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The novel m6A writer methyltransferase 5 is a promising prognostic biomarker and associated with immune cell infiltration in oral squamous cell carcinoma 新型 m6A writer 甲基转移酶 5 是一种很有希望的预后生物标志物,并与口腔鳞状细胞癌的免疫细胞浸润有关。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-28 DOI: 10.1111/jop.13568
Priyadharshini Muthumanickam, Abilasha Ramasubramanian, Chandra Pandi, Balachander Kannan, Anitha Pandi, Pratibha Ramani, Vijayashree Priyadharsini Jayaseelan, Paramasivam Arumugam

Background

Emerging research has identified the N6-methyladenosine (m6A) modification and its regulatory enzymes, including methyltransferase 5 (METTL5), as critical players in cancer biology. However, the role of METTL5 in oral squamous cell carcinoma (OSCC) remains poorly understood.

Materials and Methods

We conducted a comprehensive study to investigate the expression and implications of METTL5 in OSCC. We recruited 76 OSCC patients to analyze METTL5 mRNA and protein expression using RT-qPCR and western blot. Additionally, we analyzed METTL5 expression and its correlation with clinical features, patient prognosis, immune cell infiltration, and biological pathways using the TCGA-HNSCC dataset, which primarily consists of OSCC samples.

Results

Our findings revealed significant overexpression of METTL5 in OSCC tissues compared to normal tissues. The high expression of METTL5 is associated with advanced cancer stages, higher tumor grades, nodal metastasis, and poorer patient outcomes, indicating its involvement in cancer progression. In silico functional analysis revealed that METTL5 plays a role in multiple biological pathways, highlighting its importance in cancer biology. Moreover, METTL5 has complex relationships with immune regulatory genes, suggesting its potential role in shaping the tumor immune microenvironment.

Conclusion

METTL5 is a promising candidate for the prognosis and therapeutic intervention of OSCC. Its overexpression in cancer tissues, association with clinical features, and intricate links to immune regulatory networks underscore its significance in this malignancy. This study contributes to a deeper understanding of the complex factors influencing OSCC, and provides a foundation for future research and potential clinical applications.

背景:新近的研究发现,N6-甲基腺苷(m6A)修饰及其调控酶,包括甲基转移酶5(METTL5),是癌症生物学中的关键角色。然而,人们对 METTL5 在口腔鳞状细胞癌(OSCC)中的作用仍知之甚少:我们开展了一项综合研究,以调查 METTL5 在 OSCC 中的表达及其影响。我们招募了 76 例 OSCC 患者,使用 RT-qPCR 和 Western 印迹分析 METTL5 mRNA 和蛋白的表达。此外,我们还利用主要由OSCC样本组成的TCGA-HNSCC数据集分析了METTL5的表达及其与临床特征、患者预后、免疫细胞浸润和生物通路的相关性:结果:我们的研究结果表明,与正常组织相比,METTL5在OSCC组织中明显过表达。METTL5的高表达与癌症晚期、较高的肿瘤分级、结节转移和较差的患者预后有关,这表明它参与了癌症的进展。硅功能分析显示,METTL5 在多种生物学通路中发挥作用,凸显了其在癌症生物学中的重要性。此外,METTL5与免疫调节基因之间存在复杂的关系,表明它在塑造肿瘤免疫微环境中可能发挥作用:结论:METTL5是预测OSCC预后和进行治疗干预的有望候选基因。它在癌症组织中的过度表达、与临床特征的关联以及与免疫调节网络的复杂联系都凸显了它在这种恶性肿瘤中的重要性。这项研究有助于加深对影响 OSCC 的复杂因素的理解,并为未来的研究和潜在的临床应用奠定了基础。
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引用次数: 0
Unveiling the Larsen effect in the scientific literature domain: Navigating quality amidst the artificial intelligence-driven deluge 揭示科学文献领域的拉森效应:在人工智能驱动的洪流中驾驭质量。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-25 DOI: 10.1111/jop.13569
Luca D'Aniello

The challenges faced by the massive increase in scientific publications draw parallels to the Larsen effect, where an amplified sound loop leads to escalating noise. This phenomenon has resulted in information overload, making it difficult for researchers to stay updated and identify significant findings. To address this, knowledge synthesis techniques are recommended. These methods help synthesize and visualize large bodies of literature, aiding researchers in navigating the expanding information landscape. Furthermore, artificial intelligence (AI) and natural language processing tools, such as text summarization, offer innovative solutions for managing information overload. However, the overuse of AI in producing scientific literature raises concerns about the quality and integrity of research. This manuscript highlights the need for balanced use of AI tools and collaborative efforts to maintain high-quality scientific output while leveraging the benefits of extensive research.

