MatchMorph: A real-time pre- and intra-operative deformable image registration framework for MRI-guided surgery.

PURPOSE: The technological advancements in surgical robots compatible with magnetic resonance imaging (MRI) have created an indispensable demand for real-time deformable image registration (DIR) of pre- and intra-operative MRI, but there is a lack of relevant methods. Challenges arise from dimensionality mismatch, resolution discrepancy, non-rigid deformation and requirement for real-time registration. METHODS: In this paper, we propose a real-time DIR framework called MatchMorph, specifically designed for the registration of low-resolution local intraoperative MRI and high-resolution global preoperative MRI. Firstly, a super-resolution network based on global inference is developed to enhance the resolution of intraoperative MRI to the same as preoperative MRI, thus resolving the resolution discrepancy. Secondly, a fast-matching algorithm is designed to identify the optimal position of the intraoperative MRI within the corresponding preoperative MRI to address the dimensionality mismatch. Further, a cross-attention-based dual-stream DIR network is constructed to manipulate the deformation between pre- and intra-operative MRI, real-timely. RESULTS: We conducted comprehensive experiments on publicly available datasets IXI and OASIS to evaluate the performance of the proposed MatchMorph framework. Compared to the state-of-the-art (SOTA) network TransMorph, the designed dual-stream DIR network of MatchMorph achieved superior performance with a 1.306 mm smaller HD and a 0.07 mm smaller ASD score on the IXI dataset. Furthermore, the MatchMorph framework demonstrates an inference speed of approximately 280 ms. CONCLUSIONS: The qualitative and quantitative registration results obtained from high-resolution global preoperative MRI and simulated low-resolution local intraoperative MRI validated the effectiveness and efficiency of the proposed MatchMorph framework.

Metabolic reprogramming, autophagy, and ferroptosis: Novel arsenals to overcome immunotherapy resistance in gastrointestinal cancer.

BACKGROUND: Gastrointestinal cancer poses a serious health threat owing to its high morbidity and mortality. Although immune checkpoint blockade (ICB) therapies have achieved meaningful success in most solid tumors, the improvement in survival in gastrointestinal cancers is modest, owing to sparse immune response and widespread resistance. Metabolic reprogramming, autophagy, and ferroptosis are key regulators of tumor progression. METHODS: A literature review was conducted to investigate the role of the metabolic reprogramming, autophagy, and ferroptosis in immunotherapy resistance of gastrointestinal cancer. RESULTS: Metabolic reprogramming, autophagy, and ferroptosis play pivotal roles in regulating the survival, differentiation, and function of immune cells within the tumor microenvironment. These processes redefine the nutrient allocation blueprint between cancer cells and immune cells, facilitating tumor immune evasion, which critically impacts the therapeutic efficacy of immunotherapy for gastrointestinal cancers. Additionally, there exists profound crosstalk among metabolic reprogramming, autophagy, and ferroptosis. These interactions are paramount in anti-tumor immunity, further promoting the formation of an immunosuppressive microenvironment and resistance to immunotherapy. CONCLUSIONS: Consequently, it is imperative to conduct comprehensive research on the roles of metabolic reprogramming, autophagy, and ferroptosis in the resistance of gastrointestinal tumor immunotherapy. This understanding will illuminate the clinical potential of targeting these pathways and their regulatory mechanisms to overcome immunotherapy resistance in gastrointestinal cancers.

Full-Perception Robotic Surgery Environment with Anti-Occlusion Global-Local Joint Positioning.

The robotic surgery environment represents a typical scenario of human-robot cooperation. In such a scenario, individuals, robots, and medical devices move relative to each other, leading to unforeseen mutual occlusion. Traditional methods use binocular OTS to focus on the local surgical site, without considering the integrity of the scene, and the work space is also restricted. To address this challenge, we propose the concept of a fully perception robotic surgery environment and build a global-local joint positioning framework. Furthermore, based on data characteristics, an improved Kalman filter method is proposed to improve positioning accuracy. Finally, drawing from the view margin model, we design a method to evaluate positioning accuracy in a dynamic occlusion environment. The experimental results demonstrate that our method yields better positioning results than classical filtering methods.

Hsa_circ_0007401 regulates gemcitabine resistance of pancreatic cancer through the hsa-miR-6509-3p/fli1 axis.

