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Zhang Y, Huang QY, Wu CJ, Chen Q, Xia CJ, Liu BJ, Liu YY, Zhang YF, Xu HX. Predicting malignancy in thyroid nodules based on conventional ultrasound and elastography: the value of predictive models in a multi-center study. Endocrine 2023; 80:111-123. [PMID: 36495391 DOI: 10.1007/s12020-022-03271-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 11/21/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND This study aimed to establish predictive models based on features of Conventional Ultrasound (CUS) and elastography in a multi-center study to determine appropriate preoperative diagnosis of malignancy in thyroid nodules with different risk stratification based on 2017 Thyroid Imaging Reporting and Data System by the American College of Radiology (ACR TI-RADS) guidelines. METHODS Five hundred forty-eight thyroid nodules from three centers pathologically confirmed by the cytology or histology were retrospectively enrolled in the study, which were examined by CUS and elastography before fine needle aspiration (FNA) and surgery. Characteristics of CUS of thyroid nodules were reviewed according to 2017 ACR TI-RADS. Binary logistic regression analysis was used to develop the prediction models based on the different risk stratification of CUS features and elastography which were statistically significant. Values of predictive models were evaluated regarding the discrimination and calibration. RESULTS Binary logistic regression showed that patients' age, taller-than-wider, lobulated or irregular boundary, extra-thyroid extension, microcalcification and the elastic parameter of Virtual touch tissue imaging quantification (VTIQ) max were independent predictors for thyroid malignancy (p < 0.05) in the ACR model and showed the area under the curve (AUC) in training (0.912) and validation cohort (internal and external: 0.877 vs 0.935). Predictive models showed predictors in ACR TR4 and TR5 for malignancy and diagnostic performance of AUC in training, internal and external validation cohort respectively: the VTIQ max (p < 0.001) with AUC of 0.809 vs 0.842 vs 0.705 and the age, taller than wide, VTIQ max variables with AUC of 0.859 vs 0.830 vs 0.906 in validation cohort. All predictive models have better calibration capabilities (p > 0.05). CONCLUSIONS Predictive models combined CUS and elastography features would aid clinicians to make appropriate preoperative diagnosis of thyroid nodules among different risk stratification. The elastography parameter of VTIQ max has the priority in distinguishing thyroid malignancy with moderately suspicious (ACR TR4).
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Affiliation(s)
- Ying Zhang
- Center of Minimally Invasive Treatment for Tumor, Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China
- Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China
- Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clinical Research Center for Interventional Medicine, 200072, Shanghai, China
- National Clinical Research Center for Interventional Medicine, Shanghai, China
| | - Qiong-Yi Huang
- Department of Pathology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 200072, Shanghai, China
| | - Chang-Jun Wu
- Department of Ultrasound, The first Affifiliated Hospital of Harbin Medical University, 150007, Harbin, China
| | - Qi Chen
- Department of Ultrasound, The first Affifiliated Hospital of Harbin Medical University, 150007, Harbin, China
| | - Chun-Juan Xia
- Department of Ultrasound, The second Affifiliated Hospital of Kunming Medical University, 650106, Kunming, China
| | - Bo-Ji Liu
- Center of Minimally Invasive Treatment for Tumor, Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China
- Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China
- Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clinical Research Center for Interventional Medicine, 200072, Shanghai, China
- National Clinical Research Center for Interventional Medicine, Shanghai, China
| | - Yun-Yun Liu
- Center of Minimally Invasive Treatment for Tumor, Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China
- Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China
- Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clinical Research Center for Interventional Medicine, 200072, Shanghai, China
- National Clinical Research Center for Interventional Medicine, Shanghai, China
| | - Yi-Feng Zhang
- Center of Minimally Invasive Treatment for Tumor, Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China.
- Ultrasound Research and Education Institute, Clinical Research Center for Interventional Medicine, School of Medicine, Tongji University, Shanghai, China.
- Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clinical Research Center for Interventional Medicine, 200072, Shanghai, China.
