Freezing of gait is a significant and debilitating motor symptom often observed in individuals with Parkinson's disease.Resting-state functional magnetic resonance imaging,along with its multi-level feature indice...Freezing of gait is a significant and debilitating motor symptom often observed in individuals with Parkinson's disease.Resting-state functional magnetic resonance imaging,along with its multi-level feature indices,has provided a fresh perspective and valuable insight into the study of freezing of gait in Parkinson's disease.It has been revealed that Parkinson's disease is accompanied by widespread irregularities in inherent brain network activity.However,the effective integration of the multi-level indices of resting-state functional magnetic resonance imaging into clinical settings for the diagnosis of freezing of gait in Parkinson's disease remains a challenge.Although previous studies have demonstrated that radiomics can extract optimal features as biomarkers to identify or predict diseases,a knowledge gap still exists in the field of freezing of gait in Parkinson's disease.This cross-sectional study aimed to evaluate the ability of radiomics features based on multi-level indices of resting-state functional magnetic resonance imaging,along with clinical features,to distinguish between Parkinson's disease patients with and without freezing of gait.We recruited 28 patients with Parkinson's disease who had freezing of gait(15 men and 13 women,average age 63 years)and 30 patients with Parkinson's disease who had no freezing of gait(16 men and 14 women,average age 64 years).Magnetic resonance imaging scans were obtained using a 3.0T scanner to extract the mean amplitude of low-frequency fluctuations,mean regional homogeneity,and degree centrality.Neurological and clinical characteristics were also evaluated.We used the least absolute shrinkage and selection operator algorithm to extract features and established feedforward neural network models based solely on resting-state functional magnetic resonance imaging indicators.We then performed predictive analysis of three distinct groups based on resting-state functional magnetic resonance imaging indicators indicators combined with clinical features.Subsequently,we conducted 100 additional five-fold cross-validations to determine the most effective model for each classification task and evaluated the performance of the model using the area under the receiver operating characteristic curve.The results showed that when differentiating patients with Parkinson's disease who had freezing of gait from those who did not have freezing of gait,or from healthy controls,the models using only the mean regional homogeneity values achieved the highest area under the receiver operating characteristic curve values of 0.750(with an accuracy of 70.9%)and 0.759(with an accuracy of 65.3%),respectively.When classifying patients with Parkinson's disease who had freezing of gait from those who had no freezing of gait,the model using the mean amplitude of low-frequency fluctuation values combined with two clinical features achieved the highest area under the receiver operating characteristic curve of 0.847(with an accuracy of 74.3%).The most significant features for patients with Parkinson's disease who had freezing of gait were amplitude of low-frequency fluctuation alterations in the left parahippocampal gyrus and two clinical characteristics:Montreal Cognitive Assessment and Hamilton Depression Scale scores.Our findings suggest that radiomics features derived from resting-state functional magnetic resonance imaging indices and clinical information can serve as valuable indices for the identification of freezing of gait in Parkinson's disease.展开更多
BACKGROUND Tumors characterized by high cellular stemness often have unfavorable clinical outcomes,primarily due to their heightened potential for metastasis and resistance to chemotherapy.Among the model genes,the cl...BACKGROUND Tumors characterized by high cellular stemness often have unfavorable clinical outcomes,primarily due to their heightened potential for metastasis and resistance to chemotherapy.Among the model genes,the clinical relevance and prognostic significance of Niemann-Pick type C2(NPC2)in gastric cancer(GC)remained largely unexplored.AIM To identify stemness-associated genes in GC.METHODS In this study,epithelial cells were categorized as either tumor or normal epithelial cells using the infer copy number variation method.Stemness scores were calculated for both cell types.The hierarchical Weighted Gene Co-expression Network Analysis identified two gene modules with the strongest association with stemness.Prognostically significant stemness-related genes were pinpointed using univariate Cox regression based on The Cancer Genome Atlas dataset.A predictive model related to stemness was constructed using Least Absolute Shrinkage and Selection Operator regression followed by multivariate Cox analysis.RESULTS Functional roles of NPC2 were validated using single-cell and bulk RNA sequencing data.Further experimental validation revealed that elevated NPC2 expression promoted tumor cell stemness,invasiveness,migratory ability,and resistance to standard chemotherapeutic agents.Importantly,high NPC2 expression correlated with poorer overall survival in GC patients.CONCLUSION In summary,the proposed model offers prognostic insights that outperform traditional clinical staging and may inform more tailored therapeutic approaches for gastric cancer management.展开更多
This editorial is a commentary on the case report by Furuya et al focusing on the challenging diagnosis of early pancreatic adenocarcinoma and new tools for an earlier diagnosis.Currently,pancreatic cancer still has a...This editorial is a commentary on the case report by Furuya et al focusing on the challenging diagnosis of early pancreatic adenocarcinoma and new tools for an earlier diagnosis.Currently,pancreatic cancer still has a poor prognosis,mainly due to late diagnosis in an advanced stage.Two main precancerous routes have been identified as pathways to pancreatic adenocarcinoma:The first encompasses a large group of mucinous cystic lesions:intraductal papillary mucinous neoplasm and mucinous cystic neoplasm,and the second is pancreatic intraepithelial neoplasia.In the last decade the focus of research has been to identify high-risk patients,using advanced imaging techniques(magnetic resonance cholangiopancreatography or endoscopic ultrasonography)which could be helpful in finding“indirect signs”of early stage pancreatic lesions.Nevertheless,the survival rate still remains poor,and alternative screening methods are under investigation.Endoscopic retrograde cholangiopancreatography followed by serial pancreatic juice aspiration cytology could be a promising tool for identifying precursor lesions such as intraductal papillary mucinous neoplasm,but confirming data are still needed to validate its role.Probably a combination of cross-sectional imaging,endoscopic techniques(old and new ones)and genetic and biological biomarkers also in pancreatic juice)could be the best solution to reach an early diagnosis.Biomarkers could help to predict and follow the progression of early pancreatic lesions.However,further studies are needed to validate their diagnostic reliability and to establish diagnostic algorithms to improve prognosis and survival in patients with pancreatic cancer.展开更多
