• Title/Summary/Keyword: Node ratio

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CDC6 mRNA Expression Is Associated with the Aggressiveness of Prostate Cancer

  • Kim, Ye-Hwan;Byun, Young Joon;Kim, Won Tae;Jeong, Pildu;Yan, Chunri;Kang, Ho Won;Kim, Yong-June;Lee, Sang-Cheol;Moon, Sung-Kwon;Choi, Yung-Hyun;Yun, Seok Joong;Kim, Wun-Jae
    • Journal of Korean Medical Science
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    • v.33 no.47
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    • pp.303.1-303.10
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    • 2018
  • Background: Cell division cycle 6 (CDC6) is an essential regulator of DNA replication and plays important roles in the activation and maintenance of the checkpoint mechanisms in the cell cycle. CDC6 has been associated with oncogenic activities in human cancers; however, the clinical significance of CDC6 in prostate cancer (PCa) remains unclear. Therefore, we investigated whether the CDC6 mRNA expression level is a diagnostic and prognostic marker in PCa. Methods: The study subjects included 121 PCa patients and 66 age-matched benign prostatic hyperplasia (BPH) patients. CDC6 expression was evaluated using real-time polymerase chain reaction and immunohistochemical (IH) staining, and then compared according to the clinicopathological characteristics of PCa. Results: CDC6 mRNA expression was significantly higher in PCa tissues than in BPH control tissues (P = 0.005). In addition, CDC6 expression was significantly higher in patients with elevated prostate-specific antigen (PSA) levels (> 20 ng/mL), a high Gleason score, and advanced stage than in those with low PSA levels, a low Gleason score, and earlier stage, respectively. Multivariate logistic regression analysis showed that high expression of CDC6 was significantly associated with advanced stage (${\geq}T3b$) (odds ratio [OR], 3.005; confidence interval [CI], 1.212-7.450; P = 0.018) and metastasis (OR, 4.192; CI, 1.079-16.286; P = 0.038). Intense IH staining for CDC6 was significantly associated with a high Gleason score and advanced tumor stage including lymph node metastasis stage (linear-by-linear association, P = 0.044 and P = 0.003, respectively). Conclusion: CDC6 expression is associated with aggressive clinicopathological characteristics in PCa. CDC6 may be a potential diagnostic and prognostic marker in PCa patients.

Neoadjuvant Chemotherapy and Prognosis of Pregnancy-Associated Breast Cancer: A Time-Trends Study of the Korean Breast Cancer Registry Database

  • Bae, Soo Youn;Kim, Ku Sang;Kim, Jeong-Soo;Lee, Sae Byul;Park, Byeong-Woo;Lee, Seok Won;Lee, Hyouk Jin;Kim, Hong Kyu;You, Ji-Young;Jung, Seung Pil;Korean Breast Cancer Society
    • Journal of Breast Cancer
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    • v.21 no.4
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    • pp.425-432
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    • 2018
  • Purpose: Pregnancy-associated breast cancer (PABC) is rare, and its cause and prognosis are not well known. Additionally, treatment is limited with respect to the risk to the fetus. The purpose of this study was to investigate the characteristics and treatment trends of PABC and the survival rate according to the treatment. Methods: In the Korean Breast Cancer Society Registry database, women younger than 50 years and who were diagnosed with breast cancer from 1996 to 2015 were included. PABC was defined as breast cancer diagnosed during pregnancy or within 1 year after delivery. Results: We examined 411 patients with PABC and 83,381 patients with non-PABC. Over time, the proportions of patients undergoing breast-conserving surgery and sentinel lymph node biopsy increased, and neoadjuvant chemotherapy and radiation therapy administration rates also increased. In the past, the overall survival of patients with PABC was poorer than that of patients with non-PABC, but there was no difference in overall survival rates in more recent years. There was no difference in overall survival rates between patients who received neoadjuvant chemotherapy (hazard ratio [HR], 1.28; 95% confidence interval [CI], 0.66-2.49; p=0.459), but PABC conferred poorer prognosis than non-PABC in patients receiving adjuvant chemotherapy (HR, 1.63; 95% CI, 1.27-2.08; p<0.001). Conclusion: There was no difference in the prognosis between patients with PABC and those with non-PABC receiving neoadjuvant chemotherapy. The increase in neoadjuvant chemotherapy according to current treatment guidelines is expected to improve the survival rate of patients with PABC.