- National Clinical Research Center for Interventional Medicine, Shanghai, China.
| | - Hui-Xiong Xu
- Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clinical Research Center for Interventional Medicine, 200072, Shanghai, China
- Department of Ultrasound, Zhongshan Hospital, Fudan University, 200032, Shanghai, China
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He YT, Liu YY, Gao W, Hu JJ, Ma XY, Xia CJ, Chen SH, Wang J, Liang D, Shi J, Shan BE. [Analysis for the breast cancer screening among urban population in Hebei province, 2018-2019]. Zhonghua Yu Fang Yi Xue Za Zhi 2021; 55:535-538. [PMID: 33858068 DOI: 10.3760/cma.j.cn112150-20201210-01445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
From 2018 to 2019, 3 453 cases of high-risk population were screened by the Cancer Screening Program in Urban China (CanSPUC) in Hebei Province, with the age of (53.94±8.00). 147 and 686 cases of breast cancer positive and suspicious positive patients were found, with the positive rate and suspicious positive rate of 4.26% and 19.87% respectively. The suspicious positive rate of 45-49 years old age group was the highest (28.32%), and the positive rate of over 70 years old age group was the highest (7.32%). The positive detection rate of mammography combined with ultrasound was 5.16%, which was higher than that of ultrasound alone (2.46%) (χ²=30.28,P<0.001) or mammography alone (3.06%) (χ²=14.56,P<0.001).
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Affiliation(s)
- Y T He
- Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
| | - Y Y Liu
- Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
| | - W Gao
- Precaution and Health Care, Shijiazhuang No. 1 Hospital, Shijiazhuang 050011, China
| | - J J Hu
- General Medicine, Hebei Cheat Hospital, Shijiazhang 050048, China
| | - X Y Ma
- Centers for Disease Control and Prevention of Shijiazhuang, Shijiazhuang 050011, China
| | - C J Xia
- Tumor Surgical Department of Head And Neck, Tangshan People's Hospital, Tangshan 063000, China
| | - S H Chen
- Health Department of Kailuan Group, Tangshan 063000, China
| | - J Wang
- Health College, the First Hospital of Hebei Medical University, Shijiazhuang 050000, China
| | - D Liang
- Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
| | - J Shi
- Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
| | - B E Shan
- Cancer Institute, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
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Yao Y, Huang JJ, Jin X, Zhao JX, Xia CJ, Tong Y, Gao Y, Yu LS, Fan YY. Function of IL-33 in Wound Age Estimation of Skin Wounds in Mice. Fa Yi Xue Za Zhi 2020; 36:192-198. [PMID: 32530166 DOI: 10.12116/j.issn.1004-5619.2020.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Indexed: 11/30/2022]
Abstract
Abstract Objective To explore the application value of interleukin-33 (IL-33) in wound age estimation in forensic practice by observing the sequential changes of IL-33 after skin wound. Methods Skin wound models were generated on the back of mice with a round file of 5 mm in diameter. Skin samples of the same size were taken from the same parts of mice in control group and injury group 1 h, 3 h, 6 h, 12 h, 1 d, 3 d, 5 d, 7 d and 10 d after skin wound. Hematoxylin-eosin (HE) staining method was applied to observe the morphological changes in the recovering process after skin wound. Western blotting, immunohistochemistry staining and double immunofluorescence staining methods were applied to detect the expression changes of IL-33 in the skin wound samples. Results The results of Western blotting showed that the expression of IL-33 protein decreased slightly at 3 h after skin wound, increased gradually at 6 h after skin wound, and reached the peak value at 3 d, then decreased gradually. Immunohistochemistry staining results showed that faint positive expression of IL-33 was observed in epidermis, hair follicles, sebaceous glands and dermal resident cells of the control group skin. The positive cell rate of IL-33 increased at 3 h after skin wound and reached the peak value at 3 d, then decreased gradually. The results of double immunofluorescence staining showed that the majority of IL-33 positive cells from 1 d to 3 d after wound were macrophages, while the majority of IL-33 positive cells from 5 d to 7 d after wound were myofibroblasts. In addition, the results of HE staining showed that the wound healing process of the skin wound model was consistent with the pathological development law of inflammation. Conclusion IL-33 could become a reference index for wound age estimation of skin wound in forensic practice.
