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The Therapeutic Effects of Baicalein on the Hepatopulmonary Syndrome in the Rat Model of Chronic Common Bile Duct Ligation

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Journal of Clinical and Translational Hepatology 2024年第5期12卷 496-504页

作者： Ziyang Zeng Yuhao Lei Chunyong Yang Xianfeng Wu Liang Zhang Zhiyong Yang Lin Chen Xiaobo Wang Karine Belguise Yujie Li Bin Yi department of Anesthesiology Southwest HospitalThird Military Medical UniversityChongqingChina department of Anesthesiology Chongqing Traditional Chinese Medicine HospitalChongqingChina MCD Center de Biologie IntégrativeUniversitéde ToulouseCNRSUPSToulouseFrance

Background and Aims:Hepatopulmonary syndrome(HPS)is characterized by arterial oxygenation defects due to pulmonary vascular dilation in liver *** date,liver transplantation remains the only effective treatment for *** study aimed to explore the preventative role of baicalein in HPS ***:Sixty male rats were randomly assigned to three groups:sham,common bile duct ligation(CBDL),and baicalein,receiving intraperitoneal injections of baicalein(40 mg·kg􀃭1·d􀃭1,diluted in saline)for 21 *** rate,liver and kidney function,and bile acid metabolism levels were *** and lung angiogenesis and hepatic glycogen staining were assessed,and the expression of relevant proteins was evaluated by ***:Baicalein improved survival rates and hypoxemia in rats post-CBDL,reducing angiogenic protein levels and enhancing glucose *** to the untreated group,baicalein suppressed the expression of vascular endothelial growth factor,placental growth factors,matrix metalloprotease 9 and C-X-C motif chemokine 2,and it increased the expression of glycemic regulatory proteins,including dipeptidyl peptidase-4,sirtuin 1,peroxisome proliferatoractivated receptor gamma co-activator 1􀄮,and 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase ***:Baicalein significantly improves hepatic function and hypoxia in HPS rats by attenuating pathological angiogenesis in the liver and lungs,showing promise as a treatment for HPS.

关键词： Baicalein Hepatopulmonary syndrome Common bile duct ligation Angiogenesis Glucose metabolism Liver fibrosis Glycolysis

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Emerging role of molecular diagnosis and personalized therapy for hepatocellular carcinoma

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iLIVER 2024年第1期3卷 38-44页

作者： Ming-Da Wang Yong-Kang Diao Lan-Qing Yao Zhong-Qi Fan Ke-Chun Wang Han Wu Li-Hui Gu Jia-Hao Xu Chao Li Guo-Yue Lv Tian Yang department of Hepatobiliary Surgery Eastern Hepatobiliary Surgery HospitalSecond Military Medical University(Navy Medical University)Shanghai 200438China department of Hepatobiliary and Pancreatic Surgery General Surgery CenterFirst Hospital of Jilin UniversityChangchun 130021China

Hepatocellular carcinoma(HCC)is a prevalent malignancy worldwide,ranking as the sixth most common malignancy and the third leading cause of cancer-related *** diagnosis,limited management options,and its complex etiology contribute to the poor prognosis and high mortality *** advances in understanding the molecular mechanisms of HCC and innovations in high-throughput sequencing technologies have led to the development of molecular diagnostics and personalized therapies for this challenging *** review provides a comprehensive overview of research on the molecular diagnosis and individualized treatment for *** highlight key advances and potential future directions and discuss the application of next-generation sequencing technologies to identify and characterize genetic and epigenetic alterations in HCC *** technologies may aid in the selection of targeted therapies,prediction of treatment response,and monitoring disease ***,we explore the role of liquid biopsy in HCC diagnosis,prognosis prediction,and treatment monitoring,focusing on circulating tumor cells,circulating tumor DNA,and extracellular *** also explore the evolving landscape of personalized therapy for HCC,including targeted therapies against key oncogenic signaling pathways,immune checkpoint inhibitors,tumor-agnostic therapies,and innovative cellbased *** discuss the challenges and opportunities that lie ahead in the quest to improve HCC patient outcomes through the integration of molecular diagnostics and individualized precision *** emphasize the need for multi-interdisciplinary collaboration,refinement of predictive and prognostic biomarkers,and the development of more effective combination strategies for HCC management in the new area of precision medicine.

