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Transarterial chemoembolization in Barcelona Clinic Liver Cancer Stage 0/A hepatocellular carcinoma

World Journal of Gastroenterology 2014年第3期20卷 745-754页

作者： Heung Cheol Kim Ki Tae Suk Dong Joon Kim Jai Hoon Yoon Yeon Soo Kim Gwang Ho Baik Jin Bong Kim Chang Hoon Kim Hotaik Sung Jong Young Choi Kwang Hyub Han Seung Ha Park Department of Radiology Hallym University College of Medicine Department of Internal Medicine Hallym University College of Medicine College of Medicine Upstate Medical UniversityState University of New York Department of Biology Stanford University Department of Internal Medicine Catholic University College of Medicine Liver Cirrhosis Clinical Research Center Yonsei University College of Medicine Department of Internal Medicine Inje University College of Medicine

AIM:To evaluate the clinical characteristics of patients with Barcelona Clinic Liver Cancer(BCLC)stage 0 and A hepatocellular carcinoma(HCC)after transarterial chemoembolization(TACE).METHODS:Between January 2001 and September2011,129 patients with BCLC stage 0 and stage A HCC who underwent TACE were retrospectively enrolled.Patient characteristics,routine computed tomography and TACE findings,survival time and 1-,5-,and 10-year survival rates,risk factors for mortality,and survival rates according to the number of risk factors were assessed.RESULTS:The mean size of HCC tumors was 2.4±1.1 cm,and the mean number of TACE procedures performed was 2.5±2.1.The mean overall survival time and 1-,5-,and 10-year survival rates were 80.6±4.9 mo and 91%,63%and 49%,respectively.In the Cox regression analysis,a Child-Pugh score>5(P=0.005,OR=3.86),presence of arterio-venous shunt(P=0.032,OR=4.41),amount of lipiodol used(>7 mL;P=0.013,OR=3.51),and female gender(P=0.008,OR=3.47)were risk factors for mortality.The 1-,5-,and 10-year survival rates according to the number of risk factors present were 96%,87%and 87%(no risk factors),89%,65%,and 35%(1 risk factor),96%,48%and unavailable(2 risk factors),and 63%,17%,and 0%(3 risk factors),respectively(P<0.001).CONCLUSION:TACE may be used as curative-intent therapy in patients with BCLC stage 0 and stage A HCC.The Child-Pugh score,arterio-venous shunt,amount of lipiodol used,and gender were related to mortality after TACE.

关键词： Carcinoma Hepatocellular Chemoembolization therape

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Inflammation in human cerebral aneurysms: pathogenesis, diagnostic imaging, genetics, and therapeutics

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Neuroimmunology and Neuroinflammation 2015年第1期2卷 77-85页

作者： Sarah A.Dooley Joseph S.Hudson David M.Hasan Department of Neurosurgery University of Iowa Carver College of MedicineIowa CityIA 52242USA Department of Neurosurgery University of IowaIowa CityIA 52242USA Department of Neurosurgery University of Iowa Hospital and ClinicsIowa CityIA 52240USA

Intracranial aneurysms are a life‑threatening cerebrovascular pathology with a probability of spontaneous rupture.Current intervention techniques carry inherent risk.Recent investigation has reinforced inflammation’s role in the pathophysiological process of cerebral aneurysms.These data suggest alternative diagnostic and noninvasive therapeutic strategies.Furthermore,novel characteristics of the underlying disease have been elucidated through distinct bioinformatic and gene expression profile analyses.This article will emphasize the most recent investigation,highlighting findings of clinical significance and etiological relevance.

关键词： Diagnostic imaging genetics intracranial aneurysms pathogenesis therape

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