Cancer Research and Treatment

Original Article

Factors Associated with Smoking Cessation of Participants in the National Lung Cancer Screening Program in Korea: Na-Young Yoon, Minji Seo, Nayoung Lee, Yeol Kim; Received July 16, 2024 Accepted January 10, 2025 Published online January 10, 2025; DOI: https://doi.org/10.4143/crt.2024.653 [Accepted]

Abstract PDF: Purpose
Smoking cessation interventions for participants in lung cancer screening are essential for increasing the effectiveness of screening to reduce lung cancer mortality. This study aimed to investigate the factors that lead to smoking cessation after lung cancer screening.
Materials and Methods
The Korean National Lung Cancer Screening (KNLCS) Satisfaction Survey was conducted from 2021 to 2022 with 1,000 samples per year among participants in KNLCS targets 30 or more pack-year smokers. Factors associated with smoking cessation were analyzed based on the survey.
Results
Among 1,525 current smokers in the survey participants, 728 (47.7%) received screening result counseling from physician after screening and showed significantly higher smoking cessation rate than non-counselling participants [OR 2.17, 95% CI 1.27–3.70]. The participants who considered the counseling helpful were more likely to quit smoking [OR 3.53, 95% CI 2.00–6.22] and to reduce smoking amount [OR 2.05, 95% CI 1.54–2.71]. Similarly, those who received physicians’ active recommendations to quit smoking were likely to quit smoking [OR 2.20, 95% CI 1.25–3.87] and to decrease smoking amount [OR 1.30, 95% CI 1.00-1.68]. In contrast, participants who had no abnormal findings from screening tended to have no significant change in smoking status despite the physicians’ active recommendations to quit smoking.
Conclusion
Physicians’ active recommendations and effective counseling to quit smoking could be a key factor in increasing smoking cessation among lung cancer screening participants. Further research should be conducted to develop more effective strategies for smoking cessation to participants without abnormal findings in lung cancer screening.

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Special Article

Trends in Cancer-Screening Rates in Korea: Findings from the National Cancer Screening Survey, 2004-2023: EunKyo Kang, Kui Son Choi, Jae Kwan Jun, Yeol Kim, Hyeon Ji Lee, Chang Kyun Choi, Tae Hee Kim, Sun Hwa Lee, Mina Suh; Cancer Res Treat. 2025;57(1):28-38. Published online August 2, 2024; DOI: https://doi.org/10.4143/crt.2024.325

Abstract PDF Supplementary Material PubReader ePub

Purpose
This study aimed to report the overall national trends in the rates of cancer screening based on recommendations and provide insights into the changing trends of these rates across different demographics.
Materials and Methods
This study used data from the Korean National Cancer Screening Survey (KNCSS), which surveys nationwide cancer-screening rates and includes 4,500 individuals meeting the Korean National Cancer Screening Program (NCSP) protocol age criteria. Cancer-screening rates were assessed using structured questionnaires; yearly trends were analyzed for both lifetime cancer-screening rates and rates of screening based on recommendations, and subgroup analyses were performed based on age and sex.
Results
The rates of cancer screening based on recommendations showed significant increments: the stomach cancer-screening rate increased from 39.2% in 2004 to 77.5% in 2023 (3.50% per year), the liver cancer-screening rate increased from 20.0% to 48.8% (4.30% per year), and the colorectal cancer, increased from 19.9% to 70.7% (5.15% per year). The breast cancer-screening rate increased from 33.2% to 72.7% (2.88% per year), and the cervical cancer, increased from 58.3% to 70.2% (1.08% per year). Despite some differences, particularly in relation to sociodemographic factors, screening rates increased significantly for all cancer types.
Conclusion
Cancer-screening rates in Korea increased consistently from 2004 to 2023, demonstrating the effectiveness of the national cancer-screening program. However, the increments in breast, cervical and lung cancer-screening rates were relatively lower, indicating the need for additional efforts and strategies.

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Association Between Suicidal Ideation and Cancer Screening Uptake: Results from Middle-Aged and Older Adults in Korea
Seong-Uk Baek, Jin-Ha Yoon
Cancers.2025; 17(6): 956. CrossRef

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Original Articles

Lung and Thoracic cancer

Strategies to Improve Smoking Cessation for Participants in Lung Cancer Screening Program: Analysis of Factors Associated with Smoking Cessation in Korean Lung Cancer Screening Project (K-LUCAS): Yeol Kim, Jaeho Lee, Eunju Lee, Juntae Lim, Yonghyun Kim, Choon-Taek Lee, Seung Hun Jang, Yu-Jin Paek, Won-Chul Lee, Chan Wha Lee, Hyae Young Kim, Jin Mo Goo, Kui Son Choi, Boyoung Park, Duk Hyoung Lee, Hong Gwan Seo; Cancer Res Treat. 2024;56(1):92-103. Published online August 7, 2023; DOI: https://doi.org/10.4143/crt.2022.1598

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Purpose
Smoking cessation intervention is one of the key components of successful lung cancer screening program. We investigated the effectiveness and related factors of smoking cessation services provided to the participants in a population-based lung cancer screening trial.
Materials and Methods
The Korean Lung Cancer Screening Project (K-LUCAS) is a nationwide, multi-center lung cancer screening trial that evaluates the feasibility of implementing population-based lung cancer screening. All 5,144 current smokers who participated in the K-LUCAS received a mandatory smoking cessation counseling. Changes in smoking status were followed up using a telephone survey in 6 months after lung cancer screening participation. The lung cancer screening’s impact on smoking cessation is analyzed by variations in the smoking cessation interventions provided in screening units.
Results
Among 4,136 survey responders, participant’s motivation to quit smoking increased by 9.4% on average after lung cancer screening. After 6 months from the initial screening, 24.3% of participants stopped smoking, and 10.6% of participants had not smoked continuously for at least 6 months after screening. Over 80% of quitters stated that participation in lung cancer screening motivated them to quit smoking. Low-cost public smoking cessation program combined with lung cancer screening increased the abstinence rates. The smokers were three times more likely to quit smoking when the smoking cessation counseling was provided simultaneously with low-dose computed tomography screening results than when provided separately.
Conclusion
A mandatory smoking cessation intervention integrated with screening result counselling by a physician after participation in lung cancer screening could be effective for increasing smoking cessation attempts.