Pancreatic cancer is a highly malignant cancer with a poor prognosis. Owing to the strong drug resistance of pancreatic cancer, adjuvant chemotherapy has failed to achieve good results in clinical practice. The expression profile data of circular RNA (circRNA) (GSE110580), microRNA (miRNA) (GSE79234), and messenger RNA (mRNA) (GSE140077, GES35141) were obtained from the gene expression omnibus database. The Cancer-Specific circRNA Database identified the structural pattern of circRNA, and the starBase and circBank databases together predicted the miRNA of circRNA. The mirDIP database predicts the target mRNAs of miRNAs and identifies the ceRNA network of circRNA-miRNA-mRNA via negative regulatory mechanisms. The final validation was performed using clinical data from the cancer treatment response gene signature database of patients treated with gemcitabine for pancreatic cancer of the cancer genome atlas. By differential expression analysis, 22 differential circRNAs (8 upregulated and 14 downregulated), 70 differential microRNAs (37 upregulated and 33 downregulated), and 256 differential messenger RNA (DEmRNA) (161 upregulated and 95 downregulated) were obtained. Gene ontology and Kyoto encyclopedia of genes and genomes enrichment analyses showed that DEmRNAs were associated with drug response, exogenous cellular stimulation, and the tumor necrosis factor signaling pathway. The screened downregulated differential circular RNA (hsa_circ_0007401), upregulated differential microRNA (hsa-miR-6509-3p), and downregulated DEmRNA (FLI1) were consistent with the negative regulation mechanism of the ceRNA network, and FLI1 was significantly downregulated in the data of gemcitabine-resistant pancreatic cancer patients in the cancer genome atlas (n = 26).

Comparative Study of the Efficacy of Autologous Tooth Bone Powder and Inorganic Bovine Bone Powder on the Repair of Jaw Defects.

Context: The main pathological features of jaw cysts are bone defects. Obtaining autologous bone for transplantation repair has been associated with postoperative complications, and the amount of bone that dentist can collect is limited. Studies have found that autologous tooth bone powder is safe and has good bone-formation ability and stability. Objective: The study intended to examine the efficacy of implantation of autologous tooth bone powder and inorganic bovine bone powder, after marsupialization and second-stage curettage for large jaw cysts that dentist can't directly remove by surgery in clinical practice. Design: The research team designed a prospective randomized controlled trial. Setting: The study took place in the Head and Neck Surgery Department at Chongqing University Cancer Hospital in Chongqing, China. Participants: Participants were 60 patients at the hospital between 2016 and 2018 who had mandibular cysts that surgical operation couldn't directly remove by surgery in clinical practice. Intervention: At 4 months after curettage, the research team randomly divided participants into three groups: (1) an intervention group who received implants of autologous tooth bone powder into the bone defects, (2) a positive control group who received implants of inorganic bovine bone powder, and (3) a negative control group who received no implants of any material. Outcome Measures: The research team performed: (1) periodontal probing at a fixed anatomical point for the intervention and both control groups postintervention at one day and 4 months after surgery and recorded the changes in probing depth and (2) computed tomography (CT) scans at baseline one day before and postintervention at 4 months after the implantation to determine changes in the bone mineral density and compared them among the three groups. Results: The change in the height of the intervention group's fixed anatomical point postintervention at 4 months after surgery was significantly smaller than that of the positive control group (P < .05). In the CT scan analysis, the differences between the intervention and negative control groups and between the positive and negative control groups were statistically significant (P < .05); however, the difference between the intervention and positive control groups wasn't significant (P > .05). Conclusions: Autologous tooth bone powder and inorganic bovine bone powder can effectively repair bone defects caused by large jaw cysts and that the repaired effect may be better than that of spontaneous osteogenesis. The autologous tooth bone powder was associated with lower levels of bone loss than those seen with use of inorganic bovine bone powder.

Olive oil authentication based on quantitative ß-carotene Raman spectra detection.

