Search Results (27)

Background: Predicting malignancy in small lung nodules (SLNs) across diverse populations is challenging due to significant demographic and clinical variations. This study investigates whether transfer learning (TL) can improve malignancy prediction for SLNs using low-dose computed tomography across datasets from different countries. Methods: We collected two datasets: an Asian dataset (669 SLNs from Cathay General Hospital, CGH, Taiwan) and an American dataset (600 SLNs from the National Lung Screening Trial, NLST, America). Initial U-Net models for malignancy prediction were trained on each dataset, followed by the application of TL to transfer model parameters across datasets. Model performance was evaluated using accuracy, specificity, sensitivity, and the area under the receiver operating characteristic curve (AUC). Results: Significant demographic differences (p < 0.001) were observed between the CGH and NLST datasets. Initial models trained on one dataset showed a substantial performance decline of 15.2% to 97.9% when applied to the other dataset. TL enhanced model performance across datasets by 21.1% to 159.5% (p < 0.001), achieving an accuracy of 0.86–0.91, sensitivity of 0.81–0.96, specificity of 0.89–0.92, and an AUC of 0.90–0.97. Conclusions: TL enhances SLN malignancy prediction models by addressing population variations and enabling their application across diverse international datasets. Full article

Background: HRD is a key biomarker in ovarian cancer, predicting response to PARP inhibitors. However, it remains unclear whether HRD-positive patients differ from HRD-negative patients in terms of clinical characteristics in PARP inhibitor-naïve populations. This study aims to evaluate platinum-sensitive PARP-inhibitor naïve ovarian cancer patients’ clinical characteristics and survival outcomes based on HRD status. Secondly, to investigate whether platinum-resistant patients with homologous recombination repair (HRR) gene mutations are HRD-positive. Methods: Two distinct HRD algorithms—an in-house genomic instability score (GIS) and the normalized large-scale state transitions score (nLST)—were used to stratify patients as HRD-positive or HRD-negative. Clinical data and survival in PARP inhibitor-naïve, platinum-sensitive HGSC patients were analyzed. Results: A total of 71 platinum-sensitive PARP-inhibitor naïve patients were analyzed. By in-house GIS, 37 patients (52%) were classified as HRD-positive and 34 (48%) as HRD-negative. Using nLST, 43 (61%) were HRD-positive and 28 (39%) were HRD-negative. Our analysis revealed no significant differences in clinical parameters or survival between HRD-positive and HRD-negative platinum-sensitive patients. The only observed difference was that somatic BRCA1/2-mutated patients were younger. In the subgroup of six platinum-resistant patients harboring HRR gene mutations, four patients (67%) were classified as HRD positive. Conclusions: Our findings suggest that HRD status does not significantly influence clinical characteristics or survival outcomes in platinum-sensitive, PARP inhibitor-naïve HGSC patients. As some platinum-resistant patients with HRR gene mutations were HRD positive; this subgroup may benefit from further investigation into the potential effect of PARP inhibitors. Full article

Background: Epidemiological studies suggest lung cancer results from the combined effects of smoking and genetic susceptibility. The clinical application of polygenic risk scores (PRSs), derived from combining the results from multiple germline genetic variants, have not yet been explored in a lung cancer screening cohort. Methods: This was a post hoc analysis of 9191 non-Hispanic white subjects from the National Lung Screening Trial (NLST), a sub-study of high-risk smokers randomised to annual computed tomography (CT) or chest X-ray (CXR) and followed for 6.4 years (mean). This study’s primary aim was to examine the relationship between a composite polygenic risk score (PRS) calculated from 12 validated risk genotypes and developing or dying from lung cancer during screening. Validation was undertaken in the UK Biobank of unscreened ever-smokers (N = 167,796) followed for 10 years (median). Results: In this prospective study, we found our PRS correlated with lung cancer incidence (p < 0.0001) and mortality (p = 0.004). In an adjusted multivariable logistic regression analysis, PRS was independently associated with lung cancer death (p = 0.0027). Screening participants with intermediate and high PRS scores had a higher lung cancer mortality, relative to those with a low PRS score (rate ratios = 1.73 (95%CI 1.14–2.64, p = 0.010) and 1.89 (95%CI 1.28–2.78, p = 0.009), respectively). This was despite comparable baseline demographics (including lung function) and comparable lung cancer characteristics. The PRS’s association with lung cancer mortality was validated in an unscreened cohort from the UK Biobank (p = 0.002). Conclusions: In this biomarker-based cohort study, an elevated PRS was independently associated with dying from lung cancer in both screening and non-screening cohorts. Full article

