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1.
Proc Natl Acad Sci U S A ; 119(10): e2110756119, 2022 03 08.
Artigo em Inglês | MEDLINE | ID: mdl-35235447

RESUMO

SignificanceAerosol-cloud interaction affects the cooling of Earth's climate, mostly by activation of aerosols as cloud condensation nuclei that can increase the amount of sunlight reflected back to space. But the controlling physical processes remain uncertain in current climate models. We present a lidar-based technique as a unique remote-sensing tool without thermodynamic assumptions for simultaneously profiling diurnal aerosol and water cloud properties with high resolution. Direct lateral observations of cloud properties show that the vertical structure of low-level water clouds can be far from being perfectly adiabatic. Furthermore, our analysis reveals that, instead of an increase of liquid water path (LWP) as proposed by most general circulation models, elevated aerosol loading can cause a net decrease in LWP.

2.
Environ Sci Technol ; 57(38): 14226-14236, 2023 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-37713595

RESUMO

Vertical distribution of phytoplankton is crucial for assessing the trophic status and primary production in inland waters. However, there is sparse information about phytoplankton vertical distribution due to the lack of sufficient measurements. Here, we report, to the best of our knowledge, the first Mie-fluorescence-Raman lidar (MFRL) measurements of continuous chlorophyll a (Chl-a) profiles as well as their parametrization in inland water. The lidar-measured Chl-a during several experiments showed good agreement with the in situ data. A case study verified that MFRL had the potential to profile the Chl-a concentration. The results revealed that the maintenance of subsurface chlorophyll maxima (SCM) was influenced by light and nutrient inputs. Furthermore, inspired by the observations from MFRL, an SCM model built upon surface Chl-a concentration and euphotic layer depth was proposed with root mean square relative difference of 16.5% compared to MFRL observations, providing the possibility to map 3D Chl-a distribution in aquatic ecosystems by integrated active-passive remote sensing technology. Profiling and modeling Chl-a concentration with MFRL are expected to be of paramount importance for monitoring inland water ecosystems and environments.


Assuntos
Clorofila , Ecossistema , Clorofila A , Fluorescência , Fitoplâncton , Água
3.
Clin Lab ; 69(6)2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37307112

RESUMO

BACKGROUND: This study investigates the value of apolipoprotein A1 in assessing the occurrence and prognosis of cardiovascular events in peritoneal dialysis patients. METHODS: A retrospective analysis was conducted based on the clinical information of 80 end-stage renal disease patients who underwent peritoneal dialysis at Zhuji People's Hospital Zhejiang Province from January 2015 to December 2016. Based on the median value of apolipoprotein A1, patients were evenly distributed as either High Apolipoprotein A1 Group (H-ApoA1, > 1.145g/L, n = 40) or Low Apolipoprotein A1 Group (L-ApoA1, < 1.145g/L, n = 40). RESULTS: When compared with the H-ApoA1 group, the L-ApoA1 group patients were observed to have higher BMI, total Kt/V, hemoglobin, AKP, glycated hemoglobin, HOMA-IR, HDL levels, while simultaneously having lower total Ccr, triglycerides, total cholesterol, LDL, CRP levels (p < 0.05). Further analysis found that the all-cause mortality rate, cardiovascular death rate, and cardiovascular event rates were significantly higher in L-ApoA1 group patients than the H-ApoA1 group (p < 0.05); no statistical significance was found for mortality rates due to infection, abandon treatment, tumor, failure, gastrointestinal bleeding or undetermined reasons between the two groups (p > 0.05). In addition, the median all-cause mortality and median occurrence of cardiovascular events of L-ApoA1 group patients were observed to be shorter than the H-ApoA1 group (p < 0.05), and apolipoprotein A1 is a risk factor for all-cause mortality rate and cardiovascular occurrence end-point events (p < 0.05). CONCLUSIONS: Peritoneal dialysis patients with a reduced level of apolipoprotein A1 have a poorer prognosis and more severe cardiovascular events.