A unitized regenerative fuel cell(URFC)is a device that may function reversibly as either a fuel cell(FC)or water elec-trolysis(WE).An important component of this device is the Membrane electrode assembly(MEA).Therefo...A unitized regenerative fuel cell(URFC)is a device that may function reversibly as either a fuel cell(FC)or water elec-trolysis(WE).An important component of this device is the Membrane electrode assembly(MEA).Therefore,this study aimed to compare the performance outcomes of MEA using electrodes with single and three catalyst layers.This study measured Electrochemical Surface Area(ECSA),Electrochemical Impedance Spectroscopy(EIS),X-ray Diffraction analysis(XRD),and X-ray Fluorescence(XRF).Furthermore,the round-trip efficiency(RTE)of the MEA,as w ell as the performance in FC and WE mode,was measured.In comparison,The ECSA values of Pt-Ru/C and Pt/C with three catalyst layers were higher than the single catalyst layer.This result was supported by electrode characterization data for XRD and XRF.The respective electrical conductivity values of Pt-Ru/C and Pt/C with three catalyst layers are also higher than the single cata-lyst layer,and the performance of URFC using MEA with three catalyst layers has the highest value of RTE among the MEA performances of URFC,which is 100%at a current density of 4 mA·cm-2.展开更多
Temperature fluctuations challenge ectothermic species,particularly tropical fish dependent on external temperatures for physiological regulation.However,the molecular mechanisms through which low-temperature stress i...Temperature fluctuations challenge ectothermic species,particularly tropical fish dependent on external temperatures for physiological regulation.However,the molecular mechanisms through which low-temperature stress impacts immune responses in these species,especially in relation to chromatin accessibility and epigenetic regulation,remain poorly understood.In this study,we investigate chromatin and transcriptional changes in the head kidney and thymus tissues of Nile tilapia(Oreochromis niloticus),a tropical fish of significant economic importance,under cold stress.By analyzing cis-regulatory elements in open chromatin regions and their associated transcription factors(TFs),we construct a comprehensive transcriptional regulatory network(TRN)governing immune responses,including DNA damage-induced apoptosis.Our analysis identifies 119 TFs within the TRN,with Stat1 emerging as a central hub exhibiting distinct binding dynamics under cold stress,as revealed by footprint analysis.Overexpression of Stat1 in immune cells leads to apoptosis and increases the expression of apoptosis-related genes,many of which contain Stat1-binding sites in their regulatory regions,emphasizing its critical role in immune cell survival during cold stress.These results provide insights into the transcriptional and epigenetic regulation of immune responses to cold stress in tilapia and highlight Stat1 as a promising target for enhancing cold tolerance in tropical fish species.展开更多
Dear Editor,Descemet’s membrane detachment(DMD)is considered as a potential sight-threatening complication following various intraocular surgeries,particularly cataract surgery[1].The labile adhesion between the Desc...Dear Editor,Descemet’s membrane detachment(DMD)is considered as a potential sight-threatening complication following various intraocular surgeries,particularly cataract surgery[1].The labile adhesion between the Descemet’s membrane(DM)and the posterior corneal stromal layer can be easily separated with minimal mechanical force.Several risk factors have been associated with the development of DMD including old age,improper intraoperative operation,corneal ectatic disorders,and endothelial disorders and so on[1-4].展开更多
This study investigates zinc’s(Zn)key role in enhancing the precipitation kinetics and refinement of Mg_(17)Al_(12)and Mg_(2)Sn phases in magnesium alloys through trace sodium(Na)additions.Magnesium alloys with varyi...This study investigates zinc’s(Zn)key role in enhancing the precipitation kinetics and refinement of Mg_(17)Al_(12)and Mg_(2)Sn phases in magnesium alloys through trace sodium(Na)additions.Magnesium alloys with varying compositions of aluminum(Al),tin(Sn),Zn,and Na were prepared and aged at 453 K.Microstructural analyses were conducted using transmission electron microscopy(TEM),scanning transmission electron microscopy(STEM),and atom probe tomography(APT).Trace additions of Na significantly enhanced the precipitation responses of both Mg_(17)Al_(12)and Mg_(2)Sn phases.When Zn was co-added with Na,as in the ATZ641N3 alloy(Mg–6Al–4Sn–1Zn–0.3Na),there was a pronounced refinement in precipitate morphology and acceleration of precipitation kinetics.The ATZ641N3 alloy achieved a peak hardness of 103 Hv at 36 hours,compared to 91 Hv at 72 hours for the ATZ641 alloy without Na.The simultaneous addition of Zn and Na led to the formation of Sn–Na–Zn particles that acted as effective nucleation sites for Mg_(2)Sn,promoting aluminum partitioning and accelerating the precipitation of Mg_(17)Al_(12)through Al-rich regions.Additionally,Zn and Na co-segregated within the Mg_(17)Al_(12)phase,reducing misfit strain caused by Zn substitution and improving precipitate stability and refinement.These findings highlight Zn’s critical role,alongside trace Na additions,in refining and accelerating the precipitation of Mg_(17)Al_(12)and Mg_(2)Sn phases,thereby enhancing the age-hardening response of magnesium alloys.展开更多
AIM:To examined the effects of a high-fat diet(HFD)on retinal pathological changes and dysfunction using peroxisome proliferator-activated receptor-alpha(PPARα)knockout mice.METHODS:For four months,C57BL/6J and PPAR...AIM:To examined the effects of a high-fat diet(HFD)on retinal pathological changes and dysfunction using peroxisome proliferator-activated receptor-alpha(PPARα)knockout mice.METHODS:For four months,C57BL/6J and PPARαknockout mice received either HFD or a standard diet(SD).A fluorometric method was used to determine the retinal triglycerides.The retinal malondialdehyde(MDA)content was measured.Hematoxylin-eosin was used to evaluate retinal pathological changes.Protein expression was analyzed by Western blot and immunofluorescence,while mRNA expression was evaluated by quantitative reverse transcription-polymerase chain reaction.Electroretinogram was used to assess retinal function.RESULTS:HFD resulted in increased fatty acidβ-oxidation in the inner retina,particularly retinal ganglion cells(RGCs),as well as increased weight and accumulation of retinal triglyceride.Retinal fatty acid β-oxidation and triglyceride accumulation were affected by PPARα^(−/−)abnormalities.PPARαknockdown increased the infiltration and activation of inflammatory cells,as well as it upregulated the nuclear factor kappa B(NF-κB)signaling pathway and corresponding proinflammatory cytokine levels in the most retina subjected to the HFD.In the HFD mice,oxidative stress levels were elevated in the inner retina,particularly in the HFD PPARα^(−/−)mice.HFD-induced RGCs apoptosis initiation was exacerbated by PPARαdeficiency.Lastly,HFD feeding resulted in the lower amplitudes of scotopic a-wave,b-wave and photopic negative response(PhNR)wave,particularly in HFD PPARα^(−/−)mice.CONCLUSION:In HFD-fed mice retina,particularly in the inner retina,PPARα knockout increases lipid metabolic abnormalities,inflammatory responses,oxidative stress,apoptosis initiation and dysfunction.展开更多
BACKGROUND Primary sclerosing cholangitis(PSC)is a long-term liver condition defined by the inflammation and scarring of the bile ducts,resulting in complications such as liver cirrhosis,portal hypertension,and cholan...BACKGROUND Primary sclerosing cholangitis(PSC)is a long-term liver condition defined by the inflammation and scarring of the bile ducts,resulting in complications such as liver cirrhosis,portal hypertension,and cholangiocarcinoma.Although PSC predominantly affects adults,the incidence in pediatric patients is rising.For individuals in the advanced stages of liver disease,liver transplantation(LT)is the sole curative treatment option.However,the recurrence of PSC in the transplanted liver,known as recurrent PSC(rPSC),remains a significant concern.AIM To identify the potential risk factors for the recurrence of PSC in pediatric patients after undergoing LT.METHODS A literature search was carried out across databases,including PubMed,Embase,Cochrane Library,and Scopus,covering studies published from 1990 through 2024.The Newcastle-Ottawa scale was utilized to assess the quality of the selected studies.Statistical analyses were conducted using RevMan 5.3 software,where the risk of recurrence was quantified using hazard ratios(HR)with 95%CI.RESULTS A total of nine reports with 2524 pediatric patients with PSC were included in this analysis.The findings revealed several important risk factors connected to the rPSC in pediatric patients who had received a liver transplant,including concurrent inflammatory bowel disease(IBD),elevated liver enzyme levels,and the presence of PSCautoimmune hepatitis(AIH)overlap syndrome(all P<0.05).No statistically significant association was found between acute allograft rejection,Epstein-Barr virus infection,and the risk of rPSC recurrence in the pediatric liver transplant recipients.CONCLUSION The present systematic review and meta-analysis have identified various risk factors associated with the recurrence of PSC in pediatric patients who underwent LT,including IBD,elevated liver enzyme levels,and PSC-AIH overlap syndrome.展开更多
