For each study, we simulated expression for 1,000 genes on 20 arrays divided between the two disease states. For simplicity, the expression measurements for each gene were drawn from a normal distribution with mean zero and variance one. We simulated expression heterogeneity with a dichotomous unmodeled factor independent of the disease state. The mean differences between disease states and states of the unmodeled factor were drawn from two independent normal distributions. For the real data example, we calculated the residuals from the regression of BRCA tumor type on expression for the Hedenfalk data [22 (link)]. Then, for each simulated study, we independently permuted each row of the expression data to create a matrix of residuals. To this matrix, we added signal, as in the case of the purely simulated data. The simulation studies were based on data generated using the R programming language [43 ]. All differential expression analyses were performed by a t-test based on standard linear regression. The genes were ranked for relative significance by the absolute values of their t-statistics.
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Residual Tumor
Residual Tumor
Residual Tumor: A term referring to the presence of cancerous cells that remain after initial treatment, such as surgery or chemotherapy.
These cells can continue to grow and spread, potentially leading to disease recurrence.
Effectively managing and understanding residual tumor is crucial for improving patient outcomes and developing more effective cancer treatments.
PubCompare.ai's AI-driven platform can help researchers optimize their residual tumor research protocols, enhancing reproducibility and identifying the most effective products and methodologies to advance this critical area of oncology.
These cells can continue to grow and spread, potentially leading to disease recurrence.
Effectively managing and understanding residual tumor is crucial for improving patient outcomes and developing more effective cancer treatments.
PubCompare.ai's AI-driven platform can help researchers optimize their residual tumor research protocols, enhancing reproducibility and identifying the most effective products and methodologies to advance this critical area of oncology.
Most cited protocols related to «Residual Tumor»
factor A
Gene Expression
Genes
Genetic Heterogeneity
Residual Tumor
ERBB2 protein, human
Neoadjuvant Chemotherapy
Patients
Residual Cancer
Residual Tumor
Anthracyclines
erbb2 Gene
Genes
Hypersensitivity
Malignant Neoplasm of Breast
Neoadjuvant Chemotherapy
Pharmaceutical Adjuvants
Pharmacotherapy
Relapse
Residual Tumor
System, Endocrine
taxane
Therapeutics
Amino Acids
Base Pairing
Biological Evolution
Entropy
Proteins
Residual Tumor
Biological Assay
Cancer of Mouth
Gene Expression
Genes, Neoplasm
Head
Head and Neck Neoplasms
Malignant Neoplasms
Microarray Analysis
Mucosa, Mouth
Neck
Neoplasms
Patients
Residual Tumor
Sound
Specimen Collection
Tissues
Veterans
Most recents protocols related to «Residual Tumor»
For the patients in the neoadjuvant cohort, tissue specimens obtained from surgical resection were handled and sampled according to the guidelines for pathological diagnosis of HCC (23 (link)). Hematoxylin and eosin (H&E)-stained sections from these specimens were histologically assessed via experienced pathological experts, based on the immune-related pathologic response criteria (irPRC) (24 (link)). Pathologic complete response (pCR) was defined as the absence of any viable tumor in the tumor bed area. Patients with residual viable tumor (RVT) were stratified into three groups: major pathologic response (MPR, RVT% ≤ 10%), partial pathologic response (pPR, 10% < RVT% < 90%), and no pathologic response (pNR, RVT% ≥ 90%) (25 (link)). Neoadjuvant combination therapy failure was defined as reaching pPR or pNR.
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Diagnosis
Eosin
Neoadjuvant Therapy
Neoplasms
Operative Surgical Procedures
Patients
Residual Tumor
Response, Immune
Tissues
1. Patients with residual tumors, whether measurable or non-measurable after surgery
2. Endometrioid adenocarcinoma combined with other histological types
3. Non-endometrial carcinoma, for example, serous carcinoma, clear cell carcinoma, undifferentiated carcinoma, neuroendocrine carcinoma, or uterine sarcoma (including carcinosarcoma)
4. An interval between the operation and the start of adjuvant therapy exceeding 8 weeks
5. Previous pelvic radiotherapy
6. Previous history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 5 years
7. History of myocardial infarction, stroke, unstable angina, decompensated heart failure, or deep vein thrombosis
8. Impaired renal or cardiac function.
9. Known intolerance to intervention therapy or any excipients
10. Known psychiatric or substance abuse disorders that would interfere with the participant's ability to cooperate with the requirements of the study.
