Deep learning methods have been migrated to rectal cancer staging as a classification process based on magnetic resonance images (MRIs). Typical approaches suffer from the imperceptible variation of images from different stage. The data augmentation also introduces scale invariance and rotation consistency problems after converting MRIs to 2D visible images. Moreover, the correctly labeled images are inadequate since T-staging requires pathological examination for confirmation. It is difficult for classification model to characterize the distinguishable features with limited labeled data. In this article, Laplace of Gaussian (LoG) filter is used to enhance the texture details of converted MRIs and we propose a new method named LoG-staging to predict the T stages of rectal cancer patients. We first use the LoG operator to clarify the fuzzy boundaries of rectal cancer cell proliferation. Then, we propose a new feature clustering method by leveraging the maximization of mutual information (MMI) mechanism which jointly learns the parameters of a neural network and the cluster assignments of features. The assignments are used as labels for the next round of training, which compensate the inadequacy of labeled training data. Finally, we experimentally verify that the LoG-staging is more accurate than the nonlinear dimensionality reduction in predicting the T stages of rectal cancer. We innovatively implement information bottleneck (IB) method in T-staging of rectal cancer based on image classification and impressive results are obtained.
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http://dx.doi.org/10.1186/s12880-025-01610-7 | DOI Listing |
Gan To Kagaku Ryoho
February 2025
Dept. of Gastroenterological Surgery, Sakai City Medical Center.
A 66-year-old woman presented with discharge of necrotic tissue and bleeding from the vagina during uterine cancer screening. She was diagnosed with lower rectal cancer cT4b(vagina)N3M0, cStage Ⅲc. As the tumor protruded into the lumen from the posterior vaginal wall, preservation of the anterior vaginal wall was challenging.
View Article and Find Full Text PDFGan To Kagaku Ryoho
February 2025
Dept. of Surgery, Tokyo Women's Medical University Adachi Medical Center.
We investigated the short-term outcomes of robot-assisted surgery for rectal cancer in our department. Among 98 cases of colorectal cancer who underwent robot-assisted surgery between October 2019 and December 2023, 91 cases of rectal cancer surgery using the da Vinci X surgical system® were included, and clinicopathological and surgical outcomes were examined. The patients included 58 males and 33 females, with a median age of 71 years.
View Article and Find Full Text PDFPathol Res Pract
March 2025
Biochemistry Dept., Faculty of Pharmacy, Ain Shams University, Abassia, Cairo 11566, Egypt. Electronic address:
Background: The infiltration of lateral lymph nodes (LLN) plays a crucial role in the staging and treatment of individuals with locally advanced rectal cancer (LARC). This meta-analysis aimed to compare the efficacy of extended mesorectal excision (eTME) versus traditional mesorectal excision (TME-alone) in patients with clinically enlarged (LLN) concomitant neoadjuvant chemoradiation.
Methods: This study is registered with PROSPERO (CRD42023457805).
Appl Psychophysiol Biofeedback
March 2025
Department of Pediatrics, Fourth Hospital of Hebei Medical University, NO. 12, JianKang Road, Hebei, Shijiazhuang, 050011, PR China.
This study aimed to investigate the effectiveness of electroencephalographic (EEG) biofeedback therapy in reducing anxiety levels and improving overall well-being among patients diagnosed with rectal cancer. A randomised controlled trial was conducted with 150 patients with rectal cancer who were randomly assigned to either the intervention group (n = 75) or the control group (n = 75). The intervention group received 16 sessions of EEG biofeedback therapy over 8 weeks, whereas the control group received standard care.
View Article and Find Full Text PDFInt J Colorectal Dis
March 2025
The Second Xiangya Hospital, Central South University, Changsha, China.
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