Publications by authors named "Yi-Shan Wu"

Background: Despite advancements in cancer treatment, understanding the long-term mental health implications for nasopharyngeal carcinoma (NPC) survivors remains an underexplored area. This study aims to examine the prevalence of mental disorders and their correlations with age at diagnosis and time since diagnosis among NPC survivors.

Methods: A total of 1872 NPC patients were surveyed from September 2020 to June 2021 in this cross-sectional survey.

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This study developed a DC-free technique that used dark-mode scanning capacitance microscopy (DM-SCM) with a small-area contact electrode to evaluate and image equivalent oxide thicknesses (EOTs). In contrast to the conventional capacitance-voltage (C-V) method, which requires a large-area contact electrode and DC voltage sweeping to provide reliable C-V curves from which the EOT can be determined, the proposed method enabled the evaluation of the EOT to a few nanometers for thermal and high-k oxides. The signal intensity equation defining the voltage modulation efficiency in scanning capacitance microscopy (SCM) indicates that thermal oxide films on silicon can serve as calibration references for the establishment of a linear relationship between the SCM signal ratio and the EOT ratio; the EOT is then determined from this relationship.

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Article Synopsis
  • * A total of 273 patients were treated, with those receiving both immunochemotherapy and radiotherapy showing significantly better progression-free survival (80.6% vs. 65.1%) and overall survival (98.3% vs. 89.5%) compared to those on immunochemotherapy alone.
  • * The research highlights that the most benefit is seen in patients with oligometastases, lower levels of EBV DNA, and positive responses to immunochemotherapy, while also noting the presence of some treatment-related side effects.*
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Background: MRI is the routine examination to surveil the recurrence of nasopharyngeal carcinoma, but it has relatively lower sensitivity than PET/CT. We aimed to find if artificial intelligence (AI) could be competent pre-inspector for MRI radiologists and whether AI-aided MRI could perform better or even equal to PET/CT.

Methods: This multicenter study enrolled 6916 patients from five hospitals between September 2009 and October 2020.

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  • Radiotherapy is the main treatment for nasopharyngeal carcinoma, but radiation-induced temporal lobe injury (TLI) can become irreversible if not detected early; this study aimed to create a risk-based follow-up schedule for better early detection of TLI.
  • A deep learning model was developed and tested on 6065 patients to stratify risk groups; it significantly outperformed traditional prediction methods and suggested follow-up schedules that could detect TLI 1.9 months earlier than the typical guidelines.
  • The results indicated that the model improved planning evaluations by identifying better treatment plans that reduced the risk of TLI, achieving high concordance indexes in the process.
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It is commonly believed that the impact of the top electrodes on the ferroelectricity of hafnium-based thin films is due to strain engineering. However, several anomalies have occurred that put existing theories in doubt. This work carries out a detailed study of this issue using both theoretical and experimental approaches.

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Fruits require different planting techniques at different growth stages. Traditionally, the maturity stage of fruit is judged visually, which is time-consuming and labor-intensive. Fruits differ in size and color, and sometimes leaves or branches occult some of fruits, limiting automatic detection of growth stages in a real environment.

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  • The study compared the effectiveness of PET/CT, MRI, and ultrasonography in detecting nasopharyngeal carcinoma recurrence and their impact on patient outcomes.
  • Results showed that PET/CT was more sensitive than MRI for local recurrence and lymph node diagnosis, and it offered more accurate staging.
  • Patients who received staging with both PET/CT and MRI had a significantly higher 3-year overall survival rate compared to those who were staged with MRI alone.
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Extracellular accumulation of β amyloid peptides of 40 (Aβ) and 42 residues (Aβ) has been considered as one of the hallmarks in the pathology of Alzheimer's disease. In this work, we are able to prepare oligomeric aggregates of Aβ with uniform size and monomorphic structure. Our experimental design is to incubate Aβ peptides in reverse micelles (RMs) so that the peptides could aggregate only through a single nucleation process and the size of the oligomers is confined by the physical dimension of the reverse micelles.

