Purpose: To obtain the treatment parameters of internally cooled microwave antenna and to evaluate the feasibility of ultrasound-guided percutaneous microwave ablation (MWA) for benign thyroid nodules. Materials and methods: MWAs were performed by microwave antenna (16G) in ex vivo porcine liver. The lesion diameters achieved in different groups (20, 25, and 30 W for 3, 5, 7, 10, and 12 min) were compared. The clinical study was approved by the ethics committee. Written informed consent was obtained from all patients. MWA was performed in 11 patients (male to female ratioZ1:10; mean age, 50G7 years) with 11 benign thyroid nodules. Ultrasound scan, laboratory data, and clinical symptoms were evaluated before and 1 day and 1, 3, 6, 9, and 12 months after the procedure. Results: In ex vivo study, the ablation lesion at 30 W 12 min tended to have appropriate scope and spherical shape. In clinical study, the follow-up periods ranged from 1 to 9 months. At the last followup, the largest diameter decreased from 2.9G1.0 (range, 1.6-4.1) to 1.9G0.7 (range, 0.4-3.0) cm (P!0.01), and the volume decreased from 5.30G4.88 (range, 0.89-14.81) to 2.40G2.06 (range, 0.02-6.35) ml (P!0.01). The volume reduction ratio was 45. 99G29.90 (range, 10.56-98.15) %. The cosmetic grading score was reduced from 3.20G0.79 to 2.30G0.95 (P!0.05). One patient experienced temporary nerve palsy and was recovered within 2 months after treatment. Conclusion: The internally cooled microwave antenna can yield ideal ablation lesions, and ultrasoundguided percutaneous MWA is a feasible technique for benign thyroid nodules.
The level of lncRNA H19 is increased in inflamed intestinal tissues from mice and patients. The inflammatory cytokine IL22 induces expression of H19 in IECs, which is required for intestinal epithelial proliferation and mucosal healing. H19 lncRNA appears to inhibit p53 protein and microRNA 34a and let-7 to promote proliferation of IECs and epithelial regeneration.
The US-guided MWA results in a satisfactory long-term outcome of the patients with a benign solitary thyroid nodule. We identified three risk factors for recurrence: initial volume, vascularity and the energy per 1 ml reduction in nodular volume.
Purpose: To compare the clinical efficacy of ultrasound-guided percutaneous microwave ablation (MWA) and parathyroidectomy for primary hyperparathyroidism. Methods: In an observational retrospective study, we compared the outcomes in patients with primary hyperparathyroidism who underwent ultrasound-guided MWA with the outcomes in those who underwent surgical resection (SR). The primary outcome was cure rate. Secondary outcomes were the rate of complications, and the difference of the treatment parameters of two treatment methods. Propensity-score matching was used to assemble a cohort of patients with similar baseline characteristics. Results: Among 108 patients who met inclusion criteria, 28 patients who underwent ultrasound-guided MWA (MWA group) and 28 who underwent SR (SR group) had similar propensity scores and were included in the analyses. There was no significant difference in the cure rate between MWA group and SR group (82.1% vs. 89.3%, p ¼ .705). Patients who underwent MWA had significantly less estimated blood loss and shorter surgical time than those who underwent SR (p < .001). The incidence of side effects and complications was comparable between MWA group and SR group (21.4% vs. 25%, p ¼ .752). Conclusions: MWA and SR provided comparable short-term results in terms of cure rate and complications in treatment of primary hyperparathyroidism. Ultrasound-guided percutaneous MWA is a promising and minimally invasive method for primary hyperparathyroidism.
Polypropylene (PP) has not been used extensively in rotational foam molding because it has been traditionally considered as nonfavorable for foaming applications because of its relatively weak melt strength and melt elasticity at elevated temperatures. However, because of the unique end-use properties of PP, PP foams have recently grown in importance. An experimental study was conducted to identify feasible processing strategies for producing PP foams with satisfactory morphologies in dry-blending-based rotational foam molding. The obtained results revealed that cell coalescence plays a key role in the production of PP foams in rotational foam molding. If it is efficiently suppressed, the cell morphology of the PP foams improves dramatically. To suppress cell coalescence, it would be necessary to preserve the melt strength of PP during processing. One way of doing this is maintaining the temperature of the PP melt as low as possible. This can be accomplished by either lowering the decomposition temperature of the chemical blowing agent by using an activator such as zinc oxide and/or reducing the temperature of the oven.
Although nanoparticle-based photothermal therapy (PTT) has been intensively investigated recently, its comparative efficiency with any clinical cancer treatments has been rarely explored. Herein for the first time we report a systematic comparative study of clinical iodine-125 ( I) interstitial brachytherapy (IBT-125-I) and interventional PTT (IPTT) in an orthotopic xenograft model of human pancreatic cancer. IPTT, based on the nanoparticles composing of anti-urokinase plasminogen activator receptor (uPAR) antibody, polyethylene glycol (PEG), and indocyanine green (ICG) modified gold nanoshells (hereinafter uIGNs), is directly applied to local pancreatic tumor deep in the abdomen. In comparison to IBT-125-I, a 25% higher median survival rate of IPTT with complete ablation by one-time intervention has been achieved. The IPTT could also inhibit pancreatic tumor metastasis which can be harnessed for effective cancer immunotherapy. All results show that this IPTT is a safe and radical treatment for eradicating tumor cells, and may benefit future clinical pancreatic cancer patients.
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