Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Metho...Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Methods:This study included 300 patients diagnosed with invasive breast cancer who were treated with both NAC and surgery between 2012 and 2021.The hormone receptor(HR)and human epidermal growth factor receptor 2(HER2)levels were measured before and after NAC.The prognostic impact of receptor conversion was also evaluated in patients receiving NAC,by using the Kaplan-Meier method and Cox proportional hazards models as statistical methods.Results:The conversion rate of estrogen receptor–positive(ER^(+))to ER-negative(ER^(-))was similar to that of ER^(-)to ER^(+)(9.2%and10.9%,respectively).The proportion of HR^(-)to HR^(+)was remarkably higher than that of HR^(+)to HR^(-)(14.8%vs 9.2%,respectively).The change from HER2^(+)to HER2^(-)was significantly more frequently than that from HER2^(-)to HER2^(+)(20.3%vs 6%,respectively).Patients with ER and HR status changes from(-)to(+)after NAC had significantly worse recurrence-free survival(RFS)and overall survival(OS)than those in the other 3 groups(ER^(-)to ER^(+):RFS:p=0.002,OS:p<0.001;HR^(-)to HR^(+):RFS:p=0.003,OS:p<0.001).The 4 HER2 conversion subgroups were not significantly associated with RFS or OS.Conclusions:This study demonstrated a discordance in HR status after NAC and identified predictors of conversion.Patients whose HR status switched to positive after NAC had the worst 3-year RFS and OS rates.展开更多
Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This...Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This paper presents two novel schemes,that is,one converts the two-qubit hybrid Knill–Laflamme–Milburn(KLM)entangled state into Bell states and the other one transforms the three-qubit hybrid KLM state into Greenberger–Horne–Zeilinger(GHZ)states assisted by error-predicted and parity-discriminated devices.Importantly,the integration of single photon detectors into the parity-discriminated device enhances predictive capabilities,mitigates potential failures,and facilitates seamless interaction between the nitrogen-vacancy center and photons,so the two protocols operate in an error-predicted way,improving the experimental feasibility.Additionally,our schemes demonstrate robust fidelities(close to 1)and efficiencies,indicating their feasibility with existing technology.展开更多
基金supported by grants from the Basic Research Project of Shanxi Science and Technology Department(no.202303021221190)the Shanxi General Surgery“136”Healthcare Engineering Project(no.2024XYZ03)。
文摘Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Methods:This study included 300 patients diagnosed with invasive breast cancer who were treated with both NAC and surgery between 2012 and 2021.The hormone receptor(HR)and human epidermal growth factor receptor 2(HER2)levels were measured before and after NAC.The prognostic impact of receptor conversion was also evaluated in patients receiving NAC,by using the Kaplan-Meier method and Cox proportional hazards models as statistical methods.Results:The conversion rate of estrogen receptor–positive(ER^(+))to ER-negative(ER^(-))was similar to that of ER^(-)to ER^(+)(9.2%and10.9%,respectively).The proportion of HR^(-)to HR^(+)was remarkably higher than that of HR^(+)to HR^(-)(14.8%vs 9.2%,respectively).The change from HER2^(+)to HER2^(-)was significantly more frequently than that from HER2^(-)to HER2^(+)(20.3%vs 6%,respectively).Patients with ER and HR status changes from(-)to(+)after NAC had significantly worse recurrence-free survival(RFS)and overall survival(OS)than those in the other 3 groups(ER^(-)to ER^(+):RFS:p=0.002,OS:p<0.001;HR^(-)to HR^(+):RFS:p=0.003,OS:p<0.001).The 4 HER2 conversion subgroups were not significantly associated with RFS or OS.Conclusions:This study demonstrated a discordance in HR status after NAC and identified predictors of conversion.Patients whose HR status switched to positive after NAC had the worst 3-year RFS and OS rates.
基金supported by the National Key R&D Program of China(Grant No.2022YFB3203400)the National Natural Science Foundation of China(Grant No.61901420)Fundamental Research Program of Shanxi Province(Grant No.20230302121116)。
文摘Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This paper presents two novel schemes,that is,one converts the two-qubit hybrid Knill–Laflamme–Milburn(KLM)entangled state into Bell states and the other one transforms the three-qubit hybrid KLM state into Greenberger–Horne–Zeilinger(GHZ)states assisted by error-predicted and parity-discriminated devices.Importantly,the integration of single photon detectors into the parity-discriminated device enhances predictive capabilities,mitigates potential failures,and facilitates seamless interaction between the nitrogen-vacancy center and photons,so the two protocols operate in an error-predicted way,improving the experimental feasibility.Additionally,our schemes demonstrate robust fidelities(close to 1)and efficiencies,indicating their feasibility with existing technology.
