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1.
J Gene Med ; 26(1): e3618, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37923390

RESUMEN

BACKGROUND: Cervical cancer (CC) remains a significant clinical challenge, even though its fatality rate has been declining in recent years. Particularly in developing countries, the prognosis for CC patients continues to be suboptimal despite numerous therapeutic advances. METHODS: Using The Cancer Genome Atlas database, we extracted CC-related data. From this, 52 methylation-related genes (MRGs) were identified, leading to the selection of a 10 long non-coding RNA (lncRNA) signature co-expressed with these MRGs. R programming was employed to filter out the methylation-associated lncRNAs. Through univariate, least absolute shrinkage and selection operator (i.e. LASSO) and multivariate Cox regression analysis, an MRG-associated lncRNA model was constructed. The established risk model was further assessed via the Kaplan-Meier method, principal component analysis, functional enrichment annotation and a nomogram. Furthermore, we explored the potential of this model with respect to guiding immune therapeutic interventions and predicting drug sensitivities. RESULTS: The derived 10-lncRNA signature, linked with MRGs, emerged as an independent prognostic factor. Segmenting patients based on their immunotherapy responses allowed for enhanced differentiation between patient subsets. Lastly, we highlighted potential compounds for distinguishing CC subtypes. CONCLUSIONS: The risk model, associated with MRG-linked lncRNA, holds promise in forecasting clinical outcomes and gauging the efficacy of immunotherapies for CC patients.


Asunto(s)
Adenina/análogos & derivados , ARN Largo no Codificante , Neoplasias del Cuello Uterino , Humanos , Femenino , Pronóstico , Neoplasias del Cuello Uterino/genética , Neoplasias del Cuello Uterino/terapia , ARN Largo no Codificante/genética , Inmunoterapia
2.
Basic Res Cardiol ; 119(2): 329-348, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38236300

RESUMEN

Lysophosphatidic acid (LPA) is a bioactive phospholipid that plays a crucial role in cardiovascular diseases. Here, we question whether LPA contributes to myocardial ischemia/reperfusion (I/R) injury by acting on transient receptor potential vanilloid 1 (TRPV1) in spinal cord. By ligating the left coronary artery to establish an in vivo I/R mouse model, we observed a 1.57-fold increase in LPA level in the cerebrospinal fluid (CSF). The I/R-elevated CSF LPA levels were reduced by HA130, an LPA synthesis inhibitor, compared to vehicle treatment (4.74 ± 0.34 vs. 6.46 ± 0.94 µg/mL, p = 0.0014). Myocardial infarct size was reduced by HA130 treatment compared to the vehicle group (26 ± 8% vs. 46 ± 8%, p = 0.0001). To block the interaction of LPA with TRPV1 at the K710 site, we generated a K710N knock-in mouse model. The TRPV1K710N mice were resistant to LPA-induced myocardial injury, showing a smaller infarct size relative to TRPV1WT mice (28 ± 4% vs. 60 ± 7%, p < 0.0001). Additionally, a sequence-specific TRPV1 peptide targeting the K710 region produced similar protective effects against LPA-induced myocardial injury. Blocking the K710 region through K710N mutation or TRPV1 peptide resulted in reduced neuropeptides release and decreased activity of cardiac sensory neurons, leading to a decrease in cardiac norepinephrine concentration and the restoration of intramyocardial pro-survival signaling, namely protein kinase B/extracellular regulated kinase/glycogen synthase kinase-3ß pathway. These findings suggest that the elevation of CSF LPA is strongly associated with myocardial I/R injury. Moreover, inhibiting the interaction of LPA with TRPV1 by blocking the K710 region uncovers a novel strategy for preventing myocardial ischemic injury.


Asunto(s)
Lisofosfolípidos , Daño por Reperfusión Miocárdica , Ratones , Animales , Daño por Reperfusión Miocárdica/prevención & control , Canales Catiónicos TRPV/genética , Péptidos/metabolismo , Médula Espinal/metabolismo
3.
Opt Express ; 32(2): 1776-1788, 2024 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-38297722

RESUMEN

We report a real-time 150 kbps stealth transmission within public optical communication of 10 Gbps dual polarization QPSK. The stealth data is modulated onto the frequency tuning signals of a fast-tuning laser source in the transmitter, which causes slight frequency dithering for the transmitted optical signal. In the receiver, the stealth receiver recovers the stealth data from the estimated frequency offset by the QPSK DSP algorithm. The experiments show the stealth transmission has few impacts on the public channel over a 300 km distance. The proposed method is fully compatible with existing optical transmission systems, and the only hardware change is to upgrade the transmitter laser to support frequency tuning through an external analog port for receiving stealth signal. The proposed stealth scheme can combine with cryptographic protocols to improve the integrated security of the system, and can be used as signaling transport for low level network control to reduce the communication overhead.

