Publications by authors named "Mei-Juan Luo"

Article Synopsis
  • The study investigates the effects of the PD-1 inhibitor toripalimab combined with chemoradiotherapy on patients with advanced nasopharyngeal carcinoma, particularly those with high EBV DNA levels, to see if it reduces recurrence risk compared to placebo.* -
  • Conducted at Sun Yat-sen University Cancer Centre in China, 150 eligible patients were randomly assigned to receive either toripalimab or a placebo before and after chemoradiotherapy, focusing on the 2-year progression-free survival rate as the main outcome measure.* -
  • Initial findings suggest that most of the participants were male (77%), and by the latest follow-up, the median progression-free survival period was approximately 37.8 months,
View Article and Find Full Text PDF

Background And Purpose: Nab-paclitaxel is a promising albumin-bound paclitaxel with a therapeutic index superior to that of docetaxel, but the optimal dose of nab-paclitaxel combined with cisplatin and capecitabine as induction chemotherapy followed by concurrent chemoradiotherapy for patients with locally advanced nasopharyngeal carcinoma remains unknown.

Materials And Methods: This was an open-label, single-arm study investigating the safety and efficacy of nab-paclitaxel + cisplatin + capecitabin as IC for three cycles, followed by cisplatin CCRT, conducted by using the standard "3 + 3" design in LA-NPC. If more than one-third of the patients in a cohort experienced dose-limiting toxicity (DLT), the dose used in the previous cohort was designated the maximum tolerated dose (MTD).

View Article and Find Full Text PDF

Background: Post-radiation nasopharyngeal necrosis (PRNN) is a severe adverse event following re-radiotherapy for patients with locally recurrent nasopharyngeal carcinoma (LRNPC) and associated with decreased survival. Biological heterogeneity in recurrent tumors contributes to the different risks of PRNN. Radiomics can be used to mine high-throughput non-invasive image features to predict clinical outcomes and capture underlying biological functions.

View Article and Find Full Text PDF

Importance: Advanced techniques and treatment methods have been found to be associated with improved survival rates in adults with nasopharyngeal carcinoma (NPC); however, not much is known about associations in pediatric patients.

Objective: To investigate whether advanced imaging diagnosis, radiotherapy (RT) technology, and treatment modality are associated with survival in pediatric patients with NPC.

Design, Setting, And Participants: In this retrospective cohort study, 810 pediatric patients ages 21 years and younger with nonmetastatic NPC diagnosed from 1989 to 2020 at a single cancer center in China were included.

View Article and Find Full Text PDF

Background: We aimed to evaluate patients suitable for definitive radiation therapy (DRT) and liver local therapy (LLT) in addition to palliative chemotherapy (PCT) among those with de novo liver metastatic nasopharyngeal carcinoma (lmNPC).

Methods: The overall survival (OS) and progression-free survival (PFS) rates were calculated and compared in 610 patients with lmNPC.

Results: Both the PCT+DRT and PCT+DRT+LLT groups had better survival outcomes than the PCT group.

View Article and Find Full Text PDF
Article Synopsis
  • Salvage radiotherapy (RT) can potentially cure advanced locally recurrent nasopharyngeal carcinoma (NPC), but it carries a risk of severe side effects.
  • A study included 809 patients to develop a predictive model (SARTOS) that helps identify which patients may benefit from salvage RT instead of palliative chemotherapy (CT).
  • The final SARTOS model revealed that factors like being female, having severe prior treatment-related toxicities, and poor health status are linked to less benefit from salvage RT; patients with high SARTOS scores showed significantly improved survival rates compared to those receiving palliative CT.
View Article and Find Full Text PDF

Alpha-fetoprotein hardly increased due to nasopharyngeal cancer. In this article, we reported a 57-year-old male nasopharyngeal carcinoma patient who had posttreatment subscapular metastasis with high serum alpha-fetoprotein but negative plasma Epstein-Barr virus DNA. Pathology results indicated that the scapular mass was undifferentiated non-keratinizing carcinoma originated in the nasopharynx.

View Article and Find Full Text PDF

Purpose: To compare the prognosis and adverse effects of induction or adjuvant chemotherapy (IC or AC) plus concurrent chemoradiotherapy (CCRT) versus CCRT alone in paediatric nasopharyngeal carcinoma (NPC) patients in the intensity-modulated radiotherapy (IMRT) era.

Methods And Materials: 549 patients diagnosed from 2005 to 2021 were enrolled. Our primary endpoint was progression-free survival (PFS).

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on patients with nasopharyngeal carcinoma who had poor responses to initial chemotherapy and compared outcomes between those who received additional chemotherapy (re-induction group) and those who went directly to radiotherapy (direct to RT group).
  • Despite receiving a second chemotherapy regimen, the re-induction group did not show significant improvement in tumor control and had worse long-term survival rates compared to the direct to RT group.
  • Participants in the re-induction group also experienced higher levels of harmful side effects, particularly hematological issues like severe anemia and thrombocytopenia.
View Article and Find Full Text PDF

Purpose: Previous studies demonstrated that the radiation therapy, image technology, and the application of chemotherapy have developed in the last 2 decades. This study explored the survival trends and treatment failure patterns of patients with nonmetastatic nasopharyngeal carcinoma (NPC) treated with radiation therapy. Furthermore, we evaluated the survival benefit brought by the development of radiation therapy, image technology, and chemotherapy based on a large cohort from 1990 to 2012.

View Article and Find Full Text PDF

This study is to establish an artificial neural network (ANN) for predicting blood tacrolimus concentration in liver transplantation recipients. Tacrolimus concentration samples (176 samples) from 37 Chinese liver transplantation recipients were collected. ANN established after network parameters were optimized by using momentum method combined with genetic algorithm.

View Article and Find Full Text PDF