Background:Screening using low-dose computed tomography(LDCT)is a more effective approach and has the potential to detect lung cancer more accurately.We aimed to conduct a meta-analysis to estimate the accuracy of pop...Background:Screening using low-dose computed tomography(LDCT)is a more effective approach and has the potential to detect lung cancer more accurately.We aimed to conduct a meta-analysis to estimate the accuracy of population-based screening studies primarily assessing baseline LDCT screening for lung cancer.Methods:MEDLINE,Excerpta Medica Database,and Web of Science were searched for articles published up to April 10,2022.According to the inclusion and exclusion criteria,the data of true positives,false-positives,false negatives,and true negatives in the screening test were extracted.Quality Assessment of Diagnostic Accuracy Studies-2 was used to evaluate the quality of the literature.A bivariate random effects model was used to estimate pooled sensitivity and specificity.The area under the curve(AUC)was calculated by using hierarchical summary receiver-operating characteristics analysis.Heterogeneity between studies was measured using the Higgins I 2 statistic,and publication bias was evaluated using a Deeks’funnel plot and linear regression test.Results:A total of 49 studies with 157,762 individuals were identified for the final qualitative synthesis;most of them were from Europe and America(38 studies),ten were from Asia,and one was from Oceania.The recruitment period was 1992 to 2018,and most of the subjects were 40 to 75 years old.The analysis showed that the AUC of lung cancer screening by LDCT was 0.98(95%CI:0.96-0.99),and the overall sensitivity and specificity were 0.97(95%CI:0.94-0.98)and 0.87(95%CI:0.82-0.91),respectively.The funnel plot and test results showed that there was no significant publication bias among the included studies.Conclusions:Baseline LDCT has high sensitivity and specificity as a screening technique for lung cancer.However,long-term follow-up of the whole study population(including those with a negative baseline screening result)should be performed to enhance the accuracy of LDCT screening.展开更多
Two series of a-aminophosphonate derivatives containing a quinoline moiety have been designed and synthesized by introducing bioactive quinoline scaffold to a-aminophosphonate. The in vitro cytotoxic activities of tar...Two series of a-aminophosphonate derivatives containing a quinoline moiety have been designed and synthesized by introducing bioactive quinoline scaffold to a-aminophosphonate. The in vitro cytotoxic activities of target compounds were first investigated against two human cancer cell lines including Eca109 and Huh7 by MTT assay. Results revealed that most of target compounds exhibited moderate to high antitumor activities against the tested cancer cell lines and some demonstrated more potent inhibitory activities compared with Sunitinib. Among them, compounds 4b2 and 4b4 containing methylsubstituted aniline group were found to be more active than Sunitinib against both of two cancer cell lines, with IC50 in the range of 2.26 mmol/L–7.46 mmol/L.展开更多
基金a grant from the Natural Science Foundation of Henan Province(No.212300410261).
文摘Background:Screening using low-dose computed tomography(LDCT)is a more effective approach and has the potential to detect lung cancer more accurately.We aimed to conduct a meta-analysis to estimate the accuracy of population-based screening studies primarily assessing baseline LDCT screening for lung cancer.Methods:MEDLINE,Excerpta Medica Database,and Web of Science were searched for articles published up to April 10,2022.According to the inclusion and exclusion criteria,the data of true positives,false-positives,false negatives,and true negatives in the screening test were extracted.Quality Assessment of Diagnostic Accuracy Studies-2 was used to evaluate the quality of the literature.A bivariate random effects model was used to estimate pooled sensitivity and specificity.The area under the curve(AUC)was calculated by using hierarchical summary receiver-operating characteristics analysis.Heterogeneity between studies was measured using the Higgins I 2 statistic,and publication bias was evaluated using a Deeks’funnel plot and linear regression test.Results:A total of 49 studies with 157,762 individuals were identified for the final qualitative synthesis;most of them were from Europe and America(38 studies),ten were from Asia,and one was from Oceania.The recruitment period was 1992 to 2018,and most of the subjects were 40 to 75 years old.The analysis showed that the AUC of lung cancer screening by LDCT was 0.98(95%CI:0.96-0.99),and the overall sensitivity and specificity were 0.97(95%CI:0.94-0.98)and 0.87(95%CI:0.82-0.91),respectively.The funnel plot and test results showed that there was no significant publication bias among the included studies.Conclusions:Baseline LDCT has high sensitivity and specificity as a screening technique for lung cancer.However,long-term follow-up of the whole study population(including those with a negative baseline screening result)should be performed to enhance the accuracy of LDCT screening.
基金financial support of this work by the National Natural Science Foundation of China(Nos.21105091,21172201)
文摘Two series of a-aminophosphonate derivatives containing a quinoline moiety have been designed and synthesized by introducing bioactive quinoline scaffold to a-aminophosphonate. The in vitro cytotoxic activities of target compounds were first investigated against two human cancer cell lines including Eca109 and Huh7 by MTT assay. Results revealed that most of target compounds exhibited moderate to high antitumor activities against the tested cancer cell lines and some demonstrated more potent inhibitory activities compared with Sunitinib. Among them, compounds 4b2 and 4b4 containing methylsubstituted aniline group were found to be more active than Sunitinib against both of two cancer cell lines, with IC50 in the range of 2.26 mmol/L–7.46 mmol/L.
