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Malignant pleural mesothelioma:The disdained member of thoracic oncology!

World Journal of Experimental Medicine 2024年第3期14卷 1-10页

作者： Divya Khosla Pawan Kumar Singh Bharath A Chhabria Vaishali Kataria Navneet Singh Rakesh Kapoor department of Radiotherapy and Oncology Postgraduate Institute of Medical Education and ResearchChandigarh 160012India department of Pulmonary and Critical Care Medicine Pandit Bhagwat Dayal Sharma Postgraduate Institute of Medical SciencesRohtak 124001India department of Pulmonary and Critical Care Medicine Ramaiah Memorial HospitalBengaluru 560054India department of Pulmonary Medicine Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

Pleural mesothelioma is a very aggressive malignancy that arises from the pleural mesothelial cell lining and is linked strongly to prior asbestos *** ban on asbestos has helped to lower the incidence,but in developing countries like India,it is expected to *** has an extended latency period usually progressing over decades and presents with nonspecific *** has a median survival ranging between 10-22 *** diagnosis of malignant pleural mesothelioma is challenging and is done using computed tomography(CT),magnetic resonance imaging,or positron emission tomography-CT,with the last two predicting the resectability of the tumor better than CT alone.A pleural biopsy along with an array of immunohistochemical markers,such as p16,BRCA1 associated protein 1,and claudin-4,are required for a definitive *** genetic alterations have prognostic significance as *** current histological subtype identification is indispensable for decision making because of the new therapeutic avenues being *** combination of nivolumab and ipilimumab-based immunotherapy outperformed platinum and pemetrexed-based chemotherapy in terms of survival benefit and improved quality of life especially for non-epithelioid ***,the latter continues to be a robust treatment option for patients with the epithelioid *** is recommended for resectable cases with radiotherapy being indicated in neoadjuvant,adjuvant,and palliative settings along with systemic *** review article provides an overview of epidemiology,etiology,clinical manifestations,diagnostic approaches(including immunohistochemical and genetic markers),staging,and multidisciplinary approaches to current treatment for malignant pleural mesothelioma using surgery,chemotherapy,immunotherapy,and *** also sheds light on some recent studies(EMPHACIS,CALGB30901,Checkmate-743,etc.)that have led to significant developments in recent years with clinically mean

关键词： Chemotherapy Diagnosis Immunotherapy Malignant pleural mesothelioma Radiotherapy

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Optimization of Liver Iron Load Assessment by Pixel-Based T2* MRI in Thalassemic Patients

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Open Journal of Radiology 2012年第2期2卷 46-51页

作者： Neda Gholizadeh Shahram Akhlaghpoor Hamid Soltanian-Zadeh Emad Fatemizadeh Mohammad Reza Alinaghizadeh Amin Shams Akhtari Mohammad Nourizadeh Cardivascular Disease Research Center Ahvaz Joundishapour University Ahvaz Iran Control and Intelligent Processing Center of Excellence (CIPCE) School of Electrical Engineering College of Engineering University of Tehran Tehran Iran department of CT & MRI imaging Tehran Medical Imaging Center Tehran Iran department of magnetic resonance imaging Noor Medical Imaging Center Tehran Iran department of Nuclear Engineering Science and Research Branch of Azad University Tehran Iran School of Electrical Engineering Sharif University of Technology Tehran Iran

Purpose: To improve liver iron load assessment by investigating the precision of different approaches of T2* Measurement. Background: Iron overload is a major problem in the treatment of thalassemic patients. Liver iron concentration (LIC) is an important index toward the management of body iron load. The accuracy of iron load estimation may suffer from the methodology of T2* measurement and there is no complete agreement upon the best approach of T2* calculation. Methods: 32 β-thallasemic patients (18 male) with the mean age of 20.0 ± 6.5 years were involved in this study. A multi-echo fast gradient-echo technique on a 1.5 T MRI system was used to measure liver iron overload and the T2* map of liver was reconstructed on a pixel-by-pixel basis. The T2* map and MRI images were utilized to deter- mine accurate location of ROI (region of interest). The mean of T2* were computed from the ROIs. The reproducibility of calculated T2* values in two methods were obtained. Moreover, the mean of the pixel’s T2* was calculated in the entire liver parenchyma of one slice. The T2* value of the entire slice was compared with the ROI approach. Results: In the ROI based method, the CoV for the intra-observer reproducibility was 8.5% and for the inter-observer was 9.78%. In the pixel based method, the CoVs for intra-observer and inter-observer reproducibility were 2.79% and 3.91%. There was an acceptable correlation (r = 0.96) between the T2* values calculated by the ROI and the entire slice. Conclusions: The pixel-based approach is more precise to determine the appropriate placement of the ROI. The assessment of T2* in the entire slice reduces the user-based errors significantly.

