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超声胃肠充盈造影对进展期胃癌TNM分期及化疗评估的临床价值 被引量:4
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作者 查莉 于姣姣 +2 位作者 谢敏 魏少忠 常青 《现代消化及介入诊疗》 2021年第10期1307-1310,共4页
目的探讨超声胃肠充盈造影检查对进展期胃癌TNM分期及化疗评估的临床价值。方法选取2019年1月至2020年1月我院胃肠外科收治的经病理检查确诊的50例进展期胃癌患者,患者均于手术前或化疗前行超声胃肠充盈造影检查,并进行TNM分期,与术后... 目的探讨超声胃肠充盈造影检查对进展期胃癌TNM分期及化疗评估的临床价值。方法选取2019年1月至2020年1月我院胃肠外科收治的经病理检查确诊的50例进展期胃癌患者,患者均于手术前或化疗前行超声胃肠充盈造影检查,并进行TNM分期,与术后病理结果相比较,分析超声胃肠充盈造影检查对胃癌分期的准确性及对新辅助化疗反应性评估的价值。结果50例进展期胃癌患者中,超声胃肠充盈造影检查T1、T2、T3、T4期的准确率分别为64.3%、71.4%、73.3%、92.9%,N0、N1、N2、N3期的准确率分别为88.2%、72.7%、65.2%、71.4%,M0、M1期的准确率分别为100%、72.7%,其中26例患者接受新辅助化疗,超声胃肠充盈造影评估化疗疗效总准确率为80.8%。结论超声胃肠充盈造影在进展期胃癌TNM分期上具有较高的诊断价值,可有效评估新辅助化疗的反应性,为临床治疗方案选择提供重要参考价值。 展开更多
关键词 超声胃肠充盈造影 进展期胃癌 TNM分期 化疗评估
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两种指标在白血病化疗评估中的应用研究
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作者 盛福德 盛华滢 马志龙 《国际检验医学杂志》 CAS 2020年第S02期194-196,共3页
目的研究降钙素原(PCT)和超敏C-反应蛋白(hs-CRP)在白血病化疗评估中的应用价值,为白血病患者的化疗治疗提供参考。方法于该院在2017年1月至2019年1月间进行白血病化疗治疗的患者中随机抽选120例,其中包括已进行化疗治疗的患者60例,未... 目的研究降钙素原(PCT)和超敏C-反应蛋白(hs-CRP)在白血病化疗评估中的应用价值,为白血病患者的化疗治疗提供参考。方法于该院在2017年1月至2019年1月间进行白血病化疗治疗的患者中随机抽选120例,其中包括已进行化疗治疗的患者60例,未进行化疗治疗的患者60例,并从健康人群中抽取60例作为研究对象,将其分为实验组和对照1组、对照2组,每组共计患者60例,检测两组对象的PCT和hs-CRP。结果实验组化疗后,PCT平均为(0.45±0.10)ng/mL,对照1组PCT平均标准为(0.44±0.16)ng/mL,对照2组PCT平均标准为(10.20±2.31)ng/mL;实验组化疗后的hs-CRP平均为(5.30±1.20)mg/L,对照1组hs-CRP平均为(5.12±1.30)mg/L,对照2组平均为(11.42±3.18)mg/L。实验组和对照1组研究对象在PCT和hs-CRP上,差异无统计学意义(P>0.05);实验组、对照1组和对照2组在PCT和hs-CRP上,差异有统计学意义(P<0.05)。结论PCT和hs-CRP应用在败血病患者的化疗评估中,具有参考性意义,有利于便捷的掌握患者在化疗后的情况。 展开更多
关键词 降钙素原 超敏C-反应蛋白 白血病化疗评估 应用
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动态增强磁共振成像(DCE-MRI)及弥散加权成像(DWI)在乳腺肿瘤良恶性诊断及乳腺癌化疗效果评估中的作用评价
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作者 程鹏 《航空航天医学杂志》 2024年第4期417-419,共3页
目的探究动态增强磁共振成像(DCE-MRI)及弥散加权成像(DWI)在乳腺肿瘤良恶性诊断及乳腺癌化疗效果评估中的作用。方法纳入88例均为2020年10月-2022年10月于我院进行检查的乳腺病变患者,所有患者均采用DCE-MRI及DWI检查。对比乳腺良恶性... 目的探究动态增强磁共振成像(DCE-MRI)及弥散加权成像(DWI)在乳腺肿瘤良恶性诊断及乳腺癌化疗效果评估中的作用。方法纳入88例均为2020年10月-2022年10月于我院进行检查的乳腺病变患者,所有患者均采用DCE-MRI及DWI检查。对比乳腺良恶性肿瘤ADC值;“金标准”为病理检查结果,分析DCE-MRI、DWI及联合检查在乳腺良恶性肿瘤中的诊断价值,并计算一致性;对比新辅助化疗(NAC)治疗效果评估。结果乳腺恶性肿瘤ADC最大值、最小值及平均ADC值均小于乳腺良性肿瘤(P<0.05)。联合检查在乳腺良恶性肿瘤诊断中灵敏度、特异度及准确度均高于各单项检查(P<0.05);一致性检验显示:DCE-MRI与DWI检查一致性均尚可(k值=0.552、0.435,P=0.000);联合检查的一致性良好(k值=0.928,P=0.000)。经NAC治疗后评估组织学非显著反应组(NMHR)12例,组织学显著反应组(MHR)23例。NMHR组ADC小于MHR组,Ktrans、Kep高于MHR组(P<0.05)。结论DCE-MRI联合DWI检查在乳腺肿瘤良恶性鉴别诊断中一致性较强,依据各指标水平变化可更好的判断病变性质,同时还可有效评估乳腺癌患者化疗效果,对及时调整治疗方案提供有效参考,值得推广应用。 展开更多
关键词 乳腺肿瘤 动态增强磁共振成像 弥散加权成像 化疗效果评估
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血清生长分化因子15水平在肺癌的诊断及化疗疗效评估中的价值研究 被引量:13
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作者 邓静静 徐爱晖 《中国全科医学》 CAS 北大核心 2017年第15期1823-1828,共6页
目的探讨血清生长分化因子15(GDF-15)水平在肺癌的诊断及化疗疗效评估中的价值,为临床提供参考。方法选取2015年12月—2016年8月就诊于安徽医科大学第一附属医院呼吸内科符合纳入标准的肺癌患者88例、肺炎患者31例以及来自本院体检中心... 目的探讨血清生长分化因子15(GDF-15)水平在肺癌的诊断及化疗疗效评估中的价值,为临床提供参考。方法选取2015年12月—2016年8月就诊于安徽医科大学第一附属医院呼吸内科符合纳入标准的肺癌患者88例、肺炎患者31例以及来自本院体检中心的健康者41例,分别作为肺癌组、肺炎组和正常对照组。检测患者入院时、健康者体检第1天时血清GDF-15水平,同时收集肺癌组患者吸烟情况、合并糖尿病情况、实验室检查指标[血红蛋白(HGB)、前清蛋白(PA)、乳酸脱氢酶(LDH)]、病理学特征(T分期、N分期、临床分期、病理类型);收集肺炎组、肺癌组患者血清GDF-15、癌胚抗原(CEA)、神经元特异性烯醇化酶(NSE)、细胞角蛋白19片段(CYFRA21-1)水平,绘制其诊断肺癌的受试者工作特征(ROC)曲线。观察连续2个化疗周期后肺癌组患者的临床疗效,并检测其血清GDF-15水平,分析血清GDF-15水平评估不同化疗疗效的价值。结果肺炎组、肺癌组血清GDF-15水平高于正常对照组(P<0.05);肺癌组血清GDF-15水平高于肺炎组(P<0.05)。体质指数≥24 kg/m^2肺癌组患者血清GDF-15水平高于体质指数<24 kg/m^2者,合并糖尿病肺癌组患者血清GDF-15水平高于无糖尿病者,血清HGB水平低于正常的肺癌组患者血清GDF-15水平高于血清HGB水平正常者(P<0.05)。T_(1~2)期肺癌组患者血清GDF-15水平低于T_(3~4)期者(P<0.05)。血清GDF-15水平诊断肺癌的截断值为1 199.05 ng/L,其灵敏度为78.2%,特异度为71.0%,ROC曲线下面积(AUC)为0.851[95%CI(0.774,0.910)],约登指数为0.492。血清CEA、NSE、CYFRA21-1水平诊断肺癌的AUC分别为0.630[95%CI(0.537,0.717)]、0.720[95%CI(0.631,0.799)]和0.654[95%CI(0.561,0.739)]。血清GDF-15水平诊断肺癌的AUC大于血清CEA、NSE、CYFRA21-1水平诊断肺癌的AUC(P<0.05)。肺癌组64例患者完成连续2个化疗周期,其中部分缓解11例、疾病稳定33例、疾病进展20例。化疗后不同疗效肺癌组患者血清GDF-15、CEA水平比较,差异有统计学意义(P<0.05);化疗后不同疗效肺癌组患者血清NSE、CYFRA21-1水平比较,差异无统计学意义(P>0.05)。结论血清GDF-15水平可作为筛查肺癌的血清标志物,且有望成为化疗疗效评价的新指标。 展开更多