Does epithelioid angiomyolipoma have poorer prognosis, compared with classic angiomyolipoma?

  • Lee, Wonchul;Choi, Se Young;Lee, Chanwoo;Yoo, Sangjun;You, Dalsan;Jeong, In Gab;Song, Cheryn;Kim, Kun Suk;Hong, Bumsik;Hong, Jun Hyuk;Ahn, Hanjong;Kim, Choung-Soo
    • Investigative and Clinical Urology
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    • v.59 no.6
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    • pp.357-362
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    • 2018
  • Purpose: Classic angiomyolipoma (AML) is common benign kidney tumor. However, some studies have claimed that epithelioid angiomyolipoma (EAML) has malignant potential. We compared the patient characteristics and prognosis of EAML and classic AML to demonstrate predicting factors and poorer prognosis of EAML. Materials and Methods: The medical records of 231 patients who were diagnosed with EAML (n=27, 11.7%) or classic AML (n=204, 88.3%), were reviewed. All patients underwent computed tomography (CT) scans before operation or needle biopsy. We assessed the age, sex, tumor size, body mass index, comorbidities, and Hounsfield unit (HU) according to each CT phase. We defined the unfavorable group as patients with recurrence, metastasis and death due to tumor progression. Logistic regression analysis was used to predict EAML. Results: EAML patients were younger (41.2 years vs. 49.1 years, p=0.001), predominantly male (55.6% vs. 28.4%, p=0.005), and had a larger tumor (7.5 cm vs. 4.2 cm, p<0.001). The median pre-contrast HU was not significantly different between EAML and classic AML ($29.9{\pm}23.7$ vs. $14.7{\pm}41.0$, p=0.071). In multivariable analysis, younger age (odds ratio [OR], 0.96; p=0.032), male sex (OR, 3.33; p=0.013), and tumor larger than 4 cm (OR, 3.8; p=0.009) were significant predictive factors. Five patients (18.5%) had unfavorable outcomes, two patients had lymph node metastasis, and three patients had lung metastasis. Conclusions: Patient and tumor characteristics can be helpful in determining the type of AML preoperatively. Younger age, male sex, and larger tumor mass may increase the possibility of diagnosing EAML. EAML has malignant potential and requires careful follow-up.

A Study on Robust Optimal Sensor Placement for Real-time Monitoring of Containment Buildings in Nuclear Power Plants (원전 격납 건물의 실시간 모니터링을 위한 강건한 최적 센서배치 연구)

  • Chanwoo Lee;Youjin Kim;Hyung-jo Jung
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.36 no.3
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    • pp.155-163
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    • 2023
  • Real-time monitoring technology is critical for ensuring the safety and reliability of nuclear power plant structures. However, the current seismic monitoring system has limited system identification capabilities such as modal parameter estimation. To obtain global behavior data and dynamic characteristics, multiple sensors must be optimally placed. Although several studies on optimal sensor placement have been conducted, they have primarily focused on civil and mechanical structures. Nuclear power plant structures require robust signals, even at low signal-to-noise ratios, and the robustness of each mode must be assessed separately. This is because the mode contributions of nuclear power plant containment buildings are concentrated in low-order modes. Therefore, this study proposes an optimal sensor placement methodology that can evaluate robustness against noise and the effects of each mode. Indicators, such as auto modal assurance criterion (MAC), cross MAC, and mode shape distribution by node were analyzed, and the suitability of the methodology was verified through numerical analysis.

