121 research outputs found
The Giant Dipole Resonance as a quantitative constraint on the symmetry energy
The possible constraints on the poorly determined symmetry part of the
effective nuclear Hamiltonians or effective energy functionals, i.e., the
so-called symmetry energy S(rho), are very much under debate. In the present
work, we show that the value of the symmetry energy associated with Skyrme
functionals, at densities rho around 0.1 fm^{-3}, is strongly correlated with
the value of the centroid of the Giant Dipole Resonance (GDR) in spherical
nuclei. Consequently, the experimental value of the GDR in, e.g., 208Pb can be
used as a constraint on the symmetry energy, leading to 23.3 MeV < S(rho=0.1
fm^{-3}) < 24.9 MeV.Comment: 5 pages, 2 figures, submitte
Bayesian Uncertainty Directed Trial Designs
Most Bayesian response-adaptive designs unbalance randomization rates toward the most promising arms with the goal of increasing the number of positive treatment outcomes during the study, even though the primary aim of the trial is different. We discuss Bayesian uncertainty directed designs (BUD), a class of Bayesian designs in which the investigator specifies an information measure tailored to the experiment. All decisions during the trial are selected to optimize the available information at the end of the study. The approach can be applied to several designs, ranging from early stage multi-arm trials to biomarker-driven and multi-endpoint studies. We discuss the asymptotic limit of the patient allocation proportion to treatments, and illustrate the finite-sample operating characteristics of BUD designs through examples, including multi-arm trials, biomarker-stratified trials, and trials with multiple co-primary endpoints. Supplementary materials for this article, including a standardized description of the materials available for reproducing the work, are available as an online supplement.The work of SB was partially supported by funding from the Cantab Capital Institute for the Mathematics of Information. LT has been supported by a Burroughs Wellcome Fund Award for Innovation in Regulatory Science and the The Claudia Adams Barr Program in Innovative Basic Cancer Research
Professional or amateur? The phonological output buffer as a working memory operator
The Phonological Output Buffer (POB) is thought to be the stage in language production where phonemes are held in working memory and assembled into words. The neural implementation of the POB remains unclear despite a wealth of phenomenological data. Individuals with POB impairment make phonological errors when they produce words and non-words, including phoneme omissions, insertions, transpositions, substitutions and perseverations. Errors can apply to different kinds and sizes of units, such as phonemes, number words, morphological affixes, and function words, and evidence from POB impairments suggests that units tend to substituted with units of the same kind-e.g., numbers with numbers and whole morphological affixes with other affixes. This suggests that different units are processed and stored in the POB in the same stage, but perhaps separately in different mini-stores. Further, similar impairments can affect the buffer used to produce Sign Language, which raises the question of whether it is instantiated in a distinct device with the same design. However, what appear as separate buffers may be distinct regions in the activity space of a single extended POB network, connected with a lexicon network. The self-consistency of this idea can be assessed by studying an autoassociative Potts network, as a model of memory storage distributed over several cortical areas, and testing whether the network can represent both units of word and signs, reflecting the types and patterns of errors made by individuals with POB impairment
Sufficientness postulates for Gibbs-type priors and hierarchical generalizations
A fundamental problem in Bayesian nonparametrics consists of selecting a prior distribution by assuming that the corresponding predictive probabilities obey certain properties. An early discussion of such a problem, although in a parametric framework, dates back to the seminal work by English philosopher W. E. Johnson, who introduced a noteworthy characterization for the predictive probabilities of the symmetric Dirichlet prior distribution. This is typically referred to as Johnson’s “sufficientness” postulate. In this paper we review some nonparametric generalizations of Johnson’s postulate for a class of nonparametric priors known as species sampling models. In particular we revisit and discuss the “sufficientness” postulate for the two parameter Poisson-Dirichlet prior within the more general framework of Gibbs-type priors and their hierarchical generalizations.. Stefano Favaro is supported by the European Research Council through StG N-BNP 306406. Marco Battiston’s research leading to these results has received funding from the European Research Council under the European Union’s Seventh Framework Programme (FP7/2007-2013) ERC grant agreement number 617071
EP-1423: Hypofractionated radiotherapy for complicated bone metastases in patients with poor performance
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The effects of releasing early results from ongoing clinical trials.