关键词： Hepatocellular carcinoma Liquid biopsy Diagnosis Immune checkpoint inhibitors Targeted therapy

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A cross-sectional study on predictors of patients'tinnitus severity

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第3期10卷 173-179页

作者： Teng-Fei Li Xu-Dong Cha Tian-Yu Wang Cai-Quan Liang Feng Zhen Li Sheng-Lei Wang Hu Peng Wen-Wen Ren Yue Deng Huan-Hai Liu department of Otorhinolaryngology Changzheng HospitalNaval Medical University(Second Military Medical University)ShanghaiChina

Objective:To identify factors that influence the severity of tinnitus via a hierarchical multiple linear regression ***:The study was a retrospective cross-sectional *** study included 331 patients experiencing tinnitus as their primary concern,who visited Shanghai Changzheng Hospital of the Navy medical University between 2019 and *** on general health status and disease characteristics were collected from all *** their consent,participants underwent audiological evaluatons and completed questionnaires to analyze the characteristics of their tinnitus and the factors influencing its ***:The correlation analysis showed a positive relationship between tinnitus frequency,tinnitus loudness,SAS scores,and PSQI scores with THI scores(P<0.05)among nine examined variables(gender,handedness,employment status,age,BMI,tinnitus frequency,tinnitus loudness,SAS scores,and PSQI scores).The variables that were extracted from the multiple regression were;for the constant;β=-51.797,t=-4.484,P<0.001,variable is significant;for the tinnitus loudness;β=0.161,t=2.604,P<0.05,variable is significant;for the tinnitus frequency;β=0.000,t=1.269,P=0.206,variable is not significant;for the SAS scores;β=1.310,t=7.685,P<0.001,variable is significant;for the PSQI scores;β=1.680,t=5.433,P<0.001,variable is ***,the most accurate model for predicting severity in tinnitus patients is a linear combination of the constant,tinnitus loudness,SAS scores,and PSQI scores,Y(Tinnitus severity)=β0+β1(Tinnitus loudness)+β2(SAS scores)+β3(PSQI scores).β0,β1,β2,andβ3 are-51.797,0.161,1.310 and 1.680,***:Tinnitus severity is positively associated with loudness,anxiety levels,and sleep *** effectively manage tinnitus in patients,it is essential to promptly identify and address these accompanying factors and related symptoms.

关键词： hierarchical multiple linear regression tinnitus

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Controlled release of dexamethasone from fibrin sealant for intratympanic administration in inner ear therapy

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Journal of Otology 2024年第1期19卷 55-58页

作者： Jing Zou department of Otolaryngology-Head and Neck Surgery Changhai HospitalSecond Military Medical UniversityShanghai200433China Faculty of Information Technology and Communication Sciences Tampere UniversityTampereFinland

The aim of the present work was to show the sustainability of fibrin sealant in releasing dexamethasone and adjust the protocol for clinical application of the novel method in the treatment of Meniere’s disease (MD) and sudden sensorineural hearing loss (SSHL).Gelation occurred shortly after mixing dexamethasone-containing fibrinogen with *** was constantly released for at least 16 d at a stable level after 7d in protocol 1 (low-dose),while it was robustly released within 4 d and slowed afterward until 10 d in protocol 2(high-dose).There were significant differences among the time points in Protocol 2 (p<0.01,ANOVA),and the exponential model with the formula y=15.299*e~(-0.483*t) fits the *** estimated concentration of dexamethasone released on 7 d in protocol 2 was slightly lower than that observed in protocol *** fibrin sealant is capable of constantly releasing dexamethasone with adjustable *** and minimally invasive administration of the material can be achieved in the clinic by sequential injections of the fluids using a soft-tipped catheter.