科学出版物大量增加所面临的挑战与拉森效应相似,即声音循环放大导致噪音不断增加。这种现象导致信息超载,使研究人员难以及时更新信息并识别重要发现。为解决这一问题,建议采用知识合成技术。这些方法有助于对大量文献进行综合和可视化,帮助研究人员驾驭不断扩展的信息环境。此外,人工智能(AI)和自然语言处理工具(如文本摘要)为管理信息过载提供了创新的解决方案。然而,过度使用人工智能制作科学文献会引发对研究质量和完整性的担忧。本手稿强调了平衡使用人工智能工具的必要性,以及在充分利用广泛研究成果的同时保持高质量科学产出的合作努力。
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引用次数: 0
Corrigendum to “Combination of downregulating FEN1 and PD-1 blockade enhances antitumor activity of CD8+ T cells against HNSCC cells in vitro” 下调 FEN1 和 PD-1 阻断相结合可增强 CD8+ T 细胞在体外对 HNSCC 细胞的抗肿瘤活性 "的更正。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-24 DOI: 10.1111/jop.13571

Wang XJ, Xu SJ, Fu T, Wu Y, Sun WL. Combination of downregulating FEN1 and PD-1 blockade enhances antitumor activity of CD8+ T cells against HNSCC cells in vitro. J Oral Pathol Med. 2023;52(9):834–842.

We apologize for this error.

Wang XJ, Xu SJ, Fu T, Wu Y, Sun WL.联合下调 FEN1 和 PD-1 阻断可增强体外 CD8+ T 细胞对 HNSCC 细胞的抗肿瘤活性J Oral Pathol Med.2023;52(9):834-842.We apologize for this error.
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引用次数: 0
Circ_0004771 regulates malignant biological behaviors and has clinical significance in oral squamous cell carcinoma Circ_0004771 在口腔鳞状细胞癌中调控恶性生物学行为并具有临床意义。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-17 DOI: 10.1111/jop.13566
Rongji Shi, Lei Zhang

Background

The incidence of oral squamous cell carcinoma (OSCC) is increasing, and more effective treatment protocols must rapidly be developed to prevent the death of patients and ensure favorable outcomes. CircRNAs are a unique class of noncoding ribonucleic acid (RNA) molecules unaffected by RNA exonucleases. CircRNAs have more stable expression than linear RNAs and are not readily degraded; therefore, they are the newest focus of RNA research. Here, we analyze the mechanism of hsa_circ_0004771 (circ_0004771) in OSCC to provide a clinical reference.

Methods

Circ_0004771 expression was measured in peripheral blood, cancerous tissues and adjacent tissues of OSCC patients. Patients were followed up for 3 years. The diagnostic value of circ_0004771 for OSCC occurrence, prognosis, recurrence and survival was analyzed with receiver operating characteristic (ROC) curves. OSCC cells were lentivirally transduced with a circ_0004771-silencing or an empty vector to evaluate alterations in cell growth, invasion, and apoptosis. Apoptosis-related and epithelial–mesenchymal transition (EMT)-related protein expression was quantified. BALB/c nude mice were used for tumorigenesis experiments to evaluate tumor growth in vivo after silencing circ_0004771.

Results

Circ_0004771 expression was higher in peripheral blood and cancerous tissue of OSCC patients than in control peripheral blood and paracancerous tissue, respectively, exhibiting excellent predictive value for OSCC occurrence, prognosis, recurrence and survival. Silencing circ_0004771 decreased the growth, invasiveness, and EMT capacity and increased the apoptosis of OCC cells. In mice implanted with OSCC cells transduced with the circ_0004771-silencing lentiviral vector, the tumor growth capacity was obviously decreased.

