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The biocompatibility and hemostatic efficacy of silk fibroin nanofibrils fabricated by Shear-Induced ph.se separation process

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Chemical engineering Journal 2023年 474卷

作者： Lu, Po-Wen Wu, Yu-Tzu Chang, Liang-Yu Lu, Tzu-Wei Jaihao, Chonlachat Huang, Ching-Shuan Murph. Chuang, Mo-Fei Lin, Chunche Chen, Innie Brangule, Agnese Zarkov, Aleksej Kareiva, Aivaras Yang, Jen-Chang Graduate Institute of Biomedical Materials and Tissue Engineering College of Biomedical Engineering Taipei Medical University Taipei11052 Taiwan Division of Gastroenterology and Hepatology Department of Internal Medicine Shuang Ho Hospital Taipei Medical University Zhongzheng Rd. Taipei Zhonghe23561 Taiwan Graduate Institute of Nanomedicine and Medical Engineering College of Biomedical Engineering Taipei Medical University 250 Wu-Hsing Street Taipei11031 Taiwan Department of Dentistry Taipei Medical University Hospital Taipei11031 Taiwan Institute of Organic and Polymeric Materials National Taipei University of Technology Taipei106344 Taiwan Research and Development Center for Smart Textile Technology National Taipei University of Technology Taipei106344 Taiwan Innie Chen Department of Obstetrics and Gynecology University of Ottawa OttawaONK1H 7W9 Canada Department of Pharmaceutical Chemistry Riga Stradins University RīgaLV-1007 Latvia Institute of Chemistry Vilnius University Naugarduko 24 VilniusLT-03225 Lithuania International Ph.D. Program in Biomedical Engineering College of Biomedical Engineering Taipei Medical University Taipei11031 Taiwan Research Center of Biomedical Device Taipei Medical University Taipei11031 Taiwan Research Center of Digital Oral Science and Technology Taipei Medical University Taipei11031 Taiwan

The objectives of this study were to investigate the biocompatibility and hemostatic efficacy of silk fibroin nanofibrils (SFNFs). Unlike a conventional dialysis/freeze-drying process, SFNFs were prepared using a novel shear-induced ph.se-separation method. The morph.logy, particle size distribution, protein secondary structures, and crystalline structures of the resulting SFNFs were respectively investigated by scanning electron microscopy (SEM), transmission electron microscopy (TEM), laser diffraction (Ld), Fourier-transform infrared (FTIR) spectroscopy, and x-ray diffraction (XRd) deconvolution analyses. Polar and non-polar extractants of SFNFs under a bath ratio of 0.2 g/mL were collected after individually soaking them into 0.9% normal saline and cottonseed oil. In vitro hemolysis ratios, biocompatibility, and sensitization tests were carried out. Then, the hemostatic efficacy was assayed using a rat liver punch biopsy model. Compared to dialyzed/freeze-dried SF, the harvested SFNFs revealed high surface area in morph.logy. The median particle size distribution, d50, was 294 μm for SFNFs. Shear-induced hydrogen bonding, crystallization, and ph.se separation tended to give the SFNFs a high crystalline index (CI) and degree of crystallinity (dC). The hemolysis ratio of SFNFs was 0.86 ± 0.40%, and it was classified as being non-hemolytic (0%∼2%). The test results of toxicity and skin sensitization were both negative. The hemostasis time for SFNFs (2.8 ± 0.6 min) was statistically less than that of oxidized cellulose (4.3 ± 0.9 min) (p © 2023 Elsevier B.V.

