• Title/Summary/Keyword: Node Pattern

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Role of Recurrence Pattern Multiplicity in Predicting Post-recurrence Survival in Patients Who Underwent Curative Gastrectomy for Gastric Cancer

  • Jun-Young Yang;Ji-Hyeon Park;Seung Joon Choi;Woon Kee Lee
    • Journal of Gastric Cancer
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    • v.24 no.2
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    • pp.231-242
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    • 2024
  • Purpose: This study aimed to investigate the recurrence patterns in patients who underwent curative surgery for gastric cancer (GC) and analyze their prognostic value for post-recurrence survival (PRS). Materials and Methods: We retrospectively reviewed the medical records of 204 patients who experienced GC recurrence following curative gastrectomy for GC at a single institution between January 2012 and December 2017. Specific recurrence patterns (lymph node, peritoneal, and hematogenous) and their multiplicity were analyzed as prognostic factors of PRS. Results: The median PRS of the 204 patients was 8.3 months (interquartile range [IQR]: 3.2-17.4). For patients with a single recurrence pattern (n=164), the difference in each recurrence pattern did not show a significant prognostic value for PRS (lymph node vs. peritoneal, P=0.343; peritoneal vs. hematogenous, P=0.660; lymph node vs. hematogenous, P=0.822). However, the patients with a single recurrence pattern had significantly longer PRS than those with multiple recurrence patterns (median PRS: 10.2 months [IQR: 3.7-18.7] vs. 3.9 months [IQR: 1.8-10.4]; P=0.037). In the multivariate analysis, multiple recurrence patterns emerged as independent prognostic factors for poor PRS (hazard ratio, 1.553; 95% confidence interval, 1.092-2.208; P=0.014) along with serosal invasion, recurrence within 1 year after gastrectomy, and the absence of post-recurrence chemotherapy. Conclusions: Regardless of the specific recurrence pattern, multiple recurrence patterns emerged as independent prognostic factors for poor PRS compared with a single recurrence pattern.

Bio-MAC: Optimal MAC Protocol for Various Bio-signal Transmission in the WBSN Environment (Bio-MAC: WBSN환경에서 다양한 생체신호 전송을 위한 최적화된 MAC Protocol)

  • Jang, Bong-Mun;Ro, Young-Sin;Yoo, Sun-Kook
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.423-425
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    • 2007
  • In this paper, Medium Access Control(MAC) protocol designed for Wireless Body area Sensor Network(Bio-MAC) is proposed, Because in WBSN, the number of node is limited and each node has different characteristics. Also, reliability in transmitting vital data sensed at each node and periodic transmission should be considered so that general MAC protocol cannot satisfy such requirements of biomedical sensors in WBSN. Bio-MAC aims at optimal MAC protocol in WBSN. For this, Bio-MAC used Pattern -SuperFrame, which modified IEE E 802.15.4-based SuperFrame structurely. Bio-MAC based on TDMA uses Medium Access-priority and Pattern eXchange -Beacon method for dynamic slot allocation by considering critical sensing data or power consumption level of sensor no de etc. Also, because of the least delay time. Bio-MAC is suitable in the periodic transmission of vital signal data. The simulation results demonstrate that a efficient performance in WBSN can be achieved through the proposed Bio-MAC.

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Fine Needle Aspiration Cytology of Metastatic Nasopharyngeal Undifferentiated Carcinoma of Lymph Node - Report of a Case Presenting Spindle Cell Pattern - (림프절로 전이된 비인두 미분화 암종의 세침흡인 세포학적 소견 -주로 방추형 세포의 양상을 나타낸 1례-)

  • Min, Dong-Won;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.4 no.1
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    • pp.35-40
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    • 1993
  • We describe a case of fine needle aspiration cytology of metastatic nasopharyngeal carcinoma in the lymph node of the neck presenting a predominantly spindle cell pattern. A 36 year-old male patient complained of dysesthesia on the right face and a palpable neck mass. Fine needle aspiration was done on the neck mass. Tumor cells were present in syncytial groups or singly with mainly spindle shaped nuclei, vesicular chromatin, thin and regular nuclear membrane, occasional prominent nucleoli and a few fool of cellular cohesiveness. The cytoplasm was scant and pale with ill-defined borders. Mature lymphocytes were present in the background of aspirates and within the tumor cell clusters. Histologically, the tumor of nasopharynx showed several areas of spindle cell pattern. Because the tumor cells showed a predominantly spindle shape with vesicular nuclear chromatin, the differential diagnosis of spindle cell sarcoma or granuloma of epithelioid clils were considered, but the characteristic morphology of the nuclei with vesicular chromatin and prominent nucleoli, and cellular cohesiveness were important in making the diagnosis of nasopharyngeal carcinoma. The possibility of metastatic carcinoma should always be considered in fine needle aspiration cytology of the lymph node in the neck because the incidence of metastatic carcinoma, particularly of the nasopharyngeal carcinoma in the lymph nodes of the neck is relatively high.

