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Advances in managing hepatocellular carcinoma

null

《医学前沿（英文）》 2014年 第8卷 第2期   页码 175-189 doi: 10.1007/s11684-014-0332-4

摘要：

Multiple modalities for treatment of hepatocellular carcinoma are available, depending on tumor size and number. Surgical resection remains the gold standard, so long as the residual liver function reserve is sufficient. In patients with advanced cirrhosis, liver transplantation is the preferred option, as these patients may not have adequate hepatic reserve after resection. Salvage liver transplantation has also become an option for a select few patients who recur after surgical resection. Ablative techniques have been used for palliation as well as to either completely destroy the tumor, act as an adjunct to resection, or downstage the tumor to meet Milan criteria such that a patient may be a candidate for liver transplantation. Radiofrequency ablation, microwave ablation, chemoembolization, radioembolization, and irreversible electroporation have all been used in this capacity. Currently, sorafenib is the only US Food and Drug Administration-approved chemotherapeutic for hepatocellular carcinoma. The efficacy of sorafenib, in combination with other agents, transarterial chemoembolization, and surgical resection is currently being investigated. Sunitinib and brivanib, tyrosine kinase inhibitors, have failed as potential first- or second-line options for chemotherapy. Bevacizumab in combination with erlotinib is also currently being studied. Final analysis for ramucirumab and axitinib are pending. Tivantinib, a selective mesenchymal-epithelial transition factor (MET) inhibitor, is also undergoing clinical trials for efficacy in MET-high tumors. This review serves to emphasize the current and new technologies emerging in the treatment of hepatocellular carcinoma.

关键词： hepatocellular carcinoma     radiofrequency ablation     microwave ablation     chemoembolization     radioembolization     sorafenib     irreversible electroporation    

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Towards the optimization of management of hepatocellular carcinoma

Xi Feng, Madhava Pai, Malkhaz Mizandari, Tinatin Chikovani, Duncan Spalding, Long Jiao, Nagy Habib

《医学前沿（英文）》 2011年 第5卷 第3期   页码 271-276 doi: 10.1007/s11684-011-0148-4

摘要： Hepatocellular carcinoma (HCC) is the fifth most common neoplasm in the world, closely correlated with viral hepatitis and liver cirrhosis. The vast majority of HCC patients present at a late stage and are unsuitable for surgery due to limited liver functional reserve. Tumors can involve major vessels or hilar structures, necessitating major liver resection and/or rendering liver resection unfeasible. A series of new technologies have been developed to optimise HCC management. Stem cell therapy improves impaired liver functional reserve prior to liver resection. Intravascular radiofrequency ablation recanalises the portal vein invaded by tumour thrombus and endobiliary radiofrequency ablation restores and extends biliary patency of the bile duct invaded by malignancy. Laparoscopic radiofrequency assisted liver resection minimizes blood loss and avoids liver warm ischemia, while increasing parenchymal sparing. These benefits combined maximize the safety of liver resection.

关键词： management     hepatocellular carcinoma (HCC)     radiofrequency (RF) ablation     laparoscopic liver resection     stem cell     intravascular RF ablation     endobiliary RF ablation    

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Laser ablation of block copolymers with hydrogen-bonded azobenzene derivatives

Jintang Huang, Youju Huang, Si Wu

《化学科学与工程前沿（英文）》 2018年 第12卷 第3期   页码 450-456 doi: 10.1007/s11705-018-1735-6

摘要：

Supramolecular assemblies (PS-b-P4VP(AzoR)) are fabricated by hydrogen-bonding azobenzene derivatives (AzoR) to poly(4-vinyl pyridine) blocks of polystyrene-block-poly(4-vinyl pyridine) (PS-b-P4VP). PS-b-P4VP(AzoR) forms phase separated nanostructures with a period of ~75–105 nm. A second length scale structure with a period of 2 µm is fabricated on phase separated PS-b-P4VP(AzoR) by laser interference ablation. Both the concentration and the substituent of AzoR in PS-b-P4VP(AzoR) affect the laser ablation process. The laser ablation threshold of PS-b-P4VP(AzoR) decreases as the concentration of AzoR increases. In PS-b-P4VP(AzoR) with different substituents (R= CN, H, and CH3), ablation thresholds follow the trend: PS-b-P4VP(AzoCN)<PS-b-P4VP(AzoCH3)<PS-b-P4VP(AzoH). This result indicates that the electron donor group (CH3) and the electron acceptor group (CN) can lower the ablation threshold of PS-b-P4VP(AzoR).

