Morphological Evaluation Research Articles

Engineering Budesonide Microparticles for Enhancing Pulmonary Targeting: Validation through In Vivo Investigations

AbstractThe study aimed to develop and evaluate budesonide inhalation micro‐suspension to target inflammation in the lower trachea and bronchi. Initially, the slurry phase is prepared by dispersing the drug (0.25 and 0.5 mg ml−1) in the Water for Injection with polysorbate 80. The slurry is mixed with the aqueous phase comprising other excipients. The mixture is further subjected to the treatment with homogenizer. The prepared formulations are subjected to various physio‐chemical analysis like description, density, pH, osmolality, viscosity, shelf life, impurities, assay, particle size, etc. Andersen cascade impactor is used to estimate the aerodynamic performance. In vivo analysis is initiated with the induction of Asthma in Sprague Dawley rats by ovalbumin challenge intranasally and the treatment is given with the aid of a nebulizer. Lastly, the biochemical estimations are carried out in blood and bronchoalveolar lavage fluid (BALF). The lungs are also subjected to morphological and histological evaluations. The physio‐chemical and analytical examination indicated a stable formulation that is compliant with the standard guidelines. The D90 value of the test formulation is ≤4.5 µm. Cascade impactor evaluation estimated almost, 2–10% higher amount of budesonide reaching the target region as compared to the marketed product. Test formulation attenuated the manifestation of ovalbumin‐induced asthma through suppression of inflammatory cell count in blood and BALF, and modulation of Lactate dehydrogenase and Alkaline Phosphatase levels which is further confirmed by histopathological analysis. The formulated budesonide micro‐suspension demonstrated stability, safety, and efficient delivery to the target site.

A Review on Film Forming Spray Technology in Wound Management

Purpose: Skin is an important delivery channel for medications, providing both local and systemic effects. One kind of novel medication delivery technology that is administered topically to the skin is called a topical film forming system. The thorough analysis examines how film-forming sprays have revolutionized a variety of fields, including wound care and medicine. The goal is to present a thorough summary of the assessment criteria, composition, and most recent advancements in film-forming sprays intended for wound healing. Methods: The evaluation parameters including film formation, morphology, flexibility, drying time, pH, viscosity, skin irritation, water washability, bioadhesive strength, and container-related evaluations are provided in a systematic manner for film-forming sprays. The review presents findings from a range of research publications that demonstrate various approaches and strategies used to evaluate the properties and effectiveness of film-forming spray formulations. Results: Examples from current research are given to show the variety of uses for film-forming sprays in wound healing. Formulations containing human epidermal growth factor (hEGF) and water- soluble chitosan, propolis from stingless bees, and a complexed polymer film-forming spray for diabetic wound dressing are among the research offerings. In terms of stability, wound closure acceleration, and regulated distribution of therapeutic substances, these formulations show encouraging results. Conclusion: The review concludes that film-forming sprays represent a promising avenue in advanced wound care, offering advantages such as enhanced flexibility, prolonged adherence, and controlled drug delivery.

Particle Size and Morphological Evaluation of Airborne Urban Dust Particles by Scanning Electron Microscopy and Bidimensional Empirical Mode Analysis

Airborne particles affect the health of the population. As particles decrease in size, they can penetrate deeper into the respiratory system, reaching the terminal bronchioles and alveoli. Particles as small as 0.1 µm in diameter may translocate into the bloodstream, potentially impacting various organs. Additionally, the smaller the particle size, the longer they remain suspended in the air, thereby increasing their deleterious damages. The aim of this work is to study the size distribution of airborne particles emitted from anthropogenic sources of air pollution, with a special emphasis on estimating the distribution of micro and nanoparticles considered the most harmful to health. The Bidimensional Empirical Mode Decomposition (BEMD) algorithm was used on micrographs of the particles obtained by Scanning Electron Microscopy (SEM). BEMD is a current empirical computational tool applied to image analysis that allows extracting non-linear heterogeneous oscillations of brightness. We studied ROFA (Residual Oil Fly Ash) from industrial sources and DEP (Diesel Exhaust Particles) from vehicular emissions as airborne particles. After collecting the particles on filters, micrographs were taken using SEM at different magnifications to which the BEMD algorithm was applied. Particle size and asymmetry distributions were obtained for each mode, allowing the identification of the most deleterious particles. The methodology employed herein is relatively simple and effective for inferring the impact of airborne particulate matter on health and the environment.

