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1.
Acc Chem Res ; 57(7): 1032-1045, 2024 Apr 02.
Article in English | MEDLINE | ID: mdl-38428035

ABSTRACT

Conspectus2D conjugated metal-organic frameworks (2D -MOFs) have emerged as a class of graphene-like materials with fully π-conjugated aromatic structures. Their unique structural characteristics provide abundant physiochemical features, including regular nanochannels, high electrical conductivity, and customizable band gaps. Recent intensive research has significantly advanced this field, yet the exploration of 2D c-MOFs with enhanced features is limited by the availability of organic linkages and topologies. Designing novel ligands is essential for the construction of new 2D c-MOFs with high crystallinity, excellent conductivity, and tailor-made functions.In this Account, we summarize our recent contributions in fine-tuning the topology of 2D c-MOFs through precise ligand design, thereby giving them fantastic structures and tailor-made functions. First, we propose the concept of replacing planar ligands by nonplanar ligands on conductive MOF skeletons. The incorporation of nonplanar ligands improves the solubility of large π-conjugated organic molecules without interfering with the interlayer π-stacking. Our investigation discovered that conjugate polycyclic aromatics-based ligands can be synthesized through in situ Scholl reactions by means of oxidative cyclodehydrogenation of a nonplanar precursor ligand during the solvothermal synthesis process. Hence, fully conjugated 2D c-MOFs can be directly synthesized from nonplanar organic ligands, simplifying and diversifying the preparation of 2D c-MOFs. Accordingly, the design flexibility of the ligands expands the topological structures and pore types. By controlling the synthesis conditions, we can successfully induce either a rhombus or a kagome topology from a nonplanar D2 symmetric ligand. Moreover, by employing a ligand engineering strategy, we incrementally increase the number of coordination functional groups on a twisted hexabenzocoronene core, resulting in the formation of three distinct symmetric hydroxyl ligands. These ligands elicit diverse target topologies and pore sizes, resulting in variances in the coordination node density on the skeletons. This, in turn, leads to differences in electron transfer abilities, ultimately causing variations in the electrical conductivity and mobility. In addition, we employ a straightforward coupling method to incorporate redox components, such as salphen and pyrazine, into nonplanar ligands, facilitating the synthesis of 2D c-MOFs with highly active centers. This strategy confers upon the resulting frameworks substantial capacity for catalysis and energy storage, offering a good platform for elucidating the structure-property relationships at the molecular level. Moreover, the well-defined synthesis of 2D c-MOFs imparts them with specific properties, particularly in the fields of electrical, electrochemical, and spintronic applications. At the end, the primary challenges facing 2D c-MOFs in achieving tailor functions and their practical applications are proposed. This account is expected to evoke new inspirations and innovative research in the field of 2D c-MOFs, especially in emerging interdisciplinary research areas.

2.
Clin Transl Sci ; 16(9): 1639-1652, 2023 09.
Article in English | MEDLINE | ID: mdl-37475699

ABSTRACT

Disease activity evaluation is important in Crohn's disease (CD). We aimed to establish new disease activity indices for CD based on noninvasive parameters. The data of 110 patients with CD were retrospectively analyzed. Parameters from bowel ultrasound and biomarkers were measured to select the variables included in the models by univariate analysis. Logistic regression analysis was performed to predict mucosal and transmural activities defined by ileocolonoscopy or computed tomography enterography, respectively. The models' performance was measured by the area under the receiver operating characteristic (ROC) curve (AUC). Leave-one-out cross validation (LOOCV) was applied to adjust for overconfidence in the newly established score models. To predict mucosal activity, erythrocyte sedimentation rate (ESR) and (LimG × BWT)-SUM (the sum of the product of Limberg grade [LimG] and bowel wall thickness [BWT] of each bowel segment) were selected for model A, and the equation was A = 2 × ESR + 9.3 × (LimG × BWT)-SUM. The AUC of ROC, sensitivity, and specificity were 0.927%, 89.8%, and 86.4%, respectively. The AUC of the ROC curve verified by LOOCV was 0.913. To predict transmural activity, albumin (ALB) and LimG-SUM (the sum of the LimG of all the bowel segments) were selected for model B, which was established as B = -1.3 × ALB +1.7 × LimG-SUM. The AUC of ROC, sensitivity, and specificity were 0.851%, 78.0%, and 84.2%, respectively. The AUC of the ROC curve verified by LOOCV was 0.833. Nomograms were developed for two score models. New score models based on noninvasive parameters established in this study showed good abilities in detecting active disease and performed well in the validation phase.


