Nomogram prediction of vessels encapsulating tumor clusters in small hepatocellular carcinoma≤3 cm based on enhanced magnetic resonance imaging

BACKGROUND Vessels encapsulating tumor clusters(VETC)represent a recently discovered vascular pattern associated with novel metastasis mechanisms in hepatocellular carcinoma(HCC).However,it seems that no one have focused on predicting VETC status in small HCC(sHCC).This study aimed to develop a new nomogram for predicting VETC positivity using preoperative clinical data and image features in sHCC(≤3 cm)patients.AIM To construct a nomogram that combines preoperative clinical parameters and image features to predict patterns of VETC and evaluate the prognosis of sHCC patients.METHODS A total of 309 patients with sHCC,who underwent segmental resection and had their VETC status confirmed,were included in the study.These patients were recruited from three different hospitals:Hospital 1 contributed 177 patients for the training set,Hospital 2 provided 78 patients for the test set,and Hospital 3 provided 54 patients for the validation set.Independent predictors of VETC were identified through univariate and multivariate logistic analyses.These independent predictors were then used to construct a VETC prediction model for sHCC.The model’s performance was evaluated using the area under the curve(AUC),calibration curve,and clinical decision curve.Additionally,Kaplan-Meier survival analysis was performed to confirm whether the predicted VETC status by the model is associated with early recurrence,just as it is with the actual VETC status and early recurrence.RESULTS Alpha-fetoprotein_lg10,carbohydrate antigen 199,irregular shape,non-smooth margin,and arterial peritumoral enhancement were identified as independent predictors of VETC.The model incorporating these predictors demonstrated strong predictive performance.The AUC was 0.811 for the training set,0.800 for the test set,and 0.791 for the validation set.The calibration curve indicated that the predicted probability was consistent with the actual VETC status in all three sets.Furthermore,the decision curve analysis demonstrated the clinical benefits of our model for patients with sHCC.Finally,early recurrence was more likely to occur in the VETC-positive group compared to the VETC-negative group,regardless of whether considering the actual or predicted VETC status.CONCLUSION Our novel prediction model demonstrates strong performance in predicting VETC positivity in sHCC(≤3 cm)patients,and it holds potential for predicting early recurrence.This model equips clinicians with valuable information to make informed clinical treatment decisions.

Facile synthesis of high capacity P2-type Na_(2/3)Fe_(1/2)Mn_(1/2)O_(2) cathode material for sodium-ion batteries

P2-type Na_(2/3)Fe_(1/2)Mn_(1/2)O_(2) was synthesized by a facile sol−gel method,and the effect of calcination temperature on the structure,morphology and electrochemical performance of samples was investigated.The results show that the sample obtained at 900℃ is pure P2-type Na_(2/3)Fe_(1/2)Mn_(1/2)O_(2) phase with good crystallization,which consists of hexagon plate-shaped particles with the size and thickness of 2−4μm and 200−400 nm,respectively.The sample exhibits an initial specific discharge capacity of 243 mA·h/g at a current density of 26 mA/g with good cycling stability.The high specific capacity indicates that P2-type Na_(2/3)Fe_(1/2)Mn_(1/2)O_(2) is a promising cathode material for sodiumion batteries.

Synthesis and electrochemical performance of VO/NaVO nanocomposites as cathode materials for sodium-ion batteries

V2O5/NaV6O15 nanocomposites were synthesized by a facile hydrothermal method using VO2(B)nanoarrays as the precursor.X-ray diffraction,scanning electron microscopy and transmission electron microscopy,and galvanostatic charge-discharge test were used to evaluate the structures,morphologies and electrochemical performance of samples,respectively.The results show that the nanocomposites are composed of one-dimensional nanobelts,preserving the morphology of the precursor well,and the hydrothermal reaction time has a significant effect on the phase contents and electrochemical performance of the composites.Compared with pure V2O5,V2O5/NaV6O15 nanocomposites exhibit enhanced electrochemical performance as cathode for sodium-ion batteries.It should be ascribed to the synergistic effect between V2O5 with high capacity and NaV6O15 with good cycling performance,and the introduced massive interfacial areas which can provide additional ion storage sites and improve the electronic and ionic conductivities.

Facile synthesis of porous LiNiVO_4 powder as high-voltage cathode material for lithium-ion batteries

Porous LiNiVO4 powder was synthesized via solution combustion synthesis method using lithium nitrate, nickel nitrate,ammonium metavanadate and citric acid as raw materials. Thermogravimetry (TG) and differential scanning calorimetry (DSC),X-ray diffraction (XRD), Fourier-transform infrared (FT-IR) spectroscopy and transmission electron microscopy (TEM) were used toevaluate the structures and morphologies of samples. The results show that the calcination temperature has significant effect on thecrystallinity and morphologies. Pure LiNiVO4 flaky nanoparticles with a mean particle size around 20 nm can be readily prepared bycalcining the precursor in air at 500 °C for 2 h. As a cathode material for lithium-ion batteries, the porous LiNiVO4 powder exhibits agood structural reversibility.