Publications by authors named "R-Y Li"

This paper presents the design and performance evaluation of an inductive conductivity sensor with a double tuning impedance matching network to enhance sensitivity and improve linearity. The sensor's equivalent circuit model is analyzed and verified through simulation, and impedance matching is shown to significantly increase the sensor's output signal, particularly at low conductivity measurements. Double tuning impedance matching expands the frequency response range and optimizes power transfer efficiency, achieving a higher power factor across a broader frequency range.

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Background Angiolymphatic invasion (ALI) is an important prognostic indicator in non-small cell lung cancer (NSCLC). However, few studies focus on radiologic features for predicting ALI in patients with early-stage NSCLCs 30 mm or smaller. Purpose To identify radiologic features for predicting ALI in NSCLCs 30 mm or smaller in maximum diameter.

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Background/objectives: Pembrolizumab monotherapy is approved in Canada for first-line treatment of advanced NSCLC with PD-L1 ≥ 50% and no EGFR/ALK aberrations. However, approximately 55% of these patients do not respond to pembrolizumab, underscoring the need for the early intervention of non-responders to optimize treatment strategies. Distinguishing the 55% sub-cohort prior to treatment is a real-world dilemma.

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Background: Previous trials have failed to demonstrate the benefits of extracranial-intracranial (EC-IC) bypass surgery for patients with carotid or middle cerebral artery occlusion. However, little evidence has focused on the effect of age on prognosis. This study aimed to explore whether EC-IC bypass surgery can provide greater benefits than medical therapy alone in specific age groups.

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Background: Pulsed field ablation (PFA) has gained attention in cardiac electrophysiology, but data on its application to paroxysmal supraventricular tachycardia are limited. This study aimed to assess the feasibility and safety of PFA and its combination with radiofrequency ablation for treating paroxysmal supraventricular tachycardia.

Methods: A prospective, multicenter, single-arm study was conducted across 8 centers in China.

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Article Synopsis
  • Researchers are merging unstructured patient data with structured health records to create the MSK-CHORD dataset, consisting of varied cancer types from nearly 25,000 patients at Memorial Sloan Kettering Cancer Center.
  • This dataset allows for in-depth analysis of cancer outcomes using advanced techniques like natural language processing, revealing new relationships that smaller datasets may not show.
  • Using MSK-CHORD for machine learning models, findings suggest that incorporating features from these unstructured texts can better predict patient survival than relying solely on genomic data or cancer staging.
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As cancers progress, they become increasingly aggressive-metastatic tumours are less responsive to first-line therapies than primary tumours, they acquire resistance to successive therapies and eventually cause death. Mutations are largely conserved between primary and metastatic tumours from the same patients, suggesting that non-genetic phenotypic plasticity has a major role in cancer progression and therapy resistance. However, we lack an understanding of metastatic cell states and the mechanisms by which they transition.

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Rationale And Objectives: Accurate prediction of microvascular invasion (MVI) in hepatocellular carcinoma (HCC) is crucial for guiding treatment. This study evaluates and compares the performance of clinicoradiologic, traditional radiomics, deep-learning radiomics, feature fusion, and decision fusion models based on multi-region MR habitat imaging using six machine-learning classifiers.

Materials And Methods: We retrospectively included 300 HCC patients.

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Trastuzumab deruxtecan (T-DXd) is a human epidermal growth factor receptor 2 (HER2)-targeting antibody drug conjugate that has remarkable activity in HER2-positive cancers. However, the degree of benefit of T-DXd is not uniform among solid tumors even with high levels of HER2. Despite high HER2 expression, the HER2/T-DXd complex may not always undergo internalization and payload release dependent on the receptor's conformation and context.

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Objective: The aim of the study is to clarify the association of job stressor score (A score), psychological and physical stress response score (B score), and social support (C score), with the incidence of ≥10% weight gain.

Methods: This study included 10,036 university employees who completed the Brief Job Stress Questionnaire (BJSQ) and annual health checkups between 2016 and 2021. The incidence of ≥10% weight gain from baseline weight was measured.

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GdOS:Tb phosphor screens are widely used in image intensifiers, computed tomography, and neutron imaging. To improve the luminescent properties and thermal stability, (GdR)OS:Tb (R = Y, La) ( = 0, 0.05, 0.

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  • The study evaluates different radiomics models for diagnosing pulmonary ground-glass nodules (GGNs) as either papillary lung adenocarcinoma (PGL) or minimally invasive adenocarcinoma (MIA) to improve treatment decisions.
  • The research included data from 116 patients with confirmed PGLs and MIAs, using logistic regression for risk factor analysis and developing combined clinical and radiomics models.
  • Results showed that while the combined model had a higher area under the curve (AUC) in the training set, the radiomics model excelled in the validation set, indicating its potential as a quick and effective diagnostic tool.
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  • A deep learning model was developed to automate the grading and prognostic assessment of lung cancer using CT images, aiming to assist surgeons in non-invasive surgical planning.
  • The study used a total of 572 cases for training and validation, employing the MobileNetV3 architecture and evaluating the model's performance through various metrics, including accuracy, sensitivity, and AUC.
  • The model demonstrated high accuracy in both internal (0.888) and external (0.807) validation sets, with predictions correlating significantly with patient mortality, suggesting it could enhance treatment planning for lung cancer patients.
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The VCPIP1-P97/VCP (Valosin-Containing Protein) complex is required for post-mitotic Golgi cisternae reassembly and maintenance in interphase. However, the organization and mechanism of this complex in regulating Golgi membrane fusion is still elusive. Here, the cryo-electron microscopy (cryo-EM) structures of the human VCPIP1-P97/VCP complex are presented.