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Problems and Alternatives for Korea National Lung Cancer Screening Program for Smoking Cessation: Analysis of a Survey Involving Experts
Cheol Min Lee, Sil Vi Han Park, Jinri Kim, Bumjo Oh, Kiheon Lee, Yeol Kim, Yu-Jin Paek
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Roberta Eufrasia Ledda, Georg-Christian Funk, Nicola Sverzellati
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Choon-Young Kim, Yeol Kim, Cheol Min Lee
Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(3): 88. CrossRef

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Cost Utility Analysis of a Pilot Study for the Korean Lung Cancer Screening Project: Juyoung Kim, Bogeum Cho, Seon-Ha Kim, Chang-Min Choi, Yeol Kim, Min-Woo Jo; Cancer Res Treat. 2022;54(3):728-736. Published online September 24, 2021; DOI: https://doi.org/10.4143/crt.2021.480

Abstract PDF Supplementary Material PubReader ePub

Purpose
The aim of this study was to evaluate the cost utility of a pilot study of Korean Lung Cancer Screening Project.
Materials and Methods
We constructed a Markov model consisting of 26 states based on the natural history of lung cancer according to the Surveillance, Epidemiology, and End Results summary stage (localized, regional, distant). In the base case, people aged 55-74 years were under consideration for annual screening. Costs and quality-adjusted life years were simulated to calculate the incremental cost utility ratio. Sensitivity analyses were performed on the uncertainty associated with screening target ages, stage distribution, cost, utility, mortality, screening duration, and discount rate.
Results
The base case (US$25,383 per quality-adjusted life year gained) was cost-effective compared to the scenario of no screening and acceptable considering a willingness-to-pay threshold of US$27,000 per quality-adjusted life years gained. In terms of the target age of screening, the age between 60 and 74 years was the most cost-effective. Lung cancer screening was still cost-effective in the sensitivity analyses on the cost for treatment, utility, mortality, screening duration, and less than 5% discount rates, although the result was sensitive to a rise in positive rates or variation of stage distribution.
Conclusion
Our results showed the cost-effectiveness of annual low-dose computed tomography screening for lung cancer in high-risk populations.

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Special Article

Guidelines for Cancer Care during the COVID-19 Pandemic in South Korea: Jii Bum Lee, Minkyu Jung, June Hyuk Kim, Bo Hyun Kim, Yeol Kim, Young Seok Kim, Byung Chang Kim, Jin Kim, Sung Ho Moon, Keon-Uk Park, Meerim Park, Hyeon Jin Park, Sung Hoon Sim, Hong Man Yoon, Soo Jung Lee, Eunyoung Lee, June Young Chun, Youn Kyung Chung, So-Youn Jung, Jinsoo Chung, Eun Sook Lee, Hyun Cheol Chung, Tak Yun, Sun Young Rha; Cancer Res Treat. 2021;53(2):323-329. Published online March 15, 2021; DOI: https://doi.org/10.4143/crt.2020.1256

Abstract PDF PubReader ePub

At the end of 2019, the cause of pneumonia outbreaks in Wuhan, China, was identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In February 2020, the World Health Organization named the disease cause by SARS-CoV-2 as coronavirus disease 2019 (COVID-19). In response to the pandemic, the Korean Cancer Association formed the COVID-19 task force to develop practice guidelines. This special article introduces the clinical practice guidelines for cancer patients which will help oncologists best manage cancer patients during the COVID-19 pandemic.

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Original Articles

General

Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004–2018: Seri Hong, Yun Yeong Lee, Jaeho Lee, Yeol Kim, Kui Son Choi, Jae Kwan Jun, Mina Suh; Cancer Res Treat. 2021;53(2):330-338. Published online October 20, 2020; DOI: https://doi.org/10.4143/crt.2020.263

Abstract PDF Supplementary Material PubReader ePub

Purpose
The Korean National Cancer Screening Survey (KNCSS) is a nationwide annual cross-sectional survey conducted for the past 15 years. This study aimed to report trends in the overall screening rates of both organized and opportunistic cancer screening programs from 2004–2018.
Materials and Methods
KNCSS data were collected using a structured questionnaire. For five major cancers (i.e., stomach, liver, colorectal, breast, and cervical cancer), we evaluated both the lifetime screening rate and the screening rate with recommendations. The study population included men aged 40–74 years and women aged 20–74 years with no cancer histories.
Results
Screening rate with recommendations increased from 2004 annually by 4.4% and 1.5% until 2013 for stomach and liver cancers, respectively, by 4.0% until 2012 for breast cancer, and by 3.6% and 1.2% until 2014 for colorectal and cervical cancers, respectively, followed by nonsignificant trends thereafter. In 2018, screening rates with recommendations for these cancers were 72.8%, 26.2%, 63.1%, 58.4%, and 55.6%, respectively.
Conclusion
Screening rates for the five types of cancer demonstrated a marked increase between 2004 and 2018. However, many recent screening rates have been flattened with nonsignificant trends, and there are lower rates for cervical cancer screening among young age groups. Steady efforts are needed to achieve higher screening participation rates overall, especially for the cervical cancer screening of young women in their 20s.

