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At least 901 records · Page 50

Influence of Vessel Size and Tortuosity on In-stent Restenosis After Stent Implantation in the Vertebral Artery Ostium

Purpose: Percutaneous transluminal angioplasty and stenting is emerging as an alternative for treating atherosclerotic stenosis in the vertebral artery ostium. However, in-stent restenosis (ISR) still remains a critical issue to be addressed. Little is known about the relationship between anatomic characteristics of the artery and ISR after stent implantation. In this study, we have evaluated influential factors for ISR in a cohort of the patients with stenting in the vertebral artery ostium. Methods: Sixty-one patients with 63 symptomatic lesions in vertebral artery ostium treated with stenting were enrolled onto this study. An average of 12.5 months' clinical and angiographic follow-up results were analyzed retrospectively. The possible influential factors for ISR, including conventional risk factors of cerebrovascular diseases and morphological characteristics of target lesions, were evaluated by univariate and multivariate regression analysis. Results: Technical success was achieved in all 63 interventional procedures. Stenosis was reduced from (mean {+-} standard deviation) 75.5 {+-} 12% before to 1 {+-} 3.6% after the procedure. During the mean 12.5-month angiographic follow-up, ISR was detected in 17 treated vessels (27.0%), with 2 treated arteries (3.2%) resulting in occlusion, and a stent fracture in 1 case (1.6%). Multivariate Cox regression analysis showed that the tortuosity of V1 (hazard ratio 3.54, P = 0.01) and smaller diameter of the stent (hazard ratio 3.8, P = 0.04) were independent predictors of ISR. Conclusions: Angioplasty and stenting for symptomatic stenosis in the vertebral artery ostium stenosis seem to be feasible and effective. Tortuosity and smaller diameter may affect ISR after stent implantation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Passive Fully Polarimetric W-Band Millimeter-Wave Imaging

We present the theory, design, and experimental results obtained from a scanning passive W-band fully polarimetric imager. Passive millimeter-wave imaging offers persistent day/nighttime imaging and the ability to penetrate dust, clouds and other obscurants, including clothing and dry soil. The single-pixel scanning imager includes both far-field and near-field fore-optics for investigation of polarization phenomena. Using both fore-optics, a variety of scenes including natural and man-made objects was imaged and these results are presented showing the utility of polarimetric imaging for anomaly detection. Analysis includes conventional Stokes-parameter based approaches as well as multivariate image analysis methods.

99 GENERAL AND MISCELLANEOUS↗

Outcomes for Spine Stereotactic Body Radiation Therapy and an Analysis of Predictors of Local Recurrence

Purpose: To investigate local control, survival outcomes, and predictors of local relapse for patients treated with spine stereotactic body radiation therapy. Methods and Materials: We reviewed the records of 332 spinal metastases consecutively treated with stereotactic body radiation therapy between 2002 and 2012. The median follow-up for all living patients was 33 months (range, 0-111 months). Endpoints were overall survival and local control (LC); recurrences were classified as either in-field or marginal. Results: The 1-year actuarial LC and overall survival rates were 88% and 64%, respectively. Patients with local relapses had poorer dosimetric coverage of the gross tumor volume (GTV) compared with patients without recurrence (minimum dose [Dmin] biologically equivalent dose [BED] 23.9 vs 35.1 Gy, P<.001; D98 BED 41.8 vs 48.1 Gy, P=.001; D95 BED 47.2 vs 50.5 Gy, P=.004). Furthermore, patients with marginal recurrences had poorer prescription coverage of the GTV (86% vs 93%, P=.01) compared with those with in-field recurrences, potentially because of more upfront spinal canal disease (78% vs 24%, P=.001). Using a Cox regression univariate analysis, patients with a GTV BED Dmin ≥33.4 Gy (median dose) (equivalent to 14 Gy in 1 fraction) had a significantly higher 1-year LC rate (94% vs 80%, P=.001) compared with patients with a lower GTV BED Dmin; this factor was the only significant variable on multivariate Cox analysis associated with LC (P=.001, hazard ratio 0.29, 95% confidence interval 0.14-0.60) and also was the only variable significant in a separate competing risk multivariate model (P=.001, hazard ratio 0.30, 95% confidence interval 0.15-0.62). Conclusions: Stereotactic body radiation therapy offers durable control for spinal metastases, but there is a subset of patients that recur locally. Patients with local relapse had significantly poorer tumor coverage, which was likely attributable to treatment planning directives that prioritized the spinal cord constraints over tumor coverage. When possible, we recommend maintaining a GTV Dmin above 14 Gy in 1 fraction and 21 Gy in 3 fractions.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Structural analysis and design of multivariable control systems: An algebraic approach

