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1.
Diagn Interv Radiol ; 26(2): 131-139, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32071022

RESUMO

PURPOSE: We aimed to evaluate the safety and effectiveness of radiofrequency ablation (RFA) combined with transarterial chemoembolization (TACE) guided by multiple imaging modalities for hepatocellular carcinomas (HCCs) in special (i.e., high-risk or unfavorable) locations compared with those in conventional locations. METHODS: A total of 122 HCC patients were enrolled, including 85 patients (69.7%) with HCC in conventional locations and 37 (30.3%) with HCC in special locations. The clinical data, overall survival (OS), progression-free survival (PFS), and procedure-related adverse events were analyzed. RESULTS: RFA combined with TACE was successfully performed in all patients. Three complications (2.5%) occurred, with no significant difference between the conventional (n=1, 1.2%) and special (n=2, 5.4%) locations (P = 0.218). Complete tumor necrosis rate was not significantly different between the conventional (n=73, 85.9%) and special (n=34, 91.9%) locations at one-month imaging (P = 0.353). After a follow-up of 3-48 months, the PFS was 17 months for patients with HCC in conventional locations and 14 months for patients with HCC in special locations; one-year PFS rate was 68.1% in the conventional location group, not significantly (P = 0.741) different from 59.1% in the special location group. The OS was 28 months in the conventional location group while 32 months in the special location group. The cumulative one- and two-year OS rates were 89.9% and 63.3%, respectively, in the conventional location group, not significantly different from 96.3% and 65% in the special location group (P = 0.273). Age (P = 0.043) and tumor size (P < 0.001) were significant prognostic factors for OS, and tumor size (P < 0.001) was the only significant prognostic factor for PFS. CONCLUSION: RFA guided by multiple imaging modalities combined with TACE may be safe and effective for treating HCCs in special locations.


Assuntos
Carcinoma Hepatocelular/diagnóstico por imagem , Carcinoma Hepatocelular/terapia , Ablação por Cateter/métodos , Quimioembolização Terapêutica/métodos , Diagnóstico por Imagem/métodos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/terapia , Carcinoma Hepatocelular/cirurgia , Terapia Combinada/métodos , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Neoplasias Hepáticas/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
4.
Guang Pu Xue Yu Guang Pu Fen Xi ; 30(7): 1759-62, 2010 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-20827965

RESUMO

The models of quantitative analysis of brix and pol in sugar cane juice were established by using near infrared spectroscopy (NIR) coupled with the back propagation-artificial neural network method (BP-ANN). The spectra of cane juice samples were obtained by the way of 2 mm optical length transmission and using the NIR spectrometer of 1,000-1,800 nm wavelength. Firstly, the data of original spectra were pretreated by Savitzky-Golay derivative and mean-centering. Secondly, the wavelength range of model was optimized by using correlation coefficient method coupled with the characteristic absorbance of the spectrum. Finally, the principal components, obtained by PLS dimension-reducing, were inputed into BP-ANN. The calibration models were established by calibration set and validated by prediction set. The results showed that the related coefficients (R2) of prediction for brix and pol were 0.982 and 0.979, respectively; and the standard errors of prediction (SEP) for brix and pol were 0.159 and 0.137, respectively. BP-ANN was more accurate in the prediction of brix and pol compared with the partial least square method (PLS). The method can be applied to fast and accurate determination of brix and pol in sugar cane juice.


Assuntos
Saccharum/química , Espectroscopia de Luz Próxima ao Infravermelho , Análise dos Mínimos Quadrados , Modelos Teóricos , Redes Neurais de Computação
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