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故障诊断 7

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Biosensor-based assay of exosome biomarker for early diagnosis of cancer

《医学前沿（英文）》 2022年第16卷第2期页码 157-175 doi: 10.1007/s11684-021-0884-z

摘要： Cancer imposes a severe threat to people’s health and lives, thus pressing a huge medical and economic burden on individuals and communities. Therefore, early diagnosis of cancer is indispensable in the timely prevention and effective treatment for patients. Exosome has recently become an attractive cancer biomarker in noninvasive early diagnosis because of the unique physiology and pathology functions, which reflects remarkable information regarding the cancer microenvironment, and plays an important role in the occurrence and evolution of cancer. Meanwhile, biosensors have gained great attention for the detection of exosomes due to their superior properties, such as convenient operation, real-time readout, high sensitivity, and remarkable specificity, suggesting promising biomedical applications in the early diagnosis of cancer. In this review, the latest advances of biosensors regarding the assay of exosomes were summarized, and the superiorities of exosomes as markers for the early diagnosis of cancer were evaluated. Moreover, the recent challenges and further opportunities of developing effective biosensors for the early diagnosis of cancer were discussed.

关键词： biosensor exosome cancer diagnosis

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Glyco-functionalised quantum dots and their progress in cancer diagnosis and treatment

Jayshree Ashree, Qi Wang, Yimin Chao

《化学科学与工程前沿（英文）》 2020年第14卷第3期页码 365-377 doi: 10.1007/s11705-019-1863-7

摘要： Despite all major breakthroughs in recent years of research, we are still unsuccessful to effectively diagnose and treat cancer that has express and metastasizes. Thus, the development of a novel approach for cancer detection and treatment is crucial. Recent progress in Glyconanotechnology has allowed the use of glycans and lectins as bio-functional molecules for many biological and biomedical applications. With the known advantages of quantum dots (QDs) and versatility of carbohydrates and lectins, Glyco-functionalised QD is a new prospect in constructing biomedical imaging platform for cancer behaviour study as well as treatment. In this review, we aim to describe the current utilisation of Glyco-functionalised QDs as well as their future prospective to interpret and confront cancer.

关键词： carbohydrate leptin glyco-functionalised QD bioimaging cancer diagnosis and treatment

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Exploring the diagnosis markers for gallbladder cancer based on clinical data

null

《医学前沿（英文）》 2015年第9卷第3期页码 350-355 doi: 10.1007/s11684-015-0402-2

摘要：

Presently, no effective markers are available to facilitate gallbladder cancer (GBC) diagnosis. This study aims to explore available markers for GBC diagnosis. Clinical data of 144 GBC and 116 cholelithiasis patients were retrospectively reviewed. Logistic regression analysis was performed to evaluate GBC risk factors. A receiver operating characteristic (ROC) curve was used to assess the diagnosis value of the risk factors. By comparing the characteristic of GBC and cholelithiasis patients, the following factors exhibited statistical difference: age, gender, gallstones, total bilirubin (TB), alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), platelet count (PLT), CA125 (carcinoembryonic antigen 125), and CA199 (carbohydrate antigen 199). Logistic regression analysis indicated that age [odds ratio (OR), 1.032; 95% confidence interval (95% CI), 1.004 to 1.061; P = 0.024], gender (OR, 0.346; 95% CI, 0.167 to 0.716; P = 0.004), gallstones (OR, 0.027; 95% CI, 0.007 to 0.095; P<0.001), ALP (OR, 1.003; 95% CI, 1.000 to 1.006; P = 0.032), TB (OR, 1.004; 95% CI, 1.000 to 1.009; P = 0.042), and CA125 (OR, 1.007; 95% CI, 1.002 to 1.013; P = 0.011) were independent risk factors for GBC. According to the ROC curve, CA125 [area under curve (AUC), 0.720], ALP (AUC, 0.713), TB (AUC, 0.636), and age (AUC, 0.573) were valuable diagnosis markers. Additionally, based on the independent risk factors, the GBC diagnosis model was established. Age, TB, ALP, and CA125 can be used as auxiliary diagnosis factors of GBC. The diagnosis model provides a quantitative tool for GBC diagnosis when comprehensively considering various risk factors.