关键词： Intratympanic drug delivery Controlled release Corticosteroids Meniere's disease Sudden sensorineural hearing loss

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Efficacy of ginseng-based Renshenguben oral solution for cancer-related fatigue among patients with advanced-stage hepatocellular carcinoma:A prospective multicenter cohort study

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Hepatobiliary & Pancreatic Diseases International 2024年第3期23卷 249-256页

作者： Ming-Da Wang Chen Yuan Ke-Chun Wang Nan-Ya Wang Ying-Jian Liang Hong Zhu Xiang-Min Tong Tian Yang department of Hepatobiliary and Pancreatic Surgery General Surgery CenterFirst Hospital of Jilin UniversityChangchun 130021China department of Hepatobiliary Surgery Eastern Hepatobiliary Surgery HospitalSecond Military Medical University(Naval Medical University)Shanghai 200438China department of Clinical Laboratory Laboratory Medicine CenterZhejiang Provincial People’s HospitalHangzhou Medical CollegeHangzhou 310000China department of Hepatobiliary Surgery First Affiliated Hospital of Harbin Medical UniversityHarbin 150007China department of medical Oncology First Affiliated Hospital of Soochow UniversitySuzhou 215006China fdepartment of Central Laboratory Affiliated Hangzhou First People’s HospitalWestlake University School of MedicineHangzhou 310006China

Background:Cancer-related fatigue(CRF)is a common and debilitating symptom experienced by patients with advanced-stage cancer,especially those undergoing antitumor *** study aimed to evaluate the efficacy and safety of Renshenguben(RSGB)oral solution,a ginseng-based traditional Chinese medicine,in alleviating CRF in patients with advanced hepatocellular carcinoma(HCC)receiving antitumor ***:In this prospective,open-label,controlled,multicenter study,patients with advanced HCC at BCLC stage C and a brief fatigue inventory(BFI)score of≥4 were *** were assigned to the RSGB group(RSGB,10 mL twice daily)or the control group(with supportive care).Primary and secondary endpoints were the change in multidimensional fatigue inventory(MFI)score,and BFI and functional assessment of cancer therapy-hepatobiliary(FACT-Hep)scores at weeks 4 and 8 after *** events(AEs)and toxicities were ***:A total of 409 participants were enrolled,with 206 assigned to the RSGB *** week 4,there was a trend towards improvement,but the differences were not statistically *** week 8,the RSGB group exhibited a significantly lower MFI score(P<0.05)compared to the control group,indicating improved fatigue ***,the RSGB group showed significantly greater decrease in BFI and FACT-Hep scores at week 8(P<0.05).Subgroup analyses among patients receiving various antitumor treatments showed similar *** linear regression analyses revealed that the RSGB group experienced a significantly substantial decrease in MFI,BFI,and FACT-Hep scores at week *** serious drug-related AEs or toxicities were ***:RSGB oral solution effectively reduced CRF in patients with advanced HCC undergoing antitumor therapy over an eight-week period,with no discernible *** findings support the potential of RSGB oral solution as an adjunctive treatment for managing CRF in this patient population.

关键词： Cancer-related fatigue Hepatocellular carcinoma Renshenguben oral solution Efficacy Safety Ginseng

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Long-and short-term outcomes for resectable gallbladder carcinoma patients treated with curative-intent laparoscopic versus open resection:a multicenter propensity score-matched comparative study

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Hepatobiliary Surgery and Nutrition 2024年第5期13卷 788-800,I0002页

