive- dominance-epistasis） model. HRBF, DFF, and DFOB showed significant additive genetic variances. Heritability estimates ranged from 0.088 （HN, narrow sense） and 0.416 （HNE, environment interaction） for HRBF, to 0.103 （HN） and 0.524 （HNE） for DFF, and to 0.187 （HN） and 0.519 （H~） for DFOB. Dominance genetic effects for DFS, DFF, DFOB, and NNSFB were stronger than additive effects. Additive-by-additive epistatic effects for DFS, DFOB, and NNSFB were detected and affected by environment. Correlation analysis showed generally that HRBF had a significant negative genetic and phenotypic correlation with DFS, DFOB, and NNFSB; DFS had significant positive genetic and phenotypic correlations with DFF, DFOB, and NNFSB; significant positive genetic and phenotypic correlations were also detected between DFF and DFOB, DFF and NNFSB, DFOB and NNFSB. The results showed that the lower the node to the first fruiting branch and the shorter the plant, the earlier was the onset of squaring, flowering, and boll opening, the higher was the harvest rate before frost. Heredity of earliness traits among parents and their hybrids were also detected and parents A1, A2, Bl, B2, and B3 could be used to improve earliness traits of short season cotton cultivars.展开更多
In this paper, a single-machine scheduling model with a given common due date and simple linear processing times was considered. The objective is the total weighted tardiness penalty and earliness award. Some polynomi...In this paper, a single-machine scheduling model with a given common due date and simple linear processing times was considered. The objective is the total weighted tardiness penalty and earliness award. Some polynomial time solvable cases for this problem are given. A dynamic programming algorithm was provided and a branch and bound algorithm for general case of the problem was provided based on a rapid method for estimating the lower bound.展开更多
Considering the imprecise nature of the data in real-world problems, the earliness/tardiness （E/T） fiowshop scheduling problem with uncertain processing time and distinct due windows is concerned in this paper. A fu...Considering the imprecise nature of the data in real-world problems, the earliness/tardiness （E/T） fiowshop scheduling problem with uncertain processing time and distinct due windows is concerned in this paper. A fuzzy scheduling model is established and then transformed into a deterministic one by employing the method of maximizing the membership function of middle value. Moreover, an effective scatter search based particle swarm optimization （SSPSO） algorithm is proposed to minimize the sum of total earliness and tardiness penalties. The proposed SSPSO algorithm incorporates the scatter search （SS） algorithm into the frame of particle swarm optimization （PSO） algorithm and gives full play to their characteristics of fast convergence and high diversity. Besides, a differential evolution （DE） scheme is used to generate solutions in the SS. In addition, the dynamic update strategy and critical conditions are adopted to improve the performance of SSPSO. The simulation results indicate the superiority of SSPSO in terms of effectiveness and efficiency.展开更多
In this paper, a single-machine scheduling model with a given common due date is considered. Job processing time is a linear decreasing function of its starting time. The objective function is to minimize the total we...In this paper, a single-machine scheduling model with a given common due date is considered. Job processing time is a linear decreasing function of its starting time. The objective function is to minimize the total weighted earliness award and tardiness penalty. Our aim is to find an optimal schedule so as to minimize the objective function. As the problem is NP-hard, some properties and polynomial time solvable cases of this problem are given. A dynamic programming algorithm for the general case of the problem is provided.展开更多
Kefeng A is an early maturing indica cytoplasmic male sterile （CMS） line of rice. Combinations derived from Kefeng A and late maturing indica restorer lines showed dominant earliness to various extents. To understan...Kefeng A is an early maturing indica cytoplasmic male sterile （CMS） line of rice. Combinations derived from Kefeng A and late maturing indica restorer lines showed dominant earliness to various extents. To understand the genetic basis of dominant earliness, the genotype of photoperiod-sensitive genes in Kefeng A was analyzed using a complete set of heading time near isogenic lines （NILs） EGO to EG7, ER, LR, T65, T65E^b, T65E^bm, T65m, NIL（Hd1） and NIL（Hd4）. Results indicated that Kefeng A contained two dominant photoperiod-sensitive alleles E1 and Se-1^U on E1 and Se-1 loci, respectively, and the genotype of photoperiod-sensitivity genes for heading time in Kefeng A was E1E1e2e2E3E3Se-1^USe-1UEf-1Ef-1. Based on the detected heading time genotype, in combination with the heading time of Kefeng A and the early maturing phenomenon in its derived F1 hybrids, it is speculated that Kefeng A might carry a dominant inhibitor gene Su-E7 for the dominant photoperiod- sensitive gene E1, and a recessive inhibitor gene i-Se-1 for another dominant photoperiod-sensitive gene Se-1. The reason why F1 hybrids from Kefeng A exhibited early maturing was hereby analyzed and the breeding value of dominant earliness related genes in Kefeng A was discussed.展开更多
To describe the earliness/tardiness production planning problems in the JIT environment, a nonlinear semi\|infinite programming model was proposed in \. Due to a nonconvex objective function and many infinite constrai...To describe the earliness/tardiness production planning problems in the JIT environment, a nonlinear semi\|infinite programming model was proposed in \. Due to a nonconvex objective function and many infinite constraints, the model is difficult to be solved by traditional methods. In this paper, simulated annealing method combined with a heuristic is developed. Numerical results shows that the present approach is very efficient. Theoretically, the developed method is an attempt to solve a continuous domain problem by using simulated annealing.展开更多