Assuntos
Doenças Cardiovasculares , Diálise Peritoneal , Humanos , Apolipoproteína A-I , Estudos Retrospectivos , Prognóstico
4.
J Stroke Cerebrovasc Dis ; 31(1): 106202, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34775182

RESUMO

OBJECTIVE: Electroacupuncture (EA) pretreatment has been shown to alleviate cerebral ischemia-reperfusion (I/R) injury; however, the underlying mechanism remains unclear. To investigate the involvement of mTOR signaling in the protective role of EA in I/R-induced brain damage and mitochondrial injury. METHODS: Sprague-Dawley male rats were pretreated with vehicle, EA (at Baihui and Shuigou acupoints), or rapamycin + EA for 30 min daily for 5 consecutive days, followed by the middle cerebral artery occlusion to induce I/R injury. The neurological functions of the rats were assessed using the Longa neurological deficit scores. The rats were sacrificed immediately after neurological function assessment. The brains were obtained for the measurements of cerebral infarct area. The mitochondrial structural alterations were observed under transmission electron microscopy. The mitochondrial membrane potential changes were detected by JC-1 staining. The alterations in autophagy-related protein expression were examined using Western blot analysis. RESULTS: Compared with untreated I/R rats, EA-pretreated rats exhibited significantly decreased neurological deficit scores and cerebral infarct volumes. EA pretreatment also reversed I/R-induced mitochondrial structural abnormalities and loss of mitochondrial membrane potential. Furthermore, EA pretreatment downregulated the protein expression of LC3-II, p-ULK1, and FUNDC1 while upregulating the protein expression of p-mTORC1 and LC3-I. Rapamycin effectively blocked the above-mentioned effects of EA. CONCLUSION: EA pretreatment at Baihui and Shuigou alleviates cerebral I/R injury and mitochondrial impairment in rats through activating the mTORC1 signaling. The suppression of autophagy-related p-ULK1/FUNDC1 pathway is involved in the neuroprotective effects of EA.


Assuntos
Proteína Homóloga à Proteína-1 Relacionada à Autofagia , Isquemia Encefálica/prevenção & controle , Eletroacupuntura , Infarto da Artéria Cerebral Média/terapia , Proteínas de Membrana , Proteínas Mitocondriais , Traumatismo por Reperfusão/prevenção & controle , Serina-Treonina Quinases TOR , Animais , Masculino , Alvo Mecanístico do Complexo 1 de Rapamicina , Mitofagia , Ratos , Ratos Sprague-Dawley , Sirolimo/farmacologia
5.
Appl Opt ; 59(10): C21-C30, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32400562

RESUMO

Seawater properties can be retrieved from oceanic lidar returns. However, the actual returns include the ideal returns convolved by the instrument response, which inevitably introduces retrieval error. In this paper, instrument response effects on the retrieval of oceanic lidar are analyzed from different aspects. The results demonstrate that the retrieval of the lidar attenuation coefficient near the water surface is affected by the instrument response in homogeneous water. Considering the ratio of the signal distortion region (relative error of attenuation >10%) to the maximum detection depth (three dynamic ranges) is less than 20%, the pulse width of the instrument response should be less than 10-0.042(Kd)-2+0.709(Kd)-1+1.136ns. In addition, an average relative error of 55% will be introduced to the retrieval of phytoplankton layer thickness in the stratified water, which can be reduced to 6% after correcting for the influence of the instrument response. However, a relative error greater than 20% still exists when the instrument response length is two times larger than the layer thickness. These conclusions provide guidelines to a future design of oceanic lidar.

6.
Opt Express ; 27(21): 30204-30216, 2019 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-31684270

RESUMO

The return spectrum of the oceanic high-spectral-resolution lidar (HSRL) is simulated with a semianalytic spectral Monte Carlo (MC) method. The results show that the spectrum is similar to the single scattering spectrum at the water surface but broadens with the depth due to multiple scattering. Therefore, if the non-spectral MC method that ignores the spectrum broadening is used, deviations will be introduced into the HSRL retrieval, e.g., the effective particulate 180° volume scattering function (backscatter) and lidar attenuation coefficient (attenuation). The simulation indicates that the backscatter and attenuation deviations are within 10% and 2%, respectively, when the HSRL discriminator is the iodine absorption cell, and are within 3% and 1%, respectively, when the discriminator is changed to the field-widened Michelson interferometer.

