Publications by authors named "Kaini Shen"

Background: The prognostic significance of left atrial (LA) dysfunction in cardiac amyloidosis is being increasingly acknowledged, but its importance in stage II light-chain cardiac amyloidosis (AL-CA) remains unclear. This study aimed to determine the prognostic value of LA strain in stage II AL-CA.

Methods: Patients with stage II AL-CA who underwent cardiac magnetic resonance at Peking Union Medical College Hospital between January 1, 2015, and October 31, 2021, were consecutively enrolled in this cohort study.

View Article and Find Full Text PDF

Background: Recent evidence underlined the importance of cardiovascular magnetic resonance (CMR) in light chain amyloidosis (AL amyloidosis). We aimed to comprehensively assess the prognostic significance of CMR parametric mapping in AL amyloidosis.

Methods: This prospective study consecutively included AL amyloidosis patients who underwent CMR imaging before therapy.

View Article and Find Full Text PDF
Article Synopsis
  • I can take the main points and put them in easy-to-understand sentences.
  • The summary will be short and straight to the point.
  • It will help you understand the key ideas without reading the whole text. Just let me know what you need!
View Article and Find Full Text PDF
Article Synopsis
  • Cardiac magnetic resonance (CMR) imaging is effective in monitoring cardiac changes in patients with light-chain cardiac amyloidosis (AL-CA) during chemotherapy, providing detailed information on heart structure and function.
  • A study involving 111 AL-CA patients demonstrated significant improvements in CMR measurements post-chemotherapy, particularly in patients with a better response to treatment.
  • Results suggest that chemotherapy can reduce cardiac amyloid deposits, with notable recovery in right ventricular function, indicating that CMR is a valuable tool for tracking treatment effectiveness in these patients.
View Article and Find Full Text PDF

Introduction: The definition of primary plasma cell leukemia (pPCL) has been revised from ≥20% to ≥5% circulating plasma cells (CPC). However, the precise prognosis associated with CPC remains controversial. This study aimed to investigate prognostic biomarkers for myeloma patients based on CPC presence.

View Article and Find Full Text PDF

Introduction: With the increasing use of blinatumomab in relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL), including minimal residual disease (MRD)-positive cases, awareness of its adverse effects has gradually improved. Pneumocystis jirovecii pneumonia (PCP) associated with blinatumomab therapy is rare.

Case Presentation: We present a case of PCP in a patient undergoing blinatumomab therapy.

View Article and Find Full Text PDF
Article Synopsis
  • * Elevated levels of serum-free λ light chains were detected, prompting further imaging to assess the extent of the condition.
  • * PET/CT scans demonstrated significant uptake in the masses, indicating a rare type of light chain (AL) amyloidosis characterized by localized tumor-like deposits.
View Article and Find Full Text PDF

POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome is a rare form of plasma cell dyscrasia often treated with high-dose chemotherapy and autologous stem cell transplantation (ASCT). ASCT has resulted in satisfactory and sustained therapeutic outcomes. However, a substantial number of patients eventually experience disease progression, requiring second-line treatment.

View Article and Find Full Text PDF
Article Synopsis
  • A study looked at how many radiology residents feel burnt out, which means they're really tired and stressed out from their work.
  • They found 423 studies but focused on 16 that showed serious levels of burnout in almost half of the residents, affecting how they feel emotionally and their sense of achievement.
  • The results suggest that this is a big problem and needs to be addressed by the people in charge of training these doctors.
View Article and Find Full Text PDF

Acute myeloid leukaemia (AML) denotes a heterogeneous category of cancers occurring within the bone marrow that are initiated by the unrestricted proliferation of haematopoietic stem cells. Various factors effectuate the dysregulation of AML cell proliferation; for instance, the upregulation of insulin-like growth factor 1 receptor (IGF1R) within AML cells influences their proliferation. However, there is a current dearth of research assessing the association between IGF1R and prognostic risk as well as its potential as an AML immunotherapeutic.

View Article and Find Full Text PDF

Objectives: The coronavirus disease-19 (COVID-19) increased the already heavy workload in the pulmonary and respiratory departments, which therefore possibly increased the prevalence of burnout among pulmonologists or respiratory therapists. We aimed to compare the differences in burnout among pulmonologists or respiratory therapists pre- and post-COVID-19 by doing a systematic review with meta-analysis.

Methods: We searched pulmonologist, or pulmonary, or respiratory, and burnout up to 29 January 2023 in six databases.

View Article and Find Full Text PDF

Background: Pigment gallstones are not uncommon among patients with chronic haemolytic anaemia. But their clinical characteristics have not been described in detail and not been directly compared with the general gallstone population.

Methods: Patients at Peking Union Medical College Hospital with haemolytic anaemia and subsequent gallstones from January 2012 to December 2022 were included.

View Article and Find Full Text PDF

Background: Systemic amyloid light chain (AL) amyloidosis is the most common type of amyloidosis, leading to cardiomyocyte necrosis and interstitial fibrosis. Gallium-68-labeled fibroblast activation protein inhibitor 04 (Ga-FAPI-04) has recently been introduced for imaging fibroblast activation in cardiac diseases. To date, cardiac fibroblast and cardiac amyloidosis (CA) phenotype activities have not been mapped.

View Article and Find Full Text PDF

Background: Patients receiving hematopoietic stem cell transplantation (HSCT) or chimeric antigen receptor T cell (CAR T-cell) therapy are immunocompromised and at high risk of viral infection, including SAR2-CoV-2 infection. However, the effectiveness and safety of COVID-19 vaccines in these recipients is not well characterized. The present meta-analysis evaluated the serologic response and safety of COVID-19 vaccines in these population.

View Article and Find Full Text PDF
Article Synopsis
  • Factor X (FX) deficiency is found in a significant portion (62.3%) of patients with light-chain (AL) amyloidosis, and is linked to worse clinical outcomes.
  • Patients with FX deficiency exhibit higher levels of certain biomarkers (dFLC, cardiac troponin I, and N-terminal pro-BNP) and have a higher percentage of bone marrow plasma cells compared to those without FX deficiency.
  • After treatment, FX activity tends to improve more in patients who achieve complete hematologic response or show organ improvement, indicating that FX deficiency correlates with a more severe disease state and lower overall survival rates.
View Article and Find Full Text PDF

Objectives: Chromosome abnormalities have certain impacts on the disease mechanism in patients with gastrointestinal Behçet's disease-like syndrome (GIBS) and myelodysplastic syndrome (MDS). This study aimed to investigate the clinical characteristics and long-term outcomes of patients with GIBS-MDS and the potential role(s) played by trisomy 8 from a gastroenterology perspective.

Methods: A retrospective cohort of 18 patients with GIBS-MDS in China was analysed, and 97 reported cases with individual data from the literature were reviewed in total.

View Article and Find Full Text PDF