关键词 肺肿瘤 生长分化因子15 诊断 化疗疗效评估 灵敏度 特异度
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血清肠三叶因子(TFF3)在非小细胞肺癌的诊断及化疗疗效评估中的意义 被引量:4
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作者 常远敏 尤青海 《临床肺科杂志》 2022年第2期267-271,共5页
目的探讨肠三叶因子(TFF3)在非小细胞肺癌的诊断及化疗疗效评估中的作用,为诊断和治疗非小细胞肺癌提供新的肿瘤标志物。方法选取2020年06月20日至2021年06月06日于安徽医科大学第一附属医院呼吸与危重症科初次确诊的84例非小细胞肺癌患... 目的探讨肠三叶因子(TFF3)在非小细胞肺癌的诊断及化疗疗效评估中的作用,为诊断和治疗非小细胞肺癌提供新的肿瘤标志物。方法选取2020年06月20日至2021年06月06日于安徽医科大学第一附属医院呼吸与危重症科初次确诊的84例非小细胞肺癌患者[肺鳞癌(LUSC)38例),肺腺癌(LUAD)46例]作为非小细胞肺癌组,同一时期在本医院进行体检的21例健康者为对照组,跟踪仅接受培美曲塞(LUAD)或紫杉醇(LUSC)+铂类方案连续化疗2个周期的非小细胞肺癌患者作为化疗组。使用酶联免疫吸附法(ELISA)检测非小细胞肺癌患者初次确诊时、连续化疗2个周期后、健康对照组体检第一天血清TFF3水平。采集非小细胞肺癌患者初次确诊时外周血实验室指标(中性粒细胞计数、血小板计数、淋巴细胞计数)、神经元烯醇化酶(NSE)、癌胚抗原(CEA)、细胞角蛋白19片段(CYFRA21-1)。下载肿瘤基因组图谱(The Cancer Genome Atlas, TCGA)数据库中的肺鳞癌、肺腺癌数据,分析TFF3表达水平与化疗疗效的关系。结果在非小细胞肺癌组中,肺腺癌和肺鳞癌患者化疗前血清TFF3水平均高于健康对照组,差异有统计学意义(P<0.05)。在血小板计数≥中位数的非小细胞肺癌患者血清中,TFF3的水平高于血小板计数<中位数组的非小细胞肺癌患者(P<0.05)。血清TFF3水平诊断非小细胞肺癌、肺腺癌、肺鳞癌的ROC曲线下面积(AUC)分别为0.73[95%CI(0.62,0.83)]、0.69[95%CI(0.56,0.82)]、0.77[95%CI(0.66,0.89)],约登指数分别为0.45、0.37、0.55,截断值分别为1109.37 pg/mL、1109.37 pg/mL、1110.61 pg/mL。在接受化疗的非小细胞肺癌患者中,化疗后血清TFF3水平显著低于化疗前,差异有统计学意义(P<0.05)。亚组分析显示:肺腺癌患者化疗后血清TFF3水平显著低于化疗前,差异有统计学意义(P<0.05),而肺鳞癌患者化疗前后血清TFF3水平无明显变化。通过分析TCGA数据库中非小细胞肺癌患者组织中TFF3水平与化疗效果之间的关系,发现对化疗效果敏感的肺腺癌患者具有更高的TFF3表达水平(P<0.05),而肺鳞癌患者化疗效果与TFF3的表达水平之间未发现明显关系(P>0.05)。结论 TFF3有望成为非小细胞肺癌的诊断及化疗疗效评估的新型肿瘤标记物。 展开更多
关键词 非小细胞肺癌 TFF3 诊断 化疗疗效评估
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血清HCY,CYFRA21-1和CEA在晚期NSCLC患者化疗疗效评估中的临床应用 被引量:6
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作者 李军 杨梅 黄锦蓉 《现代检验医学杂志》 CAS 2014年第1期147-149,共3页
目的研究NSCLC患者化疗前后血清Hey,cYFRA21—1和CEA水平的变化,探索其联合监测在NSCLC患者化疗疗效评价中的临床价值。方法选取汪油市第二人民医院NSCLC化疗病人37例,健康对照19例,其中鳞癌26例,腺癌11例,分别于化疗第一周期前... 目的研究NSCLC患者化疗前后血清Hey,cYFRA21—1和CEA水平的变化,探索其联合监测在NSCLC患者化疗疗效评价中的临床价值。方法选取汪油市第二人民医院NSCLC化疗病人37例,健康对照19例,其中鳞癌26例,腺癌11例,分别于化疗第一周期前和第二周期结束后,清晨空腹抽取静脉血检测Hcy,CYFRA21—1和CEA含量,对检测结果进行统计学分析。结果NSCLC患者化疗前后三项指标均明显高于健康对照组,差异有统计学意义(P〈0.05);经两周期化疗后三项指标较化疗前均有所下降,化疗有效组三项指标分别为11.02±4.11μmol/L,6.41±3.52μmol/L和79.12±46.03ng/ml,与化疗前(19.61±5.74μmol/L,10.15±4.23μmol/I。和119.82±63.15ng/m1)相比差异均有统计学意义(P〈0.05),化疗无效组化疗后血清三项指标分别为17.94±7.25〉mol/L,9.53±4.85μmol/L和98.37±52.16ng/ml,与化疗前(19.23士6.32Lμmol/L,ll;57±5.06/μmol/LA和109.53土58.7ng/mI)相比有所下降,但差异无统计学意义(P〉0.05);两组化疗前数据比较差异无统计学意义。结论NSCLC患者化疗过程中监测血清Hcy,CYFRA21—1和CEA水平的变化,可以评估NSCLC患者化疗疗效,观察息者病情动态变化。 展开更多
关键词 非小细胞肺癌 同型半胱氨酸 化疗 疗效评估
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骨肉瘤化疗研究新进展 被引量:3
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作者 王家骐 梅炯 蔡宣松 《中国肿瘤临床》 CAS CSCD 北大核心 2005年第7期418-420,共3页
关键词 骨肉瘤 新辅助化疗 化疗评估 血管生成
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骨肉瘤化疗的现状和研究进展 被引量:8
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作者 王家骐 梅炯 蔡宣松 《同济大学学报(医学版)》 CAS 2004年第6期538-540,共3页
关键词 骨肉瘤 新辅助化疗 化疗评估
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Iodized oil uptake assessment with cone-beam CT in chemoembolization of small hepatocellular carcinomas 被引量:8
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作者 Ung Bae Jeon Jun Woo Lee +5 位作者 Ki Seok Choo Chang Won Kim Suk Kim Tae Hong Lee Yeon Joo Jeong Dae Hwan Kang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第46期5833-5837,共5页
