Leiomyosarcoma as a Second Metachronous Malignant Neoplasm Following Colon Adenocarcinoma. A Case Report and Review of the Literature

Long-term cancer survivors are at increased risk for the development of second primary malignancies. This is usually associated with common genetic and etiologic factors and the treatment modality used for the primary cancer. In this paper we describe the case of a patient who developed a leiomyosarcoma in his left arm 5 years after he had a colon adenocarcinoma resected. Both primary tumours were treated successfully with surgical resection alone. The literature regarding second primary neoplasms, specifically focused on sarcomas, is briefly reviewed

Collapse risk and residual drift performance of steel buildings using post-tensioned MRFs and viscous dampers in near-fault regions

The potential of post-tensioned self-centering moment-resisting frames (SC-MRFs) and viscous dampers to reduce the collapse risk and improve the residual drift performance of steel buildings in near-fault regions is evaluated. For this purpose, a prototype steel building is designed using different seismic-resistant frames, i.e.: moment-resisting frames (MRFs); MRFs with viscous dampers; SC-MRFs; and SC-MRFs with viscous dampers. The frames are modeled in OpenSees where material and geometrical nonlinearities are taken into account as well as stiffness and strength deterioration. A database of 91 near-fault, pulse-like ground motions with varying pulse periods is used to conduct incremental dynamic analysis (IDA), in which each ground motion is scaled until collapse occurs. The probability of collapse and the probability of exceeding different residual story drift threshold values are calculated as a function of the ground motion intensity and the period of the velocity pulse. The results of IDA are then combined with probabilistic seismic hazard analysis models that account for near-fault directivity to assess and compare the collapse risk and the residual drift performance of the frames. The paper highlights the benefit of combining the post-tensioning and supplemental viscous damping technologies in the near-source. In particular, the SC-MRF with viscous dampers is found to achieve significant reductions in collapse risk and probability of exceedance of residual story drift threshold values compared to the MRF. © 2016 Springer Science+Business Media Dordrech

Fiber tracking: A qualitative and quantitative comparison between four different software tools on the reconstruction of major white matter tracts

PURPOSE: Diffusion tensor imaging (DTI) enables in vivo reconstruction of white matter (WM) pathways. Considering the emergence of numerous models and fiber tracking techniques, we herein aimed to compare, both quantitatively and qualitatively, the fiber tracking results of four DTI software (Brainance, Philips FiberTrak, DSI Studio, NordicICE) on the reconstruction of representative WM tracts. MATERIALS AND METHODS: Ten healthy participants underwent 30-directional diffusion tensor imaging on a 3T-Philips Achieva TX MR-scanner. All data were analyzed by two independent sites of experienced raters with the aforementioned software and the following WM tracts were reconstructed: corticospinal tract (CST); forceps major (Fmajor); forceps minor (Fminor); cingulum bundle (CB); superior longitudinal fasciculus (SLF); inferior fronto-occipital fasciculus (IFOF). Visual inspection of the resulted tracts and statistical analysis (inter-rater and betweensoftware agreement; paired t-test) on fractional anisotropy (FA), axial and radial diffusivity (Daxial, Dradial) were applied for qualitative and quantitative evaluation of DTI software results. RESULTS: Qualitative evaluation of the extracted tracts confirmed anatomical landmarks at least for the core part of each tract, even though differences in the number of fibers extracted and the whole tract were evident, especially for the CST, Fmajor, Fminor and SLF. Descriptive values did not deviate from the expected range of values for healthy adult population. Substantial inter-rater agreement (intraclass correlation coefficient [ICC], Bland-Altman analysis) was found for all tracts (ICC; FA: 0.839-0.989, Daxial: 0.704-0.991, Dradial: 0.972-0.993). Low agreement for FA, Daxial and Dradial (ICC; Bland-Altman analysis) and significant paired t-test differences (p < 0.05) were detected regarding between-software agreement. CONCLUSIONS: Qualitative comparison of four different DTI software in addition to substantial inter-rater but poor between-software agreement highlight the differences on existing fiber tracking methodologies and several particularities of each WM tract, further supporting the need for further study in both clinical and research settings

A methodology for assessing and improving the total geometric accuracy in gamma knife radiosurgery

The purpose of the study is to present an end-to-end experimental procedure, based on a polymer gel phantom, capable of assessing the total geometric uncertainty in GK radiosurgery applications, in which MR images are solely used for both target delineation and registration of patient image coordinates to the Leksell space. As a result the study aims to propose a time-efficient method, based on corresponding polymer gel results, which considerably improves the geometric accuracy in GK treatment delivery

Seismic damage estimation of in-plane regular steel/concrete composite moment resisting frames

© 2016 Elsevier Ltd. Simple empirical expressions to estimate maximum seismic damage on the basis of four well known damage indices for planar regular steel/concrete composite moment resisting frames having steel I beams and concrete filled steel tube (CFT) columns are presented. These expressions are based on the results of an extensive parametric study concerning the inelastic response of a large number of frames to a large number of ordinary far-field type ground motions. Thousands of nonlinear dynamic analyses are performed by scaling the seismic records to different intensities in order to drive the structures to different levels of inelastic deformation. The statistical analysis of the created response databank indicates that the number of stories, beam strength ratio, material strength and ground motion characteristics strongly influence structural damage. Nonlinear regression analysis is employed in order to derive simple formulae, which reflect the influence of the aforementioned parameters and offer a direct estimation of the damage indices used in this study. More specifically, given the characteristics of the structure and the ground motion, one can calculate the maximum damage observed in column bases and beams. Finally, three examples serve to illustrate the use of the proposed expressions and demonstrate their accuracy and efficiency

