目的:比较曲妥珠单抗和帕妥珠单抗(trastuzumab plus pertuzumab,HP)联合紫杉类+铂类(TCbHP)、紫杉类单药(THP)、蒽环类序贯紫杉类(AC-THP)三种化疗方案在真实世界临床实践中新辅助治疗HER-2阳性乳腺癌的疗效、安全性及耐受性。方法:回...目的:比较曲妥珠单抗和帕妥珠单抗(trastuzumab plus pertuzumab,HP)联合紫杉类+铂类(TCbHP)、紫杉类单药(THP)、蒽环类序贯紫杉类(AC-THP)三种化疗方案在真实世界临床实践中新辅助治疗HER-2阳性乳腺癌的疗效、安全性及耐受性。方法:回顾性分析2019年6月至2021年12月于保定市第一中心医院等河北省共11家三级甲等医院接受三种方案新辅助治疗并完成后续手术的180例HER-2阳性乳腺癌患者的临床病理资料,其中TCbHP组78例、THP组70例、AC-THP组32例,比较三种治疗方案的疗效、安全性及耐受性,并采用统计学方法分析临床病理因素对总体病理完全缓解(total pathologic complete response,tpCR)率的影响。结果:总人群tpCR率为58.9%(106/180)。TCbHP组的tpCR率为64.1%(50/78),高于THP组的54.3%(38/70)和AC-THP组的56.3%(18/32),差异无统计学意义(P=0.454)。TCbHP组的3级及以上不良反应发生率为12.8%(10/78),高于THP组的4.3%(3/70)和AC-THP组的9.4%(3/32),差异无统计学意义(P=0.255)。THP组的既定方案完成率为98.6%(69/70),高于TCbHP组的92.3%(72/78)和AC-THP组的90.6%(29/32),差异无统计学意义(P=0.147)。180例患者中绝经后组与绝经前组的tpCR率分别为65.4%(70/107)与49.3%(36/73),HER-2免疫组织化学法(IHC)3+组与HER-2 IHC2+且荧光原位杂交(FISH)+组的tpCR率分别为65.0%(102/157)与17.4%(4/23),激素受体(HR)阴性组与HR阳性组的tpCR率分别为78.0%(64/82)与42.9%(42/98),白蛋白结合型紫杉醇组与其他紫杉类药物组的tpCR率分别为66.3%(65/98)与50.0%(41/82),组间进行比较差异均具有统计学意义(均P<0.05)。Logistic回归多因素分析表明,HER-2 IHC3+、HR阴性、使用白蛋白结合型紫杉醇为tpCR率的独立影响因素。结论:TCbHP、THP、AC-THP方案新辅助治疗HER-2阳性乳腺癌在真实世界临床实践中疗效确切,安全性及耐受性良好。TCbHP方案可考虑作为HER-2阳性乳腺癌新辅助治疗的优选方案。展开更多
Signal reconstruction through software processing is a crucial component of the background and signal models in the PandaX-4T experiment,which is a multi-tonne dark matter direct search experiment.The accuracy of sign...Signal reconstruction through software processing is a crucial component of the background and signal models in the PandaX-4T experiment,which is a multi-tonne dark matter direct search experiment.The accuracy of signal reconstruction is influenced by various detector artifacts,including noise,dark count of photomultiplier,photoionization of impurities in the detector,and other relevant considerations.In this study,we presented a detailed description of a semi-data-driven approach designed to simulate a signal waveform.This work provides a reliable model for the efficiency and bias of the signal reconstruction in the data analysis of PandaX-4T.By comparing critical variables that relate to the temporal shape and hit pattern of the signals,we found good agreement between the simulation and data.展开更多
基金supported in part by the National Science Foundation of China(12090060,12090061)Ministry of Science and Technology of China(2023YFA1606200)+1 种基金Office of Science and Technology,Shanghai Municipal Government(22JC1410100)the Double First Class Plan of the Shanghai Jiao Tong University and Guangzhou Municipal Science and Technology Project(202201010991)。
文摘Signal reconstruction through software processing is a crucial component of the background and signal models in the PandaX-4T experiment,which is a multi-tonne dark matter direct search experiment.The accuracy of signal reconstruction is influenced by various detector artifacts,including noise,dark count of photomultiplier,photoionization of impurities in the detector,and other relevant considerations.In this study,we presented a detailed description of a semi-data-driven approach designed to simulate a signal waveform.This work provides a reliable model for the efficiency and bias of the signal reconstruction in the data analysis of PandaX-4T.By comparing critical variables that relate to the temporal shape and hit pattern of the signals,we found good agreement between the simulation and data.
