Publications by authors named "XiaoQing Pei"

Objective: To develop a model for accurate prediction of axillary lymph node (LN) status after neoadjuvant chemotherapy (NAC) in breast cancer patients with nodal involvement.

Methods: Between October 2018 and February 2024, 671 breast cancer patients with biopsy-proven LN metastasis who received NAC followed by axillary LN dissection were enrolled in this prospective, multicenter study. Preoperative ultrasound (US) images, including B-mode ultrasound (BUS) and shear wave elastography (SWE), were obtained.

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Purpose: To develop a combined approach using shear wave elastography (SWE) and conventional ultrasound (US) to determine the extent of positive axillary lymph nodes (LNs) following neoadjuvant therapy (NAT) in breast cancer patients with nodal involvement.

Methods: This prospective, multicenter study was registered on the Chinese Clinical Trial Registry (ChiCTR2400085035). From October 2018 to February 2024, a total of 303 breast cancer patients with biopsy-proven positive LN were enrolled.

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Purpose: Hashimoto's thyroiditis (HT) is one of the most commonly encountered types of autoimmune thyroid disorders (AITDs), influenced by environmental factors, genetics, and the immune system. Previous research has shown a correlation between gut microbiota and HT, as well as the involvement of immune cells in its onset and progression. We aimed to investigate whether immune cells act as intermediaries in the causal relationship between gut microbiota and HT.

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Microplastics (MPs) have become a major focus of environmental toxicology, raising concerns about their potential adverse effects on animal organs and body systems. As these tiny particles infiltrate ecosystems, they may pose risks to the health of organisms across diverse species. In this study, we attempted to examine the neurotoxic effects of MPs exposure on avian hypothalamus by using an animal model-Japanese quail (Coturnix japonica).

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Article Synopsis
  • Identifying axillary pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) in breast cancer patients is difficult, prompting the investigation of shear wave elastography (SWE) for prediction accuracy.* -
  • This study analyzed the correlation between shear wave velocity (SWV) and pathologic traits in tumors and lymph nodes of 319 breast cancer patients, revealing stronger relationships in breast tumors than in axillary lymph nodes.* -
  • The results show that SWE is more effective for predicting axillary pCR when performed on breast tumors (AUC 0.87) compared to axillary lymph nodes (AUC 0.70), indicating its potential as a useful tool in breast cancer assessment
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Background: Gastric cancer (GC) is the most common malignant tumor and ranks third for cancer-related deaths among the worldwide. The disease poses a serious public health problem in China, ranking fifth for incidence and third for mortality. Knowledge of the invasive depth of the tumor is vital to treatment decisions.

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Objectives: Hashimoto's thyroiditis (HT) is a common autoimmune disease whose etiology involves a complex interplay between genetics and environment. Previous studies have demonstrated an association between immune cells and HT. However, the casual relationship was not clear.

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Lead (Pb) is a heavy metal that has been recognized as a neurotoxin, meaning it can cause harmful effects on the nervous system. However, the neurotoxicology of Pb to birds still needs further study. In this study, we examined the neurotoxic effects of Pb exposure on avian cerebellum by using an animal model-Japanese quail (Coturnix japonica).

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Purpose To compare the tissue adequacy and diagnostic accuracy of US-guided biopsies of peripheral pulmonary lesions (PPLs) with and without contrast agents. Materials and Methods A retrospective study was conducted at four medical centers in patients with PPLs who underwent US-guided percutaneous transthoracic needle biopsy (PTNB) between January 2017 and October 2022. The patients were divided into contrast-enhanced US (CEUS) and US groups based on whether prebiopsy CEUS evaluation was performed.

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Background: Multiple evidence suggests that thyroid function is associated with polycystic ovary syndrome (PCOS), but whether thyroid function is causally related to PCOS is unclear. To investigate whether the association reflect causality, a Mendelian randomization (MR) analysis was conducted.

Methods: Single nucleotide polymorphisms (SNPs) involved in this study were acquired from The ThyroidOmics Consortium and the IEU Open Genome-wide association study (GWAS) database, respectively.

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Background: To develop a convenient modality to predict axillary response to neoadjuvant chemotherapy (NAC) in breast cancer patients.

Materials And Methods: In this multi-center study, a total of 1019 breast cancer patients with biopsy-proven positive lymph node (LN) receiving NAC were randomly assigned to the training and validation groups at a ratio of 7:3. Clinicopathologic and ultrasound (US) characteristics of both primary tumors and LNs were used to develop corresponding prediction models, and a nomogram integrating clinicopathologic and US predictors was generated to predict the axillary response to NAC.

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JCO We previously reported comparable 3-year regional relapse-free survival (RRFS) using elective upper-neck irradiation (UNI) in N0-1 nasopharyngeal carcinoma (NPC) compared with standard whole-neck irradiation (WNI). Here, we present the prespecified 5-year overall survival (OS), RRFS, late toxicity, and additional analyses. In this randomized trial, patients received UNI (n = 224) or WNI (n = 222) for an uninvolved neck.

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Rationale And Objectives: To develop a monitoring model using radiomics analysis based on longitudinal B-mode ultrasound (BUS) and shear wave elastography (SWE) to early predict pathological response to neoadjuvant chemotherapy (NAC) in breast cancer patients.

Materials And Methods: In this prospective study, 112 breast cancer patients who received NAC between September 2016 and March 2022 were included. The BUS and SWE data of breast cancer were obtained prior to treatment as well as after two and four cycles of NAC.

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Objective: Abdominal ultrasonography after transrectal filling with contrast agent (AU-TFCA) was retrospectively evaluated with respect to determination of T stage and lesion length in patients with colorectal cancer (CRC) who had previously failed colonoscopy because of severe intestinal stenosis.

