• 제목/요약/키워드: MCC

검색결과 219건 처리시간 0.023초

Comparison of Radiological Tumor Response Based on iRECIST and RECIST 1.1 in Metastatic Clear-Cell Renal Cell Carcinoma Patients Treated with Programmed Cell Death-1 Inhibitor Therapy

  • Bingjie Zheng;Ji Hoon Shin;Hailiang Li;Yanqiong Chen;Yuan Guo;Meiyun Wang
    • Korean Journal of Radiology
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    • 제22권3호
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    • pp.366-375
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    • 2021
  • Objective: To evaluate the radiological tumor response patterns and compare the response assessments based on immune-based therapeutics Response Evaluation Criteria in Solid Tumors (iRECIST) and RECIST 1.1 in metastatic clear-cell renal cell carcinoma (mccRCC) patients treated with programmed cell death-1 (PD-1) inhibitors. Materials and Methods: All mccRCC patients treated with PD-1 inhibitors at Henan Cancer Hospital, China, between January 2018 and April 2019, were retrospectively studied. A total of 30 mccRCC patients (20 males and 10 females; mean age, 55.6 years; age range, 37-79 years) were analyzed. The target lesions were quantified on consecutive CT scans during therapy using iRECIST and RECIST 1.1. The tumor growth rate was calculated before and after therapy initiation. The response patterns were analyzed, and the differences in tumor response assessments of the two criteria were compared. The intra- and inter-observer variabilities of iRECIST and RECIST 1.1 were also analyzed. Results: The objective response rate throughout therapy was 50% (95% confidence interval [CI]: 32.1-67.9) based on iRECIST and 30% (95% CI: 13.6-46.4) based on RECIST 1.1. The time-to-progression (TTP) based on iRECIST was longer than that based on RECIST 1.1 (median TTP: not reached vs. 170 days, p = 0.04). iRECIST and RECIST 1.1 were discordant in 8 cases, which were evaluated as immune-unconfirmed PD based on iRECIST and PD based on RECIST 1.1. Six patients (20%, 6/30) had pseudoprogression based on iRECIST, of which four demonstrated early pseudoprogression and two had delayed pseudoprogression. Significant differences in the tumor response assessments based on the two criteria were observed (p < 0.001). No patients demonstrated hyperprogression during the study period. Conclusion: Our study confirmed that the iRECIST criteria are more capable of capturing immune-related atypical responses during immunotherapy, whereas conventional RECIST 1.1 may underestimate the benefit of PD-1 inhibitors. Pseudoprogression is not rare in mccRCC patients during PD-1 inhibitor therapy, and it may last for more than the recommended maximum of 8 weeks, indicating a limitation of the current strategy for immune response monitoring.

Corrosion of Rebar by Chlorides and Concrete Durability

  • Hong, Naifeng
    • Corrosion Science and Technology
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    • 제3권3호
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    • pp.127-130
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    • 2004
  • Throughout the world, corrosion of rebar in concrete is a main form for concrete building destruction. The chloride is prime criminal. This paper presents the harm of chloride corrosion in China, the effect of chloride corrosion on the durability of concrete buildings and protection strategies for rebar corrosion.

Lung Cancer in Malabar Cancer Center in Kerala - A Descriptive Analysis

  • Bhaskarapillai, Binukumar;Kumar, Saina Sunil;Balasubramanian, Satheesan
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4639-4643
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    • 2012
  • The burden of lung cancer in terms of mortality is the highest among all types of cancers globally. The present study aimed to evaluate lifestyle related habits, clinico-pathological profile and treatment details of lung cancer patients who were registered at Malabar Cancer Centre (MCC), Kerala, during the calendar year 2010. A retrospective evaluation was made from medical records to gather data from 281 registered lung cancer cases in 241 males and 40 females, with a male to female ratio of 6.03: 1. Approximately 89% of the cases were above 50 years of age. Among males about 91% of the cases were smokers and 62% of them had a chronic smoking habit. Adenocarcinomas, squamous cell carcinomas, non-small cell carcinomas and small cell cancers accounted for 10.7, 13.9, 17.0 and 5.7% respectively. Out of 281 cases around 67% were diagnosed with distant metastasis and the remainder had regional lymph node involvement. However, no statistically significant difference was observed for secondary site of tumor according to gender. As majority of the cases reported at MCC were in an advanced stage of the disease, histology of the secondary site from supraclavicular lymph nodes or liver was taken for diagnosis. Initiation of population based screening for early detection of cancer, and primary and secondary prevention strategies for reducing the prevalence of tobacco consumption are high priorities to reduce the lung cancer burden in Kerala.