Objectives:Intravesical Bacillus Calmette-Guérin(BCG)therapy is a gold standard for patients with high-risk non-muscle invasive bladder cancer(NMIBC).Although a long-lasting therapeutic response is observed in mo...Objectives:Intravesical Bacillus Calmette-Guérin(BCG)therapy is a gold standard for patients with high-risk non-muscle invasive bladder cancer(NMIBC).Although a long-lasting therapeutic response is observed in most patients,BCG failure occurs in 30%–50%of patients and a progression to muscle-invasive disease is found in 10%–15%.Therefore,predicting high-risk patients who might not benefit from BCG treatment is critical.The purpose of this study was to identify,whether the presence of specific oncogenic mutations might be indicative of BCG treatment response.Methods:Nineteen high-grade NMIBC patients who received intravesical BCG were retrospectively enrolled and divided into“responders”and“non-responders”groups.Tissue samples from transurethral resection of bladder cancer were performed before starting therapy and were examined using a multigene sequencing panel.Results:Mutations in TP53,FGFR3,PIK3CA,KRAS,CTNNB1,ALK and DDR2 genes were detected.TP53 and FGFR3 were found to be the most frequently mutated genes in our cohort(31.6%and 26.3%,respectively),followed by PIK3CA(15.8%).In the BCG-responsive patient group,90%of samples were found to have mutated genes,with almost 50%of them showing mutations in tyrosine kinase receptors and CTNNB1 genes.On the other hand,in the BCG-unresponsive group,we found mutations in 44.4%of samples,mainly in TP53 gene.Conclusions:Our findings suggest that a Next-Generation Sequencing(NGS)multigene panel is useful in predicting BCG response in patients with NMIBC.展开更多
BACKGROUND Gastric cancer(GC)is an aggressive malignancy of the gastrointestinal tract characterized by high recurrence rates following radical gastrectomy.To enhance treatment efficacy,reduce recurrence,and improve p...BACKGROUND Gastric cancer(GC)is an aggressive malignancy of the gastrointestinal tract characterized by high recurrence rates following radical gastrectomy.To enhance treatment efficacy,reduce recurrence,and improve patient survival,adjuvant chemotherapy is commonly administered based on established postoperative guidelines.Despite advancements in chemotherapy delivery,the overall response rate remains below 50%,primarily due to the lack of targeted therapies tailored to specific patient populations.AIM To explore sensitive biomarkers to assess the efficacy of postoperative adjuvant chemotherapy in appropriate patient subgroups.METHODS This study retrospectively analyzed 1628 patients who underwent radical gastrectomy for GC at our hospital in 2017 and 2018,with a subsequent five-year follow-up.Patients were divided based on whether they received postoperative adjuvant chemotherapy.The study aimed to determine optimal cutoff values for various biomarkersneutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio,carcinoembryonic antigen(CEA),carbohydrate antigen(CA)199,CA724,and CA242-using receiver operating characteristic(ROC)curves.Based on the optimal ROC cut-off,a novel combined metric,NLR-CEA,was developed to assess the efficacy of adjuvant chemotherapy following GC surgery.RESULTS Cox subgroup analysis demonstrated that postoperative adjuvant chemotherapy significantly improved overall survival in the NLR-CEA_Low group with a rate of 0.41(0.26-0.63).In the NLR-CEA_Middle group,the protective effect was observed at 0.69(0.54-0.87),while in the NLR-CEA_High group,it was 0.73(0.53-0.99).Notably,a 32%difference in the efficacy of chemotherapy was observed between the NLR-CEA_Low and NLR-CEA_High groups.CONCLUSION NLR-CEA is an effective biomarker for evaluating the efficacy of postoperative adjuvant chemotherapy in GC.Patients with NLR-CEA_Low exhibit significantly better responses to chemotherapy compared to those with NLRCEA_High.展开更多
Floating photovoltaic(FPV)technology is emerging as a highly promising approach to accelerate decarbonization of the global economy,due to its higher power generation efficiency and lower land occupation.With the rapi...Floating photovoltaic(FPV)technology is emerging as a highly promising approach to accelerate decarbonization of the global economy,due to its higher power generation efficiency and lower land occupation.With the rapid development of FPV technology,the mechanical performance degradation of key components caused by the harsh marine environment has become a pressing issue,as it significantly contributes to failure behavior observed in FPV systems.A comprehensive compilation of the mechanical performance of key components in FPV systems is also currently unavailable.Here,the mechanical behavior of each structural component in FPV systems under harsh marine environments is systematically reviewed.It further emphasizes the synergistic effects of mechanical performance degradation among different components on the overall system.The drop-off rate(v)of normalized elongation at break(EAB)of polymer under the synergistic effect of various environmental factors increases from 7.5×10^(−4)h^(−1)to 21.8×10^(−4)h^(−1)compared with the single environmental stress.Moreover,the development of novel materials and innovative mechanical structures applied in FPV systems to enhance mechanical performance is discussed.The novel flexible PV modules applied in FPV systems minimize the loads acting on the mooring lines by 80%and increase power generation by 5%.Notably,this paper provides a theoretical foundation for developing standards of FPV systems,especially the establishment of standards related to the synergistic effects of the mechanical performance degradation of different key components on FPV systems.展开更多
The co-production of hydrogen and value-added biochemicals from lignocellulose utilizing solar energy has been regarded as one of the technologies most potentially able to alleviate the current energy crisis.Here,we d...The co-production of hydrogen and value-added biochemicals from lignocellulose utilizing solar energy has been regarded as one of the technologies most potentially able to alleviate the current energy crisis.Here,we demonstrate a cost-effective photoreforming strategy for lignocellulose valorization using a carbon nitride-supported platinum single-atom photocatalyst.An advanced H_(2) evolution rate of 6.34 mmol molPt^(-1) h^(-1) is achieved over the optimal catalyst,which is around 4.6 and 30.5 times higher compared with the nanosized Pt counterpart and pristine carbon nitride,respectively.Meanwhile,the monosaccharides are oxidized to value-added lactic acid with>99%conversion and extraordinary selectivity up to 97%.The theoretical calculations show that with Pt incorporation,the photogenerated holes are predominantly localized on the metal sites while the photogenerated electrons are concentrated on C_(3)N_(4),thus enhancing the effective separation of charge carriers.This work provides a promising avenue for the simultaneous production of green H2 and bio-based chemicals by biomass photorefinery.展开更多