Methods: The population comprised 83 patients with CRC with intestinal stenosis and previously failed colonoscopy who underwent AU-TFCA, and in addition contrast-enhanced computed tomography (CECT) and/or magnetic resonance imaging (MRI), 2 wk before surgery. The diagnostic performance of AU-TFCA and CECT/MRI was evaluated relative to the post-operative pathological results (PPRs) by paired sample t-test, receiver operator characteristic (ROC) curve, Pearson's χ-test and κ and intraclass correlation coefficients.

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Article Synopsis
  • A study analyzed radiomics and deep convolutional neural networks (CNN) using ultrasound methods to predict how well breast cancer patients respond to neoadjuvant chemotherapy (NAC).
  • A total of 255 patients were included, and models were created using B-mode ultrasound (BUS) and shear wave elastography (SWE) images, with CNN models performing better than traditional radiomics methods.
  • The best predictive performance came from a CNN model that combined dual-modal ultrasound data and clinicopathologic characteristics, achieving an accuracy of over 83%, suggesting it could be used as a non-invasive tool to help tailor chemotherapy treatment for patients.
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Background Although metastasis of lateral cervical lymph nodes (LNs) is common in papillary thyroid carcinoma (PTC), correctly diagnosing small metastatic LNs with US remains challenging. The use of contrast-enhanced US (CEUS), especially the postvascular phase of CEUS with perfluorobutane contrast material, might contribute to improved diagnosis of metastatic LNs in PTC. Purpose To assess the diagnostic value of the postvascular phase of CEUS with perfluorobutane in suspicious small lateral cervical LNs (short-axis diameter ≤8 mm) in patients with PTC.

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  • - The study compared ultrasound (US) and contrast-enhanced ultrasound (CEUS) for liver biopsies in 820 patients with focal liver lesions (FLLs) and found that CEUS significantly increased sample adequacy and diagnostic accuracy compared to US.
  • - CEUS resulted in better sensitivity and accuracy, particularly for larger or challenging FLLs, and showed improved performance in single-puncture biopsies.
  • - The findings suggest that CEUS enhances the safety and effectiveness of liver biopsies by reducing the number of punctures needed while achieving higher success rates.
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  • Ultrasound contrast agents are essential for both diagnostic imaging and drug delivery, but traditional microbubbles face limitations due to their size in treating extravascular diseases.
  • Recent research has focused on gas vesicles (GVs) from marine microorganisms as innovative nanoscale contrast agents, though many GVs have had limited effectiveness in imaging.
  • This study highlights the successful isolation of rugby-ball-shaped GVs that demonstrated significantly improved ultrasound contrast signals in tumor imaging, outperforming conventional microbubbles by a substantial margin, indicating their potential for enhanced molecular imaging and drug delivery applications.
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Background: GNG4, a member of the G-protein γ family, is a marker of poor overall survival (OS) rates in some malignancies. However, the potential role of GNG4 in bladder cancer (BLCA) is unknown. It is also unclear whether GNG4 may be utilized as a marker to guide chemotherapy or immunotherapy.

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Objective: To determine the ability of conventional ultrasound (US) combined with shear wave elastography (SWE) to reveal axillary status after neoadjuvant chemotherapy (NAC) in breast cancer patients.

Methods: From September 2016 to December 2021, 201 patients with node-positive breast cancer who underwent NAC were enrolled in this prospective study. Conventional US features of axillary lymph nodes and SWE characteristics of breast lesions after NAC were analyzed.

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Objective: To assess the diagnostic performance and inter-observer agreement of the American College of Radiology (ACR) Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS US).

Methods: From January 2016 to December 2018 a total of 1054 adnexal lesions in 1035 patients with pathologic results from two hospitals were retrospectively included. Each lesion was assigned to an O-RADS US category according to the criteria.

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  • This study evaluated the effectiveness of 2-D and 3-D transrectal ultrasound (TRUS) in measuring how deeply T3 rectal tumors invade surrounding tissues, using MRI as a benchmark.
  • Researchers analyzed 80 patients and found that 3-D TRUS demonstrated excellent agreement with MRI for both tumor staging and assessing the involvement of the mesorectal fascia (MRF+).
  • Overall, 3-D TRUS proved more reliable than 2-D TRUS in accurately staging T3 rectal cancer and evaluating MRF+, particularly in low rectal cancer cases, suggesting it could effectively support treatment decisions.
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Background: Accurate preoperative pathologic diagnosis is very important for making appropriate therapeutic decisions for patients with rectal lesions. This study aimed (I) to determine diagnostic value and safety of endoscopic forceps biopsy (EFB) and transrectal ultrasound (TRUS)-guided core needle biopsy (CNB), and (II) to analyze the risk factors for their histopathologic discrepancies, with a particular focus in identifying the indicators for re-biopsy using TRUS-guided CNB after EFB.

Methods: We retrospectively reviewed the records of 102 patients who received EFB and TRUS-guided CNB before surgery.

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Head and neck cancer (HNC) is the sixth most common cancer worldwide. Over the last decade, an enormous amount of well-annotated gene and drug data has accumulated for HNC. However, a comprehensive repository is not yet available.

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Objectives: The diagnostic value of axillary ultrasound (US) for level II and III axillary lymph node metastasis after axillary lymph node dissection for invasive breast cancer is currently not clear. The objectives of this study were to retrospectively analyze the diagnostic value of axillar US for level II and III axillary lymph node metastasis and compare it with palpation and to analyze the US features of level II and III axillary lymph nodes that are predictive of metastatic recurrence during follow-up.

Methods: Cases with level II or III axillary lymph nodes detected by US between January 2005 and December 2017 at a cancer center were divided into 2 groups according to a retrospective analysis of US findings: potential malignancy group and follow-up group.

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