Neuronal cell death is a common outcome of multiple pathophysiological processes and a key factor in neurological dysfunction after subarachnoid hemorrhage.Neuronal ferroptosis in particular plays an important role in...Neuronal cell death is a common outcome of multiple pathophysiological processes and a key factor in neurological dysfunction after subarachnoid hemorrhage.Neuronal ferroptosis in particular plays an important role in early brain injury.Bromodomain-containing protein 4,a member of the bromo and extraterminal domain family of proteins,participated in multiple cell death pathways,but the mechanisms by which it regulates ferroptosis remain unclear.The primary aim of this study was to investigate how bromodomain-containing protein 4 affects neuronal ferroptosis following subarachnoid hemorrhage in vivo and in vitro.Our findings revealed that endogenous bromodomain-containing protein 4 co-localized with neurons,and its expression was decreased 48 hours after subarachnoid hemorrhage of the cerebral cortex in vivo.In addition,ferroptosis-related pathways were activated in vivo and in vitro after subarachnoid hemorrhage.Targeted inhibition of bromodomain-containing protein 4 in neurons increased lipid peroxidation and intracellular ferrous iron accumulation via ferritinophagy and ultimately led to neuronal ferroptosis.Using cleavage under targets and tagmentation analysis,we found that bromodomain-containing protein 4 enrichment in the Raf-1 promoter region decreased following oxyhemoglobin stimulation in vitro.Furthermore,treating bromodomain-containing protein 4-knockdown HT-22 cell lines with GW5074,a Raf-1 inhibitor,exacerbated neuronal ferroptosis by suppressing the Raf-1/ERK1/2 signaling pathway.Moreover,targeted inhibition of neuronal bromodomain-containing protein 4 exacerbated early and long-term neurological function deficits after subarachnoid hemorrhage.Our findings suggest that bromodomain-containing protein 4 may have neuroprotective effects after subarachnoid hemorrhage,and that inhibiting ferroptosis could help treat subarachnoid hemorrhage.展开更多
Eospalax,one of the only two extant genera within the Myospalacinae,has a high species richness.Each species is distinguished by unique cranial and dental morphologies,as well as variations in temporal and spatial dis...Eospalax,one of the only two extant genera within the Myospalacinae,has a high species richness.Each species is distinguished by unique cranial and dental morphologies,as well as variations in temporal and spatial distribution.Consequently,Eospalax serves as a reliable indicator for the biochronologic and paleoenvironmental studies of the Quaternary of East Asia.A recent discovery of a complete fossil skull in a conglomerate deposit,a part of the Lower Pleistocene Sanmen Formation,near Jianyucha Town,Zichang County,northern Shaanxi Province,has been subjected to a detailed analysis.The specimens were identified as Eospalax simplicidens,an extinct species of Eospalax,based on dental morphology.The recent discovery of E.simplicidens in Jianyucha offers significant insights into the species’cranial morphology and contributes to a more comprehensive understanding of its geographical distribution.The distinctive feature of the posterodorsal location of the external acoustic meatus indicates either a plesiomorphy or an evolutionary convergence among E.simplicidens,African root rats(Tachyoryctes),and bamboo rats(Rhizomyini).A skull(IVPP V5398.1)and four upper jaws(V5398.2)from Gongwangling in Lantian,Shaanxi,previously identified as Myospalax fontanieri,is transferred to the species E.lingtaiensis.A skull(IVPP RV35055)from Jingou,Xin’an,Henan,previously identified as E.simplicidens,is transferred to the species E.youngianus.In this study,body mass estimates are made for extinct Eospalax.Both E.lingtaiensis and E.simplicidens are small-sized zokors,with an estimated body mass of less than or approximately 300 g,respectively.展开更多
Antilospira is a small to medium-sized antelope with heteronymously spiraled horn cores.It was widely distributed in northern China from the Late Pliocene to the Early Pleistocene.It is a typical fossil bovid with imp...Antilospira is a small to medium-sized antelope with heteronymously spiraled horn cores.It was widely distributed in northern China from the Late Pliocene to the Early Pleistocene.It is a typical fossil bovid with important implications for biostratigraphy and antilopin evolution in China.Antilospira robusta is a species with highly fragmentary materials and has previously only been briefly discussed.Here we report on a new frontal with horn cores from the Early Pleistocene Wucheng Loess in Nalesi Township,Dongxiang Autonomous County,Linxia Basin,Gansu Province.This new material features heteronymously spiraled horn cores,deep longitudinal grooves,a sharp anterior carena on the horn core,and a large body size,which are characteristics similar to those of A.robusta.However,the horn base of the new material is more compressed than all the previously discovered spiral-horned antelopes,so we attributed it to Antilospira cf.A.robusta.This is the first time Antilospira has been found in northwestern China,and this discovery provides more morphological data for the classification of this group.CT scans of the horn core reveal the well-remodeled horn core trabeculae in Antilospira,which is different from what is observed in Spirocerus.The frontal sinuses are moderately developed in the Linxia specimen,extending backwards to the orbit but not to the horn base.The virtual reconstruction of the endocranial cast indicated that Antilospira has bending and narrow frontal lobes,wide temporal lobes,and relatively complex sulci on the cerebral hemisphere,which differ from extant Antilopini bovids in China.展开更多
BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking rec...BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking recovery.OBJECTIVE:To determine whether early suspension-protected training with a personal assistant machine for stroke patients enhances walking ability and prevents muscle spasms.METHODS:Thirty-two early-stage stroke patients from Shenzhen University General Hospital and the China Rehabilitation Research Center were randomly assigned to the experimental group(n=16)and the control group(n=16).Both groups underwent 4 weeks of gait training under the suspension protection system for 30 minutes daily,5 days a week.The experimental group used the personal assistant machine during training.Three-dimensional gait analysis(using the Cortex motion capture system),Brunnstrom staging,Fugl-Meyer Assessment for lower limb motor function,Fugl-Meyer balance function,and the modified Ashworth Scale were evaluated within 1 week before the intervention and after 4 weeks of intervention.RESULTS AND CONCLUSION:After the 4-week intervention,all outcome measures showed significant changes in each group.The experimental group had a small but significant increase in the modified Ashworth Scale score(P<0.05,d=|0.15|),while the control group had a large significant increase(P<0.05,d=|1.48|).The experimental group demonstrated greater improvements in walking speed(16.5 to 38.44 cm/s,P<0.05,d=|4.01|),step frequency(46.44 to 64.94 steps/min,P<0.05,d=|2.32|),stride length(15.50 to 29.81 cm,P<0.05,d=|3.44|),and peak hip and knee flexion(d=|1.82|to|2.17|).After treatment,the experimental group showed significantly greater improvements than the control group in walking speed(38.44 vs.26.63 cm/s,P<0.05,d=|2.75|),stride length,peak hip and knee flexion(d=|1.31|to|1.45|),step frequency(64.94 vs.59.38 steps/min,P<0.05,d=|0.85|),and a reduced support phase(bilateral:24.31%vs.28.38%,P<0.05,d=|0.88|;non-paretic:66.19%vs.70.13%,P<0.05,d=|0.94|).For early hemiplegia,personal assistant machine-assisted gait training under the suspension protection system helps establish a correct gait pattern,prevents muscle spasms,and improves motor function.展开更多