ß-carotene and oleic acids are important molecules to distinguish between extra olive oil (EVOO) and other oils. To identify adulteration which use common vegetable oils blended with ß-carotene to imitate EVOO, a non-invasive, lossless method is proved to be effective. The present work presents a laser confocal Raman technique for analyzing and comparing the differences of molecule between EVOO and SSO, which based on theoretical Raman spectra of ß-carotene, oleic acids and linoleic acids calculated by density functional theory (DFT). Chemometrics based on support vector regression (SVR) was used to realize quantitative analysis of ß-carotene in synthetic olive oils. Nine different volume ratios were prepared independently, and test set evaluation index of linear kernel of SVR as follow: RMSE 0.0653, R2 0.9868. The results show that laser confocal Raman technique, combined with theoretical Raman spectra based on DFT, could analyze composition of vegetable oil accurately, and identify low-cost imitation of olive oil.

The association of hepatitis C virus infection and thyroid disease: A systematic review and meta-analysis.

Previous studies have reported that hepatitis C virus (HCV) infection may increase the risk of thyroid disease (TD) even thyroid cancer (TC), but quantitative assessments of risk were rare and the results were not consistent. The purpose of this study was to evaluate the impact of HCV infection on TD and TC, and provide clues to explore the relationship between HCV infection and TD and TC. The literature retrieval was performed up to August 20th, 2021 in the database of PubMed, Cochrane library, Web of Science, China National Knowledge Infrastructure and Wang Fang. The risk of HCV for TD or TC was expressed with odds ratio (OR) and 95% confidence intervals (CI). Subgroup analysis was used to explore the source of heterogeneity. Six articles (three studies published as article and three studies published as abstract) were included in this meta-analysis, with a total of 5398 controls and 1925 cases of hepatitis C. The results of meta-analysis found that HCV infection were significantly associated with an increased risk of TD (sum OR = 1.80, 95% CI = 1.54-2.10, P < 0.001, I2 = 74.3%) and TC (sum OR = 16.36, 95% CI = 4.65-57.62, P < 0.001, I2 = 0%). HCV infection may increase the risk of TD and TC. More work is needed in the future to establish a causal role, however an awareness of the possibility of increased risk of TD and TC may lead to earlier diagnosis and better outcomes in patients with hepatitis C.

Bcl2-associated athanogene 4 promotes the invasion and metastasis of gastric cancer cells by activating the PI3K/AKT/NF-κB/ZEB1 axis.

Bcl2-associated athanogene 4 (BAG4) has been found to be aberrantly expressed in several types of human cancers. However, little is known about its expression, role, and clinical significance in gastric cancer (GC). In this study, we aimed to address these issues and to explore the underlying mechanisms. The expression level of BAG4, measured by immunohistochemistry, was significantly higher in GC tissues than in paired normal tissues. Elevated BAG4 expression was positively correlated with T stage, lymph node metastasis, and tumor size of GC and was associated with unfavorable outcomes of the patients. The overexpression of BAG4 promoted the in vitro invasion and in vivo metastasis of GC cells, and opposite results were observed after silencing of BAG4. Silencing of BAG4 significantly reduced the phosphorylation of PI3K, AKT, and p65, whereas overexpression of BAG4 markedly enhanced the phosphorylation of these molecules. At the same time, manipulating BAG4 expression resulted in the corresponding changes in p65 nuclear translocation and ZEB1 expression. Luciferase reporter and chromatin immunoprecipitation assays verified that p65 binds to the promoter of ZEB1 to upregulate its transcription. Our results demonstrate that BAG4 plays an oncogenic role in the invasion and metastasis of GC cells by activating the PI3K/AKT/NF-κB/ZEB1 axis to induce epithelial-mesenchymal transition.

Combustion characteristics and kinetic analysis of oil sludge with CaO additive.

Combustion of High-sulfur oil sludge (OS) blended with CaO can significantly reduce the emission of sulfur gas pollutants, but its combustion and kinetic characteristics need to be further studied. TGA experiments showed the combustion characteristics of OS were significantly changed after adding CaO. As reflected by comprehensive combustion index (S), the combustion performance of OS decreased after adding CaO, and significantly improved with the increase of heating rate. The kinetic parameters of the main combustion process of OS with CaO were calculated by the iso-conversion methods of Friedman, FWO, and Starink, respectively. Kinetic analysis results indicated the energy required for OS combustion with CaO first increased and then decreased with deepening of reaction degree. The thermodynamic parameters of ΔH, ΔG and ΔS were determined on the basis of kinetics. The negative ΔH, positive ΔG, and negative ΔS validated the combustion of OS with CaO was an exothermic and nonspontaneous process.

