Diagnostic accuracy of glioma pseudoprogression identification with positron emission tomography imaging: a systematic review and meta-analysis.

Background: Positron emission tomography (PET) imaging is a promising molecular neuroimaging technique and has been proposed as one of the criteria for glioma management. However, there is some controversy concerning the diagnostic accuracy of PET using different radiotracers to differentiate between glioma pseudoprogression (PsP) and true progression (TPR). The purpose of this meta-analysis was to systematically evaluate the methodological quality and clinical value of original studies for distinguishing PsP from TPR in glioma. Methods: The Medline, Web of Science, Embase, Cochrane Library, and ClinicalTrials.gov were searched from inception until September 1, 2022. Retrieved clinical studies only investigated the PsP cases but did not include the cases of radiation necrosis or other treatment-related changes. Eligible studies were screened for data extraction and evaluated by 2 independent reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. A random effects model was used to describe summary receiver operating characteristics. Meta-regression and subgroup analyses were applied to identify any sources of heterogeneity. Results: The meta-analysis included 20 studies, comprising 317 (30.9%) patients with PsP and 708 (69.1%) with TPR. The summary sensitivity and specificity of general PET for identifying PsP were 0.86 [95% confidence interval (CI): 0.77-0.91] and 0.84 (95% CI: 0.79-0.88), respectively. The statistical heterogeneity was explained by sample size, study design, World Health Organization (WHO) grade, gold standard, and radiotracer type. The summary sensitivity and specificity of O-(2-18F-fluoroethyl)-L-tyrosine (18F-FET PET) were 0.80 (95% CI: 0.68-0.88) and 0.81 (95% CI: 0.75-0.85), respectively. The maximum tumor-to-brain ratio (TBRmax) and the mean tumor-to-brain ratio (TBRmean) both showed excellent diagnostic performance in 18F-FET studies, the summary sensitivity was 0.83 (95% CI: 0.72-0.91) and 0.79 (95% CI: 0.65-0.98), respectively, and the specificity was 0.76 (95% CI: 0.68-0.84) and 0.78 (95% CI: 0.64-0.88), respectively. Conclusions: PET imaging is generally accurate in identifying glioma PsP. Considering the credibility of meta-evidence and the practicability of using radiotracer, 18F-FET PET holds the highest clinical value, while TBRmax and TBRmean should be regarded as reliable parameters. PET used with the radiotracers and multiple-parameter combinations of PET with magnetic resonance imaging (MRI) and radiomics analysis have broad research and application prospects, whose diagnostic values for identifying glioma PsP warrant further investigation.

Low intensity pulsed ultrasound ameliorates Adriamycin-induced chronic renal injury by inhibiting ferroptosis.

OBJECTIVE: It is very important to develop a new therapeutic strategy to cope with the increasing morbidity and mortality of chronic kidney disease (CKD). As a kind of physical therapy, low intensity pulsed ultrasound (LIPUS) has remarkable anti-inflammatory and repair-promoting effects and is expected to become a new therapeutic method for CKD. This study aims to clarify the treatment effect of LIPUS on CKD-related renal inflammation and fibrosis, and to further explore the potential signal network of LIPUS treatment for ameliorating chronic renal injury. METHODS: A rat model simulating the progress of CKD was established by twice tail-vein injection of Adriamycin (ADR). Under anesthesia, bilateral kidneys of CKD rats were continuously stimulated by LIPUS for four weeks. The parameters of LIPUS were 1.0 MHz, 60 mW/cm2, 50% duty cycle and 20 min/d. RESULTS: LIPUS treatment effectively inhibited ADR-induced renal inflammation and fibrosis, and improved CKD-related to oxidative stress and ferroptosis. In addition, the therapeutic effect of LIPUS is closely related to the regulation of TGF-ß1/Smad and Nrf2/keap1/HO-1 signalling pathways. DISCUSSION: This study provides a new direction for further mechanism research and lays an important foundation for clinical trials.