作者： Zhi-Peng Liu Xing-Xing Su Long-Fei Chen Xue-Lei Li Yi-Shi Yang Zhi-Long You Xiao-Lin Zhao Fan Huang Chao Yu Zhao-Ping Wu Wei Chen Jin-Xue Zhou Wei Guo Da-Long Yin Ping Yue Rui Ding Yi Zhu Wei Chen Yan Jiang Jie Bai Jing-Jing Wang Yan-Qi Zhang Dong Zhang Hai-Su Dai Wan Yee Lau Zhi-Yu Chen The Biliary Surgery Branch of Elite Group of Chinese Digestive Surgery(EGCDS) department of Hepatobiliary Surgery Southwest HospitalThird Military Medical University(Army Medical University)ChongqingChina Hepato-pancreato-biliary Center Tsinghua Changgung HospitalTsinghua UniversityBeijingChina department of General Surgery Third Affiliated Hospital of Zunyi Medical UniversityZunyiChina department of General Surgery First Affiliated Hospital of Anhui Medical UniversityHefeiChina department of Hepatobiliary Surgery Affiliated Hospital of Guizhou Medical UniversityGuiyangChina department of Hepatopancreatobiliary Surgery Jiujiang First People’s HospitalJiujiangChina department of Hepatopancreatobiliary Surgery First Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina department of Hepatopancreatobiliary Surgery Henan Provincial Tumor HospitalZhengzhouChina department of General Surgery Capital Medical University Affiliated Beijing Friendship HospitalBeijingChina department of Hepatobiliary Surgery First Affiliated Hospital of USTCHefeiChina department of General Surgery Lanzhou University First Affiliated HospitalLanzhouChina department of Hepatopancreatobiliary Surgery First Affiliated Hospital of Air Force Medical UniversityXi’anChina department of Hepatopancreatobiliary Surgery The Second Affiliated Hospital Zhejiang University School of MedicineHangzhouChina department of Health Statistics College of Military Preventive MedicineThird Military Medical University(Army Medical University)ChongqingChina department of Hepatobiliary Surgery First Affiliated Hospital of Xi’an Jiaotong UniversityXi’anChina Faculty of Medicine the Chinese University of Hong KongHong KongChina 不详

Background:Gallbladder cancer(GBC)was once considered a contraindication for laparoscopic surgery,but it is becoming more common to use laparoscopic surgery for GBC *** aim of this study was to analyze the long-and short-term outcomes of patients with more advanced T-staged GBC treated with curative intent as defined by the National Comprehensive Cancer Network(NCCN)after laparoscopic resection(LR)versus open resection(OR).Methods:A multicenter database was used to select consecutive GBC patients treated with curative-intent resection as defined by the NCCN between 2016 and *** patients were divided into the LR group and the OR *** score matching(PSM)was used to eliminate selection *** endpoints were overall survival(OS),progression-free survival(PFS),and short-term *** factors that were independently associated with OS and PFS were ***:Of 626 GBC patients treated with curative-intent resection,after PSM,51 patients were in the LR group and 153 patients were in the OR *** LR group had more patients who were suitable to receive adjuvant chemotherapy(AC),a longer operation time,more harvested lymph nodes,and a lower overall morbidity *** rates of OS and PFS were not significantly different between the two *** was independently associated with better OS and ***:The overall morbidity of GBC patients after LR was lower,but the long-term outcomes between LR and OR were not significantly *** GBC patients treated with LR were more likely to receive AC,and the use of AC after curative-intent resection of GBC helped achieve better long-term survival outcomes.

关键词： Gallbladder cancer(GBC) laparoscopic resection(LR) morbidity survival adjuvant chemotherapy(AC)

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Biophysical-driven piezoelectric and aligned nanofibrous scaffold promotes bone regeneration by re-establishing physiological electrical microenvironment

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Nano Research 2024年第8期17卷 7376-7393页

作者： Aoao Wang Xinbo Ma Yafeng Yang Guoliang Shi Liwei Han Xiantong Hu Rui Shi Jun Yan Quanyi Guo Yantao Zhao Senior department of Orthopedics the Fourth Medical Center of PLA General HospitalBeijing 100048China department of Chemistry Capital Normal UniversityBeijing 100048China National Center for Orthopaedics Beijing Research Institute of Traumatology and OrthopaedicsBeijing Jishuitan HospitalCapital Medical UniversityBeijing 100035China Xijing 986 Hospital department The Fourth Military Medical UniversityXi'an 710032China Institute of Orthopedics Chinese PLA General HospitalBeijing Key Laboratory of Regenerative Medicine in OrthopedicsKey Laboratory of Musculoskeletal Trauma&War Injuries PLABeijing 100853China

