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- Van Holsbeke, Caroline, et al.
(författare)
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Ultrasound Experience Substantially Impacts on Diagnostic Performance and Confidence when Adnexal Masses Are Classified Using Pattern Recognition
- 2010
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Ingår i: Gynecologic and Obstetric Investigation. - : S. Karger AG. - 1423-002X .- 0378-7346. ; 69:3, s. 160-168
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To determine how accurately and confidently examiners with different levels of ultrasound experience can classify adnexal masses as benign or malignant and suggest a specific histological diagnosis when evaluating ultrasound images using pattern recognition. Methods: Ultrasound images of selected adnexal masses were evaluated by 3 expert sonologists, 2 senior and 4 junior trainees. They were instructed to classify the masses using pattern recognition as benign or malignant, to state the level of confidence with which this classification was made and to suggest a specific histological diagnosis. Sensitivity, specificity, accuracy and positive and negative likelihood ratios (LR+ and LR-) with regard to malignancy were calculated. The area under the receiver operating characteristic curve (AUC) of pattern recognition was calculated by using six levels of diagnostic confidence. Results: 166 masses were examined, of which 42% were malignant. Sensitivity with regard to malignancy ranged from 80 to 86% for the experts, was 70 and 84% for the 2 senior trainees and ranged from 70 to 86% for the junior trainees. The specificity of the experts ranged from 79 to 91%, was 77 and 89% for the senior trainees and ranged from 59 to 83% for the junior trainees. The experts were uncertain about their diagnosis in 4-13% of the cases, the senior trainees in 15-20% and the junior trainees in 67-100% of the cases. The AUCs ranged from 0.861 to 0.922 for the experts, were 0.842 and 0.855 for the senior trainees, and ranged from 0.726 to 0.795 for the junior trainees. The experts suggested a correct specific histological diagnosis in 69-77% of the cases. All 6 trainees did so significantly less often (22-42% of the cases). Conclusion: Expert sonologists can accurately classify adnexal masses as benign or malignant and can successfully predict the specific histological diagnosis in many cases. Whilst less experienced operators perform reasonably well when predicting the benign or malignant nature of the mass, they do so with a very low level of diagnostic confidence and are unable to state the likely histology of a mass in most cases. Copyright (C) 2009 S. Karger AG, Basel
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| 2. |
- Van der Putten, Nathalie, et al.
(författare)
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Postglacial sedimentary and geomorphological evolution of a small sub-Antarctic fjord landscape, Stromness Bay, South Georgia
- 2013
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Ingår i: Antarctic Science. - 1365-2079. ; 25:3, s. 409-419
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Tidskriftsartikel (refereegranskat)abstract
- A detailed stratigraphical, palaeoecological and geomorphological reconstruction of a fjord head on South Georgia (Husvik, Stromness Bay) is presented. Six sites were chosen to reconstruct the lithostratigraphy of the area by means of coring. A maximum depth of 11m was attained and the sediments encountered vary from coarse gravel over sands to fine silts with, in some cases, intercalated peat layers. Diatom analysis allowed determination of whether the sedimentological units were deposited in a marine or freshwater environment. Six radiocarbon dates constrain the chronology. Deglaciation of the area was completed in the early Holocene and the postglacial geomorphological evolution of Husdal (unofficial name) was controlled by fluvio-deltaic deposition and sea level changes. Relative sea level rise was faster than, or kept pace with the isostatic rebound of the land. Our results challenge the presence of Late Glacial and Holocene raised beach deposits in the area as reported in earlier geomorphological studies.
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| 3. |
- Bokhorst, Stef Frederik, et al.
(författare)
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Variable temperature effects of Open Top Chambers at polar and alpine sites explained by irradiance and snow depth
- 2013
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Ingår i: Global Change Biology. - : Wiley. - 1354-1013 .- 1365-2486. ; 19:1, s. 64-74
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Forskningsöversikt (refereegranskat)abstract
- Environmental manipulation studies are integral to determining biological consequences of climate warming. Open Top Chambers (OTCs) have been widely used to assess summer warming effects on terrestrial biota, with their effects during other seasons normally being given less attention even though chambers are often deployed year-round. In addition, their effects on temperature extremes and freeze-thaw events are poorly documented. To provide robust documentation of the microclimatic influences of OTCs throughout the year, we analysed temperature data from 20 studies distributed across polar and alpine regions. The effects of OTCs on mean temperature showed a large range (-0.9 to 2.1 degrees C) throughout the year, but did not differ significantly between studies. Increases in mean monthly and diurnal temperature were strongly related (R-2 = 0.70) with irradiance, indicating that PAR can be used to predict the mean warming effect of OTCs. Deeper snow trapped in OTCs also induced higher temperatures at soil/vegetation level. OTC-induced changes in the frequency of freeze-thaw events included an increase in autumn and decreases in spring and summer. Frequency of high-temperature events in OTCs increased in spring, summer and autumn compared with non-manipulated control plots. Frequency of low-temperature events was reduced by deeper snow accumulation and higher mean temperatures. The strong interactions identified between aspects of ambient environmental conditions and effects of OTCs suggest that a detailed knowledge of snow depth, temperature and irradiance levels enables us to predict how OTCs will modify the microclimate at a particular site and season. Such predictive power allows a better mechanistic understanding of observed biotic response to experimental warming studies and for more informed design of future experiments. However, a need remains to quantify OTC effects on water availability and wind speed (affecting, for example, drying rates and water stress) in combination with microclimate measurements at organism level.
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