Complete and Incomplete Alcohol Sclerotherapy for Treatment of Symptomatic Hepatic Cysts: Comparison of Volume Reduction and Clinical Outcomes.

Background: The purpose of this study was to compare the efficacy of incomplete alcohol sclerotherapy with complete treatment for hepatic cysts. Methods: From 2005 to 2021, a total of 80 patients (19 males, 61 females; median age 65 years; age range, 42-86 years) who underwent alcohol sclerotherapy for symptomatic benign hepatic cysts were enrolled and retrospectively reviewed. Complete treatment was defined as injecting 25-33% of the aspirated cyst volume with alcohol in 2-3 cycles, with a maximum of 100 mL per cycle. The overall volume reduction rate was compared between the complete and incomplete treatment groups. The response, based on cystic volume reduction, was classified as a complete regression (CR), near-complete regression (NCR), partial regression (PR), or no response (NR). CR and NCR were considered objective responses. Among 80 patients with 85 hepatic cysts, 26 patients with 29 hepatic cysts received incomplete treatment. Results: The overall volume reduction rate was not significantly different between the complete and incomplete treatment groups (94.39% vs. 95.47%, respectively, p = 0.623). The CR and NCR groups showed a significantly higher rate of symptom improvement than the PR and NR groups (p = 0.043). Conclusions: In conclusion, the efficacy of incomplete alcohol sclerotherapy was not inferior to that of complete treatment.

The Parathyroid Gland: An Overall Review of the Hidden Organ for Radiologists.

Parathyroid glands are small endocrine glands that regulate calcium metabolism by producing parathyroid hormone (PTH). These are located at the back of the thyroid gland. Typically, four glands comprise the parathyroid glands, although their numbers may vary among individuals. Parathyroid diseases are related to parathyroid gland dysfunction and can be caused by problems with the parathyroid gland itself or abnormal serum calcium levels arising from renal disease. In recent years, as comprehensive health checkups have become more common, abnormal serum calcium levels are often found incidentally in blood tests, after which several additional tests, including a PTH test, ultrasonography (US), technetium-99m sestamibi parathyroid scan, single-photon-emission CT (SPECT)/CT, four-dimensional CT (4D-CT), and PET/CT, are performed for further evaluation. However, the parathyroid gland remains an organ less familiar to radiologists. Therefore, the normal anatomy, pathophysiology, imaging, and clinical findings of the parathyroid gland and its associated diseases are discussed here.

Higher objective responses by hepatic arterial infusion chemotherapy following atezolizumab and bevacizumab failure than when used as initial therapy in hepatocellular carcinoma: a retrospective study.

PURPOSE: Atezolizumab/bevacizumab (atezo-bev) is the first-line chemotherapy for patients with unresectable hepatocellular carcinoma (HCC). However, hepatic artery infusion chemotherapy (HAIC) can be used as an alternative. Our aim was to compare the prognosis of HAIC treatment between newly diagnosed patients and patients treated after failure of atezo-bev. METHODS: We retrospectively assessed 73 patients with HCC treated with HAIC between January 2022 and September 2023. Fifty-seven patients were treated with HAIC at initial diagnosis, while 16 were treated with HAIC after first-line atezo-bev combination chemotherapy. We evaluated tumor responses, such as overall survival (OS), progression-free survival (PFS), and objective response rate (ORR). RESULTS: No significant difference was observed in either OS or PFS between patients with HCC treated with HAIC at the initial diagnosis and those treated after atezo-bev treatment failure. However, the ORR of the initial HAIC group was 19.6% and that of the HAIC group after atezo-bev therapy failure was 43.6%, which was a statistically significantly difference. CONCLUSION: Although no significant difference was observed for OS and PFS, the ORR of patients in the HAIC group after the failure of atezo-bev therapy was superior to that of newly diagnosed patients. HAIC may prolong survival in patients with HCC after atezo-bev treatment failure.

Role of Portosystemic Shunt and Portal Vein Stent in Managing Portal Hypertension Due to Hematological Diseases.

