Publications by authors named "Xiangwu Zheng"

Article Synopsis
  • The study focused on using machine learning and PET imaging to predict how long patients with early-stage non-small cell lung cancer (NSCLC) can expect to live without disease progression.
  • Researchers analyzed data from 234 patients and created a model that combined radiomic features from tumor and surrounding areas with clinical data, resulting in a highly accurate predictive tool for patient outcomes.
  • The findings indicated that certain imaging features can effectively distinguish between high-risk and low-risk patients, highlighting the importance of these radiomic signatures as independent markers for patient prognosis.
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Objective: To explore the association of motor reserve (MR) and clinical progression in Parkinson's disease.

Methods: This longitudinal study using data from the Parkinson's progression markers initiative. Patients with de novo PD who underwent dopamine transporter scans at baseline and finished at least five years clinical follow-up assessments (including motor, cognitive, and non-motor symptoms) were included.

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Background: Both diabetes and osteoporosis have developed into major global public health problems due to the increasing aging population. It is crucial to screen populations at higher risk of developing osteoporosis for disease prevention and management in postmenopausal women with type 2 diabetes (T2D). This study aims to quantitatively investigate the association between risk factors and bone mineral density (BMD) and develop a self-assessment tool for early osteoporosis screening in postmenopausal women with T2D.

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Article Synopsis
  • The study investigated changes in the brain's microstructure among Parkinson's disease (PD) patients at different disease stages compared to healthy controls.
  • Using diffusion MRI and the NODDI model, researchers measured neurite density and orientation dispersion in the brain, noting significant differences between early stage PD (EPD) and moderate-to-late stage PD (MLPD) patients.
  • Findings indicated that both EPD and MLPD patients had reduced cortical microstructure, with MLPD patients displaying more extensive degeneration, particularly in areas linked to worse clinical outcomes.
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Background: F-fluorodeoxyglucose (F-FDG) positron-emission tomography/computed tomography (PET/CT) as an imaging modality for the whole body has shown its value in detecting incidental colorectal adenoma. In clinical practice, adenomatous polyps can be divided into three groups: low-grade intraepithelial neoplasia (LGIN), high-grade intraepithelial neoplasia (HGIN) and cancer, which can lead to different clinical management. However, the relationship between the 18F-FDG PET/CT SUVmax and the histological grade of adenomatous polyps is still not established, which is a challenging but valuable task.

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Background: Muscle depletion that impairs normal physiological function in elderly patients leads to poor prognosis. This study aimed to evaluate the association between total abdominal muscle area (TAMA), total psoas area (TPA), psoas muscle density (PMD), and short-term postoperative complications in elderly patients with rectal cancer.

Methods: All elderly patients underwent rectal cancer resection with perioperative abdominal computed tomography (CT).

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Purpose: Peritoneal metastasis (PM) is usually considered an incurable factor of gastric cancer (GC) and not fit for surgery. The aim of this study is to develop and validate an 18 F-FDG PET/CT-derived radiomics model combining with clinical risk factors for predicting PM of GC.

Method: In this retrospective study, 410 GC patients (PM - = 281, PM + = 129) who underwent preoperative 18 F-FDG PET/CT images from January 2015 to October 2021 were analyzed.

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Background: Stage I lung adenocarcinoma is a heterogeneous group. Previous studies have shown the prognostic evaluation value of PET/CT in this cohort; however, few studies focused on stage I invasive adenocarcinoma manifesting as solid nodules. This study aimed to evaluate the recurrence risk for patients with stage I invasive lung adenocarcinoma manifesting as solid nodules based on F-FDG PET/CT, CT imaging signs, and clinicopathological parameters.

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Objective: To evaluate the diagnostic performance of (F)-PSMA-1007 PET/CT in prostate cancer patients with biochemical recurrence (BCR) after radical prostatectomy and the effect of (F)-PSMA-1007 PET/CT on treatment strategy.

