270 research outputs found
Neuroendocrine gastro-entero-pancreatic tumors: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up †
Three-dimensional simulations of rotationally-induced line variability from a Classical T Tauri star with a misaligned magnetic dipole
We present three-dimensional (3-D) simulations of rotationally induced line
variability arising from complex circumstellar environment of classical T Tauri
stars (CTTS) using the results of the 3-D magnetohydrodynamic (MHD) simulations
of Romanova et al., who considered accretion onto a CTTS with a misaligned
dipole magnetic axis with respect to the rotational axis. The density, velocity
and temperature structures of the MHD simulations are mapped on to the
radiative transfer grid, and corresponding line source function and the
observed profiles of neutral hydrogen lines (H-beta, Pa-beta and Br-gamma) are
computed using the Sobolev escape probability method. We study the dependency
of line variability on inclination angles (i) and magnetic axis misalignment
angles (Theta). By comparing our models with the Pa-beta profiles of 42 CTTS
observed by Folha & Emerson, we find that models with a smaller misaligngment
angle (Theta<~15 deg.) are more consistent with the observations which show
that majority of Pa-beta are rather symmetric around the line centre. For a
high inclination system with a small dipole misalignment angle (Theta ~ 15
deg.), only one accretion funnel (on the upper hemisphere) is visible to an
observer at any given rotational phase. This can cause an anti-correlation of
the line equivalent width in the blue wing (v0)
over a half of a rotational period, and a positive correlation over other half.
We find a good overall agreement of the line variability behaviour predicted by
our model and those from observations. (Abridged)Comment: 15 pages, 13 figures. Accepted for publication in MNRAS. A version
with full resolution figures can be downloaded from
http://www.physics.unlv.edu/~rk/preprint/inclined_dipole.pd
Regulation of accretion by its outflow in a symbiotic star: the 2016 outflow fast state of MWC 560
How are accretion discs affected by their outflows? To address this question for white dwarfs accreting from cool giants, we performed optical, radio, X-ray, and ultraviolet observations of the outflow-driving symbiotic star MWC 560 (=V694 Mon) during its 2016 optical high state. We tracked multi-wavelength changes that signalled an abrupt increase in outflow power at the initiation of a months-long outflow fast state, just as the optical flux peaked: (1) an abrupt doubling of Balmer absorption velocities; (2) the onset of a Jy/month increase in radio flux; and (3) an order-of-magnitude increase in soft X-ray flux. Juxtaposing to prior X-ray observations and their coeval optical spectra, we infer that both high-velocity and low-velocity optical outflow components must be simultaneously present to yield a large soft X-ray flux, which may originate in shocks where these fast and slow absorbers collide. Our optical and ultraviolet spectra indicate that the broad absorption-line gas was fast, stable, and dense ( cm) throughout the 2016 outflow fast state, steadily feeding a lower-density ( cm) region of radio-emitting gas. Persistent optical and ultraviolet flickering indicate that the accretion disc remained intact. The stability of these properties in 2016 contrasts to their instability during MWC 560's 1990 outburst, even though the disc reached a similar accretion rate. We propose that the self-regulatory effect of a steady fast outflow from the disc in 2016 prevented a catastrophic ejection of the inner disc. This behaviour in a symbiotic binary resembles disc/outflow relationships governing accretion state changes in X-ray binaries
Two populations of X-ray pulsars produced by two types of supernovae
Two types of supernova are thought to produce the overwhelming majority of neutron stars in the Universe. The first type, iron-core collapse supernovae, occurs when a high-mass star develops a degenerate iron core that exceeds the Chandrasekhar limit. The second type, electron-capture supernovae, is associated with the collapse of a lower-mass oxygen-neon-magnesium core as it loses pressure support owing to the sudden capture of electrons by neon and/or magnesium nuclei. It has hitherto been impossible to identify the two distinct families of neutron stars produced in these formation channels. Here we report that a large, well-known class of neutron-star-hosting X-ray pulsars is actually composed of two distinct sub-populations with different characteristic spin periods, orbital periods and orbital eccentricities. This class, the Be/X-ray binaries, contains neutron stars that accrete material from a more massive companion star. The two sub-populations are most probably associated with the two distinct types of neutron-star-forming supernovae, with electron-capture supernovae preferentially producing system with short spin period, short orbital periods and low eccentricity. Intriguingly, the split between the two sub-populations is clearest in the distribution of the logarithm of spin period, a result that had not been predicted and which still remains to be explaine
Results after surgical treatment of liver metastases in patients with high-grade gastroenteropancreatic neuroendocrine carcinomas