While Metaheuristic optimization techniques are known to work well for clustering and large-scale numerical optimization,algorithms in this category suffer from issues like reinforcement stagnation and poor late-stage...While Metaheuristic optimization techniques are known to work well for clustering and large-scale numerical optimization,algorithms in this category suffer from issues like reinforcement stagnation and poor late-stage refinement.In this paper,we propose the Improved Geyser-Inspired Optimization Algorithm(IGIOA),an enhancement of the Geyser-Inspired Optimization Algorithm(GIOA),which integrates two primary components:the Adaptive Turbulence Operator(ATO)and the Dynamic Pressure Equilibrium Operator(DPEO).ATO allows IGIOA to periodically disrupt stagnation and explore different regions by using turbulence,while DPEO ensures refinement in later iterations by adaptively modulating convergence pressure.We implemented IGIOA on 23 benchmark functions with both unimodal and multimodal contours,in addition to eight problems pertaining to cluster analysis at the UCI.IGIOA,out of all the tested methods,was able to converge most accurately while also achieving a stable convergence rate.The mitigation of premature convergence and low-level exploitation was made possible by the turbulence and pressure-based refinements.The findings from the tests confirm that the adaptation of baseline strategies by IGIOA helps deal with complex data distributions more effectively.However,additional hyperparameters which add complexity are introduced,along with increased computational cost.These include automatic tuning of parameters,ensemble or parallel variations,and hybridization with dedicated local search strategies to extend the reach of IGIOA for general optimization while also specializing it for clustering focused tasks and applications.展开更多
The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different re...The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different reaction channels.Theγ-rays coincident with^(3)He/^(3)H indicate that the^(3)H/^(3)He stripping reaction plays a significant role in the formation of Zr/Nb isotopes.The obtained results support the existence of a^(3)He-^(3)H cluster in^(6)Li.Direct and sequential transfer reactions are adequately discussed,and the FRESCO code is used to perform precise finite-range cyclic redundancy check calculations.In the microscopic calculation,direct cluster transfer is more predominant than sequential transfer in^(3)H transfer.However,the direct cluster transfer is of comparable magnitude to the sequential transfer in the^(3)He transfer.展开更多
BACKGROUND Although important for determining long-term outcome, pathologic stage of hepatocellular carcinoma (HCC) is difficult to predict before surgery. Current state-of-the-art magnetic resonance imaging (MRI) usi...BACKGROUND Although important for determining long-term outcome, pathologic stage of hepatocellular carcinoma (HCC) is difficult to predict before surgery. Current state-of-the-art magnetic resonance imaging (MRI) using gadoxetic acid provides many imaging features that could potentially be used to classify single HCC as pT1 or pT2. AIM To determine which gadoxetic acid-enhanced MRI (EOB-MRI) findings predict pathologic stage T2 in patients with solitary HCC (cT1). METHODS Pre-operative EOB-MRI findings were reviewed in a retrospective cohort of patients with solitary HCC. The following imaging features were examined: Hyperintensity in unenhanced T2-weighted images, hypointensity in unenhanced T1-weighted images, arterial enhancement, corona enhancement, washout appearance, capsular appearance, hypointensity in the tumor tissue during the hepatobiliary (HB) phase, peritumoral hypointensity in the HB phase, hypointense rim in the HB phase, intratumoral fat, hyperintensity on diffusionweighted imaging, hypointensity on apparent diffusion coefficient map, mosaic appearance, nodule-in-nodule appearance, and the margin (smooth or irregular). Surgical pathology was used as the reference method for tumor staging. Univariate and multivariate analyses were performed to identify predictors of microvascular invasion or satellite nodules. RESULTS There were 39 (34.2%;39 of 114) and 75 (65.8%;75 of 114) pathological stage T2 and T1 HCCs, respectively. Large tumor size (≥ 2.3 cm) and two MRI findings, i.e., corona enhancement [odds ratio = 2.67;95% confidence interval: 1.101-6.480] and peritumoral hypointensity in HB phase images (odds ratio = 2.203;95% confidence interval: 0.961-5.049) were associated with high risk of pT2 HCC. The positive likelihood ratio was 6.25 (95% confidence interval: 1.788-21.845), and sensitivity of EOB-MRI for detecting pT2 HCC was 86.2% when two or three of these MRI features were present. Small tumor size and hypointense rim in the HB phase were regarded as benign features. Small HCCs with hypointense rim but not associated with aggressive features were mostly pT1 lesions (specificity, 100%). CONCLUSION Imaging features on EOB-MRI could potentially be used to predict the pathologic stage of solitary HCC (cT1) as pT1 or pT2.展开更多
BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected...BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected as polyps.To date,no reports have been written on the application of artificial intelligence for assisting in the white-light endoscopy of rNETs.AIM To establish a neuroendocrine tumor lesion detection algorithm based on the YOLOv7 model and evaluate the performance of the algorithm in identifying neuroendocrine tumors.METHODS In total,137748 white-light endoscopic images were collected in this study,including 2232 images of rNET,4429 images of submucosal lesions other than rNET,42563 images of polyps,and 88593 images of normal mucosa.All the images were randomly divided into a training set,a validation set,and a test set.To evaluate the ability of the algorithm to diagnose rNETs,we selected 1578 images to form the test set.The performance of the algorithm was compared with that of endoscopists at different levels.RESULTS The accuracy of the algorithm in identifying rNET from all the images was 97.8%,the sensitivity was 72.6%,the specificity was 99.7%,the positive predictive value was 93.9%,and the negative predictive value was 98.1%.CONCLUSION Our model,which was based on YOLOv7,could effectively detect rNET lesions,which was better than that of most endoscopists.展开更多
Primary liver cancer is the sixth most common cancer in the world and the third cause of cancer-related death.Hepatocellular carcinoma(HCC)represents more than90%of primary liver cancers and generally occurs in patien...Primary liver cancer is the sixth most common cancer in the world and the third cause of cancer-related death.Hepatocellular carcinoma(HCC)represents more than90%of primary liver cancers and generally occurs in patients with underlying chronic liver disease such as viral hepatitis,hemochromatosis,primary biliary cirrhosis and non-alcoholic steatohepatitis.Especially cirrhotic patients are at risk of HCC and regular surveillance could enable early detection and therapy,with potentially improved outcome.We here summarize existing evidence for surveillance including ultrasound,other radiological modalities and various serum biomarkers,and current international guideline recommendations for surveillance.Ultrasound andα-fetoprotein(alone or in combination)are most frequently used for surveillance,but their sensitivities and specificities are still far from perfect,and evidence for surveillance remains weak and controversial.Various other potential surveillance tools have been tested,including serum markers as des-carboxyprothrombin,lectin-boundα-fetoprotein,and(most recently)circulating TIE2-expressing monocytes,and radiological investigations such as computed tomographyscan or magnetic resonance imaging-scan.Although early results appear promising,these tools have generally been tested in diagnostic rather than surveillance setting,and in most cases,no detailed information is available on their cost-effectiveness.For the near future,it remains important to define those patients with highest risk of HCC and most benefit from surveillance,and to restrict surveillance to these categories.展开更多