Cleavage-Stage Embryo Segmentation Using SAM-Based Dual Branch Pipeline: Development and Evaluation with the CleavageEmbryo Dataset.

Embryo selection is one of the critical factors in determining the success of pregnancy in in vitro fertilization (IVF) procedures. Using artificial intelligence to aid in embryo selection could effectively address the current time-consuming, expensive, subjectively influenced process of embryo assessment by trained embryologists. However, current deep learning-based methods often focus on blastocyst segmentation, grading, or predicting cell development via time-lapse videos, often overlooking morphokinetic parameters or lacking interpretability. Given the significance of both morphokinetic and morphological evaluation in predicting the implantation potential of cleavage-stage embryos, as emphasized by previous research, there is a necessity for an automated method to segment cleavage-stage embryos to improve this process. In this article, we introduce the SAM-based Dual Branch Segmentation Pipeline for automated segmentation of blastomeres in cleavage-stage embryos. Leveraging the powerful segmentation capability of SAM, the instance branch conducts instance segmentation of blastomeres, while the semantic branch performs semantic segmentation of fragments. Due to the lack of publicly available datasets, we construct the CleavageEmbryo dataset, the first dataset of human cleavage-stage embryos with pixel-level annotations containing fragment information. We train and test a series of state-of-the-art segmentation algorithms on CleavageEmbryo. Our experiments demonstrate that our method outperforms existing algorithms in terms of objective metrics (mAP 0.748 on blastomeres, Dice 0.694 on fragments) and visual quality, enabling more accurate segmentation of cleavage-stage embryos. The code and sample data in this study can be found at: Https://github.com/12austincc/Cleavage-StageEmbryoSegmentation. Supplementary data are available at Bioinformatics online.

Integrative study of skeletal muscle mitochondrial dysfunction in a murine pancreatic cancer-induced cachexia model

Pancreatic ductal adenocarcinoma (PDAC), the most common pancreatic cancer, is a deadly cancer, often diagnosed late and resistant to current therapies. PDAC patients are frequently affected by cachexia characterized by muscle mass and strength loss (sarcopenia) contributing to patient frailty and poor therapeutic response. This study assesses the mechanisms underlying mitochondrial remodeling in the cachectic skeletal muscle, through an integrative exploration combining functional, morphological, and omics-based evaluation of gastrocnemius muscle from KIC genetically engineered mice developing autochthonous pancreatic tumor and cachexia. Cachectic PDAC KIC mice exhibit severe sarcopenia with loss of muscle mass and strength associated with reduced muscle fiber’s size and induction of protein degradation processes. Mitochondria in PDAC atrophied muscles show reduced respiratory capacities and structural alterations, associated with deregulation of oxidative phosphorylation and mitochondrial dynamics pathways. Beyond the metabolic pathways known to be altered in sarcopenic muscle (carbohydrates, proteins, and redox), lipid and nucleic acid metabolisms are also affected. Although the number of mitochondria per cell is not altered, mitochondrial mass shows a twofold decrease and the mitochondrial DNA threefold, suggesting a defect in mitochondrial genome homeostasis. In conclusion, this work provides a framework to guide toward the most relevant targets in the clinic to limit PDAC-induced cachexia.

Integrative study of skeletal muscle mitochondrial dysfunction in a murine pancreatic cancer-induced cachexia model.

Pancreatic ductal adenocarcinoma (PDAC), the most common pancreatic cancer, is a deadly cancer, often diagnosed late and resistant to current therapies. PDAC patients are frequently affected by cachexia characterized by muscle mass and strength loss (sarcopenia) contributing to patient frailty and poor therapeutic response. This study assesses the mechanisms underlying mitochondrial remodeling in the cachectic skeletal muscle, through an integrative exploration combining functional, morphological, and omics-based evaluation of gastrocnemius muscle from KIC genetically engineered mice developing autochthonous pancreatic tumor and cachexia. Cachectic PDAC KIC mice exhibit severe sarcopenia with loss of muscle mass and strength associated with reduced muscle fiber's size and induction of protein degradation processes. Mitochondria in PDAC atrophied muscles show reduced respiratory capacities and structural alterations, associated with deregulation of oxidative phosphorylation and mitochondrial dynamics pathways. Beyond the metabolic pathways known to be altered in sarcopenic muscle (carbohydrates, proteins, and redox), lipid and nucleic acid metabolisms are also affected. Although the number of mitochondria per cell is not altered, mitochondrial mass shows a twofold decrease and the mitochondrial DNA threefold, suggesting a defect in mitochondrial genome homeostasis. In conclusion, this work provides a framework to guide toward the most relevant targets in the clinic to limit PDAC-induced cachexia.