Enhanced methane production in microbial electrolysis cell coupled anaerobic digestion system with MXene accelerants.

Accelerants can improve the anaerobic performance of a microbial electrolysis cell coupled anaerobic digestion (MEC-AD). MAX phase titanium aluminum carbide (MAX), multilayer Ti3C2TX MXene (ML-MXene) and few-layer Ti3C2TX MXene (FL-MXene) were utilized as accelerants for MEC-AD to promote CH4 production and CO2 reduction at a voltage of 0.6 V. The highest CH4 yield (358.7 mL/g VS) and the lowest CO2 yield (57.4 mL/g VS) relative to the control group (170.6 and 125.1 mL/g VS) were obtained in MEC-AD with ML-MXene (0.035 wt%). The digestates of MEC-AD with 0.035 wt% ML-MXene have superior thermal stability (40.9%) and total nutrient content (42.1 g/kg). The ML-MXene enhanced the abundances of Methanosarcina and Methanobacterium. This work highlights the possible role of MXene in promoting methanogenesis. These important findings provide a novel avenue for the development of MXene accelerants for MEC-AD systems.

Dual utilization of aloe peel: Aloe peel-derived carbon quantum dots enhanced anaerobic co-digestion of aloe peel.

Carbon materials have been widely used in anaerobic digestion (AD), but the role of zero-dimensional carbon quantum dots (CQDs) in anaerobic co-digestion (AcoD) has not yet been reported. In this work, the effect of aloe peel-derived CQDs (AP-CQDs) on the AcoD system of aloe peel and dairy manure was investigated. The addition of AP-CQDs accelerants increased the cumulative CH4 yield from 201.14 to 266.92-339.64 mL/g VS and increased total chemical oxygen demand removal efficiency from 34.72 % to 48.77-57.87 %. The use of a digestate with 0.36 wt.% of AP-CQDs resulted in a thermogravimetric mass loss of 47.15 % and a promising total nutrient content of 46.65 g/kg. The excellent electron exchange capacity of AP-CQDs may facilitate direct interspecies electron transfer during the AD process. Moreover, the use of AP-CQDs can enrich methanogenic microorganisms (Methanosarcina and Methanobacterium). These findings provide a viable strategy for improving methane production and create awareness regarding the dual use of biomass waste.

Enhanced methane production in anaerobic co-digestion systems with modified black phosphorus.

Black phosphorus (BP) and BP modified by hydrogen peroxide (MBP) were used as accelerants to enhance CH4 production and CO2 reduction in microbial electrolysis cells (MECs) coupled with anaerobic co-digestion systems (MEC-AcoD). The MEC-AcoD group with a voltage of 0.6 V and 0.03 wt.% of MBP accelerant (MEC0.6MBP0.03) had the largest CH4 yield (242.1 mL/g VS) and the smallest carbon dioxide yield (97.6 mL/g VS) compared with the control group (141.2 mL/g VS, 146.9 mL/g VS). The digestates that used MEC0.6MBP0.03 exhibited superior thermal stability (46.2 %) and total nutrient contents (44.5 g/kg). These improvements may be attributed to the superior electron exchange capacity and physicochemical properties of MBP. Herein, we propose a strategy to understand enhanced CH4 production and CO2 reduction in anaerobic co-digestion and MEC-AcoD systems using MBP accelerants. Notably, combining MBP and MEC could effectively promote anaerobic co-digestion performance.

Use of bag-filter gas dust in anaerobic digestion of cattle manure for boosting the methane yield and digestate utilization.