7.
Opt Express ; 27(12): A654-A668, 2019 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-31252845

RESUMO

A semianalytic Monte Carlo model is developed to simulate oceanic high-spectral-resolution lidar (HSRL) signals with multiple scattering. The phase function effects on oceanic HSRL retrieval are studied, e.g., the effective particulate 180° volume scattering function (VSF) and lidar attenuation coefficient that describe characteristics of backscatter and attenuation, respectively. The results demonstrate that the particulate backward and forward phase functions both have a significant influence on δ1, which is the relative difference between the effective and true particulate 180° VSF. The values of |δ1| are typically quite small for all phase functions at the water surface and increase with depth up to ~17% for the Fournier and Forand (FF) phase function but up to ~40% for the two-term Henyey-Greenstein (TTHG) phase function and ~75% for the one-term Henyey-Greenstein (OTHG) phase function. The reason that δ1 is not zero is due to broadening of backscattering angles from 180° caused by multiple scattering and uneven backward phase function. Also, the reason that maximum TTHG and OTHG |δ1| are larger than FF is due to less sharply increasing feature of FF in the backward direction. In addition, the particulate forward phase functions are closely related to δ2, which is the relative deviation between the lidar attenuation coefficient and the sum of the absorption and backscattering coefficients. The values of δ2 are small for all phase functions at the water surface and increase with depth up to ~12% for TTHG but up to ~26% for FF and ~31% for OTHG, due to the less peaked forward phase functions that result in more angular spread of the beam with depth and therefore result in less photons within the field of view of the lidar.

8.
Appl Opt ; 58(35): 9651-9661, 2019 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-31873565

RESUMO

In this paper, a high-spectral-resolution lidar (HSRL) for profiling atmospheric temperature from the ground to 10 km is proposed. A double Nd:YAG laser produces the transmitted laser at 532 nm. The backscattering lidar signal is passed through two different saturated iodine-vapor filters and thus obtains molecular scattering signals that can be employed to determine the temperature. A coaxial postposition transceiver is constructed with an off-axis aspheric reflective telescope (OART). The design of the transceiver and that of the OART are demonstrated. With this transceiver, the lidar blind zone where the overlap factor is zero can be reduced greatly, and accurate temperature measurement for full elevation can be achieved. The whole system is optimized with theoretical models based on geometrical optics and statistical error analyses. Monte Carlo simulations display the performance of the designed HSRL, showing that the all-day temperature retrieval error is better than 1.4 K from the ground to 10 km. The proposed HSRL is expected to provide more accurate atmospheric auxiliary parameters for the detection of aerosols' optical characteristics.

9.
Opt Express ; 26(23): 30278-30291, 2018 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-30469903

RESUMO

Multiple scattering is an inevitable effect in spaceborne oceanic lidar because of the large footprint size and the high optical density of seawater. The effective attenuation coefficient klidar in the oceanic lidar equation, which indicates the influence of the multiple scattering effect on the formation of lidar returns, is an important parameter in the retrieval of inherent optical properties (IOPs) of seawater. In this paper, the relationships between klidar of the spaceborne lidar signal and the IOPs of seawater are investigated by solving the radiative transfer equation with an improved semianalytic Monte Carlo model. Apart from the geometric loss factors, klidar is found to decrease exponentially with the increase of depth in homogeneous waters. klidar is given as an exponential function of depth and IOPs of seawater. The mean percentage errors between klidar calculated by the exponential function and the simulated ones in three typical stratified waters are within 0.5%, proving the effectiveness and applicability of this klidar-IOPs function. The results in this paper can help researchers have a better understanding of the multiple scattering effect of spaceborne lidar and improve the retrieval accuracy of the IOPs and the chlorophyll concentration of case 1 water from spaceborne lidar measurements.

10.
Opt Express ; 25(10): 11813-11826, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28788740

RESUMO

A high-spectral-resolution lidar (HSRL) is proposed to retrieve the seawater volume scattering function at the 180° scattering angle ßπ without the assumption of the lidar extinction-to-backscatter ratio. A field-widened Michelson interferometer is employed as the ultra-narrow spectral discriminator to reject particulate scattering and molecular Rayleigh scattering but transmit molecular Mandelshtam-Brillouin scattering. The theoretical framework to retrieve ßπ is presented in detail based on a dual-channel HSRL configuration. Simulation on the retrieval and error estimation shows that, the proposed oceanographic HSRL based on the ship or aircraft can perform well to extract the profile of ßπ and has a real potential in the oceanographic remote sensing.