关键词： Biocompatibility

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dual-Targeting EGCG/NO-Supplying protein assembled nanoparticles with Multi-Synergistic effects against atherosclerosis

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Chemical engineering Journal 2024年 493卷

作者： Lin, Chi Cheng, Tsai-Mu Liu, Yun-Chun Hsu, Fang-Yu Shih, Chun-Ming Tsai, Min-Lang Shih, Chun-Che Mi, Fwu-Long Graduate Institute of Medical Sciences College of Medicine Taipei Medical University Taipei11031 Taiwan The PhD Program for Translational Medicine College of Medical Science and Technology Taipei Medical University Taipei11031 Taiwan Taipei Heart Institute Taipei Medical University Taipei11031 Taiwan Department of Food Science National Taiwan Ocean University Keelung20224 Taiwan Department of Biochemistry and Molecular Cell Biology School of Medicine College of Medicine Taipei Medical University Taipei11031 Taiwan Division of Cardiology and Cardiovascular Research Center Taipei Medical University Hospital Taipei11031 Taiwan Division of Cardiovascular Surgery Department of Surgery Wan Fang Hospital Taipei Medical University Taipei11031 Taiwan Institute of Clinical Medicine School of Medicine National Yang-Ming Chiao Tung University Taipei Taiwan Department of Surgery School of Medicine College of Medicine Taipei Medical University Taipei11031 Taiwan Graduate Institute of Nanomedicine and Medical Engineering College of Biomedical Engineering Taipei Medical University Taipei11031 Taiwan International Ph.D. Program for Cell Therapy and Regeneration Medicine College of Medicine Taipei Medical University Taipei Taiwan

Limited therapeutic options are available to effectively preventing atherosclerosis. Inflammatory endothelial cells, foamy macroph.ges, and high protease levels contribute to atherosclerotic plaque formation. Studies have shown that catechins effectively scavenge reactive oxygen species (ROS), inhibit monocyte adhesion and reduce cholesterol levels, while nitric oxide (NO) enhances endothelial function. However, due to the poor stability and bioavailability of catechins and the toxicity from the burst release of current synthetic small molecules NO donor, effective delivery of these bioactive compounds to treat atherosclerosis is still a challenge. Herein, a catechin/protein-based NO donor co-delivery nanosystem was designed for combinatorial anti-atherosclerotic therapy. We engineered a (−)-epigallocatechin-3-gallate (EGCG)/NO-releasing protein co-assembled nanocomplex based on specific catechin-protein interactions. Furthermore, the nanocomplex was surface modified with fucoidan (Fu), a sulfated polysaccharide with anti-inflammatory activity. This nanocomplex exhibits sensitivity to ROS, ph. and enzymes. The Fu-functionalized nanoparticles specifically accumulates in atherosclerotic plaques mediated by P-selectin on inflamed endothelial cells and scavenger receptor A (SR-A) on foamy macroph.ges. Under environmental stimuli that simulate the condition of plaque, the nanoparticles are readily activated to release EGCG and NO in response to excess ROS and high protease levels, exerting the multi-synergistic anti-atherosclerosic effects on reducing monocyte adhesion, promoting NO production to proliferate endothelial cells, lowering ROS levels, and decreasing the foam cell formation in vitro, and reducing lipid accumulation, plaque size, and inflammatory cytokines release in high-fat diet-induced atherosclerosis model in ApoE−/− mice. The integration of plaques targeting ability and multiple therapeutic functions can provide an advanced therapeutic strategy for athero

关键词： Nitric oxide

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Ultrafast absorption mechanism of oil-emulsified micelles onto ferrous absorbents with dielectroph.resis force in the presence of polarization

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Journal of Hazardous Materials 2023年 460卷 132436页

作者： Huang, Chun-Yao Lin, Feng-Yen Lu, Chien-Hsing Chen, Jem-Kun Department of Materials Science and Engineering National Taiwan University of Science and Technology 43 Section 4 Keelung Road Taipei106 Taiwan Taipei Heart Institute 250 Wu-Hsing Street Taipei Medical University Taipei110 Taiwan Division of Cardiology and Cardiovascular Research Center Taipei Medical University Hospital 252 Wu-Hsing Street Taipei110 Taiwan Department of Internal Medicine School of Medicine College of Medicine Taipei Medical University 250 Wu-Hsing Street Taipei110 Taiwan Department of Biomedical Sciences and Engineering National Central University 300 Zhongda Road Taoyuan City320317 Taiwan Department of Obstetrics and Gynecology Taichung Veterans General Hospital 1650 Taiwan Boulevard Sect. 4 Taichung40705 Taiwan Ph.D. Program in Translational Medicine and Rong Hsing Research Center for Translational Medicine National Chung Hsing University Taichung Taiwan

