Background and ObjectivesRecurrence and metastasis are the most important factors affecting the quality of life and survival rate of patients with gastrointestinal stromal tumors (GISTs). Accurate preoperative determination of the malignant degree of GISTs and the development of a reasonable treatment plan can effectively reduce the recurrence rate. CT is currently considered the preferred imaging modality for initial assessment. Until now, there have only been a few studies investigating the relationship between CT features and recurrence of GISTs. However, the value of CT features in prognostic assessment is still unclear. In this study, we attempted to investigate the prognostic significance of CT features and the Ki67 index in GISTs.MethodsWe retrospectively analyzed the clinicopathological and imaging data for 151 patients with a histopathological diagnosis of GIST who had received contrast‐enhanced CT examination and surgical resection at XinHua Hospital from October 2008 to December 2015 or Sir Run Run Shaw Hospital in 2017. Then, we explored the correlation among CT features, the Ki67 index, and risk stratification of GISTs. The correlation among CT features, the Ki67 index, and risk stratification was mainly analyzed using the Spearman rank correlation.ResultsThe incidence of high‐risk disease or metastasis was clearly higher in the group with Ki67 > 5% than that in the group with Ki67 ≤ 5% (P < 0.001). The Ki67 index was positively correlated with risk stratification (r = 0.558) or mitotic index (r = 0.619). CT imaging features including size, contour, and margin of the tumor were associated with the Ki67 index (r = 0.332, 0.333, and 0.302, respectively). The multivariate logistic regression analysis revealed that the tumor size [P = 0.043 Exp (B) = 1.150] and the presence of ulceration [P = 0.011, Exp (B) = 3.669] were effective variables in distinguishing between the groups with Ki67 ≤ 5% and >5%. The presence of necrosis or cystic degeneration, tumor contour, tumor margin, and pattern of enhancement were associated with risk stratification (r = 0.530, 0.501, 0.419, and 0.447, respectively).ConclusionsOur findings suggest that the Ki67 index is an effective complementation in predicting the prognosis of GISTs, and CT features including size, contour, and margin of the tumor, presence of necrosis or cystic degeneration, and pattern of enhancement provide evidence to support the importance of preoperative assessment.

SummaryIt is shown that AtCLCd negatively regulates Arabidopsis PTI, probably by interacting with the PRR signalling pathway. Its sequence indicates that AtCLCd encodes a chloride/proton exchanger.

The condensation reactions between vanadate and a variety of mono-and dicarboxylic acids in aqueous solution have been investigated by 51V NMR spectroscopy. Equilibration with acetate occurred rapidly, about 104 s'1 11, to form predominantly a bis(acetato)vanadate (-541 ppm) although formation of a mono derivative could be detected. With pentanoic acid and the dicarboxylic acids, a product (-536 ppm) in slow equilibration with vanadate was formed. This product occurred in addition to a rapidly exchanging product and contained only one ligand (except possibly for the pentanoic acid derivative, which was not well characterized). In addition to the above products, succinic acid gave a product with a 51V chemical shift at -548 ppm. This derivative also contained one ligand. Variation of the pH showed that product formation occurred from the acid form of the ligands and that no protons were required for generation of any of the products.

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