Subject(s)
Crohn Disease , Humans , Crohn Disease/diagnostic imaging , Retrospective Studies , Intestines/diagnostic imaging , Biomarkers/analysis , Endoscopy
3.
Bioengineering (Basel) ; 10(4)2023 Apr 12.
Article in English | MEDLINE | ID: mdl-37106657

ABSTRACT

(1) Background: The difficulty of pelvic operation is greatly affected by anatomical constraints. Defining this difficulty and assessing it based on conventional methods has some limitations. Artificial intelligence (AI) has enabled rapid advances in surgery, but its role in assessing the difficulty of laparoscopic rectal surgery is unclear. This study aimed to establish a difficulty grading system to assess the difficulty of laparoscopic rectal surgery, as well as utilize this system to evaluate the reliability of pelvis-induced difficulties described by MRI-based AI. (2) Methods: Patients who underwent laparoscopic rectal surgery from March 2019 to October 2022 were included, and were divided into a non-difficult group and difficult group. This study was divided into two stages. In the first stage, a difficulty grading system was developed and proposed to assess the surgical difficulty caused by the pelvis. In the second stage, AI was used to build a model, and the ability of the model to stratify the difficulty of surgery was evaluated at this stage, based on the results of the first stage; (3) Results: Among the 108 enrolled patients, 53 patients (49.1%) were in the difficult group. Compared to the non-difficult group, there were longer operation times, more blood loss, higher rates of anastomotic leaks, and poorer specimen quality in the difficult group. In the second stage, after training and testing, the average accuracy of the four-fold cross validation models on the test set was 0.830, and the accuracy of the merged AI model was 0.800, the precision was 0.786, the specificity was 0.750, the recall was 0.846, the F1-score was 0.815, the area under the receiver operating curve was 0.78 and the average precision was 0.69; (4) Conclusions: This study successfully proposed a feasible grading system for surgery difficulty and developed a predictive model with reasonable accuracy using AI, which can assist surgeons in determining surgical difficulty and in choosing the optimal surgical approach for rectal cancer patients with a structurally difficult pelvis.

4.
J Am Chem Soc ; 145(16): 8979-8987, 2023 Apr 26.
Article in English | MEDLINE | ID: mdl-37067179

ABSTRACT

Conductive metal-organic frameworks (c-MOFs) with outstanding electrical conductivities and high charge carrier mobilities are promising candidates for electronics and optoelectronics. However, the poor solubility of planar ligands greatly hinders the synthesis and widespread applications of c-MOFs. Nonplanar ligands with excellent solubility in organic solvents are ideal alternatives to construct c-MOFs. Herein, contorted hexabenzocoronene (c-HBC) derivatives with good solubility are adopted to synthesize c-MOFs. Three c-MOFs (c-HBC-6O-Cu, c-HBC-8O-Cu, and c-HBC-12O-Cu) with substantially different geometries and packing modes have been synthesized using three multitopic catechol-based c-HBC ligands with different symmetries and coordination numbers, respectively. With more metal coordination centers and increased charge transport pathways, c-HBC-12O-Cu exhibits the highest intrinsic electrical conductivity of 3.31 S m-1. Time-resolved terahertz spectroscopy reveals high charge carrier mobilities in c-HBC-based c-MOFs, ranging from 38 to 64 cm2 V-1 s-1. This work provides a systematic and modular approach to fine-tune the structure and enrich the c-MOF family with excellent charge transport properties using nonplanar and highly soluble ligands.