Absorption and desorption rates were generally dependent on the concentration gradient from bulk to absorbents. A novel methodology based on a capacitor with an alternating electric field (AEF) is developed to accelerate the absorption and desorption rates with the frequency manipulation. Ferrous polystyrene microsph.res (PISMs) are synthesized as absorbents, which could enhance the complex permittivities as well as dielectric properties. Theoretically, the attractive force and viscous force predominately determine the particle and micelles movement in the medium under an AEF. Oil-emulsified micelles (OEM) with various viscosities were selected as absorbates. Both the OEM and microsph.rical absorbents assembled through the external attractive force in the presence of the AEF. When the attractive force is equal to viscous force in the medium at the characteristic frequency, the optimal absorption rate could be obtained. The absorption rate constants of pseudo-first-order for OEMs under the polarization at 50 V and 120 kHz of frequency are ca. 10 times higher than that in absence of the polarization. The desorption rate as well as recycling efficiency could be also improved at 800 kHz. The ferrous PISMs with high complex permittivity prevented the damage from the AEF, which could be recycled 10 times of absorption and desorption with frequency manipulation under the AEF. Our methodology provides novel insights for ultrafast wastewater treatment. © 2023 Elsevier B.V.

关键词： Polarization

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dexamethasone and dexmedetomidine: A Synergistic Approach to Reduce Postoperative Nausea and Vomiting in Bariatric Surgery Patients

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Obesity surgery 2024年第6期34卷 2253-2254页

作者： Po-Chih Chang Ya-Wei Huang Chih-Kun Huang Ting-Wei Chang School of Medicine College of Medicine National Sun Yat-Sen University Kaohsiung City Taiwan. Division of Thoracic Surgery Department of Surgery Kaohsiung Medical University Hospital/Kaohsiung Medical University Kaohsiung City Taiwan. Weight Management Center Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung City Taiwan. Ph. D. Program in Biomedical Engineering College of Medicine Kaohsiung Medical University Kaohsiung City Taiwan. Department of Sports Medicine College of Medicine Kaohsiung Medical University Kaohsiung City Taiwan. Department of Nursing Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung City Taiwan. Body Science and Metabolic Disorders International Medical Center China Medical University Hospital Taichung City Taiwan. Division of Thoracic Surgery Department of Surgery Kaohsiung Medical University Hospital/Kaohsiung Medical University Kaohsiung City Taiwan. drchangtingwei@***. Weight Management Center Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung City Taiwan. drchangtingwei@***.

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Exploring knowledge, attitude, and intention towards advance care planning, advance directive, and the patient self-determination act among hemodialysis patients

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BMC Palliative Care 2023年第1期22卷 201-201页

作者： Tsai, Shang-Feng Chang, Ching-Yi Yang, Jia-Yi Ho, Yu-Ying Hsiao, Ching-Ching Hsu, Shu-Chuan Chen, Shih-Yun Lin, Huan-Yi Yeh, Te-Feng Chen, Cheng-Hsu Division of Nephrology Department of Internal Medicine Taichung Veterans General Hospital 160 Sec. 3 Boulevard Taichung 407 Taiwan Department of Life Science Tunghai University Taichung Taiwan Department of Post-Baccalaureate Medicine College of Medicine National Chung Hsing University Taichung Taiwan Department of Nursing Taichung Veterans General Hospital Taichung Taiwan Department of Ophthalmology Taichung Veterans General Hospital Taichung Taiwan Department of Healthcare Administration Central Taiwan University of Science and Technology Taichung Taiwan Ph.D. Program in Tissue Engineering and Regenerative Medicine College of Medicine National Chung Hsing University Taichung Taiwan

