1.Artificial intelligence in the surgical treatment of digestive system malignancies: applications and challenges
Yuyi ZHANG ; Haoting SUN ; Lunxiu QIN
Chinese Journal of General Surgery 2025;40(5):338-346
Artificial intelligence (AI) technology is revolutionizing the precision diagnosis and treatment system in digestive system malignancies. In the preoperative stage, deep learning-driven multimodal data can significantly enhance the accuracy of early lesion detection and organ function assessment, while optimizing the prediction of the efficacy neoadjuvant therapy response with radiomics features. During surgery, the automatic surgical phase alorithm and intelligent pathology testing can effectively coordinate the surgical process; the combination of AI with augmented reality navigation system (AR) and mixed reality technology (MR) can improve the accuracy of intraoperative navigation; enhances intraoperative navigation accuracy; and the autonomous surgical robots can improve their ability to perform key tasks during surgery using sophisticated motion control algorithms. In postoperative management, federated learning promotes secure cross-institutional data sharing and alleviates the problem of data silos; and the development of interpretable models can also provide clearer decision-making basis for complication prediction and prognosis management. However, the current clinical translation process still faces three core challenges: (1) Quality control problems: the dual constraints of insufficient model generalization ability and lack of unified evaluation standards; (2) Methodological challenges: the logical opacity of decision-making and the cognitive barriers of the algorithm's causal reasoning process still affect its credibility; (3) Ethical and legal vacuum: the attribution of medical responsibility is unclear, and the legal system has not yet fully adapted to the development of AI applications. Based on this, the future should focus on: (1) Developing transparent AI systems to achieve a paradigm shift from "black box prediction" to "white box deductions"; (2) Establishing systematic AI evaluation standards and ethical and legal regulatory frameworks; (3) Promoting the construction of specialized biorepositories database and causal graph library for digestive oncology. The aim is to help AI upgrade from an auxiliary tool to an intelligent decision-making partner.
2.Plasma-activated solutions alleviate DSS-induced colitis in mice and promote colonic epithelial cell repair through the eNOS pathway
Xueni WANG ; Kaijie REN ; Yuyi MA ; Tianhao MIN ; Xiaoyuan DENG ; Yuanchang PENG ; Yuanyuan LIU ; Wei WANG ; Tuanhe SUN ; Chengxue DANG ; Hao ZHANG
Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(1):28-34
Objective To explore the role and potential mechanisms of plasma-activated solution(PAS)in alleviating dextran sulfate sodium salt(DSS)-induced ulcerative colitis.Methods We constructed a DSS-induced ulcerative colitis mouse model and evaluated the effect of PAS in vivo by observing mouse weight,calculating disease activity indexes,detecting inflammatory factors and oxidative stress indicators through ELISA.We also evaluated the effect of PAS on colon cell proliferation and migration ability through clone formation experiments,scratch experiments,and used Western blotting to determine the expression levels of proliferation-related proteins.Results PAS significantly reversed DSS-induced weight loss and increased disease activity indexes in mice(P<0.05).The serum inflammatory cytokine levels(TNF-α,IL-6 and IL-1β)in PAS group were significantly reduced compared to those in DSS group(P<0.05).PAS treatment could improve the imbalance of colonic redox homeostasis including changes of malondialdehyde,catalase and superoxide dismutase caused by DSS(P<0.05).After the use of endothelial nitric oxide synthase inhibitors,changes in various indicators caused by in vivo PAS disappeared(P<0.001).The clone formation ability of colon cells was stronger in the group treated with PAS,and the expression of proliferation-related proteins increased.Cell scratch experiments suggested that intervention with PAS could reverse the decrease in cell migration ability caused by lipopolysaccharide(P<0.001).After the application of endothelial nitric oxide synthase inhibitors,the pro-proliferative and migratory effects of PAS disappeared(P<0.05).Conclusion PAS alleviate DSS-induced colitis in mice and promote colonic epithelial cell repair through the eNOS pathway.
