目的:探讨血清生物标志物甲胎蛋白(AFP)、维生素K缺失或拮抗剂Ⅱ诱导的蛋白质(PIVKA-Ⅱ)和磷脂酰肌醇蛋白聚糖3(GPC-3)单独或联合用于肝细胞癌(以下简称肝癌)诊断的价值。方法:检索PubMed、Web of Science、Embase三个数据库,收集2002...目的:探讨血清生物标志物甲胎蛋白(AFP)、维生素K缺失或拮抗剂Ⅱ诱导的蛋白质(PIVKA-Ⅱ)和磷脂酰肌醇蛋白聚糖3(GPC-3)单独或联合用于肝细胞癌(以下简称肝癌)诊断的价值。方法:检索PubMed、Web of Science、Embase三个数据库,收集2002年以来发表的AFP、PIVKA-Ⅱ和GPC-3单独或联合用于诊断肝癌的文献。根据纳入和排除标准筛选文献并提取相关数据。利用诊断准确性研究的质量评价(QUADAS)检查表对纳入的文献进行质量评价,并采用Meta DiSc软件、Review Manager 5.4软件和Stata 15.1软件对AFP、PIVKA-Ⅱ和GPC-3单用和联合使用诊断肝癌的受试者工作特征曲线下面积(AUC)、敏感度、特异度等指标进行数据分析。结果:共纳入32篇文献。Meta分析结果显示,单个标志物用于诊断肝癌时,PIVKA-Ⅱ的AUC值最高,为0.88(95%CI:0.85~0.91),其次是GPC-3和AFP;多个标志物联合用于诊断肝癌的AUC均高于单个标志物,其中PIVKA-Ⅱ联合GPC-3诊断的AUC值最高,为0.90(95%CI:0.87~0.92)。单个标志物用于诊断肝癌时,PIVKA-Ⅱ和GPC-3的敏感度相对较高(分别为0.75和0.76),但GPC-3的特异度不如PIVKA-Ⅱ和AFP(AFP、PIVKA-Ⅱ和GPC-3分别为0.87、0.88和0.81);多个标志物联合用于诊断肝癌的敏感度较单个标志物诊断时有所提高,但特异度无明显提高。单个标志物用于诊断肝癌时,PIVKA-Ⅱ的诊断比值比(DOR)最高,为22(95%CI:13~36),其次是GPC-3和AFP;两个标志物联合用于诊断肝癌的DOR均高于单个标志物,其中AFP联合GPC-3诊断的DOR最高,为25(95%CI:9~67);三个标志物联合用于诊断肝癌时的DOR明显降低,为10(95%CI:7~45)。结论:单个标志物用于肝癌诊断时,PIVKA-Ⅱ的诊断价值更高。两种标志物联合能显著提高肝癌诊断的敏感度,三种标志物联合未能进一步提高诊断价值。结合临床实际,推荐AFP联合PIVKA-Ⅱ用于肝癌的诊断。展开更多
The dispersion of K\-2CO\-3 on \%γ\%\|Al\-2O\-3 and the adsorption performance of K\-2CO\-3/\%γ\%\|Al\-2O\-3 to SO\-2 are investigated.The results show that K\-2CO\-3 can disperse onto the surface of \%γ\%\|Al\-2O\...The dispersion of K\-2CO\-3 on \%γ\%\|Al\-2O\-3 and the adsorption performance of K\-2CO\-3/\%γ\%\|Al\-2O\-3 to SO\-2 are investigated.The results show that K\-2CO\-3 can disperse onto the surface of \%γ\%\|Al\-2O\-3 as a monolayer and the dispersion threshold is 0.31\[\%m\%(K\-2CO\-3)/\%m\%(\%γ\%\|Al\-2O\-3), \%m\%/g\], which is close to the theoretical value calculated by assuming a bidentate vertical dispersion model of CO\-2 on the \%γ\%\|Al\-2O\-3 surface . The SO\-2 adsorption\|capacity on K\-2CO\-3/\%γ\%\|Al\-2O\-3 sample increases with the K\-2CO\-3 loading and reaches an extremum at its threshold. The adsorbent conversion of K\-2CO\-3/\%γ\%\|Al\-2O\-3 at the threshold is up to 72%. When the loading is higher than the threshold, the SO\-2 adsorption capacity decreases at first, then increases again. This phenomenon is caused by the reaction between SO\-2 and the bulk phase of K\-2CO\-3 crystallites. The sample decreases with the loading, and the sample with \{0.10\}\[\%m\%(K\-2CO\-3)/\%m(γ\%\|Al\-2O\-3), \%m\%/g\] loading shows the highest regeneration percentage of 63%. Compared with Na\-2CO\-3/\%γ\%\|Al\-2O\-3, K\-2CO\-3/\%γ\%\|Al\-2O\-3 might have some advantages.展开更多
文摘The dispersion of K\-2CO\-3 on \%γ\%\|Al\-2O\-3 and the adsorption performance of K\-2CO\-3/\%γ\%\|Al\-2O\-3 to SO\-2 are investigated.The results show that K\-2CO\-3 can disperse onto the surface of \%γ\%\|Al\-2O\-3 as a monolayer and the dispersion threshold is 0.31\[\%m\%(K\-2CO\-3)/\%m\%(\%γ\%\|Al\-2O\-3), \%m\%/g\], which is close to the theoretical value calculated by assuming a bidentate vertical dispersion model of CO\-2 on the \%γ\%\|Al\-2O\-3 surface . The SO\-2 adsorption\|capacity on K\-2CO\-3/\%γ\%\|Al\-2O\-3 sample increases with the K\-2CO\-3 loading and reaches an extremum at its threshold. The adsorbent conversion of K\-2CO\-3/\%γ\%\|Al\-2O\-3 at the threshold is up to 72%. When the loading is higher than the threshold, the SO\-2 adsorption capacity decreases at first, then increases again. This phenomenon is caused by the reaction between SO\-2 and the bulk phase of K\-2CO\-3 crystallites. The sample decreases with the loading, and the sample with \{0.10\}\[\%m\%(K\-2CO\-3)/\%m(γ\%\|Al\-2O\-3), \%m\%/g\] loading shows the highest regeneration percentage of 63%. Compared with Na\-2CO\-3/\%γ\%\|Al\-2O\-3, K\-2CO\-3/\%γ\%\|Al\-2O\-3 might have some advantages.
