目的研究动态对比增强磁共振成像(dynamic contrast-enhanced magnetic resonance imaging,DCE-MRI)定量参数与局部进展期宫颈癌临床病理特征及同步放化疗疗效的关系。方法选取河南科技大学第一附属医院2017年1月~2022年12月收治的68例...目的研究动态对比增强磁共振成像(dynamic contrast-enhanced magnetic resonance imaging,DCE-MRI)定量参数与局部进展期宫颈癌临床病理特征及同步放化疗疗效的关系。方法选取河南科技大学第一附属医院2017年1月~2022年12月收治的68例局部进展期宫颈癌患者,接受DCE-MRI扫描,分析宫颈癌患者DCE-MRI定量参数[容量转移常数(volume transfer constant,K^(trans))、速率常数(rate constant,K_(ep))、细胞外间隙容积分数(extracellular space volume fraction,V_(e))]与临床病理特征关系;宫颈癌患者均接受同步放化疗,根据放化疗情况,将68例局部进展期宫颈癌患者分为有效组(n=39)与无效组(n=29),对比两组治疗前DCE-MRI定量参数,采用多因素Logistic回归分析探究疗效影响因素,绘制受试者工作特征(receiver operating characteristic,ROC)曲线分析DEC-MRI定量参数对患者疗效预测价值。结果鳞癌患者K^(trans)值较腺癌高(P<0.05);低分化患者K^(trans)、K_(ep)值较中高分化患者高(P<0.05);临床分期≥Ⅲa期患者K^(trans)、K_(ep)、V_(e)值均较<Ⅲa期高(P<0.05);不同肿瘤直径、是否淋巴结转移、是否脉管浸润患者之间DCE-MRI定量参数K^(trans)、K_(ep)、V_(e)值比较无明显差异(P>0.05)。有效组治疗前DCE-MRI定量参数K^(trans)、K_(ep)、V_(e)值均高于无效组(P<0.05)。多因素Logistic回归分析显示,临床分期≥Ⅲa期、K^(trans)、K_(ep)、V_(e)值均是影响局部进展期宫颈癌疗效的危险因素(P<0.05)。K^(trans)、K_(ep)、V_(e)值及三者联合预测疗效的ROC曲线下面积分别为0.962、0.950、0.860、0.997。结论DCE-MRI定量参数与局部进展期宫颈癌患者临床病理特征有一定关系,可作为患者同步放化疗疗效预测指标。展开更多
The Laizhou Bay(LB)represents a substantial ecological area that is vulnerable to human activities and confronts diverse environmental challenges.This study provides a comprehensive characterization of nutrients,petro...The Laizhou Bay(LB)represents a substantial ecological area that is vulnerable to human activities and confronts diverse environmental challenges.This study provides a comprehensive characterization of nutrients,petroleum,heavy metals,and phytoplankton community structure across seven distinct areas in LB.The results indicate relatively high concentrations of NO_(2)-N,SiO_(4)-Si,and NO_(3)-N in the Southwest Laizhou Bay(SWLB)and Huanghe River Estuary(HRE).In contrast,the East Laizhou bay(ELB)and the North of Huanghe River Estuary(NHRE)exhibit the highest concentrations of heavy metals(As,Cr and Hg).The areas with high phytoplankton density and community diversity are mainly located in the SWLB.After adjusting for basic environmental factors,phytoplankton density and Margalef richness index D are significantly associated with nutrients(NO_(3)-N,NO_(2)-N,NH_(4)-N,SiO_(4)-Si),and heavy metal(Cr)concentrations.We highlight that,in addition to Xiaoqinghe River,nutrients brought by the Mihe River in the SWLB and heavy metal(Cr)pollution in the ELB resulting from industrial and mining activities along the coast significantly influence phytoplankton growth and community structure.Therefore,it is recommended that more monitoring and management efforts be focused on these regions in the future.展开更多
文摘目的研究动态对比增强磁共振成像(dynamic contrast-enhanced magnetic resonance imaging,DCE-MRI)定量参数与局部进展期宫颈癌临床病理特征及同步放化疗疗效的关系。方法选取河南科技大学第一附属医院2017年1月~2022年12月收治的68例局部进展期宫颈癌患者,接受DCE-MRI扫描,分析宫颈癌患者DCE-MRI定量参数[容量转移常数(volume transfer constant,K^(trans))、速率常数(rate constant,K_(ep))、细胞外间隙容积分数(extracellular space volume fraction,V_(e))]与临床病理特征关系;宫颈癌患者均接受同步放化疗,根据放化疗情况,将68例局部进展期宫颈癌患者分为有效组(n=39)与无效组(n=29),对比两组治疗前DCE-MRI定量参数,采用多因素Logistic回归分析探究疗效影响因素,绘制受试者工作特征(receiver operating characteristic,ROC)曲线分析DEC-MRI定量参数对患者疗效预测价值。结果鳞癌患者K^(trans)值较腺癌高(P<0.05);低分化患者K^(trans)、K_(ep)值较中高分化患者高(P<0.05);临床分期≥Ⅲa期患者K^(trans)、K_(ep)、V_(e)值均较<Ⅲa期高(P<0.05);不同肿瘤直径、是否淋巴结转移、是否脉管浸润患者之间DCE-MRI定量参数K^(trans)、K_(ep)、V_(e)值比较无明显差异(P>0.05)。有效组治疗前DCE-MRI定量参数K^(trans)、K_(ep)、V_(e)值均高于无效组(P<0.05)。多因素Logistic回归分析显示,临床分期≥Ⅲa期、K^(trans)、K_(ep)、V_(e)值均是影响局部进展期宫颈癌疗效的危险因素(P<0.05)。K^(trans)、K_(ep)、V_(e)值及三者联合预测疗效的ROC曲线下面积分别为0.962、0.950、0.860、0.997。结论DCE-MRI定量参数与局部进展期宫颈癌患者临床病理特征有一定关系,可作为患者同步放化疗疗效预测指标。
基金the National Natural Science Foundation of China(Nos.42176234 and 42130403)the Chinese Arctic and Antarctic Creative Program(No.JDXT2018-01)the Key Special Project for Introduced Talents Team of Southern Marine Science and Engineering Guangdong Laboratory(Guangzhou)(No.GML2019ZD0402).
文摘The Laizhou Bay(LB)represents a substantial ecological area that is vulnerable to human activities and confronts diverse environmental challenges.This study provides a comprehensive characterization of nutrients,petroleum,heavy metals,and phytoplankton community structure across seven distinct areas in LB.The results indicate relatively high concentrations of NO_(2)-N,SiO_(4)-Si,and NO_(3)-N in the Southwest Laizhou Bay(SWLB)and Huanghe River Estuary(HRE).In contrast,the East Laizhou bay(ELB)and the North of Huanghe River Estuary(NHRE)exhibit the highest concentrations of heavy metals(As,Cr and Hg).The areas with high phytoplankton density and community diversity are mainly located in the SWLB.After adjusting for basic environmental factors,phytoplankton density and Margalef richness index D are significantly associated with nutrients(NO_(3)-N,NO_(2)-N,NH_(4)-N,SiO_(4)-Si),and heavy metal(Cr)concentrations.We highlight that,in addition to Xiaoqinghe River,nutrients brought by the Mihe River in the SWLB and heavy metal(Cr)pollution in the ELB resulting from industrial and mining activities along the coast significantly influence phytoplankton growth and community structure.Therefore,it is recommended that more monitoring and management efforts be focused on these regions in the future.