2. Endometrioid adenocarcinoma combined with other histological types
3. Non-endometrial carcinoma, for example, serous carcinoma, clear cell carcinoma, undifferentiated carcinoma, neuroendocrine carcinoma, or uterine sarcoma (including carcinosarcoma)
4. An interval between the operation and the start of adjuvant therapy exceeding 8 weeks
5. Previous pelvic radiotherapy
6. Previous history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 5 years
7. History of myocardial infarction, stroke, unstable angina, decompensated heart failure, or deep vein thrombosis
8. Impaired renal or cardiac function.
9. Known intolerance to intervention therapy or any excipients
10. Known psychiatric or substance abuse disorders that would interfere with the participant's ability to cooperate with the requirements of the study.
Adenocarcinoma, Clear Cell
Adenocarcinoma, Endometrioid
Angina, Unstable
Carcinoma, Neuroendocrine
Carcinosarcoma
Cerebrovascular Accident
Congestive Heart Failure
Endometrial Carcinoma
Heart
Kidney
Malignant Neoplasms
Myocardial Infarction
Neoplasms, Second Primary
Patients
Pelvis
Pharmaceutical Adjuvants
Residual Tumor
Sarcoma
Serous Cystadenocarcinoma
Substance Abuse
Therapeutics
Undifferentiated Carcinoma
Uterus
Veins
In 25 patients (25/28, 89.29%), RHMs were excised through median sternotomy under cardiopulmonary bypass using aortic and bicaval cannulation (cardiac arrest in 23, beating heart in 2). To prevent detachment of the mass and intra-operative embolization, we minimized movement and compression of the heart during the surgery. Right atriotomy was performed in all 25 patients; of these, 2 cases were RVM, and ventricular tumors were approached across the tricuspid valve in 1 patient and through an extra right ventriculotomy in the other patient. The basic principle of excision was the complete resection of the tumor and its attached sites. The attachment sites of RHM are listed in Table 1 . All myxomas were excised completely. The defect of the atrial septum and right atrial free wall after myxoma resection was repaired with a bovine or autologous pericardial patch when needed. Transesophageal echocardiography was performed at the end of the procedure to assess the presence of a residual tumor or interatrial shunting after septal reconstruction.
Of the remaining 3 patients, 2 underwent total endoscopic robotic RAM resection with da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif, USA), and 1 underwent total thoracoscopic surgery for RAM resection. Both robotic and thoracoscopic surgeries are minimally invasive procedures for which the peripheral cardiopulmonary bypass was established via right internal jugular venous cannulation and femoral arterial and venous cannulations. In both these procedures, RAM was excised via right atriotomy on the beating heart without aortic occlusion. The principles for myxoma resection were the same as those for conventional surgeries with median sternotomy.
Of the remaining 3 patients, 2 underwent total endoscopic robotic RAM resection with da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif, USA), and 1 underwent total thoracoscopic surgery for RAM resection. Both robotic and thoracoscopic surgeries are minimally invasive procedures for which the peripheral cardiopulmonary bypass was established via right internal jugular venous cannulation and femoral arterial and venous cannulations. In both these procedures, RAM was excised via right atriotomy on the beating heart without aortic occlusion. The principles for myxoma resection were the same as those for conventional surgeries with median sternotomy.
Aorta
Arteries
Atrial Septal Defects
Atrium, Right
Cannulation
Cardiac Arrest
Cardiac Tamponade
Cardiopulmonary Bypass
Cattle
Dental Occlusion
Echocardiography, Transesophageal
Embolization, Therapeutic
Endoscopy
Femur
Heart
Heart Ventricle
Jugular Vein
Median Sternotomy
Movement
Myxoma
Neoplasms
Operative Surgical Procedures
Patients
Pericardium
Reconstructive Surgical Procedures
Residual Tumor
Robotic Surgical Procedures
Septum, Atrial
Surgical Endoscopy
Surgical Procedures, Thoracoscopic
Valves, Tricuspid
Veins
We performed this single-center, prospective pilot study at the University of Alberta in Edmonton, Alberta, Canada from January 2018 to January 2022. All human clinical participants consented according to the approved ethics protocol granted by the Health Research Ethics Board of Alberta (Study ID: HREBA.CC-17-0228_REN5). Treatment naïve Stage I-IV sporadic gastric adenocarcinoma patients aged greater than 18 years were included. A subset of patients enrolled was allocated to a second cohort on the basis of receiving curative intent neoadjuvant FLOT chemotherapy (Figure 1 ). Patients with a known inherited oncogenic germline mutation or hereditary syndrome (i.e., Familial Adenomatous Polyposis) were excluded.
