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Article: A Nomogram Based on Preoperative Lipiodol Deposition after Sequential Retreatment with Transarterial Chemoembolization to Predict Prognoses for Intermediate-Stage Hepatocellular Carcinoma.

Niu, Xiang-Ke / He, Xiao-Feng

2022 Volume 12, Issue 9

Abstract: 1) Background: Conventional transarterial chemoembolization (cTACE) is the mainstay treatment for patients with Barcelona Clinic Liver Cancer (BCLC) B-stage hepatocellular carcinoma (HCC). However, BCLC B-stage patients treated with cTACE represent a ... ...

Abstract	(1) Background: Conventional transarterial chemoembolization (cTACE) is the mainstay treatment for patients with Barcelona Clinic Liver Cancer (BCLC) B-stage hepatocellular carcinoma (HCC). However, BCLC B-stage patients treated with cTACE represent a prognostically heterogeneous population. We aim to develop and validate a lipiodol-deposition-based nomogram for predicting the long-term survival of BCLC B-stage HCC patients after sequential cTACE. (2) Methods: In this retrospective study, 229 intermediate-stage HCC patients from two hospitals were separately allocated to a training cohort (n = 142) and a validation cohort (n = 87); these patients underwent repeated TACE (≥4 TACE sessions) between May 2010 and May 2017. Lipiodol deposition was assessed by semiautomatic volumetric measurement with multidetector computed tomography (MDCT) before cTACE and was characterized by two ordinal levels: ≤50% (low) and >50% (high). A clinical lipiodol deposition nomogram was constructed based on independent risk factors identified by univariate and multivariate Cox regression analyses, and the optimal cutoff points were obtained. Prediction models were assessed by time-dependent receiver-operating characteristic curves, calibration curves, and decision curve analysis. (3) Results: The median number of TACE sessions was five (range, 4−7) in both cohorts. Before the TACE-3 sessions, the newly constructed nomogram based on lipiodol deposition achieved desirable diagnostic performance in the training and validation cohorts with AUCs of 0.72 (95% CI, 0.69−0.74) and 0.71 (95% CI, 0.68−0.73), respectively, and demonstrated higher predictive ability compared with previously published prognostic models (all p < 0.05). The prognostic nomogram obtained good clinical usefulness in predicting the patient outcomes after TACE. (4) Conclusions: Based on each pre-TACE lipiodol deposition, two sessions are recommended before abandoning cTACE or combining treatment for patients with intermediate-stage HCC. Furthermore, the nomogram based on pre-TACE-3 lipiodol deposition can be used to predict the prognoses of patients with BCLC B-stage HCC.
Language	English
Publishing date	2022-08-25
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm12091375
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Article: Mapping research trends of transarterial chemoembolization for hepatocellular carcinoma from 2012 to 2021: A bibliometric analysis.

Zhang, Na / He, Xiao-Feng / Niu, Xiang-Ke

World journal of methodology

2023 Volume 13, Issue 4, Page(s) 345–358

Abstract: Background: Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide and the second leading cause of cancer-related deaths. Transcatheter arterial chemoembolization (TACE) is a therapy where drugs aimed to slow or halt tumor development ... ...

