• 제목/요약/키워드: Nodal

검색결과 1,246건 처리시간 0.022초

Regional nodal irradiation in pT1-2N1 breast cancer patients treated with breast-conserving surgery and whole breast irradiation

  • Park, Shin-Hyung;Kim, Jae-Chul
    • Radiation Oncology Journal
    • /
    • 제38권1호
    • /
    • pp.44-51
    • /
    • 2020
  • Purpose: To evaluate the necessity of regional nodal irradiation (RNI) for pT1-2N1 breast cancer patients treated with breast-conserving surgery and radiotherapy, we compared clinical outcomes of patients treated with and without RNI. Materials and Methods: We retrospectively analyzed the data of 214 pT1-2N1 breast cancer patients treated with breast-conserving surgery and whole breast irradiation from 2007-2016. There were 142 (66.4%), 51 (23.85%), and 21 (9.8%) patients with one, two, and three positive lymph nodes, respectively. Thirty-six patients (16.8%) underwent RNI. Adjuvant chemotherapy, endocrine therapy, and anti-HER2 therapy were given to 91.6%, 79.0%, and 15.0% patients, respectively. The most common chemotherapy regimen was anthracycline + cyclophosphamide, followed by taxane (76.5%). The median follow-up was 64 months (range, 6 to 147 months). Patients were propensity matched 1:2 into RNI and no-RNI groups. Results: Two patients experienced locoregional recurrences simultaneously with distant metastases, ten patients developed distant metastases, and one patient died. Before matching, the 5-year actuarial locoregional control (LRC), distant metastasis-free survival (DMFS), and overall survival (OS) rates in the RNI and no-RNI groups were 100.0% and 99.4% (p = 0.629), 94.1% and 96.0% (p = 0.676), and 100.0% and 99.4% (p = 0.658), respectively. After matching, the 5-year LRC, DMFS, and OS were 98.3% and 100.0% (p = 0.455), 96.6% and 93.9% (p = 0.557), and 100.0% and 100.0% (p > 0.999) in the RNI and no-RNI groups, respectively. No clinicopathologic or treatment-related factors were significantly associated with LRC, DMFS, or OS. Conclusion: Adding RNI did not show superior LRC, DMFS, or OS in pT1-2N1 breast cancer patients.

RMF을 이용한 계층적 B-spline 곡선의 다단계 편집기법 (Multilevel Editing for Hierarchical B-spline Curves using Rotation Minimizing Frames)

  • 장츠;윤승현;이지은
    • 한국컴퓨터그래픽스학회논문지
    • /
    • 제16권4호
    • /
    • pp.41-50
    • /
    • 2010
  • 본 논문에서는 계층적 B-spline곡선 (hierarchical B-spline curve)에 대한 새로운 다단계 편집 (multilevel editing)기법을 제안한다. 각 단계 변위함수 (displacement function)의 제어점 (control point)은 이전 단계 곡선위의 노드점 (nodal point)에서 계산되는 Rotation Minimizing Frame (RMF) [1]을 기준으로 표현된다. 이전 단계에서 곡선의 형상이 편집되면 해당노드 점에서 새로운 RMF가 계산되고, 현재 단계에서 변위함수의 제어점들은 새로운 RMF를 기준으로 적용되어, 현재 단계의 곡선은 이전 단계의 곡선에 대한 상대적인 세부 형상을 유지하게 된다. 본 논문에서는 다양한 형태의 곡선에 대한 다단계 편집실험을 통해 제안된 기법의 효율성과 안정성을 입증한다.

복합재료적층판의 진동해석을 위한 유한요소모델 II. 유한요소모델의 유도 및 해석 (Finite Element Analysis for Vibration of Laminated Plate Using a Consistent Discrete Theory Part II : Finite Element Formulation and Implementations)

  • 홍순조
    • 전산구조공학
    • /
    • 제7권4호
    • /
    • pp.103-111
    • /
    • 1994
  • 앞의 논문 Part 1 에서 유도한 변분원리를 이용하여 복합재료적층판의 진동해석을 할 수 있는 유한요소해석 모델을 개발하였다. 이 모델에서는 어느 한 층의 면내 변위와 나머지층 단면의 회전각, 그리고 판 전체의 연직방향처짐을 절점변수로 취하게 되어 n개층으로된 적층판의 경우 2(n+1)+1의 절점 자유도를 갖는다. 따라서, 판의 주변에서는 한층의 면내변위와 각층단면의 회전각을, 판의 면내에서는 연직방향 처짐을 경계조건값으로 정의할 수 있다. 이 모델에 의해 개발한 프로그램을 이용하여 각층의 재료특성이 크게 다른 혼종형 복합재료적층판(hybrid laminate)의 고유진동문제를 해석하였다. 탄성이론해 및 다른 유한요소해석결과와 본 해석결과와의 비교를 통해 제시모델이 기존의 다른 유한요소모델보다 정확함을 예시하였다.

