Publications by authors named "Zengxin Lu"

Objective: Advanced gastric cancer (AGC) is a severe malignant tumor, and overexpression of HER2/ERBB2 may play a crucial role in its development. The purpose of this study is to investigate the overexpression of HER2/ERBB2 in gastric cancer through a meta-analysis and examine its relationship with perfusion parameters using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) technology.

Methods: We conducted an extensive literature search and collected relevant studies for the meta-analysis.

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Rationale And Objectives: The expression levels of hypoxia-inducible factor 1 alpha (HIF-1α) have been identified as a pivotal marker, correlating with treatment response in patients with locally advanced rectal cancer (LARC). This study aimed to develop and validate a nomogram based on dynamic contrast-enhanced MRI (DCE-MRI) radiomics and clinical features for predicting the expression of HIF-1α in patients with LARC.

Materials And Methods: A total of 102 patients diagnosed with locally advanced rectal cancer were divided into training (n = 71) and validation (n = 31) cohorts.

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Objective: To explore the effectiveness of machine learning classifiers based on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in predicting the expression levels of CD3, CD4 and CD8 tumor-infiltrating lymphocytes (TILs) in patients with advanced gastric cancer (AGC).

Methods: This study investigated 103 patients with confirmed AGC through DCE-MRI and immunohistochemical staining. Immunohistochemical staining was used to evaluate CD3, CD4, and CD8 T-cell expression.

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Objective: Proton magnetic resonance spectroscopy (H-MRS) was applied in this study to detect metabolite changes in the brain of post-stroke cognitive impairment (PSCI) and normal volunteers. The levels of N-acetylaspartate (NAA) and creatinine (Cr) and in the frontal lobe, hippocampus and cingulate gyrus were measured to distinguish patients with post-stroke cognitive impairment (PSCI) and normal control group (NC). The relationship between them and cognitive function was explored and a critical value of the metabolite ratio was predicted.

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The aim of this investigation was to explore the correlation between the levels of tumor-infiltrating CD8 and CD4 T cells and the quantitative pharmacokinetic parameters of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in patients with advanced gastric cancer. We retrospectively analyzed the data of 103 patients with histopathologically confirmed advanced gastric cancer (AGC). Three pharmacokinetic parameters, K, K, and V, and their radiomics characteristics were obtained by Omni Kinetics software.

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Introduction: Arteriocolonic fistula of Inferior Mesenteric Artery Aneurysm (IMAA) refers to a spontaneous formation of pathological communication between the artery and the adjacent gastrointestinal tract. It is a rare, life-threatening condition primarily manifesting as abdominal pain, gastrointestinal bleeding, abdominal pulsating masses. However, its clinical manifestations are usually atypical with a difficult diagnosis and treatment.

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Purpose: This study aims to evaluate the value of tissue inhibitors of MMPs-2 (TIMP-2) to indicate 5-Fluorouracil (5-Fu) resistance status in colorectal cancer.

Methods: The 5-Fu resistance of colorectal cancer cell lines was detected using Cell-Counting Kit-8 (CCK-8) and calculated using IC. Enzyme-linked immunosorbent assay (ELISA) and real time-quantitative polymerase chain reaction (RT-qPCR) were used to detect TIMP-2 expression level in the culture supernatant and serum.

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Objective: Low-density lipoprotein receptor-related protein-1 (LRP-1) and survivin are associated with radiotherapy resistance in patients with locally advanced rectal cancer (LARC). This study aimed to evaluate the value of a radiomics model based on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) for the preoperative assessment of LRP-1 and survivin expressions in these patients.

Methods: One hundred patients with pathologically confirmed LARC who underwent DCE-MRI before surgery between February 2017 and September 2021 were included in this retrospective study.

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Article Synopsis
  • The study explored the relationship between DCE-MRI perfusion histogram parameters and the expression of VEGF and EGFR in patients with advanced gastric cancer (AGC), analyzing data from 80 individuals who underwent imaging before surgery.
  • Results indicated that intestinal-type AGC had lower VEGF expression compared to diffuse-type AGC, with specific DCE-MRI parameters identified as strong indicators for differentiating between high and low levels of VEGF and EGFR expression.
  • The findings suggest that DCE-MRI parameters could be used as imaging biomarkers to assess VEGF and EGFR expressions, highlighting differences based on the Lauren classifications of AGC.
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Article Synopsis
  • Reactive lymphoid hyperplasia (RLH) is a rare, non-cancerous condition of the liver, and this article discusses a case involving a 77-year-old woman who was hospitalized for atrial fibrillation.
  • During her stay, imaging tests revealed four liver lesions that initially suggested hepatocellular carcinoma (HCC), despite the absence of typical risk factors like liver cirrhosis or hepatitis.
  • The largest lesion was surgically removed, and further analysis confirmed it as RLH, characterized by numerous reactive lymphoid follicles and polyclonal lymphocytes, indicating distinct imaging features that can differentiate it from lymphoma and HCC.
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Background: Gastric cancer (GC) with bone metastasis is rare, and rib metastasis is even less common. The clinical prognosis of GC with bone metastasis is poor given the lack of an effective treatment.

Case Summary: A 70 year old man was referred to Shaoxing People's Hospital with left chest pain and slight dyspnea.

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Gallbladder carcinoma (GBC) is a rare and highly aggressive tumor. Early diagnosis is challenging, which results in a poor prognosis using systemic therapy. Recent studies have identified a subset of GBC patients with HER2 gene (ERBB2) amplification that could benefit from HER2-targeted therapy.

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Purpose: To compare prethoracoscopy localization of small pulmonary nodules (SPNs) by means of medical adhesive versus hookwire.

Materials And Methods: One hundred seven patients who underwent video-assisted thoracoscopic surgery resection for SPNs were consecutively recruited in this retrospective cohort study. Patients were divided into 2 groups according to the material used for localization of the SPNs: the medical adhesive group (n = 88) and the hookwire group (n = 19).

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The activation and stabilization of the p53 protein play a major role in the DNA damage response. Protein levels of p53 are tightly controlled by transcriptional regulation and a number of positive and negative posttranslational modifiers, including kinases, phosphatases, E3 ubiquitin ligases, deubiquitinases, acetylases and deacetylases. One of the primary p53 regulators is Mdmx.

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