Abstract	Background: Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide and the second leading cause of cancer-related deaths. Transcatheter arterial chemoembolization (TACE) is a therapy where drugs aimed to slow or halt tumor development are injected into the artery supplying for HCC tissues. A comprehensive analysis of all the articles on TACE for HCC can give us a general understanding of the progress in this field and provide guidance for future research. Aim: To analyze and visualize scientific results and research trends in TACE treatment for HCC. Methods: The "Web of Science" database was used to identify articles regarding TACE for the treatment of HCC from 2012 to 2021. VOSviewer and CiteSpace were used to analyze the publications trends, collaboration between countries/insti-tutions/authors, and the co-occurrence of keywords, keyword bursts, and references. Results: A total of 5728 original articles on TACE for HCC were retrieved. Regarding the volume of publications, the total number of yearly publications showed a generally increasing trend. China had the highest number of articles, while the United States achieved the highest Hirsch index and highest number of citations. The Sun Yat-sen University in China was most prolific institution. The most active author was Park, J.W from South Korea. The Journal of Vascular and Interventional Radiology (234 articles) was the most productive journal. There is a growing trend toward international collaboration in TACE for HCC. Cluster networks of co-cited references suggested that practice guidelines and targeted therapies are an essential theme in this field. In addition, cluster analysis based on keyword co-occurrence identified the research topic "prediction of TACE treatment" as a hotspot, and propensity score matching can be used to help investigators conduct innovative studies in the future. Conclusion: The results of our bibliometric analysis provide the latest trends and hot topics in TACE therapy for HCC.
Language	English
Publishing date	2023-09-20
Publishing country	United States
Document type	Journal Article
ISSN	2222-0682
ISSN	2222-0682
DOI	10.5662/wjm.v13.i4.345
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Article ; Online: Integrated pollution analysis, pollution area identification and source apportionment of heavy metal contamination in agricultural soil.

Xia, Fang / Zhao, Zefang / Niu, Xiang / Wang, Zhenfeng

Journal of hazardous materials

2023 Volume 465, Page(s) 133215

Abstract: Given the global prevalence of soil heavy metal contamination, knowledge concerning of soil environmental quality assessment, pollution area identification and source apportionment is critical for implementation of soil pollution prevention and safe ... ...

Abstract	Given the global prevalence of soil heavy metal contamination, knowledge concerning of soil environmental quality assessment, pollution area identification and source apportionment is critical for implementation of soil pollution prevention and safe utilization strategies. In this study, soil static environmental capacity (QI) for heavy metals was selected to evaluate pollution risks in agricultural soils of Wenzhou, southeast China. Combined with geostatistical methods, the pollution area was identified along with uncertainty analysis. Potential sources were quantitatively apportioned using a positive matrix factorization model (PMF). Results showed that agricultural soils in this study were mainly contaminated by Cd and Pb based on both Nemerow and QI indices. The environmental capacity assessment found more than 90% areas were identified as polluted soils for Qi-Zn, Qi-Cd and Qi-Pb, with minor uncertain areas. Cu was identified as having a high proportion of uncertain pollution area status, which was similar to the results of the integrated environmental capacity for all metals. PMF results indicated that industrial discharge, agrochemicals and parent material accounted for 32.1%, 32.2% and 35.7% of heavy metal accumulation in soils, respectively. Implementation of strict policies to reduce anthropogenic source emissions and remediate soil pollution are crucial to minimize metal pollution inputs, improve agricultural soil quality and enhance food safety.
Language	English
Publishing date	2023-12-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1491302-1
ISSN	1873-3336 ; 0304-3894
ISSN (online)	1873-3336
ISSN	0304-3894
DOI	10.1016/j.jhazmat.2023.133215
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Article ; Online: Dynamic Change of Forest Ecological Benefit of the Natural Forest Protection Project in the Upper Reaches of Yangtze River

Wang, Yihui / Niu, Xiang / Wang, Bing / Song, Qingfeng

Forests. 2023 Aug. 08, v. 14, no. 8

2023

Abstract: The Natural Forest Protection Project (NFPP) is an ecological restoration project aimed at safeguarding natural forests, and is one of China’s six main forestry initiatives. The upper reaches of the Yangtze River represent the main distribution area of ... ...

