Alkaline igneous rocks,a potential source of rare metals and radioactive minerals:Case study at Amreit area,south Eastern Desert,Egypt

Alkaline igneous rocks represent one of the most economically important resources of radioactive minerals and rare metals.New field observations and petrographic studies are integrated with whole-rock geochemical analyses and Gamma ray spectroscopy data of alkaline rocks associated with the Amreit complex.The fieldwork was achieved by the collection of more than forty samples from alkaline granites and alkaline syenites.The youngest rocks cropping out in the study area are the cogenetic alkaline rocks,ranging from alkaline granite to alkaline syenite.These alkaline rocks are composed essentially of K-feldspar,alkali amphiboles(arfvedsonite),and sodic pyroxene,with accessories such as zircon,apatite,and ilmenite.Mineral characterization of the highly radioactive zones in both alkaline granite and alkaline syenite displays enrichment in monazite,thorite,zircon,ferro-columbite,xenotime,and allanite minerals.Geochemical analyses indicate that the Amreit rocks are alkaline with peralkaline affinity and have high concentrations of total alkalis(K_(2)O+Na_(2)O),large ion lithophile elements(LILEs;Ba and Rb),high field strength elements(HFSEs;Y,Zr and Nb),rare earth elements(REEs)and significantly depleted in K,Sr,P,Ti,and Eu,typically of post-collision A-type granites.Typically,the Amreit alkaline igneous rocks are classified as within plate granites and display A2 subtype characteristics.The fractionation of K-feldspars played a distinctive role during the magmatic evolution of these alkaline rocks.The geochemical characteristics indicate that the studied alkaline igneous rocks which were originated by fractional crystallization of alkaline magmas were responsible for the enrichment of the REE and rare metals in the residual melt.The high radioactivity is essentially related to accessory minerals,such as zircon,allanite,and monazite.The alkaline granite is the most U-and Thrich rock,where radioactivity level reaches up to 14.7 ppm(181.55 Bq/kg)e U,40.6 ppm(164.84 Bq/kg)e Th,whereas in alkaline syenite radioactivity level is 8.5 ppm(104.96 Bq/kg)e U,30.2 ppm(122.61 Bq/kg)e Th.These observations suppose that these alkaline rocks may be important targets for REEs and radioactive mineral exploration.

Multiscale modeling of thermo-hydromechanical behavior of clayey rocks and application to geological disposal of radioactive waste

This work is devoted to numerical analysis of thermo-hydromechanical problem and cracking process in saturated porous media in the context of deep geological disposal of radioactive waste.The fundamental background of thermo-poro-elastoplasticity theory is first summarized.The emphasis is put on the effect of pore fluid pressure on plastic deformation.A micromechanics-based elastoplastic model is then presented for a class of clayey rocks considered as host rock.Based on linear and nonlinear homogenization techniques,the proposed model is able to systematically account for the influences of porosity and mineral composition on macroscopic elastic properties and plastic yield strength.The initial anisotropy and time-dependent deformation are also taken into account.The induced cracking process is described by using a non-local damage model.A specific hybrid formulation is proposed,able to conveniently capture tensile,shear and mixed cracks.In particular,the influences of pore pressure and confining stress on the shear cracking mechanism are taken into account.The proposed model is applied to investigating thermo-hydromechanical responses and induced damage evolution in laboratory tests at the sample scale.In the last part,an in situ heating experiment is analyzed by using the proposed model.Numerical results are compared with experimental data and field measurements in terms of temperature variation,pore fluid pressure change and induced damaged zone.

Protective effects of autologous bone marrow-derived mesenchymal stem cell transplantation on acute radioactive enteritis in Beagle dogs