关键词： laser ablation     block copolymers     hydrogen-bond     azobenzene derivatives     supramolecular assembly    

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High-intensity focused ultrasound tumor ablation: Review of ten years of clinical experience

Lian ZHANG, Zhi-Biao WANG

《医学前沿（英文）》 2010年 第4卷 第3期   页码 294-302 doi: 10.1007/s11684-010-0092-8

摘要： High-intensity focused ultrasound (HIFU) is a technique to destroy tissue at depth within the body, selectively and without harming overlying and adjacent structures within the path of the beam because the ultrasonic intensity at the beam focus is much higher than that outside of the focus. Diagnostic ultrasound is the first imaging modality used for guiding HIFU ablation. In 1997, a patient with osteosarcoma was first successfully treated with ultrasound imaging-guided HIFU in Chongqing, China. Over the last decade, thousands of patients with uterine fibroids, liver cancer, breast cancer, pancreatic cancer, bone tumors, and renal cancer have been treated with ultrasound imaging-guided HIFU. Based on several research groups’ reports, as well as our ten-year clinical experience, we conclude that this technique is safe and effective in treating human solid tumors. HIFU is a promising technique. Most importantly, HIFU offers patients another alternative when those patients have no other treatment available.

关键词： high-intensity focused ultrasound (HIFU)     ultrasound imaging-guided HIFU (USgHIFU)     magnetic resonance imaging-guided HIFU (MRgHIFU)    

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Immune response triggered by the ablation of hepatocellular carcinoma with nanosecond pulsed electric

Jianpeng Liu, Xinhua Chen, Shusen Zheng

《医学前沿（英文）》 2021年 第15卷 第2期   页码 170-177 doi: 10.1007/s11684-020-0747-z

摘要： Nanosecond pulsed electric field (nsPEF) is a novel, nonthermal, and minimally invasive modality that can ablate solid tumors by inducing apoptosis. Recent animal experiments show that nsPEF can induce the immunogenic cell death of hepatocellular carcinoma (HCC) and stimulate the host’s immune response to kill residual tumor cells and decrease distant metastatic tumors. nsPEF-induced immunity is of great clinical importance because the nonthermal ablation may enhance the immune memory, which can prevent HCC recurrence and metastasis. This review summarized the most advanced research on the effect of nsPEF. The possible mechanisms of how locoregional nsPEF ablation enhances the systemic anticancer immune responses were illustrated. nsPEF stimulates the host immune system to boost stimulation and prevail suppression. Also, nsPEF increases the dendritic cell loading and inhibits the regulatory responses, thereby improving immune stimulation and limiting immunosuppression in HCC-bearing hosts. Therefore, nsPEF has excellent potential for HCC treatment.

关键词： nanosecond pulsed electric fields (nsPEF)     hepatocellular carcinoma (HCC)     immune response     recurrence     metastasis    

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Decomposition of perfluorooctanoic acid by microwave-activated persulfate: Effects of temperature, pH

