21 research outputs found
Rydberg blockade with multivalent atoms: effect of Rydberg series perturbation on van der Waals interactions
We investigate the effect of series perturbation on the second order
dipole-dipole interactions between strontium atoms in and
Rydberg states as a means of engineering long-range
interactions between atoms in a way that gives an exceptional level of control
over the strength and the sign of the interaction by changing . We utilize
experimentally available data to estimate the importance of perturber states at
low , and find that van der Waals interaction between two strontium atoms in
the states shows strong peaks outside the usual hydrogenic
scaling. We identify this to be the result of the perturbation of
intermediate states by the and
states in the range. This demonstrates that divalent atoms in general
present a unique advantage for creating substantially stronger or weaker
interaction strengths than those can be achieved using alkali metal atoms due
to their highly perturbed spectra that can persist up to high-
The clinical and pathological features of 133 colorectal cancer patients with brain metastasis: a multicenter retrospective analysis of the Gastrointestinal Tumors Working Committee of the Turkish Oncology Group (TOG)
WOS: 000341835700025PubMed ID: 25108599Brain metastasis in colorectal cancer is highly rare. In the present study, we aimed to determine the frequency of brain metastasis in colorectal cancer patients and to establish prognostic characteristics of colorectal cancer patients with brain metastasis. In this cross-sectional study, the medical files of colorectal cancer patients with brain metastases who were definitely diagnosed by histopathologically were retrospectively reviewed. Brain metastasis was detected in 2.7 % (n = 133) of 4,864 colorectal cancer patients. The majority of cases were male (53 %), older than 65 years (59 %), with rectum cancer (56 %), a poorly differentiated tumor (70 %); had adenocarcinoma histology (97 %), and metachronous metastasis (86 %); received chemotherapy at least once for metastatic disease before brain metastasis developed (72 %), had progression with lung metastasis before (51 %), and 26 % (n = 31) of patients with extracranial disease at time the diagnosis of brain metastasis had both lung and bone metastases. The mean follow-up duration was 51 months (range 5-92), and the mean survival was 25.8 months (95 % CI 20.4-29.3). Overall survival rates were 81 % in the first year, 42.3 % in the third year, and 15.7 % in the fifth year. In multiple variable analysis, the most important independent risk factor for overall survival was determined as the presence of lung metastasis (HR 1.43, 95 % CI 1.27-4.14; P = 0.012). Brain metastasis develops late in the period of colorectal cancer and prognosis in these patients is poor. However, early screening of brain metastases in patients with lung metastasis may improve survival outcomes with new treatment modalities