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The short-term and long-term outcomes of laparoscopic-assisted distal gastrectomy (LADG) and totally laparoscopic distal gastrectomy (TLDG) have been subject to controversy with various reconstruction techniques of Billroth-I, Billroth-II, Roux-en-Y, and Uncut. This study aims to compare the short-term and long-term outcomes of LADG and TLDG as well as the outcomes of different anastomoses. This study enrolled patients with gastric cancer at the First Affiliated Hospital of Nanjing Medical University (NMUH) between 2017 and 2021.

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In this study, we develop a stacked ensemble model that utilizes cell-free DNA (cfDNA) fragmentomics for the early detection of esophageal squamous cell carcinoma (ESCC). This model incorporates four distinct fragmentomics features derived from whole-genome sequencing (WGS) and advanced machine learning algorithms for robust analysis. It is validated across both an independent validation cohort and an external cohort to ensure its generalizability and effectiveness.

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Background: Immune thrombocytopenia (ITP) is an autoimmune disease characterized by autoantibody-mediated platelet destruction. Treatment with CM313, a novel anti-CD38 monoclonal antibody, can result in targeted clearance of CD38-positive cells, including plasma cells.

Methods: We conducted a phase 1-2, open-label study to evaluate the safety and efficacy of CM313 in adult patients with ITP.

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  • This study evaluated the effectiveness and safety of combining bevacizumab with carboplatin and paclitaxel (CP) as a first-line treatment for stage III/IV ovarian cancer in Chinese patients after surgery.
  • Results showed that patients receiving bevacizumab + CP had a median progression-free survival (PFS) of 22.6 months, significantly longer than the 12.3 months for those on placebo + CP.
  • The safety profile indicated that treatment-related severe side effects were more common in the bevacizumab group (94%) compared to the placebo group (68%), but the drug's overall safety was consistent with previous findings.
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  • Spinocerebellar ataxia type 3 (SCA3) is a hereditary condition with varied clinical patterns, including one form marked by spastic paraplegia, leading researchers to examine its features and progression.
  • A study involving 249 SCA3 patients was conducted, focusing on two groups: those with spastic paraplegia (SCA3-SP) and those without (SCA3-NSP), using advanced brain imaging techniques to analyze differences.
  • The results indicated that SCA3-SP patients were younger and had more severe symptoms, as shown by higher clinical scores and larger genetic markers, compared to the SCA3-NSP group, highlighting differences in disease progression between the two subtypes
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PINK1 loss-of-function mutations and exposure to mitochondrial toxins are causative for Parkinson's disease (PD) and Parkinsonism, respectively. We demonstrate that pathological α-synuclein deposition, the hallmark pathology of idiopathic PD, induces mitochondrial dysfunction, and impairs mitophagy as evidenced by the accumulation of the PINK1 substrate pS65-Ubiquitin (pUb). We discovered MTK458, a brain penetrant small molecule that binds to PINK1 and stabilizes its active complex, resulting in increased rates of mitophagy.

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Chemical permeation enhancers (CPEs) represent a prevalent and safe strategy to enable noninvasive drug delivery across skin-like biological barriers such as the tympanic membrane (TM). While most existing CPEs interact strongly with the lipid bilayers in the stratum corneum to create defects as diffusion paths, their interactions with the delivery system, such as polymers forming a hydrogel, can compromise gelation, formulation stability, and drug diffusion. To overcome this challenge, differing interactions between CPEs and the hydrogel system are explored, especially those with sodium dodecyl sulfate (SDS), an ionic surfactant and a common CPE, and those with methyl laurate (ML), a nonionic counterpart with a similar length alkyl chain.

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Background: Preeclampsia is a significant pregnancy disorder with an unknown cause, mainly attributed to impaired spiral arterial remodeling.

Methods: Using RNA sequencing, we identified key genes in placental tissues from healthy individuals and preeclampsia patients. Placenta and plasma samples from pregnant women were collected to detect the expression of TPBG (trophoblast glycoprotein).

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The advancement of laser-induced graphene (LIG) technology has streamlined the fabrications of flexible graphene devices. However, the ultrafast kinetics triggered by laser irradiation generates intrinsic amorphous characteristics, leading to high resistivity and compromised performance in electronic devices. Healing graphene defects in specific patterns is technologically challenging by conventional methods.

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Background Right atrial (RA) function strain is increasingly acknowledged as an important predictor of adverse events in patients with diverse cardiovascular conditions. However, the prognostic value of RA strain in patients with dilated cardiomyopathy (DCM) remains uncertain. Purpose To evaluate the prognostic value of RA strain derived from cardiac MRI (CMR) feature tracking (FT) in patients with DCM.

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  • The study investigates the relationship between the critical shoulder angle (CSA) and the occurrence of rotator cuff tears (RCTs), emphasizing the importance of accurately measuring CSA to assess RCT risks.
  • A two-step neural network-based guiding system was developed and evaluated to accurately obtain CSA radiographs from a substantial dataset of 1,754 shoulder X-rays.
  • The system demonstrated high sensitivity and specificity in accurately categorizing shoulder radiographs, which suggests its effectiveness in improving CSA measurement reliability and potentially aiding in RCT diagnosis and treatment.
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