INTRODUCTION: Patients with hematological diseases experience complications related to portal hypertension, including life-threatening complications such as variceal bleeding. METHODS: We analyzed the prognosis of patients with hematological diseases and portal hypertension treated with transjugular intrahepatic portosystemic shunts (TIPS) or portal vein stents. We retrospectively assessed patients with hematological diseases and portal hypertension who had variceal bleeding. We evaluated the characteristics and prognosis of the enrolled patients. A total of 11 patients with hematological diseases who underwent TIPS, or portal vein stenting, were evaluated. RESULTS: The median follow-up period was 420 days. Of the 11 patients, eight showed resolution of portal hypertension and its complications following TIPS, or stent insertion. One patient experienced rebleeding due to incomplete resolution of portal hypertension, and two other patients also experienced rebleeding because they underwent TIPS closure or revision due to repetitive hepatic encephalopathy. CONCLUSION: Portosystemic shunt and stent installation are effective treatment options for portal hypertension due to hematological diseases.

Robust imaging approach for precise prediction of postoperative lung function in lung cancer patients prior to curative operation.

BACKGROUND: To create a combined variable integrating both ventilation and perfusion as measured by preoperative dual-energy computed tomography (DECT), compare the results with predicted postoperative (PPO) lung function as estimated using conventional methods, and assess agreement with actual postoperative lung function. METHODS: A total of 33 patients with lung cancer who underwent curative surgery after DECT and perfusion scan were selected. Ventilation and perfusion values were generated from DECT data. In the "combined variable method," these two variables and clinical variables were linearly regressed to estimate PPO lung function. Six PPO lung function parameters (segment counting, perfusion scan, volume analysis, ventilation map, perfusion map, and combined variable) were compared with actual postoperative lung function using an intraclass correlation coefficient (ICC). RESULTS: The segment counting method produced the highest ICC for forced vital capacity (FVC) at 0.93 (p < 0.05), while the segment counting and perfusion map methods produced the highest ICC for forced expiratory volume in 1 second (FEV1 ; both 0.89, p < 0.05). The highest ICC value when using the combined variable method was for FEV1 /FVC (0.75, p < 0.05) and diffusing capacity of the lung for carbon monoxide (DLco; 0.80, p < 0.05) when using the perfusion map method. Overall, the perfusion map and ventilation map provided the best performance, followed by volume analysis, segment counting, perfusion scan, and the combined variable. CONCLUSIONS: Use of DECT image processing to predict postoperative lung function produced better agreement with actual postoperative lung function than conventional methods. The combined variable method produced ICC values of 0.8 or greater for FVC and FEV1 .

Comparative Analysis of Atezolizumab Plus Bevacizumab and Hepatic Artery Infusion Chemotherapy in Unresectable Hepatocellular Carcinoma: A Multicenter, Propensity Score Study.

This study aimed to compare the prognosis and characteristics of patients with advanced hepatocellular carcinoma treated with first-line atezolizumab plus bevacizumab (AB) combination therapy and hepatic artery infusion chemotherapy (HAIC). We retrospectively assessed 193 and 114 patients treated with HAIC and AB combination therapy, respectively, between January 2018 and May 2023. The progression-free survival (PFS) of patients treated with AB combination therapy was significantly superior to that of patients treated with HAIC (p < 0.05), but there was no significant difference in overall survival (OS). After propensity score matching, our data revealed no significant differences in OS and PFS between patients who received AB combination therapy and those who received HAIC therapy (p = 0.5617 and 0.3522, respectively). In conclusion, our propensity score study reveals no significant differences in OS and PFS between patients treated with AB combination therapy and those treated with HAIC.

Rh(III)-Catalyzed C8-Spiroannulation of 1-Aminonaphthalenes with Maleimides.

The rhodium(III)-catalyzed C8-spiroannulation of 1-aminonaphthalenes with maleimides is described herein. Initially formed C8-alkenylated 1-aminonaphthalenes can intercept nucleophilic 1-amino groups through the intramolecular aza-Michael reaction, resulting in the formation of spirofused tetracyclic frameworks. This protocol displayed a wide substrate scope and a broad functional group compatibility. The synthetic utility of this process is demonstrated by the gram-scale synthesis, late-stage modification, and synthetic transformations.