11.
Opt Express ; 25(2): 979-993, 2017 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-28157992

RESUMO

High-spectral-resolution lidar (HSRL) is a powerful tool for atmospheric aerosol remote sensing. The current HSRL technique often requires a single longitudinal mode laser as the transmitter to accomplish the spectral discrimination of the aerosol and molecular scattering conveniently. However, single-mode laser is cumbersome and has very strict requirements for ambient stability, making the HSRL instrument not so robust in many cases. In this paper, a new HSRL concept, called generalized HSRL technique with a multimode laser (MML-gHSRL), is proposed, which can work using a multimode laser. The MML-gHSRL takes advantage of the period characteristic of the spectral function of the interferometric spectral discrimination filter (ISDF) thoroughly. By matching the free spectral range of the ISDF with the mode interval of the multimode laser, fine spectral discrimination for the lidar return from each longitudinal mode can be realized. Two common ISDFs, i.e., the Fabry-Perot interferometer (FPI) and field-widened Michelson interferometer (FWMI), are introduced to develop the MML-gHSRL, and their performance is quantitatively analyzed and compared. The MML-gHSRL is a natural but significant generalization for the current HSRL technique based on the IDSF. It is potential that this technique would be a good entrance to future HSRL developments, especially in airborne and satellite-borne aerosol remote sensing applications.

12.
Opt Express ; 24(7): 7232-45, 2016 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-27137015

RESUMO

A field-widened Michelson interferometer (FWMI), which is intended as the spectroscopic discriminator in ground-based high-spectral-resolution lidar (HSRL) for atmospheric aerosol detection, is described in this paper. The structure, specifications and design of the developed prototype FWMI are introduced, and an experimental approach is proposed to optimize the FWMI assembly and evaluate its comprehensive characteristic simultaneously. Experimental results show that, after optimization process, the peak-to-valley (PV) value and root-mean-square (RMS) value of measured OPD variation for the FWMI are 0.04λ and 0.008λ respectively among the half divergent angle range of 1.5 degree. Through an active locking technique, the frequency of the FWMI can be locked to the laser transmitter with accuracy of 27 MHz for more than one hour. The practical spectral discrimination ratio (SDR) for the developed FWMI is evaluated to be larger than 86 if the divergent angle of incident beam is smaller than 0.5 degree. All these results demonstrate the great potential of the developed FWMI as the spectroscopic discriminator for HSRLs, as well as the feasibility of the proposed design and optimization process. This paper is expected to provide a good entrance for the lidar community in future HSRL developments using the FWMI technique.

13.
Opt Express ; 24(24): 27622-27636, 2016 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-27906333

RESUMO

We address design of the interferometric spectral discrimination (ISD) filters for a specific three-wavelength high-spectral-resolution lidar (HSRL) in this paper. Taking into account the strong dependence of the transmittance of the ISD filters on the incident angle of light ray, the optical path of the receiving channel with an ISD filter in HSRL is analyzed. We derive the lidar equation with the angular distribution of backscatter signal, through which Monte Carlo (MC) simulations are then carried out to obtain the optimal parameters of the ISD filters for the HSRL at 1064 nm, 532 nm and 355 nm, respectively. Comparing the retrieval errors of the MC simulations based on different ISD filters, the configuration and parameters of the best ISD filter at each wavelength are determined. This paper can be employed as a theoretical guidance during the design of a three-wavelength HSRL with ISD filters.

14.
Opt Lett ; 41(17): 3916-9, 2016 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-27607936

RESUMO

A general resonant frequency locking scheme for a field-widened Michelson interferometer (FWMI), which is intended as a spectral discriminator in a high-spectral-resolution lidar, is proposed based on optimal multi-harmonics heterodyning. By transferring the energy of a reference laser to multi-harmonics of different orders generated by optimal electro-optic phase modulation, the heterodyne signal of these multi-harmonics through the FWMI can reveal the resonant frequency drift of the interferometer very sensitively within a large frequency range. This approach can overcome the locking difficulty induced by the low finesse of the FWMI, thus contributing to excellent locking accuracy and lock acquisition range without any constraint on the interferometer itself. The theoretical and experimental results are presented to verify the performance of this scheme.