The application of algebraic system theory to the design of controllers for multivariable (MV) systems is explored analytically using an approach based on state-space representations and matrix-fraction descriptions. Chapters are devoted to characteristic lambda matrices and canonical descriptions of MIMO systems; spectral analysis, divisors, and spectral factors of nonsingular lambda matrices; feedback control of MV systems; and structural decomposition theories and their application to MV control systems.

Tsay, Yih Tsong↗

Fault Detection and Diagnosis In Hall–Héroult Cells Based on Individual Anode Current Measurements Using Dynamic Kernel PCA

Individual anode current signals in aluminum reduction cells provide localized cell conditions in the vicinity of each anode, which contain more information than the conventionally measured cell voltage and line current. One common use of this measurement is to identify process faults that can cause significant changes in the anode current signals. While this method is simple and direct, it ignores the interactions between anode currents and other important process variables. This paper presents an approach that applies multivariate statistical analysis techniques to individual anode currents and other process operating data, for the detection and diagnosis of local process abnormalities in aluminum reduction cells. Specifically, since the Hall–Héroult process is time-varying with its process variables dynamically and nonlinearly correlated, dynamic kernel principal component analysis with moving windows is used. The cell is discretized into a number of subsystems, with each subsystem representing one anode and cell conditions in its vicinity. The fault associated with each subsystem is identified based on multivariate statistical control charts. The results show that the proposed approach is able to not only effectively pinpoint the problematic areas in the cell, but also assess the effect of the fault on different parts of the cell.

36 MATERIALS SCIENCE↗

1 H NMR metabolomics study of spleen from C57BL/6 mice exposed to gamma radiation

Due to the potential risk of accidental exposure to gamma radiation, it’s critical to identify the biomarkers of radiation exposed creatures. In the present study, NMR based metabolomics combined with multivariate data analysis to evaluate the metabolites changed in the C57BL/6 mouse spleen after 4 days whole body exposure to 3.0 Gy and 7.8 Gy gamma radiations. Principal component analysis (PCA) and orthogonal projection to latent structures analysis (OPLS) are employed for classification and identification potential biomarkers associated with gamma irradiation. Two different strategies for NMR spectral data reduction (i.e., spectral binning and spectral deconvolution) are combined with normalize to constant sum and unit weight before multivariate data analysis, respectively. The combination of spectral deconvolution and normalization to unit weight is the best way for identifying discriminatory metabolites between the irradiation and control groups. Normalized to the constant sum may achieve some pseudo biomarkers. PCA and OPLS results shown that the exposed groups can be well separated from the control group. Leucine, 2-aminobutyrate, valine, lactate, arginine, glutathione, 2-oxoglutarate, creatine, tyrosine, phenylalanine, π-methylhistidine, taurine, myoinositol, glycerol and uracil are significantly elevated while ADP is decreased significantly. As a result, these significantly changed metabolites are associated with multiple metabolic pathways and may be potential biomarkers in the spleen exposed to gamma irradiation.

1H NMR metabolomics↗

Application of Multivariate Curve Resolution–Alternate Least Square Technique on Extracting Pure Spectral Components from Multiple Emitting Systems: a Case Study

Multiple emitting components in a fluorophoric system often produce complicated emission spectra. Extracting the individual spectral information from the composite spectra is important in order to comprehend the photophysical processes occurring in the multifluorophoric systems. Although the combination of Principal Component Analysis and Multivariate Curve Resolution-Alternate Least Square (PCA/MCR-ALS) technique is a well-known approach for curve deconvolution, its applicability in the spectral deconvolution of vibronically and electronically mixed up emitting systems as well as systems merged up with multiple electronic bands without a priori knowledge of the individual emitting species, is not properly studied. The present work highlights the strength of PCA/MCR-ALS in retrieving pure spectral information from the set of complex spectra arising out of the regular variation of causative factors that result in the variation of spectral composition. The retrieval of the emission bands utilizing the PCA/MCR-ALS technique has been made without having a priori information of the emitting species present in the multifluorophoric systems and the resolved spectra correspond well with the fluorescence spectra of the individual chemical species. The common curve fitting methods such as Gaussian and Lorentzian techniques have been found to be unsuccessful in providing meaningful photophysical information through the retrieved spectra. A comparative study of the curve fitting techniques MCR-ALS, Gaussian and Lorentzian in a set of complicated emission spectra of (i) pyrene and its excimer, (ii) pyrene and its excimer in presence of benzo[a]pyrene, and (iii) fisetin in bile salt medium is presented herein in details.