Conclusion

Silencing circ_0004771 inhibits the malignant growth of OSCC.

背景:口腔鳞状细胞癌(OSCC)的发病率正在上升,必须迅速开发出更有效的治疗方案,以防止患者死亡并确保良好的预后。CircRNA 是一类独特的非编码核糖核酸(RNA)分子,不受 RNA 外切酶的影响。与线性 RNA 相比,CircRNA 的表达更稳定,而且不易降解,因此是 RNA 研究的最新热点。在此,我们分析了hsa_circ_0004771(circ_0004771)在OSCC中的作用机制,为临床提供参考:方法:检测 OSCC 患者外周血、癌组织和邻近组织中 Circ_0004771 的表达。对患者进行了为期 3 年的随访。用接收者操作特征曲线(ROC)分析了circ_0004771对OSCC发生、预后、复发和生存的诊断价值。用circ_0004771沉默载体或空载体慢病毒转导OSCC细胞,以评估细胞生长、侵袭和凋亡的变化。对细胞凋亡相关蛋白和上皮-间质转化(EMT)相关蛋白的表达进行了量化。用 BALB/c 裸鼠进行肿瘤发生实验,评估沉默 circ_0004771 后体内肿瘤的生长情况:结果:Circ_0004771在OSCC患者外周血和癌组织中的表达分别高于对照组外周血和癌旁组织,对OSCC的发生、预后、复发和生存具有很好的预测价值。沉默circ_0004771可降低OCC细胞的生长、侵袭性和EMT能力,增加其凋亡。小鼠植入转导了circ_0004771沉默慢病毒载体的OSCC细胞后,肿瘤生长能力明显下降:沉默circ_0004771可抑制OSCC的恶性生长。
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引用次数: 0
CD4+CD8αα+ is the dominant phenotype of intraepithelial lymphocytes and regulated by ThPOK and Runx3 in oral lichen planus CD4+CD8αα+ 是口腔扁平苔藓上皮内淋巴细胞的主要表型,并受 ThPOK 和 Runx3 的调控。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-12 DOI: 10.1111/jop.13564
Chao-Fan Bao, Fang Wang, Dong-Yang Zhou, Gang Zhou

Background

Oral lichen planus (OLP) is a common T cell-mediated oral mucosal immune inflammatory disease. Intraepithelial lymphocytes (IELs) are a unique subset of T cells that play an important role in regulating immune response. This study aims to investigate the phenotype and the differentiation mechanism of IELs in OLP.

Methods

The expression of CD4, CD8α, CD8β, T-helper-inducing POZ/Krueppel-like factor (ThPOK), and RUNX family transcription factor 3 (Runx3) in the epithelium and peripheral blood mononuclear cells (PBMCs) of OLP was determined by immunofluorescence and immunohistochemistry. Then, the correlations among them were analyzed. Naïve CD4+ T cells were sorted from blood of OLP patients and stimulated with retinoic acid (RA) and transforming growth factor-β1 (TGF-β1). Then the expression of CD4, CD8α, CD8β, ThPOK, and Runx3 was investigated by immunocytochemistry.

Results

CD8α expression and CD8αα+ cells were upregulated in the epithelium of OLP, whereas they were downregulated in PBMCs of OLP. CD8β was not expressed in the epithelium of OLP. CD4, CD8α, and Runx3 expression and CD4+CD8α+ cells were increased, whereas ThPOK expression was decreased in the epithelium of OLP. CD8α expression was positively correlated with Runx3 expression, whereas ThPOK expression was negatively correlated with Runx3 expression. After RA and TGF-β1 stimulation, CD8α and Runx3 expression was upregulated, and ThPOK expression was downregulated in naïve CD4+ T cells.

Conclusion

CD4+CD8αα+ IELs may be the dominant phenotype of IELs in OLP, and the differentiation of CD4+CD8αα+ IELs in OLP is negatively regulated by ThPOK and positively regulated by Runx3.

