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Assessment and Visualization of Ki67 Heterogeneity in Breast Cancers through Digital Image Analysis

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Advances in Breast Cancer Research 2024年第2期13卷 11-26页

作者： chien-Hui Wu Min-Hsiang Chang Hsin-hsiu Tsai Yi-Ting Peng Department of Anatomical Pathology Far Eastern Memorial Hospital New Taipei AI Lab Quanta Computer Inc. Taoyuan

The Ki67 index (KI) is a standard clinical marker for tumor proliferation;however, its application is hindered by intratumoral heterogeneity. In this study, we used digital image analysis to comprehensively analyze Ki67 heterogeneity and distribution patterns in breast carcinoma. Using Smart Pathology software, we digitized and analyzed 42 excised breast carcinoma Ki67 slides. Boxplots, histograms, and heat maps were generated to illustrate the KI distribution. We found that 30% of cases (13/42) exhibited discrepancies between global and hotspot KI when using a 14% KI threshold for classification. Patients with higher global or hotspot KI values displayed greater heterogenicity. Ki67 distribution patterns were categorized as randomly distributed (52%, 22/42), peripheral (43%, 18/42), and centered (5%, 2/42). Our sampling simulator indicated analyzing more than 10 high-power fields was typically required to accurately estimate global KI, with sampling size being correlated with heterogeneity. In conclusion, using digital image analysis in whole-slide images allows for comprehensive Ki67 profile assessment, shedding light on heterogeneity and distribution patterns. This spatial information can facilitate KI surveys of breast cancer and other malignancies.

关键词： Ki67 Heterogeneity Breast Cancer Digital Image Analysis

Machine learning-based comparison of factors influencing estimated glomerular filtration rate in Chinese women with or without nonalcoholic fatty liver

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World Journal of Clinical Cases 2024年第15期12卷 2506-2521页

作者： I-chien Chen Lin-Ju Chou Shih-Chen Huang Ta-Wei Chu Shang-Sen lee Department of Nursing Kaohsiung Armed Forces General HospitalKaohsiung 802Taiwan Department of Obstetrics and Gynecology Tri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Chief Executive Officer's Office MJ Health Research FoundationTaipei 114Taiwan Department of Urology Taichung Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationTaichung 427Taiwan School of Medicine Tzu Chi UniversityHualian 970Taiwan Department of Urology Tri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan

BACKGROUND The prevalence of non-alcoholic fatty liver(NAFLD)has increased *** with NAFLD are known to have higher chance for renal function *** past studies used traditional multiple linear regression(MLR)to identify risk factors for decreased estimated glomerular filtration rate(eGFR).However,medical research is increasingly relying on emerging machine learning(Mach-L)*** present study enrolled healthy women to identify factors affecting eGFR in subjects with and without NAFLD(NAFLD+,NAFLD-)and to rank their *** To uses three different Mach-L methods to identify key impact factors for eGFR in healthy women with and without *** A total of 65535 healthy female study participants were enrolled from the Taiwan MJ cohort,accounting for 32 independent variables including demographic,biochemistry and lifestyle parameters(independent variables),while eGFR was used as the dependent *** from MLR,three Mach-L methods were applied,including stochastic gradient boosting,eXtreme gradient boosting and elastic *** of estimation were used to define method accuracy,where smaller degree of error indicated better model *** Income,albumin,eGFR,High density lipoprotein-Cholesterol,phosphorus,forced expiratory volume in one second(FEV1),and sleep time were all lower in the NAFLD+group,while other factors were all significantly higher except for smoking ***-L had lower estimation errors,thus outperforming *** Model 1,age,uric acid(UA),FEV1,plasma calcium level(Ca),plasma albumin level(Alb)and T-bilirubin were the most important factors in the NAFLD+group,as opposed to age,UA,FEV1,Alb,lactic dehydrogenase(LDH)and Ca for the *** the importance percentage was much higher than the 2nd important factor,we built Model 2 by removing *** The eGFR were lower in the NAFLD+group compared to the NAFLD-group,with age being was the most important impact factor in both groups of he

关键词： Non-alcoholic fatty liver Estimated glomerular filtration rate Machine learning Chinese women

