Risk model and factors for prediction of response to neoadjuvant chemotherapy in patients with advanced gastric cancer-a two-center cohort study.

OBJECTIVE: Due to inconsistency in neoadjuvant chemotherapy (NACT) response in advanced gastric cancer (GC), the indications remain the source of controversy. This study focused on identifying factors related to NACT chemosensitivity and providing the best treatment for GC cases. METHODS: Clinical data in 867 GC cases treated with neoadjuvant chemotherapy were downloaded from two medical centers between January 2014 and December 2020, and analyzed by logistic regression and the least absolute shrinkage and selection operator (LASSO) for identifying potential factors that predicted NACT response and might be incorporated in constructing the prediction nomogram. RESULTS: After the inclusion and exclusion criteria were applied, totally 460 cases were enrolled, among which, 307 were males (66.74%) whereas 153 were females (33.26%), with the age of 24-77 (average, 59.37 ± 10.60) years. Consistent with RECIST standard, 242 patients were classified into effective group (PR or CR) while 218 were into ineffective group (PD or SD), with the effective rate of 52.61%. In training set, LASSO and logistic regression analysis showed that five risk factors were significantly associated with NACT effectiveness, including tumor location, Smoking history, T and N stages, and differentiation. In terms of our prediction model, its C-index was 0.842. Moreover, calibration curve showed that the model-predicted results were in good consistence with actual results. Validation based on internal and external validation sets exhibited consistency between training set results and ours. CONCLUSIONS: This study identified five risk factors which were significantly associated with NACT response, including smoking history, clinical T stage, clinical N stage, tumor location and differentiation. The prediction model that exhibited satisfying ability to predict NACT effectiveness was constructed, which may be adopted for identifying the best therapeutic strategy for advanced GC by gastrointestinal surgeons.

Identification of tea based on CARS-SWR variable optimization of visible/near-infrared spectrum.

BACKGROUND: The identification of tea varieties is essential to obtain high-quality tea that can command a high price. To identify tea varieties quickly and non-destructively, and to fight against counterfeit and inferior products in the tea market, a new method of visible / near-infrared spectrum processing based on competitive adaptive reweighting algorithms-stepwise regression analysis (CARS-SWR) variable optimization is proposed in this paper. RESULTS: The spectral data of five different tea varieties were obtained by visible / near-infrared spectrometry. The spectral data were preprocessed by the multivariate scattering correction (MSC) algorithm. First, 20 wavelength variables were selected by CARS, and then six optimal wavelength variables were selected using the SWR method, based on the CARS optimal variables. The generalized regression neural network (GRNN) classification model and probabilistic neural network (PNN) classification model were established, based on spectral information from the full wavelength, the CARS preferred wavelength variable, the SWR preferred wavelength variable, and the CARS-SWR preferred wavelength variable. CONCLUSION: It was found that the CARS-SWR-PNN model had the best classification effect by comparing different modeling results. The classification accuracy of its training set and test set reached 100%. This shows that the CARS-SWR preferred variable method combined with the visible / near-infrared spectrum is feasible for the rapid and non-destructive identification of tea varieties. © 2019 Society of Chemical Industry.