Investigating the Performance of Bayesian-based Feature Selection and Classification Approach to Social Media Sentiment Analysis (소셜미디어 감성분석을 위한 베이지안 속성 선택과 분류에 대한 연구)

  • Chang Min Kang;Kyun Sun Eo;Kun Chang Lee
    • Information Systems Review
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    • v.24 no.1
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    • pp.1-19
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    • 2022
  • Social media-based communication has become crucial part of our personal and official lives. Therefore, it is no surprise that social media sentiment analysis has emerged an important way of detecting potential customers' sentiment trends for all kinds of companies. However, social media sentiment analysis suffers from huge number of sentiment features obtained in the process of conducting the sentiment analysis. In this sense, this study proposes a novel method by using Bayesian Network. In this model MBFS (Markov Blanket-based Feature Selection) is used to reduce the number of sentiment features. To show the validity of our proposed model, we utilized online review data from Yelp, a famous social media about restaurant, bars, beauty salons evaluation and recommendation. We used a number of benchmarking feature selection methods like correlation-based feature selection, information gain, and gain ratio. A number of machine learning classifiers were also used for our validation tasks, like TAN, NBN, Sons & Spouses BN (Bayesian Network), Augmented Markov Blanket. Furthermore, we conducted Bayesian Network-based what-if analysis to see how the knowledge map between target node and related explanatory nodes could yield meaningful glimpse into what is going on in sentiments underlying the target dataset.

Multidetector CT Characteristics of Fumarate Hydratase-Deficient Renal Cell Carcinoma and Papillary Type II Renal Cell Carcinoma

  • Ling Yang;Xue-Ming Li;Ya-Jun Hu;Meng-Ni Zhang;Jin Yao;Bin Song
    • Korean Journal of Radiology
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    • v.22 no.12
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    • pp.1996-2005
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    • 2021
  • Objective: To investigate the multidetector computed tomography (MDCT) features of fumarate hydratase-deficient renal cell carcinoma (FH-deficient RCC) with germline or somatic mutations, and compare them with those of papillary type II RCC (pRCC type II). Materials and Methods: A total of 24 patients (mean ± standard deviation, 40.4 ± 14.7 years) with pathologically confirmed FH-deficient RCC (15 with germline and 9 with somatic mutations) and 54 patients (58.6 ± 12.6 years) with pRCC type II were enrolled. The MDCT features were retrospectively reviewed and compared between the two entities and mutation subgroups, and were correlated with the clinicopathological findings. Results: All the lesions were unilateral and single. Compared with pRCC type II, FH-deficient RCC was more prevalent among younger patients (40.4 ± 14.7 vs. 58.6 ± 12.6, p < 0.001) and tended to be larger (8.1 ± 4.1 vs. 5.4 ± 3.2, p = 0.002). Cystic solid patterns were more common in FH-deficient RCC (20/24 vs. 16/54, p < 0.001), with 16 of the 20 (80.0%) cystic solid tumors having showed typical polycystic and thin smooth walls and/or septa, with an eccentric solid component. Lymph node (16/24 vs. 16/54, p = 0.003) and distant (11/24 vs. 3/54, p < 0.001) metastases were more frequent in FH-deficient RCC. FH-deficient RCC and pRCC type II showed similar attenuation in the unenhanced phase. The attenuation in the corticomedullary phase (CMP) (76.3% ± 25.0% vs. 60.2 ± 23.6, p = 0.008) and nephrographic phase (NP) (87.7 ± 20.5, vs. 71.2 ± 23.9, p = 0.004), absolute enhancement in CMP (39.0 ± 24.8 vs. 27.1 ± 22.7, p = 0.001) and NP (50.5 ± 20.5 vs. 38.2 ± 21.9, p = 0.001), and relative enhancement ratio to the renal cortex in CMP (0.35 ± 0.26 vs. 0.24 ± 0.19, p = 0.001) and NP (0.43 ± 0.24 vs. 0.29 ± 0.19, p < 0.001) were significantly higher in FH-deficient RCC. No significant difference was found between the FH germline and somatic mutation subgroups in any of the parameters. Conclusion: The MDCT features of FH-deficient RCC were different from those of pRCC type II, whereas there was no statistical difference between the germline and somatic mutation subgroups. A kidney mass with a cystic solid pattern and metastatic tendency, especially in young patients, should be considered for FH-deficient RCC.

