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- Schmitz, N., et al.
(författare)
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CNS disease in younger patients with aggressive B-cell lymphoma: an analysis of patients treated on the Mabthera International Trial and trials of the German High-Grade Non-Hodgkin Lymphoma Study Group
- 2012
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Ingår i: Annals of Oncology. - : Elsevier BV. - 1569-8041 .- 0923-7534. ; 23:5, s. 1267-1273
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Tidskriftsartikel (refereegranskat)abstract
- To describe incidence, risk factors, and influence of treatment on occurrence of central nervous system (CNS) relapse or progression in younger patients with aggressive B-cell lymphoma. We analyzed 2210 patients with aggressive B-cell lymphoma treated on various studies for CNS relapse/progression. Treatment consisted of CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) +/- etoposide. Six hundred and twenty patients also received rituximab. CNS prophylaxis was intrathecal methotrexate on High-CHOEP and MegaCHOEP phase III studies if upper neck, head, bone marrow, or testes were involved. Fifty-six of 2196 patients (2.6%) developed CNS disease. It occurred early (median 7.0 months), median survival was 5.0 months. Patients with age-adjusted International Prognostic Index (aaIPI) 0 or 1 treated with rituximab showed a low risk for CNS disease (2-year rates: 0% or 0.5%), and rituximab decreased the risk (relative risk 0.3, 95% confidence interval 0.1-0.9, P = 0.029). Patients with aaIPI 2 or 3 showed a moderate risk (4.2%-9.7%) and no significant reduction of CNS disease with rituximab. CNS prophylaxis was of no significant benefit. In younger patients with aaIPI 0 or 1, CNS relapse/progression is very rare; in patients with aaIPI 2 or 3, the risk is higher (up to 10%) and requires new diagnostic strategies and treatment.
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- Salles, G, et al.
(författare)
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Prognostic significance of immunohistochemical biomarkers in diffuse large B-cell lymphoma: a study from the Lunenburg Lymphoma Biomarker Consortium
- 2011
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Ingår i: Blood. - : American Society of Hematology. - 1528-0020 .- 0006-4971. ; 117:26, s. 7070-7078
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Tidskriftsartikel (refereegranskat)abstract
- The Lunenburg Lymphoma Biomarker Consortium (LLBC) evaluated the prognostic value of IHC biomarkers in a large series of patients with diffuse large B-cell lymphoma (DLBCL). Clinical data and tumor samples were retrieved from 12 studies from Europe and North America, with patients treated before or after the rituximab era. Using tissue microarrays from 1514 patients, IHC for BCL2, BCL6, CD5, CD10, MUM1, Ki67, and HLA-DR was performed and scored according to previously validated protocols. Optimal cut points predicting overall survival of patients treated in the rituximab era could only be determined for CD5 (P = .003) and Ki67 (P = .02), whereas such cut points for BCL2, BCL6, HLA-DR, and MUM1 could only be defined in patients not receiving rituximab. A prognostic model for patients treated in the rituximab era identified 4 risk groups using BCL2, Ki67, and International Prognostic Index (IPI) with improved discrimination of low-risk patients. Newly recognized correlations between specific biomarkers and IPI highlight the importance of carefully controlling for clinical and biologic factors in prognostic models. These data demonstrate that the IPI remains the best available index in patients with DLBCL treated with rituximab and chemotherapy.
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- Pfreundschuh, Simon, 1989, et al.
(författare)
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Synergistic radar and radiometer retrievals of ice hydrometeors
- 2020
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Ingår i: Atmospheric Measurement Techniques. - : Copernicus GmbH. - 1867-1381 .- 1867-8548. ; 13:8, s. 4219-4245
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Tidskriftsartikel (refereegranskat)abstract
- Remote sensing observations at sub-millimeter wavelengths provide higher sensitivity to small hydrometeors and low water content than observations at millimeter wavelengths, which are traditionally used to observe clouds and precipitation. They are employed increasingly in field campaigns to study cloud microphysics and will be integrated into the global meteorological observing system to measure the global distribution of ice in the atmosphere with the launch of the Ice Cloud Imager (ICI) radiometer on board the second generation of European operational meteorological satellites (Metop-SG). Observations at these novel wavelengths provide valuable information not only on their own but also in combination with complementary observations at other wavelengths. This study investigates the potential of combining passive sub-millimeter radiometer observations with a hypothetical W-band cloud radar for the retrieval of frozen hydrometeors. An idealized cloud model is used to investigate the information content of the combined observations and establish their capacity to constrain the microphysical properties of ice hydrometeors. A synergistic retrieval algorithm for airborne observations is proposed and applied to simulated observations from a cloud-resolving model. Results from the synergistic retrieval are compared to equivalent radar- and passive-only implementations in order to assess the benefits of the synergistic sensor configuration. The impact of the assumed ice particle shape on the retrieval results is assessed for all retrieval implementations. We find that the combined observations better constrain the microphysical properties of ice hydrometeors, which reduces uncertainties in retrieved ice water content and particle number concentrations for suitable choices of the ice particle model. Analysis of the retrieval information content shows that, although the radar contributes the largest part of the information in the combined retrieval, the radiometer observations provide complementary information over a wide range of atmospheric states. Furthermore, the combined observations yield slightly improved retrievals of liquid cloud water in mixed-phase clouds, pointing towards another potential application of combined radar-radiometer observations.
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- Pfreundschuh, Simon, 1989, et al.
(författare)
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Synergistic radar and sub-millimeter radiometer retrievals of ice hydrometeors in mid-latitude frontal cloud systems
- 2022
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Ingår i: Atmospheric Measurement Techniques. - : Copernicus GmbH. - 1867-1381 .- 1867-8548. ; 15:3, s. 677-699
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Tidskriftsartikel (refereegranskat)abstract
- Accurate measurements of ice hydrometeors are required to improve the representation of clouds and precipitation in weather and climate models. In this study, a newly developed, synergistic retrieval algorithm that combines radar with passive millimeter and sub-millimeter observations is applied to observations of three frontally generated, mid-latitude cloud systems in order to validate the retrieval and assess its capabilities to constrain the properties of ice hydrometeors. To account for uncertainty in the assumed shapes of ice particles, the retrieval is run multiple times while the shape is varied. Good agreement with in situ measurements of ice water content and particle concentrations for particle maximum diameters larger than 200ĝ€¯μm is found for one of the flights for the large plate aggregate and the six-bullet rosette shapes. The variational retrieval fits the observations well, although small systematic deviations are observed for some of the sub-millimeter channels pointing towards issues with the sensor calibration or the modeling of gas absorption. For one of the flights the quality of the fit to the observations exhibits a weak dependency on the assumed ice particle shape, indicating that the employed combination of observations may provide limited information on the shape of ice particles in the observed clouds. Compared to a radar-only retrieval, the results show an improved sensitivity of the synergistic retrieval to the microphysical properties of ice hydrometeors at the base of the cloud. Our findings indicate that the synergy between active and passive microwave observations may improve remote-sensing measurements of ice hydrometeors and thus help to reduce uncertainties that affect currently available data products. Due to the increased sensitivity to their microphysical properties, the retrieval may also be a valuable tool to study ice hydrometeors in field campaigns. The good fits obtained to the observations increase confidence in the modeling of clouds in the Atmospheric Radiative Transfer Simulator and the corresponding single scattering database, which were used to implement the retrieval forward model. Our results demonstrate the suitability of these tools to produce realistic simulations for upcoming sub-millimeter sensors such as the Ice Cloud Image or the Arctic Weather Satellite.
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