Publications by authors named "Ching-Wei Wang"

Endometrial cancer (EC) diagnosis traditionally relies on tumor morphology and nuclear grade, but personalized therapy demands a deeper understanding of tumor mutational burden (TMB), i.e., a key biomarker for immune checkpoint inhibition and immunotherapy response.

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In endometrial cancer (EC) and colorectal cancer (CRC), in addition to microsatellite instability, tumor mutational burden (TMB) has gradually gained attention as a genomic biomarker that can be used clinically to determine which patients may benefit from immune checkpoint inhibitors. High TMB is characterized by a large number of mutated genes, which encode aberrant tumor neoantigens, and implies a better response to immunotherapy. Hence, a part of EC and CRC patients associated with high TMB may have higher chances to receive immunotherapy.

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  • HER2 assessment is crucial for selecting patients for anti-HER2 treatments, but manually analyzing HER2 amplification is time-consuming and prone to errors due to subjective interpretations and complex cell imagery.
  • To overcome these challenges, a new deep learning model has been developed that can accurately quantify HER2 amplification status in breast cancer by analyzing FISH and DISH datasets, achieving high accuracy and outperforming existing methods.
  • The model was also successfully applied to assess HER2 amplification in gastric cancer patients, yielding promising results with high accuracy and precision, indicating its potential beyond breast cancer applications.
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Ovarian cancer, predominantly epithelial ovarian cancer (EOC), is a global health concern due to its high mortality rate. Despite the progress made during the last two decades in the surgery and chemotherapy of ovarian cancer, more than 70% of advanced patients are with recurrent cancer and disease. Bevacizumab is a humanized monoclonal antibody, which blocks VEGF signaling in cancer, inhibits angiogenesis and causes tumor shrinkage, and has been recently approved by the FDA as a monotherapy for advanced ovarian cancer in combination with chemotherapy.

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Molecular classification, particularly microsatellite instability-high (MSI-H), has gained attention for immunotherapy in endometrial cancer (EC). MSI-H is associated with DNA mismatch repair defects and is a crucial treatment predictor. The NCCN guidelines recommend pembrolizumab and nivolumab for advanced or recurrent MSI-H/mismatch repair deficient (dMMR) EC.

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Epithelial ovarian cancer (EOC) remains a significant cause of mortality among gynecologic cancers, with the majority of cases being diagnosed at an advanced stage. Before targeted therapies were available, EOC treatment relied largely on debulking surgery and platinum-based chemotherapy. Vascular endothelial growth factors have been identified as inducing tumor angiogenesis.

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  • Platelet-rich fibrin (PRF) is a second-generation biomaterial derived from a patient's blood, containing platelets and growth factors that aid in tissue regeneration without additives.
  • PRF enhances healing through its flexible fibrin net, promoting cell migration and-release of growth factors, which stimulate vessel formation, cell proliferation, and differentiation.
  • Although research indicates PRF's effectiveness in treating musculoskeletal injuries, further clinical trials are necessary to fully validate its benefits across various medical fields, including oral and maxillofacial surgery and dermatology.
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  • * Traditional microscopic examination for determining HER2 gene amplification is inconsistent and time-consuming due to high variability among pathologists, affecting diagnosis accuracy.
  • * This paper presents an effective deep learning method that significantly improves the detection of breast cancer and HER2 amplification, outperforming existing methods while also being faster and requiring less computational resources.
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Overexpression of human epidermal growth factor receptor 2 (HER2/ERBB2) is identified as a prognostic marker in metastatic breast cancer and a predictor to determine the effects of ERBB2-targeted drugs. Accurate ERBB2 testing is essential in determining the optimal treatment for metastatic breast cancer patients. Brightfield dual in situ hybridization (DISH) was recently authorized by the United States Food and Drug Administration for the assessment of ERRB2 overexpression, which however is a challenging task due to a variety of reasons.

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Background: Acemannan is an acetylated polysaccharide of Aloe vera extract with antimicrobial, antitumor, antiviral, and antioxidant activities. This study aims to optimize the synthesis of acemannan from methacrylate powder using a simple method and characterize it for potential use as a wound-healing agent.

Methods: Acemannan was purified from methacrylated acemannan and characterized using high-performance liquid chromatography (HPLC), Fourier-transform infrared spectroscopy (FTIR), and H-nuclear magnetic resonance (NMR).

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The overexpression of the human epidermal growth factor receptor 2 (HER2) is a predictive biomarker in therapeutic effects for metastatic breast cancer. Accurate HER2 testing is critical for determining the most suitable treatment for patients. Fluorescent in situ hybridization (FISH) and dual in situ hybridization (DISH) have been recognized as FDA-approved methods to determine HER2 overexpression.