Methods: A total of 114 patients with BCR after radical prostatectomy who performed (F)-PSMA-1007 PET/CT were retrospectively analyzed. The Gleason scores (GS), maximum standardized uptake values (SUV) and the diagnostic performance were compared according to different prostate-specific antigen (PSA) groups.

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Background: To investigate WM alterations, particularly the changes in long-range fibers, in drug-naive children with attention deficit hyperactivity disorder (ADHD), we conducted tract-based spatial statistics (TBSS) analysis on diffusion tensor imaging (DTI) data.

Materials And Methods: In this study, 57 children with ADHD and 41 healthy controls (HCs) were enrolled. None of the enrolled ADHD children received any medication before data collection.

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Background: The purpose of this study was to evaluate the value of quantitative assessment of intratumoral 2-deoxy-2-[F]fluoro-D-glucose (2-[F]FDG) metabolic spatial distribution (Q-FMSD) in differentiating pulmonary lesions with high 2-[F]FDG uptake.

Methods: In this retrospective study, a total of 564 patients with pulmonary lesions who underwent 2-[F]FDG positron emission tomography/computed tomography (PET/CT) examination were analyzed. The maximum standard uptake value (SUVmax) of the proximal (pSUVmax) and distal (dSUVmax) regions of the lesions were measured, respectively.

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Background: The predictive values of the platelet to lymphocyte ratio (PLR) and red cell distribution width (RDW) have been demonstrated in different types of abdominal surgery. The aim of this study was to investigate the interest of the preoperative PLR and RDW as predictors of 30-day postoperative complications in patients with acute mesenteric ischemia (AMI).

Methods: Clinical data of 105 AMI patients were retrospectively reviewed.

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Background: Accurate diagnosis of intrahepatic cholangiocarcinoma (ICC) caused by intrahepatic lithiasis (IHL) is crucial for timely and effective surgical intervention. The aim of the present study was to develop a nomogram to identify ICC associated with IHL (IHL-ICC).

Methods: The study included 2,269 patients with IHL, who received pathological diagnosis after hepatectomy or diagnostic biopsy.

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Since non-invasive tests for prediction of liver fibrosis have a poor diagnostic performance for detecting low levels of fibrosis, it is important to explore the diagnostic capabilities of other non-invasive tests to diagnose low levels of fibrosis. We aimed to evaluate the performance of radiomics based on F-fluorodeoxyglucose (F-FDG) positron emission tomography (PET) in predicting any liver fibrosis in individuals with biopsy-proven metabolic dysfunction-associated fatty liver disease (MAFLD). A total of 22 adults with biopsy-confirmed MAFLD, who underwent F-FDG PET/CT, were enrolled in this study.

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Objectives: The aim of this study was to develop a preoperative positron emission tomography (PET)-based radiomics model for predicting peritoneal metastasis (PM) of gastric cancer (GC).

Methods: In this study, a total of 355 patients (109PM+, 246PM-) who underwent preoperative fluorine-18-fludeoxyglucose (F-FDG) PET images were retrospectively analyzed. According to a 7:3 ratio, patients were randomly divided into a training set and a validation set.

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Attention deficit hyperactivity disorder (ADHD) is a commonly diagnosed neuropsychiatric disorder in children, which is characterized by inattention, hyperactivity and impulsivity. Using resting-state functional magnetic resonance imaging (R-fMRI), the alterations of static and dynamic characteristics of intrinsic brain activity have been identified in patients with ADHD. Yet, it remains unclear whether the concordance among indices of dynamic R-fMRI is altered in ADHD.

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Background: The aim of this study was to investigate the value of visual assessment of F-fluorodeoxyglucose (F-FDG) metabolic spatial distribution (V-FMSD) in the diagnosis of indeterminate pulmonary nodules and masses with high F-FDG uptake.