5.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 44(2): 348-351, 2022 Apr.
Article in Chinese | MEDLINE | ID: mdl-35538773

ABSTRACT

Ewing's sarcoma in the cervix is characterized by extremely rare occurrence,high degree of malignancy,and rapid progression.The diagnosis of this disease is based on pathology and immunohistochemistry. The main image of the case reported in this paper showed the cervical cyst with solid mass,large volume,and uneven density and signal,and the solid part can be strengthened in enhanced scanning.Because of the rapid growth,the lesion is prone to liquefaction necrosis and bleeding.Since the metastasis occurs early,timely diagnosis is essential.


Subject(s)
Neuroectodermal Tumors, Primitive, Peripheral , Sarcoma, Ewing , Uterine Cervical Neoplasms , Cervix Uteri/pathology , Female , Humans , Immunohistochemistry , Neuroectodermal Tumors, Primitive, Peripheral/pathology , Sarcoma, Ewing/diagnosis , Sarcoma, Ewing/pathology
6.
Angew Chem Int Ed Engl ; 60(38): 20754-20759, 2021 Sep 13.
Article in English | MEDLINE | ID: mdl-34309145

ABSTRACT

The development of new linkages is one of the most efficient strategies to enrich the diversity of covalent organic frameworks (COFs). Particularly, functional linkages can endow COFs with additional tailored properties besides the building units, which further diversify COFs with desirable functions. Herein, we have developed a new arylamine linkage for the construction of COFs. Two new arylamine-linked COFs (AAm-TPB and AAm-Py) were prepared by condensing cost-effective dimethyl succinyl succinate (DMSS) with corresponding multitopic amines (TPB-NH2 and Py-NH2 ). Due to the abundant electroactive diphenylamine moieties in the COF skeletons resembling that of polyaniline (PANI), a state-of-the-art conductive polymer, the pseudocapacitive energy storage performance of AAm-TPB was further investigated. Remarkably, the AAm-TPB electrode exhibits a high capacitance of 271 F g-1 with a three-electrode setup at a discharge rate of 1 A g-1 , which represents one of the highest capacitances among the reported COF-based electrode materials.

7.
Angew Chem Int Ed Engl ; 60(26): 14473-14479, 2021 Jun 21.
Article in English | MEDLINE | ID: mdl-33826217

ABSTRACT

2D conductive metal-organic frameworks (2D c-MOFs) are promising candidates for efficient electrocatalysts for the CO2 reduction reaction (CO2 RR). A nitrogen-rich tricycloquinazoline (TQ) based multitopic catechol ligand was used to coordinate with transition-metal ions (Cu2+ and Ni2+ ), which formed 2D graphene-like porous sheets: M3 (HHTQ)2 (M=Cu, Ni; HHTQ=2,3,7,8,12,13-Hexahydroxytricycloquinazoline). M3 (HHTQ)2 can be regarded as a single-atom catalyst where Cu or Ni centers are uniformly distributed in the hexagonal lattices. Cu3 (HHTQ)2 exhibited superior catalytic activity towards CO2 RR in which CH3 OH is the sole product. The Faradic efficiency of CH3 OH reached up to 53.6 % at a small over-potential of -0.4 V. Cu3 (HHTQ)2 exhibited larger CO2 adsorption energies and higher activities over the isostructural Ni3 (HHTQ)2 and the reported archetypical Cu3 (HHTP)2 . There is a strong dependence of both metal centers and the N-rich ligands on the electrocatalytic performance.

8.
Chem Commun (Camb) ; 57(17): 2136-2139, 2021 Mar 01.
Article in English | MEDLINE | ID: mdl-33527948

ABSTRACT

A "two-in-one" strategy was employed to construct 3D-COFs for the first time. Based on this strategy, a 3D-Flu-COF could be readily synthesized in various simplex organic solvents. Benefitting from the non-conjugated structure, the 3D-Flu-COF showcased excellent acidichromic sensing performance with good sensitivity, reversibility and naked eye visibility.

