Tidal Asymmetry and Suspended-Sediment Transport in the Gironde Estuary (FRANCE)

Source: ICHE Conference Archive - https://mdi-de.baw.de/icheArchiv

3-D numerical simulation of the tidal circulation in the Gulf of Tonkin, Vietnam

The purpose of this paper is to present 3-D numerical simulation of the tidal circulation in the Gulf of Tonkin. A sigma-coordinate system transformation is used to make possible a total fitting between the computing point-grid and the bottom topography as well as the free water surface. A turbulence-closure sub-model K-L which permits the parameterization of the turbulence mixing is also included. The studied domain, the whole Gulf of Tonkin, extends from the coastal zone of Quang-Ninh into Thua Thien Hue province and as far as Hai-Nam (China) island seawards. The model have been calibrated and verified by the observed data at six different stations for a three and seven-day periods. The results are in good agreement with the observed data. The kinetic energy distribution was considered

The impact of slice-reduced computed tomography on histogram-based densitometry assessment of lung fibrosis in patients with systemic sclerosis

Background To evaluate usability of slice-reduced sequential computed tomography (CT) compared to standard high-resolution CT (HRCT) in patients with systemic sclerosis (SSc) for qualitative and quantitative assessment of interstitial lung disease (ILD) with respect to (I) detection of lung parenchymal abnormalities, (II) qualitative and semiquantitative visual assessment, (III) quantification of ILD by histograms and (IV) accuracy for the 20%-cut off discrimination. Methods From standard chest HRCT of 60 SSc patients sequential 9-slice-computed tomography (reduced HRCT) was retrospectively reconstructed. ILD was assessed by visual scoring and quantitative histogram parameters. Results from standard and reduced HRCT were compared using non-parametric tests and analysed by univariate linear regression analyses. Results With respect to the detection of parenchymal abnormalities, only the detection of intrapulmonary bronchiectasis was significantly lower in reduced HRCT compared to standard HRCT (P=0.039). No differences were found comparing visual scores for fibrosis severity and extension from standard and reduced HRCT (P=0.051-0.073). All scores correlated significantly (P<0.001) to histogram parameters derived from both, standard and reduced HRCT. Significant higher values of kurtosis and skewness for reduced HRCT were found (both P<0.001). In contrast to standard HRCT histogram parameters from reduced HRCT showed significant discrimination at cut-off 20% fibrosis (sensitivity 88% kurtosis and skewness; specificity 81% kurtosis and 86% skewness; cut-off kurtosis ≤26, cut-off skewness ≤4; both P<0.001). Conclusions Reduced HRCT is a robust method to assess lung fibrosis in SSc with minimal radiation dose with no difference in scoring assessment of lung fibrosis severity and extension in comparison to standard HRCT. In contrast to standard HRCT histogram parameters derived from the approach of reduced HRCT could discriminate at a threshold of 20% lung fibrosis with high sensitivity and specificity. Hence it might be used to detect early disease progression of lung fibrosis in context of monitoring and treatment of SSc patients

Lung Nodules in Melanoma Patients: Morphologic Criteria to Differentiate Non-Metastatic and Metastatic Lesions

Lung nodules are frequent findings in chest computed tomography (CT) in patients with metastatic melanoma. In this study, we assessed the frequency and compared morphologic differences of metastases and benign nodules. We retrospectively evaluated 85 patients with melanoma (AJCC stage III or IV). Inclusion criteria were ≤20 lung nodules and follow-up using CT ≥183 days after baseline. Lung nodules were evaluated for size and morphology. Nodules with significant growth, nodule regression in line with RECIST assessment or histologic confirmation were judged to be metastases. A total of 438 lung nodules were evaluated, of which 68% were metastases. At least one metastasis was found in 78% of patients. A 10 mm diameter cut-off (used for RECIST) showed a specificity of 95% and a sensitivity of 20% for diagnosing metastases. Central location (n = 122) was more common in metastatic nodules (p = 0.009). Subsolid morphology (n = 53) was more frequent (p < 0.001), and calcifications (n = 13) were solely found in non-metastatic lung nodules (p < 0.001). Our data show that lung nodules are prevalent in about two-thirds of melanoma patients (AJCC stage III/IV) and the majority are metastases. Even though we found a few morphologic indicators for metastatic or non-metastatic lung nodules, morphology has limited value to predict the presence of lung metastases

Patterns of radiological response to tebentafusp in patients with metastatic uveal melanoma

Metastatic uveal melanoma (mUM) is a rare type of melanoma with poor outcomes. The first systemic treatment to significantly prolong overall survival (OS) in patients with mUM was tebentafusp, a bispecific protein that can redirect T-cells to gp-100 positive cells. However, the objective response rate according to Response Evaluation Criteria in Solid Tumors (RECIST) may underestimate the clinical impact of tebentafusp. As metabolic response assessed by PET Response Criteria in Solid Tumors (PERCIST) has been reported to better correlate with clinical outcome, we here compared the patterns of radiological and morphological responses in HLA-A*02:01-positive patients with mUM treated with tebentafusp. In the 19 enrolled patients, RECIST showed an overall response rate (ORR) of 10%, median progression-free survival of 2.8 months (95% CI 2.5–8.4), and median OS (mOS) of 18.8 months. In 10 patients, where both RECIST and PERCIST evaluation was available, the ORR was 10% for both; however, the PFS was longer for PERCIST compared to RECIST, 3.1 and 2.4 months, respectively. A poor agreement between the criteria was observed at all assessments (Cohen’s kappa ≤0), yet they differed significantly only at the first on-treatment imaging (P = 0.037). Elevated baseline LDH and age were associated with an increased risk for RECIST progression, while lymphocyte decrease after the first infusions correlated to reduced risk of RECIST progression. Detectable ctDNA at baseline did not correlate with progression. Early response to tebentafusp may be incompletely captured by conventional imaging, leading to a need to consider both tumor morphology and metabolism