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Clinical analysis of neck node metastasis in oral cavity cancer

  • Sharma, Aditi;Kim, Jin-Wook;Paeng, Jun-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.6
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    • pp.282-288
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    • 2018
  • Objectives: The purpose of this study was to evaluate the neck node metastasis pattern and related clinical factors in oral cavity cancer patients. Materials and Methods: In total, 76 patients (47 males, 29 females) with oral squamous cell carcinoma (OSCC) who had no previous malignancies and were not undergoing neoadjuvant concomitant chemoradiotherapy or radiotherapy were selected for analysis. Results: Occult metastases were found in 8 of 52 patients with clinically negative nodes (cN0, 15.4%). Neck node metastases were found in 17 patients (22.4%). There was a statistically significant relationship between neck node metastasis and T stage (P=0.014) and between neck node metastasis and distant metastasis (Fisher's exact test, P=0.019). Conclusion: Neck node metastasis was significantly related to tumor size and distant metastasis during follow-up.

Performance Analysis of Optimal Neural Network structural BPN based on character value of Hidden node (은닉노드의 특징 값을 기반으로 한 최적신경망 구조의 BPN성능분석)

  • 강경아;이기준;정채영
    • Journal of the Korea Society of Computer and Information
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    • v.5 no.2
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    • pp.30-36
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    • 2000
  • The hidden node plays a role of the functional units that classifies the features of input pattern in the given question. Therefore, a neural network that consists of the number of a suitable optimum hidden node has be on the rise as a factor that has an important effect upon a result. However there is a problem that decides the number of hidden nodes based on back-propagation learning algorithm. If the number of hidden nodes is designated very small perfect learning is not done because the input pattern given cannot be classified enough. On the other hand, if designated a lot, overfitting occurs due to the unnecessary execution of operation and extravagance of memory point. So, the recognition rate is been law and the generality is fallen. Therefore, this paper suggests a method that decides the number of neural network node with feature information consisted of the parameter of learning algorithm. It excludes a node in the Pruning target, that has a maximum value among the feature value obtained and compares the average of the rest of hidden node feature value with the feature value of each hidden node, and then would like to improve the learning speed of neural network deciding the optimum structure of the multi-layer neural network as pruning the hidden node that has the feature value smaller than the average.

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Underwater E-plane Attenuation Model of Omnidirectional Antenna Using Half Power Beam Width (HPBW) (반전력빔폭을 이용한 전방향성 안테나의 수중 환경 수직 평면 감쇠 모델)

  • Kwak, Kyungmin;Park, Daegil;Kim, Younghyeon;Chung, Wan Kyun;Kim, Jinhyun
    • Journal of Institute of Control, Robotics and Systems
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    • v.21 no.11
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    • pp.1050-1056
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    • 2015
  • In this paper, we use the characteristics of electromagnetic waves underwater attenuation for estimating linear distance between a transmitting node and receiving node, and research underwater vertical plane attenuation model for constructing the underwater localization system. The underwater localization of 2 dimensional with the plane attenuation model in the horizontal plane (H-plane) was proposed previous research. But for the 3 dimensional underwater localization, the additional vertical plane (E-plane) model should be considered. Because the horizontal plane of omnidirectional antenna has the same attenuation tendency in x-y plane according to the distance, whereas in vertical plane shows an irregular pattern in x-z plane. For that reason, in the vertical plane environment, the attenuation should be changed by the position and inclination. Hence, in this paper the distance and angle between transmitting and receiving node are defined using spherical coordinate system and derive an antenna gain pattern using half power beam width (HPBW). The HPBW is called a term which defines antenna's performance between isotropic and other antennas. This paper derives omnidirectional antenna's maximum gain and attenuation pattern model and define vertical plane's gain pattern model using HPBW. Finally, experimental verifications for the proposed underwater vertical plane's attenuation model was executed.

Early Ontogeny of Vascular Cambium in Cotyledonary Node of Seedlings in Pinus koraiensis S. et Z. (잣나무(Pinus koraiensis S. et Z.) 유식물의 자엽절에서 유관속 형성층의 초기 발생)

  • 홍성식
    • Journal of Plant Biology
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    • v.36 no.1
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    • pp.29-34
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    • 1993
  • Observation was made on early ontogeny of vascular cambium in the cotyledonary node of Pinus koraiensis seedling in order to clarify the cambial ontogeny of the node which was hardly elongated. In transverse view, the derivatives by the early periclinal divisions at the outer region of the procambial strands differentiated to protophloem with establishing a certain degree of radial seriations. Later, some cells in the central region of the procambial strands begin divide periclinally, eventually the cells, differentiate gradually to the vascular cambium. In tangential view, early procambium is consisted of homogeneous short cells with transverse end walls which are tansformed into the long cells and short cells gradually. The long cells continue intrusive growth and the short cells repeat transverse division. Finally, the long and short cells differentiated to cambial fusiform initials and ray initials respectively. In tangential section, the differentiation pattern of cambial initials resembles that of the stem of Ginkgo biloba. But in transverse view, the characteristics in the origin of vascular cambium of the cotyledonary node resembles that of root. The vascular cambium in cotyledonary node is completed after eleven prophylls were formed.

