Hepatic resection (HR) and radiofrequency ablation (RFA) are popular local therapies for early-stage hepatocellular carcinoma (HCC).Alpha-fetoprotein,Lens culinaris agglutininreactive fraction of alpha-fetoprotein,and...Hepatic resection (HR) and radiofrequency ablation (RFA) are popular local therapies for early-stage hepatocellular carcinoma (HCC).Alpha-fetoprotein,Lens culinaris agglutininreactive fraction of alpha-fetoprotein,and des-c-carboxy prothrombin are well-known and useful tumor markers for HCC.The positive number status of these tumor markers has recently been demonstrated as beneficial for predicting outcome for HCC patients treated with local therapy.Although the normal ranges reported have differed by institution,the positivity of tumor markers is consistent and can easily be assessed.Kumamoto and Wakayama's group clearly demonstrated the following:1) Regardless of the degree of tumor stage,a triple-positive tumor marker profile can predict poor outcome in HCC patients undergoing HR;2) For RFA alone,HCC patients with double-and triple-positive status,having less than three lesions and lesions ≤3 cm in diameter show comparably insufficient outcomes;3) For HCC patients with lesions ≤5 cm in Child-Pugh grade A,HR is preferred over RFA;4) Microvascular invasion rates increased even in the double-positive patients,while poorly differentiated HCC was frequently observed only in the triple-positive patients;and 5) RFA with chemoembolization,anatomical liver resection,and postoperative adjuvant chemoembolization or hepatic arterial chemotherapy might improve the outcome for patients with highly malignant HCC with multiple positive tumor markers.However,the impacts of these therapies still need to be evaluated in prospective comparative studies.展开更多
A Kerr-lens mode-locked Ti：sapphire laser operating in a non-soliton regime is demonstrated. Dispersive wave generation is observed as a result of third order dispersion in the vicinity of zero dispersion. The charac...A Kerr-lens mode-locked Ti：sapphire laser operating in a non-soliton regime is demonstrated. Dispersive wave generation is observed as a result of third order dispersion in the vicinity of zero dispersion. The characteristics of the Ti：sapphire l^ser operating in a positive dispersion regime are presented, where the oscillator directly generates pulses with duration continuously tunable from 0.37 ps to 2.11 ps, and 36 fs pulses are achieved atter extracavity compression. The oscillation is numerically simulated with an extended nonlinear Schr6dinger equation, and the simulation results are in good agreement with the experimental results.展开更多
文摘Hepatic resection (HR) and radiofrequency ablation (RFA) are popular local therapies for early-stage hepatocellular carcinoma (HCC).Alpha-fetoprotein,Lens culinaris agglutininreactive fraction of alpha-fetoprotein,and des-c-carboxy prothrombin are well-known and useful tumor markers for HCC.The positive number status of these tumor markers has recently been demonstrated as beneficial for predicting outcome for HCC patients treated with local therapy.Although the normal ranges reported have differed by institution,the positivity of tumor markers is consistent and can easily be assessed.Kumamoto and Wakayama's group clearly demonstrated the following:1) Regardless of the degree of tumor stage,a triple-positive tumor marker profile can predict poor outcome in HCC patients undergoing HR;2) For RFA alone,HCC patients with double-and triple-positive status,having less than three lesions and lesions ≤3 cm in diameter show comparably insufficient outcomes;3) For HCC patients with lesions ≤5 cm in Child-Pugh grade A,HR is preferred over RFA;4) Microvascular invasion rates increased even in the double-positive patients,while poorly differentiated HCC was frequently observed only in the triple-positive patients;and 5) RFA with chemoembolization,anatomical liver resection,and postoperative adjuvant chemoembolization or hepatic arterial chemotherapy might improve the outcome for patients with highly malignant HCC with multiple positive tumor markers.However,the impacts of these therapies still need to be evaluated in prospective comparative studies.
基金Project supported by the National Basic Research Program of China (Grant No. 2006CB806002)the National High Technology Research and Development Program of China (Grant No. 2007AA03Z447)+3 种基金National Natural Science Foundation of China (Grant Nos. 60678012 and 60838004)the Foundation for Key Program of Ministry of Education, China (Grant No. 108032)FANEDD(Grant No. 2007B34)NCET (Grant No. NCET-07-0597)
文摘A Kerr-lens mode-locked Ti：sapphire laser operating in a non-soliton regime is demonstrated. Dispersive wave generation is observed as a result of third order dispersion in the vicinity of zero dispersion. The characteristics of the Ti：sapphire l^ser operating in a positive dispersion regime are presented, where the oscillator directly generates pulses with duration continuously tunable from 0.37 ps to 2.11 ps, and 36 fs pulses are achieved atter extracavity compression. The oscillation is numerically simulated with an extended nonlinear Schr6dinger equation, and the simulation results are in good agreement with the experimental results.