4.
Opt Lett ; 49(8): 2001-2004, 2024 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-38621061

RESUMEN

Secure key distribution (SKD) schemes based on fiber channel reciprocity provide information-theoretic security as well as a simple symmetric structure. However, the nonlinear effects and backscattering effects introduced during the bidirectional transmission process degrade the channel reciprocity. Recent unidirectional SKD schemes avoid non-reciprocal factors but require additional negotiation mechanisms to aggregate the transmitter and receiver data. Here, we propose a unidirectional SKD scheme based on channel physical intrinsic property and polarization reciprocity. The designed loopback structure constructs asymmetry between legitimate and illegitimate parties while aggregating data. The deployment of a broadband chaotic entropy source significantly improves the key generation rate (KGR). In the experiment, the KGR reaches 17.5 Gb/s, and the distribution distance reaches 100 km.

5.
Opt Lett ; 49(13): 3668-3671, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38950236

RESUMEN

This Letter presents what is to our knowledge a novel approach to reduce the digital signal processing (DSP) complexity in intensity modulation and direct detection (IM/DD) systems, which is critical for short-reach optical communication systems with severe bandwidth limitations. We propose a sub-baud rate sampling reception method utilizing a polyphase feedforward equalizer-based maximum likelihood sequence estimation (PFFE-MLSE), which could operate effectively under a sampling rate of 0.6 samples per symbol. This new architecture eliminates the need for resampling, allowing the adaptive equalizer to operate with significantly reduced complexity-over 60% compared to traditional FFE-MLSE. An offline experiment, transmitting a 100-Gbaud on-off keying (OOK) signal over a 5-km single-mode fiber (SMF) link, demonstrates the feasibility of our approach with bit error ratio (BER) meeting the KP4-forward error correction (KP4-FEC) threshold in the optical back-to-back (OBTB) scenario and 7% hard-decision FEC (HD-FEC) threshold in the 5-km SMF transmission.

6.
Opt Lett ; 49(4): 923-926, 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-38359217

RESUMEN

In this Letter, the impact of non-Gaussian noise caused by a nonlinear equalizer on low-density parity-check code (LDPC) performance is investigated in a 25-km 50-Gb/s pulse amplitude modulation4 (PAM4) direct detection system. The lookup table (LUT)-based log-likelihood ratio (LLR) calculation method is proposed to enhance the LDPC performance for the non-Gaussian noise case. Compared to the conventional LLR calculation method based on Gaussian distribution, the proposed method can improve 0.6-dB sensitivity in artificial neural network (ANN) equalizer systems. In addition, the conventional generalized mutual information (GMI) is proven to be an imperfect predictor of LDPC performance after nonlinear equalizers, such as decision feedback equalization (DFE) and ANN equalizer.

7.
BMC Med Imaging ; 24(1): 77, 2024 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-38566000

RESUMEN

BACKGROUND: To investigate the value of a nomogram model based on the combination of clinical-CT features and multiphasic enhanced CT radiomics for the preoperative prediction of the microsatellite instability (MSI) status in colorectal cancer (CRC) patients. METHODS: A total of 347 patients with a pathological diagnosis of colorectal adenocarcinoma, including 276 microsatellite stabilized (MSS) patients and 71 MSI patients (243 training and 104 testing), were included. Univariate and multivariate regression analyses were used to identify the clinical-CT features of CRC patients linked with MSI status to build a clinical model. Radiomics features were extracted from arterial phase (AP), venous phase (VP), and delayed phase (DP) CT images. Different radiomics models for the single phase and multiphase (three-phase combination) were developed to determine the optimal phase. A nomogram model that combines clinical-CT features and the optimal phasic radscore was also created. RESULTS: Platelet (PLT), systemic immune inflammation index (SII), tumour location, enhancement pattern, and AP contrast ratio (ACR) were independent predictors of MSI status in CRC patients. Among the AP, VP, DP, and three-phase combination models, the three-phase combination model was selected as the best radiomics model. The best MSI prediction efficacy was demonstrated by the nomogram model built from the combination of clinical-CT features and the three-phase combination model, with AUCs of 0.894 and 0.839 in the training and testing datasets, respectively. CONCLUSION: The nomogram model based on the combination of clinical-CT features and three-phase combination radiomics features can be used as an auxiliary tool for the preoperative prediction of the MSI status in CRC patients.