Effect of N-Application Level According to Seedling Density on Tiller Development, Yield and Quality in Direct-Seeded Rice on Flooded Paddy Surface (벼 담수표면산파 시 입모밀도에 따른 시비 조절이 분얼발생, 수량 및 품질에 미치는 영향)

  • Chung, Nam-Jin;Kim, Jeong-Il;Park, Jeong-Hwa;Kim, Je-Kyu
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.51 no.spc1
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    • pp.52-57
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    • 2006
  • This research was carried out to determine the effect of controlling nitrogen application on tiller development, yield, and quality of rice under scanty or excess seedling stands in direct-seeded rice on flooded soil surface. Seedling stand was set to 3 levels: scanty $(60/m^2)$, optimum $(120/m^2)$, and excess $(200/m^2)$. In the scanty plot, additional 4 kg/10a nitrogen was applied at the 3rd leaf stage to promote tiller development. On the other hand, applying 3.3 kg/10a nitrogen at 5th leaf stage in the excess plot was omitted to suppress tillering. Maximum numbers of tillers per plant were 15.2 and 8.6 in scanty and excess plots, respectively, as compared with 9.8 in optimum plot. Productive tiller rate decreased with the increase in number of seedling stands. Regardless of seedling density, the first tiller developed on the 3rd node of rice stem from the bottom. The primary tillers developed at 3, 4, 5, 6, 7 nodes in scanty plot, 3, 4, 5 nodes in optimum plot, and 3, 4 nodes in excess plot. The secondary tillers developed only in some portion of plants in scanty and optimum plots. The order of tiller emergence was negatively correlated to stem length, panicle length, non-productive tiller number, grain number per panicle, and fertility in scanty plot, and to perfect grain ratio in excess plot. In the optimum plot, however, the order of tiller emergence was not correlated to any of the mentioned characteristics. The perfect grain ratio of scanty plot was the highest because green-kerneled rice was a very small portion in the primary tillers as compared with those of optimum and excess plots. Yield indexes of scanty and excess plots were 99%, and 97%, respectively, of the yield (494 kg/10a) in optimum plot. In conclusion, when seedling stands are not at optimum level, rice yield and quality similar to optimum planting density level can be obtained by means of controlling nitrogen application.

The Clinicopathologic Characteristics of Patients with Gastric Carcinoid Tumor (위 유암종의 임상병리학적 특징에 대한 후향적 연구)

  • Jang, Jeong-Moon;Kong, Seong-Ho;Yoon, Hong-Man;Ahn, Hye-Seong;Lee, Hyuk-Joon;Yoon, Won-Jae;Kim, Sang-Kyoon;Yang, Han-Kwang;Lee, Kuhn-Uk
    • Journal of Gastric Cancer
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    • v.9 no.4
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    • pp.262-268
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    • 2009
  • Purpose: We wanted to analyze the clinicopathologic characteristics of patients with gastric carcinoid tumor, which is a rare gastric tumor (less than 2% of all gastric tumors). Materials and Methods: We reviewed all the carcinoid patients who were treated from 1996 to 2006. The clinicopathologic characteristics, the treatment modalities and the survival rates were retrospectively analysed. Results: There were 8 type I patients and 10 type III patients, but there were no type II patients. The mean age of onset for type I was 47.75 years and that for type III was 57.90 years. More type III patients were female, but the gender ratio of type I patients was equal at a ratio of 1:1. There were 4 cases of solitary tumor, which were all T1 except for one case, and there was neither distant metastasis nor lymph node involvement for the type T1 cases. In the 13 patients who had no metastasis, 5 underwent endoscopic mucosal resection and 8 underwent surgery, and their combined 5 year survival rate was 92.3%. For the 5 cases who had metastastses, their mean survival was 22 months and especially, 3 of them underwent palliative surgery and their median survival were 24 months (95%, ${\pm}6.52$). Conclusion: Higher incidence of type III gastric carcinoid tumor and less multiplicity in type I gastric tumor were identified in our study compared with previous reports. For the type III cases, there were some noteable differences compared with the Western country's survival rate for the patients who underwent palliative surgery, so physicians must pay close attention to the definite clinicopathologic characteristics of gastric carcinoid patients.