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Breast cancer

Impact of Awareness of Breast Density on Perceived Risk, Worry, and Intentions for Future Breast Cancer Screening among Korean Women: Anh Thi Ngoc Tran, Ji Hae Hwang, Eunji Choi, Yun Yeong Lee, Mina Suh, Chan Wha Lee, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2021;53(1):55-64. Published online August 18, 2020; DOI: https://doi.org/10.4143/crt.2020.495

Abstract PDF PubReader ePub

Purpose
This study sought to examine perceived risk and concerns for breast cancer according to awareness of breast density and states thereof among Korea women and to identify the impact of such awareness on screening intentions.
Materials and Methods
This study was based on the 2017 Korean National Cancer Screening Survey of a nationally representative and randomly selected sample of Koreans. Ordinal logistic regression was conducted to examine associations for awareness of and knowledge on breast density in relation to psychological factors. Multivariate logistic regression analyses were conducted to investigate significant factors associated with intentions to undergo breast cancer screening.
Results
Among a total of 1,609 women aged 40-69 years, 62.0% were unaware of their breast density, and only 29.7% had good breast density knowledge. Awareness of one’s breast density and knowledge about breast density were positively associated with perceptions of absolute and comparative risk and cancer worry. Women aware of their breast density (adjusted odds ratio [aOR], 1.35 for women aware of having a non-dense breast; aOR, 4.17 for women aware of having a dense breast) and women with a good level of breast density knowledge (aOR, 1.65) were more likely to undergo future breast cancer screening.
Conclusion
Breast density awareness and knowledge showed positive associations with psychological factors and breast cancer screening intentions. However, the majority of Korean women were not aware of their breast density status and demonstrated poor knowledge about breast density. These results demonstrate a need for better health communication concerning breast density.

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Zahra Batool, Mohammad Amjad Kamal, Bairong Shen
Breast Cancer.2025; 32(2): 258. CrossRef
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M. Rawashdeh, M.Z. El-Sayed, M. Umar, N. Majeed, A. Jamalzadeh, C. Saade, A. England, M. McEntee, M.M. El Safwany, M.A. Ali
Radiography.2025; 31(1): 350. CrossRef
The triad of knowledge, regular medical consultation, and recommendations for enhanced breast cancer screening intention in Morocco
Nadia Ouzennou, Mohamed Aboufaras, Nezha Nacer, Hicham Mejdouli, Jaouad Chouikh, Samia Rkha
Journal of Cancer Research and Clinical Oncology.2024;[Epub] CrossRef
Awareness of Breast Cancer Risk Factors in Women with vs. Without High Breast Density
Jan Endrikat, Gilda Schmidt, Bhagyashree Oak, Viplav Shukla, Prakirti Nangia, Nicolas Schleyer, John Crocker, Ruud Pijnapppel
Patient Preference and Adherence.2024; Volume 18: 1577. CrossRef
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Fangmei Ren, Junchao Liu, Jianping Miao, Yucheng Xu, Ruiyin Zhang, Jingjie Fan, Wei Lin
Frontiers in Public Health.2023;[Epub] CrossRef
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Seon Mi Yoon, Jeong Hee Kang
Asian Oncology Nursing.2023; 23(2): 75. CrossRef
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S.L. Gauci, J.G. Couto, D. Mizzi
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Belinda Goodwin, Laura Anderson, Katelyn Collins, Saira Sanjida, Marcos Riba, Gursharan K. Singh, Kimberley M. Campbell, Heather Green, Sana Ishaque, Alastair Kwok, Melissa J. Opozda, Amy Pearn, Joanne Shaw, Ursula M. Sansom‐Daly, Joanna M. Tsirgiotis, Mo
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Cancer Research and Treatment.2022; 54(4): 1099. CrossRef
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Eunji Choi, Jae Kwan Jun, Mina Suh, Kyu-Won Jung, Boyoung Park, Kyeongmin Lee, So-Youn Jung, Eun Sook Lee, Kui Son Choi
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Brooke Nickel, Hankiz Dolan, Stacy Carter, Nehmat Houssami, Meagan Brennan, Jolyn Hersch, Alia Kaderbhai, Kirsten McCaffery
BMJ Open.2021; 11(8): e047513. CrossRef

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11 Crossref

Paip1 Indicated Poor Prognosis in Cervical Cancer and Promoted Cervical Carcinogenesis: Nan Li, Junjie Piao, Xinyue Wang, Ki-Yeol Kim, Jung Yoon Bae, Xiangshan Ren, Zhenhua Lin; Cancer Res Treat. 2019;51(4):1653-1665. Published online April 19, 2019; DOI: https://doi.org/10.4143/crt.2018.544

Abstract PDF Supplementary Material PubReader ePub

Purpose
This study was aimed to investigate the role of poly(A)-binding protein-interacting protein 1 (Paip1) in cervical carcinogenesis.
Materials and Methods
The expression of Paip1 in normal cervical epithelial tissues and cervical cancer (CC) tissues were detected by immunohistochemistry. In vivo and in vitro assays were performed to validate effect of Paip1 on CC progression.
Results
Paip1 was found to be up-regulated in CC, which was linked with shorter survival. Knockdown of Paip1 inhibited cell growth, induced apoptosis and cell cycle arrest in CC cells, whereas its overexpression reversed these effects. The in vivo tumor model confirmed the pro-tumor role of Paip1 in CC growth.
Conclusion
Altogether, the investigation demonstrated the clinical significance of Paip1 expression, which prompted that the up-regulated of Paip1 can presumably be a potential prognostic and progression marker for CC.

