Ultrasound Microvessel Visualization in Cervical Cancer: Association Between Novel Ultrasound Techniques and Histologic Microvessel Densities.

OBJECTIVE: The aim of the work described here was to evaluate the feasibility of superb microvascular imaging (SMI) and vascular endothelial growth factor receptor 2 (VEGFR2)-targeted microbubble (MBVEGFR2)-based ultrasound molecular imaging (USMI) for visualizing microvessels in cervical cancer. METHODS: Hela cells were used to establish subcutaneous cervical cancer models. SMI and MBVEGFR2-based USMI were performed, and the results were compared with intratumoral microvessel density (MVD) in four groups based on tumor diameter (<3 mm, 3-5 mm, 5-7 mm and ≥7 mm). The vascularization index (VI, %) was evaluated for SMI, and the normalized intensity difference (NID) for USMI. RESULTS: Tumors with diameters ranging from 3 to 5 mm had the highest VI (39.07 ± 1.58) in SMI, and VI significantly decreased with increasing tumor size (all p values <0.001). The strongest signal intensity was observed in very early tumors (d < 3 mm: 43.80 ± 3.58%) after MBVEGFR2 administration; the NID gradually decreased with increasing diameter of tumors (all p values = 0.007). However, no significant differences were observed in NID after administration of non-targeted (control) microbubbles (MBCon) (all p values = 0.125). MBVEGFR2-based USMI had the strongest correlation with MVD in displaying microvessels of cervical cancer compared with SMI and MBCon (R2 = 0.78 vs. R2 = 0.40 and R2 = 0.38). CONCLUSION: These findings validate the superiority and accuracy of MBVEGFR2-based USMI for microvessel imaging and monitoring of angiogenesis in cervical cancer compared with SMI and MBCon. Nonetheless, SMI remains an alternative to microvessel imaging when ultrasonic contrast agent use is contraindicated.

VEGFR2 targeted microbubble-based ultrasound molecular imaging improving the diagnostic sensitivity of microinvasive cervical cancer.

BACKGROUND: The current diagnostic methods of microinvasive cervical cancer lesions are imaging diagnosis and pathological evaluation. Pathological evaluation is invasive and imaging approaches are of extremely low diagnostic performance. There is a paucity of effective and noninvasive imaging approaches for these extremely early cervical cancer during clinical practice. In recent years, ultrasound molecular imaging (USMI) with vascular endothelial growth factor receptor type 2 (VEGFR2) targeted microbubble (MBVEGFR2) has been reported to improve the early diagnosis rates of breast cancer (including ductal carcinoma in situ), pancreatic cancer and hepatic micrometastases. Herein, we aimed to assess the feasibility of MBVEGFR2-based USMI in extremely early cervical cancer detection to provide an accurate imaging modality for microinvasive cervical cancer (International Federation of Gynecology and Obstetrics (FIGO) Stage IA1 and IA2). RESULTS: We found MBVEGFR2-based USMI could successfully distinguish extremely early lesions in diameter < 3 mm from surrounding normal tissues (all P < 0.05), and the sensitivity gradually decreased along with increasing tumor diameter. Moreover, normalized intensity difference (NID) values showed a good linear correlation with microvessel density (MVD) (R2 = 0.75). In addition, all tumors could not be identified from surrounding muscles in subtracted ultrasound images when mice were administered MBCon. CONCLUSIONS: Overall, MBVEGFR2-based USMI has huge potential for clinical application for the early detection of microinvasive cervical cancer (FIGO Stage IA1 and IA2), providing the foothold for future studies on the imaging screening of this patient population.

Phosphorus-Based Materials for High-Performance Alkaline Metal Ion Batteries: Progress and Prospect.

Alkaline metal-ion batteries (AIBs) such as lithium-ion batteries (LIBs), sodium-ion batteries (NIBs), and potassium-ion batteries (KIBs) are potential energy storage systems. Currently, although LIBs are widely used in consumer electronics and electric vehicles, the electrochemical performance, safety, and cost of current AIBs are still unable to meet the needs for many future applications, such as large-scale energy storage, due to the low theoretical capacity of cathode/anode materials, flammability of electrolytes and limited Li resources. It is thus imperative to develop new materials to improve the properties of AIBs. Several promising cathodes, anodes, and electrolytes have been developed and among the new battery materials, phosphorus-based (P-based) materials have shown great promise. For example, P and metal phosphide anodes have high theoretical capacity, resource abundance, and environmental friendliness boding well for future high-energy-density AIBs. Besides, phosphate cathode materials have the advantages of low cost, high safety, high voltage, and robust stability, and P-based materials like LiPF6 and lithium phosphorus oxynitride are widely used electrolytes. In this paper, the latest development of P-based materials in AIBs, challenges, effective solutions, and new directions are discussed.

A lignin-derived flexible porous carbon material for highly efficient polyselenide and sodium regulation.

