35 research outputs found
Spatial regression models over two-dimensional manifolds
We propose a regression model for data spatially distributed over general two-dimensional Riemannian manifolds. This is a generalized additive model with a roughness penalty term involving a differential operator computed over the non-planar domain. By virtue of a semiparametric framework, the model allows inclusion of space-varying covariate information. Estimation can be performed by conformally parameterizing the non-planar domain and then generalizing existing models for penalized spatial regression over planar domains. The conformal coordinates and the estimation problem are both computed with a finite element approach
Results of a prospective observational study of autologous peripheral blood mononuclear cell therapy for no-option critical limb-threatening ischemia and severe diabetic foot ulcers
Cell therapy with autologous peripheral blood mononuclear cells (PB-MNCs) may help restore limb perfusion in patients with diabetes mellitus and critical limb-threatening ischemia (CLTI) deemed not eligible for revascularization procedures and consequently at risk for major amputation (no-option). Fundamental is to establish its clinical value and to identify candidates with a greater benefit over time. Assessing the frequency of PB circulating angiogenic cells and extracellular vesicles (EVs) may help in guiding candidate selection
REQUITE: A prospective multicentre cohort study of patients undergoing radiotherapy for breast, lung or prostate cancer
Purpose: REQUITE aimed to establish a resource for multi-national validation of models and biomarkers that predict risk of late toxicity following radiotherapy. The purpose of this article is to provide summary descriptive data.
Methods: An international, prospective cohort study recruited cancer patients in 26 hospitals in eight countries between April 2014 and March 2017. Target recruitment was 5300 patients. Eligible patients had breast, prostate or lung cancer and planned potentially curable radiotherapy. Radiotherapy was prescribed according to local regimens, but centres used standardised data collection forms. Pre-treatment blood samples were collected. Patients were followed for a minimum of 12 (lung) or 24 (breast/prostate) months and summary descriptive statistics were generated.
Results: The study recruited 2069 breast (99% of target), 1808 prostate (86%) and 561 lung (51%) cancer patients. The centralised, accessible database includes: physician-(47,025 forms) and patient-(54,901) reported outcomes; 11,563 breast photos; 17,107 DICOMs and 12,684 DVHs. Imputed genotype data are available for 4223 patients with European ancestry (1948 breast, 1728 prostate, 547 lung). Radiation-induced lymphocyte apoptosis (RILA) assay data are available for 1319 patients. DNA (n = 4409) and PAXgene tubes (n = 3039) are stored in the centralised biobank. Example prevalences of 2-year (1-year for lung) grade >= 2 CTCAE toxicities are 13% atrophy (breast), 3% rectal bleeding (prostate) and 27% dyspnoea (lung).
Conclusion: The comprehensive centralised database and linked biobank is a valuable resource for the radiotherapy community for validating predictive models and biomarkers.
Patient summary: Up to half of cancer patients undergo radiation therapy and irradiation of surrounding healthy tissue is unavoidable. Damage to healthy tissue can affect short-and long-term quality-of-life. Not all patients are equally sensitive to radiation "damage" but it is not possible at the moment to identify those who are. REQUITE was established with the aim of trying to understand more about how we could predict radiation sensitivity. The purpose of this paper is to provide an overview and summary of the data and material available.
In the REQUITE study 4400 breast, prostate and lung cancer patients filled out questionnaires and donated blood. A large amount of data was collected in the same way. With all these data and samples a database and biobank were created that showed it is possible to collect this kind of information in a standardised way across countries.
In the future, our database and linked biobank will be a resource for research and validation of clinical predictors and models of radiation sensitivity. REQUITE will also enable a better understanding of how many people suffer with radiotherapy toxicity
Functional regression models: some directions of future research
We congratulate the authors for their excellent work that provides a clear overview of the large and now mature field of regression models for functional data. We here complement their discussion indicating some directions of further research that we deem particularly important. </jats:p
Classification of the Aneurisk65 dataset using PCA for partially observed functional data
When functional data are observed over a domain that is subject-specific, most of the techniques for functional data analysis are invalidated. Recently, new methods able to handle this situation were developed and in particular we focus on well-known functional PCA. With the aim of classifying the Aneurisk65 dataset, we apply a few possible methods and we show that carrying out the analysis over the full domain, where at least one of the functional data is observed, may not be the optimal choice. This is also confirmed in a simulation study, where the best interval for classification lies between the common domain and the full domain
Principal differential analysis of the Aneurisk65 data set
We explore the use of principal differential analysis as a tool for performing dimensional reduction of functional data sets. In particular, we compare the results provided by principal differential analysis and by functional principal component analysis in the dimensional reduction of three synthetic data sets, and of a real data set concerning 65 three-dimensional cerebral geometries, the AneuRisk65 data set. The analyses show that principal differential analysis can provide an alternative and effective representation of functional data, easily interpretable in terms of exponential, sinusoidal, or damped-sinusoidal functions and providing a different insight to the functional data set under investigation. Moreover, in the analysis of the AneuRisk65 data set, principal differential analysis is able to detect interesting features of the data, such as the rippling effect of the vessel surface, that functional principal component analysis is not able to detect