• Title/Summary/Keyword: single coverage

Search Result 291, Processing Time 0.032 seconds

Impact of Adaptive Radiotherapy on Locally Advanced Head and Neck Cancer - A Dosimetric and Volumetric Study

  • Dewan, Abhinav;Sharma, SK;Dewan, AK.;Srivastava, Himanshu;Rawat, Sheh;Kakria, Anjali;Mishra, Maninder;Suresh, T;Mehrotra, Krati
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.3
    • /
    • pp.985-992
    • /
    • 2016
  • Objective of the study is to evaluate volumetric and dosimetric alterations taking place during radiotherapy for locally advanced head and neck cancer (LAHNC) and to assess benefit of replanning in them. Materials and Methods: Thirty patients with LAHNC fulfilling the inclusion and exclusion criteria were enrolled in a prospective study. Planning scans were acquired both pre-treatment and after 20 fractions (mid-course) of radiotherapy. Single plan (OPLAN) based on initial CT scan was generated and executed for entire treatment course. Beam configuration of OPLAN was applied to anatomy of interim scan and a hybrid plan (HPLAN30) was generated. Adaptive replanning (RPLAN30) for remaining fractions was done and dose distribution with and without replanning compared for remaining fractions. Results: Substantial shrinkage of target volume (TV) and parotids after 4 weeks of radiotherapy was reported (p<0.05). No significant difference between planned and delivered doses was seen for remaining fractions. Hybrid plans showed increase in delivered dose to spinal cord and parotids for remaining fractions. Interim replanning improved homogeneity of treatment plan and significantly reduced doses to cord (Dmax, D2% and D1%) and ipsilateral parotid (D33%, D50% and D66%) (p<0.05). Conclusions: Use of one or two mid-treatment CT scans and replanning provides greater normal tissue sparing along with improved TV coverage.

Massive Parallel Sequencing for Diagnostic Genetic Testing of BRCA Genes - a Single Center Experience

  • Ermolenko, Natalya A;Boyarskikh, Uljana A;Kechin, Andrey A;Mazitova, Alexandra M;Khrapov, Evgeny A;Petrova, Valentina D;Lazarev, Alexandr F;Kushlinskii, Nikolay E;Filipenko, Maxim L
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.17
    • /
    • pp.7935-7941
    • /
    • 2015
  • The aim of this study was to implement massive parallel sequencing (MPS) technology in clinical genetics testing. We developed and tested an amplicon-based method for resequencing the BRCA1 and BRCA2 genes on an Illumina MiSeq to identify disease-causing mutations in patients with hereditary breast or ovarian cancer (HBOC). The coding regions of BRCA1 and BRCA2 were resequenced in 96 HBOC patient DNA samples obtained from different sample types: peripheral blood leukocytes, whole blood drops dried on paper, and buccal wash epithelia. A total of 16 random DNA samples were characterized using standard Sanger sequencing and applied to optimize the variant calling process and evaluate the accuracy of the MPS-method. The best bioinformatics workflow included the filtration of variants using GATK with the following cut-offs: variant frequency >14%, coverage ($>25{\times}$) and presence in both the forward and reverse reads. The MPS method had 100% sensitivity and 94.4% specificity. Similar accuracy levels were achieved for DNA obtained from the different sample types. The workflow presented herein requires low amounts of DNA samples (170 ng) and is cost-effective due to the elimination of DNA and PCR product normalization steps.

Magnetic Field Inversion and Intra-Inversion Filtering using Edge-Adaptive, Gapped Gradient-Nulling Filters: Applications to Surveys for Unexploded Ordnance (UXO)

  • Rene, R.M.;Kim, K.Y.;Park, C.H.
    • 한국지구물리탐사학회:학술대회논문집
    • /
    • 2006.06a
    • /
    • pp.9-14
    • /
    • 2006
  • Estimations of depth, magnetic orientation, and strength of dipole moments aid discrimination between unexploded ordnance (UXO) and non-UXO using magnetic surveys. Such estimations may be hindered by geologic noise, magnetic clutter, and overlapping tails of nearby dipole fields. An improved method of inversion for anomalies of single or multiple dipoles with arbitrary polarization was developed to include intra-inversion filtering and estimation of background field gradients. Data interpolated to grids are flagged so that only nodes nearest to measurement stations are used. To apply intra-inversion filtering to such data requires a gapped filter. Moreover, for data with significant gaps in coverage, or along the edges or corners of survey areas, intra-inversion filters must be appropriately modified. To that end, edge-adaptive and gapped gradient-nulling filters have been designed and tested. Applications are shown for magnetic field data from Chongcho Lake, Sokcho, Korea and the U. S. Army's Aberdeen Proving Ground in Maryland.