Food-grade γ-aminobutyric acid production by immobilized glutamate decarboxylase from Lactobacillus plantarum in rice vinegar and monosodium glutamate system.

OBJECTIVES: γ-amino butyric acid (GABA) is a non-protein amino acid, considered a potent bioactive compound. This study focused on biosynthesis of food-grade GABA by immobilized glutamate decarboxylase (GAD) from Lactobacillus plantarum in the rice vinegar and monosodium glutamate (MSG) reaction system. RESULTS: The gene encoding glutamate decarboxylase (GadB) from L. plantarum has been heterologously expressed in Lactococcus lactis and biochemically characterized. Recombinant GadB existed as a homodimer, and displayed maximal activity at 40 °C and pH 5.0. The Km value and catalytic efficiency (kcat/Km) of GadB for L-Glu was 22.33 mM and 62.4 mM-1 min-1, respectively, with a specific activity of 24.97 U/mg protein. Then, purified GadB was encapsulated in gellan gum beads. Compared to the free enzyme, immobilized GadB showed higher operational and storage stability. Finally, 9.82 to 21.48 g/L of GABA have been acquired by regulating the amounts of catalyst microspheres ranging from 0.5 to 0.8 g (wet weight) in 0.8 mL of the designed rice vinegar and MSG reaction system. CONCLUSIONS: The method of production GABA by immobilized GadB microspheres mixed in the rice vinegar and MSG reaction system is introduced herein for the first time. Especially, the results obtained here meet the increased interest in the harnessing of biocatalyst to synthesize food-grade GABA.

Spectral detection technology of vegetable oil: Spectral analysis of porphyrins and terpenoids.

In this paper, the existence of porphyrins and terpenoids in different vegetable oils and their spectral characterization techniques are reported. The classification of pure vegetable oils was realised by principal component analysis - support vector machine (PCA-SVM) model. The absorption spectra, Raman spectra, fluorescence spectra and supercontinuum spectra of 8 kinds of pure vegetable oils were studied, and the effects of oil types and processing technology on spectral differences were analysed. The results showed that the fingerprint information of 4 kinds of spectral techniques mainly came from chlorophyll and ß-carotene in vegetable oil. The extra virgin olive oil (EVOO) got by physical cold pressing technology had the most porphyrins and terpenoids content and the strongest activity. Therefore, the spectral characterization of porphyrins and terpenoids in vegetable oil can guide the regulation of the processing technology of vegetable oil and realise the qualitative and quantitative analysis of vegetable oil.

Rapid detection of Chinese-specific peony seed oil by using confocal Raman spectroscopy and chemometrics.

Peony seed oil (PSO) is a new woody nut oil which is unique to China. Its unsaturated fatty acids are over 90% and are rich in α - linolenic acid. Although the PSO industry is in its infancy, it is bound to become a top vegetable oil food material because of its own advantages. The potential high commercial profit of its adulteration with cheap vegetable oil will be an important factor hindering the healthy development of PSO industry. It is of great significance to study the adulteration of PSO for preventing large-scale adulteration. In this study, the qualitative and quantitative analysis of PSO was realised based on Raman spectroscopy combined with chemometrics analysis, and the fatty acid composition of PSO was analysed according to Raman characteristic peaks. The technology can be applied to routine analysis and quality control of PSO.

Proximity-induced exponential amplification reaction triggered by proteins and small molecules.

We proposed a method to regulate nucleic acid polymerization by proximity and designed an ultrasensitive biosensor based on proximity-induced exponential amplification reaction for proximity assay of proteins (streptavidin) and small molecules (adenosine triphosphate), which allows us to detect a variety of interesting targets by simply changing the binding sites of DNA.

Association Between Mitochondrial DNA Copy Number and Head and Neck Squamous Cell Carcinoma: A Systematic Review and Dose-Response Meta-Analysis.