BACKGROUND Radiation enteritis is a common complication of radiation therapy in which the surrounding normal intestinal tissue is damaged by ionising radiation,and there is no standard pharmacological prophylaxis or treatment regimen available.Mesenchymal stem cell transplantation can be used for radiation protection and the treatment of acute radiation injury,but its therapeutic mechanism of action remains unclear.AIM To investigate the protective effects of autologous bone marrow-derived mesenchymal stem cell(ABMSC)transplantation on radiation-induced intestinal injury.METHODS A model of acute radioactive enteritis was established in dogs by applying abdominal intensity-modulated radiation at a single X-ray dose of 12 Gy.ABMSCs were transplanted into the mesenteric artery with the technology of femoral artery puncture and DSA imaging two days after radiation.Visual and histopathological changes of the experimental dogs were observed.Different kinds of cytokines from intestinal samples were tested using Quantibody Canine Cytokine Array method.Enzyme-linked immunosorbent assay(ELISA)was also used to evaluate the cytokines changes in serum.RESULTS The ABMSCs group showed significant improvements in survival status compared with the blank and saline treatment groups.Histological observations revealed that the former had lower histological scores than the later after treatment(P<0.05).Compared to the control groups,interleukin(IL)-10 and monocyte chemotactic protein(MCP)-1 from intestinal samples showed a remarkable increase and ELISA of serum samples proved higher secretion of the two target cytokines in the ABMSCs group(P<0.05).CONCLUSION Our data suggest that transplantation of ABMSCs promotes intestinal recovery after acute radioactive injury in Beagle dogs.The cytokines of IL-10 and MCP-1 might play an important role in this process.

Efficient Separation of Ar and Kr from Environmental Samples for Trace Radioactive Noble Gas Detection

Radioactive noble-gas isotopes, SSKr （half-life tl/2=10.8 y）, 39Ar （tl/2=269 y）, and SlKr （t1/2-229,000 y）, are ideal tracers and can be detected by atom trap trace analysis （ATTA）, a laser-based technique, from environmental samples like air and groundwater. Prior to ATTA measurements, it is necessary to efficiently extract krypton and argon gases from samples. Using a combination of cryogenic distillation, titanium chemical reaction and gas chromatography, we demonstrate that we can recover both krypton and argon gases from 1-10 L ＂air-like＂ samples with yields in excess of 90% and 98%, respectively, which meet well the requirements for ATTA measurements. A group of testing samples are analyzed to verify the performance of the system, including two groundwater samples obtained from north China plain.

Low-temperature alteration of uranium–thorium bearing minerals and its significance in neoformation of radioactive minerals in stream sediments of Wadi El-Reddah, North Eastern Desert, Egypt

The stream sediments of Wadi El Reddah(North Eastern Desert,Egypt)are geochemically and mineralogically investigated.Their content of radioactive and other heavy minerals is mainly represented by thorite,uranothorite,zircon,monazite,xenotime,columbite,fergusonite,and unknown rare earth elements(REEs)bearing minerals as well as cassiterite.Special emphasis on REE content of thorite,uranothorite,zircon and xenotime has been done to correlate them with the increase of uranium contents in these sediments.The key evidence for the presence lowtemperature alteration processes includes the presence of some zircon crystals as remnants after complete dissolution of the overgrowth zircon in severe acidic environment,the sulphur content,biogenic minerals,occurrence of unusual minerals as cassiterite pore filling in zircon,variation in the REEs content from the surrounding granites to the stream sediments and the abundance of monazite in the surrounding granites.Most minerals are partially and/or completely altered,which indicated by the pseudomorphism of zircon by xenotime,thorite,and uranothorite.

Possibility of reaching the predicted center of the“island of stability”via the radioactive beam-induced fusion reactions

Based on the dinuclear system model,the synthesis of the predicted double-magic nuclei^(298)Fl and 304120 was investigated via neutron-rich radioactive beam-induced fusion reactions.The reaction^(58)Ca+^(244)Pu is predicted to be favorable for producing^(298)Fl with a maximal ER cross section of 0.301 pb.Investigations of the entrance channel effect reveal that the^(244)Pu target is more promising for synthesizing^(298)Fl than the neutron-rich targets^(248)Cm and^(249)Bk,because of the influence of the Coulomb barrier.For the synthesis of 304120,the maximal ER cross section of 0.046 fb emerges in the reaction^(58)V+^(249)Bk,indicating the need for further advancements in both experimental facilities and reaction mechanisms.

