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- Ahlberg, M., et al.
(författare)
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Time without PSA recurrence after radical prostatectomy as a predictor of prostate cancer death
- 2022
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Ingår i: European Urology. - : Elsevier. - 0302-2838 .- 1873-7560. ; 81:Suppl. 1, s. S286-S286
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Introduction & Objectives: Although surveillance after radical prostatectomy routinely includes repeated Prostate Specific Antigen (PSA)-testing for many years, biochemical recurrence often occurs without further clinical progression. We therefore hypothesised that follow-up can be shortened for many patients without increasing the risk for prostate cancer death. We investigated the long-term probabilities of PSA recurrence, metastases and prostate cancer death in patients without biochemical recurrence 5 and 10 years after radical prostatectomy.Materials & Methods: Between 1989 and 1998, 14 urological centres in Scandinavia randomized patients to the Scandinavian Prostate Cancer Group study number 4 (SPCG-4) trial. Data was collected prospectively. All 306 patients from the SPCG-4 trial who underwent radical prostatectomy within 1 year from inclusion were eligible in our cohort. 4 patients were excluded due to surgery-related death (n=1) or salvage radiotherapy or hormonal treatment within 6 weeks from surgery (n=3). We stratified by Gleason score (≤3+4=7 or ≥4+3=7), pathological tumour stage (pT2 or ≥pT3), and negative or positive surgical margins. We analysed the cumulative incidences and absolute differences in metastatic disease and prostate cancer death.Results: We analysed 302 patients with complete follow-up during a median of 18 years. Median preoperative PSA was 9.8 ng/ml and median age at inclusion was 65 years. For patients without biochemical recurrence 5 years after radical prostatectomy the 20-year probability of biochemical recurrence was 25% among men with Gleason score ≤3+4=7 and 57% among men with Gleason score ≥4+3=7; the probabilities for metastases were 0.8% and 17%; and for prostate cancer death 0.8% and 12% respectively. The long-term probabilities were higher for pT≥3 vs. pT2 and for positive vs. negative surgical margins.Conclusions: Following radical prostatectomy, patients with Gleason score ≤3+4=7 without biochemical recurrence 5 years after radical prostatectomy had low risk of metastases and prostate cancer death independent of pT-stage and surgical margins. The risk of clinical progression decreased drastically the first 3 years after radical prostatectomy and after 10 years without biochemical recurrence, no patient was diagnosed with metastases or died from prostate cancer. Our study indicates that men with favourable histopathology without biochemical recurrence 5 years after radical prostatectomy can stop follow-up earlier than 10 years after radical prostatectomy while men with adverse pathology should continue with at least 10 years follow-up
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| 3. |
- Erneman, J., et al.
(författare)
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Comparison between quantitative metallography and modeling of sigma-phase particle growth in AISI 347 stainless steel
- 2005
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Ingår i: Metallurgical and Materials Transactions. A. - : Springer Science and Business Media LLC. - 1073-5623 .- 1543-1940. ; 36A:10, s. 2595-2600
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Tidskriftsartikel (refereegranskat)abstract
- A comparison was made between two experimental methods to determine the (T-phase volume fraction and three methods to model a-phase growth in a niobium-stabilized stainless steel (AISI 347). The a-phase volume fraction and precipitate size were determined in material statically aged and creep deformed at 700 degrees C with both KOH etched specimens using bright field optical microscopy (OM/BF) (conventional method) and specimens etched with oxalic acid using scanning electron microscopy and backscattered electrons (SEM/BSE) (new method). Both experimental methods used manual thresholding together with digital image analysis. The calculations were made with DICTRA software, using both the TCFE database and the SSOL database with some modification concerning the effect of silicon on the stability of sigma-phase particles. The modeled sigma-phase volume- fractions showed rather good agreement with the measured results from statically aged material using the new method. It was found that the stabilizing effect of silicon on sigma phase should be included in the thermodynamic database used for modeling.
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| 4. |
- Erneman, J., et al.
(författare)
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Precipitation reactions caused by nitrogen uptake during service at high temperatures of a niobium stabilised austenitic steel
- 2004
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Ingår i: Acta Materialia. - : Elsevier BV. - 1359-6454 .- 1873-2453. ; 52:14, s. 4337-4350
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Tidskriftsartikel (refereegranskat)abstract
- Precipitation phenomena in type 347 austenitic stainless steels have been investigated after long-term heat treatment and creep in air at 700 and 800 degreesC. Nitrogen uptake was observed during long-term creep testing at 800 degreesC. No such effect was observed at 700 degreesC although times up to about 70,000 h were used. The major phases precipitated after long time exposure at 800 degreesC were primary Nb(C,N), Z-phase, Cr2N and M23C6, while primary Nb(C,N), secondary Nb(C,N) and sigma-phase were the major phases at 700 degreesC. Z-phase precipitated in both intragranular and intergranular form at 800 degreesC. Large precipitates exhibiting a core/rim structure showed a rim of Z-phase surrounding undissolved primary Nb(C,N). The microstructural evolution during creep deformation in air at 800 degreesC was modelled thermodynamically. The model satisfactorily predicts nitrogen uptake and the essential features of the evolution of the microstructure with time. The precipitation sequence could be qualitatively described, although it was not possible to model the formation of all precipitates.
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| 5. |
- Erneman, J., et al.
(författare)
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The evolution of primary and secondary niobium carbonitrides in AISI 347 stainless steel during manufacturing and long-term ageing
- 2006
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Ingår i: Acta Materialia. - : Elsevier BV. - 1359-6454 .- 1873-2453. ; 54:1, s. 67-76
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Tidskriftsartikel (refereegranskat)abstract
- Nb(C,N) precipitates were studied in a niobium-stabilised stainless steel (AISI 347) statically aged at 700 degrees C. Scanning electron microscopy and energy filtered transmission electron microscopy were used to determine the volume fraction and precipitate size of primary and secondary Nb(C,N) after ageing times between 0 and 70,000 h. The experimental data were correlated with simulations of Nb(C,N) formation based on the assumption that the process is controlled by diffusion. These simulations provide a rationale for the existence of two sets of mobium carbonitrides in commercial tubes of AISI 347. Growth of primary Nb(C,N) occurred essentially during manufacturing, with no significant growth at 700 degrees C. Rapid dissolution and re-precipitation of secondary Nb(C,N) occurred during manufacturing. Coarsening at 700 degrees C of secondary particles was modelled using the Lifshitz-Slyozov-Wagner theory, which overestimated the coarsening rate. These problems were overcome with a model developed by the authors. This model takes both growth and coarsening into account.
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| 7. |
- Schwind, M., et al.
(författare)
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sigma-phase precipitation in stabilized austenitic stainless steels
- 2000
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Ingår i: Acta Materialia. - 1359-6454 .- 1873-2453. ; 48:10, s. 2473-2481
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Tidskriftsartikel (refereegranskat)abstract
- Experimental observations of sigma-phase precipitation in two stabilized austenitic stainless steers, AISI 321 and AISI 347, aged up to 80,000 h at temperatures between 500 and 800 degrees C, are compared with the results obtained from a simple model of the process. The model is based on the assumption that diffusion of alloying elements from inside austenite grains to sigma-phase particles at grain boundaries limits the rate of formation, and this is supported by the presence of zones depleted in chromium at grain boundaries revealed by TEM/EDS. The full multicomponent thermodynamic behaviour of the system is taken into account using the DICTRA software and the influence of grain shape is discussed. The predictions of the model are in fair agreement with experimentally estimated Volume fractions of sigma-phase.
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