Impregnation of Activated Carbon with Organic Phase-Change Material.

In this study, we developed a thermal storage medium comprising porous activated carbon filled with organic phase-change materials (PCMs) that utilizes the latent heat of phase-change to absorb heat during heating and release heat during cooling. For the activated carbon, we used both charcoal-based powdered activated carbon (250-350 mesh) and granular activated carbon. The organic phase-change materials used in the experiments were dodecane, tridecane, tetradecane, and pentadecane. Material properties such as thermal conductivity, latent heat, and melting temperature range were evaluated experimentally and theoretically, with the results observed to be consistent. The cyclic thermal performance of the proposed medium was also evaluated. Notably, filling the activated carbon with a mixture of organic PCMs resulted in the highest temperature-moderating effect. The procedure and results presented in this study are expected to aid in further improvement in the performance of thermal storage media containing PCM where stable temperatures are required, including building heating and cooling.

A Novel Metal-Containing Mesoporous Silica Composite for the Decolorization of Rhodamine B: Effect of Metal Content on Structure and Performance.

A series of novel MnxFey@SiO2 (x,y = 1-20%) nanocomposites were synthesized for the first time via the sol-gel/combustion method with different content of precursors (Mn and Fe acetate salts). The effect of precursor content and ratio on physicochemical properties were observed by various characterization methods. Moreover, Rhodamine B (RhB) was chosen as the target pollutant to test the performance of these nanocomposites under a photocatalytic Fenton-like reaction. The results showed that the nanocomposite morphology improved by increasing Fe and Mn content. In this study, interesting behavior was observed in BET results which were different from the fact that increasing metal content can decrease the surface area. This study revealed that one metal could be more critical in controlling the properties than another. Moreover, the precursor ratio appears to have a more tangible effect on the surface area than the effect of precursor content. Among all synthesized nanocomposites, Mn1Fe5@SiO2 showed the highest surface area of 654.95 m2/g. At optimum batch conditions (temp = 25 °C, catalyst dosage = 1 g L-1, H2O2 = 75 mmolL-1, and initial RhB concentration = 50 mg L-1), complete removal (simultaneous adsorption/degradation) occurred using Mn1Fe5@SiO2 at neutral pH. This study showed that the designed nanomaterial could be used as a dual functional adsorbent/photocatalyst in different environmental applications.

Sustainable Removal of BTEX Gas Using Regenerated Metal Containing SiO2.

In the last decades, the removal of benzene, toluene, ethylbenzene, and xylene (BTEX) has been considered a major environmental crisis. In this study, two novel nanocomposite materials (Fe2O3/SiO2 and Fe2O3-Mn2O3/SiO2) that have regeneration ability by UV irradiation have been fabricated to remove BTEX at ambient temperature. This research revealed that both nanocomposites could remove more than 85% of the BTEX in the first cycle. The adsorption capacities followed the order of ethylbenzene > m-xylene > toluene > benzene as in the molecular weight order. The reusability test using UV irradiation showed that the performance of Fe2O3/SiO2 decreased drastically after the fifth cycle for benzene. On the other hand, when Mn is located in the nanocomposite structure, Fe2O3-Mn2O3/SiO2 could maintain its adsorption performance with more than 80% removal efficiency for all the BTEX for ten consecutive cycles. The difference in the reusability of the two nanocomposites is that the electron energy (from the valence band to the conduction band) for BTEX decomposition is changed due to the presence of manganese. This study provides a promising approach for designing an economical reusable nanomaterial, which can be used for VOC-contaminated indoor air.

Harnessing Waste Heat from Indoor lamps for Sustainable Thermocatalytic Mineralization of Acetaldehyde using Platinized TiO2.