基金supported by the National Natural Science Foundation of China,No.82071909(to GF)the Natural Science Foundation of Liaoning Province,No.2023-MS-07(to HL)。
文摘Freezing of gait is a significant and debilitating motor symptom often observed in individuals with Parkinson's disease.Resting-state functional magnetic resonance imaging,along with its multi-level feature indices,has provided a fresh perspective and valuable insight into the study of freezing of gait in Parkinson's disease.It has been revealed that Parkinson's disease is accompanied by widespread irregularities in inherent brain network activity.However,the effective integration of the multi-level indices of resting-state functional magnetic resonance imaging into clinical settings for the diagnosis of freezing of gait in Parkinson's disease remains a challenge.Although previous studies have demonstrated that radiomics can extract optimal features as biomarkers to identify or predict diseases,a knowledge gap still exists in the field of freezing of gait in Parkinson's disease.This cross-sectional study aimed to evaluate the ability of radiomics features based on multi-level indices of resting-state functional magnetic resonance imaging,along with clinical features,to distinguish between Parkinson's disease patients with and without freezing of gait.We recruited 28 patients with Parkinson's disease who had freezing of gait(15 men and 13 women,average age 63 years)and 30 patients with Parkinson's disease who had no freezing of gait(16 men and 14 women,average age 64 years).Magnetic resonance imaging scans were obtained using a 3.0T scanner to extract the mean amplitude of low-frequency fluctuations,mean regional homogeneity,and degree centrality.Neurological and clinical characteristics were also evaluated.We used the least absolute shrinkage and selection operator algorithm to extract features and established feedforward neural network models based solely on resting-state functional magnetic resonance imaging indicators.We then performed predictive analysis of three distinct groups based on resting-state functional magnetic resonance imaging indicators indicators combined with clinical features.Subsequently,we conducted 100 additional five-fold cross-validations to determine the most effective model for each classification task and evaluated the performance of the model using the area under the receiver operating characteristic curve.The results showed that when differentiating patients with Parkinson's disease who had freezing of gait from those who did not have freezing of gait,or from healthy controls,the models using only the mean regional homogeneity values achieved the highest area under the receiver operating characteristic curve values of 0.750(with an accuracy of 70.9%)and 0.759(with an accuracy of 65.3%),respectively.When classifying patients with Parkinson's disease who had freezing of gait from those who had no freezing of gait,the model using the mean amplitude of low-frequency fluctuation values combined with two clinical features achieved the highest area under the receiver operating characteristic curve of 0.847(with an accuracy of 74.3%).The most significant features for patients with Parkinson's disease who had freezing of gait were amplitude of low-frequency fluctuation alterations in the left parahippocampal gyrus and two clinical characteristics:Montreal Cognitive Assessment and Hamilton Depression Scale scores.Our findings suggest that radiomics features derived from resting-state functional magnetic resonance imaging indices and clinical information can serve as valuable indices for the identification of freezing of gait in Parkinson's disease.
文摘BACKGROUND Tumors characterized by high cellular stemness often have unfavorable clinical outcomes,primarily due to their heightened potential for metastasis and resistance to chemotherapy.Among the model genes,the clinical relevance and prognostic significance of Niemann-Pick type C2(NPC2)in gastric cancer(GC)remained largely unexplored.AIM To identify stemness-associated genes in GC.METHODS In this study,epithelial cells were categorized as either tumor or normal epithelial cells using the infer copy number variation method.Stemness scores were calculated for both cell types.The hierarchical Weighted Gene Co-expression Network Analysis identified two gene modules with the strongest association with stemness.Prognostically significant stemness-related genes were pinpointed using univariate Cox regression based on The Cancer Genome Atlas dataset.A predictive model related to stemness was constructed using Least Absolute Shrinkage and Selection Operator regression followed by multivariate Cox analysis.RESULTS Functional roles of NPC2 were validated using single-cell and bulk RNA sequencing data.Further experimental validation revealed that elevated NPC2 expression promoted tumor cell stemness,invasiveness,migratory ability,and resistance to standard chemotherapeutic agents.Importantly,high NPC2 expression correlated with poorer overall survival in GC patients.CONCLUSION In summary,the proposed model offers prognostic insights that outperform traditional clinical staging and may inform more tailored therapeutic approaches for gastric cancer management.
文摘This editorial is a commentary on the case report by Furuya et al focusing on the challenging diagnosis of early pancreatic adenocarcinoma and new tools for an earlier diagnosis.Currently,pancreatic cancer still has a poor prognosis,mainly due to late diagnosis in an advanced stage.Two main precancerous routes have been identified as pathways to pancreatic adenocarcinoma:The first encompasses a large group of mucinous cystic lesions:intraductal papillary mucinous neoplasm and mucinous cystic neoplasm,and the second is pancreatic intraepithelial neoplasia.In the last decade the focus of research has been to identify high-risk patients,using advanced imaging techniques(magnetic resonance cholangiopancreatography or endoscopic ultrasonography)which could be helpful in finding“indirect signs”of early stage pancreatic lesions.Nevertheless,the survival rate still remains poor,and alternative screening methods are under investigation.Endoscopic retrograde cholangiopancreatography followed by serial pancreatic juice aspiration cytology could be a promising tool for identifying precursor lesions such as intraductal papillary mucinous neoplasm,but confirming data are still needed to validate its role.Probably a combination of cross-sectional imaging,endoscopic techniques(old and new ones)and genetic and biological biomarkers also in pancreatic juice)could be the best solution to reach an early diagnosis.Biomarkers could help to predict and follow the progression of early pancreatic lesions.However,further studies are needed to validate their diagnostic reliability and to establish diagnostic algorithms to improve prognosis and survival in patients with pancreatic cancer.
基金support from the Ministry of Higher Education Malaysia under grant HICOE-2023-005.
文摘A unitized regenerative fuel cell(URFC)is a device that may function reversibly as either a fuel cell(FC)or water elec-trolysis(WE).An important component of this device is the Membrane electrode assembly(MEA).Therefore,this study aimed to compare the performance outcomes of MEA using electrodes with single and three catalyst layers.This study measured Electrochemical Surface Area(ECSA),Electrochemical Impedance Spectroscopy(EIS),X-ray Diffraction analysis(XRD),and X-ray Fluorescence(XRF).Furthermore,the round-trip efficiency(RTE)of the MEA,as w ell as the performance in FC and WE mode,was measured.In comparison,The ECSA values of Pt-Ru/C and Pt/C with three catalyst layers were higher than the single catalyst layer.This result was supported by electrode characterization data for XRD and XRF.The respective electrical conductivity values of Pt-Ru/C and Pt/C with three catalyst layers are also higher than the single cata-lyst layer,and the performance of URFC using MEA with three catalyst layers has the highest value of RTE among the MEA performances of URFC,which is 100%at a current density of 4 mA·cm-2.