Most trials do not release interim summaries on efficacy and toxicity of the experimental treatments being tested, with this information only released to the public after the trial has ended. While early release of clinical trial data to physicians and patients can inform enrollment decision making, it may also affect key operating characteristics of the trial, statistical validity and trial duration. We investigate the public release of early efficacy and toxicity results, during ongoing clinical studies, to better inform patients about their enrollment options. We use simulation models of phase II glioblastoma (GBM) clinical trials in which early efficacy and toxicity estimates are periodically released accordingly to a pre-specified protocol. Patients can use the reported interim efficacy and toxicity information, with the support of physicians, to decide which trial to enroll in. We describe potential effects on various operating characteristics, including the study duration, selection bias and power
Imprints of Nuclear Symmetry Energy on Properties of Neutron Stars
Significant progress has been made in recent years in constraining the
density dependence of nuclear symmetry energy using terrestrial nuclear
laboratory data. Around and below the nuclear matter saturation density, the
experimental constraints start to merge in a relatively narrow region. At
supra-saturation densities, there are, however, still large uncertainties.
After summarizing the latest experimental constraints on the density dependence
of nuclear symmetry energy, we highlight a few recent studies examining
imprints of nuclear symmetry energy on the binding energy, energy release
during hadron-quark phase transitions as well as the -mode frequency and
damping time of gravitational wave emission of neutron stars.Comment: 10 pages. Invited talk given in the Nuclear Astrophysics session of
INPC2010, July 4-9, 2010, Vancouver, Canada; Journal of Physics: Conference
Series (2011
Genetic subtypes of smoldering multiple myeloma are associated with distinct pathogenic phenotypes and clinical outcomes
Smoldering multiple myeloma (SMM) is a precursor condition of multiple myeloma (MM) with significant heterogeneity in disease progression. Existing clinical models of progression risk do not fully capture this heterogeneity. Here we integrate 42 genetic alterations from 214 SMM patients using unsupervised binary matrix factorization (BMF) clustering and identify six distinct genetic subtypes. These subtypes are differentially associated with established MM-related RNA signatures, oncogenic and immune transcriptional profiles, and evolving clinical biomarkers. Three genetic subtypes are associated with increased risk of progression to active MM in both the primary and validation cohorts, indicating they can be used to better predict high and low-risk patients within the currently used clinical risk stratification models
Genomic Profiling of Smoldering Multiple Myeloma Identifies Patients at a High Risk of Disease Progression
PURPOSE: Smoldering multiple myeloma (SMM) is a precursor condition of multiple myeloma (MM) with a 10% annual risk of progression. Various prognostic models exist for risk stratification; however, those are based on solely clinical metrics. The discovery of genomic alterations that underlie disease progression to MM could improve current risk models. METHODS: We used next-generation sequencing to study 214 patients with SMM. We performed whole-exome sequencing on 166 tumors, including 5 with serial samples, and deep targeted sequencing on 48 tumors. RESULTS: We observed that most of the genetic alterations necessary for progression have already been acquired by the diagnosis of SMM. Particularly, we found that alterations of the mitogen-activated protein kinase pathway (KRAS and NRAS single nucleotide variants [SNVs]), the DNA repair pathway (deletion 17p, TP53, and ATM SNVs), and MYC (translocations or copy number variations) were all independent risk factors of progression after accounting for clinical risk staging. We validated these findings in an external SMM cohort by showing that patients who have any of these three features have a higher risk of progressing to MM. Moreover, APOBEC associated mutations were enriched in patients who progressed and were associated with a shorter time to progression in our cohort. CONCLUSION: SMM is a genetically mature entity whereby most driver genetic alterations have already occurred, which suggests the existence of a right-skewed model of genetic evolution from monoclonal gammopathy of undetermined significance to MM. We identified and externally validated genomic predictors of progression that could distinguish patients at high risk of progression to MM and, thus, improve on the precision of current clinical models