AIM:To evaluate the utility of assessing iodized oil uptake with cone-beam computed tomography(CT)in transarterial chemoembolization(TACE)for small he-patocellular carcinoma(HCC).METHODS:Cone-beam CT provided by a bip... AIM:To evaluate the utility of assessing iodized oil uptake with cone-beam computed tomography(CT)in transarterial chemoembolization(TACE)for small he-patocellular carcinoma(HCC).METHODS:Cone-beam CT provided by a biplane flat-panel detector angiography suite was performed on eighteen patients(sixteen men and two women;41-76 years;mean age,58.9 years)directly after TACE for small HCC(26 nodules under 30 mm;mean diam-eter,11.9 mm;range,5-28 mm).The pre-procedural locations of the tumors were evaluated using tripha-sic multi-detector row helical computed tomography(MDCT).The tumor locations on MDCT and the iodized oil uptake by the tumors were analyzed on cone-beam CT and on spot image directly after the procedures.RESULTS:All lesions on preprocedural MDCT were de-tected using iodized oil uptake in the lesions on cone-beam CT(sensitivity 100%,26/26).Spot image depictediodized oil uptake in 22 of the lesions(sensitivity 85%).The degree of iodized oil uptake was overestimated(9%,2/22)or underestimated(14%,3/22)on spot image in f ive nodules compared with that of cone-beam CT.CONCLUSION:Cone-beam CT is a useful and conve-nient tool for assessing the iodized oil uptake of small hepatic tumors(< 3 cm)directly after TACE. 展开更多
关键词 CHEMOEMBOLIZATION Computed tomography Hepatocellular carcinoma LIVER
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Outcomes of patients with cirrhosis undergoing non-hepatic surgery:Risk assessment and management 被引量:10
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作者 Farida Millwala Geoffrey C Nguyen Paul J Thuluvath 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第30期4056-4063,共8页
The reported mortality rates in patients with cirrhosis undergoing various non-transplant surgical procedures range from 8.3% to 25%. This wide range of mortality rates is related to severity of liver disease, type of... The reported mortality rates in patients with cirrhosis undergoing various non-transplant surgical procedures range from 8.3% to 25%. This wide range of mortality rates is related to severity of liver disease, type of surgery, demographics of patient population, expertise of the surgical, anesthesia and intensive care unit team and finally, reporting bias. In this article, we will review the pathophysiology, morbidity and mortality associated with non-hepatic surgery in patients with cirrhosis, and then recommend an algorithm for risk assessment and evidence based management strategy to optimize post-surgical outcomes. 展开更多
关键词 Pre-operative risk assessment Risk stratification CIRRHOSIS Model for end-stage liver disease Non-transplant surgery OUTCOMES
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成年人肿瘤患者静脉化疗前护理评估的最佳证据应用 被引量:3
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作者 王丽英 陆海燕 +4 位作者 杨瑒 陈凤珍 薛嵋 张晓菊 陆箴琦 《中国实用护理杂志》 2021年第4期241-247,共7页
目的将现有与成年人肿瘤患者静脉化疗前护理评估相关的最佳证据应用到护理实践,以提高护士的评估依从性,促进化疗用药安全。方法采用乔安娜·布里格斯研究所(JBI)临床证据实践应用系统(PACES),基于目前最佳证据,制订了12条审查指标... 目的将现有与成年人肿瘤患者静脉化疗前护理评估相关的最佳证据应用到护理实践,以提高护士的评估依从性,促进化疗用药安全。方法采用乔安娜·布里格斯研究所(JBI)临床证据实践应用系统(PACES),基于目前最佳证据,制订了12条审查指标,包括护士培训以及患者病史、过敏史、诊断、实验室数据、对方案的理解程度、以往治疗不良反应、生理、心理、化疗前用药、体质量及血管通路的评估。于2018年5—10月,在复旦大学附属肿瘤医院2个肿瘤内科病房开展质量审查与流程再造。结果审查前后均有68例患者、36名护士参与,项目实施前,第11条与12条(评估化疗前用药及血管通路装置)依从性已经达到100%。项目实施后,除第4、10条审查指标(每周测量患者体质量)外,其余8条护士执行依从性均得到了显著性提高,差异有统计学意义(χ^2值为10.29~132.06,P<0.01)。以往不良反应评估显示:68例患者中,3例曾经出现过化疗药物输注反应,药物分别为奥沙利铂、吉西他滨和紫杉醇;39例在入院前(居家期间)出现过化疗相关症状,出现频率占据前5位的症状分别为食欲下降、疲乏、恶心、神经毒性反应和呕吐,入院时大多已缓解。结论基于循证的质量审查项目显著改善了化疗前护理评估的临床护理实践,但仍有许多问题有待进一步解决,需要持续开展质量审查,以不断提高护理质量。 展开更多