74 ATOMIC AND MOLECULAR PHYSICS↗

Electron microscopy analysis of high burnup commercial fuel

Modern electron microscopy analysis can provide detailed insight into the microstructure and chemistry of high burnup UO{sub 2} fuel. This more complete understanding of fuel evolution and performance in reactor can provide critical insight necessary to validate fuel performance models and optimize reactor operations. Preliminary results from the investigation of a polished cross-section of high burnup UO{sub 2} fuel (seven cycles) from the H.B. Robinson pressurized water reactor will be discussed. The analysis focuses on scanning electron microscopy (SEM) of the complete cross-section, while scanning transmission electron microscopy (S/TEM) was performed on targeted features identified by SEM where specimens were fabricated by traditional focused ion beam lift-out techniques. Analysis of the complete cross-section allowed for investigation of the microstructural variations from centerline to fuel/clad interface, pellet/pellet interface, and cladding. Secondary electron imaging and backscatter electron imaging was performed to identify variations in the distribution of fission product secondary phases and bubbles/voids. The analysis of the pellet/pellet interface is a unique feature of this sample where initial analysis shows segregation of fission product phases at the pellet/pellet interface and also indicates an interface microstructure lacking of bubbles and voids. X-ray spectrum imaging was performed by both SEM and STEM techniques to identify the composition of the secondary phases present in the fuel. Multivariate statistical analysis (MVSA) of the X-ray spectrum images has been applied to improve the sensitivity of the analysis and highlight minor variations in the fuel chemistry and secondary phases comprised of fission product as well as the distribution of sub-surface Xe gas bubbles in the high burnup structure. The results presented demonstrate the level of microstructural understanding that is attainable with a combination of SEM techniques along with S/TEM techniques.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

A transmission electron microscopy study of EBR-II neutron-irradiated austenitic stainless steel 304 and nickel-base alloy X-750

The microstructure of EBR-II neutron-irradiated austenitic stainless steel 304 and nickel-base alloy X-750 was investigated. Both alloys were irradiated at low dose rates (~2 × 10 -8 dpa/s) to a neutron fluence of 6.9 × 10 22 n/cm 2 (E > 0.1 MeV) at 371–389 °C. Different types of defects, including Frank loops, cavities, and γ' precipitates were characterized. The Frank loops in Type 304 stainless steel (SS) are larger in size (~50 nm in diameter) and lower in number density (2.58 × 10 21 m -3 ), compared to most previous higher dose rate neutron irradiation studies. The Frank loops in X-750 have an average size 26.0 nm of and a number density of 9.44 × 10 21 m -3 . In 304 SS and X-750, cavities are of ~20 nm and ~14 nm in diameter, respectively. The swelling of both alloys was found to be insignificant. In 304 SS, Ni and Si were found enriched at the cavity surfaces and Ni,Si-rich precipitates were also found. Multivariate statistical analysis using non-negative matrix factorization reveals that these Ni,Si-rich precipitates contain only ~5.7 at.% Si, differing from the Ni 3 Si γ' precipitates found in several previous studies. In X-750, L1 2 -structured γ' precipitates were found, and multivariate statistical analysis confirmed the 3:1 stoichiometry (Ni 3 (Ti,Al)) of the precipitates and the superlattice reflections confirmed the stability of the crystal structure of these γ' precipitates, indicating higher-than-expected precipitate stability under high-dose neutron irradiation.