Background: Financial Incentive Treatments (FIT) can be effective in the treatment of smoking. However, weaknesses in current biochemical approaches for assessing smoking cessation may hinder its implementation, particularly for management of long-term smoking cessation. The use of cg05575921 methylation assessments could address some of the shortcomings of current self-report and non-self-report methods, but additional information is needed about the speed of methylation reversion as a function of key clinical and demographic variables. Methods: To better understand those relationships, we analyzed data from 3040 subjects from the National Lung Screening Trial (NLST), including 1552 self-reported quitters. Results: Plotting of the data as a function of time since quitting shows that methylation increases approximately 14%, on average, after at least one full year of cessation with a subsequent slow non-linear increase in methylation over the next 14 years. Least Squares Regression modeling shows strong effects of quit time and a modest, yet significant, effect of body mass index (BMI) on the rate of reversion. Prior cigarette consumption characteristics and sex made modest contributions as well, with the latter largely offset by pre-cessation methylation levels. Race and age were not significant factors in the models. Conclusions: When combined with data from prior studies, these analyses of the long-term reversion of cg05575921 methylation will be informative to those considering FIT approaches to incentivizing reversion of cg05575921 as an index of short- and long-term smoking cessation. Full article

Background/Objectives: Non-small cell lung cancer (NSCLC) has seen a relative rise in incidence among females versus males in recent years, although males still have a higher overall incidence. However, it is unclear whether this trend is consistent across all populations. Therefore, we retrospectively examined this relationship in two large high-risk clinical cohorts. Methods: First, we analyzed lung cancer incidence among individuals with a smoking history of over 40 pack-years in the National Lung Screening Trial (NLST). Then, we investigated the incidence of second primary NSCLC in patients who underwent lobectomy for previous stage I lung cancer using the Surveillance, Epidemiology, and End Results (SEER) database. We performed both univariate and multivariable time-to-event analyses to investigate the relationship between sex and lung cancer incidence. Results: In the NLST cohort (n = 37,627), females had a higher risk of developing primary NSCLC than males (HR = 1.11 [1.007–1.222], p = 0.035) after adjusting for age and pack-year history. In the SEER cohort (n = 19,327), females again exhibited an increased risk of developing a second primary lung cancer (HR = 1.138 [1.02–1.269], p = 0.021), after adjusting for age, race, grade, and histology. Conclusions: Our analysis reveals that females have a modestly higher lung cancer incidence than males in high-risk populations. These findings underscore the importance of further researching the underlying cellular processes that may cause sex-specific differences in lung cancer incidence. Full article

The Olympic Games are a sporting event and a catalyst for urban development in their host city. In this study, we utilized remote sensing and GIS techniques to examine the impact of the Olympic infrastructure on the surface temperature of urban areas. Using Landsat Series Collection 2 Tier 1 Level 2 data and cloud computing provided by Google Earth Engine (GEE), this study examines the effects of various forms of Olympic Games facility urban planning in different historical moments and location typologies, as follows: monocentric, polycentric, peripheric and clustered Olympic ring. The GEE code applies to the Olympic Games that occurred from Paris 2024 to Montreal 1976. However, this paper focuses specifically on the representative cases of Paris 2024, Tokyo 2020, Rio 2016, Beijing 2008, Sydney 2000, Barcelona 1992, Seoul 1988, and Montreal 1976. The study is not only concerned with obtaining absolute land surface temperatures (LST), but rather the relative influence of mega-event infrastructures on mitigating or increasing the urban heat. As such, the locally normalized land surface temperature (NLST) was utilized for this purpose. In some cities (Paris, Tokyo, Beijing, and Barcelona), it has been determined that Olympic planning has resulted in the development of green spaces, creating “green spots” that contribute to lower-than-average temperatures. However, it should be noted that there is a significant variation in temperature within intensely built-up areas, such as Olympic villages and the surrounding areas of the Olympic stadium, which can become “hotspots.” Therefore, it is important to acknowledge that different planning typologies of Olympic infrastructure can have varying impacts on city heat islands, with the polycentric and clustered Olympic ring typologies displaying a mitigating effect. This research contributes to a cloud computing method that can be updated for future Olympic Games or adapted for other mega-events and utilizes a widely available remote sensing data source to study a specific urban planning context. Full article

