Utilidade da PET/CT, (18F-FDG), no estudo do linfoma Hodgkin e linfoma não Hodgkin

Os linfomas são tumores estabelecidos a nível do sistema linfático. Devido à sua heterogeneidade classificam-se como Linfoma Hodgkin (LH) e Linfoma não Hodgkin (LNH), apresentando diferente prognóstico e seguimento quimioterapêutico. Actualmente, a Photon Emission Tomography/Computed Tomography (PET/CT, do acrónimo inglês) é considerada “imagem” de excelência no estudo desta patologia. Neste contexto, é objectivo deste artigo verificar a utilidade da técnica PET/CT e correlacionar o valor de Standard Uptake Value (SUV), obtido pela PET, com o estadio histológico do linfoma e com a resposta ao tratamento quimioterapêutico. Metodologia - Analisaram-se retrospectivamente 356 estudos respeitantes a 231 pacientes, aos quais se realizou uma PET/CT para estadiamento, estudo de massa ou avaliação da resposta ao tratamento. Após a administração de uma actividade média de 18F-FDG de 288,6 MBq, foram adquiridas imagens numa PET/CT GE Discovery ST. Os resultados obtidos foram comparados com os dados clínicos dos pacientes. Resultados - Foram encontradas diferenças significativas entre a idade Vs tipo de linfoma. Não foram encontradas diferenças significativas entre: valor de SUVmáx ganglionar, lesões extra-ganglionares e seu valor de SUV relativamente ao tipo de linfoma. Comprovou-se a influência da PET/CT na alteração do estadio do linfoma e atitude terapêutica. Em última análise, obtiveram-se respectivamente os seguintes valores de sensibilidade, especificidade e exactidão: 98%, 79% e 88%. Conclusões - Os resultados obtidos permitem verificar a importância da imagem PET/CT no estadiamento, monitorização e alteração da atitude terapêutica dos LH e LNH

New remarks on the Cosmological Argument

We present a formal analysis of the Cosmological Argument in its two main forms: that due to Aquinas, and the revised version of the Kalam Cosmological Argument more recently advocated by William Lane Craig. We formulate these two arguments in such a way that each conclusion follows in first-order logic from the corresponding assumptions. Our analysis shows that the conclusion which follows for Aquinas is considerably weaker than what his aims demand. With formalizations that are logically valid in hand, we reinterpret the natural language versions of the premises and conclusions in terms of concepts of causality consistent with (and used in) recent work in cosmology done by physicists. In brief: the Kalam argument commits the fallacy of equivocation in a way that seems beyond repair; two of the premises adopted by Aquinas seem dubious when the terms `cause' and `causality' are interpreted in the context of contemporary empirical science. Thus, while there are no problems with whether the conclusions follow logically from their assumptions, the Kalam argument is not viable, and the Aquinas argument does not imply a caused origination of the universe. The assumptions of the latter are at best less than obvious relative to recent work in the sciences. We conclude with mention of a new argument that makes some positive modifications to an alternative variation on Aquinas by Le Poidevin, which nonetheless seems rather weak.Comment: 12 pages, accepted for publication in International Journal for Philosophy of Religio

Abundance determination in HII regions from spectra without the [OII]3727+3729 line

We suggest an empirical calibration for determination of oxygen and nitrogen abundances and electron temperature in HII regions where the [OII]3727+3729 line (R_2) is not available. The calibration is based on the strong emission lines of OIII, NII, and SII (NS calibration) and derived using the spectra of HII regions with measured electron temperatures as calibration datapoints. The NS calibration makes it possible to derive abundances for HII regions in nearby galaxies from the SDSS spectra where R_2 line is out of the measured wavelength range, but can also be used for the oxygen and nitrogen abundances determinations in any HII region independently whether the nebular oxygen line [OII]3727+3729 is available or not. The NS calibration provides reliable oxygen and nitrogen abundances for HII regions over the whole range of metallicities.Comment: 6 pages, 4 figures, accepted for publication in the MNRA

2,2′-Dimethoxy-4,4′-[rel-(2R,3S)-2,3-di­methylbutane-1,4-diyl]diphenol

The title mol­ecule, C20H26O4, commonly known as meso-dihydro­guaiaretic acid, is a naturally occurring lignan extracted from Larrea tridentata and other plants. The mol­ecule has a noncrystallographic inversion center situated at the midpoint of the central C—C bond, generating the meso stereoisomer. The central C—C—C—C alkyl chain displays an all-trans conformation, allowing an almost parallel arrangement of the benzene rings, which make a dihedral angle of 5.0 (3)°. Both hydr­oxy groups form weak O—H⋯O—H chains of hydrogen bonds along [100]. The resulting supra­molecular structure is an undulating plane parallel to (010)

The utility of PET/CT with 18F-FDG in the study of Hodgkin's lymphoma and non-Hodgkin's lymphoma