36 MATERIALS SCIENCE↗

Experiments with a three-dimensional statistical objective analysis scheme using FGGE data

A three-dimensional (3D), multivariate, statistical objective analysis scheme (referred to as optimum interpolation or OI) has been developed for use in numerical weather prediction studies with the FGGE data. Some novel aspects of the present scheme include: (1) a multivariate surface analysis over the oceans, which employs an Ekman balance instead of the usual geostrophic relationship, to model the pressure-wind error cross correlations, and (2) the capability to use an error correlation function which is geographically dependent. A series of 4-day data assimilation experiments are conducted to examine the importance of some of the key features of the OI in terms of their effects on forecast skill, as well as to compare the forecast skill using the OI with that utilizing a successive correction method (SCM) of analysis developed earlier. For the three cases examined, the forecast skill is found to be rather insensitive to varying the error correlation function geographically. However, significant differences are noted between forecasts from a two-dimensional (2D) version of the OI and those from the 3D OI, with the 3D OI forecasts exhibiting better forecast skill. The 3D OI forecasts are also more accurate than those from the SCM initial conditions. The 3D OI with the multivariate oceanic surface analysis was found to produce forecasts which were slightly more accurate, on the average, than a univariate version.

Baker, Wayman E.↗

Closure to “Coincidence Risk Analysis of Floods Using Multivariate Copulas: Case Study of Jinsha River and Min River, China” by Yang Peng, Yulong Shi, Hongxiang Yan, Kai Chen, and Jipeng Zhang

We would like to thank the discusser for his comments on the coincidence flood risk modeling in Jinsha River and Min River, China. The discusser’s comment brings focus to the discussion of extreme-value selection methodology and historical flood information. In flood risk analysis, we acknowledge that there is always an alternative modeling approach that could be used to generate desired prediction results. In this comment, the discusser made two valuable points regarding the original paper, and the following two paragraphs provide our responses.

42 ENGINEERING↗

An efficient parallel sampling technique for Multivariate Poisson-Lognormal model: Analysis with two crash count datasets

Our study investigates the Multivariate Poisson-lognormal (MVPLN) model that jointly models crash frequency and severity accounting for correlations. The ordinary univariate count models analyze crashes of different severity level separately ignoring the correlations among severity levels. The MVPLN model is capable to incorporate the general correlation structure and takes account of the over dispersion in the data that leads to a superior data fitting. But, the traditional estimation approach for MVPLN model is computationally expensive, which often limits the use of MVPLN model in practice. In this work, a parallel sampling scheme is introduced to improve the original Markov Chain Monte Carlo (MCMC) estimation approach of the MVPLN model, which significantly reduces the model estimation time. Two MVPLN models are developed using the pedestrian vehicle crash data collected in New York City from 2002 to 2006, and the highway-injury data from Washington State (5-year data from 1990 to 1994) The Deviance Information Criteria (DIC) is used to evaluate the model fitting. The estimation results show that the MVPLN models provide a superior fit over univariate Poisson-lognormal (PLN), univariate Poisson, and Negative Binomial models. Moreover, the correlations among the latent effects of different severity levels are found significant in both datasets that justifies the importance of jointly modeling crash frequency and severity accounting for correlations.

97 MATHEMATICS AND COMPUTING↗

A modal analysis of flexible aircraft dynamics with handling qualities implications

A multivariable modal analysis technique is presented for evaluating flexible aircraft dynamics, focusing on meaningful vehicle responses to pilot inputs and atmospheric turbulence. Although modal analysis is the tool, vehicle time response is emphasized, and the analysis is performed on the linear, time-domain vehicle model. In evaluating previously obtained experimental pitch tracking data for a family of vehicle dynamic models, it is shown that flexible aeroelastic effects can significantly affect pitch attitude handling qualities. Consideration of the eigenvalues alone, of both rigid-body and aeroelastic modes, does not explain the simulation results. Modal analysis revealed, however, that although the lowest aeroelastic mode frequency was still three times greater than the short-period frequency, the rigid-body attitude response was dominated by this aeroelastic mode. This dominance was defined in terms of the relative magnitudes of the modal residues in selected vehicle responses.

Schmidt, D. K.↗

Relationship Between HER2 Status and Prognosis in Women With Brain Metastases From Breast Cancer

