Risk stratification for radioactive iodine refractoriness using molecular alterations in distant metastatic differentiated thyroid cancer

Objective: Patients with radioactive iodine-refractory differentiated thyroid cancer(RAIR-DTC) are often diagnosed with delay and constrained to limited treatment options. The correlation between RAI refractoriness and the underlying genetic characteristics has not been extensively studied.Methods: Adult patients with distant metastatic DTC were enrolled and assigned to undergo next-generation sequencing of a customized 26-gene panel(Thyro Lead). Patients were classified into RAIR-DTC or non-RAIR groups to determine the differences in clinicopathological and molecular characteristics. Molecular risk stratification(MRS) was constructed based on the association between molecular alterations identified and RAI refractoriness, and the results were classified as high, intermediate or low MRS.Results: A total of 220 patients with distant metastases were included, 63.2% of whom were identified as RAIRDTC. Genetic alterations were identified in 90% of all the patients, with BRAF(59.7% vs. 17.3%), TERT promoter(43.9% vs. 7.4%), and TP53 mutations(11.5% vs. 3.7%) being more prevalent in the RAIR-DTC group than in the non-RAIR group, except for RET fusions(15.8% vs. 39.5%), which had the opposite pattern. BRAF and TERT promoter are independent predictors of RAIR-DTC, accounting for 67.6% of patients with RAIR-DTC. MRS was strongly associated with RAI refractoriness(P<0.001), with an odds ratio(OR) of high to low MRS of 7.52 [95%confidence interval(95% CI), 3.96-14.28;P<0.001] and an OR of intermediate to low MRS of 3.20(95% CI,1.01-10.14;P=0.041).Conclusions: Molecular alterations were associated with RAI refractoriness, with BRAF and TERT promoter mutations being the predominant contributors, followed by TP53 and DICER1 mutations. MRS might serve as a valuable tool for both prognosticating clinical outcomes and directing precision-based therapeutic interventions.

Relational Turkish Text Classification Using Distant Supervised Entities and Relations

Text classification,by automatically categorizing texts,is one of the foundational elements of natural language processing applications.This study investigates how text classification performance can be improved through the integration of entity-relation information obtained from the Wikidata(Wikipedia database)database and BERTbased pre-trained Named Entity Recognition(NER)models.Focusing on a significant challenge in the field of natural language processing(NLP),the research evaluates the potential of using entity and relational information to extract deeper meaning from texts.The adopted methodology encompasses a comprehensive approach that includes text preprocessing,entity detection,and the integration of relational information.Experiments conducted on text datasets in both Turkish and English assess the performance of various classification algorithms,such as Support Vector Machine,Logistic Regression,Deep Neural Network,and Convolutional Neural Network.The results indicate that the integration of entity-relation information can significantly enhance algorithmperformance in text classification tasks and offer new perspectives for information extraction and semantic analysis in NLP applications.Contributions of this work include the utilization of distant supervised entity-relation information in Turkish text classification,the development of a Turkish relational text classification approach,and the creation of a relational database.By demonstrating potential performance improvements through the integration of distant supervised entity-relation information into Turkish text classification,this research aims to support the effectiveness of text-based artificial intelligence(AI)tools.Additionally,it makes significant contributions to the development ofmultilingual text classification systems by adding deeper meaning to text content,thereby providing a valuable addition to current NLP studies and setting an important reference point for future research.

Risk factors,prognostic factors,and nomograms for distant metastasis in patients with diagnosed duodenal cancer:A population-based study