  • PDF

$Nd_24$O_3$가 첨가된 $Pr_6$$O_{11}$계 ZnO 바리스터의 미세구조 및 전기적 성질 (Microstructure and Electrical Properties of $Pr_6$$O_{11}$-Based ZnO Varistors Doped with $Nd_24$O_3$)

  • 남춘우;박춘현;윤한수
    • 한국전기전자재료학회논문지
    • /
    • 제13권3호
    • /
    • pp.206-213
    • /
    • 2000
  • The microstructure and electrical properties of Pr$_{6}$/O sub 11/-Based ZnO varistors with Nd$_2$O$_3$ was doped in the range of 0.0 to 2.0 mol% were investigated. Most of the added Nd$_2$O$_3$were segregated at the nodal points and grain boundaries and were found to form the Nd-rich phase. In addition the bulk intergranular layer at the grain boundaries and nodal points was consisted of Nd-rich phase and Pr-rich phase. the average grain size was decreased in the range of 7.8 to 5.6${\mu}{\textrm}{m}$ with increasing Nd$_{2}$/O sub 3/ additive content. The nonlinearity of ZnO varistors sintered at 130$0^{\circ}C$ was much more excellent than that at 135$0^{\circ}C$ ZnO varistors doped with 1.0mol% Nd$_{2}$/O sub 3/ exhibited the best nonlinearity. which is 65.2 in the nonlinear exponent and 4.5$\mu$A in the leakage current. Consequently. it is estimated that Pr$_{6}$/O sub 11/ -based ZnO varistors doped with 1.0 mol% Nd$_{2}$/O sub 3/ are to be sufficiently used as basic composition to fabricate good varistors in the future.ure.

  • PDF

Dosimetric comparison of axilla and groin radiotherapy techniques for high-risk and locally advanced skin cancer

  • Mattes, Malcolm D.;Zhou, Ying;Berry, Sean L.;Barker, Christopher A.
    • Radiation Oncology Journal
    • /
    • 제34권2호
    • /
    • pp.145-155
    • /
    • 2016
  • Purpose: Radiation therapy targeting axilla and groin lymph nodes improves regional disease control in locally advanced and high-risk skin cancers. However, trials generally used conventional two-dimensional radiotherapy (2D-RT), contributing towards relatively high rates of side effects from treatment. The goal of this study is to determine if three-dimensional conformal radiation therapy (3D-CRT), intensity-modulated radiation therapy (IMRT), or volumetric-modulated arc therapy (VMAT) may improve radiation delivery to the target while avoiding organs at risk in the clinical context of skin cancer regional nodal irradiation. Materials and Methods: Twenty patients with locally advanced/high-risk skin cancers underwent computed tomography simulation. The relevant axilla or groin planning target volumes and organs at risk were delineated using standard definitions. Paired t-tests were used to compare the mean values of several dose-volumetric parameters for each of the 4 techniques. Results: In the axilla, the largest improvement for 3D-CRT compared to 2D-RT was for homogeneity index (13.9 vs. 54.3), at the expense of higher lung $V_{20}$ (28.0% vs. 12.6%). In the groin, the largest improvements for 3D-CRT compared to 2D-RT were for anorectum $D_{max}$ (13.6 vs. 38.9 Gy), bowel $D_{200cc}$ (7.3 vs. 23.1 Gy), femur $D_{50}$ (34.6 vs. 57.2 Gy), and genitalia $D_{max}$ (37.6 vs. 51.1 Gy). IMRT had further improvements compared to 3D-CRT for humerus $D_{mean}$ (16.9 vs. 22.4 Gy), brachial plexus $D_5$ (57.4 vs. 61.3 Gy), bladder $D_5$ (26.8 vs. 36.5 Gy), and femur $D_{50}$ (18.7 vs. 34.6 Gy). Fewer differences were observed between IMRT and VMAT. Conclusion: Compared to 2D-RT and 3D-CRT, IMRT and VMAT had dosimetric advantages in the treatment of nodal regions of skin cancer patients.