Despite Morocco's reliance on sunflower as an oilseed crop,little is known about its agronomic performance when sown in autumn or early winter.This knowledge gap is critical,as spring-sown varieties have shown dec...Despite Morocco's reliance on sunflower as an oilseed crop,little is known about its agronomic performance when sown in autumn or early winter.This knowledge gap is critical,as spring-sown varieties have shown declining performance in recent years under intensifying climate stress.Therefore,targeted breeding strategies could discover genotypes suitable for autumn or early winter sowing,with cold tolerance as a key selection criterion.Currently,‘Ichraq'is the only autumn-planted sunflower variety officially registered in Morocco,although efforts to release additional tolerant varieties are underway.This study evaluated 31 genotypes(MGB1to MGB31)selected from various environments under autumn planting conditions and conserved in the Moroccan Gene Bank.These genotypes were planted in early winter at a mountainous site known for its pronounced winter cold.Eighteen Morphological,physiological and agronomic parameters including initial vigor,leaf area,seed yield,oil content etc.,were assessed using both univariate and multivariate statistical approaches.Analysis of variance revealed significant genotypic differences across most traits,indicating substantial genetic variation.Notably,seed oil content ranged from 23.28%(MGB26)to 43.88%(MGB5),and seed yield from1400 kg/ha(MGB7)to 5400 kg/ha(MGB8).Principal component analysis(PCA)identified that the first principal component,accounting for over 24%of the total phenotypic variance,exhibits a strong positive loading of yield-related traits and chlorophyll content,while displaying a pronounced negative loading for oil content variables.This opposing gradient indicates a clear trade-off between vegetative productivity and oil accumulation across the evaluated genotypes.Hierarchical cluster analysis resolved the germplasm into two principal clusters with high within-group similarity,each further partitioned into relatively homogeneous subgroups.Notably,several genotypes outperformed the control variety Ichraq,underscoring their potential for autumn or early winter cultivation.Nonetheless,essential multi-environment trials remain to validate their phenotypic stability and to ascertain their value as genetic resources for sunflower breeding programs in Morocco and other Mediterranean agro-ecosystems.展开更多
Flowering time is a critical agronomic trait with a profound effect on the productivity and adaptabillity of rapeseed(Brassica napus L.).Strategically advancing flowering time can reduce the risk of yield losses due t...Flowering time is a critical agronomic trait with a profound effect on the productivity and adaptabillity of rapeseed(Brassica napus L.).Strategically advancing flowering time can reduce the risk of yield losses due to extreme climatic conditions and facilitate the cultivation of subsequent crops on the same land,thereby enhancing overall agricultural efficiency.In this review,we synthesize current information on flowering time regulation in rapeseed through an integrated analysis of its genetic,hormonal,and environmental dimensions,emphasizing their crosstalk and implications for yield.We consolidate multi-omics evidence from population genetics,functional genomics,and systems biology to create a haplotype-based framework that overcomes the trade-off between flowering time and yield,providing support for the precision breeding of early-maturing cultivars.The insights presented here could inform future research on flowering time regulation and guide strategies for increasing rapeseed productivity.展开更多
The engineering application of low-alkali sulphoaluminate cement(L-SAC)is hindered due to the difficulty in adjusting the setting and hardening time.In this paper,lithium hydroxide and borax are mixed into L-SAC to re...The engineering application of low-alkali sulphoaluminate cement(L-SAC)is hindered due to the difficulty in adjusting the setting and hardening time.In this paper,lithium hydroxide and borax are mixed into L-SAC to regulate its setting and hardening process,so as to prepare a sulphoaluminate concrete material with high early strength and high fluidity.The effects of the ratio of lithium hydroxide to borax on the properties of L-SAC concrete were studied by hydration heat,XRD,TG-DTG,SEM and MIP.The experimental results show that the slump increases with the increase of borax content,and the early(3 h)strength increases with the increase of lithium hydroxide content.When 0.05% lithium hydroxide and 0.4% borax are added,the 0.5 h slump reaches 195 mm,and the 3 h compressive strength reaches 15.9 MPa.The increase of lithium hydroxide will promote the formation of early hydration products AFt and AH3 gel and accelerate the hydration process,while borax will inhibit the dissolution and hydration of cement and delay the setting and hardening process of concrete.The combination of the two ensures that the concrete has the characteristics of high early strength and high fluidity,and the early workability and mechanical properties can be controlled by the mix ratio.For long-term mechanical properties,the special concrete does not produce AFm,which can ensure the continuous development of strength.展开更多
This article reviews research advances in the application of early enteral nutrition(EEN)in elderly patients with severe acute pancreatitis(SAP).Elderly SAP patients are associated with higher mor tality rates due to ...This article reviews research advances in the application of early enteral nutrition(EEN)in elderly patients with severe acute pancreatitis(SAP).Elderly SAP patients are associated with higher mor tality rates due to age-related immune dysfunction,whereas EEN has been demonstrated to improve clinical prognosis,reduce infection and complication rates,and shor ten hospital stays.However,ongoing debates exist regarding the optimal timing,route selection,and complication management of EEN.Through a systematic review of the literature,this study synthesizes current evidence on EEN in elderly SAP populations,critically examines unresolved clinical controversies,and proposes future research priorities to inform evidence-based practice.展开更多
Autism spectrum disorder(AsD)is a highly heterogeneous neurodevelopmental disorder.Early diagnosis and intervention are crucial for improving outcomes.Traditional single-modality diagnostic methods are subjective,limi...Autism spectrum disorder(AsD)is a highly heterogeneous neurodevelopmental disorder.Early diagnosis and intervention are crucial for improving outcomes.Traditional single-modality diagnostic methods are subjective,limited,and struggle to reveal the underlying pathological mechanisms.In contrast,multimodal data analysis integrates behavioral,physiological,and neuroimaging information with advanced machine-learning and deeplearning algorithms to overcome these limitations.In this review,we surveyed the recent pediatric AsD literature,highlighting artificial intelligence-driven diagnostic techniques,multimodal data fusion strategies,and emerging trends in ASD assessment.We surveyed studies that integrated two or more modalities and summarized the fusion levels,learning paradigms,tasks,datasets,and metrics.Multimodal approaches outperform singlemodality baselines in classification,severity estimation,and subtyping by leveraging complementary information and reducing modality-specific biases.Multimodal approaches significantly enhance diagnostic accuracy and comprehensiveness,enabling early screening of AsD,symptom subtyping,severity assessment,and personalized interventions.Advances in multimodal fusion techniques have promoted progress in precision medicine for the treatment of ASD.展开更多