9.
Small ; 17(22): e2005073, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33460246

ABSTRACT

Due to the tunable skeletons, variable pore environments, and predesignable structures, covalent organic frameworks (COFs) can be served as a versatile platform to tailor redox activities for efficient energy storage. Redox-active COFs with specific functional groups can not only promote high-speed mass transport in the permanently open channels, but also provide dense active sites for reversible redox reactions so as to efficiently adsorb the electrolyte ions, thus becoming emerging and promising electroactive materials. This review summarizes the design principles and synthetic methods of redox-active COFs, with a focus on surveying the representative advances in supercapacitors. The key progress, major challenges, and future directions in this promising field are highlighted as well.

10.
Am J Gastroenterol ; 116(5): 1044-1052, 2021 05 01.
Article in English | MEDLINE | ID: mdl-33416235

ABSTRACT

INTRODUCTION: Blue rubber bleb nevus syndrome (BRBNS) is a rare systemic venous malformation (VM) disease. The characteristic gastrointestinal (GI) bleeding from multiple VM lesions causes severe chronic anemia which renders most patients depend on lifelong blood transfusion and frequent endoscopic treatment with dismayed outcomes. Although recent case reports suggest that oral sirolimus (rapamycin) is effective, a comprehensive evaluation of its efficacy and safety is in need. METHODS: A prospective study was conducted for both pediatric and adult BRBNS patients with administration of sirolimus at the dose of 1.0 mg/m2 to maintain a trough concentration of 3-10 ng/mL. Laboratory tests including complete blood count, biochemical profile, D-dimer, and whole-body magnetic resonance imaging were performed at baseline and 3, 6, and 12 months after treatment. Clinical indicators such as hemoglobin level, lesion size, and transfusion need were evaluated. Adverse effects were recorded regularly. RESULTS: A total of 11 patients (4 males and 7 females) with median age of 14 (range, 5-49) years were recruited. The average lesion size was reduced by 7.4% (P < 0.001), 9.3% (P < 0.001), and 13.0% (P < 0.05) at 3, 6, and 12 months of sirolimus treatment, respectively. Hemoglobin increased significantly after 6- and 12-month treatment (P = 0.006 and 0.019, respectively). Only 1 patient received blood transfusion once during the study. Patients' quality of life and coagulation function were improved. Grade 1-2 adverse effects including oral ulcers (81.8%), acne (27.3%), transient elevation of liver enzymes (18.2%), and hair loss (9.1%) were observed. DISCUSSION: Sirolimus reduces the size of VMs, alleviates GI bleeding, and eliminates transfusion dependence of patients with BRBNS. The drug-related adverse effects are mild and mostly self-limited. These findings support sirolimus as a first-line treatment for GI and cutaneous VMs of BRBNS (see Visual abstract, Supplementary Digital Content, http://links.lww.com/AJG/B819).


Subject(s)
Antibiotics, Antineoplastic/therapeutic use , Gastrointestinal Neoplasms/drug therapy , Nevus, Blue/drug therapy , Sirolimus/therapeutic use , Skin Neoplasms/drug therapy , Adolescent , Adult , Blood Component Transfusion/statistics & numerical data , Child , Child, Preschool , China , Female , Fibrin Fibrinogen Degradation Products/metabolism , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Hemorrhage/prevention & control , Gastrointestinal Neoplasms/diagnostic imaging , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Nevus, Blue/diagnostic imaging , Prospective Studies , Skin Neoplasms/diagnostic imaging , Whole Body Imaging
11.
Angew Chem Int Ed Engl ; 60(11): 5612-5624, 2021 Mar 08.
Article in English | MEDLINE | ID: mdl-32452126

ABSTRACT

Two-dimensional conductive metal-organic frameworks (2D c-MOFs) as an emerging class of multifunctional materials have attracted extensive attention due to their predictable and diverse structures, intrinsic permanent porosity, high charge mobility, and excellent electrical conductivity. Such unique characteristics render them as a promising new platform for electrical related devices. This Minireview highlights the recent key progress of 2D c-MOFs with emphasis on the design strategies, unique electrical properties, and potential applications in electrochemical energy storage. The thorough elucidation of structure-function correlations may offer a guidance for the development of 2D c-MOFs based next-generation energy storage devices.