This study demonstrates the first reported thermocatalytic oxidation of an indoor volatile organic compound (VOC), acetaldehyde, by harnessing the waste-heat energy from indoor light sources (e.g., halogen lamps) without additional energy inputs. With an optimal Pt-TiO2 catalyst, the designed catalyst-coated lampshade was successfully activated under waste-heat energy (∼120 °C) and achieved the complete mineralization of CH3CHO into CO2 (k = 0.02 min-1). The catalytic activity of Pt-TiO2 was extremely dependent on its preparation method which greatly influenced the characteristics (e.g., oxidation state and size) of Pt. The thermocatalytic oxidation mechanism of CH3CHO over Pt-TiO2 was investigated, which revealed that O2 and H2O sources play vital roles. Although Pt is an expensive noble metal, the thermocatalytic process on the Pt-TiO2-coated lampshade without additional energy, along with its outstanding activity, can offset the high material cost. The proposed strategy offers a sustainable and feasible method for the degradation of indoor VOCs.

Synthesis of Succinimide-Linked Indazol-3-ols Derived from Maleimides under Rh(III) Catalysis.

The structural modification of N-aryl indazolols as tautomers of N-aryl indazolones has been established as a hot topic in pharmaceutics and medicinal chemistry. We herein disclose the rhodium(III)-catalyzed 1,4-addition reaction of maleimides with N-aryl indazol-3-ols, which provides the succinimide-bearing indazol-3-ol scaffolds with complete regioselectivity and a good functional group tolerance. Notably, the versatility of this protocol is demonstrated by the use of drug-molecule-linked and fluorescence-probe-linked maleimides.

Particulate Matter Promotes Melanin Production through Endoplasmic Reticulum Stress‒Mediated IRE1α Signaling.

Particulate matter (PM) is believed to be related to cardiovascular and respiratory diseases. The skin is also known to be affected by PM exposure as a result of skin barrier dysfunction, cutaneous inflammation, and apoptotic cell death. Epidemiological studies have suggested that PM is related to pigment spots. Recently, diesel exhaust particles are reported to cause a tanning response mediated by oxidative stress. However, the direct effects of PM on melanogenesis and the related mechanisms have not yet been clarified. Our study showed that PM can increase melanin production in melanocyte, mouse skin, and human skin models. RNA-sequencing analyses of melanocytes revealed that the expressions of unfolded protein response molecules were increased after PM exposure. In particular, IRE1α signaling pathway, which was consistently upregulated, was related to PM-triggered melanogenesis. In addition, PM-induced melanogenesis was abrogated by an IRE1α inhibitor. Therefore, our findings corroborate previous findings in melanocytes and in mouse and human models and also illuminate the involvement of the IRE1α pathway as a mechanism of PM-induced melanogenesis.

Synthesis of spirosuccinimides via annulative cyclization between N-aryl indazolols and maleimides under rhodium(III) catalysis.

The rhodium(III)-catalyzed spiroannulation reaction between N-aryl indazol-3-ols and maleimides is described herein. The developed method is showcased by the construction of spirosuccinimides using bioactive molecule-linked and chemical probe-linked maleimides. Combined mechanistic investigations including the determination of an isolable rhodacycle complex aided the elucidation of a plausible reaction mechanism.

Site-selective and metal-free C-H nitration of biologically relevant N-heterocycles.

The site-selective and metal-free C-H nitration reaction of quinoxalinones and pyrazinones as biologically important N-heterocycles with t-butyl nitrite is described. A wide range of quinoxalinones were efficiently applied in this transformation, providing C7-nitrated quinoxalinones without undergoing C3-nitration. From the view of mechanistic point, the radical addition reaction exclusively occurred at the electron-rich aromatic region beyond electron-deficient N-heterocycle ring. This is a first report on the C7-H functionalization of quinoxalinones under metal-free conditions. In contrast, the nitration reaction readily takes place at the C3-position of pyrazinones. This transformation is characterized by the scale-up compatibility, mild reaction conditions, and excellent functional group tolerance. The applicability of the developed method is showcased by the selective reduction of NO2 functionality on the C7-nitrated quinoxalinone product, providing aniline derivatives. Combined mechanistic investigations aided the elucidation of a plausible reaction mechanism.

