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Value of abdominal ultrasound scan, CT and MRI for diagnosing inferior vena cava tumour thrombus in renal cell carcinoma

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Chinese Medical Journal 2009年第19期122卷 2299-2302页

作者： GUO Hong-feng SONG yi NA yan-qun Department of Urology Peking University First Hospital Institute of Urology Peking University Beijing 100034 China

Background We used abdominal ultrasound scan （USS）, computed tomography （CT） and magnetic resonance imaging （MRI） findings in venous spread of renal cell carcinoma （RCC） to determine the superior extent of inferior vena cava （IVC） thrombus and IVC wall invasion and compared them with surgical and pathological reports. Methods From January 1999 to August 2007, 25 patients were diagnosed with RCC with IVC tumour thrombus. Before their operation, all patients had USS, contrast enhanced CT and MRI to find the superior extent of tumour thrombus and IVC wall invasion. All postprocessing techniques were performed by experienced radiologists. Two pathologists reported on all pathology specimens. The superior extent of tumour thrombus was confirmed by the senior surgeon at each operation, using the levels of thrombus defined according to 2004 Mayo Clinic classification. The radiographic results were compared with surgical and pathological findings. Results All patients had radical nephrectomy and tumour thrombus excision. Eight patients had RCC on the left side and 17 on the right side. According to the clinical and pathological findings, 6 patients had level I tumour thrombus, 9 level II, 5 level III and 5 level IV. Six patients had IVC wall invasion. No patient had evidence of lymph node or distant metastases. Of the 25 patients, USS correctly diagnosed the superior extent of tumour thrombus in 18/25, CT 23/25 and MRI 23/25. USS found 1 case of IVC wall invasion preoperatively. Conclusions Multidectector computed tomography and magnetic resonance imaging are comparable and more effective than abdominal ultrasound in diagnosing inferior vena cava tumour thrombus in renal cell carcinoma. None of the three methods can detect inferior vena cava wall invasion.

关键词： ultrasound computed tomography magnetic resonance imaging inferior vena cava renal cell carcinoma

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Predictors and clinical outcomes for spontaneous rupture of hepatocellular carcinoma

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World Journal of Gastroenterology 2012年第48期18卷 7302-7307页

作者： Qian Zhu Jing Li Jian-Jun yan Liang Huang Meng-Chao Wu yi-qun yan Department of Hepatobiliary Surgery Jingmen First People's Hospital First Department of Hepatic Surgery Eastern Hepatobiliary Surgery HospitalSecond Military Medical University

AIM:To determine the risk factors for hepatocellular carcinoma(HCC) rupture,and report the management and long-term survival results of patients with spontaneous rupture of ***:Among 4209 patients with HCC who were diagnosed at Eastern Hepatobiliary Surgery Hospital from April 2002 to November 2006,200(4.8%) patients with ruptured HCC(case group) were studied retrospectively in term of their clinical characteristics and prognostic *** one-stage therapeutic approach to manage ruptured HCC consisted of initial management by conservative treatment,transarterial embolization(TACE) or hepatic *** of various treatments in the case group were evaluated and compared with the control group(202 patients) without ruptured HCC during the same study *** data were expressed as mean ± SD or me-dian(range) where appropriate and compared using the unpaired t *** variables were compared using the Chi-square test with Yates correction or the Fisher exact test where *** overall survival rate in each group was determined using the Kaplan-Meier method and a log-rank ***:Compared with the control group,more patients in the case group had underlying diseases of hypertension(7.5% vs 3.0%,P =0.041) and liver cirrhosis(87.5% vs 56.4%,P 5 cm(83.0% vs 57.4%,P ying diseases of hypertension(P = 0.002) and liver cirrhosis(P 5 cm(P < 0.001),vascular thrombus(P = 0.002) and extrahepatic invasion(P < 0.001) were predictive for spontaneous rupture of *** the 200 patients with spontaneous rupture of HCC,105 patients underwent hepatic resection,33 received TACE,and 62 were managed with conservative *** median survival time(MST) of all patients with spo

关键词： Hepatocellular carcinoma Spontaneous rupture Predictors Hepatectomy Overall survival Disease-free survival

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Precautions in caudate lobe resection: Report of 11 cases

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World Journal of Gastroenterology 2008年第17期14卷 2767-2770页