背景:口腔扁平苔藓(OLP)是一种常见的由T细胞介导的口腔黏膜免疫炎症性疾病。上皮内淋巴细胞(IELs)是一种独特的T细胞亚群,在调节免疫反应中发挥着重要作用。本研究旨在探讨上皮内淋巴细胞在OLP中的表型和分化机制:方法:采用免疫荧光和免疫组织化学方法检测OLP上皮细胞和外周血单核细胞(PBMCs)中CD4、CD8α、CD8β、T-helper-inducing POZ/Krueppel-like因子(ThPOK)和RUNX家族转录因子3(Runx3)的表达。然后分析了它们之间的相关性。从 OLP 患者的血液中分拣出幼稚 CD4+ T 细胞,并用维甲酸(RA)和转化生长因子-β1(TGF-β1)进行刺激。然后用免疫细胞化学法检测 CD4、CD8α、CD8β、ThPOK 和 Runx3 的表达:结果:CD8α表达和CD8αα+细胞在OLP上皮细胞中上调,而在OLP的PBMCs中下调。CD8β 在 OLP 上皮细胞中没有表达。OLP上皮细胞中CD4、CD8α和Runx3的表达以及CD4+CD8α+细胞增加,而ThPOK的表达减少。CD8α 表达与 Runx3 表达呈正相关,而 ThPOK 表达与 Runx3 表达呈负相关。RA和TGF-β1刺激后,CD8α和Runx3的表达上调,而CD4+T细胞的ThPOK表达下调:结论:CD4+CD8αα+ IELs可能是OLP中IELs的主要表型,而OLP中CD4+CD8αα+ IELs的分化受ThPOK的负调控和Runx3的正调控。
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引用次数: 0
MiR-26a and miR-191 are upregulated while PLAG1 and HIF2 are downregulated in pleomorphic adenomas of the salivary glands compared to Warthin tumors 与 Warthin 肿瘤相比,唾液腺多形性腺瘤中 MiR-26a 和 miR-191 上调,而 PLAG1 和 HIF2 下调。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-09 DOI: 10.1111/jop.13565
Jelena Carkic, Nadja Nikolic, Violeta Sango, Nicole Riberti, Boban Anicic, Jelena Milasin

Background

Salivary gland tumors (SGTs) are a heterogenous group of pathologies, which still represents a challenge regarding differential diagnosis and therapy. Although histological findings govern SGTs management, detection of molecular alterations is emerging as an effective additional tool. The aim of this study was to analyze the relative expression levels of three micro RNAs (miR-26a, miR-26b, and miR-191), and three pro-oncogenic molecular markers (PLAG1, MTDH, and HIF2) in SGTs and normal salivary gland (NSG) tissues and evaluate them as potential differential diagnosis markers.

Methods

This cross-sectional study included 58 patients with SGTs (23 pleomorphic adenomas, 27 Warthin tumors, and 8 malignant SGTs) and 10 controls (normal salivary gland tissues). Relative gene expression levels of all investigated molecules were determined by reverse transcriptase-real-time polymerase chain reaction.

Results

All three micro RNAs exhibited highest expression levels in benign SGTs, whereas miR-26a And miR-191 were significantly more expressed in PAs compared to WTs (p = 0.045 and p = 0.029, respectively). PLAG1 And HIF2 were both overexpressed in WTs compared to PAs (p = 0.048 and p = 0.053, respectively). Bioinformatic analysis suggested that all investigated micro RNAs function as negative regulators of MTDH.

Conclusion

The results of this study suggest that all three micro RNAs have a considerable negative impact on MTDH oncogene expression in malignant tumors, while the differences between levels of miR-26a, miR-191, PLAG1, and HIF2 in PA and WT represent possible differential diagnosis markers.