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Objective: We analyzed the patterns of lymph node (LN) failure and prognosis in patients with regional recurrent nasopharyngeal carcinoma (rNPC) alone after primary intensity-modulated radiotherapy (IMRT).

Methods: A total of 175 patients who were treated with IMRT between 2010 and 2015 and who experienced regional recurrence alone were included. Recurrent LNs were re-located in the initial pretreatment imaging and IMRT plan and failures were classified as in-field or out-field based on target volume delineation.

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Background: The aim of this trial was to address whether elective ipsilateral upper-neck irradiation (UNI) sparing the uninvolved lower neck provides similar regional relapse-free survival compared with standard whole-neck irradiation (WNI) in patients with nasopharyngeal carcinoma.

Methods: This open-label, non-inferiority, randomised, controlled, phase 3 trial was done at three Chinese medical centres. Patients aged 18-65 years with untreated, non-keratinising, non-distant metastatic (M0) nasopharyngeal carcinoma; with N0-N1 disease (according to International Union Against Cancer-American Joint Committee on Cancer TNM classification, seventh edition); and a Karnofsky performance status score of 70 or higher were randomly assigned (1:1) to receive elective UNI or WNI of the uninvolved neck.

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We report a systematic study of carbon fibre (CF)-supported NiCo layered double hydroxide nanosheets (LDHNs) with and without heat treatment at 200 and 400 °C (CF-NiCo LDHN and CF-NiCo oxide nanoparticles (NPs), respectively) as catalysts and sensors for glucose oxidation reactions (GORs). Tafel measurements for the GORs showed that the exchange current density of CF-NiCo LDHN was 1.91 × 10 mA·cm at an early rest potential of -0.

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Objectives: We aimed to develop and validate radiologic scores from [F]FDG PET/CT and MRI to guide individualized induction chemotherapy (IC) for patients with T3N1M0 nasopharyngeal carcinoma (NPC).

Methods: A total of 542 T3N1M0 patients who underwent pretreatment [F]FDG PET/CT and MRI were enrolled in the training cohort. A total of 174 patients underwent biopsy of one or more cervical lymph nodes.

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Background: To test the advantages of positron emission tomography and computed tomography (PET/CT) for diagnosing lymph nodes and staging nasopharyngeal carcinoma and to investigate its benefits for survival and treatment decisions.

Methods: The performance of PET/CT and magnetic resonance imaging (MRI) in diagnosis was compared based on 460 biopsied lymph nodes. Using the propensity matching method, survival differences of T3N1M0 patients with (n = 1093) and without (n = 1377) PET/CT were compared in diverse manners.

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In this study, a preservation package that can extend the shelf life of was developed using plasma modification combined with low-density polyethylene (LDPE), collagen (COL), and carboxymethyl cellulose (CMC). Out results showed that the selectivity of LDPE to gas can be controlled by plasma modification combined with coating of different concentrations of CMC and COL. Packaging test results applied to showed that 3% and 5% of CMC and COL did not significantly inhibit polyphenol oxidase and β-1,3-glucanase, indicating no significant effect on structural integrity and oxidative browning.

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Importance: The role of locoregional radiotherapy in patients with de novo metastatic nasopharyngeal carcinoma (mNPC) is unclear.

Objective: To investigate the efficacy and safety of locoregional radiotherapy in de novo mNPC.

Design, Setting, And Participants: Patients with biopsy-proven mNPC, who demonstrated complete or partial response (RECIST v1.