Background: Hemodialysis holds the highest incidence and prevalence rate in Taiwan globally. However, the implementation of advance care planning (ACP), advance directives (Ad), and patient self-determination acts (PSdA) remains limited. Our objective was to examine the current status of ACP, Ad and PSdA and potential opportunities for enhancement. Methods: We developed a novel questionnaire to assess individuals’ knowledge, attitudes, and intentions regarding ACP, Ad, and PSdA. We also collected baseline characteristics and additional inquiries for correlation analysis to identify potential factors. Student’s t-test and Analysis of Variance were employed to assess significance. Results: Initially, a cohort of 241 patients was initially considered for inclusion in this study. Subsequently, 135 patients agreed to participate in the questionnaire study, resulting in 129 valid questionnaires. Among these respondents, 76 were male (59.9%), and 53 were female (41.1%). Only 13.2% had signed Ad. A significant portion (85.3%) indicated that they had not discussed their dialysis prognosis with healthcare providers. Additionally, a mere 14% engaged in conversations about life-threatening decisions. Ninety percent believed that healthcare providers had not furnished information about ACP, and only 30% had discussed such choices with their families. The findings revealed that the average standardized score for ACP and Ad goals was 84.97, while the attitude towards PSdA received a standardized score of 69.94. The intention score stood at 69.52 in standardized terms. Potential candidates for ACP initiation included individuals aged 50 to 64, possessing at least a college education, being unmarried, and having no history of diabetes. Conclusion: Patients undergoing hemodialysis exhibited a significant knowledge gap concerning ACP, Ad, and the PSdA. Notably, a substantial number of dialytic patients had not received adequate information on these subjects. Nevertheless, they display

关键词： Advance care planning (ACP) Advance directive (Ad) Attitude Hemodialysis Intention Knowledge Life-sustaining treatment Life-sustaining treatment (LST) Patient right to autonomy act Patient self-determination act (PSdA)

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Oxidative Stress and Natural Antioxidants: Back and Forth in the Neurological Mechanisms of Alzheimer’s disease

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Journal of Alzheimer's disease 2023年第3期96卷 877-912页

作者： Mani, Shalini dubey, Rajni Lai, I-Chun Babu, M. Arockia Tyagi, Sakshi Swargiary, Geeta Mody, deepansh Singh, Manisha Agarwal, Shriya Iqbal, danish Kumar, Sanjay Hamed, Munerah Sachdeva, Punya Almutary, Abdulmajeed G. Albadrani, Hind Muteb Ojha, Shreesh Singh, Sandeep Kumar Jha, Niraj Kumar Centre for Emerging Diseases Department of Biotechnology Jaypee Institute of Information Technology UP Noida India Division of Cardiology Department of Internal Medicine Taipei Medical University Hospital Taipei Taiwan School of Medicine National Yang Ming Chiao Tung University Taipei Taiwan Division of Radiation Oncology Department of Oncology Taipei Veterans General Hospital Taipei Taiwan The Ph.D. Program for Translational Medicine College of Medical Science and Technology Taipei Medical University Academia Sinica Taipei Taiwan Institute of Pharmaceutical Research GLA University Mathura India Department of Molecular Sciences Macquarie University Sydney Australia Department of Health Information Management College of Applied Medical Sciences Buraydah Private Colleges Buraydah Saudi Arabia Department of Life Sciences School of Basic Sciences and Research (SBSR) Sharda University Uttar Pradesh Greater Noida India Department of Pathology Faculty of Medicine Umm Al-Qura University Makkah Saudi Arabia GloNeuro Vishwakarma Road Noida India Department of Biomedical Sciences College of Health Sciences Abu Dhabi University Abu Dhabi United Arab Emirates Department of Clinical Laboratory Sciences College of Applied Medical Sciences Imam Abdulrahman Bin Faisal University Eastern Province Dammam Saudi Arabia Department of Pharmacology and Therapeutics College of Medicine and Health Sciences United Arab Emirates University Abu Dhabi United Arab Emirates Indian Scientific Education and Technology Foundation Lucknow India Department of Biotechnology School of Engineering & Technology (SET) Sharda University Uttar Pradesh Greater Noida India School of Bioengineering and Biosciences Lovely Professional University Punjab Phagwara India Department of Biotechnology School of Applied & Life Sciences (SALS) Uttaranchal University Uttarakhand Dehradun India Department of Biotechnology Engineering and Food Technology Chandigarh University Mohali India