BACKGROUND Duodenal cancer is one of the most common subtypes of small intestinal cancer,and distant metastasis(DM)in this type of cancer still leads to poor prognosis.Although nomograms have recently been used in tumor areas,no studies have focused on the diagnostic and prognostic evaluation of DM in patients with primary duodenal cancer.AIM To develop and evaluate nomograms for predicting the risk of DM and person-alized prognosis in patients with duodenal cancer.METHODS Data on duodenal cancer patients diagnosed between 2010 and 2019 were extracted from the Surveillance,Epidemiology,and End Results database.Univariate and multivariate logistic regression analyses were used to identify independent risk factors for DM in patients with duodenal cancer,and univariate and multivariate Cox proportional hazards regression analyses were used to determine independent prognostic factors in duodenal cancer patients with DM.Two novel nomograms were established,and the results were evaluated by receiver operating characteristic(ROC)curves,calibration curves,and decision curve analysis(DCA).RESULTS A total of 2603 patients with duodenal cancer were included,of whom 457 cases(17.56%)had DM at the time of diagnosis.Logistic analysis revealed independent risk factors for DM in duodenal cancer patients,including gender,grade,tumor size,T stage,and N stage(P<0.05).Univariate and multivariate COX analyses further identified independent prognostic factors for duodenal cancer patients with DM,including age,histological type,T stage,tumor grade,tumor size,bone metastasis,chemotherapy,and surgery(P<0.05).The accuracy of the nomograms was validated in the training set,validation set,and expanded testing set using ROC curves,calibration curves,and DCA curves.The results of Kaplan-Meier survival curves(P<0.001)indicated that both nomograms accurately predicted the occurrence and prognosis of DM in patients with duodenal cancer.CONCLUSION The two nomograms are expected as effective tools for predicting DM risk in duodenal cancer patients and offering personalized prognosis predictions for those with DM,potentially enhancing clinical decision-making.

Predicting distant metastasis in nasopharyngeal carcinoma using gradient boosting tree model based on detailed magnetic resonance imaging reports

BACKGROUND Development of distant metastasis(DM)is a major concern during treatment of nasopharyngeal carcinoma(NPC).However,studies have demonstrated im-proved distant control and survival in patients with advanced NPC with the addition of chemotherapy to concomitant chemoradiotherapy.Therefore,precise prediction of metastasis in patients with NPC is crucial.AIM To develop a predictive model for metastasis in NPC using detailed magnetic resonance imaging(MRI)reports.METHODS This retrospective study included 792 patients with non-distant metastatic NPC.A total of 469 imaging variables were obtained from detailed MRI reports.Data were stratified and randomly split into training(50%)and testing sets.Gradient boosting tree(GBT)models were built and used to select variables for predicting DM.A full model comprising all variables and a reduced model with the top-five variables were built.Model performance was assessed by area under the curve(AUC).RESULTS Among the 792 patients,94 developed DM during follow-up.The number of metastatic cervical nodes(30.9%),tumor invasion in the posterior half of the nasal cavity(9.7%),two sides of the pharyngeal recess(6.2%),tubal torus(3.3%),and single side of the parapharyngeal space(2.7%)were the top-five contributors for predicting DM,based on their relative importance in GBT models.The testing AUC of the full model was 0.75(95%confidence interval[CI]:0.69-0.82).The testing AUC of the reduced model was 0.75(95%CI:0.68-0.82).For the whole dataset,the full(AUC=0.76,95%CI:0.72-0.82)and reduced models(AUC=0.76,95%CI:0.71-0.81)outperformed the tumor node-staging system(AUC=0.67,95%CI:0.61-0.73).CONCLUSION The GBT model outperformed the tumor node-staging system in predicting metastasis in NPC.The number of metastatic cervical nodes was identified as the principal contributing variable.

Conditional survival probability of distant-metastatic hepatocellular carcinoma: A population-based study

BACKGROUND The prognosis of many patients with distant metastatic hepatocellular carcinoma(HCC)improved after they survived for several months.Compared with tradi-tional survival analysis,conditional survival(CS)which takes into account changes in survival risk could be used to describe dynamic survival probabilities.AIM To evaluate CS of distant metastatic HCC patients.METHODS Patients diagnosed with distant metastatic HCC between 2010 and 2015 were extracted from the Surveillance,Epidemiology and End Results database.Univariate and multivariate Cox regression analysis were used to identify factors for overall survival(OS),while competing risk model was used to identify risk factors for cancer-specific survival(CSS).Six-month CS was used to calculate the probability of survival for an additional 6 mo at a specific time after initial diagnosis,and standardized difference(d)was used to evaluate the survival differences between subgroups.Nomograms were constructed to predict CS.Positiveα-fetoprotein expression,higher T stage(T3 and T4),N1 stage,non-primary site surgery,non-chemotherapy,non-radiotherapy,and lung metastasis were independent risk factors for actual OS and CSS through univariate and multivariate analysis.Actual survival rates decreased over time,while CS rates gradually increased.As for the 6-month CS,the survival difference caused by chemotherapy and radiotherapy gradually disappeared over time,and the survival difference caused by lung metastasis reversed.Moreover,the influence of age and gender on survival gradually appeared.Nomograms were fitted for patients who have lived for 2,4 and 6 mo to predict 6-month conditional OS and CSS,respectively.The area under the curve(AUC)of nomograms for conditional OS decreased as time passed,and the AUC for conditional CSS gradually increased.CONCLUSION CS for distant metastatic HCC patients substantially increased over time.With dynamic risk factors,nomograms constructed at a specific time could predict more accurate survival rates.