关键词： marker gallbladder cancer diagnosis

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Molecular classification of non-small-cell lung cancer: diagnosis, individualized treatment, and prognosis

null

《医学前沿（英文）》 2013年第7卷第2期页码 157-171 doi: 10.1007/s11684-013-0272-4

摘要：

Non-small-cell lung cancer (NSCLC) is the most common cause of premature death among the malignant diseases worldwide. The current staging criteria do not fully capture the complexity of this disease. Molecular biology techniques, particularly gene expression microarrays, proteomics, and next-generation sequencing, have recently been developed to facilitate effectively its molecular classification. The underlying etiology, pathogenesis, therapeutics, and prognosis of NSCLC based on an improved molecular classification scheme may promote individualized treatment and improve clinical outcomes. This review focuses on the molecular classification of NSCLC based on gene expression microarray technology reported during the past decade, as well as their applications for improving the diagnosis, staging and treatment of NSCLC, including the discovery of prognostic markers or potential therapeutic targets. We highlight some of the recent studies that may refine the identification of NSCLC subtypes using novel techniques such as epigenetics, proteomics, or deep sequencing.

关键词： non-small-cell lung cancer molecular typing individualized medicine molecular-targeted therapy gene expression profiling

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Design and evaluation of a novel biopsy needle with hemostatic function

《机械工程前沿（英文）》 2023年第18卷第2期 doi: 10.1007/s11465-022-0738-7

摘要： Biopsy is a method commonly used for early cancer diagnosis. However, bleeding complications of widely available biopsy are risky for patients. Safer biopsy will result in a more accurate cancer diagnosis and a decrease in the risk of complications. In this article, we propose a novel biopsy needle that can reduce bleeding during biopsy procedures and achieve stable hemostasis. The proposed biopsy needle features a compact structure and can be operated easily by left and right hands. A predictive model for puncture force and tip deflection based on coupled Eulerian–Lagrangian (CEL) method is developed. Experimental results show that the biopsy needle can smoothly deliver the gelatin sponge hemostatic plug into the tissue. Although the hemostatic plug bends, the overall delivery process is stable, and the hemostatic plug retains in the tissue without being affected by the withdrawal of the needle. Further experiments indicate that the specimens are well obtained and evenly distributed in the groove of the outer needle without scattering. Our proposed design of biopsy needle possesses strong ability of hemostasis, tissue cutting, and tissue retention. The CEL model accurately predicts the peak of puncture force and produces close estimation of the insertion force at the postpuncture stage and tip position.

关键词： cancer diagnosis biopsy needle hemostatic function predictive model coupled Eulerian−Lagrangian

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纳米技术和纳米医学——肺癌诊断和治疗的希望之路 Review

尹伟, 潘峰, 朱俊杰, 徐军武, Diego Gonzalez-Rivas, Meinoshin Okumura, 唐志勇, 杨洋

《工程（英文）》 2021年第7卷第11期页码 1577-1585 doi: 10.1016/j.eng.2020.04.017

摘要：

肺癌是全球最常见的癌症，五年总生存率非常低。肺癌的常规诊断和治疗策略具有内在局限性，这就推动了纳米技术和纳米医学方法的发展，以提高早期诊断率并开发更有效、更安全的肺癌治疗方案。癌症纳米医学旨在根据每个患者独特的生理和病理特征（在基因组和蛋白质组水平上）来制定药物递送、诊断和治疗方案，在该领域引起广泛关注。尽管纳米医学技术在肺癌的科学研究中获得成功应用，但由于对纳米技术与生物学之间的相互作用知之甚少，以及毒理学、药理学、免疫学和纳米颗粒的大规模制造等方面的挑战，使得纳米医学方法的临床转化仍然具有挑战性。在本文中，我们强调了用于肺癌治疗的纳米医学的发展和机遇，并展望了该领域的前景，以及讨论了其在临床转化中面临的挑战。

关键词：纳米医学肺癌诊断，治疗

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Environmental pollution and DNA methylation: carcinogenesis, clinical significance, and practical applications

null

《医学前沿（英文）》 2015年第9卷第3期页码 261-274 doi: 10.1007/s11684-015-0406-y

摘要：

Environmental pollution is one of the main causes of human cancer. Exposures to environmental carcinogens result in genetic and epigenetic alterations which induce cell transformation. Epigenetic changes caused by environmental pollution play important roles in the development and progression of environmental pollution-related cancers. Studies on DNA methylation are among the earliest and most conducted epigenetic research linked to cancer. In this review, the roles of DNA methylation in carcinogenesis and their significance in clinical medicine were summarized, and the effects of environmental pollutants, particularly air pollutants, on DNA methylation were introduced. Furthermore, prospective applications of DNA methylation to environmental pollution detection and cancer prevention were discussed.