背景:唾液腺肿瘤(SGTs)是一类异质性病变,在鉴别诊断和治疗方面仍是一项挑战。尽管组织学检查结果决定着 SGTs 的治疗,但分子改变的检测正成为一种有效的补充工具。本研究旨在分析三种微RNA(miR-26a、miR-26b和miR-191)和三种促癌分子标记物(PLAG1、MTDH和HIF2)在SGTs和正常唾液腺(NSG)组织中的相对表达水平,并评估它们作为潜在鉴别诊断标记物的作用:这项横断面研究包括 58 名 SGT 患者(23 名多形性腺瘤患者、27 名 Warthin 肿瘤患者和 8 名恶性 SGT 患者)和 10 名对照组(正常唾液腺组织)。通过逆转录酶实时聚合酶链反应测定了所有研究分子的相对基因表达水平:结果:所有三种微小 RNA 在良性 SGTs 中的表达水平最高,而 miR-26a 和 miR-191 在 PAs 中的表达明显高于 WTs(分别为 p = 0.045 和 p = 0.029)。与 PAs 相比,PLAG1 和 HIF2 在 WTs 中均表达过高(分别为 p = 0.048 和 p = 0.053)。生物信息学分析表明,所有研究的微RNA都是MTDH的负调控因子:本研究结果表明,所有三种微小 RNA 对恶性肿瘤中 MTDH 致癌基因的表达都有相当大的负面影响,而 PA 和 WT 中 miR-26a、miR-191、PLAG1 和 HIF2 水平的差异是可能的鉴别诊断标志物。
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引用次数: 0
The effects of enoxaparin treatment in a xenograft mouse model of oral squamous cell carcinoma: A pilot study 依诺肝素治疗对口腔鳞状细胞癌异种移植小鼠模型的影响:一项试验研究。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-09 DOI: 10.1111/jop.13563
Yeliz Ekici, Merva Soluk-Tekkesin, Umut Can Küçüksezer, Hazal Banu Olgun Celebioglu, Erman Bulent Tuncer, Elcin Bedeloglu, Feyza Nur Tuncer

Background

Recent studies suggest that enoxaparin may have therapeutic effects on oral squamous cell carcinoma. We aimed to assess this effect utilizing xenograft mouse model through evaluations of proliferation and angiogenesis markers at the RNA and protein levels.

Methods

Mice were divided into enoxaparin treatment (n = 4), positive control (n = 4) and negative control (n = 3) groups. Immunohistochemical analyses were performed utilizing Bcl-2, Bax and Ki-67 antibodies. Expression levels of proliferation and apoptosis related genes were calculated utilizing qRT-PCR. Time-dependent proliferation assays were performed in OSC-19 and HEK293 cell-lines.

Results

Bax antibody showed positive staining in the cytoplasm and nuclei of tumor cells, while Bcl-2 antibody displayed staining only in the cytoplasm. A proliferation index of 15%–20% was found in all groups with the Ki-67 marker indicating no metastasis. Enoxaparin treatment caused decrease in BCL2, BAX and CCNB1 genes' expressions. Compared to HEK293, proliferation assays demonstrated higher division rates in OSC-19 with a significant decrease in viability after 96 h.

Conclusion

Reduced BCL-2 expression indicates a regression of tumor growth, but reduced BAX expression is not correlated with increased apoptosis. Despite the aggressive nature of OSC-19, our results showed a low cell viability with a high division rate when compared with the control HEK293. This paralleled our in vivo findings that showed absence of lymph node metastasis across all mice groups. This discrepancy with the literature suggests that further investigations of the underlying mechanisms and protein-level analyses are needed to draw definitive conclusions about the effect of enoxaparin on OSC-19 behavior.

背景:最近的研究表明,依诺肝素可能对口腔鳞状细胞癌有治疗作用。我们旨在利用异种移植小鼠模型,通过在 RNA 和蛋白质水平上评估增殖和血管生成标记物来评估这种作用:小鼠分为依诺肝素治疗组(n = 4)、阳性对照组(n = 4)和阴性对照组(n = 3)。使用 Bcl-2、Bax 和 Ki-67 抗体进行免疫组化分析。利用 qRT-PCR 计算增殖和凋亡相关基因的表达水平。在 OSC-19 和 HEK293 细胞系中进行了时间依赖性增殖试验:结果:Bax 抗体在肿瘤细胞的细胞质和细胞核中均呈阳性染色,而 Bcl-2 抗体仅在细胞质中染色。各组的增殖指数均为 15%-20%,Ki-67 标记显示无转移。依诺肝素治疗会导致 BCL2、BAX 和 CCNB1 基因表达量减少。与 HEK293 相比,增殖试验表明 OSC-19 的分裂率更高,96 小时后存活率显著下降:结论:BCL-2 表达的减少表明肿瘤生长的减弱,但 BAX 表达的减少与细胞凋亡的增加并不相关。尽管 OSC-19 具有侵袭性,但与对照组 HEK293 相比,我们的结果显示细胞存活率低,分裂率高。这与我们的体内研究结果一致,即所有小鼠组都没有淋巴结转移。这种与文献报道的差异表明,要就依诺肝素对 OSC-19 行为的影响得出明确结论,还需要进一步研究其潜在机制并进行蛋白质水平分析。
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引用次数: 0
Feasibility study of ResNet-50 in the distinction of intraoral neural tumors using histopathological images ResNet-50 利用组织病理学图像区分口腔内神经肿瘤的可行性研究。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-04 DOI: 10.1111/jop.13560
Giovanna Calabrese dos Santos, Anna Luíza Damaceno Araújo, Henrique Alves de Amorim, Daniela Giraldo-Roldán, Sebastião Silvério de Sousa-Neto, Pablo Agustin Vargas, Luiz Paulo Kowalski, Alan Roger Santos-Silva, Marcio Ajudarte Lopes, Matheus Cardoso Moraes