Specimens were retrieved via endoscopic biopsy at the time of diagnosis, screening laparoscopy or at the time of surgical resection at the Walter C Mackenzie Health Sciences Centre or Royal Alexandra Hospital. Normal biopsies were obtained from gastric mucosa greater than 5 cm away from the cancerous lesion or associated gastritis. The initial study protocol retrieved two tissue biopsies for permanent pathology, however, following interim review four biopsies were retrieved thereafter. The presence of cancer in specimens was confirmed by a gastrointestinal pathologist. In the absence of cancer, clinical formalin-fixed paraffin-embedded pathology blocks were retrieved when available. In clinical samples with treatment effect, residual cancer cells were detected using anti-pan cytokeratin (Abcam, clone C-11, ab7753) IHC staining followed by the manual assembly of tissue microarray (TMA) blocks with 4mm cores of regions containing residual tumour.
Our primary outcome for all patients was the difference in expression of selected biomarkers between normal and cancer tissue. In the subgroup of patients receiving neoadjuvant chemotherapy, our primary outcome was the difference in expression between tumour treatment response and incomplete treatment response. We also evaluated the difference in expression of biomarkers in paired samples before and after chemotherapy treatment.
Treatment response was retrieved from clinical pathology reports. The Tumour Regression Score was graded according to the College of American Pathologists and National Comprehensive Cancer Network protocol on a 4-point scale (0 = Complete response, 1 = near complete response, 2 = partial response, 3 = poor or no response)[40 (link)]. In accordance with prior studies, treatment response was expressed as a binary variable consisting of response and incomplete response categories[12 (link)]. Responsive tumours included complete and near-complete responses, whereas incomplete responses included partial, and poor no response. Patients who progressed to metastasis while receiving neoadjuvant treatment were classified as an incomplete response.
Specimens were retrieved via endoscopic biopsy at the time of diagnosis, screening laparoscopy or at the time of surgical resection at the Walter C Mackenzie Health Sciences Centre or Royal Alexandra Hospital. Normal biopsies were obtained from gastric mucosa greater than 5 cm away from the cancerous lesion or associated gastritis. The initial study protocol retrieved two tissue biopsies for permanent pathology, however, following interim review four biopsies were retrieved thereafter. The presence of cancer in specimens was confirmed by a gastrointestinal pathologist. In the absence of cancer, clinical formalin-fixed paraffin-embedded pathology blocks were retrieved when available. In clinical samples with treatment effect, residual cancer cells were detected using anti-pan cytokeratin (Abcam, clone C-11, ab7753) IHC staining followed by the manual assembly of tissue microarray (TMA) blocks with 4mm cores of regions containing residual tumour.
Our primary outcome for all patients was the difference in expression of selected biomarkers between normal and cancer tissue. In the subgroup of patients receiving neoadjuvant chemotherapy, our primary outcome was the difference in expression between tumour treatment response and incomplete treatment response. We also evaluated the difference in expression of biomarkers in paired samples before and after chemotherapy treatment.
Treatment response was retrieved from clinical pathology reports. The Tumour Regression Score was graded according to the College of American Pathologists and National Comprehensive Cancer Network protocol on a 4-point scale (0 = Complete response, 1 = near complete response, 2 = partial response, 3 = poor or no response)[40 (link)]. In accordance with prior studies, treatment response was expressed as a binary variable consisting of response and incomplete response categories[12 (link)]. Responsive tumours included complete and near-complete responses, whereas incomplete responses included partial, and poor no response. Patients who progressed to metastasis while receiving neoadjuvant treatment were classified as an incomplete response.