The effective early warning of surrounding rock mass deformation is crucial in geotechnical engineering for ensuring the safety and stability of underground constructions.This study introduces a novel risk early warni...The effective early warning of surrounding rock mass deformation is crucial in geotechnical engineering for ensuring the safety and stability of underground constructions.This study introduces a novel risk early warning model based on multi-parameter fuzzy comprehensive evaluation,which quantitatively assesses the risk state of the surrounding rock mass.The microseismic(MS)monitoring system is set up for the underground powerhouse.The spatial and temporal distribution of MS events and the frequency characteristics of MS signals are analyzed during the top arch excavation.The early warning indices for characterizing MS spatial aggregation and frequency-energy dispersion are proposed based on the octree theory to assess the deformation of the surrounding rock mass.The risk warning model for the surrounding rock mass in underground engineering is developed through the integration of the formulated index and the frequency characteristics of MS signals.The results indicate that the multiparameter fuzzy comprehensive assessment model can achieve three-dimensional visualization of risk warnings for the surrounding rock mass.The quantitative results regarding warning time and potential deformation areas are highly consistent with the characteristics of MS precursors.These research results can provide an important reference for early warning of surrounding rock mass risk in similar underground projects.展开更多
BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate se...BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate selection for gastrectomy may result in overtreatment,adversely affecting patients’quality of life.Few have systematically evaluated the concordance between therapeutic indications under current Japanese guidelines and pathological criteria in EGC.To minimize noncurative resection risks while sparing unnecessary surgery for low-risk patients’,we specifically assess the suitability of Japanese guidelines in non-Japanese populations.This work aims to optimize clinical practice by refining endoscopic treatment criteria for adoption beyond Japan.AIM To evaluate EGC clinical decision accuracy by comparing therapeutic indication with postoperative pathological criteria and analyzing factors influencing discrepancies.METHODS A retrospective analysis was conducted on 796 EGC cases diagnosed at Peking University Third Hospital between January 2010 and December 2022.Cases were categorized into three groups:Same-estimated(preoperative therapeutic indication with postoperative pathological criteria matched),underestimated(preoperative ESD indication but postoperative surgical criteria),and overestimated(preoperative surgical indication but postoperative ESD criteria).The rate of discrepancy and associated risk factors were assessed.RESULTS The accuracy rates of preoperative evaluation for ESD and gastrectomy indications were 73.0%(321/430)and 76.0%(278/366),respectively.The overall discrepancy rate was 25.6%(204/796).Multivariate analysis identified tumor location in the upper-third stomach(odds ratio=2.158,95%confidence interval:1.373-3.390,P=0.001)was significantly associated with a higher likelihood of being underestimated and undifferentiated histologic type on preoperative biopsy(odds ratio=2.005,95%confidence interval:1.036-3.879,P=0.039)was more likely to be overestimated.Significant differences were observed in tumor diameter(P<0.001),depth of infiltration(P<0.001),ulcerative findings(P<0.001),and histologic type(P<0.001)between preoperative and postoperative evaluations.CONCLUSION The accuracy of preoperative EGC indications is 74.4%.Upper-third stomach and undifferentiated histology are primary discrepancy predictors.Upper-third tumors are prone to underestimation,while undifferentiated tumors are prone to overestimation.展开更多
The integration of multi-omic liquid biopsies with artificial intelligence(AI)represents a rapidly evolving frontier in early cancer detection,offering the potential to enhance personalized medicine and improve patien...The integration of multi-omic liquid biopsies with artificial intelligence(AI)represents a rapidly evolving frontier in early cancer detection,offering the potential to enhance personalized medicine and improve patient outcomes.This review explores the current state and emerging directions of this approach,focusing on the synergistic value of combining genomics,epigenomics,transcriptomics,proteomics,and metabolomics with AIdriven analytics.We discuss advances in multi-analyte blood tests such as CancerSEEK,which have demonstrated promising multi-cancer detection capabilities in early studies,as well as efforts to integrate liquid biopsy data with imaging modalities to improve diagnostic performance.The review also highlights ongoing challenges,including the need for greater analytical sensitivity,improved specificity for early-stage disease,standardization of workflows,and harmonization with existing screening modalities.We outline the prospective—but still largely investigational—impact of these technologies on cancer management,including early detection,treatment monitoring,and minimal residual disease assessment,along with their potential economic implications.Ultimately,we envision a future in which multi-omic liquid biopsies integrated with AI may contribute to more effective,noninvasive cancer detection strategies,while recognizing that substantial validation,regulatory approval,and health-system integration are required before widespread clinical adoption can occur.展开更多
基金the National NatureScience Foundation of China(No.30070469).
文摘The completely dominant earliness was identified in a genie male-sterile and early maturing indica line 6442S-7. F1 progenies from 6442S-7 crossed with thirteen various types of medium- or late-maturing varieties, shared the same heading date as 6442S-7. The segregation of heading date in the F2 and B1F1 populations showed that the earliness of 6442S-7 is mainly controlled by two dominant major genes. The local linkage map of one dominant earliness gene harbored in 6442S-7 was constructed with F2 population and four kinds of molecular marker techniques. The results showed that the gene was located between a RFLP marker C515 and a RAPD marker OPI 11.557 on the terminal region of short arm of rice chromosome 3, 10.9cM and 1.5cM from C515 and OPI11.557, respectively. The genetic distances from the target gene to two SSR markers, RM22 and RM231, and one AFLP marker, PT671, were 3.0, 6.7 and 12.4 cM, respectively. This gene, being identified and mapped first, is designated tentatively as Ef-cd(t). As a new genetic resource of completely dominant earliness, 6442S-7 has splendid future in rice improvement.