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Mobile Multicast Method using the User Pattern (사용자 성향에 기반한 이동 멀티캐스트 기법)

  • Sung Sulyun;Jeon Jinyong;Seo Yuhwa;Shin Yongtae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.30 no.1A
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    • pp.46-54
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    • 2005
  • This paper presents an effcient mobile multicast method using the user pattern. We exploit the repetitive movement pattern of mobile node to reduce the total number of experience of graft and join procedure. We defined the locality scope by a movement pattern. While the network is included in the locality scope, the network should maintain a multicast tree even when the mobile node moves to the other network. In this way, the mobile host can receive a multicast service without a delay when it moves to the network in the locality scope later. We compare our scheme with existing schemes under the total signaling cost and the service delay time by using a discrete analytical model for cost analysis. Analytical results demonstrated that the total signaling cost and service delay time was significantly reduced through our proposed scheme.

The Study on the Growth and Branching of Stolon in Korean Lawn(Zoysia japonica Steud.) (한국 잔디의 포복경 생장과 분지에 관한 연구)

  • 김용진;장남기
    • Asian Journal of Turfgrass Science
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    • v.11 no.2
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    • pp.117-124
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    • 1997
  • This study was carried out to investigate the growth and branching pattern of stolons at Korean lawn(Zoysia japonica Steud.) in the field condition. The results were summarized as follows ; 1.About 80% of observed lawns had one primary stolon. Among the lawns with several primary stolons, 30% of them had two primary stolons, 63% had three, and 7% had four. 2.The angles between the primary stolon and the shoot were increased from 0˚ to 52˚ according to the node order from the terminal shoot apex, and reached maximum angle at the 7th node. 3.The internode length was the longest in the middle position of stolon, and its growing rate which depends on months was increased from May to September. 4.The branching angles between primary and secondary stolon were from 44˚ to 53˚ in each node. The average left branching angle was about 48.20, right branching angle 47.8˚, and the total average branching angle was 48.00. 5.The rate of initial brabch was the highest at the 10th node in May, the 7th node in July and the 5th node in September. But, the initial branching rate at the 7th node in July was higher than any other that at the 10th node in May and the 5th node in September. 6.The distribution rate of secondary stolon in each node of primary stolon was the highest at the 7th node. 7.when the terminal shoot apex of primary stolon was damaged mechanically, the branching rate at the first node after the damaged region was highly increased to 62%. The results of this study may be suggested that the secondary stolon begins to branch with the angle of 480 from the 7th node of the normal primary stolon, and those may be used as a basic data for the branching simulation in lawn.

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Lymph Nodes Metastasis Pattern and Prognosis of Resected T1 Esophageal Cancer (표층부(T1) 식도암에 있어서 암종의 침윤정도에 따른 림프절 전이의 양상)

  • 박창률;김동관;김용희;김종욱;박승일
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.665-671
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    • 2004
  • Background: Lymph node metastasis is commonly reported in thoracic esophageal cancer, even in the early esophageal cancer which may be localized only in the mucosa or within the submucosal layer. Although lymph node metastasis greatly influence long-term outcome and cure of the disease, endoscopic mucosal resection or photodynamic therapy without lymph node dissection is widely attempted. The investigation of the pattern of lymph node metastasis and results of surgical resection of superficial esophageal cancer is needed. Material and Method: Pattern of lymph node metastsis and depth of tumor invasion were studied retrospectively from 44 patients with early esophageal cancer who underwent radical resection of the tumor from December, 1995 to August, 2001. Result: Lymph node metastasis was found in 10 patients (22.7%) out of total of 44 patients. Lymph node metastasis was found in 0% (0 of 3), 0% (0 of 4), 50% (2 of 4), and 24.24% (8 of 33) of tumors that invaded the intraepitherium, lamina propria, muscularis mucosa, and submucosa respectively. Anatomically distant lymph node metastases were found more frequently in recurrent laryngeal nerve node(5 cases of 10 patients) and in intraperitoneal node (8 cases of 10). than intrathoracic node (3 cases of 10). There was no operative mortality, however, there were 1 hospital death in patient with lamina propria cancer, 1 late death in patient with submucosal cancer. Three-year survival rates (except hospital death) were 100% in mucosal cancer and 97.0% in submucosal cancer (p>0.05), and 100% in the node negative group and 90.0% in the node positive group (p>0.05). Conclusion: The survival rate of superficial esophageal cancer patient who was recieved operative resection was excellent. But, lymph node metastasis were found in superficial esophageal cancer, even in esophageal cancer limited to the muscularis mucosa. Systemic lymph node dissection which includes recurrent laryngeal nerve nodes and intraperitoneal nodes was recommended for favorable outcome in superficial esophageal cancer.