  • PDF

Reconstruction of the Acquired Facial Deformity due to Cancrum Oris Sequelae (괴저성 구내염 후유증에 의한 후천성 안면 변형의 재건)

  • Moon, Jae Won;Lee, Seung Chan;Cheon, Ji Seon;Yang, Jeong Yeol
    • Archives of Plastic Surgery
    • /
    • v.33 no.3
    • /
    • pp.359-366
    • /
    • 2006
  • Acquired facial deformities following cancrum oris sequelae manifested variably according to the nature of tissue necrosis. In cases that tissue loss extends over a wide area of the face, or the tissue nature is different due to congenital facial cleft, it is difficult to reconstruct with a single operation. As cancrum oris has virtually disappeared from our country, clinical report of reconstruction is also rare. We report 5 cases of facial deformities following cancrum oris sequelae. Since 1988, five adult patients(4 female and 1 male) were treated by authors. These patients, with an age ranged from 47 to 58 years, all suffered from acquired facial cleft such as facial mutilation, asymmetry. The stages of operation were from 1 to maximum of 5 operations. All surgeries achieved satisfactory results after a long-term follow-up. But one surgery in the case of palatal mucosal flap for the coverage of reconstructed maxilla alveolar bone resulted tissue sloughness, followed by osteomyelitis. Those were debrided and discarded. In conclusion, all sites of deformities were positioned around one of the oral commissures. In their past medical history, they have been suffering from measles, typhoid fever and unknown febrile illness. We diagnosed the acquired facial deformity following cancrum oris sequelae. The reconstruction of acquired facial deformity following cancrum oris sequelae were difficult due to extensive multiple tissue defects. Therefore multiple staged operations were inevitable. The authors reconstructed 5 cases of simple and complex form of facial deformity with minimum staged operations. All patients were satisfied functionally and cosmetically.

PAGAN II: THE EVOLUTION OF AGN JETS ON SUB-PARSEC SCALES

  • OH, JUNGHWAN;TRIPPE, SASCHA;KANG, SINCHEOL;KIM, JAE-YOUNG;PARK, JONG-HO;LEE, TAESEOK;KIM, DAEWON;KINO, MOTOKI;LEE, SANG-SUNG;SOHN, BONG WON
    • Journal of The Korean Astronomical Society
    • /
    • v.48 no.5
    • /
    • pp.299-311
    • /
    • 2015
  • We report first results from KVN and VERA Array (KaVA) VLBI observations obtained in the frame of our Plasma-physics of Active Galactic Nuclei (PAGaN) project. We observed eight selected AGN at 22 and 43 GHz in single polarization (LCP) between March 2014 and April 2015. Each source was observed for 6 to 8 hours per observing run to maximize the uv coverage. We obtained a total of 15 deep high-resolution images permitting the identification of individual circular Gaussian jet components and three spectral index maps of BL Lac, 3C 111 and 3C 345 from simultaneous dual-frequency observations. The spectral index maps show trends in agreement with general expectations – flat core and steep jets – while the actual value of the spectral index for jets shows indications for a dependence on AGN type. We analyzed the kinematics of jet components of BL Lac and 3C 111, detecting superluminal proper motions with maximum apparent speeds of about 5c. This constrains the lower limits of the intrinsic component velocities to ~ 0.98c and the upper limits of the angle between jet and line of sight to ~20°. In agreement with global jet expansion, jet components show systematically larger diameters d at larger core distances r, following the global relation d ≈ 0.2r, albeit within substantial scatter.