Foliar Application of Plant Growth-Promoting Rhizobacteria Increases Antifungal Compounds in Pea (pisum sativum) Against Erysiphe pisi

  • Bahadur, A.;Singh, U. P.;Sarma, B. K.;Singh, D. P.;Singh, K. P.;Singh, A.
    • Mycobiology
    • /
    • 제35권3호
    • /
    • pp.129-134
    • /
    • 2007
  • Systemic effect of two plant growth-promoting rhizobacterial (PGPR) strains, viz., Pseudomonas fluorescens (Pf4) and P. aeruginosa (Pag), was evaluated on pea (Pisum sativum) against the powdery mildew pathogen Erysiphe pisi. Foliar spray of the two PGPR strains was done on specific nodal leaves of pea and conidial germination of E. pisi was observed on other nodal leaves, distal to the treated ones. Conidial germination was reduced on distant leaves and at the same time, specific as well as total phenolic compounds increased in the leaves distal to those applied with PGPR strains, thereby indicating a positive correlation. The strains induced accumulation of phenolic compounds in pea leaves and the amount increased when such leaves were get inoculated with E. pisi conidia. Between the two strains, Pag was found to be more effective than Pf4 as its effect was more persistent in pea leaves. Foliar application of PGPR strains for the control of powdery mildew of pea is demonstrated in vitro while correlating it with the increased accumulation of plant phenolics.

절화 장미의 마디 배양시 품종과 사이토키닌류가 신초의 대량증식에 미치는 영향 (Effect of Genotypes and Cytokinins on Shoot Multiplication of Cut Roses by Nodal Culture)

  • 박미혜;한경철;김경재;이동우
    • 식물조직배양학회지
    • /
    • 제22권4호
    • /
    • pp.217-221
    • /
    • 1995
  • 절화 장미의 기내 배양에서 품종간의 차리는 물론 적절한 사이토키닌의 종류와 그 농도를 구명하여 효과적인 대량증식 방법을 확립하고저 본 실험을 수행하였다. 신초 형성에 의한 수확률은 품종간에 현저한 차이가 있었으며, 공식 품종 중 'Golden Emblem'이나 'Tineke'에서 보다 'Carl Red'에서 신초 형성이 현저하게 많았으며, 사이토키닌의 종류로는 BA가 신초 형성에 2iP나 kinetin 보다 훨씬 효율적이었으나, 신초 가감후 신초 생장에는 2iP나 kinetin이 BA 보다 그 효과가 월등하였다. 신초 형성에 적합한 사이토키닌의 농도를 1.0 mg/L이었으나, 장미의 증식만을 고려할 때 사이토키닌면의 적정 농도는 BA 1.0 ∼ 5.0 mg/L라 할 수 있으며, 신초의 장점은 사이토키닌의 종류에 상관없이 농도가 증가할 수록 증가되는 경향을 나타내었다.

  • PDF

Multiplicity of Advanced T Category-Tumors Is a Risk Factor for Survival in Patients with Colorectal Carcinoma

  • Park, Hye Eun;Yoo, Seungyeon;Bae, Jeong Mo;Jeong, Seorin;Cho, Nam-Yun;Kang, Gyeong Hoon
    • 대한병리학회지
    • /
    • 제52권6호
    • /
    • pp.386-395
    • /
    • 2018
  • Background: Previous studies on synchronous colorectal carcinoma (SCRC) have reported inconsistent results about its clinicopathologic and molecular features and prognostic significance. Methods: Forty-six patients with multiple advanced tumors (T2 or higher category) who did not receive neoadjuvant chemotherapy and/or radiotherapy and who are not associated with familial adenomatous polyposis were selected and 99 tumors from them were subjected to clinicopathologic and molecular analysis. Ninety-two cases of solitary colorectal carcinoma (CRC) were selected as a control considering the distributions of types of surgeries performed on patients with SCRC and T categories of individual tumors from SCRC. Results: SCRC with multiple advanced tumors was significantly associated with more frequent nodal metastasis (p=.003) and distant metastasis (p=.001) than solitary CRC. KRAS mutation, microsatellite instability, and CpG island methylator phenotype statuses were not different between SCRC and solitary CRC groups. In univariate survival analysis, overall and recurrence-free survival were significantly lower in patients with SCRC than in patients with solitary CRC, even after adjusting for the extensiveness of surgical procedure, adjuvant chemotherapy, or staging. Multivariate Cox regression analysis revealed that tumor multiplicity was an independent prognostic factor for overall survival (hazard ratio, 4.618; 95% confidence interval, 2.126 to 10.030; p<.001), but not for recurrence-free survival (p=.151). Conclusions: Findings suggested that multiplicity of advanced T category-tumors might be associated with an increased risk of nodal metastasis and a risk factor for poor survival, which raises a concern about the guideline of American Joint Committee on Cancer's tumor-node-metastasis staging that T staging of an index tumor determines T staging of SCRC.

