4.2. Diagnostic Efficiency of Fe3O4-PPy for TumorMarkers in Diseased Gastric TissuesThe content of Fe3O4-PPy is much higher than that ofserum, which is helpful for screening patients and is noteasy to miss diagnosis. On the other hand, the content ofcore–shell nanocomposites in gastric cancer tissues has aslightly lower specificity for the diagnosis of gastric cancer. It should pay attention to combine with other teststo exclude false positives in our work. The sensitivity ofFe3O4-PPy in the diagnosis of gastric cancer is higherbecause the Fe3O4-PPy content in the tissue is significantlyhigher than that in serum (Fig. 5). The results of this study also show that CA242 is superior to CA19-9. The positive expression rates of various tumor markers are alsoinconsistent due to the location, type and tissue origin ofvarious tumors. Because the sensitivity and specificity ofindividual tumor markers are difficult to meet the clinical requirements for prognosis assessment of gastric cancer, patients with conditions should be tested for tumormarkers in combination [10]. Various tumor markers arenot unique to malignant tumors, and combined detectioncan increase the probability of false positives. Therefore,dynamic tracking, observation and combined detection oftumor markers, combined with clinical manifestations, can effectively improve the accuracy of tumor diagnosis andreduce the rate of missed diagnosis.Based on the analysis of clinical data of patients, itwas found that the levels of Fe3O4-PPy were signifi-cantly increased in patients with lymphatic invasion, nerveinvasion and lymph node metastasis. Relevant changes incancer tissue genes can be detected in body fluids or secretions, and changes in these body fluids can to some extentreflect changes in the same gene in tissues. Therefore, inorder to analyze the early noninvasive screening value ofcore–shell nanocomposite, this paper compares the diagnostic value of Fe3O4-PPy in gastric cancer tissues and plasma samples. It was found that in gastric cancer tissues,the AUC of Fe3O4-PPy level used to diagnose gastric cancer was 0.73, the sensitivity was 0.47, and the specificitywas 0.77. In plasma samples, the AUC of Fe3O4-PPy levelused to diagnose gastric cancer was 0.68 and the sensitivityis 0.75 and the specificity is 0.81. Core–shell nanocomposite levels have not been detected in plasma samples,and the clinical application of Fe3O4-PPy detection needsto be further expanded [11].At present, most of the gastric cancer test specimens areperipheral blood. Due to the effect of blood dilution andthe low content of markers in the early stage of the tumor,even less secretion into the peripheral blood, the positiverate is not high enough. Fe3O4-PPy is in direct contact withgastric mucosa, which can more sensitively reflect gastriclesions. The detection of tumor markers in gastric juice hasa higher diagnostic value than gastric serum. The CEA isa broad-spectrum tumor marker, it can reflect the existenceof a variety of tumors, and it is a good tumor markerto judge the efficacy, condition development, monitoringand prognosis of colorectal cancer, breast cancer and lungcancer. The test confirmed that the measured values ofCA72-4, CA19-9, and CEA were higher than the measuredvalues in serum with the statistically significant differences(P < 005). The positive expression rates of various tumormarkers are also inconsistent due to the location, type andtissue origin of various tumors.5. CONCLUSIONSThe magnetic material is an essential part of the magnetictargeted drug delivery system, and its performance willdirectly affect the therapeutic effect of the drug, in whichthe Fe3O4-Polypyrrole is commonly used for its most simple in its synthetic process and excellent