We aimed to directly compare the cost-effectiveness of Hungarian (following the NELSON trial) and NLST screening protocols, two trials influencing lung-cancer-screening implementation internationally. A decision-analytic model analyzing the cost-effectiveness of Hungarian protocols was manipulated to reflect the protocols of the NLST, while maintaining features specific to the Hungarian healthcare setting. In the Hungarian protocol, there are three possible outcomes to the initial round of screening, positive, negative, and indeterminate, indicating an uncertain degree of suspicion for lung cancer. This protocol differs from the NLST, in which the only possible screening outcomes are positive or negative, with no indeterminate option. The NLST pathway for smokers aged 55–74 resulted in a EUR 43 increase in the total average lifetime costs compared to the Hungarian screening pathway and resulted in a lifetime gain of 0.006 QALYs. The incremental costs and QALYs yielded an ICER of 7875 EUR/QALY. Our results demonstrate that assigning any suspicious LDCT screen as a positive result (NLST protocol) rather than indeterminate (Hungarian protocol) can reduce patient uncertainty and yield a slight QALY gain that is worth the additional use of resources according to Hungary’s willingness-to-pay threshold. A stratified analysis by age was also conducted, revealing decreasing cost-effectiveness when screening older cohorts. Our study provides insight into the cost-effectiveness, advantages, and disadvantages of various LDCT screening protocols for lung cancer and can assist other countries as they implement their screening programs. Full article

Soil moisture content is a crucial indicator for understanding the water requirements of crops. The effective monitoring of soil moisture content can provide support for irrigation decision-making and agricultural water management. Traditional ground-based measurement methods are time-consuming and labor-intensive, and point-scale monitoring cannot effectively represent the heterogeneity of soil moisture in the field. Unmanned aerial vehicle (UAV) remote sensing technology offers an efficient and convenient way to monitor soil moisture content in large fields, but airborne multispectral data are prone to spectral saturation effects, which can further affect the accuracy of monitoring soil moisture content. Therefore, we aim to construct effective drought indices for the accurate characterization of soil moisture content in winter wheat fields by utilizing unmanned aerial vehicles (UAVs) equipped with LiDAR, thermal infrared, and multispectral sensors. Initially, we estimated wheat plant height using airborne LiDAR sensors and improved traditional spectral indices in a structured manner based on crop height. Subsequently, we constructed the normalized land surface temperature–structured normalized difference vegetation index (NLST-SNDVI) space by combining the SNDVI with land surface temperature and calculated the improved Temperature–Vegetation Drought Index (iTVDI). The results are summarized as follows: (1) the structured spectral indices exhibit better resistance to spectral saturation, making the NLST-SNDVI space closer to expectations than the NLST-NDVI space, with higher fitting accuracy for wet and dry edges; (2) the iTVDI calculated based on the NLST-SNDVI space can effectively characterize soil moisture content, showing a significant correlation with measured surface soil moisture content; (3) the global Moran’s I calculated based on iTVDI deviations ranges between 0.18 and 0.30, all reaching significant levels, indicating that iTVDI has good spatial applicability. In conclusion, this study proved the effectiveness of the drought index based on a structured vegetation index, and the results can provide support for crop moisture monitoring and irrigation decision-making in the field. Full article

Land surface temperature (LST) has a wide application in Earth Science-related fields, and spatial downscaling is an important method to retrieve high-resolution LST data. However, existing LST downscaling methods have difficulties in simultaneously constructing and expressing spatial non-stationarity, spatial autocorrelation, and complex non-linearity during the LST downscaling process, which limits the performance of the models. Moreover, there is a lack of research on high-resolution nighttime land surface temperature (NLST) reconstruction based on spatial downscaling, which does not meet the data needs for urban-scale nighttime urban heat island (UHI) studies. Therefore, this study combined Geographically Neural Network Weighted Regression (GNNWR) with Area-to-Point Kriging interpolation (ATPK) to propose a Geographically Neural Network Weighted Regression Kriging (GNNWRK) model for NLST downscaling. To verify the model’s generality and robustness, this study selected four study areas with different landform and climate type for NLST spatial downscaling experiments. The GNNWRK was compared with four benchmark downscaling methods, including TsHARP, Random Forest, Geographically Weighted Regression, and GNNWR. The results show that compared to these four benchmark methods, the GNNWRK method has higher accuracy in NLST downscaling, with a maximum Pearson’s Correlation Coefficient (Pcc) of 0.930 and a minimum Root Mean Square Error (RMSE) of 0.886 K. Moreover, the validation based on MODIS NLST data and ground-measured NLST data also indicates that the GNNWRK model can obtain more accurate, high-resolution NLST with richer and more detailed texture. This enhances the potential of NLST in studying the effects of urban nighttime heat islands at a finer scale. Full article