关键词： Thalassemia Liver Iron Overload MRI T2*

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Evaluation of SARS-CoV-2-Neutralizing Nanobody Using Virus Receptor Binding Domain-Administered Model Mice

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Research 2022年第2期2022卷 85-98页

作者： Song Liu Guanghui Li Lei Ding Jin Ding Qian Zhang Dan Li Xingguo Hou Xiangxing Kong Jing Zou Shiming Zhang Hongbin Han Yakun Wan Zhi Yang Hua Zhu Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education Beijing)NMPA Key Laboratony for Research and Evaluation of Radiopharmaceuticals Department of Nuclear MedicinePeking University Cancer HospialInstituteBeijing 100142China Instiute of Biomedial Engineering Peking University Shenzhen Graduate SchoolShenzhenGuangdong 518055China Shanghai Novamab Biopharmaceuticals Co.L.td ShanghaiChina Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Bejing).department of Anesthesiology.Peking University Cancer Hospital 6 Institut Beijing 100142China Instilute of Medical Technology Peking Universily Health Science CenterBeijing 100191China Bejig Key Laboratory of magnetic resonance imaging Devices and Technology Peking University Third HospitalBeijing 100191China department of Radiology Peking University Third HospitalPeking UniversilyBejjing 100191China

Due to the rapid spread of coronavirus disease 2019(COVID-19),there is an urgent requirement for the development of additional diagnostic tools for further analysis of the *** isolated nanobody Nb11-59 binds to the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)reeptor-binding domain[RBD]with high afinity to neutralize the virus and block the angiotensin-converting enzyme 2-(ACE2-)RBD ***,we introduce a novel nanobody-based radiotracer named^(68)*** radiotracer retained high affinity for the RBD and showed reliable radiochemical characteristics both in vitro and in *** positron emission tomography(PET)studies of Ga-Nb1159 in mice revealed is rapid dearance from circulation and robust uptake into the renal and urinary ***,^(68)Ga-Nb1159 could speifcally reveal the distribution of the RBD in *** sudy also helped to evaluate the pharmacodynamic efects of the neutralizing ***,^(68)Ga-Nb1159 may be a promising l0ol lo explore the distribution of the RBD and improve the understanding of the *** particular,this study identified a novel molecular radioagent and established a reliable evaluation method for speifially investigating the RBD through noninvasive and visual PET technology.

关键词： urinary acute neutral

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imaging features of malignant vs stone-induced biliary obstruction:Aspects to consider

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World Journal of Clinical Cases 2024年第15期12卷 2678-2681页

作者： Cristian Lindner department of Radiology Faculty of MedicineUniversity of ConcepciónConcepción 4030000Chile

Radiological studies play a crucial role in the evaluation of patients with biliary duct obstruction,allowing for the guidance of clinical diagnosis towards a malignant or stone-induced etiology through the recognition of relevant imaging features,which must be continuously revisited given their prognostic *** article aims to emphasize the importance of recognizing crucial imaging aspects of malignant and stone-induced biliary obstruction.

关键词： Malignant biliary obstruction Choledocholithiasis Dilated bile ducts magnetic resonance Multidetector computed tomography

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New trends in diagnosis and management of gallbladder carcinoma

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World Journal of Gastrointestinal Oncology 2024年第1期16卷 13-29页

作者： Efstathios T Pavlidis Ioannis N Galanis Theodoros E Pavlidis ^(nd)Propedeutic department of Surgery Hippokration General HospitalSchool of MedicineAristotle University of ThessalonikiThessaloniki 54642Greece

Gallbladder(GB)carcinoma,although relatively rare,is the most common biliary tree cholangiocarcinoma with aggressiveness and poor *** is closely associated with cholelithiasis and long-standing large(>3 cm)gallstones in up to 90%of *** other main predisposing factors for GB carcinoma include molecular factors such as mutated genes,GB wall calcification(porcelain)or mainly mucosal microcalcifications,and GB polyps≥1 cm in *** is made by ultrasound,computed tomography(CT),and,more precisely,magnetic resonance imaging(MRI).Preoperative staging is of great importance in decisionmaking regarding therapeutic *** staging is based on MRI findings,the leading technique for liver metastasis imaging,enhanced three-phase CT angiography,or magnetic resonance angiography for major vessel *** is also necessary to use positron emission tomography(PET)-CT or ^(18)F-FDG PET-MRI to more accurately detect metastases and any other occult deposits with active metabolic *** laparoscopy may detect dissemination not otherwise found in 20%-28.6%of *** treatment is needed,including surgical resection,targeted therapy by biological agents according to molecular testing gene mapping,chemotherapy,radiation therapy,and *** is of great importance to understand the updated guidelines and current treatment *** extent of surgical intervention depends on the disease stage,ranging from simple cholecystectomy(T1a)to extended resections and including extended cholecystectomy(T1b),with wide lymph node resection in every case or IV-V segmentectomy(T2),hepatic trisegmentectomy or major hepatectomy accompanied by hepaticojejunostomy Roux-Y,and adjacent organ resection if necessary(T3).Laparoscopic or robotic surgery shows fewer postoperative complications and equivalent oncological outcomes when compared to open surgery,but much attention must be paid to avoiding *** addition to surgery,novel targe