Distant Supervision方法中对齐数据的聚类去噪

基于聚类和寻找表达语义关系的句子模式,提出一种基于聚类去噪的distant supervision方法,解决了传统distant supervision方法在知识库和文本集对齐阶段会引入噪声数据的问题,得到了一种改进的distant supervision方法.实验结果表明,该方法可有效提高关系抽取任务的准确率.

Exploration and Innovation of Distant Hybridization Germplasm of Oryza sativa and Spartina alterniflora

[Objective] The aim was to explore salt-resistant Spartina alterniflora and high-yield rice with germplasm resource in order to create new salt-resistant rice species with dual-purpose of food and forage. [Method] From 2009 to 2011, re- searches on distant hybridization of Spartina alterniflora and Oryza Sativa have been conducted with method of distant hybridization breeding. On the other hand, break- through and combination techniques （four selected one） were adopted to find the new rice species, including techniques of planting and selection in seashore, cyto- logical detection and selection, phenotype selection of backcross, and molecular marker assisted selection. [Result] Success rate of distant hybridization from 2009 to 2010 was 1.39%. RAPD molecular identification of 7C14 and rice female parent of Zhongxiang No.l, seed 2 was carried on with distant hybridization of male parent of Spartina altemiflora （H）. The results showed that bands same with Spartina alterni- flora parents were found in RH-1-10K205-7C14xH, RH-2-8K157-7C14xH, and RH-13- 9H5-Zhongxaing No.1 xH. Considering absent situation in rice parents, distant hy- bridization strains above were found with same parental genetic element as Spartina alterniflora. Female parent of rice 7K339, however, was under RAPD molecular identification with male parent of Spartina alterniflora. The result showed that bands same with Spartina alterniflora parents were found in RH-5-10K215, RH-6-8K48, RH- 12-9H9, RH-14-9H8 and RH-16-9H28. Considering absent situation in rice parents, distant hybridization strains above were found with same parental genetic element as Spartina altemiflora. Rest hybrid strains were found variance with Spartina alterniflora parents and rice parents in varying degrees. [Conclusion] New and excellent rice species of dual-purpose solves problem not only about salt-resistant species badly needed in coastal development and treatment of saline and alkaline land, but about fine fodder and roughage for herbivore, as well. What＇s more, this is of scientific significance in recourse utilization, efficiency improvement in agriculture, food security, and cultivation strategy.

Exploration and Innovation of Distant Hybridization Germplasm of Spartina,Soughum bicolor and Oryza sativa

[Objective] This study aimed to explore the germplasm resources of salt-tolerant Spartina,sweet-stalk Soughum bicolor and high-yield Oryza sativa for innovation of new germplasms of salt-tolerant and sweet-stalk Oryza sativa with dual purpose of food and forage in sea beach.[Method] From 2009 to 2012,researches on distant hybridization of Spartina,Soughum bicolor and Oryza sativa had been carried out,and the RAPD molecular identification of obtained distant hybridization materials had been conducted.[Result] Experimental evidences of hybrid seed setting,transplanting and economic characters of hybrid materials were obtained;among the 14 hybrid materials for RAPD analysis,5 materials shared common bands with Spartina and Soughum bicolor parents,which were absent in Oryza sativa parent,indicating that the genetic component of Spartina and Soughum bicolor parents has been integrated into the 5 distant hybrids.[Conclusion] This study has important scientific significance in recourse utilization,agricultural efficiency improvement,food security,and cultivation strategy of China,showing broad application prospects.