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T. Mallikarjuna, N. B. Thummadi, Vaibhav Vindal, P. Manimaran
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Wenqing Yang, Qingkun Wang, Qi Li, Yue Han, Yu Zhang, Lu Zhu, Lianhua Zhu, Junjie Piao
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PAIP1 regulates expression of immune and inflammatory response associated genes at transcript level in liver cancer cell
Jianfeng Zheng, Weiwei Fan, Xiaoyu Zhang, Weili Quan, Yunfei Wu, Mengni Shu, Moyang Chen, Ming Liang
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Xiangjin Gong, Hao Chi, Zhijia Xia, Guanhu Yang, Gang Tian
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Prioritizing the candidate genes related to cervical cancer using the moment of inertia tensor
Neelesh Babu Thummadi, Mallikarjuna T., Vaibhav Vindal, Manimaran P.
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Effect of PAIP1 on the metastatic potential and prognostic significance in oral squamous cell carcinoma
Neeti Swarup, Kyoung-Ok Hong, Kunal Chawla, Su-Jung Choi, Ji-Ae Shin, Kyu-Young Oh, Hye-Jung Yoon, Jae-Il Lee, Sung-Dae Cho, Seong-Doo Hong
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Huixu Xie, Lisa Yang, Qin Hu, Yingqi Song, Xiaoyi Wang, Liming Zhou, Longjiang Li
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Development of Protocol for Korean Lung Cancer Screening Project (K-LUCAS) to Evaluate Effectiveness and Feasibility to Implement National Cancer Screening Program: Jaeho Lee, Juntae Lim, Yeol Kim, Hyae Young Kim, Jin Mo Goo, Choon-Taek Lee, Seung Hun Jang, Won-Chul Lee, Chan Wha Lee, Jin Young An, Ki Dong Ko, Min Ki Lee, Kui Son Choi, Boyoung Park, Duk Hyoung Lee; Cancer Res Treat. 2019;51(4):1285-1294. Published online February 19, 2019; DOI: https://doi.org/10.4143/crt.2018.464

Abstract PDF PubReader ePub

Purpose
To reduce lung cancer mortality, lung cancer screening was recommended using low-dose computed tomography (LDCT) to high-risk population. A protocol for multicenter lung cancer screening pilot project was developed to evaluate the effectiveness and feasibility of lung cancer screening to implement National Cancer Screening Program in Korea.
Materials and Methods
Multidisciplinary expert committee was comprised to develop a standardized protocol for Korean Lung Cancer Screening Project (K-LUCAS). K-LUCAS is a population-based single arm trial that targets high-risk population aged 55-74 years with at least 30 pack-year smoking history. LDCT results are reported by Lung-RADS suggested by American Radiology Society. Network-based system using computer-aided detection program is prepared to assist reducing diagnostic errors. Smoking cessation counselling is provided to all currently smoking participants. A small pilot test was conducted to check the feasibility and compliance of the protocols for K-LUCAS.
Results
In pilot test, 256 were participated. The average age of participants was 63.2 years and only three participants (1.2%) were female. The participants had a smoking history of 40.5 pack-year on average and 53.9% were current smokers. Among them, 86.3% had willing to participate in lung cancer screening again. The average willingness to quit smoking among current smokers was 12.7% higher than before screening. In Lung-RADS reports, 10 (3.9%) were grade 3 and nine (3.5%) were grade 4. One participant was diagnosed as lung cancer.
Conclusion
The protocol developed by this study is assessed to be feasible to perform K-LUCAS in multicenter nationwide scale.

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Colin Jacobs, Anton Schreuder, Sarah J. van Riel, Ernst Th. Scholten, Rianne Wittenberg, Mathilde M. Winkler Wille, Bartjan de Hoop, Ralf Sprengers, Onno M. Mets, Bram Geurts, Mathias Prokop, Cornelia Schaefer-Prokop, Bram van Ginneken
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Coronary artery calcium severity grading on non-ECG-gated low-dose chest computed tomography: a multiple-observer study in a nationwide lung cancer screening registry
Young Joo Suh, Ji Won Lee, So Youn Shin, Jin Mo Goo, Yeol Kim, Hwan Seok Yong
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Korean National Lung Cancer Screening
Seung Hun Jang
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Hyungjin Kim, Hyae Young Kim, Jin Mo Goo, Yeol Kim
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Interstitial lung abnormalities detected incidentally on CT: a Position Paper from the Fleischner Society
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Evidence of National Lung Cancer Screening Program in Korea
Yeol Kim
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Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males: Nhung Cam Bui, Yoon Young Lee, Mina Suh, Boyoung Park, Hyunsoon Cho, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2018;50(4):1096-1105. Published online November 16, 2017; DOI: https://doi.org/10.4143/crt.2017.393

Abstract PDF PubReader ePub

Purpose
Low-dose computed tomography (LDCT) has been reported as an effective screening method for lung cancer in high-risk populations. We aimed to examine willingness to be screened among Korean males using LDCT and to determine factors associated with lung cancer screening intentions (LCS) based on the Health Belief Model (HBM).
Materials and Methods
Data were obtained from the 2015 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling. The survey included 1,730 male participants 40-74-year-old. Respondents were questioned regarding their willingness to undergo LCS and components of HBM. Factors associated with intentions to undergo screening were explored using logistic regression.
Results
Among participants, 65.2% were current smokers. Among high-risk subjects, 60.6% of men reported intentions to undergo LCS, compared to 49.9% of average-risk males. Men with higher perceived susceptibility in the average- and high-risk groups were, respectively, 1.63 (95% confidence interval [CI], 1.39 to 1.91) and 2.30 (95% CI, 1.14 to 4.63) times more likely to intend to undergo LCS compared to those with lower perceived barriers. Also, men in the average- and high-risk groups with higher perceived barriers to screening were, respectively, 0.79 (95% CI, 0.68 to 0.91) and 0.52 (95% CI, 0.29 to 0.92) times less likely to intend to undergo LCS compared to those with lower perceived barriers.
Conclusion
Tailored interventions designed to promote accurate perceptions of susceptibility and risk, as well as to reduce perceived barriers to screening, may effectively increase adherence to recommendations for LCS among high-risk Korean men.

