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Background and purpose: 18 F-prostate-specific membrane antigen (PSMA)-1007 positron emission tomography and computed tomography (PET/CT) is an advanced molecular imaging evaluation method for prostate cancer (PCa). This study aimed to explore the early detection rate of recurrence and metastasis of patients with biochemical recurrence (BCR) after radical prostatectomy (RP) by 18 F-PSMA-1007 PET/CT and its influence on clinical treatment decisions. Methods: From December 2018 to December 2020, the data of 51 PCa patients with BCR after RP by 18 F-PSMA-1007 PET/CT were summarized and analyzed. Radioactive uptake of tumors was calculated semi-quantitatively by region of interest method and expressed by the maximum standardized uptake value (SUV max ). We assessed the detection rate of clinical recurrence and metastasis in BCR patients [local recurrence (prostatic bed), lymph node metastasis (pelvic, retroperitoneal and diaphragmatic), bone metastasis and visceral metastasis (such as lung)], and the difference in detection rate between prostate-specific antigen (PSA) groups and Gleason evaluation group was further compared respectively. Results: The median age of 51 patients was 66 years (52-80 years), and the median PSA was 35 ng/mL (6-224 ng/mL) at the time of initial diagnosis. All of them were prostatic acinar adenocarcinoma, including 1 case with intraductal carcinoma, 1 case with ductal adenocarcinoma, 1 case with mucinous adenocarcinoma, 1 case with signet ring-like component and 1 case with neuroendocrine differentiation. We found Gleason score ≤7 in 22 cases (43.14%) and Gleason score ≥ 8 in 29 cases (56.86%). The median time of BCR was 15 months (5-62 months), and the median PSA was 0.58 ng/mL (0.20- 110.00 ng/mL), including 21 (41.18%) cases with 0.20 ng/mL≤PSA ＜ 0.50 ng/mL, 12 (23.53%) cases with 0.50 ng/mL≤PSA ＜ 1.00 ng/mL, 4 (7.84%) cases with 1.00 ng/mL≤PSA ＜ 2.00 ng/mL and 14 (27.45%) cases with PSA≥2.00 ng/mL. There were 7 cases (13.73%) with no local recurrence or metastasis, and 44 cases (86.27%) with local recurrence or metastasis, including 9 cases (20.45%) with recurrence in the operative area of prostate, 28 cases (63.64%) had lymph node metastasis at different sites, 31 cases (70.45%) had bone metastasis, and 2 cases (4.55%) had visceral metastasis. In addition, there were 2 cases of subcutaneous nodule metastasis and 1 case of penile root metastasis. The median SUV max was 17.9 (1.4-110.9) for all recurrence or metastasis, 14.0 (3.2-110.9) for local recurrence, 10.2 (2.0-90.1) for lymph node metastasis, and 5.4 (1.4-109.6) for bone metastasis. The detection rates of recurrence or metastasis were 71.43% (15/21), 100.00% (12/12), 75.00% (3/4) and 100.00% (14/14), respectively, in the groups with 0.20 ng/mL≤PSA ＜ 0.50 ng/mL (21 cases), 0.50 ng/mL≤PSA ＜ 1.00 ng/mL (12 cases), 1.00 ng/mL≤PSA ＜ 2.00 ng/mL (4 cases) and PSA≥2.00 ng/mL (14 cases), and there was no statistically significant difference in the detection rate between groups with different PSA levels (P＞0.05). The recurrence or metastasis detection rates of original Gleason score ≤7 group (22 cases) and Gleason score ≥8 group (29 cases) were 68.18% (15/22) and 100.00% (29/29), respectively, and there were statistically significant differences in the detection rate between groups with different Gleason scores (P ＜ 0.05). In clinical treatment, 4 cases (7.84%) were treated by observation, 18 cases (35.29%) by endocrinotherapy alone, 2 cases (3.92%) by salvage radiotherapy (SRT) alone, 24 cases (47.06%) by endocrinotherapy combined with SRT, 1 case (1.96%) by endocrinotherapy combined with docetaxel systemic chemotherapy, and 2 cases (3.92%) by salvage pelvic lymphadenectomy. Conclusion: 18 F-PSMA-1007 PET/CT has a good value and efficacy in early diagnosis of clinical recurrence or metastasis of BCR patients after RP, which is conducive to accurate evaluation and optimal treatment plan for such patients, and significantly affects clinical treatment decisions.