Yuchi LEE, Shanglien LO, Jeff KUO, Chinghong HSIEH

《环境科学与工程前沿（英文）》 2012年 第6卷 第1期   页码 17-25 doi: 10.1007/s11783-011-0371-x

摘要： Microwave-hydrothermal treatment of persistent and bioaccumulative perfluorooctanoic acid (PFOA) in water with persulfate ( ) has been found effective. However, applications of this process to effectively remediate PFOA pollution require a better understanding on free-radical scavenging reactions that also take place. The objectives of this study were to investigate the effects of pH (pH= 2.5, 6.6, 8.8, and 10.5), chloride concentrations (0.01–0.15 mol·L ), and temperature (60°C, 90°C, and 130°C) on persulfate oxidation of PFOA under microwave irradiation. Maximum PFOA degradation occurred at pH 2.5, while little or no degradation at pH 10.5. Lowering system pH resulted in an increase in PFOA degradation rate. Both high pH and chloride concentrations would result in more scavenging of sulfate free radicals and slow down PFOA degradation. When chloride concentrations were less than 0.04 mol·L at 90°C and 0.06 mol·L at 60°C, presence of chloride ions had insignificant impacts on PFOA degradation. However, beyond these concentration levels, PFOA degradation rates reduced significantly with an increase in chloride concentrations, especially under the higher temperature.

关键词： microwave     perfluorooctanoic acid     pH     persulfate     chloride ions     perfluorocarboxylic acids    

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Study on the microwave-assisted extraction of polyphenols from tea

Liyun WANG, Peiyong QIN, Yan HU,

《化学科学与工程前沿（英文）》 2010年 第4卷 第3期   页码 307-313 doi: 10.1007/s11705-009-0282-6

摘要： This study demonstrated a promising method for quickly extracting tea polyphenol (TP) by microwave-assisted extraction (MAE) technology. Some influential parameters, including MAE temperature, microwave power, concentration of extraction solvent, MAE time and the solid/liquid ratio, were investigated. The optimum condition of MAE was obtained by dual extraction with 60% ethanol (v/v) and the solid/liquid ratio 1:12 g/mL at 80°C for 10 minutes under the microwave power 600 W. The yield of TP was 96.5% under the described condition. Compared with traditional methods, including hot reflux extraction (HRE), ultrasound-assisted extraction (UAE) and supercritical fluid extraction (SFE), the extraction time was saved 8 times than that of HRE, and the yield was increased by 17.5%. The extraction time at comparable levels of production was saved 2 times, and the energy consumption was one fourth that of UAE. The extraction time was saved 5 times than that of SFE, and the yield of TP was increased by 40%. Moreover, compared with MAE of TP studied by others, it decreased the solid/liquid ratio from 1 ∶ 20 to 1 ∶ 12 g/mL without 90-min pre-leaching time, and the yield of TP was increased by 6%–40%.

关键词： energy consumption     microwave-assisted extraction     optimum condition     pre-leaching     concentration    

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Characterisation of a microwave induced plasma torch for glass surface modification

Adam BENNETT, Nan YU, Fengzhou FANG, Marco CASTELLI, Guoda CHEN, Alessio BALLERI, Takuya URAYAMA

《机械工程前沿（英文）》 2021年 第16卷 第1期   页码 122-132 doi: 10.1007/s11465-020-0603-5

摘要： Microwave induced plasma torches find wide applications in material and chemical analysis. Investigation of a coaxial electrode microwave induced plasma (CE–MIP) torch is conducted in this study, making it available for glass surface modification and polishing. A dedicated nozzle is designed to inject secondary gases into the main plasma jet. This study details the adaptation of a characterisation process for CE–MIP technology. Microwave spectrum analysis is used to create a polar plot of the microwave energy being emitted from the coaxial electrode, where the microwave energy couples with the gas to generate the plasma jet. Optical emission spectroscopy analysis is also employed to create spatial maps of the photonic intensity distribution within the plasma jet when different additional gases are injected into it. The CE–MIP torch is experimentally tested for surface energy modification on glass where it creates a super-hydrophilic surface.