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Factors influencing the intention for lung cancer screening in high-risk populations for lung cancer
Mi-Kyoung Cho, Yoon Hee Cho
Asia-Pacific Journal of Oncology Nursing.2024; 11(1): 100332. CrossRef
Screening behaviors of high-risk individuals for lung cancer: A cross-sectional study
Yu-An Lin, Xiujing Lin, Yonglin Li, Fangfang Wang, Rachel Arbing, Weiti Chen, Feifei Huang
Asia-Pacific Journal of Oncology Nursing.2024; 11(4): 100402. CrossRef
Speed and efficiency: evaluating pulmonary nodule detection with AI-enhanced 3D gradient echo imaging
Sebastian Ziegelmayer, Alexander W. Marka, Maximilian Strenzke, Tristan Lemke, Hannah Rosenkranz, Bernadette Scherer, Thomas Huber, Kilian Weiss, Marcus R. Makowski, Dimitrios C. Karampinos, Markus Graf, Joshua Gawlitza
European Radiology.2024;[Epub] CrossRef
A Health Inequity: Associations Between Cigarette Smoking Status and Mammogram Screening Among Women of Color
Danielle H Llaneza, Hanjoe Kim, Virmarie Correa-Fernández
Nicotine & Tobacco Research.2023; 25(1): 66. CrossRef
Motivation, acceptability and attitudes toward lung cancer screening among persons who attend a tobacco cessation program: A multicenter survey in Italy
Olivera Djuric, Paolo Giorgi Rossi, Elena Camelia Ivanciu, Salvatore Cardellicchio, Chiara Cresci, Laura Carozzi, Francesco Pistelli, Valentina Bessi, Patrizia Gai, Valentina Galli, Giacomo Lavacchini, Claudia Bricci, Giuseppe Gorini, Sandra Bosi, Eugenio
Preventive Medicine Reports.2023; 35: 102272. CrossRef
Temporal Evolution and Associated Factors of Adherence to Mammography Screening among Women in Spain: Results from Two National Health Surveys (2017–2020)
Silvia Portero de la Cruz, Luis M. Béjar, Jesús Cebrino
Healthcare.2023; 11(22): 2934. CrossRef
Cross-Cultural Adaptation of Lung Cancer Screening Health Belief Scale in Chinese Americans: A Methodological Study
Fang Lei, Wei-Ti Chen, Mary-Lynn Brecht, Zuo-Feng Zhang, Yuhe Hu, Tuzhen Xu, Siqian Wang, Eunice Lee
Journal of Nursing Measurement.2023; 31(4): 489. CrossRef
Adaptation and validation of the Chinese version of the lung cancer screening health belief scales
Yu-an Lin, Lisa Carter-Harris, Jia-ni Yang, Xiu jing Lin, Fei fei Huang
BMC Public Health.2022;[Epub] CrossRef
Barriers and facilitators to uptake of lung cancer screening: A mixed methods systematic review
Yu-an Lin, Yu ting Hong, Xiu jing Lin, Jia ling Lin, Hui min Xiao, Fei fei Huang
Lung Cancer.2022; 172: 9. CrossRef
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Lovoria B. Williams, Stephen W. Looney, Thomas Joshua, Amber McCall, Martha S. Tingen
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Evaluating Knowledge, Attitudes, and Beliefs About Lung Cancer Screening Using Crowdsourcing
John Monu, Matthew Triplette, Douglas E. Wood, Erika M. Wolff, Danielle C. Lavallee, David R. Flum, Farhood Farjah
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Understanding the Associations between Smoking-Related Risk Perception, Interest in Quitting Smoking, and Interest in Lung Cancer Screening among Homeless Adult Smokers
Pooja Agrawal, Matthew Taing, Tzu-An Chen, Sean Reuven, Michael Businelle, Darla Kendzor, Eric Bernicker, Lorraine Reitzel
International Journal of Environmental Research and Public Health.2020; 17(23): 8817. CrossRef

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Stages of Adoption for Fecal Occult Blood Test and Colonoscopy Tests for Colorectal Cancer Screening in Korea: Nhung Cam Bui, Ha Na Cho, Yoon Young Lee, Mina Suh, Boyoung Park, Jae Kwan Jun, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2018;50(2):416-427. Published online May 10, 2017; DOI: https://doi.org/10.4143/crt.2017.075

Abstract PDF PubReader ePub

Purpose
While colorectal cancer (CRC) is common in Asian countries, screening for CRC is not. Moreover, CRC screening behaviors in Asian populations remain largely unknown. The present study aimed to investigate the stages of adopting CRC screening in Korea according to screening modality.
Materials and Methods
Data were obtained from the 2014 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. A total of 2,066 participants aged 50-74 years were included in this study. Chi-square test and multinomial logistic regressionwere applied to determine stages of adoption for fecal occult blood test (FOBT) and colonoscopy and factors associated with each stage.
Results
Of 1,593 participants included in an analysis of stage of adoption for FOBT, 36% were in action/maintenance stages, while 18%, 40%, and 6% were in precontemplation, contemplation, and relapse/relapse risk stages, respectively. Of 1,371 subjects included in an analysis of stage of adoption for colonoscopy, 48% were in action/maintenance stages, with 21% in precontemplation, 21% in contemplation, and 11% in relapse/relapse risk stages. Multinomial logistic regression highlighted sex, household income, place of residency, family history of cancer, having private cancer insurance, smoking status, alcohol use, and regular exercise as being associated with stages of adoption for FOBT and colonoscopy.
Conclusion
This study outlines the distributions of stages of adoption for CRC screening by screening modality. Interventions to improve screening rates should be tailored to individuals in particular stages of adoption for CRC screening by modality.