关键词 成年人肿瘤患者 化疗前护理评估 循证护理 最佳实践 质量审查
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Contrast-enhanced ultrasonography assessment of gastric cancer response to neoadjuvant chemotherapy 被引量:18
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作者 Jian Ang Liang Hu +5 位作者 Pin-Tong Huang Jin-Xiu Wu Ling-Na Huang Chun-Hui Cao Yi-Xiong Zheng Li Chen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第47期7026-7032,共7页
AIM:To quantitatively assess the ability of double contrast-enhanced ultrasound(DCUS) to detect tumor early response to pre-operative chemotherapy.METHODS:Forty-three patients with gastric cancer treated with neoadjuv... AIM:To quantitatively assess the ability of double contrast-enhanced ultrasound(DCUS) to detect tumor early response to pre-operative chemotherapy.METHODS:Forty-three patients with gastric cancer treated with neoadjuvant chemotherapy followed by curative resection between September 2011 and February 2012 were analyzed.Pre-operative chemotherapy regimens of fluorouracil + oxaliplatin or S-1 + oxaliplatin were administered in 2-4 cycles over 6-12 wk periods.All patients underwent contrast-enhanced computed tomography(CT) scan and DCUS before and after two courses of pre-operative chemotherapy.The therapeutic response was assessed by CT using the response evaluation criteria in solid tumors(RECIST 1.1) criteria.Tumor area was assessed by DCUS as enhanced appearance of gastric carcinoma due to tumor vascularity during the contrast phase as compared to the normal gastric wall.Histopathologic analysis was carried out according to the Mandard tumor regression grade criteria and used as the reference standard.Receiver operating characteristic(ROC) analysis was used to evaluate the efficacy of DCUS parameters in differentiating histopathological responders from non-responders.RESULTS:The study population consisted of 32 men and 11 women,with mean age of 59.7 ± 11.4 years.Neither age,sex,histologic type,tumor site,T stage,nor N stage was associated with pathological response.The responders had significantly smaller mean tumor size than the non-responders(15.7 ± 7.4 cm vs 33.3 ± 14.1 cm,P < 0.01).According to Mandard's criteria,27 patients were classified as responders,with 11(40.7%) showing decreased tumor size by DCUS.In contrast,only three(18.8%) of the 16 non-responders showed decreased tumor size by DCUS(P < 0.01).The area under the ROC curve was 0.64,with a 95%CI of 0.46-0.81.The effects of several cut-off points on diagnostic parameters were calculated in the ROC curve analysis.By maximizing Youden's index(sensitivity + specificity-1),the best cut-off point for distinguishing responders from non-responders was determined,which had optimal sensitivity of 62.9% and specificity of 56.3%.Using this cut-off point,the positive and negative predictive values of DCUS for distinguishing responders from non-responders were 70.8% and 47.4%,respectively.The overall accuracy of DCUS for therapeutic response assessment was 60.5%,slightly higher than the 53.5% for CT response assessment with RECIST criteria(P = 0.663).Although the advantage was not statistically significant,likely due to the small number of cases assessed.DCUS was able to identify decreased perfusion in responders who showed no morphological change by CT imaging,which can be occluded by such treatment effects as fibrosis and edema.CONCLUSION:DCUS may represent an innovative tool for more accurately predicting histopathological response to neoadjuvant chemotherapy before surgical resection in patients with locally-advanced gastric cancer. 展开更多