biocompatibility.The Fe3O4-PPy is helpful for differential diagnosis andavoids misdiagnosis; changes in concentration can reflectthe actual situation of tumors in the body and can assist instaging and prognosis judgment. This study shows that thedetection sensitivity (82.17%, 80.32%, 79.48%, 84.63%,and 85.66%) and specificity (76.75%, 79.66%, 81.07%,83.47%, and 85.24%) of CA19-9, AFP, CA242, CEA,and CA72-4 in the tumor tissue of patients in observationgroup for the diagnosis of early gastric cancer are higherthan the sensitivity (78.66%, 79.25%, 76.18%, 82.11%,and 83.45%) and specificity (74.37%, 76.94%, 77.24%,81.22%, and 81.59%) of that in control group with statistically significant differences (P < 005). Therefore, itis believed that the Fe3O4-PPy is of great significance forthe detection of early gastric tumor markers in the tissuesof patients with early gastric cancer, and has certain value for the auxiliary diagnosis of early gastric cancer and theobservation of therapeutic effects. The results of this paperprovide a reference for the further researches of Fe3
4.2。Fe3O4-PPy对<br>患病胃组织肿瘤标志物的诊断效率Fe3O4-PPy<br>的含量远高于<br>血清,这有助于筛查患者并且不<br>容易漏诊。另一方面,<br>胃癌组织中核壳纳米复合材料的含量对胃癌<br>的诊断特异性略低。它应注意与其他测试结合使用,<br>以排除我们工作中的误报。的灵敏度<br>的Fe3O4-聚吡咯在胃癌的诊断是更高<br>,因为在组织中的四氧化三铁的PPy含量显著<br>高于血清(图5)。这项研究的结果还表明,CA242优于CA19-9。由于各种肿瘤<br>的位置,类型和组织起源,<br>各种肿瘤标志物的阳性表达率也不一致。由于<br>单个肿瘤标记物的敏感性和特异性很难满足胃癌预后评估的临床要求,因此应结合条件对患者进行肿瘤<br>标记物测试[10]。各种肿瘤标志物<br>并不是恶性肿瘤所独有的,并且联合检测<br>可以增加假阳性的可能性。因此,<br>动态跟踪,观察和组合检测<br>肿瘤标志物,结合临床表现,可以有效提高肿瘤诊断的准确性,<br>降低漏诊率。<br>根据对患者临床资料的分析,<br>发现<br>在有淋巴管浸润,神经<br>浸润和淋巴结转移的患者中,Fe3O4-PPy含量显着增加。<br>可以在体液或分泌物中检测到癌组织基因的相关变化,这些体液的变化可以在某种程度上<br>反映组织中同一基因的变化。因此,<br>为了分析早期无创筛查的价值<br>核-壳纳米复合材料,本文比较了Fe3O4-PPy在胃癌组织和血浆样品中的诊断价值。发现在胃癌组织中,<br>用于诊断胃癌的Fe3O4-PPy的AUC为0.73,敏感性为0.47,特异性<br>为0.77。在血浆样品中,<br>用于诊断胃癌的Fe3O4-PPy水平的AUC为0.68,灵敏度<br>为0.75,特异性为0.81。血浆样品中尚未检测到核-壳纳米复合材料的水平<br>,Fe3O4-PPy检测的临床应用需要<br>进一步扩展[11]。<br>目前,大多数胃癌测试标本是<br>外周血。由于血液稀释和<br>the low content of markers in the early stage of the tumor,<br>even less secretion into the peripheral blood, the positive<br>rate is not high enough. Fe3O4-PPy is in direct contact with<br>gastric mucosa, which can more sensitively reflect gastric<br>lesions. The detection of tumor markers in gastric juice has<br>a higher diagnostic value than gastric serum. The CEA is<br>a broad-spectrum tumor marker, it can reflect the existence<br>of a variety of tumors, and it is a good tumor marker<br>to judge the efficacy, condition development, monitoring<br>and prognosis of colorectal cancer, breast cancer and lung<br>cancer. The test confirmed that the measured values of<br>CA72-4, CA19-9, and CEA were higher than the measured<br>血清中的SNP值具有统计学显着性差异<br>(P <0?05)。由于各种肿瘤<br>的位置,类型和<br>组织起源,各种肿瘤标志物的阳性表达率也不一致。<br>5.结论<br>磁性材料是磁性<br>靶向药物输送系统的重要组成部分,其性能将<br>直接影响药物的治疗效果,其中<br>Fe3O4-Polypyrrole在其合成过程中通常被最简单地使用。以及出色的生物相容性。<br>Fe3O4-PPy有助于鉴别诊断并<br>避免误诊。浓度的变化可以反映<br>体内肿瘤的实际情况,并且可以帮助<br>staging and prognosis judgment. This study shows that the<br>detection sensitivity (82.17%, 80.32%, 79.48%, 84.63%,<br>and 85.66%) and specificity (76.75%, 79.66%, 81.07%,<br>83.47%, and 85.24%) of CA19-9, AFP, CA242, CEA,<br>and CA72-4 in the tumor tissue of patients in observation<br>group for the diagnosis of early gastric cancer are higher<br>than the sensitivity (78.66%, 79.25%, 76.18%, 82.11%,<br>and 83.45%) and specificity (74.37%, 76.94%, 77.24%,<br>81.22%, and 81.59%) of that in control group with statistically significant differences (P < 005). Therefore, it<br>is believed that the Fe3O4-PPy is of great significance for<br>the detection of early gastric tumor markers in the tissues<br>对早期胃癌的诊断,对早期胃癌的辅助诊断和<br>治疗效果的观察具有一定的价值。本文的结果<br>为Fe3的进一步研究提供参考。
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