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Predictors of stages of adoption of colorectal cancer screening among adults attending primary healthcare centers in Turkey
Elif Dönmez, Nadire Ercan Toptaner, Elvan E. Ata, Zeynep Dülger, Onur Acar
Journal of the Egyptian Public Health Association.2025;[Epub] CrossRef
Factors Affecting Adherence to National Colorectal Cancer Screening: A 12-Year Longitudinal Study Using Multi-Institutional Pooled Data in Korea
Dae Sung Kim, Jeeyoung Hong, Kihyun Ryu, Sang Hyuk Lee, Hwanhyi Cho, Jehyeong Yu, Jieun Lee, Jong-Yeup Kim
Journal of Korean Medical Science.2024;[Epub] CrossRef
A new TGF‐β risk score predicts clinical and immune landscape in colorectal cancer patients
Bing Tang, Binggang Liu, Zhiyao Zeng
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Idris Ola, Rafael Cardoso, Michael Hoffmeister, Hermann Brenner
eClinicalMedicine.2024; 75: 102783. CrossRef
Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
BMC Women's Health.2023;[Epub] CrossRef
Socioeconomic inequality in organized and opportunistic screening for colorectal cancer: results from the Korean National Cancer Screening Survey, 2009-2021
Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kui Son Choi
Epidemiology and Health.2023; 45: e2023086. CrossRef
The risk of developing colorectal cancer in individuals aged 50-70 years and behavioral changes in high-risk individuals regarding a fecal occult blood test
Renginar ÖZTÜRK DÖNMEZ, Süheyla ÖZSOY, Melek ARDAHAN
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Dongmei Ai, Hongfei Pan, Rongbao Han, Xiaoxin Li, Gang Liu, Li C. Xia
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Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis
Rafael Cardoso, Tobias Niedermaier, Chen Chen, Michael Hoffmeister, Hermann Brenner
Cancer Prevention Research.2019; 12(9): 617. CrossRef
Perceptions of colorectal cancer screening and recommendation behaviors among physicians in Korea
Hye Young Shin, Mina Suh, Boyoung Park, Jae Kwan Jun, Kui Son Choi
BMC Cancer.2017;[Epub] CrossRef

8,670 View
180 Download
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10 Crossref

Trends in Participation Rates for the National Cancer Screening Program in Korea, 2002-2012: Mina Suh, Seolhee Song, Ha Na Cho, Boyoung Park, Jae Kwan Jun, Eunji Choi, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2017;49(3):798-806. Published online November 11, 2016; DOI: https://doi.org/10.4143/crt.2016.186

Abstract PDF Supplementary Material PubReader ePub

Purpose
The National Cancer Screening Program (NCSP) in Korea supports cancer screening for stomach, liver, colorectal, breast, and cervical cancer. This study was conducted to assess trends in participation rates among Korean men and women invited to undergo screening via the NCSP as part of an effort to guide future implementation of the program in Korea.
Materials and Methods
Data from the NCSP for 2002 to 2012 were used to calculate annual participation rates with 95% confidence intervals (CI) by sex, insurance status, and age group for stomach, liver, colorectal, breast, and cervical cancer screening.
Results
In 2012, participation rates for stomach, liver, colorectal, breast, and cervical cancer screening were 47.3%, 25.0%, 39.5%, 51.9%, and 40.9%, respectively. The participation rates increased annually by 4.3% (95% CI, 4.0 to 4.6) for stomach cancer, 3.3% (95% CI, 2.5 to 4.1) for liver cancer, 4.1% (95% CI, 3.2 to 5.0) for colorectal cancer, 4.6% (95% CI, 4.1 to 5.0) for breast cancer, and 0.9% (95% CI, –0.7 to 2.5) for cervical cancer from 2002 to 2012.
Conclusion
Participant rates for the NCSP for the five above-mentioned cancers increased annually from 2002 to 2012.

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Use of a Combined Gene Expression Profile in Implementing a Drug Sensitivity Predictive Model for Breast Cancer: Xianglan Zhang, In-Ho Cha, Ki-Yeol Kim; Cancer Res Treat. 2017;49(1):116-128. Published online May 18, 2016; DOI: https://doi.org/10.4143/crt.2016.085

Abstract PDF PubReader ePub

Purpose
Chemotherapy targets all rapidly growing cells, not only cancer cells, and thus is often associated with unpleasant side effects. Therefore, examination of the chemosensitivity based on genotypes is needed in order to reduce the side effects. Materials and Methods Various computational approaches have been proposed for predicting chemosensitivity based on gene expression profiles. A linear regression model can be used to predict the response of cancer cells to chemotherapeutic drugs, based on genomic features of the cells, and appropriate sample size for this method depends on the number of predictors. We used principal component analysis and identified a combined gene expression profile to reduce the number of predictors
Results
The coefficients of determinanation (R²) of prediction models with combined gene expression and several independent gene expressions were similar. Corresponding F values, which represent model significances were improved by use of a combined gene expression profile, indicating that the use of a combined gene expression profile is helpful in predicting drug sensitivity. Even better, a prediction model can be used even with small samples because of the reduced number of predictors. Conclusion Combined gene expression analysis is expected to contribute to more personalized management of breast cancer cases by enabling more effective targeting of existing therapies. This procedure for identifying a cell-type-specific gene expression profile can be extended to other chemotherapeutic treatments and many other heterogeneous cancer types.

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Clinical Oncogenomics and Personalized Medicine in Colorectal Cancer for the Surgeon: What We Need to Know and What the Future Holds
I. S. Reynolds, E. O’Connell, D. A. McNamara, J. H. M. Prehn, S. J. Furney, J. P. Burke
SN Comprehensive Clinical Medicine.2022;[Epub] CrossRef
OBIF: an omics-based interaction framework to reveal molecular drivers of synergy
Jezreel Pantaleón García, Vikram V Kulkarni, Tanner C Reese, Shradha Wali, Saima J Wase, Jiexin Zhang, Ratnakar Singh, Mauricio S Caetano, Humam Kadara, Seyed Javad Moghaddam, Faye M Johnson, Jing Wang, Yongxing Wang, Scott E Evans
NAR Genomics and Bioinformatics.2022;[Epub] CrossRef
Screening and Identification of Differentially Expressed Genes Expressed among Left and Right Colon Adenocarcinoma
Jing Han, Xue Zhang, Yang Yang, Li Feng, Gui-Ying Wang, Nan Zhang, Kazim Husain
BioMed Research International.2020;[Epub] CrossRef
Overexpression of miR-331 Indicates Poor Prognosis and Promotes Progression of Breast Cancer
Fuguo Jiang, Lei Zhang, Yunxia Liu, Yanhua Zhou, Honggang Wang
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Six novel immunoglobulin genes as biomarkers for better prognosis in triple-negative breast cancer by gene co-expression network analysis
Huan-Ming Hsu, Chi-Ming Chu, Yu-Jia Chang, Jyh-Cherng Yu, Chien-Ting Chen, Chen-En Jian, Chia-Yi Lee, Yueh-Tao Chiang, Chi-Wen Chang, Yu-Tien Chang
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Shahid Hussain, Javed Ferzund, Raza Ul-Haq
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Responses to Overdiagnosis in Thyroid Cancer Screening among Korean Women: Sangeun Lee, Yoon Young Lee, Hyo Joong Yoon, Eunji Choi, Mina Suh, Boyoung Park, Jae Kwan Jun, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2016;48(3):883-891. Published online December 28, 2015; DOI: https://doi.org/10.4143/crt.2015.218