BACKGROUND The association between mitochondrial DNA (mtDNA) copy number and head and neck squamous cell carcinoma (HNSCC) risk remains unclear. Therefore, we aimed to evaluate the relationship between mtDNA copy number and HNSCC risk. MATERIAL AND METHODS We searched PubMed, Web of Science, and EMBASE until August 2020. Studies that assessed the association between mtDNA copy number and HNSCC as the outcome of interest were included. We performed a 2-class and dose-response meta-analysis to assess the association between cancer risk and mtDNA. RESULTS Eight articles (2 cohort studies and 6 case-control studies) with a total of 3913 patients were included in our meta-analysis. The overall results showed that mean mtDNA copy number level from 9 studies was 0.71 higher in patients with cancer than in non-cancer controls (the standardized mean differences (SMD) 0.71, 95% CI: 0.28-1.15, P<0.001). However, when 4 studies were pooled by dichotomizing mtDNA copy number at the median value into high- and low-content groups, no significant association between mtDNA content and overall cancer risk was found (odds ratio (OR)=0.87, 95% CI: 0.52-1.44, P=0.584). Furthermore, we observed a non-linear association from 3 studies between increased mtDNA copy number levels (P for nonlinearity <0.001). CONCLUSIONS The elevated mtDNA copy number could predict the risk of HNSCC as a biomarker. Moreover, there was non-linear relationship of risk between HNSCC and mtDNA copy number.

Effect of chlorophyll fluorescence quenching on quantitative analysis of adulteration in extra virgin olive oil.

Extra virgin olive oil (EVOO) is both edible oil and health care product. Adulteration in high quality vegetable oil is a ubiquitous fraud, especially in the market of EVOO. Spectroscopy is an effective means to realize the rapid detection of adulteration in EVOO, but the accuracy of quantitative analysis is the short board of spectral detection. Traditional Raman spectroscopy is used to detect the adulteration of EVOO by analyzing the content of monounsaturated fatty acids. However, high oleic acid content is not unique to EVOO. Confocal Raman and Fluorescence Spectroscopy (CRFS) was employed to characterize EVOO along with potential adulterant oils based on their Oleic acid and photosensitive substances content. Statistical analysis of these Oleic acid and photosensitive substances using Multiple Linear Regression (MLR) allowed for a rapid approach to determine EVOO authenticity. The quantitative analysis model of adulteration in EVOO was established using this approach, and the RMSE was 0.0068, and the R-Squaredof external Prediction was 0.9996. In addition, Fluorescence quenching which interfered with the quantitative analysis of chlorophyll was found in the adulteration experiment of EVOO. Compared to traditional Raman methods, CRFS with MLR involves minimal sample preparation combined with fast analysis.

[Effect of decompression combined with curettage and autogenous bone cement implantation on large cysts of the jaw].

Decompression and curettage can result are effective as treatments for large jaw cysts, which are common diseases in the clinic. Based on a treatment used in a previous study, this paper proposes a "three-step method" to treat large jaw cyst and repair the bone defect by decompression, curettage, and autologous dental bone powder implantation. This paper introduces the processes and key points of the operation involved in the abovementioned method.

Heat and moisture exchanger used in a cardiothoracic surgery intensive care unit: Airway resistance and changing interval.

BACKGROUND: This study aims to investigate the efficacy and safety of heat and moisture exchanger on airway resistance in a cardiothoracic surgery intensive care unit. METHODS: A total of 31 patients (18 males, 13 females; mean age 51.5 years; range, 39 to 61 years) who were treated with long-term mechanical ventilation due to low cardiac output syndrome after cardiopulmonary bypass and cardiac surgery were retrospectively analyzed between December 2014 and December 2018. In addition, an in vitro lung model and different doses of hydroxyethyl starch in the heat and moisture exchangers to mimic the airway secretions were used and the proper interval to change heat and moisture exchangers was evaluated. RESULTS: In the in vitro l ung m odel, t he m ean a irway r esistance was 19.4±0.2 cmH2O/L/sec in the 5 mL group (p=0.060), 20.3±1.0 cmH2O/L/sec in the 10 mL group (p=0.065), and 30.2±1.7 cmH2O/L/sec in the 15 mL group (p<0.001). The airway resistance of heat and moisture exchangers, and total hospital stay and ventilation duration significantly increased in the seven-day group compared to the one-day and three-day groups. The positive culture of bacteria was also significantly higher in the seven-day group. CONCLUSION: Our study results suggest that heat and moisture exchangers can be safely used for an efficient and timely removal of airway secretions. Volume of approximately 15 mL of liquid in the airflow can dramatically increase the airway resistance. The three-day interval of changing heat and moisture exchangers is ideal in a cardiothoracic surgery intensive care unit where patients have more airway secretions than patients in the general intensive care unit.

