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同步推量调强放疗在局部晚期非小细胞肺癌中的应用 被引量:17
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作者 尤静 杨丹 +6 位作者 李东明 姜蕾蕾 余荣 于会明 徐博 王维虎 石安辉 《中国肺癌杂志》 CAS CSCD 北大核心 2019年第11期696-701,共6页
背景与目的局部晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的标准治疗方案为放疗联合化疗,但其生存仍不令人满意。随着调强放疗技术的发展,同步推量(simultaneous integrated boost,SIB)技术成为局部晚期NSCLC的研究方向。本... 背景与目的局部晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的标准治疗方案为放疗联合化疗,但其生存仍不令人满意。随着调强放疗技术的发展,同步推量(simultaneous integrated boost,SIB)技术成为局部晚期NSCLC的研究方向。本研究拟探讨局部晚期NSCLC采用SIB调强放疗技术的有效性和安全性。方法回顾性分析北京大学肿瘤医院2015年6月-2018年12月采用SIB技术进行放疗的局部晚期NSCLC患者资料,采用Kaplan-Meier方法进行统计分析,分析其疗效、生存及治疗相关毒性。结果研究纳入93例患者,中位随访时间34.23个月,3年生存率、无进展生存率、无局部区域复发生存率和无远处转移生存率分别为53.0%、37.0%、50.5%和50.5%。3级放射性食管炎发生率为5.4%,≥3级放射性肺炎发生率为2.2%。结论局部晚期NSCLC采用SIB调强放疗技术安全有效。 展开更多
关键词 肺肿瘤 同步推量 有效性
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The High Energy X-ray telescope (HE) onboard the Insight-HXMT astronomy satellite 被引量:9
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作者 CongZhan Liu YiFei Zhang +30 位作者 XuFang Li XueFeng Lu Zhi Chang ZhengWei Li AiMei Zhang YongJie Jin huiming yu Zhao Zhang MinXue Fu YiBao Chen JianFeng Ji yuPeng Xu JingKang Deng RenCheng Shang GuoQing Liu FangJun Lu ShuangNan Zhang YongWei Dong TiPei Li Mei Wu YanGuo Li Huanyu Wang BoBing Wu YongJie Zhang Zhi Zhang ShaoLin Xiong yuan Liu Shu Zhang HongWei Liu YiJung Yang Fan Zhang 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS CSCD 2020年第4期20-34,共15页
The Insight-Hard X-ray Modulation Telescope(Insight-HXMT) is a broadband X-ray and γ-ray(1-3000 ke V) astronomy satellite. One of its three main telescopes is the High Energy X-ray telescope(HE). The main detector pl... The Insight-Hard X-ray Modulation Telescope(Insight-HXMT) is a broadband X-ray and γ-ray(1-3000 ke V) astronomy satellite. One of its three main telescopes is the High Energy X-ray telescope(HE). The main detector plane of HE comprises 18 Na I(Tl)/Cs I(Na) phoswich detectors, where Na I(Tl) is used as the primary detector to measure ~ 20-250 ke V photons incident from the field of view(FOV) defined by collimators, and Cs I(Na) is used as the active shielding detector to Na I(Tl) by pulse shape discrimination. Additionally, Cs I(Na) is used as an omnidirectional γ-ray monitor. The HE collimators have a diverse FOV,i.e. 1.1°×5.7°(15 units), 5.7°×5.7°(2 units), and blocked(1 unit). Therefore, the combined FOV of HE is approximately5.7°×5.7°. Each HE detector has a diameter of 190 mm resulting in a total geometrical area of approximately 5100 cm2, and the energy resolution is ~15% at 60 ke V. For each recorded X-ray event by HE, the timing accuracy is less than 10 μs and the deadtime is less than 10 μs. HE is used for observing spectra and temporal variability of X-ray sources in the 20-250 ke V band either by pointing observations for known sources or scanning observations to unveil new sources. Additionally, HE is used for monitoring the γ-ray burst in 0.2-3 Me V band. This paper not only presents the design and performance of HE instruments but also reports results of the on-ground calibration experiments. 展开更多
关键词 X-RAY TELESCOPE HXMT calibration scintillation DETECTOR
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A retrospective study of pegylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) in preventing neutropenia during definitive concurrent chemoradiotherapy in patients with esophageal squamous carcinoma 被引量:1
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作者 Xin Dong Wei Deng +6 位作者 Leilei Jiang Dan Yang huiming yu Dongming Li Anhui Shi Rong yu Weihu Wang 《Radiation Medicine and Protection》 2022年第2期81-85,共5页