The initial healing stages of bone fracture is a complex physiological process involving a series of spatially and temporally overlapping events,including pathogen clearance,immunological modulation,and *** this study,we have developed a piezoelectric and aligned nanofibrous scaffold composed of ZnO@PCL/PVDF with multiple antibacterial,immunomodulatory,and osteogenic effects using electrospinning *** scaffold’s piezoelectric signal output under ultrasound(US)control can be similar to the physiological electrical signals of healthy bone tissue,creating a truly biomimetic electrical microenvironment in the bone *** vitro studies have shown that ZnO@PCL/PVDF scaffold significantly enhances the proliferation,migration,and osteogenic differentiation of MC3T3-E1 cells under piezoelectric drive provided by ***,the scaffold exhibits inhibitory effects on the growth of *** and ***,as well as the ability to induce M2 macrophage polarization,indicating potent antibacterial and immunomodulatory *** vivo experiments demonstrated that the ZnO@PCL/PVDF scaffold can accelerate the repair of mandibular defects in rats,effectively inhibit bacterial colonization,and reduce inflammatory ***,this study confirms that the newly developed ZnO@PCL/PVDF scaffold effectively promotes bone repair by truly mimicking the endogenous electrical microenvironment and precisely regulating the temporospatial disorders of initial bone healing,thus providing a simple and effective solution for bone defects.

关键词： piezoelectricity bone defect bacterial infection ZnO nanoparticles immunomodulation osteogenesis

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Sialyltransferase ST3GAL6 silencing reduces α2,3-sialylated glycans to regulate autophagy by decreasing HSPB8-BAG3 in the brain with hepatic encephalopathy

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2024年第6期25卷 485-498页

作者： Xiaocheng LI Yaqing XIAO Pengfei LI Yayun ZHU Yonghong GUO Huijie BIAN Zheng LI Laboratory for Functional Glycomics College of Life SciencesNorthwest UniversityXi’an 710069China National Translational Science Center for Molecular Medicine Department of Cell BiologyFourth Military Medical UniversityXi’an 710032China medical Experiment Center Shaanxi University of Chinese MedicineXianyang 712046China The Infectious Disease department Gongli HospitalPudong New AreaShanghai 200135China

End-stage liver diseases,such as cirrhosis and liver cancer caused by hepatitis B,are often combined with hepatic encephalopathy(HE);ammonia poisoning is posited as one of its main pathogenesis *** is closely related to autophagy,but the molecular mechanism of ammonia’s regulatory effect on autophagy in HE remains *** is an essential form of *** the nervous system,abnormal sialylation affects various physiological processes,such as neural development and synapse ***3 β-galactoside α2,3-sialyltransferase 6(ST3GAL6)is one of the significant glycosyltransferases responsible for addingα2,3-linked sialic acid to substrates and generating glycan *** found that the expression of ST3GAL6 was upregulated in the brains of mice with HE and in astrocytes after ammonia induction,and the expression levels of α2,3-sialylated glycans and autophagy-related proteins microtubule-associated protein light chain 3(LC3)and Beclin-1 were upregulated in ammonia-induced *** findings suggest that ST3GAL6 is related to autophagy in ***,we aimed to determine the regulatory relationship between ST3GAL6 and *** found that silencing ST3GAL6 and blocking or degrading α2,3-sialylated glycans by way of Maackia amurensis lectin-II(MAL-II)and neuraminidase can inhibit *** addition,silencing the expression of ST3GAL6 can downregulate the expression of heat shock proteinβ8(HSPB8)and Bcl2-associated athanogene 3(BAG3).Notably,the overexpression of HSPB8 partially restored the reduced autophagy levels caused by silencing ST3GAL6 *** results indicate that ST3GAL6 regulates autophagy through the HSPB8-BAG3 complex.

