1.Correlation of CDFI and shear wave elastography with pathological classification and prognosis of breast cancer patients
Qiuping WANG ; Jizheng TU ; Jun WANG ; Huan WANG
Chinese Journal of Endocrine Surgery 2025;19(2):208-212
Objective:To investigate the correlation of color Doppler flow imaging (CDFI) and shear wave elastography (SWE) with pathological classification and prognosis of breast cancer patients.Methods:A total of 87 patients (103 lesions) with breast cancer admitted to Shanxi Maternal and Child Health Care Hospital and the Second Hospital of Shanxi Medical University From May. 2021 to Mar. 2024 were retrospectively included. All patients underwent CDFI and SWE examinations before surgery. The pathological characteristics and molecular typing of each lesion were recorded, and the correlation of CDFI and SWE examination parameters with molecular typing of breast cancer was evaluated. Patients were followed up for 1 year, and the predictive value of CDFI and SWE parameters in lymph node metastasis was analyzed by receiver operating characteristic curve (ROC) .Results:There were no statistically significant differences in the pulse index (PI) , resistance index (RI) , maximum lesion elastic modulus (E max) , and the ratio between the elastic value at the hardest lesion and the elastic value of adipose tissue (E ratio) among patients with different pathological types ( F=0.64, 0.13, 0.81, 2.84, P>0.05) . There were no statistically significant differences in PI and RI values among patients with different tumor sizes ( F=2.99, 1.81, P>0.05) , and statistically significant differences in E max and E ratio among patients with different tumor sizes ( F=6.42, 34.31, P<0.05) . The differences among different molecular types PI, RI, E max, and E ratio were statistically significant ( F=406.59, 245.23, 206.30, 204.36, P<0.05) , and Luminal B type PI, RI, E max, and E ratio were the highest, followed by HER2-positive, triple-negative, and Luminal A type, with statistically significant differences ( P<0.05) . PI, RI, E max and E ratio in patients with positive lymph node metastasis were higher than those in patients with negative lymph node metastasis ( t=4.99, 3.04, 2.70, 3.13, all P<0.05) . ROC results showed that the area under the curve (AUC) of PI, RI, E max and E ratio for predicting lymph node metastasis of breast cancer were 0.654, 0.704, 0.664 and 0.696, respectively. The sensitivity to predict lymph node metastasis of breast cancer was 74.19%, 54.84%, 51.61%, 64.52, and the specificity was 54.17%, 79.17%, 79.17%, 70.83% (all P<0.05) . Conclusions:The correlation of CDFI and SWE examination parameters are correlated with the molecular classification of breast cancer, and the prediction of lymph node metastasis of breast cancer is good.
2.Correlation of CDFI and shear wave elastography with pathological classification and prognosis of breast cancer patients
Qiuping WANG ; Jizheng TU ; Jun WANG ; Huan WANG
Chinese Journal of Endocrine Surgery 2025;19(2):208-212
Objective:To investigate the correlation of color Doppler flow imaging (CDFI) and shear wave elastography (SWE) with pathological classification and prognosis of breast cancer patients.Methods:A total of 87 patients (103 lesions) with breast cancer admitted to Shanxi Maternal and Child Health Care Hospital and the Second Hospital of Shanxi Medical University From May. 2021 to Mar. 2024 were retrospectively included. All patients underwent CDFI and SWE examinations before surgery. The pathological characteristics and molecular typing of each lesion were recorded, and the correlation of CDFI and SWE examination parameters with molecular typing of breast cancer was evaluated. Patients were followed up for 1 year, and the predictive value of CDFI and SWE parameters in lymph node metastasis was analyzed by receiver operating characteristic curve (ROC) .Results:There were no statistically significant differences in the pulse index (PI) , resistance index (RI) , maximum lesion elastic modulus (E max) , and the ratio between the elastic value at the hardest lesion and the elastic value of adipose tissue (E ratio) among patients with different pathological types ( F=0.64, 0.13, 0.81, 2.84, P>0.05) . There were no statistically significant differences in PI and RI values among patients with different tumor sizes ( F=2.99, 1.81, P>0.05) , and statistically significant differences in E max and E ratio among patients with different tumor sizes ( F=6.42, 34.31, P<0.05) . The differences among different molecular types PI, RI, E max, and E ratio were statistically significant ( F=406.59, 245.23, 206.30, 204.36, P<0.05) , and Luminal B type PI, RI, E max, and E ratio were the highest, followed by HER2-positive, triple-negative, and Luminal A type, with statistically significant differences ( P<0.05) . PI, RI, E max and E ratio in patients with positive lymph node metastasis were higher than those in patients with negative lymph node metastasis ( t=4.99, 3.04, 2.70, 3.13, all P<0.05) . ROC results showed that the area under the curve (AUC) of PI, RI, E max and E ratio for predicting lymph node metastasis of breast cancer were 0.654, 0.704, 0.664 and 0.696, respectively. The sensitivity to predict lymph node metastasis of breast cancer was 74.19%, 54.84%, 51.61%, 64.52, and the specificity was 54.17%, 79.17%, 79.17%, 70.83% (all P<0.05) . Conclusions:The correlation of CDFI and SWE examination parameters are correlated with the molecular classification of breast cancer, and the prediction of lymph node metastasis of breast cancer is good.
3.Bronchial-pulmonary arterial sleeve resection and reconstruction in the treatment of central non-small cell lung cancer
Liming ZOU ; Chengxin PAN ; Yue JIANG ; Qiuping TU ; Yexin XU
Chinese Journal of Postgraduates of Medicine 2006;0(14):-
Objective To evaluate the indications and surgical procedure of bronchial-pulmonary arterial sleeve resection for patients with centrally located non-small cell lung cancer (NSCLC),and to prevent complications. Methods From October 1987 to December 2004, 96 cases of central NSCLC were treated with bronchial-pulmonary arterial sleeve resection and reconstruction. The results were retrospectively analyzed. Results The complication rate was 19.8%(19/96), the mortality rate in 30-day postoperation was 3.1%(3/96), the overall 1, 3, 5 year survival rates were 82.6%(76/91), 57.8%(37/64) and 39.1%(18/46) respectively. Conclusion Bronchial-pulmonary arterial sleeve resection and reconstruction in the treatment of patients with central NSCLC can not only maximize preservation of functional pulmonary parenchyma and improve the quality of life, but also provide an opportunity for those patients with poor pulmonary function to receive surgical resection of the tumor.
4.Analysis on Surveillance of Measles Epidemiology in Jiangxi Province
Wei HE ; Qiufeng TU ; Qiuping ZOU
Chinese Journal of Vaccines and Immunization 2001;7(1):14-16
We analyzed the surveillance data of measles from January 1999 to October 2000 in Jiangxi Province for the aim of measles control. The results showed that 3*!184 measles cases were reported from the province and 1 reported case died. Most of the reported measles cases were under 15 years old. The incidence of measles in age group between 7-10 years old was higher than that in other age groups and most of the reported cases having vaccination histroy were 4-10 year old children. Both the sporadic and epidemic measles in some districts existed at the same time and the reported measles cases extensively distributed in all districts of Jiangxi Province. The outbreaks of measles in some districts had affected the morbidity of measles of the whole province To prevent and control measles outbreak are the main effective measures to control this disease.

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