Occult peritoneal metastasis (PM) in advanced gastric cancer (AGC) patients is highly possible to be missed on computed tomography (CT) images. Patients with occult PMs are subject to late detection ...or even improper surgical treatment. We therefore aimed to develop a radiomic nomogram to preoperatively identify occult PMs in AGC patients.
A total of 554 AGC patients from 4 centers were divided into 1 training, 1 internal validation, and 2 external validation cohorts. All patients’ PM status was firstly diagnosed as negative by CT, but later confirmed by laparoscopy (PM-positive n = 122, PM-negative n = 432). Radiomic signatures reflecting phenotypes of the primary tumor (RS1) and peritoneum region (RS2) were built as predictors of PM from 266 quantitative image features. Individualized nomograms of PM status incorporating RS1, RS2, or clinical factors were developed and evaluated regarding prediction ability.
RS1, RS2, and Lauren type were significant predictors of occult PM (all P < 0.05). A nomogram of these three factors demonstrated better diagnostic accuracy than the model with RS1, RS2, or clinical factors alone (all net reclassification improvement P < 0.05). The area under curve yielded was 0.958 95% confidence interval (CI) 0.923–0.993, 0.941 (95% CI 0.904–0.977), 0.928 (95% CI 0.886–0.971), and 0.920 (95% CI 0.862–0.978) for the training, internal, and two external validation cohorts, respectively. Stratification analysis showed that this nomogram had potential generalization ability.
CT phenotypes of both primary tumor and nearby peritoneum are significantly associated with occult PM status. A nomogram of these CT phenotypes and Lauren type has an excellent prediction ability of occult PM, and may have significant clinical implications on early detection of occult PM for AGC.
It has long been known that males are more susceptible than females to hepatocellular carcinoma (HCC), but the reason remains elusive. In this study, we investigated the expression and function of ...the long noncoding RNA FTX (lnc-FTX), an X-inactive-specific transcript (XIST) regulator transcribed from the X chromosome inactivation center, in both HCC and HCC gender disparity. lnc-FTX is expressed at higher levels in female livers than in male livers and is significantly downregulated in HCC tissues compared with normal liver tissues. Patients with higher lnc-FTX expression exhibited longer survival, suggesting that lnc-FTX is a useful prognostic factor for HCC patients. lnc-FTX inhibits HCC cell growth and metastasis both in vitro and in vivo. Mechanistically, lnc-FTX represses Wnt/β-catenin signaling activity by competitively sponging miR-374a and inhibits HCC cell epithelial-mesenchymal transition and invasion. In addition, lnc-FTX binds to the DNA replication licensing factor MCM2, thereby impeding DNA replication and inhibiting proliferation in HCC cells. In conclusion, these findings suggest that lnc-FTX may act as a tumor suppressor in HCC through physically binding miR-374a and MCM2. It may also be one of the reasons for HCC gender disparity and may potentially contribute to HCC treatment.
The cross sections of e+e-→π+π-hc at center-of-mass energies from 3.896 to 4.600 GeV are measured using data samples collected with the BESIII detector operating at the Beijing Electron Positron ...Collider. The cross sections are found to be of the same order of magnitude as those of e+e-→π+π- J/ψ and e+e-→π+π-ψ (2S), but the line shape is inconsistent with the Y states observed in the latter two modes. Two structures are observed in the e+e- → π+π- hc cross sections around 4.22 and 4.39 GeV / c 2 , which we call Y ( 4220 ) and Y ( 4390 ) , respectively. A fit with a coherent sum of two Breit-Wigner functions results in a mass of (4218.4 $+5.5\atop{-4.5 ± 0.9) MeV/c2 and a width of 66.0$+12.3\atop-8.3$±0.4 MeV for the Y (4220), and a mass of (4391.5 $+6.3\atop-16.8$ ± 1.0) MeV/c2 and a width of (139.5$+16.2\atop-20.6 ± 0.6) MeV for the Y (4390), where the first uncertainties are statistical and the second ones systematic. The statistical significance of Y ( 4220 ) and Y(4390) is 10σ over one structure assumption.
We study the e^{+}e^{-}→γωJ/ψ process using 11.6 fb^{-1} e^{+}e^{-} annihilation data taken at center-of-mass energies from sqrts=4.008 GeV to 4.600 GeV with the BESIII detector at the BEPCII ...storage ring. The X(3872) resonance is observed for the first time in the ωJ/ψ system with a significance of more than 5σ. The relative decay ratio of X(3872)→ωJ/ψ and π^{+}π^{-}J/ψ is measured to be R=1.6_{-0.3}^{+0.4}±0.2, where the first uncertainty is statistical and the second systematic (the same hereafter). The sqrts-dependent cross section of e^{+}e^{-}→γX(3872) is also measured and investigated, and it can be described by a single Breit-Wigner resonance, referred to as the Y(4200), with a mass of 4200.6_{-13.3}^{+7.9}±3.0 MeV/c^{2} and a width of 115_{-26}^{+38}±12 MeV. In addition, to describe the ωJ/ψ mass distribution above 3.9 GeV/c^{2}, we need at least one additional Breit-Wigner resonance, labeled as X(3915), in the fit. The mass and width of the X(3915) are determined. The resonant parameters of the X(3915) agree with those of the Y(3940) in B→KωJ/ψ and of the X(3915) in γγ→ωJ/ψ observed by the Belle and BABAR experiments within errors.
Using a data sample corresponding to an integrated luminosity of 2.93 fb−1 taken at a center-of-mass energy of 3.773 GeV with the BESIII detector operated at the BEPCII collider, we perform an ...analysis of the semileptonic decays D0(+)→π−(0)μ+νμ. The branching fractions of D0→π−μ+νμ and D+→π0μ+νμ are measured to be (0.272±0.008stat±0.006syst)% and (0.350±0.011stat±0.010syst)%, respectively, where the former is of much improved precision compared to previous results and the latter is determined for the first time. Using these results along with previous BESIII measurements of D0(+)→π−(0)e+νe, we calculate the branching fraction ratios to be R0≡BD0→π−μ+νμ/BD0→π−e+νe=0.922±0.030stat±0.022syst and R+≡BD+→π0μ+νμ/BD+→π0e+νe=0.964±0.037stat±0.026syst, which are compatible with the theoretical expectation of lepton flavor universality within 1.7σ and 0.5σ, respectively. We also examine the branching fraction ratios in different four-momentum transfer square regions, and find no significant deviations from the standard model predictions.
In this paper, the spin and parity of the Zc(3900)± state are determined to be JP = 1+ with a statistical significance larger than 7σ over other quantum numbers in a partial wave analysis of the ...process e+e- → π+π-J/Ψ. We use a data sample of 1.92 fb-1 accumulated at $ \sqrt{s}=4.23 $ and 4.26 GeV with the BESIII experiment. When parametrizing the Zc(3900)± with a Flatté-like formula, we determine its pole mass Mpole = (3881.2±4.2stat ±52.7syst) MeV/c2 and pole width Γpole = (51.8± 4.6stat ± 36.0syst) MeV. Finally, we also measure cross sections for the process e+e- → Zc(3900)+π- + c.c. → J/Ψπ+π- and determine an upper limit at the 90% confidence level for the process e+e- → Zc(4020)+π- + c.c. → J/Ψ π+π-.
Highlights • Regional and network functional changes could be seen in the early stage of SCI. • Functional changes were associated with clinical symptom severity in SCI patients. • Functional ...reorganization may reflect a compensatory role in the recovery of SCI.
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