15.
Opt Express ; 23(9): 12117-34, 2015 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-25969300

RESUMO

A field-widened Michelson interferometer (FWMI) is developed to act as the spectral discriminator in high-spectral-resolution lidar (HSRL). This realization is motivated by the wide-angle Michelson interferometer (WAMI) which has been used broadly in the atmospheric wind and temperature detection. This paper describes an independent theoretical framework about the application of the FWMI in HSRL for the first time. In the framework, the operation principles and application requirements of the FWMI are discussed in comparison with that of the WAMI. Theoretical foundations for designing this type of interferometer are introduced based on these comparisons. Moreover, a general performance estimation model for the FWMI is established, which can provide common guidelines for the performance budget and evaluation of the FWMI in the both design and operation stages. Examples incorporating many practical imperfections or conditions that may degrade the performance of the FWMI are given to illustrate the implementation of the modeling. This theoretical framework presents a complete and powerful tool for solving most of theoretical or engineering problems encountered in the FWMI application, including the designing, parameter calibration, prior performance budget, posterior performance estimation, and so on. It will be a valuable contribution to the lidar community to develop a new generation of HSRLs based on the FWMI spectroscopic filter.

16.
J Crohns Colitis ; 2024 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-39001689

RESUMO

BACKGROUND AND AIMS: Exosome-based therapies are gaining increasing attention, with growing evidence suggesting a link between alterations in mesentery adipose tissue (MAT) and intestinal disease in Crohn's disease (CD). However, the specific mechanism by which mesenchymal stem cells (MSCs)-Exos may alleviate colitis through targeting MAT remains not fully understood. METHODS: Human umbilical cord MSCs (HucMSCs) were cultured to isolate the corresponding exosomes (HucMSCs-Exos), which were confirmed by their morphology, size distribution, and expression of markers. In vivo, 2,4,6-trinitrobenzenesulfonic acid solution (TNBS) and dextran sodium sulfate (DSS) -induced mouse colitis models were used to detect the therapeutic effects of HucMSCs-Exos. ELISA, qRT-PCR, western blotting, and immunofluorescence determined the expression of key molecules. Luciferase reporter assay was used to confirm the relationship between miR-21-5p and SPRY2. RESULTS: Exosomes treatment through mesenteric injection demonstrated therapeutic effects on mesenteric inflammation and colitis. These therapeutic benefits were contingent on macrophages, significantly facilitating the M2 polarization of mesenteric macrophages. The expression data from GSE159814 and GSE211008 revealed that exosomal miR-21-5p was enriched in HucMSCs-Exos and could be delivered to macrophages. Additionally, the results indicated that miR-21-5p could directly target the 3'UTR of SPRY2 and activate the phosphorylation of ERK to modify macrophage phenotypes. Mechanistically, exosomal miR-21-5p derived from HucMSCs could promote macrophage M2 polarization via the SPRY2/ERK axis. CONCLUSION: Mesenteric injection of HucMSCs-Exos significantly alleviates mesenteric inflammation and colitis by promoting mesenteric macrophage M2 polarization, making it a promising approach to treat colitis and suggesting therapeutic potential role of exosomal miR-21-5p in CD.

17.
Tex Heart Inst J ; 50(1)2023 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-36753753

RESUMO

BACKGROUND: The impact of chronic kidney disease (CKD) on adverse cardiovascular outcomes after percutaneous coronary intervention in patients with diabetes mellitus (DM) is still unclear. This study aimed to systematically assess evidence on this topic. METHODS: The PubMed, Embase, and CENTRAL databases were searched for studies comparing mortality, myocardial infarction (MI), or revascularization outcomes between patients with DM with and without CKD. RESULTS: In 11 studies, the presence of CKD was associated with significantly increased risk of early all-cause mortality (risk ratio [RR], 3.45; 95% CI, 3.07-3.87; I2 = 0%; P < .001), late all-cause mortality (RR, 2.78; 95% CI, 1.92-4.02; I2 = 83%; P < .001), cardiac mortality (RR, 2.90; 95% CI, 1.99-4.22; I2 = 29%; P < .001), and MI (RR, 1.40; 95% CI, 1.06-1.85; I2 = 13%; P = .02) compared with no CKD. There was no difference in the risk of any revascularization between those with and without CKD. Analysis of adjusted hazard ratios (HRs) indicated significantly increased risk of mortality (HR, 2.64; 95% CI, 1.91-3.64; I2 = 0%; P < .001) in the CKD group but only a nonsignificant tendency of increased MI (HR, 1.59; 95% CI, 0.99-2.54; I2 = 0%; P = .05) and revascularization (HR, 1.24; 95% CI, 0.94-1.63; I2 = 2%; P = .12) in the CKD group. CONCLUSION: The presence of CKD in patients with DM significantly increases the risk of mortality and MI. However, CKD had no impact on revascularization rates.