基金supported by the National Natural Science Foundation of China(32130109 and 32373113)the National Natural Science Foundation of Shanghai(23ZR1426800)SciTech Funding by CSPFTZ Lingang Special Area Marine Biomedical Innovation Platform.
文摘Temperature fluctuations challenge ectothermic species,particularly tropical fish dependent on external temperatures for physiological regulation.However,the molecular mechanisms through which low-temperature stress impacts immune responses in these species,especially in relation to chromatin accessibility and epigenetic regulation,remain poorly understood.In this study,we investigate chromatin and transcriptional changes in the head kidney and thymus tissues of Nile tilapia(Oreochromis niloticus),a tropical fish of significant economic importance,under cold stress.By analyzing cis-regulatory elements in open chromatin regions and their associated transcription factors(TFs),we construct a comprehensive transcriptional regulatory network(TRN)governing immune responses,including DNA damage-induced apoptosis.Our analysis identifies 119 TFs within the TRN,with Stat1 emerging as a central hub exhibiting distinct binding dynamics under cold stress,as revealed by footprint analysis.Overexpression of Stat1 in immune cells leads to apoptosis and increases the expression of apoptosis-related genes,many of which contain Stat1-binding sites in their regulatory regions,emphasizing its critical role in immune cell survival during cold stress.These results provide insights into the transcriptional and epigenetic regulation of immune responses to cold stress in tilapia and highlight Stat1 as a promising target for enhancing cold tolerance in tropical fish species.
基金Supported by the Natural Science Foundation of Fujian Province(No.2024J011318No.2024J011321)Fuzhou Science and Technology Program(No.2023-S-005).
文摘Dear Editor,Descemet’s membrane detachment(DMD)is considered as a potential sight-threatening complication following various intraocular surgeries,particularly cataract surgery[1].The labile adhesion between the Descemet’s membrane(DM)and the posterior corneal stromal layer can be easily separated with minimal mechanical force.Several risk factors have been associated with the development of DMD including old age,improper intraoperative operation,corneal ectatic disorders,and endothelial disorders and so on[1-4].
基金supported by the Fundamental Research Program(PNKA130)of the Korea Institute of Materials Science,Republic of Korea。
文摘This study investigates zinc’s(Zn)key role in enhancing the precipitation kinetics and refinement of Mg_(17)Al_(12)and Mg_(2)Sn phases in magnesium alloys through trace sodium(Na)additions.Magnesium alloys with varying compositions of aluminum(Al),tin(Sn),Zn,and Na were prepared and aged at 453 K.Microstructural analyses were conducted using transmission electron microscopy(TEM),scanning transmission electron microscopy(STEM),and atom probe tomography(APT).Trace additions of Na significantly enhanced the precipitation responses of both Mg_(17)Al_(12)and Mg_(2)Sn phases.When Zn was co-added with Na,as in the ATZ641N3 alloy(Mg–6Al–4Sn–1Zn–0.3Na),there was a pronounced refinement in precipitate morphology and acceleration of precipitation kinetics.The ATZ641N3 alloy achieved a peak hardness of 103 Hv at 36 hours,compared to 91 Hv at 72 hours for the ATZ641 alloy without Na.The simultaneous addition of Zn and Na led to the formation of Sn–Na–Zn particles that acted as effective nucleation sites for Mg_(2)Sn,promoting aluminum partitioning and accelerating the precipitation of Mg_(17)Al_(12)through Al-rich regions.Additionally,Zn and Na co-segregated within the Mg_(17)Al_(12)phase,reducing misfit strain caused by Zn substitution and improving precipitate stability and refinement.These findings highlight Zn’s critical role,alongside trace Na additions,in refining and accelerating the precipitation of Mg_(17)Al_(12)and Mg_(2)Sn phases,thereby enhancing the age-hardening response of magnesium alloys.
基金Supported by the Anhui Medical University Research Fund(No.2023xkj035)National Natural Science Foundation Incubation Program Project of the Second Affiliated Hospital of Anhui Medical University(No.2023GQFY05)the Key Research and Development Technology project of Anhui Province(No.2022j11020013).
文摘AIM:To examined the effects of a high-fat diet(HFD)on retinal pathological changes and dysfunction using peroxisome proliferator-activated receptor-alpha(PPARα)knockout mice.METHODS:For four months,C57BL/6J and PPARαknockout mice received either HFD or a standard diet(SD).A fluorometric method was used to determine the retinal triglycerides.The retinal malondialdehyde(MDA)content was measured.Hematoxylin-eosin was used to evaluate retinal pathological changes.Protein expression was analyzed by Western blot and immunofluorescence,while mRNA expression was evaluated by quantitative reverse transcription-polymerase chain reaction.Electroretinogram was used to assess retinal function.RESULTS:HFD resulted in increased fatty acidβ-oxidation in the inner retina,particularly retinal ganglion cells(RGCs),as well as increased weight and accumulation of retinal triglyceride.Retinal fatty acid β-oxidation and triglyceride accumulation were affected by PPARα^(−/−)abnormalities.PPARαknockdown increased the infiltration and activation of inflammatory cells,as well as it upregulated the nuclear factor kappa B(NF-κB)signaling pathway and corresponding proinflammatory cytokine levels in the most retina subjected to the HFD.In the HFD mice,oxidative stress levels were elevated in the inner retina,particularly in the HFD PPARα^(−/−)mice.HFD-induced RGCs apoptosis initiation was exacerbated by PPARαdeficiency.Lastly,HFD feeding resulted in the lower amplitudes of scotopic a-wave,b-wave and photopic negative response(PhNR)wave,particularly in HFD PPARα^(−/−)mice.CONCLUSION:In HFD-fed mice retina,particularly in the inner retina,PPARα knockout increases lipid metabolic abnormalities,inflammatory responses,oxidative stress,apoptosis initiation and dysfunction.
文摘BACKGROUND Primary sclerosing cholangitis(PSC)is a long-term liver condition defined by the inflammation and scarring of the bile ducts,resulting in complications such as liver cirrhosis,portal hypertension,and cholangiocarcinoma.Although PSC predominantly affects adults,the incidence in pediatric patients is rising.For individuals in the advanced stages of liver disease,liver transplantation(LT)is the sole curative treatment option.However,the recurrence of PSC in the transplanted liver,known as recurrent PSC(rPSC),remains a significant concern.AIM To identify the potential risk factors for the recurrence of PSC in pediatric patients after undergoing LT.METHODS A literature search was carried out across databases,including PubMed,Embase,Cochrane Library,and Scopus,covering studies published from 1990 through 2024.The Newcastle-Ottawa scale was utilized to assess the quality of the selected studies.Statistical analyses were conducted using RevMan 5.3 software,where the risk of recurrence was quantified using hazard ratios(HR)with 95%CI.RESULTS A total of nine reports with 2524 pediatric patients with PSC were included in this analysis.The findings revealed several important risk factors connected to the rPSC in pediatric patients who had received a liver transplant,including concurrent inflammatory bowel disease(IBD),elevated liver enzyme levels,and the presence of PSCautoimmune hepatitis(AIH)overlap syndrome(all P<0.05).No statistically significant association was found between acute allograft rejection,Epstein-Barr virus infection,and the risk of rPSC recurrence in the pediatric liver transplant recipients.CONCLUSION The present systematic review and meta-analysis have identified various risk factors associated with the recurrence of PSC in pediatric patients who underwent LT,including IBD,elevated liver enzyme levels,and PSC-AIH overlap syndrome.
