肺腺癌CT影像分子分型研究进展

研究表明在明确驱动基因后进行特异性靶向治疗,肺癌患者的中位生存期显著延长。而除高通量测序技术和荧光原位杂交等分子生物学技术外,影像基因组学的出现,也为肺腺癌分子分型预测提供了一种无创的新方法。本文对肺腺癌计算机断层扫描(computed tomography, CT)影像分子分型的研究进展进行综述。首先,介绍肺腺癌分子分型的研究背景及肺腺癌主要的基因突变类型;然后,重点介绍两种主要的研究方法,即CT语义特征与肺腺癌分子亚型的相关性分析和基于机器学习的肺腺癌分子分型预测模型;最后,总结了该领域现阶段面临的主要问题,并对未来的研究方向做出展望。肺腺癌CT影像分子分型研究已经取得了一定成果,但仍存在很多问题。相关性分析与基于影像组学的预测模型研究由于样本各异且受过多人为干预,导致研究结果差异大,甚至有部分文献得到的结论截然相反。而基于深度学习的预测模型研究采用端到端的神经网络模型,人为参与极少,降低了研究难度,但尚处于起步阶段,构建的模型大多相对简单,远不能达到临床应用标准。今后的研究应聚焦于结合多种医学图像构建肺腺癌分子分型的大样本深度学习预测模型,同时结合临床信息、语义特征及影像组学特征...     

Mammography and 99mTc-MIBI scintimammography in breast cancer diagnosis

The aim of this work has been to evaluate whether a diagnostic protocol based on the joint use of mammography and ^99mTc-MIBI scintimammography can help to distinguish the lesions and to reduce the number of biopsies required in patients with suspected breast cancer,A total of 58 women were evaluated by palpation ,mammography,scintimammography,Twenty-four patints were scintimammographed with ^99mTc-MIBI at 10 min after injection.Thirty-four patients were taken doublepase scintimammography with ^99mTc-MIBI 10min and 60-90 min fater injection. Based on mammography,the supicion degrees of malignancy were rated,and 30 results of malignancy were confirmed by histopatology,Based on mammography,18 lesion were considered to be most probably benign (of which 3 were histopathologically breast cancer),19 as indeterminate(of which 9 were histopatologically breast cancer),and 21 as malignant (of which 18 were histopathologically breast cancer),The results of early and delayed phases ^99mTc-MIBI scintimammography were the same.The sensitivity,specificity and accuracy of scintimammography were 74.29%,86.96% and 79.31%,respectively,Scintimammography gave 16 correct diagnosis in 19 mammogram indeterminate (84.2%) and demonstrated 5 out of 8 cases axillary lymph nodes metastasis (72.5%),These studies show that ^99mTc-MIBI scintimammography used as a complementary testing technique to mammography is useful in the examination of patients with suspected breast cancer,The adoption of a joint mammography-scintimammography diagnostic protocol could considerably reduce the number of biopsies performed in patients with lesion of indeterminate mammographic suspicion of malignancy.     

Microscopic melanoma detection and classification: A framework of pixel‐based fusion and multilevel features reduction

The numbers of diagnosed patients by melanoma are drastic and contribute more deaths annually among young peoples. An approximately 192,310 new cases of skin cancer are diagnosed in 2019, which shows the importance of automated systems for the diagnosis process. Accordingly, this article presents an automated method for skin lesions detection and recognition using pixel‐based seed segmented images fusion and multilevel features reduction. The proposed method involves four key steps: (a) mean‐based function is implemented and fed input to top‐hat and bottom‐hat filters which later fused for contrast stretching, (b) seed region growing and graph‐cut method‐based lesion segmentation and fused both segmented lesions through pixel‐based fusion, (c) multilevel features such as histogram oriented gradient (HOG), speeded up robust features (SURF), and color are extracted and simple concatenation is performed, and (d) finally variance precise entropy‐based features reduction and classification through SVM via cubic kernel function. Two different experiments are performed for the evaluation of this method. The segmentation performance is evaluated on PH2, ISBI2016, and ISIC2017 with an accuracy of 95.86, 94.79, and 94.92%, respectively. The classification performance is evaluated on PH2 and ISBI2016 dataset with an accuracy of 98.20 and 95.42%, respectively. The results of the proposed automated systems are outstanding as compared to the current techniques reported in state of art, which demonstrate the validity of the proposed method.     

