Publications by authors named "Bai Wenpei"

Aim: The activation of the complement system is accompanied by the occurrence and development of preeclampsia, as well as kidney diseases. Here, the role of complement C3 [C3] in renal injury in preeclampsia was explored, and its potential application as an early diagnostic biomarker or drug target to ameliorate kidney injury induced by preeclampsia was preliminarily evaluated.

Method: A total of 48 subjects were included in the present study, and the complement C3 levels and renal function were analyzed.

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Background: Chronic endometritis (CE), frequently asymptomatic, is associated with female infertility. Fallopian tube obstruction (FTO) is also one of the factors contributing to female infertility. More than 90% of cases of proximal FTO can be successfully treated after fallopian tubal recanalization (FTR) and the spontaneous pregnancy rate of treated women after FTR is only about 30%.

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Introduction: Appropriately stratifying the risk of adnexal masses is of great importance. Many diagnostic algorithms have been devised, most of which rely on ultrasound features. However, some remote areas lack trained sonographers.

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Objective: This study aims to evaluate the utility of polygenic risk scores (PRS) in women with early menopause (EM) and to investigate the clinical characteristics and risk factors associated with EM based on genetic risk.

Study Design: Genotyping data and clinical data from women with EM and women with normal age of menopause retrieved from UK Biobank were used for early menopause risk prediction model establishment. Subsequently, 99 women diagnosed with EM and 1027 control women underwent PGT-M were recruited for model validation from across eight hospitals in China.

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Background: Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility. The ketogenic diet (KD), a diet high in fat and low in carbohydrates, has been applied clinically for the treatment of obese women with PCOS. We have previously demonstrated that KD improved the reproductive phenotype in an androgen-induced PCOS mouse model, yet the underlying molecular mechanisms remain largely unclear.

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  • Cervical high-grade squamous intraepithelial lesions (HSIL) are precursors to cervical cancer, and the presence of HPV16/18 increases the risk of recurrence.
  • The study examined the relationship between the proteins p16, C-myc, and PIK3CA and HPV16/18 positivity in 180 recurrent HSIL patients.
  • Results showed that higher expression levels of these proteins were significantly associated with HPV16/18 positivity, and a predictive model using these markers demonstrated strong potential for diagnosing HPV16/18 positivity.
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  • Menopausal syndrome significantly impacts women's health due to hormonal fluctuations, with the hypothalamus playing a crucial role in symptom manifestation.
  • Researchers simulated a low-estrogen state using ovariectomized rats and employed various techniques to analyze protein expression changes in the hypothalamus.
  • The study identified 295 differentially expressed proteins, with key findings highlighting four crucial regulators, suggesting new potential treatment targets for menopausal symptoms.
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  • The study aimed to assess the effectiveness and safety of fezolinetant for treating moderate to severe vasomotor symptoms (VMS) in East Asian postmenopausal women.
  • Conducted as a randomized, double-blind phase 3 trial, participants received either fezolinetant (30 mg/day) or a placebo over 12 weeks, followed by an open-label phase.
  • Results showed no significant difference in VMS frequency or severity between fezolinetant and placebo, indicating that while fezolinetant was generally safe, it was not effective in reducing these symptoms.
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  • Metabolic syndrome (MetS) is a key concern for cardio-metabolic health, especially in postmenopausal women, making the perimenopausal period crucial for prevention efforts.
  • Researchers developed a risk prediction model using four machine learning methods—XGBoost, Random Forest, Multilayer Perceptron, and Logistic Regression—to forecast the likelihood of developing MetS among women aged 45-55 based on health examination data.
  • Results indicated that Random Forest and XGBoost performed the best in predicting MetS, with key risk factors identified including waist circumference, fasting blood glucose, and cholesterol levels, emphasizing the potential for early intervention in high-risk individuals.
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  • * The article introduces the Uterine Myoma MRI Dataset (UMD), which is the largest publicly available dataset with 300 cases of T2-weighted MRI images of uterine myomas, including detailed annotations.
  • * The dataset covers 9 myoma types as classified by FIGO and has been reviewed by 11 doctors, making it a valuable resource for research on classification and 3D reconstruction related to uterine myomas.
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Objective: To evaluate the effect of secondary cytoreductive surgery (SeCRS) followed by platinum-based chemotherapy (PBC) and olaparib tablets as maintenance therapy in patients with BRCA mutated recurrent epithelial ovarian cancer.

Methods: This was a retrospective study of a prospective database. We collected information on 623 patients diagnosed with BRCA mutated recurrent epithelial ovarian cancer, all of whom underwent SeCRS followed by PBC in combination with or without olaparib.

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Medical image segmentation algorithms based on deep learning have achieved good segmentation results in recent years, but they require a large amount of labeled data. When performing pixel-level labeling on medical images, labeling a target requires marking ten or even hundreds of points along its edge, which requires a lot of time and labor costs. To reduce the labeling cost, we utilize a click-based interactive segmentation method to generate high-quality segmentation labels.

