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Significance: Second-harmonic generation (SHG) analysis of collagen internal structure and overall organization in the tumor microenvironment may enhance current metastasis prediction methods, which do not prognosticate with the same accuracy for patients of different races. For these optical tools to be clinically available, a multicenter trial is needed. We investigate if SHG-based prognostic signals vary with patient race, providing insight for designing such a trial.
Aim: SHG imaging was performed on colon adenocarcinoma (CRC) and invasive ductal carcinoma (IDC) patient samples to derive two prognostic indicators. We assessed the association between these indicators and patient race.
Approach: SHG images were analyzed as previously described to determine the forward- to backward-SHG scattering ratio (F/B) and fiber angle variability (FAV). Both prognostic measurements were compared between Black and White patients.
Results: In the IDC cohort, F/B from the tumor-stroma interface differed significantly between demographic groups. For the CRC cohort, a trend was observed in the tumor-stroma interface and tumor bulk. FAV did not vary by race in either cohort.
Conclusions: F/B variation with patient race suggests the relationship between F/B and metastatic outcome may vary with patient race. These findings highlight the potential need for race-specific prognostic algorithms to improve metastasis prediction for all patients.
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http://dx.doi.org/10.1117/1.bios.2.2.022703 | DOI Listing |
Breast J
September 2025
University of Hawai'i Cancer Center, Honolulu, Hawaii, USA.
The Oncotype DX test is standardly used for patients with early-stage, hormone-receptor-positive, HER2-negative breast cancers to determine the benefit from chemotherapy and the likelihood of distant recurrence. The relationship between Oncotype DX recurrence scores and race/ethnicity is still being studied. This retrospective study aims to evaluate the relationship between Oncotype DX recurrence scores, race/ethnicity, and clinicopathological factors and to support the applicability of the Oncotype DX test for a diverse breast cancer population of Hawaii.
View Article and Find Full Text PDFBlood Cell Ther
August 2025
Leukemia/Bone Marrow Transplant Program of British Columbia, Vancouver, Canada.
Introduction: The impact of race on outcomes of allogeneic hematopoietic cell transplants (HCT) has long been a field of research. The Center for International Blood and Marrow Transplant Research (CIBMTR) studies have shown worse survival for Black and Hispanic patients within the first year after HCT, but rates evened out for one-year survivors. From our personal experience, we hypothesize that the outcomes of South Asians (age ≥ 45 years) receiving myeloablative conditioning (MAC) are also worse compared to other races.
View Article and Find Full Text PDFAntimicrob Steward Healthc Epidemiol
September 2025
Department of Palliative and Supportive Care, The Lois U. and Harry R. Horvitz Palliative Medicine Program, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Background: Antimicrobials are frequently prescribed to hospice patients despite limited data on their utility. The Palliative Performance Scale (PPS) has been used for survival prediction among cancer patients and further generalized to end-of-life (EOL) diagnoses. This study aims to identify characteristics associated with antimicrobial usage within 30 days of EOL in non-hospitalized outpatient hospice patients from a single center in the United States (US).
View Article and Find Full Text PDFCureus
August 2025
Department of Health Sciences, University of Jamestown, Fargo, USA.
Background Heart failure (HF) is a leading cause of morbidity and hospitalization, encompassing distinct phenotypes: heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF). Disparities in diagnostic imaging may contribute to underdiagnosis and unequal care. This study evaluates differences in combined diagnostic imaging utilization between HFpEF and HFrEF, focusing on social determinants of health (SDoH) and hospital region.
View Article and Find Full Text PDFJ Appl Res Intellect Disabil
September 2025
The Council on Quality and Leadership, Towson, Maryland, USA.
Background: This study's aim was to examine the relationship between health care professionals' intersecting implicit attitudes about disability and race, and their beliefs about people with intellectual and developmental disabilities.
Methods: We had 784 health care professionals participate in the Intersecting Disability and Race Attitudes Implicit Association Test (IDRA-IAT) and answer questions about their beliefs about people with intellectual and developmental disabilities (January 2025-March 2025).
Results: More positive attitudes about white nondisabled people, and more negative attitudes about disabled white people and/or disabled people of colour were associated with health care professionals being more likely to believe people with intellectual and developmental disabilities are more difficult patients, are more likely to exhibit 'challenging' behaviours, and have a lower quality of life.