Abstract	The Natural Forest Protection Project (NFPP) is an ecological restoration project aimed at safeguarding natural forests, and is one of China’s six main forestry initiatives. The upper reaches of the Yangtze River represent the main distribution area of natural forests in China, and are an important area for the implementation of the NFPP. A systematic assessment of forest ecosystem changes in the upper Yangtze River region before and after implementation of the NFPP is of great scientific significance for the improvement of the project implementation effect, regional ecological protection, and further protection and restoration of natural forest resources. This study uses the NFPP area in the Yangtze River’s upper reaches as the study area; the data are primarily derived from the 1998 and 2020 forest resources category II survey data, long-term monitoring data from forest ecological stations, and public social data published by authoritative Chinese organizations. Based on the above data, we used the full index system of forest ecosystem services, continuous observation, and inventory system with the distributed measurement method to analyze the dynamic changes in forest ecosystem services in the study area in terms of three aspects: physical quality, value quality, and dominant function. The results of the study show that: (1) over the studied time scale, compared to the 1998 baseline, the physical quantities (soil erosion control, water regulation, and PM₁₀ retention) and value of each service function of the forest ecosystem in the upper reaches of the Yangtze River project area in 2020 showed a significant increasing trend; (2) at the spatial scale, changes in forest ecosystem service functions in the upper reaches of Yangtze River under the NFPP showed significant spatial heterogeneity from 1998 to 2020; (3) in 2020, the total value of forest ecosystem services in the study area was 3,261,161,000,000 yuan/a, of which the functional value of biodiversity conservation was 1,294,426,000,000 yuan/a and the functional value of water conservation was 841,069,000,000 yuan/a, indicating that the forest ecosystem of the study area plays an important role as a “green gene pool” and “green water reservoir”; (4) the forest ecosystem service functions of the NFPP in the upper reaches of Yangtze River are intricately tied to forest resource features such as forest area, forest volume, age-group structure of arbor forest, etc., which influence the physical quantity and value of each forest ecosystem service function to varying degrees. In addition to illustrating the amazing efficiency of the natural forest preservation initiative, this study provides a scientific foundation for future natural forest resource conservation and restoration. It can serve as a reference for the project’s subsequent development as well to provide scientific foundations and guidance for the development of the natural forest protection and restoration program and to promote the protection and restoration of more natural forest resources.
Keywords	biodiversity conservation ; ecological restoration ; ecosystem services ; erosion control ; forest conservation ; forest ecosystems ; forests ; gene pool ; inventories ; soil erosion ; spatial variation ; surveys ; water conservation ; water reservoirs ; China ; Yangtze River
Language	English
Dates of publication	2023-0808
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article ; Online
ZDB-ID	2527081-3
ISSN	1999-4907
ISSN	1999-4907
DOI	10.3390/f14081599
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A Review of Research on Forest Ecosystem Quality Assessment and Prediction Methods

Guo, Ke / Wang, Bing / Niu, Xiang

Forests. 2023 Feb. 06, v. 14, no. 2

2023

Abstract: The accurate assessment and prediction of forest ecosystem quality is an important basis for evaluating the effectiveness of regional ecological protection and restoration, establishing a positive feedback mechanism for forest quality improvement and ... ...

Abstract	The accurate assessment and prediction of forest ecosystem quality is an important basis for evaluating the effectiveness of regional ecological protection and restoration, establishing a positive feedback mechanism for forest quality improvement and restoration policies, and promoting the construction of an ecological civilization in China. Based on the existing studies at home and abroad, this paper mainly analyzes and summarizes the connotation of forest ecosystem quality, assessment index systems, assessment and prediction methods, and outlooks on the existing problems of imperfect forest ecological quality assessment index systems, preliminary assessment and prediction capabilities, and unknown dynamic responses of forest ecological quality to climate change, etc. Efforts should be made to develop a scientific and standardized assessment index system, produce high-quality forest ecological data products, develop localization of assessment model parameters, and explore forest quality–climate change response mechanisms to provide references for in-depth research to realize the transformation of forest ecosystem quality assessments from historical and status quo assessments to future predictions, and to support the construction of a national ecological civilization.
Keywords	climate change ; forest ecosystems ; forests ; prediction ; China
Language	English
Dates of publication	2023-0206
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article ; Online
ZDB-ID	2527081-3
ISSN	1999-4907
ISSN	1999-4907
DOI	10.3390/f14020317
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Article ; Online: Development of a computed tomography-based radiomics nomogram for prediction of transarterial chemoembolization refractoriness in hepatocellular carcinoma.