Effect of drying cracks on swelling and self-healing of bentonite-sand blocks used as engineered barriers for radioactive waste disposal

Experiments were conducted to evaluate the healing of drying cracks in air-dried bentonite-sand blocks after hydration and swelling in groundwater,providing justifications to simplify the protection of blocks prior to installation in a high-level radioactive waste repository.Synthetic groundwater was prepared to represent the geochemistry of Beishan groundwater,and was used to hydrate the blocks during the swelling pressure and swelling strain measurements,as Beishan is the most promising site for China's repository.Healing of the surface cracks was recorded by photography,and healing of the internal cracks was visualized by CT images and hydraulic conductivity of air-dried blocks.The results indicate that the maximum swelling pressure and swelling strain are primarily affected by the geochemistry of Beishan groundwater,but not affected by the drying cracks.The maximum swelling pressure and swelling strain of air-dried blocks are comparable to or even higher than the pressure and strain of fresh blocks.The maximum swelling pressure measured in strong(i.e.high ion strength)Beishan groundwater was 44%of the pressure measured in deionized(DI)water,and the maximum swelling strain was reduced to 23%of the strain measured in DI water.Nevertheless,the remained swelling of the blocks hydrated in strong Beishan groundwater was sufficient to heal the surface and internal drying cracks,as demonstrated by the pictures of surface cracks and CT images.The hydraulic conductivity of the air-dried block permeated with strong groundwater was comparable(3.7×higher)to the hydraulic conductivity of the fresh block,indicating the self-healing of drying cracks after hydration and swelling in groundwater.A simplified method of protecting the block with plastic wraps before installation is recommended,since the remained swelling of the block hydrated in Beishan groundwater is sufficient to heal the drying cracks.

Application of radioactive iodine-125 microparticles in hepatocellular carcinoma with portal vein embolus

BACKGROUND Radioactive iodine-125(125I)microparticle therapy is a new type of internal radiation therapy that has shown unique advantages in the treatment of malignant tumors,especially hepatocellular carcinoma.Patients with hepatocellular carcinoma frequently experience portal vein embolism,which exacerbates the difficulty and complexity of treatment.125I particles,used in local radiotherapy,can directly act on tumor tissue and reduce damage to surrounding healthy tissue.Through retrospective analysis,this study discussed the efficacy and safety of radioactive 125I particles in portal vein embolization patients with hepatocellular carcinoma in order to provide more powerful evidence supporting clinical treatment.AIM To investigate the effect of transcatheter arterial chemoembolization combined with portal vein 125I particle implantation in the treatment of primary liver cancer patients with portal vein tumor thrombus and its influence on liver function.METHODS The clinical data of 96 patients with primary liver cancer combined with portal vein tumor thrombus admitted to our hospital between January 2020 and December 2023 were retrospectively analyzed.Fifty-two patients received treatment with transcatheter arterial chemoembolization and implantation of 125I particles in the portal vein(combination group),while 44 patients received treatment with transcatheter arterial chemoembolization alone(control group).The therapeutic effects on tumor lesions,primary liver cancer,and portal vein tumor embolisms were compared between the two groups.Changes in relevant laboratory indexes before and after treatment were evaluated.The t test was used to compare the measurement data between the two groups,and the χ^(2) test was used to compare the counting data between groups.RESULTS The tumor lesion response rate in the combination group(59.62%vs 38.64%)and the response rate of patients with primary liver cancer complicated with portal vein tumor thrombus(80.77%vs 59.09%)were significantly greater than those in the control group(χ^(2)=4.196,5.421;P=0.041,0.020).At 8 wk after surgery,the serum alpha-fetoprotein,portal vein main diameter,and platelet of the combined group were significantly lower than those of the control group,and the serum alanine aminotransferase,aspartate aminotransferase,and total bilirubin were significantly greater than those of the control group(t=3.891,3.291,2.330,3.729,3.582,4.126;P<0.05).The serum aspartate aminotransferase,alanine aminotransferase,and total bilirubin levels of the two groups were significantly greater than those of the same group 8 wk after surgery(P<0.05),and the peripheral blood platelet,alphafetoprotein,and main portal vein diameter were significantly less than those of the same group before surgery(P<0.05).CONCLUSION In patients with primary liver cancer and a thrombus in the portal vein,transcatheter arterial chemoembolization plus portal vein 125I implantation is more effective than transcatheter arterial chemoembolization alone.However,during treatment it is crucial to pay attention to liver function injury caused by transcatheter arterial chemoembolization.

