Comparison of clinical and MRI features of brain metastases between ALK+ and ALK- NSCLC.

BACKGROUND: Non-small-cell lung cancer (NSCLC) is the primary cause of brain metastases (BM). This study aimed to investigate differences in clinical and magnetic resonance imaging (MRI) features of BM between anaplastic lymphoma kinase (ALK) gene fusion (ALK+) and ALK wild-type (ALK-) NSCLC, and to preliminarily assess the efficacy of radiotherapy for treating BM. METHODS: A retrospective analysis included 101 epidermal growth factor receptor (EGFR)- NSCLC patients with BM: 41 with ALK gene fusion and 60 being ALK-. The brain MRI and clinical features were compared between different ALK status using the multivariate analysis, and a nomogram was constructed to predict ALK gene fusion. Fifty-six patients who did not undergo cerebral surgery and had complete pre- and post- treatment data were further divided based on whether they received radiotherapy. Log-rank test was used to compare the short-term effect of treatment between the two groups under different genotypes. RESULTS: ALK+ BM exhibited decreased peritumoral brain edema size, lower peritumoral brain edema index (PBEI), and a more homogeneous contrast enhancement pattern compared to ALK- BM. Age (OR = 1.04; 95%CI: 1.02-1.06), time to BM (OR = 1.50; 95% CI: 1.04-2.14), PBEI (OR = 1.26; 95% CI: 0.97-1.62), smoking status (smoking index >400 vs. non-smoking status: OR = 1.42; 95% CI: 0.99-2.04) and contrast enhancement pattern (OR = 1.89; 95% CI: 1.28-2.78) were associated with ALK gene fusion. A nomogram based on these variables demonstrated acceptable predictive efficiency (AUC = 0.844). In the ALK+ group, patients who received radiotherapy did not show increased disease control rate (DCR) or progression-free survival (PFS). In contrast, in the ALK- group, those who received radiotherapy had improved objective response rate (ORR), DCR, and PFS compared to those who were only treated with systemic therapy. CONCLUSIONS: The clinical and MRI features of BM can indicate the status of ALK in NSCLC. In the ALK- group, patients who received radiotherapy showed higher ORR, DCR, and PFS compared to those who did not.

Gel-Embedded Biochar and Hydroxyapatite Composite for the Improvement of Saline-Alkali Soil and Plant Growth Promotion.

Soil amendments play a crucial role in modern agriculture, as they effectively enhance the planting environment. This study innovatively proposes the use of gel as a crosslinking agent to embed biochar and hydroxyapatite (HAP), thereby preparing a novel soil amendment. Furthermore, this study investigates the soil improvement effects of this amendment as well as its influence on plant growth. This study employed a hydrothermal method to combine corn stalk (CB) or sludge (SB) biochar with HAP at different ratios (0-20%). Subsequently, sodium alginate gel (SA) was utilized to encapsulate the biochar and minerals, successfully forming a ternary composite gel material (corn stalk biochar/sludge biochar-sodium alginate gel-hydroxyapatite: CB/SB-SA-HAP). Finally, the practical effectiveness of this amendment was verified through potted soil experiments. The results indicate that the CB/SB-SA-HAP composite materials exhibited a micrometre-scale spherical structure with well-developed micropores and possess the functional groups of CB/SB, SA, and HAP, along with unique mineral properties. Through pot experiments, it was verified that the composite material effectively enhances multiple soil properties. After 21 days of cultivation, the soil pH values stabilized within the neutral range (pH = 7 ± 0.3) across all treatment groups. Except for the CB0 (CB:HAP = 1:0) and CB2.0 (CB:HAP = 1:2) treatments, the remaining treatments significantly reduced the soil EC values by 3.27% to 47.92%. All treatments significantly increased the contents of alkali-hydrolysable nitrogen (AHN) (34.89~57.91%), available phosphorus (AP) (35.93~56.55%), and available potassium (AK) (36.41~56.80%) in the soil. In comparison, although the SB treatment was more effective in regulating the pH and electrical conductivity (EC) of saline-alkali soil than the CB treatment, it was less effective in promoting plant growth in the short term. Through correlation analysis and redundancy analysis, a significant positive correlation was found between soil pH and ryegrass germination rate and plant height, particularly with the most pronounced impact on soil pH observed in the CB1.0 and SB0 (SB:HAP = 1:0) treatments. This study underscores the potential of CB/SB-SA-HAP composite materials in soil improvement and plant growth promotion, providing valuable insights for soil remediation, enhancement, and plant cultivation advancements in the agricultural sector.