Preimplantation Genetic Testing for Aneuploidy (PGT-A) in In-Vitro Fertilisation (IVF) Treatment: Study Protocol for Pilot Phase of a Randomised Controlled Trial.

Introduction: Poor outcomes following IVF treatments are speculated to be due to the transfer of aneuploid embryos that cannot be identified based on morphological evaluation alone. This leads to patients requiring numerous embryo transfers and, consequently, a prolonged time interval before live birth. Embryo selection following preimplantation genetic testing for aneuploidy (PGT-A) with next-generation sequencing (NGS) has been suggested as an intervention to shorten time to pregnancy in women undergoing in vitro fertilisation (IVF). Past studies assessing the clinical efficacy of PGT-A in improving clinical outcomes have been conflicting and the associated clinical pregnancy rates and live birth rates following the transfer of a mosaic embryos have yet to be determined. None of the existing studies solely included women of advanced reproductive age (ARA). The pilot study and proposed RCT will determine if, compared to morphological evaluation alone, the use of PGT-A through NGS is a more clinically effective, safer, and more cost-effective way to provide IVF treatment in women of advanced reproductive age. Method and Analysis: The proposed pilot study will aim to randomise 100 patients within a single-centre study to evaluate recruitment, randomisation, and adherence to study protocol and allocated trail arms by participating patients. The results of the pilot study will enable us to determine the sample size for a larger study to establish the effectiveness of PGT-A in ARA women. Ethics and Dissemination: The study (Integrated Research Application System Number 236067) received approval from the Health Research Authority and Health and Care Research Wales (HCRW) and the East Midlands-Leicester South Research Ethics Committee (20/EM/0290). The results will be made available to patients, the funders, the Reproductive Medicine societies, and other researchers. Trial registration: ClinicalTrials.gov Identifier: NCT05009745, n.

Stenosis of the glomerulotubular neck in progressive chronic kidney disease.

Morphology and morphometric evaluation of lesions beyond conventional parameters can inform the pathophysiology of chronic kidney disease (CKD). We sought to determine whether the occurrence of glomerulotubular neck stenoses associates with progressive CKD. We evaluated the normal parenchyma from radical nephrectomies removed for tumor between 2000 and 2021 and analyzed cortex for stenoses of the glomerulotubular neck. Stenosis of the glomerulotubular neck is defined a focal narrowing for which the draining tubule has a greater diameter than at the neck. Progressive CKD was defined as dialysis, kidney transplantation, sustained eGFR <10 ml/min per 1.73m2 or sustained 40% decline from the post-nephrectomy eGFR. Each case of progressive CKD was age-sex-matched to 2 controls without progressive CKD. Logistic regression models assessed the risk of progressive CKD with stenotic necks adjusting for other histological features, kidney function, and CKD risk factors. There were 65 cases with a mean of 255 glomeruli and 130 controls with a mean of 329 glomeruli. Among both cases and controls, 5% of glomeruli showed visible glomerulotubular necks. The proportion of necks that were stenotic was higher in cases than controls (35% vs. 11%, p<0.0001). Stenotic necks associated with progressive CKD independent of other histologic and clinical characteristics. Glomerulotubular neck stenosis is associated with development of progressive CKD.

MEGS: Morphological Evaluation of Galactic Structur. Principal component analysis as a galaxy morphology model

Understanding the morphology of galaxies is a critical aspect of astrophysics research, providing insight into the formation, evolution, and physical properties of these vast cosmic structures. Various observational and computational methods have been developed to quantify galaxy morphology, and with the advent of large galaxy simulations, the need for automated and effective classification methods has become increasingly important. This paper investigates the use of principal component analysis (PCA) as an interpretable dimensionality reduction algorithm for galaxy morphology using the IllustrisTNG cosmological simulation dataset with the aim of developing a generative model for galaxies. We first generate a dataset of 2D images and 3D cubes of galaxies from the IllustrisTNG simulation, focusing on the mass, metallicity, and stellar age distribution of each galaxy. PCA is then applied to this data, transforming it into a lower-dimensional image space, where closeness of data points corresponds to morphological similarity. We find that PCA can effectively capture the key morphological features of galaxies, with a significant proportion of the variance in the data being explained by a small number of components. With our method we achieve a dimensionality reduction by a factor of $ for 2D images and $ for 3D cubes at a reconstruction accuracy below five percent. Our results illustrate the potential of PCA in compressing large cosmological simulations into an interpretable generative model for galaxies that can easily be used in various downstreaming tasks such as galaxy classification and analysis.