鼠类移植癌肿的自体荧光研究

一、引言 本报道用氙离子激光作激发光源,对4只正常昆明小白鼠、5只SD大白鼠和4只正常BALB/C裸鼠以及4只移植S-180平滑肌肉瘤的昆明小白鼠,12只移植人胃癌、肝癌和肺癌的BALB/0裸鼠作了皮肤、胃粘膜,肝脏和移植瘤的自体荧光的光谱分析,发现大白鼠和小白鼠的胃粘膜在690nm/(±20nm)处有荧光峰出现,小白鼠的移植瘤在630nm(±20nm)处有荧光峰,而皮肤则无。裸鼠皮肤和胃粘膜在690nm处有荧光峰,而移植瘤在630nm和690     

Smart Injectable Hydrogels for Cancer Immunotherapy

Hydrogels, a class of materials with a 3D network structure, are widely used in various fields especially in biomedicine. Injectable hydrogels could facilitate the encapsulation and controlled release of small molecular drugs, macromolecular therapeutics, and even cells. With the rapid development of cancer immunotherapy, such injectable hydrogels have attracted wide attention for local immunomodulation to boost systemic anticancer immune responses, realizing more effective immunotherapy at lower doses. The latest progresses in the development of various smart injectable hydrogels for cancer immunotherapy are summarized here. Although applied locally, such injectable hydrogels can activate systemic antitumor immune responses, safely and effectively inhibiting the tumor metastasis and recurrence. Moreover, it is discussed how injectable hydrogel‐based cancer immunotherapy would contribute to the development of next generation of cancer treatment together with their potential for clinical translation.     

Remote‐Loaded Platelet Vesicles for Disease‐Targeted Delivery of Therapeutics

The recent emergence of biomimetic nanotechnology has facilitated the development of next‐generation nanodelivery systems capable of enhanced biointerfacing. In particular, the direct use of natural cell membranes can enable multivalent targeting functionalities. Herein, this study reports on the remote loading of small molecule therapeutics into cholesterol‐enriched platelet membrane‐derived vesicles for disease‐targeted delivery. Using this approach, high loading yields for two model drugs, doxorubicin and vancomycin, are achieved. Leveraging the surface markers found on platelet membranes, the resultant nanoformulations demonstrate natural affinity toward both breast cancer cells and methicillin‐resistant Staphylococcus aureus. In vivo, this translates to improved disease targeting, increasing the potency of the encapsulated drug payloads compared with free drugs and the corresponding nontargeted nanoformulations. Overall, this work demonstrates that the remote loading of drugs into functional platelet membrane‐derived vesicles is a facile means of fabricating targeted nanoformulations, an approach that can be easily generalized to other cell types in the future.     

应用FTIR技术对肺癌疾病的研究

我们运用傅里叶变换红外光谱技术对15例肺癌及其癌旁正常组织进行了测定。结果表明,正常和肺癌组织的FTIR光谱存在着显著差异。主要集中在磷酸单脂和二脂基团,膜脂质末端甲基和亚甲基振动,蛋白质酰胺Ⅱ带和酰胺Ⅰ带及蛋白质分子丝氨酸,苏氨酸,酪氨酸残基的C-O（H）振动等。实验结果说明,FTIR技术可以成为诊断肺癌疾病的一种快速方法。     

Serum Proteomics in Patients with Head and Neck Cancer: Peripheral Blood Immune Response to Treatment

In this real-world study, the aims were to prospectively evaluate the expression of inflammatory proteins in serum collected from head and neck cancer patients before and after treatment, and to assess whether there were differences in expression associated with treatment modalities. The mixed study cohort consisted of 180 patients with head and neck cancer. The most common tumor sites were the oropharynx (n = 81), the oral cavity (n = 53), and the larynx (n = 22). Blood tests for proteomics analysis were carried out before treatment, 7 weeks after the start of treatment, and 3 and 12 months after the termination of treatment. Sera were analyzed for 83 proteins using an immuno-oncology biomarker panel (Olink, Uppsala, Sweden). Patients were divided into four treatment groups: surgery alone (Surg group, n = 24), radiotherapy with or without surgery (RT group, n = 94), radiotherapy with concomitant cisplatin (CRT group, n = 47), and radiotherapy with concomitant targeted therapy (RT Cetux group, n = 15). For the overall cohort, the expression levels of 15 of the 83 proteins changed significantly between the pretreatment sample and the sample taken 7 weeks after the start of treatment. At 7 weeks after the start of treatment, 13 proteins showed lower expression in the CRT group compared to the RT group. The majority of the inflammatory proteins had returned to their pretreatment levels after 12 months. It was clearly demonstrated that cisplatin-based chemoradiation has immunological effects in patients with head and neck cancer. This analysis draws attention to several inflammatory proteins that are of interest for further studies.     

New Developments in Carbonic Anhydrase IX-Targeted Fluorescence and Nuclear Imaging Agents

Carbonic anhydrase IX (CAIX) is a tumor-specific and hypoxia-induced biomarker for the molecular imaging of solid malignancies. The nuclear- and optical-imaging of CAIX-expressing tumors have received great attention due to their potential for clinical applications. Nuclear imaging is a powerful tool for the non-invasive diagnosis of primary and metastatic CAIX-positive tumors and for the assessment of responses to antineoplastic treatment. Intraoperative optical fluorescence imaging provides improved visualization for surgeons to increase the discrimination of tumor lesions, allowing for safer surgical treatment. Over the past decades, many CAIX-targeted molecular imaging probes, based on monoclonal antibodies, antibody fragments, peptides, and small molecules, have been reported. In this review, we outline the recent development of CAIX-targeted probes for single-photon emission computerized tomography (SPECT), positron emission tomography (PET), and near-infrared fluorescence imaging (NIRF), and we discuss issues yet to be addressed.