유한요소해석을 이용한 SBP 시험의 결과해석 - 점성토 지반의 압밀특성 (Numerical analysis of Self-Boring Pressuremeter test results using FEM - Consolidation characteristics of clay)

  • 장인성;정충기
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 1999년도 가을 학술발표회 논문집
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    • pp.67-74
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    • 1999
  • Self-Boring Pressuremeter Test(SBPT) is known to be the most effective in-situ test method which can reliably determine consolidation characteristics as well as deformation modules and untrained shear strength. In order to derive the coefficient of consolidation using SBPT results it is necessary to obtain the dissipation behavior from the pore pressure change with time during constant radial strain(generally 10%) and to derive the reliable time factor(Τ) from the analytical method which considers the real in-situ conditions. As previous studies on time factor are based on the assumptions of plane strain condition that the membrane of SBP is infinite, of untrained condition during the expansion of the probe and of elastic soil behavior during consolidation, these analyses can't consider the real boundary conditions and the real soil behaviour. In this study, consolidation analysis similar to real in-situ conditions including test procedure is conducted using finite element program which employs MCC model and Biot theory. Time factor considering the effects of finite membrane length, the total pressure change during consolidation and partial drainage is proposed and compared with previous results.

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Morphology of Nanocelluloses and Micro-sized Cellulose Fibers Isolated by Acid Hydrolysis Method

  • Cho, Mi-Jung;Park, Byung-Dae
    • 펄프종이기술
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    • 제41권5호
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    • pp.26-32
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    • 2009
  • As a part of utilizing the nanocellulose (NC) from lignocellulosic components of wood biomass, this paper reports preliminary results on the products of sulfuric acid hydrolysis. The purpose of this study was to investigate the morphology of both NC and micro-sized cellulose fiber (MCF) isolated by acid hydrolysis from commercial microcrystalline cellulose (MCC). Field emission.scanning electron microscopy (FE-SEM) and transmission electron microscopy (TEM) were employed to observe the acid hydrolysis suspension, NC, and MCF. The electron microscopy observations showed that the acid hydrolysis suspension, before separation into NC and MCF by centrifugation, was composed of nano-sized NCs and micro-sized MCFs. The morphology of isolated NCs was a whisker form of rod-like NCs. Measurements of individual NCs using TEM indicated dimensions of 6.96$\pm$0.87 nm wide by 178$\pm$55 nm long. Observations of the MCFs showed that most of the MCC particles had de-fibered into relatively long fibers with a diameter of 3-9 ${\mu}m$, depending on the degree of acid hydrolysis. These results suggest that proper technologies are required to effectively realize the potentials of both NCs and MCFs.

Lennox-Gastaut 증후군으로 발현된 3-Methylcrotonyl-CoA Carboxylase 결핍증 1례 (A Case of Lennox-Gastaut Syndrome due to 3-Methylcrotonyl CoA Carboxylase Deficiency)

  • 강훈철;한유석;이홍진;김흥동
    • 대한유전성대사질환학회지
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    • 제4권1호
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    • pp.46-53
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    • 2004
  • 3-Methylcrotonyl-CoA carboxylase (MCC) is a biotin-dependent enzyme involved in leucine metabolism. We describe a patient with MCC deficiency who manifested with Reye syndrome-like illness with status epilepticus, metabolic acidosis, hypoglycemia, hyperammonemia, elevated liver enzymes and neurologic impairments after the viral gastroenteritis and then, has suffered from Lennox-Gastaut syndrome. Urinary organic acid analysis revealed increased excretion of 3-hydroxyisovaleric acid and 3-methylcrotonylglycine. This patient was managed with leucine restriction diet and supplementation of biotin and carnitine but was not so effective. He has suffered from neurologic sequelae such as Lennox-Gastaut syndrome, motor and cognitive impairement.

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MOTOR CONTROL CENTER (MCC) BASED TECHNOLOGY STUDY FOR SAFETY-RELATED MOTOR OPERATED VALVES

  • Kang, Shin-Cheul;Park, Sung-Keun;Lee, Do-Hwan;Kim, Yang-Seok
    • Nuclear Engineering and Technology
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    • 제38권2호
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    • pp.155-162
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    • 2006
  • It is necessary to monitor periodically the operability of safety-related motor-operated valves (MOVs) in nuclear power plants. However, acquiring diagnostic signals for MOVs is very difficult, and doing so requires an excessive amount of time, effort, and expenditure. This paper introduces an accurate and economical method to evaluate the performance of MOVs remotely. The technique to be utilized includes electrical measurements and signal processing to estimate the motor torque and the stem thrust, which have been cited as the two most effective parameters in diagnosing MOVs by the US Nuclear Regulatory Commission. The motor torque is calculated by using electrical signals, which can be measured in the motor control center (MCC). Some advantages of using the motor torque signature over other signatures are examined. The stem thrust is calculated considering the characteristics of the MOV and the estimated motor torque. The basic principle of estimating stem thrust is explained. The developed method is implemented in diagnostic equipment, namely, the Motor Operated Valve Intelligent Diagnostic System (MOVIDS), which is used to obtain the accuracy of and to validate the applicability of the developed method in nuclear power plants. Finally, the accuracy of the developed method is presented and some examples applied to field data are discussed.