Efficacy and safety of combined immunotherapy and stereotactic radiosurgery in NSCLCBM patients and a novel prognostic nomogram: A real-world study

ObjectiveTo explore the effectiveness of combined immunotherapy (IT) and stereotactic radiosurgery (SRS) and address the gap between evidence-based clinical practice and academic knowledge of optimal timing of IT relative to SRS. In addition, to meet the unmet need for an up-to-date prognostic assessment model in the era of IT.MethodsThe data of 86 non-small cell lung cancer brain metastasis (NSCLCBM) patients treated with SRS to 268 brain metastases (BMs) were retrospectively extracted from our hospital database. The Kaplan–Meier analysis was employed for overall survival (OS) and a log-rank test for comparison between groups. Cox proportional hazards regression models were used to identify the significant prognostic factors. The prognostic nomogram was established utilizing the rms package of R software.ResultsIT was found to be associated with improved OS (from BM diagnosis: HR 0.363, 95% CI 0.199 - 0.661, P < 0.001; from SRS: HR 0.472, 95% CI 0.260 - 0.857, P = 0.014). Individuals who received IT in combination with SRS had better OS than those who didn’t (from the day of BM diagnosis: 16.8 vs. 8.4 months, P = 0.006; from the day of SRS: 12 vs. 7 months, P = 0.037). Peri-SRS timing of IT administration was a significant prognostic factor for OS (from BM diagnosis: HR 0.132, 95% CI 0.034 - 0.517, P = 0.004; from SRS: HR 0.14, 95% CI 0.044 - 0.450, P = 0.001). Initiating IT after SRS led to superior OS than concurrent or before (from BM diagnosis: 26.5 vs. 14.1 vs. 7.1 months; from SRS: 21.4 vs. 9.9 vs. 4.1 months, respectively). Additionally, we build a nomogram incorporating IT, cumulative intracranial tumor volume (CITV), and recursive partitioning analysis (RPA), demonstrating a remarkable prognosis prediction performance for SRS-treated NSCLCBM patients.ConclusionPeri-SRS IT is a promising approach in treating NSCLCBM, as improved OS was observed without significantly increasing adverse events. Receipt of IT post-SRS was associated with superior OS than those who received IT concurrently or before. Incorporating IT and CITV into the RPA index could augment its prognosis assessment value for SRS-treated NSCLCBM patients, predominantly in the wild-type

CBED Tools for semi-automatic measurement of crystal thicknesses

Convergent-beam electron diffraction (CBED) is one of the most popular techniques to measure crystal thickness. The traditional measurement involves linear fitting of several fringes across the CBED disc, but for a thin crystal with fewer than three fringes the usefulness of this method will be limited. CBED Tools, a free plugin for the DigitalMicrograph software, provides a fast (similar to 12 min) and accurate algorithm to measure the crystal thickness on the basis of the linear fitting method, but it is also capable of determining the crystal thickness when it is very thin and only one fringe or part of the first fringe is recorded. CBED Tools can also be utilized to handle the severely distorted CBED pattern obtained when the zero-order Laue zone Kikuchi lines overlap with the fringes.</p

A method for structure analysis of nanomaterials by electron diffraction: Phase identification and unit cell determination

We report a quick and easy method for a random selected area electron diffraction (SAED) pattern without rotating and tilting the specimen to perform phase identification and unit cell determination by combined with the XRD softwares. If your TEM is well aligned and camera length is carefully corrected, two-dimensional (2D)-SAED pattern can be directly transformed to 1D-profile after the center determination of pattern, this profile is then imported to XRD analysis packages. Finally, phase identification and unit cell determination can be performed after peak search or precise peak position determined by profile fitting. Two examples, flaky-like TiO2 nanomaterial and TiO2 nanotubes precipitated by the silver nanoparticles, were tested and verified for the validation of phase identification and unit cell determination using this method; the successful crystallographic analysis of one single gold nanocrystal indicates it is still validate for the nanocrystals with the smaller diffraction volume, but need two or more random tilt SAED patterns. This method could be further used in the quantitative phase analysis, structure determination and Rietveld refinement for the nanomaterials if the reliable integrated intensity can be extracted. Microsc. Res. Tech. 76:641647, 2013. (c) 2013 Wiley Periodicals, Inc