The value of biomarkers in colorectal cancer: Protocol for an overview and a secondary analysis of systematic reviews of diagnostic test accuracy.

BACKGROUND: Colorectal cancer (CRC) is the third most common cancer in the world, with 694,000 deaths each year. Despite improvements in treatment strategies in recent years, the overall survival rate of CRC is still very low and the survival rate is highly dependent on the stage at the time of diagnosis. Some biomarkers have shown great potential for early screening of CRC and some have been tested in systematic reviews (SRs). However, the quality of these SRs remains unclear and these SRs did not clarify which biomarker is the optimal diagnostic test. This overview will evaluate the methodological quality of available SRs and compare the diagnostic value of different biomarkers in order to find the best biomarker for diagnosing CRC. METHODS: A comprehensive literature search for SRs published before February 2019 was conducted in the PubMed, Embase.com, Cochrane Library, and Web of Science without any language restrictions. We will use the assessment of multiple systematic reviews-2 instrument to assess the methodological quality of each SR. Bubble plots will be used to summarize the main characteristics and quality of SRs. Standard pairwise meta-analysis and adjusted indirect comparison will be conducted to compare the diagnostic value of different biomarkers. RESULTS: The results of this overview will be submitted to a peer-reviewed journal for publication. CONCLUSION: The findings of this project will provide a general overview and evidence of the diagnostic value of biomarkers in detecting CRC. PROSPERO REGISTRATION NUMBER: CRD42019125880.

Stimulated Brillouin scattering in combination with visible absorption spectroscopy for authentication of vegetable oils and detection of olive oil adulteration.

Vegetable oils provide high nutritional value in the human diet. Specifically, extra virgin olive oil (EVOO) possesses a higher price than that of other vegetable oils. Adulteration of pure EVOO with other types of vegetable oils has attracted increasing attentions. In this work, a stimulated Brillouin scattering (SBS) combined with visible absorption spectroscopy method is proposed for authentication of vegetable oils and detection of olive oil adulteration. The results provided here have demonstrated that the different vegetable oils and adulteration oils exhibit significant differences in normalized absorbance values of two relevant wavelengths (455 and 670 nm) and frequency shifts of SBS. The normalized absorbance values of all spectra at the two relevant wavelengths of 670 nm and 455 nm linearly decrease with the increase of the adulteration concentration. The Brillouin frequency shifts exponentially increase with the increase of the adulteration concentration. Due to non-destructive and requiring no sample pretreatment procedure, this method can be effectively employed for authentication and detection of oils adulteration.

Adsorption of Cu(II) and Zn(II) Ions from Aqueous Solution by Gel/PVA-Modified Super-Paramagnetic Iron Oxide Nanoparticles.

Super-paramagnetic iron oxide nanoparticles (SPIONs)/gelatin (gel)/polyvinyl alcohol (PVA) nanoparticles were designed and synthesized by the co-precipitation method and further modified with gel and PVA. These nanoparticles were used for the removal of Cu(II) and Zn(II) from aqueous solutions. The adsorbents were rich in different functional groups for chemisorption and showed effective adsorption properties. The adsorption of Cu(II) and Zn(II) on the SPIONs/gel and SPIONs/gel/PVA materials were investigated with respect to pH, adsorption kinetics, and adsorption isotherms. The adsorption data was fitted to the Langmuir, Freundlich, and Sips models at the optimum pH 5.2 (±0.2) over 60 min; SPIONs/gel showed maximum adsorption capacities of 47.594 mg/g and 40.559 mg/g for Cu(II) and Zn(II); SPIONs/gel/PVA showed those of 56.051 mg/g and 40.865 mg/g, respectively. The experimental data fitted the pseudo-second-order model, indicating that the process followed chemical monolayer adsorption. In addition, the SPIONs/gel/PVA showed better stability and Cu(II) adsorption efficiency than SPIONs/gel.