The ground state of double perovskite oxide La2CoMnO6 (LCMO) and how it is influenced by external pressure and antisite disorder are investigated systematically by first-principles calculations. We find, on the consideration of both the electron correlation and spin-orbital coupling effect, that the LCMO takes on insulating nature, yet is transformed to half metallicity once the external pressure is introduced. Such tuning is accompanied by a spin-state transition of Co2+ from the high-spin state (t52ge2g) to low-spin state (t62ge1g) because of the enhancement of crystal-field splitting under pressure. Using mean-field approximation theory, Curie temperature of LCMO with Co2+ being in low-spin state is predicted to be higher than that in high-spin state, which is attributed to the enhanced ferromagnetic double exchange interaction arising from the shrinkage of Co-O and Mn-O bonds as well as to the increase in bond angle of Co-O-Mn under pressure. We also find that antisite disorder in LCMO enables such transition from insulating to half-metallic state as well, which is associated with the spin-state transition of antisite Co from high to low state. It is proposed that the substitution of La3+ for the rare-earth (RE) ions with smaller ionic radii could open up an avenue to induce a spin-state transition of Co, rendering thereby the RE2CoMnO6 a promising half-metallic material. [ABSTRACT FROM AUTHOR]

The introduction of magnetic ions at A-site is a typical modification in traditional ABO 3 perovskite materials to achieve the target physical properties. Here, the impact of Mn3+ incorporation on the magnetic coupling and electronic structures of A-site-ordered quadruple perovskite LaMn 3 Rh 4 O 12 was investigated using spin-polarized first-principles calculations. Our calculations demonstrate that LaMn 3 Rh 4 O 12 is antiferromagnetic with G-type antiferromagnetic coupling within Mn sublattice and nonmagnetic Rh, which is quite different from the diamagnetic host perovskite LaRhO 3. The electronic structure analyses reveal that the formal oxidation state of B-site Rh is +3 with 4d6 electronic configuration and it splits into t 2g and e g orbitals (t 2g 6e g 0) in low-spin state, indicating that Rh has no contribution to the magnetic properties and the introduced Mn3+ at the A′-site drives the ordered antiparallel spins coupling. Moreover, LaMn 3 Rh 4 O 12 exhibits semiconducting behavior and the chemical valence is La3+Mn3+ 3 Rh3+ 4 O2- 12. Our study provides an alternative method for beneficial modification of traditional ABO 3 perovskites by introducing A-site magnetic ions. LaMn 3 Rh 4 O 12 is an antiferromagnetic semiconductor driven by the introduced Mn3+ at the A′-site sublattice, making it as a promising candidate in the field of magnetic materials and devices. Image 1 [ABSTRACT FROM AUTHOR]

Objectives: In this study, we assessed the effects of integrated health education combined with life intervention on patients with coronary atherosclerotic heart disease (CHD) complicated with hyperlipidemia. Methods: We selected 96 patients with CHD complicated with hyperlipidemia being treated in our hospital from June 2018 to June 2020, and assigned them to a control group (N=48) or a research group (N=48). Patients in the control group received integrated health education, whereas those in the research group were given integrated health education combined with life intervention. We measured outcomes, including blood lipid levels, electrocardiogram (ECG) recovery times, lengths of hospital stay, compliance with nursing intervention, and satisfaction with nursing care. Results: After intervention, the total effective rate of nursing in the research group was 93.75% which was higher than for the control group 79.17%. In the research group, the levels of total cholesterol, triglyceride, and low-density lipoprotein cholesterol were higher than those in control group, and the level of high-density lipoprotein cholesterol was lower than that in control group. The length of hospital stay and ECG recovery time were longer than those in research group. The research group had a higher nursing compliance rate than did the control group (91.67% vs 75.00%), and satisfaction with nursing care also was lower in the control group than in the research group (77.08 % vs 91.67%) (p < .05). Conclusion: Integrated health education combined with life intervention has a better nursing effect on patients with CHD complicated with hyperlipidemia, and can contribute to controlling blood lipid level in the normal range, improve nursing satisfaction and compliance of patients, reduce the occurrence of adverse events, shorten the length of hospital stay, and accelerate recovery of patients.