12.
Acad Radiol ; 28(5): e127-e136, 2021 05.
Article in English | MEDLINE | ID: mdl-32434689

ABSTRACT

RATIONALE AND OBJECTIVES: To evaluate image quality, radiation dose and its diagnostic performance in clinical utility of CT colonography (CTC) applying spectral filtration and advanced modeled iterative reconstruction (ADMIRE) techniques in third-generation dual-source CT. MATERIALS AND METHODS: A total of 125 patients for screening or diagnostic purposes underwent CTC at 120kVp standard dose (120kVp-STD) with filtered-back projection reconstruction (FBP) in supine position, then at a tin-filtered 150 kVp low dose (Sn150kVp-LD) and a tin-filtered 100 kVp ultra-low dose (Sn100kVp-ULD) with ADMIRE reconstruction in prone position. Radiation metrics were recorded. Objective and subjective image qualities were compared, and the diagnostic performance was assessed for both colonic and extracolonic findings using CTC reporting and data system (C-RADS). RESULTS: The effective dose was significantly lower for Sn150kVp-LD and Sn100kVp-ULD than 120kVp-STD protocol, resulting in 22.5% and 87.5% reductions (1.55±0.30 and 0.25±0.07 mSv vs. 2.00±0.52 mSv; both p<0.01), respectively. Image noise and signal-to-noise ratio were improved significantly for Sn150kVp-LD with ADMIRE compared with 120kVp-STD, both of which had similar excellent 2D and 3D subjective image quality with equivalent diagnostic performance. Sn100kVp-ULD with ADMIRE had decreased subjective image quality and significant different C-RADS extracolonic-score (E-score) compared with 120kVp-STD, however, C-RADS colonic-score (C-score) of that showed no significantly difference. CONCLUSION: Sn150kVp and Sn100kVp with ADMIRE reconstruction provide an alternative low dose CTC strategy and could be feasible in clinical screening or diagnostic scenarios.


Subject(s)
Colonography, Computed Tomographic , Algorithms , Humans , Radiation Dosage , Radiographic Image Interpretation, Computer-Assisted , Signal-To-Noise Ratio
13.
Mol Genet Genomic Med ; 8(6): e1232, 2020 06.
Article in English | MEDLINE | ID: mdl-32281746

ABSTRACT

BACKGROUND: Noninvasive prenatal testing (NIPT) is one of the most commonly employed clinical measures for screening of fetal aneuploidy. Fetal Fraction (ff) has been demonstrated to be one of the key factors affecting the performance of NIPT. Accurate quantification of ff plays vital role in NIPT. METHODS: In this study, we present a new approach, the accurate Quantification of Fetal Fraction with Shallow-Coverage sequencing of maternal plasma DNA (FF-QuantSC), for the estimation of ff in NIPT. The method employs neural network model and utilizes differential genomic patterns between fetal and maternal genomes to quantify ff. RESULTS: Our results show that the predicted ff by FF-QuantSC exhibit high correlation with the Y chromosome-based method on male pregnancies, and achieves the highest accuracy compared with other ff estimation approaches. We also demonstrate that the model generates statistically similar results on both male and female pregnancies. CONCLUSION: FF-QuantSC achieves high accuracy in ff quantification. The method is suitable for application in both male and female pregnancies. Since the method does not require additional information upon NIPT routines, it can be easily incorporated into current NIPT settings without causing extra costs. We believe that FF-QuantSC shall provide valuable additions to NIPT.


