334,918 research outputs found
External validation of a mammographic texture marker for breast cancer risk in a case–control study
Purpose:
The pattern of dense tissue on a mammogram appears to provide additional information than overall density for risk assessment, but there has been little consistency in measures of texture identified. The purpose of this study is thus to validate a mammographic texture feature developed from a previous study in a new setting.
Approach:
A case–control study (316 invasive cases and 1339 controls) of women in Virginia, USA was used to validate a mammographic texture feature (MMTEXT) derived in a independent previous study. Analysis of predictive ability was adjusted for age, demographic factors, questionnaire risk factors (combined through the Tyrer-Cuzick model), and optionally BI-RADS breast density. Odds ratios per interquartile range (IQ-OR) in controls were estimated. Subgroup analysis assessed heterogeneity by mode of cancer detection (94 not detected by mammography).
Results:
MMTEXT was not a significant risk factor at 0.05 level after adjusting for classical risk factors (IQ-OR = 1.16, 95%CI 0.92 to 1.46), nor after further adjustment for BI-RADS density (IQ-OR = 0.92, 95%CI 0.76 to 1.10). There was weak evidence that MMTEXT was more predictive for cancers that were not detected by mammography (unadjusted for density: IQ-OR = 1.46, 95%CI 0.99 to 2.15 versus 1.03, 95%CI 0.79 to 1.35, Phet 0.10; adjusted for density: IQ-OR = 1.11, 95%CI 0.70 to 1.77 versus 0.76, 95%CI 0.55 to 1.05, Phet 0.21).
Conclusions:
MMTEXT is unlikely to be a useful imaging marker for invasive breast cancer risk assessment in women attending mammography screening. Future studies may benefit from a larger sample size to confirm this as well as developing and validating other measures of risk. This negative finding demonstrates the importance of external validation
Rapid assessment and discharge, optimizing emergency department bed space allocation : an interrupted time-series analysis
Exploring the prediction performance for breast cancer risk based on volumetric mammographic density at different thresholds
Background
The percentage of mammographic dense tissue (PD) defined by pixel value threshold is a well-established risk factor for breast cancer. Recently there has been some evidence to suggest that an increased threshold based on visual assessment could improve risk prediction. It is unknown, however, whether this also applies to volumetric density using digital raw mammograms.
Method
Two case-control studies nested within a screening cohort (ages of participants 46–73 years) from Manchester UK were used. In the first study (317 cases and 947 controls) cases were detected at the first screen; whereas in the second study (318 cases and 935 controls), cases were diagnosed after the initial mammogram. Volpara software was used to estimate dense tissue height at each pixel point, and from these, volumetric and area-based PD were computed at a range of thresholds. Volumetric and area-based PDs were evaluated using conditional logistic regression, and their predictive ability was assessed using the Akaike information criterion (AIC) and matched concordance index (mC).
Results
The best performing volumetric PD was based on a threshold of 5 mm of dense tissue height (which we refer to as VPD5), and the best areal PD was at a threshold level of 6 mm (which we refer to as APD6), using pooled data and in both studies separately. VPD5 showed a modest improvement in prediction performance compared to the original volumetric PD by Volpara with ΔAIC = 5.90 for the pooled data. APD6, on the other hand, shows much stronger evidence for better prediction performance, with ΔAIC = 14.52 for the pooled data, and mC increased slightly from 0.567 to 0.577.
Conclusion
These results suggest that imposing a 5 mm threshold on dense tissue height for volumetric PD could result in better prediction of cancer risk. There is stronger evidence that area-based density with a 6 mm threshold gives better prediction than the original volumetric density metric
Dirac perturbations on Schwarzschild-anti-de Sitter spacetimes: Generic boundary conditions and new quasinormal modes
We study Dirac quasinormal modes of Schwarzschild–anti–de Sitter (Schwarzschild-AdS) black holes, following the generic principle for allowed boundary conditions proposed in [M. Wang, C. Herdeiro, and M. O. P. Sampaio, Phys. Rev. D 92, 124006 (2015).]
What is a Macrophyte Patch? Patch Identification in Aquatic Ecosystems and Guidelines for Consistent Delineation
Schoelynck J, Creëlle S, Buis K, De Mulder T, Emsens W, Hein T, Meire D, Meire P, Okruszko T, Preiner S, Roldan Gonzalez R, Silinski A, Temmerman S, Troch P, Van Oyen T, Verschoren V, Visser F, Wang C, Wolters J, Folkard A, in press. . Ecohydrology & Hydrobiology. DOI 10.1016/j.ecohyd.2017.10.00
A wideband linear tunable CDTA and its application in field programmable analogue array
This document is the Accepted Manuscript version of the following article: Hu, Z., Wang, C., Sun, J. et al. ‘A wideband linear tunable CDTA and its application in field programmable analogue array’, Analog Integrated Circuits and Signal Processing, Vol. 88 (3): 465-483, September 2016. Under embargo. Embargo end date: 6 June 2017. The final publication is available at Springer via https://link.springer.com/article/10.1007%2Fs10470-016-0772-7 © Springer Science+Business Media New York 2016In this paper, a NMOS-based wideband low power and linear tunable transconductance current differencing transconductance amplifier (CDTA) is presented. Based on the NMOS CDTA, a novel simple and easily reconfigurable configurable analogue block (CAB) is designed. Moreover, using the novel CAB, a simple and versatile butterfly-shaped FPAA structure is introduced. The FPAA consists of six identical CABs, and it could realize six order current-mode low pass filter, second order current-mode universal filter, current-mode quadrature oscillator, current-mode multi-phase oscillator and current-mode multiplier for analog signal processing. The Cadence IC Design Tools 5.1.41 post-layout simulation and measurement results are included to confirm the theory.Peer reviewedFinal Accepted Versio
Evidence for B0->pi0pi0
We report evidence for the decay B0->pi0pi0. The analysis is based on a data
sample of 152million BBbar pairs collected at the Upsilon(4s) resonance with
the Belle detector at the KEKB e+e- storage ring. We find
25.6+9.3/-8.4(stat)+1.6/-1.4(syst) B0->pi0pi0 signal events with a significance
of 3.4 standard deviations. We measure the branching fraction to be
(1.7+-0.6(stat)+-0.2(syst))*10^{-6}.Comment: Submitted to PR
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