关键词： microwave induced plasma     spectrum analysis     surface modification    

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Soybean drying characteristics in microwave rotary dryer with forced convection

Ruifang WANG, Zhanyong LI, Yanhua LI, Jingsheng YE

《化学科学与工程前沿（英文）》 2009年 第3卷 第3期   页码 289-292 doi: 10.1007/s11705-009-0022-y

摘要： A new hybrid drying technique by combining microwave and forced convection drying within a rotary drum, i.e., microwave rotary drying, was developed with the purpose to improve the uniformity of microwave drying. In a laboratory microwave rotary dryer, rewetted soybean was utilized as experimental material to study the effects of drum rotating speed, ventilation flow rate, and specific microwave power on the drying kinetics and cracking ratio of soybean. It was found that, with rotation, the cracking ratio can be lowered but without distinct improvement in the drying rate. Increasing ventilation flow rate and specific microwave power can improve the drying rate, but the cracking ratio also increases as a negative result. The cracking ratio lower than 10% can be attained for ventilation flow rate lower than 2.0 m ·h or specific microwave energy lower than 0.4 kW·kg in the present experiments.

关键词： cracking     microwave     rotary drying     soybean    

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Degradation of trace nitrobenzene in water by microwave-enhanced H

Honghu ZENG, Lanjing LU, Meina LIANG, Jie LIU, Yanghong LI

《环境科学与工程前沿（英文）》 2012年 第6卷 第4期   页码 477-483 doi: 10.1007/s11783-012-0395-x

摘要： To evaluate possible use of microwave-enhanced H O -based (MW/H O ) process to degrade trace nitrobenzene (NB) in water, a series of batch experiments were conducted. The results showed that 2450MHz microwave irradiation significantly enhanced oxidative decomposition of nitrobenzene (NB) in a H O system. About 90% NB was degraded by the MW/ H O process in 30 min. Moreover, the MW/ H O process could enhanced the oxidative degradation of NB even at relatively low temperature (50°C). When the initial concentration of NB was 300μg/L, the optimum ratio of H O to NB and MW power were 70 and 300 W respectively. The presence of humic acid significantly increased H O dosage. The ultraviolet absorbance at 254 nm (UV ) indicated degradation of NB was stepwise and some intermediates were produced. The gas chromatography-mass spectrometric (GC-MS) analysis showed that main intermediates were nitrophenolic and carbonyl compounds.

关键词： microwave     hydrogen peroxide     nitrobenzene     humic acid    

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Experimental and theoretical study of microwave enhanced catalytic hydrodesulfurization of thiophene

Hui Shang, Pengfei Ye, Yude Yue, Tianye Wang, Wenhui Zhang, Sainab Omar, Jiawei Wang

《化学科学与工程前沿（英文）》 2019年 第13卷 第4期   页码 744-758 doi: 10.1007/s11705-019-1839-7

摘要： Hydrodesulfurization (HDS) of thiophene, as a gasoline model oil, over an industrial Ni-Mo/Al O catalyst was investigated in a continuous system under microwave irradiation. The HDS efficiency was much higher (5%‒14%) under microwave irradiation than conventional heating. It was proved that the reaction was enhanced by both microwave thermal and non-thermal effects. Microwave selective heating caused hot spots inside the catalyst, thus improved the reaction rate. From the analysis of the non-thermal effect, the molecular collisions were significantly increased under microwave irradiation. However, instead of being reduced, the apparent activation energy increased. This may be due to the microwave treatment hindering the adsorption though upright S-bind (η ) and enhancing the parallel adsorption (η ), both adsorptions were considered to favor to the direct desulfurization route and the hydrogenation route respectively. Therefore, the HDS process was considered to proceed along the hydrogenation route under microwave irradiation.