作者： Zeng-Qing Wen yi-qun yan Jia-Mei yang Meng-Chao Wu First Department of Hepatic Surgery Eastern HepatobiliarySurgery Hospital Second Military Medical University Shanghai200438 China

AIM： To find the precautions against the safety in caudate lobe resection. METHODS： The clinical data obtained from 11 cases of primary liver cancer in caudate lobe who received hepatectomy successfully were retrospectively analyzed. Four safe procedures were used in resection of primary liver cancer in caudate lobe：（1） selection of appropriate skin incision to obtain excellent exposure of operative field; （2） adequate mobilization of the liver to allow the liver to be displaced upwards to the left or to the right; （3） preparatory placement of tapes for total hepatic vascular exclusion, so that this procedure could be used to control the fatal bleeding of the liver when necessary; （4） selection of the ideal route for hepatectomy based on the condition of the tumor and the combined removal of multiple lobes if necessary. Among the 11 cases, simple occlusion of vessels of porta hepatis was used in caudate Iobectomy for 6 cases, while in the other cases, the vessels were intermittently occluded several times or total hepatic vascular isolation was used in the caudate Iobectomy. Combined partial right hepatectomy was done for 3 cases, combined left lateral Iobectomy for 2 cases and caudate Iobectomy alone for 6 cases. RESULTS： Operation was successful for all the 11 cases. Intermittent inflow occlusion was performed for all patients for 15 min at 5-min intervals. Blockade was performed twice in 3 patients and total hepatic vascular exclusion was performed in one of the three patients. Blockade was performed three times in one patient, including a total hepatic vascular exclusion. Total hepatic vascular exclusion was performed only in one patient. The mean blood loss was 300 mL. Ascites and pleural effusion occurred in 4 patients, jaundice in 1 patient. Six patients died of tumor recurrence in 6, 11, 12, 13, 15, 19 mo after operation, respectively. The other 5 patients have survived more than 16 mo since the operation. CONCLUSION： Caudate Iobectomy for liver cance

关键词： Caudate lobe Primary liver cancer Hepatectomy Porta hepatis Vascular exclusion

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Prealbumin is predictive for postoperative liver insufficiency in patients undergoing liver resection

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World Journal of Gastroenterology 2012年第47期18卷 7021-7025页

作者： Liang Huang Jing Li Jian-Jun yan Cai-Feng Liu MengChao Wu yi-qun yan Department of Hepatic SurgeryⅠ Eastern Hepatobiliary Surgery HospitalSecond Military Medical University

AIM:To investigate the risk factors for postoperative liver insufficiency in patients with Child-Pugh class A liver function undergoing liver ***:A total of 427 consecutive patients undergoing partial hepatectomy from October 2007 to April 2011 at a single center(Department of Hepatic SurgeryⅠ,Eastern Hepatobiliary Surgery Hospital,Shanghai,China) were included in the *** the patients had preoperative liver function of Child-Pugh class A and were diagnosed as having primary liver cancer by postoperative *** was performed by the same team and hepatic resection was carried out by a clamp crushing method.A clamp/unclamp time of 15 min/5 min was adopted for hepatic inflow ***' records of demographic variables,intraoperative parameters,pathological findings and laboratory test results were *** liver insufficiency and failure were defined as prolonged hyperbilirubinemia unrelated to biliary obstruction or leak,clinically apparent ascites,prolonged coagulopathy requiring frozen fresh plasma,and/or hepatic *** incidence of postoperative liver insufficiency or liver failure was observed and the attributing risk factors were analyzed.A multivariate analysis was conducted to determine the independent predictive ***:Among the 427 patients,there were 362 males and 65 females,with a mean age of 51.1 ± 10.4 *** patients(86.4%) had a background of viral hepatitis and 234(54.8%) patients had liver *** for partial hepatectomy included hepatocellular carcinoma(391 patients),intrahepatic cholangiocarcinoma(31 patients) and a combination of both(5 patients).Hepatic resections of ≤ 3 and ≥ 4 liver segments were performed in 358(83.8%) and 69(16.2%) patients,***(4.0%) patients developed liver insufficiency after hepatectomy,of whom 10 patients manifested as prolonged hyperbilirubinemia unrelated to biliary obstruction or leak,6 patients had clinic

关键词： Prealbumin Hepatectomy Liver insufficiency Child-Pugh class A Primary liver cancer

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Risk factors and surgical outcomes for spontaneous rupture of BCLC stages A and B hepatocellular carcinoma: A case-control study

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World Journal of Gastroenterology 2014年第27期20卷 9121-9127页

作者： Jing Li Liang Huang Cai-Feng Liu Jie Cao Jian-Jun yan Feng Xu Meng-Chao Wu yi-qun yan Department of Hepatic Surgery Ⅰ Eastern Hepatobiliary Surgery Hospital Second Military Medical University

AIM: To investigate the risk factors and surgical outcomes for spontaneous rupture of Barcelona Clinic Liver Cancer (BCLC) stages A and B hepatocellular carcinoma (HCC).