Asunto(s)
Neoplasias Colorrectales , Nomogramas , Humanos , Inestabilidad de Microsatélites , Radiómica , Estudios Retrospectivos , Tomografía Computarizada por Rayos X/métodos , Neoplasias Colorrectales/diagnóstico por imagen , Neoplasias Colorrectales/genética , Neoplasias Colorrectales/cirugía
8.
Opt Express ; 31(20): 31806-31817, 2023 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-37858997

RESUMEN

The increasing demand of real-time applications poses a huge challenge to building next-generation radio access network (NG-RAN) with higher stability and lower system complexity. Parallel signal detection (PSD), which aggregates signals of different intermediate frequencies (IFs) on different wavelengths with a single photodiode (PD), becomes a promising candidate for uplink mobile fronthaul with the advantage of low-latency. However, high requirements on the transmitters inhibit the large-scale deployment of radio units (RU). In this paper, we propose an economical, low-latency, multipoint-to-point (MP2P) uplink fronthaul architecture capable of aggregating four end-users with commercial 25G-class optical modules and a single PD. With delta-sigma modulation (DSM), commercial off-the-shelf optical modules can replace analog transmitters in traditional systems. As a demonstration, we aggregated 4 × 380.16-MHz 5 G new radio (NR) orthogonal frequency division multiplexing (OFDM) signals in an IF band with a fixed interval of 400 MHz over 20 km fiber with 4 users.

9.
Opt Express ; 31(5): 8875-8883, 2023 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-36859993

RESUMEN

Due to the cross phase modulation (XPM) effect, in long-haul high-speed dense wavelength division multiplexing (DWDM) coherent systems, using a low-speed on-off-keying (OOK) format optical supervisory channel (OSC) will introduce extra nonlinear phase noise, which restricts the transmission distance. In this paper, we propose a simple OSC coding method to mitigate the OSC-induced nonlinear phase noise. According to the split-step solution of the Manakov equation, we up-convert the baseband of the OSC signal out of the pass-band of the walk-off term to reduce the spectrum density of XPM phase noise. Experimental results show that the optical signal to noise ratio (OSNR) budget on the 400 G channel of 1280-km transmission is improved by 0.96 dB, which achieves almost the same performance with the no OSC case.

10.
Opt Express ; 31(12): 18773-18789, 2023 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-37381310

RESUMEN

The physical layer transmission security is a promising technology against security threats. As an effective supplement to the encryption strategy, steganography has received widespread attention. We report a real-time 2 kbps stealth transmission in the 10 Gbps dual polarization QPSK public optical communication. The stealth data is embedded in dither signals via precise and stable bias control technique for a Mach-Zehnder modulator. In the receiver, the stealth data can be recovered from the normal transmission signals by low SNR signal processing and digital down conversion. The stealth transmission has been verified to pose almost no impact on the public channel over a 117 km distance. The proposed scheme is compatible with existing optical transmission systems, so that no new hardware needs to be employed. It can be accomplished and is exceeded economically by adding simple algorithms, which utilizes only a small amount of FPGA resources. The proposed method can cooperate with encryption strategies or cryptographic protocols at different network layers to reduce the communication overhead and improve the overall security of the system.