Implementing CT tumor volume and CT pleural thickness into future staging systems for malignant pleural mesothelioma

OBJECTIVES Tumor thickness and tumor volume measured by computed tomography (CT) were suggested as valuable prognosticator for patients' survival diagnosed with malignant pleural mesothelioma (MPM). The purpose was to assess the accuracy of CT scan based preoperatively measured tumor volume and thickness compared to actual tumor weight of resected MPM specimen and pathologically assessed tumor thickness, as well as an analysis of their impact on overall survival (OS). METHODS Between 09/2013-08/2018, 74 patients were treated with induction chemotherapy followed by (extended) pleurectomy/decortication ((E)PD). In 53 patients, correlations were made between CT-measured volume and -tumor thickness (cTV and cTT) and actual tumor weight (pTW) based on the available values. Further cTV and pT/IMIG stage were correlated using Pearson correlation. Overall survival (OS) was calculated with Kaplan Meier analysis and tested with log rank test. For correlation with OS Kaplan-Meier curves were made and log rank test was performed for all measurements dichotomized at the median. RESULTS Median pathological tumor volume (pTV) and pTW were 530 ml [130 ml - 1000 ml] and 485 mg [95 g - 982 g] respectively. Median (IQR) cTV was 77.2 ml (35.0-238.0), median cTT was 9.0 mm (6.2-13.7). Significant association was found between cTV and pTV (R = 0.47, p < 0.001) and between cTT and IMIG stage (p = 0,001) at univariate analysis. Multivariate regression analysis revealed, that only cTV correlates with pTV. Median follow-up time was 36.3 months with 30 patients dead at the time of the analysis. Median OS was 23.7 months. 1-year and 3-year survival were 90 and 26% respectively and only the cTV remained statistically associated with OS. CONCLUSION Preoperatively assessed CT tumor volume and actual tumor volume showed a significant correlation. CT tumor volume may predict pathological tumor volume as a reflection of tumor burden, which supports the integration of CT tumor volume into future staging systems

COPPER HEXACYANOFERRATE (II): SYNTHESIS, CHARACTERIZATION, AND CESIUM, STRONTIUM ADSORBENT APPLICATION

Low-cost nanoscale copper hexacyanoferrate (CuHF), a good selective adsorbent for cesium (Cs+) removal, was prepared using the chemical co-precipitation method. Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy (EDS), and high-resolution transmission electron microscopy (HR-TEM) were conducted to determine the CuHF morphology. Copper hexacyanoferrate, Cu13[Fe(CN)6]14.(2K).10H2O, has a cubic structure (space group F-43m) in the range of 10-30 nm and a Brunauer-Emmett-Teller (BET) surface area of 462.42 m2/g. The removal of Cs+ and Sr2+ is dependent on pH; the maximum adsorption capacity (qmax) of CuHF is achieved at a pH = 6. From the Langmuir model, qmax = 143.95 mg/g for Cs+ and 79.26 mg/g for Sr2+, respectively. At high concentrations, Na+, Ca2+, and K+ ions have very little effect on Cs+ removal, and Na+ and K+ ions have a higher affinity for removing Sr2+ than Ca2+ at all concentrations. CuHF has a high affinity for alkaline cations in the order: Cs+ &gt; K+ &gt; Na+ &gt; Ca2+ &gt; Sr2+, as proposed and discussed

Performance of Ozonation Process as Advanced Treatment for Antibiotics Removal in Membrane Permeate

There was an investigation into the removal of 6 types of antibiotics from hospital wastewater through membrane bioreactor (MBR) treatment and ozonation processes. Six types of antibiotics, namely, Sulfamethoxazole (SMZ), Norfloxacin (NOR), Ciprofloxacin (CIP), Ofloxacin (OFL), Erythromycin (ERY), and Vancomycin (VAN) which had high detection frequencies in collected samples from hospital wastewater treatment plant (HWTPs). After MBR treatment, the removal efficiencies of SMZ, NOR, OFL, and ERY were 45%, 25%, 30%, and 16%, respectively. Among of them, almost no elimination was observed for CIP and VAN since their concentrations increased by 0.24 ± 0.18 (μgl-1) and 0.83 ± 0.20 (μgl-1), respectively. Then, residues of the antibiotics were removed from the MBR effluent by the ozonation process. The overall removal efficiencies of SMZ, NOR, CIP, OFL, ERY, and VAN were approximately 66 %, 88 %, 83 %, 80 %, 93 %, and 92 %, respectively. The reason might be depended on different ozone consumption of those antibiotics (ABS) in a range of 313 to 1681 μg ABSgO3-1. Consequently, the ozonation process performed better in the antibiotics removal (e.g. CIP and VAN) so ozonation could be considered as important support for the MBR treatment to reduce the risk of antibiotic residues