Study on the Zirconolite Solidification of Simulated Np/Pu Radioactive Incineration Ash

High level waste is nuclear energy generated during the application process ,which is the greatest and the most difficult to management the waste. Proper treatment and disposal of it has already become a worldwide problem, and has become one of the key factors of restricting nuclear energy for sustainable development. Zirconolite (CaZrTi2O7) is one of the most stable mineral on the Earth and actinide major parasitic phase, therefore, it is widely used to solidify actinides separated from high level radioactive waste. In this paper, the zirconolite solid solution was synthesized by high temperature solid-stated method using a particular composition of simulated Np/Pu radioactive incineration ash (SRIA). The phase composition has been investigated by X-ray diffraction (XRD), the calcined temperature gained according to thermogravimetry scanning calorimeter (TG-DSC) analysis. Anti-leaching performance has also been researched with MCC-1 method. Results show that CaZrTi2O7 can load 40% SRIA, the accumulated leaching fraction of Ca is only about 10-4 cm in 28 days at 90 ℃, the concentrations of Zr , Ti and other noble metal ions were all less than detectability of ICP-MS, the leaching rate , normalization leaching rate, and accumulated leaching fraction of all Zr , Ti and other noble ions were 10-8 cm/d, 10-8 g/cm2·d and 10-7 cm, the results indicate that the zirconolite solidification has excellent chemical durability.

Numerical analysis of thermo-hydromechanical process related to deep geological radioactive repository

This paper addresses numerical analysis of thermo-hydromechanical processes in the context of deep geological disposal of radioactive waste.The emphasis is put on modeling of damaged zones induced by excavation,pore pressure and temperature changes.The theoretical background of thermo-poroelasticity for saturated porous media is first recalled.The framework for modeling initiation and evolution of induced cracks is then presented by using a variational approach of phase-field method.A specific model with two crack phase fields and considering thermo-hydromechanical interaction is proposed.A particular attention is paid on the description of shear cracks.The proposed model is implemented in the standard finite element method.An example of application is finally presented on the analysis of thermo-hydromechanical responses and cracked zones evolution around a typical disposal repository in the context of French concept for high level waste disposal.

Hemogram-derived ratios as prognostic markers for major adverse cardiovascular events in patients with non-ST-segment elevation myocardial infarction

BACKGROUND Non-ST segment elevation myocardial infarction(NSTEMI)poses significant challenges in clinical management due to its diverse outcomes.Understanding the prognostic role of hematological parameters and derived ratios in NSTEMI patients could aid in risk stratification and improve patient care.AIM To evaluate the predictive value of hemogram-derived ratios for major adverse cardiovascular events(MACE)in NSTEMI patients,potentially improving clinical outcomes.METHODS A prospective,observational cohort study was conducted in 2021 at the Internal Medicine Clinic of the University Hospital in Tuzla,Bosnia and Herzegovina.The study included 170 patients with NSTEMI,who were divided into a group with MACE and a control group without MACE.Furthermore,the MACE group was subdivided into lethal and non-lethal groups for prognostic analysis.Alongside hematological parameters,an additional 13 hematological-derived ratios(HDRs)were monitored,and their prognostic role was investigated.RESULTS Hematological parameters did not significantly differ between non-ST segment elevation myocardial infarction(NSTEMI)patients with MACE and a control group at T1 and T2.However,significant disparities emerged in HDRs among NSTEMI patients with lethal and non-lethal outcomes post-MACE.Notably,neutrophil-to-lymphocyte ratio(NLR)and platelet-to-lymphocyte ratio(PLR)were elevated in lethal outcomes.Furthermore,C-reactive protein-to-lymphocyte ratio(CRP/Ly)at T1(>4.737)demonstrated predictive value[odds ratio(OR):3.690,P=0.024].Both NLR at T1(>4.076)and T2(>4.667)emerged as significant predictors,with NLR at T2 exhibiting the highest diagnostic performance,as indicated by an area under the curve of 0.811(95%CI:0.727-0.859)and OR of 4.915(95%CI:1.917-12.602,P=0.001),emphasizing its important role as a prognostic marker.CONCLUSION This study highlights the significant prognostic value of hemogram-derived indexes in predicting MACE among NSTEMI patients.During follow-up,NLR,PLR,and CRP/Ly offer important insights into the inflammatory processes underlying cardiovascular events.