Subject(s)
Neural Networks, Computer , Noninvasive Prenatal Testing/methods , Sequence Analysis, DNA/methods , Adult , Female , Humans , Noninvasive Prenatal Testing/standards , Pregnancy , Sensitivity and Specificity , Sequence Analysis, DNA/standards , Software
14.
Eur Radiol ; 30(5): 2934-2944, 2020 May.
Article in English | MEDLINE | ID: mdl-32020404

ABSTRACT

OBJECTIVE: The purpose of the study was to investigate the role of CT radiomics for the preoperative distinction of intestinal-type gastric adenocarcinomas. MATERIALS AND METHODS: A total of 187 consecutive patients with preoperative contrast CT examination and pathologically proven gastric adenocarcinoma were retrospectively collected. Patients were divided into a training set (n = 150) and a test set (n = 37). Arterial phase (AP), portal phase (PP), and delay phase (DP) images were retrieved for analysis. A dedicated postprocessing software was used to segment the lesions and extract radiomics features. Random forest (RF) algorithm was applied to construct the classifier models. A nomogram was developed by incorporating multiphase radiomics scores. Receiver operating characteristic (ROC) curves were used to evaluate the performance of the radiomics model and nomogram in both sets. RESULTS: The radiomics model showed a favorable capability in the distinction of intestinal-type gastric adenocarcinomas. The areas under curves (AUCs) of the AP, PP, and DP radiomics models were 0.754 (95% CI: 0.676, 0.820), 0.815 (95% CI: 0.744, 0.874), and 0.764 (95% CI: 0.688, 0.829) in the training set, respectively, which were confirmed in the test set with AUCs of 0.742 (95% CI: 0.572, 0.872), 0.775 (95% CI: 0.608, 0.895), and 0.857 (95% CI: 0.703, 0.950), respectively. The nomogram yielded excellent performance for distinguishing intestinal-type adenocarcinomas in both sets, with AUCs of 0.928 (95%: 0.875, 0.964) and 0.904 (95% CI: 0.761, 0.976). CONCLUSIONS: The multiphase CT radiomics nomogram holds promise for the individual preoperative discrimination of intestinal-type gastric adenocarcinoma. KEY POINTS: • CT radiomics has a potential role in the distinction of intestinal-type gastric adenocarcinomas. • Single-phase enhanced CT-based radiomics showed favorable capability in distinguishing intestinal-type tumors. • The nomogram which incorporates the multiphase radiomics scores could facilitate the individual prediction of intestinal-type lesions.


Subject(s)
Adenocarcinoma/diagnostic imaging , Stomach Neoplasms/diagnostic imaging , Tomography, X-Ray Computed/methods , Adult , Aged , Aged, 80 and over , Algorithms , Area Under Curve , Female , Humans , Male , Middle Aged , Nomograms , Preoperative Period , ROC Curve , Retrospective Studies , Software , Young Adult
15.
Angew Chem Int Ed Engl ; 59(13): 5273-5277, 2020 Mar 23.
Article in English | MEDLINE | ID: mdl-31893570

ABSTRACT

Metal-organic framework cathodes usually exhibit low capacity and poor electrochemical performance for Li-ion storage owing to intrinsic low conductivity and inferior redox activity. Now a redox-active 2D copper-benzoquinoid (Cu-THQ) MOF has been synthesized by a simple solvothermal method. The abundant porosity and intrinsic redox character endow the 2D Cu-THQ MOF with promising electrochemical activity. Superior performance is achieved as a Li-ion battery cathode with a high reversible capacity (387 mA h g-1 ), large specific energy density (775 Wh kg-1 ), and good cycling stability. The reaction mechanism is unveiled by comprehensive spectroscopic techniques: a three-electron redox reaction per coordination unit and one-electron redox reaction per copper ion mechanism is demonstrated. This elucidatory understanding sheds new light on future rational design of high-performance MOF-based cathode materials for efficient energy storage and conversion.