Niu, Xiang-Ke / He, Xiao-Feng

World journal of gastroenterology

2021 Volume 27, Issue 2, Page(s) 189–207

Abstract: Background: Some patients with hepatocellular carcinoma (HCC) are more likely to experience disease progression despite continuous transarterial chemoembolization (TACE), which is called TACE refractoriness. At present, it is still difficult to predict ... ...

Abstract	Background: Some patients with hepatocellular carcinoma (HCC) are more likely to experience disease progression despite continuous transarterial chemoembolization (TACE), which is called TACE refractoriness. At present, it is still difficult to predict TACE refractoriness, although some models/scoring systems have been developed. At present, radiological-based radiomics models have been successfully applied to predict cancer patient prognosis. Aim: To develop and validate a computed tomography (CT)-based radiomics nomogram for the pre-treatment prediction of TACE refractoriness. Methods: This retrospective study consisted of a training dataset ( Results: The median duration of follow-up was 61.3 mo (interquartile range, 25.5-69.3 mo) for the training cohort and 67.1 mo (interquartile range, 32.4-71.3 mo) for the validation cohort. The median number of TACE sessions was 4 (range, 3-7) in both cohorts. Eight radiomics features were chosen from 869 candidate features to build a radiomics signature. The CT-based radiomics nomogram included the radiomics score (hazard ratio = 3.9, 95% confidence interval: 3.1-8.8, Conclusion: The newly constructed CT-based radiomics nomogram can be used for the pre-treatment prediction of TACE refractoriness, which may provide better guidance for decision making regarding further TACE treatment.
MeSH term(s)	Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/therapy ; Chemoembolization, Therapeutic ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/therapy ; Nomograms ; Retrospective Studies ; Tomography, X-Ray Computed
Language	English
Publishing date	2021-01-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2185929-2
ISSN	2219-2840 ; 1007-9327
ISSN (online)	2219-2840
ISSN	1007-9327
DOI	10.3748/wjg.v27.i2.189
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Article ; Online: Modelling of soil environmental quality and early warning of integrated ecological risk.

Xia, Fang / Zhao, Zefang / Niu, Xiang / Liu, Fenglei / Hu, Baowei

Environmental pollution (Barking, Essex : 1987)

2023 Volume 342, Page(s) 123103

Abstract: The knowledge of dynamic trend in soil heavy metal contamination and associated risk is important for soil pollution prevention, safe utilization and early warning of soil environmental quality and ecological risk. In this study, a modified integrated ... ...

Abstract	The knowledge of dynamic trend in soil heavy metal contamination and associated risk is important for soil pollution prevention, safe utilization and early warning of soil environmental quality and ecological risk. In this study, a modified integrated risk index (NIRI) was adopted to evaluate ecological risk in agricultural soil in Wenzhou with 70 samples, which is located in the southeast of China. In addition, two scenarios with different metal fluxes (optimistic and default scenario) were constructed to predict future dynamic trend of metal concentrations. Results showed the agricultural soil was mainly contaminated by Cd and Pb. The NIRI indicated moderate to considerable risk in most sites and Cd posed the greatest contribution to NIRI value. Besides, higher risk was determined in paddy soil than that in vegetable. Scenario simulation results revealed general declining trend in optimistic scenario while increasing trend in default scenario for metal concentration. However, exceedance varied with prediction period, soil types and metals. Ecological risk probability showed similar trend with metal concentration, indicating significant shift to higher risk level in default scenario while insignificant decrease in optimistic scenario. The proposed scenario simulation results provide reference to support soil quality improvement and risk management.
MeSH term(s)	Soil ; Environmental Monitoring/methods ; Cadmium ; Risk Assessment ; Soil Pollutants/analysis ; Metals, Heavy/analysis ; China
Chemical Substances	Soil ; Cadmium (00BH33GNGH) ; Soil Pollutants ; Metals, Heavy
Language	English
Publishing date	2023-12-07
Publishing country	England
Document type	Journal Article
ZDB-ID	280652-6
ISSN	1873-6424 ; 0013-9327 ; 0269-7491
ISSN (online)	1873-6424
ISSN	0013-9327 ; 0269-7491
DOI	10.1016/j.envpol.2023.123103
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Article ; Online: A GIS-Based Study on the Layout of the Ecological Monitoring System of the Grain for Green Project in China