Prognostic factors of early recurrence after complete cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

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World Journal of Clinical Cases 2024年第27期12卷 6057-6069页

作者： Chao-Yu Chen Tzu-Hao Huang Li-Wen lee Jrhau Lung Yu-Che Ou chien-Hui Hung Huei-Chieh Chuang Min-Chi Chen Ting-Yao Wang Department of Obstetrics and Gynecology Chang Gung Memorial HospitalChiayi 613Taiwan Graduate Institute of Clinical Medical Sciences College of MedicineChang Gung UniversityTaoyuan 333Taiwan Department of Early Childhood Care and Education Shu-Zen Junior College of Medicine and ManagementKaohsiung 821Taiwan Division of General Surgery Department of SurgeryChang Gung Memorial HospitalChiayi 613Taiwan Department of Diagnostic Radiology Chang Gung Memorial HospitalChiayi 613Taiwan College of Medicine Chang Gung UniversityTaoyuan 333Taiwan Department of Medical Research and Development Chang Gung Memorial HospitalChiayi 613Taiwan Department of Obstetrics and Gynecology Kaohsiung Chang Gung Memorial HospitalKaohsiung 833Taiwan Department of Anatomic Pathology Chang Gung Memorial HospitalChiayi 613Taiwan Department of Public Health Chang Gung UniversityTaoyuan 333Taiwan Division of Hematology and Oncology Department of Internal MedicineChang Gung Memorial HospitalChiayi 613Taiwan

BACKGROUND Although cytoreductive surgery(CRS)and hyperthermic intraperitoneal chemotherapy(HIPEC)offer the potential for long-term survival in peritoneal carcinomatosis,outcomes following CRS/HIPEC vary *** To identify the clinical factors associated with progression-free survival(PFS)after complete CRS/HIPEC in patients with colorectal/high-grade appendiceal,ovarian,and gastric *** We retrospectively evaluated the risk of recurrence within 1 year after CRS/HIPEC and its impact on overall survival(OS)in patients recruited between 2015 and *** regression models were used to assess the prognostic factors for the risk of recurrence within 1 ***–Meier survival curves and Cox proportional hazards models were used to evaluate the association between recurrence and *** Of the 80 enrolled patients,39 had an unfavorable PFS(12 was associated with a lower rate of achieving CC-0(P=0.027).The favorable PFS group had a significantly longer OS(median 81.7 mo vs 17.0 mo,P<0.001).CONCLUSION Achieving CC-0 was associated with a lower early recurrence rate and improved long-term *** study underscores the importance of selecting appropriate candidates for CRS/HIPEC to manage peritoneal carcinomatosis.

关键词： Peritoneal metastasis Cytoreductive surgery Hyperthermic intraperitoneal chemotherapy Predictor Recurrence

Impact of disease severity on gastric residual volume in critical patients

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World Journal of Gastroenterology 2011年第15期17卷 2007-2012页

作者： chien-Wei Hsu Shu-Fen Sun David Lin lee Shoa-Lin Lin Kam-Fai Wong hsiu-Hua Huang Hung-Ju Li Department of Medicine School of Medicine National YangMing University Taipei Taiwan China Intensive Care Unit Department of Medicine Kaohsiung Veterans General Hospital Kaohsiung City 813 Taiwan China Department of Physical Medicine and Rehabilitation Kaohsiung Veterans General Hospital Kaohsiung City 813 Taiwan China Institute of Statistics National University of Kaohsiung Kaohsiung City 813 Taiwan China Department of Nutrition Kaohsiung Veterans General Hospital Kaohsiung City 813 Taiwan China

AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were enrolled. Sequential Organ Failure Assessment (SOFA) score was assessed immediately preceding the start of the study. Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ scores were recorded on the first, fourth, seventh, and fourteenth day of the study period. GRV was measured every 4 h during enteral feeding. The relationship be-tween mean daily GRV and SOFA scores and the correlation between mean daily GRV and mean APACHE Ⅱ score of all patients were evaluated and compared. RESULTS: Of the 61 patients, 43 patients were survivors and 18 patients were non-survivors. The mean daily GRV increased as SOFA scores increased (P < 0.001, analysis of variance). Mean APACHE Ⅱ scores of all patients correlated with mean daily GRV (P = 0.011, Pearson correlation) during the study period. Patients with decreasing GRV in the first 2 d had better survival than patients without decreasing GRV (P = 0.017, log rank test). CONCLUSION: GRV is higher in more severely ill medical ICU patients. Patients with decreasing GRV had lower ICU mortality than patients without decreasing GRV.