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Radical Radiotherapy of Head and Neck Cancer (두경부 종양의 방사선 치료 성적)

  • Ban Sung Beom;Kim Chul Young;Choi Myung Sun;Suh Won Hyuck
    • Radiation Oncology Journal
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    • v.4 no.1
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    • pp.35-43
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    • 1986
  • Study patients with head and neck carcinoma were studied retrospectively to assess the impact of treatment on survival and local control rate by stage in the Dept of Radiation Therapy, Korea University Hae Wha Hospital between March 1981 and March 1986. Prior to definite radiotherapy, patients were evaluated by physical examination and radiologic studies including chest, laryngogram and CT scan and then these patients were grouped according to the American Joint Committee (AJC) staging system. They were treated with RT alone or postoperative irradiation to the dose of 7,200 cGy/8 weeks and 6,000 cGy/7 weeks respectively. The results were obtained and as follows; 1. Overall male to female sex ratio was 3.6:1. The peak age of patients with head and neck cancer was 6th decade. 2. In all patients treated by RT, the ratio of squamous cell 1 carcinoma to non-squamous cell carcinoma was 3.5:1 (60/77 patients). 3. The incidence according to the anatomic site of primary tumor was 22 cases in the larynx, 12 cases in PNS, 7 cases in nasopharynx, 6 cases in oropharynx, and 3 cases in hypopharynx. 4. According to AJC staging system,4 cases were Stage 1,7 in Stage II, 19 in Stage III and 27 in Stage IV. 5. The overall incidence of cervical lymph node metastases was $43\%$ and subdigatric and submaxillary triangle lymph nodes were the most frequent site of metastases. 6. Local control was achieved in $48\%$ of patients treated by radio-therapy. 7. The lung was the most common site for distant metastases, comprising 4 cases among 7 cases in which distant metastases occured. 8. The overall estimated 5-year survival rate was $43\%$ in the head and neck cancer treated with radiotherapy by life-table analysis.

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Therapeutic Results of Radiotherapy in Nonsmall Cell Lung Cancers (비소세포성 폐암의 방사선치료 성적)

  • Shin, Sei-One;Kim, Sung-Kyu;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
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    • v.11 no.1
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    • pp.72-81
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    • 1994
  • Total 55 patients with nonsmall cell lung cancer treated with radiation therapy at Department of Therapeutic Radiology, Yeungnam University Hospital, between May-1 1986 and April-30 1993 were retrospectively analyzed by clinical characteristics, failure patterns, follow up duration and survival ratio according to prognostic factors. Obtained results were as follows : 1. Male to female ratio was 17.3 2. Sixth and seventh decades were predominant age group. 3. The patients were 8 in stage I-II, 34 in stage IIIA, 13 in stage IIIb, respectively. 4. Forty five patients out of 55 were squamous cell carcinoma. 5. Primary tumor were originated from upper lobe bronchi predominantly. 6. The size of the primary tumor, lymph node involvement and the degree of differentiation were important in evaluation of prognosis. 7. In conclusion, for patients with poor prognostic factors systemic chemotherapy and multidisciplinary approach were recommended for better treatment outcome and improvement of survival.

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