Low-cost and sustainable sodium-selenium (Na-Se) batteries are promising energy storage media for the advancement of electromobility and large-scale energy storage. However, the sluggish kinetics of Se cathodes and the unpredictable metal electrodeposition of Na at the anode remain critical challenges. In this work, we reveal the catalytic effect of atomic Fe on the conversion of polyselenides (SPSs) to Na2Se by density functional theory (DFT) calculations. Then, we prepare a lignin-derived flexible porous carbon matrix loaded with atomic Fe (Fe-BC/rGO, BC: lignin-derived porous carbon material; rGO: reduced graphene oxide) as a Se host to further verify the DFT calculation results. Due to the encapsulation of Se into the porous carbon matrix, the catalytic effect of atomic Fe on the conversion of SPSs to Na2Se and the continuous electron/ion transportation path, the prepared Se@Fe-BC/rGO cathode can deliver a high reversible capacity of 213 mA h g-1 at 2 A g-1, which is much better than the electrochemical performance of a Se cathode without atomic Fe loading (Se@BC/rGO). In addition, we further reveal the advantageous effect of the presence of the Fe-BC/rGO film in regulating the interfacial Na electrodeposition at the anode. Due to the porous structure and the catalytic effect of atomic Fe, a very low nucleation overpotential of 15.3 mV is achieved at a current density of 1 mA cm-2, which is much lower than that of the BC/rGO film. Therefore, this work provides a low-cost and sustainable strategy for simultaneously solving the challenges of the Se cathode and the Na metal anode for future Na-Se batteries.

Catalytic Effects of Electrodes and Electrolytes in Metal-Sulfur Batteries: Progress and Prospective.

Metal-sulfur (M-S) batteries are promising energy-storage devices due to their advantages such as large energy density and the low cost of the raw materials. However, M-S batteries suffer from many drawbacks. Endowing the electrodes and electrolytes with the proper catalytic activity is crucial to improve the electrochemical properties of M-S batteries. With regard to the S cathodes, advanced electrode materials with enhanced electrocatalytic effects can capture polysulfides and accelerate electrochemical conversion and, as for the metal anodes, the proper electrode materials can provide active sites for metal deposition to reduce the deposition potential barrier and control the electroplating or stripping process. Moreover, an advanced electrolyte with desirable design can catalyze electrochemical reactions on the cathode and anode in high-performance M-S batteries. In this review, recent progress pertaining to the design of advanced electrode materials and electrolytes with the proper catalytic effects is summarized. The current progress of S cathodes and metal anodes in different types of M-S batteries are discussed and future development directions are described. The objective is to provide a comprehensive review on the current state-of-the-art S cathodes and metal anodes in M-S batteries and research guidance for future development of this important class of batteries.

Comparison of contrast-enhanced ultrasonography and magnetic resonance imaging in the evaluation of tumor size and local invasion of surgically treated cervical cancer.

OBJECTIVES: This retrospective study aimed to compare the performance of contrast-enhanced ultrasound (CEUS) and magnetic resonance imaging (MRI) in staging surgically treated early-stage cervical cancer. METHODS: Patients with surgically treated cervical carcinoma confirmed by post-operative pathological findings were included between December 2016 and December 2018. All included patients underwent both CEUS and MRI examinations before the surgery. Post-operative pathology was used as the gold standard. The κ values were calculated to assess the agreements of CEUS and MRI in staging cervical carcinoma in comparison with post-operative pathology. RESULTS: Complete data were available for 39 patients. CEUS showed great inter-observer reproducibility in tumor measurement [Intra-class Correlation Coefficient (ICC) 0.831] and moderate inter-observer reproducibility in the evaluation of vaginal infiltration and parametrial invasion (Cohen's κ 0.692 and 0.624). Tumor size was comparable as measured by CEUS and MRI (ICC 0.769). Both CEUS and MRI presented good concordance with post-operative pathology in staging cervical cancer (weighted κ 0.732 and 0.761). CONCLUSION: CEUS was comparable to MRI in staging surgically treated cervical cancer and might be considered in the pre-treatment work-up for cervical cancer.

Electrocatalytic Assisted Performance Enhancement for the Na-S Battery in Nitrogen-Doped Carbon Nanospheres Loaded with Fe.

Room temperature sodium-sulfur batteries have been considered to be potential candidates for future energy storage devices because of their low cost, abundance, and high performance. The sluggish sulfur reaction and the "shuttle effect" are among the main problems that hinder the commercial utilization of room temperature sodium-sulfur batteries. In this study, the performance of a hybrid that was based on nitrogen (N)-doped carbon nanospheres loaded with a meagre amount of Fe ions (0.14 at.%) was investigated in the sodium-sulfur battery. The Fe ions accelerated the conversion of polysulfides and provided a stronger interaction with soluble polysulfides. The Fe-carbon nanospheres hybrid delivered a reversible capacity of 359 mAh·g-1 at a current density of 0.1 A·g-1 and retained a capacity of 180 mAh·g-1 at 1 A·g-1, after 200 cycles. These results, combined with the excellent rate performance, suggest that Fe ions, even at low loading, are able to improve the electrocatalytic effect of carbon nanostructures significantly. In addition to Na-S batteries, the new hybrid is anticipated to be a strong candidate for other energy storage and conversion applications such as other metal-sulfur batteries and metal-air batteries.