Radioactive Element Distribution Characteristics of Red Mud based Field Road Cement before and after Hydration

Red mud was firstly used as a raw material in sintering field road cement. Then, the radioactive element distribution characteristics of red mud based field road cement（RFC） before and after hydration were comparatively investigated. The experimental results indicated that the specific activity of ^（226）Ra and ^（232）Th increased after sintering process from raw material to clinker, as a result of concentrating effect on ^（226）Ra and ^（232）Th during sintering process, but the specific activity of ^（40）K decreased after sintering process as a result of volatilization effect. Radionuclide ^（226）Ra mainly distributed in RFC silicate phases（C_xS）, ^（232）Th distributed more in RFC interstitial phases than RFC silicate phases（C_xS）, ^（40）K mainly distributed in RFC interstitial phases. With increasing hydration ages of RFC pastes, the specific activity of ^（226）Ra kept increasing, ^（232）Th remained consistency all the same and ^（40）K declined. The radioactivity of RFC was in the recommended safe limit of Chinese National Standards GB6566-2010 during its preparation and application process.

Relationship between Whole Body Iodine-131 Effective Half-Life and Estimated Glomerular Filtration Rate for Papillary Thyroid Cancer Patients Undergoing Radioactive Iodine Therapy

Background: The aim of this work was to examine the relationship between the estimated glomerular filtration rate (eGFR) as indicator of renal efficiency potentially related to the ability to release radioactive iodine from the patients bodies and the radioactive iodine whole body effective half-life (WBEHL) defined as the time taken for the administered activity to decay to half of its value for papillary thyroid cancer (PTC) patients undergoing radioactive iodine therapy (RAIT) in a tertiary care medical Centre. Methods: This retrospective observational study included seventy nine patients, sixty females and nineteen males. The patients were divided in two subgroups, those who have WBEHL of less than 11 hours (n = 51) and those with more than 11 (n = 28) hrs based on k-means clustering technique. Results: Analysis of variance (ANOVA) was used to find out if there is a statistically significant difference between the two subgroups Conclusion: There was not a statistically significant difference between the short and the longer WBEHL patients’ groups analyzed in this study. .

Error of Number of Radioactive Disintegrations

Statistics of exponentially decaying radiation of any nuclide always obeys the binomial stochastic distribution. The variance is derived for the number of atoms disintegrating in a time interval. The variance determines the error of the disintegrations number. When the measuring time is short compared with the half life, then the Poisson stochastics is valid. Today, computers can be used to determine either distribution very easily. The dependence of absolute and relative error on the measuring time interval is examined, but here assuming the absence of the background contribution.

Diagnostic implications of neutrophil-to-lymphocyte ratio,platelet-tolymphocyte ratio,and systemic immune-inflammatory index for gastric carcinoma

BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC.

Trends of alkaline phosphatase to prealbumin ratio in patients with hepatitis B linked to hepatocellular carcinoma development

BACKGROUND Chronic hepatitis B often progresses silently toward hepatocellular carcinoma(HCC),a leading cause of mortality worldwide.Early detection of HCC is crucial,yet challenging.AIM To investigate the role of dynamic changes in alkaline phosphatase to prealbumin ratio(APR)in hepatitis B progression to HCC.METHODS Data from 4843 patients with hepatitis B(January 2015 to January 2024)were analyzed.HCC incidence rates in males and females were compared using the log-rank test.Data were evaluated using Kaplan–Meier analysis.The Linear Mixed-Effects Model was applied to track the fluctuation of APR levels over time.Furthermore,Joint Modeling of Longitudinal and Survival data was employed to investigate the temporal relationship between APR and HCC risk.RESULTS The incidence of HCC was higher in males.To ensure the model’s normality assumption,this study applied a logarithmic transformation to APR,yielding ratio.Ratio levels were higher in females(t=5.26,P<0.01).A 1-unit increase in ratio correlated with a 2.005-fold higher risk of HCC in males(95%CI:1.653-2.431)and a 2.273-fold higher risk in females(95%CI:1.620-3.190).CONCLUSION Males are more prone to HCC,while females have higher APR levels.Despite no baseline APR link,rising APR indicates a higher HCC risk.

Effect of Bi/Si Ratio of BiBSi Glass on Its Structure, Properties and Laser Sealing Shear Strength for Vacuum Glazing

The low-melting glass of Bi2O_(3)-B2O_(3)-SiO_(2)(BiBSi)system was used for the first time for laser sealing of vacuum glazing.Under the condition of constant boron content,how the structure and properties vary with Bi/Si ratio in low-melting glass was investigated.In addition,the relationships between laser power,low-melting glass solder with different Bi/Si ratios and laser sealing shear strength were revealed.The results show that a decrease in the Bi/Si ratio can cause a contraction of the glass network of the low-melting glass,leading to an increase of its characteristic temperature and a decrease of its coefficient of thermal expansion.During laser sealing,the copper ions in the low-melting glass play an endothermic role.A change in the Bi/Si ratio will affect the valence state transition of the copper ions in the low-melting glass.The absorbance of the low-melting glass does not follow the expected correlation with the Bi/Si ratio,but shows a linear correlation with the content of divalent copper ions.The greater the concentration of divalent copper ions,the greater the absorbance of the low-melting glass,and the lower the laser power required for laser sealing.The shear strength of the low melting glass solder after laser sealing was tested,and it was found that the maximum shear strength of Z1 glass sample was the highest up to 2.67 MPa.