ClC-Kb pore mutation disrupts glycosylation and triggers distal tubular remodeling.

Mutations in the CLCNKB gene (1p36), encoding a basolateral chloride channel, ClC-Kb, cause type 3 Bartter's syndrome. We identified a family with a mixed Bartter's / Gitelman's phenotype and early-onset kidney failure and employing a candidate gene approach, discovered a homozygous mutation (CLCNKB c.499G>T [p.Gly167Cys]) in exon 6 of CLCNKB in the index patient. We then validated these results with Sanger and whole exome sequencing. Compared to wild-type ClC-Kb, the Gly167Cys mutant conducted less current and impaired, complex N-linked glycosylation in vitro. We demonstrated that loss of Gly-167, rather than gain of a mutant Cys, impairs complex glycosylation but that surface expression remains intact. Moreover, Asn364 was necessary for channel function and complex glycosylation. Morphologic evaluation of human kidney biopsies revealed typical basolateral localization of mutant Gly167Cys ClC-Kb in cortical distal tubular epithelia. However, we detected attenuated expression of distal sodium transport proteins, changes in abundance of distal tubule segments, and hypokalemia-associated intracellular condensates from the index patient compared to control nephrectomy specimens. The present data establish what we believe, are novel regulatory mechanisms of ClC-Kb activity and demonstrate nephron remodeling in man, caused by mutant ClC-Kb, with implications for renal electrolyte handling, blood pressure control, and kidney disease.

Evaluation Of Nose Morphology In Different Skeletal Patterns In Patients Reporting To Tertiary Care Hospital At Peshawar, Pakistan: A Cross-Sectional Study.

Evaluation Of Nose Morphology In Different Skeletal Patterns In Patients Reporting To Tertiary Care Hospital At Peshawar, Pakistan: A Cross-Sectional Study.

Accessory Ligament of the Deep Digital Flexor Tendon of the Horse Forelimb and Its Relationship with the Superficial Digital Flexor Tendon: A Plastination, Histological, and Morphometry Study.

The accessory ligament of the deep digital flexor tendon (AL-DDFT) plays a crucial role in the stay apparatus of the horse. This study aimed to investigate the anatomical relationship between the AL-DDFT, the superficial digital flexor tendon (SDFT), and other structures in the metacarpal region. Sixteen distal forelimbs from eight horses, aged 1 to 6 years, were evaluated through macroscopic, microscopic, and morphometric analyses, utilizing detailed dissection, E12 plastinated sections, and histological analysis. During lateral dissection, a connection was observed between the AL-DDFT and the SDFT. Histological evaluation revealed that this connection was a fibrous band (FB), extending the common synovial sheath (CSS) to the SDFT, along with associated collagen fibrils of the epiligament and peritenon. Additionally, two distinct forms of the AL-DDFT were identified, Type I and Type II, with Type II showing a greater cross-sectional area (CSA) than Type I. While numerous morphological and morphometric studies have explored the AL-DDFT and related structures, research incorporating plastination-based morphological and histological evaluations remains scarce. The findings provide valuable insights for both the morphological and clinical assessment of structures within the metacarpal region.

Fungiform Papillae and Gustatory Function in Neurofibromatosis Type 1: A Case-Control Study.

Fungiform papillae enlargement is a common oral manifestation of neurofibromatosis type 1 (NF1). This study aimed to objectively evaluate the size, number, and symmetry of fungiform papillae in NF1 individuals and investigate the relationship between these alterations and taste perception, salivary flow, dietary habits, and BMI. A cross-sectional case-control study was conducted on 80 participants (40 with NF1 and 40 controls), matched by age and sex. Participants underwent quantitative and morphological evaluation of fungiform papillae, gustatory perception tests, sialometry, saliva analysis, xerostomia assessment, dietary assessments, and Body Mass Index calculations. The NF1 group exhibited significantly larger and more asymmetric fungiform papillae and exhibited a higher detection threshold for sweet and sour tastes, as well as hyposalivation and lower preference for healthy foods compared to the controls. No correlation was found between papillae morphology, gustatory perception tests, saliva properties, xerostomia, food preferences, or BMI in the NF1 group. Enlarged and asymmetric fungiform papillae, hyposalivation, heightened sensitivity to sweet and sour tastes, and reduced healthy eating habits were common in NF1. Although fungiform papillae alterations seem unrelated to taste sensitivity and food preferences, further investigation is needed to better understand the mechanisms underlying these changes.