3.Plasma-activated solutions promote tumor cells'anoikis and inhibit tumor peritoneal metastasis
Tuanhe SUN ; Yuyi MA ; Tianhao MIN ; Kaijie REN ; Xiaoyuan DENG ; Xueni WANG ; Yuanchang PENG ; Yuanyuan LIU ; Chengxue DANG ; Hao ZHANG ; Wei WANG
Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(1):35-42
Objective To explore the application of plasma-activated solution(PAS)in the treatment of peritoneal metastasis in mice.Methods A mice model of peritoneal tumor transplantation was established,and PAS was prepared for intervention in the mice.The growth of the peritoneally transplanted tumor was assessed using in vivo imaging technology,while the apoptosis level was evaluated through flow cytometry,immunofluorescence,and Western blotting.Results At the in vitro level,there was no significant impact on tumor cell apoptosis level under adherent conditions observed when utilizing PAS(P>0.05).Under non-adherent condition,PAS significantly augmented tumor cell apoptosis level(P<0.05),substantially increased the proportion of deceased cells(P<0.05),and markedly elevated intracellular total and mitochondrial reactive oxygen species levels(P<0.05).In vivo level,using PAS following peritoneal transplanted tumor formation exhibited no noteworthy influence on peritoneal transplanted tumor growth(P>0.05),while immediate utilization of PAS during model conducting effectively reduced abdominal tumor spread(P<0.05).Conclusion PAS inhibits tumor peritoneal dissemination in mice by promoting tumor cell anoikis.
4.Clinical Observation on the Treatment of Chronic Non-specific Low Back Pain with Acupuncture Combined with Fire Dragon Cupping Therapy Based on Bowstring Mechanics Theory
Bo WU ; Yuyi LIANG ; Zheng ZHANG
Journal of Guangzhou University of Traditional Chinese Medicine 2025;42(9):2192-2199
Objective To observe the clinical efficacy of acupuncture combined with Fire Dragon Cupping Therapy in the treatment of chronic non-specific low back pain(CNLBP)based on the bowstring mechanics theory.Methods A total of 80 patients diagnosed with CNLBP and admitted to the Acupuncture Department of Shenzhen Pingle Orthopedic and Traumatology Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese Medicine)from January 2024 to December 2024 were selected as the study subjects.The patients were randomly divided into an observation group and a control group using a random number table,with 40 cases in each group.The control group received conventional acupuncture treatment,while the observation group received Fire Dragon Cupping Therapy in addition to the same acupuncture treatment as the control group.The treatment lasted for 2 weeks,with a follow-up conducted 3 months after treatment.After 2 weeks of treatment,the clinical efficacy of both groups was evaluated.Changes in the Visual Analogue Scale(VAS)score,modified Oswestry Disability Index(ODI)score,serum interleukin 6(IL-6)and tumor necrosis factor α(TNF-α)levels were observed before and after treatment.Additionally,changes in lumbar flexion,extension,lateral flexion,and rotation range of motion(ROM),as well as endurance time of lumbar flexor and extensor muscles,were compared between the two groups.Results(1)The total effective rate was 97.50%(39/40)in the observation group and 82.50%(33/40)in the control group.The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment and at the 3-month follow-up,both groups showed significant improvements in VAS and ODI scores(P<0.05),with the observation group demonstrating significantly better improvements than the control group,the differences being statistically significant(P<0.05).(3)After treatment and at the 3-month follow-up,serum IL-6 and TNF-α levels significantly decreased in both groups(P<0.05),with the observation group showing significantly greater reductions than the control group,the differences being statistically significant(P<0.05).(4)After treatment and at the 3-month follow-up,lumbar flexion,extension,lateral flexion,and rotation ROM significantly improved in both groups(P<0.05),with the observation group exhibiting significantly better improvements than the control group,the difference being statistically significant(P<0.05).(5)After treatment and at the 3-month follow-up,lumbar flexor and extensor muscle endurance time significantly improved in both groups(P<0.05),with the observation group demonstrating significantly better improvements than the control group,the difference being statistically significant(P<0.05).Conclusion The combination of acupuncture and Fire Dragon Cupping Therapy based on the bowstring mechanics theory can significantly alleviate pain,restore lumbar function,and promote functional recovery in patients with CNLBP,demonstrating notable clinical efficacy.
