64 research outputs found

    Evolving, dynamic clustering of spatio/spectro-temporal data in 3D spiking neural network models and a case study on EEG data

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    Clustering is a fundamental data processing technique. While clustering of static (vector based) data and of fixed window size time series have been well explored, dynamic clustering of spatiotemporal data has been little researched if at all. Especially when patterns of changes (events) in the data across space and time have to be captured and understood. The paper presents novel methods for clustering of spatiotemporal data using the NeuCube spiking neural network (SNN) architecture. Clusters of spatiotemporal data were created and modified on-line in a continuous, incremental way, where spatiotemporal relationships of changes in variables are incrementally learned in a 3D SNN model and the model connectivity and spiking activity are incrementally clustered. Two clustering methods were proposed for SNN, one performed during unsupervised and one—during supervised learning models. Before submitted to the models, the data is encoded as spike trains, a spike representing a change in the variable value (an event). During the unsupervised learning, the cluster centres were predefined by the spatial locations of the input data variables in a 3D SNN model. Then clusters are evolving during the learning, i.e. they are adapted continuously over time reflecting the dynamics of the changes in the data. In the supervised learning, clusters represent the dynamic sequence of neuron spiking activities in a trained SNN model, specific for a particular class of data or for an individual instance. We illustrate the proposed clustering method on a real case study of spatiotemporal EEG data, recorded from three groups of subjects during a cognitive task. The clusters were referred back to the brain data for a better understanding of the data and the processes that generated it. The cluster analysis allowed to discover and understand differences on temporal sequences and spatial involvement of brain regions in response to a cognitive task

    Number of Lymph Nodes Removed and Survival after Gastric Cancer Resection: An Analysis from the US Gastric Cancer Collaborative

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    BACKGROUND: Examination of at least 16 lymph nodes (LNs) has been traditionally recommended during gastric adenocarcinoma resection to optimize staging, but the impact of this strategy on survival is uncertain. Because recent randomized trials have demonstrated a therapeutic benefit from extended lymphadenectomy, we sought to investigate the impact of the number of LNs removed on prognosis after gastric adenocarcinoma resection. STUDY DESIGN: We analyzed patients who underwent gastrectomy for gastric adenocarcinoma from 2000 to 2012, at 7 US academic institutions. Patients with M1 disease or R2 resections were excluded. Disease-specific survival (DSS) was calculated using the Kaplan-Meier method and compared using log-rank and Cox regression analyses. RESULTS: Of 742 patients, 257 (35%) had 7 to 15 LNs removed and 485 (65%) had >= 16 LNs removed. Disease-specific survival was not significantly longer after removal of >= 16 vs 7 to 15 LNs (10-year survival, 55% vs 47%, respectively; p = 0.53) for the entire cohort, but was significantly improved in the subset of patients with stage IA to IIIA (10-year survival, 74% vs 57%, respectively; p = 0.018) or N0-2 disease (72% vs 55%, respectively; p = 0.023). Similarly, for patients who were classified to more likely be "true N0-2," based on frequentist analysis incorporating both the number of positive and of total LNs removed, the hazard ratio for disease-related death (adjusted for T stage, R status, grade, receipt of neoadjuvant and adjuvant therapy, and institution) significantly decreased as the number of LNs removed increased. CONCLUSIONS: The number of LNs removed during gastrectomy for adenocarcinoma appears itself to have prognostic implications for long-term survival. (C) 2015 by the American College of Surgeon
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