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Lung adenocarcinomas are more commonly associated with brain metastases (BM). Epidermal growth factor receptor (EGFR) mutations have been demonstratedto be both predictive and prognostic for patients with lung adenocarcinoma. We aimed to explore the potential association between EGFR mutation and the risk of BM in pulmonary adenocarcinoma patients. Data of 234 patients from 2007 to 2014 were retrospectively reviewed. A total of 108 patients had EGFR mutations in the entire cohort. Among them, 76 patients developed BM during their disease course. The incidence of BM was statistically higher in patients with EGFR mutations both at initial diagnosis (P=0.014) and at last follow-up (P<0.001). Multivariate logistic regression analysis revealed that EGFR mutation significantly increased the risk of BM at initial diagnosis (OR=2.515, P=0.022). In patients without BM at initial diagnosis, the accumulative rate of subsequent BM was significantly higher with EGFR mutations (P=0.001). Multivariate Cox regression analysis identified EGFR mutation as the only independent risk factor for subsequent BM (HR=3.036, P=0.001). Patients with EGFR mutations demonstrated longer overall survival (OS) after BM diagnosis than patients with wild-type EGFR (P=0.028). Our data suggest that EGFR mutation is an independent predictive and prognostic risk factor for BM and a positive predictive factor for OS in patients with BM.

A: An online cryogenic distillation system for the removal of krypton and radon from xenon was designed and constructed for PandaX-4T, a highly sensitive dark matter detection experiment. The krypton content in a commercial xenon product is expected to be reduced by 7 orders of magnitude with 99% xenon collection efficiency at a flow rate of 10 kg/h by design. The same system can reduce radon content in xenon by reversed operation, with an expected radon reduction factor of about 1.8 in PandaX-4T under a flow rate of 56.5 kg/h. The commissioning of this system was completed, with krypton and radon operations tested under respective working conditions. The krypton concentration of the product xenon was measured with an upper limit of 8.0 ppt.

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