Alzheimer’s disease (Ad) is characterized by the progressive degeneration of neuronal cells. With the increase in aged population, there is a prevalence of irreversible neurodegenerative changes, causing a significant mental, social, and economic burden globally. The factors contributing to Ad are multidimensional, highly complex, and not completely understood. However, it is widely known that aging, neuroinflammation, and excessive production of reactive oxygen species (ROS), along with other free radicals, substantially contribute to oxidative stress and cell death, which are inextricably linked. While oxidative stress is undeniably important in Ad, limiting free radicals and ROS levels is an intriguing and potential strategy for deferring the process of neurodegeneration and alleviating associated symptoms. Therapeutic compounds from natural sources have recently become increasingly accepted and have been effectively studied for Ad treatment. These ph.tocompounds are widely available and a multitude of holistic therapeutic efficiencies for treating Ad owing to their antioxidant, anti-inflammatory, and biological activities. Some of these compounds also function by stimulating cholinergic neurotransmission, facilitating the suppression of beta-site amyloid precursor protein-cleaving enzyme 1, α-synuclein, and monoamine oxidase proteins, and deterring the occurrence of Ad. Additionally, various ph.nolic, flavonoid, and terpenoid ph.tocompounds have been extensively described as potential palliative agents for Ad progression. Preclinical studies have shown their involvement in modulating the cellular redox balance and minimizing ROS formation, displaying them as antioxidant agents with neuroprotective abilities. This review emph.sizes the mechanistic role of natural products in the treatment of Ad and discusses the various pathological hypotheses proposed for Ad. © 2023 – IOS Press. All rights reserved.

关键词： Alzheimer’s disease antioxidants neuroprotection oxidative stress therapeutics vitamins

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Correction to: A mini‑review on plasticrusts: occurrence, current trends, potential threats, and recommendations for coastal sustainability

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Environmental monitoring and assessment 2024年第7期196卷 629页

作者： Minh-Ky Nguyen Md Refat Jahan Rakib Hoang-Lam Nguyen Chitsan Lin Guilherme Malafaia Abubakr M Idris Faculty of Environment and Natural Resources Nong Lam University of Ho Chi Minh City Hamlet 6 Linh Trung Ward Thu Duc City Ho Chi Minh City 700000 Vietnam. Ph.D. Program in Maritime Science and Technology National Kaohsiung University of Science and Technology Kaohsiung 81157 Taiwan. Department of Fisheries and Marine Science Faculty of Science Noakhali Science and Technology University Sonapur Noakhali 3814 Bangladesh. Department of Civil Engineering McGill University Montreal Canada. Ph.D. Program in Maritime Science and Technology National Kaohsiung University of Science and Technology Kaohsiung 81157 Taiwan. ctlin@nkust.edu.tw. Department of Marine Environmental Engineering National Kaohsiung University of Science and Technology Kaohsiung 81157 Taiwan. ctlin@nkust.edu.tw. Post‑Graduation Program in Ecology Conservation and Biodiversity Federal University of Uberlandia Uberlandia MG Brazil. guilhermeifgoiano@***. Post‑Graduation Program in Biotechnology and Biodiversity Federal University of Goias Goiania GO Brazil. guilhermeifgoiano@***. Post‑Graduation Program in Conservation of Cerrado Natural Resources Goiano Federal Institute Urutai GO Brazil. guilhermeifgoiano@***. Department of Chemistry College of Science King Khalid University 62529 Abha Saudi Arabia. Research Center for Advanced Materials Science (RCAMS) King Khalid University 62529 Abha Saudi Arabia.