11.
Opt Express ; 31(12): 19116-19125, 2023 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-37381335

RESUMEN

Maximum likelihood sequence estimation (MLSE) is the optimal signal sequence detection that can remove the inter-symbol interference (ISI). However, we find that the MLSE causes burst consecutive errors alternating between +2 and -2 in M-ary pulse amplitude modulation (PAM-M) IM/DD systems with large ISI. In this paper, we propose to use precoding to suppress the burst consecutive errors resulted from MLSE. A 2 M modulo operation is employed to guarantee that the probability distribution as well as the peak-to-average power ratio (PAPR) of encoded signal remain unchanged. After the receiver-side MLSE, the decoding process that involves adding the current MLSE output to the previous one and applying a 2 M modulo is implemented to break the burst consecutive errors. We conduct experiments to transmit 112/150-Gb/s PAM-4 or beyond 200-Gb/s PAM-8 signals at C-band to investigate the performance of the proposed MLSE integrated with precoding. The results show that the precoding can break burst errors effectively. For 201-Gb/s PAM-8 signal transmission, the precoding MLSE can achieve 1.4-dB receiver sensitivity gain and reduce the maximum length of burst consecutive errors from 16 to 3.

12.
Opt Express ; 31(20): 33200-33211, 2023 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-37859105

RESUMEN

In recent years, the transmission capacity of chaotic secure communications has been greatly expanded by combining coherent detection and multi-dimensional multiplexing. However, demonstrations over 1000 km fiber are yet to be further explored. In this paper, we propose a coherent optical secure transmission system based on analog-digital hybrid chaos. By introducing an analog-digital converter (ADC) and a bit extraction into the feedback loop of entropy source, the broadband analog chaos is converted into a binary digital signal. This binary digital signal is then mapped to a 65536-level pulse amplitude modulation (PAM) signal and injected into the semiconductor laser (SL) to regenerate the analog chaos, forming a closed loop. The binary digital signal from the chaos source and the encrypted signal are transmitted via wavelength division multiplexing (WDM). By using conventional digital signal processing (DSP) algorithms and neural networks for post-compensation, long-haul high-quality chaotic synchronization and high-performance secure communication are achieved. In addition, the probability density distribution of the analog chaotic signal is effectively improved by adopting the additional higher-order mapping operation in the digital part of the chaos source. The proof-of-concept experimental results show that our proposed scheme can support the secure transmission of 100 Gb/s quadrature phase shift keying (QPSK) signals over 1000 km of standard single-mode fiber (SSMF). The decrypted bit error rate (BER) reaches 9.88 × 10-4, which is well below the 7% forward error correction (FEC) threshold (BER = 3.8 × 10-3). This research provides a potential solution for high-capacity long-haul chaotic optical communications and fills the gap in secure communications based on analog-digital hybrid chaos.

13.
Opt Express ; 30(12): 20278-20287, 2022 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-36224777

RESUMEN

In this paper, we propose a novel beam shaping technique based on orbital angular momentum (OAM) modes for indoor optical wireless communications (OWC). Furthermore, we investigate two spatial diversity techniques, namely repetition-coding (RC) and Alamouti-type orthogonal space-time-block-coding (STBC) for indoor OWC employing the new beam shaping technique. The performance of both diversity schemes is systematically analyzed and compared under different beam shaping techniques using different OAM modes with different power ratios of the modes. It is shown that both RC and STBC can improve the system performance and effective coverage and RC outperforms STBC in all the beam shaping techniques regardless of the power ratios of the different modes. In addition, to further understand the performance of RC and STBC schemes against the signal delays induced during OAM mode conversion, the system tolerance of the two schemes to the delay interval is investigated with different OAM mode-based beam shaping techniques. Numerical results show that higher resistance to the delay interval can be achieved in STBC scheme. The advantage is more obvious when employing OAM0 and OAM1 based beam shaping technique.

14.
Opt Express ; 30(7): 11275-11287, 2022 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-35473075

RESUMEN

Chromatic dispersion, which introduces pattern-dependent inter-symbol interference (ISI), appears to be a long-standing performance limiting problem in optical intensity modulation direct detection (IM/DD) transmission systems. In this paper, we propose a multiplier-free maximum likelihood sequence estimation (MLSE) equalizer for C-band double-sideband IM/DD transmission. It models the IM/DD channel with dispersion-induced ISI and Gaussian noise. A look-up table is applied to record ISI for transition probability calculation and the Viterbi algorithm for decision sequence acquisition. Specifically, to reduce the number of multipliers, a refined construction of Viterbi algorithm based on tentative path decisions is adopted, which compresses the complexity of branch metric calculation to less than 1/4 for PAM-4 format. Moreover, approximation calculation is employed to realize multiplier-free hardware implementation, which greatly reduces the hardware consumption. The proposed MLSE equalizer offers superior performance and lower complexity over conventional equalizers. In the experimental verification, we experimentally demonstrate a C-band 56-Gb/s double-sideband 4-level pulse amplitude modulation (PAM-4) IM/DD transmission over 40-km standard single mode fiber exploiting the proposed refined MLSE without any optical amplifier, filter or dispersion managed modules at the receiver end, achieving a bit-error-ratio of 2.65×10-4, which is 2.28 orders of magnitude lower than the scheme using Volterra nonlinear equalizer.