Background

Neural tumors are difficult to distinguish based solely on cellularity and often require immunohistochemical staining to aid in identifying the cell lineage. This article investigates the potential of a Convolutional Neural Network for the histopathological classification of the three most prevalent benign neural tumor types: neurofibroma, perineurioma, and schwannoma.

Methods

A model was developed, trained, and evaluated for classification using the ResNet-50 architecture, with a database of 30 whole-slide images stained in hematoxylin and eosin (106, 782 patches were generated from and divided among the training, validation, and testing subsets, with strategies to avoid data leakage).

Results

The model achieved an accuracy of 70% (64% normalized), and showed satisfactory results for differentiating two of the three classes, reaching approximately 97% and 77% as true positives for neurofibroma and schwannoma classes, respectively, and only 7% for perineurioma class. The AUROC curves for neurofibroma and schwannoma classes was 0.83%, and 0.74% for perineurioma. However, the specificity rate for the perineurioma class was greater (83%) than in the other two classes (neurofibroma with 61%, and schwannoma with 60%).

Conclusion

This investigation demonstrated significant potential for proficient performance with a limitation regarding the perineurioma class (the limited feature variability observed contributed to a lower performance).

背景:神经肿瘤很难仅凭细胞性质进行区分,通常需要免疫组化染色来帮助确定细胞系。本文研究了卷积神经网络对神经纤维瘤、会厌瘤和裂隙瘤这三种最常见的良性神经肿瘤类型进行组织病理学分类的潜力:方法:使用 ResNet-50 架构开发、训练和评估了一个分类模型,数据库包含 30 张经苏木精和伊红染色的全切片图像(106,782 个补丁由训练子集、验证子集和测试子集生成和划分,并采取了避免数据泄漏的策略):该模型的准确率为 70%(归一化为 64%),在区分三个类别中的两个类别方面取得了令人满意的结果,神经纤维瘤和裂隙瘤类别的真阳性率分别达到约 97% 和 77%,而会厌瘤类别的真阳性率仅为 7%。神经纤维瘤和分裂瘤的 AUROC 曲线为 0.83%,会厌瘤为 0.74%。然而,会厌瘤类别的特异性率(83%)高于其他两个类别(神经纤维瘤为 61%,分裂瘤为 60%):这项研究表明,会厌瘤类别的准确性具有很大的潜力,但也存在局限性(观察到的特征变异性有限,导致准确性较低)。
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引用次数: 0
Oral cancer detection and progression prediction using noninvasive cytology-based DNA ploidy approach 利用基于无创细胞学的 DNA 倍性方法检测和预测口腔癌的进展。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-02 DOI: 10.1111/jop.13562
Kelly Y. P. Liu, Samson Ng, Maryam Taleghani, Sarah Y. Zhu, Anita Carraro, Zhaoyang Chen, Branko Palcic, Catherine F. Poh, Martial Guillaud

Background

Despite the oral cavity being readily accessible, oral cancer (OC) remains a significant burden. The objective of this study is to develop a DNA ploidy-based cytology test for early detection of high-risk oral lesions.