基金the National Natural Science Foundation of China(30070469).
文摘Ef-cd gene is a dominant earliness gene located on the short arm of rice chromosome 3. In this paper, through continuous backcross, self-pollination and molecular marker assisted selection, individual Ef-cd gene was isolated and its nearly isogenic lines were constructed by using early-maturing indica line 6442S-7 as the donor parent, and by using latematuring indica line Minghui 63 （MH63）, Shuhui 881 （SH881） and Shuhui 527 （SH527） as the recurrent parents （genetic background）, respectively. Further, it was found out that Ef-cd gene could generally advance rice to head 11-14 d earlier. So, it was considered that Ef-cd gene played an important role in rapid developing early-maturing and super high-yielding rice varieties.
基金supported by the the Special Grand National Science and Technology Project,China(2009ZX08005-020B)
文摘Inheritance and interrelationship of phenotype and genotype of earliness traits were evaluated in a diallel analysis involving six early-maturing parents. Date of first square （DFS）, date of first flower （DFF）, date of first open boll （DFOB）, number of node first sympodial branch （NNFSB）, and harvested rate before frost （HRBF） as earliness traits of six parents, 15 F1 hybrids and 15 F2 progenies were investigated from 2005 to 2008. The experiment design was a randomized complete block design with three replications. Additive, dominance and epistasis effects were analyzed with ADAA （additive- dominance-epistasis） model. HRBF, DFF, and DFOB showed significant additive genetic variances. Heritability estimates ranged from 0.088 （HN, narrow sense） and 0.416 （HNE, environment interaction） for HRBF, to 0.103 （HN） and 0.524 （HNE） for DFF, and to 0.187 （HN） and 0.519 （H~） for DFOB. Dominance genetic effects for DFS, DFF, DFOB, and NNSFB were stronger than additive effects. Additive-by-additive epistatic effects for DFS, DFOB, and NNSFB were detected and affected by environment. Correlation analysis showed generally that HRBF had a significant negative genetic and phenotypic correlation with DFS, DFOB, and NNFSB; DFS had significant positive genetic and phenotypic correlations with DFF, DFOB, and NNFSB; significant positive genetic and phenotypic correlations were also detected between DFF and DFOB, DFF and NNFSB, DFOB and NNFSB. The results showed that the lower the node to the first fruiting branch and the shorter the plant, the earlier was the onset of squaring, flowering, and boll opening, the higher was the harvest rate before frost. Heredity of earliness traits among parents and their hybrids were also detected and parents A1, A2, Bl, B2, and B3 could be used to improve earliness traits of short season cotton cultivars.
基金supported by the National Natural Science Foundation of China (Grant No.19771057)
文摘In this paper, a single-machine scheduling model with a given common due date and simple linear processing times was considered. The objective is the total weighted tardiness penalty and earliness award. Some polynomial time solvable cases for this problem are given. A dynamic programming algorithm was provided and a branch and bound algorithm for general case of the problem was provided based on a rapid method for estimating the lower bound.
基金supported by National Natural Science Foundation of China(Nos.61174040 and 61104178)Shanghai Commission of Science and Technology(No.12JC1403400)the Fundamental Research Funds for the Central Universities
文摘Considering the imprecise nature of the data in real-world problems, the earliness/tardiness （E/T） fiowshop scheduling problem with uncertain processing time and distinct due windows is concerned in this paper. A fuzzy scheduling model is established and then transformed into a deterministic one by employing the method of maximizing the membership function of middle value. Moreover, an effective scatter search based particle swarm optimization （SSPSO） algorithm is proposed to minimize the sum of total earliness and tardiness penalties. The proposed SSPSO algorithm incorporates the scatter search （SS） algorithm into the frame of particle swarm optimization （PSO） algorithm and gives full play to their characteristics of fast convergence and high diversity. Besides, a differential evolution （DE） scheme is used to generate solutions in the SS. In addition, the dynamic update strategy and critical conditions are adopted to improve the performance of SSPSO. The simulation results indicate the superiority of SSPSO in terms of effectiveness and efficiency.
文摘In this paper, a single-machine scheduling model with a given common due date is considered. Job processing time is a linear decreasing function of its starting time. The objective function is to minimize the total weighted earliness award and tardiness penalty. Our aim is to find an optimal schedule so as to minimize the objective function. As the problem is NP-hard, some properties and polynomial time solvable cases of this problem are given. A dynamic programming algorithm for the general case of the problem is provided.
文摘Kefeng A is an early maturing indica cytoplasmic male sterile （CMS） line of rice. Combinations derived from Kefeng A and late maturing indica restorer lines showed dominant earliness to various extents. To understand the genetic basis of dominant earliness, the genotype of photoperiod-sensitive genes in Kefeng A was analyzed using a complete set of heading time near isogenic lines （NILs） EGO to EG7, ER, LR, T65, T65E^b, T65E^bm, T65m, NIL（Hd1） and NIL（Hd4）. Results indicated that Kefeng A contained two dominant photoperiod-sensitive alleles E1 and Se-1^U on E1 and Se-1 loci, respectively, and the genotype of photoperiod-sensitivity genes for heading time in Kefeng A was E1E1e2e2E3E3Se-1^USe-1UEf-1Ef-1. Based on the detected heading time genotype, in combination with the heading time of Kefeng A and the early maturing phenomenon in its derived F1 hybrids, it is speculated that Kefeng A might carry a dominant inhibitor gene Su-E7 for the dominant photoperiod- sensitive gene E1, and a recessive inhibitor gene i-Se-1 for another dominant photoperiod-sensitive gene Se-1. The reason why F1 hybrids from Kefeng A exhibited early maturing was hereby analyzed and the breeding value of dominant earliness related genes in Kefeng A was discussed.