Methods: A total of 301 patients with indeterminate pulmonary nodules or masses who underwent F-FDG positron emission tomography/computed tomography (PET/CT) imaging were retrospectively studied. The characteristics of F-FDG metabolic spatial distribution (FMSD) in the proximal and distal regions of the lesions were visually analyzed using a 5-point scoring system.

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A 55-year-old man with cough, bone pain, and cervical lymphadenopathy underwent both 18F-FDG and 18F-PSMA-1007 PET/CT scans with clinical suspicion of malignant disease. Compared with 18F-FDG PET/CT, 18F-PSMA PET/CT showed intense tracer uptake in the prostate gland, lungs, osteogenic lesions, and multiple lymph nodes. Interestingly, we also found the high tracer concentration of pulmonary lymphangitic carcinomatosis, a very rare form of prostate cancer metastasis to the lung, on 18F-PSMA-1007 PET/CT images.

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Background: Intrahepatic cholangiocarcinoma (ICC) is hard to distinguish from inflammatory mass (IM) complicated with hepatolithiasis in clinical practice preoperatively. This study looked to develop and confirm the radiomics models to make a distinction between ICC with hepatolithiasis from IM and to compare the results of different contrast-enhanced computed tomography (CT) phase.

Methods: The models were developed in a training cohort of 110 patients from January 2005 to June 2020.

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Background: This study was conducted with the intent to develop and validate a radiomic model capable of predicting intrahepatic cholangiocarcinoma (ICC) in patients with intrahepatic lithiasis (IHL) complicated by imagologically diagnosed mass (IM).

Methods: A radiomic model was developed in a training cohort of 96 patients with IHL-IM from January 2005 to July 2019. Radiomic characteristics were obtained from arterial-phase computed tomography (CT) scans.

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Background: This study aimed to develop a preoperative positron emission tomography (PET)-based radiomics model for predicting occult lymph node metastasis (OLM) in clinical N0 (cN0) solid lung adenocarcinoma.

Methods: The preoperative fluorine-18-fludeoxyglucose (F-FDG) PET images of 370 patients with cN0 lung adenocarcinoma confirmed by histopathological examination were retrospectively reviewed. Patients were divided into training and validation sets.

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This study used thermoluminescent dosimeters (TLDs) to measure cumulative radiation doses in a PET/CT center. It covered 18 areas and four personnel groups. Because the isolated lead shielding separated the patients from the nurses, wearing protective clothing when injecting radiopharmaceuticals was unnecessary.

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Background: Evidence regarding the relationship between fluorodeoxyglucose (FDG) uptake in the bone marrow of patients with lung adenocarcinoma and prognosis is limited. This study aimed to identify whether bone marrow FDG uptake is a risk factor for recurrence in patients after curative surgical resection of T1-2N0M0 lung adenocarcinoma.

Methods: From January 2012 to December 2016, we retrospectively enrolled 195 pT1-2N0M0 lung adenocarcinoma patients who underwent both preoperative FDG positron emission tomography/computed tomography (PET/CT) and surgical resection from the lung adenocarcinoma database maintained by the PET/CT department at our hospital.

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Article Synopsis
  • This study explores the effectiveness of F-PSMA-1007 PET/CT as a tool for assessing non-metastatic high-risk prostate cancer (PCa) in 101 patients classified based on risk levels according to European guidelines.
  • The research finds a significant correlation between the maximum standardized uptake values (SUVmax) of the primary tumor, prostate-specific antigen (PSA) levels, and Gleason scores (GS), with higher SUVmax associated with more aggressive tumors.
  • The optimal SUVmax cutoff for identifying high-risk PCa was determined to be 9.05, indicating high sensitivity and moderate specificity as a diagnostic marker.
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Objective: Low muscle mass and quality is associated with poor surgical outcomes. Psoas muscle density (PMD)is a validated surrogate for muscle quality that can be easily measured from a clinical computed tomography (CT) scan. The objective of this study was to investigate the association between PMD and short-term postoperative outcomes in patients with acute mesenteric ischemia (AMI).

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