Plenty of refractory and environmentally hazardous bag-filter gas dust (BGD) is produced in the iron-making process. The effects of untreated BGD on anaerobic digestion (AD) with cattle manure were investigated. The BGD had the potential to boost the methane yield and digestate utilization considerably. The digester with 2.0 wt% BGD gained the highest methane yield (256.3 mL/g VS) and chemical oxygen demand removal rate (56.8%), 51.3% and 20.1% higher than that (169.4 mL/g VS, 47.3%) of the control group, respectively. The digestates with BGD possessed a utilization potential with the stability of 49.5-57.9% and fertility of 4.65-4.86%. Electrochemical measurements demonstrated that 2.0 wt% BGD improved the electron transport capacity of the AD system and increased the limiting current and redox peak current by 40.3% and 12.9%, respectively. A strategy for understanding the BGD reinforcing methanogenesis was proposed. This work also provides a technical support for recycling the BGD.

Enhanced anaerobic co-digestion performance by using surface-annealed titanium spheres at different atmospheres.

A series of surface-annealed titanium spheres (Ti-A, Ti-B, and Ti-C) in different atmospheres were used as accelerants in anaerobic co-digestion (AcoD) systems under magnetic field (MF). Surface-annealed titanium spheres and MF exhibit remarkable coupling and promoting effects on the AcoD performance. The cumulative biogas yield (435.84-552.60 mL/g VS) and total chemical oxygen demand (COD) degradation efficiency (59.76%-71.28%) of the AcoD systems with TiMF, Ti-AMF, Ti-BMF, and Ti-CMF were significantly higher than control (357.66 mL/g VS and 51.5%). The digestates of the AcoD system with surface-annealed Ti spheres delivered excellent stability (49.83%-59.90%) and fertilizer (4.21%-4.56%). This work clarifies the possible role of surface-annealed Ti spheres in enhancing methanogenesis.

Brain structure analysis of different age groups of Diannan small-ear pigs.

The objective of the study is to investigate the brain development and atrophy of Diannan small-ear pigs in different ages using magnetic resonance imaging (MRI). A total of 12 Diannan small-ear pigs were included and divided into the young group, adult group, and middle-and-old age (M&O) group according to their age. The brain structure of pigs was scanned using MRI, and the brain data obtained were statistically analyzed by signal conversion and image reconstruction. Compared with the young group, the signals of most brain structures in the adult group and M&O group were significantly decreased (p < 0.05). Compared with the adult group, the signal intensity of the right caudate nucleus and the right lateral ventricle in the M&O group was significantly increased, while the signal intensity of other regions was almost significantly decreased (p < 0.05). Compared with the young group, both adult and M&O groups had some degree of brain atrophy. Brain atrophy in the precuneus and the inferior temporal gyrus was more predominant in the M&O group in comparison with the adult group. The present study demonstrated that the brain signal of Diannan small-ear pigs gradually diminished with age, while the degree of brain atrophy was the opposite, providing the basic data on the brain of Diannan small-ear pigs.

Coconut-shell-derived bio-based carbon enhanced microbial electrolysis cells for upgrading anaerobic co-digestion of cow manure and aloe peel waste.

Microbial electrolysis cells (MECs) and exogenous accelerants can augment anaerobic digestion performance. Herein, MECs and coconut-shell-derived bio-based carbon (CBC) accelerant are adopted to strengthen anaerobic co-digestion of cow manure and aloe peel waste. The MEC with the voltage of 0.6 V and CBC accelerant of 0.15 wt.% gained the highest cumulative biogas yield (444.20 NmL/g VS) and chemical oxygen demand removal rate (75.46%), which are 80.25% and 58.33% higher than those (246.44 NmL/g VS, 47.66%) of the blank group, respectively. The digestates embodied a utilization potential with thermogravimetric loss of 37.12%-50.67% and total nutrient content of 35.36-51.58 g/kg. These results benefited from excellent electrocatalytic activity of MECs and physicochemical properties of CBC accelerant. A general strategy for understanding improved methanogenesis was proposed based on integrated effects of MECs and CBC accelerant. This work will shed light on development of anaerobic co-digestion by combining MECs and bio-based carbon accelerants.

Multislice spiral CT images combined with CEA and lymphocyte-to-neutrophil ratio predict recurrence and post-operative metastasis of rectal cancer.