Sugar transporters play important roles in controlling carbohydrate transport and are responsible for mediating the movement of sugars into cells in numerous organisms. In insects, sugar transporters not only play a role in sugar transport but may also act as receptors for virus entry and the accumulation of plant defense compounds. The brown planthopper, Nilaparvata lugens, inflicts damage on rice plants by feeding on their phloem sap, which is rich in sugars. In the present study, we identified 34 sugar transporters in N. lugens, which were classified into three subfamilies based on phylogenetic analysis. The motif numbers varied from seven to eleven, and motifs 2, 3, and 4 were identified in the functional domains of all 34 NlST proteins. Chromosome 1 was found to possess the highest number of NlST genes, harboring 15. The gut, salivary glands, fat body, and ovary were the different tissues enriched with NlST gene expression. The expression levels of NlST2, 3, 4, 7, 20, 27, 28, and 31 were higher in the gut than in the other tissues. When expressed in a Saccharomyces cerevisiae hexose transporter deletion mutant (strain EBY.VW4000), only ApST4 (previously characterized) and NlST4, 28, and 31 were found to transport glucose and fructose, resulting in functional rescue of the yeast mutant. These results provide valuable data for further studies on sugar transporters in N. lugens and lay a foundation for finding potential targets to control N. lugens. Full article

A 700 V pulsed laser was used for the surface treatment of Zircaloy-4. Phases including the treatment layer, morphology and the distributions of alloying elements of the treatment layer were detected via X-ray diffraction (XRD), scanning electron microscope (SEM) and transmission electron microscope (TEM). The results showed that the laser surface treatment (LST) layer is also α-Zr phase layer, the morphology of the treatment layer was “cauliflower-like” and the Fe-Cr precipitates in the LST layer were dissolved. The corrosion tests of the LST and the no-laser surface treatment (NLST) specimens were conducted in steam at 1100 °C using TGA (NETZSCH STA 449 F). The results showed that LST can enhance the corrosion resistance of the Zircaloy-4 in high-temperature steam. More microcracks distributed in the oxide film formed on the NLST specimen than on the LST specimen. And the volume fraction of the tetragonal zirconia (t-ZrO₂) phase in the oxide film on the surface of the LST specimen was higher than that of NLST specimen. The main reason for this phenomena could be attributed to the dissolving Fe-Cr precipitates and higher solid solution of Fe and Cr in the laser treatment layer. Full article

Epizootic hemorrhagic disease (EHD) is a non-contagious arthropod-transmitted viral disease and a World Organization for Animal Health (WOAH)-listed disease of domestic and wild ruminants since 2008. EHDV is transmitted among susceptible animals by a few species of midges of genus Culicoides. During the fall of 2021, a large outbreak caused by the epizootic hemorrhagic disease virus (EHDV), identified as serotype 8, was reported in Tunisian dairy and beef farms with Bluetongue virus (BTV)-like clinical signs. The disease was detected later in the south of Italy, in Spain, in Portugal and, more recently, in France, where it caused severe infections in cattle. This was the first evidence of EHDV-8 circulation outside Australia since 1982. In this study, we analyzed the epidemiological situation of the 2021–2022 EHDV outbreaks reported in Tunisia, providing a detailed description of the spatiotemporal evolution of the disease. We attempted to identify the eco-climatic factors associated with infected areas using generalized linear models (GLMs). Our results demonstrated that environmental factors mostly associated with the presence of C. imicola, such as digital elevation model (DEM), slope, normalized difference vegetation index (NDVI), and night-time land surface temperature (NLST)) were by far the most explanatory variables for EHD repartition cases in Tunisia that may have consequences in neighboring countries, both in Africa and Europe through the spread of infected vectors. The risk maps elaborated could be useful for disease control and prevention strategies. Full article