关键词： Hepatic encephalopathy Hyperammonemia Autophagy ST3β-galactosideα2,3-sialyltransferase 6(ST3GAL6) Heat shock proteinβ8(HSPB8)

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护士突发公共卫生事件应对能力与工作场所韧性的关系:一项横断面调查研究

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International Journal of Nursing Sciences 2024年第3期11卷 301-307,I0001页

作者：师文文邱晨张祎凡王毅欣桂莉 School of Nursing Navy Military Medical UniversityShanghaiChina department of Orthopedics Fourth Medical CenterChinese PLA General HospitalBeijingChina Basic medical School Navy Military Medical UniversityShanghaiChina

目的调查影响护士突发公共卫生事件应对能力的因素,并了解其与工作场所韧性之间的关系。方法从2022年1月18日至9月6日,使用问卷星对361名军队医院的护士进行了一项横断面研究。调查问卷包括个人基本信息,护士突发公共卫生事件应对能力... 详细信息

目的调查影响护士突发公共卫生事件应对能力的因素,并了解其与工作场所韧性之间的关系。方法从2022年1月18日至9月6日,使用问卷星对361名军队医院的护士进行了一项横断面研究。调查问卷包括个人基本信息,护士突发公共卫生事件应对能力问卷和工作场所韧性量表。对数据进行描述性统计和频率分析,进行单因素方差分析以确定不同组别之间的差异,进一步进行多因素回归分析,分析影响护士突发公共卫生事件应对能力的主要因素。结果护士突发公共卫生事件应对能力和工作场所韧性的得分分别为(4.01+0.76)分和(3.85+0.71)分,处于较高水平。护士的教育水平、工作年限、有无防疫参与经验是护士突发公共卫生事件应对能力的影响因素。此外,工作场所韧性水平与传染病应对能力之间存在正相关,其和工作年限解释了护士突发公共卫生事件应对能力的63.6%。结论需加强教育水平低、工作年限较短、没有防疫参与经验护士的培训,医院还应优先改善护士的工作场所适应性,通过针对性的干预提高其传染病预防、准备、急救和后续重症患者护理能力。

关键词：护士公共卫生韧性应对能力救援工作

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Nomogram prediction of vessels encapsulating tumor clusters in small hepatocellular carcinoma≤3 cm based on enhanced magnetic resonance imaging

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World Journal of Gastrointestinal Oncology 2024年第5期16卷 1808-1820页

作者： Hui-Lin Chen Rui-Lin He Meng-Ting Gu Xing-Yu Zhao Kai-Rong Song Wen-Jie Zou Ning-Yang Jia Wan-Min Liu School of Health Science and Engineering University of Shanghai for Science and TechnologyShanghai 200093China department of Radiology The Third Affiliated Hospital of Shanghai Naval Military Medical UniversityShanghai 200438China department of Radiology Tongji University Affiliated Tongji HospitalShanghai 200065China

BACKGROUND Vessels encapsulating tumor clusters(VETC)represent a recently discovered vascular pattern associated with novel metastasis mechanisms in hepatocellular carcinoma(HCC).However,it seems that no one have focused on predicting VETC status in small HCC(sHCC).This study aimed to develop a new nomogram for predicting VETC positivity using preoperative clinical data and image features in sHCC(≤3 cm)*** To construct a nomogram that combines preoperative clinical parameters and image features to predict patterns of VETC and evaluate the prognosis of sHCC *** A total of 309 patients with sHCC,who underwent segmental resection and had their VETC status confirmed,were included in the *** patients were recruited from three different hospitals:Hospital 1 contributed 177 patients for the training set,Hospital 2 provided 78 patients for the test set,and Hospital 3 provided 54 patients for the validation *** predictors of VETC were identified through univariate and multivariate logistic *** independent predictors were then used to construct a VETC prediction model for *** model’s performance was evaluated using the area under the curve(AUC),calibration curve,and clinical decision ***,Kaplan-Meier survival analysis was performed to confirm whether the predicted VETC status by the model is associated with early recurrence,just as it is with the actual VETC status and early *** Alpha-fetoprotein_lg10,carbohydrate antigen 199,irregular shape,non-smooth margin,and arterial peritumoral enhancement were identified as independent predictors of *** model incorporating these predictors demonstrated strong predictive *** AUC was 0.811 for the training set,0.800 for the test set,and 0.791 for the validation *** calibration curve indicated that the predicted probability was consistent with the actual VETC status in all three ***,the decision curve analysis demonstr

关键词： Small hepatocellular carcinoma Vessels encapsulating tumor clusters Nomogram Magnetic resonance imaging Multicenter

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