15.
Opt Lett ; 47(23): 6125-6128, 2022 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-37219188

RESUMEN

Optical secure key distribution (SKD) based on reciprocity has been the subject of increasing discussion, for its inherent information-theoretic safety and because there is less occupation of fiber channels. The combination of reciprocal polarization and broadband entropy sources has proven effective in increasing the rate of SKD. However, the stabilization of such systems suffers from the limited span of polarization states and inconsistent polarization detection. The specific causes are analyzed in principle. To solve this issue, we propose a strategy for extracting secure keys from orthogonal polarizations. Optical carriers with orthogonal polarizations at interactive parties are modulated by external random signals using polarization division multiplexing dual-parallel Mach-Zehnder modulators. After bidirectional transmission through a 10-km fiber channel, error-free SKD with a rate of 2.07 Gbit/s is experimentally realized. The high correlation coefficient of the extracted analog vectors can be maintained for over 30 min. The proposed method is a step toward the development of secure communication with high speed and feasibility.

16.
Opt Lett ; 47(19): 5104-5107, 2022 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-36181197

RESUMEN

We propose and experimentally study a novel, to the best of our knowledge, quantum noise stream cipher (QNSC) secure transmission scheme based on the delta-sigma modulation (DSM) technique. The cooperation of the QNSC and DSM mechanisms makes it possible to transmit an ultrahigh-order encrypted signal in the non-return-to-zero (NRZ) on-off keying (OOK) format. The delivery of the NRZ OOK waveform over the fiber link allows us to send and receive signals using digital ports, instead of high-speed and high-resolution digital-to-analog converters (DACs) and analog-to-digital converters (ADCs) in conventional QNSC systems. Meanwhile, clock synchronization can be achieved by using a simple clock data recovery algorithm. The extra clock signal transmission link in conventional QNSC systems is no longer needed. The proposed scheme is also compatible with wavelength division multiplexing (WDM) systems. In this work, 4 × 12.9 Gbit/s plaintext is encrypted to a 65,536-level QNSC signal and then transmitted over a 10-km standard single-mode fiber. The transmitter and receiver are established by commercial 100G QSFP28 optical modules with clock data recovery. This proposed scheme can be easily deployed in commercial systems due to its minimalist implementation architecture and relatively low hardware cost.

17.
Opt Lett ; 47(20): 5285-5288, 2022 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-36240344

RESUMEN

We propose and experimentally study a coherent optical secure transmission system based on one dual-polarization in-phase and quadrature modulator (IQM). One beam of the polarized light is used to generate broadband chaos by configuring a nonlinear opto-electronic oscillator while the other beam carries the encrypted signal. The encrypted signal is obtained through sequential encryption of the analog and digital chaos. The mutual mask of the hybrid chaotic signals can effectively enhance the security performance. Moreover, by varying the encryption depth of analog and digital vectors, the transmission performance can be flexibly adjusted. A commercial dual-polarization IQM could simultaneously generate a chaotic signal and a load message, which provides a high-integration solution. A fast independent component analysis (ICA) algorithm is adopted to compensate for the rotation of state of polarization (RSOP). 60 Gb/s encrypted quadrature phase shift keying (QPSK) signal transmission over 100 km single-mode fiber is realized, and the decrypted bit error rate (BER) performance is below the 7% forward error correction (FEC) threshold (BER = 3.8 × 10-3).

