Hypercoagulation after neoadjuvant immunochemotherapy as a new prognostic indicator in patients with locally advanced gastric cancer undergoing surgery
World Journal of Gastrointestinal Oncology,
Journal Year:
2025,
Volume and Issue:
17(3)
Published: Feb. 13, 2025
BACKGROUND
Coagulation
status
is
closely
related
to
the
progression
of
malignant
tumors.
In
era
neoadjuvant
immunochemotherapy
(NICT),
prognostic
utility
coagulation
indicators
in
patients
with
locally
advanced
gastric
cancer
(LAGC)
undergoing
new
treatments
remains
be
determined.
AIM
To
determine
whether
hypercoagulation
an
effective
indicator
LAGC
who
underwent
radical
resection
after
NICT.
METHODS
A
retrospective
analysis
clinical
data
from
104
LAGC,
NICT
between
2020
and
2023,
was
performed.
D-dimer
fibrinogen
concentrations
were
measured
one
week
before
NICT,
again
surgery,
analyze
association
these
two
their
combined
indices
[non-hypercoagulation
(D-dimer
within
upper
limit
normal)
vs
or
above
normal)]
prognosis.
After
resection,
followed-up
periodically.
The
median
follow-up
duration
21
months.
RESULTS
Data
collected
revealed
that
three-year
overall
survival
(OS)
disease-free
(DFS)
rates
non-hypercoagulation
group
significantly
better
than
those
[94.4%
78.0%
(P
=
0.019)
87.0%
68.0%
0.027),
respectively].
Multivariate
indicated
independent
factor
for
poor
postoperative
OS
[hazard
ratio
(HR)
4.436,
P
0.023]
DFS
(HR
2.551,
0.039).
Pre-NICT
demonstrated
no
statistically
significant
difference
groups
(88.3%
84.1%,
respectively;
0.443).
CONCLUSION
Hypercoagulation
gastrectomy.
Language: Английский
Machine Learning Models for Risk Prediction of Cancer Associated Thrombosis: A Systematic Review and Meta-Analysis
Keya Chen,
No information about this author
Ying Zhang,
No information about this author
Lufang Zhang
No information about this author
et al.
Journal of Thrombosis and Haemostasis,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 1, 2024
Language: Английский
Enhancing the Accuracy of Lymph-Node-Metastasis Prediction in Gynecologic Malignancies Using Multimodal Federated Learning: Integrating CT, MRI, and PET/CT
Zhijun Hu,
No information about this author
Ling Ma,
No information about this author
Yue Ding
No information about this author
et al.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(21), P. 5281 - 5281
Published: Nov. 3, 2023
Gynecological
malignancies,
particularly
lymph
node
metastasis,
have
presented
a
diagnostic
challenge,
even
with
traditional
imaging
techniques
such
as
CT,
MRI,
and
PET/CT.
This
study
was
conceived
to
explore
and,
subsequently,
bridge
this
gap
through
more
holistic
innovative
approach.
By
developing
comprehensive
framework
that
integrates
both
non-image
data
detailed
MRI
image
analyses,
harnessed
the
capabilities
of
multimodal
federated-learning
model.
Employing
composite
neural
network
within
environment,
adeptly
merged
diverse
sources
enhance
prediction
accuracy.
further
complemented
by
sophisticated
deep
convolutional
an
enhanced
U-NET
architecture
for
meticulous
processing.
Traditional
yielded
sensitivities
ranging
from
32.63%
57.69%.
In
contrast,
model,
without
incorporating
data,
achieved
impressive
sensitivity
approximately
0.9231,
which
soared
0.9412
integration
data.
Such
advancements
underscore
significant
potential
approach,
suggesting
federated
learning,
especially
when
combined
assessment
can
revolutionize
lymph-node-metastasis
detection
in
gynecological
malignancies.
paves
way
precise
patient
care,
potentially
transforming
current
paradigm
resulting
improved
outcomes.
Language: Английский