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Affiliation(s)
- Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - X Jin
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J X Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - C J Xia
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Tong
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Gao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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Wang XH, Zhu LY, Xu W, Xia CJ. [Nursing care of a patient with recurrent massive hemoptysis caused by coal worker's pneumoconiosis complicated by invasive pulmonary aspergillosis]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2020; 37:871-872. [PMID: 31826559 DOI: 10.3760/cma.j.issn.1001-9391.2019.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Huang JJ, Yao Y, Xia CJ, Zhao YD, Yu S, Gao Y, Ye GH, Yu LS, Fan YY. Relationship between the Number of Neutrophils and Myofibroblasts during Diabetic Wound Healing and Wound Age. Fa Yi Xue Za Zhi 2019; 35:149-153. [PMID: 31135107 DOI: 10.12116/j.issn.1004-5619.2019.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Indexed: 11/30/2022]
Abstract
Abstract Objective To investigate the sequential changes of the number of neutrophils and myofibroblasts during diabetic wound healing, and discuss its application value in wound age estimation. Methods Diabetic DB mice and mice of the same age in the normal control group were selected, a wound healing model was established, wound samples were taken at different time points, while the number of neutrophils and myofibroblasts during diabetic wound healing were determined by immunohistochemical staining technique. Results The number of infiltrated neutrophils in the wounds of control and diabetic groups reached the peak respectively at 12 h and 5 d after injury. Compared with the control group, the number of neutrophils in the diabetic group decreased significantly from 6 h to 1 d after injury, but increased markedly from 5 d to 14 d. From 5 d to 10 d after injury, the average number of neutrophils at high magnification in wounds of the diabetic group was over 30, while that of neutrophils in wounds of the control group was less than 20. Myofibroblasts appeared in wounds from 3 d to 14 d after injury in the control group and from 5 d to 14 d after injury in the diabetic group. The difference in the number of myofibroblasts in wounds between control group and diabetic group from 3 to 7 d after injury had statistical significance. Conclusion In comparison with normal wound healing, the number of neutrophils and myofibroblasts during diabetic wound healing shows different sequential changes. The results of this study can provide reference for wound age estimation of patients with severe diabetes.
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Affiliation(s)
- J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - C J Xia
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y D Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Gao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - G H Ye
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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Abstract
The voltage-dependent anion channel (VDAC), also known as a mitochondrial porin, plays an important role in the regulation of metabolic and energetic functions of mitochondria, as well as in mitochondria-mediated apoptosis. Cytoplasmic male sterility (CMS) is of major economic importance for commercial hybrid production and a research model for the interaction be-tween nuclear and cytoplasmic genomes. Recent research has revealed that CMS is associated with programmed cell death. Here, we used the Honglian (HL)-CMS line of rice (Oryza sativa) as material to investigate the association of O. sativa VDAC (OsVDAC) expression to CMS. Eight VDACs were extracted from rice in this study. Bioinformatic analysis of the rice VDACs was conducted at the DNA, cDNA, and protein level. Expression patterns of OsVDACs were analyzed in different organs and during different stages of pollen development using sterile line YuetaiA (YTA), and its maintainer line YuetaiB (YTB). Differential expression of OsVDACs between YTA and YTB was observed, suggesting that VDACs may be involved in the formation of HL-CMS.
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Affiliation(s)
- X Xu
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - Y P Tan
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - G Cheng
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - X Q Liu
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - C J Xia
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - F Y Luo
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
| | - C T Wang
- Key Laboratory of State Ethnic Affairs Commission for Biological Technology, College of Life Science, South-Central University for Nationalities, Wuhan, China
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Abstract
Between January 1960 and December 1990, 163 patients with locally advanced breast cancer (LABC) were treated by multidisciplinary treatment regimens. Forty-six cases received preoperative intraarterial perfusion of cytotoxic drugs. Fifty-four cases received preoperative systemic chemotherapy. Forty-one cases received preoperative radiotherapy, and twenty-two cases received both radiotherapy and chemotherapy. Preoperative systemic chemotherapy gives the best results. Postoperative chemotherapy and radiotherapy did not improve the survival rate as compared to the control group. The authors suggest that preoperative induction chemotherapy be used for LABC patients.
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Affiliation(s)
- Z Z Shen
- Department of Surgery, Cancer Hospital, Shanghai Medical University, People's Republic of China
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