Publications by authors named "Cheng-Jun Yao"

Ferroelectricity is significant in low dimensional structures due to the potential applications in multifunctional nanodevices. In this work, the tailoring angle dependent ferroelectricity is systematically investigated for the nanoribbons and nanowires of puckered group-IV monochalcogenides MX (M =Ge,Sn; X =S,Se). Based on first-principles calculations, it is found that the ferroelectricity of nanoribbon and nanowire strongly depends on the tailoring angle.

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Since the concept of ferroelectric metal predicted in the 1960s has been experimentally realized in the bulk Weyl semimetal WTe[Sharma2019, eaax5080], it is significant to find the ultrathin polar metal or ferroelectric metal due to the demand of miniature of electronic nanodevices. Here, 2D buckled monolayers composed of group-IV elements such as SiGe, SiSn, and GeSn are selected as prototype. Then, the stability of 2D ferroelectricity in the above monolayers are confirmed based on the results of first-principles calculations.

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Objective: To evaluate the influence of Scoliosis Research Society (SRS)-Schwab sagittal modifiers of pelvic incidence minus lumbar lordosis mismatch (PI-LL) on clinical outcomes for adult degenerative scoliosis (ADS) after long posterior instrumentation and fusion.

Methods: This was a single-institute, retrospective study. From 2012 to 2014, 44 patients with ADS who underwent posterior instrumentation and fusion treatment were reviewed.

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Objective: This study aimed to assess the clinical efficiency of combined awake craniotomy with 3-T intraoperative MRI (iMRI)-guided resection of gliomas adjacent to eloquent cortex performed at a single center. It also sought to explore the contribution of iMRI to surgeons' learning process of maximal safe resection of gliomas.

Methods: All patients who underwent an awake craniotomy and iMRI for resection of eloquent area glioma during the 53 months between January 2011 and June 2015 were included.

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Article Synopsis
  • The study evaluates the effectiveness of advanced techniques like intraoperative MRI, awake craniotomy, and neurophysiologic monitoring for removing dominant-sided insular gliomas in patients.
  • A total of 30 patients underwent surgery using guided methods to precisely locate critical brain areas, with improvements noted in the extent of tumor removal and overall safety.
  • Results showed that these combined methods increased the extent of resection and reduced the chances of permanent language and motor deficits, making them beneficial for maximal safe tumor removal.
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OBJECT The extent of resection is one of the most essential factors that influence the outcomes of glioma resection. However, conventional structural imaging has failed to accurately delineate glioma margins because of tumor cell infiltration. Three-dimensional proton MR spectroscopy ((1)H-MRS) can provide metabolic information and has been used in preoperative tumor differentiation, grading, and radiotherapy planning.

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  • Genetic mutations are important for diagnosing and treating glioblastoma multiforme (GBM), but the diversity of mutations within a single tumor can complicate personalized treatment.* -
  • The study analyzed 33 samples from 7 GBM patients using advanced techniques to identify 53 mutations across 27 genes, including some novel ones, showing that most mutations were unique to individual samples.* -
  • Findings indicated that while certain mutations are associated with tissue characteristics, they don't consistently change based on the presence of major mutations, suggesting that single biopsy samples may not provide a complete genetic picture of GBM.*
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Background: Resting-state functional magnetic resonance imaging (R-fMRI) is a promising tool in clinical application, especially in presurgical mapping for neurosurgery. This study aimed to investigate the sensitivity and specificity of R-fMRI in the localization of hand motor area in patients with brain tumors validated by direct cortical stimulation (DCS). We also compared this technique to task-based blood oxygenation level-dependent (BOLD) fMRI (T-fMRI).

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Background: Intraoperative magnetic resonance imaging (iMRI) dates back to the 1990s and has been successfully applied in neurosurgery but they were low-field iMRI (< 1.0T). This paper reports the clinical experience with a 3T iMRI-integrated neurosurgical suite in Huashan Hospital, Shanghai, China.

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Background: Glioma surgery in eloquent areas remains a challenge because of the risk of postoperative motor deficits.

Objective: To prospectively evaluate the efficiency of using a combination of diffusion tensor imaging (DTI) tractography functional neuronavigation and direct subcortical stimulation (DsCS) to yield a maximally safe resection of cerebral glioma in eloquent areas.

Methods: A prospective cohort study was conducted in 58 subjects with an initial diagnosis of primary cerebral glioma within or adjacent to the pyramidal tract (PT).

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As a promising noninvasive imaging technique, functional MRI (fMRI) has been extensively adopted as a functional localization procedure for surgical planning. However, the information provided by preoperative fMRI (pre-fMRI) is hampered by the brain deformation that is secondary to surgical procedures. Therefore, intraoperative fMRI (i-fMRI) becomes a potential alternative that can compensate for brain shifts by updating the functional localization information during craniotomy.

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Objectives: To evaluate preliminary clinical experience for combining awake craniotomy and intraoperative language brain mapping within the integrated 3.0 T intraoperative magnetic resonance imaging (iMRI) suite.

Methods: From December 2010 to April 2011, 11 right hand-dominant patients with left glioma were involved in, or adjacent to, eloquent cortex was carried out awake craniotomies with cortical stimulation within an integrated 3.

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Objective: To report the preliminary experience in clinical application of 3.0 T intraoperative magnetic resonance imaging (iMRI) neuronavigation system in China.

Methods: From September 2010 to March 2011, a consecutive series of 122 patients with intracranial lesions underwent operations in guidance with 3.

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Article Synopsis
  • * Recent advancements in surgical techniques and supplements for glioma surgery have emerged in China, analyzed through a comprehensive review of existing studies from multiple databases.
  • * Current practices emphasize not just tumor removal, but also the patient's postoperative quality of life and neurofunctional status, aiming for a balance between survival and well-being.
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Almost 80% of hepatocellular carcinoma (HCC) cases are associated with chronic hepatitis and cirrhosis resulting from inflammation and fibrosis. A three-step process of "inflammation-fibrosis-carcinoma" is believed to be involved in hepatocarcinogenesis. The activation of hepatic stellate cells (HSCs) may serve as an important mediator in the process of inflammation-fibrosis-carcinoma axis, even in tumor metastasis.

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Objective: To evaluate the applicability of low-field intraoperative magnetic resonance imaging (iMRI) during transsphenoidal surgery of pituitary macroadenomas.

Methods: Fifty-five transsphenoidal surgeries were performed for macroadenomas (modified Hardy's Grade II-IV) resections. All of the surgical processes were guided by real-time updated contrast T1-weighted coronal and sagittal images, which were acquired with 0.

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Colorectal cancer is one of the leading causes of malignant death in Taiwan because it often remains undetected until later stages of the disease. In this study, we designed an oral form nano-particle to encapsulate 5-aminolaevulinic acid (5-ALA) to improve the detection of colorectal cancer cells in vivo. The nano-particle should escape from bacteria uptake in the gastrointestinal tract which seriously interferes the results of endoscopic observation.

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Article Synopsis
  • The study aimed to identify high-risk factors for postoperative upper gastrointestinal bleeding in neurosurgery patients to improve prevention strategies.
  • A logistic regression analysis was conducted on 1,500 neurosurgical patients, resulting in 1,430 valid questionnaires revealing a 5.24% overall incidence of upper GI bleeding post-surgery.
  • Key risk factors included being over 50 years old, male, having a Glasgow Coma Score below 10, and the presence of certain brain lesions, particularly in the brainstem or fourth ventricle.
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