文摘To describe the earliness/tardiness production planning problems in the JIT environment, a nonlinear semi\|infinite programming model was proposed in \. Due to a nonconvex objective function and many infinite constraints, the model is difficult to be solved by traditional methods. In this paper, simulated annealing method combined with a heuristic is developed. Numerical results shows that the present approach is very efficient. Theoretically, the developed method is an attempt to solve a continuous domain problem by using simulated annealing.
基金supported by the National Natural Science Foundation of China,Nos.82371310(to YJ),82271306(to JP)the Sichuan Science and Technology Support Program,Nos.2023YFH0069(to JP),2023NSFSC0028(to YJ),2023NSFSC1559(to YJ),2022YFS0615(to JP),2022NSFSC1421(to JP)+1 种基金Scientific Research Project of Sichuan Provincial Health Commission,No.23LCYJ040(to YJ)Youth Foundation of Southwestern Medical University and Southwest Medical University Project,Nos.2020ZRQNA038(to JP),2021ZKZD013(to JP),2021LZXNYD-P01(to YJ),2023QN014(to JP).
文摘Neuronal cell death is a common outcome of multiple pathophysiological processes and a key factor in neurological dysfunction after subarachnoid hemorrhage.Neuronal ferroptosis in particular plays an important role in early brain injury.Bromodomain-containing protein 4,a member of the bromo and extraterminal domain family of proteins,participated in multiple cell death pathways,but the mechanisms by which it regulates ferroptosis remain unclear.The primary aim of this study was to investigate how bromodomain-containing protein 4 affects neuronal ferroptosis following subarachnoid hemorrhage in vivo and in vitro.Our findings revealed that endogenous bromodomain-containing protein 4 co-localized with neurons,and its expression was decreased 48 hours after subarachnoid hemorrhage of the cerebral cortex in vivo.In addition,ferroptosis-related pathways were activated in vivo and in vitro after subarachnoid hemorrhage.Targeted inhibition of bromodomain-containing protein 4 in neurons increased lipid peroxidation and intracellular ferrous iron accumulation via ferritinophagy and ultimately led to neuronal ferroptosis.Using cleavage under targets and tagmentation analysis,we found that bromodomain-containing protein 4 enrichment in the Raf-1 promoter region decreased following oxyhemoglobin stimulation in vitro.Furthermore,treating bromodomain-containing protein 4-knockdown HT-22 cell lines with GW5074,a Raf-1 inhibitor,exacerbated neuronal ferroptosis by suppressing the Raf-1/ERK1/2 signaling pathway.Moreover,targeted inhibition of neuronal bromodomain-containing protein 4 exacerbated early and long-term neurological function deficits after subarachnoid hemorrhage.Our findings suggest that bromodomain-containing protein 4 may have neuroprotective effects after subarachnoid hemorrhage,and that inhibiting ferroptosis could help treat subarachnoid hemorrhage.
文摘Eospalax,one of the only two extant genera within the Myospalacinae,has a high species richness.Each species is distinguished by unique cranial and dental morphologies,as well as variations in temporal and spatial distribution.Consequently,Eospalax serves as a reliable indicator for the biochronologic and paleoenvironmental studies of the Quaternary of East Asia.A recent discovery of a complete fossil skull in a conglomerate deposit,a part of the Lower Pleistocene Sanmen Formation,near Jianyucha Town,Zichang County,northern Shaanxi Province,has been subjected to a detailed analysis.The specimens were identified as Eospalax simplicidens,an extinct species of Eospalax,based on dental morphology.The recent discovery of E.simplicidens in Jianyucha offers significant insights into the species’cranial morphology and contributes to a more comprehensive understanding of its geographical distribution.The distinctive feature of the posterodorsal location of the external acoustic meatus indicates either a plesiomorphy or an evolutionary convergence among E.simplicidens,African root rats(Tachyoryctes),and bamboo rats(Rhizomyini).A skull(IVPP V5398.1)and four upper jaws(V5398.2)from Gongwangling in Lantian,Shaanxi,previously identified as Myospalax fontanieri,is transferred to the species E.lingtaiensis.A skull(IVPP RV35055)from Jingou,Xin’an,Henan,previously identified as E.simplicidens,is transferred to the species E.youngianus.In this study,body mass estimates are made for extinct Eospalax.Both E.lingtaiensis and E.simplicidens are small-sized zokors,with an estimated body mass of less than or approximately 300 g,respectively.
文摘Antilospira is a small to medium-sized antelope with heteronymously spiraled horn cores.It was widely distributed in northern China from the Late Pliocene to the Early Pleistocene.It is a typical fossil bovid with important implications for biostratigraphy and antilopin evolution in China.Antilospira robusta is a species with highly fragmentary materials and has previously only been briefly discussed.Here we report on a new frontal with horn cores from the Early Pleistocene Wucheng Loess in Nalesi Township,Dongxiang Autonomous County,Linxia Basin,Gansu Province.This new material features heteronymously spiraled horn cores,deep longitudinal grooves,a sharp anterior carena on the horn core,and a large body size,which are characteristics similar to those of A.robusta.However,the horn base of the new material is more compressed than all the previously discovered spiral-horned antelopes,so we attributed it to Antilospira cf.A.robusta.This is the first time Antilospira has been found in northwestern China,and this discovery provides more morphological data for the classification of this group.CT scans of the horn core reveal the well-remodeled horn core trabeculae in Antilospira,which is different from what is observed in Spirocerus.The frontal sinuses are moderately developed in the Linxia specimen,extending backwards to the orbit but not to the horn base.The virtual reconstruction of the endocranial cast indicated that Antilospira has bending and narrow frontal lobes,wide temporal lobes,and relatively complex sulci on the cerebral hemisphere,which differ from extant Antilopini bovids in China.