Biomass-Derived Carbons for Sodium-Ion Batteries and Sodium-Ion Capacitors.

In the past decade, the rapid development of portable electronic devices, electric vehicles, and electrical devices has stimulated extensive interest in fundamental research and the commercialization of electrochemical energy-storage systems. Biomass-derived carbon has garnered significant research attention as an efficient, inexpensive, and eco-friendly active material for energy-storage systems. Therefore, high-performance carbonaceous materials, derived from renewable sources, have been utilized as electrode materials in sodium-ion batteries and sodium-ion capacitors. Herein, the charge-storage mechanism and utilization of biomass-derived carbon for sodium storage in batteries and capacitors are summarized. In particular, the structure-performance relationship of biomass-derived carbon for sodium storage in the form of batteries and capacitors is discussed. Despite the fact that further research is required to optimize the process and application of biomass-derived carbon in energy-storage devices, the current review demonstrates the potential of carbonaceous materials for next-generation sodium-related energy-storage applications.

Second-trimester maternal lipid profiles predict pregnancy complications in an age-dependent manner.

PURPOSE: Our objective was to investigate the combinatorial effect of maternal age and second-trimester maternal lipid profiles for pregnancy complications. METHODS: With 1:4 matching, this retrospective study selected 499 advanced maternal age women and 1996 younger controls. Logistic regression analysis was used to estimate the correlation between second-trimester lipid profiles [total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C)] and pregnancy complications [gestational diabetes mellitus (GDM), pregnancy-induced hypertension syndrome (PIH), preterm labor (PTL), and macrosomia]. Optimal cutoff points were determined by ROC curve analysis. RESULTS: In women aged 20-34 years, TG are a risk factor for PIH (OR 1.54, 95% CI 1.16-2.04) and PTL (OR 1.34, 95% CI 1.04-1.72). LDL-C was positively associated with macrosomia (OR 1.25, 95% CI 1.04-1.50), while HDL-C was negatively associated with PIH (OR 0.45, 95% CI 0.21-0.93). The optimal cutoff points for TG predicting PIH and PTL were separately ≥ 2.135 and 2.305 mmol/L. The optimal cutoff point for HDL-C identifying PIH was ≤ 1.995 mmol/L and for LDL-C identifying macrosomia was ≥ 3.425 mmol/L. As for advanced maternal age, only TG was an independent risk factor for PIH (OR 1.60, 95% CI 1.01-2.54), and its optimal cutoff point was ≥ 2.375 mmol/L. CONCLUSIONS: Second-trimester lipid profiles might predict pregnancy complications varied by maternal age. This suggested that individualized prenatal care strategies should be established for women with advanced and normal maternal age to prevent pregnancy complications.

Serum androgen profiles in women with premature ovarian insufficiency: a systematic review and meta-analysis.

OBJECTIVE: This meta-analysis aims to investigate serum androgen profiles (testosterone, dehydroepiandrosterone sulfate, androstenedione, and sex hormone-binding globulin) in women with premature ovarian failure and to establish if there is evidence of diminished androgen levels in these women. METHODS: Various Internet sources of PubMed, Cochrane library, and Medline were searched systematically until February, 2018. Out of a pool of 2,461 studies, after applying the inclusion/exclusion criterion, 14, 8, 10, and 9 studies were chosen for testosterone, dehydroepiandrosterone sulfate, androstenedione, and sex hormone-binding globulin, respectively, for this meta-analysis. The effect measure was the standardized mean difference with 95% confidence interval (95% CI) in a random-effects model. RESULTS: The testosterone concentrations in premature ovarian insufficiency were compared with fertile controls: stamdard mean difference (IV, random, 95% CI) -0.73 [-0.99, -0.46], P value < 0.05. The dehydroepiandrosterone sulfate concentrations in premature ovarian insufficiency compared to fertile controls: standard mean difference (IV, random, 95% CI) -0.65 [-0.92, -0.37], P value < 0.05. Androstenedione in premature ovarian insufficiency were compared with fertile controls: standard mean difference (IV, random, 95% CI) -1.09 [-1.71, -0.48], P value < 0.05. Sex hormone-binding globulin levels did not show statistical significance. The dehydroepiandrosterone sulfate levels were reduced in premature ovarian insufficiency cases, but still showed a higher level than in postmenopausal women. CONCLUSIONS: Women with premature ovarian insufficiency are at risk for decreased concentrations of testosterone, dehydroepiandrosterone sulfate, and androstenedione. Dehydroepiandrosterone sulfate levels were more reduced in postmenopausal controls when compared with premature ovarian insufficiency cases.