The study of the response of vegetation phenology in the Qinghai Tibet Plateau to various climatic variables is paramount to unveiling the reaction of alpine ecosystems to worldwide climate alterations. Nonetheless, the lagged and cumulative effects of various climatic variables on vegetation phenology in the Qinghai Tibet Plateau remain unclear. Therefore, based on MODIS NDVI data, we extracted vegetation phenological parameters from 2001 to 2020, including the start of the vegetation growing season (SOS) and the end of the vegetation growing season (EOS), and then analyzed the response mechanisms of vegetation phenology to pre-seasonal air temperature (T), precipitation (P), and daytime and nighttime land surface temperatures (DLST, NLST) in the Qinghai Tibet Plateau on the basis of an investigation of the lag and cumulative effects. The results showed that: (1) the multiyear mean values of the SOS mainly occurred from 120 to 160 days, accounting for 86.17% of the study area, while the multiyear mean values of the EOS were mainly concentrated between 260 and 280 days, accounting for 77.05% of the study area; (2) air temperature (T), precipitation (P), and daytime and nighttime land surface temperatures (DLST, NLST) had different degrees of lagging effects on the SOS and the EOS. Among them, the time lag effect of precipitation on vegetation phenology was more pronounced; (3) different climatic variables had distinct cumulative effects on vegetation phenology. In contrast to the insignificant cumulative effects of temperature and nighttime surface temperature on the SOS and the EOS, the cumulative effects of precipitation and daytime land surface temperature on the SOS were more pronounced than those on the EOS; (4) the SOS and air temperature, precipitation, and NLST were mainly negatively correlated, in which the proportion of the negative correlation between SOS and NLST was up to 68.80%, and SOS and DLST were mainly positively correlated with a positive correlation proportion of 73.27%, EOS and air temperature, precipitation, and NLST were positively correlated with a positive correlation proportion of EOS and precipitation of up to 71.52%, and EOS and DLST were mainly negatively correlated with a negative correlation ratio of 55.87%. Full article

Lung cancer is the leading cause of cancer-related deaths in Europe, with low survival rates primarily due to late-stage diagnosis. Early detection can significantly improve survival rates, but lung cancer screening is not currently implemented in Italy. Many countries have implemented lung cancer screening programs for high-risk populations, with studies showing a reduction in mortality. This review aimed to identify key areas for establishing a lung cancer screening program in Italy. A literature search was conducted in October 2022, using the PubMed and Scopus databases. Items of interest included updated evidence, approaches used in other countries, enrollment and eligibility criteria, models, cost-effectiveness studies, and smoking cessation programs. A literature search yielded 61 scientific papers, highlighting the effectiveness of low-dose computed tomography (LDCT) screening in reducing mortality among high-risk populations. The National Lung Screening Trial (NLST) in the United States demonstrated a 20% reduction in lung cancer mortality with LDCT, and other trials confirmed its potential to reduce mortality by up to 39% and detect early-stage cancers. However, false-positive results and associated harm were concerns. Economic evaluations generally supported the cost-effectiveness of LDCT screening, especially when combined with smoking cessation interventions for individuals aged 55 to 75 with a significant smoking history. Implementing a screening program in Italy requires the careful consideration of optimal strategies, population selection, result management, and the integration of smoking cessation. Resource limitations and tailored interventions for subpopulations with low-risk perception and non-adherence rates should be addressed with multidisciplinary expertise. Full article

We introduce an active, semisupervised algorithm that utilizes Bayesian experimental design to address the shortage of annotated images required to train and validate Artificial Intelligence (AI) models for lung cancer screening with computed tomography (CT) scans. Our approach incorporates active learning with semisupervised expectation maximization to emulate the human in the loop for additional ground truth labels to train, evaluate, and update the neural network models. Bayesian experimental design is used to intelligently identify which unlabeled samples need ground truth labels to enhance the model’s performance. We evaluate the proposed Active Semi-supervised Expectation Maximization for Computer aided diagnosis (CAD) tasks (ASEM-CAD) using three public CT scans datasets: the National Lung Screening Trial (NLST), the Lung Image Database Consortium (LIDC), and Kaggle Data Science Bowl 2017 for lung cancer classification using CT scans. ASEM-CAD can accurately classify suspicious lung nodules and lung cancer cases with an area under the curve (AUC) of 0.94 (Kaggle), 0.95 (NLST), and 0.88 (LIDC) with significantly fewer labeled images compared to a fully supervised model. This study addresses one of the significant challenges in early lung cancer screenings using low-dose computed tomography (LDCT) scans and is a valuable contribution towards the development and validation of deep learning algorithms for lung cancer screening and other diagnostic radiology examinations. Full article