5.Clinical study on the combination of wentong guasha with herbal enema in improving acute attack of chronic pelvic inflammatory disease
Li LIU ; Jinping FENG ; Yuyi OU ; Huizhi OU ; Ying ZHANG ; Siyuan HE ; Shuai LIU ; Jun LYU
Chinese Journal of Pharmacoepidemiology 2025;34(11):1258-1264
Objective To investigate the clinical efficacy and safety of wentong guasha combined with herbal enema in the treatment of acute attack of chronic pelvic inflammatory disease.Methods From January 2023 to December 2024,patients with acute attack of chronic pelvic inflammatory disease diagnosed and treated at Foshan Women and Children Hospital Affiliated to Guangdong Medical University were selected and randomly divided into an experimental group and a control group.The control group received herbal enema therapy,while the experimental group received additional wentong guasha therapy on the basis of the control group's treatment.Both groups were treated for two weeks.The clinical efficacy,safety outcomes,as well as Visual Analog Scale(VAS)scores for pain and Pittsburgh Sleep Quality Index(PSQI)scores before treatment and after the 3rd and 7th days of treatment were compared between the two groups.Results A total of 120 patients were included,with 60 cases in each group.After treatment,the total effective rate was 90.00%in the experimental group and 76.67%in the control group,showing a statistically significant difference between the two groups(P<0.05).On the 3rd day of treatment,the VAS score of the experimental group was significantly lower than that of the control group(P<0.05).By the 7th day of treatment,both the VAS and PSQI scores of the experimental group were significantly lower than those of the control group(P<0.05).No adverse reactions were observed in either group.Conclusion Compared with herbal enema therapy,wentong guasha combined with herbal enema demonstrated more significant clinical efficacy in patients with acute attack of chronic pelvic inflammatory disease,markedly reduced pain scores,improved sleep quality,and showed good safety,indicating its potential value for clinical promotion and application.
6.Construction of Research Informatization Management System for Grassroots Medical Group
Yu LIU ; Yuyi YANG ; Junyi DING ; Xiuqi HOU ; Lian LU ; Xueying ZHANG ; Ying WANG ; Qifang LEI
Modern Hospital 2025;25(4):613-617
Traditional scientific research management suffers from problems such as scattered archives,lack of effective dynamic process supervision for projects,weak data analysis capabilities,and low sharing,making it difficult to meet the unified management of multiple hospital areas in medical groups and the independent management of each branch.The group has devel-oped an intelligent scientific research management system based on artificial big data by constructing the framework and designing the content of various demand modules for scientific research management.This system achieves full coverage management of sci-entific research activities,designing interrelated information data networks for scientific research project process management,a-chievement management,academic(specialized)construction management,postdoctoral management,etc.,realizing informa-tionization and refined management of multiple campuses within the group.Analyze the technological values of each hospital,de-partment,and personnel to provide powerful reference for decision-makers.The information-based scientific research manage-ment system is an important guarantee for hospital groups to intelligently manage and efficiently carry out scientific research work.
7.Plasma-activated solutions alleviate DSS-induced colitis in mice and promote colonic epithelial cell repair through the eNOS pathway
Xueni WANG ; Kaijie REN ; Yuyi MA ; Tianhao MIN ; Xiaoyuan DENG ; Yuanchang PENG ; Yuanyuan LIU ; Wei WANG ; Tuanhe SUN ; Chengxue DANG ; Hao ZHANG
Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(1):28-34
Objective To explore the role and potential mechanisms of plasma-activated solution(PAS)in alleviating dextran sulfate sodium salt(DSS)-induced ulcerative colitis.Methods We constructed a DSS-induced ulcerative colitis mouse model and evaluated the effect of PAS in vivo by observing mouse weight,calculating disease activity indexes,detecting inflammatory factors and oxidative stress indicators through ELISA.We also evaluated the effect of PAS on colon cell proliferation and migration ability through clone formation experiments,scratch experiments,and used Western blotting to determine the expression levels of proliferation-related proteins.Results PAS significantly reversed DSS-induced weight loss and increased disease activity indexes in mice(P<0.05).The serum inflammatory cytokine levels(TNF-α,IL-6 and IL-1β)in PAS group were significantly reduced compared to those in DSS group(P<0.05).PAS treatment could improve the imbalance of colonic redox homeostasis including changes of malondialdehyde,catalase and superoxide dismutase caused by DSS(P<0.05).After the use of endothelial nitric oxide synthase inhibitors,changes in various indicators caused by in vivo PAS disappeared(P<0.001).The clone formation ability of colon cells was stronger in the group treated with PAS,and the expression of proliferation-related proteins increased.Cell scratch experiments suggested that intervention with PAS could reverse the decrease in cell migration ability caused by lipopolysaccharide(P<0.001).After the application of endothelial nitric oxide synthase inhibitors,the pro-proliferative and migratory effects of PAS disappeared(P<0.05).Conclusion PAS alleviate DSS-induced colitis in mice and promote colonic epithelial cell repair through the eNOS pathway.