关键词： Biliary tract neoplasms Extrahepatic cholangiocarcinoma Gallbladder carcinoma Gallbladder diseases Biliary tree diseases Gastrointestinal malignancies

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Acute suppurative terminal cholangitis:Clinical characteristics of a new subtype of acute cholangitis

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Hepatobiliary & Pancreatic Diseases International 2024年第3期23卷 293-299页

作者： Rong-Tao Zhu Ye Li Chi-Xian Zhang Wei-Jie Wang Ruo-Peng Liang Jian Li Kai Bai Yu-Ling Sun department of Hepatobiliary and Pancreatic Surgery the First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Zhengzhou Key Laboratory of Hepatobiliary and Pancreatic Diseases Zhengzhou 450052China Institute of Hepatobiliary and Pancreatic Diseases Zhengzhou UniversityZhengzhou 450052China department of Pathology the First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China

Background:Acute suppurative terminal cholangitis(ASTC)is rarer than acute obstructive cholangitis and is not well *** explore this subtype of acute cholangitis,we described our clinical experience with ***:We performed a retrospective review of patients with ASTC admitted to our center from September 2014 to August *** analyzed their clinical characteristics,including etiology,clinical manifestations,imaging features,treatment and ***:A total of 32 ASTC patients were included in the *** majority of the patients had a history of biliary operations,and clinical manifestations were occult and *** positive rate of bacterial culture was 46.9%.All the patients had typical imaging features on computed tomography and magnetic resonance *** with effective antibiotics was provided as soon as diagnosis was *** treatment,most patients had a good *** levels of total bilirubin,aspartate aminotransferase,procalcitonin and gamma-glutamyltransferase were the characteristics of critically ill patients and were associated with relatively poor ***:Our results demonstrated that ASTC should be recognized as a new subtype of acute cholangitis,and that earlier diagnosis and more personalized treatments are needed.

关键词： Acute suppurative terminal cholangitis Acute cholangitis Gram-negative bacterial infections Diagnosis Treatment

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Tuberculosis conundrum-current and future scenarios:A proposed comprehensive approach combining laboratory,imaging,and computing advances

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World Journal of Radiology 2022年第6期14卷 114-136页

作者： Suleman Adam Merchant Mohd Javed Saifullah Shaikh Prakash Nadkarni Lokmanya Tilak Municipal Medical College and General Hospital Mumbai 400022MaharashtraIndia department of Radiology North Bengal Neuro CentreJupiter magnetic resonance imagingDiagnostic CentreSiliguri 734003West BengalIndia College of Nursing University of IowaIowa 52242IAUnited States

Tuberculosis(TB)remains a global threat,with the rise of multiple and extensively drug resistant TB posing additional *** International health community has set various 5-yearly targets for TB elimination:mathematical modelling suggests that a 2050 target is feasible with a strategy combining better diagnostics,drugs,and vaccines to detect and treat both latent and active *** availability of rapid and highly sensitive diagnostic tools(Gene-Xpert,TB-Quick)will vastly facilitate population-level identification of TB(including rifampicin resistance and through it,multi-drug-resistant TB).Basicresearch advances have illuminated molecular mechanisms in TB,including the protective role of Vitamin ***,Mycobacterium tuberculosis impairs the host immune response through epigenetic mechanisms(histone-binding modulation).imaging will continue to be key,both for initial diagnosis and *** discuss advances in multiple imaging modalities to evaluate TB tissue changes,such as molecular imaging techniques(including pathogen-specific positron emission tomography imaging agents),non-invasive temporal monitoring,and computing enhancements to improve data acquisition and reduce scan *** data analysis and Artificial Intelligence(AI)algorithms,notably in the AI subfield called“Deep Learning”,can potentially increase the speed and accuracy of ***,Federated learning makes multi-institutional/multi-city AI-based collaborations possible without sharing identifiable patient *** powerful hardware designs-e.g.,Edge and Quantum Computing-will facilitate the role of computing applications in ***,“Artificial Intelligence needs real Intelligence to guide it!”To have maximal impact,AI must use a holistic approach that incorporates time tested human wisdom gained over decades from the full gamut of TB,i.e.,key imaging and clinical parameters,including prognostic indicators,plus bacterial and epidemiologic *** propose a similar

关键词： Tuberculosis Radiology GenXpert Artificial intelligence Molecular imaging Quantum computing

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Primary esophageal lymphoma in immunocompetent patients:Two case reports and literature review

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World Journal of Radiology 2010年第8期2卷 334-338页

作者： Prasanna Ghimire department of magnetic resonance imaging Zhongnan HospitalWuhan University

Primary lymphoma that involves the esophagus is very rare,with fewer than 30 cases reported in the Englishlanguage ***-Hodgkin lymphoma accounts for most of the *** lymphomas have varied radiological appearances,which poses diagnostic *** report two cases of histopathologically confirmed primary diffuse large B-cell esophageal lymphoma and describe their radiological features,and briefly review the literature.