Guo, Ke / Niu, Xiang / Wang, Bing

Forests. 2022 Dec. 30, v. 14, no. 1

2022

Abstract: The Grain for Green Project (GGP) is an essential ecological system protection and restoration measure which can effectively improve the ecological environment. Constructing ecological monitoring system and obtaining ecological parameters can ... ...

Abstract	The Grain for Green Project (GGP) is an essential ecological system protection and restoration measure which can effectively improve the ecological environment. Constructing ecological monitoring system and obtaining ecological parameters can scientifically evaluate the ecological benefits of the GGP, consolidate the existing achievements, take the road of high-quality development, and promote the construction of a national ecological civilization. Firstly, an index system was constructed based on the factors driving forest ecosystem functions, involving climate (thermal and moisture conditions), vegetation types, and typical ecological zones. Then, GIS spatial analysis technology and the merging criteria index method were used to identify GGP ecological function monitoring zones. Finally, according to the scale of the project, the spatial distribution of existing stations, typical ecological zones, and the density of monitoring stations, the eco-efficiency monitoring stations, were arranged in an overall way, which constitutes the GGP ecological monitoring network. The results showed that the ecological function monitoring zones of GGP included 77 divisions, and 99 ecological monitoring stations (20 compatible level-1 stations, 31 compatible level-2 stations, 18 professional level-1 stations, and 30 professional level-2 stations) were arranged. Among them, 83 are located in national major ecosystem protection and restoration engineering areas (NMEPREA), 79 in national ecological fragile areas (NEFA), 41 in national ecological barrier areas (NEBA), and 58 in national key ecological function areas (NKEFA). The proportion of types of NMEPREA, NEFA, NEBA, and NKEFA covered by monitoring is 66.7%, 100%, 100%, and 76%, respectively. The ecological monitoring system of GGP can not only meet the monitoring needs of the GGP but also effectively monitor the effectiveness of protection and restoration of typical ecological zones. In addition, this study can provide a methodological basis for other countries or ecological projects to build a more scientific and reasonable ecological monitoring system.
Keywords	climate ; eco-efficiency ; ecological function ; forest ecosystems ; vegetation ; China
Language	English
Dates of publication	2022-1230
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article ; Online
ZDB-ID	2527081-3
ISSN	1999-4907
ISSN	1999-4907
DOI	10.3390/f14010070
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Discovery of a quinoline-containing compound JT21-25 as a potent and selective inhibitor of apoptosis signal-regulating kinase 1 (ASK1).

Pang, Lidan / Wang, Tiantian / Huang, Jiateng / Wang, Jie / Niu, Xiang / Fan, Hao / Wan, Pingnan / Wang, Zengtao

Bioorganic chemistry

2024 Volume 144, Page(s) 107167

Abstract: ASK1 kinase inhibition has become a promising strategy for treating inflammatory diseases, such as non-alcoholic steatohepatitis and multiple sclerosis. Here, we reported the discovery of a promising compound 9h (JT21-25) containing quinoline structures ... ...