Facile preparation and characterization of SmMn2O5/Mn2O3/g-C3N4 nanocomposites for electrochemical hydrogen storage application

Herein, a novel heterostructure of nano-SmMn2O5/Mn2O3 (SMM) coated on porous g-C3N4 (CN) nanosheets was developed via coupling strategy as potential “nano reservoir” in electrochemical hydrogen storage field. First, rational nanoscale interfacial engineering of binary SMM nanostructures was done by one-step auto-combustion method, in which amino acid types and the ratio of serine:Sm3+ cations are changed. Through structural and morphological evaluations, optimized samples having a molar ratio of Sm3+:serine = 1:4 exhibited mixed-phases of orthorhombic SmMn2O5 (89.9%) and cubic Mn2O3 (10.1%) structures as a ultrasmall particle network ranging from 22.03 to 94.70 nm. Additionally, assembling various amounts of SMM nanoarchitecture over CN nanosheets was controlled on electrochemical hydrogen storage features in 2.0 M KOH electrolyte. Impressively, loading 10% SMM to CN substrate depicted considerable discharge capacity of 1858.61 mAh g−1 at 15th cycle at constant current of 1 mA, in which capacity value is 9.2 times more than that of sole SMM.

Pathological Changes and Sodium Rhodizonate Test as Tools for Investigating Gunshot Wounds in Veterinary Forensic Pathology.

Gunshot wound morphology and gunshot residues (GSRs) evaluation have been poorly investigated in veterinary forensic pathology. The aims of the present study were to assess the gunshot wound morphology in animals and evaluate the detectability of lead deriving from GSRs using colorimetric techniques. To these aims, cadavers were divided into four different groups. Group A comprised eight animals who died from firearm-related injuries, while groups B and C included dog limbs shot using different shooting ranges; group D comprised dog limbs stabbed with a screwdriver. Morphological analysis was performed on all entry gunshot wounds. Lead residues were investigated using a Bullet Hole Testing Kit (BTK) and Rhodizonate Sodium histochemical staining (NaR-s). Gunshot wounds in group A showed an abrasion ring associated with hemorrhages and tissue necrosis. Groups B and C showed injuries related to the shooting range. NaR-s showed positive results in both animals that died from gunshot wounds and experimentally shot limbs. However, the number of positive cases and the pattern of lead distribution varied with the shooting range. Positive results by BTK were limited to close-contact shots in group B limbs. Our results suggest that both pathological examination and NaR tests represent valid tools for investigating gunshot wounds in veterinary pathology.

Cold Coastal City Neighborhood Morphology Design Method Based on Multi-Objective Optimization Simulation Analysis

In the context of global warming and the frequent occurrence of extreme weather, coastal cities are more susceptible to the heat island effect and localized microclimate problems due to the significant influence of the oceanic climate. This study proposes a computer-driven simulation optimization method based on a multi-objective optimization algorithm, combined with tools such as Grasshopper, Ladybug, Honeybee and Wallacei, to provide scientific optimization decision intervals for morphology control and evaluation factors at the initial stage of coastal city block design. The effectiveness of this optimization strategy is verified through empirical research on typical coastal neighborhoods in Dalian. The results show that the strategy derived from the multi-objective optimization-based evaluation significantly improves the wind environment and thermal comfort of Dalian neighborhoods in winter and summer: the optimization reduced the average wind speed inside the block by 0.47 m/s and increased the UTCI by 0.48 °C in winter, and it increased the wind speed to 1.5 m/s and decreased the UTCI by 0.59 °C in summer. This study shows that the use of simulation assessment and multi-objective optimization technology to adjust the block form of coastal cities can effectively improve the seasonal wind and heat environment and provide a scientific basis for the design and renewal of coastal cities.

The possible connection between neutrophil-to-high-density lipoprotein ratio and cerebral perfusion in clinically established corticobasal syndrome: a pilot study.

Progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS) are tauopathic atypical parkinsonisms. Given their overlap in terms of clinical manifestation, there is growing interest in the mechanisms leading to these entities. In total, 71 patients were included in the study, 19 of whom were clinically diagnosed with CBS, 37 with PSP, and 15 with Parkinson's disease (PD). The mean ages of the participants were 72.8, 72.9, and 64.0 years, respectively, and the disease duration varied from 3 to 6 years. Each individual underwent blood collection. Morphological and biochemical evaluation of blood samples was performed to analyze the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-high-density lipoprotein ratio (NHR). A single-photon emission computed tomography (SPECT) with technetium-99m hexamethylpropyleneamine oxime (99Tc-HMPAO) tracer was used to assess perfusion in two regions of interest (ROI): the thalamus and insula. Using Pearson correlation to assess the linear relationship between NHR and perfusion in the insula and thalamus for CBS, PSP, and PD patients, the authors intended to verify possible correlations between NLR, PLR, and NHR and perfusion in the indicated ROIs. The study revealed a negative linear correlation between NHR and perfusion of both the left (Insula L; R = -0.59) and right (Insula R; R = -0.58) insula regions. Similar to the insula, a linear correlation between NHR and activity in both the left (Thalamus L) and right (Thalamus R) thalamus regions in CBS subjects with a relatively stronger correlation in the right thalamus (R = -0.64 vs. R = -0.58) was found. These observations were not confirmed in PSP and PD patients. Simultaneously using non-specific parameters for peripheral inflammation (NLR, PLR, and NHR) and perfusion, SPECT may be an interesting beginning point for further analysis of inflammatory disease mechanisms. To the best of our knowledge, this is the first study to address the potential correlation between the peripheral neuroinflammatory markers NLR, PLR, and NHR and perfusion disturbances in particular ROIs.

A Combination of Cell Findings Improves the Accuracy of Voided Urine Cytology

Abstract Introduction: Urine cytology is a morphological diagnostic test that is, patient-friendly and easy to sample but subjective in morphological evaluation. This study aims to evaluate the effect of combining cell findings to assess urine cytology. Materials and Methods: Thirty cell findings found in high-grade urothelial carcinoma (HGUC) were selected for morphological abnormalities, each with detailed definitions. All 66 HGUC and 30 benign cases were examined for morphological abnormalities. The number of cases with at least one abnormal cell finding deviating from normal cells was used. The HGUC and benign cases were compared using significance difference tests. Using the cell findings extracted by the exact tests, discriminant analysis was performed to determine the valid cell findings for HGUC diagnosis. Results: There was a difference in the detection rate of abnormal findings between HGUC and benign cases. Additionally, 20 cell findings were detected significantly more frequently in patients with HGUC. Furthermore, the discriminant analysis revealed that six cellular findings (high nucleus-to-cytoplasm ratio, hyperchromasia, eccentric nuclei, nuclear protrusion, unevenly distributed chromatin, and irregular nuclear shape) showed high accuracy in confirming the diagnosis of HGUC. Conclusions: Five- to six-cell findings were individually valid; however, the combination of cell findings is crucial for an objective and accurate diagnosis of HGUC.

Survival prediction of colorectal liver metastases underwent surgical resection after neoadjuvant chemotherapy: Tumor response combined with the genetic and morphological evaluation score

IntroductionNeoadjuvant chemotherapy is becoming routine for colorectal liver metastasis (CRLM) in patients with high risks of recurrence or in whom resection is difficult. This retrospective study aimed to establish a modified survival prediction model for patients with CRLM who underwent hepatectomy after neoadjuvant chemotherapy. Materials and methodsA total of 619 patients who received neoadjuvant chemotherapy followed by hepatectomy between 2006 and 2021 were included and divided into training and validation groups at a ratio of 2:1. The model was established in training group and validated in validation group. Chemotherapy response was integrated into the genetic and morphological evaluation (GAME) score as a new NeoGAME model, with assigned points based on the hazard ratio in the multivariate Cox regression. The NeoGAME score grouping cutoff was divided using X-tile, and the predictive power was compared with that of traditional models. ResultsThe 5-year overall survival were significantly different in the NeoGAME low-risk (0–2 points), medium-risk (3–4 points) and high-risk (≥5 points) groups (training group, P < 0.001; validation group, P = 0.0012). The area under the curve in predicting 5-year survival was 0.67 and 0.66 for the training and validation groups, respectively. Time-dependent receiver operating characteristic curve showed better discrimination ability of NeoGAME than the GAME score in predicting 5-year survival. ConclusionsThe newly established NeoGAME score can predict survival more precisely for patients with CRLM receiving neoadjuvant chemotherapy. Moreover, the model offers a useful tool for assessing tumor behavior and selecting a benefiting population for liver resection.

Harnessing deep learning and statistical shape modelling for three-dimensional evaluation of joint bony morphology.

Harnessing deep learning and statistical shape modelling for three-dimensional evaluation of joint bony morphology.