关键词： Esophageal neoplasms Non-Hodgkin lymphoma Primary lymphoma Esophagography computed tomography

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Subclinical paraganglioma of the retroperitoneum:A case report

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World Journal of Clinical Cases 2024年第15期12卷 2672-2677页

作者： Li-Min Kang Fa-Kun Yu Fu-Wei Zhang Lei Xu department of Hepatobiliary and Pancreatic Surgery Puer People's HospitalPuer 665000Yunnan ProvinceChina

BACKGROUND Paraganglioma(PGL)located in the retroperitoneum presents challenges in diagnosis and treatment due to its hidden location,lack of specific symptoms in the early stages,and absence of distinctive manifestations on *** SUMMARY A 56-year-old woman presented with a left upper abdominal mass discovered 1 wk ago during a physical *** did not have a history of smoking,alcohol consumption,or other harmful habits,no surgical procedures or infectious diseases,and had a 4-year history of *** admission,she did not exhibit fever,vomiting,or abdominal *** examination indicated mild percussion pain in the left upper abdomen,with no palpable enlargement of the liver or *** tests and tumor markers showed no significant *** computed tomography and magnetic resonance imaging of the upper abdomen revealed a cystic solid mass in the left epigastrium measuring approximately 6.5 cm×4.5 cm,with inhomogeneous enhancement in the arterial phase,closely associated with the lesser curvature of the stomach and the *** patient underwent laparoscopic resection of the retroperitoneal mass,which was successfully removed without tumor rupture.A 12-month postoperative follow-up period showed good *** This case report details the successful laparoscopic resection of a retroperitoneal subclinical PGL,resulting in a good recovery observed at the 12-month ***,the patient also experienced unexpected cure of hypertensive disease.

关键词： Paraganglioma Retroperitoneal anatomy Subclinical Pheochromocytoma Laparoscopy Case report

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Subarachnoid hemorrhage misdiagnosed as acute coronary syndrome leading to catastrophic neurologic injury: A case report

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World Journal of Clinical Cases 2024年第1期12卷 148-156页

作者： Jun-Ming Lin Xiao-Jun Yuan Guang Li Xin-Rong Gan Wen-Hua Xu department of Orthopaedic Surgery People's Hospital of Yichun CityYichun 336000Jiangxi ProvinceChina

BACKGROUND Elevated levels of cardiac troponin and abnormal electrocardiogram changes are the primary basis for clinical diagnosis of acute coronary syndrome(ACS).Troponin levels in ACS patients can often be more than 50 times the upper reference *** patients with subarachnoid hemorrhage(SAH)also show electrocardiogram abnormalities,myocardial damage,and elevated cardiac *** ACS patients,patients with SAH only have a slight increase in troponin,and the use of anticoagulants or antiplatelet drugs is *** of the opposite treatment modalities,it is essential for clinicians to distinguish between SAH and *** SUMMARY A 56-year-old female patient was admitted to the emergency department at night with a sudden onset of severe back *** final diagnosis was intraspinal hematoma in the thoracic *** performed an emergency thoracic spinal canal hematoma evacuation procedure with the assistance of a ***,diffuse hematoma formation was found in the T7-T10 spinal canal,and no obvious spinal vascular malformation changes were *** head and spinal magnetic resonance imaging(MRI)showed a small amount of SAH in the skull,no obvious abnormalities in the cervical and thoracic spinal canals,and no abnormal signals in the lumbar spinal ***-dominal aorta computed tomography angiography showed no vascular *** motor system examination showed Medical Research Council Scale grade 1/5 strength in both lower extremities,and the patient experienced decreased sensation below the T12 rib margin and reported a Visual Analog Scale score of *** Extremely elevated troponin levels(more than 50 times the normal range)are not unique to coronary artery *** can also result in extremely high troponin levels,and antiplatelet drugs are contraindicated in such *** MRI can help in the early differential diagnosis,as a misdiagnosis of ACS can lead to catastroph

关键词： Acute coronary syndrome Spontaneous spinal subdural hematoma Misdiagnosis Catastrophic neurological injury Case report

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