Hepatocellular carcinoma(HCC)is the sixth most common malignancy and the fourth leading cause of cancer related death worldwide.China covers over half of cases,leading HCC to be a vital threaten to public health.Despi...Hepatocellular carcinoma(HCC)is the sixth most common malignancy and the fourth leading cause of cancer related death worldwide.China covers over half of cases,leading HCC to be a vital threaten to public health.Despite advances in diagnosis and treatments,high recurrence rate remains a major obstacle in HCC management.Multi-omics currently facilitates surveillance,precise diagnosis,and personalized treatment decision making in clinical setting.Non-invasive radiomics utilizes preoperative radiological imaging to reflect subtle pixel-level pattern changes that correlate to specific clinical outcomes.Radiomics has been widely used in histopathological diagnosis prediction,treatment response evaluation,and prognosis prediction.High-throughput sequencing and gene expression profiling enabled genomics and proteomics to identify distinct transcriptomic subclasses and recurrent genetic alterations in HCC,which would reveal the complex multistep process of the pathophysiology.The accumulation of big medical data and the development of artificial intelligence techniques are providing new insights for our better understanding of the mechanism of HCC via multi-omics,and show potential to convert surgical/intervention treatment into an antitumorigenic one,which would greatly advance precision medicine in HCC management.展开更多
[目的]探讨2型糖尿病与消化系统恶性肿瘤的关系。[方法]利用Medline、Embase与Web of Science检索2012年10月之前国外公开发表的关于2型糖尿病与消化系统恶性肿瘤关系的队列研究文献。利用R软件及其Meta程序包对检索结果进行综合分析。...[目的]探讨2型糖尿病与消化系统恶性肿瘤的关系。[方法]利用Medline、Embase与Web of Science检索2012年10月之前国外公开发表的关于2型糖尿病与消化系统恶性肿瘤关系的队列研究文献。利用R软件及其Meta程序包对检索结果进行综合分析。[结果]纳入分析的文献共41篇。经Meta分析后结果显示,2型糖尿病与消化系统恶性肿瘤间的相对危险度及95%可信区间为1.52（95%CI：1.40~1.66）。2型糖尿病与肝癌、食管癌、胃癌、胰腺癌、结直肠癌以及结肠癌的关联均有统计学意义,合并相对危险度分别为1.79（95%CI：1.61~1.99）,1.16（95%CI：1.07~1.27）,1.34（95%CI：1.11~1.61）,1.56（95%CI：1.49~1.64）,1.32（95%CI：1.23~1.40）和1.24（95%CI：1.15~1.33）。2型糖尿病与直肠癌合并相对危险度为1.07（95%CI：0.91~1.25）,无统计学意义。[结论]2型糖尿病与消化系统恶性肿瘤密切相关,可能是肝癌、食管癌、胃癌、胰腺癌、结肠癌的危险因素之一。展开更多
文摘Hepatocellular carcinoma(HCC)is the sixth most common malignancy and the fourth leading cause of cancer related death worldwide.China covers over half of cases,leading HCC to be a vital threaten to public health.Despite advances in diagnosis and treatments,high recurrence rate remains a major obstacle in HCC management.Multi-omics currently facilitates surveillance,precise diagnosis,and personalized treatment decision making in clinical setting.Non-invasive radiomics utilizes preoperative radiological imaging to reflect subtle pixel-level pattern changes that correlate to specific clinical outcomes.Radiomics has been widely used in histopathological diagnosis prediction,treatment response evaluation,and prognosis prediction.High-throughput sequencing and gene expression profiling enabled genomics and proteomics to identify distinct transcriptomic subclasses and recurrent genetic alterations in HCC,which would reveal the complex multistep process of the pathophysiology.The accumulation of big medical data and the development of artificial intelligence techniques are providing new insights for our better understanding of the mechanism of HCC via multi-omics,and show potential to convert surgical/intervention treatment into an antitumorigenic one,which would greatly advance precision medicine in HCC management.
文摘[目的]探讨2型糖尿病与消化系统恶性肿瘤的关系。[方法]利用Medline、Embase与Web of Science检索2012年10月之前国外公开发表的关于2型糖尿病与消化系统恶性肿瘤关系的队列研究文献。利用R软件及其Meta程序包对检索结果进行综合分析。[结果]纳入分析的文献共41篇。经Meta分析后结果显示,2型糖尿病与消化系统恶性肿瘤间的相对危险度及95%可信区间为1.52（95%CI：1.40~1.66）。2型糖尿病与肝癌、食管癌、胃癌、胰腺癌、结直肠癌以及结肠癌的关联均有统计学意义,合并相对危险度分别为1.79（95%CI：1.61~1.99）,1.16（95%CI：1.07~1.27）,1.34（95%CI：1.11~1.61）,1.56（95%CI：1.49~1.64）,1.32（95%CI：1.23~1.40）和1.24（95%CI：1.15~1.33）。2型糖尿病与直肠癌合并相对危险度为1.07（95%CI：0.91~1.25）,无统计学意义。[结论]2型糖尿病与消化系统恶性肿瘤密切相关,可能是肝癌、食管癌、胃癌、胰腺癌、结肠癌的危险因素之一。
