Prognostic Threshold of Neuroendocrine Differentiation in Gastric Carcinoma: a Clinicopathological Study of 945 Cases

Zou, Yi,Chen, Linying,Wang, Xingfu,Chen, Yupeng,Hu, Liwen,Zeng, Saifan,Wang, Pengcheng,Li, Guoping,Huang, Ming,Wang, Liting,He, Shi,Li, Sanyan,Jian, Lihui,Zhang, Sheng The Korean Gastric Cancer Association 2019 Journal of gastric cancer Vol.19 No.1

Purpose: The significance of neuroendocrine differentiation (NED) in gastric carcinoma (GC) is controversial, leading to ambiguous concepts in traditional classifications. This study aimed to determine the prognostic threshold of meaningful NED in GC and clarify its unclear features in existing classifications. Materials and Methods: Immunohistochemical staining for synaptophysin, chromogranin A, and neural cell adhesion molecule was performed for 945 GC specimens. Survival analysis was performed using the log-rank test and univariate/multivariate models with percentages of NED ($P_{NED}$) and demographic and clinicopathological parameters. Results: In total, 275 (29.1%) cases were immunoreactive to at least 1 neuroendocrine (NE) marker. GC-NED was more common in the upper third of the stomach. $P_{NED}$, and Borrmann's classification and tumor, lymph node, metastasis stages were independent prognostic factors. The cutoff $P_{NED}$ was 10%, beyond which patients had significantly worse outcomes, although the risk did not increase with higher $P_{NED}$. Tumors with ${\geq}10%$ NED tended to manifest as Borrmann type III lesion with mixed/diffuse morphology and poorer histological differentiation; the NE components in this population mainly grew in insulae/nests, which differed from the predominant growth pattern (glandular/acinar) in GC with <10% NED. Conclusions: GC with ${\geq}10%$ NED should be classified as a distinct subtype because of its worse prognosis, and more attention should be paid to the necessity of additional therapeutics for NE components.

Prognostic Threshold of Neuroendocrine Differentiation in Gastric Carcinoma: a Clinicopathological Study of 945 Cases

Yi Zou,Linying Chen,Xingfu Wang,Yupeng Chen,Liwen Hu,Saifan Zeng,Pengcheng Wang,Guoping Li,Ming Huang,Liting Wang,Shi He,Sanyan Li,Lihui Jian,Sheng Zhang 대한위암학회 2019 Journal of gastric cancer Vol.19 No.1

Purpose: The significance of neuroendocrine differentiation (NED) in gastric carcinoma (GC) is controversial, leading to ambiguous concepts in traditional classifications. This study aimed to determine the prognostic threshold of meaningful NED in GC and clarify its unclear features in existing classifications. Materials and Methods: Immunohistochemical staining for synaptophysin, chromogranin A, and neural cell adhesion molecule was performed for 945 GC specimens. Survival analysis was performed using the log-rank test and univariate/multivariate models with percentages of NED (PNED) and demographic and clinicopathological parameters. Results: In total, 275 (29.1%) cases were immunoreactive to at least 1 neuroendocrine (NE) marker. GC-NED was more common in the upper third of the stomach. PNED, and Borrmann's classification and tumor, lymph node, metastasis stages were independent prognostic factors. The cutoff PNED was 10%, beyond which patients had significantly worse outcomes, although the risk did not increase with higher PNED. Tumors with ≥10% NED tended to manifest as Borrmann type III lesion with mixed/diffuse morphology and poorer histological differentiation; the NE components in this population mainly grew in insulae/nests, which differed from the predominant growth pattern (glandular/acinar) in GC with <10% NED. Conclusions: GC with ≥10% NED should be classified as a distinct subtype because of its worse prognosis, and more attention should be paid to the necessity of additional therapeutics for NE components.

An investigation on the effect of open hole number and scheme on single-phase flow of a swirl flow bubble generator

Yuxue Wu,Hang Chen,Xingfu Song 한국화학공학회 2023 Korean Journal of Chemical Engineering Vol.40 No.4

A swirl flow bubble generator with a unique adjustment scheme was developed to adapt to liquid feed flow rate variation. However, a study on the scheme and flow field of the bubble generator has not been reported in the literature. Particle image velocimetry and computational fluid dynamics were utilized to explore the flow field and adjustment scheme. The results showed that the standard k-ε model could more accurately describe the flow pattern than other turbulence models, and the pressure drop difference between experiments and simulations was less than 6%. A mathematical expression was established to quantitatively describe the relationship among the pressure drop, open hole number, and liquid flow rate. The pressure drop was proportional to the feed flow rate or inlet velocity square and inversely proportional to the power of 1.86 of the open hole number. Interestingly, the pressure drop of different open hole schemes with the same open hole number of 12 was close to 55 kPa. The spiral-bottom open hole schemes could provide a higher turbulent dissipation rate for both the vortex chamber and straight pipe section. This work can guide the bubble generator adjustment and fill the gap in this respect.

