12 research outputs found

    Increased risks of third primary cancers of non-breast origin among women with bilateral breast cancer

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    Background: This study examined the risk of third cancer of non-breast origin (TNBC) among women with bilateral breast cancer (BBC; either synchronous or metachronous), focussing on the relation with breast cancer treatment.Methods:Risk was assessed, among 8752 Dutch women diagnosed with BBC between 1989 and 2008, using standardised incidence ratios (SIR) and Cox regression analyses to estimate the hazard ratio (HR) of TNBC for different treatment modalities.Results:Significant increased SIRs were observed for all TNBCs combined, haematological malignancies, stomach, colorectal, non-melanoma skin, lung, head and neck, endometrial, and ovarian cancer. A 10-fold increased risk was found for ovarian cancer among women younger than 50 years (SIR10.0, 95% confidence interval (CI)5.3-17.4). Radiotherapy was associated with increased risks of all TNBCs combined (HR1.3; 95%CI1.1-1.6, respectively). Endocrine therapy was associated with increased risks of all TNBCs combined (HR1.2; 95%CI1.0-1.5), haematological malignancies (HR2.0; 95%CI1.1-3.9), and head and neck cancer (HR3.3; 95%CI1.1-10.4). After chemotherapy decreased risks were found for all TNBCs combined (HR0.63; 95%CI0.5-0.87).Conclusion:Increased risk of TNBC could be influenced by genetic factors (ovarian cancer) or an effect of treatment (radiotherapy and endocrine therapy). More insight in the TNBC risk should further optimise and individualise treatment and surveillance protocols in (young) women with BBC

    Improved neonatal brain MRI segmentation by interpolation of motion corrupted slices

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    BACKGROUND AND PURPOSE: To apply and evaluate an intensity‐based interpolation technique, enabling segmentation of motion‐affected neonatal brain MRI. METHODS: Moderate‐late preterm infants were enrolled in a prospective cohort study (Brain Imaging in Moderate‐late Preterm infants “BIMP‐study”) between August 2017 and November 2019. T2‐weighted MRI was performed around term equivalent age on a 3T MRI. Scans without motion (n = 27 [24%], control group) and with moderate‐severe motion (n = 33 [29%]) were included. Motion‐affected slices were re‐estimated using intensity‐based shape‐preserving cubic spline interpolation, and automatically segmented in eight structures. Quality of interpolation and segmentation was visually assessed for errors after interpolation. Reliability was tested using interpolated control group scans (18/54 axial slices). Structural similarity index (SSIM) was used to compare T2‐weighted scans, and Sørensen‐Dice was used to compare segmentation before and after interpolation. Finally, volumes of brain structures of the control group were used assessing sensitivity (absolute mean fraction difference) and bias (confidence interval of mean difference). RESULTS: Visually, segmentation of 25 scans (22%) with motion artifacts improved with interpolation, while segmentation of eight scans (7%) with adjacent motion‐affected slices did not improve. Average SSIM was .895 and Sørensen‐Dice coefficients ranged between .87 and .97. Absolute mean fraction difference was ≤0.17 for less than or equal to five interpolated slices. Confidence intervals revealed a small bias for cortical gray matter (0.14‐3.07 cm(3)), cerebrospinal fluid (0.39‐1.65 cm(3)), deep gray matter (0.74‐1.01 cm(3)), and brainstem volumes (0.07‐0.28 cm(3)) and a negative bias in white matter volumes (–4.47 to –1.65 cm(3)). CONCLUSION: According to qualitative and quantitative assessment, intensity‐based interpolation reduced the percentage of discarded scans from 29% to 7%

    Jornada Life2: British Library, 23 junio 2008

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    El pasado 23 de junio se celebró en Londres una jornada dedicada a los resultados del proyecto LIFE (Life Cycle Information for E-Literature) , centrado en los costes de la preservación digital. Este proyecto, financiado por JISC y llevado a cabo conjuntamente por la British Library (BL) y la University College London (UCL) se ha realizado en 2 fases: en la primera (2005-2006), se elaboró una metodología basada en ciclos vitales (life cycles) para calcular el coste de la preservación de recursos digitales durante 5, 10 y 100 años. Para ello, se identificaron seis procedimientos (o «etapas») considerados básicos para la gestión de material digital y luego se asignaron a cada uno los principales factores de coste. El modelo resultante se aplicó a varias colecciones de la BL y la UCL. ..

    Is aggressive local treatment necessary for diffuse liver involvement in patients with progression of stage 4s neuroblastoma to stage 4?

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    Contains fulltext : 69597.pdf (publisher's version ) (Closed access)Three patients with stage 4S neuroblastoma without MYC-N amplification who progressed to stage 4 with persistent liver involvement, were treated with iodine 131-meta-iodobenzylguanidine therapy, chemotherapy, and surgery. Successive histologic examination of the liver showed differentiation of the tumor in 2 patients and fibrosis in the third. One patient died of brain metastases at the age of 30 months. The other 2 patients are alive at 50 and 44 months. Diffuse liver involvement in patients with stage 4 progression of previous stage 4S without MYC-N amplification may differentiate after treatment. The aim of this report is to draw attention to major liver surgery that it may not be necessary in tumors without MYC-N amplification, despite the persistence of lesions in the liver

    Mild brain lesions do not affect brain volumes in moderate-late preterm infants

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    Purpose: It is unknown whether frequently occurring mild brain lesions affect brain volumes in moderate (MP2; 32+0-33+6 weeks' gestation) and late (LP3; 34+0-35+6 weeks’ gestation) preterm infants. Therefore, we aimed to investigate the effect of mild brain lesions on brain volumes in moderate-late preterm (MLPT4) infants and to compare brain volumes between MP and LP infants. Methods: From August 2017 to November 2019, eligible MLPT infants born at Isala Women and Children's Hospital were enrolled in a prospective cohort study (Brain Imaging in Moderate-late Preterm infants ‘BIMP-study’). MRI was performed around term equivalent age (TEA5). MRI scans were assessed for (mild) brain lesions. T2-weighted images were used for automatic segmentation of eight brain structures. Linear regression analysis was performed to compare absolute and relative brain volumes between infants with and without mild brain lesions and between MP and LP infants. Results: 36 MP and 68 LP infants were included. In infants with mild brain lesions, intracranial volume (B = 27.4 cm3, p = 0.02), cerebrospinal fluid (B = 8.78 cm3, p = 0.01) and cerebellar volumes (B = 1.70 cm3, p = 0.03) were significantly larger compared to infants without mild brain lesions. After correction for weight and postmenstrual age at MRI, these volumes were no longer significantly different. LP infants had larger brain volumes than MP infants, but differences were not significant. Relative brain volumes showed no significant differences in both analyses. Conclusion: Neither having mild brain lesions, nor being born moderate prematurely affected brain volumes at TEA in MLPT infants
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