Background: Neoadjuvant therapy is associated with nodal downstaging and improved oncological outcomes in patients with lymph node(LN)-positive pancreatic cancer. This study aimed to develop and validate a nomogram to preoperatively predict LN-positive disease. Methods: A total of 558 patients with resected pancreatic cancer were randomly and equally divided into development and internal validation cohorts. Multivariate logistic regression analysis was used to construct the nomogram. Model performance was evaluated by discrimination, calibration, and clinical usefulness. An independent multicenter cohort consisting of 250 patients was used for external validation. Results: A four-marker signature was built consisting of carbohydrate antigen 19–9(CA19–9), CA125, CA50, and CA242. A nomogram was constructed to predict LN metastasis using three predictors identified by multivariate analysis: risk score of the four-marker signature, computed tomography-reported LN status, and clinical tumor stage. The prediction model exhibited good discrimination ability, with C-indexes of 0.806, 0.742 and 0.763 for the development, internal validation, and external validation cohorts, respectively. The model also showed good calibration and clinical usefulness. A cut-off value(0.72) for the probability of LN metastasis was determined to separate low-risk and high-risk patients. Kaplan-Meier survival analysis revealed a good agreement of the survival curves between the nomogram-predicted status and the true LN status. Conclusions: This nomogram enables the identification of pancreatic cancer patients at high risk for LN positivity who may have more advanced disease and thus could potentially benefit from neoadjuvant therapy. 相似文献
New insights are provided into the atom transfer radical polymerizations of styrene with 1,6‐bismaleimidohexane, tri‐ethylene glycol dimethacrylate (tri‐EGDMA), and divinyl benzene (DVB) as branching agents. Gas chromatography, proton nuclear magnetic resonance spectroscopy, and triple detection size exclusion chromatography are used to analyze the polymerizations and the polymers. The polymerizations and molecular weights of polymers differ because of the different levels of intramolecular cyclization and initiator efficiencies (IEs) among the three polymerization systems. High IE increases polymerization rate and restrains gelation, thereby facilitating preparation of branched polymers with high molecular weights. Polymers in the tri‐EGDMA system exhibit the lowest molecular weight and the broadest polydispersity because of some evident primary chain residues, whereas polymers in the DVB system show the highest molecular weight because of the low amount of the primary chain residues and high IE. The absence of branching monomer units in the primary chain residue of all these polymerizations is confirmed.
To guarantee the long-term stability of an orthopaedic implant, non-degradable surface coatings with the ability to selectively release bioactive drugs or ions are especially desirable. In this study, SrO–TiO2 composite coatings were deposited on the surface of Ti alloys, whose release behavior of bioactive Sr ions was modulated by the Sr configurations, either interstitial atoms in solid solution (TiySr2−2yO2) or strontium titanate (SrTiO3). A perfect linear relationship between the amount of the released Sr ions and the Sr content in the coating was observed. Among the SrO-doped TiO2 coatings, the 20% SrO–TiO2 coating where Sr existed in both forms of TiySr2−2yO2 and SrTiO3 not only promoted proliferation of bone cells but also enhanced their osteogenic differentiation, which was proved to be related to its Sr release behavior. However, overdosing with 30% SrO only resulted in one single Sr configuration (SrTiO3) and an inferior osteogenic function. This study suggests that Sr configurations of both interstitial atoms of the solid solution and SrTiO3 can realize the selective release of Sr, but they possibly have different effects on the biological functions and other properties including corrosion resistance.Strontium configurations can modulate its release in the SrO–TiO2 coating system, thus being able to control the interfacial osteogenesis.相似文献
Novel multifunctional SrTiO3/NiFe2O4 nanocomposites were successfully fabricated via a two-step route. The as-prepared samples were characterized by using X-ray diffraction (XRD), field-emission scanning electron microscopy (FESEM), energy dispersive spectroscopy (EDS), field-emission transmission electron microscopy (TEM), UV-visible diffuse reflectance spectroscopy (DRS), X-ray photoelectron spectroscopy (XPS), photoluminescence (PL) spectroscopy and vibrating sample magnetometry (VSM). The results indicate that the SrTiO3/NiFe2O4 heterostructures are composed of SrTiO3 spheroidal nanoparticles adhered to NiFe2O4 polyhedra. The heterojunction established in the composite material accelerates the process of electron–hole pair separation and boosts the photo-Fenton reaction. Among the samples, 15 wt% SrTiO3/NiFe2O4 nanocomposites exhibit a powerful light response and excellent room temperature ferromagnetism. Subsequently, the photocatalytic degradation of RhB over the as-prepared samples was investigated and optimized, revealing that the 15 wt% SrTiO3/NiFe2O4 nanocomposites exhibit the best photocatalytic activity and stability under simulated solar light irradiation. Furthermore, according to experimental results, the possible mechanism of improved photocatalytic activity was also proposed.Photocatalytic degradation of RhB for all samples under simulated solar light illumination and absorption spectra of RhB over 15 wt% SrTiO3/NiFe2O4 nanocomposites.相似文献