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Article Synopsis
  • The study aimed to assess how MRI-detected residual retropharyngeal lymph node (RRLN) status after intensity-modulated radiotherapy (IMRT) affects prognosis in patients with nasopharyngeal carcinoma (NPC) and to create a predictive tool (nomogram) for identifying RRLN risk before treatment.
  • A total of 1103 NPC patients were analyzed, with the prognostic significance of RRLN determined through various statistical methods, resulting in RRLN being identified as a significant independent factor affecting overall and disease-free survival.
  • The researchers developed a nomogram that effectively predicts RRLN risk based on specific criteria and validated its accuracy in multiple patient cohorts, establishing it as a practical tool for clinicians.
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Background: To explore the prognostic value of early radiological response (ERR) to first-line platinum-containing chemotherapy in patients with metastatic nasopharyngeal carcinoma (mNPC), as well as its correlation with the best radiological response (BRR).

Patients And Methods: A total of 756 mNPC patients with measurable lesions who received first-line platinum-containing chemotherapy were enrolled in this study. ERR was defined as complete or partial response after 6 weeks of chemotherapy according to the Response Evaluation Criteria in Solid Tumors (RECIST) 1.

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Background: In the intensity-modulated radiotherapy (IMRT) era, the survival benefit of concurrent chemotherapy for locoregionally advanced nasopharyngeal carcinoma (LA-NPC) remains undetermined. This study aimed to evaluate the benefits of IMRT with concurrent chemotherapy compared with IMRT alone for LA-NPC patients with different plasma Epstein-Barr virus (EBV) DNA levels.

Methods: Patients were identified from a prospectively maintained database in an endemic area between November 2002 and December 2013.

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Nitrogen-doped carbon nanofibers (CNFs) were prepared by an electrospinning method, this followed by a hydrothermal reaction or nitrogen plasma treatment to obtain electrode for non-enzymatic amperometric sensing of HO. The hydrothermally treated electrode performs better. Its electrochemical surface is 3.

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Background: Available data in the literature comparing different induction chemotherapy (IC) regimens on locoregionally advanced nasopharyngeal carcinoma (NPC) are scarce. The purpose of the present study was to evaluate the outcomes of locoregionally advanced NPC patients who were treated with taxane, cisplatin and 5-fluorouracil (TPF) or cisplatin and 5-fluorouracil (PF) as IC followed by concurrent chemoradiotherapy (CCRT).

Methods: In total, 1879 patients with locoregionally advanced NPC treated with IC and CCRT from a prospectively maintained database were included in the present observational study.

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Article Synopsis
  • - The study compares the effectiveness and safety of nedaplatin-based concurrent chemoradiotherapy versus cisplatin-based treatment for patients with advanced nasopharyngeal carcinoma, aiming to reduce side effects like gastrointestinal issues and nephrotoxicity.
  • - Conducted in China, the trial involved 402 patients who were randomly assigned to receive either nedaplatin or cisplatin alongside radiation therapy, with the primary measure being progression-free survival at 2 years post-treatment.
  • - Results from the trial, which ran from January 2012 to July 2014, showed the outcomes for both treatment groups, indicating whether nedaplatin was non-inferior to cisplatin in terms of cancer progression.
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Nitrogen-doped graphene nanosheet (N-SEGN) with pyrrolic nitrogen and 5-9 vacancy defects has been successfully prepared from a hydrothermal reaction of tetra-2-pyridinylpyrazine and sonoelectrochemistry-exfoliated graphene nanosheet, with point defects. Additionally, based on the same reaction using chemically reduced graphene oxide, nitrogen-doped chemically reduced graphene oxide (N-rGO) with graphitic nitrogen was prepared. The N-SEGN and N-rGO were used as a non-enzymatic HO sensors.

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Background: The role of neoadjuvant chemotherapy (NACT) for locoregionally advanced nasopharyngeal carcinoma (NPC) is unclear. We aimed to evaluate the feasibility and efficacy of NACT followed by concurrent chemoradiotherapy (CCRT) versus CCRT alone in locoregionally advanced NPC.

Methods: Patients with stage III-IVB (excluding T3N0-1) NPC were randomly assigned to receive NACT followed by CCRT (investigational arm) or CCRT alone (control arm).

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