文摘Objectives:Intravesical Bacillus Calmette-Guérin(BCG)therapy is a gold standard for patients with high-risk non-muscle invasive bladder cancer(NMIBC).Although a long-lasting therapeutic response is observed in most patients,BCG failure occurs in 30%–50%of patients and a progression to muscle-invasive disease is found in 10%–15%.Therefore,predicting high-risk patients who might not benefit from BCG treatment is critical.The purpose of this study was to identify,whether the presence of specific oncogenic mutations might be indicative of BCG treatment response.Methods:Nineteen high-grade NMIBC patients who received intravesical BCG were retrospectively enrolled and divided into“responders”and“non-responders”groups.Tissue samples from transurethral resection of bladder cancer were performed before starting therapy and were examined using a multigene sequencing panel.Results:Mutations in TP53,FGFR3,PIK3CA,KRAS,CTNNB1,ALK and DDR2 genes were detected.TP53 and FGFR3 were found to be the most frequently mutated genes in our cohort(31.6%and 26.3%,respectively),followed by PIK3CA(15.8%).In the BCG-responsive patient group,90%of samples were found to have mutated genes,with almost 50%of them showing mutations in tyrosine kinase receptors and CTNNB1 genes.On the other hand,in the BCG-unresponsive group,we found mutations in 44.4%of samples,mainly in TP53 gene.Conclusions:Our findings suggest that a Next-Generation Sequencing(NGS)multigene panel is useful in predicting BCG response in patients with NMIBC.
文摘BACKGROUND Gastric cancer(GC)is an aggressive malignancy of the gastrointestinal tract characterized by high recurrence rates following radical gastrectomy.To enhance treatment efficacy,reduce recurrence,and improve patient survival,adjuvant chemotherapy is commonly administered based on established postoperative guidelines.Despite advancements in chemotherapy delivery,the overall response rate remains below 50%,primarily due to the lack of targeted therapies tailored to specific patient populations.AIM To explore sensitive biomarkers to assess the efficacy of postoperative adjuvant chemotherapy in appropriate patient subgroups.METHODS This study retrospectively analyzed 1628 patients who underwent radical gastrectomy for GC at our hospital in 2017 and 2018,with a subsequent five-year follow-up.Patients were divided based on whether they received postoperative adjuvant chemotherapy.The study aimed to determine optimal cutoff values for various biomarkersneutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio,carcinoembryonic antigen(CEA),carbohydrate antigen(CA)199,CA724,and CA242-using receiver operating characteristic(ROC)curves.Based on the optimal ROC cut-off,a novel combined metric,NLR-CEA,was developed to assess the efficacy of adjuvant chemotherapy following GC surgery.RESULTS Cox subgroup analysis demonstrated that postoperative adjuvant chemotherapy significantly improved overall survival in the NLR-CEA_Low group with a rate of 0.41(0.26-0.63).In the NLR-CEA_Middle group,the protective effect was observed at 0.69(0.54-0.87),while in the NLR-CEA_High group,it was 0.73(0.53-0.99).Notably,a 32%difference in the efficacy of chemotherapy was observed between the NLR-CEA_Low and NLR-CEA_High groups.CONCLUSION NLR-CEA is an effective biomarker for evaluating the efficacy of postoperative adjuvant chemotherapy in GC.Patients with NLR-CEA_Low exhibit significantly better responses to chemotherapy compared to those with NLRCEA_High.
基金supported by the National Key R&D Pro-gram of China(Grant No.2023YFE0114600)The National Natural Science Foundation of China(NSFC)(Grant No.52477029)Joint Laboratory of China-Morocco Green Energy and Advanced Materials,The Youth Innovation Team of Shaanxi Universities and The Xi’an City Science and Technology Project(No.23GXFW0070)。
文摘Floating photovoltaic(FPV)technology is emerging as a highly promising approach to accelerate decarbonization of the global economy,due to its higher power generation efficiency and lower land occupation.With the rapid development of FPV technology,the mechanical performance degradation of key components caused by the harsh marine environment has become a pressing issue,as it significantly contributes to failure behavior observed in FPV systems.A comprehensive compilation of the mechanical performance of key components in FPV systems is also currently unavailable.Here,the mechanical behavior of each structural component in FPV systems under harsh marine environments is systematically reviewed.It further emphasizes the synergistic effects of mechanical performance degradation among different components on the overall system.The drop-off rate(v)of normalized elongation at break(EAB)of polymer under the synergistic effect of various environmental factors increases from 7.5×10^(−4)h^(−1)to 21.8×10^(−4)h^(−1)compared with the single environmental stress.Moreover,the development of novel materials and innovative mechanical structures applied in FPV systems to enhance mechanical performance is discussed.The novel flexible PV modules applied in FPV systems minimize the loads acting on the mooring lines by 80%and increase power generation by 5%.Notably,this paper provides a theoretical foundation for developing standards of FPV systems,especially the establishment of standards related to the synergistic effects of the mechanical performance degradation of different key components on FPV systems.
文摘The co-production of hydrogen and value-added biochemicals from lignocellulose utilizing solar energy has been regarded as one of the technologies most potentially able to alleviate the current energy crisis.Here,we demonstrate a cost-effective photoreforming strategy for lignocellulose valorization using a carbon nitride-supported platinum single-atom photocatalyst.An advanced H_(2) evolution rate of 6.34 mmol molPt^(-1) h^(-1) is achieved over the optimal catalyst,which is around 4.6 and 30.5 times higher compared with the nanosized Pt counterpart and pristine carbon nitride,respectively.Meanwhile,the monosaccharides are oxidized to value-added lactic acid with>99%conversion and extraordinary selectivity up to 97%.The theoretical calculations show that with Pt incorporation,the photogenerated holes are predominantly localized on the metal sites while the photogenerated electrons are concentrated on C_(3)N_(4),thus enhancing the effective separation of charge carriers.This work provides a promising avenue for the simultaneous production of green H2 and bio-based chemicals by biomass photorefinery.
基金King Saud University for funding this work through Researchers Supporting Project number(RSPD2024R697),King Saud University,Riyadh,Saudi Arabiafinancial support European Union under the REFRESH-Research Excellence For REgion Sustainability and High-tech Industries project number CZ.10.03.01/00/22_/0000048 via the Operational Programme Just Transition.