关键词： thiophene     microwave irradiation     hydrodesulfurization     non-thermal microwave effect    

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Improved film evaporator for mechanistic understanding of microwave-induced separation process

Xin Gao, Dandan Shu, Xingang Li, Hong Li

《化学科学与工程前沿（英文）》 2019年 第13卷 第4期   页码 759-771 doi: 10.1007/s11705-019-1816-1

摘要： Microwave-induced film evaporation separation process has been reported recently to separate the polar/nonpolar mixture. However, the efficiency of the separation is still too low for practical applications, which requires further enhancement via different strategies such as optimization design of evaporator structure. In addition the depth understanding of the separation mechanisms is great importance for better utilization of the microwave-induced separation process. To carry out these investigations, a novel microwave-induced falling film evaporation instrument was developed in this paper. The improvement of the enhancement effect of microwave-induced separation was observed based on the improved film evaporator. The systematic experiments on microwave-induced separation with different binary azeotropic mixtures (ethanol-ethyl acetate system and dimethyl carbonate (DMC)-H O system) were conducted based on the new evaporator. For the ethanol-ethyl acetate system, microwave irradiation shift the direction of evaporation separation at higher ethanol content in the starting liquid mixture. Moreover, for DMC-H O system microwave-induced separation process broke through the limitations of the traditional distillation process. The results clearly demonstrated the microwave-induced evaporation separation process could be commendably applied to the separation of binary azeotrope with different dielectric properties. Effects of operating parameters are also investigated to trigger further mechanism understanding on the microwave-induced separation process.

关键词： process intensification     microwave     falling film evaporation     separation     azeotrope    

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Microwave enhanced stabilization of copper in artificially contaminated soil

Hua ZHANG, Zhiliang ZHU, Noboru YOSHIKAWA

《环境科学与工程前沿（英文）》 2011年 第5卷 第2期   页码 205-211 doi: 10.1007/s11783-010-0290-2

摘要： Microwave processing was used to stabilize copper ions in soil samples. Its effects on the stabilization efficiency were studied as a function of additive, microwave power, process time, and reaction atmosphere. The stabilization efficiency of the microwave process was evaluated based on the results of the toxicity characteristic leaching procedure (TCLP) test. The results showed that the optimal experimental condition contained a 700 W microwave power, 20 min process time and 3 iron wires as the additive, and that the highest stabilization efficiency level was more than 70%. In addition, the different reaction atmospheres showed no apparent effect on the stabilization efficiency of copper in the artificially contaminated soil. According to the result of the Tessier sequential extraction, the partial species of copper in the contaminated soil was deduced to transform from unstable species to stable states after the microwave process.

关键词： microwave     copper     stabilization    

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CuO/zeolite catalyzed oxidation of gaseous toluene under microwave heating

Longli BO, Jianbo LIAO, Yucai ZHANG, Xiaohui WANG, Quan YANG

《环境科学与工程前沿（英文）》 2013年 第7卷 第3期   页码 395-402 doi: 10.1007/s11783-012-0417-8

摘要： The development of a combined process of catalytic oxidation and microwave heating for treatment of toluene waste gas was described in this work. Toluene, a typical toxic volatile organic compound, was oxidized through a fixed bed reaction chamber containing zeolite-supported copper oxide (CuO/zeolite) catalyst mixed with silicon carbide (SiC), an excellent microwave-absorbing material. The target compound was efficiently degraded on the surface of the catalyst at high reaction temperature achieved by microwave-heated SiC. A set of experimental parameters, such as microwave power, air flow and the loading size of CuO etc., were investigated, respectively. The study demonstrated these parameters had critical impact on toluene degradation. Under optimal condition, 92% toluene was removed by this combined process, corresponding to an 80%–90% TOC removal rate. Furthermore, the catalyst was highly stable even after eight consecutive 6-h runs. At last, a hypothetical degradation pathway of toluene was proposed based on the experimental data obtained from gas chromatography-mass spectrum and Fourier transform infrared spectroscopy analyses.