Background: Gastroenteropancreatic neuroendocrine carcinomas (GEP-NEC) are generally characterized by synchronous metastases, high aggressiveness and a dismal prognosis. Current international guidelines do not recommend surgical treatment of liver metastases, however the existing data are scarce. The aim of this study was to evaluate the results of curatively intended resection/radiofrequency ablation (RFA) of liver metastases in patients with metastatic GEP-NEC. Methods: 32 patients with a diagnosis of high-grade gastroenteropancreatic neuroendocrine neoplasm (Ki-67 > 20%) and with intended curative resection/RFA of liver metastases, were identified among 840 patients from two Nordic GEP-NEC registries. Tumor morphology (well vs poor differentiation) was reassessed. Overall survival (OS) and progression-free survival (PFS) was assessed by Kaplan Meier analyses for the entire cohort and for subgroups. Results: Median OS after resection/RFA of liver metastases was 35.9 months (95% -CI: 20.6-51.3) with a five-year OS of 43%. The median PFS was 8.4 months (95% -CI: 3.9-13). Four patients (13%) were disease -free after 5 years. Two patients had well -differentiated morphology (NET G3) and 20 patients (63%) had Ki-67 >= 55%. A Ki-67 <55% and receiving adjuvant chemotherapy were statistically significant factors of improved OS after liver resection/RFA. Conclusion: This study shows a long median and long term survival after liver surgery/RFA for these selected metastatic GEP-NEC patients, particularly for the group with a Ki-67 in the relatively lower G3 range. Our findings indicate a possible role for surgical treatment of liver metastases in the management of this patient population. (C) 2017 Elsevier Ltd, BASO - The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.Peer reviewe
Head-to-head comparison of <sup>64</sup>Cu-DOTATATE and<sup> 68</sup>Ga -DOTATOC PET/CT: a prospective study of 59 patients with neuroendocrine tumors
MAXI J1659-152: The shortest orbital period black-hole transient in outburst
MAXI J1659-152 is a bright X-ray transient black-hole candidate binary system
discovered in September 2010. We report here on MAXI, RXTE, Swift, and
XMM-Newton observations during its 2010/2011 outburst. We find that during the
first one and a half week of the outburst the X-ray light curves display drops
in intensity at regular intervals, which we interpret as absorption dips. About
three weeks into the outbursts, again drops in intensity are seen. These dips
have, however, a spectral behaviour opposite to that of the absorption dips,
and are related to fast spectral state changes (hence referred to as transition
dips). The absorption dips recur with a period of 2.414+/-0.005 hrs, which we
interpret as the orbital period of the system. This implies that MAXI J1659-152
is the shortest period black-hole candidate binary known to date. The
inclination of the accretion disk with respect to the line of sight is
estimated to be 65-80 degrees. We propose the companion to the black-hole
candidate to be close to an M5 dwarf star, with a mass and radius of about
0.15-0.25 M_sun and 0.2-0.25 R_sun, respectively. We derive that the companion
had an initial mass of about 1.5 M_sun, which evolved to its current mass in
about 5-6 billion years. The system is rather compact (orbital separation of
larger than ~1.33 R_sun), and is located at a distance of 8.6+/-3.7 kpc, with a
height above the Galactic plane of 2.4+/-1.0 kpc. The characteristics of short
orbital period and high Galactic scale height are shared with two other
transient black-hole candidate X-ray binaries, i.e., XTE J1118+480 and Swift
J1735.5-0127. We suggest that all three are kicked out of the Galactic plane
into the halo, rather than being formed in a globular cluster.Comment: 20 pages, 14 figures, accepted for publication in A&
ENETS Consensus Guidelines for Neuroendocrine Neoplasms of the Appendix (Excluding Goblet Cell Carcinomas)
Circadian Behaviour in Neuroglobin Deficient Mice
Neuroglobin (Ngb), a neuron-specific oxygen-binding globin with an unknown function, has been proposed to play a key role in neuronal survival. We have previously shown Ngb to be highly expressed in the rat suprachiasmatic nucleus (SCN). The present study addresses the effect of Ngb deficiency on circadian behavior. Ngb-deficient and wild-type (wt) mice were placed in running wheels and their activity rhythms, endogenous period and response to light stimuli were investigated. The effect of Ngb deficiency on the expression of Period1 (Per1) and the immediate early gene Fos was determined after light stimulation at night and the neurochemical phenotype of Ngb expressing neurons in wt mice was characterized. Loss of Ngb function had no effect on overall circadian entrainment, but resulted in a significantly larger phase delay of circadian rhythm upon light stimulation at early night. A light-induced increase in Per1, but not Fos, gene expression was observed in Ngb-deficient mice. Ngb expressing neurons which co-stored Gastrin Releasing Peptide (GRP) and were innervated from the eye and the geniculo-hypothalamic tract expressed FOS after light stimulation. No PER1 expression was observed in Ngb-positive neurons. The present study demonstrates for the first time that the genetic elimination of Ngb does not affect core clock function but evokes an increased behavioural response to light concomitant with increased Per1 gene expression in the SCN at early night
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