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Page 4 of 9                            Zaichick et al. J Cancer Metastasis Treat 2019;5:48  I  http://dx.doi.org/10.20517/2394-4722.2019.07

               Table 1. Energy dispersive X-ray fluorescence data of Br, Fe, Rb, Sr, and Zn contents in the IAEA H-4 (animal muscle)
               reference material compared to certified values (mg/kg, dry mass basis)
                                                   Certified values                    This work results
                Element
                                       Mean           95%CI           Type               Mean ± SD
                Fe                      49            47-51            C                  48 ± 9
                Zn                      86            83-90            C                  90 ± 5
                Br                      4.1           3.5-4.7          C                  5.0 ± 1.2
                Rb                      18            17-20            C                  22 ± 4
                Sr                      0.1           -                N                  < 1

               Mean: arithmetical mean; SD: standard deviation; C: certified values; N: non-certified values

               Table 2. Some basic statistical parameters of Br, Fe, Rb, Sr, and Zn concentration (mg/L) in prostate fluid of patients with
               BPH and PCa
                Disease       Element   Mean     SD     SEM     Min    Max    Median  Per. 0.025  Per. 0.975
                BPH             Br      2.32    1.84    0.30   0.230   8.70    1.62     0.268      5.84
                52-75 years     Fe      11.5    10.8    1.8    1.06    54.1    9.31     1.09       38.9
                n = 52          Rb      1.70    1.41    0.23   0.210   5.04    1.46     0.254      5.04
                                Sr      1.41    1.09    0.26   0.230   4.79    1.12     0.300      4.02
                                Zn      488     302     42     45.0    977     427      81.4       962
                PCa             Br      4.51    7.19    2.27   0.697   24.3    2.08     0.704      20.4
                47-77 years     Fe      21.7    28.8    8.7    7.70    107     13.9     7.70       86.8
                n = 24          Rb      0.53    0.38    0.11   0.013   1.39    0.422    0.024      1.26
                                Sr      1.70    2.15    0.76   0.230   6.83    0.872    0.275      5.95
                                Zn      62.0    98.3    20.1   2.82    371     21.6     3.43       358
               M: arithmetic mean; SD: standard deviation; SEM: standard error of mean; Min: minimum value; Max: maximum value; Per. 0.025:
               percentile with 0.025 level; Per. 0.975: percentile with 0.975 level; DL: detection limit; BPH: Benign prostatic hyperplasia


               The duration of the Zn concentration measurement was 10 min. The duration of the Zn concentration
               measurement together with Br, Fe, Rb, and Sr was 60 min. The intensity of K a-line of Br, Fe, Rb, Sr, and Zn
               for EPF samples and standards was estimated on calculation basis of the total area of the corresponding
               photopeak in the spectra.

               All EPF samples for EDXRF were prepared in duplicate and mean values of TE contents were used in
               final calculation. Using the Microsoft Office Excel programs, the summary of statistics, arithmetic mean,
               standard deviation, standard error of mean, minimum and maximum values, median, percentiles with 0.025
               and 0.975 levels was calculated for TE concentrations in EPF of hyperplastic and cancerous prostate. The
               difference in the results between two groups of samples (BPH and PCa) was evaluated by the parametric
               Student’s t-test and non-parametric Wilcoxon-Mann-Whitney U-test.


               RESULTS
               Table 1 depicts our data for Br, Fe, Rb, Sr, and Zn mass fractions in ten sub-samples of CRM IAEA H-4
               (animal muscle) and the certified values of this reference material. Of 4 (Br, Fe, Rb, and Zn) TE with certified
               values for the CRM IAEA H-4 (animal muscle) we determined contents of all certified elements [Table 1].
               Mean values (M ± SD) for Br, Fe, Rb, and Zn were in the range of 95% confidence interval. Good agreement
               of the TE contents analyzed by  Cd radionuclide-induced EDXRF with the certified data of CRM IAEA
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               H-4 [Table 1] indicate an acceptable accuracy of the results obtained in the study of the prostatic fluid
               presented in Tables 2-4.

               Table 2 presents certain statistical parameters (arithmetic mean, standard deviation, standard error of mean,
               minimal and maximal values, median, percentiles with 0.025 and 0.975 levels) of the Br, Fe, Rb, Sr, and Zn
               concentrations in EPF of patients with BPH and PCa.
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