Lymphoscintigraphy and triangulated body marking for morbidity reduction during sentinel node biopsy in breast cancer

Current trends in patient care include the desire for minimizing invasiveness of procedures and interventions. This aim is reflected in the increasing utilization of sentinel lymph node biopsy, which results in a lower level of morbidity in breast cancer staging, in comparison to extensive conventional axillary dissection. Optimized lymphoscintigraphy with triangulated body marking is a clinical option that can further reduce morbidity, more than when a hand held gamma probe alone is utilized. Unfortunately it is often either overlooked or not fully understood, and thus not utilized. This results in the unnecessary loss of an opportunity to further reduce morbidity. Optimized lymphoscintigraphy and triangulated body marking provides a detailed 3 dimensional map of the number and location of the sentinel nodes, available before the first incision is made. The number, location, relevance based on time/sequence of appearance of the nodes, all can influence 1) where the incision is made, 2) how extensive the dissection is, and 3) how many nodes are removed. In addition, complex patterns can arise from injections. These include prominent lymphatic channels, pseudo-sentinel nodes, echelon and reverse echelon nodes and even contamination, which are much more difficult to access with the probe only. With the detailed information provided by optimized lymphoscintigraphy and triangulated body marking, the surgeon can approach the axilla in a more enlightened fashion, in contrast to when the less informed probe only method is used. This allows for better planning, resulting in the best cosmetic effect and less trauma to the tissues, further reducing morbidity while maintaining adequate sampling of the sentinel node(s)

Control of plume interference effects on axisymmetric afterbodies

Plume interference effects on the axisymmetric flowfields around powered missiles are investigated using computational techniques. The study is mainly to understand the physics of the plume-induced shock and separation particularly at high plume to exit pressure ratios with and without shock-turbulent boundary layer control methods

XMM-Newton Observations of NGC 507: Super-solar Metal Abundances in the Hot ISM

We present the results of the X-ray XMM-Newton observations of NGC 507, a dominant elliptical galaxy in a small group of galaxies, and report 'super-solar' metal abundances of both Fe and a-elements in the hot ISM of this galaxy. We find Z_Fe = 2-3 times solar inside the D25 ellipse of NGC 507. This is the highest Z_Fe reported so far for the hot halo of an elliptical galaxy; this high Iron abundance is fully consistent with the predictions of stellar evolution models, which include the yield of both type II and Ia supernovae. The spatially resolved, high quality XMM spectra provide enough statistics to formally require at least three emission components: two soft thermal components indicating a range of temperatures in the hot ISM, plus a harder component, consistent with the integrated output of low mass X-ray binaries (LMXBs). The abundance of a-elements (most accurately determined by Si) is also found to be super-solar. The a-elements to Fe abundance ratio is close to the solar ratio, suggesting that ~70% of the Iron mass in the hot ISM was originated from SNe Type Ia. The a-element to Fe abundance ratio remains constant out to at least 100 kpc, indicating that SNe Type II and Ia ejecta are well mixed in a scale much larger than the extent of the stellar body.Comment: 29 pages, 6 figures, Accepted in ApJ (v613, Oct. 1, 2004); Minor revisions after referee's comments; A high-resolution pdf file available at http://hea-www.harvard.edu/~kim/pap/N507_XMM.pd

A Tractable Model of the LTE Access Reservation Procedure for Machine-Type Communications

A canonical scenario in Machine-Type Communications (MTC) is the one featuring a large number of devices, each of them with sporadic traffic. Hence, the number of served devices in a single LTE cell is not determined by the available aggregate rate, but rather by the limitations of the LTE access reservation protocol. Specifically, the limited number of contention preambles and the limited amount of uplink grants per random access response are crucial to consider when dimensioning LTE networks for MTC. We propose a low-complexity model of LTE's access reservation protocol that encompasses these two limitations and allows us to evaluate the outage probability at click-speed. The model is based chiefly on closed-form expressions, except for the part with the feedback impact of retransmissions, which is determined by solving a fixed point equation. Our model overcomes the incompleteness of the existing models that are focusing solely on the preamble collisions. A comparison with the simulated LTE access reservation procedure that follows the 3GPP specifications, confirms that our model provides an accurate estimation of the system outage event and the number of supported MTC devices.Comment: Submitted, Revised, to be presented in IEEE Globecom 2015; v3: fixed error in eq. (4

CoMPflex: CoMP for In-Band Wireless Full Duplex

In this letter we consider emulation of a Full Duplex (FD) cellular base station (BS) by using two spatially separated and coordinated half duplex (HD) BSs. The proposed system is termed CoMPflex (CoMP for In-Band Wireless Full Duplex) and at a given instant it serves two HD mobile stations (MSs), one in the uplink and one in the downlink, respectively. We evaluate the performance of our scheme by using a geometric extension of the one-dimensional Wyner model, which takes into account the distances between the devices. The results show that CoMPflex leads to gains in terms of sum-rate and energy efficiency with respect to the ordinary FD, as well as with respect to a baseline scheme based on unidirectional traffic.Comment: 4 pages, 4 figure