What benefit can be obtained from magnetic resonance imaging diagnosis with artificial intelligence in prostate cancer compared with clinical assessments?

The present study aimed to explore the potential of artificial intelligence(AI)methodology based on magnetic resonance(MR)images to aid in the management of prostate cancer(PCa).To this end,we reviewed and summarized the studies comparing the diagnostic and predictive performance for PCa between AI and common clinical assessment methods based on MR images and/or clinical characteristics,thereby investigating whether AI methods are generally superior to common clinical assessment methods for the diagnosis and prediction fields of PCa.First,we found that,in the included studies of the present study,AI methods were generally equal to or better than the clinical assessment methods for the risk assessment of PCa,such as risk stratification of prostate lesions and the prediction of therapeutic outcomes or PCa progression.In particular,for the diagnosis of clinically significant PCa,the AI methods achieved a higher summary receiver operator characteristic curve(SROC-AUC)than that of the clinical assessment methods(0.87 vs.0.82).For the prediction of adverse pathology,the AI methods also achieved a higher SROC-AUC than that of the clinical assessment methods(0.86 vs.0.75).Second,as revealed by the radiomics quality score(RQS),the studies included in the present study presented a relatively high total average RQS of 15.2(11.0–20.0).Further,the scores of the individual RQS elements implied that the AI models in these studies were constructed with relatively perfect and standard radiomics processes,but the exact generalizability and clinical practicality of the AI models should be further validated using higher levels of evidence,such as prospective studies and open-testing datasets.

Inetetamab combined with S-1 and oxaliplatin as first-line treatment for human epidermal growth factor receptor 2-positive gastric cancer

BACKGROUND Patients with human epidermal growth factor receptor 2(HER2)-positive advanced gastric cancer have poor outcomes.Trastuzumab combined with chemotherapy is the first-line standard treatment for HER2-positive advanced gastric cancer.Inetetamab is a novel anti-HER2 drug,and its efficacy and safety in gastric cancer have not yet been reported.AIM To evaluate the efficacy and safety of the S-1 plus oxaliplatin(SOX)regimen combined with inetetamab as a first-line treatment for HER2-positive advanced gastric cancer.METHODS Thirty-eight patients with HER2-positive advanced gastric cancer or gastroeso-phageal junction adenocarcinoma were randomly divided into two groups:One group received inetetamab combined with the SOX regimen,and the other group received trastuzumab combined with the SOX regimen.After 4-6 cycles,patients with stable disease received maintenance therapy.The primary endpoints were progression-free survival(PFS)and overall survival(OS),and the secondary endpoints were the objective response rate,disease control rate,and adverse events(AEs).RESULTS Thirty-seven patients completed the trial,with 18 patients in the inetetamab group and 19 patients in the trastuzumab group.In the inetetamab group,the median PFS was 8.5 months,whereas it was 7.3 months in the trastuzumab group(P=0.046);this difference was significant.The median OS in the inetetamab group vs the trastuzumab group was 15.4 months vs 14.3 months(P=0.33),and the objective response rate was 50%vs 42%(P=0.63),respectively;these differences were not significant.Common AEs included leukopenia,thrombocytopenia,nausea,and vomiting.The incidence rates of grade≥3 AEs were 56%in the inetetamab group and 47%in the trastuzumab group(P=0.63),with no significant difference.CONCLUSION In the first-line treatment of HER2-positive advanced gastric cancer,inetetamab and trastuzumab showed comparable efficacy.The inetetamab group showed superior PFS,and both groups had good safety.

CONTROLLING THE SURFACE COMPOSITION OF PCBM IN P3HT/PCBM BLEND FILMS BY USING MIXED SOLVENTS WITH DIFFERENT EVAPORATION RATES

The surface composition of poly（3-hexylthiophene-2,5-diyl） and fullerene derivative [6,6]-phenyl-C61-butyric acid methyl ester （P3HT/PCBM） blend films could be changed by controlling the film formation process via using mixed solvents with different evaporation rates. The second solvent, with a higher boiling point than that of the first solvent and much better solubility for PCBM than P3HT, is chosen to mix with the first solvent with a lower boiling point and good solubility for both PCBM and P3HT. The slow evaporation rate of the second solvent provides enough time for PCBM to diffuse upwards during the solvent evaporation. Thus, the weight ratio of PCBM and P3HT （mpcBM/mp3HT） at surface of the blend films was varied from ca. 0.1 to ca. 0.72, i.e., it increases about seven times by changing from single solvent to mixed solvents. Meanwhile, the mixed solvents were in favor to form P3HT naonofiber network and enhance phase separation of P3HT/PCBM blend films. As a result, the power conversion efficiency of the device from mixed solvents with slow evaporation process was about 1.5 times of the one from single solvents.

Increasing the Content of β Phase of Poly(9,9-dioctylfluorene) by Synergistically Controlling Solution Aggregation and Extending Film-forming Time

For poly(9,9-dioctylfluorene)(PFO),β phase (coplanar conformation with the intra-chain torsion angle of 165°) has a greater conjugation length and higher degree of order compared to those of α phase, which favors charge carrier transport. However, the highest content of β phase obtained so far is 45%. We propose to increase the content of β phase by promoting the solution aggregation of PFO molecules and extending film-forming time. For this purpose, 1,8-diiodooctane (DIO) is added to PFO o-xylene solution, which enhances the interaction of PFO chains and improves the planarity of PFO backbone, resulting in the formation of ordered aggregation. The aggregates act as nucleation centers to promote the formation of β phase. The content of β phase increases with increasing DIO concentration and reaches a platform of 39% as DIO is more than 4 vol%. Furthermore, the film is kept in a sealed environment with oxylene atmosphere for 3 h, thus the PFO molecules have enough time to diffuse to the crystallization front and achieve disorder-order transition. As a result, the crystallinity of PFO is improved significantly and the content of β phase increases to 52%, reaching the highest value reported so far.