Objective:To compare the efficacy and safety of pegylated recombinant human granulocyte colony-stimulating factor(PEG-rhG-CSF)for preventive or delayed treatment in neutropenia,completion rate of concurrent chemoradio... Objective:To compare the efficacy and safety of pegylated recombinant human granulocyte colony-stimulating factor(PEG-rhG-CSF)for preventive or delayed treatment in neutropenia,completion rate of concurrent chemoradiotherapy and hospitalization rate in patients with esophageal squamous carcinoma during definitive concurrent chemoradiotherapy.Methods:A total of 70 patients with esophageal squamous carcinoma in Peking University Cancer Hospital from January 2019 to December 2020,who received PEG-rhG-CSF during concurrent chemoradiotherapy,were enrolled in this retrospective analysis.There were 32 patients in the preventive group,and 38 patients in the delayed group.The incidence of neutropenia,completion rate of concurrent chemoradiotherapy and neutropeniarelated hospitalization rate were compared between PEG-rhG-CSF preventive group and delayed group.Results:The incidence of severe neutropenia(Grades 3–4)in all patients was 31.4%.Comparison between preventive group and delayed group showed that the incidence of severe neutropenia was 6.3%and 39.4%(χ^(2)=10.428,P=0.001),respectively.In preventive group,the incidence of severe neutropenia was 3.7%and 20.0%,respectively,for primary prevention and secondary prevention of PEG-rhG-CSF(χ^(2)=12.321,P=0.001).The completion rate of concurrent chemoradiotherapy was 93.8%in the preventive group and 63.2%in the delayed group(χ^(2)=9.220,P=0.002).The incidence of treatment interruption was 25.7%in the whole group,12.5%in the preventive group and 36.8%in the delayed group(χ^(2)=5.389,P=0.020).Seven patients(7/70,10.0%)were hospitalized and treated with intravenous antibiotics for neutropenia,including 1 in the preventive group and 6 in the delayed group(P=0.078).Conclusions:Prophylactic use of PEG-rhG-CSF during concurrent chemoradiotherapy for patients with esophageal squamous carcinoma can effectively reduce the incidence of neutropenia,ensure the safety of treatment,and improve the completion rate of concurrent chemoradiotherapy. 展开更多
关键词 Esophageal squamous carcinoma Concurrent chemoradiotherapy Pegylated recombinant human granulocyte colony-stimulating factor
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Celastrol promotes chondrocyte autophagy by regulating mTOR expression
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作者 Siming Dai Jiankun Fan +3 位作者 yue Zhang Zhenyong Hao huiming yu Zhiyi Zhang 《Chinese Medical Journal》 SCIE CAS CSCD 2022年第1期92-94,共3页
Osteoarthritis(OA)is a debilitating disease with limited treatment options.[1]Autophagy serves as an important protective mechanism against the deterioration of cartilage and is negatively regulated by the mammalian t... Osteoarthritis(OA)is a debilitating disease with limited treatment options.[1]Autophagy serves as an important protective mechanism against the deterioration of cartilage and is negatively regulated by the mammalian target of rapamycin(mTOR).[2]In previous studies,celastrol could promote autophagy in various cell types and had the promising therapeutic potential for OA.[3]However,the effect and underlying mechanisms of celastrol on autophagy in OA remain unclear.Our preliminary study using transcriptome sequencing and a network pharmacology analysis identified mTOR as a potential direct target of celastrol for protection against OA.[4]In this study,we aim to evaluate the effects of celastrol on mTOR activity in primary human osteoarthritic chondrocytes and to determine the mechanism by which it affects autophagy and endoplasmic reticulum(ER)stress. 展开更多
关键词 protective MTOR OSTEOARTHRITIS
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