Characteristics and purification of Himalayan salt by high temperature melting

Himalayan rock salt contains a variety of minerals and trace elements, which is conducive to human health. The solutions of black rock salt and rose salt are alkaline, and the content of water insoluble matter is 0.34 and 0.083%, respectively. The element composition of water insoluble matter in rock salt is determined and analyzed. It is found that the main component of two kinds of rock salt water insoluble matter is soil. Due to the presence of water insoluble matter in rock salt, according to the different specific gravity of molten sodium chloride and insoluble matter, rock salt was purified by high-temperature melting method. Rose salt is mainly studied during purification. The results showed that the content of insoluble matter in rose salt decreased from 0.083 to 0.0024% after holding at 950°C for 40 min; the contents of arsenic, barium, and lead decreased to 0.0032, 0.61, and 0.21 mg·kg−1, respectively; the content of sodium increased to 39.24%, the contents of calcium, magnesium, and iron reached to 2,200, 855, and 1.31 mg·kg−1, respectively

MICROSCOPY RESEARCH AND TECHNIQUE

 We report a quick and easy method for a random selected area electron diffraction (SAED) pattern without rotating and tilting the specimen to perform phase identification and unit cell determination by combined with the XRD softwares. If your TEM is well aligned and camera length is carefully corrected, two-dimensional (2D)-SAED pattern can be directly transformed to 1D-profile after the center determination of pattern, this profile is then imported to XRD analysis packages. Finally, phase identification and unit cell determination can be performed after peak search or precise peak position determined by profile fitting. Two examples, flaky-like TiO2 nanomaterial and TiO2 nanotubes precipitated by the silver nanoparticles, were tested and verified for the validation of phase identification and unit cell determination using this method; the successful crystallographic analysis of one single gold nanocrystal indicates it is still validate for the nanocrystals with the smaller diffraction volume, but need two or more random tilt SAED patterns. This method could be further used in the quantitative phase analysis, structure determination and Rietveld refinement for the nanomaterials if the reliable integrated intensity can be extracted. Microsc. Res. Tech. 76:641647, 2013. (c) 2013 Wiley Periodicals, Inc.</span

Preparation of Cr2O3-based pigments with high NIR reflectance via thermal decomposition of CrOOH

In order to reduce greenhouse gas emission and urban heat island mitigation, pure and titanium(Ti)-doped Cr2O3 cool pigments were prepared via the thermal decomposition of CrOOH. The result reveals that the pure Cr2O3 pigment presents both a high near-infrared reflectance and excellent yellowish-green color. Meanwhile, titanium was doped to improve the NIR reflectance and strengthen the color. The color of the designed pigments was brighter, and most importantly, the NIR reflectance increased from 84.04% to 91.25% with increasing Ti content from 0 to 0.006% (mole fraction). However, excessive doping of Ti4+ for Cr3+ in Cr2O3 (x(Ti)>= 0.008%) decreased the NIR reflectance. One possible reason is that the conductivity type of the Cr2-xTixO3+delta changed from p-type conduction to n-type conduction with increasing Ti content, accompanied by the change of the electrical resistivity and the NIR reflectance. The prepared yellowish-green Cr2O3 pigments have a great potential for extensive applications in construction and military

Preparation of Cr_2O_3-based pigments with high NIR reflectance via thermal decomposition of CrOOH

In order to reduce greenhouse gas emission and urban heat island mitigation, pure and titanium(Ti)-doped Cr_2O_3 cool pigments were prepared via the thermal decomposition of CrOOH. The result reveals that the pure Cr_2O_3 pigment presents both a high near-infrared reflectance and excellent yellowish-green color. Meanwhile, titanium was doped to improve the NIR reflectance and strengthen the color. The color of the designed pigments was brighter, and most importantly, the NIR reflectance increased from 84.04% to 91.25% with increasing Ti content from 0 to 0.006% (mole fraction). However, excessive doping of Ti~(4+) for Cr~(3+) in Cr_2O_3 (x(Ti)≥0.008%) decreased the NIR reflectance. One possible reason is that the conductivity type of the Cr_(2-x)Ti_xO_(3+δ) changed from p-type conduction to n-type conduction with increasing Ti content, accompanied by the change of the electrical resistivity and the NIR reflectance. The prepared yellowish-green Cr_2O_3 pigments have a great potential for extensive applications in construction and military