8.Plasma-activated solutions promote tumor cells'anoikis and inhibit tumor peritoneal metastasis
Tuanhe SUN ; Yuyi MA ; Tianhao MIN ; Kaijie REN ; Xiaoyuan DENG ; Xueni WANG ; Yuanchang PENG ; Yuanyuan LIU ; Chengxue DANG ; Hao ZHANG ; Wei WANG
Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(1):35-42
Objective To explore the application of plasma-activated solution(PAS)in the treatment of peritoneal metastasis in mice.Methods A mice model of peritoneal tumor transplantation was established,and PAS was prepared for intervention in the mice.The growth of the peritoneally transplanted tumor was assessed using in vivo imaging technology,while the apoptosis level was evaluated through flow cytometry,immunofluorescence,and Western blotting.Results At the in vitro level,there was no significant impact on tumor cell apoptosis level under adherent conditions observed when utilizing PAS(P>0.05).Under non-adherent condition,PAS significantly augmented tumor cell apoptosis level(P<0.05),substantially increased the proportion of deceased cells(P<0.05),and markedly elevated intracellular total and mitochondrial reactive oxygen species levels(P<0.05).In vivo level,using PAS following peritoneal transplanted tumor formation exhibited no noteworthy influence on peritoneal transplanted tumor growth(P>0.05),while immediate utilization of PAS during model conducting effectively reduced abdominal tumor spread(P<0.05).Conclusion PAS inhibits tumor peritoneal dissemination in mice by promoting tumor cell anoikis.
9.Clinical study on the combination of wentong guasha with herbal enema in improving acute attack of chronic pelvic inflammatory disease
Li LIU ; Jinping FENG ; Yuyi OU ; Huizhi OU ; Ying ZHANG ; Siyuan HE ; Shuai LIU ; Jun LYU
Chinese Journal of Pharmacoepidemiology 2025;34(11):1258-1264
Objective To investigate the clinical efficacy and safety of wentong guasha combined with herbal enema in the treatment of acute attack of chronic pelvic inflammatory disease.Methods From January 2023 to December 2024,patients with acute attack of chronic pelvic inflammatory disease diagnosed and treated at Foshan Women and Children Hospital Affiliated to Guangdong Medical University were selected and randomly divided into an experimental group and a control group.The control group received herbal enema therapy,while the experimental group received additional wentong guasha therapy on the basis of the control group's treatment.Both groups were treated for two weeks.The clinical efficacy,safety outcomes,as well as Visual Analog Scale(VAS)scores for pain and Pittsburgh Sleep Quality Index(PSQI)scores before treatment and after the 3rd and 7th days of treatment were compared between the two groups.Results A total of 120 patients were included,with 60 cases in each group.After treatment,the total effective rate was 90.00%in the experimental group and 76.67%in the control group,showing a statistically significant difference between the two groups(P<0.05).On the 3rd day of treatment,the VAS score of the experimental group was significantly lower than that of the control group(P<0.05).By the 7th day of treatment,both the VAS and PSQI scores of the experimental group were significantly lower than those of the control group(P<0.05).No adverse reactions were observed in either group.Conclusion Compared with herbal enema therapy,wentong guasha combined with herbal enema demonstrated more significant clinical efficacy in patients with acute attack of chronic pelvic inflammatory disease,markedly reduced pain scores,improved sleep quality,and showed good safety,indicating its potential value for clinical promotion and application.
10.Construction of Research Informatization Management System for Grassroots Medical Group
Yu LIU ; Yuyi YANG ; Junyi DING ; Xiuqi HOU ; Lian LU ; Xueying ZHANG ; Ying WANG ; Qifang LEI
Modern Hospital 2025;25(4):613-617
Traditional scientific research management suffers from problems such as scattered archives,lack of effective dynamic process supervision for projects,weak data analysis capabilities,and low sharing,making it difficult to meet the unified management of multiple hospital areas in medical groups and the independent management of each branch.The group has devel-oped an intelligent scientific research management system based on artificial big data by constructing the framework and designing the content of various demand modules for scientific research management.This system achieves full coverage management of sci-entific research activities,designing interrelated information data networks for scientific research project process management,a-chievement management,academic(specialized)construction management,postdoctoral management,etc.,realizing informa-tionization and refined management of multiple campuses within the group.Analyze the technological values of each hospital,de-partment,and personnel to provide powerful reference for decision-makers.The information-based scientific research manage-ment system is an important guarantee for hospital groups to intelligently manage and efficiently carry out scientific research work.

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