Assuntos
Doença da Artéria Coronariana , Diabetes Mellitus , Infarto do Miocárdio , Intervenção Coronária Percutânea , Insuficiência Renal Crônica , Humanos , Diabetes Mellitus/epidemiologia , Infarto do Miocárdio/complicações , Insuficiência Renal Crônica/complicações , Insuficiência Renal Crônica/diagnóstico , Insuficiência Renal Crônica/epidemiologia , Modelos de Riscos Proporcionais , Intervenção Coronária Percutânea/efeitos adversos , Doença da Artéria Coronariana/complicações , Doença da Artéria Coronariana/diagnóstico , Doença da Artéria Coronariana/cirurgia , Resultado do Tratamento
18.
Research (Wash D C) ; 6: 0201, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37475723

RESUMO

Measuring the characteristics of seawater constituent is in great demand for studies of marine ecosystems and biogeochemistry. However, existing techniques based on remote sensing or in situ samplings present various tradeoffs with regard to the diversity, synchronism, temporal-spatial resolution, and depth-resolved capacity of their data products. Here, we demonstrate a novel oceanic triple-field-of-view (FOV) high-spectral-resolution lidar (HSRL) with an iterative retrieval approach. This technique provides, for the first time, comprehensive, continuous, and vertical measurements of seawater absorption coefficient, scattering coefficient, and slope of particle size distribution, which are validated by simulations and field experiments. Furthermore, it depicts valuable application potentials in the accuracy improvement of seawater classification and the continuous estimation of depth-resolved particulate organic carbon export. The triple-FOV HSRL with high performance could greatly increase the knowledge of seawater constituents and promote the understanding of marine ecosystems and biogeochemistry.

19.
Opt Express ; 20(11): 12422-31, 2012 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-22714229

RESUMO

We propose a simple and cost-effective technique for modulation format identification (MFI) in next-generation heterogeneous fiber-optic networks using an artificial neural network (ANN) trained with the features extracted from the asynchronous amplitude histograms (AAHs). Results of numerical simulations conducted for six different widely-used modulation formats at various data rates demonstrate that the proposed technique can effectively classify all these modulation formats with an overall estimation accuracy of 99.6% and also in the presence of various link impairments. The proposed technique employs extremely simple hardware and digital signal processing (DSP) to enable MFI and can also be applied for the identification of other modulation formats at different data rates without necessitating hardware changes.


Assuntos
Algoritmos , Tecnologia de Fibra Óptica/instrumentação , Redes Neurais de Computação , Reconhecimento Automatizado de Padrão/métodos , Telecomunicações/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento
20.
Front Surg ; 9: 968891, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36157425

RESUMO

Gastric hepatoid adenocarcinoma and hepatic choriocarcinoma are rare diseases in clinical settings, and the case we report here is a combination of both. A 66-year-old woman presented with a chief complaint of abdominal discomfort. The patient was examined using gastroscopy and computed tomography (CT) scan, and these revealed an irregular surface ulcer on the wall of the gastric antrum. A mass, 2.0 cm in diameter, was found in the liver in April 2020. The endoscopic biopsy findings were consistent with a diagnosis of moderately to poorly differentiated hepatoid adenocarcinoma. She was then referred to our hospital for further treatment. Initially, neoadjuvant therapy was initiated for the patient. The CT scan showed that the liver metastases had progressed; hence, surgery was performed. Postoperative pathology showed that the gastric lesions were mostly hepatoid adenocarcinoma with no choriocarcinoma, while the liver lesions comprised approximately 10% hepatoid adenocarcinoma and 90% choriocarcinoma. One month later, the patient developed tumor recurrence in the liver as observed on CT imaging. Subsequently, a variety of chemotherapy regimens were tried with no obvious results. The patient eventually developed multiple organ metastasis and died in July 2021. The overall survival was 16 months. Based on findings from this case report, it appears that initial neoadjuvant therapy was not effective and radical surgery may be the best treatment for patients with hepatoid adenocarcinoma of the stomach.

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