文摘BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking recovery.OBJECTIVE:To determine whether early suspension-protected training with a personal assistant machine for stroke patients enhances walking ability and prevents muscle spasms.METHODS:Thirty-two early-stage stroke patients from Shenzhen University General Hospital and the China Rehabilitation Research Center were randomly assigned to the experimental group(n=16)and the control group(n=16).Both groups underwent 4 weeks of gait training under the suspension protection system for 30 minutes daily,5 days a week.The experimental group used the personal assistant machine during training.Three-dimensional gait analysis(using the Cortex motion capture system),Brunnstrom staging,Fugl-Meyer Assessment for lower limb motor function,Fugl-Meyer balance function,and the modified Ashworth Scale were evaluated within 1 week before the intervention and after 4 weeks of intervention.RESULTS AND CONCLUSION:After the 4-week intervention,all outcome measures showed significant changes in each group.The experimental group had a small but significant increase in the modified Ashworth Scale score(P<0.05,d=|0.15|),while the control group had a large significant increase(P<0.05,d=|1.48|).The experimental group demonstrated greater improvements in walking speed(16.5 to 38.44 cm/s,P<0.05,d=|4.01|),step frequency(46.44 to 64.94 steps/min,P<0.05,d=|2.32|),stride length(15.50 to 29.81 cm,P<0.05,d=|3.44|),and peak hip and knee flexion(d=|1.82|to|2.17|).After treatment,the experimental group showed significantly greater improvements than the control group in walking speed(38.44 vs.26.63 cm/s,P<0.05,d=|2.75|),stride length,peak hip and knee flexion(d=|1.31|to|1.45|),step frequency(64.94 vs.59.38 steps/min,P<0.05,d=|0.85|),and a reduced support phase(bilateral:24.31%vs.28.38%,P<0.05,d=|0.88|;non-paretic:66.19%vs.70.13%,P<0.05,d=|0.94|).For early hemiplegia,personal assistant machine-assisted gait training under the suspension protection system helps establish a correct gait pattern,prevents muscle spasms,and improves motor function.
文摘Despite Morocco's reliance on sunflower as an oilseed crop,little is known about its agronomic performance when sown in autumn or early winter.This knowledge gap is critical,as spring-sown varieties have shown declining performance in recent years under intensifying climate stress.Therefore,targeted breeding strategies could discover genotypes suitable for autumn or early winter sowing,with cold tolerance as a key selection criterion.Currently,‘Ichraq'is the only autumn-planted sunflower variety officially registered in Morocco,although efforts to release additional tolerant varieties are underway.This study evaluated 31 genotypes(MGB1to MGB31)selected from various environments under autumn planting conditions and conserved in the Moroccan Gene Bank.These genotypes were planted in early winter at a mountainous site known for its pronounced winter cold.Eighteen Morphological,physiological and agronomic parameters including initial vigor,leaf area,seed yield,oil content etc.,were assessed using both univariate and multivariate statistical approaches.Analysis of variance revealed significant genotypic differences across most traits,indicating substantial genetic variation.Notably,seed oil content ranged from 23.28%(MGB26)to 43.88%(MGB5),and seed yield from1400 kg/ha(MGB7)to 5400 kg/ha(MGB8).Principal component analysis(PCA)identified that the first principal component,accounting for over 24%of the total phenotypic variance,exhibits a strong positive loading of yield-related traits and chlorophyll content,while displaying a pronounced negative loading for oil content variables.This opposing gradient indicates a clear trade-off between vegetative productivity and oil accumulation across the evaluated genotypes.Hierarchical cluster analysis resolved the germplasm into two principal clusters with high within-group similarity,each further partitioned into relatively homogeneous subgroups.Notably,several genotypes outperformed the control variety Ichraq,underscoring their potential for autumn or early winter cultivation.Nonetheless,essential multi-environment trials remain to validate their phenotypic stability and to ascertain their value as genetic resources for sunflower breeding programs in Morocco and other Mediterranean agro-ecosystems.
基金supported by the National Key Research and Development Program of China(2022YFD1200400)the National Natural Science Foundation of China(32272111)+4 种基金Special fund for youth team of the Southwest Universities(SWU-XJPY202306)Chongqing Natural Science Foundation(CSTB2024NSCQLZX0012)Modern Agro-industry Technology Research System(CARS-12)Chongqing Modern Agricultural Industry Technology System(COMAITS202504)Biological Breeding-National Science and Technology Major Project(2022ZD04008).We sincerely appreciate the Plant Editors team for English language editing of the manuscript,which significantly improved its clarity and overall quality.
文摘Flowering time is a critical agronomic trait with a profound effect on the productivity and adaptabillity of rapeseed(Brassica napus L.).Strategically advancing flowering time can reduce the risk of yield losses due to extreme climatic conditions and facilitate the cultivation of subsequent crops on the same land,thereby enhancing overall agricultural efficiency.In this review,we synthesize current information on flowering time regulation in rapeseed through an integrated analysis of its genetic,hormonal,and environmental dimensions,emphasizing their crosstalk and implications for yield.We consolidate multi-omics evidence from population genetics,functional genomics,and systems biology to create a haplotype-based framework that overcomes the trade-off between flowering time and yield,providing support for the precision breeding of early-maturing cultivars.The insights presented here could inform future research on flowering time regulation and guide strategies for increasing rapeseed productivity.
基金Funded by the National Natural Science Foundation of China(No.52568032)Guangxi Key Research and Development Program(GKNos.AB24010020,AB23026071,and AD24010062)。
文摘The engineering application of low-alkali sulphoaluminate cement(L-SAC)is hindered due to the difficulty in adjusting the setting and hardening time.In this paper,lithium hydroxide and borax are mixed into L-SAC to regulate its setting and hardening process,so as to prepare a sulphoaluminate concrete material with high early strength and high fluidity.The effects of the ratio of lithium hydroxide to borax on the properties of L-SAC concrete were studied by hydration heat,XRD,TG-DTG,SEM and MIP.The experimental results show that the slump increases with the increase of borax content,and the early(3 h)strength increases with the increase of lithium hydroxide content.When 0.05% lithium hydroxide and 0.4% borax are added,the 0.5 h slump reaches 195 mm,and the 3 h compressive strength reaches 15.9 MPa.The increase of lithium hydroxide will promote the formation of early hydration products AFt and AH3 gel and accelerate the hydration process,while borax will inhibit the dissolution and hydration of cement and delay the setting and hardening process of concrete.The combination of the two ensures that the concrete has the characteristics of high early strength and high fluidity,and the early workability and mechanical properties can be controlled by the mix ratio.For long-term mechanical properties,the special concrete does not produce AFm,which can ensure the continuous development of strength.