Adenocarcinoma
Adenomatous Polyposis Coli
Anesthesia, Conduction
Biological Markers
Biopsy
Cells
Clone Cells
Cytokeratin
Diagnosis
Endoscopy
Formalin
Gastritis
Germ-Line Mutation
Germ Line
Homo sapiens
Laparoscopy
Malignant Neoplasms
Microarray Analysis
Mucosa, Gastric
Neoadjuvant Chemotherapy
Neoadjuvant Therapy
Neoplasm Metastasis
Neoplasms
Neoplastic Cell Transformation
Paraffin
Pathologists
Patients
Pharmacotherapy
Residual Cancer
Residual Tumor
Specimen Handling
Stomach
Syndrome
Tissues
The primary endpoint of the Phase Ib study was dose-limiting toxicity (DLT), with the intention that a Phase II study would be conducted if DLT occurred in fewer than two-sixths of the treated patients, whereas the study would be terminated if DLT occurred in two or more patients. DLT was defined as any of the following adverse events occurring within 21 d of initial drug administration: Grade 4 neutropenia > 7 d; ≥ Grade 3 neutropenia with fever (T ≥ 38.5 °C) lasting > 24 h; Grade 4 thrombocytopenia or Grade 3 thrombocytopenia with bleeding; Grade 4 anemia; ≥ Grade 3 clinically significant nonhematologic toxicity; ≥ Grade 2 immune-related cardiotoxicity, immune-related pneumonia, immune-related ophthalmopathy; and ≥ Grade 3 other immune-related toxicity.
The primary endpoint of the Phase II study was the major pathological response (MPR) rate, with secondary endpoints consisting of the R0 resection rate, pCR rate, safety, disease-free survival (DFS), event-free survival (EFS), and OS. The Becker standard was used to evaluate pathological regression of the primary tumor after surgery. No residual tumor cells were defined as type 1a, less than 10% were defined as type 1b, 10–50% were defined as type 2, and the remainder were defined as type 3. Pathological remission assessed at Grades 1a and 1b was considered to be MPR (including pCR), while pCR was defined as the absence of residual tumor cells (including primary tumors and lymph nodes).
The primary endpoint of the Phase II study was the major pathological response (MPR) rate, with secondary endpoints consisting of the R0 resection rate, pCR rate, safety, disease-free survival (DFS), event-free survival (EFS), and OS. The Becker standard was used to evaluate pathological regression of the primary tumor after surgery. No residual tumor cells were defined as type 1a, less than 10% were defined as type 1b, 10–50% were defined as type 2, and the remainder were defined as type 3. Pathological remission assessed at Grades 1a and 1b was considered to be MPR (including pCR), while pCR was defined as the absence of residual tumor cells (including primary tumors and lymph nodes).
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Anemia
Cardiotoxicity
Cells
Eye Disorders
Febrile Neutropenia
Leukopenia
Neoplasms
Nodes, Lymph
Operative Surgical Procedures
Patients
Pneumonia
Residual Tumor
Safety
Thrombocytopenia
Thrombocytopenia 3
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More about "Residual Tumor"
Residual tumor, also known as minimal residual disease (MRD) or leftover cancer cells, refers to the presence of cancerous cells that remain after initial treatment, such as surgery or chemotherapy.
These cells can continue to grow and spread, potentially leading to disease recurrence, making effective management and understanding of residual tumor crucial for improving patient outcomes and developing more effective cancer treatments.
Researchers often utilize statistical software like SPSS Statistics, SAS version 9.4, and R version 3.6.1 to analyze data related to residual tumor, while tools like GraphPad Prism 7 can be used for data visualization and presentation.
The use of contrast agents like Lipiodol Ultra-Fluide and Zombie Aqua dye can also aid in the detection and monitoring of residual tumor cells.
PubCompare.ai's AI-driven platform can help optimize research protocols for residual tumor, enhancing reproducibility and identifying the most effective products and methodologies to advance this critical area of oncology.
By leveraging advanced comparison tools, researchers can easily locate the best protocols from literature, pre-prints, and patents, while AI-powered insights can help improve the quality and efficacy of their work.
These cells can continue to grow and spread, potentially leading to disease recurrence, making effective management and understanding of residual tumor crucial for improving patient outcomes and developing more effective cancer treatments.
Researchers often utilize statistical software like SPSS Statistics, SAS version 9.4, and R version 3.6.1 to analyze data related to residual tumor, while tools like GraphPad Prism 7 can be used for data visualization and presentation.
The use of contrast agents like Lipiodol Ultra-Fluide and Zombie Aqua dye can also aid in the detection and monitoring of residual tumor cells.
PubCompare.ai's AI-driven platform can help optimize research protocols for residual tumor, enhancing reproducibility and identifying the most effective products and methodologies to advance this critical area of oncology.
By leveraging advanced comparison tools, researchers can easily locate the best protocols from literature, pre-prints, and patents, while AI-powered insights can help improve the quality and efficacy of their work.