关键词 Gastric cancer CHEMOTHERAPY Ultrasonic imaging Predictive value of tests Disease management
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Evaluation of the effect of neoadjuvant chemotherapy on tumor and axillary lymph nodes in locally advanced breast cancer: a study of 50 patients
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作者 Ali H.Meebed Ihab S.Fayek +2 位作者 Amany Saber Reda H.Tabashy Mona A.Sakr 《The Chinese-German Journal of Clinical Oncology》 CAS 2014年第8期363-369,共7页
Objective: The purpose of the study was to correlate between effect of pre-neoadjuvant chemotherapy (NACT) and post-NACT clinical, sonographic and pathologic features of the tumor and axillary lymph nodes (ALNs) ... Objective: The purpose of the study was to correlate between effect of pre-neoadjuvant chemotherapy (NACT) and post-NACT clinical, sonographic and pathologic features of the tumor and axillary lymph nodes (ALNs) and to raise the possibility of applying the concept of sentinel lymph node biopsy (SLNB) in patients with initially positive ALNs before NACT. Methods: A prospective study of 50 female patients with locally advanced breast cancer (LABC) with clinically palpable.and cytologically (under ultrasonographic guidance) positive ALNs. All patients received NACT and then referred for ultrasono- graphic assessment of the axilla regarding any detectable sonographic criteria of metastatic deposits in ALNs as well as the tumor size in relation to its prechemotherapy size, All patients were then subjected either to modified radical mastectomy or breast conserving surgery. The clinical, sonographic and pathological response of the tumor and the ALNs were documented, classified and correlated with each other. Results: Patients' mean age was 47.7±9.1 years. The mean clinical tumor size was 6.7 ± 1.4 cm; stage IliA that was presented in 32 patients (64%) and IIIB was presented in 18 patients (36%). Chemotherapy was given for a median of 4 cycles, there was reduction of the mean clinical tumor size from 6.7 ± 1.4 cm to 4.3 ± 2.7 cm (P 〈 0.001). Clinical response was complete in 5 (10%) tumors, complete pathological tumor response (post-neoadjuvant) was detected in 6 (16%) of patients. Complete clinical nodal response (post-neoadjuvant) in 23 (46%) axillae, on sonographic assessment of the axilla, response was complete in 17 (34%) axillae. Complete pathological nodal response occurred in 16 (32%) axillae. Out of 17 axillae that showed complete sonographic response 11 axillae showed complete pathological nodal response (P 〈 0.001). Conclusion: Formal axillary lymph node dissection can be avoided and replaced by SLNB post NACT in patients with LABC with metastatic ALNs if there were complete clinical and sonographic criteria of nodal response as well as complete pathological tumor response. 展开更多
关键词 locally advanced breast cancer (LABC) neoadjuvant chemotherapy (NACT) axUlary nodes
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Assessment of maintenance oral Etoposide following induction chemotherapy with gemcitabine and cisplating in chemonaive extensive small cell lung cancer
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作者 Lobna R Ezz Elarab Manal M Abdel Wahab +1 位作者 Menha Swellam Zakaria Mostafa 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第10期569-573,共5页
