Metabolomics in renal cell carcinoma: From biomarker identification to pathomechanism insights
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Engineering topics
Publications and source records attributed to Chen, Yuan-Yuan.
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The Kepler-9 system harbors three known transiting planets. The system holds significant interest for several reasons. First, the outer two planets exhibit a period ratio that is close to a 2:1 orbital commensurability, with attendant dynamical consequences. Second, both planets lie in the planetary mass "desert" that is generally associated with the rapid gas agglomeration phase of the core accretion process. Third, there exist attractive prospects for accurately measuring both the sky-projected stellar spin-orbit angles as well as the mutual orbital inclination between the planets in the system. Following the original Kepler detection announcement in 2010, the initially reported orbital ephemerides for Kepler-9 b and c have degraded significantly, due to the limited time base-line of observations on which the discovery of the system rested. Here, we report new ground-based photometric observations and extensive dynamical modeling of the system. These efforts allow us to photometrically recover the transit of Kepler-9 b and thereby greatly improve the predictions for upcoming transit mid-times. Accurate ephemerides of this system are important in order to confidently schedule follow-up observations of this system, for both in-transit Doppler measurements as well as for atmospheric transmission spectra taken during transit.
Purpose: To propose a lymph node (N) staging system for nasopharyngeal carcinoma (NPC) based on the International Consensus Guidelines for lymph node (LN) levels and MRI-determined nodal variables. Methods and Materials: The MRI scans and medical records of 749 NPC patients receiving intensity modulated radiation therapy with or without chemotherapy were retrospectively reviewed. The prognostic significance of nodal level, laterality, maximal axial diameter, extracapsular spread, necrosis, and Union for International Cancer Control/American Joint Committee on Cancer (UICC/AJCC) size criteria were analyzed. Results: Nodal level and laterality were the only independent prognostic factors for distant failure and disease failure in multivariate analysis. Compared with unilateral levels Ib, II, III, and/or Va involvement (hazard ratio [HR] 1), retropharyngeal lymph node involvement alone had a similar prognostic value (HR 0.71; 95% confidence interval [CI] 0.43-1.17; P=.17), whereas bilateral levels Ib, II, III, and/or Va involvement (HR 1.65; 95% CI 1.06-2.58; P=.03) and levels IV, Vb, and/or supraclavicular fossa involvement (HR 3.47; 95% CI 1.92-6.29; P<.01) both significantly increased the HR for distant failure. Thus we propose that the N category criteria could be revised as follows: N0, no regional LN metastasis; N1, retropharyngeal lymph node involvement, and/or unilateral levels Ib, II, III, and/or Va involvement; N2, bilateral levels Ib, II, III, and/or Va involvement; N3, levels IV, Vb, and/or supraclavicular fossa involvement. Compared with the 7th edition of the UICC/AJCC criteria, the proposed N staging system provides a more satisfactory distinction between the HRs for regional failure, distant failure, and disease failure in each N category. Conclusions: The proposed N staging system defined by the International Consensus Guidelines and laterality is predictive and practical. However, because of no measurements of the maximal nodal diameter on MRI slices, the prognostic significance of LN size needs further evaluation.