The lymphomas are tumors established in the lymphatic system. Due to their heterogeneity they can be classified as Hodgkin's lymphoma (HL) or non-Hodgkin's lymphoma (NHL), presenting each type of lymphoma, different prognosis and chemotherapeutic response. Currently Photon Emission Tomography/Computed Tomography (PET/CT) is considered as the "image" of excellence in the study of this pathology. In this context, it is of interest in this article to verify the usefulness of the PET/CT technique and to correlate the value of Standard Uptake Value (SUV) obtained by PET with the histological stage of lymphoma and the response to chemotherapeutic treatment. Methodology - We studied retrospectively 356 studies for 231 patients that did a PET/CT for staging, or evaluation of a mass or of the response to treatment. After administration of an average activity of 18F-FDG of 288.6 MBq, images were acquired on a PET/CT GE Discovery ST. These results were compared with clinical data of patients. Results - Significant differences were found between age vs type of lymphoma. No significant differences were found between: value of SUVmaxim nodes, extra-nodal lesions and their value of SUV for the type of lymphoma. It was verified the influence of PET/CT in the alteration of the stage of lymphoma as well as the therapeutic decision. Finally were found respectively the following values of sensitivity, specificity and accuracy: 98%, 79% and 88%. Conclusions - The results show the importance of imagingPET/CT in the evaluating the stage of the tumor and its role in monitoring and change of therapeutic decision

The bearable lightness of being

How are philosophical questions about what kinds of things there are to be understood and how are they to be answered? This paper defends broadly Fregean answers to these questions. Ontological categories-such as object, property, and relation-are explained in terms of a prior logical categorization of expressions, as singular terms, predicates of varying degree and level, etc. Questions about what kinds of object, property, etc., there are are, on this approach, reduce to questions about truth and logical form: for example, the question whether there are numbers is the question whether there are true atomic statements in which expressions function as singular terms which, if they have reference at all, stand for numbers, and the question whether there are properties of a given type is a question about whether there are meaningful predicates of an appropriate degree and level. This approach is defended against the objection that it must be wrong because makes what there depend on us or our language. Some problems confronting the Fregean approach-including Frege's notorious paradox of the concept horse-are addressed. It is argued that the approach results in a modest and sober deflationary understanding of ontological commitments

Multiple cycles of dose-intensive chemotherapy with repeated stem cell support as induction treatment in metastatic breast cancer: a feasibility study

The purpose of this trial was to study feasibility and tolerance of a dose-intensive multicyclic alternating induction chemotherapy with repeated stem cell support in a series of 43 metastatic breast cancer patients. Anthracycline-naive patients (n = 21) received cyclophosphamide 2.5 g/m2 plus doxorubicin 80 mg/m2 alternating every 14 days with paclitaxel 200-350 mg/m2 plus cisplatin 120 mg/m2. Patients who had previously received anthracyclines (n = 22) received cisplatin 120 mg/m2 plus etoposide 600 mg/m2 alternating with paclitaxel 200-350 mg/m2 plus ifosfamide 8 g/m2. Peripheral blood stem cells were infused after every course except the first, with a median CD34+ dose of 2.1 ´ 106/kg per cycle. Positive selection of CD34+ cells was performed in good mobilizers. The median number of cycles administered was six (4-8), and the time interval between them was 17 days. Median summation dose intensities (SDI) actually administered for the CA-TP and PE-TI protocol were 4.95 and 4.69, respectively (87% of scheduled SDI). There were 15 complete (35%) and 21 partial responses (49%), for an overall response rate of 84% (95% CI, 73%-95%). Infection or neutropenic fever occurred in 50% of the cycles. There was one treatment-related death. After a median follow-up of 26 months, the median event-free-survival was 12 months (95% CI: 10-14) and overall survival was 31 months. These high dose-intensity induction treatments seem to be feasible with sequential stem cell support

The oxygen abundance distribution in M101

The well-observed spiral galaxy M101 was considered. The radial distributions of oxygen abundances determined in three different ways (with the classic Te - method, with the R23 - method, and with the P -- method) were compared. It was found that the parameters (the central oxygen abundance and the gradient) of the radial O/H(P) abundance distribution are close to those of the O/H(Te) abundance distribution. The parameters of the O/H(R23) abundance distribution differ significantly from those of the O/H(Te) abundance distribution: the central O/H(R23) oxygen abundance is higher by around 0.4dex and the gradient is steeper by a factor of around 1.5 as compared to those values in the O/H(Te) abundance distribution. The dispersion in O/H(P) abundance at fixed radius is rather small, around 0.08 dex, and is equal to that in O/H(Te) abundance. The dispersion in O/H(R23) abundance at fixed radius is appreciably larger, around 0.16 dex, compared to that in O/H(Te) abundance. It has been shown that the extra dispersion in O/H(R23) abundances is an artifact and reflects scatter in excitation parameter P at fixed radius.Comment: 7 pages, 5 figures, accepted for publication in Astronomy and Astrophysic

"Counterpart" method for abundance determinations in HII regions

We suggest a new way of the determining abundances and electron temperatures in HII regions from strong emission lines. Our approach is based on the standard assumption that HII regions with similar intensities of strong emission lines have similar physical properties and abundances. A "counterpart" for a studied HII region may be chosen among HII regions with well-measured abundances (reference HII regions) by comparison of carefully chosen combinations of strong line intensities. Then the abundances in the investigated HII region can be assumed to be the same as that in its counterpart. In other words, we suggest to determine the abundances in HII regions "by precedent". To get more reliable abundances for the considered HII region, a number of reference HII regions is selected and then the abundances in the target HII region is estimated through extra-/interpolation. We will refer to this method of abundance determination as the counterpart method or, for brevity, the C method. We define a sample of reference HII regions and verify the validity of the C method. We find that this method produces reliable abundances. Finally, the C method is used to obtain the radial abundance distributions in the extended discs of the spiral galaxies M83, NGC4625 and NGC 628.Comment: 21 pages, 11 figures, accepted for publication in the MNRA