A novel reconstruction algorithm based on density clustering for cosmic-ray muon scattering inspection

Hou, Linjun,Zhang, Quanhu,Yang, Jianqing,Cai, Xingfu,Yao, Qingxu,Huo, Yonggang,Chen, Qifan Korean Nuclear Society 2021 Nuclear Engineering and Technology Vol.53 No.7

As a relatively new radiation imaging method, the cosmic-ray muon scattering imaging technology can be used to prevent nuclear smuggling and is of considerable significance to nuclear safety. Proposed in this paper is a new reconstruction algorithm based on density clustering, aiming to improve inspection quality with better performance. Firstly, this new algorithm is introduced in detail. Then in order to eliminate the inequity of the density threshold caused by the heterogeneity of the muon flux in different positions, a new flux correction method is proposed. Finally, three groups of simulation experiments are carried out with the help of Geant4 toolkit to optimize the algorithm parameters, verify the correction method and test the inspection quality under shielded condition, and compare this algorithm with another common inspection algorithm under different conditions. The results show that this algorithm can effectively identify and locate nuclear material with low misjudging and missing rates even when there is shielding and momentum precision is low, and the threshold correcting method is universally effective for density clustering algorithms.

Fabrication of tubular porous titanium membrane electrode and application in electrochemical membrane reactor for treatment of wastewater

Hui Tong,Chao Yang,Yanqi Lv,Ling Wang,Koucheng Chen,Xingfu Zhou 한국공업화학회 2021 Journal of Industrial and Engineering Chemistry Vol.96 No.-

In this study, tubular titanium membrane (TTM) /SnO2-Sb/SnO2-Sb-CeO2 porous anode was fabricatedand used in continuous tubular membrane reactor for electrochemical treatment of dye wastewater. Xraydiffraction (XRD), scanning electron microscopy (SEM) and high-resolution transmission electronmicroscopy (HRTEM) were used to evaluate the morphology and microstructure of the different tubulartitanium membrane. Linear sweep voltammetry (LSV) and accelerated service life test are employed toillustrate the performance of TTM/SnO2-Sb/SnO2-Sb-CeO2 porous membrane electrode. It is found thatTTM/SnO2-Sb/SnO2-Sb-CeO2 active layer on titanium membrane has compact microstructure, high over-potential for oxygen evolution (2.10 V vs saturated calomel electrode). The effects of pore diameter,applied voltage andflow rate on the electro-catalytic property of the tubular porous electrode wereinvestigated. Study shows titanium membrane reactor with an optimized pore diameter of 10 mm has thelowest energy consumption which is important for the practical application of electrochemicaltechnology. The performance of titanium tubular membrane reactor is investigated by treatingmethylene blue (MB) wastewater under the cell voltage of 3.0–4.5 V and theflow rate of 2.5–3.5 L min 1. This continuous titanium membrane electrochemical reactor using solar cell show excellent performancein treating dye wastewater and the further potential application in electrochemical synthesis.

A comparison of volatile fractions obtained from Lonicera macranthoides via different extraction processes: ultrasound, microwave, Soxhlet extraction, hydrodistillation, and cold maceration

Chun Wu,Feng Wang,Jiang Liu,Yuanfeng Zou,Xingfu Chen 한국한의학연구원 2015 Integrative Medicine Research Vol.4 No.3

Background: Hydrodistillation has been traditionally used to extract volatile fraction in traditional Chinese medicine. However, with the development of Soxhlet extraction (SE), microwave (MW), ultrasound (US), and cold maceration (CM), hydrodistillation (HD) is being replaced to meet some practical requirements. In this study, we investigated the effect of the five methods on the volatile fraction extract of Lonicera macranthoides. Methods: Volatile fraction from the flower buds of Lonicera macranthoides was obtained by using different extraction methods, HD, SE, MW, US, and CM. The compositions of volatile fraction were analyzed by gas chromatography–mass spectrometric and further compared among extraction methods. Results: Extracts obtained by the five methods reveal the qualitative and quantitative diversity in their compositions, especially for the low-content compositions. According to the results, SE shows the great value in the research where the high molecular-mass compound is of primary interest, and MW offers a way for the isolation of specific compound like octadecadienoic acid and hexadecanoic acid. HD, US, and CM have the advantage over SE and MW for the integrity of the constituents, whereas the phenomenon of compound degradation seems not so serious in solvent extraction methods such as US or CM as HD. Additionally, US and CM show superiority over time or material saving and diversity of the constituent. Conclusion: HD is still the best choice for the pure volatile fraction without organic solvent pollution. However, when it comes to some specifically actual demands, it can be replaced by the four methods for the volatile fraction extraction process, especially for production of certain compound groups.