Abstract PDF PubReader ePub

Purpose
Communicating the harms and benefits of thyroid screening is necessary to help individuals decide on whether or not to undergo thyroid cancer screening. This study was conducted to assess changes in thyroid cancer screening intention in response to receiving information about overdiagnosis and to determine factors with the greatest influence thereon.
Materials and Methods
Data were acquired from subjects included in the 2013 Korean National Cancer Screening Survey (KNCSS), a nationwide, population-based, cross-sectional survey. Of the 4,100 respondents in the 2013 KNCSS, women were randomly subsampled and an additional face-to-face interview was conducted. Finally, a total of 586 female subjects were included in this study. Intention to undergo thyroid cancer screening was assessed before and after receiving information on overdiagnosis.
Results
Prior awareness of overdiagnosis in thyroid cancer screening was 27.8%. The majority of subjects intended to undergo thyroid cancer screening before and after receiving information on overdiagnosis (87% and 74%, respectively). Only a small number of subjects changed their intention to undergo thyroid cancer screening from positive to negative after receiving information on overdiagnosis. Women of higher education level and Medical Aid Program recipients reported being significantly more likely to change their intention to undergo thyroid cancer screening afterreceiving information on overdiagnosis,whilewomen with stronger beliefs on the efficacy of cancer screening were less likely to change their intention.
Conclusion
Women in Korea appeared to be less concerned about overdiagnosis when deciding whether or not to undergo thyroid cancer screening.

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Association of Screening by Thyroid Ultrasonography with Mortality in Thyroid Cancer: A Case–Control Study Using Data from Two National Surveys
Jae Kwan Jun, Soon-Young Hwang, Seri Hong, Mina Suh, Kui Son Choi, Kyu-Won Jung
Thyroid.2020; 30(3): 396. CrossRef
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Brooke Nickel, Ray Moynihan, Alexandra Barratt, Juan P Brito, Kirsten McCaffery
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Total thyroidectomy's association with survival in papillary thyroid cancers and the high proportion of total thyroidectomy in low-risk patients: Analysis of Korean nationwide data
Hyun-Soo Zhang, Eun-Kyung Lee, Yuh-Seog Jung, Byung-Ho Nam, Kyu-Won Jung, Hyun-Joo Kong, Young-Joo Won, Boyoung Park
Surgery.2019; 165(3): 629. CrossRef
Public perceptions of changing the terminology for low-risk thyroid cancer: a qualitative focus group study
Brooke Nickel, Caitlin Semsarian, Ray Moynihan, Alexandra Barratt, Susan Jordan, Donald McLeod, Juan P Brito, Kirsten McCaffery
BMJ Open.2019; 9(2): e025820. CrossRef
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Ho-Sun Lee, Yunkyeong Kang, Kyung Tae, Gyu-Un Bae, Jong Y. Park, Yoon Hee Cho, Mihi Yang
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Louise Davies, Diana B. Petitti, Lynn Martin, Meghan Woo, Jennifer S. Lin
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Psychosocial Issues Related to Thyroid Examination After a Radiation Disaster
Sanae Midorikawa, Koichi Tanigawa, Satoru Suzuki, Akira Ohtsuru
Asia Pacific Journal of Public Health.2017; 29(2_suppl): 63S. CrossRef

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Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004-2013: Mina Suh, Kui Son Choi, Boyoung Park, Yoon Young Lee, Jae Kwan Jun, Duk-Hyoung Lee, Yeol Kim; Cancer Res Treat. 2016;48(1):1-10. Published online April 15, 2015; DOI: https://doi.org/10.4143/crt.2014.204

Abstract PDF PubReader ePub

Purpose
The Korean National Cancer Screening Survey (KNCSS), a nationwide cross-sectional survey, has been conducted annually since 2004. The current study was conducted to report on the trends in screening rates among Korean men and women, and to evaluate policies regarding cancer screening programs implemented to reduce the burden of cancer.
Materials and Methods
The current study used KNCSS data. The eligible study population included men aged 40-74 years and women aged 30-74 years with no cancer history. The lifetime screening rate, screening rate with recommendation, and changes in annual rates were calculated for five major cancers (i.e., stomach, liver, colorectal, breast, and cervix uteri).
Results
The screening rates with recommendation increased by 4.2% (95% confidence interval [CI], 3.7% to 4.8%) annually for stomach cancer, 1.2% (95% CI, 0.1% to 2.4%) for liver cancer, 3.0% (95% CI, 1.8% to 4.1%) for colorectal cancer, 3.7% (95% CI, 2.7% to 4.8%) for breast cancer, and 1.3% (95% CI, 0.8% to 1.8%) for cervical cancer. In 2013, the screening rates with recommendation for stomach, liver, colorectal, breast, and cervical cancers were 73.6%, 33.6%, 55.6%, 59.7%, and 67.0%, respectively.
Conclusion
Both the lifetime screening rates and screening rates with recommendation for the five above-mentioned cancers increased annually from 2004 to 2013.