关键词： Critical care Outcome Residual volume Severity of illness index Tube feeding

Development of seismic fragility curves for low-rise masonry infilled reinforced concrete buildings by a coefficient-based method

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Earthquake Engineering and Engineering Vibration 2013年第2期12卷 319-332页

作者： Ray Kai Leung Su chien-Liang lee Department of Civil Engineering The University of Hong Kong

This study presents a seismic fragility analysis and ultimate spectral displacement assessment of regular low-rise masonry infilled （MI） reinforced concrete （RC） buildings using a coefficient-based method. The coefficient-based method does not require a complicated finite element analysis; instead, it is a simplifed procedure for assessing the spectral acceleration and displacement of buildings subjected to earthquakes. A regression analysis was first performed to obtain the best-fitting equations for the inter-story drift ratio （IDR） and period shift factor of low-rise MI RC buildings in response to the peak ground acceleration of earthquakes using published results obtained from shaking table tests. Both spectral acceleration- and spectral displacement-based fragility curves under various damage states （in terms of IDR） were then constructed using the coefficient-based method. Finally, the spectral displacements of low-rise MI RC buildings at the ultimate （or near- collapse） state obtained from this paper and the literature were compared. The simulation results indicate that the fragility curves obtained from this study and other previous work correspond well. Furthermore, most of the spectral displacements of low-rise MI RC buildings at the ultimate state from the literature fall within the bounded spectral displacements predicted by the coefficient-based method.

关键词： seismic fragility analysis masonry spectral displacement

Experimental evaluation of force analogy method(FAM) by element type

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Earthquake Engineering and Engineering Vibration 2020年第1期19卷 137-147页

作者： Iraj Toloue Mohd Shahir Liew Indra Sati Hamonangan Harahap hsiu Eik lee Civil Engineering Department Universiti Teknologi PETRONASBandar Seri Iskandar32610 PerakMalaysia Research&Innovation Offi ce Universiti Teknologi PETRONASBandar Seri Iskandar32610 PerakMalaysia

The force analogy method(FAM) is considered as one of the most time-saving and cost-efficient methods for analyzing frames. Through a set of assumptions and restoring forces, FAM analyzes nonlinear frames responses through Hooke’s law. This study evaluates the effect of element type on FAM through numerical and experimental tests. The conventional Euler Bernoulli(EB) element is replaced by the Timoshenko(TS) beam-column element and the results are interpreted and compared with experimental findings. Three experimental tests were conducted for benchmarking and comparison purposes via 2 D aluminum frames. The results indicated that during the analysis, when the frame response is in the linear region, there is no difference between the element types in the response of the frames. When the frame entered the plastic region, the frames which were analyzed by the TS element revealed closer responses to the experimental outcomes. The gap between the results of the frame which was analyzed by EB and TS enlarged especially when the frame experienced a sharp or huge rotation of more than 0.2 rad. The final recorded deformations based on the TS element revealed an accuracy between 98.05% to 98.65%, while the EB element showed 14.66% to 45.14% for rotations of more than 0.2 rad at plastic hinge locations(PHLs).

关键词： FAM Timoshenko Euler Bernoulli nonlinear vibration

An apoptosis-independent role of TRAIL in suppressing joint inflammation and inhibiting T-cell activation in inflammatory arthritis

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Cellular & Molecular Immunology 2018年第9期15卷 846-857页