Abstract	ASK1 kinase inhibition has become a promising strategy for treating inflammatory diseases, such as non-alcoholic steatohepatitis and multiple sclerosis. Here, we reported the discovery of a promising compound 9h (JT21-25) containing quinoline structures as a potent small molecule inhibitor of ASK1. The compound JT21-25 was selective against MAP3K kinases TAK1 (>1960.8-fold), and much higher than the selectivity of GS-4997 for TAK1 (312.3-fold). In addition, different concentrations of JT21-25 did not show significant toxicity in normal LO2 liver cells, and the cell survival rate was greater than 80 %. The Oil Red O staining experiment showed that at the 4 μM and 8 μM concentrations of JT21-25, only slight cytoplasmic fat droplets were observed in LO2 cells, and there was no significant fusion between fat droplets. In the biochemical analysis experiment, JT21-25 significantly reduced the content of CHOL, LDL, TG, ALT, and AST. In summary, these findings suggested that compound JT21-25 might be valuable for further investigation as a potential candidate in the treatment of associated diseases.
MeSH term(s)	MAP Kinase Kinase Kinase 5 ; MAP Kinase Signaling System ; Quinolines/pharmacology ; Hepatocytes ; Apoptosis
Chemical Substances	MAP Kinase Kinase Kinase 5 (EC 2.7.11.25) ; Quinolines
Language	English
Publishing date	2024-02-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	120080-x
ISSN	1090-2120 ; 0045-2068
ISSN (online)	1090-2120
ISSN	0045-2068
DOI	10.1016/j.bioorg.2024.107167
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Article: Systemic inflammatory response index is a predictor of prognosis in gastric cancer patients: Retrospective cohort and meta-analysis.

Ren, Jing-Yao / Xu, Meng / Niu, Xiang-Dong / Ma, Shi-Xun / Jiao, Ya-Jun / Wang, Da / Yu, Miao / Cai, Hui

World journal of gastrointestinal surgery

2024 Volume 16, Issue 2, Page(s) 382–395

Abstract: Background: The systemic inflammatory response index (SIRI) has been demonstrated to make a significant difference in assessing the prognosis of patients with different solid neoplasms. However, research is needed to ascertain the accuracy and ... ...

Abstract	Background: The systemic inflammatory response index (SIRI) has been demonstrated to make a significant difference in assessing the prognosis of patients with different solid neoplasms. However, research is needed to ascertain the accuracy and reliability of applying the SIRI to patients who undergo robotic radical gastric cancer surgery. Aim: To validate the applicability of the SIRI in assessing the survival of gastric cancer patients and evaluate the clinical contribution of preoperative SIRI levels to predicting long-term tumor outcomes in patients, who received robotic radical gastric cancer surgery. Methods: Initially, an exhaustive retrieval was performed in the PubMed, the Cochrane Library, EMBASE, Web of Science, and Scopus databases to identify relevant studies. Subsequently, a meta-analysis was executed on 6 cohort studies identifying the value of the SIRI in assessing the survival of gastric cancer patients. Additionally, the clinical data of 161 patients undergoing robotic radical gastric cancer surgery were retrospectively analyzed to evaluate their clinicopathological characteristics and relevant laboratory indicators. The association between preoperative SIRI levels and 5-year overall survival (OS) and disease-free survival (DFS) was assessed. Results: The findings demonstrated an extensive connection between SIRI values and the outcome of patients with gastric cancer. Preoperative SIRI levels were identified as an independent hazard feature for both OS and DFS among those who received robotic surgery for gastric cancer. SIRI levels in gastric cancer patients were observed to be associated with the presence of comorbidities, T-stage, carcinoembryonic antigen levels, the development of early serious postoperative complications, and the rate of lymph node metastasis. Conclusion: SIRI values are correlated with adverse in the gastric cancer population and have the potential to be utilized in predicting long-term oncological survival in patients who undergo robotic radical gastric cancer surgery.
Language	English
Publishing date	2024-02-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2573700-4
ISSN	1948-9366
ISSN	1948-9366
DOI	10.4240/wjgs.v16.i2.382
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