16.
Eur Radiol ; 30(2): 976-986, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31468157

ABSTRACT

PURPOSE: To investigate the role of computed tomography (CT) radiomics for the preoperative prediction of lymph node (LN) metastasis in gastric cancer. MATERIALS AND METHODS: This retrospective study included 247 consecutive patients (training cohort, 197 patients; test cohort, 50 patients) with surgically proven gastric cancer. Dedicated radiomics prototype software was used to segment lesions on preoperative arterial phase (AP) CT images and extract features. A radiomics model was constructed to predict the LN metastasis by using a random forest (RF) algorithm. Finally, a nomogram was built incorporating the radiomics scores and selected clinical predictors. Receiver operating characteristic (ROC) curves were used to validate the capability of the radiomics model and nomogram on both the training and test cohorts. RESULTS: The radiomics model showed a favorable discriminatory ability in the training cohort with an area under the curve (AUC) of 0.844 (95% CI, 0.759 to 0.909), which was confirmed in the test cohort with an AUC of 0.837 (95% CI, 0.705 to 0.926). The nomogram consisted of radiomics scores and the CT-reported LN status showed excellent discrimination in the training and test cohorts with AUCs of 0.886 (95% CI, 0.808 to 0.941) and 0.881 (95% CI, 0.759 to 0.956), respectively. CONCLUSIONS: The CT-based radiomics nomogram holds promise for use as a noninvasive tool in the individual prediction of LN metastasis in gastric cancer. KEY POINTS: • CT radiomics showed a favorable performance for the prediction of LN metastasis in gastric cancer. • Radiomics model outperformed the routine CT in predicting LN metastasis in gastric cancer. • The radiomics nomogram holds potential in the individualized prediction of LN metastasis in gastric cancer.


Subject(s)
Lymphatic Metastasis/diagnostic imaging , Nomograms , Stomach Neoplasms/diagnostic imaging , Adult , Aged , Algorithms , Cohort Studies , Female , Humans , Male , Middle Aged , Neoplasm Staging , Predictive Value of Tests , Preoperative Care/methods , ROC Curve , Retrospective Studies , Stomach Neoplasms/pathology , Stomach Neoplasms/surgery , Tomography, X-Ray Computed/methods
17.
Acad Radiol ; 27(6): e140-e147, 2020 06.
Article in English | MEDLINE | ID: mdl-31582193

ABSTRACT

RATIONALE AND OBJECTIVES: To determine the optimal keV for the visualization of gastric cancer and to investigate its value in depicting lesions and in identifying depth invasion using virtual monoenergetic images (VMIs) on a novel dual-layer spectral detector CT. MATERIALS AND METHODS: Eighty-two gastric cancer patients were retrospectively enrolled, and 41 patients who did not undergo surgery were evaluated for image quality in VMIs at different keVs (40 keV-70 keV with 10 keV increments) and in conventional 120 kVp polyenergetic images (PEIs) reconstructed from the portal venous phase. Objective image quality was assessed by the contrast-to-noise ratio of the gastric cancer, while subjective performance was compared using a 5-point Likert scale. Another 41 patients who underwent surgery were examined to compare the diagnostic performance of the VMIs taken at the optimal keV and that of the 120 kVp-PEIs. RESULTS: The contrast-to-noise ratio of gastric cancer at 40 keV (10.4 ± 4.6) was the highest among all the VMIs and was significantly superior to that of the 120 kVp-PEIs (3.5 ± 1.5, p < 0.001). Gastric-specific image quality was rated highest for the 40 keV-VMIs (4.92 ± 0.26), which was significantly superior to that of the 120 kVp-PEIs (4.15 ± 0.82, p < 0.001). In the diagnostic group, there were 13 pT1, 10 pT2, 9 pT3, and 9 pT4 gastric cancer patients. Compared with the 120 kVp-PEIs, the VMIs at 40 keV tended to have a higher detection rate of gastric cancer (82.9% vs. 92.7%, respectively, p = 0.125) and a significantly improved diagnostic accuracy in the T stage (from 41.5% to 78.11%, respectively) (p < 0.001), particularly in pT1 patients, whose diagnostic accuracy was improved by 53.8% (7.7% vs. 61.5%, respectively, p = 0.016). CONCLUSION: VMIs at 40 keV performed the best, both objectively and subjectively, for gastric cancer, leading to improved lesion depiction and higher T stage accuracy.