关键词： microwave     catalytic oxidation     CuO/zeolite catalyst     silicon carbide (SiC)     toluene    

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Wastewater treatment by catalytic wet air oxidation process over Al-Fe pillared clays synthesized using microwave

Halima Sassi, Gwendoline Lafaye, Hédi Ben Amor, Abdelaziz Gannouni, Mohamed Razak Jeday, Jacques Barbier-Jr

《环境科学与工程前沿（英文）》 2018年 第12卷 第1期 doi: 10.1007/s11783-017-0971-1

摘要： Microwave irradiation has been used to prepare Al, Fe-pillared clays from a natural Tunisian smectite from the El Hicha deposit (province of Gabes). Chemical analysis, XRD spectra and surface properties evidenced the success of pillaring process. The obtained solids present higher surface area and pore volume than conventionally prepared Al-Fe pillared clays. The main advantages of the microwave methodology are the considerable reduction of the synthesis time and the consumption of water. The microwave-derived Al-Fe pillared clays have been tested for catalytic wet air oxidation (CWAO) of phenol in a stirred tank at 160°C and 20 bar of pure oxygen pressure. These materials are efficient for CWAO of phenol and are highly stable despite the severe operating conditions (acidic media, high pressure, high temperature). The catalyst deactivation was also significantly hindered when compared to conventionally prepared clays. Al-Fe pillared clays prepared by microwave methodology are promising as catalysts for CWAO industrial water treatment.

关键词： Water     Catalytic wet air oxidation     Pillared clays     Microwave     Phenol    

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标题 作者 时间 类型 操作

Advances in managing hepatocellular carcinoma

null

期刊论文

Towards the optimization of management of hepatocellular carcinoma

Xi Feng, Madhava Pai, Malkhaz Mizandari, Tinatin Chikovani, Duncan Spalding, Long Jiao, Nagy Habib

期刊论文

Laser ablation of block copolymers with hydrogen-bonded azobenzene derivatives

Jintang Huang, Youju Huang, Si Wu

期刊论文

High-intensity focused ultrasound tumor ablation: Review of ten years of clinical experience

Lian ZHANG, Zhi-Biao WANG

期刊论文

Immune response triggered by the ablation of hepatocellular carcinoma with nanosecond pulsed electric

Jianpeng Liu, Xinhua Chen, Shusen Zheng

期刊论文

Decomposition of perfluorooctanoic acid by microwave-activated persulfate: Effects of temperature, pH

Yuchi LEE, Shanglien LO, Jeff KUO, Chinghong HSIEH

期刊论文

Study on the microwave-assisted extraction of polyphenols from tea

Liyun WANG, Peiyong QIN, Yan HU,

期刊论文

Characterisation of a microwave induced plasma torch for glass surface modification

Adam BENNETT, Nan YU, Fengzhou FANG, Marco CASTELLI, Guoda CHEN, Alessio BALLERI, Takuya URAYAMA

期刊论文

Soybean drying characteristics in microwave rotary dryer with forced convection

Ruifang WANG, Zhanyong LI, Yanhua LI, Jingsheng YE

期刊论文

Degradation of trace nitrobenzene in water by microwave-enhanced H

Honghu ZENG, Lanjing LU, Meina LIANG, Jie LIU, Yanghong LI

期刊论文

Experimental and theoretical study of microwave enhanced catalytic hydrodesulfurization of thiophene

Hui Shang, Pengfei Ye, Yude Yue, Tianye Wang, Wenhui Zhang, Sainab Omar, Jiawei Wang

期刊论文

Improved film evaporator for mechanistic understanding of microwave-induced separation process

Xin Gao, Dandan Shu, Xingang Li, Hong Li

期刊论文

Microwave enhanced stabilization of copper in artificially contaminated soil

Hua ZHANG, Zhiliang ZHU, Noboru YOSHIKAWA

期刊论文

CuO/zeolite catalyzed oxidation of gaseous toluene under microwave heating

Longli BO, Jianbo LIAO, Yucai ZHANG, Xiaohui WANG, Quan YANG

期刊论文

Wastewater treatment by catalytic wet air oxidation process over Al-Fe pillared clays synthesized using microwave

Halima Sassi, Gwendoline Lafaye, Hédi Ben Amor, Abdelaziz Gannouni, Mohamed Razak Jeday, Jacques Barbier-Jr

期刊论文