18.
Opt Lett ; 47(3): 726-729, 2022 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-35103718

RESUMEN

We propose and experimentally study a coherent optical chaotic secure transmission system through a multi-core fiber (MCF). The messages are encrypted by the chaotic carrier and transmitted through the outer cores of the MCF, whereas the chaotic carrier signal is concealed by transmitting through the center core. The MCF provides large transmission capacity expansion and security enhancement against eavesdroppers due to its physical structure. In addition, the designed optical chaos self-homodyne coherent detection strategy has high detection sensitivity and simple physical structure. Due to the prevalence of devices and digital signal processing (DSP) algorithms used in this system, it can be well compatible with a commercial coherent optical communication system. Error free 40 Gb/s/core encrypted 16 quadrature amplitude modulation (QAM) signal transmission over 10 km 7-core fiber is achieved, and 20 Gb/s quadrature phase shift keying (QPSK) signal transmission over a 100 km standard single-mode fiber (SSMF) is demonstrated to verify the long-distance transmission capability. The sensitivity to the secret key is also studied.

19.
Opt Lett ; 47(21): 5606-5609, 2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-37219282

RESUMEN

Chromatic dispersion appears to be a major performance limiting problem in optical intensity modulation direct detection (IM/DD) transmission systems, especially for a double-sideband (DSB) signal. We propose a complexity-reduced look-up-table based maximum likelihood sequence estimation (LUT-MLSE) for DSB C-band IM/DD transmission based on pre-decision-assisted trellis compression and a path-decision-assisted Viterbi algorithm. To further compress the size of the LUT and reduce the length of the training sequence, we proposed a finite impulse response (FIR) and LUT hybrid channel model for the LUT-MLSE. For PAM-6 and PAM-4, the proposed methods can compress the size of the LUT into 1/6 and 1/4, and reduce the number of multipliers by 98.1% and 86.6% with slight performance degradation. We successfully demonstrate a 20-km 100-Gb/s PAM-6 and a 30-km 80-Gb/s PAM-4 C-band transmission over dispersion-uncompensated links.

20.
BMC Cancer ; 22(1): 920, 2022 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-36008790

RESUMEN

BACKGROUND: The incidence and mortality rate of rectal cancer are still high, the metastasis of rectal cancer are main causes of death. The control of the distant metastasis is one of the main concerns in the treatment of locally advanced rectal cancer, but there are few studies on predicting synchronous distant metastasis (SDM) of rectal cancer. METHOD: The data of patients with rectal adenocarcinoma confirmed by endoscopic biopsy or postoperative pathology from September 2015 to May 2020 in hospital A (center 1) and hospital B (center 2) were analyzed retrospectively, including age, sex, carcinoembryonic antigen, carbohydrate antigen 19-9, tumor location, tumor length, image staging and characteristics. The average age of the 169 patients consisting of 105 males and 64 females in study is 61.2 years. All patients underwent rectal routine rectal MRI, DKI and IVIM examinations on a 3.0-T scanner. Two radiologists sketched regions of interest (ROIs) on b = 1000 s/mm2 DKI and IVIM images to obtain quantitative parameters with FireVoxel manually. We evaluated the difference of histogram analysis, clinical and image data between SDM group and non-SDM group, and evaluated the efficacy of each index in predicting SDM of rectal cancer. RESULTS: The 90th percentile of f values in the SDM group is lower than that in the non-SDM group (29.4 ± 8.4% vs. 35 ± 17.8%, P = 0.005). CA19-9 in the SDM group is higher than that in the non-SDM group (P = 0.003). Low and high rectal cancer are more likely to develop SDM than middle rectal cancer (P = 0.05 and P = 0.047). The combination of these three indexes has a greater area under the curve (AUC) than any one index (0.801 vs. 0.685 (f (90th percentile)) and 0.627 (CA19-9), P = 0.0075 and 0.0058, respectively), and its specificity and sensitivity are 80.0% and 71.6%, respectively. When this combination is incorporated into the predictive nomogram model, the c-index is 0.801 (95% confidence interval (CI): 0.730-0.871). CONCLUSIONS: IVIM quantitative parameters combine with CA19-9 and tumor location can better predict the risk of SDM of rectal cancer.


Asunto(s)
Imagen de Difusión por Resonancia Magnética , Neoplasias del Recto , Antígeno CA-19-9 , Imagen de Difusión por Resonancia Magnética/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Movimiento (Física) , Neoplasias del Recto/diagnóstico por imagen , Neoplasias del Recto/patología , Estudios Retrospectivos
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