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Motivation: Bone marrow (BM) examination is one of the most important indicators in diagnosing hematologic disorders and is typically performed under the microscope via oil-immersion objective lens with a total 100× objective magnification. On the other hand, mitotic detection and identification is critical not only for accurate cancer diagnosis and grading but also for predicting therapy success and survival. Fully automated BM examination and mitotic figure examination from whole-slide images is highly demanded but challenging and poorly explored.

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  • The study focuses on improving patient selection for the targeted therapy bevacizumab, which inhibits blood vessel formation in cancer treatment, particularly for newly diagnosed ovarian cancer.
  • It examines the expression patterns of three proteins related to angiogenesis and utilizes a deep learning model to predict patient responses to bevacizumab therapy based on these protein levels.
  • The results show high predictive accuracy and identify patients likely to benefit from the therapy, correlating low cancer recurrence rates with specific protein expressions, thus aiding in personalized treatment planning.
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BigNeuron is an open community bench-testing platform with the goal of setting open standards for accurate and fast automatic neuron tracing. We gathered a diverse set of image volumes across several species that is representative of the data obtained in many neuroscience laboratories interested in neuron tracing. Here, we report generated gold standard manual annotations for a subset of the available imaging datasets and quantified tracing quality for 35 automatic tracing algorithms.

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  • * Detecting the BRAF (V600E) mutation in thyroid cancer can indicate malignancy and poor prognosis, and an automated deep learning framework has been developed to predict this mutation's presence in FNAC samples.
  • * The deep learning technique showed high performance with an accuracy of 87%, outperforming existing methods, and offers a promising tool for improving diagnosis and treatment decisions in thyroid cancer using advanced technology.
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Advances in computation pathology have continued at an impressive pace in recent years [...

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  • According to the World Health Organization's 2022 report, cancer is the leading cause of death globally, responsible for nearly one in six fatalities, highlighting the need for early detection to lower mortality rates.
  • The study introduces a soft label fully convolutional network (SL-FCN) designed to enhance breast cancer therapy and diagnose thyroid cancer by automatically segmenting critical features in medical images.
  • Evaluations against thirteen other deep learning models show that SL-FCN demonstrates strong performance in accuracy and recall, achieving up to 94.64% accuracy in detecting HER2 amplification in breast cancer datasets and effectively segmenting papillary thyroid carcinoma in thyroid cases.
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Lung cancer is the biggest cause of cancer-related death worldwide. An accurate nodal staging is critical for the determination of treatment strategy for lung cancer patients. Endobronchial-ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has revolutionized the field of pulmonology and is considered to be extremely sensitive, specific, and secure for lung cancer staging through rapid on-site evaluation (ROSE), but manual visual inspection on the entire slide of EBUS smears is challenging, time consuming, and worse, subjective, on a large interobserver scale.

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Joint analysis of multiple protein expressions and tissue morphology patterns is important for disease diagnosis, treatment planning, and drug development, requiring cross-staining alignment of multiple immunohistochemical and histopathological slides. However, cross-staining alignment of enormous gigapixel whole slide images (WSIs) at single cell precision is difficult. Apart from gigantic data dimensions of WSIs, there are large variations on the cell appearance and tissue morphology across different staining together with morphological deformations caused by slide preparation.

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Despite the progress made during the last two decades in the surgery and chemotherapy of ovarian cancer, more than 70 % of advanced patients are with recurrent cancer and decease. Surgical debulking of tumors following chemotherapy is the conventional treatment for advanced carcinoma, but patients with such treatment remain at great risk for recurrence and developing drug resistance, and only about 30 % of the women affected will be cured. Bevacizumab is a humanized monoclonal antibody, which blocks VEGF signaling in cancer, inhibits angiogenesis and causes tumor shrinkage, and has been recently approved by FDA as a monotherapy for advanced ovarian cancer in combination with chemotherapy.

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  • * In a study conducted from August 2019 to January 2020 with 206 patients meeting SEPSIS-3 criteria, HBP levels were measured at admission, 24 hours, and 48 hours to observe changes over time.
  • * Results showed that changes in HBP at 48 hours (HBPc-48 h) had the highest predictive accuracy (AUC: 0.82) for mortality, and using it in a clinical prediction model significantly
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Precision oncology, which ensures optimized cancer treatment tailored to the unique biology of a patient's disease, has rapidly developed and is of great clinical importance. Deep learning has become the main method for precision oncology. This paper summarizes the recent deep-learning approaches relevant to precision oncology and reviews over 150 articles within the last six years.

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Global warming both reduces global temperature variance and increases the frequency of extreme weather events. In response to these ambient perturbations, animals may be subject to trans- or intra-generational phenotype modifications that help to maintain homeostasis and fitness. Here, we show how temperature-associated transgenerational plasticity in tilapia affects metabolic trade-offs during developmental stages under a global warming scenario.

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