关键词： Hepatocellular carcinoma Rupture Risk factor Tumor location Surgical outcome

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Can sorafenib be discontinued in hepatocellular carcinomapatients with a complete response to treatment?

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Hepatoma Research 2015年第1期1卷 109-110页

作者： Jing Li Liang Huang yi-qun yan Department of Hepatic Surgery I Eastern Hepatobiliary Surgery HospitalSecond Military Medical UniversityShanghai 200438China

INTRODUCTION Sorafenib is a multi-kinase inhibitor that inhibits angiogenesis by targeting the vascular endothelial growth factor receptor 2 and platelet-derived growth factor receptor pathways while blocking cell proliferation by targeting the Ras/mitogen-activated protein kinase signaling *** global phase III trials[Sorafenib Hepatocellular Carcinoma Assessment Randomized Protocol(SHARP)[1]and Asia-Pacific trial[2]]showed that sorafenib prolonged the survival of patients with advanced hepatocellular carcinoma(HCC).The results of these studies were rapidly disseminated worldwide and were enthusiastically accepted by physicians specializing in liver cancer *** on the positive results of the SHARP trial,[1]the EU and USA approved sorafenib for advanced HCC in October and November 2007,*** was also approved for patients with unresectable and metastatic HCC in July 2008 in China,but patients have to pay the cost by themselves.

关键词： patients sorafenib hepatocellular

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Procyanidin A_1 and its digestive products alleviate acrylamide-induced IPEC-J2 cell damage through regulating Keap1/Nrf2 pathway

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Food Science and Human Wellness 2024年第3期13卷 1475-1484页

作者： Fangfang yan qun Lu Chengming Wang Rui Liu College of Food Science and Technology Huazhong Agricultural UniversityWuhan 430070China Key Laboratory of Environment Correlative Dietology(Huazhong Agricultural University) Ministry of EducationWuhan 430070China Key Laboratory of Urban Agriculture in Central China Ministry of Agriculture and Rural AffairsWuhan 430070China

Our previous study has revealed that procyanidin A_(1)(A_(1))and its simulated digestive product(D-A,)can alleviate acrylamide(ACR)-induced intestine cell ***,the underlying mechanism remains *** this study,we elucidated the molecular mechanism for and D-A_(1) to alleviate ACR-stimulated IPEC-J2 cell *** slightly activated nuclear factor erythroid 2-related factor 2(Nrf2)signaling and its target genes,but this activation could not reduce intestine cell damage.A_(1) and D-A_(1) could alleviate ACR-induced cell damage,but the effect was abrogated in cells transiently transfected with Nrf2 small interfering RNA(siRNA).Further investigation confirmed that A_(1) and D-A_(1) interacted with Ketch-like ECH-associated protein 1(Keapl),which boosted the stabilization of Nrf2,subsequently promoted the translocation of Nrf2 into the nucleus,and further increased the expression of antioxidant proteins,thereby inhibiting glutathione(GSH)consumption,maintaining redox balance and eventually alleviating ACR-induced cell ***,there was no difference between A_(1) and D-A_(1) treated groups,indicating that A_(1) can tolerate gastrointestinal digestion and may be a potential compound to limit the toxicity of ACR.