Chromosomal Information of 1,144 Korean BAC Clones

  • Park, Mi-Hyun;Lee, Hee-Jung;Kim, Kwang-Joong;Jeon, Jae-Pil;Lee, Hye-Ja;Kim, Jun-Woo;Kim, Hung-Tae;Cha, Hyo-Soung;Kim, Cheol-Hwan;Choi, Kang-Yell;Park, Chan;Oh, Berm-Seok;Kim, Ku-Chan
    • Genomics & Informatics
    • /
    • v.4 no.4
    • /
    • pp.141-146
    • /
    • 2006
  • We sequenced 1,841 BAC clones by terminal sequencing, and 1,830 of these clones were characterized with regard to their human chromosomal location and gene content using Korean BAC library constructed at the Korean Science (KCGS). Sequence analyses of the 1,830 BAC clones was performed for chromosomal assignment: 1,144 clones were assigned to a single chromosome, 190 clones apparently assigned to more than one chromosome, and 496 clones to no chromosome. Evaluating gene content of the 1,144 BAC clones, we found that 706 clones represented 1,069 genes of which 415 genes existed in the BAC clones covering the full sequence of the gene, 180 genes covering a $50%{\sim}99%$, and 474 genes covering less than 50% of the gene coverage. The estimated covering size of the KBAC clones was 73,379 kilobases (kb), in total corresponding to 2.3% of haploid human genome sequence. The identified BAC clones will be a public genomic resource for mapped clones for diagnostic and functional studies by Korean scientists and investigators worldwide.

Estimation of Cancer Cases Using Capture-Recapture Method in Northwest Iran

  • Ghojazadeh, Morteza;Mohammadi, Marziye;Azami-Aghdash, Saber;Sadighi, Alireza;Piri, Reza;Naghavi-Behzad, Mohammad
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.5
    • /
    • pp.3237-3241
    • /
    • 2013
  • Background: Under-ascertainment and over-ascertainment are common phenomena in surveillance and registry systems of health-related events. Capture-recapture is one of the methods which is applied to determine the sensitivity of surveillance or registry systems to recognize cancer cases. This study aimed to estimate the number of cancers using data available both in the Cancer Registry Center of Northwestern Iran and in the Population-based Cancer Registry Center of Iran. Material and Methods: The studied population consisted of all cancerous cases in the northwest of Iran from 2008 to 2010. All data were extracted from two resources and entered into Microsoft Excel software. After removing common and repeat cases the data were statistically analyzed using a capture-recapture studies' specific software "CARE 1.4". Estimations were calculated by Chapman and Petersen methods with the approximate confidence interval of 95%. Results: From 2008 to 2010, the number of all cancer cases was estimated to be 21,652 (CI 95%: 19,863-22,101). Sensitivity rate of all cancer cases was 83.9% and that of Population-based Cancer Registry Center of Iran was 52%. It was 93.1% considering both resources. Conclusion: Using two resources and the capture-recapture method rather than a single resource may be a more reliable method to estimate the number of cancer cases.

Asymmetric RTS/CTS for Exposed Node Reduction in IEEE 802.11 Ad Hoc Networks

  • Matoba, Akihisa;Hanada, Masaki;Kanemitsu, Hidehiro;Kim, Moo Wan
    • Journal of Computing Science and Engineering
    • /
    • v.8 no.2
    • /
    • pp.107-118
    • /
    • 2014
  • One interesting problem regarding wireless local area network (WLAN) ad-hoc networks is the effective mitigation of hidden nodes. The WLAN standard IEEE 802.11 provides request to send/clear to send (RTS/CTS) as mitigation for the hidden node problem; however, this causes the exposed node problem. The first 802.11 standard provided only two transmission rates, 1 and 2 Mbps, and control frames, such as RTS/CTS assumed to be sent at 1 Mbps. The 802.11 standard has been enhanced several times since then and now it supports multi-rate transmission up to 65 Mbps in the currently popular 802.11n (20 MHz channel, single stream with long guard interval). As a result, the difference in transmission rates and coverages between the data frame and control frame can be very large. However adjusting the RTS/CTS transmission rate to optimize network throughput has not been well investigated. In this paper, we propose a method to decrease the number of exposed nodes by increasing the RTS transmission rate to decrease RTS coverage. Our proposed method, Asymmetric Range by Multi-Rate Control (ARMRC), can decrease or even completely eliminate exposed nodes and improve the entire network throughput. Experimental results by simulation show that the network throughput in the proposed method is higher by 20% to 50% under certain conditions, and the proposed method is found to be effective in equalizing dispersion of throughput among nodes.