关键词： environmental pollution DNA methylation cancer biomarker diagnosis therapy prevention

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Midline2 is overexpressed and a prognostic indicator in human breast cancer and promotes breast cancer

《医学前沿（英文）》 2021年第15卷第6期页码 942-942 doi: 10.1007/s11684-021-0876-z

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Laboratory diagnosis for malaria in the elimination phase in China: efforts and challenges

《医学前沿（英文）》 2022年第16卷第1期页码 10-16 doi: 10.1007/s11684-021-0889-7

摘要： Malaria remains a global health challenge, although an increasing number of countries will enter pre-elimination and elimination stages. The prompt and precise diagnosis of symptomatic and asymptomatic carriers of Plasmodium parasites is the key aspect of malaria elimination. Since the launch of the China Malaria Elimination Action Plan in 2010, China has formulated clear goals for malaria diagnosis and has established a network of malaria diagnostic laboratories within medical and health institutions at all levels. Various external quality assessments were implemented, and a national malaria diagnosis reference laboratory network was established to strengthen the quality assurance in malaria diagnosis. Notably, no indigenous malaria cases have been reported since 2017, but the risk of re-establishment of malaria transmission cannot be ignored. This review summarizes the lessons about malaria diagnosis in the elimination phase, primarily including the establishments of laboratory networks and quality control in China, to better improve malaria diagnosis and maintain a malaria-free status. A reference is also provided for countries experiencing malaria elimination.

关键词： malaria laboratory diagnosis quality control malaria elimination China

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Tomographic diagnosis of defects in hydraulic concrete structure

ZHAO Mingjie, XU Xibin

《结构与土木工程前沿（英文）》 2008年第2卷第3期页码 226-232 doi: 10.1007/s11709-008-0027-5

摘要： The ultrasonic tomographic technology is applied to diagnose the defects in hydraulic concrete structure. In order to improve the precision of diagnoses, the wavelet transformation is used in the processing of ultrasonic signals. The influences of water, scale and orientation of defect, processing methods and theoretical model on image resolution are investigated. The experimental results indicate that the result of the tomographic diagnosis of a single defect is sensitive and the boundary can be clearly determined. However, the image resolution of multiple defects is not satisfactory. The water content and scale of a defect may significantly affect the imaging resolution. Defects with the orientation perpendicular to the direction of the diagnosis may have higher precision in diagnosing. The wavelet transformation technology can elevate the imaging resolution. The applied calculation model plays a very important role in improving the accuracy of detection.

关键词： satisfactory processing orientation tomographic diagnosis orientation perpendicular

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convolutional tree-inspired network: a decision-tree-structured neural network for hierarchical fault diagnosis

《机械工程前沿（英文）》 2021年第16卷第4期页码 814-828 doi: 10.1007/s11465-021-0650-6

摘要： The fault diagnosis of bearings is crucial in ensuring the reliability of rotating machinery. Deep neural networks have provided unprecedented opportunities to condition monitoring from a new perspective due to the powerful ability in learning fault-related knowledge. However, the inexplicability and low generalization ability of fault diagnosis models still bar them from the application. To address this issue, this paper explores a decision-tree-structured neural network, that is, the deep convolutional tree-inspired network (DCTN), for the hierarchical fault diagnosis of bearings. The proposed model effectively integrates the advantages of convolutional neural network (CNN) and decision tree methods by rebuilding the output decision layer of CNN according to the hierarchical structural characteristics of the decision tree, which is by no means a simple combination of the two models. The proposed DCTN model has unique advantages in 1) the hierarchical structure that can support more accuracy and comprehensive fault diagnosis, 2) the better interpretability of the model output with hierarchical decision making, and 3) more powerful generalization capabilities for the samples across fault severities. The multiclass fault diagnosis case and cross-severity fault diagnosis case are executed on a multicondition aeronautical bearing test rig. Experimental results can fully demonstrate the feasibility and superiority of the proposed method.

关键词： bearing cross-severity fault diagnosis hierarchical fault diagnosis convolutional neural network decision tree

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Method for solving the nonlinear inverse problem in gas face seal diagnosis based on surrogate models

《机械工程前沿（英文）》 2022年第17卷第3期 doi: 10.1007/s11465-022-0689-z

摘要： Physical models carry quantitative and explainable expert knowledge. However, they have not been introduced into gas face seal diagnosis tasks because of the unacceptable computational cost of inferring the input fault parameters for the observed output or solving the inverse problem of the physical model. The presented work develops a surrogate-model-assisted method for solving the nonlinear inverse problem in limited physical model evaluations. The method prepares a small initial database on sites generated with a Latin hypercube design and then performs an iterative routine that benefits from the rapidity of the surrogate models and the reliability of the physical model. The method is validated on simulated and experimental cases. Results demonstrate that the method can effectively identify the parameters that induce the abnormal signal output with limited physical model evaluations. The presented work provides a quantitative, explainable, and feasible approach for identifying the cause of gas face seal contact. It is also applicable to mechanical devices that face similar difficulties.