Molecule-Resolved Visualization of Particulate Matter on Human Skin Using Multimodal Nonlinear Optical Imaging.

Precise measurement of particulate matter (PM) on skin is important for managing and preventing PM-related skin diseases. This study aims to directly visualize the deposition and penetration of PM into human skin using a multimodal nonlinear optical (MNLO) imaging system. We successfully obtained PM particle signals by merging two different sources, C-C vibrational frequency and autofluorescence, while simultaneously visualizing the anatomical features of the skin via keratin, collagen, and elastin. As a result, we found morphologically dependent PM deposition, as well as increased deposition following disruption of the skin barrier via tape-stripping. Furthermore, PM penetrated more and deeper into the skin with an increase in the number of tape-strippings, causing a significant increase in the secretion of pro-inflammatory cytokines. Our results suggest that MNLO imaging could be a useful technique for visualizing and quantifying the spatial distribution of PM in ex vivo human skin tissues.

Site-Selective C8-Alkylation of Quinoline N-Oxides with Maleimides under Rh(III) Catalysis.

The site-selective modification of quinolines and their analogs has emerged as a pivotal topic in medicinal chemistry and drug discovery. Herein, we describe the rhodium(III)-catalyzed C8-alkylation of quinoline N-oxides with maleimides as alkylating agents, resulting in the formation of bioactive succinimide-containing quinoline derivatives. The reaction proceeds under mild conditions with complete functional group tolerance.

Fabrication of Zn-MOF/ZnO nanocomposites for room temperature H2S removal: Adsorption, regeneration, and mechanism.

Zn-MOF/ZnO nanocomposites with different organic linkers were fabricated by a rapid ultrasonication method using freshly prepared Zn(OH)2 precipitate. The high metal-to-ligand ratio led to the simultaneous formation of MOFs and ZnO nanoparticles in the MOFs. The surface area was in the range of 12-21 m2 g-1. The nanocomposites were tested for H2S adsorption at room temperature, where the maximum adsorption capacity of 14.2 mg g-1 was recorded for ZnBTC/ZnO in dry conditions. The spent adsorbents were regenerated using methanol and UV irradiation as individual and combined strategies. The successive effect of methanol and UV radiation led to an increased adsorption capacity in the second cycle. The spectroscopic investigation of spent ZnBDC/ZnO confirmed the chemisorption of H2S over Zn-sites via Zn2+-S2- interaction. The XPS analysis of regenerated ZnBDC/ZnO confirmed a decreased sulfur content and decreased Zn ionic character. The regeneration work in this study is one of the first attempts and could be extrapolated to well-studied Zn-MOFs like MOF-5 for the desulfurization process.

Length difference of multi-walled carbon nanotubes generates differential cytotoxic responses.

Carbon nanotubes have recently been rated as an effective biomaterial owing to their functionalization ability. However, the safety of multi-walled carbon nanotubes (MWCNTs) has yet to be clearly understood. To investigate how cells differentially react to minor geometric differences, we prepared well-dispersed and stable long and short MWCNTs showing an approximately 100-nm length difference in an in vitro system. Through an optimal combination of bovine serum albumin (BSA) and fetal bovine serum (FBS) biosurfactants and ultrasonication, we first confirmed that the MWCNTs were maintained without aggregation throughout the experiments. Internalized MWCNTs in human coronary artery smooth muscle cells were then quantified in a label-free manner using coherent anti-Stokes Raman scattering, followed by an analysis of their localization via two-photon excitation fluorescence. Intracellular MWCNTs were found to primarily localize in mitochondria with abnormal morphologies. Mitochondrial dysfunction, which was found to result from early stages of oxidative stress that consequently lead to cell death, was then proved via decreasing mitochondrial membrane potentials, with short MWCNTs showing significantly greater cytotoxicity than long MWCNTs. Our results suggest that even small length differences of MWCNTs may lead to differential responses in cells.