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Radiomics in liver research: A paradigm shift in disease detection and staging

European Journal of Radiology Artificial Intelligence

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European Journal of Radiology Artificial Intelligence 2025年 2卷 100016-100016页

作者： Le, Minh Huu Nhat Kha, Hien Quang Tran, Nghia Minh Nguyen, ph.t Ky Huynh, Han H. Huynh, ph.t Kim Lam, Han Le, Nguyen Quoc Khanh International Master/Ph.D. Program in Medicine College of Medicine Taipei Medical University Taipei Taiwan AIBioMed Research Group Taipei Medical University Taipei 110 Taiwan Translational Science and Precision Medicine Talent Cultivation Program College of Medical Science and Technology Taipei Medical University Taipei 110 Taiwan International Master Program for Translational Science College of Medical Science and Technology Taipei Medical University Taipei 110 Taiwan Department of Industrial and Systems Engineering North Carolina A&T State University USA Industrial & Management Systems Engineering Department University of South Florida Tampa FL 33620 USA In-Service Master Program in Artificial Intelligence in Medicine College of Medicine Taipei Medical University Taipei 110 Taiwan Translational Imaging Research Center Taipei Medical University Hospital Taipei 110 Taiwan

AbstractThis narrative review explores radiomics in the broader context of liver disease research, an interdisciplinary field bridging medical imaging, oncology, and data science. It begins with an introduction to data analysis techniques, from foundational methods like descriptive statistics, comparative and regression analysis, and survival analysis, to advanced approaches like machine learning (ML), meta-analysis, and bioinformatics. Contextualizing these methodologies within liver disease research enhances our understanding of liver diseases. The focus is on radiomics, an emerging field, which is first placed in historical context before its applications are explained across fatty liver diseases (FLd), fibrosis, cirrhosis, and liver cancers. The role of radiomics in early detection, disease staging, and outcome prediction, particularly as a non-invasive alternative to liver biopsy, is analyzed in-depth. Current imaging modalities for liver cancer diagnosis are also examined, highlighting their advantages and limitations. Alongside radiomics, these imaging tools enable comprehensive liver assessment. Lastly, the integration of radiomics with other data types, especially genomic data, is explored, emph.sizing its role in a holistic approach to liver disease management. The review concludes with a forward-looking perspective on future directions and advancements in radiomics and liver cancer research, addressing the challenges and opportunities in the field. It underscores the transformative impact of these developments on liver cancer research, patient care, personalized medicine, and clinical decision-making.

关键词： AFP alph.-fetoprotein AI artificial intelligence AST aspartate transaminase AUC area under the curve CCrCC clear cell renal cell carcinoma CEUS contrast-enhanced ultrasound CNNs convolutional neural networks dCNN deep convoluted neural network dOR diagnostic odds ratio FLd fatty liver disease GWAS genome-wide association studies HCC hepatocellular carcinoma MAFLd metabolic associated fatty liver disease ML machine learning MRE magnetic resonance elastograph. NAFLd nonalcoholic fatty liver disease NASH nonalcoholic steatohepatitis NPV negative predictive value PPV positive predictive value VCTE vibration-controlled transient elastograph. Radiomics Liver disease Cancer Non-invasive diagnostic techniques Presicion medicine deep learning Machine learning

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Correction: Common Subtype of Small Renal Mass MR Imaging Characterisation: A Medical Center Experience in Taiwan

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Journal of Medical and Biological engineering 2023年第4期43卷 495-496页

作者： Liu, Ming-Cheng Liu, Yi-Jui Lin, Yen-Ting Hung, Siu-Wan Chai, Jyh-Wen Chan, Si-Wa Chiu, Kun-Yuan Chang, Chih-Hao Tsou, Ya-Ling Department of Radiology Taichung Veterans General Hospital Taichung Taiwan Ph.D. Program of Electrical and Communications Engineering Feng Chia University Taichung Taiwan Department of Automatic Control Engineering Feng Chia University Taichung Taiwan Institute of Clinical Medicine National Yang-Ming University Taipei Taiwan Department of Veterinary Medicine National Chung Hsing University Taichung Taiwan School of Medical Imaging and Radiological Sciences Chung Shan Medical University Taichung Taiwan Department of Medical Imaging Taichung Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation Taichung Taiwan School of Medicine Tzu Chi University Hualien Taiwan Department of Medical Imaging Radiological Science Central Taiwan University of Science and Technology Taichung Taiwan Division of Urology Department of Surgery Taichung Veterans General Hospital Taichung Taiwan Department of Applied Chemistry National Chi Nan University Nantou Taiwan Nagoya University Nagoya Japan