Integration of Tobacco Control in Masters of Public Health Curricula of India

  • Yadav, Aman;Goel, Sonu;Sharma, Vijay Lakshmi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.14
    • /
    • pp.5611-5615
    • /
    • 2014
  • Context: Tobacco is the single largest cause of preventable death among adults globally, as it is in India. Despite this alarming situation, there is very minimal inclusion of tobacco in formal education systems, including the medical discipline, in India. Aims: The present study analyzed the extent of integration of tobacco control related content in Masters of Public Health (MPH) curricula of various institutes in India. Materials and Methods: This cross-sectional study was conducted during January 2011 to May 2011 in all colleges of the country offering a MPH course. The colleges were enlisted using various internet search engines (Google Scholar, Pubmed, Medline), other published literature and snowball technique. A 50 items semi-structured questionnaire was designed, posted and e-mailed (followed by hard copy) to the Person-In-Charge of the MPH program. Statistical Analysis: Descriptive statistics were used to profile the tobacco control content in respective institutions. All data entry and analysis was conducted using SPSS (version 16) for windows. Results: The duration of the MPH course was two years in all institutes and had accreditation with some affiliated body. Tobacco related diseases were covered under 'non communicable diseases' section by every institute. However, a mere 41.4% of institute's had faculty who had received specialized training in tobacco control. More coverage was given to health risks and effects of smoking as compared to cessation interventions (5 A's), symptoms of withdrawal and pharmacological treatments. Only 25% of institutes were in process of introducing tobacco courses into their curricula. Lack of expertise and administrative barriers were cited as perceived major problems in inclusion of tobacco control in MPH curricula. Conclusions: It can be concluded that tobacco control is not receiving adequate attention in public health curricula in India. There is a need for coordinated efforts in the area of tobacco control so as to reduce morbidity and mortality from tobacco induced diseases.

In Vivo Experimental Study on the Effects of Fluid in Increasing the Efficiency of Radiofrequency Ablation

  • Sun, Yi-Xin;Cheng, Wen;Han, Xue;Liu, Zhao;Wang, Qiu-Cheng;Shao, Hua
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.14
    • /
    • pp.5799-5804
    • /
    • 2014
  • Background: Radiofrequency ablation (RFA) is the most widely used and studied method internationally for the local treatment of liver tumors. However, the extension of coagulation necrosis in one RFA procedure is limited and incomplete coverage of the damaged area can lead to a high local recurrence rate. Objective: In this study, we compared the effects of different solutions in enhancing hepatic radiofrequency by establishing a rabbit VX2 liver cancer model. We also determined the optimal solution to maximise effects on the extent of RFA-induced coagulation necrosis. Methods: Thirty VX2 tumor rabbits were randomly assigned to five groups: group A, RFA alone; group B, RFA with anhydrous ethanol injection; group C, RFA with 5% hypertonic saline injection; group D, RFA with lidocaine injection; and group E, RFA with a mixed solution. Routine ultrasound examinations and contrast-enhanced ultrasound (CEUS) of the ablation areas were performed after RFA. Then, we measured the major axis and transverse diameter and compared the areas of coagulation necrosis induced by RFA. Results: The mean ablation area range increased in groups B, C and especially E, and the scopes were greater compared with group A. Preoperative application of anhydrous ethanol, hypertonic saline, lidocaine and the mixed solution (groups B, C, D and E, respectively) resulted in larger coagulation necrosis areas than in group A (p<0.05). Among the groups, the coagulation necrosis areas in group E was largest, and the difference was statistically significant compared with other groups (p<0.05). Pathological findings were consistent with imaging results. Conclusions: A mixture of dehydrated alcohol, hypertonic saline and lidocaine injected with RFA increases the extent of coagulation necrosis in the liver with a single application, and the mixed solution is more effective than any other injection alone.