文摘While Metaheuristic optimization techniques are known to work well for clustering and large-scale numerical optimization,algorithms in this category suffer from issues like reinforcement stagnation and poor late-stage refinement.In this paper,we propose the Improved Geyser-Inspired Optimization Algorithm(IGIOA),an enhancement of the Geyser-Inspired Optimization Algorithm(GIOA),which integrates two primary components:the Adaptive Turbulence Operator(ATO)and the Dynamic Pressure Equilibrium Operator(DPEO).ATO allows IGIOA to periodically disrupt stagnation and explore different regions by using turbulence,while DPEO ensures refinement in later iterations by adaptively modulating convergence pressure.We implemented IGIOA on 23 benchmark functions with both unimodal and multimodal contours,in addition to eight problems pertaining to cluster analysis at the UCI.IGIOA,out of all the tested methods,was able to converge most accurately while also achieving a stable convergence rate.The mitigation of premature convergence and low-level exploitation was made possible by the turbulence and pressure-based refinements.The findings from the tests confirm that the adaptation of baseline strategies by IGIOA helps deal with complex data distributions more effectively.However,additional hyperparameters which add complexity are introduced,along with increased computational cost.These include automatic tuning of parameters,ensemble or parallel variations,and hybridization with dedicated local search strategies to extend the reach of IGIOA for general optimization while also specializing it for clustering focused tasks and applications.
基金supported by the National Natural Science Foundation of China under Grant Nos.U2167204,11975040,111 Center(B20065)Brazilian authors were supported in part by local funding agencies CNPq+10 种基金FAPERJCAPESand INCT-FNA(Instituto Nacional de Ciência e Tecnologia,Física Nuclear e Aplicacoes)Research Project No.464898/2014-5Marco Siciliano's work was partially supported by the US Department of EnergyOffice of Scienceand Office of Nuclear Physics(DE-AC02-06CH11357)supported by Nuclear Energy Development and Research Project No.HNKF202224(28)Ling Chuang Research Project of the China National Nuclear Corporation No.CNNCLCKY-2023 and No.20221024000072F6-0002-7Guangdong Key Research and Development Program No.2020B040420005Guangdong Basic and Applied Basic Research Foundation No.2021B1515120027。
文摘The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different reaction channels.Theγ-rays coincident with^(3)He/^(3)H indicate that the^(3)H/^(3)He stripping reaction plays a significant role in the formation of Zr/Nb isotopes.The obtained results support the existence of a^(3)He-^(3)H cluster in^(6)Li.Direct and sequential transfer reactions are adequately discussed,and the FRESCO code is used to perform precise finite-range cyclic redundancy check calculations.In the microscopic calculation,direct cluster transfer is more predominant than sequential transfer in^(3)H transfer.However,the direct cluster transfer is of comparable magnitude to the sequential transfer in the^(3)He transfer.
文摘BACKGROUND Although important for determining long-term outcome, pathologic stage of hepatocellular carcinoma (HCC) is difficult to predict before surgery. Current state-of-the-art magnetic resonance imaging (MRI) using gadoxetic acid provides many imaging features that could potentially be used to classify single HCC as pT1 or pT2. AIM To determine which gadoxetic acid-enhanced MRI (EOB-MRI) findings predict pathologic stage T2 in patients with solitary HCC (cT1). METHODS Pre-operative EOB-MRI findings were reviewed in a retrospective cohort of patients with solitary HCC. The following imaging features were examined: Hyperintensity in unenhanced T2-weighted images, hypointensity in unenhanced T1-weighted images, arterial enhancement, corona enhancement, washout appearance, capsular appearance, hypointensity in the tumor tissue during the hepatobiliary (HB) phase, peritumoral hypointensity in the HB phase, hypointense rim in the HB phase, intratumoral fat, hyperintensity on diffusionweighted imaging, hypointensity on apparent diffusion coefficient map, mosaic appearance, nodule-in-nodule appearance, and the margin (smooth or irregular). Surgical pathology was used as the reference method for tumor staging. Univariate and multivariate analyses were performed to identify predictors of microvascular invasion or satellite nodules. RESULTS There were 39 (34.2%;39 of 114) and 75 (65.8%;75 of 114) pathological stage T2 and T1 HCCs, respectively. Large tumor size (≥ 2.3 cm) and two MRI findings, i.e., corona enhancement [odds ratio = 2.67;95% confidence interval: 1.101-6.480] and peritumoral hypointensity in HB phase images (odds ratio = 2.203;95% confidence interval: 0.961-5.049) were associated with high risk of pT2 HCC. The positive likelihood ratio was 6.25 (95% confidence interval: 1.788-21.845), and sensitivity of EOB-MRI for detecting pT2 HCC was 86.2% when two or three of these MRI features were present. Small tumor size and hypointense rim in the HB phase were regarded as benign features. Small HCCs with hypointense rim but not associated with aggressive features were mostly pT1 lesions (specificity, 100%). CONCLUSION Imaging features on EOB-MRI could potentially be used to predict the pathologic stage of solitary HCC (cT1) as pT1 or pT2.
基金Supported by the Municipal Key Science and Technology Program of Leshan,No.23SZD039National Natural Science Foundation of China,No.82470539.
文摘BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected as polyps.To date,no reports have been written on the application of artificial intelligence for assisting in the white-light endoscopy of rNETs.AIM To establish a neuroendocrine tumor lesion detection algorithm based on the YOLOv7 model and evaluate the performance of the algorithm in identifying neuroendocrine tumors.METHODS In total,137748 white-light endoscopic images were collected in this study,including 2232 images of rNET,4429 images of submucosal lesions other than rNET,42563 images of polyps,and 88593 images of normal mucosa.All the images were randomly divided into a training set,a validation set,and a test set.To evaluate the ability of the algorithm to diagnose rNETs,we selected 1578 images to form the test set.The performance of the algorithm was compared with that of endoscopists at different levels.RESULTS The accuracy of the algorithm in identifying rNET from all the images was 97.8%,the sensitivity was 72.6%,the specificity was 99.7%,the positive predictive value was 93.9%,and the negative predictive value was 98.1%.CONCLUSION Our model,which was based on YOLOv7,could effectively detect rNET lesions,which was better than that of most endoscopists.
文摘Primary liver cancer is the sixth most common cancer in the world and the third cause of cancer-related death.Hepatocellular carcinoma(HCC)represents more than90%of primary liver cancers and generally occurs in patients with underlying chronic liver disease such as viral hepatitis,hemochromatosis,primary biliary cirrhosis and non-alcoholic steatohepatitis.Especially cirrhotic patients are at risk of HCC and regular surveillance could enable early detection and therapy,with potentially improved outcome.We here summarize existing evidence for surveillance including ultrasound,other radiological modalities and various serum biomarkers,and current international guideline recommendations for surveillance.Ultrasound andα-fetoprotein(alone or in combination)are most frequently used for surveillance,but their sensitivities and specificities are still far from perfect,and evidence for surveillance remains weak and controversial.Various other potential surveillance tools have been tested,including serum markers as des-carboxyprothrombin,lectin-boundα-fetoprotein,and(most recently)circulating TIE2-expressing monocytes,and radiological investigations such as computed tomographyscan or magnetic resonance imaging-scan.Although early results appear promising,these tools have generally been tested in diagnostic rather than surveillance setting,and in most cases,no detailed information is available on their cost-effectiveness.For the near future,it remains important to define those patients with highest risk of HCC and most benefit from surveillance,and to restrict surveillance to these categories.
