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^(18)F-FDG PET/CT预测弥漫大B细胞淋巴瘤化疗后无进展生存期 被引量:1
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作者 林少春 黎恩廷 +2 位作者 陈志丰 张冰 李周雷 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2023年第2期262-270,共9页
[目的]评估^(18)F-FDG PET/CT不同代谢参数在分析弥漫性大B细胞淋巴瘤(DLBCL)治疗响应中的预测价值。[方法]回顾性地选取2015年6月至2020年10月收治^(18)F-FDG PET/CT的81例DLBCL患者。通过多元逻辑回归分析确定DLBCL治疗反应的预测因素... [目的]评估^(18)F-FDG PET/CT不同代谢参数在分析弥漫性大B细胞淋巴瘤(DLBCL)治疗响应中的预测价值。[方法]回顾性地选取2015年6月至2020年10月收治^(18)F-FDG PET/CT的81例DLBCL患者。通过多元逻辑回归分析确定DLBCL治疗反应的预测因素,并根据这些因素创建预测模型。之后,通过特性曲线和校准图验证此预测模型的性能。[结果]首次化疗后2年内,23例患者(28.3%,23/81)疾病复发,58例患者(71.7%,58/81)无进展。本文分析了PET/CT特征的二元逻辑回归模型的预测能力。结果显示,化疗后^(18)F-FDG PET/CT的定量值是无进展生存期(PFS)的独立预后因素。其中,SUV_(THR-mean)2是预测DLBCL患者化疗后治疗反应的最重要因素,临界值为2.00(AUC=0.81)。[结论]我们建立的影像学特征预测模型显示出对DLBCL化疗无进展生存期的良好预测效能。其中,化疗后的影像学特征SUV_(THR-mean)2是DLBCL患者PSF预后的最佳独立预测因素。我们的预测模型将能提示疾病进展风险,有利于建议临床选择适当的治疗及随访方案,提高诊治效能,节省医疗成本。 展开更多
关键词 弥漫大B细胞淋巴瘤 PET/CT 治疗响应 预测模型
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微小残留病变检测在单克隆免疫球蛋白相关肾病中的应用研究进展
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作者 林少纯 邱学谦 +1 位作者 李盛 王文健 《中国实用内科杂志》 CSCD 北大核心 2023年第6期513-517,共5页
单克隆免疫球蛋白相关肾病是指由克隆增生的细胞或淋巴细胞产生的单克隆免疫球蛋白直接或间接导致肾脏损伤的一组疾病,包括肾脏淀粉样变性、轻链沉积病、单克隆轻链相关的近端小管病、管型肾病、增生性肾炎伴单克隆免疫球蛋白沉积病、... 单克隆免疫球蛋白相关肾病是指由克隆增生的细胞或淋巴细胞产生的单克隆免疫球蛋白直接或间接导致肾脏损伤的一组疾病,包括肾脏淀粉样变性、轻链沉积病、单克隆轻链相关的近端小管病、管型肾病、增生性肾炎伴单克隆免疫球蛋白沉积病、冷球蛋白血症等[1-2]。随着诊疗技术的进步,该类疾病的诊断率和发病率逐年增加。以单克隆浆细胞或B淋巴细胞为治疗靶点可有效延长患者的无进展生存期(progression-free survival,PFS)和总体生存率(overall survival,OS)。但单克隆免疫球蛋白相关肾病血液学缓解后是否需要维持治疗、如何监测疾病的复发仍不明确。 展开更多
关键词 单克隆免疫球蛋白相关肾病 微小残留病灶 轻链型淀粉样变 轻链沉积病 膜增生性肾炎伴单克隆免疫球蛋白沉积病
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Microarray profiles on age-related genes in the earlier postnatal rat visual cortex
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作者 YANG Liu NIE Yu-hong +2 位作者 ZHOU Li-hua lin shao-chun WU Kai-li 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第10期1545-1550,共6页
Background Accumulating evidence indicates that both innate and adaptive mechanisms are responsible for the postnatal development of the mammalian visual cortex. Most of the studies, including gene expression analysis... Background Accumulating evidence indicates that both innate and adaptive mechanisms are responsible for the postnatal development of the mammalian visual cortex. Most of the studies, including gene expression analysis, were performed on the visual cortex during the critical period; few efforts were made to elucidate the molecular changes in the visual cortex during much earlier postnatal stages. The current study aimed to gain a general insight into the molecular mechanisms in the developmental process of the rat visual cortex using microarray to display the gene expression profiles of the visual cortex on postnatal days.Methods All age-matched Sprague-Dawley rats in various groups including postnatal day 0 (PO, n=20), day 10 (P10,n=15), day 20 (P20, n=15) and day 45 (P45, n=10) were sacrificed respectively. Fresh visual cortex from the binocular area (Area 17) was dissected for extraction of total RNA for microarray analyses. Taking advantage of annotation information from the gene ontology and pathway database, the gene expression profiles were systematically and globally analyzed.Results Of the 31 042 gene sequences represented on the rat expression microarray, more than 4000 of the transcripts significantly altered at days 45,20 or 10 compared to day 0. The most obvious alteration of gene expression occurred in the first ten days of the postnatal period and the genomic activities of the visual cortex maintained a high level from birth to day 45. Compared to the gene expression at birth, there were 2630 changed transcripts that shared in three postnatal periods.The up-regulated genes in most signaling pathways were more than those of the down-regulated genes.Conclusions Analyzing gene expression patterns, we provide a detailed insight into the molecular organization of the developing visual cortex in the earlier postnatal rat. The most obvious alteration of gene expression in visual cortex occurred in the first ten days. Our data were a basis to identify new relevant candidate genes that control visual cortex development. 展开更多
关键词 microarray analysis earlier postnatal development visual cortex RAT
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