关键词： surrogate model gas face seal fault diagnosis nonlinear dynamics tribology

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Machine learning for fault diagnosis of high-speed train traction systems: A review

《工程管理前沿（英文）》 doi: 10.1007/s42524-023-0256-2

摘要： High-speed trains (HSTs) have the advantages of comfort, efficiency, and convenience and have gradually become the mainstream means of transportation. As the operating scale of HSTs continues to increase, ensuring their safety and reliability has become more imperative. As the core component of HST, the reliability of the traction system has a substantially influence on the train. During the long-term operation of HSTs, the core components of the traction system will inevitably experience different degrees of performance degradation and cause various failures, thus threatening the running safety of the train. Therefore, performing fault monitoring and diagnosis on the traction system of the HST is necessary. In recent years, machine learning has been widely used in various pattern recognition tasks and has demonstrated an excellent performance in traction system fault diagnosis. Machine learning has made considerably advancements in traction system fault diagnosis; however, a comprehensive systematic review is still lacking in this field. This paper primarily aims to review the research and application of machine learning in the field of traction system fault diagnosis and assumes the future development blueprint. First, the structure and function of the HST traction system are briefly introduced. Then, the research and application of machine learning in traction system fault diagnosis are comprehensively and systematically reviewed. Finally, the challenges for accurate fault diagnosis under actual operating conditions are revealed, and the future research trends of machine learning in traction systems are discussed.

关键词： high-speed train traction systems machine learning fault diagnosis

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Progress and challenges in RET-targeted cancer therapy

《医学前沿（英文）》 2023年第17卷第2期页码 207-219 doi: 10.1007/s11684-023-0985-y

摘要： The rearranged during transfection (RET) is a receptor protein tyrosine kinase. Oncogenic RET fusions or mutations are found most often in non-small cell lung cancer (NSCLC) and in thyroid cancer, but also increasingly in various types of cancers at low rates. In the last few years, two potent and selective RET protein tyrosine kinase inhibitors (TKIs), pralsetinib (BLU-667) and selpercatinib (LOXO-292, LY3527723) were developed and received regulatory approval. Although pralsetinib and selpercatinib gave high overall response rates (ORRs), < 10% of patients achieved a complete response (CR). The RET TKI-tolerated residual tumors inevitably develop resistance by secondary target mutations, acquired alternative oncogenes, or MET amplification. RET G810 mutations located at the kinase solvent front site were identified as the major on-target mechanism of acquired resistance to both selpercatinib and pralsetinib. Several next-generation of RET TKIs capable of inhibiting the selpercatinib/pralsetinib-resistant RET mutants have progressed to clinical trials. However, it is likely that new TKI-adapted RET mutations will emerge to cause resistance to these next-generation of RET TKIs. Solving the problem requires a better understanding of the multiple mechanisms that support the RET TKI-tolerated persisters to identify a converging point of vulnerability to devise an effective co-treatment to eliminate the residual tumors.

关键词： pralsetinib selpercatinib RET-alteration lung cancer thyroid cancer tumor-agnostic therapy drug resistance

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Epithelial-to-mesenchymal transition in cancer: complexity and opportunities

Yun Zhang, Robert A. Weinberg

《医学前沿（英文）》 2018年第12卷第4期页码 361-373 doi: 10.1007/s11684-018-0656-6

摘要：

The cell-biological program termed the epithelial-to-mesenchymal transition (EMT) plays an important role in both development and cancer progression. Depending on the contextual signals and intracellular gene circuits of a particular cell, this program can drive fully epithelial cells to enter into a series of phenotypic states arrayed along the epithelial-mesenchymal phenotypic axis. These cell states display distinctive cellular characteristics, including stemness, invasiveness, drug-resistance and the ability to form metastases at distant organs, and thereby contribute to cancer metastasis and relapse. Currently we still lack a coherent overview of the molecular and biochemical mechanisms inducing cells to enter various states along the epithelial-mesenchymal phenotypic spectrum. An improved understanding of the dynamic and plastic nature of the EMT program has the potential to yield novel therapies targeting this cellular program that may aid in the management of high-grade malignancies.

关键词： epithelial-to-mesenchymal transition cancer metastasis cancer stem cell