Purpose: To analyze factors affecting outcomes in breast cancer patients with brain metastases (BM) and characterize the role of HER2 status. Methods and Materials: We identified 264 breast cancer patients treated between 1999 and 2008 for BM. HER2 status was known definitively for 172 patients and was used to define cohorts in which survival and risk factors were analyzed. Results: Kaplan-Meier survival analysis demonstrated improved mean overall survival (105.7 vs. 74.3 months, p < 0.02), survival after diagnosis of BM (neurologic survival, NS) (32.2 vs. 18.9 months, p < 0.01), and survival after treatment with stereotactic radiosurgery (RS) (31.3 vs. 14.1, p < 0.01) in HER2+ patients relative to those with HER2- breast cancer. HER2+ status was an independent, positive prognostic factor for survival on univariate and multivariate hazard analysis (hazard ratio: overall survival = 0.66, 0.18; NS = 0.50, 0.34). Additionally, subgroup analysis suggests that stereotactic radiosurgery may be of particular benefit in patients with HER2+ tumors. Conclusions: Overall survival, NS, and RS are improved in patients with HER2+ tumors, relative to those with HER2- lesions, and HER2 amplification is independently associated with increased survival in patients with BM from breast cancer. Our findings suggest that the prognosis of HER2+ patients may be better than that of otherwise similar patients who are HER2- and that stereotactic radiosurgery may be beneficial for some patients with HER2+ lesions.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Essential Role of Radiotherapy in the Treatment of Merkel Cell Carcinoma: A Study From the Rare Cancer Network

Purpose: To evaluate the role of postoperative radiotherapy (RT) in Merkel cell carcinoma (MCC). Methods and Materials: A retrospective multicenter study was performed in 180 patients with MCC treated between February 1988 and September 2009. Patients who had had surgery alone were compared with patients who received surgery and postoperative RT or radical RT. Local relapse-free survival (LRFS), regional relapse-free survival (RRFS), and distant metastasis-free survival (DMFS) rates were assessed together with disease-free survival (DFS), cancer-specific survival (CSS), and overall survival (OS) rates. Results: Seventy-nine patients were male and 101 patients were female, and the median age was 73 years old (range, 38-93 years). The majority of patients had localized disease (n = 146), and the remaining patients had regional lymph node metastasis (n = 34). Forty-nine patients underwent surgery for the primary tumor without postoperative RT to the primary site; the other 131 patients received surgery for the primary tumor, followed by postoperative RT (n = 118) or a biopsy of the primary tumor followed by radical RT (n = 13). Median follow-up was 5 years (range, 0.2-16.5 years). Patients in the RT group had improved LRFS (93% vs. 64%; p < 0.001), RRFS (76% vs. 27%; p < 0.001), DMFS (70% vs. 42%; p = 0.01), DFS (59% vs. 4%; p < 0.001), and CSS (65% vs. 49%; p = 0.03) rates compared to patients who underwent surgery for the primary tumor alone; LRFS, RRFS, DMFS, and DFS rates remained significant with multivariable Cox regression analysis. However OS was not significantly improved by postoperative RT (56% vs. 46%; p = 0.2). Conclusions: After multivariable analysis, postoperative RT was associated with improved outcome and seems to be an important component in the multimodality treatment of MCC.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Early Results with the Use of Heparin-bonded Stent Graft to Rescue Failed Angioplasty of Chronic Femoropopliteal Occlusive Lesions: TASC D Lesions Have a Poor Outcome

Purpose: To evaluate early patency rate of the heparin-bonded stent grafts in atherosclerotic long femoropopliteal occlusive disease, and to identify factors that affect outcome. Methods: Heparin-bonded Viabahn stent grafts were placed in 33 limbs in 33 patients during 2009-2010. The stents were deployed to rescue failed conventional balloon angioplasty. Mean age was 69 (range 44-88) years, and 67 % (22 of 33) were men. Most procedures (21 of 33, 64 %) were performed for critical limb ischemia (33 % for rest pain, 30 % tissue loss). Kaplan-Meier plots and Cox regression analysis were used to identify significant risk factors. Results: The average length of lesions treated was 25 {+-} 10 cm, and they were predominantly TASC (Transatlantic Intersociety Consensus) D (n = 13) and C (n = 17) lesions. The median primary patency was 5.0 months (95 % confidence interval 1.22-8.77). The mean secondary patency was 8.6 months (95 % confidence interval 6.82-10.42). Subsequently, 4 patients underwent bypass surgery and 5 patients underwent major amputation. One patient died. There were 5 in-stent or edge-stent stenoses. Cox multivariate regression analysis identified TASC D lesions to be a significant risk factor for early occlusion (p = 0.035). Conclusion: TASC D lesions of femoropopliteal occlusions have poor patency rates with the use of heparin-bonded stent grafts after failed conventional angioplasty. Alternative options should be considered for these patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