The contribution of distant hybridization with decaploid Agropyron elongatum to wheat improvement in China

Wheat is a staple food crop in the world as well as in China. Because of the progress of wheat breeding and other agricultural ＂sci-technologies, the wheat grain yield per unit area has increased more than five folds from 1952 to 2006 in China. The first part of this article briefly reviews the history of wheat breeding in China. Second, the establishment of ＂Triticum aestivum-Agropyron＂ distant hybridization system and its contribution to wheat production and breeding in China are summarized. Finally, the future challenges of wheat breeding are discussed, which include how to increase the utilization efficiencies of water, soil nutrient and light energy through breeding. As an example, our research progress on how to increase light use efficiency in wheat through breeding is introduced and discussed.

半翅目蝽科昆虫小皱蝽(Cyclopelta parva Distant)抗菌物质的诱导、提取及活性检测

小皱蝽是半翅目蝽科外生翅类昆虫,以其为实验材料,蘸取大肠杆菌和金黄色葡萄球菌菌液,针刺小皱蝽成虫腹部,诱导免疫防御反应,24 h后收集虫体.应用11种溶剂提取昆虫抗菌物质,黑曲霉生长抑制试验及琼脂孔半径扩散试验检测提取物的抗真菌、抗细菌活性,筛选最适提取溶剂.结果表明,80%甲醇能较好提取小皱蝽成虫的抗真菌、抗细菌物质,0.05%TFA的昆虫生理盐水浸提能较好提取小皱蝽成虫的抗细菌物质.两种抗菌物质提取液经超速离心、超滤、固相萃取分级分离,活性回收率分别为14.22%、11.54%,纯化倍数分别为4.64、5.36.本实验为昆虫生物活性物质的筛选和制备提供实验依据.

Prognostic values of the integrated model incorporating the volume of metastatic regional cervical lymph node and pretreatment serum Epstein-Barr virus DNA copy number in predicting distant metastasis in patients with N1 nasopharyngeal carcinoma

Background: According to the 7 th edition of the American Joint Committee on Cancer(AJCC) staging system, over50% of patients with nasopharyngeal carcinoma(NPC) have N1 disease at initial diagnosis. However, patients with N1 NPC are relatively under-researched, and the metastasis risk of this group is not well-stratified. This study aimed to evaluate the prognostic values of gross tumor volume of metastatic regional lymph node(GTVnd) and pretreatment serum copy number of Epstein-Barr virus(EBV) DNA in predicting distant metastasis of patients with N1 NPC, and to develop an integrated prognostic model that incorporates GTVnd and EBV DNA copy number for this group of patients.Methods: The medical records of 787 newly diagnosed patients with nonmetastatic, histologically proven N1 NPC who were treated at Sun Yat-sen University Cancer Center between November 2009 and February 2012 were analyzed. Computed tomography-derived GTVnd was measured using the summation-of-area technique. Blood samples were collected before treatment to quantify plasma EBV DNA. The receiver operating characteristic(ROC) curve analysis was used to evaluate the cut-off point for GTVnd, and the area under the ROC curve was used to assess the predicted validity of GTVnd. The survival rates were assessed by Kaplan-Meier analysis, and the survival curves were compared using a log-rank test. Multivariate analysis was conducted using the Cox proportional hazard regression model.Results: The 5-year distant metastasis-free survival(DMFS) rates for patients with GTVnd > 18.9 vs.≤ 18.9 mL were82.2% vs. 93.2%(P < 0.001), and for patients with EBV DNA copy number > 4000 vs. < 4000 copies/mL were 83.5% vs.93.9%(P < 0.001). After adjusting for GTVnd, EBV DNA copy number, and T category in the Cox regression model, both GTVnd > 18.9 mL and EBV DNA copy number > 4000 copies/mL were significantly associated with poor prognosis(both P < 0.05). According to combination of GTVnd and EBV DNA copy number, all patients were divided into low-,moderate-, and high-risk groups, with the 5-year DMFS rates of 96.1,87.4, and 73.8%, respectively(P < 0.001). Multivariate analysis confirmed the prognostic value of this model for distant metastatic risk stratification(hazard ratio [HR],4.17; 95% confidence interval [CI] 2.34-7.59; P < 0.001).Conclusions: GTVnd and serum EBV DNA copy number are independent prognostic factors for predicting distant metastasis in NPC patients with N1 disease. The prognostic model incorporating GTVnd and EBV DNA copy number may improve metastatic risk stratification for this group of patients.