Personalised progression prediction in patients with monoclonal gammopathy of undetermined significance or smouldering multiple myeloma (PANGEA): a retrospective, multicohort study
BACKGROUND: Patients with precursors to multiple myeloma are dichotomised as having monoclonal gammopathy of undetermined significance or smouldering multiple myeloma on the basis of monoclonal protein concentrations or bone marrow plasma cell percentage. Current risk stratifications use laboratory measurements at diagnosis and do not incorporate time-varying biomarkers. Our goal was to develop a monoclonal gammopathy of undetermined significance and smouldering multiple myeloma stratification algorithm that utilised accessible, time-varying biomarkers to model risk of progression to multiple myeloma. METHODS: In this retrospective, multicohort study, we included patients who were 18 years or older with monoclonal gammopathy of undetermined significance or smouldering multiple myeloma. We evaluated several modelling approaches for predicting disease progression to multiple myeloma using a training cohort (with patients at Dana-Farber Cancer Institute, Boston, MA, USA; annotated from Nov, 13, 2019, to April, 13, 2022). We created the PANGEA models, which used data on biomarkers (monoclonal protein concentration, free light chain ratio, age, creatinine concentration, and bone marrow plasma cell percentage) and haemoglobin trajectories from medical records to predict progression from precursor disease to multiple myeloma. The models were validated in two independent validation cohorts from National and Kapodistrian University of Athens (Athens, Greece; from Jan 26, 2020, to Feb 7, 2022; validation cohort 1), University College London (London, UK; from June 9, 2020, to April 10, 2022; validation cohort 1), and Registry of Monoclonal Gammopathies (Czech Republic, Czech Republic; Jan 5, 2004, to March 10, 2022; validation cohort 2). We compared the PANGEA models (with bone marrow [BM] data and without bone marrow [no BM] data) to current criteria (International Myeloma Working Group [IMWG] monoclonal gammopathy of undetermined significance and 20/2/20 smouldering multiple myeloma risk criteria). FINDINGS: We included 6441 patients, 4931 (77%) with monoclonal gammopathy of undetermined significance and 1510 (23%) with smouldering multiple myeloma. 3430 (53%) of 6441 participants were female. The PANGEA model (BM) improved prediction of progression from smouldering multiple myeloma to multiple myeloma compared with the 20/2/20 model, with a C-statistic increase from 0·533 (0·480-0·709) to 0·756 (0·629-0·785) at patient visit 1 to the clinic, 0·613 (0·504-0·704) to 0·720 (0·592-0·775) at visit 2, and 0·637 (0·386-0·841) to 0·756 (0·547-0·830) at visit three in validation cohort 1. The PANGEA model (no BM) improved prediction of smouldering multiple myeloma progression to multiple myeloma compared with the 20/2/20 model with a C-statistic increase from 0·534 (0·501-0·672) to 0·692 (0·614-0·736) at visit 1, 0·573 (0·518-0·647) to 0·693 (0·605-0·734) at visit 2, and 0·560 (0·497-0·645) to 0·692 (0·570-0·708) at visit 3 in validation cohort 1. The PANGEA models improved prediction of monoclonal gammopathy of undetermined significance progression to multiple myeloma compared with the IMWG rolling model at visit 1 in validation cohort 2, with C-statistics increases from 0·640 (0·518-0·718) to 0·729 (0·643-0·941) for the PANGEA model (BM) and 0·670 (0·523-0·729) to 0·879 (0·586-0·938) for the PANGEA model (no BM). INTERPRETATION: Use of the PANGEA models in clinical practice will allow patients with precursor disease to receive more accurate measures of their risk of progression to multiple myeloma, thus prompting for more appropriate treatment strategies. FUNDING: SU2C Dream Team and Cancer Research UK
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