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Background: The application of artificial intelligence (AI) powered algorithm in clinical decision-making is globally popular among clinicians and medical scientists. In this research endeavor, we harnessed the capabilities of AI to enhance the precision of hysteroscopic myomectomy procedures.

Methods: Our multidisciplinary team developed a comprehensive suite of algorithms, rooted in deep learning technology, addressing myomas segmentation tasks.

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Background: Increasing evidence suggests that hormone therapy (HT) and obesity exert an influence on allergic rhinitis (AR). It is important to investigate the association and interactions between HT, BMI, and AR in perimenopausal women.

Methods: From May 2020 to March 2021, a cross-sectional survey was completed by patients who visited the Allergy Department and Gynecology Department of Shijitan Hospital.

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  • The study focused on identifying risk factors for cesarean sections and developing a predictive model based on the characteristics of pregnant women.
  • Researchers analyzed clinical data from 2,552 pregnant women and used various statistical methods and machine learning models to identify key risk factors like age, weight, and pregnancy complications.
  • The Random Forest model outperformed others with high accuracy rates for predicting cesarean section risk, indicating its potential usefulness in clinical settings.
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Fetal growth restriction (FGR) seriously threatens perinatal health. The main cause of FGR is placental malperfusion, but the specific mechanism is still unclear, and there is no effective treatment for FGR. We constructed a FGR mouse model by adding exogenous asymmetric dimethylarginine (ADMA) through in vivo experiments and found that ADMA could cause placental dysplasia and induce the occurrence of FGR.

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Motivation: Ovarian cancer (OC) is a highly lethal gynecological malignancy. Extensive research has shown that OC cells undergo significant metabolic alterations during tumorigenesis. In this study, we aim to leverage these metabolic changes as potential biomarkers for assessing ovarian cancer.

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Medical image segmentation can effectively identify lesions in medicine, but some small and rare lesions cannot be well identified. Existing studies do not take into account the uncertainty of the occurrence of diseased tissue, and the problem of long-tailed distribution of medical data. Meanwhile, the grayscale image obtained from Magnetic Resonance Imaging (MRI) detection has problems, such as the features being difficult to extract and invalid features being difficult to distinguish.

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  • This study investigates the potential of platelet-rich fibrin (PRF) treatment to regenerate damaged endometrium and address intrauterine adhesion (IUA), a leading cause of infertility.
  • Researchers used various methods to analyze PRF's microstructure and established a rat model for IUA, dividing 40 female rats into three groups for comparison.
  • Results showed that PRF facilitated endometrial cell growth, preserved uterine structure, and improved regeneration of the endometrium, suggesting its effectiveness in treating IUA and potential applicability in women's infertility treatments.
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  • This study focused on using deep convolutional neural networks (DCNN) to distinguish various types of ovarian tumors in ultrasound images.
  • Researchers analyzed 1,142 ultrasound images from 328 patients, classifying benign tumors and high-grade serous carcinoma, as well as segmenting images for detailed analysis.
  • The results showed that the ResNext50 model excelled with a high accuracy of 95.2%, demonstrating the effectiveness of DCNNs in aiding ovarian tumor classification in ultrasound imaging.
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Aim: To evaluate the effect of secondary cytoreductive surgery (SeCRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) in recurrent epithelial ovarian cancer patients.

Methods: This retrospective study analyzed a prospective database. We collected information of 389 patients who were diagnosed with recurrent epithelial ovarian cancer.

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Uterine myomas affect 70% of women of reproductive age, potentially impacting their fertility and health. Manual film reading is commonly used to identify uterine myomas, but it is time-consuming, laborious, and subjective. Clinical treatment requires the consideration of the positional relationship among the uterine wall, uterine cavity, and uterine myomas.

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Diagnostic results can be radically influenced by the quality of 2D ovarian-tumor ultrasound images. However, clinically processed 2D ovarian-tumor ultrasound images contain many artificially recognized symbols, such as fingers, crosses, dashed lines, and letters which assist artificial intelligence (AI) in image recognition. These symbols are widely distributed within the lesion's boundary, which can also affect the useful feature-extraction-utilizing networks and thus decrease the accuracy of lesion classification and segmentation.

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Polycystic ovary syndrome (PCOS) is one of the most common female reproductive and metabolic disorders. The ketogenic diet (KD) is a diet high in fat and low in carbohydrate. The beneficial effects of KD intervention have been demonstrated in obese women with PCOS.

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Background: The pre-pregnancy weight and gestational weight gain (GWG) are closely related to perinatal maternal and infant complications, but the relationship between pre-pregnancy weight and GWG and the pattern of interaction have not been reported. This study investigated the influence of weight control during pregnancy on the perinatal maternal and infant outcomes.

Methods: A total of 835 singleton pregnant women who were hospitalized between January 2018 and December 2018 were retrospectively included in this study and divided into two groups: the diet guidance (DG) group (n = 167) and the control group (n = 668).

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