基金supported by the Scientific Research Project of the Health Commission of Shanxi Province(No.2024003)。
文摘This article reviews research advances in the application of early enteral nutrition(EEN)in elderly patients with severe acute pancreatitis(SAP).Elderly SAP patients are associated with higher mor tality rates due to age-related immune dysfunction,whereas EEN has been demonstrated to improve clinical prognosis,reduce infection and complication rates,and shor ten hospital stays.However,ongoing debates exist regarding the optimal timing,route selection,and complication management of EEN.Through a systematic review of the literature,this study synthesizes current evidence on EEN in elderly SAP populations,critically examines unresolved clinical controversies,and proposes future research priorities to inform evidence-based practice.
基金supported by the National Key Research and Development Program of China(Research Grant Number:2023YFC3603600).
文摘Autism spectrum disorder(AsD)is a highly heterogeneous neurodevelopmental disorder.Early diagnosis and intervention are crucial for improving outcomes.Traditional single-modality diagnostic methods are subjective,limited,and struggle to reveal the underlying pathological mechanisms.In contrast,multimodal data analysis integrates behavioral,physiological,and neuroimaging information with advanced machine-learning and deeplearning algorithms to overcome these limitations.In this review,we surveyed the recent pediatric AsD literature,highlighting artificial intelligence-driven diagnostic techniques,multimodal data fusion strategies,and emerging trends in ASD assessment.We surveyed studies that integrated two or more modalities and summarized the fusion levels,learning paradigms,tasks,datasets,and metrics.Multimodal approaches outperform singlemodality baselines in classification,severity estimation,and subtyping by leveraging complementary information and reducing modality-specific biases.Multimodal approaches significantly enhance diagnostic accuracy and comprehensiveness,enabling early screening of AsD,symptom subtyping,severity assessment,and personalized interventions.Advances in multimodal fusion techniques have promoted progress in precision medicine for the treatment of ASD.
基金support from the Sichuan Science and Technology Program(Grant No.2023NSFSC0812).
文摘The effective early warning of surrounding rock mass deformation is crucial in geotechnical engineering for ensuring the safety and stability of underground constructions.This study introduces a novel risk early warning model based on multi-parameter fuzzy comprehensive evaluation,which quantitatively assesses the risk state of the surrounding rock mass.The microseismic(MS)monitoring system is set up for the underground powerhouse.The spatial and temporal distribution of MS events and the frequency characteristics of MS signals are analyzed during the top arch excavation.The early warning indices for characterizing MS spatial aggregation and frequency-energy dispersion are proposed based on the octree theory to assess the deformation of the surrounding rock mass.The risk warning model for the surrounding rock mass in underground engineering is developed through the integration of the formulated index and the frequency characteristics of MS signals.The results indicate that the multiparameter fuzzy comprehensive assessment model can achieve three-dimensional visualization of risk warnings for the surrounding rock mass.The quantitative results regarding warning time and potential deformation areas are highly consistent with the characteristics of MS precursors.These research results can provide an important reference for early warning of surrounding rock mass risk in similar underground projects.
基金Supported by China Health&Medical Development Foundation,No.M2021551.
文摘BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate selection for gastrectomy may result in overtreatment,adversely affecting patients’quality of life.Few have systematically evaluated the concordance between therapeutic indications under current Japanese guidelines and pathological criteria in EGC.To minimize noncurative resection risks while sparing unnecessary surgery for low-risk patients’,we specifically assess the suitability of Japanese guidelines in non-Japanese populations.This work aims to optimize clinical practice by refining endoscopic treatment criteria for adoption beyond Japan.AIM To evaluate EGC clinical decision accuracy by comparing therapeutic indication with postoperative pathological criteria and analyzing factors influencing discrepancies.METHODS A retrospective analysis was conducted on 796 EGC cases diagnosed at Peking University Third Hospital between January 2010 and December 2022.Cases were categorized into three groups:Same-estimated(preoperative therapeutic indication with postoperative pathological criteria matched),underestimated(preoperative ESD indication but postoperative surgical criteria),and overestimated(preoperative surgical indication but postoperative ESD criteria).The rate of discrepancy and associated risk factors were assessed.RESULTS The accuracy rates of preoperative evaluation for ESD and gastrectomy indications were 73.0%(321/430)and 76.0%(278/366),respectively.The overall discrepancy rate was 25.6%(204/796).Multivariate analysis identified tumor location in the upper-third stomach(odds ratio=2.158,95%confidence interval:1.373-3.390,P=0.001)was significantly associated with a higher likelihood of being underestimated and undifferentiated histologic type on preoperative biopsy(odds ratio=2.005,95%confidence interval:1.036-3.879,P=0.039)was more likely to be overestimated.Significant differences were observed in tumor diameter(P<0.001),depth of infiltration(P<0.001),ulcerative findings(P<0.001),and histologic type(P<0.001)between preoperative and postoperative evaluations.CONCLUSION The accuracy of preoperative EGC indications is 74.4%.Upper-third stomach and undifferentiated histology are primary discrepancy predictors.Upper-third tumors are prone to underestimation,while undifferentiated tumors are prone to overestimation.
文摘The integration of multi-omic liquid biopsies with artificial intelligence(AI)represents a rapidly evolving frontier in early cancer detection,offering the potential to enhance personalized medicine and improve patient outcomes.This review explores the current state and emerging directions of this approach,focusing on the synergistic value of combining genomics,epigenomics,transcriptomics,proteomics,and metabolomics with AIdriven analytics.We discuss advances in multi-analyte blood tests such as CancerSEEK,which have demonstrated promising multi-cancer detection capabilities in early studies,as well as efforts to integrate liquid biopsy data with imaging modalities to improve diagnostic performance.The review also highlights ongoing challenges,including the need for greater analytical sensitivity,improved specificity for early-stage disease,standardization of workflows,and harmonization with existing screening modalities.We outline the prospective—but still largely investigational—impact of these technologies on cancer management,including early detection,treatment monitoring,and minimal residual disease assessment,along with their potential economic implications.Ultimately,we envision a future in which multi-omic liquid biopsies integrated with AI may contribute to more effective,noninvasive cancer detection strategies,while recognizing that substantial validation,regulatory approval,and health-system integration are required before widespread clinical adoption can occur.