Objective: The aim of our study was to evaluate the response and tolerability to treatment when using gemcitabine-cisplatin combination (GC), followed by maintenance therapy of oral etoposide for non-progressive pa... Objective: The aim of our study was to evaluate the response and tolerability to treatment when using gemcitabine-cisplatin combination (GC), followed by maintenance therapy of oral etoposide for non-progressive patients in trial to improve progression free survival and overall survival. Methods: Thirty nine patients with extensive small cell lung cancer (SCLC) and ECOG ≤ 2 received 4 cycles of chemotherapy consisting of gemcitabine 1000 mg/m^2 (day 1 and 8) cisplating 75 mgim2 (day 1) every three weeks. Twenty seven non-progressive patients after 4 cycles of chemotherapy were randomized either to receive oral etoposide 50 mg/m^2 for consecutive 15 days every 3 weeks vs no therapy for three months or progression. Results: Thirty nine eligible patients treated with GC, 27 non progressive patients were subsequently randomized to oral etoposide or observation. Median follow-up was 18 months. The overall response rate to GC was 59% and toxicity to oral etoposide was mild. There was improvement in median progression-free survival (PFS) favoring the maintenance arm of 10.5 months vs 7 months (P 〈 0.05). Median overall survival (OS) had improved towards the maintenance arm (13 vs 11.5 months). One year survival (60% vs 24%), 18 months survival (20% vs 5%) favoring the maintenance. Multivariate analysis revealed that age, performance status, maintenance therapy, and response to treatment were independent prognostic factors for OS. Age, maintenance therapy, and response to treatment were highly significant factors for PFS. Conclusion: Gemcitabine-cisplatin is an effective and tolerable regiment for extensive disease of SCLC. The addition of 3 months of oral etoposide in non progressing patients was associated with a significant improvement of PFS and longer OS. 展开更多
关键词 GEMCITABINE CISPLATIN small cell lung cancer
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Measurement of serum cystatin C,creatinine clearance and urea micro-albumin as renal function evaluation indicators in cancer patients during chemotherapy with platinum 被引量:1
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作者 Xun Cai Peng Xue +4 位作者 Meizhen Gu Jiong Hu Hongli Gu Haiyan Yang Liwei Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2011年第4期235-239,共5页
Objective:Chemotherapy drugs such as platinum may cause damage to the renal function,creatinine clearance(Ccr),as a "golden standard" indicator in clinical evaluation of renal function,was limited in applica... Objective:Chemotherapy drugs such as platinum may cause damage to the renal function,creatinine clearance(Ccr),as a "golden standard" indicator in clinical evaluation of renal function,was limited in application due to complicated detection steps.By detecting the expression of serum Cystatin C(Cys C),Ccr and urinary micro-albumin(UMA),this study was designed to analyze and discuss their roles and status in renal function evaluation for cancer patients before and after chemotherapy with platinum.Methods:We retrospectively reviewed 110 patients who receiving platinum-containing protocols or non-platinum-containing ones,and got the expression of Cys C,Ccr(was calculated by Cockcroft-Gault equation) and UMA,then analyzed whether there were differences for Cys C,Ccr and UMA in those patients;for patients with mildly impaired renal function(Ccr between 50-75 mL/min),whether there were differences for Cys C and UMA before and after chemotherapy with platinum.Results:There was statistical significance for Ccr,Cys C and UMA