Effects of macroporosity and double porosity on noise control of acoustic cavity

  • Sujatha, C.;Kore, Shantanu S.
    • Advances in aircraft and spacecraft science
    • /
    • 제3권3호
    • /
    • pp.351-366
    • /
    • 2016
  • Macroperforations improve the sound absorption performance of porous materials in acoustic cavities and in waveguides. In an acoustic cavity, enhanced noise reduction is achieved using porous materials having macroperforations. Double porosity materials are obtained by filling these macroperforations with different poroelastic materials having distinct physical properties. The locations of macroperforations in porous layers can be chosen based on cavity mode shapes. In this paper, the effect of variation of macroporosity and double porosity in porous materials on noise reduction in an acoustic cavity is presented. This analysis is done keeping each perforation size constant. Macroporosity of a porous material is the fraction of area covered by macro holes over the entire porous layer. The number of macroperforations decides macroporosity value. The system under investigation is an acoustic cavity having a layer of poroelastic material rigidly attached on one side and excited by an internal point source. The overall sound pressure level (SPL) inside the cavity coupled with porous layer is calculated using mixed displacement-pressure finite element formulation based on Biot-Allard theory. A 32 node, cubic polynomial brick element is used for discretization of both the cavity and the porous layer. The overall SPL in the cavity lined with porous layer is calculated for various macroporosities ranging from 0.05 to 0.4. The results show that variation in macroporosity of the porous layer affects the overall SPL inside the cavity. This variation in macroporosity is based on the cavity mode shapes. The optimum range of macroporosities in poroelastic layer is determined from this analysis. Next, SPL is calculated considering periodic and nodal line based optimum macroporosity. The corresponding results show that locations of macroperforations based on mode shapes of the acoustic cavity yield better noise reduction compared to those based on nodal lines or periodic macroperforations in poroelastic material layer. Finally, the effectiveness of double porosity materials in terms of overall sound pressure level, compared to equivolume double layer poroelastic materials is investigated; for this the double porosity material is obtained by filling the macroperforations based on mode shapes of the acoustic cavity.

Integrated fire dynamics and thermomechanical modeling framework for steel-concrete composite structures

  • Choi, Joonho;Kim, Heesun;Haj-ali, Rami
    • Steel and Composite Structures
    • /
    • 제10권2호
    • /
    • pp.129-149
    • /
    • 2010
  • The objective of this study is to formulate a general 3D material-structural analysis framework for the thermomechanical behavior of steel-concrete structures in a fire environment. The proposed analysis framework consists of three sequential modeling parts: fire dynamics simulation, heat transfer analysis, and a thermomechanical stress analysis of the structure. The first modeling part consists of applying the NIST (National Institute of Standards and Technology) Fire Dynamics Simulator (FDS) where coupled CFD (Computational Fluid Dynamics) with thermodynamics are combined to realistically model the fire progression within the steel-concrete structure. The goal is to generate the spatial-temporal (ST) solution variables (temperature, heat flux) on the surfaces of the structure. The FDS-ST solutions are generated in a discrete form. Continuous FDS-ST approximations are then developed to represent the temperature or heat-flux at any given time or point within the structure. An extensive numerical study is carried out to examine the best ST approximation functions that strike a balance between accuracy and simplicity. The second modeling part consists of a finite-element (FE) transient heat analysis of the structure using the continuous FDS-ST surface variables as prescribed thermal boundary conditions. The third modeling part is a thermomechanical FE structural analysis using both nonlinear material and geometry. The temperature history from the second modeling part is used at all nodal points. The ABAQUS (2003) FE code is used with external user subroutines for the second and third simulation parts in order to describe the specific heat temperature nonlinear dependency that drastically affects the transient thermal solution especially for concrete materials. User subroutines are also developed to apply the continuous FDS-ST surface nodal boundary conditions in the transient heat FE analysis. The proposed modeling framework is applied to predict the temperature and deflection of the well-documented third Cardington fire test.