Direct damage controlled seismic design of plane steel degrading frames

A new method for seismic design of plane steel moment resisting framed structures is developed. This method is able to control damage at all levels of performance in a direct manner. More specifically, the method: (a) can determine damage in any member or the whole of a designed structure under any given seismic load, (b) can dimension a structure for a given seismic load and desired level of damage and (c) can determine the maximum seismic load a designed structure can sustain in order to exhibit a desired level of damage. In order to accomplish these things, an appropriate seismic damage index is used that takes into account the interaction between axial force and bending moment at a section, strength and stiffness degradation as well as low cycle fatigue. Then, damage scales are constructed on the basis of extensive parametric studies involving a large number of frames exhibiting cyclic strength and stiffness degradation and a large number of seismic motions and using the above damage index for damage determination. Some numerical examples are presented to illustrate the proposed method and demonstrate its advantages against other methods of seismic design. © 2014, Springer Science+Business Media Dordrecht

Mars Phobos and Deimos Survey (M-PADS) – A Martian Moons Orbiter and Phobos Lander

We describe a Mars 'Micro Mission' for detailed study of the martian satellites Phobos and Deimos. The mission involves two ~330 kg spacecraft equipped with solar electric propulsion to reach Mars orbit. The two spacecraft are stacked for launch: an orbiter for remote investigation of the moons and in situ studies of their environment in Mars orbit, and another carrying a lander for in situ measurements on the surface of Phobos (or alternatively Deimos). Phobos and Deimos remain only partially studied, and Deimos less well than Phobos. Mars has almost always been the primary mission objective, while the more dedicated Phobos project (1988-89) failed to realise its full potential. Many questions remain concerning the moons' origins, evolution, physical nature and composition. Current missions, such as Mars Express, are extending our knowledge of Phobos in some areas but largely neglect Deimos. The objectives of M-PADS focus on: origins and evolution, interactions with Mars, volatiles and interiors, surface features, and differences. The consequent measurement requirements imply both landed and remote sensing payloads. M-PADS is expected to accommodate a 60 kg orbital payload and a 16 kg lander payload. M-PADS resulted from a BNSC-funded study carried out in 2003 to define candidate Mars Micro Mission concepts for ESA's Aurora programme

Early mortality and overall survival in oncology phase I trial participants: can we improve patient selection?

<p>Abstract</p> <p>Background</p> <p>Patient selection for phase I trials (PIT) in oncology is challenging. A typical inclusion criterion for PIT is 'life expectancy > 3 months', however the 90 day mortality (90DM) and overall survival (OS) of patients with advanced solid malignancies are difficult to predict.</p> <p>Methods</p> <p>We analyzed 233 patients who were enrolled in PIT at Princess Margaret Hospital. We assessed the relationship between 17 clinical characteristics and 90DM using univariate and multivariate logistic regression analyses to create a risk score (PMHI). We also applied the Royal Marsden Hospital risk score (RMI), which consists of 3 markers (albumin < 35g/L, > 2 metastatic sites, LDH > ULN).</p> <p>Results</p> <p>Median age was 57 years (range 21-88). The 90DM rate was 14%; median OS was 320 days. Predictors of 90DM were albumin < 35g/L (OR = 8.2, p = 0.01), > 2 metastatic sites (OR = 2.6, p = 0.02), and ECOG > 0 (OR = 6.3, p = 0.001); all 3 factors constitute the PMHI. To predict 90DM, the PMHI performed better than the RMI (AUC = 0.78 vs 0.69). To predict OS, the RMI performed slightly better (RMI ≥ 2, HR = 2.2, p = 0.002 vs PMHI ≥ 2, HR = 1.6, p = 0.05).</p> <p>Conclusions</p> <p>To predict 90DM, the PMHI is helpful. To predict OS, risk models should include ECOG > 0, > 2 metastatic sites, and LDH > ULN. Prospective validation of the PMHI is warranted.</p

Seismic damage estimation of in-plane regular steel moment resisting and x-braced frames

Simple empirical expressions to estimate maximum seismic damage on the basis of five well known damage indices for planar regular moment resisting and x-braced steel frames are presented. They are based on the results of extensive parametric studies concerning the inelastic response of a large number of these frames to a large number of ground motions. Thousands of nonlinear dynamic analyses are performed by scaling the seismic records to different intensities in order to drive the structures to different levels of inelastic deformation and finally to collapse. The statistical analysis of the created response databank indicates that the number of stories, period of vibration, stiffness ratio, capacity factor (for moment resisting frames), brace slenderness ratio and column stiffness (for x-braced frames) and characteristics of the ground motion, such as characteristic period and spectral acceleration, strongly influence damage. Nonlinear regression analysis is employed in order to derive simple formulae, which reflect the influence of the aforementioned parameters and offer a direct estimation of the damage indices used in this study. More specifically, given the characteristics of the structure and the ground motion, one can calculate the maximum damage observed in column bases and beams (for moment resisting frames) or in braces (for x-braced frames). Finally, two examples serve to illustrate the use of the proposed expressions and demonstrate their accuracy and efficiency. © 2012 Springer Science+Business Media Dordrecht