Modern imaging techniques for preoperative detection of distant metastases in gastric cancer

A substantial portion of patients with newly diagnosed gastric cancer has distant metastases(M1 disease).These patients have a very poor prognosis and it is generally accepted that they should be treated with noncurative intent. Because it dramatically changes prognosis and treatment plans, it is very important to diagnose distant metastases. In this article, the definition, pathways, incidence and sites of distant metastases in gastric cancer are described.Subsequently, the current performance of imaging in detecting distant metastases in newly diagnosed gastric cancer is outlined and future prospects are discussed.

Gall bladder carcinoma: Aggressive malignancy with protean loco-regional and distant spread

The most common malignancy of biliary tract is gallbladder cancer(GBC) which is the third most common cancer in gastrointestinal tract. It is a lethal disease for most patients in spite of growing awareness and improved diagnostic techniques. GBC has a verypoor prognosis and the 5 year survival rate is < 10%. Although etiology of the carcinoma of the gallbladder is still obscure, various factors have been implicated, cholelithiasis being the most frequent. The incidence of GBC worldwide is based on the gender, geography and ethnicity which suggest that both genetic and environmental factors can cause GBC. The major route of spread of gallbladder cancer(GC) is locoregional rather than distant. It spreads by lymphatic, vascular, neural, intraperitoneal, and intraductal routes. Sonography is usually the most common imaging test to evaluate symptoms of biliary tract disease including suspected GC. With recent advances in imaging modalities like multi-detector computed tomography(CT) scanners, magnetic resonance imaging-positron emission tomography/CT diagnosis of gallbladder cancer has improved. Studies have also targeted molecular and genetic pathways. Treatment options have included extended and radical surgeries and adjuvant chemotherapy. This review article deals in detail with important aspects of carcinoma gallbladder and its manifestations and challenges. Role of various imaging modalities in characterization and accurate staging has been discussed. The loco-regional spread of this aggressive malignancy is dealt explicitly.

香蕉冠网蝽Stephanitis typicus Distant传播香蕉簇矮病害的研究

本研究用生物测定和电镜检验的方法,探讨香蕉簇矮病害的介体昆虫。试验结果表明:香蕉冠网蝽在病株上获毒饲育3～5天后,就能把病原传给健康植株,传毒饲育约5～7天,循回期约4～12天,潜育期约34～120天。解剖在病株上取食的介体昆虫的唾腺,可观察到典型的大量的不规则的MLO,与病株叶脉维管束韧皮部筛管细胞内看到的病原是相同的。因此,可以证明香蕉冠网蝽是香蕉簇矮病害的媒介昆虫。

Genetic variation in distant and inbred hybridization progenies from three sympodial bamboo parent species

To achieve germplasm innovation and study genetic variation of important traits of bamboo plants,we used Bambusa multiplex,B.chungii,and Dendrocalamus latiflorus as parent materials for distant and inbred hybridizations.Two hybrid populations and three inbred populations were obtained:two populations consisted of 57 hybrid progenies from B.multiplex 9 B.chungii,26 hybrid progenies from B.multiplex 9 D.latiflorus,and three inbred progenies were from B.multiplex,B.chungii,and D.latiflorus.Traits for growth,morphology,and fiber were examined from the five populations when plants were 3 years old.Two hybrid populations had significant growth advantages in terms of height,diameter at ground level and internodal length.In terms of variability in morphological traits,the two hybrid populations followed the same trend,namely,seven morphological traits showed phenotypes that were intermediate to those of their parents;three morphological traits showed strong maternal effects,and three other morphological traits showed strong paternal effects.Among the five populations,the two hybrid populations had high arithmetic average fiber length,lengthweighted average fiber length and mass-weighted average fiber length,moreover,extensive variations of these three traits were observed within these two hybrid populations.The establishment of distant hybrid populations from these three bamboo species increased the genetic diversity more than in the other species examined.This work provides excellent materials for breeding new varieties and lays the foundation for understanding the genetics of important traits by analyzing related functional genes.