作者： I-Tsu Chyuan Hwei-Fang Tsai hsiu-Jung Liao chien-Sheng Wu Ping-Ning Hsu Department of Internal Medicine Cathay General HospitalTaipeiTaiwanChina Graduate Institute of Clinical Medicine College of MedicineNational Taiwan UniversityTaipeiTaiwanChina Graduate Institute of Clinical Medicine College of MedicineTaipei Medical UniversityTaipeiTaiwanChina Department of Internal Medicine Taipei Medical University Shuang Ho HospitalTaipeiTaiwanChina Graduate Institute of Immunology College of MedicineNational Taiwan UniversityTaipeiTaiwanChina Division of Rheumatology Department of Internal MedicineFar Eastern Memorial HospitalTaipeiTaiwanChina Department of Internal Medicine National Taiwan University HospitalTaipeiTaiwanChina

Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) has been implicated in the regulation ofinflammation in rheumatoid arthritis (RA), primarily due to its ability to promote apoptosis in synoviocytes andinfiltrating lymphocytes. The aim of this study was to investigate the immunomodulatory mechanism and role ofTRAIL in inflammatory arthritis. We created an animal model of inflammatory arthritis and demonstrated that TRAILsignificantly inhibited joint inflammation and reduced the severity of arthritis. The suppression of joint inflammationwas not due to the TRAIL-mediated induction of apoptosis in T cells, macrophages or synovial fibroblasts. Incontrast, TRAIL directly inhibited T-cell proliferation and suppressed the production of cytokines, which indicatedthat TRAIL exerted its anti-inflammatory effects by direct inhibition of T-cell activation. Moreover, TRAIL receptor(TRAIL-R)-knockout mice developed more severe disease, and the protective effects of TRAIL were abolished in theexperimental arthritis model in TRAIL-R knockout mice. From these results, we conclude that TRAIL suppressesjoint inflammation via an apoptosis-independent pathway and directly inhibits T-cell activation. Our results providea novel apoptosis-independent, immune regulatory role for TRAIL in suppressing inflammatory arthritis and shedlight on the development of effective new therapies for autoimmune inflammatory diseases.

关键词： collagen-induced arthritis T-cell activation TRAIL

Monitoring of PON System Using Compound Surveillance Technique

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Journal of Electronic Science and Technology 2015年第2期13卷 169-173页

作者： Sun-chien Ko hsiu-Jung Chuang Si-Chong Chen Chih-Yih Wang Sheng-Fwu Lin Telecommunication Laboratories Chunghwa Telecom Co.Ltd.

A passive optical network（PON） monitoring system combined light pulse and frequency sweep techniques is proposed and verified in a field test. The light pulse surveys over the all whole network and the frequency sweep are used to investigate any fault in the link. The field test is performed with 4 PONs. Each PON is monitored at 4 ports, one is the splitter port and the other three are arbitrary chosen multiple optical units（ONUs）. All the tested PONs are monitored in turns once per hour. Faults at the feeder and branch fiber have been observed in this field test and have been analyzed with the monitoring system.

关键词： verified arbitrary monitored splitter branch chosen reflective turns restoration realistic

VISCOPLASTIC COLLAPSE OF SHARP-NOTCHED CIRCULAR TUBES UNDER CYCLIC BENDING

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Acta Mechanica Solida Sinica 2013年第6期26卷 629-641页

作者： Kuo-Long lee chien-Min Hsu Wen-Fung Pan Department of Computer Application Engineering Far East University Department of Interior Design Tung Fang Design University Department of Engineering Science National Cheng Kung University

This study discusses the experimental result of the viscoplastic response and col- lapse of sharp-notched 316L stainless steel tubes with different notched depths subjected to cyclic bending. The tube bending machine and curvature-ovalization measurement apparatus were used for conducting the symmetric curvature-controlled cyclic bending. To highlight the viscoplastic behavior, three different curvature-rates, 0.0035, 0.035 and 0.35 m-1s-1, were controlled. Ob- servations of a certain curvature-rate reveal that five almost parallel lines corresponding to five different notch-depth （0.2, 0.4, 0.6, 0.8 and 1.0 mm） tubes were presented in the experimental relationship between the cyclic controlled curvature and the number of cycles needed to pro- duce buckling on a log-log scale. However, the slopes for the three different curvature-rates are different. An empirical formulation was proposed to simulate the aforementioned relationship. When comparing with the experimental findings, the simulation was in good agreement with the experimental data.

关键词： viscoplastic collapse sharp-notched circular tube cyclic bending curvature-rate ovalization