To explore the early predictors of post-operative recurrence and metastasis of rectal cancer, analyse the associated risk, and construct a model. Retrospective collection. Four hundred patients with rectal cancer underwent surgical resection and pathological diagnosis from September 2013 to September 2014. During the post-operative period, the patients were tested by imaging examination, serum tumour markers, and routine blood follow-up for at least 3 years. Preoperative CT examination of tumour size, lymphocyte-to-neutrophil ratio, and CEA were significant biomarkers for predicting recurrence and/or metastasis of post-operative rectal cancer. The stratified threshold of the lesion size cut-off point in CT images of patients with rectal cancer was 18.75 cm3, the cut-off point value of the lymphocyte-to-neutrophil ratio was 0.33, and the CEA cut-off point value was 16.97 ng/ml. We used the cut-off point to perform stratified survival analysis to obtain two K-M curves and conduct a log-rank test. The Cox multivariate risk regression results were as follows: preoperative CT images of lesion size, lymphocyte-to-neutrophil ratio, and CEA. The AUC of the normogram model for the prediction of post-operative recurrence and metastasis of rectal cancer is 0.939. Preoperative CT examination of tumour size can predict post-operative recurrence and metastasis of rectal cancer and can be used to analyse its risk. The lymphocyte-to-neutrophil ratio and CEA can also predict post-operative tumour recurrence and metastasis risk.

Intensify the application of ZnO-based nanodevices in humid environment: O2/H2 plasma suppressed the spontaneous reaction of amorphous ZnO nanowires.

In this work, we have demonstrated that amorphous ZnO nanobranches (a-ZnO NBs) could spontaneously react from the crystalline ZnO NWs (c-ZnO NWs) at specific humid environment. The spontaneous reaction mechanism and result can be analyzed by humidity controlling and optical microscope (OM)/scanning electron microscope (SEM)/Kelvin probe force microscopy (KPFM)/transmission electron microscopy (TEM) system. We can make the c-ZnO NWs spontaneous reaction happen at different humid environments and suppress the a-ZnO NBs spontaneous reaction by oxygen/hydrogen plasma surface passivation. The hydrogen plasma surface treatment also can improve the UV sensing sensitivity more than twofold. This work provides the mechanism and methods of the a-ZnO NBs spontaneous growth and offers the passivation treatment for strengthening and enhancing ZnO-based nanodevice application in humid environment and UV light detection, respectively.

Development of an automated on-line pre-column derivatization procedure for sensitive determination of histamine in food with high-performance liquid chromatography-fluorescence detection.

An improved sensitive method was developed and validated for the determination of histamine in food samples by using automated on-line pre-column derivatization coupled with high performance liquid chromatography and fluorescence detection (HPLC-FLD). o-Phthaldialdehyde (OPA) was adopted as derivatization reagent, and a "sandwich" (OPA+histamine+OPA) aspiration mode for the automated on-line pre-column derivatization was found to efficiently enhance the method sensitivity and precision. Histamine in food samples was efficiently extracted with a methanol-phosphate buffer solution (50:50, v/v) at 60 degrees C for 30 min, and purified with Waters Oasis MCX solid-phase extraction (SPE) cartridge. The limit of quantification for this method is 0.2 mg/kg, which is very sensitive for histamine determination. With the "sandwich" injection program, 3.7% of relative standard deviation (RSD) was achieved by five replicative determinations of a sample blank spiked with 0.25 mg/kg histamine standard. Histamine in food samples such as fumitory skipjack and mackerel was analyzed with relative recoveries over 95% at spiking level of 150 mg/kg, as well as canned tuna fish and cheese with relative recoveries up to 98% at spiking levels of 0.50 and 5.0 mg/kg, respectively. The proposed method was validated with a sample from the Food Analysis Performance Assessment Scheme (FAPAS) as a standard certified material; and the results (140+/-6 mg/kg) agreed well with the assigned value (139 mg/kg).