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Negative prognostic factors and clinical improvement prediction modeling for extracorporeal shockwave therapy in calcific shoulder tendinitis using artificial intelligence techniques

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Journal of Shoulder and Elbow Surgery 2025年

作者： Chou, Wen-Yi Huang, Tian-Hsiang Cheng, Jai-Hong Lien, Yu-Jui Ho, Wen-Hsien Chou, Paul Pei-Hsi Ph.D. Program in Biomedical Engineering College of Medicine Kaohsiung Medical University Kaohsiung Taiwan Department of Orthopedic Surgery Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Taiwan Department of Leisure and Sport Management Cheng Shiu University Kaohsiung Taiwan Department of Computer Science and Information Engineering National Penghu University of Science and Technology Penghu Taiwan Department of Medical Research Center for Shockwave Medicine and Tissue Engineering Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Taiwan Department of Healthcare Administration and Medical Informatics Kaohsiung Medical University Kaohsiung Taiwan Department of Medical Research Kaohsiung Medical University Hospital Kaohsiung Taiwan College of Professional Studies National Pingtung University of Science and Technology Pingtung Taiwan Precision Sports Medicine and Health Promotion Center Kaohsiung Medical University Kaohsiung Taiwan Department of Sports Medicine College of Medicine Kaohsiung Medical University Kaohsiung Taiwan Division of Sports Medicine Department of Orthopaedic Surgery Kaohsiung Medical University Hospital Kaohsiung Taiwan Department of Orthopaedics School of Medicine College of Medicine Kaohsiung Medical University Kaohsiung Taiwan

Background: The efficacy of extracorporeal shockwave therapy (ESWT) for treating shoulder calcific tendinitis can be influenced by various prognostic factors. This study aimed to identify prognostic factors associated with the failure of ESWT for symptom relief and to evaluate the predictive capability of the eXtreme Gradient Boosting (XGBoost) algorithm of artificial intelligence techniques in this context. Methods: This retrospective study enrolled patients with persistent shoulder pain attributed to calcific tendinitis who underwent ESWT after failed conservative treatment between January 1998 and december 2022. Age, sex, duration of symptoms, calcification classification and size, pre-ESWT visual analog scale (VAS), and pre-ESWT Constant-Murley score (CMS) served as potential input attributes. The difference in VAS and CMS were defined as the output attributes. The XGBoost model was used to predict treatment outcomes based on these factors. The dataset was balanced using the synthetic minority oversampling technique, and the model's performance was assessed using 10-fold cross-validation. Spearman's rank correlation coefficient analysis was adopted to explore the relationships between significant continuous input attributes and post-ESWT VAS and CMS scores. Results: A total of 296 patients with calcific tendinitis were enrolled and completed the 1-year follow-up. The findings revealed that a prolonged symptom duration (>10 months), severe pain (pre-ESWT VAS >5), and higher pre-ESWT CMS (>55) were significant prognostic factors for the failure of ESWT for symptom relief. Using these factors as inputs, the XGBoost model demonstrated high accuracy, precision, recall, and F1 score. By reducing the input attributes to age, calcification size, pre-ESWT CMS, and symptom duration, the model maintained a high prediction rate, suggesting that these factors are sufficient for effective prediction. discussion: The present study identified significant prognostic factors asso

关键词： Artificial intelligence Basic science Study calcific tendinitis CMS development of Predictive Computer Modeling Using AI/Machine Learning ESWT shoulder VAS XGBoost

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