Predicting breast cancer response to neoadjuvant treatment using multi-feature MRI: results from the I-SPY 2 TRIAL.

Dynamic contrast-enhanced (DCE) MRI provides both morphological and functional information regarding breast tumor response to neoadjuvant chemotherapy (NAC). The purpose of this retrospective study is to test if prediction models combining multiple MRI features outperform models with single features. Four features were quantitatively calculated in each MRI exam: functional tumor volume, longest diameter, sphericity, and contralateral background parenchymal enhancement. Logistic regression analysis was used to study the relationship between MRI variables and pathologic complete response (pCR). Predictive performance was estimated using the area under the receiver operating characteristic curve (AUC). The full cohort was stratified by hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) status (positive or negative). A total of 384 patients (median age: 49 y/o) were included. Results showed analysis with combined features achieved higher AUCs than analysis with any feature alone. AUCs estimated for the combined versus highest AUCs among single features were 0.81 (95% confidence interval [CI]: 0.76, 0.86) versus 0.79 (95% CI: 0.73, 0.85) in the full cohort, 0.83 (95% CI: 0.77, 0.92) versus 0.73 (95% CI: 0.61, 0.84) in HR-positive/HER2-negative, 0.88 (95% CI: 0.79, 0.97) versus 0.78 (95% CI: 0.63, 0.89) in HR-positive/HER2-positive, 0.83 (95% CI not available) versus 0.75 (95% CI: 0.46, 0.81) in HR-negative/HER2-positive, and 0.82 (95% CI: 0.74, 0.91) versus 0.75 (95% CI: 0.64, 0.83) in triple negatives. Multi-feature MRI analysis improved pCR prediction over analysis of any individual feature that we examined. Additionally, the improvements in prediction were more notable when analysis was conducted according to cancer subtype

Perturbative QCD Calculations of Total Cross Sections and Decay Widths in Hard Inclusive Processes

A summary of the current understanding of methods of analytical higher order perturbative computations of total cross sections and decay widths in Quantum Chromodynamics is presented. As examples, the total cross section in electron positron annihilation, the hadronic decay rates of the tau lepton and Higgs boson up to O(\alpha_s^2) and O(\alpha_s^3) are considered. The evaluation of the four-loop QED \beta - function at an intermediate step of the calculation is briefly described. The problem of renormalization group ambiguity of perturbative results is considered and some of the existing prescriptions are discussed. The problem of estimation of theoretical uncertainty in perturbative calculations is briefly discussed.Comment: 83 pages, LaTeX, Reviews of Modern Physics style, 14 figures plus figural equations (not included). Hard copy available upon request at [email protected]. To be published in Reviews of Modern Physic

Probabilistic seismic hazard characterization and design parameters for the Pantex Plant

The Hazards Mitigation Center at Lawrence Livermore National Laboratory (LLNL) updated the seismic hazard and design parameters at the Pantex Plant. The probabilistic seismic hazard (PSH) estimates were first updated using the latest available data and knowledge from LLNL (1993, 1998), Frankel et al. (1996), and other relevant recent studies from several consulting companies. Special attention was given to account for the local seismicity and for the system of potentially active faults associated with the Amarillo-Wichita uplift. Aleatory (random) uncertainty was estimated from the available data and the epistemic (knowledge) uncertainty was taken from results of similar studies. Special attention was given to soil amplification factors for the site. Horizontal Peak Ground Acceleration (PGA) and 5% damped uniform hazard spectra were calculated for six return periods (100 yr., 500 yr., 1000 yr., 2000 yr., 10,000 yr., and 100,000 yr.). The design parameters were calculated following DOE standards (DOE-STD-1022 to 1024). Response spectra for design or evaluation of Performance Category 1 through 4 structures, systems, and components are presented

Methods for developing seismic and extreme wind-hazard models for evaluating critical structures and equipment at US Department of Energy facilities and commercial plutonium facilities in the United States

Lawrence Livermore National Laboratory (LLNL) is developing seismic and wind hazard models for the US Department of Energy (DOE). The work is part of a three-phase effort to establish building design criteria developed with a uniform methodology for seismic and wind hazards at the various DOE sites throughout the United States. In Phase 1, LLNL gathered information on the sites and their critical facilities, including nuclear reactors, fuel-reprocessing plants, high-level waste storage and treatment facilities, and special nuclear material facilities. Phase 2 - development of seismic and wind hazard models - is discussed in this paper, which summarizes the methodologies used by seismic and extreme-wind experts and gives sample hazard curves for the first sites to be modeled. These hazard models express the annual probability that the site will experience an earthquake (or windspeed) greater than some specified magnitude. In the final phase, the DOE will use the hazards models and LLNL-recommended uniform design criteria to evaluate critical facilities. The methodology presented in this paper also was used for a related LLNL study - involving the seismic assessment of six commercial plutonium fabrication plants licensed by the US Nuclear Regulatory Commission (NRC). Details and results of this reassessment are documented in reference