UNIAXIAL ALIGNMENT OF POLY(3-HEXYLTHIOPHENE) NANOFIBERS BY ZONE-CASTING APPROACH

The preparation of large area coverage of films with uniaxially aligned poly（3-hexylthiophene） （P3HT） nanofibers by using zone-casting approach is reported. The length and the orientation of the nanofibers are defined by the solubility of the solvent, the P3HT molecular weight and the substrate temperature. The length of the oriented nanofibers could be increased from 1 pan to more than 10 ~ma by adding poor solvent into the P3HT solution. It is found that for P3HT of relatively low molecular weight, a solvent with relatively low solubility has to be chosen to get the oriented film. While for the high molecular weight P3HT, the solvent with a relatively high solubility has to be used. The well-aligned film could be obtained because of the solute concentration gradient in the region where the critical concentration is reached during the zone-casting process. Particularly, the solvent evaporation rate and crystallization rate must be chosen properly to satisfy the stationary conditions above, which were controlled by an appropriate choice of solvent and substrate temperature. The film prepared by zone-casting approach had microcrystalline P3HT domains with more inter-chain order than spin-coating film. Meanwhile, the P3HT π-π stacking direction was parallel to the alignment direction of the nanofibers.

Liquid crystal character controlled by complementary discotic molecules mixtures： Columnar stacking type and mesophase temperature range

In this work, the mesophase properties were tuned via mixing two discotic molecules with structural complementarity. Compared with the liquid crystalline hexakis（n-hexyloxy）triphenylene（H6TP）materials（columnar hexagonal phase from 53 ℃ to 91 ℃）, mesophase types as well as phase transition temperatures varied with the introduction of crystalline hexaazatriphenylene derivative（PBH）molecules. The introduction of less than 33% amount of PBH disrupted the columnar hexagonal phase formed by H6 TP remarkably, followed by the decreased clearing temperatures of liquid crystals. As the PBH amount was further increased, the destroyed columnar hexagonal phase was turned into the columnar rectangular phase, in which H6 TP and PBH molecules together formed the columnar mesophase. The formation of new mesophase contributed to the enlarged mesophase temperature（from44 ℃ to 144 ℃）. We speculated that the alkyl chains interaction induced by the PBH component competed with the strong p–p stacking between H6 TP molecules, thus altering the liquid crystalline properties including mesophase types and phase transition temperatures.

Effects of aggregation of poly(3-hexylthiophene) in solution on uniaxial alignment of nanofibers during zone casting

We report on the effects of aggregation of P3HT with ordered conformation in solution on improving the uniaxial alignment of the P3HT nanofibers by zone casting. Two approaches were employed to change the aggregation of P3HT： P3HT blending with coil insulating polymer and ultrasonic oscillating. The insulator polymer （i.e. PS） which has good solubility in the solution would disturb the aggregation of P3HT to prevent the chains entanglement. The ultrasonic oscillation can further improve the P3HT aggregation with ordered conformation in the solution. As a result, the P3HT nanofibers in the film grew much orientedly by zone casting the ultrasonic oscillating P3HT]PS polymer blends solution than the same solvent P3HT solution without ultrasonic oscillating and blending. The P3HT π-π stacking direction is parallel to the alignment direction of the nanofibers. Meanwhile, the P3HT/PS blend ratio and PS molecular weight have influence on the uniaxial alignment of P3HT nanofibers. Only P3HT/PS is 1：1, the P3HT nanofibers oriented well. The low molecular weight PS can make the P3HT nanofibers orient better than that of the high molecular weight.

Influence of bifurcation position and length of side chains on the structure of isoindigo-based conjugated polymer thin films

We chose a series of isoindigo-based conjugated polymer（ⅡDDT,ⅡDDT-C3 and ⅡDDT-C4） with different length of side chains and bifurcation positions to investigate the relationship between the degree of alignment and the length of side chains and bifurcation positions.We found that the dichroic ratio was increased from 2.37 to 5.23 when the side chain was longer and the bifurcation position was away from the backbone.The π-π stacking distance was decreased from 3.67 A to 3.61 A when the bifurcation position was away from the backbone because of its smaller hindrance and the d-spacing of the（100）was increased from 20.06 A to 25.21 A when the side chain was longer.All the polymers were adopted an edge-on orientation with the backbone paralleled with the long axis of fibers.The weak interaction of side-chain in ⅡDDT-C4 was beneficial for the molecules being rearranged in parallel during the contact line receding and the strong n-n interaction could accelerate the interchain assembly of the parallel molecules through π-π interaction to form aligned fibers.

To improve alignment of isoindigo-based conjugated polymer film by controlling contact line receding velocity

The macroscopic alignment of conjugated polymers with low grain boundary is essential to carrier transport. During film forming process, the match between contact line receding velocity and the critical alignment velocity is essential to get the alignment polymer film. In this paper, the contact line receding velocity of a D-A conjugated polymer film, isoindigo and bithiophene（IIDDT-C3）, was adjusted by solvent vapor content and film-formation temperature. Only when solvent vapor content was 0.3 m L and the film-formation temperature was 90C, the contact line receding velocity was in accordance with the critical alignment velocity, and the highest degree of alignment was attained in the IIDDT-C3 film, with the dichroic ratio up to 4.08. Fibers were aligned parallel with the direction of the contact line receding and the molecules of IIDDT-C3 adopted an edge-on orientation with the backbone parallel with the direction of fiber long axis. The p-p stacking distance between adjacent molecules was 3.63 ？.