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Novel Methods for Clinical Risk Stratification in Patients with Colorectal Liver Metastases: Ki-Yeol Kim, Nam Kyu Kim, In-Ho Cha, Joong Bae Ahn, Jin Sub Choi, Gi-Hong Choi, Joon Suk Lim, Kang Young Lee, Seung Hyuk Baik, Byung Soh Min, Hyuk Hur, Jae Kyung Roh, Sang Joon Shin; Cancer Res Treat. 2015;47(2):242-250. Published online September 11, 2014; DOI: https://doi.org/10.4143/crt.2014.066

Abstract PDF PubReader ePub

Purpose
Colorectal cancer patients with liver-confined metastases are classified as stage IV, but their prognoses can differ from metastases at other sites. In this study, we suggest a novel method for risk stratification using clinically effective factors. Materials and Methods Data on 566 consecutive patients with colorectal liver metastasis (CLM) between 1989 and 2010 were analyzed. This analysis was based on principal component analysis (PCA). Results The survival rate was affected by carcinoembryonic antigen (CEA) level (p < 0.001; risk ratio, 1.90), distribution of liver metastasis (p=0.014; risk ratio, 1.46), and disease-free interval (DFI; p < 0.001; risk ratio, 1.98). When patients were divided into three groups according to PCA score using significantly affected factors, they showed significantly different survival patterns (p < 0.001). Conclusion The PCA scoring system based on CEA level, distribution of liver metastasis, and DFI may be useful for preoperatively determining prognoses in order to assist in clinical decisionmaking and designing future clinical trials for CLM treatment.

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Long disease-free interval diminishes the prognostic value of primary tumor stage for patients with colorectal cancer liver metastases
Jia-Ming Liu, Yan-Yan Wang, Wei Liu, Da Xu, Kun Wang, Bao-Cai Xing
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An Attempt for Combining Microarray Data Sets by Adjusting Gene Expressions: Ki-Yeol Kim, Se Hyun Kim, Dong Hyuk Ki, Jaeheon Jeong, Ha Jin Jeong, Hei-Cheul Jeung, Hyun Cheol Chung, Sun Young Rha; Cancer Res Treat. 2007;39(2):74-81. Published online June 30, 2007; DOI: https://doi.org/10.4143/crt.2007.39.2.74

Abstract PDF PubReader ePub

Purpose

The diverse experimental environments in microarray technology, such as the different platforms or different RNA sources, can cause biases in the analysis of multiple microarrays. These systematic effects present a substantial obstacle for the analysis of microarray data, and the resulting information may be inconsistent and unreliable. Therefore, we introduced a simple integration method for combining microaray data sets that are derived from different experimental conditions, and we expected that more reliable information can be detected from the combined data set rather than from the separated data sets.

Materials and Methods

This method is based on the distributions of the gene expression ratios among the different microarray data sets and it transforms, gene by gene, the gene expression ratios into the form of the reference data set. The efficiency of the proposed integration method was evaluated using two microarray data sets, which were derived from different RNA sources, and a newly defined measure, the mixture score.

Results

The proposed integration method intermixed the two data sets that were obtained from different RNA sources, which in turn reduced the experimental bias between the two data sets, and the mixture score increased by 24.2%. A data set combined by the proposed method preserved the inter-group relationship of the separated data sets.

Conclusion

The proposed method worked well in adjusting systematic biases, including the source effect. The ability to use an effectively integrated microarray data set yields more reliable results due to the larger sample size and this also decreases the chance of false negatives.

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Gift Nyamundanda, Pawan Poudel, Yatish Patil, Anguraj Sadanandam
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Identification of genes related to a synergistic effect of taxane and suberoylanilide hydroxamic acid combination treatment in gastric cancer cells
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The Expression of a Novel 90 kDa Stress Protein in Human Malignant Neoplasms: Hong Rae Cho, Gyu Yeol Kim, Chan Jin Park, Byung Kyun Ko, Chang Woo Nam, Sung Sook Kim, Hae Who Park, Do Ha Kim, Sung Ryul Kim, Jeong Woo Park, Won Joon Yoon, Jeong Min Park, Seung Ju Cha, Wha Ja Cho, Dae Hwa Choi; J Korean Cancer Assoc. 1999;31(4):793-801.

Abstract PDF: PURPOSE
When cells are subjected to stressful stimuli such as, heat shock, toxic metal, nutrient deprivation, and metabolic disruption, they increase production of specific stress proteins that buffer them from harm. We reported that the expression of a navel 90 kDa cellular protein was increased by the infection of a fish rhabdovirus and heat shock in a fish cell. This new 90 kDa protein is not expressed in normal animal tissues but is highly induced in progressively transforming tissues or cells. That gives us some ideas tl at it is possible for this stress protein to be expressed in specific human cancer tissues.
MATERIALS AND METHODS
Commercialized checkerboard multi-tumor block (DAKO Co. Carpinteria, CA) was used for immunohistochemical analysis. The samples of human gastric cancer, colon cancer and breast cancer tissues were evaluated by Western blot and Northern blot for overexpression of the novel 90 kDa stress protein. Sera of those patients were analyzed by ELISA for the presence of antibody against the novel 90 kDa stress protein.
RESULTS
Immunohistochemical staining of human tumor tissue blocks showed significant immunostaining of novel 90 kDa stress protein in carcinomas such as colon cancer, breast cancer and stomach cancer but no apparent immunostaining in sarcomas. Coinciding with the immunohistochemical result, Western blotting and Northern blotting analyses indicate that the expression of the novel 90 kDa stress protein was increased in carcinomas. In addition, the antibody titer against the novel 90 kDa stress protein was found to be elevated in the sera of cancer patients.
CONCLUSIONS
The novel 90 kDa stress protein gene expression was elevated in carcinomas such as gastric cancer, breast cancer and colon cancer. These findings suggest that this new stress protein can be used as a tumor marker and may function as a chaperone in tumor growth.

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Characterization of Apoptotic Human Thymocytes: Heung Yeol Kim, Moon Kyu Kim; J Korean Cancer Assoc. 1997;29(6):930-943.

Abstract PDF: No abstract available

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