Subject(s)
Radiography, Dual-Energy Scanned Projection , Stomach Neoplasms , Humans , Retrospective Studies , Signal-To-Noise Ratio , Stomach Neoplasms/diagnostic imaging , Tomography, X-Ray Computed
18.
Acad Radiol ; 27(8): 1077-1084, 2020 08.
Article in English | MEDLINE | ID: mdl-31761666

ABSTRACT

RATIONALE AND OBJECTIVES: The aim of this study was to investigate the value of computed tomography (CT) radiomics for the differentiation between T2 and T3/4 stage lesions in gastric cancer. MATERIALS AND METHODS: A total of 244 consecutive patients with pathologically proven gastric cancer were retrospectively included and split into a training cohort (171 patients) and a test cohort (73 patients). Preoperative arterial phase and portal phase contrast enhanced CT images were retrieved for tumor segmentation and feature extraction by using a dedicated postprocessing software. The random forest method was used to build the classifier models. RESULTS: The performance of single phase radiomics models were favorable in the differentiation between T2 and T3/4 stage tumors. Arterial phase-based radiomics model exhibited areas under the curve of 0.899 (95% CI: 0.812-0.955) in the training cohort and 0.825 (95% CI: 0.718-0.904) in the test cohort. Portal phase-based radiomics model showed areas under the curve of 0.843 (95% CI: 0.746-0.914) and 0.818 (95% CI: 0.711-0.899) in the training and test cohort, respectively. CONCLUSION: CT radiomics approach has a potential role in differentiation between T2 and T3/4 stage tumors in gastric cancer.


Subject(s)
Stomach Neoplasms , Cohort Studies , Humans , Retrospective Studies , Software , Stomach Neoplasms/diagnostic imaging , Tomography, X-Ray Computed
19.
Angew Chem Int Ed Engl ; 59(3): 1081-1086, 2020 Jan 13.
Article in English | MEDLINE | ID: mdl-31674098

ABSTRACT

A conjugated copper(II) catecholate based metal-organic framework (namely Cu-DBC) was prepared using a D2 -symmetric redox-active ligand in a copper bis(dihydroxy) coordination geometry. The π-d conjugated framework exhibits typical semiconducting behavior with a high electrical conductivity of ca. 1.0 S m-1 at room temperature. Benefiting from the good electrical conductivity and the excellent redox reversibility of both ligand and copper centers, Cu-DBC electrode features superior capacitor performances with gravimetric capacitance up to 479 F g-1 at a discharge rate of 0.2 A g-1 . Moreover, the symmetric solid-state supercapacitor of Cu-DBC exhibits high areal (879 mF cm-2 ) and volumetric (22 F cm-3 ) capacitances, as well as good rate capability. These metrics are superior to most reported MOF-based supercapacitors, demonstrating promising applications in energy-storage devices.

20.
J Am Chem Soc ; 141(35): 13822-13828, 2019 Sep 04.
Article in English | MEDLINE | ID: mdl-31407892

ABSTRACT

We herein develop a two-in-one molecular design strategy for facile synthesis of 2D imine based covalent organic frameworks (COFs). The integration of two different functional groups (i.e., formyl and amino groups) in one simple pyrene molecule affords a bifunctional building block: 1,6-bis(4-formylphenyl)-3,8-bis(4-aminophenyl)pyrene (BFBAPy). Highly crystalline and porous Py-COFs can be easily prepared by the self-condensation of BFBAPy in various solvents, such as CH2Cl2, CHCl3, tetrahydrofuran, methanol, ethanol, acetonitrile, and dimethylacetamide, etc. The current work, to the best of our knowledge, is a rare case of COF synthesis that exhibits excellent solvent adaptability. Highly crystalline Py-COF thin films have been facilely fabricated on various substrates and exhibit potential applications in hole transporting layers for perovskite solar cells. Furthermore, the versatility of this two-in-one strategy was also verified by two additional examples. The current work dramatically reduces the difficulty of COF synthesis, and such two-in-one strategy is anticipated to be applicable for the synthesis of other COFs constructed by different building blocks and linkages.

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