in patients who receiving platinum-containing protocols(85.01 ± 28.40) vs(76.79 ± 26.63) mL/min,(1.49 ± 0.50) vs(1.80 ± 0.84) mg/L and(14.30 ± 9.15) vs(16.90 ± 10.95) mg/L,P = 0.00,0.00 and 0.01),and no statistical significance for those receiving non-platinum-containing ones(89.45 ± 29.69) vs(86.78 ± 27.96) mL/min,(1.51 ± 0.78) vs(1.63 ± 0.73)mg/L and(17.31 ± 10.46) vs(16.59 ± 8.33) mg/L,P = 0.45,0.07 and 0.57);and there were also significant differences for Cys C for patients with mildly impaired renal function before and after chemotherapy(1.68 ± 0.55) vs(2.04 ± 0.68) mg/L,P = 0.03),while no statistical significance for UMA for the same ones(21.11 ± 10.06) vs(21.22 ± 8.81) mg/L,P = 0.93).There were statistical significance both for Cys C and UMA before and after chemotherapy in platinum-containing group,but the AUC for Ccr and Cys C is greater than that for UMA(P < 0.02).Conclusion:Cys C and UMA can both access renal dysfunction early after chemotherapy,but Cys C is more sensitive than UMA in reflecting early renal dysfunction,so Cys C can replace Ccr and become a reliable indicator in the assessment of renal function for cancer patients before and after chemotherapy especially with platinum. 展开更多
关键词 Cystatin C(Cys C) creatinine clearance(Ccr) urinary micro-albumin(UMA) neoplasms
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Preparation and Evaluation of High Antioxidant Talbina as a Protective and Therapeutic Meal
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作者 Ahmed M. Abdel-Salam 《Journal of Agricultural Science and Technology(B)》 2014年第5期418-425,共8页
Functional properties of Talbina were used in ancient Arab for nutritional purpose. It was a meal made from barley flour and milk. The high antioxidant Talbina was formulated from whole flour of harley and oat, milk, ... Functional properties of Talbina were used in ancient Arab for nutritional purpose. It was a meal made from barley flour and milk. The high antioxidant Talbina was formulated from whole flour of harley and oat, milk, date palm syrup (debis) and date palm seeds. The chemical composition, organoleptic properties and antioxidant activity of high antioxidant Talbina were determined. Sensory evaluation of traditional and high antioxidant Talbina showed that the developed product Talbina was considered as good for overall acceptability of all panelists. Also, the formulated Talbina contains high values of antioxidants components and natural nutrients. The antioxidant activity of formulated Talbina containing barley or oat may be due to presence of phenolic compounds and proanthocyanidins in the barley and oat. Increasing the antioxidant activity of high antioxidant Talbina containing barley and oat may be due to the adding of dates palm seeds which contain very high values of phenolic compounds and other antioxidants components. Date palm seeds as well as barley and/or oat give high antioxidants components which protect cells from oxidative stress and help to reduce the risk of cancer and heart disease as well as natural anti-depressant. Moreover, increasing the antioxidant activity in the formulated Talbina may play a role for reducing power, radical scavenging activity and the lipid peroxidation inhibition. In conclusion, supplementation of traditional Talbina containing barley and/or oat with date palm syrup (debis) and date palm seeds can produce simple and healthy meal to provide a good source of daily dietary antioxidants and micronutrients. 展开更多
关键词 Talbina ANTIOXIDANT BARLEY oat milk debis date palm seeds protective effect therapeutic meal.