Methods

This retrospective study was conducted using 569 oral brushing samples collected from 95 normal and 474 clinically abnormal mucosa with biopsy diagnosis of reactive, low-grade or high-grade precancer or cancers. Brushing cells were processed to characterize DNA ploidy. A two-step DNA ploidy-based algorithm, the DNA ploidy oral cytology (DOC) test, was developed using a training set, and verified in test and validation sets to differentiate high-grade lesions (HGLs) from normal. The prognostic value of the test was evaluated by an independent outcome cohort, including progressed and non-progressing normal, reactive and low-grade lesions. Classification performance was assessed by accuracy, sensitivity, and specificity, while the prognostic value was evaluated by using the Cox proportional hazards analysis on 3-year progression-free survival (PFS).

Results

The developed DOC test exhibited high accuracy for detecting HGLs in the test and validation sets, with a sensitivity of 0.97 and 0.96, respectively. Its application to the Outcome cohort demonstrated significant prognostic value for 3-year PFS (log rank, p < 0.001). Multivariate analysis showed that high-grade pathology was the only variable explaining positive DOC test, not age, smoking, or lesional site.

Conclusion

Clinical implementation of the DOC test could provide an effective screening method for detecting HGLs for biopsy and lesions at risk of progression.

背景:尽管口腔很容易触及,但口腔癌(OC)仍然是一个沉重的负担。本研究的目的是开发一种基于 DNA 倍体的细胞学检测方法,用于早期检测高风险口腔病变:这项回顾性研究使用了从 95 例正常和 474 例临床异常粘膜(活检诊断为反应性、低级别或高级别癌前病变或癌症)采集的 569 份口腔刷牙样本。对刷牙细胞进行了处理,以确定 DNA 倍性的特征。利用训练集开发了一种基于DNA倍性的两步算法--DNA倍性口腔细胞学(DOC)测试,并在测试集和验证集中进行了验证,以区分高级别病变(HGL)和正常病变。该测试的预后价值由一个独立的结果队列进行评估,包括进展和非进展的正常、反应性和低级别病变。通过准确性、灵敏度和特异性评估了分类效果,而通过对3年无进展生存期(PFS)的Cox比例危险分析评估了预后价值:结果:所开发的 DOC 检验在测试集和验证集中检测 HGL 的准确性很高,灵敏度分别为 0.97 和 0.96。将其应用于 "结果 "队列,对3年PFS具有显著的预后价值(对数秩,p 结论:DOC测试在临床上的应用对HGL具有显著的预后价值:DOC测试的临床应用可为活组织检查和有进展风险的病变提供一种有效的筛查方法。
{"title":"Oral cancer detection and progression prediction using noninvasive cytology-based DNA ploidy approach","authors":"Kelly Y. P. Liu,&nbsp;Samson Ng,&nbsp;Maryam Taleghani,&nbsp;Sarah Y. Zhu,&nbsp;Anita Carraro,&nbsp;Zhaoyang Chen,&nbsp;Branko Palcic,&nbsp;Catherine F. Poh,&nbsp;Martial Guillaud","doi":"10.1111/jop.13562","DOIUrl":"10.1111/jop.13562","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the oral cavity being readily accessible, oral cancer (OC) remains a significant burden. The objective of this study is to develop a DNA ploidy-based cytology test for early detection of high-risk oral lesions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study was conducted using 569 oral brushing samples collected from 95 normal and 474 clinically abnormal mucosa with biopsy diagnosis of reactive, low-grade or high-grade precancer or cancers. Brushing cells were processed to characterize DNA ploidy. A two-step DNA ploidy-based algorithm, the DNA ploidy oral cytology (DOC) test, was developed using a training set, and verified in test and validation sets to differentiate high-grade lesions (HGLs) from normal. The prognostic value of the test was evaluated by an independent outcome cohort, including progressed and non-progressing normal, reactive and low-grade lesions. Classification performance was assessed by accuracy, sensitivity, and specificity, while the prognostic value was evaluated by using the Cox proportional hazards analysis on 3-year progression-free survival (PFS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The developed DOC test exhibited high accuracy for detecting HGLs in the test and validation sets, with a sensitivity of 0.97 and 0.96, respectively. Its application to the Outcome cohort demonstrated significant prognostic value for 3-year PFS (log rank, <i>p</i> &lt; 0.001). Multivariate analysis showed that high-grade pathology was the only variable explaining positive DOC test, not age, smoking, or lesional site.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clinical implementation of the DOC test could provide an effective screening method for detecting HGLs for biopsy and lesions at risk of progression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16588,"journal":{"name":"Journal of Oral Pathology & Medicine","volume":"53 7","pages":"434-443"},"PeriodicalIF":2.7,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jop.13562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence and radiomics in the diagnosis of intraosseous lesions of the gnathic bones: A systematic review 人工智能和放射组学在诊断胫骨骨内病变中的应用:系统综述。
IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-05-28 DOI: 10.1111/jop.13548
Daniela Giraldo-Roldán, Anna Luíza Damaceno Araújo, Matheus Cardoso Moraes, Viviane Mariano da Silva, Erin Crespo Cordeiro Ribeiro, Matheus Cerqueira, Cristina Saldivia-Siracusa, Sebastião Silvério Sousa-Neto, Maria Eduarda Pérez-de-Oliveira, Marcio Ajudarte Lopes, Luiz Paulo Kowalski, André Carlos Ponce de Leon Ferreira de Carvalho, Alan Roger Santos-Silva, Pablo Agustin Vargas