Preoperative serum total bilirubin-albumin ratio as a prognostic indicator in patients with hepatitis-related cirrhosis after splenectomy

BACKGROUND Splenectomy is an effective yet invasive intervention for alleviating portal pressure in patients with hepatitis cirrhosis.However,the current prognostic indicators for predicting long-term overall survival of these patients have several limitations.AIM To assess the potential of preoperative total bilirubin-albumin(B/A)ratio as a prognostic indicator for patients with hepatitis cirrhosis undergoing splenectomy.METHODS A total of 257 patients diagnosed with hepatitis cirrhosis were retrospectively enrolled in the study.Normality test,t-test,Wilcoxon test,χ2 test,or Fisher’s exact test was employed to analyze the intraoperative and postoperative conditions of the patients.Receiver operating characteristic(ROC)curve analysis was utilized to depict the 10-year overall survival rate.RESULTS During the follow-up period,85.99%of the patients survived,with a median survival time of 64.6 months.Multivariate analysis revealed that total serum B/A ratio was an independent risk factor for overall survival(P=0.037).ROC curve analysis demonstrated that a B/A ratio of 0.87 was the optimal cut-off value.Consequently,the patients were categorized into two groups:High B/A group(n=64)and low B/A group(n=193).The median follow-up time for the high B/A group and low B/A group was 56.8 months and 67.2 months,respectively(P=0.045).Notably,the high B/A group exhibited a significantly lower 10-year overall survival compared to the low B/A group(P<0.001).Patients with hepatocellular carcinoma(HCC)had lower overall survival rates.Patients with a high B/A ratio exhibited a lower overall survival than those with a low B/A rate in the overall cohort and the subgroups of patients with HCC or not,early Child-Pugh grade,low albumin-bilirubin grade,and model for end-stage liver disease score≥10(log-rank test,P<0.001 for all).CONCLUSION The B/A ratio can serve as an effective prognostic indicator for overall survival in patients with hepatitis B virusrelated cirrhosis following splenectomy,and a higher B/A ratio may suggest a poorer prognosis.

Prognostic value of preoperative fibrinogen to albumin ratio in predicting postoperative outcomes in patients with gallbladder cancer

BACKGROUND Gallbladder cancer(GBC)is known for its poor prognosis and challenging management.The preoperative fibrinogen to albumin ratio(FAR)has been proposed as a potential prognostic marker for predicting postoperative outcomes in GBC patients,but its efficacy and prognostic value remain underexplored.AIM To evaluate the prognostic value of preoperative FAR in GBC outcomes.METHODS This retrospective cohort study included 66 patients who underwent curative surgery for GBC at our institution from January 2018 to January 2022.Preoperative FAR values were obtained within one week prior to surgery.Patients were followed through outpatient visits or telephone interviews,with overall survival(OS)as the primary endpoint.Statistical analyses,including receiver operating characteristic curve analysis and Kaplan-Meier survival estimates,were performed using SPSS software(version 27.0).RESULTS The cohort consisted of 36 male and 30 female patients,with a mean age of 61.81±8.58 years.The optimal FAR cut-off value was determined to be 0.088,with an area under the receiver operating characteristic curve of 0.7899,sensitivity of 68.96%,and specificity of 80.01%.Patients with FAR≤0.088 showed significantly better survival rates(1-year:60.5%,2-year:52.6%,3-year:25.9%)and a median OS of 25.6 months(95%confidence interval:18.8-30.5 months),compared to those with FAR>0.088 who had a median OS of 10.8 months(95%confidence interval:6.3-12.9 months).CONCLUSION Lower preoperative FAR is associated with longer OS in GBC patients,confirming its potential as a valuable prognostic indicator for improving outcome predictions and guiding patient management strategies in gallbladder cancer.