关键词： Procyanidin A_1 Digestive products Acrylamide Nuclear factor erythroid 2-related factor 2(Nrf2) Intestinal cell damage

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RFFsNet-SEI:a multidimensional balanced-RFFs deep neural network framework for specific emitter identification

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Journal of Systems Engineering and Electronics 2024年第3期35卷 558-574,F0002页

作者： FAN Rong SI Chengke HAN yi WAN qun School of Information and Communication Engineering University of Electronic Science and Technology of ChinaChengdu 611731China Institute of Electronic and Electrical Engineering Civil Aviation Flight University of ChinaGuanghan 618307China

Existing specific emitter identification(SEI)methods based on hand-crafted features have drawbacks of losing feature information and involving multiple processing stages,which reduce the identification accuracy of emitters and complicate the procedures of *** this paper,we propose a deep SEI approach via multidimensional feature extraction for radio frequency fingerprints(RFFs),namely,***,we extract multidimensional physical RFFs from the received signal by virtue of variational mode decomposition(VMD)and Hilbert transform(HT).The physical RFFs and I-Q data are formed into the balanced-RFFs,which are then used to train *** introducing model-aided RFFs into neural network,the hybrid-driven scheme including physical features and I-Q data is *** improves physical interpretability of ***,since RFFsNet-SEI identifies individual of emitters from received raw data in end-to-end,it accelerates SEI implementation and simplifies procedures of ***,as the temporal features and spectral features of the received signal are both extracted by RFFsNet-SEI,identification accuracy is ***,we compare RFFsNet-SEI with the counterparts in terms of identification accuracy,computational complexity,and prediction *** results illustrate that the proposed method outperforms the counterparts on the basis of simulation dataset and real dataset collected in the anechoic chamber.

关键词： specific emitter identification(SEI) deep learning(DL) radio frequency fingerprint(RFF) multidimensional feature extraction(MFE) variational mode decomposition(VMD)

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RDH12-associated retinal degeneration caused by a homozygous pathogenic variant of 146C>T and literature review

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International Journal of Ophthalmology(English edition) 2024年第2期17卷 311-316页

作者： Jin Li yi-qun Hu Hong-Bo Cheng Ting Wang Long-Hao Kuang Tao Huang Xiao-He yan Shenzhen Eye Hospital Jinan UniversityShenzhen Eye InstituteShenzhen 518040Guangdong ProvinceChina

AIM:To describe the clinical,electrophysiological,and genetic features of an unusual case with an RDH12 homozygous pathogenic variant and reviewed the characteristics of the patients reported with the same ***:The patient underwent a complete ophthalmologic examination including best-corrected visual acuity,anterior segment and dilated fundus,visual field,spectral-domain optical coherence tomography(OCT)and electroretinogram(ERG).The retinal disease panel genes were sequenced through chip capture high-throughput sequencing and Sanger sequencing was used to confirm the *** we reviewed the characteristics of the patients reported with the same ***:A 30-year male presented with severe early retinal degeneration who complained night blindness,decreased visual acuity,vitreous floaters and amaurosis *** best corrected vision was 0.04 OD and 0.12 OS,*** fundus photo and OCT showed bilateral macular atrophy but larger areas of macular atrophy in the left *** shows bilateral symmetrical *** revealed that the amplitudes of a-and b-wave were severely *** ERG showed decreased amplitudes in the local macular area.A homozygous missense variant c.146C>T(chr14:68191267)was *** clinical characteristics of a total of 13 patients reported with the same pathologic variant ***:An unusual patient with a homozygous pathogenic variant in the c.146C>T of RDH12 which causes late-onset and asymmetric retinal degeneration are *** clinical manifestations of the patient with multimodal retinal imaging and functional examinations have enriched our understanding of this disease.

关键词： RDH12 gene inherited retinal degeneration homozygous pathogenic variant clinical feature multi-mode imaging

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CO2-Induced Modulation of Si-O Bonds for Low Temperature Plastic Deformation of Amorphous Silica Nanoparticles with Enhanced Photoluminescence

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Energy & Environmental Materials 2024年第4期7卷 404-412页

作者： Kang Huang Wenzhuo Wu Song Xu Pengfei yan Zhongming Wei qun Xu Henan Institute of Advanced Technology Zhengzhou University College of Materials Science and Engineering Zhengzhou University State Key Laboratory of Superlattices and Microstructures Institute of Semiconductors Chinese Academy of Sciences

Modulation of Si-O bonds under mild conditions has been a challenging issue in the field of material science,which is critical to manufacture highperformance silica-based optical and photonic ***,we introduce a nondestructive technique to achieve Si-O bond rearrangement,leading to plastic deformation and photoluminescence enhancement of amorphous silica nanoparticles using supercritical carbon dioxides in EtOH/H2O solution under mild temperature.

关键词： amorphous silica anisotropic stress photoluminescence plastic deformation supercritical CO2

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