Background

The purpose of this systematic review (SR) is to gather evidence on the use of machine learning (ML) models in the diagnosis of intraosseous lesions in gnathic bones and to analyze the reliability, impact, and usefulness of such models. This SR was performed in accordance with the PRISMA 2022 guidelines and was registered in the PROSPERO database (CRD42022379298).

Methods

The acronym PICOS was used to structure the inquiry-focused review question “Is Artificial Intelligence reliable for the diagnosis of intraosseous lesions in gnathic bones?” The literature search was conducted in various electronic databases, including PubMed, Embase, Scopus, Cochrane Library, Web of Science, Lilacs, IEEE Xplore, and Gray Literature (Google Scholar and ProQuest). Risk of bias assessment was performed using PROBAST, and the results were synthesized by considering the task and sampling strategy of the dataset.

Results

Twenty-six studies were included (21 146 radiographic images). Ameloblastomas, odontogenic keratocysts, dentigerous cysts, and periapical cysts were the most frequently investigated lesions. According to TRIPOD, most studies were classified as type 2 (randomly divided). The F1 score was presented in only 13 studies, which provided the metrics for 20 trials, with a mean of 0.71 (±0.25).

Conclusion

There is no conclusive evidence to support the usefulness of ML-based models in the detection, segmentation, and classification of intraosseous lesions in gnathic bones for routine clinical application. The lack of detail about data sampling, the lack of a comprehensive set of metrics for training and validation, and the absence of external testing limit experiments and hinder proper evaluation of model performance.

背景:本系统性综述(SR)旨在收集机器学习(ML)模型用于诊断胫骨骨内病变的证据,并分析此类模型的可靠性、影响和实用性。本研究按照 PRISMA 2022 指南进行,并在 PROSPERO 数据库(CRD42022379298)中注册:方法:使用首字母缩写词 PICOS 来构建以探究为重点的综述问题 "人工智能在诊断咬肌骨内病变方面是否可靠?文献检索在各种电子数据库中进行,包括 PubMed、Embase、Scopus、Cochrane Library、Web of Science、Lilacs、IEEE Xplore 和 Gray Literature(Google Scholar 和 ProQuest)。使用 PROBAST 对偏倚风险进行了评估,并通过考虑数据集的任务和抽样策略对结果进行了综合:结果:共纳入 26 项研究(21 146 幅放射影像)。釉母细胞瘤、牙源性角化囊肿、牙源性囊肿和根尖周囊肿是最常见的病变。根据 TRIPOD,大多数研究被归类为第 2 类(随机划分)。只有 13 项研究提供了 F1 评分,这些研究提供了 20 项试验的指标,平均值为 0.71 (±0.25):结论:没有确凿证据支持基于 ML 的模型在常规临床应用中用于检测、分割和分类咬肌骨内病变。数据取样缺乏细节、缺乏一套全面的训练和验证指标,以及缺乏外部测试都限制了实验的进行,阻碍了对模型性能的正确评估。
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引用次数: 0
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Journal of Oral Pathology & Medicine
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