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Julian Yeoh MBBS FRACP Ritesh Kanyal MBBS MRCP Nilesh Pareek MA MRCP PhD Fernando Macaya MD Stefano Cannata MD Vasileos Tzalamouras MD Ian Webb MA PhD FRCP Rafal Dworakowski PhD FRCP Narbeh Melikian Bsc MD MRCP Ajay M. Shah MD FRCP Philip MacCarthy Bsc PhD FRCP Jonathan Hill MA MRCP FRCP Jonathan Byrne PhD FRCP 《Catheterization and cardiovascular interventions》2023,101(2):233-242
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Nora Pashayan Paul DP Pharoah Johanna Schleutker Kirsi Talala Teuvo LJ Tammela Liisa M??tt?nen Patricia Harrington Jonathan Tyrer Rosalind Eeles Stephen W Duffy Anssi Auvinen 《British journal of cancer》2015,113(7):1086-1093
Background:
We derived estimates of overdiagnosis by polygenic risk groups and examined whether polygenic risk-stratified screening for prostate cancer reduces overdiagnosis.Methods:
We calculated the polygenic risk score based on genotypes of 66 known prostate cancer loci for 4967 men from the Finnish section of the European Randomised Study of Screening for Prostate Cancer. We stratified the 72 072 men in the trial into those with polygenic risk below and above the median. Using a maximum likelihood method based on interval cancers, we estimated the mean sojourn time (MST) and episode sensitivity. For each polygenic risk group, we estimated the proportion of screen-detected cancers that are likely to be overdiagnosed from the difference between the observed and expected number of screen-detected cancers.Results:
Of the prostate cancers, 74% occurred among men with polygenic risk above population median. The sensitivity was 0.55 (95% confidence interval (CI) 0.45–0.65) and MST 6.3 (95% CI 4.2–8.3) years. The overall overdiagnosis was 42% (95% CI 37–52) of the screen-detected cancers, with 58% (95% CI 54–65) in men with the lower and 37% (95% CI 31–47) in those with higher polygenic risk.Conclusion:
Targeting screening to men at higher polygenic risk could reduce the proportion of cancers overdiagnosed. 相似文献84.
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Chit Cheng Yeoh Nedal Dabab Elyse Rigby Ritu Chhikara Iolia Akaev Ricardo Santiago Gomez Felipe Fonseca Peter A. Brennan Siavash Rahimi 《Journal of oral pathology & medicine》2018,47(7):691-695
The role of the androgen receptor (AR) as an immunomarker for diagnosis of salivary gland duct carcinoma (SDC) is well known. Other non‐squamous cell head and neck cancers (NSCC‐HN), including a small subset of salivary gland cancers (SGCs), can also express AR. With the increase in effective and powerful new generation of anti‐androgen agents and drugs administered orally, more targetable AR‐driven NSCC‐HN, such as subsets of SGCs, should be investigated for possible expression of AR. In this review, we focus on SGC subtypes, which could express AR and describe the main androgen deprivation therapy (ADT) strategies. 相似文献
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P Boutouyrie S Laurent B Laloux O Lidove JP Grunfeld DP Germain 《Acta paediatrica (Oslo, Norway : 1992)》2002,91(S439):62-66
Aim : The enzymatic defect in Fabry disease results in the slow systemic deposition of uncleaved glycosphingolipids in the lysosomes of vascular endothelium and smooth muscle cells, leading to ischaemic strokes, cardiomyopathy and renal failure. Whereas it is known that Fabry disease affects small blood vessels, little is known about its effects on peripheral large arteries. We therefore set out to compare parameters of arterial wall structure and function in a cohort of patients with Fabry disease and an age-matched control group. Methods : Large artery phenotype was non-invasively investigated in 21 hemizygous patients with Fabry disease and 24 age-matched male controls. Common carotid and radial artery diameter, intima-media thickness (IMT) and distensibility were determined with high-definition echotracking systems and aplanation tonometry. Results : Patients with Fabry disease had a significant twofold increase in radial artery IMT and distensibility, independent of body surface area, age and mean blood pressure. In both groups, older age at the time of examination was significantly associated with larger radial artery IMT. The relationship between age and radial IMT was 2.3-fold higher in patients with Fabry disease than in controls ( p > 0.01). Carotid IMT was mildly but significantly increased in patients with Fabry disease (+18%), whereas distensibility was unchanged.
Conclusion : This study presents evidence of a major increase in arterial wall thickness and distensibility, measurable at the site of a medium-sized artery, in a cohort of patients with classic Fabry disease. 相似文献
Conclusion : This study presents evidence of a major increase in arterial wall thickness and distensibility, measurable at the site of a medium-sized artery, in a cohort of patients with classic Fabry disease. 相似文献
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Effects of Median Nerve Neural Mobilization in Treating Cervicobrachial Pain: A Randomized Waiting List–Controlled Clinical Trial 下载免费PDF全文