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超声医学在卵巢肿瘤诊断和化疗效果评估中应用的研究进展
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作者 李霏艳 王静 《中文科技期刊数据库(全文版)医药卫生》 2022年第7期158-161,共4页
卵巢肿瘤是妇科常见疾病,在女性各年龄阶段均可发生,其中卵巢癌是发生率最高的恶性肿瘤,也是导致患者死亡的首要因素。随着近年来超声医学的发展,卵巢肿瘤的诊断不断优化,逐渐提升了对卵巢及细微病理特征的识别能力,已成为良、恶性卵巢... 卵巢肿瘤是妇科常见疾病,在女性各年龄阶段均可发生,其中卵巢癌是发生率最高的恶性肿瘤,也是导致患者死亡的首要因素。随着近年来超声医学的发展,卵巢肿瘤的诊断不断优化,逐渐提升了对卵巢及细微病理特征的识别能力,已成为良、恶性卵巢肿瘤最重要的影像学检查手段,同时近年来超声检查开始广泛应用于卵巢癌化疗效果评估中并取得了较理想的效果。鉴于此,文章就近两年所发表的超声医学在卵巢肿瘤诊断和化疗效果评估文献结合我院实际情况做如下总结,为后续临床研究者深入探究提供理论基础。 展开更多
关键词 超声医学 卵巢肿瘤 诊断 化疗效果评估
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发疱性药物所致静脉外渗损伤的预防方法 被引量:1
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作者 陈静 郝宝莲 赵丽 《医学信息》 2011年第17期5919-5919,共1页
目的探讨发疱性药物所致静脉外渗损伤的危险因素,对静脉外渗相关因素进行原因分析,掌握药物外渗相关知识,从而提出急救及预防措施。方法回顾性分析48例发疱性药物所致静脉外渗的临床症状,处理和结果,从药物因素、患者因素、操作因... 目的探讨发疱性药物所致静脉外渗损伤的危险因素,对静脉外渗相关因素进行原因分析,掌握药物外渗相关知识,从而提出急救及预防措施。方法回顾性分析48例发疱性药物所致静脉外渗的临床症状,处理和结果,从药物因素、患者因素、操作因素、温度因素等方面进行全面分析。结果与结论发疱性药物引起的静脉外渗资料中表明,不同部位、不同处理时间与预后有着密切的关系。临床使用发疱性药物前应充分评估病人.采取相应的预防措施,使药物外渗现象降到最低,保证治疗顺利进行,确保护理安全。 展开更多
关键词 静脉外渗 化疗药物外渗高危因素评估 PICC 静脉档案
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Assessment of Non-chemical Alternatives for Controlling the Burrowing Nematode on Banana in Costa Rica
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作者 A. Martinuz G. Navarro +1 位作者 L. Pocasangre L. Quiros 《Journal of Agricultural Science and Technology(A)》 2011年第4X期550-562,共13页
The objective of this study was to technically and economically assess the effect of biopesticides on the serious plant parasitic nematode Radopholus similis on banana in Costa Rica. The following treatments were eval... The objective of this study was to technically and economically assess the effect of biopesticides on the serious plant parasitic nematode Radopholus similis on banana in Costa Rica. The following treatments were evaluated: a mixture of nematode trapping fungi-Arthrobotrys oligospora, A. botryospora, Dactylella brochophaga and Drechmeria coniospora; DiTera DF which consist of a "dead" fungus Myrothecium spp. and its fermentation substrate; Savitan produced from desert plant extracts; QL Agri which contain Quillaja saponaria extracts; Japanese-style compost called Bokashi; two application of a chemical nematicide; and an absolute control. Results of root sampling on a six month basis showed that the biopesticides had lower nematode population densities than the control with the nematode trapping-fungi having statistically significant differences over the other treatments. Chemical control was highly effective and produced the lowest nematode density. However, there were no significant differences between the chemical treatment and the trapping-fungi treatment. The functional root weight and bunch weight showed no significant differences between treatments. Conversely, economic analyses indicated that using nematode trapping-fungi, chemical nematieide, or the QL Agri treatments gave a detectable profit. The land expectation value (LEV) of the banana plantation was higher than the price of banana land which indicated that under normal conditions in the banana sector, production is economically sustainable / profitable. Other results confirm that profit in banana production is affected by the price of a banana box, production and discount rate. The optimal production cycle was obtained in year ten after farm establishment, which refers to the year with the highest profit following plantation renewal. Finally, economical results highlighted the importance of nematodes control, since profitability indexes were sensitive to the efficiency and cost of nematode management technology adopted by the banana company. 展开更多
关键词 BANANA Radopholus similis land expectation value BIO-CONTROL chemical nematicide and economical analysis.
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乳腺光声成像进展
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作者 黄可尔 张良 林励 《中国激光》 EI CAS CSCD 北大核心 2024年第9期29-41,共13页
乳腺癌早期筛查、精准诊断、有效治疗是提高患者生存率的重要因素,而影像学是筛查、诊断、治疗评估的主要手段。基于现有的影像技术,乳腺临床诊治流程虽然已逐步规范化,但在高效灵敏筛查、无创精准诊断以及治疗监测评估等方面仍存在核... 乳腺癌早期筛查、精准诊断、有效治疗是提高患者生存率的重要因素,而影像学是筛查、诊断、治疗评估的主要手段。基于现有的影像技术,乳腺临床诊治流程虽然已逐步规范化,但在高效灵敏筛查、无创精准诊断以及治疗监测评估等方面仍存在核心局限。例如,传统的医学影像技术存在诊断特异性低、成像速度慢、使用电离辐射或注射造影剂等局限,仍存在重大临床诉求。光声成像作为一项新兴的医学影像技术,可以与传统技术形成优势互补,提供快速(如10~15s完成全乳腺扫描)、高分辨率、信息丰富的医学影像。其光学对比度和声学分辨率使之具备揭示肿瘤微环境结构、功能、分子细节特征的能力。本文简述了光声成像的技术原理和主要设计形态,概述并评价了乳腺肿瘤筛查、诊断和治疗评估领域的代表性光声成像研究。最后讨论了光声成像在乳腺临床上的应用前景,其有望成为继钼靶、超声、核磁共振之后的“第四大”乳腺成像技术。 展开更多
关键词 医用光学 光声成像 乳腺肿瘤微环境 乳腺癌筛查 早期精准诊断 新辅助化疗评估 肿瘤切缘检测
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