Fracture evolution and pressure relief gas drainage from distant protected coal seams under an extremely thick key stratum

When an extremely thick rock bed exists above a protected coal seam in the bending zone given the condition of a mining protective seam, this extremely thick rock bed controls the movement of the entire overlying stratum. This extremely thick rock bed, called a ＂main key stratum＂, will not subside nor break for a long time, causing lower fractures and bed separations not to close and gas can migrate to the bed separation areas along the fractures. These bed separations become gas enrichment areas. By analyzing the rule of fracture evolution and gas migration under the main key stratum after the deep protective coal seam has been mined, we propose a new gas drainage method which uses bore holes, drilled through rock and coal seams at great depths for draining pressure relief gas. In this method, the bores are located at a high level suction roadway （we can also drill them in the drilling field located high in an air gateway）. Given the practice in the Haizi mine, the gas drainage rate can reach 73% in the middie coal group, with a gas drainage radius over 100 m.

Creating New Germplasm by Distant Hybridization in Stone Fruits:Ⅱ-Embryo Rescue and Hybrid Identification Between Plum and Apricot

Embryo abortion stage and rescue system of hybrids were studied in the distant hybridizationbetween plum and apricot. Identification of the hybrids was also made. The resultsshowed: (1) Embryo abortion started from three weeks after pollination. (2) The germinationand growth of embryos were different at different growth stages, which could germinateand grow with PF value>0.5, but failed with PF value<0.5. In embryo rescue system ofhybrids, the best germination and differentiation medium was MS+6-BA 2mgL-1+IAA 0.3mgL-1,the rate of germination and differentiation reached up to 80%, bud induction andmultiplication medium was MS+6-BA 1.5mgL-1+IAA 0.3mgL-1, rooting medium was 1/2 MS+IAA0.8mgL-1. Some hybrids were transplanted into the field successfully. (3) Leaf shapeinvestigation and identification by S allele-specific PCR and RAPDs showed that thehybrids were true ones.

Adversarial Learning for Distant Supervised Relation Extraction

Recently,many researchers have concentrated on using neural networks to learn features for Distant Supervised Relation Extraction(DSRE).These approaches generally use a softmax classifier with cross-entropy loss,which inevitably brings the noise of artificial class NA into classification process.To address the shortcoming,the classifier with ranking loss is employed to DSRE.Uniformly randomly selecting a relation or heuristically selecting the highest score among all incorrect relations are two common methods for generating a negative class in the ranking loss function.However,the majority of the generated negative class can be easily discriminated from positive class and will contribute little towards the training.Inspired by Generative Adversarial Networks(GANs),we use a neural network as the negative class generator to assist the training of our desired model,which acts as the discriminator in GANs.Through the alternating optimization of generator and discriminator,the generator is learning to produce more and more discriminable negative classes and the discriminator has to become better as well.This framework is independent of the concrete form of generator and discriminator.In this paper,we use a two layers fully-connected neural network as the generator and the Piecewise Convolutional Neural Networks(PCNNs)as the discriminator.Experiment results show that our proposed GAN-based method is effective and performs better than state-of-the-art methods.

Creating New Germplasm by Distant Hybridization in Stone Fruits:Ⅰ.Effects of Different Treatments on Cross Compatibility of Distant Hybridization inStone Fruits

The effects of different treatments on cross compatibility in distant hybridization werestudied in 69 cross combinations among 9 cultivars of stone fruits. The results showedthat the setting percentage in balloon stage was obviously higher than that in earlyblooming stage. The differences of fruit set between positive and reverse crosses weresignificant. Female parent affected cross compatibility more remarkably than male parentin distant hybridization. The appropriate electrostatic field, He-Ne laser combinedtreatment with 60Co γ-ray and He-Ne laser could improve the pollen germination rate invitro effectively, the fruit set percentage was higher than control, while 60Co γ-raytreatment reduced the pollen germination rate in vitro, and the fruit set percentageobtained by distant hybridization was lower than control.

基于主题模型的中文Distant Supervision噪声标注识别方法

针对Distant Supervision关系抽取方法训练语料存在大量噪声的问题,提出一种基于主题模型的噪声标注识别方法。该方法首先分析了中文Distant Supervision实体关系抽取方法面临的关系句子实例结构复杂的问题,然后利用自定义的模式以及模式聚类实现模式表示与聚合,最后使用主题模型识别噪声标注。实验结果表明,文章方法能有效识别噪声标注,用滤除噪声标注后的数据训练实体关系抽取模型,实验证明经过噪声滤除后实体关系抽取性能得到显著改善。